All posts by Katharine Dishner

Reflections

I remember meeting Professor Moody during my interview last spring. We talked about my passion for global health and how health in general has a strong impact on every aspect of life: education, economic status, personal and social well-being, etc.   I remember talking about how certain development projects aim to fix health problems, and how I felt these goals were important to pursue in order to begin to address several other global issues (as everything is so interconnected).  I told him that I wanted to go on this trip in order to be a part of this goal.

When I got into the CCESP I was incredibly excited to have the opportunity to go to Nicaragua and see firsthand how our work would affect the people living there.  But the trip itself was not the only attraction of the program.  I was also very enthusiastic about the class and being able to learn more about Nicaragua and how the country has dealt with development.  As the term progressed, I found that the class provided a great platform to explore the issues that come with development.  It has been really great to engage in this class and learn about these issues before going abroad on the service program. It has made me think about issues that can arise from development projects, which is something that I otherwise might not have thought about. Further, doing both the individual research project and the final project has allowed me to really learn about Nicaragua. I feel more knowledgeable about the country, which makes the work I am going to do on the CCESP more rewarding. I know I am not an expert, but it is still great to be informed.

I am excited to have the opportunity to go down to Nicaragua this December and get to learn more about what I have been exposed to in this class.

On top of the educational aspect of this experience, I am also excited to get to know my classmates better. I have already created strong friendships from this class, and I am anticipating that this trip will make those friendships grow stronger.

Overall, this class has been great and I know the trip is going to be an incredible experience.

As a side note, I was looking up “service-learning” online and the three words below came up as the goals of the National Youth Leadership Council.  I think they perfectly describe my experience in this class and what is to come on the CCESP.

conference-logo

Thoughts on Classmates’ Final Projects

I was very impressed with my classmates’ final presentations.  I thought everyone presented thoughtful, well-developed projects that covered a wide variety of topics and areas of interest. I loved learning about Zika, maternal health, microloans, malnutrition, and the political history of the country to name a few.

In particular, I was interested by Michaela, Louise and Clement’s project on Bridges to Community’s chicken project.   Looking at the chicken project was very relevant, especially for those going on the trip.  I think chickens are a great investment for the Nicaraguan people as they are both a nutritional and economic resource.  In regards to the chicken feed it seems  logical to make homemade feed because two of the essential ingredients are already grown in Nicaragua (beans and corn) and the process is less expensive than buying ready-made feed.   I also thought the emphasis on developing sustainable farming methods was incredibly important.  Being that the economy is largely agriculture based, sustainability is very important.  This group went beyond  just researching the topic by creating an information sheet, which I especially loved.  The information sheet took into account illiteracy by providing pictures, which made it accessible to anyone.  All in all, I thought this project was well thought out and provided good insights into the chicken project.

chicken

I also found David, Asha, and Marcus’ presentation on nutrition in Nicaragua very compelling.  What stood out to me about their project was their informative, well-laid out plan for how to make sweet potatoes a more common crop in Nicaragua. Their research seemed the most feasible to implement, and their project seemed to have the most promise in terms of positive returns.  Nutritionally, the sweet potato is a good source of vitamins, fiber, healthy fats and carbohydrates.  The introduction of this crop would help vary the diet of the Nicaraguans, and therefore, would improve health and nutrition.  It also is very easy to plant and maintain because it grows underground and does not require the use of pesticides.  Introducing sweet potatoes will start the conversation about the importance of diet and will help educate the people about nutrition.  This group has an exciting plan and one that could really take off!

Overall, my classmates all presented great information that allowed me to learn even more about Nicaragua and its people.  I really enjoyed learning about the variety of topics and appreciated my classmates’ passion and dedication to their research.

Final Project

I completed my final project with Roshni and Morgan.  We focused on gender equality in Nicaragua by looking at the areas of education, healthcare, economic opportunities, political representation, and legal rights.  We found again and again that Nicaragua is praised for “closing the gender gap,” yet we debated whether this is really the case or not.

Main points from our presentation:

Healthcare – The overall health of women is greatly affected by maternity, which creates  disparities between the general health of men and women in Nicaragua.  That being said, access to healthcare is pretty much equal between the sexes.

Economic opportunity – It appears on the surface that Nicaragua offers equal economic opportunity, but this seems doubtful given the underlying social norms that keep women at home.

Education – In terms of gender equality, more Nicaraguan women than men obtain an education. However, the absolute percentages of education attainment for females and males in Nicaragua is low.

Political representation – Women are more represented in politics in Nicaragua than in most “developed” countries.  But representation does not mean political power.

Legal rights – Family values prioritized women’s rights.

In conclusion, we found that in regards to gender,  many aspects of life in Nicaragua are superficially equal (in fact women may have more opportunity in terms of things like education).  Yet, given the machismo of the country, perfect equality seems unlikely.  Morgan and I hope to have the opportunity to talk to people while down in Nicaragua about their experience with gender-based issues.  We want to gain a sense of the discrimination each gender faces and how the people have dealt with these issues.  It will be important to keep our questions open-ended to allow for interpretation and room for elaboration.  I am excited to learn more about these issues firsthand in order to gain a more comprehensive view.

Service, Development, and Change

A couple summers ago I spent four weeks in Costa Rica with a group of students.  We traveled from place to place and stayed with a homestay for some time.  It was an incredible learning experience (although I probably learned more about myself than the Costa Rican culture).  This trip was unique for me because it was my first experience as more than “just a tourist.”  I had traveled all over the world, done incredible things, seen beautiful sites, but had never labeled myself anything but a tourist.  Yet suddenly, I was living among the people, learning the language, and trying my hardest to not come across as too foreign.  I was excited to be in a place for more than a few days and to really learn about a new culture.

When I got there, I learned quickly that this was not going to be any different from my previous experiences abroad.  The only reason my trip to Costa Rica was not like my other vacations was that we did not stay in beautiful hotels.  It was like we were purposely living in hostels in homestays to make the trip seem more authentic, when in all reality we were hanging out on beaches and taking surfing lessons and doing very little service.  More than half of the students on the trip did not even speak Spanish. I was disappointed to say the least especially because the trip sells itself as “service-learning.” Recently, I was on their website and this is how they highlight the trip:

moondanceNeedless to say, this was not a very productive service trip.

After this experience, I was curious to hear what Michael Boudreau, Director of Compas de Nicaragua, had to say about his time in Nicaragua.  He started his lecture by discussing his first trip to Nicaragua.  What he remembers most about his first trip was the dichotomy between Nicaraguan culture and his own.  He reflected on the fact that the people there materially have less, but they do not complain about being poor. By contrast, as a kid growing up in a working class family, Michael constantly wanted what they other kids had.  He saw how Nicaraguans lived such happy simple lives and wondered why they could be so happy in a materially poor place.  He soon realized that it was due to their strong sense of togetherness.  The Nicaraguan people value having family and community and do not rely on material wealth to bring them happiness.  Michael remarked that the Nicaraguans ended up teaching him more than he taught them.  I thought this was really incredible to think about and very humbling.

Michael now works for Compas de Nicaragua, an organization that “promote[s] cultural exchange and improves lives through service learning trips and sustainable community development.”

compasThis Mission Statement is already so much more powerful than the mission of my Costa Rica trip.  Compas has done great work addressing the needs of the community by building community centers, supporting the local people, providing healthcare, creating educational services, and supporting Women in Action.  The work they do has real impact on the people they serve.  People like Michael have the power to change lives for the better.

One aspect that I think makes Compas so successful is the way in which they involve the community.  The community is engaged in the work Compas does.  It is not just the volunteers.  Further, Compas is constantly trying to come up with ways to benefit the community.  They are constantly developing new ideas and goals for their projects. This makes the work ever-engaging and more beneficial to the people.

I admire Michael’s passion for the project and the people he serves.  It was really great to hear what he had to say and learn about the true impact he has made.

Another organization like Compas is Bridges to Community.  By actively engaging the community members in the projects they pursue, Bridges gets results that truly matter.

Screen Shot 2016-10-20 at 3.58.04 PMLearning about organizations that have real impact has dramatically improved my respect for service organizations.  It has also made me aware that understanding the goal of the organization is very important when choosing how to lend your help. It is always good to have a critical eye when thinking about service-learning.  There are many organizations that do powerful things, you just have to find them.

—-

The following are some photos from my Costa Rica service trip:

monkey

hand printpainting pictures

Interview with Shannon Carman

Press on the audio bar above to start playing the interview between me and Shannon Carman- Student Director 2016.

Interview

I interviewed Shannon Carman who is this year’s Student Director.  Shannon spoke to me about her past experience on the trip and why she is looking forward to going back. Below are some of her thoughts:

On the rewarding/learning aspects of the experience:

“What was cool about working on each of those projects is that we got to go to each family’s house and sometimes we would go back to the same house multiple times so we got to go around the village a little bit and meet the families of the houses.”

“It was definitely a long day… but what was really rewarding about it was that we were working at the families’ houses so you knew that this latrine and this stove is directly benefiting the people we were directly working beside.”

“Getting a sense of the families’ living conditions… [was a] more uncomfortable situation.. [as you got a glimpse of the] extreme disparities in terms of our lifestyle and theirs… it really felt like you had a tangible impact [being able to view this]…”

Shannon felt that being able to interact with the families provided a sense of real reward, because she gained a tangible understanding of who the the work was directly helping.

On who she interacted with during her time in Nicaragua:

“Wide range of community members and Bridges to Community staff… sometimes the members of the community would come down to where we were staying and hang out a little bit.”

Shannon reflected on the fact that there was constant interaction between the community, Bridges, and the other Dartmouth students.

On use of Spanish language:

“[I am a] Spanish Minor [at Dartmouth]… at the time I had basic Spanish where I could understand what people were saying and could communicate things but not very fluently… felt super intimidated [sometimes].”

At the time of her first trip, speaking Spanish made Shannon understandably nervous as a foreign speaker.

On why she came back:

“I had such an amazing time the first time that I kind of wanted to come back and help other people have that same experience… Selfishly wanting to go back to Nicaragua but part of it was helping other people have the same experience… It is a really really great program”

Shannon emphasized wanting to be able to help others have an experience similar to her own. She really found value in her time in Nicaragua and wanted to provide that for others.

On what she will do differently this time:

“Do it better than I did the first time… being really present and engaging… you can always do better with that… Spanish speaking skills are better now… interacting more with the Nicaraguans.”

Shannon wants be ever-present this time around and wants to increase her interactions with Nicaraguans.

On her takeaway from the experience:

“The most important takeaway is applying [what we learn]… Being able to experience [what we have learned] on the ground and in person is much more impactful… This trip changes your mindset”

Shannon reflected on the fact that being able to apply what you have learned was a very unique experience.

On her goal for the trip:

“Hope that everybody can really ‘soak it up’, just be fully present, really just take advantage of the time you have there.”

Shannon’s goal for the trip is to make sure everyone is fully engaged and present and taking as much from the experience as they can.

—-

Overall, Shannon really emphasized the importance of taking on the experience “head-and-hands-on”. She talked about how the trip has tangible effects that have the power to change how you live day-to-day. Being able to bring back what we learn on the trip is incredibly important. We should all aim to be fully present and take in as much of the experience as we can.  It is service-learning after all.

Maternal Mortality

Nicaragua faces several countrywide health issues, but one of the most pressing is maternal mortality.  In 2007, maternal health related issues were the top cause of admission to hospitals.  Seeing this as a clear risk to the overall health of women living in Nicaragua, the Ministry of Health has declared maternal mortality as its top priority.

Maternal mortality is highest in rural, indigenous, and poor populations. Fifty-five percent of women in rural areas give birth at home, which makes them more susceptible to health complications.  Adolescents also make up a high proportion (approximately a third) of maternal deaths. This might reflect the fact that Nicaragua has one of the highest adolescent fertility rates in the world. Approximately half of Nicaraguan women give birth before age of 20.  Level of education is positively associated with the age women first engage in sexual intercourse (the higher the level of education, the older women are when they first have sex).  This is interesting because  women with poor schooling make up a large proportion of maternal deaths. This proves that education and health are very linked, and both issues must be improved to provide substantial change.

The positive news is that maternal mortality has been steadily decreasing (as shown in the graph below).  Yet, even with the decreasing numbers, the mortality rate is still very high and needs to continue to improve.

maternal mortality
WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division — Maternal Mortality 1990-2015

Interestingly, this is not necessarily an access-to-healthcare issue.  In fact, women are more likely to access healthcare than men.  So then what is causing this problem?

My guess is a combination of factors: there is no formal sex education in school, abortion is illegal, and poverty is wide spread (48% of people live below poverty line).  This is a complex problem with no simple solution.

Certain organizations, like CARE, have been pooling resources to try and tackle this issue. Watch the video below for more information:

Overall, Nicaragua needs to continue to tackle maternal health related issues and improve access to healthcare.  Hopefully, overtime maternal health issues will continue to decline with the implementation of things like Casa Maternas, government action, and maternal health NGOs.

Access to Clean Water

Lake Nicaragua
Lake Nicaragua

Nicaragua is known for its lakes and robust bodies of water, in fact has the most water in all of Central America. That being said, it is suffering from water shortages across the country. The problem arose from a combination of factors- climate change, deforestation, and erosion- and is not going away. It is a nation wide problem that threatens all 6.1 million inhabitants, especially those in rural environments who rely on water for their agricultural practices. The shortage is so bad, that some people have to travel long distances to access water, which imposes a huge strain on the families and communities.

Along with the shortage of water, there is also an issue with sanitation. Two million people currently do not have access to adequate sanitation; 800,000 people do not have access to clean water; and over 100 children die every year from water-borne illnesses. This is a major problem, and one that should be addressed with as much force as possible.

Organizations like Water Aid have taken part in supplying clean water to local Nicaraguan communities. They do so by installing and maintaining rope pumps, building eco-toilets, drilling manual borehole wells, cleaning and disinfecting existing hand-dug wells, and installing rainwater catchment systems. This past year they were able to provide 2,000 people with clean water sources and improve the sanitation of 1,000 people. While this is a start, there is much more work to be done.

One main challenge for combating poor sanitation is climate change.  Climate change has created water shortages, hindering access to already limited sources of clean water.  Essentially this mean that it is going to take a lot more than a few water pumps to solve this issue, and shows that like most things, multiple factors are at play.

References

About Nicaragua

Garming, Hildegard and Hermann Waibel. “Pesticides and farmer health in Nicaragua: a willingness-to-pay approach to evaluation.” European Journal of Health Economics (2009). 10:125-133.

Hruska, Allan J. PhD, et al. “The impact of training in integrated pest management among Nicaraguan maize farmers.” International Journal of Occupational and Environmental Health (2002). 191-199.

Keifer, Matthew, MD, MDH, et al. “Estimating underreported pesticide poisonings in Nicaragua.” American Journal of Industrial Medicine (1996). 30:195-201

Blog Posts

Access to Clean Water

Silva, José Adán, “Thirsty in Nicaragua, the Country Where ‘Agua’ is Part of its Name.” Inter Press Service. 2015.

WaterAid

Maternal Mortality

Angel-Urdinola, Diego, et al. “Equity, Access to Health Care Services, and Expenditures on Health in Nicaragua” HNP Discussion Paper. 2008.

CARE

Foundation for Sustainable Development

Lion, Katherine C, et al. “Adolescent Childbearing in Nicaragua: A Quantitative Assessment of Associated Factors.” International Perspectives on Sexual and Reproductive Health (2009). 35: 91-96.

Conducting Ethnography

Ethnocentrism is the “belief in the inherent superiority of one’s own ethnic group or culture.” A lot of people have certain pre-existing notions about different cultures that can create certain biases.  This is a huge issue for travelers, tourists, volunteer groups, and ethnographers alike, yet with the right tools, people can overcome ethnocentric ideas.

Many ethnographers spend long periods of time (months to years) in a foreign place studying the people and their practices. The hope is to gain insight into the people’s culture and lifestyles. Ethnographers try to blend in and live flawlessly among the people in order to gain the most from their experience. Unfortunately, this can be a particularly difficult task, especially when ethnocentrism blocks their view.  That being said, ethnographers are trained to be able to participate in and observe new cultures by eliminating cultural comparisons. Their time and effort studying people yields information that would otherwise not be available to us.

So while it is difficult to be a “perfect” ethnographer, we must try in order to really understand and appreciate new and different cultures.

I myself have never conducted ethnography, but think it is an interesting area of study (regardless of its challenges). Learning about other people and cultures is important in an every globalizing world. As humans we are all the same species, but we are vastly different. Every one of us is unique, and every culture has its own identity. It is fascinating to learn more about human differences through the work of ethnography.

It is particularly important to practice ethnography before going and living among foreign people for a period of time. There may be certain customs and rules you are unaware of and these things are important to know before venturing into a new place. It is like when you enter a friend’s house for the fist time and you see that the family all takes their shoes off before entering the home.  As a result, you take off your shoes too. The concept is largely the same when going to a foreign country for the first time.  If it is part of the cultural practice to take off your shoes or eat without utensils, then so be it. Ethnography teaches us how to be respectful towards other cultures, by teaching us to forget about our own cultural norms. It is about understanding a new people and culture by fully respecting what it is instead of how it compares to our culture.  This is increasingly important in the world we live in today.

Here are a few pictures of my family trying to “understand” Moroccan culture:

My family riding camels in the Sahara Desert. At the time it felt like a very authentic experience, but it was very much a tourist attraction.
My family riding camels in the Sahara Desert. At the time it felt like a very authentic experience, but it was very much a tourist attraction.
My family taking a photo with the indigenous people. I definitely felt a sense of superiority towards these people at the time.
My family taking a photo with the indigenous people. I definitely felt a sense of superiority towards these people at the time.
My family was fascinated by this snake charmer, but how real is this practice?
My family was fascinated by this snake charmer, but how real is this practice?

About me

Hi, my name is Katie Dishner and I am 20 years old.  I grew up in Greenwich, CT with my mom, dad, and younger sister Jackie.  Jackie is a current high school senior, but as of next year she will be attending Wake Forest University.

My family moved to London, UK in 2012. London is an incredible city, and I am so fortunate to be able to live there and experience its rich culture.

I feel a strong affiliation with Jackson Hole, Wyoming as I ski there every winter and hike there every summer.  My parents plan on retiring there, which is great for me because I will always have a house to live in when I visit.

I am currently a student at Dartmouth College where I study Psychology.  I am hoping to become a clinical psychologist and work specifically in criminal behavior.  I am also passionate about global health and want to pursue research in the field.

I love to be outside and do all things outdoorsy- skiing, hiking, canoeing, and camping. I especially love to run and have completed four half marathons and one full marathon.  I love dogs and have my own named Lucy.  I love to read, especially mysteries.  I am fun-loving and is always down to eat and hang with friends.

me and pail
This is a photo of me under the “Singing Pail” sculpture

Sobre me

Hola, me llamo Katie Dishner y tengo veinte años.  Yo crecí en Greenwich, CT con mi mama, padre, y hermana menor Jackie.  Jackie fue aceptado a Wake Forest University y va a asistir este universidad el año que viene. 

Mi familia se mudé a London, UK en 2012.  London es un ciudad increíble.  Soy muy fortunado que yo vivo en London y puedo experimentar la cultura.

Me encanta Jackson Hole, Wyoming porque yo esquio ahí todos los inviernos y voy en excursionismos todos los veranos.  Mis padres quieren jubilarse en Jackson Hole.

Soy un estudiante de Dartmouth College donde yo estudio Psicología.  Espero ser un psicóloga clínica y trabajo en comportamiento criminal.  Tambien, estoy apasionado sobre mundial de la salud y quiero hacer investigación en este asignatura.

Me encanta estar fuera y hace todos las cosas “outdoorsy”- esquiar, excursionismos, piragüismo, and acampada.  Me gusta correr y ha completado cuarto media maratón y uño maratón completo.  Me gusta perros y poseo un perro llamada Lucy.  Me encanta leer, pero mis libros favoritos son misterios.  Yo soy divertido y me gusta comer y paso el tiempo con amigos.

my dog
This is a photo of my dog Lucy

Why I took LACS 20:

I think an important aspect of education is being able to apply what you have learned.  That is what immediately drew me to LACS 20 and the CCESP.  To be educated about the politics and development of Latin America and then be able to go and work in Nicaragua is incredible.  Even though we will only be there for a short period of time, the work we will be doing is substantial.  Everything we do (no matter how small) will end up being a part of something bigger.  In this way, it does not matter that our stay is short because our service will help in the long run. This is a real service-learning trip (with the learning occurring before, during, and after the trip). We are not merely invaders, we have a purpose and meaning that is supplemented by our learning.  As someone who is pursuing the Global Health Certificate, this trip will enable me to see firsthand how this type of work can impact people.  I am excited to be part of this adventure.

service learning