We need to volunteer, but we need to do it right

There's no room for knee-jerk reactions, writes NGO boss Mark Topley.

Yesterday was International Volunteers Day. The news got kind of lost in all the comment on the Autumn budget, but in these times of austerity perhaps we should reflect on the importance of volunteering. An organisation like mine, for example, simply could not exist without its voluntary help.

We operate in rural Tanzania (and are piloting projects in Rwanda) where we train up local health workers in basic dentistry skills; skills which can make a huge difference to the quality of life of rural communities. Three-quarters of the world’s population has no access to a dentist. Where dentists do exist they tend to be based in cities, often far away from most of the population. Therefore millions of people are suffering (often in agony) on a daily basis from pain that could be simply treated. Often they wait years for a tooth extraction or turn to traditional medicine – sometimes with horrifying or even lethal results. 

As well as everyone giving up their time to support us back home in the UK, we’ve had dentists, nurses, hygienists and therapists queuing up to deliver this training for free, often in the most basic of circumstances. Most of these volunteers have entered dentistry to help others. Of course, occasionally such altruism can be wasted.

During the first few years I was here, we heard of a visiting group of North American dental practitioners. This group had plenty of enthusiasm but very little understanding or respect for the local culture, government structures or issues that existed on the ground. They simply brought all of their complex dental equipment, set up a mobile clinic in the middle of a field and began doing all manner of treatments under generator power. They did not register with the local authorities or seek their involvement. Undoubtedly there was a benefit for some members of the community. Unfortunately, though, when they left there was a huge vacuum which the local dental and medical practitioners could not fill. They in turn became demoralised and many had to move away, as patients would no longer visit them.

So whilst volunteering is important, we must avoid knee-jerk reactions. In our case, we created the Bridge2Aid dental volunteer programme, or DVP. It’s a training programme which uses voluntary trainers in short bursts to train local health workers in simple, emergency dentistry and with full government support. By training local health workers in the way that we have done – thanks to our volunteers – not only are we removing often-crippling dental pain, but hopefully creating a lasting legacy long after the volunteers have left. Everyone wins.

 

So this week we celebrate volunteers and volunteering across the world. But for us this is not just a celebration of 'free help' as a token contribution: it is to celebrate those who give up their time as true partners, fellow family members working together to bring lasting change to people who are in pain.

Mark Topley is chief executive of Bridge2Aid, a British-run dental health charity operating in east Africa. www.bridge2aid.org/@Bridge2Aid

 

A nurse prepares an injection in a Mauritanian hospital. Photograph: Getty Images

Mark Topley is chief executive of Bridge2Aid, a British-run dental health charity operating in east Africa. www.bridge2aid.org/@Bridge2Aid

Getty Images.
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How will Labour handle the Trident vote?

Shadow cabinet ministers have been promised a free vote and dismiss suggestions that the party should abstain. 

At some point this year MPs will vote on whether Trident should be renewed. It is politics, rather than policy, that will likely determine the timing. With Labour more divided on the nuclear question than any other, the Tories aim to inflict maximum damage on fhe opposition. Some want an early vote in order to wreak havoc ahead of the May elections, while others suggest waiting until autumn in the hope that the unilateralist Jeremy Corbyn may have changed party policy by then.  

Urged at PMQs by Conservative defence select committee chair Julian Lewis to "do the statesmanlike thing" and hold the vote "as soon as possible", Cameron replied: "We should have the vote when we need to have the vote and that is exactly what we will do" - a reply that does little to settle the matter. 

As I've reported before, frontbenchers have been privately assured by Corbyn that they and other Labour MPs will have a free vote on the issue. Just seven of the shadow cabinet's 31 members support unilateral disarmament, with Tom Watson, Andy Burnham, Hilary Benn and Angela Eagle among those committed to Trident renewal. But interviewed on the Today programme yesterday, after her gruelling PLP appearance, Emily Thornberry suggested that Labour may advise MPs to abstain. Noting that there was no legal requirement for the Commons to vote on the decision (and that MPs did so in 2007), she denounced the Tories for "playing games". But the possibility that Labour could ignore the vote was described to me by one shadow cabinet member as "madness". He warned that Labour would appear entirely unfit to govern if it abstained on a matter of national security. 

But with Trident renewal a fait accompli, owing to the Conservatives' majority, the real battle is to determine Labour's stance at the next election. Sources on both sides are doubtful that Corbyn will have the support required to change policy at the party conference, with the trade unions, including the pro-Trident Unite and GMB, holding 50 per cent of the vote. And Trident supporters also speak of their success against the left in constituency delegate elections. One described the Corbyn-aligned Momentum as a "clickocracy" that ultimately failed to turn out when required. 

George Eaton is political editor of the New Statesman.