Friday, November 15, 2013

Initiating Launch



Tuesday, November 12, 2013


First three months down. I’ve done a lot of observing and integrating. My language still has a ways to go before I’m at a professional level, but nevertheless, it’s time to start some projects.

Now, among the many things I’ve learned thus far living in Togo, one is that nothing is going to work out exactly as you’ve planned. So, as I present the following project ideas to you, keep in mind they will most likely fail or be altered significantly.

But, you gotta start somewhere, right?

Ideally, these are the major projects that I will be working to develop throughout my next 21 months.


Care Group

My village has just over 4,000 people, the majority of whom (women and children) only speak Kabiye. I will never be able to host sensibilizations for that many people, nor will I ever be fluent in Kabiye. So, as a health volunteer, it’s a huge obstacle to identify how to reach everyone in the population. The Care Group is a project that will help me bridge that gap.

Let’s say my village has 300 homes. For every 10 homes, there will be 1 woman representative. That’s 30 women to represent all the households in Kemerida. Each month myself and a partner (I’ve chosen the accoucheuse of my dispensaire), will meet with these 30 women and train them on a different health topic. Then, it is those women’s responsibility to go to their 10 homes and regurgitate the same training. It reaches the people of my village in their homes, on their terms, in their language. So much more than I could ever hope to do alone.

The Care Group also has the benefit of being able to provide excellent means of monitoring and evaluation. Each month, I can send my women representatives out with pre and post surveys. I will be able to see how many people they’re reaching with my initial sensibilitazations and determine how the community’s former knowledge evolves with each presentation. I’m also a numbers nerd, so I’m really excited about the possibility of using this information to identify areas of focus in my community for second year projects.

Ideally, the ASCs (community health workers) of Kemerida will be a great resource for helping keep the women of my Care Group motivated and accountable. ASCs already work for the dispensaire doing similar work. The issue is there are significantly less of them and the topics they present to the community are more limited. I hope they will compliment the efforts of my Care Group and work with me to do follow up visits.

Things I’m doing now to prepare:

Using my very limited internet, I was able to download satellite pictures of my village. I’ve spent the last couple weeks copying them over to one large map. I will use this map to try to identify where the majority of people in Kemerida live. 4,000 people. That is not an easy task. In some cases, I will settle for just learning how many households are in each neighborhood. I hope to have this complete by the end of the month.

After getting a better idea of how the population is distributed, I can determine how many women I need and section of the houses into groups that need a representative. I will then work with my homologue, Ben, the ASCs, and the dispensaire staff to identify women one woman in each group that speaks/reads and writes in French and is responsible enough to participate in the Care Group. I would like my women to be selected by the end of the December.

January, we will hold our first meeting. This will give me the opportunity to evaluate the group and determine if any adjustments need to be made.  Our first training/sensibilization will occur in February.


School Health Club

I want to start a health club at the CEG across the street from my house. The last level of education there would be my focus. It includes kids ages 12 to 16ish that are in their last year before high school. They speak and write decent French, so I’d be able to do presentations with them. Also, I’d love to involve them in skits and art projects regarding health issues here in West Africa.

Starting in the second trimester in January (first one already started), I would like to meet once a month. Each month will have a different topic. It will be for girls and boys combined. However, during the month for sexual health, I’ve decided it would allow for a more open, and thus more educational, environment to split up the sexes. Other monthly topics I have in mind are HIV/AIDS, malaria, nutrition, hygiene and sanitation, and life skills. 

Also, if things work out like I’m hoping, we also be able to take a field trip to the University of Kara one month.

Things I’m doing now to prepare:

First, I must meet with the director of the CEG to get his approval. The issue is that, currently, there is a nationwide teacher strike occurring. School has been cancelled until the government reaches a consensus about what the pay raise is going to be.  This post concludes the 3rd week of no school. Fingers crossed it starts back up soon.

After school is back in session, I plan to sit in on some classes for the duration of this trimester just to get acquainted with the students and learn more about the education system here in Togo. 

Before meetings start, I will also need to find a teacher to help me lead the club. They will be the person I prep to take over the club for me once my service is complete. It’s not worth the effort if I can’t make this project sustainable.


Community Fetes (Festivals)

Using the Care Group and the School Health Club, I’d like to plan village wide fetes every few months.

These will require a lot of planning and will occur every few months. They will focus on the topics I would like to stress in my community. Ideas I have currently are a Paludisme fete (malaria), VIH/SIDA fete (HIV/AIDS), a Family Planning fete, and a Hygiene and Sanitiation fete.

Things I’m doing now to prepare:

Creating a calendar for potential fetes.

I made a chart of 6 calendars starting January 2014 through September 2015 (end of my service).

Calendar 1: World Wide Holidays (Worlds AIDS day, Women’s day, Malaria Day, etc)
Calendar 2: Togo’s School Calendar (which is actually, for the most part, unpredictable)
Calendar 3: Preliminary Care Group Calendar
Calendar 4: Preliminary Health Club Calendar
Calendar 5: Already established Community Events (i.e. Whipping Fete)
Calendar 6: Seasons of Togo (Rainy season, Harvest, Harmatan, Hot season)

By combining all of these, I am able to get a bigger picture of how all of my schedules can work together.

For example, April 25th is World Malaria Day. In March, I can give a presentation to my Care Group about malaria (causes, prevention, etc). They will then take a pre-survey out to evaluate the knowledge and prevention practices of the 10 households they represent. That same month, since it’s during the school year, I will give a malaria presentation to my health club. They will work on a malaria skit and hopefully we will be able to get permission to paint a malaria mural at the dispensaire.

Beginning of April, my Care Group will invite all their households to the fete later that month. Around the 25th, Kemerida will have its first annual Paludisme Fete. It will be the in front of the recently completed malaria mural and will have a skit performed by the health club. The major of the dispensaire will give a sensibilization in Kabiye to address the knowledge and prevention practices I gathered information on from the pre-surveys. There will be a net-washing station, repairing station, and a net hanging demonstration. Also, what’s a Kabiye fete without some Tchouk?

In May, after the fete, the Care Group will be able to give a post surveys to gather data on how the community felt about the fete and what they learned. If it was successful, hopefully they’ll make it a yearly event.

Constructing a pre-birth house (not sure of the official name) for my dispensaire

Kemerida is the center of 4 villages that make up a canton. They are Kemerida, Teroda, Pyode, and Atchao. The dispensaire is easily accessible by residents of Kemerida, but those in the other three village have to travel quite a ways to access health care (and it’s typically by foot).

During my first few weeks at post, my major and another community leader asked my if I could make one of my projects building a house near the dispensaire for women to stay when they’re close to giving birth. This would encourage women from the more isolated areas to come to the dispensaire to have an assisted birth in a safe environment to help reduce infant mortality.

At the time, I told them I wanted to first observe the village and determine what health problems I thought needed to be addressed. After having the idea to start a Care Group, I returned to their initial request and told them that if I can gather data proving that it would be a benefit to the community, I would do what I could to make it happen. Using surveys, I plan to do just that. If my village demonstrates a genuine interest in the possibility and I can guarantee that it will be used for the right reasons, I will work to raise the funds with my position as a Peace Corps volunteer.

I warned both of them, however, that I would not be the leader of the project. I wanted the people of my village to do it themselves. I will attend all meetings, help decide the amount of material needed, and work within the establish timetable, but one person, or a committee of people, needed to lead the project. I believe that by giving people ownership of these types of projects, they are more likely to be protected against misuse – a big issue with development projects where money and/or materials are just handed over.


Lastly, I’m also part of the World Wise Schools Correspondence Match Program. I’m currently collaborating with a French teacher in Massachusetts. Her students send me questions about the Peace Corps and life in Togo that I respond to in French for their class. Eventually, I want to match them with the English class at my village’s CEG and start a pen pal program.

So, that’s it. Those are the things I’m working on now and praying will work out in the future.

One thing here I’ve come to miss is EFFICIENCY. You guys in America, be glad 95% of everything there is dictated by it. It makes your work much less of a guessing game and a hell of a lot less frustrating.

Again, I’ll have to let you know more month by month as things develop.

Don’t be surprised if this all changes completely. I just wanted you to get an idea of how I’m trying to make a difference here in my village and inform you that I’m not just doing yoga and reading books.


3-2-1 Blast Off.

Koumealo


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