Tuesday, October 23, 2007

Posting issue

So no idea why the pics aren't showing. I'll try and fix it when
I'm in the State's next week. Here are a couple of views from another
trip I took here a couple of years ago to tide you over :)














This is from when I hiked the Citadel. It's the oldest fortress in Haiti built to guard against the return of the French just after Haitian independence. Most of the views are from the top, the one of the facade was from the hike up. The little boy followed us everywhere, really sweet boy who lives there. His Uncle is the "caretaker". And the house is from the village on the side of the mountain as we hiked back down.

Haiti, the best kept secret in the Caribbean

Well Howdy Folks,

I am on the road, again. This time back to
Haiti. I'm here for the week at the local partners forum. We bring all
the clinics/hospitals together a couple of times a year to share best
practices, get technical updates, etc. It is good and hot, not quite
Africa hot but hot none the less. And every day at about 5pm it rains.
I'll be in Port-au-Prince for this whole trip so not a lot of field
time, but it's nice to be back and see everyone again. Here's a little
local flavor for you.



This is a "tap tap", the local bus. They are
brightly painted as you can see, fit 30 - 40 not so comfortably, and
often have big iron artwork welded to the tops. The most common I see
are big long airplanes welded to the top of the "bus". The locals can
tell where the tap tap is from in the country, or even where it Port-au-Prince it is going by the way it is painted.



Sugar cane is for sale everywhere. It stave's off hunger so there are wheelbarrows just like this on every corner, sometimes two. And yes, that is a very large pile of pots and pans on her head. That's nothing, I've seen queen size bed frames before too.

Ok, that's it for now. See you all stateside!

K.

Sunday, October 14, 2007

Huts, baskets and more trees...oh and livestock


The huts in the villages are pretty varied. Some are square, others round. Many are built atop tight packed dirt or even concrete and then large tree trunks hold up the edges of the thatched roofs giving a wrap around porch. They are also often painted, some with wonderful designs and patterns.

We stopped at "the bridge" on the way there and back to pick up drinks and snacks.




Then of course, if there is not charcoal by the side of the road, there is livestock...generally crossing as you approach at high speed.



Lots of trees, more hills and lots more of the Great East Road in reverse.

That's a huge baobab tree on the side of the mountain we were driving through.

Then more people carrying heavy tubs of water.


A very random "bus stop"

And beds on top of an already overloaded truck...

And then back in Lusaka for a couple of days.


That's about it for now. More posts from my next location!!!

Love,
K.

Saturday, October 13, 2007

A few more days then 6 hours back

Here is some more scenery. The mountains were great, every now and then there would be a huge baobab tree or some fiery red thing. Tons of mango trees. And of course the ubiquitous charcoal for sale along the side of the road. Along with a random bed or two and doors. Just doors. It wasn't until we ran across some new brick structures with door frames and no doors that the random door sale made sense. See a need fill a need I guess!

Ok, the internet is acting up again. I'll edit more in the morning.

Goodnight from Zambia!

Beer Run

Dear Luci and M,

So by Tuesday night we were ready for a couple of beers. I got directions from Shelia, the medical director at St. Francis. Mother of 6 ranging in age from 15 to 2 (the last one she delivered herself because her labor progressed faster than she thought it would!), great kids, great family. Really wonderful to be around. Here are the directions:

Turn right towards Mozambique.
Go over 2 speed humps and then after about a kilometer you will see a Ministry building on your right.
Just past that on the left there is a really big pile of sand.
Hidden just behind the sand is Patrick's place. He sells beer.

So we went the wrong way. Best quote of the week was Miguel pulling over after we had gone a good 1/2 hour towards Malawi. The guys came over to the car, we all did the local greeting and then Miguel says..."Which way to Mozambique". We never did find the beer place that night, but we did have a great dinner at Malo Gardens. And Cara couldn't resist the lady selling produce because she had a baby with her so we got a really big bag of onions to boot!

It was a lot easier during the day light the next day so Wednesday was beer and card night. Cara made spaghetti. Of course we didn't have enough things to eat on or with so we emptied the butter holder that had the kids Lego's in it and washed it out for an extra plate and I got the lid to the pot. Spaghetti with a spoon is tough, especially since I'm not allowed to cut it since my Grandmother told us it was bad luck. But we had a blast! After three days of chart reviews and 100's of patients and the heat; beer, cards and pasta in a pot lid felt just like home.

More pictures soon.

Cheers,
Kik.

Company is always nice...

So, they are called racing spiders and boy are they quick.


It was a nice little dance around the tub each time to keep the proper distance between me and Harry.

Definately not Kunduchi Beach Resort

So, since I got soooo much sympathy for the rough environment from my last trip to the coast of Tanzania, with the great beach and cold beer I thought I'd share the five star accommodations from this foray into the bush.

Here is my "shower". Most of the time we had water, and trust me, a scoop from a bucket really does feel quite good after sitting in a room for 9 or 10 hours sweating to death.

Love,

Kik

St. Francis Hospital

So, wedged between Malawi and Mozambique sits the eastern edge of Zambia. St. Francis Hospital is actually rather large with an inpatient unit, surgical unit, pediatric in patient and a huge, and I mean huge, ambulatory wing. They have about 3,800 patients on HIV treatment and another 5000 in care currently. The kicker is there are currently 3 doctors serving this population, and 2 of them leave to go back to Australia after a year here next week. It's a pretty amazing place. By about 5:30 am people begin arriving at the entrance en-mass. By 7 am the waiting areas, open courtyards ringed by exam rooms, are filled with people. 20 people to a bench that about 5 Americans would sit on. People sitting in front of them with their feet dangling into the concrete well in the middle. The very sick lying down. Somehow order is maintained. People file one at a time into the exam rooms as others file out. Just about every woman has a baby on her back. Many men are also carrying young children. We sat in one of the rooms where a community health worker administered the patient survey. Four of us around a 2x2 table on chairs and stools, the top stacked high with charts and water and coke bottles. 110 degrees outside but we kept the door closed so the patient would have some level of privacy. The people here are so gentle and friendly. I didn't take any pictures inside the clinic, I always feel like an unkind voyeur when I do that. Like their suffering is somehow a tourist stop, a brief holiday for the mzungu to bring home and show around. So the pictures of people generally come as I pass them at 120 km per hour. But here is a look at the grounds. You can see a bit of the purple jacaranda flower carpet below the tree.

road and more road...and people walking

Here is a shot of the jacarandas. I wish the purple came out better, they really are a brilliant violet color. The flowers have started to fall and the ground underneath looks like a long violet carpet. The drive was long, and a little warm but as I mentioned the scenery was wonderful!




The road is called the Great East Road. Very aptly named. It runs east, and then further east and then still further to the east. We passed huge stretches with nothing there, then there would be a few huts visible, then small villages, then a "town" and then nothing again for a very long time.


As in all places I have traveled over here, you will be driving through the middle of nowhere (which did I mention I spent six hours driving through?) and suddenly the road is full of people walking. No idea where from or where to, but they are walking or biking and usually carrying very very heavy things or have two other people on their bike. I can't get over how physically demanding the lives of the people here are. I really am in awe.



Yes, note there is nothing around. I really really want to know where they are going.



Yes, that is an oil drum on her head....

We finally made it to Katete in time for the Zambian sunset...


I wish the pictures could do this place justice. I really is a beautiful country. That's all for this post. More to follow as I catch you up on the week. Miss you all!!
Love,
K.

Good news...there was a road all the way there

Howdy from Zambia,

So, we were up and ready to leave by 9 am on Sunday. Of course, we got on the road right on time...about 12:30. It's about a 6 hour drive from Lusaka to Katete where St. Francis hospital sits just on the outskirts of "town". 120 km per hour in the back of the truck perched sideways on benches. The secenery was amazing!!! It's coming into summer time here and the jacaranda trees are in full bloom with beautiful purple flowers. It makes up for the 110 degree heat for sure. We drove through nowhere to get right to the edge of the Zambian border tucked between Mozambique and Malawi. I'll write more later, having internet trouble.

K.

Sunday, October 7, 2007

On the road again...

Hey Luce and M,

Six whole weeks at home, it went by so quickly. I'm off again, back in Zambia. I arrived in Lusaka yesterday afternoon and the team came over for a great Indian dinner, wine and beers. Amy and Chris's little girl has gotten so big (they adopted Kondwani a few months ago and she has already grown so much). Cara and Miguel's three seem to be adjusting to life in Zambia quite well and have already made a lot of friends. I'm off to Ketete today for the rest of my stay. Cara, Miguel and the kids are going as well. It's going to be a hoot. We will be at St. Francis Hospital where it is wonderfully dry and 100+ degrees of course. Pictures to follow when I get back.

Greetings from Zambia.

Love,
Kik