Thursday, April 21, 2016

Let's Talk About Malaria!

DID YOU KNOW?
-       3.3 billion people (half the world’s population) live in areas at risk of malaria transmission in 109 countries and territories
-       35 countries (30 in sub-Saharan Africa and 5 in Asia) account for 98% of global malaria deaths
-       89% of the malaria deaths worldwide occur in Africa
-       The World Health Organization estimates that in 2008 malaria caused 190-311 million clinical episodes and 708,000-1,003,000 deaths
-       Malaria is the 5th cause of death from infectious diseases worldwide (after respiratory infections, HIV/AIDS, diarrheal disease, and tuberculosis)
-       Malaria is the 2nd leading cause of death from infectious diseases in Africa, after HIV/AIDS
-       There are over 5 million clinical malaria cases in Ethiopia each year
-       In Ethiopia, malaria is the leading cause for outpatient consultations, hospital admissions, and hospital deaths
-       There is malaria in 75% of the total country of Ethiopia, with 68% of the population at risk
-       Transmission in Ethiopia occurs mostly from September to December
(Source: Stomp Out Malaria Tool Kit- Peace Corps Ethiopia)

10 FACTS ABOUT MALARIA:
-       Malaria is a life-threatening disease
-       Malaria is spread from person to person by the Anopheles mosquito, which bites at night time
-       Anyone can get malaria—boys and girls, adults, children, and babies
-       Malaria is preventable
-       Sleeping under an insecticide-treated mosquito net every night is the best way to protect yourself from malaria
-       Symptoms of malaria include: fever, chills, sweats, headaches, loss of appetite, pain in the joints, diarrhea, nausea and vomiting, and convulsions
-       You can find out if you have malaria with a 20 minute RDT (Rapid Diagnostic Test)
-       Malaria is curable. A medicine called ACT can be taken to treat and cure malaria
-       Seek medical attention at the first sign of malaria for testing and treatment
-       Malaria can be eliminated. Other parts of the world have already eliminated malaria
(Source: NightWatch Malaria Curriculum)



As you can see above, malaria is a major problem in many countries around the world, although it doesn’t cross many people’s minds in America. In all honesty, I didn’t think much about it either until I came here and realized just how damaging it can be, yet how simple it is to prevent, detect, and treat.

Every year in April, World Malaria Month is celebrated, with Peace Corps giving us many resources to help spread awareness around our communities. In Peace Corps Ethiopia we have a STOMP committee made up of volunteers who assist in malaria prevention and awareness activities throughout the year, but then really take charge during April. It falls upon us volunteers though to do programs, activities, and lessons in our own communities.

Last year I did one malaria activity in my classes, but this year I wanted to do more. I conducted 2 activities in my classes as a game and competition. I have been doing mostly National Exam revision with my students, as their exam is the end of May. I also just finished giving them the pilot program of the new PELLE skills assessment from our Education team that took a week, so I thought this would be a fun break from the revision of grammar and reading they have become so used to, and I was right.

The first day I did true and false malaria facts where my students had to tell me whether the sentence was true or false by giving me a thumbs up or thumbs down (in my attempt to keep them quiet… Doesn’t work that well). Then I did matching vocabulary with their definitions. Both are activities they have done before with me, so we finished that fairly quickly. I then drew a Jeopardy board on the chalkboard with categories of General, Transmission, Prevention, Testing, and Treatment in points of 100-500. I split my students up into 3 groups (with my class sizes that is about 15-20 kids depending on how many students come to class on a day). I had each team pick a name and then we began. I would read out a question and multiple choice answers and they had to give me the correct answer to get the points. Because the groups are so big and only a few kids understand and pay attention, it really fell to the front few students to pick the questions and answer. However, I was pleasantly surprised with how many of my students who have taken to goofing off were paying attention and trying.



The second day I did a listening activity with statistics about malaria worldwide and in Ethiopia. Listening activities can be difficult with such large classes, so I wasn’t sure how it would work. I hung up statistics (written previously on chart paper) on the board and passed out numbers and percentages to students who were sitting quietly. I then told each class I would time them and whichever class could finish the activity quickest would get lollipops the next day. I would read out a sentence however many times it took for the student with the number to connect they had that, and then the challenge of which sentence to put it on (I read them out of order). A few of my classes had a hard time with this activity, but a few had students who took it upon themselves to make sure the students with the numbers were paying attention and getting them to complete the facts as fast as they could. I try to encourage participation and teamwork as well as leadership as much as possible, and I think this activity succeeded in that, as well as building their listening ability, which is one of the 4 core skills I am supposed to be teaching.


I gave a malaria quiz for my students as part of their continuous assessment grade. I normally give quizzes that are 10 questions and 2 extra-credit questions, however this was 15 questions- with no extra credit. I used the final test from the Night Watch curriculum that Peace Corps gave us, with the questions being very similar to the Jeopardy questions I used in my class activity previously. Although many of my students cheated, it was interesting to see which classes got the most points and which ones the classes got wrong most often. The 2 questions they got wrong often were:
“How many times does a mosquito carrying the malaria parasite have to bite you before you become infected with the disease?
A. 50 times                         B. 10 times                        C. At least 3 times                        D. Just once”
and
“When should you sleep under a mosquito net?
A.   During rainy season
B.    At night, all year round
C.    When there are enough mosquitos out
D.   Every other night”

Can you answer those correctly?
(FYI, Answer #1 is D and Answer #2 is B)

Conducting clubs here can be difficult, with there not being much time, students coming from far away, and just the difference in how learning is approached. Normally Saturday and Sunday mornings are reserved for tutorials, so if you want to conduct a club, that’s the best time to do it, because students are already at school. I made an announcement in my shift at flag ceremony that we would have English/malaria club Sunday morning after tutorials and that they would have a chance to win a free bed net. I was not able to make an announcement in the opposite shift because of power outages and it being Friday. I went to school on Sunday, dropped the mosquito nets off (Peace Corps gives them to us for us to distribute them) and went to breakfast. I came back to find the door locked, with no key. There were also no students that came to my club, because they all left after their tutorials were done, and they finished earlier than normal.

My malaria distribution was a bit of a mess at first, but it worked out. I ended up creating a sign up sheet for students who wanted a bed net, hung it up on the administration building where students hang out during break, and had a fellow teacher announce it during flag ceremony in Tigrinya. I kept the sign up sheet up for the day and had 40 students sign up, however I only had 15 to give away. I went home and wrote out their names on slips of paper. The next day at flag ceremony I announced a few kids names, but they were not there, or too shy to come up so I decided to just draw their names and then go and give them out in class. I went around to the classes to give the kids bed nets who “won the lottery,” but a lot were absent so I would draw another name. I also gave 3 to the kids who read the public service announcements. Quite a few of the kids who received them were in my classes, and only a few were in 9th grade, but that was due to the proportion of them who signed up.


My biggest undertaking was trying to make a video with my students. I teach 4 sections of 10th graders. They love having their pictures taken sometimes, but other times they are super camera shy. I wanted to record some of them reading malaria facts and take pictures of them holding statistics, however this proved difficult. I knew they would be shy if I asked them to record in front of their classes, so I found random students during their break time (hence, why if you watch the video you can hear lots of noise in the background). My camera isn’t the best quality and my students are complete goofballs. I am sure if I had tried and really rehearsed I could have gotten some much better videos, but I decided I like what I have because it shows Ethiopian teenagers with their true personalities, good and bad. I ended up putting together a video with a student reading a malaria “fact”, a slide of the fact that was read, a picture of a student holding a malaria statistic, a slide of the sentence that was in the picture, and then a repeat with the others. I showed them the video when it was done, and like all videos in class it was challenging with so many of them and my computer screen and speakers being little, but they really enjoyed listening to/watching their classmates and themselves.



The last thing I did for malaria month was “public service announcements” with my students reading a few little sentences each day about malaria at the flag ceremony. What it is, how to prevent it, how to test for it, and then how to cure it. I approached some of my students I knew would be able to read them, but when they learned I wanted them to read it in front of their shift they got very nervous and many declined (A shift has about 670 students). Only a few of my students were willing to read them and it was difficult to find a day at flag ceremony where there were no other announcements or programs. Wednesday was the day! 3 of my 4 students read their paragraphs for their shift, and did an amazing job. They read well, smoothly, clearly, and their tone was just right. I’m so proud of them!

Every volunteer is different in how they approach these International days and months. There seems to be one for everything, from gender equality, to lots of health and environment things. I did a program for International Day of the Girl, but haven’t done much since then. Many of my fellow volunteers really enjoy running programs and are able to conduct them with the help of counterparts, their schools, or their communities. I have had a more difficult time getting things going, but this was an easy enough subject to incorporate into my own classroom and conduct programs on my own, without a lot of outside help and motivation.



Sometimes I feel like I’m not doing much over here, like I’m a bit of a fail, especially when I hear/see what my fellow volunteers are doing in Ethiopia and around the world. But then I have the success of one little classroom competition, or having teachers asking me for bed nets to take home, and something like World Malaria Month takes on more for me than just educating about malaria and everything that comes with that, it becomes about community development and involvement, leadership, integration, and education.