Wednesday, June 29, 2011

On traffic, tea, and where to get your snuggle on

    More random thoughts - I know, I've been reduced to bullet points…once a consultant, always a consultant.

  1. You know that sound? That sound of someone trying to cough up a hairball? It's those moments in my day, when, hark! a man makes a loud hawking noise..and I await with tense apprehension for when and where he will expectorate…but he doesn't…and the suspense is excruciating...at least, in the time it takes me to awkwardly dodge around him. So…where does it go? I leave that for you to mull over and digest. Hmm..poor choice of words perhaps.
  2. Random, but interesting point of note…a commercial for Glee here, advertises it as: "Hollywood's Bollywood" - love it.
  3. I think I have to give up my need to setup meetings with people I want to meet with. I keep trying to push for a time to meet, and I get back, oh yea, let's meet on Saturday. When? On Saturday. What time on Saturday? Let's say in the afternoon. But when in the…oh nevermind. Okay, sounds good. It's all about stalking people, or hovering...to meet with people. It's not that there isn't a sense of urgency or importance - far from it. It's more that it's just the culture for things to run late, so why bother setting a specific time? And in a city that gets so much traffic, strikes, and heavy rainfall that can delay a city of millions, I can see the reason for not setting a time, since chances are, you'll be late no matter what time you said you'd be there. As one of my friends in Tanzania recently posted, her language teacher said something along the lines of: Punctuality is a luxury that developed countries have.
  4. Also, I think I've handed out more business cards in the past 3 weeks than I have in my entire career. And that includes all the cards I've given to my mom. Everyone introduces themselves with a business card..it's the professional thing to do. That said, I'm not sure how I can look professional when I'm sitting at a meeting and getting bitten by mosquitoes…somehow I don't think I can pull off scratching my leg against a chair and make it look graceful.
  5. Another great thing? Cups of tea at every meeting. And at breakfast and at 9:30 and 2:30 every day. Glorious.
  6. Just to get from A to B in the city, is an incredible achievement - the sweaty hot mess that you are feels like a job well done if you manage to get to your destination in one-piece. The traffic, the pre-requisite haggling with the rickshaw driver - or, if you walked, the giant mud lakes you circumnavigated - the sweet sweet layer of condensation that has formed all over your torso and face, making you wonder if its pointless to take a shower anymore…the victory is in the simple fact that you arrived. I often wonder, when I've arrived at my destination, why there is no applause and cold mango juice waiting to congratulate me on such an accomplishment.
  7. Description of the restaurant I went to one night..." In keeping with its eponymous theme, the restaurant’s walls are decorated with posters of such jazz icons as Jimi Hendrix, Marilyn Monroe, and Elvis; " really?
  8. Saw a woman dressed elegantly in a sari and heels. I was waiting to cross a major intersection along with a throng of men, waiting for the traffic to slow a tad (usually there are a few brave souls who run across, but not this time..the traffic was flying past). This beautiful woman just started walking, elegantly put her hand out to command the oncoming traffic to brake a little while she glided (not ran) through the intersection. She crossed successfully, not a hair out of place. If you ever see me in a sari and heels, I can assure you, that even if I were walking across an empty room, I'd find a way to stumble. Wait, that would happen even if I was in jeans and flats (and a number of you have witnessed that).
  9. What is interesting, is to see people practice their religion so freely. Well, in all fairness, it is one particular religion -Islam is the main religion here. But I could be in the office or in a coffee shop, and it's not unusual for someone to step aside, and pull a prayer rug out and start praying - right there. No need to go to somewhere private, just as long as you're praying towards Mecca. Granted, yet again, I only see men pray in public, I'm guessing women pray in private? Not sure, will have to ask. But many women do use their dupattas to cover their hair during prayer call. And there's not odd looks if you don't. It's kind of nice to see such an openness about making time to pray - and no apparent judgment if you're not.
  10. On my way to work one day, amidst a slew of rickshaws, CNGs (autorickshaws ), cars and other scrappy vehicles, I saw a chicken crossing the road. I did not question why the chicken was crossing the road, but more importantly, how on earth did the chicken cross the road with all its feathers in tact?
  11. Where do middle-class teens go in Dhaka to get their snuggle on? Coffee shops. Where do young adults go to get their snuggle on? Parks, preferably close to a large body of water (even if there are questionable items floating around).
  12. All random thoughts and jokes aside, I think I've found a few favourite spots in Dhaka. My #1 right now is Banani bridge, around 5:30/6pm when the sun starts to set, a scattering of boats launch lazily across the river, taking people home, underneath a slew of cars and rickshaws that crawl over on the bridge.

Thursday, June 16, 2011

The Vigilance of Complacency

My walk/ride (depending on how hot it is) to and from work takes me right through a small slum. In the mornings you can small the strong stench of the effects of the lack of a sewage system combined with the shouts of parents calling after their kids.

 

I don't know if I'll get used to seeing extreme poverty on a daily basis. I hope I won't grow complacent to the old man with no hands or legs on the side of the street, or the naked toddler covered in dirt, scratching his bloated little tummy (bloated because of the lack of nutritious food). Whether I'm walking through the slum, or riding through it on a rickshaw, my heart and stomach lurches and my head revolts when I see the man reach out to me, or the toddler cry alone in the mud. Not out of disgust for them of course, but out of disgust of myself. What am I doing? Why aren't I doing anything right this very second to help him..whatever I can? Part of my brain reasons that I'm not doing anything at this second because the "solution" is - I'd like to believe- a long-term sustained and vigilant effort that addresses a multitude of factors, not a quick hand out that will make me feel better more than help anyone.  And of course the other part is probably that I'm afraid to help. I  feel a twinge of guilt for my good fortune to have been born into this life without the multitude of obstacles that face these kids that are not heart and stomach-lurching for them, but simply a part of every day life.

 

Perhaps I will grow complacent over time - I suppose it's how we cope. I remember a few months after 9/11, one of the first movies I saw in the theatre was some Lethal Weapon part 322nd movie (not my choice, I can assure you). There was a scene where a mid-rise building was blown up and I can recall cringing and shrinking in my seat, shaken by the reality that we had all witnessed just months before. Probably a year later I was watching another wham-bam movie (again, not my choice)…and walking out of the theatre, I realized I didn't cringe or even give a second thought to all the violence that had just entertained my senses. Not that violence on TV is comparable with the effects of extreme and utter poverty literally calling out to you, but I became numb, and I'm still numb to the images we call entertainment.

 

Perhaps that's why I've changed the course of my career path - so that I won't become complacent and be a small part of that long-term sustained vigilant effort. Perhaps.

 

But I'll try to end on a lighter note. Speaking of vigilance. Walking through the streets of Dhaka is an exercise of constant vigilance (yes..I'm heeding Mad-Eye Mooney's advice…and yes, I am re-reading Harry Potter thank you very much). Not only am I looking at the ground for the next big mud puddle to avoid, but I'm looking to my sides for dangerously close rickshaws, CNGs and cars, and I'm also looking above so I don't run into any of the hanging severed electrical wires. Constant vigilance people. Whether walking around in Dhaka, or trying to tackle the monstrous elephant that is poverty.

Tuesday, June 14, 2011

I am a giant. And other random thoughts.

 

I know I have a problem with heights..in the sense that I think I'm taller than I actually am. As in, I think I'm at least 5 inches taller than I am. So much so, that when there's a somewhat low hanging branch that I'm walking under, I will actually stoop to avoid it…even though there's still a good 5 or 6 inches of space, even if I were standing on my tiptoes. I fully recognize it as a problem, and many of my friends have no problem pointing this out with mocking grins and evil laughter (you know who you are).

 

Now, imagine putting that syndrome in a country where the average height is probably about 5'2"…and well, you have a giant on your hands. A 5'5" giant. So, as you can imagine, when there are electrical wires hanging everywhere…yep…cut hanging wires, some dragging on the ground..often in pools of water from the rains (I'm sure there is no electricity running through them, right?), when I'm in a rickshaw, I'm dodging wires left and right. But the thing is…I really think I'm tall enough to hit these ones…I swear…I am tall enough to get hit by them.  I'm a giant.

 

Other (serious) challenges I'm facing here: knowing when to shake someone's hand when I've been introduced to them. Most guidebooks on Bangladesh seem to say it from a male perspective - don't shake hands with a woman unless she offers its. But, I wonder if I should be offering to shake hands when I'm introduced to a man. Since it's a mostly Muslim country, and depending on how religious people might be, a man should not touch a woman whom he is not related to. Maybe I'm going overboard. I tend to be oversensitive since I grew up in Saudi Arabia.

 

Miji and I have set "goals" for each other - not constructive-this-will-make-you -a-better-person kind of goal. More like, a ridiculous set of goals for our own amusement. Such goals include: make friends with someone who has an AC car. Scream back "hoooonk" the next time a car/CNG/rickshaw needlessly honks just to say 'holla!' . And…play at an open mic in Dhaka. I thought that this last one would be easy…but upon inquiring at a venue that advertised open mic night and live music, I was surprised to hear that the Open Mic was not, in fact open. I have to contact the owner to see if he'll let me play. Wha?

 

And then there's water bottles. Let me rephrase that - filtered water at cafeterias that are served in liquor bottles. In a country where alcohol is not really allowed (mainly just high-end hotels and US/Canadian/British type clubs) it's great to see water served in bottles of Smirnoff and Jack Daniels. I'm pretty sure any self-respecting Jack drinker would cringe at the sight of water in a bottle of Jack.

 

Finally…a sad random challenge I face…it's been, what, 2.5 weeks…and I just started craving Starbucks? This is ridiculous. It's not like I even have Starbuck's that often…maybe once every couple of weeks. Oh wait. Then that makes sense.

 

Thursday, June 9, 2011

Photos from Manoshi field visit

















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Visiting the Manoshi Project...in an urban slum

The Manoshi programme. It's a community driven MNCH - Maternal, Neonatal, and Child Health programme that recruits community health volunteers from that slum - called Shasthya Shebika (SS). There are about 150 to 200 people to a SS. The SS is trained to do monthly visits, identify possible pregnancies, and detect and manage basic illnesses. There are also trained community health workers called Shasthya Kormi (SK) that can provide antenatal and postnatal care. There are about 10 SS to every SK. The SK works with a traditional birth attendant (or as its known here, an Urban Birth Attendant) during delivery.

 

We first visited the BRAC birthing house in an urban slum and met a young woman, and which I presume to be her relative and child - they were waiting to be seen by the UBA and/or SK. Then we visited Roni's home. She is 3 months pregnant, 23 years old, expecting her first child and has such a beautiful smile! Her mother was with her while the SK performed her first visit. She used to work in the garment factory, but now that she is pregnant, she has stopped working. Her husband is a rickshaw driver, and was not present during our visit. 

 

But let's talk about this slum first. It was my first time visiting a slum - not just walking past it. We walked into this gated area, took a couple of turns down a few small alleys, and the path opened up to rows of tin shacks closely stacked next to each other - the alley between the homes were probably 2 shoulder-widths wide - not even. I didn't realize it till after, but the path I was walking on were just planks on boards - the entire slum is built atop a swamp..held up by chopstick bamboo. And some of the homes are 2/3 stories high. The fragility of these 'homes' is immense. Can you imagine trying to transport a woman in labour from a 3rd story of a 'building' made of tin and perched on chopsticks? No running water, a common "latrine" with no sewage facilities…its overwhelming when you begin to unravel all the challenges that face the 5000 slums in and around Dhaka alone.

 

We visited one expectant mother and she and her mom invited us in while she was getting a check up from the BRAC health worker. The room was small - enough for a double-size bed and a tiny cot. And some shelving along the side. It was tiny but tidy with a few items here and there. I can't recall how many people lived there - but I'd imagine at least 4. Despite her very humble setup, she paused half-way through the conversation, embarrassed that she had not offered any food or tea. And when the electricity went out, and the fan stopped, she grabbed a wicker hand fan and started twirling it around. I said, you're the pregnant lady, I should be doing that for you! She flashed me her beautiful smile and kept fanning.

 

Just outside Roni's home, I  caused a lot of giggles from some of the kids loitering around, probably because of my because of my big old camera and big old goofy smile. I would love to come back with small digital cameras and have the kids take photos from their perspective (what the producer of the documentary 'Born into Brothels' did). The kids were curious and adorable and my mangled bangla could make them laugh.

 

The project I'm going to be working on is an mHealth project - so using mobile phones for health...so we got to see how the SK registered Roni and asked her a series of antenatal questions via her mobile phone. She recorded everything on the 80 USD SMS based phone and sent the information to her programme officer. She did some basic health examinations to check for adema, anemia and blood pressure as well. She recorded some basic information on a check card and left it with the mom so she could keep track of her basic stats. On the wall I saw the BRAC maternal health poster - that had the number to the SS/SK and programme officer for when she goes into labour or has complications. Oh, and within the questionnaire, there were points where the SK took photos of the mom as well as voice recorded additional info as needed. The idea is that all this info will eventually feed to a doctor's web portal where they can review high-priority cases and text back the SK with additional, customized diagnosis.

 

It was pretty neat to see this pilot phase of the mHealth running. Of course there are bugs and improvements to be made, but its neat to see these types of projects in action. This small group of pilot users have adopted quite quickly to the technology (what they initially thought would be a 2 day training on the mobile phone application, turned out to be 4hrs), and apparently it has cut down their work load considerably. For those not on the mHealth project, the manually track all the information, which then gets manually aggregated at the SK level, then again at the programme officer level..and then at some point the manually calculated aggregates get input into a database for regional and eventually national information. So the need for digital recording for reporting reason alone is obvious.

 

Food for thought...

One of the gentleman with me on this site visit was a country officer for certain African country for a certain NGO (this is me being ambiguous for privacy sake). He and I had an interesting conversation on our way back to the office. We were discussing why BRAC was successful in so many of its interventions, and he said it came down to the fact that it's a "Global South" led initiative. "The North comes in with their money and fancy tools, and the South comes in with their hands and stomach". He made the point that because the South lives and breathes this kind of extreme poverty, they are most apt to come up with low cost interventions that are effective. He didn't deny that North-led initiatives weren't effective, but just that they are often very expensive, and so therefore not scalable or sustainable. He  seemed especially frustrated with the 'experts' from the North with their fancy degrees and one year of experience in India and how that qualified them to be heads of projects and influence policy.

 

I asked him, that if he didn't think the folks from the North should be involved in implementing services for the poor, where would the North be effective. According to him, the North has the power when it comes to advocacy and influence in the world. I suggested that perhaps also the North is most useful when it comes to raising funds, and he surprised me with saying that, he didn't think there was too little or too much or just enough aid available…it was more important to see that low-cost solutions are being implemented.

 

This conversation, not surprisingly, has got me thinking. Where do I belong exactly? Is it selfish of me to butt in just because I'm interested in this field?

Ramblings and an intro to BRAC

I think I have become one with the rickshaw. I no longer need to cling to the edge of the rickshaw as we bump and gyrate over the swiss cheese roads. I think its all in the legs…stabilizing with your quads. Miji doesn't seem to have this problem however, so this could just be me.

 

What I can't seem to do well though - is keep my dupatta balanced on my shoulders. I'm pretty sure I have defective shoulders - that's why I have to always use a cross bag - when I keep a bag on one shoulder, it always slips off. I'm okay with a scarf..because its smaller..but the dupatta just doesn't gracefully straddle my shoulders like it does for every other woman in this country.

 

I haven't figured out whey I get so many stares. You should see Miji's impression of people craning their necks to take a look at us as we bound through the streets on a rickshaw. We'll try to capture it on video…You'd think that I'd blend in - even when I'm wearing an salawar kameeze (even if the dupatta is awkwardly perched on my shoulders).

 

Anyways…

 

About BRAC

 

So - let's talk about BRAC - the reason why I'm here. BRAC is the world's largest NGO (in terms of size, not in terms of money) and I believe it's the first "Global South" NGO to go international. Started in the 1970s to combat the challenges that face the extreme poor in rural Bangladesh, it has since expanded to cover virtually all of Bangladesh, and it has also gone on to spread its insane ideas of low-cost community-based interventions across other countries in South Asia, Africa, and now Haiti.

 

The machine that is BRAC is even more impressive in person. BRAC is everywhere in B'desh. BRAC Bank, BRAC Fisheries, BRAC Poultry, etc. BRAC Poultry is so huge that it provides the chicken for most restaurants, including KFC. You know how iPhone's tag line is "we've got an app for that"? I think BRAC should go with "we have a BRAC for that" as its tag line.

 

 When you look at a map of Bangladesh, you'll see that there is some sort of BRAC service in every part of the country - its ubiquitous prevalence is quite remarkable.  Its social enterprise and micro-finance ventures are the main reasons why BRAC is 70-75% self-funded – which is impressive for an NGO – particularly of this size. It is evident that its success is based on two aspects: community reach and trust. It is because of these two elements BRAC has been able to build the infrastructure throughout the country to have the muscle to build partnerships and advocate at the national level, and it has branded itself at the poor and ultra-poor level as a trustworthy organization that has worked with communities to help.



Friday, June 3, 2011

Welcome to Dhaka

So folks...this travel blog is back up and running. Greetings from Dhaka, Bangladesh! I'll be here all summer for my internship working with BRAC. I'll write more about what I'm doing here in a future post. For now...just a run down of my first few days...


Dhaka: A city of chaos, filth, energy, colour, smiles and passion - swaddled in a blanket of constant cacophony. Like any major urban city in the Subcontinent, Dhaka can be overwhelming with the traffic, noise and contrast of extreme wealth and poverty living side by side, and on top of one another like a stacked jenga puzzle. In that sense, Dhaka, just from what I've seen in my first week in the city, has been what I expected. I am sure there will be many things that surprise me as I start to explore the city, and it is those surprises that I most look forward to.

The rise in humidity, however is not one that I welcome with open arms - although the unruliness of my hair may lead you to think otherwise. The monsoon season here seems to mean, at least one good solid rainfall every day. Although it appears to be a nice wave of cool from the excessive heat, it is met with more traffic and wet clothes. My first foray into the downpour was met with a ineffective bargain for a CNG (an auto-rickshaw), a graceful jump over a puddle, followed by a less-than graceful step on a slippery set of stairs that led to my ultimate fall while trying to go up.Right now, it's pouring down buckets. Trucks full of buckets.

Choice of clothing therefore, to combat the heat and rain, all the while respecting the local culture, is a challenging task at hand. I would estimate that 80% of the clothes that I brought with me are inappropriate for this country, and shopping for traditional salwar-kameezes is an even bigger challenge. Every article of clothing is drenched with extraordinary pattern, embroidery, sequence and colour. I've always been one for pattern and colour in my wardrobe (you know, to , balance my quiet personality) but there's only so much glitz and glamour I can handle. There have been several futile attempts to explain to shopkeepers that I'm looking for something simple and plain, but invariably they bring me something with gold sequence, pink polka dots and green swirls paired with orange checkered pants. Okay, so I'm exaggerating...but would not be surprised if there exists such a salawar...Eventually, I will give in and embrace the colour and pattern clash culture. The thing is, honestly, many of the women I see wearing these combinations look amazing - they can really pull it off. I, on the other hand, with my frizzy super short, super curly hair, teva shoes, purple cross-bag and wide-eyed confused Bangla-tourist face, can't seem to pull of the look.

That said, I'm trying to blend in with long flowy tunic tops I've collected over the years, and a summer scarf that I'm hoping is passing for a traditional dupatta. The dupatta is a long scarf that women always wear draped around their neck and/or shoulders. It seems superfluous to an outsider since many women do not use it to cover their hair, but just to hang around your neck- especially in this heat, but it is a very much necessary article of clothing to display a sense of modesty. I'm just paranoid about it getting stuck in the wheel when I'm taking a rickshaw.

So that's all for now. More stories, photos and videos to come!! I'll leave you with this: I am reminded here, how far a genuine smile can get you. With my mangled Bangla and a heartfelt smile, most people are willing to help out and come down in price (to a certain extent of course). Hoping the power doesn't go out during this down pour.