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    Butoke Butoke Presentation Transcript

    • 2010 A Program Approach to Rural Development based on an NGO in The Democratic Republic of Congo
    • Can you help?
    • Democratic Republic of Congo
    • Democratic Republic of Congo  In Central Africa, right on the Equator  40% of the surface area of USA  Average population density 52/ sq. mile  One of the five least developed countries  Great mineral wealth cause of 15 yr. war  More than 5 million direct and indirect civilian war deaths since 1994 and counting.  Per capita income $ 171  Elected government weak and dysfunctional
    • Western Kasai
    • Western Kasai  Area 60,605 sq. miles  Three districts: – Lulua, in the savannah grassland. – Kasai, in the forest. – Kananga in deforested savannah, partially urbanized  2.5 million inhabitants, of which 900,000 in Kananga  Average population density 26 /sq.mile outside the capital  Epicenter of epidemics: ebola, monkey pox rabies
    • Western Kasai Forest
    • Grassland
    • Kananga
    • Food Security and Nutrition in Western Kasai  Pre-famine phase 3 in 6 territories out of 10  9 - 17 % acute malnutrition in children under 5years  In all territories 20% or more of women too thin,10% are acutely malnourished
    • Food security rating Situation de la sécurité Alimentaire au Kasaï Occidental d’Août 2008 à Mars 2009 Résultats de l’IPC 2009 N e, f B, D 630.668 e,f, h A, C, D DEKESE i 2 116.838 i e, f, h 3 *** A, B, C, D 588.707 i *** 3 MWEKA ILEBO *** e, h B, D d,g, h 141.884 B, C, D i 325.837 1 DEMBA i DIMBELENGE LUEBO 3 *** KANANGA *** e, f, g B, D e,f, h 398.677 KAZUMBA DIBAYA B, C, D TSHIKAPA 698.119 i 2 i 1 ** ** f, g LUIZA h B, C, D B, D 1.546.836 491.508 i i 2 g, h 3 B, C, D f, g, h 555.903 B, C, D ** ** i 645.754 1 i 2 *** *** Phase 2.shp Risque élevé Risque modéré Phase 3 30 0 30 60 Kilometers LEGENDE Phase actuelle ou imminente Risque d’aggravation 3 Crise alimentaire et des moyens d’existence aiguë Risque modéré Risque élevé 2 Insécurité alimentaire modérée/limite d ; e ; f ; g et h = Principales causes immédiates : A ; B ; C ; D = Principales causes sous-jacentes : d : insécurité civile ; e : désorganisation du marché ; A : Séquelles des conflits ; B : Dégradation de l’environnement ; f : foyers de maladie ; g : afflux de population ; h : autres. C : Marginalisation Sociale ; D : autres Chiffres : population du territoire/ entité 1 ; 2 ; 3 = Récurrence de la crise dans les 10 dernières années i ; ii ; iii ; iv ; v = Critères de ciblage social : 1 : faible (1 à 2 ans) ; 2 : moyenne (3 à 4) ; 3 : forte (> à 5) i : Système de moyens d’existence = Tendance prévue * =Niveau de confiance de l’analyse : ** Moyen *** Elevé Sans changement Aggravation de la situation
    • Social Context  Between war and peace since 15 years, more than 5 million direct and indirect victims  Frequent migration seeking security and livelihood or driven from neighbouring Angola  Unemployment affects 95% of adult men and increasing under world economic crisis  Women and children are property of husband and the men in his family
    • Social Context  Violence even lynching by mobs upon first time accusation of witchcraft  Witchcraft paradigm leads to grades of long term discrimination against widows, elderly, orphans, malnourished children, chronically ill and handicapped .
    • Young woman accused of `witchcraft `whose mother brother and child had died, 48 h after attempted lynching
    • Dr Jean Lumbala with the woman who saved the `witch` from lynching
    • Aged Man malnourished and accused
    • Byuma declared a `witch` in 2007
    • Byuma in 2010
    • AIDS orphans declared `witches`by their mam
    • Advocating HR of women and children
    • Church women on HR
    • Social Context  Literacy and formal education in decline  Birth rate and child and maternal mortality increasing
    • Agriculture  Agriculture not supported by government  Extensive agriculture using hand tools in small plots of 1/6 to 1/3 acre per family  Minimal trading and commerce – No markets for agricultural supplies and produce  Agricultural potential limited: – sandy soil in Lulua district and Kananga – Absence of high quality seeds – clay soil and fear of sleeping sickness in Kasai district – Irregular rainfall, lack of irrigation, variable micro- climates
    • Agriculture  Women carry heaviest workload in agriculture  Transportation:  Bad roads dangerous for cars  women and children on foot carrying heavy loads  men pushing bicycles long distances up to 150 miles
    • Women and children on foot carrying heavy loads
    • Bad roads
    • Malnutrition  Lack of food security in towns and even more so in the villages  Due to actual lack of food as well as transportation problems and speculation by suppliers  Severe malnutrition in 9 to 25 percent of children under 5; elevated rates of nutritional dwarfism.
    • Malnutrition  Season of witches, September – December, seasonal food shortage leads to high mortality in children, elderly and handicapped people leading to multiple new accusations of witchcraft
    • Conditions favorable for an NGO Program Approach to Rural Development  Strong pressure in favor of development efforts by – rural associations – people who are most marginalized – traditional chiefs – church leaders  Some provincial authorities in 2004, responsive to popular pressure, have sought to support NGO activities
    • Communities
    • Initiators
    • BUTOKE: Objective  BUTOKE gives priority to integrated rural development, social peace and the promotion of equity by collaborating with civil society including faith-based organizations and village associations in each locality so that all can participate in the efforts and all can benefit.
    • Development Efforts  Longterm 5-15 years  Good but not overabundant baseline statistics  Monitor, flexibility of tactics, learn as you go  Stability of personnel  Core Community participation in planning, monitoring and evaluating
    • Humanitarian Assistance  Sudden problem surpassing local capacity to deal with independently: accidents, epidemics  Speed of intervention  Use agreed upon procedures for quality care  Minimum data gathering: where, number of people involved in orders of magnitude, who else can assist with what  Flexible administrative procedures  Available logistics  Monitoring and evaluation
    • Neighbours and ex patients join as workers
    • Top notch Technicians join
    • Community Nutrition Center
    • Malnourished and orphans have discovered a grandma
    • Nolonger alone
    • Nutritional dwarfism
    • Marasmus
    • Kwashiorkor
    • Kwashiorkor
    • Kwashiorkor
    • A normal child (center) with two malnourished children of same age (37 mos.)
    • Byuma in 2007
    • Byuma in 2010
    • Food Security and Nutrition Strategies 1. Short term support for lasting effects, e.g simple tools, seeds, to stimulate the agricultural cycle
    • Food Security and Nutrition 2. Introduce and support simple low- cost innovations  selection of better seeds,  careful planting with proper spacing  weeding at the correct time
    • Food Security and Nutrition Strategies 3. Reach large numbers of people through village associations and parishes
    • Food Security and Nutrition Strategies 4. Encourage increased production of staple foods with improved varieties of corn and cassava
    • Food Security and Nutrition Strategies 5. Encourage varied diets, rich in protein and vitamins by including cultivation of peanuts, soy, lentils, watermelon, vegetables
    • Food Security and Nutrition Strategies 6. Maintain dialogue with parishes and associations on strategies and ethics of development with equity
    • Food Security and Nutrition Strategies 7. Feeding Programs: Most people get only one meal per day that is bulky and of low nutritional quality ….
    • Butoke feeds daily about 100 children and adolescents and adults, with moderate to severe acute malnutrition 3 – 12 times per day
    • Number of Associations Formed and Acres Under Cultivation Each Season, 2004 - 2009 2000 1800 1600 1400 1200 1000 800 600 400 200 0 2004a 2004b 2005a 2005b 2006a 2006b 2007 2008 2009
    • Health  Access to medical care  Malnutrition  Disability
    • Access to Medical care  Medical and surgical emergencies (1,500 cases per year)  Primary health care (5,000 cases per year)
    • Many emergencies are turned away from hospitals for lack of ability to pay. BUTOKE provides money and an advocate …
    • … who assists hospital patients get access to needed health care.
    • Complex emergency 8 y old daughter brought by her father who is a pastor. who tried prayer and traditional care
    • That she may live  Infection, cancer. and burn by traditional treatment
    • Victim of an attempted murder. BUTOKE helped get her into hospital for treatment
    • BUTOKE staff provide simple basic care
    • Disability In a situation where survival is often uncertain anyhow, disabilities further impair an individual's chances. Disabled people are stigmatized because they are considered to be probable witches
    • the elderly and disabled arrive on bicycles by Samaritans
    • Paraplegics have been supplied with simple locally- made hand- propelled tricycles that greatly increase their mobility
    • Rehabilitation enables a disabled person to play a more active role in community life
    • Many people with disabilities are at special disadvantage. Existing services provide no social rehabilitation nor pastoral care. Butoke provides all of these. This man was provided a sewing machine, which enabled him to develop a new livlihood as a tailor.
    • Loving care  Kapinga, orphan 24 y Handicapped (TB hip)  `Witch`  Tried prostitution but came malnourished and begging  Became major loving caretaker of smallest orphans
    • Education  Support for school fees and notebooks and pens, without which children cannot attend private or government schools
    • 800 700 600 500 400 Series1 300 200 100 0 Year 2004 2005 2006 2007 2008 2009 Children supported by BUTOKE in primary and secondary schools
    • BUTOKE: the Future  Delayed support by CIDA. Uncertain support by UN because of uncertainty of their budgetary support  Maintain efforts towards economic and social equity through affiliated associations  Continue the orphanage with 42 children  Maintain the health care and emergency care  Continue defending human rights of witches
    • How you can help  Stay informed about Africa and DR Congo  Pray for BUTOKE and the people of the Congo in these times where major support from UN and bilaterals are disturbed by the world wide economic crisis and political turbulence  Help us by sustaining our work to support – Orphans and malnourished – Food Security – Emergency Health care for indigents – Educational support for primary school - Protection of Human rights of so called witches
    • Donations Send contributions, payable to “Maryland Presbyterian Church” to BUTOKE’s agent in the USA: Maryland Presbyterian Church 1105 Providence Road Baltimore, MD 21286-1744