Guatemala Mission Trip Team Member Manual 2014 June 21 – 28, 2014 TABLE OF CONTENTS Introduction ............................................................................................................................. 3 The Mission’s History in Guatemala ........................................................................................ 4 Guatemala – An Overview ...................................................................................................... 5 Guatemala – Facts .................................................................................................................. 6 Prayer ..................................................................................................................................... 7 Cost of Mission Trip ................................................................................................................ 9 Guatemalan Mission Team Meetings .................................................................................... 10 Team Meeting Schedule ....................................................................................................... 11 Leadership Meeting Schedule ............................................................................................... 12 Recommended Planning Schedule ....................................................................................... 13 Team Support ....................................................................................................................... 14 Suggestions for Funding Your Trip ........................................................................................ 15 Sample Support Letter .......................................................................................................... 17 Mission Trip Support Tracking Form ..................................................................................... 18 Culture Shock ....................................................................................................................... 19 Tips for Communicating Through a Translator ...................................................................... 19 Cultural Research ................................................................................................................. 20 Spiritual Development ........................................................................................................... 22 Journaling ............................................................................................................................. 22 Health & Safety Tips ............................................................................................................. 23 Recommended Medical Preparation for Service Trips........................................................... 24 Visit Your Doctor .............................................................................................................. 24 Medications/ First Aid & Safety ........................................................................................ 24 Diet and Exercise before Travel ....................................................................................... 26 Overall Health .................................................................................................................. 26 Plan Ahead for Illness & Injury ......................................................................................... 27 Know what to do if You Become Sick or Injured ............................................................... 27 Traveler’s Diarrhea .......................................................................................................... 28 Traveler Registration Emergency Contact and Itinerary Information (optional) ................. 28 Immunization Information ...................................................................................................... 29 Travel and Packing Tips........................................................................................................ 31 Tips for Travel ....................................................................................................................... 32 Checklist/Packing List ........................................................................................................... 33 Checklist for Mission Trip ...................................................................................................... 38 Saying Goodbye ................................................................................................................... 39 Reverse Culture Shock ......................................................................................................... 39 Journal .................................................................................................................................. 44 Useful Spanish Words and Phrases ...................................................................................... 45 2 Introduction Thank you for choosing to go to Guatemala. We are glad you will be joining us in the work there. It is our prayer that God will challenge you spiritually and help you grow in your faith as a result of this trip. God is actively at work in Guatemala, yet much work remains to be done. Your interest in helping is an answer to prayer. Short-term teams have been partnering with us since 1995 for the purpose of outreach to the people of Guatemala through evangelism, construction, medical, dental, and educational activities. Regardless of your area of outreach, most people find the greatest rewards are in the relationships that are made. The most significant work that you will do will be loving people and spending time with them being a witness for Jesus Christ, rather than building a wall or helping someone meet a physical need. The people of Guatemala know that you have spent a significant amount of money and time to come, and they feel honored you would choose to do that for them. Let us encourage you to focus not only on the tasks of this trip but also on the relationships that will develop along the way. We have put this manual together to help you prepare for the trip. It is prepared to provide you with practical information that will help make your trip successful and enjoyable. Please read it, commit to attending the scheduled team meetings, and follow the guidance of the team leadership. Even if you have previously participated in a Guatemala mission trip, it is important to attend all meetings to help build team spirit. We ask that you be patient and flexible as you prepare, travel, live, and work with the team. Evaluations from those who have gone before indicate that any inconveniences you may experience will be overshadowed by the gratitude of the people you will serve. You will find the Guatemalans friendly and easy to get to know. The work you do will be a great help to them and will bring hope to many. Our team leadership is ready to assist you in any way we can. 3 The Mission’s History in Guatemala Through partnership with the Shalom Foundation, there have been active missions in Guatemala City for more than a decade serving acutely poor children and sharing the Gospel. Through our supporters and volunteers, thousands of lives have been touched -more than 70 homes built, conducted 170 surgeries, helped build a Christian school serving over 700 students, 50+ water filtration systems have been installed, school books purchased, and more than 170 dental check-ups for elementary students. Annual Missions Trips have been planned and led each year since June 1991. In June, 1996, a 26-member Construction Team began work on Shalom Church in Guatemala City with Pastor Alvaro Perdomo. In May, 1997, a 48-member Missions Team – the largest team to travel to Guatemala at the time – provided construction work on Shalom Church and provided much-needed medical treatment. The Construction Team traveling in May, 1998, began construction on Shalom School. In January, 2000, Missions Team members attended the Shalom School Dedication with the traditional beginning of the new Guatemalan school year (January 15). Construction Team members traveling in April, 2001, participated in the first Home Construction project by building 6 homes. In 2003, a commercial kitchen was outfitted for the “Food for Thought” Nutrition Program. In May, 2004, 48 Mission Team members provided medical and dental services, eye exams, computer programming as well as home and school construction. Since 2001, mission teams have continued to travel to Guatemala share the gospel, using construction as the primary platform for community involvement and ministry opportunities. In 2009 the mission began to work in the community of Las Conchas, a new rural community located, approximately 30 minutes north-east of Guatemala City. The platform for community involvement in Las Conchas has evolved from home building to community development, focused on discipleship and establishing a community grounded in Christian faith. Our objective is to help without hurting, or creating a welfare environment, wherein the people are empowered as contributors to the health, vitality, and sustainability of their community. 4 5 GUATEMALA – An Overview Who shall separate us from the love of Christ? Shall tribulation, or distress, or persecution, or famine, or nakedness, or danger, or sword? Romans 8:36 Guatemala is a beautiful country decorated with mountain peaks, rivers, valleys, volcanoes, beaches, and jungles. The country and its people have survived decades of turmoil to now experience a time of hope and healing. With the help of people like you, the future for the children of Guatemala can be bright and full of possibilities. Guatemala is located in Central America, bordered by Mexico, the Pacific Ocean, Belize, El Salvador, and Honduras. The country covers an area slightly smaller than Tennessee. It is located in the Central Time Zone. Several airlines including Delta Airlines, American Airlines, and Continental Airlines fly from the United States into a newly modernized airport in Guatemala City. As for the weather, Guatemala maintains a tropical climate and is called the “Land of Eternal Spring.” Average year-round temperatures run 75 degrees Fahrenheit during the day and 50 to 60 degrees at night. June through October is the rainy season, while November through May sees the drier, most pleasant conditions. Guatemala operates under a democratic constitutional government. President Otto Perez Molina began his presidency January 15, 2012, and will be president for 4 years. The vice president is Roxanna Baldetti. The standard of living in Guatemala is among the lowest in Central America. At least 51% of the country lives on less than $2 per day and 15% live on less than $1 per day. Violent crime is a 6 big issue due to endemic poverty, abundance of weapons, and weak and inefficient law enforcement. Rumors of child stealing and murder for organ harvesting are reported all over Guatemala. Some reports involved Americans kidnapping the children, so many are afraid and/or suspicious of foreigners. School retention in Guatemala is low, with only 60% of students who start the first grade completing the sixth grade and only 39% completing it at the right age. Guatemala Facts Population: 13,824,463 (2011) Comparative Size: Slightly smaller than Tennessee Climate: Tropical; hot and humid in lowlands; cooler in highlands GDP: $24.7 billion GDP per capita: $4,965 Ethnic Groups: Mestizo (mixed Amerindian & Spanish/ called “Ladino”), European 59.4%, K’iche 9.1%, Kaqchikel 8.4%, Mam 7.9%, Q’eqchi 6.3%, other Mayan 8.6% Religions: Roman Catholic, Protestant, Indigenous Mayan beliefs Languages: Spanish 60% and Amerindian languages 40% Major exports: Coffee, sugar, bananas, clothing, petroleum Life expectancy at birth: 69 males/73 females years Independence: September 15, 1821 (from Spain) Currency: quetzal; quetzales per US dollar average 8.15 in 2009 7 Prayer PRAYER is the foundation of our ministry. Invite others to support and join you in prayer for your trip and your team. Pray that… We will be equipped with every good thing to do His work. (Heb. 13:20–21) All spiritual, physical and financial needs will be met. (Phil. 4:19) We will be pleasing to Him in everything. (I Thess. 2:4) We will be united in spirit, looking out for one another with love. (Phil. 2:2–4) Our words will be full of grace and encouragement. (Eph. 4:29) There will be protection for us and our families. (Psalm 91: 9–10) We will be flexible and content in all circumstances. (Phil. 4:12) We will be filled with compassion, kindness, humility, and patience. (Col. 3:12) We will be completely useful to the Master. (II Tim. 2:21) We will be light to the nations, so His salvation may reach to the ends of the earth. (Is. 49:6) My focused vision prayer/verse is: 8 My Prayer Partner, who will prayerfully journey with me in preparation before and during the trip, is: My Prayer Team: Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Name: Email: Prayer Requests 9 Cost of the Mission Trip $2,500 per person You will only need money for personal purchases while there (gifts, souvenirs, etc.) and for meals and incidentals during travel to and from Guatemala and recreation day. The cost of your trip includes: o Airline ticket + 1 extra bag o Guatemala airport exit tax o Ground transportation, including vans and fuel o Lodging, including room and access to related facilities o Meals o Insurance o Team building events o Project Materials and associated expenses The team is also responsible for raising the funds which will pay for the costs of the construction projects. These funds will be raised by the team collectively. Raising funds for this purpose is not raising funds for you. Please feel confident in your efforts, knowing that the funds will be put to God’s service and will be used to help others in desperate need of assistance. Please make all checks payable to Thompson Station Church- memo line: Guatemala Mission 10 Guatemalan Mission Team Meetings The pre-arranged, scheduled Team Meetings are a required part of your preparation process. These meeting provide an opportunity for you to meet the other individuals participating in this Mission Trip to Guatemala. Team members will come from other church congregations in the community as well as from inter-personal contact and encouragement from past missions trip participants. Important information will be reviewed and shared with the group during each meeting. There will also be time for open discussion and time to answer questions each week. You should commit to attend every meeting. 11 Team Meeting Schedule All meetings will be at 2:00 at Thompson Station Church unless otherwise noted or announced. Locations will be announced in the newsletters. March 9 April 13 May 18 June 15 – Packing Day August - TBD Post Trip Fellowship picnic 12 Team Leader Meetings: To be announced once leaders are established 13 Recommended Planning Schedule 3 to 6 Months Prior: Meet with your team, begin planning and praying together (please make this a priority). Plan your financial needs for this trip. Be timely in turning in request for money. Ensure passport is ordered and updated. Make an appointment for your immunizations with The Global Clinic or your private doctor Put all meeting dates on your personal calendar(s) PRAY 3 Months Prior: Start reviewing your packing list. Locate your passport, or confirm process timeline. Begin preparing for activities in which you will be involved such as your fundraising efforts. Think through materials, supplies and gifts you will want to bring. Prepare and send out support letters in order to obtain funds in a timely fashion. PRAY 1 Month Prior: Complete immunizations and fundraising efforts. Assemble items on packing list. Obtain all materials and gifts to be packed. Remember weight limitations are strictly enforced. Confirm finances for the trip. PRAY 1 Week Prior: Pack luggage — remember flight restrictions are strictly enforced by airport staff. Attend the team packing party a couple of days before departure to pack group supplies. Review this manual and ensure you have thought through all necessary preparations. Make sure you are eating well, getting rest, and exercising for optimum health. Have family and friends praying for you and the team. PRAY Day of Departure: Prepare for the unexpected! (Flights do not always run on time.) Be flexible! Allow yourself plenty of time so you arrive “on time” at the airport. This is very important for your entire group. PRAY Return: Know what additional follow-up vaccinations you may need (Hepatitis A/B) usually within 6–12 months of return. Share your journal, photos and stories with family, friends and supporters. Prepare for post-ministry letdown and reverse culture shock. 14 Team Support There is something you should not leave home without – A SUPPORT TEAM. A support team is made up of those people who are committed to joining you in ministry through prayer, finances, and encouragement. Support “discovery” is the process of identifying these people around you. Those who support you need to see themselves as a part of the team. In a team concept, everyone has a responsibility. In short-term missions, those who serve through giving and praying are just as important as those who serve by going and working. You should identify those people you need on your team and send them a support letter. In this letter, they should be made aware of the following information: Where are you going and with which organization? What will you do? Why are you going? What are your prayer needs? What do you hope to learn? How does this fit in with your life plans? How much support do you need? What is your support for (airfare, materials, etc.)? Are gifts tax deductible? Where is support sent? Who should be the payee on the check? All gifts and correspondence should be acknowledged promptly. To show your appreciation, a small gift from Guatemala would be appropriate – pictures, stamps, coins, or currency. A follow-up letter upon your return should be included with your gift. Early into the meetings, the costs of the trip and fee due dates will be provided to all team members. Each team member is asked to turn in monies as soon as possible because reservations for lodging, airline tickets, and team materials must be purchased in advance to secure the most reasonable rates available and to accommodate our travel schedule. We will discuss team support in more detail in the fundraising section of this manual. 15 Suggestions for Funding Your Trip Biblical Principles: A. Paul urged the church at Corinth to give financially. (II Cor. 8,9) B. Paul thanked the Philippians for their support of his ministry, knowing that they would benefit by giving (Phil. 4:17) and that God would supply their needs according to His riches. (Phil. 4:19) C. Jesus taught His followers to seek God and His kingdom first and material needs would be provided. (Matt 6:33) D. God’s plan is to provide support for His work through Christians who give of their finances. (Matt. 10:20, III John 5-8) What to Do: A. Pray…ask God to provide. (I John 5:14–15) B. Be willing to use your personal finances, for yourself and others. Be sure you have an eternal perspective. (Matt. 6:19–21) C. Realize many Christians would cheerfully contribute to your need because: a. It is personal; they know where the money is going. b. They are eager to give to something that will accomplish results. D. Make a list of every possible avenue of support, and take steps to make them aware of your need. You are not raising funds for yourself but to serve others, to bring the gospel to those who will hear. a. Family b. Friends c. Teachers/Administrators d. Businessmen e. Church Acquaintances f. Community Leaders g. Employers E. Contact them by phone, letter, appointment (or a combination of these). What to Include in your Letter: A. A personal greeting. B. How you are growing in your Christian life. C. Why you are writing – to ask them to prayerfully consider investing in your summer and the lives of these people living in desperate conditions. D. What you expect to get out of the trip. E. The cost involved in the project ($1,400). F. A request to consider an amount (i.e., a range of $25, $50, or $100). G. Who they should make the check payable to: (with your name & “Guatemala” on the memo line). H. Words of appreciation for considering your opportunity. I. A handwritten signature and/or note on your letter. J. See sample letter for further suggestions. 16 Follow Up: A. Call people back in a timely fashion. Be positive, don’t put this off. B. For those who invest in your summer, send them a handwritten thank you note in a timely manner. We also highly recommend sending a follow-up letter after the trip giving an account of what you did in Guatemala. 17 Sample Support Letter (Date) Dear _______________________________, In __________ I will have the privilege of participating with a team of adults and students from my church and other local churches on a short-term mission trip to Guatemala. Guatemala has tremendous needs due to its poor economic and social conditions. We are partnering with The Shalom Church of Guatemala to help the local church members by __________________________________________. I am very excited about this opportunity. Our team will be working with the Guatemalans, but we will also be working on building relationships. But as much as we are going to give our lives away to serve the Guatemalans, I know this trip will deeply impact me personally and I look forward to the growth I will experience as well. Realizing that a trip of this type does not happen without the involvement of many people, I am asking you to consider how you might support us as we pursue what we feel God is leading us to do. There are two areas of need: prayer and financial. Prayer for unity and safety with our team, for us to be sensitive and obedient to God’s leading, and that God would change lives — ours and the people in Guatemala. You can help financially by contributing to help offset the costs of the trip and supplies. Will you please consider joining our support team? If you wish to help, please detach and return the form below to me in the enclosed envelope by ______________. If you would like to write a check, please make your check payable to _____________________________________. Thank you so much for considering this. Warmest regards, _________________________________________ (Your signature here) □ Yes, I will commit to pray for you leading up to and during your trip to Guatemala. □ Yes, I will make a financial contribution to your trip, as indicated below. ______$500 ______$250 ______$100 ______$50 ________Other gift Name _________________________________ Email: __________________________ Address _________________________________ City State _______ Zip 18 Mission Trip Support Tracking Form Your Name: ______________________________________________________ And my God will meet all your needs according to his glorious riches In Christ Jesus… Philippians 4:19 Check # Amount Date Name Phone # Address 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 19 Culture Shock Recognizing and coping with the differences between your culture and the culture of the host country can do much to lessen the stress of travel. Several ways to enhance your travel experience before leaving are to learn several words and phrases in the language of the host country, meet and talk to an individual from that country, or visit a worship/church service where they speak the language of the host country. Try to understand why you do things the way you do in your culture and why others do things differently in another culture. Be careful how you compare one culture to another. A desire to learn and understand not only helps you become informed and adjusted, but also communicates servant-hood to your host culture. Tips for Communicating through a Translator Speak to the audience, not the translator. Speak slowly and clearly. Speak loud enough for the translator to hear and understand you. Use short simple sentences. Allow time for the translator to speak. Be conscious of the time factor. Remember, everything has to be repeated. Avoid slang. Slang confuses the audience because it does not translate well. 20 Cultural Research The more you understand about the culture of Guatemala, the more effective you will be. It is possible to gain a great deal of understanding about Guatemala and begin adjusting yourself personally for entering that culture. As you research and study, look for ways to creatively impact your host culture with the message of Jesus Christ. Speak with nationals from the host culture, the Internet, libraries, travel brochures, and periodicals for your research. Creatively prepare a report for your team. Religious Background: Study the religious beliefs of the people. How do these beliefs differ from Christianity? How devout are the people? What are creative ways to communicate the message of Jesus Christ to these people? _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ___________________ Political Background: What is the primary political system of the culture? How long have they operated under this system? What would be the major differences in thinking politically from your home culture? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ________________________________________ Social Background: How is the social structure set up? Family? Male roles? Female roles? How do the sexes interact? Dating? How should your team adjust to honor their social structure? ____________________________________________________________________________ ____________________________________________________________________________ __________________________________________________________ Geographic Background: What is the basic geography and climate of Guatemala? How does this climate affect the people? (For example: A hot culture often shuts down during the 21 afternoon and has events late into the night.) What can your team expect to experience as a result of the geography and what adjustments will they need to make? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________ Historical Background: Research and historical overview. Has the country been war torn? Is it stable? Is there a strong world influence? How does the history affect the way the nationals view themselves? What, if any, recent changes have occurred? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________________________________________ Economic Background: What drives the cultural economy? Industry? Agriculture? Tourism? What is the standard of living? Average income? What can your team expect of the culture’s living conditions? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________________________________________ Cultural Background: Investigate the country’s cultural celebrations. Holidays? Arts, drama, music? Is their culture tied to the religious beliefs? How do they celebrate? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ______________________________________________ Statistics and Other Facts: Population? Crowded living conditions? Racial mix? Etc.? ____________________________________________________________________________ ____________________________________________________________________________ __________________________________________________________ 22 Spiritual Development Your initial motivation to go on a mission trip may be self-centered. Before leaving, you may have the thought that you are going to change the life of someone else – that they will be the recipients of your efforts. However, upon your return, you may realize that you were changed by the ones you went to help, or possibly, you both were changed. As stated earlier, “It is our prayer that God will challenge you spiritually and help you grow in your faith in Jesus Christ as a result of this trip.” Also, you will find the greatest rewards are in the relationships that are made on the trip. Most importantly, this includes a deepening relationship with Jesus Christ. Journaling It is recommended you take a pen and journal to record the events of your trip on a daily basis. If you keep a journal, you will find yourself referring to it for many years. Journaling is an important way for you to process what you are experiencing and learning on the trip, as well as revealing areas where you may need to experience spiritual growth and maturity. You may want to begin your journal before you leave in order to record what God may be revealing to you. Once you’re on the trip, you will want to journal daily. Some of the information you want to include might be: (1) your relationship with God, (2) your relationship with others, (3) your impressions of the host culture, (4) special people, places, events, food, (5) what you are learning about yourself, (6) and what you are learning about “kingdom building.” Later on, your journal may help you realize that you did not understand all you had experienced on your trip. Allow God to use this journal as a tool to grow spiritually. This journal will help strengthen your witness to others about your relationship to Jesus Christ and what He means to you – how your faith in Him is growing and changing your life. (Journal pages are provided for you in the Appendix of this manual.) 23 Health & Safety Tips Before you leave, give copies of your passport and any credit cards you plan to use to a family member or trusted friend. Several days prior to departure, begin drinking plenty of water. Guatemala City’s elevation of just less than 5,000 feet is significantly higher than Nashville’s elevation of 746 feet. Once in Guatemala, drink only purified water; use only ice that has been made from purified water. Your team’s leader will have a first aid kit; see him/her for first aid needs. Do not eat ANY foods from street vendors. Eat only fruits that can be peeled. Take hand sanitizer and use it often. NEVER go anywhere alone; remain with the group AT ALL TIMES. Clean out your wallet. Take only necessary identification, credit cards, or cash. It is advisable to purchase a special pouch or belt for the purpose of discretely carrying your valuable items. If you don’t need it, don’t take it. We strongly suggest you leave all non-necessary valuables at home, including ALL jewelry EXCEPT an inexpensive watch. You will be expected to be “on time” to all meetings and all group functions. When possible, always ask permission before you take a picture of someone: “¿Un photo, por favor?” While traveling in vehicles in-country, always wear your seatbelt. 24 Medical Preparations VISIT YOUR DOCTOR No one wants to miss or postpone a trip, but there are times when staying home might be best for health reasons. First, evaluate your health or the health of those traveling with you by using the guide below. Then, talk to your doctor. The best time to see the doctor is at least 4–6 weeks before your trip. Discuss with your doctor where you are traveling, length of trip, and other personal matters such as age, medical and vaccine history, and current medical state. According to CDC guidelines, volunteers who have had stomach, brain, eye, or orthopedic surgery, recent heart attack or stroke, and pregnant women passed 36 weeks should not travel by air. All volunteers should get a physical exam by their primary doctor or travel clinic before departure. However, volunteers with blood disorders like anemia, heart and lung diseases, and pregnancy are particularly encouraged. Traveling while you are sick may put your health at risk or put others around you at risk for getting sick. TN Public Health Department o http://health.state.tn.us/CEDS/immunization.htm o 615-741-3111 Private Travel Clinics o American Society of Tropical Medicine and Hygiene (ASTMH) http://www.astmh.org/source/ClinicalDirectory o 847-480-9592 MEDICATIONS / FIRST-AID & SAFETY NOTE: You should try to purchase all your medicines before travel. Drugs purchased overseas may not be manufactured according to United States standards and may not be effective. They also may be dangerous, contain counterfeit medications or contaminants, or be combinations of drugs that are not safe to use. Prescription medicines Pack your prescription medications in your carry-on luggage. Pack copies of all prescriptions, including the generic names for medications. Pack a note on letterhead stationery from the prescribing physician for all controlled substances and injectable medications. Leave a copy of your prescriptions at home with a friend or relative. Over-the-counter medicines o Anti-diarrheal and anti-nausea medication, antihistamines, and decongestants o Medicine for pain or fever (such as acetaminophen, aspirin, or ibuprofen), antacids, and hydrocortisone cream 25 First-aid supplies o Basic first-aid items (bandages, gauze, ace bandage, Neosporin, antiseptic, cotton-tipped applicators) o Moleskin for blisters, Aloe gel for sunburns o Digital thermometer “Travel Pack” medicines – recommended by the Global Outreach Clinic o Ciporfaloxacin 500mg #10 – take one tablet 2 times a day at onset of diarrhea o Ondansetron 4mg ODT #6 – dissolve 1 to 2 tablets on tongue every 4 hours as needed for nausea/vomiting o Imodium 2mg o Pepto-Bismol tablets Items that may be useful in certain circumstances o Sleep aids o Bengay or Epsom salt for cramping o Meclizine or Scopolamine to prevent altitude sickness Technical & Legal Information with Medications o If taking controlled substances (pain medicines, anxiety medicines, muscle relaxants) on the trip, it should be accompanied with letterhead stationery from prescribing physician. Other precautions may apply. o Check for updates on permitted and prohibited items, including medicines that you are and are not allowed to be carried onto an airplane. Remember, Customs has fluid restrictions (in ounces) per passenger. Transportation Security Administration http://www.tsa.gov/index.shtm or 1-866-289-9673 (optional) o Check to make sure that your medicines will be allowed into the country you are visiting. Some countries do not let visitors bring certain medicines into the country. Customs and Import Restrictions http://www.cbp.gov/xp/cgov/travel/vacation/kbyg. Foreign Embassy on Country Specific Information. http://www.state.gov/s/cpr/rls/dpl/32122.htm. DIET AND EXERCISE BEFORE TRAVEL Participants should begin warm-up and stretching exercises a couple of weeks before the trip if they do not exercise on a regular basis. Several days prior to departure, begin drinking plenty of water. Guatemala City’s elevation of just less than 5,000 feet is significantly higher than Nashville’s elevation of 746 feet. Doing little things like stretch exercises and drinking water can help your body transition much easier and prepare your body for the trip. 26 Overall Health Sunscreen o Use sunscreen with both UVA and UVB protection. Eyes o Sunglasses o Eye lubricant (optional for some volunteers) Insect Repellent o Repellents that have 30% – 50% DEET (N,N-diethyl-m-toluamide) are recommended for adults. If the repellent has less than 25% DEET, it may not protect you as long, so be sure to reapply more often. o Repellents that have up to 15% Picaridin are also available. This type of repellent should be reapplied often to protect you. Clothing o Clothing should be appropriate for working conditions. Medical missions trips Scrubs and tennis shoes Labor-intensive missions trips Comfortable and loose clothes are preferred. Clothes should also be light and non-heavy due to heat and altitude. Suggest clothes: boots, tennis shoes, t-shirts, sweat pants, baseball caps, straw hats, and thick socks. Protective gear should also be worn (and will be provided by the Shalom Foundation). Medical and Labor-intensive missions trip Relative humidity is 82%. Average annual temperature is 66 to 72o. Most of our volunteers are not accustomed to the high altitudes and humidity. Please dress accordingly. Reference: Instituto Nacional de Sismología, Vulcanología, Meteorología e Hidrología. Climate data for Guatemala City- La Aurora Airport- 2010. Food and Water o Wash your hands often with soap and water, especially before eating and after you use the bathroom. If soap and water are not available, use an alcohol-based hand gel (with at least 60% alcohol). o Drink only bottled or drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. o Avoid raw vegetables, salads or fruits. Only eat cooked and prepared foods. o Note: If any questions or concerns arise ask your group leader. The Shalom Foundation will provide bottle water and alcohol-based hand gels for volunteers. Safety o Always wear a seatbelt when traveling. o Avoid animal bites by not handling or petting animals, especially dogs and cats. If you are bitten or scratched, wash the wound immediately with soap and water and seek medical attention to determine if medication or anti-rabies vaccine is needed. 27 PLAN AHEAD FOR ILLNESS OR INJURIES Although incidents usually do not occur, the Shalom Foundation plans ahead for illness and injury to protect all participants. Vanderbilt has its own policy and is free to all employees and students. However, it must be activated. Please contact your team coordinator for more details. Each participant will have insurance purchased in their name with Medical evacuation insurance. The cost is already included in the cost of your trip. The Medical evacuation insurance, will cover the cost of transporting you to other parts of a country or outside the country if you are seriously ill or injured. In the event you need medical assistance, be prepared to pay out of pocket at the time you receive any medical services while traveling. You will be reimbursed. KNOW WHAT TO DO IF YOU BECOME SICK OR INJURED See a doctor right away if you have: Diarrhea AND high fever (102oF) Vomiting that does not go away (other than motion sickness) Skin rash Bitten or scratched by animal Sudden bruising or bleeding without previous injury Shortness of breath Severe headache with or without confusion High grade Serious injury Cough that will fever (102oF) not go away Diarrhea that Bloody diarrhea Difficulty will not go away breathing Table 1. Signs and Symptoms of Illness during Travel. Being prepared for Illness Before and During Travel will put you ahead of the game in terms of your health. It is always a good idea to know beforehand the signs and symptoms of illness. This will prepare you to recognize these symptoms so that you can take action quickly while on your trip. In general, any new and sudden changes in your body that have not decreased or stopped within 2 days needs to be checked out by a healthcare professional. TRAVELER’S DIARRHEA Most traveler’s diarrhea is caused by contaminated foods and water (See Food & Water). Traveler’s diarrhea is usually self-limiting, but dehydration can occur early. That’s why rehydration, rest, and medication can reduce worsening symptoms and hospitalization. o Avoidance is the best tool of prevention. Only eat fruits and vegetables that can be peeled Do not eat local salads, etc. — only foods that are cooked Do not drink the local water o If diarrhea should occur, the volunteer should get rest, fluids, and medicine 28 Rest. Traveler’s diarrhea is not contagious, but one should get rest to allow your body time to heal and fight off infection. The sooner one heals, the sooner you can get back to enjoying your trip. Most people remain sick 1 to 2 days when rested. Fluids. Drink plenty of Gatorade or water. Medications. If needed, Imodium (Loperamide) is the drug of choice for traveler’s diarrhea. It should be given as 4mg after first loose stool followed by 2mg after each subsequent loose stool. Up to 8mg/day. Constipation and drowsiness are common side effects. If diarrhea lasts more than 48 hours, consult a doctor. Do not take if diarrhea is bloody. TRAVELER REGISTRATION EMERGENCY CONTACT AND ITINERARY INFORMATION (OPTIONAL) Several airlines have registration processes that allow travelers to provide their contact information, emergency contact/next-of-kin information, and travel itinerary information in case on an emergency (Optional). Before you leave, please give copies of your passport to a family member or trusted friend. Contact your credit card company to alert them that you will be using this card in Guatemala so that your card is not suspended due to potential fraud concerns. Resources: U.S. Department of State’s Travel Registration http://wwwnc.cdc.gov/travel/page/register-contact-info.htm site or visit Immunization Information Required Shots and length recommended time between shots Only one series of the hepatitis A vaccine (two shots) and hepatitis B vaccine (three shots) is needed during a person's lifetime. Tetanus is good for 5-10 years Typhoid is good for 2 years (injection) or 5 years (oral). You should have these vaccines at least l0 days prior to departure. Hepatitis B is a series of vaccines that require 30 days prior to departure. Global Outreach Clinic Brentwood Baptist Church 7777 Concord Road Brentwood, TN http://www.globaloutreachclinic.org/1.0.12/ Clinic Hours Scheduled (2nd Monday of each month) dates 6 p.m. – 8 p.m. with check in from 6 p.m. –7 p.m. Pricing 29 Hep A — $79.00 (2 shot series to be completed within 1 year.) Hep B — $55.00 (3 shot series to be completed within 6 months.) Twinrix (Combo A & B) — $118.00 (3 shot series to be completed within 6 months.) Tetanus (TDaP) — $55.00 Typhoid — $66.00 (injection) or $66.oo (oral) Notes: You must make a reservation to attend this clinic; the clinic needs all immunization orders 10 days before a clinic date. The information they will need includes: Name, birthdate, dates of travel, country traveling to, and immunization order. Bring yellow card (immunization record) with you if have one. They prefer cash – if you pay with credit card a 5% surcharge will be added Enter at door “B”. There will be signs directing you to our location within the building. Shots, Etc. 7648 Hwy 70 South at I 40 (exit 196) Suite 15 Nashville, TN 37221 (615) 469-7413 http://www.shotsetc.com/ Clinic Hours Monday — Friday 9 a.m. to 5 p.m. (Closed from 12 p.m. -1 p.m.) Saturdays 10 a.m. to 2 p.m. Pricing Hep A — $80 per dose x 2 doses Hep B — $75.00 per dose x 3 doses Twinrix (Combo A & B) — $125 per dose x 3 doses Tetanus (TDaP) — $65.00 Typhoid — $80.00 injectable or $85.00 oral Note: All of their services can be obtained on a walk-in basis, but you may want to call just to make sure they have all the vaccines. You may pay by cash, check, credit or debit card. They do not accept insurance but will give you a receipt that you can file on your own. Vanderbilt Travel Clinic 1301 Medical Center Drive TVC Suite 2501 Nashville TN 37232 Phone: (615) 936-1174 http://www.vanderbilthealth.com/travelclinic/ Clinic Hours Mondays 8 a.m. to 5 p.m. Wednesday 8 a.m. to 1 p.m. Fridays 8 a.m. to 11 a.m. 30 Pricing Hep A — $82 per dose x 2 doses Hep B — $77 per dose x 3 doses Combo — $122 per dose x 3 doses Tetanus — $53 Typhoid — $77 Note: Appointments Only They do not accept insurance, Office visit cost $85 Please bring your immunization records and complete itinerary with you to the appointment 31 Travel and Packing Tips Travel light—you carry what you pack. Take only what you need. Leave valuables at home. Clean out your wallet. Take only necessary legal photo identification, credit cards or cash. If you plan to bring your cell phone with you, check with your cellular phone carrier well in advance regarding international phone service and equipment requirements. Your cell phone will not complete calls in Guatemala without the proper service options which are often free or inexpensive while other systems may be more costly. Pack a carry-on bag for necessities and a change of clothes, prescription medications. Consider sharing a carry-on bag with a teammate. Be aware of current Transportation Security policies. Each piece of luggage should have a highly visible tag for easy identification. Do not leave team luggage unattended. Remember your manners when traveling—be courteous and considerate of those around you. Remain as a group. Team leadership does not need to organize any search parties. Know where you are supposed to be, what time, and be there. Consider taking clothes and shoes you can give away. The nationals can use the clothing, and you can gain space to bring back souvenirs. Put a copy of your passport in each piece of your luggage and leave a copy at home with a family member or friend. We will provide airline baggage restrictions when tickets are booked. One of your checked bags will be for team supplies and donated items for the mission. 32 Tips for Travel Arrive at the airport two hours before scheduled flight departure. International Flight gates sometimes change from the published itinerary gate. Be sure to check the monitor as you depart your arriving flight to make sure you are headed to the correct gate/terminal. Keep your team manual with you on the airplane so that you will have the Nazarene Center address and other information that you will need to complete your customs information. Select tourist as your reason for travel on this form. There are carts in the Guatemala airport to help transport your bags. If a porter approaches and asks to help just say, “No thanks.” Never walk around alone. Only drink bottled water. Use bottled water to brush your teeth. When you arrive back at the US airport on the return flight, you will have to retrieve your luggage and take it through customs. Once you have cleared customs, you can recheck your bags. When in doubt on the food in Guatemala “don’t.” Avoid lettuce and mayonnaise based sauces. If you start to feel woozy, immediately start taking your cipro if you have it. Better safe than sorry. Bring a bottle of hand sanitizer and use it frequently. Bring old cloths that you can leave behind to donate. The Shalom Foundation loves to get pictures from team members, so please take lots and share with us so we can let our supporters know the great work you are doing. Please be punctual in the mornings. It is important for the team to get started on time. Be flexible! Changes in the schedule may need to be made. Always wear your seat belt when traveling in Guatemala. * Female only* If you could possibly need feminine hygiene products, be sure to take them. They are hard to get in Guatemala; and if you find them, they will not be of the same quality as here. 33 Checklist / Packing 8 weeks +Passport 4–6 weeks o Vaccinations o Doctor’s visit o Medical Evacuation Insurance if not purchased through Shalom Foundation 2–4 weeks o Maintenance Prescription Medications: May need to contact doctor’s office for a refill if the amount of medication is getting low and will not last through the trip May need to contact health insurance company (# on back of card) if early refill authorization is required. o Make copies of passport to give to family member or trusted friend. Contact your credit card company if needed. 1 week: Packing o o o o o o o o o o o CLOTHING Pants/Jeans T-shirts Long or short-sleeved shirts Skirts (below the knee) Work shoes Other comfortable shoes Scrubs Belt Jacket or fleece Sleepwear Socks o o o o o o o o o PERSONAL Pain Reliever Pepto-Bismol Contacts/Glasses Toilet paper roll Small pack Kleenex Personal hygiene items Personal medications Vitamins Lotion GENERAL o o o o o o o o o o o o o o o o o o o o o o ID/Passport/Copies of passport Bible Notebook/Journal Pen/Pencil Cash/Credit card Snacks Wash Cloths/Bath rug Soap Insect Repellant Sunscreen Sunglasses Camera/Film/Batteries Alarm Clock Extra Mirror Flashlight Water bottle Small extension cord Hand sanitizer Baby wipes Deck of playing cards Devotional book Cell phone and charger 34 Checklist for Mission Trip Pre-trip planning: Immunizations are up-to-date Hepatitis A & B Typhoid Tetanus Read team manual Made passport copies — left copy with a family member or friend, one copy for each suitcase, one copy to carry Left a copy of emergency phone list and itinerary with family member or friend Made adjustments to cell phone service — if you want international calling Filled prescriptions Purchased Imodium and other needed over-the-counter meds Recruited someone for airport drop-off, pick-up Purchased hand sanitizer Packing Day/Night: Put prescription drugs in my carry on luggage — containers must be clearly labeled with your name or the drugs are at risk for confiscation. Over-the-counter meds should also be packed in carry not check luggage. Packed a light jacket and poncho or other rain gear Cleaned out purse and wallet — taking only essentials Weighed luggage to make sure it is less than 50 lbs — you will be responsible for any over the weight limit fees on your personal luggage. Taken unapproved items out of my carry on luggage including: over-sized liquids, nail clipper, files, etc… Packed a good pair of sturdy work boots. 38 Saying Goodbye Value the moment. Tell your new friends goodbye. You may or may not ever see them again. Leave a picture or small gift as a token of friendship. This would be better if done in a private setting. Hugs and words of appreciation are expressions you will not regret. You have probably made some close friends, and it will be appropriate to give a goodbye hug. Don’t make promises you can’t keep. Don’t get so emotional that your words become “intentions,” and you fail to fulfill your promises. Reverse Culture Shock The person that returns from a mission trip is not the same person who left earlier. When you come home, you will feel like you have returned to a different country. You will be experiencing reverse culture shock. Some suggestions for helping to cope with what you are experiencing are: 1) express your feelings to a person who has been through the re-entry process as well as your team mates, 2) talk with team leadership or a pastor that can help sort out your emotions, and 3) read through your journal. There may be information that you recorded that will help you readjust to your home culture. Plan to attend any discussion activities or “reunions” of the team members with whom you traveled. This communication process may help you share your experiences with others with joy, peace, and hope. Your work will have blessed many lives and many families. 39 Missions Trips without “Guilt Trips” Imagine that you’re on a celebrity’s luxury boat, cruising through the warm turquoise waters off the coast of Palm Beach – only days after serving and weeping over the poorest of the poor in Mexico. How could you allow yourself to indulge in such a frivolous activity knowing that a village could be fed for a week on just the cost of fuel for this two-hour jaunt? That nagging question hung over me like a cloud that even the swiftest boat couldn’t outrun. I had recently returned home to Palm Beach County, Florida, from Reynosa, Mexico, where our church team had worked with people who lived in shanties built over the town’s abandoned landfill. Children with rawhide feet ran without concern over shards of glass and metal that worked their way to the packed-dirt surface. I drank purified, bottled water while toddlers mouthed the solitary, rusty spigot. Now I was having great difficulty reconciling myself to my affluent surroundings. As our cruiser left the inlet for the open sea, I thought of those delightful, dusty children who would never lay eyes on an ocean. My conscience roared louder than the dual inboard motors. Like me, you may have participated in a short-term mission project that exposed you to disturbing conditions and underprivileged people. Then what? What are you supposed to do when you return from the land of scarcity to the land of plenty? How are you supposed to feel? Got Guilt? Many missions veterans report experiencing reverse culture shock when they return to their home country. After adjusting to a foreign (often impoverished) culture that likely is more relationship-driven and less frantic than their own, participants are thrust back into a culture of excess that wastes much and seems grateful for little, a commercial world enslaved to clocks and cell phones. Some returnees become severe social critics who attack all that seems wrong with their homeland. Others struggle to find meaning in their daily work. Ron is an architect who recently returned from a project in Romania. “After experiences that seemed weighty with eternal significance,” he said, “it was hard to come back and get excited about calculating the measurements of an elevator shaft.” Many returnees simply feel confused as they try to reconcile opposing worlds. I had my first missions experience as a 14-year-old when I went to Haiti with my church youth group during Christmas break. We were a typical noisy throng of teens when we boarded the bus at the Port-au-Prince airport. Minutes later we grew silent as we drove through the city streets. The sights and smells of abject poverty opened our eyes wide and clamped our mouths shut. 40 During that trip, I experienced a hybrid of compassion and guilt. Days earlier I had been a gift-greedy teen enveloped in the abundance of an American Christmas; the lingering holiday memories only accentuated my guilt. I could almost imagine myself back home ripping into my pile of Christmas packages while homeless and disabled Haitian street children peered in through the living room window. I remember feeling as if I needed to apologize for my decent clothes and good health, for having my own room in an actual house. I almost wanted to blurt out, “I’m sorry for being born in the United States. I couldn’t help it!” Fifteen years later, I again found myself ambushed by guilt and feeling apologetic. However, with a friend’s help, I learned that such guilt is counterproductive. Rather than impressing God as an admirable form of humility, it only robbed me of joy and kept me in bondage. Feeling guilty for enjoying an elegant anniversary dinner with my wife, a round of golf with a friend, or a spectacular morning on the water did nothing to honor God – or improve the plight of the children in Mexico. Instead of guilt, my friend helped me discover healthier, more productive responses that can bring peace, honor God, and genuinely help others. Giving Thanks The first response is deep gratitude. The disparity between the world we visited and the world we live in should provoke a profound recognition of our undeserved blessings. Moses warned the Israelites: You may say to yourself, “My power and the strength of my hands have produced this wealth for me.” But remember the Lord your God, for it is he who gives you the ability to produce wealth. (Deut. 8:17–18) Gratitude acknowledges that we did not earn our geography or parentage. After all, did you or I strategically orchestrate our births to dodge delivery into impoverished regions where famine, disease, and perpetual danger are the inheritance? We simply received the advantages we were born to. Everything that we enjoy is a lavish gift from God, as undeserved as our salvation. Gratitude recognizes and throws its arms around this grace. Instead of giving in to unfruitful guilt, thank God for what you enjoy and perhaps take for granted: a stable government, constitutional liberties, medical care, your comfortable home, clean water, leisure, and entertainment. Giving Resources Second, I realized that genuine gratitude leads to generosity. As recipients of undeserved blessings, we are to be good stewards. And stewards are generous – not guilt-ridden. 41 Many years ago, Calvin Miller spoke at a conference I was attending and asked me for a ride to a nearby store. As I opened the passenger door of my old Toyota Corolla, Miller patted the faded roof and chuckled, “You must give a lot of money to missions.” Truth be told, apart from a meager year-end check to my denomination’s fund, missions giving was far from my mind. The Reynosa experience attuned me to hear God’s heartbeat for the world. Now my wife and I discuss our monthly contribution to missions at the beginning of each year and decide how to make adjustments and sacrifices to free up that amount. Does that mean we shun lattes, boycott entertainment, and ride mopeds to work? No. The point is not to become pleasure-shunning misers, but to be willing to make changes that release valuable resources for others in need. We are becoming deliberate spenders who desire to see our money flow toward what we value. At times, missions giving may be short-circuited by the reasoning: “What difference will my small contribution make in the face of such a huge need?” True, your donation is unlikely to feed an overpopulated refugee camp, but it will make a difference to someone. The Apostle Paul praised the Macedonian churches for their exceptional generosity toward a distant church: We want you to know about the grace that God has given the Macedonian churches. Out of the most severe trial, their overflowing joy and their extreme poverty welled up in rich generosity…Entirely on their own, they urgently pleaded with us for the privilege of sharing in this service to the saints. (II Cor. 8:1–4, emphasis mine) Like the Macedonians, let your generosity flow from a grateful heart, one that freely tastes and delights in God’s blessings and invites others to do the same. Giving Yourself In addition to being generous with our resources, we can be generous with ourselves. Rather than being immobilized by false guilt, we can mobilize ourselves for additional missions projects as opportunity and resources allow. The reason for going is not to assuage guilt (I’ll feel okay about buying this big screen TV if I go on that mission trip this summer) but to express God’s love through the generous offering of ourselves. On our Mexico trip, a village woman asked one of the team leaders which government agency was paying us to build her a home. Bob told her that our team members had each taken a week of vacation and paid $700 for the chance to smash our thumbs with hammers. As the woman silently watched the sweaty crew of strangers pounding her new roof into place, I wasn’t sure if she doubted Bob’s explanation or was trying to 42 comprehend it. “We are all Christians,” he continued, “and we’ve come to show you God’s love.” When the woman turned back to Bob, her eyes were moist. “Gracias,” she whispered. Later at the home dedication service, she invited Christ to take up residence in her heart. Going doesn’t always mean traveling to another country; there are local opportunities too. The single adults in our church regularly serve breakfast at a soup kitchen, volunteer during the Special Olympics, and visit nursing homes. The possibilities are as limitless as the needs. While local needs and people should not be ignored, do not fall for the oft-repeated grumble: “I don’t know why we spend so much to go overseas when we’ve got people who need Jesus right here in our own backyard.” Jesus said to His disciples, “You will be my witnesses in Jerusalem, and in all Judea and Samaria, and to the ends of the earth” (Acts1:8). Christ’s commission to the church draws a set of enlarging circles: Jerusalem, Judea, Samaria, and the ends of the earth. Go across the street, and go across an ocean. Go where they speak your language, and then go where they don’t. Be willing to work in the inner city for a day and have your heart stirred, and be willing to work for a week in a distant village and have your heart broken. If your heart stretches in grief, don’t worry. A heart enlarged by grief also has a greater capacity for joy. So when you return from your mission experience, cancel your reservations for a guilt trip. Instead, live in a spirit of gratitude, liberally sow seeds of generosity, and keep your luggage handy. (Discipleship Journal – Issue #135 May/June 2003) Reprinted by permission from Ramon Presson. 43 JOURNAL 44 Useful Spanish Words and Phrases Pleasantries please thank you thank you very much you’re welcome no problem I’m sorry Por favor Gracias Muchas gracias De nada No hay de que Lo siento Hello and Goodbye / Hola y Adiós Good morning Good afternoon Good evening Hello Goodbye See you tomorrow Have a nice day Buenos dias Buenas tardes Buenas noches Hola Adiós Hasta mañana Que pase buen dia Health / Salud How are you feeling? I don’t feel well. I feel well. I feel better. I feel worse. It hurts. Pain Weak The surgery is finished. Your child will be well. Surgery was successful. ¿Cómo se siente? No me siento bien. Me siento bien. Me siento mejor. Me siento peor. Me duele. El dolor Débil La cirugía se termina Su niño será bien. La cirugía tuvo éxito The Body / El Cuerpo Brain Neck Shoulder Arm Hand Waist Chest Thigh Knee la cerebro el cuello la espalda el brazo la mano la cintura el pecho el muslo la rodilla 45 Introduction / Introducion What’s your name? My name is . . . Pleased to meet you. I’d like you to meet . . . I’m from . . . How are you doing? I’m (very) well. I’m (very) bad I’m so-so. Miss Mr./Sir Mrs./Ma’am ¿Cómo se llama? Me llamo . . . Mucho gusto. Querria presentarie a.. La presento a . . . ¿De dónde es usted? Soy de . . . ¿Cómo está usted? Estoy (mui) bien. Estoy (mui) mal. Estoy asi-asi. Señorita Señor Señora doctor nurse height weight pulse blood pressure medicine (drug) bandage a pill wound scar el medico el enfermero la altura el peso el pulso la tension arterial la medicina el verdaje una pildora la herida la cicatriz heart stomach belly hip skin bone blood skull lung el corazón el estómago la barriga la cadera la piel el hueso la sangre el craneo el pulmon This is . . . Where are you from? 46
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