WorkingasavolunteerpharmacistforCalcuttaRescue– finalreport 1.Searchforvaccanciesinternationalhealth 2.Preparation 1 3.Visa For being as flexible as possible, I applied for a 1 year visa at the Indian Visa Application Centre for Baden-Wuerttemberg and Bavaria in Munich (Schellingstr. 35, Tel. No.: +49 (0) 89-28673805 Email ID: [email protected]; http://ivs-germany.com/Default.aspx). 2 4.Preparation For getting medical travel and vaccination advice, as well as for being vaccinated, the Tropeninstitut in Munich is a good address. The Homepage of the Federal Foreign Office offers news about travelling and safety worldwide (compare http://www.auswaertigesamt.de/DE/Laenderinformationen/SicherheitshinweiseA-ZLaenderauswahlseite_node.html). Furthermore travellers can registrate at elefand (compare https://service.diplo.de/elefandextern/home/registration!form.action) as well as inform themselves on country specific precautions. I used the Comdirect Visa Card for paying at supermarkets and for withdrawing money at cashpoints. It has always been working. Before travelling to India, you should be informed on country specific customs regulations (Indian and German). If you fly with Emirates, you will probably stay in Dubai for a short 3 period. Because of this you should be very cautiously with drugs and medicines of every kind. Especially, if you want to carry them with you during the flight. For avoidance of problems, prescriptions by German doctors and the ADAC Medical Certificate would be a good preparation. Besides all the drugs should be evaluated on being listed as Restricted in the UAE. It is very useful to take along a laptop to Kolkata, because the quality of the CR-computers is not the best and independent working is easier then. 5.Healthinsurance Two kinds of insurances should be taken out: one for Germany, as most of the overseas health insurances do not cover treatment in Germany in cases of return to Germany because of health related issues and a second one for being insured overseas (a good option for students is insurance via the DAAD). 6.ExpectationsbeforemystayatKolkata I did not have any concrete expectations, but I was afraid of not being able to handle the tasks or of not having the skills for being able to manage them. Most of the foreign volunteers need the first weeks for acclimation (also in the literal sense). This means that you just have to sit, watch and wait. Probably a challenge for those who think that they 4 always have to do something, whereas this is not unusual in the view of most Indians. After this period of waiting, watching and via this way also learning, one will be able to start specific projects. 7.IcouldusemanyskillsgainedthrougheducationinGermanyformyworkatCR 8.Tasks I have been working for Calcutta Rescue from March 2015 to September 2015. DuringmystayIhadtohandlemanytasksandwasreponsibleforvarious projects: 1. After searching for possible information sources/databases for evidencebased medicine which could be useful for optimization of quality of healthcare at Calcutta Rescue, I applied for access to UpToDate and educated the doctors and clinical staff on the features and usage of UpToDate and on the basics of evidence-based medicine. Furthermore, I installed offline useable versions of UpToDate on the computers at CR (compare http://www.uptodate.com/de/home). 5 GHDonline.org, a product of the Global Health Delivery Project at Harvard University, has provided a platform of professional virtual communities (PVCs) for thousands of health care implementers around the world to connect, share, and discuss delivery challenges, focusing primarily on lowresource settings. GHDonline has partnered with UpToDate (UTD)—an evidence-based, physician-authored clinical decision support tool used by 700,000 clinicians in 158 countries and almost 90% of academic medical centers in the United States—to provide free UTD access to professionals working in resource-limited settings. http://www.ghdonline.org/home/ 6 2. I had to organise an educational course on pharmacology related topics for the clinic staff (recommendations for drug intake, management of side effects and drug interaction checking). During the first lessons I tried to find out which kind of knowledge would be important for the participants in their daily work. Afterwards I started to set up cards for drug intake. Repetition final exam Pharmacy Lessons 2015 Certificate Pharmacy Lessons 7 3. I set up cards for recommendations on drug intake (timing and relation to food, dietary/general recommendations) for about 350 regularly used drugs at CR and used the last lessons for training on card management. Understanding the meaning of these cards was the most important requirement for being able to pass the final exam. . -GJyceryitrinitrate Nitroglycer•nsublingual tablets Cards for Drug lntake 8 4. During the first weeks, the clinical management at CR asked me to prepare a guideline for monitoring of CML and to evaluate the treatment and monitoring regimens applied to the CML patients treated at Calcutta Rescue. Documentation CML patients 5. Another important part of my work was the supervision of operations and staff at the Main Pharmacy as well as the handling, recording and acquiring of medical donations (for example Vitamin A and Albendazole by Vitamin Angels). Robin Makhal at the Main Pharmacy 9 Child receiving Vitamin A donated by 6. The volunteer pharmacists at CR are participating in the Medical Audit Committee (MAC) Meeting and in the Doctors Meeting, responding to doctors’ queries on medications and therapy and they are responsible for updating guidelines and procedures for the management of diseases. 7. Besides my medical tasks, I also had to participate in the sale of handicrafts. Handicrafts project CR 10 9.Workload 10.WhatdidIlearnatCR? During the six months in Kolkata, I improved my language skills and intensified my knowledge on diseases like leprosy, CML, tuberculosis and HIV. 11.Problems Educating the clinic staff was a challenge, because of their limited English skills. Another challenge, I could unfortunately not manage, was my attempt to get donations for laptops, because these are needed for optimal use of UpToDate. I wrote a lot of e-mails to different kind of companies, but did mostly not even get an answer. 12.Colleagues Indian colleagues at the Main Pharmacy 11 Pharmacy lessons 2014 Doctor at Talapark Clinic 12 12.ContactstootherIndianpeople Flat at Clarke Street 13.Accommodation (Shomir Choudhuri Clarke Street 8/1B) In front of the house at Clarke Street 13 14 15 16 15.Studymotivation “After my stay in Kolkata, I will intensify my studies in philosophy and economy, because ethic convictions and economic systems are the real roots of poverty.“ 17.VolunteersatCR Volunteers together with Dr. Jack, the founder of CR 17 Volunteers selling handicrafts at the Fairlawn Hotel on Sudder Street, Kolkata Volunteers working at the Main Pharmacy 18 Volunteers are asked to commit to Calcutta Rescue for between 6 to 12 months (but a minimum of 3 months will be considered in special circumstances). Due to a certain amount of administrative work involved in all roles, volunteers should have good spoken and written English skills and be organised and confident communicators. Prior work experience in a developing country would be an advantage though not essential. Possible volunteer roles include mainly medical tasks (doctors, wound care specialists, podiatrists, pharmacists, nurses, disability specialists, physiotherapists, midwifes), but also nonmedical roles, because CR is also searching for administrators/volunteer coordinators (compare http://www.calcuttarescue.org/how-can-you-help/volunteering/). Leisure time/holidays can be spent on language courses, travelling and meeting other volunteers from all over the world. 19.ImprovementoforganisationbyStudentundArbeitsmarkt 19 ANNEX: 1. Importantaddresses/websites • CalcuttaRescueIndia http://www.calcuttarescue.org/ Admin Office Calcutta Rescue 4th Floor 85 Collin Street Kolkata 700 016 Ph No: +91 (0)33 22175675 (fax/phone) or 40648277 [email protected] (administrator Calcutta Rescue) • CalcuttaRescueGermany http://www.calcutta-rescue.de/ [email protected] • Accommodation Shomir Choudhuri Clarke Street 8/1B 700026 Kolkata Mobile: 9433077188 [email protected] • DeutschesGeneralkonsulatKalkutta 1 Hastings Park Road Alipore Kolkata 700027 India Ph No: +91 (0)33-24791141/2479 Emergency: Ph No: +91 (0)9831016091, [email protected] http://www.india.diplo.de/Vertretung/indien/de/02 Kolkata/02 kolkata consular_ _info/Fuer deutsche Staatsangehoerige/seite hilfesuchende deutsche.html http://www.india.diplo.de/contentblob/3237350/Daten/4846481/download_datei_hilf esuchende_deutsche.pdf • DeutscheBotschaftNeu-Delhi 20 Emergency: Ph No: +91 (0)9810004950 • Lawyers KHANNA&CO. ADVOCATES Ph No: +91 (0)33-22301783 or 22437914 or Mobile: (0)9831074677 [email protected] [email protected] Rechtsanwaltsliste des Generalkonsulats: http://www.india.diplo.de/contentblob/3174930/Daten/3970964/datei_download_rec htsanwaltsliste.pdf • EmergencyHospitals Apollo Hospitals: 1602 Woodlands Medical Centre: 1800 or 3459000 • ÄrztelistedesGeneralkonsulats http://www.india.diplo.de/contentblob/3174866/Daten/1591062/download_datei_aer zte.pdf • Bengaliteacher Sunanda Basu Ph No: 9836266529 • Internationalcreditcardblockingnumber +49 - 116 116 or +49 - 30 4050 4050 • Healthinsurance Voluntary insurance for Germany + DAAD 720A for abroad (only for students, Continentale Krankenversicherung) https://www.daad.de/versicherung/allgemein/bedingungen/en/14380-daadinsurance-destination-abroad/ • Hospital Medstar Clinic Shakespear Saroni road 39 Kolkata 700017 Ph No: +91 (0)33-22837407/8/9 • MalariaTesting Eastern Diagnostics Freeschoolstreet 21 Mirza Ghalib Street 13 Ph No: 22178080/81 • Emergencyphonenumber(s)healthinsurance • Contactairline 2. Preparation • Courses AGEH - http://www.ageh.de/infothek/kurse.html Apotheker ohne Grenzen - http://www.apotheker-ohne-grenzen.de/wie-und-wo-wirhelfen/schulungen/ Difäm - http://difaem.de/nc/fachangebote/seminare/datum/1970/01/01/public-healthund-tropenmedizin/ Missionsärztliche Klinik Würzburg https://missioklinik.de/fachabteilungen/tropenmedizin/weiterbildung.html • Vaccination Tropeninstitut München http://www.klinikum.uni-muenchen.de/Abteilung-fuer-Infektions-undTropenmedizin/de/30_Reise_impfberatung/index.html • RegistrationELEFAND https://service.diplo.de/elefandextern/home/registration!form.action • Creditcard(s) Comdirect - https://www.comdirect.de/ • Passport/Visa Visa application for 1 year is possible. Indian Visa Application Centre (Baden-Wuerttemberg and Bavaria) Schellingstr. 35, 80799 Munich Tel. No.: +49 (0) 89-28673805 Email ID: [email protected] http://ivs-germany.com/Default.aspx • AuswärtigesAmtReise-undSicherheitshinweise http://www.auswaertiges-amt.de/DE/Laenderinformationen/00SiHi/IndienSicherheit.html 22 • Customsregulations(!Dubaianddrugs!) • (Travelerscheques,secondcreditcard?,dollars) • Copies of the passport, health insurance certificate, certificate of vaccination • Passportphotos • USBstick with scans of the most important documents • Travelpharmacy(+prescriptionsandADAC MedicalCertificate): https://www.adac.de/_mmm/pdf/ADAC_Medikamentenformular%201_149892.pdf • Hospitalincaseofillness (how could I reach it - also at night or during holiday?) • Organisingpick-upatairport usually done by a Calcutta Rescue driver • Important documents should be stored with the hand luggage during the flight (e.g. certificate health insurance) 3. Duringyourstay • Safety do not keep your credit card in your purse; keep some money at your flat/hostel; taxi booking: prepaid; cultural sensitivity the following dress code should be followed whilst working with CR: Women - no shorts, no skirts that don’t cover the knee, no low cut tops, Men - no shorts; keep a low profile • Food/water/drinks: cook it, peel it or leave it; if possible you should drink bottle water (if this is not possible, the water should be filtered, heated and disinfected with Micropur); regular hand washing; no ice cubes; peel fruits and vegetables (or at least washing and cooking of vegetables); teeth brushing with bottle water; no raw salads; no prepeeled fruits; heating of milk(products) (risk of tuberculosis); no cold dressings; quality of restaurants • Malaria/Dengue Nobite, Autan Tropical, mosquito nets (bed, windows), Malarone stand by, (malaria rapid diagnostic tests), knowledge of typical malaria symptoms, no use of Aspirin, outside at night: long sleeves, impregnated clothes • Sun/rainprotection umbrella (rain and sun), rain protection for the rucksack and especially for the laptop, flip-flops/crocs, (rubber boots), sunscreen 23 • IndianSIMcard (for example Vodafone, monthly recharge: 1 GB for internet, 100 Rupees for local calls) • Whicharethemostimportantskills/qualificationswhileworkingforCalcutta Rescue? 1. Good spoken and written English skills 2. Good organisational and communication skills 3. Ability to answer medical information queries according to evidence based criteria 4. Flexibility – the role of the pharmacist can involve new activities and new roles/adaption to the environment in a developing country requires a high degree of flexibility 5. High degree of own inititative, engagement and independent working 6. Ability to work with others in a multicultural team 7. Ability to be pro-active in terms of work creation and assess the unwritten needs of the pharmacy and clinics 8. Self-motivated, enthusiastic, resourceful, able to self-reflect on experiences, co-operative, flexible, friendly and willing to accept responsibility 9. Sense of humour Clinics/projects: : Chitpur – leprosy clinic 24 Chitpur – leprosy clinic Chitpur – leprosy clinic 25 Talapark Clinic Sealdah Clinic 26 Street Medicine Street Medicine 27 Leprosy patient Chitpur Clinic Leprosy patient Chitpur Clinic 28 Medical documentation leprosy patients Sealdah Clinic 29
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