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Wednesday, April 23, 2003
Vignettes from KabulDaddy is working in Kabul, Afghanistan, for Management Sciences for Health. He wrote the following update a week ago, after his first 24 hours in Kabul:Hi to all, Just a few vignettes from my first day in Kabul: I had no trouble getting a ticket from the airport counter for Ariena in New Delhi($250 one way cash only) The flight was only 30% full. I met some other NGO folks on the flight and sat next to an Afghan Internist who has worked his whole life here in Kabul at a big hospital which now has almost no lab machines or xray equipment. So he works completely by clinical impressions as to what is wrong with the patient. In other words, he has no help in his diagnostic exam from the lab or the xray which we consider so essential in the developed world, but is rarely present here in the developing world. I was met at the airport by an MSH driver. Since they don't have any machines to offload the baggage from the plane, at the small airport, it took longer to get the checked bags(2 hour wait) than the flight took from new delhi(1.75 hours). The people at MSH Kabul are a very nice group and we had a dinner together last night at a couple's house who are from Olympia, Washington. She works on contracting with the ministry of health giving money to other NGO's and he works with the Ministry of Finance trying to install Western type accountability and systems into there way of budgeting and paying out government money here. He is a Graduate of HBS class of 1971, and has had an interesing career in many countries doing this type of consulting work in accounting and budgetary systems. He told me the budget for the whole government of the entire country this year is only $500 million. 40% of which comes from revenue generated by local taxes and customs duties and 60% comes from international donors. I am getting oriented these first few days. Friday(today) is the only holiday in the 6 day work week here. So it will be a slow start which is just as well, I was taken for a drive around the city yesterday and it does look like I expected, maybe a bit worse, in terms of the amount of destruction of buildings. 23 years of civil war and two international superpower wars have made Kabul hardly recognizeably as a capital city of several million people. Many bombed out buildings are now the site for squatter families, who are returning refugees from Iran or Pakistan and have no house or land of their own. The daily life for the people here is very difficult, but their spirit is unbreakable. They are a long suffering and almost unsuppressible people, and I suppose that is what inspires the western workers who come here to try to help. It is that and the level of poverty, which is worse than almost any other country I have been in. The old markets and streets which existed here back in 1973 when we came thru here in our campervan, on a trip from London to Bangladesh, are no longer here, due the destruction from constant war. They are just now starting to get rebuilt and you can see the entreprenuerial spirit is still present in the people(mostly men). More reports later. Steve
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