This is a blog by Gloria Mwankenja, a second-year BSc Nursing student at AKU Tanzania
The mere thought of our trip to Arusha for a community mental health project integrated with climate change was exhilarating. Our preparations were thorough, and despite the hard work, I couldn't wait for the day of travel from Dar es Salaam.
We arrived at night, limiting our initial view, but we were warmly welcomed by the Arusha staff and excited to sleep in tents. I woke up to the beautiful, cold weather and the breathtaking view of Mount Meru from the Arusha campus.
Our first few days included an informative session with Dr Emmanuel Sulle, Director of AKU's Arusha Climate and Environmental Research Centre (AKU-ACER). He provided insights into how AKU-ACER, a living laboratory, advocates for environmental conservation and supports the local community in mitigating the effects of climate change.
The following days were dedicated to community entry surveys and assessments in Ngaramtoni Juu and Ngaramtoni Chini. Split into two groups, I was assigned to Ngaramtoni Chini, Olmoti Ward, Mlimani Street. I enjoyed interacting with the beautiful community and learning about their way of life. Although several health issues were identified, we focused on areas we could effectively address in a short time to impact the community. Our priorities included improving latrines, addressing malnutrition, and raising awareness about mental health in relation to climate change. We intervened collectively and worked individually to tackle these issues.
Working closely with the community was a transformative experience. We saw the relationship between classroom teachings and real-world implementation. We realized the importance of providing primary healthcare and health promotion to society rather than solely relying on hospital treatments. Early diagnosis and proactive health conversations proved crucial in aiding treatment.
We also visited the Masai tribe in Monduli. The Alkaria community warmly welcomed us, and their leader, Mr Alais, shared the rich history of Masai culture. We learned about their environmental conservation efforts and challenges, such as the lack of clean and sustainable water. They rely on one dam for the community, livestock, and wildlife, leading to health issues like high rates of diarrhea. To help alleviate this problem, water tanks were provided to collect water during the rainy season, ensuring clean drinking water during dry seasons.
Furthermore, we organized a medical camp called "Big Day" in Ngaramtoni Ward and Alkaria Village in Monduli. Both camps were successful, and I gained valuable experience in community engagement during a medical camp. Seeing smiles on people's faces made me realize the positive impact healthcare professionals can have on their communities.
Amidst our work, we enjoyed recreational activities such as sports, game day, movie night, and June birthday celebrations organized by the Student Experience Office.
I am grateful to the faculty members who accompanied us on our community mental health field visits – their assistance and advice were invaluable. I also appreciate the AKU-ACER faculty and staff for their hospital and support.