Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She wrote her experiences in a personal journal. Below is an except from her last day.

Day Six:

At a heaving market place I visited a tiny box that is PUR’s point of sale. Having set up in neighborhoods, we found folks at home have no money, but when they go to the market, they obviously have a little in their pockets for the grocery list. So, we set up a kiosk, and today I was doing a public demonstration of PUR for anyone who happened to be passing by. I love this sort of thing, being on the street, hanging out, trading witticisms and having fun, getting people involved.

In front of the kiosk I stood with a wooden stool (which would be a “primitive” collectable in the U.S.) and a big pale of nasty river water, laden with brown muck and filth. Using a fantastic, enormous wooden spoon, I sprinkled in PUR and began to stir. A great crowd was already gathered, and we hollered questions and answers back and forth about water: where do you get your water, do you get diarrhea, wait til you see PUR, sold here for .50, and how it makes even river water safe! The crowd grew.

-Ashley Judd

Read the rest of this entry, on Five & Alive’s website.

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org

Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She wrote her experiences in a personal journal. Below is an except from one her last days on the trip.

Day Six:

One day, PSI staff who go door to door visiting people to offer education about family planning arrived at their household while Victor was out. Therese listened keenly, told her husband what she had heard, and they went to the clinic I had visited earlier to learn more. Characteristically, Victor was concerned the birth control might have some hidden, long term detrimental affect on Therese’s health: he had already seen her suffer so much. Eventually learning from medical staff it was safe, they’ve been using an injectable birth control every 3 months.

We sat in the shade of a fine tree as this sweet couple shared their success with family planning.

-Ashley Judd

Read the rest of this entry, on Five & Alive’s website.

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org

Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She wrote her experiences in a personal journal. Below is an except from one her last days on the trip.

Day Five:

There is a weekly call in radio show called “Abajene,” a rally cry for youth, which is hosted by a young idol we have empowered with medically accurate information. For kids without electricity and phones (so many!) our Cinemobile does tours to rural parts of the country gussied up with a audio/visual kit in order to attract kids, give them “infotainment,” and let them use the provided cell phone to call in their teen age dilemmas and inquiries. On site, there is dance, singing, games, recreational pursuits, a football pitch, and job skill training. Within these “services” kids learn everything from personal hygiene, prevention and treatment seeking behaviors (how/when/why to go to a medical clinic), and let us not forget, they have a chance to simply be kids, to play, to run, to forget, for a few precious moments, all their burdens and cares, the back breaking chores that await them at home, and how they will probably be going to bed hungry. Again.

I love this approach, not just because it is holistic, but because it embodies the ideal of collaboration with other grassroots organizations.

-Ashley Judd

Read the rest of this entry, on Five & Alive’s website..

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org

Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She documented her impressions and experiences in a personal journal, which have been transformed into a week-long series of blog posts.

Day Four:

I am here (in Goma, DRC) to visit our clinics that specialize in family planning, maternal and child health, and the treatment and prevention of malaria. (We also do safe water and HIV prevention in this area of the DRC). I also hope to visit with women who are rape victims. Rape is an epidemic here. It is an emergency. It is everywhere, on a massive scale. It is not altogether unreported in the western media, but it is grossly underreported. An ancient and common tool of warfare, this area’s female population has been hostage to gender based violence for decades.

What a shocking difference a few feet make. On the Rwandan side of the crossing, the roads are tidy, neat, maintained. The earth is red and the wind blowing through the trees, the lapping of the shores of Lake Kivu, is serene. There is a sense of orderliness and even within the clear poverty; I feel the purposeful attempt at self improvement, through agriculture and the tiny, colorful flower gardens.

Passing into the DRC…Oh my God.

-Ashley Judd

Read the rest of this entry, on Five & Alive’s website.and check back to the ONE Blog next week for highlight’s from Ashley’s journal on days 5,6 and 7 of her trip.

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org

Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She documented her impressions and experiences in a personal journal, which have been transformed into a week-long series of blog posts.

Day Three:

We met the clinic staff, whom I always love to celebrate and honor, and saw the “laboratory” (they do have rapid result HIV tests) and other offices. Everything was so utterly simple and plain; they would be beautiful if I didn’t remember the complex nature of the needs they are struggling to meet effectively. The wards themselves were bare cement rooms with simple aluminum cots lining the walls. Over each cot was painted a number, 1, 2, 3, 4…the beds were all filled and newborn babies slept and nursed everywhere. A few women had visitors from their other children, one granddaddy was there.

The minister and I talked with them about how undeveloped their children’s immune systems are and why mousquitaires are essential. I got to hold a sleeping 2-day old baby, but not for long….he was off, again! I barely got to make good eye contact with everyone. I think that baby was premature, it was very tiny. Low birth weight is a big factor in maternal child health in poor countries. In the pre-natal ward, identical in appearance, the minister spent time chiding the pregnant women, especially the very young, and reinforcing family planning behaviors once their babies are born, as he did on malaria.

Read the rest of this entry, on Five & Alive’s website.

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org

Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She documented her impressions and experiences in a personal journal, which have been transformed into a week-long series of blog posts.

Day 2:

1 in 12 children born here will die before age 1, and then an additional child per 7 will die before 5. Malaria, preventable and treatable, is cause number 1. There are 2 million cases of simple malaria a year in public health facilities and 4 million cases that are not treated at all….children average 23 cases a year. Death by mosquito bite. I think of that the next time you play badminton and get all annoyed. At least it’s not killing you and your babies.
To take this on, we socially market a net called “Tuzanet,” which is pre-treated with the appropriate insecticide and lasts for 3 years. It is available at a very small price which research shows different sectors of society can afford (”market segmentation”), and we give them away for free in many areas as well. This approach of private sector availability combined with recent free distribution of 3 million bed nets to caregivers of children under age 5, pregnant mothers, and the HIV+ helped achieve a stunning 60% reduction in malaria cases in 2007!

For treatment, we have made Coartem available at government 227 registered pharmacies nationwide (registered is important to ensure correct education is given with the sale of the product regarding its use to avoid generation of myths and creation of resistance to meds). We have “over packaged” instructions from the manufacturer, one of my favorite things that we do. We make it a brand, “Primo,” which we “market,” and provide pictorial and local dialect instructions for the low/non literature. Even the photos of the babies guide care givers on correct dosage based on age. It’s a truly wonderful thing and I get very, very excited about over packaging!

-Ashley Judd

Read the rest of this entry, on Five & Alive’s website.

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org

Ashley Judd visited Rwanda and the Democratic Republic of the Congo as an Ambassador with Population Services International’s Five and Alive program in late April. She documented her impressions and experiences in a personal journal, which have been transformed into a week-long series of blog posts.

Day One:

There is tough work to be done. I begin tomorrow the Genocide Memorial and a talk afterwards about the progress Rwanda has made since that insanity. I will meet our host country staff (PSI Rwanda) and begin to learn more about the burden of poor health that continues to unnecessarily cost Rwandans their children, their lives, and stifle their economic progress. Rwanda is the most densely populated African country, and malaria, lack of safe water (only 2.5% of Rwandans have piped water), the great need for family planning, STI’s, HIV, and other preventable diseases and issues keep the entire population subsisting on less than a dollar a day. I will see our programs in action, celebrate what works, and help carry the message of prevention and effective grassroots programs to those who can fund them and help change attitudes and policies for the better.

Gender based violence will be a core theme of this trip. I have already abdicated my day to see the Silver Back Gorillas in order to go to Goma, a city in the Democratic Republic of Congo accessible more safely from Rwanda (Dario is not amused but Papa Jack is here and has done his work. We’ll be okay, said to be more stable now, a very large UN presence, too). The refugee camps are filled with masses of women – victims of rape. The gorillas, much as I love them, can wait. I am glad to be here, glad to learn, glad to serve, and am more than a little perplexed as to why me…

-Ashley Judd

Read the rest of this entry, on Five & Alive’s website.

Five & Alive, a program of Population Services International (PSI), provides children and their families with the education, products, services and care needed to improve health and save lives in more than 30 countries. www.fiveandalive.org