Training participants and I |
People may remember the awful floods that took
place in parts of Pakistan last year which affected and still are
affecting over 50 milion people. Many were displaced and lost
their homes and belongings. This was followed by a cholera outbreak
in the flood affected areas which exacerbated an already high prevalence of
acute malnutrition in under five children in Pakistan. Recent survey results had revealed a severe acute
malnutrition with a prevalence of 6% in one of the flood affected provinces –
Sindh.In addition to the training the NGO wanted me to carry
out a rapid assessment of the existing nutrition programme (Community – based
Management of Acute Malnutrition -CMAM)
Breastfeeding Corners in flood displaced camps |
I was brought up and lived in what was more
or less in outer East London , that bit of suburb between the East end
and Romford in Essex. So I sort of grew up with people from Pakistan and
Bangladesh. But I knew little about them or their country.Then came the stereo
typing post 7/11 where Pakistan was associated with Al Qaeeda and
fundamentalist warring Islam. In addition I had worked in Saudi Arabia and had
experienced first hand the extreme form of Wahabi Islam regime there. So
when I arrived to Pakistan I was pleasantly suprised to find that from an Islam
point of view it was not too strict at all. I had sort of expected it would be
like Saudi Arabia and had not been looking forward to that at all.
And so I
arrived to Islamabad the capital of Pakistan situated up in the north of
Pakistan
Islamabad is in middle of the mountains with kites
wheeling permanently overhead. I found it wierd to see such a bird – relatively
rare in Ireland so prolific here – like pigeons in London. Then I headed
to the province of Sindh followed by Punjab to carry out the trainings
and assessments.
Just before my arrival to Sindh province a
terrible tragedy had occured at the NGO base office where they worked in
the main town of Sukkar. Just outside the office is a railway track open for
anyone to walk across. There is a little climb up on to it and it is all very
open so you can see trains coming from way back. But the trains scream their
way through at speed making the office shudder and setting everyone’s teeth on
edge. A few days before my arrival one of the young Pakistani
female doctors on the nutrition team had been killed by a train just
outside the office. So on the evening the NGO Health and Nutrition
Co ordinater and I arrived we met a subdued and traumatised team. I
expected that the training would be very flat and quiet and braced myself
for that. I pondered on how she had been killed by the train. She would have
seen a train coming miles away. Now there was a barbed wire fence up alongside
the length of track that ran outside the office– it had been put up just after
the accident.
I had my security briefing the next morning
in the NGO office with an ex military Pakistan officer now employed as a
security officer . The base office in Sindh province is in the main town of the
province called Sukkar. Sukkar is a very interesting town if you happen to be
an engineer – it is built on the banks of several canals. The Brits
constructed these amazing bridges and various gadgets all meant to control the
flow of the canals.As well as my security briefing the security officer
proceeded to give me an account of how many arches were contained in the
bridges, how long they were,how many bolts had been installed etc etc. I am not
very technically minded that way so while he related all the facts and figures
I looked out of the window at the barbed wire fence along the track
glistening all new and fresh in the sun and wondered how on earth the
young doctor had managed not to see the train coming as one could see a long
way down the track. The security officer followed my gaze, lowered his
own gaze and voice and suddenly starting telling me about the awful
accident.
It had happened in the morning just as the office was opening. The
young doctor had been given a lift by her father and as she got out of
the car she went to cross the track towards the office,the car shielding
an oncoming train. She had actually managed to get across the track OK.But at the last
moment her long billowing scarf ( as worn by all the women here)
curled back into the cross wind generated by the passing train. The
scarf got caught up in the train and pulled her back…… I had no doubt of
what happened next. My eyes filled with tears and when the security
officer saw this, he reverted back to official mode , thrust a list of emergency
contact numbers into my hand and so I bundled myself and my sheaf of
papers me out of the office.
And so I got on with the job in hand in Sindh –
visiting some of the CMAM programmes in the flood affected areas and
carrying the CMAM training.
Groupwork during training in Sindh |
This is where my admiraton for the the people of
Pakistan developed. Despite having witnessed an awful tragedy and being
obviously traumatised by it, the nutrition team threw themselves
into the training and it became one of the most fun, inspirational
trainings I have ever done. No moping around and sitting with
sorrowful faces or bursting into tears – or becoming bitter with the world.
Everyone was high after the training and on the
evening before my departure back to Islamabad the capital of Pakistan I met up
with the team in the office. W e all milled around saying our goodbyes
and doing our last minute bits. They all pumped my hand thanking me for the
training and my input into the nutrition programme. It was a really good
moment – a really,really good moment – the sort you want to snatch up and
keep as a comfort blanket until the next good moment arrives. Then
as usual an oncoming train shrieked by on that railway
track outside the office throwing dust onto the new barbed wire fence.
Everyone went quiet and although not one eye shifted – suddenly we were
all looking at the enlarged photo of the dead girl up on the wall in the
nutrition office - warm , intelligent eyes gazing steadily at us
all bustling around .And in her open, confident, calm gaze,
the gift of youth with all the promise of a future life
unrolling – her career as a doctor, meeting her partner, getting married ,
being a mother – those landmarks of life all suddenly halted
by the tardy fluttering of a capricious scarf on a dusty morning at
the beginning of another working day.
I am still holding on to that good moment –
for who knows when one second too late is going to make all
the difference and your life in a single moment may depend on the length
of your scarf.
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