Children's TOT (part a)

In February we were finally able to hold our Chidren's Training of Trainers (TOT) in Port-au-Prince! We'd planned to have it in December but several weeks of riots and unrest made that impossible.

Here the participants enact the story of a paralyzed man's four friends bringing him to Jesus. This story is really rich, not only for the beautiful demonstration of the wholeness of our being (physically and spiritually) but also for the life principles it demonstrates that are useful in development: persistence, love being our motivator, and the use of local materials. ;-)

This participant presents aspects of a children's program -- using games, stories, and drama to help with learning.


Morning small group Bible study.

After lunch most days the participants formed an impromptu worship band -- a nice break from lessons!

No electricity

No electricity today from early morning until just now (4 pm). That's rare for us -- it usually only goes out for a few minutes to an hour at a time. I was able to use our neighbor's wireless for awhile since he's got an inverter -- until the battery on my laptop was finished. So then what to do?

1. Organize my new desk! It's a thing of beauty to have my own desk. I have had piles and piles of papers I've been working with the past five months, and today I had the perfect excuse to make time to file some and make a nice to-do pile out of the rest
2. Pray with my colleague, Evelyne! We started out singing "Dieu tout puissant": Alors mon cœur redit, la nuit, le jour, 'Que Tu es bon, o Dieu d’amour!' -- a song I love in English and Spanish, too. We had a lot of things to pray about: Evelyne had to meet with her community yesterday to tell them that they had no funds to pay teachers. Our colleague Anias left today for a long journey by road to Port-au-Prince, where he'll work for two days and then go to the island of La Gonave with two other colleagues to the CHE programs just starting there. I need to get a vehicle, and need wisdom as to how to go about it.
3. Get stories from our colleagues to fill out one of our overdue quarterly reports (we can still blame the cholera epidemic for being behind on paperwork, I think). That was super-fun, as everyone shared great stories of changes they've seen or heard about in CHE communities.

So now I have a clean desk and an overflowing e-mail inbox! ;-) Glad to have the electricity back on!

Miscellaneous

Last month Ambassadeurs Medicaux d'Haiti (AMDH), the Haitian NGO that is primarily responsible for CHE programs in Haiti, held a preliminary meeting but didn't have a quorum present. Two weeks ago they met again, and in this picture you see five of the seven board members -- one was still unable to come due to injury, another was out of the country. Also in this picture are the three AMDH staff, Enoch (The Water School, formerly with AMDH), and me. What a great step for this organization.

Today in the office Wilnique, Clercilien, Evelyne, and Solencia were putting together "gift bags" for our trainers and CHEs. Our nearly 500 volunteers are truly volunteers, meaning they don't receive any renumeration. So we're putting together bags with toothpaste, toothbrushes, shampoo, soap, oral rehydration salts, sheets, and towels. Kind of like the gift bags at the Oscars. :-)

United Nations peacekeeping force from Nepal, sightseeing.

I took this picture of a typical fishing boat from my lodgings.

Training in Limbe

Okay, here I am teaching my first formal lesson in Kreyol! I love this picture because my colleague Evelyne (far left) could not look less enthused. ;-)

Here are Enoch and Clercilien, making a "fly" out of a banana, matches, and leaves. It was used in a skit about cholera transmission.

We held two big trainings the second week of January, one for our trainers in the province of the northeast, and this one in the north. We wanted to make sure that all of our trainers had the latest lessons on cholera prevention and treatment, including the Doctors without Borders strategy of oral rehydration posts scattered throughout the communities to prevent the countless deaths that have been occurring when people cannot get to cholera treatment centers in time. (It is often impossible to travel at night and in the rural areas distances are long over difficult roads.)

Here is Madame Grimard, one of our other core facilitators, teaching a lesson called "God and Cholera." There is a pervasive belief here that God is cursing Haiti. This lesson goes through Scripture passages showing that God seeks to bless us. We then discussed practically that God had indeed given us everything we needed to combat cholera, including essentially free methods for hand washing and making water potable.

And finally, here is Anias -- he works with our partner organization The Water School. He moved back north after surviving the devastating earthquake in Port-au-Prince last January and started with us in the spring. His amazing work with the SODIS method for making potable water along with training on hygiene and latrines has now expanded from zero to thirty communities. He has a fabulous smile, can you see it?

Cholera Treatment Center photos

In December I had the opportunity to work a few more nights in a cholera treatment center in Haut Limbe (see previous posting). Above is 15-year-old Juan. He was very ill, and you can see that he has two IVs running. But when one of the volunteers was making balloons for the kids, he was well enough to ask for a cat to be drawn on his!

Here I am at 5 am with a volunteer named Travis, a fabulous ICU/ED nurse. The first night we worked together he put in an IV in the scalp of a little girl for whom they just hadn't been able to keep IVs going the day before. Scalp veins are really tiny, so only small amounts of fluid can pass through them, and this girl was very sick. So he and I stayed at the bedside to push fluids via syringe into the catheter. While we were doing this dawn broke, and the family members throughout the center started a worship service from the bedside. They sang hymns, recited psalms, and prayed out loud. What a beautiful accompaniment to our work, to be reminding of the One who is always working in and through and around us to bring healing!

Rehydration is the key to curing cholera. Here a girl is receiving oral rehydration solution from a family member in addition to her IV fluids.

This picture was taken the day this boy arrived. I met him the next day, and although he was still quite sick he was sitting up at the end of his bed drinking oral rehydration solution from a pop bottle, a little cutie-pie.

Cholera Carols

I am staying for a few nights near Limbe (an hour-ish from Cap Haitien). Last night I worked at the cholera treatment unit here. Today my coordinator and I met with Doctors without Borders to discuss possibilities for collaboration in Bayeux a village an hour from here. I also facilitated communication between my Haitian and Dominican colleagues to get a shipment of cholera supplies on Sunday, communicated with future volunteers about airport closures and flight cancellations due to the roadblocks and demonstrations that started today. And then, when I thought that after supper remained only sleep (after getting 2 hours in the past 36), I found out that we would be gathering with some of the volunteers that have come to work with the cholera patients.

It was lovely. We sang Christmas carols, read the story of Jesus' love for Mary and Martha and his weeping with them in their sorrow just before the resurrection of Lazarus. We heard from a sermon that addressed why Jesus weeps and where he is in moments of death and suffering. As we sang the carols, we kept on finding ones that were about cholera. I'm not kidding! Now, maybe if you haven't been working many dark, tiring nights battling death and dehydration, you won't see the songs in the same way. But here are a few verses:

O Come, O Come Emmanuel

O come, thou Dayspring, come and cheer

Our spirits by thine advent here;

disperse the gloomy clouds of night,

And death's dark shadows put to flight.

Joy to the World

No more let sins and sorrows grow

Nor thorns infest the ground.

He comes to make his blessings flow

Far as the curse is found.

(Cholera would be the "thorns" that are literally infesting the ground and seeping into the drinking water.)

Okay, there were more but my brain is no longer functioning. Good night!

Cholera Update

Hi, everyone! Our internet has been nearly non-existent recently, and when we've had it it's been slower than the slowest dial-up you can remember. But suddenly today it is running beautifully! Um, when we've had electricity, that is—I think it's gone off five times today.

Thank you all so much for your prayers for little Odlin. I stayed in touch with one of the nurses from Hinche by phone, and I'm happy to say that he continued to slowly get healthier and finally went home! When I think of what he looked like the day he came in, and indeed even the next few days, I am just amazed.

Every day there are more patients in more communities sick with cholera. There is no sign of this stopping for the next few months, if not longer. There is also a lot of misunderstanding about cholera. It's not uncommon to hear people say they would rather get HIV than cholera. In the past weeks our work has been to:

• Coordinate shipments of IV solution and other supplies to combat cholera.
• Prepare for a Training of Trainers in Port-au-Prince, specifically designed for people who have children's ministries. We were supposed to go to Port-au-Prince on Sunday, but have postponed the training due to continued violence in the city.
• Follow up with the Community Health Evangelists (CHEs) who continue to teach their neighbors from house to house. I've mentioned before the lessons they teach for physical health: what is cholera and how is it spread, how to wash their hands with a simple system using a plastic jug, string, and a stick (most people don't have running water), how to make oral rehydration solution at home, and the importance of using latrines.
• The CHEs have also helped people develop frameworks to process things emotionally and spiritually. Cholera is yet another disaster being faced this year, by people who suffered greatly from the January earthquake and now also violence surrounding national elections. I have heard many people, even young children, say that Haiti is cursed, and cursed by God. What a terrible burden to live under! Our lesson entitled "God and Cholera" leads people to God's Word to learn about God's character and God's heart for us.

On the last day of the feast, the great day, Jesus stood up and cried out, "If anyone thirsts, let him come to me and drink. Whoever believes in me, as the Scripture has said, “Out of his heart will flow rivers of living water." Jesus (recorded in John 7: 37 -38)

And when Jesus speaks in Kreyol, you hear it like this: Dènye jou fèt la, se li ki te pi enpòtan. Jou sa a, Jezi kanpe devan foul moun yo, li di yo byen fò: Si yon moun swaf dlo, li mèt vin jwenn mwen, li mèt vin bwè. Moun ki mete konfyans yo nan mwen, y'ap wè gwo kouran dlo k'ap bay lavi koule soti nan kè yo, jan sa ekri nan Liv la.