Validations- Two Tales
Tale 1. The Nurse
Uterine cancer is the scourge of women throughout the developing world. Paraguay is no different. The country ranks sixth in the world for uterine cancer deaths. Insufficient knowledge of their own sexual health leaves women ignorant of the value of this life saving examine. Jealous husbands often prohibit their wives from getting the exam. Moreover, my local hospital NEVER returns results of those who are proactive do seek treatment.
One of my ongoing programs has been PAP smear promotion. Pap smears are the cheapest and most common early detection method. Early detection and aggressive treatment has reduced mortality in the developed world. Unfortunately in Paraguay, the state has not funded pap smears and or other cancer prevention and treatment programs in 30 years. Until now the UN assumed this role. This year marks the first time the state will met this responsibility.
With the cooperation of the local obstetrics nurse, we have circumvented the inept local hospital. I do the leg work on the ground, working with local women to heighten awareness and encourage women to go for the exam. The nurse waived her consultation fee and offered a reduce price for the lab work and free follow up visits. The women only pay 20.000Gs[1] and the cost of any additional medications.
During a recent trip to town, I visited the nurse. She surprised me saying, “You know, the women trust you. They have faith in the work you do and that you are always looking out for their wellbeing. Everyone that comes here tells me so. I just want you to know that.” I had no idea that for all my endless jabbering in pigeon Guarani, that I was getting anywhere.
[1] $4US or the day’s wage for male farm worker.
Tale 2. The Running Water Project
Today after the church service, Javier, the youth coordinator, stood up to make yet another announcement. Instead of the usually injunction to the confirmation candidates, he implored the community to please come to the running water meeting. The project, a practical training in soliciting municipal funds, is an outgrowth of a European Union sponsored initiative to improve transparency and citizen participation. FarinaCue’s request is for money to expand an existing running water system. Results seem assured, yet folks still won’t come to the meeting. Ringing his hand Javier implores his neighbors to pleased come the meeting or at least kick-in for bus fare to send a representative to the regional meetings in town.
As distressing as it is to see such apathy it is oddly reassuring. For months now, on the bad days, I have been blaming myself. My projects limp ahead. No one in the community wants to take the baton and run. I blamed my bad Guarani, my poor Spanish, maybe I wasn’t persuasive enough, or maybe if just gone and done more visits things would have been different. Javier standing up make the same plea, reminded me of what I occasionally forget. It’s not me, it’s them.
Uterine cancer is the scourge of women throughout the developing world. Paraguay is no different. The country ranks sixth in the world for uterine cancer deaths. Insufficient knowledge of their own sexual health leaves women ignorant of the value of this life saving examine. Jealous husbands often prohibit their wives from getting the exam. Moreover, my local hospital NEVER returns results of those who are proactive do seek treatment.
One of my ongoing programs has been PAP smear promotion. Pap smears are the cheapest and most common early detection method. Early detection and aggressive treatment has reduced mortality in the developed world. Unfortunately in Paraguay, the state has not funded pap smears and or other cancer prevention and treatment programs in 30 years. Until now the UN assumed this role. This year marks the first time the state will met this responsibility.
With the cooperation of the local obstetrics nurse, we have circumvented the inept local hospital. I do the leg work on the ground, working with local women to heighten awareness and encourage women to go for the exam. The nurse waived her consultation fee and offered a reduce price for the lab work and free follow up visits. The women only pay 20.000Gs[1] and the cost of any additional medications.
During a recent trip to town, I visited the nurse. She surprised me saying, “You know, the women trust you. They have faith in the work you do and that you are always looking out for their wellbeing. Everyone that comes here tells me so. I just want you to know that.” I had no idea that for all my endless jabbering in pigeon Guarani, that I was getting anywhere.
[1] $4US or the day’s wage for male farm worker.
Tale 2. The Running Water Project
Today after the church service, Javier, the youth coordinator, stood up to make yet another announcement. Instead of the usually injunction to the confirmation candidates, he implored the community to please come to the running water meeting. The project, a practical training in soliciting municipal funds, is an outgrowth of a European Union sponsored initiative to improve transparency and citizen participation. FarinaCue’s request is for money to expand an existing running water system. Results seem assured, yet folks still won’t come to the meeting. Ringing his hand Javier implores his neighbors to pleased come the meeting or at least kick-in for bus fare to send a representative to the regional meetings in town.
As distressing as it is to see such apathy it is oddly reassuring. For months now, on the bad days, I have been blaming myself. My projects limp ahead. No one in the community wants to take the baton and run. I blamed my bad Guarani, my poor Spanish, maybe I wasn’t persuasive enough, or maybe if just gone and done more visits things would have been different. Javier standing up make the same plea, reminded me of what I occasionally forget. It’s not me, it’s them.
