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Doing well with what you have

There’s making do with what you have and doing well with what you have.  The staff of the Elmina Urban Health Centre do much more of the latter.  

 

Foregoing the excess packaging and attendant disposal requirements of individually wrapped band-aids, after a blood draw, patients are given a swab of unwoven cotton torn from a forearm-length bolt.  Before their blood is even drawn, a piece of IV tubing suffices for a tourniquet.  The plastic tubing offers an unintentional integrated safety mechanism.  It snaps if pulled too tightly.  For blood samples that must dessicate before or after staining, louvered windows, placed to catch the scant from a clinic courtyard, can be tilted to become a perfect drying shelf.  For those serum tests, like typhoid, that must be rocked and checked for agglutination, a ceramic floor tile is an excellent tool.  Its white surface provides a contrast with serum or whole blood, and its adsorbent surface assures neat mixing of serum particles.  Economically placed, up to 35 samples can fit on a single tile. 

 

In our home hospitals and clinics, with their myriad specialized gadgets, it’s easy to forget that things need not be purpose-made to be useful.  Indeed, pressing everyday articles into sophisticated uses reflects and cultivates a versatility of mind that is priceless in any setting.

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The International Cardiovascular Health Alliance (ICHA) is a 501(c)(3) non-profit organization dedicated to promoting cardiovascular health in the developing world. ICHA works closely with local clinics and community organizations to provide knowledge and tools to prevent cardiovascular disease.
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