This looks like a perfectly good bicycle ambulance, albeit an older model with a quarter canopy (we have since switched to a full canopy). It seems to have all its parts. It looks to be in working condition. Fantastic, right?
Hmm… let’s hold on a second before we jump to any conclusions. This photo has captured an end result, but has failed to capture the events leading up to such result.
When I asked the staff at the rural Chanyanya clinic (south of Lusaka) if I could see the bicycle ambulance they received in 2007, they asked me to wait for a bit. And so I waited. Nearly 10 minutes past, and I didn’t feel like waiting any longer. So I got up and went outside.
During those 10 minutes, the staff had opened their store room, located all the parts, pulled them outside, dusted them off, and reassembled them. I arrived just before they finished.
Turns out that the tires are flat and warped, and the ambulance hasn’t been used for a few months. But they wanted to make the situation seem more positive (possibly in hopes of getting a new one donated), so I was asked to wait inside while they painted a prettier picture.
This happens all the time. A visitor arrives, and all of a sudden broken technologies are reassembled, unused technologies are used, and people gather. The visitor goes home thinking that things are in a much better condition than they actually are. Some call this the “observer effect.”
Owen, who is an EWB volunteer in Malawi, has captured the observer effect in a fantastic photo series in one of his posts on Playpumps. He hung around long enough to see more of the reality.
Unfortunately, most observers never get to that point. Instead, they take a picture that hides the reality, and they go home happy. They will then show that photo to friends or potential donors or fellow development workers, and no one will know that there was something wrong with that picture.

April 15, 2010 at 4:01 pm
We had the same experience when going to check up on an orphanage, which was some distance outside of a rural town. Our guide was busy sms-ing throughout our journey to the school. By the time we got there, the kids were all in fresh uniforms and the classes were picture perfect. The only problem was that it was after 5pm – long after classes normally would have ended. The water on the floor also gave a hint to the scrubbing the classes received in preparation for our arrival.
April 15, 2010 at 4:01 pm
I have to wonder what the point of “helping” and “assisting” is, if the people clearly don’t intend to use things after observers or visitors are gone.
Maybe I’m just being cynical, but not every country or group of people needs to be “Westernized”.
April 15, 2010 at 4:26 pm
Well, there’s often a big difference in what we as foreigners perceive as “helping” and what the people we’re trying to help actually perceive as “helping.” Failure to understand that difference can lead to more harm than good.
April 15, 2010 at 4:48 pm
What do you think a good solution to this problem is? I can’t see that wasting money, time and effort on projects doomed from the start is good for anyone involved.
April 15, 2010 at 6:06 pm
Not all projects are doomed from the start. But the ones that are tend to have very little local input, so that’s often a good place to start.
Actually, most projects are doomed at the end. Dissemination and marketing are where many good ideas get stuck or simply fail altogether. An alarmingly small number of successful pilot projects ever last or expand. So it’s not that we’re wasting money, time and effort on the wrong projects per se, but that our dissemination models could use a little more work.
April 17, 2010 at 7:51 pm
Hey Jackie,
If you haven’t seen already, Owen has put up a forth post about playpumps with a video comparison between the playpump and Afridev handpump. There’s also a short video interview up there with a few teachers from the school in which the playpump was installed!
Great post about not seeing the reality of the situation. If only one was able to integrate into the local community more naturally, perhaps reporting of developing results would be more genuine descriptions of the situation.
April 20, 2010 at 2:12 pm
Good post Jackie! The wheel looks quite warped to me, but it’s also interesting to hear what else was wrong with the picture. Bicycle ambulances are really neat; have you heard of TransAid’s work involving them in other areas? Northern Nigeria for instance. Very cool stuff.
April 21, 2010 at 8:32 pm
TransAid actually did some work with Disacare’s ambulances and left them with a long report filled with feedback and suggestions. Unfortunately none of those suggestions have really been implemented yet… part of what I’m working on here. And I’ll definitely look into TransAid’s work elsewhere.