People's Health Movement PHM - re-establish health and equitable development as top priorities with comprehensive primary health care


home page contact us     

About PHM News Room Events PHM Worldwide Campaigns Publications

Charters Voices PHA 2000 Links Get Involved Contact Spanish
 tsunami

Last Update:  September 01, 2005  

 
 

  http://www.indiadisasters.org/tsunami/

 

A one stop humanitarian website that pools together tsunami response efforts in India

 

 

Read the Chennai Declaration

 

 

Now Available:

"Goodwill is not enough:  A reflection on Post-tsunami disaster response, a discussion video based on the two day  workshop,  strategies" is now available. For more information about the video please contact the PHM Secretariat

 

 

 

 

 

            Goodwill is Not Enough, say Tsunami aid workers

 

Humanitarian workers, those who go from one disaster to another, know that it is not enough to blithely set out to help people. And if the disaster is spread over nations divided by wide seas, old wars, steady prejudice and privilege then there is very little space for Pollyannas. Around 150 days after the tsunami, humanitarian aid workers are pausing to review and regroup. In a meeting organized by the People’s Health Movement on 8 and 9 April 2005 over 60 non-governmental organizations and funding agencies from around the world came together in Chennai to share experiences, chart the road ahead and debate the role of aid workers. The aid workers were primarily representatives from India, Sri Lanka and Thailand, three of the nations most affected by the tsunami. Also present were aid workers from dozens of countries like Nicaragua and Bangladesh who have learnt about disasters from painful encounters. A document that records some of these discussions and decisions is about to be released by the People’s Health Movement under the name of the Chennai Declaration.

 

The tsunami is over a hundred days old and unfortunately no longer a saleable commodity in mainstream media. The stories are still fresh on the lips of relief workers though. This is not the chest-thumping stuff of my-disaster-is-bigger-than-yours.”  “It hurts that my mother is gone,” says a young girl simply in one of Satya Sivaraman’s short films. Many stories are that of pain and grief, things that hurt, things that are simple. But many other stories aid workers shared at the consultation were like puzzles set by mysterious creatures to test the heroes of legends. In helping communities rebuild should NGO’s perpetuate the same inequalities or use these opportunities to change exploitative situations? Where does intervention end and where does intrusion begin? When should aid end?

 

It may have been alright for Alexander to take his sword and cut through the Gordian knot but machismo is really not an option for aid workers. And diplomacy is sorely tested as aid workers try to rebuild in areas where the communities are at war with each other or the state is at war is with its own people.

 

Walls that tsunamis cannot break

Since December 2004 stories of great generosity, courage and love have warmed a world chilled from the apocalyptic wave. Aid workers from every nation affirmed that local communities, families and friends have often played a sterling role in rescue and relief work. Ethnic and religious lines were crossed often to do so especially in the first couple of weeks after the tsunami. But there are some walls that tsunamis cannot break. Vimal Nathan, Director, NESA Bangalore recounted the story of a fisherman’s bitterness. “I lost everything.  I lost family members. I lost my boats and nets. I can learn to deal with this world. How can I deal with a world that buries my people with Dalits?”  

 

In Aceh, Indonesia, the military have made it clear that aid workers are there on sufferance and no tsunami is to interfere with the army’s daylight killings. Aid workers can either register a strong protest on the risk of being sent away from crucial work or close their eyes to human right violations.

 

Nothing to lose?

Inequalities that existed before the disaster are magnified after the disaster. Women, the aged, children and people with disabilities continue to be marginalized. An already hostile world becomes more complicated to navigate. The delegates talked of the widespread differences in aid allocation and distribution. The poorest of the tsunami affected areas, pointed out Saulina Arnold of the Tsunami Relief and Rehabilitation Committee, have received the least compensation. In that peculiar discipline called bureaucratic common sense, there is no need to compensate those who did not lose anything. So the man who lost three boats eventually gets money to buy new boats but what of the men who until that Sunday morning were the ones who actually took the boats out to sea? Dr. Balaji Sampath the Tamil Nadu Science Forum said with a still-startled air, “There is no department to deal with the loss of livelihood of agricultural labour. In a country where 40 per cent of the population is agricultural labour.”  At the same time in many tsunami-affected places NGO salaries have shot up by as much as 1000 per cent in the three months after the tsunami. And NGOs that came in post-tsunami rarely hire from the local populations.

 

 “The tremendous generosity and solidarity expressed by people the world over and the massive flow of assistance to the affected countries should have led to a process towards achieving a higher standard of living for affected people,” said Sarath Fernando of MONLAR, Sri Lanka. The participants of the conference warmly agreed that the relief measures must not merely aim to restore the communities to their pre-tsunami condition. Sarvodaya, a key organization in Sri Lanka has already laid plans to use the tsunami relief operations for Deshodaya or a national reawakening.                                                                                 

 

But one point of deeply troubling inequity was brought up by aid workers over and over again at the consultation. According to funding policy the millions of dollars being pumped in must go exclusively to the tsunami victims. Never mind that aid has been withdrawn from Africa and Latin America where it is needed just as much. So as goodie trucks pass through areas of Sri Lanka people affected by decades of war cannot stake claims. Aid workers talk of the excruciating task of distributing materials among the tsunami victims while their just as desperately poor neighbours look on. “When thinking of how much money is allocated to tsunami relief, we need to remember that 30,000 children around the world die of preventable diseases everyday,” pointed out Dr. Unnikrishnan PV, Action Aid International.

 

The tightrope of the mind

Aid workers declared that this was the first time that there had been such popular emphasis on psycho-social care. For the survivors of the tsunami, the landscape had been rendered unfamiliar and untrustworthy overnight. Psycho-social care would certainly be beneficial but what would be the nature of this care? How would this fit into the culture of the survivor communities? Insights and debates were varied. Many agreed that psycho-social care should be planned for groups and communities and perhaps not individuals as in traditional Western psychotherapy. Though the work of institutions such as NIMHANS, Bangalore after the tsunami were applauded, scepticism abounded about the competence of some who were riding “the psycho-social bandwagon.”  Is psycho-social care less beneficial if the source is non-medical or non-secular? Is support automatically rendered suspect because it comes from a monk or a priest?  Introspection awaits the aid worker.

 

Beaches of discontent

In India, Sri Lanka and other nations debates have been raging around the creation of buffer zones and coastal regulation zones. In the 20-20 vision of hindsight it seems obvious that people should not have been ever allowed to set up home and business on the beach. While conservators were referring to complex and long-term measures to protect the coastal environment, governments cheerfully latched on to the idea of evicting people from beachfront real estate. For their own safety. People who have lived on the coasts for generations and hardly see the seaside as a great place to get a tan are now being told by governments across South Asia to move anywhere between a 100 metres to 500 metres away from the sea. Even if one attributes solid gold intentions to the establishment the fact remains that these countries do not have the land to relocate the displaced.

 

The question of housing remains complicated. Aid workers recount with irony that they were told there is a time and place for consulting people and right now isn’t the time. So people are stuck in asbestos topped ovens in tropical weather. In some places it has been the fear of fire or the sea that led to the popular thatched roof houses being replaced. But if people are not using them it becomes clear that here is another instance of good intentions being just not enough.

 

The ethical and practical concerns of dealing with what Thomas Siebert of Medico International called a ‘constellation of suffering’ remains rocky. However, documents such as the Chennai Declaration could spark more introspection, discussion and useful insights.

 

 

 

 

 

 

 

 

 

Other PHM links

PHA 2005 | Save UNICEF | Health Now! | The Million Signature Campaign | PHM Australia | PHM India | PHM USA | PHM Italy

 

 
 Back Home Up Next