Filed under: Uncategorized | Tags: Africa, Arjun Khanna, Development, Dr. Bomji, Foundation for Sustainable Development, Iguhu Health Center, International Development, Network
I got an email from Peter the other day informing me that the network at the hospital has somehow broken and that I should try to contact them about trying to fix it. Aside from not knowing Dr. Bomji’s cell phone number off the top of my head, I also feel like there should be some kind of system in place there by which they can fix problems as they arise. In the United States, this would be an IT professional to fix bugs and maintain the functionality of the network. I tried to leave them the number and address of the cybercafe in Kakamega that I went to to contact in case there was a problem, and I’ll try to remind them of that when I contact them. But I’m trying to think of a way to keep the network up and running that might be easier for them to manage.
Filed under: Culture, Iguhu Health Center, Project: Emergency Responsiveness | Tags: Africa, Arjun Khanna, Development, Emergency Responsiveness, Foundation for Sustainable Development, Grant, Healthcare, Iguhu Health Center, International Development, Kakamega, Kenya, Sustainability
RECAP OF THE DAY: Woke up leisurely, went into town, re-stocked on peanut butter and jelly, went to the pool at Golf Hotel, hung out with everyone else, did a lot of work, realized how much I have left to do, showed everyone the database I designed using Access, everyone is duly impressed (trust me – it’s awesome), go find more bootlegged DVDs (they actually work here, so there’s limited risk involved, although once Josh bought a DVD supposedly with a bunch of Tom Cruise and Keano Reaves movies on it and it turned out to be a single season of a Spanish soap opera – not translated), matatued back, go home, work out, throat feeling a little weird so had some hot tea, worked, watched some 24, coerced the cat to come into my room to hunt down any cockroaches and eat them, more work, sleep.
REFLECTION
Only one week left! And as exciting as that is, it’s also pretty terrifying, because I have a LOT left to do. Sleep is now a low priority. I have to finish the patient wait time survey write-up, finish the training materials for the emergency responsiveness project to leave behind at the hospital, finish up the database, get the network connection working, set that up, and write a final report for FSD. Most of this must be done before Wednesday. Now you can understand why I haven’t blogged for the past week.
I’m really excited about the patient database, because it’s something that I think has great potential not only to help the hospital immediately but also for future interns to come and tweak to make even better. Aside from making reports easier to create and keep track of patient histories in a more effective way, the network will also help because it will prevent the hospital from having to purchase huge amounts of official record books from the ministry.
This project, like all of the things I’ve been doing in the last couple of weeks, is primarily designed and implemented with a “ball’s in your court” attitude. I began these projects obsessing about the community buy-in and how receptive the staff would be to using the network or retraining others in the community in emergency responsiveness. Lately, though, I’ve come to realize that my conscience is clear if I give the community all the tools and resources it needs to be able to sustain the project. I can’t control whether they choose to or not. Why should I beg them to use a computerized network? After all, it is designed to help them, not me. I feel like my moral obligation ends at setting up the network, designing an easy-to-use database, and instructing them on its use and how it can make their life easier. After that, I can rest easy knowing that I did everything I could to make their record-keeping more efficient, accurate, and useful. It’s up to them whether or not they want to use it.
As much as I’ve loved my time here, I am looking forward to going back home. This final week will hopefully provide some closure over the many ideas, projects, and realities I’ve had and faced over the past two months.
I’ll try to keep up blogging, but as you must understand my list of to-dos is extensive, so I make no promises. What I DO promise, however, is that all my generous donors will soon have a full description of exactly what their money provided to the community and how thankful the community is for these donations.
Filed under: Iguhu Health Center, Project: Emergency Responsiveness | Tags: Access, Africa, Arjun Khanna, Development, Donate, Emergency Responsiveness, Ethernet, Foundation for Sustainable Development, FSD, Healthcare, Iguhu Health Center, International Development, Kakamega, Kenya, Kenyan Ministry of Health, Kisumu, Matatu, Microsoft Access, Networking, Online Fudraising, Sustainability
First off, I want to send out a huge thank you to everyone who donated to the emergency reponsiveness project at Iguhu District Hospital. Thanks to your generosity, the project raised a total of $1,100, which is beyond my fundraising goal. This is phenomenal! I’ll be posting regularly about the progress of your funds and the project as a whole. Again, thank you so much for donating! And if you missed the fundraising end date but still want to donate to projects like mine or FSD in general, please peruse the FSD website! There are interns like me all over the world who would appreciate your donation and could implement truly sustainable change in developing communities! Your donation can truly make a difference!
RECAP OF THE DAY: Woke up, went to training, people were late, talked about trauma patients, handed out the handout, left, went home, went to Kakamega, met with the carpenter who is going to make the stretcher/backboards, saw him make one, went and got different wood because the first one I got was too weak, tested it, it looks good, Damaris is helping me get belts to fix patients down, got foam to make temporary splints, went for a run, got caught in the rain, waited forever for the matatu to leave, we had to switch matatus halfway, only problem was we transferred into a matatu that was full, I had to stand up and lean over four people, got home really late, worked on budget for meeting tomorrow morning, going to Kisumu tomorrow to check prices and buy stuff, sleep.
REFLECTION
Today was a really productive day. After training, I went into town to oversee the making of the first of six stretchers that will be given to Iguhu Hospital after the training ends. The carpenter is really professional and very good at what he does. I was pleasantly surprised by his understanding of my vague hand motions and terrible drawings – by the time I got there, he was almost done with one of them, and he took the changes I wanted to make in stride. I was even foolish enough to doubt him at one point – we had a debate over the strength of a certain piece of wood – and I was proved wrong. I can’t tell you how good it feels to leave a pretty important job with someone here and be assured that the person knows what he’s doing!
We have a meeting with Angie tomorrow morning to discuss the budget for the online fundraising. I’m thrilled to report that the project raised $1,100, which is beyond what I asked for. Thank you to everyone who donated! I’m going to make sure the money goes to life-saving equipment that is complemented with thorough training. It’s a wonderful feeling to know that so many people are willing to put so much of their own resources into developing this community with me.
Some of the money is going toward the construction of six stretchers/backboards. They’re kind of a hybrid between stretchers and backboards, so I’m thinking of pursing a patent and calling them strackboards. Unfortunately, judging from the multitude of pirated DVDs available here, I don’t think intellectual property is respected at all in Kakamega, so my patent will probably be useless. I have some pictures of their construction posted below.
I’m a little nervous about tomorrow, because I announced today that I would not be there at the training and instead have asked my co-trainer (Charles from the CCC) to handle the training. I left him with all the materials and briefed him on what should happen. I really hope the training (a) still actually happens, and (b) goes well. Given that a huge part of this project is the reproducibility of the training, it’s vital that Charles is able to effectively train his peers. I anxiously await his report on Monday.
I’m off to Kisumu tomorrow to check the prices on Ethernet cable. I need tons of it, because I want to network the five computers at Iguhu to form a patient database. I’m still trying to get a handle on Access – my “fiddling around” with it yesterday didn’t go very well – but tonight I’m just going to focus on getting my budget done and working on the textbook I’m trying to write about emergency medicine. I figure that the whole network project can’t happen if the Ethernet cable isn’t cheap enough, so I shouldn’t spend any more time trying to figure out Access until I’m certain that the network can actually happen. If it can, guess what I’m doing this weekend?
Filed under: Culture, Iguhu Health Center | Tags: Africa, African Culture, Aid, Arjun Khanna, Development, Foundation for Sustainable Development, Healthcare, HIV, Iguhu Health Center, International Development, Kakamega, Kenya, Sustainability
RECAP OF THE DAY: Woke up, went to Iguhu, day eight of training, finished up vital signs, began talking about medical patient assessment, everyone’s pretty excited about knowing how to take blood pressures and all, people thought that pupil constriction in the light was pretty cool, went home, worked out, took bath, lunch, back to work, started writing up the patient waiting time survey report, went home, cleaned room thoroughly, started packing for tomorrow’s mid-trip retreat, we leave at noon, Mama Joyce is also leaving to attend her son’s “passing out,” that doesn’t mean fainting, it means passing out of army training, I got a little concerned when she told me she was going to watch her son pass out, excited about tomorrow’s trip, sleep.
REFLECTION
With online fundraising going well (donate here!), I’m looking forward to how the project shapes up! We started medical patient assessment today, and I think it’s going pretty well. It’s exciting to see how all of the skills we have gone over so far are going to come together. Another bonus is the fact that we got all of our regulars to show up today – yesterday, for some reason, not many people came, which was kind of worrisome. I’m hoping it was because I advertised that we were doing blood pressure, and so people who already knew how to do blood pressure chose not to attend.
Tomorrow is the mid-trip retreat at Hell’s Gate national park. We leave at noon, so I’ll have to go to training in the morning before leaving for Kakamega to meet up with the others.
I learned today that the hospital was recently delivered four new computers. I’m really excited about this, because it means that I can try to make a patient database using Microsoft Access and connect all of the computers to make a network over the hospital. Trouble is, I’ve never used Microsoft Access, and for it to be successful here, the program has to be basically flawless. I’m giving it a shot, though, and if ANYONE out there has any experience with making databases using Access, please help me out!
Liz and Emily both had interesting blog posts yesterday that I want to talk about a little bit. Emily in particular found a girl working at ACCES who has a medical issue that she is worried about. What Emily discusses was whether the idea that “we can’t help everyone” was realistic or whether we were just assuming that. It’s an interesting question – I think most agree that long-term development, capacity building, and emphasis on sustainability is a good thing, but why is helping individual people when we can a bad thing? In other words, if Emily were to pay for the girl’s medical tests and treatment out of her own pocket, while that may not be a sustainable solution, how could it hurt?
In response to Emily’s question, I think that we absolutely can help everyone, but doling out money is not the way to do it. As I’m sure many agree, it should be the responsibility of those involved with the girl and her concerns – her family, her hospital, her community, her school, her government, and most importantly, herself – to address the problem. When people like Emily step in to provide direct aid to the girl by paying for her medical tests and treatment, what they actually do is free the involved people and organizations of their responsibility over the girl’s medical issues. When too many people like Emily start to provide such aid to girls like the one Emily discusses, the dangerous consequence is that communities are very quick to transfer the responsibility of care over girls in such situations to people like Emily. In effect, when a lot of aid is given, it quickly becomes Emily’s responsibility to provide assistance to the girl. When Emily stops, she will be blamed for the girl’s poor health. When communities see people like Emily giving what they do, there is a sense of entitlement that is created – a sense that Emily as an institution, not their community or government, should be giving this aid, and so there is no pressure, no motivation to attack the correct institutions at play.
A good example is HIV anti-retroviral treatment, which is currently provided free for all Kenyan citizens who are HIV positive. As Liz points out in her blog post, most of the ARV treatment is provided through direct aid by the American and British governments. The ARVs that are supplied support tens of thousands of patients in Kenya and many more throughout Africa. But now, imagine if that aid were stopped. Thousands would suffer and die, and who would be blamed? You can bet that fingers would be pointed at the American and British governments for stopping their life-saving donations. The Kenyan government – and governments all over Africa – has escaped in a major way from the responsibility of managing the epidemics that sweep the country and the continent. The same goes for malaria – the free mosquito nets given out at hospitals are donated by an NGO – and even water – the same NGO is the major source of water purification solutions.
So while you might want to help girls like Emily’s, consider carefully how you do it. Direct, one-time aid is not only meaningless in the long run; it is actually detrimental. Teach the girl how to advocate for herself and those around her. Talk to government officials about people like the girl. That is what “making change” means.
Filed under: Iguhu Health Center, Project: Emergency Responsiveness | Tags: Africa, AIDS, Arjun Khanna, Development, Dr. Bomji, Emergency Responsiveness, Foundation for Sustainable Development, Grant, Grantwriting, Healthcare, Iguhu Health Center, International Development, Kakamega, Kenya, Kenyan Ministry of Health, Sustainability
I just realized that the title of this blog post could be something really intense/have a much deeper meaning. I wish today was that eventful. Unfortunately, it’s just a reference to what we covered today at the morning training session.
RECAP OF THE DAY: Woke up, went to training, came back, worked out, took bath, got a call from Angie, Kirsten and Erin are at Iguhu for a meeting, meet with them, get the official rejection letter from FSD (flashbacks from college app days…), talk about stuff, go home for lunch, come back, work on computer, go home, take a long nap, dinner, sleep.
REFLECTION
Today was pretty uneventful. I read exactly what FSD thought was wrong with my grant. I’ve posted both my grant and the letter I received today below.
Grant: Khanna_Grant
Letter:
June 19, 2009Dear Arjun,Thank you for submitting your grant proposal titled Iguhu District Hospital to the Foundation for Sustainable Development. The FSD Grant Fund receives many proposals for great projects like yours from Latin America, East Africa and India each year, and due to our limited resources we are only able to fund a portion of the proposals we receive. Unfortunately, at this time your project has not been chosen to receive funding.Your proposal was well written, and the evaluators felt that your project has a lot of potential. But we want to offer some suggestions on how the proposal could have been strengthened:Providing a Government Service: FSD is careful to avoid providing services that the government should be covering. While we understand that it’s frustrating when the government does not provide the necessary services, it’s important not to set up a parallel system and thereby free the government from their responsibility to their citizens. While we felt the overall project concept was good, we would have liked to see a stronger advocacy component.I hope that you will choose to submit your proposal to other funders, pursue independent fundraising, and/or explore creative ways to achieve your project’s goal with available resources. Your grant packet includes a list of international grant making organizations; also, many of our interns have had success with sending project proposals to their friends, family and colleagues back home. Your site team can provide you with more information on the process of receiving donations from friends and family for your project work via FSD.Within one week, you will receive a detailed evaluation of your grant proposal. We hope that the feedback provided in the evaluation will help you to hone your grantwriting skills, and will aid you and your host organization in developing and writing future proposals.We wish you the best of luck with your project.Sincerely,Caitlin DrewesInternational Programs OfficerFoundation for Sustainable DevelopmentJune 19, 2009
Dear Arjun,
Thank you for submitting your grant proposal titled Iguhu District Hospital to the Foundation for Sustainable Development. The FSD Grant Fund receives many proposals for great projects like yours from Latin America, East Africa and India each year, and due to our limited resources we are only able to fund a portion of the proposals we receive. Unfortunately, at this time your project has not been chosen to receive funding.
Your proposal was well written, and the evaluators felt that your project has a lot of potential. But we want to offer some suggestions on how the proposal could have been strengthened:
Providing a Government Service: FSD is careful to avoid providing services that the government should be covering. While we understand that it’s frustrating when the government does not provide the necessary services, it’s important not to set up a parallel system and thereby free the government from their responsibility to their citizens. While we felt the overall project concept was good, we would have liked to see a stronger advocacy component.
I hope that you will choose to submit your proposal to other funders, pursue independent fundraising, and/or explore creative ways to achieve your project’s goal with available resources. Your grant packet includes a list of international grant making organizations; also, many of our interns have had success with sending project proposals to their friends, family and colleagues back home. Your site team can provide you with more information on the process of receiving donations from friends and family for your project work via FSD.
Within one week, you will receive a detailed evaluation of your grant proposal. We hope that the feedback provided in the evaluation will help you to hone your grantwriting skills, and will aid you and your host organization in developing and writing future proposals.
We wish you the best of luck with your project.
Sincerely,
Caitlin Drewes
International Programs Officer
Foundation for Sustainable Development
Filed under: Culture, Iguhu Health Center, Project: Emergency Responsiveness | Tags: Africa, African Culture, AIDS, Arjun Khanna, Development, Dr. Bomji, Emergency Responsiveness, Foundation for Sustainable Development, Grant, Grantwriting, Healthcare, HIV, Iguhu Health Center, International Development, Kakamega, Kenya, Kenyan Ministry of Health, Sustainability
Note: While this post was uploaded on June 22, 2009, it was written on June 21, 2009.
RECAP OF THE DAY: Woke up, went to town, worked out, went to the market, went to Yakos, bought a bunch of DVDs to watch, came home, relaxed, talked to everyone at home, watched a chicken get slaughtered, feathered, cut up, and cooked, I was still hungry, ate it, work, sleep.
REFLECTION
First of all, I’d like to thank profusely the donors to my project that have already showed overwhelming support for the emergency responsiveness program. I assure you, your donation will make a difference, and I’ll be sure to keep you updated about what is happening at Iguhu District Hospital. For those who would like to donate, a project description and online donation link can be found here.
Second order of business – my grant decision came back on Saturday, and unfortunately it was not funded. As promised, a detailed evaluation has been filled out by the grant review committee, and I am scheduled to meet with Angie tomorrow to look over this evaluation. I’ll be sure to post it here. Moving forward, though, this makes my online fundraising even more critical. The original $500 fundraising goal has been raised to $1000. Every bit counts – again, a dollar goes a long way here – so anything you can contribute would be extremely helpful.
Because the grant decision came out negatively, I’m also in the process of deeply re-thinking the project and re-assessing the needs of the hospital. Perhaps you can help me; I’ll talk about my dilemma here. The original project was designed to train Iguhu staff on all the major practices they need to be trained on in order to respond to emergency situations, so the ultimate goal was to leave Iguhu with at least one set of trained staff ready to respond to either trauma cases (like a car accident) or medical cases (like chest pain). As it turns out, most of the equipment required for trauma cases is much cheaper than the equipment that medical cases require. My dilemma is whether to go ahead and purchase these things for the hospital and train them on their use or to just focus primarily on trauma cases. The reason why this is a debate, in my mind, is because your normal 911 system whereby people can call for ambulatory assistance from their home is at least 10 years away, given the massive shortage of monetary and human resources. That means that what the hospital is really going to be seeing will be trauma cases (and specifically, car accidents). So is it worth it to buy supplies for medical cases?
This question is complicated when you consider some of the other needs that could be fulfilled in the hospital. I’ve talked about the admirable CCC staff before; they need a laptop to log patients electronically, especially if I succeed in my mission of getting them permission to use hospital vehicles for village visits. So, nebulizer to treat severe asthma in an ambulance, or laptop for CCC use?
I think what this goes to show is that it’s difficult to focus on the long term (10+ years) when you see so many short term needs that could be filled. What I’m leaning towards is biting the bullet and doing everything for the emergency training, because I feel like it’s unfair to me to judge whether the capacity to handle medical cases is needed by the community before the capacity itself is there. It’s one of those things where you’re never really sure how many people would call an emergency vehicle from their home in response to a medical condition until people have the option of calling such an emergency vehicle. While there might be other needs – just as pressing, maybe – that could be filled, focusing on one task and making sure the hospital is equipped for the long term is in the best interests of everyone involved.
But I’m still not sure. I need to write up a new budget for my online fundraising by tonight, so hopefully I’ll have it figured out by then…
Now I’d like to turn to a highly controversial, ongoing discussion in international development work. I’ll take this time to present the topic here, because I think it’s something that everyone involved or interested in international development should think about. Most of all, I’m greatly interested in what your opinion is on the matter.
The origins of the issue stretch as far back as the first (and sometimes the most offensive) question: Why is it that we citizens of “developed” countries should care about or be motivated to act upon the conditions in the “developing” world? When we read about hunger, poverty, AIDS, or malaria, why should we do anything about it? What makes these things our problems, and why should we feel the need to send some of our own resources to the developing world to alleviate them?
Answer this question for yourself – it’s more difficult to articulate an answer than you might think! Most of us take this question for granted and consider it too horrifying to even consider. “Of course we should help,” people say. But why?
There are two answers that I’ve heard to this question. The first is based upon human emotion. When we hear about millions of people dying of starvation of malaria, we are outraged. Given that there is something we can do about it, we are motivated to act upon these problems by the idea that every human deserves some basic level of freedoms, and among those are freedom from hunger and freedom from disease. It’s a valid point. The roots of our desire to alleviate these problems stem from a belief in charity – we say that since these people are unable to help themselves, we should help them because doing so preserves the sanctity of life and maintains the human rights that we believe should be afforded to everyone on the earth.
The second answer is virtually the same as the first but adds that we have the obligation to perform development work because all we are really doing is undoing the detrimental effects of colonialism; in other words, given that many countries in the Western world played a large role in slowing or stopping the infrastructural growth of developing countries during the colonial period, it is only fair that we now help build the infrastructure that we prevented from sprouting.
Both of these responses fall under the umbrella of the concept of a “moral obligation” to help. We have a moral obligation to assist and sponsor development work, so we do. And up until now, everyone is basically on the same page, including myself.
But the question I would like to leave you with is this: when does our moral obligation end?
A big example is the HIV epidemic. Even after setting up free testing centers and offering free ARV treatment to those individuals found positive, we find that people still choose not to get tested for a variety of reasons, all of which center around a cultural stigma associated with the disease. Jonny Steinberg, in his work Sizwe’s Test (2008), says, “When people die en masse within walking distance of treatment, my inclination is to believe that there must be a mistake somewhere, a miscalibration between institutions and people.” Steinberg searches for this “miscalibration,” and makes for key realizations: The first is a reaffirmation of Edwin Cameron’s conclusion – that people are scared of getting tested for HIV because of the stigma associated with having the disease (see Witness to AIDS, 2005). Second, he finds that this stigma is greatly exacerbated by the fact that this stigma is applied onto you by people you know very well. Third, he realizes that hesitancy to be treated sometimes springs from a feeling of cultural humiliation associated with adopting “white medicine.” Finally, he discovers that procreation plays a critical role in the religion and culture of many societies, and that HIV is feared and ignored because it undermines a man’s virility and thus his spiritual success.
Sure, these findings are significant and elucidate many interesting aspects of the epidemic in Africa, but here’s the million-dollar question: What should we do about it?
So here’s the question to ponder – after setting up free testing centers galore, offering free ARV treatment, having testing caravans go to individual villages, and urging the incorporation of HIV education in schooling, if we still find people refuse to get tested and deal with the disease, is there more to be done, or have we fulfilled our “moral obligation?” Steinberg, Cameron, and many others have uncovered the real roots of the problem, which are largely cultural. Addressing this problem at its roots will require a complete overhaul of the culture itself. Is it our place to do such a thing? Is it our responsibility? Is it our obligation to do something about the “miscalibration between institutions and people?” What if those institutions are Western constructs, and the people are locals whose culture and beliefs are unlike anything we know?
The more I think about it, the more circular the discussion becomes. Yes, we have a moral obligation, and yes, we have set up institutions all over Africa (testing centers, counseling, ARV distribution networks) that we believe would work. If they don’t, we have done everything we know to try and address the issue, so maybe our obligation ends there. But what if we got the institutions wrong? What if the institutions we established are badly “miscalibrated?” Is it our obligation to rethink them? If so, how can we redesign them to fit a culture different from anything we know or truly understand? And how can we rely on people of a culture in denial about HIV to invent these institutions, if we must have them do it for themselves?
Essentially, the question is this – if an aspect of a culture needs to be changed, who should change it? Is that a change that needs to come from within, or are our efforts required?
I’m terribly interested to hear what others think on this issue. It’s important to answer these questions because the answers have massive implications in foreign policy around the world and might serve to point developing countries in the right directions in terms of long-term development. Be sure to comment on this post to dish out your opinions!
Filed under: Iguhu Health Center, Project: Emergency Responsiveness | Tags: Africa, AIDS, Arjun Khanna, Development, Donate, Donation, Dr. Bomji, Emergency Responsiveness, Foundation for Sustainable Development, Grant, Grantwriting, Healthcare, Iguhu Health Center, International Development, Kakamega, Kakamega Provincial Hospital, Kenya, Kenyan Ministry of Health, Landscaping, Patient Surveys, Sustainability
RECAP OF THE DAY: Woke up in the middle of the night, tried to figure out why I woke up, felt something crawl up my arm, it then crawled across the back of my neck, I FREAK OUT, it’s the worst feeling in the world, couldn’t see what it was, slept badly, went to work a little late, carried some of the equipment I bought with me, had fourth training session, everyone thinks the practical parts of the training are really funny, I sit in the CCC most of the day listening to counseling of HIV patients, I got to record some of it, illuminating to see some of the questions some people had, inspiring to hear many stories of people living strong, went home, worked out, took bath, cleaned my room thoroughly, found a dead cockroach on my bed, found a huge cockroach in the shower, laundered my bedsheets, went back to work, got up-to-date on my training documentation, gave it to one of my co-trainers to look over, prepared a little for tomorrow’s session, went home, fetched water, boiled some water, chilled out, prepared for session tomorrow, found out that my online fundraising is up and running, work, sleep.
REFLECTION
Waking up in the middle of the night because something is crawling on you is the worst feeling in the world.
In other news, my online fundraising campaign is up and running! The link is here and the project can be read about here.
I’m going to spend this whole blog post talking about why you should donate to this project. The most important reason I think you should donate is that this project focuses heavily on the concept of sustainability and skills development rather than just aid. This idea is the cornerstone of FSD and is one that is exemplified by this project. It focuses intently on training the staff on emergency medical practices and much less on donating anything.
The training has actually started, and it’s off to a fantastic start. We’re getting great turnout, and trainees are really excited about what they’re learning. Keep in mind that the training incorporates not only doctors and nurses but also non-medical personnel such as registration desk attendants, drivers, and security staff. Given the limited human resources that the hospital has, it is extremely important for everyone to know how to respond if an emergency does arise.
This opportunity to donate should also excite you because you know exactly where your money is going and what it will be doing. Have you ever wanted to do something for a developing community but hesitated to donate to a huge NGO for fear of your money getting lost in the bureaucracy? Do you want the satisfaction of having hard evidence – pictures, personal interviews, and more – that your donated money actually made a difference? If you donate to my project, I will make absolutely sure that I follow up with you personally and tell you exactly what your money is doing and how it is positively affecting the community here in Iguhu.
If you have any questions, concerns, or suggestions about the project or what your donation will do, please don’t hesitate to ask me by commenting on this or any blog post. I don’t want anyone to blindly donate anything; please take the time to scrutinize the project before you decide to give. I’m confident that you’ll end up feeling the same way I do about what Iguhu needs and how to empower the community itself to satisfy that need.
Again, the link is here, and you can read a little bit about the project here.
Thanks a lot for your time, your consideration, your donation, your reading this blog, and your commitment to development in this amazing community.
One last thing – just so I can keep track, if you choose to donate, I would greatly appreciate if you would shoot me an email at arjun.khanna@gmail.com letting me know who you are and how much you’ve donated.
Filed under: Culture, Iguhu Health Center, Project: Emergency Responsiveness | Tags: Africa, African Culture, Arjun Khanna, Development, Dr. Bomji, Emergency Responsiveness, Foundation for Sustainable Development, Grant, Grantwriting, Healthcare, HIV, Iguhu Health Center, International Development, Kakamega, Kenya, Kenyan Ministry of Health, Patient Surveys, Sustainability
RECAP OF THE DAY: Woke up really early, worked out, packed a bag for trip to Kisumu, went to Iguhu, gave training, left immediately for Kisumu right after, went to Kisumu, drove around the city for an hour looking for Emily’s store, we finally parked at the New Victoria Hotel and demanded that someone come get us, the store turns out to be embarrassingly close to the hotel, we buy a ton of stuff, I ask where my store is, he finds it in a second, we drive straight there, I write down all the prices that they can offer me, I then go to the other medical supply store, I “let slip” the prices that the other store quoted, they reduce all of their prices, I then go back to the first store and “let slip” the prices I got from the other store, and they drop all of their prices, I buy, I celebrate, we go to the Green Garden for lunch, it is so good, we head back, we drop off Emily’s stuff at her school, we meet up with Guillaume and Liz in town, we meet a Massai while we are waiting, we talk to him, the girls go off to buy skirts, Guillaume and I get haircuts, it costs less than a dollar, on the other hand we both probably have lice now, we walk to the supermarket, I get some stuff from the office supply store, it starts raining, we disperse, I head back on the matatu, arrive home, take everyone’s blood pressure at home, work, work, sleep.
REFLECTION
Emily and I still anxiously await our grant decisions! We understand how difficult the decisions must be, given the large number of summer interns that must be reviewed. What we don’t understand is why it’s taking so long for online fundraising requests to be processed. I didn’t think it would take two weeks for my request to appear on the website, but it’s still not up yet.
Emily and I headed off to Kisumu today to purchase necessities for our projects after an hour of training this morning on artificial ventilation with the hospital staff (the training’s going well). We drive over and reflect on how nice it is to be sitting at a comfortable distance apart from each other and not have to be cramped in a tiny matatu with thousands of people crammed in. Once we arrive at Kisumu, the ride gets less nice. Neither of us have any idea where our shops are, and Kisumu is a huge place. We drive around aimlessly for about an hour, kind of hoping that a giant textile depot will suddenly appear in front of us. The odd thing, though, is that we repeatedly called the owner and handed the phone to our driver (Ken) to talk to him and find out where we are going. Each of these conversations lasted about five whole minutes, and after each of them Ken hands the phone back and says “we need to ask someone” whereupon we ask a random person on the street where the store is. They all stared back blankly at us, and spoke to Ken for another five minutes in Swahili. The result? “We need to ask someone else.”
Emily finally demands that we drive to a major landmark (the New Victoria Hotel) and asks someone to come get us from the store. As it turns out, it is basically right across the street. Embarrassed, we enter and then proceed to purchase items necessary for pad-making. Yeah, they thought we were pretty strange after that.
I go to my medical supply stores, and through some clever manipulation involving forced direct competition between the two stores, I walk away with medical supplies at half price and a huge smile on my face. Emily and I then drive over to the Green Gardens restaurant and have pizza, boneless chicken, and this mint lemon drink. A phenomenal break after daily ugali, let me tell you. We drive back and have a deep conversation about development in Kenya. When we arrive in Kakamega, we call Guillaume and Liz and ask them to meet us in the middle of town to hang out. While we wait for them, we meet a Massai and Emily freaks out. She’s asking him all these questions, and he’s demonstrating how he can pull on the giant hole in his ears and it doesn’t hurt. We meet up with Liz and Guillaume, and the girls want to shop for skirts or something, so Guillaume and I decide to get haircuts. We find a barber and go for it. Are we nervous? Absolutely. Thirty minutes later and we’re both sporting cool new haircuts that cost 30 shillings. Yes – 30 shillings. Two haircuts cost less than a US dollar; we were thrilled.
We walk around some more when it begins to rain. This is the third time I have been in Kakamega and it has started to pour; aside from the discomfort, it is inconvenient because matatu prices seem to escalate dramatically when it is raining because they know you just want to escape from the downpour. Fortunately, I asked a group of guys how much it would be, and one of them (obviously a newcomer) actually told me that it was 50 shillings. The others started yelling at him as I happily hopped into the matatu and had an extended conversation with a man who had the worst breath I have ever had the misfortune of smelling. Apparently, he is Obama’s cousin. I’m pretty sure everyone here thinks they’re Obama’s cousin.
I head home, then, and start working on tomorrow’s training session. I’m also excited because Charles has invited me to attend some HIV counseling sessions. I’m starting to organize the CCC data for them, and beyond that, I’m looking forward to being able to see firsthand what goes on behind these closed doors.




















