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Ashley Judd's diaries from Rwanda
Author:
Ashley Judd
News and Blogs page URL:
http://members.thecommunity.com/blogs/ashley
Description:
Ashley shares her diaries and photos from a trip to Rwanda for PSI.org.

IMPORTANT NOTE: THIS IS IN BLOG FORMAT -- DAY ONE STARTS AT THE BOTTOM. IT MAKES A LOT MORE SENSE AND IS MORE ENJOYABLE IF YOU READ IN THAT ORDER. (Besides you don't want to miss Day 2 or Day 4)
Day Seven
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We drove down the mountain with the valley below, traced by a wide meandering river. In the east was a wide rainbow, the magenta and violet were glowing. In the west, the sun was setting behind mountain after mountain and mountain. Everything was blue, even the air.  It was so beautiful. I listened to Tibetan bowls, talked to my God, got some things figured out, and the peace I have lacked for days that came back to me today when I cried and let it all out, deepened.

 

Earlier this week I had been finding it impossible to wrap my mind around the state of our world.  When I closed my eyes and saw skulls and femurs from the genocide memorials.  When I tried to see something else, it was Zainib’s basketball court in Bagdad, converted to a gallows were 20 people a day are being murdered. When I attempted to shut that out, my mind went to Northern Ireland, and when I blotted that out, a thousand other armed conflicts with all their wreckage racked my soul. Torn genitals in Congo, brothels in Mumbai, sewage strewn slums everywhere. Why, why, why, why, why, why?  I understood for the first time why “The Goddess of Nanking,” after personally saving thousands of terrified Chinese from Japanese tortures, promptly killed herself when she got back home to Kansas.

 

Driving down the spellbinding mountain and uninhibited once more in feeling my feelings, the answer came to me from a very soft place inside: self will.  I have free will, as do all others, and when I am (and they are) in it, look out. I am (and we are) self will run riot.  And that, multiplied by billions of people in and out (some more so than others) of self will, equals the state of the world, good and bad.

 

And so today I took the focus off all others and their heinous acts, and put it back on myself.  I turned my will and my life over, once more, to a power greater than myself.  So today, just for today, I get a reprieve from the dis-ease that lives in my head, that wants to convince me I am better than (or worse than) someone else. And just for today, I am not a genocidaire. I am not in a militia. I am not a rapist or a human trafficker.  I don’t think  that I, or anyone else, deserves to be punished, tortured, or murdered, for who they are, what they do, how they dress, whom they love, how they wash, how they worship, how they look, where they live.  Because today I have no doubt that with enough self will run riot, I could have become one of these persons, done any of these things. There for the grace of God go I.

 

Others, I cannot change. Myself, with the help of my Higher Power, I can. I am grateful today I was given the wisdom to know the difference.  It is a deep relief.  In addition to relieving me of the obsession of wanting to understand the totality of everything (I hadn’t even seen I was being grandiose, so complete was the distortion), I can feel such gratitude that today I know what to do without needing to worry about why everything else was done.  All I need to do is the next good, right, honest thing, whatever that might be.

 

For now, it happens to be to going bed.  It really is as simple as that.

14/08/2008 0 comments | Add Comment
Day Seven - Sonrise
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Sonrise is a special place. Built by an Anglican Priest to address the orphan crisis after the genocide, Sonrise pulls in the neediest orphans from all over the country.  Parish priests are well established in their individual communities and recognize vulnerable children. They bring the most desperate cases to the orphanage where they can be fed, watered, immunized, educated, protect, loved, raised.  

 

Interestingly, they call themselves a boarding school rather than an orphanage to help de-stigmatize Rwanda’s orphans. Additionally, to help meet the cost of running the facility (which are fantastically low by our standards), they accept 200 students from “intact” (which can still mean a non traditional nuclear family -- 1994 touched everyone) who can pay for the child’s room, board, and education. In addition to covering a bit of their operating costs, this address the wider social concern of integrating orphans into the society of other children, rather than isolating them.  They equalize all children regardless of their status by having policies of uniformity: the “rich” kids only bring 2 changes of clothes, so they don’t look fancier than the orphans (remember, Rwandais on average live on .80 a day), and Sonrise supplies the bedding to keep it simple (no higher count sheets for the posh ones, so to speak). All the dorms are the same. There are 7 bunk beds with sweet, colorful sheets that would appeal to any child, and in the corners was a small plastic cubby for each child’s changes of clothes and their notebooks.  That’s it.

 

But the place is far from austere. Classes resume tomorrow, and the large dirt courtyard (someone who reads this, please pay to seed grass for them!!!) was pleasant mayhem. The kids were running, laughing, carousing, exploring, and looking for all the world as if they didn’t have a care in the world, except when it was time to pull wide eyes at the arrival of muzunga, white person!  I could really get used to this greeting. It is truly something to be a constant source of amazement and joyous outbursts.

 

Tomorrow, the children begin their school year routine, waking up at 5:30 to make their beds, sweep the floors (they line the window sills with their little shoes, and to wash themselves.  At 6 they have a hearty, healthy breakfast of cow’s milk, eggs, and something else, I forgot what!  At 10 and 4 they have a fruit snack (banana and pineapple) and lunches and dinner are meat, potatoes, rice, and beans cooked with other vegs, onion, and fish. 

 

Sonrise is very, very proud of the healthy, fresh food they provide, and rightfully so. Everything is made in an amazing and beautiful pre Industrial kitchen. Wood was burning under the hand made oven that bakes fresh bread (delicious, I had some) and the store room was a still life, piles of carrots, cabbages, and potatoes leaning in corners on rough canvas mats.

 

The children wear white shirts (the girls’ have peter pan collars) and blue pinafores or pants.  And what do they do in these charming uniforms? Learn! They rank top 5 in the country each year in academic testing!  They recently have tested as high as No. 1!  Parliamentarians, ministers, business leaders, and the other elite of Rwanda jostle to send their children to be educated at this orphanage.  They are building a secondary school and matriculating their children into it as they grow up.  These are the only kids I have met who can speak some English and French, even the littlest.

 

Always thinking long term about the integrated education of the whole person, during the academic holidays the orphans go back to their home communities, as it is believed they do need to live to learn in a household and create relationships with their extended families and villages.  I did ask about how the Diocese ensures that those households to which they go for a 2.5 months are safe for children, who by their very nature are needy, vulnerable, and dependent, an orphan being an example in the extreme. The parish priests are responsible for bringing the child to live with him/her if the household is not suitable.

 

In spite of all they are able to do, this is a poor institution in a very, very poor country. They did not have a single malaria net and I noticed while studying their books that they were paying a lot for malaria care. Also, they buy firewood, which is expensive, and have to use labor to fetch (car, gas, time, etc) it as well as to boil water all day long to prevent diarrheal disease in the 600 kids and staff of 150.

 

Firewood to create safe water is a huge problem: it adds to deforestation, which creates erosion, which reduces topsoil for farming in an already hungry, subsistence land (it also creates greater catastrophe during natural disasters).  It diminishes habitat and biodiversity.  It is labor intensive and back breaking on people who need to be spending their energy and calories doing other things to catch a break, to get ahead of merely surviving.  It leads to children receiving the chore of fetching wood, and it’s always the girl who gets the task, so the boys can go to school.  It is amazing how nefarious this one thing is, firewood.  

 

Today we presented each child (all 600!) with a bottle of Sur Eau.  One tiny capful will safely purify 20 liters of water, a bottle will purify a child’s water supply for more than 6 months.  No spending precious financial, labor, and environmental resources on boiling giants vats of water.  We also gave each one a long lasted insecticide treated net, which will drastically reduce incidence of malaria.  One kid I met yesterday had malaria 4 times last year alone; this is so important for all children.

 

It is such a sweet place, I really enjoyed my time with the director Joy Businge, another gentle woman who held my hand.  We spoke intimately and closely about all they do, and she carefully showed me each feature, each room, each staff member, all the bedrooms, toilets, classrooms (so precious, the long benches with built in desks, lovely dark faces lined up behind them so earnestly ready to learn), the ovens, the giant, beaten tin pots filled with supper, the vegetable store, the cows, everything!  And I was delighted to see each thing.  Rwanda, such a mixed state, land of incredible natural beauty, abject poverty, scars of genocide, and blooms of healing like Sonrise.

 

We closed in a big circle, holding hands in the dirt courtyard, singing “Jesus loves me” and saying the Lord’s Prayer.  Earlier, I talked with them about what I do when I get scared (ask a friend if they can listen, get a hug from a safe person, write a letter to God, make a gratitude list), and after our prayers, I taught them how I do affirmations.  I left Sonrise with a hundred or so kids chorusing in Kinyarwanda, “I am beautiful inside and out! I am precious! I am worthy! I am intelligent! I am creative! I was made on purpose for a purpose!  I can do anything I set my mind to! The world is a better place because I am it!”

 

To read more about Sonrise, you may google it!  This article has links, too, on how to support them:  http://www.mustardseedproject.org/section.asp?secID=7

13/08/2008 0 comments | Add Comment
Day Seven - Dushishoze
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Dushishoze….say that 3 times fast!  Meaning “Think about it” in Kinyarwandan, Dushishoze comprises 4 youth centres nationwide where kids may access free medically accurate reproductive health information, services and products such as voluntary hiv/aids testing (with rapid results) and counseling (and appropriate referrals if they are +…I saw a positive test while I was there) and birth control, as well as activities that improve them socially and economically, with an emphasis on employability. The centers are full service, and I believe this holistic, integrated model is the best and most cost effective way to reach vulnerable youth for total poverty reduction; it is the way forward.

 

Looking at the old fashioned ledger in which kids who come to the centre sign in, many cited “games” as their reason for coming, but just as many came for counseling, and hiv tests, and for skills learning sessions.  The 4 centers country wide have tested no fewer than 25,000 Rwandais, a huge number in a country with the social disruption it has experienced.

 

Used to be, aunties and uncles where the folks in a family who educated young people about their sexuality. The complete collapse of family systems, however, in 1994 has left an entire generation, going into a second, in complete ignorance about their bodies.  The average Rwandais woman has 6.3 babies, and they start young. No one has any sex ed at all. It’s absolutely tragic. The centres have replaced traditional cultural practices that were wiped out.

 

The activities are so cool. There is a weekly call in radio show called “Abajene,” a rally cry for youth, which is hosted by a young idol we have empowered with medically accurate information.  For kids without electricity and phones (so many!) our Cinemobile does tours to rural parts of the country gussied up with an audio/visual kit in order to attract kids, give them “info-tainment,” and let them use the provided cell phone to call in their teen age dilemmas and inquiries.  On site, there is dance, singing, games, recreational pursuits, a football pitch, and job skill training.  Within these “services” kids learn everything from personal hygiene, prevention and treatment seeking behaviors (how/when/why to go to a medical clinic), and let us not forget, they have a chance to simply be kids, to play, to run, to forget, for a few precious moments, all their burdens and cares, the back breaking chores that await them at home, and how they will probably be going to bed hungry.  Again. 

 

I love this approach, not just because it is holistic, but because it embodies the ideal of collaboration with other grassroots organizations. 

 

The local Episcopal church is a great friend of ours in this area, and that represents a breakthrough PSI pioneered in Rwanda. After intensive negotiations, all 5 religious entities in Rwanda signed a “non aggression” pact, declaring they would not oppose sex education and pregnancy prevention for youth, and that they would support proven HIV prevention methods. The signees were the Catholic, Episcopalian, Protestant, 7th Day Adventists, and Muslim superiors and is thought to be unprecedented world wide.  Hearing about how intense the dialogue was, and how it almost fell apart many times, it fantastic to know PSI persevered and was able to help religious leaders grasp that they must not be obstacles to and contradict the use of family planning.  

 

Children ran about joyfully and my aching arms were at last filled with small ones to tote about with me, to shift from hip to hip, to load on my lap.  In the way of the poor, they could crowd on my lap, up to 5 at a time, and never complain; they are used to being crammed into tight spaces and they each seemed to grateful for touch and nurturing.  Maybe it was all the open windows and the mountain setting, but the children didn’t even smell so bad, except for that one fart!!!

 

“Baby” was a real favorite of mine. Chubby cheeked and wearing a dirty sea foam green polyester dress, she would stare ambiguously then reward me with an incandescent smile. She was wearing my necklace, which was a flower, and my sunglasses, upside down. I had to pee at one point and reckoned she probably needed to go, too, and she loved letting the sink water run over her little hands. She washed and washed, and I thought, Dushishoze in action!

 

Her mother is a sex worker who has been reached by Dushishoze.  She and her peers have been educated as to their incredibly high risk for HIV, STI’s, and unintended pregnancy, and how such pregnancies perpetuate the poverty and poor health trap.  They have been given income generating training to ease them out of sex work; as yet, though, they each need the money from one paid sex act a day to eek out a living.  Baby had a pile of brothers and sisters…regulating fertility is an alarmingly urgent public health need in Rwanda.  I can’t say it enough.  

 

As always, our time was too short and there was the uncomfortable emotional twist upon leaving in not having been able to sit with and honor each person’s story, from orphan to counselor to sex worker to teen ager who is head of house hold.  

 

Talking about programs like this is always tricky. They do remarkable things….the weekly call in show, nationwide, the 25k kids who’ve been tested, the one on one time that is holding the space a beloved auntie should be filling….but there is always in these desperately poor countries so much more, more, more that our programs can and should be doing.  It all comes down to money.  Rwanda's government  is literally doing everything it can, swimming as fast as it possibly can.  Rich governments like ours, foundations, the private sector, wealthy individuals, we need to be doing more.

13/08/2008 0 comments | Add Comment
Day Six -- Heal Africa
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There is a new looking compound set incongruously in Goma’s ruins.  In Cambodia, such villas are built by pimps.  I wondered what kind of people could afford such a palace in one of the poorest countries on Earth.  I was grateful to learn it was, in fact, my next destination and was dressed with a Unicef badge.  It is a medical clinic that specializes in genital reconstruction for raped women.  Yeah. You read that right.  Heal Africa, a sad, brave place.

 

Women squat at the facility hoping for services someday (they are that busy). Some with whom I visited with have lived there for years.  They were squatting in the courtyard, washing their clothes or the children.  They were sitting blankly on beds.  All looked unbelievably traumatized and dark.  Most clutched babies and a few were pregnant by their rapists.  One was disfigured from having been burnt, her otherwise night black skin raw and pink.  How was she burnt? I thought of a friend I made in Cambodia, an HIV+ sex worker, whose rapists had his faces mauled by a dog during the rapes. 

 

A clutch of women in a doorway, mute and scared, stared at me when I wished them a good afternoon and said good bye, and thanked them for letting me visit.

 

Their web site is:  http://healafrica.org/cms/   I do not mean to take away from it, but they make it look a lot prettier than it really is. The work is as good as described, it’s just not pretty there at all.  Maybe the photos on the web site are from before the volcano erupted.

 

http://jha.ac/2007/08/06/hell-on-earth-systematic-rape-in-eastern-congo/

 

The U.S., through U.S.A.I.D., is spending 2-3 million dollar for rape victim help, mostly trying to help victims connect with services.  It is a drop in the ocean…a good drop, but a tiny drop.  I met the USAID person in charge of this, a great young woman from Kentucky. I am very proud of her.  

 

Passing back into Rwanda was simple. No mysterious delays.  No attempts at extortion or graft. On the DRC side a menacing figure approached the car, demanding our documents when he knew good and well they were already inside; one simply does not encounter such intimidating acts in Rwanda.  

 

The breeze off the lake began to blow freshly again and the leaf cover from beautiful old trees provided shade.  On a grassy lawn a wedding was in progress with a magnificent view of the mountains. At the hotel, I sat near hibusicus and plumbago to write this diary; my friend from the gift shop brought me ceremonial ankle bracelets with bells for traditional dancing.  

 

Rwanda feels hopeful. The DRC is a s***hole.  I dread spending the next week there, cannot imagine why my friend Theresa took the post there (from Cameroon) and thank God I was not born there.  Our programs are fantastic, but they are a tiny help in the face of vast problems. In fact, we are about to run out of long lasting insecticide treated nets. Run out. As in, no more, finished, over, basta, done, forget about it.

 

Our staff has the will to execute the mission with integrity. My host today is the first girl in her family to go to school and has worked in development her whole adult life. She has 4 children, 3 of school age, and they attend. With the income she earns at PSI, she pays for their school fees plus employs in her household two women.  She said her parents are so proud of her.

 

We need funding to hire more women like her, which has an awesome series of positive effects on the employee, her family, her society….and we need money for the supplies of birth control, nets, safe water solution, and hiv/aids testing and counseling.

 

When asked what the Congolese have to be proud of, the director of the maternal health clinic said, “We have so much potential.”

13/08/2008 0 comments | Add Comment
Day Six -- Women for Women International
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The people here are not just reserved in a cultural way, they are cautious in the way of the stunned, of those who have lived with trauma, brutality, and suffering.  Of the hundred or so people I visited today, a few became soft and warm after a greeting, but most could merely give me superficial smiles that said, “Oh, hi, yeah, okay. Whatever, hi, bye.”  The rest of their countenance and demeanor was occupied with living horror.  They wanted to be nice and friendly – what they offered was all they had to give, and it wasn’t much.

 

Everywhere the car lurched, children with stunted growth stared.  Once eye contact was made and a wave offered, their faces would joyously erupt into smiles.  They wore tattered western clothes. I saw one little girl in a shaggy tutu.  The sight of her haunts me, the distorted Goma version of the precious little American girl who discovers ballet and won’t take her tutu off for weeks at a time. 

 

A balanced approach to provide complete solutions for poor people:

 

While PSI is working with its partners (USAID, UNICEF, Doctors without Borders, the CDC,  WHO, Gobal Fund, UN, etc.) to protect and empower poor people’s health through medical services, education, and products, Women for Women International provides literacy, hygiene, nutritional, educational, access to capital, and job skills. An NGO [non-government organization] with programs in 8 war torn countries, they pair, for $324 a year, a woman who can afford it with a woman who cannot. It sounds like a lot of money for a sponsorship, but my oh my, the money does so much!

 

In the midst of this ragged and doomed place is a walled courtyard filled with grass that is actually green, a garden that is actually tended, a building that is clean and proud. There were enough chairs for 20 (!) people to sit, and some tidy furniture.  I always wonder how these weird pieces of furniture of indeterminate style end up in place like this. 

 

I was greeted with joyous clapping, singing, and ululating, the great African vocalization.  I ran to the throng and threw myself at them, dancing and exclaiming my hello in the way of their culture.  After some time discovering each other in this way, I was introduced as someone who sponsors in W4W and who was there to hear their stories and to take those stories  them to America. (In fact, Women for Women’s biannual report, Critical Half, is about the transformative power of compassionate listening, and is the most inspiring, precise account of why I listen, why I write these diaries, why I reach out to others.)

 

We sat for hours, each woman taking her turn to stand before her sisters and me, sharing her life story.  They were each so incredibly beautiful!  The eyes, the cheekbones, the lips!  They wore traditional, colorful dress and I so want to learn to wrap a turban like that! They were all reached by a Woman for Women recruiter about the same time and have been in the program one year.

 

This is what those 4 ½ hours sounded like to me:

 

I am an orphan My husband was killed My 3 sons were killed I could not read I could not write I could not count I lived like an animal I have 13 children I have 10 children I am a widow I am a refugee I am an internally displaced person I fled with nothing, not even a cup I did not know how to feed myself I was half mad I was crazy I was a cadaver I was a corpse People in the street were afraid of me I begged  I scavenged in the dump I treated my children like animals My husband went to other women My husband’s people pushed me from our home when he died I was run off the land I was cheated because I did not know how to sign my name My children died I have taken in orphans I knew nothing I was filthy I smelled bad I came  to this area to escape violence I carried loads with my body to earn money for food I walked everywhere with my hoe to see if people needed my services if they did not I starved I had no where to go I was dead I had no idea how not to have more children I was in a constant panic I lived in terror I could not cope with stress I abused everyone around I was in a rage The psychological trauma was so great  I was abandoned I neglected myself

 

And then, the transfiguration:

 

I am the happiest woman in the world - I am so blessed - I know my rights - Women have rights -  I learned to read -  I learned to write -  I can asses the value of my small goods to ask a fair price for them - I received a small loan to buy fabric -  I sew now to earn a decent living - I can calculate my profit so I can manage my finances -  I save a bit and I use my capital to expand my business - I learned about nutrition - I know how to eat  -Vegetables are important -  I know where to get them -  Look at me I am clean! -  I use soap -  I use lotion-  My children eat 3 meals a day -  My husband and I are partners now  I have rights in the household – I have a voice - I keep my pamphlet which describes my rights in my pocket, it is with me at all times -   I was able to save enough to buy a small plot of land – I have my own home – I built my home- I am saving for my home – I was able to get back two plots of my dead husband’s land and I sold them for a profit - My soul opened up - A new woman was born inside of me - I use the money W4W gave me to pay the fees for my daughter to go to school -  In my culture no girl ever went to school but mine do now  - The woman who recruited me would not recognize me today – I thank God -  I space my births by at least 3 years – I am at peace – I am empowered – I live a respectable life – I have dignity – I have worth – I harassed all the governors so much, they were sick of seeing me, they would not give me back my land, but eventually they did – I joined another women’s rights group and they elected me their leader 

 

Their stories are unbelievable, each woman a Congolese Lazarus, nothing short of an absolute and total miracle. As we listened, the group made clucking and groaning noises of recognition, and would burst into applause at a particularly heightened expression of empowerment.  When the entire group finished, we talked in more detail about sexual exploitation, rape, HIV, malaria, and unsafe water.  Each woman had personally had malaria, yet strangely, not a single one slept under a net last night. Half had babies die from it. Most “knew” (perhaps they spoke of themselves) someone who had been raped. A few knew her HIV status, and again, strangely, only one was using modern birth control.

 

I was able during this round table dialogue to complement W4W’s extraordinary work by giving a reproductive health, safe water, and malaria lessons.  For example, I explained that one can become pregnant 31 days of the month!  Most said the only used b.c. during the “dangerous” times….we talked about injectable bc as long lasting and safe, but how they needed to use a condom each time to protect from HIV (all did have good perception of  their HIV risk).   We discussed the female condom as discreet option, though most said they could negotiate a condom with their husbands, as fine a tribute as possible to W4W. I told them about my recovery buddy, and asked if they would be willing to make a commitment with a friend to buy long lasting insecticide treated mosquito nets; they gave their word to one another and committed to following up….today!!!!!  All raised their hands and said she would begin sleeping under a net immediately.  “Imagine how you would feel,” I said, “If you had to write your sponsor that you had missed your W4W graduation with a case of malaria!  You came here to learn how never to neglect yourself….so step up and protect yourself from malaria! (Congo’s children account for 1 in 20 malaria deaths world wide; these great women lose their productivity if they are sick with preventable diseases….)

 

That last paragraph is not meant in any way to suggest that W4W’s work is partial or incomplete. In fact, their work is extraordinary in the maximum. I was visiting with only 20 out of thousands of Congolese women they have reached, and this group is not finished yet with their “topics.”  It just means that it takes all of us NGO’s working in partnership to provide a complete solution to an exceedingly complex and varied series of life challenging problems that confront the poor. We specialize in health: prevention, creating recognition of problems and treatment seeking behaviors, treatment, products, and services, and we’re d***good at it. W4W teaches traumatized, victimized, poor women to bathe, to learn to feed themselves, to read, count, write, parenting skills, social skills, money skills, a trade. Together we empower and protect the whole woman.

 

Back on that lush, soft grass, we danced, caroused, undulated, clapped, bumped, hugged, and smiled.  At the very end, I lead a passionate salute to Zainib Salbi, founder of W4W: her name rang through the air in a series of joyful waves, sung by beautiful, clean, fresh smelling, literate, skilled, empowered standing tall Congolese women!!

 

And at PSI we’re already brainstorming about how to cooperate more, to hire their graduates as Peer Educators, to present reproductive health activities as new women come in, etc.

 

For more on how W4W works, and to become a sponsor, see womenforwomen.org

 

 

13/08/2008 0 comments | Add Comment
Day Six - Democratic Republic of Congo
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King Leopold of Belgium, an insane man who never should have been free in a society much less allowed to “rule” one, kept this unimaginably fertile area (equal in size to everything east of the Mississippi) for his personal exploitation and whim. During his lust for its minerals, gems, trees, its everything, he had 10,000,000 native people murdered.  What an achievement, in one short life time!  

 

When men would not work franticly enough to suit Leopold the Lunatic’s ever expanding need for Africa’s natural resources, he would have families kidnapped and tortured as incentive for the men to run deeper into the forests and bring out her treasures faster.  

 

The country was raped and pillaged, ancient cultures and social systems were decimated, and the people were utterly lost.  They were ill prepared for self rule, their own historical ways and any self efficacy they had ever had dismantled. In 1960 as self rule began, there were only 17 college graduates in this vast country equal to everything east of the Mississippi.  

 

At present, in a nation of 2.34 million sq kilometers, there are a mere 2,794 sq km of paved roads.  I am lurching spastically along a typically rutted and pot holed road right now, oy vey!  Papa Jack describes the roads as ravines.  

 

Destroyed by the Belge then kept down by their first native ruler in the 20th century, Mobutu Sese Seko, who has the unenviable distinction of a type of rule being named after him, kleptocracy, the Congo, formerly known as Zaire and a lot of other things, has not known peace and stability since before the blood sucking Europeans arrived.  This country, the 3rd largest in Africa and heaving with a massive population growing at catastrophic rate, is chaos.

 

Thanks, Belguim!  Hope you’re proud!  You built on the Germans nice work on the Herero in South West Africa, out did them, even!

 

(And for the record, the U.S.A. commited genocide against the Native Americans, plain and simple.  We have our shame, too.)

 

Right now,  after having taken an hour to pass through a simple looking border that resembles our farm gate, which involved Papa Jack reaching into this pocket for a steady presentation of $20 bills (we joked he should be used to it as the parent of a teen age daughter), we’ve been stopped by “police” in uniform with heave weaponry.  No traffic violations, just a simple and typical moment of attempted extortion.  James our driver spoke Ngali and said we didn’t have any.  I am surprised the police believed him; I have binoculars around my neck and am working on this computer. (Binocs were a fantasy, there is no wildlife here compared to Rwanda; the habitat has been destroyed.)

 

I am here to visit our partner clinics that specialize in family planning, maternal and child health, and the treatment and prevention of malaria.  (We also do safe water and HIV prevention in this area of the DRC).  I also hope to visit with women who are rape victims. Rape is an epidemic here. It is an emergency. It is everywhere, on a massive scale.  It is not altogether unreported in the western media, but it is grossly under reported.   An ancient and common tool of warfare, this area’s female population has been hostage to gender based violence for decades.

 

What a shocking difference a few feet makes. On the Rwanda side of the crossing, the roads are tidy, neat, maintained.  The earth is red and the wind through the trees, the lapping of the shores of Lake Kivu are serene.  There is a sense of orderliness and even within the clear poverty, I feel the purposeful attempt at self improvement, through agriculture and the tiny, colorful flower gardens. 

 

Passing into the DRC, however….Oh my God. After a few villas a relentless, vast dusty slum opens up.  There is rubble, garbage, filth, people covered in muck and grime, buildings that are nothing more than  lean-to shanties.  The earth is grey, drab, choking with dust, visibility limited by dust.  

 

In our clinic, the back wall is thin and see through, made of mismatched boards roughly nailed together. The padlock surely indicates someone’s sense of humor. The director of the clinic does a good job of keeping the space tidy, but it’s hard. Even here where women gather for family planning and materal/child care, to give birth and for gynecological care, there are patches of rubbish.

 

I sat with the director and we talked shop. He has a routine of in-home visits to generate interest in family planning (birth control, birth spacing, pre and post natal care).  He has office hours Modayn-Saturday, which are painted in a sweet shade of blue paint on a rough white stucco wall.  

 

He reports that 20-25 new women present each month to access services.  Though this number sounds small, he says it represents significant cultural change; men want their women to produce as many babies as possible.  Women are for breeding. For them to begin seeking to regulate their fertility is big news.  

 

In terms of options, injectable birth control is most in demand. There is a misconception that IUD’s make one sick, so he is dealing with that, one woman at a time. The pill, he said, is terrible, as compliance is very erratic and the water they take it with is usually unsafe (infested with parasites, fecal matter, etc….that is what we mean we talk about “unsafe water”). 

 

The babies he delivers are often premature and the infant mortality is the highest in the world. He treats women who are victims of sexual violence daily. Children are common, little girls 4, 6 years old.  Normal, every day occurrences, including gang rape.  They suffer traumatic fistula rupture and more.  They become HIV+.  They become outcasts.

 

When I asked about where this pervasive practice of rape comes from, and was it cultural, he said it was not cultural to begin with. He repeatedly said it is a weapon of war and armed conflict, and that there has been violence and instability for so very long, it has become the cultural norm, the way poverty, lack of services, hardship is the norm.  Now, it is all generations know.

 

I asked him whether he believes the Congo is fit to receive international aid; can donors trust the money gets to his clinic and others like this, will the products and services reach the people?  He said if money can come to “la base,” (the base), then it will benefit the base. We discussed at length accountability and transparency, and some good movement on the government’s part in creating a Parliament and other bodies that will get the money to neediest quickest.  They need the money as sorely as any where I ever visited. I am straining to convey the urgency of the need here, the level of horror of daily life.

 

The stench of Goma is putrid.  There is no sanitation. The water is unsafe. The rooms of the next two clinics I visited were stuffed with people who were malarial; although children under 5 (undeveloped immune systems) and pregnant women (taxed immunity) are most at risk, here in Goma there were patients of all ages.  They looked miserable, their bodies sagging, their eyelids heavy.

 

I sat on a few beds, making small talk about future prevention and in my own way hopefully introducing the possibility of each individual making a commitment to sleep under a “mousquitaire”  when they go home. We also talked about the treatment, the artemenisin based meds that are working well (there is 60% resistance to the most commonly used treatment).  

 

It was a visiting day, so most patients had family in, grandmothers, other children, and siblings.  One had a transistor radio.  One man was feeding his small son, an iv pick awkwardly taped to his hand, which it dwarfed. The boy was lethargic and mute, his nose ran. The man fed him black beans from a tin plate, around which gnats flew.  The man was a very hard person, as were the other men with whom I spoke. He raged at pregnant women to whom we give nets for no charge when they come to the clinic: Am I not a man? Should I not be given a net?

 

I asked him if nets were available in the private sector and he said yes, but that he has no money.  I said, “Oh, come on, I bet you have a little money from time to time for a smoke!” “No!” he exclaimed.  “Beer, what about a glass of beer?” Again, “No!” he declared.  “Ah, you have so much virtue!  Such a clean life!  But….I bet from time to time you have a little money to spend on a woman!” The room erupted into roar of laughter. (It is very well documented, through micro financing organizations, that men in the developing world waste money at shocking rates, where as women save and invest every pittance.)

 

We debated the value of investing in prevention by spending .50 on a net. “Wouldn’t it be wise,” I said, trying again, “to spend a little money for a net, so as to save all it costs when you’re sick? When the children are sick?”  I gestured to the tiny, stifling room, loaded with prone bodies. He had no response to that. 

 

I don’t think he has anything against buying products.  For example, he had a high end mobile phone with incredible features and decent clothes. His grudge against buying a net is that some women get them for free.

 

A lovely little girl was eyeing me cautiously.  She began to stare at me more openly, and I thought to take her picture and show her the image.  Perhaps it would please her.  Instead, the man leapt up in between my camera and the room, blocking me from not just his boy but everyone in the room.  I explained what I had meant to do, and that it was a means of reaching out to a new friend, and he began to mock me.  He got his phone out, scrolled through its zillion features, found the camera, and ran all over room as if taking my picture with it.  I hammed it up, posing from each angle to which he darted. Everyone giggled, the tension slightly contravened.  Voguing in the DRC. 

 

It was time to go. I thanked everyone for the visit, wished them a good afternoon, a speedy recovery, and good health.  I walked to the car wondering not if, but how many, has that man has raped.

 

 

 

 

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Day Five -- World Malaria Day
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I packed up all my stuff and ate a weird breakfast before going to the airport.  After a confusing wait, we boarded a heifer of a helicopter, a giant military thing with bench seating lining the length of it.  Some old Russian shitter, Dario had explained, rather in awe I signed a release saying I’d A) fly in and B) not get mad if it crashed. 

 

The Minister of Health and I would be criss crossing Rwanda to celebrate World Malaria Day with PSI. During the flight, I took some quiet time to myself, did my daily spiritual readings, and listened to my favorite far out spiritual music on my iPod. 

 

I admired the verdant hills below, and began to register what I heard, that every square inch of the land is tilled in the effort to feed all 10 million people living here.  The land is intensively cultivated, gardened, terraced. It must be, or they go hungrier than they already are. 

 

We landed in a giant field in the Est Province, greeted by hundreds of onlookers who were curious about the helicopter.  Cries of “mazunga” erupted as my colleagues and I got into our cars.  We jolted across rough, red dirt roads to visit to see a community health worker in action.  In a small, poor home, we visited a broken woman holding a limp infant. The community health worker had diagnosed malaria, and was giving her education about her new impregnated net and proper use of Primo treatment. I sat with the woman, but she was not easy to engage, she herself was so ill and  seemed very overwhelmed.  I tried to squeeze in a few quiet moments with her, as I am not a "breeze in, breeze out" kind of gal.  I like to learn the stories of the people I meet, to share in their lives as much as I can, form an emotional connection. My only real contact with her, however, was that she smelled so rotten I actually had a gag reflex, a first for me in 11 countries of slums, brothels, and hospices.  It was very sad.  I didn’t even get her name.

 

In a back of the miniscule house, a woman who rented the bedroom had her net hanging proudly over her bed. She was wearing a matched lavender outfit and we sat under her net giggling, unable to understand one another with words, but giddily connected somehow.  She was really precious and very proud of herself, so proud everyone came to see how she uses her net. I saw her again later at the clinic and we gave each other a sparkly look.  Jungian, those meetings.

 

The community health worker, as all are, was special. To gain the post, he had to explain to his fellow villagers, perhaps with some competition from others, why they should choose him for the job. I picture him standing on the grass, surrounded by cassava, corn, and beans, maybe some hedges in bloom, with rough finished shanty shacks around him, a few goats or cows near by,  his community quietly assessing his ability.  Once elected, he receives 5 days health services training (eventually I met the guy in charge of the hospital in Kigala where the folks who train the CHW’s  are trained. The decentralization here is fascinating).  In his kit he has life saving pharmaceuticals (antibiotics, i.e.), family planning methods, malaria treatment (PSI products), and some non pharmaceuticals.  He is available in his home and goes to those who are too unwell to traverse the mountains.  It is worth noting here that this job is unpaid, and when the CHW’s are asked by the government what they need, wellies [rain boots] are often mentioned, so they can keep walking to sick people in the rainy season.  When I asked this CHW if people stop by at all hours of the night and day (my personal worst nightmare), he said no, that they all see each other fetching water at the river, searching for firewood, and in the fields.  They chat informally during daily life to make their appointments. 

 

And so we partly celebrated World Malaria Day in this home, showcasing how nets, treatment seeking behaviors, and Primo can reach every household in Rwanda, even the most remote and poor.  It showed how to complement private sector and clinic availability of goods and messages with a creative, partnered government initiative.  It was a good visit.

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Day Four -- You go, global girl
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After the genocide memorials, lunch on a patio set in a tropical garden (I kept dropping out of conversations to use my field glasses to watch birds), the full immersion into PSI Rwanda, and the church visit, I crawled into bed. I have an event tonight, the United Nations Development Programme Gender Equality Conference dinner, and I wasn’t going to make it without some quiet time. I knew I didn’t have time to cry, to begin to process all I had seen; I didn’t have time to make a few reach out phone calls or to get started writing, so simply took a shower and lied down.  And frankly, I don’t know if I had energy for those things.

 

I slept with my pretty new sapphire earrings still in my ears, head perfectly straight on the pillow, ankles crossed.  I did not flinch, apparently.

 

I roused about 7:15, after Staci was scheduled to arrive for my briefing. I boiled the kettle and made some green tea and she arrived just in time for me to serve us both some.  Soon after, the great Zainib Salvi arrived, resplendent with her chic cropped hair, black silk shirt waist dress and fabulous beaded necklace. Man, Mr Armani would love her!  Some women do so much with so little!

 

Zainib sat next to Staci and I quietly snuggled into the sofa. I was feeling very vulnerable after my sleep, undefended and wide open. I enjoyed my delicate state as these two remarkable women put on an unselfconscious show of empowerment, talking with intimate knowledge of global poverty and armed conflict, how girls and women and the environment are the wreckage, and the simple grassroots solutions that are the way out. Dang, I thought, you women are fine, and I want to be you when I grow up!  

 

Zainib does use the word “fascinating” a lot, but always accurately.  She will punctuate the beginning of yet another story with the point of a finger, leaning forward, her voice taking on even more enthralling energy, and the next thing I know, I have been schooled, for example, in the border conflict between Rwanda and the DRC, exactly who the militias are,  or some such other elusive subject.

 

When Kagame offered in 1996 to help a hapless rebel named Kabili “go to Kinshasa,” to oust Mobutu the Mad, the trade off was the Kibali would send the Interahamwme, the Hutu  youth genocidaire who fled to the DRC when the genocide was ending, back home.  He did not, and they are still there (they are by and large the rapists terrorizing the DRC, and this behavior has had a “contagion” effect and now rape is daily life) and they still long to fulfill their genocidic ideology.  Plus, there are the Tutsi who fled the genocide as refugees who are still in the DRC, plus Congolese rebel who are simply doing what rebels do, raising hell and disrupting everything. All are armed, and Zainib explained that as wars always do, it has become about the economy and land and exploiting natural resources.  Or, as Dario puts it, they start fighting over the color of p***lt;/p>

 

This background was important for me as someone doing public heath and human rights in Rwanda, and because however repugnant, I long to learn more about gender based violence in the DRC. To that end, I am planning a day trip to Goma, just across the border from where I will be later in the week.  The area in between Kinshasa and Goma is still  very unstable and  often dangerous, so I can’t get there from Kinshasa (and who wants thousands of kilometers of unpaved roads, anyhow), so I am going to slip in from the Rwandan side.

 

I do not mean for the synopsis above to be thorough and inclusive of all sides of the story, but rather to demonstrate the dazzling commitment and depth of knowledge these women have.  I am in awe that this is their lives 24/7/365 and the world is a better place because they are in it.

 

Having finished her book in Brussels, I asked Zainib about her brothers. One is safe in Chicago, but the one in Jordan and must renew his visa yearly. She is sure he’ll be assassinated if he ever has to go back to Iraq; about 20 of her friends, educated, empowered women, have disappeared. They are doing the Pol Pot thing, wiping out the educated classes; Zainib’s family home has recently been taken over by a militia and her neighbors are sad to report that her brother’s and her basketball court has become a gallows. The number 20 came up again: number of assassinations daily.

 

Years ago there was an Oprah magazine in a seat back pocket on a flight and I flipped through it. Or maybe I bought it, the issue with Bono on the cover. Anyhow, there was a tear out card describing Women for Women International. I was so intrigued and I challenged my Feathered Piper yoga sisters each to sponsor a woman in a war torn country.  This is Zainib’s program, founded in Serbia’s rape camps during the war in Bosnia, and based on her own experiences growing up under a dictator (Saddam Hussien).  Since then, I have given sponsorships to other special women in my life.  Quite wonderfully, a group of my sisters were graduating from a Rwanda program during my stay!  I missed meeting them due to my canceled flight, but it was fantastic to meet Zainib and plan my visit to Goma to see a program there, were gender based violence is a daily occurrence.

 

Letters from my different sisters are always a delight, and I appreciate how W4W includes a snap shot. Mary Ogeke in Nigeria, gathering kindling for boiling water is my favorite.  Expression-wise, my sister who recently asked me which I preferred, “the rainy or the dry season,” (ah, we see the world as we are), and wished me “more grease for your elbow,” is my favorite.  See, what separates us? Nothing really, only our misperceptions.

 

Eventually the phone rang and Zainib’s colleague said the First Lady was waiting for us (oops)!  I threw my dress on and downstairs we went.  I was disappointed to see a big room with dining tables and place cards, drats, I wanted to pop in and out and get back in that magical bed!  But, it turned out to be a very healing night. The great Aloysie Inyumba, currently a senator and formerly the Minister of Reconciliation and Healing, hugged me so warmly.  Growing up, she was a refuge in Uganda, and said her mother, although uneducated, was bright, and made sure her 3 daughters made it all the way to university. She received her degree in Social Work and I forget what else.  When she came back to Rwanda at the president’s quest, she made minister and she got to work, fast.  In 2002 there were 120,000 genocidaires still hunkered down in a fragile prison system awaiting trail, and the then-Minister brought back the Gacacas, meaning “patch of grass,” courts.  250,000 people were elected within their communities. They received brief training in law, judicial ethics, and conflict resolution.  11,000 grass courts were established, each with a panel of 15 judges and requiring 100 villagers be present to make the trial valid.

 

This is just one of her many, many accomplishments….She is a special lady.

 

She took me over to the First Lady at the right moment. Madame Kagame is a physically imposing presence, and somewhat stoic, perhaps even dour.  But I couldn’t really process all that because I was having an attack of static cling, and my dress was all up in my *****.  I know this because the First Lady’s aide de camp was on her knees behind me, pulling my dress off my backside.  Hmmm.  Was it to protect my modesty, or the decorum of the entire event? I was, after all, smack dab at the front of the room, back turned to the crowd, a movie star chatting with the First Lady. What a lousy time to get a bad case of hungry bum!

 

Better events followed. The most extraordinary drumming and dancing began, and I could feel the pain of earlier in the day be vibrated out of my chest.  I was absolutely in awe.  This is the Africa I believe in, its traditional culture and arts in tact and shining amidst educated,  empowered people talking smart about gender equality and development with an eye on 7 generations ahead. Even though we were in a hotel’s spiffy ballroom, when I closed my eyes I was in the bush, around a fire, the sounds of the wild engulfing me.  It was fabulous beyond description. The senator narrated each dance for me:  Ah, this is the dance about millet, teaching and celebrating agricultural practices, valuing production to keep everyone fed. Ah, this is the dance for the herd, the grass at the end of their sticks is to clean the herd, ahhhh, this is the dance of women, celebrating their beautiful bodies! My gosh, I live for this stuff!  It’s what I dreamt of in college!

 

Zainib was equally moved, and I noticed we each kept placing our hands on core parts of our body.  We all had tears coming, too. Zainib and I had already leaned into one another, speaking confidentially about the intense personal work it takes to stay in this game, human rights, social justice, poverty reduction. We traded notes about our core pain, why we were drawn to such problems in the first place, and how we have found our own personal solutions along the way.  I used to live with nothing but problems, I could tell you everything about them in exacting detail.  I am grateful today that I have solutions, a way of life which I know works on any problem I may have. I take certain steps, and the result in a psychic change and spiritual awakening. That I am here in this room right now is proof.   How did I get here? By the grace of  loving Higher Power that does for me what I cannot do for myself.

 

Although I was very caught up in the moment, a tiny thought crept into my head: How do I get more of this?? Then, an idea was born, bring them to the U.S.!  I excitedly began to ask the Senator if they were a formal dance troupe (yes), and didn’t she think it would be extraordinary for them to perform in the U.S., to help rehabilitate Rwanda’s image abroad, to raise awareness about yes, the need for development funding, but also, the many, many good things that are happening here? Oh my gosh, we were beside ourselves, and came up with so many ideas. She and the First Lady will come, I can book them at TPAC in Nasvhille and well, shouldn’t I really involve a professional promoter?  In fact, as many people as possible should see them – New York!  D.C., an event with PSI that I could host with special donors!  And the best idea yet, I am friends with a band, a really special band, and they are touring college campuses in the fall, and haven’t I just found the perfect opening act for them!!!!!!!!!!  We were elated!

 

On this wonderful optimistic note, after splashing handfuls of water on my silk dress in a futile attempt to arrest static cling, the Senator held my hand and walked me to the lift.  It was time for bed, and I valued her hugs and gentleness as a child does a bedtime story.  Rwandans are kind, but there are not very touchy feely, except her, lucky me!  Only one table leaned toward me as I passed and in a desperate stage whisper said, “Your dress is hiked up all the way  and you underpants are showing.”  I was unperturbed, knowing it was no big deal, really, for after I all I actually had some on for once in my life. 

 

I closed my eyes, and when the skulls came I let the drums beat them out of my head.  I slept pretty well, and woke up curious about another day in this lush land.

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Day Three -- water purification
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Today I also saw an overview of our point of use water purification outreach.  60% of rural and 40% of urban Rwandais do not have access to safe water. Even the 2.5% with piped water cannot know if that water is safe.  

 

Unsafe water makes millions sick, which additionally adds to loss of productivity, inability to procure food, care for children, the children miss school, maternal mortality issues arise, adding to orphan crises, and ultimately it is a killer of all.  Death by diaharea, can you imagine?  

 

In the last 2 weeks, 14% of all children under 5 have had diarrheal disease, regardless of source of water or when they are in the country. (In some of the 65 countries where we have programs, we are doing de-worming.  Icky to talk about it, but worse to die of, no?)

 

Sur Eau comes in a small plastic bottle and one capful makes 20 liters (over 5 gallopns) of water safe. A bottle provides safe water for a family of 6 for one month for a total cost of  55 cents!

 

The UN clearly states that disinfection of water at the point of use is consistently the most cost effective intervention.  Sur Eau helps poor people obtain safe water, even if their infrastructure is improving; my local church is financing the digging of a well in the Sudan, and Sur Eau purifies water as some communities wait for such improvements.  Additionally, Sur Eau makes sure the stored water remains safe.

 

The BCC and education that accompanies this campaign is 3 parts:  hygiene, sanitation, and water.  Hand washing behaviors.  Correct latrine behaviors.  And point of use purification, whether water is obtained from lakes, rivers, dams, rainwater, creeks, wells, or taps.  It’s a big deal.  Again, we have packaged this product with pictures and local dialect instructions.  They clearly show the links between daily life activities, contamination, and sickness.  

 

It is a lightly chlorinated product, and this neatly sidesteps an array of issues.  When water is filled in a jug or jerry can, which is time intensive/labor intensive/often obtained from far away/if bought something only affordable periodically, storage of the precious water ultimately leads to it being contaminated, even if it happened to be safe to begin with.  A dirty hand…a dirty utensil….insects…..whatever.   Sur Eau is perhaps the most cost effective life saving product on the planet.  The prevention of morbidity and mortality is almost incalculable -- oh, but we’ll try, as we measure lives saved as the private sector measures profits, which is why our donors love us! We can show you our results in black and white.  It is produced by a private sector partner locally and per bottle revenues recover the cost of production. In a word, sustainable.

 

We make Sur Eau available via an integrated distribution network: health facilities, mutuelles (health insurance) community health workers (you’ll meet them on world malaria day), private sector pharmacies.  We also distribute it for free as an emergency response.  Cholera breaks out often here due to erosion into water ways, which leads us back to where we began: overpopulation and stress on the environment.  Poverty reduction must be a balanced approached, we all have something to contribute, the environmentalists, the human rights activities,  aid groups, public health agencies.

 

One last note for now about Sur Eau is the government of Rwanda has banned plastic bags.  How fabulous is that?  If you have them upon arrival, you are politely asked to give them up and they’ll sell you a replacement for cheap. Rwanda and San Francisco, what fantastically unlikely company!!!  We need to figure something out with Sur Eau bottles and how Tazanet is packaged, even though school kids use the net’s bag as their tote for school books, and that generally, everyone is so poor a little plastic bottle, even empty, is a treasure.(Whenever I think of poor people and plastic, I think of what happened in Appalachia when plastic jugs of milk came out, our creeks were full of them.) Staci says we are striving to create re fill “centers” where folks can easily bring their bottles to a nearby village for a re fill.  “Progress, not perfection.”

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Day Three - Malaria nets
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From the description of the population problem, next I was immersed in the world of Five and Alive, what we call our programs that help children live their 5th birthday, no easy task in poor countries.  This year, 10 million children world will die before their 5th birthday from pneumonia, malaria, diarrheal disease, and other easily preventable causes.  Rwanda’s government, in addition to wanting very much to meet the Millennium Development Goals, has set “2020” goals for itself, and to that end has one of the most intensive child survival and maternal health agendas in the world.

 

And, they need it. 1 in 12 children born here will die before age 1, and then an additional child per 7 will die before 5.  Malaria, preventable and treatable, is cause number 1.  There are 2 million cases of simple malaria a year in public health facilities and 4 million cases that are not treated at all….children average 2 – 3 cases a year.  Death by mosquito bite.  I think that the next time I play badminton and get all annoyed I’ll remember, at least it’s not killing me and my babies.  

 

To take this on, we socially market a net called “tazanet,” which is pre treated with the appropriate insecticide and lasts for 3 years.  It is available at very small price which research shows different sectors of society can afford (“market segmenting”), and we give them away for free in many areas as well. This blended approach of private sector availability combined with recent free distribution of 3 million bed nets to caregivers of children under age 5, pregnant mothers, and the HIV+  helped achieve a stunning 60% reduction in malaria cases in 2007!  This is the greatest reduction of malaria rates in the world, something the government can be very proud of doing for its people.

 

For treatment, we have made Coartem available at government 227 registered pharmacies nation wide (registered is important to ensure correct education is given with the sale of the product regarding its use to avoid generation of myths and creation of resistance to meds). We have “over packaged” from the manufacturer, one of my favorite things that we do. We make it a brand, “Primo,” which we can “market,” and provide pictoral and local dialect instructions for the low/non literature. Even the photos of the babies guide care givers to correct dosing based on age.  It’s a truly wonderful thing and I get very, very excited about over packing!!!!!!!!!!  (Another piece of malaria treatment is presumptive intermittent care for pregnant women, who are very susceptible to malaria morbidity/mortality.)

 

Publicity and marketing campaigns, via billboards, paintings on buildings, radio and tv spots and “info tainment” like skits and plays, puppet shows, etc.  help create awareness of  the need for sleeping with a mousquitaire,  tazanet as a locally available LLITN, symptom recognition/treatment seeking behaviors, as well as drug compliance.  The umbrella term for all this is “Behavior Change Communications,” BCC.  Perhaps this is a good time to mention that Staci, our Country Representative, did her undergrad at UCLA and her MBA at Columbia!  Our social marketing staff generally have both multiple degrees and Peace Corps backgrounds….very, very cool folks.

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Day Three -- PSI.org offices
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I went to our offices, set in a very nice two story building with lots of doors that open onto a small hillside; there was a rondelle of Cosmos growing by the PSI sign and the welcome desk included a dry eraser board where our staff sign in and out.  There were some small trucks with our  medical goods’ brand names (primo, confiance, tazanet) painted on the side. Below the building is a garage that has been converted into a warehouse for our products, and is from here we begin to distribute them out to the poor people who need them. I saw boxes of long lasting insecticide treated bed nets, coartem, our artesmin based anti malaria drug, various methods of birth control, and sur eau, our point of use water purification product. Our staff in the warehouse consist of women we have sensitized via peer education about the risks of commercial sex work; most have been able to retire, as a result, from sex work altogether, and have created a co-op in which they pool their money to buy supplies to make crafts.   It is really fascinating to see poverty reduction solutions in action, and how one good action opens the way for yet another to manifest.  

 

I loved meeting everyone and am so proud we are able to employ so many smart, committed, compassionate locals. In this way, PSI helps contribute to the local economy, increases employability by adding to job experience, and of course more effectively creates and runs programs that appeal to Rwandans themselves, as they are created by Rwandans. This is our policy world wide. One must understand each tiny micro culture and habit and dialect in order to create positive behavior change within it.

 

I sat down after a round of introductions (I always mention we have 5 cats and 2 dogs because it gets a shocked laugh, hungry  societies don’t keep pets, and so the concept  does not exist at all), and was prepared to be dazzled by the presentation our staff would make, et comme d’habitude, I was.

 

Rwanda is a country of 10 million people and it is growing at a terrifying rate, one of the fastest growth rates in all of Africa.  They have already run out of space.  As mentioned, every inch of earth is cultivated yet there is wide spread food insecurity.  There are the predictable environmental consequences: massive deforestation, erosion (Egypt is getting all Rwanda’s topsoil; the Nile has its spring source in Rwanda….fascinating), loss of biodiversity.  I was warned that I would never be alone (something everyone knows I need daily) as even in the most remote parts of the country, people would be…everywhere. And it’s true, they are, even unpaved rural roads are lined with folks walking somewhere, perhaps in a blue school uniform or with baskets of goods or a jerry can of water on their heads.  Off on distant hillsides I can see people gardening.  I will try to go pee behind some tree or bush and sure enough there is someone farming a few feet away!

 

At its current growth rate, which is 6.3 children per woman and outpaces economic growth by almost an entire point, Rwanda’s population will triple 2030, which surely means catastrophe. Famine is inevitable, the  pressure on space to a crisis point, economic and public  health collapse, infrastructure that cannot meet needs, and ultimately, political instability. It is this, political instability, above all things, Rwanda seeks to avoid, and therefore, family planning is at the very top of the government’s public health plan.  However, even if the government, with PSI’s help, meets its most fantastic fertility regulation goals, by 2030 the population still will have doubled.

 

I find it wonderful that this government is smart enough to regard poverty as a key political issue.  Sure, they want to reduce poverty for all the more socially recognized reasons, but having come out of genocide, and being intensely motivated to avoid bloodshed in the future, they get that poverty breeds instability.  This is always something I try to bring to my talks in the U.S. when people say, “Why should we care about poor people abroad?”  The One Campaign to End Poverty does a great job of articulating this.

 

So, we help the government with family planning.  A variety of options are available to individuals and couples:  oral, injectables, male and female condoms.  We brand and socially market them and in cases of extreme poverty give them away (even though the cost for any product is extremely low, but some cannot afford to spend even those pennies) and we helped prevent unintended pregnancies since 1995.  Even though only 1 in 10 women is using modern birth control, that number is still twice what it was in 2005!!!! We also do STI (sexually transmitted infection) and HIV prevention education.  Some products we receive at subsidized prices, but believe you me, there are plenty of manufactures out there who will only sell to us at market rates. People who make money off poor people make me sick.

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Day Three -- countryside
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In 1994 when the machetes stopped hacking bodies it was women and children who began to pick up corpses and body parts.  Remains were everywhere.  In an already poor country bearing one of the world’s most crippling disease burdens, cholera, typhoid, and other killers took additional lives. Women, often rape victims, attempted to burry bodies and build simple shelter and find safe drinking water and a little food. The trauma was sky high.  

Rwanda now also had a massive orphan crisis and most survivors took in at least 1 orphan. However, in many cases, children became the heads of households.

 As we drive through the now clean and orderly capital, as we drink in the lovely countryside, my mind from time to time does an automatic slide show, and imposes the detritus of genocide on what I see.  It really is unimaginable, that such protracted filthy evil transpired ever, anywhere, but especially here, some place so pretty.

 President since 2003, Kagame has worked his heart out since he led the Rwanda Patriotic Front in 1994 in what is widely credited as stopping the genocide.  His parliament and minister posts are stacked with capable women, the highest female participation anywhere in the entire world (this has been codified in their constitution and government articles) and women have enormous government participation in the welfare of “la base,” the people.  Looking at the extreme nature of what transpired, the government has reckoned extreme solutions are necessary, and the result is one of the most progressive and dynamic governments in the entire world.(I like to say San Francisco and Rwanda are equally progressive, although opposite ends of the economic spectrum.)  They stopped the genocide with no help from anyone, and they have a can-do attitude about re building their country themselves.  PSI employs 150 people here, only 4 are non-Rwandais and the ex pats are monitored closely; I even heard one refer to herself as a “transactional cost,” meaning the government tolerates her as the price of getting on with the business of improving public health.

Rwanda society is highly decentralized. It is described in units, if you will, beginning with the individual household. The next unit up is the cell  (still trying to get this right!  It’s fascinating!!---), the sectuer  (--------), the deparment (-----), the province (like our states), and the national government.  This is to ensure individuals have a voice, that there is a way for their needs to be recognized and heard, to create a harmonized society where there is a profound sense of belonging and community.  The expectation is that such closeness will also eliminate the possibility of the types of divisions that created the genocide.  

It is remarkable how nice things are here, in spite of abject poverty. This is country is ranked 159th our of 177 countries….so close to the very bottom. The hotel is terrific, with an azure blue pool and pretty gardens. I have a little suite and each morning I stand at my window drinking tea, watching a woman with a hand made broom sweep the street below (the city employs street sweepers). All the lavs are clean, modern flush toilets, some with 2 modes (little flush, big flush, for conservation), and there is TP available in public places everywhere. There is usually even a nail with a small, clean cloth for drying hands after washing with the bit of soap provided.  The streets and fields are free of litter; there is less litter here than there is on the road between Franklin and Leipers Fork that I drive every day.  They are proud, these Rwandais.

And the flowers!  My Lord, how beautiful!  Vegetables are cultivated literally everywhere, even in urban spaces.  Houses often do not have a path to the front door, rather, folks walk to their homes between rows of corn or runners of beans trained up bamboo sticks. It is a hungry country.  So many are food insecure, the stunted growth and orange tinted hair tells me that.

For these reasons, I think Rwanda absolutely should be promoted as a tourist destination in Africa.  It is safe. There is no corruption (the government is very  serious about this!!!), there is no intimidation or crazy making and contradictory beaurocracies to navigate.    There are at least 2 very good hotels (phones and internet work fine, big lovely bathtub, robe, slippers, rather amazing, don’t you think??) and the overall landscape is not only clean looking, it is stunningly beautiful, these mille collines.  I have finally found somewhere I could bring Dario.

 

 

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Day Two, Genocide Memorial
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I managed my grueling experience at the genocide memorial by dividing it into two parts: intellectual and emotional.  Intellectually, the site is incredibly well done.  It shows how the Germans, then the Belge, followed by the unconscionable inaction of the rest of the world, set Rwandans up for the genocide; the historical background of the clans, of which distinctions like Hutu and Tutsi were occupational and not tribal/ethnic at all, yet how the white people’s obnoxious, flagrant, unrepentant racism distorted and perverted everything about this beautiful, ancient people into “us versus ourselves” mentalities.  Of the most enraging images was a priest, for God’s sake, a priest measuring Rwandais’ heads and categorizing them ethnically for the registration cards of 1932 as deemed necessary by the Church and King Leopold, one of the great nutters of all time.  These registration cards were doomed to become one of the worst props in the history of the humankind. As these ethnic differences were spurious to begin with, the church had trouble distinguishing Hutu from Tutsi, so they would ask random questions like “how many cows do you have” and decide for the people ‘what they were.’ Once the massacres began in 1994, these cards were the delivery system of death for over one million people.

The memorial, in a balancing act of the highest order, does not stoop to blaming the outside world, but rather in a straightforward way simply tells the story of how over decades the west’s racism, abuses, extraordinary sins of commission and commission let 500,000 women be raped, a million people be butchered, and for hundreds of thousands of secondary deaths to occur; for there to be complete civic destruction and a cascade of ancillary tragedies and upheavals (refugees, for example).  There are photographs of Hutus preparing to kill with French soldiers supervising the proceedings, examples of major media (NY Times, Times of London) newspaper stories reporting killing sprees that were well orchestrated rehearsals for mass murder, and the pleas of the  UN peacekeeper leader in Rwanda begging for assistance, predicting what was coming, and saying how very little he needed to avert it.  And  finally there is the stone walling silence of Kofi Anan, heads of state around the world, and us, normal citizens who should have stopped our everyday lives to prevent this doom.

The grief is debilitating. I would walk and feel my legs becoming heavier, almost immobilized, as I slowly moved through the mass graves.  At times I was close to passing out and I’d have to sharpen up mentally and re connect with my breath. At other times I felt hyper alert to the point of panic and had to slow my breath down, it would be coming in heaves.  I would feel pain so deep the rest of the world ceased to exist and I would be swallowed entirely in it.  If I had been able to think in those moments I would have thought my life was over, nothing else was possible, except maybe to crawl silently to somewhere quiet to sit, to hide, to huddle. Three women with a faded color photograph gripped in their hands staggered through the graves. One fell to her knees and her sisters stood alongside her as pillars. When she recovered slightly it was the other two women’s turn to keen.  I wanted to run to their group and throw myself on them, like we were a pyre, sobbing, howling, “I am so sorry, I am so sorry.” Perhaps they would have appreciated such a validating outburst of communal sorrow, perhaps culturally that would have been wildly out of order.  I barely restrained myself as I passed by them, brushing one lightly on the back. She said, “thank you.”

I am mazunga, a white person. I wish I had gone with my instinct and reached out more to the women.  Part of the pain about the genocide is the lack of validation from us.

Prayer did help as I was sucked inexorably further into the memorial. When I would start to lose my mind I would start to pray for the souls of the dead. (I haven’t started to pray yet for the perpetrators, the way Archbishop Tutu’s daughter has taught me to, but I will. I will.)  May you rest in peace. May you rest in peace. May you rest in peace. One million and more times, may you rest in peace.

One of the round rooms of the exhibit had victim’s clothing suspended in mid air by filament. The arrangement of the clothes uncannily suggests the posture of the body that had occupied them; the empty garments expressed surprise, violence, pitiful and useless self defense. The clothes were all sizes, and I stood, weeping and haunted, in front a child’s colorful sweater, filthy from where the body had lain in the muck. At that little child’s age, that would have been my favorite sweater, it was so cheerful. It reminded me of the rainbow painted on the entrance to the tunnel from Marin County to the Golden Gate Bridge, so optimistic!  Next to it was a tattered superman sheet.  God have mercy on us all.  Was the person sleeping and hacked to death in her bed? Had a family tried to flee their mud hut, the sheet grabbed in a mindless fit of modesty?  Had a wildly panicked mother grabbed the sheet to tie her youngster to her back so she could run from her rapists?

Another room had horizontal rows of filament, to which survivors pin photographs of their loved ones. Rows, rows, and rows, images from family parties, official documents,  snap shots of reluctant looking elderly which perhaps an amateur family historian took to have for future generations.  The room is devastating in the absolute.  It is almost unbearable.  Murder, murder, murder, it silently screams.

I paused at the memorial guest book. I couldn’t see the page for my tears blearing my sight. What do I say?  How do I tell the survivors of such horror anything consoling?  How does one apologize to the dead? Feeling useless and incompetent I wrote, “I am sorry, I am so sorry.”

This genocide was unique in history in that a small government incited millions of regular people, including the educated classes, to slaughter their family members and neighbors with their bare hands in their homes and in places of sanctuary.  It was intensely personal murder. The swing of a machete once wasn’t enough; hacking and hacking, with 400 different acknowledged forms of toture, burying people alive amongst them. it is unfathomable yet it must be fathomed.

Afterwards I was asked to say a few words to our local staff and the media. In the morning, I had thought to talk about the Rwandais government’s extraordinary action in re building itself, a veritable Phoenix rising from ashes, and to salute NGO’s and initiative’s like President Clinton’s, which have accomplished so much. It was not, however, the right time; this needed to be about genocide, regret, accountability.  In this moment I found the division between the intellect and the emotional in order to be able to speak in public and not simply wail.  I took responsibility certainly for my government’s indefensible inaction, pledged to do my part as a citizen to ensure no genocide happens again, and to serve Rwanda’s people as living amends.  I also mentioned this Chinese ship full of arms that was trying to dock in Zimbabwe earlier this week. Are people out of their minds? Nothing, absolutely nothing good can possibly come of such arms coming to Africa.  Are we forgetting, even as this memorial exists, that the genocide was committed with .50 machetes from China?  I vowed to call my legislators and you bet your a***I did.  That ship needs to go back from whence it came, thank you very much.

These writings will not be entirely about the genocide, but today’s is.  It inescapably informs everything in this country, and most certainly Population Service International’s public health mission here.  It is the background, acknowledged if unspoken, it has set Rwanda’s stage.

We also visited an infamous site, Ntarama church,  where on  April 7, 1994 10,000 children, women, and elderly were slaughtered. In the mayhem of the bloody free for all, a group had fled to the church, naturally expecting some protection.  Instead, they were tortured.  The Hutu madmen began by throwing grenades into the packed throng (the church is not big, just one open room, 10,000 people in it inconceivable).  The shrapnel damage is still in the church’s tin roof, letting small bits of sun come through.  Over a short period of time, the 10,000 were hacked to death, one brutal, agonizing death at a time.

Rwandais society held a special place of honor for its elderly, but in the genocide they were treated with a particular cruelty.  Everyone was, really….the Hutu just found different twists on the same fundamental insult: the elderly had breed cockroach Tutsis, women gave birth to cockroach Tutsi, men married cockroach Tutsi, and so on and so forth. But I feel a singular grief at what was done to the elderly.  No more so than children, but….it’s a different aspect of the pain. Maybe because I spend a little time each day honoring my grandparents, thanking them for my life, coming to peace once more with the fact they are with me in spirit but not in the flesh.  That someone would set out to ruin an old person’s life, when I long each for more old people in my life, hurts.

I haven’t said much of rape, but it happened (and continues to happen, especially in the so called Democratic Republic of Congo, en masse).  A typical example of rape as a tool of genocide happened in this church. A woman was strung up, crucifixion style, and raped over a period of days by hundreds of genocidaires, until she expired. Her bones hung on the tortured scaffolding until recently. What remains of her family asked for them to be interned just recently, They had had enough of her bones as a historical teaching point.

The church is breathtaking for all the wrong reasons. Upon entering the grounds, “We will never forget” is spelled out in a lovely and restrained planting of small shrubs.  Then, upon entering the church, I was thunderstruck by the flabbergasting site of the clothing of 10,000 people piled onto low, backless benches, which once served as pews, and by the rotting stench of the defiled bodies that have been removed, piece by piece, from the clothing.  I cannot even begin to describe the shock of this.

I moved in transfixed horror between the benches, studying the piles and piles of t shirts, pants, jeans, dresses, baby clothes, sweaters.  Everything is dirty, and it’s easy to discern blood stains from life’s wear and tear.  I kept stopping every few steps to turn slightly; it was relentless from every angle, 10,000 people, 10,000 people, 10,000 people, butchered in this small room, maybe 20 by 40. 

Within the church is an opening in the floor, a set of stairs that leads down to a basement. Oh my God.  The basement is very simple, going from right to left with only a very narrow footpath path. Its walls are lined with shelves that go from the floor the ceiling.  Oh my God. These shelves are stacked with bones. Human bones. Skulls, femurs, fibulas.  Stacks upon stacks upon stacks of bones.

I didn’t know if I should enter. I didn’t know if I could. I didn’t know if I would later have trauma if I did.  I thought about my own bones, and how these women, elderly, and children were innocent.  I decided they in and of themselves were not spooky; what was done to them was.  I pressed on.  From time to time I thought I was suffocating.  I would stop, struggle to breath, look at the shaft of light from the church above, and re gather my determination to see, feel, and know the truth.

As far up as I could see were orderly, stacked rows of human remains.  Some of the skulls are missing chunks were a machete had connected.  Many were missing teeth.

Many were very small.

One skull was sticking out a bit from its shelf. The path is so narrow, I was already turning sideways not to bump into leg bones.  I had a quick obsession flare up that someone would knock this skull off its shelf, and I really wanted to pick it up and set it somewhere more secure.  I equivocated, a real life version of some childhood dare.  I thought, oh, it’s just bone, I know what bones are made of, the soul has flown away, it’s not like there are maggots, it’s okay, do the right things by this skull….pick it up…..but right before I touched it, Papa Jack said, “Maybe in life he was a sticking out there kind of guy.”  I laughed in an improbable celebration of this skull’s personality and left it as it was.

There are also caskets.  They are filled with 20-25 bodies each.

The woman who was raped over a period of days is in a casket in a place of respect for the uniqueness of suffering, the additional brutality meted to women for being women.

 

 

Outside, with the stench from the clothes funnelled through the church door and canceled out any freshness from the rain, I visited with the woman who guides tours. She lives nearby and does this as much as she can, taking days off when it really starts to get to her.  We talked about her crops (cassava and sweet potatoes right now), how I live somewhere that has 4 seasons instead of 2, and best agricultural practices.  She was a tragic figure, and I took pleasure in helping her find a few smiles.  We exchanged addresses and I look forward to writing her. Oh, she is a grandmother, and she lit up in the special way that grandmothers do when asked about their grandbabies.  I was glad for her that she has them, even as I know lack of family planning is a serious crisis in Rwanda.

Believe it or not, when we got to talking about flowers, she went to the side of the church and picked me a bouquet and sent me home with it.

 

 

100,000 people were murdered every day for 100 days.  500,000 women were raped, with men who knew they were HIV+  taking the lead. Children were made to murder (and in the case of boys, rape their mothers and sisters) their parents, parents to murder their children, before they themselves were killed.  Torture was sometimes lengthy before death.  A refugee crisis was created as panicked Rwandans fled to the DRC and other neighboring countries.  There were hundreds of thousands of additional deaths due to starvation, disease, and civil collapse, deaths due to things like cholera and typhoid, on top of malaria, etc.  And in a strange twist that human rights groups and ngo’s have not yet discussed, when the Hutu fled to the DRC sensing their bloody glory was over, they were taken into refuge camps by human rights workers, and there were fed, watered, and tended to, while their victims were left in piles unattended and the living were abandoned.  The Interwahme who still live on the DRC border would start this all up again in a minute if they could, in spite of the peace and reconciliation that Hutus and Tutsi have miraculously found at home.

There is no part of the Rwanda that was not under the rampage of genocidaires.  The killing was not localized; it was spread over an entire country the size of Maryland.  Human remains are still being found everywhere; in the church there was a blue tarp with a family of 19 that had just been discovered.  It was sitting in a pile near a bench of dead people’s clothes.  I guess someone will take care of them and gently place them on the already heaving shelf when they have a free minute.

Williamson County, Tennessee has a population of 125,000.  If anything came through and hurt a portion, much less all of us, in the span of a day (or a year!), the state and federal government would urgently declare a state of emergency and descend with interventions and help. We had a tornado blow us around a bit this spring, and my gosh, we were untouched yet we received concerned telephone calls from all over the country, with people saying they were at the ready to get on a plane if we needed help.

Yet this genocide happened day after day for 100 days, with deaths and suffering and collapse of the highest order, and in spite of knowing exactly what was happening, we did nothing.  A quote chosen for the memorial said:

“Quand il disait de L’Holocuste, encore jamais, parlait-il du tous le monde, or juste certaines personnes?

When they said of the Holocust, “never again,” were they talking about everyone? Or just certain people?”

They were talking about everyone but Africans.  Just ask the Sudanese.

13/08/2008 0 comments | Add Comment
Day One
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Today’s travel has gone off as planned, and as I write, I am watching the African sun begin to set, casting shades of oranges so associated with this continent.

Africa! How is this possible? How did I get here?  Where does this life come from?  My 40th in the Scottish Highlands with dear friends, roaring with laughter and running a` sack race on the front lawn of a castle, to my first appointment in Rwanda this evening with a woman Senator and Zainib Salbi, the founder of Women for Women International, whose amazing book “Between Two Worlds” I finished last night?  I called someone back from the Rodham-Clinton campaign last night and when the President heard it was me on the line, he grabbed the phone for a wee chat. That is sort of nerve wracking, to have him spontaneously get on the phone like that…I have to laugh at my life,  give thanks, laugh, give thanks. 

The African sun is setting with its patented hues of orange and red. The sun looks like this from nowhere else on earth. I can see the thousand hills of Rwanda undulate before me, terraced and graced with lakes.  I am grateful to be emotionally sober. My last time to this continent, the original home of us all, I was so overwhelmed with emotion as to be nearly distraught. Everything, but everything, made me cry!  My first African tree! My first African bird!  My first African friend!  I was returning to my cradle and had the heightened emotionality of a seeker’s first pilgrimage.  I am far from casual about this journey, far from it, I am simply….simpler.  My gratitude, awe, respect, and even my enthusiasm are more subtle.

There is tough work to be done. I begin tomorrow the Genocide Memorial and a talk afterwards about the progress Rwanda has made since that insanity.  I will meet our local staff (Psi.org) and begin to learn more about the burden of poor health that continues to unnecessarily cost Rwandans their children, their own lives, and stifle their economy and progress..  Rwanda is the most densely populated African country, and malaria, lack of safe water (only 2.5% of Rwandans have piped water), the great need for  family planning, STI’s, HIV, and other preventable diseases and issues keep the entire population subsisting on less than  a dollar a day..  I will see our programs in action, celebrate what works, and help carry the message of prevention and effective grassroots programs to those who can fund them and help change attitudes and policies for the better.

Gender based violence will be a core theme of this trip. I have already abdicated my day to see the Silver Back Gorillas in order to go to Goma, a portion of the Democratic Republic of Congo accessible more safely from Rwanda.  There are refugee camps filled with masses of women victim of rape.  The gorillas, much as I love them, can wait.

I am glad to be here, glad to learn, glad to serve, and am more than a little perplexed as to why me.

more -- 

From PSI.ORG, an unflinchingly unemotional description of us.  It reads dry, but it is anything but on the ground.  A further note is that we fill a critical gap between what poor governments can do for their populations and where the private sector is lacking, too.  Governments often have little if any infrastructure, yet magically those fizzy soda pop drinks are ubiquitous, as are mobile phones. Hence, we use private sector techniques to deliver family planning, safe water, child survival and maternal health, malaria prevention and treatment, and hiv/aids prevention health programs, which include products, services, and education.

 

The mission of PSI is to measurably improve the health of poor and vulnerable people in the developing world, principally through social marketing of family planning and health products and services, and health communications. Social marketing engages private sector resources and uses private sector techniques to encourage healthy behavior and make markets work for the poor.


PSI's Core Values:


The power of markets and market mechanisms to contribute to sustained improvements in the lives of the poor


Results and a strong focus on measurement


Speed and efficiency, with a predisposition to action and an aversion to bureaucracy


Decentralization, empowering our staff at the local level 


A long-term commitment to the people we serve

 

 

12/08/2008 0 comments | Add Comment
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 Day One
 Day Two, Genocide Memorial
 Day Three -- PSI.org offices
 Day Four -- You go, glo​bal girl
 Day Five -- World Malar​ia Day
 Day Six - Democratic Republic of Congo
 Day Six -- Women for Women International
 Day Six -- Heal Africa
 Day Seven - Dushishoze
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