east africa partnership kenya medical relief project november 2008

The Presbytery of Los RanchosThe Presbytery of Limuru

Hoag Memorial Hospital Presbyterian

East Africa Partnership ProjectMedical Humanitarian Relief

31 October – 16 November 2008

Kenya USA

Project Members

15 - Southern California13 – Limuru, KenyaMedical, Pastoral and Operations MembersDivided Into Three GroupsBlue, Green and Yellow Team

Usually Assigned To Different Dispensaries At Different Locations Throughout Limuru Presbytery In Southern Kenya

This is a Yellow Team perspective

Southern California Team Members

Dr. Colette CozeanGeneva Presbyterian

Church

Alison YamaguchiPediatric Physical TherapyGrace Presbyterian Church

Dr. Annu SharmaPediatric Physician

Dash CotterOccupational Therapist

Jesse CozeanGeneva Presbyterian

Church

Dr. Jeff McCroryPastor

Geneva PresbyterianChurch

Myong RoseRegistered Nurse

Jennifer OkamuraClinical Pharmacist

Sharon SilvaRegistered Dietitian

Angie HowellRegistered Nurse

Mary PalmerRespiratory Therapist

Saint Andrews PresbyterianChurch

Anne SivleyYorba Linda Presbyterian

Church

Nicole VasquezPhysical Therapist

Terry BelcherMicrobiology/Laboratory

Paul Arndt

Filler

Kenyan Partner Team Members

Rev. Charles Karanja Moderator, Limuru Presbytery Peter K. Kamweru Partnership CoordinatorDuncan Kinuthia Registered Nurse Frida Kool Registered NursePatrick Kahara Kuria OphthalmologistNahashon K. Mbiu Health Coordinator, Limuru PresbyteryGrace Muthoni Mbugua Nurse Rev. John Mbae Muraga Parish MinisterJoseph Muiga Mwariri Pharmacist Agnes Nkaribali Registered Nurse Doris Riungu Registered Nurse Amos Thuranira Laboratory TechnicianDominic Wairegi Registered Nurse

Transportation: Crombic Tours Safaris Drivers and Vehicles

Visiting The Limuru Presbytery Orphanages

Playing Soccer At Orphanage

Wearing Best Dresses For Visitors

Eating Ugali With Girls At Orphanage

New Boys Orphanage

Preparing To Deploy From Brackenhurst Missionary Center

Work Days In Dispensaries

Dispensary Functions

• Admissions− Fill out patient information slip− Name− Age− Weight− Temperature− Symptoms

• Physician/Nurse− Diagnosis− State treatment− Treat as appropriate

• Physical Therapy• Respiratory Therapy• Pharmacy• Collect patient admissions information slips on exit for record keeping

Preparing To Treat Patients

Admissions Chaos

Pharmacy Set-up

Electrical Power …… Bring Your Own

Young Mother

Overload …. All Day

Blessed To Serve …. Happy To Receive

Yellow Team In Narok

Dispensary In A Church

Pharmacy Set-up

Taa Daaah! Lab!!!

Note the electrical power

cord!!

GeneratorThat-a-way

Admissions

Pharmacy Helper

Some Need To Be Referred To Regional Hospitals

Angie At Work

Making Lunch

Hey!! No Hands!!!

Team In Transit

Local kids offer assistance through the

door window

Can’t Get To Everyone

Epileptic Seizure

Group Physical Therapy

People Waiting

Pack It Up And Do It Again

They Appear From The Maasai Mara

Work Off The Ground

Not A Lot Of Privacy!!!

Frida Figuring Out Who Is Next

Pharmacy On The Ground

75 More ….. One Hour To Dark

They Return To The Maasai Mara

Today, We Have A Table

Dr. Cozean With Grace and Owen

We TreatGod Heals

There Will Be Mud!!!

Often, No Road Just Accelerate Across The PlainIn The End, All Get Stuck

Who Needs 24 Hour Fitness?

All Of Our 4X4 Vehicles Stuck In The Mud

If You Go Off Of Track, You May Drop In Sink HolesIf You Stay On Track, You Will Get Stuck

I’d Love To Be On The Newport Freeway At 5pm

Frank … Good Guy….. Working In Africa Since 1979

Presbyterian Missionary

Stuck In This Bog For 5 Hours

Working From Bog To Bog

Main Tool Is A Machete

Women Carry The Water

Two Non-work Days

Maasai Mara Reserve& Then On To

Amboseli National Park………. By DC-3

Snooze Before Dinner

Africa Inland Mission (AIM) … Nice People

Curt … Good Guy….. AIM PilotWorking In Africa Since 1985

Tim … Good Guy….. AIM PilotWorking In Africa Since 1985

Jim … Good Guy….. AIM PilotWorking In Africa Since 1985

They’re kinda hoggin’ the water!!

Zebras And Wildebeest Migrate Together

Stragglers Become Dinner For Predators

The baby rides upside down holding on to Momma’s underside.

Come On In!!! The Marsh Mud Feels Great Between Your Toes!!! And The Grass Just Floats Up To Your Nose

The Way Nature Works

The Hunter And The Hunted

Vultures & Hyenas Eat Well!!!

Attending Limuru PresbyteryChurch Services

Regional Medical Contacts

Meeting With Local Government Health Officials To Discuss Cooperation And Issues

Women’s Ward At Regional Hospital

This Is It

Regional Hospital Ambulance Fleet

Hot Water Severe Burn Injuries

Hospital Gift Shop And Family Accommodations

Things You See

Cows Heading Home At Dusk

Nairobi And Kenya National Newspapers On 4 November Before Polls Have Opened In The US

The Great Rift Valley

Cheap Thrills

We Asked This Rat To Leave The Dispensary

One Person Taxis

Local Missionary Children

Elder Maasi Greetings

Rest Stop

Dorm At Acacia Grove Mission

Corral For Livestock

Toilet

Nice Toilet

Typical

Walls Made From Woven Sticks Filled With Mud and Cow Dung

Morning Devotional

Tight Ride

Roadside Shops And Houses

Fresh Water Supply

Rain

Gutter

Tank

Tents Were The Best

Kenya/Tanzania Border Marker

East Africa Project

November 2008

Over 3,000 people treated

Over $250,000 in medicine distributed

A Humanitarian Cooperation

Nahashon Mbiu, Our Guide, Planner and CoordinatorWorking Hard …. Staying Connected

Republic of Kenya BackgroundGained independence from the UK in 1963 following the Mau Mau Uprising (1952-1960)Government type: Republic; unicameral National Assembly or Bunge (224 seats; 210 members elected by

popular vote to serve five-year termsCurrent power sharing leadership: President Mwai Kibaki and Prime Minister Raila OdingaArea: 582,650 sq km or a little more than twice the size of NevadaCoastline: 536 kmClimate: Varies from tropical along coast to arid in interiorPopulation: 37,953,840Ethnic groups: Kikuyu 22%, Luhya 14%, Luo 13%, Kalenjin 12%, Kamba 11%, Kisii 6%, Meru 6%, other African

15%, non-African (Asian, European, and Arab) 1%Religions: Protestant 45%, Roman Catholic 33%, Muslim 10%, indigenous beliefs 10%, other 2% Languages: English (official), Kiswahili (official), numerous indigenous languages Literacy: definition: age 15 and over can read and write; total population: 85.1%, male: 90.6%, female: 79.7%Economy - overview: The regional hub for trade and finance in East Africa, Kenya has been hampered by

corruption and by reliance upon several primary goods whose prices have remained low.GDP (purchasing power parity): $61.22 billion (2007 est.) GDP - real growth rate: 7% (2007 est.) GDP - per capita (PPP): $1,700 (2007 est.) GDP - composition by sector: agriculture: 23.8%, industry: 16.7%, services: 59.5% (2007 est.) Labor force: 11.85 million (2005 est.) Life expectancy at birth: total population: 56.64 years; male: 56.42 years; female: 56.87 years (2008 est.)HIV/AIDS

Adult prevalence rate: 6.7% (2003 est.) People living with HIV/AIDS: 1.2 million (2003 est.) HIV/AIDS deaths: 150,000 (2003 est.)

Major infectious diseases: degree of risk: highFood or waterborne diseases: bacterial and protozoal diarrhea, hepatitis A, and typhoid fever Vectorborne disease: malaria Water contact disease: schistosomiasis (2008)

(Source: CIA World Factbook last updated 12/18/2008)