Tag Archives: Isabel Noronha Pereira de Lima MAia

The Power of Many

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Team 2 has returned home safe and sound. In the past couple of years, our teams seem to have become quite large as a general rule, as our Australian volunteers are matched in numbers by Timorese employees. This team consisted of Australian volunteers, Dr David Digges (Team Leader), Dr Henry Gilkes, Ms Liz Eberl, and the tag teamers – Dr Geoff Knight and newcomer, Dr William Hariman. The Timorese contingent consisted of Ana de Jesus Barreto Tilman (AT), Ana Paula Dos Santos Tavares Salgado (AT), Nicolau Tolentino Faria Pires (Nico), Isabel Noronha Pereira De Lima Maia (Isa), Bonifacio Cardoso Martins (Bony), and Diamantino Correia Morais (Tino). Hence, at any given moment, this team had 3 dentists, 2 or 3 dental therapists, a dental assistant/steri nurse and 2 translators/dental assistants/admin officers. A massive team!

DD, HG, Isa, AP, AT, LE, Nico, GK

The team spent the first few days hosted by the Sisters in Bobonaro. The girls got to stay with the Sisters themselves, but the boys were housed in the Sisters’Tuberculosis clinic  – we suspect that they will be looking for some new digs next year! The team spent the first 2 days operating in the meeting room of Gumer Primary School, with the nearby High School kids walking over. Gumer is an isolated valley between Bobonaro and Maliana and  there are 800 children in these 2 schools, many of whom have very poor oral health. The team soon realised that on Day 1, but were able to broaden their scope on Day 2. 

The fabulous GK in action with the equally fabulous Isa

For the remainder of the week, the team shifted accommodation to Maliana –  this is the Big Smoke in this area, and the team gets to enjoy a little luxury. Isa’s Mom runs Restaurant Maliana, so the team is well-fed when they live here. Day 3 and 4 saw the team working out of a very impoverished village called Memo, 30 minutes west of Maliana and within spitting distance of the Indonesian border. They found it a little unerving to be able to see an Indonesian Military checkpoint from the school where they set up. The villagers here had never seen a dentist.

Tino and the omnipresent Ana Tilman!

Day 5 was changeover day – the team started working out of Maliana Hospital. Bony and Tino arrived together on what would have been a very long, dusty and bumpy tandem ride from Dili. Bony still managed to look immaculate coming off that bike – some people just have that knack! Geoff headed back to Dili – any team lucky enough to have Geoff with them benefits from his wealth of knowledge, especially with Silver Fluoride, which we use extensively in our work over in TL. William had been picked up from the airport by one of Isa’s friends and was put straight on the tools when he arrived in Maliana – no problem for William!

The team spent the next 2 days treating the community as well as students from the High School. This team is impressive with its logistics. They split into two teams, with screening and transportation of the students carried out by Bony, Willian, Tino and Liz, and treatment carried out in the hospital by Nico, Henry and David. Translation, sterilisation and patient marshalling were efficiently handled by AP, Isa and AT. After working late, the team had sunset drinks on the rooftop terrace – a last hurrah with Isa, who is now employed by Maluk Timor as the Oral Health Coordinator for all the dental charities that come to TL – we wish her well, but are very sad that she will no longer be spending so much time with us!

Week 2 was spent closer to our home base, Maubara. Three days were spent visiting Loes Orphanage, which we have never been before, Loes School (one of our regular schools) and Tapamanolu School (last seen in 2012 – very hard to get to). This involved a commute of 40 min along the crumbling coast road. The last 2 days were spent in Ediri School, one of the schools in our program.

The team with HG, WH and DD on the tools

What a hectic schedule!!! The team did a fabulous job – there was heaps of mentoring for Nico, Tino, Ana Tilman and Ana Paula, a whole stack of work got done, and they all had a great time! Henry did a super job of keeping us updated on social media. What more could we ask for?

Back in Maubara with Sister

The TLDP is exceedingly lucky to have so many dedicated volunteers who continue to come back year after year. We are even luckier that we are supported in our work by dental companies such as Henry Schein and SDI. And we are the luckiest to have so many enthusiastic, hardworking, talented  Timorese people working with us. We are immensely grateful in particular, to our primary partners, The Carmelite Sisters, who smooth our way through the bureaucracy of TL. Our program has carried on unabated despite constant changes in the Ministry of Health over the past few years.

The home team watched over by Henry

Nico and AT have become an excellent home team. They are in charge of the Maubara Clinic and our school dental program – Nico is an excellent operator and has the confidence of the Sisters – that is a HUGE endorsement! Although we initially employed Ana Tilman as a dental assistant, she too is trained as a dental therapist and so is now also benefitting from mentoring within the team environment. Her skills are on the up!

We are especially lucky to have an unofficial Timorese Committee of bright, young people – AP, AT, Nico, Tino, Bony and Isa – they are expert problem-solvers and can-do people. They are unstoppable!

Henry trials the new hand washing unit

Team 2 itself was pretty lucky – there were minimal repair issues, although they did get a flat tyre on the way home from Maliana – changing tyres in the dust and heat could not have been fun. They also were the first to try out our brand new custom-made portable hand washing unit – for all those places with no running water (it was a hit! Conceived in the Sunshine Coast, Made in Grafton), and they were the first team to wear our new spic uniforms!! 

Overall, the team examined 1350 people, they extracted 467 teeth, placed 770 fillings, and carried out 722 preventive treatments. Well done Team!

Together we are an Ocean

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Team 1 arrived home a week ago, tired – and some of us sick – but triumphant. This trip was difficult to organise and challenging on the ground due to the conglomeration of different organisations during the first week- The Timor Leste Dental Program had been joined by Solar Smiles Dental Charity (SSDC), the Bendigo Maubisse Friendship Committee (BMFC), and the Maubisse Referral Hospital (MRH). We all had  different ideas and agendas for this first week, but we shared a common goal – to improve the dental health of Maubisse Subdistrict; this made us a highly effective team.

Week one saw us in Maubisse Subdistrict. The TLDP consisted of overall team leader, Dr Blanche Tsetong, the TLDP’s Timorese dental therapist, Mr Nico Tolentino Faria,  and translator (as well as sterilisation nurse and dental assistant), Miss Isabel Noronha Pereira de Lima Maia. SSDC was represented by founder, dental recruiter and former dental assistant, Mrs Kim Groizard. Standing with a foot in both camps was Dr Phil Hill, who was volunteering for the TLDP, but was also a member of the SSDC. Dr George Waters represented the BMFC and the MRH brought into the mix Dr Inda Zulmira Dias, dental therapists, Mr Armando Da Costa Martins and Mr Ricardo Mendonça, and assistants, Carlotta and Imelda.

The TLDP and MRC spent the first couple of days in Turiscai treating the community and the school. Turiscai is and isolated village 1 1/2 hours from Maubisse town along the type rough, dirt ridge track that TL is famous for. The scenery is spectacular. We were very busy – the community rarely gets dental services – but our plans for a community oral health workshop were stymied by the campaigning for the upcoming election. (Pic: Phil, Nico & Ota)

The next 3 days the TLDP and MRC visited Rimori School, in a village fringed by sharp mountains, Samoro School, in a valley accessed by a skinny dirt track running beneath towering Madre de Cacao trees and coffee bushes, and the Carmelite Sisters’ Health Clinic back in Maubisse town. Kim Groizard lent a hand at both Rimori and Samoro Schools , enabling her to see a functional outreach clinic in TL in action. As we all know, working in TL has its unique challenges and peculiarities! (Pic: Phil, Isa & Kim)

Week 1 was peppered with meetings, but the most crucial was that with the Chiefs of all the Sucos (akin to shires) in the Maubisse Subdistrict. Phil, Nico and the rest of the gang remained slogging at Samoro, while Blanche, Kim and Inda attended this meeting with George in tow (SSDC will function under the BMFC umbrella). At what Kim described as a “horse auction”, the chiefs sought to get more services for their Sucos. In the end, we came out with a working plan of cooperation between the Chiefs, the Carmelite Sisters, the MRH, the TLDP and the SSDC. Success! (Pic: The view from Rimori)

The weekend, as always, brought the changeover and we said goodbye to the cool hills of Maubisse, the Maubisse crew, and to Kim and George. We were now a solely TLDP team. Blanche, Phil, Nico and Isabel happily welcomed Dr Mary Tuituinnik; less welcome was  the oppressive heat and humidity of the coast .

Week 2 had a different flavour to it – the climate introduces an additional layer of difficulty to our job. Also, by that time, both Nico and Blanche were ill; nevertheless, the team carried on – they spent 2 days in the slightly cooler climes of Vatuvou School, in the foothills behind Maubara, and a day in each of the airless, dusty, piping hot schools of Ediri and Vatunau, with one fan, a tin roof and a generator. What made the week flow easily was Phil’s can-do, ever-optimistic attitude, Mary’s gentle humour, Isa’s graceful, caring nature, Nico’s dogged work ethic, and the non-stop gentle pitter patter of Phil and Mary’s chatter – those two can talk underwater!

One of the days we spent assessing and mentoring a dental therapist, Savio, who the SSDC hopes to employ. Like most of the dental therapists we come across in TL, his skills are woefully lacking; however, with the right attitude towards learning, and with lots of support, we know that he could become an excellent clinician. Many of the dental therapists we mentor are now excellent clinicians. (Pic: Savio, Isa & Mary)

Week 2 also had its share of meetings as the TLDP worked with Phil (with his SSDC hat on) to establish more connections in TL. There were many trips back and forth on the Dili Road – meetings with Judite and Mario from the Rotary Liaison in Dili, the Rotary Club Lafaek in Dili, and the Rotary Club Dili at the Klibur Domin Tuberculosis Clinic in Tibar, with a fortuitous meeting with another new dental NGO in Tibar, which works within Kilbur Domin, under the Ryder-Cheshire banner. Developing links is important, especially in this setting, as it allows us to support each other and to share resources – TL is an impossible place to work in solo.

Blanche had meetings with Sr Inacia about the Sister Delfina who the TLDP hopes to support in her dental studies in Indonesia. The TLDP believes that local ownership is the only way for a program to be sustainable. Although Nico is hardworking and committed, he is a “mere” dental therapist and so lacks the clout that being a dentist would give him. He also has family ties that may force him to leave the program one day. Hence – in supporting Sister Delfina to become a dentist we hope to safeguard the program for the future. However, the TLDP was originally led to believe that the degree would cost approx USD 9000 for the first year of study. Instead, it is closer to USD 29000 – a big difference! Nevertheless, we are determined to support her – I see some fundraising in our future!

Team 1 luckily had few equipment issues –  3  broken triplexes, a non-functioning generator, malfunctioning head torches, a dental unit water leak, a total loss of water supply in the accommodation in Maubisse and, at the end, a broken air-conditioning fan belt in the SIsters’ car. Most they managed to fix during the 2 weeks! (Pic: Isabel, Blanche & an iPhone)

Team 1 saw a total of  415 patients, extracted 363 teeth, restored 245  teeth and carried out   39 treatments. With the TLDPs support, the MHR and Nico had screened, given oral health education and carried out a selected treatment to 1439 children prior to the Team’s arrival.  A fine example of what cooperation can accomplish!

Thank you to the entire team – you make this program. Thank you to Bony Cardoso Martins, who continues to help us with our Timorese dental registration, which is an exercise in tedium. Thank you especially to Henry Schein Halas, who continues to support our program with stacks of consumables and equipment team after team, year after year. Your generous donations allow us to give more to the Timorese people. Thank you also to SDI who has also helped us with donated materials over several years. Thank you to our partners, the Carmelite Sisters who, with their grace and good company, make it a joy to work in TL.  (Pic: Phil, Sr Joaninha, Blanche, Sr Isabel, Mary)