Moving Still

 

An exciting week of office work led up to this year’s Maghe Sakranti, which always seems to coincide with some travel experience, astrological event or, in this case, Aidan’s 8th birthday, IMG_3858which, if you think about it, is the same thing.

The main topic of my conversation with Aidan and Pascal since I arrived two weeks ago has been black forest cake. Birthday cake came in vogue in Nepal about five or six years ago – as far as I can tell, it was discovered on TV, and has been translated in to an epic mashup of east-west-birthday-wedding-puja sort of candle-lighting experience that is not to be missed. Anyway, after a hectic week of office meetings and shopping for light fixtures, I caught the last bus up to Kaskikot on Thursday to head home for Maghe Sakranti with birthday cake for Aidan.

Because of Maghe Sakranti, the bus was packed with people heading home to Kaskikot. “Kaskikot packed” means that there is no standing room left inside the bus, and additionally, the people with poor tactical skills who’ve sat in aisle seats have someone’s butt in their ribs or armpit or smushed directly onto their faces. Most definitely, all people with seats are holding either a random package, bag of tomatoes, or someone else’s child on their lap.

As a master bus-rider, I possess a hierarchical mental catalogue of exactly which nooks and crannies make for a tolerable ride relative to a shifting set of variables. I approach “Kaskikot packed” with the focus of a honing pigeon.

IMG_4380It is immediately obvious that today is a top-of-the-bus day. Air is high on my list of prioritized variables, and all of the strategically located nooks and crannies inside the bus are taken or have been invaded by the limbs and odd angles of people who are technically not using these spaces. It’s a total free-for-all. For some reason, Nepalis have an awe-inspiring tolerance for this kind of physical disarray; I on the other hand, while happy to fit myself in to a pretty small nook, need it to be evenly balanced on all sides and protected from random entry, no matter how small my zone is.

Never fear, this is situation is accounted for. I hand Aidan’s cake to the Ticket Bro – all the guys who collect money on buses are Bros of the first degree, with wiry bodies and saggy pants – and clamber up a metal frame to the roof of the bus. The Ticket Bro, who knows me well (ok, I stick out, and besides I’ve provided many unreasonable entertainment opportunities for the general bus-riding public), hands Aidan’s black forest cake up to the top of the bus. I wedge it in flat between a box of beer bottles and a floppy sack of mystery items that’s soft enough to sit on. Soon I too am wedged in evenly on all sides by other passengers, which is exactly the way I want to be. I bend my knees protectively over the cake and we lurch away. The climb to Kaskikot isn’t a long distance in miles, but it’s all up, one switchback whipping around to the next.

The air begins to rush past and in settles a familiar, soothing reeling. The bus is climbing and honking, people are sticking out every which way, we are ducking the occasional branch – FWAP! – as the trees whoosh by. A wave of exhilarating calm envelops me, soft and malleable.

There have been three accidents on this bus route since in the thirteen years I have been riding it. Each time there is a bus accident, everyone including me swears off this road, these good-for-nothing-regulations, these drivers. The police crack down on the rules; buses are improved and added to reduce passenger load. The new bus I am on today looks like a greyhound, with upholstered reclining seats. But inevitably, the people turn this bus in to a wild beast. It’s inertia.

IMG_8687It just can’t be avoided.

Which, in a way that’s hard to explain, is why it’s so calming. Like in many poor countries, there is no illusory order here: everything is paint splatter all the time, and nobody’s pretending it’s something different. Everyone is hanging on to the spinning planet with one finger, and it is still working, at least until it’s not. Over time you realize that you too are paint splatter. You might think you aren’t now. But when order falls away, all of us are wilderness.

After the tragedies that have happened on this road, I know I shouldn’t admit it’s thrilling to catch the bus just in time, climb up to the roof, and duck branches while people talk on their phones and sway side to side eating peanuts like we are on Amtrak. But it isn’t a thrill because it’s dangerous (for the record, in purely statistical terms, driving on the beltway is just as dangerous)… it’s a thrill because it doesn’t feel dangerous. It makes sense. Because we are all flying through the trees together; because chaos and order have switched places, and everything fits despite the appearance of anarchy, and we are not dead yet.

In the mean time, some racing tiger inside of me catches the trees dashing by. I can feel the grumbling pavement even from up on the roof of the bus, and the Ticket Bro heedlessly climbs up and down the side of the bus like a chimpanzee while it is whirling around a corner. The valley below us recedes, and that wild thing in me, with a racing companion to match its speed, is still.

I’ve found this pocket of tranquility in other fast places.  When I catch a seat on the back of a motorbike and take off, zipping up my jacket. When I’m flying down a path in the trees with a sickle and rope in my hand, my flip flops smacking tap-tap-tap-tap on the rocks. Occasionally I have whirled into this thing when jumping on to the subway in New York, snagging a tread of some larger tapestry in the crush of a ten-million-person city with a trillion little shards of disorder that still fit in to something bigger.

In the subway, this is a private knowing. But on this bus, the miracle is out in the open for everyone to see: unruly, electric, FWAP! It’s still working.

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As we climb the lone road up through Sarangkot and closer to Kaski, people filter out at their homes, lugging their bags and boxes and children. The Ticket Bro clambers up and tosses bags off the top of the bus, and our resting props are gradually removed. My stop is the last stop. Soon all the other passengers decide to move down inside the bus, but because I am a honing pigeon I know that none of my approved nooks inside are available yet, and I stay on top of the bus, alone with Aidan’s black forest cake. I lie down so I don’t have to worry about oncoming branches, and crowd myself in with boxes and sacks to block the breeze, and float up the road on my back, watching the night sky roll by. My thoughts spiral in and out, moving still.

Of course, I can’t see where we’re going from this position. No problem. This road only leads to one place.

*

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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.

.      .      .

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.