The Wrong Title

The ……. Message ?

The Wrong Person

My year of learning about developmental issues

Supporting Educational Programmes?

The Wrong person

The wrong message ?

How did I get involved? He understood the leprosy of the

leper, the darkness of the blind, the fierce misery of those who live for pleasure and the strange poverty of the rich

De profoundis

Oscar Wilde

What did I get involved in …?

IHLS Grant £180000

Health Links for a SSA Palliative Care BSc

The “development world”

The “educational world”

Supervision by 3 organisations

Lots of interesting people…

Lots of headaches and hard work????

Why health links ?

MDG’s are probably going to fail

Africa 2 health care workers per 10,000

Europe 32 health care workers per 10,000

SSA 24% worlds disease 11% of its population and 3% of its health care workers

One World Conservatism: A Conservative Agenda for International Development 2009

THET 20 yrs ago Prof Eldryd Parry , 115 links

What did I do

• Getting evidence into practice: what works in developing countries? Siddiqui, Newell, Robinson Int J Qual Health Care (October 2005) 17(5): 447-454

A systematic review of the effectivenes of training in emergency obstetric care in low-resource environments. L van Lonkhuijzen et al BJOG 2010;117:777–787.

• The Asymmetries of University Partnerships between Africa and the Developed World: Our Experience in Botswana. Prof John D. Holm,

Dr Leapetsewe Malete

What did I do

Africa books, Economics books

History of development

Look at NGO’s and similar projects

Look at medical teaching

Learn about budgets

What have I learned?

NGO speak

Cultural issues

Organisational issues

Areas of opportunity..?

NGO speakMemorandum and Evaluation documents

Culturally sensitive

Sustainability

Civil Society

Inclusiveness

Best practice, paradigm shifts

Proactive, Operationalisation

Rosetta Stone of M+E

McNamara Fallacy

Measure whatever can be easily measured

Disregard that which cannot be measured easily

Presume that which cannot be measured easily is not important

Presume that which cannot be measured easily does not exist.

Cultural Issues

'IMMIGRANTS, NOT AUSTRALIANS, MUST ADAPT.. Take It Or Leave It. I am tired of this nation worrying about whether we are offending some individual or their culture…. 'This culture has been developed over two centuries of struggles, trials and victories by millions of men and women who have sought freedom'  We speak mainly ENGLISH, not Spanish, Lebanese, Arabic, Chinese, Japanese, Russian, or any other language. Therefore, if you wish to become part of our society Learn the language!'  'We will accept your beliefs, and will not question why. All we ask is that you accept ours, and live in harmony and peaceful enjoyment with us.'  'This is OUR COUNTRY, OUR LAND, and OUR LIFESTYLE, and we will allow you every opportunity to enjoy all this. But once you are done complaining, whining, and griping about Our Flag, Our Pledge, Our Christian beliefs, or Our Way of Life, I highly encourage you take advantage of one other great Australian freedom, 'THE RIGHT TO LEAVE'.' 'If you aren't happy here then LEAVE. We didn't force you to come here. You asked to be here. So accept the country YOU accepted.'

Kevin Rudd

NGO’s and Westerners , NOT AFRICANS, MUST ADAPT.. Take It Or Leave It. We are tired of this continent worrying about whether we are offending some individual or their culture…. 'This culture has been developed over two centuries of struggles, trials and victories by millions of men and women who have sought freedom'  We speak various African languages, not English, French , Arabic, Chinese, Japanese, Russian, or any other language. Therefore, if you wish to become part of our society Learn the language!'  'We will accept your beliefs, and will not question why. All we ask is that you accept ours, and live in harmony and peaceful enjoyment with us.'  'This is OUR COUNTRY, OUR LAND, and OUR LIFESTYLE, and we will allow you every opportunity to enjoy all this. But once you are done complaining, whining, and griping about Our people, Our tribal rules Our beliefs, or Our Way of Life, I highly encourage you take advantage of one other great African freedom, 'THE RIGHT TO LEAVE'.' 'If you aren't happy here then LEAVE. We didn't force you to come here. You asked to be here. So accept the country YOU accepted.'

Exporting Tribalism

Who are they???`

“sullen dull people who never hurry and work as they please”

“Plodding easily contented people and over emotional”

“The roads are so bad we had to go through another country”

“tradesmen and shopkeepers take advantage of you and are thieves”

The Germans 1900

Who are they???

“give the impression of being lazy and utterly indifferent to the passage of time..”

“no desire to teach the people to think independently”

“Lightness of heart, no planning and live for the present”

The Japanese 1910

Organisational Issues

Donor Agendas can distort priorities

Multiple Agencies across Multiple cultures can be interesting

The number of NGO’s can be overwhelming

Achievements

2 years of Bsc achieved by hard work of degree team (not me)

Health Link gradually improving

Good Understanding how THET and the IHLS work

Keen faculty despite a slow start

Foundations laid

The future

Very long way to go and under funding pressure

Faculty of experts meeting Nov 8th

Basic versus Complex solutions

Complex ways of passing on basic solutions is the way forward

16th September 2010

THET and British Council Launch ‘Round Three’ of the UK International Health Links Funding Scheme

A call for applications for a third round of a UK government funded initiative to support health systems in developing countries

Deadline 5:00pm on Friday, 31 December 2010.

Grants will be awarded from the beginning of April 2011.