Who enlarges you?

Each of us has an infinite capacity to welcome people, to take them in. Some people make us shrink and inhibit our growth. But I’m starting to think that really most people enlarge us, usually in ways we could never predict beforehand. Being open and invested in those we encounter, no matter where or when, can make us bigger–in a good way. It is a matter of choice and consciousness.

group vn shot
global health

Da Nang, Vietnam

Last summer, I traveled to Vietnam to assist with an educational program that supports a group of both the brightest and poorest (we’re talking bottom 10%) 16-17 year olds from across Vietnam. My brother, friend, and I helped with the English part of their curriculum.

I realized that I never wrote about my experience there. I think that happened because these kids moved me in such an unexpected, deep way that I have been unable to articulate it. I was not trying to “empower them,” really. We just became great friends. How they changed me was not really intellectual; it was instead more visceral.

In short, though, I learned what it means to celebrate someone else for the sake of their shared humanity.

“Let us be grateful to the people who make us happy; they are the charming gardeners who make our souls blossom.” – Marcel Proust

I came back from Vietnam a happier person and am incredibly grateful for it.

P.S. I also had the best banh mi of my life in Hoi An.

Baby getting treated with LED phototherapy
global health

Lessons from Rangoon: nurses and neonates

Part of discovering what it means to be a “global citizen” requires a deep excavation into the inner, honest core of our own intentions, values, and biases. It involves digging far enough to unearth the true way we wish to orient ourselves toward the world.

Several young leaders are increasingly championing the idea of linking our own cores to those of others. I admire them for acting with confidence and conviction as they reshape the philosophical foundations of poverty alleviation. Meaning, they are pushing to end the era of pity-based charity, and are instead trying to transition to one of respect, sustainability, and collective responsibility. While this may be an ambitious undertaking, it is a grand vision that can be progressively realized.

Yet despite these efforts and my personal desire to exhibit humility, openness, and mindfulness, I fail sometimes. Fail is a strong word. I catch myself. Just when I thought I had learned the small lesson that we learn in kindergarten, not to make snap judgments or assumptions about other people, I got a little refresher during my time in Burma. It was one of those moments when I remember that I don’t know anything.

Under East Meets West’s Breath of Life Program, my family recently traveled to Yangon/Rangoon. Myanmar, or Burma, has one of the worst human rights records ever. But recently a number of good things have happened, at least at the surface level. The Burmese government held its first fair democratic elections, in which the leading opposition party (the National League for Democracy) won 43 of 45 seats. The United States announced that it would ease sanctions against Burma earlier this year. Hillary Clinton paid a visit and schmoozed it up. In spite of the recent government reform, journalists have published various pieces about the persistent challenges the nation still faces. Some say, too much, too soon.

I read things about Burma more than other countries. It’s actually really odd. I have no connection to this place. It started with the book, Freedom from Fear, which later led me to take up a bit of an interest in the story of a place that the international community seemed to have abandoned. In the process, I began to develop a narrative in my head. I envisioned a land of destitution, corruption, AIDS, instability, and violence that I hoped would somehow inch toward a better future for its people. Yes, I admit that it had become some kind of mythical creature that I wanted to understand. As you can see, this already sounds very problematic.

Next thing I knew, I found myself standing face-to-face with a group of Burmese nurses looking at neonates.

Because my mom was going for work, our family was able to visit one women’s and two children’s hospitals in Rangoon. They were all government hospitals. Although I didn’t realize it at the time, I had developed preconceived notions about what a public hospital in a country with one of the most repressive governments in the world would be like. I didn’t even want my eleven year-old sister to come along, because I was afraid she’d get traumatized.

Turns out, I was very wrong. The health care was exceptional.

When we arrived at the first hospital, the Yangon Women’s Hospital, we were greeted by several doctors and nurses who emitted an immediate sense of warmth and kindness. The hospital was large and overgrown with mold like many other buildings in Rangoon. I was expecting chaos, for the halls to be lined with mothers in pain and kids without anything to eat. But no, everything was quite organized. They gave us a presentation on their region’s health status, the specific challenges, and how exactly they’d like to work together with EMW. We then toured the neonatal wards. (CUTE BABIES!!!) Everything was so sanitary that we had to remove our shoes and put on designated slippers before stepping foot inside the nursery. Charts lined the walls with details of each baby’s stats, and every room had at least a few nurses in it.

Baby getting treated with LED phototherapy

One notable quality of all three hospitals was the abundance of health staff. The nurses each had different color-coded outfits. The ones with red skirts were midwives, while green were another type of nurse. Something else that my parents pointed out was that each of the hospitals was run entirely by women. Wonder if that has anything to do with their success…

After spending more time with them, my parents could make the objective observation that the Burmese staff excelled compared to other hospitals in Southeast Asia. Whereas I could just feel that they did their job with pride and a commitment to high-quality health care. While everyone else from our group was talking or crowded around one bedside, I walked around to see what the rest of the nurses were doing. In the corners, they were attending to their patients when no other Westerners were watching, fixing the tubes and blankets and keeping an eye on the monitors.

Obviously, these hospitals still face significant obstacles that are far more complex than we could have understood in our short time there. That would probably take years to comprehend. These were not perfect sanctuaries. All in all, however, meeting some of the people behind Burma’s public health system inspired a lot of hope in me. I was reminded that a country’s health care is not its health indicators, WHO reports, or 10-page pieces in the New Yorker. Its life expectancy and infant mortality don’t really tell us anything. There are people working very hard, with no recognition, to deliver the highest level of care possible given their limited resources.

I wanted to share this story not because it’s anything new, but quite the contrary. It’s a complete cliche. American girl goes to poor country and mind is blown. What else is new. It’s these small moments that tap me on the shoulder and remind me to never forget to keep myself in check. To be aware of the ease at which I think I’ve grown out of certain things when I am really just skimming the surface.

I had spent so much time carefully thinking about how I wanted to (aka should) think about Uganda in preparation for my trip there. Put in the context of an adventurous journey to Burma, nothing seemed to translate. After all of this, I was ashamed of how much I had used my other experiences in poor countries to determine what Burmese hospitals would be like before even getting there. I am not immune to the cliche, or to the dangers that I myself often criticize.

The real take away is that there are some remarkable people in Burma’s hospitals. I’m honored to have met them.

global health, photography, Uganda 2012

Living positive(ly)

Overheard in the field: “I have the courage to stand boldly before all of you because I want you to know that I will not die of AIDS.” – Zainabu, an HIV-positive woman from one of the groups we met with

Photos below: Visiting GlobeMed at UCLA’s partner in Anaka, testing school aged kids (14 and up) for HIV, immunizing babies who were born at home for TB, feeling a baby and helping with an antenatal home visit, meeting with HIV-positive women’s groups/youth groups

The red line indicates a positive test result.

Kristina and Carlos

Lamara! this is at home

global health

How you are vs. what you do

Today I had my last Poli Sci class of all time. It’s about contemporary movements in the Middle East and North Africa. So, a nerdy tribute to academia…

I had to read a book about how social change occurs through everyday actions and behaviors. I was particularly struck by this passage in Asef Bayat’s Life as Politics about youth movements, because it raises the question of how to engender social change in our daily lives. While social movements do active things, Bayat argues that “nonmovements” have the potential to create social and political change just by being — a very different way to conceptualize change.

Youth nonmovements are characterized less by what the young do (networking, organizing, deploying resources, mobilizing) than by how they are (in behaviors, outfits, ways of speaking and walking, in private and public spaces). The identity of a youth nonmovement is based not as much on collective doing as on collective being; and the forms of their expression are less collective protest than collective presence (120).

Bayat’s theory gives an optimistic kind of agency to everyone, even to those who live in some of the world’s most repressive societies.

“Movement for global health equity” and “student movement” are terms that get thrown around, but I’m not sure if movement is an accurate term. Maybe it is. Maybe it isn’t. I don’t know.

What are we really getting at? What do we mean? What do we want?

Taking visible action is absolutely important, but our activism is not just about making headlines. It’s also about how we walk, talk, and relate to those around us. No one can control that; that is ours to keep.

If the NYT posted the names of every gun death, there should be 32 different names on this page every day.

The children no one’s talking about

If the NYT posted the names of every gun death, there should be 32 different names on this page every day.

If the NYT posted the names of every gun death in the U.S., there would be 32 different names on this page every single day.

Why aren’t more people talking about the poor black and brown (or white or any other color) children in our country?

More than the numerical equivalent of Newtown happens every single day in this country in places like LA, Chicago, New Orleans — are those deaths less meaningful or worthy of our moral outrage? If the tragedy of 27 deaths rightly warrants sorrow, anger, and discussion about the proper political action, then why can’t we summon the same kind of emotional and intellectual engagement for our nation’s poor?

One of the commentators on Melissa Harris-Perry said that the lack of media coverage or collective grief about the deaths due to chronic violence is because of a “lack of cultural empathy.” Sadly, I agree with this statement. People are dying on the streets right now, but those streets don’t look like “our” streets. The elementary school in Harlem doesn’t look like the elementary school in Connecticut.

If we’re going to frame Newtown as a public health issue and examine the societal conditions that impact mental health, then we should do the same for our poor neighborhoods. That is a different kind of psychological distress, but still contributes to mental illness. I’ve seen this in my own hometown of Oakland, California. The youth today are experiencing severe damage in terms of emotional and mental health, even if they probably wouldn’t call it that. But they also suffer from a terrible education system and many other potential driving factors of gun-related homicides. To draw these correlations and to take “meaningful action,” we need research to inform our policymaking and our conversations about mental health.

This is not only a gun policy issue, but also a health, social justice, and human issue. Let’s widen our sphere of concern, compassion, and love to all those affected by gun-related violence.

These deaths are preventable. And they are all worthy of our attention.