Monday 29 October 2012

The Most Beautiful Place in The World?




We’re just back from some incredible trekking in the Tigray region.  We hiked with our new British friends whom we met at the kids’ school.  



 Tigray is in northern Ethiopia (close, but not too close to the Eritrea border).  It was the region most severely affected by the 1984-85 famine.




A bit of history about Eritrea/Ethiopia.   At various times in history Eritrea has been either on or off the map of Africa.  Eritreans share the same language (Tigryna) and culture as the Ethiopians of Tigray.



Eritrea had long been an independent nation.  It was then colonized by the Italians in the late 1800’s.  Then in 1948, for various political reasons, the UN’s General Assembly decided that Eritrea would become Ethiopia’s 14th province.  Eritrea was then off the map of Africa.  

This forced arrangement didn’t work out terribly well.   In 1993, after many years of strife Eritrea became an independent nation (again). Eritrea is now back on the map of Africa.

From what we understand border tensions have eased over the last few years, but VSO still suggests that we don’t wander within 30km of the Eritrean border.

At any rate, we are lucky that we had the chance to trek in Tigray.   We flew into Axum and then drove 2 ½ hours on mildly hair-raising roads to start our hike.  We were rewarded with a four day trek , that took us into some of the worlds most spectacular scenery .  Of course, we came equipped with hiking boots and quick dry shirts, while local kids scampered around vertigo inducing cliffs, in broken plastic shoes.

The best part was that we didn’t have to carry our packs (this job was left to some very hardy donkeys).  As well, our meals were cooked by local women from nearby villages (which meant no cooking or clean up by us).   Our lodging was in “local accommodation”, which was a structure fashioned on local homes; no electricity or running water, but comfortable and clean (with perhaps the exception of the toilet facilities and a few fleas).  
 
We had a terrific guide who had grown up in a nearby village and knew the mountains like the back of her hand.  Every time we thought  “ are you crazy, there is no way we can climb up that ridiculously steep ridge”, she would know a way up.  

Who knew that Ethiopia was home to one of the most beautiful places in the world?

Sunday 14 October 2012

Too Much Altitude




Some of the X-country team
Today we ran our first road race in Addis Ababa.  We hitched a ride with Aysha and Sunil’s X-country team.  The race was sold out, but their coaches were kind enough to provide us with unused bibs.

Here’s a little play by play of my race.

The elite men
The race got going and it all seemed kind of cool.  We got to see the elite men start and Haile Gerbrselassie was there providing some inspiration.   Then the not so cool part; we had to run. 

The first 2km were not too bad, nice and flat.  Then things started to get a bit bad--hills and altitude to deal with. Running on the flats seems to be similar to running at home, running up hills seems to be is when the altitude starts to rear its ugly head.  Added to this was parched lips and a mouth that was as dry as a biscuit.  Luckily, the race was sponsored by Coca-Cola and glasses of coke were provided at about km 4 (no water, just coke!).   Finally things got very bad: the last km was all uphill and the battle in the head to not walk began, but a Coca-Cola as you crossed the finish line made you forget all your troubles.

The kids were terrific.  Aysha had done the same race (it’s part of a series) last month and took 4 minutes off her time this time around.   Sunil ran the race for the first time, the longest distance he has run!

For Mike and myself, more training is in order.  However, in spite of the near nausea, it was a great day.  Tons of runners, music, Amharic medals, and of course, Coca-Cola.  If only Addis could do something about the altitude, I would be set.

Tuesday 9 October 2012

Capacity Building


Before I started working with VSO I hadn’t thought much about the idea of “capacity building”.   I’m still not sure I completely understand what capacity building is, though I did read a shockingly long Wiki entry about this very subject. 
At any rate, a lot of our job here falls into the category or idea of capacity building.

Working in Dawit's office
The Family Medicine Program in Ethiopia is still in its infancy (actually it’s still in the gestational period).  We are here to help build the program and get people on board with improving primary care.   Fortunately, from what we have read, good primary care does save lives, so we are starting on good footing.

Abbas and Brian
Our current team is Brian, Abbas, Dawit (our Ethiopian colleague) and the two of us. Initially, things seemed to be moving at a snails pace, but things have picked up and we have more and more to do.   There is often a little ping pong match going on in my head in that one minute the task seems unmanageable and I think what are we doing here then the next minute I think we are well on our way to doing something very good here.

The cafeteria at Y12 hospital
It is however nice to have a few concrete projects on the go.  We are all helping to prepare a day of CME for GP’s and possible recruits to the program.   We are also involved in a project to teach GP’s C-sections.  As you all know, women have very limited access to safe obstetrical care in Ethiopia, so we hope this will be a good capacity building project as well.   Luckily, a lot of this capacity building and planning can be done outside while sipping machiatos and eating cake.:)

On the home front, things are good. The kids continue to enjoy school and are making friends.  They are both running on the cross country team and have a 7.5 km road race this coming weekend.  I am no longer afraid to go into our kitchen, so we are cooking a bit more and eating out a bit less (this is good).  The weather has turned spectacular.  It’s sunny and warm everyday, which is a very welcome change from rainy and gloomy everyday.

Monday 1 October 2012

Two Rivers Meet


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As many people know, the Nile River is generally thought to be the longest river in the world; about 6650 km long.


Lake Tana, source of the Blue Nile

It has two major tributaries the White Nile and Blue Nile.  These two rivers flow north, join up in Sudan and form the Nile River.  The Nile then carries on to Egypt and eventually empties into the Mediterranean Sea.



17th Century Bridge, on the way to the Falls


People may not know the Blue Nile is the source of most of the water in the Nile and its source is Lake Tana, in Ethiopia.   90% of the water and 96% of the sediment carried by the Nile originates in Ethiopia.

Blue Nile Falls
For various historical reasons Egypt has had control over the Nile water resources.  You can imagine the challenges surrounding sharing water in drought prone East Africa.  There is obviously some crankiness among the countries (Uganda, Tanzania, South Sudan, Burundi, Rwanda, DRC, Ethiopia and Kenya) through which the Nile flows as they have little control/access to the waters.  There has recently been progress on a Nile Basin Initiative to promote a peaceful solution regarding water sharing among theses countries. For more info. on this here is what the informative  Wikipedia has to say:  http://en.wikipedia.org/wiki/Nile_Basin_Initiative


All of us and Brian
During the Meskel holidays we  and our honourary family member, Brian took a little jaunt to the city of Bahir Dar to see the source of the Nile and the Blue Nile Falls.  A very lovely weekend.