Saturday, 17 September 2016

quick update as unsure of future wi fi availablity





A quick post as we have been unable to establish if there is wi fi in Kinhira and have yet to purchase a dongle. we will travel there this afternoon , we think about 2 hours away by car. this morning we are going to visit the genocide memorial as Jane has not been there before. Yesterday Jean Claude and our hotel porter spontaneously told us of their personal harrowing experiences of the 1994 genocide but I think not for this blog
we had a typical African lunch with Jean Claude , our first experience of peanut soup , more of a source to accompany our 'irish potato' but very tasty
The extremely positive news was that NSAIDs ( ibuprofen , diclofenac etc) have now been trialled by doctors here for more than the previous limited 5 days allowed and this has all gone well and is being rolled out.  Some may recall reading in the original blog that it was conversations with Christian at Chapel St dining room table that alerted us to the restricted use of ibuprofen , which then  led to the meeting of Christian and Julie to discuss the safety evidence for NSAIDs and now patients in Rwanda have use of another effective analgesia / anti inflammatory on the same availability basis as in the UK!! Also having had heated debates with both Christian and Jean Claude regarding the restriction of the contraceptive pill to 1 months supply, he said with a smile yesterday , I suppose you want to know what has happened about contraception ?? the answer was that they heavily promote injections or implants as long acting agents but if ladies still prefer tablets they receive ........3 months , excellent  news ( especially if it requires a long walk each month to the health centre to collect).
we were so excited to hear all this progress from a very proud Jean Claude and we obliged by taking the beers in 2s as he says a beer order is always for 2 not 1 bottle !!
A hot afternoon spent at a local colourful market see the pics.


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