First of all, many many apologies for taking so long to post this. All I can say in my defence is that travelling is time consuming, and so is writing this blog! This is the second time I have written it after the internet connection failed and wiped out my last effort. Technology eh! Sigh. Right, here goes.
And before I knew it, the Asha experience was over. That it passed so quickly was probably because I was so busy. They used me well, worked me hard, and I treasure the experience, difficult though I often found it. I felt that here was a cause where money was really going far, making a difference to people's lives and genuinely improving prospects. But truly there is a mountain of work to do in this city, where the daily reality is such a huge number of people, and their needs, that you find yourself being actually swept along in the crush.
And lastly the Laxminarayan Hindu Temple. Buzzing with activity for Diwali and looking a bit like Harrod's in London, although that might be a sacrilegious simile...
Have you ever seen the film Wall-E? If not (and without spoiling it) the premise is that the human race has had to vacate the Earth because it is drowning in its own rubbish. This apparently fantastical scenario is not dissimilar, however, to India, where seeing a rubbish bin is a rarity, where I never saw a dustbin lorry, where cows, dogs and other cattle root through the ubiquitous, rotting rubbish piles that blight the place. It's quite hard to get used to at first, at least for me, although we started off in Delhi, which was by far the the worst of it. Nonetheless even in apparently pristine and deserted countryside, the tops of mountains, waterfalls, anywhere you could imagine really, there is rubbish everywhere. It's a shame really, because it's a beautiful, beautiful country.
If I'm starting on a negative note, it's largely because my initial experience of India was negative. I think many people's is, if they are honest, and if they spend any time in an Indian metropolis. We flew in to Delhi from the serenity of Hogsback in South Africa and it occurred to me on the plane that it might be a bit of a shock to the system. My only misapprehension was the gravity of the shock. I was caught and bowled by the sheer slam-it-in-your-face intensity of the place when I first arrived. Everyone who's been to India speaks about the assault on the senses that it is. All I can say is noting can prepare you for the reality. When we passed through customs into the baggage collection hall I thought there might be something wrong with my eyes. The haze of what it later became clear was pollution was making the far end of the hall a milky, opaque colour.
The city hits you immediately. Activity...everywhere. There is this intense freneticism. Everyone rushing about, competing for space, breath, position, everything. It's like when you're really stressed at work, trying to juggle loads of stuff at once and then your neighbour calls you to say your boiler is flooding their kitchen. Only it's that feeling all the time. Chronic stress. And you can do nothing accept accept it and learn to love it.
We took a while to negotiate a taxi. Everything is weirdly bureaucratic. You have to stand in line at one queue in order to get a piece of paper which allows you to join another queue, where the piece of paper gets stamped, and then you join another queue to get a taxi. And all the time the taxi driver is standing 10 feet away from you. And people are pushing in, jostling for position all the time. In South Africa they use the word 'hectic' when they are describing stressful situations. To me, hectic means fast-paced or frenetic. But in both of these contexts it's a good word to describe Delhi and trying to do anything in Delhi.
Managing to negotiate a taxi, we were on the road. Driving on the roads in Delhi, and India generally, is like being in one of those crazy driving arcade games you see in amusement parks, with people, dogs, carts, rickshaws, cycles, cars and trucks all weaving in and out of each other's way, all blaring their horns. Bedlam. And cows of course, indolently chewing the cud, sometimes in the central reservation, sometimes on the pavement, or sometimes in the middle of the road. Many of them look immaculately cared for, clean, fat and sometimes decorated with garlands. Amongst the maelstrom of human filth and poverty, and the traffic, they add this oddly poetic, but surreal, element. They take no notice of the traffic, which weaves around them. And 10 feet away there's a family living by the side of the road. Sacred indeed.
The two weeks in Delhi was earmarked for voluntary work with a charity called Asha, which provides healthcare, education and empowerment to the poorest people living in some of Delhi's slums. If you contributed to my fundraising efforts then a very sincere thank you from me, and my assurances that your money is doing truly transformative work! It was wonderful to see, and be a part of, and it made me realise what valuable work a charity can do in an environment like Delhi, where everyone is fending for themselves, nothing can be taken for granted and simple problems blight millions of people's lives.
The Asha staff and main building.
The Asha centre is a good sized building, and surrounding it are the chaotic, flimsy slum dwellings where so many Indians live. We were not destined to be exposed to the slums immediately. In fact the staff at Asha treated us with a lot of care and attention, at least initially. They are lovely people, but for a short while I felt like a medical student again. There was an element of not knowing how things work, but also this feeling of being treated slightly like an inexperienced kid. Which in some ways I suppose I was. The staff were very particular about advising us to eat in Western restaurants and not to do certain things when we were outside the Asha centre. It dawned on me after a while that this was because they felt an element of responsibility for us, since we werre working for them, and also because we were no use to them if we became ill (indeed we would have been a burden). So they were keen for us not to eat potentially dodgy food or venture into potentially unsafe situations. I felt this for myself as they had booked clinics for me every day and the word was out that I was available. There hasn't been a shrink since early 2010 when the last one volunteered. They can of course access psychiatric services in the government hospitals, just so long as they are prepared to wait in line with the thousands of other people who swamp them every day. They are unlikely to be seen. Or they can go private if they can afford it, which none of them can. So, these things being the case I was considered a valuable commodity since I was giving my services free of charge. The next day I was seeing my first patients.
My consultation desk at one of the slum centres. A touch basic, but it did the job.
In the UK we have lots of medications to treat mental health problems, and reasonable and increasingly available access to psychotherapy and social workers. Here there is no psychotherapy of any kind and hardly any social work (if Asha wasn't there there would be none). Even at Asha the patients have to pay for their investigations and medications. I was presented with two novel challenges. Firstly I had a list of prices for blood tests, so I had to make a balanced decision about value for money for any test I wanted (say, a blood count or a thyroid test, as these rule out important causes of mental health problems). Secondly my choice of psychiatric drugs was limited to three. Fluoxetine, Diazepam and Alprazolam. Over the next two weeks these drugs became my allies.
Every day I went to a different slum and every day had a line of people patiently waiting to see me. Their problems were often familiar, although usually bound within a cultural and social identity that made them harder to get to grips with. Depression and somatisation (the manifestation of psychological problems with physical symptoms) were very common, as were alcohol problems. Psychotic patients were brought in by their desperate neighbours. Learning disabled children by their bewildered mothers. Head-injured and chronically disabled husbands by their despairing wives. Sometimes all I could offer was reassurance and education. I became very aware of, comparatively, how much we have to offer in the UK. And how, removed from the supportive structure of social workers, psychologists, occupational therapists and other agencies, I was relatively powerless to help the often desperate problems I was seeing. And yet they were so grateful! In one clinic I was decorated with a garland.
Every day I went to a different slum and every day had a line of people patiently waiting to see me. Their problems were often familiar, although usually bound within a cultural and social identity that made them harder to get to grips with. Depression and somatisation (the manifestation of psychological problems with physical symptoms) were very common, as were alcohol problems. Psychotic patients were brought in by their desperate neighbours. Learning disabled children by their bewildered mothers. Head-injured and chronically disabled husbands by their despairing wives. Sometimes all I could offer was reassurance and education. I became very aware of, comparatively, how much we have to offer in the UK. And how, removed from the supportive structure of social workers, psychologists, occupational therapists and other agencies, I was relatively powerless to help the often desperate problems I was seeing. And yet they were so grateful! In one clinic I was decorated with a garland.
Everyone was polite and friendly. The staff endlessly accommodating and helpful. It really is a wonderful organisation doing great works. And I considered myself very fortunate to be able to see it first hand.
On some days we went into the slums to visit people. We saw both the poverty and conditions people have to live in, and also the changes that Asha have helped to implement over the years.
A view from the Seelampur slum. Brick buildings were less common when you got further into the slums. But everywhere, piles and piles of rubbish.
The key has been the empowerment of the women in the slums. Asha has organised them into groups with a defined purpose and supported them to approach their governmental leaders to request and ensure improvements to their lives. Simple things. A toilet block. An electricity supply. Sewerage. Access to banks. Things we never think of in the UK, but without which we would not be able to go about our comfortable daily lives. Sobering.
A meeting of the Seelampur slum women's group at the Asha centre, with the associated children's group in the foreground.
Inside one of the more luxurious slum dwellings we were invited into. A family of eight live here. In two rooms.
A view out over the rooftops of some slum dwellings. The roof is made of anything people can find. It is amazing that it all holds together really. Sometimes it doesn't.
I don't suppose I could ever really impart the unpleasant nature of the slums to you in words, or even pictures. The smell, the flies, the human and animal waste, the grim look in the adult's eyes much of the time (although with many smiles too). It made me realise there is nothing pleasant about poverty. I think I had naively thought that people kind of get used to it; learn to like it. I think they get used to it, but that doesn't mean it's pleasant in any way at all. I visited lots of slum dwellings. They are cobbled together from bricks, corrugated iron, bits of plastic, anything really. Often a family of ten will be living in a space a quarter the size of the smallest flat in London. It's amazing that they manage to make it work. They have to. I felt humbled.
I met some of the kids that Asha is helping to go to university. Bright sparks, shining through the adversity. I have no idea how or where they manage to study, but they are getting good marks, sometimes at the top of their class, and they take nothing for granted. They relish every experience, seize their opportunities when they come along and generally were inspiring people to talk to. I visited 5 slums in all. Each had a different feel, but in all the problems were the same. Profound problems with simple solutions that Asha is helping the people to tackle. So I can report that, if you donated to my fundraising efforts, that it is being spent very well. Real change. And a genuine sense of hope. Thank you, thank you, thank you! :)
Aside from my clinics, I also taught the community health volunteers about how to spot mental health problems, especially in women of child-bearing age and simple steps in treatment and support. I hope it was helpful. A drop in the ocean, but a drop nonetheless.
And before I knew it, the Asha experience was over. That it passed so quickly was probably because I was so busy. They used me well, worked me hard, and I treasure the experience, difficult though I often found it. I felt that here was a cause where money was really going far, making a difference to people's lives and genuinely improving prospects. But truly there is a mountain of work to do in this city, where the daily reality is such a huge number of people, and their needs, that you find yourself being actually swept along in the crush.
I found after a while I started to screen the nasty bits of Delhi out. The incessant noise, pollution, rubbish and filth. But to a certain extent the city just forced me to accept the reality of it. There's nothing you can do but get on with it and make the best. Objectively it is a bit of a hell-hole. You can look directly at the sun during the day the pollution is so bad. There's rubbish everywhere. Everything is dirty. Organised gangs of beggars, often kids, harass you regularly. Sometimes the ringleaders purposefully beat the children up so people are more likely to give them money. It was so heart-wrenching to see! And genuine beggars too, often paralysed and wasted by simple, easy-to-treat diseases you never see in the UK (polio especially). I had never seen a case of polio before coming to India. All I can say is, if you're a parent, get your kids vaccinated.
The Indians are a lovely bunch. Charming, friendly and absolutely unoffendable! Even when they're trying to fleece you, and they do that regularly, it is done with such friendly, enthusiastic charm it is impossible to hold it against them. Everyone is fighting for their position here, much more than I am used to in London, and that they can do it with such camaraderie is very much a credit to them.
The Indians are a lovely bunch. Charming, friendly and absolutely unoffendable! Even when they're trying to fleece you, and they do that regularly, it is done with such friendly, enthusiastic charm it is impossible to hold it against them. Everyone is fighting for their position here, much more than I am used to in London, and that they can do it with such camaraderie is very much a credit to them.
During the weekends of the two weeks in Delhi we were free to see the sights and do a bit of travelling. We visited Agra, Jaipur and did some sightseeing around Delhi. It was also the Hindu festival of Diwali, so we were witness to the festival of lights, which essentially combines much of what we experience at Christmas and fireworks night into a few days of brightly coloured lights and decorations, presents, food and fireworks that make the city sound like a war-zone. No health and safety regulations here.
So first weekend we went Agra, the red city. Awful six hour bus journey there on terrible roads in a ramshackle old bus which had a repertoire of horn tunes that wouldn't be out of place at a circus, and driven at break neck speed by a crazy driver, weaving in and out of oncoming traffic, cattle. dogs, people etc etc. We sat at the back, partly because there were seats there and partly in deference to the fact that having any sort of view of the oncoming traffic in India makes you fear for your life. I also concluded that, if we did crash, perhaps the back was a safer place to be. About 200 kms from Delhi in the state of Uttar Pradesh, this city is home to the inestimable Taj Mahal and the Agra Fort, both world heritage sights. The Taj Mahal was built by the Shah Jahan in 1653 after 20,000 workmen had worked on it for 22 years. It was a palace devoted to his beloved wife Mumtaz Mahal. And it is every bit as fabulous as that manpower might imply. Sumptuous, soaring, symmetrical marble structures with the most beautiful intricate inlays of semi precious stones and verses from the Koran. The peace and tranquility of the place were palpable despite the hordes of visitors treading the sample path as us, and millions before us. Go if you can. It is simply stunning.
Apologies for this. It had to be done...!
Second the Agra Fort, sometimes called the red fort because of the red sandstone its exterior is built of, which the Shah Jahan spent the last eight years of his life in after he was incarcerated there by his own son, Aurangzeb. Much older than the Taj Mahal, maybe dating back to 1000AD it was converted from a fort to a palace by Shah Jahan, and so the inside is much more decorative than the outside would have you believe. Not the spectacle of it's neighbour it was anyway a good place to visit. The history of India starts to gain substance when you visit such places.
The outside of the red fort.
The gardens inside.
Second the Agra Fort, sometimes called the red fort because of the red sandstone its exterior is built of, which the Shah Jahan spent the last eight years of his life in after he was incarcerated there by his own son, Aurangzeb. Much older than the Taj Mahal, maybe dating back to 1000AD it was converted from a fort to a palace by Shah Jahan, and so the inside is much more decorative than the outside would have you believe. Not the spectacle of it's neighbour it was anyway a good place to visit. The history of India starts to gain substance when you visit such places.
The outside of the red fort.
The gardens inside.
The architectural style.
The inner courtyard.
Over the next week we had a day off for Diwali, the Hindu festival of lights. The Asha staff had a party which we were invited to. Lots of yummy food, fireworks, bangers and excited kids!
Whilst everyone else was off with their families, we took the chance to do a bit of sightseeing.
First the Lotus Temple, one of the most stunning houses of worship I have ever had the privilege of seeing. Built to look like a closed Lotus flower, and the seat of the Baha'i faith, it is a serene, quiet and meditative haven where we took some time out of the chaos reigning outside.
Second, the tomb of the second Mughal emperor Humayun, who ruled much of northern India in the 15th century.
The India Gate, not to be confused with the gateway of India (in Mumbai).
Phew!
Second weekend was spent in Jaipur, aka the pink city. It was a whistle-stop tour of the Amber fort and Jaigarh fort, which overlooks the Amber Fort, and the city palace. Well worth a visit if you're around that neck of the woods. Agra, Jaipur and Delhi form the so-called Golden Triangle of northern India, and are rich in culture. We left exhilarated, but a bit rushed...we were booked on a train out of Delhi that Sunday evening.
Entry into Jaigarh fort. We were the first inside, the result of a quintessentially Indian fluke of bureaucracy.
Apparently this is the largest cannon in the world. It was only ever fired once, as a test and took so long to build that the war it was built for was over by the time it was completed. The cannonball it fires weighs 100kg!
One of the brightly decorated (we called them 'rave' (elephants) returning from a day's work in Jaipur.
And that Sunday we rushed back to Delhi, via some spectacularly delicious curry from the most dilapidated looking roadside restaurant ever, and hurried to the train station where we had managed, through fluke or some sort of other witchcraft, to get a first class train ticket on the overnight sleeper to Mumbai. India trains are an experience in themselves. Perhaps I'll leave that description for another time though. We wended our way out of Delhi along the same train line as I had been standing on a week before, chatting to the people who lived in the slums directly beside it. Several get killed every year because they have to cross the tracks to find somewhere to defecate. And that, I think, is probably the image I'll leave you with. This part of my journey said something to me about the state of the world some people have to live in, and I found myself often feeling sad, even slightly despairing, even though I was grateful for the experience. The chaos, the day-to-day hardships, the random, simple, yet often preventable things that blight people's lives. But tempering it the humanity and kindness of people doing what they can to share the burden, to alleviate the suffering. I salute you. And offer you an enormous, compassionate and loving hug as well. I suppose, sometimes, that's all we have to offer. But in many ways it is the most important thing of all.
Entry into Jaigarh fort. We were the first inside, the result of a quintessentially Indian fluke of bureaucracy.
Apparently this is the largest cannon in the world. It was only ever fired once, as a test and took so long to build that the war it was built for was over by the time it was completed. The cannonball it fires weighs 100kg!
Jaigarh fort.
The Amber Fort, as seen from Jaigarh Fort. You can see the elephants on their daily parade inside.
One of the brightly decorated (we called them 'rave' (elephants) returning from a day's work in Jaipur.
And that Sunday we rushed back to Delhi, via some spectacularly delicious curry from the most dilapidated looking roadside restaurant ever, and hurried to the train station where we had managed, through fluke or some sort of other witchcraft, to get a first class train ticket on the overnight sleeper to Mumbai. India trains are an experience in themselves. Perhaps I'll leave that description for another time though. We wended our way out of Delhi along the same train line as I had been standing on a week before, chatting to the people who lived in the slums directly beside it. Several get killed every year because they have to cross the tracks to find somewhere to defecate. And that, I think, is probably the image I'll leave you with. This part of my journey said something to me about the state of the world some people have to live in, and I found myself often feeling sad, even slightly despairing, even though I was grateful for the experience. The chaos, the day-to-day hardships, the random, simple, yet often preventable things that blight people's lives. But tempering it the humanity and kindness of people doing what they can to share the burden, to alleviate the suffering. I salute you. And offer you an enormous, compassionate and loving hug as well. I suppose, sometimes, that's all we have to offer. But in many ways it is the most important thing of all.
xxx




































































































