How are the people in Hubli

on site Ivory Coast How toilets save lives page 4 India The pioneer of the Hubli-Spital Schweiz day school supports FAIRMED page 17 page 10


1 on site Issue No. 212 December 2015 Ivory Coast How toilets save lives Page 4 India The pioneer of the Hubli Hospital Page 10 Switzerland day school supports FAIRMED Page 17

2 SPINAS CIVIL VOICES Dear Readers, We go to the end of the world for sick people. Thanks to our mobile health teams, people are also given medical care where no one else can. Thank you for supporting us in this. PC I've been the proud grandfather of a girl for a month. I'm already looking forward to celebrating his first, second, third ... birthday with him and watching him blow out the candles on his birthday cake. As self-evident as this prospect is for me, it is just as uncertain for small children in developing countries: Many of them die before their fifth birthday because they have diarrhea or worms. The most effective means of reducing the high child mortality rate are improved hygiene and better sanitary facilities. ture: We encouraged the village communities to build simple latrines and also to use them. Because the villagers no longer do their business in the open air, the transmission of various diseases is stopped. It is important that people change their behavior out of their own conviction and that they themselves take responsibility for ensuring that the new hygiene culture is lived and adhered to. In the Ivory Coast we have succeeded in finding a new hygiene specialist in various villages in the Taabo region. Dieter Imhof Program Manager Africa Thanks to you, we are able to initiate and maintain these important processes. Thank you very much! EDITORIAL 3

3 How toilets save lives In Ivory Coast, with the support of FAIRMED, villagers learn how to build and use latrines. With this measure they succeed in stopping the transmission of numerous diseases. The acrid stench of feces and urine shows how we can build latrines. is in the air, on the reddish earth Since we had this, fewer children are dying of diarrhea and worm crabs between the simple stone huts, empty PET bottles, crumpled up bottles, and we adults too, paper, broken glass and heaps of it - are much healthier. " A two-year-old boy from Monguessan Yao is the last one in a rusty, brownish village to receive a latrine. «Drink water beforehand. This is how the village of Siriki looked like I had to do my business at Kouamékro in front of a neighbor “thanks to the toilets. Today, one day, and that was about a year later, the village is very complicated that dying is less like transformed: I now have children of my own. The floor between the latrines is pure huts is wiped clean, no nuisance for me, now I can advise far and wide, the air smells of fresh rain and the leaves of the len until the end of my days, ”says Yao . Since he is too old and weak cocoa and coffee trees and nowhere to build a latrine himself, there are more and more manure piles to be had for him some young villagers. «Our village is no longer recognizable with Swiss support since we built latrines. "The principle is built in and our business is not specialized," explains 18-year-old Simon: doing more in the open air. "" We are digging a four-meter-deep hole, says 73-year-old Monguessan Yao. and build a simple one, with «If we had known beforehand how much diseases can be spread via the manure with a spigot, we build around that, we would have long since changed our behavior. We would have changed our behavior. Now we have FAIRMED - It is nothing more than a four-pit toilet in a tent. " So now you can see small latin tents everywhere in Siriki Kouamékro. "They can be used for ten years, then we dig new holes," says the 32-year-old villager Dayo, who represents the village in the health commission to which the surrounding villages have come together. Changing habits takes time "The latrines are just one measure among many others, which are above: Simple outhouses in tents that we will have worked out with the villagers if they are used," says Dayo. numerous diseases stopped. Below: “Now I can feel myself to the end.“ In addition to the fact that we all feel clean during my village days, ”says the happy residents, including the KinMonguessan Yao. Those who had to make it clear that they actually use the latrines, we learn under the guidance of the FAIRMED water. In this way, the people of the employees can be protected with further hygiene from numerous diarrhea and worm measures such as hand washing diseases, which are otherwise more and more widespread and the drinking of boiled food 5

4 The Health for Taabo FAIRMED project has been active in the Taabo district for seven years and, together with the Swiss Tropical and Public Health Institute and the Center Suisse de Recherches Scientifiques, has introduced a system for monitoring demographic and health developments (HDSS). The FAIRMED project with ATCP * elements enables the residents of the district to reach a medical contact point with a minimum standard of quality in their area and supports the population in improving the hygienic conditions in their villages themselves. The regular surveys by the HDSS show that the project will reduce diseases in children and lower child mortality. All residents of the Taabo district benefit from the measures, especially small children and infants. Francs are budgeted for the current project. * ATCP programs (Assainissement total piloté par la communauté) are based on mobilizing the population to improve their sanitary living conditions independently and voluntarily. They go far beyond simple financing, which often does not lead to success. The population is approached through specific questions, the Baka woman Raisin prepares dinner, stimulates her to question her current situation, and 3-year-old daughter Mbangono watches her come to the conclusion that she is defecating in the bush, for example is unsuitable for leading a healthy life. 6. " Provision is also made for other cases of illness: "We now have a small pharmacy box in the village in which we have disinfectants, antipyretic and painkillers to deal with emergencies on site." and pain, we don't know what he's suffering from, ”says Desirée. “Maybe it's Buruli,” says FAIRMED employee Fabien Zouzou, pointing to the huge lump on the boy's lower leg. Villagers drink river water Faster ambulance transport A lot has turned out well - thanks to Boot det in Siriki Kouamékro, but “I'll bring you a lot in the health room, for example, to clarify this, drinking water. "In the morning and if you treat Buruli early enough, the illness is in the evening I wear a letter" We bring Henri well curable. " And quietly full of water from the: river to the house, which whispers with the FAIRMED- it is enough for us for our twelve boat to the doctor. " "Otherwise you have to amputate the boy's leg, a large family, to wash, cook and drink," she says. " The way 15 year old Desirée. It is graceful and easy to hold with your hands without going to the nearest health center, carries it far and bumpy and can only be mastered by the villagers weighing around thirty kilos in a day-long pool of water on their heads in front of the house, puts it down and scoops with them Nobody is motorized, there is no pot of water for a sick person to drink. “Fortunately, river water is yellowish in color, FAIRMED recently had the villagers build a boat with all sorts of small water interspersed with it, with animals, soil and plant fibers. "One that they cross the river and we don't have the drinking water fountain," says Fabien Zouzou. says Desirée. "With this boat we will take Henri Auch to the doctor in the little hut in Desi." rée lives with eleven other family members, there is hardly any comfort. Little steps No chairs or beds, just a few blankets for better health, on which two little boys lay. But now there are figs in Siriki Kouamékro. One is crying. «Henri has announced a fever. The whole village has 7

5 «Show your joy!», The villagers are asked. You don't have to be told twice. gathered under a specially prepared tent roof made of branches and leaves to ceremonially celebrate the fact that the whole village is no longer doing its business in the open air. "The news is good," the village chief opens the festival, who is equipped with a headdress adorned with gold, an oversized cow around his neck and a royal robe. "We would like to thank the FAIRMED organization for showing us how we can improve our hygiene, our village is healthier!" The «It is you who developed yourselves!» Village chief speaks in an Ivory Coast language, which his spokesman translates into French. But as the Ivorian tradition requires, FAIRMED boss René Stäheli does not answer directly, but says something quietly to his spokesman, who then announces Stäheli's words out loud. So the conversation goes back and forth between four speakers. "It is you who developed yourselves," announced the FAIRMED spokesman Stäheli's words. «We are only one of many development organizations that have made this tool available to you. But what the World Health Organization (WHO) demands, better health and significantly lower child mortality, you alone have achieved and thus made a local contribution to national and international health goals. " Ivorian-style party Everyone stands up and claps, and from the background the women of the village approach in their green-patterned robes. They begin to dance to rhythmic drum sounds, and not long, they have already taken us by the hand for a great dance together. We laugh and dance, and at some point it is no longer clear to anyone who belongs to the village and who has come from Switzerland, we celebrate together like a big family. We are given so much joy and gratitude that we hardly know what to do with it. Sweaty and sticky from sweat, sun cream and mosquito spray, we say goodbye. We stow the living rooster with the tied feet in the trunk of our Toyota, which the village chief hands over to us when we say goodbye. The whole village gathers around our cars, hugs us and shakes hands, notes addresses and laughs at us. "See you soon, come back!" we still hear and make our way back over the long, bumpy slope to Taabo past coffee and cocoa trees, through dense reeds, in the reddish-dusty light of dusk. “Yes, we'd love to come back,” we think. Swiss celebrities in the FAIRMED project FAIRMED ambassador Dominique Rinderknecht (Miss Switzerland 2013/14) and TV and radio presenter Sven Epiney visited the hygiene project in Taabo and helped to build the last latrine needed in the village of Siriki Kouamékro. The trip was reported in the Sonntagsblick, le Matin and the online edition of Schweizer Illustrierte. More information at 8 9

6 "Even in the case of complications, the treatment must be continued," says the leprologist Valentin Macaden. The pioneer of the Hubli-Spital People suffering from leprosy are still discriminated against, sometimes hospitals even refuse their treatment. "We started going from house to house to find people with signs of leprosy, to explain the symptoms of the disease and the consequences of late treatment, and to encourage them to register for treatment at the clinic," he says Indian doctor Valentin Macaden. “However, only about half turned up. And of these, as we unfortunately soon discovered, only a small proportion took the prescribed medication on a regular basis. " That is why Macaden 10 FAIRSCHONT and his team intensified their awareness-raising work: “We distributed illustrated cards showing the various stages of the disease. Those affected were able to better classify the changes in their bodies. " The number of leprosy cases has fallen significantly. These measures soon showed their effects. "People learned to interpret the early signs of leprosy and the inhibition threshold to seek treatment began to decline," explains the former hospital director, even in the event of complications. Tangible project successes will be continued. » Otherwise, from the early 80s on, numb patches of skin easily emerged, when the so-called ulcers, which can become so bad, that medication that was only available with antibiotics was an inpatient treatment Remedy menten cocktail, which can still be created today. Tried and tested as the most effective means of treating leprosy, healing and rehabilitation continued. "Thanks to the successful Sensi- The Hubli-Spital has developed over the years bilisation and MDT treatment", into a general clinic, explains Dr. Macaden, «we were able to but remains a reference hospital for leprosy. Number of active leprosy cases in the project sufferers. On average, the annual offer will be reduced enormously Over the course of 1900 leprosy treatments successfully performed for 15 years, we managed to keep the number performed. In Hubli, there is a comprehensive approach to leprosy cases from 7000 "Our patients are the focus, so to 500." And not only did Valentin Macaden gain in courage: "In addition to the figures, there was confidence." Offer to medi for the success of the project: “You could see how much our patients courage, and how much our patients would like to integrate them into the Hubli shop in the hospital.” This and confidence gained. " includes a sheltered workshop and a training center, in which those affected are able to carry out a work that is appropriate to their leprosy medication. Despite the success, problems have remained: some patients have suffered or undergo training during the course of therapy. React. «This creates an important basis, which is created in the development process so that those affected develop new skin spots typical for leprosy with a loss of feeling that is reintegrated into society and become as independent as possible. "But they are not able to find their way back to life directly." attributed to the medication, read more on pages 12/13. but you can also relate to the healing pro- Products from the Hubli shop. The treatment must order pages 14/15. FAIRSCHONT 11

7 The tireless Ernst and Heidi Dutt The Dutt couple ran the Hubli shop for 30 years, where disabled leprosy sufferers can work and earn a living. The now 77-year-old Heidi Dutt came to the Emmaus Leper Aid at the time as an occupational therapist, and her husband, the trained carpenter Ernst Dutt, joined her. The couple came back to Switzerland 10 years ago. From his home in Thun, Heidi and Ernst Dutt organize all orders from the Hubli shop for FAIRMED on a voluntary basis. 12 FAIRMED on site: How did you get to the Hubli shop? Heidi Dutt: I already knew as a child that I wanted to work in India one day. At the Thun train station, I happened upon the poster of the Leper Aid who hired me a little later. From 1965 on I started a project in Mangalore, in 1974 I came to Hubli. How has the Hubli shop and its product range developed over the past 40 years? Ernst Dutt: We started with jute hangings, but they no longer exist. The quality of the carvings fluctuated, but the shop is still doing well with paper and fabric products. Ernst Dutt: I got to know Heidi because my sister was also working in India through the Basel Mission. Heidi and I got married in 1975, and a year later I started setting up the Hubli shop with her. As a trained carpenter, I instructed people disabled by leprosy in making products from wood. Heidi worked with them to develop products first from jute, then increasingly from paper and fabric. Heidi Dutt: In our Hubli years we employed up to 120 people with disabilities; today there are still 27. FAIRTRAUT What was the most difficult thing that you experienced as the manager of the Hubli shop? Ernst Dutt: One night young medical assistants from a neighboring leprosy outpatient clinic attacked the Hubli-Spital, which is right next to the Hubli-Shop. A small mob of twelve angry boys stormed into the office. But they did not expect that there would be a number of employees in the offices after work, and they left.And what was your best experience? Heidi Dutt: The first monsoon rain of the year! It was June and we had longed for the rain for weeks. We followed the weather report on the radio: It's already raining on the coast 240 km away. But with us there are only dark-clustered clouds, which are driven further eastwards by the hot wind. Finally one evening: a strong gust of wind, a distant rustling! We walk to the balcony and sit on the floor under the narrow canopy. It gets louder and louder and ... then it patters over the fence and garden towards the house, over us! We get wet, it doesn't matter, we stay seated. simply that our long-time trusted circle of friends is scattered so far around the world. You returned to Switzerland ten years ago. How was it for you and why did you continue your work for the Hubli shop in Switzerland? Heidi Dutt: First we had to get used to the narrower view of a small country again, but actually we settled in quickly. And of course it is sometimes not Ernst Dutt: It was clear to us that we would continue to be committed to the Hubli shop and FAIRMED. We continuously adapt the selection of products and store them in our 16 square meter cellar. We want to support people with disabilities to earn their own living and we keep going! Dutts have been married for 40 years, headed the HubliShop in India for 30 years and have been organizing the Hubli sales for 10 years. FAIRTRAUT 13

8 14 zoo animals in bag 28 x 22.5 cm 35. Francs 8 card set, colored with envelopes 20 x 13 cm 15. Francs 5 card set with envelopes A6 double cards, handmade paper 12. Francs gift bags set with 2 wine bags 10 x 10 x 30 cm and 3 gift bags size 15 x 15 x 20 cm 20. Franken wooden box in diamond shape, rubber tree wood, 7.5 x 5.5 cm and 4 cm high, with hand-carved rosette 35. Franken jute bag red-brown, with spiral decoration, 40 x 36 cm 25. Francs x zoo animals in pocket ... x set of 8 colored cards ... x set of 5 cards ... x gift bag set Account / Compte / Conto FAIRMED Hubli Shop CH-3011 Bern First name Last name Post code / City The acceptance point L office de dépôt L ufficio d accettazione ZIP / City M Mr Paid by / Versé par / Versato da M Ms. Street Payment for / Versement pour / Versamento per street Additional donation :. M ... x wooden box M ... x jute bag Last name / first name Paid by / Versé par / Versato da Versement Virement Please use code hubli15 for e-banking. M M M M CHF CHF Account / Compte / Conto FAIRMED Hubli Shop CH-3011 Bern Thank you. Deposit for / Versement pour / Versamento by deposit Giro Please use the separate orange payment slip for donations. Many Thanks! Receipt / Récépissé / Ricevuta FAIRNETZT>> SR Versamento Girata The sheltered workshop in Hubli in India is one of several rehabilitation projects that FAIRMED is running in Asia and Africa for people with disabilities. The home workers and employees in the sheltered workshop in Hubli, India are disabled due to leprosy, other illnesses or accidents. Thanks to their work in the Hubli workshop, the employees in the textile printing, sewing and workshop can make a significant contribution to the livelihood of their families. By placing an order from the Hubli shop, you are helping these people to lead an independent life despite their disabilities. You can order the items shown opposite from us using the payment slip below. The proceeds from the sale go to FAIRMED's rehabilitation projects. Packaging and postage are included in the prices. Thank you for your order! Your purchase helps

9 There is still a stigma attached to leprosy. In the FAIRMED workshop in Hubli, India, disabled and former lepers have the opportunity to earn their own living. Thank you for helping people affected by leprosy to lead an independent life with your order. The Hubli workshop for the handicapped some facts The workshop was founded in 1976 by the then leprosy aid. At the same time, the “Hubli Hospital for the Handicapped” was launched. The Hubli workshop for the disabled has a sewing studio, a textile printing shop, a wood carving shop, a paper department and a cabinet making shop. 120 people work in the Hubli workshop; 20 of them are trainees, 40 are home workers. Products from the Hubli workshop are sold in India through its own shop in Hubli, in Chenai and through the Fairtrade organization MESH in Delhi, and are exported to Germany, England and Switzerland. "FAIRMED supports children and adolescents in their school education that was the decisive factor that the day school donated FAIRMED," says Lucas Vogt. Day school supports FAIRMED It's a sunny autumn afternoon, FAIRMED on site meets Lucas Vogt for a conversation in the idyllic garden of his parents' house in Jegenstorf. The 19-year-old doing community service explains why he chose FAIRMED for an extraordinary fundraising campaign and why the inclusion of people with disabilities became his most important topic. FAIRMED on site: How did you hear about FAIRMED? Lukas Vogt: At the day school where I did an internship a year ago, we deliberately avoided special side dishes such as meat or cheese twice a year and just served soup. What we saved compared to a regular menu, we donated to a development organization. My former schoolmate Carmen, who completed her apprenticeship at FAIRMED, then made me aware of the work of the organization. I found it appropriate because FAIRMED also supports children and young people in their schooling. I also think it's great that FAIRMED is explicitly committed to helping people with disabilities. Why? I want to be active where I can actually make a difference: For example, directly through my work with people with different backgrounds. I would like to join FAIRBUNDEN 17

10 men with these people to break down social barriers. Unfortunately, society turns impairments into disabilities. The inclusion of people with disabilities is a key issue for me. I am currently working with autistic people as part of my community service. I had to learn to communicate from scratch. More like this in a non-verbal way, that's a very nice challenge. Basically, I always see people first. This is exactly where many people should change their attitude a lot more to people who are different, talk to them and try to build a relationship. You speak of inclusion, you seem to be well versed in the jargon. Can you explain the difference between inclusion and integration to our readers? Integration is when you work with someone and feel you are the boss and the person who is not part of your system- "Society turns impairments into disabilities, and I want to counteract that." tems, for example, explains how it works to a person with a disability. For me, however, inclusion is when you work on an equal footing with these people and give them full voting rights and do not make decisions about them just because they have an impairment. This is a relatively new topic within the institutions that work with people with disabilities: many do not yet grasp the difference. As a “normal functioning” person, you can hardly imagine how many hurdles people with disabilities face. This is a huge challenge. During the civilian course we did various exercises with wheelchairs and walking sticks for the blind. That impressed me very much. If you are sitting in a wheelchair and only have to open a door or have to overcome a small ledge in front of the door, this can sometimes become an impossibility. First and foremost, I would like such barriers to people with disabilities to be broken down. That is my biggest social concern. How would you like to see inclusion implemented? Hmm ... I don't know exactly. Everyone must make a contribution to this. Use common sense and primarily perceive people as people. Do you feel personally affected by the suffering of the people in Africa and Asia? To be honest, I feel more affected by what is actually going on in my everyday life and in my environment. What is happening in the bush of Cameroon, for example, is not so tangible for me. That is why, after completing my training as a social pedagogue, which I will start next year, I would like to travel the world and, if possible, work abroad. I would like to get to know different forms of training and different pedagogical approaches than in Switzerland, different agogics, different ways of dealing with people. The experience broadens my spectrum and only then can I really understand what the real problem is on site. Do you also support FAIRMED and are you ready to be portrayed for FAIRMED on site? Contact us at Thank you! FAIRBUNDEN 19

11 Christmas greetings from all over the world Help for self-help under this motto, we were able to support numerous people in Asia and Africa to improve their hygienic living conditions, to deepen their knowledge of important health topics, and to make their way to the nearest hospital by boat and motorbike to shorten their births, to facilitate their births and to treat their diseases and disabilities effectively. On site, we were able to see with our own eyes that our projects are working, people are living healthier and more self-determined and fewer children and adults die unnecessarily. All of this is only possible thanks to you, we thank you very much! Your FAIRMED team wishes you a Merry Christmas. Imprint: Quarterly magazine from FAIRMED; Editing: Saskia van Wijnkoop, René Stäheli; Photos: Simon Huber, Karin Scheidegger, FAIRMED, Sabine Seefeld; Design: graphicarts, Bern-Liebefeld; Printing: Spühler Druck AG, Rüti ZH. Subscription included in donations of CHF 5 or more. Aarbergergasse 29 CH-3011 Bern Phone +41 (0) Fax +41 (0)