August 26

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ADP (Diagnose) Mukesh and Baba Allah Rakha.

When I reached in Tabora city, I came to know that there is no person in the office because a campaign is going on in Nzega district. All Jpiego’s team of Tabora is now in Nzega district. Then I decided to go to Nzega. On July 8, I reached in Nzega and then I have informed by the team that we have to stay here for ten days.

 

Tabora region consists of seven districts and Nzega is of one of them. It’s a small city with total population of 502252.We have a plan to go to Igunga district also.

 

I visited District heath officer of Nzega. He was a very thorough gentle man and thanks for GSK to work for the noble cause. Every district consists of several wards. Nzega district consists of 37 wards. Each ward has its own elected local body and its head take care of all matter of the ward.

My project is mostly concern with the demand creation team of Tabora region and it has a very simple hierarchy. CHPs, VCA and CCA are the frontline employee or community mobilizer work directly in the community. Cluster leaders are the first line mangers. The senior technical manager (STM) is the head of demand creation team of Tabora region. During my field work in Nzega and Igunga districts I have worked with 10 CHPs along with cluster leader and SQM.I have visited very remote area of Tanzania and I saw the poverty and lack of health facilities everywhere.

 

 

Gemba in action:

Gemba is the best tool in ADP to diagnose the situation. On first day I have observed and ask questions from the CL, STM and CHPs. My purpose was to understand their Job description and ways of working. We came back in the evening. After dinner, I reviewed all information which I got during my field work. I decided to prepare questions for next days. In my ten days of campaign I have observed all activities in the field and ask many questions from all level of Jhpiego’s team and also from the client in the community. I have used following standard format for my questions.

Gemba: Questions to understand the situation, strength and weakness.
Questions to ask from the partner NGO Questions for me to ask myself about the system
What’s the structure of demand creation team? I want to understand the structure of organization, how many levels they have?
What’s the job description of each role? What each team member do in her/his job?
Do you have a work plan of your first line community mobilizer and first line manager? How do they plan for work and coaching?
How often First line manager visited their direct report? What are their ways of working?
How many campaign you have done in this year? How many times they deviate from their routine work?
How do the community mobilizers record their work in the field and who monitor it? Do they record their work in any format?
What are the objectives of the First line manager of his joint work with community mobilizer? Do they have any idea of coaching?
Do you have any coaching template? How they record coaching?
Do you have any model of coaching? How they coach?

 

On July 18, we came back to Tabora after a campaign. After 3 days of work in the office, I again started my work in the field. By that time I have a lot of information about the structure, processes and WOW of demand creation team.

Stakeholder engagement:

You cannot be successful in Gemba or even in implementation phase without involving stakeholders. From the start of my work in Tabora I have tried my best to involve all stakeholders related to demand creation team. To improve my relationship with the stakeholders I apply six approaches of influence which are Reciprocity, Scarcity, Authority, Consistency, Liking and Consensus. All work very well but Reciprocity has a magic result in Africa. I have used a template which is given in ADP website to improve the stakeholder’s involvement.

I have given a presentation to the head of VMMC program about the strength and opportunities area of demand creation team.

By the time I have got a lot of information and I can analyze the symptoms of demand creation team. Now it’s time of problem statement, Fishbone analysis and 5 Whys. I have discussed my notes of observations with the STM and Cluster leader and then we develop a problem statement.

Problem Statement: It has been observed during field visits of Nzega, Igunga and Tabora that CHP and CL don’t follow a standard of communication and planning template for their Clients in the community which result not achieving their target of VMMC in their routine work and need extra campaign.

When I reached back to Tabora, I left the hotel because it was away from the city and I felt lonely. I started to live in the city .Now my stay is in the centre of town and when I get bore I go for a walk and meet with different people. One day I saw a middle age person in the restaurant. we had hello each other and he asked , are you Indian? I replied. No, I’m from Pakistan. He smiled and said, same thing. I’ve a long chat with him. His name was Mukesh . He is tall, with French beard, bald and little bit bulky. He was continuously drinking wine when we were talking. I asked him, where are you from? I’m from Tabora Tanzania. But you’re looking like an Indian; I asked .Yes my father came here in Tabora before the independence of Tanzania and before the independence of India and Pakistan. At that time India and Tanzania were under same British Government. My father came here on British Passport and remained here even after the independence of Tanzania, and that was the biggest mistake of my father. He could go to British easily but he preferred to stay here with his Hindu community. He married here with a Muslim girl. He had read my face, filled with curiosity. Yes my mother was Muslim and from Ghorghashti town of Pakistan, he replied on my non verbal communication. Ghorghushti! I have no idea where is it in Pakistan. I Google it on my smart phone, while he was talking .I found Ghorghushti, it’s the Attock district of KPK Pakistan .He was speaking about his story and I was thinking that how people meet with each other and their generation continue. When he was talking about his mother I have noticed that he became sad and was feeling uneasy. I like Pakistan because of my mother. I dislike Pakistan because of Taliban. I feel tense and headache when I remembered my mother. After marriage, my father compelled my mother to become Hindu and she agreed. We all were going to temple but our community never accepted us as true Hindu. They told us Chotara (Swahili word meaning mixed breed).I always think is Chotara a sin, If it’s, this isn’t my fault please catch my father and mother. I think who am I, a Hindu, or a Muslim or a Chotara, an Indian, a Pakistani or a Tanzanian, because I born in Tanzania so I’m Tanzanian and that’s why I married an African woman. I was asking questions and he was replying and then I came to know that Mr.Mukesh is well settled in Tabora and he has a Hotel, Club, workshop and other businesses. I don’t regularly  go to temple, he told me .Now the people from our community asked me to come to temple regularly, I gave them donation but I can’t be like them, I can’t forget my mother. After the death of my father, she used to go to temple but our community didn’t accept her. Sometimes she cried in room and we couldn’t understand how to tackle her. One day she told us that now your father isn’t in this world, and I wanna turned to Muslim again. Till her death she was Muslim. Mr.Mukesh was very sad and I can read sadness in his eyes. Then he got control on himself and asked me. Mr. Nazir told me, why don’t people, treat me as a human .First we are human. We have the same composition of blood and we all have feeling. You’re 100% right Mr.Mukesh, I replied. I’ve seen in Tabora that people of all religions live together with harmony and love; I tried to further explore his insight. He said, yes, people lived together here and now things have improved a lot.

I was thinking that there are lot of stories with all human beings, lot of things to learn and lot of things to do to make this world peaceful and prosperous, where people can live together with love and peace with all their differences of culture, religion and boundaries. The good thing is that at GSK we love differences and we respect the differences.

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I was on my evening walk and passing through a railway station. I saw here a Graveyard, a small graveyard. I saw some graves and astonished that buried persons were from India and Pakistan. I saw a grave with the name of Baba Allah Rakha .He died in 1955 and he was from Sialkot city of Pakistan. Will I now about the story of Allah Rakha? How did he come here in Tabora? Many questions are dancing in my mind. The life is really very complicated!