Tuesday, August 7, 2012

Snaps of Udaipur

Following the UNICEF internship closing workshop, a friend and I traveled to lovely Udaipur in the northwestern state of Rajasthan. Below are a few pictures from our week in this lakeside town formerly known as Mewar, famous for its 16th century Lake Palace and also the setting of the 13th James Bond movie (filmed here in 1983).

Dhaarna and I were surprised one morning to walk outside our guest house and meet an elephant. His name is "Laxmi", which in Hindi means money (or, good fortune).
My first elephant ride!
We also took a cooking class at a local vegetarian restaurant and cooperative, "Millets of Mewar". Shown here are our proud creations: malai kofta, dal fry, eggplant curry, corn cheese garlic chapatti, and spinach potato soup.


Thursday, August 2, 2012

"Women and Other People" by Amartya Sen

Lecture by Professor Amartya Sen
Nobel Laureate in Economics (1998)
“Women and Other People”
31 July 2012 at India Habitat Centre, South Delhi, India

Following our internship programme’s closing workshop, the other interns and I were delighted to learn that the Population Foundation of India was hosting a lecture by Nobel Laureate Amartya Sen in a nearby auditorium. Because my team had presented our case report on ICDS in Assam earlier that morning, I attended the lecture in a traditional sari and was excited for this unexpected opportunity. Professor Sen prefaced his lecture with themes from his previous publications, including the idea that men and women have both congruent and conflicting interests in their pursuit of cooperation. He discussed gaps in female education in India as compared to neighboring Bangladesh, which spends 10% of its GDP on girls education. He explained that the small country has made remarkable progress in combating gender bias, and that there are even more girls than boys enrolled in school in recent years. He compared immunization rates of the two countries: 96% in Bangladesh versus 66% in India. It is not exactly a fair comparison to make as India has nearly ten times as many people as its northeast neighbor, however, lessons can be learned. It is also interesting that he brought up this comparison, considering the fact that Sen’s family originated from the part of India (East Bengal) now known as Bangladesh.

The Harvard professor and senior fellow went on to discuss the decreasing girl to boy sex ratio in India and implications of sex-selective abortion. He explained that states in the East and South are generally at or above the German benchmark of 94 girls to 100 boys, while states in the North and West have worse birth rates in that regard. He closed his lecture and opened the floor for questions with a simple, powerful statement: “We shall never get to the answers unless we start asking the right questions.”

Understandably, the questions directed at Professor Sen were intelligent and far-reaching. One Indian doctor asked for his thoughts on solving female foeticide, to which he frankly responded, “I don’t know.” This was followed by references to traditions in other cultures which have marginalized women but have seen great progress after a kind of tipping point forced the practice out of style. Examples include footbinding in China and FGM in Senegal, which reached 30-40% non-practice, then almost immediately increased to 70-80% non-practice and disapproval by the general population.


Posing with intern friends Subarna and Nadia from Bangalore (left) and our Assam team (right): Martin, Aditi, Thahira and me at the India Habitat Centre in New Delhi.

Friday, July 20, 2012

On Friendship and a Caterpillar Burn

“Lots of people want to ride with you in the limo, but what you want is someone who will take the bus with you when the limo breaks down.” –Oprah Winfrey

Tonight, as we were walking through a congested neighborhood and marketplace in Guwahati called Uzan Bazaar, I felt an unfamiliar burning sensation on my upper back which hit me with a slow intensity. I reached back to see what it was and was even more perplexed, as this thorny burning spread to my hand and the other areas of my neck and back which I had touched. Amidst the darkness and chaos of the street, I stepped aside and asked my teammates walking with me to find out what it was. Thahira reached back and tried to wipe away the yellow powder that had accumulated on my back, and Martin did the same. They reasoned it must be some kind of leaf or plant that had fallen from a tree, but a few seconds later, they noticed that this acute prickly sensation had spread to their fingers as well.

We all tried our best to remain calm, despite my growing sense of panic at the uncertainty of what had at this point spread over my back, neck and hands and seemed to be pricking me from under the skin in hundreds of places. After unsuccessful attempts at using water and clothing to dull the pain, we decided to abandon our usual 40 minute walk back to where we stayed in search of an auto-rickshaw, which could get us home in a quarter of the time (although we weren't sure if heading to a doctor would be the smarter option). Inside the auto, I sat up right, making sure not to touch the back seat or anything to my back or hands. We arrived at our lodging and headed to the common room, where we correctly figured we could find out what to do from some of our local colleagues. After Martin described the incident to a captive audience (four or five people), nearly everyone looked just as confused as us. However one woman, Genny, came forward and told us not to worry; this was caused by a caterpillar-like insect native to Assam that she knew about from her village, which spread its small hairs across human skin upon contact. (What a relief...it was actually a living organism that had spread all over my back? My anxiety increased at the thought). But the remedy was simple: rub human hair over the affected areas to remove the invisible caterpillar hairs.

Before I continue, I must admit that I have been feeling waves of homesickness and longing for both the conveniences and familiarity of life in the US these past few weeks. While I am enjoying the project, my team members and our group dynamic, I have been missing my friends stateside. Outside of my team and our project coordinator, the people I have met in our host institution and where we reside seem cordial, yet dry. Interactions tend to be limited to asking about the present state of affairs (e.g. how is work, how do you like Assam, local food, and other pleasantries) and even extended conversations do not usually develop into much more. My friends in the US are outgoing, charismatic, and lively to be around. This is, of course, my perception, and there are also elements of freedom and security (financial, political, social) that may be very different by comparison and could easily affect social norms and acceptable behaviour.

In any case, what happened next changed my perception of the people I had labeled unexciting, and it made me in some ways re-consider the meaning of kinship and community. After Genny told us the remedy, she offered her help without hesitation, and we headed to my room to treat it. This meant spreading her hair over my back several times to extract the burning caterpillar hairs out from under my skin. And because it had spread so much, we actually required the help of another young woman with longer, thicker hair to assist; before I knew it, my room was like a kitty club of young Assamese women, plus me as the confused Westerner. Even the cook and her young daughter had arrived with special oils and a lime ointment, to apply to my earlobes (??) after the hair treatment, washing and talcum powder had been applied to my back and hands. After all of the commotion died down and the women filtered out, Genny explained that I would be fine and symptom-free within the hour. I asked her what would have happened if I had gone to a doctor instead of coming to them, and learned that I had made the right decision. She explained that most people in Assam are unfamiliar with this rare insect and its treatment; only because she grew up in a rural village did she know. (In other words, the doctor would not have known what to do.)

After this experience, I felt an obvious gratitude and new respect for these women and this community. Their care toward me and personal sacrifice during my time of humiliation and fear was something which I had rarely felt before in my life; only from my parents, siblings and a few very close friends. Experiencing this from people who barely knew me was a testament to their culture’s emphasis on collective responsibility and community caretaking, which could teach us volumes.

Saturday, July 14, 2012

Weather

Last night I woke up to an earthquake. Guwahati must be on a fault line, because I’ve experienced more earthquakes here in the past six weeks (three, to date) than I have ever before in my lifetime. This most recent event lasted longer than the others. At 1:30AM it shook me awake, I quickly came to my senses, got up and headed to my bedroom doorway. I stood there for a good 15-20 seconds as the building and walls around me shook in slow, deliberate jolts. Then, I heard and watched this force of nature move to the other side of my room by the window, where it continued for another 10 seconds. Mother Nature continued her fury into the depths of the night as monsoon rains began several minutes later, and have continued on and off today.

Perhaps because it feels slower than expected, I’ve never felt scared in an earthquake. Just curious. The other two incidents here in Guwahati were both during waking hours – during dinner my second night of arrival in Assam, and on a Saturday while working in our office a few weeks back. It is exciting to experience these phenomena, but at the same time I feel a pang of guilt for enjoying the heavy rain and quakes from the safety of this solid dormitory. Others face these things head on and suffer from the after-effects, in particular, the heavy flooding which has destroyed thousands of homes and forced families to abandon their possessions and migrate to higher ground, pitching makeshift tents on the side of the road.

Photos below: Flood affected areas in Morigaon




Sunday, July 8, 2012

Field Work Highlights

My team recently completed two weeks of field work in two districts of Assam. UNICEF has partnered with the Government of India to initialize an accreditation process of all maternal and child community health centres (Anganwadi Centres, or AWCs) in Assam, and it was our job to use the accreditation checklist to cross-verify information and collect data for our project. Ultimately, our findings will be used to refine the accreditation tool (checklist) and process. Our work involved observing activity at the AWCs, checking records and registers, interviewing the primary health worker, supervisor, village mothers and community members. Our first district, Dibrugrarh, is in Upper Assam and located 440 km from our base city of Guwahati. We spent a total of ten days in this lush, remote region known for its tea gardens. The eight days of field work in Dibrugarh were bookended by travel days to allow us to fly to/from Guwahati, as UNICEF security restrictions forbid our train travel, and by road it would have taken upwards of ten hours each way. During this time, my team of four broke into teams of two, with at minimum one translator per team. We alternated visiting 2 and 3 AWCs per day, allowing us collectively to visit and gather data from 40 AWCs in 8 projects. After completing our field work in Dibrugarh, we returned to Guwahati and traveled over 200 km daily to the district of Morigaon, for five additional days of field work in this Lower Assam district where accreditation of AWCs has not been initialized (our “control” district). Remarkably, we were able to visit 40 AWCs in Morigaon as well, splitting into individual teams and each visiting 2 centres/day, with the assistance of a translator for each of us. In addition to conducting interviews and small group meetings at each centres, we organized focus group discussions of about 50 supervisors and 5 higher officials in each district on the final day of our data collection.


So much happened on our field visits. We met an elephant on the road on the 4th of July, I watched a boy climb a 20 foot fruit tree to retrieve berries presented to me as a gift, and an Anganwadi Centre management committee member insisted that I had the nicest nose she had ever seen (yes, all of these things actually happened!) In Dibrugarh we were particularly impressed with the warmth and hospitality of each centre. At nearly every AWC, we were offered drinking water, tea and biscuits and very often were presented with the traditional gamosa, a hand-woven red and white ceremonial shawl given to esteemed guests. Each village has a distinct pattern reflected in the embroidery of the shawl. The centres are small, similar to a one-room schoolhouse, sometimes with an interior partition used for storage or where a coal stove could go. The extent of hospitality was particularly impressive given that each centre has a miniscule budget with which to operate; nearly all funds allocated by the government are intended for supplementary nutrition or take home rations for the children and families that come to attend preschool or for immunizations, counseling and health check-ups.
On our fourth day in Dibrugarh, Thahira and I visited a centre called Thanachuk, which quickly became my favorite visit. Located in a very rural area about 2 hours drive from Dibrugarh, this centre is surrounded by tea gardens and accessible only by a dirt path. We arrived around 9AM in a heavy rainstorm, but were greeted at our car by the health worker, community members and preschool children. This entourage of around 30 people held umbrellas over our heads and presented us with flowers that the mothers had picked and the children had assembled. After we settled into the centre, we were offered even more gifts, in the form of freshly steeped Assam tea, fruit, local pastries and the ceremonial shawl. The worker expressed her delight at having visitors come from so far, and explained that many of the community members had never met a white person prior to my visit. (We tried our best to convince her the truth: that it was she who was doing us a favor by allowing us to visit and collect data for our study.)

In many areas like this, the level of community participation is remarkable, a testament to the investment and genuine concern they have in caring for their children and young mothers. In several centres, community members had come together to build the center a walkway, kitchen, boundary fencing and even a toilet; many also performed building maintenance and would regularly assist the worker by bringing clean water to the AWC every day. Each centre in Assam is meant to have a volunteer management committee, and it was always clear when this group was active.
Days in the field were at once exhilarating and exhausting. Most mornings we left at 6AM and returned between 6 and 8PM, traveling by car long distances through heavy rain and muddy, unpaved roads to meet with eager participants. While I did my best to treat everyone with equal interest and energy, my inner battery usually ran low by mid-afternoon, and we didn’t usually break for lunch until 3 or 4PM. It was disheartening at times to meet with young mothers who had not been adequately counseled on breastfeeding and monitoring their child’s growth status, and to visit centres in Morigaon which had lost all health records and preschool supplies in the recent flooding. On the other hand, I visited several centres that were clean, bright and full of life, where the health worker was doing an excellent job at monitoring child growth, counseling parents, providing regular immunizations and supplementary rations. In a discussion with one centre’s very active management committee, I was pleased to hear them ask for advice on what more they could do to improve the centre and continue to invest in the children of their village.
Our favorite meal was in the village of Thaiphucket, located near a sprawling Buddhist Monastery. After completing our field work that Saturday, we had our 5PM “lunch” at a family dhaba which served us fresh-caught fish, locally grown vegetables and other traditional fare flavored with ginger and cardamom, instead of the more common masala spice.



Wednesday, June 20, 2012

Birthday (...aka, international love)

“It takes a long time to grow young.” –Pablo Picasso

I’ve had the good fortune to celebrate my past four birthdays on four continents. While it’s hard to be away from family and close friends on the anniversary of one’s entrance into the world, it is also nice to approach the day with no expectations and enjoy whatever comes of it. What follows is a short reflection on how my June 20th on each continent unfolded.

2009/24 yearsKigali and Nyamata, Rwanda, AFRICA: Summer Saturdays in Rwanda that year meant Indian barbeques. Our small ex-pat community was made up of Americans, Belgians, Brits, Germans, Irish, and most notoriously, Indians. East Africa is home to a large Indian population; many of our Indian friends had never lived in India, but grew up in surrounding Kenya, Uganda or Tanzania and now lived in Rwanda, running factories and tech shops in town. This explains the dearth of quality restaurants in Kigali (at least during my stay) except for the 5-6 amazing Indian restaurants. And the omnipresence of samosas, chapatti and ichayi...I actually had better Indian food on my birthday in Rwanda than this year’s in India. Indian barbeque translated into kebabs of tandoor chicken, paneer and my favorite capsicum (green pepper) and onion grilled to perfection, coupled with a chandy: cold Rwandan Mutzig (beer) mixed with Fanta citron. (For the record, this drink looks gross but actually tastes great, especially when it is the only way to make a “mixed drink” due to lack of other mixers). As if attending an Indian barbeque with Kigali ex-pat friends was not enough of a celebration, the party re-commenced in Nyamata that evening with a surprise visit from my friends Louise and Irani, who came bearing a round, frosted butter cake from a French pastry shop. To top it off, my Rwandan students even remembered, and proceeded to cover me in paper confetti , sing happy birthday and present me with cards that have kept me smiling for years to come.

2010/25 yearsBoston, USA, NORTH AMERICA: Although I spent most of 2010 in Rwanda, I was stateside for the summer months and spent the eve of my 25th birthday out to dinner with a handful of close friends and my sister at a favorite Greek restaurant. It was a beautiful homecoming, and especially marvelous to see my dear friend Alison 9 months pregnant (her now 2 year old daughter MacKenzie was born 5 days later!) After a lovely night out with friends, I spent Sunday June 20th relaxing by the water, eating watermelon and strawberry shortcake with my family at the Camp, reminiscent of most of my childhood birthdays at this special place where my grandparents lived during the summer months.

2011/26 yearsRoma, Italia, EUROPA: Tanti auguri is happy birthday (literally “so many wishes”) in Italian, but it was not what came from the mouth of my 4 year Italian old charge that day. Last summer I worked as an au pair for a family in Rome, and mamma mia, did I have my hands full. The 7 month old baby boy, Federico, required constant attention (feeding, changing, entertaining, rocking to sleep, bathing…you get the gist) and the little wild child, Ginevra, demanded all that and more, with jealousy of her new brother permeating every interaction. Instead of getting into details, let’s just say it was a rough day. Ginevra told me multiple times what she really thought of me (it included the word “brutta”- ugly), the parents arrived home an hour late without calling, and I was effectively late to my own birthday dinner, with my only friend in the city. Thank God for Jessica. After studying in Rome for the past six months, she also had some strong feelings about the Eternal City (eternally sweltering tourist trap was more what it felt like, to me). Her birthday was just a few weeks earlier, so we bought each other dinner at a charming little ristorante off of Piazza Navona, along with an entire bottle of red, dessert and gelati. A perfect ending to a trying day. (As an aside, Italy got much better once I started spending every weekend in a new Italian city. This photo was taken in Florence).

2012/27 yearsDibrugarh, India, ASIA: Like last year in Italy, this year my birthday fell on a regular work day. My team has just begun our field work of visiting two to three Anganwadi (community health) Centres per day in a district where UNICEF has partnered with the Indian government to initialize an accreditation process of such centres. Our field work will take 15 days in total, with 10 spent in a tea plantation region of Upper Assam called Dibrugarh, and 5 in a district in Lower Assam called Morigaon, which serves as the “control” district for our study of the accreditation process. My birthday this year was our second day of field work, with a 7AM departure from our guest house. Both of the centres my teammate and I visited were great; at each, we were presented with the traditional gamosa (hand-woven Assamese ceremonial shawl), smiling children, mangoes and bananas. Following the end of the work day, I talked on the phone to a friend in India and my family in the US, and my teammates crafted a sweet and most fitting surprise: a pre-dinner outing for ice cream.

Monday, May 28, 2012

Indian Summer



This summer I will be living and working in the state of Assam, India, as one of 42 UNICEF interns sent to work on a project related to children in the realm of health, emergency, rights or protection. My team's project is public health related, incorporating analysis and process documentation of the Integrated Child Development Services, the Government of India's early childhood health and nutrition programme which has been in operation since 1975. In a team of four interns based in this northeast region of India, we will create of a formal report incorporating assessment of the existing ICDS programme as it is carried out in Assam and make recommendations for improvement based on the findings of our field and desk work research. This report will be presented to UNICEF, government and collaborating NGO officials at the closing workshop in Delhi on 1 August 2012.

Assam is in purple, surrounded by other Northeast Tribal States which border Bhutan and Tibet (mainland China) to the northwest/northeast, Myanmar (Burma) to the southeast, and Bangladesh to the southwest.


Our Assam team at the orientation in Delhi, 23-25 May 2012. UNICEF India interns were selected from a pool of over 400 candidates, all graduate students (Masters/ PhD) from various academic disciplines and various regions of the world, including India, Europe, Africa, North and South America. My team includes myself (MPH candidate), two Indian women and a Bulgarian man, studying nutrition, rural development and global health at universities in Belgium, the US and the UK. Other intern teams of three and four students are working on projects related to social protection, disaster impact, rural planning, urban disease load, police interface, HIV and other topics in the states of New Delhi, Maharashtra, Rajasthan, West Bengal, Andhra Pradesh, Karnataka and Madhya Pradesh.

The entries that follow are in reverse chronological order and detail my first week in India, which I spent traveling around North India to Amritsar and Dharamsala with an American friend. The May 18th Golden Temple entry is my first in India.

Sunday, May 20, 2012

Dalai Lama Temple, Dharamsala


From Amritsar, we took a 9 hour bus even farther northeast to the backpacker’s village of McLeod Ganj, just north of Dharamsala. McLeod Ganj is nestled at the foothills of the Himalayas, and the view of Mount Triund is particularly spectacular. Being near the border of Tibet, many Tibetans reside there and it quietly serves as the permanent home of Tibet’s free leader, the Dalai Lama. On the bus connecting Dharamshala to McLeod Ganj, we met a practicing Buddhist nun donning the signature red and yellow robes. She was returning to this tourist spot as a short retreat from her work at a children’s home near Nagpur in the central part of India, and given our bus’ nighttime arrival offered to assist us in finding our lodging. On the way, we discussed her life as a Buddhist and thoughts on the state of affairs in India, and sensing our curiosity, she offered to guide us through the Dalai Lama’s temple the next day.


These round cylinders are mantras, with thousands of prayers handwritten inside each in Sanskrit and Tibetan letters. Each full clockwise turn of the mantra is said to work the good merit of the prayers. The wheel is an important symbol in Buddhism and elicits the eight fold noble path.

8 Fold Noble Path
1) Right understanding
2) Right thought
3) Right speech
4) Right action
5) Right livelihood
6) Right mindfulness
7) Right concentration
8) Right wisdom


Alisa and Pankoori in McLeod Ganj


Capturing a moment: monks and others washing their clothes in the river, on a hike near McLeod Ganj. Buddhist monks' robes symbolize compassion (red) and wisdom (yellow). "Save Tibet" (partially covered) is written on a rock and is ubiquitous in this part of India.