Field Report: It takes a village, sometimes even a continent. Education on the high Andes.

Out of the four medical centers that The Denan Project (TDP) is funding in some of the most impoverished parts of the world, namely Ethiopia, Peru and Mongolia, I must admit that our medical center in Uratari, Peru speaks to me the most. Perhaps it’s because I saw the community people building it themselves, brick by brick…perhaps…

In addition to the routine due-diligence activities, this time I had a special reason to be there. I wanted to work with the six high school students from The Pingry School (including three volunteers of TDP) who are visiting TDP sites as part of their leadership program organized by The World Leadership School.

[This report was originally written during my visit to TDP’s project sites in Peru in late June, 2018 in order to share the experience with my fellow board members and other volunteers at TDP.]

Day 0: A Country of Mountains, Jungle and Ocean

Soaking in the ocean air after a 17-hour journey from Munich to Lima. So began my third visit to this enchanting nation where you can climb the High Andes, turn to the Amazon rainforest, and touch the Pacific ocean.

Day 1: All Roads Lead to Anta

In order to get to any of the five villages on our agenda, we had to go through Anta, one of Cusco’s 13 provinces. In fact, the municipal office of Anta is our partner who’s been handling our local fund distribution so that we can save on money transfers from the US, and local transactions related to medical and micro-loan programs. So, our week-long agenda started out with going over the accounting records with the municipality of Anta.

Day 2: From the Ground Up

After another quick stop in Anta, we started the day with a meeting with the community in Churo. We huddled together and went over the details of a micro loan project the community wanted for raising cuys (guinea pigs which are a major source of dietary protein for the community people as well as a source of income). From Churo, we traveled farther to a neighboring village of Pampahuaylla.

As soon as we entered Pampahuaylla, I could see why this community is considered richer than Churo, our previous stop. A new elementary school, cheerful kids on the street and all others huddled around the only TV in the village to watch the Peruvian team playing in the World Cup 2018…it was lively!

This is where Elio (TDP’s first scholarship student who earned a college degree) came from. We visited Elio’s family and, over some meat and potato, shared our mutual pride in Elio’s success. With a mechanical engineering degree he earned, Elio was getting started to build his own business.

Day 3: Welcoming Pingry School Students to Uratari

Learning together with the volunteer students from the Pingry School was my main reason for the site visit this year. I was curious about the experiences the US high school students would have with the local communities, especially with the local students.

The visit started with a community-wide welcoming ceremony. Although I’ve experienced the warmth and hard labor the entire community puts into welcoming TDP volunteers before, I was deeply moved by the excitements and warm interactions between the students and the villagers.

Day 4: Breaking Potatoes Together

After my first overnight experience at the Uratari Medical Center (shared a room with the resident nurse), I joined the Pingry students to visit the neighboring village Choquemarca, the poorest community in the Limatambo district of the Anta province. We were joined by the TDP medical outreach team headed by Dr. Yair. Choquemarca’s biggest problem is the absence of a water supply. Facing this all-too-common issue across many small communities in developing countries, I was happy to hear that the community of Uratari was exploring ways to share their water with Choquemarca.

In between micro-loan program discussions and medical outreach visits, the team was treated with the local specialty of meat and potato, prepared and served in the way that only the originals can. (Right, potatoes are originally from Peru.)

Dr. Yair (right) examining a patient during TDP’s medical outreach in Choquemarca

Day 5: High Aptitude for Higher Education

As part of TDP’s support for school education, the Golden Condor awards (with cash incentives) are given to top three students in the 8th, 9th, 10th 11th and 12th grade students in Uratari. Our visiting students were joined by the entire community in the schoolyard for the award ceremony.

Day 6–7: TDP Goes to the Peruvian Congress

Discussing TDP’s proposal for building a boarding school with the President of the Peruvian Congress (center)

Back in Lima, a different topic was high on our agenda. Past few months, the TDP team has been working on a proposal to build a boarding school in Uratari (right next to the existing school, above). Our goals were: i) to give the children in neighboring remote villages a chance to get a higher education (there’s no high school in villages like Pampahuaylla we visited on Day 1, above); ii) to proactively reduce the possibility of the high school in Uratari having to shut down at some point in the future.

Our meeting with the Peruvian Congress was to get the support for the boarding school initiative — together with the Pingry School students. Thanks to Congressman Wilbert Rozas, who originally helped TDP select the project site in Uratari, we were able to meet with the Education Committee Chairwoman Paloma Noceda, and the President of the Peruvian Congress Luis Galarreta. After a series of discussions, the team was able to gain the support we were asking for — and walk away with the specific next steps!

Changes are coming…sometime too fast, sometimes not fast enough. I don’t know what changes I’ll see when I return to Uratari next time. Perhaps a shiny new boarding school. Perhaps another ambulance vehicle at the medical center. Perhaps…But I do know this much, the men, women and children of the community will gather around in a big circle and tell us all about it. The changes that happened. The changes they want to bring about.

__ Ends __

Where Herders Come for Healing

By Jean Shin, Board Member & Volunteer

Toilet paper? Check. Energy bars? Check. Cipro? Check. Email auto reply? Double check.

Packing light is something I already know how to do. But doing so with basic daily necessities, medicines, and clothing for multiple climates? Well, that turned out to be a rather distracting experience…at least that’s the only excuse I came up with while running for a long taxi line outside the Munich airport, trying to get back home to pick up my passport I forgot to pack. ‘There’s no way I’m missing the flight,’ I announced to the taxi driver. So it began on Jul. 5 – my first visit to The Denan Project (TDP) sites in Mongolia .

It’s not the mileage, it’s the connection.

After landing in Ulaanbaatar (the preferred spelling among locals) via Moscow and filling out a lost-luggage claim form, I was greeted with a news that Dick Young, the founder of our organization, was stuck in China and that his arrival time was unknown (something about his flight being cancelled, re-routed, reshuffled, etc.). Mongolia is not the farthest place I’ve ever traveled to, but definitely one of the places with the fewest direct connections.

Spending the eve of the Mongolian presidential election day in the heart of the capital city, I was trying to figure out why some of the street signs were still written in what-looks-like Russian Cyrillic. Right, the Soviet influence still remains in this country, sandwiched between Russia and China, trying to make their young market economy work.

Standing in front of a TEDx Ulaanbaatar poster against a backdrop of a new shiny building, I was reminded of my walks through Moscow and Shanghai…and some other cities in developing countries with similar shiny buildings in the making, Jakarta, Lima, Addis Ababa… ‘Let’s see how things outside the capital look,’ I murmured.

Economic and political participation of women.

Upon Dick’s arrival (about 30 hours after his departure in New York), the project team (including our local partners from Save The Children) met with the Mongolian Minister of Health Tsongtsetseg. Sitting across the table from the woman Minister and a room full of woman professionals at the same table, I couldn’t help but notice the stark difference from my visits to other TDP sites, especially compared to my meetings with an all-men group of elders in Denan, Ethiopia. As I walked back from the meeting – where the Minister awarded Dick with an honorary medal for TDP’s contribution to the wellbeing of people in the Arkangai province (about 700 km away from Ulaanbaatar) – I added this to my to-do list: google OECD’s report on women’s economic role and sustainable development. Read it again!

Nomadic living in urban ghettos—and in the Land of the Blue Sky.

Heading west from Ulaanbaatar, our 4×4 vehicle passed through some of the ‘ger districts,’ the Mongolian version of urban ghettoes surrounding the city center. Herders who fled the countryside, after having lost their livestock, were now stuck in the outskirts of the city with no running water, or proper sewage. Carrying all trappings of their nomadic lifestyle…but with no animals to herd, no fodder to harvest…

I was told that our drive should be smoother and faster than in previous years, at least for the first 1/3 of the journey, as more of the roads have been paved. ‘Hopefully not all the way,’ I murmured. I didn’t have to worry. The long stretch of paved roads, dotted with a few eateries and outhouses I didn’t dare to walk into, ended soon enough.

Then came something I’ve never seen before. Something I never had to describe before. A land of steppe and sky. Vast pastoral rolling grasslands…under a seemingly endless blue sky. I was beginning to get why Mongolians call their country the Land of the Eternal Blue Sky.

Low mountains started to dot the horizon…and I knew we were getting close to our destination Tariat, the second coldest place in Mongolia where winter temperatures routinely dip below -40 °C. Although my senses told me I was in an endless spread of temperate grasslands with grazing horses and yaks, I had heard enough about the harsh winters of the area to know that the July weather I was soaking in wouldn’t last much longer. In fact, that punishingly cold weather – in addition to the general lack of funds for heat and basic medical supplies – had a lot to do with why TDP came to Tariat in year 2011, and put a stop to the shortages that used to prevent the hospital from treating patients for 4 months a year.

Providing basic human services in developing countries.

So, how do you run a hospital without running water? The same question again. One of the first questions I asked myself while visiting our hospitals in Peru and Ethiopia. It’s a common problem that makes everything that much more difficult to handle – and those difficulties quickly add up. In fact, according to some stats, one-third of all hospitals in the developing world lack running water.

Beyond the glaring similarities across nations classified as developing countries, what I saw in Mongolia was distinctly different. In Denan, Ethiopia, our organization had to start from scratch (building the hospital from the ground up, trucking in water, etc.). In Uratari, Peru, the community rolled up their sleeves early on and built the hospital together brick by brick. In Tariat and Edenemandel in Mongolia, it became clear to me that it’s more about identifying the one last hurdle that prevented medical help from reaching the people in need.

What kind of last hurdles? Something I could only see by shadowing the doctors, meeting their patients, seeing the equipment and supplies they use, following the local doctors making house calls, etc.

Standing next to a young dentist, in front of a brand-new-but-never-used dental chair (a not-so-unique problem in many developing countries), I learned that with only USD1200 the dentist could get all dental supplies she needed for the next 4 months so that she could start taking care of her patients rather than waiting until January next year for the dental supplies, promised by the government, to arrive. In this case, that was the last hurdle. So, we resolved the issue then and there by allocating some of our leftover budget to the dental supplies.

Following a woman local doctor making a monthly visit to a herder’s family on a motorcycle, we learned that she ends up paying half of the motorcycle fuel costs out of her own pocket as the government’s fuel allowance covers only half of what she spends to cover the distance she has to travel every month. Having realized that the shortage is widespread and thinking that not every doctor would be able to make up the difference, Dick and I agreed to bring the issue to our board for next year’s budget.

Talking with a surgeon while shadowing doctors making rounds in Erdenemandal Hospital, Dick and I saw another hurdle we needed to address. The hospital has a surgeon who can perform a wide range of surgical operations, however the hospital has no anesthesiologist, limiting his scope to operations he can handle with partial anesthesia. Apparently there’s a nationwide shortage in anesthesiologists in Mongolia which makes it even harder for a remote hospital such as this one to recruit one. We left the hospital with a plan to provide extra incentives for a new anesthesiologist.

There lies the answer to the question I was asking while running back home to fetch my passport: so, what makes you think you will do more good by going there rather than simply donating that money? Why go there?

The answer? Because it matters. When the end goal is to get the care to the end recipient, we need to understand the entire flow. For many things, I prefer simpler answers. But what we’re trying to accomplish here requires understanding the complexity – and removing the barriers every step of the way. Besides, it’s in TDP’s DNA. We don’t just rely on secondhand reports. We go, inspect and improve.

Back in Munich, I find it easy to romanticize about the nomadic lifestyle I saw in Mongolia and to question the people who were abandoning their tradition and fleeing to the dismal life in urban ghettos. But ultimately, it’s their choice. And for those who decide to stay, I would like to think that they won’t be denied of the basic human care such as medical service. The children and adults who came to a neighboring ger and waited for their turn to see a visiting doctor…they are on my mind.

Roberta and Richard Wool Visit to the Navajo Reservation: Spring, 2017

By Roberta Wool, Volunteer

Visiting the Navajo Nation in Chinle, Arizona, from the metropolitan East Coast feels like being deposited in an America that you know exists because of history texts or a National Geographic special. You are prepared for a landscape of astonishing beauty, but can’t quite comprehend the societal inequities that are so palpable.

I am so pleased to report, however, that The Denan Project, in conjunction with the Johns Hopkins Bloomberg School of Public Health’s Family Spirit program, is having an impact in supporting young mothers living on the Navajo Nation.

Chinle, Arizona

My husband, Richard, and I arrived in Chinle on March 28 and were greeted by Program Manager Kristen Speakman, who introduced us to Family Spirit Senior Trainer Kendrea Jackson and trainers Brandy Bridgewater, Indian Health Service Public Health Nurse (PHN) and Family Spirit Program Coordinator for PHN department, and Delilah Yazzie, Indian Health Service Public Health Nursing Health Technician. They were in the initial phase of a training session with several nurses and one nutritionist who are going to be doing outreach with Navajo women. The training session involved learning to use the Family Spirit curriculum, which is very detailed and offers a specific set of goals for each visit. The training involved a lot of role-playing, which was useful in preparing the outreach workers for a variety of family situations that was grounded in a culturally appropriate manner.

On the second day we visited Tsaile, where we met, Indian Health Service Public Health Nursing Health Technician, Maureen Mitchell and joined her for a home visit to deliver a Family Spirit lesson to an enrolled family that was about to have their fourth child. In our pre-visit briefing, we learned that up to 40% of the families on the Navajo Nation do not have potable water in their homes.  In addition the remoteness of the reservation results in challenges accessing fruits and vegetables. The lack of access to potable water and produce might be a contributing factor  to high rates of gestational diabetes as well as Type 1 and 2.

Our time there was well spent. There were no paved roads on the way to the house, only muddy tracks. The family consisted of the parents and their three children. When we arrived in the afternoon, both parents were at home with their youngest daughter and we were warmly welcomed. We sat in as Maureen used the Family Spirit Curriculum to cover the lesson for that visit. The husband sat with his wife as she responded to Maureen’s questions and eagerly took in the information Maureen was offering.  It was quite clear that the family valued the information conveyed and that they appreciated the one-to-one communication that is a hallmark of the program.

Family Spirit is an evidence based program designed and evaluated by Johns Hopkins School of Public Health. Their research shows their interventions have a long term positive impact on the children. Family Spirit children are less withdrawn, anxious, depressed—outcomes that point to a brighter future in school and life. Chinle Public Health Nursing Department is hoping to replicate these data outcomes and is tracking the impact it has on pregnant women and their children until the children are three years old. The Denan Project is making an important contribution to a program with proven results not just for the Navajo Nation, but for other ethnic minority groups as well. I felt proud that we had the opportunity to visit the Navajo Nation and are able to support the Family Spirit Project that is working in partnership with the Navajo people who have a rich and wise culture to strengthen their families and communities.

To support a happy, healthy future for children in Native communities around the country, visit jhu.caih.edu/giving.

Visit to Denan, Ethiopia

Standing with the women of DenanStanding next to some of the women of Denan

By Alice Norwick, Volunteer

It was a long journey from my small town of Woodbury, CT to reach the small desert town of Denan, Ethiopia, almost half way around the globe.  But as a Board Member of The Denan Project for nearly a decade, I’ve always wanted to visit our original project in Denan, to see first-hand the work that our organization has done for this community.  This February that dream became a reality.

Just getting to Denan was a feat.  After a 13-hour flight to Ethiopia’s capitol, Addis Ababa, we took another 3-hour flight to the small town of Gode.  From there we drove for an hour on a new road across the desert, a chalky moonscape of dust, sand, rocks and low growth shrubs.  Every so often we’d pass a few very small huts made of curved sticks with a covering of fabric from cut-up food aid sacks and nearby we might see a herd of goats and sheep with their young shepherds attending them.

The Denan Health Center is a compound on the outskirts, separate from the small village of Denan and within walking distance of the Internally Displaced Persons (IDP) Camp that has existed  since the major drought and famine of 2000.  All the beds were filled with overnight patients.  These were some of the lucky ones, those who had gotten to the hospital and were now receiving quality care, always for free thanks to The Denan Project’s support.

Some of the images of the people that I saw during my trip will remain with me always.  While accompanying a doctor on his rounds one morning, we came upon a mother holding a small child’s hand and caressing his head.  He looked to be about 4 years old.  But when we asked his age, the doctor told us to our shock that he was 10 years old, and suffering from acute malnutrition.  His mother had brought him all the way across the desert by donkey cart from their village of Harerey, some 250 kilometers away. With IV feeds and the special “Plumpy’Nut” food supplement developed specially to combat African malnutrition, he had a chance of survival. His case, sadly, was all too common and I saw many other children who looked far too thin, or young for their age.  The Denan Project has done so much good in this area, but there is so much more that could still be done, so many more children and people to help.

The poverty is evident everywhere, especially in the clothes the children wear — dusty, some torn t-shirts, flip-flop shoes worn thin.  One little girl had only a skirt, settled around her neck like a poncho.  The women and children spend hours each day walking to the dried up river bed to fetch water from the deep wells that have been dug in the sand there.  The young teenagers use strong rope with a bucket to bring up the water. The women, with many children in tow, carry the plastic, gallon water containers back to their homes.  If they’re fortunate, they’ll have a donkey to help them carry the containers. The water is not free of bacteria and many get sick from drinking it but there is no other choice. In the few short weeks since our visit, the wells in the dry riverbed have completely dried up and now the only source of potable water for the area is our watertanker. We are grateful that recent repairs have put our tanker in working condition, but we worry that it will soon not meet the needs of the community.

Our hospital in Denan is like an oasis in this land of poverty and high temperatures.  It was very, very hot!   Patients come for health care and receive loving attention.  They receive two meals a day and are given vitamins. There is also a learning center that gives information on nutrition and good health habits.  We encourage the women to come to the clinic to give birth and also for pre-natal care. In fact, we just received an award from the government recognizing the excellence of our program to encourage women to give birth at our medical facility rather than at home. One woman we saw had been on the way to the hospital but did not make it in time — she gave birth in the bush and unfortunately the placenta did not come out. She was taken by donkey to our hospital to save her life and remove the placenta.  Happily, she was resting well with her infant beside her.

In addition to our medical outreach, The Denan Project also provides micro-loans to various groups in Denan. While we were there, we met with all the micro-loan groups and were pleased to hear they were all doing very well and on schedule to re-pay their loans.  Most of them have shoats (sheep and goats). One of the women’s groups is also buying and selling fabric and doing well with it.

At the end of our visit we met all the staff together.  Some told us that because of their steady jobs at the hospital and their profits from their micro-loan group, they have been able to upgrade their homes, sometimes gaining even a slightly bigger house or the ability to put up a tin roof.  Their neighbors, who are beginning to see their success, in turn want to better their own lives, and this is starting to create more ambition in some of the townspeople as well.  It was so gratifying to see how The Denan Health Center is empowering people to do more for a better life for themselves and their country-men!

My time in Denan made me thankful for the gifts I’ve been given and my life in the USA where I can turn on a faucet and have clean water, a warm (or cool) home, food in my refrigerator/pantry and quality health care.  I’m also grateful that I’m able to share my good fortune and help people across the globe, through The Denan Project organization, to make their lives better as well. I hope perhaps that those of you reading this might also be inspired to support this organization, which, with your help, could do even more to help those in real need.

Note: since the time of this visit, conditions in Denan have indeed become more dire, with the drought that has been affecting other regions in the country creating real problems for the area’s food and water supply.  We are monitoring this situation carefully and talking daily with our on-the-ground partners. It is likely that The Denan Project may need to step in with emergency funding in the not-too-distant future.

Back in Uratari, Peru

By Rick Berman, Volunteer

It’s been less than three years since Liz and I visited Uratari.  What a fabulous surprise we were in for when we returned with Dick, and Jarret this May.  The new ultrasound machine and ambulance were just the icing on the cake.  The tiny, roofless, partially-built clinic had turned into a thriving little hospital, complete with a doctor, nurses, a dentist, pharmacist, lab technician, and most importantly, patients filled with hope.

The celebration of the local officials was also joyous, (we even got gold medals). But the recognition really deserves to be directed toward Dick and his colleagues.  For Liz and me, the satisfaction of knowing that we are involved in a small way, was celebration enough.

After meetings with Herben Alvarez, the mayor of Limatambo (a terrific guy), we visited an amazingly modern pre-school, which is a prototype for the one planned for Uratari. We then saw the medical outreach program thriving in Pivil. In the ancient church, the doctor performed ophthalmology exams, while the dentist was at work nearby. The micro-loan beekeepers were proudly showing off their new projects, as were the guinea pig farmers back in Uratari the day before. On our way home that evening, we scouted a possible location for a future trout farm.

We were again honored to be invited to the baptism of the Mayor’s son; a beautiful ceremony in a 16th century church, followed by a four-hour party. Every step of the way, day after day, we were accompanied by our amazing partners from Tengo un Sueno; Salvador, Coti and Lourdes Herencia.

Driving through the magnificent countryside each day, we couldn’t help but feel enormous pride in bringing medical assistance and commerce to people who, by circumstance, live far more difficult lives than we do.  We look forward to our continuing support, and especially our next visit to Peru.

Blossoming of Bougainvillea…8 Years in the Making

Ethiopia_2012_flowers

by Jean Shin, Volunteer

Traveling light is something I know a few things about—or so I thought. Repacking my backpack in Addis Ababa for my 2nd attempt to enter Denan, I had to pause and think what I really need on a daily basis. Sticking to my strict rule of whatever-doesn’t-fit-into-this-one-bag-comes-out, I was able to hop onto the plane with a light carry-on—and huge anticipation.

Looking down on the changing landscape, from lush high mountains to arid terrain, I could sense that we are getting closer to the lowland of Ogadan, the ethnic Somali region of Ethiopia. Seeing the excited face of Dick Young, the Founder of The Denan Project, as we flew over the Project’s horseshoe-shaped hospital compound that’s clearly visible from above , I knew there awaits something special, something that came to be…against all odds.

The ride to Denan after switching from plane to car in Gode kicked off with a roadblock. My heart sank when our two vehicles were stopped by the army, and we were asked to wait until the following day. Half-heartily refusing to accept that I’m the curse (as I wasn’t able to enter the area in 2009 due to rebel activities in the region), I felt so relived when we were able to zip through the gate the following morning. With Denan still 90 minutes away—and our ambulance convoy out of sight, Dick had asked Mukhtar Adem (Head of our local partner OWDA) to stop the car to get closer look at one of the refuge camps that weren’t there when he passed by 3 months ago. As the people (mostly all women except one man and children) gathered around us, I started to crisscross the camp not knowing where to fix my eyes at…hundreds of temporary huts (only about 4 ft high, not even big enough for me to stand up in) with no trace of food or water. As we learned that these are the people who lost everything, including their livestock, to the rain/flood that followed the disastrous, record-breaking drought of the last season, I couldn’t help but feeling the wicked hands of the mother nature.  As we are leaving them, following Mukthar’s advice not to send our water truck and Plumpy’Nut to them as our resources are committed to the people of Denan, and there seems to be a UNICEF medical vehicle visiting them on a weekly basis, I was beginning to feel the weight of the decisions we make…and the responsibilities of having the choices to make.

Being a day late (with no way to communicate the delay to the hospital), our arrival was met without the jovial excitement I often saw in previous reports, much to my relief. Then there was…a sight that even Dick had never seen before: bright colors of bougainvillea and green leaves hugging the dusty, brown walls of the compound! When we later learned that one of the Elders had donated the seeds (quite pricey in that part of the world) and planted the greens without even being asked, I could sense that things have turned the corner…and began to come to its fruition, quite dramatically.

The marathon of meetings that followed our lunch (yes, they killed a goat for us) was nothing short of eye-opening for me. On a personal level, my biggest concern up to that point was the possibility of not being able to communicate with them in the usual way I connect with people (trying to understand their intent, and the reasoning behind what they are saying). It took only a few minutes into our meeting with the disabled group (who paid back their micro loan ahead of schedule and saved their profits) for me to realize how silly I was to expect anything other than a real dialogue, a fully articulated exchange of thoughts and sentiments dotted with a sense of humor that’s universal in English and Somali! Detecting the same connection and warmth on all the faces I was greeted with, including the hospital staff of 40 men and women (who voluntarily put aside 2% of their salary to fund expenses for transporting patients they cannot treat in our hospital), I felt the close proximity to what surrounds us…the basic necessities of living with what surrounds us…and the desire and will to go beyond the limits of what surrounds us.

Being awake at 4AM listening to the ever-so-vocal donkeys, and counting the countless stars directly above me, I waited for the sun to come up to my right with sleep-deprived-yet-invigorated eyes. The same rhythm of the morning, but never a same day: accompanying the doctor during his morning rounds and seeing mothers with mal- nourished babies; surveying an abandoned health facility in nearby Burqayer for possible expansion; walking to the riverbed to catch up with the women and children of Denan who make the trip twice a day to fetch water; sitting with the Elders trying to work out a financial arrangement for the use of the tractor, and so on.

Among all those unique encounters, there is one thing that compelled me to raise my hand for an immediate action. Having canceled the water pipeline inspection schedule due to rebel sighting in the area, we went over to the school where the project has been providing supplemental financial help for hiring and training qualified teachers. Having seen pictures of empty classrooms with no desks and chairs, I was glad to see students sitting on their chairs and listening to the teacher. But as I was walking around the school, my heart was getting heavier. From the corner of my eye, I see military personnel with guns walking around, and the skinniest cows I’ve ever seen chewing paper on the ground having nothing else to eat. Clearly not the kind of educational environment I’ve known. And when I realized that there is only one textbook per class—and it belongs to the teacher, I just couldn’t contain myself. I didn’t know where else the kids can escape to in that environment if not to books! In my attempt to move the issue to a priority list, I’ve asked Mukhtar how his kids in the city get textbooks. His answer: I bought them for them. A failure of the state education bureaucracy, yes. But the kids need the books now, not later, right now…my murmuring continues as I’m still waiting for the cost of the textbooks to come from OWDA.

With my dusty backpack on my shoulder, and my dustier hair itching my skull, I hopped onto the plane to Addis. Only then I realized the contents of my backpack. 2/3 of what I thought was essential for my daily living were lifeless, needing batteries to be recharged. I almost forgot about them. I didn’t really need them after all. I was unplugged. And that was A-OK. I know the kids in Denan want them—they told me so in no uncertain terms. It’s their turn to play with being plugged in…Now they are ready like the bougainvillea that opened up against all odds.

Seeing the Denan Project After My Long Years at the UN

By Richard Gordon, Volunteer

In late October-early November, I accompanied Dick Young to Peru in the context of the DENAN PROJECT. The mission consisted of meetings, discussions, and ceremonies in Limatambo, the district capital, and in Uratari, where the project is based.

At the outset, I should say that I worked for the United Nations for twenty-seven years primarily doing project work in developing countries in the field of integrated rural development, a multi-disciplinary approach to confronting poverty in rural areas in such fields as health, education, water resources, agricultural development, and small-scale income-generating activities. Because of this experience, I could quickly relate to and understand the nature and activities of the Uratari project, including such important factors as the need for collaboration with and support of national, regional, and local government officials; the difficulty of recruiting qualified professional staff to live and work in remote areas; the involvement of the local community in developing and advancing the critical work of the project; and the necessity of ensuring the timely delivery of inputs.

The Uratari project has five principal components or objectives for eventual implementation: 1) health; 2) education; 3) agriculture; 4) water resources; and 5) economic development. With the understanding that the most critical need in the Uratari region was the provision of medical services which were nonexistent before the arrival of The Denan Project, the parties concerned, namely The Denan Project; Tengo Un Sueno, the local NGO which partners with Denan, the villagers in Uratari, and the national and local governments agreed that the most urgent objective was to provide a health center in Uratari staffed with professional doctors and dentists and with modern medical equipment. This health center would serve an outlying community of 23 villages in the region. The villagers in Uratari agreed to provide local labor and resources to build the health center on their own without outside assistance. The health center was accordingly built by the village and it has been progressively staffed and financed by The Denan Project. When we arrived in Uratari, the first thing that we saw was the gleaming white health center building which is functioning very efficiently as a medical service for villagers in Uratari and far beyond who come to the center for medical treatment, both actual and preventive, at no cost to themselves. Dick Young and his counterparts in Tengo Un Sueno and local government officials walked through and did a complete observation of the health center, discussing relevant matters with the medical staff, resolving some issues related to the delivery on inputs (such as the provision of a solar panel, solar heater, and a new ambulance from abroad), and pointing out a number of small problems in the building infrastructure for resolution and repair.   There was a ceremony to inaugurate a new pre-school in Uratari, attended by the Mayor of Limatambo and other local government officials. A new high school is also being constructed by the villagers. There was discussion of the eventual provision of irrigation for agricultural development in Uratari and the surrounding region. The villagers themselves, through speeches at the ceremony, as well as in conversations with the visitors, seemed both grateful and excited about the health center (we were informed that in a recent month, 800 individuals had come for treatment to the health center from both Uratari and outlying villages) and other eventual project inputs. It is evident that the creation of the health center by The Denan Project is serving as a catalyst for other critical needs of Uratari and the local community.

I mentioned above that I spent a long period of time with the United Nations working on socio-economic development projects in developing countries. In my long experience with the U.N., I have rarely, if ever, seen a more effective project than The Denan Project in Uratari. In considering the reasons for this, I have identified the following factors as instrumental in making this project so successful:

  • Dick Young, who initiated The Denan Project in a remote area of Ethiopia and then expanded the Project to Burkino Fasso, Peru, and recently to Mongolia, has mobilized a set of donors, Board members, and Committee members of highly dedicated individuals who commit their time and resources on a long-term basis to ensure that the Project will accomplish its objectives.
  • Dick goes 3-4 times a year to each project site to monitor, evaluate, and propose solutions to existing problems. This constitutes a continual and valuable empirical oversight for Utarari and the other venues.
  • Dick has managed to partner with well-established and highly effective local NGOs. In the case of Uratari, the partner is Tengo Un Sueno, run by a former UNICEF staff member who knows the developing world and particularly South America exceedingly well. Dick has also managed to establish strong working relations with both national and local government officials who participate and are intimately involved with all aspects of the project. In Peru, for example, the mayor of Limatambo and many of his staff continually visit the project and provide inputs and assistance.
  • In Uratari, as well as in elsewhere, the recipients, namely the villagers, are aware of the immediate benefits of the project for themselves (medical assistance initially) and are willing to participate in essential local tasks. In Uratari, as noted, local labor was provided gratis to build the health center and maintain it.
  • The philosophy of providing medical services gratis, at no cost to the villagers, which permits the poorest of the poor to take advantage of the health center in Uratari.
  • Dick’s philosophy in relation to the issue of ‘sustainability.’ In the UN system, as well as in bilateral aid (USAID, Canadian, or French assistance, for instance), projects are funded and implemented for a defined period of time (3-5 years, for example). There may be a project extension, but often not. A project extension has a limited time basis. Once the project is “completed,” the UN or the bilateral agency pulls out, leaving the national and particularly the local government to ‘sustain,’ often meaning ‘maintain’ the project to ensure that its accomplishments will not lapse or be frittered away. However, in most cases, because of financial and political factors, the project work slows down or even ceases altogether, primarily because the local government does not have the financial means or human resources to ‘sustain’ the initial success of the project. Dick Young’s philosophy, however, is entirely different. He has committed The Denan Project to stay in Denan, Ethiopia and in Uratari, Peru, for a period of 15-20 years. This long time horizon ensures that the immediate benefits of the project (health, education, and water in Denan, and medical services in Uratari) will be sustainable. This approach, of course, puts pressure upon The Denan Project to finance Denan, Uratari, and the other venues year after year, but it ensures the ‘sustainability,’ as well as the success of the efforts of The Denan Project for the long term.

The Ascending Path to the Uratari Medical Center

Uratari_Janet_0411By Jean Shin, Volunteer

It has already been over a week since I last held Janet’s hand saying good-bye, and watched the kids of Uratari disappear in the rearview mirror of the van coming back to Cusco—for my slow return to New York. But I can’t seem to be sufficiently afar enough to articulate my impressions of the magical place called the Uratari Medical Center. Perhaps it’s the overwhelming warmth of the numerous hands and cheeks they greeted me with, or maybe it was the breathtaking, lush landscape of the Andes after a long rainy season…no, above all, to my greatest surprise, it was the sight of bricks and mortar: a shining white building with an even shinier blue fence and door!

Having had the opportunity to hear an overview about the place from the founder of The Denan Project (TDP) Dick Young, and the local partners at Salgalu (Salvador, Clotilde, and Lourdes), and to see some pictures of the Center’s progress, I thought I had a pretty good idea what to expect. Little did I know…

The experience started to stir up my emotions even before I set foot into the Center. Taken by the breathtaking landscape above and beneath the ever-ascending path to Uratari (13,300 ft above the sea level), I almost missed the lone Quechua woman walking up the road. When the driver (the vice mayor of Limatambo) told us that she is walking to the Center, I turned around to see her—and saw what drives the volunteers of TDP. A woman in traditional Quechua garments and sandals taking brisk steps forward to reach the Center where she can (probably for the first time in her life) receive answers to her nagging health problems in her native tongue, and get the cares she needs—and even see a dentist for the first time—all free of charge.

Upon arrival at the Center, I was amazed by the sheer size and warmth of the reception from the village people, the medical staff, and the local municipal staff. And when I caught sight of the Center, I was completely awed. It seemed decidedly new and different from the mudbrick, rundown houses surrounding it. The Center stood like a shining beacon of promises kept—even exceeded. A functioning medical center with a maternity ward, a dental office, a pharmacy/lab, in-patient rooms, a kitchen, and a work-in-progress garden for medicinal plants…all built, brick by brick, by the people of Uratari with the materials provided by the TDP. Tight hand-shakes and embraces paced my movements as I navigated through the facility with awe. As I was overhearing how the community wanted to surprise Dick by putting the fence up ahead of the schedule, my heart melted with the realization that this place is so perfectly ready to create a better future.

Even with the excitements of the festivity of the 1st day still potent in my senses (my taste buds included), I couldn’t help but notice the challenges still ahead for the Center to provide higher quality of service for a greater number of people—and ultimately expand into all aspects of the five-finger approach of TDP (Health, Education, Water, Agriculture/Food, Cottage Industries). Listening at Dick’s meetings with the medical staff (the Head Doctor, Dentist, Nurses, and Cleaner, who are all hired locally and paid by TDP), the local partner Salgalu, and the mayor of the Limatambo (with jurisdiction over Uratari) for the following days, my heart became full of optimism. A sense of shared mission was apparent in every aspect: the community’s willingness to build a house for a villager who has given his house to the Center for its plans to build a preschool and a guest house; the mayor’s commitment to explore all means to secure an ambulance; the team’s plan to build a footbridge over the Apurimac River to help the neighbors reach the Center; etc.

Walking around the Center during its “normal” day, I found myself uttering a cliché: If you build it, they will come. Come, they did. A pregnant woman who just saw a sonogram for the first time; a shy boy who just sat on a dental chair for the first time; an ancient-looking woman who just found out how old she was (some of the Quechua-speaking people can’t read their own ID cards which are written in Spanish); a long line of men, women, and kids (many with their dogs) waiting patiently to register and see the doctor; dozens of school boys and men lined up in the front yard to receive a haircut by beauticians that came from Limatambo; and many more. Everywhere I turned, I could feel something real, something very tangible happening. All with such warmth and care.

Leaving Uratari, even with a plan of my return, wasn’t easy. I walked around once more with my hands stretched out hoping that Janet (who wasn’t sure of her own age, and was too shy to tell me her name until I had to get it from her friend) would show up and hold my hand as she did on the first day I met her. But no sight of her this time. Then there she was, walking right up to the van just before we drove away…Sitting in the van with my lap covered with the beautiful, hand-woven blanket I received from the Uratari women as a parting gift, I could see the threads that connect us all—all in bright colors and brilliant harmony.