The
last few days when volunteers come back from
the project they will spend on N/a’an ku sê where
they will participate in the wildlife rehabilitation volunteer
project. This is optional and should volunteers prefer
to stay at the clinic they can discuss it with the project team.
Volunteer
Newsletters
Study
written by Christine Nelson - Medical Volunteer - Ireland
Questions
asked: Date/Nr of patients seen/Sex/Age/Name/Diagnoses/Address/Treatment/Paid
amount
3 1 female 35 to 50 Siglinde Mbatara F/up Bp130/90 Hgt 4,9 no
3 1 male 25 to 35 Nahason Kavari respiratory pos9 Digoxin,lasix,daonil,immuboost,methyl
sal ointm yes 70
3 1 female 0-6 Ester Hengari respiratory pos4 Co-amoxycluv,napamol,linctopent,vitamine.
yes 25
3 1 male 0-6 John Stoffie respiratory pos3 Dph,colcleer. no
3 1 female 0-6 Vatanavi Kameeta gastroenterology pos12 Medazine,vitamine.
yes 25
3 1 female 25 to 35 Annalise Hoveka gastroenterology pos3 Metazine-t
multivite yes 70
3 1 female 35 to 50 Susanna David musculoskeletal pos3 Diclo tabs,painamol,rub
ointm,vitamine. no
3 1 female 6 to 12 Martha Isak respiratory pos3 Dph,colcleer,
no
3 1 female 35 to 50 Sophia Khao othalmology pos13 Chlorcol ointm,paxidal,multivites,methyl
sal ointm. no
3 1 male 35 to 50 Johannes Thosema respiratory pos13 Moxapen,dph,panado,mayogel,
no
3 1 female 0-6 Kaveire Kavari pos2 Improving no
3 1 female 35 to 50 Ester Tjiramba respiratory pos3 Moxapen, painamol,cocillana,multivites,
diclo im indapamide. yes 70
3 1 male 25 to 35 Abraham Isak urology pos3 Moxapen,painamol,septadine
mouth wash methyl sal ointm, no
3 1 male 35 to 50 Johannes Kahorere musculoskeletal pos3 Moxapen,painamol,methyl
sal ointm no
3 1 female 6 to 12 Cristiaan Kahorere respiratory pos10 Colcleer,
no
3 1 male 35 to 50 Maria Anton musculoskeletal pos3 Diclo im,painamol,chlorcol
eye ointm. no
3 1 female 35 to 50 Katriena Adam gastroenterology eiseb Diclo
tabs,paxidal,gastropect, cocillana, electrolyte,moxapen. no
3 1 female 25 to 35 Katriena Jantjies gastroenterology Painamol,mayogel,methyl,sal
ointm, no
3 1 male 50-80 Ada Koloi respiratory pos4 Moxapen,cocillana, &
diclo tabs,betadine ointm. no
3 1 male 0-6 Kafer Koloi respiratory pos4 Dph, colcleer. no
4 1 male 0-6 Neulo Mbaeva F/up beter continue treament. no
4 1 female 12 to 25 Gertrud Tjiroze musculoskeletal pos13 Indapamide,diclo
im,methyl sal painamol,vitamine. yes 80
4 1 male 12 to 25 Johannes Kainamseb dermatology pos10 Moxapen,betadine
dress painamol, no
4 1 male 35 to 50 Hendrik Dawid respiratory pos7 Dph,painamol,vitamine.
no
4 1 female 0-6 Kavenatjari Tjituka respiratory pos1 Colcleer painamol
multivites. yes 25
Mayogel,metronidazole, allergin, moxapen. yes 70
5 1 female 25 to 35 Natalia Haito gastroenterology
5 1 female 0-6 Vijakura Kandjima dermatology pos9 Calumine,allergex,co-amox,colcleer
yes 25
5 1 male 0-6 Shoty Thys dermatology Microcidal, betadinesol, vits
syr. no
5 1 female 6 to 12 Martha Mogoth respiratory eiseb Napamol,diclo
tabs. no
5 1 male 6 to 12 Ngutjiua Tjitunga urology pos13 Co-amoxycluv,napamol,medazine,vitamine
syr yes 25
5 1 female 0-6 Maria Katjivi gastroenterology Dph ,mayogel. no
5 1 female 6 to 12 Cristina Garises respiratory Colcleer,allergin,vitamine.
no
5 1 male 0-6 Piet Goma respiratory Colcleer,allergin,vitamine.
no
5 1 female 25 to 35 Katriena Garises respiratory Colcleer,allergin,vitamine.
no
5 1 female 25 to 35 Katriena Saul dermatology Diclo tabs, painamol,
cetirizine. no
5 1 male 25 to 35 Frans Hendrik urology Allergin,moxapen. no
5 1 male 0-6 Mbaundjakuje Katjinaani respiratory pos11 Colcleer,
cocillana,allergex yes 25
5 1 male 35 to 50 Hans Amses musculoskeletal Diclo im, diclo tabs,painamol,immuboost
no
5 1 female 35 to 50 Anna Amses musculoskeletal Diclo im,paxidal.
no
5 1 female 35 to 50 Bertha Anton musculoskeletal Paxidal,diclo
tabs,methyl sal. no
5 1 male 25 to 35 Thomas Kainamseb musculoskeletal pos3 Painamol
no
5 1 male 50-80 Niklaas Siririka musculoskeletal pos7 Diclofenac
im,painamol,methyl sal,mayogel,electrolyte. yes 70
5 1 male 35 to 50 Thomas Jonas othalmology Chlocol eye ointm,paxidal
vits no
5 1 male 50-80 Chief Sangiro musculoskeletal pos3 Diclo im,methyl
sal paxidal, no
6 1 female 25 to 35 Bertha Shinoko respiratory eiseb Allergin,paxidal.
no
6 1 female 0-6 Katriena Augus gastroenterology eiseb Electrolyte,napamol,viatmine.
no
6 1 female 25 to 35 Maria Swartbooi eiseb Panado,pregamol no
6 1 male 50-80 Ruben Kajau respiratory pos13 Diclo im,panado,allergin.
yes 70
6 1 female 6 to 12 Uendjii Karamata ent pos10 Nystacid oral susp
napamol,dph,vits syr yes 25
6 1 male 25 to 35 Frans Damab musculoskeletal diclo im,moxape.
no
6 1 male 0-6 Johannes Damab respiratory Colcleer,allergin. no
6 1 female 25 to 35 Katriena Damab respiratory Painamol no
6 1 male 0-6 John Damab respiratory Colcleer, allergin,vits syr,electrolyte.
no
6 1 female 6 to 12 Mbitjita Katjiteo dermatology pos12 Microcidal,betadinesol,vits,napamol.
yes 25
6 1 female 35 to 50 Olga Katjiteo respiratory pos12 Diclo im,panado,moxapen
indapamide. no
6 1 female 25 to 35 Sophia Dragam tb pos12 Moxapen,allergin,panado,
vits. no
6 1 female 50-80 Bau Kandaura respiratory pos12 Indapamide,moxapen,panado,diclo
tabs. no
6 1 male 0-6 Edison Afrikaner ent pos11 Co-amoxycluv,napamol,
vitamine,allergin. no
6 1 male 0-6 Desmond Papier respiratory Co-amoxycluv,allergin.
no
6 1 male 0-6 Beyonce Papier respiratory Allergin, napamol,vit
syr medazine, no
6 1 female 35 to 50 Erica Tembo pos11 Anusol sup,diclo im yes
70
6 1 female 0-6 Anna Papier pos11 Rever no
6 1 male 35 to 50 Isak Kainamseb respiratory Moxapen,panado,allergin.
no
6 1 male 25 to 35 Jackson Kao urology pos11 Moxapen,paxidal. yes
70
6 1 female 35 to 50 Anna Fritz musculoskeletal pos3 Diclo im,paxidal,diclo
tabs. no
6 1 male 50-80 Petrus Kao respiratory pos11 yes 70
6 1 female 25 to 35 Elsie Johannes respiratory pos3 Allergin,panado,vits,
maxalon. no
6 1 male U Tjituka ent pos5 napamol,otised ear drops,cocillana,allergex
yes 25
6 1 female 6 to 12 Mina Dawid respiratory pos3 Paxidal,allergin,&
lomoti. no
6 1 male 0-6 Jimmy Langman respiratory pos3 Allergin, colcleer.
no
6 1 male 0-6 Jacob Rooi gastroenterology pos3 Electrolyte,napamol.
no
6 1 male 35 to 50 Agrob Xhosima respiratory pos3 Allergin,paxidal,colcleer,diclo
tabs. no
7 1 male 50-80 Matheu Katjiteo respiratory pos12 Diclo im,allergin,painamol.
yes 70
7 1 female 35 to 50 Libhardine Tjijenda respiratory Methyldopa,furoximide,painamol,diclo
im yes 70
7 1 female 0-6 Jandjakuje Kandjiriomuini respiratory pos3 Allergin,colcleer,
yes 25
7 1 male 0-6 Ndjvatera Katunohange respiratory pos3 Allergin,colcleer,
vitamine syr. yes 25
7 1 female 0-6 Nandotjitouwa Kandjiriomuini respiratory pos3 Colcleer,allergin,vit
syr. yes 25
7 1 female 25 to 35 Sanna Chapman respiratory pos3 Allergin, maxalon,vitamine.
no
7 1 female 12 to 25 Dina Koper urology pos3 Moxapen,painamol,allergin,vitamine
no
7 1 female 6 to 12 Ukarerera Kambato urology pos9 Co-amoxycluv,nystacid
oral susp,napamol,vits syr no
7 1 female 25 to 35 Elsie Kandjii gastroenterology pos3 Nentragel
D, glycerine supp, painamol, diclo tabs, yes 70
7 1 male 6 to 12 Ndiriro Kavari respiratory pos9 Colcleer napamol,vitamine.
yes 25
7 1 male 50-80 Godfreyd Muundjua musculoskeletal pos5 Diclo im,painamol,methyl
sal, panafcort. yes 70
7 1 female 25 to 35 Susanna Willem musculoskeletal panado,diclo.tabs
no
7 1 female 0-6 Bertha Joseph respiratory allergin,chlorcol eye
ointm.napamol no
9 1 male 0-6 Frik Inarib dermatology pos2 allergex,co-amox.napamol
yes 25
10 1 male 35 to 50 Gami Jacob musculoskeletal Diclo tabs,allergin,painamol,methyl
sal immuboost no
10 1 male 12 to 25 Ignatius Ndjoze dermatology pos10 Betadine
dressing painamol.,moxapen. yes 80
10 1 male 12 to 25 Jacob Pohans musculoskeletal pos9 Diclo im
painamol no
10 1 male 35 to 50 Johannes Kahorere musculoskeletal pos3 Diclo
im painamol no
10 1 female 25 to 35 Martha Geinamseb musculoskeletal Diclo tabs,painamol,mutivite
tabs no
10 1 female 0-6 Tjinouhona Murangi respiratory Ventolen pump,
linctopent,co,amoxycluv,napamol. yes 45
10 1 male 35 to 50 no
male 0-6 Mekukuje Tjatindi respiratory pos5 Allergin,colcleer,medazine,mebedazole.
yes 25
11 1 female 0-6 Kavekotoka Tjatindi respiratory pos5 Allergin,napamol,vit
syr yes 25
11 1 female 12to25 Eva Gudai respiratory pos3 Allergin,painamol.
no
11 1 female 0-6 Sara Gudai respiratory pos3 Colcleer,allergin,vits
syr. no
11 1 female 12 to 25 Cristine Kainamseb respiratory pos3 allergin,paxidal.
no
11 1 male 12 to 25 Dawid Kleibooi respiratory Moxapen,painamol,
no
11 1 female 12 to 25 Uendjimuna Katjirua respiratory pos4 Moxapen
painamol nasocare yes 70
11 1 female 0-6 Vekondjisa Kaapitirpi respiratory pos4 Oculerge,
cetirizene. yes 25
11 1 male 25 to 35 Martha Thomas dermatology pos3 painamol, no
11 1 female 35 to 50 Elisabeth Rooi respiratory pos8 Cetirizine,allergin,mayogel,promethazine.
no
11 1 male 0-6 Uakamuina Hoveka respiratory pos4 Dph,napamol. no
11 1 female 12 to 25 Alma Gamseb respiratory pos7 Painamol allergin
no
11 1 female 0-6 Martha Gamseb respiratory pos7 Colcleer. no
11 1 male 0-6 Samkhao Skoen othalmology pos7 Chlorcol eye ointm
no
11 1 female 35 to 50 Sarai Bartman gastroenterology pos4 Electrolyte,napamol,gastropect,medazine.
no
11 1 female Dina Bartman gastroenterology pos4 Electrolyte,napamol,vits
,medazine. no
11 1 female 50-80 Bau Kordonia respiratory pos12 BP 106/100 Indapamide.
no
11 1 female 6 to 12 Monica Kandaura respiratory eiseb Allergin,napamol.
11 1 male 0-6 Uaunguraije Kanuameva respiratory pos12 Allergin,napamol,chlorcol
eye ointm nystacid aral susp yes 25
11 1 male 0-6 Venjanderako Tjozongoro respiratory pos3 Co-amoxycluv,napamol,dph
yes 25
11 1 male 35 to 50 Agrob Xhosema musculoskeletal pos3 Diclo tabs,
diclo im, panado, methyl sal chlorcol eye ointm,cocillana. no
12 1 male 25 to 35 Jackson Khao urology pos11 f||up panado no
12 1 female 35 to 50 Erica Tembo pos11 F/up BP130/90 panado,vits
yes 10
12 1 male 12 to 25 Ignatius Ndjoze pos11 F/up wound ok no
12 1 male 35 to 50 Willibard Tembo dermatology pos11 Bp 100/70
diclo im, albendazole, immuboost, painamol. yes 70
12 1 female 35 to 50 Hilde Kangootui gastroenterology pos11 neutragel
D,panado & a-por vag.cream,cetirizin yes 70
12 1 male 0-6 Rinovita Tembo gastroenterology pos11 Allergin,co-amoxycluv,
electrolyte,allergex,gastropect,cream yes 25
12 1 female 6 to 12 Angela Kangootui respiratory pos11 Allergin,
paxidal,vits. yes 25
12 1 male 0-6 Uatjiukua Tembo respiratory pos11 Allegin,colcleer,vits.
yes 25
12 1 female 12 to 25 Kajeurirue Mbaeva gastroenterology pos4 Painamol,scopex,co-trimoxazole.
yes 25
12 1 male 0-6 Nduviro Katindi gastroenterology pos10 Electrolyte,napamol,vitamine,cocillana.
yes 25
12 1 male 0-6 Otja Muariani pos3 Prev fees yes 10
12 1 female 35 to 50 Dorcas Tjiueza pos12 Prev fees yes 10
12 1 male 0-6 Selsa Murise gastroenterology pos5 Electrolyte,napamol,lomotil,mayogel,
yes 25
12 1 female 12 to 25 Martha Dawid musculoskeletal pos3 Diclo im
,napamol diclo tabs. no
12 1 female 25 to 35 Karolina Johannes respiratory pos3 Painamol,moxapen,allergin.
no
12 1 male 25 to 35 Jeremia Muundjua respiratory Co-trimoxazole,allergin,painamol,immuboost.
yes 70
13 1 male 0-6 Mbitjita Tjitemisa urology pos5 co-amoxiclav,napamol
yes 25
13 1 male 12 to 25 Saul Hogobeb respiratory allergin,painamol,vitamine
no
13 1 female 6 to 12 Veronica Keinamses respiratory pos3 allergin,colcleer,vitamine
no
13 1 male 6 to 12 Seen Goeiman respiratory pos3 allergin,napamol
no
13 1 female 6 to 12 Viayakura Kandjima dermatology pos9 co-amoxiclav,nystacid
cream,allergex no
13 1 male 0-6 Vakakondja Katavo respiratory pos3 cocillana,colcleer
& otised ear drops yes 20
13 1 female 12 to 25 Maria Frits respiratory pos3 colcleer,vitamine,cocillana
no
13 1 female 35 to 50 Anna Pura musculoskeletal pos3 diclfenac
im.painamol no
13 1 female 50-80 Elisabeth Kandirikirira musculoskeletal pos11
dilo.im.methyl sal.ointm.painamol,vitamine & lomotil yes 70
13 1 male 12 to 25 Kleinboy Kaalkop respiratory pos3 cocillana,paxidal,colcleer,vitamine
no
13 1 male 50-80 Isak Kaalkop musculoskeletal pos3 diclo.im.methyl.sal.ointm.panado
no
13 1 male 0-6 B/o m Kandovazu gastroenterology pos3 Co-amoxycluv,electrolyte,napamol,
yes 25
13 1 female 6 to 12 T Tjatindi gastroenterology pos5 Co-amoxycluv,electrolyte,napamol,
yes 25
14 1 female 25 to 35 Ann Slympie respiratory pos3 Allergin,paxidal,vits.
no
14 1 male 12 to 25 Gabriel Rooinasie respiratory pos1 Painamol,allergin,vits,colcleer.
no
14 1 female 0-6 Mina Anton respiratory Allergin,colcleer.. no
14 1 female 35 to 50 Elsie Kaenamses musculoskeletal Painamol
diclo tabs. no
14 1 male 12 to 25 Frans Kainamseb respiratory Moxapen,painamol.
no
14 1 female 0-6 Susana paul respiratory pos10 Allergin,cocleer,vitamines.
no
14 1 male 12 to 25 Kasava Paul respiratory pos8 Allergin,panado.
no
14 1 female 12 to 25 Martha Paul neurology pos8 panafcort,panado
no
14 1 male 12 to 25 Ignatius Ndjoze dermatology sutures removed
wound ok no
14 1 male 25 to 35 Thomas Xoma respiratory pos3 Moxapen,painamol
vitamine. no
14 1 male 50-80 Alfons Van Taak musculoskeletal pos8 Diclo im,painamol.
no
14 1 female 0-6 Kaveire Kavari pos3 F/up Vitamine syr no
14 1 female 12 to 25 Ivy Nami musculoskeletal eiseb Painamol,diclo
tabs. no
14 1 male 50-80 Gerson Kandirirkirira musculoskeletal pos11 Diclo
im,painamol,methyl sal ointm immuboost,amitripyline yes 70
14 1 male 35 to 50 Frans Kook dermatology pos3 Betadine dressing,painamol,moxapen.
no
14 1 female 35 to 50 Katriena Agrob respiratory Allergin,painamol,vitamine.
no
14 1 male 50-80 Christophine Muundjua respiratory pos5 diclo.im.paanado,methyl
sal.ointm. yes 70
16 1 female 12 to 25 Ewaldine Hei/Muramba neurology pos11 Amitaptyline,painamol,vits,mayogel.
yes 80
16 1 male 50-80 Elieser Kaputuaza musculoskeletal pos8 Diclo im,painamol,cetirizine,co
amox,diclo tabs Bp 180/100 indapamide yes 80
16 1 male 35 to 50 Naftali Kaputuaza musculoskeletal pos8 Diclo
im,painamol,allergin,apor vag cream. yes 80
17 1 female Dina Stoffie respiratory Painamol,diclo tabs,allergin.
no
17 1 female Veronica Hogobeb gastroenterology Cocillana,vits,co-
amoxycluv,electrolyte,nystacid. no
17 1 male 12 to 25 Hendrik Witbooi respiratory Allergin,painamol,vits.
no
17 1 female 6 to 12 Katrina Hogobeb musculoskeletal Painamol,diclotabs
no
17 1 female 50-80 Monica Hengari musculoskeletal pos10 Diclo im,methyl
sal,painamol,diclo tabs. yes 70
17 1 female 0-6 Venondjo Hengari respiratory pos10 Co-amoxycluv,allergin,napamol.
yes 25
17 1 female 0-6 Ciara Zeraua respiratory pos6 Co-amoxycluv,allergin,lintopent,vitamine
syr. yes 25
17 1 female 35 to 50 Maria Kingsa musculoskeletal pos11 Diclo
tabs,methylsal,painamol,vits no
17 1 male 25 to 35 Kleinbooi Hogobeb respiratory Co-amoxycluv,allergin,painamol,
vits no
17 1 female 35 to 50 Violine Mupaine musculoskeletal pos11 Diclo
im, painamol,methyl sal ointm, Bp 177/113 inadapamide,vitamine,oculerge
yes 70
17 1 female 0-6 Ukarapo Kandaera gastroenterology pos3 Electrolyte,medizine,colcleer,allergin.
no
17 1 female 12 to 25 Uatavi Kavita dermatology pos11 Co-amoxycluv,oculerge
eye drops, yes 25
17 1 male 12 to 25 Gabriel Rooinasie respiratory pos1 Immuboost,allergin,vitamine.
no
17 1 female 25 to 35 Martha Chapman respiratory pos3 Diclo im,painamol,vitamine,diclo
tabs, no
17 1 male 0-6 Sarie Chapman respiratory pos3 Colcleer,allergin,vits,eletrolyte,gastropect.
no
17 1 female 0-6 Ritja Ndjarakana ent pos13 Co-amoxycluv,napamol,mutivite,syr,electrolyte,otised.
no
17 1 female 25 to 35 Susann Max respiratory pos8 Colcleer, allergin.
no
17 1 male 6 to 12 Agrob VanTaak respiratory pos8 Colcleer,allergin,vitamine
syr,electrolyte. no
17 1 female 25 to 35 Dorcas Tjatjitua gastroenterology pos7 Lomotil,maxalon,vitamine,eletrolyte,Gastropect,
yes 70
17 1 female 0-6 Muningandu Tjatjitua respiratory pos7 Allergin,colcleer,vits
syr, yes 25
17 1 female 35 to 50 Sanna Chapman respiratory pos3 Allergin,co-amoxycluv,painamol,vitamine.
no
17 1 male 50-80 Niklaas Siririka musculoskeletal pos7 Diclo im,painamol,methyl
sal ointm,diclofenac. yes 70
17 1 male 35 to 50 Eliah Hange urology pos10 Painamol,co-amox,diclo
im. yes 70
17 1 male 35 to 50 Nicodemus Tjiroze respiratory pos10 Co-amoxycluv,lintopent,
panado, methyl sal ointm yes 70
17 1 female 35 to 50 Sara Sprinkaan ent Co-amoxycluv,septadine,mouth
wash,painamol. no
17 1 male 0-6 Johannes Katjivi gastroenterology Electrolyte,vitamine,allergin,napamol.
no
17 1 female 12 to 25 Dina Anton tb Co-amoxycluv,painamol,allergin,vitamine,
no
17 1 female 6 to 12 Sara Anton respiratory Co-amox,napamol,vit
syr. no
17 1 female 25 to 35 Bianca Murangi ent pos3 Nasocare,cetirizine,allergin,painamol,co-amoxycluv
yes 60
17 1 male 25 to 35 Thomas Xoma pos3 F/up diclo im no
18 1 male 35 to 50 Mika Mbaisa neurology pos11 BP 130/100 Taplyline,paxidal,senokot
yes 70
18 1 female Veronica Hogobeb F/up no
18 1 female 0-6 Alicia Kakuritjire respiratory pos5 Co-amoxycluv,napamol,vits
syr yes 25
18 1 male 12 to 25 Nevill Hange respiratory pos4 Allergin,colcleer,immuboost,methyl
sal ointm yes 25
18 1 male 0-6 John Stoffie dermatology pos3 Dph,vits syr no
18 1 male 12 to 25 Martha Xhosema musculoskeletal pos3 Painamol,allergin,diclo
tabs,methyl sal ointm, no
18 1 male 35 to 50 Uvi Saaku musculoskeletal pos2 Diclo im,painamol,methyl
sal no
18 1 male 50-80 Chief Sangiro musculoskeletal pos3 Diclo im,painamol
diclo tabs methyl sal ointm. no
18 1 female 0-6 Kabanana Jona respiratory pos3 Allergin,colcleer,vits
syr. no
18 1 female 50-80 Kowa Khao musculoskeletal pos9 Diclo tabs,methyl
sal painamol. no
18 1 female 35 to 50 Sophia Kararapeke tb pos9 Co-amoxycluv,painamol,vitamine,allergin.
no
18 1 male 0-6 Uakamuina Hoveka respiratory pos4 Co-amoxycluv,allergin,colcleer.
yes 25
18 1 male 35 to 50 Claudius Kaapitirapi respiratory pos4 Ventezen
pump, lintopent,panafcort,painamol. yes 70
18 1 male 50-80 Corne Iland respiratory Nifedalat, indapamide,painamol,methyl
sal oitnm. yes 70
18 1 male 25 to 35 Johannes Galas respiratory pos5 Co-amoxycluv,allergin,maxalon,septadine
mouth wash. no
18 1 female 0-6 Maria Dam gastroenterology pos4 Eletrolyte,medazine,vits
syr. no
18 1 female 25 to 35 Martha Dam musculoskeletal pos4 Diclo tabs,painamol,methyl
sal ointm no
18 1 female 35 to 50 Katriena Kavari gastroenterology pos4 Diclo
tabs,panado, methyl sal mayogel. no
18 1 male 35 to 50 Abraham Chapman musculoskeletal pos12 Diclo
tabs,painamol,methyl sal ointm no
18 1 female 35 to 50 Martha Tnise respiratory pos12 Mayogel,maxalon,vits,allergin
no
18 1 male 50-80 Immanuel Katjiuanjo pos12 ORS 30ml start tnt x1
aldomet 250mg & ors painamol yes 70
18 1 female 6 to 12 Magrieta Amses respiratory pos3 Allergin,co-amox,vitamine.
no
18 1 female 12 to 25 Katriena Johannes musculoskeletal pos3 Painamol,methyl
sal,diclo tabs no
18 1 male 0-6 Kleinbooi Kainamseb respiratory pos3 Allergin,colcleer,vits
syr. no
18 1 female 25 to 35 Katriena Langman respiratory pos3 Allergin,panado,colcleer.
no
18 1 female 0-6 Anna David gastroenterology pos3 Chlorcol eye
ointm allergin,electrolyte. no
18 1 female 0-6 Sara David gastroenterology pos3 Allergin,panado,electrolyte.
no
18 1 female 0-6 Katriena Moses respiratory pos3 Allergin,napamol,co-amox
no
18 1 male 0-6 Jacob Van wyk respiratory pos3 Allergin,napamol,
no
19 1 female 0-6 Sanna Frirz respiratory pos3 Dph,napamol,vits.
no
19 1 female 12 to 25 Maria Fritz musculoskeletal pos3 Diclofenac
painamol no
19 1 female 35 to 50 Sarie Kloppers musculoskeletal pos3 Diclo
tabs,paxidal,painamol,methyl sal ointm no
19 1 female 35 to 50 Martha Paulus respiratory pos7 Colcleer,allergin,vits,paxidal.
no
19 1 male 35 to 50 David Muariani pos7 HGT 12,6 no
19 1 male 35 to 50 Josua Kandenge musculoskeletal pos11 Diclo
im,painamol,methyl sal,immuboost,electrolyte powder. yes 70
19 1 female 25 to 35 Claudia Hangero musculoskeletal pos11 Painamol,diclo
im,methyl sal ointm,vitamine,mayogel. yes 70
19 1 female 25 to 35 Katriena Agrob respiratory pos3 Diclo im
paxidal,vitamine,allergin,co-amox. no
19 1 female 0-6 Anna Agrob dermatology pos3 Microcidal,betadine
sal,co-amoxycluv,vitamine. no
19 1 female 50-80 Bau Kandaura musculoskeletal pos11 Diclo tabs,paxidal,methyl
sal ointm & lomotil. no
19 1 male 25 to 35 Absalom Tjiho respiratory Co-amox ventol pump,panafcort,theophullen,linctopent,painamol,lomotil,methyl
sal oint, indapamide. yes 70
19 1 female 35 to 50 Sophia Dragam respiratory pos12 Co-amoxycluv,paxidal,allergin.
no
19 1 male 0-6 Khao Kasawa respiratory pos12 Allergin,electrolyte,vitamine.
no
19 1 male 12 to 25 Anton Kaevara respiratory pos11 Diclofenac,painamol,diclo
tabs,vitamine. no
19 1 female 0-6 Uendjisuvera Nami gastroenterology eiseb Eletrolyte,vits,allergin,medazine
no
19 1 female 50-80 Salinde Ndisiro dermatology pos5 Painamol,vitamine,akineton
apor cream. yes 70
19 1 male Khao Swartbooi respiratory eiseb Colcleer,paxidal. no
19 1 male Paulus Chapman musculoskeletal pos8 Diclo tabs,paxidal,methyl
sal ointm. no
19 1 female 0-6 Uatjitaije Mbaeva urology pos4 Co-amoxycluv,colcleer,electrolyte,medazine
yes 25
19 1 female 10 M. Kordaura respiratory eiseb allergin, napamol
no
19 1 male 55 J. Rooinasie Shorty musculoskeletal pos5 painamol
no
19 1 male 28 P. Jacob musculoskeletal witvlei diclotabs, injection,
paxidol, methylsal. no
19 1 male 22 T. Hendrich musculoskeletal diclotabs, methylsal
ointment, lomotil no
19 1 female 2 Ismael Katunononge respiratory umbaune co-amoxyclav,
vitamin, DPH, Napamol yes 25
19 1 49 K. Zaongara gastroenterology pos11 scopex, lomotil, co-trimox,
vitamin yes 70
20
1 male 0-6 Heljevina Kamaheje gastroenterology Pos 11 electrolyte,
allergin, napamol no
20 1 female 38 Kambopi Kamaheje respiratory0 pos 11 diclotabs,
colcleer no
20 1 female 9 Kateka Kamaheje gastroenterology pos11 painamol,
vitamin, otised eardrops no
20 1 female 11 Unouvara Kamburona allergy pos 10 allergex, oculerge
eyedrops yes 25
20 1 male 5 Uasora Kamburona gastroenterology pos 10 medazine,
allergin yes 25
20 1 male 36 Otto Johannes respiratory pos 3 allergin, paxidal,
colcleer no
20 1 female 7 Kariapua Iaezuruka eye infection pos 12 oculerge
eyedrops, chloramex eye ointment yes 25
20 1 male 0-6 Vetumbuavi Kao respiratory pos 5 co-amoxyclav, colcleer,
colcillana yes 25
20 1 male 60 Jacob Dawe musculoskeletal eiseb diclotabs, paxidal,
rub ointment, allergin no
20 1 male 31 Hendrik Kanghatjivi musculoskeletal pos 3 diclotabs,
injection, methylsal ointment, paxidal no
20 1 female 6 Sarah Gan respiratory Witbank allergin, co-amoxyclav,
napamol no
20 1 female 18 Martha Langman gastroenterology Bonanga mayogel,
painamol no
20 1 female 36 Sara Sprinkaan respiratory Witbank co-amoxyclav,
allergin, paxidal0 no
20 1 male 55 Nicodemus Tjiroze respiratory pos 10 DPH, painamol
no
20 1 female 10 Ngahone Katjirua respiratory pos 10 co amoxyclav,
cough mix, panafcort, ventolin, yes 25
20 1 male 52 Fritz Gamseb STD Witsandputs penicillin injection,
dynafloc
20 1 female 46 Susanna Dawid musculoskeletal Pos 3 diclotabs,
paxidal, allergin no
20 1 male 55 Piet Isaak musculoskeletal Pos 3 diclotabs, paxidal,
rub ointment, allergin no
20 1 male 60 Agrob Anton musculoskeletal Rosenhof diclotabs, paxidal,
rub ointment, allergin no
21
1 female 21 Martha Dawid respiratory Pos 3 painamol, DPH, Moxapen
no
21 1 5 Kavetjivirue Tjinyeka gastroenterology Pos 9 medazine,
eletrolyte, gastrospect, vitamine yes 25
21 1 female 93 Adolfine Tjiueza gastroenterology Pos 12 aldomet,
diclotabs, methylsal, painamol, vitamine yes 70
21 1 female 0-6 Vetumvuavi Tjiueza respiratory Pos 12 Cocillana,
colcleer, medazine, electrolyte yes 25
21 1 female 35 Anna Johannes Cough Pos 3 Allergin, Paxidal, indapamide
no
21 1 male 5 Kleinbooi Johannes respiratory Pos 3 DPH, eardrops,
Cotrim no
21 1 female 0-6 Anna Johannes respiratory Pos 3 allergin, napamol
no
21 1 female 10 Sofia Johannes gastroenterology Pos 3 Allergin,
electrolyte, napamol no
21 1 female 35 Elsie Johannes gastroenterology Pos 3 painamol,
mayogel, vitamins no
21 1 female 30 Karolina Johannes musculoskeletal Pos 3 paxidal,
diclotabs, rub ointment no
21 1 female 26 Berntencia Katjinaani cardiology Otjinoko painamol,
vitamine, diclotabs, refer to Gobabis hospital no
21 1 female 21 Christina Stoffie respiratory Iguor Co-amoxyclav,
allergin, vitamine no
21 1 male 31 Hendrik Agrob musculoskeletal+infection Pos 3 Chlorool
eye ointment, diclotabs, painamol no
21 1 male 2 Oba Dawid gastroenterology Pos 3 Electrolyte, medazine,
vitamine syrop, gastrospect no
21 1 male 6 Hendrik Dawid respiratory Pos 3 Allergin, vitamin
syrop, microcidal, napamol no
21 1 male 72 Corne Island cardiology Ombirizo atenolol, lasix,
nifedalat no
21 1 female Maria Ambusma (mother) gastroenterology Pos 13 painamol,
allergin, lomotil, maxalon, vitamins no
21 1 female 9 months Maria Ambusma (child) gastroenterology Pos
13 allergin, electrolyte, medazine no
TOTAL MONTH 4175
TOTAL YEAR 2007 60330
Study
written by Marta Mota- Medical Volunteer - Portugal
Questions
asked:
Name/Age/Sex/Works now/Worked before/Nº days per
week/Type of work/Day revenue/Month revenue/Gets food/Is working
important/Does partner work?
1 Heinrich 20 M yes 1 day/week in a farm (lives there), washing
and shepherd for Herrero N$10/ N$40 yes every day not asked not
asked
2 Kleinbooi 26 M yes 2/3 days/week in a farm (lives there), milks
the cows for the Herrero N$10/20 N$120/240 no not asked not asked
3 Maria Kingsa 78 F no - retired yes cook, made clothes, made
jewellery no not asked not asked
4 Gabriel Rooinasie M yes 2/3 days/week he is a shepherd for the
Herrero N$18,75/12,5 N$150 no not asked not asked
5 Martha Chapman 30's F yes makes crafts and sells them to harnas/stores
in Windhoek no not asked not asked
6 Sanna Chapman 36 F no - is alcoholic no begs at the Epukiro
shop for money and buys alcohol no no not asked not asked
7 Sara Sprinkann 36 F yes 1 day/week cleans floors/walls in a
bank no no yes not asked not asked
8 Berta 40 F no yes 7 days/week cleaned and ironed N$30/50 yes
not asked not asked
9 Saaku 35 M no - has congenital problem that gives him too much
pain no no no no not asked not asked
10 Kowa Khao 60 F no - stopped 2 years ago yes 2/3 days/week washed
and ironed clothes for Herrero N$6,5 N$52/78 yes not asked not
asked
11 Katriena Kavari 40 F no - stopped 3 years ago yes 2/3 days/week
washed and ironed clothes for Herrero no no yes not asked not
asked
12 Chief Sangero 60 M yes yes before milked cows; now meets w/
government and Herrero no no no not asked not asked
13 Sophia 40 F no - the herrero stopped paying her so she quit.
She worked for 2 years yes 3 days/week cleaner for the Herrero
N$10 N$120 no no not asked
14 Martha Dam 28 F yes - BUT the herrero don't always pay her
depends… cleans and washes clothes for Herrero N$20 depends…
yes no, she doesn't like it. She prefers to stay home and do nothing
is a widow
15 Katrina 34 F yes 2/3 days/week cleans and washes clothes for
Herrero no no yes no, she does not understand the value of it
yes
16 Veronika 22 F yes 7 days/week cleans and washes clothes for
Herrero N$28,5 N$800 yes yes, she likes and values it yes
17 Maria Fritz 22 F no yes depends… washed and ironed clothes
for Herrero N$15 would depend… no yes, she sometimes goes
around asking for work yes
18 Sarie Kloppers 46 F no no no no no yes, she would rather work
than stay home yes
19 Martha 46 F no yes 7 days/week washed and ironed clothes for
Herrero + milk cows N$7 N$200 no yes, she would like to work again
no answer
20 Katriena Agrob 28 F yes 3 days/week irons clothes for the Herrero
N$6,6 N$79 no yes yes
21 Bau Kordaura 54 F no - stopped 3 years ago when she got sick
and Herrero don't always pay yes 7 days/week cleaned for the Herrero
N$10 N$280 sometimes no, she would rather stay home unless they
would pay her in advance is a widow
22 Sophia Dragan 37 F yes 5 days/week washes clothes and cleans
for the Herrero no no yes yes yes
23 Paul Chapman 24 M no - stopped because he was promised a salary
and never got it. So he left yes 5 days/week he was a shepherd
for the Herrero no no yes yes, but people have ot be honest with
him no answer
24 Khao Swartbooi 25 M no - stopped because he was underpaid by
the Herrero yes 7 days/week he was a shepherd for the Herrero
no answer no answer yes no answer no partner
25 Hendrih Kananatjiui 31 M no - stopped last week because his
arm is hurting yes 6 days/week worked in a farm for the Herrero
no no yes yes. Wants to work again, but not in the same place
- they will not take him back no partner
26 Jacob Dawe 60 M no - stopped a few years ago and worked for
10 years yes 2/3 days/week worked with wires, building fences
N$25 N$300 no no, work doesn't really mater for him now as he
is too old no answer
27 Kambopi Kamachere 38 F no no no no no yes, she would like to
work but takes care of grandmother. Never managed to find a job
yes
28 Otto Johannes 36 M yes 7 days/week works in a farm, cleans
the yard for the Herrero N$14 N$400 no yes and is working on this
farm for a month no partner
29 Fritz Gramsab 52 M no - stopped because he has TB and is under
treatment yes 7 days/week he was a shepherd for the Herrero N$7
N$200 yes yes because of the money no partner
30 Agrob Anton 45 M yes for 7 years 6 days/week he is a shepherd
for the Herrero N$7 N$200 yes yes, to survive yes
31 Piet Isaak 55 M no - stopped 5 years ago because his arm and
back are hurting yes 6 days/week he was a plumber and also a shepherd
N$10 N$280 yes yes no answer
32 Susanne David 46 F yes 7 days/week makes crafts and sells them
to harnas/stores in Windhoek gets paid per bracelet sold between
N$300 and N$900 no yes yes
33 Elsie Johannes 35 F no - stopped 2 years ago because it was
too far away yes 2 days/week cook N$62,5 N$500 yes yes but now
she has to take care of her child yes
34 Sophia Johannes 35 F no - stopped 1 year ago because she did
not like it yes 6 days/week cook N$10 N$300 yes yes, she tried
to find another job but could not yes
35 Katrina Johannes 30 F yes - and has worked since she was little
(cooking, washing…) yes 7 days/week she works in the butchery
N$14 N$400 yes yes and she likes it yes
36 Hendrich Agrob 31 M no - stopped yesterday because he was in
pain everywhere yes 6 days/week built fences for animals N$14
N$400 yes yes and he will go back once the pain stops no
37 Thomas David 22 M no - stopped 2 years ago because he did not
like the people and did not feel well yes 7 days/week he was a
shepherd for the Herrero N$11 N$300 yes yes and he is looking
for a job no
38 William Ambush 23 M yes 7 days/week he is a shepherd for the
Herrero N$7 N$200 yes yes yes
39 Sarah 22 F yes 6 days/week cleaner for the Herrero no no yes
no answer yes
40 Christina Staffie 21 F no - stopped 5 years ago to go to school
yes 6 days/week cleaner for the Herrero N$4,5 N$130 yes no answer
yes
A few conclusions in numbers and percentages:
36 of the 40 people work or have worked before (90%).
23 of the 40 people in this survey are unemployed (57.5%).
19 of the 40 people have worked before and are now unemployed
(47.5%).
17 of the 40 people in this survey are employed (42.50%).
4 of the 40 people have never worked.
24 of the 40 people in this survey work or worked for the Herrero
(60%)
15 of the 40 people works or worked as cleaning-persons (37.50%).
9 of the 40 people in this survey worked as shepherds (22.50%).
12 of the 40 people works between 1 and 3 days per week (30%).
7 of the 11 people that work 7 days/week have a salary between
N$200-400/month.
22 of the 36 people get (or got) food in their jobs are a complementary
salary (61%).
6 of the 36 people work (or worked) for a salary that is around
N$300/month (17%).
5 of the 36 people work (or worked) without getting paid (14%).
4 of the 36 people work (or worked) for a salary of N$200/month
(11%).
4 of the 36 people work (or worked) for a salary between N$120
and N$150/month (11%).
4 of the 36 people work (or worked) for a salary that is under
N$80/month (11%).
3 of the 36 people work (or worked) for a salary of N$400/month
(8%).
2 of the 36 people work (or worked) for a monthly revenue above
N$500/month (6%).
More than half of the people in this enquiry are jobless. Not
only they are unemployed, as many don't understand the value/importance
of work and don't worry about getting a job. It becomes clear
that "work" has no cultural meaning for them. They don't
understand "work" as a source of income as they seem
to not understand the importance of money. Food is the only thing
that seems to matter. Even
those we did not ask, we guess they work for the Herrero. Almost
no bushman tries to
establish its own "business" and earn money by themselves.
The only ones that seem to do so
are the woman that sell their own crafts to other people (necklaces,
bracelets…). Work
they do for the herrero consist of primary jobs - cleaning or
taking care of cattle. Those are low - scale jobs - that require
physical work and are considered by the herrero as almost-slavery
jobs. Many
bushman do not work all week days. Many have uncertainties on
how many days they work -
they say "it depends". Others work all 7 days without
have a resting-day - being paid almost nothing. It became clear
to us that they are underpaid and exploited, most of the times,
by the Herrero.Out
of the Bushman people that work (or worked), 5 don't (or didn't)
get money - only food. 17 of the 36 people here work for a montly
salary that is between N$120 and N$400. That means
almost half of them work for very little money! Also, 5 of these
17 individuals have between 4 and 7 children. Only 2 bushman earn
above N$500/month. The big problems in the employment situation,
for the buchman, are: the dependency they seem to have for the
Herrero to find a job; the type of job they have; the short money
they get, and how they seem to be abused in terms of work days.
Also there seems to be a "indifference" attitude, from
the buchman, towards the value of work. Doing and selling their
own craft could be a better solution!
Questions
Asked: Name/Age/Sex/Nº of children/More children?/Does family
planning
20 Katriena Agrob 28 F 4 yes no, she is afraid she has to pay
for it
21 Bau Kordaura 54 F 1 no no answer
22 Sophia Dragan 37 F 3 no yes
23 Paul Chapman 24 M 2 maybe no, does not trust it (nor its length
of time)
24 Khao Swartbooi 25 M no no answer no answer
25 Hendrih Kananatjiui 31 M no answer no answer no answer
26 Jacob Dawe 60 M 6 no answer no answer
27 Kambopi Kamachere 38 F 5 no yes, takes the injection
28 Otto Johannes 36 M no no answer no answer
29 Fritz Gramsab 52 M 2 no answer he thinks it's important for
woman to take the injection for he does not trust the man in the
village!
30 Agrob Anton 45 M 0 (lost 1) no answer no answer
31 Piet Isaak 55 M 7 no his wife took the injection but not anymore
as she is with the menopause
32 Susanne David 46 F 7 no never did it - and feels she is too
old to start anyway…
33 Elsie Johannes 35 F 1 yes, later yes, takes the injection
34 Sophia Johannes 35 F 6 no yes, takes the injection
35 Katrina Johannes 30 F 0 no yes, takes the injection
36 Hendrich Agrob 31 M 4 no answer yes, takes the injection
37 Thomas David 22 M 3 yes no
38 William Ambush 23 M 3 yes no
39 Sarah 22 F 3 yes no and she does not know why. In fact she
is pregnant again.
40 Christina Staffie 21 F 2 yes no but would like to start
A few conclusions in numbers in percentages does family
planning:
7 of the 21 people have 4 or more children (33.3%)
6 of the 21 people do not do family planning (28.6%)
7 of the 21 people want more children (33.3%)
Many
times, when asking bushman women and men on birth control and
telling them that having less children is a way to live better,
silence seemed to be the answer; or vague sentences would be said.
We realised that most bushman don't believe and understand how
the injection works - they think if they take it they will never
be able to have more children. They also do not understand that
having less children will allow them to live better. For them
the more children they have, the better.
The
average BMI of the Bushman living in Epikuro, Namibia
Study
written by Magriet.H.M. van Doesburg - Medical Volunteer - Netherlands
Introduction
Materials
and Methods: We took the height and weight of every Bushman
visiting the Life Line Clinic in Pos 3 Epukiro. This clinic serves
all settlements around Pos 3 Epukiro. For convenience we measured
the weight with clothes on, but without shoes. We used an analogous
balance. We took the height also without shoes and used a manual
length meter. We calculated the Body Mass Index (BMI) by the following
formula:
BMI
= Weight in kilograms ÷ height in meters ÷ height
in meters
Results:
For an overview of the data we refer to Appendix 1 and 2. We measured
53 patients, of which 23 men and 30 women. The age range was between
2 and 78 years of age. The average BMI of all 53 patients was
17.9. As shown in Table 1, the BMI of the 0-15 year olds was lowest
with 14.9, the highest BMI was in the group of 46-60 year old.
There was no big difference between men and women.
Age
(no. of patients) / Average BMI / Average BMI women (no. of patients)
/ Average BMI men (no. of patients)
0-15 (16) / 14.9 / 15.1 (10) / 14.7 (6)
16-30 (12) / 18.8 / 19.1 (5) / 18.6 (7)
31-45 (15) / 18.3 / 18.1 (9) / 18.7 (6)
46-60 (9) / 19.7 / 18.7 (5) / 20.8 (4)
>60 (1) / 17.8 / 17.8 (1) -
Conclusion
Overall we can say that the average BMI of the Bushmen living
in Epukiro, Namibia is too low. Out of 53 patients, only 10 had
a healthy BMI of between 20 and 25. The average BMI was lowest
in the group of 0-15 year olds, although one has to take in account
that children generally tend to have a low BMI, even in the developed
countries (see appendix 3 and 4).
Discussion
We realise that our small research has several shortcomings. First
of all, the amount of subjects. We measured just 53 patients,
which made that every age group is very small. Due to shortage
of time and because of convenience for the patients, we also measured
the weight with clothes on, which probably has caused a bias in
the results.
We think it would be helpful and interesting to investigate the
relation between the food pattern, employment and the BMI amongst
the Bushman.
Alcohol abuse is a known problem amongst the Bushman. This might
also have its influence on the nutritional status of the Bushman
and it might be interesting to investigate the relation between
these two.
Appendix
1. Overview of female patients:
Name
/ Age / Height (meter) / Weight (kilogram) / BMI
Sophia Karapeke / 40 / 1.50 / 35 / 15.6
Kowa Khao / 60 / 1.61 / 49 / 18.9
Katriena Kovan / 40 / 1.51 / 41 / 18.0
Katrina Langman / 34 / 1.52 / 39 / 16.9
Andrea Langman / 3 / 0.84 / 12 / 16.9
Katrina Moses / 2 / 0.87 / 11 / 14.5
Maria Fritz / 22 / 1.47 / 42 / 17.1
Sarie Kloppers / 46 / 1.58 / 44 / 17.6
Martha Paulus / 46 / 1.48 / 37 / 16.9
Katriena Agrob / 28 / 1.45 / 39.5 / 18.8
Katrina Hogobeb / 12 / 1.40 / 37.5 / 19.1
Maria Kingsa / 78 / 1.50 / 40 / 17.8
Martha Chapman / 31 / 1.59 / 43 / 17.0
Sanna Chapman / 36 / 1.64 / 42.5 / 15.7
Sara Spinkaan / 36 / 1.54 / 39 / 16.5
Dina Antoni / 13 / 1.35 / 29.5 / 16.2
Sara Anton / 7 / 1.20 / 19.5 / 13.5
Martha Dam / 28 / 1.42 / 38 / 18.8
Maria Dam / 4 / 0.94 / 13.5 / 15.3
Susanna Dawid / 46 / 1.49 / 39 / 15.3
Martha Isak / 8 / 1.09 / 17 / 14.3
Elsie Johannes / 35 / 1.56 / 45 / 18.5
Sofia Johannes / 11 / 1.28 / 24 / 14.6
Katrina Johannes / 30 / 1.47 / 49.5 / 22.9
Anna Agrob / 4 / 0.93 / 10.5 / 12.1
Bau Kordaura / 54 / 1.56 / 60.5 / 24.9
Sophia Dragon / 37 / 1.51 / 39.5 / 17.3
Kateka / 9 / 1.26 / 22.5 / 14.2
Kambopi Kamaheni / 38 / 1.43 / 56 / 27.5
Christina Stoffie / 21 / 1.52 / 41 / 17.8
Appendix 2. Overview of male patients:
Name
/ Age / Height (meter) / Weight (kilogram) / BMI
Willem
Ambush / 23 / 1.72 / 53.5 / 18.1
Khao Kassura / 2 / 0.85 / 11 / 15.3
Paul Chapman / 24 / 1.69 / 61 / 21.3
Khao Starbooi / 25 / 1.60 / 50 / 19.5
Hendrik Kananatjivi / 31 / 1.59 / 51 / 20.2
Jacob Dawe / 60 / 1.67 / 58 / 20.8
Otto Johannes / 36 / 1.65 / 46 / 16.9
Fritz Gamseb / 52 / 1.60/ 50 / 19.5
Agrob Anton / 45 / 1.50 / 42 / 18.7
Piet Isaack / 55 / 1.55 / 44 / 18.3
Paul Isak / 11 / 1.19 / 20 / 14.1
Kleinbooi Johannes / 5 / 1.03 / 15 / 14.2
Hendrik Agrob / 31 / 1.68 / 58.5 / 20.7
Oba Dawid / 3 / 0.87 / 13 / 17.1
Hendrik Dawid / 6 / 1.00 / 15 / 15.0
Hendrik Witbooi / 20 / 1.54 / 42 / 17.7
Kleinbooi Hogobeb / 26 / 1.55 / 40 / 16.7
Gabriel Rooinasie / 21 / 1.59 / 53 / 20.9
Simon Kainapsep / 27 / 1.65 / 43 / 15.8
Alfons van Tak / 45 / 1.64 / 54 / 20.1
Saaku / 35 /1.50 / 35 / 15.6
Chief Sangero / 60 / 1.56 / 60 / 24.7
Kabanana Jona / 3 / 0.87 / 9.5 / 12.5
Appendix 3: Body mass index-for-age percentiles, boys,
2 to 20 years, CDC growth charts: United States
Developed
by the national Center for Health Statistics in collaboration
with the National Center for Chronic Disease Prevention and Health
Promotion (2000).
Appendix 4: Body mass index-for-age percentiles, girls,
2 to 20 years, CDC growth charts: United States
Developed
by the national Center for Health Statistics in collaboration
with the National Center for Chronic Disease Prevention and Health
Promotion (2000).
Andrew
Loftus - Medical/Wildlife Volunteer from the UK
The
month I spent in Namibia was the single most
rewarding activity that I have ever had the pleasure to a part
of. This project combines the wonders of african wildlife
with the experiences of both ends of the Namibian medical
situation. I worked closely with Dr Rudie van Vuuren in his Windhoek
clinic, driving every morning through the gorgeous rolling scrub
of the Khomas region into the capital. My time in this clinic
gave me an insight into how medicine is practised in the richer
more privileged areas of Namibia. It also gave
me the opportunity to develope clinical skills that prooved vital
in the Bushman clinic. On several occasions I was able to observe
minor surgeries, one of these held in the Windhoek state hospital
that showed me how basic facilities can be and how ungrateful
and lucky we are in this country.
After
learning enough to be able to help the staff of the bushman lifeline
clinic I was driven north to Gobabis, which has the closest
hospital to the clinic, and then on to Post 3 or Epikuru. The
lifeline clinic lies within a chain link compound along with the
accommodation for the sister and volunteers. Whilst in the bush
I was lucky enough to be there with a Namibian medical student,
Steven, this made translation easier, but still tricky at times.
Most Herero can speak English but a lot speak Afrikaans and the
bushman tend only to speak their native language, luckily a local
girl, Natalia, translates. Most cases in the clinic are infections
(urinary/respiratory) for which there are antibiotics to treat
them. There is a large problem with alcohol in the underprivileged
peoples in Namibia, which can be so bad that patients will sell
their medication to get a drink. An effect of this aside from
the obvious is that it is not uncommon for Bushmen to brew their
own alcohol, which is so strong and drunk so regularly that it
inflames the optic nerves and causes blindness. Treatments for
liver conditions and sight impairments caused by alcohol are not
available in the bush however educating the locals could prevent
the damage in the first place.
We
also got involved in some outreach work in going around the Bushman
dwellings, hammered flat tins and corrugated iron if they weren’t
just a tarpaulin over some branches. Whilst giving out de-worming
medication with the help of Simone (bushman handy-man for the
clinic) we were lucky enough to come across a homeless mother
and her very sick child. After much convincing she agreed to bring
the child to the clinic. As soon as they arrived it was clear
that the child has severe pneumonia and he quickly lost consciousness,
as no IV antibiotics were available he had to be fed and treated
via a nasogastric tube for several hours before we could arrange
transport to Gobabis and a Hospital.
On
one occasion, a Sunday when the clinic is usually closed, as Steven
and I were returning form the local shop there was a Herero woman
sitting by the gate of the compound. As we approached she started
speaking Afrikaans and begging. Steven quickly told me that she
wanted us to go and see her uncle who was in agonising pain in
his back, knees, feet and hands, he could not move because of
it. Five minutes later we were driving though Epikuru with some
hastily gathered supplies, all the basics and a shot of diclofenac
thanks to Stevens’s foresight, the Herero woman directing.
We arrived at the stone cube that was their home and went inside.
Between two blankets on a cold stone floor was a frail old man
curled into a ball. After some very slow and painful movements
he produced a key from under a blanket and opened a small chest,
inside was his previous medical information on
a small battered card. After an examination diclofenac was given
and we asked him please come to the clinic tomorrow. Honestly
I thought that the next day we would be driving back to the house
and examining the same immobile ball of pain and misery that we
had tried to help that day. But the next day, after walking across
the sandy compound to the clinic in the blazing morning sun coffee
in hand, there he was walking through the door a different man.
One injection had turned a shadow of a human into the person he
had been and with a few pills he could continue to live normally.
When
it was time to leave Epikuru I was of course sad, however I knew
I would be coming back…
I
spent the last days in Namibia on N/a’an
ku se farm fully involved in the wildlife project
that is being undertaken there. This was the perfect
way to end the adventure, bottle feeding baboons,
grooming cheetahs, feeding lions and
leopards and sitting round a fire pit with some
of most interesting people I have ever met.
The
volunteer program is open to anyone who is considering studying
or has an interest in medicine, medical students and qualified
doctors/nurses.
Contact
& Booking Information
The
Lifeline Clinic - Epukiro
Health
HIV/AIDS::The
Omaheke region, at 13% known prevalence of HIV, is not considered
a high national priority. However, the obvious point is that,
if people are not attending clinics or medical centres, there
will be a lack of access to HIV testing and it is likely that
the prevalence is higher. This is certainly born out by both Dr
van Vuuren’s and Dr de Kok’s experience. How much
higher, will be the primary focus of the initial work of the project.
It is not currently known what the spread of HIV is in the Bushman
communities around the clinic. It is likely that, with considerable
increase in promiscuous and disinhibited behaviours and sexual
violence, both usually related to alcohol abuse, it is likely
that HIV is spreading rapidly. Without testing, the most common
indication is that if a Bushman presents with TB, they are likely
to be HIV positive, as TB is often indicative of a severely compromised
immune system.
It
felt that, for many reasons, starting an HIV clinic was the fastest
way to alienate the local people and the need for a general primary
health care facility addressing a wide range of health needs was
clearly evident. Through this facility, confidential, supported
access to specialist HIV care and treatment, with potential for
integrated health and social care outreach work throughout the
settlements and villages, could be developed. The fundamental
issues to be addressed are likely to remain the same as elsewhere
– care, prevention, treatment, stigma, discrimination, gender,
orphans.
The
initial focus of the work will be to establish a clearer idea
of disease prevalence and the provision of appropriate treatments.
It is therefore difficult to predict the number of people who
will be prescribed ARV’s, but Dr van Vuuren estimates the
figure to be between 2500 and 3000.
Nutrition
and diet:
Many of the current health problems in the Bushmen communities
can be related to the breakdown in their traditional way of life.
While the hunter/gatherer diet was not in itself a “balanced
diet” and periods of hunger and thirst were common enough,
it was one of high nutritional status and diversity. This meant
that they had low blood pressure and low cholesterol. Their bones
were strong and their organs, most particularly their hearts,
were healthy. With a shift to sedentary crop and animal raising
and with high levels of refined carbohydrates and sugars, there
is a rise in diabetes and cardiovascular disease. However, basic
lack of food, as elsewhere will continue to deepen poverty and
reduce life expectancy.
Dental problems are also common, often related to sugar, which
can cause bone collapse and other oral disease if unattended.
Cataract and eye disease are also common and highly treatable.
Alcohol and substance dependency: Alcohol
abuse is prevalent throughout Namibia and most certainly in the
Bushmen communities. Often it is seen as the only thing that brings
relief and is therefore the primary focus of their day to day
living. In terms of physical health, alcohol abuse leads to liver
disease and organ degeneration, in addition to the sugar related
problems. This in turn brings a need to monitor ARV’s very
closely given their toxicity on an already compromised liver function.
In
terms of psychological and social harm, alcohol abuse leads to
social disruption and the breakdown of community and family cohesion,
violence, sexual promiscuity, rape. Often this will affect children
and young people. The chaos of dependency can also make adhering
to ARV’s problematic. Both
tobacco and dagga (cannabis) are traditionally part of Bushman
culture. However, with the level of dependency increasing, these
are likely to contribute to heart disease and respiratory conditions
and cancers. Lack
of drinkable water and related health problems, and TB, are also
likely to play a significant role in preventing good health, as
elsewhere in the world. However, the area around the clinic is
not a high risk malarial area, so this is not the considerable
worry it is elsewhere. The
team will not discriminate as to who they will treat and for what
and they will respond to all people in a way that is non-judgmental
and uncritical. They will aim to enable where current poor health
and circumstance prevent this vulnerable, disenfranchised, often
unpopular, population to gain good health, dignity and self-esteem
in their lives.
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The
Bushmen
The
people living in the potential catchment area of the clinic are
primarily Herero and Bushman, in a ratio of 8.1. While the clinic
will certainly provide care for all those who come there, the
emphasis will be on ensuring that the Bushman communities are
not excluded.
Much has been written about the Bushmen and much of what has been
written has been highly academic, romanticised and inaccurate.
In recent and current times, they have become the subject of considerable
academic and anthropological study and debate and somewhat uncomfortable
voyeuristic tourism. What can be said with certainty is that the
Bushmen are the oldest inhabitants of the Southern Africa, whose
traditional lands are the expanse of the Kalihari Desert where
they lived as hunter/gatherers. It is also without question that,
as with most aboriginal peoples of the world, the Bushmen have
been displaced from their lands and their livelihoods and heritage
has been aggressively denied to them. They have experienced acute
exclusion and marginalisation. They have been oppressed, evicted,
abused and murdered by both black and white populations, reducing
their numbers to around 100,000. 38,000 live in Namibia. Approximately,
1500-2000 live in the clinic catchment area.
Now, if Bushmen are able to earn a living, it is likely to be
working on farms or through tourist activities. While it is easy
to be distracted and enraged by the political, moral, ethical
acceptability of this - and the debate will go on – it is
the belief of the team that there is simply not the luxury of
such debate. It is known that this is a community whose health
needs are enormous and immediate. Without in any way demeaning
the work that is done on behalf of the Bushmen communities throughout
Southern Africa, it becomes redundant if people are dying of preventable,
treatable or manageable illnesses and it is their lack of access
to basic health care, treatment and support that is costing those
lives.
The work will go to the heart of the communities and honour the
vision to offer affordable, accessible primary health care, with
an emphasis on HIV, to the marginalised communities surrounding
the clinic and to improve their quality of living in a way that
includes consideration of community authority, spiritual values,
collective identity, community attitudes to sex and low literacy
levels.
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Clinic
Needs
Medical outreach: In 2003 the urgent need for
health care to the San (Bushman) community working on and living
around HARNAS came under our attention. A lot of work was done
to raise money and staff for a clinic, but we soon realized that
it can take years to get sufficient funding. In the mean time
people who can’t afford the fee they have to pay at the
state run clinic, have to go without any medical treatment. A
group of volunteers thus decided to open the Lifeline Clinic,
covering the costs themselves in the mean time. The goal being
to provide affordable, accessible, appropriate health care to
the disadvantaged San-people living on communal land in the north
eastern Namibia, focussing on HIV/AIDS victims. Goals
Because of a lack of money, we can only afford to open the clinic
once a month at this stage. And even that is getting more and
more difficult as patient numbers and the demand for medicine
increase. However, if we can raise the financial support, our
long term goals are to establish a permanent clinic with a full
time nurse placed there to treat minor injuries and provide chronic
medication. The team will then visit the clinic every week-end
to attend to more serious illnesses. Another goal is to literally
take the clinic to the people. Because patients often have to
walk vast distances to get to us, a mobile clinic would be a huge
asset. That way we can reach even more people in need in remote
areas.
Education is essential. We were shocked to realise with our first
visit that, even in this day and age, people do not know about
HIV/Aids and the prevention of it. Because they live so far away
from civilization and often only understand the San-language,
advice on good health care don’t always reach them. Since
we are fortunate enough to have a team member who speaks fluent
Bushman, we tend to start informal lectures and video shows on
appropriate topics, while patients are waiting for the doctor.
None of the San that has been treated up to now has jobs or a
steady income. They live in appalling conditions, their houses
being tin-shacks without electricity or running water. Empowering
these communities socio-economically will help to improve their
living conditions and as a direct result, decrease poverty related
illnesses. Therefore as soon as the clinic is running full time,
we will also investigate feasible ways of job creating.
Current situation: Members of the Life Line Trust,
donated all medication. On 12 February 2005 we opened the doors
of the LifeLine Clinic for the first time. The
team consisted of a doctor, pharmacist, physiotherapist, interpreter
and administrative coordinator. Although there was no way to tell
people in advance, the word spread rapidly and we treated 37 patients
that day, mainly complaining about pulmonary diseases like TB
and asthma, gastritis, arthritis and hypertension. 5 Aids-patients
were seen. I am grateful to report that the number of both patients
and staff increased rapidly since. Apart from the original small
group of personnel, another four doctors from the State Hospital
in Windhoek has joined the project during the last two months.
This makes a huge difference to the service we can provide. With
every clinic more and more patients attend, with about 50 people
or more waiting for us each time we get there. A daunting sight
when we had only one doctor! At the last clinic in July, we treated
a total of 148 people. This included at least 18 patients with
HIV/Aids and a large percentage of Aids and poverty related diseases,
including TB, pneumonia, malnutrition, hypertension and skin diseases.
Another very welcome addition the past three months is an Ophthalmologist
and a dentist that also offered their services voluntarily. As
one can see in their stats-reports there is a desperate need for
both, but we still need the right equipment for them to function
even more efficiently.
Problems: The main problems for the project team
remain funding, staffing and medications.
As mentioned before, at this stage the clinic is run and paid
for by volunteers. However, as the demand is increasing swiftly,
outside funding for medication is becoming a necessity for the
clinic to survive, even on a monthly basis. Although numerous
pharmaceutical companies have been approached and several were
interested in getting involved by donating medication, up to now
only two companies have helped, Sandoz with a donation of N$100,000
for medical supplies and Abbot Pharmaceuticals with medicines
and formula for kids..
Equipment:
Since we can offer ophthalmology and dental services now, we urgently
need the appropriate equipment. A fridge for the Pharmacy, computers
and other office equipment are also lacking. If you would like
to contribute, a bank account was opened for the project:
Life
Line Clinic Standard Bank Account number: 241679834 Branch code:
082372 SwIft code: SBNMNANX
System
abuse:
Other problems involve patients abusing the system. We predicted
that this might happen because the clinic is free of charge. Hoping
that it would not turn out to be a big problem, we initially decided
to continue in this fashion, since the goal is to make medicine
accessible. However, to limit this and to encourage patients to
take responsibility for their own health, we’ve decided
to charge a minimal amount in future, and only from patients who
can afford it.
Unfortunately stronger people groups often intimidate the poorer
San-people to stay away from the clinic. Although the clinic was
started specifically to help the San, it is not ethically or politically
correct to show away patients from other tribes. Now that we’ve
identified the problem and we have more doctors helping, we will
assign one doctor to attend to them, while the others will treat
the rest.
Urgent
Needs:
For
the Clinic:
dental syringe
dental needles for syringe
files to keep patient records
crepe bandages
dressing packs
cash donations for medicines (to be made to Eland Pharmacy)
old furniture for nurses home
uniforms for nurse
cleaning matrials eg. soap, hibitane
sponsorship for fuel to transport doctors
normal saline infusions
half darrows infusion
infusion sets
sterile gloves
For
the Nurses House:
