Despite these many years, one thing about our work in Perú that always surprises me is the constant opportunity for learning. In 2011, on an outreach trip to provide medical care to an underserved area in Lima, I had one of those “life moments” that will always stay with me. The story goes like this: On Saturday morning, the day before we completed the outreach campaign, I was up by 6 a.m. to pack the remainder of the team’s medications and prepare for the respective distribution sites.
After a quick breakfast of coffee and pineapple, I had a patient to see for a follow-up visit. The patient, a 4-year-old boy, was coming back to get a few stitches removed from his forehead. On Monday, his mother brought this little boy into the clinic after falling on a rock. It is important to remember that we were conducting our clinic operation in one of the most impoverished neighborhoods of Lima. This was such a poor area that we were in tents to see patients. Most of our concerns were not directed toward this subtle inconvenience but rather toward the fact that the Peruvian healthcare system was on strike.
“On strike!” What does that mean? In a world of limited resources and even more limited opportunities, the best way to negotiate change is to stop working. As such, all doctors, nurses, technicians, and dentists within the Ministry of Health stopped working. This included emergency services as well. It’s not hard to realize this left us in a rather tricky and challenging situation. Alas, the key to success in life is flexibility; we trudged forward despite our “inconvenient” limitations. It’s a good thing we had an emergency room physician on the trip.
Saturday’s “visit” worried me. I was concerned about how our little friend would respond to my taking the sutures out of his noggin. On Monday, he was hysterical, and we struggled to comfort him while we placed sutures. We then sent him to the local health post for a radiograph of his skull (to rule out a fracture) and another clinic for a tetanus shot. This sounds like a simple series of follow-ups, but it became more than a dozen phone calls between the project director and the hospital. It also involved an equally impressive number of visits with the mother and her son and a frustrating experience interacting with a very fragile healthcare system.
Finally, on Saturday morning, he came to see me with a broad smile and a swollen forehead. I neglected to mention one crucial detail in this story—the little boy did not look like a stereotypical little boy. He had long hair and a cherubic face, and his shy demeanor gave him a tender and gentle appearance. I asked the project director about the significance of long hair on male children, and she told me of an ancient Andean tradition.
As the story goes, the tradition is to wait for the “right” time to cut a child’s hair. The project director said that the “right” time was determined by the people in a young boy’s life, who could help and instruct him in the world’s ways and act as role models.
This young boy (we will call him Roberto) did not yet have the “right” people. His mother was widowed. She was without a job and had sole responsibility to care for two other children (including a young baby). She was one of the many people we encountered who lived in an area without water, waste disposal, or electricity. She told us that she had been waiting for the boy to get another father before she cut his hair. She told us she was waiting for Roberto to meet a man who could mentor and guide him in his life.
As luck would have it, removing the sutures was easy. Roberto squirmed and cried, but he was okay. After we gave his mother antibiotic cream and a few pieces of candy for Roberto, the mother asked if I would cut his hair.
I was incredibly flattered. I hesitated initially, recognizing that I was venturing toward a solemn responsibility – the man cutting the child’s hair is also the godfather. In the end, my hesitation was only momentary. I cut that boy’s hair with all the love and compassion (albeit very little skill) I could muster.
This act produced a lofty natural high for me. I was walking in the clouds. It is a humbling experience to be part of the lives of the people we serve. It is even humbling to think I had an impression on their lives—even if that impact only assures they have the best haircuts in Latin America.
Thank you!
/0 Comments/in Blog /by Wayne CentroneA huge thank you to the many folks who contributed to the 2024 A Bridge to Change East Coast event. We had a great group of attendees, and all enjoyed delicious Peruvian food from Coracora Restaurant. The Silent Auction allowed everyone to bid on unique Peruvian items and great local offerings.
As a second-year event, the atmosphere and mingling of new friends and HBI stakeholders was festive and exciting.
Check out the following photos, and please consider joining us at one of our upcoming events in Wisconssin and Oregon. For more information – A Bridge to Change Events 2024
We’re Back on the East Coast
/0 Comments/in Blog /by Wayne CentroneIf you do not have your tickets already – get them today. We are back in Connecticut on May 14th. We are thrilled to be holding the Second Annual A Bridge to Change East Coast event. This exclusive gathering will occur at the prestigious Coracora Restaurant in West Hartford, Connecticut.
The Connecticut event is part of our A Bridge to Change tour that started in Colorado in March. In addition to Connecticut, we have events planned in Wisconssin and Portland. You want to attend all of these events . . . If that’s impossible, make your way to one of them.
The A Bridge to Change events are a great chance to learn how your support changes lives and hear about HBI’s future direction. In addition, we are fortunate to partner with some of the best Peruvian restaurants in the United States and always have a great group of people.
We will post photos and updates from the East Coast event on the HBI blog. To get tickets for one of the events or to donate in support of our work, check out https://hbint.org/attend-a-bridge-to-change-event/
What is our “why”? wayne centrone
/0 Comments/in Blog /by Wayne CentroneA mural of the many boys who have been a part of the Casa Girasoles over the past 20 years.
I’ve been thinking a lot about HBI’s “why”—the reason we exist and the impact we strive to make.
In the NGO world, we use a lot of terminology to define our work. We talk about goals, outcomes, structural models, and processes. The bottom line for all the terminology is whether our work makes a difference. Does it help to empower the life of a child? Does it help families living in the experience of extreme poverty build better connections and attunement? Do we effectively and meaningfully utilize the resources and investments we receive from our supporters?
Whatever terms we use, the focus for any NGO is to make a difference. However, we need goals and measures to quantify and define our impact.
Outcomes, in the context of our work, are the specific changes we aim to achieve as a result of the work we accomplish through our programs and projects. These could be tangible changes, such as a decrease in children finding their way into the child welfare system, or intangible modifications, such as increased community cohesion. Outcomes provide a barometer for the impact of our investment.
In the realm of non-governmental and not-for-profit work, the significance of outcome measures must be balanced. They are pivotal in securing funding from foundations, grants, and donor-advised funds. We employ specific indicators to monitor our progress towards these outcomes. Foundations and donors anticipate outcomes from the investments they make in our work, and this expectation is entirely reasonable. While I fully endorse the operational mandate that defines outcomes as a methodology for achieving results, I take issue with the fact that a substantial portion of NGO work focuses on achieving outcomes rather than effecting systemic transformation. This is where the authentic potential of HBI lives – in transforming systems, not just achieving outcomes.
I am a reluctant pragmatist. I am the type of person who thinks we can build a rocket ship and chart a path to the moon. My impassioned optimism is only sometimes practical. When I talk about ‘transforming systems’ in the context of our work in the child welfare space, I’m referring to the process of changing the underlying structures, policies, and practices that perpetuate the social issues that lead to child endangerment, abandonment, and exploitation. This is about more than just making minor adjustments or achieving short-term outcomes. It’s about fundamentally altering the way our systems operate to prevent these issues from arising in the first place. It’s hard work, but it’s the only approach that—in my mind—provides a pathway to sustainable change.
Focusing narrowly on outcomes and circumscribed objectives is neat. It offers a balanced scorecard approach to this work. Funders love clean outcome objectives. But if the outcomes we seek—or receive funding to pursue—are not linked to some more extensive systems-level methodology, what do they ultimately achieve? A systems-level methodology is a comprehensive approach that addresses the root causes of social issues. It could involve policy advocacy, where we work to change the laws and regulations contributing to child endangerment. It could also involve community organizing, where we empower local communities to address the root causes of these issues. It could also involve capacity building, where we strengthen the skills and resources of the organizations and individuals working in this space. We need to take a holistic approach to understanding incredibly complex challenges. Finding a way to talk about and substantiate the investment necessary to leverage transformation is where things get messy.
Processes are about setting actions to drive our desired outcomes. For instance, if our outcome is to become physically fit, our process could be to exercise regularly and eat a balanced diet. The process approach is action-based, focusing on the steps we need to take to achieve our desired outcome. But what if the process is as extensive as creating a world where every child can access a life built on health, hope, home, and purpose? In systemic transformation, the process involves a series of strategic actions, such as policy advocacy, community organizing, and capacity building, that collectively drive the transformation of the underlying systems. We need to focus on these actionable steps to drive such a process.
At HBI, we steer all our processes and define our actions through a commitment to constructing and testing models that can pave the way for broader systems-level change. Models or systems are the underlying beliefs or methods that steer our actions. They furnish a framework to operate within and assist us in staying on course towards our goals. A model is not merely a set of instructions. It is an identity we adopt to achieve our desired outcomes. More than just something that can be utilized within our organization, we believe models provide a roadmap for other organizations to manifest their own transformative cultures.
Our ultimate aim, the “why” that drives our work, is our commitment to creating a world where every child can access a life built on health, hope, home, and purpose. We recognize that to achieve such a lofty goal, we must remain rooted in actionable steps. For us, this entails approaching everything we do from a holistic and integrated methodology. Our work is not measured in days or weeks. It is measured in months and years. We adopt a gradual and consistent approach that seeks to connect and empower every child, family, and community to the opportunities they need to attain the life they deserve. This is our work. This is our commitment. We are deeply grateful for the support of our generous donors. Thank you.
Beauty – wayne centrone
/0 Comments/in Blog /by Wayne CentroneI’m a big fan of the late Irish poet and philosopher John O’Donohue.
O’Donohue writes with such depth and clarity that his work is timeless. I recently read some of his poems, and I found his work critical to understanding the current world challenges.
The essence of life is beauty. It is not the type of beauty that can only be found in culture or aesthetics, but the beauty found in depth. A deep understanding of complexity transforms this type of beauty. O’Donohue says, “If our style of looking become[s] beautiful, then beauty will become visible and shine forth for us.” This statement resonates strongly inside of me. I feel so fortunate to be regularly called into communion with so much beauty. I am blessed to be enriched by the profound beauty of a 30+ year marriage and the immeasurable power of a healthy and happy child – but more than that, I am enriched through the beauty of our work.
There is nothing easy about the work we do with HBI. So much of what we do is about continuously showing up in the lives of others. It is about commitment and connection. This is true beauty.
“May the nourishment of the earth be yours,
may the clarity of light be yours,
may the fluency of the ocean be yours,
may the protection of the ancestors be yours.”
— John O’Donohue.
Pushing, pulling, and getting out of the way.
/0 Comments/in Blog /by Wayne CentroneI’ve always wondered why the best things in life are so hard. I’m not talking about a simple investment of x amount of energy; you should expect y amount of outcome. No, I am talking about the hard that pushes oneself to extremes, the pushing that makes you want to give up.
This work, tackling a big, gnarly, complex challenge, is super hard. Some days, I feel like I am pushing the rock up a hill; other days, I feel like I am pulling rocks with all my might. If I have learned one thing in these many years, hard is good. Lean into hard. Give up on your picture of success or the perfect outcome.
Our unwavering focus is on building a world where every child can access a life built on health, hope, home, and purpose. We understand that to create such a world, we must think beyond the present. We need to shape an impact that not only supports children, families, and child welfare providers today but also paves the way for a brighter future.
This is why HBI’s work—through our newborn resuscitation training program, Casa Girasoles, and Communities of Excellence—seeks to integrate effective (evidence-based) support for the here and now and craft models that can be scaled and reproduced. Many of our efforts are about pushing and pulling, but soon enough, we will need to change our focus, get out of the way, and let the next generation take over.
What a true privilege it is to be involved in this hard work. I can’t imagine doing anything else with my life.
You cut hair, too – right? wayne centrone
/0 Comments/in Blog /by Wayne CentroneDespite these many years, one thing about our work in Perú that always surprises me is the constant opportunity for learning. In 2011, on an outreach trip to provide medical care to an underserved area in Lima, I had one of those “life moments” that will always stay with me. The story goes like this: On Saturday morning, the day before we completed the outreach campaign, I was up by 6 a.m. to pack the remainder of the team’s medications and prepare for the respective distribution sites.
After a quick breakfast of coffee and pineapple, I had a patient to see for a follow-up visit. The patient, a 4-year-old boy, was coming back to get a few stitches removed from his forehead. On Monday, his mother brought this little boy into the clinic after falling on a rock. It is important to remember that we were conducting our clinic operation in one of the most impoverished neighborhoods of Lima. This was such a poor area that we were in tents to see patients. Most of our concerns were not directed toward this subtle inconvenience but rather toward the fact that the Peruvian healthcare system was on strike.
“On strike!” What does that mean? In a world of limited resources and even more limited opportunities, the best way to negotiate change is to stop working. As such, all doctors, nurses, technicians, and dentists within the Ministry of Health stopped working. This included emergency services as well. It’s not hard to realize this left us in a rather tricky and challenging situation. Alas, the key to success in life is flexibility; we trudged forward despite our “inconvenient” limitations. It’s a good thing we had an emergency room physician on the trip.
Saturday’s “visit” worried me. I was concerned about how our little friend would respond to my taking the sutures out of his noggin. On Monday, he was hysterical, and we struggled to comfort him while we placed sutures. We then sent him to the local health post for a radiograph of his skull (to rule out a fracture) and another clinic for a tetanus shot. This sounds like a simple series of follow-ups, but it became more than a dozen phone calls between the project director and the hospital. It also involved an equally impressive number of visits with the mother and her son and a frustrating experience interacting with a very fragile healthcare system.
Finally, on Saturday morning, he came to see me with a broad smile and a swollen forehead. I neglected to mention one crucial detail in this story—the little boy did not look like a stereotypical little boy. He had long hair and a cherubic face, and his shy demeanor gave him a tender and gentle appearance. I asked the project director about the significance of long hair on male children, and she told me of an ancient Andean tradition.
As the story goes, the tradition is to wait for the “right” time to cut a child’s hair. The project director said that the “right” time was determined by the people in a young boy’s life, who could help and instruct him in the world’s ways and act as role models.
This young boy (we will call him Roberto) did not yet have the “right” people. His mother was widowed. She was without a job and had sole responsibility to care for two other children (including a young baby). She was one of the many people we encountered who lived in an area without water, waste disposal, or electricity. She told us that she had been waiting for the boy to get another father before she cut his hair. She told us she was waiting for Roberto to meet a man who could mentor and guide him in his life.
As luck would have it, removing the sutures was easy. Roberto squirmed and cried, but he was okay. After we gave his mother antibiotic cream and a few pieces of candy for Roberto, the mother asked if I would cut his hair.
I was incredibly flattered. I hesitated initially, recognizing that I was venturing toward a solemn responsibility – the man cutting the child’s hair is also the godfather. In the end, my hesitation was only momentary. I cut that boy’s hair with all the love and compassion (albeit very little skill) I could muster.
This act produced a lofty natural high for me. I was walking in the clouds. It is a humbling experience to be part of the lives of the people we serve. It is even humbling to think I had an impression on their lives—even if that impact only assures they have the best haircuts in Latin America.
A Bridge to Change Colorado: Simply Spectacular!
/0 Comments/in Blog /by Wayne CentroneA Bridge to Change – Colorado
/0 Comments/in Blog /by Wayne CentroneWe have our first fundraiser event of the year on Tuesday, March 26, in Eagle, Colorado.
This is our year of A Bridge to Change events all over the U.S. We start in Colorado, head to Connecticut, and then to Wisconsin before ending the tour in Portland. We are excited to get out and meet new HBI supporters. We also look forward to sharing our fantastic work and how you can get involved.
Interested in joining us at A Bridge to Change event – check out the website for more details or contact us at info@hbint.org
If you can’t attend one of our events, you can still help. Donate today.
We’ll share photos and a recap of the Colorado event next week.
Living in Gratitude – wayne centrone
/0 Comments/in Blog /by Wayne CentroneLiving my life from a space and place of gratitude is incredibly powerful. It can be challenging to stay in a gratitude mindset. However, gratitude is abundant when I stripe away from preconceptions and live squarely in the moment. Here’s a little story that helps remind me how vital mindfulness and gratitude are in my life.
Despite his modest material possessions, Wilfredo woke up with a radiant smile every morning. His heart, once yearning for more, was now brimming with gratitude. He found joy in the simple things—the sun’s warmth on his face, warm bread for breakfast, and the birds’ melodious chirping outside in the fields.
Wilfredo’s infectious, positive outlook on life brightened his days and illuminated those around him. Even at his very tender age, his friends were in awe of his ability to find happiness in the tiniest things. They often sought him out to find the secret to perpetual happiness.
Wilfredo believed that being grateful was an ongoing, conscious decision. He knew life wasn’t always easy; he had experienced many challenges and hardships in his 14 years. However, he knew there would always be challenges and obstacles to overcome, and he knew there was always something to be thankful for.
On one fateful day, when Wilfredo was fifteen years old, his life changed drastically. Fear, frustration, and disappointment threatened to engulf him. Overnight, he became the caretaker of his three younger brothers. He found himself overcome with uncertainty about how to move forward. Instead of succumbing to the situation and circumstances, he consciously shifted his focus. He was thankful for his ability to ask for help and for the willingness of people to come to his aid. He was thankful to be with his brothers and to provide them with love and support.
As Wilfredo continued to live a life of gratitude, he noticed that his life began to change in unique ways. He felt more content and at peace with himself and began attracting more positive people and experiences into his life. Despite the challenges that sometimes overwhelmed him, he had hope.
Wilfredo realized that living a life of gratitude wasn’t just about being thankful for what he had and the abundance of living in the present moment. It was also about being open to new opportunities and experiences – and cherishing whatever and wherever life takes us. He was excited to see what the future held, and he knew that as long as he lived his life with gratitude, anything was possible.
Today, Wilfredo (not his real name) is one of the caretakers in our Casa Girasoles program. His smile is contagious. His warmth is inviting. He is a source of great pride for the other boys. He is a force of great inspiration for me.
I am grateful for the support you provide us every day. I am incredibly thankful for our organization’s work and the fantastic lives of the boys we are so fortunate to be on this journey with.