No, don’t worry; I haven’t gotten malaria (so far)! I take my prophylaxis at the same time every day and I sleep under my mosquito net (most of the time).
Still, malaria is one of the most significant health problems facing my area of Cameroon. As a result, Peace Corps Cameroon is starting to put more of an emphasis on malaria programs, especially in the North and Adamaoua regions. All the current Volunteers in the North had a training workshop on the subject back in November, and came away with a baseline survey we were all supposed to conduct at our own posts in anticipation of any malaria-related projects we might carry out.
So a few weeks ago my friend Will, who also happens to be our regional malaria coordinator and who helped write the survey, came to my post to help me actually carry it out. I enlisted the help of my domestique, Barthelemy, who acted as our translator, and after explaining the survey to him and why we were asking the questions we were asking, the three of us set out into the community to find out about malaria prevalence and prevention practices in the area.
Barthelemy ended up being awesome as a translator, and basically did a large part of the work for us, including introducing us, explaining to each interviewee what the survey was about, and asking if they would be willing to answer the questions (only one household of the 71 that we visited refused). Will did most of the record keeping, and I helped ask clarifying questions and tried to test my Fulfulde by following along. Our interviews ended up being conducted in four different languages – Fulfulde, Dowayo, French, and even two that were partly in English – and I was a little surprised by how much of the Fulfulde I could actually follow by the end. Dowayo, on the other hand, leaves me completely lost. Fortunately for us, Barthelemy is fluent in Fulfulde, Dowayo, and French, and Will and I are both pretty solid in English and French, so language wasn’t a problem.
Will took the papers with the data we had recorded back to his post to enter electronically and analyze, but we did find that there had been quite a lot of fevers – the marker commonly used as a proxy for determining malaria incidence – within the last two weeks before the interviews, especially among small children, and there hadn’t been any rain for almost two months before. Most households at least had bed nets, though, even if they didn’t all use them consistently, so at least the distributions seem to have gone well in my community. Curiously enough, many people referred to a fee of 600 FCFA (just over a dollar and under a euro) for prenatal consultations, which are supposed to be free, and only some women who went received an antimalarial during their pregnancies.
All in all, completing this survey was pretty satisfying, and I found out a lot about healthcare in my community in the process. It made me wish I had been more methodical about doing my community needs assessment when I first got to post a year ago, since I have a feeling I would not have felt quite so directionless for so long.
Of course now I have ongoing projects, as well as ideas for others and counterparts that are at least moderately engaged, so I wouldn’t say I’m floundering anymore. Still, I sometimes wonder how useful it is for me to be teaching English and literacy classes at the government youth center, especially considering that there really should be a government teacher with training in that area doing that, and when are these particular students ever really going to use English, anyway?
Going forward I am hoping to move more toward doing things that are not so obviously someone else’s job and perhaps also more useful for me to do. Maybe I’ll even incorporate some malaria programing.