
Madeline* was tall, wrinkly and weather-beaten, but very strong. She looked to be in her 70’s, from my American standards. Despite my protests, she sat me down in the nicest chair she owned and sat herself down on a cement block. “M ka chita isit. Se Bon. Ou ka chita nan chez la!!... okay, okay okay. Meci anpil!” “I can sit here. Its good. You can sit in the chair!!.. okay, okay, okay. Thank you very much!” Smiling. It was our 3rd interview of the morning. I was ready to sit down. This was my 3rd or 4th visit to this tent city. It is huge. Thousands of tents sprawled along a flat area between the more urbane area of Leogane and the mountains. It seems that if I chita-pale (chita means to sit and pale means to speak, chita-pale = sit and talk => to interview) along this road forever, I would eventually reach the undisturbed mountains up ahead.

She was sharing with us the story of the death of her daughter, who died during her 10th pregnancy. I had not yet conducted an interview in which a woman had had this many full-term pregnancies. Yesterday, Gerda*, a woman, who was a full 8-months pregnant herself, talked about the death of her sister. Her sister had many self-induced abortions, but died on her 4th pregnancy. Often, if the woman is in her 20’s, it may be here 1rst or 2nd pregnancy. Or, if the woman is in her 40’s, it may be her 5th or 6th pregnancy. 10 was unusual.
Madeline talked with a clear and certain voice, but the distant look in her eyes betrayed her sadness. The death of a pitit-fi (daughter). Every few moments, she would carefully look at me and I at her. The 19-year-old blan talking to the elderly Haitian woman about the death of her daughter. Sometimes as Eunide, one of our two incredible translators, is speaking to the interviewee in Kreyol, I step back and realize what I am doing. (Blan literally means white, but used as white person. Blan refers to anyone who is NOT Haitian. Shilpa, who is Indian, is called a blan too!) Fieldwork is both rote and spontaneous. The interview process is the same, as is the consistent smiling, polite words and the shouting of “Blan, blan, blan, blan, blan, blan, blan!” from young children all around (that is, until I say “Bonjou” or touch their small hands. Sometimes, I want to yell “Ayisyen” back in response. “White” “Haitian” “White” “Haitian”.)
But the spontaneity of field research is forever poking its head. As I spoke to this elderly woman out in some un-named area under the tarp outside her tent, I could focus on her, watch her expressions and appreciate her willingness to help. Often, however, the distractions are numerous. Yesterday, I interviewed Gerda around 11:45 a.m.; food was being fried and charcoal smoke drifted about. An old man with cataracts coughed heavily and painfully for a full five minutes. A young, tall and pretty teenager in her blue-and-white school uniform talked to me in my right ear as I listened to Eunide with my left. Three little boys were poking my left leg. A little girl was throwing around, and subsequently collecting, about 15 plastic circular bottle seals. Cousins, neighbors, brothers, sisters, young and old mulled about. At one point, 20 people seemed to be in this crowed space of three tents making an L-shape against a wire-fence. The ground was all dirt, no rocks or plants. Legs were covered in dust and flies buzzed. Within this relative chaos, we were interviewing Gerda about the death of her sister.

Apart from being singled out everywhere I walk from the yelling of blan!, I get asked for things. Women often tell me they want my jip (skirt) and I explain that unfortunately, m pa ka fé sa, poukisa m bezwen rad yo tou, I can’t do that because I need clothes too. One time when a cracker wrapper was sticking out of my backpack, a man asked if he could have my food. I pulled out the wrapper and said, Gade, m te manje epi m pa gen lót. M regret sa. Look, I ate it and I don’t have another. I’m sorry!
They also laugh when I speak Kreyol and they laugh when I go around during lunch sharing how much I like the food they are preparing. “Ohh M renmen kalalu anpil!” Laughter. “Se vre?” “Wi, se bon gou.” “Ohh I like okra a lot!” “Really?” “Yes, its delicious!” I am thankfully never offered food, but they seem to enjoy that I appreciate their food. A young woman was making coconut milk to be cooked with her beans. I explained that we have coconut milk in the Otazani (US), but that it is not fresh like this! The young woman took a coconut from her tree, chopped it in half, grated the white flesh on a crude metal grater, then soaked it in water and then began to strain the juice from the grated flesh. She did this soaking-straining process multiple times. Now that is coconut milk.
Don’t worry, these conversations are surrounded by plenty of laughter, not harsh words. I don't see it as begging, just that they might as well ask. They are curious. Today, as I looked happily along a sleeping baby, I was asked if I wanted it. I politely declined and take the requests as compliments. However, I love sharing my hands with everyone. Young children are constantly reaching out to touch me. Friends here also hold hands when they walk together. Today, Eunide and I held hands during our long walk home.
Although, we are not yet sure of the medical reliability of the data we are collecting, it does give us insight into what people think about their health and what they think is causing them to die. Eclampsia, Anemia, Only Jesus Knows, Not Enough Time, C-sections, Anxiety, High Blood Pressure, Birth Control, Negligence. These are some of the most popular causes of death from the 44 verbal autopsy interviews that we have conducted so far.
Every day, I want to talk pictures of the people I meet and the places I go, but don’t because it feels so inappropriate. However, a few days ago, I did snag photos with permission of those photographed.

Notice their home is drapped in a tarp that says
"USAID: From the American People"
Cake, Mustard and Fellow Americans Bring a Good 4th of July
Experiencing the 4th of July in foreign countries is always a mixed experience; national pride mixed with a need to be culturally appropriate, as well as the limits of your surroundings. I have experienced the US Independence Day in Kunming, China; Mollejones, Nicaragua; Jerusalem, Israel and now, Leogane, Haiti. We planned to spend a nice day at the beach. To represent the flag, I wore my newly purchased (for just 100 goude = about $2.50) light tan cowboy hat with a red bandana and a blue dress. Not so creative, I know. On word of mouth, we planned to visit Gilou beach. After driving by the area where Gilou’s sign used to sit, we decided to check out Milou beach. On the way to Milou beach, we passed the people from Gilou beach who informed us that in fact, their beach was broken. We think that means that the sand… no, we have no idea.

We ended up a Valou beach, which was packed with Haitian’s spending their Sunday in a fabulous way, drinking rum on the beach. We enjoyed the water, relaxing in the sun in bathing suits rather than in our daily, stuffy FHM polo and the loud reggaeton and Haitian rap blasting from scratchy speakers. I enjoyed the zaboka epi fromage that I brought me with. Other blans were also enjoying their 4th of July and after conversing, it turns out that they actually live at this beach, on a small plot roped off in the back. They are working to help rebuild and re-energize an orphanage in the area. They invited us to their 4th of July BBQ and we enjoyed a lovely meal complete with cookies and a cake (and mustard! Yum. Its weird the things you crave here). I am always astounded by the generosity of others.

Grandma’s Famous-Haitian-Style-Ovenless-Chocolate-Peanut Butter-Cookies
Hannah used her brilliance to conjure up the idea that “No Bake Cookies” would be a good way to spend our goudes (Haitian currency). Without ovens here, home baked goods are not common. After I researched a simple recipe and the ingredients were bought at a relatively hefty price in Port au Prince and at the best pharmacy in downtown Leogane. We made deliciously chewy and rich cookies and enjoyed a relaxing Friday night sipping a nice red wine, watching “Love Actually” and eating our cookies.
Hannah busy stirring the delicious-ness!

Meeting the Future of Haiti
This past Tuesday, we were fortunate to be given the opportunity to present our ongoing research projects to two classes of 4th year nursing school students. This is the same nursing school that I have referenced several times (http://www.haitinursing.org). Two wonderful women from the U.S., who are teaching short stints at the school, organized this presentation. One of the women is a nurse teaching Public Health and the other teachers, Midwifery. These students had never been exposed to public health, despite the need for a community approach to medicine in Haiti. They were both blown away by the eagerness of these students to transform their country.

We really enjoyed explaining both the GPS and maternal mortality project, including a short mock verbal autopsy interview acted out by yours truly and our fabulous translators. Other FHM volunteers explained their research, including the HPV and cervical cancer research. This research that I have neglected to talk about is multi-faceted and incredibly beneficial to the women of Haiti who suffer from obscenely high rates of Cervical Cancer. More to come.
The nursing students were beautiful. They are the future. I felt lucky to be there.
A nursing student standing next to Hannah, Eunide, Robinson and Julia while asking a question during the presentation.

Have you seen the movie, Hotel Rwanda? Dr. Meriser compared the day after the earthquake, of bodies strewn across the roads, to the scenes in Hotel Rwanda.
*Names are changed for privacy.