This is where Asewe stays when she's in Goz Beida, a small town in eastern Chad whose outskirts are now flooded with about 52,000 people forced from their villages by factional fighting. But when it's safe, her home is a tent at Kerfi, one of several sites in the area that the displaced Chadians have temporarily settled.
"That's what my beneficiaries are using," says Asewe about her tent. "It's good to use what my beneficiaries are using."
It's there, at Kerfi, that Asewe likes to be best—in the midst of the people she has come to help. A registered nurse and trained midwife, she is a public health promoter for Oxfam, leading a team of three staffers and a committee of 15. Her job is to work closely with families, showing them how to prevent the spread of waterborne diseases. A musical voice, a warm smile, and an untempered passion are her tools.
Asewe came to this region of Chad in mid-July 2007—at the height of the rainy season—her second posting to the country in a long humanitarian career that has carried her around the world from the tsunami-ravaged coast of Indonesia to Afghanistan, Pakistan, Sierra Leone, Ethiopia and back to Chad. It was raining that first time here, too, back in 2004 when refugees from the Darfur region of Sudan were streaming across the border, many of them having walked for days to reach safety.
She was assigned to Bredjing, a camp that now has a population of close to 30,000 people. But back then, it was just beginning to grow, a chaotic sprawl of families, ragged and tired, desperate for food, water, and shelter.
"It was a very difficult situation. Every morning we would come and we would find at least 100 people, towards the wadi, just squatting around," recalls Asewe. "Some would come with small plastic sheets. Some would have traditional mats, but some would have literally nothing. It would be raining the whole night. The children would have literally nothing on top of their heads."
Many of them didn't survive.
"They put in their own graveyard. Every morning organizations like Doctors Without Borders had outreach people just to count how many graves. Yes. So it was very very painful when they first came."
For nine months, Asewe worked with Oxfam, and alongside other organizations, to bring some order to the camp.
"I left happy, though," she says, "because I had seen the beginning and I saw all the changes—everybody putting in a lot of effort." Besides getting water and sanitation services in place, aid groups had even managed to set up activities for children. And the overcrowding was relieved a bit when some of the refugees moved to a new camp—one that was planned for them in advance, so water systems and latrines were already in place.
For the first few weeks of her posting to Kerfi, about 45 kilometers south of Goz Beida, Asewe couldn't even get there. The heavy seasonal rain had swollen the seasonal river, or wadi, swamping parts of the village, and making it impossible for trucks to cross. The short drive from Goz Beida to Kerfi took six or seven hours through the rain, as drivers struggled to negotiate the mud and gushing streams.
Doctors Without Borders was the only aid organization working in Kerfi at the time, said Asewe and it had managed to get there before the rains began to fall. It had parked two of its trucks on the far side of the wadi rushing by the village.
Eventually, workers built a small raft from old drums. An Oxfam driver would deliver Asew to the wadi's edge, and she would float across, her feet dangling in the water, to catch a ride on the other side in a Doctors Without Borders truck.
"We did that until September," Asewe said. "We were not able to get a driver across until October so that delayed all the possibilities."
But once she was able to set foot in Kerfi, Asewe wasted no time in laying the groundwork for her program.
In crowded situations, where there is little room for people and their animals to live as they are accustomed, the spread of waterborne diseases poses a major threat. In December Kerfi was home home to more than 3,000 displaced people—on top of the 4,200 who were already living there.
"The major issue was there was a lot of wadi water, but no clean water," said Asewe, noting that Doctors Without Borders was treating numerous cases of diarrhea. "It was pathetic. The host community, having been completely surrounded, also lost the area they would use for extra space. Their main complaint was they hardly had any place to get their animals to graze." Nor did they have any place left to use as a bathroom.
"Hence the demand for latrines and water," says Asewe.
In convincing people to adopt new ways of doing things, it's important to make them part of the process—so they own it, too. But first, Asewe has to find out what they know, and in this case, it quickly became clear that people were not making the link between the dirty wadi water they were relying on the diarrhea they were suffering from.
"That gives you a key basis where to start," says Asewe.
She organized a development committee of nine women and eight men from Kerfi who would eventually help her with the big task of public education. After some training, together they settled on three main messages they needed to convey to the community.
The messages may sound simple to western ears, but for the residents and displaced people of Kerfi, they could mean the difference between life and death.
Here is what the health promotion committee and Asewe want the people of Kerfi to do:
Part of Asewe's public education program also includes granting families ownership of community latrines—along with cleaning and maintenance duties. About 20 people share each latrine. When a cluster of three or four have been built for people who are under the care of one chief, Asewe arranges for a handover ceremony, with plans made for who's going to keep the latrines clean and how they'll close them down when they're full. And with each latrine, Oxfam provides a latrine kit—a brush and bucket for cleaning.
Some people get the messages very quickly; others are slower to change.
"The best people to target are the children," says Asewe. They learn quickly and adapt readily. "For adults, they may be able to understand, but changing habits may not be so easy."
But whatever the frustrations may be—wadis overflowing with water, insecurity that keeps her tied to Goz Beida, the slow pace of people's adaptation—Asewe says none of that is enough to snuff out the enthusiasm she has for this work.
"I'm still so happy to be the public health promoter who goes to that little house and finds the child and plays around with them and see how you could improve their little lives," says Asewe. "That makes me more happy. It's quite an opportunity and a blessing."
]]>"Life is water," says Oxfam's Brahim Abdel-Madjid. "Without water there is no life at all—enough water, sufficient water, good quality water."
Here at Koloma, that is what Oxfam is helping to supply to some of the 180,000 Chadians chased from their homes by recent waves of violence between rebel forces and government troops. About 7,400 displaced people have settled at Koloma, one of seven sites in and around Goz Beida in which Oxfam is now providing emergency services for a total of 52,000 people.
And for some, the help aid groups have offered, coupled with the advantages of being near a town like Goz Beida with its new hospital, mosque, and market, hold enough promise for a better life that home no longer beckons them.
"Some will not go back—even with security," says Abdel-Madjid, who is the team leader for Oxfam's public health education programs in the Goz Beida area. "Most of the people living in the temporary sites had never traveled to Goz Beida to see that there's a big market. You can trade. You can start a new life."
Clean water is certainly one of the lures—a benefit that has helped to soften the hardships many have experienced as their family members have been killed, their homes ruined, their villages abandoned.
In the mottled light inside a mat hut at Koloma, a crowd of women—and a baby or two—has gathered. These are the sushies—the female leaders of their communities. Sitting on the ground, folded in their colorful wraps, they talk about their lives since fleeing their villages and coming to this sandy sprawl of makeshift shelters. Abdel-Madjid translates.
Food is in short supply, they say. And they have no land to farm. To earn money to buy extra food, they gather wood in the bush to sell in the local market.
Many of them have lost everything in the conflict. Fatouma Sosal tells of the four huts that once belonged to her family in Tiero. All of them were burned down. She talks about the millet she used to grow in her fields and her lost self-sufficiency.
Kadjidja Mahamat says the days here at Koloma can be long, filled only with the chores of trying to keep her temporary household in order: cooking food in the morning—if there is food—washing her children's clothes, patching her hut.
But at least there is water—clean and ample—and for that the women are happy.
In their villages, says Abdel-Madjid, families used to drink from the same source in which they bathed and also shared with their animals, which left their droppings nearby. People were sometimes sick and their children would have "blajose," or bloody urine. But with clean water supplied from a large Oxfam storage tank erected at the edge of their settlement—and a new understanding of waterborne diseases and the importance of good hygiene—problems like diarrhea have disappeared.
"A lot of these people are coming from huts in the middle of the desert. They get to Goz Beida and suddenly they get clean water, schools, health care," says Sarah McHattie, an Oxfam program manager. "I don't think we'll see a big return."
The question of when—and if—displaced people will return to their villages is a complex one, says Poul Brandrup, Oxfam's country program manager in Chad. There are many factors people weigh in making that decision.
"They need to be convinced that they will be able to re-establish sustainable livelihoods," says Brandrup. "Safety is important. So are primary health services and water. And we are increasingly hearing their strong wish for their children to be able to attend school."
One of the realities is that the temporary settlements in which people can now access those essential services are, in fact, "artificial," says Brandrup. They offer limited possibilities for people to establish and maintain themselves over the long-term. For instance, without Oxfam?s assistance, communities could not sustain the kind of water systems—with deep boreholes and expensive diesel-powered pumps—on which they now rely.
"The displaced understand that it will not be possible for all to stay in the current sites," Brandrup adds. "At the same time, many villages have been destroyed and land taken over by others so return in those cases is no longer an option."
Economic and social development for rural villages may play a key role in some people's willingness to return.
"It is not possible to drill thousands of boreholes to replace the existing water systems," says Brandrup. "But people can learn to develop traditional open wells better and to ensure that water is not contaminated by animals or unsafe practices. This is, in most cases, the way to go when and if the displaced people can return to their villages."
Khadidja Saleh has already made up her mind about that—at least for the moment. She doesn't intend to leave Gassire, a settlement for 16,300 displaced people on the other side of Goz Beida.
Not far from the steady thump of an Oxfam generator pumping water for this temporary community, Saleh welcomes visitors into her home. A collection of three huts for her extended family, Saleh's improvised compound is like many crowded onto this dusty patch of earth, cobbled together from branches, plastic sheets, thatch, and grass matting.
The mother of six children, Saleh, her husband, and their family made it here safely after a three-day walk from their village of Fagatar—a place she does not want to go back to.
"Many, many people have been killed and no one took time to bury them," she says through an interpreter. "There will not be peace there."
Instead, she says, she would like to stay here and possibly farm a little plot where she can grow vegetables such as ochra—if she can get some land. It feels safe here, she added. And the water is close by and clean.
In Fagatar, Saleh spent about two hours each day fetching water for her family, lugging it home on the back of a donkey. Here, water taps are a short distance from her home. She and her children visit them four or five times a day, filling a 20-liter jug each time.
Even though there is not enough food for her family to eat here yet, Saleh is confident that the international aid groups that have streamed into the region to help will do just that—make sure that she, and the tens of thousands of other displaced villagers, will have at least the basics for survival.
"Here, the place is safe, so one day the food can come," she says.
But the challenges, including insecurity and lawlessness, that confront aid groups in this poor and remote region are enormous—and the needs of people seemingly without end.
As Saleh's visitors bounced in their truck away from Gassire, they passed a thin and tired-looking woman slapping the rump of donkey, urging it onward with its heavy load of a child and a battered pair of plastic water jugs. From the bottom of one, a steady drip of water caught the light. It drizzled from a rag plugging a hole—an afternoon's labor draining into the dust.
]]>