Casa Alitas: A shelter aiding asylum-seekers and their families in Tucson, Arizona

Monday, May 27, 2024

Hello! My name is Quenla Haehnel and I am a recent MPH graduate in the Applied Epidemiology concentration from UNC Gillings School of Global Public Health. I am writing from the beautiful city of Tucson, Arizona, as part of a group of students, faculty, and physicians who participated in the migrant health service learning (MHSL) trip organized by the UNC School of Medicine Office of Global Health Education (OGHE). Having completed my summer practicum experience with the North Carolina Farmworker Health Program working with migrant farmworkers, I (like many others in our group) had background and interests in the migrant health experience which is what attracted me to this opportunity.

MHSL participants on an evening hike in Tucson.

Most of our time so far in Tucson has been spent volunteering at Casa Alitas, a local non-profit shelter that provides food, clothing, temporary shelter, basic medical care and travel assistance for asylum seekers after they have been released from Customs and Border Patrol (CBP). Casa Alitas was started ten years ago in response to “street releases”, where hundreds of asylum-seeking families were dropped off at Greyhound bus stations in Tucson, oftentimes without the resources or assistance to get connected to their sponsors throughout the United States. Since the founding of Casa Alitas, zero street releases have occurred in the city of Tucson. This is a remarkable feat, however, policy changes and termination of funding streams often threaten the ability of Casa Alitas to continue to provide the aid that it does.

In the few days so far that we have volunteered at Casa Alitas, I have been blown away by a few things.

First, I am shocked by the sheer number of individuals and families that pass through Casa Alitas every day. Casa Alitas operates two shelter facilities in Tucson – one where children and families are housed and another for single males. In our time there, the average number of people coming through both facilities was a few hundred per day. Last year, staff reported that the number got sometimes as high as 2,000 people processed per day. There are several factors that contribute to the volume of migrants and it fluctuates constantly, often making it impossible to anticipate food budgets, bus and shelter capacity, and other unforeseen needs.

Second, I was impressed with the incredible resilience, patience, and gratitude demonstrated by these asylum seekers, despite the fact that they had endured so much already, oftentimes having been stripped of their clothing and personal belongings, separated from family members, and deprived basic human dignity. One particular experience resonated with me. I struck up a conversation with a Venezuelan man after I had helped him find some new clothing. He explained that in Venezuela he and his family had worked in the fields, and he proudly showed me a picture he had taken of his son working along a beautiful green hillside. While he said he missed his family terribly, he was optimistic and hopeful about providing for them in the United States. He then asked about me and where our group was from. When I told him we were from North Carolina he said, “wow, that’s really far away”. The juxtaposition of this comment took me aback, considering the ease and relative comfort I had experienced in my travels as a U.S. citizen compared to someone coming to a foreign country, seeking asylum – his was obviously a much longer and more difficult journey. And yet, our conversation was light and hopeful, as casual as if we had met at the grocery store. Even though I was the one who was supposed to be helping him, his easy smile and resilient optimism inspired me.

Third, I have been impressed with the goodness and sacrifice shown by the staff and volunteers at Casa Alitas and with other volunteer organizations we have worked with so far. It is an immense operation and requires a coordinated effort by many staff and volunteers who donate their time and energy to help. As temporary volunteers, we were limited in the help that we could provide, but it was amazing to see the positive effect of our little actions such as sharing a smile, speaking their language, or giving them the ability to choose between two different articles of donated clothing.

International flags decorate the inside of the Drexel facility of Casa Alitas, where children and families are temporarily housed and given assistance.

I am excited for the further learning that will come during the rest of our time in Tucson!

Quenla

Transitions

Kisii, Kenya

The hums of motorbikes and brays of grazing cows pervade the bustling community of Kisii, a town of over 100,000 nestled in the hilly highlands of western Kenya. For the next six weeks, I will be working as a project intern with the Kisii Konya Oroiboro Project (KIKOP)—a community led organization that aims to address maternal and child mortality through facilitating peer-to-peer Care Groups of mothers, home visits to monitor the wellbeing of mothers and their children, youth education programming, and strengthening of the existing healthcare system to support maternal, child, and reproductive health. As I transition to life seven hours ahead of North Carolina, I’ve noticed that KIKOP has been going through a few transitions of its own.

Outside of the KIKOP office. The AIDS Healthcare Foundation (AHF) is a primary partner of KIKOP.

Last year, KIKOP shifted from manual data collection to the use of a new digital data system called Meaningful. Using the Meaningful app on their tablets, Community Health Volunteers (CHVs) collect information during home visits with women who are pregnant or have recently given birth in the Kisii County catchments of Matongo, Iranda, and Nyagoto. At these home visits, CHVs are responsible for checking in with the wellbeing and health education of mothers to promote maternal and infant health. One of my primary tasks this summer will be to support the KIKOP team in the shift to using Meaningful by hearing the perspectives of CHVs who are using the new system and compiling the data they collect to create a visualization dashboard for maternal and child health indicators.

Ground-floor game area within the KIKOP office.
Third-floor classroom within the KIKOP office.

 

 

 

 

 

 

A few days before I arrived, another major change for KIKOP came when the team relocated from a one-room building within the Kisii Teaching & Referral Hospital’s medical complex to a three-story building minutes from the Iranda catchment. This new office includes a ground-floor game room where teens from the surrounding area can relax and enjoy playing pool or watching TV before they attend lessons on topics such as STI prevention, mental health, sexual and gender-based violence, and teen pregnancy. (The teens wait outside the office gate each morning excited to play pool – they’re very passionate about the game, and even study advanced pool moves on their phones in their down time). The offices upstairs include a meeting room for the KIKOP Board, a classroom for the local youths, and physical records spanning back to when KIKOP began.

View from within the KIKOP office.

The work that KIKOP is doing has created a monumental shift in the quality of care that mothers and children receive in Kisii County; over the past several years, KIKOP has reached thousands of pregnant women and families in Matongo, Iranda and Nyagoto. I am beyond grateful for the opportunity to be learning from the KIKOP team and the community in Kisii, and I hope to contribute my public health knowledge to support this wonderful group of people. I’m looking forward to the next few weeks!

Kait

Mothers Educating Mothers

Mothers educating mothers

Kisii, Kenya

Bwakire! My name is Shriti Pant (Nche Igonkorokwa Shriti Moraa!). I am currently completing my practicum with Curamericas Global, Inc. As an intern, I am working with the Kisii Konya Oroiboro Project (KIKOP) in Kisii, Kenya. KIKOP is a project which aims to reduce the rates of maternal and child mortality and address the most critical needs of the communities they serve. This is done through a peer-to-peer education system where mothers are provided with lessons that they pass on to other women and children in their community.

KIKOP project goals handwritten on the wall of the Matongo Birthing Center

I will be here for 6 weeks working on monitoring maternal and child health data and conducting a process evaluation on KIKOP’s maternal care groups in three catchments in Kisii County: Matongo, Iranda and Nyagoto. In addition, I will be creating curriculum on menstrual health, sexual and gender-based violence and post-partum mental health that can be used by the health promotors and community health volunteers to enhance the wellbeing of the neighborhood women and mothers in Kisii.

Today marks one week since I arrived in Kenya and apart from eating delicious food, I have had the chance to meet a lot of incredible people in the community who are working toward improving the quality of life of all people living in Kisii. During my time here, I have traveled with my program manager to the health and birthing centers in the Matongo, Nyagoto, and Iranda catchments. Each subcounty in Kisii county consists of multiple catchments and each catchment has 22-39 villages. Approximately 2,000 mothers are directly supported by this project!

Matongo Health Center

I had the opportunity to meet with community health volunteers, health promoters, public health officers, and many mothers and their babies. I was given a tour of the facilities, specifically the maternal care units, which consist of the delivery rooms, the antenatal care wards, and the post-natal care wards.

Example of what the birthing facilities look like on the inside.

The directors and nurses of each facility sat down with us to discuss the challenges and barriers that mothers have faced in each catchment and the invaluable work KIKOP has done in their communities since its inception in 2018. I feel a lot of pride and privilege to get to work with such a passionate and hard-working team for a short amount of time.

The maternal care wing of Irando Health Center.

With everything I have learned so far, I am excited to aid KIKOP in analyzing maternal and child health data and collaborate with them to further improve this program and ensure its continued success in the future.

On our way to meet with the community health volunteers outside of the Nyagoto birthing facility.

Learning from public health officers and community health volunteers working day and night to prevent death, disease, and stigma here in Kenya has taught me so much about intersectionality of healthcare, culture, and community resilience.

I am looking forward to the rest of my time here!

Shriti