First impressions

Tonga soa, welcome!  My name is Lisa and I am gynecologist currently spending a few months in Madagaskar to volunteer in a small clinic in Ambovo with an organization called Mobile Hilfe Madagaskar.  I have a wonderful team and a kind boss I work with at the Donauklinik Neu-Ulm that have enabled me to take some time off from my job to do this project. For more information on the organization and the work that is done here you can visit the website and their facebook profle here:



It has been a wish for a while to do such a project and so I will try to share a little piece of my experience here from time to time.  I work with local midwives and some general doctors as well as other volunteers to take care of the patients that come here.  My main job is in the obstetric department, acting as a guide to the midwives, being present at critical phases of the birthing process and indicating when a c-section is necessary round the clock in collaboration with the program director and midwife Tanja Hock.  Another part of my time here will be spent doing teaching.  Today for an example I spent my morning doing antenatal care and teaching local doctors to do ultrasounds in early pregnancy for determining the pregnancy age.  The first case was a great teaching experience, twins in the 12th week!  So my two students each had an opportunity to measure the different parameters on one baby each while I explained basics of ultrasound and how to optimize measurements.  The first c-section this week I had the opportunity to do with a fellow colleague who is here for one more week.  The world is indeed a small place, we studied together in Ulm beginning in 2008!  Everything went well and mom Voahirana and baby Tojo weighing just 2120g are healthy.  Those of you thinking oh my goodness how small, I can assure you that though small, most of the babies born here are not very big.  For my collegues, we don’t use Viewpoint here but I guess they would all be well under the 5th percentile. 

I am living in a residence just across the street from the hospital called Villa Kunterbunt. Any of you familiar with Pippi Longstocking may recall this is the name given to the house Villa Villekulla that she shares with a horse and Mr. Nilson, a monkey.  My room assignment shares the name with the monkey 😊. We are currently 11 volunteers working in different areas as midwives, doctors, social workers, and mechanics.  In the evenings we sit together and have dinner. Lunches during the week are cooked by staff at the hospital over an open fire and consists always of rice plus variations of vegetable and meat.  I am looking forward to the time here and am just getting into the swing of things.  Until then here are some impressions from the beginning. Enjoy!  
On my way to work with the hospital in the background
Impressions in Antananarivo
Work and play
Bird of paradise 


Rice field around the clinic
Aeriel view over Madagaskar

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