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Inland Empire<br />

Bringing Help and Hope to<br />

Orphaned Children in Rwanda<br />

In a country like Rwanda, w<strong>here</strong> more than 60% of residents live below the poverty line and more than 83% live in<br />

rural areas, the daily struggle to provide basic necessities like clean drinking water, food and protection from diseases<br />

like malaria can be overwhelming. Unfortunately, it is often the case that those developing nations often suffer from a<br />

history of violence and political instability that leaves citizens and future generations scarred and without the mental<br />

health resources to recover.<br />

Argosy University, Inland Empire Director of Clinical Training and Assistant Professor Dr. Brenda Navarrete is<br />

working to make a difference with the Coalition for Change, an organization dedicated to improving mental health<br />

services in developing countries. Over the winter break, her efforts extended to rural Rwanda, w<strong>here</strong> she worked near<br />

the Congo border to develop a mental health program for the Noel Orphanage.<br />

The Noel Orphanage is the largest of its kind in the nation, serving more than 600 orphans. Its children are victims of a<br />

series of devastating traumas and events – orphaned, in many cases, for reasons tied to the 1994 100-day genocide that<br />

took place in the country. Orphans at Noel are victims of the HIV/AIDS epidemic, abandonment, extreme poverty, and<br />

a poor health care system that leaves a high mortality rate for<br />

mothers during childbirth. The orphanage serves children from<br />

infants to young adults, and strives to meet their needs in a country<br />

with little money to help counter this type of ongoing and largescale<br />

suffering.<br />

During her trip, Dr. Navarrete implemented a mental health<br />

program that included a manual she developed for use with<br />

the children. Training modules on general mental health, child<br />

development, depression, anxiety, post-traumatic stress disorder,<br />

grief and loss, and attachment were presented in the guide. In<br />

addition, she developed a workbook of activities for the children that<br />

focused on improving mood, self-esteem, relaxation, meditation and<br />

identity development.<br />

Her time at the orphanage was spent training nurses and other longterm<br />

staff on how to identify mental health symptoms in children<br />

and how to use the activities she had developed with the children.<br />

This manual was translated in Kinyarwanda and is currently in use.<br />

Dr. Navarrete also worked with administrative staff from the<br />

orphanage and from several medical clinics in the area to develop<br />

crisis management plans for addressing events such as reports of<br />

physical and sexual abuse in their facilities.<br />

“I believe we are all capable of making a great impact on our society,<br />

probably more than we realize. Whether this impact be good or bad,<br />

the magnitude of the impact is up to us,” said Navarrete. “We all<br />

have gifts and resources to offer others whether it be in our local or<br />

international communities. This does not require for us to have any<br />

unusual talents or abilities, just the belief that our actions are capable<br />

of bringing about positive change in the world. My trip to Rwanda<br />

was an extremely rewarding experience that provided me with<br />

valuable opportunities for cultural exchange and personal growth. It<br />

reinforced my sense of global responsibility and my enthusiasm for<br />

greater social involvement.”

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