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	<title>Jan Janzen Daily &#187; Pasajcap</title>
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	<description>Celebrating People Making a Difference In the World!</description>
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		<title>Too Many Women Are Dying</title>
		<link>http://janjanzendaily.com/2010/03/04/too-many-women-are-dying/</link>
		<comments>http://janjanzendaily.com/2010/03/04/too-many-women-are-dying/#comments</comments>
		<pubDate>Fri, 05 Mar 2010 02:18:43 +0000</pubDate>
		<dc:creator>Jan Janzen</dc:creator>
				<category><![CDATA[Travel]]></category>
		<category><![CDATA[Central America]]></category>
		<category><![CDATA[child mortality]]></category>
		<category><![CDATA[Guatemala]]></category>
		<category><![CDATA[maternal deaths]]></category>
		<category><![CDATA[maternal mortality rates]]></category>
		<category><![CDATA[Pasajcap]]></category>
		<category><![CDATA[San Marcos]]></category>

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One night while having dinner in San Marcos, I noticed an older Caucasian woman with a young Guatemalan child.  Nosy me was trying to figure out the relationship, as there didn´t seem to be a mother present and this woman was either babysitting or a guardian.  Finally, I just asked and wow – [...]]]></description>
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<div id="attachment_1268" class="wp-caption aligncenter" style="width: 209px"><img src="http://janjanzendaily.com/wp-content/uploads/little-girl-orphan-199x300.jpg" alt="This little girl´s mother died giving birth to her" title="little-girl-orphan" width="199" height="300" class="size-medium wp-image-1268" /><p class="wp-caption-text">This little girl´s mother died giving birth to her</p></div>
<p>One night while having dinner in San Marcos, I noticed an older Caucasian woman with a young Guatemalan child.  Nosy me was trying to figure out the relationship, as there didn´t seem to be a mother present and this woman was either babysitting or a guardian.  Finally, I just asked and wow – what a story.</p>
<p>While this little girl´s mother was giving birth to her, the mother died.  The father, unable to take care of the new baby or the older brother, relinquished guardianship of the brother to a grandmother and gave this Caucasian woman who happened to be in the room for the birth, legal guardianship of the new baby.</p>
<p>Talk about an instant change in one´s plans.  Unfortunately, because of the woman´s age, the Guatemalan government won´t let her officially the little girl <span id="more-1267"></span>which means she´s either staying in Guatemala for a long time or she will have to relinquish guardianship of the child.  </p>
<p>As one of the tenants at Pasajcap on the lake was a midwife from the States, I learned a little bit about maternal mortality here in Guatemala from her, and it isn´t pretty.  She had attended two Guatemalan births – one the mother died, the other, the baby died.  Legally she wasn´t allowed to assist, but was simply an observer in the room.  She felt that both deaths could have been prevented with better supplies and training.  Hemorraghing is a major issue as many women are already anemic and midwives are apparently being urged by “modern doctors” to hurry up the delivery of the babies.  Babies and mothers are not adapting well to this new method of a process as old as life itself.       </p>
<p>From my research online, I learned that the maternal mortality rate in Guatemala remains the highest in all of Central America at 190 deaths per 100,000 live births.  On the other hand, in the US, the maternal death rate was 11 maternal deaths per 100,000 live births in 2005</p>
<p>Child mortality in Guatemala ranked the highest of all Central American countries in 1995, with 51 out of every 1,000 dying before the age of five. However, in the past seven years, this number has decreased to 45 out of every 1,000 so we are headed in the right direction, mostly due to the work of many NGOs (non-governmental organizations) in the country.  </p>
<p>On one of our last boat trips on Lake Atitlan, I sat beside a young mother with a little boy 3 years old and a young baby of about 6 months.  It was nearing dark but she told me that they would have to walk 1 ½ hours home up the mountain to their village home.  Dangerous – yes.  Isolated – definitely.  This problem is one of the reasons for high maternal mortality.   </p>
<p>The book &#8220;Too far to walk: Maternal mortality in context&#8221; explains that isolation and then lack of proper staff and equipment is a problem in the Guatemalan highlands.</p>
<p>It´s one of the reasons that I can only applaud and support the amazing work I have continually witnessed over the last few months.  Incredible dedication coupled with a wonderful commitment to helping the Guatemalans has meant that real progress is being made on many fronts.  </p>
<p>The example of this little girl who is being so lovingly cared for by a foreigner in her time of need is a perfect example.   I´ll be letting you know soon how you can help make a difference.  There is lots of work to do here and if we all do a little, it will add up to a lot!</p>
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		<title>Dogs, massage and dirty clothes</title>
		<link>http://janjanzendaily.com/2009/12/30/dogs-massage-and-dirty-clothes/</link>
		<comments>http://janjanzendaily.com/2009/12/30/dogs-massage-and-dirty-clothes/#comments</comments>
		<pubDate>Wed, 30 Dec 2009 18:17:29 +0000</pubDate>
		<dc:creator>Jan Janzen</dc:creator>
				<category><![CDATA[Travel]]></category>
		<category><![CDATA[Chi Nei Tsang]]></category>
		<category><![CDATA[Guatemala]]></category>
		<category><![CDATA[Pasajcap]]></category>
		<category><![CDATA[San Marcas]]></category>
		<category><![CDATA[Santa Cruz]]></category>

		<guid isPermaLink="false">http://janjanzendaily.com/?p=1141</guid>
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On Monday I had the most amazing massage.  Nadia is originally from Bulgaria, worked in France for 10 yeaers and has been practicing in San Marcos for 11 years.  She does an unusual combination of massage with includes a deep abdominal Chinese massage called Chi Nei Tsang.  Whatever she does is incredible. [...]]]></description>
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<div id="attachment_1140" class="wp-caption aligncenter" style="width: 458px"><img src="http://janjanzendaily.com/wp-content/uploads/dog-at-massage.jpg" alt="The dog was more relaxed than me!" title="dog-at-massage" width="448" height="298" class="size-full wp-image-1140" /><p class="wp-caption-text">The dog was more relaxed than me!</p></div>
<p>On Monday I had the most amazing massage.  Nadia is originally from Bulgaria, worked in France for 10 yeaers and has been practicing in San Marcos for 11 years.  She does an unusual combination of massage with includes a deep abdominal Chinese massage called Chi Nei Tsang.  Whatever she does is incredible.  </p>
<p>Despite the outside noise of people walking along the paths of San Marcos, the dogs barking and the firecrackers going off with Christmas and New Years, I have rarely felt as relaxed as I am in her healing room.  Monday was my second session with her and as I opened my eyes and went to get up from the table, there was Jeannie, her dog, fast asleep with her nose in my clothes.  She was even more relaxed than I was!  </p>
<p>I couldn´t resist wrapping the towel around me and quiety getting my camera out of my bag.  She was the perfect photo.  I´m not sure if she was drooling or not but I knew that it was time <span id="more-1141"></span>to take my clothes to the laundry.  </p>
<p>There are no machines here at <a href="http://www.pasajcap.com">Pasajcap</a> so I either have the choice of having my clothes hand washed here by a washing woman and hung on the line or taking them into San Marcos and having them washed and dried by machine.  </p>
<p>Having lived in Ecuador where our clothes were scrubbed clean by very enthusiastic washing women, I knew the consequences of hand washing.  Although the clothes were always more than clean, they also wore out very, very quickly.  The combination of a scrub brush, cement and some serious muscle was more than hard on the cothes.  Remembering that, I opted for the machines.  At least this time.  I go into town this afternoon to pick up my 7.5 pounds of clothes.  They actually weigh your clothes and charge you by the pound.  The whole ordeal is costing me about $5.</p>
<p>Tomorrow I am having a facial in Santa Cruz where I spent Christmas and then heading into Panajachel to see about my cell phone.  I bought a cell phone here on the recommendation of my landlord as everyone has one and uses them they are so cheap.  Great for making appointments and in case of an emergency.  However, my $18 cell phone isn´t working so I´ll see how good customer service is here in Guatemala.  It helps that the store is right now to the House of Chocolate where they sell the most divine dark chocolate.  If I can´t get my phone fixed, I´ll at least have a New Year´s Eve feast of chocolate.  No matter what, it will be an amazing day!</p>
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