Wednesday, March 08, 2006

The Chaos Within - SMARTF

S - Simple
M- Measurable
A - achievable
R - Realistic
T - Timebound
F- UCK!

This last week has been one of review, setting team goals and individual objectives, new contracts, and a whole lot more of all that... the team has been office bound with their heads in their hands - trying to figure out which indicators to set for each objective has been the toughest! All of us already have detailed job descriptions, but post DISHA team appraisals and DGS team leader appraisals, each member of a team must have individual objectives for each task. Orders must be followed. To begin with, it IS a pain... but as you get into it, you realise that the process actually gives you more focus.

Now we did have good project objectives... but not all them were SMART... and we did have individual planners... but we had not really set ourselves individual objectives.

Fuck, how boring all this sounds! Its probably not what someone visiting the blog wants to read... and its not that I don't have any other stories... but this has been my week.

one of our clients is pregnant and due to a misunderstanding with her husband - who is not really her husband because he lives with his family just outside Pune and has placed her with his parents here in Tadiwala Road- he has forbidden her from taking any help from DISHA. He doesn't provide her with the necessary nutrition and supplements either, which is required during any pregnancy, and more so, because of she is HIV+.

We have another client at the TB hospital in Aundh. She has been there for over 3 months. Her mother doesn't want her to return home. The young woman does... she misses her kid. Lata has had repeated sessions with the mother, but no headway yet.

Lovely smiling Lalita! She came to our notice over five years ago. Her mum wanted us to look after her. The mum died soon after. Lalita had a wound on her head. The doctors at Sassoon General treated her like a fucking pariah. They refused to even touch her, forget cleaning the wound. She was 13... what do you think she felt like? We cleaned her up at DGS. She wore a scarf on her head until two months ago... that's a scarf for over three years, every day. Now, she smiles again. The first time I saw her face light up, being the overly emotional and sensitive type I felt like bursting into tears. This kid had been through so much. Two of her five brothers died within the space of a few months. The youngest one, Karan, was only six.

But let's go back to doctors... story after story all knotted and clotted together seem to emerge like squishy worms after the rains.

I have nothing against doctors... there are great doctors in Pune. Sanjay Pujari from Ruby Hall is one of the best in the field of HIV/AIDS in India, maybe Asia... but some of them, due to ignorance - and how can a fucking doctor be ignorant about HIV/AIDS?! Don't they learn about it at medical school?! Don't they refresh their knowledge?! Didn't they fucking take the Hippocratic oath, or was that hypocritic... - despite their know-it-all exterior, have told my clients, who have just been diagnosed as HIV+, that they have as little as 6 months to live! You're a young mother, and your doctor tells you that you and your husband and your son will all be dead within the space of a year!

To convince them of the efficacy of good nutrition and vitamin supplements after a revered doctor has passed sentence is extremely difficult.

We are now drawing up a strategy to work with other HIV/AIDS NGOs in Pune to plan workshops on how local GPs and doctors in general can help win the battle against HIV/AIDS... not contribute us losing the fight. We have to be SMART. If we are then the tired and angry F can be made to stay away.

I wish you could record sighs on the blog... its been a tough few days personally... but sitting here and writing... venting... as always has helped give me perspective.

The dance must go on...

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