Training of Trainers

The last 2 weeks of May I spent in Darkhan for Peace Corps’ Training of Trainers (ToT). Earlier in the year, PC staff sent out the trainer application to all the current PCVs who wanted to work during the upcoming PST for our new group of PC/Mongolia Trainees (the M26s). Current Volunteers could apply for trainer positions (or what PC calls “Resource Volunteers”) for each of the 3 technical sectors here in Mongolia (TEFL, CYD, and Health), Cross-Culture, and/or Language. Always looking for a way to travel on Peace Corps’ dime, I applied to be either a Health or Cross-Culture Resource Volunteer for the second half of PST (they split PST into two halves so that the Resource Volunteers aren’t away from their sites for the whole summer).

Then about a month later I found out that I had been selected to be one of two Health Resource Volunteers for the second half! Yay! In previous years the Health and CYD sectors only had one Resource Volunteer each per half of PST, but there are slightly more incoming M26s in both of those sectors (and it’s just a lot of work in general for one person), so this summer they’re having two trainers for each half.

So all the Resource Volunteers (first and second half), along with the LCFs (who teach the daily Mongolian language classes to the Trainees) and the Technical Coordinators (Mongolian professionals who work with the respective Resource Volunteers to facilitate the technical sessions that Trainees attend in the afternoons) gathered in Darkhan for the two-week ToT. Many of the LCFs and Technical Coordinators (TCs) had worked with PC in the past: our Health TC has been a counterpart to two PCVs in the past at the hospital and health department she’s worked at, and one of our LCFs from last summer’s PST is also an LCF for this new group of Health Trainees. Our other LCF from last summer is back again as well, but she’s working with one of the CYD groups this year instead of the Healthies.

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The first week of ToT consisted mainly of long, information-packed sessions, standard at most PC trainings. We discussed PST logistics, policies, trainer facilitation skills and team teaching, lesson planning, etc. while sitting in our groups (based on the site where the new PCTs we would be training would be living throughout the summer). Many things about this year’s PST are different from previous years, including the fact that all the the training sites are either in or close to Darkhan. In past years trainee groups have been sent to Sukhbaatar city up by the Russian border, but this year there are 3 trainee groups in ger districts on the outskirts of Darkhan, and the remaining groups are in soums within about 60km of Darkhan. All the TEFL groups are in the soums, while the 2 CYD groups and the 1 Health group are in the Darkhan ger districts (they need to be closer to the city where there are more places for them to have their summer practicums). My training site from last summer, Dereven, is where one of the CYD groups is staying this summer, along with another ger district next to it. The Healthies this summer will be in Mangirt, a ger district on the opposite side of Darkhan.

The Saturday of our first week of ToT, we had Host Family Orientation to prepare the Mongolian families that would be housing the new Trainees this summer. We Resource Volunteers helped out by answering questions the host families had about American people and culture and by performing skits illustrating some common “issues” that can arise when fresh new American Trainees are suddenly thrown into a new culture and family without being able to speak the language. Some of the families had hosted PCTs before, but many of them were new (as there were new training sites this summer, including our Health training site). There are only going to be 5 Trainees in Dereven this time around (as opposed to the 10 of us last year), so my host family didn’t get another Trainee, but those that did remembered me and Kathy (the other M25 Health Resource Volunteer) and came to chat with us afterwards. Hopefully I’ll be able to visit my host family at some point when I come back for the second half of PST.

We finally had a day off, but then it was back to work on Monday to begin the second week of ToT. We spent each day of the second week working with our training teams to update old session outlines from last year’s PST, create new session outlines for things that have been added to the curriculum, and other sector-specific tasks.

The Health trainers hard at work

The Health trainers hard at work

Our Health training team consists of Doogie (pronounced “daw-gee”), our Technical Coordinator and team lead, and us 4 Resource Volunteers (2 first half, 2 second half). The Health Program Manager for Peace Corps/Mongolia was also there to guide us through the preparations but won’t be working with us on a regular basis during actual PST since she’s also in charge of all the current Health PCVs and those PCVs who live in the central region of Mongolia. And we have our 2 LCFs who will be teaching the Health Trainees, but they were mostly in a separate room doing practice teaching with the other LCFs.

In addition to going through all the session outlines, we had to create a budget for PST, do practice facilitations, find and assign practicum sites (clinics, the hospital, the health department) for the Trainees to work at throughout the summer, arrange locations for joint sessions (where the Trainees and their practicum counterparts attend sessions together), and organize a new peer education program where Trainees will be partnered with peer educators (secondary school students and first-year nursing students) to help them facilitate sexual education lessons. There was a lot to do and it got stressful at times, but we at least got out of the office several times to visit the Darkhan Health Department, several clinics, the Darkhan governor (who remembered us from last year), and our training site, Mangirt. Since it’s a new training site, none of us knew where the Mangirt school was, which is an important place to be able to find since that’s where all the Healthies’ PST sessions would be held.

So after our hard week of getting everything finalized for the newbies, some of us also came into the polytechnic college on Saturday to organize the rooms where Orientation sessions would be taking place and to decorate for their arrival to Darkhan (like our group did last year, the M26s spent a couple days outside of UB before coming to Darkhan for Orientation).

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Oh, and we got to stay in sweet apartments during ToT!

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Granted they shoved 4 people into each apartment, but only for ToT: each apartment had 2 first-half trainers who would stay until Naadam in July, when the 2 second-half trainers would return to the apartment once more. So even though the one-bedroom apartment I shared with 3 other girls only had two small pull-out sofas–meaning we had to take turns sleeping on the floor–the apartment had a hot shower, fancy washing machine, and wifi! The building is also at a prime location right between the Nomin Department Store and the “Orange Market,” a large shopping center where you can get all your groceries and other necessities and also houses a Good Price, a store that offers many foreign goods such as…

This may be all I eat when I come back to Darkhan

This may be all I eat when I come back to Darkhan

Then I went down to UB for a couple days before my flight back to Uliastai. The Monday after ToT was International Children’s Day, which is a big deal here in Mongolia. And since I was in UB that day, some fellow PCVs and I walked around the city to see all the festivities:

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Tomorrow I will fly back to site, where things will return to normal (or as normal as my life can be in Mongolia) for a short time, before my next adventure!

 

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Project Design & Management Seminar

Back in February, the PC/Mongolia training team told all of us PCVs about an upcoming Project Design & Management (PDM) seminar for PCVs and one of their HCA or community counterparts to work on the design and planning of a specific project. In order to be invited to the seminar, we first had to conduct a needs assessment in our community to determine the most pressing issues and then come up with a project idea to address those issues.

So my supervisor and I (who really wanted an excuse to travel out of Zavkhan on Peace Corps’ dime) worked hard to complete a needs assessment before the deadline, which was right after Tsagaan Sar of all times. We reviewed statistics and health indicator reports from the Ministry of Health, along with hospital records and health department reports from here in Zavkhan. We also conducted key informant interviews with the director of the Public Development Division at the Zavkhan Governor’s Office, the treatment director at the Central Hospital, the head doctor and advisor of the Children’s Division at the Central Hospital, and the director of the Children’s Hospital. We conducted informal interviews and discussions with staff members and parents of patients at the Children’s Hospital, and we examined what medical equipment was available both in the Central Hospital and the Children’s Hospital.

Our needs assessment revealed that the infant and under-5 mortality rates are significantly higher in Zavkhan aimag than both the country average (all of Mongolia) and the aimag average (all the aimags minus UB). So basically, lots of babies and little kids die in this part of the country.

Sorry, that was depressing. Please look at this cute Mongolian puppy playing in the snow

Sorry, that was depressing. Please look at this cute Mongolian puppy playing in the snow

This is believed to be due to the fact that there are no emergency facilities for infants and children in Zavkhan. The Central Hospital has an emergency department, but it is not equipped to treat infants and children and is not staffed with pediatricians. So if a parent comes to the ER with a very sick child, they will either have to wait for a busy pediatrician to come there from another part of the hospital (and even then, there will likely not be the necessary medical equipment) or they will be sent to the Children’s Hospital, which is a few blocks away. But the Children’s Hospital does not have an emergency department at all, so even if the parent was able to finally get a pediatrician to look at their child, they wouldn’t have a monitor to see what was wrong with the child, or a respirator to hook the child up to, etc.

Our main project idea is to develop a children’s emergency department at the Children’s Hospital. We have identified 3 rooms on the first floor of the Children’s Hospital that could be converted into a 5-bed ER, and there are 6 doctors and 8 nurses from the Central Hospital that could be transferred to the new department so that it could be staffed 24 hours a day by at least 1 doctor and 1 nurse at all times. There is even a medical engineer at the Central Hospital that could train the staff on how to use the emergency medical equipment.

But what we need is—you know—the actual medical equipment. The Ministry of Health has a list of “hospital standards” that specify what equipment and supplies are deemed necessary for each ward/department of the hospitals. There are sections of that standard for infants and children and for emergency facilities, but of course our facilities don’t have most of that equipment, or the money to get it. I’ve looked into some of the numerous NGOs that collect used hospital equipment from developed nations and donate them to clinics and hospitals in developing nations, but those organizations generally send the medical equipment in those big 40-foot shipping containers to the nearest sea port, and the receiving organization is responsible for getting it the rest of the way. You may recall that Mongolia is a land-locked country, so going through one of those programs would require us to have the container shipped to a port in China, then put on a train on the railroad that comes up to UB, and finally put on a giant truck coming out here to Uliastai. So, just a bit of customs and legal paperwork and crossing our fingers that it wouldn’t just disappear somewhere along the way (as so many care packages do when they’re sent to Mongolia through China). Oh, and somehow paying for the shipping container’s long land-bound journey. So only slightly more complicated than finding a pot of gold to just pay for new medical equipment directly.

Anyway, there’s your background for our project. We and 20 other PCV/counterpart pairs were selected to attend the 3-day PDM seminar, which took place last week. It was held at a “resort” about 30km outside of UB, in a quaint little mountain area that had plenty of what looked like summer vacation homes nearby.

The resort

The resort

The lobby

The lobby

The view

The view

Yeah, Mongolian homes do not look like that

Yeah, Mongolian homes do not look like that

The seminar consisted of sessions on writing goals and objectives, creating a logic model and action plan, identifying resources, monitoring and evaluation, budgeting, and proposal writing. There was also a session on Peace Corps funding resources, which wasn’t as helpful for me and my supervisor because our (admittedly large-scale) project is not eligible for those smaller grants. So my one qualm with the seminar was that they didn’t cover other funding sources. If we do end up going the route of having an NGO ship us a bunch of medical supplies overseas, most of those programs do require a sponsorship fee of up to $25,000. Obviously our hospital does not have that money, so I’m looking into other entities that could help fund the project, but I have no experience with waltzing up to a company and asking them for money, and my counterparts didn’t even think about that as an option, so I’m assuming they don’t have much experience either. But outside of that, the seminar was extremely helpful. There was plenty of time for us to work in our pairs to apply what we learned in the sessions to our own projects. But now there is a lot of work to do to move forward.

According to the seminar schedule, we would be heading back into the city on Saturday morning. But since our flight back to Uliastai was at the ungodly time of 6:50am on Saturday, me, my sitemate, and our counterparts were supposed to be taken back on Friday evening after the last sessions. But then, during the closing session, we were informed that our flight had been delayed until Sunday morning (on account of a snowstorm that had gone through Zavkhan on Friday and was heading toward UB). So we hung around at the resort for another night and left with everyone else Saturday morning, with the snow already coming down.

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But having our flight delayed meant an entire free day to spend in UB! It would have been nicer if that day hadn’t been marred by a snowstorm that I did not have the appropriate clothes for (It’s supposed to be spring! It was in the upper 40s when I left to come to UB!). Nevertheless, I managed to trek to several places, including a yummy café for brunch:

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French toast and a chocolate milkshake (with a shot of espresso)

And several stores that sell stuff you can’t find out in Zavkhan, like cheddar cheese, popcorn, peanut butter, Vanilla Coke, etc., along with American goodies that can only be found in a select few places in UB, like cereal and Kraft mac & cheese. Yes, I managed to find what I’m pretty sure was the last box of mac & cheese in the entire country. I didn’t even know they sold it in UB, and I always get tons of it sent in care packages because I could probably live off the stuff. Then I saw one lone box on a shelf in one of the stores and asked a worker if there were any more. She informed me that there was a currently a shortage of the stuff.

Seriously, a shortage of Kraft mac & cheese in Mongolia.

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I’m not sure if it had something to do with the recent recall by Kraft, though I can’t imagine Mongolia being a place that pays too much attention to things like recalls due to tiny pieces of metal possibly being in processed foods. But I also can’t think of any other reason for the shortage. When I tell Mongolians about macaroni & cheese, they seem to be unfamiliar with the stuff. And I know there are a fair share of expats who live in UB, but unless they’re all my clones, I can’t imagine them eating enough of it to cause a shortage. Anyway, while visiting a few other stores I looked for any more of the blue boxes, with no luck. I was either told about the shortage again or ensured they would be getting more in next week. Thus, I may have gotten the last box of Kraft mac & cheese in Mongolia, and definitely ate it for dinner the day I got back to Uliastai.

After shopping, I headed back to one of the city’s hostels that at any given time are likely to be filled with PCVs.

...and their stuff

…and their stuff

I paid for my bed (the equivalent of about $4) and took advantage of the free wifi until dinner. A group of us went out to a really nice bar & grill, where I got an actual Caesar salad (in a lot of restaurants, even if they have “Caesar salad” on the menu with a picture next to it looking all appetizing, you’ll get…something else…that should be illegal to call a Caesar salad), shared a pizza, and had a tequila sunrise and a B-52 that I didn’t know was really a Flaming B-52 until the waiter came with a lighter to set my shot on fire.

I somehow managed to not catch my face on fire (yeah, I don't drink flaming drinks very often...or any kind of drink...)

I somehow managed to not catch my face on fire (yeah, I don’t drink flaming drinks very often…or any kind of drink…)

After dinner, we went back to the hostel. While others were being sociable, I went to bed to try to get at least a few hours of sleep before I had to wake up to catch my stupidly early flight. But I did spend most of the flight sleeping, and then proceeded to spend a large portion of the rest of the day napping, waking up to get groceries and to eat my mac & cheese dinner. Then it was straight back to a regular ol’ work week.