Novartis Malaria Initiative

Posted in Africa, corporate social responsibility, Documentary | Photography, Kenya, Malaria, Recent Projects on October 10th, 2013 by tuschman

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Malaria is one of the great scourges of mankind.

In 2011 and 2012, I traveled the world in cooperation with Novartis to document the impact that malaria has on people — and to show that,with the right combination of know how, technology, resources, and collaboration, malaria can be beaten.

Through my photographs I witnessed the amazing story of the Novartis Malaria Initiative.

This massive program has delivered 600 million antimalarial treatments to adults and children in malari-infested regions across three continents

The following link will take you on a remarkable journey, from the creation of the antimalarial active ingredients in China,
to the treatment of malaria patients in Africa and Asia.

TuschmanPhoto.com/malaria-story

I hope you enjoy traveling with me on this journey.

Planned Parenthood Global and Soccer in Kenya

Posted in Africa, Documentary | Photography, Girls Education, Global Health, Kenya, Non Profit, Recent Projects, Uncategorized, womens reproductive healthcare on February 22nd, 2012 by tuschman

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(The following text has several contributors- primarily Joyce Ho, a Graduate Media Fellow from the Stanford School of Medicine and Leila Darabi from Planned Parenthood Global).

In Kenya, Planned Parenthood Global (PP Global) works with several local soccer leagues to integrate sexual and reproductive health education and services into their programs.

For many, expectations for their educational and career success do not extend beyond completing primary school. Some are already mothers. Joining an athletic league provides these young women with the chance to exercise, become part of a team, and have some fun. Evidence shows that young women who participate in team sports are more confident, stay in school longer, and set more ambitious career goals than those who never get to run across a field or score a goal.

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Kibera

Posted in Africa, Documentary | Photography, Global Health, Kenya, Kibera, poverty, Uncategorized on January 24th, 2012 by tuschman

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This past year I had two opportunities to photograph in Kibera, Kenya, which is the second largest slum in Africa and the third largest in the world. Even though I have witnessed poverty, the physical landscape of Kibera was, to put it frankly, quite overwhelming.

The population of Kibera is estimated at 1.1 million people, up from 700,000 ten years ago. There is no infrastructure, no roads, no safe drinking water, or sewers. Kibera is created from scraps of tin and mud. The photographs presented here were all taken on my way to do work assignments in the AMREF Clinic (for the Novartis Malaria Initiative) and in the Tabitha clinic (for Planned Parenthood). All of the photos are “grab” shots. Some were taken from the vehicle that we used to get to the AMREF clinic. The car I was in had to inch it’s way along narrow muddy streets barely wide enough for our vehicle. Outside my window, people were going about their daily life not more than three feet away.

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Nigerian Chronicles X- PPFA in Gboko II

Posted in Africa, Documentary | Photography, Nigeria, Non Profit, Recent Projects, womens reproductive healthcare on November 16th, 2010 by tuschman

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This is the concluding chapter in this series, and will focus on healthcare training and an AIDS clinic at the NKST church headquarters facility.  Some personal impressions will follow the visual presentations.

The NKST reproductive-health project recently upgraded a center for educating midwives and nurses on reproductive-health issues, particularly basic family planning, contraceptive technology, and post-abortion-care services. The NKST education course produces a large pool of skilled family-planning attendants, whose outreach provides basic healthcare services to the wider community. Below is a series of photos taken in the classrooms.

 

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Nigerian Chronicles IX- PPFA in Gboko

Posted in Africa, Documentary | Photography, Nigeria, Non Profit, Recent Projects, womens reproductive healthcare on November 7th, 2010 by tuschman

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So far I have been documenting family planning in Muslim communities in Northern Nigeria.  This next post brings us back together with Thank-God Okosun and PPFA’s activities in an evangelical Christian community in Gboko, Benue State. The NKST (Nongo u Kristi u k Sudan hen Tiv) Church, whose headquarters we visited, has 127,115 members distributed among 298 well established congregations. As Nigeria provides little to no health care service for its citizens, the church had taken over this responsibility by being a health care provider;  9 hospitals and 123 primary health centers are managed by NKST.

The highly restrictive religious bias against reproductive health issues is a serious cause for concern in Nigeria. Most religious organizations view issues of reproductive health, particularly issues of sexuality and family planning, as immoral. Seven years ago PPFA was able to partner with the NKST church in altering this cultural and religious perception. Family planning, sex education and post abortion care are now accepted throughout the church and the fact that the church has a well established network of hospitals and clinics has made this PPFA project an effective one for reaching a large number of potential clients.

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Nigerian Chronicles VIII- Social Networking

Posted in Africa, Documentary | Photography, Nigeria, Non Profit, womens reproductive healthcare on October 31st, 2010 by tuschman

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In a small village an hour outside Kano I was asked to photograph a large congregation of people inside a small courtyard. Apparently this was the beginning of a wedding ceremony where Traditional Birth Attendants take the opportunity to dispense birth control materials  and  engage in family planning discussions. My initial impression was that there were more birth attendants than guests, but it was only the very beginning of the  celebration.

Two experienced TBA’s from CEDPA ( Center for Development and Population Activities) were among the first guests.

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Nigerian Chronicles VII- Hospitals

Posted in Africa, Documentary | Photography, Nigeria, Non Profit, Uncategorized, womens reproductive healthcare on October 25th, 2010 by tuschman

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Abortions are illegal in Nigeria; nevertheless, abortions occur and as they happen under non-medical conditions, serious complications are all too frequent. Murtala Mohammed Specialist Hospital (MMSH) is the primary public sector hospital in Kano State and has the largest program for treating women for complications of unsafe abortions. Although the hospital serves mainly woman in Kano, patients from neighboring Nigerian states and countries as far away as Mali and Niger seek treatment here as well. I was informed that due to lack of blood storage facilities, the MMSH is one of only three comprehensive obstetric care facilities in the state able to provide the full range of life saving obstetric services. Trained nurses and midwives treat women suffering from incomplete abortion with manual vacuum aspiration (MVA) in a dedicated procedure room. Care is available 24 hours a day.  Women normally wait only 30 minutes to be treated, and most go home within an hour after treatment, after receiving counseling and choosing a contraceptive method.

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Nigerian Chronicles VI: Bixby Girls Education

Posted in Africa, Documentary | Photography, education, Nigeria, Non Profit, Recent Projects on October 17th, 2010 by tuschman

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An hour outside of Kaduna, we arrived in a small village to document the Bixby Girls’ Education project. It was raining, and as we waited outside a small mud structure, a few women came to sweep out the water that had accumulated on the floor and then proceeded to lay down a dry carpet. About 15 girls appeared, and they all sat down in a big circle in the room and took turns reading from a single, soft covered book.

The girls are taught once a week in the afternoon from 3 PM to 5 PM. Every group of fifteen girls has one mentor. The books consist of some folklore stories that teach them cultural values; other books teach the girls the basics of child-raising and simple ways of combating deadly diseases through vaccines, including practical details of when to get them and where they are available. Other books discuss health-related issues: oral rehydration therapy, HIV/AIDS, and gender equality.

During the Children’s Day Celebration, the girls are normally taken out for excursions to various places with Program Officers and their mentors. The girls started this program completely illiterate, but now they can read and write without much difficulty.

Some girls were removed from the program by their parents, who had arranged marriages for their daughters.  Nevertheless, some of these girls later came back to continue with their studies.

I was very moved by the intensity of these girls as a single, very worn book was passed around so each girl could take a turn reading a single passage. Their attention was complete and unwavering as they were soaking up each and every word that was read aloud.

When everyone had had a turn reading, the mentor brought out a laptop computer and all the girls surrounded her, jostling with each other to be able to get a view of the computer screen. There was an image on the screen of a building in Europe (or the U.S.), and their hunger to get a glimpse of the outside world was palpable.

I have to admit from my Western eyes, I felt very sad that these girls were unlikely to ever have a chance to achieve their potential, to become doctors, nurses, lawyers, scientists, artists; their choice was limited to getting married and to having frequent pregnancies. I think it is wonderful that they learned how to read and write, but I could sense from photographing them that there was so much more they could achieve.

Nigeria has the wealth to educate these young girls and it is very unfortunate that the government can’t provide a full education that would give them the choice and the opportunity to attend a university. These girls’ situation is not unique; unfortunately, it is all too common. Their tragic loss of potential belongs not only to these young students who have such a desire to learn, but also to the nation of Nigeria and to the wider world.

The Emir of the village. It is customary to always greet an Emir when entering a village and get his permission to visit and photograph.

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Nigerian Chronicles V: SWODEN in Kano

Posted in Africa, Documentary | Photography, Nigeria, Non Profit, Recent Projects, womens reproductive healthcare on October 11th, 2010 by tuschman

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SWODEN is a foundation supported by the Packard Foundation that operates in Kano, the second most populous Nigerian city after Lagos, which has an estimated population of 2.1 million inhabitants (from the 2006 Nigerian census).  SWODEN is a multi-faceted NGO, whose work encompasses women’s reproductive health care, girl’s education, vocational-skills training, and microfinance – all with the express purpose of empowering women.

The SWODEN Community School project is designed to break the cycle of hopelessness that children experience from their impoverished environment. The school has operated since 2001 and is designed to give the students a positive, hopeful dimension to their lives.  So far, the school has graduated 127 pupils, with many of them going on to secondary school.  A total of 87 students are currently attending classes.   The school offers scholarships, and provides the basic educational materials needed to attend, including uniforms, bags, sandals, books and writing materials.  Of course, guidance and counseling are always available to each and every student.

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Nigerian Chronicles IV- PPFA in Maiduguri

Posted in Africa, Documentary | Photography, Nigeria, Non Profit, Recent Projects, womens reproductive healthcare on October 3rd, 2010 by tuschman

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In Maiduguri, PPFA ( again supported by Packard Foundation grants) had set up a Reproductive Health Information and Services Center run by youth peer educators. PPFA considers peer to peer interaction very critical for successful youth and adolescent reproductive health programming. The philosophy behind these programs, according to Thank-God Okosun, the PPFA Program Officer here , “like poles attract and unlike poles repel”.  PPFA has invested heavily in training young peer counselors to implement their educational activities, especially  in contraception and safe sexual practices. They are also trained to refer clients for post abortion care and unintended pregnancies for possible counseling and services. Emergency Contraceptives have also been introduced and considering the conservative religious climate, this is seen as a major point of progress in family planning programming.

PPFA’s Youth Friendly Center is very much like a boys and girls club for teenagers. There is a pool table and other recreational activities and every opportunity is used engage teenagers and educate them on sexual reproductive health issues.

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