Monday, October 15, 2007

Sophanara's Trip to NYC: A Personal Perspective

Sophanara Blogs for Americans for UNFPA

As for the personal reflection I feel that non-profits organizations in the US and Cambodia have similar goals towards promoting women’s status and protecting women and girls rights. Similar centers have been established and vocational trainings have been provided as well as counseling to heal the trauma. However, I personally noted that the communication system between the victim and assistance providers in the US is more modern, especially in terms of technology. In the U.S. the internet and email is a common medium for communicating even when sensitive matters are involved, while in Cambodia service providers have to be community-based agents or provided through a local authority network. In terms of resource mobilization skills, we are not as strong as the Americans for UNFPA; partly because Cambodian society is not very supportive of social development issues and they are frequently influenced by political philosophy.

Attending the Gala event was the most important learning opportunity of my trip to New York in October. I learned the way the organizer (Americans for UNFPA) mobilizes support from its friends and supporters.

The commitment from American honorees, social workers others supportive of UNFPA’s work reflects the western’s value and the way they help/care each other. It shows how Americans lead their lives.

I had a chance to meet the UN Secretary General, Ban Ki-moon and his wife in person – he is a very supportive leader for improving women’s status.

Through the informal discussion with the international honorees, I learnt that the issues challenging developing countries are not much different to one another in how they contribute to assisting their communities – I feel now that we are not alone in our efforts.

It was a very great honor for me to meet with members of the US Congress, the Board of Directors of Americans for UNFPA and its staff members, non-profit organizations and American citizens at different capacities. Most of them shared our concerns although their priorities varied.

I feel that I did not have a chance to listen the voices of the vulnerable groups or the poor people (centre) and the White house (executive body).

The memorable experiences include the varieties of transportation methods that I took from one place to another. I was able to explore many places and states by walking, riding the subway, taking an express train, and taking a bus. The weather in fall was perfect for me; it was hot like summer time. On the east coast in particular the trees were green and natural. It was so surprised when I saw lots of forest beside the highway. I have always thought that in the industrialized countries there would not much natural resources conserved such as big trees, birds, animals.

I found that NYC is a commercial center and time is valuable for New Yorkers, people walk very fast in crowds and we could not sit longer in a restaurant once we have dined given demands from other clients. The US, NY in particular, is the country for everybody – I met people from various countries including Asians, Africans, Caribbean’s, Arabians and Europeans, though they are legally American citizens, their original languages are used among their folks – making them feel like their home countries. I myself did not see much gap between the rich and poor. People seem to respect law and do not interfere in other’s private lives.

Though, I rarely saw smiles on New Yorkers’ faces, most of them who came into my contact are very friendly and helpful. The personal relationships with few American friends are wealthy and unforgettable memory in my life! I, very much, believe in the educational qualification in the US, therefore, I wish I would have chance to graduate there! (That’s my dream!)

Friday, October 5, 2007

My Trip to NYC with 2007 Americans for UNFPA International Honoree from Cambodia

Sophanara guest blogs for Americans for UNFPA.


The International Award organized by Americans for UNFPA provides a great opportunity to the activists who work at the ground to improve the health and dignity for women by recognizing and acknowledging them globally. In addition to mobilizing resources, women-related issues have been consistently raised through this high-level advocacy effort and the people living in industrialized countries such as the U.S. citizens gain a better view on what happens to marginalized groups, especially women in developing communities. Also activists can share personal and work experiences on how they are challenged and how it can be frustrating when coping with these kinds of sensitive issues. Activists also explain how they contribute to improving the lives of suffered people in their own community.

In complement to advocacy efforts constantly used by UNFPA, it has been observed that the attention that media pays to women's issues was gained gradually. Today, women’s related issues including health, gender, and domestic violence and trafficking are frequently talked about in the media.

Given the active role of the Cambodian Women's Crisis Center (CWCC) in addressing women’s issues, in particular providing legal support to women the work is greatly appreciated by beneficiaries, stakeholders and donors. We have learned that Ms. Ket Noeun is a very committed, dedicated and devoted person in advocating women’s problems. Based on this Noeun was nominated and we believe she is role model as a strong advocate in her community. She was excited and energized once she learnt that her nomination was successfully awarded, hence her dedication has been rewarded. She hoped that her experiences from the grass root level would convince American’s people to have further support to Cambodia social development.

It was amazing that Noeun could witness and represent UNFPA support at the community level to members of Congress. As part of this, we believe that American government will be reconsidering political support to UNFPA’s roles and interventions globally.

At the same time, honoree felt that the fund provided by the UNFPA country office to support her work does not comprehensively respond to the needs of women.

As always, Noeun continuously carries out her efforts in advocating for women’s health by organizing debates, forums, events in the community and publicly and it has been captured steadily by media.

Thursday, August 30, 2007

Americans for UNFPA Essay Contest Winner- Hope for the Future

Having a young person - Michaela - join our delegation to Malawi had a strong impact on the other delegates, as well as our Malawian hosts. It felt like all around us in Malawi, young women embodied the country's hopes for its future. This was especailly apparent when we visited the Malawi Girl Guides Association. There Michaela interacted with young women whose life situations were not so different from her own - recent college graduates, with aspirations for a future improving their community. Of course, many of these young women faced much greater adversity, having been orphaned, overcome teenage pregnancies, needing to scrounge for school fees. But to be able to introduce them to a young woman from America enabled us to relate more intimately to them than we have been able to in other situations.
Michaela's participation - along with that of 3 other young women and one young man - also invigorated the American delegates. Most of the delegates anticipate a number of years of advocacy and involvement in women's health and rights, but the interest and commitment voiced by this younger generation gave us all hope that, when the time comes, there will be someone to whom we can pass the torch. Maybe that "passing" is already happening! I recall one evening during our debriefing sessions when we got on the topic of Facebook, and Michaela and the other younger delegates tried to explain this new technology to us, assuring us that Americans for UNFPA has an page not to mention, videos on You Tube and photos on Flickr. Michaela's blog post via MarieClaire.com, the new technology mentioned above, and the energy on the young delegates show the promise of the future.
I hope that the many readers of both Michaela's blog and Marie Claire continue to stay involved with Americans for UNFPA. And for those of you who've caught her travel bug: next year's delegations are as follow: India in January and Uganda in August.
Marcela HahnVice President of Development

Sunday, August 12, 2007

Zikomo = Thank You
10/18/2007
Nothing I learned in class or read in books compared to what I gained in the past 10 days. I witnessed first-hand the struggles the Malawian people face and their spirit, which can never be expressed in a book.
Despite dismal statistics and limited resources, hope is pretty powerful. I heard it in the songs of the orphans, saw it in the courage of sex workers, and felt it in the empowering spirit of the girl guides. The young girls and women I met in Malawi are trying to establish better lives for themselves, and they are succeeding little by little.
I felt helpless seeing rows of pregnant women who walked barefoot for miles sitting on the floor of a hospital room because there weren’t enough beds, and I couldn’t help but picture the high tech neonatal intensive care units we have back in America. I wish these women could have the same access to incubators and vital medications we take for granted in the US. At the same time, I am 100 percent confident that the doctors, nurses, and midwifes provide the best treatment available to ensure the health and dignity of every woman they treat. I just wish that they could have more—more space, more money, more doctors, more access, and most important more lives saved.
Needless to say, this trip brought about mixed emotions: happiness, exhaustion, aggravation, confusion and sadness. Ultimately, though, this experience brought about gratefulness. Zikomo, or thank you, Malawi!
Now that I’m home all I can think about is how and when I’m going to go back to Africa! Until then, I want to support Malawians through advocacy and fundraising. I hope that by talking about my adventures to my family and friends I can get more people interested in Americans for UNFPA and their work in Malawi and elsewhere. It’s frustrating to know that since the US government cut funding for the UNFPA, there is a shortage of programs that help women with family planning, pregnancy, childbirth, protection against sexually transmitted infections, and the prevention of violence against women all over the world.
So now I keep asking myself what can I do, what’s next for me? I’m excited to share my stories with other students when I get to grad school. I hope they will join me in giving back to Malawi through fundraisers and public conferences.
My African experience will surely have a lasting impact on my life and my pursuit of a medical career as I strive to have the courage and determination of the Malawian women and children and the passion and perseverance of their doctors.

Saturday, August 11, 2007

Look Out For Hippos and Elephants!

I have been away from the internet for a few days again, and I have a lot to tell you. My trip is almost over and before leaving Africa the delegation spent a few nights on Safari! Before we left though we traveled to the Zomba to visit an orphanage founded by Joyce Banda.
Joyce Banda is currently the Minister of Foreign Affairs in Malawi, but that wasn't always the case. She was involved in an abusive marriage and at age 25 she became empowered by the growing women's movement. She took her three children, left her husband, and started a garment manufacturing business. She inspired other women to free themselves from abusive relationships, poverty, and injustice. Ms. Banda created the Joyce Banda Foundation for Better Education, and this is just one of her many contributions to Malawi's women and children. Her orphanage in Zomba is a part of her foundation; it is there that she provides a nutritious meal, an education, and a safe home for children who have lost both of their parents. I had the opportunity to meet with Ms. Banda, and she is truly an incredible woman. She has overcome many challenges and is now a successful leader in Malawi and wonderful role model.
The children from the orphanage and the all the nearby townspeople were eager to greet us on Thursday afternoon. The students had prepared a song for our visit, and we took a group photograph together. I am still in awe at the warm welcome we receive at every new site. I am honored that our simple visit is viewed as such a celebration. We didn't stay very long at the orphanage because we had a three-hour drive ahead of us in order to get to Mvuu Lodge before dark. The Mvuu Lodge, or the place of Hippo's, is where we spent two nights on an African Safari. For me this part of the trip was especially exciting. I've always wanted to go on a REAL African Safari, and my one wish of the weekend was that I would see elephants. Well I certainly got my wish! I saw elephants, warthogs, hippos, crocodiles, bushbuck, and impala, just to name a few. I had warthogs snorting by my door as I was trying to fall asleep, geckos trying to sneak into my room, and I was almost eaten by a rhino (well I guess that's a little bit of an exaggeration)! Truthfully though, during a dusk safari ride our jeep got stuck in a ditch and we couldn't get a signal on the radio or the cell phone. Did I mention we were in the gated area where the rhinoceros live, and it was getting dark very quickly?
My two nights on safari helped me to realize that I am by no means a wilderness girl. I couldn't fall asleep at night because the animal noises were so loud, and I started screaming when I saw the lizards in my room. I did love the baobab trees; they are the biggest, most beautiful trees I have ever seen. I am only five feet tall but when I stand next to the trees I feel even smaller. At night, the stars were magnificent, they literally sparkled above my head, and again I was reminded that I am only one in such a huge world.
Tonight is my last night in Africa, and it is a bittersweet feeling. I am very excited to see my family and I long for the comfort of my own bed. However I have truly loved every second of this experience and I know that I will miss Malawi when I'm gone.

Wednesday, August 8, 2007

Sex Workers in Malawi

Hi everyone,It has been a few days since I’ve had computer/internet access, (hence the date of the blog) and I have a lot to tell you. On Wednesday the delegates and I traveled to meet with a group called the Family Planning Association of Malawi. This organization is currently working to promote safety among Malawi ’s increasing population of women sex workers. Sex work is becoming a trend in Malawi, and it is especially affecting young women. FPAM, is helping to supply women with counseling, free contraception, motivating talks, and a feeling of empowerment. During our meeting with FPAM, we met about twenty women who are all employed as sex workers. Although prostitution is illegal in Malawi these women will congregate at particular night clubs and bars and sell their bodies in order to survive. One delegate in our group coined their work as “survival sex”. These women earn less than $1 per day and every day they are risking their lives for this small income. One woman from the group explained that she became involved in sex work because it was the only way she could make money, and she was using the income to help her brothers and sisters gain an education. Another woman named Martha told us that she was in an abusive relationship. She wanted to leave her husband but she knew she would be unable to support herself. Martha began selling her body so that she could care for her children and leave her abusive husband. These women did not choose this kind of work; they need to do this work in order to survive, in order to support their families, in order to have a chance at making a better life for themselves.
Our delegation was especially concerned with the safety of the women. These women risk their health and their dignity. Many male customers refuse to wear a condom. Each day 14,000 people are newly infected with HIV, and half of new infections are women. In addition, since this practice is illegal, many women have been arrested and are forced to have sexual relations with the police officer in order to be released.
This group of sex workers ranged in age, the youngest being 17 years old. Many of them had begun the work when they were 14 or 15 years old. Almost all of the women had children of their own. They told our delegation that although the money they made was a small amount, it was helping them, and for this reason they would continue this work.
Initially I was unsure of what to expect from this site visit. When I got out of the bus I was surrounded by the women, who were singing and dancing, they gave every delegate a friendly hug. I knew about prostitution, and I am aware that it happens in the US, but I was still outraged by this practice. I can’t fathom having to sell my body to strangers in order to survive. My heart broke for these young women, many of which where my age. The term “survival sex” is embedded in my brain now, and I am terrified for these women.
On a more optimistic note, tomorrow I am visiting the Joyce Banda Orphanage. Hopefully this site visit will be slightly more uplifting.

Meeting the Girls

Today we visited Nkhoma Hospital in Nkhoma, Malawi, which is run by the Presbyterian Church of Central Africa. Each month the hospital admits about 1,000 patients all of which come to the hospital on their own or are referred to the hospital by local clinics. The government, organizations like UNFPA, and other donations support this hospital and allow for patients to be treated free of charge. One of the main procedures performed at this hospital is the repairing of fistula. A fistula is a connection between two spaces. Obstetric fistula is an abnormal opening between the bladder and the vagina that allows feces and urine to leak through the vagina. It is due to prolonged labor; pressure from the baby's skull will push against a mother's pelvis and cause damage to the tissue. The prolonged labor also affects the baby, and unfortunately the result is usually a stillbirth. The physical effects of this condition are obviously painful; however what I find even more heartbreaking is the psychological and emotional effects of the fistula. Fistula causes women to leak urine and stool continuously, and often husbands will leave their wives and women are thrown out of communities because they are considered to be a disgrace. There are many beliefs and misconceptions about the condition and most people do not understand that this condition is not due to the actions or the behavior of the woman.
At the Nkhoma Hospital I had the opportunity to hear the stories of two women who suffered from obstetric fistula, but with the help of the doctors at the hospital, they are now recovering. One woman lived with the condition for twenty-three years. For almost half of her life she was considered an outcast and suffered tremendously from something that she had no control over. Just imagine for a moment that you are in labor for half of the day. You live several miles from the nearest health clinic and you know that you are having trouble and you need to get help. The only way to get to the clinic is to walk, so you walk in excruciating pain to the clinic. You get there only to discover that your baby has passed away, and at no fault of your own you have developed a hold in your vaginal wall. Now, you have no control over your urine or feces, and people in your village stray away from you because you carry with you an unbearable scent. This story is common; at least two million girls and women live with untreated obstetric fistulas.
Although the hospital in Nkhoma is doing great work to provide women with treatment for fistula and other reproductive health issues, there is not enough space or resources to help all those in need. Currently there are only four hospitals in Malawi that perform fistula operations and this hospital only has the capability to do two operations per week. Today there were eleven women at the hospital waiting to be operated on, and the doctor explained that often women will be put on a waiting list for months before they are able to be treated.
Fistula is obviously not an issue in the US, as we have the resources and the transportation to get women to the hospital before a fistula can form. My heart bleeds for the women all over the world who suffer from fistula. I think that this condition must be the most humiliating experience for a female.
As if this day wasn't already overwhelming, in addition to visiting the hospital I also traveled to Lilongwe to meet with the Malawi Girl Guides Association. MGGA, is an organization that work with young girls ages ten through twenty five, to increase awareness about HIV/AIDS, to promote gender equality and safe sex practices, and most importantly to encourage the young ladies to chase their dreams.
When the bus pulled into the dirt parking lot of the MGGA center, the air was immediately filled with the sound of loud, joyous voices. The young girls had traveled from many villages to greet us and to share with us their songs, dances, and poems. More powerfully then anything was their spirit. The young girls come from many different backgrounds, one twenty three year old named Lexa, had endured the death of her mother, and was now the sole caretaker of her family. She has dreams of becoming a pilot and although she had faced many challenges in her life, she is adamant about accomplishing her goals.
For me, these children are inspiring. So often I complain or become upset by the challenges and difficulties in my life. These young ladies did not allow their struggles to discourage them or deter their dreams. If there is one thing that I can take with me from this trip it is the spirit of those girls. All women would benefit to experience the empowerment and the courage that the girls at the MGGA showed me today.
Today's blog is a little deeper then the others, because for me, today was especially overwhelming. I am still trying to process and articulate the impact that this experience has had on my life. With that said, I am ready for bed…goodnight and please tune in tomorrow…

Tuesday, August 7, 2007

First Day of My Official African Adventure

Today I began my official delegation adventures in Africa. First, I went to the UNFPA headquarters in Malawi, to meet the staff and to learn about the programs that this organization provides in order to support women and theirhealth. Representatives of the UNFPA are traveling with our delegation throughout the week and taking us to see various projects and campaigns in the local area. Our first site visit was to the Michinji District Hospital and Health Center. This is one of the main hospitals for maternal health. Women travel from many villages to receive help and to deliver their babies. In the maternity ward I noted that there were twelve beds yet I was told that there were currently sixty four expecting mothers. There are only four birthing beds, and there are always more women in need than there are beds. Many women come to the hospital to stay long before they are in labor, because they know that when they start delivering their child, there will be no transportation and they will not be able to have a safe delivery.
Before I left for Malawi, I had the opportunity to visit the neonatal intensive care unit at a hospital in my town.The differences are astounding. The beds in the Malawi facility are falling apart, there is no privacy for the women, they are all put together in the same room, and their babies lay in the beds beside them. The women are of all different ages, some couldn't have been more then twelve years old. They looked sad and uncomfortable. In the US, we have the ability to save premature babies and those children often grow up to lead very healthy lives. We have the medicines and the technology to help these children. In Malawi, and in many third world countries, this is impossible.
I must say though, I was very impressed by the Michinji Hospital. The facility is clean and the staff is friendly. They are making the best of what they have, and they are absolutely improving women's health. They are helping to decrease the maternal morality rate in Malawi and they are providing women the chance to bear healthy children, and protect their own lives.
Our second stop of the day was to Mkanda Village. The only way to get to the village is to ride on a bumpy, dirt path. The entire trip felt like a tiny rollercoaster and when the bus finally stopped I had to check to make sure my insides were still intact. I can't imagine being pregnant and having to walk along the long, dirt road while enduring contractions, all in order to give birth in a hospital. Lucky for us, this is the dry season; the rain must make the road muddy and even more difficult to manage.
Mkanda Village is only one of the 232 villages that are supported by the UNFPA. In this village there is an ongoing project which works to promote education and provide reproductive health outreach services. Laws have been created in order to make obstetric care safer. For example, no woman is allowed to deliver a child without the presence of a traditional birth attendant. In addition, the village uses bicycle ambulances to provide transportation to health clinics and hospitals in emergency situations. One thing that I found especially creative is that the locals write messages about reproductive health, protection against HIV/AIDS, and other positive and informative messages on their houses. These messages are spread all throughout the village and they are a beautiful way to support women and their reproductive rights. The entire village program is greatly helping to reduce maternal mortality.
On the way to Mkanda Village I was able to talk with a representative from the UNFPA, and I found the following tidbit of information very interesting and I thought it would be appropriate to share it with you. In Malawi, women have no right to property. Therefore, if a woman's husband dies of AIDS, the husband's family has the right to the property and often will kick the woman and the family out of the house and onto the street. I was appalled at this information. Women in the US have so many freedoms, many of which I think I take for granted.
Today's trip was long and exhausting. We didn't return back to the lodge until long after dark and I am still slightly jet lagged. Tomorrow will be a full day as well and I know I will have even more to share with you…

Monday, August 6, 2007

I’m already in love with this beautiful country!

After three full days of traveling I have arrived safely in Malawi, Africa! Although I have been here for only a day and a half, I'm already in love with this beautiful country. For the next few days the delegates and I are staying at the Kumbali Lodge. The lodge is set on a farm and when I step outside of my hotel room the view takes my breath away. My favorite part about the hotel is the bed net that surrounds my bed like a princess canopy. Its main purpose is to keep out the mosquitoes, which are very common in Africa and often carry with them diseases like Malaria.
In just the two days that I have been in Africa, I've learned so much about this country and the people in it. Yesterday, after settling in at the lodge I had the opportunity to watch a dancing and singing performance. Some of the locals gathered at the farm to perform and teach other children the art of dancing. I myself have not an ounce of rhythm in my body, but the young dancers were incredibly talented. My favorite part of the performance was when a group of young boys presented us with a form of dance using dumbbells. Their instructor would choose a routine and sound out the beats by blowing his whistle. Depending on the routine they would strike the dumbbells under their legs, above their heads, while in mid-air jumping, and they would do this synchronized. I was fascinated by their performance and I can only imagine how much hard work and dedication that it took for the boys to complete the routines in unison.
Today, I traveled to Lake Malawi. I was able to take some time and relax by the pool and get to know the other delegates. I always imagined that Africa would be beautiful, but I never imagined it to be this beautiful. The entire ride to the lake I couldn't take my eyes from the window. Along the way, I was able to experience a village market. There were so many people, and you could buy just about anything you could possibly need, from peanuts, to clothes, fruits and vegetables, and even some sort of unidentifiable meat. In addition to the marketplace, there were also many street vendors selling goods. On the way to the lake, our bus driver Isaac bought us a fruit from baobab tree. The fruit is oval shaped, and about the size of a softball. It is green and fuzzy, but when you crack it open it is filled with a solid white center. The Malawians consider this to be a sweet. I tried it, and it was very sour, and unlike anything I've tried in the US. Even more interesting though was a vendor selling dried mice on a stick. Isaac told us that it is very common for young boys to collect these mice and sell them on the street in order to bring home some extra money. The boys will dig holes in the ground and stick bowls of water in the hole. The mice can't see very well so they fall into the hole and either drown or drink all the water and then die. The boy's then take the mice cook them with salt and put them on a stick to sell on the street. One of our delegates was dared to eat a mouse, and so we pulled the bus over and bought a whole stick of dried mice! The brave delegate described the mouse as being salty and furry, not something he would want to eat by choice, I know my stomach never would have handled it!
The trip thus far has been very laid back but tomorrow is when the real adventure begins. Throughout the week I will be learning about Malawi and the type of work that the UNFPA is doing here by visiting hospitals, clinics, orphanages, and surrounding villages. One thing I have found very interesting is the convergence of different cultures. When the airplane was just a few feet above the ground and I had my first glimpse of Malawi, I was shocked because all I could see were huts covered with grass roots. I don't mean to sound naive, I never expected to see skyscrapers or elaborate city buildings, but I certainly thought there would be more then grass huts. After leaving the airport I began to see more of what I am used to, people talking on cell phones, advertisement signs along the main road, it began to look little more familiar. Today while I was looking out the window on the bus, I witnessed this sort of culture shock again. I saw women carry tall, heavy baskets on their heads and a few minutes later there were a group of young girls playing jump rope. These similarities and differences in the two cultures are very interesting, and they help me to realize that even though we are living completely different lives, we are all similar in some way.
Well, it's late here in Malawi, and I'm still jet lagged from the trip, so I'm going to sign off for the night…I promise I'll have many more stories to tell tomorrow…I hope you will tune it…

Saturday, August 4, 2007

Preparing for Malawi

My name is Michaela and I am a 22 year old from Pawtucket, Rhode Island. I just graduated from college at the University of Rhode Island, and next month I am moving to Washington, DC to attend graduate school at George Washington University. In just a few days, I will be on my way to Malawi, Africa.

In March I entered a national essay contest through Americans for UNFPA, an organization that supports the health and rights of women worldwide. The essay asked me to discuss the ways in which I plan to impact and improve these issues through my life and career. Well, I won the essay contest, and lucky for me the grand prize was a trip to Malawi with a delegation representing Americans for UNFPA. So you can only imagine my excitement because this prize includes traveling to a new continent and learning about what interests me the most.

Ever since I was in the fourth grade I have wanted to become a doctor. My interest in medicine has expanded to include an interest in global public health. I have this "travel bug" that doesn't seem to be going away and my goal is to experience as many new countries as I possibly can.

When I learned I had won the contest, I was completely shocked. If you ask my family or my closest friends they wouldn't think me going to Africa was anything out of the ordinary. I called my parents immediately and my mom admitted that she knew one day I would visit Africa. During a family vacation after riding through the African Safari in Disney World's Animal Kingdom theme park, I talked the whole day about how one day I would go to the real Africa.

Malawi will, of course, be much different then what I experienced in Orlando, Florida, but for me this trip is a check off my list of life goals. I know the trip will be an unbelievable experience. In Malawi I will have the opportunity to visit maternity hospitals, fistula clinics, youth centers, and meet with representatives of Malawi's Parliament.

As a student with a great interest in medicine and global public health, this trip will help me to gain a broader perspective on the world and the people in it. I often wonder about the similarities and differences between my life and the lives of other twenty-two year olds around the world. I am eager to meet young women like myself and learn about their lives, culture, values, accomplishments, and dreams. I have a feeling we're not as different as we may seem.

Malawi, located in southeastern Africa, is bordered by Zambia, Tanzania, and Mozambique. Don't feel bad if you are unable to pick it out on a map right away, I'll be honest I had to look it up too! This small country holds a population of about 13 million people, and 65% of all households live below the national poverty line. Malawi is part of the developing world, which consists of 125 low and middle-income countries.

When I tell people about my trip I am always being asked if I am nervous to go to Africa. I tell them that nervousness isn't the right word, perhaps anxious is a better way to describe how I am feeling. I know I will be experiencing a completely new culture, including new foods, foreign languages, basically just an entirely different way of life. This part really excites me though. However, I will admit that I am a little bit of a "germaphobe" and for this reason I will certainly be packing A LOT of antibacterial hand sanitizer. For me, more daunting than the trip, is the task of packing for the trip. Even at 22 I still need my mom's help! The trip is days away and I still haven't got out my suitcase. It seems like I have been talking about it for so long, yet for some reason it still hasn't hit me, and I don't think it will until I step off the plane.

I hope you continue to tune in, and join me on my adventures in Africa…

Wednesday, August 1, 2007

Meeting the 2007 International Honorees

In July Americans for UNFPA traveled to far and exotic lands to meet and film three recipients of the International Award for the Health and Dignity of Women.

Deni Robey journeyed to Niger to meet Madame Salamatou Traoré. She addresses the health, social and long-term economic needs of Nigerien women who have suffered an obstetric fistula. A condition that affects very poor women in remote communities, fistulas rob women of their lives and are likely to reoccur, even when women undergo repair surgery. Traoré’s strategies involve not just treatment but prevention and social reintegration.

Angeline Martyn traveled to Mongolia to meet Dr. Dorj Munkhuu and Cambodia to meet Ket Noeun. Dr. Munkhuu is known throughout Mongolia as one of the country’s most revered and influential leaders. A great-grandmother, doctor and member of Parliament, Dr. Munkhuu has helped shape democracy in Mongolia and brought about changes that improve women’s health and position them to win social and political power. She even ask for us to teach her lobbying techniques. Ket Noeun seeks justice for women and girls in Cambodia who have survived trafficking, domestic violence and rape. Beloved by those she fights for, Noeun engages police and other authorities to partner with the Cambodian Women’s Crisis Center (CWCC) to reduce violence in women’s lives and hold perpetrators accountable.

Thursday, July 26, 2007

The Deception Endured by Domestic Workers and the Impact of Trafficking

A 22 year old woman and her mother greeted us at our next stop in the village. There house was made of the same material as the Mrs. Heang’s but it was much larger and had a distinctly separate kitchen area at the base and a narrow staircase that lead us to a large living areas. Beautiful straw mats lined the floors, which I later learned the mom made herself.

Upstairs—they had walls and two windows, overlooking the kitchen area. The windows were cut outs—so they were permanently open.

I remember thinking, wow, this is really nice. And, for them it was. At the same time, it was sad to think that a few walls, and windows made for a significantly better living experience. In NY we complain about our tiny apartments—but we rarely think that the bare basics that we take for granted are pure luxury for counterparts around the world.

We sat together on the mats upstairs. The 22 year old sat silently next to her mom. If I hadn’t known her age I would have guessed 14. Ms. Noeun and Sophanara assured me that they both wanted to meet with us.

After about 5 minutes of taping, I asked the videographer to stop. I hadn’t even heard any of the dialogue translated, but I saw from the lost look on the 22 year olds face as her mom spoke, that a difficult story was being re-hashed and I just didn’t feel that is was fair to make her re-live the experience in any way, especially it is wasn’t even her talking about it.

The mom clearly was still traumatized by the experience and felt a great deal of responsibility. She blamed herself, a widow in poverty, for encouraging her daughter to seek work as a domestic worker (helping with house work, cleaning, cooking, etc) for a foreigner. Her daughter, along with 4 other girls lived full time with the man from New Zealand and his Cambodian wife. While living there all 5 girls were sexually assaulted. The first time it happened to the 22 year old, she didn’t say anything—she didn’t know what to do. The second time, she dropped a hint to one of the others and soon learned that many had already been abused. She’d been threatened by the man, and her fellow workers also threatened her not to tell. They would lose their income, they would become disgraced by their families, and on top of that, there didn’t really seem like a way to escape.

The 22 year old managed to escape and her family supported her and pressed charges. The man is now in prison. But the long term implications linger. Her mother explained that in Cambodia, being a virgin before marriage is a must. “I have three daughters- 28, 22, 19. Because this happened to one of my daughters none of them have been able to get married….most girls here are married before age 19.” CWCC is working on community empowerment, but changing deep rooted stereotypes are not easy.

The daughter herself seemed to have more courage, more optimism. She said she hopes to learn to be a hair stylist and hopes to have the money one day to start her own company. She has the motivation to succeed. She smiled, I think almost with surprise, when I commended her courage and explained that often victims don’t have the courage to come forward. I said she is an example of hope for so many other victims. And her legal victory, with CWCC’s support, and her willingness to speak up, has prevented other women from becoming victims. I shared a poster of the Brooklyn Bridge with her and suggested that when she looks at it in the future to remember that many Americans believe in her and support her. I explained that in many ways she is a role model to other survivors for her courage and strength to come forward.

Wednesday, July 25, 2007

Skinny Cows and Economic Empowerment in the Village

We went to a local village today. It was unlike anything I could have imagined. The drive there was an escape away from hotel-tourist central. As I looked to the side of the road, I was shocked by how skinny and hungry the cows looked. Talk about an oxy moron. I kept picturing the black and white wrappers of the low fat, “skinny cow ice cream bars…and thinking if only they KNEW there was such a thing, I think the ice cream company would change the name. I could see their bones through their skin.

En route we stopped for lunch. Mind you at this point I’d already spent a day and a half with our video crew. Half way through lunch, I realized that one of the video guys is actually American! California driver’s license and all. The day prior, when we were having trouble translating a phrase or two, I noticed he chimed in, but he certainly didn’t say more than 20 words the whole day. I guess it’s easier to casually forget to mention that you speak English than to get stuck translating when you signed onto videotape. But, it was nice to be able to communicate now and again without a language barrier. Lunch by the way was amazing. Soups are an essential part of Cambodian eating. Today’s we had what’s called “Sour Soup.” Not so sour and pretty good. We also had some fried fish. Parts of Siem Reap are quite touristy, and like we associate the sea side with seafood; I think Siem Reap has the same feeling.

As we walked through dirt paths by what felt like a mini forest, I was in some way expecting to see a simple, small house. A house as we know it that is--with walls, roofs, and a door that can keep the outside world out. Mind you that the only buildings I’d seen so far in Cambodia, were hotels, the CWCC office space, the CWCC Shelter for Women and Children, the outside of the Royal Place/Residence (its right in the city center), the police station, a restaurant or two and rows of hotels catering to largely international tourists.

We walked through the trees, down the dirt path, and next thing I knew Ms. Noeun was grinning ear to ear as she stumbled upon a woman and a small child that used to live at her shelter. It wasn’t the family we had scheduled to meet up with, and since we seemed to be in such a desolate village, I was surprised that she ran into someone she knew.

Ms. Nouen embraced the child in her arms and carried her as she spoke to the woman. According to Sophanara- the UNFPA Cambodia Communications Associate and my ad-hoc translator, the woman referred to Ms. Noeun “as mom” –“hello mom, so nice to see you, yes I am keeping well mom…” As the day went on these phrases became common place. I had the opportunity to meet three families that had been reintegrated into their communities following their stay at CWCC and the end of their legal battles related to their rape, trafficking and domestic violence cases.

Ms. Noeun would smile when the women referred to her as mom, and she’d laugh about it. To one of the women she said, how can YOU call me mom? You are older than me and have three kids of you own. As we walked to the end of the path, I saw a woman in blue standing at her wooden table cutting coconuts in half. She stood under what looked like a tree house with a thatched, straw rood. As I look around (there were no wall) I didn’t seen anything that resembled a bed.

Mrs. Heang was the woman is blue’s name. She has a beautiful, welcoming face. Her 3 year old daughter lingered by her side and her 8 year old peaked around a tree, checking out the video crew as they set up the cameras. She also has an 18 year old, but he was away at school, thanks to a scholarship he’d received from CWCC.

She makes cake for a living and earns between 6000-9000 riel a day (less than $2usd on average) She sells the cake to her neighbors in the village and she also receives small sums of money or assistance through social services. Though she learned to sew while at CWCC when she left the center there were no machines available for donation. So instead, she developed a business plan with CWCC’s support to start her cake making business and she was granted start up capital of $100,000 Riel…($25). It was incredible to see what a difference that money (the equivalent of two cab rides home from midtown Manhattan to my apartment) had on her life.

As she spoke to us, she reflected a bit on how her life had changed. She was happy with her life changes and she cherished her children with all her heart. She said, “I know, that still, my economic situation is not very good, but at least I am not being threatened every day.” What makes a happy home, really? I learned that it is far more than a roof over your head and first and foremost it is a safe space.

After a quick segment of filming, we spent a few minutes together. They let me test out what seemed like a see-saw and learned how to “grind spices.” I stood on one end and the other end, like a hammer, pounded into the ground, chopping, breaking, etc. anything that needed to be chopped. I LOVE my pampered chef chopper, and value a good mortar and pestle but this wooden contraption took the cake in terms of efficiency, design, and easy of use!
Mrs. Heang invited us to sit down with her on the mat, and her mother, who also lives with her joined us. She continued to cut coconuts without any difficulty (whereas I have to use all my might to even cut through a watermelon) and poured the fresh juice for us. We drank some coconut juice and the kids ate the chocolate chip granola bar that I had in my purse. It was so fun to watch the little girl smear the chocolate over her face and then pick up the coconut juice, snap her head back and pour the fresh juice in. It could have been a commercial it was so cute. For those few minutes, I completely forgot about the sweat pouring down my face. In fact I don’t think I even felt the heat. I just felt such optimism, as I sat with this genuinely happy, healthy, strong family, who despite their difficult living situation seemed to live life to its fullest. I didn’t want to leave.

Monday, July 23, 2007

First Day in Cambodia

Breakfast at the hotel was a mix of soup, fried rice, kimchi, eggs, fruit, pancakes and toast. Sophanara (UNFPA Cambodia Communications Associate) and Sultan (Driver) met me at about 8am and the film crew followed in a pick up truck behind them.

We went straight to the Cambodian Women’s Crisis Center Shelter. Like most shelters there was no identifying information outside to be sure that abusers, etc, are unable to find it. Ms. Noeun was there to greet me and I could see she had plenty of energy. Her motorcycle was parked out front, since she too had just arrived. I explained that it would be wonderful if she could just go about her morning like she normally would—and allow the video crew to follow behind her. I’m sure she did some of her meetings in fast forward but she really was great at ignoring the camera and giving her un-dived attention to each person she encountered.

Women and children who have been victims of domestic violence or sexual abuse are able to live at the shelter during their legal process. Ms. Noeun started her morning by stopping into the kids classroom. Kids of all ages were in one room—and when we walked through they were busy tracing shapes at the table. A couple babies were asleep in small hammocks and a few kids were sitting in a group and drawing. They all looked forward to seeing Ms. Noeun and responded early as she asked them about how they were and what they were working on. She stopped and helped them on their project and makes time to somehow make each child feel acknowledged.

The Sewing room was pretty cool for me to see. Twelve extra sewing machines were against the wall—that said donated by UNFPA. When the woman are ready to leave the Center they are given one each allowing with 100,000 Riel ( $25) to help them start their own business.

Women also learned how to cook. Each day four women are responsible for cooking. They are given $25 to go to the market and prepare 4 meals for 50 people (breakfast, lunch, snack, dinner). They had porridge and water for breakfast and for lunch they were making fries, sour soup, fried tofu, and rice. They usually calculate costs at 50 cents per person per day but they also reserve some money for the kids to have transportation to school and also for travel to the market.

The girls are age 17 and younger; boys age 8 and younger. Women vary in age—but the average age in 55. Most stay for about 8 months to one year. Other women come to receive CWCC legal services and support, but they chose to live with family instead of at the shelter.

CWCC has an in-house attorney and medical staff that come to the center. There is one other center is Siem Reap that provides similar services. Though the capacity of the shelter is 50 people, they’ve never turned anyone away.

Sometimes the women go back and live with their abuser, who is most cases is their husband. The husbands must testify and sign a document with CWCC promising that they won’t abuse again. CWCC explains that this does not always work, but they system is currently set up so that women can come back three times if they need to.

I spent the afternoon learning more about Ms. Noeun and her work. We went to the Center and met her team there. She actually lives at her office and two of her grandkids live really close by. At the end of the day she took them on a motorcycle ride to the park and it was fun to watch as they held tight to their grandmother.

Sunday, July 22, 2007

My Journey To Siem Reap

I've arrived safely in Siem Reap. The flight was delayed though for the first hour of the delay the airline claims that my ticket, itinerary, and all related documentation actually listed my flight time wrong. Though my ticket said 7:30pm departure from Seoul, Korea the airline staff were adamant that the flight was actually scheduled for 8:30pm. Ok, whatever, Í'll go with the flow. Since I had several hours to pass, I sat down for some traditional Korean food-- double boiled beef short ribs in broth. A couple years ago I learned how to make Korean style bbq short ribs...so it was fun to experience the authentic cuisine. I think I was the only non-Korean person in the whole restaurant.
The flight took off until about 9:30pm and I arrived in Siem Reap about 5.5 hours later. Of course, just my luck, there is a 2 hour time difference between Korea and Cambodia (3 between Mongolia and Cambodia) so it might have only been 1am in Cambodia but as far as my internal time clock new it was 3 am!!
Though my hotel was supposed to pick me up from the airport, when Sophanara, the UNFPA Cambodia representative who was meeting me in Siem Reap, stopped by the hotel to make sure everything was set for my arrival., the hotel manager said that her staff had gone home for the night and sorry, there is no one to pick me up. Sultan, also from UNPFA Cambodia, saved the day, and though he too was exhausted from driving Sophanara from Phnom Phen that afternoon. He graciously offered to pick me up and stood waiting, smiling at the airport to greet me.
What a difference a friendly face makes upon arrival in a new place. I felt at home immediately.
Even though it is so late at night, it is incredible humid out. The road from the airport to the hotel felt very dismal. Unlike Ulan Bator, which felt somewhat industrialized with pockets of great disparity, tonight my eyes only saw what felt very much like a low income country in need. It was strange to have the immediate feeling that UNFPA's help was needed. I was also reminded of Sri Lanka. In Sri Lanka the road from the airport is pretty dark and dismal, but as you approach the city the strips of hotels feel like Las Vegas. I know Siem Reap is known to be a huge tourist destination, so maybe it's the just the late night arrival and the humidity. We shall see.
My days in Cambodia are very, very packed. I'm not sure when I'll be able to post next. In the mean time, I encourage you all to read my friend Rebecca's blog. She traveled to Cambodia with Americans for UNFPA in January with a delegation of about 12 Americans. Because staff and guests of Americans for UNFPA were here so recently, my trip is focused closely on meeting Ms. Ket Noeun, 2007 Americans for UNFPA International Honoree for the Health and Dignity of Women. Ms. Noeun is the provinical coordinator for the Cambodian Women's Crisis Center and runs a shelter for women. Her Center is heavily involved in the legal aspects of the work and has unique community partnerships to ensure health, dignity and justice for vicitms and the community at large.

Saturday, July 21, 2007

A visit to the unregistered migrants mining for gold and coal

We hit the road at 8am friday to beat traffic for our 2 hour drive to Darkhar (I know I'm spelling that wrong, but I don't know where to look it up!) where there are mining sites for both coal and gold.
Funny thing. We arrived there at 1:30pm. Five and a half hours later.
There were very bumpy roads but not really that much traffic, so I'm not quite sure what happened. Lucky for me, the company in the car was compelling and, I was able to take a cat nap or two. Dr. Munkhuu had this great cashmere back brace that she offered up for me to use, but I said that at more than half her age, I thought she deserved it more than me! Apparently the brace costs about $6USD which to me sounds cost effective, practical and trendy! Sign me up for one! Cashmere is plentiful here…but cashmere is still cashmere and even at the discounted price, you are still paying a lot.
It was my first day free of a camera crew, and though they were fantastic, it was nice to not have to think about interview questions, or video footage.
The governor of the Soem where the mining takes place, two of his staff and a few others, met us in a Jeep about a hour away from the mining district to direct us the rest of the day. Everything seemed to be 30 more kilometers or 10 more kilometers but everything seems to take at least another hour. At the time, the distance didn't really phase us—the countryside was very peaceful.
We were shocked though, after driving for hours through empty fields to see a massive city crop up in the distance. The mining district that we visited was at the tip of the city, but still in a very rural location.
As we approached the mining fields we saw 2-3 people in various quadrants in the distance. Each hovered near a bed of water, seeking their treasure. The mining industry is filled with unregistered migrants—which to UNFPA equates to people who are in dire need of help because they government can not officially offer them care and support.
We drove "10 kilometers more"—30 minutes and we met several miners and their families. Unlike the rich herdsman we met yesterday, these families literally had merger fabric tents pitched on the sand and very minimal resources. Two little boys helped their dad—we asked where his daughter were and he said they left them with family in the city because he didn't want to expose them to this lifestyle. (The boys were all about the photo ops as you'll see!) My pictures show them working hard, sieving through the rocks and gravel and achieving success in finding 4 small (tiny) pieced of gold. I was pretty impressed that they found some on the first try.
The adults have been encouraged to get jobs in the Soem Center, but they say "the money there is worse and they have to report to a supervisor." "Here, I am my own boss."
Unlike most of the UNFPA projects that I talk about, in this case, the men are the particularly vulnerable group. They have hard, laborious working conditions, low income, poor shelter, few resources, and they have little to no access to social services or health care of anytime. There wives suffer too, of course, but you can see the worry and hardship in each man's face.
We gave them a carton of apple juice as we left and the few families living in the neighboring tents gathered together with joy. If only apple juice was a long term sustainable solution to ensure then happiness, health and dignity.
We made our way back to the city and I met with the video crew to pick up the tapes. Anika left for the airport at 4am the next day and I left at 10:30am.
It was time to say goodbye to Mongolia.

Friday, July 20, 2007

Our Ger Experience

Though we didn't get to sleep in a Ger, a herdsman knew that we were coming to visit the Mobile Clinic and had heard that Dr. Munkhuu would be receiving an award with us, and as such, invited us in for a home cooked 5 star lunch. We dined in his guest ger—which was absolutely gorgeous. He's a rather wealthy herdsman, with 500 cattle of his own—though I don't know where he kept them because I only saw 2 or 3). Anika, by day President of Americans for UNFPA by night as aspiring interior decorator—was taking detailed notes on the ornate decorations. I will not be surprised if her daughter Amani's bedroom is soon decked out in Ger style. To be honest, the workmanship was incredible. It felt like a lifesize dollhouse. Even the entrance to the ger is done with beautiful workmanship.
There were four beds inside that lined with walls on the ger—all were carved and painted with an orange base and blue design work. The design seemed to have Moroccan influence and they basically felt like "Day Beds." We sat on them…apparently the men are supposed to sit on the left and the women to the right. They had an amazing coffee table in the same design and all of the spokes holding up the ger were also ornately designed in the same colors. The herdsman (in his spare time) built, carved, painted EVERYTHING. He said the coffee table alone took him four months.
Twenty of us gathered in their Ger—which I'm guessing was about 30 ft diameter. They fed the doctors, trainees, drivers, video crew and all of us from UNFPA and Americans for UNFPA. They served lamb, cabbage, potatoes, carrots, cubed cheese, crème( which was a cross between butter and clotted crème) and bread and Dr. Sumbertzel's wife and daughter packed us a picnic lunch with we shared with all of them. The food is cooked over hot stones and just before we ate, we each were given a hot stone to toss in our hands and improve circulation. It was HOT but I'd definitely do it again.
We also had fresh Mongolian yogurt (both Anika and I are big fans) and Horsemilk—which is fermeted milk which smells very potent of alcohol. The Mongolian tradition calls for either a drink of horsemilk or vodka 3 times during every visit—at the beginning, to line your stomach, at the middle (for fun??? I'm not sure, actually), and at the end to send you off. Right. In an effort to respect tradition, we had a sip each at the beginning and end….but lets just say, we'll stick to the yogurt!
As is obvious, we won't forget the experience. The herdsman and his family lived in the ger next door which was decorated in a minimalist style. While their home still had lofted beds, it is rather common for mattresses to be at ground level, or to just sleep in a sleeping bag on the ground.
I'm still worried about how things are going back in NYC…maybe I can convince one of my colleagues there to guest post and fill us in. A natural disaster, caused by rain that lead to a steam pipe explosion…?! I hope all is well.

Thursday, July 19, 2007

Seeing a Mobile Clinic Made the Bumpy Roads Well Worth It!

When I signed onto the internet Thursday morning, I was pretty shocked to see "steam pipe explosion near Chrysler Building" as the top story on yahoo news in Mongolia! There is a 12 hour time difference between NYC and UB. For those of you that don't know, Americans for UNFPA's office in NYC is located just across the street from there. Thankfully, no one from our office as hurt- Deni and Marcela were the only employees in the office and they were quickly evacuated from the building (So quickly that Deni's cell phone, wallet, and the video footage from her visit to 2007 Honoree Mdme Traore in Niger are still sitting on her desk..oy!) I've since heard that the external damage to the building is quite bad and they are waiting for reports about the inside. Our office and the entire building are closed until mid next week at the earliest.

About 20 minutes later, that same day, I learned that there was an Anthrax scare in Kar Khorem—the ancient city—where we were planning on spending the night in the Ger. Who knew that there was more to Anthrax than being a chemical weapon? Apparently it is actually first transmitted through cattle. According to Dr. Munkhuu's son, (the dean of public health), there is no evidence of cattle to human transmission, yet. None the less, there is NO WAY we are going to Kar Khorem today. Anthrax in Mongolia and a natural disaster explosion in NYC—definitely not a lucky morning for Americans for UNFPA.

As planned, we carried on with the first half of our day—a visit to a UNFPA funded mobile clinic. Once my photos are posted you won't have to rely on my descriptive visuals—but in the mean time—picture two tents pitched in the middle of countryside fields with an emergency mini-van beside them. The only things in any proximity were two gers about 300 meters away, A couple of cows and horses close to the gers and our two cars pulled up in front of the tents.

Right there, in the tents, they had two pretty impressive things going on. In the first tent, they were conducting an ultrasound on a pregnancy woman and in the second tent, about 8 doctors were seated on the floor for a "train the trainer section." I kid you not when I say a laptop was loaded up, and a powerpoint presentation was reflected on a screen at the front on the tent. Technology.. it is everywhere.

The mobile clinic serves about 500 patients a year and spends a week or so at a time at each of its regular locations. I've seen many pictures of mobile clinics, but I never realized conceptualized how remote they actually are. We traveled bumpy, unpaved roads for several hours to get to the clinic. Even when the roads were paved, we often drove next to them because some how the grass/dirt was smoother. We saw zero street signs and a couple dirt forks in the road. A doctor from the clinic greeted us about 20 minutes away from the mobile clinic and directed us the rest of the way. If our car took off, I'd still be standing there and would probably become best friends with a stray cow. Moo.

But, the clients that need the services seem to know exactly how to find them. A great deal of public awareness and advocacy exists locally to ensure that remote rural communities receive quality care. They receive a lot of support from the governor, which I guess helps a lot.

Mobile Clinics operate in 7 provinces in Mongolia . (They call provinces/states—Amags..pronounced Imags.) In the province of Tuv , where this particular mobile clinic was located, the clinic visits 4 distinct locations (they call theses soems…which I guess are the US equivalent of a county).

Through the train the trainer program, annually UNFPA helps train 3000 doctors, nurses, counselors and other social services providers. The project operates in 9 sites, seven of which are rural and 2 that are urban.

It's pretty incredible work.

We arrived back in Ulan Bator at about 6:30pm and spent a bit more time at the UNFPA office. (I received my third lesson on Amags versus Soums, etc…and finally grasped the concept)

In retrospect, timing wise, it probably worked out for the best that we were unable to go to the ancient city. The bumpy roads without four-wheel drive made the trip pretty long and tiring.

Anika and I went to a Lonely Planet recommended restaurant for dinner that night called Silk Road. The hostess told us the wait would be two hours, but I spotted a daughter/dad pair that were clearly about to finish their dessert. About 20 minutes later we were seated. The ambiance was great—although there was a tour guide seating across from us that felt the need to speak at the top of his lungs non stop for the entire meal. We are convinced he didn't stop for questions or even air. I can still hear his voice in my head. All I can say is I'm glad I didn't pay to have him as my tour guide.

Wednesday, July 18, 2007

Six Degrees of Separation

Today we met with U.S. Ambassador Mark Minton and Mr. Dan Nadel, a Presidential Management Fellow working at the Embassy. Turns out Ambassador Minton used to work with our former Board Chair, Phyllis Oakley and Dan is originally from Queens, NY. Oh the small world we live in!

From there we had additional media interviews….apparently when Jagga, the media advisor at UNFPA Mongolia, arrived at work this morning, her phone was ringing off the hook from a variety of media asking why they had not been able to interview Anika or Dr. Munkhuu. I know a segment ran again on tonight's 8pm news because a friend of Dr. Munkhuu's called her during dinner to say congratulations..she just heard the good news on the news.

Our evening tonight with Dr. Munkhuu's family was unforgettable. Dr. Munkhuu hosted a lovely dinner at the Mongol Hotel—which is a must see location that takes you back to Genghis times in its historic scenic step back in time. We met almost all of Dr. Munkhuu's children, grandchildren, and even a great grand child, and had a wonderful celebration in her honor. We also celebrated Susie Smith's birthday—Susie if you remember is the Peace Corp Volunteer who met me at the airport and also played a significant role in organizing our trip logistics. BTW Susie's heading back to the U.S. this fall and will be entering a job search…did I mention she's personable, professional, a great organizer, culturally sensitive, speaks a bit of French, Spanish, English and Mongolian, and has her Masters in…something. She'll be heading home to Denver, Colorado but will go where the wind takes her when she begins her job search. (Ahh, the glory of networking)

After dinner we made a quick stop at Strings, a "club/lounge" where a band from the Philippines, "Midnight Shift" was playing. Delia is originally from the Phillipines and it was our last chance to chat with her before we leave. She'll be on mission when we return from Kharkhorin. We caught part of the first set, classic American favorites like "Africa" and they sang happy birthday to Susie. We promised to stay for one or two songs as they transitioned into a more dancing set.

In the spirit of the small world we live in, I'll share the following: I accepted an invitation to dance with a friend of the Band, also from the Philippines. We started out Swing dancing (I don't swing, but thankfully my red polka dot dress at least twirled a bit) and quickly I was safe as the song shifted to salsa. Anyway, I explained that we were in town from the U.S., he said he thought India..I explained that my parents are from Sri Lanka…and in "classic Angie style" he used to live in Colombo, Sri Lanka. I didn't get a chance to hear much more, because I was pretty tired and we needed to head back to the hotel and I needed to blog! : ) Delia by the way can tear up a dance floor!

Hopefully, you all are enjoying the blog and living the experience vicariously. Though sleep is hands down one of my favorite hobbies I'm cool with sacrificing it now and again for the greater good. And what greater good than taking the opportunity to share with the world my experience with Mongolia (my first UNFPA field visit), my deep respect for Dr. Munkhuu and my thanks to UNFPA and Americans for UNFPA for allowing me to witness this important work.

Tomorrow morning we head to Tuv aimag to see a mobile clinic and then will visit Kharkhorin soun, the ancient capital of Mongolia. We'll be staying in a Ger in the middle of a remote area so there will be no entry until Friday at earliest.

Ok so I went a little over half an hour…but not too far…I'm a fast typer. Really.

Monday, July 16, 2007

“The Godmother of Mongolia” and her entourage

It's great to have Anika here in Mongolia. Anika Rahman, President, Americans for UNFPA arrived in Ulan Bator just before midnight on Monday night, after an unexpected 7 hour or so wait in the Beijing airport due to flight delays. Nonetheless, we debriefed quickly and arranged to meet at 8:15 for a jam packed day. So jam packed that I didn't get to post this until today.

Tuesday was empowering and enriching. We learned in the morning that our camera crew's TV station was planning on announcing Dr. Munkhuu as honoree of the 2007 International Award for the Health and Dignity of Women on the 6pm news. TV 5 is the leading news medium in Mongolia.

You know the way news clips looks when, for example, a president or presidential candidate makes a day trip to a target state? You see the candidate and his/her entourage walking into rooms packed with people, standing at the podium, shaking hands with dignitaries and locals, being interviewed, ect. Well, apparently the segment that ran on the news yesterday (and again today, I guess, because it was such a top story) was just that—except Dr. Munkhuu, Anika and I were the featured women! I guess the President of Americans for UNFPA plus a leading advocate/politician in Mongolia = Breaking News! Sure, we've all been on the news plenty of times before, but I personally have never been to vividly in the limelight with a news crew follow me for an entire day. I haven't seen the segment yet, but I'm hoping to get a link to the online feed within the next day or two.

We started our day at UNFPA, where we briefed the staff on the background of the award, talked about Ms. Noeun from Cambodia and Mdme. Traore from Niger who will also receive the award, and we gave them the lo-down on the fabulous 3 American Honorees, and the lifetime achievement award winner (Mr. Ted Turner).

From there we went to Gal Golomt National Movement, an NGO that Dr. Munkhuu founded. I thought we were going to meet with 2-3 staff members—so when we walked into the room to see a) the camera crew already set up and filming our walk into the office and b) a room full of forty + women, applauding and standing as Dr. Munkhuu walked through the door. At that moment, before even a word was spoken, it was evident from the emotion in the faces of the women (and one man, actually) that immense admiration and love was felt towards Dr. Munkhuu from women of all walks of life. We heard testimonial after testimonial about Dr. Munkhuu's contribution to the country of Mongolia, her implementation of policies to support women and families, and personal testimonials about the way Dr Munkhu touched there lives both personally and professionally. Have I already mentioned that Dr. Munkhuu's was actually one of the signers of the new Constitution of Mongolia in the 1990s? She showed me a fantastic photo from the signing that really reminded me of the famous photo of our forefather's signing the US Constitution in 1776. The people in the room ranged from age 19 to 85 I'd say. I learned today at the 19 year old, a law student and the youngest member of Gal Golomt , who was clearly one of the organizers of the morning event, is actually Dr. Munkhuu's granddaughter! Also Dr. Munkhuu's son, Dr. Sumberzul, who met me at the airport, is the Dean of the School of Public Health at the Health Science's University of Mongolia! Success and commitment to the health and dignity of women clearly runs in the family!

There is so much to tell you about Tuesday- and it's already midnight and I just got a call from Anika, who informed me that she was making an executive decision for me to go to bed! I promised within the half hour and reminded her that if I urge everyone else to blog consistently on trip, how can I not hold myself to the same standard!!

[Michaela—if you are reading this—I'm reminding you that you should be sleeping at midnight in Malawi—Not blogging. Michaela Maynard is the winner of the 2007 Americans for UNFPA Essay Contest for the Health and Dignity of Women. She was selected from a pool of U.S. college students and will be heading to Malawi the 28th. Her blog will be featured on Marie Claire Magazine's website..and will be cross posted on our site as well. ]

I'll keep my fingers crossed that I can get a copy of the news segment to share with you to get a better sense of our day. In the short term, I'll give you the highlights of the rest of our day:

Next stop. Parliament. We met with Ms. Dolgor, Assistant to the Prime Minister of Mongolia and Deputy Chairman of the National Committee on Gender Equity
à She provided a solid background of Dr. Munkhuu's accomplishments and also spoke about her own work and the Prime Minister's work on behalf of women. She summed up Dr. Munkhuu's achievements as follows. "Dr. Munkhuu fought for women's well being, helped develop a civil society (ie. NGO community) and at the policy level made concrete changes by make sure women's rights issues were a priority."

From there we met with Her Excellency, Minister Tuya.--Minister of Health. She had an incredible presence and I was very taken with her willingness to take time to meet with us, her openness to questions and her support of UNPFA. She also gets my personal award for the best quote(s) of the day. I asked her what set's Dr. Munkhuu apart. She responded: She has very high intellectual capacity, high organizational capabilities, she's indeed a godmother to all of us." She said, you know "like the Godfather movies—she's the godmother.!

LOVED IT!

I wanted to say, oh my goodness you are the coolest, but instead I said thank you very much for your time! J

Delia Barcelona, UNFPA Mongolia Country Rep, and our host for the week, joined us for this meeting. Though I know that UNFPA does great work around the world, I thought it was very gracious of Minister Tuya to take a moment to publicly acknowledge and praise Ms. Barcelona's commitment and contribution to the country. Having had the opportunity to witness Delia's compassion, commitment and efficiency, I can't help up share with you Minister Tuya's comments. Minister Tuya was explaining how important it is to grasp the different and unique characteristics of countries and regions so you can operate effectively. She continued…"Dr. Barcelona, from the moment she came, has been very sensitive to the unique differences. We love working with her because everything goes very smoothly and effectively." She extended her thanks to UNPFA for bringing these kind of very capable people to come and work with them.

As I hope I've made obvious, Her Excellency Tuya herself was very impressive and I loved that she could mix humor, bestow appreciation to Dr. Munkhuu (and UNFPA), represent the government to us in an incredible fashion, and still hold a powerful presence over the room. (She also had great fashion sense) Together, she, Ms. Dolgor, and the women of Gal Golomt showed me that Dr. Munkhuu's success is not the exception in Mongolia but rather it's increasingly becoming a standard.

Just as we were finishing the meeting with the Minister of Health, one of her colleagues interrupted the meeting and handed her a phone. Next thing we new she said good bye, apologized for having to leave, and was whisked away. Apparently she'd just received a call that the Opposition party was calling for the abolishment of the Cabinet…so yeah, she had some things to attend to! Quite the "West Wing" moment. For the record, the Cabinet has not been abolished…

From there I was able to visit UNFPA project sites—including a hospital, a maternity rest center and a youth health center. The Youth Center was actually modeled after Mount Sinai in NYC. I have TONS to say about the UNFPA sites…But, my half –an-hour before I turn into a pumpkin has passed so I must go to bed.

Happy Birthday Jeanine!

1.5 people live per square kilo in Mongolia-- imagine life without neighbors!

Mongolia is one of the least densly population countries. The population is about 2.6 million. There are 1.5 people per square kilometer in the country. At the same time, Ulan Bator, the capitol, is very crowded. 45% of the population lives in UB and there are actually 205 people per square kilo in UB. From one point five people to two hundred and five from urban to rural. In the rural areas, who do they borrow egg or milk from if they need some in a pinch?!
I asked why we are taking two cars to the rural area on Thursday and it's because the areas are so remote that its too dangerous to go alone, in case you have car trouble, etc.
The Western region, where Dr. Munkhuu grew up, is the area of the country with the largest nomadic community and the least resources. She grew up in a herder family. She witnessed the daily list of responsibilities-and saw how even a day after giving birth, women (including her own mom) were back in the fields, tending the livestock and caring for the family. UNFPA has programs in 5 of these western provinces focusing on reproductive health and Dr. Munkhuu is amongst the many people now making sure that women in these communities have access to better health care. Still there is way more work to be done. The maternal mortality rate in urban areas are 93 per 100,000 (is 45 per 100,000 in the U.S) versus 380 per 100,000 in the rural areas.
I learned more today than I have in a long time, and what i've mentioned above barely scratches the surface. My brain is still digesting. One thing is clear. Dr. Munkhuu has influenced the lives of so many. Her impact is long standing- both for the success of the country and the growth of individuals.
Enkhjargal, a UNFPA colleague who first worked with Dr. Munkhuu almost 25 years ago in parliament, says that any time she has a big issue that she needs to discuss, personal or professional, Munkhuu is the first person she turns to. Undarya, National Coordinator for MonFemNet, the Mongolian Women's National NGO Network told me that Dr. Munkhuu's leadership in organizing the first national conference on family planning in 1990 is what lead to the liberalization of family planning. Her creation of a Women's Federdation (rather than the former Communist Women's Committee) opened the door for collaboration with women's movements of the opposition's political parties. Bulgan, a young associate at UNFPA, talked about how impressed she was with the way Dr. Munkhuu cares for her family, alongside her numerous political, NGO, and UNFPA commitments. She showed me a picture of her 11 month old baby and said she hopes that her daughter will grow up to have the compassion and accomplishments of Dr. Munkhuu. My camera crew and I stopped by a monestary and the gate keeper let us in with open arms when he heard that we were filming landscape shots of Mongolia for a video featuring Dr. Munkhuu. Her influence is more far reaching than I could have imagined.
The socialist - democratic transformation of Mongolia is enlightening. When I asked Dr. Munkhuu what made her decide to be a doctor, she explained that it wasn't really her choice; it was the socialist government's government moved her to policy work and then made her leader of a youth movement, and eventually to Parliament. She explained even though the choice was not her own, it was a great honor to be selected by the government to play such roles. She in turn gave 100% to every project assigned. She draws very much on her personal experiences and prioritizes sharing the lessons and fortune of her own life with the wider community.
Days are long in Mongolia. Both in terms of sunlight and the hours people work. It's 8:15pm now and its still bright as ever and the sun isn't expected to go down for a while.
I need to go practice all the new names I've learned. Interestingly, business cards say the only the intial of your last nam and your first name. So Dr. Munkhuu's would read D. Munkhuu-- D stand's for Dorj, her dad's name but it's not carried on. Even when you get married you always keep your own name, your first name.
Oh and get this, the reference I made to Lincoln Memorial yesterday; the Genghis Khan memorial is actuallly modeled after it! Who Knew!

Sunday, July 15, 2007

Gengis Khan and Dr. Munkhuu- Two of Mongolia's Biggest Names

I can't believe I'm in Mongolia. I don't really know what I expected it to be like, but I do know it's quite different to what I imagined. Ulan Bator, the capitol, reminds me of a cross between Valencia- a sea side city in Spain and the Jersey Shore off season. Everywhere I look I see mountains where I'm guessing the majority of Mongolia's famous nomadic communities live. On Wednesday or Thursday I'm going to actually spend the night in a Ger!

I just had dinner with Dr. Munkhuu, who is essentially the reason I'm here. She's one of three women to be honored this fall with the 2007 Americans for UNFPA International Award for the Health and Dignity of Women. She's every bit as warm and amazing as I imagined her to be. She holds a million positions in Mongolia—she run's a non-profit Gal Golomt and she's also a Culture, Gender and Human Rights senior advisor to UNFPA. Culture, Gender and Human Rights—all in one title—I wish! On top of that, she was one of the first female parliament members, she's a doctor, she has eight kids plus grandkids and great grandkids and she seems to have an amazing sense of work-life balance. And, she seems extremely humble. I however have no problem telling the world about her—and I'm going to spend the next few days filming footage for a short video on her and I'm sure to talk more about her in this blog.

Suzie, a Peace Corps volunteer from Denver who is working at UNFPA met me at the airport along with Dr. Munkhuu's eldest son. I've only been here 8 hours and in the first two of those Suzie walked me through me most of what there is to see in UB. I learned that the most prominent structure is a massive memorial to Genghis Khan—which looks a lot like Lincoln Memorial…and I've seen about 10 other structures, statues, posters, street signs featuring him. Needless to say Genghis is the Biggest Name in Mongolia. (with Dr. Munkhuu a close second or third, I'd like to think…)

Dr. Munkhuu met me at 4pm and brought with her a medley of photos to help chronicle her life. I saw her riding horses in the country side, receiving awards from the president, standing at an event commemorating her first collaboration with UNFPA in 1999 and beautiful pictures of her family.

We just had dinner at a restaurant connected to the hotel called Casablanca—there was a huge picture of the cover of Casablana the movie on the stage of what seemed to be a dance floor; OutKast "Hey Ya" was amongst the songs played as dinner music, and the menu was about 30 pages—because every item had a photo describing it. The menu had everything from Malaysian Beef Rendang to Spaghetti and Meatballs. There was only one Mongolian dish and I wanted to get it, but Dr. Munkhuu said I'd be eating plenty of traditional food this week, especially when we go to the countryside. I opted for a sweet and sour fish; Dr. Munkhuu had fried chicken with cole slaw and rice and our translator had lemon ginger chicken.and an iced tea. [Dr. Munkhuu is shy to speak English (hence the translator) but word on the street is that she's far more proficient than she lets on. I'm aiming to have at least 2 full conversations in English with her before I leave.]

I accidentally left my sweater in the restaurant, and in classic Angie style, when I ran back in to get it—I ran into two friends. YES. It's true, I've only been in the country 8 hours but two of the 7 people I currently know in Mongolia were sitting at my exact table and handed me my sweater. We stood in the wrong line together this morning at 6:45am the airport (apparently you have to go thru customs before you check your bags when leaving Beijing), we shared a pen to fill out our customs form, bonded over chocolate, and they asked me about my watch. At 6:45pm, there they were at Casablanca! They live right around the corner from the hotel. Classic.

The driver is meeting me at 8:45am tomorrow to go to UNFPA so I better sign off. It's only 12 hours away!

Saturday, July 14, 2007

I forgot to mention my quick jaunt thru Beijing-

Beijing, by the way was great. Very crowed, very bustling. I'd say it offers some serious competition to NYC. I arrived in mid afternoon and transited overnight there after my 13.5 flight from Newark. Determined to see more than my hotel lobby, I ventured out into the city for the few precious hours I had. I stayed pretty close to the city center and felt extremely safe. I stopped by a small art exhibition and learned about calligraphy art and rice paper, saw three versions of "the four seasons," and tons of drawings of horses! Since I was born the "year of the horse" I'm well versed in how lucky the horse is meant to be. Adjacent to the exhibit, at about 6pm, the steps of the Catholic Church were filled with skate boarders and crowds watching, and at midnight the streets were still full. They have a snack market that lines the streets from about 8pm onwards and instead of pretzels, cotton candy and hotdogs- they have dumplings, fruit kabobs, noodles, every other kebab you can imagine and stall after stall of vendors selling Chinese trinkets. (People could not understand why I couldn't be persuaded to by a fan or a jade budda!). Like Canal Street in NewYork there were tons of fake Gucci, "prados," coach bag. The vendors thought I was crazy when I said I would only consider buying a non-designer purse WITHOUT any labels. I think it was the first time they heard such a request!

Ironically MANY people have complimented me on my "Men in Black" watch. I don't even know if they wore watches in that movie, but basically the day before I left the city I realized I didn't have a watch or my travel alarm clock. I picked up a massive rubber strapped digital watch with a huge face and an alarm clock that was sitting at a store near my office, about 70 percent off—calling my name. It looks like it does a lot more than I'll ever know -perhaps transmitting messages to the aliens. Thanks to Jesse, our outreach coordinator, in about 2 minutes he figured out how to use it and 30 seconds later I learned how to work the alarm clock. Lucky for me the time difference between NYC and Mongolia is exactly 12 hours so the time is still correct! Anyway- the watch is a BIG hit here, and apparently I'm on the cutting edge of fashion. Ha!

I made it to Tiananmen Sqaure just as they were taking the flag down at sunset. As you walk down the road, the classic black and white street suddenly transforms to walls of deep red. It very powerful to see the crowds of people and I felt an air of freedom. The Forbidden City closed at 3pm, so I only was able to see the outside. The gardens surrounding the city and square were beautiful as you'll see in the pictures. I never used to bother walking through Boston Common and I rarely spend time in Central Park, but I longed to have a couple more hours to spend in the Emperors garden. It funny how easy it is to take for granted the parks and historic landmarks we have access to daily. BTW, a historical moment: I passed "Mango" at the Oriental Plaza en route to Tiananmen and I kept walking. I missed the Mozart Museum once; I wasn't going to risk missing the Square!

Friday, July 6, 2007

The end of my trip - You can't bring mangos back to the U.S.

I never had access to a computer my last day in Niamey and I felt that the blog was hanging a little. So, in retrospect, here's the end of my experience in Niger.
As a tourist, I was a failure in Niger. I went to the Grand Mosque (with headscarf ready) but it was locked up and the guy with the key was nowhere to be found. Soumana and I went to the Niger Museum on Friday (supposed to be one of the best in West Africa) but, of course, it was closed on the holy day. (Soumana was, apparently, not paying that much attention to prayers last week.)
Instead we had cokes and talked about being 40 and never married, how it's unusual in both our societies and what kind of people give us grief over it. (Soumana suggests that I'm not married because I can't cook and I suggest he's not married because he's rude.)
On Thursday night I was invited to Madam Traore's for dinner which was a really nice dinner with enough food for about 25 people (there were five of us). I now know about 10 French words and Madam Traore knows about 20 English words so the conversation was light. I told her mangos from really hot climates are much better than the ones from hot houses and so on Friday she brought me a bag to take home. They made it to JFK where the customs agents took them from me (and ate them, no doubt).
The business aspect of my trip was considerably more successful. On Friday I went to the other big hospital in Niamey that is part of the University. Two urologists perform fistula repairs and train gynecologists to do the surgery. I met with the senior surgeon, Dr. Sanda who, like Dr. Abdulai at the National Hospital, seems very dedicated and is very good with the patients.
I found the work being done to address fistula in Niger to be really impressive. This is one of those cases where the reality seems to match the claims. Definately, UNFPA is dedicated to addressing fistula in Niger and definately Madam Traore makes a difference.
At dinner before I left for the airport I asked Ghaichatou why she personally thought Madam Traore was worthy of internatinal recognition and she said because she really views the prevention and treatment of fistula as part of the human rights that women deserve generally. She said Madam Traore doesn't wait for money, she just does the work and if she gets more money, she does more work. Finally, she said, Madam Traore is the only woman in the country that can go to the National Assembly lecture the politicians about the treatment of women.

Thursday, July 5, 2007

Everybody who speaks English asks if I'm married

I've been on this computer a few times today without managing to get a connection so if you're reading this it means the power didn't go out and I didn't give up for the night.
The staff here have been really patient with my lack of French but they're very young and we have conversations like this:
Me: I need to send an email and the computer isn't working and I don't know what the error message says.Nice Hotel Staffer: Why not?Me: Because it's in French. NHS: Oh, right.Me: That's ok, I can call. Does the paper in my room say that the room phones don't work?NHS: No, you can call.Me: From my room?NHS: No, not from the room. The room hones don't work.
Ghaichatou: Is Deni Robey in the hotel?NHS: Yes, she's here. Ghai: Can you call her room?NHS: She is not answering, she's probably coming. Ghai: Are you sure she didn't leave for the Grand Hotel?NHS: Ah, yes, she took a taxi.
Eight years ago Friday (July 6th) I watched my nephew, Charlie, come into the world. He's been on my mind because this is the first year that I won't be with him on his birthday but he's also my only experience with childbirth. And I'm sure I don't have to go through the litany of differences between my step-sister's delivery and that of most of the women I've met here. I'll just say this one thing because it's pretty interesting. West African women are expected to give birth without crying or screaming. Literally, they are supposed to "suffer in silence." That's a cultural thing, not a poverty thing. (Imagine a whole country of Tom Cruises.)
I'm here to see women's health programs but education comes up again and again. School is free here (through university) though students have to buy their uniforms and pay small fees that are not exactly tuition. But very few children are in school. The Nigeriens I meet keep telling me that the country won't get any better until the kids go to school.
On Monday as we were leaving the Dimol offices a very young girl was waiting outside with her husband. She gave birth two weeks ago and has been leeking urine ever since. Madame Traore was telling her that she could go to the Dimol Center and that they would help arrange the repair surgery. Then, a little like there was an audience, she loudly praised her husband for coming with her and ranted a little about how most husbands don't care. Then the husband told Madam Traore that he had gone to university with her son and, even louder, she went into a small tirade about how the educated men are the good ones and that if more men went to school we wouldn't have so many problems.
(By the way, I asked Madam Traore if she went to the university in Niamey and she laughed and said she only finished secondary school but she just kept working her way up. Three of Madam Traore's children went into medicine - one son is a gynecologist and the Assistant Director of Dimol.)
Niger is a hard place. It's hard for me to explain but the landscape is so bleak, it makes you feel that bleak is all it's ever going to be here. BUT, the Nigerien health workers and teachers and businessmen aren't flocking out of the country. This is definately one of those cases where the work is already happening - just on less than a shoestring.
Back to fistula. And by the way, after four days I realize that I'm not necessarily getting the facts straight - either because these are casual conversations I'm having or because of the language issues or whatever. For example, there are five doctors who do fistula repair in Niamey - but not all at the National Hospital. So, if you're really interested in this stuff, check out the rest of the website or email me if you can't find what you're looking for.
UNFPA donates the equivalent of $100 to the hospitals for each fistula patient who undergos surgery (the government is supposed to provide additional money but I'm not clear whether it does or not). And UNFPA funds Dimol's reintegration strategy - which includes the cost of each patient's recovery at the Dimol Center, the gas to drive her home and the $100 she gets to start an "income-generating activity."
Another UNFPA-funded intiative is the the contraceptive program at the Reproductive Health Center - which is a large, very nice but underfunded clinic in Niamey. The clinic is a project of the Ministry of Health and offers prenatal care, basic gynecology and contraception. The staff seems large, there are supplies and even a sonogram machine but the equipment is old and the written materials haven't been reprinted since the clinic opened in 1984.
(The midwives I've met are all like Madam Traore. They're smart and dedicated and they mean business. I guess years of helping women push babies out and they tell it like it is and don't care who you are. Madam Traore told me tonight that she doesn't want to retire until the Dimol Center has surgical capabilities but she said that she's tired from the stress of 40 years of delivery and the constant stress about the woman and the baby.)
Apparently, USAID funded a lot of family planning in Niger until they closed that particular program in 1998. There was a break in service while the Ministry and other NGOs tried to fill the void but, according to the midwife who showed me around, the use of contraception never returned to rate it had been. But UNFPA funds the women who do come.
The fistula trifectorate: prevention, treatment, reintegration.
I got to sit-in on a weekly group counselling session with the fistula patients at the National Hospital. Women with fistula who make their way to a hospital generally camp out in one of the courtyards until they get surgery (and there are always the stories of women who live in the courtyard for years). At one point, the fistula program at the National Hospital stopped but the women didn't leave. So they had to find a way to start it again.
Dr. Abdulai runs it now and it addition to being really dedicated, he's hilarious. In addition to talking to them about their own worth, he makes them laugh frequently. (I started to explain a couple of times when he had the whole room laughing but it sounded maudlin in the telling. Women who constantly leak urine have a different outlook on life.)
Every 15 minutes or so the computer screen is taken over by scantily clad women and I just don't want to know what the ad is for. The owner of the hotel introduced himself to me in the dining room and asked if everything was ok and I felt like saying, if you could just change the ads so they're for Dimol or the Reproductive Clinic or the Youth Center that would be great. But tonight I'm taking it as my que to turn off the computer.