Insects aside, it's been a rough week.
I have worked harder this week than I have since I came here. I like to be busy, but am feeling a little overwhelmed. There are huge challenges ahead, and everything I need to do has the added complication of my not being able to communicate really well. That aspect alone can be so very wearing at times.
Yesterday, I made a decision that I'm not entirely comfortable with because it wasn't the best thing for the child but we were between a rock and a hard place.
A grandfather came in with his grandson, who was identified as being malnourished with the beginnings of kwashiorkor. Kwashiorkor is an acute severe form of malnutrition that usually requires the child be admitted to the hospital because complications can arise with rehabilitation. We always require that there be a caregiver for every child that is admitted to hospital. That person stays with them, feeds them, and provides the care that our nursing staff doesn't. This is not unusual at all in Haiti.
The grandfather could not stay with the child if he was admitted. He is the sole caretaker of the grandmother who is sick at home. There are 5 grandchildren living at the house. The mother is in Port au Prince and wasn't able to come to take the child to the hospital.
We had two choices - have the grandfather refuse to admit the child and let him leave with the boy, where he would undoubtedly become much sicker and die. Or we could enroll him in the Medika Mamba program and send him home with rations and good instructions. He would still be at risk of complications but he would have a better chance of survival.
There is no room here for judging the grandfather or the mother. People here live unbelievably hard lives and need to make decisions that you and I would never dream of having to make. Why did the mother leave a small child with grandparents who don't have enough food to give the children? God only knows, but I haven't been in her shoes so how can I judge? While I was sitting talking with the soft-spoken old man, he kept telling me that he loves all of his grandchildren, as though he thought we didn't believe it. It takes courage to bring a sick child to a place where you think you will be blamed for the illness.
Sonia enrolled him the program, introduced the Medika Mamba (fortified peanut butter product) and went through the instructions and the agreement with the grandfather. Both she and I made him promise to bring the little boy back on Tuesday, nutrition program day. I gave them some corn, beans, dried milk, and dried fish from our akamil and rations program.
As I watched them walk away, I prayed that he would come back but I'm not sure if he will. If you would like to, please pray for this little boy, his grandfather and their family.