Wednesday, October 28, 2009
Talent Show Extravaganza!
To finish the year on a high note, Kate, Mary and I organized a student talent show for one of the final nights of school. While many of the students are experienced at performing Rwandan traditional dance, poetry and drama in front of their fellow students at school entertainment nights, community events, and even regional competitions, these events tend to be in Kinyarwanda. This 1st annual school talent show was a great opportunity for students to demonstrate their abilities uniquely in English.
This three hour event was emceed by two very brave and adept girls from Senior 2, and DJ’d by another Senior 2 student - with a little technical assistance by me and my endless supply of pop music. Our show opened with traditional Rwandan dancing, followed by original poetry, multiple solos and duets of pop and gospel music. There were two skits, the first of which was particularly memorable because it featured a story line that’s recurred in most of the Kinyarwanda skits I’ve seen our students perform on campus in the past. The premise can be likened to Usher’s song “Same Girl” (which was also in the talent show), except reversed: a guy meets a girl and tries to charm his way to her heart, but it turns out that this guy is already dating someone else…who is (surprise!) the best friend of the other girl. While the story line is a little unoriginal, it’s really cute to see our students take on these exaggerated personas (the timid, pretty girl, the swaggering alpha male, the jealous best friend) in a reverse-Shakespeare set-up, with girls acting as boys and girls. It also lends itself to a really important message for all of our young, impressionable students, especially just before two months of holiday: to watch out for men with ulterior motives (in other words, players and sugar daddies).
Although most of our students come from families of limited means, with a little organization and clothes sharing they presented a first class fashion show, featuring three groups (two groups of girls and one of “boys”) and a couples (girl/”boy”) group. I will do my best to post pictures and video clips in the coming weeks so that you can see some of the styles, but until then I must say that watching our students strut down the runway cheered on by their friends was just another reminder of how confident, poised and full of personality they are. The music that we picked for each group was also such a fun component of the fashion show: Jordin Sparks’ “One Step at a Time,” Miley Cyrus’ “Party in the USA,” Justin Timberlake’s “Girlfriend” (for the “boys”) and Jessica Simpson’s “I Think I’m in Love” (for the “couples”).
Eight of the students performed a stellar Bollywood-inspired Indian dance, complete with male-female couples, saris, bangle bracelets, Indian dress sarongs, candles and wedding confetti. There was also a modern dance troupe who danced to Shaggy’s “Church Heathen” and Kat DeLuca’s “Run the Show” and, when all was said and done, the American teachers had prepared a little something as well. In honor of the late, great Michael Jackson, Kate, Mary and I formed what we called the Sisterhood of the Traveling Dance and choreographed and performed a dance to the 1993 song, “Will You Be There” - theme from the movie Free Willy, which we had sneakily shown the students on movie night a few days prior. Not only did we incorporate MJ, Britney Spears, Soulja Boy and Korean dance troupe moves, but we also dressed to impress, wearing all black plus differed colored top hats, black and white striped loose fitting ties, and, of course, the signature white glove. Our dance was by no means polished, but it ended with thunderous rounds of applause and 120 smiling Rwandese girls. When all was said and done, the talent show was a successful, celebratory night, a fitting way to end an unforgettable year.
Tuesday, October 27, 2009
Discussions among Community Leaders
At the beginning of this term, the final one of the academic year, the adult students of my English class at the district requested that we engage in group discussion three mornings/week to improve their speaking and presentation skills in English. This entire year has been an extraordinary learning experience for me, but facilitating discussions with these community leaders was an especially fulfilling way for me to gain a better understanding of this country, its history and its people.
While all of the students had some English language experience prior to this class, I am extremely impressed with the progress they have made in ten months’ time, particularly in speaking. I have listed this term’s discussion topics and key questions below:
Political Issues:
1) September 11th, 2009: 8 years ago today the US was attacked in two major cities by Islamic fundamentalist terrorists connected to the Al Qaeda network, resulting in the death of thousands.
Do you think the world is more or less safe since the attacks?
Do you think the US or another major superpower (UK, France, Russia, China, etc) will be subject to a major terrorist attack in the next 10-15 years? (Consider all possible scenarios)
2) Major Religions: Consider the similarities and differences between Christianity and Islam.
Do you think these two religions are inherently opposed to each other? If so, how? How can Islamic nations like Iran and Saudi Arabia maintain diplomatic relations with western countries that were founded in Christian values?
Related discussion topics: -Sharia law versus democratic governance systems, women’s roles in each religion/religious denomination, extremist groups in each religion, both current and historic (Christian fundamentalists, Al Qaeda , the KKK), the notion of jihad and any Christian parallels (the Crusades are one example)
3) Israel-Palestine: Regarding the Israeli-Palestinian conflict: which countries support which sides and why?
Which side do you support and why?
Consider the history of the Jewish population, and the notion of a homeland. Are there parallels to Rwanda’s history, present state or even future with respect to the Diaspora?
Social Issues:
4) Population: Rwanda is Africa’s most densely populated country, with a growth rate of 2.76%, among the highest in Africa. Women in Rwanda produce an average of 5.5 children per family. Is it necessary for Rwanda to control its population growth, due to a lack of available resources? Why or why not?
Should the government intervene in familial affairs by promoting contraception, family planning, the education of girls or by enforcing strict mandates?
What have other underdeveloped countries (China, India, Iran) done to control their population growth?
What is the influence of the Roman Catholic Church on Rwandan politics and individual families?
5) Marriage: What are the traditions and customs surrounding marriage in Rwanda, in the past and present?
How long is the courtship period and what does it entail?
What is the function of the dowry?
What roles do respective family members play before the wedding and during the ceremony?
How do these practices differ from practices in the United States?
6) What do you think of arranged marriage?
Should families play a substantial or even direct role in the choosing of a spouse? How does family influence marriage arrangements in Rwanda and in other countries like India, Afghanistan, China and the United States?
7) In Rwandan culture, is it normal and expected that everyone (save religious figures) be married?
What do you think of divorce? In which cases is it socially/morally acceptable, if ever?
What is love – an emotion or a commitment?
What do you think of polygamy?
What do you think of gay marriage/relationships?
8) Gender: Is it necessary for women to have leadership positions in Rwandan society?
If so, how can we encourage women to pursue professional careers in the government and as doctors, journalists, engineers, etc?
How do working women in Rwanda and in the United States balance their career and their family?
Is there still a prevailing belief in Rwandan culture that women should maintain traditional roles at home?
How can the government support female professionals and families at the same time?
Regional/Economic Issues:
9) Integration: What do you think of political/economic integration into the East African Community?
What are the positive and negative aspects of integration?
What do you think of adopting a common currency with other community members (Burundi, Tanzania, Kenya, Uganda)?
How have other countries that are part of a supranational community, such as EU member-states, benefited and/or sacrificed aspects of sovereignty in joining?
10) What are the fears of integration?
What must happen in each country and collectively for integration to be successful? What role does the English language play?
If you had the opportunity, would you be willing to move to another country in East Africa for work?
11) National Interest: How can Rwanda improve itself economically, politically, and socially?
12) Culture Shock: Integration into a community like the EAC usually brings with it an increased movement of people between countries to pursue jobs and opportunities that may not be available in their home country. If you were offered a better job in another country, would you take it? Why or why not?
If you left Rwanda and settled in another country, either within the EAC or anywhere else in the world, which aspects of your life might be different, and how?
While all of the students had some English language experience prior to this class, I am extremely impressed with the progress they have made in ten months’ time, particularly in speaking. I have listed this term’s discussion topics and key questions below:
Political Issues:
1) September 11th, 2009: 8 years ago today the US was attacked in two major cities by Islamic fundamentalist terrorists connected to the Al Qaeda network, resulting in the death of thousands.
Do you think the world is more or less safe since the attacks?
Do you think the US or another major superpower (UK, France, Russia, China, etc) will be subject to a major terrorist attack in the next 10-15 years? (Consider all possible scenarios)
2) Major Religions: Consider the similarities and differences between Christianity and Islam.
Do you think these two religions are inherently opposed to each other? If so, how? How can Islamic nations like Iran and Saudi Arabia maintain diplomatic relations with western countries that were founded in Christian values?
Related discussion topics: -Sharia law versus democratic governance systems, women’s roles in each religion/religious denomination, extremist groups in each religion, both current and historic (Christian fundamentalists, Al Qaeda , the KKK), the notion of jihad and any Christian parallels (the Crusades are one example)
3) Israel-Palestine: Regarding the Israeli-Palestinian conflict: which countries support which sides and why?
Which side do you support and why?
Consider the history of the Jewish population, and the notion of a homeland. Are there parallels to Rwanda’s history, present state or even future with respect to the Diaspora?
Social Issues:
4) Population: Rwanda is Africa’s most densely populated country, with a growth rate of 2.76%, among the highest in Africa. Women in Rwanda produce an average of 5.5 children per family. Is it necessary for Rwanda to control its population growth, due to a lack of available resources? Why or why not?
Should the government intervene in familial affairs by promoting contraception, family planning, the education of girls or by enforcing strict mandates?
What have other underdeveloped countries (China, India, Iran) done to control their population growth?
What is the influence of the Roman Catholic Church on Rwandan politics and individual families?
5) Marriage: What are the traditions and customs surrounding marriage in Rwanda, in the past and present?
How long is the courtship period and what does it entail?
What is the function of the dowry?
What roles do respective family members play before the wedding and during the ceremony?
How do these practices differ from practices in the United States?
6) What do you think of arranged marriage?
Should families play a substantial or even direct role in the choosing of a spouse? How does family influence marriage arrangements in Rwanda and in other countries like India, Afghanistan, China and the United States?
7) In Rwandan culture, is it normal and expected that everyone (save religious figures) be married?
What do you think of divorce? In which cases is it socially/morally acceptable, if ever?
What is love – an emotion or a commitment?
What do you think of polygamy?
What do you think of gay marriage/relationships?
8) Gender: Is it necessary for women to have leadership positions in Rwandan society?
If so, how can we encourage women to pursue professional careers in the government and as doctors, journalists, engineers, etc?
How do working women in Rwanda and in the United States balance their career and their family?
Is there still a prevailing belief in Rwandan culture that women should maintain traditional roles at home?
How can the government support female professionals and families at the same time?
Regional/Economic Issues:
9) Integration: What do you think of political/economic integration into the East African Community?
What are the positive and negative aspects of integration?
What do you think of adopting a common currency with other community members (Burundi, Tanzania, Kenya, Uganda)?
How have other countries that are part of a supranational community, such as EU member-states, benefited and/or sacrificed aspects of sovereignty in joining?
10) What are the fears of integration?
What must happen in each country and collectively for integration to be successful? What role does the English language play?
If you had the opportunity, would you be willing to move to another country in East Africa for work?
11) National Interest: How can Rwanda improve itself economically, politically, and socially?
12) Culture Shock: Integration into a community like the EAC usually brings with it an increased movement of people between countries to pursue jobs and opportunities that may not be available in their home country. If you were offered a better job in another country, would you take it? Why or why not?
If you left Rwanda and settled in another country, either within the EAC or anywhere else in the world, which aspects of your life might be different, and how?
Tuesday, September 15, 2009
Nutrition and Malnutrition in Rwanda
Since returning from my travels in July, I have been volunteering three mornings/week at the Bugesera District Hospital and Health Centers through The Access Project, an organization affiliated with Columbia University whose mission is to improve the management and infrastructure of health centers in Rwanda and other developing countries. One of the projects I have been assisting is the opening of a health center located in the village of Gashora, which is to serve as a model for the 11 existing health centers in Bugesera. Most of the work necessary for opening this health center has been or will be carried out by the district health advisor, Rwandan Ministry of Health and district officials as well as other Access personnel, but one of my responsibilities in this project has been to liaise with leadership at the district health center as well as health-centered NGOs operating in Bugesera to assess the district’s needs with respect to nutrition. The Gashora Health Center and Access will then use this information to create a first-rate nutrition treatment program at this health center and improve the existing programs within Bugesera.
It may come as no surprise that malnutrition in Rwanda is dire. According to the World Food Programme, one third of Rwanda’s total population suffers from malnutrition. The situation is even worse among children, over 40% of whom suffer from chronic malnutrition and 56% of whom are anemic. The country’s global hunger index, which combines data on child malnutrition, child mortality and caloric deficiency, is categorized as alarming. Sometimes I joke about how horrible the food is in this country, but in a way it makes sense when you consider how many people eat what is available, often 1 meal/day, for the sole purpose of survival. Among most households in Rwanda – 28% of which are food insecure - spending more time than necessary in preparing one of the few staple foods available in this country (rice, beans and starchy banana) with a special spice or flavor is uncommon due to lack of time and resources. And in this most densely populated country in Africa, ninety percent of the population relies on subsistence farming for survival.
What can be done to combat malnutrition? At the most basic level, it is important that community health centers and health workers identify and target at-risk populations for education, prevention and intervention when necessary. Pregnant women and young children are especially vulnerable to malnutrition due to their needs for additional energy and nutrients in order to maintain healthy growth. People who are HIV+ are also at a special risk, since malnutrition will weaken the immune system and worsen the symptoms of the virus. Throughout Rwanda, community health centers like those in Bugesera are strongly encouraged by the Ministry of Health to run regular kitchen garden demonstrations for local residents. In these demonstrations, the nutritionist and community health workers show how to best use and maintain even a small plot of land, how/why to cultivate vegetables like carrots, tomatoes and green beans, rich in vitamins and nutrients that are essential to healthy cell growth, and where to go for help when a family member or neighbor is suffering from malnutrition. In addition to providing food aid, agencies such as the UN World Food Programme, World Health Organization and Gardens for Health support projects that connect rural farmers to markets within Rwanda and abroad. And organizations like Project Healthy Children contribute to ending malnutrition by advocating governments to mandate that foods, even those produced locally, be fortified with nutrients such as Vitamin A, iron, zinc. Other nutrition and child health agencies that operate in Bugesera include The Elizabeth Glaser Pediatric AIDS Foundation, The Imbuto Foundation and The Global Fund. Links to each of these organizations are posted on the right.
Above photo source: Médecins Sans Frontières, www.msf.org.uk
References: Health Indicators, Republic of Rwanda Minsitry of Health. http://www.moh.gov.rw/index.php?option=com_content&view=category&layout=blog&id=27&Itemid=27
Rwanda, World Food Programme. http://www.wfp.org/countries/rwanda
Malnutrition and Rwanda, Gardens for Health. http://www.gardensforhealth.org/malnutrition.php#footnote
Anyango, Gloria. “Rwanda: Kitchen Gardens Eradicate Malnutrition.” The New Times (via All Africa.com), 30 September 2009. http://allafrica.com/stories/200809300068.html
“Rwandan Children Suffering from Malnutrition, Claims Health Official.” VSO News, 22 May 2009. http://www.vso.org.uk/news/19182659/rwandan-children-suffering-from-malnutrition-claims-health-official
It may come as no surprise that malnutrition in Rwanda is dire. According to the World Food Programme, one third of Rwanda’s total population suffers from malnutrition. The situation is even worse among children, over 40% of whom suffer from chronic malnutrition and 56% of whom are anemic. The country’s global hunger index, which combines data on child malnutrition, child mortality and caloric deficiency, is categorized as alarming. Sometimes I joke about how horrible the food is in this country, but in a way it makes sense when you consider how many people eat what is available, often 1 meal/day, for the sole purpose of survival. Among most households in Rwanda – 28% of which are food insecure - spending more time than necessary in preparing one of the few staple foods available in this country (rice, beans and starchy banana) with a special spice or flavor is uncommon due to lack of time and resources. And in this most densely populated country in Africa, ninety percent of the population relies on subsistence farming for survival.
What can be done to combat malnutrition? At the most basic level, it is important that community health centers and health workers identify and target at-risk populations for education, prevention and intervention when necessary. Pregnant women and young children are especially vulnerable to malnutrition due to their needs for additional energy and nutrients in order to maintain healthy growth. People who are HIV+ are also at a special risk, since malnutrition will weaken the immune system and worsen the symptoms of the virus. Throughout Rwanda, community health centers like those in Bugesera are strongly encouraged by the Ministry of Health to run regular kitchen garden demonstrations for local residents. In these demonstrations, the nutritionist and community health workers show how to best use and maintain even a small plot of land, how/why to cultivate vegetables like carrots, tomatoes and green beans, rich in vitamins and nutrients that are essential to healthy cell growth, and where to go for help when a family member or neighbor is suffering from malnutrition. In addition to providing food aid, agencies such as the UN World Food Programme, World Health Organization and Gardens for Health support projects that connect rural farmers to markets within Rwanda and abroad. And organizations like Project Healthy Children contribute to ending malnutrition by advocating governments to mandate that foods, even those produced locally, be fortified with nutrients such as Vitamin A, iron, zinc. Other nutrition and child health agencies that operate in Bugesera include The Elizabeth Glaser Pediatric AIDS Foundation, The Imbuto Foundation and The Global Fund. Links to each of these organizations are posted on the right.
Above photo source: Médecins Sans Frontières, www.msf.org.uk
References: Health Indicators, Republic of Rwanda Minsitry of Health. http://www.moh.gov.rw/index.php?option=com_content&view=category&layout=blog&id=27&Itemid=27
Rwanda, World Food Programme. http://www.wfp.org/countries/rwanda
Malnutrition and Rwanda, Gardens for Health. http://www.gardensforhealth.org/malnutrition.php#footnote
Anyango, Gloria. “Rwanda: Kitchen Gardens Eradicate Malnutrition.” The New Times (via All Africa.com), 30 September 2009. http://allafrica.com/stories/200809300068.html
“Rwandan Children Suffering from Malnutrition, Claims Health Official.” VSO News, 22 May 2009. http://www.vso.org.uk/news/19182659/rwandan-children-suffering-from-malnutrition-claims-health-official
Sunday, August 9, 2009
Summit of a Lifetime
This past month I spent the three weeks of school vacation with my housemate, Kate, and her good friend Suzanne visiting Tanzania. Our long-anticipated trip was comprised of two equally exciting adventures – a week of climbing Africa’s highest mountain, Kilimanjaro, followed by a week a exploring the island of Zanzibar. We also spent a few days with friends in Moshi Town, located at the base of the mountain, and a few days in transit between Moshi and Zanzibar, via Dar es Salaam. It’s difficult to know how to begin this story, because it was such a phenomenal experience, and there is just so much to say about it! I will do my best to hone in on the most salient aspects of our journey in the words that follow.
What you should know from the start is that my ascent to the summit of Kilimanjaro, 5895 meters, or 19,340 feet above sea level, was by far the greatest physical challenge I have ever completed in my life. At the sake of sounding overconfident, the fact of this was largely unexpected; I had heard of high school groups and other individuals who had climbed the mountain before without too much trouble, so I assumed that I too would return with a similar outlook. What I learned by day two of the climb was that either these individuals were lying about the difficulty, or (more likely) they took the most popular and easiest route to the summit, called Marangu. On the Marangu Route, which can be completed in 5 days, the trek is quite gradual but goes more directly to the top than other routes. Climbers and porters stay overnight inside large huts equipped with bunk beds at the designated stopping points, unlike on my route, in which we ate and slept on the ground in our tents and sleeping bags. Kate, Suz and I, along with dozens of other people in groups climbing the mountain concurrently, took the Machame Route up Kilimanjaro, learning a few days in that while the Marangu Route’s nickname is Coca Cola, Machame’s is Whiskey, since every day brings a new struggle.
Machame takes seven days to complete due to the fact that it is very steep at points and incorporates climbing across a greater width of the mountain, which also makes it the most scenic of all the routes. Another benefit of taking Machame is that since the overall duration of the journey is longer and farther, you have more time to acclimatize to the change in altitude, which makes altitude sickness less severe for many people. Anyone who wants to climb Kilimanjaro must register with the national park and be accompanied by a licensed guide. The journey that Kate, Suz and I took up the mountain felt unique, as we had arranged to have a Tanzanian acquaintance who runs a climbing agency in Moshi take us with another friend of his (also from Moshi) who we had met in Rwanda a few months prior. The fact that we were climbing up the mountain with two fun people our age known through mutual friends made it seem more relaxed than what we observed of the large organized groups hiking Machame concurrently. But there is no sugar coating the fact that a seven day trek for three people was a huge ordeal – not only did we require our two guide friends but ten porters and a cook to carry all of the necessary food, gear and equipment for setting up camp, cooking, and making our way to the polar arctic conditions at the top. Prior to the night of the summit, each day we spent four to seven hours (with a stop for lunch) hiking across all different kinds of terrain in an ever changing atmosphere, starting in a tropical rain forest on the first day, moving on to a region of heather, mist and fog as we journeyed at the first layer of clouds, on to moorland – cool and clear, with intense sunshine, then dry, dusty alpine desert, and finally up to the freezing cold of the summit. Kilimanjaro is like its own planet – there were times when I felt so far removed from the in the world below, completely isolated for miles around from everyone and everything familiar to me, save for those hiking just ahead or just behind me, in a kind of solidarity toward this individual goal.
Each day we faced increasingly cold temperatures and increasingly thin air, adding layers to protect from the harsh cold, biting wind and burning sun that stung our faces. We experienced different kinds of physical challenges, up hills, down valleys and across ravines, climbing along steep, rocky paths with sharp drop offs that we pretended not to notice, climbing on all fours across giant rock formations, and walking across huge dusty regions that produced strange looking flora and fauna, and not much else. The mountain at times felt like a blessing and a curse. I felt blessed to experience so much beauty in nature and to realize my own physical strength for such an extended period of time, to feel like I was, pole pole (slowly) nearing this pursuit to the top of Africa’s highest, most majestic mountain. But I also felt dirty, was sick of being cold and felt physically and mentally drained. Although I took medicine to counter the effects of the changing altitude, I still experienced bad headaches whenever we ascended and descended several hundred meters on the same day, and I constantly had to pee. Kate, Suz and I joked before bed about the dilemma we faced multiple times a night, when we each would wake up and have to confront that horrible pain in our bladder and muster up the strength to move from the warmth of our sleeping bag cocoons to the bitter, relentless cold outside the tent. We joked – but it was actually really horrible at the time. Even weeks later it still makes me appreciate the joys of indoor plumbing and of living in a climate that is 75 degrees Fahrenheit year round. On the days in which we had the longest hikes, the three of us would play category specific verbal games to combat our fatigue, i.e. starting with one brand name (or food, or place) and having the next person say another that starts with the last letter of the previous one (Adidas – Speedo – Oakley – etc). This game continued until we were so tired that we started allowing words like Ilford, Ostrich, and Ostrich Jr. into the repertoire - - the folly of which we attributed our own altitude stupidity sickness (ass, for short).
The most difficult day of the climb was the evening of the fifth day, when we ate dinner at 6, slept until midnight and began climbing at 1AM to make the final ascent to the summit of Kilimanjaro. We had been physically and mentally preparing for this night all week and were extremely anxious about completing this, one of our longest and steepest hikes, in the freezing dark. Because we started later than all the other groups who were summiting concurrently, our guides and the three porters who accompanied us abandoned their “pole pole” motto and led us faster than we’d ever gone before, so that we would have the best chance of watching the sunrise from the summit.
The journey that night was a seemingly endless test of strength, endurance and willpower. The hike started with us working our hands and feet across giant rock formations, being careful to follow the steps of the person directly in front of each of us. I felt a little like Spiderman shooting up and across those rocks, but resented the fact that (much unlike any superhero) I was wearing almost every piece of clothing I had brought with me up the mountain, including two pairs of spandex pants and fleece waterproof pants, a synthetic undershirt and two synthetic long-sleeved shirts, a cotton hooded sweatshirt, my fleece jacket, a winter jacket, two pairs of gloves (fleece under waterproof), two pairs of wool socks, gaiters, a fleece neck warmer, a wool face mask and two hoods. But while the exertion required for the first part of the hike got me warm, I certainly did not stay that way much longer. As we climbed higher and higher into the freezing, thin air, my lungs ached, my eyes watered and my nose resembled a leaking faucet. An hour or so into the climb, I looked up to the sky and noticed a large set of stars in an S formation, but was unable to figure out how they were shaped so perfectly. Later, when we had caught up to the groups ahead of us, I realized that what I had seen wasn’t a cluster of stars but the line of peoples' headlamps as they made their way up the mountain.
We envied the other groups as we passed them stopping to rest or to have a bite of a granola bar; while our guides (who we soon referred to as our slave-drivers) would warn us that it was freezing time if we stopped for more than two minutes along the way. In a way they were right – if I removed my gloves and exposed my skin to the air for even one minute, it took at least ten for my hand to regain feeling and full mobility. But climbing in the still of the night had its benefits; the millions of stars above twinkled with a brilliance that was almost surreal. At 3AM, we stopped for a moment, looked across the expanse ahead and realized that we were above the level of the moon! And as the hours droned on and I grew increasingly weary and lightheaded, I realized that it was probably a good thing that we were hiking to the top in the dark – if we could actually see the distance and incline, we might have had second thoughts about attempting to summit.
There were many moments over the course of the night when my cold, exhaustion and lightheadedness would make me wonder why I was even moving forward at all. I would lose sight of the ultimate goal and everything seemed suddenly futile. But in those moments of doubt, I reminded myself that I am a strong and capable individual, and that the three of us, having come so far, were each part of an silent resolve to reach the summit.
When we did, the view and the feeling of euphoria were extraordinary. Our guides had pushed us to move as quickly as possible the whole way up, which meant that we passed nearly every other group along the way. We were the third party to make it to the top of Uruhu Peak that morning, 5895 meters above sea level, just in time to watch the sun rise and begin to shine on the polar ice shelves adjacent to us. The breadth of Africa greeted us from miles below, and when the time had come, we started back down.
Vacation in Zanzibar
After seven grueling days climbing Kili, a beach vacation was in order. We spent a night at the country home of our Tanzanian friends who had guided us up the mountain, then set off for our island getaway via the eight hour, surprisingly comfortable Dar Express bus. Because the two hour ferry to Zanzibar only leaves in the morning and early afternoon, after our bus ride from Moshi we had to spend a night en route in the port city of Dar es Salaam, Tanzania’s largest city. Contrary to its Arabic meaning, “house of peace,” Dar’s streets are bustling, dirty and generally unsafe, with a few good restaurants but not much to write home about. However, it was my first time being in a predominantly Muslim city and as such, my first time waking up to the muezzin’s call to prayer, which resounded reverently across the city limits and beyond at 5:20AM and four times later that day.
When we stepped off the ferry and into Stone Town, the heart of Zanzibar’s main city, we were greeted with sophisticated architecture that blended the island’s years of Persian, Arabic and Indian influences along the main roads, connected by winding alleys filled with fruit and chapatti vendors, tourist boutiques, art shops, and Zanzibari children running to and fro in light green school uniforms, girls with their heads covered according to custom. The island’s rich history includes the arrival of Persian traders in the 8th century, followed by it coming into its own as a powerful city-state and trade center between the 12th and 15th centuries. The Zanzibar archipelago exported slaves, gold and ivory to the Middle East, India and Asia, and imported various spices, glass and textiles. In the early 16th century, Zanzibar fell under the rule of Portuguese colonists, who were soon challenged by the British and then Omani Arabs, each keen on claiming this island paradise and convenient trade center as their own. Through the 19th century, the Omani Sultanate retained control and the island continued to grow as a trade center, but Zanzibar eventually established full independence in 1963. One year later, the party’s ruling faction agreed to integrate itself into mainland Tanganyika (now Tanzania).
In many ways, Zanzibar Town feels more like an Arab society than an African one. Most local women follow the Islamic custom of dressing modestly and wearing a hijab in public, mosques and the Islamic crescent are prominent across the island, and the local cuisine and arrangement of neighborhood bazaars seems to derive from the Middle East. The first day we spent meandering the town’s labyrinth streets, we came across a beauty salon “for ladies only”, where we stopped to get manicures (you may recall that we had spend the previous week without showering…so our nails were looking pretty grim at that point). It was only after we said our goodbyes to the lovely Tanzanian women inside that we realized why the “ladies only” sign was necessary –women removed their headscarves inside the salon.
Like in Uganda, I reveled at the chance to try a variety of street food in Stone Town, as vendors selling falafel, meat and vegetable samosas, chapatti filled with lettuce, tomato and a dash of vinegar, chips, pistachio nut pastries and more peppered nearly every alleyway. But Kate, Suz and I knew we had struck gold when we stumbled upon Stone Town’s night market our first night of arrival. Set up in a large park on the shores of the Indian Ocean, the market is a place where Zanzibaris and tourists alike gather to sample the plethora of delicious food and beverages prepared before your eyes. Grills are lined with spears of barracuda, red snapper, king fish, shark, calamari, octopus, chicken, and beef, each seasoned to perfection; adjacent tables offer coconut flatbread and garlic nan baked in a tandoor earlier that evening, alongside grilled sweet bananas, doughnuts and Turkish pastries coated with powdered sugar; and pizza stations feature endless varieties of savory and sweet options (fresh vegetables, egg, tomato and cheese or banana, sugar and chocolate sauce are a few examples). Families and friends gather nightly on the grass in the open space and benches to sup on these delights, sip a Fanta or a mug of ginger or cardamom spice icyai (tea), and catch up on the day’s events. While Kate, Suz and I relished in trying so many fresh, hot and delicious Zanzibari treats, the best thing I consumed all night was a tall glass of sugar cane juice, extracted via a manually operated machine from stocks of cane surrounding each station. Living in Africa thus far, I have had the chance to try some phenomenal fresh juices, with mango, passion fruit and peach topping my list of local favorites, but in my opinion there is nothing more delicious than the sweet, slightly nutty, full bodied flavor of the juice of the sugar cane plant (so FYI I’m still working on the logistics of importing this amazing beverage to the States, where I’m sure it would become a fast hit).
Before taking off for Nungwi, one of Zanzibar’s best beaches, we went on a half-day spice tour around the island. Because of its existence as a cross-cultural trading hub for so many centuries, Zanzibar acquired a variety of exotic spices from the Near and Far East that have been cultivated and continue to grow in fields across the island. The spice tour took our group of 15 to multiple plantations, forests and even private gardens where we touched, smelled and tasted sprigs of vanilla, nutmeg, saffron, turmeric, ginger, cinnamon, clove, lychee, cacao, lipstick fruit, curry leaves, lemongrass, green, white and black pepper. At each stop along the way, we learned of the spices’ different uses both historically and currently, in medicine, perfume, incense, cosmetics, as food colorings or additives and of course to enhance flavoring. Some of the spice plants along the tour had obvious purposes, like the cacao plant’s role in making coffee and chocolate, or ginger in flavoring tea and other beverages. But there was a lot that I didn’t know about these spices; for example, the red-orange dye of the lipstick fruit is what is used to color Indian tikka masala dishes, and the root of turmeric can be used as an antiseptic, to cure acne when mixed with water, or when mixed with milk, to soothe a sore throat. Smelling ginger can help alleviate seasickness, cinnamon root can be used in cold and sinus remedies, and green peppers beans taste extremely spicy. Best of all, some of the spices on the tour even brought back random childhood memories; the smell of lemongrass is exactly like the smell and taste of Trix, the cereal (plus the pink milk at the bottom of the bowl), and smelling nutmeg is like being part of a Sunday morning treat: opening a box of Dunkin Donuts.
To fulfill our mission of relaxing as the antidote to mountain climbing, Kate, Suzanne and I spent most of our time in Zanzibar at Nungwi Beach, located on the northern tip of the island. Home to white sands, green waters and miles upon miles of gorgeous, generally inexpensive and under populated beach front resorts, this place is a genuine island paradise. Even though we visited Zanzibar in its peak tourist season, we had no trouble reserving a hotel room upon arrival and even negotiating a great price. We stayed in a recently opened guest house only steps from the water, the three of us sharing a large, modernly decorated (Pier 1-esqe) room with two king size, four poster beds and a full bath, plus full breakfast daily, and an extremely friendly, accommodating staff….for $15/night per person. (We couldn’t believe at first, either). And not only did we have the convenience of being 2-5 minutes walking from swimming in the Indian Ocean, accessing great restaurants and bars along the white sand, and heading into Nungwi village to buy souvenirs and use the internet, but our guest house also had multiple hammocks and a swing on the premise. After settling into our new place and making friends with some of the other guests, we spent the next several days swimming, boating, scuba diving and even snorkeling with dolphins, exploring the many resorts along Nungwi and Kendwa beaches, eating fresh fish and chips, drinking vanilla milkshakes, passion fruit Fanta and tropical sangria, speaking Italian, Spanish and Swahili, reading, meeting baby sea turtles and a giant python, watching unbelievable sunsets, and when all was said and done, leaving the island with African braids and a tan. Vacation nziza! Zanzibar is waiting for you.
Reference for history of Zanzibar: Fitzpatrick, Mary. East Africa. Lonely Planet, 2006; 128-135
Learn Swahili
Jambo – Hello, good day
Mambo? – How are you?
Poa – Fine
Habari gani? – What’s the news?/How are you?
Mzuri – Good (news)
Jina lako nani? – What is your name?
Jina langu ni – My name is _______
Asante (sana) – Thank you (very much)
Karibu – You are welcome, you may come in
Kwa heri/herini (pl) – Goodbye
Ulale salama – Good night
Ndiyo – Yes
Hapana - No
Kingereza – English
Kiswahili - Swahili
Shule – School
Kilima – Hill
Jaro – Large
Kende – Let’s go
Pole pole – Slowly
Pole – Sorry
Hakuna matata, hakuna shida – No worries
Hakuna araka – No rush
Mami – Mother
Baba - Father
Kaka – Brother
Dada – Sister
Rafiki – Friend
Rafiki yangu – My friend
Ndege – Bird
Mamba - Crocodile
Simba – Lion
Nyoka – Snake
Samaki – Fish
Ng’ombe - Cow
Kuku – Chicken
Tembo, ndovu – Elephant
Maji - Water
Mimi - I
Wewe - You
Yeye – He, she
Sisi - We
Wao - They
Mambo? – How are you?
Poa – Fine
Habari gani? – What’s the news?/How are you?
Mzuri – Good (news)
Jina lako nani? – What is your name?
Jina langu ni – My name is _______
Asante (sana) – Thank you (very much)
Karibu – You are welcome, you may come in
Kwa heri/herini (pl) – Goodbye
Ulale salama – Good night
Ndiyo – Yes
Hapana - No
Kingereza – English
Kiswahili - Swahili
Shule – School
Kilima – Hill
Jaro – Large
Kende – Let’s go
Pole pole – Slowly
Pole – Sorry
Hakuna matata, hakuna shida – No worries
Hakuna araka – No rush
Mami – Mother
Baba - Father
Kaka – Brother
Dada – Sister
Rafiki – Friend
Rafiki yangu – My friend
Ndege – Bird
Mamba - Crocodile
Simba – Lion
Nyoka – Snake
Samaki – Fish
Ng’ombe - Cow
Kuku – Chicken
Tembo, ndovu – Elephant
Maji - Water
Mimi - I
Wewe - You
Yeye – He, she
Sisi - We
Wao - They
Monday, July 6, 2009
4th of July in "Little" America
Anyone who has lived abroad knows that there is a great deal of excitement in arriving in a new place, adjusting to changes in weather, food, language and culture, starting a new occupation, making friends with local citizens and, eventually, settling into a daily routine. But there are also those days when you long for your own family, friends, food and familiar traditions or habits which have greatly contributed to who you are as an individual. In my life I have had my fair share of Easters, Christmases, Thanksgivings, and birthdays away from home and family, both domestically and abroad. But this past weekend was my first Independence Day – a day which for most Americans means the melding of good friends, food and fireworks - spent overseas. In Rwanda, this week is also of particular importance nationally, as it marks the country’s Independence Day (from Belgium, 1 July 1962), as well as its Liberation Day, also on July 4th, which commemorates the day that RPF soldiers brought an end to the genocide in 1994. As Rwandans gathered across the country to recognize the end of this tragic event, I joined several hundred fellow ex-patriots at an afternoon celebration and barbeque at the US Embassy in Kigali. My long journey to American soil - into Kigali and to the swanky part of town – brought me to a place where I was not only spared the usual stares and commentary that have become a part of my everyday routine, but also was able to enjoy some of the traditional fare I would have had on this great holiday in the US of A. Despite the large number of people in attendance, the Marines organizing the event had us covered: buffet tables consisted of hotdogs, hamburgers, French fries, potato salad, pasta salad, cornbread, pound cake, chocolate chip cookies, lemon squares and more (…can you imagine my excitement?!) The Ambassador read a speech from President Obama commemorating the holiday and congratulated all of us on our work in Rwanda. People mingled in their casual red, white and blue attire and a volleyball match started up.
While it had been amusing to run into British friends earlier in the day and remind them (jokingly – no hard feelings, of course) of our remarkable victory 233 years prior, it felt especially strange to be away from home on this holiday. Later that evening, my nostalgia got the best of me and I called home, knowing I would find comfort in hearing about the party my parents host every year at our little summer cottage on the lake. I missed the hammock, the rowboat, the lively Italian neighbors we’ve known since as long as I can remember, my mother’s annual dive from the white rock into the water, listening to the Boston Pops on the radio, lighting sparklers and fireworks, roasting marshmallows and fending off non-malarial mosquitoes, and most importantly, being with close friends and family. Although my siblings were also away from home this Fourth of July, I called the cottage at 2PM EST and spoke with my parents and several of our family friends, fondly thinking back on the traditions of my past and imagining those still to come.
Tuesday, June 30, 2009
Highlights from Term 2
This past term at Maranyundo has been a full one. With respect to student tutoring, I have been working with the lowest scoring English language learners in small groups, individually tutoring those who have been ill or struggling in specific courses as recommended by teachers, and attending students’ group discussions to assist with their understanding of course content. My adult students at the Bugesera District Office have made considerable progress in their English language skills, particularly in speaking and listening. Teaching the advanced class, I have made a point this term to incorporate local news articles, songs and even short stories into the curriculum to augment the grammar, business lexicon and templates (memos, formal letters, job descriptions) that are fundamental elements of the course. I myself am learning so much about the differences in British English versus American English, as most of the reference material available here come from the UK. Many Americans are aware of the “colour/color” and “organise/organize” differences, but did you know that learnt, burnt and spelt are perfectly acceptable conjugations in the simple past? Or that, at the weekend (even at weekends), one can have a break? Or that for a long period away from work, one shall have a holiday, and before dressing in the morning, one shall have a shower; just a few of the oddities that I’ve come across in teaching the mother tongue here. But in all honesty, in six months time I’ve learnt that I shan’t fuss too much over these differences in everyday parlance...or it may effectively drive me bonkers. Nevertheless, I’ve managed to inflict a good dose of American culture on my students at the district, from giving dictations about Michelle Obama, to assigning passages from The Adventures of Tom Sawyer, and, coming up later in the week…teaching the lyrics of the "Cheers" theme song (“sometimes you want to go…where everybody knows your name” – something I know we can all relate to).
In Term 2 Mary and I also started teaching music to the girls at Maranyundo. Without any real curriculum on which to structure the class, we were able to teach the students some of the basics of music theory, including how to identify notes on a staff, musical notation (treble clef, bar, key signature, etc.) and a thing or two about scales, with the help of Julie Andrews and the Von Trapp Family Singers. The most rewarding part of the class for me was teaching them a song that I loved to sing as a child in Our Lady’s Church Choir in Newton, "Dona Nobis Pacem". This song, Latin for “Give Us Peace,” is simple yet elegant, and easy to teach to small and large groups alike. Set in the key of C, it has three parts which can be sung as individual sections, as a round or in harmony. The only words in the song are those three of the title, so it easy to commit to memory and to practice. Since teaching this song in music class, the girls have started singing it during school cleaning, at lunch time and even in the evening as a prayer before going to bed. Like the refrain from Cheers, it is without doubt a message we all can relate to, no matter where we live.
The students in my after-school clubs have also been keeping busy this term. The art club in particular has been working tirelessly on a mural project that is nearly complete. At the end of the first term, our close friend Els, who works as a teacher training coordinator for all the primary schools in Bugesera, approached me about having the art club participate in a community service project. This project would benefit the students of a neighboring public school, Maranyundo Primary, which happens to share our school’s name due to its location on the same hillside. I was thrilled at the prospect of having our students participate in such a project, knowing well enough that it would take a lot to orchestrate and carry out. In meetings with the headmistress of the primary school and our school’s headmistress in late April, we decided on a budget, schedule and plan of action. Over the following two months, six of the best students from our club met each Wednesday and Saturday afternoon to draft, grid, enlarge to scale and finally paint two murals on the walls of Maranyundo Primary School: one detailed, labeled map each of the continent of Africa and the country of Rwanda. We began to practice drawing these kinds of maps with pencil and paper, then with permanent markers on large (empty) rice sacks, which are an excellent available resource in Rwanda as they are cheap, durable and don’t smudge, even in rain. Before drawing grid lines on large posterboard and calculating the scaling of the actual maps, we were able to create six or seven rice sack maps of the world, Africa, Rwanda and even the alphabet, in which each of the 26 letters had its own box and a corresponding English word and picture starting with that letter. We showed our students examples, but also let them use their own English words and pictures for each – the funniest, perhaps, was the letter U, for underwear…accompanied by a picture of giant pink and blue striped knickers. The rice sack maps will be donated to area primary schools for use in classrooms, and we hope to create more in the third term.
When our girls felt sufficiently adept at drawing maps on rice sacks, we drew grid lines on large posterboard and then drafted the maps of Africa and Rwanda, which would serve as the templates for the actual wall paintings. We walked to Maranyundo Primary to take measurements and calculate scaling, and the following weekend, Els and I went into Kigali to pick up the brushes, primer, paint thinner and heavy-duty, oil based paints we would use for the murals. Once we had our munitions in tow we primed the walls, drew grid lines and map outlines in pencil, labeled countries, and eventually began to paint. Els’ friend and compatriot Paula, who had carried out a similar project in a district in the north, showed the students how we could create upwards of 15 different colors with the basic red, white, yellow, blue and black paints we had at our disposal. Week by week, little by little we got closer to completion. From the first time we visited Maranyundo Primary, our project crew drew crowds of fascinated elementary aged students who would initially guess and eventually marvel at what was being painted on their school walls. Now that the maps are nearly complete, we’re witnessing the benefits of our weeks of planning, practice and painting; being positioned on the two sides of the school’s main building, next to the drinking water tanks, students pass by and study the maps all the time!
Like the art club, the anti-AIDS club has also been quite active in the second term. In addition to visiting Dr. Paul Farmer’s health clinic in remote Rwamagana last month, students from the club hosted an event in which students from a neighboring school’s anti-AIDS club performed skits, dances, speeches and songs warning students of the dangers of acquiring HIV and how to avoid getting into uncomfortable or coercive situations. Our students opened the event with facts about AIDS in Africa and worldwide, some of which are listed in my entry from May 20th below. One of the most unfortunate facts is that sub-Saharan Africa is home to 68% of all HIV/AIDS cases in the world and 76% of the deaths due to the illness. It is our hope that school clubs and presentations like these will help minimize the rate of opportunistic infection and decelerate the spread of this incurable disease, not only in Africa, but everywhere.
The Maranyundo School basketball team has also made a lot of progress this term. With official practices twice/week and captains practices once/week, the 16 girls of our team have really started to come together as a unit and encourage each other to be as fast, aggressive and attentive as possible on the court. Although the court itself has yet to be paved, as a team we have worked a lot on learning the correct way to shoot, practicing lay-ups, making eye contact and ensuring accurate passes, rebounding, blocking, learning where to set up on the court and learning basketball vocabulary in English. Although we still have not been able to compete against other schools teams, we have had scrimmages within our team and even against another group of girls at Maranyundo. We’ve also learned a lot of useful fitness exercises in warm-ups (courtesy of Coach Kate), and have seen improvement in the 3 Man Weave drill and the fabulous game of Knock-Out.
S2 students singing "Dona Nobis Pacem"
Monday, May 25, 2009
Kigali Marathon for Peace
This weekend I participated in the 5th Annual International Peace Marathon in Kigali, sponsored by Soroptomist International, a European NGO whose mission is to end violence against women and children worldwide. The event drew thousands of Rwandans, ex-patriots and tourists to the main stadium in town, where the race began and ended. It started at 8AM with a 5K run for children, followed by the half marathon(21 kilometers or 13.1 miles) and the full marathon of 42 kilometers (26.2 miles). When I first arrived in Rwanda in January, I started running with my housemate Kate and our friend Els, a British citizen here with Volunteer Service Overseas (VSO). A few weeks into our runs Kate and Els informed me that they were planning on training for and running the half marathon in the spring, and that I should join them in the endeavor. I was initially opposed to the idea, rationalizing that I wasn’t a fan of running distances because it always got so boring; I’d never run more than 6 miles at a time in my life prior to this year, and usually ran about 3 miles at a time. I had completed a sprint triathlon in high school but doubted I could keep up with the training of Kate, who had run two half marathons and a full one while living in the US, and Els, who completed the Kigali half marathon last year. In any case, after about a month living in Rwanda and realizing that 1) the weather was good for running almost year round 2) I had enough time in my schedule to devote to training and 3) I had two great people to train with, I decided to go for it.
Some of you may remember my description of going for runs in Rwanda from one of my first blog entries in January. In short, most people in passing get very excited to see a muzungu or three jogging through the hillside or through town and will be quite vocal about it, shouting words of encouragement and sometimes joining in on the fun by running alongside or behind you for a time. Recently Kate and I started hearing a new phrase from villagers every time we would run, muzungu quiruhu. We were perplexed for a while and eventually asked a Rwandan friend for an explanation of what this phrase means. He started laughing A LOT and told us that it comes from a popular radio commercial in which a young child and his mother are picking out cabbages at the market, and the child sees a white person (muzungu) and points in surprise. The mother tells the boy that it is impolite to do that and explains that as the cabbage leaf is green, that person is only white on the outside, muzungu quiruhu. It may not make much sense without actually understanding the Kinyarwanda, but he explained to us that it probably means that those who say it know that we live in Nyamata just like them and we’re only white on the outside, i.e. we don’t lead extravagant lifestyles as they consider most whites living outside of Rwanda or just visiting the country to lead. It may sound strange, but learning this made us feel better about our standing here, as if all the staring and pointing and shouting of “muzungu!” seemed a little less bothersome.
In any case, with all of the training that we did in preparation for the half marathon, we had hoped that people in Nyamata and surrounding villages recognized us by now. We started doing the bulk of our training in early April by going for long runs each Saturday morning, increasing the distance by increments of 2K each time. I had become accustomed to running 6K regularly during the week and sometimes up to 8, but on weekends we trained by running 10, 12, 14, 16 and eventually 18K two weeks before the event. We also used these long distances to get to know the main road through Nyamata and surrounding villages even better. All of the paved main roads from Kigali have each kilometer marked; where our school is located is just at the 28K marker. We used that to our advantage to measure the distance of our runs, either toward Kigali (on our 16K run we made it all the way to the Kigali district boundary) or toward Burundi, in the other direction. We even kept up our training when we were out of town for the weekend, visiting lovely Kibuye or Gisenyi. In Kibuye, Kate and I did an intense 90 minute swim in Lake Kivu which ended up being a lot more difficult than we anticipated - the distance from one point to another and back looked much shorter from land than it actually was - and about three weeks before the race we did a 12K run from the town center in Gisenyi, another vacation spot on Lake Kivu, around the steepest and most rocky hillside I’ve ever traversed on foot, to the Primus factory and back. After that deceptively treacherous run, we knew we were prepared for the marathon.
The race itself was quite a challenge. I felt prepared physically and mentally, but the course was true to Rwandan landscape: relentlessly hilly and therefore arduous. We were fortunate to have a great base of fans there to cheer us on and hand us water at different spots along the route, including Andy and his mom, visiting from Kansas, two colleagues from our school and their friends, ex-pats we knew from Kigali and a huge group of VSO volunteers who had come in for the weekend from different parts of Rwanda to watch Els and other VSOs compete. Kate and I wore Maranyundo School tee-shirts and I was proud of myself for keeping close behind her the entire time, finishing the race just 8 minutes after she did. My final time was 2 hours and 17 minutes. Although I kept a moderate pace for most of the event, it was incredible to be in the same race as some of the fastest runners in world, Kenyan and Ethiopian men and women whose sleek, athletic bodies I admired as they whizzed past me in their quest to finish the full marathon in record time. Another inspiring contestant was a 30-something year old man with one leg, who completed the half marathon on his crutches in under two and a half hours. Seeing him finish the same distance as me in spite of his physical handicap helped me realize how lucky I am to be able to do so many things unobstructed.
There were several points during the race upon summiting a hill when I looked out over the sweeping cityscape ahead and a certain euphoria came over me. Living in Rwanda these past five months has given me so much to consider and think about with respect to human interaction and communication, Rwandan and European history and colonization, political systems and social and economic development, and working to find my role and responsibilities in this complex world. In a way, the months of training leading up to the marathon were a lot like the months I spent preparing to move to Rwanda. In both instances, not only did I have to think long and hard about whether I was ready to take on such a great endeavor, but I also had to make sacrifices of time and energy to enable me to go. Like the weekend and week day early mornings I spent running what seemed like obscene distances at times, in accepting my position as a language mentor and community volunteer at Maranyundo, I also committed to raising at least $5,000 for the school. Thanks to the support and financial assistance of so many of you, my family and friends, I was able to raise over $10,000 for the school, and remarkably so, at a time in history in which many Americans are struggling financially to make their own ends meet.
As I have shared with many of you in the past, it was not an easy decision to leave family, friends, work colleagues and a familiar way of life behind in Washington and in the States. But in my work and interactions here with small children, Maranyundo’s teenage students and the adults that I meet in the district I know that I made the right decision in coming. As with any major life change, there are growing pains, frustrations and unforeseen challenges on the horizon. But just because my legs (and lungs) hurt a lot after finishing the marathon doesn’t mean I regret any part of the process.
Wednesday, May 20, 2009
Inshuti Mu Buzima
Last Saturday I took three of the girls from our school’s Anti-AIDS Club to visit Paul Farmer’s clinic in Rwanda. Dr. Farmer is the founding director of Partners in Health, an organization that operates free health clinics for the poor in seven countries worldwide, works with governments, the WHO, pharmaceutical companies and others organizations to implement better health policies and lower the cost of medicine, and provides training and other support services to the communities and health ministries in which the organization operates. Dr. Farmer has been in the news recently as being considered by President Obama for a top position within US global health policy, but he is most renowned for his work as a physician-anthropologist who has set up these life saving clinics in the most rural and impoverished pockets of the world, starting in Cangé, Haiti in 1983. I initially learned about the work of Dr. Farmer through my mother, who came to admire his energy and selflessness in improving the health of the poor after hearing him speak in Boston several years ago. I read Tracy Kidder’s fantastic biography, Mountains Beyond Mountains, studied the Partners in Health model of care in a medical anthropology course at GW, and used data from Farmer’s most recent publication Pathologies of Power: Health, Human Rights and the New War on the Poor in my senior year honors thesis examining women’s roles in the aftermath of genocide. Dr. Farmer serves on the honorary committee for Maranyundo, and both Partners in Health (also based out of Boston) and The Maranyundo Initiative have collaborated in the past in fundraising and program development. Because of this relationship, I had no trouble setting up a visit to give some of our school’s future doctors a chance to tour the clinic and speak with some of the health workers.
Inshuti Mu Buzima (Partners in Health, in Kinyarwanda) is located in the eastern region of the country, roughly 20 minutes off a decrepit dirt road amidst the scores of hills that characterize Rwanda’s terrain. While the Rwandan Ministry of Health has made real strides in recent years to improve the country’s quality of care and availability of medication to those suffering from illness - especially within and surrounding Kigali - it continues to have a shortage of doctors, with one for every 30,000 people on average. Prior to the arrival of Partners in Health in March 2005, the Kayonza and Kirehe regions were home to half a million people with no doctor at all. The need for improved health care is dire: in Rwanda, over 130,000 people are living with HIV/AIDS; 60% of these cases are in women ages 15-49. Along with malnutrition, malaria and tuberculosis, maternal mortality is a serious (often preventable) casualty, as 1/25 women die in childbirth.
When we arrived at the clinic, we were greeted by PIH Rwanda’s outreach coordinator, Christina, who gave us a tour of the facility, introduced us to the chief pediatrician on staff and answered a wide range of questions prepared by my students in advance and in the course of the tour relevant to the happenings of the clinic. We first walked through the small laboratory where test results are developed. We learned from our guide that children and adults can have their blood tested for HIV and learn of the result very quickly, usually within 20 minutes of the test, although for infants the test must be sent to Kigali to go through a more elaborate process. The clinic is fortunate to own a machine which tests HIV+ patients’ CD4 (T-cell) count, essential for knowing what type/dosage of anti-retroviral medicine to administer to the patient in order to give him/her the best chance at living a healthy life. After visiting the laboratory, we passed through the maternity ward, pediatric ward, pharmacy (open 24/7) and men’s and women’s wards, in which the most common afflictions are HIV/AIDS, malnutrition, tuberculosis and malaria. Walking through the hospital and health clinic, Christina drew our attention to photos on the walls of before and after shots of children and adults who had been treated there. Adjacent to the maternity ward was a photograph of an emaciated baby girl named Jennifer, who had been left at the hospital’s entrance at 13 months of age weighing a mere seven pounds. Christina explained to us that to children that small they feed plumpy nut, a peanut butter based substance enriched with protein, vitamins and nutrients that causes rapid weight gain. She informed us that packets of plumpy nut are also often prescribed for malnourished patients after they leave the hospital in order for them to keep their weight up, as opposed to handing the patient food packets, which are usually distributed among all of the patient’s family members out of necessity. When a child like Jennifer is admitted to the hospital for malnutrition, (s)he spends two to three weeks living there, being fed regularly and monitored by doctors and health workers until (s)he regains strength. Patients are permitted to come with one family member (usually their mother), and in that recovery time, the parent takes classes at the clinic on making nutritious meals utilizing the food and resources available in the region. In those weeks the patient’s parent also gets trained in how to best maximize the space that the family has for gardening, even with a very small plot of land. Jennifer’s healthy “after” photo taken several few months later was remarkable, depicting a slightly chubby, smiling toddler. Even more remarkable is the story of her mother, who initially abandoned her because she thought that as an orphan Jennifer would be treated more expeditiously than if she had been brought in with a parent. After treatment and swift recovery, neighbors to PIH alerted the mother of Jennifer’s improved condition, which prompted her to come back to the hospital to find her child. Since reuniting with her there, Jennifer’s mother now lives and works at the hospital, teaching other Rwandans how to keep their children nourished and healthy.
Another success story that we learned in viewing before and after pictures was of Peter, a six foot tall man in his forties whose body – which resembled that of an emaciated 85 year old - was wasting away due to an advanced case of Tuberculosis. This common infectious disease, the number one cause of death among Rwandans with AIDS, primarily attacks a person’s lungs but can also cause destruction to ones bones, joints and skin, as in the case of Peter. Despite the pleas of family, friends and neighbors for him to visit the clinic and seek treatment, prior to arrival Peter was convinced that his death was imminent and inevitable. He asked his loved ones to leave him alone to die. Fortunately, they insisted that he visit the clinic. After a quick diagnosis of the illness and monitored antibiotic treatment over the course of a year, his health was restored and he has resumed a normal life. His “after” photo was hardly recognizable, depicting a strong, smiling middle-aged man who gained over 100 pounds since he was first admitted to the clinic.
Hearing about the treatment of TB patients made me wonder what the hospital did to minimize the spread of germs, illness and most importantly, contagious disease like TB. Our guide Christina explained that not only does Partners in Health have some of the world’s finest doctors caring for its patients, but they also use students from Harvard’s architecture programs to design the facility so that its structure and airflow minimizes the spread of disease and bacteria. She went on to note that when she first arrived to work there she didn’t understand why the hospital seemed to put so much emphasis on it structures and grounds maintained so well, with gardens, assorted plant life, bamboo shoots and trellises lining the buildings and walkways. While it clearly made the clinic and hospital look nice, it seemed a bit frivolous when there were so many larger problems to address in treating the surrounding community’s patients for AIDS, malnutrition and malaria. But she explained to us that in fact, the hospital looking nice and well maintained serves a dual purpose: it shows the community that PIH cares about the property, and it presents itself as a welcoming, comfortable place that is conducive to healing.
The most meaningful aspect of our visit to Rwinkwavu happened towards the end of our tour, when we met with a group of HIV+ children who come to the clinic every two weeks for group support and counseling. Each of these children has been living with HIV since birth, having been infected with the virus by their mother. Just prior to meeting with these 30 children, we learned that when an HIV+ expectant mother is on antiretroviral medicine and the clinic is involved in the pregnancy and birthing process, the mother-child transmission rate at Rwinkwavu is a mere 2%. Evidently, none of these children were fortunate enough to have such close medical monitoring when they were born; some mothers did not even know they themselves carried the virus and may have been infected (and in some cases impregnated) via rape during the genocide. Despite the hardship of being born with HIV, these children were smiling, bounding with energy and extremely affectionate toward us visitors. As soon as we walked into the large playroom where they convene, we were greeted with singing, clapping and dancing. We spoke to the children in Kinyarwanda and English, asking them their names, ages, favorite foods, favorite school subjects and why they liked meeting together at Rwinkwavu. Our three students from the Anti-AIDS club were especially good with the children in conversing with them in Kinya and responding to questions about where they came from in Rwanda, why they dressed alike (in school uniform) and if they were Ababikira – nuns of the Benibikira order! Our girls laughed and explained that although they were not nuns, they do attend a school administered by them. When we eventually left the playroom to talk with Dr. Sarah, the chief pediatrician at Rwinkwavu, the children followed us out, clinging hands and giving hugs as we walked. After parting ways with the children, we were surprised to learn that while most of them appeared to be anywhere between 5 and 7 years old, almost all are in fact between the ages of 9 and 12. HIV+ children who are treated at Rwinkwavu are told of their condition and what it means at the age of 5, and of course put on antiretroviral treatment that should allow them to live long and productive lives. Because of the opportunities afforded to them by the clinic, we are quite certain that some of these children will one day study at Maranyundo.
References: Rwanda/Inshuti Mu Buzima, Partners in Health. http://www.pih.org/where/Rwanda/Rwanda.html
English, Bella. “In Rwanda, Visionary Doctor is Moving Mountains Again.” The Boston Globe, 13 April 2008. http://www.boston.com/news/world/articles/2008/04/13/in_rwanda_visionary_doctor_is_moving_mountains_again/?sid=ST2008051504314&s_pos=
Facts about HIV/AIDS, in Africa and Beyond
-Over 33 million people are living with AIDS
-Since its outbreak in 1981, over 25 million people have died because of the disease
-AIDS has a particularly negative impact on the workforce and economic development of a society since most people living with the disease are between the ages of 15-49, in the prime of their working lives
-While anti-retroviral medication can slow the progression of HIV/AIDS for those who can regularly access treatment, there is no cure or vaccination
-Sub-Saharan Africa is the worst affected region, home to 68% of all cases (22 million) in the world and 76% of deaths due to the illness. On average, 2 million more Africans are infected with HIV each year
-More than 11 million African children have been orphaned by AIDS
-Less than 1/5 of Africans living with AIDS have access to treatment
-The average life expectancy in sub-Saharan Africa is 47 years; without the existence of AIDS, it would be 62 years
References: 2007 AIDS Epidemic Report, UNAIDS, WHO. http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf
HIV and AIDS in Africa, Avert. http://www.avert.org/aafrica.htm
Thursday, April 30, 2009
Adventures in Uganda
This month I had two weeks of vacation from teaching, as the school operates on a trimester system with breaks in April, July and the long break (the US equivalent of summer holiday) from November to early January. After attending the memorial on April 7th, my housemate Mary and I set off to spend a week in Uganda, visiting its capital city, Kampala, the so called “adventure capital” of East Africa, Jinja, and quaint Entebbe, nestled on the shores of Lake Victoria. Let me preface the trip by stating that, while we were very excited to go rafting on Nile, check-out the night life in Kampala, and hopefully meet some lively internationals and ex-pats along the way, the thing we looked forward to most about our trip to Uganda was the food. We were informed by some of our Ugandan-born colleagues that Kampala was known for its selection of tasty ethnic restaurants, and so in the weeks leading up to our trip, we poured over our Lonely Planet East Africa travel book, mouths-watering, in search of the best restaurants in town. Although Kigali has an excellent coffee shop, a few small Chinese restaurants, and some larger establishments serving continental fare (with prices to suit the diplomats and foreign investors they cater to), most of what I eat for lunch and dinner each day living at school in Nyamata is some combination of white rice, brown beans and a leafy-green and carrot vegetable sauce. The food at Maranyundo is by no means bad, but variety doesn’t generally come into play when it comes to meals. Having said that, you may find that a significant portion of my description that follows is devoted to my delight at visiting a place with LOTS of options for eating out.
The ten hour bus ride to Kampala was an experience in itself. Unlike the minibuses that shuttle between Nyamata and Kigali and cram five people in a row meant for three, the Onatracom bus that we took to Kampala was the size of an ordinary bus, with perhaps 30 or so rows and space below the cabin to store large luggage, as you would find on a Greyhound bus in the U.S. However while there was an aisle down the middle of the bus, seats were arranged in rows of two people on one side and three on another, which meant that for Mary and I, sandwiched between the window and a stranger in a three-seated configuration, it was just about as comfortable as the Sotra minibuses we take to get into Kigali. In any case, the prospect of us abashumba - village girls - finally making our break to the big city of Kampala, where Indian restaurants, a movie theatre and gelato awaited, was enough to keep our spirits up for the duration of the ride. When we arrived at the border about two hours into the drive, we sensed an immediate difference in the road structure and a gradual difference in landscape. As Uganda was a former British colony, our bus moved to the LEFT side of the road after crossing the border and the road itself also became much bumpier. In Rwanda, most of the major routes that buses take between main cities are fully paved…although some are potentially more dangerous, because they are so windy along its many steep hillsides. Uganda geographically gets much flatter as you move north and very few roads are fully paved; most are quite rocky with frequent potholes. We noticed that the countryside was also much less densely populated with people, homes and villages – Rwanda, where people live seemingly everywhere, is almost three times as dense per square kilometer. It was a pleasant surprise to find that all of the signs in Uganda were in English (because it is home to so many different tribal languages, English is the common denominator) and even more pleasant to learn that eating outside or on the bus was not taboo but quite common! We indulged in this new freedom to eat in public without breaking a social more as we passed through villages where locals sold piping hot chapatti, grilled meat on a spear, sugar cane, ripe bananas, Pepsi, Fanta and biscuits right to our bus window.
Upon arrival in Kampala Wednesday evening, we dropped our packs at our hostel, hopped on a boda-boda (a motorbike which, in Uganda, fits up to two behind the driver) and headed downtown to begin our culinary quest. Since Indian Khazana, a Kigali legend, had shut down just before my arrival in January, both Mary and I were seriously craving some butter nan, chicken tikka masala and samosas. Kampala is renowned for its variety of excellent Indian restaurants and we decided to try the Lonely Planet editor’s choice, which was also a recommendation of ex-pats we had met earlier that day. At Haandi, a swanky North Indian establishment, we feasted on butter and cheese nan, two chicken dishes, palak paneer and even Diet Coke, which hasn’t made it to Rwanda. The aroma and ambiance was exactly what we sought after our lengthy trek across central Africa. We planned our activities for the week ahead (most of which, in Kampala, revolved around eating out) and reveled in being on vacation in a place that offered so many choices that fit our volunteer budget.
The next morning we caught a 25 cent matatu (public minibus) into town from our hostel. About ten minutes into the ride to downtown, we had a veritable test of urban navigation skills after our packed matatu bounded into a giant pothole, sprung a flat tire and forced all 20 of us onto the street. Since it was our first time in Kampala in the daylight, we weren’t quite sure where we were headed, but followed our instincts and eventually made our way through the masses of people and vendors milling about the capital’s dirty, congested streets to the center. It was also there that our lunch excursion would begin. We never eat chicken at home in Rwanda, and as such, fully embraced every opportunity we had to order it in our new “favourite” city. We savored every bite of our spiced chicken wraps at Nando’s, an excellent Mozambican chicken spot that has recently spread to the US via DC. Although the side of chips were standard fare, and we were a bit disappointed in the lack of adequate ketchup (a thin, sweetened tomato sauce was the closest equivalent), we didn’t have to go far to order dessert. The delicious simplicity of chocolate vanilla swirl at a soft serve ice cream shop located the same block caught our eyes and sustained our taste buds. From there, we headed up the hill past a verdant urban park and Parliament to Garden City Center, an indoor shopping mall that housed a big screen movie theatre. The fact that we had our choice of four mediocre films that debuted in the US several months ago was of no consequence – we picked the one we presumed most action packed and hustled into an empty theatre. The movie we saw, The International, was a crime thriller set in various high profile global banking capitals. Despite the lackluster plot and the second line of all subtitles being projected too low to read, we had fun relaxing in a movie theatre that was ten times bigger and more permanent than the white sheet and projector set up in our living room in Nyamata. After the movie, we perused the shops of the mall, did some people watching, and really began to feeling displaced in time, like pre-teens again on any given Saturday in the USA. Once we felt our fair share of developed world nostalgia, we made our way over to Mamma Mia at the Speke Hotel, where we could choose from lasagna, ravioli, pizza and dozens of types of pasta/sauce combinations according to our culinary curiosity for the evening. I relished in every bite of my beef cannelloni plus dry white wine (a pairing faux-pas, I am aware), followed by a dish of pistachio, stracciatella and hazelnut gelato to lend a happy ending to a fantastically indulgent day.
The next morning we boarded the bus for Jinja, the town about 1.5 hours from Kampala where Lake Victoria meets the Nile River and the rapids are notoriously wild. Jinja is home to several white water rafting companies with excellent reputations, but when it came down to deciding, I was sold on one in particular after I read the following advertisement: “By Appointment to Her Majesty the Queen of England, Prince William is one of a number of royals who chose to raft with us. Adrift : unparalleled safety and excitement.” If gorgeous Prince William rafted with Adrift, then what was stopping me? I had been rafting in the U.S. a few times before, but had never traversed Class 5 rapids or experienced the force of the Nile. As luck would have it, we picked a lovely, sunny day to set out on our planned adventure. Once we were loaded into our 8 man raft and starting on our way down the Nile, I knew for sure that Prince William had used that very same paddle that I held in my hands (intuition is one of my many unexplainable talents).
Our boat of Americano British Canadians formed a motley crew of energized…terrified …exhilarated individuals determined to conquer the eleven major rapids of our course. We appreciated the calm flow of the Nile between bouts of enormous rapids at which we paddled strong through some parts and ducked all in at others. We were all thrown out of the boat on the third major rapid, which was a thrill and reality check that made us wiser for the ones that followed. When we weren’t in white water, we talked about life in Africa, shared jokes, swam alongside our raft, wrestled crocodiles with our bare hands….you get the picture. Although the day started out hot and sunny, at around 4PM - an hour or so from our final destination - Mother Nature turned against us with a vengeance in the form of a large scale thunderstorm. This was no ordinary storm, but one which progressed from a bit of rain and thunder to high speed winds, heavy downpour and eventually pelting hailstones that pushed us back from our destination in spite of our fervent paddling, and for moments even forced us to duck and cover inside the raft. What felt like the second coming lasted in reality a good 45 minutes, making everyone question why we chose to go rafting during the RAINY season. Somehow, we made it to the end of the course (alive), relieved to find warm towels, Nile Special beer and barbeque skewers greeting us at the finish line. It was by far the most exciting maritime adventure of my life.
But in fact, the adventure was just beginning. On the bus ride back to the Adrift base camp, still high off of adrenaline from finishing the course in such dire elements, Mary and I decided that we would make the most of our visit to Jinja and the Nile…by going bungee jumping over the river! Neither of us had been before, but it was precisely the kind of challenge we felt up for in light of our near-death experience rafting (perhaps a bit of an exaggeration). Although Mary deliberated a bit before deciding to go through with the jump, once I had made up my mind, there was no turning back. I felt courageous and eager as I signed my waiver form, watched new friends take their turns from the deck-side viewing spot, and even as I climbed the hundreds of stairs to the top of the tower. It was only seconds before the jump itself, when I shuffled up to the ledge and took a long, hard gander at the open expanse before me that I became totally freaked. I was standing 145 feet above the Nile, about to willingly throw myself off a ledge, with nothing but a series of thick ropes and bungee cord strapped to my ankles. It was then that I knew I had gone mad. But a part of me also knew that I would always regret it if I chickened out. When the instructor called, “3, 2, 1, bungee!” I braced myself, blocked out every inhibition in my body and JUMPED!
I’m not sure what I was expecting, but the free fall and subsequent dunk into the river was actually really scary! After I plunged into the water, I bounced back up and was flung around several times before I gained a sense of where I was in the world. Then I realized that I had survived my first bungee jump. That was enough to keep me smiling all night long, and even now I can’t help but laugh and grin a little every time I think back on that moment.
I awoke to the sounds of scattering steps across the roof of our sleeping quarters the next morning, and later discovered that it was some of the playful vervet monkeys who run around the grounds of the base camp in the early mornings and afternoons, when most people staying there are either sleeping or gone for the day. Seeing wild monkeys up close and as they exist in their natural habitat was a treat that I witnessed in Jinja and on my visit to the lush, verdant botanical gardens of Entebbe. The gardens boasted some excellent varieties of flora and fauna like mahogany and mango trees, sugar cane plants and bamboo shoots, but the most exciting part of the gardens was entering the dense, overgrown forest in which, according to our guide, the original Tarzan movie was filmed.
Lovely Entebbe, located south of Kampala along Lake Victoria, is also home to a large international airport which was the setting of a notorious plane hijack in 1976. At the height of Idi Amin’s reign of terror in Uganda, Palestinian and German terrorists hijacked Air France Flight 139 out of Tel Aviv, Israel, forced the landing at Entebbe and took all Israeli passengers hostage in order to blackmail the Israeli government. Despite Amin’s clandestine cooperation with the terrorists and the Palestinian cause, Israel, Germany and Kenya were able to stage a joint operation within a week of the hijacking in which the hostages were returned to safety, save for one unexplained casualty. This event has been the subject of multiple films, and also comes into play at the end of The Last King of Scotland, an excellent movie that portrays the madness and corruption inherent to Uganda’s most infamous dictator, Idi Amin.
Returning to Kampala after a weekend of adventure was enough to ready our appetites for some more culinary escapades. In Jinja, Mary and I had made friends with two American med students who were completing internships in Kampala that semester. While they had many great recommendations for places to eat in town, we learned that the best Chinese restaurant was a place called Fang Fang, which we quickly designated as the venue of our celebratory Easter Sunday dinner feast. The menu was extensive, and we exhausted it to the best of our ability by ordering miso soup, vegetable spring rolls, pork dumplings and sweet white wine, to start. Although wine is available in Rwanda, it is very expensive and quite rare – so in Uganda I seized every available opportunity to order this choice beverage. Next, I ordered sweet and sour fish, garnished with pineapple and red peppers, coupled with a heaping side of ginger rice. I wince a little every time I think of how delicious that rice tasted, especially when compared to the starchy white rice we eat on a daily basis at Maranyundo. Mary ordered sticky rice and cashew chicken – also fantastically delicious and impeccably presented. Mary spent a year living in China, and she said that this was some of the best Chinese food she had ever had! I easily concurred. Despite our best efforts, there was no way we could finish all of the food that we ordered. But we did save room for dessert. We selected what sounded like a Chinese-Ugandan fusion: fried balls of banana with vanilla ice cream. That, we finished in its entirety…which resulted in yet another boda-boda ride home in which our driver reprimanded us on how collectively fat we were, bounding through pothole after pothole of Kampala’s weathered streets.
We spent our last day in Uganda shopping around Kampala’s handmade craft stands, visiting the giant grocery store (which sold more than one variety of tea, more than two varieties of chocolate and more biscuits than you can ever imagine), and much of the afternoon relaxing in the garden seating of the Italian restaurant we had visited earlier in the week, sipping iced tea and eventually trying new flavors of gelato. We met up with our med student friends for dinner that evening at the Masala Chaat House, a small, inexpensive Indian eatery across from the National Theatre. It seemed as though our trip really came full circle, starting and ending with Indian food. We ordered different things at this place, of course – I tried the chapatti, samosas, vegetable korma and African tea - but we were just as content with the service and quality of food there as at the more pricey Haandi. The upstairs dining rooms filled with huge tables of Indian families reinforced our decision to spend our last night in Uganda at this understated gem.
Needless to say, Mary and I were a little sad to see an end to our week of indulgence in Uganda. We knew we would miss the variety in restaurants, generally lower prices (and more favorable exchange rate), existence of ATMs, and ease of communication due to the prevalence of English. But there were also many things about Rwanda that we valued in comparison: gorgeous landscapes, paved roads, safer and officially regulated moto rides (which – unlike Uganda - mandated helmets), cleaner streets, wonderfully friendly people and the challenge of working in a country that is becoming Anglophone. Although Kampala made Uganda seem much more developed, the two countries are rather comparable when it comes to the UN Human Development Index: Uganda ranks 156 and Rwanda ranks 165 out of 179 countries. In traversing Uganda we came across many houses, schools and other establishments that looked like they had been partially demolished decades ago, perhaps during the Amin years or the country’s civil wars in the 1980s, and totally abandoned since then.
On the flip side, both Uganda and Rwanda have made great strides in improving the health and welfare of its citizens, especially in combating the HIV/AIDS epidemic, with current infection rates around 3-5% in both countries, down from 15-20% at its height in the mid-nineties. Particularly in Kampala, the city and supporting groups (USAID included) have made nutrition and safe health practices a priority via advertising campaigns and paintings on schools that encourage children to eat yogurt and drink milk for strong bones, for example. Another relevant billboard shows a picture of a man in his fifties juxtaposed next to a teenage girl, asking, “Would you let your daughter date this man? …Then don’t be that person yourself.” In many regions of Africa, cross-generational relations are commonplace and a serious problem; this is one issue that Uganda’s government has been particularly adamant in fighting.
FYI this is a video of someone else on the bungee - but I did complete the very same jump!
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