WINGS continues to focus our activities on Alta Verapaz, a region of Guatemala with exceptionally high levels of poverty, child malnutrition and maternal mortality. In 2013 alone, thousands of women and families have been supported with accurate and empowering information on family planning and access to a range of contraceptive methods. However, every day we are reminded of the great and ongoing need for our services, as Maria's story demonstrates:
"My husband and I were happy that the WINGS clinic was coming and I would be able to get the little sticks [sub-dermal hormonal implant] put in my arm – we had talked before about not having more children but until now we didn’t know where to go to get the medicine. I have five children living. Two months ago my youngest child died; while I was pregnant, I fell out of a pickup truck that was still moving and was dragged along the road. I went into labor and they rushed me to hospital, but the baby was too small and he didn’t make it. I almost died as well because the birth was very difficult. I asked the hospital to operate on me so that I wouldn’t have more children, but they said that I would have to buy some of the supplies for the operation, and I didn’t have enough money."
"Today WINGS did a pregnancy test and it was positive – I am really, really sad. I don’t want to have any more children and I don’t know what to do. It isn’t that I won’t love the baby, but the problem is that we are very poor – my husband is an agricultural laborer and I feel very sorry for him because he has to work from dawn until dusk for very little money. The money he makes doesn’t go far and everything is getting more expensive. Our children are still very young and we did not want to have another baby, but we will keep struggling on. I hope to God that WINGS returns so that I can get the little sticks put in my arm and take care of myself after having the baby. I can’t have any more children - I feel very ill and I am scared of dying and leaving my young children without a mother. There are many more women like me who need these medicines so that they don’t keep getting pregnant."
Candelaria, 38 and the mother of 5 children, had never heard much about family planning methods before. “If I had, I wouldn’t have so many children,” she explains.
In March, she took a one hour trip in the back of a pick-up truck to attend a WINGS mobile clinic after a a community leader stressed the importance of attending since there had never been any family planning related outreach in their area before.
After receiving information from WINGS and weighing her options, Candelaria decided to have a Jadelle inserted. The sub-dermal implant will protect her from unintended pregnancies for up to 5 years.
Candelaria is very grateful. “I do not want to have any more children. Family planning will help me and my husband give more to each of our children, and maybe even help me live longer. If WINGS hadn’t come to my community, I never would have had this opportunity.”
Sylvia Rodriguez sits on the foot of her white-linen clad bed at the Hilario Galindo Hospital in the Western Guatemalan state of Retalhuleu, seemingly at peace with her sterile surroundings. At only 24 years old, Sylvia has gone through more physical and emotional pain than most people experience in their entire lives, but she refuses to let the negative overshadow the positive, even only an hour prior to a hysterectomy ordered by her oncologist.
Sylvia’s hysterectomy is actually part of her treatment – she has a very advanced form of cervical precancer.
These recent events have been only part of a series of loops and corkscrews in the rollercoaster of Sylvia’s life. When she was eight years old, her mother died from a similar form of cervical cancer. Left with her father, she and her brothers were mentally and physically abused until they collectively decided to save themselves by leaving their father and moving in with their grandmother. And just four months ago, Sylvia lost her husband of eight years to his battle with rectal cancer, leaving her to care for her three children by herself.
Earlier this year, Sylvia attended a WINGS-organized screening in Cotzumalguapa after hearing a WINGS Educator, Flory, deliver an informal pre-educational seminar on cervical cancer. Sylvia recalls, “I was scared that I showed many of the risk factors that I was told about – for example, my mother had cervical cancer, and I started having unprotected sex at a young age with multiple men, because I was never exposed to responsible sexual health when I was growing up.”
Sylvia went through the screening, which includes visual inspection of the cervix with acetic acid and treatment of cellular abnormalities using cryotherapy (VIA/Cryo method), subsidized by WINGS. Unfortunately, the screening revealed a lesion on her cervix – far too advanced for the cryotherapy to be effective. Flory referred her to an oncologist in the area to continue testing and treatment.
An additional biopsy, colposcopy, and loop electrosurgical excision procedure (LEEP) gave Sylvia the prognosis she had been hoping to avoid: she had severe dysplasia (CIN III) on her cervix, prompting the oncologist to recommend relocation to better facilities and an emergency total hysterectomy. The lone bright spot was that preliminary tests concluded that the cancer was localized to the cervix, so a hysterectomy would theoretically leave Sylvia cancer free.
“When I found out, I felt desperately sad and alone. But if it wouldn’t have been for WINGS and their Cervical Cancer screening in Cotzumalguapa, I would have never known about my condition, and I wouldn’t have this opportunity to beat it,” she told Flory, the WINGS Educator that has stayed by her side. Flory came with Sylvia to give her the support she needed, in the absence of her late husband.
Sylvia, with her hands placed lightly in her lap and her chin held up, looked out the single window onto the adjacent wing of Hilario Galindo. “This procedure is a second chance at a healthy life with my kids."