Who Doesn't like Public Mineral Baths?
"Good afternoon, Ecuador blog enthusiasts. As mentioned in previous posts, the house has been pretty crowded for the past few weeks, and will remain that way for five more weeks, upon which the new set of 2010-2011 Program Directors arrive to this beautiful country. In other words, there will be no more alone time for the current PDs. Not to worry, the new bunch is amazing, and took their first excursion this past weekend to Baños, a touristy city located just under the shadow of a very active Volcán Tungarahua. Many PDs joined the group on their trip, and had a blast hanging out with the newbies. (An interesting side-note: my mom informed me that she actually met one of her best friends in Baños, sitting in the main plaza, in the 1970’s when she was traveling around South America. It was a small enough town back then that two Gringas could actually stand out in a crowd of Ecuadorians and bond over their foreignness).
Baños is jam-packed with activities, and a two-day trip was barely enough to sate our adventurous appetites. We participated in canyoning (rappelling down waterfalls, basically), bike riding, go-carting, four-wheeling, mineral baths, massages, party-busing, discoteca dancing, sun-burning, sleeping in, and bonding. It was a legendary (for lack of a better word and yet another “How I Met Your Mother” reference) weekend, and here are some pictures to keep you entertained and amused.
Shawn all geared up for canyoning
On a personal note, this IS the guest blog of one Shawn Fagan, and therefore I would like to take the time to address those readers who have been following my blog posts and are deeply concerned with the progress of the recreation of my Brooklyn movie collection in bootleg Ecuadorian DVDs. It has not been an easy task. Most video stores here compete to be the first with the most brand-spanking-new movies possible, and therefore having a classic collection is less than a priority. Mike and I have so relentlessly bothered our favorite DVD lady that today I finally encountered and purchased the first season of “Mad Men," a series virtually unknown in this country. Kevin Smith will have to wait for his time.
Love, as well as a love for cevichochos,
Shawn"
Dr. Patel on the PHC
Sonia and the smallest orito banana ever
"In some ways Ecuador’s healthcare system is years ahead of the United States’. Here a visit to a public hospital entitles free x-rays, emergency care, vaccinations, and anti-diabetic medication, and although some services require out of pocket pay, the fee is minimal - $4 for a pap smear. In the United States on the other hand, state elected officials, say from (cough cough) Georgia, are still arguing over the constitutionality of the passed healthcare reform. While people continue to lose their houses over medical bills and take on thousands of dollars in debt after a few nights in the emergency room, these state officials are standing on podiums bellowing out succession rhetoric.
This isn’t to say that Ecuador’s healthcare system is ideal. In my opinion, the implementation of Ecuador’s universal healthcare system began before economic theories were ever seriously considered. Because of the absence of economic incentives - short hours, high wages, and benefits - there is a lack of medical personnel in the public hospitals and subcentros (free health clinics). This combined with the fact that members in our community have to travel at least 30 minutes by bus to receive free care have led many to utilize physicians as a last resort, only when they experience physical and/or severely debilitating symptoms.
Since August, Shawn, Sarah, and I have been working to broaden our community members’ definitions and understandings of prevention. Our goal was/is to carry out Serena’s, a 2008/2009 PD, idea to open a preventative health center (PHC) in the fourth floor of the Centro. Through a series of focus groups that began with Serena and ended with us, we saw that community members were eager to take charge of their health but felt like they lacked the tools and knowledge to do so. We envisioned a resource center that hosts health book and a computer with internet for research, a health promoter to answer basic health questions, monthly charlas, cooking classes, and a resource manual that lists where free health services can be accessed. We have spent the past 10 months fulfilling this mission.
Through a series of connections and meetings with the MOH, we solicited the help of an already trained health promoter. He has helped us write a health questionnaire (that will give us an overview of our communities’ physical and mental wellbeing as well as help us understand how to best equip the PHC), work towards the completion of 100 questionnaires, and made us aware of a nutrition organization called Alimentate Ecuador.
Alimentate first visited Rumiloma at the end of April. Since then they have been training 10 dedicated women as nutrition promoters. This Wednesday will be the culmination of the program and hopefully the start of their nutrition campaigns in our communities. In April we also initiated cooking classes. Each week, Sarah and Erik teach students how to make healthy meals with local ingredients in our newly installed fourth-floor kitchen.
The summer volunteers have brought more helping hands. As they shadow in hospitals, they will gather information about the locations of free health services for the resource manual. In their remaining time, they will utilize the fertility beads Serena left us for a reproductive health charla.
Until recently, our efforts have been less about opening a center and more about creating a health-focused atmosphere. We have reached a critical point now that necessitates the consolidation of all those efforts into a small purple room upstairs. We have purchased 34 health books, a laptop, and a desk. On June 1st we will have a physical space that our communities can use to access resources, learn how to care for their health before getting (and while being) sick, and lower the cost that Ecuador spends on preventable illnesses.
-Sonia"
Questions for Haley! / Cotopaxi Pictures
Please send any questions to me (jmw8387@gmail.com) or post them via comment right here on the blog BY MONDAY (como mid-morning). Questions can include anything and everything ranging from:
- how badly she wants to adopt Justin Bieber
- what it's like to teach women's exercise 4 times a week
- how exactly she has a choreographed dance memorized for every song
- how often she watches She's the Man in her bed
- what she's doing in this picture below
As per request, here are a couple of pictures from Mike and Chet's voyage up Cotopaxi from a few weekends back. They were so so close, making it just past the ridge you can see in the picture down below, but unfortunately they started late and had to turn around due to time constraints. Still, we are so proud of them and all of us stared in awe and how incredibly beautiful the view of Cotopaxi was from Quito that day.
