From the Operating Room to the Brewery: Ethiopian Team Professional Post #1

Hello friends, family, and world at large,

Welcome to the best (though probably only) “Ethiopian-One Health-Ohio State MBA student blog”. For those who might be unaware, our team of six OSU MBA students has partnered with the nonprofit organization One Health to analyze the operations of Ethiopian factories and facilities. The ultimate goal of this project is to better understand how these facilities impact the surrounding people, animals, and environment. One Health’s overarching goal is to improve health and environmental wellbeing in developing areas. For this specific project, we are concentrating on hospitals, pharmacies, and factories that directly handle food or animal products.

The final two weeks of our three week trip will be spent in Addis Ababa because of its large population and industrial presence. However, now we are in Gondar, a smaller city in the northwest region of the country. We are working closely with faculty from the local university, who have been instrumental in arranging our visits to the various facilities. Our first day was spent touring the only hospital in the city, which is operated by the university.

On the first day of our trip, we met with our Gondar contacts at the University of Gondar campus and finalized our itinerary for the week. We made plans to visit the University of Gondar hospital, Dashen Brewery, a local glove manufacturer, and local pharmacies.

 

University of Gondar Campus; First meeting with local client contacts
University of Gondar Campus; First meeting with local client contacts

As you may have guessed, there are some noticeable differences between an Ethiopian hospital and one found in the United States. What they lack in technological equipment and training, however, they attempt to make up for with resourcefulness and resiliency. For example, while the newly opened cancer treatment facility has no oncologists or cancer drugs, doctors provide a place for patients to bring outside drugs and have them administered. In the operating room, surgeons work through mid-surgery power outages without even a momentary lapse in concentration.

Arguably, the most unexpected aspect of the visit was how honest and non-defensive the hospital workers acted towards us. They were not ashamed of admitting issues and pain points in their operations; they genuinely wanted feedback on how to make the hospital better.

While our GAP team was amazed at how they could do so much with such limited resources, there were still some startling observations during the visit. For example, the bio-hazard waste from the cancer treatment area had not been disposed of since the facility opened over a year ago, and was piling up in plastic bags in a small outdoor area directly behind the building. Many areas (such as the ICU and some operating rooms) held multiple patients with no barriers between them, while those not currently being attended to were often laying on the ground outside of rooms. There were also several waste management issues, such as liquid waste being discharged directly into a nearby stream.  In contrast, the hospital pharmacy had a very robust process for monitoring its prescriptions using a foreign inventory management software.

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Team in front of Dashen Brewery

These are just a small portion of the observations (both positive and negative) our team collected. The accommodating nature of everyone we interacted with enabled us to learn more than we ever anticipated, but we also saw an opportunity for future teams to perform more in-depth analysis of the hospital’s operations.

Our second site visit in Gondar was the Dashen Brewery. It provided some much needed contrast to the somber nature of the hospital tour. When we arrived, we were immediately impressed by the sophistication of the factory. It was extremely clean; there were numerous automated processes; and, they tracked key performance metrics such as bottle breakage and percentage of under-filled bottles. We still identified areas of improvement, such as better worker adherence to protective equipment guidelines and enhanced lighting in areas where manual labor is required.

Our final site visit, to a glove factory, was cancelled due to permission issues, but we were able to visit two local pharmacies and observe their processes.

The team has been able to collect an immense amount of information in just the first week, which has caused us to place even greater emphasis on developing a final report that is well-structured and succinctly articulates our key findings.

Looking ahead, we will begin working in Addis Ababa on Monday. We are currently in contact with the local university there to schedule facility visits, but unreliable internet poses a significant challenge. Our last email took 35 minutes to send!

In the meantime, we are preparing for our next site visits, enjoying a few Dashen beers, and wondering what happened on Game of Thrones last week.

Check back next week for another update!

“John of Gondar”

Day 4: Gondar City-

May 5th (Monday) is an official holiday in Ethiopia and all government offices are closed. However, a subteam of our Gondar hosts had promised to make time to meet us at 1.30p. We decided to go to explore the city and check out the local market before our meeting. What an adventure it turned out to be!

First, we went to a souvenir shop which was filled with great local craft pieces – including wall hangings, dolls, decoration pieces, clothes, shawls, musical instruments and many other interesting pieces. Even though we promised ourselves that we will window shop, seek comparisons, not fall victim to impulse decisions and try our bargaining skills, the moment of truth was interesting. The pieces were so beautiful that it was hard to resist the urge, especially since we would automatically make mental calculations of how low the dollar-converted costs would be!

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Our first real adventure of the day was right outside the souvenir shop where a group of 2 young boys approached us and tried to “exchange” a 20 dollar bill for an interesting story. Their concern was that they had an “old” 20-dollar bill from 1981 which the local merchants would not accept. They wanted the nice Americans to help them by exchanging it for a newer bill since we could easily pass it on when we got back home. We had an interesting dialogue about the authenticity of the bill and in the end decided to agree to disagree.

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From there we got in the van and were taken to the local market which was bustling with activity of every sort – from fresh vegetables to chickens to clothes, utensils and hardware. Almost everyone we met was extremely friendly with smiles all around. We all noticed that many of the shopkeepers spoke very good English and didn’t try aggressive approaches to sell to the visiting “freinji” (local word for light skinned foreigner). We also noticed that there were quite a few women entrepreneurs who confidently ran their shops.

During this visit to the market we happened to stumble upon John, a 10th grade student who made our day! There was something about his demeanor that put our whole group at ease with him. We struck up a conversation with him to find out about how he loved fashion forward shoes which he then converted to soccer shoes when his 5 brother team rule over other kids in the neighborhood. He told us about his dreams of becoming a doctor one day and serving his nation. We not only got great advice from him about which fabric to buy or how to avoid fast colors but also got a pleasant surprise – an offer to show us where the beautiful fabric was weaved by the locals.

We had set a deadline for ourselves to leave the market by noon so that we could head back to the hotel, have lunch and get ready for the 1.30p client meeting. However, the offer was just too good and all of us make a group decision to flex our time in favor of this unbelievably authentic experience. John took us through the market until we reached a semi-residential area where small shacks housed families as well as a cottage industry of 1-2 person manufacturing units. John showed us where a person was hard at work at a small hand-powered loom weaving a beautiful fabric from threads of cotton. John would later also show us where the raw picked cotton was sold and along with the bobbins used to convert piles of raw cotton into thread which would then be used in the weaving process.

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On our way back, we were taken thru another route in the neighborhood where we saw ladies cooking the day’s lunch. John took us to one of the ladies and we were able to see how pancake type batter was first prepared and then poured over a heated plate to make Injeria – the staple of the Ethiopian diet. As we watched this process, we were surrounded by many curious and smiling children. For some reason, they found trust and comfort in the faces of Danny and Niraj—whose hands they held and started to walk thru the alleys back to the market. Only after we reached the van did they finally say smiley goodbyes and went off their way.

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As we said farewell to John, he offered to take us on more experiences like this should we choose to. Since he was off school for the summer, he was willing to take time off from soccer and show us around while someone covered his shop. A definite stop that we all agreed to put on our itinerary was the visit to the Jewish blacksmiths. Knowing of the historical struggles of the Ethiopian Jewish community, this experience was a must have.

Oh how lucky we got with finding John!

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We got back to the hotel recounting our many adventures (some of which we couldn’t list here) in time for our client meeting. We ended up having a 3 hour meeting with them and then a 3 hour strategy session which shed new light into how to proceed with our mission in Ethiopia. Tomorrow is a packed day and if things go well, a packed week full of work.

We can’t wait to meet up with John again!

Off to Ethiopia!

Seven Master of Business Administration students from Ohio State’s Fisher College of Business will visit Ethiopia for three weeks in May as the in-country portion of our Global Applied Projects class. The class is taught by Kurt Roush and advised by Professor Scott Livengood.

We are: Javed Cheema, Katie Fornadel, Carla Garver, Alejandra Iberico Lozada, Daniel Meisterman, Niraj Patel, and me, Danielle Latman. Combined, we are from three different countries, have traveled to almost 70 countries, and have 65 years experience in sales, marketing, operations, financial services, nonprofit and military industries.

The Ohio State / Ethiopia One Health Partnership asked us to harness our business skills to help operationalize the partnership’s rabies elimination project, adding a layer of practical implementation to the research and training that veterinarians and scientists have already developed. We have split up into teams focusing on the finance, marketing, operations, logistics and data collection functions of the rabies elimination project. Our goal is to develop a proposed roadmap that will allow the U.S. and Ethiopian partners to implement the rabies elimination One Health model project on a targeted region in Ethiopia.

We will travel to Ethiopia from May 1-25 to work with officials in Addis Ababa and Gondar. For the past seven weeks, we have met with the CDC, Drs. Gebreyes and O’Quinn, cultural anthropologists and social service agencies to prepare for our trip. We have also eaten at the lovely Lalibela restaurant here in Columbus, received our travel visas, and gotten a lot of shots — and were dismayed to find a shortage of the yellow fever vaccine in the U.S.!

For all of us, this will be our first time visiting Ethiopia and sub-Saharan Africa in general, and we are excited for what are sure to be many new and rich experiences! We are looking forward to exploring the natural environment of the Blue Nile Falls and Simien Mountains, driving overland from Addis Ababa to Gondar, seeing the history of ancient castles and churches, visiting marketplaces and drinking delicious coffee with each other and our new colleagues and neighbors. We are thrilled for the opportunity to contribute our business skills and passion to build on the One Health Partnership’s success and help eliminate rabies in Ethiopia.

From left: Katie Fornadel, Alejandra Iberico Lozada, Daniel Meisterman, Danielle Latman, Niraj Patel and Carla Garver. Not pictured: Javed Cheema.
From left: Katie Fornadel, Alejandra Iberico Lozada, Daniel Meisterman, Danielle Latman, Niraj Patel and Carla Garver. Not pictured: Javed Cheema.