Wednesday, November 18, 2015

Transnational Collectivism: From Kabul to DC

by Ghizal Adina*


Najia Nasim asked the panel: “How do you inspire yourself, and the people you work with, to persist after everything you've built has been destroyed?” 

Nasim was en route to Washington D.C. when she received news that her agency, Women for Afghan Women, had been looted in the aftermath of the Taliban takeover of Kunduz. Her agency had housed women, victims of domestic abuse, orphans, as well as a myriad of recreational programs. 



This is a familiar story - one that many of the participants of the Rising Afghan Women Leadership Initiative program shared. The RAWLI program - a joint initiative between Georgetown University and the US-Afghan Women's Council - was a program that identified Afghan women leaders in Afghanistan, and engaged them in a week long intensive leadership training program. Not only did RAWLI hope to inspire women leaders in Afghanistan, it also aimed to have a ripple effect - to inspire women to inspire other leaders. 

And so I found myself, sitting at a panel as a representative of HEEDA.org (Health, Education, and Economic Development for Afghanistan) along with Suraya Rashid of HEEDA, to talk about the many projects and programs the organization is working on in Afghanistan. Our headlining project, the EMBRACE baby incubators, identified targeted hospitals to reduce cases of neonatal hypothermia. Aiding 10,000 newborns and targeting expansion to rural areas and ambulances where neonatal hypothermia is an even greater risk, there is a global cognizance of women as change agents in the face of 30+ years of conflict. 



To say that these women ignited inspiration in us is an understatement. Sitting removed from direct conflict, it is easy to toss around ideas of what should be, of policy implications, of international development protocols, to raise havoc when we see something on television - as we should since apathy is not a solution either. However, to be of the community, of the land, and know inherently that every action will lend itself to a change in one’s life, is something my position of privilege, despite being born in Afghanistan, does not give me. The ability to leave and cross national boundaries at ease, afforded to me by my American passport, removes me from much of the reality of my own actions and pursuits in Afghanistan’s development. Instead, there is seemingly a self-imposed demand of an unfair intellectualization of the situation, despite my hands-on experience in Afghanistan. It is the way many have come to grasp their role as being both a part of and apart from the Afghan community in Afghanistan. 

This is why HEEDA, as an organization, has always sought to bring about change and development alongside communities. Many large multilateral institutions have commonly encountered severe challenges in their technology and program implementation, often times having these programs fall through, as they attempt to catalyze pie-in-the-sky visions of change without collaborative partnerships with communities. The role of HEEDA is not simply to implement, but to bridge the gap between the places that lack resources and identified change agents. Global resources and technology should not be underestimated, but neither should the social capital and inherent knowledge of community members. 

Personally, this brings to mind the role of technology implementation, (or social innovation as it is now aptly called,) in international development. As a city planner for the City of San Francisco, a tech hub in its own right, I witness the negative externalities an on-demand technocentric method of development can have in exacerbating many existing challenges in an urban atmosphere. From land costs to infrastructure challenges to environmental concerns-- the social and economic implications are profound. When development goals are pursued in isolation, they instead become the means of serving the desires of a select group of people creating paradigms of propertied citizenship. My role at HEEDA, and HEEDA’s role in Afghanistan, is not to dump technology upon Afghans, nor is it to find a better way to do what Afghans have always known how to do. 



So, what we did offer these women, already leaders in their own right? We offered to help build alliances. There are people willing, really willing, to offer their expertise, and not merely in spheres of capital accumulation. The experience and interaction in D.C. became a spatialization of poverty programs and expertise, similar to the way the south side of Chicago drew upon an international framework in referencing South African resistance to reclaim their homes from systems of predatory financialization.1 As was displayed in the first Afghan-American Conference held in Berkeley, CA in 2015, there is a thirst and drive for that global connection. HEEDA hopes to build these alliances and work on projects and programs with thoroughness, clarity, and insight as a result of all these actors working together. Self-proclaimed aid organizations, HEEDA among them, are dependent on these exchanges of ideas and expertise, a transnational collectivism, in order to achieve our goals of better health, education, and sustainable economic development in Afghanistan. Ultimately, with this collective behavior, as organizations we are not telling the developing world what they must possess in order to participate in the global economy2 and their own narrative, nor are we commanding the stage and setting the tone for participation. 

We are in a unique position in the history of Afghanistan. I realized this as I sat listening to Ananya Roy talking about Territories of Poverty and the ways global finance is creating these very territories, from the south side of Chicago, to the “slum-free city” programs in India, to the utter destruction of communities due to rapid gentrification in Oakland, to the debris collection in the Afghan woman’s facility in Kunduz. An attack on space, on programs, on strength cannot be responded to with an influx of technology or capital. There exists a global network of  knowledge to aid Afghanistan in a way that is not about “fighting poverty,” or simply accumulating capital –what has commonly been used as an ideal model in development. Rather transnational collectivism is about drawing upon sites of resistance and reclamations of space throughout history, and using these as models to combat the absurd brutality of urban transformation that occurs in the midst of a constant struggle of different groups over the distribution of services and resources. 

The concept of space begs for a new and better understanding of the worlding and dynamic of cities. There is a new agenda in poverty scholarship, and HEEDA is heavily involved, studying the meaning of intervening, and the politics of encountering that is seemingly inherent in the way development and poverty is narrated, governed, and ultimately, resisted. 

-Ghizal Adina 

[Ghizal is a leading member of HEEDA. She graduated of the University of California, Berkeley and the Massachusetts Institute of Technology (MIT). She can be reached at Ghizal@Heeda.org.]



References
1 Roy, Ananya, “From South to North: Struggles for Land and Housing in Unequal Cities.” Stanford University. Palo Alto, CA. 29 October 2015.
2 Consider the implication of needing shoes for legitimacy in the TOMS model as a necessity to participate in the global economy. 

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*The views expressed in this article are solely those of the author in her personal capacity, and does not necessarily represent the views of HEEDA. 




Wednesday, September 23, 2015

Malalai and the Maternity Wards

Over the next few days, we will be publishing updates from HEEDA's newest member, Yagana Parwak. Click here for a brief bio of Yagana.

Yagana jaan spent a few weeks in Kabul this past May, working on various HEEDA projects and making careful observations. Please follow along with her blogs and please be sure to share!

--- --- --- May 29th, 2015--- --- ---

Early morning rounds with the Embrace units; along with one of the traditional radiant warmers in the background.
Having gone through the various departments at Malalai Maternity Hospital and spoken to the heads of those departments, HEEDA compiled a list of the most urgent needs of the hospital.  We secured wheelchair donations from ICRC and hospital appliance donations from Asia Pharm Co. Upon delivering the goods, a head of a department told us that she was surprised that we delivered- they are so used to NGOs and Non-profits promising assistance but never delivering what was needed. One of the most important donations we attained was a ceiling light for the operating room in the hospital. They had been having serious problems mid-surgery, where the light was not functioning properly and would go out at very critical times. Addressing this problem would save many lives and serious complications during surgery.


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Part of the donations to Malalai Maternity Hospital included much needed wheelchairs, compliments of the ICRC.




Kabul Ambulence Part 2

For the next few days, we will be publishing blogs of HEEDA's newest member, Yagana Parwak. Click here for a brief bio of Yagana.

Yagana jaan spent a few weeks in Kabul this past May, working on various HEEDA projects and making careful observations. Please follow along with her blogs and please be sure to share!

 --- --- --- May 27th, 2015--- --- --- 



Our visit to Indira Gandhi Children’s Hospital followed a night of unrest at a nearby hotel in Wazir Akbar Khan, where gunfire and explosions were reported. The hospital personnel at Indira Gandhi that lived near the area experienced a rough night. They all agreed that if peace was assured, Afghanistan would be able to prosper.

As the largest and most well known children’s hospital in Afghanistan, Indira Gandhi Hospital faces many challenges. Rooms with limited technology and resources were packed with patients, while their mothers and families sat on the floor nearby. We were glad to see that the new Emergency Department was under construction, with a goal to have at least the foundation completed before winter, when the conditions get rough.










Kabul AmbulĂȘnce

Over the next few days, we will be publishing updates from HEEDA's newest member, Yagana Parwak. Click here for a brief bio of Yagana.

Yagana jaan spent a few weeks in Kabul this past May, working on various HEEDA projects and making careful observations. Please follow along with her blogs and please be sure to share!

{ part 3... }

 --- --- ---     May 26, 2015 --- --- ---

Macintosh HD:Users:yagana_gani:Desktop:untitled folder 2:IMG_0144.JPGAcknowledging the success of our Embrace units and their adoption at a number of it's large regional hospitals, Afghanistan's Ministry of Public Health has requested from HEEDA that the Embrace warmer program be expanded to include Kabul Ambulance! The Embrace warmer blanket can be useful for all infants, not only premature and those at risk for hypothermia. They are especially valuable for infants that are transported by Kabul Ambulance in the harsh winter months. It was devastating to find that all too often, by the time Indira Gandhi Hospital receives infant from the ambulance, the children have died due to the cold.

Kabul Ambulance use to be run through the ICRC, but has been recently been put in the care of Afghanistan’s Ministry of Public Health. The Ministry faces budgetary problems, and the staff resort to pitching in from their already miniscule salaries to fix up the ambulances. When asked what they were in dire need of, they informed us that they lacked proper oxygen, pulse oximeters, thermometers and manometers. Just within the last couple of weeks, they had lost a driver to an insurgency. The traffic conditions are horrible in Kabul, with packed traffic and no distinct lanes, which add another layer of obstacles.

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The first Kabul Ambulance Station was set up in the busy 102 Bistar Khair Khana Hospital. The location is a challenge in itself, as their doors are in the middle of a bustling street market. We went to the paramedic office and lounge- an empty room with one toshak and some old radio and communication machines. The Afghanistan HEEDA representative explained the use of the Embrace Warmer to two members of the team, and units were dispatched to the ambulances, and used for transfers between the various HEEDA affiliated hospitals as well.

Return to Rabia Balkhi

Over the next few days, we will be publishing updates from HEEDA's newest member, Yagana Parwak. Click here for a brief bio of Yagana.

Yagana jaan spent a few weeks in Kabul this past May, working on various HEEDA projects and making careful observations. Please follow along with her blogs and please be sure to share!

--- --- --- --- --- --- --- --- ---     May 25, 2015 --- --- --- --- --- --- --- --- ---     

My first visit to Rabia Balkhi Hospital was an eye-opening experience. Resources and funding are scarce - doctors and nurses struggle to provide care for the crowds of patients that come through. For example, in the NICU, there were three infants in a space designed for one. A NICU nurse informed that the unit is almost always overwhelmed, particularly in the winter when the weather gets cold. The season costs many newborns, especially premature babies, their lives. Last year, HEEDA brought Embrace infant warmers to Afghanistan, which I got to see in use. The project was very successful, and will be expanded to Kabul Ambulances within the next week. 

In the doctor’s area the topic of conversation was Pampers. There was a recent donation, in which the donor decided to buy Pampers for Rabi Balkhi. Although the hospital personnel recognized this as a genuine gesture, they spoke of how necessary it is for organizations and donors communicate with them to determine their needs. After all, they do have firsthand experience, and would know better than anyone else what patients and the hospitals most urgently require.




This made me reflect on how little I know. As a student who has been born and raised in America, I have access to many resources, but am completely uneducated when it comes to the actual problems that the people of Afghanistan face. I identify as Afghan-American, but I have yet to realize what the responsibility and accountability the joining of these two words means.



Introduction to Yagana

Over the next few days, we will be publishing updates from HEEDA's newest member, Yagana Parwak. Click here for a brief bio of Yagana.

Yagana jaan spent a few weeks in Kabul this past May, working on various HEEDA projects and making careful observations. Please follow along with her blogs and please be sure to share!

--- --- --- --- --- --- --- --- Introduction: May of 2015--- --- --- --- --- --- --- ---


When I got on the plane at SFO, I had no idea what to expect. I landed in Kabul with a suitcase full of donated medical supplies, a mixture of relief and uncertainty Kabul feels like a completely different world. Through my internship with HEEDA, I have the opportunity to experience what it means to get work done in a challenging setting. Excited to learn and take this for what it is- an opportunity of a lifetime.

A newborn infant is tucked into an Embrace unit. HEEDA spearheaded the introduction of these innovative baby warmers into Afghanistan where they are desperately needed.





Wednesday, May 6, 2015

Just a Matter of Time [repost]


Originally Posted by  | September 8, 2014 | Stories From the Field 
Afsa didn’t make it to the hospital in time.
She had come to the hospital, Rabia Balkhi Hospital in central Kabul, Afghanistan, the day before with strong pangs of pain in her abdomen only to be sent home. She was told she was experiencing “false pain,” and was not yet in labor.
The next day, as her contractions grew more and more urgent, Afsa knew that this time her baby really was coming. Her husband Rahul hailed a taxi and soon they were on their way to Rabia Balkhi Hospital, more than an hour’s drive away. It was a rainy day, and the traffic was heavy. Afsa struggled to stay calm as her contractions intensified. Rahul sat with her in the back seat, holding her hand and helping her breathe, but still she worried, “What if I don’t make it to the hospital in time?”
Afsa was right to worry. By the time the taxi pulled up to the hospital around noon, she had already given birth.
Rahul rushed into Rabia Balkhi Hospital and returned with two nurses by his side. The nurses’ faces were a mix of disbelief and concern. Rabia Balkhi Hospital is a big hospital, with nearly 1900 deliveries each month, but never before had either nurse heard of a baby being delivered in a taxi en route to the hospital. They clung to aspects of their standard protocol that could be applicable to this situation: one nurse carried an Embrace warmer out to the taxi, having been trained to use the warmer whenever an infant needs to be transported from one place to another.
When they reached the taxi, the nurses worked deftly and in parallel. One nurse took Afsa’s newborn girl, cut the umbilical cord, and wrapped the baby inside the Embrace warmer. The second nurse helped Afsa onto a stretcher and wheeled her inside the hospital.
Afsa soon learned that her baby would be under observation in the Neonatal Intensive Care Unit, while she recovered from hypothermia. When Afsa first saw her daughter, the baby was wrapped in the Embrace warmer, where she would stay for three days until she began to gain weight and could maintain a steady temperature. When Afsa and Rahul ultimately returned home, they carried with them not only their daughter but also an unforgettable story of the unique circumstances that surrounded her birth.

Rabia Balkhi Hospital in Kabul

Wednesday, March 4, 2015

2014 Annual Report


         Below is an excerpt from our Annual Report. The report itself is available online at the following link:



Tuesday, January 13, 2015

2014 Wrap-Up

A series of updates in the next few days will focus on updates from 2014. A number of our team members have been to Afghanistan in recent months and with them they bring new and exciting updates to share. We'll begin with this post from our CEO Waleed Rashid (click here to learn more about our team) who is currently in Kabul:


Upon invitation by Mr. Walter Koenig, of the Afghanistan Commerce Department of the United States Embassy, members of our executive team were invited to attend The Afghanistan Business Spotlight Event at the Dusit Thani Hotel in Dubai, UAE on 4/28/14. The event was intended to bring together successful teams and projects with the capital contributors and investors in Afghanistan to help forge lasting relationships which can produce further advances for Afghanistan in the midst of the newly transitioning government. 

Waleed in Parwan [yes, those are French cuffs]
But, first a quick detour to Afghanistan's Parwan Province where HEEDA has been partnering with Afghanistan Rises (link to their site) at the Parwan School District since 2004  to help design, reconstruct, and execute a community center. 

The intent is for the center to be fully integrated with the community it serves.  Not only does it offer grade school education and classes in English during the winter months but it also provides vocational training and houses the community mosque and gathering center. 

We return regularly with the purpose of providing some much needed school supplies and warm coats for the coming winter months to the elementary through high school students of Parwan.


I arrived to the smiling faces of the elementary school students and first proceeded to identify the top female students in the school in order to hand out specially selected gift bags to each student. 


Needless to say, the young ladies were quite surprised and happily received their rewards for outstanding academic performance. Future projects within the school involve a collaboration with Bagram Air Base to help with basic structural needs of the facility, including a new roof and paint for the interior walls of the school. I hope to bring updates on that later in the year.