Thursday 22 April 2010

Our Mission is almost Complete!


KAREN:



As our time in Gulu draws to an end we have been reflecting on what an amazing experience we have had in Uganda. The last six months have been challenging to say the very least but thankfully the good time have far outweighed our sorrow and frustrations!



We finished work at Gulu Regional Referral Hospital last Friday. Saying that we still have a series of lectures and presentations to make and so our mission in not yet complete! Our send off from the hospital staff was very moving with much praise from the Senior Principle Nursing Officer and the Chief Nurse for all our efforts at the hospital. By the end of their speeches we resorted to feeling like we were once again 10 years old and the 'teachers pet!' We were glad to have an opportunity to offer our thanks to the staff for all their support and new found friendships. Our official duties were completed by the staff singing us the Uganda Nursing Anthem:





"We have been chose, we have been chosen (high pitched!)

Chosen by God, chosen by God,

Chosen to be Nurses, chosen to be Nurses,

Our Holy people, to love and serve."


A thank-you and farewell party is being planned by the hospital staff in our honour for tomorrow night! Such gratitude has been show to us for our work and many of the nurses have thanked us by inviting us to their homes and preparing us a feast of local specialities: beef or chicken stew (chewy meat no longer repulses us!), malekwang (green leaf in peanut and sesame sauce), posho (a white bouncy lump of maize), kal (a brown bouncy lump of millet), rice, chapatti, sweet potato, bans (obligatory!), boo (pronounced 'bo') and dodo (chopped flavoured green leaves). One spread even included the local delicacy of 'bush rat' - you may well wretch - I certainly did! The challenge is to eat until you are ready to explode...and then eat a little more! We are always humbled by such a spread of food as people here have so very little yet always share so much. The average pay of a nurse is £100-£200 a month and often wages are late in being paid.



Our friends homes have ranged from modest houses to simple mud huts. With the UK housing market being so expensive we are contemplating building ourselves mud huts on our return to Britain! To be invited to a local village is something we always feel is a real honour especially when the whole community want to greet us and the children run up to us shouting "mwnw, mwnw, mwnw!" (white person) with such excitement and giggle when we respond with a smile or a wave! With such pride, Sister Caroline, our Chief Nurse, took us for a walk around her village introducing us to the community by our Acholi names: Lamaro Karen - meaning I show passion and dedication, and Aber Deborah meaning beautiful good girl. Traditionally if an Acholi name is shared with an elder, a chicken should be offered which means that by now we would have our own chicken farm! Sister Caroline showed us the spring where water is collected for cleaning and washing and the bore hole from where drinking water is pumped. The heavy canisters of water are then carried home on the heads of local women. She also gave us a cookery lesson teaching us how to prepare local food and showed us how to plant ground nuts on her land. We are now officially Gulu Girls!



DEBBIE:



Along with the great friends that we have made by working with the nurses at the hospital we must also mention the patients. We've met some truly inspirational patients and relatives on the ward who cope with so much in such a humbling way. Relatives here (referred to as the patients 'attendant') have to care for their family member 24 hours a day and their dedication is amazing. Some people, however, do not have adult family members to preform this vital role and so the responsibility falls on their children. Here is an example:




A patient was admitted onto the ward and was very sick with chest problems. When she arrived she was sitting on the floor by her bed looking like she didn't have the energy to move. A young girl followed and began attending to the woman and helping her into bed. This young girl, aged around 6 or 7 years, was the sole carer for this patient: her mother. Each day she cooked food, fetched water and cleaned clothes for her mum. The girl and her mother had very few belongings and it transpired they had fled from the Democratic Republic of Congo to Uganda for safety, speaking volumes about the state of affairs in the Congo. The isolation felt by this mother must have been huge as she could not speak the local Gulu language of Acholi and spoke little English. Thankfully one or two nurses were able to speak her native tongue of Swahili but these staff were few in number.



One day on the ward we brought some sparkly masks left over from a Christmas parcel we had received. The little girl was fascinated with the mask and wore it all day! From this day forward we were considered to be her friends and every time she saw us she ran up the ward to give us a cuddle and a huge beaming smile! Her mother was diagnosed with Tuberculosis (TB) and thankfully started on the appropriate treatment but remains very sick. This situation seemed so desperate to us but is simply accepted by these two strong-willed ladies who coped so well. Extraordinary!

Friday 9 April 2010

An Easter Present...










At Christmas time some friends from the company 'Cargill Cotton' worked hard to raise money for our patients at Gulu Regional Referral Hospital and we also received some very kind donations from friends and relatives. With the money we had planned to give each patient at the hospital a small Christmas gift. Unfortunately, Karen fell ill the week before Christmas and so we were unable to carry this out. However, as Easter came around we thought we'd try again and provide an Easter distribution instead!




We decided to give each patient a very English treat - tea, milk, biscuits and sugar! With 250 beds at the hospital the scale of organisation could not be underestimated as Karen and I went to the market and bought 300 sachets of tea, 15 kilos of sugar and 23 litres of milk! We made some of the market sellers very happy that day. We also needed something to package the gifts in and so we went to an older man in the market who sits selling plastic bags all day. Whenever we see him he always tests our Acholi language skills and gets very excited when we can answer his greetings! When I asked him for 300 'caveras' (bags) I don't think he could believe his ears! He was overjoyed when I handed over 30,000 shillings (just under 10 pounds).




On wednesday night, while the local bakery were making the 600 biscuits we had ordered, Karen and I started a production line arranging the sugar and tea into all of the bags. This job took us 3 hours into the night and left Karen and I feeling slightly hysterical with tiredness and absolutely covered in tea and sugar!




Thursday was distribution day. After hiring a vehicle to transport everything to the hospital one of the lecturers at the medical faculty very kindly let us use his office to sort out what was to go where (we rewarded him with some left over biscuits). We started by going to the Nutrition Ward and Paediatric Unit where the mothers were extremely grateful for our little gifts and we had a great time greeting all of the patients and talking to the staff. We even got a round of applause when leaving the Paediatric Ward! We then went to the TB Ward, Acute Paediatric Unit, Casualty, Surgical Ward, Medical Ward, Maternity Wing, and Mental Health Unit. We had some amazing reactions while going around the hospital. One older lady in the Surgical Ward gave both of us a huge hug and had the biggest grin on her face - it was priceless. We had extra parcels and so managed to share these with members of staff that were on duty who were also very grateful. Such a small present caused such excitement around the hospital, it was so great to see. Thank you so much to all of our donors for allowing us to distribute an Easter present to each and every one of our patients! It was a day that Karen and I will never forget.