When I walk down Ghanaian streets, I stick out like a sore thumb. I
have never been so aware of my own presence until I first came to Ghana
where my anonymity vanishes. At times it is bothersome—especially when I
simply want to enjoy the sites and events around me while everyone is
urging me to notice the difference of myself. However, I have quickly
come to embrace this reality. It certainly helps me make friends.
Countless Ghanaians ask me, “How are you doing, white girl?” in the Akan
language of Twi. When I surprise them with saying “Nyame Adom”
(meaning: I am doing fine “by God’s grace”) and continue in an impromptu
conversation in their native language, they first are amused and then
seemingly impressed. I will be the first to admit that I am nowhere near
fluent, but the few phrases that I can use here and there have given me
a connection to people that I’m afraid most foreigners are not aware
of. I am incredibly grateful that most of the people in the city know
English, the country’s official language that unites all peoples from
different Ghanaian tribes under a single speech.
Unfortunately, my knowledge of the native language has not gotten
me complete access to my research site yet. Yesterday, I had a meeting
with the directors of the Alpha Medical Centre, a small hospital located
in a modest section of Accra called Medina. The meeting was quite
intimidating at first, since it seemed that I could lose the main field
site of my research with one wrong statement in the presentation that I
gave. Thankfully, the presentation went well, and the administrators
seemed to think my research is highly relevant and important to their
clinic. I thought that was it—that the oral permission of the hospital
administrators would suffice and that I could start to interview
patients. However, after two days later, many calls and emails to US
advisors, and multiple trips to rare Ghanaian printing stations, I have
obtained the necessary paperwork for me to proceed at the Alpha Medical
Centre. They tell me that I will start tomorrow. I am extremely excited
and a bit nervous to actually be conducting the research that I have
been planning for and talking about for months. While I am sad for the
days that were lost, the entire process was a learning experience and
quite an adventure—two things that I am quite fond of.
In
order to avoid feeling like today was a complete research day gone to
waste, I set up a meeting with Gori, a Muslim scholar that I interviewed
last summer about the ways in which Islamic beliefs affect the way
Ghanaian Muslims view their health and make decisions when ill. I wanted
to ask him a few follow-up questions about his faith and about his
interactions with biomedical doctors in the community. He is an
incredibly friendly man, and he was excited and passionate to tell me
about everything that I wanted to know. The most interesting thing that
he mentioned this time was about the interactions between physicians and
spiritual leaders in the hospital setting. It seems that some doctors
and most hospital administrations are adverse to the idea of community
spiritual leaders coming in to pray for religious patients. However,
this is not due to anything against religious practices in general.
Instead, it is due to the fact that some spiritual leaders bring
patients special holy water or herbal concoctions that they intend to
use to help heal the patients of their illness. Because the contents and
side effects of these spiritual medicines are unknown and often used
without consulting the physician, doctors often are highly suspicious of
spiritual leaders in biomedical settings. This can often create an
environment that is hard for any spiritual leader to come in to pray for
patients, unless, like Gori, you have a special relationship with
doctors who have similar spiritual beliefs. Gori and his fellow Muslim
leaders often have personal relationships with Muslim doctors who
encourage them to come to pray for patients, often undermining the
wishes of the overarching hospital administrations. This complex dynamic
between spiritual leaders, religious patients, and medical
professionals is exactly what I hope to somehow shed some light on in
the coming days of my research. Fingers crossed, it all starts tomorrow.