Thursday 26th September 2019

Antoinette and Mel spent the morning teaching on the children’s ward. Very sadly as they arrived an infant had just died from respiratory failure. Although desperately sad we usefully reflected with the team on how care could have been different. On a much brighter note a child with meningitis had made a fantastic recovery and was now mobile and chatting.

Sarah spent the morning teaching nurses and clinical medical officers at the feeding centre, covering the basics of breastfeeding, complimentary feeding and practical skills in anthropometry. Everyone here talks about MUAC as a simple way of assessing for malnutrition, so learning how to measure accurately is an important skill.

Emily and Sally spent the morning at the University. Initially there was an impasse with the Opthamology specialist who had the same teaching slot as us booked with the third year students. Following cordial wrangling we reached an agreement and split our time with them. All good! Their subjects varied from Normal delivery by the midwife to Respiratory assessment from our Physiotherapist.

Deja vu …the Opthamologist was back this afternoon but we had already started! We carried on and all pulled together as a team to teach a huge 50 plus group of third year midwifery students skills and drills on Neonatal Resuscitation. A very important skill.

Students only start their midwifery education in their third year, so the gravity of responsibility as midwives is starting to kick in. They were all tested on their skills and in the main did very well. Feedback for the afternoon was good from the students apart from them wanting videos, pads and pens.

On return to our accommodation Emily and Sarah popped in to the Referral hospital to review their elderly patient who they attended to yesterday to monitor his progress. He is 84, a grand old age to have reached here in Uganda!