Archive for March, 2013

Sights

2013-03-27 20.27.03

2013-03-27 20.29.08

???????????????????????????????Our second visit for the day was the local International Planned Parenthood Federation affiliate, AIBEF. I visited AIBEF exactly 20 years ago when it was not in a good place because of poor governance. The current AIBEF is blossoming, having realized a vision that was expressed all these years ago: aside from the usual family planning services, there are HIV/AIDS services (diagnosis and treatment plus outreach to young and old), there are pediatric services, ultrasound, and even a maternity plus training rooms and lodging. There is of course a new vision that includes an operating theatre.

We were warmly received and given a tour and loaded with brochures and T-shirts at the end. From the logistics managers we received the same orange/white T-shirt he wore. It had a message on the back that no one should be dying of an abortion gone wrong. Abortion is still illegal here except under a few tightly worded exceptions, but even then it requires multiple doctors to agree. It is still the doctor who decides, although the doctors are no longer male.

When asked whether there had been progress, everyone agreed they had come a long way. That long way was hardly interrupted by ‘la crise,’ as the time of warring presidents is commonly referred to. AIBEF came out OK, partially because of heroic behavior of its leadership and may be also because of its location and local support. I learned that the MSH office here was less fortunate and was reduced to its walls with everything stolen or broken. That, I believe, has nothing to do with politics but everything with unbridled rage, let loose by power plays of well-dressed gentlemen who claim to not be in control (or is it not like that?).

In the evening our host took us to a small maquis (inexpensive local no-frill restaurant) at the edge of the Laguna that separated us from the skyscrapers of Abidjan. To get to the maquis we first traversed the empty section of town where the embassies and big people had returned from a busy day at work for a quiet evening. Then we entered a vibrant quarter which consisted of bars, maquis and hair salons, with music everywhere. Here everyone was wide awake and ready for a busy night. We parked on an unpaved and potholed road, put a man in charge of the surveillance of our car and walked over to a place that we would never had suspected was a waterfront restaurant.

Although the Laguna is polluted, the smell I had expected, if it was there at all, wafted away on an outgoing wind which kept us cool and the mosquitoes away. We had carpe braisee, a local specialty with vinegary onions and pepper and some wicked hot sauces, french fries and aloko (fried plantain, a specialty in this part of Africa), while sipping a Flag beer. Across the Laguna we could see the traffic jam of cars trying to get home, as late at 8:30 PM it was one solid line of yellow car lights. Traffic here, as in nearly all capitals of developing countries, is intense as the middle classes are growing and buying cars; a sign of prosperity, that is creating new problems screaming for solutions.

In the weeds

2013-03-27 14.34.34

2013-03-27 15.19.09

2013-03-27 15.19.19Although we are officially ‘in the field’ it isn’t really very ‘fieldy.’ So far I have been far removed from the work in the weeds, for a long time. I have been in central offices, in resorts, in artificial situations, created for conversation. This is important of course, but it isn’t ‘the field.’

And so, finally today, we got into a car and drove to a popular neighborhood of Abidjan, turned off the main road into an unpaved alley and stopped in front of a tiny derelict place. Four large steps up landed us in the headquarters of a tiny NGO that is one of the thousands of ground troops involved in the fight against HIV/AIDS but also helping young women find their voice and their power. We were met by three volunteers while the founder sat on a small chair where he stayed throughout our visit, not taking part in our conversations. He is, I was told, the permanent presence, though I may not have understood this well – I have a different image of founders.

The tour of the premises was short, four of five tiny rooms, loaded with stuff, boxes and what not piled on top of each other. Two ancient computers flickered with spreadsheets, reports to donors in all likelihood, a scanner that didn’t work, an old dusty printer and lots of dossiers. It was all very minimalist and, for us spoiled westerners, not what we would consider a ‘conducive’ work environment. The volunteers who received us, nevertheless, were proud of their premises and the work they do. Hats off to them.

The founder, and anyone else who was not engaged in an activity, were watching a ‘policier’ that had all the ingredients for success: sex, violence, fast cars, strong bad men and cops – probably the same ingredients that make for all the poverty around them, minus the cars and the cops I suspect.

Someone was sent out to get us bottled water and a box of tissues, to wipe the sweat form our brows. And then we started to talk. Hearing their stories, the work they do, the attitudes they change was humbling – they do much with so little. If there is little of the things we generally expect and need in order to do a good job, they do have one thing aplenty: commitment. It drives everything, confirming once more that human energy for something is our most precious resource. In fact, when I asked them about their personal vision, it was the same as their vision for their NGO.

Humdidee

It is very hot and humid and tonight at 6 PM humidity became 100% and the skies emptied over Abidjan. And then it went and soon the humidity was back where it was before. K, a colleague from Johns Hopkins and I had dinner served on the little front porch that belongs to her room (my front porch is the swimming pool). We chose not to eat in the dining room. A combination of bug repellent, mildew, perfumed room freshener and cigaret smoke would certainly have interfered with what was otherwise a nice meal.

We accomplished what we came here to do. We are laying the rails in front of the moving train and so far we appear to be on track, with enthusiastic counterparts, Johns Hopkins colleagues who are running an impressive program. Their office is festooned with HIV/AIDS awareness posters, pamphlets of every size and color for every possible target group. They employ some very good artists. A storyteller from South Africa came up to Ivory Coast to help them write stories for comic books. I started reading about Marcelline and Jojo and couldn’t put it away, wanting to know what happens next, and next. It’s a good story with great illustrations – so much more effective than direct exhortations. We each received two comic books cadeau – if I didn’t know about HIV and AIDS, these books would wake me up.

The office is small and so much of the work is done through local organizations, some small, some big. We will visit two organizations tomorrow, just to get a sense of the range of partners the project is working with.

We had the morning off while our counterparts were taking care of their affairs. I took advantage of the free time to visit with a former chief of an important coordinating body who had been part of a leadership program we ran here in 2006. Later in the day I also contacted a young colleague who I mentored as she gained confidence in facilitating leadership development. In the years since we were together she has actually consulted on leadership outside the country and taught her older male colleagues about leadership. This is so neat and proves again (I know this already) that people will rise to a challenge that is thrown in their lap. I have more stories like this and they make me intensely happy.

I am beginning to suspect that the ankle operation made no difference. Part of me keeps hoping, but so far the reality is that the talus bone still catches on the tibia bone or vice versa, despite the scraping that the doctor did on March 5. Someone asked me what next? And I realized I didn’t want to think about it too much as all three options are unpleasant prospects: fusion, ankle replacement or not being able to walk without pain.

The other side

West Africa smells different than East Africa. You can tell as soon as you emerge from the plane. They say that smells are powerful triggers for memories, and indeed, memories of Senegal presented themselves immediately upon entering Ivory Coast. The last time I was here was 7 years ago, and the first time was exactly 20 years ago. It is a different place now, with its combative ex-president awaiting trial in The Hague, and the winning president trying to figure out how to deal with high unemployment and restless followers of the former president. The Ivoirians have suffered much since my last visit but now the country is busy trying to regain its former status as the bedrock of economic and political stability in West Africa.

Although it was Saturday noon time when I arrived, there was a lot of traffic and it took forever to reach the little inn where I am put up. I killed the time by bombarding my driver Aristide with thousands of questions.

My new lodging for the week is a small inn tucked behind a main drag in the part of Abidjan that is called II Plateau. It has an eclectic collection of rooms, each with a different theme. I am trying to sort out the theme of my moss green and pink pastel room – it looks like a guestroom where all the picture discards went: frilly oval pictures of flowers, sad little children and some gold painted wooden flourishes nailed willy-nilly to the wall. The floor consists of white and black tiles, straight from a Vermeer picture, partially obscured by an olive drab (gray?) rag carpet reminiscent of the 70s, and a fleur de lis area rug leading into the bright blue bathroom.

I look out on a small pool with an eclectic assortment of sitting places, tiled, painted, metal, wood and plastic. I went for a swim before my siesta. As I was swimming in the little pool, dodging downy feathers from the birds hanging out above me, I realized that I could have arrived a day later and done my swimming in the Indian Ocean. What was I thinking, rushing off the island so fast?

On the other hand, the place does tend to invite to relax, and the prospect of having an entire Sunday to myself is appealing. It won’t be all relaxation though as work in Cambridge goes on and my corporate responsibilities don’t stop when I travel. I have a shopping list of tasks by my side that already counts 7 things that need my attention tomorrow, some of them rather large tasks.

My solitary dining experience was enhanced by memorizing the scene for my blog: enormous blue and red velvet-covered banquettes made for giants, set uncomfortably far from the table as if only fat-bellied people ate there. Red and gold frilly chairs and doilied low tables were set up in a space that was already full enough. Enormous cognac glasses on stilts with tea lights provided a soothing contrast to the bright and cold spiral everlast lights or the collection of colored lights hiding in every nook and cranny. For awhile I was mesmerized by a spotlight directed to a large print of the girl with the pearl earring, the colors changing along the rainbow, from yellow, to purple to blue, then red and green, casting a large oval colored ring on the picture.

Dinner was pricey, my ballon de vin rouge rounding it off to something with many zeros. I am not sure this is going to be my prefered place for dinner although the crabe farcie and the French french fries were great, so was the juicy papaya at the end. Unfortunately I am too early for mangoes.

Calls and cuts

Our two days and a half of hard work, calling something into being that doesn’t exist yet, came to an end at lunch time yesterday. We accomplished what we set out to do, and more, the latter to the surprise of a few doubting Thomases, who admitted their delight in our closing reflection.

We went from divergent to convergent thinking, from the weeds to the clouds and back, and ended up with a good foundation of the house we are building as the faint outlines of the vision began to emerge: a space and a place where people involved in health education can connect, learn, scheme, assess, experiment, etc. At times there was some hesitation – could we pull this off, ever? – but when we closed everyone has recognized that, with enough hands on deck and good steering, we could do it. We were swirling in images, weeds, clouds, foundations, steep staircases, decks, breezy rooftop hang outs, winding dark alleys, dead ends, open spaces, etc.

Some of the imagery came from our last dinner together on the roof of an old house, located in the middle of narrow winding alleyways that could barely accommodate the tuk-tuk that took me there. It appeared to have been made for giants – steep stairs with threads double the size of what I’d call normal – and furniture larger than life. At the rooftop restaurant however, the place was for little people: tiny tables, pillows, a mufraj of sorts, with large swaths of textiles flapping in the wind over our heads, and the muezzin calling from everywhere around the island, not quite in synchrony.

Facilitating for three whole days and the intense humidity had not been kind to my ankle. An unexpected long walk to Freddy Mercury’s restaurant on Wednesday evening reminded me that the surgery had only been 2 weeks ago. I started icing my ankle again and keep my foot elevated – seated facilitation became possible because of many helping hands from a solicitous team.

The cutting of the internet cable in Egypt didn’t just affect the Middle/Near East and India, as reported, but also a good chunk of the east side of Africa. Checking in for our puddle jumper to cross back to the mainland was rather chaotic with the internet down.’ This was not a local event, as we had assumed, but something much bigger – an Achilles heel exposed.

We received hand written boarding passes after showing a print out with a ticket number. The part of the system that did not require an internet connection (dedicated workers) trumped all and showed that there are still memories here of LBI (life before the internet). We took off and landed exactly at the appointed hour. Quite amazing!

I had myself dropped off at the Hyatt where a colleague was just finishing her trip, heading out to Amsterdam. We were able to squeeze in a beer and some bar food before checking into my hotel in another part, a pricey deal for a very short night: convocation at the airport at 3:00 AM. And that is where I am right now: off to Nairobi and then crossing the continent for Abidjan.

Changing behavior

Ten of us have converged on Zanzibar from a few corners of the world. There are two Ashoka fellows, one from Delhi and the other from Dhaka. They are the kind of people who get showcased on the Stream, Al Jazeera’s must see program about what Millenials are up to. I only watch the Stream when I am on the road. I marvel about the intensity of their social activism and the cleverness of their inventions, often combined into a successful venture. I bet there is a relatively large proportion of social entrepreneurs in this age group. One of our two fellows, I turned out, was indeed featured on the Stream, some years ago.

We started the day with introductions, questions about ‘What does your name mean and/or who were you named after?’ ‘Who are your people and what values did they instill in you?’ and ‘What is one novel and refreshing idea you have heard recently?’ The stories made us laugh and inspired us.

I am the insider/outsider in this group – insider because I am a member of the project team and outsider because I am only facilitating the work of this group of people (I am not a member of this nascent Advisory Council). But also because the world of behavior change (for health) communication is a parallel world to the one I inhibit that features management and leadership. Of course, when you think of it, we are all engaged in behavior change, our own. That is particularly true for me as I am learning to be a coach.

The work of the group is to form itself into a Council that will advise the formation of a Marketplace for organizations and people involved in ‘communication for health.’ We mindmapped the accomplishments and challenges in the field and looked at examples of effective communities of practice. Today we will put these together as we sketch a first vision of what this ‘thing’ we are calling into being might look like. We worked long and hard – beyond the planned ending time – because we had run into a challenging set of questions. The group wrestled with these for a bit until we got some traction and then we called it a day.

We had our dinner last night at Freddy Mercury’s restaurant. I had to be reminded that Freddy was a member of the band Queen. He was born on this island, destined for musical greatness according to the intro on the menu. There were pictures everywhere of Freddy and his band and the women’s bathroom was labeled Queen (men’s was Kings of course). Despite our multiple requests for Bohemian Rhapsody we were fed Brittney Spears and the likes alongside our meal. The food wasn’t quite in the same league. Sitting next to the ocean you cannot go all that wrong with skewered prawns, but I counted more heads than tails.

The restaurant offered cocktails with names designed to get foreigners to buy overpriced drinks that are in the ‘meh’ category – who could decline a ‘Romney’ or an ‘Obama,’ There were adjectives attached to those but I can’t remember. I stuck to South African white wine.

The restaurant was a 30 minute (slow) walk from the hotel and did little for my ankle. Before the operation I could not have walked both ways. Now I had trouble with the return trip only – only a small comfort. The icepack I brought, which in the hospital seemed reusable, doesn’t want to close anymore. I will have to fumble with plastic bags with ice cubes again. The operation does not appear to have improved the situation as much as I had hoped. My ankle (tibia/talus) joint has gotten stuck a few times again and the pain radiates out into my ankle bones. But right now I don’t want to think about what next as such thoughts are even more painful.

Memories calling

I am back in the land of Islam. The vast majority of Zanzibari are Muslim. And so I listen to the call of the muezzin and it transports me back to Afghanistan. There is something very soothing about that call – a permanence amidst chaos.

I do miss being in Afghanistan, strange as that may sound. The place has an addictive quality to it that is hard to explain to anyone who only knows Afghanistan from the media. But anyone who has ever been there (really there, not in military garb) understands, instantly. We are all bitten by the same bug.

And so now I am in Zanzibar and only barely present to the town. I made one quick outing into the old city which was sleepy and quiet after lunch. It s good to do nothing as it is very hot and humid, and any effort is met with lots of perspiration.
Today the last of the people arrive for our meeting. We reviewed the program and are mostly set. The sun is setting, the sundowners consumed and I am looking forward to another great seafood meal, meeting people I have never met before. What fun!

Lala salama

A peaceful night I had indeed, under my mosquito netting canopy. Nothing disturbed me except a dream about physical decrepitude, a body that ached all over. I woke up stiff and followed the wise instructions of my DVD yoga instructor to loosen up. The post breakfast massage finished the job.

I met a few of my team mates last night for dinner at the beit-el-chai restaurant across the hotel. We drunk a cool South African Chenin Blanc, sampled variations on Bouilabaise and exchanged stories.

Today is reserved for reviewing several documents that are under construction and dot the ‘i’s and cross the ‘t’s in my facilitation notes for the meeting that starts tomorrow. This will keep me busy for the rest of the week.

I tried to conduct my weekly coaching session by phone, then Skype and had to give up. The Internet connection is OK for mail and surfing but it doesn’t quite support voice.It will set me back a bit but in the greater scheme of things, I decided, it is not important enough to worry about. next week I will try again from Abidjan.

Underway

It’s travel time again. I am on my way to two rather exotic sounded places, les cotes d’epices (Zanzibar) and les cotes d’ivoire; one week here and one week there with a cross continental voyage in between. I am going with my brand new orange business card that shows my association with Johns Hopkins’ new communication project on which we are a core partner.

I am flying with my orthopedic boot which gives me support by immobilizing my ankle, and also a business class seat so I can keep my ankle elevated and walk around, both to avoid DVT.

I was able to pretty much clear my desk, a faint vision some weeks ago. Holding the boundaries between work and non work, between mere stress and outright panic has been the focus of my peer coaching conversations. Although these required coaching sessions were themselves a source of stress.

The plane is ready, have to stop now.

Hoping for spring

When Sita has business in Boston, we get to do business with our grandson. An early morning commute from Manchester to Boston beats one from Easthampton. We don’t mind, even if I only get to hear Faro when I get up early to go to work. I also get home early – now with Daylight Savings Time it stays light longer – and I get to give him his dinner. It was red/orange today: roasted beets, butternut squash, sweet potatoes, turnips and carrots; a nice wintery mush that went in fast.

He has two front teeth that would make the Velveteen Rabbit jealous. I gave him a celery stick which he crunched and crunched, without knowing quite what to make of it. Coming from a musical home, it took a longtime before he put the celery stick in his mouth – he has already learned that sticks are for drumming, not for eating.

Yesterday I had my stitches taken out. The doctor showed us the scope pictures which confirmed that the tibia/talus joint is in bad repair – pink color being bad, bone on bone. It explained the painful walking. We explored next steps if this doesn’t do the trick – too early to tell. Ankle resurfacing (or reconstruction) is, compared to knee and hip technology, lagging behind and the top orthopede at Mass General would not recommend it. The case load is not quite big enough to create deep and wide expertise in this complicated procedure. So for now, we cross our fingers.

The coaching program I started a month ago is picking up in the amount of time I have to dedicate to it. Every week I have two hours of peer coaching, one as the coach and one as the coachee. And then there is a a peer group teleconference, with five other women who participated in our workshop last month. In a few weeks the program adds to that a weekly mass teleconference (of 90 minutes) plus a half hour with my own mentor.  All this should be completed by June when I take the second workshop over a 30 hour weekend. It is all very challenging and the more I learn the less I realize that I know. Coaching comes with incredible promises of more happiness, more income, more customers, and the stories abound, but I can’t quite believe that I could ever pull this off. I have to keep reminding myself that practice makes perfect.

I am immersing myself in the social innovation/innovation world with the coursera course I take which is based on the book “Creative people must be stopped,” by David Owens from Vanderbilt University. Fascinating. I can’t help but think that the new attention to innovation at my work may shake something loose that has been stuck and rusty for a long time.


March 2013
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