Ephrem visits the United States

Executive Director of Hospice Ethiopia, Ephrem Abathun has recently returned from a 3 week visit to the United States. He reported that “it was a blessing to visit partners of Hospice Ethiopia across the country”. He began his trip in Connecticut, with a visit to Yale New Haven Hospital with Dr Eleanor Reid where he experienced first-hand palliative care being given in the Emergency Department. This has relevance for the challenges of the medical teams in Ethiopia caring for patients in their Emergency Departments where the families expect curative treatment to be provided even when their loved one is dying.

Ephrem’s next stop was Chicago to meet Professor Joshua M. Hauser from Northwestern University, who was involved in providing online palliative care training at Addis Ababa University earlier this year. Following this he met Mahlet Bejiga and her family in Boston, who have been long-term supporters of Hospice Ethiopia. They, along with other supporters, hope to start a new not-for-profit organisation in the US ‘Hospice Ethiopia USA’. In Las Vagas Ephrem continued his trip with a stay with Stephanie Council and a visit to Nathan Adelson Hospice before ending his trip in Sacramento with a visit to Snowline Hospice, who have previously provided support for Hospice Ethiopia.

A day in the life of Ephrem Abathun

When the trustees visited Hospice Ethiopia last month, we took the opportunity to ask Hospice Ethiopia’s Director, Ephrem Abathun what a typical working day looked like for him. We thought you might be interested to hear what he said.

His day usually starts about 6am but may be earlier if he has international guests visiting. He aims to leave home around 6.30am after eating some kinche (cracked wheat) or eggs with bread and has an hour’s drive (25km) to the HE premises. Ethiopian coffee (and occasionally tea) is drunk with breakfast, in the morning, after lunch and mid-afternoon. Gullilat Korbu (Finance Officer), Wengi Yared  (Programme Manager), and the nurses arrive shortly after him, between 7.30-8am.

Ephrem’s working day begins with reviewing operational activities so that he knows what he has to prioritise and on certain days of the week there are regular weekly meetings for example on Monday mornings he has meetings with the staff and the management team (Wengi Yared and  Gullilat Korbu). Lunch is around midday and is always a working lunch. He either brings lunch from home – “spaghetti pasta” or he meets international guests for a working lunch. On Monday afternoons he holds a clinical meeting with the nurses when difficult and distressing cases are discussed. He tries hard to make sure this meeting is not cancelled as it is a good opportunity to share his experience and build good working relationships with his clinical staff.

There a number of things that have to be fitted in around meetings and appointments for example, working on project applications with Wengi, speaking to local partners on the phone for example the Addis Adaba Health Bureau, attending face to face and virtual meetings with donors and partners, and writing reports.

During the last 2 years he has rarely had time to visit patients himself who are registered on the Home Based Care programme but now that doctorate is finished he hopes to have more time to support the nurses carrying out these visits. Certainly Hospice Ethiopia’s patients benefit hugely from his wealth of experience.

Ephrem usually leaves the office around 6-7pm and then has an hour’s drive home, receiving phone calls from staff, partners and others on his way. He tries to eat supper with his wife and 2 girls (aged 9 and 12) when he arrives home, which might be pasta, injera, barley bread and vegetables. Meat (beef) is eaten once or twice a week. (Beef is the cheapest meat in Ethiopia and is cheaper than goat, chicken, lamb and is produced across Ethiopia.) Once his daughters are in bed there is often more work to catch up with.

Ephrem works 5 days a week in theory but at weekends he works at least a further ½ day’s work. He tries hard not to work at all on Sundays so that he can spend time with his family.

This typical day looks pretty straight forward but from our experience working in Ethiopia is challenging. Long traffic jams, intermittent internet, massive paperwork demands by regulatory authorities, lack of internet banking and certainly no internet shopping all demand the patience of a saint. Fortunately Hospice Ethiopia’s Executive Director is one of these!

Exciting news from Hospice Ethiopia director

It all began when UK doctor Zeb Mebratu was looking for hospice services in Ethiopia for her uncle Anghesom, who had been diagnosed with cancer of the bile duct and liver at the American Medical Center in Addis Adaba. She searched online and came across Hospice Ethiopia UK. She contacted the charity who linked the patient with Hospice Ethiopia in Addis Adaba, which is led by Ephrem Abathun.

After determining the needs of the Anghesom, Ephrem provided him with symptom management, end of life care, and supportive care to the family. This care included pain killers and other essential medicines free of charge. Ephrem remained in close contact with Dr Zeb and her family and they were pleased and grateful for his care and support. After controlling his symptoms, he was able to return home to Eritrea and died peacefully a week later surrounded by his family.

Zeb’s mother, Teblez had a favourite brother who sadly died many years ago of kidney failure. She had been saving money in the intervening years in order to do something in his memory. So impressed were the family at her brother in law’s care from Hospice Ethiopia that she has decided to donate her saved up fund of £50,000 to Hospice Ethiopia in memory of her brother.  After careful discussion with the family part of the donation has been allocated to the Comfort Fund which has been renamed the Tewolde Medhane fund in honour of Teblez’ brother. The rest of the donation will be allocated to a Building Fund which has been established to fund the construction of Hospice Ethiopia’s own premises in due course.

Ephrem and Sue thank Teblez and her family whole heartedly for the very generous donation.

January update

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We’ve just had the quarterly report (for October-December 2017) from Hospice Ethiopia director, Ephrem.  We were thrilled to read that following a visit to HE towards the end of last year,  Ethiopiaid (based in Bath, UK) has given them £28,600! More about Ethiopiaid can be found on their website: http://ethiopiaid.org.uk/

Ephrem has been awarded a bursary and confirmed that he will come to the UK (visa permitting) for a leadership  management course at the St Christopher’s Hospice from 15th-19th October. We are also hoping to arrange a clinical placement at Priscilla Bacon Lodge, Norwich for the week preceding the course Oct 6th-14th.