Health Center’s Construction Update

The roof has dried properly and we are now working on water-proofing it.

[The roof top part, photo was taken from the back side]

Are you wondering why our roof is so thick? You would surely understand once you have experienced one of the heavy rains falling in our area. Once it starts raining, you can’t even hear what the person next to you is saying! We have planned our roof to be thick enough so as to minimize the huge noise from the rain.

[Even after putting roof, we still have enough sun light ]

We have also started to extend our road up to the mountain where there is a stream with flowing water year-round. We plan to install a pico hydropower turbine there, with the funds generously provided by Family Care Foundation. We already have a solar power generator and we will soon install some more. Our plan is to use all forms of renewable energy from natural resources, in order to provide enough power to meet the electricity needs of our Health Center. We are also planning to install windmills in the future.

[ The Health Center roof top. We will install more solar panel on it]

[Road construction up to the mountain]

Health Center Construction Update

We have started working on the remaining part of the roof. As the yellow arrows indicate on the picture here below, the slope of the roof on the building front will be angled so as to let in as much natural light as possible, both sunlight and moonlight.

[Can you now visualize our roof design a little better?]

Meanwhile, it is with great gratitude that we received a donation from the Taipei Yunfu Rotary Club, to help cover the costs of the Health Center construction. Thank you from the bottom of our heart for your generosity!

[Rehabilitation Pool is also under construction]

Ambulance activity in Phnom Penh

Side-By-Side International (SBSI), one of our donor NGOs from Japan, is involved in the implementation of an effective public Emergency Medical Service (EMS) system in Phnom Penh, under the umbrella of Cambodia’s Ministry of Health. With Cambodia having a high rate of traffic accidents, it is crucial to put in place and develop such system throughout the Kingdom, and this what SBSI is planning to do as the project progresses. CDEP is collaborating with SBSI’s Cambodia office for this project, by providing technical assistance and sharing our expertise and know-how in this field.

Thanks to the strong leadership of the Ministry of Health, a number of agencies and ministries are now cooperating in this undertaking. There are many difficulties to overcome but we are convinced that, with the joint efforts of all, the project will succeed.

Dr. Tsuchiya Visited Us Again

We were delighted to welcome for the second time this year Dr. Tsuchiya, a Japanese psychiatrist who is supporting us. She arrived in Cambodia on September 21st and spent a full week with us.
She donated a cardiac electronic monitor, splints and lots of medical consumables in June. As our Health Center is not operational yet, these are kept in storage for the time being. We very much hope that, on her next visit, she will see them being in use once our Health Center opens its doors.
Dr. Tsuchiya generously gave us fund donation this time, to help us cover our activities for the Health Center. Thank you so much, Dr Tsuchiya, for your generosity. Hope to see you again soon!!!

Alex is gone, 4 Malaysian volunteers arrived

On 15th September, Alex, who came from Taiwan to volunteer with us as electronic engineer for four weeks, has returned home. He worked magic with all the electronic devices donated to us that needed to be tuned in order to be operational. We are so grateful to him! It was a worthwhile experience for him as well, and he may come back in January or February next year. We are looking forward to seeing him again!

[Photo 1; Alex working at Phnom Penh Office]

[Photo 2; One of Alex's Products during his volunteer]

On 18th September, 4 Malaysian volunteers, Jazz, Huei, Shiang and Ming Kang arrived at our site. They gave an arts class at the Prey Proseth Primary School, and students enjoyed painting, drawing and watching a movie. It was at the time of Pchum Ben, a Cambodian Buddhist Festival to honor the ancestors, during which most of the students returned to their parents’ hometown to meet with their relatives and celebrate the festival. Some of them however remained here, as their family home is too far away, and it was for them that our Malaysian volunteers organized an arts class. It was a most enjoyable time for these 20 students who couldn’t be with their family. Thank you so much, Jazz, Huei, Shiang and Ming Kang!

[Photo 3&4; Students dancing with 4 volunteers]

[Photo 5,6&7; Students enjoying paintings]

[Photo 8; One of the products from Arts Class]

We also distributed to the students the clothes generously donated by Ariele from the Rotary Club of Taipei Yungfu.

Main Donors Gathered!

On 23rd March, we had a ceremony with our main donors, GRAPHIS, the Japanese student volunteer group, as well as the Japanese NGO, Side by Side Inernational.

It was supposed to be an "Opening Ceremony" Unfortunately, the construction work couldn’t be completed on time, for various reasons. So... it was rather a "Launching Ceremony".

Anyway, about 20 students from GRAPHIS, Mr. and Mrs. Sasaki, President of Side by Side International visited our site and we also invited 200 villegers to the ceremony.

Vegetable Garden for the Health Center

We have started growing vegetables, which will be served at the health center.

In this remote area of Cambodia, people rarely grow vegetables at home. The reason is that either they lack water to grow plants, or they are not aware of the nutritional benefit of vegetables, focusing instead on getting any food to fill their stomach. They mostly eat a lot of rice with a salty fish paste. Since they don’t grow vegetables themselves, they need to buy them at the market, and it is costly. They thus tend to give up eating vegetables.


We grow vegetables not only for the health center meals, but at the same time we want to use our garden as a demonstration farm for the community people. They will see how vegetables are grown, how to take care of them and how they can be cooked.

We are also planning to provide cooking classes for nursing mothers and pregnant women, and to give them a kind of starter package to help them start their own vegetables garden in the near future.

Children malnutrition is a critical problem in this area. We very much anticipate that this kind of programme will contribute to improving the current poor nutritional status of the local people in the long term.

We often obtain seeds from the existing vegetables and fruits. Tomato, paw paw, mango etc.. All grown from the seeds remaining when we eat those things. It works quite well!

Mobile Antenatal and Mother and Child Clinic

We conducted a Mobile Clinic around the villages between January 21st and 26th, 2009, for expecting women, nursing mothers and children, in collaboration with a Japanese midwife nurse and medical staff from Kompong Seila District health center.

This project was made possible thanks to the generous funding by OHDAKE Foundation through the NGO Side By Side International.

The mobile clinic toured four villages and provided health check and medical treatment for over 120 outpatients.

There are many villages located very far from any health institute. When we visited these villages, we met many pregnant women who had never attended antenatal clinic before. We did basic check-ups, distributed iron tablets and provided consultation services and medical advice.

Our objectives for this mobile clinic attempt were three-fold:

1. To provide health care to economically or geographically vulnerable pregnant women
2. To collect medical data while touring the villages, in order to help Graphis Health Center better assess the situation and needs of the local population.
3. To establish an effective communication and collaboration network with Kompong Seila District’s Health Center, which is currently the largest public health institute in the district.
   

Introduction: Handmade Back Board

When you are injured in an accident, it is crucial if your neck is fixed while you are rescued from the scene of accident. If you get damage on your neck and people move you without fixing your neck, you may get additional damage or, in the worst case, it kills you.



The back board is one of the rescue tools which can make a patient's body be fixed and stable during evacuation and transferring by an ambulance.



The back board is currently not available in Cambodia; we need to import it from outside. It costs around few hundred dollars if you purchase a back board in some countries like USA, Japan etc. We decided to produce handmade back boards in collaboration with TICO Cambodia. We provide piece of woods and TICO Cambodia make back board from them.

[Handmade back board (Left); photo taken at TICO Cambodia Office]

It cannot last long compare to the plasitic commercially produced ones. But our handmade back boards already saved many victims from accidents.

Introduction: Community Ambulance

Today, we would like to introduce Medic 42, our community ambulance.

There was a so-called "Ambulance" in the community. We heard it was a donation from a Rotary Club. Unfortunately, community didn't have proper management system to maintain this ambulance.


When this ambulance was seriously broken and nobody in the community could cover the cost for repair, we suggested that we can pay for the cost but we would like to supervise the management of this ambulance. Since then, we have been keeping our eyes on this ambulance so that the ambulance is properly maintained and used as "Ambulance" but not for any other purpose. We have also been paying for ambulance driver's salary.

[Community Ambulance; Before TICO's modification]

It used to equip a stretcher only. We could transfer patients but could not do much to keep patients stable. TICO, a Japanese NGO, our good partner in Cambodia, modified and equipped this community ambulance with necessary Basic Life Suport equipment in this year. Now we can provide at least basic prehospital care before and during transferring patient to a hospital.

[It used to be like this; had only stretcher]

[Now our community ambulance can provide Basic Life Support]

Our Health Center has not yet started operation, but we have been transferring number of patients from our area to Phnom Penh.

Since we started cooperation with TICO, we have been working together on patients' transfer from National Road No.4, where our site locates, to Phnom Penh. It takes at least 1 hour in emergency drive from our area to Phnom Penh. If we transfer a patient to Phnom Penh by our ambulance, we cannot respond to any other case for next 2 hours. There is no other ambulance available in 30 km radious of our area. Also, fuel cost for 2 hours round trip was a big burden.


In order to minimize those negative factors, TICO and we established link-up system. When we receive a patient, we communicate with TICO and TICO arrange a public ambulance in Phnom Penh and it comes along the National Road No.4 towards our area. We meet in the halfway point and pass the patient to the ambulance from Phnom Penh.

[Working together with TICO "Life Saving Project" team]

In this way, we can share the travel distance and travel cost. We can return to the base within an hour and can prepare for the next response. Cooperation with public ambulances through TICO "Life Saving Project" significantly ameliorate Emergency Medical Response along National Road No.4.

Emergency Medical Response System in Phnom Penh City is currently dramatically improved with the effort of Cambodian Government and also guidance from TICO. Now we can communicate with Phnom Penh City Emergency Call Center and they dispatch appropriate public ambulance from Phnom Penh.

After our Health Center starts operation, we will be able to improve our emergency medical response system more.

Water Related Problems and Reservoir

Some families don't have access to clean water.

They use dirty water for daily life.

It can be easily imagined that this is the cause for water-borne diseases such as diarrhea, cholera etc. Additionally, it causes skin problems as well.

We are making a reservoir which can provide clean water to at least 150 families.

[Photo; Reservoir under construction]



It will be an incentive for some villagers to move into our area.

Lots of villagers built their houses illegally (i.e. not official land-owner). It can happen anytime that they will be evicted from their houses. Furthermore, these people tend to live near the roadside and which creates a number of traffic accidents.

We want those vulnerable villagers to move into our site and have a safe living environment. At the moment, we are yet to accommodate them sustainably. This reservoir construction is just one of the steps.