Ghana Part 2 — Facilitating OT and CBR Collaboration

April 8, 2019
by Joyce

Diversity Externships International

One of the coolest parts of this externship was the fact that we, USC students, were able to participate in one of the leader’s, Jenna Kobara, OTD project. As part of her OTD, Kobara is pushing for interprofessional collaboration between OT students/OTs and community based rehabilitation workers (CBRs). An equivalent of a CBR in the states are the Community Health Workers, many of whom work with spanish-speaking communities, promotores de salud, to support health education and prevention efforts. Similarly, in Ghana, CBRs venture out into the communities, identify individuals with disabilities, and work on educating and building rapport with the community to facilitate inclusivity throughout the village. The community in Ghana is not only the immediate family but also their neighbors!

On the first day of this collaboration, USC students met with the Ghanaian OTs and the CBR students. I worked with my partner, Liliian, to facilitate a discussion about scope of practice and definitions around independence and therapy. Our job was not to lead the discussions but to open the doors for the Ghanaian students to participate and converse with one another. We were able to touch upon several points including the definition of independence, function, and ways for future collaborations.

After about 30 minutes of thoughtful conversation, we moved onto completing a task analysis of tie dying. For the CBR students, this was the first time engaging in task analysis.

I realized that the Ghanaian students were grappling with this novice task of tie dying shirts! It was a new activity for both of them and I believe that while it was new, the students worked well together to task analyze the tying of the rubber bands around the t-shirts.  After task-analyzing together, the MTC students came out to complete the activity with us! This was a great time for the Ghanaian OT and CBR students to interact with MTC students, not to mention, they were a lot more fluent in the local language of Fante so communication was so much smoother!

Seeing all of this unfold, I was in awe and have come to fully understood Bonnie’s mission, “To be out of a job”. Bonnie truly wants to plant the seed of collaboration between Ghanaian professionals to create the sustainability without the help of obrunis.

The next few days, my partner and I worked together with our matched CBR students in their specific community attachments to explore and learn about CBR work. As we engaged and problem solved with different individuals with various diagnosis (ie. CP, lower extremity pain), we made it a point to provide education that can carry with the CBRs for their future clients and to encourage the strength of collaborating with Ghanaian OTs.

It has been such a great experience to get to know our CBR students and how they have come to this profession. For some, it was not their first choice. In their univiersities, they may be placed into a major like occupational therapy or CBR. But even though it wasn’t their first choice to study this specific major, I have heard that many hearts were changed throughout their studies. It allowed students to change their perspectives on what the definition of disability, community integration, and function. I truly enjoyed and was inspired by the work of these students and the passion that they hold to increase awareness and acceptability of individuals with disabilities or illness into their communities. I even have pen-pals from Ghana to continue discussing about OT, CBR, scholarship, funding, NGOs through email 😊

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