Women's Health and Midwives

A few weeks ago we had the annual Midwife workshop focused on Obstetric Emergencies. As a new member of the Women's Health and Midwife Team I was able to be apart of planning and facilitating the workshop along with representatives from the Ministry of Health, Catholic Relief Services and 3 other PCVs. In order to understand the reason for this workshop, you have to know a little bit about midwives here. There is not midwifery certification and education here like in the states; they are simply women who care very much about their communities, are well-respected within them, and have alot of experience with births (often their own). There has been a big push throughout the country to increase the number of women who give birth in hospitals, this has (to an extent) alienated the midwife community and made them feel unwelcome within the health system. They work very hard within their communities and want to be respected. Of course, the other side of this is that the health professionals are simply pushing institutional care because it is safer and there is immediate access to emergency care should there be any complications during a birth. Both groups just want the best for their communities.
The workshop we helped organize was an opportunity to bring people from different sides of this issue together to work towards the common goal of improving care for pregnant women. Participants in the workshop were community teams made up of a Peace Corps Volunteer, a midwife and an institutional health worker (ie. doctors, nurses..). During the workshop we discussed ways that people can work together within their communities to improve health outcomes, and also trained everyone on specific skills designed to decrease the number of maternal deaths. We talked about proper handwashing, sterilization of equipment, pregnancy risk factors, and warning signs of problems during pregnancy, birth and postpartum. The number one cause of death in pregnant women here is hemorrhage, so we talked alot about calculating blood loss during the birth, and immediately post-partum, and the technique of bimanual compression. Midwives can use this technique in their communities in the event of an emergency, it will buy time which can be used to transport the patient to a hospital. The hope of this workshop is that the teams will return to their communties with new information, and (in a classic training of trainers style ) teach the information to other midwives in the area. People seemed to really enjoy the workshop, and I have high hopes for implementing more training programs within the Gracias area with the two women from here who came to the workshop. It was alot of fun for me to be a part of the workshop and I'm excited to continue work with this team.

So there you go; another update on what I'm doing here in the land of mountains and mangos :) Stay tuned for more updates :)
I still miss everyone from home... please keep emailing and writing, I love to hear from people!

Fame...

Before coming down here, I wrote an essay for Peace Corps about dealing with unwanted attention. We also disscussed the topic countless times throughout our three months of training. My frame of reference for this type of attention was always the time I spent in Peru. I have very clear memories of being in rooms and having (literally) ALL EYES on me. This certainly happens here as well...However the difference is that my time in Peru only totalled 3 months. I have now been living in Honduras for more than 7 months and can assure you that the attention has neither lessoned, nor gotten easier to deal with. I have much more sympathy for how celebrities feel in the States, I've caught people here taking pictures of me (and other volunteers) with their cellphone camaras! So I just want to say, I'm sorry Angelina and Brad, I will never again buy an US Weekly without thinking about what the paparazzi put you through to get those photographs. It's truly exhausting.
I don't ever feel in danger or threatened by the attention. It's simply overwhelming. When we were in training in Yarumela, everyone in the small town knew everything that was happening with the trainees. One morning I woke up to my host mom telling me how one of the other trainees had gone to the hospital during the night because she was sick. I still have no idea how she found out so early in the morning... perhaps a phone tree for stories about the americans? :) There was also constant attention in relation to our bodies...height, weight...etc. I don't want to constantly have my stomach (or other body parts) touched and/or commented on: It can be very difficult. So how do we deal with it? Well, the reality is that I am in a different culture from my own, and I stand out. I can't ask them to stop noticing...so I have to figure out ways that I can adjust and deal with the attention. Sometimes I don't leave my apartment for a day, just to take a break. Sometimes I walk around with headphones on so I can drown out the catcalls and dirty lines. And, sometimes, I just walk around knowing that life is too short to get caught up in all the silly little things.... and if a man yells at me and says I am a "beautiful woman" I can't help it if I smile back.