September 13, 2016 9:21 am

Local Solutions to Anemia in Lima, Peru

Written by Jake Kincaid

2Theresa with all of her ingredients, ready to give the nutricion workshop.

          According to the World Health Organization, iron deficiency is the most common and widespread nutritional disorder in the world. Anemia, a condition resulting from iron deficiency, and malnutrition in general affects primarily impoverished populations around the world. In Peru, where about 50% of the population lives in poverty, chronic malnutrition is widespread, especially in the rural areas and urban slums where MEDLIFE works. In accord with MEDLIFE's commitment to working on solutions that are tailored to local realities, MEDLIFE held a cooking workshop designed to help residents fill their iron deficiency using an ingredient cheaply and widely available in local markets but not so easy to cook with- animal blood.

1Theresa with a bag of raw blood.

          Blood is extremely rich in iron and cheaply available in markets from local livestock, thus it is the perfect local ingredient to increase iron intake and avoid anemia. Anemia is a particularly insidious nutritional deficiency that exerts its effects subtley but in the long run exerts a great toll on populations. Some of the primary symptoms include fatigue, weakness, difficulty concentrating, dizziness, insomnia, muscle cramps, and rapid heartbeat which can lead to heart failure and death. Theresa explained during the workshop that your average anemic child will sleep during school, not want to play, and be very inactive.  These children are also more vulnerable to diseases like Tuberculosis. In contrast “A child without anemia runs and jumps, is a happy and active child,” Theresa said.

IMG 83244MEDLIFE Year-long Interns played a game that involved sorting healthy and unhealthy foods with the kids that came.

          Over 3 billion people, over 30% of the world's population, are Anaemic.  According to the WHO, “Iron deficiency exacts its heaviest overall toll in terms of ill-health, premature death and lost earnings... and reduce the work capacity of individuals and entire populations, bringing serious economic consequences and obstacles to national development.”

          In Peru, 37% of children under 5 with families in the socioeconomic bottom 20% suffer from chronic malnutrition. Union de Santa Fe is a community MEDLIFE has worked with extensively located in the poorest area of one of the poorest districts in Lima, San Juan de Miraflores, where 20% of the population lives in poverty.

          The MEDLIFE workshop was a great success, residents of Union De Santa Fe learned how to cook to improve their iron intake and avoid Anemia, as well as learned about general nutricion. 

          The crowd favourite was chocolate de sangre, or chocolate blood dip. Trust me it tasted a lot better than it sounds. The recipe included: Animal blood, vanilla crackers, vanilla extract, cinamon infused water, cacao and sugar all blended together.  

59A batch of chocolate de sangre, freshly blended.

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7The kids could not get enough of the chocolate.

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September 7, 2016 10:05 am

MEDLIFE's Social Housing Project

Written by Sarah Bridge

Over the last few decades, Peru has seen mass migration into Lima which has led to huge numbers of people gaining land through squatters rights and setting up unstable, poorly built homes to enable them to live in the country's capital.  Since the 1970's, migration to urban centers has been a huge problem throughout South America and has let to the construction of Brazil's favelas, Argentina's villa's and the pueblos jóvenes that we see in Peru. MEDLIFE's architecture intern, Edinson Aliaga, explained the effect that this dramatic urbanization had on Lima: “There was an area that was created for urban expansion in Lima, but they didn't expect just how many immigrants would be coming in.”  This extensive migration and the unprecedented number of people moving into the urban centre, led to people grabbing land where they could and constructing quick temporary structures to allow them to gain land titles on unstable terrain.  These badly constructed houses left the residents susceptible to illnesses and infections from the poor living conditions and other structural dangers due to the unstable nature of their homes.   

IMG 9826The typical style of housing found in Lima's pueblos jovenes.

 

In more recent years, there have been many housing projects and design programs developed across South America that attempt to deal with the growing issue of social housing in the slums. Alejandro Aravena is a Chilean architect who this year was awarded the Pritzker prize for a social housing project he developed in Iquique, Chile.  The Pritzker is the Architectural equivalent of the Nobel Prize and is generally awarded for design ingenuity and projects that are considered to be ‘momentous' works.  Therefore, the seemingly unimpressive social housing project that Aravena won it for, came as a surprise to many in the Architecture community.  However, in reality, Aravena's project was more than just a social housing scheme, it was a piece of architectural innovation with Aravena's desire to tackle Chile's social housing issues at the heart of it.  

Aravena's idea to develop a sustainable housing model, shaped to the needs of the poor, is something MEDLIFE is currently investing in with its own housing projects.  MEDLIFE's new architecture and civil engineering interns, Edinson Aliaga and Raul Huapaya, have been working closely with Carlos Benavides, director of MED Programs Peru, over the last few months to expand MEDLIFE's work in the field of social housing.  Many of the illnesses and health problems we treat come as a result of the poor living conditions and lack of basic resources, caused by the structures built after migrating.

2016 09 01Carlos Benavides, director of MED Programs Peru discussing an upcoming project with interns Raul and Edinson and community leader Casani.

 

Aravena's project ‘half of a good house' was developed after similar issues of migration and centralization had arisen in Chile due to sudden dramatic urbanization.  The idea behind the project was Aravena challenging the thought that the public money received to improve the living situation of many impoverished Chileans could either be used to build many low quality houses or a few high quality houses.  Aravena instead presented the idea of creating a secure, sturdy structure which could then be expanded on relatively cheaply by families in the future when the time came- essentially half a good house.  â€œAravena is something of a pioneer in this field of social housing.” Edinson explained, “He was one of the first people to think about social housing as a way for the poor to be able to have stable, comfortable housing at an affordable cost.  He came up with the idea of developing a house after it has been built, thus giving people a stable foundation which they can then expand on if they want to.  Essentially meaning they could put in more bedrooms, a small shop, anything they need, knowing it's on a stable structure.”  

Alejandro Aravena Villa Verde House 01 889x1024Alejandro Aravena's 'half of a good house' design.

 

Creating houses with stable foundations and basic commodities has been a large focus of the work of the MED Programs department over the summer.  Edinson and Raul have been working on developing plans that are similar to Aravena's in the way that they have the option to be expanded on but are also designed with the individual in mind. The department has already undertaken two housing projects for MEDLIFE patients Santusa and Soledad and are looking for ways to further incorporate Aravena's philosophy of ‘half of a good house' into future projects.  â€œThese houses can really cost anywhere between $7,000 and $10,000.” Raul said when talking about how the housing projects are funded.  â€œSo Santusa's cost one price, Soledad's will cost a different price.  Soledad's has two floors which obviously will cost a little more but it will be a smaller house.”  Both these houses have been constructed with the possibility of expansion either upwards or outwards and both were designed with various structural elements taken into account including location, terrain and ‘cultural elements' such as the number of people who will be living there.  â€œThe houses we build have to be both secure and practical with everything that the person needs thought about.  That includes a bathroom, a bedroom, and a living space.  All these things have to be done within a structure that has been thought about for Peru and for Lima where we find many earthquakes and other structural issues” Raul explained.  

blog soledad 1View of the back of Soledad's house before MEDLIFE started work on the new structure.

 

The idea of these houses being built “with everything that the person needs thought about” is the main focus of MEDLIFE's social housing project.  As with Aravena, we want to be able to provide the communities we work with with the same safe quality of housing as the rest of Lima and not just give them something cheap and comfortable because that is the easiest way.  However, we also want to make sure that these houses are suitable for the individual both in terms of space and structure, dependant on the location.  Previously, the issue of social housing has been addressed with a ‘model home' approach, essentially designing one practical living space and putting that up wherever a house is needed.  However, Edinson explained how this approach is not really feasible.  â€œThe problem there is that no one is thinking about the individual.  They're just thinking about making it simple.  20-30% of the terrain around Lima is not recommended to build on in these areas but people don't know about this.  Really, no buildings should be being constructed on this land but if they have to be built, they have to be built well.  So that's the first thing, you have to think about the foundations of the house dependant on where it's being built.  Secondly, you have to think about the actual individual.  For example, Santusa had a single floor to her house because she is living alone.  Soledad's house however, had to have two levels so there is room for her and her son.  So that's another thing to think about.”  Making a blanket design of a ‘model home' isn't feasible because whilst it may serve well for one individual living in one place, it will not be safe or comfortable for a different individual.  

2016 09 06Renders of the designs for Santusa and Soldedad's houses. The designs vary based on the needs of the individual.

 

Part of the MEDLIFE mission is working together with community members and patients to give them what they need and what they ask for.  We are committed to seeing this through with our housing project in constructing sustainable, stable homes for those patients in need.  Santusa and Soledad were both one off cases where the individual was in desperate need of a house which we then constructed to according to their personal needs.  However, MED Programs have more recently been talking about developing a happy medium between Aravena's ‘half of a good house' theory and our own belief that the individual must be taken into account.  On a recent visit to Urucancha, a remote community in the uppermost hills, Carlos Benavides began discussing plans with the community leader of designing a ‘model home' specifically for that community.  This would essentially mean that the structural elements could be taken into account as all the houses would be being constructed on the same terrain and the cultural elements could be covered by the possibility of expanding on the solid structure.  Raul explained a bit more about how this ‘community model home' would work.  â€œWe would make a plan for a ‘model home' that would meet the cultural and physical requirements for that community.  We would then help with and supervise the construction of two of three homes with the help of community members.  So, everyone then knows how to build this ‘model home'.  The idea is that it's an easy and repetitive way of building so we can get enough materials for however many houses the community needs and then after having help with the first few, they can build the rest by themselves.  However, this will only work for this community.  As Edinson said, when you go to a different community with a different terrain, it's a completely different world.  For example I would never design and build the same house for someone living in Surco as I would for someone in Villa Maria del Triunfo and it works the same way amongst the communities.”  

IMG 7849MEDLIFE interns adding some finishing touches to Santusa's house.

 

The possibility of creating ‘model homes' for communities is still very much in the planning stages but in combining what we have learned so far with inspiration from other projects like Aravena's, the direction for the housing projects is becoming increasingly clearer.  We hope to be able to continue to work with Edinson, Raul and Carlos to develop this project even further in the future.   

 In August 2016 MEDLIFE Ecuador completed two bathroom projects as part of ongoing earthquake relief efforts in Jama, Ecuador, an area that very affected by the earthquake, but that did not receive as much aid or attention as other areas like Pedernales. MEDLIFE has begun working together with the local government on these construction projects, the government is constructing the houses and MEDLIFE is building the bathrooms. Bathrooms are an extremely important of the infrastructure that needs to be rebuilt following the earthquake. 

In 2011, The World Health Organization (WHO) declared diarrheal diseases to be the second leading cause of death in low-income countries. The WHO and UNICEF estimate that functional, clean bathrooms can reduce cases of diarrhea by more than 33%. Following the earthquake, maintaining proper hygeine is critical to maintaining healthy populations and water supplies. 

Here are some photos from the inaugeration of the project:

5Beneficiaries, MEDLIFE staff, and local government members in front of one of the new houses.

8Inside one of the new bathrooms constructed by MEDLIFE.

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1One of the new houses.

6The tape cutting ceremony.

7The inaugeration was covered by local news.

10MEDLIFE Ecuador staff with beneficieries in front of their new home.

 

 

September 2, 2016 5:41 pm

Foundations For A Future: Kirua Campaign

Written by Sarah Bridge

Over the next few months, MEDLIFE staff, interns and chapters all over the world will be working to fundraise for Kirua Schoolhouse in Tanzania.  MEDLIFE discovered the school in August 2015 when we set up our first mobile clinic in this community.  One of the three pillars of MEDLIFE is education and in fundraising for this project we are keen to also raise awareness of the importance of education in underdeveloped communities.  The fundraiser is designed to last for the duration of the first four months of the school semester.  Each month will focus on a different aspect of the project; education, sanitation, food hygiene and infrastructure.  We will also be promoting a different educational day each month to raise awareness of the issues we are trying to help resolve.

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In September, we are focusing on the necessity of having a clean, comfortable space to work in and in this way, we hope to provide the school with 29 desks and chairs to allow for easier access to learning.  120 students attend the school every day and the current lack of desks is resulting in many resorting to working on the floor.  It may seem like a small thing but not having a desk to work on can do a lot to hinder a child's ability and willingness to learn.  In order to raise awareness of this issue, the education day we are promoting in September will be ‘Day Without A Desk'.  The aim is to challenge students from MEDLIFE chapters to spend a day at their own college without access to desk space to work on.  This will not only raise awareness of why it is so important for us to fundraise for this cause but will also help students to understand struggles they would otherwise never come into contact with.   

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In October we will be focusing on sanitation and how it can impact a learning environment as well as why it is important for students to be educated on this issue.  In Tanzania, only 3% of schools have access to basic commodities such as electricity, water and sanitary bathrooms.  Despite there being 120 students at Kirua School, there is no bathroom and no safe place to get clean water.  This lack of sanitation is very dangerous and causes 2900 deaths every day worldwide.  We plan to build a bathroom for the school with sanitary facilities for the children to wash their hands, access clean drinking water to fill bottles and even brush their teeth.  To raise awareness of this issue in October, MEDLIFE college students will be encouraged to take part in our ‘Tally for Tanzania' educational day where they will be asked to make a note in a tally every time they use their bathroom facilities around campus.  Again, we hope that this will raise awareness for students, friends and family and will demonstrate the importance of raising money for this cause.

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November and December will be focusing on food hygiene and infrastructure respectively with the aim of raising money for a new kitchen, the final aspect of the school that needs drastic improvement.  We will be keeping our website and social media pages up to date with the progress of the fundraising and stories from different chapters and MEDLIFE offices about how each education day turns out and how the project is going as a whole.  Due to the importance of these educational days in the overall success of the fundraiser, we will be really pushing for greater involvement from MEDLIFE chapters around the world and will be hoping to keep our social media updated with information from all different schools about what they are doing to promote the cause.

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This is one of the most ambitious fundraising projects we have attempted so far and we are hoping that it will be a chance for many different MEDLIFE chapters to work together for a rewarding end goal.  Overall, we are hoping to raise $11,500 over the 4 months to enable the children at this school and the surrounding community to be given the amenities and support they need to learn in a safe and sanitary environment.

To donate towards this project click here.

September 2, 2016 8:19 am

Intern Journal: Alison Bradley

Written by Alison Bradley

Two years ago I volunteered at a MEDLIFE mobile clinic, hauling cement with sixty other University of Michigan students, to help build a staircase in the community of 22 de Junio. I never imagined I would be standing on those stairs again, but this time as a MEDprograms intern.

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After my experience working with MEDLIFE in 2014, I knew that I wanted to improve my Spanish and continue learning more about health disparities in medically underserved communities. I went back to school and declared as a Spanish major immediately. When I was getting ready to graduate, I was looking for more opportunities to continue to educate myself—to learn more about the world around me, and what I could do to serve others. Once again, MEDLIFE seemed like the perfect fit for me.

However, leaving the country for a week and leaving for a year are two very different experiences. I had been on a mobile clinic, and I had thoroughly researched the values of MEDLIFE, but you don't really know what you're getting into until you're here. We spent our entire first week training (with Nick Ellis himself!): learning about MEDLIFE's goals, how it is different from medical missions, and what factors contribute to Lima's health and development disparities. It was such an amazing experience to be surrounded by people passionate about educating themselves on these issues and working to eliminate them.

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The next step was to put it all into practice. I was able to spend an entire week in the field with the nurses and Carlos, our director for MEDprograms Peru. I visited communities and got to speak to them about addressing their needs, whether it was water projects, educational workshops, or staircases. I was able to sit down with patients and understand how our processes work to remove the barriers that separate them from accessing quality health care. I even rode in a mototaxi, which was honestly a little terrifying, but I did live to tell the tale.

2016 09 02

The first couple weeks in Lima have been a whirlwind, but I keep finding myself thinking about returning to those stairs in 22 de Junio. After two years, I am so thankful for this opportunity to be back in Lima to continue learning about and serving these communities. 

August 31, 2016 11:01 am

Meet the Year-long Interns 2016-2017 2

Written by Rosali Vela

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Name: David Jetha 
Hometown: Orlando, FL
School: University of Central Florida/ University of Florida 
Major: Biology B.S. and Anthropology B.A. 

How I got involved with MEDLIFE: Initially, a friend invited me to attend one of our university's chapter meetings. After refusing to go multiple times, I finally attended one and I'm so glad that I did. I fell in love with everyone's passion to help others and soon started working for our chapter's founding Executive Board. The following year, I served as the UCF chapter president and on the Student Advisory Board (SAB). In total, I've participated on 3 mobile clinics through MEDLIFE in Lima, Riobamba, and Managua.

Tell us a little bit about yourself: I'm a very curious person because I love learning about other cultures and the challenges that people experience. My ideal Saturday is reading a book or enjoying an in-depth conversation at a coffee shop. I also really enjoy traveling; I've been to over half of the U.S. states and am hoping to visit the remaining ones within the next few years. Finally, I'm a big fan of strategic games and am an avid Magic: the Gathering player.

Why did you decide to become an intern?: MEDLIFE's internship program offers a unique lens into the lives of people living in extreme poverty by examining their needs, challenges, and testimonials of daily life. MEDLIFE also works towards identifying root causes of these conditions to build sustainable programs and care that helps people build better lives and futures. I wanted to be a part of this MEDLIFE movement and work to make a difference in others' lives.

What was your first impression of Lima?: Lima is colder than I remember it, but the city is vast with an immensely rich culture. The people are very kind and are extremely accommodating when I forget how to say phrases in Spanish. Even though Lima's streets are always active and full of life, I've felt at home here and I'm looking forward to exploring more of the city.

What are your goals for this internship?: Personally, I'm hoping to build communication skills and stronger patient rapport. I'm also hoping to gain greater understanding of challenge and inequality in developing communities. For MEDLIFE, I hope to contribute my talents to helping the organization expand and reach more communities and volunteers.


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Name: Joe Comer 
Hometown: Duluth, GA
School: University of Georgia (UGA)
Major: Biology and Psychology  

How I got involved with MEDLIFE: My friends invited me to a MEDLIFE chapter meeting at my school in my Freshman year. At the time, I had class, but decided to check it out one week when class had been cancelled. I quickly realized just how much MEDLIFE's approach to global health and service lined up with my own. I started going to meetings where I learned more about Global Health disparities and issues.  I then began volunteering at MEDLIFE service events around my university. As I got more involved with my Chapter, I began to get more involved with MEDLIFE as a whole.

Tell us a little bit about yourself: I'm a recent college graduate experiencing the world outside of school for the first time. It's a unique transition to make while also transitioning to living in a new country and culture. Like almost every other early-20s aged person, I love watching movies, reading books, playing games, and going for hikes.  Peru is a beautiful country, so I'm looking forward to exploring this beautiful place.

Why did you decide to become an intern?: I believed that being a MEDLIFE intern provided a wonderful opportunity to serve others before devoting my time to a permanent career or graduate school. This is an organization that greatly influenced my college career and future goals, and I want to ensure that MEDLIFE as an organization can continue to not only serve the people of the regions it works in, but also provide college students around the world the same, influential opportunities it provided me.

What was your first impression of Lima?: I first came to Lima on a Mobile Clinic my Junior year of college.  My first impression was that the city was bigger than I had expected it to be.  Everywhere we went was a long drive away, and Peruvian traffic can be quite hectic.  I quickly saw just how much character and culture there was squeezed into every square foot of this city, from the unique architecture to the incredible people. It's a city that should be experienced and not just seen.

What are your goals for this internship?: I may have completed my undergraduate career, but I am still deciding what career path is the best fit for me. While I'm figuring that out, I hope to expand on my knowledge of Global Health systems and disparities. And lastly, I hope to improve on my, admittedly, lackluster Spanish language skills.


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Name: Sevan Misirliyan 
Hometown: Novi, Michigan 
School: University of Michigan 
Major: Biopsychology, Cognition and Neuroscience 

How I got involved with MEDLIFE: In my junior year of college, one of my good friends told me that she was planning to attend a MEDLIFE mobile clinic over spring break. After looking into MEDLIFE, I was both intrigued and drawn into its mission and decided to sign up for the trip as well. That week ended up having a much larger impact on me than I could have imagined, and I am excited to be back for the upcoming year.

Tell us a little bit about yourself: I am a 2015 graduate of the University of Michigan. Any close friend of mine would tell you that I'm just a tad bit obsessed with Michigan football.  Outside of that, I love traveling and experiencing different cultures. When I'm home, you'll most likely find me curled up with a good book or binge watching Netflix.

Why did you decide to become an intern?: What stuck with me most after my week long service trip was MEDLIFE's mission and methodology in attacking poverty and healthcare disparities. It drove my passion to continue working with underserved communities and led to my decision to volunteer in Armenia the following summer. Through these experiences, I found that I wanted to pursue a career in medicine and global health, but I knew I wanted to take some time off before attending graduate school. In coming across the year-long internship program on MEDLIFE's website, the description seemed like the perfect fit. It gave me the opportunity to travel, work with a diverse group of people, and work within and learn about the healthcare sectors of underserved communities. In the coming year, I look forward to having a more extensive role with MEDLIFE as an intern and am very excited to start working with the program.

What was your first impression of Lima?: Big and filled with crazy traffic! I was surprised to see how much of a bustling city Lima was. Having grown up in the suburbs, I look forward to a year in a big city. I can't complain about the food either. The menú lunch deals are delicious and hard to turn down at 11 soles (~$3).

What are your goals for this internship?: In having the opportunity to work directly with the communities that MEDLIFE serves, I hope to take the time to get to know the local community members that we work with and learn about their unique stories. It is my hope to gain a better understanding about the cultural and socioeconomic barriers that exist and how they exacerbate current disparities. Just as importantly, I hope to learn how we can play a role in narrowing the gaps of these disparities within these communities. Additionally, I hope to take full advantage of living in Lima and immerse myself within the Peruvian culture and improve my Spanish.


a2Name: Alison Bradley 
Hometown: Rockford, Illinois 
School: University of Michigan 
Major: Major Spanish, Minor Biology 

How I got involved with MEDLIFE: I volunteered on a clinic in Lima as a sophomore with the chapter at my university. Up until that point I had thought about a future doing research, but my experience with MEDLIFE made me realize my passion for working with people! It also gave me the push I needed to commit to declaring as a Spanish major.

Tell us a little bit about yourself: The rest of my family followed me to Michigan two years ago, so I am now dealing with my transition into identifying as true Michigander. Outside of school I was a caregiver at a non-profit care program for children and adults with special needs, where we provided quality care for our friends and looked for any reason to celebrate with cake! I love team sports and somehow found my way on to my University's Club Sailing Team. I spent four years squished in a mini-van with my best friends traveling all over the country to compete at regattas.

Why Did You Decide To Become An Intern?:  Where I grew up quality health care was a privilege that not every one had access to. I wanted to work for MEDLIFE because I respect their values as an organization and I want to learn more about breaking down these barriers to equitable health care access.

What was your first impression of Lima?: Pedestrians never have the right of way. Never. After I got past that, I was excited to learn about the culture of Peru and explore all of the amazingly unique neighborhoods of Lima!

What are your goals for this internship?:I want to learn more about providing respectful, quality health care in medically underserved areas! I'm also looking forward to improving my Spanish speaking skills, and possibly becoming an amateur salsa dancer.


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Name: Shayna Hamburg 
Hometown: Leawood, Kansas 
School: University of Colorado Boulder 
Major: Sociology with a minor in Education 

How I got involved with MEDLIFE: MEDLIFE was recommended to me by a friend when I was expressing my interest in the field of public health. Through exploration of the website I quickly realized that this organization was a perfect fit for my goals and aspirations.

Tell us a little bit about yourself: Although born and raised in the Midwest, I made my way to Boulder, Colorado as soon as possible in order to enjoy the outdoor lifestyle. Besides skiing and hiking, you can find me reading a good book, eating out with friends, or striking up a conversation with strangers in a coffee shop.

Why did you decide to become an intern?: After studying abroad in Buenos Aires, Argentina, I was determined to find a way to live abroad to improve my Spanish. Additionally, I was hoping to get experience in a the field of public health. At first I wasn't sure if it was possible to accomplish both of these goals at the same time, but then I found the MEDprograms internship, which proved to be perfect solution!

What was your first impression of Lima?: After I clicked my heels three times, I found myself in Lima, Peru! Upon arrival, I was immediately overwhelmed due to the endless streets, cars, and people that make up this city. While this massive metropolis seems daunting at first, it leaves me eager to discover all that Lima has to offer. I guess I'm not in Kansas anymore!

What are your goals for this internship?: I hope this internship not only allows me to improve my Spanish skills, but also provides me with the tools to make a meaningful difference. Additionally, I hope to develop deeper insight into public health and development work. I intend to spend the next year serving those who need it most and gaining experiences that will aid my work in the future.


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Name: Sam Stevens 
Hometown: London, UK
School: University of Westminster 
Major: Politics and History BA
How I got involved with MEDLIFE: I applied to the communications internship, took a flight and here I am!

Tell us a little bit about yourself: I am passionate about politics and social justice, I hope to one day work in the political departments of the charity or public sector. I love sports and will play any sport if someone asks me, I also like to dance, write poetry, watch and discuss arthouse or classic films, art and philosophy. I'm an old soul so you will probably find me either engaging 100% or not at all.

Why did you decide to become an intern?: I had a couple of job offers in other countries which were salaried, however I felt like my traveling and kindred spirit were not spent and thus I wanted to share my love and energy for a little longer!

What was your first impression of Lima?: This place is intense.

What are your goals for this internship?: Help others. Help myself.

August 29, 2016 2:44 pm

2015-16 School Year Mobile Clinic Recap

Written by Jake Kincaid

MEDLIFE finished the last of the 2015-2016 school year with the last summer clinics this August! It was an amazing year, and with the help of our chapters we were able to hold more mobile clinics and see more patients than ever before! Here is a quick recap of what we were able to accomplish in our mobile clinics this year. A huge thanks to everyone who got involved and made all of these clinics possible!

22,771 Volunteers traveled to our destinations around the world to work in MEDLIFE Mobile Clinics.

 

4Our dentists saw 5,510 patients.

 

6Our doctors saw 30,126 patients in general medicine.

 

7Our volunteers taught 18,805 kids how to brush their teeth and left them with their own toothbrush!

8In clinic our OBGYN gave 2,246 PAP smears and 4560 breast exams.

9Our Mobile Clinics saw 61,247 total attentions. 

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“The day I remember most clearly was the day he caused this infection” Catalina Bailon explained in an interview about her experience with gender violence.  She is referring to the mastitis inflammation in her breast that MEDLIFE is treating her for, caused by a violent beating she received from her husband.   â€œIt was November 5 of last year,” she explained. “I remember the date because I remember seeing it and thinking ‘what am I going to do?'”  According to a United States Bureau of Democracy report on human rights practices, Catalina is one of around 25,000 women in Peru to be affected by gender violence every year.  This is a number that has been growing at a worrying rate.

 

MEDLIFE are currently working with several women who have been victims of domestic abuse; both assisting with their physical recovery and helping to empower them psychologically.  Catalina, 32, suffered in a violent relationship for nearly four years before finally standing up to her husband.  â€œIt is hard because you're not just thinking about your feelings and how it will affect you but you also have to think about your kids and the long term effects,” she said, explaining why she remained so long in an abusive relationship. “The important thing is being able to call out abuse; we need support from the government to do this.  If there is no support, there is nothing we can do.”

 

IMG 7744 2Catalina's two children, Brenda aged 4 and Milea aged 8, with their pets.

In recent months, the Peruvian government has been under heavy criticism from women's rights groups over its “incompetence” in bringing justice to women like Catalina who have suffered at the hands of abusive men.  According to a US special report on Sexual Violence and Justice, Peru has the second highest number of cases of crimes against women in Latin America and these activist groups are arguing that the government is not doing enough to try to change these statistics.     

 

On Saturday 13th August, hundreds of thousands of women and men gathered across Peru to march together in protest of the violent crimes committed against women on a daily basis.  The march, described by Peru's women's minister Ana María Romero as a “cry against impunity”, follows growing protests and demonstrations by women's groups across South America against governmental indifference to violent gender related crimes.  Over the past year, the tide of unrest against judicial incompetence in female abuse cases has been rising with a strong social media following under the hashtag #NiUnaMenos.  The hashtag refers to the words of Susana Chavez Castillo, a murdered Mexican poet and human rights activist who wrote of the crimes against women  â€œNi una mujer menos, ni una muerte más” (not one woman less, not one more death).

 

Catalina described how essential the march and the #NiUnaMenos campaign were, saying “I think it is very important to see so many women standing together to say ‘no more.'” she also went on to explain why she thinks calling men out on their treatment of women can be hard.  â€œAt the moment we often let it happen because we are thinking about our children and what calling it out might mean.  We have no guarantee that we will get the justice we need and deserve”  

 

13924965 980565375389736 8955344924746464235 n The #NiUnaMenos march reaching the presidential palace in Lima. Photo credit: Ni Una Menos Peru.

 

This was essentially the message of the march on Saturday with 50,000 people turning up in Lima alone to show their support for the cause.  Many were holding signs with either the ‘Ni Una Menos' slogan or “tocan a una, tocan a todos” (touch one, touch all) written across them.   Peru's president, Pedro Pablo Kuczynski was among those marching along with first lady Nancy Lange.  In an interview with the media after the march, he stated that his government had plans to develop more facilities for women to denounce violence. “Abuse flourishes in an environment where complaints cannot be made,” Kuczynski said. “The blows are absorbed in silence and this is not how it should be”.

 

This denouncing of gender violence was the focus of MEDLIFE's educational talk at our clinic last week in Villa María del Triunfo.  Women living in poverty are more likely to become victims of unreported gender violence as they are less educated about the implications of this violence and what they can do to stop it.  The talk, given by MEDLIFE nurse Teresa Ascate and psychologist Alfredo Zarate, focused on informing the woman and men of the community of what domestic violence was and what steps could be taken to prevent it.  Teresa explained how until 2015, violence against women had fallen into three categories; physical, psychological and sexual violence.  The law was changed in 2015 to include economic dominance as a form of domestic control.

 

According to ‘Brechas de Genero 2015: Avances hacia la igualdad de mujeres y hombres' (Inei), 31.9% of women in Peru don't have their own income compared to just 12.7% of men who don't.  In impoverished areas, the figure for women almost doubles with 47% having no income compared to only 13.6% of men who don't.  This makes the women of the communities that we work in especially vulnerable.  Many of these women have only a very basic education and no job.  The society they live in dictates that women are expected to stay at home all day to look after the children and clean the home while men go out to work.  This patriarchal lifestyle leaves these women highly susceptible to controlling behavior from a man, who uses the female's lack of money and inability to earn to take away her independence.  

 

IMG 7685Community members reading leaflets on domestic violence at MEDLIFE's educational talk.

Catalina said how glad she was to hear that this law against economic oppression had been passed. “When I worked, I didn't see my money as it went to my husband and my children,” she said. “ My husband was in charge of the money.  I have two children and therefore it was my view that their father should look after them and me.  It is his responsibility as a man.  This change in the law will mean we won't need to rely on men to look after us anymore, they can't use money against us.”  

 

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This opinion seemed to be shared by the community our staff were talking to.  Both the men and women were listening attentively to what was being said and afterwards they explained how important it was for their community to have the chance to be given information like this.  One community member, Sara Julios, described how she felt about the talk,  â€œthis is a topic that is very important for us.  Too often, violence of this kind turns to murder and it is important for us to hear about it as a community so we can look out for each other.”  MEDLIFE staff also informed the community about a helpline that has recently been set up in San Juan de Miraflores to provide a platform for women to talk confidently about abuse and seek advice and support about how to go forward.  Sara said how important it was for the community to be informed of the helpline that can be used to denounce this violence “I didn't know about it before and I don't think anyone else here really did.  It is so important to know that there are support networks we can look to for help.”

 

At the talk, Teresa also told the women about the march taking place the next day.  Many had not heard about it before but seemed determined to attend once they knew what was going on.  Another community member, María said how grateful she was that MEDLIFE had come to tell them about the march; “we don't have access to a lot of communication networks where we live.  We couldn't hear about the march on the internet or the news and so we easily would have missed it.  Thanks to you we now know that this important event is happening and many of us will be able to attend.”

 

IMG 7745Catalina being treated by MEDLIFE nurse Janet.

Catalina said she felt the biggest issue facing Peruvian women and causing such widespread domestic violence was a male abuse of power.  She said “when he was in there, in that moment, he felt powerful… I was just a little thing and that was how I felt, like that and nothing more.  At the time I felt there was nothing to be done.  There are many things that I didn't understand until long afterwards.  For women, in the moment, they don't think because they can't process what is going on in their home.  I had to think about my children, not about me.  Because of this I focused on moving forward and this was why he could push me and strike me and I would do nothing.”  It is this feeling of helplessness that means crimes of this sort can thrive.  

 

This is what women's rights groups across South America are so determined to change.  Last month, the media focused on three high profile cases that were widely considered to have given lenient sentences to perpetrators.  They used these cases to highlight the inequality in the justice system when it comes to crimes against women.  The major point of the campaign was that, without the support of the law and the government guaranteeing justice and safety, it is almost impossible for women to denounce the crimes committed against them.

 

The focus on these cases gave impetus to Saturday's march with many holding up signs with pictures of Marielena Chumbimune, Arlette Contreras and Lady Gullién, the three women the media focused on in the months before.   Many MEDLIFE staff also went to the march and described how important it was for Peruvians to see so many men and women marching together for their country.  Cristina Negron described how “it was amazing to see everyone united towards the cause because everyone knew someone that was a victim of gender violence.”

 

13895074 10154247046831628 4936405391263360730 nMEDLIFE staff marching through Lima for the #NiUnaMenos campaign.

The World Health Organisation recently released a statistic showing that around 69% of women in Peru today have experienced some form of gender abuse.  This is a statistic that is too big to ignore.  It is so important to see such momentous steps being taken to change the attitude of this country.   Catalina finished off by telling me how she viewed the #NiUnaMenos campaign as being more important today than ever before, “Everyday we work on this campaign we are improving.   It is so important to talk about these issues and show that it is not OK.  I hope that this will mean everyone will be able to see eye to eye and we will be able to provide a better, safer future for our children.”

 

Luckily Catalina is well on the way to recovery now.  On Thursday 18th August, MEDLIFE nurse Carmen accompanied her to the hospital where she was having her final operation, funded by MEDLIFE, to cure the mastitis.  The operation went well and Catalina is now planning to start looking for a new job so she can continue to support her children.  Catalina expressed how glad she was that this chapter in her life is over and said what advice she would give to other women in her position.     â€œI would say that now, I am fine.  It is a good thing to seperate, to have some distance so that there is no violence in front of the kids and so that I don't feel in danger.”  Catalina suffered for four years until she felt she was in a position where she had to stand up against her husband who had caused her serious physical and psychological damage.  Women should not have to suffer in silence for so long, it is so important that they feel supported and able to denounce gender violence and we can only hope that the new government under Kuczynski will at last act to prevent women in Peru from having to live in fear.  Catalina is now able to look towards a new future where she and her children can live comfortably and happily.   

 
August 24, 2016 3:15 pm

Meet the Year-long Interns 2016-2017 I

Written by Rosali Vela

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Name: Allie Krugman
Hometown: Newport Beach, CA
School: Claremont McKenna College
Major: International Relations with Human Rights Sequence 

How I got involved with MEDLIFE: I first learned of MEDLIFE from a high school friend who worked as a year-long intern.  After researching the organization's mission and work online, I decided that I wanted to become involved.

Tell us a little bit about yourself: I have lived most of my life in sunny Southern California, close to the beach and fresh ahi poke. I graduated in 2015 from Claremont McKenna College and have since been working in Los Angeles at an HIV/AIDS non-profit. After MEDLIFE, I hope to venture out of California by attending graduate school for public health on the East Coast!  I enjoy having an active lifestyle: I pole-vaulted competitively for nine years, rock-climb both indoors and outdoors, and hope to become a better salsa dancer.  I also like to read and eat sushi.  I love meeting new people as well as growing my perspective with new ideas and experiences.

Why did you decide to become an intern?: During my junior year of college, I spent a semester abroad in Valparaíso, Chile, where I studied social justice and community development with the SIT program.  I fell in love with Chile: I found a close friend in my host sister, was enchanted by the bohemian and colorful city, and was drawn to the country's legacy of social movements and youth activism. The following summer, I completed an internship in Córdoba, Argentina, where I taught sexual health workshops to a group of young girls.  Through my experiences in Latin America as well as my undergraduate studies in International Relations, I became interested in identifying the political, economic, and social structures that give rise to health inequalities worldwide.  After I graduated, I sought work experience that would develop my interest in the intersection of health and human rights, as well as provide me with insight into field of public health from the perspective of a non-profit organization. The MEDLIFE internship was the perfect opportunity to gain insight into the real issues faced by low-income communities and analyze the steps taken to address them.

What was your first impression of Lima?: Lima is a large and vibrant Latin American city, bustling with people and very loose traffic laws.  We were quickly exposed to Lima's high socioeconomic inequality, demonstrated by the stark contrast between our environmentally-friendly San Borja and the expanse of shantytowns in Pamplona Alta, where residents lack access to water and stable infrastructure.

What are your goals for this internship?: Through the internship at MEDLIFE, I hope to gain a valuable on-the-ground perspective on poverty and the realities of working in the field of human rights.  I hope my work with MEDLIFE will have a measurable impact for the low-income communities of Lima. I also hope to take initiative through an independent project that will be helpful to MEDLIFE.


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Name: Tory Finley 
Hometown: Jacksonville, Florida
School: Florida State Univeristy- Go Noles!
Major: Spanish and Italian 

How I got involved with MEDLIFE: I discovered MEDLIFE during my freshman year at FSU. While I majored in languages, my goal was actually to use my skills as a linguist and my knowledge of different cultures to work with Hispanic populations as a physician. I saw a flyer advertising our campus chapter's trip to Esmeraldas, Ecuador, and saw the perfect opportunity to work towards that dream. Best decision I ever made.

Tell us a little bit about yourself: I'm a Navy brat, so I was basically born to be a traveler. From a very young age, my parents taught me to love and appreciate different languages and cultures, and that has led me to where I am today. I've ridden an elephant, been to almost every country in Europe, and my family once lived in Sicily, Italy, for three years! As a result, I am fluent in Italian (so don't take me to Olive Garden, unless you want me to correct the menu). I have worked with Hispanic migrant populations in Florida for the past two years, and loved every second. I am currently applying to medical school, and hope to be able to return and serve those same communities as a physician. I am incredibly passionate about culturally competent medicine, and I'm so excited to see where that passion takes me next! Fun facts: I almost majored in musical theater, I LOVE chocolate, and I once wore a Harry Potter uniform to school for a solid year (and am still very proud of it).

Why did you decide to become an intern?: My first mobile clinic experience really changed my view of the world, as well as my academic path. I chose my language major thinking "Oh, it will be useful to also speak Spanish as a doctor, given the rising Hispanic population in the U.S." When I left Ecuador, though, that major took on a whole new dimension. I threw myself into Hispanic cultural studies, and began pursuing classes in sociology, eager to try and understand where the problems I observed during my time in Esmeraldas had originated. MEDLIFE gave me a whole new way to approach medicine, and inspired me to try to change the world around me for the better. I had a gap year before medical school, and realized that there was nothing I would rather do than return to South America and work for the organization that inspired my path...and here I am!

What was your first impression of Lima?: My first thought was literally: "Oh, thank goodness, the Florida heat is gone." Seriously, though, it was crazy how different the weather was. I went from constant sun and ridiculous heat and humidity to cool temperatures and pretty regular cloud cover. The way people drive in Lima, however, is so much like the crazy bustle of Italian roadways that it felt just like home.

What are your goals for this internship?: I am excited to improve my Spanish even more, and I want to leave this internship with a deeper understanding of sociological and infrastructural factors that play into poverty, and how these trickle down to affect underserved populations' health. I plan on taking the knowledge I gain here and applying it to migrant healthcare in the U.S.--while I love Peru, and I love MEDLIFE, there are many communities of underserved individuals back home, and I am determined to improve their experience and get them the help they so desperately need.


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Name: Emily Gardner 
Hometown: Southlake, TX (near Dallas)
School: Vanderbilt University 2015
Major: Biology and Spanish, Art History minor

How I got involved with MEDLIFE: My dear friend from another volunteer trip found out about MEDLIFE and decided to start a chapter at Vanderbilt. She popped the question (asked me to be her Vice President) and of course I said yes! I subsequently went on a mobile clinic to Cuzco during the summer before my junior year and also was an SAB member. I was the Co-President during my senior year and went on another amazing mobile clinic to Esmeraldas before graduation.

Tell us a little bit about yourself: I was born and raised in Texas and come from an ample family of seven younger brothers, two parents, and a dog. After college I served for a year with AmeriCorps in San Francisco at a community clinic acting primarily as a health coach for overweight pediatric patients and their families. I love dance of all styles, starting books and not finishing them, cult classic films, attempting to meditate, meeting new people, and volunteering. I identify as a pathological extrovert and live to eat rather than eat to live. As for my life goals, I hope to eventually become a primary care Pediatrician, serve with the Peace Corps, work with Doctors Without Borders, and maybe teach dance classes.

Why did you decide to become an intern?: Since I devoted so much time to MEDLIFE in college, I decided that the internship was the natural next step; for me, there is little point to joining an organization if you cannot learn, grow, and deepen your involvement with it. The ability to live abroad is also extremely important to me; I place a lot of value on travel and broadening my global perspective. Most importantly, the experiences that I had on MEDLIFE mobile clinics in college radically changed my view of the world as well as my career path. I whole-heartedly believe that they made me a better and more well-rounded person. If I can help give that experience to even one college student via involvement with my chapters, it will be a successful year for me.

What was your first impression of Lima?: Lima was different than I was expecting! It's a a very large and bustling city, which is great because there are endless resources to tap into and corners of the city to explore. Life never seems to stop here and it's easy to thrive off the collective energy of everyone around you. The weather when you first arrive is a little grey, but I would say it's cozy rather than dreary. From Zumba classes at a nearby park to wonderfully cheap food, there's always something to do.

What are your goals for this internship?: From my year with AmeriCorps, I was able to learn a great deal about domestic health disparities. Through the MEDLIFE Volunteer Affairs Internship, I hope to learn more about the healthcare inequalities that run rampant in Latin America and on an international scale and more importantly, how someone like me can help start closing the gap. It has already become apparent to me that MEDLIFE and the communities we serve have many needs, be it funding for a new staircase, access to clean water, or medications. I hope to be able to foster thoughtful discourse with my chapters in the U.S in order to encourage and inspire them to affect change both locally and globally.


a8Name: Marissa Reinhart
Hometown: Fostoria, Ohio
School: The Ohio State University 
Major: B.S. in Pharmeceutical Studies  

How I got involved with MEDLIFE: I found MEDLIFE by searching for volunteer organizations on campus my freshman year. I attended a few meetings, one of which talked about their next mobile clinic trip to Moshi, Tanzania, and I was hooked. Participating in that mobile clinic was life-changing and led me to participate in this internship.

Tell us a little bit about yourself: I'm a small town girl with big dreams. I hope to work with many people and communities to better others' as well as my own life. I'm also passionate about the environment and love to be outdoors! Traveling and meeting new people from different cultures makes me the happiest.

Why Did You Decide To Become An Intern?  I just graduated in May and wanted to take time off before heading to grad school to travel and practice my Spanish. MEDLIFE was the perfect option for me because it is directly related to the issues I care about most. I love MEDLIFE's model and how they operate as an NGO, so it was a great fit for me!

What was your first impression of Lima?: That it is a huge city with lots of traffic, probably because I got here during rush hour. However, along with a large city comes tons of things to do and explore which I love. Also, food here is amazing!

What are your goals for this internship?: To learn more about how NGOs operate, especially in the scope of public health. I would like to expand my knowledge of the challenges patients and communities face every day and how these challenges became a prominent reality. It is important to me to learn about the infrastructure that leads to major social injustices and how MEDLIFE goes about solving those issues in order to translate those solutions into future experiences.


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Name: Brittany Cook
Hometown: Papilion, Nebraska 
School: University of Nebraska- Lincoln
Major: Biological Sciences 

How I got involved with MEDLIFE: There was not a chapter on my campus my first year at the University. I heard someone talking about a new organization on campus in one of my classes that focused on giving health care to those in need. After asking for more details, I attended a few meetings and joined the organization the following semester. After seeing the impact the mobile clinic had on the members who went that semester, I decided to go the following year. After spending a week in Lima, myself, I had a further understanding of what MEDLIFE stood for. I understood the importance of the efforts made by members on campus who fundraised for the organization to help it grow and help communities in need. I remained an active member of the organization during my last year at the University through fundraising and informing others about MEDLIFE.

Tell us a little bit about yourself: I was born and raised in Nebraska (Go Big Red) and moved with my family to Maryland after graduating in May 2015. I enjoy hiking, coffee/tea, puns, and reading - my favorite books being Harry Potter. I also enjoy traveling, meeting new people, and medical science; I am aspiring to become a doctor and find a career that integrates these interests.

Why did you decide to become an intern?: I first became interested in interning with MEDLIFE after discussing the position with the intern who led my mobile clinic in March 2014. The conversation began as a form of distraction while I passed her heavy buckets of cement to build the staircase but quickly turned into something I saw for my own future. Through her descriptions, I saw the unique way that MEDLIFE cares for those who have limited or no access to healthcare. I wanted to be a part of an organization that sees its patients as unique and deserving individuals and leaves a lasting impact on the surrounding communities.

What was your first impression of Lima?: Being from a suburb in the Midwest, I first saw Lima as slightly overwhelming and confusing. As I explored the city, I was shocked by the vast differences between the districts of the city. Some districts are extravagant while others are lacking in basic needs such as water and electricity. In San Borja, specifically, the varying cultural influences are evident in the shops, buildings, and food selections. The people take pride of their beautiful and vibrant city; the parks are welcoming, the landscaping intricate, and the people welcoming.

What are your goals for this internship?: I want to cultivate an encouraging environment for students who are in MEDLIFE. I hope to support the campus chapters and enable them to grow therefore helping MEDLIFE to expand and reach more communities in need. My goal is to ultimately learn all I can about MEDLIFE and the people we are aiding so that I can spread the knowledge and further develop the organization.


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Name: Kristine Zimmerman
Hometown: Sioux Falls, SD
School: University of Nebraska- Lincoln
Major: Biology/ Pre- Medicine, minor in Gerontology
How I got involved with MEDLIFE:  I got involved with MEDLIFE my junior year in college through the chapter on my campus.  I attended a mobile clinic that spring in Lima, Peru.  This allowed me to see the disparity in health care around the world, and helped me to recognize what I could do to help my own communities back home.

Tell us a little bit about yourself: I grew up in South Dakota, and decided to go to the University of Nebraska- Lincoln for my undergraduate degree (Go Big Red!).  Although Nebraska has fueled my love for football I grew up playing soccer and continue to be an avid Argentina and Barcelona fan.  I am an adrenaline- junkie of sorts and love most sports.  I also love to cook and look forward to experiencing Peruvian cuisine, especially churos!  If I'm not eating, you can usually find me reading, running or watching Grey's Anatomy.

Why did you decide to become an intern?: I have a great respect for the goals and missions of MEDLIFE.  There is a great need to help people around the world, but I believe there is a greater need for people to be empowered.  MEDLIFE goes above and beyond every day to ensure that the people we encounter are treated with respect, dignity and equality.  The deep conections MEDLIFE workers have with members of the communities they help is astonishing and creates pathways for effective medical care, follow-up care and continued community improvements.  MEDLIFE listens to and understands how to attain what the poor need.  They empower these people to work together to achieve their goals, which is exactly the model I wish to use with future patients as a physician.  

What was your first impression of Lima?: Honestly, Lima is completely overwhelming.  Coming from the Midwest, where most places are a small town or have a similar feel, moving to a big city was a lot to take in.  Everyday is a new experience, whether it's seeing a unique place, exploring exotic foods you can't pronounce yet or engaging in cultural activities... I can't wait to see what's all out here!

What are your goals for this internship?: I am dedicated to the things that I'm passionate about, which includes improving public health and conditions for the poor communities here- and a huge goal for me is simply getting more people to be passionate about this as well.  I want to take advantage of the time I have here, working beyond 8-5 and going out into the communities as much as possible to meet the people and understand their struggles in order to further MEDLIFE as an organization.  

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This week we interviewed Mercedes Olave, who has been working with MEDLIFE since May 2016 as a MEDLIFE nurse in Cusco, Peru.

Why did you choose to work for MEDLIFE?

My work has always been to reach populations with most need in my profession, healthcare. That is why I identified with MEDLIFE.

What do you have to do as a MEDLIFE nurse?

I have to coordinate the clinics with the community and community leaders. I have to motivate them to care for their health, work to prevent illness, and organize spaces to hold clinics. I also have to make sure they announce the clinics to their communities. I set up the clinics, work at stations. I also have to coordinate with the medical professionals as well, make sure they have an adequate space, all the equipment is there on time. When clinics have finished, I run the patient follow up program in Cusco.

Can you tell us more about patient followup?

The patients are in rural communities. I have to visit them in their homes. Then it depends on the diagnosis they have. I bring medicine, I see what their situation is. If they need more specialized attention, I coordinate and program care with the hospitals and accompany them to appointments.

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Do you have a particular story that has left an impression on you?

We met a 13 year old girl with a breast tumor. We visited her in her community, coordinated with the family, now we have a surgical intervention scheduled for next week.

Is there anything else you would like to say about your work?

I really identify with MEDLIFE's work. We reach populations with the most need, where the health sector doesn't reach. They are the most isolated populations, not populations in the capital, or in the center of the district. The populations with this need are not large, they are small, they are communities with 30, 40, 50 families. We want to reach these communities bringing medicine and medical attention. Many of these communities aren't even accessible by motorized vehicles. For me, working with MEDLIFE is very interesting. I really like working with the volunteers as well, our foreign friends who come. In truth, they make feel like we should work even more because they do. We have a team of professionals who really care about MEDLIFE's work, and that deliver a high quality of care, and really respect our patients.

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