Hello, August! I can't believe you're already here!
Last week was absolutely insane as far as work goes. In El Paso, I went from having 5 participants to having 10 participants and in Ciudad Juárez, I went from having 5 participants to having 8 participants. I was super stressed, but I'm now in a much better place in preparing to do qualitative analysis for my thesis.
In El Paso, two of the women actually live in Ciudad Juárez but are both U.S. citizens by birth and want the same for their babies. It was super interesting talking to them about their utilization of health care (I'm at least 99% sure that they're both paying cash for their prenatal care and subsequent hospital stay, which is something that the majority of people on both sides of the border cannot afford).
In Juárez, I spent two days last week at a
Seguro Social hospital. This is the system that people who have formal employment but who are not federal workers. The hospital is much larger than the
seguro popular hospital I was in before, and it also seems to be much better managed. This is likely because
seguro popular is the system that covers people who are either unemployed or who lack formal employment (e.g. the people who sell delicious
aguas frescas in the streets). In the latter system, people tend to be poorer and less educated than those who are part of
Seguro Social.
I was very lucky to meet some nice people at this hospital who could help explain how this health system works. I also formally interviewed three women. One of them isn't due until early September, so she technically didn't qualify for my study because I won't be able to get follow-up with her, but we were both bored in the waiting room so I went ahead with the interview. Plus, I already am lacking follow-up for the five women from the
seguro popular, so it doesn't seem like that big of a deal to "lose to follow-up" at this point. For the other two women, I was able to interview them literally hours before they gave birth and then about two hours after they delivered. This wasn't ideal- the women were in pain beforehand and exhausted afterwards. The whole situation was super awkward, too, because I was either interviewing women in their hospital beds, which were rolled out into the hallway, or I was wearing scrubs and hanging out in the labor & delivery area. When the latter happened, it was even harder to remind people that no, I'm not a doctor. (This conversation always ends up lasting was longer than necessary because everyone wants to tell me that in Mexico, you have to be a medical doctor in order to study public health.) By the way, the #1 way to figure out that a woman is too tired to do an interview is when she falls asleep mid-sentence. Yeah, that happened...
About 90% of my time during my days in Mexico last week consisted of sitting around, mostly reading "
Twelve Patients," which happens to be the best book I've read in quite a long time (Thanks, Dad!), or thinking about how sweaty I was since the hospital air conditioning was non-existent (I think it was just broken last week). I won't write about all the gory details of what I witnessed in the hospital, but if you want to know, just ask ;-)
Needless to say, amidst running around last week, I was trying to frantically keep up with transcribing my interviews. That pretty much failed, but I am happy to report that as of today I am completely caught up. Phew, just in time to start a series of postpartum interviews in El Paso tomorrow!