"One of the greatest diseases is to be nobody to anybody."
"We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop."
Sunday morning I woke up with a bit of a sore head; 6 litres of beer the previous evening tends to have that unfortunate effect. Complimenting my mild hangover, a children's choir with African drums was in full effect directly in front of my hotel. The melodic voices of the singing children seemed to dance right through my window, gently pushing the curtains as they passed. I of course had not the slightest idea of what they were singing about, but the joy that billowed through the air could be easily understood. There was great jubilation in their voices, and I couldn't resist but getting up to look out my window. I've not yet heard of a certified cure for a hangover, but hearing music like this had an almost instantly sobering payoff. It made for a nice start to an otherwise destroyed Sunday morning, I must say.
Sunday was a day of relaxation for me. I did some reading, inquired about getting a haircut, but decided rather wisely to wait until I could find somewhere with scissors. Call me vain, but the prospect of a haircut with rusty clippers from a guy who didn't speak English, didn't exactly tickle my fancy. I'll gladly endure the mop on my head for the time being.
Yesterday was a genuine challenge for me. Upon arriving at the school, I was greeted by the usual chorus of "Hello Mister Teacher Mike" from the students, when the head teacher of the school (named Susan) approached me with a rather concerned look. My heart sank for a second, because I wasn't quite sure what bad news she had in store. She advised me that one of the men who was building a small mud hut on the school grounds (which will be used for an 'office') had been harassing her, even physically threatening her. She went on to tell me that this man was demanding money from her, and that he had trapped her in the existing office the day before threatening her.
Susan told me that she was willing to quit her job rather than risk finding out whether or not this man's threats were genuine. She told me further that "many people fear him in the village." Uganda is, for the most part, a highly patriarchal society; men dominate the society with an iron fist, and it's evident when one watches how the division of labour is separated. Violence against women in Uganda is quite common, and the look of fear in Susan's eyes provided abundant evidence of this grotesque reality. My sense of protection kicked in and my adrenaline
immediately shot up---I felt compelled to protect this woman knowing that the man who had threatened her was working only a few metres outside.
My first instinct was to go outside and have a few unsavoury words for this "man", but logic demanded that I first assess the situation. Looking out the window, I could see the man hacking apart 6-inch-thick bamboo with his machete. The prospect of getting into a confrontation with a man known for violence, and armed with a machete, was deterrence enough for me to sit tight for the time being. Should he have come back into the office, I thought, I would deal with him as assertively as I could at that point.
I must say it was difficult for me to not act on the anger I felt. I decided that my skills as a conflict mediator/negotiator were much better suited in this case, however untried. I called up Robert (the director of the school and program) and advised him of the situation. Given that I didn't quite have a full grasp on the cultural context, I thought I would see if he could resolve this himself. Sure enough, Robert called his "Momma" and she came storming over to the school within minutes. I must tell you, a displeased looking, near-300 pound African mother is not something to be trifled with, machete or not.
"Momma" immediately began scolding this "man" and I've never seen someone's exterior be cut down to size so quickly. It was as if Momma's words were themselves a machete, skillfully chopping this "man" down to the size and stature of a boy--and fittingly so in this case. The figure that once resembled a man began bowing in front of Momma, and his look was like that of a terrified dog after being called "bad" for shitting on the rug. Susan and the other women teachers began laughing, and I had to laugh along with them watching this ordeal play itself out.
There may not be a tremendous respect for women in Uganda, but I've never witnessed such respect for elders. Acholi society thrives on their elders. They are, like in many indigenous societies, the lifeblood of the society, and outright respect is afforded to them, or else. So, it occurred to me that being chastised by your elders in Acholi society is more effective than any 'peace-building' skills I could bring to the table; yet, it was my initiative of calling Robert that brought big Momma over in the first place....so perhaps I had learned a thing or two about conflict mediation after all. I gave myself a mental pat on the back, and felt as though I had actually just helped to avert what could have been an ugly situation.
Today brought another mentally pressing, if not heart-breaking dilemma. As I was sitting in the classroom today, I watched one of the little girls who was sitting in front of me pick at her open sores. She must have had about 4 of them, each about 4cm in diameter. The children here are not well kept--the only clothing many of them have are their school uniforms, and it's not unusual for parents to send their children to the school stark-naked, hoping that the school will provide a uniform for them. There is little to no basic sanitation here, so a small wound can quickly turn into advanced infection if not treated properly.
As I sat watching this young girl pick at her wounds, I wondered what sort of malady she had picked up.
The sores were circular in nature, and she was littered with scars of previous sores. My heart was breaking in front of me thinking of what this could mean for this girl should she have picked up leprosy or something of the sort. I stepped out of the room and went to speak to Susan, letting her know that I wanted to help this girl as had a first aid kit (as I always carry) in my bag. I told Susan that this child's parents should take her to a hospital ASAP! Susan immediately went and pulled this girl out of class, and I went from being a rudimentary conflict negotiator the day before, to an ad hoc medic the next. Oh the hats I wear here!
I put on my latex gloves and started cleaning her wounds--painful as it was for her--it needed to be done. I then placed iodine on each sore to disinfect, waited for it to dry, then placed a small patch of topical antibiotic on them and bandaged them up. The little girl seemed embarrassed by this whole process, but I couldn't just sit there and watch her pick at her sores, all the while watching flies land on her sores. Incidentally, when I scraped my shin last week, within
seconds flies immediately swooped in and landed on my bleeding leg. They are proficient, I'll give them that.
I advised the teacher to tell the little girl that she was
not to pick at the bandages and to see me tomorrow. My suspicion is that she has picked up a nasty bacteria, perhaps leprosy in its early stages. Nevertheless, following my short tenure as a field nurse, I felt a temporary sense of accomplishment. I say temporary, because given the realities of this place, I know that there are thousands of children just like her. There are no free 'clinics' that one can take their children to here. There is however, a private hospital called "St. Mary's Lacor" which was started by a brave Canadian woman who ended up, sadly, contracting HIV/AIDS in the field from her tireless work.
I visited the hospital some weeks ago, and I've never been so overwhelmed in my life. People wait not hours, but sometimes
weeks for treatment there. The government provides ZERO medical coverage, so this private hospital is the only free option. Needless to say, the wait times are a direct result of the lack of funding on the part of the government. So in short, this little girl's small sores would likely have her and her mother waiting weeks for treatment in the hospital. To my knowledge, you can't make an appointment; you either wait, or you lose you place in line. There are government facilities, but they cost a lot of money that people here simply can't afford.
One word sums up this experience...grim. It's a heart-breaking exercise to walk through the infant ward. Hearing babies suffer, watching their mothers sit on the floor beside them, rocking back and forth, frantically praying...I had a
massive lump in my throat the entire time. While I was there, I heard one mother whaling uncontrollably. Her screams were like nails on a chalk board---easily the most ghastly thing I've ever heard from another human. I can only assume that the worst happened in this case, but it's something that happens nearly daily here. I don't want to sound like an activist, because I'm not, but I simply can't witness things such as this and not at least attempt to convey it to others. Uganda has the highest Malaria infection rate
in the entire world, and it consumes roughly 100,000 infant deaths every year alone. This doesn't include the deaths from HIV/AIDs, TB, and a whole array of other treatable diseases.
It's both disgusting and inspiring to witness these kinds of things with your own eyes. I say inspiring because you simply can't call yourself 'human' and not want to do something about this kind of misery. So, forgive me if I tend to sound like Bono on a rant...I would beg to argue that any sane person who walked through that kind of misery, would not themselves, be sitting in the same ill-fitted shoes that I am right now. It's an impossibly hard pill to swallow, and it leaves one feeling quickly powerless. Probably not the most palatable way to end a blog, I admit. Yet, as I turn in for bed lately, I've begun to wonder: for how many children in Uganda would it be their last night? All for the lack of a few pills, which in their case wouldn't be so hard to swallow.
Thanks for reading....
Mike