Home Visits: Richard

The second person we visited last Wednesday was Richard, someone who received a small business wheelchair from Tish's project a few years ago. In 2000, Richard fell from a tree (sounds familiar) and injured his T-12 vertebrae. In the past nine years, he has had two wheelchairs - one imported chair, and one locally made. The imported chair lasted from 2000-2003, and he was able to get it through KCMC. In 2003, the problems the wheelchair caused compounded: it was difficult to maneuver, broken, and couldn't go fast because its two front wheels fluttered. One advantage though, was the foldability of the wheelchair.

His second wheelchair that he got in 2003, has lasted these past six years. Yes, the paint is gone and it doesn't look brand new, but he has had relatively little trouble and a much better pay off. In the last six years, he replaced the bearings and got a new front wheel. Not half bad on this terrain. The major disadvantage of the locally made chairs is that that cannot fold up. Richard recommended that Worldwide Mobility should have a "what next?" focus as well, something I completely agree with. He said that once a person gets a wheelchair, he doesn't have a job and sometimes getting a wheelchair only means he can get out of bed in order to beg.

Richard is in front of his store in the picture to the right. It's important to have a plan. I think Tish's small business project would be an excellent companion to Worldwide Mobility. Even if we did not have separate "business" wheelchairs made, it is very important that we can provide people who receive the wheelchairs with some training to help them start a business. Tish's project is building a place for a training school. I think it would be fantastic if we could somehow merge the two projects, taking the best elements from each. From WM, raise money to help a person buy a wheelchair. Through kiva or some other means, acquire capital for small business loans. This would mean that people would need to demonstrate an ability and idea for a business.

While a small business would not apply to children, it is a good idea for adults. It may be important to make further distinctions in the future or stipulate that a child be able to go to school. Perhaps (only if necessary) another donation for school fees? There's a lot to think about...

Home Visits

The first guy we visited today fell out of a coconut tree in 1993. Since then, he has had three wheelchairs. Pictures of all three of them are below. Notice how the the first two are unfitted and don't accomidate rough terrain. The third is a three wheeled chair - much more stable in bumpy roads. (And there were a LOT of bumpy roads nearby) His most recent one is from March 2009 and is shiny and new looking. His first wheelchair came from KCMC via a program with a Netherlands church. He has one child and lives with his sisters.



He's very fortunate in that since he built his house after his accident, it is accessible in all the rooms. From the back. He can't go through the front because there's a big step, but it's easy access from the back. He likes the new one because he can go longer distances and it handles the rough terrain better. His house is pretty cool; they installed a solar panel for power on the roof.



His primary concern for people who are disabled is that they don't have or know how to manage capital. They definitely need ways to make money. He has been doing decently because he has a plot, and his business partner helps him manage the land.
Every week, they pay 7000 Tsh (USD$5.84) to rent a pump and hire someone to operate it. Pumps cost USD$300-350. I was initially concerned when he said he wanted a loan because if he used the money he saved to pay back the loan, it would take 60+ weeks to repay, and the planting season isn't nearly that long.

The planting/growing season is 2-3 months. Harvest time, however, lasts six months. Each week, they fill 25 bags that sell for 10000 Tsh each

25 * 10000 Tsh * 4 weeks/month * 6 months = 6 000 000 000 Tsh = USD$5000 per year

A portion of which goes to renting the pump. At first glance I was worried because it didn't sound like he would be able to repay the loan in a timely manner. The benefit of not paying $6 per month did not seem to translate into significantly increased earnings.

However, upon further questions, he told me they are currently using only a fraction of the land. His land extended for at least double or triple what was actually planted. The thing holding them back is the price of having the water pump rented. I went and saw, and it's quite significant how much they have left. (He owns up to the far tree line.) It may be unrealistic or inadvisable to cultivate ALL of his land, but it is clear that the opportunity would provide significant increased earnings regardless.



His is the ideal candidate for getting a micro loan. He knows exactly what he needs to expand his business, the expansion will produce much increased profit, but to pay for it out of pocket would be too much.

Hearing his story today made me start thinking about kiva.org. No one here seems to have heard of it. I was talking to Faustina last week and she looked up the website. An eventual goal of Worldwide Mobility should be to enable its wheelchair users to get loans on Kiva. In the mean time, we can attempt to secure micro loans for people who benefit from WM through existing places. Perhaps KASI will become a partner. Faustina definitely seemed interested, so I hope they pursue it further. I think she liked its emphasis on women.

I'll write about the second person we visited that day soon.

The Plan

*Note: many of the places are described in greater detail in this post.
My meeting with Abdullah last Friday about the plan for what to do with Worldwide Mobility in the next few weeks was great. Here's the flexible schedule (subject to changes & rearrangements):
Monday - work at KASI, make website to fill in the form, make Word Document version. Abdullah will be out, so it's a perfect day to catch up on email and do the web side of the plan.
Tuesday - meet/work with one of the wheelchair technicians at Kilimanjaro Christian Medical Center (KCMC), Albert.
Wednesday - Two home visits of current wheelchair users, both in good quality, locally made chairs
Thursday - Work at KCMC, meet with Albert again, the orthopedics department, and the Motivation office
Friday - go to CCBR with Abdullah, after work, go to the KASI Finance Committee meeting.

Monday - travel to Arusha to see Mobility Care, learn their system, etc
Tuesday - visit Njoro workshop
Wednesday - home visit of a current wheelchair user in an unfitted, externally donated chair from the states
Thursday - assessment at CCBR
Friday - meeting with local PAWA people

So there's the rough sketch. I think it's an appropriate mixture of seeing each of the aspects over here and all parts of it are things I definitely would not be able to do from MIT. I'm looking forward to meeting and working with everybody, especially talking with the current wheelchair users. I think it will be very enlightening to compare the experiences of the users in locally fitted vs externally non-fitted wheelchairs.

Definitions

There are a lot of words, names, and acronyms thrown around like you know exactly what I'm talking about, so here's a list:

Places
CCBR - A disability organization where Abdullah works part time. They do assessments of people's disabilities.
KASI - Kilimanjaro Assiciation for the Spinally Injured. The first and only such organization in Africa. They inspired several similar organizations in Uganda and Kenya.
KCMC - Kilimanjaro Christian Medical Center. They are the #1 hospital in Tanzania, located in Moshi. There is a wheelchair workshop there that KASI hires to make wheelchairs (KCMC Wheelchair Workshop), and this is where Albert works. Located in Moshi, Tanzania.
Arusha Mobility - one of three wheelchair workshops KASI hires to make wheelchairs. Located in Arusha, Tanzania.
Njoro Wheelchair Workshop - the third wheelchair workshop KASI hires, located near Arusha.

People
Abdullah - my mentor in Tanzania. His website is here: abdullahonwheels.googlepages.com
Albert - wheelchair technician, works at KCMC Wheelchair Workshop
Amos Winter - my mentor at MIT, head of M-Lab

Misc
M-Lab - MIT Mobility Lab, working on several wheelchair related projects and has a class every spring semester
Tigo - a cell phone provider in Tanzania
WC, wc - wheelchair (we're not British)
Zain - a cell phone provider for a large portion of Africa, including Tanzania, Uganda, and Kenya

Kiswahili - Swahili
jambo - hello
hamjambo? - how are you (plural)?
kusoma - to study
kutoka - to come from
ni/si - positive/negative present tense form of to be