1	Rural South Africa Welcome – Sarah Farrell Background – Tina Brashers Opportunities – Lindsay Donovan
2	Background Several decades of relationship building by Environmental Science Dept with four universities in southern Africa Interest by the federal government in building an infrastructure for American-African political and economic relationships University of Virginia moves SAVANA to the top of its priority list for international programs
3	SON and SAVANA SON becomes involved when Tina Brashers represents the SON at SAVANA meetings beginning in fall 2001 Provincial nurses from South Africa visit UVA in February 2003 Lindsey Donovan receives funding from the Office of the Vice President for Research to travel to South Africa July 26-August 18, 2003 (Sarah Farrell and Tina Brashers faculty mentors)
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5	Current SON/SAVANA Projects
6	Future Possibilities Incredible number of research possibilities Links between poverty, gender, trauma, abuse, suicide, and HIV Projects that could be extended from the Rural Health Center ideas Breastfeeding, Ways to partner with traditional healers, herbs Behavioral issues in HIV Distance Learning and Telemedicine Student and Faculty Exchanges NSWB
7	Planning SAVANA team hopes to expand and is developing a structure for developing and integrating future projects Many students have offered their expertise to help in this project Defining relationships with rest of University Including Envir Sci, Anthropology, Engineers without borders, The Giving Tree group, Center for Global Health Connecting with consultants Exploring funding opportunities Research, Education, Practice (Classes, NSWB)
8	SAVANA / SON
9	Observations of Health Care in South Africa Lindsay Donovan, APRN, BC NP Student University of Virginia Funded from Provost Office Special Funds
10	Primary Objectives 1. Relationship building 2. Forging a working understanding of the country’s view of psychiatric issues 3. Identifying psychiatric research projects for future collaboration
11	Host Family
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13	Venda Culture
14	The children
15	A birthday party for the king
16	Forging Relationships
17	Access to Care Poverty Health Care issues Role of nursing, building capacity Primary care mobile team Thohoyandou Victim Empowerment Program/Men’s Forum Rural Clinic Research opportunities
18	Psychiatric Issues
19	Depression and poverty Global Burden of Disease Study Depression is 4^th leading cause of disease, by 2020 will be second only to ischemic heart disease^1,2 Depression is 4^th leading cause of disability in South Africa and second only to HIV/AIDS in 15-44 year old age group⁸
20	Psychiatric facilities Concern for protection of patient rights Confidentiality Staffing dangerously low Trauma to staff High use of chemical restraint Broken glass Torn and tattered linens and gowns Lack of supplies
21	Identification of Problems health-environment interaction
22	Tribal Leaders
23	HIV
24	A funeral
25	WITS Rural Facility
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27	UNIVEN Relationships
28	Knowledge and Attitudes towards Mental illness Sample: Primary Health Care Nurses Specific Aims: 1) Assess knowledge and attitudes toward mental illness in rural areas of Limpopo province 2) Expand knowledge of community healthcare needs and access to care services 3) Determine in region educational needs 4) Continue collaboration with University of Venda University of Witswatersrand, and Local Provincial Nurses
29	Social Vulnerability Opportunity with the Anxiety Disorders Research Unit funded by MRC Charmaine Yugo, Cape Town Other examples: Angie Mathee - Senior specialist scientist and environmental health expert’s projects: Lead poisoning on children Impact of lung children associated with burning, specifically household heating Medical Research Council and Human Science Research Council
30	The right thing to do
31	Join us in South Africa