WEBVTT 00:00.466 --> 00:02.466 align:left position:27.5% line:83% size:62.5% (soft music) 00:16.700 --> 00:18.466 align:left position:27.5% line:83% size:62.5% (upbeat music) 00:18.466 --> 00:21.000 align:left position:10% line:77% size:80% - We're in Boston right now, we'll be flying to Portugal. 00:21.000 --> 00:23.300 align:left position:10% line:83% size:80% That will be our next stop befor 00:23.300 --> 00:28.100 align:left position:27.5% line:77% size:62.5% (upbeat music) (plane engine roaring) 00:28.100 --> 00:30.066 align:left position:10% line:83% size:80% We just got to Lisbon, Portugal, 00:30.066 --> 00:32.033 align:left position:10% line:83% size:80% we have about a four hour layove 00:32.033 --> 00:34.633 align:left position:27.5% line:83% size:62.5% (upbeat music) 00:40.033 --> 00:43.300 align:left position:17.5% line:83% size:72.5% (plane engine roaring) 00:47.733 --> 00:49.133 align:left position:20% line:83% size:70% We made it to Ghana! 00:49.133 --> 00:50.666 align:left position:27.5% line:83% size:62.5% (all cheering) 00:52.166 --> 00:54.600 align:left position:27.5% line:83% size:62.5% (soft music) 01:14.233 --> 01:17.033 align:left position:10% line:77% size:80% - On our bus ride in though, I was a little bit shocked 01:17.033 --> 01:20.200 align:left position:12.5% line:77% size:77.5% at the living conditions that we had passed. 01:21.633 --> 01:24.533 align:left position:10% line:83% size:80% - First I would say it was extre 01:24.533 --> 01:27.300 align:left position:10% line:83% size:80% which I expected and very humid. 01:27.300 --> 01:30.200 align:left position:10% line:83% size:80% The city was a lot bigger than I 01:30.200 --> 01:32.500 align:left position:12.5% line:77% size:77.5% I don't know why I expected it to be a lot smaller, 01:32.500 --> 01:35.100 align:left position:22.5% line:83% size:67.5% but it was huge. 01:35.100 --> 01:37.066 align:left position:20% line:77% size:70% - I thought the only surprises really were just 01:37.066 --> 01:39.833 align:left position:10% line:77% size:80% the amount of goats and chickens that are running around. 01:41.966 --> 01:42.566 align:left position:10% line:83% size:80% - First impressions, very differ 01:44.533 --> 01:46.700 align:left position:10% line:83% size:80% than anything I've experienced. 01:46.700 --> 01:49.266 align:left position:10% line:83% size:80% - I did have some culture shock. 01:49.266 --> 01:51.366 align:left position:10% line:83% size:80% It was far from what I expected 01:51.366 --> 01:53.933 align:left position:17.5% line:77% size:72.5% and what I imagined in my head and even though 01:53.933 --> 01:55.800 align:left position:10% line:83% size:80% I have prepared a little bit, 01:55.800 --> 01:57.866 align:left position:10% line:83% size:80% especially for the clinical aspe 01:57.866 --> 01:59.733 align:left position:10% line:83% size:80% I don't think you can really pre 02:02.900 --> 02:05.666 align:left position:22.5% line:83% size:67.5% (dramatic music) 02:06.566 --> 02:08.766 align:left position:17.5% line:83% size:72.5% - I'm excited honestly. 02:08.766 --> 02:10.333 align:left position:10% line:83% size:80% I was kind of tired last night. 02:10.333 --> 02:12.133 align:left position:25% line:83% size:65% Got a good sleep. 02:12.133 --> 02:14.166 align:left position:12.5% line:77% size:77.5% Woke up to some roosters crowing this morning. 02:14.166 --> 02:16.600 align:left position:25% line:83% size:65% (rooster crowing) 02:16.600 --> 02:18.600 align:left position:15% line:77% size:75% I'm very excited for what the week has to hold. 02:18.600 --> 02:20.933 align:left position:10% line:83% size:80% I think that we're gonna get a l 02:20.933 --> 02:25.000 align:left position:12.5% line:77% size:77.5% meet some cool people, I think we have a lot to learn. 02:25.000 --> 02:27.400 align:left position:27.5% line:83% size:62.5% (soft music) 02:31.866 --> 02:34.500 align:left position:12.5% line:77% size:77.5% - [Shelby] We've definitely turned the clinic around 02:34.500 --> 02:36.533 align:left position:12.5% line:83% size:77.5% it was a bare empty church. 02:36.533 --> 02:38.400 align:left position:10% line:83% size:80% And then I felt like before I kn 02:38.400 --> 02:40.200 align:left position:10% line:83% size:80% seats were filled with patients. 02:41.933 --> 02:45.066 align:left position:20% line:77% size:70% - I think that we're getting along really well. 02:45.066 --> 02:46.800 align:left position:12.5% line:83% size:77.5% We got some PT students. 02:46.800 --> 02:48.700 align:left position:22.5% line:77% size:67.5% - Do you think it's contributing to your back pain? 02:48.700 --> 02:49.966 align:left position:20% line:83% size:70% - [Owen] Pharmacy. 02:49.966 --> 02:51.233 align:left position:12.5% line:83% size:77.5% - Have you ever breastfed? 02:51.233 --> 02:52.400 align:left position:17.5% line:83% size:72.5% - [Owen] Public health. 02:52.400 --> 02:54.233 align:left position:10% line:83% size:80% - Do they treat you with respect 02:54.233 --> 02:57.333 align:left position:10% line:83% size:80% - Social work, as well as nursin 02:57.333 --> 02:58.933 align:left position:10% line:83% size:80% and it's really just been great 02:58.933 --> 03:02.200 align:left position:10% line:77% size:80% get everyone working together and the gears are meshing. 03:03.900 --> 03:07.900 align:left position:17.5% line:77% size:72.5% - I guess, I just hope to learn how people here 03:07.900 --> 03:10.966 align:left position:15% line:77% size:75% have become so resilient, how they get through 03:10.966 --> 03:14.200 align:left position:10% line:83% size:80% some of the things that they're 03:14.200 --> 03:16.066 align:left position:10% line:83% size:80% and maybe bring that back to my 03:16.066 --> 03:17.933 align:left position:10% line:83% size:80% and some of the patients that I 03:17.933 --> 03:19.133 align:left position:20% line:83% size:70% to teach resilience. 03:20.933 --> 03:21.766 align:left position:40% line:83% size:50% - Ah. 03:21.766 --> 03:23.200 align:left position:27.5% line:83% size:62.5% (kids cheering) 03:23.200 --> 03:25.566 align:left position:10% line:83% size:80% - Today, we kind of saw it comin 03:25.566 --> 03:27.733 align:left position:20% line:77% size:70% in the clinical a bit helping each other out. 03:27.733 --> 03:29.966 align:left position:20% line:83% size:70% [Indistinct chatter] 03:29.966 --> 03:31.233 align:left position:10% line:83% size:80% I do believe that throughout the 03:31.233 --> 03:33.866 align:left position:10% line:77% size:80% it's really just gonna become like a well oiled machine. 03:33.866 --> 03:36.266 align:left position:27.5% line:83% size:62.5% (soft music) 03:44.266 --> 03:46.833 align:left position:27.5% line:83% size:62.5% (upbeat music) 03:50.700 --> 03:52.866 align:left position:12.5% line:83% size:77.5% - [Kids] Hello from Ghana. 03:56.400 --> 03:58.466 align:left position:10% line:77% size:80% - [Narrator] The Ghana Cross Cultural Health Immersion 03:58.466 --> 04:03.266 align:left position:10% line:77% size:80% Program was born of a chance meeting in an airport in 1993. 04:03.266 --> 04:06.433 align:left position:10% line:83% size:80% - I had opportunity to travel to 04:06.433 --> 04:08.533 align:left position:10% line:83% size:80% for the first time in my life. 04:08.533 --> 04:10.166 align:left position:17.5% line:83% size:72.5% (plane engine roaring) 04:10.166 --> 04:12.833 align:left position:10% line:83% size:80% It was quite an adventurous jour 04:12.833 --> 04:14.033 align:left position:22.5% line:83% size:67.5% God was with me. 04:15.333 --> 04:17.433 align:left position:12.5% line:77% size:77.5% - [Narrator] Lita McHenry, a registered nurse 04:17.433 --> 04:20.066 align:left position:12.5% line:77% size:77.5% and longtime faculty at the University of Massachusetts, 04:20.066 --> 04:24.333 align:left position:10% line:77% size:80% Amherst and the Reverend Robert Andoh, a well known pastor 04:24.333 --> 04:28.066 align:left position:12.5% line:77% size:77.5% in Ghana's western region, struck up a conversation 04:28.066 --> 04:30.333 align:left position:10% line:83% size:80% that led to a long lasting partn 04:31.733 --> 04:34.033 align:left position:25% line:77% size:65% Andoh and McHenry envisioned an equal exchange 04:34.033 --> 04:37.800 align:left position:10% line:77% size:80% of knowledge and culture that could benefit both sides. 04:37.800 --> 04:40.666 align:left position:10% line:77% size:80% They worked out a plan to bring UMass faculty and students 04:40.666 --> 04:44.200 align:left position:12.5% line:77% size:77.5% to Ghana, in partnership with the Ghana Health Service 04:44.200 --> 04:46.566 align:left position:10% line:83% size:80% and the local University of Cape 04:48.700 --> 04:52.000 align:left position:17.5% line:77% size:72.5% When McHenry retired in 2008, she looked to former 04:52.000 --> 04:54.933 align:left position:17.5% line:77% size:72.5% UMass doctoral student and mentee Jennifer Morton 04:54.933 --> 04:57.266 align:left position:12.5% line:77% size:77.5% to take over administration of the program. 04:58.800 --> 05:01.733 align:left position:17.5% line:77% size:72.5% Morton was born on the nursing faculty at UNE, 05:01.733 --> 05:03.300 align:left position:10% line:83% size:80% and McHenry was intrigued by UNE 05:03.300 --> 05:05.766 align:left position:12.5% line:77% size:77.5% interprofessional approach to health education 05:07.600 --> 05:08.900 align:left position:17.5% line:83% size:72.5% and collaborative care. 05:10.400 --> 05:13.100 align:left position:12.5% line:77% size:77.5% Perhaps more important was the philosophical alignment 05:13.100 --> 05:14.300 align:left position:17.5% line:83% size:72.5% between the two women. 05:15.500 --> 05:18.800 align:left position:15% line:77% size:75% McHenry trusted Morton to continue to lead the program 05:18.800 --> 05:21.366 align:left position:10% line:83% size:80% according to its original vision 05:21.366 --> 05:23.400 align:left position:10% line:83% size:80% - I knew when I became a faculty 05:23.400 --> 05:25.600 align:left position:17.5% line:77% size:72.5% that this was something I wanted to continue 05:25.600 --> 05:29.133 align:left position:17.5% line:77% size:72.5% and I wanted to follow Lita McHenry's legacy 05:29.133 --> 05:32.166 align:left position:12.5% line:77% size:77.5% and exposing students to something so important. 05:35.433 --> 05:38.000 align:left position:27.5% line:83% size:62.5% (upbeat music) 05:43.100 --> 05:47.333 align:left position:12.5% line:77% size:77.5% - We're hoping to see at least 50 people today. 05:47.333 --> 05:49.600 align:left position:10% line:83% size:80% We have some of the nurses over 05:49.600 --> 05:52.833 align:left position:15% line:77% size:75% Yesterday, unfortunately, our blood pressure machines 05:52.833 --> 05:56.133 align:left position:10% line:77% size:80% weren't working but they got them all up and running now. 05:56.133 --> 05:58.166 align:left position:20% line:83% size:70% They're very excited. 05:58.166 --> 06:00.233 align:left position:10% line:83% size:80% We have our pharmacy students ov 06:00.233 --> 06:03.400 align:left position:10% line:83% size:80% we got some more medication last 06:03.400 --> 06:05.766 align:left position:12.5% line:83% size:77.5% which is super exciting. 06:05.766 --> 06:08.433 align:left position:10% line:83% size:80% We have our physical therapists 06:08.433 --> 06:11.966 align:left position:10% line:83% size:80% getting ready to teach some exer 06:11.966 --> 06:15.600 align:left position:10% line:83% size:80% And we have an optometrist up th 06:15.600 --> 06:19.066 align:left position:15% line:77% size:75% And social work, we'll be doing some exit surveys, 06:19.066 --> 06:21.466 align:left position:10% line:83% size:80% and we also have public health. 06:21.466 --> 06:23.200 align:left position:10% line:83% size:80% We're doing some research, which 06:23.200 --> 06:24.833 align:left position:10% line:83% size:80% really exciting to see the resul 06:24.833 --> 06:26.933 align:left position:12.5% line:83% size:77.5% So we're excited for today 06:26.933 --> 06:29.600 align:left position:10% line:83% size:80% and hope we can help a lot of pe 06:29.600 --> 06:32.200 align:left position:27.5% line:83% size:62.5% (upbeat music) 06:36.566 --> 06:38.700 align:left position:10% line:83% size:80% - I'm Katie, I'm at the nurse's 06:38.700 --> 06:41.100 align:left position:10% line:83% size:80% here in Ghana, I'm with Owen. 06:41.100 --> 06:43.500 align:left position:35% line:83% size:55% - Hey. 06:43.500 --> 06:45.666 align:left position:10% line:83% size:80% - And well, I'm at the lab stati 06:45.666 --> 06:50.233 align:left position:10% line:77% size:80% so we're testing for malaria, we're drawing blood sugars, 06:50.233 --> 06:53.666 align:left position:25% line:77% size:65% we're doing urine analysis, checking to see 06:53.666 --> 06:55.733 align:left position:10% line:83% size:80% how people's kidneys are doing. 06:55.733 --> 06:58.266 align:left position:10% line:83% size:80% Making sure they don't have diab 06:58.266 --> 06:59.533 align:left position:10% line:83% size:80% (speaking in foreign language) 06:59.533 --> 07:02.366 align:left position:12.5% line:77% size:77.5% People here, their blood sugars, blood pressures 07:02.366 --> 07:03.533 align:left position:10% line:83% size:80% seem to run a little bit high. 07:03.533 --> 07:05.900 align:left position:10% line:83% size:80% So we're trying to get an idea o 07:05.900 --> 07:07.966 align:left position:10% line:83% size:80% and keep everything under contro 07:07.966 --> 07:10.633 align:left position:12.5% line:77% size:77.5% And if we see some numbers that we don't like, 07:10.633 --> 07:13.066 align:left position:10% line:83% size:80% we'll send them over to pharmacy 07:13.066 --> 07:15.833 align:left position:10% line:83% size:80% - We're running into a lot of in 07:15.833 --> 07:16.966 align:left position:42.5% line:83% size:47.5% and 07:16.966 --> 07:18.100 align:left position:22.5% line:83% size:67.5% skin infections, 07:18.100 --> 07:21.000 align:left position:25% line:77% size:65% upper respiratory infections, lots of anemia. 07:21.000 --> 07:23.700 align:left position:10% line:83% size:80% We're seeing a lot of pain and s 07:23.700 --> 07:25.400 align:left position:10% line:83% size:80% we're just trying to really like 07:25.400 --> 07:28.666 align:left position:10% line:77% size:80% and that way we can stay ahead of the game a little bit. 07:28.666 --> 07:30.866 align:left position:10% line:83% size:80% We've labeled a lot of things, 07:30.866 --> 07:33.066 align:left position:10% line:83% size:80% prepackaged lots of pain medicat 07:33.066 --> 07:34.900 align:left position:12.5% line:83% size:77.5% like Ibuprofen and Tylenol. 07:35.833 --> 07:38.600 align:left position:15% line:77% size:75% - And did they ask you to follow up at a hospital 07:38.600 --> 07:39.933 align:left position:12.5% line:83% size:77.5% or go get more medicine? 07:39.933 --> 07:43.400 align:left position:12.5% line:77% size:77.5% - What we do on day three, once folks are comfortable 07:43.400 --> 07:46.666 align:left position:12.5% line:77% size:77.5% with the flow, is we start interchanging students 07:46.666 --> 07:49.666 align:left position:10% line:77% size:80% in some of the different areas so they get an experience 07:49.666 --> 07:51.900 align:left position:20% line:77% size:70% of what the different disciplines have to offer. 07:51.900 --> 07:53.800 align:left position:10% line:83% size:80% For example, a nursing student 07:53.800 --> 07:56.600 align:left position:10% line:83% size:80% may cross train over in physioth 07:56.600 --> 08:00.100 align:left position:20% line:77% size:70% A physiotherapist may cross train over in intake. 08:00.100 --> 08:03.133 align:left position:22.5% line:77% size:67.5% Nursing student may spend time doing pharmacy 08:03.133 --> 08:05.533 align:left position:10% line:83% size:80% technician work in the pharmacy. 08:05.533 --> 08:09.300 align:left position:17.5% line:77% size:72.5% All of these things are important, as students learn 08:09.300 --> 08:13.233 align:left position:10% line:77% size:80% to really understand what the roles and responsibilities are 08:13.233 --> 08:15.833 align:left position:10% line:83% size:80% of other health professions, dis 08:18.266 --> 08:20.833 align:left position:27.5% line:83% size:62.5% (gentle music) 08:23.233 --> 08:25.600 align:left position:10% line:83% size:80% - I've done some traveling but n 08:25.600 --> 08:28.133 align:left position:17.5% line:77% size:72.5% with my nursing skills that I've learned at UNE. 08:28.133 --> 08:30.700 align:left position:10% line:83% size:80% And Maine is really becoming div 08:30.700 --> 08:32.066 align:left position:10% line:83% size:80% so I think it's kind of importan 08:32.066 --> 08:34.633 align:left position:15% line:77% size:75% that cultural sensitivity going into my profession. 08:36.566 --> 08:39.500 align:left position:15% line:77% size:75% We've been doing clinic for about four days now. 08:39.500 --> 08:43.766 align:left position:17.5% line:77% size:72.5% And it's been a really great experience so far. 08:43.766 --> 08:46.566 align:left position:17.5% line:77% size:72.5% At first, I was having a little bit of, I guess 08:46.566 --> 08:49.966 align:left position:12.5% line:77% size:77.5% spiritual issues because I kind of came here 08:49.966 --> 08:52.666 align:left position:17.5% line:77% size:72.5% and I wasn't, I didn't really know what to expect 08:52.666 --> 08:55.333 align:left position:17.5% line:77% size:72.5% and from seeing all the patients and what was going on, 08:55.333 --> 08:59.200 align:left position:17.5% line:77% size:72.5% especially little kids that had some malnutrition. 08:59.200 --> 09:01.466 align:left position:30% line:83% size:60% (baby crying) 09:01.466 --> 09:05.833 align:left position:15% line:77% size:75% I felt like, why do I get to live the life I live? 09:05.833 --> 09:08.633 align:left position:10% line:83% size:80% I hear you, I think I already di 09:10.433 --> 09:11.400 align:left position:35% line:83% size:55% Ready? 09:11.600 --> 09:15.200 align:left position:15% line:77% size:75% And it was really helpful to have my teachers 09:15.200 --> 09:18.166 align:left position:15% line:77% size:75% and my colleagues here to be able to debrief that 09:18.166 --> 09:20.600 align:left position:12.5% line:77% size:77.5% 'cause it was really a bad feeling that I was feeling 09:20.600 --> 09:24.233 align:left position:10% line:77% size:80% and then after talking about it, I felt so much better. 09:26.833 --> 09:28.666 align:left position:17.5% line:77% size:72.5% - I think though, what you really have to do 09:28.666 --> 09:32.100 align:left position:12.5% line:77% size:77.5% is come here and just look at it through the context 09:32.100 --> 09:35.733 align:left position:15% line:77% size:75% of the community, and the richness of their culture 09:35.733 --> 09:38.733 align:left position:17.5% line:77% size:72.5% and how much they know one another and celebrate 09:38.733 --> 09:41.733 align:left position:15% line:77% size:75% and are just more or less a very happy population. 09:41.733 --> 09:45.800 align:left position:10% line:77% size:80% And I think those are values that you can't put a price on. 09:45.800 --> 09:47.533 align:left position:10% line:83% size:80% - Now, even at the halfway point 09:47.533 --> 09:51.300 align:left position:15% line:77% size:75% I already have a completely different outlook on everything. 09:51.300 --> 09:54.400 align:left position:15% line:77% size:75% - I've definitely grown a lot in the last four days 09:54.400 --> 09:57.500 align:left position:10% line:77% size:80% and it's crazy to think that it's only been four days 09:57.500 --> 09:59.800 align:left position:10% line:83% size:80% 'cause I feel like so much has h 09:59.800 --> 10:04.800 align:left position:10% line:77% size:80% And it's just really made me grateful for where I come from 10:04.833 --> 10:07.200 align:left position:10% line:83% size:80% and also grateful for the experi 10:07.200 --> 10:10.900 align:left position:20% line:77% size:70% to be in a different culture and to be living 10:10.900 --> 10:13.900 align:left position:10% line:77% size:80% amongst these people who are so beautiful and welcoming. 10:19.466 --> 10:22.033 align:left position:27.5% line:83% size:62.5% (upbeat music) 10:24.233 --> 10:26.566 align:left position:10% line:77% size:80% - [Narrator] Ghana, situated on the Gulf of Guinea 10:26.566 --> 10:30.133 align:left position:10% line:77% size:80% in West Africa, was the first Sub Saharan African nation 10:30.133 --> 10:32.800 align:left position:17.5% line:77% size:72.5% to achieve independence from colonial rule. 10:36.066 --> 10:39.466 align:left position:15% line:77% size:75% Ghana's 28 million people comprise several native groups, 10:40.533 --> 10:42.733 align:left position:10% line:83% size:80% and a rich and diverse cultural 10:45.633 --> 10:48.833 align:left position:12.5% line:77% size:77.5% Sekondi-Takoradi, a port city and commercial center 10:48.833 --> 10:51.166 align:left position:10% line:83% size:80% in Ghana's western region is the 10:51.166 --> 10:53.700 align:left position:10% line:83% size:80% third largest metropolitan area. 10:53.700 --> 10:56.100 align:left position:27.5% line:83% size:62.5% (soft music) 11:02.700 --> 11:04.866 align:left position:10% line:83% size:80% While clinical work is the prior 11:04.866 --> 11:06.966 align:left position:10% line:83% size:80% the Ghana Immersion Program reco 11:06.966 --> 11:10.066 align:left position:10% line:77% size:80% that people's health is tied to their culture and community. 11:11.700 --> 11:14.200 align:left position:20% line:77% size:70% Whenever there's free time, students and faculty 11:14.200 --> 11:17.633 align:left position:12.5% line:77% size:77.5% embark on day trips, and sightseeing excursions, 11:17.633 --> 11:20.833 align:left position:12.5% line:77% size:77.5% where they learn more about Ghanaian history and culture. 11:20.833 --> 11:23.266 align:left position:27.5% line:83% size:62.5% (soft music) 11:36.333 --> 11:38.200 align:left position:10% line:83% size:80% - [Colleen] The Elmina castle, I 11:38.200 --> 11:42.066 align:left position:10% line:83% size:80% fostered a sense of self reflect 11:43.433 --> 11:45.433 align:left position:10% line:83% size:80% Also being there and all the his 11:45.433 --> 11:48.866 align:left position:10% line:83% size:80% that it holds is more or less ha 11:48.866 --> 11:51.300 align:left position:27.5% line:83% size:62.5% (soft music) 11:59.266 --> 12:00.433 align:left position:10% line:83% size:80% - [Shelby] Something I really en 12:00.433 --> 12:04.200 align:left position:17.5% line:77% size:72.5% was seeing the art just beautiful paintings. 12:04.200 --> 12:06.600 align:left position:27.5% line:83% size:62.5% (soft music) 12:10.700 --> 12:12.200 align:left position:10% line:83% size:80% - What did your school day look 12:12.200 --> 12:14.300 align:left position:10% line:83% size:80% - We learn a lot and then there 12:14.300 --> 12:16.000 align:left position:10% line:83% size:80% after the learning, the break fo 12:16.000 --> 12:18.033 align:left position:17.5% line:83% size:72.5% and refresh your mind. 12:18.033 --> 12:20.200 align:left position:12.5% line:77% size:77.5% - [Monica] I'm so happy to be here and to meet you all. 12:20.200 --> 12:22.433 align:left position:12.5% line:77% size:77.5% Thank you for having us. - Thank you. 12:26.366 --> 12:29.100 align:left position:10% line:77% size:80% - [Shelby] It was beautiful, we got to run in the ocean 12:29.100 --> 12:31.666 align:left position:10% line:83% size:80% and take pictures, amazing food. 12:33.333 --> 12:36.566 align:left position:10% line:83% size:80% -I just got soaked by that wave. 12:36.566 --> 12:38.966 align:left position:27.5% line:83% size:62.5% (soft music) 12:46.700 --> 12:47.533 align:left position:37.5% line:83% size:52.5% - Whoa! 12:49.500 --> 12:50.400 align:left position:35% line:83% size:55% - Yes! 12:50.400 --> 12:53.900 align:left position:25% line:83% size:65% (all celebrating) 12:53.900 --> 12:55.300 align:left position:25% line:83% size:65% - This is insane. 12:59.566 --> 13:02.766 align:left position:10% line:77% size:80% We don't have clinic today so we're able to sleep in a bit. 13:02.766 --> 13:05.066 align:left position:12.5% line:77% size:77.5% We're going to our first Ghanaian service this morning. 13:05.066 --> 13:07.833 align:left position:10% line:83% size:80% We're very excited and very grat 13:07.833 --> 13:10.466 align:left position:10% line:83% size:80% We all got a traditional Ghanaia 13:10.466 --> 13:14.200 align:left position:10% line:77% size:80% and we were very, very grateful that we're all given these. 13:14.200 --> 13:16.633 align:left position:10% line:83% size:80% We're gonna be able to sing and 13:16.633 --> 13:20.033 align:left position:15% line:77% size:75% Sit side by side with all the Ghanaians this morning. 13:20.033 --> 13:23.866 align:left position:10% line:83% size:80% (singing in foreign language) 13:30.466 --> 13:32.000 align:left position:20% line:77% size:70% - [Jennifer] Reverend Andoh has been getting 13:32.000 --> 13:35.066 align:left position:10% line:77% size:80% dresses and shirts made for all the female and male students 13:35.066 --> 13:38.000 align:left position:10% line:83% size:80% and faculty and so we attend the 13:40.266 --> 13:42.966 align:left position:12.5% line:77% size:77.5% It's a very heartwarming experience for our students, 13:42.966 --> 13:45.900 align:left position:10% line:83% size:80% faculty, as well as the communit 13:45.900 --> 13:49.733 align:left position:10% line:83% size:80% (singing in foreign language) 14:09.133 --> 14:12.633 align:left position:15% line:83% size:75% (congregation applauding) 14:15.566 --> 14:18.000 align:left position:27.5% line:83% size:62.5% (soft music) 14:20.600 --> 14:22.866 align:left position:10% line:77% size:80% - [Narrator] After a week in Reverend Andoh's home base 14:22.866 --> 14:26.133 align:left position:12.5% line:77% size:77.5% of Sekondi, the team headed out to the rural towns 14:26.133 --> 14:29.333 align:left position:10% line:83% size:80% of Kansawarado and Diabene, to h 14:29.333 --> 14:32.066 align:left position:12.5% line:77% size:77.5% health care access to these more remote communities. 14:33.433 --> 14:34.233 align:left position:32.5% line:83% size:57.5% - Welcome. 14:38.266 --> 14:41.566 align:left position:20% line:77% size:70% - Hi, I'm Efua, I'm a community health worker 14:41.566 --> 14:44.533 align:left position:17.5% line:77% size:72.5% and physician assistant and we're at Kansawarado. 14:44.533 --> 14:46.000 align:left position:20% line:83% size:70% And this is day five. 14:46.000 --> 14:50.533 align:left position:12.5% line:77% size:77.5% So we are here to attend to the, those from the villages. 14:50.533 --> 14:52.566 align:left position:10% line:83% size:80% (men speaking in foreign languag 14:52.566 --> 14:54.133 align:left position:17.5% line:77% size:72.5% - [Narrator] The rural sites are an important 14:54.133 --> 14:55.966 align:left position:12.5% line:83% size:77.5% aspect of the partnership. 14:55.966 --> 14:58.000 align:left position:17.5% line:77% size:72.5% They allow students to assess the differences 14:58.000 --> 15:00.133 align:left position:10% line:83% size:80% between patient populations. 15:00.133 --> 15:02.800 align:left position:20% line:77% size:70% For example, patients in the rural communities 15:02.800 --> 15:06.200 align:left position:20% line:77% size:70% tend to be sicker, especially in Kansawarado. 15:06.200 --> 15:08.900 align:left position:10% line:83% size:80% And the urban patients in Sekond 15:08.900 --> 15:11.300 align:left position:22.5% line:77% size:67.5% tend to have higher rates of being insured. 15:13.466 --> 15:14.666 align:left position:35% line:83% size:55% - Hey! 15:14.666 --> 15:16.066 align:left position:42.5% line:83% size:47.5% Ha! 15:16.066 --> 15:17.766 align:left position:12.5% line:77% size:77.5% - [Narrator] The Immersion Program is built around 15:17.766 --> 15:20.533 align:left position:20% line:77% size:70% the equal exchange of culture and knowledge. 15:20.533 --> 15:22.300 align:left position:10% line:83% size:80% As director, Jennifer Morton say 15:22.300 --> 15:24.833 align:left position:20% line:77% size:70% our purpose is not to impose Western healthcare. 15:25.733 --> 15:28.833 align:left position:17.5% line:77% size:72.5% Students come to Ghana to learn and to that end, 15:28.833 --> 15:30.300 align:left position:10% line:83% size:80% the relationships they form with 15:30.300 --> 15:32.466 align:left position:10% line:83% size:80% the Ghanaian partners are invalu 15:34.233 --> 15:35.300 align:left position:35% line:83% size:55% - Denise. 15:35.300 --> 15:36.800 align:left position:10% line:83% size:80% (man speaking in foreign languag 15:36.800 --> 15:38.733 align:left position:15% line:77% size:75% - [Narrator] Working with members of Reverend Andoh's 15:38.733 --> 15:41.333 align:left position:20% line:77% size:70% congregation, as well as medical professionals 15:41.333 --> 15:43.233 align:left position:10% line:83% size:80% from the Ghanaian National Healt 15:43.233 --> 15:45.566 align:left position:10% line:83% size:80% and the local Cape Coast Univers 15:45.566 --> 15:49.266 align:left position:12.5% line:77% size:77.5% students are guided across cultural and language barriers. 15:49.266 --> 15:51.066 align:left position:10% line:83% size:80% (lady speaking in foreign langua 15:51.066 --> 15:55.100 align:left position:10% line:77% size:80% And introduced to new perspectiv on health, medical care, 15:56.266 --> 16:00.566 align:left position:15% line:77% size:75% material wealth, as well as many practical lessons 16:00.566 --> 16:02.866 align:left position:10% line:83% size:80% on providing care with limited r 16:05.300 --> 16:08.833 align:left position:12.5% line:77% size:77.5% - I think it's a win win situation for both communities. 16:08.833 --> 16:11.300 align:left position:10% line:83% size:80% I'll say, for the students comin 16:11.300 --> 16:12.766 align:left position:10% line:83% size:80% I think I've seen lots of them. 16:12.766 --> 16:15.666 align:left position:15% line:77% size:75% The first time in Africa, first time in Ghana, 16:15.666 --> 16:17.733 align:left position:10% line:83% size:80% they're meeting different cultur 16:17.733 --> 16:20.133 align:left position:15% line:77% size:75% and what have you and for the community here in Ghana, 16:20.133 --> 16:22.733 align:left position:15% line:77% size:75% knowing our health system and its challenges, 16:22.733 --> 16:25.000 align:left position:12.5% line:77% size:77.5% I think it's been positive and it's impacted. 16:27.333 --> 16:30.666 align:left position:17.5% line:77% size:72.5% - For the students that come here, I believe 16:30.666 --> 16:35.633 align:left position:12.5% line:77% size:77.5% it's an eye opener to some of the tropical conditions 16:35.633 --> 16:39.833 align:left position:10% line:83% size:80% probably will never see in the U 16:39.833 --> 16:42.700 align:left position:10% line:83% size:80% And it's an experience that othe 16:42.700 --> 16:45.833 align:left position:10% line:83% size:80% who haven't been here may not ha 16:45.833 --> 16:48.666 align:left position:10% line:83% size:80% - But the edges are all undermin 16:48.666 --> 16:50.266 align:left position:10% line:83% size:80% so it's never going to heal. 16:50.266 --> 16:52.666 align:left position:20% line:77% size:70% - It looks like it's healing but what he's saying 16:52.666 --> 16:55.133 align:left position:12.5% line:77% size:77.5% is the bacteria, like until that bacteria gets treated 16:55.133 --> 16:57.733 align:left position:15% line:77% size:75% with certain antibiotics, it continues to undermine 16:57.733 --> 17:00.800 align:left position:12.5% line:77% size:77.5% the surrounding tissue and it won't actually get better. 17:00.800 --> 17:03.000 align:left position:15% line:83% size:75% - So they'll get to learn 17:04.000 --> 17:07.066 align:left position:12.5% line:83% size:77.5% a lot from the patients. 17:07.066 --> 17:09.466 align:left position:17.5% line:77% size:72.5% And also, it will give them a different idea 17:09.466 --> 17:13.466 align:left position:17.5% line:77% size:72.5% about what health is, the stories, they're touching storie 17:13.466 --> 17:17.433 align:left position:17.5% line:77% size:72.5% about the patient, why they have that condition, 17:17.433 --> 17:19.233 align:left position:10% line:83% size:80% and what they are doing about it 17:19.233 --> 17:23.366 align:left position:10% line:77% size:80% And the fact that because of their financial situation, 17:23.366 --> 17:27.233 align:left position:15% line:77% size:75% which has landed, some of them in such condition. 17:27.233 --> 17:30.100 align:left position:15% line:77% size:75% And when they leave here, give them a very different 17:30.100 --> 17:33.233 align:left position:10% line:83% size:80% experience, they begin to become 17:33.233 --> 17:34.433 align:left position:40% line:83% size:50% very 17:34.433 --> 17:37.100 align:left position:10% line:83% size:80% connected with their patient. 17:37.100 --> 17:38.500 align:left position:15% line:83% size:75% - This is for your cough. 17:40.933 --> 17:42.533 align:left position:10% line:83% size:80% - [Narrator] Along the way, many 17:42.533 --> 17:44.366 align:left position:10% line:83% size:80% lifelong friendships are made. 17:45.200 --> 17:46.533 align:left position:10% line:83% size:80% - We're staying in pretty close 17:46.533 --> 17:48.366 align:left position:15% line:77% size:75% me and some of the guys, so we've been hanging out 17:48.366 --> 17:50.966 align:left position:12.5% line:77% size:77.5% quite a bit and now they've showed me around Sekondi a bit 17:50.966 --> 17:54.466 align:left position:17.5% line:77% size:72.5% and really got to walk around, try some local flavor. 17:55.400 --> 17:57.566 align:left position:10% line:83% size:80% Watch a couple football matches. 17:57.566 --> 17:59.600 align:left position:10% line:77% size:80% It's been great, we've really been getting along well 17:59.600 --> 18:00.766 align:left position:17.5% line:83% size:72.5% and just meshing well. 18:03.033 --> 18:05.800 align:left position:10% line:83% size:80% - They've been very great especi 18:05.800 --> 18:08.133 align:left position:12.5% line:77% size:77.5% It's as if we've known each other for a very long time 18:08.133 --> 18:10.300 align:left position:12.5% line:83% size:77.5% and it's just two weeks. 18:15.066 --> 18:17.500 align:left position:27.5% line:83% size:62.5% (soft music) 18:27.400 --> 18:30.466 align:left position:20% line:83% size:70% (car engine roaring) 18:36.300 --> 18:37.666 align:left position:10% line:83% size:80% - [Narrator] Konsowarado and Dia 18:37.666 --> 18:40.266 align:left position:12.5% line:77% size:77.5% were selected as locations for the rural clinics 18:40.266 --> 18:42.933 align:left position:17.5% line:77% size:72.5% in part because of the Reverend Andoh's long standing 18:42.933 --> 18:44.866 align:left position:10% line:83% size:80% relationships with the Paramount 18:44.866 --> 18:46.666 align:left position:17.5% line:83% size:72.5% of the two communities. 19:12.233 --> 19:14.166 align:left position:25% line:83% size:65% - [Nurse] This way. 20:01.566 --> 20:05.333 align:left position:25% line:83% size:65% (men beating drums) 20:05.333 --> 20:06.666 align:left position:10% line:83% size:80% - [Narrator] A highlight of the 20:06.666 --> 20:08.800 align:left position:15% line:77% size:75% is the annual performance of the Ghanaian dance 20:08.800 --> 20:10.166 align:left position:12.5% line:83% size:77.5% and drum troupe Obrempong. 20:11.033 --> 20:13.566 align:left position:17.5% line:77% size:72.5% Working in the style of what is called Gahu music 20:13.566 --> 20:16.066 align:left position:10% line:83% size:80% with six distinct percussion ins 20:16.066 --> 20:18.033 align:left position:10% line:83% size:80% the troupe performs dances assoc 20:18.033 --> 20:19.866 align:left position:10% line:83% size:80% with local tribes and festivals. 20:22.300 --> 20:24.166 align:left position:10% line:83% size:80% - Well, it confirmed my suspicio 20:24.166 --> 20:25.500 align:left position:12.5% line:83% size:77.5% that I'm a terrible dancer. 20:26.866 --> 20:28.166 align:left position:10% line:83% size:80% Their performance was awesome. 20:28.166 --> 20:31.166 align:left position:17.5% line:77% size:72.5% It was really something that I've never seen before. 20:31.166 --> 20:34.033 align:left position:10% line:83% size:80% And so being able to experience 20:34.033 --> 20:37.933 align:left position:10% line:77% size:80% and see them in the traditional garb and it's good music. 20:39.200 --> 20:40.833 align:left position:10% line:83% size:80% - [Narrator] The celebration is 20:40.833 --> 20:45.166 align:left position:15% line:77% size:75% and emotional climax to a rich and eventful fortnight. 20:45.166 --> 20:48.333 align:left position:20% line:83% size:70% (epic dramatic music) 21:02.666 --> 21:03.500 align:left position:27.5% line:83% size:62.5% - Mina sing. 21:04.800 --> 21:06.233 align:left position:25% line:83% size:65% Sing, sing, sing. 21:08.000 --> 21:09.400 align:left position:27.5% line:83% size:62.5% (all laughing) 21:09.400 --> 21:11.100 align:left position:20% line:77% size:70% - [Ashley] It was so beautiful, it was stuck 21:11.100 --> 21:13.466 align:left position:10% line:83% size:80% in my head for like three days. 21:16.866 --> 21:20.266 align:left position:10% line:83% size:80% - Okay, let me do the end part. 21:20.266 --> 21:23.133 align:left position:20% line:83% size:70% ♪ And it's reaching 21:23.133 --> 21:28.133 align:left position:12.5% line:83% size:77.5% ♪ To the highest mountain 21:29.633 --> 21:32.433 align:left position:22.5% line:83% size:67.5% ♪ And it flows 21:32.433 --> 21:37.300 align:left position:12.5% line:83% size:77.5% ♪ To the lowest valleys 21:37.300 --> 21:38.366 align:left position:35% line:83% size:55% ♪ Oh 21:38.366 --> 21:43.366 align:left position:10% line:83% size:80% ♪ The blood that gives me streng 21:43.733 --> 21:48.733 align:left position:25% line:83% size:65% ♪ From day to day ♪ 21:50.000 --> 21:55.000 align:left position:17.5% line:83% size:72.5% ♪ It will never lose 21:55.600 --> 21:58.133 align:left position:27.5% line:83% size:62.5% ♪ It's power 21:58.133 --> 22:00.766 align:left position:27.5% line:83% size:62.5% (all cheering) 22:03.933 --> 22:05.000 align:left position:30% line:83% size:60% - I feel like 22:06.733 --> 22:08.700 align:left position:22.5% line:83% size:67.5% the love and joy 22:08.700 --> 22:10.833 align:left position:20% line:77% size:70% and laughter that we all share here together 22:10.833 --> 22:15.466 align:left position:22.5% line:77% size:67.5% is something that I don't experience often, 22:15.466 --> 22:18.566 align:left position:10% line:83% size:80% it is such an amazing community 22:18.566 --> 22:21.666 align:left position:27.5% line:83% size:62.5% (soft music) 22:21.666 --> 22:25.033 align:left position:15% line:77% size:75% - Thank you for welcoming us into your community 22:25.033 --> 22:26.866 align:left position:10% line:83% size:80% and treating us like family. 22:26.866 --> 22:29.433 align:left position:10% line:83% size:80% It's been the best two weeks eve 22:29.433 --> 22:30.966 align:left position:22.5% line:83% size:67.5% (all applauding) 22:30.966 --> 22:32.800 align:left position:20% line:83% size:70% - [Ladies] Cheers! 22:32.800 --> 22:35.300 align:left position:10% line:83% size:80% - Everybody here, we wanna say 22:35.300 --> 22:38.633 align:left position:10% line:83% size:80% a very big thank you to all of y 22:38.633 --> 22:39.600 align:left position:10% line:83% size:80% We want to see you back again. 22:39.600 --> 22:42.766 align:left position:10% line:83% size:80% So, that's all, God bless you. 22:42.766 --> 22:44.333 align:left position:22.5% line:83% size:67.5% (crowd cheering) 22:49.066 --> 22:51.266 align:left position:10% line:83% size:80% - What a great group, really, it 22:51.266 --> 22:52.800 align:left position:10% line:83% size:80% like we're all family right now. 22:52.800 --> 22:55.100 align:left position:15% line:83% size:75% And it's a great feeling. 22:55.100 --> 22:58.033 align:left position:17.5% line:77% size:72.5% And just thank you all for opening your arms 22:58.033 --> 22:59.166 align:left position:25% line:83% size:65% and taking us in. 22:59.166 --> 23:01.800 align:left position:27.5% line:83% size:62.5% (gentle music) 23:03.900 --> 23:05.500 align:left position:10% line:83% size:80% - The last couple weeks have bee 23:05.500 --> 23:08.933 align:left position:17.5% line:77% size:72.5% I feel like I've grown professionally, emotionally, 23:08.933 --> 23:09.800 align:left position:35% line:83% size:55% mentally. 23:09.800 --> 23:12.033 align:left position:10% line:83% size:80% It's been a really great experie 23:12.033 --> 23:14.133 align:left position:10% line:83% size:80% I'm kind of sad to leave but I'm 23:14.133 --> 23:16.333 align:left position:12.5% line:77% size:77.5% looking forward to going home with a new outlook. 23:16.333 --> 23:18.333 align:left position:15% line:77% size:75% - I think the things I'll remember most here are the 23:18.333 --> 23:21.666 align:left position:10% line:77% size:80% connections I've made between the community health workers, 23:21.666 --> 23:24.566 align:left position:20% line:77% size:70% the students and the professionals from Cape Coast. 23:24.566 --> 23:26.100 align:left position:10% line:83% size:80% We've just learned so much from 23:26.100 --> 23:28.866 align:left position:12.5% line:77% size:77.5% And honestly, I think we built really good friendships. 23:30.033 --> 23:32.266 align:left position:10% line:83% size:80% - I have a new outlook on everyt 23:32.266 --> 23:35.633 align:left position:17.5% line:77% size:72.5% And I'm excited to make some new changes in my life 23:35.633 --> 23:37.633 align:left position:10% line:83% size:80% that I've picked up from this ex 23:37.633 --> 23:39.433 align:left position:10% line:83% size:80% so, happy and sad at the same ti 23:41.833 --> 23:44.400 align:left position:10% line:77% size:80% - I've also really gained such a respect for the healthcare 23:44.400 --> 23:46.900 align:left position:12.5% line:77% size:77.5% professions out here and from what they've been able 23:46.900 --> 23:50.366 align:left position:10% line:83% size:80% to teach us has been immeasurabl 23:50.366 --> 23:52.000 align:left position:10% line:83% size:80% It's a completely different game 23:52.000 --> 23:53.366 align:left position:10% line:83% size:80% with what they have to work with 23:53.366 --> 23:56.033 align:left position:10% line:83% size:80% and I have nothing but gained re 23:56.033 --> 23:58.300 align:left position:10% line:83% size:80% for how they go about their day. 23:59.600 --> 24:02.066 align:left position:27.5% line:83% size:62.5% (soft music) 24:03.533 --> 24:06.233 align:left position:20% line:77% size:70% - And it really feels good to have UNE around, 24:06.233 --> 24:09.633 align:left position:10% line:83% size:80% you know, to the students, teach 24:09.633 --> 24:12.266 align:left position:17.5% line:77% size:72.5% I'm also learning from them, the America culture, 24:12.266 --> 24:16.300 align:left position:10% line:83% size:80% Ghanaian culture, the talk, it's 24:17.733 --> 24:19.333 align:left position:10% line:83% size:80% - We've fallen in love with them 24:19.333 --> 24:23.900 align:left position:20% line:77% size:70% and we wish they will come back and learn more. 24:23.900 --> 24:27.500 align:left position:17.5% line:77% size:72.5% - We want to say we are indebted to the school 24:27.500 --> 24:30.433 align:left position:10% line:83% size:80% for allowing us to work hand in 24:30.433 --> 24:33.733 align:left position:20% line:77% size:70% with these wonderful people that come our way 24:33.733 --> 24:36.466 align:left position:10% line:83% size:80% under the leadership of Dr. Jenn 24:37.900 --> 24:39.933 align:left position:12.5% line:83% size:77.5% - Our last day in Ghana. 24:39.933 --> 24:42.366 align:left position:10% line:83% size:80% This has been an amazing, humbli 24:42.366 --> 24:44.466 align:left position:10% line:83% size:80% emotional experience for all of 24:44.466 --> 24:45.933 align:left position:10% line:83% size:80% I think we would all say that we 24:45.933 --> 24:48.600 align:left position:12.5% line:83% size:77.5% coming out of this changed. 24:52.266 --> 24:55.666 align:left position:17.5% line:77% size:72.5% - God bless you, I hope to see all very soon. 24:55.666 --> 24:58.066 align:left position:27.5% line:83% size:62.5% (soft music) 25:04.666 --> 25:07.233 align:left position:27.5% line:83% size:62.5% (gentle music)