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Archive for August, 2010

Try to imagine sitting in a meeting where you don’t understand the language that the meeting is being conducted in. You’ll either be really bored or you’ll start to notice the details of a conversation in a way you never could if you were just focused on the words. Perhaps it’ll be a little bit of both.

This is the scenario I found myself in on my second day of observing in Dharavi. I wanted to sit in on one of the afternoon group meetings. The supervisor who was leading the meeting spoke perfect English so he said he could translate the basic agenda throughout the afternoon. Of course I should have guessed that the person leading the group wouldn’t have a lot of time to lean over and translate.

While we walked from the hospital to the field office I asked what today’s meeting was about.

“Today the meeting will be about lots of things. The women who come will get information from us and then they can spread that back among their community. So we’re talking about senior citizen benefits and rations and health care during the monsoon.”

I tried to keep up with him as we walked. I was attempting to maneuver through the streets without stepping in garbage or getting run over while still maintaining a conversation. After sidestepping a tethered sheep, I endeavored to get more clarity, “But what does that have to do with domestic violence?” I asked.

“Nothing today. But we always try to bring it up a little bit and then build trust and stay in their minds as a resource. But today is just about spreading information for daily life.”

I nodded while falling back to accommodate a bus coming by. We turned the corner into the field office and I was relieved to be off the street. I took my shoes off (today I had more wisely chosen waterproof footwear) and walked in among a much larger group than I had seen the previous day. About 30 women of all ages had come to the meeting. I sat down at the front with the supervisor while they all stared at me.

He started talking and gesturing towards me. I could make out a few words- Ali, filming, etc – so I knew he was explaining who this white person was and why she was here. As he talked everyone started nodding and smiling towards me. And with that, the meeting began.

Every once in a while I would get the basics translated (“Now we’re talking about how to set up the benefits if you are a senior citizen” or “Now we are answering questions about taxes”) but mostly I just listened as the words went in one ear and musically drifted out the other without meaning. Every minute or so I’d pick up on a phrase or a number I knew. Or I’d hear a word or phrase in English (for example, Senior Citizen Benefits is just referred to as Senior Citizen Benefits. I suppose they use terms like that when they are the official government term, since the government of India’s official language is English).

So I just watched. And even without understanding the content I got the distinct sense that this was a group of women who wanted to gain every piece of knowledge they could. They hung onto all the words that I couldn’t understand. When a question was posed calling for a show of hands, the hands shot up enthusiastically. All eyes were on the speaker as every woman sat on the ground for over two hours in a hot room with nothing but fans to keep them cool. They all had questions – and when they were called on they spoke animatedly and excitably, as though the entire world depended on the question’s answer.  They clearly were there to better their communities and to use the resource that had been placed in front of them. You don’t need to know the language to feel like you understand the sense of the urgency each person is feeling.

And it was apparently acceptable to them that I was just sitting in. Every time one of them would catch me watching, they didn’t look away – they always smiled and looked me right in the eyes. One child came over to give me a closer look (as one might imagine, the children here have no hesitation to overtly staring at a white person) and when I looked at the mother to see if it was ok, she gave me an approving nod. The child sat down in my lap and took a nap. No one seemed to notice. I guess if I wanted to come be a part of their community no one was going to give me a second thought — even if I couldn’t communicate beyond the most rudimentary basics.

At the end of the meeting a number of women stood around to continue to share their ideas and questions with the supervisor and the field workers. I walked out with the last group and everyone waved and said goodbye to me. I hadn’t understood the words, but I was glad I had come.  I think sometimes its important to see the work and see the excitement. And then perhaps, sometime soon, the translations will come a little bit more quickly.

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We marched out of the Dharavi hospital with a sense of purpose. I’d come back to begin my project here with the domestic violence prevention center. I’m going to be documenting the work they do and so I’m starting by shadowing for a few days.  I’d met up with the supervisor in the main office, but he was taking me to the field office, in the heart of the slum.

We had to go single file – there are no sidewalks in Dharavi that I’ve seen. We were walking along 60 Foot Road, which is named quite literally for the width of the street.  It’s a bustling thoroughfare with shops on either side and then trucks, cars, motorbikes, people, stray animals, and trash all crowding the road.  Because of the monsoon everything is wet and mud sticks onto my feet and legs within the first steps. At times I had to breathe through my mouth when passing a particularly garbage-filled (or excrement laden) area.

I tried mostly to concentrate on putting one foot in front of the other and following my leader. I kept one eye on his black shirt in front of me and one eye on the ground so I didn’t fall or step on anything that could hinder me. We maneuvered through large good carrier vehicles parked on one side of the road while cars and motorbikes went around us on the other side. It’s like an elaborate game of Frogger getting through the Dharavi streets, and you can’t stop paying attention for more than a moment.

But when I could steal away moments of attention, I tried to take in the energy of the place. It’s like it’s own small city in the middle of a metropolis. The commotion has a pattern and every shop and stand is bustling with the breath of the community. It’s colorful and chaotic and exciting – even while you’re trying not to get run over.

By the time we got to the office my sandals were soaked through and the bottom of my blue kurta was splattered with mud and dust and who knows what else. The office is mostly just an empty room with no windows and no formal door – paint cracked on walls that were entirely empty except one team photo. Everyone sat on the floor, paying no attention to the one piece of furniture in the room, a desk with an unused old computer. But the circle of women that occupied the space filled the room with their vibrancy.

I took my shoes off and sat with the women, who were diligently writing in notebooks on wooden trays perched on their laps. One volunteer, who had been brought along to translate for me, alerted the group to my presence. In Hindi she explained who I was and why I was there. Everyone looked up and smiled at me – without words I knew I was welcome.

Through slow translations I began asking questions. The most vocal of the group, a woman of approximately 30 in a blue kurta with her hair pulled into a tight bun, started by explaining their day to day activities. In the morning they document the previous day’s work (hence the writing when I walked in) and do office activities. In the afternoon they hold sessions.  The sessions consist of groups of women from the community who want to talk about any issue that’s bothering them, whether it be sanitation concerns, food rationing, or safety. The field workers try to use these sessions to solve community issues as well as raise the problems of domestic violence.  Even though all of this was being said to me in Hindi, the woman speaking looked straight at me as she talked, as though she wanted to make sure the message was coming through.

I asked why the subject of domestic violence had to be addressed in such a roundabout way. A quiet woman in an orange sari with a slew of bangles and earrings responded animatedly once my question was raised. She said it’s an impossible topic in Dharavi. No one would come to their group sessions if they were just speaking primarily about domestic violence. Most of the time, if a woman raises the issue, she begins by saying she has a cousin or a neighbor who is experiencing violence in the home. Then the workers have to approach her later to find out if it is really she who is in need of help or counseling.

We talked for over an hour through translations about the various work they do beyond the group sessions – outreach campaigns and talks and films, youth groups and now even a men’s group. They have an upcoming campaign August 15th for Indian Independence day where they will try to recruit new members. They’re also now training more active members in how to deal with domestic violence throughout the community beyond the group sessions.

The women truly lit up when I asked why each of them had decided to make a career out of community work. All the field workers are originally from Dharavi and all the ones I spoke to had originally gotten involved through the groups they now lead. Most of them originally didn’t even know you could have a job where your duties were just helping others. But as every one went around the circle and told their individual stories it was clear that each had been inspired by the small changes they could create and now all were devoting their life to it.

We took a break for lunch before they went out into the community for their afternoon work. I sat, hesitant. I certainly didn’t want to get sick from eating street food in Dharavi. But even before the Hindi was translated I could see that they all wanted to share their food with me. They all now had questions for me and it was my time to share. As they pulled out their rotis and various vegetables they started quickly asking questions to my translator while motioning for me to eat.

I didn’t want to be rude. I couldn’t be rude – they had answered every question I had and had welcomed me in without hesitation.  And now they wanted to share with me.  So I took a roti, said a little internal prayer hoping to not get sick, and ate. As I ate I answered all their questions – why was I here in India? What country did I come from? Did I like being in Mumbai? Did I miss home? Did I like Indian food? Through the translation they all laughed and smiled and kept asking more and more questions.

And when lunch was over and they were off for their afternoon work I said goodbye and made my way back through the crazy streets of Dharavi. I’d be back the next day to see the group sessions and I already felt truly lucky to be able to watch them work in this place they loved so much.

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I started missing Western hospitals right around the moment that I was standing in a thin hospital gown with my face against an X-ray machine while a small man steadied my head so that my nose was touching the right spot on the panel.

This adventure had begun about an hour and a half earlier. My ‘birthday’ sickness hadn’t gone away, and a full week later I had started to wonder whether it was time to finally let a professional have a look. I’m usually a wait-and-see kind of person – if it sounds like a cold and feels like a cold, I usually assume it’s just a cold. But I’d had a low-grade fever every day for 8 days and my coughing was starting to scare small children, so I ventured out to a hospital.

We were lucky that a colleague of Daniel’s had recommended a doctor at Lilavati Hospital, one of the supposedly better hospitals here in Bandra.  We made an appointment for today (shocking) by talking to the actual doctor (also shocking) and we were on our way.

All my payment paperwork

Right off the bat we learned that the most interesting difference between an American hospital and an Indian hospital is that in India (or, at least, at Lilavati hospital) you pay up front.  There’s no “We’ll bill you later” and there’s certainly no chance to see the doctor and then pay.  You go to a desk, tell them what you’re there for, they give you a plastic card that’s wired with your information, and then ask for your credit card.  It’s also shocking that to see the doctor only costs about $17.

We waited for about half an hour. I sat and watched the crowd as everyone sat there patiently. There were men and women of all ages – some were dressed in modern clothes like button down shirts and jeans and others in full-length saris.  But the one commonality was that everyone turned their heads sharply to stare at me every time I coughed.

When we went in to see the doctor he went through the basic procedures – although the light to look at my throat was an actual flashlight. He had a desk that he sat in when he wasn’t examining me. There was nothing on the walls and no windows – it was an odd room to spend your entire day in with people coughing and sick all around you.

When he was done looking he immediately diagnosed me with a chest infection – the doctor said it’s been going around in the monsoon and he’s seen a lot of people with it. Apparently it mostly just manifests itself as the bad cough and cold I’d been experiencing. He assured me that some antibiotics should do the trick, but he also wanted me to get some blood drawn and take a chest x-ray just to be safe.

I had to go back to the front to pay for my new procedures before I could continue. It was 840 rupee combined for my x-ray and my blood tests (Divvied up that meant my blood test cost about $5 and each of my two x-rays would be about $6). I took my payment slips and walked over to the blood lab – it was in and out, very efficient. It certainly seemed like this private hospital had found a good system for getting everyone from one treatment to the next.

A jarring sign...

I went and waited for my x-ray. I sat next to a woman in a burqa on one side and an entire family surrounding one seemingly sick person on the other. It was two microcosms of India in one waiting area.

I looked around at the signs on the wall to occupy myself while I waited. One stuck out to me: “Determination of the Sex of the foetus is not permitted in this hospital. It is legally prohibited.” Apparently there’s been a problem with sex-selective abortions in India, and this is the only way to curb it. People told me later that it got to be such a huge problem here that they just outlawed allowing people to know. It’s signs and notices like that that sometimes jar me into remembering how stark the cultural differences can be here. While I was sitting around marveling at how modern and Western-seeming the hospital is, that sign was a poke in the arm telling me not to get too comfortable.

But as I was getting lost in that thought, the x-ray technician beckoned me in. I changed into a hospital gown and he led me over to the standing x-ray. He carefully pushed my face up against the machine, seeming very concerned that my nose press up against an X in the middle. When the x-rays had been taken he handed me over my very own copy. Apparently I’m as entitled to one here as my doctor.

I picked up my prescriptions and went home – the whole ordeal had taken less than 2 hours and cost me only a bit more than $30.

Many many medications

Of course the funniest part came when I realized quite how many prescriptions I’d been given. Maybe my new doctor believed in the ‘better safe than sorry’ approach, or maybe he just wanted to be extra cautious with the white people, but I walked away as the proud new owner of a large stash of medications. He’d given me two separate antibiotics (why?), a pro-biotic prescription supplement, an anti-inflammatory normally reserved for ulcers, an antiseptic ‘germicide gargle’ (basically just iodine and alcohol with mint flavoring), and a cough suppressant with codeine.

At least he wasn’t taking any chances?  I decided to self-diagnose that I wouldn’t need both antibiotics and that the anti-inflammatory and codeine-ridden cough suppressant could be put aside.   I was going to get better and I was going to take my new Indian doctor’s advice, but I was still keeping a bit of my American sensibilities.

I’m still sort of proud that I haven’t gotten sick from food (knock on wood), and experienced the true ‘India’ sickness. But now I’ve at least been initiated into monsoon sickness and had my first dose of Indian health care – as well as my new ‘germicide gargle.’

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One of the most interesting effects of the monsoon is how it can stop anything in an instant. And in a city as vibrant and full of life as Bombay, that truly is something.

Rickshaw in water

You can be driving along a road at a normal speed in normal traffic when suddenly the rain comes out of nowhere. It only takes a moment sometimes; clear-looking skies and dry weather are overtaken first by small drops, then persistent rain, then a heavy downpour, then rain so thick you can’t see your hand in front of you. And that whole shift can take place in a matter of seconds.

In that instant, the traffic snarls to a halt. Windshield wipers are practically useless in the deluge. Hazard lights are turned on just so that each car will know where the cars around them are basically located. A trip that could take 30 minutes suddenly takes two hours.

You can always spot a few victims once the rain lets up enough to let you see out. Usually in heavily flooded areas you’ll see abandoned rickshaws, not strong enough to get out of a flooded area.  Parts of roads will remain flooded for hours afterwards, since the water has nowhere to drain.

I’ve gotten sort of used to living this daily rainy existence – there’s never a full day respite, but some days aren’t so heavy or often it’s just a light drizzle. And I know what to expect once heavy rains start to fall.

But the one thing I can’t get used to is our internet connection.

Our high-tech cable running from our roof to our neighbor's roof

It was installed as soon as we moved in, and the process itself was humorous. A cable was run from a few buildings over – over and around and up the side of our apartment building the cable went. It’s not underground, it’s not through a wall, it’s just across some buildings and drilled neatly into our wall.  But it’s a cable and it seemed simple enough. We bought a wireless router and thought that that would be that.

However, nothing is so simple. It stops working at best for an hour a day. Sometimes, like now, it stops working for a few days at a time. And every time Daniel calls up the company they say “nothing works right in the monsoon.”  If the power goes out in one of the buildings along our one cable line, no one has internet (At least, this is what they say. I don’t know if I actually believe that this is the real reason).

Now, I understand why our cable dish doesn’t always work in the monsoon. We get a message on our tv saying something is wrong and I think of the small dish trying to get a signal through the deluge. But a cable? What could be so wrong with this cable every day? How can the monsoon be an excuse for constant failure of an entire product?

Our television during heavy monsoon...

Yet it’s everyone’s excuse here – our carpenter was late because of the monsoon (what exactly about the monsoon, we don’t know), people are always late to dinners and meetings because of the monsoon, our shipment was late, items can’t be delivered because of the monsoon. Doesn’t this happen every year? Don’t you think by now people could have figured out how to work around it? It’s a bad rain, but its just rain.   It apparently is also a great excuse.

So today I am only connected to the wider world via a wireless card Daniel can plug into his computer. It’s slow but it’s a useful backup – after all, there’s still another month of monsoon. Who knows when our internet will come back on again.

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