Development Profile: UNDP in the Southern Gobi Desert | May-June 1998

By David South, Blue Sky Bulletin (Dalanzadgad, Mongolia), May-June 1998

Development Profile: UNDP in the Southern Gobi Desert

In late May UNDP visited its environment and poverty projects in Omnogobi or South Gobi on the border with China and in the heart of the Gobi Desert. The aimag (province) is home to 45,000 people spread over a territory of 165,000 kilometers. It is a harsh environment where temperatures can plummet to minus 40 degrees Celsius in winter and shoot up to plus 40 in summer. What is striking about the capital of Omnogobi, Dalanzadgad, is how well things are working. It is a garden capital - despite being in the desert the central boulevard is covered in trees - and trade with China has brought a prosperity for some herdsmen, many of whom buzz around the town on Planeta motorcycles. The offices of the Malchin television company are hidden by a bouquet of white satellite dishes - it is not an uncommon sight to see a ger with a satellite dish in South Gobi. 

In 1998 Der Spiegel's "Kommunikation total" issue profiled the global connectivity revolution underway and being accelerated by the Internet boom of the late 1990s. It chose my picture of a satellite dish and a ger in the Gobi Desert to symbolise this historic event.

Electricity in the air - 85 women discover the Women’s Development Fund

The Mongolian Human Development Report singled out South Gobi for having the highest poverty incidence in Mongolia (41.9 per cent). While this ranking is hotly debated by locals who say it is a statistical anomaly resulting from their low population, there is no question life is hard in the Gobi. 

In a crowded room in the Governor’s building, 85 of the poorest women in Dalanzadgad have gathered to hear about an innovative UNDP-initiated fund. The meeting, organised by the NGO the Liberal Women’s Brain Pool, is introducing the Women’s Development Fund. Many questions are asked as to why some of the women were passed over when the local government started distributing poverty alleviation funds. 

With the assistance of the British Government who donated Tg 12 million, these women are getting a chance. The Women’s Development Fund was founded in partnership with the Poverty Alleviation Programme Office to take account of the unique role women have in the prosperity of families. Support is key and the women will be assisted by community activists as they develop their project ideas and begin to implement them. In early June they started to receive funding for their projects. 

Note: This story was part of a series highlighting life and the state of human development in Mongolia’s Gobi Desert after the publishing of the country’s first human development report in 1997. 

ORCID iD: https://orcid.org/0000-0001-5311-1052.

© David South Consulting 2020

Psychiatric care lacking for institutionalised seniors

Don Weitz wears a T-shirt bluntly saying, “Fry rice - not brains.”

By David South

Today’s Seniors (Canada), November 1992

Seniors who live in nursing homes and homes for the aged are receiving an inadequate amount of psychiatric care, according to a study conducted by Toronto’s Baycrest Centre for Geriatric Care. 

Dr. David Conn, director of psychiatry at Baycrest and an author of the report, says action must be taken to remedy this situation, since at least 80 per cent of elderly long-term care residents suffer from some form of mental disorder. 

The issue of psychiatric care for seniors is complex. There are many, often strongly-held, opinions about the nature of this care and what measures will genuinely improve the mental well-being of seniors in institutions. 

According to The Senior Citizens’ Consumer Alliance for Long-Care Reform, Ontario has the highest rate of institutionalisation of seniors in the world, with 7.5 per cent of seniors over the age of 65 and 15 per cent over 75 in institutions. The Alliance demanded in its reforms in Ontario that seniors’ mental health problems be taken more seriously and be included in any assessment for care. 

Baycrest’s report surveyed 1,148 medical directors and nursing directors in over 500 nursing homes and homes for the aged across Ontario. The 601 who responded reported that 37 per cent of their residents received no psychiatric care, while only 12 per cent received more than five hours per month. The most common psychiatric problems under treatment were depression, agitation, wandering and physical aggression. 

“Recognition of significant mental disorders in nursing homes is a recent phenomenon because geriatric psychiatry is a relatively new field,” says Dr. Conn. “The usual approach has been to reach for the prescription pad. We know now that antidepressants have been underused and tranquillizers overused.

“To deliver effective psychiatric care requires more than just psychiatrists - teams of psychiatric nurses can also be involved. Hopefully the staff of these institutions will become better educated as a result of this report.”

Dr. Kenneth Shulman, head of psychiatry at the Sunnybrook Health Sciences Centre, feels the worst neglect occurs in private rest homes. 

“There is general lack of accountability when it comes to geriatric psychiatric services.” Schulman advocates a coordinated, comprehensive regional network of services. 

Dr. Conn is sensitive to reports of sexual, physical and mental abuse of residents in some institutions. He says staff as well as residents of institutions can benefit from psychiatric consultations. “If more psychiatric consultants were available, the staff could also receive help in working out their problems,” he says. “Unfortunately the fee-for-service system doesn’t include paying for visiting staff.

“Being in an institution is not easy for anyone. It often means being apart from family, living with strangers, loss of freedom and having to live by the institution’s timetable.”

One of the most controversial of psychiatric treatments is electroconvulsive therapy (ECT). ECT involves placing electrodes on the sedated patient’s head and passing 100 to 175 volts of electricity into one of the lobes of the brain to induce grand mal seizure and coma. 

Opponents of ECT say the procedure can cause memory loss and confusion, and in some cases proves fatal. A 1985 Ontario government task force report recommended against using ECT in certain cases: “For patients whose work requires a clear and precise memory, ECT is probably contraindicated.”

But many other sources say that while ECT has been abused in the past and, like many other medical procedures, may not be a pretty sight, it is sometimes effective in combating depression. 

Dr. Conn confirms that the controversial procedure is still being used on seniors. “ECT is used on very depressed people,” he says. “It is a hospital-based service. The patient is admitted to a psychiatric unit of the hospital. We do it at Baycrest. It is only a last resort and has often been life-saving.”

Don Weitz, a senior citizen and spokesperson for Resistance Against Psychiatry, doesn’t mince words about what he says is the adverse effects of electroshock therapy and psychiatric practice in general. He wears a T-shirt bluntly saying, “Fry rice - not brains.”

“We have known about the adverse effects of shock for years,” says Weitz. “Research from the ‘40s and ‘50s was very clear that there was brain damage.

“What doctors mean by improvement is in fact post-injury euphoria - the brain will overcompensate with giddiness, and this only lasts for two to four weeks. Doctors seldom test people for more than two or three months afterwards.”

“What we know for sure is that within the institutions, they would rather give drugs or shock than talk to seniors. I think this should be called elder abuse - what else could it be? Is it such a mystery why people are depressed in institutions where they are abused? Psychiatrists have a vested interest in billing OHIP for pushing the button.”

But Dr. Shulman disagrees with blaming the atmosphere of institutions. “It is simplistic to think that the environment is responsible for aggressiveness or other problems,” he says. “These people are cognitively impaired - it could be medication-related or something else. These are complicated issues.”

For any nursing home workers who want further advice about psychiatry, Baycrest has produced a “Jargon-free” guide called Practical Psychiatry in the Nursing Home. 

Traffic Signs Bring Safety to the Streets

By David South, UNDP Mongolia Communications Coordinator

Ulaanbaatar, Mongolia (Blue Sky Bulletin, Issue Number 6, May/June 1998)

Cars, mostly olive green Russian jeeps, weave in and out of the five-storey apartment blocks of downtown Dalanzadgad. Running through the centre of the capital of Omnogobi is a gardened boulevard, where families hide from the hot sun under trees.

That one road, and the few feeding into it, are the only enforced guides for drivers. It can be seen across Mongolia – settlements criss-crossed by drivers looking for the shortest route to their destination. It doesn’t help that there are no natural or manmade barriers to prevent drivers going their own way.

In Dalanzadgad, a UNDP project to protect the environment from off-road driving has had an unexpected outcome: it has galvanized the community to make the streets safer by adding over 100 traffic signs. The project “Soil and Road” under UNDP’s Environmental Public Awareness Programme (EPAP), started modestly. According to project director and local Khural head Mr. Byambasuren, the number of vehicles in the area shot up from 800 three years ago, to 1,500 today. Most of these vehicles drive off-road, kicking up dust and destroying flora, contributing to desertification.

“The disease rate here is very high because of the dust and we have many traffic accidents involving children,” says Byambasuren.

With a small grant of Tg 2.5 million from EPAP the project was able to organize workshops for local drivers where they signed a contract to not drive off-road, facing stiff penalties from the traffic police if caught.

A media campaign was also organized and posters and brochures distributed. The local traffic police were so impressed by the project they decided to chip in a further Tg 2 million to construct traffic signs and install concrete calming barriers.

At first they explored the possibility of buying ready-made signs but found the costs too prohibitive.

“We wanted to get signs that glowed at night but they were too expensive. We decided to make our own out of old oil drums.”

In a room thick with the smell of fresh paint sits the traffic signs. They all use internationally recognized symbols and only upon closer inspection, reveal their past life sitting on top of an oil drum. Each sign costs Tg 2,000 to make. In addition to the signs traffic calming concrete barriers have been installed in 20 places throughout Dalanzadgad.

Next year Byambasuren will target the large ger districts that surround the centre of Dalanzadgad. He has a message for any driver who doesn’t obey: “We will be banging on their heads with lectures if they break the rules!,” he says with a laugh.

The Environmental Public Awareness Handbook: Case Studies and Lessons Learned in Mongolia by Robert Ferguson can be found here: http://openlibrary.org/b/OL169160M/Environmental-Public-Awareness-Handbook

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