Newsletter
#2 - February 18, 1998 |
I have been in my village for 4 1/2
months now. At the time of my last letter, I had been
here for only a month. A lot has changed. At about
the second month, culture shock hit me very hard.
The villagers have little concept of how different
my home is from theirs. Their world is very limited
in scope. They know little beyond what they hear on
the radio and read in the (limited) textbooks. Few
people travel.
It is rare to talk about feelings.
People talk about events, who's going where, who died,
who was born... but not how they felt about those
events. The two words we use most for describing feelings
are "happy" and "tired". Anything beyond that, such
as "sad" or "angry" or "fulfilled" just isn't in their
daily vocabulary. Especially "sad". I think it made
people very uncomfortable when I expressed sadness.
I took a few days off and came to Conakry
at Halloween, and had a much-needed perspective break.
I spoke lots of English. I felt that I had emerged
from some very long dream...not quite a nightmare,
but definitely another world - an all-encompassing
world, that makes you forget that there is something
else beyond, so there is a sense of surprise and relief
when you wake up.
After I got back from Conakry, I started
working on alleviating one of the first problems I
had at site. The most persistent problem that health
volunteers have is role-definition, because our job
is not very structured. We are not teachers, we do
not teach school from 8 a.m. to 3 p.m.. We do not
have an office or a boss. In a way, we are really
free-lance volunteers. You know all those nice, useful
things that you always wished you could do for your
community, but didn't have time for because you have
a full-time job? Well, that's sort of what my job
is -- Volunteer At Large - and the U.S. Government
even pays me to do it!
Since our job is so nebulous and unstructured,
often our Health Center staff tries to make use of
us in the way that helps them out the most. In my
case, as in many cases, they told me to do the Prenatal
Consultations. Pregnant women come in on market day
and we do the basic pre-natal check-up - measuring
the stomach, taking blood pressure, asking a few basic
questions and giving some iron pills and anti-malarial
medication. From my second day at site, they put me
in this office on market day (Sunday) and said that
that was my job. Peace Corps Volunteers are not supposed
to take a post in the health center, because that
is not sustainable. If we train somebody else to do
the work, then that will last after we leave. So,
after coming back from Halloween, I felt a little
more certain of myself, and had spoken with my PC
supervisor and he agreed with me. We spoke with the
Health Center staff several times, and the point was
finally made that I'm not to be charged with a specific
post. I still help out once in a while when it's very
busy. And just last month, we finally managed to hold
a formal training on the pre-natal consultation for
two people in the health center. It took 3 months
of asking, but it finally happened.
My work has continued to be quite varied.
I still observe at the health center from time to
time, and make suggestions as to how things could
be run better. The next push I want to make is to
get them to chart the babies' weight on the growth
chart, so we can track malnourishment. The health
center facilities are very minimal. We have four walls,
some basic medicines (aspirin, antibiotic, iron and
vitamin pills, anti-malarial pills, saline IV drips),
plus iodine solution and gauze bandages for wounds.
The "doctor" actually only has a nurse's training.
He diagnoses a standard array of illnesses -- e.g..,
malaria, respiratory infections, parasites -- and
gives medicine, without explaining to the patient
what they have, how to prevent it, or what the treatment
is going to do. Even if he did, they probably wouldn't
understand, or even believe him. I'm not even sure
he's diagnosing the right disease half the time. One
thing to realize about the medical structure here,
however, is that it is designed to be "medicine for
the masses". They prefer to reach a lot of people
regarding basic general health needs, rather than
only reach a few people with highly specialized health
care. As such, I'm sure that 95% of the time the "doctor"
correctly diagnoses malaria (or whatever malady),
and as such we're helping the vast majority of patients.
I've also visited a lot of Non-Governmental
Organizations and talked with various officials and
visited the local hospital facilities. Making contacts
is one of the more useful and time- consuming things
that I do. I've also been involved with a women's
gardening co-operative, which is only just now really
starting to take off. I'm more of an observer than
anything - I did not start the project. I'm curious
about agriculture here because there is not a wide
variety of foods available, which has obvious implications
for nutrition. The women plan to sell the vegetables
in the market, and any sort of income-generation is
very useful. Whenever I think of something that people
can do to improve their lives, it seems that it's
not possible without outside financial assistance.
They hardly even use soap, it's too expensive.
One of the major projects I worked
on in the last few months was planning activities
for World AIDS Day. We had a football game and AIDS
talk, an AIDS-themed dance party, and a AIDS talk
at the health center. This took quite a bit of energy
to pull together, and there were some problems, but
overall it went very well and I was very heartened
by the way that the community pulled together to make
it work. That bodes well for future projects. People
still don't really understand the threat of AIDS here.
The local joke is that the letters
SIDA actually stand for Syndrome Imaginaire pour Descourager
les Amoureux -- Imaginary Syndrome for Discouraging
Lovers. Condoms are not yet widely available, and
rarely used. Guinea has not yet been as hard hit by
HIV as most African countries, because the borders
were closed up until the death of the dictator Sekou
Toure, in 1987. But the numbers are rising rapidly,
since Guinea is a polygamous society where extramarital
affairs are the norm. I feel like the two most important
messages I can convey are AIDS/STD's and family planning.
I'm also planning on getting involved in the schools.
I have a program set up to do health education classes
for 4th - 6th grades. So far, I've taught a few classes,
and once they got used to my funny accent, it's gone
well. I taught a song "Wash your hands" to several
classes, and now every time a little kid sees me on
the street, he treats me to a little serenade... I
also plan to go into the larger town to do family
planning and AIDS classes for the middle and high
schools, which will take a lot of time.
So, as you can see, work has started
to get rolling for me. It's only in the last two months
that things really started to click, because I've
become comfortable with the languages (not conversational,
but comfortable) and life here, and I know how to
communicate African-style a little more. I've made
some friends, and know who I like spending time with.
Things have definitely gotten better since the first
terrifying month.
Probably one of the things I love the
most here are the taxis.
Any other volunteer would probably think I'm crazy.
Taxis here are the bane of our existence. They are
slow, they are crowded, they break, and they never
leave when you want them to. But they are so quintessentially
Guinea, life is so real and inescapable in a bush
taxi, that I really do enjoy them. This is not to
say, of course, that I haven't engaged in my fair
share of screaming matches with taxi
drivers, or angry glares with policemen at barricades.
Enjoyment is not the same as fun.
It gives me a perverse joy when the
taxi driver has to push a foot off the windshield
so he can see the road. We careen between the rocks
and gullies, peering through the dust, listening to
the squawking of the chicken in the trunk. Some friends
of mine were in a taxi once that had a goat tied to
the roof. Unfortunately, the goat wasn't well attached.
When it fell off, the driver kept going for a few
minutes, dragging the poor creature along. Another
group of friends had the amusement of watching a group
of men trying to stuff a cow (live) in the trunk of
a Peugeot. Apparently, they succeeded, and drove off
down the road...
There is a main National Road that
runs down the center of the country. It is paved,
and there are a couple short capillary roads running
off of it which are also paved. This national road
is about the size of a small state highway, and winds
through hills and small villages. It takes about 20
hours to drive the length of it, which is the equivalent
of driving across Colorado. I did the entire trip
for Christmas, when I went down to Nzerekore, the
forest. We gathered eight volunteers from various
places around the country, and 'desplaced' -- paid
for all the seats in -- a 9-seater car. This made
it much more comfortable, and meant that we didn't
have to wait for any Guinean passengers to stop and
see their uncle or aunt or girlfriend on the way.
It also meant we got a lot of attention at the barricades
-- a car full of white people.
Christmas was great. It was so good
to see everyone. On Christmas Eve Day, we wondered
what we should do to celebrate. We elected Jeremy
as Fowl Boy; he came back a half-hour later with 3
ducks and 2 roosters dangling, bad-tempered, from
his fists. The Guinean guard helped us kill and clean
them, and we had wonderful grilled duck with sweet
and sour sauce. Pasta salad, lettuce salad, and chocolate
cake were the accompaniments to this feast. For 25
people. Created with only a small camp stove and a
small charcoal pit.
The next day, I visited a vine
bridge. Fowl Boy took me and a few others to a
small village that has an amazing vine contraption
swinging out over a large river. The villagers sold
us a little bit of rice, and a lot of palm wine (a
naturally fermented vinegary-sweet wine that is tapped
directly from a certain palm tree).
Right now I'm in Conakry (obviously,
since I have no computer in my village). We just finished
our mid-service training, which was held on a small
tropical island with a view of the beach. We sunbathed
and swam during coffee breaks. I tell you, this Peace
Corps thing is hard... ;)
I really enjoy the company of Guineans.
They laugh at my jokes. Or maybe they're laughing
at me. Whichever, we have a good time. One thing that
does disconcert me, however, is to realize that I
do have the luxury of enjoying this place. I can expound
on the joys of African life - because I can afford
to. Because, quite frankly, I can leave. I made the
choice to come, and I can make the choice to stay,
which is unlike the situation of my Guinean friends
and colleagues. I get very frustrated with the constant
questions regarding U.S. Visas, but I also understand.
It's not that it's so horrible here -- it is hard,
but not horrible. But because it is so very difficult
to leave, everybody wants to. By fortune of birth,
I have this U.S. Passport, which gives me more freedom
than we often care to think about.
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