Week in Review #28

Another late post!  Sunday found me boarding a plane in Zanzibar at 8:00 AM, nearly missing a connection in Dar Es Salaam due to a little issue of not having a visa, stopping Arusha, and then landing back in Entebbe, Uganda for a 10 hour wait before boarding another plane - this time to Amsterdam.  What made the whole day of travel worth it was reuniting with JM here in Amsterdam on Monday afternoon.  For now we're exploring the city and staying with our fabulous friend Priya.  Very sporadic posting for the next two weeks.  PS. Bitterballen is amazing!

Low Tide at Paje Beach

The tide changes are very dramatic in Zanzibar.  When it's low tide the sea retreats and reveals lots more sand as well as seaweed farms!  The local population cultivates seaweed and it is one of Zanzibar's main exports.  It is used for cosmetics, pharmaceuticals, and food.  The tide was down this morning and it was fun to check out women collecting seaweed and some of the boats that were temporarily marooned on the sand.

Hello from Zanzibar

It's Tuesday morning and the dawn of our second day in Zanzibar.  We are staying on the eastern side of the island along the gorgeous Paje Beach.  Absolutely nothing to complain about ... we are in heaven! Don't worry Mom, wearing TONS of sunblock, SPF 50 at that!

A VERY Late - Week in Review #27

The internet has been a little spotty, so my updates have been sorely lacking in the last few days.  I am writing now from the island paradise of Zanzibar and since Friday our journey has taken us by car from Kalisizo-->Kampala-->Entebbe and then by plane from Entebbe-->Arusha, Tanzania-->Dar Es Salaam-->ZANZIBAR.  Our goodbye party in Kalisizo was quite the event, necessitating that we purchase five chickens to feed everyone.  Above we introduce the beats of Lady Gaga to our Ugandan co-workers during the post-dinner dance party.  We already miss our new Ugandan friends!

Making the Rounds

Ahh, it is our last week at the Rakai Health Sciences Program!  On Tuesday morning we made our final set of presentations on our research projects, and since then we've been making the rounds saying good-bye to our friends and finishing things up here in Kalisizo. We've also been attempting to pack which is proving quite difficult - we have slowly accumulated more than we realized over the last ten weeks. Tomorrow I have some final data analysis to do during the day and then a small going away party is being hosted for us in the evening.

Below, Rachel and I pose with Ambrose, RHSP's Director of Transport & Training, after giving him some small thank you gifts for being so wonderful this summer.  One of the gifts was a a NYC taxi pin which he immediately affixed to his lapel and showed off to his colleagues.  

Perhaps most importantly we have been settling up with our dressmakers.  Teo, the manager of the guest house where we stay, has kindly accompanied us to one of the dress shops over the last few weeks acting as translator and stylist for us.  Here she and Leigh make sure all our orders have been filled.

For fun, we've also tried on some traditional headwear.

And lastly, we've fit in some final evening runs through the neighborhood.  Even if I manage to keep up this habit back home, I'll miss running along the dirt road in front of our house dodging cars, motorcycles, and many children yelling "mzungu, mzungu!" as well as the occasional herd of cows and goats.

Uganda Coverage

With some friends - can't get enough of the one in the Mickey Mouse sweater.  And yes, my skirt matches their uniforms.  Photo by R. Gruver.

Lots of Uganda coverage in The New York Times this weekend. First, a very interesting article about maternal mortality and the third delay. While sobering, the issues discussed do not come as a surprise given all we’ve seen and learned while here this summer (especially the tour of Mulago Hospital's maternity ward!).  I was particularly struck by the statement that, “Poor people surged into Uganda’s public health system when the government abolished patient fees a decade ago. Increasingly, African countries are adopting similar policies, and experts say that many more people are getting care as a result. But Uganda’s experience illustrates the limits of that care when a system is poorly managed and lacks the resources to deliver decent services, experts say.”  Really makes you think about what a functioning system should look like - it has to have staff and resources for one!  Ironic that this article should come so shortly after the coverage of Sierra Leone's recent switch to fee-free deliveries.

Second, an article about the Ugandan Little League team that unfortunately will not be able to participate in the World Series this year. In many ways, the issues of not having formal birth certificates and young people not being raised by their parents directly relate to having a safe delivery, whether in a hospital or not. Hope they have a chance to qualify again next year!