Ramadan started today, well, actually yesterday...night. Here is a brief description of Ramadan:
Ramadan (Arabic: رمضان, Ramaḍān) is a Muslim religious observance that takes place during the ninth month of the Islamic calendar, believed to be the month in which the Qur'an was revealed to Angel Gabriel which later was revealed to Prophet Muhammad. It is the Islamic month of fasting, in which Muslims don't eat or drink anything from dawn until sunset. Fasting is meant to teach the person patience and humility. Ramadan is a time to fast for the sake of God, and to offer even more prayer than usual. Also, asking forgiveness for the sins of the past, asking for guidance in the future, and asking for help with refraining from every day evils and try to purify oneself through self-restraint and good deeds is involved in Ramadan.
Muslims pray five times a day, and there is a call to prayer at each of these times, broadcast from mosques with varying loudness and intensity. Its actually a beautiful sound, the Imam (holy man/priest) calling the faithful to prayer. Click here to listen:
http://www.toursaudiarabia.com/prayer.html.
During Ramadan, people read and recite the entire Koran. I didn't realize, however, that some mosques broadcast this recital over the loudspeaker and it lasts all night long! We have a mosque near our house and the reading (in much the same musical voice as the call to prayer) started at sundown and went on till sunup. Despite ear plugs It was so loud that I couldn't sleep. Not to be disrespectful, but this is going to be a long month!
Monday, September 1, 2008
Sunday, August 31, 2008
Indonesia
After a grueling 10 hour flight from Monrovia and a 15-hour flight from Amsterdam, I arrived in Jakarta last Friday. Thankfully the flight from Amsterdam was nearly empty so I had a whole row to myself and actually slept for about 7 hours! I arrived in Jakarta at 5pm on Friday, just in time for rush hour traffic. I didn’t realize how bad this would be. It took 2 ½ hours to get to the hotel! After a 15-hour flight I was ready to cry! The traffic in this city of 23 million (23 million!! That’s almost as many people as in all of Canada!) is appalling…we crawled along as thousands of motorbikes and scooters buzzed by us. I told Eric I felt like I was in Blade Runner…the city at night has a weird post-apocalyptic feel to it, with neon lights flashing through the smog and ultra-modern architecture interspersed with shanties and ramshackle buildings. I was so relieved to get to the hotel and crawl into bed. Unfortunately I woke up 3 hours later, my body clock so screwed up that I ended up watching a couple of episodes of Desperate Housewives (my new most favorite show ever!!) and eating Instant Noodles – the ubiquitous food of Asia – from the minibar at the hotel.
The next day I repeated the same journey in reverse but with much less traffic – only took 45 minutes this time. Got to see a bit more in daylight, but not much…the air is choking smog that limits visibility substantially. Like Beijing’s. Ick. And it’s very hot and humid to boot. An asthmatic’s nightmare.
Thankfully the air in Banda Aceh is better. Got here on Saturday afternoon. My first impression was that you would never know that a tsunami completely destroyed large swaths of the city 4 years ago. And that it is completely and utterly different from Africa. It is a fairly modern city of about 400,000 people. The roads are paved, there are traffic lights and things function as you would expect in a major city.
I am living in a fairly nice (way too big, cavernous actually for 2 people to be rattling around in) house with my colleague Geraldine, a lovely girl who has worked at HQ and in Chad. She is French. She looks after the finance and administration here, which is great as I don't have to deal with it (my least favorite part of the job). We have a housekeeper who does all of the washing and cleaning and shopping for us. Food is incredibly cheap (a big relief after Liberia). You can buy fruits and vegetables for a week for under $10. And the variety is huge, every fruit and vegetable you could imagine is available (including the notorious durian fruit, or stinkfruit, which is supposed to be tasty but reeks so bad that some hotels ban people from bringing them in). So I've been eating really well!
Every street is packed with little kiosks selling cooked food - mostly the ubiquitous nasi goreng (fried rice). Literally every street corner has a couple of little "restaurants", which are little boxes often attached to a motorcycle. You sometimes see them driving slowly down the street, with the driver/chef dinging a spoon on a bowl....like the ice cream man. THere is fresh fish and seafood galore, but obviously no pork as this is a muslim area. I stopped one night and bought about 2 pounds of satay - pieces of meat marinaded in spicy sauce, threaded on skewers and grilled then coated in a spicy peanut sauce - for like $2. There is KFC, pizza hut and A&W here as well. The only thing missing is a Starbucks.
I got a membership at the gym at the posh hotel in town so am able to run and swim laps and do weights at the pool (can't run outside because I'd have to wear long pants and shirt and I would die in the heat). On the weekends I work out and then sit at the pool and read or surf the internet. Not a bad life for the moment, but a bit boring, which I shouldn't complain about after the 24/7 work schedule in Kenya. Geraldine has a boyfriend who is in town on the weekends so I spend them by myself, which I absolutely do not mind! We have loads of DVDs (they have every tv series and movie ever created for sale for less than $1 each) so between TV and internet I can amuse myself for hours. Since our housekeeper doesn't speak english and Geraldine says that she isn't a very good cook i've actually been cooking for myself, but of course nothing fancy (as everyone knows my culinary skills are nonexistent) but i can stir fry vegetables and make rice and that's dinner!
This programme has been running since 10 days after the tsunami in 2004. We've trained over 4000 health care workers in malaria and dengue case management, provided drugs and diagnostic tools to all of the health facilities in the province and done spraying in a large number of communities. Immediately after the tsunami we distributed insecticide-treated plastic sheeting, which is used to create shelters and is very effective at keeping mosquitoes away.
Indonesia has a double-whammy of malaria and dengue. Malaria isn't such a huge problem but dengue is quite bad. And there is not a lot you can do about dengue, as it is transmitted by Aedes mosquitoes that bite during the day. There is no treatment as it is a viral disease and no vaccine. In most people it is a mild illness but in some cases it turns into its deadly form, dengue hemorrhagic fever, which is very serious and can be fatal.
It is hot as blazes and very humid. A bit like North Carolina in August except hotter. I break into a sweat as soon as I step outside the air conditioning. Unfortunately for me, this is a muslim province under Sharia law, so I have to wear long sleeves and long pants everywhere! At least I don’t have to cover my head like the women here do. They all wear hijabi (I think this is how it is spelled) and I don’t know how they stand it.
So the fact that the city is muslim influences all aspects of daily life. It starts with the 5am call to prayer, which is repeated five times a day. On Fridays, the men go to the mosque for two hours at mid day so we extend the working day. The Sharia police roam the streets on Fridays looking for men as they are supposed to be at the mosque. Women who get caught without hijabi get hauled to the police station where their parents or husband have to come and bail them out. Forget about alcohol. It can be found but you have to know where to get it and you have to ask the shopkeeper in some secret code and they bring you your “package” already wrapped up. There are a couple of restaurants where you can get beer, one of which is a German-run place that has “super beer” on the menu and they bring it to you with a cut-up coke can wrapped around the beer can.
Ramadan is about to start next week and it causes a drastic slowdown everywhere. Everyone fasts from sunup to sundown, no water, food, cigarettes, or anything. As you can imagine by the end of the day everyone is dragging. At sundown some sort of signal goes off and everyone eats, drinks and smokes like crazy (I have not met a single man who does not smoke here, everywhere you go there is a cloud of stinky cigarette smoke, which is disgusting). Everyone takes time off to go visit their families the last part of September/beginning of October so that slows down work as well.
I’m having a bit of culture shock, actually, especially coming from Africa. I might as well have landed on another planet. Its going to take some time to get used to it! The people are nice, but more reserved than Africans. There is also a big language barrier as not everyone in the office speaks english and those who do don't speak it fluently or understand everything so communication is a bit frustrating. Geraldine also isn't totally fluent in english so conversations are slow and I have to be very patient. None of the drivers speak more than a few words of english. I find it exhausting. I'm trying to learn a few words of Indonesian so i can at least give directions.
I had to go to Singapore last week to renew my visa (yes, after being here only a week, a long story involving the massive and complicated government beauracracy here). It is a beautiful city. Incredibly clean, landscaped with lush tropical plants everywhere, totally modern and one big shopping mall!! I've never been anywhere that seemed so obsessed with shopping! Every subway station is a shopping mall. Not that I could afford to buy anything...it was all Gucci Prada Cartier super high end shops. I bought some starbucks coffee (the stuff here is too strong for me! burns a hole in my stomach!) and some books, and got my hair done.
After Singapore I flew to Jakarta for meetings with our donors. We sat in a taxi for 4 hours to get to 2 meetings. The traffic is totally insane. Did a bit more shopping, I found the running shoes that I pay over $100 in the US for less than $70 here. Bought my colleague Geraldine an 80G Ipod for $200. Stuff is cheap here, i guess cause they make it in Asia.
So back to work this week after a week out of town, it will be nice to get back into the routine of work, gym, etc.
Here are some pictures:
Banda Aceh
Our house
Hermes Palace swimming pool and Geraldine
i 
Geraldine and some of the team at going away party for Panos, outgoing Programme Director
Preparing the barbeque for fish - burning coconut husks to add extra flavor
Rathmat, our data manager, and his daughter
Riza, my assistant (can you believe I have an assistant?) and his adorable boys
Singapore
Hindu temple in Singapore
Jakarta traffic jam
Yes, that is a real Krispy Kreme - in Jakarta!
Thursday, August 21, 2008
Re: Liberian English
got an email from a fellow "lost in translation" Liberian traveler who gave me a link to a great video that demonstrates Liberian english:
http://www.youtube.com/watch?v=_j5CeHyzZKI
Yes, they really are speaking english!
http://www.youtube.com/watch?v=_j5CeHyzZKI
Yes, they really are speaking english!
Wednesday, August 13, 2008
Not Stuck in Liberia!
The strike is over and flights have returned to normal in Brussels so I am out of here this afternoon!! thank god, it's another dreary rainy depressing day in Monrovia. I am looking forward to leaving!!
Tuesday, August 12, 2008
Stuck in Liberia
Brussels airport is shut down because of a baggage handlers' strike. Guess where I'm supposed to fly through tomorrow night? Brussels. Looks like I'll be stuck here until at least Friday, possibly Sunday. Apparently some long-haul flights are going in, but for sure my connection to Amsterdam will be cancelled, and for absolute sure my luggage will be nowhere to be found. There are thousands of people stranded at the airport so there won't be a hotel room to be had.
Arranging the itinerary through to Jakarta was a nightmare, and now it's out the window and will have to be rebooked, along with hotels in Brussels and Jakarta and the flight from Jakarta to Banda Aceh.
I am all packed and am SO ready to leave here, and am very bummed that I will be stuck here for longer than I was supposed to be!!
Arranging the itinerary through to Jakarta was a nightmare, and now it's out the window and will have to be rebooked, along with hotels in Brussels and Jakarta and the flight from Jakarta to Banda Aceh.
I am all packed and am SO ready to leave here, and am very bummed that I will be stuck here for longer than I was supposed to be!!
Sunday, August 10, 2008
Leaving Liberia!
Wednesday is my last day in Liberia. While I’ve enjoyed working with the team here there are many things that I can’t say I’ll miss. While the strange generator schedule (on till 2am every night but off all day Saturday), bad (and expensive) food, nearly continuous rain and horrid roads are on this list, the thing I’m happy to be leaving behind the most is the Ministry of Health. These guys take the corruption cake, down to the last crumb. Trying to work with this incompetent, lying bunch of crooks and fools has been infuriating, ridiculous and sad.
There is a lot of humanitarian and development money coming in to Liberia, and everyone, especially the government, is trying to get their fingers in the pie. Unfortunately when the money goes to the government, it is more likely to disappear into someone’s pockets than go to benefit the people it was intended for. Everyone here talks the talk about “building local capacity” and says nice things at meetings when the government is in attendance like “partnerships” and “joint implementation strategy” but underneath the façade of a desire to involve locals in improving the country and behind closed doors, many NGOs express extreme frustration with working with government. Everyone is competing for development dollars including the government and local NGOs. The competition can get ugly. We NGOs are accountable to our donors and demonstrating that we spent their money responsibly. We are also required to work with the government. Unfortunately having two bosses can lead to problems, particularly when one of them is more interested in lining their pockets than helping their people.
I’ve spent a great deal of time since I’ve been here working on sorting out a fiasco with a mosquito net distribution. Few people understand the problems involved in distributing these items, which at $5 each are a valuable commodity. Unless a distribution is done correctly (including physically removing the net from the package and hanging it in the recipient’s house), the nets will be on the market within 5 minutes of being given out. I can understand why, $5 will buy a lot of food, and if people don’t see the benefit of the net (perhaps because they don’t know that mosquitoes transmit malaria) then they are likely to sell it, use it for a fishing net or a wedding dress (we’ve seen all sorts of original uses for mosquito nets). A bigger problem is large-scale theft of thousands of nets during the distribution. Unless properly supervised there is a huge risk of large quantities of nets disappearing. The problem is, who do you trust to do the supervision? How do you get enough trustworthy people to carry out such a massive operation in remote areas with little access?
The methods of theft are very creative, and can happen at all levels. Forged documents, faked signatures, lying government officials and stealing staff all play a part. I can’t get into the specifics because of the political implications, but a large quantity of nets from a recent distribution of nets purchased by a European government have turned up on markets in neighboring countries. There will be huge political fallout from this and there were several local and international NGOs involved. The Ministry of Health insisted that the NGOs use local people including local Ministry staff for the distributions. Guess what, nobody can account for all of the nets they were given! The Ministry is doing its best to discredit the international NGOs while not criticizing the local NGOs involved in the process (and a key figure at the Ministry has his own local NGO that was awarded a contract to do the distributions – can you say conflict of interest?) so that they can get the contracts for future distributions. The Minister of Health and the ambassador for this country is involved.
Every time I go to a meeting the government people tell us international NGOs that we are here working for them. However, as I said, we are accountable to our donors, not to the government. The government is trying to convince donors to give money directly to them instead of to NGOs. They want to be in charge of money and programming but they are so utterly incompetent that donors will never fund them directly.
I went to a meeting on Friday at the National Disaster Management Commission. There has been huge flooding in Monrovia and the NDMC wants to do an assessment of the scope of the problem. We have the capacity to do indoor spraying to help prevent malaria so I went to the meeting to see what they planned to do for this “assessment”.
They spent the first hour arguing about how to conduct the meeting and who was going to be in charge of what. I thought I was going to lose my mind. I brought up the point of what exactly are we going to assess? Nobody could answer that. Do we want to count the population affected? How do we do this? Do we want to do a survey of how many people are sick? How do we do this? They had absolutely no clue as to what to do. They have no vehicles, no camera, no fuel, and clearly no technical skills to carry out any type of meaningful assessment. Every time I tried to bring up a point I was shut down by the Ministry of Health representative, who clearly did not want to hear any criticism or suggestions for how to carry out the work. So I decided to keep quiet and never attend another meeting. There is little point being involved in such a useless activity, especially if they don’t want to listen to and learn how to do it right. The guy listened to all of the input from the Liberians, but would hear nothing from me.
I was warned about the hostility towards international organizations and staff, and every time I go to a meeting I see it. The Liberians certainly don’t want anyone telling them how to run their affairs, even if they are totally incompetent. Fair enough, but then in the next breath they are asking us for money and support. You can’t have your cake and eat it too!
Here’s another example. We have been trying to set up a sentinel surveillance system for malaria in the country. This is a simple reporting mechanism where a few facilities are chosen and people trained to report on malaria incidence to monitor trends and watch out for epidemics. Obviously we have to work with the Ministry of Health on this. However, they have made ridiculous demands like we need to buy them vehicles, provide fuel, computers, and per diems (oh my god the omnipresent demand for per diems to do anything, I’m so sick of it!!), none of which are necessary to develop this system. There is no money in the budget for any of this. They have ground the discussions to a halt over these demands. Greedy, greedy, greedy. Who cares about helping people? I want a new Landcruiser!
So many of you are probably asking why I continue with this work with this level of frustration. Believe me there are days when I ask the same question of myself. However there are other days when things go well with my own staff, when I get to teach someone something new, or I learn something new that make it worthwhile. Of course the ultimate goal is to reduce human misery and suffering, but on a day to day basis you never get to see this happen. You have to take your victories when they come, because they are few and far between!
I’m sure that it is much the same in Indonesia, but at least I’ll be in a much nicer setting, with beautiful beaches, good food and plenty of things to do outside of work! Unfortunately it is going to take me 3 days to get there!! I overnight from here to Brussels, 12 hour wait in Brussels, go to Amsterdam, then 15 hours to Jakarta, overnight in Jakarta, then on to Aceh. What a nightmare!
There is a lot of humanitarian and development money coming in to Liberia, and everyone, especially the government, is trying to get their fingers in the pie. Unfortunately when the money goes to the government, it is more likely to disappear into someone’s pockets than go to benefit the people it was intended for. Everyone here talks the talk about “building local capacity” and says nice things at meetings when the government is in attendance like “partnerships” and “joint implementation strategy” but underneath the façade of a desire to involve locals in improving the country and behind closed doors, many NGOs express extreme frustration with working with government. Everyone is competing for development dollars including the government and local NGOs. The competition can get ugly. We NGOs are accountable to our donors and demonstrating that we spent their money responsibly. We are also required to work with the government. Unfortunately having two bosses can lead to problems, particularly when one of them is more interested in lining their pockets than helping their people.
I’ve spent a great deal of time since I’ve been here working on sorting out a fiasco with a mosquito net distribution. Few people understand the problems involved in distributing these items, which at $5 each are a valuable commodity. Unless a distribution is done correctly (including physically removing the net from the package and hanging it in the recipient’s house), the nets will be on the market within 5 minutes of being given out. I can understand why, $5 will buy a lot of food, and if people don’t see the benefit of the net (perhaps because they don’t know that mosquitoes transmit malaria) then they are likely to sell it, use it for a fishing net or a wedding dress (we’ve seen all sorts of original uses for mosquito nets). A bigger problem is large-scale theft of thousands of nets during the distribution. Unless properly supervised there is a huge risk of large quantities of nets disappearing. The problem is, who do you trust to do the supervision? How do you get enough trustworthy people to carry out such a massive operation in remote areas with little access?
The methods of theft are very creative, and can happen at all levels. Forged documents, faked signatures, lying government officials and stealing staff all play a part. I can’t get into the specifics because of the political implications, but a large quantity of nets from a recent distribution of nets purchased by a European government have turned up on markets in neighboring countries. There will be huge political fallout from this and there were several local and international NGOs involved. The Ministry of Health insisted that the NGOs use local people including local Ministry staff for the distributions. Guess what, nobody can account for all of the nets they were given! The Ministry is doing its best to discredit the international NGOs while not criticizing the local NGOs involved in the process (and a key figure at the Ministry has his own local NGO that was awarded a contract to do the distributions – can you say conflict of interest?) so that they can get the contracts for future distributions. The Minister of Health and the ambassador for this country is involved.
Every time I go to a meeting the government people tell us international NGOs that we are here working for them. However, as I said, we are accountable to our donors, not to the government. The government is trying to convince donors to give money directly to them instead of to NGOs. They want to be in charge of money and programming but they are so utterly incompetent that donors will never fund them directly.
I went to a meeting on Friday at the National Disaster Management Commission. There has been huge flooding in Monrovia and the NDMC wants to do an assessment of the scope of the problem. We have the capacity to do indoor spraying to help prevent malaria so I went to the meeting to see what they planned to do for this “assessment”.
They spent the first hour arguing about how to conduct the meeting and who was going to be in charge of what. I thought I was going to lose my mind. I brought up the point of what exactly are we going to assess? Nobody could answer that. Do we want to count the population affected? How do we do this? Do we want to do a survey of how many people are sick? How do we do this? They had absolutely no clue as to what to do. They have no vehicles, no camera, no fuel, and clearly no technical skills to carry out any type of meaningful assessment. Every time I tried to bring up a point I was shut down by the Ministry of Health representative, who clearly did not want to hear any criticism or suggestions for how to carry out the work. So I decided to keep quiet and never attend another meeting. There is little point being involved in such a useless activity, especially if they don’t want to listen to and learn how to do it right. The guy listened to all of the input from the Liberians, but would hear nothing from me.
I was warned about the hostility towards international organizations and staff, and every time I go to a meeting I see it. The Liberians certainly don’t want anyone telling them how to run their affairs, even if they are totally incompetent. Fair enough, but then in the next breath they are asking us for money and support. You can’t have your cake and eat it too!
Here’s another example. We have been trying to set up a sentinel surveillance system for malaria in the country. This is a simple reporting mechanism where a few facilities are chosen and people trained to report on malaria incidence to monitor trends and watch out for epidemics. Obviously we have to work with the Ministry of Health on this. However, they have made ridiculous demands like we need to buy them vehicles, provide fuel, computers, and per diems (oh my god the omnipresent demand for per diems to do anything, I’m so sick of it!!), none of which are necessary to develop this system. There is no money in the budget for any of this. They have ground the discussions to a halt over these demands. Greedy, greedy, greedy. Who cares about helping people? I want a new Landcruiser!
So many of you are probably asking why I continue with this work with this level of frustration. Believe me there are days when I ask the same question of myself. However there are other days when things go well with my own staff, when I get to teach someone something new, or I learn something new that make it worthwhile. Of course the ultimate goal is to reduce human misery and suffering, but on a day to day basis you never get to see this happen. You have to take your victories when they come, because they are few and far between!
I’m sure that it is much the same in Indonesia, but at least I’ll be in a much nicer setting, with beautiful beaches, good food and plenty of things to do outside of work! Unfortunately it is going to take me 3 days to get there!! I overnight from here to Brussels, 12 hour wait in Brussels, go to Amsterdam, then 15 hours to Jakarta, overnight in Jakarta, then on to Aceh. What a nightmare!
Wednesday, July 30, 2008
Liberian English
I’ve been in a lot of African countries and heard a lot of different accents, but I have never, ever heard anything as incomprehensible as the English spoken here. The driver who greeted me at the airport when I arrived seemed to be speaking in some foreign language, of which a few words resembled English. I thought perhaps he had difficulties with English, and surely other people would speak in a more understandable manner…I was dead wrong.
I’m getting better at understanding it but it is still a struggle with some people. To my ear it sounds like Elmer Fudd speaking Chinese, with a Jamaican accent. It’s the strangest thing I’ve ever heard. The words in a sentence seem to blend together, and there doesn’t seem to be any hard consonants like r or t in the dialect.
Here are some samples:
Where’s Oscar = whe-o-sa
How are you today = ha-u-deh
Close the door = clo-do
You want to go to the supermarket? = yu-a-go-sua-maka?
So every day I struggle with trying to understand what people are saying. In the worst cases I’ve given up, and just smile and nod. One of the drivers, Cassel, a dear young guy who drives in the evenings and usually is the one who delivers me to the gym and home after work, has become very friendly and very chatty with me. Honest to god I have not the faintest idea what he is saying. I usually have some clues because the conversations usually revolve around something we’ve seen on the streets as we move through Monvrovia, but the details of what he says escape me completely.
The worst part is, which I found out a couple of days ago, is that the Liberians have trouble understanding me!!! I was absolutely astonished. Here I thought I was speaking so clearly, when I’m in Africa I’m careful to enunciate every word clearly and slow down the cadence of my speech, which has always worked in other countries. Unfortunately it seems that this approach is ineffective here. Apparently I need to start slurring my words and drop the rs and ts. As always in Africa, people are too polite to tell me that they don’t understand what I’m saying. This results in things not getting done that I’ve asked for. It seems people would rather risk not doing their job correctly than tell me they don’t understand what I’m saying.
There’s a whole lot of nodding and smiling going on in Liberia!
I’m getting better at understanding it but it is still a struggle with some people. To my ear it sounds like Elmer Fudd speaking Chinese, with a Jamaican accent. It’s the strangest thing I’ve ever heard. The words in a sentence seem to blend together, and there doesn’t seem to be any hard consonants like r or t in the dialect.
Here are some samples:
Where’s Oscar = whe-o-sa
How are you today = ha-u-deh
Close the door = clo-do
You want to go to the supermarket? = yu-a-go-sua-maka?
So every day I struggle with trying to understand what people are saying. In the worst cases I’ve given up, and just smile and nod. One of the drivers, Cassel, a dear young guy who drives in the evenings and usually is the one who delivers me to the gym and home after work, has become very friendly and very chatty with me. Honest to god I have not the faintest idea what he is saying. I usually have some clues because the conversations usually revolve around something we’ve seen on the streets as we move through Monvrovia, but the details of what he says escape me completely.
The worst part is, which I found out a couple of days ago, is that the Liberians have trouble understanding me!!! I was absolutely astonished. Here I thought I was speaking so clearly, when I’m in Africa I’m careful to enunciate every word clearly and slow down the cadence of my speech, which has always worked in other countries. Unfortunately it seems that this approach is ineffective here. Apparently I need to start slurring my words and drop the rs and ts. As always in Africa, people are too polite to tell me that they don’t understand what I’m saying. This results in things not getting done that I’ve asked for. It seems people would rather risk not doing their job correctly than tell me they don’t understand what I’m saying.
There’s a whole lot of nodding and smiling going on in Liberia!
Sunday, July 27, 2008
Boring Sunday
After 2 weeks in Liberia I have a bit more sense of what I need to accomplish while I’m here, as well as some of the challenges that the programme faces in getting work done. The programme here has been funded by several grants over the past few years, and at the moment most of these are in the final stage or finished while new grants come online. I’m still trying to figure out how all the various bits and pieces of funding fit together to run the programme. We get funding from the European Commission on Humanitarian Affairs, The President’s Malaria Initiative (PMI), as well as several other smaller organizations. The process of writing grants is a never ending one in the humanitarian world and the competition for funding is intense, but it is what keeps programmes operating. It is a complex process and every donor has their own set of rules for reporting, monitoring and evaluating that must be followed. USAID (through PMI) is particularly stringent in its requirements. It takes a lot of work to keep up with reports and accounting, especially when you are running from several grants from different donors.
Working with the Ministry of Health (MoH) and the national malaria control programme is an art in itself. While the government wants the Aid Brigade and its accompanying funding here to do the work that they don’t have the capacity to do, there is tension between the government and the “implementing partners” doing the work that the donors pay for like MENTOR. The government would rather have all that money going directly into their coffers so they can control it, and the fact that it doesn’t creates some resentment.
I feel bad for the MoH, they really do have no money. I was at a meeting this week for disease surveillance and the big news was a spike in cholera in Monrovia because of flooding. The guy handed out a list of the things they need to control it: chlorine for disinfecting wells, buckets, jerry cans, soap for distribution so people can wash their hands, etc. The only thing on the list they actually had was the chlorine, that had been donated by some agency. They don’t have any way to move around Monrovia – the MoH has no vehicles and no fuel. So they appealed to all of the various NGOs at the meeting but all of us have strict programme requirements that we must use our own funding for so are not in a position to donate to this effort.
The problem is that if they do get money it is often misused. Inevitably money is sucked into someone’s pockets. Shell NGOs are formed on paper and programmes never implemented once the money is received and the money can’t be accounted for. Mosquito nets and drugs meant for distribution never make it to the people who need them and are sold on the market. This is not only an MoH problem, but can happen with the staff of any NGO. Items like drugs and nets are valuable, and I’ve seen some of the most clever plots to steal things. Every NGO that deals with items of value has strict inventory and delivery procedures in place but the best planned distribution system can still be breached…signatures can be forged, fakes substituted, and pockets are lined. If people put half as much energy into doing their job as they did into how to steal and make a few bucks on the side we’d have malaria under control by now.
It’s a perennial problem and one that is unlikely to go away while people are so poor. A $5 mosquito net (never mind a truckload of them) is a lot of money to someone who works for the government and gets paid $100 a month.
Davies and I went to the “beach” yesterday. I have to say I was rather disappointed….it was a 50-yard stretch of sand about 6 feet wide (I don’t know if it was high tide or not) with a few plastic tables and chairs and a small restaurant Walking beyond this area is considered unsafe so that is the extent of the beach. The waves were big and I’m too scared to go in the ocean so I sat and read. I guess it beats sitting in the apartment and reading. Then it clouded up and looked like rain so we left.
Someone who worked at the restaurant and lives nearby has a baby chimp. I was shocked. I guess coming from East Africa that has such strong conservation laws that are actually enforced I was floored to see a baby chimp in a cage when I walked in. She was adorable though!! The woman who owns it took her out of her cage and I got to hold her. Very cute now but in about 10 years when she’s the size of a large man she won’t be so cute anymore. Like I mentioned earlier they eat chimps here. That’s totally disturbing especially seeing how humanlike this one was. I think this country has a long ways to go in terms of protecting wildlife or their habitats. From what I understand they are cutting down the rainforest at a record pace. The bushmeat at the market last weekend tells me they are clearing the animals out of whatever forest is left as well.
The beach was my big excitement for the week, otherwise I went to the gym every day after work, came home, ate supper and went to bed. Today I’m reading and doing a bit of work. Very boring. However, I’m feeling more rested than I have in a long time..strange to have to come to Liberia to feel rested, but the last few weeks before I left home were so busy and stressful, and now that I’m here and have nothing to do I’m forced to relax. It’s weird to not have a million things to be done! I have no idea if the pace of work in Indonesia (where I’ll be in 3 weeks) is anything like this 9-to-5 gig here, but that would be nice!
Working with the Ministry of Health (MoH) and the national malaria control programme is an art in itself. While the government wants the Aid Brigade and its accompanying funding here to do the work that they don’t have the capacity to do, there is tension between the government and the “implementing partners” doing the work that the donors pay for like MENTOR. The government would rather have all that money going directly into their coffers so they can control it, and the fact that it doesn’t creates some resentment.
I feel bad for the MoH, they really do have no money. I was at a meeting this week for disease surveillance and the big news was a spike in cholera in Monrovia because of flooding. The guy handed out a list of the things they need to control it: chlorine for disinfecting wells, buckets, jerry cans, soap for distribution so people can wash their hands, etc. The only thing on the list they actually had was the chlorine, that had been donated by some agency. They don’t have any way to move around Monrovia – the MoH has no vehicles and no fuel. So they appealed to all of the various NGOs at the meeting but all of us have strict programme requirements that we must use our own funding for so are not in a position to donate to this effort.
The problem is that if they do get money it is often misused. Inevitably money is sucked into someone’s pockets. Shell NGOs are formed on paper and programmes never implemented once the money is received and the money can’t be accounted for. Mosquito nets and drugs meant for distribution never make it to the people who need them and are sold on the market. This is not only an MoH problem, but can happen with the staff of any NGO. Items like drugs and nets are valuable, and I’ve seen some of the most clever plots to steal things. Every NGO that deals with items of value has strict inventory and delivery procedures in place but the best planned distribution system can still be breached…signatures can be forged, fakes substituted, and pockets are lined. If people put half as much energy into doing their job as they did into how to steal and make a few bucks on the side we’d have malaria under control by now.
It’s a perennial problem and one that is unlikely to go away while people are so poor. A $5 mosquito net (never mind a truckload of them) is a lot of money to someone who works for the government and gets paid $100 a month.
Davies and I went to the “beach” yesterday. I have to say I was rather disappointed….it was a 50-yard stretch of sand about 6 feet wide (I don’t know if it was high tide or not) with a few plastic tables and chairs and a small restaurant Walking beyond this area is considered unsafe so that is the extent of the beach. The waves were big and I’m too scared to go in the ocean so I sat and read. I guess it beats sitting in the apartment and reading. Then it clouded up and looked like rain so we left.
Someone who worked at the restaurant and lives nearby has a baby chimp. I was shocked. I guess coming from East Africa that has such strong conservation laws that are actually enforced I was floored to see a baby chimp in a cage when I walked in. She was adorable though!! The woman who owns it took her out of her cage and I got to hold her. Very cute now but in about 10 years when she’s the size of a large man she won’t be so cute anymore. Like I mentioned earlier they eat chimps here. That’s totally disturbing especially seeing how humanlike this one was. I think this country has a long ways to go in terms of protecting wildlife or their habitats. From what I understand they are cutting down the rainforest at a record pace. The bushmeat at the market last weekend tells me they are clearing the animals out of whatever forest is left as well.
The beach was my big excitement for the week, otherwise I went to the gym every day after work, came home, ate supper and went to bed. Today I’m reading and doing a bit of work. Very boring. However, I’m feeling more rested than I have in a long time..strange to have to come to Liberia to feel rested, but the last few weeks before I left home were so busy and stressful, and now that I’m here and have nothing to do I’m forced to relax. It’s weird to not have a million things to be done! I have no idea if the pace of work in Indonesia (where I’ll be in 3 weeks) is anything like this 9-to-5 gig here, but that would be nice!
Sunday, July 20, 2008
Oh the Horror!
I couldn’t get on the internet all day yesterday, don’t know why, it said it was connected but couldn’t get on...i'm using the next door neighbor's network (without asking) so couldn't very well just go over and ask what the problem was. Also no power from 10am to 4pm. Apparently the generator runs but the agreement that MENTOR has (you pay more rent for more generator time) didn't include Saturday morning/afternoon. Davies and I want to renegotiate that. It was on till 2am on Friday and we don't need it then! Also in case you are wondering about running water we do have it, even though there is no functional water system in the city. Every building and house has multiple 1000L water tanks on their roofs that tanker trucks come and fill at some interval.
I was going to go to the beach yesterday but Davies said not to go by myself, and it turns out that the "safe" ie expat beaches are quite a ways away so I didn't bother. I went to the local market to see what I could find, I was hoping to get some tomatoes and other veggies. Oh my god it was like being in a horror movie. It was nasty. It's a big, dirty indoor market full of stalls, pretty typically African except everyone was selling the same few items...hot peppers, onions, potatoes, and tiny little plastic bags full of what I presume to be spices...maybe a teaspoon in each bag. Then they had plastic bottles full of some sort of red liquid, maybe hot pepper sauce (they like their food hot here). That was on the bottom floor. I went upstairs, and the smell hit me about halfway up - fish. Gross. But the worst was what I saw at the top of the stairs...piles of bushmeat on the first table. Cut up monkeys and little antelopes. People eat monkeys here!!! I actually knew this but thought the trade was a bit more illicit than in the open market. Little humanlike hands piled up on the table. Tiny little antelope hooves and fur. I almost heaved. The driver told me they eat chimpanzees in some parts of the country. People prefer bushmeat to beef etc even though its more expensive than farmed meat! I'm just sick. I understand why and am trying to be culturally sensitive, but I would have preferred to not have seen it. I'm still disturbed.
After that, I went to the supermarket for another horror- the expense of buying food here. I went to a different shop this time, and this one had about 10 times the stuff in it, but it was even more expensive than the first one. A container of Folger's coffee just like what I get at home for 5 bucks was 25 dollars!!! Ham is $15 a pound, turkey $17. a box of Rice Krispies is $7. Premium Plus crackers - $5 a box. Kraft parmesan cheese - $8. I ended up buying milk, some pasta, 4 cans of diet pepsi, a jar of peanut butter, two tins of green beans, and two tins of tuna, for $25. My In Country Living Allowance is not going to go far. In Kenya I lived for 2 weeks on $25! There is no food production to speak of locally so everything is imported - and it must be flown in. Of course the local businessmen are totally exploiting the expats, many of whom do get paid enough that $10 cheese slices are not a big deal, but many of us do not get paid that well! I thik I'll be eating a lot of pasta. I had pasta mixed with a tin of tuna and a tin of green beans for supper on Friday and lunch on Saturday. Pasta with Ragu last night. No idea what I'll do tonight but I suspect pasta with Ragu.
I also went and checked out a nice new hotel that expats frequent. I had a look at the menu - same as the other restaurant I've been to - $27 for a steak, $10 for a salad, $10 for a hamburger. Eating out is going to be infrequent if it happens at all.
So today (Sunday) I’m sitting in the apartment doing some work and killing time. Maybe I’ll watch another bootleg DVD. I watched the new Raiders of the Lost Ark last night, complete with the silhouettes of people getting up out of their seats at the movie theatre where it was videotaped off the screen. It seemed good, but I couldn’t see half of it because the quality was so poor. I guess I’ve learned to wait until the movie is actually out on DVD “for real” before I buy a bootleg copy. For 5 bucks I got Raiders plus seven or eight other movies, nothing special but will kill time.
This job seems to be pretty much 9 to 5 Monday to Friday. Definitely not what I was expecting after working in Kenya, which was 12 hour days 7 days a week. I don’t quite know what to do with myself with all this time, especially given that I don’t know a single soul in the country besides Davies, and he is in his room when he’s at home. I don’t have to go to the field, and I don’t have to do any finance, or HR, or any other administrative stuff. There are staff that do all of that. I feel like a bit of a warm body waiting in case someone has a question about malaria. At least I found a gym and I can kill a couple of hours a day there, and when there is power and internet I can waste time like no one’s business.
I went to a meeting at the UN this week, a mind-boggling hour of acronyms meant to help NGOs coordinate with each other (mostly on security issues). There were a couple of presentations about the food crisis and its impact on Liberia. It was depressing.
I was going to go to the beach yesterday but Davies said not to go by myself, and it turns out that the "safe" ie expat beaches are quite a ways away so I didn't bother. I went to the local market to see what I could find, I was hoping to get some tomatoes and other veggies. Oh my god it was like being in a horror movie. It was nasty. It's a big, dirty indoor market full of stalls, pretty typically African except everyone was selling the same few items...hot peppers, onions, potatoes, and tiny little plastic bags full of what I presume to be spices...maybe a teaspoon in each bag. Then they had plastic bottles full of some sort of red liquid, maybe hot pepper sauce (they like their food hot here). That was on the bottom floor. I went upstairs, and the smell hit me about halfway up - fish. Gross. But the worst was what I saw at the top of the stairs...piles of bushmeat on the first table. Cut up monkeys and little antelopes. People eat monkeys here!!! I actually knew this but thought the trade was a bit more illicit than in the open market. Little humanlike hands piled up on the table. Tiny little antelope hooves and fur. I almost heaved. The driver told me they eat chimpanzees in some parts of the country. People prefer bushmeat to beef etc even though its more expensive than farmed meat! I'm just sick. I understand why and am trying to be culturally sensitive, but I would have preferred to not have seen it. I'm still disturbed.
After that, I went to the supermarket for another horror- the expense of buying food here. I went to a different shop this time, and this one had about 10 times the stuff in it, but it was even more expensive than the first one. A container of Folger's coffee just like what I get at home for 5 bucks was 25 dollars!!! Ham is $15 a pound, turkey $17. a box of Rice Krispies is $7. Premium Plus crackers - $5 a box. Kraft parmesan cheese - $8. I ended up buying milk, some pasta, 4 cans of diet pepsi, a jar of peanut butter, two tins of green beans, and two tins of tuna, for $25. My In Country Living Allowance is not going to go far. In Kenya I lived for 2 weeks on $25! There is no food production to speak of locally so everything is imported - and it must be flown in. Of course the local businessmen are totally exploiting the expats, many of whom do get paid enough that $10 cheese slices are not a big deal, but many of us do not get paid that well! I thik I'll be eating a lot of pasta. I had pasta mixed with a tin of tuna and a tin of green beans for supper on Friday and lunch on Saturday. Pasta with Ragu last night. No idea what I'll do tonight but I suspect pasta with Ragu.
I also went and checked out a nice new hotel that expats frequent. I had a look at the menu - same as the other restaurant I've been to - $27 for a steak, $10 for a salad, $10 for a hamburger. Eating out is going to be infrequent if it happens at all.
So today (Sunday) I’m sitting in the apartment doing some work and killing time. Maybe I’ll watch another bootleg DVD. I watched the new Raiders of the Lost Ark last night, complete with the silhouettes of people getting up out of their seats at the movie theatre where it was videotaped off the screen. It seemed good, but I couldn’t see half of it because the quality was so poor. I guess I’ve learned to wait until the movie is actually out on DVD “for real” before I buy a bootleg copy. For 5 bucks I got Raiders plus seven or eight other movies, nothing special but will kill time.
This job seems to be pretty much 9 to 5 Monday to Friday. Definitely not what I was expecting after working in Kenya, which was 12 hour days 7 days a week. I don’t quite know what to do with myself with all this time, especially given that I don’t know a single soul in the country besides Davies, and he is in his room when he’s at home. I don’t have to go to the field, and I don’t have to do any finance, or HR, or any other administrative stuff. There are staff that do all of that. I feel like a bit of a warm body waiting in case someone has a question about malaria. At least I found a gym and I can kill a couple of hours a day there, and when there is power and internet I can waste time like no one’s business.
I went to a meeting at the UN this week, a mind-boggling hour of acronyms meant to help NGOs coordinate with each other (mostly on security issues). There were a couple of presentations about the food crisis and its impact on Liberia. It was depressing.
- the GDP is 40% of what it was before the war
- Liberia imports 50% of its food
- 92% of exports are a single commodity - rubber - making the country extremely vulnerable to price fluctuations
- 2/3 of its rice (the staple food) are imported (in urban areas 90%) and the price has more than doubled in the past year
- to make rice more affordable (and under pressure from the World Trade Organization) the government dropped its $2 per sack import tax. This was great for consumers, but a disaster for the government...it lost $6M in revenues, which is HALF of the health budget for the year (which is also depressing because for only $12M some rich person could pay for health for all Liberians instead of buying a new mansion)
- 56% of the rural and 29% of the urban population live in "extreme poverty" (less than $1 a day income
- 40% of children under 5 are chronically malnourished
So, here we are trying to do our best to help what seems a hopeless situation...I guess I shouldn't complain too much about the price of coffee and ham when most families can't afford a cup of rice.
Here are a few more pictures of lovely Monrovia:
abandoned construction site
Wednesday, July 16, 2008
Welcome to Liberia!
Arrived in Monrovia on Sunday afternoon after an excruciating flight – I really wish I could sleep on a plane but somehow being having to sit upright and listen to jet engines gets in the way of that for me – despite my brand new fancy blow up pillow.
As the plane flew in, I saw the signs of the Aid Brigade in full force – huge UN compound with the standard white “UN” marked goods: 15-20 helicopters, transport planes, and dozens of new landcruisers lined up neatly. Clearly they have a huge presence here, as evidenced by the large blue and white UNMIL (UN Mission in Liberia) building in Monrovia and every other car on the road being UN. Soldiers of all nationalities everywhere – incuding Americans, apparently they have the contract to retrain and reintegrate the Liberian. Blue berets in equal numbers. Everyone is working hard to maintain the peace that this country has finally found after 20 horrific years. And getting their hands in the huge pot of development money that’s flowing in to this country. Not that I’m cynical or anything.
The landscape is heavily forested, the only difference between here and, say, western Uganda is the palm trees everywhere. And water. Everywhere. It is rainy season here and they’re not kidding – it has been raining about 80% of the time I’ve been here so far. It rained all day yesterday and today. Nonstop.
The place is in a shambles, but to be honest not quite as bad as I expected so recently after the war. The usual African story – potholed roads, streets lined with little ramshackle huts selling various bits and pieces, total chaos. Not so different from anywhere else I’ve been in Africa. There are several large buildings whose construction was obviously abandoned during the war in downtown (see pictures). Monrovia is, however, one of the ugliest cities I’ve ever been in. And that’s not just because of the war, it had to be ugly before (again, see pictures).
There is no electricity grid in the entire country. Yes I’ll say that again, there is no electricity in the entire country. There was hydro power before the war but it all got blown up and the wires were stripped and sold. If you have power you are on a generator. That is the constant background noise in the city, generators. The generator for my building is right outside my window and runs from 7am to 9am then 5pm till midnight during the week, and apparently it is on Saturday afternoons and all day Sunday. There is also no running water in the country. Can you imagine? A city the size of Monrovia, 1.2 million people, and no running water. I imagine cholera etc are rampant.
There are many beggars on the streets missing limbs, presumably from the war. These guys are very aggressive and they congregate at the shops where expats shop.
Roads are nonexistent in most of the country as well. Programmes that work upcountry basically have to shut down in the rainy season because the “roads” (dirt tracks) become impassable. Delivering health care services to these areas is a major challenge. How do you keep vaccines cold? How do you keep records? It’s a nightmare. Large parts of the country are basically in the stone age.
The MENTOR staff house is a nice apartment that I share with Davies, a Kenyan guy who’s been with MENTOR for quite a while, he is a good guy, in his late ‘40s. We went out for a beer last night and had a nice chat, he’s been working for NGOs all over Africa for a long time so has lots of stories. I have a big room and a bathroom to myself, with HOT WATER – I know, it’s too much luxury – and there is a cook/cleaner who cooks lunch/dinner and does the washing and ironing. We come home for lunch every day (another luxury – in Kenya I didn’t have time and it was logistically impossible to eat lunches). He keeps to himself a lot at home, which is a bit disconcerting but better than being annoying I guess. We have a TV, unfortunately there is only 1 channel, Liberian National TV, and it seems to mostly play poorly made local music videos. Although I did manage to catch an episode of “Touched By An Angel” the other night. We do have a DVD player and I’ve already checked out the assortment of bootlegs available on the street, I believe I’ll buy the new Indiana Jones movie (and I mean the one still in theatres) for the $5 asking price and watch that this weekend.
I went and checked out a gym after work today and I think I’ll pay the extortionate fee to join, there are 12 treadmills and lots of equipment so it will be worth it (and for what I'm paying I'll have incentive to haul my ass to the gym every night). I think I’ll have time and energy to work out here so that will be a bonus. In fact I brought home some work tonight and Davies told me not to! Don’t bring work home, he said, home is home and work is work. I have a hard time with that concept, work was 24/7 in Kenya! I won’t complain though, it will be nice to finish a mission with my health, hair and sanity intact!
The programme here is huge, the office is enormous and they have 8 or 10 vehicles (haven’t had a chance to count them all). Very well equipped and since it’s been running since 2004 everything is well organized and I don’t need to worry about admin or logistics stuff or going to the bank. Basically, this is an office gig with lots of meetings. The pace seems to be MUCH less intense than Kenya was, we work 8 to 5:30 with an hour lunch break (they turn the generator off at the office between 1 and 2 so we have to go for lunch!)
IT IS INCREDIBLY EXPENSIVE HERE!!! I was warned about this but I’m still shocked. The businessmen (apparently mostly Lebanese) are taking full advantage of the Aid Brigade and their per diems, particularly the UN people who make absurd amounts of money, so $10 for a bottle of salad dressing is no big deal for them. That’s right, $10. I bought some cheese slices, cereal, bread, crackers, 5 tins of tuna, and some coffee, and it was $54!!! I looked at the menu at the restaurant Davies and I went to last night, $10 for a salad, $27 for a steak, $15 for pasta and pizza. We had three beers between us and it was $14. I guess I’ll be eating at home every night, that suits me just fine. We get a $17 per diem, which was great in Kenya as I probably only spent $2 a day on food!
I spent the first two days here at a conference, discussion of Liberia’s health system – progress and future directions. It was depressing. 80% unemployment. Maternal and child mortality among the highest in the world. Average male life expectancy 43 years. 40% literacy rate (lower for females). 70% of the population live on less than $1 per day. They are doing their best to try and improve, but of the estimated 154 million dollars needed to provide the Basic Package of Health Services (and it is very basic – immunizations, antibiotics, maternal care, malaria treatment) the Liberian government only has the revenue to contribute $10 million. Per capita annual spending on health care is less than $5. They are relying on donor financing to fill the gap, but the country is now in transition from humanitarian emergency to development and these are really two completely different ballgames with two sets of funding critera, different donors, different NGOs, etc.
As the plane flew in, I saw the signs of the Aid Brigade in full force – huge UN compound with the standard white “UN” marked goods: 15-20 helicopters, transport planes, and dozens of new landcruisers lined up neatly. Clearly they have a huge presence here, as evidenced by the large blue and white UNMIL (UN Mission in Liberia) building in Monrovia and every other car on the road being UN. Soldiers of all nationalities everywhere – incuding Americans, apparently they have the contract to retrain and reintegrate the Liberian. Blue berets in equal numbers. Everyone is working hard to maintain the peace that this country has finally found after 20 horrific years. And getting their hands in the huge pot of development money that’s flowing in to this country. Not that I’m cynical or anything.
The landscape is heavily forested, the only difference between here and, say, western Uganda is the palm trees everywhere. And water. Everywhere. It is rainy season here and they’re not kidding – it has been raining about 80% of the time I’ve been here so far. It rained all day yesterday and today. Nonstop.
The place is in a shambles, but to be honest not quite as bad as I expected so recently after the war. The usual African story – potholed roads, streets lined with little ramshackle huts selling various bits and pieces, total chaos. Not so different from anywhere else I’ve been in Africa. There are several large buildings whose construction was obviously abandoned during the war in downtown (see pictures). Monrovia is, however, one of the ugliest cities I’ve ever been in. And that’s not just because of the war, it had to be ugly before (again, see pictures).
There is no electricity grid in the entire country. Yes I’ll say that again, there is no electricity in the entire country. There was hydro power before the war but it all got blown up and the wires were stripped and sold. If you have power you are on a generator. That is the constant background noise in the city, generators. The generator for my building is right outside my window and runs from 7am to 9am then 5pm till midnight during the week, and apparently it is on Saturday afternoons and all day Sunday. There is also no running water in the country. Can you imagine? A city the size of Monrovia, 1.2 million people, and no running water. I imagine cholera etc are rampant.
There are many beggars on the streets missing limbs, presumably from the war. These guys are very aggressive and they congregate at the shops where expats shop.
Roads are nonexistent in most of the country as well. Programmes that work upcountry basically have to shut down in the rainy season because the “roads” (dirt tracks) become impassable. Delivering health care services to these areas is a major challenge. How do you keep vaccines cold? How do you keep records? It’s a nightmare. Large parts of the country are basically in the stone age.
The MENTOR staff house is a nice apartment that I share with Davies, a Kenyan guy who’s been with MENTOR for quite a while, he is a good guy, in his late ‘40s. We went out for a beer last night and had a nice chat, he’s been working for NGOs all over Africa for a long time so has lots of stories. I have a big room and a bathroom to myself, with HOT WATER – I know, it’s too much luxury – and there is a cook/cleaner who cooks lunch/dinner and does the washing and ironing. We come home for lunch every day (another luxury – in Kenya I didn’t have time and it was logistically impossible to eat lunches). He keeps to himself a lot at home, which is a bit disconcerting but better than being annoying I guess. We have a TV, unfortunately there is only 1 channel, Liberian National TV, and it seems to mostly play poorly made local music videos. Although I did manage to catch an episode of “Touched By An Angel” the other night. We do have a DVD player and I’ve already checked out the assortment of bootlegs available on the street, I believe I’ll buy the new Indiana Jones movie (and I mean the one still in theatres) for the $5 asking price and watch that this weekend.
I went and checked out a gym after work today and I think I’ll pay the extortionate fee to join, there are 12 treadmills and lots of equipment so it will be worth it (and for what I'm paying I'll have incentive to haul my ass to the gym every night). I think I’ll have time and energy to work out here so that will be a bonus. In fact I brought home some work tonight and Davies told me not to! Don’t bring work home, he said, home is home and work is work. I have a hard time with that concept, work was 24/7 in Kenya! I won’t complain though, it will be nice to finish a mission with my health, hair and sanity intact!
The programme here is huge, the office is enormous and they have 8 or 10 vehicles (haven’t had a chance to count them all). Very well equipped and since it’s been running since 2004 everything is well organized and I don’t need to worry about admin or logistics stuff or going to the bank. Basically, this is an office gig with lots of meetings. The pace seems to be MUCH less intense than Kenya was, we work 8 to 5:30 with an hour lunch break (they turn the generator off at the office between 1 and 2 so we have to go for lunch!)
IT IS INCREDIBLY EXPENSIVE HERE!!! I was warned about this but I’m still shocked. The businessmen (apparently mostly Lebanese) are taking full advantage of the Aid Brigade and their per diems, particularly the UN people who make absurd amounts of money, so $10 for a bottle of salad dressing is no big deal for them. That’s right, $10. I bought some cheese slices, cereal, bread, crackers, 5 tins of tuna, and some coffee, and it was $54!!! I looked at the menu at the restaurant Davies and I went to last night, $10 for a salad, $27 for a steak, $15 for pasta and pizza. We had three beers between us and it was $14. I guess I’ll be eating at home every night, that suits me just fine. We get a $17 per diem, which was great in Kenya as I probably only spent $2 a day on food!
I spent the first two days here at a conference, discussion of Liberia’s health system – progress and future directions. It was depressing. 80% unemployment. Maternal and child mortality among the highest in the world. Average male life expectancy 43 years. 40% literacy rate (lower for females). 70% of the population live on less than $1 per day. They are doing their best to try and improve, but of the estimated 154 million dollars needed to provide the Basic Package of Health Services (and it is very basic – immunizations, antibiotics, maternal care, malaria treatment) the Liberian government only has the revenue to contribute $10 million. Per capita annual spending on health care is less than $5. They are relying on donor financing to fill the gap, but the country is now in transition from humanitarian emergency to development and these are really two completely different ballgames with two sets of funding critera, different donors, different NGOs, etc.
Lovely view from the apartment balcony - that's the ocean in the background, too bad about the foreground!
Internet not behaving tonight to put up more pictures so will try again tomorrow!
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