Sunday, 17 June 2012

Shanti Uganda: My first few weeks


                My name is Tara.  I am a Recreation Therapy degree student going into my third year of studies at Douglas College.  I am doing my practicum placement in Uganda at a maternity and learning centre called Shanti Uganda.  Shanti is located in the small village of Nsassi (which is in the greater district of Luwero), an hour and a half drive north of Kampala. 

                Beyond being an accessible, holistic, maternity and birthing centre, Shanti offers many other community programs including outreach workshops designed to empower teen girls, a demonstration garden with agricultural workshops, and a craft-style skill development group which enables women living with HIV / AIDS to generate an income by making bags, purses, and jewelry, which Shanti then sells overseas in Canada.  Shanti means peace, and most of their programs offer an emotional / spiritual element in which the women learn and practice yoga.  The property itself is also incredibly peaceful, nestled among large trees, and surrounded by the sounds of chirping birds.

                During my time at Shanti, my two main assignments are to facilitate two sessions of the teen girls empowerment program (while students are out of school on break), and to complete an assessment to determine the needs of teen mothers who have given birth and are no longer attending school.  In the future, Shanti hopes to develop a program designed to help teen mothers in similar situations (and I have discovered there is no shortage of these girls living in our area of Luwero). 

                Thus far, I have experienced many challenges working overseas.  Adjusting to another’s cultural norms takes time, as does the familiarizing oneself with new daily routines.  In Uganda, nothing happens fast.  Meetings which are supposed to start at 1pm, begin at 3pm (if you’re lucky).  Load sharing means that the power is inconsistent and unpredictable, therefore, it is necessary to keep appliances and aids such as computers and cell phones charged as frequently as possible (to date, 72 hours was the longest we have gone without power, which coincided with 5 days of no running water – something not worthy of recounting to locals who view tap water as a luxury).  In town, there is no such thing as a quick trip to the store.  Ugandan culture strongly values social interaction, and walking into a store without first chatting for 10 minutes is deemed to be rude and borderline hostile.  There is also no anonymity being a mzungu (white person) living in a small, rural Ugandan town.  Upon stepping out of the locked compound where we stay, children follow in droves yelling “bye mzungu!” “hi mzumgu!” (often in that order), with the younger ones calling out something which sounds more like “mugugu!”  It is not uncommon to for them to reach out and want to touch your skin – something which can be un-nerving when trying to cycle past them without running over their bare feet.  One neighbourhood child even climbs a jackfruit tree outside out walled compound, and while poised in the tree’s limbs calls out for us “mzungu!” when we are doing laundry on the porch, or trying to do work indoors in the living room.

               Children and animals are everywhere.  Initially I felt like I was living on the set of a World Vision commercial.  In Canada, child welfare would be called if a 2 foot tall child was caught playing with and caring for an infant in the street.  (I describe children according to their height as ages are difficult to determine with many kids being malnourished, while their faces appear much older than they are, perhaps due to the significant responsibilities which are bestowed upon them).  As the days pass, however, I find myself becoming complacent to such scenes, and upon reflection, I am shocked by the fact that I now see unsupervised children in the streets as typical and normal.

               Everywhere, a lack of resources is an ongoing issue.  It is difficult to articulate how little facilities (particularly government run institutions) are able to offer.  As an example, we taught the first session of the Teen Girls program out of a local school room.  The packed dirt floor provided an uneven base for which students could sit on blue and white plastic chairs which the students carried to the room each morning from a locked storage facility located on the other side of the property (there are no desks or tables on which the children can work).  The walls made of clay brick were bare, and offered no chalk boards or even hooks on which one could display visual aids.  Without electricity, light shines in through small open windows which provide little protection to students when torrential rains begin.  This is a typical rural Ugandan classroom, ordinarily accommodating as many as 200 students (each responsible for purchasing their own school materials such as notebooks and pencils).    

                It is easy as a foreigner to come here and forget just how much you have, and the opportunities such privilege affords.  While we take weekend trips to national parks, immersing ourselves in amazing Ugandan scenery, and experiencing African wildlife firsthand, it must be acknowledged that these opportunities are out of reach for most locals.  I fear we are not always sensitive to this fact.  After watching Disney’s the Lion King on computer with a young Ugandan woman, we spoke about the animals so prominently featured in the film.  She had never seen or heard of a warthog, though she excitedly described seeing a lion once in an Entebbe zoo.  To put things in perspective, it would cost her 10 months salary to purchase a 1 day park pass to go gorilla trekking (the price of which is going up by 50% in the near future), and that cost doesn’t include paying for the mandatory guide, transportation, accommodation, or food.  



Children playing with jerry can cars near a local borehole.

Time has flown by...

We are entering our last two weeks in Masaka. I can't believe that I have been here for 2 months already. It has been full of learning.

At the regional hospital, I have been part of support groups, home visits, medication counting and clinician sessions. I have a new appreciation for the challenges for treatment here and have gotten to know many patients. The distance that people travel, the barriers at the hospital... I take for granted all the services that I am able to access for my clients in Vancouver.

At Tekera, we have spent a lot of time with the children in the school. The loveliest experience is when the young children were doing gym outside. They were singing and jumping around. It was so fun to participate with them. They are so full of joy and are thankful for their education. It is such a beautiful place.

As the time is finishing, I will take all the moments from Uganda back home and cherish them. I look at my pictures and can't wait to tell everyone the stories that I have experienced. I will see everyone when I get home.

Thursday, 14 June 2012

Lesley


This is going to start sounding a little repetitive, but where has the time gone? It is Sunday afternoon here in Masaka, and after a rainy few days, the sun is shining and the heat is cranked. We have just been discussing that we are heading into our final three weeks, and we are all having mixed feelings about this fact. Since I wrote last, I have learned and experienced so much more than you could imagine. The first few weeks here felt a little “rainbows and lolli-pops” for me, and in a way I have been waiting for that bubble to burst. I cant say it hasn't been wonderful, but I have had a bit of a reality check these past couple weeks. The children all went back to school on the 14th/21st of May, so Anaweza has become very quiet. The last project we did with the kids was; The Anaweza Chicken Project..2012! We had the children split into groups of about 5 based on where they live, and each group was given a chicken to look after with the intention of bringing back 2 eggs to Anaweza so the project can continue. The purpose is to not only have the children work together as a group with a specific goal to reach, but also to give something back to their community that can continue on. The sustainability factor is always at the forefront of my mind when thinking of projects to develop. We have not seen much of the kids since then, so this week we are going to do some community visits and check in with the families and their chickens! I have full confidence that the kids are taking good care of Ruth, Beyonce J, Canada, Blessing, and Promise (yes, those are the chickens names...personal fav-Ruth!). So other than that, most of the time spent at Anaweza has me, yes, ME, teaching computers to people in the community that have heard through the grapevine we have a couple of computers there now. It is great to see people of all ages so eager to learn how to type, create documents/spreadsheets, and surf the net. I am still in awe of Julius and his hard work and persistence. He deserves so much credit, but is much to humble to even realize it.
Kitengesa Secondary School and Community Library are where I now spend three days a week. I wish I could have been there from the beginning as there is so much potential and opportunity, but of course school was not in session, so my days would have been pretty lonely. On the library side I have been working alongside 4 UBC interns developing reading and writing programs with the students at both Kitengesa Sec and some of the surrounding primary schools. We either visit the schools and read with/to the students and then dedicate some time to comprehension, or we bring the students back to the library and do the same. I feel like my ego is inflating every time we go to the schools because the primary kids literally see us coming miles away and start screaming and running out of class to greet us. It's a great and weird feeling, but I love to see how excited and attentive they are when we read together. One of the schools we visit is a school for deaf children. Unfortunately I don't have much of an opportunity to go there as much as I would like, because the schedule conflicts with another project. I am so glad the UBC students are making such an effort to visit the children at the deaf school as they have never had international students there before. The deaf school is on the same grounds as one of the primary schools, so I can just imagine they have seen people come and go after visiting there and they have been left in the dust. They have so much to teach us. I have learned the alphabet and some keys words, and even been given a sign name. They basically all gather around you and give you a name based on a physical feature. You have to let go of your ego and insecurities for sure and remember that there is no ill intention, they are simply observing the obvious! I'll show you all my new name when I get home;)
The reality check has been working with the Social Work Group at the library. We meet 3 times a week with a group of students whose purpose is to support members of the community and each other. I am so impressed with the students genuine interest in helping those less fortunate, when they themselves face many, many challenges. We have three major focuses; education, community visits, and income generating activities. On my first day I basically visited all the classes and introduced myself and what I hope to accomplish with them. I let them know that I would always be available if they want to talk or just get to know me and me them. The next day I had three students come to me throughout the day and open up about their struggle to pay their school fees. As much as I was grateful they felt comfortable coming to talk to me, I felt helpless in trying to work with them to find solutions. It is very difficult to imagine how these students feel when at home education is free and most of us take that for granted. These students are constantly reminded that education is the most important thing, and they must go to school in order to have a successful future. To be told that your entire life and then to lose both parents, be living with an elderly grandparent who needs to be cared for, and make just enough money to pay for rent and food for the family, only to be sent home from school unless you come back with a substantial amount of money is devastating for these young people. This is why I am trying to work with the social work group to develop some skills that we can use to generate funds. Tomorrow we are working on paper beads, and we will hopefully have a visitor next week coming to teach us basket weaving using banana fiber. I feel hopeful, and I know the students are interested, I just wish I had more time to really get the program on its feet. We have already missed two out of our three weekly meetings because more than half the school had been sent home until they brought back some money. I am even thinking long term and how I could set up a Social Work Group Scholarship Fund from home. I know I could do a fundraiser every few months and make enough money to support a large group of students pay for their fees for the year. I struggle with this idea for many reasons. One is thinking of the principles of the Uganda Project. Sustainability. Is something like a scholarship fund sustainable? How long will I continue to dedicate myself to the scholarship program? Another challenge for me is thinking about the international charity that swoops in and helps. The people here in Uganda are intelligent, resourceful, and capable people, and I struggle justifying to myself if bringing in international funding may in someway hinder the country's progression. These questions have no definite answer, and I hope I will get some clarity as my time here comes to and end.
Now that I have essentially written an essay, I have to say once again, that I am so grateful for this opportunity. I sometimes wonder what I could possibly be bringing to people here, when I am getting so much from them. Knowledge, passion, dedication, comfort, and friendship are some of the gifts I have been given, I only hope I can give them a fraction of the lifelong experience they have given me.

Tuesday, 12 June 2012


Less than one week left. I would like to think that time has gone by fast but looking back on my daily routines at Kitovu Hospital and weekends exploring Uganda I have had time to see and learn so much. We have three weeks left and although that does make me sad I am eager to take what I have been given here and apply it to my life and work back at home.
With it's organization and professional staff Kitovu has opened my eyes to how innovative and progressive Uganda is. The hospital it self is about 15 minutes out of Masaka's main street and the windy road leading up to it is nothing but green trees and flowers. The area it self is on a large hill that over looks a near by village clearly, in the distance you can also see Lake Nabugabu (which is connected to Lake Victoria). It's called Walungi (beautiful) Quarters and located on the far end of the hospital property. The hospital it self was built by Archbishop Joseph Kiwanuku in 1955 along with missionaries of Mary from Ireland, at that time everything at the hospital was free. Since then the hospital has been passed down to Ugandan missionaries. The hospital is also now private due to the lack in funding from Ireland. One of the missionaries in particular, Dr. Maura, has done significant amount of work on the grounds, after 50 years she continues to create changes. She has recently opened up a VVF (Vesicovaginal fistula) ward. This ward is open free of charge for all patients during a camp that is held three times a year. The recent camp ended at the beginning of this month and the amount of women here were flooding the grounds as they used the outdoor washing stations for their clothing and camped out in large black tent behind the ward. It's pretty amazing to see how much Dr. Maura has dedicated towards Kitovu. I had the privilege of meeting her this past Friday (Before this time I had seen her once at mass in the hospital cathedral). She called the social workers office and requested for a chart of a patient to be immediately delivered to her in the out patient department. This office is where I've spent most of my time with the senior social worker George and another social worker Miriam. During our brief phone call Dr. Maura told me that I sounded “very efficient” and asked who I was when she requested the chart. After hanging up I ran over to the records room. I told Specy (the record keeper) that this was an emergency she was laughing at how nervous I was. Her and I got started on sifting through stacks of paper that the hadn’t been filed yet. At this moment I was thinking wow after wasting time going through all this paper work Dr. Maura will be thinking “I guess this Amanjot from Canada isn't so efficient”. What felt like forever after about 5 minutes we found the chart and I bolted over to deliver it. She was very happy and greeted me with a genuine smile and curiosity about why I was here and what my name was. It was nice to see how humble and welcoming she was to me.
One thing I have noticed about the staff here are that they are very happy to be working in such a great place, they get treated well and I haven’t seen any signs of burn out. Everyone truly works as a team. The hospital it self is organized in a such a way that makes it easy for patients to receive various types of treatment. They have three theaters (operation rooms), a large maternity ward, surgical ward, x-ray, ultrasound, a children ward that is connected to a nutrition ward. In this ward malnourished children with their mothers can stay at the hospital learn how to cook and take care of their children properly until the child is treated. As social workers our team is frequently visiting this ward to visit mothers who may be abandoned by their husbands or cannot afford their bill upon discharge. The hospital also has a large laboratory and a regional blood bank that delivers blood to surrounding clinics and hospitals. I recently donated blood there which goes into a 450ml bag used for one adult or can be separated into three bags for children. The laboratory delivers immediate results for patients for example if the doctor needs a stool sample you simply head over to the laboratory, they give you instructions and deliver your results while you wait outside. You then head back to the doctor and they assess you with medication etc. Compared to Canada I think this is a pretty great system how all services are connected and work together. At any time if anyone has a social issue with money, burial services, transportation, HIV counselling or food the patients are sent over to the social workers office. This is where I have been meeting patients, building rapport through George's great translation as he allows me to engage in conversation as they sit close to me and I also use eye contact and gestures because although they cannot understand me I try my best to use non verbal ways of communication as George is translating my English to Ugandan.
Being here I have really kept in mind the idea of doing no harm I have stepped aside and tried to learn as much as I can, especially from George and Miriam. I have tried not to be responsible for directly delivering services and instead been a learner who supports the great staff members. It's hard to explain in words how challenges at the hospital affect my daily feelings and more recently I have often wondered how important the concept of doing no harm is. I can't help but think that my time here is and was for the most part learning, sitting back and taking in the way Ugandans handle situations. For example in the social work office, various patients and watching the way children are raised. If there was one thing I could I guess “contribute” to the people I have seen would be the gift and opportunity of education so that women especially, for me the ones in the nutrition and VVF wards can feel empowered and gain skills in confidence that can help them in child rearing and their own personal growth.

Wednesday, 6 June 2012

Uganda has captured my heart!


I don’t know where to start?  Uganda has captured my heart. Masaka is my home. I have this feeling here like I have been here before, like this is my home and I have come back. I know I sound sappy and cheesy but it is really the only way I can describe my time here this far.

I enjoy the food, the people and the weather. I feel accepted and like my practicum is the place for me to be. I have learned so much about myself in these past few weeks. The technical things are good to learn. Like mental health here and how people view it. The medications used… however it is the non-technical stuff like going into the community and peoples home then eventually their hearts is what has moved and changed me.

I came with the intention of learning about the traditional ways of the Ugandan people. I have since met many traditional healers and birth attendants that have been open to sharing their work and culture. This is the most amazing experience I could not have even imagined it to be. I feel a strong connection to what they believe and our traditional beliefs and practices at home with my people.

I didn’t use the word blessed until recently because I honestly feel blessed. I feel touched and honoured to have this time here sharing, learning and growing. I look forward to the weeks that come and I also feel a little sense of dread to go home and leave a piece of my heart here.

I have experienced music, dancing, food, language, art and culture. I am open to new experiences as they come. I have gotten my hair braided and the people here have really taken to it. I have taken it out after the month is over but I miss the braids already and know I will do it again before we leave. I have gotten a traditional dress called a Gomez made for me and I will be wearing it to an introduction that I have been invited to on our last day here. I think such an experience on my last day is really a fantastic way to say goodbye.  

Past the midpoint...


Well we’ve passed the half way point and it’s hard to believe! In some ways it feels like I’ve been in Uganda for years, in other ways it seems like I just arrived yesterday. I’m still surprised at how at home I feel here. I expected to be much more apprehensive, more on edge, and totally unsure about myself and my surroundings. The people here have really made me feel at home and seem to sense when you need a word of reassurance or a good laugh. Humour is plentiful here in Uganda and even better when it’s at your own Mzungu expense!
My practicum placements continue to challenge, inspire, and motivate me on a daily basis. I’m placed at Uganda Cares- an HIV/AIDS testing and treatment centre that is located on the Masaka Hospital grounds. The centre serves at least 250 clients per day and I’ve seen days where they’ve recorded over 500. I work mainly with the counselors who do various types of counselling- medication adherence, pre ART (antiretroviral therapy) initiation, sex education, pre and post testing, discordant couples (one person is positive, one negative) etc. It’s been so interesting to see the various techniques and skills they employ and the huge impact they have on their clients. I’ve seen so many things that would never be done in Canada, completely unconventional tactics, but they always seem to meet the client’s needs. They have really thrown me into the deep end, so to speak. One my second day I was brought into a room of 60 couples, given a box full of condoms and an “apparatus”, and told to lead the clients through a condom demonstration. I wish I could have a picture of my face at that moment. On a more serious note, in my second week the counselor was needed in the triage department and I was given a stack of test results to deliver. I wanted to wait for the counselor to come back to ensure I delivered the results correctly and in the appropriate manner. I sat waiting with the results, having 5 faces looking back at me. I tried to explain that I had to wait for the counselor to return. She was probably gone for 10 minutes but it seemed like an eternity, and probably more so to the clients I’m sure. When she returned I proceeded to give the results. They clients received the results in a very unemotional way, whether they were positive or negative. I asked the counselor about this and she plainly remarked that to them this was a very normative experience that often becomes part of their daily life. It can get quite overwhelming to see the hundreds of people coming through the doors-adults, older adults, youth, and many, many infants. Parent to child transmission is the most prevalent mode of HIV transmission. Whenever I start to feel despair over the prevalence of HIV/AIDS in Uganda I remind myself that having centres like Uganda Cares is helping to combat this epidemic and that with each client we get the opportunity to test, treat, and offer compassion and support.
My second practicum, Child Restoration Outreach (C.R.O) is an organization for street youth. Many children in Uganda leave their homes due to abuse, extreme poverty, and wanting to earn a wage being employed by the many child labour industries. Contrary to popular belief, my own included, these children often have families and are not truly orphaned. CRO believes that a child’s place is with their families, if it is a safe environment, and work to provide counselling to the children and their families, provide school fees for the children, and have started initiating income generating grants to families. The kids are incredibly tough and have clearly suffered intense trauma in their short lives. The kids range from 5-19 and have amazing stories to tell, if you spend the time to get to know them and earn their trust. I’m still struggling to find my place at the centre and determining what my contribution can be. After having some difficult days witnessing some difficult situations I’ve discussed developing some educational resources for the staff. CRO is a very high stress and intense environment, for staff and children. I’m excited at the idea of gathering resources on childhood trauma, dealing with aggression and conflict, and team building that I can bring to the staff to start some dialogue on how the organization can work towards their goal of providing and safe and supportive environment for these kids.
Each day I’m reminded of the guiding principles of the Uganda Project. I have truly come here as a learner and I get overwhelmed by the amount I am learning each day. I’m learning about Uganda-the culture, the land, the people, the social issues, about myself, and about our society back in Canada. I’m constantly considering opposite sides of an issue or a thought, trying to comprehend the Ugandan and the Canadian contexts. Having money for school fees or to start up a small income generating enterprise is a huge barrier. The issue of illiteracy is highlighted in almost every situation I come into contact with. These are things that are taken for granted in the Western world. But then I think about the capacities and gifts that are so abundant here in Ugandan. Their ability to survive using only the materials and resources present in their own country, the pure ambition and resourcefulness of people, and their genuine gratitude for life’s simplest but greatest pleasures-food, water, and the love of friends and family.
When I think about the short time we have left I’m immediately filled with great sadness. I know I will leave Uganda with so many memories, lessons, and more questions than when I arrived. I can’t wait to see what the next half of this journey has in store….

Wednesday, 23 May 2012

Jaclyn ECED --half way


Well the past five weeks have been a whirlwind! So much has gone on, and we have seen and experienced more than I thought we would have by this point in our adventure, it makes time seems to just zip past without me realizing it. My days seem so short and I wish for more hours every day. My favorite thing to do here other than my practicum is to just go into town and explore the different shops, people are so friendly here, though the constant snickering and double takes you get when you walk past people can get a little tire some if you are not in the right mood. The other day me and Florence (my practicum supervisor) were walking into town to purchase some things for the practicum site and we walked past a bunch of bodda bodda drivers. As we walked through the crowd all you could here was ‘Mazungo’ (that means white person who burns in the sun and melts in the rain haha) and little snickers. I asked her what they were saying because we never understand what they are saying. She said that they just are surprised how tall we are they are not use to seeing women so tall. I don’t know if she was just being nice, but I will try to believe that’s what is being said haha.
I have learnt a lot about myself since being here. I have learnt how important life is, and how it is a waste of time to really stress about things that you have no control over, you have to really just take things as they come and not worry about them before they happen. They will either happen or they won’t. I have also learnt how important it is to do all you can for those you care about. So many people here have amazing stories and are doing so much more than you or I could ever even think of doing, and they do it, not for money, or for gratitude, but rather because it is the right thing to do.
This week is my last week at the Hospital day care center and I will be going to the baby home on Monday, I am very excited and sad about this. I have formed amazing relationships with the children at my current placement and I will feel like I am leaving a part of my heart and soul behind with them. However, I am very excited to build relationships with the children at the baby home. I hope all the children I have built relationships will always remember at least one reason why I made them laugh. Or one moment that will bring a smile to their face. For me every smile I bring to a child’s face is reassurance that I am in the right place and I am making a difference, because in that moment when they child smiles, they are truly a child.
People keep asking me if I am missing home yet, or if I am culture shocked from being here. My honest response (sorry mom) I am not really missing home yet, I am so busy here and there is so much to take in I really have not had time to miss home yet. And if probably helps that I am planning for when my mom arrives to travel with me. As for culture shock I did not really experience this, I think if you had never seen what Africa looks like, or had never travels to a developing country that maybe you would experience this. But for me I think I took everything in stride and I have embraced all that is different and all that is the same.
I honestly love it here and I can truly see how people move to Uganda, it is a beautiful country with amazing people and good intentions. I urge all people to travel here if they ever have the chance.
I feel very at home here, I feel more a part of this community than you often do at home. Here when I go to buy my vegetables I know the man who sells me the food, I know him by name and I take time and talk with him. When you walk down the street someone will come up and talk to you. Though one frustrating thing is when you are planning on meeting someone and they are on ‘African time” ( as our taxi driver and friend Nassur calls it) and they are 30-60 mins late.
I have been asked what is the first thing I am going to do once I get home… Well honestly I am going to go and buy some sushi and then go and take a HOT shower… I miss hot water so much!

Anyways I will write again soon, and tell you all about the baby home, I love it hear!!!
I leave you with these great words:

                Every great dream begins with a dreamer. Always remember, you have within you the strength, the patience, and the passion to reach for the stars to change the world. --Harriet Tubman