In this Fall 2002 edition of ¡Abrazos! de Mulukukú you will find,

A letter from Dorothy,
Our Eighth Annual End-of-Year Appeal,
A Retrospective on the crisis.

Please note: that all of the photos here (except Dorothy’s) are “thumbnails.”  Just click on them to see them full-size.

Dear Friends,

        Warmest Greetings to each of you. Since I last wrote, the government has moved against corruption by former President Arnoldo Alemán, the same man who closed the clinic and tried to exile me in 2000. There is proof that over $100,000,000 was stolen from the Nicaraguan people by Alemán and his associates.
        The campaign against corruption has taken attention away from the desperate conditions in which the majority of Nicaraguans live. Hurricanes and other tropical storms have completely destroyed the road from Managua to Mulukukú, and thus the means to transfer desperately ill patients. The government is doing nothing to fix the road. The local Ministry of Health post has no supplies. The Women’s Center Clinic continues to provide the only health services for more than 30,000 people. The government has acquiesced to World Bank and IMF demands by further privatizing social services, making health care inaccessible for most Nicaraguans.
        Silently the poor suffer and die. The cries of the malnourished infant whose cold develops into pneumonia become weaker until there is no strength to cry. 
        Last week Esperanza came to the clinic from the community of El Corozo, reached by two hours on a bus and then eight hours of walking. Esperanza, 53, is a mother and grandmother, and a widow of the Contra War. She is a thin woman who holds her head erect, has clear, intelligent eyes and a quiet dignity. Esperanza has been bleeding vaginally for several months from a massive uterine tumor, probably inoperable cancer. Esperanza has never had a Pap examination, which we offer regularly to our patients. Early detection of problems and adequate, inexpensive care could have prevented this unnecessary loss of a life.
        While need for our services grows, the problems in the United States and world economies have severely reduced donations to our programs. A month ago, I received the shocking news from our group in Santa Cruz that the clinic had funds for only two months of operations. Actions we immediately took were to put most of the staff on half-time (the rest of us working extra hard), let our bookkeeper go (Vilma Ayon, our administrator, will pick up the work), closed the kitchen/dining room, reduced aid for patients who travel for further care, and stopped building improvements, among other reductions.
        You, our friends, are progressive and caring people. You support many good causes. I am shamelessly asking you to take a moment to look into your hearts at your deepest commitments, your love, ethics and faith. In the light of your most cherished ideals, please ask yourselves what you might do to help with our serious financial crisis.
        Simone Weil said the most sacred belief that dwells in every human being is that good and not evil will prevail in their life. It is this hope that our work tries to nourish. My co-worker, Grethel, said just this morning: “Every day there is so much to do, so much pain, so many people to help. Sometimes, I don’t know where to begin. Now we worry if there will be money for next year’s programs.” We live one day at a time and do the best we can each day. Grethel continued, “We will accompany the people even if we have only ears with which to listen.”
        We trust that, together, we can find a way to help this clinic continue to thrive. All strength to each of you in your efforts to make this a better, kinder world where no child will be hungry, where we may exist in peace and joy.

Abrazos,

Dorothy


Eighth Annual End-of-Year Appeal, 2002

Dear Friends,

        This annual letter reaches an exceptionally dedicated group of people.  Out of this small mailing to about 2,500 people, we have been raising close to $50,000, about a third of the budget for the Mulukukú Women’s Center Clinic.  Women in Mulukukú have expressed surprise that so many people, so far away, believe in them and their dreams. They are inspired by our support, as we are by the scope of their work.
        The beginnings: In 1988, a group of poor and minimally educated women, “conscientized” by Sandinista ideas, formed a co-op to cope with the ravages of Hurricane Joan. They have organized project after project, animated by a vision of an egalitarian, non-sexist society.  These inventive women have become famous in Nicaragua for their courageous politics and practical inventiveness in a remote, bitterly poor, and violence-prone region.
 
With help from many supporters, the clinic has developed a birthing room and a midwife program.  Again with much US support, a mobile clinic (sometimes that means a horse when roads become impassable!) now serves outlying areas more efficiently, saving ill patients long walks or bus rides. The clinic is in real need of a four-wheel drive vehicle – can you help us find one?

        In 1990, the co-op took a risk and hired Dorothy Granada to administer their health clinic. Grethel Sequiera, of the co-op, admits, “We never thought a gringa could last a year in this sweltering heat!” But Dorothy and the co-op were a match made in heaven, politically, spiritually, and medically, wanting to do the best “on-a-shoestring” medicine possible, especially serving the needs of poor women and children. Dorothy, a Chicana-Filipina nurse, had a long history of nonviolence activism in the US and legions of friends who became supporters of the clinic. Dorothy is famously frugal, and the clinic has made the most of its funds, with public health programs, trainings for “health promoters,” advancing the medical skills of local women, screenings for cervical cancer (high rates in the area), teen education, receiving delegations of doctors and others who volunteer their services. While waiting in long lines to be seen, patients take classes in gardening for better nutrition and herbal remedies, family planning, perinatal care, preventing domestic abuse... Until this year's drop-off in funds, patients were fed by the clinic kitchen, and the clinic ran a program for the most severely malnourished children.
        The Mulukukú women have long been beloved in the Nicaraguan women’s movement for their creative audacity. A common sentiment is “Those crazy women in Mulukukú don’t know it can’t be done, so they do it!” But courage doesn’t pay for medicine, and under current circumstances, our help is needed.
        Please remember this is YOU, over the years, trusting Dorothy, caring about the life-saving work of the clinic, YOU, joining a movement of women and poor people, YOU, supporting this headstrong group of Nicaraguan women in a faraway place. In a very personal way, we are part of this circle of love, pain, sleepless nights, and inventiveness, shaping the impossible into the possible.

        Now we have to face the really bad news that the decline in the US economy has led to a sharp decline in income. Responses to earlier appeals this year were far below former years. We have funds for only about two months forward for the clinic with no clear relief in sight. 
        Out of necessity, Dorothy has cut the staff to half-time and cancelled programs such as the one that fed waiting patients and malnourished children. Of course everyone at the clinic is extremely distressed.  Valuable screenings and referrals cannot be continued. The staff salaries often feed large extended families, and the cuts will make it hard even for staff to get enough food.
        Now we need your resourcefulness in dollars and ideas to be certain that this political hope and medical progress is not lost, for the women in Mulukukú and all over Nicaragua.
        Our community of clinic supporters has a rare quality of personal connectedness – often through knowing Dorothy. We choose to belong to each other, to say “your work is my work. I will help you succeed in building a better world.”
        Theologian Reinhold Niebuhr said that the nearest approximation of love, on the level of society, is justice, and that the nearest approximation of justice is an equality of power. The money we have sent has not made anyone rich, but it has allowed the clinic to be present in the lives of thousands, bringing health, and changing the balance of power in a muddy, remote town, and in the whole nation of Nicaragua. Thank you for being with us. “We are all from Mulukukú!”

Janie, Jill & Kaki, Women’s Empowerment Network


Will you help us to be as inventive as the women we support?

Can you suggest places we can look for additional funds?  A church group?  A book club?  A friend you can ask for a major donation?  One church group in Texas decided to send $700 per month an a regular basis for a professional's salary.  Can you suggest names to add to our mailing list?  Will you think of how you might be able to send a larger donation yourself?  We appreciate our thoughtfulness as well as your donations.

In light of your most cherished ideals, please ask yourselves what you might do to help with our serious financial crisis.

THIS YEAR, donations are down dramatically.  Now our strength is being challenged by a new crisis, and we need you – urgently.  Please make your tax deductible donations
(Tax ID 77-0566997), payable to:

Women’s Empowerment Network
309 Cedar Street, #547
Santa Cruz, CA 95060
OR you may now help us through the convenience of your credit or debit card through our new, secure PayPal system.  Just click on the button below:

A Retrospective On the Crisis

        In December, 2000, then President Alemán, on a political impulse, ordered a surprise shutdown of the popular clinic in Mulukukú. At four a.m. (on Dorothy's 70th birthday), he had soldiers surround her home to arrest and deport her. She wasn't home! Warned by supporters, she went into hiding  to escape the illegal order. The clinic was padlocked by the government, and clinic workers took to the mountains to serve remote communities while they couldn't work in Mulukukú. 
        Throughout the crisis, Dorothy was interviewed frequently from hiding, ever positive, helping to frame and to invigorate a national debate on the health rights of poor people.
        Thousands protested in Managua, the capital, in Dorothy's favor, the largest demonstration in years. Newspapers ran sympathetic headlines daily. The international community, including Amnesty International, the Nicaragua Network, and 32 US Congress members, made Dorothy’s rights a priority.  And the Supreme Court of Nicaragua finally exonerated her, allowing her a triumphant return from hiding, with huge celebrations in Managua and Mulukukú. 
        The unexpected turn of events boosted the morale of the women’s movement and the health rights movement all over the country.  The ice of fear was broken, and others dared to protest in big numbers for related causes.  Incoming President Bolaños, though from Alemán’s party, took a decided turn away from Alemán’s policies,  publicly supporting the clinic and Dorothy, and – let us hope – being open to better national health policies.
        Looking back, everyone at the clinic was ready – logistically, spiritually, politically – for this surprise visit to the stage of history.  Their readiness is also a testament to the nature of cooperative leadership, where Dorothy (the outside US professional) and the local women developed shared skills and leadership, and the Nicaraguan women didn’t miss a beat in assuming leadership in the crisis.  It’s a sign Dorothy can spend less time in day-to-day operations of the clinic, and more time in educational, political, and fundraising visits to the US, where we also need her perspective of hope and organizing in these challenging times.


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