Three Months In: The
Workplace
Everyone who writes or comments about their Peace Corps
experience reveals unexpected personal growth.
Most volunteers confess that they gain far more than they give. Three months into my service, and I am
feeling much the same.
Each day I sit with my Mozambican colleagues in the hospital
observing their work and the daily activities.
I sit in the corner of the office, sweating in a pleather chair, a
voyeur, hovering over the counseling sessions offered to patients who have just
received their positive HIV test results.
Most of the people seem non-pulsed.
Different reactions attributed to
cultural differences? Denial? Maybe they
are all too familiar with this epidemic? Others laugh nervously throughout the
session.
Hospital workers walk in and out of the office, dropping off
files, greeting their office-mates while cell phones ring with tones of merry
music or recordings of children, all at
peak volume. The counselors answer
these calls in the midst of the counseling sessions. Loud and long conversations ensue. I cringe internally, my American sense of propriety,
confidentiality and privacy shattered.
Other times, I sort through files, desperately trying to interpret
indecipherable notes, trying to track adherence, CD4 counts or other necessary
and measureable variables. I pore though
stacks of cumbersome registry books, feeling like a character straight out of a
Dickens novel. A patient’s age is noted
on the outside of the folder, when their file is opened, and never
updated. So much for reliable data. Clinical
workers make notations, request lab tests, but there are no dates noted, so it
is impossible to determine if there has been follow through or updates. The files and folders are dirty and tattered. In an attempt to organize the papers, I use
one of the two staplers available in the hospital. After every fourth staple, I need to adjust
the stapler.
Other days I accompany the volunteers, the Buscars, into the
community as they search for patients who have abandoned treatment. Their mission is to encourage the patient to
return, seek counseling, and pick up a new supply of medicine. We speak to the
village elder for assistance to locate the patients. As we walk winding dirt paths throughout the
barrios, without abandon we ask for directions and more information about the
patient. While we do not divulge the
status of the person this practice is so common that everyone is aware of what
it means when a Buscar visits.
More often than not we do not find the person. Either the address is incomplete or
false. When we do find the person, we
learn about their obstacles to treatment; the medicine is making them ill and
they do not have the food, or the money for the food, to counteract the side
effects. Or, they do not have the
transport, or the money for the transport, to get to the hospital. We have nothing to offer them, no food, no transportation,
no money, no solutions; simply encouragement and education as to why they
should continue treatment.
For me, the experience is like stepping into a scene from
National Geographic. I take in this new
world; the mud houses, the hordes of children playing in the yards, women
sitting on straw mats, plaiting one another’s hair. I note everything that I can, the physical
and social.
But my presence often disrupts the process. Almost everyone asks my Mozambican colleagues
if I have come to give money. After
watching countless movies and novellas about the lives of white people, and
particularly Americans, they think that I am the person of their dreams,
stepping into their mud homes to suddenly and magically transform their lives.
Sometimes we offer workshops about family planning or
domestic violence to the women. The men
are never invited. I make the suggestion along with an explanation of the
importance of including men. I am
quickly rebuffed.
Back at the office I make simple recommendations. Why not put messages on the Dry Erase White
Board, our singular and coveted resource, in the hallway? We could promote the importance of adherence
to the HIV medicines, our biggest challenge in Nicoadala District Hospital. Each day there are crowds of people waiting
for service. This could be a passive
form of education, to replace the daily workshops that are no longer
occurring. It would be easy and without
cost.
The counselor, who is a government worker and supervises
this office, tells me this is impossible.
Firstly, she would like to keep the board for the staff, all five of us.
Odd, I think, I’ve been here for three months and I’ve never seen this board
put to use, for anyone. In her defense,
there were no dry erase markers. She had
taken them home for her own use. Secondly,
she tells me this is not necessary as it is her job to make daily announcements
and offer workshops on this and other health issues. As politely as I can, I point out that, in
fact, she is not making any announcements or offering workshops. She
shrugs and tells me it is for the local volunteers to do so.
But most of the volunteer Peer Educators have stopped their
activities, dismayed and discouraged that their small stipends have not been
paid in months. Last week I had written
up a proposal, in the SMART format, to meet with the remaining volunteers to
reignite the program. This was to be the
focus of my volunteer role and the area of my greatest excitement and
interest. I was told the situation is
too delicate and that we must leave it.
So, what is it exactly that I am offering my organization,
ICAP, or the people in the office?
Surely, I am gaining knowledge as to the workings of the hospital, the
medical aspects of HIV, forming relationships with colleagues, and taking field
trips that fuel personal short stories and essays. I am practicing patience beyond what I
thought imaginable; sitting for days at a time, witnessing and accepting very
different standards of care, assuming a loosely defined role that is neither
worker, intern, consultant or advisor. I
am learning about Excel and monitoring and evaluation by doing work that my
colleagues should be doing, work that is most likely not to be sustained when I
leave. My language skills are improving
slowly but surely.
This is the Peace Corps approach; building relationships and
slowly becoming a part of the community to then be able to facilitate
change. And facilitating that change isn’t
about what I will do, but how I will help those I work with to identify what
those changes should be and how to make them.
Each day I review my day with the following questions:
Was I helpful?
Was my work useful?
What was the impact?
Is it sustainable?
Normally, I can only answer yes to two or three of the
questions. I take that as a small
success and put the day into perspective.
Yes, I am certainly gaining more than I am giving. But for my host organization, what is in it
for them? Am I meeting Peace Corps
objectives and goals? Is this experience
enough to keep me here for two years? It
all continues to unfold. Three months into service and my questions abound.