Tuesday, December 4, 2012

Cocoa!

Me encanta el chocolate.  Mucho.  I watched a documentary on cocoa production a few years ago and ever since have wanted to visit a cocoa plantation.  Well, dreams come true.  One November night I fell asleep in a village in Africa, and about an hour after waking up the next morning I ran into a cocoa grove.  
 It was dark when we arrived at the Guesthouse Sunday morning so while we were waiting for everyone to get ready on Monday morning Kassinita and I were exploring and saw the cocoa pods on this tree and then realized they were all cocoa trees.  In the front and center you can see the baby pineapple and in the back is a cocoa tree.  The pods grow really close to the trunk.
 Stephen saw us admiring his grove so he took his cutlass and chopped a pod open for us.  The white inner fruit is really sweet.  It doesn't taste anything like chocolate but it is delicious. Stephen was adamant about only sucking on the fruit because apparently the inner part of the bean is really bitter.  
 After the pod is ripe the inner beans are spread on bamboo to dry out and ferment.  You can see the seeds laying out all over Ghana.  On the ground, on raised platforms like this, everywhere.  And it smells quite disgusting.  The beans lay out for about a week drying in the sun.  If it rains you cover them in leaves from the plantain trees.

 When the pods are yellow they are ready to be harvested.


 Love the cocoa bean fruit.  
 "This turns into this"  Beyond amazing. 
 Should have listened.  If you bite into the cocoa bean it is EXTREMELY bitter.  
  Remember:  Only suck on the white fruit.  

Gold Mining

In Ghana gold accounts for 90% of the country's total mineral exports and is Africa's 2nd largest gold producer (I'm guessing after Tanzania).  The economy is Ghana largely depends on the exports of cocoa and gold.  There are over 20 registered large scale mines in operation, 300 registered small scale mines in operation, and a whole lot of illegal mines.

On one hand it is understandable that there are so many illegal gold mines.  The people that actually live in the areas don't see any benefit from the big companies coming in.  On the other hand--the illegal gold miners are making a mess of the beautiful land that could be use for cultivating plantains, cocoa, etc.  Reclamation is not part of their vocabulary.

The road from Abomosu to the main road passes by a fairly large illegal mine on both sides.  You can conveniently pay off the cops to get them off your back, go home, and then come back the next day to try again.


Sunday, December 2, 2012

Wednesday afternoon

Wednesday after we finished with the Midwife Training we stopped by a World Joy school in Abomosu.  School was already out for the day but so we just walked around a bit.  There were 3 buildings.  The kindergarten, the primary school, and the secondary school which was a new World Joy building. All the building are open because it is so. hot. in Ghana.  
 The road to the school
World Joy school!
Every school has a soccer field
 Kindergarten
 Kindergarten--at least these kids know what a blackboard is...
 Kindergarten
Inside the Kindergarten
 This building was a little separated from the others.  I think someone said it was where the teacher lived but when we came back the following day it looked like it was a preschool.  
Inside an Elementary School classroom
 A little friend I found while exploring.  He doesn't look big, but he was.  
 I went back to the schools to tell them about the scorpion and found Danette sweeping the kindergarten.  

World Joy


World Joy http://www.worldjoyghana.org is an amazing organization that has done a lot in the Atiwa District.  In addition to providing health and educational training, they have also constructed many clinics and schools.  It was amazing to drive through the villages and see the World Joy symbol painted on a building.  

A Step Back--The Who

Ike-World Joy Board
Tim-world Joy Board
Dr. John Thueson-surgeon (Abuelo)-Hope Clinic
Kellie-Dr. Thueson's daughter
Dr. Dennis Hughes-OB/GYN-Hope Clinic
Danette, RN-Hope Clinic
Kassie, RN-Hope Clinic
Sarah, UN-Hope Clinic

 From the bottom:  Tim, Danette, Kassie, Ike, Kellie, Abuelo, Dr. Hughes

Tim was nicknamed Mike shortly after our journey began so that we could refer to both Ike and Tim as Mike 'n Ike.  They were amazing.  They organized everything and took good care of us, while we in turn made life fun and difficult for them.  
 Mike 'n Ike
Abuelo falling through the bridge
 Papa-Papa-Paparazzi.  Kellie
 Kassie happy in her ocean
 Tim
 Jane of the Jungle...or maybe it's Danette
 Dr. Photogenic.  aka Dr. Hughes
 Ike
Sarah doing yoga on a bridge over a river in a chocolate forest in the middle of Africa.  
The Good Good Life.  

Midwife Training

Safe babies.  This is one of the main reasons we all went to Africa.  For two days we provided training to decrease mortality rates among mothers and newborns.  The goal is that the 17 midwives and the PAs that were in attendance will share what they learned with the rest of the midwives in the district.  Knowledge is power and in this case knowledge can save lives.

A quick side note.  In the Atiwa District the midwives are the ones who deliver babies.  It isn't like in the states where most babies are born in a hospital by a doctor, and a small percentage are delivered by midwives.  Even in the hospital in Enyiresi the Midwives are the ones who deliver the babies.

A second quick side note.  There are two separate groups of midwives.  The group that came to our training are Governmental Midwives.  They have been to school and are now working at different posts in the district.  There are also Traditional Midwives.  Traditional midwives have not been to school to receive training and are somewhat considered "The Black Sheep".  Tai, the District Medical Director, explained that while they respect the Traditional Midwives they don't want to educate them or give them supplies because this would encourage them to continue practicing without appropriate training.  His hope is that as the midwives themselves die off, the practice will as well.

The training was held in Abomosu.  Aside from the Hospital in Enyiresi all the midwives in the clinic posts work alone.  They are the only ones delivering the babies.  The goal of course would be to have at least one other person there to assist with the delivery, especially if something went wrong with the mother or the baby, but it is amazing to think that these women do absolutely everything by themselves.

Ghanians love to sing.  At the beginning of the training Charlotte led everyone in a song and we loved it!



 Kassie training

 Sarah training with Mike & Ike and Danette trying to figure out the projector that they rigged up.

Abuelo training
Dr. Hughes training
Danette training
NeoNatalie's African cousin.  We had 5 tables set up like this one and broke everyone into 5 small groups to practice Preparing for delivering all the way through Newborn Rescue Breathing 
Abuelo and his small group reviewing Preparation
Kassie and her small group.  Ahhh--Victor--the favorite student, the new guy, Dina..., Tai, and Esther.  Only Esther and Dina are midwives here.  
 3 groups practicing the first step-Preparation
Considering the smiles on everyone's faces I'm pretty sure this is Abuelo's group
Esther practicing The Golden Minute.  I think it worked because NeoNatasha looks like she's crying

 A safely delivered NeoNatalie
 Our favorite group

 World Joy staff eating lunch
 Danette: Another chicken knuckle...
Kassie:  yummmm, I love chicken and rice so much
 Dr. Hughes and his group.  I think we were there to discourage holding babies upside-down Dr....
 So attentive.  The second to the left is Irene.  I told her my mother's name is Irene and she said, 'Then I am your mother'.

Sarah and her group, Danette and her group, Dr. Hughes and his group.  Practicing The Golden Minute
After everyone received their certificate for successful completion of the Training,Charlotte led everyone in a song and dance again.  Sarah forgot that she was white and therefore can't dance but somehow found herself in the group.
Atiwa District Midwives plus World Joy staff.