Archive for the ‘Health care’ Category

Images of SQR-funded tent hospital in Yushu

Saturday, May 29th, 2010

The tent hospital for which SQR recently provided funding continues to help those injured in the earthquake.

Seven members of the medical team outside the tent hospital in Yushu Shelves and cabinets storing medicine for the earthquake victims Young earthquake victims being assessed by the medical team A woman lies in a very basic tent ward with an IV drip in her arm

This and other projects in the area still require funding to continue to bring relief to the remotely-located victims of last month’s earthquake.

Summary of Interview Research Two Years After the 12 May 2008 Sichuan Earthquake

Saturday, May 8th, 2010

Work to rebuild the counties destroyed by the Sichuan earthquake is well under way, but a huge amount still needs to be done, and the grim reality for tens of thousands of the victims is that they will still be living in temporary shelters beyond the third anniversary.

Hundreds of interviews conducted recently by Sichuan Quake Relief across a wide range of affected areas with victims of the quake indicate that, while there is a high level of satisfaction with the reaction of the central authorities since the earthquake, at a local level many fundamental problems persist.

A prevalent theme of the SQR findings was the somewhat inconsistent nature of the recovery efforts. Some villages were just about complete, looking extremely well organised, with housing, retail and commercial complexes taking shape and a lot of new infrastructure in place. In these, the locals and officials could rightly say, “mission just about accomplished.” But then it could happen that the next village down the road would look in comparative disarray, with rubble-strewn streets, infrastructure projects in the early stages, temporary dwellings and roads in poor condition and not protected from landslide threats, and permanent housing still a distant dream for most.

Various factors may account for these differences, among them local governance issues, geological factors, local economic conditions, the relative successes or weaknesses of the ‘twinning system’ etc., but for those who live there, for now, it’s “mission far from accomplished”.

Housing is still the key issue that is causing great concern all across the region. The rebuilding work of this vast reconstruction plan that involves more than 1,200 townships and in excess of 20 million people is now officially scheduled to be completed ahead of time on September 10, 2010, but many see this four-month time span as an unrealistic target given that in some towns construction has not begun, and in other cases the land for projects has not yet been officially assigned.

Work on the reconstruction of the 1.4 million rural homes in the area is often slow, and in many cases stagnated, as villagers cannot afford to make up the difference of the average 20,000 RMB subsidy they received with the 70,000 RMB it costs to build an average small home. Many families are consequently still living in homes that are unsafe and marked for demolition, or in unfinished housing open to the elements.

Adding to tensions is the convoluted and somewhat opaque subsidy system which can vary greatly depending on hukou status and other factors open to official interpretation. Towns and villages are rife with stories of favoured individuals getting more than they should have, and of others not getting what they deserved.

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Another related issue that is causing much concern is the matter of farmers being asked to give up their land and move into urban communities to make way for infrastructure development projects. Aside from the post-quake recovery effort in Sichuan, this is part of a wider national urban-rural integration involving the rationalisation of land use by concentrating rural residents and industries in designated settlements. In 2009, according to the Ministry of Land and Resources, nationwide land sale revenues reached 1.59 trillion RMB (US$233 billion), up 63.4 per cent on the previous year. With such profits at stake, many farmers feel that local officials and developers are using the earthquake reconstruction efforts as a pretext to increase their holdings. Amid somewhat frantic and chaotic rebuilding and re-zoning, some allege they were asked to patriotically give up their land for community infrastructure projects, only to then witness it being sold to private business for a handsome profit.

These allegations of unfair compensation payments and land re-zoning projects pop up time and again throughout the region, causing a lot of anxiety exacerbated by what locals say is scarce opportunity to challenge decisions they find unfair. In interviews many said that their calls for meetings at a village or township level to discuss their concerns often went unanswered, and they are reluctant to bring their grievances to a regional or central level.

Regardless of whether the official decisions were fair or not, the fact there is little room for a challenge often leaves the individuals concerned feeling short-changed, and with little access to official sources of information, the community vacuums are often filled with rumour and speculation.

Good work has been done on the anti-corruption front from a central level, many said. Following a five-month audit, the National Audit Office said early this year that 230 million yuan of reconstruction funds had been misused, and Sichuan provincial sources reported that 350 officials were found violating laws or Party discipline during earthquake-relief or reconstruction in 2009. These are small percentages in the overall scheme of the mass recovery effort, and the fact they were publicly investigated last year and reported is laudable, but with community suspicions running deep it is important this work continues to be carried out under a spotlight and right down to the most local level.

Two years on, reconstruction progress

Education and healthcare standards were, most interviewees said, generally now back up to pre-quake standards. Some reported that poor economic circumstances had meant that a small minority of families could not afford required healthcare or education for their children, and in some circumstances grassroot organisations and non-governmental organisations were helping to fill this gap.

In many areas water supplies are under strain. Sources have sometimes been altered by geological shifts, or by new layouts of villages concentrating too many people on too few sources. Often people walk long distances to fetch fresh water.

The quality of the water, and the air, is also of major concern. The huge level of construction and cement production in the area has inevitably led to a significant deterioration in air and water quality. In addition, there were many concerns raised that with the focus fixed on construction, factories and officials are turning a blind eye to fundamental environmental safety issues. Many people expressed extreme concern for the health of their children as a result of environmental degradation. None of those interviewed had heard of any recent environmental impact assessments carried out in their communities. No doubt this type of work is being carried out, but again it seems information of this kind is not trickling down to the local communities.

To appease these and the other primary concerns mentioned here there were many calls at a grassroot level for a more obvious and accessible central government supervisory presence in the affected areas. And the government efforts at all levels should continue to be bolstered by the civil society initiatives, which were widely praised. Multiple grassroot organisations, as well as domestic and international non-governmental organisations, have been playing a solid role in the wider area of community recovery and development in the two years since the quake. Similarly, media outlets, both domestic and international, have been granted wide access to the affected areas and have proved invaluable in increasing the wider level of understanding of the regional issues. Their work should be applauded and encouraged, particularly now, two years after the event, when the focus might be inclined to shift elsewhere.

In Sichuan, much great work has been done over the past 24 months, and many people have been able to rebuild their lives in a comparatively short space of time. But the fact remains that with such a huge number of people affected, even if a small percentage fall through the support net, that number could amount to tens of thousands, if not hundreds of thousands of victims. Those that have the potential to fall through the net need to know they will not be forgotten two, three or more years after the disaster. They need all our support.

Report also available to download in PDF format.

MSF assessment of relocated Yushu earthquake victim conditions

Sunday, April 25th, 2010

MSF (Medecins Sans Frontieres / Doctors Without Borders) has relayed its assessment of the current and potential problems for those people who have been relocated to tent villages following the Yushu earthquake of 14 April 2010.

Although food and shelter for the survivors are not currently problems, health needs are significant. General surgeon Daiki Murakami was the medical coordinator of the assessment team. Hygiene problems should be considered. In these large camps for displaced people there is little waste management and they definitely need more latrines. At the moment there are not many severe infections or diarrhea, but in the following weeks such kind of disease could happen so this should be addressed urgently, said Daiki.

In addition, children could benefit from post trauma counselling, Daiki said. According to a teacher I met in a school, some children are behaving strangely, completely differently than normal. Some children start laughing suddenly, other start suddenly crying. Some seem depressed and many of them cannot sleep well. This is all likely linked to the earthquake, said Daiki.

Work on new buildings begins in Guangji, as does flu season

Sunday, April 4th, 2010

After completing the reinforcements and laying the new playground and car park up at SQR’s Guangji Kindergarten and Community Centre project, the next phase was immediately begun. A brand new building will not only replace one that was damaged beyond repair, but expand and improve on it too. The building will contain new classrooms, a dormitory for that all-important nap time, a kitchen capable of feeding 140 hungry mouths each and every day, and an environmental toilet.

Work has begun on the new buildings at the Guangji kindergarten Work has begun on the new buildings at the Guangji kindergarten Work continues on the new buildings at the Guangji kindergarten

Meanwhile, flu season is here. Principal Kang and her staff keep an eye on their students to make sure no one is neither unduly suffering nor spreading the illness to their classmates. Temperatures are taken as the students arrive at school every morning — any sign of fever and the parents or grandparents are advised to take them back home or to the local clinic.

Until now the staff had been using traditional thermometers, which is not ideal when handling such a large number of people. On one of our regular visits to the school, SQR brought along a brand new non-contact thermometer, which can accurately read the temperature from a few centimetres away, in under a second. The new gadget not only brings a hygenic benefit, but the added speed means the staff can give the grandparents a quick temperature-check too.

Checking temperatures

Disabilities in China

Thursday, March 4th, 2010

A recent article in the New York Times about a controversial theme park in Kunming, Yunnan Province, contained some statistics which highlight the need for organisations such as Heart Starting Point:

Better than two in five disabled adults in China are illiterate, according to a 2006 survey by the China Disabled Persons’ Federation, a government agency. The average salary of a disabled worker is less than half that of a non-disabled worker. Only one-third of disabled people who need rehabilitation services have access to them, the survey found.

Professionals trained to aid the disabled are desperately scarce: Europe has 185 times as many physiotherapists per person as China, according to a 2008 study by Renmin University in Beijing.

Still, some indicators are improving. The number of disabled people receiving low-income benefits jumped to more than seven million in 2008 from fewer than four million in 2005.

Nearly three in four children with disabilities attended school in 2008, compared with about three in five just two years earlier. The number of disabled students in universities and technical colleges in 2008 increased by 50 percent over 2006. Still, they amounted to a mere handful, just one out of every 5,000 students.

Heart Starting Point (Xin Qicheng), grassroots disabled rights organisation

Wednesday, January 20th, 2010

Huang Li was at home alone in Dujiangyan when the earthquake struck. Pinned under the rubble of her collapsed building, she remained trapped and undiscovered for 96 hours. She says the thought of her 9-year-old son losing his mother kept her alive for so long. Eventually, after four days of searching by local police, firefighters from Yunnan Province and volunteers, Ms. Huang was rescued and rushed to hospital. The extent of her injuries left doctors no choice but to amputate both of her legs and her left arm.

Through months of rehabilitation and treatment, Ms. Huang has retained her warmth and strength of spirit, and resolved to improve the lives of people with disabilities in China. With the support of Dujiangyan Disabled Persons’ Federation and the Department of Civil Affairs, she founded a disabled rights organisation called Heart Starting Point (HSP; their name in Chinese is Xin Qicheng: “xin” means “heart” and “qicheng” is “to begin a journey”). Her husband, Deng Ze Hong, gave up his popular out-of-town restaurant to be Ms. Huang’s full-time carer and co-director of HSP. He attends to every aspect of his wife’s life without complaint, despite suffering back strain from lifting her in and out of bed. “I’ve chosen the right guy,” says Ms. Huang, smiling. They are still living in temporary accommodation but expect to be back in their rebuilt home before the second anniversary of the disaster.

HSP was established to build on “the enormous support from all areas of society that helped us out of the shadow of fear and sorrow,” says Ms. Huang. “We hope we can show people, through our own experiences, that even though we are disabled, we still embrace life, and we can create wealth and value for this society.” It aims to support not only earthquake victims, but also people who were disabled before or since the disaster.

One of the primary missions of the organisation is to develop the means for disabled people to earn a living. So far they have opened a small workshop that trains people in the art of traditional Qiang Minority embroidery and other handicraft skills, setting up outlets as far away as Guangzhou, Hong Kong and Shanghai to sell the work. There are now more than ten disabled people creating beautiful designs to support themselves.

One of the hard-working cross-stitchers is 18-year-old Meng Hongmei from nearby Hanwang Town. She lost both legs because of injuries sustained in the earthquake, causing not only physical but severe psychological distress. Slowly, through informal counselling from Huang Li and others similarly affected, she has grown in confidence, come to terms with her injuries, and has learnt to walk again with the use of artificial legs. She has made new friends through HSP and enjoys her new creative outlet immensely.

Other important aspects of HSP’s work are to encourage the adoption of disabled access and facilities in local businesses and public areas; to help other groups and organisations to provide medical and psychological assistance to disabled people in the area; and help allocate funding (either raised themselves or donated by other organisations) to those that need it most.

HSP has established a growing network of people with disabilities in Dujiangyan — almost 200 members and counting — providing a hub of information about services help available, mostly disseminated through home-visits as part of their community outreach.

With their strong desire to improve society, not only in terms of the needs of disabled people, but also to show that they are just as valuable members of their community as able-bodied people, HSP has an important and long-term mission ahead of it, and SQR hopes they continue to grow and make a strong contribution to social development.

The Heart Starting Point (心启程) team with two of the SQR staff

See also: SQR’s Re-granting project.

SAME Camps – huge success in difficult circumstances.

Tuesday, July 28th, 2009

360 volunteers from China and abroad taught more than 4000 kids in 13 camps organised by SQR in various locations around the affected areas.

The SAME (Sports, Arts, Music, English) camps have been hugely oversubscribed, both in terms of those attending and in terms of volunteers, and have been a lot of fun, a lot of hard work and well worth the effort put in by all involved.

SQR sends huge thanks to all our volunteers who worked under difficult and sometimes dangerous conditions.

This summer in the quake zone, there have been large aftershocks, horrendous rock and mud slides, and many bridges and roads in the area were blocked.  The extraordinary torrential rains caused 11,000 homes to collapse in the past week alone, and scores of local residents died.  It is a timely reminder that, whilst incredible progress has been made in the reconstruction effort, there is still an enormous amount of work to be done in building up an effective infrastructure in this beautiful area, in terms of roads, bridges, schools, clinics, hospitals and other facilities.

All volunteers were camping, with no hot water available.  To compensate, however, there was often a plentiful supply of warm buzzing mosquitoes (thanks to them for committing to the project), and heavy rains on tap pretty much permanently in recent weeks.  The volunteers and kids showed great good humour and determination to enjoy themselves.

For the volunteers, life really was not easy at times, but they managed to keep the kids occupied and entertained for a week at a time, which is an achievement in any conditions at all.  It is wonderful to see such a tremendous effort from so many people, from students on holidays, from people giving up time from work and their families to help out, from people travelling large distances from all over the country and all over the world to make a contribution.  The SAME (Sports, Arts, Music, English) camps have made a difference.

Thanks to the hundreds of people who contacted SQR to volunteer, and thanks to those we said ‘no’ to as well – there were simply too many volunteers.  To stay in the loop for future volunteering opportunities, email mark@sichuan-quake-relief.org to be included on the SQR newsletter mailing list.

If you took part in the camps and have stories and photos, please email mark@sichuan-quake-relief and we’ll get them up on our Flickr account (www.flickr.com/sichuanquakerelief) and on the SQR website (www.sichuan-quake-relief.org)

Thanks again

SQR

Training courses for emergency situations

Monday, July 20th, 2009

Training courses in Chengdu for emergency situations

本报讯(记者石小宏 实习生 陈黎)面对突发的地震、火灾、水灾等灾害,如何在黄金自救时间里运用救生包?20日,在华西医院与香港理工大学护理学院联合举办的华夏高等护理教育联盟暑期灾害护理培训班上,教师给来自内地和香港41所高校护理专业近200名学生出的第一道题。

为期两周的培训,主要是普及灾害理论以及灾害自救护理。举办这样的培训班,目的是让学员们学会灾害中的自救护理,并把这些知识传给更多的人群。

Chengdu-based ‘nursing in emergency situations’ course for mainland Chinese and Hong Kong trainees.

A summer vacation course in ‘nursing in emergency situations’ has been held by Chengdu’s Hua Xi Hospital and Hong Kong Polytechnic University (香港理工大学).

During the course, the first question asked of the 200 students from the mainland and 41 Hong Kong students the first question is, “how can you use a survival kit effectively in case of an earthquake, fire, flood or other major disaster?”

The main aim of the two-week course is how individuals can deal with disasters and protect themselves in emergency situations.  The idea is that the course trainees learn survival and first aid techniques, knowledge which they can then pass on to other people.