Tuesday, July 31, 2007

Where I Work, Part II

Kids, kids kids

So when Ben isn't in Dar, he's staying in a small town south of Dar called Mbagala. Thats also where I try to spend 2-3 days a week if I can, if DPP isn't too busy. Mbagala is an altogether different place from Dar:

Dar is a huge, rapidly-growing city in East Africa, the largest city in Tanzania, and its urban. It is full of slums, though there are areas of town with unbelievable wealth. There are huge food and craft markets with people selling you all sorts of things. It is very dirty, and there are beggars and thieves.

Typical street in Mbagala

Mbagala is more what you might have imagined if someone told you they were "going to live in Africa". Its much smaller and more rural. The streets are largely unpaved and unplanned. While life in Dar might be comparable to the U.S. (electric stove, shower, internet at times), day-to-day life in Mbagala is much different. Electricity often goes out during the day (when the power-grid is the most taxed), we shower with buckets of warm water, and sleep under a mosquito net (Malaria is endemic here, so we wear bugspray 24/7, take medicine, and sleep under nets).

So let me get back to what I actually do there. Dartmouth is very loosely affiliated with a program called Bibi To Bibi (Engl: Grandmother to Grandmother) that functions to support grandmothers who are taking care of their grandchildren who are AIDS orphans. The bibis work to make crafts to sell locally to support themselves. The children all go to a school called Bibi Jann's, a school funded by a Swedish woman (Jann) for preschool, 1st, and 2nd graders. Thats mostly where Ben and I work. We teach one of the classes, usually the 1st or 2nd graders. This involves Ben speaking a lot of Swahili (he's a baller) and me pretending I know Swahili (doesnt work). We also do a lot of errand running with the director, Dickson—stuff like buying charcoal for the fires, going shopping for a bus that we're trying to raise money for, house visits, etc.

Studying


Gotta love 'em

We live at the school with Fatuma Pyuza, the head bibi, as well as various members of the Pyuza family and any orphans who have nowhere else to go (usually at least a couple). Night-time is a lot of relaxing, hanging out with the families, etc. All-in-all a great time. Which is why Ben spends so much time there.

Not camera shy

A word about Dickson. He's the man. He speaks pretty good English and is by our side most of the time we're in Mbagala. He teaches the grade that we don't teach, and handles most major decisions. On Sundays, we've gone to a couple beaches with him and Ashura, a child who was basically adopted by the school because she has nowhere else to go.

Dickson

Oh yeah and the food. Its awesome. They cook over portable charcoal grills (they look like camping stoves) and make general Tanzanian food. Because the ingredients are so cheap, we fill up. I'm probably strengthening the hell out of my immune system by being exposed to all kinds of stuff, but what can you do. Ben and I have also made it a priority to learn to cook Tanzania food, and we've picked up a couple different recipes. The men generally don't cook (though they all know how), so the men and women alike think its hilarious.

Yeah, i know its ridiculous


Cooking


No, we did not make this meal


So yeah, thats a quick sum-up of Mbagala. More tomorrow on why this isn't paradise on earth.

Saturday, July 28, 2007

Where We Live

Theres 2 1/2 of us who live together. Paul and I stay together, and Ben is here about 1/2 the time. Paul is one of my best friends from high-school; he just graduated from Penn. He's staying here with me through April. Ben is a rising senior at Dartmouth and is here for a month longer. He spends most of his time working at the school that I'll tell you about later.

So when Paul and I got here, Ben had already cased the joint out and found a couple good places for us to stay. We wanted to use the internet at home (so we could apply to med school) which meant we settled on the first place we came to. Its called Lamada and its hilarious.

Lamada is a hotel with apartments. What that means is we basically live in a glorified hotel room all the time. If you see a picture of the place, or walk around, it looks awesome. But as soon as you spend more than 15 min here, you start to notice things. Nothing works. As I'm currently typing this, there are 2 guys flipping the power on and off and messing with switches cause 3 of the lights in the main room don't work and no one knows why. The main overhead light stays on all the time cause they forgot to put a switch in for it. Other funny shit includes-- no door handles, a sink fixture with no pipes, and bathroom sink in the kitchen.
But don't get me wrong, I'm not complaining. This place is 1000x what we expected coming here, so its more entertaining than enraging. People come in all the time to fix something, tell us theyre going to get a wrench or a cord, and then never come back.

That brings me to the staff. We're not actually sure who runs the place or is in charge, we only know the people we see every day. We've got:

Stephen: Receptionist, first guy we met. Probably about 20, speaks pretty good English. If we ever ask him about anything though, he just "HAHAHA!!!"s at us until we finally go away.

Fake Manager: We don't actually know his name, we just know that he's the main guy we talk to, that he acts like the manager, and that he's not. When we asked him why the internet goes out all the time he shrugged his shoulders and set "Its a 3rd world country!"

Patrick/Joseph/3 other guys: The technicians. Always in to fix the internet and what not, but they have no actual expertise in the area. The just fiddle around on our computers til they get bored and then leave.

Mr. Martin: No idea what he does. Not even actually sure he works here, he just talks to us a lot. Unsure of his real name, except that the first name he introduced himself as "Mr. Martin. Mr. Martin Luther King! Hahahahahaha!!!!"

Terry: Receptionist. Shes probably about 20 years old and cares less about her job than the people at the DMV. They have some rule here that theres 24hr reception service, which means that she has night shifts a lot. She gets sheets and just lays out on the floor and goes to sleep.

So thats our apt. All in all, its a good time and a lot of fun. As much as we might want to get angry about the total lack of any work getting done here, people joke around about it so much that its hard to get mad.

Wednesday, July 25, 2007

Where I work, Part I

So I work at a couple places. The first one, the main one, is called the Dartmouth Pediatric Program. Its a pediatric HIV clinic in downtown Dar, about 200m from the ocean. Its a collaboration between Dartmouth and the MUCHS, the Muhimbili University College of Health Sciences. I work there with about 8 other people. There are 2 doctors, Dr. File and Dr. Jema, both new doctors a couple years out of Muhimbili, the premier teaching hospital in Tanzania. File (pronounced "fee-lay") is a really warmhearted woman, who loves to laugh and who knows her stuff. Jema is much the same way-- they speak pretty perfect English, and use it to give me a hard time (all in good fun), especially about the fact that I suck at Swahili.

Dr. File. See, even she knows she's awesome.

Speaking of Swahili, damn. All the native speakers here are like "Its an easy language!" or "You'll be speaking in no time!" F that. This language has zero indo-european or romantic roots, so every word is straight memorization. Sure, the verb forms are pretty easy and straightforward, but that doesnt help much if you cant remember verb youre looking for is. As you can tell, its not coming too easily for me.

So back to the office. We've got our 2 counselors, Sister Janet and Sister Elimina. I havent gotten to know them very well yet, except that Elimina absolutely delights in all forms of humor that come at my expense. More on that later. Next is Etigala, who does most of the cleaning and other things (boiling water to drink in the morning, etc). Having a bit of a hard time to break through to her, seeing as she doesn't speak much English.

The clinic is run by Dr. Helga Nuburi. She teaches at Muhimbili, among having her patients there and also being in charge here. Helga is a rock star. She's super nice, gets right to the heart of what a problem might be, and just all around kicks-ass. She is only around once every couple days, which sucks, but when she is, things get done.

Sampson, our driver. He's awesome. We played with chickens.

And I can't forget Joyce. She's our receptionist, and I share a room with her where my computer and desk are. She speaks pretty good English and, as I just learned from lending her my ipod, LOVES the Kings of Leon. Shes also the closest person in the clinic to my age, minus Margi, another intern. What that means, is that, because we share an office, everyone gives her tons of shit about the two of us. Constantly, people will speak really quickly in Swahlili to her and, even though I can't catch a word of it, I can tell by her reactions and the way they keep glancing at me, that they're giving us shit. Afterwards, as though I knew what they said word for word, she says "Sorry, they were joking!" Of course, the primary culprit for these acts are Elimina.

Joyce in our office

So those are the people I work with. Well, except Margi. Shes a rising sophmore at Dartmouth and has been here about a month longer than I have (I got here the 9th of July, I think). She works mainly in trying to connect DPP with other programs, and so is constantly exploring other NGOs and meeting new people. It seems like a pretty cool deal. She speaks a lot better Swahili than I do.

You might be wondering now, what do I do? Good question. Considering I have no medical education thus far, really, it would seem like an extremely specialized clinic (by Tanzanian standards) wouldnt be the best place for me. Well, I'm doing a couple things. The main one is helping with getting an online database running here. After getting everything online, I'm analzying it to try to help get kids on ARVs (anti-HIV drugs) faster, as right now the time between figuring out they have HIV and getting them on drugs is taking too long. Besides that, I'm doing alot of random things, like teaching the nurses how to use computer applications, designing a new broshure, and trying to learn how AIDS treatment works. Oh, and I'm the resident "my computer broke, come fix it" guy. So I'm about 33% awkward American, 33% medical student, and 33% IT guy.
Oh, and 1% total badass.

No, I don't have any idea what I'm doing.


First Post

Hey.

My name is Brian and this is my blog. I left this July to work for a pediatric AIDS clinic in downtown Dar es Salaam, Tanzania. Moving from suburban USA to sub-Saharan Africa, from the ups and downs of America to the hilarity and tragedy that is the third world, there’s a lot going on over here.

Beach in Dar

I want to use this space as a spot to tell you about where I am: the beautiful places I keep going, the crazy people I keep meeting, the horrible circumstances that seem to constantly engulf so many peoples lives. Although I've just gotten here, this experience has already taught me so much, and promises so much more. I hope that, in the few reflections I manage to get in here, I might share something with you.

Criminals tremble in fear of him, even in Tanzania

And if you're reading this, feel free to comment and let me know what you think.

Sunset in Dar