In this Summer 2003 edition of ¡Abrazos! de Mulukukú you will find,
A letter from Dorothy;
News Update from WEN;
Note on Donations;
Leaving a Legacy;
Dorothy's Upcoming Tour.



[Photos have been reduced in size.  You may view them full size by simply clicking on them.]

WITH “A WHOLE HEARTWE WILL PREVAIL

   Warmest greetings to each of you,


write from Santa Cruz, California.  Doctors for Global 
Portland Naturopathic Delegation:
"Here we see our philosophy in action."
Photo provided by Taatha Parker
Health (DGH), a group of progressive physicians and other health workers, invited me to speak at their annual assembly last weekend. This trip has allowed me to meet with our support group, the Women's Empowerment Network, and many others.

THE MAKING OF WAR
     At the time of our last newsletter, the U.S. government was threatening to invade Iraq, a small country that allegedly possessed weapons of mass destruction, that posed a threat to the security of the United States.  The invasion was carried out with massive loss of life and creating what may become another Vietnam.  In the wake of the invasion, human and civil rights are being violated in the interests of national security.  Equally shocking are reports that the attack of September 11 on the World Trade Center may have been preventable.
     Many of my co-workers in Mulukukú are losing hope for the future as the U.S. wages war at will and neoliberal economics with its executioner, structural adjustment, continues to squeeze the life out of the poor by preventable disease, hunger, violence, and neglect.

THE MAKING OF PEACE
     In the face of this grim reality, there is another reality.  I came away from the Doctors for Global Health gathering filled with hope for a better future, inspired by the 300 health workers, students and activists. With their belief that access to basic health care is a human right, DGH works in Chiapas, Mexico, Guatemala, El Salvador, Nicaragua and Uganda.  These people are making peace with a whole heart using their skills and ideals to accompany and serve the poor.  For the last two years,  DGH has sent several volunteer physicians and a nurse to help us in the clinic.
     Other signs of hope in the U.S. are the strengthening of groups and the creation of others saying no to war-making and assaults on civil and human rights.  I believe the majority of people in this country want a peaceful world and need only to be awakened to what is being done in their name.

NICARAGUA NEWS
     Autonomy legislation for the Atlantic Coast:  The National Assembly finally passed legislation to enforce the Autonomy Law of the Atlantic Coast, enacted in 1987 by the Sandinista government, giving local control over natural resources and institutions. (Mulukukú is in the North Atlantic Autonomous Region, RAAN.)  Since 1990 the central government has largely ignored the Autonomy Law by giving concessions of natural resources to private companies as well as permission to individuals to occupy and even sell indigenous peoples? land.  U.S. citizen Peter Tsokos  has been selling indigenous-owned islands on the Internet.
     Privatization is back-firing:  In Managua, protests mount as more people are unable to pay the rising costs of electricity charged by the Spanish company, Union Fenosa.  The International Monetary Fund (IMF) has demanded that all Nicaraguan government services be sold to private companies.  There is also strong resistance to the impending privatization of water, the last major public service to go into private hands.
     The Central American Free Trade Agreement (CAFTA) is being negotiated.  CAFTA would remove tariffs of goods coming into Nicaragua, undermine agricultural and other production, and destroy workers? ability to organize by establishing more Free Trade Zones.  NAFTA (North American Free Trade Agreement), the predecessor of CAFTA, has been in operation in Canada, U.S. and Mexico since January 1994.  The Nicaragua Network Monitor of April 2003: Since NAFTA, more than 700,000 decent-paying jobs have been lost in the U.S.  During this same period (1996 to 2003), the percentage of Mexicans living in poverty has risen from 58.5% to 79%.

NATIONAL ASSEMBLY  RECOGNITION
     At the end of May, the Nicaraguan National Assembly recognized our contribution to the health of the people and especially of women.  A plaque was presented to me and three other women.  We see this as an affirmation by the country’s highest legislative body of women’s right to health, the right of people to organize to meet their needs and a welcoming to non-governmental groups and foreign volunteers.  A negative note was the exodus of a group of legislators who continue to staunchly support former president Alemán. (p.s. from WEN: This is only two and one-half years since the government pad-locked the clinic and tried to deport Dorothy – now a national award! Hope springs eternal!) 

GALVESTON MEDICAL-DENTAL DELEGATION’S 7th YEAR
     A group of 53 physicians, dentists, medical students, nurses, translators and helpers worked extraordinarily hard and in 11 days served 2,242 people. There were 24 referrals to hospitals, including several emergencies.  Our new Toyota Land Cruiser (a 1996 model made possible through a generous friend) was on the road day and night taking patients to the government Health Center in Rio Blanco and to hospitals in Managua. 


DEFENSE OF CHILDREN AND WOMEN:
 
INTERVENTION FOR: WOMEN/ADOLESCENTS GIRLS BOYS
SEXUAL CRIMES
PSYCHOLOGICAL MALTREATMENT
CHILD SUPPORT
PROPERTY DISPUTES
MEDIATION

TOTAL:

117

602
720
150 
302

1,891

241

241
 
 
 

482

15

15
 
 
 

30


     Some of the emergencies: a 40-year-old woman with acute cerebral malaria and a hematocrit of 10; a 23-year-old man who fell asleep on top of a bus, fell off, and laid unconscious in the mud and rain for several hours with a fractured skull and an absence of reflexes in his lower extremities; a 4-day-old infant with a life-threatening heart defect; a 41-year-old man with an intestinal obstruction who just made it to an operating room; a 60-year-old woman with diabetes in acute congestive heart failure; a woman about 30 found wandering on a road with acute psychosis; a 20-year-old man with a .38- calibre bullet lodged in his skull between the eyes. Two hospitals tried to refuse admission to some of the patients.  Several patients stayed one or more nights in the clinic receiving intravenous fluids, oxygen and medicines.  With good physicians and adequate equipment and medicines, the care in our small clinic was superior to what could have been received in some public hospitals.  We are a primary care clinic dependent on a health system, but the system is disappearing.
 
JANUARY 1 TO JULY 1, 2003
REPORT
CLINIC:
WOMEN
MEN:
DENTAL:
CHILDREN:
TOTAL SERVED:
4,234
778
998
2.255
8,265
1,100 Paps were taken
and follow-up done

     Someone who we didn’t have time to send to hospital because there was no time: an overweight woman in labor with her 7th child.  She came to the clinic with toxemia,  diabetes and a completely dilated cervix.  After struggling to control her blood sugar and blood pressure, and with the infant’s head partially out, contractions stopped and so did fetal heart tones.  It took several people to pull the dead baby out.  The infant weighed over 12 pounds.  Experienced physicians cried and medical students couldn’t even speak.  The next morning, the patient, Fatima, was comforted by her family and began her recovery. 

MARIA DE  JESUS
     A year and a half ago we visited communities in the mountains at the head of the Umbla River to provide health care.  We were taken to Maria de Jesus who lived with her companion and 6 children in a small house made of bamboo and thatch with a dirt floor.  She was gravely ill and didn’t have the strength to move from her hammock.  Maria’s skin was covered with infected cockroach bites.  We took her to our clinic in Mulukukú.  Maria had malaria, tuberculosis and syphilis. While she was healing, we learned that Maria had been beaten by her companion.  When she became ill, he did not give her food or seek health care.  We also learned that her 10-year-old daughter had been raped by her step-father.  The child also had syphilis.
 
WOMEN'S AND CHILDREN'S
SAFE HOUSE
JANUARY 1 -  JULY 1, 2003
TOTAL: 32

    Maria de Jesus has healed.  With a small loan she supports her family, and the children are in school.  Her former companion is in prison.

Highlights This Year So Far:

January: Medical-Dental delegation from Manchester College, Manchester, Indiana for the 11th year serving 2,234 people.  Report in Newsletter #29.  Collaboration began with the Central American Health Institute for cervical cancer screening and treatment for women 25 years and older.

February: American Jewish World Service (AJWS) sent a 12 member group of Canadian university students who prepared earth for the medicinal plant garden.  Report in Newsletter #29. DGH volunteer nurse, Jennifer Perry, served for two months.

March: Volunteer Christy Cook, midwife and computer expert, helped with births, programmed the clinic computer and trained a staff member in data entry, serving for three months. DGH volunteer Family Practice physician, Jason Aurremia, served for a month.

April: Dorothy visited Albuquerque, Kansas City, and Chicago for a brief speaking and fund-raising tour.

May: Volunteer family practice physician Constance Adler and pediatrician Iris Silverstein served for two weeks. Toyota truck purchased at Peace Corps auction.

June: Galveston delegation visits for 7th year. Nicaraguan 
Dr. Amoretti

physician, Carolina Amoretti, joined staff.  She’ll be in Mulukukú for three weeks of every month.

July: Fourteen students and faculty from the National College of Naturopathic Medicine in Portland, Oregon, made a brief visit. We discovered a wonderful commonality of health philosophy, and we look forward to collaborating in the future.

Friends, thank you for your continued support of our shared 
 
“We have assumed the name of peacemakers, but we have been, by and large, unwilling to pay any significant price.

     “And because we want the peace with half a heart and half a life and will, the war, of course, continues, because the waging of war, by its nature, is total – but the waging of peace, by our own cowardice, is partial.  So a whole will and a whole heart and a whole national life bent toward war prevail over the mere desire for peace. There is no peace because the making of peace is at least as costly as the making of war – at least as exigent, at least as disruptive, at least as liable to  bring disgrace and prison and death in its wake.”

Dan Berrigan

work.  We try to use your donations carefully and work as hard and as well as we can.  This work was begun more than 13 years ago to serve the reproductive health needs of campesinas.  During this time we have witnessed the deterioration of the beautiful health system that the Sandinista government created and the increasing crises of the health of the poor as resources are taken from health to service the nation’s debt.  Initially, the work of the clinic was to help people improve their health.  Increasingly, our intervention is the difference between life and death of many of the poorest of the poor. 
     I implore you to look deeply into yourself and discover your strength, talents and compassion and put them to work – with a whole heart and will – to make this a more peaceful and just world where rights are honored and 
where no child dies of war or neglect.

     Abrazos from your friends in Mulukukú,


 

News Update from WEN: In mid-August, former president Arnoldo Alemán was moved from house arrest at his luxurious ranch to a private cell in a Managua police prison to await trial on charges by Nicaragua’s attorney general that he and more than 40 members of his family and former administration diverted $100 million of public funds for personal use. He may also face trial in the U.S. on charges of money-laundering having allegedly used U.S. as well as Panamanian banks in the operation, according to the BBC News. Criminal Judge Juana Mendez said financial problems meant police were struggling to provide the 20 guards assigned to ensure Mr. Alemán remained on his property. 


A note on donations: Last year at this time, with a drop in the U.S. economy, donations fell, and the clinic faced a financial emergency. Staff positions were cut to half-time, programs were put on hold, and WEN went into overdrive on fundraising. AND YOU, whom we called upon, showed that you do consider yourself true partners in this effort, and you gave what was needed to put the clinic back on track. We hope you can help this year’s income be more steady. We are moved by how you  watch over the clinic’s needs and how ready you are to respond.  You may continue to help us through the convenience of your credit or debit card through our secure PayPal system.  Just click on the button below:

–Janie Yett, Board President

Leaving a legacy: Many of you may be interested in sustaining the clinic for the long haul. We plan to provide more information early next year regarding leaving a charitable gift in your will or living trust, among other options. 
–Jill Winegardner, Board Secretary

For information on Dorothy’s September 18 to October 23 East Coast tour, contact Christy Cook.
 
 
     If you would like to share your experiences in future newsletters,  please contact Ellen Farmer at our email address.
     For those of you would like to receive the newsletter in the mail, please write to us at:
wempowermentn@yahoo.com
     You can also alert your email-loving friends to check out the website.
 
 
Several colorful murals now adorn the walls of the clinic in Mulukukú. These murals, painted by Nicaraguan college students this year, were funded by an anonymous donor from the states who wants the clinic's influence to continue through upcoming generations.

Stay strong! Keep the faith. And PEACE,

The WEN board,
Janie, Jill & Kaki, Women’s Empowerment Network,
Santa Cruz, California

Women’s Empowerment Network
309 Cedar Street, #547
Santa Cruz, CA 95060

Tax ID 77-0566997


¡Abrazos! de Mulukukú Archived:

 
Fall, 2002
Summer, 2002
Spring, 2003



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