In the last two weeks I have gone on 4 different outreach visits with ny clinic staff to the designated Neighborhood Health Committees (NHC). This generally consists of me showing up at the clinic at the time they ask, waiting an hour till they're ready to leave, and biking 20 minutes to 1.5 hours. We arrive at the NHC to find between 20-over 100 mothers waiting. We start with a song in local language that says if ur child is malnutritioned the parents are responsible. Then we do introductions and then I've been giving a health talk about needing protein, carbohydrates, and vegetables/fruits, as well as clean water. I ask lots of questions and try to get the women as engaged as possible. This last time my clinic staff gave me 12 bottles of chlorin to give out to people with right answers. The mothers were so excited to receive it and really trying their hardest to answer my questions. What blows my mind is a bottle of chlorin cost about 1 kwacha ($0.20 USD) and they obviously want it because they understand they will be able to prevent diarrhea and clean their water with it, so why don't they just buy it? You might be thinking, well they're poor. And that's true, but they have a little money.
In my new favorite book Poor Economics by Abhijit Banerjee and Esther Duflo on page 48-49 they talk about this exact dilemma. "People in Zambia know about the benefits of chlorine. Indeed, when asked to name something that cleans drinking water, 98 percent mention Chlorin. Although Zambia is a very poor country, 800 kwachas (rebased currency currently sells chlorin for 1 kwacha) for a bottle that lasts a month is really not a lot of money- the average family spends 4,800 kwachas (rebased currency would make this 4.8 kwacha or about $1 USD) per week just on cooking oil. Yet only 10 percent of the population actually uses bleach to treat their water." It's a mystifying fact that I want to talk to people about, to understand why they don't buy the chlorin when they understand the benefit.
I have been completely inspired by Poor Economics. The authors have given complexity to the debate of
Foreign Aid and through randomized control trials actually tested how poor people make decisions and what they choose to spend money on. While I enjoyed reading Dead Aid and The End of Poverty they both fail with sweeping generalizations and a taste of one size fits all cures. Poor Economics avoids such conclusions and instead works to understand what works and what doesn't in specific situations. As in much of life, theres not one answer, sometimes aid is beat, and sometimes a free market is needed. But what I appreciate most if the position of power and respect they reserve for poor people. They point out that in industrialized countries we've often had the right choice made for us, such as chlorinating your water, because it comes that way straight into your house. But the poor don't have these luxuries, and as someone currently chlorinating my water its a pain in the ass and I'm always wondering if I put too much in and maybe I'm poisoning myself-and I have a college degree, unlike the average village Zambian who rarely makes it to grade 12.
I always need a goal, need to be looking forward to what my next step is. For a long time it was college, then Peace Corps. Although I still have a lot of time (2 years) to figure it out, I've truly found a new role model in Esther Duflo who as a woman under 40 has already accomplished amazing things and it shows through he many awards. She is currently the Professor of Poverty Alleviation and Development Economics in the Department of Economics at MIT. And to study under her is my new goal. Looking at the Poverty Action Lab ( MIT) website, I will actually be qualified for field work there after my Peace Corps service. Bachelor's degree, check! Work experience in a developing country, check! Self-motivated and independent, check! Knowledge of local language, check! I feel like I have a direction and even more inspiration for my service. I love the power of a good book.
To finish the beginning of my story about my health outreach to the NHCs, we weigh babies, which is tallied on their individual card that looks like a graph, talk to mothers if their kid(s) are malnutritioned. The clinic staff or community health workers test for malaria, HIV, and syphilis. The head nurse talks about family planning and distributes birth control, and they vaccinate babies. This is every month in all 8 NHCs and I plan to continue going, meeting people, and trying to understand them, as well as teach them the benefit of preventative medicine over curative.