Recently, WINGS responded to the needs of a partner institution, the Centro de Atención Permanente (CAP) which found itself in a difficult situation. CAP was holding a family planning clinic in the community Chamelco, Alta Verapaz, but only had the resources to attend to 25 people. Nearly 70 women and men arrived, many having left their homes as early as 3 a.m. to travel a great distance and attend the clinic. Very worried about turning away people in need, the Clinic Coordinator made an urgent call to WINGS, asking if we could fill the need.
WINGS’ mobile medical unit quickly responded and upon arriving, was met with applause and gratitude. WINGS staff was able to help the remaining 44 people in attendance and provided services free of charge to 11 users who lacked the economic resources to cover the subsidized cost of contraceptive methods.
One woman in particular stood out among those 11 users. Catarina timidly approached WINGS’ staff during the clinic, unsure if she would receive any help due to her economic situation. As a mother of four, 31 year old Catarina did not wish to have more children. She shared the economic hardships her family has faced with our team. Her husband´s income is unstable due to his seasonal work cultivating African palm-oil. The uncertainty of if and when he can work makes it difficult to provide for all four children, especially Catarina’s youngest daughter who is only 11 months old.
WINGS staff were truly overjoyed to tell Catarina that she would receive the Jadelle sub dermal implant free of charge. Her smile upon hearing the news was infectious and reminds us that the services we provide allow women like Catarina to achieve a better quality of life for themselves and their families.
WINGS thanks you for making our work possible and supporting Guatemalans as they make informed decisions to strengthen their families through reproductive health.
WINGS brings direct reproductive health services to communities that would not otherwise have access to this care. Often the communities are remote and difficult to get to, either because of the terrain or limited access roads.
Last month, WINGS staff left for Chacalté Carchá early enough to compensate for the fog and the roads, muddy from the rain the night before. For hours, the truck slid through the narrow trail, unguarded on the mountainside. Then the truck sunk into the mud. Then it began to rain. Since hardly anyone passes on this road, there was no one to lend a rope or a hand. The staff thought they might have to cancel the clinic, so Eli, a WINGS driver, walked thirty minutes to the Health Center to let them know that they would be late. Upon returning to the vehicle, he continued trying to maneuver it out. Success! Though a short distance later, it was stuck again.
Carmen, a WINGS nurse, said, “The stick shift just wouldn’t comply, we weren’t getting through. At that point we just put ourselves in God’s hands since we thought that at any minute we’d be rolling down the mountain.”
It started to rain harder when the staff decided to walk the rest of the way to the Health Center, hours late. Eli carried all the equipment he could by himself from the truck to the center, and the staff used what was available there to improvize. During the day, the rain stopped but the wind picked up, bringing with it the makeshift curtains and registration forms. Staff grabbed the edges of the curtains to ensure patient privacy, and paperwork had to be held down with rocks. Despite everything, WINGS nurses performed 31 cervical cancer screenings, 11 Jadelle 5-year implants, and one IUD.
Thankfully, after the clinic community members helped get the vehicle out. They followed the truck with buckets of rocks to place under the tires, pushing when it got stuck. Carmen reported, “I have to thank our team, that even in the worst circumstances we help each other out—enthusiastic, optimistic, and always with the desire to do the best we can with what we’ve got.”
On February 26, 2014, WINGS held a community leadership workshop in San Cristobal, Alta Verapaz. About 40 representatives learned about family planning methods and management practices to provide for men and women in their communities. Laura,* who had previously been a patient at a WINGS reproductive health mobile clinic, decided to become a promoter in her community:
“My sister got me into it. I had visited her last year and she was going around letting her community know about the WINGS clinic that was going on. She told me about being a promoter and encouraged me to participate, since I’m already a leader in my community and part of a women’s committee.
I decided to go to the clinic first as a patient, since I’d been feeling sick for a while. I’d gone to a few doctors but they weren’t able to tell me what was wrong, so I thought maybe WINGS would be able to help. I’m married with two kids, and my husband was really supportive of me going, since he was worried about what might be wrong with me.”
WINGS recommended that she be tested for cervical cancer, which resulted positive. “It scared me to hear that, but I was relieved at the same time since they told me right there, and told me they would go with me to the doctor.”
WINGS refers patients with positive results to partnering physicians, who perform colposcopies and treatments. However, Laura found out she was pregnant, and would have to wait until after she gave birth to receive treatment.
“Most of what I knew about birth control before the WINGS workshop was false—that they weren’t effective or that they made you sick. My husband and I used condoms, but had gotten careless, and now I’m pregnant! Since I’ve been in the leadership workshops I’m recognizing how important it is not to be afraid to know. I know that I need to talk to my kids about this so that they don’t have the same problems.”
Laura is now a WINGS promoter in her community and counsels men, women and teens about family planning. She says it is a challenge. “Being a leader can be difficult. I deal with women who suffer from domestic violence, who have heard all the wrong things about birth control and are afraid to use it. I try to explain to them what I could have prevented by having the right information, that it is better to know.”
WINGS offers continued support to promoters with monthly follow-up visits and method redistributions, where promoters can have questions answered and better their management skills.
* Name has been changed