The Week in Review with ....

Every once in a while you need to be able to see exactly why you do what you do. This afternoon I visited a potential new CarePoint site in Madonsa. The community had approached us about siting a CarePoint in this peri-urban area outside Manzini: just outside the city limits. It's kind of strange to drive there. Up until you cross out of the city limits, you are driving by what would be million dollar homes in the US. Then you leave the asphalt pavement, cross a muddy creek, and you are immediately back into homesteads made of stick, mud, block, tin and grass roofs and cement. What a contrast.

They have been cooking and feeding the kids for less than a week now and already have close to 150 children coming each day. I watched as a 6-7 year old little girl strapped on her little sister (maybe 1 or 2?) onto her back to walk home. I asked the Indvuna (guy in charge that reports to the chief) about her family. Two younger brothers. Abandoned by their father who they think went to South Africa. Living with their mother who has no work. Destitute. Legally that makes all the children single orphans. There are worse off children here as well. Double orphans and truly destitute, dealing with the effects of HIV in parents, relatives, siblings, friends, themselves. The only purpose of the CarePoint we hope to build here is to offer hope to these children. A place to grow up where some of the most basic needs are met and the life changing gospel of Jesus Christ can impact their lives.

Several gogo's are sitting under some trees for shade surrounded by 30-40 children. They begin to sing "Ngiyabonga Jesu, Ngiyabonga Jesu, Hallelujah, Hallelujah, Amen"

Teresa's take

Government hospitals in Swaziland are limited in how and what they can do for their patients, therefore, making the care, for the most part, palliative. Babies and children that, if treated in the states would have a great chance at making it; here usually don’t make it out of the hospital. Why? Who’s to blame? Who knows? The medical professionals do the best with the skills, knowledge, and equipment that they have to work with. Is it enough? I can’t answer that. It is very difficult to go to the pediatric ward and see sick babies one day, and go back the next day, and they are gone. Where?- to their eternal home. Are they better off? Yes, of course, but could they have made a difference in someone else’s life down the road? Did God have more for them? More questions that go through my mind that I cannot answer. One young mother stood in the pediatric ward our second day visit. I asked her which child was hers. She answered, “Mine was the one that was in the second cot with the wound on his head, he died last night about 6pm.” I was speechless for a few seconds, and then I asked if I could pray with her, she said that I could. I attempted to pray without breaking down and crying, I didn’t quite make it, and quickly said Amen and told the mother how sorry I was. I had to leave the pediatric ward then; I could take no more for now. Then, while I was standing outside of the ward, wiping my tears, I hear someone calling me, and look to see a young boy lying on a cot on the floor. He had seen that we had been taking photos inside and he wanted his photo taken. We asked him what happened to him; he had a broken arm and many scrapes and scratches. His mother told us that he had been hit by an automobile. He was healing well and was going to be alright. We rejoiced for that.

Dr. Beyda was able to bring much wisdom and insight to me just in the two days that he was visiting, seeing children both at the CarePoints and in the hospital. We are very excited to see what God has in store for us and we pray for wisdom to make the right decisions for the future of our medical portion of Children’s Cup.

On a lighter note, the Rehmeyer children have started a Bible study at break time, at school. They are bringing their Bibles and doing devotions and prayer. Yesterday, one little boy came up to Nathanael and started making fun of him, getting down on his knee and mocking, and calling him “preacher man.” I told Nathanael, and the girls, to just hold strong and be obedient, and don’t let the mockers get to them. This little boy that was making fun, may be the first one to be saved, one never knows.

Snippets

All three of the younger kids took part in a swimming gala yesterday. Over all didn't do that well, but had fun trying! A teacher told Teresa this morning that on the way back to the school, the entire bus was singing Christian songs. She had asked her daughter what was going on about that. Her daughter said it was the "three Rehmeyer kids." It makes us proud to know that besides all the sibling "stuff" that goes on, they still carry a witness with them and are an example and a light to the other kids they are around.

More Medical......

We just finished two days with a doctor/dentist team at our CarePoint at Fonteyn in Mbabane. They did a fantastic job ministering to the people of the community. We need to give special thanks to Dream for Africa for allowing us to use their mobile medical clinic for this outreach. The clinic is set up for dentistry and worked great. I don't know how many extractions were done, but there were many, many people who came out smiling: to finally be free of pain from broken & rotten teeth. We also were able to give out glasses to the community, thanks again to the generosity of Dream for Africa in supplying the glasses and the diagnostic machine to measure the eyes!

We have also been busy this week with a medical assessment team from Mission of Mercy. Dr. David Beyda has been here to see what way Mission of Mercy could complement the existing medical infrastructure to best help the children at the CarePoints Children's Cup is operating. Please help pray with us to have God's vision on this and not what we may think needs to be done.

Praise God! This has been a very exciting week.

February 13 - 17, 2006 Medical Team Chronicle

Prep- Oh by the way, can you host a medical team next week?

Kakhoza – We saw about 150 people and had to turn away people at the end of the day. We thought we were going to have a riot in the afternoon. People kept crowding in the door and we told them we were going to have to close the clinic if they didn’t cooperate. We saw one little girl who had been beaten in the head by her step mother and now had cerebral palsy as a result of the head injury. She could see only large close objects, could not feed herself, or communicate. The pediatrician encouraged the mother to exercise her little frail arms and teach her to feed herself. She also encouraged her to stimulate her by touching her in a loving way, rubbing her back, arms, legs, etc. She would respond to touch and occasionally to close objects coming towards her. There were many children, as well as adults with sores and wounds, skin conditions, worms, and infections. There were many elderly women that could hardly get around. Many wanted their eyes checked. We did have the eye machine and were able to check eyes, however, we were limited with the number of glasses that we had for lower prescriptions, which is what most of them had. Many just needed reading glasses. There were a few that really couldn’t see and when they were fitted with glasses, you could really tell that they could see the difference. We did not leave there until 7pm; people were waiting in the pouring rain to see the doctors.

Makholweni – This one was very well organized by the action committee. We saw 150-200 people, but we had to turn many away at the end of the day. We saw many sick people, a few that we had to go get because they were too sick to walk. One young lady, that was dying from AIDS, could not sit up, and had to be carried. She had a very high temperature and much infection in her body. We gave her Ibuprofen for the fever and antibiotics for the infection, ORS for the diarrhea. There are several children at this CarePoint that have been identified by Dudu as being possibly HIV positive and we need to have them tested in the near future. One little boy, had a huge gash in his foot that needed stitches. We got stitches and the pediatrician attempted to stitch up the foot, but the skin was so tough and thick the needle bent and she could only get 2 stitches in and had to complete it with staples. The boy screamed in pain as the staples were being placed. In the process of the foot being cleaned prior to being sewn up, some of the solution was splashed in one of the volunteers face. She wasn’t sure if it had blood in it and also, she wasn’t sure if it got in her eye.

Murray Camp- Daran and I missed the clinic here altogether. Today we had to find the mother of the boy whose foot was stitched/stapled yesterday and ask her if she would agree to have her son tested for HIV, which she did agree. We took them to the FLAS (Family Life Association of Swaziland) center in Manzini, and explained to the counselor what had happened. She said that their procedure called for the victim of the accident be tested, not the boy. The counselor proceeded to talk the mother out of having the boy tested. Now what? What to tell this volunteer, we don’t know the boys status, we don’t think that he is positive, but we can’t be sure. That was a very trying day. And its only 12 o’clock.

Moneni – We went for the afternoon, and saw many sick people. There are many little ones that just hang around this CarePoint by themselves. We played little games with them and made them laugh. One little one came into our pharmacy and wanted to play with the medicines, so we made her a balloon out of a glove and she kicked and bounced this new toy for quite a while. She crawled up in the lap of one of the volunteers, just to be held, uninhibited that we were adults and also white. We also had to turn away about 15-20 people that were standing at the gate that we just couldn’t see.

Mangwaneni – We had this clinic in a small church in the middle of the poorest area in Manzini, right across from the trash dump. There were many sick here also. We treated several with sexually transmitted diseases and counseled them to get tested for HIV. One guy had a gash in his head that was open all the way to the skull, that had been stitched and reopened twice already. The doctor cleaned it and steri-stripped it, because there was too much scar tissue to stitch it. This was the smoothest clinic day that we had so far. We didn’t have to turn anyone away today. That was a good feeling.

Ngwane Park – We saw close to 200 people today. Many little go-go’s that could barely get around, one that we had to help up the stairs, no shoes, feet in terrible condition. I have no idea how she made it home once we helped her down the steps after the doctors had seen her, except that she did have an old stick to help steady herself. As I was making sandwiches for our interpreters, (who worked extremely hard and were indispensible to the team) I noticed out of the corner of my eye, I was being watched by a group of kids on the other side of the fence. I knew that they wanted some of what I was making, so I started breaking up the bread and handing out pieces through the chain link fence. When I was out of bread, there were still little faces staring at me through the fence. That was hard, but I knew that they were going to have some pap and beans in just a little while that the ladies at the CarePoint were cooking. Thank God that Jesus is the Bread of Life and that He never runs out, and we never have to hunger or thirst spiritually.

We had the mayor, a city counselor, and a prince show up for this clinic. When we asked the prince (he said that he was a brother to the king), why he came he said that he had been to doctors here, but he had more confidence in American doctors and wanted a second opinion. We teased the nurse who gave him a shot and asked her if the royal bottom looked different from any other bottom.

Daran had a more sobering experience: he was sitting in the room where the people were admitted and seen by the doctor. Sitting close by was a young girl maybe 16 or seventeen. Her complaint to the doctor: no period for the last 5 months. The doctor asked “Could you be pregnant?” She didn’t know. She was with a new boyfriend. They gave her a pregnancy test. While they were waiting for the results the doctor asked her what she would do if she was. Just resigned silence. The test came back positive. There was a look of sad resignation to the results. The doctor counseled her to be tested for HIV and nutrition for her and the baby.

We had music, dancing, and games with the children outside in the afternoon. That was a lot of fun! While I was watching the children dance, I recognized her face, could it be, yes it was, it was Nqobile. She was dancing, singing and playing with the other children. It was wonderful to see her smile and laugh. She is still very, very thin, but she looks better than I expected after months and months of continuous diarrhea. Nqobile is the 10 year old girl that we attempted to take to the clinic and get tested for HIV before the holidays. Her mother first agreed, then with the persuasion of her sons, decided that we were trying to harm the girl instead of helping her. They convinced her that we wanted to take her and inject her with the HIV virus, and they told their mother that if she allowed us to take her, that they would no longer help her with anything. I expected her to run when she saw me, but she didn’t. She was watching me, I was taking pictures of all of the kids, but really trying to get pictures of her without her knowing. Finally, I noticed that she was interested in seeing herself in a picture, so I took a close up of her and showed her. Her face lit up in a smile when she saw herself in the picture. At least she doesn’t seem to be afraid of me. She did see the doctor and just told her that she had diarrhea and the doctor gave her worm pills. Of course, she didn’t share with the doctor how long the diarrhea had been going on. I am so glad that this story is not over, God can still intervene and make a way, all is not lost! Praise God!

At the end of the day, the last day of the clinics, someone came in with a little boy who was crying in pain and his arm was dangling and the bone was sticking out at his elbow. The doctor said, “this is a fracture, I can splint it, but he needs to go to the hospital to have it set and casted, possibly even surgery.” We went on a search to find something hard enough to splint the arm. All we could come up with was a piece of plaster, and the doctor wrapped it up to immobilize it, and we gave him pain medicine. Then we had to find his mother and bring her to the CarePoint so that the doctor could talk to her and explain that he had gotten hurt playing and that she thought that the arm was broken and he needed to go to the hospital. We took the mom and boy to the hospital and got them into ER and x-ray and then we had to leave. We prayed that night that the mom wouldn’t mistreat the boy for costing her E35 and the trouble of having to go to the hospital.

Death Sentence

In the last blog, Teresa talked about a young girl we unsuccessfully tried to get to the clinic who has been sick for a very long while at the Ngwane CarePoint. Her name is Nqobile. We went searching for her and found her hiding at the river, but were unable to convince her to go with us. We found out today why. Nqobile’s father is dead, so her mother has to respect or do whatever her brothers tell her. They forbade her to allow us to take Nqobile to the hospital that day. They said “… let her die and we will help with funeral expenses. Take her to the clinic and we will not help you at all with any thing in the future.” Apparently her mother was really there when we went searching for Nqobile, but chose to hide in the forest rather than talk with us. Why would a family dictate such a thing? How could they dictate such a thing? Afraid of shaming the family with an HIV infected member, afraid of exposing incest that infected the child?

What will it take in our own lives to see healing come to the Nqobiles of Swaziland? I keep coming back to 1 Corinthians 4:20: For the kingdom of God is not a matter of talk but of power. What am I missing that the power part seems so unreachable?

Chew & Spit (post by Teresa)

I went last Friday to give worm pills and vitamins to one CarePoint, and as soon as I got there, a little girl was having a seizure. I think that she has epilepsy. She lives with her grandmother (gogo) who gets drunk all the time, so I'm told. So she has not been to the doctor and is on no medication. I couldn't really do anything else, so I prayed for her. The ladies that cook the food for the children, were holding her on the ground to keep her from getting hurt, her clothes were half off of her and she was drooling and having difficulty breathing. After a few minutes, she settled down, and starting breathing normally again, so we carried her inside and put her on a mat to rest. Later, she was up and eating her lunch with the other kids. It is amazing that these kids survive as well as they do. At home, we would have called an ambulance and taken her to the hospital.

Many of the kids I see, have ring worm all over their heads, and big bellies full of worms. They need worm pills about every 3-6 months. This is funny, as I was giving them their pills, I was trying to tell them to chew and swallow them, or so I thought (my siSwati stinks). They were all chewing them and then spitting them out. I said why are they spitting them out? One of the student nurses that was helping me said, because that is what you told them. Evidently the word for chew (kuhlafuna) and spit (khafula) are very similar and I was mixing them up.

One kids’ ear had sores all over it, and it was swollen and full of pus. The whole side of his face was swollen. He said that it started last week with the inside of his ear itching and then the painful sores. I started him on an antibiotic and gave him some antiseptic ointment to put on it. I will have to follow up with the ladies that cook at that care point next week to check on him and see how he is doing.

We started off Thursday with a phone call from one of the teachers at a CarePoint about the little girl that I have been worried about that has had diarrhea for 3 months. She said that she had spoken with the mother and that the child was very sick and she was ready to go with us to take her to the hospital. So we rushed over and picked up the teacher and drove out to the little girls’ homestead which is way out off of the road and onto a dirt road and then you can't drive any further, you have to walk the rest of the way to the little house made of cement, with dirt floors and tin roof. When we got there, her brother said that the mother had to go away to a funeral and the little girl was at the river washing. So we headed down the steep hill via a dirt path, full of rocks. We finally found the little girl, and she said that she could not go with us since her mother was not at home. So we told the teacher to let us know when the mother returned and have her meet us at the CarePoint when she was ready to take the little girl to the hospital.

The kids have been a big help this week at the CarePoint parties. They have been doing face painting, finger printing for the Christmas Cards and dishing out the food for the kids. They are real troopers, Joelle and Nathanael love playing with the kids and making them laugh. Every time I look around, Joelle has another baby that she is carrying around. Danielle, Nathanael and Joelle went up to the rural area with me and another nurse (Robin, our pastor's wife), and our pastor. We go up there once a month to do a health clinic. They had a blast playing with the kids and helping. Nathanael had one little girl laughing so hard playing peek-a-boo with her, it was so cute.

On one of my trips to the VCT (voluntary counseling and testing) clinic where people are tested for HIV and counseled and then started on ARV’s (anti-retrovirals) and monitored, we were waiting in the line (que) for PePe’s CD-4 count. PePe is a 9 year old little girl who is HIV positive and has been on ARV’s for a year. She has made a vast improvement in one years’ time, although we still have a long way to go. We have to watch her very closely for infections which her immune system just can’t fight off. Anyway, we were waiting there and this older Swazi gentleman went up to the front of the line and starts shouting, “please help me I am dying of AIDS”! Everyone in the room (except me, because I didn’t know what he said) started laughing. The lady that was with me interpreted what he said and she was laughing so hard, because, everyone in that room (except me) is also infected with HIV (AIDS). They are all in the same boat, and so they weren’t feeling much sympathy for this older gentleman.

Friday, we had the Children’s Cup staff Christmas party. We had roasted wart hog on an open spit (Swazi version of a cochon de lait). All of the Bible Club teachers, preschool teachers, builders, drivers, secretary, and ex-pat staff were there. It was a great time to come together and celebrate the successes for the year and challenge each other for 2006.

Today, I met a little boy named Gift, who is probably about 9 years old. When I first saw him, his face was painted with red paint like spider man. It was the CarePoint Christmas party, and the kids were getting their faces painted by volunteers. He wanted me to “shoot” his picture with my camera. After that, every time I turned around, he was at my side. I asked him if he went to school and he said yes, and that he going into the third grade. He told me that his father died this year, with his head bowed, I told him that Jesus would be a father to him. I asked him if he had Jesus in his heart and he said yes. Later he asked if we could get him a book to read, I told him that I would work on that. As I sat there on that hill in Mbabane , watching all of the children eat their Christmas dinner (chicken, rice, potato salad, coleslaw, and red beets) with their little hands, I thought, how much we have to be thankful for and what a wonderful privilege it is to be able to work with these beautiful little children. I felt a tap on my shoulder, it was Gift, he said, pointing to his plate of food, “this is nice”. I told him that I was so glad that he was enjoying it.

On the road to Nhlangano

We were on our way to Nhlangano today to meet with the Rural Health Motivators regarding children for the CarePoint we are starting there.

The drive down is breathtaking in places. So picturesque. Swaziland is an absolutely beautiful country. From a comfortable distance. From the passenger seat I could concentrate on the task at hand and didn't have to worry about the cows and goats wondering across the road.

The task. It was a surreal conversation about a task that struck me as totally absurd in the extreme. I can’t picture ever having this conversation in the USA. I can’t picture the reality of what we were really talking about.

We had a list of 270 orphaned and vulnerable children compiled by the RHM’s for their four areas that surround the location of this CarePoint. 270 OVC’s in a radius of 5 miles. Average age is 8. Of these, 62 are double orphans, 170 are single orphans, and 38 are vulnerable.

We were discussing how to whittle the list down to a “comfortable” 200-230 that the sponsoring group can accommodate. As I was paging through the list, and considering what we were trying to do, it struck me just how absurd, strange, surreal, tragic, ????? it was. We were literally talking about children locked in a struggle for their life. Its not just numbers we are dealing with. It is small children who are forced by the actions of their parents, their society, their customs, to have to struggle for everyday survival. How many know what it is to be tucked into bed at night or even going to bed at night without a real care?

I know I can’t help everyone. I know Teresa and I are limited in how much we can give of ourselves: emotionally, physically, materially. But it is heart rending to still have to make decisions based on numbers when you have to look at their faces.

Needs......

It is real easy to concentrate on the “what” of what we do versus the “why”. The why is infinitely more important. The why is why we are here in the first place. It’s easy to get lost in the details of the what. The why is to spread the gospel of Jesus Christ, to give a generation hope where there is none. The what is a vehicle to do this. How can we share the gospel without meeting the physical needs of the children we hope to reach? The CarePoints provide the opportunity for these kids to see the love of Jesus in action: meals, pre-school, literacy, health, …...

It has been an eye-opener trying to get a handle on Swazi construction. Very reactionary. Trying to do real scheduling is proving to be almost impossible. Work depends upon volunteers from each community to contribute labor, actually finding the material to build the structures, and coordinating the builders and deliveries. Supplies, tools, and building material are stored at each site where “secure” storage can be found. This can be in someone’s homestead, store, or in some cases out in the open. Each community is tasked with providing security. Thievery is a constant problem. A chain link fence was even stolen after it had been installed to encircle the CarePoint at Ngwane Park to provide some security at the area. Construction at two of the CarePoints in Manzini was halted after critical material was stolen.

Teresa has started working with a volunteer nurse who visits the Kakhoza CarePoint once a week. She is also starting to help with an orphanage here in Mbabane that takes in abandoned babies from the government hospital. Today she is helping take the babies to have them tested for HIV, later teaching a class on puberty to the female camp councilors for the girls from the CarePoints at the upcoming youth camp (ages 12-16).

We have come across several special projects that we would like to tackle, but that would require special funding.

• Right now, all the CarePoints are cooking over open fires. A volunteer lady at the Zakhele CarePoint actually caught on fire and had to be taken to the RFM hospital in Manzini for burns to her leg and thigh last week. We have also seen times where the wind was blowing so strong and continuously that the heat was literally blown out from under the cooking pots. Smoke under the cooking area is also a major problem. While cooking with wood probably can’t be eliminated, we have seen proper wood “stoves” for cooking that are constructed out of brick and mortar. The cooking pots are actually embedded in the stove and a proper chimney moves most of the smoke above the roof of the cooking area. The stove contains the fire and also helps conserve fire wood by burning more efficiently. There are a total of nine CarePoints that Children’s Cup is either responsible for or have a part in as the chief implementer of the program. We would like to be able to construct a wood “stove” at each site.
• While the CarePoint structures provide rooms for pre-school and storage, the children who come daily to be fed have no place to sit and eat when it is raining. We would also like to be able to facilitate building a covered area next to each CarePoint that will provide some shelter form the elements.

If anyone is interested in helping with these projects, please let us know and we can work out the logistics (these would also be excellent projects for short term mission projects!).

All the kids are in school, adjusting well. We have not found the soccer playing opportunities that great yet, but are still looking. Have our cars and have been promised a very nice house to rent that will be available mid-December. We are settling in.

Feet on the Ground (Running)

We are starting our third week here in Swaziland shortly. We are grateful for everyone’s prayers and financial support. Please continue to pray for us. We are finding the cost to live here very expensive. It is hard to imagine that the majority of the people here have to survive on less than $1USD a day. It is a beautiful country and everyone we have met has been most friendly.

We are still trying to get all the little details straightened out (like vehicles, house, schools, etc.). But (& thank you Jesus) it looks like everything is coming together. Daran made a trip to Durban in South Africa with several other Children’s Cup staff to pick out used Japanese imports. It looks like we should have those early this week as God speeds their passage through the red tape at Swazi Customs. Thanks to the kindness of our friends here, we are currently driving a borrowed car and living in a borrowed house. We have looked at several houses and found one that is to come available early-to-mid December. Gabby was accepted at Waterford Kamhlaba UWC and will (re-)finish out eighth grade (Form 2) before staring Form 3 in January. The other children will be testing at Sifundzani Primary School Monday. Hopefully they will be able to start the following week. The school year starts in January here, so everyone will have a chance to finish out this year and get used to the new schools before starting the new year fresh.

Daran has been given the responsibility of managing the construction of the CarePoints that are currently under construction in the peri-urban areas of Mbabane and Manzini. There are two sites in Manzini and two in Mbabane that have been started (the pictures here show the Mangwaneni and Fonteyn sites in Mbabane). There are five completed sites in Manzini that feed hundreds of children every day and provide a place where they can learn that there is a God that loves them and has a special purpose for them in this place of little hope.

Actual construction revolves around a community action committee that helps motivate local volunteers to help with the construction and one experienced construction supervisor. Daran’s job is to monitor progress and work with the supervisor, volunteers and community leaders to make sure construction progresses and is done properly.

Children’s Cup hopes to begin work in the rural areas that are really the most desperate with respect to health care and food. Much of the country has experienced a ten year drought, the land has been overgrazed, and AIDS has decimated the population. We visited a Catholic mission in an area called St. Phillips that is providing care to several hundred orphans in a boarding school (Swazi government does not like the term “orphanage”). According to the sisters who work at the mission, the actual HIV rate in the rural areas is closer to 70-80%, but because there is no proper health facilities close and there is little if any government presence, most are left to fend for themselves. Many of the homesteads have no adults at all, only the surviving children. We are praying for God’s leading to work with this established work to provide help in the form of CarePoints in the rural areas.

Gabby & Friend

Our first post to the Rehmeyer blog. Gabby making freinds.

Up and Running

And the blogging begins.....