• Nathanael Lee (ENG’15)

    Nathanael Lee (ENG’15) Profile

  • Daniel Sade (ENG’14)

    Daniel Sade (ENG’14) Profile

  • Alan Pacheco (ENG’15)

    Alan Pacheco (ENG’15) Profile

  • Teresa Fulcher (ENG’15)

    Teresa Fulcher (ENG’15) Profile

Comments & Discussion

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There are 4 comments on In Zambia, Text Messages Save Lives

  1. Well intentioned, but this article and the projects it describes still strikes me as very “Global Health 1.0”, rather than representing the new wave of global health entrepreneurship that’s been building over the last 15 years. The students went to Zambia, did a “needs assessment” that was likely biased by their own socioeconomic perspective, and returned to the United States, where they decided on the best of the four antenna designs they were considering. This decision should be made by no one other than the locals who will be using it for the foreseeable future. If Western humanitarians hope to have any local buy-in and any real impact, we must recognize that it’s not us that will be using the products we pander. True global work must be based in education (“train the trainers”) and capacity building, with locals identifying their needs and solutions that will work for them.

    Although I’m sure these students got some really important education, and perhaps they will truly invent the next tool that will revolutionize global health, they shouldn’t delude themselves that they are really doing that much for Zambia. A much better use of the 4 roundtrip airfares and $50k would be to sponsor a young aspiring engineer from Naluja to come to study at BU and return to her own community.

    I’m a medical student at BUSM, and I want to do global health. I’m struggling with the same conceptual challenges. Let’s work to build Global Health 2.0 together — one that’s driven by local need and actually builds local capacity, rather than what looks good to our friends and funders back home.

    1. I understand your concern and want to add a few clarifying points to this article. EWB is entirely focused on community partnership and takes no action before ensuring that what we propose is appropriate for the needs of Nalujans. The projects we implemented are the result of extensive consideration and dialogue with the community, and we have had to discontinue various proposals on our end due to lack of interest in Zambia.

      I absolutely agree that there is no point in implementing a project and have all the money we raise and the effort we expend go to waste simply for the sake of making a good appearance back home. It is imperative to first educate ourselves and then train the community, as we have done, to ensure the sustainability and replicability of our designs. More importantly, this educational initiative empowers community leaders and members with applicable technical knowledge relevant to their situation.

      It is unrealistic for any student organization of our limited scope and resources to think we are solving the immense and multifaceted challenges Naluja faces. Instead, aware of our limitations and geographical, economic, and cultural differences, we do what we can to make a targeted impact to improve quality of life. We encourage all who are interested in us to become informed on what we do and continue challenging the way we operate to augment the work we are taking on.

      1. A good reply Alan., I have been volunteering for the past 8 yrs. with a group (Communities Without Borders-local to Boston area) that has been raising money here to fund orphaned children in Zambia (Lusaka area) to attend public school there. There are summer visits for those who have participated in the project, and while there we have engaged in projects requested ( I stress ‘requested’ ) by folks in the compounds/communities- those of us who are teachers have done workshops for the relatively untrained community school teachers, others have helped with painting, repairs, and biggest of all was helping them with their plea for nearby access to health care. We formed a board there- all residents, who then formed a gov’t/community partnership . We raised funds here, The board in Zambia hired the local workers, bought local supplies, made the bricks , and built themselves a basic health care center. The Zambian gov’t agreed to supply a 24/7 health care worker. Last year on our visit, we found that another International donor was impressed with the arrangement and local control/involvement that they supplied solar power for the now 3 buildings. The gov’t has added another health care staff, and supplied a radio connection & ambulance arrangement with the hospital 25 miles away , pending the compound residents filling of huge potholes in the 3 mile long dirt road up to the main road where the ambulance would meet them.
        There have been times when I have heard the same complaint about the ‘feel-good ‘ trip- but have seen what happens when people themselves are honored for their intelligence, and being trusted to know what they need and manage the outcome.

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