Last week, while fighting a really nasty viral infection (in my nose), I got invited to join some development agencies and government officials on a field trip a few hours east of Phnom Penh to the rural areas in Tboung Khmum and Kampong Cham. The field trip was a way for national government guys to come and see how water and sanitation is working on the ground in rural villages (because guys working in Phnom Penh have little context of what’s going on), and talk about ways to improve the sector’s work with local governments. It is really important for national government figures (and researchers like me) to go out and see the action happening because sometimes it’s impossible to fully understand the picture when there are no faces to picture for policies and work being done.
What is your research, Kim? Well, I’ll tell you. The national government here has been giving more responsibility to local governments (read as: decentralizing) around water and sanitation. My focus is sanitation. The problem is that local governments here lack a lot of skills and knowledge needed to do what the national government is (vaguely) telling them. So, I’m trying to figure out what kind of roles the local government needs focus on for improving sanitation in rural areas, and what capacity is needed to do that work. Did you follow that?
Back to the trip, I should point out two complications I had during those two days: (1) I felt like I was dying from the viral infection, as my nose screamed fire and throat scratched with all of the gross internal residues coming out of me; and, (2) I was the only non-Khmer (aka Cambodian native) person in this field trip, so the conversation was mostly in Khmer – some generous development workers took turns translating for me what was happening. So between my spacing out with delirium and translation, I’m almost certain I missed key pieces from the conversations that happened. That said, I did get a pretty good idea of some of what’s going on for my research.
We drove for hours down roads that were dusty and very dry. It is dry season here, but it was very clear that the drought the country currently has is taking a toll on agriculture; fields were charred and crackly with dryness, and gusts of winds blew through the open spaces, pushing dust into swirls in the air. The houses we saw were simple wooden structures, balanced mainly on tall stilts – presumably to avoid floodwaters that are currently unfathomable with how dry it was.
Going through the rural community we visited, I noticed that trash was strewn around the land everywhere; I saw debris in the open well, in the straw-like weeds near the village hall, in front of houses, and in the dried up waterways near some houses. This village also had about half of the population (of about 100 or so households) defecating out in the open, so wasn’t a surprise that trash management was not going too hot. Some people had bought the building blocks for a toilet, but many had the structure pieces lying in piles near their home, unconstructed and abandoned. Buying the toilet itself is pretty cheap – most of these people can buy a toilet for about $25…the problem is the structure in which to build around the toilet, which can be about $200. For a lot of rural families, that is half of a year’s income.
The people were brought together into the village hall so the local government could tell them about the benefits of buying a toilet and play games to highlight the consequences of going out in the open. I told Mr. CT Lawyer about this meeting in more detail earlier; based on his reaction to my story, I will spare you the rest of what was discussed.
I found it interesting that the demographics of the village at the meeting were mostly elderly people and little children. I saw this in rural Thailand as well; the younger people, including parents of babies, set off to cities like Phnom Penh and Bangkok to work in the factories in hopes to send money back to their destitute families in rural areas from their better-paying livelihoods. Grandparents raise grandchildren, and parents try to support families so they don’t starve. The livelihoods of simple rice and other kinds of agrarian farmers just do not provide enough for survival anymore in much of the world, especially as climate change intensifies.
We stayed overnight in the city of Kampong Cham, right on the Mekong. A few of the people helping me with my research and I went out for BBQ at a local restaurant. After BBQ, though I had thought we were done eating, the group moved on to another restaurant for rice porridge (they put salted eggs and fish in the porridge). Cambodians are thin people, but I (with my generous hips) could not keep up with the group’s appetite – I struggled with the porridge while some of them took seconds and thirds of porridge. I asked them how they could pound back the porridge so easily, and they explained that it was more for the socializing around the porridge they enjoyed. Apparently there are lots of restaurants in cities that are open until early the next morning just so groups of friends hanging out late can enjoy some porridge together. They had wanted to go out for Karaoke after porridge, but my ashen face was very clear to them and they (thankfully) put me in a car to go back to the hotel and crumble into my bed.
Many of our meals were held at some tables under a roof held up by a few poles that sat on the side of the road, and were given meals from pots on a table near the road, or from a kitchen hut in the back of the roofed area. For the days we were on this trip, I did not really understand what I was eating most of the time. A lot of it looked like stews or stir fries of some sort, but the contents were beyond my comprehension. My helpful supervisor, WASHy Virak (my trusty translator and key advisor while I’m here), would explain to me what was going into my mouth if he was next to me. When he wasn’t near me, I would squint my eyes and point at things with a look of confusion to nearby eaters. One thing I ate looked like mushroom stems but was much chewier than I had anticipated. I got adamant responses from other people like, “No mushroom!”, but not much explanation of what it actually was. A while later, Virak explained to me it was pig’s intestines. Another thing I thought were mung beans turned out to be squid. I clearly am not good at the guessing game.
It’s been a few days since the educative trip out in the field. Somewhere between there and the rest of my current visit in Cambodia I have eaten something that was unclean, most likely from having some kind of fecal matter on it and not washed off before I ate it. Last night I got a tuktuk to drive me to the International SOS Clinic to figure out if my fever and the amazing amount of pain was from dengue fever or something else. As they hooked me up to an IV drip and took blood and other samples from me, we discovered I am currently suffering from amoebic dysentery (read as: parasites, likely not from the rural trip). I’m glad that I don’t have dengue, but I cannot say that this amoebic infection is any better (nor do I want to find out ever). The doctors pumped me with medicines and handed me over a very fancy bag full to the brim with several different types of medication to help me manage and eradicate the amoebas from my body. I am currently in very close relations with my bathroom.
I told my Australian supervisor (Bronwyn) about this, and she replied with, “Ah yeah, I’ve been there.” I also got a few notes from other development workers recently with similar stories of sickness as a result of being in the field doing work. Dengue fever, malaria, tapeworm, food disease (been there), amoebic dysentery (on it), etc. It seems almost like a rite of passage for people working in development work to get super sick (often)…an occupational hazard. I keep thinking to myself, And we all signed onto this?! I love working and feeling like it makes a difference, I love learning about contexts I normally would never dream of, and I love how interesting it all can be. However, I have been so sick so often in my travels the last few months, I have my doubts about continuing this work for the long haul; I don’t know if my body can handle it forever. It is clearly an easy target for germs.
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