Tag Archives: Timor dental program

UNITY IN DIVERSITY

Our volunteering year is now ended with Team 5 returning a couple of weeks ago from TL. It has been a very busy year, and so we are quite happy to be able to draw a quick breath or two before we start to prepare for the year ahead. (Pic: Isa, Nico, Tino, Bony, David and Ana Paula)

Team 5 was led by Dr David Sheen, one of this program’s founders, and an excellent dentist, teacher and mentor. David has decided that this will be his last clinical trip, so we imagine that this trip tasted bittersweet. David will be sorely missed. He is a gracious, good-humoured and considerate person and a skilled team leader. However, there is no rest for the wicked – David will continue to be involved in the TLDP management committee, and he has taken on the responsibility for getting a Timorese person into and through a dental degree! We haven’t seen the last of him yet!

The remainder of the Australian contingent of Team 5 consisted of returnee, Dr Geoff Knight (Week 1), and newcomers, John Darby (Week 1 and2) and Gaye Dumont (Week 2).

We are proud to say that the Timorese portion of Team 5 was considerably larger than the Australian part, something that is now typical of all our teams, and an ideal that we have been steadily working towards over the past 15 years. We believe that a program is only sustainable if it has local ownership and it can only be locally-owned if there is a preponderance of local participation. The timorese contingent consisted of TLDP dental therapist, Nicolau Tolentino Faria Pires (Nico), TLDP dental assistant and translator, Ana Paula Dos Santos Tavares Salgado, Ministry of Health (MoH) dental therapist, Diamantino Correia Morais (Tino), translator, Bonifacio Cardoso Martins (Bony), translator and organiser, Isabel Noronha Pereira De Lima Maia (Isa), MoH dentist, Dr Inda Zulmira Dias, MoH dental therapists, Armando Da Costa Martins and Ricardo Mendonça, and Carmelite sister, Sr Delfina Soares. With the exception of Sr Delfina, all the Timorese in this team have worked with the TLDP for many years.

The lucky team spent the first week in Oecusse, an East Timorese enclave within West Timor, Indonesia. They were lucky not only because Oecusse is a beautiful area with coral reefs off the beach, but also because they got to spend time with our beloved Sr Filomena da Costa, our old Timorese program coordinator who was uprooted from Maubara to take over the new Oecusse Carmelite community. (Pic: Sr Carmelita, Sr Filomena and Ana Paula)

This team journeyed by ferry, a quite expensive and time-consuming exercise involving putting the 2 packed vehicles on the ferry in the morning, waiting around Dili all day, then boarding at 5pm, before finally arriving at 5am the next morning. Luckily, the team scored the only 2 cabins onboard and were able to sleep! Thanks to Isa for booking the tickets in advance! (Pic: Dedicated Nico and Tino)

The team worked for 3 ½ days within the Carmelite Health Centre, São Domico Clinic, mostly treating the children from the neighbouring high school and the local community. Sr Filomena, Bony and Nico did all the oral health education and screening of the school kids. After that, the team broke up into two teams, each comprising a Timorese clinician with a mentor; Geoff teamed with Tino and Ana Paula to do all the fillings and preventive treatments, while David and Nico did all the extractions. John Darby, a dental prosthetist in Oz, became the team’s super-efficient sterilising nurse and infection control manager. It was a very busy few days! It was a real treat for the team to be able to spend time with Sr Filomena, who is also one of the founders of our program and a delightful lady with a loving and ebullient nature. (Pic: Geoff, Sr Carmelita and Tino)

Another 12-hour boat ride and the team returned to Dili on the Saturday for restocking and team changeover. The team farewelled Tino, Bony and Geoff and welcomed Gaye and Sr Delfina into the fold. Sr Delfina is keen to study dentistry and the TLDP has agreed to support her studies if she gets into a training program. In a meeting with the Carmelite head honchos on the weekend, David suggested that Sr Delfina gain some work experience, so she also joined Team 5 for round 2! Off to the hills of Maubisse! (Pic: John and Gaye atop the Christo Rei)

The trip to Maubisse takes 4-5 hours from Dili. The team was scheduled to work in one of its more remote regions, Manetu, for the next couple of days. The team arrived in the early afternoon in Maubisse town and collected Dr Inda, so they decided to push onto the Manetu-Lebululi Health Centre to set up for the next day. Unfortunately, they travelled via a suggested ‘short cut’, which turned out to be an extremely bad road, and when they finally arrived, the health centre was locked up with no one around, leaving the team to do a u-turn and head back to Maubisse. At least the return trip was on the longer, but much better, road and so the return journey only took 1 ½ hours! (Pic: Gaye and the Maubara sisters)

Manetu is a very poor area, which suffers from severe water shortages when the rain doesn’t come on time. As a result, the villagers have difficulties with personal and home hygiene, and the team saw many people with scabies and badly infected mouths. This is the first time the TLDP has travelled to this village (this was an agreement drawn up in April this year in a meeting with the local chiefs) and the first time this village has had any dental care at all, so it was unsurprising that most of the treatment was extractions. Dr Inda manned 2 extraction chairs all by herself, and David mentored Nico doing restorations.

The last couple of days were spent in the Horaiki High School, which had already been screened and given oral health education by the Maubisse Hospital team (Dr Inda, Armando and Ricardo). Team 5 was assisting the hospital team to follow up with treatment. David and Inda mentored the two Maubisse dental therapists, Armando and Ricardo, while Nico gave additional toothbrushing instruction in the classrooms. In both locations, Gaye, John and Ana Paula kept the team going. Support staff are essential for maintaining good infection control in TL! (Pic: Dr Inda and Ana Paula doing the admin)

Team 5 had brought over our new 34kg suction unit. It worked brilliantly, which meant happy clinicians and happy patients. Lucky for them, there were no equipment breakdowns. NONE! That must be a record! The team also got to spend time with 3 different sets of Carmelites – Sr Filomena, Sr Carmelita and Co. in Oecusse, Sr Joaninha, Sr Lindalva and Co. in Maubara, and Sr Domingas, Sr Rosa, Sr Eva, Sr Veronica and Sr Zeza in Maubisse. That’s a lot of cheeriness and good food right there! (Pic: the Maubisse Sisters)Overall the team saw 443 patients, carried out 318 check-ups, took out 460 teeth, placed 218 fillings and did 42 preventive treatments. Well done Team 5!

Thank you to everyone who continues to support our program! From our donors, to our team members in Darwin who collect supplies and bring them to the airport for the teams, to our biggest materials donors – Henry Schein Halas and SDI – and the Rotary Liaison Team in Dili who do so much running around for us, we are in your debt. Thank you for your generosity. We could not do this without you.

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Team 1 heads to TL next Saturday

A new volunteering year begins on Saturday 21, with something new. Team 1 is taking along some friends. At least for the first week, the Timor Leste Dental Program team will be joined by representatives from the Bendigo Maubisse Friendship Association (BMFA) and Solar Smiles (SS), who hope to assist with improving the dental services in Maubisse. Retired anaesthetist, Dr George Waters, from the BMFA, and the founder of SS, Mrs Kim Groizard, will be journeying for the 2nd and 1st time respectively to TL – a recon trip for the both. Dr Phil Hill, who volunteered with the TLDP last year, has the unusual distinction of being a member of all 3 NGOs and the TLDP will be working him hard! The last two Australian members of this merry band are  team leader, Dr Blanche Tsetong, and returnee, Dr Mary Tiutiunnik. They will be joined in TL by dental therapist, Mr Nico Pires and translator, Miss Isabel Noronha Pereira De Lima Maia (Isa).

Week 1 will be spent in Maubisse subdistrict; clinical work in the community and the schools will be intermixed with meetings with heads of villages, the main hospital, and health posts, as well as meetings with other NGOs.

Once Kim and George return home, the TLDP will spend a more typical TLDP 2nd week of hard slog in the Maubara/Liquiça/Loes subdistricts. Full steam ahead!

 

 

The extraordinary nature of Serendipity

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A late nani tasi

Team 3 returned to Australia last week following a productive fortnight. This was team leader Blanche Tsetong’s tenth trip to TL, so for her, this trip had a celebratory glow from the outset!

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Lunch in Loes

The team also comprised Dr Wayne Pearson – on his 8th trip – and Sally Stephens – already on her 3rd trip in one year! The team was joined by Aida in the first week and together they treated patients in Maubara Clinic, Pauirobo Primary School and Loes High School. Blanche and Aida tag-teamed a chair, while Sally and Wayne made a dynamic duo. The team were particularly impressed with the kids’ teeth at Loes. This school had last been visited by one of our dental teams in 2010, however, it was also one of those schools targeted by a oral health education workshop run in 2008 by Sandra Meihubers and Timorese dental therapist, Elisabeth, as well as a toothbrushing program run by Sr Filomena. The team was pleased that the fillings that the dentists had placed were still there – good quality work – but they were even more impressed that the oral hygiene and decay rate had dropped significantly – evidence of the importance of education. Plans are afoot for Aida, Blanche and Sr Filomena to do a refresher workshop next year and will involve not only school teachers, but also local doctors and nurses.

Aida with some help from Mom
Aida and a helpful Mom

Aida’s skills in diagnosis have improved dramatically and she is now a dab hand at extractions (although she says that her confidence diminishes without the team’s ‘safety net’). We are now working on increasing her experience with fillings in the front teeth. She is a great clinician and the team thoroughly enjoyed their week with her.

The first week was plagued by team erosion – Sr Filomena is now the Big Boss at Maubara and so she had to attend several meetings over the week; Sally was struck by a lurgy which took her out of active service for a day (although she spent that day doing more stocktaking than resting!), nevertheless, the team still managed to finish treating all the students in Loes, in part due to exceptional teacher management.

P1010791 P1010768The end of the first week marked the 25th anniversary of Sr Filomena’s entry into the Carmelite order. This extraordinary woman has been serving the Timorese people for a quarter of a century and she remains humble, joyous and full of love and energy. All who have participated in the program feel truly privileged to have spent time with her. Congratulations Sr Filomena! Felicidades! Parabéns!

Night work in Letefoho
Night work in Letefoho

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Week 2 was spent in Letefoho subdistrict, where the team worked again in their room-with-a-view under the imposing Letefoho church, and visited the nearby villages of Lakau and Lauana. It was a busy, tiring, amazing week. The team arrived in Letefoho just in time to witness the celebration of the Bishop’s inaugural visit – they spent half a day immersed in the spectacle of the crowds, the traditional music and dancing, soaking up the fervour. Once mass was over, the crowds progressed to the dental clinic – the team worked late that night.

Pre- Sr Bernadette
With Sr Bernadette
With Sr Bernadette

For the rest of the week, the team was joined by the ebullient Sr Bernadette, who undertook the tasks of patient registration, catering, drug, sticker and toothbrush dispensing, and crowd control – the team was Organised! Her happy company lifted our hearts the entire week.

Our Lakau clinic
Our Lakau clinic

The visits to Lakau (8.6km) and Lauana (17.8km) were each an hour’s worth of 4WD adventures away from Letefoho. Lakau was extremely windy, perched on the side of a mountain and the team worked in a little bamboo building with a metal roof that threatened to take off with each gust. Lauana, at a little lower altitude, was surrounded by towering Madre de Cacao trees; the church at the top of its steep streets commanding beautiful views over the valley.

The team with the Maubisse boys
The team with the Maubisse boys

The team was in for yet another happy surprise that week. Tino (the Timorese dental therapist we support in Gleno), who had been unable to accompany us due to illness, showed up on Wednesday with Armando, the Timorese therapist we support in Maubisse, who had also brought Ricardo Mendonça, the new dental therapist working with him! Tino was still sick, but was needed as a guide for the Maubisse boys.

With wonderful Tino
With wonderful Tino

Armando felt that he urgently needed more tuition in extractions and reasoned that the 3 hours they spent with the team was worth the 8 hour round trip from Maubisse. It is such dedication that inspires and motivates us in the TLDP. It was a fabulous treat for the team to reconnect with all our Timorese dental therapists in one trip, as well as to meet a new one!

P1020054 The team had a great time in Letefoho. Despite the bracingly cold showers in 12 degree temps (the Fathers are hardcore!), our host, Father Elio, was great company and the hospitality of his crew was second-to-none. Now that he has built a new guesthouse, larger teams will also be able to experience this beautiful area with it’s friendly people.

As always there were the equipment issues particular to working in TL – leaking foot pedals, out-of-control algal growths, the mysterious and inexplicable disappearance of an oil cap after leaving it aside for 60 seconds – but the team took it all in their stride. It was a successful trip – Team 3 treated 516 people, did 370 examinations, 393 extractions, 186 fillings and 169 preventive treatments. Well done team! Thank you to the Maubara crew – Sr Cecilia, Sr Filomena and Idalina; the Letefoho crew – Fr Elio, Fr Ino, Fr Eduardo, Fr Alberto, Mana Lulu and Sr Bernadette; and our Dili crew – Daryl – for making this trip so memorable.

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DENTAL SUPPLIES HEAD TO TL

Last Thursday, vital supplies for the Timor Leste Dental Program  were delivered to Rotary’s Donation in Kind warehouse in West Footscray, Victoria, where in two weeks, they will be placed in a shipping container bound for TL (via Hong Kong!!?) – an unwieldy way to get goods across to a country that remains without a postal system. Many, many thanks go to Ben Sheen, who drove the supplies from Sydney to Melbourne.

Blanche with a generous donation from Henry Schein Halas
Blanche with a generous donation from Henry Schein Halas

Amongst these supplies  are an electric dental chair, bound for Railaco, a portable suction unit, a dental drills cart and lots of consumables!  Many thanks to the amazing Keith Mentiplay for checking out the chair, to fabulous John O’Connor for overhauling the dental cart, to Dr Gordon Howe for donating the suction unit and to Dentsply for the consumables. Special thanks to Henry Schein Halas for the 15 cartons of gloves, bibs, and masks  etc- the Henry Schein Cares team really came through for us at short notice. Thank you Jessica and Kira! I know that our dental teams will truly appreciate NOT having to carry all this stuff to TL this year!

Our gear should arrive in Dili by March 22, where it will be taken in hand by our hardworking Rotary Liaison Officer, Daryl Mills, who seems to effortlessly, and tirelessly, juggle all the needs of all the Rotary Programs in Timor Leste. Daryl will distribute the gear – just in time for the first team which arrives in April! Thanks Daryl!

Like all volunteer programs, the Timor Leste Dental Program exists because of the efforts of a multitude of dedicated, generous, caring people. We are grateful for you all.