Saturday, June 29, 2013

Traditional Healer

Today we got to take a trip to a traditional healer, something that is still deeply woven into the culture here in Mozambique. This is something I am extremely curious about and I really want to go back and have a conversation with one later on when my Portuguese skills are a little better. Before the visit, we had a mini info session on traditional healers and learned that the health system really tries to incorporate traditional healers into services provided by medical centers. They work with traditional healers and have them inform patients that it is also important for them to seek treatment at the health center after they visit the traditional healer for more serious illnesses. There are still a group of people who will only seek treatment with a traditional healer, but I think this is a really good thing to have them working together because it allows the patient to have more control over their treatment and follow their personal beliefs. Your brain is a magical tool, and just the fact that they believe so strongly that the healer helped them might have an effect on the success of their treatment.
 
On the walk their, it was beautiful! Surrounded by mountains
 
The traditional healer was located in a remote area in a small circular hut with a reed roof. We all took off our shoes before entering hut and sat cross-legged on the floor. Inside, there were various animal skins on the walls and floor, a big chunk of lion fat hanging from the ceiling, and a large number of bottles filled with different things used for treatment:
 
 
 
The healer started off by explaining how one goes about becoming a traditional healer. There is schooling that they go through, but he made it very clear that not anyone has the ability to become one. For him personally, he said the spirits entered his body and made him sick which is how he knew his calling was to become a healer. Some people try to become healers who are not meant to be and these people often advertise their services, which is how you can tell they are fakes because true healers never advertise their services, rather people know of them by word of mouth.
 
He then went on to explain what happens when someone comes for treatment. They come in, sit on the floor in front of him, place there money under a piece of animal fur that sits on the floor between them. He then asks for their name but nothing else. He has a bag of different items such as sea shells, coins, and few other things that I am not quite sure what they were. He then takes a nibble off of a stick and spits it into the bag and this action is what activates the spirits which will allow him to diagnose the patient. He then dumps the bag of items out onto the animal skin and the way that they arrange themselves also tell him something about what is wrong. There were also a set of four or five brown oval shaped shells that he shook in his hands and threw down onto the animal skin like you would do with dice and the way they landed told him another piece of information. He said then he can see the spirits that are inside of you making you sick around the room. Based on the spirits, he chooses what treatment to give you. One example I caught for treatment was he gave you a certain type of Tabaco which you would them smoke and it would make the spirits leave your body. I really want to find out more about the various treatments, we ran out of time before he could get that far into it.  
 
It took me a while to try to take all of this in, and I am sure some of it was lost in translation along the way as well. I am still pondering it a bit to tell you the truth. Coming from the western world, it is hard to imagine believing in this type of healing. Everything in relation to medicine in my life has always been purely scientific and it is easy to take what they say and just laugh at it. However, it is so intriguing at the same time and I want to be able to understand their mindset and where they come from. I don’t think this will be able to happen until I get my language skills up to par to have that conversation, but it is defiantly one of my goals.    
 
 
The group :)
 
 

Friday, June 21, 2013

Cooking class

Cooking class!
 
For our language class yesterday we worked with our instructor and each of our moms and had a little food exchange lunch! This was probably my favorite day so far. Tommy, Pharren, and I decided to make them fried chicken, sweet potatoes, and a salad. Little did we know when we picked our menu that we would have to start from scratch with everything, including the chicken! They came walking up with a live chicken in their hands for us to kill, clean, then cook. They ended up doing most of the work on that one because clearly none of us had a clue on what to do. I have a hard enough time taking a frozen chicken breast out of the freezer and cooking it! It was about all I could handle just watching the chicken be killed, its head slowly cut off with a really dull knife while it squawked away, then watching the moms chop it up. If there is one thing I learned it is that people in Mozambique let nothing go to waste! They had a use for literally every last part of that chicken, my mom even took the intestine and braided it all up, it was kind of cool to watch I will admit. After it was cut up, we did the rest of the work and I must say I was both very impressed and surprised at how well our chicken turned out :)
 
The moms showed us how to make my favorite dish thus far, which I can't think of the name right now, but I now know how much work goes into making it! Cooking here, like anything else, is an big process!
 

Step one...lighting the coal stove
 
 
 
 
After a few failed attempts, they turned to a plastic bag to light the charcoal...healthy! Not
 
 
 
 
                                            
Step two...cutting up all the greens and letting them cook in water
 

                                          
 
 
 
Step three...grinding up the peanuts
 
 
 
 
 
 
 
 
I'm still trying to figure out how to rotate pictures, sorry lol
 
 
 
 
 
Step four...grinding out the coconut and making coco-water out of it
 
 
 
 
 
 

 
 Step five...putting it all together and letting it simmer. This dish is really hard to explain the taste of because I have never really had anything like it. The coconut and peanuts give it a sweat and creamy taste, but it also tastes really fresh because of the greens used. They usually eat it over rice (no meal goes without a big pile of white rice here).
 
Step six...Enjoy!! What I described making is in the bottom left of the plate, then there are the sweet potatoes we made, the salad, and the breaded chicken.
  
 
 



I just had to include a few of the chicken pictures too!








 

Health care Mozambiquan style

We have now passed the two week mark of being in Namaacha with our families! It feels like it has been so much longer. I feel like I am making good progress on the language and we are actually starting to get into things more so training is a lot more interesting now.
 
We visited a local health center last week for a tour. The hospital was broken up into a bunch of little offices each specified for a different condition, much like how wings of a hospital at home are set up. The thing that shocked me the most was the lack of privacy, which I guess I expected this but seeing it in person is a different story. There was a women who just gave birth to a child laying in a bed right next to other women, some getting ready to give birth, others recovering, all in a room with probably 30 other beds practically right on top of each other. And here we are, a group of 26 Americans who they let just stomp through the entire hospital and gaze at them. Also surprising, in order to be classified as a hospital in Mozambique, a health center here must have a laboratory. I was completely amazed by the simplicity of the lab in this hospital, the deciding factor making this a hospital was a little room with some very low tech equipment and one single microscope, ONE! The room was about a third of the size of an average high school chemistry lab in America. After this visit, I am so excited to finally get in the action and do what I can to help the health system here. 
 
We also learned a lot of little random things like they really have no system for keeping medical records. They only keep them for people with certain conditions and only for the duration of treatment. Mothers are given a card that the doctor fills out for them and their child each visit. Patient records are just left out in the open all over the place it seemed. Women are given a mandatory HIV test when they find out they are pregnant but many of them do not go back to get the results because they are afraid of what they might find. If they do find out they are positive, they do not follow through with treatment because they do not want to tell their husbands they are HIV positive in fear of his response, even though it was likely the husband who got infected by another women and then infected his wife. Keep in mind too that all of their treatment is free of charge, so money is not a factor in their choice. There is a huge shortage in doctors here as well, only one doctor for every 10,000 people.
 
This all still just blows my mind every time I think about it. I can’t wait to learn more about it and actually start putting myself to work!

It is finally here!!

So this is only my 4th day in Namaacha and yet I feel like I have been here for so long! Time moves a lot slower here than I am used to, and daily chores that seem ridiculous in the states (like hand washing clothes and boiling, then cooling, then filtering your water before you can drink it) feel almost relaxing here. I decided to start typing my blog every few nights even though I don’t have internet because almost everything I have done in the last few days is a completely new experience.
 
                                                                       Moz 20 group
 
Day 1...I don’t know how to describe life here in Mozambique short of saying it feels like I am in a movie! Women carrying giant baskets on their heads, people washing clothes in a dirty stream, it feels like I am in one of those commercials about sponsoring a child. I still can't believe I am actually here! It was rough the first day I will admit, really rough. My toilet is just a hole in the ground in the middle of a cement room. I would be completely fine with this and was completely expecting it, except for when night came. I walked out to use the bathroom just before bed. I brought my lantern along because by about 6:30pm it is pitch black here (by the way the stars are nothing short of amazing here!). There is a doorway to the bathroom that is covered with a sheet hanging down acting as a door. So I am walking really slowly, half hunched over and turning my head at any little sound thinking about all the blogs I read with spider stories and such. When I made it to the door (which by the way the bathroom is outside and around the corner from the main part of the house) there was the biggest cockroach I have ever seen chillin right by where I needed to grad the sheet to pull it out. I paused for a second, took a breath and pulled the sheet back. This made me really leery so I stepped up into the room ever so slowly, one foot at a time, shinning my lantern in ever direction before making my way inside completely. I take another breath, tell myself I got this, and made my way over to the hole. Then I see them. An entire clan of cockroaches bigger than the one at the door lining the entire inside of the hole. Literally EVERYWHERE!! I turned around right then and there and headed back into the house.
 
My house...pictures of the bathroom will come soon!
 
About five steps out of the bathroom I decided you know what, I just have to do it there is no way around it and the sooner I get over the fear the better. So I turned back around and headed back into the room. It took me what felt like 10 minutes to strategize how to go about peeing into the hole without cockroaches crawling on me. Keep in mind this is only my second time peeing into the hole and it is a bit of an art positioning yourself in a way that you won’t get pee on yourself. All I kept imagining is pee splashing on the cockroaches and them reacting by all running out of the hole onto my feet. I also had to figure out where to put the lantern so I could see what was going on with the cockroaches as I was peeing. Oh yeah I forgot to explain that this hole I keep talking about is raised up. Imagine a square block of cement that raises to about 8 inches or so off the ground (like a step but just one square in the middle of the room). Then within the raised square is a square hole. So you only have a space about 5 inches wide to place your foot. So it is a bit of an art getting the process down.
 
Being dropped off into a house full of strangers, speaking a language you don’t know at all, in a country you never imagined yourself going to is an indescribable feeling. By the end of my first day I was laying in bed thinking what did I get myself into?!