USAID vs Kat or I Want a Sambusa

One of the many reasons I joined Peace Corps was because I wanted to gain experience in international development. Well, I have, and I think I never want to do international or any kind of development work again.

Why such strong feelings? At present I am working on a grant with my sitemates to do a girls' empowerment conference. Girls and boys conferences are a common thing for PCVs to organize to teach a small group of youth about HIV prevention, gender equality, and gender specific issues. It requires a grant- a very detailed, tedious, repetitive, confusing grant process that takes forever and is really difficult to do when you don't have electricity and live in a village! As I have completed my first year in country, and am nearing a full year in my site, I have been thinking a lot about the future. Also, I have a short attention span and am rather anxious to get onto the next adventure in my life, whatever that might be. I have been thinking a lot about returning to school, after doing something that will somehow accrue money in order to pay for that school. Do I want a masters in public health? Global health, or epidemiology? Do I want to face the dreaded MCAT and apply to med school? Do I want to do something completely different? What do I want to do with my life?! Another reason I did Peace Corps was to postpone answering this question, but unfortunately the question hasn't disappeared yet. Its rearing its ugly head at me, and I am as indecisive and flighty as ever. If my opinion of this grant writing business is any indication, though, anything requiring grants in my future is out! No, I do not want to write the same thing four times in different wording and formatting so you, Grant Coordinator, can tell me to fix it and do it again!

The other day I had a crazy time at my clinic. I had one of those days when I think wistfully of one day practicing medicine in America, where when a man comes in with crazy green blisters all over his hands that then turn into open sores and scabs and you have to test him for HIV, there are gloves available rather than stealing them from the fancy delivery kits (thanks USAID) and then getting scolded for doing so. Or a doctor who knew how to use insulin would be present, so we wouldn't have to ship the patient and insulin (which needs to be refrigerated) to another village an hour away, or at least if we had to do that, there would be ice packs or something, rather than scraping the ice build up from the sides of the freezer to pack around the insulin in a used mebendazole bottle. I love working at my clinic- its the thing that occupies the majority of my time, and I love working with mamas and babies, teaching, and then doing all the stuff I'm not qualified for or supposed to be doing according to Peace Corps. But there in lies the problem- I'm not qualified, I don't know what I'm doing, the people who are qualified don't know what they are doing either because this is Tanzania, and we never have the supplies we need. I can dream of medicine in America, where things are clean and there is money, but everyone else I live and work with can't escape these conditions. And in my puny little role as a volunteer, with a whopping 23 years of experience in absolutely nothing, don't know how to change that. I sound really dejected- I'm not. I know what I can reasonably accomplish in my two years here, and I don't expect more of myself. Peace Corps would be a lot harder if I did. My clinic debacles are funny in hindsight, experience, and make for great stories. If I do ever pursue development work in the future, I will be much better prepared for it by doing this now. And I am eternally grateful that I was lucky enough to be born where and when I was so I can go back to better conditions when I choose.

Things I Would Never Say in America or This is Actually a Quote List

(This will probably only be funny to other TZ PCVs)

I want to see your village! -Rachel

How did I get food on this hand (referring to my left)? -Kat

Ugh, he just gave me the wiggly finger! -Safi

The ants are my friends. -Rachel

Am I a whore because I drank alone in a bar? -Maria

I have lights in my fucking choo! -Maria

I'm afraid to wear pants! -Kat

Did your diarrhea look like veggie curry or soup? -Cate

The last time I bathed was... last Thursday? -Maria

The shit I just took looked just like chocolate soft serve ice cream! -Maria

A woman peed on me today. -Kat

It only takes three hours to get there? You're so close! -Kat

People make the weirdest sounds when they talk to goats. -Kat

You don't use toilet paper anymore? -Kat to Chuck. He doesn't.
The monkeys have ben SO LOUD lately!- Rachel
I like your spigot -Safi
Where are my oven rocks? -Rachel

Karibu New Trainees! or You Are Going to Think I Smell So Bad

The calendar of sessions has been decided, we have argued over the content of each session, we are writing and editing tech language and welcome books, and we are almost ready for out n00bs to arrive in country next week! It has been almost a year since I arrived in Tanzania, and being back in Tanga is cause for some reflection.

What I have noticed through my reflection:

I have been amongst Americans for five days now, haven't shaved my legs yet, and don't really care.

Even though its hot, humid, and I'm sweaty, I don't mind that the guesti doesn't have water and I can't shower.

The ants in the sugar bowel are just added protein.

I have no secret that would embarrass me anymore- not about diarrhea, not about menstruation, not my dancing in public, not my BO.

Dear new PCTs,

You are going to come and be afraid of the gigantic spiders and the rats in your homestay house, and not appreciate the ants on the fish that your family keeps in a filing cabinet, and you are going to be appalled at how the PCV facilitators you meet smell and uninhibitedly describe their most explosive bout of diarrhea and eat everything in site, but one day, you will learn to live peaceably with the rats, and you will get better at killing the terrifying spiders or just accept that they won't attack you, and you will relish that you don't have to bucket bathe twice a day like you did during homestay, and you too will smell as bad as I do.

Many of the instructional sessions for PST have been standardized across all of Peace Corps, so during this Training of Trainers week of planning, we had a session introducing us to these standardized packages and the theory behind them, the policies that people in Washington came up with to streamline training for all Peace Corps countries. Washington has separated topics into health, agriculture, environment, economic development... so in the field you get health PCVs, or agriculture PCVs, or environment PCVs, but really most volunteers do some of everything, or an environment PCV will mostly work on health issues, all depending on what is happening in the community. The clear lines that Washington's policies delineated get blurred and crossed in the field, and that made me think of how different policy and fieldwork are. I imagined people sitting in air conditioned offices in Washington DC, wearing suits, going to lunch at the deli across the paved street, clean, urban, while I am sitting in a room with no electricity, the cantilevered windows opened to allow a humid breeze, transitioning between two different languages to exchange information, wearing my Tanzanian kitenge dress, my feet dusty from walking through the sand to get here. The theory and thoughtfulness- and I would assume experience in the field, as well- that went into creating the policy is valid, but what it turns into while being implemented, with each person's individual personalities and environments, is completely different, and policy just doesn't matter that much in the daily lives of a PCV. Working here is challenging; you have to be flexible and calm in the face of changes and misunderstandings that don't necessarily arise while working with fellow Americans in America so the policy makers in their nice clean offices don't think about them. That makes me feel incredibly superior, if dirtier and less professional.

August or I Looked Like a Wrinkled Old Man When I Was Born

August has shaped up to be an exciting month. I will proceed in chronological order...

I got a staph infection in my foot that made it swell until I looked like I had elephantiasis and I couldn't walk for a couple days. The Peace Corps doctor was amazing, though, got me on super strong antibiotics, and has followed up amazingly, and I am all normal except for missing one toenail and looking a little like I was exposed to nuclear radiation.

The clinic had been short staffed - more so than usual- while my mama, the nurse, and the new nurse we got from the district were both in town, so I was left running the clinic myself while my baba, the clinical officer, was in and out with back pain and a tooth ache. I go to clinic one morning, I notice a woman is in the other room having contractions, but that's normal, so I continue with weighing babies. The bibi who has escorted the mama comes out to ask for my help, and I tell her the doctor is coming, I can't really help you, I don't know how to deliver a baby. I tell a kid to go get the doctor and tell him to come quickly. I continue with clinic. The bibi comes back out and insists, come in now, so I go look at the mama, expecting to see nothing. Uh, yeah, the baby is crowning... I run back outside, the kid still hasn't left, I yell at him, Athumani, go now, FAST! I return to the room, clumsily put gloves on not steady hands, thinking about how every baby I have seen delivered has been born with the umbilical cord wrapped around its neck and I am terrified of this kid getting strangled by it I don't know how to avoid that from happening this baby could die... The bibi and this other mama are in the room standing behind me, yelling at me, I have finally gotten the gloves on all of my fingers, the mama gives one push, the head pops out, the neck is cord-free, the shoulders pop out, the baby twists around so its facing up, and slips out into my hands in a gush of blood and slime! Wrap up the baby, clamp, string, scissors to cut... why is that mama rubbing the other mama's belly like that? Oh, shit, the placenta! A retained placenta can lead to sepsis this is the time when women hemorrhage and bleed out after giving birth rubbing the belly or stimulating the nipples causes oxytocin to be released which will help stop the bleeding rub the belly get the placenta out... BTW that shit is slippery. It is not possible to grab the umbilical cord and pull because it is impossible to hold onto the cord, covered in bloody slime as it is. The mama has to push again, and you ineffectually pull, and eventually it pops out in another rush of blood and clear fluid. Relief rushes over me, everyone is alive, the crying- breathing- baby has been wrapped up and is being held, I'm helping the mama clean up, wiping up blood, then I went and taught about exclusive breastfeeding and finished clinic!

On a different afternoon, I was siting on my couch, when my cat- correction, Ruthie's cat, there is no love lost between this animal and I, I take no ownership of it- comes in carrying some mewling animal I assume is a rodent it plans on eating in my house in typical fashion. This is an on going war between us. To my horror, she jumps onto my couch with it before I have untangled myself from my blanket enough to stop her.... and I realize she is carrying a kitten. I still think she's going to eat it when I realize that the kitten looks just like her, and its probably her kitten. So now is when you are probably thinking didn't you realize your cat was pregnant? My response would be 1. What is the gestation period of a cat? 2. I didn't want my cat to have kittens, so I thought of other reasons for her belly to be so firm. So, I am now the owner of two kittens. They're kind of funny- they are just now figuring out how to walk, so they stumble around on legs that tend to go awry in unintended directions, and they have a habit of picking their feet up higher than necessary, as if they were tip toeing cautiously, or stomping their feet.

The next Monday I delivered another baby solo. I was much calmer this time, none of the panic I had the first time. This of course has nothing to do with development work or my actually role as a Peace Corps Volunteer, but its really cool. In a letter from my mother for my birthday, she wrote that now that I have experienced a baby's delivery, I would know what a special experience it was when I was born! Sorry to disappoint, but a baby's delivery is gross and slimy, with explosions of blood and goo, and I'm sure its nice for the mama when its all done and they get to move onto a new kind of pain from labour pains, but I haven't experienced the wonderfullness yet. I do think its crazy though that one person comes out of another person like that, after having lived in a liquid filled bubble for nine months, and having grown from the chance meeting of two traveling cells. I am thrilled I didn't kill anyone.

Then It was my birthday! I celebrated in my vill by making cakes and sharing them with all the families that take care of me, and I had an American visitor in the form of a traveling PCV, which really made it feel so much more like a birthday.

Also happening this month is the Tanzania census, which I got to take part in as a current resident of Tanzania. Teachers around the country were trained in how to fill out the census forms, and then went door to door in their communities to ask every household their names, ages, marital status, level of education... and if they grow corn, pigeon peas, cassava, or keep cows, goats, or chickens. My grandmother sent me a birthday card, and in it she tells me how much she thinks of me, loves me... and how someone tried to scam her, falsifying my cousins presence in a Peruvian jail, so she writes to me, “Please don't get into trouble, because I won't believe you.” I recently discovered Gotye and the video of “Somebody That I Used To Know.” Uh, yeah, I'm a little behind the times. I want that final scene from his video, when he is so exposed, looking at her while her paint is being removed so openly and obviously vulnerable, as a still to hang in my house and look at always. It is such a well done, emotional video, with their purposeful eye contact, or lack thereof, and facial expressions, and his punctuated sighs. Today, my dear sitemate Rachel was waiting to meet me in town, and from afar sees a small figure swathed in fabric, and thought it was me... no, it was a tiny black man. Thanks Rachel.

I'm Hungry or Mostly Just Random Anecdotes

We have entered the month of Ramadhan, which means food during the day is scarce in the predominantly Muslim areas, but dinner invitations have sky rocketed! I am interested to see society decay as people starve themselves everyday for a month- my bet is that chaos will run rampant as the month nears its end and people have had enough of being hungry. Well, you know, more hungry than normal, in my undernourished village.

Personally, what Ramadhan means to me is a battle trying to educate pregnant women that they really shouldn't be starving themselves for a month- they are already undernourished and they should be increasing the amount of food they consume, not obliterating it! Its a rough argument, though, because its me, who they know is not Muslim, a white stranger, telling them to go against their religion and not make this sacrifice to the god they believe in. I may have science on my side, plus my very verbose mama, telling them their babies will come out underdeveloped or mentally deficient, but these women's lives are much more influenced by the religion they interact with daily than some science the white girl brought with her from America. I'm surprised at how frustrating I find it when women refuse to stop their fasts. Not that anyone would blatantly refuse, that isn't Tanzanian, but I hear a lot of “I'll eat tomorrow,” “I'll stop fasting tomorrow.” In Tanzanian culture, that means no. It shouldn't concern me so much- these women are used to not eating a whole lot, hopefully the effect on their babies will minimal, and I don't have to take care of whatever problems that baby comes out with it if there are considerable effects- but I find it so disturbing when women refuse to make a concession to their religion for the health of their babies. Maybe if I were more ardently religious, I would feel differently. I've tried using the argument that don't you think God would want you and your baby to be healthy rather than you make this sacrifice, but I doubt that hit home with anyone. Its not my place to interfere with another's religious choices, but it is my place to be educating people on making healthier choices, and when it comes to Ramadhan and pregnant and nursing mothers, this conflicts.

Other than my current struggles with Ramadhan, I want to share some little anecdotes and thoughts, that haven't really merited their own posts, but I really want to share. Scarcity is the mother of invention I have found in Tanzania. My mama was making nyama choma for me one night, which is basically BBQ minus the sauce, and I told her about shish kebabs. She wanted to try it, so she goes over to the roof of her chicken coop, where she stores random things, which is also hidden in the dark so I can't see what she's doing, and comes back with skewers which she proceeds to use to skewer and cook the meat. I am amazed that she has skewers, and my first thought is that she must have purchased them somewhere, in a nice set of 6 in a pretty plastic wrapper... Yeah, forgot I was Tanzania for a minute. I ask her where she procured her skewers, and she replies, “Umbrella.” She was using the spokes of an umbrella to roast her meat.

Another occasion of scarcity inspiring brilliant creativity took place before the rainy season ended. I had already realized that my water catchment system acted just like a faucet of running water, making it perfect for washing dishes. I had a few dishes collected that I had been putting off washing because washing dishes is the most evil house chore in existence, but really the thing that was bothering me was how nasty my hair was. Its not uncommon for me to feel like I need to wash my hands after touching my hair, but this time it had gotten to the point where I never wore my hair down, not even while sleeping, because it was so gross. My hair was so nasty, it made my skin itchy and uncomfortable. I stopped touching it because it was not just oily, but there was definitely dirt mixed in. Why had I allowed my hair to get so gross, one might ask. Washing hair in a bucket bath sucks is the answer. It doesn't actually make your hair any cleaner, and you have to hang over, bent in half, in order to get your head into the bucket, which causes all the blood to rush to your head, and if you have a cold, all the snot in your sinuses to readjust in an uncomfortable manner. So, one afternoon, it begins raining, and I rush out with my dish soap and dishes, but half way through rinsing off the one bowl I own, I realize that I could wash my hair. At first I hesitate- how weird would that look if someone walked by and saw me washing my hair in my water catchment system- but probably no one would walk by- nothing is worse to a Tanzanian than walking in the rain. So I run for my shampoo and proceed to wash my hair, standing outside of my house, in sweatpants, my head under a concentrated downpour of rain water. I have never felt cleaner while in my village.

Dancing is often considered a large part of African culture. It certainly is in Tanzania. Little girls come out of the womb being able to shake their asses. There is a teacher at my secondary school, Amina, who, although she may be a very conservative Muslim woman, shrouded in head covering and black gown, she can move! Its surprising, though, how diverse the styles of dance can be sometime. There is a club in Dodoma of which I have frequented many a time, where women come in surprisingly culturally inappropriate apparel- knees, shoulders, oh my!- and exhibit their skills on the dance floor. The favorite move by far, you may ask? The Electric Slide. Tanzanians will, no exaggeration, line dance for hours. It never seems to get old for them. Any music becomes line dancing music, once one person starts with the side step-ball-chain. If the dance floor wasn't full before, it will be when its line dancing time. So, my question is, is this a case of southern revival, or the Out of Africa Theory?

Village Situational Analysis or I Took Pictures In My Vill!

Me in Mama Jennie's shop

Cute babies in my courtyard

Sassy girls in the madukani

 The soko, market

 Mama Jennie sewing clothes

 Dada Asha making chapati

 My mama and baba at the clinic

 Twins I saw born! My mama is giving them polio drops

Women selling food in the madukani

Projects, Packages, Partying, Oh My! or If I had known PC would be like being in puberty again I might not have signed up

Ok, so returning from IST has been rough. We were warned that most people experience their lowest low right after IST- which makes sense. You spend two weeks with Americans, speaking English, experiencing American culture again, you aren't alone all the time, eating safi, American-esque food instead of the random food you can find in your village or manage to cook for yourself, and then you expect to start all these projects and get things done when you return to your site, becoming the amazing PCV you imagine yourself to be.... but that doesn't happen. In reality, you return to your site, you miss Americans, it is shocking to be so alone again, it is shockingly quiet in your house, and it takes a really long time to get things started. Or, at least, I feel like I am taking a long time to get things started. Talking to other volunteers, they are accelerating, they are starting things. People are starting to teach life skills at their secondary schools, or starting sports clubs, or starting tree nurseries... and I am doing the exact same thing I have been doing since I got to site. Granted, I work at my clinic three days a week, but I want to start my projects- it just takes so much time, and I need resources that I don't have in my village- like internet, and electricity. Also, internet is becoming more expensive, and it still sucks. Its like Comcast in Berkeley. It is the necessary evil in one's life, but it is so evil!

Ok, being more positive now. Friday was a really good day. I went to the clinic in the morning to clean with my mama and baba, and I told my mama all my ideas for projects and she told me that I was such a good child- she calls me her child- and that I have such wonderful ideas. Even if I accomplish nothing in my village, having the approval of my mama makes me feel so much better. I go back later in the day when clinic starts, I set things up, and I'm about to start asking the mamas for their cards to write their babies weights on, and my baba comes up to me and asks me to teach. I haven't prepared anything. I would be teaching in Kiswahili. I ask if I can teach Monday, at the next clinic, and he asks if I could just teach for ten minutes. Some background: my clinic is really understaffed, so even though we are supposed to teach something every clinic day, we don't. We are also supposed to do outreach to other villages, and don't, because only two people work at my clinic, and me. So, I give a lesson on family planning, off the cuff, and it is amazing! Women are answering my questions- which is really difficult to get them to do because of the Tanzanian education system and the use of corporal punishment in schools, which all these women are products of- they are laughing, I did a condom demonstration- condoms are a sensitive topic in my village- and my favorite part was blowing a condom up like a balloon in front of all of these women to dispel the myth that “condoms are too small.” Then we continued with a busy clinic day. By the end of it, I was exhausted- speaking Kiswahili all day is exhausting- but I felt so productive, and so good about what I am doing in my village. You can experience so many emotions in one day- when people describe PC as being a roller coaster, they are not lying- its kind of like being in puberty again because all of the emotions you experience are so intense.

I received a package from the girls that I lived with in college! It made me so happy! They sent me a portrait of the seven of us that hung in our house for two years, and wrote me a colorful letter with pictures. They sent me magazines, and bacon, and hot chocolate- with marshmallows!- and Sponge Bob mac and cheese! I miss them so much, and this package came at just the right time.

Which brings me to... This is what would be in the ideal care package from home (I have put a lot of thought into this)

1. Pictures from home to hang on my walls or show people in my vill. They make me so happy to look at them, and Tanzanians are fascinated to see America.
2. Dark chocolate. It does not exist in Tanzania. Chocolate is really expensive, a luxury, so really, any chocolate is appreciated, but especially dark chocolate.
3. Any and all cheese products that could survive the trip across the US, Atlantic Ocean, and most of the continent of Africa. Cheese is really difficult to find here. If I travel for two days to So High in Southern TZ, I can find real cheese, and sometimes I can find a cream cheese-esque thing in my regional town, but that isn't guaranteed.
4. Mac and Cheese- not easy mac because I don't have a microwave, but old fashioned mac and cheese with the boiled water.
5. Tuna packets. My friend brought one back to me from the States, and I cut the package into pieces so I could lick all of the tuna out of it. It was so good. I do not get enough protein on a daily basis. The Tanzanian diet is heavily reliant on carbs, and the most common protein source is beans.
6. (I now have more deorderant than I can use before I am 30. I have made good use of them as presents for PCVs, though) Deodorant. It is not in Tanzania. Tanzanians don't use it. I like Dove, powder scented, but any brand would be acceptable, but just no strong scents- the point is to not smell my armpits, even if they do smell like oranges. Considering how rarely I shower- and how I expect it will get worse when the rainy season ends and I stop having water- deodorant will be much appreciated for my own sense of wellness.
7. Wet wipes- too lazy to get a bucket of water to shower, or need to wash your feet before getting into bed? Bam! You're clean! Cat brought a lizard into your house and left blood on your floor, but you don't have cleaning products because you live in a third world country? Bam! Lizard blood gone!

For Jodi- this is a shout out to Little Amy. And nighties, and spritzers, and throwing cucumbers in people's eyes. Sometimes, I really love Peace Corps.