
Thursday, May 20, 2010
Monday, May 17, 2010
Happy Birthday Aidan!
Our little guy, Aidan has now passed the 6 month mark of life! He has now spent more days in Africa than in America. At a shop that sells cold sodas (a real treat!) in Bundibugyo Town, a gregarious Ugandan remarked that Aidan should have dual citizenship. Not sure that it is possible, but it does make me wonder how his early days, months, years spent here will mark his life.
Which brings me to think about babies, children, and survival here.
From what I understand, when a woman gives birth, a customary greeting is “Webele Kwejuna” or “Thank you for surviving.” In this rural area of Uganda, it is documented that the death rate for infants is 33% and the under 5 child mortality rate is 1/5 children. The Myrhes suggest that this is an underestimation, that perhaps it is more like 2/5 children die here before they reach the age of 5.
Many of the children that come to the health center come due to critical malnourishment. Travis has remarked that there may be an infant that is thriving in the same bed with a sibling a year older that is malnourished. It is not uncommon for a woman to become pregnant while she still has a young infant, so when she delivers (or as they say “produces”) the baby, the older infant no longer gets the good nutrition from the breastmilk and thus, becomes malnourished. Our 6 month Aidan rivals in size many of these malnourished two year olds.
And that is what motivates the BundiNutrition team here.
This team of WHM missionaries and Ugandan workers address malnutrition in three ways. First, they treat severe malnutrition. This is when a child weighs less than 25% of the minimal weight he or she should. For example, a typical six month old child should weigh between 14-16 pounds. This means a severely malnourished six month old weighs less than 9 pounds. Too often, eight to twelve month olds here weigh less than 8 pounds. In the health center now, there are several two year olds that weigh less than 12 pounds. There is an eight year old that weighs 24 pounds. These little ones that are severely malnourished are admitted into the health center, given a high protein formula, weighed daily, and when they are able to eat solid foods, they are given eggs and beans. They are kept on this diet and under supervision until they reach their target minimal weight to survive. This usually takes about a month.

The second stage in addressing malnutrition is to enroll them in an outpatient program where they come twice a month to be weighed, assessed, and receive a locally-made ground-nut/meringa paste and soy flour. This is a ten-week program.
The third effort is the Demonstration Garden Education and Matiti Goat Project. The Demonstration Garden introduces ways to grow nutritious, high-yielding foods. Most people in Bundibugyo have a garden, so it is a great way to encourage them to use their rich land to produce something more than the poorly-nutritious, high-carbohydrate roots that are typically grown and eaten. Included in this effort is the chicken project, a favorite of mine, which I will go into more depth on a different day. Nonetheless, the goal is to have an egg per child per day.
The Matiti Goat Project is the blood, sweat and tears of so many people over years. And lives have been rescued as a result. The Matiti Goat Program's goal is to give families that have children who struggle with malnutrition a constant source of protein through goat milk. These children include those who have been in the severe malnutrition program as well as orphans and those whose mother is HIV positive. During the last goat distribution, I was moved by the story of one particular mother. This young woman had birthed and buried her first two babies. She was then enrolled in the Kwejuna Project and started on antiretroviral drugs. She was able to deliver her third baby, this time, a HIV negative one. The child is surviving. By giving this little one goat's milk, it now has a future and the mother has hope. To see this mother with a living, breathing baby on her back and a rope in her hand tied to a high yielding milk goat is one thing that gives us "staying power" in this hard place where survival is not the norm.
So, today, I say "Happy (6 month) Birthday" to my little Aidan and to all of the other little ones who are praying just to survive. And I applaud all of those in BundiNutrition who are daily fighting malnutrition to make another birthday possible for the children of Bundibugyo, Uganda.
Monday, May 10, 2010
Even in the grave

While talking with a new friend this past week, he thanked me for spending time with the people. He said that we, our little family, have done well on three fronts; we have come, we take time to talk with people when we greet and we have even reached a couple of funerals. He said the people have really appreciated this.
Funerals, I guess I expected them to be a part of our life here, as any doctor would, but I did not expect them to be such a constant and integral part of the culture here. Life surrounds funerals. At least once a week we will hear wailing and music through the night as family and friends mourn the lost of a loved one and seek to please the ancestors and recently deceased from haunting them or taking someone else. Once or twice a week, we have friends and random people knock on our door asking for a contribution for a family that has lost someone. In a real way, the death becomes a provision of money and a forgiveness of dept for those who remain. It is also a time of bonding and friendship. When someone dies, friends go and “sit” with the family for three to four days to show friendship and support. As Scott Myhre told me, if we want to love the living, we must spend time amongst the dead.
Sadly, we lost two long-time friends to the mission this past month. It is sad when any one dies. It is sad and painful when two responsible, grace-filled hopes of the community are taken away. Frustratingly, both deaths died because of a delay to surgery. The delay was caused by the lack of an x-ray machine, which delayed diagnosis of abdominal perforations, and the lack of hospital staff, which delayed time to the corrective surgery.
The first friend we lost this month was an elder of the church, one of the first friends of the mission and a helper to many. He was well loved and his testimony reached many families here. He often led worship and faithfully sat on the front left of the Church. Many former missionaries emailed us sad letters to be passed to the family.
The other friend was one of the youth, practically a family member of the missionaries. He was 33, had a wife and 2 children. When people spoke of him, they would say, “Oh, he was the responsible one.” He really is a Joseph story. Being sponsored by several of the missionaries to go to school, he studied hard and qualified to go to teaching school. When he got a job teaching, the family became jealous of his income (even though it was minuscule) and denied him his portion of the family land and crops. He faithfully trusted the Lord, saved money (a very counter-cultural practice here), and bought a small plot to farm and provide for his family. The uncles, seeing his resourcefulness and realizing all the other men in the family were addicted to alcohol, came to him, and requested that he come back and manage the family farm as well. He was a leader of the young generation of men here and a great role model for the children he taught at Bundamalinga Primary School.
Per the current missionaries here, the funeral for both of these men were unusually well attended. The time was filled with paradoxical praise for the promise of the gospel and wailing grief for the loss of greatly loved men. As dirt was shoveled on to the grave, the people sang, “Even in the grave, Jesus is the King.” This thought struck me as something I had not thought about. I often think of Him as Lord of the Living, a provider for our needs on earth, a giver of grace and an extender of mercy. I also think of Him as Lord of Heaven, as we live in the life eternal. But the grave- the grave is a necessary evil. It is something as a doctor I try to prevent everyday. But it is not seen this way here. It is a part of life. Even in death, life is provided for here on earth. As the last dirt is pushed into the ground, a tree is planted as a marker of the grave. New life will spring. For the family, this also gives a fresh start. Money is given, land is redistributed, and debts are forgiven.
This is not so unbiblical. Jesus stated that unless a grain falls to the earth and dies, no new life can come. In His death, Christ brought us life and forgiveness. Jesus came to redeem our lives. He has also redeems our death. It does not have to be the end of a meaningless existence or even a forever good-bye. The death itself can bring meaning and life with the hope of another reunion. Jesus blessed those who mourn and promised to comfort us. We can cry now because we will rejoice later. Otherwise, the grief would be too great and death to calloused. Even in the grave, He is the king.
Monday, April 26, 2010
Ants
When we first arrived here, I commented to Ashley about the plentitude of ants in our house. She replied, “Ahhh, the ants. In your first year, you will say ‘Ugh! Ants.’ In your second year, your will say, ‘Hmmm, ants.’ And In your third year, you will say, ‘Yum, ants!’”
Ode to the Ants
Why do you come around?
Moving earth and home
In Nyahuka town.
You tiny little sugar ant
You vex me in the way,
I find you absolutely everywhere
All the night and day.
The medium black ants,
Who much prefer the trees
You don’t seem to have the need to be inside
So stay up there, would you please?
The fierce and biting mpali,
Who marches in a line
Your pinchers are so sharp and big
I’ve got shivers on my spine.
The only way to be rid of you
Is with kerosene or a spray.
Ugandans have to move from their hut
Only to return the next day.
We know you are industrious
And we know you are strong.
But would you kindly take a break?
Would it be so wrong?
You are walking in the kitchen,
And strolling in my pantry
You are waltzing across the counter,
Like a determined little infantry
You are in my refrigerator
Where I thought you’d be too cold
And even in my underwear,
How could you be so bold?
I’ll take a lesson from the wisdom
of the man called Agur
if, like the ant, you work hard and plan ahead
you will not end up a beggar!
I did not claim that it was a good poem. What else is there to do in Bundibugyo on a Friday night but write bad poems about ants?
A day of action
Hit snooze on the alarm as the rain blessed us and canceled my walk/jog
Baked cinnamon rolls
Collected milk from Myrhes’ cow (but did not milk it)
Pasteurized milk
Made espresso with fresh frothed milk (favorite part of the morning!)
Read together as a family
Empathized with worker about his sick father and invited him here for Travis to see
Dressed kids, Leashed dog, Bjorned baby to Walk all to school
Nursed baby
Napped baby (and changed his “nappy”)
Greeted the family at our half-made kitubi who had a health concern
Washed dishes
Packed a picnic, Wished that I had salty potato chips
Gave “Doom” bug killer to worker to kill the mpali that were on our kitubi tree
Sent the ironing out to a man who truly heats up an iron iron
Spoke with the kitubi man who wanted to wait 2 hours for Travis to return rather than discuss building matters with me
Drank sweet tea and Pondered life with my prayer partner and fellow mom Loren
Made balance (change) for shillings for workers’ weekly wage
Killed cockroaches that have infested our “motorcar”
Packed Aidan and bags for hiking
Picked up kids and Travis
Bumped along the road to Bundibugyo Town for fruitless effort to buy electricity credits and to get cash from the one ATM in town
Felt the stress of the last 5 hours fall away as left town
Gave Patton a bowl in which to throw up as he was carsick
Had wonderful conversations with people at the National Park station, though it was the wrong one.
Arrived at Sempaya
Chased off family of 10+ baboons from our picnic spot kitubi
Enjoyed a pasta lunch
Nursed baby
Hugged Myrhes who dropped off Julia with us as they took sons to Kampala
Listened to Aidan’s newly discovered shriek which sounds like a cross between a howling monkey and our neighbors’ goat
Hiked to Female Hot Springs
Boiled egg in 106 degree mineral water
Hiked to Male Hot Springs
Watched sweet Julia hold the hands of adoring Lilli and Patton
Nursed baby
Prayed with a Ugandan man who asked us if we are a part of the tribe of the Lion of Judah and that he loves Jesus but also loves alcohol
Loaded into the car, Killed more cockroaches
Bumped home along the dirt road
Bought 24 kilograms of flour for upcoming pizza nights, Looking forward to visit by WHM Sudan Team
Nursed baby
Bathed kids
Pulled clean clothes in from the clothesline
Smelled garlic and butter for dinner’s bread
Ate leftover spaghetti by candlelight
Reflected on the day with kids
Read “Wilderking” book with kids
Sent money and prayers with Nathan as he takes the CSB boys’ soccer team to Ugandan National Championship
Settled in for a movie (The Hurt Locker)
Thanked God that we live in Uganda and not in Iraq
Prayed from missionaries in Iraq
Dreamed that WHM sent us to Iraq
Woke in the night to a wonderful thunderstorm
Slept peacefully
Monday, April 19, 2010
A day of rest
Thursday, April 15, 2010
Two Answered Prayers
Yesterday was Wednesday. Wednesday starts with W, so at Rwenzori Mission School, Lilli and Patton prayed for Water.