A Stop by the Equator and a Warm Welcome to Mbarara, Uganda

2 April 2017

Dr. Erin Pauling, Becky, Jess, and Tristram at the Uganda Equator

We had such a nice ride down to Mbarara today with a quick stop at the equator in Arthur’s comfy SUV.  It’s really helpful to have a vehicle like that to get over all of  the cracks and bumps on the red dirt roads when we take shortcuts off of the paved roads.  The students were able to see the Equator experiment where the water flows clockwise North of the Equator and counter clockwise South of the Equator and it doesn’t spin at all right on top of the Equator.  For a video, see my blog post back in Sept 2012.

Equator Water Experiment

Upon entering Mbarara, we stopped to get phone SIM cards and “airtime” (minutes) and a data plan. In Uganda, people don’t sign up for phone contracts that include minutes  or internet like we do in the USA where our contracts are often 2 years long.  Here you just buy as much airtime or data as you need for the moment.  It is important that the pharmacy students have access to a phone and data plan so we can always communicate. Plus, if they need to look up drug information on the internet during rounds, as we do at home all the time, they will be prepared.  Of course they also like being able to be in touch with family and friends back home and keep up with social media.

Mark, Jess, Emmanuel, Tristram and Noah socialize after lunch.

After checking into the Acacia Hotel, we visited over lunch/dinner with the 3 students who greeted us immediately on arrival, Godfrey, Mark, and Emmanuel, and also with Noah, the 4th year student who made the arrangements for our visit in the fall. The food was great and the conversation even better.  Below I introduce Mark Opiny, who is one of the students planning this event. It was so fabulous to see familiar faces from last trip and we are all looking forward to our first day of the workshop tomorrow.

The whole group of MUST students and Wilkes students and Dr. Erin Pauling from Binghamton University going on a tour of the university and hospital. (Left to right: Godfrey, Jess, Dr. Pauling, Becky, Tristram, Mark, Emmanuel, and Noah

Mark

I am Mark Opiny, currently in my third year doing Bachelors of Pharmacy (B.Pharm) at Mbarara University of Science and technology (MUST). I am so much interested in practicing clinical pharmacy so that I can improve on pharmaceutical care given to patients especially in the hospital and even outside the hospital and improve the health care sector of this country Uganda. Currently in Uganda clinical, pharmacy practice is not all that developed and for that reason there are still many challenges concerning drug therapy in the country.  I believe if I become a clinical pharmacist it would be helpful not only to pharmacy profession but it will also bring an improvement in the health care system of this country in which clinical pharmacy is not yet well established. I also interested in becoming a lecturer in future so that I could help teach other people about clinical pharmacy and to take part in research especially on the current health pressing issues in Uganda, Africa and the whole world and specifically in line with pharmacy practice. 

I am a Ugandan from Kaberamaido District, Teso sub-region in eastern Uganda. I am currently located in Mbarara, south-western Uganda. I am a Kumam by tribe.

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Welcome to Uganda

2 April 2017

After 2 long flights we arrived safe and sound at Entebbe Airport, albeit a little haggered. It took us 45min to get through the Visa line which surprised me. They have a new online approval process which is done before you travel to Uganda but it seems they only have 3 kiosks at the airport with the right equipment to process the online Visas. I hope this is just temporary while they ramp up the program

The driver from the hotel was waiting to transport us to our cute little hotel called the Entebbe Airport Guest House.  I’ve stayed there many times and I love it! The people are so nice and the rooms are clean with nice hot water showers. We couldn’t see the yard at night but this morning the students saw the grounds which are like a little oasis with many beautiful plants. We had a full breakfast this morning with omelettes, toast, fruit plate with banana, papaya and watermelon with coffee and passion fruit juice- delicious!  

Our tour guide and my friend, Arthur, from Econesttim Tours and Safari Uganda was here to pick us up and we have now started on our way to Mbarara. Actually, we made a quick stop at the forex to change money and purchase water and now we are on the road. We should arrive sometime in late afternoon

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And We Are Off to Uganda

31 March 2017

Well after many months of preparations we are through security screening and waiting at the gate to board the plane for the first leg of our journey which ends in Amsterdam about 7.5 hrs from now. We had a little snafu at checkin because they wouldn’t let me take the extra luggage for free that I’m allowed because of my silver medallion status.  We are bringing 2 extra pieces of luggage filled with reading glasses to donate and some medical drug reference books and lots of handouts for our programs. I want to give a shout out to Chris, my administrative assistant, who spent countless hours at the copy machine and working with the stapler to prepare about 1200 copies. And Dr. Erin Pauling’s church donated 313 pairs of reading glasses. Thanks to Homer First United Methodist!! A number of years ago I asked what kind of items are really needed and the Health Education Missionary for the Church of Uganda in Masindi said “reading glasses”. That struck a chord with me because I rely heavily on mine an I didn’t not know what I’d do without them. Plus they are small, lightweight and easy to pack. Well after trying to politely argue with the checkin attendant for quite awhile I ended up having to pay $200 per bag for the 2 extra. I think there computer Had a glitch today because I had called this week too confirm that I did have the extra free luggage. Anyway, we are now in the boarding line. You’ll hear more from us later. 

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Looking Forward to Meeting the Mbarara Pharmacy Students

30 March 2017

I’m really excited to go back to Mbarara University and meet up with students that the team and I met last September. I’d like you to meet the two Mbarara Students who were instrumental in arranging my first visit and have helped the have invited my team back to MUST and are organizing all of the details.

Noah

Hello!

I am called Aboda Noah. I am in my fourth and final year of pharmacy school at Mbarara University of Science and Technology (MUST). I am passionate about clinical pharmacy but also greatly interested in global health, social medicine, drug research and technological innovations. I hope to specialize as a clinical pharmacist after my undergraduate course.

Being part of the MUST Pharmacy Students’ Association has been fulfilling and enlightening. It has made me more informed, exposed me to a broader network of pharmacists and improved my leadership experience to better prepare me for the future as a fully-fledged pharmacist.

Outside the scope of pharmacy, I enjoy listening to music, watching movies and documentaries, dancing, reading about interesting topics outside academics, travelling and chatting with friends and family. I look forward to meeting you all, sharing and learning something new. You are all welcome to Uganda and to MUST in particular.

Derrick

Hello! Am Derrick Jjuuko, currently in my fourth year doing a Bachelor of pharmacy at Mbarara university now counting days to finish school. As a pharmacy student, I have been able to serve as a leader in different capacities: Former President of Mbarara University Pharmacy Students Association, former Vice President Uganda Pharmaceutical Students Association, General Secretary Of the Inaugural Medical Association Camp and ICT Secretary.

I love my profession so much that I would want to be its voice, fight for the rights of pharmacists and advocate for professionalism. My passion in pharmacy lies basically working with people in hospital (Clinical Pharmacy) and marketing pharmaceutical products. I like talking to people and I am always humbled if my intervention improves on someones life. Besides pharmacy, I like ICT , I was part of the team that designed the first website about herbal medicine for our head of department www.jenaproducts.com and also participated in an ICT related health innovation challenge organised by Upaccelerate Uganda http://upaccelerate.co.ug/submission/wazazi/ . I like listening to music, travelling, sometimes I go swimming, play some football and like making new friends. I can’t wait for this opportunity to meet Prof Karen Beth with her team again. Safe journey as you come to the Pearl Of Africa.

 

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Uganda Spring 2017: Introduction of USA Travelers

29 March 2017

It’s been quite awhile since you’ve heard from me but I’ve been very busy behind the scenes developing great plans for my upcoming trip to Uganda. This will be my 11th and every experience seems to build upon the last.  This journey will be no exception.  We leave in 2 days and although we will be gone just 3 weeks, they will be jam packed with roughly spending 1 week in each of three cities. We will begin with Mbarara. This city is is in the southwest part of Uganda and we will be again working with the Mbarara University of Science and Technology (MUST) School of Pharmacy to provide a 3-day Pharmaceutical Care (PC) Workshop that build on the knowledge and skills the students learned during the September 2016 program. My team and I are thrilled to have been invited back and it is especially nice that we will work with the same students. I’ve actually been in touch all winter with a couple of the student leaders.  They text me (WhatsApp) from time to time to let me know of the interesting endeavors they are involved in or to tell me about how they are using the PC skills when going to the hospital. I’m also impressed with their commitment to improving health in their community and surrounding areas.  I will introduce some of the students in an upcoming blog.

I will also be back in Kampala working with students and faculty from Makerere University and with pharmacists at the Pharmaceutical Society of Uganda (PSU). We will be delivering a 1-day PC training workshop for Pharmacists who want to initiate clinical service in the local hospitals on a volunteer basis. How impressive is their commitment to volunteer to use their skills to develop new ways to improve patient care!

Finally we will spend a week in Masindi with the Masindi-Kitara Medical Center, in rural northwestern Uganda. This small clinic and hospital provides an entirely different view of healthcare for the US pharmacy students and I am always really eager to see all my friends again. Since this facility doesn’t have a pharmacist, we can help teach the staff about how to inprove safe medication use or research questions for them.

I also have some extra guests on this trip. I will introduce them along the way but first I’d like to share information about the Wilkes University Pharmacy Students going on this trip.

Becky

My name is Becky and I am in my last year of Pharmacy school at Wilkes.  When I graduate in May I hope to get a job in the military or public health.  I do not have much international experience, I have traveled out of the country to Canada, Saint Martin, Jamaica, Mexico, and a few other tropical areas on cruise ships.  I am participating in this Global Health Experience because I like to travel and would like to take every opportunity I can to explore different areas of the world.

I am from Connecticut and I have one sister and two dogs.  I enjoy being active and like to bike, swim, and hike.  In my spare time I also like to read and learn new things.  I am excited to go to a new place and meet new people.

Jessica

Hello! My name is Jessica and I am currently a P4 pharmacy student at Wilkes University. I currently work as an intern at Walgreens. When I am not busy with school or working at Walgreens I enjoy watching TV series or movies, crafting and baking, and sleeping. Most recently I have been going to the gym which has been going well so I’m going to try and continue with that.

My professional goals include actively being involved with community outreach programs sponsored by Walgreens, displaying empathy and concern for difficult patients, trying to stay calm and maintain patience when the pharmacy gets hectic, and determine a plan for after graduation.

I have relatives in England so when I was younger my family and I traveled there to visit them on two different occasions. Then when I graduated from high school I traveled to England and France. It was a two-week trip and we explored several different surrounding areas such as Normandy and Nice. I have also been to Canada a couple of times with my family as well.

I am participating in the Global Health experience in Uganda for a couple of different reasons. I believe that if an experience comes up then one should take it. Never in a million years did I think that I would be going to Uganda, Africa, but I want to experience the culture and the medical field. It’s a once in a life time opportunity that I could not pass up. As stated, I cannot wait to see how the pharmacy field operates in Uganda. From what I have heard, it is completely different and I can’t wait to watch and learn from the Ugandan students and people. I think that I can teach them as well. Both parties will be able to take away something from the trip whether it is educational or cultural.  Lastly, I think that this experience will allow me to step out of my comfort zone and gain a different perspective of life and pharmacy practice as a whole which will help me to excel in my future endeavors as a licensed pharmacist.

Tristram

I am pleased to begin this month long upcoming journey into the heart of Africa.  I first heard about this experience during my sophomore year of college and was immediately impressed.  I am thankful that my school, Wilkes University, has continued to offer this trip for pharmacy students year after year.

My family and I have a longstanding passion for traveling. I grew up traveling to Europe at a young age but later traveled more around North America as I got older.  Canada is currently my favorite destination outside the United States.

I am currently a fourth-year pharmacy student on my way to completing a doctor of pharmacy degree.  The fourth year consists of rotations or internships that allow me to experience different areas of pharmacy practice to determine which setting suits my interests.  Right now, I am at Geisinger Health Plan completing a managed care rotation.  My previous rotation back in June was at a community pharmacy Medicine Shoppe in Pittsburgh, Pennsylvania.

In terms of professional goals, I first hope to graduate from pharmacy school.  Secondly, I plan to apply, and complete a residency program.  This will give me further training and polish my skills as a pharmacist before fully entering the work force.  Over the next year, I plan to conduct a research project that would most likely happen during a residency program.  Otherwise I plan to stay involved in the following professional organizations: CPFI (Christian Pharmacists Fellowship International), APhA (American Pharmacists Association), ASHP (American Society of Health Systems Pharmacists), and AMCP (Academy of Managed Care Pharmacy).

I have a number of reasons for which I am participating in the Uganda trip.  The most important reason is to serve Christ and the world through pharmacy.  My faith in God is the top priority in my life.  As much as pharmacy and medical advancements have helped and healed so many people, it can’t compare to the eternal healing that we have in Jesus Christ.  As I like to say, physical healing is temporary, but spiritual healing is forever.  Another reason I am doing the Uganda trip is to determine how I feel about medical/pharmacy missions (i.e. is it something I want to do again?). This trip is typically longer than most short term mission’s trips.  Hopefully, this will cause me to think about long term mission’s opportunities.  Others goals that I have include gaining a better understanding of the culture, church, and religious/spiritual state of Uganda.  I’m also looking to improve my clinical and drug information skills particularly in ambulatory care and infectious disease.  Lastly, I plan to reconnect with old acquaintances (e.g. Pamela Blessed) and even build newer relationships with the people of Uganda.  Here’s looking forward to another great adventure!

 

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Advanced Pharmacy Practice Experience in Uganda Fall-2016: Final Thoughts

18 October 2016

It’s hard to believe that this Global Health experience in Uganda has come to an end. The Wilkes Students and Dr. Edward Foote are now back in the USA, most likely forever changed by their experience over the past few weeks. Although this was my 10th trip to Uganda, I, too, am changed by my visit to Uganda. Every trip I learn new things and as my friendships grow and relationships deepen with my collaborators, I am privileged to learn more about the healthcare challenges they face and the difficult barriers to improvement.  But, there are many ways that pharmacy practice and safe medication use can be improved.  And I know that if the Ugandan pharmacy students, interns and Pharmacists persevere and continue to strive to learn and apply their new skills and knowledge to help patients, healthcare will improve!

Below are some final comments from the Wilkes students. They wrote these during their layover in Amsterdam earlier today.

Emily:  I am so glad to have had this opportunity to travel to Uganda. Everyone that we met was wonderful and so welcoming. It was very interesting to see healthcare specifically pharmacy in another country and to compare it to what I’ve seen. I will definitely cherish all the memories and miss all the new friends that I’ve made. I hope to someday visit Uganda again.

Mike:  This trip has been an amazing experience that I am extremely grateful to have been able to participate in. Everyone we met was very welcoming and pleasant to speak with. I enjoyed being able to partake in the culture more than I have on other trips where I was more of a tourist and didn’t have the opportunity to interact with the locals to the degree I did on this trip. It was interesting to see the challenges that face healthcare in another country and what they do to overcome those challenges. All-in-all, Uganda is a wonderful country with very welcoming people and I would love to return one day.

Jennie:  My time in Uganda has been absolutely wonderful and I am so sad that it has come to an end. When I first started telling my friends and family that I was going to Uganda, they all looked at me like I was crazy. Why would I ever want to go there? Well, I am so glad that I decided to go anyways. This trip has truly been the trip of a lifetime. I have met so many new friends and learned so much about healthcare in Uganda. I would like to thank all of our Ugandan friends for being such great hosts and Dr. Bohan for coordinating this experience. Also, thank you to all of our friends and family in the States for following our travels via the blog. Only a few more hours until we’re home!

Nick:  This global health rotation has been a profound learning and cultural experience. It is probably one of the most meaningful things I have done in my life. Leaving this beautiful country and returning home is bittersweet. I will remember the great times we had and the friends we made, but it will be nice to be home and see my family again.

Thanks to all of the people we worked with: Winnie, Gonsha, Kalidi, Professor Odoi, students at Makerere University and the Kampala Pharmacy Interns, Sam Opio from PSU, Dr. Godson and staff at Masindi-Kitara Medical Center, Peter, Prof Jennie, Noah, and Derrick and all of the students at Mbarara University, Sam, our Masindi Driver, and Haji, our Kampala driver, and Arthur from Econesttim Tours and Safari!

 

 

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The Trip Home Begins

17 October 2016

A Blog Post By Dr. Edward Foote

People view long journeys from different perspectives. Me – I tend to take a leg at a time (“let’s drive 2 hours to lunch and not think about the travel big picture”). Others like to calculate the total time traveling and then painfully countdown (on an app these days) how long it will take to get home to loved ones. I would have rather not known, but our trek will take about 43 hours, door to door.

We began our journey home leaving Para Lodge in Murchison Falls National Park in Northern Uganda at 8 AM with our trusted guide Arthur. The trip out of the park was a small safari and we saw more giraffes, antelopes, wart hogs and some elephants (from afar). After that, we drove 440 km (about 273 miles). Most of it was decent highways so we made good time (after that lunch I was talking about). To get to Entebbe International Airport we need to go through Kampala. As noted on previous blogs the traffic “jam” can be pretty bad and so Arthur made sure to leave plenty of time. Since we lucked out with the jam, we got to Entebbe at about 5 pm which too early for an 11:30 pm flight. Arthur suggested we have dinner and hang out at a local restaurant for a few hours. Arthur suggested we eat at Faze 3 which was a great suggestion since it was inexpensive and overlooked Lake Victoria. After getting through check-in and customs we are sitting awaiting our flight.

This is my last blog for the trip – the students and “Professor KarenBeth” (as everyone here calls her) will wrap up. This has been an awesome professional and personal experience. I have learned so much over the past few weeks about Uganda – from its culture, to its healthcare and stunning environmental beauty. It was a pleasure to work with the pharmacy students from Uganda but, I must say, they are no match for the four outstanding young student pharmacists from Wilkes that I had the pleasure of travelling with. Finally, big Kudos to Dr. KarenBeth on this program. It is hard to believe this was her 10th trip to Uganda. She should be very proud of her accomplishments here.

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The “Big 5” – and students saw them all!

16 October 2016

A Blog Post By Dr. Edward Foote

Our day started very early. Some coffee and cookies at 6 AM and then an early-morning safari at 6:15. Our trusted guide Arthur has been an invaluable source of information. Today, one of the rangers in the park, Andrew, joined us in our vehicle to help us track some of the most elusive and beautiful creatures in the park.


It is really difficult to describe the beauty of the African Savannah at sunrise and this picture doesn’t do it justice. Our guide told us that different animals (especially the predators) are most active in the early morning. The morning drive was a definite success!


Someone noticed that the water buffalo (usually looking at us) were staring in a more distant area. That is when Mike saw something moving in the tall grass. Our guides identified it as a spotted leopard! The leopard was walking through the tall grass so we’d only get a periodic glimpse of his head, back and tail, but what treat! Later in the drive, we came across a lion the road! Again, a relatively rare find since lions don’t show themselves like the giraffes, antelopes and elephants. Later in the trip we came across a hyena just resting in an open area. After we watched him a bit, we were able to catch a glimpse of his mate and cub! So cool!


After a nice lunch buffet we headed out for a boat trip safari. The boat set off from near out hotel and headed east to Murchison Falls, the namesake of the park. We spotted so many animals but were especially fond on the hippo’s! I think one of the things that struck us was how many animals are in this park. It was like watching a Nature special on TV (shameless plug to support your local PBS channel).




Back to the “Big 5”. The lion, leopard, hyena, elephant and the rhino are considered the “must see” for Uganda and it is not easy. The students saw them all! (And lot more).




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Goodbye Kampala, Hello Murchison Falls National Park, Uganda

15 October 2016

A Blog Post By Emily

Today we said goodbye to Kampala as we left to go on safari with our guide Arthur! It was a long drive to the park. We left at 6:30am and got into Murchison Falls National Park at 10:30am after a few pit stops. We ate lunch at a lodge that is situated on the bank of the River Nile and the views were breath taking. There were a few hippos hanging out in the Nile and sunbathing on a small island. After lunch we headed to Paraa Lodge doing a game drive on the way. You never know what to expect while you drive through the African bush. The road is very rough and surrounded by trees, grass, and bushes full of thorns. As we drove we had some vistors in our safari vehicle such as tsetse flies, which, if you did not know, bite and can bite through socks as Nick quickly found out. Arthur had warned us that sometimes elephants knock down trees into the road and that we may have to turn back if we come across this. It is a good thing that we were in a tough vehicle because we were too far too turn back when we found fallen trees. We learned that Arthur is a good off road driver.

After a few miles of driving, looking for animals, and only seeing a few antelope,“Giraffes!” Jennie exclaimed with such a childlike glee when she saw the first giraffes. We ended up seeing so many giraffes, antelopes, warthogs (“pumbaa” means warthog in swahilli), water buffalo, birds, and then finally ELEPHANTS! It was a very successful first game drive. Tomorrow morning we will go back out looking for lions especially.

When we got to the lodge Mike, Jennie, Dr. Foote, and I all enjoyed the pool especially because today was a rather warm and long day. As we were all walking back to our rooms to get ready for dinner, Mike spotted a few new friends, ELEPHANTS! There was a mother and her calf enjoying a snack right beside our lodge! It was such an awesome experience. Myself and the rest of the group are excited for whatever adventures tomorrow will bring. (Hopefully there will be more elephants.)

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Last Day at Makerere University in Kampala, Uganda

14 October 2016

A Blog Post By Jennie

Today was our last day in Kampala with the Makerere University pharmacy students and two of their professors, Winnie and Kalidi. We spent the day at Makerere University listening to the third and fourth year pharmacy students give their case presentations on the patients that we saw with them on Wednesday and Thursday at Kiruddu Hospital. The other Wilkes students and I have had the opportunity to watch third and fourth year students present patient case presentations for the past three Fridays now and it has been interesting to see how the students have developed their presentations since the first Friday that we were here.

We have truly enjoyed our time here in Kampala. We have been able to work with some awesome pharmacists and have enjoyed our time working with the pharmacy students as well. I know that I have learned so much about pharmacy in Uganda from the Ugandan students and pharmacists and I hope that we have been able to share some knowledge and tips with the pharmacy students here as well.

We thought last night would be our last night out for dinner in Kampala as we have lots of packing to do tonight before we leave tomorrow morning. However, we couldn’t resist stopping at our favorite Mexican place, ¿Que pasa?, for dinner one last time before leaving. We certainly enjoyed the food and great conversation. I think we all agree that we will miss the restaurants here in Kampala once we are home in the USA!

Although we are sad to leave Kampala and our new Ugandan friends at Makerere University, we are very excited for the weekend because we are headed to Murchison Falls National Park for a safari adventure! I’m sure we will have lots of pictures to share with you from our safari so stay tuned.

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