Reisen!

Hallo!

Hier gibt es eine Grafik, wohin wir in Namibia gereist sind.  Die lila/blau Linie zeigt, wohin wir gegangen sind. Zuerst waren wir in Windhoek (1). Windhoek ist die Hauptstadt von Namibia und wir haben gedacht, dass die University of Namibia (UNAM) auch hier war. Dann sind wir nach dem Norden nach Outjo, Ondangwa, und Oshakati gefahren(2). UNAM ist in Oshakakti und wir haben auch nach eine ländliche Klinik, eine innerstädtische Klinik und ein Krankenhaus besucht. Nach Oshakati sind wir nachTsumeb gefahren, und zur Ombili Stiftung, und haben die deutsche Stiftung besucht (3). Zwei Tage lang sind wir auf ein Safari in Etosha gegangen (4). Als nächstes sind wir nach Henties Bay, Swakopmund, und Walvis Bay gefahren (5). Wir sind auch nach Solitaire, Sesriem, und Sossuvlei gefahren. Hier haben wir die großen roten Dünen kurz gesehen aber es war zu windig um viel davon zu sehen. Zuletzt, sind wir wieder nach Windhoek zurückgegangen (7).

Bis Bald,

Kimberly

Namibia’s National Hepatitis E Virus (HEV) Surveillance Program

Hallo Leute,

I will also be making this post in English as it is over my Public Health Senior Capstone Project. Although I did my research with Rebecca and Mr. Haufiku, I based my Capstone on a different project. My project focuses on Hepatitis E Virus (HEV) in Namibia, and I developed a Public Health intervention in order to decrease the prevalence and burden of HEV in Namibia. Because HEV is commonly misdiagnosed as other diseases and is underresearched the true prevalence around the world and in Namibia is unknown. HEV is an important disease to bring attention to because it can become chronic, have lasting impacts on health, and can be fatal to those with weakened immune systems. It is even more so important to address HEV in Namibia and throughout Africa because there are large percentages of the population living with Malaria, TB, HIV/AIDS, or expecting mothers, all of which are at a higher risk of getting chronic HEV and have a higher rate of mortality from HEV. In order to address this disease, I based my project on a national surveillance program. The purpose of a surveillance program is to track, monitor, collect data, and analyze the spread of diseases within a country. The program I developed will track the number of cases, prevalence and mortality rates, and the demographics of those that contract the disease. Collecting this data would allow the Ministry of Health to directly addresses the burden of HEV in Namibia along with the prevalence, outbreaks, epidemics, and help at-risk populations. This program is special in that it has the ability to direct and suggest proper Public Health interventions to targeted populations and can be expanded to track more diseases such as the CDC does in the U.S.A.  The above picture is the poster on my project that I will be presenting this April.

Tschüss für jetze,

Kimberly

Research with Rebecca and Desi!

Hallo Leute,

I am writing this post in English first because I want to make sure it is clear and understandable. I want to talk about my research for Public Health so I will be using some specific terms that I want to ensure I don’t translate incorrectly. To begin with, my Public Health research is focused on the expansion of the Community Health Worker Program in Namibia. Community health workers can also be referred to as lay workers, health extension workers. Another key fact is that community health workers usually are not medical personnel such as certified nursing assistants, nurses, or doctors, instead, they are individuals selected or volunteered from the community in which they plan to serve. They are then trained usually by the government or a nongovernmental organization and sent back into the community to link the population to the health system and serve as extended access to care. Because community health workers play such vital roles in their community and the health system, for my Public Health research, I wanted to help their working conditions or the program itself. Before traveling to Namibia, Rebecca was put in contact with Mr. Desderius Haufiku, who is a professor at the University of Namibia, School of Public Health. Together we collaborated and discussed what research would be most beneficial to the program. It was important to Rebecca and I that we asked what research would be beneficial to their program, not to decide for them what they needed. This practice of going into another country and telling the community what they need and what they should do is not beneficial to either side and can leave the community untrusting and worse off than before. Therefore, it was necessary that we acquired community approval and participation in our research. After many discussions, it was suggested that we help expand and improve the Community Health Worker Program through a D.C.E survey.  D.C.E’s stands for Discrete Choice Experiment, and are fairly new in the Public Health field with only being used within the last twenty years or so. The purpose of a D.C.E. survey is to quantitatively identify the preference of determined attributes in order to determine the relativity and need of the attributes, as well as, in our case, where improvement or expansion is needed. Once in Namibia, we were able to meet Mr. Haufiku and other members of the school, along with individuals at the local clinic, hospital, a rural clinic, and hold a focus group with the community health workers too. This focus group was extremely valuable because it gave us insight into their roles as community health workers, and provided us with first-hand accounts in which helped to later develop and select attributes for the survey. After this time in Namibia, I researched similar programs to the one in Namibia and looked up different surveys, and D.C.E.’s when available to compile a list of predicted attributes to present to Rebecca and Mr. Haufiku. They reviewed the attributes and will be continuing the research this summer and over the next year. I will make a separate post about my Public Health Thesis.

Ciao!

Kimberly Parsons