Showing posts with label HIV. Show all posts
Showing posts with label HIV. Show all posts

December 12, 2014

Celebrations

In the past two weeks I have celebrated five big events: Thanksgiving, a school concert, the graduation of my Me Toca a Mi class, Día de Santa Barbara, and the inauguration of my community's library. Miraculously all the events were big successes and I only fell asleep during one ceremony. Here is the run down:

Practicing yoga with my neighbors
Every year volunteers organize a big dinner in the capital so we can celebrate Thanksgiving together. The holidays are a tough time to be away from home, but a pool party followed by a delicious American dinner certainly helps numb the pain. I woke up early on Thanksgiving day to participate in a  5k run with other volunteers. I finished the race in 25:36 - blowing by my goal of 30 minutes. I think I could have gotten below 25 minutes but I wanted to save my energy for the rest of the day's festivities. Side note: I started to prepare for the 5k in September, I had never consistently exercised in my community before then, and the experience has been a positive one. Word has spread that I do yoga, and many women have requested that I start a class, and their wishes will come true in January. I occasionally even have kids come by the house and exercise with me.


The rest of Thanksgiving was a blast, there are only a few opportunities a year for us volunteers to get together in big groups. Most of the time it is too difficult for everyone to get together due to our work and the distances between our communities. One of my friends, Conner, who I talk to on the phone weekly, I had not seen in eight months. Unsurprisingly I stayed up late talking with friends until 5am. But by 12pm I was back on a bus to my community so that I could make it on time to the next celebration.

My host sister (left) and another student singing
When I arrived back home I had just enough time to eat before I headed off with my host family to a school concert. The purpose of the concert was twofold: to promote student creativity and to fundraise money for the 8th grade's graduation. The event was held in a church and the place was packed, with many people staring in through the windows. The concert consisted of a variety of singing and dancing performances. I was bursting with pride throughout the concert as my students took the stage but I couldn't compete with my host mom who was screaming and yelling every time my host sister performed. Afterwards my host mom said, "The doctor says that I am not supposed to jump around and get excited because of my high blood pressure but oh my God - Emely!" And then she proceeded to jump around some more in the middle of the street.

The following day 19 students between the ages of 5 and 17 graduated from the Peace Corps Me Toca a Mi course. As I have previously mentioned, the course uses a novela (soap opera) with Dominican actors to talk about a variety of issues that affect the youth in the D.R. including: HIV/AIDs, drinking, education, family relationships, homosexuality, discrimination etc.  After each episode of the novela we played games and held discussions that addressed the episodes themes. Sometimes conversations were heated, but some minds were changed and perspectives widened.

The 19 Me Toca a Mi Graduates
Prior to the graduation the class hand wrote invitations and gave them to their parents. Unfortunately, only two parents attended the event. This wasn't surprising because sadly, parents do not tend to participate in school and extracurricular events when invited (the school concert was out of the norm). It was shame the parents didn't show because the class held a fantastic talent show which mixed dancing, singing, jokes, and skits. Kids here, just like all over the world, love showing off what they can do, I know they were disappointed their parents were not there to see them shine. Next time I am going to harass the parents house by house. Although parents didn't show, their were at least 30 siblings and friends present to cheer on the graduates.

Patronales celebrations, a week long event celebrating the patron saint of a community, began the same day as the Me Toca a Mi graduation. In the D.R. most patronales have turned into a week of night concerts. I was too tired to go into town for the headliner event, El Alpha, previously highlighted in my music post. But I did make it to the church service honoring Samaná's patron saint, Saint Barbara. My host mom and I arrived at church at 7:30am in order to ensure we got good seats. We thought the service would start at 8am but in typical Dominican fashion it started at 9:30am. While we waited in the pews I fell asleep. I have no regrets. I needed that nap to get through the rest of the service which included: first communion, confirmation, a speech from the bishop about abortion (a topic heating up in the D.R.), a speech from the priest about how the patronales partying has gotten out of hand (it kinda has), communion, and a processional around town with a statue of Saint Barbara.

Finally, on Saturday, the day my entire community has been waiting 3 years to arrive, we inaugurated the Ernestina Hidalgo Community Library. The event was so big that it has its own post.

All the celebrations over the past few weeks have left me in high spirits. I feel so lucky and blessed to be living the life I have now, which is a big change from this time last year. Last december I was counting down the days until my family's arrival and couldn't wait to get out of my community. Now I feel like I don't have enough time before I leave for a vacation in the States. So to all my volunteer friends sick with the holiday blues and/or the one-year slump, remember you will get through it! And to everyone back home, I am super looking forward to seeing you all, but I know this time there will be people in the D.R. I will miss while I am gone.

October 24, 2014

Health Care in the D.R.

Presentation at a rural clinic on dental care
An essential part of serving as a Peace Corps Volunteer is living with and like the locals. This means cooking with local foods (Examples: yucca, plantains,and auyama), taking part in community events (Examples: church celebrations, dominoes, and chair sitting), and getting used to not having certain amenities (Examples: running water, 24/7 electricity, and Krispy Creme). However, there are other aspects of life which Peace Corps Volunteers will never be able to truly integrate, such as how we take care of our health.

The disparity in the quality of health care I receive versus my neighbors has made me uncomfortable a times. As a volunteer I have access to three doctors, one of whom is always on-call, as well as free medicine and treatment. I never have to worry about the cost of a procedure, if I need it Peace Corps will pay. I probably have the best health care plan of my life right now. My neighbors are at the other end of the spectrum.

Preventive health care is essentially non-existant in my rural community. I do not know of anyone who goes to the doctor and dentist for yearly check-ups. There are no school nurses or yearly eye exams for students. It all costs too much. Aside from brushing ones teeth and eating a balanced diet not much else is done until someone gets sick (And many people do not brush their teeth and eat healthy).

When someone gets sick the first thing people do is wait to see if it gets worse. Have a toothache? Wait until you can't eat. It costs three times as much to get a filling as it does to get a tooth pulled (A cleaning can cost even more). Vision problems? Stand close to the chalkboard. I don't know of any kids of the 300+ I have worked with who wear glasses. When the Chikungunya virus was spreading around the country like crazy, no one went to see the doctor until the pain from their joints made it difficult for them to walk, and even then most of my neighbors didn't see a doctor. Again, seeing a doctor is expensive. Just going to and from town can be expensive for many Dominicans.

Probably in part because of the inaccessibility of doctors, most medicine can be bought without a doctor's prescription (including Prosaic and Viagra - the latter I have seen handed out to men at a bar in the capital). However, rural Dominicans often prefer local plant remedies. Tea made from the leaves of a cotton tree are said to be great for anemics. Alcohol is often also used as a substitute for pain medicine. It is not uncommon for teenage girls with menstrual cramps to take a couple swigs of Mama Juana, a rum-wine-plant root beverage.

When an illness or injury does become very serious Dominicans will go to the hospital, but the results are not always the best. As I mentioned a few weeks ago, sometimes the doctor needed will not be at the hospital and patients end up waiting hours to receive treatment. Once a patient has been admitted to the hospital they typically have to share a room with six to eight other individuals. There are no special wards for different types of injuries just one for men and another for women and children. There are better hospitals located in the capital - you know someone is really sick when they are sent to the capital.

Side note about babies: Due to the unavailability of doctors when it is time to give birth Dominicans with some money prefer to schedule caesarians instead of giving birth naturally, to ensure the doctor will be present for the entire birth. Also, many women go home with their babies the same day they are born, via motorcycles. There are not enough beds for women to stay more than one day, and there are no laws here saying you need a car-seat before you can leave the hospital. Would it even be possible to make one for a motorcycle?)

A lot of improvements are needed in the Dominican health care system. Thankfully, things are slowly headed in the right direction. All medical centers offer free HIV/AIDs testing, and many offer free birth control. This year many hospitals, including the two major hospitals on the Samaná peninsula, are being expanded and remodeled to provide more services and treat more patients. Also this year a national 9-1-1 system was launched. As its next step I would like to see the government begin to provide more health care services at schools. Ensuring kids know how to take care of their personal health from a young age will go a long way to ensuring healthy generations to come.

***
Library Update: The library now has a cement floor! We plan to install the floor tiles and paint over the next two weeks. Tentative inauguration date for the end of November. - It is time to start planning the celebration party!


Now it's time to make it look pretty!

May 9, 2014

Let's Talk About Sex


Making Condom Balloons
It has been said that you are not a true Peace Corps Volunteer until you have shown your neighbors how to properly use a condom. When I heard that I thought, “Psh, I am going to be working with small children, no way will I end up doing a condom demonstration.” Then last week I held a Fiesta de Cóndones (Condom Party) at my house with over 30 kids screaming, “I want a condom!” Kids as young as 10 made condom balloons, played games to learn about the risks posed by HIV/AIDS, reviewed how to use a condom, and, of course, practiced putting on condoms with the help of some plantains, a carrot, and a wooden phallus I was given by Peace Corps for just such an occasion.
Interviewing President Condom

Many readers back home are probably shocked at the notion of 10 year-olds practicing putting a condom on a vegetable, but I have received no complaints from parents about the event. Why? Because parents here know how important it is for their kids to receive good sex education. Sadly, the D.R. has the highest rate of pre-teen pregnancy (kids 12 years-old and under). News stories about pregnant 9 year-olds are not uncommon. HIV/AIDS is also a big problem in the country. HIV/AIDS is the number one killer of women age 15 to 24 years old.

I don’t want to see any of my young neighbors become pregnant when they themselves are still children. Nor do I want to attend any of their funerals. I will never know how my sex talk impacted all of my students. But I hope it will help them to resist peer pressure, and instead make informed decisions about their sexual lives.