Noticeably Absent

Written by Erin Pichiotino, M.P.H., '17


Orthopedic Trauma rounds are every Monday morning. We visit each and every patient, take down dressings to look at wounds, review x-rays, and as a team come up with a plan for the week. Other than that, the orthopedic officers and nurses are responsible for following the plan, performing wound care, administering antibiotics and otherwise managing the patient, consulting the surgeons if and when necessary for proper patient care. The day-to-day needs of the patient including procuring implants and medications, bathing, feeding, and physical therapy if needed are taken care of by the caretaker, friends and family members who come to the hospital to help. Most of these caretakers sleep outside the hospital on the concrete, washing and cooking in the open space between wards.

Outrage As Impact

Written by Sarah King, '17


I’ve been home now for just over a week. I was so excited to come home to see my friends and family and perhaps most of all my two dogs, that the realization that I am home didn’t sink until I had been home for a couple of days. I feel sad that I was not able to help more, that I am able to fly across the world back home to my comfy bed, my healthy family and friends, my car. I feel guilty realizing just how very privileged and lucky I am. We give my one of my 14 year old dogs a medication for her painful arthritis that many patients in Zimbabwe could not even afford. I’ve been struggling with feeling despair about the lives and suffering of so many people, of such profound poverty.

Jebaleko

Written by Mitra Sadigh, UVM post-baccalaureate student in pre-medical studies


“Jebaleko, Nyabo.” “Kale, Jebaleko Ssebo,” I respond to the jolly man standing to my left behind the emblematic blue-against-lemon-yellow MTN stand where we are both waiting to buy airtime, something I seem chronically depleted of these days, an affliction with my lazy 1000-shillings airtime purchases the likely culprit. A surprised smile conquers his face, eyes shining with perfectly aligned teeth.

Kaleidoscope

Written by Imelda Muller, '17


Tiny shadow forms topple over each other, Crowding around the man and the truck. Rising in swells, Moving toward the wall where he is pinned. Falling smoothly in concert. As the truck teeters on the ledge. The weight of their jostling vibrations, Abrasively declare his fate, and Travel up my arms as the front lens spins in my fingers.

Olumwa: The Dangers of Complacency in Global Health

Written by Janel Martir, '16, recipient of an honorable mention for the Consortium of Universities for Global Health Essay Contest


“Olumwa?” I asked in my best impersonation of a Lugandan accent. My patient pointed to her belly. She looked as if she had swallowed the moon. She was writhing uncomfortably on her bed in the maternity triage laying on the single sheet of black plastic. I scanned the room one more time to look for any physicians. The interns, called junior officers, were on strike. They had not been paid in 5 months so the strike was a drastic measure to confront the unfairness of their plight. The residents, called senior officers, were taking exams and were studying in the small hallways in Makerere University quizzing each other on clinical technique and treatments.

Bringing a Unique Perspective to Healthcare

Written by Jamidah Nakato, former coordinator of the Makerere University/Yale University Collaboration, founded by the Director of the UVM Larner College of Medicine Global Health Program


I worked for the Makerere University/Yale University Collaboration as an administrator for almost six years until retiring last September to pursue my PhD. Working for the collaboration gave me the opportunity to meet new people, exchange ideas with brilliant students, staff, and visitors, and provide them with guidance or a listening ear when they needed it. At first, it was difficult to make new friends in such a short time only to say goodbye six weeks later. But with time, I felt increasingly inspired by the experience. Many of these program participants were in Uganda for the first time. Some, not ever having heard of Uganda, had found it on a map just before arriving.

Cui Bono? Who Will Benefit?

Written by Katherine Wang, '17


It was the combination of Grey’s Anatomy and Mountains Beyond Mountains that convinced me my senior year of high school to consider medicine as a career—the excitement of the operating room and the journey Paul Farmer took through Haiti and beyond. It obviously was an idealized notion of both surgery and global health, but it shaped my undergraduate experience. I chose to major in anthropology, and enrolled in an introductory writing course in the subject after reading about it in Tracy Kidder’s book. I also picked up a global health studies minor because it sounded exciting and tied into my plan to complete the pre-medical coursework.

Mulago Hospital’s Department of Medicine

Written by Ponsiano Ocama, MBChB, MMED, PhD, Associate Professor and Chair, Department of Medicine, Makerere University College of Health Sciences


The bustling streets of Kampala, Uganda are the backdrop for the vibrant energy of the city’s 1.6 million inhabitants. Nestled atop a hill overlooking the cacophony of daily city activity sits Mulago National Referral Hospital, the teaching hospital for medical students and residents of Makerere University College of Health Sciences. Almost ten years ago, Mulago Hospital’s Department of Medicine developed the subspecialty units of Infectious Diseases, Gastroenterology, Neurology, Endocrinology, Pulmonology, Cardiology, Dermatology, Hematology/Oncology, Rheumatology, Palliative Care, Emergency Medicine, Nephrology and Geriatric Medicine. These units provide specialized care for patients with various diseases, and allow for cross-consultations wherever the need arises.

Global Health from the Perspective of Makerere University College of Health Sciences

Written by Dr. Isaac Okullo, MD, Deputy Principal of Makerere University, College of Health Sciences


Exposure to ways of living, working, and providing healthcare in a setting different from that in one’s own society can aid health professionals in ensuring quality of life for their global patients. As a global player in health professional training, Makerere University College of Health Sciences (MakCHS) has embraced the global health concept as a way of improving health and achieving health equity for all people worldwide.