Friday, November 12, 2010

HIV Education Bike Trek continued (written Nov 8)


Kids performing a drama


Kids watching the drama


Video of dancing after the drama


Kevin giving a thank-you speech before heading to the next school


Ready to head out


Janjanbureh team posing with our banner before our last day of teaching


Last day...go team!


Kids performing a drama at our last school


Welcoming the Barra team to Farafenni. Nice height Julia!!


Barra team with their banner


Maggie and Lucia presenting at the closing ceremony in Farafenni


The whole group (or most of us at least)

Konkerons!! (written Oct 25)

I think I've mentioned konkerons before, but I'll give a brief explanation of this unique cultural practice again. Konkerons are people dressed up in big furry or leafy costumes that run around screeching and chasing people with machetes. They often use hallucinogens and are believed to have magic powers, such as flying and projecting their voices over long distances. Many people are afraid of them, especially children. This fear is not unfounded, as occasionally they hurt and even kill people. Konkeron are usually associated with circumcision ceremonies, but they crop up at other times as well. I've heard a variety of explanations for the reasons behind the practice, including instilling respect for elders and driving away bad spirits. We recently had a group circumcision ceremony in the compound next to us, so we've had a LOT of konkeron activity lately. I caught one on film the other evening (from the relative safety of our backyard)...see below:

HIV Education Bike Trek (written Nov 8)

Last week I participated in an HIV Education Bike Trek where I went from school to school with seven other volunteers teaching students about HIV/AIDS. The trek actually consisted of around thirty volunteers, plus Gambian supporters, divided into three teams which convened at the end of the week in Farafenni. Our team worked our way from Janjanbureh (MacCarthy Island) to Farafenni, visiting schools along the way. It was really a great experience and it inspired me to start planning a mini bike trek in our region early next year. More to come on that later. I took a ton of pictures, so I'm going to break this into two posts:


Double decker rams on top of a geli on my way to Janjanbureh. Very impressive! This is how you know Tobaski is coming...


Doing my part emptying out a watermelon for carving


Watermelon jack-o-lantern! Chris with her masterpiece.


Getting ready to ride to our first school


And they're off!


Kids welcoming us at our first school


Julia and Abby surrounded by kids


Abby and Sarah M were matchy matchy for the first day of teaching


Julia in action


Kids performing a drama


Kids in class


Sarah M in action


Looking good!


Video of kids welcoming us at another school

A Lightbulb Moment (written October 25)

For quite some time I have been exasperated and even somewhat disgusted by Gambians expectation of receiving "per-diem" or some other form of financial remuneration for attending work-related workshops, trainings, and in-service meetings. These workshops are extremely common and the amount of time and energy that is put into dealing with this financial compensation has always seemed like a collosal waste of time to me. I could not understand why people should expect to receive additional compensation for doing their job on top of their existing salary. Today, however, it all started to make sense.

It turns out that Gambian health workers, as well as many other civil servants, receive very minimal salaries, to the point that it is generally not enough for them and their dependents to live on. For a little perspective, low to mid-level health workers are paid base salaries of 1,500-3,000 dalasis per month (which comes out to roughly $2-3 per day). These people are often the primary "bread winners" for large extended families (15+ people) who are depending on them. Culturally, for a salaried individual, it is absolutely obligatory to support your family in such a fashion, especially if you have family living in poor rural areas. Even in a country with a low cost of living the numbers simply don't add up, and the social and cultural pressure to support one's family is enormous. Therefore, the gaps have to be filled somehow. This is where per-diems come in. These per-diems are often hundreds of dalasis per day, not including food and travel reimbursements, and can be paid out for one day meetings, short trainings, or even month long activities. Teams of health workers typically rotate who is sent to trainings and split the compensation equally among themselves. Even when split several ways this money adds up quickly. This is why the health workers take their per-diems so seriously. It is not greed, it is not an obsession with money, it is a matter of making ends meet for themselves and for their families, which they cannot do without the per-diems. Jacob later used a good analogy when he compared this system to how waiters and waitresses in the US whose salaries are often below minimum wage, and rely on tips to make up the difference.

As my coworker was explaining all this to me, something clicked when I thought about where the money for these per-diems was coming from. It is coming mostly from big international health institutions such as Global Fund, WHO, UNAIDS, etc. They are probably aware that they have line items written into their budgets for workshop per-diems, but I wonder are they aware they are providing for health workers' extended families in a way that is completely financial and has nothing to do with a health project. I don't have the numbers for how many health workers there are in the country or how much money they make from per-diems per year, but I would venture a guess that these contributions by international health institutions contribute in no small way to the country's economy. While that is not necessarily a bad thing, I highly doubt it is the intended use of the funds by provided by those institutions or indirectly by their donors.

This is just one more layer in the complicated web of dependance on aid. This line of thought raises a whole host of other complicated social and financial issues. One big related issue is rural-urban migration, which is severe enough that some rural villages can be almost completely devoid of educated, motivated young men. It's easy to shake your head at those men who fled to the cities, but those men are sending a lot of resources back to the villages to support their extended families there. Their families need money to buy rice, oil, fish, sugar, etc, and cash-paying jobs are few and far between in rural areas, so they are dependent on money flowing in from their urban bread-winners. Of course, not anyone can get a cash-paying job in an urban area, you need to be educated, so that means it is the educated young people, generally men, who are the ones playing that role. It's interesting to see the similarities between this system and the way remittances work on a larger scale.

A couple generations ago, these issues weren't nearly as big a problem because most Gambians were subsistence farmers, and thus ate what they grew, and didn't have such a need for cash. So how did we end up here? Jacob is a much better person to answer that question, so I asked him, and this is what he says:

"Historically every culture existed based on subsistence farming. In many cases, at one point or another, something changed which allowed people in this culture to start specializing in certain money making activities and transition to a cash based economy. For example, early in American history much of the country existed as a subsistence agricultural economy. Many rural families produced the vast majority of what they consumed. Partially, this was because the cost of transportation and difficulties associated with it made it prohibitively difficult to produce farm products for far-away markets. As transportation improved, state government sponsored canals and roads are a good example, it became possible to ship large quantities of produce quickly and cheaply to market. This allowed people to move away from a subsistence life style and start specializing in various methods of production. The problem in The Gambia is by switching from cous, cassava, and sorghum as the staple foods that were capable of feeding the entire population to rice (which has become trendy recently since, rather ironically, it is associated with the West, resulting in the country importing rice from Asia, mainly Vietnam and Thailand, in large quantities) without the accompanying specialization in jobs that inject cash into the economy the country has difficulty providing for all their food needs and most of the available cash gets sucked into purchasing rice and is thus diverted from the investments that would create future economic growth."

It's quite the conundrum, but understanding all various moving pieces of the problem is the first step, right?

Breaking ground (written October 24)

This weekend we finally broke ground on our water project that we have been working on since...well, since we got to site back in January really. Long story short, there is a nearby community that doesn't have acceptable access to safe water, so, after countless meetings with the community, we applied for and were awarded a grant from Peace Corps (a SPA grant, for those of you that that means something to) to extend the piped water system from a nearby semi-urban center to reach this community. Once the project is completed, the community of 600+ people will have 3 new public taps, giving them easy access to safe running water. The community is digging almost 800m of 1m deep trenches by hand in rocky soil, no small feat, especially for a community that is largely lacking men in their prime (a consequence of urban migration). The community also selected a water committee to maintain the system and collect user fees, and we helped them open a savings account at a local bank for the money. Anyways, getting back to the digging, I took some pictures that I thought you all might enjoy:


We had a good showing for the second day of digging. Even the kids came out!


Modou laying down the law on some kids who were slacking off


Working hard


Who's that stud?


Getting hot, but still at it. Note the tool the guy with the white shorts (Alpha) is holding. It's called a sambou and is basically a heavy metal rod with a sharp end. Very good for digging in hard ground.


This old guy worked his tail off all day


...with a pipe, no less! Love it.