In the remote region of Surmang, giving birth was a matter of life or death. Both mothers and children were at extreme risk. Located in the Yushu prefecture within the Qinghai province of China, this area has been among some of the places in the world with the highest maternal mortality and infant mortality rates. A mother was three times as likely to die as an American soldier in Iraq or Afghanistan.
In 1987, Lee Weingrad, an American student of Trungpa Rinpoche, traveled to Tibet to visit his late teacher’s monastery. Upon leaving Tibet, Lee said, “I thought I had reached the destination in my life. Years later I realized I had only arrived at the bus depot.”
He was distressed with the poverty he saw, with the harsh living conditions of the Tibetan Khampa nomads and farmers. When he heard the numbers of mothers and infants that were dying needlessly, he said yes to an adventure that has put the Buddhist teachings of compassion and reverence for life to the test of reality.
He returned to the US and not long after, packed his bags and moved permanently to China. There, he fell in love and married Wang Wenjing, a Tibetan scholar who had spent 4 years living in Lhasa. He reflected on how he was going to undertake such a project with his background in teaching and sales rather than international development or aid. But he worked directly with his inspiration, and his passion was able to do its work. When asked how he could do such a project by a representative of UNICEF, he said, “did you ever see Field of Dreams? Kevin Costner’s character asked the same question. The ghost answered, ‘build the field and they will come.’”
Shortly after he arrived, he incorporated the Surmang Foundation. Since that time more than 150,000 people in the region have received lifesaving care.
In 1992, the Qinghai government agreed to let his group build a clinic, which would be completed over the next few years. They would eventually hire two resident physicians, who were local Tibetans themselves. Lee and his team invited volunteer doctors to visit annually and often stay in nomadic tents after treating hundreds or thousands of patients over several months. Visiting doctors from the West will often acknowledge that being there was a watershed moment in their life and career.
Among the beautiful and remote mountains, with forbidding snowy winters and fleeting summers, the villages are scattered and it can take hours to reach even with vehicles. Travel, even in emergencies, is impossible in the winter and in the rainy seasons. A corps of 40 midwives and traveling health care workers brought the health care to them, traveling to some of the more far reaching areas by foot.
Lee’s deepest motivation was ensuring that no mothers die in childbirth. When a woman dies the effects are devastating and it touches everyone. The family is cratered. Grandparents especially bear so much grief for all. A mother’s death tears at the fabric of their small encampments and communities where women hold so much together.
In Tibet, nomads have high status. Leading the traditional life of a nomad in a tent encampment, despite the harshness of the terrain, the sun, the winds or the icy temperatures of winter, few would trade it for city living. Here they tend herds of sheep or yaks or horses. Some cultivate barley on small farms living in village dwellings. With a few exceptions all are devout Buddhists and children wake to incense and offerings being made each morning. Afternoons are for prayer or making butter and cheese or sipping many small cups of tea. The community is close and there is ample work for the young and old.
In the warmer summer months, they will set up high mountain camps, and as the seasons change, they will again move to areas better suited for animal grazing and nearer to safer, more accessible roads. They believe, in accordance with their Buddhist principles, that slaughtering one yak will feed them all winter, and is more compassionate than harvesting a whole field of crops. All the tiny beings also have a lifeforce: the plants, the worms, the insects, the fungi. Their animals are sacred, sentient, and life-giving. Life, in all forms, is precious.
Since the permanent clinic originally opened, patients have never been charged for services or medicine. In this area where the land and their way of life provides basic needs for food and clothing, but otherwise money is scarce and people may live on less than 50 cents a day.
In addition to assisting with births and well-baby visits, the clinic sees many other patients. The clinic can offer an ultrasound, set bones and pull teeth; they are often treating mild ailments; and even offer veterinary services when there is great need.
Expecting mothers will often receive a birth kit that includes basic items such as a clean sheet and a sterile razor for cutting the umbilical cord. This can make a world of a difference—often, the difference between life and death.
It has taken years of patient work by the clinic to get the women of the region onboard. But when they saw that their pregnant friends and family were no longer dying from pregnancy or childbirth, more and more trust was established for the clinic and the foundation.
After decades of the foundation providing aid, everyone at the clinic and the region agrees, “If you want to save a culture, save a mother.”
Please visit www.surmang.org