Sunday, May 31, 2009

The new year

The 21 of May 2009, represents my one year mark as a volunteer in Fiji. A time like this is often overlooked in the midst of projects and daily obligations. But, much like New Years, I see this day as something to celebrate- a day to reflect on the past year, and how I can improve in the year to come.

So many thoughts come to mind on how to celebrate the amazing exposure my work and situation have offered. But perhaps the best way to do this is to recap some incredible, noteworthy, moments;

· The pleasure of living three months in a village with Viliame, Tavenisa, and Lo.

· My site- working in a reproductive health clinic in Lautoka (the best place to live in Fiji- but then again, I’m biased)

· Living with and getting to know my amazingly accommodating roommate Nagisa- a very close friendship that will surely continue beyond this experience

· Carrying out a nightclub condom distribution program in the major clubs in Suva (the largest city in the South Pacific)

· Working on a large scale donation to provide medical equipment to the hospitals and health centers in the western division

· Having the opportunity to travel for two weeks on a government boat around the Yasawa islands, stopping at every health center, nursing station, and village, to provide rural, outpatient services.

There are so many other noteworthy experiences, but the chronological list I have provided stands out as having been unique to my volunteer experience. Not included are the moments that have taken my breath away- a sunset here, a shared meal there… the small pleasures afforded on a daily basis that have made me so fond of this country and my particular circumstance.

There, of course, has been the odd occasion where I have been robbed, forced to move houses, or been treated with disrespect because of my age. And, to overlook these things would be foolish and give a misleading perception of my situation- but, these experiences are what have made the last year “real,” has given me perspective, and have served as lessons that I may not have learned otherwise.

So the year is over and a new one will start. The new class of volunteers has arrived- launching a journey that they will make their own. As for me, I will be celebrating both their entrance into the country, and the beginning of my second year.

A family visit

My mother, brother, grandfather and uncle Bobs came to visit. While they were here, we were able to snorkel, scuba dive, travel to far off (well sort of) islands, go white water rafting, and visit the Fiji Museum.

BULA! from Fiji.

At 91, he is the oldest person to tackle the rapids of the Upper Navua river... and here's what he has to show for it, complete with a satisfied grin :o)

Tuesday, March 24, 2009

Out at sea

Carlito (I am now on nick name basis with Carlos Castaneda by merely reading his book) wrote that "in fact, the reality of the world we know is so taken for granted... that our reality is merely one of many descriptions." In that case, I concede to the fact that my relationship with the English language and therefore my descriptions, often prevent me from portraying my true reality.. whatever that is... And since I am giving you insight into my reality I have chosen to add a few photos (along with short descriptions) and simply state that... I traveled with work for two weeks on a boat through the most beautiful islands of Fiji- the Yasawas, there was a dental, school and outpatient team, we visited two villages a day, there was a lot of fishing....


Despite quoting Carlito, no drugs were involved - though I will say that there were many times when my reality did feel like a dream. I have decided that there are two kinds of people- those who can tell grand stories about their experiences and those who can't. I'm the latter. Here are some photos...




My living situation for 2 weeks


Where we slept


Where we ate






Afternoon refreshments- yummm, coconuts. Everyone likes the water, but few like the flesh, which works out well because the flesh is my favorite part.






The medical boat. The engine hasn't worked in over a year. Quite decorative... not?



Inside a very well stocked nursing station


Unloading on Yasawa-i-rara (the top most inhabited island)- also called 8 month island. They say that if you get the sand from here in your hair, it'll take 8 months to get out. I don't know about all that, but I will say that walking on it was like walking on an inch or so of powdery snow.



Swimming in the open sea



delivering a much needed water tank to a health center. Water supply is scarce on most of the islands- and hygeine is the biggest public health issue in the villages and schools.


Out-patient mobile pharmacy


Pap smear team- Auntie Vani is wearing a head lamp upon my suggestion, unfortunately that meant that she no longer needed me to hold the flashlight during pap smears... I lost my job to better technology.







School team.



Dental education

Toilets by class



MMR and TT vaccinations


Class 1 teacher leading students to the community health school team




Looking out to Waya island- you don't see that everyday

Farewel Viwa


Girls collecting sea weed. You know... typical after school duties.



The ladies- the head sister and two dental therapists



Last night, the i-tatau, departing ceremony



Baby powder and a garland- in true fiji fashion.

The old capital

Before Suva became the capital of Fiji, it was a little town called Levuka, on an island in Lomaiviti (translation, inside Fiji-- look at a map and you'll see why the translation is relevant) called Ovalau. Oh and is it ever beautiful.

I didn't take any pictures of the town itself, but it's quite unique as far as South Pacific towns go. When you get off the boat you are overwhelmed by the smell of Tuna- as the Sunbell factory sits just beside the wharf.

After you get over the strong scent, you begin to enter the city. When I had cowboy boots I never wore them- but you need a pair for Levuka. Due to colonization, the buildings and town structure make it feel as you have walked on the set of an old Western movie-- except there were no pubs with swinging doors... unfortunately.

Anyway, what was I doing there? I was on vacation. On a whim another volunteer and I decided we would take advantage of the long weekend of March 6-9. Carron, the volunteer stationed there, is always complaining of her isolation on "the rock".... so we went. And what a treat is was. Below are some photos.


Putu- this is what I was looking at when I called you on your birthday

Mission steps - 199 steps to the top

the view at from the top

on our way for a swim

on the road to Carron's house

Tuesday, February 24, 2009

Back at the hospital


Lautoka Hospital from the back


After taking a few months off from observations at the hospital, I have managed to weasel my way back in. This time in obstetrics and gynecology, where I have observed three natural births in the first day. I'm becoming more and more fascinated by the medical field- particularly the practical/clinical portions.

The medical students have changed since last year. There is a new batch of sixth year students, who Im just starting to meet. They will be doing their attachment at Lautoka Hospital for the next year before, most of them, return back to their respective countries.

Fiji School of Medicine is the only internationally recognized medical school in the South Pacific. This means that each incoming class will include students from all over the pacific like; Samoa, Tonga, Solomon Islands, etc. Many of them are sponsored by bond programs provided by international organizations. They literally get paid to become doctors for their own countries. That's pretty neat, if you ask me.

Chompers

The fluoride varnish project is starting to get off the ground. We have found out that we can expand the number of kids that we had originally allotted and cast out a larger net. We are now looking at a total of three schools, which will drastically improve the legitimacy of the research we are able to get out of the project. The research will be crucial to presenting the idea of switching over from gel to varnish, to the Ministry of Health.

I have been working with the dental outreach team who is very excited about changing over to varnish. They too think it will be much more effective. The gel they are using now contains only 0.4% fluoride, less than most fluoridated toothpastes.

I was invited to see the how they are currently applying the fluoride gel. Below are the photos from the visit.



Waiting for recess to finish

Kids lining up

Getting ready to receive fluoride on their toothbrushes

Kids who didn't bring toothbrushes applied fluoride with their forefingers

Boxes and boxes, cartons and cartons.

I was sure that the couple of days it took to organize the hand over ceremony for two 40ft containers worth of medical equipment would be the hardest task. I realized my error when I stepped foot on the yard where the containers stood staring back at me.

The containers were completely full. There were about six to ten men working at any given time. One would drive the forklift while the others would carry the boxes two or three at a time. I could only carry one or two, depending on the size.

The first day was the most difficult and the hottest. It was a Saturday afternoon and the Rugby 7s Tournament in Wellington, NZ, was going on. If I haven't mentioned it before, rugby is practiced and watched fanatically here in Fiji. Everyone follows the game, and Fiji has been the world cup champions for the last two, and people are hoping that this year will make it three. Anyway, people wanted to watch, and I didn't want to be the one who stopped them. Needless to say the day moved slowly.

Despite the already slow moving day, we were forced to restart a number of times due to logistical errors. Terminology the first time, 'cartons' vs 'boxes'. Then it was that the numbers didn't add up- the actual number sent differed from the inventory checklist. So by the quarter finals we threw in the towel and decided to start again the following afternoon. A few of us went back to J's house to drink beer and cross our fingers for a Fiji victory in the tournament.

(Oh wait, before I continue on about separating boxes, I must tell you how amusing the Wellington 7s extravaganza is. Okay so, every team that's any team has at least one Fijian on it- New Zealand has 4, Australia 3, England 1, etc. So here we are routing for Fiji, when in reality it doesn't really matter because in a way, Fiji wins anyway. England ended up winning, and even though the final points were scored by Domodomo - a fijian player- there was little acknowledgment from the team. But, when Domodomo tried to defend the Pomies from the Fiji players during the match between the two countries, all the Fijians were pissed and tried to fight Domodomo. Must be hard to be him... traitor to his country, outsider to his team, isa.)

Sunday afternoon, a day of rest for most, was spent at the warehouse sorting through boxes. Everyone showing their flexed muscles was ready to work. I don't know if it was because people were still upset about the results from the tournament the previous night, but everyone worked without a break from noon to 8pm.

Finally, its all finished...

http://www.fijitimes.com.fj/story.aspx?ref=archive&id=114769


starting to take out the boxes of the first container to be sorted

sans the forklift- see, only one box

The first attempt when we thought 'cartons' meant entire 'boxes', when in reality, there were six cartons to a single box. oi lei!

Labeling the boxes for distribution, only to later find out that our second attempt would also be wrong. At this point we spent hours trying to figure out the difference in the numbers we actually had been sent compared to what was stated on the inventory lists.