first came to West Africa in 2014, at the invitation of the governments of Liberia and Sierra Leone, during the height of the Ebola epidemic. model in Rwanda and Haiti was great, so we wanted to replicate it.” In 2013, he moved to Boston, on a Fulbright Fellowship, to pursue a master’s degree in global health at Harvard. They were staying with her brother and eleven other people in a small house with no electricity or running water. To Dahl, Farmer, and Kim, it seemed clear that this doctrine applied to health care, too. Paul said, ‘I know how to get there.’ And I said, ‘Well, I’m coming with you, babe.’ ”Dahl returned to England to take her A-levels, and Farmer enrolled at Harvard Medical School, but they would reconvene in Haiti, where Farmer continued to volunteer: he often flew there on Thursday nights after he finished classes for the week, and then returned to Cambridge on Monday mornings. But by the time Liccy came along, my father was tired; he was looking after children and trying to write at the same time. “For the first time in a lecture like that, I included my father as an example of the suggestion that you can transcend your training. These recruits were the first of many community health workers Farmer and Dahl relied on in remote areas; the Haitians called them In Boston, Farmer had befriended a retired construction magnate and Second World War veteran named Tom White, and he brought him to Haiti to see how people were living.
She was silent for a moment and then said, “So that’s it?”Thirty years of experience has not made persevering any easier for Dahl. But the patients that P.I.H.

"I always used to like doing tomboy things with my father," she explains. Development organizations will donate something finite, even if it’s redundant, rather than something essential but ongoing; thus, a community might receive a bathroom, a handwashing sign, or a thousand packets of oral-rehydration salts, instead of salaries for trained nurses, or, say, electricity. The year after that, they staged a coup in Freetown, and Barrie soon fled to a refugee camp in Guinea, where he remained for eight months. “Imagine how wet it is sleeping on the floor during the rainy season,” Dahl said, outside.

“We were changing from a grassroots group,” Dahl said. But, more than that, I know what it is to luxuriate: to plant a tree and assume we’ll be able to see it every year. With Dahl they formed a trio.

It is situated many hours’ drive from the nearest town, on a rocky and frequently flooded dirt road through the bush, and few patients can afford a car or a motorcycle or even the fuel to power one. “We were going to grapple with deep questions of responsibility. gray” in his hair and beard. “It was a very unmanufactured garden—very cobbled together, not unlike the house,” Ophelia Dahl, the second-youngest of the siblings, recalled recently. It is in Mirebalais, where Farmer and Dahl first met.The economist William Easterly divides development agencies into two philosophically distinct groups: planners and searchers.

We were writing to people, long letters asking for money; driving to Port-au-Prince to pick up tons of things, like cough medicine and bar soap.” When the clinic opened, with three examining rooms staffed by Farmer and several Haitian doctors, patients poured in from all over the country—travelling on foot for days to reach them, sometimes carrying sick loved ones on their backs, sleeping outside while they waited their turn for care.
His right arm had been amputated at the elbow, and hadn’t healed properly. Theo required nine craniotomies, but he lived.Two years after Theo’s accident, when Dahl was in the midst of writing a story he later called “Charlie and the Chocolate Factory,” his seven-year-old daughter, Olivia, contracted measles. “Namely your unswerving commitment to the poor, your limitless schedule and your massive compassion for others.” Farmer didn’t speak to Dahl for nine months. Sophie's aunt will, however, admit with a grin to being a Rolling Stones fan, "even though I grew up in the Supertramp/ Genesis era".Although The BFG's schoolgirl heroine is based on the little Sophie, her resourcefulness and strength of character could equally refer to Ophelia herself. Eighty-three per cent of the patients who took part in the experiment were cured.