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!