Monday, September 18, 2006

conversations

Today I interviewed about 15 Zambian women to be supervisors or enumerators (i.e. surveyors) for the upcoming intervention. (Intervention refers to the actual field experiment of sending out enumerators to households to survey the women.) I decided to incorporate some role-playing in the interview to get a better sense of how experienced these candidates were. I decided to throw in some scenarios we had seen in the pilot....

Candidate: Hello Christina, my name is Doreen Chanda and I am from the Society for Family Health. I would like to conduct a survey on family planning.

Me: Hi.... [looking at her suspiciously]. Who are you again? Why are you interviewing me? Are you a Satanist? Are you going to put a curse on my family after you interview me?

Candidate: Oh.. why no, I am here to conduct a survey on family planning. I am affiliated with the Society for Family Health. Here is my ID and a letter from the supervisor.

Me: [grudgingly] fine... ok, go ahead.

Candidate: Ok... now Christina, how many more children does your husband want you to have?

Me: Well... I've currently got about 4 children. My husband doesn't think that's enough, since he wants 6 children. So... he wants 2 more children.

Candidate: Ok. Now, Christina, how many times have you had sex with your husband in the past week?

Me: Oh... my... hmmm... I'm a bit shy. I don't feel comfortable telling you this.

Candidate: Oh, you don't need to worry. We're both married women. We both know about sex. We can talk about this freely. There's no need to feel embarrassed.

Me: Ok... 2 times.

Candidate: What type of family planning method did you use when you had sex?

Me: Withdrawal and male condoms. But I'm looking to switch to another method since my husband is tired of withdrawal and doesn't like condoms. Also withdrawal is not reliable in preventing pregnancy.

Candidate: Ok... what would your husband do if he wanted you to get pregnant within 2 years but you didn't?

Me: Well, he'd be disappointed.

Candidate: Ok, can you be more specific? What would he do? Would he be supportive? Leave you for another women? Quarrel for you? Beat you?

Me: Well.... don't tell anyone this... but... I'm afraid he would leave me for another woman if I don't produce.

Candidate: I see.... that's understandable... now, has your husband ever threatened you with physical violence?

Me: Sometimes....

Candidate: Has he ever hit you in the past month?

Me: [looking down]... actually once. But that was when I was arguing with him about money.
_____________________________________________
















I liked this description of Harvard/America...

"So [Harvard] has many of early-21st century America's strengths — but many of the country's weaknesses as well. Its diversity is skin-deep: like the country as a whole, Harvard is actually getting more class-stratified, not less so, both within the school and in how well the student body reflects the broader society. Its scientific successes have been balanced by drift and even rot in the humanities, which mirror the larger rot in American popular culture; its formidable clout is undercut by a deep insecurity about its purpose and it founding ideals; and perhaps most importantly, its unprecedented wealth has too often fostered a spirit of materialism, greed, and success-at-all-costs. Harvard doesn't "hate America," as one conservative writer once put it — it is modern America, with all the good and bad that being modern America entails."

--Harvard alum Ross Douthat, National Review Online,

Friday, September 15, 2006

two dozen years on this earth.

My dream company...

I'm a huge believer of healthy, strong private enterprise as the main engine of economic development. I think Google is on to something when they decided to make their "do-gooder" arm for-profit.


The New York Times


September 14, 2006

Philanthropy Google's Way: Not the Usual

SAN FRANCISCO, Sept. 13 — The ambitious founders of Google, the popular search engine company, have set up a philanthropy, giving it seed money of about $1 billion and a mandate to tackle poverty, disease and global warming.

But unlike most charities, this one will be for-profit, allowing it to fund start-up companies, form partnerships with venture capitalists and even lobby Congress. It will also pay taxes.

One of its maiden projects reflects the philanthropy's nontraditional approach. According to people briefed on the program, the organization, called Google.org, plans to develop an ultra-fuel-efficient plug-in hybrid car engine that runs on ethanol, electricity and gasoline.

The philanthropy is consulting with hybrid-engine scientists and automakers, and has arranged for the purchase of a small fleet of cars with plans to convert the engines so that their gas mileage exceeds 100 miles per gallon. The goal of the project is to reduce dependence on oil while alleviating the effects of global warming.

Google.org is drawing skeptics for both its structure and its ambitions. It is a slingshot compared with the artillery of charities established by older captains of industry. Its financing pales next to the tens of billions that the Bill and Melinda Gates Foundation will have at its disposal, especially with the coming infusion of some $3 billion a year from Warren E. Buffett, the founder of Berkshire Hathaway .

But Google's philanthropic work is coming early in the company's lifetime. Microsoft was 25 years old before Bill Gates set up his foundation, which is a tax-exempt organization and separate from Microsoft.

By choosing for-profit status, Google will have to pay taxes if company shares are sold at a profit — or if corporate earnings are used — to finance Google.org. Any resulting venture that shows a profit will also have to pay taxes. Shareholders may not like the fact that the Google.org tax forms will not be made public, but kept private as part of the tax filings of the parent, Google Inc.

Google's founders, Larry Page and Sergey Brin, believe for-profit status will greatly increase their philanthropy's range and flexibility. It could, for example, form a company to sell the converted cars, finance that company in partnership with venture capitalists, and even hire a lobbyist to pressure Congress to pass legislation granting a tax credit to consumers who buy the cars.

The executive director whom Mr. Page and Mr. Brin have hired, Dr. Larry Brilliant, is every bit as iconoclastic as Google's philanthropic arm. Dr. Brilliant, a 61-year-old physician and public health expert, has studied under a Hindu guru in a monastery at the foothills of the Himalayas and worked as a Silicon Valley entrepreneur.

In one project, which Dr. Brilliant brought with him to the job, Google.org will try to develop a system to detect disease outbreaks early.

Dr. Brilliant likens the traditional structure of corporate foundations to a musician confined to playing only the high register on a piano. "Google.org can play on the entire keyboard," Dr. Brilliant said in an interview. "It can start companies, build industries, pay consultants, lobby, give money to individuals and make a profit."

While declining to comment on the car project specifically, Dr. Brilliant said he would hope to see such ventures make a profit. "But if they didn't, we wouldn't care," he said. "We're not doing it for the profit. And if we didn't get our capital back, so what? The emphasis is on social returns, not economic returns."

Development of ultra-high-mileage cars is under way at a number of companies, from Toyota to tiny start-ups. Making an engine that uses E85 — a mixture of 85 percent ethanol and 15 percent gasoline — is not difficult, but the lack of availability of the fuel presents a challenge, said Brett Smith, a senior industry analyst at the Center for Automotive Research in Ann Arbor, Mich.

Another barrier, Mr. Smith said, lies in the batteries for so-called plug-in hybrids, which require more powerful batteries that charge more quickly than the current generation of hybrid batteries.

There are skeptics, too, among tax lawyers and other pragmatists familiar with the world of philanthropy. They wonder whether Google's directors might be tempted to take back some of the largess in an economic downturn.

"The money is at the beck and call of the board of directors and shareholders," said Marcus S. Owens, a tax lawyer in Washington who spent a decade as director of the exempt organizations division of the Internal Revenue Service. "It's possible the shareholders of Google might someday object, especially if we go into an economic depression and that money is needed to shore up the company."

And there is the question of how many of the planet's problems can truly be addressed by a single corporate entity.

But even while expressing reservations about Google's approach, Mr. Owens said that the structure of Google.org "eliminates all the constraints that might otherwise apply."

The only conventional part of Google.org is the Google Foundation, a nonprofit with an endowment of $90 million that is constrained in how it spends by the 501(c)(3) section of the Internal Revenue Service code.

Google's big philanthropic experiment lies in the part of Google.org where the bulk of the funding now resides. This part of Google.org will be fully taxable, with the ability to invest in a full spectrum of programs and companies.

All of Google.org's spending, Dr. Brilliant said, will be in keeping with its mission, and there is to be no "blowback." That is, should Google.org make a profit with one of its ventures, those funds will not go to the search engine business, but will stay within Google.org.

Google had existed for only six years, when, in advance of the company's initial public offering in August 2004, Mr. Page and Mr. Brin told potential investors that they planned to set aside 1 percent of the company's stock and an equal percentage of profits for philanthropy. By the end of 2004, Google.org was formed.

The company has said it plans to spend the money over the next 20 years, and the Google board recently approved a more rapid disbursement rate, $175 million over the next two years.

"Poor people can't wait," Dr. Brilliant said. "Dying people can't wait for some 20-year plan. It's not what we're doing here."

Ventures that grow out of Google.org could be seen to have a competitive edge because they do not need to show a financial profit. But financial returns from a project like the high-mileage car are not necessarily the aim.

"I think how you count profit is the issue here," said Peter Hero, president of the Community Foundation of Silicon Valley, a charitable foundation with about $1 billion in assets. "Google.org is measuring return on cleaner air and quality of life. Their bottom line isn't just financial. It's environmental and social."

Once Google.org was formed, the company spent months searching for an executive director. There was no lack of interest in the job.

"Literally thousands of people worldwide got in touch with us," said Sheryl Sandberg, the Google vice president who led the search. "We'd get someone who was an amazing technology entrepreneur but who didn't know anything about the developing world."

Then along came Dr. Brilliant, an affable man generous with bearhugs and self-deprecating humor whose unlikely résumé looks like a composite career summary of multiple high achievers.

After receiving his medical degree, Dr. Brilliant studied for two years with Neem Karoli Baba, a famous Hindu guru.

As Dr. Brilliant tells the story, in 1973, shortly before the guru's death, he told Dr. Brilliant to "take off the ashram whites" and use his skills as a physician to help eradicate smallpox, which was devastating India at the time.

Dr. Brilliant joined a team of United Nations workers who painstakingly worked their way through India inoculating people against the disease. In 1980, the World Health Organization declared that smallpox had been eradicated.

In 1978, Dr. Brilliant started the Seva Foundation, which focuses on preventing and curing blindness throughout Asia and Latin America. In 1985, Dr. Brilliant was a co-founder of the Well, a seminal online community. Throughout the 1990's and early 2000's, he ran several high-tech companies in Silicon Valley.

Dr. Brilliant first heard about Google.org in early 2005 while lying in bed in India, sick with dysentery. He had gone there to work with the polio eradication program of the United Nations and, while recovering, he saw news of Google.org in a local newspaper.

He sent an inquiry to the only e-mail address he could find: info@google.com. He got no response.

This year, Dr. Brilliant was awarded the TED Prize, an award given at the annual Technology, Entertainment and Design conference, a gathering of leaders from the technology and entertainment industries. The prize awards three recipients $100,000, and a "wish" for how to change world.

Dr. Brilliant's wish was for the creation of an "early detection, rapid response" system for disease outbreaks. The idea would be an open-source, nongovernmental, public access network for detecting, reporting and responding to pandemics.

Some Google insiders heard about the award and invited Dr. Brilliant to give a talk at the company. Mr. Page and Eric E. Schmidt, Google's chief executive, were in the audience as Dr. Brilliant described the polio eradication efforts of the United Nations. They agreed they had found their director and began to recruit him.

At first, Dr. Brilliant said, he was thrilled. But then he turned skeptical, largely because of the for-profit structure of the organization.

"I got weak knees," he said. "It was weird. It was precedent setting." After several lengthy conversations with executives at Google, Dr. Brilliant changed his mind. Six months into the job, he has traveled to India to visit eye clinics and polio vaccination projects with Mr. Page, and to China to discuss clean energy alternatives. Next week, he leaves for Africa to visit Google grant recipients in Ghana.

Dr. Brilliant said he had no desire to "reinvent the wheel" by working on projects others are already involved in. And although Google is a high-tech company, that does not mean that Google.org will be throwing around high-tech solutions.

"Why would we put Wi-Fi in a place where what they need is food and clean water?" he said.


Thursday, September 14, 2006

I'm feeling sick. Don't worry; I went to the doctor, and it's definitely not malaria. All blood tests were normal. It's probably a virus... brought about by lack of rest/ too much stress. But, given all the Zambian warnings and horror stories about malaria, I now look at all mosquitoes now with a mixture of disgust, anger, and fear. Which one of them carries the malaria disease?? Better not bite me.

Saturday, September 09, 2006

tired... so tired.

I've been working for about 13 days straight...

The pilot stage of the project (basically implementing a mini-version of the real survey involving only 100 people) started last Tuesday, August 29th. [The real survey will involve at least 1000 women.] The pilot lasted through Monday, Sep. 4, and it's been a scramble since then to enter the results as quickly and accurately as possible while continuing to manage the other remaining community health workers (CHWs). I'm somewhat sleep-deprived; numbers, data, contraceptives, images of Zambian babies, and African female names are swimming around in my head.

In general, I feel quite disconnected from the "real world,"... or more accurately the American media that I'm usually exposed to. I have internet access once a day for a couple hours if I'm lucky... which also means phone access is also limited... (though starting to use Skype instead of using inconvenient international calling cards.) It feels weird not knowing what's going on in NYC, America, etc. All I know about know is whatever I hear on Zambian radio, which is usually concerned with the upcoming presidential elections.

My world is now largely limited to a few environments:

1. the public health clinic next to the government-provided housing compounds (not nearly as violent or crowded as an typical urban ghetto in America... just more babies/young children and life-threatening disease) This is the homebase/meeting place from which we send out the teams of community health workers (CHWs) and surveyors (i.e. enumerators) to interview women about fertility preferences, contraceptive use, spousal communication, sexual history, etc. It's also a place where death and life mingle together... in one section are the wards where sick people lie and rarely get better... [mourning/grief over the dead are heard every couples of days... along with loud prayers by visiting pastors/churchmembers] ... and in another adjacent section is the family planning/child monitoring area... where I see unbelievably cute African babies being held/breastfed by their usually young, tired-looking mothers.

2. the research office of the social marketing NGO my research project is partnering with. (they provide us office space, administrative support, and human resources... i.e. the women who work for us). when I need to have a quiet, office environment to do data entry, look at data, organize my thoughts, and write email, I go here.

3. the comfort/shelter of the Kurian home, [as I might have mentioned before, they've already been an enormous source of emotional and spiritual to me....] After long, stressful, tiring days, I am always so glad to go back to a place that has become my African home away from home. if they are home, Mr. or Mrs. Kurian opens the door and waves as the taxi pulls up... one of them always makes me coffee or tea (always mixed with milk... ah.. milk tea) and often pulls up a chair... I tell them about problems/stresses I've had that day, and they give me support, encouragement, and advice. I've now become quite at home eating Southern Indian food every meal... and they are for sure my pseudo-"parents" here in Zambia. they and their daughter have already told me several times that they consider me a part of the kurian family.

4. the passenger side of the taxi as my "personal" taxi driver Joe drives me around (he's a trustworthy, nice, gentle young Zambian man who I call whenever I need to get somewhere quickly... and who's very happy for my consistent business.)

I wish I had my camera cable here so I could post pictures. But I can't for now...I must find some time to buy it somewhere or get it shipped here.
________________________________________________________
Tonight I'm going to eat my first Chinese food since I've gotten here... meeting up for dinner with a girl who's working for IJM Zambia. (IJM = International Justice Mission, an organization of evangelical Christian lawyers dedicated to fighting domestic abuse, human/sex trafficking, and other human rights abuses in Southeast Asia, Africa, and some other places I think).

It'll be interesting to hang out with a fellow westerner/foreigner, since I spend most of my time with Indians and Zambians now.
___________________________________________________________

Thursday, September 07, 2006

China, Taiwan, and Zambia....

The Zambian presidential elections are coming up on Sep. 28. The two leading candidates are Levy Mwanawasa and Michael Sata. You, of course, know who I would vote for right? ;) (Read below)

Oh, and Michael Sata was a former Health Minister who decided to build the regional public health clinics around Lusaka... including the one I'm working at now. [good move, good move.] In addition, while he was health minister, he was known to randomly disguise himself in plainclothes and visit hospitals/clinics around Lusaka and observe how long it took for seriously ill/injured patients to be attended to. After seeing the long waits, the neglect, and general inefficiency he one day fired all the nurses, doctors, and other workers he observed to be negligent.

The general atmosphere in the clinic where I work is of hope for Michael Sata. They think that once he's in power, there will be no more long lines.

And yes, I'm trying to do my part in cutting down long lines/inefficiency. I've been regularly bothering the clinic administrator about overloaded nurses, long waits, negligence, etc. It seems to be working.
___________________________________________________________________

China intervenes in Zambian election

By John Reed, Southern Africa Correspondent

Published: September 5 2006 19:19 | Last updated: September 5 2006 19:19

The Chinese government has intervened in Zambia's upcoming presidential election in a forceful sign of the commodity-hungry country's growing economic and political clout in Africa.

Li Baodong, China's ambassador in Lusaka, said Beijing might cut diplomatic relations with Zambia if voters elected Michael Sata, an opposition candidate, as president, Zambian media reported on Tuesday.

ADVERTISEMENT

His remarks are the first sign of overt political interference by China in African affairs in decades, reflecting Beijing's rapidly expanding role as an investor on the continent and as a client for long-term supplies of raw materials. China is a leading investor in Zambian copper, the country's biggest export product by value.

China has invested billions of dollars in Africa in recent years, rivalling the US as it does so, and Chinese trade with the continent has quadrupled since the start of the decade, mainly through purchases of crude oil.

In Zambia alone Chinese companies are believed to have ploughed more than $300m into copper and other industries.

Mr Sata is challenging Levy Mwanawasa, the incumbent president, in the September 28 election. Mr Sata has been quoted calling Taiwan a "sovereign state," angering China, and has also spoken out against Chinese labour practices in Zambia. Recognition of Taiwan would mean turning away from the country's ties with Beijing.

Most African countries have thrown in their lot with China, leaving only a handful of governments maintaining official relations with Taiwan. Zambian media also reported that Mr Sata, currently running second to Mr Mwanawasa in opinion polls, had met Taiwanese businessmen.

The Times of Zambia on Tuesday quoted Mr Li saying Chinese investors were "scared" to come to Zambia because of Mr Sata's "unfortunate" remarks. If Mr Sata won and established relations with Taiwan, Beijing might think of cutting its relations, the newspaper reported.

"Chinese investors in mining, construction and tourism have put on hold further investments in Zambia until the uncertainty surrounding our bilateral relations with Zambia is cleared," the state-owned Zambia Daily Mail quoted Mr Li as saying.

In Zambia several mineworkers were shot and injured in July after a violent protest at Chinese-owned Chambishi Mining. There are conflicting reports on whether Chinese managers or Zambian police shot the workers.