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the week in african health

Nyala, Kalma camp, South Darfur - March 2007 (MSF Photo Blog)

The impact of conflict on the environment and then the subsequent, direct effect on human health cannot be overlooked. This internally displaced peoples (IDP) camp in Sudan shows the seriousness of that impact.

Your Old Cell Phone Can Make a Difference in Global Health

Everyone in the global health sector is writing about the incredible reach of SMS technologies working for health in developing countries, and rightly so. Hope Phones has partnered with FrontlineSMS to provide old cell phones to communities in need through SMSmedic partner organizations.
More:
Your Old Phone Can Change the World

TeleMed
A service that I just recently came across is one that is not being as widely talked about. TeleMed is different from FrontlineSMS: Medic because it connects local health care workers directly to patients in need via SMS technology. SMS: Medic is focused on health infrastructure. TeleMed does not have a website up yet, but is definitely one to watch:

Paul Farmer and the US Government?

The other big talk within global health is whether Paul Farmer will take a job within the US government. Some have expressed great hope for potential reform others voice their plea with him to continue his incredible community based work outside the bureaucracies. My opinion is that Partners in Health has developed into a strong organization and does not depend on Paul Farmer to further their work. If he wants to take on the inefficiencies and inadequacies of the US government and global health, then all the more power to him.

Southern Africa: Global Financial Crisis Leads to HIV Budget Cuts

Broken promises abound as the economic crisis deepens and the right to health falters, but activists are coming together to ensure that funding for health and HIV are not cut. International donors are expected to slash budgets for health due to the economic crisis and health experts fear that this will lead to, “less food security and quality of nutrition, which will in turn put more stress on already weak health systems.” Paula Akugizibwe, regional treatment literacy and advocacy coordinator of Windhoek-based AIDS and Rights Alliance for Southern Africa (ARASA) in Namibia demanded, “We need to ensure that African lives do not become a silent casualty of the global financial downturn. Our lives are not cheap or expendable. We expect health to be prioritised over weapons, sports and lavish politics.” Tanzania was the first sub-Saharan country to announce a 25 percent cut of its annual HIV/AIDS budget.
Other budget cut impacts:
Guinea: Medicines Running Out

Zambian High Court to Hear Groundbreaking HIV Case

On Wednesday, the Livingstone High Court was supposed to hear a ground breaking case about whether mandatory testing for HIV and discrimination solely on the basis of HIV status is constitutional in Zambia. Unfortunately two days later news came that the trial was postponed until mid-July. Be sure to keep watching this story.
More:
Trial postponed until 15 July

HIV Prevention and Behavior Change

Mara Gordon writes on Change.org’s Global Health Blog about a direct campaign in Tanzania discussing behavior change. “This campaign is partially paid for by the President’s Emergency Plan for AIDS Relief, U.S. government money to fight HIV that’s notoriously had lots of conservative strings attached. Had I seen this ad a year ago, I probably would have dismissed it as unrealistic abstinence-only propaganda. But behavior change works. Behavior change – in combination with access to condoms, comprehensive sexual education, open discussion about HIV and sexually transmitted infections in general, all that good liberal stuff.”
More:
Changing Human Behaviors: Sexual and Social
During a course on Africa’s environmental history I wrote about the need for changing human behavior in both the sexual and social arena to make a real impact in HIV prevalence. The major social change is the response from Western institutions and organizations in how they talk about HIV/AIDS and Africa while seeking to change sexual behavior.
Lesotho: Cultural Beliefs Threaten Prevention of Mother-Child HIV Transmission
Health workers note an encouraging response to the PMTCT program. The number of facilities providing PMTCT has risen from nine in 2004 to 166 by the end of 2008. The number of women who received PMTCT and subsequent antiretroviral (ARV) treatment increased from 421 in 2004 to about 5,000 by end of last year, according to 2009 National AIDS Council statistics. “The primary health care coordinator at St. James Mantsonyane Mission Hospital, Khanyane Mabitso, says stigma and cultural beliefs make it difficult for medical personnel to follow up on HIV-positive mothers and their babies.”

Progress on health-related MDGs mixed

Many advances have been made in health. Some argue that these advances have been dwarfed by the HIV/AIDS epidemic, the economic crisis, or the failures of African governments. The WHO report shows that the only statistic with concrete results was the number of children dying before the age of five. Is this a solid example of the failure of big plans and blanket goals for development?

Sierra Leone: ACC Recommends Reform At Health Ministry

The Anti-Corruption Committee report provides a number of recommendations for reform all focused on improving the health care delivery services in Sierra Leone and eliminating the risk of corrupt practices in the health services across the country.
More on health service scale-up:
Chad: Paving the Way for Better Obstetric Care
Government meetings with UNICEF to help scale-up of health services for better obstetric care across the country.

Ten Things You Can Do to Fight World Hunger

The Nation provides an interesting set of things you can do in your everyday life to fight world hunger. They properly focus on how food, a basic human need, has been commodified in our global capitalist structure. “Our planet produces enough food to feed its more than 960 million undernourished people. The basic cause of global hunger is not underproduction; it is a production and distribution system that treats food as a commodity rather than a human right.” When in February I wrote that agricultural experts had said the food crisis of the last year was over evidence from this past week point to the contrary.
More:
Tanzania: Food Shortage Unnecessary
“Tanzania has since independence sang the song of ‘Agriculture is the backbone of the economy’, but little has gone into strategizing and implementing viable actions towards surplus food production.”
Kenya: UN Agency Makes First Local Food Purchase from Small Scale Farmers
The United Nations World Food Programme (WFP) has for the first time bought food from small-scale farmers in Kenya under a new initiative aimed at boosting agriculture by connecting farmers to markets.
Zimbabwe: Another Year Without Much Food
Rwanda: Nearly Half the Country’s Children Are Malnourished
Kenya: Over Three Million Face Food Shortages

Africa: High Level Engagement with Continent Has Started

Speaking at a gala reception in Washington marking the beginning of “Africa Week,” Carson said: “Most of the Obama administration’s Africa team is in place, and we are gearing up. We will continue to build on and strengthen the strong bipartisan consensus in Congress and among the people of America that has motivated U.S. policy towards Africa. Over the next four years, we will be focusing our efforts on strengthening democracy, promoting sustainable development, resolving or mitigating conflict, and dealing with transnational issues such as climate change and agriculture,” he pledged. While Obama has built a great team, the White House has yet to announce any Africa Policy, greater control and influence for the Bureau of African Affairs, or take any serious (or effective) action for the continent.
More:
Tanzania: Obama, Kikwete Meet in Oval Office on Africa’s Conflicts

World Bank Resumes Zimbabwe Aid

Zimbabwe owes the World Bank and the African Development Bank more than $1bn, how much potential does renewed aid really hold for the country. If the debt is not forgiven there will be no way the country will be able to rebuild necessary infrastructures for health, water, etc. There are countless case studies to show this historical fact. It must also be noted that Western sanctions were a huge detriment to a country in need, maybe this marks a turnaround?

Originally posted on the SCOUT BANANA blog.

the universal currency of being under the weather

Review of Healing and Curing: Issues in the Social History and Anthropology of Medicine in Africa
by: Megan Vaughan

Everyone everywhere gets sick whether it is a common cold, a serious disease, or even a life-threatening virus. Likewise, communities across the world work to heal these illnesses and afflictions. Megan Vaughan reminds us that illness and healing are everywhere; there are unwell bodies everywhere and always attempts to heal those bodies. Illness and healing are regular, even normal, features in our lives. However, as Vaughan notes, illness and healing have different definitions and meanings in different areas of the world and within different cultures. How then can we unite the rhetoric into one common topic for academics to discuss?

One of my first thoughts goes to the international organization, Medecines Sans Frontiers (MSF, Doctors Without Borders), and their work across the globe conducting medical missions. How are they able to work towards comprehensive fighting of illness and healing when there are so varied ideas of illness and healing? Do they have anthropological training? Are they equipped with a cultural guide?

Vaughan notes that in Feierman’s article he cited Gilbert Lewis’ work in Papua New Guinea.

Lewis had defined the universe of misfortune by determining who was and who was not ill according to scientific criteria, and then observed how illness was diagnosed and treated within the community. As Feierman pointed out, this was a radically different anthropological approach to that taken by Victor Turner in The Drums of Afflication, a study in which illness appeared to have little independent biological reality, but was described as an important stage in a social drama. (284-5)

Lewis’ work was both innovative and radical in that he worked to apply his Western scientific knowledge well at the same time watching and learning how local communities treated illnesses.
I’d have to say this idea is no longer so radical and more likely than not has become the norm for those working in organizations like MSF.

Among ordinary people in cases of illness caused by sorcery, or in other words by one person’s aggression against another, the course of treatment developed into a contest of power between the medicine men working for and against the sick person. The patient could not recover unless his supporting healer proved fully dominant, and therefore capable of ending the contest of strength. (286)

An issue often arises between separating metaphor and symbol from biological reality in discussions of illness and healing. This is an especially important context in Africa where illness and sickness can refer to actual disease as well as spiritual imbalances or curses. Recognizing the overlaps of science and culture within medical practice is key to effective healing. If culture is ignored in scientific medical realities there can be terrible consequences. But, where is the boundary of biological science in medicine?

More often we have to choose between approaches, since we simply do not have the textured evidence which might allow us to trade both the extent of biologically defined illness and the cultural experiences and constructions of that illness. I would like to argue, then, that we might want to learn something from the new well-documented pluralism of African healing systems. (287)

Something that I have studied and seen is this pluralism of African healing systems. Most notably in Ghana the traditional healers and birth attendants are integrated into the formal health care system. They are provided training and certification and often work alongside those practicing Western orthodox medicine.

[…] we neither have to be totally biologically ‘blinkered,’ focusing exclusively on the disease vector, nor do we have to go so far down the road of social constructionism as to render ‘biology’ totally passive. (287)

Beyond various relative understandings of illness and healing it is important to break into the realm of colonial medicine in order to understand certain inadequacies in response to illness and failures of healing. Vaughan notes that the study of colonial medicine has been one of the areas that has illuminated most clearly the limits of colonial power (288). In Africa, she writes how, “colonial medics were simply too thin on the ground and their instruments too blunt to be viewed either as agents of oppression or as liberators from disease, and studies of African demography confirm this view.” (288)

Although colonial medicine may have been more an inadequate colonial department, it is important to look further and apply the past to the present. The impacts of Western diseases brought by colonial powers ravaged Africa. Because of perceptions of Africans and lacking colonial medical systems, these new diseases were not addressed. A history of disease patterns doesn’t reflect on colonial medicine, but the responses to disease patterns in Africa does. Colonial responses to illness reflected problematic representations of Africa and Africans and so the historical medical accounts are filled with issue.

[…] of course there are many important differences between theories and practices of twentieth century biomedicine, and those of African healers, but in order for us to understand these differences the practice of scientific medicine in its various forms needs to be specified with the same attention to detail as are those of its African counterparts. (291)

To conclude, I applaud Vaughan’s call for medical practice to reflect the pluralism found in Africa health care systems. She writes a compelling piece and hopefully her ideas are heeded at least in medical work conducted in Africa.

changing human behaviors: sexual and social

Review of AIDS in Africa: a perspective on the epidemic
by: Michael C. Latham

Africa is a continent wrought with many pressing issues, these issues are often not natural or specific to the continent, but they have been forced and applied to the people and so become a burden of near epic proportions. One of these pressing issues is the epidemic of HIV/AIDS. Responses to HIV/AIDS are based in human behaviors, both sexual and social.

Michael Latham noted that many accounts, “may suggest that the virus originated in Africa, and therefore it is Africans who are blamed for this human scourge.” (39) However, as many know, HIV/AIDS is not solely an African problem, uncontrolled and spreading like wildfire. These accounts springboard off of old myths of a ‘dark continent’ into new myths of dirt, death, and disease. This new myth is of a continent ravaged by disease inside and out, you can’t run from all the disease in Africa. It is also important to note that there is still no solid proof or knowledge of the origin of HIV/AIDS.

If the world is to blame Africa for HIV/AIDS, then Latham writes,

[…] but does it matter that syphilis was probably spread to the rest of the world from cases brought back to Europe from the Americas, to that cholera originated in the Ganga Delta of India and eventually reached East Africa from the middle east only in the mid twentieth century. Should Africans flagellate North Americans and Asians for spreading highly infectious diseases to Africa? (39)

Here we are at the historical spread of diseases and also, more notably, the social implications of associating one area or group of people with a disease. The social implications of chalking AIDS up to African causes becomes especially problematic in the medical community. Latham writes about when one potentially useful drug in the treatment of AIDS [HIV] waa described by the Kenya Medical Research Institute in 1990, it was largely ignored by the world press and […] the west.” (40) This proves a strong disdain and indifferent to Africa as well as a lack of respect for African doctors.

A key feature of HIV/AIDS is that it places all segments of society at risk: mother and father, child and grandparent, youth and elderly. Latham decries the lack of adequately funded research on HIV/AIDS in Africa, or anywhere (42).

We should have African anthropologists and sociologists in the bars and on the truck routes, in the urban slums and rural villages, gathering data on human behaviours, including sexual behavior, that may influence the spread of the disease. We need local epidemiological sleuths conducting the kinds of studies which led us to understand how cholera was spread and how pellagra could be controlled. (42)

Comprehensive understandings of HIV/AIDS and sexual behaviors in Africa will only be more helpful, but the social behaviors of the West and its institutions create a serious roadblock. The Kenyan discovery of Kemron was shown to reduce the effects of full-blown AIDS, but the announcement by the Kenyan president didn’t even make headlines. If a Western doctor had made the discovery the coverage would have been entirely different (46).

Another well-known fact about HIV/AIDS is that it is highly preventable. The only thing that needs to be changed or taught is human behavior: both sexual and social. There needs to be adequate health education for female members of a community. Female members also need more control in those communities, socially and sexually. Very often there is a strong gendered focus on women, but men also need serious engagement and education if their mindsets are going to change about women.

HIV/AIDS is an illness that requires changes in human behaviors: socially and sexually. There needs to be more comprehensive education on sexual prevention as well as a shift in the minds of Western organizations and institutions. There cannot only be a call for changed sexual behaviors in Africa, there must also be a concurrent change in the social behaviors of the West.

the week in african health

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“No weapons” MSF in Nasir, Upper Nile State, South Sudan

More:
A Tale of Two Refrigerators
Fighting has renewed in southern Sudan, but its not just between militant groups – aid groups fall victim to needless fighting as well. Diane Bennet writes on William Easterly’s Aid Watch blog about the 2001 peace in Sudan and how it was a ripe time to treat disease and build health infrastructure. Unfortunately internal bureaucracy and politics became the largest hurdle.

Sudan: Darfur – Thousands Flee to African Union Safety
More recently, South Darfur has become the seen of violent clashes between government forces and militants. It is important to never forget the impacts that conflict has on health services.

Africa: Public Health Care Must Lead

Oxfam International has released a report [access here] “challenging the myths about private health care in developing countries.” The report emphasizes the role that private health care can play in developing countries, but reminds us that there is no way a scale-up of private health services will reach poor people in need. Key recommendations are to increase funding for free universal health care infrastructure, rejecting ineffective practices of the past, and combining efforts to fuel effective initiatives – sounds a lot like SCOUT BANANA

Global Health: Mobile Phones to Boost Healthcare

Revolutionizing access to health knowledge, the efforts of the Mobile Health Alliance (mHealth), supported by the Rockefeller Foundation, the UN Foundation, and Vodafone Foundation are making a mark across the African continent boasting 51 existing or to-be-implemented programs in 26 countries around the world. Harnessing the potential of growing technology in ‘developing’ countries for the purpose of health can only signal a major shift in access to health care across Africa.

Getting the Continent on Obama’s Agenda

It appears that Obama’s administration is stacked in the favor of Africa and in favor of better international development practices all around. With Susan Rice serving as Ambassador to the UN action against genocide may be bolstered, Gayle Smith more likely than not will be tapped as USAID Director, she was a major proponent of the HELP Commission creating a cabinet level position for foreign aid, and a well known name among insiders and outsiders in African affairs, Johnnie Carson, is expected to be named head of the Bureau of African Affairs of the State Department. The future of US relations in Africa has incredible potential and hope to change.

Zimbabwe: Staff Return to Hospitals, But Not to Work

As a massive cholera outbreak tears across the country, medical staff have returned to their posts, but the nature of their strike, that began in 2008 over poor working conditions and wages, is now “more like a sit-in.” In a country so crippled by Western exploitation and resulting politics, a strike of the health workers in the face of a rampant disease outbreak does not bode well for a vulnerable population.
More:
Too Much Cholera, Too Little Food
Over 80,000 Zimbabweans Infected with Cholera

Africa: U.S. Naval Engagement Offers Health Dividends

Imagine the potential of the US’ military might if it was dedicated to coordinating naval and health care workers from 13 countries to bring aid and health services to communities in need. This becomes a reality with the African Partnership Station Initiative and Project Handclasp. I can only dream of a day where initiatives like this are more a norm than a surprising gesture of good will.

Mali: Raising Money and Hygiene Standards

One of the most innovative programs that I have read most recently is the work the Dutch based Gender and Water Alliance which is employing women to make soap as well educate and use it to increase hygiene and combat preventable diseases. Health benefits, a source of income and empowering women!

Food Crisis Over, Say Experts

Supposedly the global food crisis of last year is over! Agricultural experts from Africa and Asia are saying that we are no longer in a food crisis and that there needs to be an increased production of rice in Africa in order to keep the food crisis at bay. In my opinion, as long as we continue our unsustainable and capitalist practices that commodify a basic human need, we will remain in a global food crisis affecting both the US and Africa.
More:
Rwanda: Food Production Up, Thanks to Green Revolution
Thankfully the increase is not due to the ‘Green Revolution,’ but instead to increase in practices that are focused on protecting the environment.

South Africa: Treasury Blamed for Shortage in Aids Drugs

Years of controversy seem to have brought the blame down on the South African Treasury. With an extensive bureaucracy, it is no wonder that the ARV roll-out program has taken much longer than it should – as many die without the proper medications. While the numbers of people enrolled in the ARV program has increased significantly there still exists a problematic policy of access. Access hinges on wealth, CD4 count, and location. To access the government’s ARV program your CD4 count has to be less than 300, which is at a point where you are already very vulnerable. This creates an issue of sustained treatment because it forces an irregular regimen. If your CD4 count is above 300, you will have to pay. Many cannot pay and if you live far from a government hospital access is just that much more difficult because of taxi fare and time sacrificed for travel. It seems the health and wellbeing of its citizens is not a high budget priority of the South African government.
More:
Rapid HIV evolution avoids attacks
Much like the flu virus, HIV mutates and evolves in response to treatments. This really exposes the South African ARV program as highly ineffective.
Duncan discusses HIV/AIDS in Morocco
Little known to the world, the HIV/AIDS crisis grows in Morocco.

Originally posted on the SCOUT BANANA blog. 

the week in african health

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Ethiopia a scene of over-grazing and desertification, making it difficult for both people and animals to survive. (From the MSF Photo Blog)

’There’s no reason only poor people should get malaria’

In an action that surprised many audience guests, Bill Gates, released a small number of mosquitoes into the crowd at the TED conference. Gates quit Microsoft last year to focus more on his philanthropic work. He spoke of the need, and his commitment, to put more funding towards developing drugs to combat malaria, one of the highest killers in the ‘developing’ world.
Watch the video:
More:
Mosquito Genes Linked To Insecticide Resistance May Be New Target in Fight Against Malaria,
Insecticide malaria impact clue

When there is no village doctor

It is estimated that every fourth medical doctor and every twentieth nurse trained in Africa leaves the continent for better job prospects and better pay in wealthier countries. The UN Global Health Workforce Alliance warns that the economic crisis could further increase the medical workforce crisis across Africa.

For David Werner, who wrote the widely-translated 1970s village health care manual, “Where There is No Doctor,” medical specialization is not the best answer. “Experts come in and think they have all the answers, and end up drowning out solutions villagers could devise themselves.”

Need to Focus on Maternal, Child Health – Top AU Official

As the African Union meets in Addis Ababa, Commissioner for Social Affairs Biencé Gawana said in regards to the AU’s proposed launch of a continent-wide program,

“We will launch a movement to promote maternal and child health in the continent,” she told reporters. “It will be an advocacy campaign… together with partners like UNFPA [the UN Population Fund] and UNICEF [the UN Children’s Fund].

With 500,000 women dying in childbirth each year, Africa has some of the highest rates of maternal, infant, and child mortality. As part of the solution the AU report noted: “One of the main challenges in the promotion of maternal, infant and child health and development is access to health care facilities and services, especially at primary health delivery level and [in] rural areas.”

Zimbabwe: Cholera Infection Rate Climbs As UN Cleared to Assess Crisis

On Monday the WHO reported an increase of 2000 cholera deaths in Zimbabwe. The report was released just as President Mugabe agreed to allow a top level UN assessment team to tour the country to find solutions to curb the cholera pandemic as well as the current hunger crisis. Food security continues to plummet in may areas of Zimbabwe as many worry they will not receive aid in time.
More: Zimbabwe Cholera Statistics Rise Again As New Malaria Fears Grow,
Zimbabwe Diary: fighting cholera

South Africa: The Quiet Water Crisis

There is great concern with the cholera outbreak in Zimbabwe, but what the South African government may be missing is its very own growing water crisis. With an aging infrastructure and rising demand, the potential for deadly bacteria to be released into its water systems is high. When Mandela’s government took power in 1994, an estimated 14 million South Africans lacked access to clean water supply and 21 million people lacked proper sanitation. Although the numbers have changed drastically, the Department of Water Affairs and Forestry (DWAF) reported in 2008 that 5 million people still lacked access.

Twestival and Charity: Water

Last year SCOUT BANANA conducted a ‘Year of Water’ Project to benefit the work of Charity: Water. The organization is now utilizing the social media tool, Twitter, to raise a large amount of money to build wells across the world. Charity: Water began its work by supporting well projects across the African continent.

South Africa: ‘Development Must Adapt to Water Resources We Have’

98% of water resources are being used in South Africa. Water security is becoming an issue as pollution from mining has been difficult to clean up and no other water resources remain unused.

Obama Lifts “Global Gag Rule”

Also known as the Mexico City Policy, this move is being applauded by women’s and productive rights groups across the globe.
More: Obama Reverses U.S. Ban on Abortion-Linked Aid

University Partnership Aims to Fight HIV/AIDS More Effectively

Backed by an almost $5 million grant from the Bill & Melinda Gates Foundation, John Hopkins University is growing a partnership with Makerere University in Uganda in an attempt to combat the growing HIV/AIDS epidemic. The partnership is only in its initial steps.

Originally posted on the SCOUT BANANA blog. 

five principles: returning to what works, be responsible

Over my seven years of being involved in development work my thinking and understanding related to development: the action, the term, and the mentality, has evolved, been destroyed, and is more often radically (double meaning) recreated. The growth in my thinking from my youthful naïve, but very open and un-restricted, thinking has been one that has taken me on more than one adventure. While the Capstone course in international development has helped me to build a theoretical framework and apply new buzzwords to my ideas of development, it has not so much changed my thinking in the realm of development. My ideas cannot be narrowed to only five principles, but I will cover those that I have determined to be necessary for a base of effective and responsible development. This will be my attempt to answer Alan Thomas’ question,

The alternative vision, based on the realization of human potential in diverse ways, allows for the immanent development at the level of individuals and communities, which should become ‘empowered’ to develop themselves to their full capacities. However, there is no clear model for how development of this kind might build on itself to create a self-reproducing process of social change […] (36)

The alternatives that many people are working to employ now are often mirrors of original subsistence-living, traditional and indigenous communities. As such my definition of development reflects the ideas of these communities rooted in sustainability.

My (un)Definition:

I am not allowed to define development. It is not my place and it is not my task unless I am part of a community that seeks to take actions on its future. Development, in my opinion, is a very sensitive term and can only be given definition in the community in which it will be implemented. This follows my beliefs of all definitions of words. In this case, the full contextual load associated with the development term requires a departure from even the use of the term and instead an outlining of what a community seeks to accomplish. Development, as a singularly defined term, will only again assert power over people sought to be ‘developed.’ The power of words and their use by people is still a very important concept. So, I cannot give a definition, but I can give principles with their own definitions to allow others agency in their own development. Definition of development: __________________.

Five Principles

I: Small Scale

We have fled the land and crowded into cities leaving the natural (environment) commons to be destroyed and exploited. Alternatives spring up left and right that call for a co-evolution of man and nature, sometimes called ecological development, because it takes into account every aspect of our world system that sustains our lives.

Modern man does not experience himself as a part of nature but as an outside force destined to dominate and conquer it. (Schumacher, 14)

People need to re-situate themselves in a new natural commons where the perpetuation of that natural commons is the number one goal. People and nature can co-evolve, our thinking and structures just need to recognize this and find ways for that idea to work.

Within this principle, localization and relocalization are very important. Means of production and consumption need to be made smaller in scale, into economies of scale.

[…] people who live in highly self-sufficient local communities are less likely to get involved in large-scale violence than people whose existence depends on world-wide systems of trade. (Schumacher, 62)

These localized economies of scale will reduce the need to take extreme measures to provide a commodity half way across the world when a working alternative exists. Take fruit for example, I love mangoes, but it is entirely unnecessary that I eat one at the expense of cheap labor, petro-industry perpetuation, and wasteful delivery systems when I could walk outside into my backyard and eat a beautiful Michigan apple. Developing localization also builds community and cooperation between people who may otherwise believe they are completely disconnected. The values of interdependence and tolerance will be ever more important.

A world of ‘humanized’ production, based on a small scale but modern and scientific technology, a world of co-operation in villages and small towns, a world of enriched social relationships growing out of a process of production and exchange that is under human control rather than ‘alienated’. . . (Kitching, 179 qtd. Thomas)

In a sense, people need to be reintroduced to their world and their neighbors (they live just next door). We need to find a way to live in our natural commons, not on it or just off of it. Our parasitic tendencies need to be reversed and we need to become givers to that which provides us everything. All must worship our mother who art not in heaven (mother nature). This will allow us greater agency in our own development, which is a collective endeavor.

In this localized economy of scale we will return to nature and again understand how to be responsible producers and consumers, we will reorient ourselves with that which has become a commodified human need: food. For this principle step one is starting a farmer’s market in your community or getting involved in local politics.

II: Cooperation

Cooperation is natural and it works. It is probably the most effective development model in existence. People and creatures work together for mutual benefit more often than they choose the option that only helps themselves. Evidence of this is displayed in symbiotic relationships between disparate life forms.

People have also formed structures that allow for greater cooperation between themselves: cooperatives, collectives, and communes. Even religious societies,

“They devoted themselves to the teaching of the apostles and to the communal life, to the breaking of the bread and to the prayers. […] All who believed were together and had all things in common; they would sell their property and possessions and divide them among all according to each one’s need.” (Acts of the Apostles, 43-47)

All forms focus on a lifestyle that is centered on working for the good of the whole community. Cooperatives often formed in response to practices of monopoly, failures of the free market, exploitation, oppression, and global capitalist destructions.

“[…] in an era of capital concentration and corporate malfeasance, grassroots community responses can make a major contribution to providing a better living environment.” (Merrett & Walzer)

Cooperatives are based on principles of voluntary association, democratic and consensus decision-making by all community members, member participation, autonomy and independence, education, cooperation with other cooperatives, and concern for community. These are principles that are very much related to the five principles I outline here. Cooperatives are important tools for community building and can strengthen localization efforts by allowing everyone to take part in economics and decisions. Cooperatives also foster tolerance and respect.

“Co-ops often played a role in uniting different ethnic groups in their new communities.” (Merrett & Walzer, 29)

Becoming closer to each other as people living in the same world goes along with cooperatives efforts to be ecologically sustainable with minimal impact on the natural commons. Respect for both people and nature will be fostered as more small-scale cooperatives are formed in support of a localized economy of scale. Step one for this principle is joining a cooperative or communal organization.

III: Anarchy

Anarchy is a philosophy and theory that, “regards the absence of all direct or coercive government as a political ideal and that proposes the cooperative and voluntary association of individuals and groups as the principal mode of organized society (dictionary.com). In practice decentralization is essentially anarchy. A decentralized system is still a system, with its part linked by mutual transactions and interdependence (Kochen, 18). In 1973, E.F. Schumacher wrote that poverty is essentially a problem of two million villages and the solutions to poverty would not come from the cities, but from those villages (204). His idea is often replicated in the work of development projects and NGOs, including Jeffrey Sachs’ work.
Jeffrey Sachs says decentralization is necessary because, “the details will need to be decided at the village level, in the villages and cities themselves” (278). This model is represented in his Millennium Villages Project (MVP), however the extent of decision making at the village level is undetermined, if it exists at all. Sachs’ best known critic, William Easterly, writes his theories of development based on a bottom-up market approach and so it is already decentralized from the start, but unfortunately it works towards an end goal of centralization (Easterly, 100). To join the crew of prominent development economists, Joseph Stiglitz wrote in a World Bank report,

In many cases innovative approaches to service delivery will involve greater participation by local communities and decentralization of decisionmaking. (Stiglitz, 1998)

The model that these top (and top-down) economists should use is best known as “autonomous development.” Development that is defined and controlled by local people is autonomous. This type of development is exemplified by indigenous groups in the Andes, where they define development as “wellbeing not only of the individual, but also of the world around them (Saravia qtd. in Ruonavaara). Related to this, Esteva writes that people sought to liberate themselves from their economic chains and so created new commons in their neighborhoods, barrios, and villages (20). From the ideas of anarchy and decentralization rooted in autonomous development, the possibilities are real to create,

Anarchy works to support cooperative, voluntary mutual aid and association, without the interference of government. It is not a philosophy of violence and chaos as many wrongly believe, it is rather an attempt to embody a society where people have control of their own development which is to occur through cooperation between individuals in cooperative communities. Step one: reject the national government and begin governing your life by your interactions with community members.

IIII: Autonomy

“The most effective forms of organization are based on partly autonomous and contextually rooted local units linked by connective structures, and coordinated by formal organizations.” (Tarrow, 137)

There can be no centralized control over anyone or anything. Everything must be related to a common community so that the effects and impacts are known and felt. Successes and failures will reflect on the operation of said community and will allow no one the ability to claim ignorance. Autonomy allows for each person to develop themselves as a separate sovereign unit within the community. As such no external agendas could take over ‘development’ of the community and the people living and working will have complete control over what they need and how they will get it.

The really helpful things will not be done by big organizations; but they can be done by people themselves […] (Schumacher, 205)

The only thing that large organizations can and should facilitate is the dissemination of information, best practices, and means of communicating with distant voices. Large organizations should remain small in structure and focused solely on a goal of educating. Autonomy is essential for small-scale, cooperative, anarchic communities for people to actualize their own power and potential as well as providing everyone agency in their own development. Step one: make sure groups/ companies you associate with are not just power hungry minorities that don’t allow members to participate.

V: Socialism

Small-scale + cooperative + autonomous + anarchic = a socialist utopia.

Would Marx be proud? Perhaps, but Robert Owen, founder of the cooperative movement, would be more proud. Marx called Owen’s ideas “utopian socialism.” So the last great evil that I will write about is probably the most formative concept for creating a new definition of ‘development.’ The basic tenet of socialism: ‘from each according to his abilities, to each according to his needs’ reflects the ideas of Jesus, cooperation, autonomy, and definitely small-scale structures. The greatest downfalls of socialism have come about as a result of power. The implementation of a socialist system cannot work in a centralized society, just as democracy does not work in large-scale organizational structures.

Each of us puts into the community his person and all his powers under the supreme direction of the general will; and as a body, we incorporate every member of the whole. (Rousseau, Ch. 6, Bk. 1)

Socialism demands a lack of centralized governmental authority over people and decisions. It calls for a reclaiming of the commons for all and the importance of localization. The autonomous work of each decentralized community will benefit society as a greater whole in socialism. It requires cooperation between members of the small community if it is to succeed at all. If the previous principles had been applied in socialism, it would have been a working model for an alternative society. Step one: defend the term of socialism when it is decried as a failure.

Conclusion – The List:

Small scale, localization, economies of scale, sustainability, ecological development, cooperation, mutual aid, anarchy, decentralization, village republic, autonomy, agency in development, bottom-up, socialism, utopia, communal life

Works Cited:

Allen, Tim and Alan Thomas. Poverty and Development in the 21st Century. Oxford:
Oxford University, 2000.

Apostles. The Bible: Acts of the Apostles. A really long time ago inspired by Jesus, born of Mary (the ‘virgin’) and Joseph (the carpenter).

Easterly, William. The White Man’s Burden. The Penguin Press: 2006.

Kochen, Manfred and Karl Wolfgang Deutsch. Decentralization. Oelgeschlager, Gunn &
Hain Publishers, Inc. 1980.

Merrett, Christopher D. and Norman Walzer eds. Cooperatives and Local Development.
Armonk, New York: M.E. Sharpe, Inc., 2004.

Rousseau, Jean Jacques. The Social Contract. The Penguin Press, 1974.

Ruonavaara, Diane. Literature Review of Development Perspectives. 2000.

Sachs, Jeffery. The End of Poverty. New York: Penguin Press, 2005.

Schumacher, E.F. Small is Beautiful: Economics as if People Mattered. Harper Perennial:
New York, 1973. Reissued, 1989.

Stiglitz, Joseph. Assessing Aid: What Works, What Doesn’t, and Why. World Bank:
November, 1998.

Tarrow, Sidney. Power in Movement: Social Movements and Contentious Politics.
Cambridge University Press; 2 edition, 1998.

Wood, Lesley. “5 Bridging the Chasms: The Case of Peoples’ Global Action.” Coalitions
Across Borders. Oxford: Rowman & Littlefield Publishers, Inc. 2005.

not in our time: burn the magic blankets and smash the band wagons

To posit that poverty, even just simply extreme poverty, will end or has the possibility to end in our time borders on naïveté. There are many within the development sphere that would jump on Jeffery Sachs’ bandwagon only to find that there are no bands scheduled to play. Like a marching band without instruments, Sachs’ claims seek to present structural solutions to problems without addressing structural root causes. One cannot expect too much from those who want to present good ideas, but do not challenge the status quo or the pockets of power that drive the “development” agendas. If there is to be real social change that benefits people in development then power structures must be addressed. Philip McMichael focuses on the role of power within the development field. Making sure to note the master and subject relationship between those of the ‘modern’ world and those who have not grown in the same vein as that power strapped modernity. A key aspect forgotten in many development discussions is history, including the very history of development. Many enter a community or country and attempt to present a diagnosis before even researching how and why the country, deemed ‘developing,’ has arrived at the poor conditions viewed as the worst possible indicators for ‘development.’

Post-World

We are living in a society that is wrestling with the idea that everything once held in high regard has actually been a set of extremely violent and detrimental practices to both our fellow human beings and our earthly habitat. As a result we talk of post-development, post-modernity, post-materialism, alternatives to globalization, and anything that rejects actions of the past. Calls like these are nothing new and have been expressed and published for the past 30 odd years by various experts and activists. It seems we are only now beginning to collectively grasp the importance of these post-world analyses. However from all these post-analyses it is easy to arrive at scathing conclusions of past failures. What is not as easy is to move forward from the wrongs of the past into the present and future with a firm understanding of what needs to change. Many within the development field fall victim to this analysis leaving the real issues unaddressed and the violent structure intact.
Addressing Inadequacies Effectively

Jeffery Sachs stepped to the limelight of the development world with his once seemingly far-reaching and radical assertions that we, the wealthy world, could easily do so much more to help those in grave situations. He was undoubtedly correct, but few took the time to really look at how he was saying (or not saying) we should implement this help. In Chapter One of his book, The End of Poverty, Jeffery Sachs writes,

Today we can evoke the same logic [the ability of advances in technology to underpin continued economic growth] to declare that extreme poverty can be ended not in the time of our grandchildren, but in our time. The wealth of the rich world, the power of today’s vast storehouse of knowledge, and the declining fraction of the world that needs help to escape from poverty all make the end of poverty a realistic possibility by the end of 2025. (3)

Here Sachs’ greatest mistake is laid bare. He does well to note that the wealth of today’s rich world is needed to make a difference in reversing the trends of poverty. However, he nearly exclusively focuses on the wealth of today’s rich world and not on the innovation and ability of those being ‘developed’ to know best about their situation. He misses the greatest uplifting accomplishment of human nature; empowerment. Yes, the ‘developed’ and Western world has harmed much of the ‘developing’ world in its pursuit of power and wealth. However, the key is not then to dictate the uses of that stolen wealth, but to redistribute it to those who are effectively addressing the issues that they face.

Sachs is an economist and not a historian. He nearly completely misses the make and break issue of development – colonialism and its effects. His structured solutions that tote the nation-state do not take into account a colonial past or its present implications that hold back development. Sachs as an economist is also from the “centralized” economics camp. He studied under shock therapy and structural adjustment programs (SAPs) for failing economies and seems to have never left behind the idea that people in poverty cannot help themselves and require experts or professionals to get them out.

Contradictions are a constant in Sachs’ work, the biggest one being his call for decentralization (278). His new big plan is the Millennium Villages Project (MVP), which looks like a very promising model except for the fact that it focuses on getting experts into villages to ‘develop’ and modernize them as opposed to allowing the village community to develop itself with support from the West. He calls for decentralization, but constantly follows the regular flows of development experts in advancing the role of the state in controlling development, as opposed to the people. The MVP has a great potential to be a working model for decentralized development spurred by individual communities in autonomous villages working for sustainable living, but those at the village level must then be empowered as such.

Relying on the market to help people is also a great failure of many current development economists, especially Sachs. If the market worked as it was supposed to, then wealth would redistribute itself through the structure to those without. This does not happen, there are cracks between the fingers of the invisible hand, and no markets are truly ‘free.’ Again Sachs fails to address power structures that drive markets and economies. The modernist approach with an individual at the helm driving his or her own advancement in society completely destroys the idea that people have a linked and interdependent existence. While Sachs critiques the magic bullet approach, he instead presents a magic blanket to cover the world of development issues without regard to power structures, colonial histories, or failures of the market (309). Sachs comes from the ‘development as modernization’ approach and he cannot seem to kick the habit.

Death by Consumption

Anyone with a basic understanding of the world can easily tell you that the way we currently live is extremely unsustainable and violent if the human race and world as we know it are to continue with future generations. Our practices destroy environments, force the extinction of animal species, destroy the lifestyles of those without, and kill people. We are essentially killing ourselves with the power hungry system we have established across the globe. When it was a wealthy minority that propagated the globalized stratification that we now see, it has become a collective “we” with a responsibility to change. In Chapter One of his book, Development and Social Change, Philip McMichael writes:

We are at a critical threshold: Whether consumer-based development remains a minority activity or becomes a majority activity among the earth’s inhabitants, either way is unacceptable for social (divided planet) or environmental (unsustainable planet) reasons or both, Development as we know it is in question. (1)

McMichael’s statement that, “We are at a critical threshold,” is not a new one. This sentiment has been echoed with the same calls for action for the past 30 years as many watched the earth deteriorate and society fracture across lines of income.

To overcome this threshold McMichael goes into the racist policies of colonization and talks about the benefits of decolonization in relation to development. The most important idea to cover here is the notion of modernity and the rise of neo-colonial practices funded by foreign aid. Are developing peoples modern? Can they be modern? How can those developing be considered modern if they never had a hand in developing what it now means to be modern? This is a very post-modern perspective, but I think a very valid one. If ‘developing’ societies want to effectively develop into sustainable communities that account for both the needs of people and their environment then they will need to reject every notion of being modern. Just because a Rwandan can use a computer doesn’t mean that s/he is modern mostly because s/he is not accepted as such in the global system. ‘Developing’ countries and communities need to also look at the implications of becoming modern: environmental degradation, liberalized and open economy that does not benefit everyone, exploitation of labor, the desire for things un-needed, and the fracturing of society in relation to wants, gender, and class.

The global world has come to commodify everything, including your much needed breakfast in the morning, possibly very soon your life could be legally bought and sold on the market. If everyone became modern and consumed at the rate that the wealthy do now – we will join the ranks of species made extinct by the human race. Those who have the highest power and wealth in society need to recognize and reduce their desire, while those without power and wealth need their basic needs provided.

McMichael’s writings focus on the impact of development projects and policies on people, and as such also the habitats of those people. Where most developers look beyond people straight to the nation-state and the increases in GDP, McMichael offers real life examples of development at work and models for sustainable development. McMichael doesn’t attempt to present any grand plans or solutions but instead focuses on case studies of groups and communities resisting global development and attempting to spur their own development (231).

Dichotomy: Will Modernity or Tradition Save the Day?

The potential solutions are many and the ideas just keep coming, but what really works and what is just a stack of papers, a nicely written book, or a pile of garbage. If we focus solely on the ideologies of Sachs and McMichael, I think it is possible to marry the two ideas for solutions to creating models for sustainable development and moving towards a more equal and mutually beneficial society.

Sachs will have to make some concessions if the marriage is to last beyond the honeymoon however. When Sachs calls for decentralization (278), he has to really mean it. His MVP model needs to embody this idea that small-scale groupings of people can create their own solutions for development. As McMichael writes, models of self-organizing development need to be adopted as opposed to the dominant centralizing version (239). In the same vein of decentralizing needs to be the idea of localization. McMichael writes of Wolfgang Sachs’ idea of ‘cosmopolitian localism’ where diversity is embraced at the local levels. A great example of ‘cosmopolitian activism’ is the advent of cooperatives that infuse democratic values and respect for local ecology.

In a case study in Ghana, McMichael outlines this idea better (248). Local farmers switched from growing a national crop of cassava to growing corn for the local markets. This was in a sense a slight rejection of the state economy and global economy to ensure a sustainable local community. The goal of many developing countries related to the environment is to create alternatives to the capital and energy intensive agro-industry and sustain local ecologies by building alternative models to top-down bureaucratic systems (249).

Conclusion

The solution will not be a large-scale plan that is facilitated by the West or modeled by modern advances. The solution will be in decentralized, small-scale, local villages and communities working collectively together to preserve their ecological habitats and meet everyone’s basic needs. The state will become irrelevant, the global economy will be allowed to collapse, and people will seek to be closer to one another in their shared natural commons.

Works Cited:
McMichael, Philip
2004 Development and Social Change. Thousand Oaks, California: Pine Forge Press.

Sachs, Jeffery
2005 The End of Poverty. New York: Penguin Press.

exploiting whiteness

24 May 2008

Saturday – John Metzler’s (MSU Professor) study abroad group stopped in the morning to see the center. It is just their first week spent in Pretoria and now on the Durban. It was interesting as usual to throw college kids into the harsh environment of the informal settlement especially during violent times. They talked with some of the older kids from the center and went on a walking tour to see some schools, the library, clinic #2 and everything in between. Some of the MSU students had good questions – some did not.

When they left (John was sure to check if we had an “exit strategy” – xenophobia) we planned on relaxing with the older kids until China sauntered up – again called me Mr. Napoleon Hill and inquired if we were ready for church. We all were very reluctant to go (somewhat interested) mostly because he planned the day without consulting us. Needless to say the Church of the Nazarean is far from a traditional African take on Christianity or a remnant of colonial legacy. Founded by their prophet in 1920, after he saved Kwa-Zulu Natal (KZN) from a tsunami – depicted on the front of a prayer book and based on Exodus 35 (keep holy the Sabbath) with your cars, cell phones, and portable music players. It turns out after three and a half hours (we were told 45 minutes) the “temple” of the Nazareans was a hot tourist spot in Zonke and we were encouraged (somewhat forcefully) to take pictures and there was an expectation to donate to the offering collection. Nearly well classified as a farce with a living prophet (the current prophet is the son of the original prophet), yet in July 800,000 faithfuls trek to KZN in unity? We were much disappointed in China (and very upset about a wasted day).

Our woes were quelled by a nice pasta dinner and searches for chocolate that ended with white chocolate covered wafer bars still very delicious and 570 Rand raised for VVOCF in shirts bought by John Metzler’s study abroad group.

25 May 2008

Sunday, rainy Sunday
the sunday rain so grey
makes the cold linger and stay
Michigan has arrived in South Africa
gray skies (lighter than MI)
pitter patter on the roof
constant rains
The dry wash will not be done
hanging soppily on the line
washed with care so fine
hidden sun un-utilised

26 May 2008

Today we split the kids into four teams of mixed ages old and young, much like Boy Scout patrols – they made a team name, song, and picked an animal – the song performances were a lot of fun. This is going to be a great way to grow young leaders and foster stronger relationships between VVOCF children. Older children can help younger and older children can learn to take responsibility and lead their peers. China seemed to not favor having all the power in this situation and had no chance to assert his ‘superior’ academic dominance over the children. He is a force that needs to be reined in to increase its positive nature in VVOCF.

Here youth development is essential to community development and country development. Growing young leaders and capable young citizens is essential to fostering a strong and healthy community.

South Africa grant writing is a crazy process – nearly more complicated and involved that US forms. Instant coffee is disgusting. Planning for Lesotho now. I always do things for the experience – not for how easy it will be or how safe it will make me feel in my mind. Everything can not always be as you want it to be.

Today we also went to the administrative center of Zonkizizwe (formerly the Greater-Germiston Council). There is not much there – an unknown Red Cross office, social worker, other random offices, local Department of Social Development office and a great view of the surrounding Zonkizizwe and all its extensions. Got some great pictures.

There is now a massive winter rainstorm headed our way, thunder and lightning all the way, I think it may even be two storms – hopefully it will be dry tomorrow. It gets colder ever night here and it is almost time to break out the winter coat. A lady at the taxi rank was selling winter coats today with the brisk wind blowing.

27 May 2008

We finally left for Germiston by 2ish or later. China and Mr. Ndaba held another meeting without informing anyone. So we had a meeting with a teacher before finally leaving for the taxi rank. The teacher is a great connection to the library and her husband does NGO work with the UN and the government (supposedly). There is a conference with great potential for funding for the center.

At the taxi rank the waiting game begins since you have to wait for a full taxi before leaving for your destination. Uneventful ride to Germiston, saw much of the surrounding area.

In Germiston we headed to the Mall to use internet and pick up supplies. Celumusa and Rachel went to the Social Development Office to take care of the grant, but the person they needed to talk to was not there. I was able to check all my mail and do some blogging. Many people are worried about me because of the news coverage of the violence. No worries. At the Mall we ate at Wimpy’s, a fast-food burger place, oddly sitdown unless you want to take away food. The name fits what the burger looks like when it is placed in front of you – wimpy. Really it was delicious. Bacon and burger with cheese and avocado spread. Kumnandi!

Germiston is like many big cities – dirty streets, street vendors, shops all over, hustle and bustle – the taxi rank is huge. The line for Zonke was all the way in the back and manny people could not believe that three white kids were taking the taxi to Zonke. There is no regular Zonke line so you have to wait. Finally a taxi came and we all crammed in. This is when the ride became interesting. You pay by row – all I had was a 50 Rand bill. So I took the money of the person next to me and waited for the others to give me theirs. Instead, the young man next to me took my R50 and passed it to the front saying “four” to mean paying for four passengers. He never gave me his or the guy next to him’s money. They sent back two R20 bills for change, which was too much. I thought the other guys had paid separate (which sometimes happens), so the young guy took a R20 and gave me the other plus R1. I thought this was the fare for the others so I waited for my change. It never came and so I asked Celumusa. An argument ensued for the remainder of the ride back where the young guy lied left and right (in Zulu so I really had no idea what was said) and I thought Celumusa might hurt someone. The argument was so heated that the taxi fogged up. In the end it was determined that they had sent back too much change and that the young guy took his neighbor’s money and never paid me and also took my change. He never gave it up even as everyone in the taxi yelled at him (in Zulu). An old man who was known in Zonke, who we met in line, told the young guy that if it had been lighter out he would have called him out and beat him – which is common for people who steal money on taxis. As we got out at our stop I stared down the young guy to remember his face. Exploiting whiteness comes in many forms. Yet my only regret in losing the R30 something (about USD $5) is that I could not argue my own case in Zulu – because no one arguing for me actually understood what happened. I am one who sticks to culture and remains thrifty no matter where I am. Just because I am white doesn’t mean that ripping me off makes anything less worse. Even though it was only $5, it is much more valuable here (almost half a day’s pay). I can’t lie even in the US losing $5 would suck.

I can’t say what I’ll do if I ever see this young guy again. I feel like I will see him again since he lives in Zonke. I plan on taking the taxis again so I just might run into him around Zonke or at the taxi rank. I was taken advantage of fair and square, but a thief is a thief no matter what language they speak.

End of the day thoughts:
Africa is not the place to go rid yourself of your capitalist or privileged splurges. Being the big, white American with money and gifts does not lend you legitimacy or prestige. Pawning off your past worldly desires on people is not leveling the field or making you less accountable, Having money does not give you a ticket to “make things better” or easier or nicer. Using your money in effective ways does. That isn’t to say that giving small gifts is a bad practice, but just being the constant giver and ATM is extremely poor practice, especially in development.

29 September 2008 Reflections:

Exploiting whiteness is in no way meant to mean that I deserve to be treated as a god or king on the African continent. I just would like to touch on the different ways that people get used. In my case it is because I am an outsider, I don’t know the language, I can’t understand everything in this new community. Sometimes that gives people the idea that you can get used.

We met a neighbor named Bongani. He was in Secondary School and repeated over and over how black people were bad people. They liked to beat people, steal, etc. He warned us many times to be wary of black people because they were dangerous. We attempted to tell him that white people can also be bad and that you have to look at each person separately. He told us he had many white friends and it seemed that he almost preferred to be associated with white people as opposed to black. I am not sure where this stems from, but he had a lot of difficulty with violence from people close to him in the past.

In the case of China and the visit to the Temple of the Nazareans, it seemed to make complete sense to China that we would want to attend and take pictures and enjoy the ‘African’ novelties of religion. He kept telling us that it was a popular tourist spot. We kept telling him that we were not tourists. We came to Zonke to work because we understood the difficulties and the needs. We did not come to watch people, but to engage them.

The history of whiteness in South Africa is nothing pleasant at all and so I place no blame on anyone for their reactions to us or their actions towards us. White people do not have a great respect in South Africa, especially in the informal and township areas. This is no surprise, but once people found out we were American, then it was all ok and different misconceptions were employed.

American popular culture is something that you can never get away from. There is a iconizing of gangsters, just like in the US. The N-word is regularly used to refer to people and Americans. This was a tough conversation to explain that ‘nigger’ in the US is like saying ‘kaffir’ (derived from an Arabic word meaning ‘rejector’ often translated as ‘infidel’) in southern Africa. The image of Americans was of a person wearing baggy jeans, a jersey, and a sideways cap saying, “what’s up my nigger.” American pop culture gave us a troublesome time, but how else are people to think about America when the only image they see is on MTV or from pop music.

When I was in Ghana I experienced much the same misconceptions of Americans: people with so much money and a large house, read image of america: blinding lights. The misconceptions go both ways.

definition of development (revisited): beauty in the palm of your hand

Last summer I wrote about the definition of development after having a conversation with an incredible Peace Corps volunteer in Ghana who was really making the most of his time and abilities. The conversation that we had really made me think about the term ‘development’ and what it really means. Before that conversation and since I have been working to create my own definition, or rather I have been working to make the term stand for what I believe development should be all about.

This is what I wrote from Ghana on 7 June 2007:

This discussion with Alex really made me think about ‘development’ as the word was thrown around a lot that night. Alex has said that he really likes the Peace Corps model because it deals with integration. A volunteer is placed in a village or area and works with the people to improve their situation. This as opposed to some large organization or institution just giving out money to big plans they believe will work. But, what is the definition of development? Who gets to determine what development is? Who is allowed to call one developed or developing or underdeveloped? Is development all based on a desire or push to become Western? Yes, I think in the very recent past it was and really still is to a degree, but for me development holds a different definition. Development for me mirrors positive progress in people’s lives. Development should be based on getting and giving people their basic needs (rights) for survival and life. Even in this regard the almighty ‘West’ needs development.

Now my development studies have become more involved and I will apply certain paradigms of thought and different theories of development from many different minds. Before I get into theory I want to begin by tackling the continuously difficult task of writing a definition of development.

Development is a loaded term and cannot be the way that we approach others in need. From President Truman’s “launch” (Wolfgang Sachs, 2) of the idea of development in 1949 during his inauguration speech in which he declared “underdeveloped areas,” the West began a long blinding road on which the US would always be number one with no need for ‘development.’ Development in this sense creates an inferior to superior relationship between those who need help and those who have the resources. This is where the idea of the ‘third world’ comes in. Two years ago I wrote on the idea of the ‘third world’ and how the term’s use perpetuates bad ideas in development. The notion of being better because of circumstance is an extreme detriment in development work. In actuality the West is developing just as much as those we deem ‘underdeveloped.’

We are developing the way we see the world and how we react or act to the different situations that various people face. We are developing our ability to care and show compassion, the most basic human action, to those who need our help. We need to start developing a process to assist those who most need our help. We need to develop our government’s actions to fit the size of its big words and statements. The world’s people need to recognize that we are not separated by very much anymore, except maybe our prejudices and false perceptions. We are not so distant as to claim we live in different worlds any longer. The distance is only in our minds.
From: new world discovered 3 September 2006

Development and its Uses

Truman called others ‘underdeveloped’ and what we have now seen is the disparity between rich and poor has grown exponentially. The ‘underdeveloped’ were not able to come closer to the ‘developed.’ We began calling some countries ‘developing’ as they adopted our ideas for governance, economy, liberalized markets, and modernity. This began the ‘era of development’ and Wolfgang Sachs provides us with an excellent quote:

“Like a towering lighthouse guiding sailors towards the coast, ‘development’ stood as the idea which oriented emerging nations in their journey through post-war history. No matter whether democracies or dictatorships, the countries of the South proclaimed development as their primary aspiration, after they had been freed from colonial subordination. Four decades later, governments and citizens alike still have their eyes fixed on this light flashing just as far away as ever: every effort and and every sacrifice is justified in reaching the goal, but the light keeps on receding into the dark.” (Thomas, Ch. 1)

Here is where we can draw on a theme of ‘development of the mind.’ This idea has been grown on the backs of the very people that ‘development’ seeks to assist. Born of colonization which promoted a certain nihilism of colonized populations and modernization as a result of capitalist systems imposed on those populations, the development of the mind made people think that they weren’t good enough and that they did not have the capacity to do for themselves. This is also a mentality that can be found within the slave and Black populations of the US. When a people is subjugated it takes a long time to redevelop the thinking that is not rooted in subordination. Everything was made simple and efficient for the imperial masters to control and capitalise on stolen wealth. Esteva importantly notes that for people to embrace ‘development’ they have to first perceive themselves to be ‘underdeveloped.’ (7) In this sense development negates the very person seeking to improve their life through ‘development’ because, “it undermines confidence in oneself and one’s own culture.” (Esteva, 8) The nature of ‘development’ almost always forgets about history and culture. Economists come at development with the idea of a level playing field that just needs to be built upon, but that is never the case. Histories of colonization which spurred war and violent conflict cannot be sliced out of development work. Colonized populations often had their histories and cultures re-written. In the case of Rwanda a homogeneous people were divided and pitted against one another. In South Africa culture was bound by ‘bantustans.’ In every corner of the globe a system focusing on mass production and the attainment of ‘wealth’ was imposed on traditional ways of life, cultures were and are altered as a result – sometimes even discarded. The “standardization of desires and dreams” (Wolfgang Sachs, 4) resulted and now we have ‘development.’

What we also can look back and see is the use of ‘development’ as a “weapon in the competition between political system.” (Wolfgang Sachs, 2) The Cold War led to a widespread allocation of ‘rogue aid,’ that is aid that is given without restriction and without being tied to a government or ‘development’ agency. This ‘rogue aid’ was given to win over world leaders to the side of the US or Soviet Union. Development as a weapon has created long-term effects that can still be seen as countries fell to dictators and authoritarian regimes fueled by ‘rogue aid’ and their militarization by Cold War powers. The ‘era of development can also be called the ‘era of the Cold War.’ (Wolfgang Sachs, 4) Our privilege and ‘wealth’ does not give us a free ticket to ‘develop’ the rest of the world or tell them that they are living poorly. If the world was to be ‘developed’ entirely we, as a global society, would be reduced to a dead population living on top of each other on a barren planet devoid of all nature because we exploited both ourselves and our habitat. In some areas of ‘development’ I would even say that the West has taken irrational steps backwards.

Paradigms

There are three non-distinct paradigms or theories of development. The first is what we have seen for the past four decades since Truman’s statement on underdevelopment. Development as Modernization puts forth the idea that the “modern money economy should and would overcome the traditional subsistence economy.” (Ruonavaara, 2000) This is where ‘development’ has acted as a “Westernization of the world” (Wolfgang Sachs, 4) and the beginnings of a failed system that does not serve people’s needs.

In the 1980s Alternative Development came into fashion to deal with the failure of Development as Modernization. The problem here was a misuse of privilege. Scientific knowledge was favored over all as professionals and experts came in as ‘facilitators.’ The positive of Alternative Development was the greater focus on people and ‘including the excluded.’ Women, minority groups, and the actual people being ‘developed’ were engaged in their own development. The failure of this paradigm was the hierarchical structure of facilitator and underdeveloped community, the lack of agency given in development, and the focus on modern and scientific knowledge as the only way to go.

Now there is the paradigm of Alternatives to Development or what some call Post-Development. This is an absolute “rejection and the replacement of the Development as Modernization model.” (Ruonavaara) Alternatives to Development employs re-membering people into society, a step further than ‘including the excluded,’ participatory and cooperative practices, as well as allowing “professionals and non-professionals to talk about development in new ways.” (Ruonavaara)

I say these paradigms are non-distinct because it is often difficult to specifically define approaches to development in reality as one paradigm or the other. Often it is easy to place certain development practices within the paradigms, but not the actions of an entire agency or organization.

Definitions

Alan Thomas tells us that the term ‘development’ is used in three main ways:

1. as a vision, description or measure of the state of being of a desirable society;
2. as an historical process of social change in which societies are transformed over long periods;
3. as consisting of deliberate efforts aimed at improvement on the part of various agencies, including governments, all kinds of organizations and social movements.

Chambers (1997, from Thomas, Ch. 2) defined development as just ‘good change.’ Thomas breaks this down excellently in his second chapter and the important concept to note is the ambiguity of ‘development.’ People have different ideas of what change is, of what progress entails, and especially of how we should get to that good change from where we are now. The nature of the defining is how ‘development’ happens in reality.

Cowen and Shenton write, “The burden of development was to compensate for the negative propensities of capitalism through the reconstruction of social order. To develop, the, was to ameliorate the social misery which arose out of an immanent process of capitalist growth.” (Thomas, Ch. 2) If capitalism is to be a working system of self-regulating markets then everything must become a commodity. The problem here is that everything cannot be a commodity: life, mind, dignity, equality – these cannot be bought, sold, and produced or regulated by any market.

Jeffrey Sachs talks about development (economic) in relation to a ladder, (Sachs, 18) where once you reach the first rung you are set on your path to development. This falls in line with the Development as Modernization approach. The problem with Sachs’ definition is that he creates a linear model that does not work in reality, people are often moving up and down the ladder – or not even on it because development can not focus solely on the economic. The political, social, and cultural must also be taken into account. Sachs’ other problem arrives when he defines poverty as a trap. This definition takes out all history and accountability in relation to one’s poverty. It discounts how one got into poverty in the first place or how a country or community lives in poverty.

Wolfgang Sachs defines development as, “an amoeba-like concept, shapeless but ineradicable. Its contours are so blurred that it denoted nothing – while it spreads everywhere because it connotes the best of intentions. The term is hailed by the IMF and Vatican alike, by revolutionaries carrying their guns as well as field experts carrying their Samsonites. Though development has no content, it does possess one function: it allows any intervention to be sanctified in the name of a higher goal.”(4)

Responsible Development– My definition:

Therefore all past implementations of development as intervention, as hegemonic control, as a political weapon, as a ladder, as Westernization, as capitalist, and as modernization have led to a more underdeveloped world where people are not valued and all that matters is the production and perpetuation of the current system for those are the forefront. Wolfgang Sachs says, “The idea of development stands like a ruin in the intellectual landscape” and “its time to dismantle this mental structure.” (Thomas, Ch. 1) I already wrote about the idea of development of the mind and so now how does someone from the West who wants to help those in need around the world engage in ‘development’ that will actually produce the desired results for people?

My definition of development falls along the lines of the ‘alternatives to development’ paradigm. I believe very strongly in people-centered development that is needs based. Where there is a focus on individuals as part of the whole and not on just numbers of people assisted, growth of GDP, or increase in production. I want to see development that uses what works and not just what looks good. Development that strengthens local communities and connects them to others, that evaluates itself often, that doesn’t ‘other,’ that spreads a cooperative mentality of interdependence, that believes in the co-evolution of people with nature, that does not feel guilty, but responsible, that uses unsustainable development to adopt sustainable practices. Development should be a resource for people who have historically and systematically been subjugated and oppressed so that they may have agency and actualize their own development. I am a strong believer in a communal and cooperative living style, this is a ‘modern’ idea based in practices of traditional societies. My definition of development is not an ideology, but rather it draws on wisdom from historical experience.

Development should be a vision that is defined by the community as a whole. I believe strongly in empowerment where the ‘developer’ does not act as an overseer or facilitator, but a resource and a support. This is where development needs to become a redistribution of power and resources that will transform the way institutions have worked. Along with empowerment comes the idea of participation. Both the ‘developer’ and those to ‘develop’ need to be participants on equal footing in the development process. In this way communities are able to develop themselves and take into account their social and cultural practices without being controlled by an outsider. Development as we have seen pushed for a conformity of global society – development should instead embrace diversity and equality in difference.

My economics mirrors the ideas of E.F. Schumacher where he focuses on economics as if people mattered. Schumacher uses Buddhism as an example of people and nature centered development practice. He writes:

“Simplicity and non-violence are obviously closely related. The optimal pattern of consumption, producing a high degree of human satisfaction by means of a relatively low rate of consumption, allows people to live without great pressure and strain and to fulfill the primary injunction of Buddhist teaching: ‘Cease to do evil; try to do good.'” (62)

He also writes about production at the local level for the local level and how that lessens human consumption as a “rational way of economic life.” Schumacher notes that now (1973, even more now) the human population lives parasitically on the earth, the market is an institution of individualism and severs all responsibility. (46) Development needs to be about wellbeing of both the individual and the world around them.

The examples of subsistence and traditional communities are excellent, ‘small’ examples of how development should work.

“A world of ‘humanized’ production, based on a small scale but modern and scientific technology, a world of co-operation in villages and small towns, a world of enriched social relationships growing out of a process of production and exchange that is under human control rather than ‘alienated’. . .” (Kitching, 1982, p.179 from Thomas, 35)

There are many examples of this and even now practices within the ‘developed’ world are moving towards subsistence and small scale, cooperative and local. Within the ‘developed’ world there is a growing number of local farmer’s markets, organic growers, and alternative organizations focused on serving people’s needs. Even Barbara Kingslover’s latest book, Animal, Vegetable, Miracle is based on locally grown, locally purchased food as a way to develop a more environment friendly and people friendly society. This local food movement is growing fast.

Some may try and say that it is just a phenomena as food and fuel prices soar, but really it is a long held style of living rooted in historic, traditional knowledge which we are finally returning to: a method of living that is more holistic and accounts for the co-evolution of humans and nature. Evidence of these traditional practices is still seen today. There have been attempts to return to a historically sustainable way of life through movements like Kibbutz in Israel, Ujamaa in Tanzania, Revolutionary Inter-Communalism within the Black Panther Party of the US, as well as implementations of communes, cooperatives and collectives in the Western world – some that begin as far as 200 years ago. There are distinct reasons why these models have failed to achieve widespread results, but the most detrimental effect brings us back to the idea of ‘development of the mind.’People are too often trapped in a system’s way of thinking and living that it is too difficult to cut out un-necessary desire or it creates an inability to see beyond the current status quo and way of life.

One example of a community that was self-sufficient, sustainable, and at peace with others and its environment was the Ladakh in northern most point of India next to Kashmir. The Ladakh were a traditional indigenous community that operated on communal living. They lived with no strain on the natural environment. There was no pollution, excessive noise, or a lack of resources. People worked on their own time and used what would be called ‘primitive technology.’As soon as modernity and ‘development’ entered the scene the sustainable way of life of the Ladakh disappeared. Modern society claimed to understand and control the natural order, with energy and capital intensive, consumptive, and environmentally unfriendly practices. The elderly no longer had a role in the community with the creation of Western schools and business because of this young people did not learn tolerance and responsibility at an early age. Modern society broke down family and community ties. Agriculture was no longer an acceptable business, pollution grew, the status of women fell as men felt more and more insecure in the ‘modern world.’ A community where there were no constraints, no stresses, no violence, no capital or pollution was turned into what we now see on a worldwide scale with the propagation of capitalism. Polluted environments, where everyone is in a rush, and once you can no longer produce you have no place in society. We now live as parasites on the earth as opposed to co-evolving partners with the earth. We now value products and productivity above people. There are many related examples across the globe of communities like the Ladakh. Now the Ladakh Development Foundation exists to empower the community to improve itself.

It seems with all this understanding of history, ‘development’ should become a simplifying of life. We should re-learn traditional values of these communities and apply them to our own lives. Living non-hierarchically, with community consensus, subsistence, and holistically. There are too many broken people, we need to reverse our practices and rewrite our theories. There are many efforts now developing across the globe to spur a “green economy,” one that attempts to place the environment at the core of our societal progression. It has had mixed results, but the majority good. Where gardens are established on roofs (green roofs), community parks take the place of abandoned factories, and bringing people out of poverty is the norm. The Green for All organization is working to build an inclusive “green” economy that will assist and benefit everyone.

Green For All believes a shift to a clean, green economy can improve the health and well-being of low-income people, who suffer disproportionately from cancer, asthma and other respiratory ailments in our current pollution-based economy. Such a shift can also create and expand entrepreneurial, wealth-building opportunities for American workers who need new avenues of economic advance. In other words: we believe that the national effort to curb global warming and oil dependence can simultaneously create well-paid green-collar jobs, safer streets and healthier communities.

The notion of a growing or strong nation or country by way of its GDP or economic output does not give a comprehensive definition of the development of a country when people are a means to an end. And so ‘development’ at national and state levels is irrelevant when there are people who still live without their basic necessities at the small-scale, local and community level.