Posts Tagged 'Madagascar'



Context

The part I like most about travelling in faraway places is the delight of seeing things out my ordinary. Like a fish shop that also doubles as a patisserie, or the primary school that is called ‘arc towards the future.’ This name resonates particularly with me because of the book I am reading, Small Arcs of Larger Circles, recommended by Sita. It is a collection of essays written by Nora Bateson, the daughter and granddaughter of, respectively, Gregory and William Bateson. All essays look at context from a variety of perspectives. And it is exactly context I am taking in here.

My laryngitis, which started nearly as soon as I stepped off the plane, just like during my visit some years ago, has been well managed with a corticoid pill which I put under my tongue every morning and evening. It was only on my first day of visits and interviews that I croaked. One of my colleagues told me that I night be allergic to the enormous amounts of Sulphur in the air. Since Saturday I have been in the healthy plein air of rural Madagascar where the only pollution that exists is of the psychological kind. There are no abandoned plastic bags, broken flipflops (nearly everyone is barefoot), derelict cars or empty water bottles littering the side of the roads. Everything is used until it disintegrates. Even the water with which the rice pan is cleaned is served as a kind of tea with our meals. It is called ranavola which means water money. I supposed because it is rich in vitamins and minerals.

The good and healthy part of being here is like the nostalgia to good old times that actually weren’t all that good. It masks the countless dangers people here face: there are the diseases (pest, leprosy, malaria, TB, diarrhea) that incapacitate and/or kill many of the babies and a good number of the adults. There are the caimans hidden in the rivers which, when overflowing their borders, come close to human habitation where small children toddling around are an easy target. There are the road accidents – we saw a few car wrecks where the driver surely could not have survived. And then there are the brush fires that one can see at night on the prairie and that can suddenly cut you off with nowhere to go. I used to use brush fires as a metaphor for starting change but here it is not a positive thing.

Everything requires an view of the context before judging – this is my big learning from this trip. I knew it in my head but now I also know it in my ‘tripes’ (=insides) as the French would say. The same tripes that got exposed to all these new foods and so shaken up along the road!

Seeds

I learned from the Hidden Life of Trees that nature has its ways of survival. Reproduction happens through seeds, as we know, and nature is very good at seeing that seeds get seeded. Trees and flowers are dependent on animals, the wind, to make sure the seeds survive and get carried to places to sprout. I am thinking of the selfish gene – survival is the goal, survival of the species.

I had a very intimate encounter with this principle. During one of our ‘arret de petits besoins’ (=pit stops), I waded into the high grasses to do my business. When I walked back to the car I noticed that my pants were covered with what looked like pieces of straw. I was mistaken. They were arrows sent onto me from the high grass. The arrows included the bows that shot them at me, 1 inch pieces of grass with a sharp seed at the end. The seed was so sharp that it had woven itself instantly into the fabric of my loose rayon pants.

The grasses are looking for carriers of their seeds. I suppose these are usually animals – my dark pants must have been confused with a zebu. Little did they know this these seeds might have accidentally been carried to the US. Once the yellow straws were removed the dark seeds stayed in the fabric of my pants, hardly visibly.

My colleagues knelt down in front of me picking me clean. During the next few kilometers in the car I continued to remove the seeds. I cut myself on them, they were that sharp.

Contretemps and good news

We completed 5 visits to teams that have participated in our leadership program in and around Tana. Each visit gave me more insight into what actually happened while I was studying words on paper sent to me via email about these teams. I now understand how incomplete and misleading those words were. Words on paper have no context. And this is what I was now getting. There is no shortcut or alternative to ‘seeing (and listening) for oneself. The words on paper had led to judgements, and thoughts about mediocrity, no good value for money and a sense of futility.

The transformations that my, now ex-, colleague, and her two consultants had brought about were quite amazing, giving the very imperfect preparation and support they got from me. I was astonished how people had taken the ideas and integrated them, not just in their work life, passed them on to colleagues, but also took them home. I was to see much more of that in the remote rural areas we traveled later, where work and home life are not that separated.

The night before my departure, with two other colleagues, we celebrated the 29th anniversary of a young colleague who made her first trip to Madagascar, at a new stylish restaurant (the Urban hotel) in the upper city. We had cider sangria cocktails, I had my first foie gras (in spite of all my ecological and health objections to the stuff), we finished a nice wine and so helped her enter her 30th year.

The next morning I woke at 5:30, was ready to be picked up at 6:15, was picked up at 6:45 and then went all over Tana to pick up the rest of the team. Everyone but me is in a training outfit – fleece tops and bottoms with speed stripes, though speed is one thing we will not have. Our planned departure from the city limits didn’t happen until 2 hours later because of a small ‘contretemps’ as the French call something gone awry. A driver of the rental car company had run the car assigned to us over a rock and so the wheels had to be re-aligned. This is called ‘paralellisme.’ For the longest time I had no idea what they were talking about. I thought another car would drive parallel to us and we would exchange cars.

While waiting for the paralellisme to happen we were invited to sit on a terrace above the garage noise and spray from the power cleaning which brought into focus all that is awful about city living: noisy, grease, dirt and mechanical friction.

Good and bad deeds

I am in Madagascar now. My former colleague and now consultant gave me an overview of the current political situation which reads like a soap opera. The sad thing is that it does little good for the country. The hand grenades that were thrown into the stadium when I was here last, and billed as a terrorist attack, have turned out to be something quite different. The wife of the president organized the attack in the hope of killing her husband’s mistress, an artist who was performing at the stadium. The mistress escaped.

A story that parallels and the converges is about a person linked to the president (allegedly having introduced the mistress to her friend the president, while also being a friend of the first lady, but obviously no longer), had managed to profit in a big way from procurements that were routed through her bank  account. It is a sordid tale of greed and hubris. The story is to juice and too long to recount here. Suffice to say that the culprit is on the lam and the money probably stashed away someplace where ordinary Malgaches cannot touch it. Sometimes I feel all of us doing supposedly good work are only aiding, abetting and enabling the elite to keep stealing from their people.

[Postscript  on 4/25: the lady is back in the hospital in Madagascar. We are all curious what will happen next.]

Mining the wisdom in groups

The last days of my stay in Madagascar I tried to figure out how to be of use to my colleagues who were preoccupied with their annual workplan preparation for which they ‘retreat.’  I figured that the most I would able to get was a 2 hour meeting – this is what I asked for, on my last day of work, and this is what I got.

It is hard for experts to not give advice; after all this is what they are trained to do. But it is difficult for people, especially those with little of the experts’ sophisticated knowledge, to find their own solutions and voice – given the structure of the conversations as they happen now.

I run into this phenomenon over and over bit at home and abroad as I teach colleagues to be more like coaches: hold the judgment and hold the advice. Coaching is the new buzzword and it is practiced in a thousand ways, but little I would actually call coaching. What I see and hear is mostly the wrapping of advice into closed questions.

Philosophically and intellectually the concept of coaching appeals to my colleagues. It is after all implied in our organization’s use of Lao Tsu’s quote (“…when all is done the people will say we did it ourselves…”). But when it comes to practice it becomes another thing altogether. How can you find ‘wisdom’ in a group of people when you don’t think there is any wisdom? When you know they have had little formal education and know not a fraction of the the knowledge you have?

After countless training workshops, the leading men in Madagascar’s health system have decided there is too much training and an alternative has been found, as health centers are closed because the chief is at a training – and sometimes this means people die.

The proposed alternative have many names: supportive supervision, group supervision, coaching, etc.  In order to avoid that these are old wines in new bottles, the key actors have to make a mental shift that would make possible the sustainable behavior changes they are looking for.

I demonstrated two methods for getting a group of people to share their wisdom and experience, and learn from each other, using their own experience. I then introduced my colleagues to a few more practical concepts regarding group dynamics based on the work of David Kantor – a family therapist turned organization dynamics guru whose Structural Dynamics approach appeals to me, who thought one day I would become a family therapist  but ended up as an organizational psychologist.

I took them a few levels down from what they already know (and teach) about group dynamics, based on Kantor’s Reading The Room, and saw, what the French call so nicely ‘declics’ (aha’s) going off in their heads.

And then I headed back to my hotel to pack, take care of  loose strings, write reports, and try to get upgrades, the latter unsuccessful.

 

Second shift

On Monday I shifted from attention from my colleague and her team whose work targets the highest levels of government to my colleagues in the bilateral project that focuses its attention at the base of the health pyramid. I received a briefing about how things are done and what needed to be improved.

In the afternoon I had to excuse myself for a courtesy visit to the highest health chief (below the minister), who turned out not to be there. The team I had coached the previous week was now meeting without me and busy preparing their coaching visits and the next workshop in the leadership development program. They invited me to wait for the next official in line who was happy to receive us. While waiting to be called in his office I observed my team in action and noticed good energy – something promising had been set in motion during the previous week.

Done with our various meetings we all went out to a fish restaurant, with me and my colleague K who is in charge of managing relationships, money and deliverables of our Madagascar work. We were treated as the guests of honor.  I had just learned about the size of the servings at this place. They are so large that with the 8 of us we only needed to order for two dishes: enormous plates with all sorts of fish and roasted vegetables. We drank Malagasy wine produced by a Chinese company and toasted on leadership in the health sector. And then we talked about what was going on in the world with Trump and Orlando on the forefront. When we landed on the topic of homosexuality we cut the conversation short as we could tell our colleagues were baffled by same sex marriages. I told them most Americans were too, not all that long ago, and clearly some still are. After that we returned to safer topics.

A new appointment had been made for my courtesy visit for the end of the workday on Tuesday – this meant another trip into town (not so bad), and worse, back out of town which was very, very bad because of roads blocked off for the 10 day long independence day celebrations which strangles all movement by car. Leaving at 4PM, I returned back to my side of town at 8PM to meet up with the woman who used to oversee a project I worked on decades ago, out of her USAID Washington office, but now an independent contractor. We tripped down memory lane over lychee martinis and Chinese food.

Chocolate massage

I finally had my long awaited chocolate massage. First there was a ‘gommage du corps,’ a body scrub. I was scrubbed with a mixture of large sugar crystals, honey and lemon. Honey because, according to my masseuse, it is good for the skin, especially la peau mûr (literally: ripe skin), the sugar crystals for the scrubbing and the lemon for ‘dé-tâcher,’ or taking the spots out (what spots?). If I had curled up in a teacup and you added hot water I would have been a nice healthy drink. I was all sticky and smelling like lemon meringue pie. If there had been ants or bees in the room I would have been a lost cause. This was phase one – ending with a shower after which my skin was soft like a baby’s.

Phase two was the chocolate massage itself. I had had some expectation that I would be massaged with cocoa butter but it was so much better than that. At the end, when I looked in the mirror, I had the skin color of a Malgache. The massage oil was mixed with ‘pralines,’ the kind of chocolate that one buys for a loved one on Valentine’s Day. It was a delicious multi-sensory experience. I was sorry to have to wash the chocolate oil of my body. If I had gone out on the street looking as I did people would have thought I had a terrible disease and was drugging myself with chocolate. The final part was a facial cleaning, a face cream – no chocolate on the head – and a head massage. All this for 45 dollars!

And then reality kicked in – paying the bill and finding out that the little snacks I had been eating, the water I had been drinking, were not complementary like they are in most hotels nowadays; they were outrageously priced which dampened my very positive experience of the hotel a bit. I probably should have checked Tripadvisor as I am sure someone else may have posted a warning, and if not, I will.

The taxi that took me to my new hotel was old, very old. I asked the driver who barely spoke French how old his Renault 4 was. He mumbled a very high number. It may have rolled out of the factory around the same time as our R4 in Senegal, nearly 40 years ago, which was already second or third hand by then.

Because the suitcase took the backseat, there is not much of a trunk in a R4, I had to sit in the front with barely a barrier between me and any obstacles we might hit. No safety belts of course and not much of anything, which is why these cars last so long. They are so simple that anything can be repaired with a screwdriver, wire, tape or crazy glue. The liquids to keep the car running, other than gas (which will be bought with the fare I pay), are stacked next to the driver in plastic containers. He had to move them to let me in. There were no adjustments to the seat (anymore). I squeezed in and held my handbag tightly in front of me by way of another useless buffer with the world outside.

And now I am in my tiny room of the Ibis hotel near our office. I can walk to work tomorrow, to start my last assignment of this trip. Here, away from the crowded and narrow up-and-down streets of Tana ville it is calm. Everyone is in church or sleeping off their hangover from the partying last night.

Tourisme

It is rare that I play the tourist during my travelling weekends but today I did with two colleagues. We visited two sites that sell Malgache handicrafts: semi-precious stones worked in a variety of ways, including jewelry and the ubiquitous solitaire sets, raffia turned into bags, sacks, animals, place-mats and whatnots, raw silk scarves, embroidered children’s clothes, table cloths, vanilla, spices, natural soaps and a variety of objects made out of woods or tin cans (coca cola, Heineken, etc). These include tiny 2Chevaux, R4-Ls and R4-camionettes, my first car. I got myself a scarf as it is still winter here, some soaps, wild pepper and a few dresses for babygirls.

The 10 day period to celebrate independence started earlier this week and roads have been blocked off which has made the already terrible traffic jams even more insufferable. We met up at Chocolatier Robert, the famous Malgache chocolate maker, from where we went on foot and joined ever growing crowds. Tiny ferris wheels and merry go rounds were set up for the small ones and there was singing and dancing and eating.  I was told that later in the day and night there will be more drinking and consumption of forbidden substances and that it is better to stay far away. I had now intent to join that crowd.

It is funny that we are constantly warned about being in crowds (because of the pickpockets) and here we were with our local colleague in a big crowd that stretched as far as the eye could see. So we clutched our bags tightly under our arms and walked on. Taxis refused to take us because we’d be standing still most of the time.

We left the crowd to enter the quiet haven of the beautiful old train station – a weird experience because in my book train stations are where the crowds are. But not here, as there are no more passenger trains (I was told, though Tripadvisor told me differently). The small boutiques that have moved into the beautifully restored building sell for prices no ordinary Malgache can afford, luxury items made from the same raw materials as in the handicraft markets, but a few steps up (and no haggling).

We talked about the challenges we face in our work of leadership development, here and elsewhere, over coffee in a lovely adjacent restaurant that had the air of being the old station waiting room; the toilets were an attraction all by themselves, as one has to enter a very old train car parked on the platform in the back; a train car that dates from the 1800s.

Indulgences

The weekend has now started, after we concluded the first part of my assignment. It is the first evening that I don’t have to do anything. Of course I could start writing my report but decided it could wait. I booked a table in Tripadvisor’s number 3 restaurant of Tana (KuDeTa), recommended by my ICRC friends. I had my second order of ‘foie gras’ (duck liver pate) of today and the fifth since I arrived in Madagascar. I know it is very unhealthy, but it is so very delicious. I rationalize my choices by telling myself I only eat it once in a blue moon.

I also indulge in chocolate, the very dark stuff; my only lapse in my no sugar diet. Madagascar chocolate is possibly the best in the world.

One other treat is a visit to the spa that is part of the hotel. Within hours of checking into I received a call from the spa manager to suggest that I needed a massage. How did she know? I decided I needed a massage every other day. Given the prices of such services, I could even have a massage every day.

On Sunday morning, before I move out, I am going to combine two of my favorite things here (not the foie gras) and have a very long (90 minutes) ‘massage au chocolat.’ I can’t quite imagine what that would be like. I doubt I will be dipped in chocolate like a strawberry but I am sure I will smell nice afterwards.

Jamming

We have nearly come to the end of our intense week of getting the team ready to conduct the second phase of this somewhat rushed leadership development program; rushed because we have just started the series of workshops and the project ends in a few months.

After our Monday meeting at the MSH office we met the next few days at the Institut National de la Sante Publique et Communautaire (INSPC), an model of elegant French colonial architecture that housed the faculty of medicine during colonial times. It is still used to teach the next generation of public health professionals.

I had selected a hotel in the center of Antananarivo (Tana) to be closer to where our counterparts live and work. But it turned out to be a bad decision. As the crow flies, my hotel and INSPC are very close but every night it would take me a full hour to make the trip back to my hotel, probably less than a couple of kilometers, if that. Walking would have taken 20 minutes (there are shortcuts, steep stone stairs straight up the hills), but my colleagues wouldn’t hear of it – too risky, too many pickpockets. They wouldn’t even let me take a taxi, to save our drivers the slow ride into the city. Everyone is very protective of me.

Antananarivo is built on hills, with narrow streets snaking up and down these hills, most one way. Traffic jams are a fact of life and everyone complains about it (for decades already) but nothing seemed to have changed for the better since I was first here more than 20 years ago. Since then more people and more cars have arrived on the scene, some two-way streets have been made one way and the standstills continue.

Rush hour is continuous with peaks at the start and end of the workday. Today was market day and the traffic gets worse, which I didn’t think was possible. In 10 days it will be the national holiday and whole streets have already been blocked off and podiums installed for various ‘manifestations.’ Things are impossible, but here people shrug it off. They are used to this. I suppose one has no choice.


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