Sri Lanka vs Nepal – what are the differences?

Saturday, September 24th, 2011

Have you been thinking about doing your elective with Work the World in Asia, but can’t quite decide whether to chose Nepal or Sri Lanka? I completely understand your dilemma – both countries offer so much, but are so different from each other. It’s difficult to imagine what to expect or what to base your decision on.

To help you with your choice, I wanted to give you a little overview of the hospitals, the houses and what makes these destinations particularly special!

Clinical opportunities

Abby2011 7 150x150 Sri Lanka vs Nepal   what are the differences?

A ward in Nepal

In Nepal we are based in Pokhara and we’ve partnered with a couple of large hospitals from both public and private sectors. The government hospital generally offers an excellent insight into basic healthcare provision for Nepal’s working class population. It’s a good option for students with an interest in primary healthcare and general fields of medicine and nursing and has proved particularly positive for general surgery, emergency and obstetrics and gynaecology.

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Pointers for nursing students heading out on Work the World projects

Saturday, September 10th, 2011

I served my elective nursing placement through Work the World in Pokhara, Nepal for 6 weeks. Given the fact that Nepal has a GDP of $1,200 per capita in comparison to $35,100 per capita in the UK, the budget for healthcare in the former is significantly smaller than the UK’s, resulting in a considerably different methodology of healthcare delivery. During that period I worked in the Emergency Department and Surgical Department of the Western Regional Hospital and worked in the health post at Nalma Village in Lamjung. While the following advice was developed from my Nepali experiences, they can be adapted towards nursing in the developing world.

Understand the local culture

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The Weekly Question – What has been your clinical highlight this week?

Friday, September 2nd, 2011

Often students tell us of rare and tropical diseases that they’ve only read about in the past. Whether it be differences in the treatment of patients, unseen diseases or progressed pathologies, an overseas placement can provide a fascinating learning environment. We have asked this question a few times but we always get some really interesting answers… What has been your clinical highlight this week?

Alison July 10 33 150x150 The Weekly Question   What has been your clinical highlight this week?

On the ward in Sri Lanka

In Sri Lanka after three weeks on the surgical ward Julie’s really built up the trust between herself and her local colleagues “I’m treated as a team member.  I had my own patients for wound care management and contributed to a burns victim dressing. This was a new approach, which had a good effect on the staff and patient as dressing time became less dramatic.”

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The weekly question – Why did you choose to do your placement in the destination you’re in?

Thursday, August 25th, 2011

We think that one of the hardest parts of organising an elective is actually deciding where to go. Whether you’re tempted by the tribes of Africa; the mountains of Asia or the flavour of South America, wherever you decide to go, your elective overseas will no doubt enrich both your professional and personal development in a safe, supported environment.

We currently work in seven locations around the world and like to talk to students in depth about each destination before they make a decision – this way they can work out which placement is most suited to them. So the question we chose to ask the houses this week is “Why did you choose to do your placement in the destination you’re in?”

Abby 2011 2 150x150 The weekly question   Why did you choose to do your placement in the destination you’re in?

A Sri Lankan beach

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The Weekly Question – Were you nervous about travelling overseas for your placement? How did you conquer your fears and what advice can you give to future students?

Thursday, August 18th, 2011

Students are often slightly anxious about travelling overseas for their placements, particularly on their own.  So this week we’re asking the students in Africa, Asia and South America, “Were you nervous about travelling overseas for your placement? How did you conquer your fears and what advice can you give to future students?”

drinking blood1 150x150 The Weekly Question   Were you nervous about travelling overseas for your placement? How did you conquer your fears and what advice can you give to future students?

Preparing the goat!

Arryl travelled to Arusha all the way from Canada “Before leaving for my elective, my circulating thoughts covered every emotion: excitement, fear, concern, and yearning. I was about to travel eighteen hours to the continent Africa. Needless to say, I settled in so quickly! The only advice I wish to leave you with is to go with an open (and un-judgemental mind) and literally jump, leap, and bound to these amazing opportunities that await you. This is more than a medical placement; this is a life changing opportunity and one that can forever impact your future. Do anything and everything you can, from climbing a mountain, to eating raw goat kidney. Your Tanzanian life awaits you. Have fun, play safe. And remember, this is Africa.”

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Oncology in Nepal – what happens to patients with cancer in the developing world?

Wednesday, August 10th, 2011

For my Work the World elective I travelled to Pokhara, Nepal and spent four weeks in a General Government Hospital. I did two weeks on a paediatric ward and two weeks on a surgical ward, including experience in theatres. One of my focuses was on cancer in Nepal.

The hospital I was working in was small and so had limited specialist equipment or resources – there was an endoscopy unit, which can be used for colorectal cancer screening but it did not have a Magnetic Resonance Imaging (MRI) machine, which can help in detecting cancer metastasis. There was no official oncology ward, so patients who were suspected as having cancer tended to turn up on the surgical ward.

Abby2011 13 150x150 Oncology in Nepal – what happens to patients with cancer in the developing world?

Families provide the care in Nepal

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Mud, mud and more mud for Work the World Nepal students in Nepal.

Tuesday, August 9th, 2011

Depending on where you go, students have the opportunity to get involved in lots of local festivals. It’s a great opportunity to meet the community and experience the culture of another country.

P6030055 150x150 Mud, mud and more mud for Work the World Nepal students in Nepal.

Dancing to traditional music

Nathan, a Sheffield student in Nepal, sent us this report about the festivities in Pokhara this week…

“We all went to a mud festival in Pokhara today – it was absolutely amazing, so much fun!

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Infection control – the reality of developing country hospitals

Thursday, August 4th, 2011

For my Work the World elective I travelled to Pokhara, Nepal and spent four weeks in a General Government Hospital. I did two weeks on a paediatric ward and two weeks on a surgical ward. One of my focuses was on infection control.

Nepal not only has a Gross Domestic Product (GDP) significantly lower than that of the UK, but they also spend a lower percentage of this on health care. This results in a much lower amount being spent on people and their health needs (World Health Organisation, 2011).

Abby 2011 7 150x150 Infection control   the reality of developing country hospitals

Paediatrics ward

In Paediatrics, the most commonly observed problems were Respiratory Tract Infection (RTI), Pneumothorax, Diarrhoea and Vomiting, Nephrotic Syndrome and pyrexia of unknown origin (PUO). In surgery the most commonly observed problems were appendicitis, burns (burns unit was part of surgical ward), diabetic feet, cholelithiasis, and stab injuries. About 70% of illnesses in Nepal are attributed to infectious diseases.

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Cherry Black’s case study published on IDCSIG

Thursday, August 4th, 2011

For those of you that enjoyed reading Trish’s blog, have a read of her case study published on Imaging In Developing Countries Special Interest Group.

Talking about the basic state of the hospital and the challenging conditions in which she worked, Trish talks about excellent patient care and speedy turnaround for MRI and CT scans. Perhaps the saddest thing is the fact that most patients did not present until they were advanced because it is too expensive to travel to the hospital.

“My elective in Nepal was hugely beneficial to me and it has also influenced me to seriously consider working in a developing  when I am qualified”
Read Trish’s account here.

Birth in rural Nepal

Thursday, August 4th, 2011

In August 2009, freelance photojournalist Toni Greaves traveled to rural Nepal on assignment for the Bill & Melinda Gates Foundation’s Living Proof Project.

pregnant young mother 150x150 Birth in rural Nepal

Pregnant young mother featured in the Living Proof Project

Toni’s photographs document the story of Maheshwori Devi Bishwokarma,a 19 year old who lives 6 hours away from the hospital and is due to have her second child. Her first child at 16 was breech and she nearly died giving birth in a cowshed. This birth proves to be problematic when the baby also appears to be in breech and an aid worker convinces the elders to bring in a skilled birth attendant from 3 hours away. Maheshwori is thrilled as she is allowed to have the baby in the clinic.

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