Wednesday, January 30, 2013

"What's your typical day like in Africa?"

It was a common question asked while we were in the USA.  Thought I'd share today – as if there are any typical days…

0515 Alarm goes off.  Quick shower.  To the kitchen to brew a cup of home roasted Panamanian coffee.  Read my Bible as I have set as a goal to read through the entire Bible this year.  Pray for Sally, our kids, family, ministry.  Seek God's will and ask for wisdom for the day.

0615-0630 iChat with my sister as it's still evening for her.  Catch up on how Mom and Dad are doing.  Learn that dad fell and ripped open his hand and mom has a UTI which worsens the memory problems.  Pray for them all.

0630-0655 Eat my usual granola with fresh fruit and home made yoghurt.  Read Our Daily Bread and Piper devotional while eating.  Get more spiritual food along with physical food.

0655 Tell Sally I love her and leave to pick up Hospital Chaplain Jackson.  Catch up with his news as we drive to the hospital.  Learn that his 5 year old grandson died while I was in Kenya.  So sad.  He died of complications of malaria.

0720 Arrive at hospital.  Drop off things in my office and head to OPD where we have morning chapel (M-F).  Sing songs and then Pastor Jackson shares devotional from Isaiah.  

0800-0830 Morning Staff meeting.  Only 14 staff show up for the meeting so it was short.  Morning report of 42 inpatients (25 kids; 7 Men; 10 women).  Remember that I forgot the new handheld digital thermometer at home so I drive back home to get it.  Stop on the way to buy pork as Sally wants to make pulled pork and we have no meat in the freezer.  About 20-25 pigs are butchered a day in this area.  Buy 2 kilos from the rump and 3 kilos from the loin area.  The guy uses a machete to chop it off and then I have to wait as he has to go borrow someone else's scales.  Pay $3.25/kilo.  Bring Sally a 'gift' of a pork and get the thermometer.  Return to hospital.

0915-1400 Hospital Rounds on the 42 patients.  Begin with sharing with the mothers about how God knows each of their kids and loves them.  That although we will be making diagnosis and offering treatment, it is ultimately God who heals, not us.  Almost all of the kids are two to a bed.  Many are malaria, others pneumonia along with UTI.  Thankful we now have the rapid diagnostic test that tests for malaria.  Better for the lab and really helpful to know do they have it or not.  Has its limitations but better than having to do a standard blood smear on every case.  Have two nursing students along with a missionary nurse (works M-W) to help do rounds.  Some patients came during the late afternoon and evening so no lab was done.  Samples taken while we continue to do rounds.  10 kids discharged home on treatment, 5 of the women and one man.  Makes room for the new admissions being attended in the OPD.

1400-1500 Make survey around hospital with the head nurse and a fundi (jack of all trades) friend Juma who will be doing several much needed repairs.  14 fluorescent lights not working; some plumbing repairs needed; couple of doors with no handles; three rooms that need ceiling fans installed; one door hinge broken; a few sockets needing replacement; most walls and floor need repainting; 8 ceiling boards missing; two float valves dysfunctional in drinking water tanks (comes from the well); no city water for about a month.  Talk with Juma about making a list of supplies and a plan for the repairs.  Discover good news that while I was gone that some replacement lights have been ordered but have not arrived yet.

While doing the survey in OPD find a young boy who I had asked mom to bring him back today for review.  Leg still not healed.  Change treatment, talk with mom to assure that she understands, and ask to return after ten days.

1500-1530 Do ultrasound of lady with massive ascites (water on the abdomen). 

1530-1630 Consult on elderly man admitted with fever and urinary retention.  Review lab results from the morning and write further treatment as needed and discharge two more kids.

1630 Call Sally and ask her to meet me at the gate with our market bag so we can go to town and get money and buy food in the market.

1645-1800 Pick up Sally at the house and head to town.  Stop at the ATM to get money as tomorrow is pay day for our security guards (at our house) as well as for our yard man.  Stop at a duka (small shop) to get 5kg flour, 5 Kigoma sugar, honey (to make granola); 4 small packs of coconut milk; a cold local cola.  Carry to the truck and then head into the open market.  Buy 2 kilo onions; 3 garlic; 2 pieces of fresh ginger; 1 kilo dry beans; 2 kilo potatoes (fresh from Rwanda).  Next to the fruit section.  Bananas, pineapple and passion fruit from one lady.  Carrots from another.  2 avocado and a cabbage from the other.  Speak a blessing over the ladies that sell there.  Return to truck.  Stop at another duka to pick up a battery for my kitchen digital scale.  Head home.  Unload the truck.  Stuff needs to be cleaned but will have to wait.

1800-1900 Pray together before eating.  Eat supper of pulled pork sandwiches with a cucumber/tomato/onion salad with a nice big cold glass of sweet tea…Talk with Sally about the day.

1900-2100 Attend Missionary Fellowship over at the Joy in the Harvest Community Center (every Wednesday evening we get together for worship, bible study and fellowship).

2100-now Finish cutting up the pork into boneless chops, stew meat, and dog scraps.  Roast a batch of coffee.  Make a copy of a new movie "Adam na Hawa" (Adam and Eve) that was filmed in the Middle East as a part of a series of movies from the Bible  (www.godsstories.com) Friend wants to use the movie in a village next month when they sail up the lake to a new area of ministry.   

Decide to write this blogpost while waiting for the DVD to copy.  (we have permission to duplicate)

Praise God for his grace for each day.  Thankful that he has given us this opportunity to serve here.  Thankful for the support we have from our mission and from friends.  We are truly blessed.  

Really missing my kids…pray for them again…realize it's 11:30PM and I need to get to bed.

Daily by His grace.

Wednesday, January 23, 2013

Community Development or Kingdom Development?

Community Development = Kingdom Advancement. I am so thankful for the training that we are getting this week from BGR (Baptist Global Response). We are all aware of the vast and varied needs in sub-Saharan Africa. Many times we are 'paralyzed' regarding what to do. Sure, if there is a disaster, we are good at responding and have done so in many places. Many lives have been spared, people blessed, and in many cases peopled introduced to the loving grace and mercy of Jesus. Where in general disaster relief is short term (weeks to a few months), Community Development may be months to years.

But the hard work comes in Community Development, or I like to call it Community Transformation. Some might ask "Why bother?" Consider this:

- The Love of Christ compels us.
- The Needs of the people move us.
- The Word of God commands us.
- The desire to make Jesus known in WORD and DEED inspires us.

I am excited as I think about how Sally and I and our minstry partners (some new) will be able to impact the Kingdom of God in Community Transformation as we do that through our work at Kigoma Baptist Hospital. It will take time, time to hear what Tanzanians see as important, time to determine what resources are available, time to implement, and then a time to celebrate.

Well, back to the classroom to learn more...

(photo of a skit teaching some of the principles of CD)

http://peppersintanzania.blogspot.com
tel. +255 753 862 314

Thursday, January 17, 2013

Back in Tanzania

I'm sitting in my chair listening to the sound of the waves on our
beach as I write this update. It is so hard to imagine that we
completed 8 months of time in the USA and are now back in Tanzania. I
have to say, the 'good byes' don't get any easier even though we have
done this several times now.

Being in the USA to celebrate two graduations, a wedding, birthdays,
moving kids to new jobs/homes and other family events like
Thanksgiving has been priceless. Helping with aging parents has been
much of our focus. We are thankful for the many churches we have
spoken at having traveled several thousand miles from the Upper
Peninsula of Michigan to Indiana, east to Virginia, DC, and South to
Kentucky, Tennessee and Mississippi. Lots of miles, lots of friendly
faces, and several people that have expressed a willingness to join us
in Kingdom work in Kigoma. We had numerous opportunities to share our
Health Care Ministries Strategy and many are ready to help. We are
excited as we anticipate what God will do in the coming months and
even years.

God continues to provide in amazing ways! We have been blessed
through one of our SBC churches to bring back some much needed medical
equipment for the hospital (vital signs monitor, pulse oximeter, temp
probes, fetal doplars, and a portable screen for CME inservices). In
addition, there is a very good opportunity for us to receive further
grant money to better equip the hospital lab and patient wards. Top
on my list of 'to do' is to sit with our staff and determine the most
appropriate equipment and set up a plan for cross training,
maintenance, and supply chains. It is an area that sorely needs
attention. And don't forget the amazing ultrasound machine that we
were given through Baptist Global Response (see previous post).

Sally and I are looking at a very busy coming year. Sally is part way
through her certification as a TEFL Instructor (Teaching English as
Foreign Language). Plans are to offer this training at the hospital
grounds focusing on women students. A great opportunity for Sally to
develop relationships with women in the community.

I will continue at the hospital serving as Head, Department of
Medicine and coordinating medical volunteers. Needless to say,
developent for the hospital is a real concern of mine as it will
result in better quality compassionate care for the thousands that we
treat. There are a number of exciting possibilities that we will be
exploring.

Lastly, language...remember us as we search deep in our brains for all
those Swahili words we learned. Just need to get those synapses fired
up again.

All for His glory!

Larry and Sally

--
Larry and Sally Pepper
Tanzania