Difference between pages "Health care and safety in Sierra Leone" and "Volunteers who served in Yemen"

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{{Health_care_and_safety_by_country}}
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{{Volunteerinfobox
 
+
|firstname=Kipp
The Peace Corps’ highest priority is maintaining the good
+
|lastname=Cozad
health and safety of each Volunteer. Peace Corps medical
+
|country=Yemen
programs emphasize the preventive, rather than the curative,
+
|yearservicestarted=1988
approach to disease. The Peace Corps maintains a clinic
+
|yearserviceended=1990
in Sierra Leone with a full-time medical officer, who takes
+
|site=Oozla
care of Volunteers’ primary health care needs. Additional
+
|region=Ba'adan
medical services, such as testing and basic treatment, are
+
|state=Missouri
also available in Sierra Leone at local hospitals. If you become
+
|uscity=Kansas City
seriously ill, you will be transported either to an American standard
+
|program=Education
medical facility in the region or to the United States.
+
}}
 
+
I served in a rural secondary school teaching English as a Second Language
==Health Issues in Sierra Leone==
+
 
+
Major health problems among Peace Corps Volunteers are rare
+
and are often the result of a Volunteer not taking preventive
+
measures to stay healthy.
+
 
+
The most common health problems here are minor ones that
+
are also found in the United States, such as colds, diarrhea,
+
hemorrhoids, constipation, sinus infections, skin infections,
+
headaches, dental problems, minor injuries, adjustment
+
disorders, emotional problems, and alcohol abuse. These
+
problems may be more frequent or compounded by life in
+
Sierra Leone because certain environmental factors here raise
+
the risk and/or exacerbate the severity of illness and injuries.
+
The most common major health concerns here are malaria,
+
amoebic dysentery, giardia, schistosomiasis, lassa fever,
+
dengue fever, sexually transmitted diseasses (STDs), and
+
HIV/AIDS.
+
 
+
Because malaria is endemic in Sierra Leone, Volunteers must
+
take anti-malarial medication and use other recommended
+
prevention strategies, including mosquito nets and insect
+
repellent. Amoebic dysentery and giardia can be avoided
+
by frequent hand washing, thoroughly washing fruits and
+
vegetables, and treating your drinking water. Additionally,
+
you can avoid contracting schistosomiasis by not swimming
+
or bathing in freshwater lakes, ponds, and rivers. The risk of
+
lassa fever can be decreased by taking measures to prevent
+
rodent infestation in the home. Personal protection methods
+
to prevent mosquito bites will lower the risk of dengue fever.
+
Practicing abstinence or safer sex will protect against STDs
+
and HIV.
+
 
+
===Helping You Stay Healthy===
+
 
+
The Peace Corps will provide you with all the necessary
+
inoculations, medications, and information to stay healthy.
+
Upon your arrival in Sierra Leone, you will receive a medical
+
handbook. During training, you will receive a medical kit with
+
supplies to take care of mild illnesses and first aid needs. The
+
contents of the kit are listed later in this chapter.
+
 
+
During pre-service training, you will have access to basic
+
medical supplies through your medical kit or the medical
+
officer. However, you will be responsible for your own supply
+
of prescription drugs and any other specific medical supplies
+
you require, as the Peace Corps will not order these items
+
during training. Please bring a three-month supply of any
+
prescription drugs you use, since they may not be available
+
here and it may take several months for shipments to arrive.
+
 
+
You will have physicals at midservice and at the end of your
+
service. If you develop a serious medical problem during
+
your service, the medical officer in Sierra Leone will consult
+
with the Office of Medical Services in Washington, D.C. If
+
it is determined that your condition cannot be treated in
+
Sierra Leone, you may be sent out of the country for further
+
evaluation and care.
+
 
+
===Maintaining Your Health===
+
 
+
As a Volunteer, you must accept considerable responsibility
+
for your own health. Proper precautions will significantly
+
reduce your risk of serious illness or injury. The adage “An
+
ounce of prevention …” becomes extremely important in
+
areas where diagnostic and treatment facilities are not up to
+
the standards of the United States. The most important of
+
your responsibilities in Sierra Leone is to take the following
+
preventive measures:
+
 
+
It is extremely important to fully comply with the
+
recommended drug regimen to prevent malaria. Malaria can
+
be rapidly fatal in people who have no natural immunity to
+
the disease (like Volunteers). Thus, it is mandatory that you
+
take your malaria prophylaxis regularly. Your medical officer
+
will discuss specific recommendations for the prevention of
+
malaria when you arrive in Sierra Leone. Also important is
+
preventing mosquito bites, with the use of mosquito nets and
+
insect repellent.
+
 
+
Volunteers will be taught health preventions strategies during
+
the medical sessions in pre-service training. It is essential
+
to apply these lessons in your daily life in Sierra Leone to
+
prevent significant illnesses.
+
 
+
Volunteers must also adhere to recommended standards
+
for food and water preparation. Many illnesses that afflict
+
Volunteers worldwide are entirely preventable if proper food
+
and water precautions are taken. These illnesses include food
+
poisoning, parasitic infections, hepatitis A, dysentery, Guinea
+
worms, tapeworms, and typhoid fever. Your medical officer
+
will discuss specific standards for water and food preparation
+
in Sierra Leone during pre-service training.
+
 
+
Abstinence is the only certain choice for preventing infection
+
with HIV and other sexually transmitted diseases. You are
+
taking risks if you choose to be sexually active. To lessen risk,
+
use a condom every time you have sex. Whether your partner
+
is a host country citizen, a fellow Volunteer, or anyone else, do
+
not assume this person is free of HIV/AIDS or other STDs. You
+
will receive more information from the medical officer about
+
this important issue.
+
 
+
Volunteers are expected to adhere to an effective means
+
of birth control to prevent an unplanned pregnancy. Your
+
medical officer can help you decide on the most appropriate
+
method to suit your individual needs. Contraceptive methods
+
are available without charge from the medical officer.
+
It is critical to your health that you promptly report to the
+
medical office or other designated facility for scheduled
+
immunizations, and that you let the medical officer know
+
immediately of significant illnesses and injuries.
+
 
+
===Women’s Health Information===
+
 
+
Pregnancy is treated in the same manner as other Volunteer
+
health conditions that require medical attention but also have
+
programmatic ramifications. The Peace Corps is responsible
+
for determining the medical risk and the availability of
+
appropriate medical care if the Volunteer remains in-country.
+
Given the circumstances under which Volunteers live and
+
work in Peace Corps countries, it is rare that the Peace
+
Corps’ medical and programmatic standards for continued
+
service during pregnancy can be met. Generally, Volunteers
+
who become pregnant are medically separated or medically
+
evacuated to Washingon for pregnancy counseling.
+
 
+
If feminine hygiene products are not available for you to
+
purchase on the local market, the Peace Corps medical officer
+
in Sierra Leone will provide them. If you require a specific
+
product, please bring a three-month supply with you. Many
+
Volunteers find that using a menstrual cup, such as the Diva
+
Cup or the Keeper, is easier than pads or tampons. You should
+
consider bringing several cups with you.
+
 
+
===Your Peace Corps Medical Kit===
+
 
+
The Peace Corps medical officer will provide you with a kit
+
that contains basic items necessary to prevent and treat
+
illnesses that may occur during service. Kit items can be
+
periodically restocked at the medical office.
+
 
+
====Medical Kit Contents====
+
 
+
Ace bandages <br>
+
Adhesive tape <br>
+
American Red Cross First Aid & Safety Handbook <br>
+
Antacid tablets (Tums) <br>
+
Antibiotic ointment (Bacitracin/Neomycin/Polymycin B) <br>
+
Antiseptic antimicrobial skin cleaner (Hibiclens) <br>
+
Band-Aids <br>
+
Butterfly closures <br>
+
Calamine lotion <br>
+
Cepacol lozenges <br>
+
Condoms <br>
+
Dental floss <br>
+
Diphenhydramine HCL 25 mg (Benadryl) <br>
+
Insect repellent stick (Cutter’s) <br>
+
Iodine tablets (for water purification) <br>
+
Lip balm (Chapstick) <br>
+
Oral rehydration salts <br>
+
Oral thermometer (Fahrenheit) <br>
+
Pseudoephedrine HCL 30 mg (Sudafed) <br>
+
Robitussin-DM lozenges (for cough) <br>
+
Scissors <br>
+
Sterile gauze pads <br>
+
Tetrahydrozaline eyedrops (Visine) <br>
+
Tinactin (antifungal cream) <br>
+
Tweezers <br>
+
 
+
===Before You Leave: A Medical Checklist===
+
 
+
If there has been any change in your health—physical, mental,
+
or dental—since you submitted your examination reports to
+
the Peace Corps, you must immediately notify the Office of
+
Medical Services. Failure to disclose new illnesses, injuries,
+
allergies, or pregnancy can endanger your health and may
+
jeopardize your eligibility to serve.
+
 
+
If your dental exam was done more than a year ago, or if your
+
physical exam is more than two years old, contact the Office
+
of Medical Services to find out whether you need to update
+
your records. If your dentist or Peace Corps dental consultant
+
has recommended that you undergo dental treatment or
+
repair, you must complete that work and make sure your
+
dentist sends requested confirmation reports or X-rays to the
+
Office of Medical Services.
+
 
+
If you wish to avoid having duplicate vaccinations, contact
+
your physician’s office to obtain a copy of your immunization
+
record and bring it to your pre-departure orientation. If you
+
have any immunizations prior to Peace Corps service, the
+
Peace Corps cannot reimburse you for the cost. The Peace
+
Corps will provide all the immunizations necessary for your
+
overseas assignment, either at your pre-departure orientation
+
or after you arrive in Sierra Leone. You do not need to begin
+
taking malaria medication prior to departure.
+
 
+
Bring a three-month supply of any prescription or over-thecounter
+
medication you use on a regular basis, including
+
birth control pills. Although the Peace Corps cannot
+
reimburse you for this three-month supply, it will order
+
refills during your service. Your refill may be a generic or
+
an equivalent medication. While awaiting shipment—which
+
can take several months—you will be dependent on your
+
own medication supply. The Peace Corps will not pay for
+
herbal or nonprescribed medications, such as St. John’s wort,
+
glucosamine, selenium, or antioxidant supplements.
+
 
+
You are encouraged to bring copies of medical prescriptions
+
signed by your physician. This is not a requirement, but they
+
might come in handy if you are questioned in transit about
+
carrying a three-month supply of prescription drugs.
+
 
+
If you wear eyeglasses, bring two pairs with you (both
+
with your current prescription)—a pair and a spare. If
+
a pair breaks, the Peace Corps will replace it, using the
+
information your doctor in the United States provided on
+
the eyeglasses form during your examination. The Peace
+
Corps discourages you from using contact lenses during your
+
service to reduce your risk of developing a serious infection
+
or other eye disease. Most Peace Corps countries do not have
+
appropriate water and sanitation to support eye care with
+
the use of contact lenses. The Peace Corps will not supply
+
or replace contact lenses or associated solutions unless an
+
ophthalmologist has recommended their use for a specific
+
medical condition and the Peace Corps’ Office of Medical
+
Services has given approval.
+
 
+
If you are eligible for Medicare, are over 50 years of age,
+
or have a health condition that may restrict your future
+
participation in health care plans, you may wish to consult
+
an insurance specialist about unique coverage needs before
+
your departure. The Peace Corps will provide all necessary
+
health care from the time you leave for your pre-departure
+
orientation until you complete your service. When you finish,
+
you will be entitled to the post-service health care benefits
+
described in the Peace Corps Volunteer Handbook. You may
+
wish to consider keeping an existing health plan in effect
+
during your service if you think age or pre-existing conditions
+
might prevent you from re-enrolling in your current plan
+
when you return home.
+
 
+
==Safety and Security—Our Partnership==
+
 
+
Serving as a Volunteer overseas entails certain safety
+
and security risks. Living and traveling in an unfamiliar
+
environment, a limited understanding of the local language
+
and culture, and the perception of being a wealthy American
+
are some of the factors that can put a Volunteer at risk.
+
Property theft and burglaries are not uncommon. Incidents
+
of physical and sexual assault do occur, although almost all
+
Volunteers complete their two years of service without serious
+
personal safety problems.
+
 
+
Beyond knowing that Peace Corps approaches safety and
+
security as a partnership with you, it might be helpful to see
+
how this partnership works. The Peace Corps has policies,
+
procedures, and training in place to promote your safety. We
+
depend on you to follow those policies and to put into practice
+
what you have learned. An example of how this works in
+
practice—in this case to help manage the risk of burglary—is:
+
 
+
* Peace Corps assesses the security environment where you will live and work
+
* Peace Corps inspects the house where you will live according to established security criteria
+
* Peace Corps provides you with resources to take measures such as installing new locks
+
* Peace Corps ensures you are welcomed by host country authorities in your new community
+
* Peace Corps responds to security concerns that you raise
+
* You lock your doors and windows
+
* You adopt a lifestyle appropriate to the community where you live
+
* You get to know neighbors
+
* You decide if purchasing personal articles insurance is appropriate for you
+
* You communicate concerns that you have to Peace Corps staff
+
 
+
This Welcome Book contains sections on: Living Conditions
+
and Volunteer Lifestyle; Peace Corps Training; and Your
+
Health Care and Safety that all include important safety and
+
security information to help you understand this partnership.
+
The Peace Corps makes every effort to give Volunteers the
+
tools they need to function in the safest way possible, because
+
working to maximize the safety and security of Volunteers is
+
our highest priority. Not only do we provide you with training
+
and tools to prepare for the unexpected, but we teach you to
+
identify, reduce, and manage the risks you may encounter.
+
 
+
===Factors that Contribute to Volunteer Risk===
+
 
+
There are several factors that can heighten a Volunteer’s
+
risk, many of which are within the Volunteer’s control. By far
+
the most common crime that Volunteers experience is theft.
+
Thefts often occur when Volunteers are away from their
+
sites, in crowded locations (such as markets or on public
+
transportation), and when leaving items unattended.
+
 
+
Before you depart for Sierra Leone there are several measures
+
you can take to reduce your risk:
+
 
+
* Leave valuable objects in the U.S.
+
* Leave copies of important documents and account numbers in the U.S. with someone you trust
+
* Purchase a hidden money pouch or “dummy” wallet as a decoy
+
* Purchase personal articles insurance
+
 
+
After you arrive in Sierra Leone, you will receive more
+
detailed information about common crimes, factors that
+
contribute to Volunteer risk, and local strategies to reduce
+
that risk. For example, Volunteers in Sierra Leone learn to:
+
 
+
* Choose safe routes and times for travel, and travel with someone trusted by the community whenever possible
+
* Make sure one’s personal appearance is respectful of local customs
+
* Avoid high-crime areas
+
* Know the local language to get help in an emergency
+
* Make friends with local people who are respected in the community
+
* Limit alcohol consumption
+
 
+
As you can see from this list, you have to be willing to work
+
hard and adapt your lifestyle to minimize the potential for
+
being a target for crime. As with anywhere in the world,
+
crime does exist in Sierra Leone. You can reduce your risk
+
by avoiding situations that place you at risk and by taking
+
precautions. Crime at the village or town level is less frequent
+
than in large cities; people know each other and generally are
+
less likely to steal from their neighbors. Tourist attractions in
+
large towns are favorite worksites for pickpockets.
+
 
+
The following are particular security concerns in Sierra Leone
+
of which you should be aware:
+
 
+
* Unsafe transportation in taxis, minibuses, and trucks
+
* In the major towns, especially Freetown, petty theft and pickpocketing of wallets, purses, cellphones, etc. occur in crowded markets, nightclubs/discos and/or expensive/nicer restaurants
+
 
+
Volunteers tend to attract a lot of attention both in large cities
+
and at their sites, but they are more likely to receive negative
+
attention in highly populated centers, and away from their
+
support network —friends and colleagues—who look out for
+
them. While whistles and exclamations may be fairly common
+
on the street, this behavior can be reduced if you dress
+
conservatively, abide by local cultural norms, and respond
+
according to the training you will receive.
+
 
+
===Staying Safe: Don’t Be a Target for Crime===
+
 
+
You must be prepared to take on a large degree of
+
responsibility for your own safety. You can make yourself less
+
of a target, ensure that your home is secure, and develop
+
relationships in your community that will make you an
+
unlikely victim of crime. While the factors that contribute
+
to your risk in Sierra Leone may be different, in many ways
+
you can better assure your safety by doing what you would
+
do if you moved to a new city anywhere: Be cautious, check
+
things out, ask questions, learn about your neighborhood,
+
know where the more risky locations are, use common sense,
+
and be aware. You can reduce your vulnerability to crime by
+
integrating into your community, learning the local language,
+
acting responsibly, and abiding by Peace Corps policies and
+
procedures. Serving safely and effectively in Sierra Leone will
+
require that you accept some restrictions on your current
+
lifestyle.
+
 
+
===Support from Staff===
+
 
+
If a trainee or Volunteer is the victim of a safety incident,
+
Peace Corps staff is prepared to provide support. All Peace
+
Corps posts have procedures in place to respond to incidents
+
of crime committed against Volunteers. The first priority
+
for all posts in the aftermath of an incident is to ensure the
+
Volunteer is safe and receiving any medical treatment that
+
is required. After assuring the safety of the Volunteer, Peace
+
Corps staff members’ response may include reassessing the
+
Volunteer’s worksite and housing arrangements and making
+
any adjustments, as needed. In some cases, the nature of the
+
incident may necessitate a site or housing transfer. Peace
+
Corps staff will also assist Volunteers with preserving their
+
rights to pursue legal sanctions against the perpetrators of the
+
crime. It is very important that Volunteers report incidents as
+
they occur, not only to protect their peer Volunteers, but also
+
to preserve the future right to prosecute. Should Volunteers
+
decide later in the process that they want to proceed with the
+
prosecution of their assailant, this option may no longer exist
+
if the evidence of the event has not been preserved at the
+
time of the incident.
+
 
+
Few Peace Corps Volunteers are victims of serious crimes and
+
crimes that do occur overseas are investigated and prosecuted
+
by local authorities through the local criminal justice system.
+
If you are the victim of a crime, you will decide if you wish to
+
pursue prosecution. If you decide to prosecute, Peace Corps
+
will be there to assist you. One of our tasks is to ensure you
+
are fully informed of your options and understand how the
+
local legal process works. Peace Corps will help you ensure
+
your rights are protected to the fullest extent possible under
+
the laws of the country.
+
 
+
If you are the victim of a serious crime, you will learn how to
+
get to a safe location as quickly as possible and contact your
+
Peace Corps office. It’s important that you notify Peace Corps
+
as soon as you can so Peace Corps can provide you with the
+
help you need.
+
 
+
===Volunteer Safety Support in Sierra Leone===
+
 
+
The Peace Corps’ approach to safety is a five-pronged plan
+
to help you stay safe during your service and includes the
+
following: information sharing, Volunteer training, site
+
selection criteria, a detailed emergency action plan, and
+
protocols for addressing safety and security incidents. Sierra
+
Leone’s in-country safety program is outlined below.
+
 
+
The Peace Corps/Sierra Leone office will keep you informed
+
of any issues that may impact Volunteer safety through
+
information sharing. Regular updates will be provided in
+
Volunteer newsletters and in memorandums from the country
+
director. In the event of a critical situation or emergency,
+
you will be contacted through the emergency communication
+
network. An important component of the capacity of the
+
Peace Corps to keep you informed is your buy-in to the
+
partnership concept with the Peace Corps staff. It is expected
+
that you will do your part in ensuring that Peace Corps staff
+
members are kept apprised of your movements in-country so
+
that they are capable of informing you.
+
 
+
Volunteer training will include sessions on specific safety and
+
security issues in Sierra Leone. This training will prepare
+
you to adopt a culturally appropriate lifestyle and exercise
+
judgment that promotes safety and reduces risk in your
+
home, at work, and while traveling. Safety training is offered
+
throughout service and is integrated into the language, crosscultural
+
aspects, health, and other components of training.
+
You will be expected to successfully complete all training
+
competencies in a variety of areas, including safety and
+
security, as a condition of service.
+
 
+
Certain site selection criteria are used to determine safe
+
housing for Volunteers before their arrival. The Peace Corps
+
staff works closely with host communities and counterpart
+
agencies to help prepare them for a Volunteer’s arrival and to
+
establish expectations of their respective roles in supporting
+
the Volunteer. Each site is inspected before the Volunteer’s
+
arrival to ensure placement in appropriate, safe, and secure
+
housing and worksites. Site selection is based, in part, on
+
any relevant site history; access to medical, banking, postal,
+
and other essential services; availability of communications,
+
transportation, and markets; different housing options and
+
living arrangements; and other Volunteer support needs.
+
 
+
You will also learn about Peace Corps/Sierra Leone’s detailed
+
emergency action plan, which is implemented in the event of
+
civil or political unrest or a natural disaster. When you arrive
+
at your site, you will complete and submit a site locator
+
form with your address, contact information, and a map to
+
your house. If there is a security threat, you will gather with
+
other Volunteers in Sierra Leone at predetermined locations
+
until the situation is resolved or the Peace Corps decides to
+
evacuate.
+
 
+
Finally, in order for the Peace Corps to be fully responsive
+
to the needs of Volunteers, it is imperative that Volunteers
+
immediately report any security incident to the Peace
+
Corps office. The Peace Corps has established protocols
+
for addressing safety and security incidents in a timely and
+
appropriate manner, and it collects and evaluates safety
+
and security data to track trends and develop strategies to
+
minimize risks to future Volunteers.
+

Latest revision as of 11:42, 21 May 2014



{{#if:Kipp|Firstname::Kipp|}} {{#if:|[[Middlename::{{{middlename}}}]]|}} {{#if:Cozad|Lastname::Cozad|}}{{#if:Yemen||}}

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Country Served in::Yemen
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Group Code|}} ,|x|Group code was::x}}
Site(s)|}} ,|x|Name of community was::x}}{{#arraymap:|,|x|, Name of community was::x}}{{#arraymap:|,|x|, Name of community was::x}}
Region(s)|}} ,|x|Name of region was::x}}{{#arraymap:|,|x|, Name of region was::x}}{{#arraymap:|,|x|,Name of region was::x}}
Program(s)|}} Served in sector::Education|}}{{#if:|,[[Served in sector::{{{program2}}}]]|}}{{#if:|,[[Served in sector::{{{program3}}}]]|}}
Assignment(s)|}} [[Primary assignment was::{{{assignment01}}}]]|}}{{#if:|,[[Primary assignment was::{{{assignment02}}}]]|}}{{#if:|,[[Primary assignment was::{{{assignment03}}}]]|}}
From US state|}} ,|x|Is from state::x}}
From US town/city|}} ,|x|Is from town or city::x}}
{{#if:1988|Volunteer name was::Kipp Cozad|}} {{#if:1988|started in Yemen 1988|}}
{{#if:1988|{{#ask:Served in::YemenStarted service in::1988|format=list|limit=15}}|}}
{{#if:Ba'adan|Region: Ba'adan|}}
{{#if:Ba'adan|{{#ask:Served in::YemenName of region was::Ba'adan|format=list|limit=15}}|}}
{{#if:|Region: [[{{{region2}}}]]|}}
{{#if:|{{#ask:Served in::Yemen[[Name of region was::{{{region2}}}]]|format=list|limit=15}}|}}
{{#if:Education|Education in Yemen: |}}{{#ifexist:Education|25px|}}
{{#if:Education|{{#ask:Served in sector::EducationServed in::Yemen|format=list|limit=10}}|}}
{{#if:|{{{program2}}} in [[:Category:Yemen_{{{program2}}}|Yemen]]: |}}{{#ifexist:|[[Image:{{{program2}}}.gif|25px]]|}}
{{#if:|{{#ask:[[Served in sector::{{{program2}}}]]Served in::Yemen|format=list|limit=10}}|}}
Other Volunteers who served in Yemen{{#if:Yemen|:|}}
{{#ask:Served in::Yemen|format=list|limit=15}}
Projects in Yemen{{#if:Yemen|:|}}
{{#ask:Project in::Yemen|format=list}}
Don't see yourself, Add yourself or a friend!

Enter your first and last name{{#forminput:Volunteer}}

{{#if:|Mapped Volunteers around Yemen (1).|}}

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I served in a rural secondary school teaching English as a Second Language