Wednesday, July 18, 2012

The Floating Villages

Siem Reap, in northwestern Cambodia, was probably the highlight of my time so far in Cambodia. We were there June 14th-18th, but it'll take me more than one blog post to get through everything that we saw and did there. Sorry I'm so slow at this, but I do actually try to do SOME work while I'm here working.
On Friday, June 15th, we were able to visit Tonlé Sap, which is a large, freshwater lake near Siem Reap that empties into the Mekong River as it travels toward Phnom Penh. When we got to the lake, we loaded onto a fairly small wooden (but luckily motorized) boat.
It was over an hour across a big part of the lake, until we got to the floating villages. Even though the name "floating village" pretty clearly outlines what you're going to see, it still can't really prepare you for everything out there.
The first thing that we went to out on the lake was the water treatment facility that is run by RACHA, and was paid for by the LDS church. The facility itself was about 50 feet by 30 feet (I'm really bad at estimating things like that... so I could be off by a lot), so it felt pretty small, but they do incredible things there. They are able to take water from the lake and purify it to drinking water and sell it at a remarkably discounted rate. Also, to add a little perspective, all water in Cambodia is not safe to drink so everyone always drinks bottled water. It isn't simply a luxury to have bottled water, it is a necessity.
It was really interesting to learn about how they are able to distribute water to people on the lake, and how they are able to advertise their service. It was also incredible and mind blowing to see how people go about their daily lives while living on a lake.
This was certainly not the land of comfy houseboats that you see at Lake Powell, but they certainly made it work. Children take small wooden boats to school, there are little food boats that roam around selling food just like the carts do in the streets of Phnom Penh, they have floating cell phone shops, and when the water levels change, they can tow their houses behind a boat and move to a more favorable location. It's kind of ingenious actually. I have a ton of pictures of everything we saw out there, but I don't have room to put them all on here.

After we had visited the two RACHA water treatment facilities, we visited a floating restaurant/shop for a little bit. I had to (got to?) walk across a crocodile pit, see a mom put a Burmese Python around her infant's neck, and play with children who lived on the lake in pots and pans from the kitchen.



This was probably definitely the furthest I have felt from home.

Wednesday, July 4, 2012

Prey Veng and the Cambodian Countryside

A few days after we got back from Koh Tonsay, we had the chance to travel to Prey Veng to do a field visit of the RACHA provincial office and the partnering health clinics/referral hospital there. Prey Veng is the province just east of Phnom Penh, on the east bank of the Mekong river.
The visible poverty in Prey Veng was absolutely astonishing. Visiting the health clinics took my breath away, and not really in a good way. I knew to expect poor sanitation, but I guess it had never felt real until I was seeing it first hand. Even more than that, seeing patients actually suffering in these conditions made me realize just how thankful I am to have clean hospitals.
On the first afternoon we attended a "Community Scorecard" health center self evaluation. Community Scorecard is a program run by RACHA to help the communities and health centers communicate with one another more efficiently to improve the quality of care on the local level. This self evaluation meeting was only the health center staff (3 people) evaluating themselves on things like cleanliness, availability, communication etc... The next day we visited a few more health centers, and then the referral hospital for the province. The referral hospital was even more crowded, dirty, and heart wrenching than the health centers had been. That afternoon, we went to the second half of the Community Scorecard meeting. It was held at a school out in an even more rural area, and it was a meeting for the health center staff and the representatives from the villages.
I'm sure it would've been interesting to listen to, but since my Khmer is pretty minimal, it was mostly a really long (5 hours) meeting in a hot room with lots of bugs. Driving back from that meeting, we got caught on a "road" that had been dirt, but had turned to mud that was a few feet deep. Some cars were stuck, and the ones that weren't, were sliding off the road into the ditches on the side of the road. By the time we had arrived to the muddiest spot, there were a fair amount of men there to help push cars through.
Long story short, it took about an hour and a half to get the car through maybe a quarter mile of the road, our driver was incredible, and without those men we would've ended up in an overturned car in a ditch. It was kind of like being on the Indiana Jones ride, but without the fire, loud music, and assurance that Disney would keep you safe. Later that night, I had one of the weirdest nights I've had in Cambodia. We decided to stay in Prey Veng for another night, to see another RACHA program, "Comedy for Health". Basically, the idea is that they have these large trucks that fold out into a stage and sound system. They park them on the side of the road out in the province, and hundreds of people come to watch a play to teach them about a health concern. The one we watched happened to be about pregnancy.
Again, my handle on the Khmer language is extremely poor (I know some phrases, but I can't really understand people speaking at a normal pace) so I had no idea what was being said in the play, but gesturing and movement definitely crosses language and cultural lines. In fact, while the play was meant to be funny, I believe it was at least six times funnier not being able to understand a single word. The play was about 3 hours long, and was extremely over the top. By the end of it I was confused, and my sides hurt from laughing. After the comedy, they do a question and answer session with the audience and the actors (who are trained in the health area that they are acting about), which is probably the most helpful part of the event. Then, they put on a short drama at the end that has nothing to do with health. It was seriously one of the weirdest, funniest, most confusing nights of my life. Our friend Pee Room (I'm quite sure that that is not how you actually spell it, but that is as close as I can get phonetically) was trying to translate at first, but he wasn't spectacular with his English speaking quickly and, like I said, it was pretty hilarious without knowing what was actually happening.