I was in the cafeteria at lunch and I noticed a few of my colleagues already in cue. I approached them to extend my greetings. However, they urged me to get in the line with them while several people were already in cue behind them. Out of fairness, I denied and said I would get behind the line and meet them afterwards. One of my colleagues then said, "just get in...this is Pakistan." To some this may seem very trivial but it made me upset. Whether I am in Pakistan or Canada, I will do what I think is fair and right. I will not compromise my morals and ethics for anyone. I did not even mind when I got into cue and someone "budged" in front of me.
Some say that in order to survive anywhere, you need to act like the people who are living with. But to what extent? Are you willing to forget who you are just to "survive" or "fit in?" I have been told over and over again that, people look out for only themselves and that I should do the same. Granted I have met many individuals who could care less about others but I have also met MANY beautiful Souls who literally hold this world together. I have met those who slam doors on people's faces but I have also met individuals who have bent over backwards to help someone in need.
What does survival mean anyways? Here are two definitions for you from Princeton: "a state of surviving; remaining alive" and "a natural process resulting in the evolution of organisms best adapted to the environment." In my humble opinion, survival requires a collective effort. It depends on every single person playing their part to not only improve themselves but helping to improve the entire lot. We depend on each other. For centuries people have survived and societies have thrived through simple acts of kindness and through voluntary work. Work that expects no rewards and no recognitions.
Have we become so individualistic that we have weakened our ties with everyone else?
Thursday, January 29, 2009
Wednesday, January 28, 2009
Another research project which I have been asked to get involved in is called the HER project. This project in an collaborative effort with AKU, Business for Social Responsibility, David and Lucile Packard Foundation and Extending Service Delivery. The aim of this project is to design and pilot health programs for vulnerable women factory workers. This project is essential because:
1) women comprise a majority of the workforce in labor-intensive manufacturing industries
2) women employees are at a greater risk of suffering from health problems because they are often in their child bearing years and also lower social status than men
3) Many factory managers fail to invest financial resources in health programs since most women workers are young and perceived by factory management to be "sexually inactive" and hence, not in need of reproductive health services.
4) Most factories do not understand the link between the provisions of health services for women with higher productivity, reduced absenteeism and lower turnover.
5) Even though some factories provide women's reproductive health and HIV/AIDS prevention training to its workers, such programs suffer from a lac of worker participation and appropriate program evaluation.
Two factories have been selected. A survey for female workers has already been completed, which asks questions on topics pertaining to prevention and care of Hepatitis B and C, nutrition, general hygiene and sanitation, pre-and post-natal care, and family planning options. Upon conducting the survey, the researchers have identified several myths and misconceptions women have on their health.
In general, there is a lack of knowledge on family planning as well as on HIV/AIDS and STIs. Many have never even heard of these diseases. This knowledge is freely available in developed countries but not so in countries like Pakistan and India. I am wondering if this lack of knowledge has something to do with the culture. HIV/AIDS and STIs are not talked about freely because that involves talking about sexual interactions. This is considered a taboo in most cultures and is usually swept under the rug. So I wonder, who many individuals are walking around, unknowingly, with HIV/AIDs or STIs?
As part of this project, women workers were selected from each of the factories and trained on the topics list above. These women received training and went through workshops to sharpen their skills and fill any gaps in their knowledge. All training and workshops will be provided by AKU and will be conducted every two months. These individuals will then be asked to convey this information to the study women workers during lunch/break. The goal is that the women will get together to talk about issues that concern them the most, to identify their needs, and brainstorm ways to fulfilling these needs through help with various partnerships. Change can only happen when it is appropriate for the people who are seeking change-otherwise, no solution will ever be sustainable.
The last steps would be to assess changes in health practices among the women workers after a 12-months time as well as to implement health policies with the help of both private-public sectors.
1) women comprise a majority of the workforce in labor-intensive manufacturing industries
2) women employees are at a greater risk of suffering from health problems because they are often in their child bearing years and also lower social status than men
3) Many factory managers fail to invest financial resources in health programs since most women workers are young and perceived by factory management to be "sexually inactive" and hence, not in need of reproductive health services.
4) Most factories do not understand the link between the provisions of health services for women with higher productivity, reduced absenteeism and lower turnover.
5) Even though some factories provide women's reproductive health and HIV/AIDS prevention training to its workers, such programs suffer from a lac of worker participation and appropriate program evaluation.
Two factories have been selected. A survey for female workers has already been completed, which asks questions on topics pertaining to prevention and care of Hepatitis B and C, nutrition, general hygiene and sanitation, pre-and post-natal care, and family planning options. Upon conducting the survey, the researchers have identified several myths and misconceptions women have on their health.
In general, there is a lack of knowledge on family planning as well as on HIV/AIDS and STIs. Many have never even heard of these diseases. This knowledge is freely available in developed countries but not so in countries like Pakistan and India. I am wondering if this lack of knowledge has something to do with the culture. HIV/AIDS and STIs are not talked about freely because that involves talking about sexual interactions. This is considered a taboo in most cultures and is usually swept under the rug. So I wonder, who many individuals are walking around, unknowingly, with HIV/AIDs or STIs?
As part of this project, women workers were selected from each of the factories and trained on the topics list above. These women received training and went through workshops to sharpen their skills and fill any gaps in their knowledge. All training and workshops will be provided by AKU and will be conducted every two months. These individuals will then be asked to convey this information to the study women workers during lunch/break. The goal is that the women will get together to talk about issues that concern them the most, to identify their needs, and brainstorm ways to fulfilling these needs through help with various partnerships. Change can only happen when it is appropriate for the people who are seeking change-otherwise, no solution will ever be sustainable.
The last steps would be to assess changes in health practices among the women workers after a 12-months time as well as to implement health policies with the help of both private-public sectors.
Tuesday, January 27, 2009
Today we did a field visit to one of the villages that is part of our Complementary Feeding study in Karachi. We were told that one of our study infants had passed away, so our main reason for this field visit was to offer our condolences. Additionally, my supervisors felt that visiting the village will provide me with experiential knowledge, especially now that I know the study in and out. =)
The village we visited is called Rehri, aka Rehri Goth (Goth=village). Rehri is located on the Arabian sea coast and has a large community of fishermen. I was utterly shocked when entering the village. First of all, since the village was located on the coast, the water level had raised. In order to prevent flooding, salt was added to pull the water back. However, when asked if they were afraid of tsunamis or its outcomes, the villagers said no. Individuals live in straw huts, which were scattered across the village. Up to 10 families can live in one compound, however, these families need not be related. A family usually has up to 7 children. A room in a compound is pretty much half the size of a bachelor's suite. In this little room, the family eats, sleeps, plays and toilets. There are no furnitures, only cooking utensils, sheets, and a few clothes. Each family co-resides with goats, chickens, cows, and a crazy number of flies! One of the families we were visiting was literally cooking with flies. They were cleaning fish with minute amount of water, hence, the fish was not being cleaned properly prior to cooking.
The child who passed away died from an infection and loss of large amounts of blood. It is common practice for mothers in villages to feed their 3 month old child paan (betel leaf with arcea nuts). However, the paan can include tobacco and other harmful chemicals. This child was given this, which resulted in uncontrollable bloody diarrhea. Surgery was needed but the surgical site became infection due to living conditions at home. This is all too common in these villages. Each day several children die due to misconceptions, myths and lack of knowledge. This "knowledge" is passed down to families from each generation-no one has corrected their behavior...until now. The families are now being taught appropriate feeding practices, maternal and child health, basic hygiene and sanitation practices as well as the importance of breast feeding.
This particular village is a very complex village. My supervisors and local health care workers shared with me many stories that blew me off my feet. Rehri Goth is a village that engages in drug consumption and trafficking (ex. heroine). There is also a high rate of domestic violence and marital affairs. There is no help coming in from the government, let alone international aid. Their problems are merely swiped under the rug. We are trying to raise awareness and share knowledge and resources but this does not happen over night. We need help from multiple shareholders-both private and public. Also, in order for change to happen, the people need to want to change. Change in attitude and behavior is extremely difficult when all you have been taught is otherwise.
The village we visited is called Rehri, aka Rehri Goth (Goth=village). Rehri is located on the Arabian sea coast and has a large community of fishermen. I was utterly shocked when entering the village. First of all, since the village was located on the coast, the water level had raised. In order to prevent flooding, salt was added to pull the water back. However, when asked if they were afraid of tsunamis or its outcomes, the villagers said no. Individuals live in straw huts, which were scattered across the village. Up to 10 families can live in one compound, however, these families need not be related. A family usually has up to 7 children. A room in a compound is pretty much half the size of a bachelor's suite. In this little room, the family eats, sleeps, plays and toilets. There are no furnitures, only cooking utensils, sheets, and a few clothes. Each family co-resides with goats, chickens, cows, and a crazy number of flies! One of the families we were visiting was literally cooking with flies. They were cleaning fish with minute amount of water, hence, the fish was not being cleaned properly prior to cooking.
The child who passed away died from an infection and loss of large amounts of blood. It is common practice for mothers in villages to feed their 3 month old child paan (betel leaf with arcea nuts). However, the paan can include tobacco and other harmful chemicals. This child was given this, which resulted in uncontrollable bloody diarrhea. Surgery was needed but the surgical site became infection due to living conditions at home. This is all too common in these villages. Each day several children die due to misconceptions, myths and lack of knowledge. This "knowledge" is passed down to families from each generation-no one has corrected their behavior...until now. The families are now being taught appropriate feeding practices, maternal and child health, basic hygiene and sanitation practices as well as the importance of breast feeding.
This particular village is a very complex village. My supervisors and local health care workers shared with me many stories that blew me off my feet. Rehri Goth is a village that engages in drug consumption and trafficking (ex. heroine). There is also a high rate of domestic violence and marital affairs. There is no help coming in from the government, let alone international aid. Their problems are merely swiped under the rug. We are trying to raise awareness and share knowledge and resources but this does not happen over night. We need help from multiple shareholders-both private and public. Also, in order for change to happen, the people need to want to change. Change in attitude and behavior is extremely difficult when all you have been taught is otherwise.
For the next 8 months, I have been asked to work on three projects with the Community Health Sciences Department in AKU Karachi. The people I am working with are absolutely amazing! They are goal-orientated, ridiculously intelligent but most importantly, they are really friendly.
I wish to share with you one of the projects.
AKU has partnered with The Global Network for Women's and Children's Health Research (GN) to investigate the issues associated with child morbidity and mortality. GN was conceived in 2001 as a private-public partnership between the U.S National Institute of Health and Bill and Melinda Gates Foundation. This partnership was made in response to alarming rates of infant morbidity and mortality in developing countries. "Its mission is to expand scientific knowledge, develop research infrastructures and improve health outcomes by building research partnerships to conduct research on feasible, cost-effective, sustainable interventions to address the major causes of perinatal morbidity and mortality of women and children in the developing world." (http://www.aku.edu/CHS/gn-index.shtml)
Evidence from research shows that 10 million deaths occur each year amongst children 5 years of age or less. These deaths are mainly preventable with their root cause being malnutrition. Lack of proper nutrition leads to poor health outcomes due to inadequate intake of essential nutrients, vitamins and minerals. Micronutrient deficiency (especially Zinc, Iron and Vitamin B complex) impairs normal child growth and development and neurocognitive function. Additionally, the child is exposed to numerous infectious diseases. It is known that the first 18 months of a child's life is critical. Anything that happens in this time period will affect the child when he/she grows up. Therefore, any improvements in a child's nutritional status needs to made STAT! Now many campaigns have been launched to fortify local food sources with micronutrients but this is not feasible. This does not even reach the poor and if it did, they cannot even afford it. Sustainability of this initiative is questioned.
The principle hypothesis that is being tested in this study is that daily feeding of meat from 6-18 months of age, in addition to educational messages on optimal complementary feeding and exclusive breastfeeding, will result in significantly greater linear growth velocity compared to that achieved by daily feeding of an equi-caloric micronutrient fortified cereal supplement. The secondary hypothesis is that daily feeding of meat will result in improved zinc and iron intakes and status, improved brain growth and neuro-cognitive development, and reduced infectious disease morbidity. 10 out of 18 towns in Karachi have been chosen. Since each town is made of up to 25 villages, one village out of each town has been randomly chosen. The intervention group is the meat group and the control group is the cereal group. 5 villages are receiving the meat and 5 receiving the cereal. Both the meat and the cereal is being cooked, prepared, packaged and supplied by a US, federally approved, company.
Now this study is great! Its a first of its kind in Karachi. Another interesting fact, this study is also being conducted in Guatemala, Democratic Republic of Congo, and Zambia.
Researchers of this study hope that once the results are revealed, the government will make changes to the current health policies on child complementary feeding. But will the government be accountable for this? will the government provide the necessary funding? Even if a heightened sense of awareness is achieved from this study, what then?
We could teach local farmers to grow local meat sources such as chicken and consume their meat. But not all are farmers. Also, where will we get the land for grazing animal herd? If we do have the land, what about affordability of these lands? Who will teach these people how to grow local meat sources? Will there be help from NGOs or other sources of international aid?
I wish to share with you one of the projects.
AKU has partnered with The Global Network for Women's and Children's Health Research (GN) to investigate the issues associated with child morbidity and mortality. GN was conceived in 2001 as a private-public partnership between the U.S National Institute of Health and Bill and Melinda Gates Foundation. This partnership was made in response to alarming rates of infant morbidity and mortality in developing countries. "Its mission is to expand scientific knowledge, develop research infrastructures and improve health outcomes by building research partnerships to conduct research on feasible, cost-effective, sustainable interventions to address the major causes of perinatal morbidity and mortality of women and children in the developing world." (http://www.aku.edu/CHS/gn-index.shtml)
Evidence from research shows that 10 million deaths occur each year amongst children 5 years of age or less. These deaths are mainly preventable with their root cause being malnutrition. Lack of proper nutrition leads to poor health outcomes due to inadequate intake of essential nutrients, vitamins and minerals. Micronutrient deficiency (especially Zinc, Iron and Vitamin B complex) impairs normal child growth and development and neurocognitive function. Additionally, the child is exposed to numerous infectious diseases. It is known that the first 18 months of a child's life is critical. Anything that happens in this time period will affect the child when he/she grows up. Therefore, any improvements in a child's nutritional status needs to made STAT! Now many campaigns have been launched to fortify local food sources with micronutrients but this is not feasible. This does not even reach the poor and if it did, they cannot even afford it. Sustainability of this initiative is questioned.
The principle hypothesis that is being tested in this study is that daily feeding of meat from 6-18 months of age, in addition to educational messages on optimal complementary feeding and exclusive breastfeeding, will result in significantly greater linear growth velocity compared to that achieved by daily feeding of an equi-caloric micronutrient fortified cereal supplement. The secondary hypothesis is that daily feeding of meat will result in improved zinc and iron intakes and status, improved brain growth and neuro-cognitive development, and reduced infectious disease morbidity. 10 out of 18 towns in Karachi have been chosen. Since each town is made of up to 25 villages, one village out of each town has been randomly chosen. The intervention group is the meat group and the control group is the cereal group. 5 villages are receiving the meat and 5 receiving the cereal. Both the meat and the cereal is being cooked, prepared, packaged and supplied by a US, federally approved, company.
Now this study is great! Its a first of its kind in Karachi. Another interesting fact, this study is also being conducted in Guatemala, Democratic Republic of Congo, and Zambia.
Researchers of this study hope that once the results are revealed, the government will make changes to the current health policies on child complementary feeding. But will the government be accountable for this? will the government provide the necessary funding? Even if a heightened sense of awareness is achieved from this study, what then?
We could teach local farmers to grow local meat sources such as chicken and consume their meat. But not all are farmers. Also, where will we get the land for grazing animal herd? If we do have the land, what about affordability of these lands? Who will teach these people how to grow local meat sources? Will there be help from NGOs or other sources of international aid?
Sunday, January 25, 2009
As some of you may already know, I was actually born in Karachi, Pakistan in Karimabad colony. I left for Canada when I was only 6 years old, thats approximately 21 years ago. So last weekend I visited family I had not seen for 21 years! It was great to chill with them and talk about the "good old days." I got to see pictures of myself and my siblings when we were so little...pictures I had never seen before. I couldn't remember much about my past though. However, there are quite a few events I have been remembering. Certain smells or tastes triggers my memory. After visiting my family member, I went to my old building: L building, third floor. There were people living in my old flat but they were sweet enough to let me come in and see the place. Visiting my old home was very emotional for me and very important. I mean this was the house I left Canada from. We shared so much in that house. Running up and down the stairs. Walking to Karimabad Jamat Khana (Ismaili Muslim place of worship). Yummy street food right below our building. We left Pakistan for many reasons, but one of them was so our parents can give us a really good education. This was truly a humbling moment. I had come back after making my parents wish a reality. I never thought I would come back here but here I am! I am truly appreciating my roots now. I am appreciating my parents and all their hard work to provide for us kids. Also, while looking inside the flat, I realized how small it was. It was basically a bachelors suite with one bedroom, washroom, kitchen and T.V room. I wondered, "how did all of us fit in here!" But you know there a lot of families that live in small flats just like ours. I guess when you have love, what else do you need! Sounds cheesy I know but it is true =)
You may have been wondering why my recent blogs sound so depressing and sad. I too have been wondering why I am so emotional and angry these days. As sad as my experiences have been and as angry as I am, rest assured, I have not lost hope. I do not feel helpless. I only wish to raise awareness. I only wish to let everyone know the lives other people are leading. I want all of us to get out of the narrow-minded world that we are living in right now and appreciate the lives of our own brothers and sisters. I have definitely learned a lot during this short amount of time in Karachi and everyday I have been realizing how ignorant I have been.
I hope you would continue to support me in my journey.
I hope you would continue to support me in my journey.
Friday, January 23, 2009
While being here in Karachi, I have noticed MANY people holding their hand out to every passer by. Anytime a car is stopped, someone is either asking for money or food. They are also selling anything they can get their hands on in order to earn a modest living. These individuals range from the youngest child to the oldest grandmother. Some have lost an arm, their eye sight or both legs (either due to an armed conflict or polio). Whatever their situation maybe, they are out every single day and looking for any opportunity they can find. Seeing this for the first time made me extremely emotional. I have seen individuals out on the streets in Canada but never have I seen a 6 year old child, nor have I seen an old women in a tattered saree! As they say in Urdu, Mera Jee Jalrah tha (My soul/heart was aching).
My sadness evolved into anger. Why are there individuals who live in conditions like this? Why do we have individuals who feel this is the "only way" in a world that has made so many advancements in all fields of development over the past several years?
I was reminded of the movie "Slum dog Millionaire, " which I am sure the majority of you have already watched. Karachi is not the only place where this labor force exists. There are many communities across the globe who are in the same situation. It exists in developing and developed countries but to different extents and in different forms.
Upon talking with local Karachiites, here are some points they have raised. There are individuals who continue to take part in this labor force merely because they want to. It is their choice and they want to continue this. I have also been told that "they are just lazy" and "this is an easy way out for them." I have not been in Karachi long enough to tell you whether this is true or not. There may be individuals living with this mind frame but I am certain that not all feel this way. However, if there are individuals that feel asking for money is "easier" then I would like to ask: Why do they feel this way? Is this attitude the result of their upbringing or other influences? Do they feel this way because no one has ever given them a chance to seek out other opportunities? Or is it because no one has truly believed in them? Or have they lost all hope? I do not know. This is a complex situation, in my opinion, and involves many factors. But I would like you to think about this, as will I.
When individuals ask me for money, my initial response is to give them what they are asking for. This decision is merely based on emotions. However, I also understand that giving monetary resources will only solve their short-term immediate problems. It is a quick fix. It never gets to the grass roots of the issue-why does this problem exist in the first place and where do we go from here? I believe we need to start building capacities. We need to give individuals the tools and resources that they need to improve their livelihoods with dignity...with the 'know-hows' so they can feel proud of the contributions they have made to their society and for their families and future generations. This can be done through building local expertise in fields of health, development, economy, etc. This can also be done through the exchange of knowledge, expertise, and resources through partnerships. I am still exploring this field...
The question I have been asking myself these days is: "What can I do to help build capacity among the people I live and breathe with?"
My sadness evolved into anger. Why are there individuals who live in conditions like this? Why do we have individuals who feel this is the "only way" in a world that has made so many advancements in all fields of development over the past several years?
I was reminded of the movie "Slum dog Millionaire, " which I am sure the majority of you have already watched. Karachi is not the only place where this labor force exists. There are many communities across the globe who are in the same situation. It exists in developing and developed countries but to different extents and in different forms.
Upon talking with local Karachiites, here are some points they have raised. There are individuals who continue to take part in this labor force merely because they want to. It is their choice and they want to continue this. I have also been told that "they are just lazy" and "this is an easy way out for them." I have not been in Karachi long enough to tell you whether this is true or not. There may be individuals living with this mind frame but I am certain that not all feel this way. However, if there are individuals that feel asking for money is "easier" then I would like to ask: Why do they feel this way? Is this attitude the result of their upbringing or other influences? Do they feel this way because no one has ever given them a chance to seek out other opportunities? Or is it because no one has truly believed in them? Or have they lost all hope? I do not know. This is a complex situation, in my opinion, and involves many factors. But I would like you to think about this, as will I.
When individuals ask me for money, my initial response is to give them what they are asking for. This decision is merely based on emotions. However, I also understand that giving monetary resources will only solve their short-term immediate problems. It is a quick fix. It never gets to the grass roots of the issue-why does this problem exist in the first place and where do we go from here? I believe we need to start building capacities. We need to give individuals the tools and resources that they need to improve their livelihoods with dignity...with the 'know-hows' so they can feel proud of the contributions they have made to their society and for their families and future generations. This can be done through building local expertise in fields of health, development, economy, etc. This can also be done through the exchange of knowledge, expertise, and resources through partnerships. I am still exploring this field...
The question I have been asking myself these days is: "What can I do to help build capacity among the people I live and breathe with?"
Thursday, January 22, 2009
It has only been a week and a few days since I've been in Karachi and already I have seen so much destitution. I have seen sewage water running along the side of the road. I have seen numerous garbage piles in every corner and every block. I have seen families of 4 or more cooking food in the open fire outside with no roof over their heads. I have seen individuals eating while flies surround them and in their food. I have seen individuals eating with dogs and cats eating from the same plate. I have seen stranded dogs and cats searching for food and love. I have seen homes with no solid foundation and on the verge of collapse, yet they are still occupied. I have seen young children and women old enough to be your grandmothers begging for money from each passing car (I will talk more about this further). I have seen children wearing tattered clothes doing hard labour work instead of playing with friends.
Seeing all this makes me extremely sad and raises a lot of questions. Sad because most of the hard working, honest people get used and trampled on by those who have no disregard for others. Sad because there are some kids who will never know what it feels like to be a child. Sad because there are mothers and fathers out there who know that their child will not make it to see their 3rd birthday and there is nothing they can do about it. Sad because every single individual has so much potential, but there are not many people who realize this potential.
But I am happy about something. Happy that even though there are some individuals who make only $2 dollars/day, or less, they work with integrity and honesty. They work hard and have a deep interest in improving their lot and contribute to their society. I am happy that there are caring people out there that honestly believe in the treasures individuals possess and do their utmost to bring these treasures to surface. One such individual I am referring to is the Aga Khan. However, there are many like him. You only need to go back into history or open your eyes. “We are gathered here today, not simply because we share the view that the poor must be enabled to overcome their circumstances. It is because we firmly believe that the disadvantaged amongst us must be able to build a sound and secure future with dignity and pride - and not merely to survive.” This quote is from the Aga Khan, from his speech at the inauguration of the First Microfinance Bank in Islamabad on March 11, 2002. We must all heed to this message and it is high time we start thinking and doing collectively instead of getting stuck in an individualistic society. I am not here to preach, just stating my views and opinions. If only individuals were given a chance to truly recognize their potential, we as a collective human race would truly prosper in all aspects. We need to work together to help individuals believe in themselves...to have faith in themselves and the treasures they possess...to instil hope in them. Hope for today and the future.
Seeing all this makes me extremely sad and raises a lot of questions. Sad because most of the hard working, honest people get used and trampled on by those who have no disregard for others. Sad because there are some kids who will never know what it feels like to be a child. Sad because there are mothers and fathers out there who know that their child will not make it to see their 3rd birthday and there is nothing they can do about it. Sad because every single individual has so much potential, but there are not many people who realize this potential.
But I am happy about something. Happy that even though there are some individuals who make only $2 dollars/day, or less, they work with integrity and honesty. They work hard and have a deep interest in improving their lot and contribute to their society. I am happy that there are caring people out there that honestly believe in the treasures individuals possess and do their utmost to bring these treasures to surface. One such individual I am referring to is the Aga Khan. However, there are many like him. You only need to go back into history or open your eyes. “We are gathered here today, not simply because we share the view that the poor must be enabled to overcome their circumstances. It is because we firmly believe that the disadvantaged amongst us must be able to build a sound and secure future with dignity and pride - and not merely to survive.” This quote is from the Aga Khan, from his speech at the inauguration of the First Microfinance Bank in Islamabad on March 11, 2002. We must all heed to this message and it is high time we start thinking and doing collectively instead of getting stuck in an individualistic society. I am not here to preach, just stating my views and opinions. If only individuals were given a chance to truly recognize their potential, we as a collective human race would truly prosper in all aspects. We need to work together to help individuals believe in themselves...to have faith in themselves and the treasures they possess...to instil hope in them. Hope for today and the future.
Poverty in Pakistan is a growing concern, as with all the other developing countries. Nearly one-quarter of the Pakistani population is classified poor. A common method of measuring poverty is based on incomes or consumption levels. According to the World Bank, a person is considered poor if his or her consumption or income level falls below some minimum level necessary to meed basic needs. This minimum level is referred to as the "poverty line."
Facts:
-74% of Pakistan's population, or 122 million people, live under $2 a day.
-10% of the population earning 27.6% of income.
-40% of the population has no access to safe drinking water.
-50% has no access to sanitation.
-Pakistan's infant mortality rate is 88 per 100.
-Most of the Pakistanis living in poverty are in rural areas.
-Women in Pakistan suffer from poverty of opportunities throughout their lives.- Female literacy in Pakistan is 29% compared to Male literacy at 55%.
Facts:
-74% of Pakistan's population, or 122 million people, live under $2 a day.
-10% of the population earning 27.6% of income.
-40% of the population has no access to safe drinking water.
-50% has no access to sanitation.
-Pakistan's infant mortality rate is 88 per 100.
-Most of the Pakistanis living in poverty are in rural areas.
-Women in Pakistan suffer from poverty of opportunities throughout their lives.- Female literacy in Pakistan is 29% compared to Male literacy at 55%.
Let me give you some information on the health care situation here. I am sure my nursing buddies will find this interesting and sad.
The nurse to patient ratio at AKUH is 5:1 in special care wards (non-ventilated patients), 2/1:1 for ventilated, 15:1 in general care wards (acute medicine, general surgery, etc). Each 1-2 nurse has a nursing assistant. Now this is just the ratio at AKUH and this hospital is one of the best ones in Karachi. In another government-owed hospital, there are not enough ECG techs that untrained hospital workers are doing it. However, they are still being interpreted by doctors. However, it is not safe when ECG's need to be interpreted ASAP and no doctors are around. There are not enough nurses for the amount of patients that are being admitted. The situation with nurses is that of retention. Nurses get their education here but move to Canada or the States for whatever reason. At the AKUH only, if a patient is unable to pay for their medical services their financial records are reviewed and they are given assistance accordingly. These are not loans where individuals have to pay back. It is similar to welfare assistance. How fair is to turn someone away from medical service on the basis of lack of monetary resources? If it is a life and death situation, will you seriously be waiting for your cheque? Sadly, this situation is true for most part of Pakistan. It is not a simple case-it is very complicated with various factors to consider. AKUH's mandate is to provide health care and social services to all regardless of race, gender, ethnicity, religious affiliations and social class. Some of the health care challenges in Pakistan are similar to those in other developing countries: malnutrition, prevalence of communicable diseases (TB, Malaria, Gastrointestinal diseases, etc), respiratory infection (mostly due to pollution). My cousin who is a nurse at AKUH told me a very shocking and sad story which i would like to share with you all. Since he works in the pediatric ward, the was caring for a small child who was bitten by a dog. He was taken to a nearby government-owed hospital, where he received an injection for rabies. As it turned out, the young boy was given the wrong treatment. He was then rushed to AKUH for emergency treatment. He did not make it. This is so common in developing countries! Wrong treatment, wrong patient, poorly-trained medical staff, etc etc. We may not want to admit this but there is a good deal of corruption involved as well. The situation is so complex and needs a variety of stake holders to properly assess this situation. I mean we are taking about preventable issues here! We all must be concerned about this just as we are concerned with killing of innocent people in warfare. Its time we focus our attention on collective efforts and work as a larger human community. Just a few things I want you to chew on. Please feel free to comment.
The nurse to patient ratio at AKUH is 5:1 in special care wards (non-ventilated patients), 2/1:1 for ventilated, 15:1 in general care wards (acute medicine, general surgery, etc). Each 1-2 nurse has a nursing assistant. Now this is just the ratio at AKUH and this hospital is one of the best ones in Karachi. In another government-owed hospital, there are not enough ECG techs that untrained hospital workers are doing it. However, they are still being interpreted by doctors. However, it is not safe when ECG's need to be interpreted ASAP and no doctors are around. There are not enough nurses for the amount of patients that are being admitted. The situation with nurses is that of retention. Nurses get their education here but move to Canada or the States for whatever reason. At the AKUH only, if a patient is unable to pay for their medical services their financial records are reviewed and they are given assistance accordingly. These are not loans where individuals have to pay back. It is similar to welfare assistance. How fair is to turn someone away from medical service on the basis of lack of monetary resources? If it is a life and death situation, will you seriously be waiting for your cheque? Sadly, this situation is true for most part of Pakistan. It is not a simple case-it is very complicated with various factors to consider. AKUH's mandate is to provide health care and social services to all regardless of race, gender, ethnicity, religious affiliations and social class. Some of the health care challenges in Pakistan are similar to those in other developing countries: malnutrition, prevalence of communicable diseases (TB, Malaria, Gastrointestinal diseases, etc), respiratory infection (mostly due to pollution). My cousin who is a nurse at AKUH told me a very shocking and sad story which i would like to share with you all. Since he works in the pediatric ward, the was caring for a small child who was bitten by a dog. He was taken to a nearby government-owed hospital, where he received an injection for rabies. As it turned out, the young boy was given the wrong treatment. He was then rushed to AKUH for emergency treatment. He did not make it. This is so common in developing countries! Wrong treatment, wrong patient, poorly-trained medical staff, etc etc. We may not want to admit this but there is a good deal of corruption involved as well. The situation is so complex and needs a variety of stake holders to properly assess this situation. I mean we are taking about preventable issues here! We all must be concerned about this just as we are concerned with killing of innocent people in warfare. Its time we focus our attention on collective efforts and work as a larger human community. Just a few things I want you to chew on. Please feel free to comment.
I arrived to Karachi via Pakistan International Airlines yesturday morning. I have only heard horror stories about PIA, so I was not looking forward to flying with them. Here are a few things I noticed during my flight: the cabin crew were all male. There was only one female, who was responsible for making overhead announcements. I found this to be very interesting because on all the flights I have taken, the cabin crew have always been female. However, I have also noticed that when the female cabin crew wear skirts as their uniform, male passenger's eyes tend to wander. Regardless, the cabin crew were very curteous and polite. One of the attendants noticed I was not drinking enough water so he handed me a whole 2L water bottle to keep during the flight. Before take off, a verse of the Quran was recited. I apologize but I am not qualified in Quranic readings to decipher which verse it was. I am assuming it was on 'safe travels.'
As I was being driven from the airport to the AKU guest house, I had gripped on to the door handle rather tightly. It was absolute chaos! I have never seen anything like this in Canada. There is no concept of traffic lights (minimal at least) or a speed limit. It is literally free for all. Everyone shares the same lane-does not matter whether you are in a car, motorcycle or bicycle. In fact, lane marks are not even visible! It looks like chaos to a foreigner but this is 'normal' for the locals. Karachi is a town that never sleeps and hence, the traffic never eases. It is surprising to me that there are not that many motor vehicle accidents as I had expected. If this was the case in Canada, I am sure we would have 20 car pile ups! It is important to point out here that the local karachi drivers do not speed and they are vigilent. They carefully scan the road prior to switching lanes, making U-turns or braking because they have tom especially when there is no proper road system. The drivers honk to let the surrounding cars know they are switching lanes or prior to turning a corner. To cross the road is taking a risk on life-in my opinion at least. Yet the locals cross roads so easily! I merely crossed a small alley and almost got hit by a motorcycle. It must take mad skills to be able to drive and jay walk in Karachi-something which I must learn to do in order to ensure my survival.
I received a tour of the Aga Khan University today. I must say, this university is the most beautiful university I have ever seen! Mind you I have not seen many...Nevertheless, I love the abundant use of water through water channels, fountains and pools. Lush greenery also surrounds the university-every corner has a variety of plants. I love the use of red bricks and marble as well. It adds a sense of sophistication yet calmness. Reminds me of the Al-Hambra and it's use of red bricks. We also visited the heart of the AKU, which is the sports center. It has 4 tennis courts, two squash courts, a swimming pool, cricket field, track, weight training room and separate aerobics room for ladies and gents. And lets not forget the gymnasium! The gymnasium is where not only volleyball/basketball/table tennis/badminton matches are held but also where examinations take place. The ground is covered with maple wood and the top part of the walls are covered with tapesteries. However, these are not just any tapestaries. They not only provide a cultural flavor but they each have a sound system behind them to filter the noise and hence drown it so there is no echo.
Near the sports center, there is a glass wall with the names of donors who have selflessly given their resources for a wonderful cause. The University has a medical college as well as a nursing school. It is also working on opening up an Arts and science faculty in the new few years which will be bigger than the university itself!. Can't wait!
As I was being driven from the airport to the AKU guest house, I had gripped on to the door handle rather tightly. It was absolute chaos! I have never seen anything like this in Canada. There is no concept of traffic lights (minimal at least) or a speed limit. It is literally free for all. Everyone shares the same lane-does not matter whether you are in a car, motorcycle or bicycle. In fact, lane marks are not even visible! It looks like chaos to a foreigner but this is 'normal' for the locals. Karachi is a town that never sleeps and hence, the traffic never eases. It is surprising to me that there are not that many motor vehicle accidents as I had expected. If this was the case in Canada, I am sure we would have 20 car pile ups! It is important to point out here that the local karachi drivers do not speed and they are vigilent. They carefully scan the road prior to switching lanes, making U-turns or braking because they have tom especially when there is no proper road system. The drivers honk to let the surrounding cars know they are switching lanes or prior to turning a corner. To cross the road is taking a risk on life-in my opinion at least. Yet the locals cross roads so easily! I merely crossed a small alley and almost got hit by a motorcycle. It must take mad skills to be able to drive and jay walk in Karachi-something which I must learn to do in order to ensure my survival.
I received a tour of the Aga Khan University today. I must say, this university is the most beautiful university I have ever seen! Mind you I have not seen many...Nevertheless, I love the abundant use of water through water channels, fountains and pools. Lush greenery also surrounds the university-every corner has a variety of plants. I love the use of red bricks and marble as well. It adds a sense of sophistication yet calmness. Reminds me of the Al-Hambra and it's use of red bricks. We also visited the heart of the AKU, which is the sports center. It has 4 tennis courts, two squash courts, a swimming pool, cricket field, track, weight training room and separate aerobics room for ladies and gents. And lets not forget the gymnasium! The gymnasium is where not only volleyball/basketball/table tennis/badminton matches are held but also where examinations take place. The ground is covered with maple wood and the top part of the walls are covered with tapesteries. However, these are not just any tapestaries. They not only provide a cultural flavor but they each have a sound system behind them to filter the noise and hence drown it so there is no echo.
Near the sports center, there is a glass wall with the names of donors who have selflessly given their resources for a wonderful cause. The University has a medical college as well as a nursing school. It is also working on opening up an Arts and science faculty in the new few years which will be bigger than the university itself!. Can't wait!
Dear readers,
As per popular demand and numerous requests, I have started a blog in order to share with you my experience in Karachi, Pakistan. I will attempt to share my day to day experience, my thoughts, reflections and emotions. However, I have decided not to take as many pictures while I am here nor will I share them. Taking pictures here will only single me out as a foreigner and make me a target.
A little about how I got here and why. As most of you know, I have been working as a Registered Nurse in Vancouver, Canada for almost a year and a half in a cardiac unit. However, it has always been a dream of mine to pursue a career in public health and eventually in global/international health. Therefore, I decided to apply for an international internship in order to broaden my view about what public health means in general and international health in specific. It is with hope that I leave my current program with more questions then I entered with while seeking any opportunity for learning that I can find.
For those who are not aware, I am currently affiliated with Aga Khan University in Karachi, Pakistan. AKU was found by His Highness the Aga Khan and charted in 1983 and serves as Pakistan's first private university. AKU's objectives are to "Promote Human welfare in general, and the welfare of the people of Pakistan in particular, by disseminating knowledge and providing instruction, training, research and service in the health sciences, education and such other branches of learning as the University may determine." (http://www.aku.edu/
) AKU is an international University spread over eight countries – Pakistan, Kenya, Tanzania, Uganda, the United Kingdom, Afghanistan, Syria and Egypt. AKU is part of AKDN (Aga Khan Development Network), which is a group of development agencies, also found by His Highness, that seek to offer services in fields of health, education, architecture, culture, microfinance, rural development, disaster reduction and many more. For more information, visit http://www.akdn.org/about.asp
AKU's International Internship Programme seeks to develop and nurture learning opportunities while recognizing AKU and AKDN as a significant partner in the developing world. Partnerships with the developing world are that of relevance, access, impact, and quality. The partnerships that AKU is attempting to forge with the developing world is centered around the sharing of knowledge, resources and expertise. For more information, please visit http://www.aku.edu/job/Partnership/overview.shtml
I will be visiting my "boss" tomorrow, who will provide me with a clearer understanding of what my roles and responsibilities would be. Stay tuned for more information.
I will provide you with a detailed description of my experiences thus far tomorrow. For the sake of time, I bid you adieu.
Please feel free to leave you comments or questions.
Looking forward to sharing this experience with you.
As per popular demand and numerous requests, I have started a blog in order to share with you my experience in Karachi, Pakistan. I will attempt to share my day to day experience, my thoughts, reflections and emotions. However, I have decided not to take as many pictures while I am here nor will I share them. Taking pictures here will only single me out as a foreigner and make me a target.
A little about how I got here and why. As most of you know, I have been working as a Registered Nurse in Vancouver, Canada for almost a year and a half in a cardiac unit. However, it has always been a dream of mine to pursue a career in public health and eventually in global/international health. Therefore, I decided to apply for an international internship in order to broaden my view about what public health means in general and international health in specific. It is with hope that I leave my current program with more questions then I entered with while seeking any opportunity for learning that I can find.
For those who are not aware, I am currently affiliated with Aga Khan University in Karachi, Pakistan. AKU was found by His Highness the Aga Khan and charted in 1983 and serves as Pakistan's first private university. AKU's objectives are to "Promote Human welfare in general, and the welfare of the people of Pakistan in particular, by disseminating knowledge and providing instruction, training, research and service in the health sciences, education and such other branches of learning as the University may determine." (http://www.aku.edu/
) AKU is an international University spread over eight countries – Pakistan, Kenya, Tanzania, Uganda, the United Kingdom, Afghanistan, Syria and Egypt. AKU is part of AKDN (Aga Khan Development Network), which is a group of development agencies, also found by His Highness, that seek to offer services in fields of health, education, architecture, culture, microfinance, rural development, disaster reduction and many more. For more information, visit http://www.akdn.org/about.aspAKU's International Internship Programme seeks to develop and nurture learning opportunities while recognizing AKU and AKDN as a significant partner in the developing world. Partnerships with the developing world are that of relevance, access, impact, and quality. The partnerships that AKU is attempting to forge with the developing world is centered around the sharing of knowledge, resources and expertise. For more information, please visit http://www.aku.edu/job/Partnership/over
I will be visiting my "boss" tomorrow, who will provide me with a clearer understanding of what my roles and responsibilities would be. Stay tuned for more information.
I will provide you with a detailed description of my experiences thus far tomorrow. For the sake of time, I bid you adieu.
Please feel free to leave you comments or questions.
Looking forward to sharing this experience with you.
Subscribe to:
Posts (Atom)