Peggy's Day At The Makongoro Clinic

I volunteer daily at the Africa Inland Church of Tanzania’s Makongoro Health Clinic in Mwanza. It consists of an out-patient clinic, an in-patient hospital with 29 beds, a mother/baby clinic, and an HIV counseling and testing clinic. My supervisor is Matron Jovina Machia.



Our day starts out with a 20 minute staff devotional time. Along with all the health clinic staff, we sing praise songs, read from the Bible and hear a 10 minute sermon, all in Kiswahili. After devotions are finished we attend the morning meeting with the doctors, the heads from the lab and finance departments, and the 2 matrons (head nurses). We hear the night report, and discuss any concerns that have come up, again, all in Kiswahili. Then Monica and I dispense any medications that are needed that shift for both the out-patient clinic and the in-patient hospital.

When the meds are finished, Monica (the other Christian Reformed World Relief Committee nurse volunteer from Canada) and I usually go to work in the hopsital wards. Soon one of the doctors comes by to do rounds. We go as a group from bed to bed while the doctor speaks with each patient about how they are doing. Still, all in Kiswahili. Then the doctor makes the orders for that day, but now in English! All the patient charting is in English, and the written orders are, too. So the Tanzanian nurses love to have us do the writing in the Rounds Book, because it has to be in English!

For the rest of the shift, we work alongside Tanzanian nurses. We often dispense medications, usually intravenous quinine for the treatment of malaria. And we admit new patients, again usually with a diagnosis of malaria.

In the hospital there are three large rooms or wards, one a children’s ward, the second the women’s ward, and the third a men’s ward. There is also one “private” room with 2 beds and a private toilet. The rest of the patients share common bathrooms (one for the men, one for the women and one shower).

The hospital is on the same compound that we live on, so it is only a 2 minute walk to work. Except that on the way we must greet every person we meet. Near or far, we must ask “Harbari za asubuhi?” (“News of your morning?”), and “news of your home,” and “your family,” and “your work,” and “Mama (or Baba) hajambo?” (“Mama has no problems?”). And then we walk on until the next person we see and go through the greetings again. It is a very fun ritual, but it slows down our walk a lot. Fortunately, even our boss understands that being late sometimes cannot be helped!

Gordon's Work at AICT

This year Africa Inland Church of Tanzania (AICT) is celebrating its 100th year. It was started in 1909 by missionaries from America, called the Africa Inland Mission (AIM), which is still active in Africa today. Sixty years after its founding, the AIM turned over the ownership and supervision of the Tanzanian church to local leaders, and AICT was formed. The two organizations have been operating in partnership in Tanzania ever since.

The AICT church has about 1,000,000 members. They are spread across Tanzania, but concentrated in the northwestern part of the country where the church began. I (Gordon) am volunteering at the national headquarters under the direction of General Secretary Joseph Gisayi. I have my own office, which I share with a couple geckos and a few cabinets full of records. Lately I have been reviewing five-year plans. First the strategic plan for the entire national church. Next the strategic plan for the health department. The plans are written in English, so I am able to offer many editorial suggestions to help clarify the text and intent of the plans. Soon I will be reviewing plans for other departments of the church, like the publishing department, the finance department, and others. The health department plan is already finished; all of the others are presently drafts, or not yet even written. The church is in the midst of an intense planning process to focus its strategy and operations in accordance with its vision and mission. In summary, AICT’s mission is to spread the Gospel of Jesus to all people and to promote holistic human development to help the poor achieve major improvements in their mental, physical, and spiritual growth and development.

The five-year plans of the church are impressive, as are its existing operations. It already operates a theological college, two successful secondary schools, a nursing school, two large hospitals, two health centers with small inpatient wards (about 30 beds each), and 18 smaller health dispensaries, along with many other programs. But with much still needed to be accomplished in Africa, its five-year plans focus on improving and expanding its operations, not only to increase spiritual care, but also to contribute towards sustainable and affordable access to quality social and economic services (health, education, agriculture) for the people of Tanzania, with particular focus on the poorest communities and those affected by disasters. Among the goals AICT seeks are improvements in access to safe water, increased education for village children, HIV/AIDS counseling and education, improved agricultural practices, and greater justice and gender equality for women. Interestingly, it has chosen significant reductions in national infant and maternal mortality rates as the primary indicators of success for many of its food, health, and sanitation goals. The church recognizes that it cannot accomplish such significant changes by itself, so it expressly states that it plans to contribute to the work of the national government and other churches and NGOs in achieving these goals.

I still have much trouble understanding Swahilli, but it did not take me long to understand, even in Swahili, that the church in Tanzania believes in the power of prayer. If you will, please pray with me that the plans and work of the AICT will, along with that of its partners, be effective to improve the spiritual, mental, and physical condition of Africans in Tanzania, both now and for many years to come. As they say in Swahili, tuombe -- let us pray.

Lunch

Several days a week we share lunch with a Tanzanian family in their home. We start by washing our hands in warm water poured from a pitcher into a bowl by one of the children. After prayers we are invited to eat a simple, but well-prepared meal. The staple of the lunch is ugali, (a thick corn meal) or rice. Also there is a cooked green and a bit of meat -- kuku (chicken), n'gombe (beef) or samaki (fish) -- cooked in a sauce. The ugali is dipped into the sauce and eaten by hand. Our inexperienced fingers have some difficulty getting the ugali to our mouths without it crumbling to bits and without the sauce dripping down our chins. We enjoy the tasty food and, especially, the experience of sharing the meal with the children of our host family. Our attempts at Swahili conversation with the children and our host are sometimes very amusing. Like the day Peggy tried to tell the mama the food was good by saying "chakula ndege," which translates as "bird food" instead of "good food." Another day Gordon was taking a picture of the family and got them all to smile by loudly saying "chapati" (it means "chapati"), which made them all laugh. Now when the kids see Gordon across the grounds they wave and shout out "Chapati!" And that makes him smile.