Monday, December 14, 2009

Change - Yes we can

It is possible - really possible, for us to change the world. How? It has got to start with a massive level of committment on the part of everyone.wwd_world2.jpg

If everyone in the United States committed to volunteer one day per month - imagine the change that would happen. Here is what I am proposing - suppose everyone in the United States spent 4-hours each month volunteering with some organization, project, or program.

The key would be that the volunteer experience must be focused on making a difference in another person's life. This could be working with the Humane Society helping to create greater adoption options to find good homes for abandon animals or helping with a local Food Bank to inventory their stockroom. Whatever the volunteer experience - it must be about stepping outside of yourself. It must be about giving a part of yourself to another through service.

Imagine the possibilities. We really could (scratch that word) - we really CAN change the world!

Saturday, December 12, 2009

Creating Change - real, lasting change

For a long time I have had some very fixed ideas about creating sustainable change. For most of my career I have envisioned change (true, lasting change) coming from a "bottom-up" vetting process. Change - empowering, confirming, life altering change - I have held, would be a part of a bigger paradigm shift that would come when people were provided the basic tools they needed to "actualize" a new existence. This of course happens when we work together to help one another. It comes when we willing and able to provide caring, compassionate help.

Okay, don't get me wrong. I still believe that true change must come from the "bottom" and penetrate into the bastions of our societies. I do, however, think there might be another way to look at how we are involved in helping to create that change. I am going to make a small modification to my belief. My change of attitude comes to me by way of a wonderful movie that Lee and I watched recently.

The movie, The Blind Side, is based on the true story of Michael Oher and his incredible rise to the National Football League (NFL). The story is the tale of a powerful relationship that developed between Michael Oher and two extraordinary people (Anne and Sean Tuohy). Central to the story is the movement of Michael from the impoverished projects of Memphis to an upper crust private school and a starting position on the high school football team. The controversy comes into the story by way of a strong relationship that develops between the Tuohy's and Michael.

Their relationship is built from a simple need - Michael was a young, economically disadvantaged, homeless adolescent with few options. The Tuohy's were a wealthy, well-positioned, socially established family who were alumnus of the University of Mississippi. Eventually a series of steps take place that move Michael from a life of homelessness to the Tuohy's home, and eventually to a full scholarship with the University of Mississippi and a career with the Baltimore Raven's of the NFL.

These steps, simple movements really, are the focus of my "shift" in thinking regarding the help that we can provide to others. What I took from the movie was this - it doesn't really matter what drives our desire to help . . . we simply must help.

In the long run, if Michael was the "product" of the Touhy's desire to develop a top notch NFL prospect who could go on to play for their alma mater Ole Miss; or if the Touhy's were simply carrying out their Christian (the Touhy's were involved in the development of one of the largest Evangelical Churches in Memphis, TN) mandate of being their "brother's keeper." It does not matter!

I now really, truly believe, that change is more important than the "motives" that lead us to help others in the process of sourcing change. Okay, please do not get me wrong, moral and ethical rules still apply; but it seems to me that providing help (opportunity) is the critical piece of the change equation - not the reason that a person is compelled to help in the first place.

Okay here it is - the boilerplate statement: we can only change the world by accepting that fact that we are all a part of that change.

Sure, some people out there will be driven to help from the ethos that percolates in every aspect of their beings. But let's be honest, many of us will be motivated by a bit more self-interested reasons. In the end, if fewer children go to bed hunger, if more people have safe, affordable housing to build their lives, if more people feel safe to express their sexuality without concern for societal reprisal, if more opportunity is available for people to leverage a new life experience - then the reason we are engaged in creating that change is not that important.

So - let's get out there and help . . . regardless of the reason we are helping (yeah, yeah - all moral and ethical precepts held in consideration). Let's create a better world that will ensure that EVERYONE has an equal opportunity to become who they are really, truly meant to be.

Thursday, December 3, 2009

We Truly Can Make a Difference - By Modeling Behaviors

The following article appeared in the NY Times on-line edition. I found the article to be very compelling. It states that our desire/ability/propensity to help other may be innate.

This is extraordinarily encouraging and gives drive to the work of NGOs and faith based groups who are seeking to "model" (through the work of compassionate service) the age old adage of "becoming our brothers [and sisters] keepers."

It seems that we are really driven to make a difference and support others in the world - maybe all we need are the opportunities to continuously engage those inner drives.

Read on -

December 1, 2009

We May Be Born With an Urge to Help

What is the essence of human nature? Flawed, say many theologians. Vicious and addicted to warfare, wrote Hobbes. Selfish and in need of considerable improvement, think many parents.

But biologists are beginning to form a generally sunnier view of humankind. Their conclusions are derived in part from testing very young children, and partly from comparing human children with those of chimpanzees, hoping that the differences will point to what is distinctively human. The somewhat surprising answer at which some biologists have arrived is that babies are innately sociable and helpful to others. Of course every animal must to some extent be selfish to survive. But the biologists also see in humans a natural willingness to help.

When infants 18 months old see an unrelated adult whose hands are full and who needs assistance opening a door or picking up a dropped clothespin, they will immediately help, Michael Tomasello writes in “Why We Cooperate,” a book published in October. Dr. Tomasello, a developmental psychologist, is co-director of the Max Planck Institute for Evolutionary Anthropology in Leipzig, Germany.

The helping behavior seems to be innate because it appears so early and before many parents start teaching children the rules of polite behavior. “It’s probably safe to assume that they haven’t been explicitly and directly taught to do this,” said Elizabeth Spelke, a developmental psychologist at Harvard. “On the other hand, they’ve had lots of opportunities to experience acts of helping by others. I think the jury is out on the innateness question.”

But Dr. Tomasello finds the helping is not enhanced by rewards, suggesting that it is not influenced by training. It seems to occur across cultures that have different timetables for teaching social rules. And helping behavior can even be seen in infant chimpanzees under the right experimental conditions. For all these reasons, Dr. Tomasello concludes that helping is a natural inclination, not something imposed by parents or culture.

Infants will help with information, as well as in practical ways. From the age of 12 months they will point at objects that an adult pretends to have lost. Chimpanzees, by contrast, never point at things for each other, and when they point for people, it seems to be as a command to go fetch something rather than to share information.

For parents who may think their children somehow skipped the cooperative phase, Dr. Tomasello offers the reassuring advice that children are often more cooperative outside the home, which is why parents may be surprised to hear from a teacher or coach how nice their child is. “In families, the competitive element is in ascendancy,” he said.

As children grow older, they become more selective in their helpfulness. Starting around age 3, they will share more generously with a child who was previously nice to them. Another behavior that emerges at the same age is a sense of social norms. “Most social norms are about being nice to other people,” Dr. Tomasello said in an interview, “so children learn social norms because they want to be part of the group.”

Children not only feel they should obey these rules themselves, but also that they should make others in the group do the same. Even 3-year-olds are willing to enforce social norms. If they are shown how to play a game, and a puppet then joins in with its own idea of the rules, the children will object, some of them vociferously. Where do they get this idea of group rules, the sense of “we who do it this way”? Dr. Tomasello believes children develop what he calls “shared intentionality,” a notion of what others expect to happen and hence a sense of a group “we.” It is from this shared intentionality that children derive their sense of norms and of expecting others to obey them.

Shared intentionality, in Dr. Tomasello’s view, is close to the essence of what distinguishes people from chimpanzees. A group of human children will use all kinds of words and gestures to form goals and coordinate activities, but young chimps seem to have little interest in what may be their companions’ minds.

If children are naturally helpful and sociable, what system of child-rearing best takes advantage of this surprising propensity? Dr. Tomasello says that the approach known as inductive parenting works best because it reinforces the child’s natural propensity to cooperate with others. Inductive parenting is simply communicating with children about the effect of their actions on others and emphasizing the logic of social cooperation.

“Children are altruistic by nature,” he writes, and though they are also naturally selfish, all parents need do is try to tip the balance toward social behavior. The shared intentionality lies at the basis of human society, Dr. Tomasello argues. From it flow ideas of norms, of punishing those who violate the norms and of shame and guilt for punishing oneself. Shared intentionality evolved very early in the human lineage, he believes, and its probable purpose was for cooperation in gathering food. Anthropologists report that when men cooperate in hunting, they can take down large game, which single hunters generally cannot do. Chimpanzees gather to hunt colobus monkeys, but Dr. Tomasello argues this is far less of a cooperative endeavor because the participants act on an ad hoc basis and do not really share their catch.

An interesting bodily reflection of humans’ shared intentionality is the sclera, or whites, of the eyes. All 200 or so species of primates have dark eyes and a barely visible sclera. All, that is, except humans, whose sclera is three times as large, a feature that makes it much easier to follow the direction of someone else’s gaze. Chimps will follow a person’s gaze, but by looking at his head, even if his eyes are closed. Babies follow a person’s eyes, even if the experimenter keeps his head still.

Advertising what one is looking at could be a risk. Dr. Tomasello argues that the behavior evolved “in cooperative social groups in which monitoring one another’s focus was to everyone’s benefit in completing joint tasks.”

This could have happened at some point early in human evolution, when in order to survive, people were forced to cooperate in hunting game or gathering fruit. The path to obligatory cooperation — one that other primates did not take — led to social rules and their enforcement, to human altruism and to language. “Humans putting their heads together in shared cooperative activities are thus the originators of human culture,” Dr. Tomasello writes.

A similar conclusion has been reached independently by Hillard S. Kaplan, an anthropologist at the University of New Mexico. Modern humans have lived for most of their existence as hunter gatherers, so much of human nature has presumably been shaped for survival in such conditions. From study of existing hunter gatherer peoples, Dr. Kaplan has found evidence of cooperation woven into many levels of human activity.

The division of labor between men and women — men gather 68 percent of the calories in foraging societies — requires cooperation between the sexes. Young people in these societies consume more than they produce until age 20, which in turn requires cooperation between the generations. This long period of dependency was needed to develop the special skills required for the hunter gatherer way of life.

The structure of early human societies, including their “high levels of cooperation between kin and nonkin,” was thus an adaptation to the “specialized foraging niche” of food resources that were too difficult for other primates to capture, Dr. Kaplan and colleagues wrote recently in The Philosophical Transactions of the Royal Society. We evolved to be nice to each other, in other words, because there was no alternative.

Much the same conclusion is reached by Frans de Waal in another book published in October, “The Age of Empathy.” Dr. de Waal, a primatologist, has long studied the cooperative side of primate behavior and believes that aggression, which he has also studied, is often overrated as a human motivation. “We’re preprogrammed to reach out,” Dr. de Waal writes. “Empathy is an automated response over which we have limited control.” The only people emotionally immune to another’s situation, he notes, are psychopaths.

Indeed, it is in our biological nature, not our political institutions, that we should put our trust, in his view. Our empathy is innate and cannot be changed or long suppressed. “In fact,” Dr. de Waal writes, “I’d argue that biology constitutes our greatest hope. One can only shudder at the thought that the humaneness of our societies would depend on the whims of politics, culture or religion.”

The basic sociability of human nature does not mean, of course, that people are nice to each other all the time. Social structure requires that things be done to maintain it, some of which involve negative attitudes toward others. The instinct for enforcing norms is powerful, as is the instinct for fairness. Experiments have shown that people will reject unfair distributions of money even it means they receive nothing.

“Humans clearly evolved the ability to detect inequities, control immediate desires, foresee the virtues of norm following and gain the personal, emotional rewards that come from seeing another punished,” write three Harvard biologists, Marc Hauser, Katherine McAuliffe and Peter R. Blake, in reviewing their experiments with tamarin monkeys and young children.

If people do bad things to others in their group, they can behave even worse to those outside it. Indeed the human capacity for cooperation “seems to have evolved mainly for interactions within the local group,” Dr. Tomasello writes.

Sociality, the binding together of members of a group, is the first requirement of defense, since without it people will not put the group’s interests ahead of their own or be willing to sacrifice their lives in battle. Lawrence H. Keeley, an anthropologist who has traced aggression among early peoples, writes in his book “War Before Civilization” that, “Warfare is ultimately not a denial of the human capacity for cooperation, but merely the most destructive expression of it.”

The roots of human cooperation may lie in human aggression. We are selfish by nature, yet also follow rules requiring us to be nice to others. “That’s why we have moral dilemmas,” Dr. Tomasello said, “because we are both selfish and altruistic at the same time.” (Copyright 2009 The New York Times Company)

Sunday, November 22, 2009

An Interesting Story from the AP

The following article first appeared in the November 20 Associated Press wire service. The specific post below comes from the NY Times. A very interesting and compelling conundrum - true? It seems that the debate over the validity of this articles content is not fully settled. One thing is certain - desperate poverty will force people to do very desperate things -

Read on . . .

November 20, 2009

Peru’s Police Say Gang Drained Victims’ Fat

LIMA, Peru (AP) — A gang in the remote Peruvian jungle has been killing people for their fat, the police said Thursday, accusing the gang’s members of draining fat from bodies and selling it on the black market for use in cosmetics.

Medical experts expressed skepticism, however, that a major market for fat might exist.

Three suspects have confessed to killing five people for their fat, said Col. Jorge Mejía, chief of Peru’s anti-kidnapping police. He said the suspects, two of whom were arrested carrying bottles of liquid fat, told the police it was worth $60,000 a gallon.

Colonel Mejía said the suspects had told the police that the fat had been sold to intermediaries in Lima, the capital. While police officials suspect that the fat was sold to cosmetic companies in Europe, he said he could not confirm any sales.

Several medical experts acknowledged that fat had cosmetic uses, but they also said they doubted that there was an international black market for human fat. Dr. Lisa M. Donofrio, a Yale University dermatology professor, speculated that a small market might exist for “human fat extracts” to keep skin supple, though she added that scientists considered such treatments “pure baloney.”

At a news conference, the police showed reporters two bottles of fat recovered from the suspects and a photo of the rotting head of a 27-year-old man. One of the suspects, Elmer Segundo Castillejos, helped police officers recover the head in a coca-growing valley last month, Colonel Mejía said.

Colonel Mejía said Mr. Castillejos had told officers that the gang would cut off its victims’ heads, arms and legs, remove the organs, and then suspend the torsos from hooks above candles that warmed the flesh as the fat dripped into tubs below.

Six members of the gang remain at large, he said, adding that in addition to the five killings to which the suspects had confessed, the gang might have been involved in dozens of others. Mr. Castillejos told the police that the band’s fugitive leader, Hilario Cudena, had been killing people to extract fat for more than three decades.

At least 60 people are listed as missing this year in Huanuco Province, where the gang is believed to have operated. The province is also home to drug-trafficking leftist rebels.

Colonel Mejía said the police had received a tip four months ago that human fat from the jungle was being sold in Lima. In August, he said, police officers infiltrated the gang and later obtained some of the amber fluid, which a police lab confirmed as human fat.

The police arrested Serapio Marcos Veramendi and Enedina Estela on Nov. 3 in a Lima bus station with a quart of human fat in a soda bottle, he said. Their testimony led to the arrest of Mr. Castillejos three days later at the same bus station.

All three are charged with homicide, criminal conspiracy, illegal firearms possession and drug trafficking, according to a statement from Lima Superior Court.

Friday, November 20, 2009

Indigenous Populations in the Andes

On December 1, the Americas Program of the Center for Strategic and International Studies (CSIS) will host a conference examining indigenous politics in Ecuador, Peru and Bolivia and drawing conclusions on a regional basis.

Key variables of discussion will include the institutional state of indigenous movements, results of alliances with non-indigenous groups, the dynamic in the process of promoting an indigenous policy agenda, and the outlook for indigenous politics. Invitees from prominent universities and organizations in the U.S., Peru, Bolivia, and Ecuador will be in attendance to offer a unique perspective and viewpoint.

For more information on this important meeting in Washington, DC, please see: http://csis.org/event/indigenous-politics-andean-region-present-state-and-future-outlook

Wednesday, November 18, 2009

WOW - you really need to listen to this . . .

I was driving to an appointment the other day and I saw a bumper-sticker that really hit a cord with me. The impact of the statement was made more profound as it directly coincided with a recent download of an audio file from iTunes.

The bumper sticker: "If you're not outraged - you're not paying attention"

The free audio file downloadable from iTunes: "This American Life," Act 1 "Bait and Switch," dated November 08, 2009.

You can also download a free MP3 file of "Episode 394" at: http://www.thisamericanlife.org/Radio_Episode.aspx?episode=394

I encourage you to listen to the first "Act" (for those not familiar with "This American Life," the program is broken into acts or mini-stories that all revolve around a common theme each week) of the 1-hour audio program. It truly is a very startling journalistic vignette.

Tuesday, November 17, 2009

A Community Protest: Vaso de Leche

An interesting YouTube video documenting a community protest in the Northern Cone community of Carabayllo in Lima.

The protest stems from a reported disagreement over the distribution of Vaso de Leche ("a glass of milk") program resources. The protesters claim is that the Mayors Office of Carabayllo is inappropriately distributing the resources to impoverished communities.

See: http://www.youtube.com/watch?v=J3lQfUGaofI&feature=youtube_gdata

Thursday, November 12, 2009

Father Alex goes "Facebook"

Photo: Father Alex in a Pakistan snow storm - love that beard!

For all of you supporters of the Mission of Alto Cayma and Father Alex Busuttil - word on the street has it that Father has joined Facebook. I encourage all supporters of his work who are "Facebookers" (is that even a word?) to go on-line and "friend" our favorite priest.

It is indeed a Web 2.0 world -

Thursday, November 5, 2009

Ines Update - A special child

Photo: Little Ines

Photo: The HBI team takes a tour of the area around where Ines and her family live

Photo: Reconnecting in Neuva Espranza with Little Ines

Ines is a very special little girl. Her story has touched the lives of so many HBI supporters. In fact, her story and the complex medical, social and advocacy needs that her condition represents helped HBI to forge a greater relationship with the Anglican Church of Peru.

During our team's most recent trip to Lima, we went to visit with Ines and her mother. She continues to grow at a rate that has ever one of her medical providers over joyed. Her mother tells us that she is enjoying her classes in school and has started talking "non-stop" (not that we would have know this - she is a bit shy).

We are continuing to work with the Anglican Church and Reverend Pat Blanchard to identified a model that will not only aid and assist Ines, but develop a clear methodology for helping a multitude of special needs and medically fragile children in the peri-urban communities around Lima. Reverend Pat feels that one of our best options to really assist the family is to engage Ines' mother in a job skills program. The idea is that we can help to train members of the family in more employable trades that will eventually lead to greater economic leverage for their needs.

To date the support that has been provided to Ines and her family from the Carmelites Prayer Group in Panama City, Florida has gone to: assist in purchasing medications and bandaging supplies, help to supplement food and nutritional calorie sources for Ines, provided for the tuition needed to send Ines to a small private "school" (day-care center) each day, and been used for transportation and ancillary expenses related to taking Ines to her medical care appointments.

Our goal is that the money will be used in a more macro-level manner. We are working with Reverend Pat and Father Aurelio to develop a model for the funds that can be replicated in a number of different circumstances. Our next step is to sit down with Reverend Pat and determine how the "Ines Project" can fit into the other models of care and advocacy run through the Anglican Church. Our next step is to build the next "bridge" of collaboration.

We will be posting on-going updates on our work with Ines and our collaborative efforts with the Anglican Church of Peru. Thank you for your continued support of HBI.

Wednesday, November 4, 2009

BACK IN THE USA

Photo: Ben Grass, HBI's Communications Manager and a new friend

I am back on U.S. soil. The trip was fantastic and the full scope of our work will not be available until we start to data mine the survey information. I am excited to publish these numbers because I think there is a fantastic potential to really help shape more important and sustainable models of care delivery to severely marginalized populations in the Andes Mountains. Please stay in contact with or work by following the Blog and making frequent visits to the HBI Website.

The HBI staff will be leading a new team of volunteers to Peru this week. The Affinity Volunteer Team are coming from Wisconsin to partner with our lead collaborative organization in Peru, the Mission of Alto Cayma. The team will be visiting a number of different projects in Arequipa and the HBI staff will make certain that they have a really fulfilling experience. We will post updates over the next week!

Thank you for your continued support.

Tuesday, November 3, 2009

Pictures from Ancash

Photo: Camp Kusi - Union Biblica's beautiful compound in Ancash

Photo: Dr. Daniel - HBI's Peruvian lawyer and project coordinator

Photo: Tati - the best little dog in Peru; she ran with us every morning.

Photo: Our team at work in the clinic

Photo: A long day

Photo: Dr. Bob and Student Dr. Craig with the "boys" from Casa Girasoles

Photo: Our Peruvian friends (Dr. Augusto and Dr. Erik) with our Karen

Photo: The HBI Team mascot

Photo: Huascaran - our first morning; what a splendid start to our trip

Photo: The view from Yungay; amazing!

Monday, November 2, 2009

Ventanilla: The Window

In the northern cone of the sprawling metropolis of Lima there sits a large peri-urban slum called Ventanilla. Today our team ventured to this urban wasteland of shanty homes and dirt roads to bring medical and dental care in collaboration with the Anglican Church of Peru.

I had been to Ventanilla once before, on my way to an area just to the east of Ventanilla called Carabayllo. HBI has worked in Carabayllo for a number of years and our plan for this trip was to take our team of healthcare professionals back to this very impoverished area once again. Well, the best laid plans are often the first to change. Rather, our team ended up on the sandy hillsides of Ventanilla.

The drive from our tourist hotel in Miraflores to Ventanilla on a Monday morning took just a little over 2-hours. The traffic and the distance conspired against us and put our team on the curb awaiting our bus at 6:50 a.m. With a couple of time delays - we were finally out to the clinic site around 9:20 a.m. This meant that we had to hurry to get ourselves set once we transformed the mission church into a healthcare clinic. We had an army of people from the community there to help.

Once all of the tables were moved and the tents set-up to protect our fair-skinned bodies from the blazing sun, we attended to our first patient around 10 a.m. It was a 100 mph race from that point on to see as many patients as we could before the team broke down the clinic at 3:30 p.m. Why did we stop clinic so early you may ask? Well, three of us had to get to the airport for our flights back to the US. In fact, as I type this message I am sitting in the Lima airport.

By the end of our clinic day we had provided dental and medical care to over 95 people. Not too bad for a team that just got down with a weeks campaign in Ancash less than 36-hours earlier.

One story that really stands out from the days clinic was a young mother that I had the privilege to help. She was 30-years old and pregnant for the sixth time. She told me that she was not prepared to be pregnant again and feared the "unknowns" of another person to take care of. She told me of her relationship struggles and of the "new man" who was a part of her life. She told me that she did not "particularly care for him," but that he had at least been kind enough to feed her children.

Her arms and torso were covered with flea and mosquito bites. She said that her home was near the sewer and that the bugs were constantly biting her skin and the skin of her children. She said she did not know what to do. I asked one the priests that was working at the clinic with us to speak with me and this woman. She told the priest a similar array of sorrowful and very painful stories to those she had shared with me. When she had spoken enough for her needs, she stopped and asked if she could give my priest friend her telephone number so that she could call. She wanted to talk to someone, a caring someone, who could help her to manifest a different life.

I am not entirely sure why we do this work; but I know one thing for certain - if we can help people like the woman I mentioned above to connect with people like Reverend Pat, then everything we are doing is worth it. I really feel like the whole reason we were in Ventanilla today was to help this woman to know that she is not alone . . . and that there are people out there who care and want to help her to move to the life she so desperately desires.

Sunday, November 1, 2009

Our Week in Kusi

One word should be more than enough to convey the full sentiment of our time in Kusi . . . but, there is no "one" word that could contain all of the amazing experiences. As such, I will write a few paragraphs to give you a sense for our weeks work in the beautiful Province of Ancash.

Our trip started with a magnicifcent bus ride from our hotel in Miraflores (a tourist community in Lima) to the high Andes and the town of Yungay. Once we arrived in Yungay, after almost 11-hours on the bus, we had to unload all of our bags and supplies and drive the 5+ kilometers to Camp Kusi. Central to this first group experience was the fact that it was pouring down rain; and, the fact that we had to all cram into little passenger vans for the bumpy ride up to the camp.

What impressed me most in the first few hours of our team trip was the fact that not one person complained or expressed words of protest or discontent. Actually, quite the opposite - everyone chipped in and helped to move the bags, carry the supplies and organize themselves. This, in spite of the fact that we had been sitting on a bus for over 10 hours, we were all really tired and we were getting drenched in the rain. I knew at that moment that this was going to be a GREAT GROUP!

We awoke on Sunday to a magnificent view of Huascaran and the lower peaks of one of the most amazing mountains in the Western Hemisphere. The sky was clear and the temperature was a marvelous 15 degrees (centrigrade). This was to be our last morning of clear skys for the remainder of our time in Kusi we had cloudy skies and "on and off" rain. None the less, our first day started with a great blessing.

After orienting the team to our plans for the week, we took a sight-seeing (we can't always be about work) tour of the Lago de Llanganuco (the Lake of Llanganuco) and the Huascarán National Park (a UNESCO world Heritage Site). This is such an enchanting place to visit with the turquoise waters and the amazing array of Other-worldly" trees that circumnavigate the lake. We took a group hike that day that included about 5 kilometers of trail running along a beautiful river. Talk about a great way to start our trip.

The real work started later that day when we began in earnest to plan for the campaign. We had a more extended orientation session for the team that involved briefing the specifics for the the survey portion of the trip; and Dr. Bob Gehringer (HBI Project Director and Campaign Medical Director) worked with the medical and dental group to further orient them to the clinic portion of our week. Most of the rest of the first day was spent in preparation mode.

I should stop my chronological recap of the week right here to tell you something very important and critical to our week. We were staying at Union Biblica's Camp Kusi - and, Camp Kusi is a home for abandon and formerly homeless street boys. I make special mention to this fact because it was the "real gift" that the team experience all week. We spent a lot of time with the 40 boys - eating our meals together, playing games or singing and dancing together at night, and attending to them in the clinic. And one thing that was mentioned over and over again throughout the week by our trip participants was how much of an impact this close proximity to the boys had on each one of them. To the person, everyone on the campaign was touched by the lives of these amazing children.

Our first day in clinic started a bit slow. This was really short lived, and by the end of the week we had attended to over 550 medical and dental patients. In addition, we administered our joint HBI-University of North Carolina-Wilmington research survey to over 150 participants. In the end, our work touched the lives of over 700 people. We were able to provide direct medical, dental and mental health care to patients who have little to no access to care delivery. We were able to administer a survey study into a very poorly studied community to gain valuable data to develop more appropriate and effective care delivery services. And, most of all, we were all very genuinely touched by the lives of the boys living in the Casa Girasoles (Sunflower Home) at Camp Kusi.

We arrived back in Lima last night (after another long bus ride) and at this point our team is starting to part ways. Some of the team members will be headed back to the States tonight, and some of the team will be staying an extra day in Lima to help with our outreach clinic in Ventanilla (a sprawling peri-urban slum north of Lima). We will be collaborating with the Anglican Church of Peru in our clinic and will be supporting their on-going work to deliver medical, dental and social services to the people of this very impoverished community.

I will be posting more updates about our work in the days to come, including extensive pictures and stories about the wonderful people who volunteer their time and professional skills and talents to the on-going work of HBI. For now, a very special thank you must go out to our Team Peru Kusi group:

Dr. Michelle (a real gifted healer, thinker and kind soul), Dr. Azalea (a vivacious emergency medicine physician with a heart of solid gold), Dr. Augusto (an amazing Peruvian physician from Arequipa), Dr. Erik (our marvelous Peruvian dentist), Student Dr. Craig (a fantastic medical student who is going to be an AMAZING physician very soon), Cathy (from our partner organization MMI; Cathy is so special that her smile is infectious), Theresa (a Peruvian nurse who has volunteered for our work in Kusi on two separate occasions; she comes to us from the Alto Cayma Mission Clinic and is always a true delight to work with), Tracy (a person who I hope will continue to be involved in HBI; Tracy is an amazingly hard worker and a real genuine person), Sandy (a blessed healer who helped to bring a real grounding to our work with the street boys at Kusi), Christina (our volunteer Peruvian interpreter who came to the Kusi team at the very last minute and was a real blessing to the team), Billy (Union Biblica's project coordinator and one of the most amazing young men I have ever met), and Katherine (Union Biblica's amazing volunteer teacher in Kusi who dropped everything she was doing to help interpret for our team all week; Go Scots!).

Finally, the work of HBI is only possible because of our dedicated and passionate staff - thank you Karen, Bob, Ben and Daniel. I am humbled by you every day.

Saturday, October 31, 2009

Team Peru - Kusi Outreach 2009

The Team Peru Kusi Outreach Trip was a great success. Our team just pulled into Lima and had our first hot showers in over a week. We had a marvelous week of clinics and a wonderful survey administration.

A full week without Internet and telephone connection means that we are all eager to check our e-mails and update our blogs; but for tonight sleep is calling my name. I will write a Blog Post on Sunday that gives more detail to our campaign and talks about the many great stories and lessons we all learned.


Friday, October 23, 2009

New Opportunities

Photo: The school kitchen

Photo: Site surrounding the school

Photo: "Restrooms" for 130 children and the school staff

Photo: Father Alex delivered boxes of nutrition bars for the children

Photo: Our new friends at the school

One of the "problems" with our work in Peru is that there is never enough time, money or resources to get everything done that we want to do. This is compounded by the fact that we are forever meeting new partners, being introduced to new potential projects, and getting stimulated by areas of great need.

On Wednesday I had the pleasure of visiting the Pueblo Jovenes of "Mariano Melgar." Mariano Melgar is a famous Peruvian poet and his namesake community is a sprawling peri-urban squatter community on the slopes of the Misti Mountain in Arequipa.

Nestled high in the sand hills above the Plaza de Armas of Arequipa is a small school. The school was started in part by the generous contributions of an Australian businessperson some ten years ago. The businessman was truly moved by the plight of the people living in the area and he decided to "sponsor" the program to the tune of some $1,000 (USD) per month. Well, with the collapse of the financial services industry in 2008-2009, he was forced to stop his donations. This was catastrophic to the school and the 130 students who rely on the instruction and two meals per day that the program provides.

Fast forward to early 2009 when another Australian, a lovely woman by the name of Susie, happens to find her way up to the squatter homes of Mariano Melgar. She too falls quickly in love with the community and feels compelled to do "something" to help. Unlike the original benefactor to the project, her pockets are not lined with gold. Rather, she decides that she will start with some independent fundraising back in Australia (she raised 18-months of operational expenses for the program) and begins the process of trying to identify a "partner" organization in Peru that can help her to keep the school open.

This is where HBI comes in. Ms. Susie happen to meet one of the Board of Directors for our Peruvian NGO partner Sirviendo Logrando Paz (SLP). The SLP Board member then went to Father Alex (Board Chair of SLP) and requested that he visit the school and speaks with Susie. After visiting the program, Father Alex too felt an overwhelming need to do something. Hence the reason that he, I, Evelyn (the SLP Board Member) and Ms. Susie all were visiting the school on Wednesday.

What we found in our short visit was very compelling. With little to no money, the 8 teachers on staff have developed a real model "private school" curriculum. They have instruction from pre-K all the way up to grade 6 (the end of primary education in Peru). The school provides two meals (breakfast and lunch) and a snack per day to the students - along with extra-curricular instruction in music, sports and language.

The facility where the school is housed is a wreck. There is a massive array of construction and the water source that provides for the needs of all the children and the on-site kitchen is anything but potable. The toilets have been temporarily moved to a street side location - without access to a grid waste disposal.

There are a number of really tangible ways that we can help with the on-going development and refinement of this school. We are currently working to create a strategy that is sustainable and involves our in-country partners. One “next step” that we have identified is to have our staff pediatrician (Dr. Bob Gehringer) and nurse (Karen Falkenstein) visit the program and develop a health record for all of the children.

Our goal with this partnership has not yet been fully defined or refined. That does not, however, mean that we are not anything but committed to help. Alas the real challenge is one that we continually face – how to utilize our resources to their greatest extent. This is an on-going level of learning for HBI – and one that I hope we never stop engaging.

Stay tuned to the BlogSpot for more updates on the work of HBI. Thank you.

Tuesday, October 20, 2009

Ancash: Working toward sustainability

Photo: My "home" office at the Lima airport awaiting a connection to Arequipa

Photo: 36-hours of sleep deprivation and counting; not good!

I have been in Peru for less than 18-hours and already I have had three meetings, worked remotely with the U.S. through the internet and gone to dinner with one of my favorite people in the whole world (Father Alex Busuttil). This is going to be a really busy trip.

Our team will be arriving in a couple of days. We are headed to the central highlands of Peru - an area known as the "Alps of Latin America." An area that is unmatched by the natural beauty that continually displays itself all around you. I am really excited to get back to Ancash - it has been a couple of years and I have been "longing" to reconnect with the people of the area and some of the early work we did in 2007.

For now though - there are three days between when the team arrives and tonight; and, there is an endless list of things to do. The HBI staff (Ben, Bob and Karen) will be arriving in Lima tonight and tomorrow. They will be joining me (I will be flying back to Lima tomorrow evening after a full day of meetings in Arequipa) and Daniel (our "go-to-guy" and barrister) for two days of slammed packed meetings, errands and frantic "get readies."

Once the team arrives we will be departing via a chartered bus for the 12-hour trip to the town of Yungay. Our first week of clinic and outreach will provide little to no access to the internet - so I hope to post a number of updates before we leave mid-day on Saturday.

The purpose of this trip is two-fold: To support Union Biblica in their on-going quest to develop a "brick and mortar" clinic at their Kusi Camp; we will be providing a small community clinic (pediatric, geriatric, general medicine, and dental) and survey those coming to the clinic about their experiences in gaining access to health and medical care in the area around the Union Biblica Kusi Camp.

In addition, we will be conducting a community assessment survey to 500 convenience sampled people from the various communities in the area to better understand their access to medical, dental and basic social assistance services. We will again be collaborating with the University of North Carolina-Wilmington and Dr. Kae Livsey on this very important research study.

For now - know that we will do our best to keep you informed about this Team Peru project; but our internet connectivity will be non-existent in Ancash. So I plan to load you with information in the next couple of days.

I better, however, get some sleep - as I have been up for almost 48-hours and I am really starting to feel the effects or cramped air travel and really bad airport food.

Thank you for all of your on-going support. Stay tuned to the Blog for updates on the Team Peru Ancash Adventure!

Thursday, October 1, 2009

Alaska "Connect" Event

The HBI Alaska Connect Event - Mr. Steven Dougherty, Mr. and Mrs. Harvey Dougherty and Dr. and Mrs. Maurice Coyle hosted a fantastic event in Anchorage, Alaska for HBI and our partner organization Sirviendo Logrando Paz on Tuesday, September 29.

The event was a smashing hit - with over 40 participants in attendance and a spread of Peruvian delicacies that would make even Gaston take notice. The event included a "meet and greet" cocktail reception (complete with Pisco Sours) and a showing of the HBI documentary "working toward change."

A very special thank you goes out to our hosts and the many people who attended this inagural Alaska HBI Connect Event.

HBI is looking to promote many more Connect Events across the country. Anyone interested in hosting a Connect Event should contact - info@HBInt.org

Sunday, September 27, 2009

A Call to Action

The following article first appeared in the Peruvian news journal "Peru.21" on September 21. The article was picked up by a number of news agencies around the world. The excerpt I have inserted below comes from the Indian newspaper Deccan Herald.

This is disturbing on so many levels - but perhaps most of all for the real evil that exists in the world. The challenge and "job" for all organizations working with children in Peru is to focus our efforts toward the protection and advocacy of these blessed lives.

The real work is only just starting!

Peruvian parents renting children to pornographers: Report
Lima, Sep 21 (EFE):

P
eruvian families are renting their children as young as three to pornographic filmmakers for a 'nuevo sol' (34 cents), a media report said.

"Many families in the interior of country, for example, in the Amazon city of Iquitos, rent out their children for money. In exchange for a nuevo sol or a quarter of a chicken, they order them to prostitute themselves," Accion por los Niños director Maria Teresa Mosquera told newspaper Peru 21 Sunday.

The Peruvian Network against Child Pornography complained that its experts have identified foreign bands, which operate in tourist cities like Cuzco and Puno, abusing minors in deprived areas, making pornography and selling it in black market. Their network operates through chat rooms and children are often killed after making pornographic films, they claimed.

"We have information that they are making the tapes in the Peruvian jungle, in cities like Iquitos, Pucallpa and Madre de Dios," said the network's president Dimitri Senmache. Peruvian police cited difficulties like prosecution delays and existing privacy protection rules in arresting culprits.

Tuesday, September 22, 2009

WSJ Article - Peru "Battles" Drug Trade

A very good article appeared in the September 22, 2009 edition of The Wall Street Journal. The article, entitled "Peru Battles Thriving Drug Trade," failed to discuss one of the most important factors underlying the resurgence of the Shining Path - poverty.

For over a decade I have spent a significant amount of time working in Peru. In that period I have seen a wave of economic prosperity and a multitude of cultural and social reforms. One thing, however, remains seamlessly unchanged – poverty. I truly believe that the only “solution” (if there is such a thing as a single solution for a multitude of social and economic issues) for Peru is to strongly work toward economic parity.

In the past 5 years I have seen an explosion of economic growth and development in the Cities of Lima and Arequipa. Lima, thanks in very strong part to Dr. Luis Castañeda Lossio (Mayor of Lima), has gone through a renaissance of architectural, cultural and culinary experiences. Today, Lima is one of the top destination cities in Latin America. No one would not have made that bold statement 10 years ago. In spite of this new found notoriety, I can take a visitor to Lima only 20-minutes from their luxury hotel in San Isidro or Miraflores to one of the most impoverished areas in all of Peru. An area where children die at alarmingly premature rates – from very preventable conditions.

People ask – how did the Shining Path make a resurgence in Peru; and the answer is a very sobering single word – inequality. As long as Peru allows the economic gaps to divide the populous – the Shining Path will have a place in the hearts of the poor. As long as children die from preventable diarrheal disease – in very close proximity to some of the continent’s most luxurious 5-star hotels – people will look for resources beyond the established mechanisms of the government to “level the playing field.”

I believe that Peru’s strongest intervention to combat the narco-traffickers is not the military or the Peruvian National Police. It is the continued development of their public health infrastructure, improvements in micro-economic loans, and the promotion of integrity driven politicians who work for the betterment of the millions of people living in desperate poverty in the Pueblos Jovenes and the antiplano of the Andean region.

Friday, September 4, 2009

Hit the Ground Running

Photo: The amazing Ceviche at Restaurante Caplina

Photo: Our new friend Carolina at Nexos Voluntarios

Photo: The entire Bueno-Rojas family at a special HBI dinner; prepared by HBI's one lawyer

The past two days have just sailed by. Ken and I flew into Lima from Arequipa on Thursday morning for a couple of days of meetings and planning for a team Outreach Trip to Ancash in October.

From the constant running around to the strain of thinking in English and struggling to speak in Spanish (someday, soon I hope, I will be able to think in Spanish - as it currently stands my thoughts are always four to five paragraphs ahead of my translations; needless-to-say, I am not a very effective communicator in Spanish) - I am exhausted.

We had a great meeting this morning with an NGO based out of Lima called Nexos Voluntarios. They are doing amazing work and have a very dynamic model of direct care/advocacy and helping volunteers find meaningful opportunities for getting involved. Click on the hyperlink above or HERE, and learn more about the wonderful programs and projects they are involved with.

Later this afternoon we met with Vida Peru (an NGO partly sponsored by the Interbank consortium; and a group we have partnered with for a number of years) to further discuss the possibility of a Summer 2010 collaborative conference. We are talking about taking the "Arequipa Connect" conference model and reproducing the focus and intention in Lima. Vida Peru is very established and well respected/connected throughout Peru - their involvement may make such an effort possible. This is a lot of work and right now, we are only in the "pre-contemplation" phase.

Once we finished our afternoon meeting we went to lunch. A very special lunch indeed. For a number of years I have had the privilege of taking care of a Peruvian patient at my clinic in Portland. My patient has been talking to me about the restaurant his brother owns in Lima and really encouraging me to visit. Well, today - we did it. It was fantastico! I do not like fish - really any kind of seafood. But their Ceviche was fantastic. It was so flavorful - that I almost forgot I was eating fish (raw fish at that). We got the first class service - with a tour of the kitchen and amazing table side attention. It was great.

Now, some 40 hours after we came back to Lima, I find myself in a very familiar spot . . . waiting in the Lima airport to return to the U.S. What makes this trip different than the many, many others I have made over the years - well, I get to go home to my lovely pregnant wife. I am so excited.

HBI will be posting updates about our October Outreach Trip to Ancash in the coming weeks. Please stay in touch with us through our website, BlogSpot and Facebook page. Thank you for your continued support of HBI and the work we are doing around Latin America.

Tuesday, September 1, 2009

Pictures of La Paz

Photo: Bus terminal ala Eiffel in La Paz

Photo: A street scene of indigenous woman

Photo: Che's watchful eye is never far

Photo: The "Witches" Market

Photo: The Presidential palace and the changing of the guard

Photo: Planning our "36-hour" adventure

Photo: GOOOOOOOOOOOOOOOOAL!

Photo: Our "north zone" friends

Photo: Lake Titicaca from the window of the bus

Photo: The antiplano and the people who make their life above 4,000 meters