The young dentist volunteers

The report below is being adapted with consent from the authors of the original post at the The Young Dentists Website.

 

Dr Des Naidoo and Dr Ash Phillips - Far away from Medicare and

private health funds, a volunteer dental trip to Cambodia proved far greater

on our outlook of dentistry than we would have ever thought…

One2One Cambodian Tooth Angel Project aims to bring desperately

needed basic dental and medical treatment to the most vulnerable and

destitute people of Cambodia: the orphans, street children, people with

HIV and prisoners.

Our team of 6 New Zealand and Australian volunteer dentists all had

varying motives for going on the trip. Some had done volunteering

locally before, but wanted to see their skills used in a needy community

abroad. Others wanted to travel and saw this as a good opportunity to

give back. Nevertheless, we all had a common goal - help the community

as best we could and enjoy ourselves at the same time.

We arrived in Cambodia in the unbearably hot dry-season! We spent a

few days in Siem Riep, the tourist capital of Cambodia, for a spot of R&R

while preparing for the work that was to come. We then travelled to Phnom

Penh, where we met the One2One staff who instantly made us feel at

home in their guest house. At 5am the next day, we convened on the bus

together with 14 dental students, a pharmacist, 2 nurses and One2One

support staff.

We headed for Ratanakiri, an isolated province in the north-east of

Cambodia. Ratanakiri is known for its beautiful waterfalls and crater lakes

but is one of the least developed regions. The twelve-hour bus trip was

an adventure in itself - spirits were high and everyone was in a great mood

and neither the flat tyre, dust-filled bus or endless hours of Cambodian

karaoke would prevent us from enjoying ourselves!

On arrival, we found ourselves in the dusty courtyard of the prison. There

was a roof held up by struts in the centre, and this was to be our clinic.

The Dental Students from the Phnom Penh International University ran

like a well-oiled machine with: setting up our outdoor make-shift surgery,

assisting us and sterilizing instruments.

There were 10 to 15 prisoners per cell with less than a square metre

each, with no toilet or running water facilities. After many dizzy spells in

the 40 °C heat, we found a “prophylactic” banana morning and afternoon

helped to keep the prisoners energy levels up during treatment. This was

not surprising knowing their diet is usually a bowl of rice with some brothy

vegetables twice a day.

We treated 177 prisoners (142 male, 5 female), prison staff and their

families. We performed 200 extractions, 3 surgical extractions, 94 fillings

and 14 scaling (they all needed it though). With the exception of a

few, many prisoners did not routinely brush their teeth. Along with oral

hygiene instruction, each patient was given a new toothbrush and tube of

toothpaste.

Health checks by the medical team treated infections, scabies, lice

and other illnesses as well as de-worming tablets to the entire prison

population.

Despite the hot, dusty and clammy conditions, we felt the discomfort was

a small price to pay to help these people, with many never having had

access to dental or medical services previously. The prisoners were all

remarkably polite and respectful to us. We found it especially rewarding

working with the dental students. They were incredibly thankful to be

receiving hands-on dental work with one-on-one supervision from us, and

we could see a definite improvement in their skills in the days we spent

with them. These are effects that we feel will really manifest themselves for

years to come.

In our downtime, we would get together with the dental students to relax:

eating, drinking and playing various games. I will always remember the

Australasia vs Cambodia arm-wrestling tournament. Unfortunately, we did

not do our countries proud but in our defence, some of those boys were

very well fed! Our final night ended with a cultural evening, where we were

taught the Cambodian dance, Apsara. After their serene dance, our reply

with the New Zealand Haka came as a shock to them.

On returning to Phnom Penh, we prepared a short lecture series of general

dental topics, which we presented to the dental class. With word-for-word

translation, we were reassured the message was conveyed. It was a bittersweet

end re-joining some of the Dental students when we dropped into

the HIV-affected orphanage with goodie-bags that the kids were thrilled to

receive. With most under 12yo, they may have been small in stature, but

they each had huge personalities.

We definitely were not all work and no play. We could not travel to

Cambodia without seeing Angkor Wat, one of the world’s greatest

wonders. Built on a swamp, this intricately carved stone-walled temple

is the most renowned of the 700 temples in the area. The Russian

Markets where nothing is priced tested our bargaining skills with the eager

shopkeepers. Other worthwhile sights included the Tuol Sleng Genocide

Museum, Cheung Ek Killing Fields, Royal Palace and Silver Pagoda.

We found this dental volunteering trip surpassed what we could have

possibly experienced from simply travelling. Because we were contributing

to their country, the locals were more than willing to take us in and

immerse us in their lives, feeding us and taking us to the best local hotspots.

We will never forget our time in Cambodia, and will surely return

to see our new friends. Embarking on this or any volunteer dental trip

will reward you with an invaluable cultural and life experience, and a new

found appreciation for being a dentist!!

Faces of children in the Canalside Clinic

Many of the children do not go to school because they need to work for food to help their families. They say that they really want to study, but they cannot as their parents need their help and if they go to school they will have no food to eat.

 

  

Even though many of these children are very young they need to work hard just for daily food for themselves and for their family. They have all had to grow up very quickly and are busy working from very early morning until late evening every day. Their faces show no hope, have no joy and are full of worry.

Camkid Thursday Clinics

CamKids Clinic 1: The children in the Community



Please find below an overview of the activities that occur in our CamKids Clinics.

The team consists of 4 members who all give their time generously to help the children of our community.

Emma, Nurse Midwife:  Emma helps us plan the activities each week. She is very kind with the people and the children in the community and has a great love for all children regardless of their background or health issues.

Lyla, Midwife Student:  Lyla is a big help and is always very happy to work with the children. She is in charge of showering and taking care of other physical needs like cutting their nails. She also generously lets us use her car to help the team. 

Sineap , Midwife Student:  Sineap helps support our team. 

CamKids Clinic 2: Children getting hair washed

CamKids Clinic 3: Children getting their nails cut at the clinics 

CamKids Clinic 4: Most houses cost $5 to rent a month. These are built with wood, tin & metal which the people buy at the local shop

CamKids Clinic 5: Most people in the village have a job doing recycling as a way to provide for their daily lives

 

CamKids Clinic 6: Inside a house in Canal Side

Never too young to volunteer!

Deborah was twelve when she first got involved with Cambodia…largely because of her mother. Her mother was involved with CTAP (Cambodia Tooth Angel Project) in 2008 (a not-for-profit organization that aims to deliver medical and dental care for the poor but especially for orphans, slum dwellers and the children in prison just because their mum or dad are in prison). Initially, Deborah’s involvement was limited to just helping out at home by cataloguing donated medicine. Soon however she found that she wanted to do more and told her mother. In response, her mother suggested that she and her two older sisters accompany her on her next trip with CTAP into the capital of Cambodia, Phnom Penh.

That was the first time Deborah had traveled into Cambodia. She had never been to a third world country before, so this trip of volunteering in Cambodia was full of great new experiences for her.

Even at the tender age of twelve then, she was given the opportunity to do a wide range of jobs with the team she came to Cambodia with: A doctor, a nurse, a medical assistant and three other volunteers. As part of the team, she would often go out to administer free health checks to orphanages, the slums and to rural communities. Health checks are necessary to identify and treat infections, scabies, lice and other illnesses as well as de-worming them. 

One of the main orphanages that the team visited was the Happy Tree Orphanage, home to approximately one hundred children between the ages of 6 months to 14 years.

They brought over a 100 teddy bears that someone in New Zealand had knitted and each of the children in the orphanage received their own teddy bear. It was amazing to see how much the gifts were appreciated by the children who were so taken with them that they wouldn’t put them down.

Deborah has since been back to Cambodia. The majority of her time on her second trip was working with an early childhood educator, Fiona, and her daughter, Allyse, along with two other volunteers from New Zealand. They brought learning resources and material (like counting bean bags and footballs) for the children and Allyse and Deborah would assist Fiona when she was teaching them, as well as playing games with them and reading to them. 

This experience has made Deborah realize what a privileged life she leads compared to some of the children she has seen. There are many children in orphanages all round Cambodia and often they are provided with very little.  They don’t have their own clothes, or toys or even pencils, so anything that they are given is really quite special to them.

CTAP (Cambodia Tooth Angel Project) has grown so much that they have now registered in Cambodia as One-2-One CAMBODIA. Not only are they involved in dental programs but also they have also expanded into providing medical support  and sponsorship to older orphans and children to further their studies with the end objective of helping them find a way of making a living.

On Deborah’s most recent trip to Cambodia a few weeks ago, One-2-One CAMBODIA took seventy orphans out to a restaurant for dinner. This was the very first time that they had ever been to a restaurant. They had never seen so much food in one go in their entire lives and it was amazing to see how much they ate and how much they enjoyed themselves.

Mobile Swift visit to Banteay Meanchey Community

From July 12^th to 16^th  2010, the Mobile Swift Team of One-2-One CAMBODIA in partnership with the Denmark Dental Health Without Borders, visited the Banteay Meanchey Province for providing dental and basic health care to the residents in the community.

This trip was made possible with the generous sponsorship of Camkids. It was a fantastic co-operative effort along with the help Dental Health without Borders, Dental Students from International University of Cambodia as well as dental students from Ireland and volunteers from England. A reflection of how global partnership within the community in Banteay Meanchay making a huge difference.

 

The place was very muddy. On the day that our team arrived it rained non stop. As a result, it was very difficult and we were faced with challenging working condition. The villagers however made us so welcome and worked very hard with us to set up. Our team gladly rolled up our sleeves and got working.

Dental work: In total the team treated 470 patients including 73 adults (female 49, Male 24). We also conducted routine checks on 84 children who ended up not requiring treatments and 313 children who did have treatments. We had 11 chairs. In total, we treated 231female, 189male. In the 4 days that we were there,  the team carried out 423 Extractions; 79Filling; 13Scaling; 04 fluorides and gave out 470 toothpaste and toothbrushes. After the treatment our team gave gifts like sticker, balloons, and color books were handed out to the children.

Medical work: De-worming 470patients, 55 nits and 30 nail clipping. The medical team was truly a partnership effort, led by One-2-One staff.  We involved the local women and spent time teaching them basic healthcare like  how to look after their children's hair, finger nails, deworming schedules etc . It was a relaxed but very fulfilling experience  - seeing the same mothers the next day and knowing how much they appreciated our support and understood the importance of being able to help/support their own families and friends through the basic skills they acquired made all our efforts worthwhile.

Sport/Game activities: Two English students (Sam and Dan) spent time with the local children playing soccer while they waited to see the dental team. They were also invited into the school, behind the community church, to teach the children English and also to play some fun games.

The week was focused on the needs of the local village and their people. We provided dental treatment dental education for all ages, basic health and hygiene education with hands-on experience of nail clipping, de-worming, nit treatment and hand washing. Being invited into the classrooms and playing and working with local children has given us opportunities to build relationships, trust and to reinforce the messages of hygiene and sport/exercise as being important to good health and prevention of illnesses.

Last day at work: At the end of the day our One-2-One staff organized a small party to thank the overseas team and Cambodian students for the hard work. We gave each of our visitors a certificate for their hard work with One-2-One. After the formalities were taken care of, the Cambodian students taught everyone some traditional Khmer dancing. It was a night of fun…a fitting conclusion to a successful mobile trip.

Mobile Prison visit to Banteay Meanchey Province

From July 5^th to  9^th  2010, the One-2-One CAMBODIA Team in partnership with Prison Fellowship of Cambodia and the Denmark Dental Health Without Borders, spent one week at the prison in Banteay Meanchey Province providing dental and basic health care to the prisoners and prison staff.

A tremendous effort was made by every member of the team to make the most of each day there, seizing this wonderful opportunity that had been given to them.

The One-2-One Team had 15 Khmer students. Seven dental chairs, two portable dental units and 6 lights were set up. Helena Duff represented our Medical Team.

Each work day started at 7.30am setting up equipment, materials and organising prisoners to be seen and treated.

The oral health status of the prisoners was very poor with many decayed teeth and very poor oral hygiene. Dr John Christensen performed a triage of the patients, to help prioritise urgent cases.

We strived to maintain a high standard of cross infection control. Oral hygiene instruction was given to the patients along with a new toothbrush and a tube of toothpaste, as a lot of the prisoners had not routinely performed tooth brushing and there was a high incidence of smoking, and some prisoners with HIV.

In total the dental team treated 280 patients. There were 255 male prisoners and 25 female prisoners who received treatment out of the entire prison population. We provided 292 extractions, 49 fillings, 25 scalings and 400 toothpaste and toothbrushes.

In total the medical team treated 810 patients over the 4 days. 750 were men and 60 women.  We also offered de-worming tablets to the entire prisoner population (which was far more than 810) and provided the tablets to each prisoner who wanted it.

We wish to thank Prison Fellowship Cambodia for their financial and logistic support, Denmark Dental Health without Borders as well as the English, Irish, New Zealand and Khmer volunteers who gave of their time so generously.

Medical team in actions

With huge help and funding for the medical team from the sponsors in Singapore, the One-2-One CAMBODIA is able to purchase the various medical equipments.

It is wonderful and most encouraging for the team.

As a result we have held training workshops to ensure that every one knows HOW to use and maintain the equipments correctly.

You can see Kosal and also Sreynin , Sophear and Hor in the volunteering work.

Thank you again Singapore team for making the medical clinic possible with your generous donation of the equipments.



Actions in SMILe Project

You can see the One-2-One team lead by Dr Callum explaining and discussing what we hope to do, listening to them to understand what their needs are and how we can best achieve the desired outcome.

Then we set out to have a look at what the dental situation is like and make some friends .... show the Mum's and the children that dentists can be friends as well...

For many foreigners who were present, this is a first so it was important for them to see the MOBILE chairs and what the examination and treatment activity would look like when we come back with a larger service delivery team. This created a real buzz in the community.

They are excited about the training and the integrated way that we plan to help them and work with them. Their faces beamed when we told them that we would run training courses on how to keep healthy. It was a very happy day for all concerned.

We will be back in October for a needs assessment trip and focus group interviews to better understand what the dental and medical needs are, what the pattern of feeding is for the preschoolers so that we can better educate the mothers and the health care volunteers.  This will be a week long visit. During this time our staff will live in the village and be part of the happenings.

In November then we will be back with training sessions and December our service team will commence work with the assistance of the village mum's, health care volunteers and community leaders we trained to work along side with us. So watch this space ...

Thank you for journeying with us. Together that which is impossible for each individually becomes possible. This is a reality that we all dreamt and hoped for. Partnership participation and protection for the sake of the children of Cambodia.

Introducing SMILe Project in Kampong Spue

Kampong Spue is the first community for the Cambodia Camkids SMILe project. We believe that this is a first for Cambodia. This is a collaboration between One-2-One CAMBODIA and Camkids.  Camkids and One-2-One make history together AGAIN !!!!

The area is about 1 1/2 hours from Phnom Penh and the drive there passes through beautiful scenery which belies the hardship of the people in this community.

The nearest Government health clinic is 25 KM away and with no public transport. The only  motor vehicle available belongs to the village chief. All the villagers we spoke to had never been out of their community. Phnom Penh is another world to them ...

KAD (Khmer association for development) has been working in this community, They brought the attention of the plight of the poor to our attention, (the lack of dental medical care, the geographical isolation). With funding from Camkids and One-2-One's manpower this project came into being.

3 prong approach - provision of desperately needed dental relief of pain with medical treatment and prevention measures as well as training of the village stakeholders so that they can better look after them selves.

This trip was to gauge community interest and to meet with the Cambodian stakeholders of this community i.e, the village chiefs and the local village health care volunteer as well as villagers. We explained to them what we plan to do and how we hope to involve them in the planning of service delivery.

Transporting teams in serving the communities

Taking children from orphanages to receive dental treatment and check up.

One-2-One van has been working over time transporting our team to prison, slums, orphanages . We are so grateful for it. Thanks to Dr Barry from Australia for his kind donation.

Here is Makara with our One-2-One Tuk Tuk which has been so generously donated by our Singapore donors. Th tuk tuk is worked  equally hard and used for smaller groups to maximize efficiency of our resources.

Welcoming Khairos Dad - John

We welcomed John (husband of Helena ) who will be Khairos Dad and One-2-One life skills coach.  

You can see him settling in really well with our lads.

Khairos Mum – Helena.