Week 14: Translating Graphs and Singing in Café's

*Note: Sorry, no pictures this week - camera got stolen :-(

On Monday, I went to ECOSUR and finished writing the ‘results’ section of my thesis. I analyzed the section of my survey that I had administered to pregnant women. Unfortunately, because my research study was a population-based study with a relatively small sample size, there were only five pregnant women in my sample. However, I still found some helpful information. I learned that all of the pregnant women wanted a partera (traditional midwife) to assist them during the birth and that they wanted to give birth at home. The women said that they wanted to give birth at home instead of at a clinic/hospital were “custom”, it is not necessary to give birth in a clinic/hospital”, “the health worker is a man”, and “the clinic/hospital is far away / there is no money for the transport”. Although all five women had attended prenatal care, only two of the women said they had received information about obstetric complications from health personnel, and only one woman said that she had understood the information because the information was delivered in Spanish instead of the local language (tseltal). After I returned from ECOSUR, I went to salsa class and then my friend Romeo came with me to go hear Oliver play guitar in the café. When Oliver had finished playing, we went to go get some empanadas and arroz con leche with Oliver’s cousins.

On Tuesday, I started working on my ECOSUR presentation of my research project. I mainly worked on translating into Spanish all the bar graphs and pie charts I had made depicting my data. That night, I met up with my friend Romeo from my salsa class and we went to go buy a Christmas tree for my apartment. We also bought colored paper and I taught Romeo how to make paper snowflakes so we could decorate my tree. After salsa class, we stayed late at Zirko and practiced the moves we had learned.

On Wednesday, I went to ECOSUR and worked more on my presentation for Monday. I created slides for background information, study objectives, study population, and study instruments. In the afternoon, I went to a café and started working on the discussion section of my thesis. I heard a siren and when I looked out the window of the café, I saw an ambulance, police cars, and a procession of cabs decorated with red, white, and green balloons. At first, I thought it was a funeral procession. Then, I considered it might be a wedding. Finally, I thought “maybe someone important/famous is in town.

Later that night, my friend Romeo explained to me that all of the festivities were in honor of the Virgen de Guadalupe. Despite the continuous rain on Wednesday night, Romeo and I marched with other people from ECOSUR to the top of a hill where the Iglesia de Guadalupe was located. We carried balloons, red poinsettia plants, and a large painted frame of the Virgen. As we processed up the hill, a band played behind us and I saw carnival rides, stands selling churros, and a bunch of foosball tables in front of the church. After entering the church and listening to the service, we were invited to celebrate at the home of one of the people who works at ECOSUR. It was encouraging to see a lot of familiar faces from ECOSUR at the gathering, and I listened as a guitarist sang to the Virgen de Guadalupe and the people around me prayed. Even though I am not a particularly religious person, it was a beautiful event and I was happy to be so accepted.

On Thursday, I worked more on the discussion section of my thesis and started the ‘limitations’ section. I am hoping that by the time I go home, I will have finished a draft of my thesis so that when I go home, I can just edit. In the afternoon, I went to go watch two of my friends from the salsa class play in a volleyball tournament at ECOSUR. It's nice how people here get together after work (at their workplace) and play a game of volleyball. I also met a really nice girl from Mexico City and we talked about how we are both going to miss Chiapas and San Cristóbal when we leave.

On Friday, I went to ECOSUR and met with Rosario. She asked me to write a summary of my research project and the final results in Spanish. That afternoon, I worked on translating part of my thesis into Spanish for the summary. At the end of the day, I went back to the volleyball court to watch one of my friends play in the finale. That night, I went to go hear my friend Oliver play guitar in a café and he convinced me to sing while he played guitar. Somehow, I ended up singing “Rayando el sol” (Mana) in Spanish in front of a café filled with people! That night, we went to eat dinner at a restaurant where a tango group was performing and then went out salsa dancing.

Unfortunately, my purse got stolen on Friday night L When I woke up on Saturday morning, I had to figure out a place where I could change my traveler’s checks (very hard to find), as well as a place to make a copy of Rahul’s keys. When I had finished my errands, I met up with Rahul at one of our favorite café’s. I ate some chilaquiles (tortilla chips with tomato sauce) and worked on the discussion section of my thesis and the summary of my project in Spanish for the rest of the afternoon. That night, I went to go hear Oliver play guitar at the café and was convinced (again) to sing while he played guitar. After he had finished playing, we went to go meet up with a few of our friends from the salsa class to go to karaoke and then for some more salsa dancing.

On Sunday, I woke up early and went to go meet my friend Oliver in the main square to go to the Lagos de Colón near the border of Guatemala. We took a combi to the city of Comitán (about an hour and a half from San Cristóbal) and then another combi to the municipality of La Trinitaria (another hour) and then a taxi to the lakes. It was definitely worth the journey: the lakes were blue and crystal clear. We were able to swim and because the climate was much warmer in La Trinitaria, the water was warm. We headed back in the afternoon and on the ride back, we saw people running and carrying torches, while others were waiting in trucks along the road for the torch to be passed to them so they could run and celebrate the Virgen de Guadalupe.

Week 14

On Monday, I went to ECOSUR and finished writing the ‘results’ section of my thesis. I analyzed the section of my survey that I had administered to pregnant women. Unfortunately, because my research study was a population-based study with a relatively small sample size, there were only five pregnant women in my sample. However, I still found some helpful information. I learned that all of the pregnant women wanted a partera (traditional midwife) to assist them during the birth and that they wanted to give birth at home. The women said that they wanted to give birth at home instead of at a clinic/hospital were “custom”, it is not necessary to give birth in a clinic/hospital”, “the health worker is a man”, and “the clinic/hospital is far away / there is no money for the transport”. Although all five women had attended prenatal care, only two of the women said they had received information about obstetric complications from health personnel, and only one woman said that she had understood the information because the information was delivered in Spanish instead of the local language (tseltal). After I returned from ECOSUR, I went to salsa class and then my friend Romeo came with me to go hear Oliver play guitar in the café. When Oliver had finished playing, we went to go get some empanadas and arroz con leche with Oliver’s cousins.

On Tuesday, I started working on my ECOSUR presentation of my research project. I mainly worked on translating into Spanish all the bar graphs and pie charts I had made depicting my data. That night, I met up with my friend Romeo from my salsa class and we went to go buy a Christmas tree for my apartment. We also bought colored paper and I taught Romeo how to make paper snowflakes so we could decorate my tree. After salsa class, we stayed late at Zirko and practiced the moves we had learned.

On Wednesday, I went to ECOSUR and worked more on my presentation for Monday. I created slides for background information, study objectives, study population, and study instruments. In the afternoon, I went to a café and started working on the discussion section of my thesis. I heard a siren and when I looked out the window of the café, I saw an ambulance, police cars, and a procession of cabs decorated with red, white, and green balloons. At first, I thought it was a funeral procession. Then, I considered it might be a wedding. Finally, I thought “maybe someone important/famous is in town.

Later that night, my friend Romeo explained to me that all of the festivities were in honor of the Virgen de Guadalupe. Despite the continuous rain on Wednesday night, Romeo and I marched with other people from ECOSUR to the top of a hill where the Iglesia de Guadalupe was located. We carried balloons, red poinsettia plants, and a large painted frame of the Virgen. As we processed up the hill, a band played behind us and I saw carnival rides, stands selling churros, and a bunch of foosball tables in front of the church. After entering the church and listening to the service, we were invited to celebrate at the home of one of the people who works at ECOSUR. It was encouraging to see a lot of familiar faces from ECOSUR at the gathering, and I listened as a guitarist sang to the Virgen de Guadalupe and the people around me prayed. Even though I am not a particularly religious person, it was a beautiful event and I was happy to be so accepted.

On Thursday, I worked more on the discussion section of my thesis and started the ‘limitations’ section. I am hoping that by the time I go home, I will have finished a draft of my thesis so that when I go home, I can just edit. In the afternoon, I went to go watch two of my friends from the salsa class play in a volleyball tournament at ECOSUR. It's nice how people here get together after work (at their workplace) and play a game of volleyball. I also met a really nice girl from Mexico City and we talked about how we are both going to miss Chiapas and San Cristóbal when we leave.

On Friday, I went to ECOSUR and met with Rosario. She asked me to write a summary of my research project and the final results in Spanish. That afternoon, I worked on translating part of my thesis into Spanish for the summary. At the end of the day, I went back to the volleyball court to watch one of my friends play in the finale. That night, I went to go hear my friend Oliver play guitar in a café and he convinced me to sing while he played guitar. Somehow, I ended up singing “Rayando el sol” (Mana) in Spanish in front of a café filled with people! That night, we went to eat dinner at a restaurant where a tango group was performing and then went out salsa dancing.

Unfortunately, my purse got stolen on Friday night L When I woke up on Saturday morning, I had to figure out a place where I could change my traveler’s checks (very hard to find), as well as a place to make a copy of Rahul’s keys. When I had finished my errands, I met up with Rahul at one of our favorite café’s. I ate some chilaquiles (tortilla chips with tomato sauce) and worked on the discussion section of my thesis and the summary of my project in Spanish for the rest of the afternoon. That night, I went to go hear Oliver play guitar at the café and was convinced (again) to sing while he played guitar. After he had finished playing, we went to go meet up with a few of our friends from the salsa class to go to karaoke and then for some more salsa dancing.

On Sunday, I woke up early and went to go meet my friend Oliver in the main square to go to the Lagos de Colón near the border of Guatemala. We took a combi to the city of Comitán (about an hour and a half from San Cristóbal) and then another combi to the municipality of La Trinitaria (another hour) and then a taxi to the lakes. It was definitely worth the journey: the lakes were blue and crystal clear. We were able to swim and because the climate was much warmer in La Trinitaria, the water was warm. We headed back in the afternoon and on the ride back, we saw people running and carrying torches, while others were waiting in trucks along the road for the torch to be passed to them so they could run and celebrate the Virgen de Guadalupe.

Week 13: Data Results Are In! ...and some scooter-riding :-)

Last Monday, I finished entering the data from all of my quantitative surveys. While I was entering my data from my surveys into SPSS, I recoded the way that I had entered a few variables and I had to go back and re-enter some information from the surveys from the first community I worked in (Mesbilja). However, I was able to finish entering in all the data by the end of the day. After a full day of work, Katy Tucker joined me at salsa class, where we learned how to do some fun ‘dips’. We also saw a person dressed up as the cookie monster while walking down the street. Random!

Me and Katy with the Cookie Monster outside of Zirko

Katy, Rahul and I met with Dr. Enrique Eroza (a medical anthropologist from ECOSUR) for dinner on Monday night. It was freezing outside, so we decided to warm up by getting some pizza. At dinner, Dr. Eroza asked me and Rahul how our projects were going and said that he was excited to see our final presentations. Katy also told us about Mexico City – apparently the city has been trying to cut down on the air pollution by limiting the number of cars that can drive in the city according to the car’s model year.

Katy dancing with her friend "primo"

On Tuesday, I went to ECOSUR and met with Roberto Solís to start my data analysis. He taught me how to use SPSS to view frequencies, create contingency tables, and use the Chi-Squared test and T-test to see if there were any statistically significant relationships in my data. I worked on analyzing the household survey, which included information on demographics, level of education, and living characteristics. I made pretty pie charts for my thesis relating to women and men’s level of education in the two communities (men were more likely to have a higher level of education, as well as those living in Mesbilja). I also found that a greater percentage of men could understand and speak Spanish compared to women in the study, and that literacy was higher among men.

Tuesday night we celebrated Katy’s last night in San Cristóbal by going out salsa dancing (what else would we do?). After the salsa class, we got tacos and quesadillas with some of our friends from the salsa class and then went to practice our new moves. Unfortunately, my dance partner got a splinter deep in his finger when we were spinning, so when we got back to the apartment, Katy and I had to perform some minor surgery.

Paco on his scooter outside of ECOSUR

On Wednesday, I went to ECOSUR in the morning to work more on my data analysis and started analyzing the section on obstetric history. In the afternoon, I accompanied Katy to a ‘Casa Materna’ (Maternal House), which is next to the Hospital de Las Culturas in San Cristóbal. The ‘Casa Materna’ is a place where pregnant women can go to give birth with a partera (traditional midwife). However, if any complication should arise, skilled birth attendants are right next door. Last year, Katy wrote her thesis on the feasibility and acceptability of a ‘casa materna’ in a community outside of San Cristóbal and she found that there were lots of problems with the ‘casa materna’ (for example, the ‘temazcal’ that the indigenous women use was not properly constructed).

Katy and the partera we met at the 'Casa Materna'

looking at the bulletin board with pictures of all the births

When we went to visit the ‘casa materna’ in San Cristóbal, we learned that in the past year, only 20 women have come to give birth there. All of the signs in the ‘casa materna’ are written in Spanish, tsotsil and tseltal (two indigenous languages). The ‘casa materna’ has elements that are used in the indigenous culture during the birthing process (including a temazcal and a botanical garden where herbs are grown). However, it still feels like a hospital. Everything is white and it feels very sterile. One of the biggest problems is that the parterasthat work there are not paid. The partera who was there told us that she loses money by volunteering at the ‘casa materna’: she has to pay 50 pesos for her transport to the hospital and she loses time and money not being able to sell tortillas. Although in principle, the ‘casa materna’ is a good idea and a possible for solution for lowering maternal mortality in Chiapas, there are clearly changes that need to be made in order to make it acceptable and sustainable. After we returned from the 'Casa Materna', Rahul and I bid farewell to Katy before she got on her bus back to Mexico City. It was fun to have her stay with us for a week and we both miss her. Hopefully our paths will cross again soon.

Katy and Paco on his scooter outside of ECOSUR

Me and Katy on Paco's scooter (yeah...we had a fun photo shoot :-))

Me and Paco outside of ECOSUR

On Thursday, I went to ECOSUR and worked on analyzing the section on obstetric history. I found that the mean age of first pregnancy among the women was 18 years and that the majority of women who had been pregnant in the last two years had attended prenatal care at least five times. Of those women who had not attended all of their prenatal care visits, the main reason for not attending was because the doctor was not there or the Centro de Salud was closed. The majority of births (65.2%) to these women were attended by apartera and occurred at home. I made more charts for my thesis (including women’s gravidity, the reasons women gave for not attending all of their prenatal care visits and for giving birth at home instead of in a clinic or hospital). I also found that on average, it is more expensive for women and their families to give birth in a health care facility than at home with a partera (mainly because the transport costs to go to a hospital are so expensive). My data also revealed that one in five women in my study reported experiencing at least one problem or complication during their last birth. When asked what they had done about the problem or complication, the majority of women reported that they had sought and received medical attention.

Horseback riding at the park on Saturday

On Friday, I spent most of my day in the ECOSUR library working on analyzing the section on knowledge of pre-conception risk factors, healthy behavior during pregnancy, and signs and symptoms of danger signs during pregnancy. I made a chart for the most frequent ‘danger signs’ during pregnancy that were mentioned by women in the study. I found that a statistically significant relationship existed between women’s ability to name a ‘danger sign’ during pregnancy and their community of residence (Mesbilja vs. Tzopilja), as well as whether the woman received benefits from the Oportunidades poverty alleviation program. There was also a statistically significant relationship between women’s ability to recognize all the ‘danger signs’ during pregnancy and how many children they had. I also found that women were more likely to be able to recognize all of the signs and symptoms of obstetric complications during birth compared with men. Overall, I was very excited to find p-values that were less than .05!

Paco during our Saturday-afternoon scooter ride

On Saturday, I worked on analyzing the section on ‘attitudes’ towards the quality of obstetric care and the section on ‘practices’ in the event of an obstetric complication. In the afternoon, my friend Paco from ECOSUR came to meet me and we went for a ride around San Cristóbal on his scooter. It was a beautiful day and we drove through a lot of places I had never seen in the city. This city continues to amaze me.

My friend Desiree sliding down the moon bounce at the park on Sunday

On Sunday, I went to get breakfast with Rahul at one of our favorite restaurants. In the afternoon, I met with two of my friends from my salsa class and we went to a park. The parks in Mexico are incredible. My friend and I went for a horseback ride around the park and then went to go jump in a bouncy-house. I also love how there are always see-saws in Mexican parks – I don’t think I have ever seen a see-saw in an American park. It was fun to watch families playing in the park with their kids. Mexicans definitely know how to enjoy themselves and those who are around them :-)

My friends Romeo and Desiree from the salsa class

Week 12: Field Work in Tzopilja

On Monday morning, I woke up at 6:00 a.m. to go meet Marco Tulio at ECOSUR and we drove to Oxchuc to meet with Elena. After we met Elena, we drove to Tzopilja (the second community where I am conducting my study). We drove for about a half an hour over a bumpy, dirt road with lots of divots and rocks strewn throughout the way. Upon arriving in Tzopiljá, we started surveying women and their husbands. By the end of the day, we were able to complete surveys for 18 families. We returned to Oxchuc in the back of a pick-up truck with other men and women from Tzopilja. That night, I made more copies of my survey and had dinner with Elena, her husband, and two girls. Before going to sleep, I taught her daughters how to play “I spy”, which was a lot of fun.

Women in Tzopiljá

Tuesday was an incredibly productive day: we left Elena’s house at 8 a.m. to return to Tzopilja. By the end of the day on Tuesday, we had surveyed 27 families and we had surveyed 10 more families by the end of the next day. While completing the surveys in Tzopilja, I noticed stark differences between the populations in Tzopilja and Mesbilja. The families were much bigger, and women had more children. One woman had given birth to ten children, but only five of them were still alive. There are also more people without access to health insurance and Seguro Popular.

Elena in Tzopiljá

On Wednesday night, I sat at Elena’s kitchen table while she helped her oldest daughter (Belen, 6 years old) with her homework. Belen had to look at a picture and describe what animals were in the picture (turtles, butterflies, frogs, etc.). We helped her with the spelling, and I even learned a few new words. After she had finished her homework, I taught Belen and her 4-year-old sister, Rocio, how to play Tic-Tac-Toe. Poor Rosio didn’t really understand how to play the game, but I tried to help her. Belen kept beating her sister and would make fun of her sister when she lost. In return, Rosio hit her sister in the face. But Belen just laughed. All of the kids I have met here are so much happier and easy-going than children in the states. I am really going to miss Elena and her family.

Elena administering my survey in Tzopiljá

On Thursday, we finished our field work in Tzopilja in the morning and Marco Tulio came to pick us up. When I returned to San Cristóbal in the afternoon, I worked on entering the data from my surveys into SPSS and caught up with some friends at ECOSUR who I hadn’t seen in a while because I have been in Oxchuc. When I arrived at salsa class on Thursday, I was pleasantly surprised to see Katy Tucker (one of the Georgetown students who was in San Cristóbal last year). She and Linda were the ones who had told me about the salsa class at Zirko, and it was great to be able to dance in the class next to her. She is currently living in Mexico City and working at an organization called ProMujer, but she says that she misses San Cristóbal and was excited to finally be back. It has been really fun having her here with us and being able to share stories.

Tzopiljá

After salsa class, Katy and I met up with Rahul and went with my friend Oliver to a restaurant to celebrate Thanksgiving. It was one of the best Thanksgiving dinner’s I have ever had: I ate chile relleno (stuffed pepper), rice, and tortillas. I think when I have a family of my own I am going to make chile relleno for Thanksgiving dinner (as a vegetarian, I don’t eat turkey). When we had finished eating, we saw some of our friends from the salsa class outside the restaurant. We all decided to go salsa dancing and I was very proud of Rahul because he was able to learn a lot of the steps. Overall, it was a very fun Thanksgiving – good friends, good food, and lots of salsa J

Me in the back of a pick-up truck

On Friday, Rahul, Katy and I went to ECOSUR. While Katy met with Rosario and Dr. Ochoa about the possibility of publishing her study from last year, I worked more on entering the data from my surveys into SPSS. It takes me about an hour to enter in the data for five women (and their husbands), so it has been a tedious process. I am hoping to be done capturing the data by next week so that I can start the data analysis.

Belen (Elena's daughter) and her cousin

After ECOSUR on Friday, Katy and I went to go see my friend Oliver play guitar in a café (while Rahul went on a date with a girl from ECOSUR!). After dinner, we went to Zirko and met up with our friends for a fun night of salsa dancing.

Elena helping Belen with her homework

On Saturday, we all woke up late and went to go eat breakfast at a café near our apartment. At breakfast, Rahul and I talked with Katy about the drug situation in Mexico. It was interesting to hear her perspective because she has been in Ciudad Juarez (near the US border) and has friends that work there, including a writer. One of the reasons why Ciudad Juarez is so dangerous is because there is more than one drug cartel fighting over territory, as opposed to other states in Mexico with only one drug cartel that controls the land and the market. One of the things that may improve the safety and the drug situation at the border is if drugs were legalized in the US, because then there may be more legal regulation. However, it seems unlikely that that will happen anytime soon.

Rocio (Elena's daughter) trying on her glasses

I stayed at the café where we had breakfast and worked more on entering the data from my surveys on Saturday afternoon. At night, Rahul and I went to meet Katy and her old salsa partner, Carlos, at the café were Oliver plays guitar. We laughed a lot as we listened to Carlos give Rahul advice for his next date with the girl from ECOSUR. After Oliver had finished playing in the café and we had finished laughing at the Mexican relationship advice, Rahul and I went to eat and then to watch the salsa dancers at Zirko.

Rocio and Belen playing Tic-Tac-Toe

We slept late again on Sunday and went to breakfast. In the afternoon, Katy and I went shopping around San Cristóbal. I started my Christmas-present shopping and found some really beautiful pairs of earrings made of amber, jade, and quartz. We also got some delicious hot chocolate and cake. Overall, I had a great afternoon with Katy. It is hard to imagine leaving this place – I keep thinking about when aI am going to come back here.

Paco, Elena, Katy and Rahul outside of ECOSUR

Me and Oliver at Zirko

Week 11: Field Work in Mesbilja (Part II)

On Monday, I bid farewell to my parents at the bus station in San Cristóbal and then hopped in a combi to Oxchuc. When I arrived in Oxchuc, I met Elena’s husband and her niece, Marlen. Because Elena was working with Rahul on Monday, I went with her niece to the first community I am working in (Mesbilja) to let them know that Elena and I would be coming back on Tuesday to finish our field work there. When we arrived in Mesbilja, we looked for the President of the Health Committee at the Centro de Salud, but it was closed (as usual). We decided to go to his house, which turned out to be about an half hour walk from the Centro de Salud, across fields and rivers. When we finally arrived at his house, we were greeted by a barking dog. Luckily Jacobo (the President of the Health Committee) shooed the dog away and invited us into his home. We gave him a list of the families that we still needed to interview and asked him if we could come back in the next three days to finish our field work. He agreed, and offered us to have some pumpkin soup with his family. His wife and daughter-in-law (with her baby on back) spoke to Marlen in tseltal while we ate our pumpkin soup. When we had finished, we trekked back to where there were cars waiting to take people back to Oxchuc. After arriving back in San Cristóbal, I went to go make copies of my survey and spent a few hours in a café making packets and stapling the surveys.

Elena administering my survey in Mesbilja

On Tuesday, I woke up at 6:00 a.m. and took another combi to Oxchuc. I met Elena at her little store and then we took a car to Mesbilja. We had a list of people that we needed to interview and we spent most of the day walking from house to house. One man offered us bananas and another man and his wife gave us a bag of chayotes to take with us. We also met a local partera (midwife) in the town. Although most of the surveys were conducted in tseltal, it seemed to me as though the people were incredibly receptive to our study and were keen to offer their opinions. We took a car back to Oxchuc around 4:00 p.m. and went to Elena’s house. Her family has been incredibly kind towards me and the food that Elena cooks me is incredible. Her kids are also adorable.

Elena surveying one of the husbands

On Wednesday, Elena and I woke up early and went back to Mesbilja for our second day of surveying. We were able to accomplish quite a lot – by the end of the day we had finished surveying 18 families (for a total of 60 families in Mesbijla). Elena and I also talked to one of the nurses that works in the Centro de Salud. Many of the people we have been surveying have been saying that the Centro de Salud is not open when they need it and that there is not ‘good medicine’ at the Centro de Salud. Also, some women have said that the reason they do not go to all of their prenatal care check-ups is because the health personnel is a man. One pregnant woman said that although she had received information about risk signs during pregnancy at the Centro de Salud, it was not in her local language (tseltal). I decided that it would be a good idea to hear the perspective from one of the people that works at the Centro de Salud. We learned that there are 3 nurses that work at the Centro de Salud (2 women and 1 man) and that only one speaks tseltal. There is also a female doctor that comes about once a month from San Cristóbal. The nurse told us that the Centro de Salud is open Monday to Friday from 8:30 – 3:30 (which seems strange, since it has only been open twice in the six weekdays that me and Elena were in Mesbilja). We asked what happens if a woman is giving birth in the Centro de Salud and has a complication. They told us that the woman and her family have to pay for the transport to a hospital since the Centro de Salud is not equipped to handle obstetric complications or perform cesarean sections. If the woman and her family cannot pay for the transport, they can borrow money from the Health Committee and pay them back when they receive their check from the Oportunidades poverty alleviation program. We also asked if the information the women received during prenatal care was in their local language and the nurse replied that almost all the women speak Spanish. This may be true, but I can imagine that it would be easier for the women to understand if they were given the information in their local language (tseltal). According to the nurse, the main problem is that women get pregnant too young and they have too many children.

Mesbilja, Oxchuc

On Thursday, Elena and I returned to Mesbilja to finish interviewing the remaining families. We also gave the Health Committee five bags of bread rolls and a package of soft drinks to thank them for their help and support during our project. A drive from ECOSUR picked us up around 11:00 a.m. and we drove to the second community where I will conduct my study, Tzopiljá. When we arrived, there was a giant government truck with a slogan that said “eradicating child malnutrition” and there were people unloading nutritional supplements outside of the school. Mothers and their children lined up to receive the nutritional supplements. We found one of the promotores de salud who we had talked to the last time we went to Tzopilja. We gave her a list of families that we were going to interview and asked her if it would be OK if we came back on Monday to interview the families. I hope that the people in Tzopilja will be as receptive to our study as the families in Mesbilja. I returned to San Cristóbal on Thursday night and went to salsa class, which I had really missed while doing field work!

The road to Mesbilja

On Friday, I returned to ECOSUR. One of the main problems I have been having with my study is calculating the sample size. Dr. Ochoa told me that because Mesbilja has a population of over 1,000, I should survey 60 families and that I should survey 40 families in Tzopilja (because it has a population of between 500 – 1,000 people). However, I am confused about where the numbers ‘60’ and ‘40’ came from and I do not know exactly how many women I need to survey. I have tried to have various people at ECOSUR help me with this problem, but I have had no luck (either they are not available or they do not know). This week, I finally e-mailed Dr. Huang about the problem. Originally, I was going to calculate the sample size using an expected frequency statistic from a similar study conducted in Guatemala (which found that in one year, 44% of women had heard of ‘danger signs during pregnancy’). I have included this question in my survey and all of the women I am surveying answer this question. However, Dr. Ochoa told me that I should not use this statistic to calculate the sample size. Instead, he said that I should use the “percentage of women who had a complication during their last birth” as the percentage and he told me that this percentage from a previous ECOSUR was 10%. The first problem with using this statistic is that not all of the women in my study answer the question, “did you have a complication during your last birth” (only women who have been pregnant in the last two years answer this question because Dr. Ochoa thought that other women would not remember). Another problem with using this statistic to calculate my sample size is that it turns out that this data point does not exist (when I returned to ECOSUR, I talked with Roberto Solis, who does data analysis, and it does not exist in any databases). So I feel very stuck on how to calculate my sample size. Because the topic of my study is very new (not very many similar studies have been done), it has been hard to find related statistics to calculate sample size. Dr. Huang said that the important thing is to collect the data, so for now I will focus on doing that.

Tzopilja (the second community I am working in) - women getting nutritional supplements

On Saturday, I caught up on some sleep and worked some more on my thesis. My friend Oliver from salsa class also offered to give me guitar lessons and I started learning a song called “Vivir Sin Aire” by Maná. He made me promise that before I leave, I will sing one song and play guitar in the café where he plays. We’ll see about that :-)

Week 10: Learning to Analyze Data

This week at ECOSUR was incredibly productive. I returned from my vacation on Monday and met with Roberto Solis, who helped me download the SPSS statistical program (in Spanish) so that I could analyze my data. I completed about ¼ of my surveys in Mesbilja (approximately 27 family surveys) and I was ready to enter the data. He helped me develop a database for the ‘attitudes and practices’ section of my survey, which was administered to both women and men. Later that day, I worked on entering the data for the 27 families I had surveyed in Mesbilja. After ECOSUR, I went to salsa class in the afternoon, which was incredibly fun because I got to dance with one of the instructors who knew the steps really well. I don’t know what I am going to do without this salsa class every day when I go back to D.C. After class, I went to go see Oliver, one of my friends from salsa class, play guitar and sing in a café and then we got dinner.

Photos from last week: Francisco in front of a anti-tobacco mural

(I didn't think you'd want to see pictures of me analyzing data...)

On Tuesday, I finished entering the data from the ‘attitudes and practices’ section of my survey and then met with Roberto Solis again. He helped me develop the databases for the other sections of my survey. Because my household survey (the section on demographics and socioeconomics) was similar to other ECOSUR studies, I was able to use the same database. Later that day, I worked on creating a database for the section on “access to services, obstetric history, and knowledge” (administered to married women 15–59) and also created a database for the section administered to pregnant women.

A dog in front of the beach where we went to in Puerto Escondido, Oaxaca

On Wednesday, I went to ECOSUR and spent the day entering data for the 27 families I had surveyed in Mesbilja. Despite never having used SPSS before, I was surprised at how easy it was to use and how quickly I was able to enter my data. By the end of the day, I was able to finish entering in data from all the surveys. Hopefully it will not be very hard to learn how to do data analysis using SPSS.

In front of Chiflón waterfall (from last week)

On Thursday, I went to ECOSUR and worked on writing my thesis. I worked on the methods section, where I described the study population, the sampling method, the sample size, the data collection (i.e. my quantitative survey), and how the data would be analyzed (using SPSS). After ECOSUR, I went to salsa class and let loose a little bit after a full day of working on my thesis.

At the beach in Puerto Escondido, Oaxaca

On Friday at ECOSUR I met with Roberto Solis, who helped me revise my databases using SPSS. I also talked with Rosario about the logistics for my study. Next week, I will go back to Mesbilja (the first community I am working in) with Elena to finish interviewing families for my study. Hopefully we will be able finish my field work in Mesbilja by Thursday, so that I can start my field work in Tzopiljá the following week. I also talked with Dr. Ochoa about some concerns I had about my study. Despite having asked multiple times about how to calculate the sample size for my study, I am still a little confused about how exactly Dr. Ochoa decided on the sample size for my study. I sent him what I had written in my thesis on the sample size and the sampling methodology to look over. Before beginning my study, I had also asked him about an ethics review or IRB for my study. He assured me that because my study is classified as ‘minimal risk’ (since I am only surveying people), I do not need to get an ethics review. Hmmm. On Friday, I also finally made myself book my flight home from Mexico – it is really the only thing I have procrastinated all semester because I don’t want to leave!

Parents walking along one of the main walking streets in San Cristóbal

We came across some music near my parent's hotel

This past weekend, my parents came to visit me. They were on their way back from Argentina and decided to “stop by”. It was fun to have them here – I brought them to my favorite cafés and we walked around the city of San Cristóbal. We walked on the pedestrian streets and up a hill to one of the main churches with a great view of the city. On Saturday night, we went to go see my friend Oliver play guitar in a café and my dad enjoyed it so much that he wanted to go see him again on Sunday night. Oliver even let my dad play guitar in the café (I wish I had taken a photo)! Overall, they were very impressed by the people here (“very honest and hardworking”) and were glad they came.

Flags outside one of the churches in San Cristóbal at sunset

Week 9: Vacation!

This past week I was fortunate to be able to take a few days of vacation while my boyfriend visited me since I am in Mexico an extra week. On Saturday, I went to Tuxtla to pick up Francisco at the airport and we took a bus back to San Cristóbal. We walked around the city and that night we at dinner with Rahul at a restaurant with live music.

Francisco at Palenque

On Sunday, we woke up at 5:30 (eek!) to go to Palenque, a Mayan archeological site 5 hours north of San Cristóbal. On the way, we stopped to get breakfast in the town of Ocosingo and then saw two beautiful waterfalls (Agua Azul and Misol Ha). When we arrived at Palenque, we found a guide with some of the other people from our bus (one of whom worked at ECOSUR previously!). In one of the crumbling temples, we saw the Tomb of the Red Queen, with a large stone sarcophagus where archaeologists discovered the remains of a woman. The woman had been adorned with jade jewelry and was buried with cinnabar powder (a red pigment). Archaeologists believe that the woman was the mother of Pakal the Great, Palenque’s most influential leader. We also learned from our guide (and guidebook) that December 21, 2012 will mark the end of the first Great Cycle in the ancient Maya calendar, which is a period equivalent to around 5,125 years. Intriguingly, 2012 is also the year when the earth, sun and Milky Way will be aligned in a way that occurs only once every 26,000 years. Predictions have been made that on this day, the world may end. Well, at least if it does I will have graduated from college J Around 4:30 we strolled back to the entrance and after a 5-hour bus ride back through the mountains and valleys of Chiapas, we arrived back in San Cristóbal and got some pizza.

In front of a waterfall (I think this was at Chiflón)

On Monday, Francisco and I woke up early again to go to the caves of Rancho Nuevo and to travel east to see the Lagos de Montebello (Montebello Lakes). The highlight of the day was definitely when we stopped at a waterfall called Chiflon, which had a zip-line over a giant waterfall. Francisco took the plunge over the mist-drenched platform and zoomed over to the other side of the waterfall. Even though I was too afraid to take the plunge myself, it was fun to watch him zipline back. When we reached the lakes, I was impressed by the colors of the water, which ranged from emerald green to indigo. We got some lunch in a small little stand where a woman was making quesadillas made from flor de calabaza. From one of the lakes, we could see the Guatemalan border.

Francisco zip-lining across la Cascada Chiflón

Behind us you can see the Guatemalan border

On Tuesday, Francisco and I went to Cañon del Sumidero, a narrow and deep canyon near Tuxtla Gutiérrez. We got in a boat that took us along the river through the vertical limestone walls, with the highest wall reaching a height of a thousand meters. Our boat guide also pointed out some crocodiles taking a nap on the bank of the river. When we docked, we had some time to walk around the small town of Chiapa de Corzo, where people were celebrating “Dia de los Muertos”. The Day of the Dead is a Mexican holiday in which families gather at local cemeteries to honor loved ones who have died. In the town, there were people in the market buying flowers and we passed several altar displays honoring deceased family members in front of a church. The altars were adorned with flowers, as well as photos of the person and the favorite foods and beverages of the person (we saw marshmallows, peanuts, and Corona beer on one of the altars).

A crocodile at Cañon del Sumidero

Cañon del Sumidero

When we returned to San Cristóbal on Tuesday afternoon, I convinced Francisco to come to salsa class with me at Zirko. Despite being reluctant to join the group of dancers, he picked up the steps and was smiling by the end of the class. After briefly contemplating traveling to Guatemala, we decided to instead take an overnight bus to Puerto Escondido (“Hidden Port”), a beach in the neighboring state of Oaxaca. 

We arrived in Puerto Escondido the next morning at around 10:00 a.m. and were hit by the 90 degree heat (which was a definite change from the 40 degree weather in San Cristóbal). We found a hotel near the beach that was run by a nice German man and had a great view of the town and the main beach. That afternoon we walked down to the main beach (Playa Principal) and relaxed. Francisco joined a pick-up game of soccer and then we walked along the beach to Playa Zicatela (also known as the “Mexican Pipeline”), where international surfing competitions are held. According to Wikipedia, this beach is considered to be the second best place in the world to practice surfing because of the high waves, which can get up to 16 meters high. We walked back to swim at Playa Principal where the waves were much gentler. That night, we passed tons of small Italian restaurants (apparently there are lots of Italian immigrants in Puerto Escondido) and decided to try one. The food was incredible – some of the best Italian food I’ve ever had.

In Puerto Escondido

On Thursday, we walked around the town of Puerto Escondido, which was mostly downscale and rustic. After eating breakfast at a small restaurant with plastic red chairs, we walked toward another beach. On our way to Playa Angelito, we passed the Centro de Salud, which I was very happy to see was open and had a banner promoting safe pregnancy. We arrived in Playa Angelito, where the water was crystal clear. There were lots of boats docked in the small bay, and we were able to get a boat ride to another beach called Playa Carrizalillo, with white sand and blue water. We spent the rest of the afternoon at the beach, swimming in the small waves and watching the beginner surfers.

The dolphins we saw from our boat

Friday morning we woke up at 6:00 a.m. to meet a guide who would take us to see dolphins and turtles. At the beach, we got in a boat with some other tourists and set out into the deep blue sea. Our guide pointed out some turtles in the water and as we drove further, we saw a group of bottlenose dolphins. It was cool to see them in their natural environment – not in an aquarium show or in an enclosed area. They were incredibly fast and dove deep into the water under our boat. After unsuccessfully trying to swim with the dolphins (they just swam away), we returned to the beach. In the afternoon, we went back to Playa Carrizalillo. Because there was no road down to the beach, we walked down a path and a stairway that descended the steep slope to the beach. After soaking up the sun and swimming in the warm water, I was not ready to return to chilly San Cristóbal, but I promised myself I would return someday to Puerto Escondido.

Me on our boat

We arrived back in San Cristóbal on Saturday morning after spending 12 hours on a bus. It was a beautiful day and we walked through the artesanías market and the food market. That night, we went back to salsa class at Zirko before heading to dinner with Rahul and our friend Paco from ECOSUR. We went to a restaurant where Rahul and I had been once before where we heard a Mexican band sing John Mayer songs. On Saturday, the restaurant had an improv group performing. Rahul and I tried to decipher the jokes in Spanish (with some help from Paco and Francisco), and then we all met up with Milton from ECOSUR and went to a salsa place. Francisco and I practiced the moves he had learned and enjoyed chatting with Milton’s friends from high school. I am always amazed at how friendly everyone is to us, and I know I am going to miss the people when I leave.

Francisco walking through the food market

On Sunday, I went to drop off Francisco at the aiport in Tuxtla. It was sad to say goodbye after such an incredible week of traveling, but it was fun to be able to share this place with someone from home. He fell in love with San Cristóbal, just like I have :-)