Posts Tagged development

Two (Update: five!) new posts

Two [update: five!] new posts, thematically related again, almost coincidentally.

4 December – Brutality
22 January – What can be carried on the back of a bicycle?
10 February 2009 – The Greening
16 February – Minibus capers in Lilongwe
20 February 2009 – Guest blog post: Colin Dewar

More to come in the next few days, as I go on a week-long tour of southern Malawi on my motorbike, visiting Rob and other VSO’ers for the last time before flying to the UK on 4th March. Tomorrow is my last day of work, but more another time.

[ Update 26 Feb: After some motorbike problems which set me back a day, I leave for Blantyre in an hour or so. My bike was cutting out at random in town (including with Noel on the back, twice, embarrassingly) and I felt it would not be wise to risk a longer trip until it was fixed. Our neighbour here is a mechanic who has lived and worked in the UK, and he kindly took a look at the bike, and suggested that the fuel tap was open too much, thus flooding the carburettor. So we closed the tap a little, and the bike is purring along beautifully now. I took a spin up the plateau road to test it, and for a last look over the green plains around Zomba. It’s a pretty town, and small enough to start to know well even in six months, and I’ll be sad to leave it. Our house is almost opposite “Tasty Bites”, the most popular little cafe where most of the expats and volunteers turn up randomly for lunch or coffee. We can see who’s there from our gate. Walking into town, it is almost unusual not to meet someone and stop for a wee chat and confirm the next get-together. In the past two weeks, I’ve had the unsettling experience of hearing about dinners, parties and trips planned which no longer include me because I’ll be gone. Denise, who is living in Noel’s house as well, jokes that these enticing plans were one of the reasons she stayed on longer in Zomba after her VSO placement finished. But I must go. the experience here has been intense and challenging, chock-full of life and energy, and I am starting to feel a bit drained. Work has taught me enormously, about psychopathology, education, culture and how they interact; about how to work with and manage chaos; about how to continue even when they way isn’t clear; and about how to be patient (well, sometimes).

I do have concerns about my ward and the hospital, echoed by the two excellent nurses I mostly worked with. Sister Chimwemwe complained that there was no farewell party for me at the hospital, then she added sadly “but we have nothing to celebrate when you leave.” I apologised, “Pepani.” I’ve tried to prepare the nursing staff and new clinical officers for when I’m not there, but time has been short. In that sense I have been “gap-filling”, a taboo word in development circles as it suggests that you’re merely doing a job and not transferring skills. VSO is all about transferring skills and being “sustainable”. But I have argued that one absolutely needs to “do the job” in order to understand some of the real issues, and only with this understanding can one try to make a “sustainable” difference. So I’ve “done the job” – seen the patients – and it’s my hope that the nurses, CO’s and students who sat in with me have learnt something. I also tried to do a lot of teaching and explaining whenever possible. They say they’ve learnt a lot. In preparing to leave, I’ve slowly withdrawn from seeing many patients, and from running the ward rounds when I’m there. I’ve asked a nurse of clinical officer to do the interviewing themselves, with comments and guidance from me. This has partly worked, but I wish I had more time to spend with them. I felt an insidious desperateness creeping up on me as my last work day approached, and I think this may have been shared by the staff. But they are very stoical, and have not shown this explicitly. There may be a new VSO psychiatrist coming in June, and I hope to give a copy of my report and even discuss some ideas and challenges with them, so that they can get a bit of a head start. There are some things I would suggest to do differently, and some projects I’d try to implement which we’ve not done this time. New wards are being built, and more staff are slowly being attracted. The BSc in Mental Health program up at St John of God’s in Mzuzu (in the north) is exciting, as it allows CO’s to earn a degree on top of their Diploma. This is attractive for them, as it means more money and higher positions, and it is giving mental health some status. Already we’ve seen the first crop of these BSc students at the hospital (I’ve written about them here and elsewhere) and they are sure to contribute enormously after they graduate. I hope to visit again in a few years to see how things are coming along. ]

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Are we doing anything useful here?

Day 6 – What are we actually doing here in Malawi?
[This post follows on from the Motorbike Training post.]

Motorbike training is past, and we’re now staying over at Paul and Sarah’s house (fellow VSO bikers), and we have been invited to a party this evening. The party is hosted by a friend of a friend of one of the VSO’s, who works for the UN we think. We call Dunn, a local taxi driver, and rouse him from sleep to give us a lift there. The party is in an expensive neighbourhood, in a large house with a large garden, and elegant lighting along the path leading from gate to patio. We pile out of the taxi, and I greet the night guard in Chichewa, going through the full greeting. He responds with pleasure and surprise, as if he is unaccustomed to mzungus speaking to him in his own language. He is also more deferent than usual, and I find this a bit strange. The party is thronging with beautiful people, and though I usually spend my social time with only white people, this is one of the first times I’ve felt as if I’m not in Malawi. The white people here are young and glamorous, carefully groomed, and more upper class. There is loads of food, good wine and privilege going round, and I stand myself next to a table with a bottle of expensive South African red wine, its worth apparently unrecognised by anybody else. I take care of this oversight. The people are mostly DFID or UN apparently, and definitely assume importance. They are no older than me. They all know each other and make little effort to talk to us. My female VSO colleagues point out that the girls here are wearing fancy evening dresses, and indeed they are – which probably contributes to the different atmosphere. They have actually packed or bought eveningwear for just this sort of social occasion. My VSO friends clearly have not packed these sorts of luxuries. We all feel a bit underdressed. We realise for the first time that there is a clear hierarchy amongst development workers, and we VSO volunteers are pretty near the bottom. The only people lower than us are the Peace Corps!

There is some dancing and drinking, but talk amongst us VSO people turns to our role here in Malawi – what are we ACTUALLY doing here? There is a feeling that maybe we’re not doing that much of real use, that maybe we’re helping spend lots of money without really showing the necessary returns for it. After all, we’ve just spent over a week accommodated at VSO’s expense, at Kumbali Cultural Village for the ICT2, and at the hotel for motorbike training. How can we justify that, plus all the other myriad expenses? Of course, even though we will need to write a report at the end of our placements, it’s not our job to justify our roles directly. We know that VSO do regularly re-examine their objectives and placements, and we have to satisfy ourselves with that. But at this party, drunkenly discussing the Big Picture, we are not convinced it’s really worth it. But I also look around at the DFID and UN people, who are here in Malawi on significantly higher, more generous salaries. I wonder if they’re doing that much more of lasting value, considering the extra money they’re costing. Sure, they may be involved in policy development which is potentially significant, and they’re probably amongst the brightest recent graduates of their Oxbridge universities – but they are so young, and are not really living in Malawi. Do they even greet their night guard in Chichewa? If they are economists or development people involved in policy making, surely it would be better to have that work done by older, more experienced people who’ve spent time working in developing countries? But perhaps these people hold junior positions, and have bold ambitions of a successful diplomatic or development career ahead of them, and then living in Malawi for a short while is merely a stepping stone to greater things. The excess of the party seems out of place here, obscene even.

And then it’s almost time to go. There is a fluff of activity in one huddle of young diplomats, as one girl announces that she can’t find her bag with spare clothes in. The girl is astonishingly pretty, and many of they guys offer to help look. She flits around, looking behind couches, asking us to get up so she can look under where we’re sitting. Her smiles of earlier in the evening have disappeared, and now we’re clearly in the way. It’s a drama, perhaps an emergency. This may be one of the more serious setbacks she’s encountered in Malawi so far. And then, suddenly, the bag is found and everyone can relax. The smiles return. We phone Dunn to arrange to be picked up, rousing him once again from sleep at 1am. Half an hour later Dunn phones to say he is outside, and we make our exit. As we walk down the driveway, we can hear someone talking loudly in broken Chichewa outside the gate. The accent is English and slurred by alcohol, and as we open the gate we see a young British guy in T-shirt and jeans, trying his hand at the standard Chichewa greeting. He’s shouting it at our driver, Dunn, belittling him with a mockingly poor, yet self-righteously proud, attempt at what should be an easy dialogue. "You see," he slurs, "I can speak your language…" As I walk past him and get into the cab, I feel ashamed. I want to apologise to Dunn, but can’t stop thinking that this drunken slob is one of those whom the world sends to help Dunn’s country and his people.

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