The infirmary in Maison de la Gare's centre
Medications for Life
An important part of the vision for Maison de la Gare is a medical clinic to support the health of the talibé children. The clinic provides a base from which volunteers and staff can venture into the community to deliver health care to talibé children in their daaras and on the streets, while spreading the word among the talibés that help is available and building local confidence in Maison de la Gare.
Construction of the clinic was made possible by a grant from the Canada Fund for Local Initiatives and donation of architectural drawings by the Canadian firm Civitas. International volunteers involved in the medical program often make valuable contributions of medical supplies, and the on-going cost of medical supplies purchased in Senegal is funded by the United Nations anti-slavery fund, the Global Fund for Children, and other international donors. Critically, many of the essential drugs and medications for the clinic's pharmacy are provided by the Health Partners International Canada, an NGO, and are transported to Senegal on a regular basis by partners travelling from Canada.
Conditions in the daaras where the children are forced to live lead to serious medical issues. Cramped quarters spread disease and parasites. Unsanitary conditions are responsible for frequent infections. Poor hygiene and malnutrition cause multiple disorders. Tooth abscesses are frequent. Nurse Binta Coly explains that the children do not have their health care needs met by their marabouts and they rely on Maison de la Gare to treat common burns, cuts, parasites, infections and disease.
The nurses understand that talibés who come to Maison de la Gare for medical attention spread the word in their communities and daaras. Such word of mouth brings even more children to Maison de la Gare for care. But, not all children are able to come to the centre for help, Binta points out. Sometimes it is too far for the kids to walk, or they are too sick to travel. In these cases, Binta or medical volunteers walk to the daara to deliver treatment. If the child's condition is more serious than can be addressed on site, he will be transported to the hospital. Several children per month, on average, require such hospitalization. In these cases, Maison de la Gare pays the hospital bills to ensure the children receive the care they need.
When a talibé who is regularly involved in Maison de la Gare’s programs, Mamadou Diao, broke his leg badly in two places, the staff took him directly to the hospital for treatment. His leg healed badly and an infection developed, not surprising given the children's living conditions. Since that time Nurses Binta and Anta have cared for him daily to ensure his successful recovery.
The nurses comment that what often starts as a simple scrape or cut quickly can become infected, given the unsanitary conditions these children return to each night. Furthermore, most of the kids don't have shoes. So, a cut on a foot does not stand a chance of healing cleanly unless treated immediately, with dressings reapplied daily. Many of the cases that the Maison de la Gare nurses see are already infected and need antibiotic treatment. A simple cut for a talibé can lead to loss of limb or even loss of life if left unattended.
Maison de la Gare is fortunate to benefit from the participation of international volunteers in the medical program. Volunteers work at the clinic side by side with Binta and Anta. One of the great benefits of volunteer participation is the possibility to expand medical outreach to visit more children in more daaras. Even volunteers with medical training can be unfamiliar with some of the medical issues common to the talibes. Before volunteers venture out into the community, nurse Binta Coly instructs them on the common issues encountered in the field and proper uses of medications, and ensures that they are properly equipped.
Some of the older talibés accompany the medical excursion groups, leading them to the daaras of children in need. A few of these older boys have become familiar with the methods of treatment for common talibé ailments, and have begun to participate in health care activities themselves. They are developing a keen interest in health care and are acquiring useful skills as well as providing valuable assistance.
The staff and volunteers alike are sensitive to the fact that talibé children crave recognition and affection. Sometime children present themselves at the clinic or in the daaras without clear health care needs. In these situations, Binta says that it is still important to treat them with respect and affection. She will clean the "pretend wound" knowing that she is treating a wounded spirit, sending away a smiling, satisfied talibé. The talibé children of Saint Louis are coming to know they can rely on Maison de la Gare.
Rowan inventorying medications provided by HPIC
Sonia interviewing Binta and Anta for this report
Nurse Binta Coly with two adoring patients
Binta cares for Mamadou Diao's leg
Volunteers care for talibe children in a daara
The nurses keep careful records of talibes treated
Talibe Arouna cares for other children in a daara
A talibe shows his treated toe, basking in the TLC