{"id":1788,"date":"2010-04-27T10:54:20","date_gmt":"2010-04-27T09:54:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=1788"},"modified":"2010-04-27T14:23:32","modified_gmt":"2010-04-27T13:23:32","slug":"kiran-james-jobanputra-first-days-in-drc","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2010\/04\/27\/kiran-james-jobanputra-first-days-in-drc\/","title":{"rendered":"Kiran James Jobanputra: first days in DRC"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/columns\/icons\/kiran.jpg\" alt=\"Kiran\" width=\"160\" height=\"110\" align=\"left\" \/>When you are accustomed to living in closed compounds you develop a long-distance stare; a meditative gaze you adopt automatically when left to yourself. This abstracted state serves two purposes. It allows you to take a little break, to escape for a moment without physically leaving the property, and it helps you overlook the razor wire that charmingly adorns the walls of this and other\u00a0<a href=\"http:\/\/www.msf.org.uk\/\">M\u00e9decins Sans Fronti\u00e8res<\/a> (MSF) compounds around the world. This time round though, my view is a little different. Beyond the wire, climbing roses and clumps of deep-green foliage adorn a backdrop of billowy hills.<!--more--><\/p>\n<p>Perhaps Congo is the closest thing there is to that romanticized image of Africa we have created in the west \u2013 tropical forests, gorillas (and guerillas, of course), exploitation, civil wars, dusty road, and lots of dancing. I have numerous preconceived notions of the Congo, all based on novels or historical accounts written by westerners who came here to conquer, enslave or make their name through \u2018adventure journalism\u2019.\u00a0 Then there are those (such as King Leopold) whom we associate with the Congo but who never actually set foot here; and those (Conrad) who experienced the cruelties of the Belgian Congo so vividly that they could only write about what they witnessed in metaphorical terms.\u00a0 I\u2019m trying to be conscious of these preconceptions so I can let go of them at some point.<\/p>\n<p>Here, for the first time, I will be leading a project. Although there is nothing inherently intimidating about this role, I find myself thinking wistfully about the solid simplicity of the medical roles I have taken on up until now.\u00a0 We will be closing down Bon March\u00e9, the flagship MSF hospital in Bunia, and transferring all activity to the regional Ministry of Health facility. This will involve a lot of negotiating, HR management, and security assessment \u2013 and yet I will still be heavily involved in the medical aspects of the programme, in terms of quality assurance before and after the transfer. The role is something of a poisoned chalice, as such changes \u2013 with all the HR implications \u2013 are inevitably demoralizing for the staff. The next 6 months will undoubtedly be taxing and stressful, but could nonetheless be satisfying. I think.<\/p>\n<p>Thankfully my office is in the hospital grounds, and when I step into the hospital wards I breathe a (paradoxical) sigh of relief, as if somehow I am coming home.\u00a0 Instead of slippers I put on my stethoscope, and suddenly everything feels familiar and logical. The children are thin and frightened, the mothers care-worn and tired, the nurses are eating their lunch\u2026.and all\u2019s right with the world. But then a voice whispers in my ear that the budget revision is due tomorrow, and I reawaken rudely to the reality that I am now a bureaucrat, albeit in doctor\u2019s clothing.<\/p>\n<p><em><strong>Kiran James Jobanputra<\/strong> has been working as a doctor with MSF in Somalia, Kenya and Niger since 2007. He is\u00a0currently Project Coordinator of the MSF Hospital (Bon March\u00e9) at Bunia, DRC. This blog also appears on the <a href=\"http:\/\/msf.ca\/blogs\/kiranj\/category\/0-biography\/\">MSF website<\/a>. <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When you are accustomed to living in closed compounds you develop a long-distance stare; a meditative gaze you adopt automatically when left to yourself. This abstracted state serves two purposes. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/04\/27\/kiran-james-jobanputra-first-days-in-drc\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,750],"tags":[],"class_list":["post-1788","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers","category-msf"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kiran James Jobanputra: first days in DRC - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2010\/04\/27\/kiran-james-jobanputra-first-days-in-drc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kiran James Jobanputra: first days in DRC - The BMJ\" \/>\n<meta property=\"og:description\" content=\"When you are accustomed to living in closed compounds you develop a long-distance stare; a meditative gaze you adopt automatically when left to yourself. 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