Blog posts I am apparently never going to write

Linus Pauling Photo

I have started all of these posts more than once, and I never seem to get them fully written up. Therefore, some half-baked ideas for your consideration.

1. How I learned to love the MDGs

I used to think the Millennium Development Goals were a cruel cheat. I thought that since they were set too high to actually achieve, they were dooming developing country governments to failure and disillusionment. It turns out, though, that governments are used to missing their targets. And the MDGs make sure that everyone is aiming for really good targets. So I take it all back. The MDGs are pure genius.

2. Why I don’t hire development studies majors

Because the degree doesn’t leave you with any actual skills – maybe it would be useful for someone who’s been working in development and needs a frame. But it is not preparation for international development work. Learning a whole chunk of development theory has remarkably little to do with the actual work of improving lives and creating better opportunity.

3. All volunteers are not the same

Whether or not you get paid has nothing to do with your skill set. Volunteers are capable of doing vital work extremely well. However, they may also be unskilled, unqualified, and damaging to the programs and communities that take them on. It is very hard to use volunteers well because they tend to want a short-term commitment so you lose a lot of time training and integrating them, and because often people with relevant skills get paid jobs in development. Long-term volunteers are more likely to be useful than short-term volunteers.  Volunteering has more impact the closer to home it gets, because the learning curve gets shorter and shorter.

4. International development is difficult

It’s hard, it’s expensive, and we have trouble knowing what works. We make the same mistakes over and over. I have seen individual projects that actually succeeded but I honestly don’t know what theory of development is most likely to be true. (Though I do think people believe anything they see in a soap opera. Is that a development theory?) This field feels sometimes like medicine back in the age of leeches and bloodletting and I have no idea if Jeff Sachs, Paul Collier, or Bill Easterly is going to turn out to be Louis Pasteur or Linus Pauling.

5. The official list of crushes on development thinkers, as confessed to on Twitter:

  • Hans Rosling
  • Mohammad Yunus
  • Amartya Sen
  • Ruth Levine
  • Robert Chambers

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Photo credit: Wikipedia – Doesn’t Linus Pauling look handsome and idealistic? No clue at all he’d turn into a Vitamin C quack at the end of an illustrious career.

What we can’t do, part II

One person can never do enough. It’s a truism, and a dull one at that, but living that inadequacy is a whole new deal. In the US, you can mostly ignore the pain and inequality in your life. You can go from home to car to office to car to home again, and only encounter other middle class people. You don’t see the sweatshop laborer that made your clothes, or the environmental impact of the pollution caused by your car.

You don’t get a bubble in poor countries. The sick, starving, and unemployed are your friends and neighbors. Kids swarm your car to beg for money in the street. The pollution hangs in the sky and makes you cough black. Your staff members need more days off to attend funerals than you could have ever imagined. There is no way to pretend you’re not living in a world of colossal needs; that everyone is as comfortable as you are.

That never stops being painful for me, and I know I am not the only one. There are a few time-honored ways of dealing with the problem. You can try to tune it out – focus only on your job and refuse to notice all the other needs. That turns pretty quickly to blocking out the entire world you live in. You can refuse to think about it at all, but that turns pretty quickly into refusing to think about everything. Or you can tell yourself a story to help you accept your tiny little place in the world. A story helps give yourself some kind of handle to hang on to when the big eyed children with malnutrition-orange hair beg you for bread and candy.

I’m a storyteller, myself. A good story about what I am doing and why it’s worth doing it can take me through a long of dark nights of the soul. I define my project, and its immediate impact. Then I try to think about the ripples it may have, spreading out into the world. It’s not that my work is necessarily the most important work, or the only work that matters. But it does matter. Insert your metaphor of choice here: starfish on beach, candle in darkness. Sisyphus and his rock, by the way, are not a good metaphor choice.

I have other types of stories for other types of projects. International development is powerfully complex. Everything is linked, often in ways you wouldn’t expect. Situating your little effort into a large whole is easy. Education projects are essential because educated people improve economic growth and are healthier. Agricultural development efforts can prevent small farmers from starving and improve GDP. Even something as technical as land reform ties into state stability, agricultural support, and individual empowerment. I tell myself a story for every project I work for. I find a reason to love my work, and I hold to that reason.

So I had an answer for my office manager – I had my own story. I told him you can’t change the world when your child is sick. You can’t start a business, run for political office, or form a community association. All you can do is try to save your child. That’s just the nature of the human heart. And by helping the children of Uzbekistan be happy and healthy, we were freeing up a lot of human energy to make the country a better place.

The office manager accepted my answer. At least, he seemed calmer after we talked. He kept going. He didn’t do anything drastic like quit his job or emigrate to Russia. But I am willing to bet he’s still haunted by the problems he can’t solve in Uzbekistan. Just like I am.

What we can’t do, part I

Thdepressing picture of a muddy streetere have been an awful lot of people I haven’t been able to help. My career feels, sometimes, like a long list of things I haven’t been able to do, punctuated by the occasional success.

I know that isn’t unusual. When you live in a poor country, you are constantly assaulted by the terrible need of the people around you. Our ability to respond is limited by so many things – program scope, funding, human capacity and host country conditions – just to start. There is never enough money to do everything, or you need to branch out into some new area you know nothing about. Sometimes the problem is caused by destructive traditional practices or bad government regulations.

At times, you can’t help people because you failed. Your program just got it wrong. You trained doctors but they didn’t change their behavior afterwards. You wasted your money and their time and no patients benefited. Or the broiler chickens turned out to cost more to raise than they earned when you sold them. Or your families sold the vegetables from their kitchen gardens and used the money to buy sugar and children’s nutrition actually got worse.

You can make bad choices with the best of intentions, you can discover your every choice has unintended consequences, and you can just be flat out stupid. Luckily, we’re not houseflies. We have the capacity for learning. And if we’re willing to genuinely examine our failures, we can avoid making the same mistake twice. It’s hard, but it’s possible.

I’m not saying that failure is a good thing. No one wants to waste their limited resources – time, money, and community commitment. And most of the time failure isn’t failing well – it’s just an ugly mess. But you can learn to fail well, and over time most of us learn how to.

For me, at least, it’s not failure that devastates. It’s the sheer scope of the problems we face and the tininess of our ability to help. Even the most holistic project has its limits. You simply can’t tackle everything all at once. But as you live your life, everything all at once is what you see.

When I was living in Uzbekistan in 2005, there was an incident in a conservative city, Andijon, in the Ferghana valley. A protest got out of hand, leading to a break-in at the city jail and a massive demonstration in the main square. When the police got involved, it ended in violence. Somewhere between 169 and 700 people were killed. The Uzbek government holds that those who died were terrorists; NGOs in the country report deaths among innocent civilians, including women and children. It’s been a source of a lot of controversy.

Nobody, however, denies that it was bloody, terrible, and heartbreaking. The deaths in Andijon left the whole country stunned. My office manager came to me in tears; he was thinking of quitting his job. What is the point, he wanted to know, of running a health project when there were so many other things going wrong in his country? Training pediatricians struck him tiny and useless.

He had a point. Most of what we do is tiny and pointless in the grand scheme of things. One average-size project isn’t going to have much impact on an entire country. That is brought home to us every day, all the time, as we live and work in the developing world.

If you’re working for an HIV project, helping people access anti-retrovirals, you know you’re saving lives. If you visit a clinic that is giving out the drugs, you can actually watch people get healthier over time. But what about all the people who don’t have AIDS? What about your neighbor, whose mother has cancer and there is no treatment available in the country for it? What about your friend’s son, who has no way to pay for university? What about the woman down the street, who always has bruises and you can hear the shouting in her house? And the children begging in the street, or the local school which has no windows or books?

(photo credit: me)

A meditation on used bras

a bunch of bras

In 1994 I was at a conference in Philadelphia. Since it was the 90s, I was planning to wear a pastel-floral jacket and a matching ivory skirt for the conference. When I got dressed, though, I discovered to my horror that you could SEE MY BRA THROUGH MY JACKET. (I was 19 and I’d never been to Russia; I was very modest.) Staring in the mirror at the damning outline of my bra, I was near tears. You’re not allowed to wear a t-shirt to a Model UN Conference and I hadn’t packed any other business clothes.

One of my roommates, a red-haired girl named Amy, noticed my situation, and offered to loan me her own beige bra. I had no other options beside sitting out a conference I was looking forward to (and had already paid for). I borrowed her bra. It didn’t fit quite right, and wearing it was icky. But it got me through the day.

I am telling you about my underwear because it’s an example of an appropriate donation (or in this case, micro-loan) of an in-kind good. Amy knew me personally, knew my situation in detail, and I had an expressed need for the item in question. We were from similar cultures, so she knew how to make the offer in a way that was comfortable for me. Her one-time loan sustained me until I could return to using my own resources (underwear drawer in my dorm room).

Those previous three paragraphs were a long way of getting to this point: used underwear is icky and donating it is hard to do in a non-icky way. In-kind donations in general are very hard to do well, and undergarments are a whole new level of challenge.

Maybe this group from Huffington Post has a fantastic plan for distributing used bras in an effective and culturally sensitive manner and the plan just didn’t get mentioned in the blog post. But before you donate anything to them – ask.

That’s my bigger point: if you’re not clear on what a charity wants to do with your donation, ask for details. It’s not rude. It’s being a good donor. If their plan is well-thought-out, it will be easy for them to answer your questions. And if they aren’t ready for questions from donors, they are certainly not ready to run an effective aid project. (If you don’t know what questions to ask, The Charity Rater is one good way to find some.)

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Photo credit: Melissa Maples

Women Deliver

I mentioned this on Twitter, but not yet here in the blog: I’m going to Women Deliver! It takes place in DC from June 7-9 and has an absolutely amazing line-up of speakers. Everyone from Ban Ki Moon to Hans Rosling to Ashley Judd. I have been looking forward to this conference for weeks and weeks.

Unlike my attendance at TED, this time I want to blog the conference in as much detail as possible. Does anyone have advice or handy tricks on how to do that?

Sakeena Yacoobi and Healthy Mothers

I have been watching the Ashoka Healthy Mother Competition with interest. Maternal Health is one of my passions; I studied it in graduate school and it has been part of my work for the last ten years. The ideas submitted to the competition have ranged from half-considered flashes of thought to fully imagined comprehensive maternal health programs. I am an advisor to one of them – AYZH, a social venture that works to provide clean, green birth kits to women in India.

It will not surprise you, then that I would love to attend the 2010 Maternal Health Change Summit in India. This post is my entry in the contest to attend the summit. I’m not going to talk about AYZH here, because it doesn’t seem quite fair to write about something so close to my heart in this context.

Instead, I will write about Sakeena Yacoobi. Founder of the Afghan Institute of Learning (AIL), she is one of the true heroes of this world. An Afghan-American, she returned to Afghanistan to serve women in her country of birth. The Afghan Institute of Learning offers services from basic education to human rights leadership training for 350,000 women and children in Afghanistan. They supported underground schools during the Taliban regime.

They also offer health care and health education. AIL is the provider of medical care for thousands of Afghan women. They use a family health approach, focusing on education and preventative care as well as medical services. When you are dealing with maternal health, it’s the gold standard. Women need knowledge in order to have a health pregnancy, not just skilled care when giving birth.

One of the most interesting things about maternal health is the range of interventions we have to improve it. We need both innovations like better incubators for premature infants and well-known essentials like educating mothers, supporting maternal nutrition, and skilled personnel to accompany births.

AIL offers those essentials, to women who have no other options. Maternal mortality rates in Afghanistan are staggering. 18 mothers out of every thousand die as a result of motherhood; the second highest rate in the world. The three clinics of the Afghan Institute of Learning are helping to bring that number down, and they deserve our support to do it.

Check out other solutions for improving maternal health or to participate in the global call to solutions, please visit Healthy Mothers, Strong World: The Next Generation of Ideas for Maternal Health.

Say No to Old Clothes

used clothing stall

Some of you may have heard of a new campaign called One Million Shirts. They want to collect 1,000,000 used and new t-shirts and send them to Africa to help people with no clothes. They are also collecting money for the shipping costs. They’ve got some NGO partners, and they are starting to think about how best to distribute the t-shirts.

When I first heard of it, I thought it was an another well intentioned mess. The project is taking criticism for obvious reasons (if they’re not obvious, I’ll come back to them at the end of this post). The consistently brilliant Texas in Africa blog vouched for the good intentions of the founder, Jason Sadler, despite the terrible weakness of the idea. I decided I was going to stay out of the argument. Other, smarter people were saying everything I would have.

Then I saw the video. Now I don’t think it’s a well intentioned, poorly planned charity effort. Now I think it’s a marketing ploy from someone who is totally uninterested in helping others. When you actually want your project to have an impact, you listen to criticism. You put your ego aside and learn from what people have to say. You don’t cling to your original idea with wounded fury and attack the people questioning you.

I watched the video seven times, and transcribed it for you. My notes are in red:

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Hey internet trolls, angry people on twitter, whatever you want to call yourselves.

Angry people on Twitter seems accurate. I don’t know about trolls. Trolls make trouble for the fun of it. Not everyone who disagrees with something is a troll.

You all have a problem with me? That’s fine. I’m very easy to get ahold of. 904 312 2712. Call me.

I am not calling. I am writing this blog post, because I think public discussion is important. And you put your idea out into the world. It seems unreasonable to then demand that all conversation about the idea take place in private. Also, I live in Tajikistan, where I do international development work. Calling you by phone would cost me a fortune, and my internet is too slow for a decent Skype call.

Be a man.

This is sexist. I for one cannot be a man, without major surgery and life changes, because I am female. Are you assuming that everyone who disagrees with you is male? Or that everyone in the world is male? Or, wait – I get where you’re going with this. You think the people who disagree with you are cowardly, and you want them to be straightforward and courageous. Fair enough. But associating bravery and candor exclusively with men is sexist. And yes, your sexism is relevant here. I don’t trust you to do a good job working with women and children if you think they 1) don’t exist or 2) are incapable of courage.

Don’t sit behind Twitter. 140 characters. You don’t even have the time to email me, and you’re going to talk to me on Twitter.

Twitter is a pretty common forum for public discourse. This comment seems roughly equivalent to comparing that someone is hiding behind email or a telephone. I do agree that 140 characters doesn’t lead to useful, detailed discussion. That’s why people are writing blog posts.

I don’t care. I don’t drink hatorade. I really don’t. I don’t care at all. My dog doesn’t care. I don’t care. I don’t care at all.

That is not exactly the response of someone who is interested in learning from criticism. This isn’t personal. Nobody has any problem with you. This is about fear that this project you have founded will hurt the people in Africa that it intends to help. You getting mad does not change that.

If you have a problem with 1 million shirts, you probably really don’t like the fact that I get paid to wear t-shirts for a living. So, go to iwearyourshirt.com if you really want me to ruin your day.

Either this is a massive logical fallacy or a blatant plug for your business. I will assume the best and address it as a logical fallacy. Nobody is opposed to this project because they hate t-shirts or people who wear them. We are worried that sending a big pile of used clothes to African countries will hurt the local textile industry and people who sell retail clothes.

Otherwise I’m going to keep trying to give kids and families who don’t have shirts in Africa clothing to wear. Because you guys all seem to think that everyone in Africa has clothing.

Not everyone in Africa has clothing you would approve of, or want to wear. But yes, I am willing to state that just about everyone in Africa has clothing. Certainly in the countries that you are planning to target: Kenya, Uganda, DRC, Ghana, Liberia, Mozambique, Nigeria, Ethiopia, Sudan, Swaziland, and South Africa. For one thing, Kenya and South Africa are among the strongest economies on the continent.

So apparently you know better than I do. I’ve only been talking to charities who go there often.

Most of the people arguing with you are experienced aid workers and international development professionals with long histories of working with Africa. I am not. I have backstopped Africa programs from DC, and I have a degree in global health, but that’s all I’ve got. J from Tales from the Hood is a different story. So is Texas in Africa. I can pretty much guarantee they have as much or more experience with Africa than the charities you’ve been talking to.

So just want to let you guys know 904 312 2712. I’m happy to talk to anyone who wants to talk like a man maybe step up and actually speak to somebody, not just sit behind a computer. I don’t do that. I step up and get things done. So have a great day, I wish you all the best.

I’m still a woman. Still interested in public discourse, not closed doors wrangling. And I still live in Tajikistan. You have a good day too.

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For more information on why donations of used clothing can hurt Africans, see the following resources:

1)      The T-shirt Travels – a documentary on used t-shirts in Africa

2)      Dead White People’s Clothes

3)      Oxfam Report on secondhand clothing in Africa

Photo credit: Kim_TD