International Experiences http://med.stanford.edu/oih/experiences/ Weblog of the Organization of International Health 2007-12-30T22:45:15-08:00 Lena: Kenyan Elections http://med.stanford.edu/oih/experiences/archives/2007/12/lena_kenyan_ele.html Many of you have asked for information about the elections to which I have alluded that are going on in Kenya. I wish I had the time and knowledge to fully elaborate on the situation. Here are two BBC articles that seem consistent with what I was hearing within the country before I left.

What was written 3 weeks ago: http://news.bbc.co.uk/2/hi/africa/7092398.stm

What was written tonight: http://news.bbc.co.uk/2/hi/africa/7164890.stm

]]>
Lena in Tanzania lenawine 2007-12-30T22:45:15-08:00
Lena: Really settling in http://med.stanford.edu/oih/experiences/archives/2007/11/lena_really_set.html So I know it's been a long time since I've written. There are two reasons for this. First internet in Migori is notoriously unreliable... the only internet cafes here connect through the cell phone network and so even when they are working, the connection is quite slow. My second excuse is that being here in Kenya is not as remarkable as it has been in the past. That's not to say I'm not enjoying myself - in fact, in many ways I am enjoying myself more this visit than I have on my previous visits...

]]>
Lena in Tanzania lenawine 2007-11-27T23:24:20-08:00
Lena: Images http://med.stanford.edu/oih/experiences/archives/2007/11/pictures.html Fishing boats on Lake Victoria:
14531.jpg

Nakumat (the equivalent of Walmart smack dab in the middle of Kisumu):
14346.jpg

Maasai in Nakumat (an interesting juxtaposition):
14348.jpg

]]>
Lena in Tanzania lenawine 2007-11-24T01:17:25-08:00
Lena: Settling In http://med.stanford.edu/oih/experiences/archives/2007/11/lena_settling_i_1.html I know many of you were worried that I'd wind up spending my birthday alone having ramen noodles for dinner (or maybe that was just me). Anyway, in spite of my fears, I went out with the mzungu team to dinner at the finest (and pretty much only) restaurant in town. Having several vegetarians in the group, they tried to request a chapatti with egg and kale inside - something of a breakfast burrito. I was surprised that by the time the waiter made it around the table to me, everyone in the group had ordered this odd entree. I went for some good ole fried goat. I also had some avocado and pineapple juice, which was unexpectedly delicious. Overall, a nice way to celebrate my birthday!

14451.jpg 14449.jpg

I've finally moved into the place where I will be staying for the rest of my time here. Each day after our arrival in Migori, there was some reason that we couldn't move in. First there was no gas, then there were not enough beds, then it was too dirty to move in. I began to worry that they were just trying to avoid having to show it to me until the last possible moment. Turns out the place is pretty nice and very close to where I've been staying the past several days. Still it was nice to be able to finally unpack. I'd been repacking my stuff every morning, so that I would be prepared to move whenever it became necessary.

]]>
Lena in Tanzania lenawine 2007-11-16T00:42:31-08:00
Lena: My Research Progress http://med.stanford.edu/oih/experiences/archives/2007/11/lena_my_researc.html Some of you may at this point be wonder how my research is going, as that has been conspicuously absent from my posts. To be honest, I’ve been wondering the same thing. I was really ready to hit the ground running because my ultimate amount of time in country was not as long as I had initially hoped it would be. Unfortunately, and as expected, I’m the only one who seems to feel this sense of urgency. I’ve been trying to be patient and remember that laying a solid groundwork is essential to the success of future endeavors. For the past week, I have been introducing myself to healthcare providers at the facilities where I will be conducting my interviews. I call this building social capital and I guess we will see if it pays off next week, when I am scheduled to actually start interviewing people. ...

]]>
Lena in Tanzania lenawine 2007-11-16T00:40:52-08:00
Lena: Hospitals in Migori http://med.stanford.edu/oih/experiences/archives/2007/11/lena_hospitals.html On Monday morning, we visited our first of the 12 sites involved in the study in Migori. We went to Karungu, a sub-district hospital, on Lake Victoria. It was almost a 2 hour drive from Migori, where we are staying. A 2 hour drive is in itself not short, but when you are in a double cab truck with 7 other people on extremely rough roads (if you can even call them that), it becomes interminable. Now I understand why only 4 of the 12 sites are currently distributing antiretroviral therapy (ART). I had been told it was partially because we didn’t have enough vehicles. When we went to visit the site we brought a host of ART drugs with us as well as TB drugs. In addition, we brought clinical staff with us capable of administering and distributing these drugs. We visit a different site each day (Monday through Thursday) in this way and hence, 4 sites are currently active. When we have another vehicle, theoretically 4 more sites could be activated. I don’t want to oversimplify here, because there are other criteria that must be satisfied as well; for example, they must have at least 50 people who have tested positive for HIV. ...
Karungu subdistrict hospital:
14523.jpg

]]>
Lena in Tanzania lenawine 2007-11-14T00:36:00-08:00
Lena: Update from Kisumu http://med.stanford.edu/oih/experiences/archives/2007/11/lena_update_fro.html So I’ve been in Kenya for a week now. I guess it’s time for an update. My first day in Kisumu, there was a team-building event for all of the FACES staff from Kisumu. I wasn’t really sure if I should attend or not, but for lack of anything else to do I decided to tag along. We all piled into a matatu (minibus/van made to seat fifteen people, but usually crammed with at least eighteen people) at the clinic and headed to a place slightly outside of town and upon arriving, we began playing all kinds of games and singing songs that I couldn’t even pretend to know. Many of them involved singling out a specific person to, for example, dance in the middle of the circle. Luckily, I hadn’t been there long enough that anyone knew my name. After several more matatus full of staff arrived, we began the planned activities (I hadn’t realized these weren’t the official team-building activities). We were divided into groups had to do a variety of classic team-building activities ranging from ‘crossing a river’ to a trust circle and untying a human knot. Our last activity of the day was a blindfolded relay race. The first step in the race was to go bobbing for apples and then completely eat the apple, skin and all. For those of you who have traveled abroad, I’m sure you know that this is a cardinal sin: you must drink bottled water and you must peel all fruit and vegetables. I attempted to explain my dilemma to the organizers, but no exemption was given. I didn’t want to let my team down on my first day during a team-building activity, no less. So I decided to take one for the team, literally. Overall, it was a great opportunity to get to know some of the many FACES employees. ...


]]>
Lena in Tanzania lenawine 2007-11-11T00:54:33-08:00
Lena: Background http://med.stanford.edu/oih/experiences/archives/2007/11/lena_background.html Map of Western Kenya:
Migori Map.jpg

Migori town:
14425.jpg

]]>
Lena in Tanzania lenawine 2007-11-11T00:46:44-08:00
Lena: Arrived in Kisumu, Kenya http://med.stanford.edu/oih/experiences/archives/2007/11/arrived_in_migo.html After more than 24 hours of traveling, I've arrived and all in one piece (for the most part). I even managed to meet up with my Aunt Jill in London during my 9 hour layover. So that's the good news...

]]>
Lena in Tanzania lenawine 2007-11-09T10:55:34-08:00
Eugene: A potential framework for approaching North Korea http://med.stanford.edu/oih/experiences/archives/2006/11/eugene_a_potent.html I have been thinking a great deal recently about the best way to approach work in North Korea. Outlined below is a putative framework for approaching such work:


The recent nuclear test performed by the Democratic People’s Republic of Korea (DPRK) has drawn the attention of the international community back to the ongoing struggles and affairs that have remained unresolved on the Korean peninsula. As a single event, the test was a critical catalyst to attract international attention to the DPRK, but more importantly, the incident represents a nadir to deteriorating diplomatic efforts with North Korea. For over a decade, the DPRK has negotiated with international parties over critical issues, including nuclear arms proliferation. The failure of these efforts in halting the development of nuclear weapons indicates an essential failure of diplomacy. As a result of these deteriorating diplomatic efforts, the DPRK has become increasingly isolated, antagonized, and neglected.

]]>
Eugene in South Korea esyim 2006-11-08T00:12:47-08:00
Eugene: Korean American Physicians and North Korea http://med.stanford.edu/oih/experiences/archives/2006/10/korean_american.html I met with a pediatrics resident at UCSF last week to brainstorm ways to approach work in North Korea. We are both consumed with a desire to help the North Koreans but are unsure how best to approach it. With his experience having traveled to North Korea this past summer and my own experiences with North Koreans in South Korea, we have both learned important lessions regarding potential work in North Korea.

]]>
Eugene in South Korea esyim 2006-10-01T17:49:56-08:00
Eugene: Epilogue to my time in Korea http://med.stanford.edu/oih/experiences/archives/2006/09/eugene_yim_epil.html I want to thank the Center For Education In Family And Community Medicine at Stanford Medical School for funding my experience in Korea. I would especially like to thank Dr. Samuel LeBaron for his dedication to mentoring and his open mind in supporting the developing visions of his students. Thank you so much.

]]>
Eugene in South Korea esyim 2006-09-05T23:12:29-08:00
Eugene: Final lessons from a veteran http://med.stanford.edu/oih/experiences/archives/2006/08/eugene_yim_fina.html Linton.jpg


On my last day here in Korea, I met with Dr. John Linton at Severance Hospital of Yonsei University. Dr. Linton is a physician who was raised in South Korea and was the first Caucasian to be licensed as a physician in South Korea. Dr. Linton has made numerous trips into North Korea as a part of humanitarian efforts organized by the Eugene Bell Foundation in the United States. Although the support work of this physician and the organization has covered a broad range hitherto, of note recently have been efforts to address the escalating TB epidemic in North Korea.

As a veteran in the field of North Korean humanitarian aid, I met with him to discuss my hopes and aspirations in the field. The more I discussed with him, the more I realized how I wasn’t clear about my vision for working in this field. When asked the simple question, "What do you want to do?", I had no answer.

]]>
Eugene in South Korea esyim 2006-08-12T23:32:07-08:00
Eugene: Home, sweet home http://med.stanford.edu/oih/experiences/archives/2006/08/eugene_home_swe.html Shoes.JPG

7.09.06

On my last day working with the NGO, I was invited to visit the apartment of North Korean family. The unit I visited was home for an older couple that had immigrated several years ago and had gotten married here in South Korea. The small apartment was on the 10th floor of a large apartment complex that houses a large number of North Koreans. The government owns units in these large apartment complexes and rents them out to North Korean migrants as they resettle in South Korea. These complexes provide a much-needed community for the North Koreans as they resettle in a foreign country.

I caught a glimpse of that community at work as I walked into the apartment today. As I came into the unit, I was invited by three older North Korean women who were huddled in a tight circle. They were old enough to be my grandmother, but had such energy and vibrancy as they chatted away with each other about just about anything and everything.

]]>
Eugene in South Korea esyim 2006-08-12T23:27:01-08:00
Lena: Shocking moments back in America http://med.stanford.edu/oih/experiences/archives/2006/08/lena_reverse_cu_1.html So now that I'm back in America I've had a few moments that could be called shock. I think only one experience can really be classified as 'culture shock.'

When I walk down an empty street or an empty hallway and I pass someone, I can't help but greet them now. Likewise, if I bump into someone that I know, I feel like if I don't have at least a 10 minute conversation with them, I have been extremely rude. I find myself asking people over and over how they are, how their family is, how their summer's been, how's this and that and the other thing all are? I can imagine that it must sound repetitive and perhaps even nosy. This behavior may not sound that unusual to you, but this friendliness goes completely against my nature as an East Coaster.

]]>
Lena in Tanzania lenawine 2006-08-12T20:42:42-08:00