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Logistician

Sudan / 24.04.09

Richard Urmonas

Richard Urmonas

Richard Urmonas is an engineer from Athelstone in South Australia. In November 2008, he left for southern Sudan, his first mission with Médecins Sans Frontiéres. Richard is working in a town called Aweil, where Médecins Sans Frontiéres is conducting paediatric and reproductive health and nutrition programs. Médecins Sans Frontières is also responding to emergencies in the region such as cholera and malaria. Richard is a hospital logistician and describes his experiences here.

First Impressions
The plane to Aweil flies over a flat plain stretching from horizon to horizon. The light green of the grass which has grown over the wet season is fading into a brown green as the dry season makes its presence felt. Numerous trees add dark green dots to the canvas, which would be featureless apart from the occasional broad river bed. In places a village can be seen, with groups of tukuls (traditional huts) interconnected with a spider’s web of paths. Occasionally, a section remains in flood from the wet season. Ahead appear the hard geometric shapes which signal the presence of modernity. We descend towards the town, before turning a wide arc, and land. The plane taxis to the end of the runway, placing us in the centre of Aweil. This will be home for the next six months.

The mission here has three compounds. "Base" - which holds the office, a warehouse tent and garages for our vehicles. This is interconnected with the "new" compound, which holds 12 tukuls, a kitchen building and an ablutions block. The centre of the compound has a large mango tree, the hand pump for water, and an open sided roofed area which is our lounge area. Finally there is the "old" compound which is not dissimilar to the new compound, but has a number of large tents rather than a multitude of tukuls.

As for work, I have plenty of it. David, the logistician I am replacing, has done an excellent job and we are busy doing the handover. My job description listed several tasks:
- Two delivery rooms under construction
- Therapeutic Feeding Centre, which is progressing well
- Maternity ward is nearly complete
- The baby latrine is under way
- The washing area with its associated grease trap is due to start construction this week
- The electricians are due Monday, and should provide a plan for upgrading the electrical installation
- Waiting for a decision as to where the new Operating Theatre should be located

Then there are all of the jobs on the "to do" list:
- A food store for the feeding centre
- A logistics store, probably attached to the above food store
- An outpatients' clinic
- Overhaul the complete waste disposal area and devise handling protocols

As you can guess there are rather a lot of people working in our logistics team - almost 80 staff one week. Everything from the logistician's assistant, through to water and sanitation staff, masons, carpenters, cooks and cleaners. Thankfully there is a good group of supervisors in the chain, who keep everything running.

Today being Sunday is our nominal rest day. However there has been a cholera outbreak about 40 km out of Aweil. David and I arrived at the hospital to find eight patients in the isolation tent. Somewhere in there, as I was putting some plastic sheeting down on the floor of the tent, and David was mixing up a batch of chlorine to sterilise people heading in and out, he turns to me smiles, and says "Welcome to Aweil".

© James Nichols/MSF. Logistics staff building a structure outside the new maternity ward in Aweil.

A day in the life of a hospital logistician
Work starts a bit before 8am when the office is unlocked. I then have a discussion with the supply logistician about what priority to give to my various requests. At about 8am, my assistant comes in, so I briefly run through the morning's work, and he departs for the hospital. By then the big storage tent is open, and I go through and pick the items I need. If required, I write up some purchase requests and have those signed. I then try and get myself and the materials to the hospital. I could be travelling light with just some small fittings and can go by bicycle, or I could have to transport drums of fuel, mattresses, big sheets of plywood, any of which need the pick-up. This is a big bottle neck, as the demand for the pick-up is high. I have even on occasion sent my assistant in the pick-up with the first load, and taken another vehicle full of things myself.

Once at the hospital probably the largest consumer of my time is human resources. With up to 80 people under my care, there is hardly a day where someone does not need some of my time.

We generally work until 6pm or later, doing paperwork, discussing requirements for the upcoming jobs over the next few days and other planning activities.

Life here for me is really not bad.  There is plenty of work, but the household tasks of cooking and cleaning are taken care of.  Aweil has a nice market, and friendly people.  The security situation is good and we have a fair amount of freedom.  The team is large so there is always someone around to talk to, and now that I have my own tukul, I also have some privacy when I want it.  News of the outside world is limited, but I don't find that a problem.


The Médecins Sans Frontières project in Aweil in Southern Sudan’s Northern Bahr el Ghazal (NBEG) state is a comprehensive emergency response to a confluence humanitarian crises including access to healthcare for the population, and the ongoing emergencies of nutrition and reproductive health. Based in Aweil, the main town of NBEG with a population of 100,000, our work in the Aweil Civil Hospital  is the only referral structure providing secondary health care services for all of the state and one of only three hospitals in all of Southern Sudan and covering a population of 1.7 million inhabitants The access to the hospital from other places in NBEG remains limited. Needless to say, the health needs of the population in South Sudan are significant where indicators such as infant mortality (150 per 1000 live births) and maternal mortality (2054 per 100,000), and crude mortality (22 per 1000) rate as some of the highest in the world.

  

Location Map - Sudan -


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