Archive for July, 2009

Thoughts on a Genocide Memorial

July 30, 2009
One of the participants on the International Family Philanthropy Institute in Uganda and Rwanda is Peggy Koen, an accomplished international traveler and amazing wife and mother with three children in their twenties. Peggy was a reflective thought partner and unending well of information during our experience. Many thanks, Peggy.

“Today our group in Rwanda shared a challenging day. I will share what I have written about the morning and I hope Sharon will write about the afternoon. The day, taken as a whole was a study in contrasts, It raised questions for me about the either/or of need, balancing the need to address current states of despair with the need for promise and opportunity.

“This morning we started our exploration of Rwanda with a walk through one of the Millennium villages in Africa, which I will explain later. What caught my eye as we walked up the clay road to what looked like a community center complex of buildings, was a nondescript red brick building with lavendar and white ribbon woven throughout the wrought iron fence and lavendar “used car triangle banners” across the front. I assumed it was the local school about to have a field day or open house. I could not have been more wrong. I was about to enter the grounds of the Nyamata Catholic church, the sight where 10,000 people were hacked to death with machetes as they prayed and sought refuge in and around the church. Twenty thousand more died in the surrounding small community after the April, 2004 massacre.

“You walk in, glimpsing at something surreal enough to look like an abstract art exhibit, but in fact is the bloody, dirty, torn clothes of 10,000 people who were massacred, piled onto the low wooden benches that were the church pews. There are still blood stains on the walls and the ceiling looks almost like a planetarium. The metal roof is punctured with tiny patterns of holes from the guns and grenade blast and looking up the effect of the sun streaming through the metal roof into the darkened church is like starlight. The walls of the entrance are piled with children’s clothes because it was there that they were thrown and bashed against the walls rather than waste the effort of a machete chop.

“The altar is topped with traditional white cloth, but not with a chalice or a cross. Instead, overlooking the piles of stacked clothes of people who sought refuge in a place of God, is a collection of rosary beads found under the bodies, a rusted, blunt machete, a knife and an identity card of one of the victims. A few pieces of stained glass remain in a single window, affording what little light enters the room.

“You descend into the crypt, an eerie well lit space completely tiled in white, almost like an old operating room and below you, behind a glass ceiling is a single coffin covered in white lace with purple. The coffin contains the body of a pregnant woman who was found with a metal pole run through her body and up through her head and another run through her chest and out her back through the baby that was bundled on her back. Their impaled skeletons had been displayed against this clinical white setting for years until they were placed in the solitary coffin.

“Walking out behind the church you descend into the first of two crypts. It’s a steep and dark descent to find yourself in a narrow corridor, bumping into shelves piled with hundreds of coffins covered in purple or white satin and lace decorated cloths. The drapes are a stark contrast to the dusty shelves and wooden coffins. Each coffin holds 20 to 30 bodies, individually unidentifiable as the bodies decomposed into piles until the outside world entered the site. The second crypt holds dusty skulls, arranged like eggs in a carton on wooden shelves. The shelves above and below, hold bones stacked according to their place on the bodies – thigh bones piled high next to a pile of arm bones. These are the bodies still being uncovered, which are brought to the church in large white feed bags every April on the anniversary of the massacre.

“This is what I saw.

“Nyamata is located in the Bugesera district of Rwanda, about 35 km from the capital of Kigali, one of the regions that was most devastated by the 1994 genocide. From the beginning of the 1960s, Tutsi people from different areas of Rwanda were forced to leave their homes to live in this dry, barren region made even more unhealthy by an epidemic of tse tse fly. Bugesera became a region whose population was predominantly Tutsis.

“In April 1994, many people from Nyamata used the Catholic church and nearby houses belonging to the priests and sisters as havens, hoping to escape death at the hands of the “Interahamwe”, the Hutu militia, and the RwandeseGovernment Forces. The Tutsis used the church as a refuge, padlocking the iron door from the inside as protection from the marauding killers. Both survivors and killers confirm that on April 10th, 1994 this band of armed men managed to break down the door and entered the church with their rifles, grenades and machetes. All who were in the church were killed as well as tens of thousands of people in the surrounding area.

“In memory of the people who lost their lives in Nyamata Church and its surrounding community , the currentRwandese government, in collaboration with the genocide survivors remaining in the area, decided that the church would no longer be used for worship and, instead, serve as a memorial.

“This is what I know.

“Today I bore witness and I am sharing that with you.”

The Positive Princess

July 22, 2009

This is the story of Princess, whose parents transmitted HIV to her when she was born.

Ten years ago, nobody thought Princess and the many hundreds of thousands like her would reach adolescence or sexual maturity, because they were supposed to be dead before they turned 2. But with new medical advancements come new dilemmas.

Princess is now in her twenties, and she is among a growing number of what they call in Uganda “young positives.” “Positive,” of course, doesn’t refer to their mental state but to their HIV status.

Far from being positive, a lot of “positives” are understandably angry when they learn of their status. They never engaged in risky behavior, yet they are burdened with a deadly disease. Many positives struggle to come to terms with their situation.  Because of their anger and denial, some positives engage in unprotected sex and they are now a major source of new infections in Uganda and presumably elsewhere.

But unlike most young positives, Princess has largely dealt with her anger and is at a place in her life where she wants to educate other young people about the ABC’s: Abstain if you can; Be Faithful to a single, uninfected partner; Use a Condom if you must have sex. She’s a staff member at Straight Talk, an NGO in Kampala that specializes in communication for social change.

Straight Talk doesn’t deliver “messages” about disease and the ABC’s, they engage in a conversation with adolescents about the issues in their lives, especially those dealing  with relationships and sex. In a society where 30% of women are in a polygamist marriage and most men have frequent, ongoing casual sexual relationships outside of their marriage, there are a lot of issues to talk about. Homosexuality in Uganda is “ferociously taboo,” masturbation is a delicate topic and even promoting the use of condoms is sometimes controversial.

Straight Talk uses young people like Princess who tell their own stories, and ask their own honest questions. They respond to real young people with accurate medical information, prevention strategies, treatment resources and psycho-social support into their programming which is delivered face to face, via monthly newspaper inserts and, most effectively, via radio programs that have now expanded to include 15 of Uganda’s 28 languages.

A lot has changed in 15 years..

According to its founder Cathy Watson, organizations like Straight Talk are scrambling to make some adjustments to their programming. In an effort to de-stigmatize HIV/AIDS, they were successful over the last decade in spreading the message that “hey, HIV isn’t the end of the world, you’ll be okay.” Anti-retroviral (ARVs) have allowed people with HIV to live outwardly normal lives.  But the unintended consequences of this fantastic development were that, after a decade of declining infection rates, HIV is back on the rise as people think HIV is “no big deal.”

Yet ARVs are not a panacea. Taking ARVs is a major commitment, as you must follow a strict regimen to avoid developing immunity. And if you work in an office, for example, you now have the issue of taking ARVs at the office, where co-workers may see you and discover your still-difficult status. If you are in a rural area, getting your prescription refilled and taking your pills at the exact same time every day is a significant burden. Worse, ARVs have plenty of unpleasant side-effects. But if you go off the drugs for even a short time, you may develop immunity to the ARVs and have to move on to stronger, less effective drugs.  To counteract the impression that ARVs make HIV less of an issue, says Cathy, “Straight Talk is looking for a balance between hope and caution.”

Interestingly, the rates of polygamy and infidelity means that the fastest growing rates of infection are among married people.  And since past HIV campaigns used to suggest that “there are no risky groups, only risky behaviors,” the HIV prevention strategies are also retooling to focus on high-risk groups such as truckers (HIV is prevalent along highways where truckers have unprotected sex along their way) and commercial sex workers. Recent government data also shows that infection rates are incredibly high along Lake Victoria and increasing along new drug routes coming from Pakistan.

Straight Talk is making a difference among Ugandan youth, who turn up at local health clinics asking for medical personnel mentioned in Straight Talk by name. Straight Talk received—and answered 27,000 individual letters last year, providing advice, resources and in many cases small gifts to a huge number of young people.

So many people have come to Cathy Watson over the years telling her how they will fix her problems and make her program better. Although Cathy would be the first to admit there are some things they could be doing better, I can’t help but think we should be asking Straight Talk to teach us rather than thinking we have so much to teach them.

A Positive Positive

When I met Princess this morning, I asked her where she got her name, which is a pseudonym she uses for the radio broadcasts to protect her real identity. Despite the relative success of de-stigmatization efforts, positives can still be shunned for their status and the great majority do not reveal it to friends, co-workers and sometimes even sexual partners. She said that growing up she struggled with anger and depression, and had terrible self-esteem. She chose the name Princess because it made her feel special, and cared for, and helped her feel better about herself.

Now Princess is working to help other young positives to feel better about themselves. She has started a youth caravan at Straight Talk that visits schools and performs music, dance and skits that deal with issues of sexual health while entertaining the students. At a recent performance, she was approached by three young positives after the show and was able to counsel them about their situation. Princess is exactly the kind of young, positive influence who will help her fellow innocents resolve their anger and live responsibly as persons infected with HIV.

Turns Out, the United Nations is More than a Security Council

July 20, 2009

When I think of the United Nations, I think of Ted Turner, blue hats sitting by during the Rwandan genocide, and the inability to say “boo” to rogue nations because they all seem to have friends on the U.N. Security Council. Today I learned about another side of the UN: the United Nations Population Fund (which is also known by the acronym UNFPA, left over from a previous unweildy name).

“UNFPA supports countries in using populatioln data for policies and programmes to reduce poverty and to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV/AIDS, and every girl and woman is treated with dignity and respect.”

The UNFPA does not carry out programs, rather it uses research and evaluation to identify the problems and then partners with the best NGOs working in the communities to address the issues. It learns best practices from those NGOs and shares them across the country. It takes the lessons of those programs and advocates for effective government policy. It sets goals and targets for improvements in women’s health and develops and reports on metrics to measure progress.

For example, maternal mortality in Uganda is still a major issue, as only 42% of women give birth with the assistance of “skilled personnel,” such as a midwife. UNFPA is supporting the training of midwives. But they have also discovered that midwives don’t necessarily want to live and work in the really rural areas of Uganda, which are most in need of skilled assistance.  They would rather live near urban areas. So they are developing a program to fund midwife education in exchange for three years of service in a rural area, after which the midwife would be free to relocate. The five-year goal is to increase the percentage of births attended by skilled personnel from 42% to 70%.

UNFPA was also successful in bringing together a coalition of the four major religions in Uganda–Muslim, Catholic, Protestant and Orthodox–to form a faith-based commission that came together around HIV/AIDS prevention and sex ed in particular. The first chair of the commission was a Catholic bishop, who was naturally asked if this meant the Catholic Church had dropped its opposition to abortion, answered by citing what is known as the ABCs:

A: It is best if you abstain.

B: But if you can’t abstain, don’t be stupid–be faithful to one uninfected partner.

C: If you can’t abstain and must be stupid, don’t be foolish–use a condom.

In practice, anecdotes suggest that when a Catholic school goes to teach sex ed to its students, any nuns leave the room. They don’t stop others from teaching about safe sex, they just decline to be involved.

Since the Bush administration had refused to fund UNFPA at all over the last eight years because of objections the UNFPA’s lack of objection to abortion, America currently provides no funding for this, the smalled UN agency. with the new Obama administration, there is a chance that Congress will again pass an allocation (as they have done for the last eight years and then been vetoed) and it will be funded. For anyone interested in maternal health and mortality, gender equity, gender-based violence or female genital mutilation, there is a real opportunity right now to advocate for funding for UNFPA.

Hello from Kampala, Uganda

July 18, 2009

It’s after midnight  here in Uganda, where I’m co-leading the first International Family Philanthropy Institute for clients of Foundation Source. It must be the jet lag because I’m feeling wide awake, although I declined to stay out at the night club that we were taken to by a group of locals to enjoy a well-known local band. The band was wonderful, as advertised, but we are getting up in the morning to go visit Jane Goodall’s chimp sanctuary and I am trying to pace myself as we’ll be here for about two weeks.

Dwelling Place

After arriving in Entebbe and driving to Kampala late last night, we’ve had one day of site visits with local organizations. The first is called “Dwelling Place” and it’s run by a newly minted Ashoka fellow named Rita who rescues “street kids,” educates them until they can transition into the school system, gives them a place to live, rehabilitates them (if they came from a traumatic situation) and then places them in permanent homes as they age out of the system. She’s grown the program organically over the fourteen years and is hoping to expand the program nationally. The kids were gorgeous and welcoming.

Our other site visit today was with a relatively new organization called Living Goods that is incredibly impressive for their business acumen and strategic approach. The organization was started by the founder of TravelSmith, Chuck Slaughter, so it’s no wonder they’re so savvy. Living Goods is essentially using an “Avon lady” distribution model for critical health products that protect women and children from some of the “diseases of poverty.” This group of afflictions–diarrhea, malaria, worms, for example–kill millions every year although they are easily preventable and treatable. By supplying and training a network of local “community health providers” (CHPs) to recognize the symptoms and correctly dispense the appropriate medications, they are attempting to improve the health of these communities and reduce these preventable deaths.

Unlike most government programs that use community health workers but expect them to spread information as a volunteer effort, Living Goods actually expects its CHPs to run their enterprise as a small business. Living Goods partners with highly respected microfinance institution BRAC to finance the women to purchase the medications (along with some everyday goods like sanitary napkins, condoms and even sugar fortified with Vitamin A) and then sell them at a small profit. With support and training from Living Goods, the women should become self-sustaining franchisees working their own territories. As such, one measure of their success will be the financial success of their CHPs.

The other major measure of their success will be improved health for the communities served by their CHPs. Living Goods isn’t just hoping that the health outcomes for these communities will improve: last year they completed a major baseline study of 3000 households and will go back to these folks in two years to see if their health has improved.

If this model proves effective–and their use of best practices all around suggests to me that it will, although mid-course adjustments are to be expected–they have the potential to scale the model internationally and even globally. I look forward to following their trajectory.

Post 100: An update

July 8, 2009

This marks my 100th post writing at The Philanthropic Family. First, thanks for reading and thanks for all your comments (250 to date). I thought you might be interested in some stats from the last 15 months:

Top Posts (with total clicks).

Men vs. Women: motivation to give to charity 917 More stats
Product (RED): Inspi(RED) or Ti(RED)? 718 More stats
Should you give money to panhandlers? 701 More stats
Reclaiming My 9/11 Birthday 520 More stats
Charity Gift Certificates 404 More stats
Individual Donors: Evaluating Charities 383 More stats
Google.org Shakeup: What Does it Mean? 315 More stats
About 307 More stats
How to Get a Socially-Responsible Job 303 More stats
iGoogle “Themes for Causes” 299 More stats
Donate Your Car to Charity 267 More stats
Top 10 Ways to Be Charitable When Money is Tight 240 More stats
Top 5 Celebrities Using their Fame for Good 236 More stats
Welcome Tweets! 232 More stats
Hey Kids! Not a Masochist? Then the Nonprofit Sector “DOESN’T” need you 199 More stats

Most frequently searched terms:

most searched terms through 7.1.09

Some of my personal favorites from the last year:

Product (RED): Inspi(RED) or Ti(RED)?

Indulgences Sold Here–Just 1% of Your Profits

Top 10 Ways to Be Charitable When Money is Tight

Loking forward to the next 100 posts!  Suggested topics are welcome.