by Caroline Webb
Estela was born in 1994, one year my senior, and chose to undergo the surgical process of an elective tubal sterilization provided by WINGS. Already the mother of three children, Estela could not fathom having another pregnancy, birth, or child to feed, clothe, educate, and love.
As I sat by Estela’s side outside a pop-up surgical operations clinic in Chimaltenango, she breathed heavily through the nausea, a side effect of the voluntary surgical contraception (VSC), and I was humbled by her strength in the face of her decision to make a free, informed choice about her fertility and family.
Though the two of us have been circling the sun for roughly the same amount of time, our lives and responsibilities are miles apart; I have never known the weight of such a permanent, life altering choice, and due to the privileged world into which I was fortunate to be born, probably never will. Allow me to draw a comparison: as I face decisions of undergraduate majors at my fancy private school, consider potential careers, revise my resumé, or rationalize decisions because they build character and do things “for the experience,” Estela – and many of the women with whom WINGS works in Guatemala – faces decisions that ultimately determine her family’s future and reproductive path.
During my time interning with WINGS, I have been exposed to shocking truths and realities of many strong women like Estela. These will forever inspire and humble me.
As a Development Intern with WINGS, I worked primarily in the Antigua office, but was also able to assist in the field: I accompanied the incredible unidad movil to assist in a pop-up mobile cervical cancer screening/STI testing/method distribution clinic in a rural highland community, the VSC operations clinic where I met Estela, and a women’s health conference at a community hospital in Mazatenango. I assisted WINGS’ youth educator in a taller at a local school presenting to male adolescents the reality of pregnancy (complete with realistic pregnancy simulators!) and the misconceptions of gender roles. Another field experience took me to Escuintla, a region in Guatemala with high rates of AIDS and HIV, to assist in a unique charla with female sex workers, teaching about cervical cancer, HPV, different methods of contraception, and the accessibility of these options through WINGS’ services.
During these trips – replete with rutted rural roads, sunrise departures, surprise traffic obstacles (a camioneta accident ahead is not a valid excuse to arrive late to meet women waiting to take control of their reproductive health), and mara extortion – I met incredible women working toward a better future for themselves, their families and Guatemala, and witnessed firsthand the incredibly valiant yet tiring work the empathetic nurses, promotoras, and educators do to manifest WINGS’ mission.
WINGS’ vision of creating a future where all Guatemalans are capable of exercising their sexual and reproductive rights is already becoming a reality. One by one, with each IUD or subdermal implant distributed, cervical cancer screening or tubal ligation performed, and each woman, man, and youth learning and talking about sexual health and their reproductive rights, WINGS enables individuals to be their own agents of change.
Estela, like so many women I have had the privilege of knowing through WINGS, inspires me through exercising her agency to choose her fate, plan her family, and be the dueña of her body. By taking advantage of WINGS’ tubal ligation service, Estela will never again need to consider contraceptives nor worry about an expanding family to support. Thanks to WINGS’ services, Estela’s three young children may now have a better chance of transcending the vicious cycle of poverty by having access to more education, nourishing meals, better resources and special attention from their mother.