Friday, 23 April 2010

effin apple

today, an hour before my super huge meeting was supposed to start . . . when i was finalizing proposals, creating powerpoint, printing stuff, etc. the powercord to my ibook stopped working. i fought with it for about 15 minutes until i realized it was pointless and i needed to get all this other stuff done.

i was running around the hotel trying to get these documents printed. i had them on a thumb drive and they would load fine to the antiquated PC's in the business center, but wouldn't print. i started getting more panicy! i had worked on this project since august, and really fought for it. i felt like my but was on the line. the whole reason i was as tenacious about getting here as i was, was that i had to seal this deal.

here is the deal: i am pretty convinced that getting people clean water is a easy win. i also think access to clean water is a human right. so i conceived this project to get access to clean water and training on how to clean water, wash hands, other hygiene and sanitation training out through the christian health associations in zambia and kenya (which are providing approx 70% of the health care in their repective countries) health clinics. i insisted that a rigorous monitoring and evaluation (M&E) component be part of each intervention. this meant that we could only pay for the implimentation of the program in zambia, but we could pay for the M&E in both. i assumed our investment in the M&E would make it easier to sell the buy in on funding implimentation.

in zambia we conducted a baseline study in february in 15 rural clinics. all demonstrated a clear need for the water treatment/hygiene intervention.
The main findings included the following:
• Three (20%) clinics reported treating water the day of the visit
• Four (27%) clinics had uninterrupted access to water
• Of 58 health care workers interviewed, 19% reported having received training on water, sanitation, and hygiene.
• Of 162 clinic clients interviewed, 3% had been taught about handwashing and 2.5% had been taught about water treatment at the clinic on the day of the interview

guess what happens to you if you take any oral meds at these clinics? or you have a big cut that gets cleaned out and sewn up? (i'll give you a hint: infection)

and we wonder why cholera is rampant in these areas??!! the simplest of interventions can turn this completely around. the CDC has used a similar model (to the one we are using in zambia and hoping to use here in kenya) and found that after the intervention:
• 97% of the health facilities had water containers present in patient care areas
• 59% of facilities had at least one container with detectable chlorine residuals present
• 79% of the health care workers interviewed knew the correct water treatment procedure
• 60% of the clients interviewed had been trained on at least one component of the safe water and sanitation protocols
• most importantly cholera and diarrhea rates drop.

for a broader picture, check this out:
• An estimated 1.1 billion people worldwide lack access to an improved water source.
• The health consequences of inadequate water and sanitation services include and estimated 4 billion cases of diarrhea and 1.9 million deaths each year.

anyway, i felt like sealing this deal today was important. that if we can show this works, we can direct more money to address these issues and save, literally, millions of lives (most under the age of 5).

so of course the UNICEF peeps arrive early and see me running around. i finally beg to just use the hotel's own office stuff and move someone off their computer and print my stuff.

it was kinda a mindblowing meeting. we met and sealed the deal in 45 minutes! it was amazing. so the kenya project is ON! about a million more people are going to have access to clean water now! 200 health clinics will have safe water stations, handwashing stations etc. and 400 community health workers will be trained to teach people the safe water protocols.

anyway, feeling pretty good, i grabbed a cab to westlands to find the apple dealer. i showed him my powercord. he found one that would work. i bought it and then made my way through the infamous nairobi rush hour back to the hotel. on the way back i did the math. the power cord cost $175 i am not exaggerating!

WTF apple???!!!! they are keeping their technology out of the hands of middle income africans by making their already overpriced products MORE expensive in africa?? what is that? i want to call them out. who do i write? i didn't even ask how much an ibook costs here, but if it follows this trend, you are looking at $5000-$7500 laptops.

am i alone in being peeved about this?

also, i have applecare still on my laptop, which means all the parts that don't work are supposed to be fixed for free for the first 3 years i own the machine. but i guess those rules don't apply to africans. i was told that applecare here is only for repairs. HA! because i have had this problem with ibook powercords in the past, and guess what, in the US you take your jacked up cord in to the apple store and they just hand you a new one, no questions asked.

why is there a double standard? UGH! i am super ticked off about this.

okay, i am going to bed, but seriously!

Thursday, 22 April 2010

things i learned today

i actually learned this stuff on wednesday. i was not able to get any internet access in kisumu so . . . this is a bit late, but still relevant (i hope) . . . i wrote the copy, but now have added some photos.

i am in kisumu, Kenya. i flew up at 7:am, and was incredibly tired.

not too tired to take photos tho!


i LOVE how used the land is. the lines and signs of agriculture


it is cool because i feel like i can tell the man-made stuff from the God made stuff
man likes straight lines
God really digs more meandering paths
i think there is something pretty instructive about life in this truth

this is the water of lake victoria

water and hyacinths of lake victoria
the hyacinths are taking over the lake
which is creating alot of innovation for uses of the plant
clothes, paper, etc

as soon as i arrived we headed out to see a group
who is selling waterguard and teaching people about
handwashing, sanitation, and how to use waterguard.

we met on the equator
as you can see

it was kinda a jungle

this is a group of people that are living positively
and helping to teach there community about safe water

this little one was so precocious and wanted to hang out with me the whole time i was there
she crawled in my lap and stole my pen
then decided that writing on skin was awesome
i budding tattoo artist maybe?

one of the products being distributed by these group is a solar lamp
that also charges cell phones
people in these villages will walk an hour
to get to a place where they can pay 20 kenyan shillings
to charge their phone
they have to stay there the whole time the phone is charging,
because if you don't your phone will most likely not be there when you get back
being able to charge a phone in your own village will be a revolution
it means people will be able to communicate more freely
and will save time and money!

this is the shop of one of the vendors
i bought some stuff here
it is cool to be able to buy directly from the artist!

the artist
you can't see what this is,
but it is a mobile with bikes made of wire and soda bottle caps

the shop

my exhaustion was so apparent that Alie, the program director for the Safe Water and AIDS Project (SWAP) here, suggested i go take a nap mid-day. i figured i would lay down for a minute and then go for a swim. i ended up sleeping for 2.5 hours. deep hard core sleeping. i woke up feeling like a new person. and that newness was apparent too. alie commented that i seemed like myself (we met this morning . . . i am kinda worried to know how lame i was before the nap.

Lesson 1: you have to take care of yourself in order to help others. being over tired and just pushing through doesn’t really work.

(a side note, if you are looking for an organization to donate money to, i would recommend this one)


alie is the mizungu in the red dress
the woman in the white shirt to alie's left is kathleen, she is the nurse for the clinic
everyone else is a community health worker


the clinic

SWAP, amoungst a number of other things, negotiates subsidized prices for products that provide water, sanitation, and hygiene. They train trainers to teach people how to purify water, how to wash their hands and why, and address other issues of hygiene. Using micro-enterprise, they train vendors to sell products that promote health. all of the vendors are living with HIV. the vendors sell a variety of things:

  • insecticide treated bed nets
  • soap
  • water treatments (water guard, pur, etc)
  • sanitary napkins (no tampons, because of concerns of TSS. in Kenya, people are quite thrifty and in a quest to save money, might leave a tampon in too long. i think there could be some education on this and it could help . . . seems like it should be an option. you can compost tampons . . . at least O.B.s)
  • solar lamps (which help reduce the amount of fires people burn in their huts
  • and a number of other things

I was amazed at the answer to my question: “what do women do who don’t have sanitary napkins?”

Answer: depends on where you are. in kisumu many people just use rags and other cloth. girls often miss school when they are menstruating because it is “embarrassing” to be on your period. they are made fun of by the boys if there is an accident (which happens regularly when you are just using a wad of cloths). this causes many teenage girls to stop attending school. imagine, ending your education because of your period!

the masi use cow dung as a pad. they dehydrate the dung and then tie it to their bodies with ropes and cloths. i am wondering if this creates a higher rate of vaginitis, and if other reproductive health issues develop. i don’t know. maybe dehydrated the dung is just a bunch of dry fibers and super absorbent. maybe the masi are on to something awesome in the realm of “reuse, recycle”. or maybe there are bacteria in the dung that create infection? i don’t know.

then in a tribe in the north of Kenya, near Sudan, where water is EXTREMELY scarce, women train the dogs to clean them off. they also train the dogs to clean off babies that soil themselves. so if you are part of this tribe and on your period, you don’t wear any underwear, and when you menstruate and feel that gush, you call the dog and the dog licks you clean. and no, it doesn’t necessarily feel good because most of the women in this tribe have experienced circumcision or female gentile mutilation.

lesson 2: the normal flow of life for women is an incredible barrier to education, productivity, money, and access.




this conversation lead to a conversation about how women do 80% of the work in Africa. this always infuriates me, but today i am grateful to have learned there is another side to the story. alie told me of some sensitization work that they do with tribal leaders and spouses. they go through a normal day hour by hour and have the men and women describe what they are doing during that time. it always shows that women are doing the lion’s share of the work. alie told me that one of the senior chiefs of a local tribe cried when he learned how unbalanced the workload was. he said he mourned that he had not realized earlier that he was making his wife and daughters work so hard.

frankly, i was shocked by his response. i am super good at turning gender issues into matters of us vs. them. i often see men as “the other” and feel very disconnected from their world. today softened that for me. alie’s story about the chief made me realize that there are men out there who once made aware will work to make changes. and that it is very difficult for them to see just how differently the sexes live. i know that this is true. that when you are not the one being discriminated against, it is very hard to see discrimination. by the time the non-discriminated become aware, the level is so high that it is even more difficult to change.

then later we were talking about the violence that took place in kisumu after the elections. i knew it was brutal and very scary, but hearing first hand accounts makes it more real and more terrifying. i will touch on this in a bit . . .

alie told me about a woman who had come from masi mara carrying her husband’s decapitated head. he had been chopped up into pieces and she couldn’t carry anything more, but insisted on giving him a proper burial. she carried his head in a cloth until she got to kisumu where she dug a pit to bury his head.

there is a whole book of stories that i could write, just from what i heard today.

as we were talking about all this violence and alie and cliff (the study coordinator for all of SWAP’s research) went back to discussing gender. i started saying that sometimes i feel sorry for men because they are trained so early to be detached from their feelings. “be a man and stop crying” or “don’t be such a sissy” or “you are acting like a girl” as if being a girl is about the worst thing a person could ever be.

as we talked about how trapped men were. how they are not free to be sad (let alone cry) and how they also can’t be too happy. how the level of intimacy they are able to experience in their relationships with other men or limited due to homophobia. etc. etc. you know the drill. cliff said something super interesting that i think will stick with me forever. he said “we are trained to live insane”.

i think it is true. men don’t have an outlet for letting their sadness, disappointment, fears out. i remember learning the DSM and being so upset at how feminine the definition of depression is. though i am not sure if it is socialization or genetics, but the DSM characteristics of depression:

  • sadness
  • teariness
  • lethargy
  • isolation
  • dysthymia (not liking to do things you used to take pleasure in doing)

are really feminine. it is an internalized emotion. whereas men (and boys) externalize depression. they get angry, aggressive, stay away from home, etc.

i was struck by cliff’s humanity. how he, and all men, are trapped in these definitions of what it means to be a man and thereby become captives to society at a similar magnitude that women are. only women have each other and men suffer alone. sure men perpetrate the bulk of the world’s violence and women are the victims of that violence, but it might be that everyone is feeling the same . . . scared, alone, sad, depressed but can’t get it out?


sunset at lake victoria

liz, you would LOVE this place

there was a thurnderstorm brewing through the entire sunset!
it was spectacular

following the theme of exhaustion, i ordered room service and went to bed early . . .

i took a photo of my salad because it was DELICIOUS
lettuce, tomatoes, avocado, green pepper, and oranges
b/c of the oiliness of the avocado
and the acidity of the orange
you don't need any dressing
just some salt

you know your hotel is swanky when they have their name lithographed on the sheets!


what is this fruit
it is ENORMOUS
but no one knew what it was . . .
@ least of the peeps i asked

the next day we went to the CDC/KEMERI research station. it was a super informative meeting, i won't get into the details. i do think most people don't know half of the super cool things the CDC does!

turns out that president obama's father is from a kisumu village. his grandmother (sarah obama) still lives in her hut. she is 86 years old, and recieves visitors daily
apparetly the place went WILD when he won the election

it should be noted that in first grandmother obama's village
only 28% of the people have access to toilets.
cholera outbreaks are common here.

this is a place for lunch just outside the CDC

made me laugh

this is the flight out of kisumu
there was this beautiful storm brewing . . .
it is rainy season here
which is kinda awesome



Monday, 19 April 2010

fiasco of enormous proportions

i am laying in my bed at the norfolk hotel in nairobi without my luggage. i just arrived about an hour ago. i left friday night to get here. the volcano in iceland changed the course of this trip considerably. this is a quick summary of how i got here.

thursday evening at a reception for our office's H1N1 "non-traditional vaccine site" grantees john asked me if i was worried about traveling the next day. a large delegation of people were supposed to come to kenya and zambia to check on our safe water projects and make sure they were running smoothly and felt connected; see the HIV free generation work, particularly their work on health asset mapping so that we could import the "technology" to the US; and finalize a deal with UNICEF to partner with us in expanding our safe water work. the large delegation ended up being whittled down to just me and john (from emory university). this was just fine by me because john is a fantastic travel buddy and we have a great time together.

the faith-based and community
H1N1 flu team
alexia, me, stephanie, scott

i had been so swamped with work that i hadn't read the newspapers and was not aware of the volcano that had erupted in iceland. john told me about it thursday night. on friday morning i called delta after reading that the airspace over europe was closed. john and i were flying from atlanta to amsterdam and then amsterdam to nairobi. at about 10:am we both stepped out of our meeting and started making calls to delta to see if we could be rerouted.

just after learning of the volcano
me, alexia, sandy, john, melane, stephanie


i was on the phone for 2 hours with delta. i left no stone unturned. we explored flying to dubai, mumbai, tel aviv, tokyo, rio, moscow, seoul, bangkok, hong kong, sydney, all hubs on the african continent, and i am sure there are more i can't remember. i ended up being routed through buenos aires where i had 36 hours to hang out, then capetown, jo'burg, and finally nairobi.

john was not able to be rerouted. they offered to refund his money, but because he was in a lower class of service, they wouldn't do for him what they were doing for me. it is so weird how at the airport the class system is so alive and well and not only that so in your face. so "low-class john" (who is so much higher class than i am outside of the airport) stayed home.

i got to buenos aires without sleeping . . . i couldn't get any sleep on the plane for some reason.

this is the first photo i took in buenos aires
i love the "we ran out of funding and just stopped making the highway, highways!

i stayed in san telmo
this was a block from my hotel








i rented a bike and tootled around
for some reason my stupid computer
ate my favorite photos of me on the bike and the bike itself
it was orange!
had a big basket in front!



cool bridge alert

seriously!?





look! it's bella's sister

he looks so sad here,
but also just tired
if he didn't have the crown of thorns on his head
making blood drip down his body,
i would say i totally relate to His sentiment!
sometimes you just have to let go and let whatever is going to happen, happen


this whole biking system was AWESOME!!!
i want DC to do something like this...
it is built for commuters and tourists
and it is awesome!



i also really love all the big and open green space in buenos aires!
i wish the people who keep deciding to put museums on the mall,
but not fix it up would
take some cues from buenos aires!


thinking of the TD's, Didi and Mimo!




i also love this huge shrine to the flower and stamens!






i just got my dinner so i am off. i also just realized that for some lame reason i paid $77 for dinner. i didn't check to see the conversion of shillings to a dollar . . . i think i gave the guy who brought my dinner $20 on accident. oh well, i am chalking it up to one of those days. so peli peli prawns, french onion soup and a salad does not a $77 dollar meal make.

also, learned that my luggage is in jo'burg . . . so hopefully i should get it sometime tomorrow . . .

for some reason, i thought of the video below . . . it made me laugh . . .