Dr. Rick

Posted in Documentary | Photography, Non Profit, Recent Projects on February 10th, 2010 by tuschman

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The highlight of my trip to Ethiopia was meeting Dr. Rick Hodes, an American physician who has lived and worked in Ethiopia for over 20 years.

Dr. Rick, as he is known, treats patients with very advanced stages of their disease. He is an expert on spinal diseases, including  cases of scoliosis and spinal tuberculosis. The week I was there he was preparing to send 10 children to Ghana for corrective spinal surgeries. He has adopted 5 children who have had corrective spinal surgeries and has been funding their educations. Some of them are now going to colleges in the U.S. In addition, he has two other homes where he supports 10-20 other children who are post-surgical and makes sure that they have the funds to attend school as well. For a more detailed description of my impressions of Dr. Rick, please go to: http://www.tuschmanphoto.com/DrRick.doc

Below is an annotated gallery of images of Dr. Rick with his patients during his morning office hours. (Click on a photo for its description.)

Before meeting Rick, I had been photographing in various rural medical clinics in the northern part of Ethiopia. ( See following posts below.) Even though I have traveled quite a bit in the Third World, I was very affected by the depth of poverty and lack of infrastructure that I found in Ethiopia. Contemplating the solutions that would get a society out of this deep quagmire of poverty left me with a feeling hopelessness. Meeting Dr. Rick and seeing him work his miracles one by one really was the best medicine I could have had to restore my faith in the ability of a a motivated individual to make such a profound difference in people’s lives. He heals more than the people he actually touches.

Ethiopia-Pfizer-ITI-Carter Center

Posted in Documentary | Photography, Non Profit, Recent Projects on February 10th, 2010 by tuschman

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Photographing the trachoma prevention program in Ethiopia was a very unique experience. I have photographed in many countries on health related issues and in Ethiopia I was to document health care workers in 3 rural clinics in the Tigray region and also photograph two fistula clinics near Bahir Dar. The extent of the poverty in Ethiopia was a bit overwhelming at first- I felt that many scenes of what I saw could have been from biblical times. The main means of transportation was walking with a stick. People were mostly wrapped in white cloth and the roads did not have much motor traffic; the greatest danger was dodging herds of cattle, goats, sheep or donkeys.  In the clinics I saw malnourished children, some very close to death.  Other children had flies that seemed to have colonized their faces and eyes as permanent living quarters. The lack of infrastructure was startling, even by third world standards. A good part of the main road in the north was unpaved and main towns had either no cell phone service, or at best, it was intermittent. Most villages would have been many days of walking from any road at all.

Almost all the projects that I have documented have been on a rather small scale, photographing in a certain clinic or village. The actual distribution and dosing of 9 million prescriptions of Zithromax in a vast region of Ethiopia ( the Amahara region) was awe inspiring. I was so impressed by all the different groups involved – Pfizer providing the actual medicine, International Trachoma Initiative and the Carter Center the medical skills, and the Lion’s club much of the logistics. I surmise there is a great story to be told in how a project like this actually gets  done and how the responsibilities of each group involved made all this feasible.   It would be difficult enough to do such a project in our country, but to do it in a country like Ethiopia with such a lack of infrastructure, is remarkable. My sense is that there is a role model here that needs to be illuminated and act as a road map for other projects in very impoverished countries. If this can be done, can this role model be used for other medical needs, or to build schools or libraries, irrigation techniques, etc.?

Ethiopia- UNICEF/ Columbia University AMDD program

Posted in Documentary | Photography, Non Profit, Recent Projects on February 9th, 2010 by tuschman

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My next major assignment in Ethiopia was documenting health care workers in a small rural clinic in Northern Ethiopia for Columbia University School of Public Health- in particular for their AMDD (Averting Maternal Death and Disability) programs. Here are a few stories and impressions from visiting three clinics in the Tigray region of Ethiopia.

The women in the following gallery is HIV positive. She has a young child and is expecting another. The health care worker is instructing her on taking her new medication.

Ethiopia- UNICEF/Columbia University AMDD program

Posted in Documentary | Photography, Non Profit, Recent Projects on February 9th, 2010 by tuschman

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One of the most difficult experiences was seeing children who were so malnourished that they were barely holding onto life. The  next series of 4
images show attempts by a health care worker to insert an IV so the infant can get life-saving nutrition intravenously. There were many attempts to insert an IV in the infant’s arm and in a vein in its head, all of which were unsuccessful. It was a painful experience, for the family and for the health care workers, and certainly for the young child. I hoped they would have success after I left.

The following series of images in the gallery are of other malnourished infants in a ward in Wukro Hospital  being looked after by a nurse and other members of their immediate families.

The last two images are of children with hydrocephalus, a not too rare occurrence.

UNICEF- Columbia University- Health Care Workers I

Posted in Documentary | Photography, Non Profit, Recent Projects on February 9th, 2010 by tuschman

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Below you will find a small gallery of images of some of the health care workers. The first image of the small yellow room is very typical of  the rooms where patients are seen. They are very cramped with hardly any of the basic medical instruments we are used to finding when we go visit our own doctors here. The health care worker against the grey wall (the 6th image) is examining a young girl to determine the extent of her fistula. Following that image is a typical scene of a health care worker using a wooden stethoscope to listen to the heartbeat of the mother’s yet to be born infant. Following that image is a photo of a nurse holding a baby which she delivered herself through a Cesarean section. She is not a licensed physician but is hopefully trained well enough to successful perform this surgery. The next photo is of a women getting a birth control implant. Of the 10 women I photographed that day in the clinic, she was the only one who opted to get some form of extended birth control. All the other women wanted only a very short term solution- perhaps for a month or two. They feared disapproval from their husbands.

UNICEF-Columbia University- Health Care Workers II

Posted in Documentary | Photography, Non Profit, Recent Projects, Uncategorized on February 9th, 2010 by tuschman

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I was asked to do some hero close-up photos of the health care workers. Here is a selection of some of the “unsung heroes” who tirelessly do the day to day work in providing the only health care for most young mothers- they probably will never be seen by a physician. From the interviews that we did, most health care workers felt overwhelmed- they were understaffed and needed much more support.

Ethiopia-EngenderHealth October 2009

Posted in Documentary | Photography, Non Profit, Recent Projects on February 8th, 2010 by tuschman

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IN late fall of 2009 I had the privilege of working in Ethiopia on various projects. My first assignment was for EngenderHealth documenting some fistula clinics near Bahir Dar. These fistula clinics were very small, consisting of no more than 3 beds and each one had 2-3 patients who were waiting for their surgeries. There really wasn’t much happening- I did photograph some nurse patient interactions- but I thought that some good psychological portraits would best tell the stories of these young woman whose lives had been ruined and were hoping the surgeries would repair  their fistulas and restore their sense of hope for a normal life. They were clearly anxious and depressed. Here are some of the photos:

I also photographed a beautiful older Ethiopian woman who had successful fistula surgery and has since had children. She was attending a meeting of community organizers to help women in small remote villages to access  fistula treatment.

Formidable contender seeking support

Posted in Awards, Documentary | Photography, News, Non Profit on July 27th, 2009 by tuschman

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Capital of Hope, a visual documentary on the effects of microfinance in Africa which I recently completed, has been entered into the Photography Book Now International Juried Competition sponsored by Blurb.

You can preview the book and vote for it in another competition, the People’s Choice Award, which is chosen only by book readers.

Just click on the orange PEOPLE’S CHOICE AWARD logo below to cast your vote . Please note that a preview of the book is available for review in the “about the book” section, located in the lower half of the page.

Vote for my Book in the Photography.Book.Now competition.

If you would like to preview a full pdf version of the book, click on the link below;

http://www.tuschmanphoto.com/pdf/CoH_Book.pdf

See my published books

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Progress Report—UNFPA

Posted in Documentary | Photography, Non Profit, Recent Projects on July 13th, 2009 by tuschman

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UNFPA Annual Report

UNFPA Annual Report

I recently completed a project for UNFPA documenting the work of the organization in Guatemala in February. The head of the program liked my work so much that she recommended me to her colleagues at their headquarters in New York. As a result, I was fortunate to have one of the images that I took in Guatemala appear on the cover of their new Annual Report.

Several months ago, I was contacted by Alvaro Serrano who is a senior member of UNFPA. He told me about the new blog they are producing titled: Conversations for A Better World. He then asked me to become a contributor and help gather and produce material for the new blog site.

Alvaro was seeking my contribution to the current content topic that the blog was focusing on—women and the financial crises.  As a result of being familiar with my work and the images I produce, UNFPA thought it very timely and appropriate for me to post a description of my recent book, Capital of Hope.

Check out the UNFPA blog and feel free to add your thoughts too!

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Touring with Blurb

Posted in News, Recent Projects on July 13th, 2009 by tuschman

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Capital of Hope

Capital of Hope

Blurb, the popular web site that developed a creative, easy-to-use  service that can turn anyone into a book publisher, recently notified me that they were going to be attending the annual HOW Design Conference. Even better, they wanted to showcase my recently completed book, Capital of Hope, as an example of what  can be done using the new PDF to Book workflow service at Blurb.com.

The How Design Conference is attended by thousands and is a terrific venue to share my work with other design and photography professionals. As Blurb informed me, they will be “promoting me and the great book I’ve created” to the legions of people who will be attending the show and who will be inquiring about the Blurb service.

All of this is possible with many thanks to the book designer, Paul Pruneau of Teamworks Communications, Inc. who helped me bring this project to life with the Blurb service. I look forward to hearing from any of you who attend the conference and happen to see Capital of Hope in the Blurb booth.

If you would like a preview of the book, just contact me for an edited PDF file of Capital of Hope. You can turn the pages of this PDF file just by using your right and left arrow keys.

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