Taking a little break!

This weekend, Kristen and I got away from the village to take a much needed break. I white water rafted the Nile yesterday in the most narly rapids I have ever been in…we stayed in a tent over looking the river…listening to the jungle noises compete with the sounds of rushing water all night long…and watching monkeys play outside our tent in the morning….it was a great weekend. And I am ready face two more weeks before I meet up with Nick in Cairo.

The White Nile just north of the source

The Nile!

The tent over looking the nile

Enjoying wine, watching the Nile (behind me) and contemplating moving to Uganda to be a rafting guide! It was so freakin' amazing!! White girl meets Ugandan sunshine- I'm lobster lady now!

It was nice to step away and process the many experiences I have on a daily basis.  The conditions, lack of equipment and supplies, lack of doctors and overall resources continues to boggle my mind.  No vital signs are ever taken (blood pressure, what?), I have never seen a stethoscope on the maternity ward, a patient is required to bring their own supplies- gloves, guaze, plastic sheet, even a bottle of bleach to clean up the labor room after she delivers! If she needs an IV, her family goes out to by the IV supplies. If complications arise during labor, there is an ambulance to transfer the patient to a larger hospital however the ambulance doesn’t have gas. The family must find money to buy gas to transfer the patient. This could take hours. However, the women who come here have nothing! They are dirt poor. And they are so, so, so grateful for the midwives, the clinic, and the services they receive. The next best option would be delivering in the bush with no one to assist. A severe lesson in gratitude.

Sister Doreen listening to fetal heart tones of a mother in labor

A nursing student working with a pregnant patient with malaria. The maternity ward has been full this week with malaria patient

This is the hospital kitchen. All the patients bring their own bed linens and their families bring them food and drink. However, for patients whose families live too far away the hospital will prepare them food. They serve the staples in our region. Matoke (unripe banans, steamed and mashed) with G-nut sauce (ground peanuts made into an oily gravy)

When the labor room is quiet I work in the Antenatal Clinic. Women come in two or three at a time, lay on these beds while the midwives palpate their babies. Everything is done by their hands!! The nurses give out malaria and de-worming pills, and do HIV testing/counseling.

I also help out in the immunization clinic. Women come with their babies and wait in line all day for their babies to receive polio, DPT, measls, Hep B vaccines and vit A. My favorite nurse, Sister Florence runs the clinic. She is very passionate about helping fellow Ugandans and she works extremely hard.

And here is my hope! People with visions for something better and a drive to put all they have into helping other people. Enter Shanti Uganda on a mission to help people heal from a life filled with war, poverty, and the effects of HIV/AIDS on their families and communities. I am very disappointed the birth center is not open while I am here, but it will be open soon. It is beautiful, clean and will offer women a safe/proper delivery with equipment, supplies, and prenatal education.

A birth center in Uganda!

I have been working hard to help them with nursey/medical portions of the clinic operation. I’ve been able to visit many private and public hospitals in the capital Kampala. I think it is so interesting how money gets funneled to certain places and simple resources can significantly change health care!

A busy capital with horrible roads and lots of traffic can be very overwhelming

I’ve also met with a local herbalist who taught me about jungle medicine used in pregnancy and delivery. The local clan leader translated for me. A lot of the herbs used are for “evil spirits” which translate to me as complications (which is the US means meal-practice) . More research is needed to understand how to use these plants it was amazing to see her work. This is a good inexpensive option for benign problems when no money is available for other treatments.

This Ida holding medicinal plants. She lives in the bush and raises her 4 grandkids.

Shanti Uganda has two established income generating groups. One makes paper bead jewelry and the other makes bags which are then sold in Canada and the US. The 24 women all have HIV/AIDS and between them are raising 109 children. They are amazingly strong and lively. I did a nutrition class on foods to eat to help their immune systems and keep them healthy. They ate it up!!

The staple here is matoke (unripe bananas), potatoes, and casava. I taught the women about the health benefits of eggs, tomatoes, pineapple, avocados, beans, and so on. It was a lively discussion and they were so excited to learn!

It has been a busy few weeks. I am loving my experiences and enjoying  the many people I am meeting.

Our neighbor's kids poking their heads through the compound gate.

The Bodrum Penninsula

So, after spending 4 days in Istanbul, we traveled via overnight bus to the Bodrum Peninsula along the Agean Sea.  The Peninsula is a very popular tourism spot for Europeans because of the hot climate, location to the water, and the relatively lower costs of living here.  The intense tourism growth has caused many issues such as loss of productive agriculture land and a lot of 2nd home development on hillsides. Our main project is working with the municipality of Bitez to come up with a tourism plan which can integrate agriculture and tourism.  The historic town is inland a bit, and there is some really productive agriculture land between the town and the beachfront touristic development.  The ag land consists of a lot of products, but olives and tangerines are the main thing we are hoping to tie into the touristic development.

To better understand other communities, we spent the last 7 days on a boat visiting several communities along the way.  The experience has been awesome — the crew made some ridiculously good meals while we were there.

From Boat Pics
From Boat Pics

And I have enjoyed swimming every morning.  It has been great to just jump off the boat for the morning swim.  A couple other people on the boat have been enjoying long swims with me, and everyone on the boat has been having fun just jumping in the water.

We started out by exploring Bitez – the town we will be working with.  The town has some issues and really isn’t as nice as some of the other towns we visited.

A 400 year old olive tree in the agriculture area on one of of the paths through the agriculture land between the beach front development and the old town.

From Bitez – Day 2

We experienced some awesome sunsets. So much so that we had a contest one night for the best sunset picture. 11 were submitted and mine won based on our judges, the captain, cook, and 3 other crew members.

From Boat Pics

Next we visited Turgutreis which has a pretty good walkable waterfront area but has some intense auto oriented strip development a few blocks out.  This town seems to be oriented towards 2nd home development and locals due to the large amount of household amenities such as furniture and electronics.

Walking around town with my group in TURGUTREIS

From Bitez – Day 2

Next day we visited Gumusluk – a really quaint small town which I thought was great.  Not much music and noise, and the tourists there seemed a bit more tasteful.  Several really good restaurants right on the water and a lot of open hillsides due to the historic preservation of the area — a lot of ancient civilization has ruins located under this place.

From Gumusluk – Day 4
From Gumusluk – Day 4

Yalikavak was the next town we visited.  This place was great — much bigger place but well manicured and some good pedestrian walkways.

One of the many covered shopping areas in town.

From Turgutreis – Day 3

The last town we visited was Turkbuku

Found these 4 ducks and it made me think of the 4 little kwaaks.

From Turkbuku – Day 6

The rich and famous like to hang out in the fancy clubs and bars. Some are a little over the top.

From Turkbuku – Day 6
From Turkbuku – Day 6

It was great working on the boat. A perfect mixture of school and vacation. Here I am working hard with a nice glass of wine.

From Boat Pics

Now we will spend the next day and a half living an Aktur which is right next to Bitez.  We are staying in 2 bedroom units which overlook the water — pretty nice. We are doing our own cooking now as well, so we’ve decided to do potluck dinners every other day or so. Last night my room (3 of us) cooked an eggplant ratatoulle dish which turned out pretty good — we did make about twice as much as we needed for all 13 of us though (4 potfuls). We’re finishing up our comparative analysis of the towns by creating boards which categorize the economic, social, and architectural qualities of each town.  Then we’ll work more specifically with Bitez to come up with a plan.

My group just finished up two posters for the Businesses in all of the towns we visited with recommendations for Bitez. If you’re interested — the file is Group 1 Boards – Economy . Brushed up on my InDesign skills for this one.

Tomorrow we are meeting with the planning director and the mayor of Bitez to get a little more direction on what we’re doing. Earlier in our trip, we had them on our boat for dinner one night when we were docked outside Bitez. Language is a difficulty, but Korkut (our professor) does a pretty good translating for everyone.

Overall I am having a great time.  I wish Jess were here to enjoy this experience with me, but we will soon meet up in Cairo to enjoy another journey together.

Pictures of day-to-day life in Uganda

It’s picture time! Life the past couple weeks has been busy with work at the clinic, health promotion projects, and organizing workshops for the midwives. I am learning so much….my brain feels overwhelmed most of the time. The people work hard and try hard. Many times I just shake my head at the backward ways people do things to cover up for the lack of resources, education, money, and so on. Thanks to all for the emails, comments, msgs. It’s great to hear from you.

Flying in Uganda! Lake Victoria, the second largest fresh body of water, in the background

The very nice middle class house we live in. Our two bedroom apartment is in the back. There is a solid brick wall around the house…and a mud hut next to it.

My room and mosquito net

The Bathroom: After a long day at the clinic I wanted to take a shower but there was no power. So, I took a freezing cold shower by candle light and its now my favorite experience. I’ll often take a candle shower even if we do have power….as long as we have running water that day :)

Walking from the birth center to the village….and cows

Buying fruits and veggies.  Lots of tomatoes, potatoes, bananas, pineapple, avocados, and little summer squash looking things.

a cow: love the horns!

cooking by candle light: the power goes out frequently. We have a propane stove which we’ve made some delicious meals on. Sometimes the power is out for 10 minutes and sometimes 2 days!

buying water and taking it home on a boda (motorcyle taxi)…which we ride around town and to the birth center.

a labor room: each room has two beds. The women must bring their own plastic sheet, gloves, and cleaner.

a midwife: assessing postpartum patients. No laboring patients this day.