Wednesday, October 22, 2014

Papa Savings Group. . .

Encouraging papas to get involved with their family’s health and well-being is an ongoing objective of Gardens for Health. Recently the field supervisors in the northern Musanze District devised an idea for a papa savings group pilot program at the Kabere Health Center. This is another innovations project along with the Mentor Mama program featured in the last blog. In conjunction with the objective of understanding and practicing financial savings, there will be six health trainings offered to this papa group over time, including; nutrition, HIV/AIDS, family planning, listening /communication, mental health and gender based violence. Samuel, the field coordinator in Musanze, who has spearheaded this effort, is enthusiastic about the outcome despite meeting some initial challenges.

There was a misunderstanding at the first meeting when 23 papas expected Gardens for Health to give them a payment of 1500 RWF (about $2.20 USD) for attendance. The source of this information is unknown, but perhaps can be attributed to the semantics of ‘meeting’ vs. ‘training’ in Rwanda. ‘Trainings’ are often subsidized by NGOs in Rwanda, but are not part of GHI’s strategy, especially since mamas commit to attend trainings without being paid. Instead GHI invested 1000 RWF for the first two shares in the savings scheme, provided food and refreshment at the first meeting, as well as facilitating the savings group process. Some papas accept that GHI already has helped their families tremendously by providing their wives with the health and agriculture trainings, a home visit, the home garden seed packages, tree seedlings, the choice of 6 live rabbits or 4 live chickens, as well as 1000RWF upon graduation. Other papas were upset and angry, resulting in much fervent discussion.

At the second meeting, held at a house, the attendance was lower, partially because of illness and also a lack of committed participants. Samuel and Katembo, GHI’s Monitoring and Evaluations Manager, did baseline savings surveys to help assess the overall impact of the program (separate health surveys will be done later). Led by an elected president, members of the group discussed in detail specific guidelines and requirements for membership.

Despite the meeting being in Kinyarwanda this was an interesting process to observe. It seems that the participating papas are eager to make a difference for their wives and children. As an extra bonus for me, it was gratifying to see the GHI health and agricultural color training handouts displayed on the back wall in the house’s main room, exemplifying the family’s pride and accountability as members of the Gardens for Health community-at-large.

Helen


 Papas discuss controversial training payment
situation with Samuel, Musanze Field Coordinator

Residence where Papa
Savings group convened 

Samuel and Katembo, Monitoring and Evaluation
Manager, assist with accounting and paperwork

 GHI training materials are proudly displayed

Samuel doing savings survey


 First deposits for shares being made
and recorded. Samuel includes two
shares from GHI to each member.

Sunday, October 12, 2014

Mentor Mamas. . .

Annonciata, one of Gardens for Health’s (GHI) original staff mamas (including Claire and Naomi) helped design the beginnings of the health trainings in 2011. She is now an instrumental member of the GHI team in her role as training supervisor. She has recently spearheaded and launched an innovative pilot program to incorporate past graduates of GHI to be “mentor mamas” at the Nyacyonga Health Center. Two weeks ago the forty women who had been selected based on their motivation and involvement in GHI gathered for an introduction to their new role with GHI. Many had not seen their trainers, Claire (now field supervisor for Gasabo District), Naomi (now lead trainer) and Annonciata for two years, which precipitated tearful and happy reunions.

There were moving testimonies by many as to how much of a difference GHI had been in their lives, especially in the realms of mental health. “It has made such a difference for me and I hope it will for you too”, were the words of one mama. Another said, “It has helped me respect others, including my husband.” They wanted to ensure that mamas currently enrolled in the program could reap the same sustainable benefits for their families. Singing and dancing which always seems to raise spirits and create a sense of celebration was an integral part of the morning. Their responsibility as mentor mamas is to make five home visits during the 13 week training cycle to the mama they have been assigned. Hopefully this extra presence, above and beyond the home visit they get from the GHI field educator, will provide these mamas with a bonus opportunity to connect and form the beginnings of new friendships. We hope, too, that this will also promote perfect attendance at trainings, resulting in better overall health for their families, as well as giving the mentor mamas a sense of purpose and achievement while it extends their connection with GHI.

The week after the first gathering of the mentor mamas, there were two ‘matching days’ for 20 mamas at each session. As the mentor mamas and the current mamas arrived there was a palpable sense of excitement as they all anticipated meeting their counterpart. As the matching pairs were called they came to the front and greeted each other enthusiastically to the delight of all in attendance. The traditional 3 time (right side, left side, right side) Rwandan kiss and embrace was ubiquitous, accompanied by hoots and hollers.

We’ll be eagerly monitoring and evaluating the impact of this program as time progresses, work out any kinks and hopefully introduce it at all the other seventeen health centers that Gardens for Health is partnering with in the Gasabo and Musanze Districts of Rwanda.

Helen

  Naomi, Helen, Annonciata and Claire

Mentor Mamas and a healthy baby
listening to Annonciata’s welcome

One mentor mama gives a tearful testimonial 

Naomi reunites with a mentor mama
who was her trainee two years ago

Mentor Mamas 2014 “Innovations Pilot Group”

'Matching' glee and excitement

 The beginning of a strong friendship

 More 'matching' excitement

 An inquisitive and adorable
daughter of a mentor mama

 Another beguiling face

Mentor mamas waiting
for matching to begin



Monday, October 6, 2014


Manzi Cedric. . .

This is an updated blog on Cedric’s progress that was originally posted in March 2012. It will be used on the GHI website to help roll out a challenge matching fundraising campaign in October 2014.

Many GHI supporters recognize Cedric as a ubiquitous and adorable face on GHI’s printed material, but is everyone familiar with his story?

Despite only being 3 years and 8 months old, Manzi Cedric has an extraordinary life story to date. Over the three years that I have been a volunteer at GHI, I have had the privilege to witness his extraordinary growth and development. He was first introduced at Gikomero Health Center, one of the GHI partners here, in March 2011 when he was 2 months old with severe malnutrition, weighing in at 2.1 kg (4.3lbs.). His history revealed that his mentally challenged mother had given birth to him in a latrine and later abandoned him. The details of the first two months of his life are vague, but apparently a neighbor took care of him and then brought him to the health center. This is when GHI became aware of Cedric’s plight. Since then Cedric has become an integral member of the Gardens for Health family.

Without GHI’s intervention and commitment to take care of him at this crucial time, Cedric would have died. The progression of Cedric’s revitalization is a testament to the diligence of the GHI staff providing good nutrition and overall care. Overwhelming compassion and love have also been key factors in bringing Cedric back from the brink of death. Naomi
Musabyimana, a lead trainer for GHI, committed to being his primary caregiver despite having two young daughters. She has incorporated him into her household since he was just several months old. He comes to work each day with her and everyone at the office helps keep an eye on him. He has received continuous verbal and physical stimulation with a steady flow of loving hugs and kisses too. Cedric’s first steps were within a large circle of enthusiastic GHI team members cheering him on.

At 14 months old Cedric was evaluated at King Faisal Hospital in Kigali to address concerns about physical and cognitive delays as a result of his neonatal malnutrition. The physician was reassuring that Cedric was ‘on his own curve’ and should make giant strides in his development by 2 years old. This has been an accurate prediction, as Cedric is now strong, running around on the farm with other children as “part of the gang”.

Every time I return to GHI, I am thrilled to see his progress. He’s animated, engaged, understands and speaks both Kinyarwanda as well as some English. It’s such a pleasure to be one of his mamas while I am here, his consistent beguiling nature and cheerful soul are perhaps his way of expressing the gratitude for the life which has been given back to him thanks to GHI. I feel honored to be a small part of Cedric’s story.    Helen       

Cedric at 2 months when he first
came to GHI, March 2011


Cedric at 4 months June 2011


Cedric and Aline, 14 months March 2012


Naomi and her family. Ange, Aline
and Cedric May 2013


Cedric and Helen 3 years 7 months
September 2014

Helen Weld RN, MPH has been a volunteer at GHI since October 2011. She is currently with GHI for her 7th stint. For other stories about her time at GHI see her personal blog: www.hwph.blogspot.com