Wheelchairs in the Jungle City of Iquitos

25 February 2018

This was the week to take a donation of more than 100 wheelchairs to the jungle city of Iquitos for a delivery to the disabled.

We had planned for this delivery last year, but the Peruvian Air Force, who was to help with the transport, could not send them because their planes were committed to helping out with the floods along the coast. Now, 11 months later, the wheelchairs finally arrived in Iquitos.

Back to Iquitos in the Amazon Jungle


Iquitos is the world's largest city that can't be reached by road (only by air or boat). Located on the Amazon River, this city of 500,000 is isolated from the rest of the country. This also means that if you are disabled and poor, your life can be much harder than living in a major city like Lima. The trip this week was designed to help those most in need.

Half of Peru is in the Amazon jungle, and Iquitos is the largest jungle city. Getting there from Lima requires a flight over the Andes Mountains and across the upper Amazon River basin.

It is always a shock to get off the plane in Iquitos. Hot and humid, you know you are in the jungle as soon as you get off the plane. We have now been to Iquitos several times, and just thinking about going makes me sweat!

Welcome to the jungle as soon as you get off the plane. Note that there are no jetways in most of Peru's airports - you just walk down the stairs off the plane in Iquitos and immediately face the heat.

Wheelchair Delivery


We held the wheelchair delivery inside a huge public building called "Casa de la Amistad" (House of Friendship) which thankfully had a covered atrium to keep us out of the sunshine during the many hours of the delivery. Our long-time partner, the National Institute of Rehabilitation (INR) in Lima, worked with a local organization for the disabled to select the recipients. This was one of the best-organized donation events for wheelchairs we had ever attended.

Recipients and their families arrived at the donation site and waited patiently for several hours to receive the wheelchair that would change all of their lives.

Of course, to kick off the delivery, the Peruvians always hold a delivery ceremony with speeches, music, and program (and yes, they always have me speak). Next, they had a symbolic delivery of a few chairs for media photos.

Symbolic delivery of the first wheelchairs. Dr. Cusihuaman (right), donation committee chairman from the National Rehabilitation Institute (INR) in Lima, brought his team of six to Iquitos for this delivery. Other local partners participated in assembling all the chairs and helping with the adjustments.

Following the short program and symbolic delivery, things got underway. Within 4 hours, 60 chairs were delivered (with the rest to be given out next week). Each chair was personally adjusted to fit each recipient's body. These final adjustments, performed by the INR team from Lima and the local partners we trained last year, are critical to keep the wheelchair recipients from developing sores due to the long hours they will spend in the chairs.

New wheelchairs line up for the donation. These chairs were all assembled before the day of the delivery to speed things up.

A grandfather who lost his leg due to diabetes received one of the new wheelchairs. He can now get around without the crutches that were previously damaging his shoulder and back. His grand kids were really excited to be able to push him around. As they left after the donation, the boys were pushing grandpa and then broke into a run while still pushing - grandpa had a huge smile. I was afraid the boys were going to dump out the grandpa, but he seemed to be having fun with his grand kids and his new mobility.

Grandpa can now get around with two eager grandsons to help push (or run while pushing).

This woman suffered a neurological disease at age 35 and has been practically bedridden for the last 8 years - she cannot walk at all. Her children have to lift her and carry her everywhere in the house. Now she has a new set of 'legs' with this wheelchair. She told me she will now be able to return to the kitchen and cook for the family. This wheelchair will make a huge difference in her life.

This woman's children have had to carry her everywhere for the past several years. She will no longer be bedridden now that she has a wheelchair.

Wheelchairs change lives for those most in need. They allow a formerly home-bound man or woman to finally leave their house and return to work and become self-sufficient. They allow people the dignity to move freely about their house and cook, clean, and take care of themselves. They allow disabled children to go to school. Wheelchairs allow parents of severely handicapped children to finally be free of the back-breaking job of carrying a large child everywhere they need to go. Wheelchairs change lives in incredible ways for the disabled and the crippled and their families.

This cute little girl has a neurological condition that keeps her from walking. This chair will give her hope for a more normal life, despite her crippled body.
This severely handicapped child will be wheelchair-bound for life, but his mother will no longer have to carry him everywhere she goes - what a blessing this wheelchair will be for her.

So we count our blessings that we get to play a small part in these projects that touch so many lives.

New Wheelchair Design


LDS Charities is donating about 1,200 wheelchairs in this current project (and about 4,500 wheelchairs donated in Peru over the past 5 years). The latest container of wheelchairs arrived in Peru last month. This container included new designs that allow far more adjustments to fit an individual. However, they take longer to assemble and perform the fitting. Before going to Iquitos, our partners at INR in Lima needed training and practice in assembling and adjusting.

Sergio (on the right) is one of INR's top technicians (along with Jorge and Jannina). After the training, Sergio holds the record for assembling one of the new standard chairs: 9 minutes. There are two other models we donate that take longer to assemble (15 to 20 minutes). A rough-rider model is for use on tough terrain, dirt roads and gravel, and an active model is for people who get around well with lots of upper body strength.

Before going to Iquitos, we held a training course this week in Lima with our INR partners so they could know how to assemble and adjust the chairs once we arrived in Iquitos. Dave and Sherri Jones, our wheelchair specialists from Texas, came to Lima (along with two other church wheelchair technicians) to oversee this training.

Partners from INR, Jannina and Jorge, assemble the new chairs while Dave Jones, our wheelchair specialist from Texas, observes. The new chairs are far more adjustable than the old ones, which takes longer to assemble.

The new chairs offer the ability to adjust up to a dozen parameters, including seat height, wheel placement, arm rest and foot rest positions, etc. Unfortunately, the chairs now take longer to assemble and adjust (15 to 20 minutes to assemble, 15 to 20 minutes to adjust). On delivery days when 100 recipients are arriving to receive their chair, that can make a big difference in terms of how long it takes to pass out and adjust the chairs.

Sandy was the test patient on the training day for INR partners Wilmer and Elise as they adjusted the chair to fit her body. Fit is very important for people to avoid developing sores from being in one position constantly.

The new designs also include quick-release wheels. This is really handy for transporting wheelchairs in vehicles, like transporting on this motor-taxi shown here. At least 95% of the vehicles in Iquitos are motor-taxis, so being able to transport a wheelchair in one of these is critical.

This wheelchair recipient in Iquitos lost her leg at age 20 and has been on crutches ever since. But her shoulders and her remaining leg were suffering, so she became a candidate for a wheelchair. To get home, she just pulled the wheels off the chair and had the driver strap the chair on the back of the motor-taxi.

Around Iquitos


The jungle is a tough place to live due to the heat and rains. Most of the homes have corrugated metal roofs. As neighborhoods expand on the outskirts of town, people just go into the jungle, cut down the trees and stake claim to what will become their land (if they live on the land for 3 years).

New neighborhood on the edge of Iquitos, You can see how they have cut the jungle trees in a straight line to make way for the new houses. 

Of course, there is lots of river-front property along the Amazon and other rivers around Iquitos. You just have to build your house on stilts for the times when the river is 12-to-20 feet higher during the wet season. I took this shot right near central Iquitos, two blocks from Plaza de Armas.

River-front property in Iquitos. Note the boats in front of the house. They have to go through lots of water plants to get to the dock. Both the dock and the shack next to it are floating, while the house itself is on stilts to keep it dry when the river rises. 

The buses in Iquitos are an interesting sight. Because the city is so remote, they only ship in new bus frames and engines, then they build the rest of the bus locally in Iquitos. The design makes it look like they reused old trolley cars, although the have new frames with new engines. Note that because of the jungle heat, they don't have windows on the buses, just open air to help cool things off. Seeing these buses on the highway makes me feel like I have gone back in time 60 years.

Locally built buses (without windows) in Iquitos - these are actually modern buses that only look old.

Taste of the Jungle


Peruvian food is excellent, and we have found delicious food all over the country. However, food in the jungle regions is especially tasty, and we always find wonderful food in jungle towns like Iquitos, Pucallpa, Tarapoto, and Moyobamba.

Here is a dish I ordered this week in Iquitos.  The meat is a smoked pork plate called "cecina". The meat is first smoked, then it is roasted and is very juicy. Next to it is baked sweet potato with a passion fruit glaze, garnished with a marinated onion salad called "sarsa". The plate to the side includes three types of quinoa. This is a great meal for about $10 at an outdoor restaurant called "Dawn over the Amazon" that overlooks the river.

Jungle cuisine - cecina smoked pork with sweet potato and passion fruit glaze and sides of marinated onions and quinoa.

And so we arrived home at around midnight Saturday after this week's journey to the jungle. We have this coming week to catch up, then we travel next into the Andes Mountains of the Huancavelica region to develop a host of projects. One thing we seldom suffer from on this mission is boredom.

Finishing up Humanitarian Projects, and Lima Churches, Monasteries and Convents

18 February 2018

We manage humanitarian projects all around Peru to reduce suffering and improve life for the poorest of the poor. Each project eventually comes to an end and requires closure. These past few weeks we have been busy closing a number of these projects, which involves assessing how effective they were. We have also been gathering impact reports from our partners that tell us how the projects have worked out.

Finishing Humanitarian Projects


Here are a few of the projects we have closed recently, along with photos sent to us by our partner organizations that benefited from the help.

Pucallpa - Vision Project

Issue: Poor children often go without eyeglasses and perform poorly in school leading to high dropout rates.

Goal: Improve vision for children of families with very limited resources.

Project details:
  • Partnered with regional health authority who coordinated the initial screening of over 10,000 children in 41 schools in Pucallpa.
  • From those screened, provided eye exams for 1,056 of those children
  • Donated total of 956 eyeglasses

Arequipa - Soup Kitchen (Comedores Populares) Project

Issue: Many poor people suffer from malnutrition in remote regions of Peru.

Goal: Improve nutrition levels for the poorest of the poor in the Arequipa Region.

Project details:
  • Partnered with regional government to improve conditions at 225 soup kitchens that provide one meal a day to the poor
  • Project was held in conjunction with training of soup kitchen operators to improve nutritional content of the meals
  • Donation included 900 large cooking pots, 450 dozen plates and utensil sets, 225 blenders, etc. 

Cayma - Maternal/Newborn Health Project


Issue: Mothers and babies in this poor region were dying due to lack of early identification of problem pregnancies.

Goal: Reduce maternal & infant mortality in this poor region near Arequipa.

Project Details:
  • Partnered with local government health authority to provide needed diagnostic equipment for poor pregnant women.
  • Our donations of equipment were placed in two health facilities that provide care to the poor.
  • Donations included fetal monitors, ultrasound devices, blood monitor, and laboratory microscope.

Catacaos - School Project


Issue: Floods last year destroyed school desks in 13 schools up north in Catacaos near Piura.

Goal: Restore schools to working condition in a region wiped out by floods last year.

Project details:
  • Partnered with local school district to identify schools most-severely affected by the floods
  • Donated 900 student desks and 27 teacher desks
  • Donations restored 13 schools to functional state
  • Coordinated school cleanup project with 90 local church members

Cerro de Pasco - Maternal/Newborn Health Project

Issue: Mothers and babies in this poor region were dying due to lack of early identification of problem pregnancies.

Goal: Reduce maternal & infant mortality in this poor and isolated mountain region.

Project details:
  • Partnered with local government health authority to provide needed diagnostic equipment for poor pregnant women.
  • Our donations of equipment were placed in six remote health facilities that provide care to the poor.
  • Donations included fetal monitors, ultrasound devices, blood monitors, and other laboratory equipment.

There is a sense of satisfaction in completing these projects. Our goal is to finish the majority of the humanitarian projects we have worked on by the time our replacements arrive in 5 months. That will give them a chance to start fresh.

Lima Churches, Monasteries, and Convents


Central Lima is filled with an amazing collection of Catholic churches, monasteries, and convents built over the past five centuries. On our day off this week, we roamed the downtown visiting a number of the most interesting of these buildings.

All of these churches were within just a few blocks of each other.

View into central Lima and the main cathedral at the Plaza de Armas. Central Lima is filled with many Catholic churches, convents, and monasteries that resemble similar buildings throughout Spain.

Ornate stone carvings fill the facade of the Church of Saint Augustine. It is amazing what skilled Spanish craftsmen did with hammer and chisel.

Church of Saint Augustine. Stone masons and sculptors worked for decades on many of these churches.

Just down the street is the Convent of Santo Domingo. Built in the 1500s, this convent is still the home to nuns, although most of this convent has been converted into a museum.

Cloister of the Santo Domingo Convent. The second floor is still inhabited by nuns.

Side chapel at the Santo Domingo Convent.

We arrived at the convent just in time to join a group ascending to the top of the convent bell tower. It was an incredible hike to the top, past massive bells, with great views from the top.

Santo Domingo Bell Tower overlooking Lima.

Inside the Santo Domingo Bell Tower

Santo Domingo Bell Tower

The convent library at Santo Domingo is filled with thousands of books dating back to the 1500s. You can smell the decaying pages of the books that are centuries old.

Library at Santo Domingo Convent. Note the mannequins that they had set up to recreate what it was like in the library in by-gone days.

Main chapel at Santo Domingo

A few blocks away is the San Francisco Monastery. This monastery, built in the 1500s, has been the home for thousands of monks over the past centuries. A highlight of this church is its crypt.

San Francisco Monastery

The bones of the monks and other parishioners have been buried in the crypt beneath the church for centuries. They estimate that the bones of around 25,000 people are in the crypt.

Neatly arranged skulls and femurs in the crypt beneath the San Francisco Monastery.

Burials in crypts beneath churches was standard until modern cemeteries were established. These bones have been carefully arranged and maintained since the first burials in the 1500s. The last burials beneath the church were in the early 1800s.

A huge painting in the church (which some call a 'monsterpiece' due to its floor-to-ceiling size) is a painting of the last supper, complete with what some say is a guinea pig (or cuy) as the main course. If you look to the right of Jesus, you can see a red-headed devil whispering to Judas to betray Jesus.

Gigantic 'monsterpiece' painting of the last supper. It looks like all the apostles were served from golden chalices while reclining on their divans with alter boys serving them. Even the devil is present in the painting.

And so we ended our journey to a few of the churches, monasteries, and convents in central Lima. Honestly, we have only hit a fraction of the Catholic churches in central Lima (although these are among the largest). This is a very interesting city filled with more surprises than you could cover in a lifetime.


And so we return to our humanitarian work which this week will include a wheelchair training course here in Lima and later, a donation of 110 wheelchairs through our partners next Saturday in the jungle city of Iquitos.

High Altitude Projects, Wheelchair Shipment, and More Exotic Fruit

4 February 2018

It's official - we have now spent over a year living south of the equator. And, except for a few more grey hairs and bug bites, this has been a very interesting, often intense, and rewarding adventure.

More Projects at High Altitude - Huancavelica


The region of Huancavelica sits in a remote area high in the Andes Mountains. The region is poor with most families earning their meager income raising alpaca. Most of the residents speak Quechua as their native language, and they live in one of the most isolated regions of Peru.

Our job in the coming months will include visiting many of these locations at the request of local officials who have asked for our help. We hope to make an impact on the lives of the poorest of the poor in this region.

Most residents of the region of Huancavelica live above 10,000 elevation in small villages accessible only by dirt road.

Even the capital (and largest city) of the region is isolated - there are no airports in Huancavelica.

Small villages like this one in Huancavelica are hard to get to, and health care is limited. When women in the mountains go into labor, they usually have to walk several hours just to get to the village health centers in order to have their babies. If there are complications with the delivery, the results are often fatal because the nearest hospital may be hours away on dirt roads.

Soup Kitchens in Huancavelica


Regional leaders have asked us to help with improving the care they provide at their soup kitchens in the poor province of Angaraes. The poor can eat one meal a day in the soup kitchens (called 'comedores populares') for about $0.50. The government supplements the cost of the meals, which thousands of people depend on to keep alive. Many residents in this province suffer from malnutrition and anemia, which would be worse without the current help from the soup kitchens.

There are 125 soup kitchens in Angaraes that could benefit from improved care, The regional government sent us these shots of places we plan to visit as we investigate ways we might help.

This is a typical soup kitchen in Angaraes. Up to 20 to 30 families might depend on this soup kitchen each day for food to survive.

This is a lucky soup kitchen - they actually have three propane burners and two main pots. Many soup kitchens have less than that.

Soup kitchens are often housed, like this one, in old adobe buildings with the stucco pealing from the walls.

This soup kitchen, Comedor Virgen Dolorosa, in the district of Huancahuanca (WAN-ka-WAN-ka) shows the people that are typically helped. Note the pot outdoors on the open fire they sometimes use to cook the food.

Villages often build the soup kitchens to help the poor using the only materials they have on hand - typically adobe bricks made from mud and rocks. These humble eateries keep the poorest of the poor alive with one meal a day.

We helped with a similar project last year in the region of Arequipa. We worked hand-in-hand with their regional government on a project to lift the standard of food provided in the soup kitchens through better equipment and training. We are hoping for something similar in the region of Huancavelica.

Helping Schools in Huancavelica


A focus of our area initiatives in Peru is improving education, especially in poor regions. The local school officials in Huancavelica sent us requests for help with their infrastructure. They sent these shots showing what conditions are like in many of their remote schools. We will visit many of these places and investigate if we can assist.

Old two-room school houses like this one are scattered in the mountains throughout Huancavelica. Conditions inside the schools are often sad.

It is a good thing they found the buckets to help keep this teacher desk from falling to the floor.

These are typical of the student chairs in these remote schools. Imagine sitting on these chairs all day.

We have helped with other school projects around Peru by supplying desks and chairs. Improving conditions in the schools has been shown to help reduce the school dropout rates in these remote places. Our job will be to investigate and suggest ways we might help.

Our trip into Huancavelica will be another adventure at high altitude. As long as we dose up on Excedrin and coca tea, we hope to minimize the affects of the altitude sickness that always seems to hit us.

Wheelchairs Arrive in Peru


Our latest donation of over 350 wheelchairs arrived by ship this week. This shipment started at a factory in China, then the wheelchairs were boxed up, loaded into a shipping container, and sent by ship across the Pacific Ocean.

The shipment brings the donation on this current project to close to 1,200 wheelchairs. (Since 2009, the total number of wheelchairs donated is over 4,500).

This shipping container with over 350 boxed up wheelchairs arrived in Peru last week. After clearing customs, it was delivered to our partner.

We donate these wheelchairs through our long-term partner, the National Rehabilitation Institute (Instituto Nacional de Rehabilitacion - INR). The INR then works with local health agencies around Peru to evaluate the needy recipients and ensure they get fitted for a chair that will end up changing their lives. All donations of wheelchairs are completely free to those most in need.

Boxes of wheelchairs stacked outside at INR, ready to put into their warehouse for donation around Peru in the coming months.

This latest shipment includes a new design requiring many more adjustments than the previous wheelchairs. We have church wheelchair specialists from the USA coming to Peru in 2 weeks to conduct training with INR, and we will part of that training. Later that same week, we will travel with INR to the jungle city of Iquitos to oversee the delivery and adjustment of the first batch of these new chairs.

More Exotic Fruits of Peru


Here in Peru, we can easily get all the fruit we used to get back home. But, because of our proximity to the equator, we find lots of tropical fruits that we had never seen before. Most of these fruits never leave the country because they are so perishable or they are so different tasting that there is no foreign market for them, yet.

Mamey


Mamey is found throughout Peru, and we first tried it a few months ago in the high jungle city of Tarapoto. A big fruit, weighing almost 2 pounds, Mamey looks about the size of a coconut with a rough brown exterior. Inside, however, is the bright orange meat. It tastes like a really tart peach. This fruit costs about $3 USD, very expensive by Peruvian standards. 
Mamey - brown on the outside, bright orange inside. They grow this in the jungles.

Lúcuma


Lúcuma fruit is about the size of a plum and is grown throughout Peru. Neighbors here in Lima grow it in their yard, and it is sold in many grocery stores.  Lúcuma is not very sweet and it is fairly dry (not juicy). Eating it reminds us of what a sweet potato tastes like after it is cooked, with a slight butterscotch flavor. It is best combined with something else to make it easier to consume (although many people do eat the fruit by itself). Peruvians often combine it into ice cream, which makes it more palatable.

Lúcuma is another favorite all over Peru.

Green in the Desert


All of coastal Peru (including Lima) is located in one of the driest deserts in the world. However, we have green trees and plants all along the roads and highways. The only way everything stays green is because the plants are watered constantly by water trucks. As shown here, an army of water trucks throughout the cities and countryside make sure that plants get enough to keep alive. A few feet away from where the plants are watered, everything here is just dirt and sand.

The many, many water trucks we have in Peru are the only things that keep the plants and trees alive that are along the roadways.


So, this week we return to the office and further execute our projects: writing and signing contracts for another vision project in the jungle and maternal/newborn health training course, ordering equipment for more wells for clean water projects up north on the coast, organizing followup interviews with recipients of our wheelchair donations, arranging travel to Huancavelica to create other projects to lift those in need, etc. This is a very busy life for us.