Sunday 2 September 2018

The Ripple Effect: 2 Years On

This picture from Safya's house just makes me so happy. Safya is standing in front of the blackboard,reading aloud the new topic, she was a teacher in our first session.


This is the article I sent to the national newspaper about my experience at PHC:


144 uneducated, marginalized women empowered, 13 others made into community leaders.



In April 2016 I was interviewed by Talloires Network for the MacJannet Prize for our work in Sikanderabad, 

the squatter settlement behind Ziauddin University. Talloires Network is an international association of different institutions who encourage university students around the globe to be actively involved in their community. The secretariat of Talloires Network is based in Tufts University, USA. MacJannet Prize recognizes exceptional member universities of Talloires Network and awards them a monetary prize to aid them in their work.


Our Director of Students Affairs, Mr. Raza Abbas registered us for Talloires Network. Out of 47 original nominations 10 were selected for the second round which was followed by interviews of each member organization. My Skype interview was supposed to last for 15 minutes but by the time I was done talking to the wonderful interviewer it was past 50 minutes. There was so much to say. I had been involved with Siaknderabad since my first year at Ziauddin. KaraHealth Welfare Organization was a student run organization that held health awareness camps in the area and I joined them. In my fourth year of med school, I was chosen to be the president of the society and I decided to focus all my energy on this area. All the fundraisers that we conducted were mainly to pay for the medical and surgical bills of these patients for treatments at tertiary care hospitals. I had an amazing group of juniors with me and we did regular awareness camps on hygiene and preventable diseases including TB, hepatitis, polio, malaria, typhoid and dengue among others and called in my friends from dental schools to do sessions on oral hygiene. Having no gap between pregnancies, most children in the area grow up without a childhood. We started weekly art sessions for the kids to go wild in art and imagination. We provided sewing machines, monthly groceries, school fee, rent money and money for surgeries and rehab to all those who were needy. KaraHealth is not functional anymore but the students are still very much involved with the community. There was always something more that we wanted to do but we were limited because of our funds. There were so many more people to help and personally I wanted to give them something that stayed with them and made them self-sufficient. This is where the MacJannet Prize came in. We were awarded the second prize of $5000 in June 2016. This had been the stimulus we needed at Sikanderabad.


Glushan-e-Sikanderabad, home to 130,000 residents from all ethnicities of Pakistan, including thousands of Afghan refugees, is the place of poorest of the poor who moved to the metropolis in hopes of a better life. The average number of children per house is 7 and the families on average, earn less than Rs.10,000 a month. Two sides of the settlement are bordered by huge water bodies of sewage and the houses with electricity face about 8 hours of power cuts a day and since there is no water supply, the residents have to purchase water from hydrants daily.

Since 1996, Ziauddin University has provided medical consultation and medicines for minimal fee at the Primary Healthcare Center built in the area. The department of Family Medicine, that runs under the supervision of Dr Jawaid Usman, conducts clinics and ensures all children are vaccinated based on WHO’s Expanded Program of Immunization. Free of cost medicines are provided for TB, hepatitis C and asthma. Besides health related work, the center has also held computer classes and sewing courses for women to train them to become financially independent.

We knew that to help the women stand up for themselves and take control of their lives they needed education and there was no school for older women in the area. Because of the MacJannet Prize we were able to open five different schools for 2 hours a day which ran simultaneously in 5 different blocks. We started with Urdu and Mathematics so that the women could at least be equipped to do their daily work efficiently. The curriculum we used is specially designed by Jugnoo for people who have never attended school. After learning for just two hours a day for 90 days the students are able to read Urdu newspaper, write a letter and do everyday math. For the first session we identified in the neighborhood and from the patients who came to PHC, five women who had at least completed their matriculation. We then asked them if they had an open space in their homes where they could conduct the daily classes. Their houses were inspected and the family members were informed of the program and the plan. We could have hired teachers from other schools or the university studnets could have taught them but our plan was to keep it completely community oriented and to encourage them to stand up for themselves. In the past we have noted that some of our plans could not be implemented as they seemed too foreign and the residents could not relate to the teacher/organizer and always saw them as an outsider who was unaware of their background and cultural limitations. The university students then visited them for regular guidance. Each teacher was paid Rs 5000 per month and held classes for 2 hours daily. The women coming to the classes were above 15 years of age and most of them had never even held a pencil in their hands before. At the beginning of the session each student was given a school bag, books and stationery. Each school was given an attendance register, mats, black board, fan, dustbins and watercoolers for their sessions.
In the time since then two sessions have graduated and third one starts in August. Our initial plan was to have fifteen students per school and have the session run for six months. Due to unforeseen reasons schools have run longer and few students did not continue their studies. The first session ran for eight months and the second for seven months. We have certified 144 women who cleared the post session exam. Those who did not take the exam or failed it were advised to join the session again. 13 fine teachers have lead these eager women to the gates of knowledge. Our youngest student was 15 and the oldest was 70.

I wanted to know why they never went to school when they were young. One of them said back in their village only boys could attend school and it has been the way since. Another said she go did go to the school but her father was let go from work so they let her brother finish his education while she did household chores so the mother could go out and work. Another one of them said their father let them go to madrassah but thought we would be corrupted by attending school. What is commendable now is that they are doing their best to send their own children to school. They were all so grateful that they could attend school for free now and that too so close to their homes and for a few hours so that their daily chores could still be finished. Women who had no one else at home brought their babies along and we encouraged that so they could still attend classes. This was the first time most of them were doing something for themselves and it was all new for them and we tried to accommodate them in every way. We have also had a lot of pregnant ladies attending school and I felt they were the keenest to grasp classwork before their due dates.
We met with the ladies weekly and they are all exceptional women who had to fight the society barriers and some had to overcome family resistance to seek basic education and now they are on the mission to impart it to others.

Safiya who is forty years old was the teacher in one of the schools in the first session. According to her it felt like a party every day at her house and she wishes she could continue teaching. Twenty women started coming to her house from her lane and she did it as she wanted her neighbors to become more aware of their surroundings and learn new things. She said she felt proudest when her students graduated and now they are texting her and taking care of their expenses on their own. Her fond memory is of her student Zahida who was thirty five years old and came from a different block every day and was keen to be called to the blackboard and when she got it right she would dance on her way back to where she was sitting. Safya informed me that earlier when she used to visit her 50 year old neighbor Nasreen she would only be slicing onions and it made her so happy that when she visited her yesterday she was holding a pen and writing about how much she spent when she bought onions and potatoes that day.

Shakira, a twenty five year old fierce student had always been my favorite. She had attended school in the village before she got married at 13 years of age but could not continue her studies when she came to the city. She told me she could not read properly earlier but because of attending the session she now can read newspapers daily. Cooking recipes are her favorite now which she tries on special occasions for her family. Her husband who is a mechanic also looks for old cook cooks at the hawker and gets them for her.
Jantaba, a 30 year old student told me how she used to set up a small stall outside her house to sell chips and candies. On most days she would end up losing profit as she could not subtract properly and would end up returning extra change. Now she can subtract properly whenever someone hands her Rs. 100 and she is making profit now. The best thing according to her is that she can read the rates when she goes to buy chicken at the store.

Another 40 year old teacher Mudassir told us that she was proudest of her student Fozia who could not see or hear as well as other students but had the most determination and surprised her when she cleared the session with the best marks.

Nimrah and Ayesha, the sisters who ran the school together in block 2 said most of the students that graduated from the classes are interested in coming back for a higher level curriculum now. She said it made her very happy that her neighbor told her that she exchanged the box of medicine at the pharmacy which was expired and asked the shopkeeper to give them the right medicine. Another success story for them is their neighbor Fatima who was not allowed to attend school there initially. She insisted and her family eventually let her and now the family is seeing how much it helped her in a few months that they are sending the rest of the children in the family to school now.

Another 16 year old student said that now her father allows her mother and her to go to shopping without him as she can read the bus numbers now and knows which buses to take on the way.

The backbone of the entire program is the 32 year old Shehla Baji who is from the area and an employee of the Family Medicine department at PHC for more than fifteen years. To me she is a Super Human and I am so grateful that she is my friend. She has a killer work attitude and no one matches her drive to improve the community around her. She came from Kohat with her family members and has seen very tough financial times, including the time when her family was eating one good meal a week. Since she was educated she started teaching the children in her lane. After her son was born with cerebral palsy she was often at the clinic to get him assessed. When she heard there was an opening at PHC for a woman from Sikanderabad, she immediately signed up to learn more for her son and to help her community members. Since we set up the schools, she was in charge of their smooth running. Each day after winding up morning clinic work from PHC around 10 am she visits two different schools, one nearby, and the other a block far away. There she checks attendance, asks the teacher if they are having any problems, then she asks the teachers to leave for a while and asks the students if they are having any problems with the teacher. She says initially the women were very shy and could not hold the pencil properly but as the days went by and she asked them to come to the blackboard to write the answer, they have become much more confident. Not only does she teach them about the daily course work, she even has discussions on how to cross the road, how to cook different foods and basic humanity etiquettes. In the afternoon Shehla Baji is back at PHC ensuring that the school, sewing class and computer class is run smoothly. Out of all the teachers, her favorite Teacher is Ayesha who according to her went beyond her course work and taught the ladies extra stuff and even few lessons in English.
Shehla Baji says this prize has helped her fulfil the dream of providing education to those who had no access to it and she will forever be grateful for it. A lot of university students join her for various sessions to these schools where they talk about health and hygiene and tips for disease prevention. Most students also chip in money to pay school fees of children enrolled in the private schools in Siaknderabad. Even for the hygiene camps, they take in soaps and toothpastes for distributions.

I conduct sessions at PHC on health topics and I am so grateful that they are taking control of their health and suggest me topics about which they want to know more about. Among our major sessions were those from the CompassionIt.com curriculum from Sara Schairer, visit by Nusrat Hidayatullah from 42 Day Challenge and Skype session with Zain Maken, a teacher from Teach for Pakistan in Islamabad.

The MacJannet prize money has ended but we have anonymous donors funding the program now so that the mission keeps on going. What has started off as a much step in the right direction will continue to create ripples and impact more women. Educating one woman and informing her about healthy habits means one family will face less disease burden and live better consciously.

Like Shehla Baji we all our incredibly grateful to Talloires Network for encouraging us to do more in the community. And as she says “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 hopes that people stop living in their bubbles and take a moment to look around them, there are always people around who need help but are shy to ask for it.


 By Zainab Faiza