Wednesday, June 27, 2012 - , , , , , , , , , , , , 0 comments

1 Charla. 10 Communities. 2 Days.


Talk about keeping busy! On Friday last week, all my colega told me was to be at the centro at 7:30 in the morning sharp and bring my presentation about family planning. Little did I know where we were going and what the day was going to consist of!

The goal of our visits was to give a family planning, signs of danger during pregnancy/birth, and early stimulation presentation to pregnant women at the different puestos de salud (“health posts”). I was in charge of the family planning portion, using my charla about the importance of planning as well as discussing the different methods of contraceptives. My colega then discussed the latter topics. Some of the soon-to-be mothers were under the age of 18, some as young as 15, and others already had children and were pregnant with their second child; and others were mothers who had appointments at the puestos.

On Monday, we went to five different communities.

El Limón

Santa Barbara

La Mia

Santa Clara

Tastaslí

We provided refrigerios (“snacks”) to those who attended the presentation, and yet we forgot our own lunches! Luckily, my main colega was kind enough to share her lunch with everyone: we all got a tortilla with scrambled eggs (and for everyone else, black beans…ever since my bout in training, I have sworn off black beans. No gallo pinto for this gringa!). This is usually the custom for MINSA outings: everyone brings enough food to share and it’s a potluck style lunch. The rest of us were able to nab a refrigerio but were very hungry, thirsty and TIRED by the time the day was done. It was a long 10-hour day…and little did I know we were about to do it again on Tuesday!

Good Morning, Tuesday! We were all smart enough to bring our lunches and it was even one of the enfermera’s birthday! We went to five more communities to give the same charla five more times. Lest to say, I’m pretty sure the 6 of us are all well-rounded on family planning, signs of danger and early stimulation.

Teotecacinte

Tauquil 
(We forgot to take the camera out of the ambulancia, so I got a quick self portrait for evidence with my iPod touch!)

Solonlí

Waiting for everyone to get back to the ambulancia before heading to the last 2 communities

Chuslí 
(One of the nurses took a shot at giving the charla during this visit and I got to rest just a teeny bit)

Nuevo Amanacer


Texting! A Nica/US pasttime that we can all appreciate.

It was another long day, but I got more comfortable giving the charla in front of various amounts of pregnant women (and some soon-to-be fathers!); you kind of have to when you give it this many times! We gave the disclaimer that I’m still learning my Nicaraguan Spanish and it may be hard to understand my foreign accent, but after my part of the presentation, the ladies were all attentive and when asked about different methods of family planning, they were able to correctly answer the questions. During the presentation, I was able to make the ladies giggle a little bit, too! Cross cultural humor integration: Success!

This morning, I went to the Casa Materna to give a presentation about STIs and HIV/AIDS, since today is National HIV Testing day in the US. Two of the nurses came after my presentation to talk to the mothers about early stimulation and signs of danger; I didn't know they were going to come! The madres all learned something and were actively participating when we asked questions. I also gave them the family planning charla without visual aides, but I had given that presentation only a few weeks ago, and the one or two madres who are STILL at the Casa remember what I had told them earlier.
Proof I was there!



Right now there are 13 madres, 12 of which attended the presentation. I asked the CM workers if they have beds for everyone, and they said that the madres are doubling up on the beds. I'm happy that the madres are taking advantage of the House, but they need more space! I'm going to look into maybe doing a project in getting more beds at the House to better accomodate madres in the future.

The 8 beds that are sleeping 13 women. All in one room.

Then there was this guy hanging out above my bag in the doorway. Have no idea what kind of spider/bug it is, but man he's ugly!

As I wrap up this post, I'm heading to the Institute to help out the students with presentations like we did last week, then I'm heading to Managua for the rest of the week for a meeting! I am now part of the HIVaids Task Force, a group of Vols from every sector that supports PCVs in all sectors with training and resources that promote HIVaids awareness and prevention initiatives. Considering this was one of my main objectives of joining the Peace Corps, to work with HIVaids awareness and prevention, I'm very excited to be part of this group!

To those in the US who probably all know of the fires that are destroying my beautiful state of Colorado, and have extra change, please take a moment and donate to the efforts of Red Cross Colorado; I hate seeing the state burn, especially from abroad. I know of several friends and their families who have lost their homes and I can only pray that the situation gets better ASAP.
Saturday, June 23, 2012 - , , , , , , 0 comments

Do One Thing Every Day

This week, the Nueva Segovian Volunteer Leader who lives in Ocotal started her site visits with the Newbies of Nica 58 (i.e. me and my gals in San Fernando, Mozonte and Macuelizo). She is a 3rd year volunteer, also in the health sector, and has been a fountain of information and a great resource for every and all questions I have.


I told her that I feel as if I am not being as productive as I could be. About a week and a half ago, we had a meeting with the Health PCVs and SILAIS (Sistema Local de Atención en Salud, aka, the local level of Ministry of Health, MINSA). There are 9 health volunteers in Nueva Segovia, including our Vol Leader, and 4 of us are first year. We all gave brief presentations about what we are up to in our sites and brought two colegas with us for support. 


My presentation consisted of all of the murals I have helped with, giving some charlas about Chagas and family planning, and the huerto project at ProFamilia. Seeing other people's presentations I have noticed that they are taking on other projects like teaching English. I have told myself that I am not going to do community English classes because A. My SM is a TEFL (Teaching English as a Foreign Language) Volunteer and B. There are community members who profit from teaching private English classes from their homes and I don't want to take business away. SM is going to start a conversation group and I am more than happy to help with that to improve somewhat-English speakers' skill levels. 


ANYWAY, after my presentation, one of my colegas stepped up and said that I am not one to say "no". She told the group about me helping with the Diabetic group, about giving a presentation in another community for 30 kids about adolescent pregnancy, helping with the vaccination campaigns and being a good support at the centro. Huh, I guess I have done stuff!


Health volunteers, along with Agriculture, don’t get the easy route like TEFL, Science or Business volunteers. We have to make our own schedule and find the work. The three latter sectors are mainly in schools and have a pretty set schedule. Us and the Aggies are a little more “hard core” in that we are in more rural sites and have to find people to reach out to. Which is why I love my sector!


The Vol Leader told me the best advice that I'm going to go by: Do one thing every day. Whether that is going to the school and giving a charla or going to the Casa Materna; just doing one thing every day will keep me busy and I have the ability to have a face in the community.


So this week, I took that to heart!

On Monday, I did some errands and introduced myself to more people in the town and had my meeting with the Vol Leader. 



On Tuesday, I went to the Casa Materna and gave a charla about Maternal Mortality. Not the happiest of subjects, but one to be aware about for sure. As a matter of fact, there has been a case in the past year in Jalapa of a mother passing away not too long after having her baby. We talked about knowing danger signals and risk factors and what to do if they find themselves in that type of situation. There were 3 mothers at the Casa and after my presentation, I had them write "letters" to their unborn babies about how they will love them, care for them and educate them in the future.




On Wednesday, I helped finish the Father's Day mural for the padres who work at the centro with my colega in the morning and returned to my casa to workout and relax a little bit before going with her and another colega in the afternoon to the high school to help support student leaders give a presentation to fellow students about teenage pregnancy. It was nice to see how students reacted to this theme and I was able to gain confianza (confidence) with the students and some of the male students came up to me and my colega asking if we can teach them how to properly use a condom. We told them that we will set up a workshop or they can stop by the centro at any time and we'd be happy to show them and give them as many condoms they may need.


Up until that afternoon, I had been home alone. Profe had to go to Managua for a day because her uncle had passed away and the Doctora had been in Ocotal. The Dra got home right before I left for the high school and went straight to her bedroom and watched some telenovelas (soap operas...they're a big deal around here). 

I got home around 6, with my two colegas, who wanted to check up on her (since she had been gone all week) and the minute I stepped in to the house, it was a pig sty. I keep my part of the casa clean and clean up after myself in the kitchen. That’s were the mice like to hide out. 

Editor's Note: All of my food is stored in containers, and the arquitecta who just moved out told me to go ahead and finish off the box of Corn Flakes that she had left. Last week, after I finished eating my cereal for breakfast, the Dra. told me that a mouse was snooping around in my bag of cereal the previous night. AFTER finishing my breakfast...not during, not before. Since then, I have been super picky about keeping the kitchen spotless. No worries, my body is completely fine and I didn't get sick from eating mouse-infested cereal.

When I got home, there was food everywhere: old onion peelings on the counter; cold pasta on the stove and so many crumbs and dirty dishes scattered about. I was only gone for 4 hours! Lest to say, I cleaned up everything because I don’t want more mice in the house. Another thing to mention is I take out all the trash...all of it. If you remember, we don't flush our toilet paper in the toilet since the pipes aren't that great. Never once has she offered to take out the bathroom nor kitchen trash. I’m going to be having a long talk with her about this. She’s been saying she wants to move out because she doesn’t like the living conditions. Well, better for me, because aside from her messiness and lazy behavior (I take out the trash, sweep, mop and do the dishes…hello! You can take some responsibility too!), I’m perfectly fine here!

Whew, ok. Rant over. On Thursday, I went to go work on our huertos at ProFamilia. Me, the FCP representative and about 5 teen boys showed up. We extracted some radishes and cucumbers, transplanted some cabbage and planted more radishes and peppers. It was a fun morning; though we work more as a smaller group, we actually get stuff done! The guys were even hanging out with me, asking how to pronounce different words in English and were even letting me in on some of their jokes. I became one of the guys! It was great and I love that the teens can come up to me and have that confianza to joke around and hang out with me.


On Friday, I went back to the Casa Materna and gave another charla about breastfeeding and there were 9 MADRES. I was not expecting that many! Especially since I was told that the house only has 8 beds. They all learned something and after the presentation I gave them some drawings to color because TODAY is Nica Father's Day! Since fatherhood can sometimes be an iffy situation with pregnant women (sometimes their partners abandon them), I told them to color the drawings for either their dads, uncles, brothers, or any "father figure" in their lives.





To end this post on a happy note, Feliz día del Padre! I like to think I have the best in the world, not to be biased ;) I hope all dads, fathers, and padres all have a fantastic day. You all deserve it!


POST SCRIPT! The Casa Materna is looking for newborn/baby clothes, so if you or anyone you know is getting rid of any baby clothes that your tyke is growing out of, we can use them! Same goes for any old children's books (English AND Spanish). 


Thursday, June 7, 2012 - , , , , , , , 1 comments

Let’s Learn About Family Planning!


Today I returned to the Casa Materna with one of the nurses to give a charla about family planning. Two of the ladies that were there the week before were still going strong and were joined by 3 other pregnant women and one who just gave birth yesterday. She is staying in the Casa until tomorrow when she is getting her tubes tied.

They all seemed to take in the presentation and gained knowledge on the subject. They asked if I am married and have kids and I told them no, and I am using family planning.  At first I wasn’t sure if that was “ok” to share, but later on I asked the nurse and she said they like to hear those kinds of things so they don’t have pena (embarrassment) to admit they are planning.

I also reiterated the fact that no matter what method they were using, it is always important to use a condom because that is the only method that prevents HIV and other STIs. I told this to the new mother as well, even though she is getting the sterilization operation tomorrow; even though she can’t technically get pregnant, she still has the possibility of contracting new STIs and it is important to always use the condom.

For a 23 year old female being single without a husband or kids is almost unheard of here and they were surprised. Then they started asking if I had a boyfriend. I told them no, again, and they all started asking what kind of guys I like so they can set me up with some Nica men. Um…right, we’ll get back to that one! Ha ha.

We all laughed and had a good time. Like I previously mentioned, I’m going to start going to the Casa at least once a week and give more charlas, as well as just hanging out and being with them. They like hanging out and talking to people, especially foreigners, so I’m very excited to be more present there.

Madres in the orange and pink tops were ones I had met previously; all sweet ladies!

With one of the on-call nurses, setting up

Discussing the objectives while one of the madres' father listens

Explaining the importance of family planning

Madre in the background with her newborn

Discussing the advantages and correct use of the condom

Explaining the benefits of the injection method (padre is still listening!)

Wednesday, May 30, 2012 - , , , 0 comments

Happy Mother's Day!

Wait...what?

Mother's Day in Nicaragua is celebrated on the 30th of May each year. I recently found out that it is on this date because it was the birthday of former dictator, Somoza's, mother-in-law. Now you know, too!

The entire month of May celebrates the wonderful people we call our mothers. It is a month of health awareness, such as maternal mortality, the importance of breastfeeding, among other themes as well.

During the month of May, I was able to go to several communities in Jalapa and create murals for the puestos de salud about some of these topics.

"Las Muertes Maternas Se Pueden Evitar": Maternal Mortality is Preventable

"Mural de Lactancia Materna": Breastfeeding Mural

Though I would have liked to have given more charlas this month about these themes, I wasn't able to. ¡Falta! 

Last weekend I was able to go to a meeting for a diabetic group. They invited the nurses and I to their Mother's Day fiesta; the nurses gave flu and pneumonia vaccines and I presented a charla about nutrition. I ideally made the presentation with primary students in mind, but everyone paid attention and I'd like to think they learned something!

Brainstorming on how to better the "Nicaraguan diet"

Even the group's president (in wheelchair) was intrigued by the presentation!

To round out the celebrations, I went to the Casa Materna today to deliver some cookies I made yesterday. Out of the 8 beds, 4 were taken and I got to talk with the soon-to-be madres a little, too. I was asking what they would like to see in the future: activities, charlas, etc. They like to cook, so I might bring some ingredients and have a cooking class; some like to read, so I'm going to try and get my hands on some books for adults and children (seeing as how some of them are already mothers); they would like to learn yoga and English, so I might start teaching basic English vocabulary there, too. I will also create more maternal charlas and present them and I am hoping to go there at least once or twice a week. Yay! A plan!

I'd like to end this post by wishing a very Happy Mother's Day to my beautiful mama in the states and my wonderful madrecita here in Nicaragua; as well as Profe who has welcomed me into her home and family. You ladies are the best!



Will get a picture with the Profe sometime in the next two years! :)

Thursday, May 24, 2012 - , , , , , , , , 1 comments

My Week with ISLA


What a week! As soon as I got back from a Peace Corps meeting in Ocotal last Thursday, I was non-stop on the go up until this morning! Ocotal was a blast, like usual, with the other awesome volunteers, an intense trivia night and lots of story telling with great new friends.

I got back to Jalapa early Thursday afternoon and before I had time to make a quick bite to eat after a really fast workout (gotta stick to my exercise program!), the director of MINSA (also my housemate; she is living with me and the professor. We are also renting out one more room to an architect that is helping with the construction at the Centro; very nice and quiet lady) took me and one of the physical therapists to one of the local lodging areas “El Pantano”. We were setting up to have the welcome party for a group of nursing students from the states called ISLA who were going to be arriving shortly.

ISLA is an organization based out of Minnesota that seeks to empower Latin American communities to become more resourceful and self-sustaining, aided in part by ISLA's medical, education and construction programs.

I asked the doctor what I would be doing for the group and she said if I could just translate what she was going to say to the group and in turn translate their questions for her. When the group showed up, I was so excited to see more gringos! The group consisted of about 12 students, their instructor who is also a Nurse Practitioner, a Criminal Justice professor, all from Idaho, and the two ISLA representatives from Minnesota. I was a surprise to them since they were only expecting Nica translators but were very excited that I would be assisting thru the week.

After a quick snack for dinner, the doctor, PT and I said our goodbyes to the group and went home to start preparing for the busy week ahead.

Friday

I met up with the group at the Centro where they presented the doctor with a TON of new medical supplies for the hospital. Stethoscopes, blood pressure cuffs, scrubs, catheters, just a huge abundance of EVERYTHING. I was in such awe of how many things they all brought and I know that the doctor and staff were very appreciative. The group was also lucky enough to come to Jalapa during the time of the 37th anniversary of the instituto (high school). 








They got to meet my site mate, a TEFL volunteer (Teaching English as a Foreign Language) and we got to partake in the parade to the school and watch some of the festivities that they presented to the school’s students and faculty. Some of the group even got to meet the Profe I live with! She was very excited to meet them and introduced me to the group as her “hija” (daughter). Another Nica madre!

After lunch, the group went back to the Centro and went to some houses that have history with Dengue and Malaria larvae with some epidemiologists so that the students could see what their job is and what to look for. It was very educational and a chance for the students to see what “typical” Nica houses look like.

Saturday

I met the group for breakfast (which they treated all week for me, lunch, too! I was completely grateful and was NOT expecting it!). I then went with the Criminal Justice professor to the women’s clinic, Oyanka, to translate some interviews with women. She is doing a study to compare the reasons why women come to clinics in Nicaragua and why they go in the states and what services are offered.  We heard 3 stories and they all were different but extremely impactful. Nicaraguan women go through so much in their lives and yet they continue to raise their families and are some of the strongest women I’ve met.

After lunch, groups were broken up and some went to the elementary schools to read books, some people went to the high school and others went to a neighborhood above the lodge to do some basic eye exams for reading glasses and take blood pressure and check the heart rate to some of the locals. 



Sunday

After breakfast a group of the students and I with another translator went to the high school to give more eye exams and blood pressure/heart rate checks to some of the professors and adult students who have weekend classes. . On the way there, a burst of cuteness decided to cross our paths in the form of baby piglets! Little snorts and all!



It was a great turn out and I actually got to meet and talk with some of the professors who know my site mate. I am looking forward to sit down with them and the principal and finally get a schedule to start giving presentations there about adolescent pregnancy, STIs, etc.

More barrio work was done in the afternoon and we went to a house that had an elderly woman with chronic pneumonia. Luckily her family was taking all the care they could for her but it was a grave situation and seeing someone in such a fragile state was hard to take. On the positive side of the trip, we gave out clothes, tennis balls, and toothbrushes to the children and they were very excited.

Monday

In the morning the entire ISLA group and all translators went to one of the poorest neighborhoods in Jalapa, called New Jerusalem. It was a little trek to get there, what with walking in the mud, crossing streams and climbing up steep hills, I felt I was back home walking to the base of a 14-er with my dad! When we got to the community, I saw what I you usually only see in National Geographic: houses made of basic material, kids without shoes (and some little boys without pants) and dirty faces, tarps in place of front doors and no running water to be found. We broke off into small groups and went to different points in the community to do the basic exams and were surrounded by children every which way we turned.




We were definitely a new sight for these kidlets to see: a bunch of gringos helping the community, let alone a gringo who could SPEAK Spanish! The majority of them got toothbrushes and I helped one of the ISLA students translate a Dr. Seuss book about teeth into Spanish: turns out it is really hard to try and rhyme in a different language, but they got the gist of it!

The afternoon I went back with the professor to do a few more interviews and it was the latest day that I worked with the group. After a few more stories, I was able to get home at about 5:30, do a workout (which on the schedule was the longest of the series, how lucky!), took a shower, and traded eating dinner to crash for the night.

Tuesday

One of the best days! I went with about 5 students to the neighboring community of TEOTECACINTE. Why is that so exciting? Well, that, my dear readers (if you’re still reading) is the sister city of Glenwood Springs, Colorado! We went to the high school to talk to the students and I was able to meet up with the Agriculture volunteer. This particular high school was a dream child of a professor from Colorado Mountain College in CO (who Mamala knows) and is still around today. Oh, the connections! The high school itself is in very poor conditions: there is no electricity, no water, windows have been destroyed by weather, chalkboards are filled with graffiti, classrooms are overcrowded, and some classrooms are even outside because storms have destroyed them and no funds have been received to rebuild or do any maintenance. Luckily, the alcaldia (mayor’s office) recently donated and built a set of fairly nice classrooms, but that is just one building. The entire school itself needs a makeover. I also got to speak with one of the professors who has a sister who lives in Glenwood Springs and is a middle school teacher at GSMS!



After hanging out there and going to the puesto de salud (health post; smaller than a centro and are in many communities that doctors occupy once every other week so that patients can get vaccinations and medicine closer to home rather than making the trip to the city of Jalapa), we hopped on a bus to the last community before the Honduran border, Porvenir. We got to hang out with border patrol and put our toes in Honduras before we walked into the community to do more house calls with blood pressure and eye exams. 



Look at the size of that ANT!


It was a LONG day, but ISLA hosted me and my site mate for dinner that night at El Pantano, and it was very delicious! I’m not sure if my site mate would be comfortable with me releasing his name, so from here on out, his name shall be SM. The two of us walked back, at night, to our houses; but if he weren’t there I would have taken a taxi because it was: A. DARK, B. raining a little, and C. I don’t go anywhere alone at night.

Wednesday


Another full day! In the morning, I took some of the students and the CJ professor to the Police Station where the chief of police took us on a tour of the station. Apparently, the police have 1-week shifts where they are on-call the entire week; they only receive C$12 per day for food, have maybe 4-6 beds to sleep on, only one toilet to share (I feel for the two female cops), 2 showers and only ONE patrol vehicle to use; they usually have a motorcycle, too, but it is out of commission at the moment. The chief also showed us the jail, inside the station, where there were actual detainees. The cells could not have been more than 10x10 feet (10 square feet?) and there were up to 4 guys in a cell. The chief told me that until this past Sunday there were 30 detainees/prisoners divided into the three cells. I’m glad that they are putting people away, but for them to be in conditions like that? I felt bad for them; they also do not receive food, they rely on their families and/or friends to bring it to them and for those prisoners who don’t have anyone, the prisoners with food share. They don’t even have a toilet or plumbing; they just do their business in a tube.

After the police, I took a small group to see the Catholic Church on the way to the library where they painted the auxiliary room that they use as a children’s free area. I introduced myself to the librarians and they would like to collaborate in the future as well. We then sat in on a reading time with some children from the elementary school, and some even did folkloric dances and poetry for us!



In the afternoon, people went to more barrios, had free time, or went to the women’s center to do blood pressure and eye exams. I went to the center to help with more interviews, and afterwards went with the group to meet the people I work with at the Casa de Adolescencia. It sounds like ISLA may be able to do some small fundraising for the organization, seeing as how their main donors are cutting their funds this year.

Later in the evening, we had a nice farewell dinner at El Pantano, a rousing game of Catch Phrase (in the dark! The electricity went out!), and enjoyed each other’s company.  They were all trying to deload (or make more room for souvenirs) so I obtained a “like-new” pair of Keen shoes, a wick-away shirt, some bug spray, trail mix and Costco sized peanut butter. SCORE! They left this morning to Matagalpa and Granada before and head back to the states on Sunday.



I had a great week with the group. Not only did I learn about potential opportunities I have as a volunteer, but the opportunity to work with them in the future and be a type of liaison between them and Jalapa until they come back with a new group of students next May! I gained new knowledge, new contacts and new friends and I can’t wait to meet future ISLA groups!