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MRDS Online Newsletter:
Second Quarter 2005

The Art of Healing Aceh

Pediatrician Dr. Peter Murphy and his wife Debrale, a nurse, had lived for several years in Lombok, Indonesia.  After the tsunami struck they were among the first to contact Millennium volunteering to go and help tsunami survivors.  We were excited to have them join our group in Aceh for three weeks in February.  With their medical expertise and knowledge of the Indonesian language and culture, Peter and Debrale were able to get right to work helping children to heal.

The little boy was from the island of Pulau Raya.  He came each morning to draw pictures with the other children.  The workers noticed a small bald spot developing on the top of his head.  Dr. Murphy explained this was a symptom of emotional trauma.

In a world turned upside down it is good to have something familiar. Children everywhere like to draw.  It is a view of their world, an outlet for their growing imaginations and it is a way to share thoughts and emotions that a young vocabulary cannot express.

Millennium provided places and the materials for drawing and the children came.  Every day more would show up.  At first there were more girls but later the boys began to participate as well.  The children were from 5 to 17 years of age.

Some of the children worked at big tables or on the floor in groups, others went off by themselves and secretly put their feelings on paper. They would drop these precious pictures on the workers’ laps and leave without a word.

More and more of the children began to draw their tsunami stories.  Afterwards, they would approach one of the MRDS workers who gently took the picture.  Quietly and patiently they asked questions about what the child had drawn.  As they told us, they were “allowing silence so that more could come to the child’s mind as they explained their drawings.” 

As the children started to open up, the slow process of acceptance and healing began.  Although there was a crowd of young onlookers, there was never any pushing or shoving.  There were never any interruptions as each child opened his or her heart and explained the poignant pictures of suffering and loss. 

A young boy colors a poster specially designed for tsunami survivors by one of our partners in Aceh.

Over the weeks the drawings were collected and displayed in a central location and the children were commended for their artwork.  As a balance to the sadness they were encouraged to talk about the good times they remembered, especially those good memories about the people they had lost.

Debrale said “In week two, there were many repeat drawings (of the same scenes) but soon there were more colors and pictures including flowers, ships and homes.  When we asked about the drawings, the children responded that these pictures depicted what used to be -- before the tsunami”.

This activity is best viewed as part of a process of healing.  Often our workers would involve adults who were in the area and teach them simple trauma care techniques.  They were encouraged to give assistance to each other, to their children and also to the children who had lost their parents.

Having good tools and skills in any given situation will lead to a feeling of confidence and hope.  Our teams will continue to share tools and skills with the Aceh people and walk with them as their confidence and hope are renewed.

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Festivities Signal a New Era For Afghan School Children

These young Afghan girls are very excited about their new school

It is a joyous occasion when Afghans put on their finest clothes and gather to dedicate a new village school.  They are keenly aware that as a result of this new 13 room school building, their children will walk into a brighter future.  The excitement is palpable as a new era begins. 

For three years, Millennium has partnered with local communities to build schools in Northern Afghanistan, one of the poorest places in the world.  If the village was fortunate to have a teacher most children attended classes in abandoned houses or fields.  Instead of a playground they played on broken, rusted tanks.  The families made due with what they had but they never ceased hoping for a real school.

Julie Bolz, a Millennium volunteer and Journey with an Afghan School visionary, has traveled to Afghanistan to attend most of the school dedications.  Two schools were dedicated in 2003, one was dedicated in the fall of 2004, and the most recent ceremony is scheduled for May 2005.

The effect of a new school on the lives of the villagers is something we may not be able to fully understand.  Over 20 years of war and oppression have decimated the school system but not the heart of the people.  The desire for education is very strong.

Adhering to Afghan Department of Education specifications and using his knowledge of the language and culture, our MRDS project director meets with the village elders to discuss partnering with them.  Drawing from the Afghan proverb, “It takes two hands to clap”, he clearly outlines both our role and that of the community.  If the leaders demonstrate willingness and unity, the partnership begins and a school is on its way. 

Over the last few years we have had the privilege of seeing ethnic groups unite, hundreds of girls attend class for the first time, and boys begin studying in rooms with real doors and windows.  We have seen hope restored to village leaders as their school building took shape.  Even as expenses increased and we had to ask the villagers to take on more responsibility, their response was overwhelmingly enthusiastic.

Americans are also enthusiastic about the school projects.  A Houston based corporation generously donated the majority of the funds for the school that will be dedicated this spring.  At last fall’s dedication, an entire playground set was donated by another group of supporters in Austin who were also major contributors to the construction of that school.  We are fortunate to have various donors partnering with us to provide 3 years of annual operating funds for supplies and maintenance of the schools.  Giving the schools a solid start will help give the children a solid start as Afghanistan rebuilds.

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All You Need is Love: Transformation in an Uzbek Orphanage

When Marcia entered the room, Alisher would reach for her arms and start crying if she did not pick him up. Marcia, an art teacher, and her husband, Vince, an occupational therapist, have been working in Uzbekistan with the Orphan Care Project. Able to take a new direction in 2002 with the assistance of a grant, the project is improving the care of disabled orphans.  “We just go in and love these kids and try to do whatever is needed,” Marcia explained.  “The results are amazing.” Just recently, Alisher was seen sitting contentedly on his bed hiding behind a scarf, ready to play peek-a-boo. A testament to our workers, he was initiating spontaneous play for the very first time.

Muruvvat Orphanage is home to 324 handicapped children, one-third of whom are unable to walk. These children have serious psychophysical diseases like spina bifida, infantile cerebral paralysis, hydrocephalus and oligophrenia. In January 2005, a Millennium team from the U.S.  documenting the project at the orphanage encountered children tied to their beds and others afraid to interact because of abuse or neglect. What is most disturbing, Vince explained to our team, is seeing children who could be normal but have developed physical and mental deficits because of their environment. In hopes of changing this, the Orphan Care Project has hired its own workers to supplement the state workers. Unfortunately, our staff of 30 is only able to work with 50% of the children.

Since three of our staff began working with a group of bedridden children, the whole atmosphere in this part of the orphanage has dramatically changed.  Where children were once restricted to their beds for days or months at a time, you now see them moving around in wheelchairs.  Our staff is finding that many are even able to feed themselves.  The general mood at the orphanage seems to be changing as children are getting the level of attention they need to thrive. One staff responded, “It’s like they are being ‘awakened’ to feelings that have been repressed for so long. Kids are smiling, laughing, playing, crying, and even pouting to get their way.”

An Orphan Care Project worker plays with children on a big swing

In 2004, the Orphan Care Project renovated the entire laundry service area, building an additional drying room, and repairing and replacing the pipes, floors, and equipment to finally provide the orphanage with clean laundry.  They have also renovated two corridors, 5 bedrooms, and one classroom, toilet room and bathroom. A local doctor, two therapists and three teachers were also hired through the project last year.

The operating cost to employ 30 of our workers at the orphanage is about $60,000 USD a year, but funding from their last grant will run out in June 2005.  In addition to salaries, project funding is needed to build a therapy facility.  With our local staff now seeing results from their work, they are motivated for training, but there is simply no room to provide that much therapy. The US Embassy is considering funding this facility, but the decision has not yet been made.

When praised for their work, local Uzbek staff respond shyly with a common Uzbek phrase “Sekin, sekin,” which means “Slowly, slowly.”  The children are not the only ones “awakened” by the project. Workers are slowing changing attitudes and taking on more responsibility as they catch the vision and see the powerful effect that love and attention can have.

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 Touching the Untouchables

Imagine a child considered such an outcast that when he is sick his doctor will not touch him. About 5,000 people living in the Greendome slum in Sana’a, the capital of Yemen, have been shunned by all levels of Yemen society for hundreds of years. Most have never had even the most basic necessities of life. 

So marginalized are they that doctors keep their distance during “examinations.”  A doctor will look at a child, diagnose, prescribe medicine and send him on his way without ever touching him.  The people have learned that seeking help from a doctor can be an exercise in futility.

The new clinic brings much needed health care to Yemeni children like these.

On March 1, 2005 all this began to change.  After receiving a three-year grant, Millennium and two partners renovated the largest house in the middle of this impoverished area and opened a medical clinic. 

But this is not just a revolving door clinic where people are examined, illnesses are treated, and prescriptions dispensed.  This clinic will certainly improve the health of those it serves, but it will also train the local people to continue helping their community long after the three-year startup program is over.

Millennium is training men and women who will be responsible for their community’s clinic.  They will be able to deliver basic medical care, nursing, vaccinations and other medicines.  They will also learn administrative skills to enable them to keep the clinic running smoothly.  These workers will in turn train others.  The long-range goal is for workers to then open more clinics in other shantytowns.

Besides attending to basic medical needs, the clinic is educating people on disease prevention and teaching them how to plant and sustain “kitchen gardens” to grow vegetables to meet nutritional needs.   Another program will teach basic cleanliness both in the home and in the community to help prevent common illnesses.                                        

This kind of sustainable development is what Millennium is all about.  Not just giving help, but offering a healing hand to the unwanted and isolated, teaching them how to help themselves.

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 Easing the Burdens of Iraqi Midwives

Before throwing her instruments into the sterilizer, she wiped off the plastic mattress cover and called the next mother-to-be to climb up on the empty delivery table.  In the course of delivering around 700 babies a year, the thought never occurs to Fatimah to give new mothers breastfeeding advice. She barely has time to jot the baby’s basic info in a logbook large enough to hold last year’s 10,000 records before moving down the line. She knows her profession is not highly appreciated, but she has no time to think about that.  After dipping her gloves in a bowl of disinfectant to make them reusable, she is only concerned with how to survive the day’s demands.

Medical care in northern Iraq has been losing ground due to decades of instability.  Fatimah and her 10 delivery nurse colleagues did not choose the nursing profession-- it is assigned to those with the lowest test scores.  Furthermore, faced with the pressures of a culture in which many feel it is shameful for a woman to work outside the home, they have never felt very respected for their work. 
Recognizing the need for change is not always easy and implementing change can seem an impossible task. 

 

Neonatal resuscitation training for midwives and nurses in Northern Iraq

 
Amid the chaos of the busy maternity ward, Fatimah swaddled up the latest citizen of
Iraq and set him in the corner on the countertop. Something out of the ordinary caught her eye when she turned around to assist in the next birth. One of her coworkers was using a skill she learned in a Millennium nurse/midwife training program. With encouraging words, the nurse gently began instructing the birthing mother how to breathe between pushes.  
 
Soon more nurses observed this unusual behavior, and saw the positive impact it had on the birthing mother.  It was a teaching moment, just one of many brought on by our training programs for nurses and midwives in Iraq. 

Attitudes are changing toward maternal health care as newer, safer techniques are learned and implemented with kindness by caregivers who want to make a difference.  As a result many midwives and nurses are sensing a new motivation and pride in their work.

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CEO's Letter: Expanding the Vision

For the past seven years, Millennium has been privileged to work with Central Asian Free Exchange (CAFE), one of the largest charitable organizations operating in Uzbekistan and one that shares our vision and purpose.   We are pleased to report that at the close of 2004 Millennium merged with CAFE, a move that will strengthen our capabilities and operations. 

CAFE has had a presence in Uzbekistan since the fall of the Soviet Union and now has offices and development centers in 9 of the country’s 13 regions. CAFE also has one office in northern Afghanistan, which was opened shortly after the fall of the Taliban.

After years of partnering with CAFE on different projects, the merger seems to be a natural progression.  Our annual International Teachers Program and the Journey with an Afghan School Project are two of our larger and very successful joint efforts.  In working together we have found that while we have similar approaches to relief and development, we each bring unique strengths to the new organization that will benefit our workers in Central Asia and in other developing countries.

Both CAFE and Millennium teams have enthusiastically embraced the combining of our visions and our efforts.  Our newly augmented presence in Central Asia positions us well to serve more effectively in this turbulent part of the world.  

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