by King's elective student James Barnacle
I had been interested in Global Health for several years
before being lucky enough to study the intercalated degree at King’s College. It
expanded and developed my interests, looking at how and why countries developed
and the relationship between development and health. It was on the course that
I first heard about the King’s Sierra Leone Partnership, and met Oliver Johnson, who at the time was teaching and tutoring on it.
Until my elective I had never been to sub-Saharan
Africa and a year of narrowly spaced exams meant that I was reluctantly losing
touch with the global health world. A medical elective with the partnership was
a fantastic opportunity to consolidate what I had learnt, emerge myself in
global health once again and see the theory and principles from the course put
into practice. With this in mind, Anna (a colleague from Cardiff who had also
studied global health) and I found ourselves outside the KSLP office on the
second floor of the administration building at Connaught Hospital, not really
knowing what to expect but very excited to find out.
Myself and partner in crime Anna Davies at Connaught Hospital
What the KSLP office lacked in space it made up for with filter coffee, wifi and an incredibly friendly atmosphere. On our first day many of the faces were already familiar after we had joined several of the team the night before in a desperately empty national stadium to watch Malian singer Salif Keita! Oliver introduced the partnership’s work in Freetown and I was surprised at how discussions and seminars from the course were flooding back to me as I heard about KSLP’s recent achievements and future plans.
The new triage pilot at Connaught in action.
We were given several projects during the six week placement
including collecting timings and demographics of those presenting through the
front gates before and after the introduction of a triage system aimed at
prioritising sick patients. In addition, we evaluated the nursing skills lab by
performing an inventory, talking to nursing staff and students and identifying areas
for improvement. The partnership works closely with the nursing school, and
more effective use of the skills lab will improve nurse training. We presented
recent KSLP research at the annual Health and Biomedical Sciences (HBIOMED)
national conference to leading academics in Sierra Leone. Finally, we helped
analyse epidemiology data from over 350 patients to identify key presenting
complaints, investigations, diagnoses and drugs. This will help direct the free
emergency drugs initiative being introduced at Connaught, but in the future
will be a reference for lab test requirements, disease burden and drug
prescribing.
As well as liaising closely with
the KSLP team, working with local staff and students was an integral part of
our projects. Two nursing students, Benson and Sahid, worked closely with us
collecting the inventory. In A&E, we had a strong rapport with Dr Cole and
the nursing team who played a crucial part in the data collection. On ward
rounds, we developed friendships with the medical students, some of whom had even
visited Wales on their elective. They were enormously welcoming and always
willing to answer questions about their challenges and experiences.
The entry of the triage at Connaught.
The autonomy we were given forced me to draw from the skills
I had gained on the course, notably critical reflection in the context of health
system strengthening, development and policy. Our time there gave us a window
into an organisation working closely with the government to put the principles
I had learned about into action. I could not imagine a more engaging and
enjoyable way to put the ideas I had developed on the global health course into
practice. I will stay closely linked with the partnership and hope to return to
Sierra Leone in the future.