29 August 2011

Lilongwe meets Blantyre

6 months on from my arrival in Blantyre, my outlook on the city has changed tremendously- almost to the point where I wish I could go back and edit that first entry, in which I thankfully predicted that this would be the case. Some things are still the same though, for example the extreme gap between wealth and poverty that’s in-your-face. Well the thing that got me thinking about this again was a trip to Lilongwe this week where I experienced some déjà-vus of the time of my original arrival there some year and a half ago. I found myself taking the same routes to the hospital from the same guesthouse where I was living then. I was presenting at a conference for the Surgical Association of Malawi this time, where I also joined the faculty of COSECSA for a day teaching orthopaedics. There, I met a lot of the same people I’d met 18months ago, like Dr Muyco, Sven and the Lilongwe OCOs. As a treat, Steve Mannion was also there, organising the orthopaedic training training day, as well as moderating some of the sessions for the conference. All in all, it was a pretty intense week, with an equally intense build up to it, where the presentations and research for it was being undertaken (hence the paucity of blog entries- there’s always a reason!) As you can imagine, once all this hard work was unloaded, I switched straight into “off-work” mode and took the opportunity to maximise my time with Steve and Sven. Nostalgia and anticlimax weren’t long to kick in. I felt the sweet vibes of my first time in Lilongwe, its sweet mix of the terrifying unknown and an all-capturing titillation of the senses. I really felt at home in this city, Lilongwe. It is indeed one of my favourite cities in the world. It is a vast expanse of green with distinct areas strangely numbered in the order in which they were built, as opposed to their geographic location. But that adds to the quirky charm of it. It does not feel the need to be defined by an outsider. It has its own character. Unlike Blantyre, it is the administrative hub of the country. It boasts a different spectrum of the commercialism that somewhat defines Blantyre. For Lilongwe, it manifests itself more in the form of posh hotels, springing up all the time and good eateries- essential exigencies for the host of expats and diplomats released on its streets daily from the country’s major airport. As a result or not, Lilongwe also feels a notch more peaceful. In other words, the constant banging of undisciplined bottle stores and bars with outside speakers doesn’t follow you into every nook and cranny as it does in Blantyre. What better way of demonstrating that than by the greater presence of birds all over Lilongwe. And yes, that is now one of my chief delights in visiting the city. Not that Blantyre doesn’t have them, but in comparison to Lilongwe, that’s a mere fraction. And to exacerbate the difference in greenness further, Lilongwe also boasts a wildlife sanctuary in the very heart of the city. I won’t go on any further lest I be called a tree hugger!

So that’s how it felt being back in the capital, home of the VSO office and guesthouse- my first bases in Malawi. But of course, times have changed and contrary to expectations, my affinity for Blantyre has also grown greatly in my time there. I might not have become immune to its riot of decibels but I certainly have got a feel for the character of the city. And this I owe in large part to one thing I never had at first in Lilongwe- companionship. With Janet here and both of us equipped with bikes, we’ve stroked the asphalt of most streets within a mile radius of our house at least and many more beyond. We’ve come to meet people very different to the stereotypical arrogant rich I’d at first got fixated on. These lot exist in every place in the world, Lilongwe as much as Blantyre as much as Manchester, Port Louis and Bombay! Thankfully they exist less in places like Ntcheu and I guess I’d forgotten what it’s like living alongside them until I got to Blantyre. But now I’m used to them again, I can easily blank them from my field of vision and focus back on the joys of being here: satisfaction from work, culinary discoveries courtesy of Blantyre market and the local spice haunts and the great new joys of gardening. And then also I ask “what more do I need when you’re an hour or less away from such classics as Mulanje, Majete, Thyolo and Zomba plateau?”

It's gonna be hard to leave...
Lilongwe's just too cool!
COSECSA faculty and audience
Tree hugging!
Mousebird

Blantyre insolites... and surrounds

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8 August 2011

Tricycles and wheelchairs Update3

The suspense on MF is officially over. Her rather delayed delivery was a reflection of some realities particular to Malawi and indeed of the various mechanisms that exist to get around them. MF, now a 40yr old woman, lost the use of both her legs well in her childhood to that terrible disease called Poliomyelitis. She has learnt to get about since by shuffling on her hands and knees. She didn’t actually appear on the radar of MAP (Malawi Against Physical Disability) until 1.5 years ago quite incidentally after a routine admission to hospital. Now many of you will have wondered why Malawi Against Physical Disability uses the acronym MAP instead of MAPD! Well the reason is that MAP was actually an accurate initialisation of its original name Malawi Against Polio, but then had to be rebranded when the disease (thankfully) became quasi-extinct in the early 2000s.

To get back to our unexpected delay in delivery of the tricycle, this is what happened. The tricycle was actually ready more than 2 months ago. We then tried to get hold of the ‘client’, as they are known in MAP, whose waiting list the patient was selected from. Since most people don’t have a postal address in Malawi, they have to be located through their village or if they are in a big town, by a prominent reference point- e.g. “Ntcheu Boma, behind Petroda”. Sometimes, they use a well-to-do neighbour’s address. This is a service that often applies to mobile phones too, when the client does not have a handset of their own. Our first attempt at tracking MF was unsuccessful and we assumed that she must have moved away. So we sent a volunteer from her neighbourhood to investigate and after a while, he got back to us triumphantly having pinned her down. We probably had got her whereabouts misspelt and got misled as a result. This also isn’t uncommon here, where names are often spelt as they sound. With some sounds being so similar, two completely different locations can end up being spelt the same, or even worse spelt as the other! (Just consider these town names for a second and judge for yourself: Lilangwe and Lilongwe; Bua and Mua; Lunzu and Lundu). If that wasn’t enough, occasionally, the client themselves give us a wrong address, for a number of reasons (embarrassment, social issues at home, no fixed abode etc).

Another interesting little hurdle that further complicated matters was the fact that our volunteer was initially chased away. Our volunteer is part of an outreach network that allows MAP as an organisation to provide services to even the most far flung haunts in the land. Now strangers are not always welcome in villages, often because they may have had some bitter past experiences from fraudsters. Thus when our man first came to the village, he was perceived as a crook who would run away with the tricycle and sell it once it got made for MF. It was not until a few months later, when they heard about other people in nearby villages benefitting from our volunteers’ efforts, that they finally called him back and welcomed him.

I have to say that to have eventually managed in imparting to MF her designated mobility aid is a success story of sorts. Now this 40 year old formerly housebound maker of snacks can finally take her delights herself to the selling stalls at the market or elsewhere. Her specialties are the famed deep fried doughballs called Mandasi (to which I’m sadly addicted) and coated fish called Kanyenya. So if you ever find yourself buying one of these near Lunzu, make sure you look around to see if you find a tricycle parked nearby!
Look up MF’s first spin on her new bike on my latest videoblog: coming up soon


With Alex and Sally (from MAP) at MAP


Girl Power


Empowered!