Thursday, July 24, 2008

update

Hi blog readers!!!

First I want to share the Very Exciting news that we have raised just about $1,000 for ASHA!!!
THANK YOU SO MUCH! and congratulations to everyone for accomplishing this!

To illustrate the effect this can have for real people living here in New Delhi I'll share some facts.
For one of the 30 slum kids who are now college students to go to school for one year costs $250. So five of these hard working deserving kids is studying at Delhi University thanks to our efforts!!!

Also-$15 dollars will provide TEN children with Vitamin A supplements to prevent blindness!

$30 will provide full medical care And vaccinations for a child for its first year of life (well baby clinic!)

$270 will equip an Asha Community Health Volunteer (a woman from the slum) with Supplies for an entire year!

$750 will provide basic Health Care Education (what i've been teaching at DAB and observing in the health clinics) to 1500 people! thats a lot!

Can we Do it?! $1500 will provide basic medicine and clinical supplies for a community of FIVE THOUSAND for one year!

so thank you all so much for donating to this amazing cause.

I have tons and tons of moments and people and stories to share with you but I have been busy finishing up work at Asha and for the next 2 weeks will be traveling in the Himalayas.
The first week I'm going with my roomates to Manali and Dharmsala, coming back to Delhi to celebrate my 21st birthday! and then heading up to Rishikesh, the spirtual center of India, to reflect on my experiences here (and prepare lots of blog entries!) and to spend some time at this turning point in my life being introspective and considering where Ive been and where I hope to go.

In an experience which I will write about in depth, I was able to speak with a guru who reads Chakras (7 forms of energy associated with parts of the body and aspects of personality and character) and have some specific areas to consider during meditation alone for a week.

I shall return full of stories and commentary about my experiences here in India, so I advise checking back on August 9th!
Namaste, Lolly.



Some Photos from Ambedkar Basti Slum Community. Some of the people benefitting from your donations :)





Thursday, July 17, 2008

TB survey, W85, Zakhira

During my last week at Zakhira we finished up the 200 Tuberculosis Surveys. We have not yet analyzed the data but fortunately only found a handful of likely cases. I really bonded with the Asha staff members and slum residents who work for Asha. At one moment while I was observing the doctor, the Community Health Worker took my hand and held it in her own. We could not communicate verbally, but that gesture was really touching. Also while I was observing women would just hand me their toddlers. I particularly have fun with one baby, Nas, who I have several pictures of here. She just turned one and had a small birthday party at the Asha center where we gave her chocolates and some new clothes. One of my students, Shabnam, pictured in the previous slideshow several times, came in one morning and asked if I had my ears pierced. That afternoon she came and fitted bright turquoise earrings into my ear. I tried to return them at the end of the day and the next morning, but she refused to take them back, they were a gift. I wear them everyday as I did not bring much jewelry with me, but the girls scold me if they don't match my outfit. I'm going to buy her some pink earrings because that's her favorite color. It continues to amaze me how kind and inclusive and sweet the girls are. They took awhile to warm up but just the other day they were feeding me some of their lunches. Literally Putting food in my mouth. It was very close, like we were sisters. Except then Sifat put something incredibly spicey in my mouth and my lips were burning for five minutes, so Anjum and Saba gave me crackers and roti to calm the burning. They thought it was hilarious how I reacted to the spice.
I really enjoyed my time at Zakhira and miss the staff and students!

We completed the survey in the slum part W85 in Zakhira. Here live 400 families and at W88 live 800 families. There are many young children for several reasons. One is that in a Muslim community, having more children means that you have been blessed more and a large family is encouraged. Two because the mortality rate is so high for children under five so to ensure some survivors the women have many children just in case. We met one woman who had had eleven children and six had passed away. The third reason is
that contraception is not widely used. Partially due to a lack of education, partially due to religion. One woman came in with her fifth child and explained that she had wanted a tubal ligation, but that her religion would not allow it. In many cases it is the mother-in-law and husband who make decisions regarding a womans body.Asha is working to combat all of these factors so that the poor families can share their resources adequately among the ideal of two children.
It is interesting to note that the majority of families here are from a village and came to Delhi only to find work. Many slums are located near railroads because it provides labor for the men. Therefore also, many of the women are unfamiliar with the area in which they live, and until Asha came, with their neighbors.

Tuesday, July 15, 2008

Girls at Zakhira

Some snaps of my students and I at Zakhira

Sunday, July 13, 2008

Well Baby Clinic at Zakhira!

This clinic happens once a week and is for healthy babies to come in and get their immunizations. I helped to give them drops for polio, and observed them getting shots for Hepatitis immunization. It was a nice morning to see healthy children instead of the many afflictions which the adult patient endure. It was half heart-wrenching half hilarious when the babies got their shots. I held their hands as they lay on the table. They have a very delayed reaction to the pain, scream loudly, and then promptly forgot what upset them within a minute. Even their mothers were laughing.

Thursday, July 10, 2008

The Intersection of Medicine and Culture in India

We have been able to observe a doctor both in the slum as well as in the polyclinic at the Asha office. It is fascinating observe the patients and the doctor and how they interact. Many of the ailments which afflict the slum dwellers are a result of their lifestyle. Their diet especially is low in key nutrients which leave the people vulnerable to illnesses which could easily be avoided. The amount of physical labor required of these people also is a detriment to their health.
The culture is one which believes that having many children is a blessing. One woman had suffered a "missed abortion" which we know in the US as a miscarriage. This had occurred 3 months before and she was advised to wait 6 months before trying to conceieve again. Her visit to the doctor this time however, was to ask how she could get pregnant, because there was a lot of pressure on her from her family. I saw several other women who visited the doctor because they were concerned that they had not become pregnant after being married or six months or a year. Once a woman is married, they are basically expected to start a family as soon as possible. The doctor at the polyclinic, an older, kind faced woman, assures them that they will in time. She explained that often, a patient will come in worried that something may be wrong and that is why they are not getting pregnant. The doctor tells them not to worry but sets up some tests for later that month. Often she revealed, the next time she sees them, they are pregnant. So she now has a reputation for helping that problem just by seeing the patients.
One woman came in with a bloodshot eye. The doctor examined it with a light and had her look different directions. She then touched the skin below the eye tenderly, and noticed a dark bruise descending from her inner eye out towards her cheekbone. She asked the woman what had happened and the woman said nothing, is it alright? The doctor turned to us observing and asked what it looked like to us. Reluctantly we suggested that it appeared she had been hit. That is exactly what the doctor thought as well. She prescribed an antibiotic just in case and told the woman to "be more careful". She then explained to us that domestic violence is fairly common here but that there aren't really any resources for women.
One woman, the president of the mahila mandal in w88 in Zakhira, came in complaining of leg pain and general achiness. She is 55 and recently had an operation to remove her gall bladder. The doctor explained that the pains she was experiencing were essentially psycho-somatic. Getting an operation is a daunting idea in general, and for a population of people who hardly ever go to the hospital, it is particularly upsetting. The doctor prescribed calcium and vitamin B complex. She says that these two vitamins she gives to basically every woman who comes in, because they are very often deficient. The patient usually feels better because these are good for the body, but also because of a placebo effect. The doctor at the polyclinic explained that similarly, she makes sure to have every patient lie down on the examination table, even if she is not looking for anything in particular. She explained that this process makes the patient feel taken care of and looked after. Sometimes just knowing that a professional is there helps them to feel better.
One of the most haunting images I have seen here in India occurred the other day at the polyclinic at Asha. A woman dressed in a royal blue sari, with pale skin and gold earrings, came in with her newborn baby. The baby was wrapped in a hand towel. It was ten days old but hadn't been eating properly. It was tiny. Its skin was so thin you could see its veins. It wouldnt stop screaming. He kept flailing his arms and crying in a birdlike way, repeating the same high pitched noise over and over. The mother tried to keep the towel around him as she lay him on the table, but he kept squirming and moving around. The doctor stood up and expertly wrapped him coccoon style in the towel. The two women then sat down at the desk to discuss the issue. I couldn't take my eyes off of the child and all I could see were its pale arms flailing in the air, his whole miniature body writhing on the table. The doctor then observed the baby breast feeding to make sure it was getting enough nutrients. She then sent for some medicine and mother and baby left.
One woman came in with feet swollen to double normal size. Only her toes managed to fit into her flipflops. She lay on the bed and explained that she had just come from her village. She was about 5 months pregnant but was not able to rest. Her mother in law was sick so she worked all day taking care of her. Her blood pressure was very high as well. The doctor explained that if the woman were able to rest and have a healthy diet, the condition would be easily cured. Unfortunately, it is expected for the daughter in law to care for her husbands mother, so it would not be easy for her to ask for time to rest. Hopefully now that she had the doctors orders her family would allow her to not work as hard.
Overall I have been impressed with how much trust these poor people put in doctors. Most of them did not grow up having any type of formal health care. I have been pleased that so many of these people take advantage of the facilities Asha has offered to them. However, one case which I observed, showed the other approach. A young woman suffers from diabetes. She is also highly allergic to many medications. Therefore she has elected to practice home remedies in order to deal with her problem. The doctor has tried to explain to her that diabetes is a serious condition which can lead to tragic outcomes if not properly treated. Unfortunately this patient does not understand or believe this and comes in only for basic tests but will not take any medication. I also was surprised to learn in another patient with diabetes however, that the doctor first suggests lifestyle changes, then emphasizes diet change, and only utilizes insulin as the last choice.
I am learning a lot and really enjoying my time shadowing doctors. It is so important to understand how interconnected medicine and culture is. Both doctors understand and consider their patients backgrounds and lifestyles before addressing the medical issue. They are sure to allow their patients to trust them, and make a personal connection with each one. Any large hospital is more impersonal than these clinics. Some patients visit the clinics after a hospital date only to understand what happened to them because in the big facilities they feel ignored and out of place.

Monday, July 7, 2008

Coming to terms with the reality of poverty on the streets of India

The hardest part about India is seeing myself becoming hardened and numb to the atrocious situations occurring around me. At Pria Market, the local place to go for dinner, a movie, or the grocery store, children follow us around begging. As soon as we arrive, since we look markedly like foriegners, children between the ages of roughly 8 to 12 approach us. One boy has bold green eyes that contrast with his golden brown skin. He holds up drawings of trees and houses, to show us his talent and to exchage his only trade for a few rupees. The kids will motion to their mouths indicating that they are hungry. During the first week, Nick gave two boys ten rupees each. As we stood there deciding where next to go in the market, we were suddenly surrounded by five more children. They encircled Nick and hoped to get as lucky as their friends. Sometimes the kids will follow us for five minutes as we walk around doing errands. They are skilled at begging and walking at the same time and know a few words of English such as "please madam". One time I was standing in the market drinking from a bottle of orange soda I had just purchased. A seven year old boy, wearing a ragged T-shirt and cut off jeans, his face smeared with dirt and no shoes came up to me begging, making motions that he was thirsty. I finished my gulp and looked at my friends, wondering what to do. The child stood there watching and again asking for something. I tentatively held out the bottle and he grabbed it. I watched as he strolled away indulging in half a bottle of orange soda.
If you acknowledge them, they will follow you and keep begging. If you give to them, it will attract more children and at times their mothers. It is a difficult moment to realize that you either must decide to always give, or to find a way to steel yourself against them. Any eye contact will trigger their attempts so if you do not want to be bothered or held back from whatever errand you are trying to accomplish, you must ignore them. At first it feels so inhumane, to see a small child begging for any amount of money and not even look them in the face. In order to get anything done at the market however, one needs to learn not to see them. You must adapt to continuing your conversation and stride as if there is not a skinny boy at your side saying "please ma'am". As difficult as this is, the hardest part I am only realizing now; accepting that I am capable of building up that wall, and walking by without helping. Part of me argues that I could afford to give each child a whole dollar a day and still stay within budget. But then that is only helping each child in this market, how many hundreds of ten year olds go hungry in my neighborhood here alone. How much would a dollar help? I have heard warnings that the children will spend it on drugs, seeking their only refuge from their twisted childhood. I could give them food, but would quickly have to become a walking soup kitchen. I saw one child begging at the take out window of McDonalds. I saw one woman, clearly mentally ill, sitting on the ground at the market, ranting while her tiny baby flailed on a blanket in front of her. Who could I call? Is it my place to save that baby? I do spend my days working in the slums, but is that enough? Does that make up for my ability to deftly swerve around the children begging in front of me. When I am not with the other volunteers, who's phenotypes betray their foriegn status, I am approached less. Should I be pleased? that I do not have to be so assaulted by hungry children, or should I feel all the more guilty, that they assume more quickly that I will ignore them.
After being in India for a month, I have walked by countless beggars on the street. I am struck by the number of physical deformities I have passed on the street. I do not mean to objectify these people by taking a photo, I hope to convey their humanity, I hope to strike some level of commonality, instead of just evoking pity. This is is a very real fact of life in India. One young man at the Taj Mahal entrance sat on the ground cross legged, and his left arm went behind his neck and came down crookedly onto his right shoulder. I have seen a man using two pairs of flip flops, one for his feet and one for his hands. His knees bent outwards and his calves and ankles were as thin as my wrists. He clambered along the ground, in the midst of a myriad of wheels whizzing around on all sides as he crossed the dangerous street. Here was a human being, reduced to a starving four legged creature, who was ignored by the hundreds of people on the street. I have seen men with mangled feet sitting on the sidewalk with a cup in front of them. One man chanted a single word over and over in a croak, hoping for a few rupees to be dropped into his cup.





While driving, the more mobile people approach the vehicle. One man pressed his hand which had only two fingers left, against the window the whole time we were stopped at a red light. Unable to deal with this frightening site, or more likely, unable to look into his eyes and then look away, we hurriedly engaged in conversation amongst ourselves inside the vehicle, no one comfortable enough to acknowledge the fact that this man was on the other side of the car door.
In the evenings one frequently passes families made of sagging skin around weak bones, sleeping on the hard ground. Little distinguishes the street people's social status from the dogs and pigs who wander the same areas, living off the garbage piles on street corners. One family inhabits a corner made of a large pile of dirt on the way to the Asha office. They sleep beneath a blue tarp stuck onto two poles. Every morning an emaciated woman bundles together pink roses to give her seven year old daughter who spends the days approaching cars at red lights trying to make enough to survive. I'll never forget the image of her standing alone in the pouring rain of the summer monsoon, drenched to the bone, holding the dilapidated roses in her hand.
It seems that Westerners who have the means to visit countries where this type of poverty exists, have their own ways of dealing with their fellow humans. At first I thought that the people of Delhi were cold hearted and selfish to be able to ignore the blatant struggles of people on the streets. I felt nauseated at the sight of two tiny children sleeping on a pile of dirt, naked to the world, on a street corner of Vasant Kunj. I always brought food for the begging children on the corners who approached our car. It was hard for me to walk by deformed bodies groaning on the sidewalk. But, a few weeks into it, I am able to avert my eyes, continue a conversation, or push the sights out of my mind. It terrifies me. If I am capable of this, someone who I consider to be pretty socially conscious person, then no wonder the wealthy, the governments, the world, are able to go on existing while humans exist in utterly unfathomable conditions. I wonder where all those people are right now. It's nighttime, its raining outside, and there are innumerable mosquitos and disease carrying pests overloading the humid outdoors. How do these people survive? The answer is not all of them do. But the ones that do, that wake up every morning and make a drawing or a bundle of roses in order to earn enough charity to be able to eat, how do they manage to accept that the world has turned its back on them. I work in the slums, where there is extreme poverty, but the fact of the matter is that the street people have it worse. They do not even have single room homes to get out of the elements. They rely on the traffic and shoppers to help them obtain the most basic needs of a human being. And If I have learned to ignore them in one month, what are their chances of success, begging from people who have spent their lives around this type of poverty?
This is one of the hardest things I have learned in India, about the country, but about myself and my humanity.

Thursday, July 3, 2008

Taj Mahal






On Saturday morning we rolled out of bed and into the only available rickshaw at 6am. We went to Ross and Kerrys new place, called the Anchorage Hotel. There we met the driver who Ross had arranged. We piled into the minivan and settled into our seats. I arranged my neck pillow, put on my headphones and eye mask, and slept for the first two hours.
I woke up surrounded by monkeys. The driver had pulled over to get a pass to enter the next state. Clearly this stopping point was well known to vendors and street performers. On our left were a number of men with light brown monkeys wearing collars. We all made the mistake of gawking and pointing at the monkeys, causing the men to approach the car. Monkeys jumped on the car and clung to the windows. The men gestured "picture" but would clearly ask for money afterwards. By now we were wondering if the driver was coming back, or if he received commission from these men for bringing tourists. After about 15 minutes, by which time the car was getting hot, he returned and we continued our journey to agra. The driver then casually told us that we would have a free guide at the Taj Mahal. We were skeptical at first but double checked that there was -no cost-and he repeated -no cost-. Just to be sure, Ross called the office where he booked the driver. There was no guide included. We now realized this driver was one of the usual scammers, even though we had used a travel company recommended by the Lonely Planet. Later in the day he took us to a restaurant, which we had not asked to go to, and nearly parked at a crafts store, which we also did not ask about and had to emphasize that we did not want to shop at.
We drove into Agra and the city was rather run down. We passed a grungy motel boasting the "best views of the taj mahal' although the palace was nowhere in site. We were eagerly anticipating the view, but first encountered Agra Fort.


Wednesday, July 2, 2008

Red Fort, Lal Qil'ah






The Red Fort and the city of Shahjahanabad were constructed by the Emperor Shah Jahan in 1639.








The Red Fort was the palace for Mughal Emperor Shah Jahan's new capital, Shahjahanabad, the seventh Muslim city in the Delhi site.


The art work in the Fort is a synthesis of Persian, European and Indian art which resulted in the development of unique Shahjahani style which is very rich in form, expression and color.



At one point in time, more than 3,000 people lived within the premises of the Delhi Fort complex. But after the Sepoy Mutiny of 1857, the fort was captured by Britain and the residential palaces destroyed. It was made the headquarters of the British Indian Army.

Rajghat, Gandhi's resting place






This was a very peaceful setting. We again removed our shoes to enter. It is a very simple square area with an eternal flame in the center. It was surprisingly empty, but the simplicity was fitting with his character. It would have seemed contradictory to have an elaborate and fancy tribute to the memory of such an unassuming person.





Gurdwara Bagla Sahib

On Saturday Devin went off to Amristar with a friend, and Nick, Madeleine, Amar and I rolled out of bed and into the car. Asha had given us one of their drivers for the day to go to the sites around old delhi.

We started out at the Gurdwara Bangla Sahib. It is a Sikh shrine dediated to Guru Harkrishan Sahib. We were fortunate to have a guide included, since Amar is sikh. Sikhism is the fifth largest religion in the world. It originated in Northern India, in Punjab. It is well known for rejecting the caste system of Hinduism. It is a fascinating religion and I look forward to learning more about it while I am here.

We removed our shoes and covered our heads, then washed our hands and feet before entering the shrine. There we bowed, touching our heads to the floor, to the Guru Garant Sahib , the holy book of the religion, known as the living guru. Sikhism has ten gurus and this is technically the eleventh.





Next we received blessed marigolds. After exiting the temple we received a handful of blessed food. We then entered the adjacent water and rinsed for its healing powers. It was a very peaceful and spiritual experience.