PC | Rwanda is trying something new with our cohort of Health volunteers [He10] called site goals. In theory, PC and Health center staff work together to create site goals prior to a volunteer’s arrival. Once again, in theory, this gives the volunteer a little more direction on where the PCV should be focusing his/her time. Site goals are developed to be completed over a period of 6+ years using 3 volunteers total. Volunteer 1[He10] is the plan/lay ground work person. Volunteer 2 [He12] is the carry out the plan person and volunteer 3 [He14] is the wrap up person. In theory, after 6 years the site will ‘graduate’ and no longer need a PCV.
Like I said, all this is great in theory, but putting it in practice is another beast entirely. For example, I am the fifth volunteer at my site. In theory my site should have ‘graduated’ already. People here are somewhat used to having a volunteer around doing various projects. They are used to telling a PCV what they’d like to have. Then the PCV working on it either by education, tangible building projects, or receiving a grant. Site goals create some issues with that.
Site Goals
For example, my site goals include reducing childhood malnutrition to 0%. The second goal is to increase women delivering babies at the health center from 15% to 50%. However, villagers have different goals. When interviewed both the staff and some of the inhabitants of the villages, said that bad hygiene practices/lack access to clean water is a more pressing issue than women having babies at home. Health center workers report malaria is a bigger an issue than women having babies at home.
It’s hard enough to convince people that have limited access to water that washing hands is important let alone to convince a women in labor to walk up to 2 hours to the health center to give birth, stay for about 24 hours, and then walk back 2 hours post-partum while carrying a newborn. If I were in their place, I wouldn’t do it. So nutrition, hygiene, and malaria are what I’ll be working on. He12 and He14 can tackle the women giving birth at the HC issue.
So, while PC has their goals, I have mine, and they have absolutely nothing to do with PC’s site goals. I’ve identified 5 goals I’d like to work on in the next two years, and to be honest, they’d be the same goals I’d work on back in America. Instead of NEW YEAR’S resolutions, think more along the lines of NEW LIFE resolutions.
Goal 1
- Lose weight. Lack of motivation to exercise combined with unhealthy eating practices [I really don’t enjoy cooking and eating meals on the go] and schedules all over the place [should I eat a full meal at midnight? Or what about breakfast at 8am even though I’ve just worked 12+ hours] has led to an unhealthy weight gain. Add that to the 50 pounds I gained while on high dose steroids for six months, and you have a chunky Michelle. I’ve already lost about 10kg in the 3.5 months I’ve been here. I just need to keep it up and keep it going.
- Goal 1.2: Commit to an exercise program that will be possible to maintain whether I’m in my village, my country house, or traveling back and forth to work/school every day. Right now, that’s yoga, and while I’m still finding it difficult to make it a daily habit, I am finding it easier to start back when I miss a couple of days. #progressnotprefection.
Goal 2
- Learn to cook. Well. While I can cook, and have no doubt that I can cook well enough not to starve, with [extremely] limited options for dining out, I need to learn to cook a variety of things with very limited ingredients. Learning not to rely on quick cook foods, frozen dinners, and snacks is like rewiring my brain. And since my primary goal here is nutrition, I should be [at least] a better example. To that end, one of my fellow PCVs is teaching me how to cook all sorts of interesting things… all from scratch… all from common ingredients that we find in the market. We meet periodically to buy fresh ingredients from the market and whip up something delicious while watching a movie. These recipes are featured in posts called Cooking in the Corps.
Goal 3
- Apply to NP school. I’ve only found one school that advertises the degree I want [dual FNP/PMHNP], but it is possible to combine programs at other school to get the same program offered at the one school. To this end, I am taking the GRE at home in February. Some schools require it; others don’t, but it will be easier to take it in the US versus trying to schedule it in Rwanda. At present I have a list of five [with two others in reserve that only offer the FNP portion so I’d have to apply to a different school to do a post-masters PMH] schools I plan to apply to [I can’t afford any more on a Peace Corps’ budget] They are as follows [in no particular order]: UTHSC [the only school I’ve found that offers the dual program], UT-Knoxville [the only school on the list that offers a Coverdell scholarship], USC [they have both degree programs; they don’t have the dual degree as an option], Frontier Nursing University, Eastern Kentucky University [both have both options available; neither have a dual program], and the two schools in reserve are both South Carolina schools that only offer the FNP degree [meaning I’d have to go to a second school for the PMH degree] Clemson University and Francis Marion University. My goal is to start no later than Spring Term 2021.
Goal 4
- Learn photoshop. I have a copy of Photoshop Elements downloaded on my computer. I barely know how to do much more than crop. I’ve got nearly 50000 photos on my hard drive that need editing so I’ve got a lot of material on which to practice.
- Sub-goal 2: Edit and organize said photos
- Sub-goal 3: Re-design the blog and ensure every post has at least one photo in it.
Goal 5
- Strengthen relationships. This one is kind of esoteric. However, there are 2 [very important] outliers, the people important in my life today are people I’ve met in the last five years. These are the people I call when I’m down. People I WhatsApp with regularly. And the people who send me mail and care packages. These are the people I draw strength from when I think about quitting; and the people I don’t want to disappoint. This also applies to PC friendships too. I’ve identified a couple of others who have a similar outlook on Peace Corps service and life. We contact each other weekly/daily about how life is going at site, what’s coming up, just life in general. Facebook and other social media apps make keeping in contact with others a whole lot easier than it was say 1998… I don’t think I would have survived PC circa late 90’s/early 00’s when technology was available, but oh so hard to access… especially in the developing world.