Last weekend our family had the opportunity to cross the waters of Lake Victoria and visit a small village called Kamanga. Kyle had the opportunity to visit there last month with Nina Hjortlund, the founding director and CEO of Australia for Cedar Tanzania – a non-profit based out of Australia working within the community to provide basic healthcare to those in need (australiaforcedartanzania.org). Kyle was very impressed with the work they were doing, and we both wanted to learn more. Specifically, I was interested in learning about what physical therapy programs they offered to children with disabilities in the area, as I am beginning work with Huruma Special Unit in Mwanza (a school for children with disabilities started by a fellow lay missioner in 2006). Nina immediately offered up one the guest houses they had at the hospital for our family to stay in.
Thursday morning we drove down to one of the local ferry
terminals in Mwanza. We navigated payment for ourselves and the vehicle and boarded
the ferry for a 45-minute ferry ride across the water. This was the second time
I had been out on the lake (the first time was a quick 10-minute boat ride to
Sananne Island National Park – located just off the shores of downtown Mwanza).
The view looking back on the town is beautiful. Mwanza is commonly referred to
as “Rock City” – for good reason. Giant boulders and stacks of rocks are strewn
everywhere across the shoreline and along the hills. The rocks are now
dotted with houses and other structures – but using my imagination I can picture
what this area must have looked like 100 years ago. It’s remarkably beautiful.
The waters of Lake Victoria are home to crocodiles as well
as hippos – and despite the kids scanning the water for signs of either – none were
to be seen. But we all enjoyed the cool breeze coming off the lake and for 25
cents we all enjoyed a “ndazi na chai” (slightly sweet bread with tea) that a woman on
the ferry was selling. Upon arrival on the other side we disembarked and drove
the very short distance (several hundred meters) to the new hospital Cedars
Tanzania recently built. We were welcomed by several staff that were expecting
us and shown into our simple yet comfortable “house” on the hospital property.
After getting settled, I introduced myself to two caregivers onsite that were
in charge of physical therapy for patients in the area. They invited both
Josephine and me to accompany them on several home visits that afternoon.
Usually, these women use motorcycles to reach their clients outside of the
village; today, because I had the truck, we all drove together.
Having lived in Tanzania almost 6 months now, I’m getting
used to what is considered a “road.” Prior to living in Tanzania I would have
considered many of the roads I have now driven down to be nothing more than a
jeep or cattle trail. Visiting patients that day was no different. We bumped
our way across ravines and through fields, eventually stopping alongside a man
herding a large group of cattle and goats. We hiked along a dirt trail and
wound our way toward a mud hut surrounded by bushes and trees. Waiting inside
was an older couple – both suffering from Hansen’s disease, better known as leprosy.
The husband was blind in both eyes and suffered from wounds on his feet. His
wife had only nubs left for fingers and also suffered from wounds on both feet.
Neither one of them could walk and were completely reliant on their grandchildren
to bring them food and any other necessities. The two ladies chatted with them
both briefly in Kiswahili before cleaning their wounds, applying raw honey to
the open sores, and re-wrapping with sterile gauze. They explained to me that
this was done twice weekly during home visits. I asked them if they were on
medications for their leprosy. The wife answered “No … the medications caused
severe GI upset and we could not continue taking them.” Without medications,
the disease would continue spreading. But without proper medical care, the side
effects of the leprosy drug cocktail was too strong. They felt they had no choice
but to stop treatment. I was both frustrated and disheartened by the situation.
The woman looked at me with earnest, smiling eyes and said, “I would like you
to take me to America with you.” We laughed about how I would love to take her
home with me. Then, in a more serious voice she stated, “Now you will get to
know the people of Tanzania and how we live.”
Our second visit took us through another ravine. We parked
outside an open field along a school. It was lunchtime and all the children
were out playing soccer or gathered in small groups chatting with one another.
As usual, we were quite the spectacle – 2 muzungus and 2 locals weaving their
way through the children to a small concrete house on the other side of the
field. There we found Paulo, a young 12-year-old boy with Cerebral palsy and
severe scoliosis. He was sitting quietly on the steps of his house, waiting for
his mother to return from market. His withered legs rested beneath him as he sat
patiently in the shade, unable to move himself off the porch. Two times a week
the physical therapists from the hospital come out to provide Paulo with PT
sessions. He is unable to attend school due to his disability, but both
therapists assure me he is incredibly bright and a talented young man. Yet
again, I am frustrated by the situation. Just one hundred yards away his able-bodied
peers run and play and learn at one of the government schools; Paulo, due to
his disability, is unable to attend and instead sits on the porch and listens
to them. Several years ago, Tanzania’s government declared that public schools
become “inclusive” for all children – but the reality is, no extra funding or training
has been offered to local schools to make this happen. If a child with a disability
cannot navigate the stairs or restrooms or the classrooms by him or herself –
the situation is deemed helpless and the child returns home. But public schools
are already overwhelmed and underfunded – and its not as if money just grows on
trees. The idea of inclusive schools is nice, but in Tanzania, it’s just not
yet realistic for many students.
The next morning I observed PT sessions being done on-site at
the hospital. Several children with cerebral palsy, as well as an older woman
with hip and shoulder pain, came in for their twice weekly visits. Kyle taught
a small business/investing class that afternoon (using the PT room as a
classroom) to a group of locals. Here in Tanzania, it is common practice for
groups to create their own “savings and loans” programs; everybody chips in a
certain amount every week and members are allowed to take out loans for helping
with business ideas (a vegetable stand, fishing equipment, etc.). The loans
must be paid back after a certain amount of time, but at a much lower interest
rate than what the bank charges. Kyle was able to show them to power of
compounding interest, as well as offer some technology to help them keep track
of their money more efficiently.
Both nights in Kamanga we ate out at local eateries. Kamanga
truly is a village with very little available. It has a small market downtown
to buy oil, rice, beans, fruits, vegetables. One store was selling used
clothing. Another had amenities such as toilet paper (mostly used by us
muzungus and not locals), laundry soap, and sodas. For dinner the 5 of huddled inside
a wooden hut with plastic lawn chairs and plastic plates. We ate a simple plate
of rice and beans (Charlotte ordered ugali – a stiff corn porridge eaten in
Tanzania - instead of rice). We celebrated with 2 beers (for mom and dad) and 3
sodas. All the drinks arrived warm (no refrigeration) and we cheered to our success
at navigating a Tanzanian village restaurant on our own.*
The next day it was time to pack up and head home. We enjoyed the quiet and solitude of Kamanga; quite the contrast to the hustle and bustle of Mwanza. The birds along the water's edge were spectacular and we all enjoyed falling asleep to the buzz of crickets. We look forward to returning soon!
*Most of the family promptly suffered from diarrhea and
stomach pains for the next few days. But we trust that “this too shall pass …”
(hopefully without the need for antibiotics! Ha ha!).