Saturday, February 23, 2013

A Few Facts about Ethiopia

A Few Facts about Ethiopia
   Ethiopia is located in the “Horn of Africa” (eastern area) and is bordered by Eretria to the north, Djibouti and Somalia to the east, Sudan and South Sudan to the west, and Kenya to the south. It is the most populous land-locked country in the world and with over 91,000,000 inhabitants it is the second most populated nation on the African continent. It occupies a total area of 420,000 square miles, which is just slightly larger than France and Spain combined. Its topography is a combination of mountains and desert regions, and its people are agrarian (coffee, maize and beans are primary crops) and pastoral. The climate is comfortable year round (mid 70’s) except in the northern area by the Red Sea, where it can be extremely hot. The rainy season is from early June to the end of September.  Its capital city is Addis Ababa and it has a population of approximately 3 million inhabitants, roughly the size of Chicago.
  Ethiopia was ruled by Emperor Haile Selassie for 58 years until 1974, when he was ousted from power in a coup. Today the “Federal Democratic Republic of Ethiopia” operates in a parliamentary structure but not without serious strife and conflict. There had been charges of rigged elections, genocide wars, massacres, treason and torture by police. Meles Zenawi, prime minister for 21 years until August 2012, had controlled inflation and attracted foreign investments. However, he had also exploited both state and personal power to  repress the citizens and control the media. Ethiopia’s new prime minister, Haile Desalegn, is a worldly educated man who received his Masters in Organizational Leadership in California.  Human rights groups are watching him closely.
  Approximately 70% of all marriages are “by kidnapping”, whereby an often older man chooses a girl (as young as 11) for a bride and will kidnap her, and rape her until she becomes pregnant. This pregnancy confers on her the status of a wife. In 2004 the government raised the marriageable age to 18 and criminalized all forced marriages. However, enforcement is weak to non-existent. Such abduction is based on ancient customs and rituals and in certain remote regions, statistics indicate this barbaric practice accounts for over 90% of all marriages.
   Years of famine, poverty and neglect by the government continue to take its toll on the Ethiopian people. The literacy rate, according to the UN report of 2012, is one of the lowest in the world: 28%. School attendance is not mandatory, and statistics of children not in school range from 30%-50%. Life expectancy is 56 years for men, 60 years for women. Thanks to research, pharmaceuticals and funding, the growth of AIDS has remained stagnant for several years, however estimates show it has left over 650,000 orphans in its wake.
  What does the future hold?

 Ethiopia continues to be one of the poorest countries of the world. 2011 statistics by the World Bank show yearly per capita income is $370 (US dollars), and at least 30% of its population live below the poverty line (US$1.25 a day). While 42% of the population has access to clean water and 11% has access to sanitation facilities, these statistics reflect urban areas. For those in rural regions, the lack of clean water and appropriate sanitation continues to be the death-knell for emergence from life-threatening disease and abysmal poverty. At this time, Ethiopia is enjoying a fast-growing economy. Over half of all city dwellers are under 18 and they will be deciding future elections. They will be demanding better economic opportunities for themselves and their families, a modern healthcare system, an infrastructure designed for hi-tech growth, and a government that will invest in its own resources for the good of its own people.

They will ask for a lot, but will anyone listen?

Sunday, February 10, 2013

Preparing for our trip in March 2013

Preparing for our trip to Ethiopia

   What a fantastic opportunity we have before us! Last spring, we spent 2 weeks in Kenya under the auspices of FIENS, the Foundation for International Education of Neurological Surgery.  (Read all about it at: www.fiens.org)  While David did surgery and taught the residents, I was given unlimited access to the hospital clinics, wards, and outreach programs.Last year we took over $100,000 worth of donated neurosurgical medical supplies with us, all desperately needed by the Moi Teaching and Referral Hospital in Eldoret, Kenya.  
   And now here we are, one year later, and we're ready to do it all again! FIENS offers us the opportunity to volunteer independently but arranges contacts and accomodations in the 20-plus countries in which it has a presence. This time we have chosen to go to Addis Ababa, Ethiopia. We have again been organizing donations from several large medical supply companies, taylored to the specific needs of the Black Lion Hospital. They have requested cranioplastic material, Fibrillar and bone wax (and who doesn't need to have a little extra bone wax on hand??!) We were very lucky to hear that Virginia Mason Hospital in Seattle was closing out on some of it's skull reconstruction supplies and they kindly donated them to our cause.

    Last year Cosco donated about 1,000 ballpoint pens which were a big hit with the patients at the clinics I visited and I still have plenty of those left over. I had asked Costco Travel if they would donate some foldable recycle bags and several days later 5 large boxes, each holding approx. 250 bags, arrived at our door (I have called Costco and thanked them for their OVERLY generous contribution and asked if they would be so kind as to take 4 of these boxes back!) I had also seen some very cute animal flashlights at REI and called the distributor, Sun Products in California, about wholesale pricing. They refused my offer to buy them and instead asked if they could donate 25 to the Ethiopian children!
 Transport is always the biggest hurdle. Items really can't be mailed, the cost is prohibitive and theft and pilfering are rampant. So, we will do the same as we did for Kenya: buy very large suitcases at Goodwill for $10-$12 each, pack them to the max and then leave them behind at the end of our stay.