Tag Archives: Reproductive

Experiences of Women who Consult at a Government Facility

Reproductive tract infections (RTIs) could affect almost anyone. They include three types of infection: sexually transmitted infections, endogenous infections and iatrogenic infections. However, they are usually perceived to be limited to sexually transmitted infections (STIs). This perception and the stigma attached to STIs would usually make a person with RTIs shy away from seeking medical attention.

Just like health and other health-related issues, RTIs are not just a medical issue. They are also related to the way society looks at women and men, the way the government allocates funds for health and social services and the way women and men relate with each other and themselves.

Experiences shared during workshops on women and health conducted by women’s groups with urban poor and factory women reveal that health workers are nor sensitive to women’s health needs, not only in the kind of services offered but also in the quality of care given.

Most health programs do not take into account women’s perceptions and experiences of health conditions that affect women. This has resulted in programs and services that are not adequate and do not appropriately respond to women’s health needs.

This study looked into the experiences of women with vaginal discharges who consulted health workers at a government hospital. The perceptions of health workers towards women’s experiences with vaginal discharges were also explored.

This study hoped to give attention and importance to women’s perceptions and experiences of the discharge, including their experiences of the response of the government health facility to their illness.

General Objective

To manually develop with health-care providers, women’s groups and health teaching institutions appropriate recommendations and commitments to address specific health needs of women.

Specific Objectives

1. To describe women’s experiences of vaginal discharge in terms of:
1.1 local illness terms used
1.2 characteristics, severity, duration
1.3 other signs and symptoms experienced with the discharge
1.4 perceived cause(s) of the discharge
1.5 effect(s) of the discharge
1.6 health-seeking behavior
1.7 experiences at the government health facility

2. To describe health workers’
2.1 knowledge and perceptions of vaginal discharge
2.2 perceptions towards women with vaginal discharge
2.3 health-giving behavior

Methodology

This study was a short-term, explanatory and descriptive study conducted from June 1996 to November 1996. The study site was limited to Zamboanga City.

Ten women with vaginal discharges who consulted health workers at the health facility and four health workers assigned to the OB-Gyne section of the outpatient department of the health facility participated in the research.

The following methods were used:
1. key informant interviews
2. in-depth sharing sessions
3. non-participant observation
4. round table discussion

Summary of Findings

1. The research participants did not mention local illness terms for problematic discharge. The discharge was described according to characteristics and was related to other health problems. Vaginal discharge becomes problematic primarily when it has affected one’s capacity to function within and outside the home.

2. The women attributed the cause of the discharge to several related causes. Such causes reflected the kind of situation the women are in.

3. The discharge affected the women in many ways. Fear, shame and anxiety outweighed women’s concerns for their physical health.

4. Women’s health-seeking behavior includes self-treatment and then consulting other people (family, relatives, traditional birth attendants and healers, medical practitioners).

5. While some women found some health-care providers kind, most of the women had unpleasant experiences. They perceived health-care providers as insensitive and inconsiderate of their experiences.

6. Women’s health-seeking behavior was affected by the stigma attached to vaginal discharges, their explanatory models of the illness, the experiences they had at the hospital as well as by the existing social, economic and political situation.

7. The health-care providers identified microorganisms as the main infections. They perceived RTIs to be primarily sexually transmitted.

8. The health-care providers” information and knowledge regarding RTIs are mainly based on what they learned in medical and midwifery schools. Abnormal vaginal discharge, as a symptom, is discussed under sexually transmitted diseases.

9. The health-care providers knew that women resort to self-treatments or traditional healers before consulting health workers at the health workers at the health facilities. They perceive home and traditional treatment measures to be ineffective.

10. Most of the women who consulted at the hospital for vaginal discharge were married. This has reinforced the health-care providers’ perception of abnormal vaginal discharge as affecting mostly sexually active women.

11. Health-care providers treated the disease based on the signs and symptoms manifested, including results of laboratory exams. However, they neglected to consider the non-medical aspects of the disease, which include taking into account relationships between women and their partners, women’s situations within the home, and women’s feelings during the consultation.

12. The health-care providers’ health-giving behavior was influenced by their own explanatory models of the disease, their training, the situation within the hospital setting as well as the existing social, economic and political situation.

Recommendations

Women’s health is limited not only to the absence of disease or ailments but also refers to women’s total well being. Women’s health operates in the context of a socio-cultural, political and economic system. It is also affected by the context of power relations between men and women, and between classes.

This means that the management and/or prevention of reproductive health problems like RTIs should not he limited to just treating the disease. Measures should also include non-medical means which should involve the efforts of people from different disciples and sectors.

A. As a Center for Wellness, and with its goal of “veering away from disease-based vertical approaches towards comprehensive and people-oriented initiatives focusing on high risk groups such as women and children”, the health facility should work towards improvement of its services and the quality of care it gives.

1. Specifically, interaction between the women and health care providers could still be improved in the following areas:

1.1 women’s privacy, especially at the examining room. Provision of adequate curtains be made including one at the doorway. A partition should be provided between examining table and the sink so that when other persons use the sink, the women’s right to privacy will not be violated.

1.2 appropriate and adequate information regarding her illness. Causes and effects of illness should be explained, including the importance of the treatment that will be given and procedures that will be done. Preventive measures should also be discussed. Results of laboratory examinations should also be explained. In cases where the women’s discharges are related to a STI, adequate information should be given, especially regarding the importance of having their parents treated.

1.3 experiences of the illness should be taken into consideration and incorporated into the diagnosis and treatment. Women should be asked regarding measures they have already taken before consulting at the hospital. Affirm measures that were found to be effective while at the same time explaining the importance of considering other forms of treatment, including doctor-prescribed treatments. Encourage  the women to ask questions. Cultural diversity should be considered.

1.4 scheduling next visit of patients on days the residents are on duty at the OPD. This is essential for monitoring and to establish rapport between women and health-care providers. The women may not be there on time on the scheduled date; but knowing that the same doctor will see them when they consult him/her will assure  the women that the doctor genuinely cares about them as women and not as mere patients. This will also encourage the women to come back on the scheduled date.

1.5 respect for women’s feelings of shame, fear and anxiety, especially when asked to spread their legs for and internal exam. Explaining the procedure and why it has to be done will help put the women at ease.

1.6 women’s feelings regarding being seen by a male physician. Their feelings and their desire to be seen by a female physician should be respected. When the women are to be examined by a male physician, even with their consent, always have a third person inside the examining room. This could be the clinic midwife or the woman’s companion.

1.7 duty hours of residents. They should be in the clinic by two in the afternoon and stay on until four. This will allow more time between women and health-care providers.

2. The needs of the health-care providers should also be looked into and addressed. Measures should be taken to ease the workload of the residents. There is the need to employ more residents so that the workload could be distributed. Conducting stress-tension reduction sessions are also recommended.  Health-care providers should also be asked how the present health-care delivery system at the health facility could be improved. They should also be encouraged to advocate for necessary improvements that need to be made.

3. Strategies should be developed to integrate the prevention, diagnosis and treatment of RTIs into programs on women which are already existing: family planning, women’s help desk, menopause clinic. This includes the implementation of measures that would improve coordination of the above mentioned programs. At the family planning clinic, appropriate and adequate screening procedures should be done before IUDs (or other contraceptives) are inserted (or advised). Women with abnormal discharges should also be asked regarding problems like abnormal discharges. It is suggested that the OB-Gyne department of the hospital take the lead role in coordinating activities that pertain to women’s health especially, reproductive health.

4. At a training hospital, it is recommended that women’s health with RTIs as focus , should be part of the training program of the OB-Gyne. Discussions should also involve other health-care providers. Discussions on women’s should also include the non-medical aspects related to it, particularly the social, economic and political aspects of health. Venues should also be created to allow the health care providers to examine their own perceptions of sexuality and gender relations. This is necessary to enable residents to appropriately deal with sexuality and gender power as well as interpersonal relations affecting the prevention and management of reproductive health problems. Trainings should also emphasize doctor-women relations which should be respectful, private and non-discriminatory.

5. Residents should also be encouraged to go into multi-disciplinary qualitative and quantitative researches on women’s health. One area for research could be finding out what women do for health problems they experience and their reasons. Findings and learning from the research will contribute to deeper understanding of women’s situation. During fieldwork, the researches had chances to talk with quite a number of women who consulted health workers at the health facility for vaginal bleeding. Residents could also look into this area.

6. The health facility has conducted several training sessions on the prevention and management of certain diseases for community health workers of an urban poor program. It is recommended that it also include in its training sessions topics like patients’ rights, women’s health and socio-economic and political aspects of health. This is one way of fulfilling its mandate as a center of wellness and not only for treatment.

B. The training of health-care providers has been identified to influence the way they deal with women. The medical curriculum has focused more on the biomedical aspects of health which has led to a lot of medicalization. It is recommended that health teaching institutions include in their curriculum modules the social, cultural, and political aspects of health. A holistic approach to health-care teaching should tackle issues and concerns like violence against women and relate this to women’s health. Lay perceptions of health and illness, as well as prevention and practices, should also be considered. Health education should also be capability of women (and men) to make decisions regarding their health and make sure that the information given by the health-providers influence people’s decision-making. Community organizing for health should also be part of the training and education of would-be health-care providers.

C. Organizations that work with people’s organizations should examine the kind of programs they have. Particular attention should be given to women-centered, gender-responsive programs that take into account women’s experiences. Education and training programs should include the following: comprehensive understanding of women’s health, sexuality, violence against women, reproductive rights, health reproductive rights, health of adolescents and maturing women. Discussions should also include rights of women to informed treatment and body awareness, recognizing and being cognizant of women’s perceptions of their bodies and how their bodies function. Emphasis should also be given to the importance of women’s health, taking into account the different languages spoken in the area. Women and their communities should be encouraged to develop individual and collective resources, including their capabilities and rights to demand from the government the services necessary for the promotion of health. This also includes the inclusion of women’s perspectives in the development and implementation of health policies and services. This implies that community-based organizations should advocate for increased participation of women health care and health policy.

D. Areas for further research

Multi-disciplinary research in the following areas is encouraged:

– health-care practices of health problems by different ethnic groups in Zamboanga peninsula

– women’s and men’s perceptions regarding the body and how it functions (include local terms for body parts)

– indigenous methods for preventing pregnancy

– health-care providers’ explanatory models of reproductive health problems (midwives at local health units, nurses, physicians who intend to specialize in OB-Gyne, OB-Gyne Specialists)
– health-seeking behavior for reproductive health problems of health-care providers.

– experiences of women of health delivery systems, particularly at the local health units

– perceptions regarding sexuality and their meanings as they relate to health.

E. Results of this exploratory study were shared with some research participants and some groups. Efforts should be made to bring together the research participants to feedback results of the study with them, including a discussion on reproductive tract infections and other issues relating to women’s health. The results and the recommendation of this study should also be shared with the following:

– health teaching institutions
– health facility personnel
– organizations working with community and people’s organizations
– other government health institutions

These groups should be asked for their commitments to address the health needs of women, particularly the implementation of the recommendations given. Furthermore, they should also be encouraged to dialogue with each other and find ways for individual and collective efforts to be made to address women’s health.

Building the Lumah Mehe: A Moro Muslim Alternative to Seclusion and Integration

This is a sharing of my personal journey as Moro human rights defender and peace activist, and a reflection on the experiences of my organization as Muslim civil society, as well as that of our partner communities in our work in Zamboanga City and Basilan, Southern Philippines.

It’s neither the east nor the west

Islam is beyond the boundaries of culture, beyond because Islam is a way of life which inspiration permeates all religions and cultures. The universality of religious values and unity of religion is a recurring theme in the Qur’an. For one, it is a prerequisite for every Muslim to believe in all the prophets and the books of revelation.

It is in this context of the search for the universal message of Islam that I, as member of a minority ethnic and religious community is a predominantly Catholic state, have come to realize that it is neither in isolation and seclusion nor in superficial integrarion and mainstreaming that Islamic mission is accomplished.

The current social upheavals that have been convulsing the world have in many ways showed to us the ugly faces of globalization, westoxification, and its attending Islamophobia that rides on the bandwagon of world campaign against terrorism. Within the backdrop of the ongoing Moro Islamic Liberation Front-Government of the Republic of the Philippines (MNLF-GRP) 1996 peace agreement, and the aftermath of the events of 9/11, two streams of reactions among the Bangsamoro community emerged. Each reaction harnesses its own support from Muslim traditional leaders and political and religious intellectuals who have defined the Islamic flavoring for the Manila government, particularly in finding projects for peace and development in Mindanao and Sulu.

Isolation, seclusion, and superiority complex

On the one stream is the extreme tendency for isolation ism, seclusion, and persisting superiority complex among Bangsamoro Muslims.

Many Bangsamoro leaders and intellectuals have unfortunately(mistakenly) chosen culture, often that of the Middle East, over the universal ideals and values in Islam. With all due respect to my Muslim brothers and sisters, I take the risk of hurting a cultural sentiment —our famous Moro maratabba—and dare to criticize how often we have misused our identity as Muslims as an excuse for retaining old habits. Wecling to historical myths and refuse to reckon with the present realities of a multicultural and multi-faith Mindanao.

In the name of culture and religion, recalcitrant conservatism and orthodoxy have been preventing the ushering of genuine change by conveniently hiding the inadequacies of traditional systems of patriarchy and old ideologies, eventually perpetuating inequality and injustice in our very homes. The challenge to democracy and good governance last national elections is but one case in point. The world witnessed massive fraud in Philippine electoral politics under the blatant sponsorship of local leaders in the Autonomous Region in Muslim Mindanao (ARMM). Blind obedience in command voting is justified by misappropriating and wrongly attributing it to shura or consultation, and shamefully claiming it an Islamic obligation for literate leaders to rob the vote from illiterate followers. Outright cheating through vote-buying and hakot system is touted as exercise of democracy in Islam.

Mass ignorance of Islamic doctrine and the lack of knowledge of divine teachings even among progressive intellectuals have given full reign to ulamu and asatidz who arc vested the sole privilege of issuing opinions on contemporary political and social issues, which, more often than not, are characterized by deaf silence. Or, if ever any issuances are made, these are incoherent and confused mumblings.

A related issue to this is gender equality and reproductive rights where obscure and distorted Qur’anic texts and doubtful prophetic traditions have been carelessly quoted to disclaim that gender inequality exists in Moro society. Age-old a’dat or customary tradition persists because the voice of moral guidance is uncritical and silent. Meanwhile, women are routinely coerced to marry their abductors and rapists, or suffer in the hands of abusive husbands. Zeenah, otherwise known as crime of passion,is ambivalently defined. Having no adequate and proper legal assistance,women can be arbitrarily accused of tainting communal honor, providing enough reason for men to start a senseless war. Perpetually chained to their beds and kitchens, many Moro women, regardless of ethnicity or social status, continue to silently languish as they strive to be the ideal and submissive wives, daughters, and mothers. This culture of silence which draws approval by virtue of misappropriated Islamic wisdom has been a convenient excuse for denying women their rights in upholding their integrity as persons and in not entrusting them equal responsibility to lead and exercise reproductive roles in the family and society.

All these have continued because the Moro Muslims, on the veil of strangeness and given the mystery and sanctity shrouding its laws and culture, have the perfect excuse for impunity from scrutiny and criticism by rights’ groups or among the faithful who choose to use reason over blind submission to dogma and tradition. The same superiority complex has also persistently cast and excluded the non-Muslims as kafir.

Needless to emphasize, the challenge of the times is for us to come out from the shadow of this self-imposed seclusion and shed the false security in being of a different cultural mold.

Integration and mainstreaming Islam

On the other stream, we also have those who have succumbed to pacification and integration campaigns hook, line, and sinker. This strand comes from the Moro Muslim’s response to massive efforts toward Muslim integration in the peace and development projects in post-conflict Mindanao and Sulu, where most of the Official Development Assistance (ODA) and multi- and bilateral international donations go.Integration projects have taken the shape of mainstreaming the madrasa or including Islamic instruction in basic public education curriculum and in training teachers to teach Islam in the classrooms. It is also observed in the culture-sensitization of government programs by equally celebrating and promoting anything from the south that is Muslim,such as Muslim food, Muslim dances, and Muslim costumes, and in the legislative issuances for petty reforms such as public observance of Muslim holidays.

The more ambitious project of ushering in demobilized Moro combatants into national politics has proved to be a fiasco, exemplified by the incarceration of MNLF leader Prof. Nur Misuari and a number of MNLF ex-commanders now turned trapos. Though sounding magnanimous in name, these efforts have been lackluster, wanting in values and essence.

Time would not allow me to elaborate further than to say how the watered-down mainstreamed madrasa is faring in a national education system that is mired in its own crisis of quality and misdirected mission. The so-called Islamic values integration in the Revised Basic Education Curriculum (RBEC) are, at best, mere token of introductory Arabic grammar lessons, and in some cases, reducing lofty ideals of Islam to embarrassing antiquarian values. One clear fallout of this mainstreaming project has been the marginalization and the threatened obliteration of community-based religious education and home studies of Qur’an, where real value formation happens.

Yet another aspect of integration is in the power-sharing with Moro political aspirants and their participation in Philippine body politic. This prospered especially in turning Moro ideologues and mujahideens into politicians. As a result, we have dynastic monopolies entrenched in government positions where among the infamous cases in the island provinces in the ARMM have been husband-with-two-or-three-wives occupying choicest positions as congressman, governor, city mayor, and heads of strategic local government agencies.

In both streams of Moro Muslim responses, there seems to be a common denominator in demonstrating Islam as lame acts of external display of piety or as superficial cultural show of rituals and ceremonies. Worse, this Islam has become a mere dress code and stamps of clerical approval where to be Muslim or be Islamic is to be confirmed by the anointing powers of the ulama, the imams, the asatidz, or by just any male leader who identifies himself to be a Muslim.

Response from the Moro civil society

From where civil society stands in the periphery, these paradoxical streams of reactions put us at a crossroad. Our only choice as it appears now is to favor a stance allowing the voice of the grassroots to be heard. Without critically examining and reconstructing the local environment that breeds violence and injustice, the collaboration of Muslim religious leaders and intellectuals might have succeeded in accommodating a few into the Manila-centric government. However, such accommodation might fall into the trap of trivializing and diluting the mission in overhauling the system where the very roots of Dar-ul Kufur and human sufferings thrive.

On the other hand, the Bangsamoro nationalist cause has increasingly drifted towards elitism and isolation from the masses who come in and out of evacuation centers in hoards each time the Moro liberation fronts and the Armed Forces of the Philippines (AFP) declare a resumption of war. The social and economic costs of a long and protracted war put the Moro liberation movement in danger of losing its mass base, as hunger and deprivation render multitudes of civilians into apathy and desperation. Its factionalism within has deeply cleaved a sense of otherness even among Bangsamoro majority and minority ethnic groups. In stubbornly straddling its high horse, the Moro liberation movement carelessly disregards the Lumad and Christian settler’s questions and stake in the homeland, what with its exclusively of the peace process and non-transparency of its political and economic agenda for the autonomous republic it wants to build.

Crisis in development framework

As part of the civil society, there are at least two significant experiences of the Lumah Ma Dilaut Center for Living Traditions that I could share. Lumah Ma Dilaut is an affiliate of the Asian Muslim Action Network in the Philippines (AMANPHIL), which is a local chapter of the Asia-wide umbrella where Dr. Chandra Muzzafar and Dr. Asghar Ali Engineer are the founding fathers.

Like any self-respecting organization, AMANPMIL and Lumah Ma Dilaut went through a period of discernment in the midst of a crisis of framework that came in the wake of the declaration of the all-out war in 2000 and the continuing militarization in most of the countrysides in Bangsamoro villages. Despite the supposed lull and post-conflict reconstruction scenario in the aftermath of the 1996 peace agreement, violence marked the communities we worked with. This dilemma was intensified by the 9/11 attacks on US cities in 2001 when Islamic extremism was at its re-surging peak.

The first realization which came out of this discernment was the need to shift gears: From focusing our work in supporting what we have come to perceive as narrow politics of Bangsamoro nationalism, to continuing and reaffirming our rights-based approach to development and advocacy for peace based on social justice and equity. The Bangsamoro nationalist project has no doubt been an important ground for the intellectual and political maturation of the Moro activists, yet it is disappointing to see that its ideology and claimed aqueedah or faith-inspiration have yet to be translated into action on the ground.

The second realization was not only the need to emphasize secular approaches to our activism but also to broaden our perspectives and to ground our work in deep knowledge of Islam. First and foremost was the need to actualize our being Muslims working for human rights and building lasting peace based on social justice and equitability as mission towards humanity. In the process, we experienced a painful period of ideological and spiritual self-examination and, hopefully, renewal. Some of us stuck to the old mission of da’wah in the purely the line of the Moro nationalist political agenda. A few of us who were caught in between hung in limbo to see through the birthing of a humble and oft-sidelined program on women and children in vulnerable minority ethnic Moro communities. This rebirth became the Lumah Ma Dilaut Center for Living Traditions.

The creation of Lumah Ma Dilaut necessitated the dramatic transition of our educational work which, in AMANPHIL Culture of Peace (COP) Manual (2001), we described as applying the jihadic paradigm in a da’wah jama-a, with the unspoken mission of inviting non-Muslims to turn to Islam. AMANPHIL committed itself to human rights and development work using the Islamic perspective. The COP module it developed in 2001explored the concrete applications of Islamic precepts in development work and initially siiaped and defined its methods of work based on the principle of social change in the jihadic paradigm. Its vision of peaceful co-existence and process of social reconstruction is anchored in the concept of Tawheed or unity and holism.

From Qalam to KAALAM

In more concrete terms, the reform included shifting from QALAM to KAALAM. QALAM (i.e., inspired by a Qur’an verse The Pen) stands for Qur’an based Alternative Learning and Social Action module that AMANPHIL implemented in Jolo as a pilot study of integrating Islamic values into mainstream public secondary schools by trign to model a pesantren-type education and volunteerism project. KAALAM, acronym for Katutubong Alyansang Lumad-Moro para sa Angkop at Mapagpalayang Edukasyon, is translated as Lumad-Moro indigenous alliance for appropriate and liberating education. Lumah Ma Dilaut does not describe its work to be jihadic and the da’wah in promoting indigenous knowledge systems and practices and in modeling appropriate and empowering program for reviving the spiritual and cultural energies of the Sama ethnic communities. It is nonetheless a self-fulfillment for its mostly Muslim staff as their own personal jihad and a way of da’wah. We take pride in our home-made curriculum for the three iskul-iskul ma Lumah ma dilaut that we are nurture in small Sama Dilaut villages in Zamboanga City and Basilan. At iskul-iskul, we teach the values of pag-omboh or ancestral reverence, a form of animistic practice by the indigenous Sama Dilaut; we also imbue the learners with the appreciation and valuing of extent cultural traditions of the rural Muslim communities, for example the Taitih or Nisfu’Shaban (or remembrance of the dead) and the Rabbana tradition during Isra wal mi’raj. Side by side with teaching the basic Islamic pillars of faith, we tell stories of the Prophet Jesus’ nativity as narrated in Surah Maryan in the Qur’an. More than being religious these traditions and practices have been perfect opportunities for reinvigorating the spirit and binding the force for forging communal harmony.

Implications and challenges in community development work and peace advocacy

In a nutshell, these two strategic moves have great implications in our community work and peace and rights advocacy. First, the Lumah Ma Dilaut refuses to blindly submit to integration or mainstreaming into the national systems without first ensuring a systemic recognition, empowerment, and institutionalization of traditional systems of governance and justice, and in ensuring a place for the perpetuation of our indigenous knowledge systems and practices where values and spirituality that our faiths teach are embedded.

Second, it is suspicious of isolationist and elitist-sectarian moves . by nationalists, especially of agenda that pit oppressed communities against each other, pitch issues of Muslim-Christian conflict, or endorse Bangsamoro nationalist unilateral interests without due respect for the Lumad and other inhabitants in still much contested Moro territories or ancestral domains.

Third, we realize the need to give voice to the most marginalized, excluded, and vulnerable Moro communities. So we chose to work with the Sama Dilaut or Bajau. The Sama Dilaut, considered a Moro people only because of their traditionally plying the Sulu seas, is an interesting case. Narratives from the remnants of this passing traditional society portray a nostalgic story of their transition from sea-nomadism to urban mendicancy. The Philippine Bajaus are largely practicing an indigenous religion. Although a growing number are Islamized, most are only nominally Muslims mired in massive poverty and illiteracy. By and large, they are not considered a political threat by the national government on account of their non-integration into the Moro nationalist movement and their non-inclusion in traditional politico-social structure such as the sultanate or data systems. As such, they stake the least in power and prestige in current politics. Remaining as fluid, free-spirited communities, they are free citizens of the Malaysia-Philippine-Indonesia-Brunei Darussalam sea basin.

To us, the unique position of the Sama Dilaut could be the ultimate test of the limits of our political and economic tools for empowerment, challenging our sociocultural, even religious and spiritual, constructs of human development and human rights. At the psychological and moral level, it measures the sincerity of our intentions and the degree of tolerance that we put to volunteerism. In sum, it challenges the appropriateness of our framework for development and grassroots empowerment and in establishing social justice.

In closing, I would like to reiterate that empowerment does not lie in the seclusion and isolation of Islam in a political or nationalist cause, nor in integrating or mainstreaming Islam to the mold of a particular culture. It is erroneous and presumptuous even to say that as Muslim civil society, our project is to evolve an alternative Islamic ideology or Islamic culture as Islam cannot be reduced to a particular theory or cultural face. Our mission is to rediscover the universal message in Islam as the common thread, a unifying force, for all religions and cultures of the world to be comfortable and accepted. Our humble mission is to build a Lumah Niche, a big home that brings together every culture and religion into one big family of the Islamic way of life.