Saramauri

Departure was going to be Wednesday, then Tuesday 5 am then 7 am, then at midday Monday Jeffrey said '4pm today'. Well we did manage to get Marie Michelle, nurse from Port Olry, Worikar from Vanuatu family health, Christjohn from 'Men and boys' and us on board by 5pm. Night fell an hour later and we watched the Southern Cross and alpha (Rigil Centaurus)and beta Centaurus (Hadar) from the back of the Toyota truk. The road was a reasonable dirt road with two rivers to be forded. We arrived about 7.30pm but about 200 yards from the clinic we grounded in deep mud and walked up leaving the lads to dig it out.

Saramauri Clinic

  The clinic is three quarters of the way to Big Bay (the bay in the north of the island) and serves a huge area of north Santo in the foothills. It is well run by Manuel and his wife Suzanne  together with a nurse aid Jenita.

Breakfast 

 Next day we set to work with education for the secondary school pupils about Sexually transmitted disease and HIV. Lots of curiosity as there always is whenever sex is talked about. The boys had their talk by Christjohn and the girls by Warikar.

  Meanwhile Marie Michelle was giving the results of blood tests that were taken 3 months ago!
As people had been told we were coming, they flocked in to the clinic. Many of them wanted advice/treatment, but most came to hear what we had to say and were willing to be tested for HIV/Hep B /Syphilis. We set up 3 rooms for counselling and testing and in the end tested over 140 people. We found a high rate of Hep B for this region.
The Mum pictured below had delivered her baby at 3.00am, (which explains his pale complexion) then at dawn walked for 4 hours to bring the child for Hep B vaccination before walking home again. We tried to persuade her to stay in the clinic for the night, but she said she had her "Man" with her so she would be fine to go home....Naomi (in the red shirt), the Village Health Worker promised to look after her!
We hope to return to this clinic area to do a campaign on Women's Health and Family Planning. (See below). Cervical cancer is a big problem here, so it would be good to be able to do some Pap smears. As ever, funding is the problem. STIs and HIV always get the lions share of donated funding and a lot of that has been done.

The bush people are generally short and stocky. That morning a tall, confidant young man strolled into the clinic with his three hunting dogs. Manuel had only first seen him a month ago and did not know where he came from. Big John caused quite a few comments and amusement as we took his photo and made comparisons. It could be it was an American serviceman's genes from two generations ago or from the tall people of the west coast.

  

Next day was more health education and blood taking. Jeffrey had to leave that day and was taking a very sick child with him. We had either to pay £100 for a truck next day or to cut short our time. So we cut short our time and left. It was a pity as we had had no chance to really talk with Manuel and Suzanne. I wandered down to talk to some school girls, two were sisters and the rest from different families. one of the families have 9 children and the other three had 10 children! So 8 parents produced 39 children in one generation ie more than 4 times the original couples. As we say 'Sex without Contraception makes babies' and there is a lot of work for Manuel and Suzanne here.

 

We had been made welcome here, and in spite of having to share our room with a large family of rats and eating a very high carbohydrate diet for 3 days, we enjoyed the experience and look forward to returning (we hope.) We especially enjoyed the 'bush tea':  a mug of hot slightly sweet water with a couple of orange leaves in it -- delicious!
We said our goodbyes, piled in the truck and about 200 yards later got stuck in the mud.. We had many willing helpers and were soon on our way having used coconut fronds as a base for the tyres to grip on.
We forded the Oro River and were back within 2 hours.

 

A strong, active man in his mid-life years. This is how all men everywhere ought to look. (Well, probably with more clothes on in most places!)