1. Siobhan Hale & Christina Sayers
Zambia
Siobhan Hale & Christina Sayers

2. Facts about Zambia Population: Approx. 12.9 million
Religions: Christianity, Indigenous beliefs, Muslim & Hindu
Languages: English(official), 70 local languages
Education: No compulsory education
Life expectancy: years
Capital: Lusaka
Total number of people living with HIV is 1,000,000 in 2003

3. Ranchod hospice, Kabwe, Zambia

4. Ranchod Hospice, Kabwe HIV/AID’s Hospice Approximately 25 bed
Mostly funded by outside donations, etc.
Provided other services such as:
1. Outpatients
2. VCT clinic
3. Outreach programme
4. Family Planning clinic

5. Planning Process Choosing the service learning site Arranging dates
Accommodation
Uniform
Injections
Fundraising
Visa

6. Fundraising Coyotes Nurses & Doctors fancy dress party
Church gate collections
Coffee morning
Bag packing
Raffles
Quiz Night
Card selling
Sponsorship cards

7. Gaining gardai permits Cancellation of flights
Difficulties related to planning
Recommendations for future students
Gaining gardai permits
Cancellation of flights
Leaving fundraising too late, and it interfering with exams
Start Fundraising as early as possible
Research about service learning site

8. First Impressions! Different to my expectations due to:
1. Friendliness of the staff
2. More services provided than I expected
3. Other services provided by kara counselling
4. Lack of equipment, Different nursing tasks.

9. Differences between the Irish & Zambian Health care system!
Lack of funding, equipment
Nurses prescribe drugs in the hospice
Patients are woken, washed and dressed before the morning staff comes in
Health care assistants take care of the patients personal hygiene, this is not a nurses role
Staff in the hospice are very laid back
Government doesn't finance health care- all funding is from non governmental organisations

10. Our role...
Different on a daily basis, dependent on where we were, what we were doing on the specific day, and who we were with.
Hospice
Family Planning
Outreach

11. Language & Cultural differences
Language barriers when dealing with patients
Cultural Differences:
Dress
Music & dancing
Religion

12. Most interesting/shocking/exciting aspects of the experience
Simply Driving around Zambia
Children in tattered clothes, no shoes!
Vans with maybe people sitting on the back!
How Zambians, even though they have nothing, are so positive!
How many can receive medication, but can’t take it due to having no food

13. Main areas of learning http://www.who.int/topics/hiv_aids/en/
How to care for HIV/AIDS patients in relation to:
Medication – ARV’s
Methods of diagnoses
Nursing Management -
Pain, control of symptoms,
Psychological care

14. Outreach, Medical clinic

17. VCT Clinic, set up in a handmade church on Outreach

18. Sister Kiola, of the hospice
Gabriel, Manager of the Hospice

23. Micro-lighting at Victoria Falls, Livingstone!!
Bungee Jumping!! Ahhh!!

24. Suggestions & Recommendations for future students!!!
Bring some type of music, a small speaker if possible
NB.!!! Insure to get a Visa, no other cards will work eg. Laser or mastercard!!!! You can get this in BOI Nuig, if you inform them you are a student nurse and that you are undertaking this module
Bring books for own entertainment
Bring nursery rhymes( English is fine!) so you can teach the kids them, and small toys if possible! They will love them!
Bring mosquito net
Pictures of loved ones
One candle, matches and a torch
Insure your phone is unlocked before going!
Visa to enter Zambia can be got in Zambia airport, free for Irish citizens
If you are a bad traveller, make sure to bring travel sickness tablets, the roads out there are very bumpy!!
Try and learn some phrases in Bemba before going, they are really impressed by that!

25. You tube clips of our experience!!!
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26. Suggested Reading list
at_project.cfm?project=3250

27. References
U.S. department of state website, 2010, Bureau of African affairs, viewed September 10, 2010,
World Health organisation website, 2010,HIV/AIDS viewed July 2010,