Debt-free Homes For the Poor

As the population around the world’s cities grows, and slums grow larger and more prevalent, the urgent need for affordable and decent housing becomes more pressing. The world’s megacities – like Buenos Aires, Argentina, where more than 13 million live in the metropolitan region – have to find a way to provide housing that is both cheap and does the minimum possible amount of harm to the environment.

About one-third of the world’s urban dwellers live in slums, and the United Nations estimates that the number of people living in such conditions will double by 2030 as a result of rapid urbanization in developing countries. Latin America is already the most urbanized region in the developing world.

“Throughout Latin America you have economies that are growing and doing well, but the way the economies are growing is actually generating more shanty towns,” said Erik Vittrup, senior adviser on Latin America and the Caribbean for the U.N. Human Settlements Program. “It’s a growth that is just generating wealth for those who (already) have it.”

How well people dwell is integral to their mental and physical health. Most squatters and slum dwellers live in makeshift homes made from whatever they can get their hands on. These dwellings are usually unsafe and vulnerable to fire, floods, and earthquakes.

But across the South, initiatives are proving it is possible to build good quality homes for the poor while avoiding burdening them with debt. Pioneering ways are being developed for the poor to build their own high-quality houses using recycled materials and environmentally friendly products.

In Colombia , Alejandro Salazar, a chemical engineer, professor at the Universidad del Valle (http://www.univalle.edu.co/english/) and innovator running several companies pioneering new building technologies using recycled waste, is building high-quality, inexpensive houses for the poor.  By combining free building materials recovered from waste, a government grant and the voluntary labour of the homeowners, Salazar’s company is able to build homes for the poor that don’t leave them with ongoing bank debt from mortgages.

Based in Cali, Colombia (http://gosouthamerica.about.com/od/cali/p/Cali.htm), his companies Ecoingenieria (product and material research and development), Ecomat SA (production of eco-materials using industrial waste and construction rubble), Constructora Paez, (social housing construction using eco-products) and Wassh SA (environmental management and transformation of dangerous solid waste into non-dangerous materials), are focused on pioneering new technologies for housing.

“Our company uses two basic technologies,” said Salazar. “The production of eco-materials from solid waste and demolition waste, and the implementation of an agile building system, which does not require skilled labour and is hand-transportable. All the pieces are produced in a prefabrication plant that uses the eco-materials.”

Salazar has found a way to provide homes quicker than existing NGOs – Popular Housing Organizations (OPV), as they are called – established to address homelessness in Colombia. The homeless poor are caught in a Catch-22: they need to have a formal job to receive homebuilding assistance from the government, and they usually can not save up enough money for a down payment on the home.

Salazar’s solution is to take the maximum grant given by the central government, which is US $4,730, and combine it with the recycled building materials and homeowners’ own labour. He says this allows a house to be built for roughly half the price of a similarly sized one that uses conventional materials: the eco-materials house costs around US $ 6,590, compared to US $12,000 using conventional materials. Land is often either donated by the municipality or the family already owns it. And in Salazar’s experience, the whole family chips in with the building: husbands, sons, brothers, fathers, wives.

The training takes just three days on eco-materials and a day in construction techniques for house building.

“To date, we have built with this method 306 houses,” said Salazar. “For the coming year, we expect to deliver around 500 houses or more. To build a house, after acquiring the land, we need three people working eight hours a day to build it in four weeks – all under the supervision of a workforce teacher and the supervision of an engineer or architect.

“The houses are designed by architects with the participation of the community or families. They do some workshops and the design conforms to their vision and expectation. In Colombia, there is an earthquake resistance code which is binding in law and provides detailed specifications of the materials, foundations, structure and roof.”

The pre-fabricated building materials are made from recovered waste from a wide variety of sources: ceramic red brick, coarse ash and fly ash, slag from steel, copper slag, porcelain insulators used for electrical power lines, nickel slag, sludge from sugar and alcohol plants and water treatment plants.

“The raw materials we use are industrial solid waste and demolition waste. It costs the industry a lot to throw away this waste,” Salazar said.

He said the biggest obstacle to the new homes is psychological: many people initially “tend to reject at first-hand the technology.”

“When visiting the factory and then visiting the homes – or model homes – they then compare it with a traditional house, and realize that the best eco-homes when finished meet the standards of Colombian earthquake resistance and are also cheaper,” he said.

Compared to using conventional building materials, the eco-materials reduce the cost of a new home. And the company still makes a profit from it!

In Paraguay, Elsa Zaldivar is using recycled plastic, cotton netting, corn husks, and loofah sponges (http://en.wikipedia.org/wiki/Luffa) to make cheap, lightweight construction panels for housing. This has a double benefit: it makes for cheap housing and it is good for the environment.

“That’s very important in Paraguay,” said Zaldivar, “because we’ve already reduced our original forest to less than 10 percent of the national territory.”

Zaldivar got her experience working with people in the impoverished area of Caaguazú, where in the past she helped with the building of toilets and making stoves. She found that involving local people in this work made a huge difference: “They told me: ‘Now we feel like we’re people with dignity.’”

She encourages local women to grow loofah – a plant that once flourished but was being ignored. While the fruit is edible she was more interested in the crusty sponge that is left over when the plant is dried. The women started a cooperative selling loofah sponges, mats and slippers. But there was a lot of waste in the process, with a third not suitable for export. She then came up with the idea to use the loofahs for wall and roof panels for cheap housing.

Along with industrial engineer Pedro Padros, she developed a way to combine loofah with plastic waste. Padros invented a machine to melt the recycled plastic and mix the molten plastic with loofah, vegetable fibres and chopped corn husks. It has produced a building panel that is lighter and easier to move around than lumber or brick. With a grant from the Inter-American Development Bank, design improvements have been made and the cost-per-panel brought down from US $6 per square meter. It is now competitive with the cost of wood panels. The great thing about the panels is that they can be recycled again when they wear out, completing the cycle.

“To have a decent home liberates people,” said Zaldivar.

By David South, Development Challenges, South-South Solutions

Published: January 2009

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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Two-stroke Engine Pollution Solution

Cities across the South choke on the pollution made by the small two-stroke engines (http://www.howstuffworks.com/two-stroke.htm) powering motor scooters, motorcycles, auto rickshaws, tuk-tuks and other vehicles. People choose these vehicles to get around because they are cheap, powerful and easy to fix. But the environment – and human health – suffers as a result. And as cities balloon and populations grow, the number of journeys and two-stroke engines grows with it.

In large cities across Asia, 1 million three-wheeled auto-rickshaws form an important means of daily transportation, and a source of income for their drivers. And the Asian Development Bank estimates there are over 100 million vehicles using two-stroke engines in Southeast Asia. But these vehicles cause serious air pollution and emissions of carbon dioxide (CO2), which contributes to global warming.

Because two-stroke engines burn an oil-gasoline mixture, they also emit more smoke, carbon monoxide, hydrocarbons and particulate matter than the gas-only, four-stroke engines found in newer vehicles.

In the Philippines, auto rickshaw drivers are pioneering specially adapted two-stroke engines that reduce particulate emissions by 70 percent and carbon dioxide emissions by 76 percent.

Tim Bauer, the 31-year-old American mechanical engineer who developed the technology, said auto rickshaws “play an essential role in the social and economic fabric. But their impact on public health is disastrous.”

Motorized tricycles produce an astonishing amount of pollution: each one is equivalent to 50 cars. In Bangkok, Thailand, two-stroke engines contribute 47 percent of pollution particulates in the air.

The World Health Organization (www.who.org) ranks urban outdoor air pollution as the 13th greatest contributor to disease burden and death worldwide. It has been estimated that the air pollution leads to the deaths of more than half a million people a year. About two-thirds of the residents of Delhi and Calcutta suffer from respiratory symptoms such as common cold and dry and wet cough, much of this caused by two-stroke engine emissions.

Two-stroke engines are highly inefficient users of fuel: up to 40 percent of the fuel and oil goes out of the exhaust pipe unburned. This exhaust is packed with oxides of carbon, nitrogen, sulphur, hydrocarbons and fine dust – all toxic contributors to air pollution.

But the attraction of these engines remains strong. “They are powerful, simple, reliable and robust,” said Bauer, “and spare parts are easy to find. They also have a long lifetime.”

Bauer faced some strict constraints in developing the technology.

“It had to substantially reduce emissions without impairing the engine’s performance. It had to be installed without machining the engine crankcase, and with only a basic tool set. Of course, it also had to be affordable for Filipino drivers.”

Using off-the-shelf components, Bauer developed a kit that turns two-stroke engines into fuel-injection machines. This adjustment reduced particulate emissions by 70 percent and carbon dioxide emissions by 76 percent. He now sells the kits through Envirofit, a non-profit organization (http://www.envirofit.org/). It has been pilot tested at two Filipino holiday resorts, Vigan and Puerto Princesa.

Auto-rickshaw drivers tend to be poor and earn on average US $3 to US $4 a day. The cost of fitting vehicles with Bauer’s new technology is met by microcredit.

“Drivers earn money daily, so it’s easy for them to pay back their loan, and 90 percent of them do it in less than a year,” he said. Over 260 taxi drivers have already installed the new kit.

“These drivers are at the base of the economic pyramid and these tricycles are a testament to their ingenuity and work ethic. At the end of the day, we can improve their lives with a cylinder head, a few brackets and, of course, hard work.”

Bauer pioneered his solution while working on fuel injection in snowmobiles at the Engines and Energy Conservation Lab at Colorado State University. He started to market the solution in Asia in 2004. Bauer has won a Rolex Award for Enterprise to pay for the distribution of the kits throughout Asia.

There is, of course, another solution: an outright ban or measures to push the vehicles off the road. In the Philippines’ San Fernando City, economic incentives were what drove the transition from two-stroke to four-stroke (less polluting) tricycles. In 2001, three-quarters of the city’s 1,600 registered tricycles ran on two-stroke engines. But after a city council mandate to totally phase out the vehicles by 2004, and offers of interest-free loans for down-payments on four-stroke models, more than 400 four-stroke tricycles had replaced the older two-stroke models.

When Bangkok toughened up vehicle inspections and emissions standards in 2000, two-wheelers made up over 96 percent of the city’s traffic. But by March 2004, they made up only 40 percent, according to Supat Wangwongwatana, deputy director general of Thailand’s Pollution Control Department.

By David South, Development Challenges, South-South Solutions

Published: December 2008

Read more about the impact of air pollution on human health in Beth Gardiner's Choked: The Age of Air Pollution and the Fight for a Cleaner Future (Granta, 2019). 

Beth Gardiner shows off the first galley proof of Choked on Twitter.

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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Urban Farmers Gain from Waste Water

The global food crisis continues to fuel food price inflation and send many into hunger and despair. Around the world, solutions are being sought to the urgent need for more food and cheaper food. U.N. Secretary-General Ban Ki-moon has called for food production to increase 50 percent by 2030 just to meet rising demand – and right now there are 862 million people undernourished (FAO).

One fast-growing solution is bringing farming to urban and semi-urban spaces, where the majority of the world’s population now lives.

Urban farmers can take advantage of their close proximity to consumers, keeping costs down and profits up. They can also solve one of agriculture’s enduring problems – where to find water for irrigation by using existing waste water. Waste water is plentiful in urban environments, where factories usually pump out waste water into streams, rivers and lakes.

The amount of urban farmed agriculture is still small, about 10 percent of the world’s agricultural production, but is a potential growth area if handled well. In 53 cities surveyed by the International Water Management Institute, 1.1 million farmers – some 200 million worldwide – are now using recycled or waste water to irrigate their crops.

In Accra, Ghana, more than 200,000 people depend on food grown with wastewater. In Pakistan, a full quarter of the grown vegetables use wastewater.

The use of waste water comes with its ups and downs. While the World Health Organization rightfully points out that waste water can be a source of disease and pollution, cities also face a dilemma: diverting fresh water to irrigate crops means less for people to drink. Out of the 53 cities surveyed by the International Water Management Institute, 85 percent dumped their raw sewage and wastewater into streams and lakes. With this in mind, the WHO has altered its stance on wastewater, and now supports its use for irrigating farmland as long as all efforts are made to treat wastewater and that people are warned to thoroughly wash food before eating it.

Pay Drechsel, who heads the IWMI’s research division based in Accra, Ghana, studying safe and productive use of low-quality water, says sophisticated systems to use waste water have developed in Vietnam, China and India, “where this practice has been going on for centuries.”

“People know how to avoid health risks, like thorough cooking of vegetables,” he said. “In Vietnam and China, waste from households (fecal waste, solid waste and wastewater from household use) have always been effectively recycled in ‘closed systems’ at a household level where the waste/nutrients are recycled into the food chain and so return for human consumption.”

Drechsel cites examples like Calcutta, where a large wetland is being used for treating and recycling wastewater for beneficial uses such as fish farming. In Northern Ghana, fecal sludge from septic tanks is spread on fields that are later used to grow cereals.

“The risk for the consumer is extremely low, a waste product is productively recycled, the farmer has a good harvest and the city gets rid of their waste,” Drechsel said. “A multiple win-win situation.

“Depending on the local situations such models can be widely used, provided they are documented and the risk factors are controlled,” he added.

Farmers use various methods to reduce the risk of contamination, including drip irrigation where the water does not touch the crop.

The risks for both farmers and consumer can be managed with the right protocols. For farmers, Drechsel recommends wearing of rubber boots and careful hand washing to avoid skin diseases. He points out that these farmers usually make more money than those who do not use waste water, and thus can afford the extra cost of precautionary measures, like de-worming tablets. They can quickly get out of poverty by using this water.

For consumers, the risk is from diarrhoea, typhus or cholera if raw food is eaten unwashed or poorly washed. The best solution is to turn to the WHO’s guidelines and proven local practices and tested techniques developed by researchers.

“Here more awareness creation on invisible risks through pathogens is needed. Perception studies in West Africa showed that nearly all households wash vegetables but they target visible dirt. Thus, the methods used are not effective. Best would be therefore a combination of risk reducing interventions from farm to fork, as none alone is 100 percent efficient. This is also what the new WHO guidelines promote: a flexible approach, reducing in each country the health risks as far as it is possible and feasible.”

Drechsel sees an opportunity for water treatment plants to seize: “What is missing so far is a ‘design for reuse.’ If treatment plants would be designed to serve farmers they could be less sophisticated and easier to maintain. Farmers could be involved in this, maybe a win-win situation.

“The environment benefits too. Spreading wastewater over fields, and allowing it to leach back through the soil into local waterways, turns out to be a reasonable way to purify it. The process filters out all the organic contaminants, and much of the nitrogen and phosphates that would otherwise contribute to algal blooms and dead zones further downstream. It is certainly preferable to dumping wastewater straight into the nearest big river or lake.”

By David South, Development Challenges, South-South Solutions

Published: September 2008

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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Urban Farming to Tackle Global Food Crisis

The world’s population is becoming more urban by the day. By 2030, some five billion people around the world will live in cities. This year is the tipping point: urban dwellers (3.3 billion people) now outnumber rural residents for the first time (UNFPA’s State of the World Population 2007 Report).

But with rising food prices across the globe, many city-dwellers are experiencing hunger and real hardship. On international commodity markets, food prices have gone up 54 percent over the last year, with cereal prices soaring 92 percent (FAO – World Food Situation). While living in an urban environment means living cheek-by-jowl with other people, it doesn’t mean there aren’t ways to grow food and supplement urban dwellers’ tight budgets and boost diets.

U.N. Secretary-General Ban Ki-moon has called for food production to increase 50 percent by 2030 just to meet rising demand – and right now there are 862 million people undernourished (FAO). But one solution, urban farming, can make a huge difference, as the Caribbean island of Cuba has shown.
Today, Cuba imports about 50 percent of its minimum fuel and food requirements – a cost that reached US $1.6 billion last year for food. (Reuters). The island has been buffeted by one food crisis after another in the past two decades, first by the collapse of its aid from the Soviet Union, and then by a fuel crisis. But now, urban farming in Cuba provides most of the country’s vegetables, thanks to urban gardens that have sprung up on abandoned land in the country’s cities and towns. And the food is pesticide-free: 70 percent of the vegetables and herbs on the island are organic (http://www.soilassociation.org/web/sa/saweb.nsf/Living/ whatisorganic.html).

These urban farms mean fresh food is just a short walk away from the people who eat it. And in a world of rising fuel prices, Cuba has reduced the use of fossil fuels in the production and transportation of food.

The urban farms have created 350,000 jobs that pay better than most government jobs. It has also improved Cuban’s health: many have moved from diets dominated by rice and beans and imported canned goods from Eastern Europe, to fresh vegetables and fruits.

While Cubans receive at least a basic state ration of rice, beans and cooking oil, the rations do not include fresh fruit and vegetables. After the withdrawal of Soviet subsidies, the average Cuban’s daily calorie intake fell sharply. Between 1989 and 1993, daily calorie intake dropped from 3,004 to 2,323 (UN). But with the growth of urban farms, this has moved up to 3,547 calories a day – even higher than the amount recommended for Americans by the US government.

The secret to this success has been the rise of entrepreneurs like Miladis Bouza, a 48-year-old former research biologist who had to abandon a comfortable middle class life after the collapse of the Soviet Union. Her government salary dropped to US $3 a month. Unable to make ends meet and provide food for her family, she quit her job.

The Cuban government allowed people to turn unused urban land into mini farms. The cities have many vacant lots because the state owns most land and there isn’t competition from private developers, as in many other countries. Unusually for communist Cuba, 80 percent of the profits are kept by the farmers. This can be an average wage of US $71 per month.

“Those salaries are higher than doctors, than lawyers,” Roberto Perez, an agronomist who runs the country’s first urban farm, told The Associated Press. “The more they produce, the more they make. That’s fundamental to get high productivity.”

Miladis grabbed this opportunity to farm a half-acre plot near her home in Havana. Along with her husband, she grows tomatoes, sweet potatoes and spinach, and sells the vegetables at a stall on nearby busy street. This has enabled her monthly income to rise to between US $100 per month and US $250 per month, far more than the average government salary of US $19 per month.

Cuba was inspired by greenbelt farms in Shanghai (http://en.shac.gov.cn/hjgl/jqgk/t20030805_82028.htm): but Cuba has gone even further to make urban farming a key part of the national food supply.

All this urban farming is also all-natural farming. Farms have had to turn to natural compost as fertilizer, and natural pesticides like strong-smelling celery to ward off insects.

So-called organoponicos (http://academicos.cualtos.udg.mx/Pecuarios/ PagWebEP/Lecturas/ORGANOPONICOS.htm ) gather together a wide variety of vegetables, fruits and herbs, as well as ornamental plants. Customers are offered mangos, plantains, basil, parsley, lettuce, garlic, celery, scallions, collard greens, black beans, watermelon, tomatoes, malanga, spinach and sweet potatoes.

“Nobody used to eat vegetables,” said David Leon, 50, buying two pounds of Swiss chard at a Havana organoponico. “People’s nutrition has improved a lot. It’s a lot healthier. And it tastes good.”

By David South, Development Challenges, South-South Solutions

Published: June 2008

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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Envisioning Better Slums

 

More than 900 million people – almost a sixth of the world’s population – now live in urban slums (UN). Improving conditions for these people is a critical Millennium Development Goal target. And the scale of the problem is vast: this year half the world’s population will live in cities, and already in developing countries 43 per cent of urban dwellers live in slums. In the least-developed countries the figure is 78 per cent.

The UN has estimated it will take US$18 billion a year to improve living conditions for these people – and most of it will have to come from the residents themselves.

An essential route to improving the situation is to give people living in slums the dignity and respect they deserve as human beings. Initiatives across the South seek to do this and turn the situation on its head: seeing slum dwellers as a valuable asset, not an urban blight.

The concept of ‘slum networking’ has been developed by Indian engineer Himanshu Parikh of Ahmedabad , a winner of the Aga Khan award for architecture. He starts from the point of believing there is no need for slum conditions to exist in India, but that slums do not need to be moved, just upgraded; and that good change can happen quickly. He also sees the residents’ involvement and financial contribution as critical to the sustainability of any improvements. His approach has already helped one million people overall, including 8,703 families (43,515 people) in Ahmedabad in 41 slum communities.

Slum networking does not depend on aid funds but is a self-reliant approach, in which residents make a partnership with private suppliers to get access to the most important services first: clean water and hygiene and sanitation.

Parikh’s approach involves providing channels for sewage, water supply and roadways in existing slum areas by exploiting the natural topography and pattern of development to provide the new infrastructure.

Parikh makes a detailed survey plan of the existing houses and divides them into groups based on the quality of construction. If they are of reasonable quality, they are left in place. Where possible, slum dwellers are allowed to buy the land they are squatting on. By buying the land, the owner now has a direct stake in its development.

“Working inside out, i.e. starting with quality infrastructure in the poor areas and working outwards to produce larger networks for the city or village, not only integrates the two levels, but actually produces far cheaper infrastructure at both levels,” Parikh told Architecture Week magazine.

In the Indian city of Indore, 181 slums were networked, giving the city 360 kilometres of new roads, 300 kilometres of new sewer lines, 240 kilometres of new water lines, 120 community halls and 120,000 trees. This transformed the two local rivers from open sewers back to water. According to the World Bank, the incidence of fatal water diseases fell by 90 per cent.

“No project for their rehabilitation could be successful until they were involved as the capital partners,” Parikh told India’s The Tribune. Upgrading “the civic amenities, including sewerage, roads and water supply, was the need of the hour for better living conditions of the slum dwellers.”

Another initiative in Bangladesh is bringing first-rate healthcare to the country’s water-logged slum dwellers. They live in areas called ‘chars’ — effectively stranded islands surrounded by rivers, plagued by frequent flooding and physically cut-off from the country’s transport and infrastructure networks. Located in northern Bangladesh’s Jamuna river regions of Gaibandha, Kurigram and Jamalpu, these areas are very poor and overlooked by most government and foreign aid programmes. The fact the islands shift around has made it difficult for much help to reach the people.

Bangladesh also has a severe shortage of doctors: there are 12,500 people per doctor, compared to 2,000 in Pakistan.

But a hospital ship run by the Friendship NGO (funded by private companies and NGOs) now brings healthcare to 4 million people, treating everything from cataracts to skin infections. It sees between 200 to 250 patients a day aboard a converted former river barge. Called the Lifebuoy Friendship Hospital because of its sponsorship by Lever Brothers Bangladesh Ltd. — makers of Lifebuoy soap — it cruises the river Brammaptura, helping 172,000 people since it set sail six years ago.

“People of the area look forward eagerly to our arrival,” said Dr Feroza Khatun, a doctor on the hospital ship. Other doctors and surgeons are provided by NGOs from Sweden, the Netherlands and France.

The ship carries a team of two doctors and four nurses, who live on board. It provides a range of services, from basic healthcare and immunisations to minor surgery. The ship is fully equipped with modern facilities, including clinics, a pharmacy, a treatment room and an operating theatre. There is also a four-bed ward for short-term care, a pathology lab and store, x-ray unit and dark room and an electrocardiogram (ECG).

Stays in the individual ‘chars’ are usually from three weeks to two months. When it leaves, a satellite clinic continues to provide care until the next visit. “In our satellite programmes, we bring in professionals for health and rural social education, provide paramedical care, give special treatment for mother and child health, family planning and pregnancy hazards, child nutrition and identify the needs for secondary care interventions,” said executive director Runa Khan to Bangladesh’s Star Weekend Magazine

Started as a trial in 2001, the ship began full operations in 2002. It has been so successful, it is currently expanding by building new ships paid for by the Emirates Airline Foundation.

By David South, Development Challenges, South-South Solutions

Published: February 2008

Development Challenges, South-South Solutions was launched as an e-newsletter in 2006 by UNDP's South-South Cooperation Unit (now the United Nations Office for South-South Cooperation) based in New York, USA. It led on profiling the rise of the global South as an economic powerhouse and was one of the first regular publications to champion the global South's innovators, entrepreneurs, and pioneers. It tracked the key trends that are now so profoundly reshaping how development is seen and done. This includes the rapid take-up of mobile phones and information technology in the global South (as profiled in the first issue of magazine Southern Innovator), the move to becoming a majority urban world, a growing global innovator culture, and the plethora of solutions being developed in the global South to tackle its problems and improve living conditions and boost human development. The success of the e-newsletter led to the launch of the magazine Southern Innovator.  

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