Transcript 下載Power point

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
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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