Monday, April 20, 2009

Seedlings of Hope

In many small villages Cambodia, HIV and AIDS are still misunderstood. A person who has an infection from AIDS is ostracized. He sells his possessions to pay for medicine from untrained doctors. Once he has nothing left, but is still sick because the medicine did nothing, he journeys to Phnom Penh in hopes of better medical care. There, Seedlings of Hope takes him in.

Arturo (Bong) Ang kindly showed us around. Standing in the office where the clients come for counseling and education, Bong explained the reason his program exists and the great service it does for Cambodia.

As you can imagine, someone who has gone through the above experience has troubles that go far beyond the disease itself. Seedlings of Hope treats not just the physical disease, but the mental trauma and hopelessness that so often accompany HIV infection. As the patients recover from their illness, Seedlings of Hope counsels them, trains them and gives them guidance and confidence. While HIV was once a death sentence, now people with HIV may lead normal lives including marriage and parenthood. Seedlings of Hope teaches infected people how to lessen the risk of transmission to their partner and to their children. The program gives once helpless people the knowledge and confidence to help themselves.

The greatest tribute to the program's success is the fact that it is temporary. People in the program graduate and go on to lead healthy and productive lives. This is truly teaching people to fish.

Bong offered to take us down the road to see the hospice. The unfortunate reality of living with HIV is a high risk of infection, even with medication. In a pattern I was getting used to, I noticed the road turned from new cement into dirt.


Most of the hospice patients were watching a TV show in the front room. They smiled and seemed to be glad of our visit. I could tell from their skinny arms and faces that they were in varying stages of illness. Bong asked if we wanted to see some of the bedridden patients. In my limited experience I haven't spent much time in hospitals, so I was a little afraid. I was afraid too of what the patients would think of me in their room. I kept the camera around my neck, but didn't use it.

Two patients sat in this room. One was man who was clearly handsome at one time. Now he was frail and wearing only a diaper. He didn't smile while Bong caressed him gently and asked him questions. Bong explained that this man had been taking medication, but it seemed the virus adapted and they didn't change to a new medication in time. I didn't know what to say to a man who was so exposed, and in so much misery. I didn't say anything because I couldn't speak his language. How could I break through a barrier as large as language when experience and pain distanced us even more? What were we saying to each other with our eyes? During the ten minutes we spent in that room, the fellow never smiled. Occasionally he clapped mosquitos with a sudden smacking sound.

The other patient looked at us, but did not see. His infection had blinded him. His wife sat on a chair by the bed. Both looked sweet and heart-breakingly young. Bong help the man's hand and talked to him kindly. I don't know all that they said as they talked, but the patient began to cry. Bong said, "He's crying because he can't see anymore. He wonders what use he will be if he can't see." Worry and understanding showed on the wife's face. The patients and the wife all trusted Bong. They confided in him. Seeing them in pain wasn't easy. Seeing they were loved was my only solace.

On the ride home, I wondered aloud to my boyfriend if they felt uncomfortable with us there. "If they did not want us there they would have said so," he said, "I think people want others to witness their pain. They want their story to be told." I thought of the mothers I counsel every week here in Oakland. They share the hardest details of their life with me. He's right. We all want to someone witness our hardship.

Sunday, April 19, 2009

Little Sprouts

The big news in the neighborhood was a paved street. This paving didn't actually reach the Little Sprouts office, which is just as well, because someone dug a 3-foot deep ditch in the road leading to the office. Needless to say, we traveled to the office by foot. No one in the Little Sprouts team seemed to know why the ditch was there at all, but the people working in it smiled at us in a pleasant way. At the office the children can come to use the computers, get attention and instruction from adults, and get medical check-ins. The children need medical check-ins because they are all HIV positive.

Mostly because of disease or death in the family, a large number of HIV positive Cambodian children are left with no place to turn. Little Sprouts finds these children homes with relatives, if at all possible, or takes care of the children in a family-like house setting. Fr. Kevin Conroy, a Maryknoll Associate priest, showed us around one of these houses. The children frolicked and chatted with Kevin, so energetic you'd never guess that some of those kids had arrived at the house quite sick, and all had HIV.

We met the smiling caretakers, who welcomed us with warm smiles and cold glasses of water. Kevin assured us it was safe to drink. The caretakers do there best to make the place feel like a real home, which must be a challenge considering how many children we saw running about. Medication twice a day is part of the standard day for the kids and it generally works, although there is still the problem of the virus becoming resistant to the drug, leading to an infection. For the most part, though, the kids lead a normal life. Little Sprouts also provides a high quality day center for all the kids in the program. Aside from the hoards of mosquitos, the pre-school we peeked in on looked just like the preschools I've seen in California. The center makes sure the kids are fed regularly, which is extra important for children with HIV, and keeps them engaged and learning. At snack time all the children had to have their hands washed and be sitting on a mat before they could sing the eating song that precedes the meal. We couldn't understand, but Sr. Regina said they were singing about washing your hands before you eat.


One of the little boys complained of an ear infection. Kevin picked him up and made sure he got to the medical center.

Looking back on the experience I can see how it all fits together. While these children don't have the benefit of their parents care, Little Sprouts does what it can to fill that role. From home, to school, to the doctor, these kids have many caretakers. It's the village raising the child.