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8. Blog – Looking back

We did a triple hug and looked at each other with tired eyes and messy hair and had one last big laugh before we walked out to meet our families in Copenhagen airport Sunday morning after an overnight flight from Uganda.

Cecilias, Charlottes and my internship has ended and so has our adventure. Not to be sad about it, but it is always hard to leave something good behind and Uganda, as you may already know, has been very good to us.

When I look back at my learning objectives now after the ending of my internship, I find it interesting how I imagined myself reaching them compared to how I really did it. So it is funny how you just have to go with it and take it all in. To keep an open mind and take a few sideways to reach the destination because I really found every experience, good and less good, as great learning experiences.

Getting familiar with the practical workings of a NGO and the working collaborations with other NGOs/organizations (e.g. The diabetes and heart federations) and the cooperation across borders.

I talked about getting familiar with the practical work of an NGO in my 5th blog, about the processes that lies within project and concept building and all that belongs, but what I found amazing is the collaboration with other organisations that exist and is needed. We have been lucky to work with UNCDA in some of their projects and activities such as the school project and InterAid outreach camps and also been invited to attend meetings with their member associations like the diabetes and heart federations. Furthermore, to be a part of the EANCDA conference where all the east African national alliances, the ministry of health Uganda, the global alliances and the Danish alliance where present and to see how they interact to reach a common goal.

These experiences have given me a picture of how all these organisations work together and how important it is for them to support each other in their individual work. NCDs being so interconnected makes their work, findings and results essential and sharable for each other.  

Skills within promoting healthy consumptions patterns with available indigenous food commodities and with respect for local food culture.

This objective was met in different ways. But doing the office lunch project was probably the most fun and exciting way to promote their delicious indigenous food commodities. Our recipes will be shared on the EANCDA website and shared with the national alliances for inspiration. This was very practical and a very alternative way of working at the office, but it was a way to create good reflections and conversation about food habits and traditions.

We also developed a strategy of a primary school project with focus on healthy eating patterns and physical activity through fun and interactive learning. We hope to follow the project later.

Improving communication and advocating skills.

Here I need to highlight the outreach camps we did with InterAid. Here we were met by locals but mainly refugees of different nationalities so our communication skills were really put to the test. A translator was present so save us if we needed it though, but really interesting how far you come with body language. We did primary healthcare and advised for preventable methods against NCDs. Overall an amazing experience.

Communication skills cover various aspects and I feel like I have come across several situations where communication was essential and therefor used a lot. It has not been boring I tell you, neither at work or during our free time experiences with the locals.

Besides this, I have to mention the conference again. Their plans for national as well as global NCD advocacy was really inspiring and in general I felt I took a lot with me home from that weekend.

So overall, I pretty damn happy of the outcome of this internship and Uganda and its people has a special place in my heart! Hope all of you guys are good and can not wait to see you back at school!

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7. Blog – Our work in pictures

My internship at EANCDA in Uganda is coming to an end and it is definitely hard to wrap my brain around the fact that I have to leave in only a week. I am left with a different feeling than I am used to when I travel, because usually the places I come through is very much temporary and shortly enjoyed and then left behind as just a part of a bigger memory. Here in Kampala we have been based and lived for over two months with the purpose of work, we have ourselves a routine of day and been around warm hearted people. Kampala have sometimes, especially in the beginning, felt like a stranger to us, but later mostly like a welcoming friend. I could not imagine being without the experience of living in this beautiful country.

It is not the point of this blog to share personal reflections of our stay here, but it is hard not to when I am currently sitting in front of a fireplace during a thunderstorm alone an early Friday morning with a warm coffee in my hand and with a view over Lake Bunyonyi, which is one of the places where we are spending our last weekend. This is one of the most beautiful places I have ever been and the quietness here is deafening. Later we will find our way to Queen Elisabeth National Park where we will spend two nights before going back and starting our last week of work. Finally, doing some of that famous African safari. 

Sunset swim in Lake Bunyonyi

What this blog really is supposed to be about is an Instagram-takeover that we did for Civil Society in Development (CISU) (in Danish; Civilsamfund I Udvikling) last week. CISU is an association of Danish CSOs working in development. On their Instagram page they delegate different weeks to different Danish CSOs/NGOs actively engaged in developing work around the world and last week we were invited to take over the profile to show what we are doing as interns at EANCDA. Instagram is, what most of you know, a platform for documenting and sharing your experiences through pictures and movies and is a world wide media used by private individuals as much as organisations and companies. We had to make a plan for the week of what to post when and what would actually make sense to show. In relation to this and by encouragement from Susanne (from the Danish NCD Alliance), we did a small project of actually promoting indigenous nutritious foods at EANCDA office by switching out some of the regular starchy components from their every day lunch and replace it with some alternative preparations, fresh salads and fruits. The results of the nutritious values were clear and it turned out that it is more than doable economically, which is an essential aspect to consider when you want to promote these dietary changes to the population across the socio-economic status. We got great response from the office and this was a good practical project for us, also to use in our framework for the indigenous food project we have been working on. After discussing the meals and changes over lunch with our colleagues, we found that availability and affordability is not the main issues when it comes to integrating fresh fruits and vegetables into the normal East African diet, but it is a huge cultural barrier that they are facing. Fresh vegetables are commonly seen as poor mans food and when uncooked generally not considerate as an appropriate part of a meal. So, overall there is a lot of awareness work ahead.

I got off track again.. So yes, this past week have been about experimenting with local foods, roughly calculating some nutritious values and price differences of the comparable meals, twice actually and doing a daily post on CISUs Instagram illustrating some of our experiences during the internship. Is has been a fun and very interesting week at the office and we are happy that CISU took interest in our work and in EANCDA. (@cisudk) 

Alternative office lunch day. We had a great day with a lot of valuable discussions about culture, traditions, traditional cooking methods and barriers towards these diet changes. 

One week to go and I feel like we have a lot to do, so hold on tight!

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6. Blog - EANCDA Conference

Just our luck! The East Africa Non-Communicable Disease Alliance Assembly General Meeting and Capacity Building Workshop 2017 was this weekend and we were invited. The conference gathered the national alliances from Rwanda, Burundi, Kenya, Uganda, Zanzibar and Tanzania to share and discuss future goals, weaknesses and successes within their work of advocating for prevention of NCDs in their respective countries. Besides these, attended (no surprise) the CEO/Project manager of EANCDA, who is also our internship supervisor and the EANCDA Coordinator, the Global NCD Alliance, representatives from Uganda Ministry of Health and Susanne from the Danish NCD Alliance, who is the lovely lady that saw an opportunity for us to come to Uganda.

The weekend included presentations from all the national alliances on their advocacy activities during 2016 and a presentation from the Global NCD Alliances about global goals and innovative strategies. One strategy that they focused a lot on during the presentation was a new way to incorporate personal stories from people living with NCDs (PLWNCDs) called ‘our voice, our vision’ to strengthen the advocacy world wide. A lot of great opportunities and goals for this concept and I am looking forward to follow the progress. Lastly, they emphasized the importance of getting ready and finalizing the EANCDA benchmark report on NCDs to take with them to the UN High Level Meeting in 2018, where they are invited. 

Our job during the weekend besides helping out wherever needed was, together with a couple of guys from Young Professionals (common called the YP’s), to do repertoire of several of the conference sessions. So we mostly stayed in the background and followed the meetings closely. During the meetings Sunday we were though suddenly put in the spotlight to shortly present the work that we have been doing while interning at EANCDA. It would have been nice to know, so we might have been able to prepare a few sentences, but it was a really good experience though it was really terrifying. It went well and we got great response and I am actually glad that we did not know because I might have been too nervous to concentrate during the morning sessions. Overall, it was an interesting weekend with a lot of networking and socializing and we were glad to have the chance to be a part of it. 

Speaking of the YP’s, the Young Professionals Chronic Disease Network (YP-CDN), it is a social network of young health professionals with a mission to mobilize a global community of young leaders to take action against social injustice surrounding NCDs. It was interesting to hear how the global and national alliances will take advantage of these passionate young people in their advocacy and awareness work. Susanne from the Danish Alliance mentioned to us that we should meet up after the internship to discus an eventually role for us within the Young Professionals in Denmark – so that is exciting!  

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My co-student Kristyna was a part of an amazing nutrition exhibition on her internship in Nepal, educating general public about locally available foods, food groups and how they benefits from these - I was excited to hear about this in reference to my own project with focus on healthy indigenous foods!  

Nutrition Exhibitions

Me and my collegues were busy with organizing nutrition exhibitions in local areas last week. Nutrition Promotion and Consultancy Services organizes these nutrition exhibitions on regular basis every year. The main goal of these exhibitions is to acknowledge general public about different food groups which are localy avaliable, what are the benefits of eating those and how much they should be consumed. The exhibition also shows different posters which are promoting hand washing, proper food preparation or importance of breastfeeding.

Our first exhibition was held in very close proximity to ward 22 health post in Lalitpur district. We organized the exhibition in the morning from 9-12 as the health clinic is opened during that time and therefore we were able to reach mothers and children who were visiting the clinic. Female Community Health Volunteers were helping us to put all the things in place and were active in approaching people passing by and inviting them to see our exhibition. There were mostly women with children stopping by, but also few men were not exception. Everyone who came was immediately approached by our stuff and we explained them about different foods and posters. My collegue also recorded the name of each participant in order to get an overiview of how many people were reached. My main role was an observer as there is a language barrier in talking with general public. Nevertheless it was extremely interesting for me to observe the different groups of participants, what their main interests are also learn about the different food groups which are recognized here. I also had opportunity to spend some time in the health clinic and see the child vaccination, growth measurement or advising mothers on using vitamin A and iron/folate supplements.

Three main food groups were: 1. Body and health protective foods, which contain fruits and vegetables, such as broccoli, oranges, apples or spinach. 

2.Energy giving foods, where mostly oil, cereals and starchy food belong. This includes for example corn, potatoes, rice or beaten rice, wheat, vegetable oil and ghee.Ghee is a fat which is extracted from buffalo milk. 

3. Growth and develpoment foods, which consist of protein rich food. For instance, chicken and buffalo meat, eggs, milk, fish or yoghurt (curd). From plant origin these are different kind of pulses such as beans, chickpeace, lentils or soyabeans.

The second nutrition exhibition was organized in the same way, but the venue was very special. It was held in the temple area on Hindu festival called Shiva Ratri. It was very interesting experience to promote food on this religious site. Main reson for that was to reach as many people as possible as there were many people around on this day. It was successful and I could see more people were approaching our exhibition  than on the previous day. 

Maha Shivaratri festival is Hindu festival celebrated in honour of god Shiva every year. People are chanting prayers, fasting, doing Yoga and meditating. There were huge cues in front of the temple and people use to stand even the whole night to be able to enter the temple on this day.

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5. Blog – Create and recreate

Not much is new in this 6th week of interning with EANCDA. We are still working intensively on creating this Indigenous Food Project (cool name is in progress) and we have now reached a point where funding is our main obstacle for realizing our project activities. Funding is an interesting part of the process – the possibilities are endless and that is exactly why it can be difficult to navigate. We are looking in to the option of crowdfunding that actually is a new concept to me. I have heard about it before but never stumbled upon it in practise and that is why I did not mind to take on the task of identifying different crowdfunding sites and figure out which one would fit our project in the best way. Crowdfunding is an interesting concept for both individuals and organisations with an idea and connects the idea to people who search to support a cause or project within their passion or interest. There is so many great projects running around the world and exploring the sites just made me so grateful for all the passionate people out there! I will keep you updated on the process of this, it is going to be exciting!

I guess the part of one of my learning objective “getting familiar with the practical workings of a NGO” is heavily enforced by being a part of the start-up process of a whole new concept and idea. To take part in the creating and recreating process, the mechanisms of gathering ideas and experiences to form a product and to keep the goal in mind but at the same time to keep open minded. All these processes have been a huge part of our internship so far and is truly interesting to experience and explore.

I did have an idea of what we were going to work with while interning, but at the same time we have been told over and over again that it would never be as we expected it to be – so I guess I was quite open minded to what these weeks would bring. I did think beforehand that the project would be more practical and hands on for us while interning, but the timeframe of this project has been my biggest misjudgment and is one of the things we have had to think over several times. There will be project events and activities, just not within these months or this year, which makes perfectly sense now that I am in the process and I am learning that this is all a part of the workings of a NGO like this and right now I would not have it any other way!

The CEO David did though already invite us to come back for the execution of the project activities, so I will see how that fits into everything at that point. Nevertheless, we have promised to keep in touch with EANCDA directly or through the Danish Alliance, so we are not leaving it totally behind when we again go back to school – which I am also quiet exited about!

As referred to before, we do spend most of our time office based working on this project, so when we were asked if we would join UNCDA again to help out at the Urban Refugee Programme hosted by InterAid, we did not hesitate one second. This time they focused on women’s health in connection with the International Women’s Day Wednesday 8th. This event was much more organised and combined the primary healthcare with performance dancing and space for the women to sell their handcrafted jewellery or clothes. It was a great day! 

These women were so amazing and truly inspiring and full of great stories. 

We travelled to Bugala Island in Lake Victoria for Cecilia’s Birthday on March 5th.

We had a fantastic and very quiet weekend at the Island, since there is not much to do but to take a walk along the beach or open a book by the pool – these places, like Jinga, by the Lake are such a contrast to chaotic Kampala and we enjoyed every minute of it.

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This is a little something for the ladies! They went on like this for a good five minutes and were joined by some beautiful belly twirling women. I was truly overly impressed!!

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4. blog - That follow up blog

Four weeks has past since our arrival here in Kampala and it has been a mixed feeling of time flying by while it seems like a lifetime ago with all the new impressions and experiences – both feelings equally filled with joy and excitement!

I just want to spend a moment to follow up on the previous blog about the Child Obesity Project we are doing with the UNCDA. We did get the chance to go with the alliance to Nabisunsa secondary school, which is an all-girl boarding school located in Kampala and one of the chosen schools involved in the project. The school was founded as a Muslim school for girls, but now admits girls of all faiths, nevertheless, we had to dig out our long dresses to fit the dress code. There is developed a survey questionnaire both for students and their parents and the alliance planned the visit to conduct the survey on the parents because of the convenience of a parents-teacher conference that day at the school and it was, not just a great opportunity, but probably the only one to reach out to the parents within the timeframe of the project.

It was indeed interesting to see how the alliance work in the field and deals with all the cultural formalities and customs that follows an official visit like this. Charlotte, Cecilia and myself were introduced to the welfare teacher who were in charge of planning our visit and she further went and formally introduced us to the head teacher of the school. The Project director shortly presented the project and objectives and furthermore, the reasoning for the visit and the head teacher told us we were all very welcome. I did mention how welcoming the people are here, and this was no exception!

The day went on and we conducted the survey – it was a great experience to observe the team in action and to be a part of it. It was a long and hectic day but definitely one of for the book. We were very happy to get the opportunity and hope to be helpful to UNCDA once again.

“Kampala as far as you can see and beyond”

Last Friday we went to the Ndere Troupe Center where we had planned to enjoy some Friday Afro Jazz, which we thought to be a good ending of the week. But here in Kampala you can not be sure of anything and we were definitely wrong in our first expectations – we were though, luckily surprized to sit in on a two hours’ performance of different East African traditional dances with traditional music and instruments. My face was hurting of a permanent smile during this show and the dancers made the whole theatre bounce and shake. Truly another amazing night in Kampala came to an end and the rest of the weekend were spent on sightseeing and pool dipping.

What can I say – Uganda treats us well!  

“Our sweet college Rebecca joint us for the show”

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3. Blog –  You pronounce Jinja like ginger

This second week of interning is hard to keep short in writing, I will try though. This week we have had the pleasure to work closely together with UNCDA. They have involved us greatly in their child obesity project and we have been going through, refined and finished the survey questionnaire for the project. We also sat in on a meeting they held for the volunteers to present the project and strategy and to go over the questionnaire, so they are well informed and better prepared for going to the secondary schools and conduct the survey. It is still unclear whether we are going as well, but I guess we will find out during this week. Though, we were happy to help out with some formalities concerning the project and it has given us a great deal of inside in how UNCDA approaches different types of obstacles that appears when planning a comprehensive project and furthermore, how they communicate and collaborates with the volunteers.

Besides this, we were so lucky that one of the women working at UNCDA invited us to join her at the Urban Refugee Program event UNCDA was invited to by Inter Aid. The organization should be represented at this outreach camp together with other organizations and federations. Together they created a small camp that was set up in a special part of town to reach out to the refugees and the community they are based in. The Urban Refugee Program works to support refugees’ access to improved means of livelihood in order to enhance their protection while in Kampala.  Our job that day was to do anthropometric measurements, calculate BMI, take blood pressure and the Diabetes Association had joined us to test for raised blood glucose levels. What we then could do, was to provide information about NCDs and advise those we found to be in high risk of developing NCDs. We experienced a flood of people coming in for a check and they seemed very grateful to have the opportunity. This is now I mention that all this was free of charge and everybody was welcome; refugees as well as locals. What I take for granted at home, such as a free doctor consultation, is not taken for granted in an area like we visited that day and I was reminded once again to appreciate those things in life. Besides getting a health check in our camp they could be informed about cancer by the Uganda Cancer Society, be consulted by eye and ear professionals, get information about family planning and be tested and informed about HIV/Aids by Inter Aid. It was indeed an amazing experience. To be able to interact with these people stepping onto the weight scale and communicating in different ways sometimes even without common language. You learn that what is perfectly normal for you can be totally new for others, like having to explain someone that stepping on a weight scale with a baby carried on the back is not the right way to measure one’s weight – luckily for me I got to hold them cute babies whenever a situation like that appeared. It was one of those days where you in the end is exhausted all the way into your bones but wear a permanent smile, so totally worth it and it made me reflect a lot upon my own life and my future carrier within public health.

Do not worry – we have not forgotten about our Promotion of Indigenous Food project. The office hours we have had besides the time we have spend on the UNCDA projects, was used on research and writing on a rapport we are doing as a background and stepping stone for the overall project on promoting nutritious indigenous foods for the prevention of NCDs. The rapport contains some background information on East Africa and the fast development of food culture the countries are facing due to rapid urbanization and in this context experiencing a nutrition transition relating to increased prevalence of NCDs. After some research, but also by living here for a while and observing available food commodities, we developed a list of indigenous foods and profiled the nutritional value of them. We are then going to use this list to make general diet recommendations, recommendations related to the different NCDs and furthermore, explore the possibility of modernize the traditional African cousin. This project is very ambitious and long-term, so we will only be here for the ground work and planning, but the prospects of its success became much more real when we got in contact with an African chef, who is already working on developing the traditional dishes. He is going to be an important part of this project and our hopes is to bring in some Danish chef’s as well (due to the cooperation between EANCDA and NCDA, Denmark). Yes, I know that was not short at all, sorry!

 After a long week as you may have noticed, we went on a weekend trip to the city Jinja located by the Lake Victoria and the source or out spring of the Nile. This was a much different atmosphere and speed than Kampala, which we all had been longing for. We had a few hours to explore the major city market and left with our hands full of new clothes and fresh fruits. Here I must add that the second hand clothes available here and in Kampala is extremely cheap and you are easily tempted to spend some money. In the afternoon we went on a boat ride that took us up the river Nile and to the source by Lake Victoria. We were alone on this trip and we enjoyed some peace and a beer on the river during sunset – this was extremely beautiful and idyllic and we felt lucky to be there at that moment. When we got back, we stayed by the river where there was located a small bar and the rest of the evening was spend playing pool and socializing with the locals. Later on our new friends took us to a festival event happening in town this Saturday and we suddenly found ourselves among loads of locals dancing closely in a big tent with live artists, this was where our African dance moves were put to a test and that was definitely to feel in legs and but cheeks the day after!

We had a great night and weekend in Jinja. This Monday morning it was back to work and charmingly chaotic Kampala.

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2. Blog - The local horrors and treasures

It has been a week since my first day at work and everything just keeps getting better. During the week we have explored different transport options to and from work to figure out which is the best option financial – and timewise. Conclusion is that they all kind of suck because of the horrible traffic and infrastructure. Therefore, we have chosen the cheapest option, which allows us to connect with the locals and “do it their way” by going with the city taxis aka small busses containing 12-14 people going in any direction possible in the city. They are all connected to the city center which makes it more manageable for us to get an overview of the system - but a week in is it all still very random why we are very happy about the time flexibility at the office! I say 12-14 people can fit in the bus, but it really depends on how many people they squeeze into the bus and not the number of seats available. It is very interesting and sometimes quite frustrating, but getting to work and back for a humble amount of 5 Danish kr. each together with the experience of almost sitting on the lap of strangers makes it worth the while (thumbs up!).

Working for EANCDA has so far been a pleasure! We’ve spend our first week mostly on planning and making a strategy for our stay here. At the same time, we have had the opportunity to help out the “sister organization” Uganda NCD Alliance with their current project within child obesity. In this project we get to work hands on with the school children and observe the professionals in their work routines including doing anthropometric measurements and later evaluate on findings to develop Information, Education and Communication (IEC) tools for the prevention of obesity, which I am very excited about!

“Speaking of child obesity” 

In order to promote indigenous foods for the prevention of NCDs, which is our main project objective, we had to brainstorm for possible interested parts to be involved in this project to increase the chance of success and sustainability. For example, David Mulabi, our boss and CEO of EANCDA (cool guy btw - further introduction will come), set up a meeting with a senior professor within the department of Food Technology, Nutrition and Bio-Engineering, Dr. Dorothy Nakimbugwe, at Markerere University. At the meeting we presented our project ideas and objectives to find out if she would have any interest in helping out and/or cooperate with the organization. She was very positive towards the project, provided us with material and studies done in this field and seemed open to further engagement. Besides the meeting, we walked around campus to have a look and a little story from David, who himself is a former student at the university – great day!

Outside the office we find ourselves surrounded by treasures besides off cause the previously mentioned traffic chaos. There is endless amounts of fresh, exotic and delicious fruits and vegetables on the markets and streets, which we are so grateful for and uses to the fullest. Considering the low prices on this local gold, there are really no excuses not to.

“This is Ggaba road - the main street close to where we live. Here we get on and off the taxi and usually pick something up on the way home”

“The picture below shows one of the several street vendors we pass to get home”

We are slowly getting to know the local norms and appropriate behaviors by observing, but also by consulting every special hire (normal taxi) or uber-driver we have used so far – in this traffic there is more than enough time to talk and we find people more than willing to share and vice versa are interested in our culture as well.

It has been a week filled with experiences and I wish I could share it all – but I will not tire you with long posts (too late.. wups). I think many will agree that no words or pictures really can justify the things experienced.

All from me this time - hope everybody is well!

“Mango Margaritas”

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1. Blog - Landing in Africa

The sun went down behind the horizon, colouring the sky every colour possible. In my small plain window, I could see the darkness slowly take over and soon it was all black. The only light I could see was the cities below looking like small bonfires. Not long after, the plain landed in Entebbe, Uganda and we took our first steps on the African continent.

We had a few days to settle down in our new apartment and experience our new neighbourhood and city. It is a very different culture and we have a lot to learn, luckily we both know that the best way to go about it is to get out there and among the locals. So far it has only been a positive experience and people here are so welcoming and helpful.

“Welcome to our kitchen”

“Relaxing in our apartment” #Cecilialovesthefan

Internship at East Africa NCD Alliance;

East Africa NCD Alliance is an organization uniting five east African countries. Uganda, Rwanda, Burundi, Kenya, Tanzania. We started today Monday 6. at the office in Kampala, Uganda where we are going to be based for the next two and a half months. The staff here is very sweet and we instantly felt welcome. The office is for both East Africa and Uganda NCD alliance as they work closely together.

The project we will be helping to start up in our time here is Promotion of indigenous foods for nutrition promotion and NCD prevention, which will be a combination of both research and promotion of healthier diet patterns for both adults and children. To be sure the outcome of this internship is relevant for my education I have, in collaboration with Cecilia my friend and co-student and my supervisors, developed some learning objectives that will hopefully be fulfilled during my work here.

They are as following:

-       Getting familiar with the practical workings of a NGO and the working collaborations with other NGOs/organizations (e.g. The diabetes and heart federations) and the cooperation across borders.

-       Skills within promoting healthy consumptions patterns with available indigenous food commodities and with respect for local food culture.

-       Improving communication and advocating skills.

I am sure that I will be able to reach these learning objectives doing this project, the prospects are at least very positive. But on this i will keep you updated! 

What is yet to come I am not sure of but I am very sure that this will be an amazing work experience as much as a personal adventure.

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Module 5&6 exam is coming up and we are getting ready. 

Doing exam work on a friday night is not the worst thing when you have pretty ladies to look at and wine in the glass! Next up is module 7 where we do our first internship. I can’t wait to follow my fellow students on their adventures, but obviously so excited for my own too. This is the reason why I (against my will) had to create this blog. 

Hopefully it will be filled with colours, smiles, dance and happiness. 

Uganda here I come!