Report from Ecuador, Part Two of Two (read Part One first!)

Let’s imagine again – this time, that you’re about to have a child. (Guys, bear with me.) Imagine that it is typical and expected that when you go into labor, you’ll go off by yourself into your garden and give birth alone. Imagine that if there are complications, no one is with you to help, but even if there were and it was determined that you needed urgent medical care, that the nearest health center is an hour’s flight away – on top of the hour minimum it would take the plane to fly in to get you in the first place. Imagine your justified fear as you approached your due date.

This has been the traditional way of giving birth among the Achuar people, an indigenous Amazonian tribe living in the rainforest that I visited in Ecuador a few weeks ago. You can easily understand why infant and maternal mortality are quite high in this region. Then along comes Narcisa Mashienta, a spitfire woman from the neighboring Shuar tribe, who married into the Achuar and immediately saw the unnecessary suffering and death the women endured in childbirth. As this was not her tribe’s culture, she set out to shift this practice and increase the health outcomes for both mother and child. Partnering with an American midwife, Margaret Love, and the nonprofit Pachamama Alliance, Ikiama Nukuri (formerly called Jungle Mamas) was born. Over the last 10 years, they have trained 63 Achuar Health Promoters to visit 87 of the far-flung Achuar villages, meeting with pregnant women, screening for high-risk pregnancies, and providing Safe Birthing Kits which include sterile supplies for delivery. They are also promoting the idea that birthing doesn’t need to happen alone, and has much better outcomes when assistance and support are given. Slowly the culture is changing to include mothers, sisters, and the health promoters themselves attending births. Since starting the program, there have been no deaths among the women who have been seen by the health promoters. Quite an amazing statistic!

My group got to meet one of their star Health Promoters, Veronica, as well as many of the women who had been assisted by Ikiama Nukuri in their births. We also took part in a training in one of the villages, where a pantomime birth took place (dramatically and hilariously acted out by our guide Belen) and the new baby’s father was portrayed supporting his wife through labor. This is an even farther reach to involve the husbands in the births, as typically they stay far away. Even helping out with cooking and chores after a birth are seen as “unmanly” and other men in the village make fun of those husbands who do help out. As you can imagine, this too is a point that is up for addressing, and the hope is for a Achuar man to step forward who is strong enough to be able to speak out against this bias, and start the shift towards a more equitable sharing of responsibilities here too.

My favorite memory is Narcisa explaining to us how they are promoting family planning using the not-perfect-but-way-better-than-nothing rhythm method. They have workshops for the women to create necklaces with 28 beads – the first nine, small beads (days safe to have sex), three slightly larger beads (caution days) and four big beads (abstain!!). Then back to the three caution beads, and then nine more small “safe” beads. The men who are on board with this system create bracelets for themselves so they can keep track too.

While there’s obviously a long way to go, great strides are being made. Imagine their brighter future!


 

Report from Ecuador, Part One of Two

Imagine that you don’t own a car. None of your neighbors do, either. Imagine that no one owns a car because there are no roads. There are no roads because you use the river in front of your village for transportation by canoe, or you walk through the jungle to get where you’re going. There are no stores, so you eat what you grow in your garden, or the chickens you keep, or what you hunt in the forest or fish from the river.

Although this may sound like a way of life from the distant past, it’s the present-day lifestyle of the Achuar tribe, deep in the Amazon rainforest, who I was privileged to visit while in Ecuador with the Pachamama Alliance at the end of September. One of the only nods to modernity in the small village of 21 families we visited is the airstrip that has been cleared, only large enough for very small planes to arrive and provide a link to the rest of the world. The nearest airport is an hour’s flight north – in  the town of Shell, named, yes, for the oil company that threatens the very existence of the ancestral homelands of these people.

Their land is pristine, original-growth rainforest. Not a single piece of garbage floats in the river, nor litters the paths. Their connection with the life force and spirit of the trees, the animals and the river is the bedrock of their worldview. I have never experienced a culture with such a light footprint on the earth. I am embarrassed by my own, in comparison.

While visiting, our group of 13 women from all across the US took part in some of their daily rituals – one of which included rising at 3:00 am to gather with the family to drink ceremonial guayusa tea, share dreams (great emphasis is placed on dreams and their interpretation), and learn how the elders pass their values and culture down to their children during this time of day.

The Pachamama Alliance is helping the Achuar and other indigenous tribes protect their lands from the extractive industries – oil, gas, minerals -- that want to turn these lands into profit centers for their corporations, completely trashing the environment in the process and destroying the way of life that has been passed down for millenia. The Achuar are a strong, proud warrior culture, and refuse to allow any industry on their land. Their battles for sovereignty, and that of the other tribes, are happening in courts across the nation of Ecuador, and some positive precedents have been set. But it is an on-going battle as some corporations just do as they please in such a vast area with little oversight. I am in awe of these people’s courage, and have a much deeper understanding now of the uphill battles they face, as well as the importance for all of our planet that they persevere, and keep control of these remaining untouched tracts of land where the headwaters of the Amazon River originate. This journey has touched me more deeply than almost any I’ve done; I’m having a hard time putting the experience into words to share. Maybe the pictures will speak for me?