So I wrote this post last month and when I was frustrated with work here. I’m cool now and guess what, Chelsea won the Champions League last night! Drogba saved them at the end of the second half then again with the very last penelty kick!
At the end of March I participated in a polio vaccination campaign. It was three days of community health workers going around house to house to vaccinate kids under five and also give them vitamin A and albendezol. Then there were three days of evaluation. During those three days people were sent up from Lome to all the different regions to collect data on how many kids were actually vaccinated and how the overall campaign went. I followed them around from village to village to act as a third party to see how they worked and if their results were truly accurate of the campaign.
A few weeks later in mid April I was down in Lome at WHO’s bureau with other volunteers to talk about the campaign and how we felt it went and what could be improved. Of course there were the usual comments like how the community health workers never accurately track the number of people vaccinated (meaning they lie just to show they did a good job). I’ve learned to never trust any health statistics from now seeing firsthand how they are collected.
Something very shocking was revealed to us volunteers at this meeting. It was when we were going over the final budget for the campaign to see where all the money went. In total it was around $700,000 to hold this national campaign. WHO paid around half and UNICEF paid around half. The budget showed that the Togolese government only paid just under 3% which comes out to around $20,000. And it was for ‘brieffing des ECD/ECR’. Don’t really know what that means but it’s probably just made up. We aren’t at the shocking part yet, it’s still coming.
Well, when we saw how little a contribution the state was actually giving we asked why and explained how even when we do our small Peace Corps funded projects we still need at least 25% community contribution. That’s when the WHO representatives told us that in actuality the government hadn’t paid anything, not a single cent! WHO had to make up that 3% contribution just to satisfy funders who actually look at the final report. Not only is it terrible that the host country wont contribute at all to taking care of citizens basic health needs, but they even signed an agreement along with many other West African countries in Benin a few years back pledging to put 15% of the government’s total annual budget to public health(meaning Togo’s ministry of health). Yet today the ministry of health only gets 7%, and I’m pretty sure no one has any idea how much of that actually makes it down to any of the health programs.
One could argue that the government gave human resources through the health workers used, yet each person in this campaign got paid by either WHO or UNICEF. They weren’t doing it for the well-being of the community, but instead to get paid. A friend of mine who supervised the campaign in Sotouboua got a per-diem from WHO and was suppose to get reimbursed by the state for transport. He’s still waiting for the transport reimbursement.
And it’s not like WHO can sanction Togo and not do the polio campaign. First because they don’t have any power like that and second because we are still next to Niger where polio is endemic, so if kids weren’t getting vaccinated cases would definitely start popping up in Togo again. The problem is if you talk to anyone in the ministry of health they will probably say they did contribute and that the campaign was successful, just look at the statistics and look at the final report showing their 3% contribution.
Just another form of the general mentality I see here, where change supposedly only comes from handouts from the outside world. I’m tired of people always complaining to me about how “Ici au Togo, on souffre. Donc il faut me donner quelque chose.” Dude, one is suffering because you’re just waiting around for someone else to come around and improve your country for you.
I understand that when you work for a ministry here you are entitled to a nice life with a nice car and maybe enough money to build a few houses, but can you at least share some of that money with the programs it was intended to go towards? You couldn’t even contribute $1 for a national campaign.