Tag Archives: Oxfam

Oxfam and… Health

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Oxfam produced a series of information leaflets in the 1990s titled ‘Oxfam and…’ which covered a wide range of topics such as Conflict, Poverty and the Environment, Trade and of course Health. They also focused on particular countries and project funds in areas that Oxfam was working in. In addition, leaflets were produced for primary age children on a similar range of subjects. The following are a sample of some of these ‘Health’ leaflets:
Health Dec 1991 C
The inner pages of a ‘Health’ leaflet produced by the Oxfam Youth and Education Programme,
Dec 1991 (Bodleian Libraries, Oxfam Archive)
Oxfam and Health Mar 1992 C
The inner pages of ‘Oxfam & Health’ produced for Oxfam’s 50th Anniversary Health Appeal, March 1992 (Bodleian Libraries, Oxfam Archive)
Oxfam and Health Jul 1992 B
The back page of ‘Oxfam and Health’ produced by the Information Department, July 1992
(Bodleian Libraries, Oxfam Archive)

The ‘Tribal Medicine Project’ (Part 2)

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In this post I would like to draw attention to some correspondence in the Tribal Medicine Project file with Dr. Sue Chowdhury, a Health Adviser in Oxfam’s Health Unit from 1986-1990. There is a memo dated 1st June 1988 from Dr. Chowdhury to David de Pury in which she lists the positives and negatives of the Tribal Medicine Project. One of the most interesting things about the memo is that it shows Oxfam was conscious of developing an approach to traditional medicine. Chowdhury writes: ‘In summary, I think this is an interesting project; […] For my personal interest, I would be grateful if I could see full documentation of the study as I am trying to look into issues of Oxfam support for traditional medicines’.
Indeed, Chowdhury went on to write a ‘Review of Oxfam’s involvement with traditional medicine’ dated February 1989. A summary of this report states:
Oxfam has funded projects involving traditional medicine for many years. There have been attempts in the past to discuss traditional health in relation to Oxfam’s funding criteria. To arrive at a better understanding of the kind of work Oxfam funds in this area, this paper concentrates on a review of existing projects.
In total Dr. Chowdhury’s report reviews 36 projects from Latin America, Asia, the Middle East and Africa. The Tribal Medicine Project is mentioned on page 8:
Dr. Sue Chowdhury, 1989, page 8 (Bodleian Libraries, Oxfam Archive)
From the report, and the earlier memo, it is clear that Dr. Chowdhury is in favour of the integration of traditional and allopathic (‘western’) medicine; she cites China as an example of where this has been successful. She also importantly recognises that for some people traditional medicine is the only form of primary health care that they have access to, often because it is cheaper. Therefore, it is vitally important for Oxfam to identify and work with traditional practitioners, for example a ‘Traditional Birth Attendant’ (TBA).
The Field Directors’ Handbook, first published in 1985. (Bodleian Libraries, Oxfam Archive)
This point is reiterated in The Field Directors’ Handbook: An Oxfam Manual for Development Workers (4thed., 1990) which has a section relating to ‘Alternative Health systems’. It states that an estimated 70-90% of all ‘self-recognised episodes of ill-health’ are treated either at home or by using ‘traditional/alternative healers’. It advises field staff to ‘find out about these alternatives, and wherever possible to integrate them into primary health care and social development programmes’.
Throughout the short time that I have been working on the archive, the sheer variety and range of projects that Oxfam has funded never ceases to amaze me. I didn’t imagine I would come across anything to do with alternative medicine, but I have been impressed by the thoughtful and sensitive way in which Oxfam has approached this subject.

The ‘Tribal Medicine Project’ (Part 1)

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The little girl of the Kirātas, she the little one, digs a remedy, with golden shovels, upon the ridges of the mountains.
(Atharva Veda X.4.14, trans. Whitney, 1905)
Introduction
During the first phase of the Oxfam archive project the team will be appraising and cataloguing ‘project files’ relating to grant support from Oxfam for work in India. Before appraisal, approximately half of the 10,000 boxes in the archive fall under the category of ‘project files’, so it is going to be a mammoth task! The project files contain a wealth of information and will be an invaluable resource for researchers interested in a variety of countries and subject areas.
One project file that has initially caught my attention contains material relating to a grant for the ‘Tribal Medicine Project’ approved on 21 June 1988, which will be the focus of the next 2 posts. The description of the project is as follows: ‘To support additional work in final 3rd phases of a study on tribal medicine […] to train tribal youth in their own health care system; to encourage tribal’s to plant and cherish medicinal plants – for their use and probably also income generating.’ This was a surprising discovery, and reiterated the huge range of projects that Oxfam has funded and been involved with. The projects span categories such as health, agriculture, social organisation, education and humanitarian emergencies.
The Tribal Medicine Project’ (Oxfam reference BIH 091/Q8) was carried out by the Rural Development Association (RDA) in Bihar, in north-east of India. Oxfam has been working in this region since 1951 when a famine in Bihar prompted them to respond to a natural disaster in a ‘developing country’ for the first time. Oxfam awarded the RDA a grant of £3,008 which, in 1988, equated to 74,000 Rupees. This was just one of many grants that Oxfam made to them for a variety of projects.
 
Cash receipt for the first installment (Bodleian Libraries, Oxfam Archive)
The Documents
From the documentation, we know that the principal project investigator was Dr. Kali Krishna Chatterjee. In a detailed summary report written by Chatterjee there is statistical information, such as how many practising ‘tribal medicine men and women’ there were and how many ailments they could treat, as well as information about the efficacy of herbal medicines on particular diseases and illnesses, ranging from malaria to respiratory infections and skin complaints.
Contained in this file there is also a letter addressed to David de Pury (Oxfam’s temporary representative for East India who was based in Calcutta) from the RDA’s Secretary Dipankar Dasgupta dated 15th April 1988. In this letter, Dasgupta mentions an ‘invitation to participate in the “International Congress of Anthropological and Ethnological Sciences” to be held […] at Zagreb’ for both himself and Dr. Chatterjee. He writes:
This would give us an opportunity to bring into international prominence the rich tradition and prospect of developing tribal medicine as an alternative form of medical culture which will help the poor people to come out from the clutches of the present dominating modern system of medicine.
The letter asks Oxfam to contribute to their travel expenses, and they clearly both attended as their presentations are listed in Abstracts: 12th International Congress of Anthropological and Ethnological Sciences, Zagreb, 24-31 July 1988. We also know, from a budget submitted with the project application, that two anthropologists were employed on the project.
The OED defines ethnobotany as: ‘The traditional knowledge and customs of a people concerning plants; the scientific study or description of such knowledge and customs’. This includes the medical uses of plants, and I think it aptly describes the remit of theTribal Medicine Project.
In an appendix to Dr. Chatterjee’s summary report, the history of Indian traditional medicine is traced back to the ‘Ayurvedic’ system. Ayurvedais the system of traditional medicine native to the Indian subcontinent and a form of alternative medicine. Dr. Chatterjee ends this appendix with a quote, cited in full above, ‘about a Kirāta girl collecting herbal medicines from the ridges of a mountain’. This passage is from the Atharva Veda (or Atharvaveda), one of the four Sanskrit Vedic texts originating from ancient India.
 Atharva Veda 003
MS. Mill 80 Atharva-Veda Samhitā, c. 1840 (Bodleian Libraries, Oriental Manuscripts)
Most importantly in this context, the Atharva Veda is ‘intimately connected to the medical traditions of classical India, and it presents some of the earliest perspectives on the concept of diseases and how to cure them’. The ‘herbal medicines’ the Kirāta girl is collecting are for a remedy against snake bites. It is the 14th stanza of a longer passage about remedies which invoke the white horse of Pedu as it was known as a slayer of serpents. The reference to this classical India text demonstrates how the scientific study of the medical uses of plants can lead to, and arguably requires, a much broader investigation of the medical culture of the people concerned.
In the next blog post I will continue to look at the work of the Tribal Medicine Project in the broader context of Oxfam’s policy on traditional medicine…

The Oxfam archive

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Following the donation of the Oxfam archive to the Bodleian Libraries in late 2012, sorting and cataloguing began in February. The work is being approached in three 18 month phases, with a tranche of the archive becoming available to researchers at the completion of each stage.  Our first selection of material will be accessible by June 2014, with the entire historic archive becoming available to researchers in June 2017.

Work on the first area of programme policy and management targetted has now been completed. This includes the minutes and papers of the Overseas Aid Committee, which began as the Grants Sub-committee in 1955, considering applications for funding; the Field Committees for Africa, Asia and other regions to which this responsibility was delegated between 1963 and 1992; and their successor, the ‘Single’ Overseas Committee. All set policy for the international programme, supported by bodies like the Medical Advisory Panel (from 1965).  The Panel was composed of senior staff and external experts and offered advice on aspects of policy, such as Oxfam’s attitude to and work on diseases like leprosy and tuberculosis, and on sensitive issues such as family planning.

Below is an early ‘note’ by the Panel laying out its thinking on objectives and criteria for assistance, with an emphasis on health education, arguing that ‘Hospitals and hospital services provide focal points not only for the treatment of disease, but also for its prevention, and for the training of personnel and popular education.’ The importance of the provision of clean water is also recognised. Water and sanitation were to become a particular Oxfam specialism in the following decades.

Oxfam first blog post image

Records like these are part of a web of information for the researcher, where one could have as a starting point perhaps the published annual grants lists summarising each grant made to every country Oxfam worked in in a particular year, leading out to the decision-making level described above, and at the other, administrative extreme, to the ‘project’ or grant file containing correspondence with the recipient and reports on outcomes and impacts on communities of the use of the grant. All of these sources will form part of the final catalogue.