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05 July 2017

The Culture of Nursing in Africa #HogsAbroad in Ghana

This past June, we were a part of a team of fifteen senior nursing students from the U of A had the opportunity to spend three and a half weeks in the West African nation of Ghana. Most of our time was spent in a northern town called Bolgatanga, where we participated in clinical rotations in two local clinics. We learned so much in the medical setting, but it was equally impactful to learn about the village life and culture in our free time.

We quickly learned that time operates on a different scale than we are used to in the US. They call it “circular time,” meaning things happen as they fall into place, there’s no penalty for something a few hours late, or even tomorrow. Ghanaian people tend to hold more loosely to scheduled appointments and activities, so we found ourselves with more free time than in a typical nursing school rotation. As a bunch of type-A nursing students trained to list-make and prioritize every minute of our days, sitting down and relaxing could only last so long. 
Our daily clinical hours lasted from about 8 A.M. to 1 P.M. each day. After returning to our motel for some lunch and soaking up a few minutes of air conditioning in our bedrooms, were able to spend the rest of the afternoon on our own as we wished. This was an opportunity for us to exercise creativity, as leisure activities for students studying abroad in a rural African village are different than in many other cultures. It took a few days to get the hang of it, but we quickly gained enough confidence and resourcefulness to embrace village life and set out to have fun.
Most adventures began with an ever-necessary layer of sunscreen, and another of bug spray before we would begin our walk outside the motel gate into the busy village streets bustling with goats, cattle, fruit vendors, and children. We enjoyed walking through the streets of the village every day because we were able to see and experience what everyday life is like for the people of Bolgatanga. Along most roads, you will find people selling water in plastic bags, plastic cards with codes for cell phone minutes, and various food items. The items in the kiosks seemed to repeat themselves frequently, but every vendor had the “best” product for the “best” price, and all were friendly to greet us visitors.

It took a bit of courage to venture into the local markets because of how busy they are and how much we stood out, but one of the first places we visited was a strip of fruit vendors across the street from the motel we stayed in. Mangoes, oranges, bananas, and avocados became staple ingredients in our diets and we returned to this little market area almost daily.

One of our most frequent and necessary destinations included a tiny grocery-type store that sold a variety of packaged food and household items, mostly imported from Holland. We were always thrilled to restock on comforts of home, like crackers, peanut butter, candy, and soda. It did not take long for the shop workers to recognize us as their close companions, as we returned to their business several times a week.
On days when we did not need to replenish cracker supplies, we would walk outside the motel to hail some taxis and travel to row of craft shops that was not within walking distance. There, we would barter for handmade goods such as baskets, purses, jewelry, and other gifts to bring home for family and friends. At first, many vendors would try to charge us exponentially high prices, but as our bargaining skills improved, the sellers became our friends and would insist on giving us “good prices.”
These few weeks in Ghana helped us to truly experience and enjoy the slower pace of life in the village, rather than the minute-by-minute schedules we create for ourselves at home. Though our activities and adventures were simple in nature, it was fun for us to embrace Ghanaian culture by participating in the same activities as people who live there. 

By Gabrielle Moeller and Megan Marks 
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This U of A Faculty-Led: Community Health Nursing program introduces students to the core concepts of community health nursing and provides students with an opportunity to experience nursing in a developing country by working together with nurses and doctors in a hospital and in clinics, where they will connect with local people and experience their cultures and traditions firsthand.