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Penny Wong Community Nurse 耶和華對亞伯蘭說, 你要離開本地、本族、父家, 往我所要指示你的地去。 我必叫你成為大國; 我必賜福給你,叫你的名為大, 你也要叫別人得福。創世記12章1-2 Content: 1. MSF experiences – community nurse role in rural area 2. Nurse roles in disaster situation 3. General criteria for working in the field (MSF) 香港 南蘇丹 Mission in Africa: South Sudan (7 months) Outreach nurse Primary Health Care Centre (PHCC) & Therapeutic Feeding centre (TFC) South Sudan (independence since 2011) Estimated life expectancy of 62 years Health care: Accessibility, sustainability and quality Lack of quality primary health care services Ministry of Health (MoH) THE CHALLENGE OF CONTINUITY OF CARE IN A CONFLICT AREA: War is part of life of many people in South Sudan, a militaritsed society, where the military men run politics People are being exposed to continual violence, increased displacement, fear of attacks, disease outbreaks and the risk of starvation. Armed conflict Natural disasters Endemic & epidemic Sexual Violence Healthcare exclusion Sources from MSF international The Role of Community Nurse in rural area 1.) Assessor and Advocator Bearing witness and speaking out Photo from MSF Prepare for rainy season…… Photo from MSF Therapeutic feeding programme for malnourished children (moderate and severe) •Acute respiratory infection •Diarrhea •Dehydration Screening (secondary health intervention) for malnourished children (Mid Upper Arm Circumference MUAC, weight for height) Severe malnourished 2) Direct care provider Wound care at hospital and clinic Burn/abscess wound What kind of infectious disease? Gunshot wound Surgical procedures/Obstetric Out-patient clinic Health consultation at out-patient clinic Waiting hall Health screening Voices from South Sudan….. 前線的一天︰無國界醫生 https://www.youtube.com/watch?v=u5X6pxRYuyo&feature=youtu.be 3) Educator Training for community health worker - Malaria, kala azar (visceral leishmaniasis), TB, HIV/AIDS, Leprosy,, Elephantiasis (Elephant Leg Disease) Multi drugs resistance TB Kala azar …..Vector-borne diseases Disease prevention Rapid Diagnostic Test (RDT) 4) Health Promoter Health education and health promotion for Traditional Birth Attendant Promote women and child health in rural area Reproductive healthcare Health talk of Scabies outbreak for villagers and health care workers Infectious diseases outbreak and neglected diseases in rural area …. Guinea worms outbreak- health surveillance and health promotion - Home visit by outreach team at different villages 5) Evaluator Control and prevention of disease outbreak Vaccination program (Primary health intervention) What kind of disease the baby suffering from? 1. Supervise of community health worker and monitor of disease outbreak 2. Laboratory investigation Cross-cultural experiences…… Greeting, custom, traditional belief, religion, languages, politics, value….. Taboo…..e.g. Female Genital Circumcision (FGC) witch doctor/traditional healer Mission in Indonesia – Banda Aceh 印尼班達亞齊- Tsunami Earthquake response in Sichuan 2008 As a nurse, what can we can do to the victims? Here are different roles/duties of a nurse during disaster …. In settlements/camps Basic health care Basic needs: water and sanitation 7) Coordinator and collaborator facilitate the work within different parties (multi-disciplinary approach) Prepare of medical materials and stock checking Training session- measles vaccination campaign/Cholera vaccination Mobile clinic – at remote villages In patient ward ………. ward nurse Wound care– screening and referral for infected wound Surgical procedures – OT nurses Do you know what is it? Flexibility…. Lodgings, food & Team life….. General criteria for a field volunteer At least 2 years professional experience in your field of expertise Availability (minimum of 12 months) Ability to live and work as a team Experience in developing countries Ability to manage stress Willingness to work in high security contexts Flexibility Language skills (English, French) Tropical medicine courses MSF expatiates in Yemen https://www.youtube.com/watch?v=4GvePKpnBnY 《雅比斯的禱告》The Prayer of Jabez 甚願你賜福與我, 擴張我的境界, 常與我同在, 保佑我不遭患難,不受艱苦。 歷代志上4:10 讓我們不斷省察自己,實踐傳福音的大使命,也要為有 更多願意投身這使命而切切禱告。 Thank you