Archive for the 'On the road' Category



Halfway point

We have completed the three days of work with 9 NGOs that our project is working with. It is part of a longer process that should arrive at 6 strong NGOs towards the end of the project. Although it may not seem so, it is a big undertaking because each NGO is a complex organism where cultural, intellectual, social-political-economic, financial and leadership personality dynamics come into play.  Just telling them ‘improve this or that!’’ may not make much of a difference.

We are addressing some of these complex challenges with technical assistance, training in a variety of subjects, coaching and competition for grants. I am observing the various groups and can already see which ones have the engagement that will make them more likely to come out of this process victorious, and those that will not. Right now I am only observing the leaders (executive directors and chairmen of the boards) and know little about the rest of the organization.

Yesterday afternoon they discussed resilience – looking at children, families, communities and organizations. Based on their observations they created a local theory of resilience that contains the following elements: spirituality, social milieu, personal characteristics and open-mindedness. When I look at those and compare the groups in the room, I can already see resilience.

We also talked a lot about vision and explored their own personal ones and created one out of clay for the support network they are in the process of creating. I got to read my favorite quote about vision which I have translated in French, that tells people to hitch themselves to something big and important and start because they will find that Providence will walk with them (a combination of Murray and von Goethe).

I can sleep in tomorrow although I probably wake up at 5:30 as I do every day, no matter where in the world I am. I have a quiet day – some design work and a work day that ends at 2 PM. I am not expected in the office until 9:30 AM. This means I can relax now and can go to bed before 9 PM.

Managing time

I am getting better and am nearly again my old pre-flight  self. I am sending little whiffs of seawater mixed with copper up my nostrils three times a day. It is wonder medicine. I think I should bring it on all my trips in the future. The cough medicine and ear drops are not bad either – it’s a good package and I am tempted to ask the doctor to prescribe me another set for my travel kit.

We completed the first day of a three day event to help the NGOs we support here with questions of basic management, leadership and governance. I am working with a dynamite team and actually have little to do – they are carrying the bulk of the work and do it masterfully. The follow up of this event is in good hands with them.

I taught the team (I teach every team but some ignore this) about filling a program with several pockets of unprogrammed time, hidden to the eye of the participant. It allows us to be unfazed by people trickling in late and starting nearly an hour late, or lunch taking 50% more time that what we had anticipated, or people expecting the program to end half an hour earlier than we had planned. All this, one might think, means people are not getting their money’s worth (or the taxpayer his/her money’s worth) – but really what it means is that we don’t have to rush, we can be patient, we can go into side roads that seem pertinent and people don’t feel like we are stuffing them with information and theories that they cannot connect to their daily lives, while we are constantly looking at our wrists. Good time management is what they expect from us. We honor that commitment in seemingly magical ways – but really it’s no magic. We simply program only 75% of the officially available time.

We explored what leading and managing really look like in daily life, what good governance requires, having the knowledge that is in the room circulate freely, from the highest levels to the lowest levels, Some NGOs are more sophisticated than others. We have physicians, accountants, engineers, professional managers, administrators, educators and musicians in the room – for once not a lot of medical folks – this is rare in my work. The diversity of professional experiences adds richness to the conversations. I like it. There is also little hierarchy in the room as most are executive directors or Board chairs – I like this too – everyone seems to feel at ease speaking out, except one woman who lost her voice – so she whispers in my ear and I amplify her voice. I feel for her because I nearly got to that place if it wasn’t for the doctor and her medicine.

Elegance

I am expanding my French vocabulary: I had a “Flamiche” for lunch, which is a leek tart – French is so much more elegant than English. The description of wines on the French menu also contains several new words that roll off the tongue like, well uh, good wine. The hotel caters to an English clientele but I must have passed the test as I am given the French menu now. The restaurant is lovely and looks out over the marechages (also sounds better than marshes, non?) and the human and bird lives that they sustain. I still don’t know what the people, half submerged, do all day, but one thing is sure, they toil.

My work is no toil and my light schedule (this weekend and today) help me to recover from whatever I picked up in the plane. I am feeling much better though the gurgling sounds in my lungs are a little upsetting, even though they sound innocuous, like a baby’s little noises.  I took an afternoon nap and keep drinking warm water with lime and local honey. I should be good enough for action tomorrow morning and for the next 3 days.

I was joined by my other co-trainer this morning at the project office and we reviewed the program and divided roles. We first met 16 years ago when he worked with our project here. He has set up his own training institute which has done well in all these years, making a name for his firm and contributing to ‘andragogie’ being known and practiced all around. Madagascar is the only place where I don’t have to explain anything that relates to adult education. They know – and it all seems to be part of the legacy of that distant MSH project called APPROPOP that ended in 1998. We talked about this and what made such a legacy possible and concluded that an enormous investment in training and education and full integration of project staff and counterparts was responsible for the change of mindset and outlook that is still noticeable today, nearly two decades later.

I had hoped to reconnect with a few remarkable Malgaches I got to know well when I came here periodically and was sad to hear that one was dead, two retired (one of them in France) and one had left the country after having been jailed for being in the wrong party. So there won’t be as much reconnecting. On the other hand, I am meeting plenty of new interesting people, new colleagues and even a friend of our ‘across-Lobster Cove’ neighbors who I hope to see next weekend when I should be past my contagious state.

Those pesky germs

On Friday I wrestled with my sore throat but otherwise felt OK, able to do some work at the office in the morning and be productive in the afternoon.

As I drove through town I was surprised to see that the standard taxis are Renault 4Ls and Deux-Chevaux – all cream-colored and most seeming in good to excellent condition. The Renault 4L was my first car – it is one step up from the Deux-Chevaux in terms of simplicity – a far cry from our newly leased Subaru Impreza.  My last Renault of that type was stolen in Senegal, just weeks before we shipped out. I waxed nostalgic seeing so many here.

During the night my sore throat developed into a terrible sinusitis which produced painful pressures on my teeth, my ears and my forehead. I woke up miserable on Saturday morning and resolved that this time I was not going to assume my problems would go away and repeat the Burkina experience. My colleagues mobilized a doctor who came to check me out in my hotel room and confirmed my self-diagnosis.  She wrote four prescriptions which I was able to fill immediately at the ‘Pharmacie du Roi’ in the adjacent shopping mall. The consultation and the prescriptions cost me the equivalent of 64 dollars, half for the doc and half for the pharmacy. I am now taking an antibiotic, something to drain my sinuses, something to reduce the inflammation of my ears and syrup to turn my raspy dry cough into a productive one.

On Sunday I felt much better already and continued to recuperate by taking a very long nap in the morning and in the afternoon. I was able to complete my homework for the weekend.  I am confident, after one more good sleep that I will be able to return to work and be fully present tomorrow when I will meet with my team and put the finishing touches on the design of our workshop with NGO executives.

I am glad there was the weekend to recover – unlike my previous trips where I had to go to work immediately. Still, it pisses me off that I have now had two consecutive bad experiences travelling in planes. Although I brought masks, and used one most of the time, something must have squeezed in during those periods that I had taken my mask off.  Maybe it is my inability to sleep that lowers my defenses; not being able to sleep is a problem when a trip takes 24 hours door to door. Maybe I should be interrupting my trips, cut them in two with a good night sleep in between in a capital somewhere in Europe.

Alert and prepared

The trip to Madagascar seemed endless: 7 hours to Paris and then nearly 11 hours to Tana. I slept a bit but mostly killed the time watching one movie after another, including such old ones as Barry Lyndon, with its beautiful musical score, the Birds, One flew over the cuckoo’s nest and a few newer ones that I have already forgotten (‘niemandalletjes’ we call those in Dutch).

This time I traveled with a facemask, the kind that would keep me from inhaling infected droplets from coughers and sneezers around me. There was such a gentleman, one row and three seats away from me. He was one of these people that, once starting to sneeze, couldn’t stop.  I felt for him because people cast him annoyed glances. I simply pressed my mask a little more tightly on my face. But these masks are not very comfortable and they fog up my glasses, so I didn’t keep it on all the time.

And now, after this interminable trip over the entire continent of Africa, I have arrived in Madagascar with a sore throat. So much for the mask, or was it the sneezing woman in front of me when I tried to follow the opaque and chaotic entry formalities at the airport. I didn’t keep my mask on; afraid I would be whisked away by the white coats that were everywhere. Madagascar is clearly prepared for the arrival of Ebola: everyone had to fill in a special health form indicating where we sat in the plane, whether we had had any fever recently, which countries we had visited, and where we would be staying. That way, I suppose, they can trace people if Ebola or SARS slipped in among us.

As we poured into the arrivals hall each person’s temperature was taken with a small gadget that looked like a gun. They pointed it at our temples, producing an instant reading.  I passed. The next stop was an examination of our health form and only then came the police formalities of visas and stamps – one has to clear the health hurdles before being admitted.  Madagascar is of course a little easier to defend as the borders are clear: ports or airports, none of this porous border business of West Africa.

I arrived at the hotel after midnight, tired beyond tired, and tumbled into a restless sleep.  The next morning I discovered where I was. The hotel is beautiful, with lots of tropical wood (floors, furniture, sculptures) and looks out over what are essentially marshes that have been transformed into a water front. It radiates peace and tranquility, attracting birds that sing lustily and hide in the marshes. For a while I watched people in the distance, partially immersed in water, cultivating something. Others were harvesting something from wild bushes on the dry ground. I had so many questions which still remain unanswered.

I visited the MSH office briefly, got my marching orders for the weekend and inspected the room where we will have a workshop next week. I think Madagascar is the only place where I have held a workshop in a functioning restaurant. It is not without challenges. We will be in a restaurant again next week. The hotel manager didn’t seem fazed to move bulky furniture and hang up curtains to shield us from the restaurant’s clientele. I am a little more relaxed about such things than I was in the past. Que sera, sera!

Back at the hotel at took care of such basics as a simcard, money, water, honey and limes. I will give my throat the same treatment as in Burkina. Hopefully this time it will not evolve into laryngitis, bronchitis and pneumonia. I was very rested before I undertook the trip and my immune system should be stronger than last time. Fingers crossed.

In between trips

I cast my votes for the Massachusetts primaries last week, before the elections as I was in DC on Election Day. I had met several of the candidates for the various high level state positions when they came to Manchester last May. Not everyone made it into the primaries but those who did and visited (and had impressed me) got my vote. When all things are equal (which they rarely are), I cast my vote for a woman to help redress the gender balance which is so often lacking. I was pleased to see that nearly all of the winners were women.  Now they have to take on the Republican men for the general elections in November.

In Washington I participated in an event that presented some of our flagship tools and methods to colleagues and funders.  I don’t come all that often to DC so it was nice to meet people, some I hadn’t seen for years and others who I met for the first time. I had dinner at my friends T&F, a Dutch-American couple who I met decades ago in Niger and who are at times competitors, at times colleagues and always friends.

I arrived back in Boston just in time for the opening reception of the Japanese Women Leadership Institute at the Fish Family Foundation. MSH has longstanding ties with the Japanese and I was pleased that this year we were invited to participate in a month long program for 4 Japanese women who came to the US to learn to be agents for social change back home. The program is in its 8th year and is a wonderful example of people making change where they can – it is about the long view which the Japanese are well known for. Since this was a Japanese affair there was plenty of sushi and everything served in the most elegant way. The Japanese have a way with food presentation, even when using disposable plates and silverware.

I stayed in Manchester on the day of my departure, finally able to focus on the next assignment and responding to emails that required some clarity on what I was going to do in Madagascar without distractions.  The late departure (8:45 PM) made it possible to do this, and pack and have a nice lunch without feeling stressed. I was done with everything in time to enjoy Lobster Cove teeming with birds and, presumably fish or other edible creatures. It was too beautiful to leave, but duty called.

On our way to the airport we received the good news that Steve and Tessa’s endless and stressful housebuying adventure is finally coming to an end. We thought it had, many times before, but each time the bank found something that needed more interventions. They were told that now the closing is for real. They will have moved in before I come back. Halleluja!

Planes and hospitals

When we traveled to Japan some years ago, during the SARS or Avian flu crisis, I always wondered who in their right mind would step forward and surrender to the white coats, admitting one was sick. Who knew what would happen to you afterwards? But when I landed in Paris on Saturday morning I would have thrown myself in their arms. I was sick as a dog, having a hard time breathing which created panic and more constriction.

I had about 3 hours between flights and dreaded another 7 and a half hour on a plane in my condition. I pondered whether to look for a clinic but by the time I decided I should do so, the track to the clinic was so long and required me to enter France with thousands of other tourists and might have risked missing my flight, so I soldiered on.

It was the longest return trip to the US, longer than my circuitous trip from Mongolia via the DRC. In hindsight, that trip was a piece of cake. Everything is a piece of cake when you are healthy. I tried to limit my coughing, respectful of my fellow travelers. I hate it when I am surrounded by coughers (I actually was on my way out, so that’s maybe where it all started). But the hardest part was the shortness of breath, not being able to take a big deep breath. I had gotten used to the coughing by then.

By the time I landed and exited from the immigration area, Axel said I looked decidedly grey. We resolved right then and there to go straight to the emergency room. And that is where I spent the next 6 hours until they admitted me to the ward around 8 PM.

I wasn’t able to sleep until 10 PM when all the diagnostics were completed. So while I was being poked and questioned I imagined I was upgraded to business class and had a seat that turned into a bed – the same up and down buttons allowed me to pick a position that was most comfortable.

But the food couldn’t compete with the airline food, not even economy class. At 8 PM I was ravenously hungry, not having eaten much during the last 24 hours. I received a plastic box with a cup of chicken salad, 2 slices of wonder bread, a half cup of apple sauce and a small bag of chips (“a joy in every bite”). Emergency services clearly do not think of nutrition as a variable in getting better.

I have not had wonder bread since my youth in Holland. I think it was called King Corn bread and came from America so it was very cool. I thought it was so much yummier than the rough brown bread that I miss so much now. We used it also for fishing bait as it balled up nicely to put on a hook. I was thinking of those fishes going for the white little ball as I chewed my emergency dinner, trying to get the big globs of tasteless white dough to a size small enough to swallow. My hunger made me very impatient.

I was put on nebulizer treatment which made me jittery as if I had an overdose of caffeine. After the third treatment, although super jittery, I was able to relax and breathe a little more easily. I was also put on a drip and started on antibiotic treatment. X-Rays and a scan were made to determine whether I had pneumonia, and if so, what kind. Given the number of countries I had visited in the last 6 months the infectious disease specialist was also called in. Had I been in Ebola territory? Had I been in hospitals and in contact with patients? I explained that in my line of work public health is not about direct patient care. Interesting the doctors said. You have ants in your pants, said the nurses.

Finally, after I had already left the hospital the next day, the confirmation came through: streptococcal pneumonia. I was relieved it was not a virus and the antibiotic treatment is in full swing. It is an excellent time to recover at Lobster Cove.

Throughout the ordeal I counted my blessings: to live in a place that has good care, good hygiene and an insurance that pays. I thought about the many people around the world who have the same affliction until they die or are so miserable they can no longer participate in life. You don’t appreciate good health and health care until you need it. Still counting…

Return

I watched in astonishment and horror the news about the Malaysian flight that went down in the Ukraine. A local conflict brought into many Dutch families’ homes in ways they could never have imagined. It never occurred to me that overflying conflicted places could be dangerous. I will be flying tonight over some turbulent areas too, Mali, Libya.

I try to imagine the reasoning that led to the launch of the missile, if that is indeed what happened. Was it an error? Was it a bet, an overdose of testosterone? We will probably never know.

I have made my way to Ouagadougou after a slightly less restless night but I continue to cough in a way that, I am sure, my fellow travelers tonight will not like. I reserved a day room in a small guesthouse recommended by a friend. It is very cute, very African in the way foreigners would characterize African – wrought iron furniture, nice textiles, tiles, wooden statues and art. It also means there is a mosquito net which one finds rarely in African hotels. I was told by the management of the hotel I stayed in on my way in, and the same chain also in Bobo, that guests don’t like mosquito nets because they say it unhygienic. I find that rather surprising given that my bed has a blanket that I doubt gets washed between customers. The pillows and mattress, once you look under the covers, are rather gross and the shower curtain had not been washed in weeks, if ever, slippery with mold.

I was picked up at the airport by a taxi sent by the guesthouse. It was an old Mercedes that, after some buffing, would have done nicely in an antique car parade in the US. The driver too, he was also antique, wiping the windows with a dirty old rag so I could see the city.

It has been raining heavily which means the temperature is below 30 and people are happy. Unlike in Holland where, if you are not a living from the land, rain is seen as a disturber of plans; here it is a source of joy and life.

Waiting

The weather is a little cooler than yesterday; there is a breeze, but other than that, in the middle of the day, everyone seems to be waiting. Everything has slowed down. We are in the middle of the holy month of Ramadan. Those who fast are waiting for the sun to set. I am waiting to leave for home and the hotel staff is waiting for people to ask them something. The general feeling of lethargy is all around; so well described in Naipaul’s Bend in the River, though there is slightly more action in Bobo.

After a meeting in the office to tie up loose ends and review our work, past and future, I said my goodbyes and returned to my hotel to take a nap. It didn’t do me any good. i went for a short walk to pull some more money out of the wall. On the way back I walked past the two supermarkets. I felt like buying an ice-cream to give my throat some relief but the supermarkets still close several hours in the middle of the day – I would have to wait. I remember that supermarkets used to be closed when we lived in Dakar, decades ago – everything stopped during the middle of the day. Nothing has changed.

Then and now men lie on their traditional African chair planks, one plank inserted in another at a 120 degree angle – sometimes they scratch their crotches – it is the one pervasive image I have of African men that stands in sharp contrast to the women – always busy taking care of stuff or earning money. I watch the young men across from the hotel. Some sit in the same position for hours, never moving. They chat with other men and I wonder how they earn a living. Sometimes, when I cannot sleep at night I look out on the street, and there they are, still in the same position. It may be 1 o’clock in the morning. It is one of the big questions I have – why don’t the women put them to work?

The lethargy also creates a sense of ‘never mind,’ or que sera sera,’ a fatalism that whatever comes will come. Of course all this pertains only to the men I see in the street. Office men, functionaries, professional staff work hard, or at least they say they do. It has been a long time since I actually made 9-5 days in an African office and things have changed. With internet there’s always work.

I returned to the hotel, not wanting to wait for the supermarket to open. I am not even sure they have ice cream. Their dairy and vegetables cases are mostly empty, reminding me of Soviet stores in the early 70s –and I probably should not trust ice cream in a climate as hot as this one – I am sick enough as it is.

The lethargy has spread to me. My respiratory troubles make me not want to spend any energy on anything – it’s too much of an effort. But I don’t want to sleep either; afraid I have another sleepless night. And so I just wait, watch the hours go by. It is probably exactly what my body needs right now.

Dragging along

My body has made it very clear that this travelling should stop. People have been asking me how do you do it, and in this trip the answer is revealed, not well. Yesterday I dragged myself through the day, sputtering and coughing with very low energy. I was relieved when the day ended and went to bed early in the hope of a good night sleep. But the night brought little relief as my body kept reminding me that I am not well and shouldn’t be here, but rather in lobster cove, being attended to by my best friend.

I keep drinking enormous quantities of hot water, lime and honey but it feels less effective now, aside from hydrating me in this warm place where temperatures remain in the upper 30s.

The explosion in Ouaga has been explained in different ways but I was glad to learn it was not the beginning of the revolution. Some said it was an error, others it was revenge.

The workshop concluded with a reformulation of the projects that the remaining people will focus on. I will support the group and my colleague from afar and he is, at least according to the budget, on his own for the next workshops. Although I cannot come to his aid in person, I hope I can help get some support for him as doing this on his own would be more than a small challenge.


January 2026
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