Charlie Chikankata has a lot to answer for! Here I am in the heart of rural Zambia, working for The Salvation Army as the Manager/Hospital Administrator of Chikankata Health Services. Not so much an intellectuall reflection rather a kind of journal of the unexpected.

Sunday, October 15, 2006


This week we have started the process of giving out 10,000 mosqito nets in our catchment area as part of our Child Survival Project, funded by The Salvation Army World Service Office in Washington. The case fatality rate for under 5's in Chikankata is truly appalling. Along with other diseases it is estimated that 1 in 5 children in this area does not make it to their 5th birthday. Most die of preventable diseases. The mosquito nets mark a year long programme educating and teaching people about malaria. The nets are being given out to under 5's and pregnant mothers - those who are most vulnerable to malaria. Now we have moved on to tackling malnutrition.

Today is the Healthcare Sunday in the Salvation Army. Highlight of the day at Chikankata was some of the Songsters from the Corps (church) singing to the patients in the wards. It was the first time this had happened since we were here and was appreciated by the patients and enjoyed by the singers. It was agreed by all that it should be repeated on a regular basis. It was lovely to watch and listen. I have often wondered why the Salvation Army involved itself in health care, I guess there are thesis (what is the plural of thesis- thesis's or thesi) anyway I have had to figure it out as I try to really catch what our mission here is all about. Anyway, today was special for us and special to the patients. The sight of every single mothers kneeling down at the beds of their children in the pediatric ward when the time came to pray was very moving and a picture I will not forget in a while. The picture is of the Songster in our ICU, recently decorated by our good friends from Aberdeen Citadel.

On a altogther more mumpy note, I am getting really narked off with the water situation. No running water for about 6 weeks in our house. I have had to have what Heidie refers to as "flippin' buckets baths", ie getting a bucket load of cold water and chucking it over yerself (You'll be pleased to know there's no picture attached to this paragraph). Man, it cannot be good for you!
Finally, the ambulance appeal is coming on well. So far, I reckon we are almost half way there - which is a significant achievement. Thanks to all who have contributed so far, one way or another. We really need it here and appreciate the hard work and kindness we know is being afforded us.

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