Wednesday 19 December 2012

The END of AFRICA


I finished work at PATA on December 14. It was very sad to leave as I have learned more than I ever thought from my co-workers, boss, and PATA clinics. It has been a huge part of my life over the past 6.5 months and I am sad to let it go.

We had our work Christmas party on Thursday at my boss Daniella’s house. Her house is gorgeous. Daniella cooked burgers for us and we lounged in her pool enjoying the heat of the day with the back of Table Mountain overshadowing us. It was not the typical Christmas party that I am used to. I did get a present from everyone – a framed photo of the delegates atop Table Mountain holding our thank you sign!

For my last weekend I went on a hike to the Crystal Pools.  We hike through Steenbras River Gorge just off of Gordon’s Bay on the southern coast. The hike is not too hard and takes about 45 minutes to reach the third pool – which is the one we stayed at. It was very hot out though and we were all dripping in sweat anyway. Only 50 people are allowed to hike to the pools each day as they want to preserve the nature as best as possible. We had our permits though and were allowed to go on this hike.




The pools are full of fresh water and are back hidden in the mountains – a very secluded and untouched part of nature. There is a small waterfall on one side where you can drink the water if you want. Also there are very high cliffs on the side – for cliff jumping as the pool goes very deep. The jump is 30 meters high though and I was not willing to risk my life this time as what if I hit sharp rocks in the pool that I didn’t know about.  You can be very happy about that mom. We spent several hours just lounging about and enjoying the beauty before the hike back.



Monday was a public holiday, the day of Goodwill. Ashley, my new roommate, and I spent the day walking. We walked from our apartment all the way around Signal Hill to Sea Point and continued on past Clifton to Camps Bay. It was a very long walk in the heat of the day, but the views were spectacular of the coast. We ate lunch at Caprice where I promptly drank two glasses of water in under five minutes to rehydrate myself.






I have been busy doing the last of my Christmas shopping at Greenmarket Square and St. George’s Mall. I also have been doing a last bit of sightseeing. My bus to work drove past the Castle of Good Hope every day, yet I had never been inside. I finally walked there with my only purpose to enter the castle. The outside is ancient and impressive, but the inside was quite boring. Clearly I wasn’t missing out much by never going in until now, but at least I have seen it.





I leave tomorrow night to fly home to Nebraska and the USA!!

As this is the end of my African adventure living in the Mother City, I want to share with everyone that my next adventure is going back to school! I am starting my Masters at Boston University School of Public Health this January and I could not be more excited.  I am leaving a Cape Town summer for a Boston winter, but I think it will be completely worth it. I only hope that someday I can show SOMEONE around Cape Town as I am quite an expert at it now. 

PATA 2012 Southern Africa and Nigeria Regional Forum

The first week of December was the Regional Forum that I have spent six months planning!

All of the PATA staff (the five of us) moved into the hotel a day early to do set up for the conference. The Protea Fire and Ice Hotel in Cape Town was amazing and very helpful for everything we needed done.

Delegates started arriving late morning on Monday all the way up until close to dinner time. We had 77 delegates from 20 treatment teams arrive. It was supposed to be 79, but two Angolans did not come without telling us they had changed their minds (thus we lost money on them since it was paid for – how rude).  The countries represented were South Africa, Lesotho, Swaziland, Mozambique, Malawi, Zimbabwe, Zambia, Botswana, Namibia, Angola, and Nigeria. We also welcomed around 40 individuals who were donors, speakers, or PATA steering committee members. Angolan and Mozambique delegates speak Portuguese which meant we had translators on hand for everything.

I had the task of getting the correct lanyard/nametag to each guest, distributing conference bags, explaining the program, masterclass signup sheets, and providing 200 condoms to each clinic team for them to take home. Thankfully Echati helped me because otherwise it would have been too much to handle, especially when the 40 people arrived at the same time off the flight from Jo’burg.



That evening was the opening dinner which featured a choir of HIV-positive individuals singing African songs. I was the only one who did not know the lyrics as all of the delegates were singing along. I was told one of the songs was the South African National Anthem.  Also Premier Helen Zille of the Western Cape Government made an opening speech praising PATA and the work we are doing. After many more speeches we had a buffet dinner.


The conference starting the next day with Day 1: Engagement in the cascade of care. Each day had plenary sessions with guest speakers sharing knowledge on the day theme. Then came two workshops, first in professional groups (so all the nurses worked together) then in clinic teams (so it was one of each profession from the home clinic). These help them create their goals for the following year and to address major issues at the clinic with resolutions to enact to make a change. The afternoons feature a sharing session from the workshop, speakers’ corner presentations from different delegates, and optional masterclasses to learn on varying topics that aren’t the three day themes.  Day 2 focused on Managing co-infection and Day 3 was Disclosure. In the conference room we had headsets to wear for simultaneous translation of the Portuguese to English and vice versa. Whenever a Portuguese delegate wanted to talk we had to all put on our headsets – it felt very UN.

Throughout all of this I helped with everything needed to make the days we worked so hard to coordinate run smoothly. I assisted in the workshop rooms, distributed documents and stickers, changed signs, and interacted with many clinic team members. It was very rewarding to hear them call my name and ask me for help as a member of PATA.

For dinners we spent one night at the waterfront, with the delegates wandering wherever they wanted. Then next was build-a-burger where we spiced our own meat to cook and had competitions for the best burger. This night was so much fun as while the burgers we created were cooking an impromptu dance party broke out. Everyone was singing and dancing (once again I did not know the words). They bonded with each other and called teams into the center to dance. Even PATA got a turn in the middle!  Unfortunately my burger did not win any prizes.


The last night was our closing ceremony and dinner. We took everyone in the cable car up Table Mountain for the speeches and reflection. Then we had dinner at the Gold restaurant in town that serves 13 courses all of different African variety so you taste dishes from many countries. This dinner ran very late and the delegates were falling asleep at the table. The staff plays traditional music and dances for you – which woke quite a few people up as they beat the drums and moved about.


On the day of departure we got up to see off the delegates at check out. The only problem was they had 6:00 flights so a 4:30 in the morning pick up time. It was very early and I was very tired. Once everyone was gone we got to go home, instead of work and I immediately fell asleep exhausted.

The forum overall was absolutely incredible to be a part of. I learned so much and met very influential and interesting people in the HIV/AIDS field as well as in Public Health. Every delegate learned who I was and what I was doing and loved me for it. They were all so great to meet. PATA 2013 East Africa Regional Forum is most likely being held in Dar es Salaam, Tanzania and I have every intention of going!

Interesting things from the forum:

·         Dr. Andrew Kiboneka from Botswana has lived in Omaha, Nebraska and studied at Creighton University. He asked where I was from and I told him Nebraska (most people have no clue where that is), but he goes “Omaha. I have been to California and New York as well, but I liked Nebraska best.” Made my morning!

·         A good portion of delegates had never left their home country before.

·         We gave gift vouchers worth R100 to the waterfront for dinner. They came as cards that you can use anywhere you want. Some delegates did not know how to use it and wanted their R100 not some card.

·         The delegates come to learn. They did not slack off from the conference nor stay up late partying/drinking. Come morning everyone was ready to go.

·         It is hard work keeping Africans on time. We had to start threatening things in order to get people there. We said the bus for Table Mountain left at a certain time and if you weren’t ready we would leave you behind and you could find your own way – several delegates had to pay for taxis to the mountain.

·         I learned I kind of like red bull – Nadine our savior of a Conference coordinator for the hotel gave PATA staff red bull when we looked like we had no energy left. It definitely helped.

·         Tea breaks happen late morning and early afternoon every day. Now without them back in my apartment and at work I get hungry for snacks then, but no longer get any.

·         Dr. Shaffiq Essajee flew from our conference to Geneva to be involved in a World Health Organization meeting on pediatric HIV guidelines (SO COOL)