Sunday, October 31, 2010
Little Children
Friday, October 29, 2010
Thursday, October 28, 2010
Throwing rice

Photo above by Ron Holt
To me, there are few sights more beautiful than the Haitian countryside. The land itself is full of drama. A ride through the mountains deserves a soundtrack with booming tympani and majestic strings. Impossibly steep mountainsides streach up to jagged ridges. In the US, this kind of topography is almost exclusively found in national parks, full of flora and fauna with only a few human visitors who come in for a day hike, and then return to their homes. In Haiti, these awe-inspiring mountainsides are dotted with small homes, striped by terraced fields, and peppered with people trying to draw a living out of the land through farming.
"In the 1980s Haiti was nearly self-sufficient in food production, most of its farmers could earn a living and the Haitian population purchased local food. Today, up to 70 percent of Haiti’s food comes from imports and Haiti’s agriculture remains in shambles due to economic policies that have debilitated local food production and rural development" (p. 8)
It's remarkable to me what a huge impact one US policy change can make in the economy of another country, especially a small one like Haiti. The image that comes to mind is an elephant balanced in a fishing boat, like one of the many we saw during our trip (fishing boats, not elephants, that is). One tiny shift in position can make the whole operation capsize!
Photo above by Ron HoltIt seems that there is much to learn from this history that is especially pertinent to the current situation. After the earthquake, as in the 1980s and 1990s, there have been massive amounts of free food sent to Haiti as part of the relief effort. This aid was essential and is still desperately needed. We saw a lot of malnutrition and hunger in areas where this food aid has been withdrawn (more on that later). At the same time, sending ships full of rice and beans is not enough, and has the potential to have a similar destabilizing effect on the local economy that the USAID policies had. It is essential that short term food aid be balanced with long-term investment into the agricultural sector, and a re-evaluation of US economic policy toward Haiti.
.
• Advocating that the government legislate agricultural subsidies.
• Providing Haitian farmers with access to credit.
• Repairing and improving agricultural infrastructure.
• Ensuring that farmers have legal rights to their land.
• Investing in participatory, farmer-led research and knowledge transfer for small-scale
farmers in Haiti" (p. 8).
1 In days to come the mountain of the Lord’s house shall be established as the highest of the mountains, and shall be raised up above the hills. Peoples shall stream to it,
4 but they shall all sit under their own vines and under their own fig trees, and no one shall make them afraid; for the mouth of the Lord of hosts has spoken.
5 For all the peoples walk, each in the name of its god, but we will walk in the name of the Lord our God forever and ever.
Wednesday, October 27, 2010
The Joy of [Haitian] Cooking
Photo above by Ron HoltOne of the joys of our time in Haiti was getting to know Naomi, the head of the kitchen staff at Isaiah 61 House. Though timid in front of the big group, Naomi is warm and chatty one-on-one. She told me about her family, most of whom live in Port-au-Prince—her father is a pastor and her mother is a nurse (just like Robbie’s grandparents). She used to be a missionary for YWAM in Haiti and the Dominican, and seems to see her work at Isaiah 61 as a kind of ministry, too. She became my guide to Haitian cooking through our nightly chats in which she would graciously explain her delicious recipes to me. The recipes were fairly simple, but the more I learned about the process of cooking (both from Naomi and others), the more complex issues started to emerge.
Photo above: Cobb, Charles E. 1987. “Haiti: Against All Odds.” National Geographic, Vol. 172, No. 5: 645-670.Of course, this kind of environmental disaster did not happen overnight, and it did not happen just because of the charcoal industry. According to a Library of Congress brief, as of 1923, about 60% of the land in Haiti was forested. In 2006, less than 2% of it was. Some of the factors that contributed to this are hurricanes that toppled trees, unsound agricultural practices, and high levels of competition and population growth. It seems that poverty is also a part of this downward spiral—when a farmer is poor and desperate, his first priority will be doing whatever it takes to feed his family, even if it means using environmentally unsound practices. But then, the land gets degraded faster and becomes less productive, making it even more difficult for that farmer to make ends meet. And so the cycle of destruction continues. A discussion of this cycle of deforestation would not be complete without also looking at the political and macroeconomic factors also at work over time… tune in tomorrow for more on that. Did I mention that almost everything in Haiti is complex and multi-layered!
It was a joy to watch Naomi and her kitchen staff at Isaiah 61 House preparing the food for dinner. They started early in the morning, bringing in the ingredients from the market—big bowls or baskets of fruit, potatoes, and meat. They would spend the whole day washing, peeling, sorting, grinding, marinating, stirring, cooking, and frying. All the while, they chat and tease each other in the kitchen. From time to time, the play would be put on hold temporarily as one or more of the women cried out to God in Alleluias, hymns, and prayers. The cooking, laughter, chatting and worship was interwoven seamlessly and naturally. It was just so good. I was struck by the richness of the simple and life-giving task of cooking—it showed me (again) how much time is God’s gift for relationships. What a blessing.
Naomi’s Bean Sauce (notably without any measurements!):
Combine the following, cook until soft, and blend (or grind in mortar and pestle) until smooth:
Black beans, washed and sorted
Garlic
Onions
Green pepper
Salt and pepper
Cloves (the secret ingredient!)
Coconut milk
Oil
Butter
Bon appétit!
Monday, October 25, 2010
Divine interruptions
Part of our group was blessed to be a part of this kind of experience, while Robbie and I were doing some other things at St. Michel Hospital one day. The day started off as planned. The group toured the hospital, and headed downtown to the mayor’s office. A couple of the leaders of the group were to meet with the mayor to discuss some plans for the primary health care clinics CCH will be putting into place.

Photo above by Ron Holt
Once they were there, the mayor graciously invited to whole group (at least a dozen extra people) into his office for a visit.

Photo above by Ron Holt
Of course, this whole segment of the day occurred in Haitian time, meaning that it was much longer than anticipated, and involved a lot of waiting. Specifically, someone had been running late, so the meeting with the mayor had been delayed for a while. And then the whole group was invited in, which added some time too. By the time they got on the road after the meeting, they were behind schedule. Well, at least behind their schedule that they had planned. Little did they know that they were really right on time.
Within minutes, they were at the scene of an accident. From what they could see from the van windows, it looked like a motorcycle had hit a woman, now screaming in pain in the middle of the road. There were three doctors (an anesthesiologist, a bioengineer, and an OBGYN), and a Haitian-American translator with a background in medicine. At that moment, they jumped into action as emergency medical responders. They burst out of the van and rushed to assess the situation.

They moved the woman to the side of the road, because Haitian driving was not slowing down to accommodate the scene of the accident or the injured woman in the road. She screamed in pain when they carried her off to the side, and clutched at her upper leg. It didn’t take them long to suspect she had a broken femur, the large bone that connects the hip and the knee. The already acute situation suddenly became even more dangerous, and required an x-ray to be sure. The break of a femur is life-threatening, because the femoral artery runs very close to the bone. If the jagged edge of the broken bone punctures this artery, internal bleeding can kill a person quickly.

Photo above by Ron Holt
Just as the random assortment of doctors was transformed into EMTs, so one of the vans was converted into an ambulance. The team made a make-shift brace and loaded the woman into the van. She was still calling out in pain. She begged and asked the doctors, “Please, I don’t want to be handicapped. I don’t want to lose my leg!” She must have seen how hard life is for people who are handicapped, especially following the earthquake.

The van-turned-ambulance rushed to the nearest hospital. I wish I could say that the story ended here, and that this woman was handed over to the capable hands of local doctors. But the saga was not over yet. The first hospital they went to is a clinic run by a group of Cubans. When they realized the severity of the injury, they refused to admit the patient. “We are not a hospital, we are a clinic. We are not equipped to handle this kind of injury,” the translator explained to the doctors. Back to the van.

The next stop was a private hospital, Cayes Jacmel, which we had visited a few days before. The road leading up to it is not paved and full of potholes, so I can only imagine how the patient’s suffered during the bumpy ride. When they arrived, they were turned away again. “The x-ray machine is out of toner. We can’t do the tests here, but we can take her when they are done” the administrator suggested. Of course, payment needed to be made for the few services they did provide, and one of the American doctors covered the fee. Nothing is free here.
On they drove, to another hospital, where they could do the x-ray. The x-ray confirmed the suspicion that the patient had broken her femur. In fact, it was a full break, and not just a fracture, as you can see.

Photo above by Ron Holt
Finally, they drove back to Cayes Jacmel, to admit the woman for treatment. In the US, the appropriate treatment would be orthopedic surgery, in which metal plates and screws would be used to secure the two parts of the bone together so it can heal properly. But here, there are no metal plates, there are no surgical screws, and there is no surgeon. So, there is no surgery, at least now. Now, they can make the woman as comfortable as possible, and maybe try to straighten out the bones by pulling traction. Thankfully, there is a team of US orthopedic surgeons coming to this very hospital in a few weeks, and they will be able to bring the supplies and do the surgery. I hope and pray that this woman is able to survive the next few weeks while she waits.

Photo above by Ron Holt
As I reflect on this story, I experience a lot of mixed thoughts and emotions. On the one hand, I am so grateful that the doctors, their make-shift ambulance, and their funds to cover hospital fees were on the scene, providentially, just at the time they were needed. Otherwise, the woman would probably have died there, on the side of the road. What a beautiful example of how God orchestrates timing and circumstances for those who are up for the adventure and open to God’s will.
On the other hand, the state of affairs that this narrative exposes is unacceptable. It shows us, in living color, the lack of emergency medical response, the inadequate hospital supplies and equipment, and the insufficient staffing of doctors. In Haiti, there are only 2.5 physicians for every 10,000 inhabitants, according to figures from 2000 by the Pan-American Health Organization. It’s just not enough.
In the past, when I've thought about this kind of suffering in the world, I've gotten angry at God, and demanded, "God, why do you allow all of this? Why don't you do something about it?!" But now, more and more, I realize that it is God who is asking us, who is asking me, the same questions. How will I respond? How will I act? Will I be open to a divine interruption?
Sunday, October 24, 2010
Water in a time of cholera

Friday, October 22, 2010
Rubble
Photo above by Ron Holt (Jeremiah 17:9)
I got rubble . . .
I got rubble
Down inside of me
Fists full of rubble
Heart full of rubble
Broken heart and trouble
I got torn canvas
Tarp shredded
And days dreaded
I got stench filled polluted air
Charcoal fire burning
And no loving care . . .
Shame and a blank stare
I got worn out clothes
Nowhere to go
Where my next meal comes from
. . . I don’t know
I got dusty shoes
No good news
So far faded to black
Can’t see the blues
I got crowded streets
Shredded sheets
And no one to meet
I got polluted water in my veins
Spotted and soiled and stains
I got carcasses and death and remains
Viruses of all strains
I got a Haiti as my heart
Because I played my part
I am sin’s destruction and death
Gasping for life and breath
I am shattered destruction
Condemned collapsed building
Nothing to offer and nothing to bring
Soiled and dirty, never clean
I am ruins and decay
Broken and in disarray
Dashed hopes and dismay
I am hurricane torn
Weathered and worn
I am exploited lands
And caught with red hands
I am earth quake rattled
Crushed and tattered
Crying out . . . smattered
I am rubble
I am rubble in streets
Crashes nearly avoided
And skipped heart beats
Aftershocks and broken infrastructure
Spilled out in rupture
I am muddied murky waters
And close dilapidated quarters
I am refuse and abuse
Left out alone and cut loose
I am resource depleted
Promises never delivered . . . defeated
Broken glass on the shore
Never having enough
And always wanting more
I am helpless and despair
No health care
I am a world apart unnoticed
Out of sight, out of mind, unaware
On my own, I am unfed, full of dread,
And left for dead
I am Haiti
There is no life independently
No life on my own you see
I am wearing down and washing into eternity
Erosion . . . corrosion . . . implosion . . .
I got rubble
I got rubble breaking down to ashes and dust
Dust storms and winds gust
I got Haiti blowing through me
My destruction before me
Endlessly . . . effortlessly . . .
Carelessly . . . recklessly . . .
© 2010, Robbie Pruitt
Thursday, October 21, 2010
A Feast Day
Photo above by Ron HoltSt. Michel Catholic Church sits on the grounds of the hospital by the same name, just to the left past the iron gates. It is a lovely building with a Spanish architectural flair to it, complete with pink stucco and bright yellow highlights. On most days, the heavy white doors are closed and locked, with a few vendors selling water and snacks on the stone steps out front. But, we were fortunate to be there on a day unlike most days—it was the Feast Day of St. Michael the Archangel, the namesake of the parish.
So on this day, the church was abuzz with people. The main building was no longer used for Mass because of earthquake damage, but that did not stop the church from gathering. There was a large white tent erected just adjacent to the building, decorated with bright yellow sashes, palm branches and artificial flowers. Neat rows of folding chairs filled in every shady spot, and were packed in with people, perhaps 400 or 500 in all. Those that couldn’t find a seat stood toward the back and on the steps, straining to peer in toward the altar. I joined in mid-way through the service at the back, next to Robbie, who had been there the whole time.
This is embarrassing to admit, but the first thing that struck me was how underdressed I was. Though I had on a skirt and plain t-shirt, my typical church attire in the US, it seemed conspicuously inappropriate among the crowd that had assembled. They were lookin’ good—I mean, really good. The men wore suits and polished shoes. The women had on hats, bright dresses and heels. I even saw a few women with pantyhose on, even though it was about 95 degrees F outside. Up front, there was a choir, all dressed in white and singing spirited songs in Creole. There was also a fleet of priests who co-officiated the special Mass together. At the designated times, they spoke, read, prayed, and offered thanks and blessings to some Missionaries of Charity who would be departing to their next assignment soon.
Though I couldn’t understand every word that was spoken over the speaker system, and I missed a good portion of the Mass, I felt a kind of comfortable familiarity when I joined in the service. Having grown up Catholic, the calls and responses, the flow of the liturgy, and the ethos of the worship are woven into my spirit. So, whether the celebration is in English some other language, there is a part of me that understands, appreciates, and feels blessed to enter in.
After the service, I ventured through the open doors of the sanctuary. At first, I wasn’t sure if I was allowed in, because of the structural damage—the sunlight still shined through the breaks of the walls behind the crucifix, and all of the other walls had fissures and cracks. A Haitian woman was inside, and seeing my reluctance, smiled and welcomed me in, asking me to take a look around if I wanted. She was dressed in a colorful patchwork skirt that fell in long folds toward her feet. In the chatty and hospitable way of so many Haitians, she told me about her church with pride and some sadness, as she pointed out the beauty of the space and the earthquake damage.
“He received dominion, glory, and kingship;
nations and peoples of every language serve him.










