Monday, November 18, 2013

Two Months in Moshi

Charlie, King of A-5
Kili after rain....Most snow gone today
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Last week was hysterical for a variety of reasons.  There were the usual crazy things happening, our OB/GYN folks arrived at staggered times and filled the house with new conversations.  It is always fun to discuss our favorite STD at the dinner table in this family, but the focus is of course on HPV and Genital Warts with John and Peyton here.  Lovely. 

John S. arrived just in time for Bob (from Machame’s) hash.  We were told that it was more family friendly than most of Bob’s, but at the end of the day, I think it was a typical Bob hash.  Everyone knows Bob as Dr. Bob in Machame, thus other than the peril of the map, we were all safe and would always meet someone who knew where Dr. Bob lives, but it was definitely more the steep hills and water crossings that were our potential sure death! I felt perilously close to death several times and ran with a bloody hand most of the way, but made it back to Bob’s house in tact and was happy for beer and even some cigar puffs before we headed back down the mountain.  John S. took the “easy” last stretch and was grateful as well to be alive, and several friends did not arrive until after dark, including our dear friend Sylvie Emmanuel, a brave senior of the Machame community who finished the entire hash. 

Sylvie and Dr. John chat after hash

Nikoli is beat!

The second Dr. John has a nice puff of cigar

A happy Coy

Dr. John and Molly finish the hash without death

Brave new Pastor handles the hash and the baby!
My friend Agnes and her husband brought quantities of cow manure over for our garden.  So exciting!  We will for sure be ready for the short rains that do not seem to be coming.  But I suppose it will be fine for the long ones as well.  We piled it up by our eggplant and the chickens raced to it to bathe.  Who would have known that cow manure could be the happy bath water for chickens who toss it all over them and then peck in looking for worms or other delicious bugs, and other horrifying things.  I believe I reported that my rooster Charlie had stolen one of Pauli’s other hens and was having his way with her.  She is now very loyal to him and will not even consider going back to her old love (Floppie).  She seems to be held quite dear with Charlie, though the other hens are not nearly so fond of her and have pecked off her little crown so that she is not terribly attractive.  Hopefully, she will be accepted soon, though we are all laughing about how Charlie parades around convinced he is the king of A-5.  
The pathetic Kahawa Ndogo (little coffee) with no comb because of other hens

One of 11 bags of manure itching to be mixed with the dirt

Mound of manure

John (JB) returned from the US and thankfully will be with us for the remaining time we are in Moshi.  We are already planning a big Thanksgiving Dinner in the yard and cannot wait!!!!!

I’m so very excited about learning this week when our dear Lucy (wife of our gardener) will have her baby.  Sadly, we won’t have returned to Moshi, but hopefully a little boy or girl will greet us when we return.  She is a beautiful pregnant lady!  Every time I see her, I think about the new grandchild that will be coming into our family in the US in May.  May I just say that John is beside himself and all of us are really happy to think about grandchild number 2.  John is now seriously looking at his plans to build a play house in the mountains, and I’m sure Ella will be happy to be in charge!

We were in the world of high fixing this week.  Our ceiling fan began to make terrible noises and shake so badly that it seemed the whole fan would fall and kill us.  Chrissy refused to be in the same room with it when it was running, and I felt like fingernails grinding on black board surrounded us.  Thank goodness a nice nice man appeared to take it apart.  Looks like the fan will carry on but only after a new bearing is put in it. Since it is incredibly hot and dry right now, we are happy!  It is so hot that without the fan, we would be very uncomfortable.
Fan Fundi

In the US, the fan would be declared dead and we would have only the choice of a new one.  Here, everything is salvaged and nothing is declared dead until the last part is tried.  This has been true of our car which is I’m sure being held together with Duct Tape.  Each week, something new goes wrong and back to the “fundi”.  The next day it returns and for a very reasonable price, we have it for another week until the next thing happens.
 We had a wonderful meeting with the EDR at the end of the week.  I believe that the whole KCMC/Duke project should be proud of the work that they have completed this year.  Despite the huge disappointment of the ACTG grant, work continues and every person has given his or her all.  There is no question that we are making a difference in the Kilimanjaro region and will make our best efforts to continue to do so.  We are even recruiting goats, sheep, cows, and humans for one study.  I’m imagining the consent process for the cows, sheep and goats.  
Have you read and do you understand the consent?

Wait, come back, you have to sign this consent!

And for our IMPAACT studies, we have 3 babies ready to be born any time.  So exciting.  

We have had no rain for over a week, and now everyone is worried that the short rains won't come.  It is dry, hot and dusty, and yet....even next door, burning leaves is the way to take care of the yard.  It is almost unbearable.  Yet--here it is
Great burning on the other side of "Mawenzi" peak.


Chrissy overtaken with smoke

smoke and watering

This week, Katrina arrives and we have a week of hectic showing everything off. May the force be with us.
 

Sunday, November 10, 2013

Week 6 and few more days

The past week has been filled with drama, sadness and excitement.  There would not be anyway to describe it.  Here in Moshi, things don’t move very quickly (thank goodness) but you find, as I have reported in the past, that many things actually go on around you almost too much to take in.

We learned 2 weeks ago that our biggest research projects in both Moshi and Duke were not to be refunded.  This has been an enormous blow to us all, one that has kept us up for many nights on end.  First, I am processing the enormity of it, trying not to feel that it is my personal fault that I potentially could have done better in some way yet feeling a loss almost like a gigantic loss of life.  Then, suddenly it hits you that not only are you losing the projects, but also it hits you that many people, good, hard working people will lose their jobs because of this decision.  And then you think immediately about the research participants both current and those who were ready to enroll in studies and you cry.  And finally, you think about the community in which you have been working and how your community volunteers have steadfastly attended meetings, strategized on how they can educate the community about research, and how they have a personal commitment to the ongoing activities of the project.  I am still grappling with it all.  I want to be gracious, but it is definitely not easy.  What sustains me are the staff who constantly ask how we are doing, what can they do to help, and who remind me, “we have had ups and downs before, we can make it through.” I suspect that there is much more anxiety about their future in their minds, but they are not telling me that, and for that I am touched and moved.

In the meantime, our Youth CAB here in Moshi continues to amaze me.  Yet another meeting has gone by and undaunted by the harsh news, they make plans for a seminar, talk about the issues of stigma and disclosure, and the importance of research. At the same time they are really bonding with one another. 

This week's meeting Youth CAB

This week's group discussion with John K

Our awesome facilitator John K

Prisca...give her a challenge and she grabs it!
My dear friend in Moshi (fellow social worker) lost her mother to a stroke this week.  This little lady was an amazing woman.  She managed to have 8 children and when she died had 14 grandchildren.  She kept meticulous records of her life, the ups and downs.  While she had health problems, she was very busy.  She took in children of family members who were unable to care for them, without a thought for how much it might cost her.  These young folks expressed their gratitude by helping in the house and farm, and thanking her and her husband for their kindness and begging her to not send them away.  Of course she did not.  All her neighbors knew her as a wonderful person who helped them in time of need.  About 300 people walking into the compound and showing their appreciation for her life underscored this love.  I had experienced her love and caring just under a year ago when I visited her home with my girlfriend.  I arrive with a small gift, and come home overwhelmed not only with the hospitality of her mother and youngest daughter (a fabulous farmer) but with vegetables, kanga, basket, pocket book, and love.  Wow. 

Mama Urasa with my Dear Agnes and her daughter, sister and nephews
Though the day of the burial was long and hot, my heart was full.  I thought a lot about my own mother and what her loss continues to mean to me.  I had brought some handkerchiefs to Moshi that she had always used, thinking that they might be good to wipe sweat off my face in the hot African summer.  There I was with this very delicate handkerchief in my hand thinking about both Agnes’ mother and mine. 
 
talking about mother

House compound and funeral procession

Lydia me & Bona

Roses for the funeral

 
grave of Mama Urasa
 I thought how they were much more alike than different, both strong and opinionated, sometimes a bit harsh in our raising, but ready to listen to ideas, and definitely go “to bat” for their children and grandchildren…loyal to the end.  I thought about how my mother never differentiated between the grandchildren born to her children versus those who came into her life through marriage.  And I thought about how she is always somewhere around in my brain, continuing to give me advice (and criticism).  As I passed this on to my friend and her husband, they just nodded agreement and seemed happy to think that this might happen to them, too.

Mother and grandchildren
Chrissy and I have done a little singing at church, and she much more in Arusha and at the church.  It is wonderful to have her here in Moshi while we are here. We continuously fight….nothing has changed.  We had a disastrous day at one of the local sewing ladies places.  She had purchased fabric and was having a dress made that apparently has turned out so badly that she won’t even show it to me.  I also had one made that turned out so badly that I clearly looked 8 months pregnant (oops how can that happen to me with my 64+ years showing every day). But the miracle was that I managed to find my old sewing lady.  (she is really young actually). She doesn’t live in Moshi anymore but she came to town by Dala Dala we found a place to try on the disaster, she found a sewing machine where the dress could be fixed.  We made several deals and one way or the other mending and sewing will be done.  Miracles do seem to happen here.

So at the end of the day this week, we have had 3 big rains, mild temperatures, green coming up so fast I can hardly believe it, and that wonderful fresh smell.  My My.  “on on”. 
A brilliant mountain--New snow and lots of it
The renewal--a wedding!


Monday, November 4, 2013

Sliky Safaka or “Charlie, he wants to thank you for bringing the equiptment”….. “WHAT!”


Six weeks into our time in Africa, we headed off to Madagascar to see Lemurs and visit the Duke Lemur Center at the SAVA Conservation Center. I apologize ahead of time for how I have no idea what little towns we were in or how to spell them.  Even if I wrote the names down, I could not spell them properly, so there you have it.!
Hiking towards the Park Entrance (Majojejyi)

--> The Bartlett adventures continued last week with a trip to Madagascar.  John and I spent a week in Madagascar and I have looked over his shoulder to see him studiously writing a mature assessment of our trip.  Mine clearly will be less mature, there you go.

We flew out of Moshi with an extra big bag so that I could carry the air mattress that I knew I would need in the park camp, and a number of other useful items that were never removed.  My back pack was loaded down with camera equipment so the big suitcase was the only option.  The trip was uneventful, even in the Nairobi airport where the new terminal has not been completed since the fire.  The biggest downside was that the toilets were packed, but nice and clean.  Our flight to Madagascar was full and I had the wonderful good fortune to be in a middle seat, John on one side and an enormous Malagasy woman on the other.  She had 4 huge bags on the floor and in her lap.  For some reason the flight attendant just looked at her and did not come to my rescue by making her put things in the overhead.  So for the duration of the flight she and I fought for my foot space and I had all manner of food items and purses falling into my lap.  (John kept saying---they will take them away..but no it did not happen). When I got up to go to the toilet I had to hold on to other people to get over the mountain of things on her seat!  As we arrived in Atanariva “Tana” her husband started arguing with the flight attendant that we were supposed to stop somewhere else and was refusing to get off the plane.  The poor flight attendant kept saying, “It is finished! The flight is over!”  Finally we were all able to get off.

Capitol City Atanarivo Airport
We entered the arrival hall and there were no admittance cards available and no one knew where they were.  So we all stood around while the business class folks collected their bags and went on their way.  I could see our bags going around and around and prayed that they would still be there when we eventually got through.  I was very glad when we finally got through and there was the lovely face of Lanto waiting for John Bartlett.   
Freshi Flowers for sale near airport

Jacaranda on the streets
Clothes drying
Great Street shot
one aspect of view of the city
Rice paddies in the middle of the city
We drove through the chaos which is Tana and arrived at our very cute hotel “Sakamanga” where we had lunch and after being mobbed by gifty sales folks took a tour of the city. 
Saka Manga Hotel
Sign for Saka Manga
I have to say that the museums were in a sad need of repair, but they did have some interesting birds, of course snakes and some lemurs.  We had hoped to see the Aye Aye, but it was inside the house.  We did see several ring tail lemurs from a distance and an amazing bird with a bright gold crown.  We also went to the Queen’s Palace where street children are "de facto" guides and  then on to shopping.  All was very interesting though tiring.   
Beautiful bird
Just look for the ring tail and you will see this Lemur
Baby Baobaob Trees
Queens Palace

Street Boy showing John postcards of the palace's better days
When we were offered the opportunity to go to another house to see the furniture of the Queen, we deferred. Sadly small children were sitting on the sides of the road with babies in their laps.  They looked to otired to even beg. The only downside of our hotel was that we had no mosquito net.  I was horrified because I knew that there is a lot of malaria in Madagascar, much more than Moshi.  Not much sleep on day 1.

The flight to Sambava on day 2 was uneventful.  But what was hysterical was the number of chickens in baskets that came accompanied folks on the plane. Fortunately none were in the aisles or overhead compartments. I loved that the airport staff that helped us off the plane and brought our bags were the same ones as those putting people and bags on the plane.  For that reason, it took quite some time for our bags to arrive and John was convinced the people trying to get their bags and chickens from this very small baggage turnstyle would squash us.  But everyone was very pleasant and helpful and soon we were out the gate and into the hands of our hosts Eric, and DGHI faculty member Charlie.  Lanto was still with us as ever, figuring things out continuously.  We were taken through the small town which is also the regional capital of the area. Our new hotel was the Orchid Beach II, again a lovely hotel with no mosquito net! 

Indian Ocean just across street from Hotel
 It was right on the ocean-front and had wonderful breezes from the ocean as well as the loud noise of the Indian Ocean throughout the night.  Clearly Eric and Charlie have favorite hangouts…not surprisingly “Chez Mimi’s” is about the only restaurant in Sambava unless you want to brave the Karaoke Bar.  
John, Charlie and Erik--at Mimi's waiting for food
 We deferred.  Malagasy food seems to be characterized by particular spices.  Like traditional Tanzanian food it is not very spicy, and mostly is in stew type mixtures, though here fish is plentiful and the Malagasy beer “Three Horses Beer” (THB) was actually delicious. 

One of the joys of this trip was getting to know the Duke Lemur Center Project Director, Erik Patel.  He is one of those people who is continuously thinking of 100 things at the same time.  While he is in charge of the research center of the park, he also is working on projects in health, reforestation, teaching English (through two public libraries he has built, a fish farm, and assisting one of the lead guides in setting up his own preserve to reforest an area by growing trees, & teach about growing nutritious yams. He seems to know everyone and everyone him.  And he and Lanto are always on the move. 

As we drove the next day to the Lemur Park in the rain forest Marojejyi, we stopped at a health center and I was able to use a wonderful “squatty potty” right on the side of the hill of the health center.  Yea.  We learned about the local health problems from the doctor at the health center.  Not surprisingly, maternal death during labor was very high, childhood pregnancy, malaria, TB, typhoid and increasingly hypertension and diabetes. We were surprised to see rapid malaria tests, and to hear that there really is a significant amount of malaria here.
At the Health Center with the Doctor (? town)

On to what we thought would be the hike to the camp, but first stops at Erik’s little village where he has established a small library, a charcoal project made from cardboard, and yams.  
Erik's charcoal rings made from cardboard
Library at first site
Inside the library...some very strange books donated but at least there
Then to lunch in a tiny town Ambohimanarina.
The Lunch Bunch--JB, Charlie and Lanto...Erik chatting
And then finally to the park.  We had a 2 kiliometer hike to the park entrance and along that route, we entered another small village where there was a famous Mbege (home brew) maker so we watched a home brew demonstration. 
Don't think we really want to know what is in this hole and how it works
Then finally the hiking began.   

Hike to park entrance
When we arrived at the entrance to the park, there were pineapples all around and chameleon’s and lizards abounding. 

Perfect pineapple
Well finally at the entrance to park
 Charlie and the guide Jackson went off to look at Charlie’s mosquito traps (his big project) and agreed to pick the trap up when he came back down the mountain.  Charlie kept talking about the Helmut Vanger, a blue billed bird found only in Madagascar and only in this area.   
Helmut Vanger
Low and behold, we found not just one but two.  Each were perched in their nests at the top of a palm tree.  One flew away and we saw the babies briefly arching up for food.  Our guides continuously showed us interesting trees and little creatures.   
Amazing chameleon
Masquerading insects

Look closely and see the lizard on the tree.  It is Nocturnal
Only when it was nearly dark did we finally see Bamboo Lemurs.  They were quite far away up in the trees and only slightly interested in our activities. 

Best pic of the Bamboo Lemur I could get

Camp 1 kitchen
Our camp was buzzing with activity.  Porters had dropped our bags and there were 3 other sets of guests.  One researcher had come down from two camps above where she was studying one of the nocturnal lemurs.  She had found several but they were very hard to reach as they take over little nests and crevices and were really hiding.  She had also seen many Silky Safaka’s (the white lemur everyone wants to see.)  Sadly, that was not to be for us as we didn’t have the time to climb up to the next camp.  The warm stew and cold beer were incredibly good.   

Our tent
The temperature dropped quickly as darkness descended and we were quickly putting on sweaters and jackets.  
 
The Shower
Toilet slanting backwards...no worries just fall back!

 The shower and toilet were a sight.  (I would take the squatty potty any day! And, the water buckets for showers were freezing cold.)  No way to do more than wash face and brush teeth (with our water bottles) and pray that you don’t have to pee in the night! Once we were tucked in our silk sheet sacks and sleeping bags we were out cold until morning.

Lovely Morning

Park Signs
Morning was magnificent.  We had a great breakfast, looked all around, saw more Bamboo Lemurs heard the exploits of Eric, Charlie and Marie after we had gone to bed.  We reluctantly packed up and headed down the mountain. 
Charlie, John me Jackson
More neat trees and creatures and off we went.  When we got back to the park, we decided to go to our guide Desereé’s town which was another hour or two away.  Off we went.  
 
Great old tractor...they were all over
This town was much bigger than the previous one and we had lunch with the man who is in charge of the fish-farming project for the district.  He appeared to be a very well known man in town though there was only one other couple eating there.  The town was fun, it was market day, and people were all around.  Erik showed us where the project house is in Andavo, and where the Duke Engage students were staying.   

We drove to Desireé’s preserve and saw the awesome work going on there with Erik’s help.  Another library stood at a corner, logs cut from eucalyptus trees were in his yard.  Proudly he described the donation of our friend Sara to help him buy a section of land that had been deforested and only these eucalyptus trees were left.  
 
You can see deforested area and then the rain forest line
Sara's Eucalyptus wood

Desiree and the wood from the forest Sara bought
But they provide very hard wood for building and we saw the guest toilets and other buildings that Sara’s wood had provided. 

Watering the little seedlings

John with Erik by the trees
We moved on to the tree farm where Erik and Desireé had over 7,000 little seedlings growing.  These would be given and planted to try to help discourage “slash and burn” farming.  Next on to the fish farm. 

The fish pond
Sunset at the Fish Pond

Erik was excited to show us the little fish and explain how much effort had gone into getting the farm started.  We heard about the ducks and how they lay plenty of eggs but they wouldn’t sit on them, so new ducks will have to be bought who will sit on them, or the chickens will have to be encouraged to sit on them!!  And at the same time on the hillside, they were planting yams and other root plants.  The sun was setting—we had a 4-hour drive ahead of us. 

I thought we would surely die on the way home, or at the least kill many children.  Our driver was just a madman on the road.  He flew, passed cars and trucks, honked and flew through the towns. I could hardly believe that we arrived back in town in one piece.  Erik completely undaunted headed with Charlie to the Karaoke bar for dinner.  John and I collapsed.
Karaoke Restaurant
In the morning, we visited an NGO that was training people in Cyclone preparedness, but also did some health work on the side.  They were pulling out at the end of December.  I was quite surprised that there are so few NGO’s in the area, where there are so many problems and needs, but I understand that the country has been without an elected government in many years and has been largely shunned by the west.  

Cyclone Preparedness
 Hopefully the new elections (which seemed very complicated with 34 candidates) will bring a good person to power and help can come in.

Government Office Building in Sambava
We had a wonderful conversation with the health director of Sambava.  He had been to Moshi, even had a little movie of Kilimanjaro. What a small world. Even on the airplane on the ride back to Tana, my seat mate was a Malagassy man who had been to Moshi and also had a little movie of Kilimanjaro. Wow!

Back to “Tana” and heading to our hotel. It is dark outside and suddenly our car stops by the side of the road.  Lanto jumps out and chats with a man and his baby.  Then he hops back in, gets a big suitcase out, hands it to the man, and hops back in.  He says the man thanks Charlie for the equipments he has brought (for this seemingly random man by the side of the road).  Charlie responds, “What are you talking about?”  Lanto and he go back and forth… “The equipment you brought”, “I didn’t bring equipment” “Yes the equipment you brought.” Finally Lanto explained that the materials that Charlie had taken to Erik were being sent back to Tana to give to this man who works on a project in another park. Hysterical.

 More delicious food at the restaurant and this time a fabulous room with a mosquito net!!! We really did sleep like logs. The Red Sox won the World Series, and all seemed pretty well with the world.  Back in Moshi almost before we could catch our breath.
Silky's we never saw