Saturday, May 24, 2014

A Sunday in Mbale

 I think today is day  13. . . I may be off, but I am unsure. Today I am feeling so much better. I know I am almost fully healed because I awoke naturally at 6 am . . . Every day starts with a blessing, my friends:) 

I'm just sitting by the window, admiring the beauty and thinking about life. Life is both very complicated and very simple, you know? 

I've been thinking a lot about trying to extend my time here, but I think I won't this time around. Since being here, I've discovered (so naively;) that it's very difficult to accomplish much in a short 4 weeks in a developing country. Yes, many good things have resulted, and I still have nearly 2 and a half weeks, but the most change I've seen is in myself. 
I've heard helping in a developing country be described as emptying the ocean with en eye dropper. . . And I now understand a little more what that means.

During sacrament I sat with my new friend Gerald. He was recently baptized and today he was confirmed! He is a good boy, I'm grateful for kind friends like him. 
One speaker spoke about eternal marriage and families. Even in Uganda I can't escape people pounding me to get married!! Only joking ;) 

In Sunday school we had the same lesson I heard last week in Jinja, but it was still good to hear again. Also, every teacher and group always has their own perspective, and that was cool to hear. They also talked this week about 
Do not forget from whom all blessings flow. Some of the blessings are a test: will I continue to follow God even when He blesses me?
Next week: Ruth, Samuel 1

They didn't ask me to teach primary again though, so I got to go to relief society! There weren't too many children at church today; one woman told me she had many children at home but they weren't able to come due to lack of transportation. I think that's a big hurdle for people getting to church at the Mbale branch, because there are so many rural areas far from the church, it would be very expensive for a whole family to pay for transport every week. 

In relief society today, we watched the general women's meeting broadcast, you know, the first one ever?! We watched it on a tiny little screen with no additional speakers, so everyone huddled around the DVD player and listened intently. I actually hadn't seen it yet because I had to work the night it aired in Salt Lake City. It was hard to hear and hard to see, but it was just a really cool experience watching it with my African sisters, especially because the a portion of broadcast was about feeling unity and strength in numbers, knowing there are sisters all across the world. Pretty cool experience for me:)

Today we also headed up to sipi falls, to stay the night and then hike the falls early tomorrow before heading back to Bududa. I'm very excited for both! 

I also found out today that Elder Melton from South Africa  was transferred to Ethiopia! I met him and his companion last week when i was stranded all day at the Jinja branch building. They were SO helpful and SO kind, and I would have felt very hopeless had they not helped me. Anyways, he has only 7 more months, and he thought for sure he would go to Mbale to switch with an Mbale elder from St. George, but the elders here told me the news. God bless elder Melton in Ethiopia! 


Pictures from sipi falls and church:








Lots of health education!


Today was a really good day. 
Megan and I presented at PTC about HIV transmission between mother and baby, as well as child development during the first two years immunizations during the first year, and deworming in the years after the first. We taught in English and then Musa, the awesome HIV counselor here, translated into Lugisu. I was a bit nervous beforehand, but it turned out well. Then, I worked at station 3 with CO James (our doctor here at Beatrice Tearney Health Clinic). Station 3 is my favorite to work at because I act as the scribe for the doctor, and assist in the full examination of each patient. It's similar to shadowing in the US. But it's so great because I'm able to see diseases and illness common to this area (malaria and HIV are two examples) and I get to see and work with lots of adults and children. James does most things but I get to be his scribe and learn more about medical techniques. It's a lot of fun:) it's also very touching when James talks about his reasons for working as a doctor here in Bududa. He grew up in this area, and just wants to help his community and people, in his own words. ;) over and over he said it, he really cares about them!

After that, I presented to staff at the clinic about Anaemia! I was so excited when he asked me to present because Anaemia is right up my alley--I wrote a super long research article about it last year, I think I even had it my last year of high school, and I'm a nutrition major, so I felt like I was able to use skills in my "expertise" (haha) to help others learn!! That's what I love most-helping others using my skills- and I was so happy to help. :) 

We had planned on going to a group for young preteen girls after, but for some reason they didn't show up today. So instead we just came home. Passing through the village, these two young men in secondary school approached me, just to shake my hand like is common here, but after a  few intense looks this guy came at me, like he was going to kiss me! It shocked me, so by instinct I put my hand up to his shoulder to prevent him from coming any closer, and he then asked me, pretty straight forwardly but all smiles, to give him money for his schooling! I felt bad, but not that bad considering I thought just moments earlier he was going to "attack" my face. I told him I have no money , and he then asked if I would instead visit him at his home. SKETCHY. Oh the adventures of a mzungu lady . . 

On another note, we came home to running water, electricity, AND food already made!! It felt like Christmas. :)


The marketplace just down the hill from the clinic. 

So many cows everywhere! I witnessed the harvesting of meat the other morning. . . A huge group of men gathered together, slaughtered the cow, and then carried the meat out in large pieces. . . I only saw the huge rib cage and then hurried on my way. . .

I almost died of cuteness overload. I have never seen a baby sheep so small!

This cute kid was just walking around with cardboard. I showed him the photo of himself and he got a kick out of it.

My feet get plastered with mud due to the rains.

Girls from the Arlington academy of hope, a school located just above the clinic. 

My view each day coming back from the clinic into the nearest marketplace. 


Also, I forgot to add, we went to a huge market this week! It was 3 marketplaces over from our home in Bududa. It was HUGE, and it stressed me our majorly. I don't know what it is, but big places with lots of people give me anxiety and make me sick. It was still fun though! We took a boda down the road, and then just walked around a bit. I got a new skirt (always a sucker for skirts, especially super cheap ones!), and a few things for family. I found my little niece the cutest little dress ever. education! 

 




More education!


Without a degree in medicine, I've quickly found that the best way for me to help is through education! Much of my time left will be spent educating other people in some way. Yesterday we went to a school for orphans and other vulnerable children, and taught them about diarrhea, dehydration, and rehydration salts.
When we first got there, Richard (a local man who works with FIMRC and also began the school in 2010) told us about the history of the school and why he started it.  There are many orphans here in Bududa, often orphaned by AIDS or because of alcoholism. He said that some parents will work small jobs here and there just to make enough money to buy a drink, leaving their children hungry and without care. These children would not be in school during the day because of expensive school fees. Uganda, the land of free healthcare but expensive education for children. Where everyone has a cell phone but almost none have running water. . . A land of breathtaking beauty but also terrible poverty. It's a heartbreaking place, one that I love but have so much difficulty understanding. Anyways, he created this school because many children were not attending school during the day, they were just sitting in the streets during the day. The fees are small to attend, except for orphans, which can attend for free. He has also found homes for those without, safe places where they can be with loving people and have food and shelter, instead of staying on the streets. The teachers are very underpaid, but they were some of the kindest people I have ever met. 
Before our presentation, we played dancing games with the children, and they sang songs for us. Their voices were so loud and beautiful! They sang so beautifully, it was heartbreaking actually. Sitting on a wooden bench in a mud hut, with dirt floors and a stripped chalk board, surrounded by barefooted African children singing passionately at the top of their lungs. . . Another surreal experience that I often can't believe is reality. We played outside, and sang to the banana song, and danced crazily just before breaking for lunch. For lunch, Richard took us to a little place in the marketplace while the children ate their meal at the school. It was a little place that I don't think I could find again if I tried. The options were: matoke and beans, posho and beans, rice and beans, or chapati and beans. Haha, I love it (although I miss my American food quite a lot!). I ordered my rice and beans for 1000 shillings, or about 35 cents, and we ate on a little bench in the dark room. It was just another of the countless experiences I have had here, so simple and foreign, but so meaningful to me. I love america, but there is something about living here among the simple, raw reality that really touches my heart.  After lunch, we met Richards grandmother-she is 101, and has lived in the same mus home since she was married 80 or so years ago. She wanted to marry a poor man, but her parents were going to force her to marry a rich man (the dowry here in Bududa is VERY expensive). She refused, and was bit by something as a result (this part of the story was a little fuzzy). Because of this bite, she had to have her leg amputated, but was eventually allowed to marry the poor man that she loved (go grandma!). She had 12 children, and still takes care of herself to this day. She uses her small wooden crutches to get around her home, and cooks all her food outside on a small fire. She's missing most of her front teeth now, but grinned from ear to ear the whole time. When we left, she was sitting outside smoking her cigarette next to her little fire, 101 years old. . . Ha.

Back at the school, I watched the teachers play hackey sack, and one woman totally smashed the record. I remember playing hackey sack in middle school, for hours and hours. It made me miss middle school, but that ended quickly ;) haha. Anyways, with all of the children gathered, we gave our presentation. It's difficult to teach children, partially due to the slight language barrier, but also because I'm used to teaching american college students I think. Teachers teach a bit different here, too, so the children are used to that teaching style rather than our Americanized way of teaching. With a little time and practice it'll be even better though.:) we're presenting about HIV/AIDS on Monday to a baby class at another school, so we'll see how that goes, too (baby class is similar to kindergarten in the US). 
After our presentation, the children presenting a skit about how important and influential teachers are. It was the cutest thing I have ever seen, really. Even though this school is full of disadvantaged children, and the conditions of the school aren't good, and they lack funds and supplies, the children are SO BRIGHT and SO GOOD. They are smart, and strong, and determined, and gosh darn it, they're going to succeed an make it. The teachers, and Richard, told them so many times that day, "Believe in your dreams! You can achieve them. You are bright children, and you can do whatever you set your mind to." I am so so so grateful for good, honest, patient people who are willing to dedicate their time and lives to education, especially those children who have no one else to believe in them. I thank God that those children have those teachers, because they are making a huge difference in the lives of those children. They came from the streets, homeless and helpless, but are now smiling and laughing and learning and succeeding. I'm a big believer that education is the key to changing the world, and this experience helped to solidified that idea for me.  
I think when I come back after I have finished my education, I will work in a school. By then I may have a degree on medicine, but I still want to be involved in education. I'm not sure yet, but I believe with time and faith and prayer, I'll have a better idea in the future what God wants. 

A few other notes, we went on a hike yesterday. Julius, a staff member from FIMRC, took us. He said it would be 1 hour. We left at 7 am. . . And returned at 11!!! I call it our 4 times 1 hour hike. It was so beautiful though! We hiked through the forest and mountains, past a few very rural homes, a small primary school, along a small mud path, across the river a few times, by the side of a huge cliff, alongside barefoot men and women (some pregnant) carrying huge bundles of matoke on their heads. Julius told us that some bundles weigh up to 80 kilo!! WHAT! Can you even imagine, carrying 80 kilo on your head while walking barefoot along a muddy, rocky path, up and down hue hills, for many miles?! I saw it with my own two eyes, and even I can't believe it. 

Well. . . That's all I have time for now. Today we're leaving for a tour of the medical clinics and hospitals in Mbale (the biggest town from Bududa, about 2 hours away from where I'm staying in Bududa, by matatu). It'll be a long day of boda riding to get to each location on the tour, wish me luck!!

Thanks again to everyone, I hope you are well and safe.




Saturday, May 17, 2014

Day 4: game drive and goat soup

I woke up again at 1:30am. I can hear many bugs outside and something else digging outside . Or at least I think it's digging.  . . . Maybe chewing vigorously? Or possibly scrounging in the mud. I'm not sure, but whatever it's doing in the black of night, I'd prefer if it stayed away til morning. ;)
I pray that whatever is out there doesn't come inside our bungalow because I just remembered that I forgot to lock the door.  . . This camp we are at is visited many times each day by warthogs, and as much as I love them, I'd hate to come face to face with one in the dark night.  
When I went to bed there was a gecko running on the wall. I think that's my limit of critters to confront in the night. 
Anyways, the safari so far has been incredible, and has definitely exceeded my expectations. Mostly I enjoy meeting the local people and talking with them. They are very kind and I hope it's not just because I am a white woman (haha). I don't think so, though. It's so good to make new friends from different backgrounds, with different stories and ideas and goals and cultures. It's been wonderful. Nasser and Irene and some other young men whose names escape me. . . 

Anyways, today we went on a game drive in the heart of Africa! It's been a dream for so long, it is often difficult to believe it is happening, you know? We saw giraffe and lions and buffalo and many types of gazelle. .  So many animals. Our guides were the absolute BEST! The main guide was so tall and wore an army-looking suit, and carried a huge rifle (or some type of tall gun, I don't know. . .). He looked absolutely terrifying, but then had the softest heart. He was laughing at the baby animals and saying how cute they were. It was the best:) 


This safari meant a lot to me because I had been picking up many extra shifts at work for the past 2 month, many in the early morning or late graveyard shift hours.  It was a great experience, and I am so grateful for it and the opportunity I have to be here. I am very anxious to get to Bududa to begin my volunteer work, though.   

After the game drive, we stopped at the falls. The HUGE Nile river must fit through a very narrow opening, and so it creates a very strong waterfall. I'll try to post a video so you can see:)  

Found this big guy on the wall when I woke up. . .

On the way back from Murchison Falls national park, we stopped and ate at a small place. I decided before I came to Uganda that I would eat only Ugandan or African food while I am here, so I decided to try the goat soup. It was not my favorite. . . But I was able to eat most of it. It was more for the experience sake than anything, but I'll probably stay away from goat meat for a while. ;) 



The ride back to Kampala was great, I really enjoy just seeing the landscape. It is so beautiful everywhere. So, so beautiful. I did not anticipate it to be so green! I love it though. 








Days 10-12: family planning, rain, and lots of kindness

Today we woke up and went on a sunrise walk through the village. It was so nice. Here I wake up early naturally, a blessing I am so grateful for because at home it is a real struggle for me to wake up! I saw many skinny dogs and a few families walking to the market with huge baskets on their heads. I saw matatus (the minibus taxis) packed with people headed to the market. The birds sing all day here, from sun up to sun down. It's beautiful. :) I am surrounded by mountains here in Bududa, and the landscape is so breathtaking. I stop several times a day and just take it all in--what a miracle and blessing it is to be here. 

At the clinic today, Marie Stopes (an ugandan medical group) came to provide tubal ligations and other extended forms of birth control to the women in this area. Guys, there are so many babies everywhere. And so many pregnant women. But these children are not usually well-taken care of, and so the more babies the mothers have, the more her other children suffer. It's very sad to see. Some babies sit in the dirt all day, with their 5 year old sibling as their caretaker. In this village, most wear the same filthy clothes for many days without bathing or changing them. It breaks my heart.

Anyways, Marie Stopes offers on-site tubal ligations using local anesthesia, and birth control injections into the upper arm. I began to feel ill today, so I couldn't watch these procedures; I felt like I would pass out just watching!  Only A few women got their tubes tied, but about 60 received extended forms of birth control. It was good to see an Ugandan health organization making a difference in the poverty cycle, because many health programs here are NGOs. Sustainability is the goal!

The rest of the day I laid in a bed at the clinic and felt very ill. All of the staff were so kind and rushed to help me. I felt very spoiled, they were all so kind.

After a few hours of resting, I was able to walk home. In the afternoon/evening hours (when we walk home each day from clinic ) it always pours down rain! It makes the dirt roads very slippery and difficult to maneuver, but I like it. 

I've been very ill since, but I suppose it is important to rest. I'm here in Mbale, the closest city to my village.  I took a minibus taxi (called a matatu) into town last night, and it was a tough 2 hour drive. I do enjoy living like the locals though, or as much as I can as a mzungu. They crammed about 24 people including babies into that small bus! It was quite an adventure. 

Thank you everyone for your prayers on my behalf, it means a lot to me. I hope everyone at home is safe despite the fires, you too are in my prayers!

Views of the town from the matatu:



Days 8 & 9: the village life

Today I did rotations at the clinic. I worked with all of the staff and they taught me about what they do. I love getting to know the local people who live here, especially the staff because they rock!!

On Tuesday I went to PTC, a group of local men and women who have tested positive for HIV. They all meet each Tuesday at the clinic to budget and save money, and to obtain continuing eduction about their virus and how they can remain healthy. It was fun to meet with them and learn from them, even though there is a language barrier.

On Wednesday I rearranged the pharmacy, created small bottles of soap to give to FIMRC's OVCs (orphans and vulnerable children- they and their parents, if they are not yet orphans, have HIV), and then went on outreach. Outreach is about visiting families far from the clinic to ensure safe living conditions and provide continued education about sanitation and nutrition and other topics concerning health. We hiked (literally) up the side of the mountain for about an hour and a half until we reached a home at the very top. At this home, we then inspected it for sanitation and other various things (is there a latrine, a place for bathing and washing hands, a mosquito net in the bedroom, a double drying rack for dishes, is water being treated or boiled before consumption, etc. . .). The home was very modest but they worked very hard. I watched the son milk a cow, and then invite us into his home to drink a HUGE  hot glass of that very milk (Im thinking that maybe this is where i got sick). In Uganda, if you visit a home, they must invite you in for food or some other offering, and it is very rude for you to decline. You must stay and partake, which can be a very hard thing when you know they have absolutely nothing. So me and a staff member and 2 other volunteers sat down in this small home and drank huge mugs of boiled milk, straight from the cow, and this fried dough. It was such a kind gesture, but man, it was hard because i knew it may be the only food they have to eat, for who knows how long. Kind of a surreal experience.  


A typical home in Bududa 
We drank this cow's millk

An Ugandan shower room

View from the top


After attempting to visit other homes, we quickly discovered everyone (and yes, I really mean everyone) had gone to a funeral of a 90 year old woman. So, we went too! I attended my first Ugandan funeral service, on the side of a mountain in someone's front yard. There was much singing. It was like a party, or a celebration, more than a mourning. I didn't see a single person cry. Where I am, in Bududa, it seems that many people are very religious, and death is more of a passage back to God. People mourn the day before the funeral and then not at the funeral. Instead, they sing!  

That night, I got to hold a new born baby. His mother is 19. So many young women have babies here. . . . And then drop put of school. The clinic really pushes birth control because women have so so many babies, and they can't afford to take care of them, so the severe poverty cycle continues. It's so sad, really. Some families have 9 kids, and the mother is 25, and they make about 50 dollars a month. Can you even imagine?! I see it every day and even then, I still cannot comprehend how challenging it must be.

I also took another bucket bath. . . In the dark. At one point I finally shined a light on the wall, and saw this giant 3 inch long slug . . . !!!


I'm so grateful to be here. It is a blessing and I can't believe I'm here most of the time. I love being here, and just living. The simple life is one I enjoy and cherish. I'm learning a bit of the language and practicing with the locals, and also teaching them a bit of Spanish, too;) they love it, actually, it's great!! Thank you to everyone who has allowed me to be here, via donations or buying a shirt or your prayers. I love you and am grateful for you. I could never forget the time I am spending here in Uganda. It can be very difficult because the conditions are very sad and unclean in many areas I have seen, but they are a happy people. I am learning everyday from them, and am so grateful.

Day 7: Mulembe!

Day 7: Mulembe! 

After waking up to another crazy thunderstorm, I ate a delicious breakfast of porridge and matoke with g-nut sauce (They feed me more here than in America).  The g-nut sauce tastes a bit like peanut butter, which makes sense because it is made from ground nuts. I said my farewells, and then jumped on the back of a boda boda and headed to the location where my driver would pick me up to take me to Mbale. Unfortunately, there was a miscommunication and he thought (for reasons I am still unsure) that he was taking me back to Kampala!!! We cleared things up  and he headed back to Jinja after driving over the bridge over the Nile. It Turned out to be another blessing in disguise because our little round about trip turned into a tour of Jinja, from the back of a motorcycle. I loved it. :)
Right away, the driver picked me up, and off we head to Mbale!

Driving down the road, I see many goats and cattle tied to short enough ropes so they cannot escape but may still graze. Tall corn fields cover the land. I see many small huts and homes. Groups of children play and run barefoot, and adults work in gardens. Other women, both young and old, carry large jugs of water or other heavy loads on their heads, with babies strapped to their backs. The women here are very strong, and take care of the children, haul water, tend the gardens. . . Much of their work is very physical. 





I arrived at the FIMRC guesthouse and clinic today. I love the guesthouse and clinic so much, especially the clinic. It is an NGO clinic set up in 5 different stations, with an attached lab for blood work and urinalysis. They test most commonly  for HIV, pregnancy, and malaria (all three are hugely common in Uganda). 
How the clinic is set up is awesome. Patients move from station 1, where they are registered and info is collected, to station 2 where vitals are taken. Next at station 3, they are seen by a clinician and receive a full exam. Station 4 is the pharmacy where drugs are dispensed and the medications are explained. At station 5, someone makes sure they understand how to take the medications, and clarifies any questions the patient may have. I find it ingenious, actually. Very efficient but also very effective. Local people are hired to work at these stations, and all have been trained at schools. They are very smart, intelligent, kind, awesome people. Truly, they are incredible and I feel blessed to get to know them all. 



I took my first bucket bath this evening. I bathed in the dark, in a light rain, in a bucket. But hey, the water was warm!! It was great actually, I really enjoy living simply and deliberately.


Also, I am learning a bit of Lugisu (the language spoken here in Bududa): 

Mulembe (moo-lem-bey) : Hallo/ Good morning

Mai (my) : ma'am 

Papa: sir 

Yaya: brother/sister/child 

Uriena (oo-ree-en-uh) : how are you? / good evening / good afternoon

Bulayi (boo-lay-ee) : fine ("I am fine", given in response to Mulembe or Oriena)

Uchienda bulayi: Safe journey.

Salsilay (sah-see-lay): sorry (I think. . .)

Wanyale (wan-yuh-lay) : thank you
  
Kale (kah- lay) : yes / ok

Towe (tah-way) : no


1 - ndwela

2 - tsibili

3- tsitaru

4 - tsine

5 - tsirano

6 - tsisesaba

7 - musafu

8 - shinane

9 - shyenda

10- likhumi


I'm still working on my numbers (they're tough!!) but an awesome man at the clinic drills me everyday. Hopefully in the next 2 weeks (or longer, if I'm able to extend) I'll get more of the language down. Luganda and Lugisu are tough!!