Field Notes: Karen State, Myanmar
One of the things we remind each other of at Partners is that this work is not safe, but it is good. The heartbeat of our work, our ability to go further and faster to the frontlines where war is threatening the lives of kids, is often because of our amazing staff.Â
Many of them were once also children growing up in the middle of war. These are their homes, their families, and their communities. Their belief that children deserve free and full lives takes them into the danger.Â
As our team members travel to our project sites, delivering supplies, meeting with the community and its leaders, sitting in family homes, holding little ones and listening to what they are going through, they move with a love that can be felt. We canât all travel with them, but we want you to have a window into what it's like to be on the ground in the hard-to-reach places.Â
Hence, Field Notes, a series that will take you into excerpts of our team members' trip reports. A glimpse into some of the big and little moments of love in action that happen along the way, that you are fueling in the here and now.Â
Weâre starting in Karen State, Myanmar, with Partnersâ Southeast Asia Health Department Manager as she travels across the state to visit the Karen Clinics and Village Health Workers that you support.Â
Before the trip, our team outlines its purpose and the trip risks:
Purpose of the trip
To support the Village Health Workersâ (VHWs) activities and treat scabies.
To upgrade the VHWsâ knowledge and provide training if the situation allows.
To visit 20 project villages, meeting with the families and children to check on how they are doing.
To visit the Karen clinics and leaders to improve the collaboration for health care in the community.
To show love and care by providing health care and treatment along the way.
RiskÂ
Death or injury from aerial bombing or fightingÂ
Sickness or physical injury from the bad road and weatherÂ
More cost and not enough financeÂ
The training or trip plan fails due to fighting in the local area during the visit.Â
*Some days and notes are omitted for security and length reasons.Â
Day 3: We start travelling again after breakfast, about 8:00 am, and arrive at noon at a village in Karen State
We visited the township clinic and spoke with the staff. After that, we left for Eden Farm, Partnersâ headquarters in Karen State, the final destination of that day, and arrived at 5:30 pm. Staff members (omitted for safety) and some VHWs were unpacking the medicine boxes and preparing for each village group.
Day 4: We started the VHW training at 8:00 am. Twelve VHWs joined the training. We started teaching about the diseases that can be caused by unhealthy food and snacks. Then I taught about the NEWSTART 8 habits of healthy living. After that, we gave UV long-sleeved tops to the VHWs and took a group photo. After lunch, we taught the stretching exercises for those who sit for long periods. Then, we reviewed vitamins and drug use and taught stretching exercises for labour workers. We ended the training at about 4:00 pm.Â
Day 5: We were invited to give a speech at the chapel of a Junior College. The students were happy. They were allowed to ask questions and confide any health problems. After the meeting, some brave students told us about their dreams and asked for advice. We saw some students had itchy skin problems, and one of the female students had skin allergies. We asked the teacher to accept medicine from us.
After that, a VHW took us to a family who recently had a small baby. We also saw a lady with arthritis and gave her health advice. She lost her niece (she was shot dead while running away from the Myanmar Army) a day ago in a plain area.
We then spent the evening with the village youth group. The youth enjoyed their time together at the riverside, catching fish and eating.Â
Note: The students are studying in the jungle. We could see their courage in their faces. Still, 90% of the villagers are living in the farmhouse or outside the village, including our VHW family, to avoid the airplaneâs bombing.
Day 6: We visited a couple of clinics, and we talked about the clinicâs activities and left some epilepsy medicines for the clinic to treat the patients. We also met with a VHW who could not attend the training because she has a 5-month-old baby boy and her husband is building a new house. We chatted for a while and took some photos with the family before we left. We came across youth singing at a church. We had dinner and spent the night in the village.Â
Note: There are bunkers near the house, and the family sleeps in a tent beside it. (We noticed every house has its own bunkers; some are well built, covering the top with big logs. Because this village is also a target village for the Myanmar Military.) Some families move to their relatives on the Thai Side.
Day 7:
We passed through a village (that was empty), houses, the church, and the village schools. We also passed a burnt house before we arrived at the temporary school by a small river. After we passed the bamboo bridge, we arrived at the VHWâs shelter. There are about 8 houses there. We visited them and spent the whole afternoon talking with the families. They shared their experience of airplane bombing and told the story of four brothers who were hit by bombs. It made me tear up and have no words. She (the VHW) has trauma of war because she lost her husband 6 years ago and experienced an airplane attack in their village. Whenever she hears an approaching airplane, she runs restlessly without acknowledging where she is heading until she becomes out of breath.
Note: The villager shelter place was bombed by an airplane a month ago, and one child died, and three of his brothers were injured. They are still at the clinic, and one of the boys had his legs amputated; the others have severe injuries. We saw the houses in the village were abandoned and ruined. The big village with a middle school is quiet like a ghost town.
Day 8:
We packed and carried all our things for a long trip to visit a village and a family with 4 girls with disabilities. We gave financial support, found out more about their health problems, and helped to connect them with the health clinic.Â
We then visited a VHW who gave her job to her daughter. A staff member (ommitted for safety) taught her how to record the medicines and about the new drug uses for scabies and anti-itching medicines. We also visited the village clinic, which is a 15-minute walk from the village, near the stream, and had a bath and took dinner there. We checked the medicines there and spoke with the new clinic staff.Â
After dinner, we visited another shelter group, which is a 20-minute walk from the clinic. We visited 5 houses and their families. The children are excited to see us. Then, we come back to the village and spend a night at the VHW house.
Day 9: Before we left the villages, we talked with some villagers, visited the previous VHW, and took a photo with them. Then continue to visit more villages by motorbike for about 1 hour. The VHW is 8 months pregnant with her first child. Then we visited a family with a 2-month-old baby who was likely not feeling well from oral or throat pain. We talked to the mother and encouraged her to take the vitamin tablets. The other children have itchy skin, but it is not severe. Then, we traveled to another village and prepared to do the training the next day.
Day 10:
We started the training at 8:30 am. A total of 18 VHWs participated. We taught about nutritional information, explained the chemical (preservative) effects, advised on how to choose healthy options, and encouraged eating natural, homemade snacks. Then, the lessons continued with stretching exercises and instructions for the new drug. After the training, they divided the medicines and packed them for their own village.
Day 11:
We travelled to another village. The VHWs took us to see a family with twin boys. The mother is suffering from cold feet and abnormal menstruation. She already received treatment from Kler Mu Clinic and has follow-up appointments. The VHW took us from house to house for scabies treatment. There are many families with scabies. We saw some children with other health problems. We spent a night there.
Day 13:Â
We travelled to another village. The people are waiting to get the scabies treatment. We supervised the VHW distributing the medicines, and all the families from the village came and received the treatment. We could not give it to pregnant women, so we gave the family extra medicine for the second time to take in case they still had scabies after she delivered. We carefully divided tablets for the small children and supervised treatment.
After that, we continued to the next village. We could not meet the villagers within the village. They are all staying scattered, avoiding the bombing. We met an old man in front of his house, suffering from back pain from falling from a bamboo tree. Just before his fall, his youngest son stepped on the land mines not far from the village while he was searching for his lost buffalo. We talked for a while and gave him some medicines to relieve the pain. We were meeting the villagers at their hiding place and talking with them, treating scabies in adults and children.
Day 14:Â
We visited two villages.The first village has 16 houses and has a primary school. We saw an anaemic mother with her 5 kids who wants to get contraception, but the nearest clinic is a dayâs walk away. We explained her that she can get the contraceptive injection from the VHW soon. The village has no toilet yet. They request toilet seats for every house. Then, we went to the next village, which has 12 households and a VHW. They were very happy to meet us, and some old women visited us at night and told us their stories about running from the Myanmar Army. There are many kids with scabies, and we gave anti-scabies medicine to every family. This village also requested toilet seats and water pipes.
Day 15:Â
We walked for about 2 hours to the next village with the VHWsâ manager. We arrived at the first section of the village, which has 7 houses. Many children and adults got infected with scabies. So, we took time to give them medicines and explained that they need to take them again as a second dose after one week.Â
Then, we continued for another 40 minutes to reach the second section of the village where a VHW lives. We rested for a while at her house and then visited house to house in the evening, giving anti-scabies drugs and other medicines. We met with the family of a boy with a congenital heart defect, for whom we helped with the referral and transportation last year. He had a heart operation in Thailand and now has a stronger heart and is healthier.
Day 17: Once we arrived at the VHW house, we ate sticky rice and a banana snack and spent time with the family, asking about the situation. The village is in the risk zone, and some families with little kids have moved to a safer place. Most of the villagers have been living here for a long time already and do not want to leave their place. Their children received middle and high school level education and (now) serve in the communities as teachers and village health workers.
Day 18:
The next day, we visited a clinic compound. It was quiet; we did not see many staff or patients because they had moved to another safer area, up the hill, where there are more trees. We visited an IPD (in-patient department/ the place where they keep patients overnight) to see a landmine-injured boy from one of our visited villages. We talked with his mother and other patientsâ caregivers, too.
Day 19:
At 6:00 am, we began the long journey home. We sat in the back of the car. The road is too rough and bumpy. We got home at 4 pm.Â
After the trip, our team members outline what went well and what they learned on the way that will help guide the direction of the project:
Monitoring and Evaluation:
There is a need for more scabies medicines. These are not easily bought in Thailand at a fair price.
There are improvements in the community, such as better toilet use and hygiene practices, and we are seeing more healthy babies.
Toilet seats, mosquito nets, and water pipes were requested. Even in this unstable situation, these are also basic needs.
Some villages are in the target zone and have been attacked more frequently than other villages. Some lost their families and friends.
Clinics are far, and transportation is extremely expensive for the villagers.
What went well?Â
We successfully provided training to 30 VHWs and visited 4 VHWs who could not attend the training.
We treated scabies in approximately 700 people, including 500 children.
This is Field Notes. These are the moments of love in action that wouldnât be possible without you. Thank you for staying with them and with us, as long as it takes.Â
If this is the kind of peacebuilding and risk-taking in the name of love that you want to be a part of, join us. Summer is a challenging time for nonprofits, but wars donât take a break. Right now, a dear friend is providing a 50% match, so every $2 you give becomes $3.
You can multiply your gift here. Â












