Thursday 15 December 2016

Super Woman


Standing with me is the awesome human being Shehla Baji. I call her Baji as she is older than me and in Urdu we use this word as a sign of respect for elder sisters. I met her briefly in my first two years of med school during some awareness camps at PHC but we became friends during my third year clinical rotation in Family Medicine at the PHC three years ago. Then in my fourth year when I was president of the school welfare society she was my partner for all the community work, house visits and identifying patients in need. Since then we have always worked together for the community. When we were awarded the 2nd place MacJannet prize Dr Jawed Usman identified her as our main helper as she was from the community itself and no one matched her passion or amazing work ethic. 

I have never met anyone who works for their community with such enthusiasm as Shehla Baji. This blog is about her life and all the amazing things she does. 

Initially from Kohat, a beautiful small village in Northern Pakistan, Shehla Baji moved to Karachi with her family about 17 years ago. She has two sisters and two brothers. In Kohat she finished tenth grade but her father ended up in a debt of Rs. 500,000 and could not pay it off with his employment in the village so he set out for Karachi to earn more money. She tells me it had gotten so bad for them in Kohat that her mother would make tea without milk and give them dry bread along with it as they did not have any money for real food. They could only afford a decent meal once a week and they lived off it for the rest of the days. Their aunt loaned them the money to travel to Karachi. When they reached Karachi they stayed for three months at another aunt's house in Sikanderabad. Since she was educated, she immediately posted ads to tutor children of her lane. At night she and her mother would wash and iron clothes of truck drivers for more money. By the end of three months the family had enough money to rent a house. Within a few months she got married to her husband at the age of 16. The cultural practice there is that once girls get older, family members find suitable husbands for them and they get married off. After she got married she registered to give Intermediate level examination privately and she did all this while she was pregnant. Within a year of her marriage she had her first son Shariq who unfortunately has Cerebral Palsy. Shariq used to be sick quiet often since birth and Shehla Baji was always there at PHC to consult the pediatricians for one thing or another. During one of her visits she was asked if she knew someone from the community who would like to work for PHC and she excitedly told them that she would. She wanted to be trained to learn more for her son and wanted to help her community members.

This was back in 2003. Since then she has worked diligently, and harder than anyone else there. She is always keen to learn new things so that she can educate her community members regarding that. Now she is working full time to ensure that the MacJannet prize money is being spent in the most efficient way at Sikanderabad and maximum people get benefit from it. From Monday to Friday she is visiting schools daily to ensure that everything is being run smoothly. Everyday she visits two schools in the morning and interacts with the students and solves any problems being faced by the teachers. In the afternoon she is at PHC ensuring that the three sessions: the school, sewing class and the computer class is being run smoothly. 

Apart from all the assigned work she has been doing voluntary work for years for the community. She has herself identified 60 very needy children for whom she arranges school fee each month. At the beginning of every year she takes them to the uniform shop herself to get their uniforms. She knows 7 destitute families and she arranges monthly grocery for them. Just recently she collected funds to set up small businesses for two women so that they can earn from home. One of them now sells stationery and the other one sells chips and biscuits. Whoever she thinks is needy or can earn more, she collects funds to get sewing machines for them so that they can begin earning by stitching clothes. She also collected money to set up 2 French fries selling stations so that two teenage boys could start working and earn for their families. Whenever any house is in danger to get their power, gas or water cut off because of the many outstanding bills, she gets on it to ensure that they have enough money collected to pay off their bills. There is poverty everywhere in Sikanderabad but Shehla Baji is working hard to prevent anyone from becoming its victim. In the last blog I mentioned how some women died while giving birth because of the unsafe cultural practices and she is the one who notified other pregnant women to not undergo that practice and registered them with Edhi foundation for a safe and free of cost birth of their children. As her own son has Cerebral Palsy, she is very eager to help other CP children too. She took on the responsibility to arrange for wheel chairs, wheel cycles, diapers, Iron and Calcium supplements and food for 24 other CP children. Sadly, only 17 of them are alive now. 

Today I sat down with her and asked why she was doing all this and she said she was always into helping other people but she became more motivated after her son was diagnosed with CP. She said hopefully someone will benefit from some of this and say a prayer for him and his condition will improve a bit. She said she also felt that it was her responsibility to spread awareness among other people as she was more educated than the rest and she wanted to guide them towards the right thing. Shehla Baji absolutely hates it when people beg and having seen some harsh financial crisis, she wanted people to get out of it and work towards financial independence. This woman is a firm believer of community strengthening and she always tells me that these are her people, if she would not work for them then who will.

On talking about the MacJannet prize Shehla Baji happily told me that she always wanted to do more for her people but never had enough resources and now this gift is actually beyond her wildest expectations. She told me that she has never been more grateful in her life than right now because she is seeing older women who had never held a pencil in their hands are showing up to schools daily and are so interested to learn more. She is confident that this will create a ripple effect and all these women would be more keen towards the education of their own children and others around them.

I asked her if she wanted to give any message and she laughed and said she hopes that there are more people out there like those of  the MacJannet Foundation. Getting serious she said that I do not understand a person who eats three full meals a day and fails to notice that their neighbor is hungry since the morning. She continued and said that she just hopes that people stop living in their bubbles and take a moment to look around them as there would be someone who would be shy to ask for help but it would mean the world to them if you went ahead and helped them. She is 32 years old and one of the most jolliest people I know but when she says all this profound stuff she leaves me speechless. 

Shehla Baji restores my faith in humanity every single day and I hope that she continues to do this forever. She is a real treasure for Sikanderabad and I am so fortunate to know her as my friend. 

 By Zainab Faiza





Thursday 1 December 2016

These Strong Women


At least 5 of the women coming to our schools are pregnant. And they are among some of the keenest students in our classes. I really admire their courage and dedication to battle all the household chores, their morning sickness and back pains, needs of their other children and some even have some less than optimal domestic situations at home. Yet they all come eagerly with finished home works. I asked one of them if it was easy with everything going and she laughed and said absolutely not. She said she never really had any chance to receive education before and now when she has this opportunity she will not let this one go. One of the students is approaching her due date soon and her teacher tells me that she is so keen to learn everything as soon as possible as soon she would not have enough time to come here. I told her that we can adjust her in the following session if she would be willing to attend then. 

Most of the pregnant women in Sikanderabad choose traditional midwives and give birth at home only. These midwives are not trained and have just began doing what they saw the elder midwives do. Because of Ziauddin PHC clinics a lot of women have began coming in for antenatal visits and they are all advised for regular ultrasounds and prescribed folate and iron tablets. Over the last few months only we heard that the two pregnant women who went to local midwives died during child birth and even three other babies saw the same fate. It was just such a big shock for us and now all pregnant women who are coming to PHC are insisted upon to go to a tertiary hospital for child birth. 

Our five pregnant students were specially counselled to seek proper medical care. Shehla Baji took them herself to get all their blood tests done and then she had their name registered in the OB/GYN wards so that when the time comes, they deliver in the hospital. Shehla Baji registered them through the Edhi foundation which is the largest NGO in the country and they have received confirmation that all their child birth expenses would be borne by the NGO. This is a great news and such a relief for us that our students would be looked after properly when the time comes and the cost would not be a burden on them. We also conducted awareness sessions for all of them and we instructed them to carry the message to all the other women they know so that no one has to see the same fate as those unfortunate women who went to the untrained midwives.

We are very hopeful that our pregnant students in the future would be equipped to educate their own children when they are older and help them in their homework and encourage them to study more and build better lives for them.











By Zainab Faiza

Their spirit of Hospitality


Sheen Chai is Pahto for green tea. Pashto is the most widely spoken language in Sikanderabad as it is the language of Northern Pakistan and most of the residents hail from there. It is also understood and spoken by most of the Afghan Refugees so that is a plus. Whichever house or school you visit they'll stand up to greet you with the most gorgeous smiles, and ask you to sit on the nicest room in their houses. Although most houses face power cuts when we go meet them in the afternoon, they'll turn on the small generators which can power one fan and bulb just for you. 

Most of them insist to serve you food no matter what time of the day it is. If you say no, they always have tea ready. I personally do not like tea but my other team members go for it happily. They began offering me flavored juice instead and even flavored milk once ha. I tried settling in for water instead until one day they said have Sheen Chai which is their traditional drink and it was absolutely heavenly. I had had a big breakfast before going to the school that day and after i drank it I felt so light and refreshed. My mother generally drinks the commercially available green tea at home and this one was much better because it was straight from where it is grown in Northern Pakistan and it is not sold under any label, just by its weight. Guess I know what I'll be asking for every time I am there now.

I feel bad that they are all poor and cannot afford to go out of their way to feed us every time we visit but I had quiet an interesting conversation with this elder from the area about it. She said we are Pashtun and it is in our blood to serve our guests better than we eat. We consider it our good fortune if we have visitors, that way we have a chance to serve others. And she said do not say no when you are offered food fearing that it is expensive for us, we do it gladly. And we feel respected when an outsider eats with us and from our house. And what you eat was already given to us from God, just for you, so it is our good fortune that God chose us for this. 

Their simplicity in daily life continues to amaze me. 

  By Zainab Faiza