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Authors: Adam Fifield

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As al-Assad soaked up Grant’s story, the UNICEF leader laid on a little flattery and began to drop a few more crumbs to entice him farther down the path. “I know you can beat the Turks,” he said. “I know you’re a strong president. Once you decide to do something, it will get done. You are in charge of your government in a big way, and I’m convinced you could mobilize the country.”

Woodhouse realized that al-Assad was beginning to grasp how all of this could advance his own position. The president “could immediately see there would be some political benefit for Hafez al-Assad,” recalls Woodhouse, “if he could show the Syrian people he had the power to do good for the majority, and at the same time, beat the old colonial powers, the Ottoman Empire.”

The president was sold. “Tell me more, Mr. Grant. What do I need to do?”

Grant ticked off what would be required: making sure the entire population knew about the immunization schedule, mobilizing health staff throughout the country, setting up the cold chain, positioning vaccines, syringes, and equipment.

Speaking to his aide, al-Assad then commanded: “Call the minister of health immediately. Call the minister of information immediately. Call the minister of defense immediately.”

The ministers appeared within minutes. Grant repeated, with more detail, what needed to happen. Then gesturing toward Woodhouse, he said, “This young guy, Woodhouse, will be happy to work with any committee of people you put together to make sure that all the planning is done properly.”

Within the next three months, Syria launched an immunization campaign. UNICEF provided vaccines, equipment, coordination, training, and other assistance. And after all the results were tallied, Syria’s immunization coverage had doubled and, in some cases, nearly tripled in the space of one year. Polio coverage for one-year-olds jumped from 29 percent to 86 percent, DPT3 shot from 29 percent to 86 percent, measles rose from 27 percent to 64 percent, and the tuberculosis vaccine went from 53 percent to 98 percent. In every category except measles, according to 1986 estimates, it had done just what Grant suggested: it had beaten Turkey. For measles coverage, the countries were exactly tied at 64 percent.

Woodhouse was “blown away” by Grant’s ability to persuade a military dictator to do something good for children. His
boss’s strategy, Woodhouse learned, was not to appeal to global leaders’ compassion or empathy, but rather to identify their concerns and then piggyback UNICEF’s agenda on those concerns. This tactic was employed all over the globe, with miserable despots and enlightened statesmen, government generals and rebel commanders, democratically elected presidents and calcified monarchs—with whoever held the levers of power. He came to these meetings armed with plenty of props—growth charts, polio droppers, oral rehydration packets—but also often with more knowledge about the country’s children than the leaders themselves possessed.

Folded up in his pocket, Grant sometimes carried the table of contents of a book entitled
Getting to Yes: Negotiating Agreement without Giving In
, coauthored by his longtime friend Roger Fisher, and William Ury. Among the entries: “Don’t Bargain Over Positions,” “Separate the PEOPLE from the Problem,” “Focus on INTERESTS, Not Positions,” “Invent OPTIONS for Mutual Gain,” “Insist on Using Objective CRITERIA.” Grant did all of these things, but his method of persuasion was often even simpler: find that one weak point, that one critical brick that could be plucked from the wall.

In Morocco, after the UNICEF representative could not gain any traction with the administration of the autocratic King Hassan II, Grant made a visit to the North African country. According to former UNICEF program director Dr. Nyi Nyi, who heard accounts of the meeting from Grant and a Moroccan government official, the encounter began as a one-way lecture by the king. Grant politely listened as the king, known for his
eloquence and political dexterity, spoke at length of the greatness of his country. Morocco, he told Grant, bore many similarities to its former colonial ruler, France. It was, in fact, “France south of the Mediterranean,” he said.

When the king paused to take a sip of water, Grant interjected: “Your Majesty, what you say is true, except for one thing.”

The king’s curiosity was piqued. “And what could that be?” he asked.

“Your children die at a rate ten times that of France.”

The king looked at Grant. He turned to his health minister, who sat nearby. “Is that true?”

The health minister confirmed that, unfortunately, what the head of UNICEF said was indeed correct. Apparently this information had never been shared with the king until now.

“We can’t accept that,” the king proclaimed. “Do whatever Mr. Grant wants us to do.”

The staff from the Moroccan Ministry of Health visited UNICEF headquarters in New York, where Nyi Nyi welcomed them. An immunization campaign was launched. The country’s coverage rates for polio, DPT3, and tuberculosis would eventually climb from none at all in 1980 to more than 80 percent by 1990, according to WHO estimates. Coverage for measles would reach 79 percent.

“He knew what would strike a chord,” says Nyi Nyi. “He would play one country against another.”

He was also utterly shameless, never missing an opportunity to make his pitch, no matter how tacky or inappropriate. In the Dominican Republic, after an official field visit in 1985, President
Salvador Jorge Blanco hosted an august state dinner in Grant’s honor. He was asked to make a speech. On the stage with Grant stood the president, wearing an expensive-looking suit, and three or four men in full military regalia—possibly generals or bodyguards. Grant began to tell the crowd of several hundred people what the Dominican Republic could do to save more children. About halfway through his speech, he stopped. According to Peter Adamson, who had accompanied him, he then reached into his pocket and pulled out a ribbon of red and blue stickers. Printed on each were the words
CHILD SURVIVAL REVOLUTION
. He walked over to President Blanco and the men surrounding him, peeled off some stickers, and began applying them liberally on the president’s suit and the men’s uniforms. “I am making you five-star generals of the child survival revolution!” Grant announced cheerfully.

President Blanco smiled, perhaps stunned.

Back at the hotel, Ethel chided, “Jim, you are such a ham.”

Adamson says it is hard to imagine any other international leader getting away with a stunt that might well have been perceived as “tactless at best” and possibly even offensive. “Yet, because of who he was,” Adamson says, “it was fine.”

Grant’s motives were so obvious, he adds, that even his greatest critics could not dispute his genuineness. Because everyone knew that all his enthusiasm, all his marketing ploys, all his badgering and berating—that it was never about him. It was always about saving kids. There was no ulterior motive, no hidden agenda.

In India, during the mid-to-late 1980s, the government was ambivalent toward outsiders promising external aid or bilateral
support, according to former Indian government official Gourisankar Ghosh. He is aware of one notable exception. “The only person who was not only well received, but also warmly received—starting from the prime minister down to state governments—was Jim Grant,” says Ghosh, who would go on to work for UNICEF. “Even if India had a visit by the UN secretary general, it would not create as much headline news as a visit by Jim Grant.”

Samora Machel, the revered African freedom fighter who had liberated Mozambique from Portuguese rule in 1975, trusted Grant so much that he once agreed to a sudden and, some might say, wildly unreasonable request. On the way into the heavily guarded presidential palace in Maputo, the country’s capital, to see Machel, Grant clutched a briefcase under his arm. UNICEF’s Mozambique representative Marta Mauras advised Grant to leave the briefcase behind—security was too tight.

“Jim, you cannot take that,” said Mauras, an assertive Chilean sociologist. “It’s going to be taken away.”

Grant ignored her. He didn’t answer, didn’t even look at her. Then, suddenly, like a fugitive trying to ditch his parole officer, he bolted. Briefcase under arm, he darted into the palace. He rushed past the guards, as Mauras and UNICEF staffer Carl Tinstman ran behind him. Somehow, he made it inside.

Something in that briefcase was very important, and Mauras and Tinstman would soon find out what it was.

President Machel was waiting for them on a long, red velvet couch with four cushions, surrounded by several aides, an interpreter, and a government minister. Bearded and in
military garb, the stout, former rebel leader commanded a striking presence. Machel was a Marxist and his philosophy, in one significant way, mirrored Grant’s: both men believed that the benefits of society should be made available to all. A vociferous critic of the evils of colonialism and apartheid, Machel once famously remarked, according to the
New York Times
: “The rich man’s dog gets more in the way of vaccination, medicine and medical care than do the workers upon whom the rich man’s wealth is built.”

Grant likely would have agreed.

Mozambique was then throttled by a nasty civil conflict that pitted the ruthless Renamo rebels (backed by the apartheid government in South Africa and formerly by white-ruled Rhodesia) against Machel’s government. Horrific human rights abuses abounded, most of them committed by the Renamo rebels. But Machel’s sense of justice was marred by his own despotic tendencies. According to Human Rights Watch, the military leader’s postcolonial regime subjected dissidents to re-education camps and set up a secret police force that tortured prisoners and carried out extrajudicial executions.

Machel stood up to greet Grant. The head of UNICEF was then signaled by an aide to sit in a nearby chair, also upholstered in red velvet. Grant proceeded to give his child survival spiel and brandished a packet of oral rehydration salts as an interpreter translated his words into Portuguese (though Machel was rumored to understand and speak English). Then Grant said, “Mr. President, I have a favor to ask you.”

“Yes?” said Machel.

He opened his briefcase. As if triggered by the snapping motion, Machel’s aides stood up. No one had mentioned what was in that briefcase, and they now appeared concerned.

Grant pulled out a folder. Inside it was a document, two or three pages long.

As Tinstman recalls, Grant then said, “I have taken the liberty of developing this formal agreement for us to sign. If it’s all right with you, perhaps we can both sign it right now.”

According to Mauras, Grant then explained that it was a “commitment for all children.”

This was news to Mauras. Grant hadn’t said a word to her about the agreement before this meeting. Ostensibly, he had kept it secret to avoid sounding off alarm bells at the presidential palace. He wanted to walk out with a signature. He didn’t want to wait for vetting and bureaucratic approval.

The president’s aides, in the words of Carl Tinstman, “went ape shit.”

Frowns formed on their faces, and their heads shook vigorously. An aide bent down and whispered in Machel’s ear. “We could tell by the body language … that Samora Machel was being told not to sign it,” says Tinstman.

Which was not at all bad advice. For one thing, the document was in English, not Portuguese. And, as the minister pointed out, “We haven’t seen it. We need to read it first.”

Not an unreasonable demand.

At this point, Grant stood up and, “against all protocol,” says Mauras, he asked Machel to make room for him on the couch. The president and father of independent Mozambique obliged
and scooted over. Grant sat down next to Machel, as though he were a family friend, and handed him the document.

Tinstman remembers that Machel raised his eyebrows, as an aide whispered insistently in his ear. The president then held up the document and glanced at it but did not take time to read it. Mauras notes that Machel needed glasses to read anyway, and he wasn’t wearing any.

Then Machel looked at Grant. “This is a good thing for me and my country and the country’s children?” he asked.

“Absolutely, Mr. President, of course,” Grant said.

That was all it took. “I will sign,” said Machel. And against the advice of all his aides, he did just that.

Grant peered down to inspect the signature and noticed that Machel had only signed his first name, “Samora,” in big, sweeping script.

“Mr. President,” Grant said, “you have to sign the full signature.”

This last request Machel refused. He told Grant: “There is only one Samora in the whole world.”

Another gamble had paid off. But the weight of that signature would not last long. About a year later, Machel would die in a mysterious plane crash. Many suspected that the apartheid government of South Africa was responsible, though the case has never been officially resolved.

As Jim Grant canvassed the globe, UNICEF country staff quickly learned what a “Jim Grant field visit” meant—a breathless, 24/7 whir of activity from the minute he touched down to the instant he departed. Everyone was exhausted and frayed
and perhaps secretly relieved by the time he left. A typical day began at or before sunrise with back-to-back meetings with a roster of government officials and local NGOs, then lunch (which was often just another meeting with food), then perhaps a visit to a village or health center or refugee camp, then dinner, then more meetings at the office. Grant always took more time than the schedule allotted and was nearly always late, as his staff scrambled to maintain appointments. Sometimes it was because he became ensconced in conversation with a government leader; other times it was because he took part in activities he had come to observe. Grant would administer vaccines (usually just oral polio drops), crank a hand pump to bring up water, hold a weighing scale steady so a child could be lowered into it, and, of course, mix doses of oral rehydration salts. He also sat down to chat with village elders and mothers, whether it was on chairs, stools, or the ground. And sometimes he would stay for a while. When a chorus of children would gather to sing for him, dance, or play drums, he would stand up and clap vigorously. Or he would join them, bobbing awkwardly into their midst with a beaming grin on his face. During a performance in China, when a half dozen child dancers began a formal show on a stage, Grant jumped up, grabbed Ethel’s hand, and pulled her onto the stage to dance with them (Ethel accompanied him on many trips). This was not the way most UN officials or Western leaders behaved, and it took many by surprise.

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