Saturday 21 December 2013

Merry Christmas

Well it feels very different here to back home; no tinsel, no tree and definitely no snow! The rains however have arrived on cue, the weather here has changed dramatically in the last couple of weeks and now it rains for about an hour each day. The rain is announced by a sudden drop in temperature of about 10 degrees which is incredibly welcome as otherwise it’s around 35C and very humid. As soon as the temperature does drop you know you have about 5 minutes to find shelter before the heavens open. The rain can be very heavy and on my tin roof sounds almost apocalyptic! It’s a refreshing change though and things are already starting to get much greener. The whole place seems to be coming alive which is great except that includes the insect world; millipedes a foot long, damsel flies as big as your hand and armies of flying termites which seem to get into your house whether you leave the windows open or not!

Today is my last day in Lilongwe before I leave for Likoma Island where I’m spending Christmas with Nat and Judy. Likoma promises to be something of a paradise; white sandy beaches and palm trees with the warm waters of Lake Malawi lapping at the shore. There is however very little phone reception, no ATM’s and only one shop so it could be quite a quiet Christmas. The place we’re staying at has a dive centre so I’m hoping to do some scuba while I’m there; I’m also going armed with a Christmas pudding courtesy of my father so we can inject a little traditional Christmas spirit.

The journey also promises to be an adventure, the regular ferry that runs twice weekly has broken down so we’ll be braving it on a local boat which no doubt will be packed with people, poultry and drying fish!


I hope you all have a very merry Christmas and a happy start to 2014, I’ll be back on the 2nd of Jan and will be sure to post some pictures as soon as possible.

Thursday 19 December 2013

Production Ready

Our iHRIS pilot phase is now drawing to a close. We’ve had some really useful feedback from our users and have done several iterations of development to address the points raised. We’re now in a position where we have imported the entire HR dataset into the new system and in the New Year we plan to slow down our rate of change and enter a more maintenance-like development cycle. This means that iHRIS will be live and users will start cutting over to the new system, using it as their primary HR planning tool. With this in mind it was very important for us to setup our production server before Christmas and migrate our first official release to the new environment.

Just in the nick of time USAID came through with the goods and our shiny new HP ProLiant arrived in the office. Now all we needed to do was rack it in our “data-centre.” I use that term in its broadest sense as in true Malawian style our data centre is actually a single rack cabinet in an air conditioned room (not common out here) with a backup generator that broke down two years ago! The rack does of course have a battery backup but with all the kit plugged into it we can only really survive a power cut of 10 minutes or less.

With none of us being proficient server technicians, installing the new box was not without its moments of comedy, but we got there in the end;





The Ministry of Health closed down for Christmas on the 13th of December; this gave us the opportunity to sneak in this week and try to sort out the spaghetti mess that is the ministries computer room while nobody else was there. Over the course of three days we managed to tidy Teddy’s office so it vaguely resembles a useable space and also sifted through the mountain of discarded desktop machines they have, find the ones that still have a pulse and set them up as proper workstations in the computer lab. We even had time enough for some guerrilla networking which will hopefully mean we can all get IP addresses a little more reliably in the New Year!


Tuesday 19 November 2013

Peer Support

Last week was VSO peer support week. This four day event held twice annually is an opportunity for all the volunteers in country to get together and share experiences.



This was my first and I found it to be a very useful event. On a personal level it was a great opportunity to discuss the general ups and downs of Malawian life and share some war stories with other vols. On a professional level it was great to hear about some of the projects people had started within their placements and explore possible overlaps and opportunities for re-use in other areas.

Some of the interesting projects being implemented or designed were as follows;

  • A role playing game to teach children and young adults about the dangers of HIV and the importance of practising safe sex
  • Free Wi-Fi routers for nursing colleges (donated by a technology vendor) which will enable students and tutors to collaborate more effectively
  • Introduction of a visual flowchart for nursing students so that they can quickly assess a patients care requirements based on their vital signs. For example, if blood pressure is over X you should do Y immediately. This would be something that every student could carry with them on the wards
  • Do’s and Don’ts posters in HIV testing centres that remind both patient and tester what are important things to ask and inappropriate things to ask during counselling.  Many people are currently put off from getting HIV tests because of the embarrassment encountered at clinics


In our own project we decided to form a permanent user group that would meet regularly and feedback on how useful or otherwise the system was being. We’re very keen to move away from talking only to management at the ministry and get users on the ground much more involved in the development process. We also discussed ways of motivating and incentivising such users with things like off-site conferences or maybe even small giveaways  




All in all a very successful week, full pictures available here: http://flic.kr/s/aHsjMEpHXK



Saturday 9 November 2013

The Clinic

I suppose it was inevitable that I would get ill at some point during the year, I’m only grateful that it was after my family had gone back home and that it didn’t happen while I was on holiday.

On Monday last week I came down with a bug that saw me fixed to the toilet seat for much of the day. Remembering my training I drank masses of water tried to keep myself hydrated, however by about 4pm I had started to feel dizzy and was becoming feverish. Terrified it might be malaria I got Judy to drive me to the VSO approved clinic in Lilongwe which is far nicer than any of the general hospitals the country has.

Upon arrival the doctor took one look at me and before you could even say Malaria I was having blood taken out of one vein and sodium chloride pumped into another. I actually felt a million dollars as soon as they hooked me up to the IV drip as my main problem was really just de-hydration. The malaria test came back negative but my kidney function was impaired due to the lack of fluids so I had to stay in overnight on the drip for observation.

During my 24 hour stay they gave me a whopping eight bottles of antibiotics to get rid of whatever had caused the diarrhoea plus some Piriton to get rid of the side effects and a fever shot in my bum! To be honest I think they completely over medicated, partly because they’re terrified of having a VSO volunteer die on them and also (more cynically) because it means they can charge VSO for more drugs.

When they finally let me out I actually felt worse than when I went in because of the massive drug hangover I had, and just to make absolutely certain there wasn’t a single bacterium alive inside me they gave me yet another course of antibiotics to take home and carry on with.

Back at home I was so glad to be out of the hospital and “fixed” that I made myself a bowl of rich beef stew and cracked open a bottle of red. After dinner I popped one of the follow-up pills they’d given me and went straight to bed…

…Two hours later and I’m awake again, sweating, shaking and talking into the porcelain telephone!

The following morning, feeling like I’d been clubbing all night I read the leaflet that came with the pills they’d given me “Potentially Fatal: Disulfiram-like reaction when administered with alcohol” Great, they never mentioned that! I guess it’s not something that’s an issue for most Malawians!

Anyway, three days later and I’m finally back to sorts, it really has taken me longer to get over the treatment than it did to get over the illness.

I’ve decided not to take the rest of the antibiotics, I’m going to save them for next time and go and buy some ORS sachets for my first aid kit, that way I can hopefully avoid going back to the clinic


Thursday 7 November 2013

Visitors

Apologies it’s been such a long time since my last post. I’ve spent the last month travelling, first with Ron around the north of Malawi and then with my parents and sister in Zambia and the south of Malawi.

Ron's Visit

We spent a great two weeks touring around the north of Malawi, visiting several new places as well as showing off some others I’d been before. The trip did turn into something of a Top Gear special at times as we had the car battery fail on us at the start of the trip and then later on had a shock absorber fall off which we had to have hastily wielded back on by a local garage (only in Africa :-))

It was a great mix of Malawian safari and beach, camping and lodges. It was wonderful to see Ron again after almost four months of course and we both had an awesome time



Full pictures available here: http://flic.kr/s/aHsjKkTeGb

Family Visit

We’d booked a four day Zambian safari for the first week of my families visit in the South Luawangwa national park. This was my first opportunity to see some of the big game and cats that you don’t get in Malawi. We did a total of 4 game drives, two during the day and two at night, we were really lucky and saw some fairly uncommon sights; Lions with a kill, Lions mating (fairly disturbing photography) and a Leopard playing with her baby cub. To top it off most of the animals seemed to be with very new born young, presumably it makes sense to give birth just before the rains.




Some really great shots, full pictures available here: http://flic.kr/s/aHsjM7252k

After our Zambian safari I took my family on a tour of the south of Malawi. Again it was a mix of old and new for me, the highlight being Satemwa tea plantation in Thyolo; a little colonial but a wonderful and fascinating place to stay. We were in the old plantation managers house which came with two of our own domestic staff! Check out the colonial Dennis’s family portrait!




Full pictures available here: http://flic.kr/s/aHsjM6YEk9

Monday 30 September 2013

Mulanje

For those of you that know me well you'll appreciate this is completely out of character but in a moment of pure madness I agreed to climb Mulanje two weeks ago, the highest mountain in central Africa, a whopping 3000m!




The five of us set off on Saturday morning after spending the night at the forestry lodge at the bottom of the mountain. It was a grueling 8 hour hike which I was totally un-prepared for. Chris, Briony and Jessica are all pretty fit and are in training for climbing Kilimanjaro, although I'm sure they could have easily been up in 6 hours flat they were very kind and waited patiently as Judy and I struggled up, offering kind words of encouragement which at times just made me want to hurt them :-)

All smiles at the beginning...

Less so several hours in


On Saturday afternoon we finally arrived at Chisepo hut atop the Mulanje plateau. The views were stunning but whether they were “worth it” was still unclear in my mind. It was much cooler on the plateau but the hut had a roaring log fire which we sat around and relaxed with a well deserved beer. Conversation turned to the porters who'd carried our bags up the mountain and how unbelievably fit they must be, we then started to wonder what the most offensive item would be that you could produce from your backpack at the top after they had carried it all the way; I think in the end we settled on a magnum of champagne complete with ice bucket and ice!

Our porters




On Sunday morning our guide Alex took the three sadists up to the top of Sapitwa (the highest peak) leaving Judy and I to lie in and feel sorry for ourselves. 5 hours later they returned and we all set off for another hut (roughly at the same height mercifully) where we'd spend our second night.

The second hut, Chembe was much nicer than the first and we had it all to ourselves which was great. Another log fire and more beer :-)



Monday morning we set off early down the mountain. It was incredibly steep and not for the faint hearted as some parts of the path came perilously close to the edge of large drops. I was much happier going down but although easier on the lungs it was certainly painful on the legs after a while


Finally at the bottom again we went for pizza in the local town, I have no idea how good or bad it was, I ate it in under 30 seconds!

Hard earned

Full pictures available here: http://flic.kr/s/aHsjJZiwHJ

Friday 13 September 2013

The Pilot Begins

Well it's been a little over three months since I arrived in country now so thought it was high time I gave you all an update on how my project is going and what sort of impact we're having.

Despite a few road blocks and some difficulties in getting started the project is now progressing well. For the last three months we have been getting to grips with the iHRIS framework (see my previous post for detail on iHRIS) and feverishly customizing and developing it for Malawi's needs. We recently ran an initial user workshop where HR officers got to play with the system for the first time and give us some initial feedback on usability and reporting requirements. The workshop was a great success and generally the feedback was both positive and constructive. We're now about to begin our formal pilot phase during which we'll be rolling the system out to three sites in Lilongwe; KCH, (The main hospital in Lilongwe) Lilongwe district health office and the ministry of health headquarters.

During the pilot we'll be making regular visits to the three pilot sites to train and shadow system users as well as collect feedback and requirements that emerge. We plan to branch our code for the purposes of providing a stable production environment during the pilot while at the same time allowing larger scale development to continue on trunk.

The pilot is scheduled to run until Christmas with small incremental releases taking place as needed throughout. In the new year we'll be aiming to begin national roll-out with a more formalized training curriculum. Hopefully by the time I leave next June the system will be in use throughout all 34 of Malawi's district health offices


Challenges


One of the main challenges at the beginning of the project was stakeholder engagement. Unlike a traditional IT project where a client would approach a consultancy, here it is large aid donors such as USAID and WHO which have recommended and subsequently funded the iHRIS project. This has a huge impact on the working dynamic because although the Malawian government are keen to say yes and support anything that brings aid into the country they are also not sure of the benefits of such a system or what impact it might have on their working practices.

Although USAID are the primary donors for this project it is of course us (VSO) that are delivering it. This has added further complication because although both parties want the same outcome there are inherent challenges in cross-donor communication and agenda setting.

For quite a while it felt like we weren't getting much traction and that the project looked set to fail. In an attempt to prevent this we called a meeting with senior management at the ministry and representatives from VSO to discuss a way forward. It was agreed that the ministry should take a leading role in the project and own the delivery of the system. Since then things have been much improved; senior management have been much keener on status reports and we have managed to secure much more local resource time to help with the development.


The main hurdle that still stands in our way to successful delivery is by far and away infrastructure. Many of the district health offices do not have reliable Internet access and we're still unsure of where we can host our server.

We're currently in talks with USAID to provide 3G dongles to the district health offices for the purposes of accessing the system on-line which is great although there are concerns that they may go walk abouts if we're not careful.

For server hosting we're trying to secure some space in a data centre (which are exceptionally rare in Malawi.) The problem of hosting anywhere else such as in the ministry building is ensuring a continuous power supply and reliable air conditioning



So far a very interesting project with some unusual challenges. I will endeavor to provide another project update before Christmas when hopefully I can proclaim the pilot a success!

Wednesday 28 August 2013

Liwonde National Park

Another safari weekend, this time in Liwonde National Park. Liwonde is in the southern region of Malawi and straddles both sides of the Shire river. It was the second time our VSO volunteer intake  had met up since in country training and it was really great to see everyone again.


The opportunity to go on game cruises along the river really sets Liwonde apart from other reserves in Malawi. The nine of us chartered a boat for a night and spent a wonderful 24 hours on the water, spotting elephants, crocs and a myriad of bird life.




I think the pictures do this trip way more justice than my words can so I'll leave it there. Below are a few of my favorite shots but be sure to check out the flickr link at the bottom for the complete, hi-res set.










Full pictures available here: http://flic.kr/s/aHsjHNdu1D


Thursday 22 August 2013

Senga Bay and Cape Maclear

My weekend travel schedule continues to be jam packed, I’m really trying to see as much of Malawi during my year as possible. For the last two weekends I’ve been to the lake which has been great R+R after my harrowing dentist appointment of the week before!

Senga bay is a peaceful cove with only a couple of tourist lodges and a thriving local fishing village. We stayed in a place called coolrunnings which is a great little backpacker lodge that puts something like 45% of its profits into local community projects.

Coolrunnings

Senga Bay Fishermen


The lake itself is crystal clear and stays shallow for a good fifty metres out. It was my first time swimming in a freshwater lake and I must say it’s heaps better than the ocean in a number of ways. Because it’s not salty you don’t feel grotty when you get out and because it’s a contained body of water it’s much warmer than the sea and much calmer.




The second weekend a slightly larger group of us went to Cape Maclear. The cove is similar to that in Senga but Cape Maclear is a little more touristy (as much as Malawi ever is) and has a few more lodges, some of which have late night discos.


The Lake Isn't Just for Fun


We hired a boat for the morning and went snorkelling around a small island just off the shore which was great, we saw lots of freshwater tropical fish and the visibility was excellent.



I can certainly see myself going to the lake as often as possible while I’m here, it’s a beautiful and relaxing place to spend a few days


Full pictures available here: http://flic.kr/s/aHsjHEZTwh 

The Dentist

Last weekend one of my worst fears came true, a cap on one of my teeth fell off and left me needing to rely on Malawian dental care. It wasn’t causing me any pain and I was very tempted just to ignore it but knowing that would be foolish and by summoning a little courage I booked an appointment at the local clinic for that Thursday.

Like most things in Malawi I found the dental clinic at the end of an unmade dirt track, the building looked ordinary enough and from the car park at least I couldn’t hear any screams of pain. Feeling pretty nervous I stepped inside to an empty waiting room with a reception desk in one corner. Business must have been fairly slow as the woman there instantly knew who I was and asked me to fill out a questionnaire.

Moments later and quite unbelievably on time my dentist appeared. She was young, Brazilian and very friendly looking which immediately made me feel much more relaxed. She led me through to the dental surgery which seemed very clean and much like one you would find in the UK, this settled my nerves further still.

Just as I was beginning to unwind a Malawian chap in a lab coat that looked twice as nervous as me entered the room and announced in broken English that he’d be assisting the dentist. It soon became apparent that the nervous dentist’s assistant was new to the job and hadn’t worked with this dentist before, in fact I suspect he was a student. Every time the dentist turned to ask for an instrument the poor guy would have the wrong thing in his hand, then he would drop the right thing on the floor and have to go re-sterilise it. At one point while leaning over me with the photo-cure gun he actually fell off his stool and landed on top of me!

The dentist was not a whole lot better. A full ninety minutes I was in the chair! She spent an hour building up my broken tooth until it was roughly the size of Kilimanjaro, only to then spend another thirty minutes filing it back down again! In her defence she was also child minding the nervous assistant and battling with poor equipment at the same time. The high pressure hose on her drill kept flirting off and making a sound like a gunshot; I’d jump, she’d jump and the assistant would fall off his chair. At one point she had hurt my gum and asked if I wanted anaesthetic, dreading the thought of either of them coming towards me with a needle I’d said without hesitation “you know what, it’s actually not that bad”

About forty five minutes into the proceedings the dentist turned to the nervous assistant and said

“I need more B2”
“we don’t have” came the response
“B3?…  B4!?”

In the end my new tooth ended up looking like a top deck chocolate bar with the top being a noticeably different shade of white than the bottom but to be honest at that point I just wanted to be out of there

Eventually the dentist was satisfied with her masterpiece. She asked me if it was still too high and I lied saying it was fine, I think she suspected I was fibbing but we were both tired and her next patient (victim) had already been waiting thirty minutes so she let me go.


Remember to brush your teeth kids…

Tuesday 6 August 2013

An Average Day

Apologies that it’s been a while, it’s been a quiet few weeks here in Lilongwe; getting into the rhythm of work out here and enjoying a simple African lifestyle.  I thought I’d take the opportunity to share with you what constitutes an average day here in Lilongwe and a couple of side projects I have on the boil at the moment.

If the wind is blowing in the right direction then my day begins at 5 when I’m woken up by the call to prayer from the local mosque, otherwise my alarm goes off at 6. I get up and put my immersion heater on; T-1 hour till hot water.  While I’m waiting for the hot water I rinse off some clothes that I’ve had soaking in a bucket overnight and hang them outside on the line to dry. Then it’s time for some fresh Mzuzu coffee, the previous volunteer who had my house left a stove top espresso peculator which has quickly become one of my most prized possessions. I put it on my standard VSO-issue two ring electric stove and fire it up. Breakfast is either cornflakes or some homemade bread with honey from the Livingstonia orphanage.

Bread and baking in general is one of my side projects. VSO don’t issue volunteers with an oven but I was able to buy a very small one that resembles a microwave from a South African superstore for £80. The oven is very slow and doesn't get terribly hot but when baking bread this is made up for by the speed at which proofing happens; thanks to the African heat typically 40 mins compared to 2 hours in the UK

Breakfast done I make some sandwiches for the day. Shopping for food in Malawi can be a little hit and miss, one week you’ll go and there’ll be lots of chicken, the next week there might not be any chicken at all so you have to improvise with what’s available at the time, recently my local supermarket has had back bacon in (a pretty rare commodity out here) so I’ve been enjoying bacon and tomato sandwiches for lunch of late.

Finally time for that shower! I’m actually really lucky to have hot running water, even if I do have to wait a while for it. Many volunteers aren't so fortunate and very few locals have such luxuries.

It’s now 7:30 and time to head to the office. There are two local “bus” routes I can take to work, both of which involve about a 20min walk and a 20min ride. The local buses are quite an experience; they are privately owned mini-buses that should seat 10 but somehow manage to squeeze in 16. There are typically two guys running them, one drives while his friend acts as a conductor/marketing guy, both taking money from passengers and advertising the service by shouting the buses destination out of the window at anyone they pass.

All the mini-buses start off in old town which is really the centre of Lilongwe and then go out along various routes, terminating in a particular numbered area which is how Lilongwe is divided. The buses I can get are the 12 and the 18 known as such because they terminate in areas 12 and 18 respectively. Most buses are 150KW (about 30p) for a single journey regardless of where you get on or off, some will try and charge you more (especially if you’re white) but they usually climb down when they realise you know what you’re talking about.

On the bus itself it’s very cramped and smells pretty horrendous. Local sellers use the buses to get to market and bring their goods with them which can include fish or live poultry. Most Malawians also can’t afford deodorant or even soap which doesn't help matters on the odour front.

Although I quoted 20mins before the journey can actually take much longer if business is slow. If the conductor on the mini-bus doesn't feel he’s got enough passengers he’ll simply pull over and wait until some more appear, if business is really slow and another bus comes along you may even be ‘sold on’ to the other bus and have to swap.

I normally get into the office for 8am. I’ll actually skip the rest of my day at work as I’ve already blogged about the office but I promise to give you all an update on the project progress as a separate post soon.

I normally leave the office at around 4pm and make my perilous return journey on the mini-bus back to area 6. I’ll often call at my local supermarket Chipiku on my way home for supplies. As I mentioned before, shopping for groceries can be fairly hit and miss at times but the Chipiku near me is large and generally has a good variety of things in stock, not least of all some very nice South African reds which I try and limit my consumption of to a couple a week

Once home I’ll get the washing in off the line and iron everything  to kill any Tumbu fly eggs. I won’t go into any detail about these guys here but for those of you who want to know more the full horror can be read about here;


Next it’s housework time, I generally try to sweep everyday and mop as often as I can. It’s a fairly futile task as the ever present red dust of Lilongwe re-settles almost instantly as you finish but at least you can feel clean for a little while.

Night falls at 6pm sharp pretty much year round and after that it’s not really safe to be outside in Lilongwe unless you’re in a vehicle. As such after dinner the evenings can drag a bit, if there is no social event happening that I can get to then a movie on my laptop is usually the only entertainment there is.

Unless I’m out then bedtime is normally around 9pm – unheard of in the UK but you feel very fresh in the mornings :-)






Thursday 18 July 2013

Vwaza and Lukwe

Apologies for the later than usual blog post but I’ve had quite a bit of catching up to do after returning on Tuesday from a five day trip up to the North of the country.

Last Friday I set off with Judy, Natalie, Chris and Cenk for Mzuzu. Being surrounded by mountains Mzuzu is considerably cooler and therefore greener than the rest of the country, this makes for some stunning scenery and a much wider variety of crops including coffee which the area is renowned for.




On the Friday night we stayed with some other volunteers that are stationed in Mzuzu and went on a short hike to the local reservoir which was a much needed leg stretch after five hours in the car.

Holding locals up as usual


First thing on Saturday morning we set off for Vwaza which is a national park and nature reserve that is little visited by tourists but hosts a great variety of big game and bird life.  We camped overnight in wooden chalets, right on the banks of the lake which is home to several herds of hippo. There is no electricity or running water at the camp but staff are happy to help you build a fire and will cook any food you bring with you.  




We went on two game drives during our stay at Vwaza and saw a great variety of wildlife, below is a couple of my favourite shots but be sure to check out the flickr link at the bottom of the post for the full set. The only no-show was the elephants, we saw some dung but unfortunately that’s as close as we got – maybe next time






The lack of electricity at Vwaza meant there was no light pollution at night and I was able to get some great shots of the African night sky; 




The following day we moved on once more to a little village called Lukwe near Livingstonia.  Lukwe sits right at the top of the rift valley overlooking lake Malawi, to get there we had to navigate 23 hairpin bends on a 15km dirt track which took us the best part of an hour in the car – thank god for 4 wheel drive! We stayed in an eco-lodge there for two nights, one of the most romantic and peaceful places I have ever been, the views were jaw dropping!




The lodge itself was really special too with composting toilets and gravity showers completing the eco feel. The onsite restaurant serves food all grown locally or even within the lodge grounds and was some of the best I’ve tasted since arriving in country.




During our full day in Lukwe (the Monday) we went on a long hike up into the mountains and visited a local waterfall that offered up even more stunning scenery




Tuesday was a long drive back to Lilongwe that took us the best part of 7 hours. Can’t wait to get back on safari now!


Full pictures available here: http://flic.kr/s/aHsjGTJsyR