Translate

Monday, December 12, 2016

Sight for Sore Eyes


Have you ever put on somebody else’s eyeglasses and wondered how in the world they can see through them? 

It’s hard to see through glasses that aren’t yours, but that’s what we ask our patients at the Nueva Vida Clinic to do all the time when we try to match them with used glasses that have been donated. But thanks to a pilot project we’re doing with the Bucknell University Engineers, we can now make eyeglasses to order at the Nueva Vida Clinic!

Since we started our Vision Program six years ago with training from a Cuban ophthalmologist, Pat and I together with a host of volunteers have weekly been doing vision testing and trying to match patients to used glasses that we get donated from the New Jersey Lions Club Eyeglasses Recycling Center. While this system works very well for reading glasses, it’s harder for distance glasses: we have to find patients a match in their right eye then the left, as well as a match for astigmatism corrections. Most of the time we can get close to what patients need, but it’s usually not exactly what they need, and that can make a big difference. Even when we get close, the frames are often out of style which has a big effect on patients’ ability to adjust to wearing glasses.

So in an effort to get patients' glasses made to their own prescription in better-looking frames, we are working with engineers to try out a pilot program in hopes that we can create a low-cost sustainable vision program that can be adapted to other places as well. The program is called Project for Sustainable Eye Care or PROSEC.

In June, Bucknell engineering graduate student Paden Troxell came down to Nicaragua with small machinery, a stock of a selection of frames and blank lenses in a range of pre-ground prescriptions. Paden taught Pat and Sarah and I how to make the glasses and use the small lens cutter and lens beveller, and since then we’ve been giving our patients at the clinic the option of purchasing PROSEC glasses for just under $7 instead of trying to match them to a donated pair of distance glasses.   We settled on the price of $7 to cover the cost of the frames, lenses and someone to cut the lenses and fit them to the frames, since Pat and I hope not to be doing that forever!

So far we have sold and made over 100 PROSEC glasses, and have found that since we have begun to offer the low-cost glasses, more patients are coming in to the Clinic for eye exams. In November, we worked together with our Ciudad Sandino Rotary Club to do three days of Vision Checks in rural communities and in a local church. We checked everyone's blood pressure, did vision checks, handed out reading glasses at no charge, did refraction tests for distance glasses, and sold PROSEC glasses. In that time we saw 195 patients, handed out 115 reading glasses and sold 42 PROSEC glasses, the vast majority of which Pat made in the following weeks (with a tiny bit of help from me).


These vision days were a huge success, and we hope to continue them more regularly next year with the help of Rotary and community volunteers. Just making the glasses more accessible to people – making it easy to get eye checks, affordable price, and good choice of frames – means that many more people will be able to see!

Of course we’re learning as we go – we will be adding a new machine in January in hopes of making the lens cutting more efficient, we will be revising our frame stock to remove difficult frames and add more popular styles, and while we can’t currently correct for astigmatism, we hope be able to do so in the future. - Becca 




Monday, December 5, 2016

Las Lobas Camp

Last weekend we held the first Las Lobas Camp. Jessenia and I decided that we should do our own weekend camp with all of the Lobas up at El Porvenir. Our thinking was that we could afford El Porvenir (only food cost and diesel to get up the mountain) and that it would be a good experience for the urban Lobas to be in the forest with no running water or electricity (or cell phones!) for a few days.


As with everything we do with this group, we didn’t really know how to run a camp, but thought we could figure it out. We invited Diana to come along to help, all of us brought our kids and Paul came too. All but two of the Lobas were able to come, so there were 10 of them! It was amazing to have that support from the parents, in fact, many of the families came to the Clinic to say goodbye to the girls and take pictures of them with their phones as they got in the ambulances! For several of them it was the first time they slept away from home.

The first night we set guidelines for the camp together with the girls and posted them on the wall…we were immediately afforded an opportunity to go back over them when several of the girls had trouble sleeping on pads on the hacienda porch floor and kept others up with their talking and shining flashlights.

On Saturday morning we did team-building and trust-building activities, and they spent two hours picking coffee in pairs. We held a contest to see which team could pick the most coffee, Gabriel from the co-op measured it at the end of the exercise and declared a winner. Although nobody actually liked picking coffee, they all participated and were all sorely disappointed at the end to learn they’d only earned $0.52 each.

In the afternoon Diana organized everyone to make a piñata and party favors for a village party while Jessenia and I carried out individual interviews with each of the girls.

These interviews were my favorite part of the camp by far. We had asked each of the girls to write down their goals for the next year, and so when we sat down we talked with them about what we had observed in them in the past year, anticipated possible obstacles to meeting their goals, and talked over possible ways around those obstacles. In part, this was a chance for Jessenia and I together to reinforce good behavior and offer constructive criticism –it was gratifying to see some of the girls’ faces light up with pleasure at hearing positive things about themselves. But we also got to learn more about many of the girls – we were thrilled to find out that one of the girls who hasn’t gone to school for years has been secretly studying and just passed 3rd/4th grade! She’s now headed to 5th/6th and we told her if she wants to keep a secret that’s fine, but that she should invite us to her graduation next year! Jessenia offered insight and support to one of the girls who has a lot of responsibilities at home following a death in her family – she often has to cook for 10 people. We talked with one of the girls who is a natural leader about the pressures that leaders can feel – she has been uncharacteristically crying and getting angry at others – and talked about how she can take care of herself better. Each girl got a hug from both of us and I don’t think I’m mistaken in my observation that we gained a new level of confidence with most of the girls over the camp.

Diana and Jessenia organized the village party late in the afternoon with participation from all the Lobas – it was the most organized piñata I think I’ve ever been to! The Lobas really enjoyed doing something for the kids in the community – they had been affected by seeing the kids working. Everyone up at El Porvenir hauls their own water – 20 gallons per family – from the hacienda. Several of the Lobas saw a little boy struggling to carry his family’s water up the steps to his horse, so they carried the jugs themselves and gave the boy a tangerine to eat while they figured out how to get the jugs onto the horse. They were then shocked to see him – barefoot but for his spurs –  lead his horse over to a low wall where he could climb into the saddle and pull the last jug onto the saddle horn with a rope before head off for home.

Saturday night we walked out to the viewpoint and had a bonfire with marshmallow roasting, and Sunday morning we had our closing circle activities there.

Not every moment of the camp went swimmingly, of course. There times of hurt feelings and a few small disciplinary issues, par for the course. But in the end, no one can take memories of this camp away from the Lobas. They have all slept away from home, picked coffee, hauled water for hand washing and drinking.

I don’t know if any of the advice Jessenia and I doled out will take hold, but there was one solid moment of hope where I began to feel it might. During a free time at the end of the camp all the girls all crowded together on the mats talking to each other. “You don’t want to get together with a boy too soon,” said one to another. “First you have to finish school, there’s plenty of time for that later.” All the advice that means so little from Jessenia or me takes on much more weight one Loba to another. - Becca       

Wednesday, November 16, 2016

Lesson from Little Lucy

Little Lucy is my favorite human in the Chronicles of Narnia.  In Prince Caspian, there is a part where Lucy sees Aslan, the Lion who rules Narnia, but none of her other siblings or the dwarf see him or believe that she sees him.  In one scene, she encounters Aslan:

      "I saw you all right.  They wouldn't believe me.  They're all so-"
      From somewhere deep inside Aslan's body there came the faintest suggestion of a growl...
      "I'm sorry," said Lucy...."But it wasn't my fault anyway, was it?"
      The Lion looked straight into her eyes.
      ..."You don't mean it was?....But what would have been the good?"
      Aslan said nothing.

We all like to blame others for not doing the right thing.  "Others are to blame for the world we have," we tend to think; but this short scene explains it all.

For me - this exchange is the culmination of all seven books in the Chronicles of Narnia.  In this particular scene:  There were many in danger from a ruler who was afraid of the differences of non-humans.  A few were called.  The smallest one saw the path they were to take to save those who had been oppressed by a ruler and his followers.  No one believed the smallest; therefore, instead of doing what was right, the small one went along with the rest...to everyone's peril.

I see this over and over in churches particularly.  There are followers of Jesus' teachings but they do not speak out or go apart to do the right thing...they don't lead.

I listen to sermons and I, too, do not stand up and say, "WHOA!  That's not what Jesus said.  Aren't we to include, not exclude?   Aren't we to work for true justice?  How are we following the Prince of Peace as we do nothing to stop the violence?  Aren't we to love?"

Or I've listened to more sermons than I care to where the moment of truth is right there....within reach...but missed as the pastor tries not ruffle feathers...caring more about the budget than justice.

Or I've bitten my tongue so many times with family, friends, volunteers or even my own community to not blatantly offend...and some of you don't believe that, I know!  😃  But ashamedly, I have.

We want "peace" or the better words "to be comfortable with others."  Convenience is more important.  Not rocking the boat.  Making sure everyone is on board before the right thing is done.   Not challenging people but letting them go to their "safe places".  Only challenging on Facebook or Twitter when the faces are hidden.

This is one of the reasons we are looking at the future that we are.  We move around with like-minded people and don't want to hurt feelings.  We try to get consensus before trying to get justice.  We ignore the anger and the privileged around us.  We allow the powerful and wealthy to split us apart by getting us to blame the people who are different in color, gender, or religion instead of class from ourselves.

We have to stop being scared and get on with it...even if the others do not come.

     ...Lucy buried her head in his mane to hide from his face...."I'm sorry, Aslan," she said.  "I'm ready now."
      "Now you are a lioness," said Aslan.  "And now all Narnia will be renewed.  But come.  We have no time to lose."
Amen.
-Kathleen

Monday, October 10, 2016

Where Do We Go From Here?

It is the Thursday after both the Nicaraguan and U.S. elections.*

Not surprisingly, in Nicaragua, the Sandinista incumbent candidate, Pres. Daniel Ortega, won with 72.5% of the vote.  The Sandinista Party has had the presidency since 2006 along with the clear majority in the Assembly.  The party is very popular mostly due to their successful policies and programs to ease the crippling poverty that plagues the majority, to improve the infrastructure of the country, and to expand business and access to the internet, as well as in other areas.

Surprisingly in the United States, the Republican candidate, Donald Trump, won the presidency and there will be yet 2 more years of a Republican House and Senate.  Why is this surprising?

The Republican House and Senate in the past 6 years have had some of the least productive sessions in the last decades which have resulted in people’s ever-growing needs not being addressed adequately.  

Add to that, while campaigning Donald Trump made comments that were degrading to people of color, immigrants and women; encouraged violence; and questioned loudly the election process itself…if he did not win, that is.   Most past presidential candidates have given voters an inkling of an idea of what kind of policies they would enact but he gave little indication of what his future policies would be; therefore, no one knows how he will govern…not really.

So now the “conservatives”** will have all three branches of the United States federal government which also includes the Supreme Court, because the Senate continues to refuse to allow our current president to appoint a judge, ignoring the U.S. constitution.  In other words, there will be no checks and balances, which scares many people and thrills others.
  
Despite many U.S. citizens not caring what the rest of the world thinks about their country and its politics, the rest of the world deeply cares about what goes on inside the United States.  Why?  The reasons are many.

The U.S. is currently the world’s greatest power, like it or not.  The U.S. has the most powerful military force in the world and has 7,100 nuclear war heads. 

Because of international finance and trade, when the U.S. dollar crashes so go many other currencies around the world.  Add to all that, the U.S. consistently ignores the sovereignty of other nations.

For example: before both elections, the House and Senate began looking at blocking all loans to Nicaragua because Daniel Ortega ran for a third term and “does not represent his people”.  Let’s recap:  Pres. Ortega got 72.5% of the popular vote while the U.S. Republican candidate, Donald Trump, did not even get 50% of the popular vote or - as I write this, it looks like - not even as many votes as Hillary Clinton.

Where do we go from here with no checks and balances?  I feel that we the people must assume the role of being the checks and balances for our government…and maybe that is the hope in all of this.  Maybe we will internalize what Abraham Lincoln said so many years ago, 

We the people are the rightful masters of both Congress and the courts, not to overthrow the Constitution but to overthrow the men who pervert the Constitution.  

Maybe we will accept the  challenge and actually become protectors of our most vulnerable, of our nation, and of our world with our voices and our actions.
-Kathleen

*We originally posted this on that date but subsequently deleted it by accident! Apologies to those of you getting this twice, the link on the website will now be this one.

**I put the word 'conservatives' in quotes, because in some areas (don't snort!) I feel like I am a conservative, I want to conserve our environment.  I believe that freedom for all is a conservative idea…the freedom to pursue happiness for ALL people.  I believe that valuing our work force is a conservative idea.  I believe that ending poverty is a conservative idea.  I believe that people paying their fair share for the infrastructure of a nation is a conservative idea.  I believe that investing in the future by investing in our children's well-being and education is a conservative idea.  I also believe that our constitution is mostly a good document and it includes the right to an attorney even if you are a rapist.

Carpe Passionis

I wrote this post for a blog I'm writing with my own more personal reflections, Full Disclosure https://fulldisclose.wordpress.com/  but wanted to share it here as well. It was originally posted here at https://fulldisclose.wordpress.com/2016/10/10/carpe-passionis/ 
Hope you enjoy it! - Becca 


In college I learned about community development from a professor who was both a genius and socially awkward. During an eclectic semester of visits to local churches, bowling alleys, skating rinks and even the Moose Lodge, he taught me to listen to what people talk about, the words they use, and to identify patterns to discern what is most important to them. I now do this unconsciously wherever I am.
For example, the last time I was in Seattle on a speaking trip I talked to a lot of people in many different settings and could see clearly that a common concern was being priced out of their own city by newcomer Millenials brought in by Amazon and Facebook who were willing to pay exorbitant rent. It was fall, so I could also see the only thing ALL Seattleites seemed to love unreservedly was Seahawks football. A friend of mine said,
“If you could find a way to link the work you do in Nicaragua to the Seahawks, then people would be passionate about it.”
This example seems silly, but there is something to be said for linking people’s natural passions to important social justice work. Doing this is often not possible, but sometimes it happens by accident.

When our Clinic health promoter Jessenia and I started Las Lobas, the group for teenage girls, we saw it as a necessary step to prevent teen pregnancy – we did it because we saw all the pregnant girls coming into the new mothers program, and it seemed stupid not to at least try to postpone pregnancy for the next round of girls. We didn’t start because we had a plan, or support for a program, or even knew what we were doing, we just started. Two and a half years later, we still have a steady group, not just of Las Lobas, but of their followers.
“I love hearing about the Lobas,” women will almost whisper to me when they see me – it’s the most common comment female friends and supporters will make to me about our work.
“¿Cómo te va con tus muchachas?”female community members and coworkers will ask. The work with Las Lobas - basically just loving and understanding some girls who’ve had a very hard time of it and trying to help set them on the right path - seems to touch a place deep inside adult women across borders and cultures.

The group has been funded – to pay for craft supplies, outings, snacks – by a woman who gives a monthly donation in honor of her mother, who had a special place in her heart for teenage girls. Women have sent personal hygiene products, craft supplies, messages of encouragement, curricula, suggestions. Of course Jessenia and I spend time discussing the current challenges and successes of each girl together, but other female staff members get in on it, too. Danelia is special friends with one girl who has been a hard nut to crack, Luz Marina dispenses advice and hugs, Fabiola banters with them. Diana has been so interested that she’s followed each of their paths from the sidelines, set up countless educational outings for them, and now has spent two months teaching them to make, cost and sell hair clips.

Wherever Las Lobas go, they receive outpourings of support. As soon as I call up a woman and say, “I’d like to bring a group of girls by, we’re trying to help them see options besides just getting pregnant,” these women invite us in to their homes, workshops, workplaces, schools. They open up in front of the girls talking about their own lives – “I didn’t start school until I was 10.” “All I ever want to do was sew.” “I was one of 15 children.” “I walked to school barefoot.” They give the Lobas things – t-shirts, bags of cloth scraps, purses, candy, whatever they have available. They give advice, “Don’t start your family too early.” “Listen to your mothers.” “Stick with your studies.” “Stay in the program.” And they inevitably wish all of us luck.

For the last two and a half years, I’ve watched as our ragtag group of struggling and sometimes surly girls elicits responses of extreme generosity and empathy from women of all walks of life, and I think, this time, by some stroke of dumb luck, we’ve managed to harness a passion. – Becca