Tuesday, March 5, 2013

finally an update from the Swaz


I sincerely apologize for completely falling off the map blog-wise.  A lot has happened in the past three months and I will do by best to give a somewhat succinct overview of what has been going on down here in the Swaz.  December was filled with some form of social gathering nearly every weekend…a week of in-service training, poolside birthday parties at the country club in a community where one volunteer stays (this is not characteristic of most communities…), Christmas at a hostel with about 15 other volunteers, Christmas day hike through the beautiful mountains around Swaziland’s capital, and most importantly, New Years in Durban, a beach town in South Africa.  The few days I was at site in December were spent decorating Christmas cookies with the neighborhood girls and I quickly discovered that eating frosting straight from the tube is a universal pleasure.  December was a great opportunity to get to know the other volunteers on a deeper level.  I am continuously impressed with the passionate individuals that compose our group of volunteers, each bringing their own unique past and talents to the group.  Not to mention the fact that they are just plain fun to be around.  On multiple occasions I had to pinch myself, thinking, “Am I really a Peace Corps Volunteer?  Because this feels like a giant vacation…”  In the back of my mind I did feel a slight pang of guilt at having so much fun in the midst of a country filled with so much pain and suffering, but I this is a struggle that I deal with constantly and am gradually learning to cope with.  December was a season for enjoying the company of friends and we are now working to discover our roles as volunteers. 
As the holiday festivities came to an end, I feared reentry into life in the community.  During our integration period, we were discouraged from starting projects, yet January marked the beginning of the reality of my service.  I spent about a week thinking, “Hmm…now what?”  For a large part of January, I spent approximately seventy percent of my time lying flat on my back on the concrete floor in my hut in an attempt to somewhat escape the extreme heat of the Swazi summer.  The remaining time was spent sitting in a basin of cool water (which my body heat promptly warmed) or turning my hut into a bikhram yoga studio.  As miserable as it was to be continuously sweating from 6 am until 3 am, the down time allowed for an abundance of time to think through how best to address the needs of the community.  How clearly I thought through some of these ideas, it is hard to say, because for some reason I decided that the hosting a community-wide health fair would be an easy first project.  Why I couldn’t have simply started with toting around my awkward black penis model and doing condom demonstrations around the community, I don’t know.  But, in a state of heat-induced delirium, I decided to tackle the monster of coordinating a community-wide event.  The inner council had come to my counterpart requesting that we arrange for a mobile health clinic to come to the community to test for HIV.  We decided to roll with the idea and turn it into a larger event, inviting nurses from the Ministry of Health to come educate about and test for diabetes and hypertension, which are developing into larger health concerns in the community as community members are consuming diets high in starch and sodium.  We also invited several local NGOs that are currently working in the community, as well as a local HIV positive mother to teach about the importance of Preventing Mother to Child Transmission of HIV/AIDS (PMTCT) and the PMTCT services available at the local clinic.  I spent the majority of late January through mid February running around Swaziland, travelling to various towns to meet with NGOs and region health directors to coordinate the details of the event.  Peace Corps staff was extremely helpful in referring me to the right people and I am continually impressed with how small Swaziland really is and what a tight network exists here.  This made the coordinating aspect relatively easy as each person I talked to knew exactly who to refer me to.  While the coordination with local NGOs and government health officials went relatively smoothly, getting the community on board to host this event was a bit more complicated.  It was certainly a learning process figuring out how to navigate cultural differences and follow the local protocol for respecting community elders.  Additionally, we had to apply for a grant to get funding to supply food for the event, which is pretty much the only way to guarantee attendance.  However, in order to receive funding, the community needs to contribute at least 25% of the requested funding.  In the case of this event, this contribution was large in-kind (i.e. finding women to volunteer to cook, arranging for the support group to clean the area, identifying a volunteer to drive to town to pick up the food, etc.).  This provided a whole new level of complications, organizing these contributions and then quantifying them, yet as the community came to realize the importance of the event, things slowly fell into place.   Over time, my counterpart and several of the members of the HIV support group really took control and it was encouraging to see them taking the lead to coordinate the logistics of cooking, firewood collection, cleaning of the land, etc.  I am learning to be patient and realizing that things that could easily be organized throughout the course of a week in the US will probably take about five times as long to coordinate here.  While I probably didn’t respond as calmly and rationally to the initial setbacks as I probably could have, I am discovering the importance of flexibility and learning to anticipate unexpected complications.  Hopefully, I will remember these lessons learned as I approach my next project, although sometimes no amount of mental preparation can ease the frustration of these unforeseen barriers.  The Peace Corps motto is: the toughest job you’ll ever love.  As I begin the core of my work in the community I am finding this to be increasingly true.  As of now, all is in place for the Health Fair to go smoothly this Saturday.  Do I expect some sort of minor disaster within the next five days?  Probably.  I’m hoping in the end, the event will at least provide community members with a chance to learn something about their bodies and health that they wouldn’t have otherwise had the opportunity to hear.  If nothing else, they will get a free meal, which in the eyes of everyone qualifies the day as a success.  It’s all about embracing the smaller victories here.