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Inpatient to Outpatient Pediatrics

Today marked the beginning of my new rotation at the Cape Coast Teaching Hospital. Last week, I worked alongside nurses and medical students in the pediatric ward by documenting vitals and patient history. In addition, I sat alongside the students and residents to discuss different child mortality cases. This week, I will be shadowing Dr. Arthur in the outpatient pediatric clinic. She has been working at the hospital for a little over two years. We had a great conversation as I attempted to learn more about the distinctions between U.S. and Ghana health tracks for students. I would say today was a big success in the hospital and I certainly can say that I like the environment of outpatient better than inpatient. After work, we had a nurse named Dominic from the hospital come to the house to give us a lecture about non communicable diseases and Ghana health care. Malaria is a big problem for many people in rural areas particularly due to lifestyle. For example, this may include the lack of mosquito nets. Furthermore, chronic cardiovascular diseases such as hypertension and diabetes are now the leading cause of chronic death in Ghana (it used to be the seventh). Dominic told us that culture was a big hurdle. There are some tribes in Ghana that refuse to take oral medications and will only take injections. Plus, based on what I’ve eaten here so far in Ghana, diet also plays a big role in this criteria. Dominic also elaborated on the health care system in Ghana. The country strives to provide health care to everyone regardless of their socioeconomic status. Ghana does a better job than the U.S. in terms of health equity. It’s great to see how far Ghana has come with their health care system considering they’re a relatively new country. Even though quality of health care can be improved, they’re going on the right track to get there! After the meeting with Dominic, me and another cohort member went to the supermarket to get a few things. We walked to the market and enjoyed greeting the locals as we walked past them. I will sign off a little early tonight as I have to be up at 6 AM tomorrow. Instead of going back to the outpatient clinic, I will be heading with the outbreak program director of the hospital to a rural area of the country to do some public health and medial outreach to these communities. It will be nice to get away from the hospital environment. Unfortunately, I was extremely busy today at the clinic so I was not able to capture any pictures but I promise to get some tomorrow at the outreach program!


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  1. It is good to know from your posts that Ghana is heading in the right direction in their health care system and working towards trying to provide health facilities to every one equally keeping aside the financial disparity. A step in right direction goes a long way.

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