Monday 27 June 2016

For reference: Tushikamane June Report

TUSHIKAMANE PROJECT JUNE 2016 REPORT.

Dear Dr. Laurence

I do believe your working hard as usual for Tushikamane project; the team is also committed in achieving the targets.

We are in phase two of Tushikamane Project which is planning solution together, meeting six and seven. The following were the activities identified on prevention, management and plan to deal identified problems

·         Delivering at a health facility with a skilled birth attendant was considered one of the important by all groups as a strategy to reduce maternal death. The women group in each hamlet has role (s) of sensitizing pregnant women to deliver at health facility.

·         All women groups thought that Tushikamane Project should collaborate effectively with TBA in all hamlets and they role will be encouraging, escorting pregnant women to health facility (not to conduct delivers). The in depth discussion should be made between Tushikamane Project team and TBA, so that TBA remain an advocate for health facilities delivery and not home delivery.

·         Men involvement in supporting attendance to ANC and delivers at health facilities where thought an important aspect in reducing the tragedy of maternal and children death.

·         Continuing health education (education support) on diseases like malaria, preeclampsia and Eclampsia which were listed as main causes of death of mothers and babies.

·         Ensure all under five children go to clinic for immunization,

·         Some women groups have started contributing  and saving money

·         Need of ambulance for referral

PLANS
-          Collaborate with TBA so that they can play role in escorting pregnant to health facility.
-          Having ambulance for referral as currently there is no comprehensive obstetric care at Tunguli health centre.

-          Contribution and saving money in order help them when need arise like money for transport in case of referral

·         We have also attached tentative time for our visitors from UK, your suggestions on the tentative time and general report will be highly appreciated

·         When visitors from UK arrive we will be with them from 23 -26/7/2016 at Tunguli , so transport from  Berega to Tunguli for  I and Rev. Can. Mgego will be required; Hence there are some costs which will be incurred.

·         Is it ok to send July 2016 report after the visit?

TUSHIKAMANE PROJECT
Tentative time table for the visitors

Date

Time

Hamlet ( s) to be visited

23/7/2016

9:00 – 11:00 Am

Kichangani and centre hamlets

3:00 – 5: 00 Pm

Njiapanda and Misanini hamlets

24/7/2016

9:00 – 11:00 Am

Msamvu and Mkuyuni hamlets

3:00 – 5:00  Pm

Mjuini and Mkwajuni hamlets

25/7/2016

9:00 – 10:00 Am

Kipera

          10:30 – 12:30Pm

Dibabala
         3:00-5:00 Pm
Kwiboma

On 26th July 2016 the visitors will have time to see other projects, talk with village leaders and tushikamane team



Friday 24 June 2016

For reference: List of Eleven Hamlet Tushikamane Groups

TUSHIKAMANE  PROJECT.
LIST OF THE ELEVEN GROUPS AND LEADERS FOR EACH GROUP.
A: TUNGULI VILLAGE.
Name of the hamlet
Name of the group
Name of the leaders(Chairwoman and Secretary
Njia Panda
Mkombozi
Stella Mganga(Chairwoman)
Subira Masanya(Secretary)
Centre
Tushikamane Centre
Halima Mohamed(Chairwoman)
Betina Chambo(Secretary)
Misanini
Uamsho
Rehema Mwangalimu(Chairwoman)
Martha Mhando (Secretary)
Kichangani
Tumani
Tatu Kisuamu(Chairwoman)
Scola Charles(Secretary)
Kwboma
Amani
Anna Mwendi(Chairwoman)
Theresia Anack(Secretary)
B: MSAMVU VILLAGE.

Name of the hamlet
Name of the group
Name of the leaders(Chairwoman and Secretary
Msamvu
Tupendane
Josephine Mganga(Chairwoman)
Penina Mhina (Secretary)
Mkuyuni
Kwimage
Mariam Pesambili(Chairwoman)
Esther Mwedipando(Secretary)
Mkwajuni
Utulivu
Mwajuma Mussa(Chairwoman)
Fatuma Mgaza(Secretary)
Mjuwini
Tushikamane Mjuwini
Amina Omari(Chairwoman)
Prisca Msulwa(Secretary)
Dibabala
Upendo
Prisca Muya(Chairwoman)
Mariam Mganga(Secretary)
Kipera
Tushikamane Kipera
Mwajuma Hassan(Chairwoman)
Mahija Juma(Secretary)

44. Brexiting


As I began to write this, Britain was going to the polls to decide whether to remain in the EU, or whether to ‘Brexit’ – to leave the Union. I was not really deeply acquainted with the arguments, I’m afraid, despite having heard the spin, seen the posters, and drunk my tea out of a Union Jack tea cup. Of course, I had read the flyers that came through the door, but I was still confused …

For instance, the Brexit flyer pointed out that if we stayed in the EU, Parliament would move to Istanbul; cars would have a maximum of three wheels; ladders would only have one rung; new-born North Sea fish would have to carry photo-ID; migrants would have first dibs on chocolate; grass would be yellow; farts would be methane-free; The Archers would become ‘Les Flècheurs’, (and Home Farm’s new bull would be trans); black pudding would be illegal; and every family would be £100,000/year poorer.



The ‘Remain’ campaign flyer, however, whilst conceding these points, quite reasonably said that after Brexit, Donald Trump would be President; Morris dancing GCSE would replace French; coffee would taste of turnip; Lidl would only sell stuff made in Britain, (empty cardboard boxes, mis-shapen potatoes and Cruise missiles); garlic would be illegal; worker bees would have to hum patriotic songs, (whilst, like the rest of us, working 18-hour days); human rights would not apply to human lefts; the English would have to holiday in Widnes; and every family would be £100,000/year poorer.



All of which left me very unclear which way to vote.

But now, the British People have spoken, and have decided that twenty-eight EU members will become twenty-seven. The UK goes it alone. For most of us, I expect, our decision was heavily influenced by spin. Even now, as the politicians get stuck into re-spinning the result, I am not sure that we really know where this all will lead.

What, (you might reasonably be thinking), does this have to do with rural women’s groups in distant Africa? Well, here is my point, admittedly arrived at by a gossamer-thin thread of rhetorical continuity: Over here, we are severing links. Over there, they are forming them. Over here Brexiting; over there … well, I am not sure that we have a verb for it yet, but doing-together-what-we-could-not-do-apart.



Within the next few weeks, the eleven women’s groups in up-country Morogoro and Tanga will be finalising their ideas for tackling maternal and child death, in a territory which has one of the worst rates for such tragedies in the peaceful world. Each hamlet will come up with its own priorities. Some of these will be specific to that community – eg growing food; sanitation systems; microloans for kick-starting cottage industry; emergency transport systems for women in labour; etc. Other aspirations might be shared across several or even all of the hamlets; eg training of birth assistants; access to primary school; clean water; etc.

Of course, it won’t be like the EU: I don’t envisage the women’s groups becoming a common market, with trade subsidies, porridge mountains, and better working conditions for goats. However, there is the idea that cooperation and synergy will become possible in a way previously inaccessible … 

... led by village women, whose common sense gives them common purpose. 



The idea of one of the groups becoming sufficiently prosperous and self-absorbed to Brexit from the others is, as yet, only a distant contingency.

History has something to say about this cooperative approach in sub-Saharan Africa. 

More than fifty years ago, Tanganyika, (as it was then), received its independence from its colonial past. (As did twenty-eight African nations in those heady and hopeful days of the 1960s.) Fortunately for Tanzania, despite its abject poverty, almost complete lack of infrastructure, lack of mineral resources, and almost universal illiteracy; it had Julius Nyerere. 


‘Mwalimu’, as he was affectionately known, was a teacher and Chief of the Zanaki tribe. He had a vision for national unity and cooperation not seen in almost any other country. Despite there being 126 languages and even more tribes, with no sense for most people of being part of a whole, Nyerere forged a nation.

Half a century later, there has been no war or coup; everyone learns a common language, (Swahili), as well as their own tribal tongue; and Muslims and Christians work and live alongside each other in every institution and every town. The country is still desperately poor, and is still mightily challenged in too many ways – but it is climbing its way out of the Iron Age with mainly a good heart. By contrast, for many of the twenty-eight, life is a tapestry of corruption, war, violence to women, and intolerance.

The message for us, then, is to hope that Brexit does not preclude cooperation, tolerance, and unity around a greater purpose than individualism.

However, there is one more point to make in the parallel between Tushikamane and the EU. Surprisingly for me, it is not a bleeding-heart-liberal, sentimental-softie observation, but rather one which speaks to capitalism and self-interest:

A Walmart derivative has replaced your mum’s corner shop:



Your mate’s uncle’s garage is now owned by Shell. If you are younger than thirty, (and some people are), you will never have browsed in an old-fashioned book shop. Your meat comes from Argentina, your flowers from Holland, your trainers from China, and your bad taste in clothes from Australia. (Only joking guys.) You are reading this on the World-Wide-Web.

We have one planet. The interests of others, are, eventually, our own interests. Global problems are our problems, and we ignore them at our peril.

As we head for Brexit, and for a firmer sense of national identity, let us hope that this will bring with it a firmer sense of mutual responsibility, and cooperation for the good of all. 

Together.

Lest we forget.


Thursday 2 June 2016

43. June Drop



When I posted the last blog, I wrote about the eleven new women’s groups which have been set up in rural Tanzania, in and around the villages Msamvu and Tunguli. 



This territory has particular need: up-country from the inland town of Morogoro, it regularly gets cut off by the rivers, which become raging torrents in the rainy months. here are only dirt roads, shredded by the seasonal water into potholes and ruts. No villagers have cars, but a few who can afford it, own or share a motorbike, in the hope rather than the expectation that these cheaply made machines can safely make the long bumpy journeys to market or hospital.






It’s ironic, in a part of the world where water creates such problems, that its absence is even more troublesome. In the small health centre in central Tunguli, water is collected from the roof.  For most villagers in the surrounding remote and inaccessible tracts of land, however, the daily task of fetching this unreliable friend falls to the girls and the women.

Speaking of the scarcity of water, please allow me a diversion. 

I am writing this from the Gare du Nord in Paris, where Starbucks have just charged me a week's wages for a thimbleful of organically-sourced skinny de l'eau with an extra shot. And it's raining. If I didn't like the French, I could have achieved the same effect more cheaply by standing on the pavement with my tongue out.

When so many are thirsty for this precious resource, but can't afford the infrastructure,  how did it come about that we fortunate few are happy to pay top dollar for plastic-encased beads of moisture?



I suppose that we just got used to it, like we got used to urban foxes; health and safety; Tony Blair breaking bad; sordidness in The Archers; having to remember your first pet's maiden name; the People's Republic of China replacing Woolworth's; middle-aged cyclists looking cool in bulging yellow lycra; forgetting which one was Stannis; being fraped; Whats-Apping your kids to say breakfast's ready; buying a conservatory in Lidl when you only went out for a croissant; disruptive emoticons; 

 
;  
Big-Mac-with-fries-coke-yes-I-will-go-large-please-and-four-more-sachets-of-bbq-sauce-please being bad for you; estate agents; and Donald Trump's hair.

But where will it lead, this capacity of ours to normalise the unfamiliar and even the bizarre? Our meek acquiescence, for instance, drip by drip and drop for drop, to pay more for rain than for milk? I imagine a conversation in Starbucks, a generation hence:

Me:              Good morning!

Robot:         Good morning surprisingly-not-yet-dead Laurence Wood of Bide-a-Wee Incontinence Village, whose recent online purchases lead me to infer that you may not yet be a dedicated Galaxybucks customer; how can I help you today?

Me:              I'd like a grande aero-cino with an extra breath, please.

Robot:         Would you like that at normal lung humidity, or extra-moist?
 

Me:              Ummm ... normal humidity but helium enhanced, please. I need a lift ...

Robot:         LOL, sir. Would you like a gluten-free, lactose-free, nut-free, fat-free, calorie-free, bee-free snack to go with that sir? I'd recommend a raisin. Or an oat.

Me:              Actually, I still haven’t had my sixteen-a-day, so I'd better go with the virtual orange pip ... Oh yes, and also, do you have a cold hand-wash?

Robot:         A frappo-cleano?  Certainly sir.
 
How will you be paying? Mortgage or krugerrand?

Of course I will be lucky to be alive a generation hence, to witness this scenario. (My wife, looking over my shoulder, says she will be lucky if I'm not.)

Anyway, in rural Tanzania, ironically cheap water washes away the soil and the roads, and infected water kills the vulnerable. On the other hand, lack of water is at the root both of poverty and of its perpetuation: girls have to miss school in order to collect it, from the moment that they can carry a Starbuck-ful on their heads. For many girls in this part of Africa, even if there were a school, they could not attend, because essential household duties interpose themselves in the difficult business of staying alive.



And staying alive can indeed be hard. Nearly 1% of mothers die of pregnancy-related causes, and 10% of children do not reach their fifth birthday. Few earn $2 / day, and most subsist on porridge, plus what they can grow in the unforgiving terrain.

Water problems; poverty; malnutrition; poor transport; no crops; inadequate education; unaffordable, inaccessible childbirth facilities: these are some of the root-causes of tragic death that we anticipate might be highlighted in the current discussions in the eleven women's groups in Tunguli and Msamvu. Thereafter, we hope that the communities, now motivated and focused, might begin long-term sustainable projects to tackle these desperate issues.





But will it work? Will this protracted and meticulous process really arouse the community buy-in we are looking for, whereby village women truly get to grips with the root causes of tragedy, and truly determine, with our help or without it, to make a difference? Well, the WHO says yes it will work, and yes women will feel empowered;  and yes it is indeed the only way to progress. 

But are we missing something? ... let me think ...

I'm now writing this from a pool-side paradise on the island of Elba, a glorious fragment of Tuscany carelessly dropped in the sea when they were making Italy. From where I lounge in the perfect, tingling Italian sun, I can see a host of fruit trees laden with lemons, oranges, avocados, bananas, figs, and those little apricot-coloured ones that aren't kumquats. (Apricots?)

At the feet of these healthy, fecund trees is the 'June drop': in June, a portion of the fruit falls to the ground, to leave room for the rest to flourish. 



This is Nature's thinning-out of the crop, to enhance the abundance of the fruiting. At the right time and with the right help, these mature trees, that began as thin seedlings, will yield rich harvests.

So it will be, perhaps, with the eleven women's groups. They began as fragile plants; barely seedlings: full of the right DNA, but thin and vulnerable. Maybe not all will reach the same maturity. Maybe some of the projects which emerge will drop early to the ground.

But, far from fretting that each fall represents failure of the whole, the important thing is to know that the groups are there, being tended: an orchard of possibility where before there was hunger.



Yes, we are indeed on the right lines.

Water is a case in point. In the past, there have been many examples of water projects failing because they were not initiated by those in need. 


Good people with kind hearts decided perhaps that a village needed water, and paid for a spring or a well. Even if these sponsors managed to avoid the common problem of some of the money disappearing; and managed to ensure that the rest was well-spent; and managed to supervise the project so that good materials were used and were well-engineered; all of this still falls short of having ensured that lives will be saved, and that girls will be educated. See this link for the sobering facts:

http://www.vossfoundation.org/assets/www.rural-water-supply.net_.pdf

Foreign aid cannot be there for ever, maintaining the equipment; dealing with standing water; protecting from infection; encouraging appropriate use; building on success by incorporating  new ideas such as food gardens; changing the culture; and redeploying well the countless hours previously spent by women and girls in collecting this wonderful resource.

When, on the other hand, a village has determined that its objective is to reduce tragic death, if it then decides that access to clean water is part of the solution, it will not put up with poor construction, poor maintenance, or stasis in the primitive culture of subsistence, helplessness, and tolerance of tragedy.



May I finish with a true story that was one of the reasons Tushikamane began:

We have six weeks to go until Canon John Green leads a party from Worcestershire to visit Tunguli and Msamvu. They will get a feel for whether the groups are really going to work, and whether some of them – hopefully most of them – have truly got to grips with what they plan to do to move towards the twenty first century.

It was John Green who encouraged me, exactly three years ago, to go to Berega, to try to help prevent maternal death, by improving standards in the hospital. I knew in theory that more than 80% of deaths occurred in the community and never reached our doors, but I thought that my presence in the maternity ward would at least help. Then, one awful Saturday night in June, a woman was brought in, the middle passenger on a motor-bike, dying of complications of pregnancy. She barely had time to reach a bed before she died. To my indescribable horror, she was then loaded back onto the motorbike, again as a middle passenger, and taken back to her grieving children. The unutterable awfulness of their joy turning to grief when they realised that the returning mother was dead, still haunts me now.

I don't know what she died of, but there are so many ways in which a determined community might have prevented her death with simple interventions: training of birth attendants not to give stimulants; early transport systems; iron to treat anaemia in pregnancy such that any bleeding does not kill you; early detection of pre-eclampsia; clean water and cleanliness to prevent infection; the list of interventions is long, and the list of common killers is short. The story is similar and ten times as common for death of under-fives, where clean water is a huge part of the solution.

We begin with eleven women's groups. 
Maybe some of the groups will not be as strong as others. 
Maybe some will even fail - the June drop of human enterprise.

But if they prevent just one June drop of that more horrific kind, then Tushikamane will have succeeded.