Author: Alanna Shaikh

Finding Funding

By Alanna Shaikh | | 9 Comments |

coins

One question I get asked very often by readers of this blog is how I got funding for my first overseas internship. It was an unpaid position with a multilateral organization in Tashkent, Uzbekistan, and it pretty much launched my global health career. It led to the job that led to my next job and so on and so forth until here I am now with enough experience that I believe myself capable of blogging about it.

My answer generally depresses people: I didn’t get funding. I estimated how much it would cost me every month to live in Tashkent. I figured out how long I wanted to stay – six months. Then I got a job, saved up my money, deferred my student loans, and got on the plane to Tashkent.

There is funding for overseas internships, but most of it seems to be for graduate students. I actually ended staying at my internship for a full year, funding the extra six months with a US government fellowship that no longer seems to exist.

But I got to Tashkent on my own, and I don’t think I could have gotten that fellowship if I wasn’t already there.

I was lucky, I know. I had student loans that could be deferred, and I was able to find work that let me save money. But I don’t have a trust fund and my parents haven’t helped me financially since I was 18. (Yes, Mom, I know you would have. But it didn’t feel right.) (What, no one else’s mom reads their blog?)

I can happily recommend the place I worked to earn the money to go to Tashkent. I was a faculty member at NYLF, the national youth leadership forum. They teach specialized week-long programs to high school students on topics like medicine and international affairs. I had a ball teaching high school kids, and learned a surprising amount from the site visits. Plus, you stay in the program hotel with the kids so I had no living expenses to contend with. NYLF is pretty much always hiring faculty instructors, since that much time with teenagers will burn you out fast.

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photo credit: penguincakes

Leaving Haiti

By Alanna Shaikh | | 4 Comments |

The other day, the WHO asked aid groups in Haiti not to leave for at least 60 days. I found that kind of confusing, to be honest, because no aid agency is going to leave Haiti on purpose. Their humanitarian mission will make them want to stay – these groups do after all, want to help people. So will their competitiveness. Getting to open an office in a new country is exciting, and expands an NGO’s global reach.

NGOs will leave Haiti when they no longer have the funding to stay. They will do their best to stay – intense public fundraising appeals, unsolicited proposals to government donors, staff drawdowns, and salary cuts – but eventually there will be no money to remain in Haiti. Then, and only then, they’ll leave. (Except MSF. MSF leaves when the “emergency phase is over.” But as far as I know, only MSF does that.)

That means there is no point in appealing to the NGOs to stay. The WHO is aiming its pleas in the wrong direction. It’s not, in the end, the NGOs’ choice. We need to donate the money to keep them there, and push our governments to do the same. Whether or not the NGOs stay in Haiti is up to us.

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Photo credit: Zedworks

Chosen because – that’s how you leave, right? On a jet plane?

Why don’t we do better?

By Alanna Shaikh | | 5 Comments |

Sam Brownback

I have mentioned two or three or thirty times that I am not the only person in the development world who obsesses about how we could do our work better. Everyone has ideas; it’s a very common topic of conversation among people who work in this field. Most of us have the same ideas. So why don’t we ever get to act on them? There are a few reasons I can think of:

Donors don’t always know what they are doing. Government donors are usually democratic nations, which means in practice that foreign aid programs are often defined by legislatures with no real background in international development. So you end up with earmarks for pet ideas, rules forbidding useful practices like harm reduction, and an overall lack of direction. Private donors tend to go for exciting quick impact ideas like mobile health clinics and cash-for-work projects. Overall, complicated, unsexy ideas like health system strengthening may go unsupported.

Donors are politically motivated. I have seen health projects where the donor chose the pilot areas because of mysterious HQ calculus about the possibility of terrorism or political instability. Or take a look at how funding goes to Gaza and the West Bank. Donors have reasons for supporting international development funding that go way beyond supporting international development, and it can be hard to take that money and make it useful. Many (maybe most) organizations tend to try anyway.

Lack of time. There is a steady supply of new research on what works in international development. There is no steady supply of time in which to read that research and figure out how to apply it in practice. Some places have a technical team at headquarters to keep up with new research and recommend how to use it. That’s not as common you would think, though, because that kind of work counts as an overhead expense. High overheads make it hard to get grants and donations.

Host country capacities. A good development program works with the host country government to build its skill set, so that impact will continue once the program is over. Sometimes that means obeying host country regulations that contradict best practices, or spending a year convincing a government to change its rules. For example, some countries in Sub-Saharan Africa were achingly slow to adopt community therapeutic feeding (plumpy’nut and other RUTFs) even when the data showed it was much more effective than older ways of treating malnutrition. It’s miserable being stuck in a project that could be doing far more than it is allowed to, but I think the alternative – setting up an aid system that is parallel to the government – or worse yet, contradictory – is worse in the long term.

Funding and evaluation cycles. It’s very hard to design a program that will have a long term impact and also start showing results in two years. It’s not impossible; I’ve worked for several projects that managed it. But it’s hard. It limits your options severely. And inexperienced or unskilled NGOs may just aim for quick results and worry about the long term later.

This is not an exhaustive list. It’s just off the top of my head. What am I missing?

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Photo Credit: Iowa Politics.com

Chosen because Senator Brownback once tied up hundred of hours of manpower from an HIV/AIDS program because he didn’t understand the difference between harm reduction and risk reduction.

A story about donated shoes

By Alanna Shaikh | | 7 Comments |

brown high heel boots
There is a woman who works for a friend of mine. I’ll call her Gulia since half the women in this country go by Gulia, so it’s safely anonymous. Every winter, all winter long, Gulia wears the same pair of battered brown ankle boots. They are too small for her, and they have no insulation. We know this because Gulia complains about her boots every day, all winter long. Her feet get cold, and her toes hurt.

My friend is a good person and a caring employer. She pays Gulia well enough that she could buy herself a pair of boots, but Gulia never does. She also gives Gulia boots.

She has given Gulia knee-high black boots to go with a dress. She has given her insulated fuzzy boots to fight the cold. She has given her cheery yellow rain boots to splash through the puddles that cover the roads here. Gulia does not wear these boots. When my friend asks about these boots, Gulia thanks her warmly for her generosity and insists that she wears the boots all the time, just not to work. We are quite sure that Gulia is lying about this.

Now, Gulia likes me. She is supporting her parents on her salary, and she likes that I am doing the same for my parents. She is ethnically Uzbek, and I speak Uzbek, so we can chat in her mother tongue. We get along. My friend asked me to try and find out what exactly was going on with the boots.

So, the other day I asked. And Gulia actually told me what was going on with the boots.

The answer? She’s short, and she’s a mom. Because she’s a mom, when she has cash she can spare, she doesn’t spend it on boots for herself. She spends it on her kids. Because she’s short, she only wears shoes with heels. And since my friend has been trying to give her practical, durable boots, she’s been buying flats. The ankle boots may hurt, but they have heels. Gulia can’t face life without the extra two inches. She’d rather have pinched toes and cold feet.

My friend’s gift boots are sitting at home in Gulia’s closet, waiting for Gulia to get so old she can’t wear heels any more, except for the fuzzy pair, which her mother now wears in cold weather.

The moral? There are several, I think. 1) Gulia wants other things, like school supplies for her kids, more than she wants new boots, so maybe we should stop giving her boots. 2) People want what they want, whether or not it makes sense to me. 3) And donated shoes need to actually meet people’s needs, as people themselves see them.

(This story is mostly true. I have changed some elements to make it totally anonymous.)

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(photo credit: KayVee.Inc)
Chosen because I suspect those are Gulia’s dream boots.

Welcome metafilter visitors

By Alanna Shaikh | | 2 Comments |

Welcome Mat

Hello to everyone coming in from metafilter. For the record, I don’t consider myself to be an iconoclast. I am fairly certain that my ideas are 1) very ordinary and 2) shared by most people who work in international development. I’m just the person who’s willing to take the time to blog about it. And while I know I am critical, I do believe that international development can – and does – work. If I didn’t believe that, I wouldn’t be working in this field.

I know this blog isn’t all that searchable (I am working to fix that) so here are some links that might help you get a sense of what I am about:

Positive deviance, and why I like it

Why we should care about global health

Oral rehydration solution

The list of things I believe in

Learning from failure

Monitoring and evaluation

I am working a lot right now, so I don’t update that often. I have been blogging for a long time, though, so the archives run deep. (If you do go into the archives, you’ll notice I occasionally contradict myself. That’s because I’m still learning.) The best way to keep up with this blog is the RSS feed.

If you want fresh content, these are some international development blogs that say everything more eloquently than I do, use data more effectively, or both:

Tales from the Hood (currently blogging from Haiti)

Good Intentions Are Not Enough

Owen Barder’s Blog

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photo credit: Jason-Morrison

Three bad ideas for helping Haiti

By Alanna Shaikh | | 27 Comments |

plane over Haiti

In the rush to engage on Haiti, a lot of well-meaning groups are jumping in to help. Some are brand new, and some have never worked on a disaster like this before. Most of these groups are going to be useless. Some will actually do harm to themselves or others. A tiny minority will have a positive impact. I wish those odds were better, but they’re not.

I’ve seen three bad ideas for helping in Haiti floating around recently. I don’t want to single anyone out for criticism – after all, everyone is trying to do good here. But in this case, the culture of nice may be letting bad programs hurt people. I need to say something.

Bad idea #1 – 50,000 Shoes The idea is to donate 50,000 shoes in 50 days for Haiti. They are asking for a $5 donation for each pair of shoes. The problem with this idea is that it’s based on an assumption – that lots and lots of shoes are what Haitians need right now. What if they need clothes? Or food? Or water purifiers? Should they sell their new shoes and use the money to buy those things? Has anyone done an assessment to find out if shoes are needed? To decide what kind of shoes are needed?

The shoes could end up wasted and useless, absorbing people’s donations without providing any benefit. They could clog supply lines that also bring in desperately needed medicines. They could keep the local shoe suppliers from rebounding after the earthquake, and if badly chosen for the Haitian climate they can give people disgusting fungus.

This is almost a good idea. The time-delimited fundraising with easy to remember numbers will drive people to donate, and they’ve got celebrity endorsements that are raising their profile.

How it could be a good idea – call it $500,000 in 50 days instead of 50,000 shoes. That would double their fundraising goal (since they are trying to provide $250,000 of shoes) but I think they could pull it off, considering their level of media attention. Then they could make a high profile donation, including a ceremony with one of those oversize checks on poster board to Partners in Health.

Bad idea #2 – Flight to Crisis Volunteer doctors and nurses are banding together to charter a flight to Haiti and help with medical care. It’s brave, it’s scrappy, and it shows amazing initiative. It’s also a horrible idea. The people don’t seem to have any plan from bringing in their own supplies and haven’t set up a place to stay in Haiti. They don’t have a hospital to work out of or any background in responding to this kind of disaster. This is exactly the kind of misguided effort I was afraid we’d see, because Haiti is close enough to the US to make it possible. For more information on why this is such a bad idea, read this account of another group of health care providers that chartered a plane.

[Edited to add: please see comments below for a response from Flight to Crisis. They are better organized than their Idealist.org page makes them look.]

How it could be a good idea – in about three months, when rebuilding gets serious and Haitians have time to think, this group could choose a Haitian hospital to partner with. They could fundraise to help it rebuild, and donate supplies and equipment. They could visit the hospital quarterly to train the providers there as needed, and make sure that the equipment is in good shape and well maintained.

Bad Idea #3 – The Global Volunteer Network Haiti Project This project, which volunteers pay to support, is seeking people to volunteer for the following projects: working with children, teaching, health/medical efforts, building and construction, counseling, and business development. They say that volunteer trips can run from one week long to six months. This list seems designed to please volunteers, not meet the needs of people in Haiti. You already know that I am not a supporter of trips where you pay to volunteer.

This, however, is even worse than usual. This isn’t just useless feel-goodery for rich people. This will hurt people in Haiti. Traumatized children should not be making emotional attachments to volunteers who will be gone in six months. Volunteer labor for building and construction will keep Haitians from getting paid jobs to do the work themselves. And no outsider volunteer has any business providing counseling; counseling needs a background in local culture and context that a visitor won’t have.

How it could be a good idea – It’s almost impossible to rescue this one, but short-term volunteers could offer brief, targeted English or French classes to Haitians who needed them. They could cover technical topics that local teachers might not be able to offer. Not in a week. There really isn’t anything useful you can do in a week. But two months might work. It really wouldn’t qualify as disaster response – or rebuilding – but it would at least be useful.

For more information on how to help in Haiti, take a look at my Aid Watch post.

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Photo credit: simminch

Me, in other locations

By Alanna Shaikh | | 0 Comments |

I’m writing less often for Blood & Milk because I am writing in other places now. Some recent stuff that might interest you:

The Lancet is Off-Base About Aid Agencies – at UN Dispatch

Nobody Wants Your Old Shoes – How Not to Help Haiti – at Aid Watch

Teaching Americans What Haiti Needs – The New York Times (I didn’t write that one, I’m just quoted)

Should We Be Vacationing in Haiti Right Now? – at UN Dispatch