No Time Like the Present

 

I woke up after our day in Lamjung feeling all grayed out. I didn’t want to get up so I stayed in bed until 8:45am, which is mid-afternoon here. Everything seemed complicated and shifty. I haven’t even been out to any of the real damage yet and I’m having trouble keeping my spirits up.

I went for a run along the lake in the hot sun, showered and sat down in a café with some iced coffee. I took out Manisha’s email from May 1 and reviewed it with everything in mind that I’ve learned now about transitional housing.

One thing that’s obvious is that there’s no more time for talking and thinking and researching without acting. We’re going to have to learn as we go. The basics are the basics – don’t impose ill-conceived ideas on people, focus on local resources and let people use their own knowledge to build. Supplement with structural ideas, manpower, and additional raw materials as possible when you know what can be used. Building for thousands of people at once in a short time is a different ballgame than designing the ideal temporary rural house.

I looked at how the destroyed and damaged houses are distributed among our working areas and put them in to an order I thought made sense for us to learn by doing. In some, where there are just 2-6 damaged houses, we can try something like earthbag building. In others, were there are 40 or 100 homeless families, we’ll follow the generally accepted plan to provide tin and manpower. We’ll see what happens and improve as we go.

I put this all in an email and sent it out to our advisory board. Things felt a little more organized. I needed to confirm that my data from our villages was still correct, because the second earthquake caused more damage, and also other groups may have already provided some materials to some of these places. But Kaski and Parbat, the districts where we are, weren’t hit as hard, so there’s a lot less attention here, even though hundreds of homes are unlivable. There are no big cluster meetings and the government is under very little public pressure to act quickly around here.

Once that was all sorted out, I headed to the Gaky’s Light community house. Our Fellows have the first performance of their final project tonight. It’s a tribute to earthquake victims that they’ve beenIMG_8841 working on with a dance teacher. When I arrived they were practicing and setting up a sound system outside. A crowd was beginning to gather around.

As soon as the kids were about to start their performance, the clouds came in, purple and ominous. The rain began but they did their performance anyway, and people watched from under the eaves of shops on either side of the street. One man pulled over on his bicycle, wrapped up in plastic bags from head to toe. He was upset to find out that we weren’t collecting donations, which we weren’t allowed to do in a public space because there’s so much worry about people exploiting the situation to raise funds for dishonest purposes.

I decided to have dinner with the kids and sleep at the GL community house. Just as it was getting late, I got a message from Bene and Robin, French friends of mine who live in Pokhara, that there was a meeting the next morning in Sarangkot where they’d be doing presentations about earth bag building. So the next morning I got up and went straight to meet them in this crazy jeep they bought that looks like it was used for transporting goats or ammunition at some point.

Robin drives like a bat out of hell, and the road to Sarangkot – the same one I take many times each week to Kaski – isn’t exactly paved with pavement. I’m a pretty hearty passenger, but we were all in the back of the truck bouncing like popcorn, things rolling out the back, I hit my head on the bars a few times, all while trying to shout at the two other guys in the back of the jeep to figure out what we were all doing there.  Then I was up at Sarangkot for a few hours with a random collection of foreigners who’d all been doing various forms of freelance aid, learning about how to build houses with earthbags.

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This beautiful boy in the crowd started dancing during a tribute song written by our fellow Umesh, and kept going for a full five minutes.

For the record, I’d left the office at 2pm the prior afternoon, thinking I’d be back in 4 hours after watching a dance performance.

I didn’t get back from Sarangkot until late afternoon and went straight to watch the kids do their second performance. A good crowd gathered and lots of people were filming on their phones. But the instant their dance ended, the performance was once again interrupted by rain – this time a thunderous downpour of fat plops of rain and huge chunks of hail. We all ran under a nearby tin roof and waited it out while the sound guy pulled in all his equipment.

When the storm ended, most people had gone home. But the kids set up one of the speakers and did the rest of their show – a poem, a few more songs, and a candle lighting. It took all of them at the same time lighting and relighting the wet candles, hovering over them to keep them all going at once, to get the Nepal flag surrounded. And of course a new crowd formed around them.

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My phone rang and I found out we had a last minute board meeting. I showed up quite wet and bedraggled at 6pm on the back of Shiva’s motorcycle. All my electronics were dead because I had no chargers with me. We ended up sitting there till the place closed, and I finally hopped in a cab and went home.

Well that’s kind of how things go here, moving from one universe to another on the backs of bikes and jeeps, following things as they unfold in the moment. I left the office at 2pm on a Tuesday thinking I was coming back for dinner, and didn’t come back until 9:30pm the next day, having been to up to Sarangkot in a jeep and hiked down through the woods for an hour and a half in my flip flops, watched two dance performances, run from hail, spent a night with the kids in the community house, and had a 3 hour board meeting while sipping an americano in a coffee shop under a thinly disguised knockoff Starbucks logo.

Nothing like a little Nepal style to shake you out of your gray and put you back on your toes…

Throwing stones at Tin houses

 

Last Thursday, our meeting with two district officials in Lamjung was so encouraging that I’d been energized all weekend. I talked with a friend at home who did her thesis on post-earthquake housing in Haiti. My dad helped me get in touch with the inventor of earthbag building.  I pored over diagrams on the internet and learned the term “waddle and daub.” I was looking for every possible way to supplement a government housing kit consisting of tin roofing and tools. And of course, I talked with a few people about my safe-box idea.

Screen Shot 2015-05-29 at 11.40.19 PMAamod and I made our second trip out to Lamjung on Monday, for the shelter cluster meeting.   (Relief coordination between large iNGOs and the government is divided in to clusters of which shelter is one). We somehow managed to be an hour late again, which this time meant entering a room of a few dozen government officials and representatives from big international organizations.

We sat down in the corner and I took out my notebook. A slide up on the projector showed the names of about six multinational agencies, the villages where they’d been assigned to provide housing, and the number of households covered by each agency, which ranged from about 900 – 1500. Then on the bottom row was our name with two blank columns next to it – no villages yet assigned – and “100” in the righthand column under number of houses. Well, A for effort, anyway.

Besides, with the possibility of using the government’s housing kit, we were hoping to get that number up to about 300.

But the next hour was nothing like either our personalized visit with Lamjung’s district officials a few days earlier, or the big health cluster meeting I’d attended in Kathmandu. Today we were in a room of local politicians talking about use of resources. And my prior enthusiasm was quickly put in check.

Within minutes after we arrived, a discussion about reassigning some villages from one organization to another turned in to a 15-minute debate over whether aid agencies should be allowed to flash their logos while working. After all, it’s the government that should come out with the recognition – is housing aid to become no more than advertising anarchy?

All the big iNGOs have Nepal offices with all-Nepali staff. As I watched the Nepalis representing those agencies negotiate this discussion, even I started to get lost as to who was allied to what cause. I basically understood why these folks engaged a conversation about who would get credit instead of pointing out the more urgent matter of thousands of homeless people in Lamjung; let’s call that standard operating procedure, a necessary hurdle to eventually getting back to housing.

But when someone from one of these NGOs suggested that the Chamber of Commerce should broker
the massive upcoming procurement of corrugated tin roofing, I couldn’t keep up. This guy was working for a huge iNGO that needed to get tin in order to help build shelters.  To put this in context, Nepali P1070134villagers can build anything out of anything.  The overall approach being used with transitional housing is to provide a critical piece of hardware – THE ROOF – and let people build around it.

Foreigners in the room had already explained why their agencies were working on getting corrugated tin from multiple sources to meet the need as fast as possible. Why would this guy, tasked with representing his iNGO to the shelter cluster, encourage all these government officials to control and inevitably slow down the process?  Was he bluffing? Maybe he knew his suggestion would never work out, but would satisfy egos and clear the way. Or maybe he meant it. It was either brilliant or terrible, but I still don’t know which.

Finally, one of the European aid workers spoke up. I’d noticed him sitting off to the side, a burly, hearty looking man with clear blue eyes and a tousle of graying hair. He captured all my biases – obviously a disaster professional, not a Nepali-speaker, here for Earthquake and that alone, bored with these talking games that I’ve come to sort of enjoy as sport.  He was keeping a feel for the pulse of the conversation while mostly ignoring it, looking rather peeved.

In a few swift paragraphs, this guy listed the amount of corrugated tin available in Lamjung district, and in Nepal as a whole – about 10% of the tin needed for the number of houses destroyed. He knew exactly the number of trucks he needed to transport housing materials to his coverage area; the amount of square footage needed to store all the supplies. He pointed out that accomplishing all this was a massive task and that the monsoon will be starting imminently.

“If we could please finalize which of us are taking which areas, than we can all get to work,” he said.

Silence.

Even I was taken down a good notch, as I am so accustomed to all this politicking in Nepal that I’ve come to expect it, even though we’re in an emergency.

Corrugated Tin Roofing

Corrugated Tin Roofing

And there’s more. The government has established a policy to give two sheets of tin to each family that needs to rebuild – but there isn’t nearly enough tin in Nepal to deliver on this quickly without a lot of smart planning and international coordination. So instead, Nepal’s government has decided to give everyone $150 in cash to buy their own tin.

“And when you do that,” said the burly aid officer, “the price of tin is going to skyrocket, because there’s not enough tin available in the local market.”

“We have controls for that,” said an official.

“You can’t control that,” pointed out the aid officer. “When you put money in to a market where there isn’t enough product, the price will triple.”

The matter was never totally resolved.

Later, Aamod and I discussed why on earth Nepal’s leaders would willfully do something like that. The only reason can be to to pacify constituents quickly with cash rather than sorting out the more complex problem the population is actually facing. People will be pleased with receiving $150 and they won’t realize it’s useless because the thing they most need is nowhere to be found, or is now worth $450.

I wonder if this cash reimbursement matter is getting any coverage in the U.S. The only reason it won’t cause an economic collapse in Nepal is because there’s no more room to fall; people literally have nothing. So instead it will just put the most urgently needed commodity – sheets of corrugated tin, for goodness sake – out of reach by displacing the government’s responsibility to provide it on to people who can’t possibly solve a material shortage.

I actually watched a group of politicians look at each other, confront this fact, and, from what I could tell, decide to do it anyway. It felt as though this inflation matter was a good point, but a lot of trouble to solve. It’s a perfect example of the structural rot that weakened this country long before an earthquake shook its softened beams to the ground.

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Just to put icing on the cake, before we left, we found out that the district had changed its mind about providing a government housing kit for us to use. In fact, the friendly engineer we talked with the other day – Pradeep – a genuinely sincere guy who seemed to like our idea of collaboration, said the official policy is now that government is only to deliver its tin (or $150) in places where NGOs are NOT working. As for the entire housing kit, which includes things like nails, wire and hammer…that’s just a suggested kit. The big multinational agencies will use it, but the government won’t.

I knew it had all seemed to good to be true. Didn’t I say it was a miracle?

I made a hard pitch to Pradeep that he and I had the opportunity to set an example for how community organizations can collaborate to achieve the work of the government. There are countless groups like Eva Nepal running around providing aid with tremendous energy. He actually liked my idea a lot, but said I’d have to write a proposal and send it up the chain. We all know how long that will take, and in the mean time, people are living under tarps. It’s not the time to play games.

Looks like if we want to work on shelters in Lamjung, we’ll have to bring in all the materials ourselves.

.      .      .

 

Discovery of Shelter Kids

 

Slide24Lamjung district borders Kaski immediately to the East, and shares its other border with the district of Gorkha. The Lamjung/Gorkha border was the epicenter of the April 25 earthquake.

At 7:30pm last night, Aamod and I made a plan to drive out to Lamjung today and meet with the district government. We wanted to find out what plans the government has for transitional housing and who else is working on it.

As per Nepal style this plan was finalized only late yesterday evening. My job was to type up two official letters for the two government offices we’d be visiting. So got that done by 11pm, and I was planning to print the letters out in the morning, but at 6:15am my phone rang. Aamod had realized the letters should be in Nepali, and I can’t read or write in Nepali. So I emailed the English version to him and went back to sleep. Aamod translated the letter and emailed it to Neha, who was home sick, but nevertheless braved out to her office, but the electricity wasn’t working at her office, so she texted to say I should meet her at a cyber on my way out of town. But when I arrived at the cyber Neha was only just opening up Aamod’s translation, and there were problems with the computer and network and printer and….1.5 hours later, we printed two copies of the letter.

By the time we finally left Pokhara it was 1:45 instead of 11:30. We picked up Aamod in Damauli, and in Dhumre, turned off the east-west road between Kathmandu and Pokhara, and headed northward toward Lamjung. It began to rain.

As soon as we started toward Lamjung we found ourselves trundling along behind a line of relief trucks covered in orange tarps. Once we passed them, I watched the blooming green hills rolling by on the other side of a lush valley and was soothed at being on the road, moving toward some kind of answer, however small, after weeks of anxiety. The flying scenery seemed to catch some speeding thing in my mind and race alongside it, leaving me momentarily still.

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The road went on and on. It began to feel very late. And in the front seat, Aamod was sifting through the letters Neha and I had printed out in the morning. There were some mistakes.

Yep. Mistakes. Not kidding.

Now I personally felt that if we had letters with stamps on them, they would surely fulfill procedure. But one must remember that I couldn’t read these letters, so I might have been biased.   On the other hand, it was starting to feel like we were never actually going to arrive at our meeting with the District Health Office, and government offices aren’t known for staying open past working hours.

We pulled in to Besishar no earlier than 3:45pm. And Aamod, God bless him, had become committed to finding a place to reprint these blasted letters. We curbed up at a cyber, shoved my pen drive in the computer, Aamod hastily typed in some changes, the cyber owner went to click print…and the power promptly went out.

No reason. This wasn’t a scheduled outage for load shedding. Just good luck.

We wait for a minute to see if the power will come back on. It doesn’t. We leave and look for another cyber. Eventually we find a one and now I am running between the cyber and the taxi with Aamod’s bag while people in the street in Besishar are looking at the tall foreigner sprinting down the road in flip flops with Aamod’s backpack. The revised letters are finally delivered like manna from a printer in to Aamod’s hands. He gently tri-folds them, slides them in to some envelopes, and stamps our organization logo on the front. We jump back in the cab and drive to the District Health Office in Besishar.

Now it’s well after 4:15. As we pull in, the sun comes out, and suddenly it seems early in the day again and things are possible.

We sat down on a couch, and Aamod reached in to his backpack, pulled out an envelope, and handed it formally across the desk to the District Health Officer. This immediately made me want to start giggling like a six year old, because the letter had just gone IN the envelope about five minutes earlier.

Next, we waited quietly and watched the officer read the letter. This is the protocol. The District Health Officer was an affable guy and he took us to the office of the Chief District Officer, the head official of Lamjung. Where, of course, Aamod placed the second letter on the second desk, to be read in silence while we watched.

Just as we began talking at long last, with the late afternoon sun getting lower in the window, we were interrupted by the entrance of an animated employee, who strode in with a huge file and thunked it on the CDO’s desk. He then launched in to a torrential briefing for the Chief District Officer on housing.

He turned out to be the guy in charge of shelter coordination in Lamjung.

And this is how Aamod and I got an up-to-the-minute report on transitional housing in Lamjung District. It was PURE LUCK. If it hadn’t taken us 2.5 hours longer than planned to get to Lamjung, we would have missed this entire interaction. The man’s name was Pradeep Khanal, and we are going to be best friends.

Pradeep (and indeed, much of our afternoon in Lamjung) countered all the negative stereotypes of Nepal’s apathetic, dysfunctional bureaucracy.  He provided us a list of the six big agencies doing shelter in Lamjung, updated at a meeting just that morning, and directed us to villages not yet adopted by the large iNGOs doing housing. We looked at drawings of government shelter models and I was surprised to realize I could quickly tell which had advantages and why; which were too resource-heavy or laborious to construct except as a permanent house.

This surprised me as much as when I watched a Hindi film with the boys last winter, and discovered I understand a good bit of Hindi.  With no background in construction, the only reason I could interpret all this information from housing drawings is because I’ve lived in a rural house for 12 years, and done things like wood collecting and carrying heavy loads up long distances. Looking at these models, I had a pretty realistic sense of how the proposed spaces would be used daily, of what would be involved in constructing them, and how the result and effort required would compare to a permanent house.

See, you just never know when your niche specialty is going to turn out to be JUST THE THING, right?

We also learned that just that day the government had finalized shelter kits (or Shelter Kids, as the documents charmingly call them) which include tin, nails etc., for each family that needs to rebuild. The government will provide the raw materials, and let people figure out how to use them.

I asked if the government will still provide these kits in places where NGOs had taken on housing projects. They said no – no reason to duplicate money and materials.

Aamod and I scoured a list of districts, numbers of damaged houses, and a huge map on the wall of Lamjung district. We can only afford 100 – 200 housing structures; was there any place where that was the right number? The CDO asked us to please consider offering at least 300 houses, to properly cover a single village.

Suddenly something occurred to me. It was actually completely obvious.

When we do dental care, one of the most difficult parts of our job is motivating the government to collaborate on investment. But this government is already investing. Why would we steal their thunder?  If we can simply fill in around the government, we can use our resources to supplement and improve their plan instead of replicating it. What’s more, one of the major lessons from Haiti was that the NGO industry that usurped the government was a giant debacle, essentially displacing governance to outsiders and leaving public systems powerless.

“Sir,” I asked the District Health Officer, “how are you going to deliver these rebuilding kits?”

IMG_4968He said the district government would bring housing kits to the village governments for distribution. I can tell you right now that we’ll be reading stories about how housing kits didn’t reach people who needed them. You know how easy it is to carry hundreds of bundles of tin and nails around in the hills of Lamjung and Gorkha?  And what’s more, the government is under pressure to show transparency, so distribution of government aid is already being hampered by a requirement that people have identity cards.  Which obviously, have mostly been buried under rubble.

“I was wondering,” I said, “If we were to provide manpower for distribution and building, would the government still be able to provide materials?”

The DHO turned to the CDO sitting behind the desk.

“She’s wondering if we can provide materials in their working areas, if they help with distribution and building.” Is it possible nobody else has asked this question?

“Sure, of course,” said the CDO.  As if this wasn’t a miracle. If it was that easy with dental clinics…

Aamod and I practically bounced back out to the taxi. There are countless advantages to channeling the resources of the government to an efficient, people-centered result, over acting independently. One is supporting the government, which, for all its problems, is in charge of the welfare of its people. And instead of buying tin sheets and nails, we can use our relief fund to think about quality of life. Instead of roofs, we can think about walls. Instead of crisis shelter, we can learn about design that can be transferred over time to permanent housing.

Also, we have communities in our own working areas in Kaski and Parbat, where the government currently has no plans to offer housing kits, asking for tents. Instead of using funds on tents, we can reallocate the money saved in Lamjung to mimic the housing kits in our villages, see how people use them, and learn how to supplement supplies and design ideas.

On the way home we talked for 3 hours nonstop about ideas that seemed accessible now: creating day-labor employment, paired-village building, little things that could be easily discounted or added to make all the difference. Out the window, the hills rolled by in reverse, and night fell.

“I was thinking,” I said from the back seat, “about this idea of a safe box for valuables. What do you think?”

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Dreaming of Safe Boxes

 

With a lot of thought going in to our current Kaski Oral Health working areas, we’ve also had quite a bit of discussion about whether, how, and why to get involved in a village closer to the center of the damage, where a higher percentage of houses – in some cases up to 90% – have been destroyed.  Lamjung, the next district over, shares its eastern border with Gorkha and this border was the epicenter of the earthquake.

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With all this going on, I’m gradually appreciating how much experience we’ve developed in community-centered design that incorporates multiple systems and people to address even a very specific issue like dental care.  I think that if we can work in one of these districts, we should because we can.  I also feel it’s important to have local, grassroots organizations involved and setting examples in the places where large agencies are doing a lot of work.

As I ponder how we can turn this expertise in to something useful for earthquake-relief (and I think we should have a moment of appreciation for the activity of pondering about turning expertise in rural South-Asian dental care in to earthquake relief), it seems the first step is to be working with a single community in a defined area.

I am hoping that if we can locate a community that’s a manageable size for our capacity and funds, we can at least do a really good job of using a community-centered approach to set up transitional housing in one Lamjung village, with the goal of creating an example to be copied by agencies with more resources. Once we see how that goes, we can decide if it makes sense to bring in another layer in the same community, such as the counseling element that Dr. Aung from the WHO suggested.

I’ve looked at four types of housing so far: Kiran’s tunnel, a simple tin tunnel, something called earthbag building that uses sacks of dirt and can be made to look very much like a traditional home – and then there’s the option of simply providing people with a corrugated tin and some other materials and letting them have at it.

All this was kicking around in my head the other night when I was in Kaski with Aamaa. While we were having dinner a crazy lightening storm started—the kind that’s more like a constant flickering than separate strikes of lightening. There is a lingering sense of nature’s awfulness in the air and everything feels foreboding, even the normal, dramatic patters of weather typical to this season. As we turned in for the night, it began to pour.

P1070133Lying in bed between the sturdy earth walls of our house, listening to rain clang on the tin roof, is one of my places of greatest serenity. This is my favorite way in the world to fall asleep, and my favorite way to wake up. You can hear the entire the distance from the ground under you up to the sky, but all the noise and space are close and balanced and soft like a blanket.

In my half-dream state, I found myself thinking about people lying in their makeshift shelters, with doors of plastic sheets or thin bamboo or synthetic, brightly-colored things, easily torn down or penetrated. Aamaa walks around all day with a key to this house hanging around her neck. She even sleeps with it.  It suddenly seemed like a great indignity to have no door to close, nothing to lock up, no single space to block out the rest of the unknown and uncaring world.

Not to mention the practicalities. Where are people storing any precious photos of grandparents extracted from the rubble? The few pieces of jewelry or any cash they are lucky enough to still possess? You’d have to walk around with all of this stuff on you all the time.

IMG_1719My mind reached about, searching for something that people could shut tightly, a safe box that can’t be stolen when there are no bolts or securities anywhere. Into my head floated a picture of a locked metal container with a pipe welded perpendicularly to the bottom, and a wide plate attached to the other end, like an upside down T. You could dig a hole, place the box in the ground so that the top of the T rests on the bottom of the hole, and then fill the hole in so only about half the box is above ground with the top accessible. There would be no way to lift this locked, anchored box, so if someone wanted to steal it they’d have to surreptitiously dig up the entire affair inside your tarp-house and then sneak out with a large metal T sticking out from under their shirt. Which, if they could pull it off, AND get your lock undone, then hats off to them.  Because the key would be on a string around your neck.

I fell asleep to the sound of the rain, wondering if we could produce a safe like that.

.      .      .

Dental Care Anyway

IMG_4898I’ve been in Pokhara for about five days now. All the usual activities – Saturday workshop with our Gaky’s Light Fellows and Asmita’s 18th birthday party at the community house, where I continued practicing my henna tattooing skills on all the girls…

Last week Kaski Oral Health completed this year’s teacher trainings in each of the three villages that launched over the winter. This is where one teacher from each school, who is called an Oral Health Coordinator, learns to conduct a daily brushing program and also do oral health education throughout the school year. We had to postpone our OHC trainings because the earthquake hit right when they were originally scheduled, and when we did hold them, we had to think about how to keep oral health care relevant in the context that teachers are now facing.

IMG_0525There are approximately 129 damaged homes in our working areas, some of which are unlivable, and just outside of a village where we work in Parbat, a nearby area has experienced even more extensive damage and our dental technician has asked us to help. So we’ve made one trip out there, and we’re considering how to approach another. About 13 schools need some or total rebuilding in our 10 villages. All these realities must be acknowledged as we continue trying to advance the work we’ve been doing in oral healthcare over the last eight years.

One widespread issue is that shelter aid has been largely limited to people whose houses were totally destroyed. For thousands and thousands of people whose homes are standing but too dangerous to live in, significantly less help has been available – by not receiving tent distribution, for example, and that’s where organizations like ours filled in. Going forward, the government is compensating only $250 per damaged house, compared to the $1000 that will go to families whose houses are flattened. Then again, everybody will need to rebuild from scratch, and even a simple village home costs closer to $3000.

All of this is why I want to start pulling back from using our limited relief funds for tents and start focusing on transitional housing that will last people for the length of time needed to rebuild.

On a tangential topic, we’ve outgrown our one-room office, and leased a new space that is currently totally empty, which is both exciting and intimidating. So in between scouring the internet and Facebook for examples of tunnel shelters and super-adobe shelters and shelters that reuse tarps, I am also turning over possible arrangements of the sunny new rooms of our office, which have yet to be set up as our home.

I took a detour from dreams of shelters and offices yesterday to spend the morning with our field officer, Dilmaya, at Deurali Primary School in Kaskikot. This school is just five minutes from my house, and it is where Didi and Bishnu attended grades 1-5. I have known the teachers there for twelve years. For about 4-5 years, Deurali school ran a daily brushing program we’d helped them start, but it eventually petered out. Their Oral Health Coordinator, a really sweet young woman named Chandra, had asked me last winter to help them restart it.

So Dilmaya came up to Kaskikot with her backpack full of brushes and paste, had lunch with me and Aamaa at home, and then we went to Deurali school and sat down with all the teachers in the office. Govinda also joined us – he is one of the founders of KOHCP and was the team leader in Kaskikot for the six years the program ran there.

IMG_0577I was amazed when the headmaster pulled a notebook out of the cabinet. He had kept a log, which started in 2011, of each purchase or donation of brushes and paste, each poetry project or dance performance the school had held to advocate for oral health care. We discussed the school’s plans for future sustainability as our contribution declines next year, a plan we require. The teachers presented each of us with kata scarves, a traditional way to welcome and honor guests.

You all may or may not remember that when we tried to hand-over Kaskikot’s KOHCP programs and clinic in 2012, the project collapsed due to personal interests among government officials (a soap opera that, for better or worse, was covered in a 2013 Washington Post story). So it’s a bitter pill I live with that in order to keep this program growing and developing elsewhere, I had to be willing to watch it fail in my home village. And since then, we have since expanded to 7 clinics in 10 other villages that cover an area of about 50,000 people.

Nevertheless, sitting in this tiny school in my back yard, which has no more than 35 young students, and seeing the enthusiasm and sincerity of the teachers to restart their brushing program, was just awesome. We were all so happy with each other that it was basically one big appreciation fest.

Now that we have field officers, we offered to have Dilmaya come back and run a workshop for the teachers on oral health education, where she can teach the art, math and game activities we do with OHCs now to help them promote oral health care in addition to doing the brushing program.  Their teacher took the new brushes and paste and ran the day’s brushing program.

So that was a nice little pick-me up. Now, back to Pokhara to look at earthbag building.

Looking for Shelter

 

I woke up tired today. Partly because I stayed up so late writing, and partly because we’re all sleeping on the floor of the living room by the front door.

But I had an interesting morning. I made my way to an outdoor lot full of incomprehensible discarded piles of things, where Dr. Kiran’s group, SXJ-95, was meeting about their transitional housing unit, a clean white bubble sitting in the middle of the mess. It was really fascinating to hear how they’d developed this design by researching other units, most notably the post-earthquake shelters used in Pakistan. I’m going to save the details, because I hope to produce a quick audio slideshow about it.

IMG_8773While I was there watching, two government officials came to inspect the prototype, and discuss minor modifications so that it could be used to replace a destroyed Health Post in rural Lalitpur. By the time we left, the builders were getting back to work on the second unit, with a plan to drive the pieces to Lalitpur and set up a shelter within two days.

This has really got me thinking about transitional housing as a possible use for our relief fund. I plan to either donate it to a group doing really valuable work in rural areas, or finding a project that we can do well. It has been such a chore to procure and deliver tents – which are getting more and more expensive – and it’s frustrating to know that, while obviously better for people than no tent, this is such a short-term improvement. Plus, each time a transitional shelter is placed in the field, it’s an opportunity to get feedback and improve the design, so if we can collaborate with a group like Kiran’s, perhaps we could contribute to the larger good in terms of research and design.

SXJ 95’s unit costs about $500, but they put a lot of thought in to user feel and aesthetics. On one hand, this means we could potentially offer rural families upgraded transitional housing; on the other, we couldn’t afford very many. I plan to keep in touch with Kiran about their test in Lalitpur and maybe see if this design could be used for another health post or school classroom. Here’s a recent article by Gordon Brown, former Prime Minister of the UK, on the importance of reinstating schooling for basic child safety and welfare (sorry for the sensationalist title).

I left the crazy stuff lot with its shelter bubble, and my next stop was the Ministry of Health and Population. The World Health Organization holds bi-weekly meetings in collaboration with the Nepali government, where all of the major players in town for recovery – large iNGOs, foreign medical teams, etc. – come to share information. These meetings are divided in to clusters, such as Health, Communications, Shelter, Security etc. I went to the Health Cluster meeting.

This is the opposite end of the spectrum from the WHR’s and SXJ-95’s of the relief effort. Kiran dropped me off, and I hopped out of his car into a parking lot full of oversized, logo’ed SUVs. I made my way to a packed meeting hall – probably close to 100 people of various nationalities. I sat in the back of the room and scanned the emblazoned vests in front of me: World Vision, Save the Children, AmeriCares, International Medical Corps. Japan, Switzerland, Canada…and then in the back, some straggling foreigners like me, probably there to get the lay of the land.

IMG_8789The meeting was led by the WHO rep to Nepal, Dr. Lin Aung, with government representatives in attendance. I had missed the first 20 minutes or so, but listened to some updated figures, and then attendees were invited to share what they’d been doing. That part seemed a little odd. They would announce the name of an area – “Sindhupalchowk?” and then various groups would stand up and say what they had been doing in Sindhupalchowk since the last meeting. It was more information-sharing than strategizing – but maybe these groups have other methods that they are using for truly coordinating their efforts.

After the meeting, I went to go talk to Dr. Aung. Ironically, I was trying to meet him all winter because I thought he’d be a good person to know for Kaski Oral Health, and I was never able to get in touch since I’m rarely in Kathmandu. But when I introduced myself, he turned out to be a very friendly and genuine guy. He gave me five minutes of undivided attention, even though another half dozen people were waiting to talk with him.

I asked what he thought a small organization like mine in Pokhara could do to pitch in to the relief effort. Like others, he said we should be thinking medium and long-term, which is where multilateral agencies aren’t nearly as agile or embedded. He said that with our community ties, we should focus on counseling and psycho-emotional support.

I said, “We don’t know anything about post-disaster counseling.”

He said that the psycho-social cluster is developing protocols for this kind of thing and gave me an email address where I could access this info.

All of which tells me that, for better or worse, coordination is almost completely at the discretion of aid providers. I think – and you could argue that this makes sense under the circumstances –things are really set up such that, in order to find the best way to participate, organizations large and small have to make a point of reaching out.

I’m not sure why I’m a little hung up on this. But I suppose we’d like to think in a humanitarian crisis of this nature, somebody has the answers and can tell us all what to do – and maybe somebody should know. But the basic fact remains that everybody is winging it to some degree, and I can’t argue this is exactly anyone’s fault. It seems like it’s really one of the cruelties of the whole situation.  The real blame lies in the injustices of the past that led to poverty and bad planning and lack of security, not in the present where nature took over. In any case, it seems like coordinated strategic planning is largely a matter of self-discipline.

Before I left for Pokhara, I went to visit a friend who is the CEO of Teach for Nepal. Most of their teaching fellows were there for a day of counseling with social workers from Israel, experienced at working with disaster trauma. I learned that one of TFN’s young teachers perished in Sindhupalchowk. The day of the earthquake, my friend and her husband were unable to call a helicopter to Sindhupalchowk, so they drove 5 hours to get there and dig through rubble themselves.  It was out there that they realized they’d actually lost her.  Now they are left with continued aftershocks and their other 89 fellows to send back out to their schools.

Everyone is spinning.

By the time I got on the plane to Pokhara I admit I felt pretty down. I had also spoken with my friend’s husband who has worked on a shelter that costs just $100 and might be a good option – we could potentially provide an entire community of about 100 -200 families with safer housing while they rebuild. But everyone is so hurt, psychologically and otherwise. The scale of rebuilding that’s needed is really hard for me to wrap my head around. I really just wanted all of it to go away.

At the airport in Pokhara, Prem was waiting for me. And as we crossed the road, Aidan was on the other side sticking his head out the taxi window, shiny as a stamp, his cheeky toothless grin lighting up the whole city. Pascal insisted on sitting in my lap for the seven-minute car ride. I gave them some super-sized squirt guns and unloaded the rest of a bag of Reese’s Pieces.

We went out into the late afternoon Pokhara sun, and walked to a plot of land up on a hill, where leveling strings are stretched across deep foundation holes in the ground. Prem and Didi are building their first house.

*      *      *

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For anyone wishing to support Dr. Kiran’s group, SXJ-95, you can do so here: http://bit.ly/1ReQ8gj.

Teach for Nepal is providing relief in their working areas, and will have a special focus on rebuilding schools. You can support them at http://nepalrelief.teachfornepal.org.

A New World

It was nighttime as we flew in yesterday, so I couldn’t watch the terraced hills coming in closer and giving way to Kathmandu’s gritty buildings. Staring at the city lights flickering in the vast darkness below, I felt a wave of sadness. I couldn’t shake the feeling of arriving in a foreign land and it made me feel like a foreigner to myself.

The normally quiet tarmac at the airport was scattered with a handful of helicopters and few gigantic cargo planes with their hatches open. And in a way that only Nepal can do, it seemed that someone had made an effort to spruce up the airport for an onslaught of international visitors: a new routing through the arrival area, which wound past a recently installed station where a vinyl banner reading HEALTH DESK had been mounted. A large sign announced that anyone having recently come from Africa was required to stop at the Health Desk for processing, and behind it, an airport official was tinkering with his iPhone. We all shuffled past him, to the main arrival terminal, where the computers weren’t working.

IMG_4863I was one of only about five foreigners waiting for a visa, which was new. And the baggage scanner that was previously set up at the airport exit was gone, probably to make way for a more official exit procedure. But to either side of the revised exit procedure were piles and piles of packages. I took a photo of a stack of boxes addressed to a hospital; it did not look anyone was in much of a hurry to get these parcels distributed.

Following Tuesday’s second earthquake, everyone is taking precautions again. On the cab ride from the airport, I didn’t see many damaged buildings, but people everywhere had tents up outside along the road. I stayed with a friend and the whole family slept on mattresses in the living room, right by the front door, which was left unlatched.  That’s where we are again tonight.

IMG_8714Today I spent the day getting a taste of local relief efforts, and it validated my early suspicion that the energy and creativity of locals can’t be dismissed. My friend Dr. Kiran Awasthi, who has trained all our dental technicians through his organization, has been furiously working with a group of high school classmates to distribute sanitation materials that will help prevent disease outbreaks. His connections through the private sector and health ministry have allowed his group to become a trustworthy distributor of hard-to-find supplies. They’ve also researched, designed and built a temporary housing unit in just two weeks, and they’ve tried it out in some areas already. Obviously the government will ultimately have to take the lead on a large scale, but groups like this are doing a huge amount to help get there more quickly.

My second stop was with a group called Women for Human Rights. Before the earthquake, I had planned to visit them on this trip to do an interview for a radio story I am producing about young widows in Nepal (as part of a series on migrant labor called Between Worlds…but that’s another story!). Like everyone, Women for Human Rights is also doing what they can towards relief, in this case for women especially. So I interviewed their founder about their aid efforts, and then went to a shelter they’ve set up for young mothers and children. It is a large canopy at one of the tent cities in Narayanchaur, at the center of a gigantic grassy mound in the middle of a traffic circle. I interviewed a 22 year old girl whose baby was three weeks old when the earthquake struck. When I asked the kids what they thought of spending their days lounging and playing in the hot sun at the camp, a twelve year old girl chirped: “It’s fun!”

I know that the government and army are making major efforts, and personally I believe very strongly that the government should be viewed with high expectations, tasked with responsibility, and held accountable.  But that said, there is huge distrust among the people of Nepal and the international community about the government’s ability to distribute aid, much less rebuilding, quickly or equitably.  There are still swaths of the hillsides where people have lost everything, suffered injuries and death, and received NO AID.  I couldn’t help noticing that when I walked past the police station, about two dozen officers were hard at work breaking, organizing and laying bricks – rebuilding the wall of their own compound.

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So that was a pretty long day. I already have hours of tape to sort through and tomorrow will bring a whole new chapter of stories before I fly to Pokhara at 3:00. I’ll be glad to get out of Kathmandu – about 70,000 people have left the city since the second earthquake on Tuesday.

Nepal has always shown me a graceful, practical relationship with nature and its whims. But everything feels wrong. Twice today I was in the middle of a conversation with someone who suddenly stopped and said, “Is that an aftershock?” and I couldn’t even feel any shaking. Everyone is on a razor’s edge. People keep telling me, “Things were getting back to normal,” when talking about the second earthquake, which really tells you something, because things were definitely not normal last Tuesday morning. But the second time seems to have redefined “not normal.” It’s as if now the injury of this event is not yet quantified – the sensation isn’t that something terrible happened, but that it is happening, and the final damage is unknown.   As long as the cost remains pending, the reckoning is impossible. You can’t mourn much less rebuild something that is still breaking apart. Everyone is just waiting, even as they run around providing aid to each other.

I will be glad to get to Pokhara tomorrow, but I think this month is going to be as strange and unsettling as expected. My mind is racing with ideas for how to make the best possible use of the $14,000+ we raised for aid, and it is good know that we have the ability to do something, or to provide significant support to someone doing something effective and under-funded. One idea I’m thinking about is collaborating with Kiran or a similar group working on temporary housing. Tomorrow, I am going to get an overview of how the big aid is working.

But I will write about that tomorrow!

A Start

Dear friends,

I wanted to provide an update on our progress in Nepal.  Each day of the past week has felt like a lifetime, thoughts racing so fast, then slowing down to a halt, then picking up again like a twirl of spinning leaves.  Some days just when I’m too sleepy to stay up, someone in Nepal or California or India comes on Skype and we talk till 2am, and then I dream about it and wake up in Hartford.

Screen Shot 2015-05-13 at 11.47.03 PMOur Kaski Oral Health Care working areas have sustained property damage to homes and schools, but no human loss of life as far as I know.  But we have been able to work with our dental teams (the three locals that run each village clinic) and use our relationships with local governments in these areas to quickly find out what’s going on there and offer help.  Earlier this week, thanks to funding from another donor (thank you, GNE)! our board members worked with KOHCP’s dental teams to distribute tents for about 42 families sleeping outside in their respective villages.  In the district of Parbat, our dental technician called seeking help for a neighboring village where another 40 families are sleeping outside their destroyed homes.

Since I launched our relief fund on monday, it has been amazing – $5200 poured in from people on both continents in less than a week.  This morning, we agreed to spend $3500 of it on tents for the 40 homeless families in Parbat.  It’s a start.

We’ve all agreed that order to get back to our goal of building dental care, we have to do our part to help stabilize the immediate trauma in the places we work.  In fact, I’m realizing that with our localized knowledge of these villages, we’re as well set up to do so as anyone is.  And that’s been the really incredible lesson of this week: for locally-based organizations like mine, nobody else is coming while we wait.  There are just too many places to get to, and the aid that’s available to the people we work with is us.  Luckily, Eva Nepal’s working areas did not suffer on nearly the scale of many other places.

I’m also talking with friends making trips out to the epicenter in Gorkha, where the devastation is incomprehensible, and all hands are needed.  I know this is hard to really believe – by believe I mean, to really picture what this would be like – but some of these remote places have not been reached yet. People have been stranded for a week with injuries and no belongings or shelter or food. So everybody is needed throw in their shoulder the best way they can, or invent a way, and the Red Cross seems to have stepped in to provide coordination, wisely making use of the tremendous energy being delivered by locals.  In the upcoming week, I will try to get a better understanding how we can help out there as well.

As for me, I have reconnected with a wonderful network of people in this country who also consider Nepal a second home – in many cases researchers who spent years devoted to specific communities or issues on Nepal.  People who I met at conferences at some other time, followed generally on Facebook, and are suddenly my go-to clergy for all the pressing questions and worries in my life.  We end up chatting late at night on Facebook about the longing to be nearby to help vs. the unhelpfulness of it, sharing articles and tips, asking for contacts and help moving information around.  Many of the articles being passed around online are written or commented on by people within this tight, quirky circle of people whose hearts have roots in this country and culture.

There is one moment from this week that will always stick with me.  The morning after the earthquake, I was Facebook chatting with our graduated fellow, 18-year old Santosh, who just this spring moved to Kathmandu to get his Bachelor’s degree.  It was a big deal, coming to the capital from little Pokhara, and we helped him find a cool internship at a software development company to pay for his living expenses.  He was describing the scene, the event – “Oh my god, what is that, so scaring” – where he slept, what he’d been doing, and I was trying to get him to take photos to publish in Youth Journalism International.  We were getting ready to sign off when Santosh typed in to the little blank white screen…

 

is this earthquake in america also??

 

Love,
Laura

To donate to Eva Nepal’s Earthquake Relief Fund, click here.