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.

Friday, March 23, 2007

Chikankata is some place!!!
It's like one big see-saw. It's like depths of depression one minute and heights of elation the next. It's like the best place to work one day and absolutely the worst place the next. It's just too difficult to explain.
This week has been a hard week. The more you scratch, the more you find. It's nearly two years since we came here and we are still finding outstanding (in all senses of the word!) problems. So this week another $10,000 bill. Apparently we took legal action over something or were defending legal action in 2002 and the case was settled in Court early 2005. So when you go to get some legal advice from our lawyers, the state they can't help us because we still have an outstanding bill. What's more they are giving us limited time to pay. An all too familiar story.
There are so many issues to try and sort out and the majority of them are none of my doing and I don't mind admitting, I'm getting fed up with it! You put a vehicle in Toyota Zambia (don't get me started on them!) and it takes them 5 months to fix it. You have to spend $4,000 to pay for a new pump, caused by dirty fuel from somewhere AND THE VERY NEXT DAY IT HAS THE SAME PROBLEM IT WENT IN WITH! How does that work?!
My accountant and I did the cash flow forecast for the next three months and basically we are going to have to 'find' about $20,000, (10,000 pounds) just to break even. Not sure were that's going to come from but I believe we'll get by. Not wishing to revel in others misfortune I found a paper from 1991 entitled " Hospital's Financial Survival Plan" which cheered me up a bit. I know from people like Commissioner du Plessis and Colonel Gauntlett, men who are fair more qualified and esteemed than me, that Chikankata has seen it all before when they've been in charge. So I'm trusting the Big Man on this one.
HOWEVER and it's a big however that's why it is in capital letters - this week I have felt really uplifted in prayer. What's more I have been given tangible evidence that the Big Man answers prayer.
Yesterday, we found out we had managed to raise nearly all the money for the ambulance and we will now be able to order a standard vehicle. This has been a mammoth effort and we have managed to raise 25,000 pounds in 5 months for this venture. We have recieved donations from SA Corps from all four countries in the UK. TSA is an amazing organisation, with some really kind-hearted, committed and caring people. Special mention to some individuals Garry, Nick, Clark and Kevin who really pulled out the stops. Special mention to the people in communities around Chikankata who raised over 3000 pounds by donating maize, which we were able to pool together and sell. Special mention to the Big Man for his continued provisions. God is good!
Secondly, after months of persistent nagging and 'persuasion', Zambia Sugar ( a large South African firm based in Mazabuka) brought the plans and the contractors to the Hospital and seem ready to renovate our Maternity Ward. It's a big refurbishment and if all goes well, it'll look fantastic.
Finally, we received a couple of packages that really encouraged us and made us feel that people care and are really rooting for us. We will enjoy listening to the CD's and eating the fruit pastilles and I am sure they will keep us going. We are so grateful fore-mails, cards and care package and thank the Big Man that he has given us friends who care about us.
Please pray for the ex-pat staff here from UK, Sweden and Australia. All of us have our different struggles, both personal and professional and we need people to uplift us and rely on those prayers as we try to the serve at the Hospital and serve the Big Man.
Like I said - It's some place!

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Thursday, March 22, 2007

WORLD WATER DAY - 22nd March 2007

Today is World Water Day - I am reminded of an earlier post I made on the issue of water. I have ammended slightly...........
Water is on my mind! Maybe it’s because we had one big rainstorm last week (which incidentally knocked the electricity out for four days – another long story) and nothing since. Maybe because people are beginning to panic that this will be another drought year. Maybe it’s because Colonel Sewell, an SA officer and water engineer, has arrived to start the upgrade of the water system. Maybe it’s because I haven’t had a proper shower or wash for close to five months. Most likely, it’s because last week I visited a small community of around 1000 people to examine the problems of their water.
This isolated community 10km from Nadezwe was one of the worst affected areas last year by waterborne diseases. It’s estimated that in Chikankata Hospital’s catchment area only a small percentage of the total population has access to clean, safe water. In the blazing heat, I sat silently and heard first hand that the only access to water for this particular community was dirty water from a nearby stream; the same water used to bath, drink and wash their clothes. This community had no means of sanitation whatsoever other than a few ad hoc pit latrines they had built themselves. We saw for ourselves the shallow well the men had dug, with water so dirty that in the UK we wouldn’t even allow our pets to touch it. We listened to their pleas for help; their stories about loved ones lost and saw their worry in their words that next year it might be them.
Unsurprisingly this community was one of the areas most affected by cholera last year; the Headman estimated that close to 100 people died for waterborne diseases. This equates to 10% of their population. Many of the people at the gathering complained that they suffered from constant diaherroa and vomiting – they were frightened. I heard from Gift, our highly skilled and dedicated Environmental Health Technician, who told us that children are particularly vulnerable. When they are thirsty - they drink. They don’t have the knowledge and they don’t have the luxury of being able to run home and draw a glass of water from the tap to clench their thirst. And that’s when it struck. For many people, clean water is a luxury.
The Salvation Army’s Chikankata Mission has problems too. The hospital’s infection prevention committee is finding it difficult to control and prevent infections due to the erratic supply of water in the wards and other critical areas of the hospital. The Maternity wards needs constant and safe water and we are continually concerned about the dangers to mother and babies of cross infection. The Theatre is one of areas where sterility has to be maintained and without a consistent supply of water, post operation infections have increased. This year the High School has had a dysentery outbreak for the second consecutive year, as there is not enough water to go round.
But it’s not just in Zambia. The WHO and other groups are predicting that severe water shortages affecting at least 400 million people today will affect four billion people – half the world- by 2050. This a frightening thought. So what can we possibly do? In the words of one missionary, Debbie Meroff; “We can either shrug off such realities because they don’t intrude in our own lives, or we can choose to follow the directions of Christ”Matthew writes “If anyone gives even a cup of cold water to one of these little ones because he is my disciple, I tell you the truth, he will certainly not lose his reward”
Whilst I accept that I might be taking this verse a bit too literally, it is certainly a clear direction on the part of the Big Man. That’s why I am so impressed with the initiative of the Watershed Project which will help the communities around the developing world, including our internal water supplies here within the Hospital. This is just one of the many projects run by the International Development Department at The Salvation Army’s UK Headquarters who have been good to Chikankata and epitmise The Salvation Army's brotherly love and concern for those in need. That's why I am so impressed with Cross International, who are a truly Christian organisation and have agreed to sink some boreholes in some of our most remote communities (including the one mentioned above). That’s why I’m writing a first hand testament that these projects will make a difference; the different between life and death, between joy and misery, between defeat and hope for so many people. That's why I'm impressed with the Big Man for his continue provision. Psalm 41 v1!

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