It seems bizarre looking in from the comfort of home that the senior doctor is having to work as the mechanic too.
The whole thing over there is fucked up TBH.......people do what they have to do, according to their motivation levels and ability
There is one hell of a lot of well meaning but utterly useless donating going on....the scoots are not roped in with that BTW, but there is a
riders for health scrapyard a couple of miles down the dirt track that has maybe a dozen or more landies, landcruisers and assorted 4x4s in it......all dead, for lack of servicing and knowledge of maintenance.
On the first scoots trip, we found a couple of £50k hi-tech incubators dumped out the back.....they had worked for two months, then the oxygen bottles had to be topped off.......the kit they have to supply oxygen doesn't mate up with the connections on the incubators.
To clean the filters on these incubators, you need specialised kit and chemicals......but obviously that doesn't exist over there either
Through Anita's efforts, the old ways of looking after newborns (dumping them in a bucket of water than wrapping them in a blanket were replaced by the Gambian version of a hi-tech incubator....they look like old pub games cabinets (space invaders etc) with three 100w bulbs in the ceiling of the cabinet and a blanket on the floor of where the screen would be....a fiver UK money to build.
Baby gets cold, they turn on a bulb...baby is very cold, turn on two, baby is hypothermic, turn them all on.......simples
100w bulbs, 30p from the local market...cabinet made out of local wood, waste boards etc......
The Round Table group who provided the incubators wouldn't accept that the need was for anti-malarials, brufen and aspirin........those would have saved 1000 lives whilst the incubators they sent probably saved three.
Everyone is guilty of it....if you look back to the very first scoots trip, we took in anything.....walking sticks, zimmer frames and so on included.
When we got there though, we were shown into a room where there were a hundred, two hundred, lots of zimmers, walking sticks etc
Simple drugs, anti-malarials, brufen aspirin, paracetamol....sterilisation kit that is EASY to use in the field (which is how you have to think of it) bandages dressings, antiseptic cremes, antibiotics etc...that's what they are literally dying for.
We KNOW that the scoots work.....we have seen the photos and read the reports of them getting about when cars and 4x4s can't.
The rest though, including (sadly) the portable defibrillator that we took on the first trip......wasted (my bad

)
Ooooh....last example.....a bunch of 'Merkins spent a huge amount of money to send a truck sized genny to the hospital...........and over the years, they've received lots of kit from 'Merica.
Guess what......110v
Guerss what.....even when adapted to 230V (old English colonial hospital) they don't have the diesel to run for more than an hour or three a day (hence Paula's comments about lights out at x o clock)
A large part of the whole exercise though is continued interest, motivation and awareness of the situation...inspiration is passed on, further monies are raised, and the people who go back hopefully go back with more targeted, useful kit.