Friday, October 9, 2009

LGT Venture Philanthrophy - iCATS fellowship

iCats Program

LGT Venture Philanthropy is proud to announce the launch of the iCats Program: The iCats Program is an answer to the need for professional know-how and resources in many philanthropic organizations and social enterprises. LGT Venture Philanthropy created a web-based platform to match experienced professionals with specific positions in selected philanthropic organizations.

The fellow positions for 2010 are now online on www.icatsprogram.com ! Application deadline is 26th October 2009.

A fellow works 11 months on-site with a portfolio organization from February to December 2010 and receives regular mentoring from the LGT Venture Philanthropy team. In addition, a 4-day induction workshop brings all fellows together in the Swiss mountains. Go to www.icatsprogram.com to find out more and to apply.

More here:

Wednesday, July 29, 2009

On giving in India

This article sparked something in me enough to write: India's Rich, Open Your Wallets

It goes into how Bill Gates received the Gandhi Prize for Peace, Disarmament and Development on behalf of the Bill & Melinda Gates Foundation, which has poured a $1bn into India. Clearly, not ALL of this money has been put to the best use (see How Bill Gates Blew $258 million in India's HIV Corridor). There are clearly many many things that I could comment on based on my own experience in rural India. I know there are friends of mine who work in global HIV/AIDS from the public health angle, and they too have quite a bit of criticism.

However, my point today is simply the scale of the spending, and the main point that the first article tries to drive home: India's rich need to open their wallets more

While Bill Gates IS super rich and he DOES have a lot of disposable income, there are many billionaires and multi-millionaires in the new 'shining' India. Adjusting for Purchasing Power Parity (PPP), which roughly stands around 4 times the official exchange rate, these people have significant levels of income at their disposal.

Which begets the question - why don't India's wealthy give back more?

The article does an excellent job of presenting many different reasons and opinions on why this is the case. Personally, I have to agree with Tarun Das that there aren't enough outlets for giving. It makes sense that the rich, many of them corporate titans who have made their fortunes by driving hard bargains and results-at-all-costs, would want the same value-for-money and concrete results in their philanthropy. PR at a large scale is not enough simply because it's not NEEDED. Unlike the US, where a corporation's social commitment and community outreach genuinely factor into how well communities accept and support them, and if top talent chooses to work with them, this is really not the case in India. A new middle class is being minted in India, and the only bottomline for talented youth is the financial one at this point. There is no judgement here - it simply is. It makes sense. There is limited choice. The generation before us, my parent's generation, still teaches us the 'conservative', risk-averse way, and reminds us of our 'responsibilities' to the family.

Another favorite line in India is echoed in this article: "Charity begins at home". The typical argument from parents is that yes, it's a good thing to serve and give back, but why don't you serve and give back your immediate family? It's a strong argument, and perhaps relevant to families rising in the socio-economic totem pole. However, for MANY of the families I have encountered, the rest of the nuclear & extended family is doing a good enough job by themselves. Secondly, this is EXACTLY the mindset that we as Indians need to move beyond. It is a question of identity, and how generous you are in your definition of it. Is it enough to be just a particular family from a particular town? Or a particular sub-caste from a particular region? Or a particular caste from a particular state? Or 'high society' vs. 'low society'? Clearly, if you draw this argument out, the only universal truth is to consider yourself as a being of the larger universal, with responsibility towards all, living or human or not. However, the journey from the intellectual answer to spiritual realization is vast, and for most will span multiple lifetimes. Perhaps due to my upbringing, and definitely due to the Indicorps, I choose to look at my identity as that of an Indian, and choose to revel in the idiosyncrasies of all the sub-identities within that. What's not OK to me, and this is gut not intellect speaking, is to limit charity to home. That's the cop-out answer.

For the wealthy to start their charity at an individual/local level, however, makes sense to me. My experience has taught me that we will only climb over brick walls for things that matter to us, that which we personally identify with, where we have 'skin-in-the-game'. And if I choose to be forgiving and be OK with the fact that everyone is at a different point the spectrum of identity, then that's where they should start. For example, the Piramal Foundation, who funded the Grassroots Development Laboratory (GDL), chose to begin its activities in their ancestral home of Bagar, Rajasthan. It's a great place to start, because there is goodwill in the community, people trust your intentions, and you have room to learn from your mistakes. But many a foundations tend to limit themselves to only their ancestral homes, or where they have factories. Foundations that can afford to have massive scale need to step beyond their places of start. I applaud the Piramal Foundation in learning from their experience in Bagar and working towards spreading their work beyond, and I will be keenly following their expansion over the next few years.

There is one 'gap' in my argument here. Beyond the debate of whether charity is good or bad, I see the 'operational' roles of foundations as one of two. First, they can either try to tackle one particular problem or issue e.g. clean water or AIDS or education etc. In this case, once they figure out the solution, they should expand geographically to the greatest extent possible and spread that benefit (yes, greed is good). The other option is that they 'adopt' a particular region. In this case, they should take a holistic view of development in this region, and try to solve EVERY problem that arises. Again, all of this is a theoretical extrapolation, and I completely understand the complexities and ground realities of scaling organizations, particularly those that are mission-based. Looking at it from a business perspective, we can transpose these two options as (1) Producers of goods / services (2) Distributors of goods/services. Piramal Foundation has taken the role of the first, and are thus pushing market-bases / sustainable solutions to particular issues, great example being the expansion of Sarvajal into different territories. I had a chance to visit a foundation in Hyderabad this past April, and I recommended the latter option to them - their 'identity' and 'mission' was much more to help the people where their factories were located, as well as a couple of adopted districts of Andhra Pradesh. But I did push them to think beyond 'good enough' - Yes, 10 free pyaaus (free water stations during India's blistering summer) are great, but why not a 100 or a 1000 to cover all of your area? And also to think holistically about the needs of that area, beyond the projects that were sparked largely by the inspiration of the foundation's team and chairwoman.

All things aside, I strongly believe that India needs its rich to identify with the poor, and open not just their wallets, but also their influence and tenacity to help those in need. Some of the complacency comes from the hangover of the bygone socialist era - 'it's the government's job'. And as much as I applaud Bill Gates generosity, some of it comes from the money being poured in by international aid organizations.

I have a radical thought for India. Why don't we work towards stopping all international aid? And instead find a way, a call-to-action for our own rich? Perhaps one man in India won't part with $1bn, but 10 Indians together can. Will India's rich rise to the occasion if the national identity and self-reliance was called into question? Would ads reminding us of India's 'beggar bowl' image from back in the early 60s do the trick?

Tuesday, July 14, 2009

A brief history of c-sections

Read:
http://www.nlm.nih.gov/exhibition/cesarean/part4.html

 Legend of Caesar's birth 

Very interesting read on how c-sections came to become prevalent around the world. It is interesting to note that the c-section rate in the US is a above 31%. The WHO mandates that the optimal levels of c-sections in any country should be between 5-15%. This makes logical sense. It is a known fact that 85% of all deliveries are completely normal. That is someone has to just stand there and catch the baby (preferably with clean hands).

I would never discount the pain that women have to go through childbirth (apparently ranked as the most painful human experience, followed at number 2 by testicular torsion). However, undergoing a surgery that has no health benefits for mother or child, and instead a longer recovery period, more chances of infection, and all around increase in cost just doesn’t seem like that good of an idea.

True testament to why public health is such a socio-religio-politico-technologico-economic(o?) probem with no easy solutions.

Thursday, June 4, 2009

BoP reading guide

A friend of mine asked me about a reading guide for BoP / using business to serve the poor.



Thursday, May 21, 2009

Why maternal mortality is not easy to solve

My manager at GE healthcare and I went to Canje (pronounced Kanj), the "headquarters" of Zanmi Lasante (Partners In Health in Haiti).  It was truly exciting to get an opportunity to visit the place where Dr. Paul Farmer started his inspirational work.

On our way there, we encountered a group of 12 men who were carrying a women on a stretcher. Turned out it was a woman in labor, who also had eclempsia (caused due to hypertension, and one of the leading causes of maternal mortality globally). The lady was from a village on a mountain. She had gone into labor around midnight. Around 6am, somebody recognized the symptoms of eclempsia setting in, probably because they had seen it before: Haitians have a VERY high fertility rate - 1o to 12 pregnancies is the norm. They started gathering the family members and the neighbors, who all mounted the lady on a homemade stretcher (an iron bed with two big logs ran under, and a sheet to cover the lady). They had been walking for 3 hours, and had another hour to go when we ran into them.

The number of challenges that come up in that story are immense: detecting hypertension (cause of eclempsia) and other conditions early, educating the traditional birth attendants, providing a means for communication in case of an emergency, providing an ambulance/means of transportation, and facilities for operating and blood transfusion, etc. Many many things to think about, and that incident has definitely sparked a slew of conversation here.

The story has a happy ending. We turned around, offered the car to the lady and her family, who drove her to the Canje facility. When we got to Canje (after hiking a bit), we learned that the doctors had performed a successful c-section. The mother was being closed up when we last heardc, and was stable. We actually saw the baby being given oxygen. In the words of the pediatrician, the baby "was not crying as vigorously as we like".

I'll let the pictures do the rest of the talking:



Group carrying the stretcher - note the roads

Close up of the group carrying the stretcher - they had to come down moutains like the ones you see in the background


Mother in labor on the stretcher


Lifting the mother out of the stretcher


Loading the mother into the car



The "stretcher"

The baby being administered oxygen

Closeup of the baby boy

Of hummingbirds and mangoes


Pics from the very niceguest house area where we are being hosted for our trip. It is surreal that something this nice exists in rural Haiti.
















The building in which we live

















The lush greenery










Spring is fruit season
















The dining room / patio area






















Did I mention the mangoes that we pick off the tree and have for breakfast / night "supper" (there's no dinner in Haiti)




Beautiful hummingbird right outside the dining room

Friday, May 15, 2009

TO DO: Regain childlike wonder

So. A fantastic thing happened the other day.

I was chatting with an Indicorps alum who I haven't spoken to in a couple of years (it's a shame, I know). And as we get talking, she starts talking about how she's doing her PhD on how Australian lizards speciate. And how she keeps the spirit of service alive by teaching math to prisoners. And how she's learning the Banjo, just because.

The banjo. That's right, the banjo! And it totally rocked my proverbial socks off. It hit me right there and then like a burst of inspiration. THAT's what I need to do - I need to keep that childlike wonder alive. I wanna do things SIMPLY because I'm curious about them.

Like her, I can be (and am) serious about what I want to accomplish in this world. But I don't need to be serious all along the journey! I want to take little side tours, just because. I still want to look at the world with the eyes of a child, full of curiosity and wonder. 

Gibran captures this balance between duty and passion beautifully: 

Among the hills, when you sit in the cool shade of the white poplars, sharing the peace and serenity of distant fields and meadows - then let your heart say in silence, "God rests in reason." 
 
And when the storm comes, and the mighty wind shakes the forest, and thunder and lightning proclaim the majesty of the sky, - then let your heart say in awe, "God moves in passion." 
 - The Prophet by Khalil Gibran