Thursday, 22 November 2012

17. Safari

Saturday 17th November 2012 

Safari Group in the Queen Elizabeth Natioanl Park
The alarm goes off at 5.45am and Sarah and I get up for a quick shower. I get my battery out of the charger where I have left it overnight but ... OMG – I have plugged it in but not put down the switch. I am going on Safari and I have no camera! We are meeting the others as arranged in the reception for a coffee and muffin as Richard is due with the vehicle at 6.30am to pick us up, so I take my charger and battery and ask the hotel receptionist to plug it in whilst we wait. Vincent, the guide we have hired to join us for the morning arrives and introduces himself. He’s ely character and assures us he will do his best to find us lions but it can’t be guaranteed because, as he reminds us, we are in a National Park covering around 2000 acres, and not a Zoo. My battery now has two bars so I just hope it doesn’t let me down by dying just at the point I have a great shot in my sights.
 
We set off and travel down the track we came along last night. Vincent announces we are now in the area where we should see plenty of elephants and it is not long before one crosses our path. We see several more, a family, on the left side of the track with a really cute baby but the parents must have trained them well as they scurry out of sight as soon as they hear the vehicle approaching. This happens several times until at last we see another group in a clearing and we are able to get a shot of the whole family including junior! It is fantastic to be so close to these wonderful animals in the wild. We watch them deftly using their trunks to grab huge amounts of vegetation and shove it into their mouths, time after time, not stopping to chew it. Vincent tells us that a fully grown elephant weighs seven tonnes and that they need to eat a huge amount every day. Everybody is snapping away, and then suddenly at the back of the vehicle, a large female elephant roars (I don’t know if elephants do roar but it was a very loud noise anyway), she raises her trunk and looks ready to charge us. Richard isn’t hanging around so he puts his foot down and drives on to another track. Looking back we can see that there are several other elephants behind a bush that we were parked quite close to, so she was obviously protecting them from what she saw as potential danger.
 
There was a fork in the track ahead and Richard took the right hand side. Soon we were seeing Uganda Kob, dozens of them, standing upright, almost posing for the camera. Not long after we saw some water buffalo, but Richard and Vincent were like two men on a mission, so we didn’t stop long to get photos. They clearly wanted to get us over to the North side of the park before it got too hot as this is where we had the best chance of spotting lions. A few minutes later we briefly stopped to get photos of a huge vulture perched on the top of a tree, but I wasn’t quick enough to snap the large lizard that darted off the track under the bushes at the side of the vehicle.
 
It is now about 7.30am and starting to feel a bit warmer, we are all hoping we will not be too late to see some lions. Vincent tells us there are several hundred in the park so we are reasonably hopeful although we do know from speaking to other people that visitors can often be disappointed. John, the Head teacher at Kisiizi School has visited Queen Elizabeth Park twice and not seen lions on either occasion. Suddenly Vincent announces he has seen one – everybody turns to look to the right and I can just about make it out, but it very much in the distance and even with a good zoom on the camera you can’t see it clearly as it is walking through grass. We drive around various tracks with Vincent and Richard keeping a lookout for signs that any others are in the area. About 10 minutes later we spot a lioness, again in the distance but not so far away this time and Sarah manages to capture her on video as she jumps into a tree. When it gets too warm, apparently they like to lie in the shade of the branches of trees to keep cool. We feel like time is running out for us to see them closer up, when suddenly we spot in the distance a group of about 6 vehicles all parked in the same place. They must be stopped for a reason – are they watching a pride we wonder. Richard turns the vehicle around and heads in the direction of the parked minibuses and 4 x 4’s. As we get nearer it is obvious everybody is watching something and then we see them ... a group of five maybe six lions – climbing up on some large bushes fairly close to the side of the road. They then move to another shrubby area and because we are at the back of the group of stationary vehicles Richard drives round the side to get nearer to the front. At first we are telling him to stop as he seems to be taking us away from a good photo position but it actually turns out to be a good call. We are in a prime position when the whole group decides to move from their current location and as they cross the track to the grassy area on the opposite side and we are able to get some great photos.
 
We are thrilled at the experience and if we don’t see anything more we will still be happy. It is now about 9am and we are due back for breakfast at Mweya Lodge for 10.30am. Vincent says we will start the journey back which should give us time to stop if we see anything else of interest. We see wart hogs, water buffalo and impala. My first safari has certainly not disappointed me and even those who have been before say it has been a brilliant experience. As we near the gates of the lodge we can see Lake Edward on our right and to the left is the Kazinga Channel. This is where we will be taking our boat trip this afternoon in search of hippos. Richard drops us off, we say goodbye to Vincent – he has been a brilliant guide and cost just 20 US dollars between six of us, so we gave a good tip. We got a table on the veranda with a magnificent view and helped ourselves to the most delicious breakfast. I chose mango juice and fresh fruit followed by an omelette, cooked to order with onions, mushrooms and cheese, and added some grilled tomatoes and crispy bacon on the side as well. The coffee was pretty good as well too. It doesn’t get much better than this.
 
It was starting to warm up so we put on our swimming costumes, got a pool towel and made ourselves comfortable on sun loungers with our books. Before long it was too hot and a few lengths of the pool were needed to cool off. When Sarah booked the hotel she had assumed the rate was for bed and breakfast so it was a real bonus to find that all meals were included and we had a three course lunch to look forward to at 2pm. I feared that any weight I may have lost last week in Kisiizi was certainly going to be put back on over the weekend. But that wasn’t going to stop me enjoying everything that was on offer, especially the ice cold Nile beer that I ordered a couple of hours later to accompany lunch.
 
Our boat trip was booked for 4.15pm so we had arranged for Richard to collect us at around 3.50pm. We were pleased to find we were in one of Mweya’s own small boats (seating 11 plus the guide) as opposed to the larger touristy double-decker ferry style craft, because this meant we could get a lot closer to the banks with a better chance of seeing the animals close up. We sailed from one side of the channel to the other and almost immediately saw hippos in the water to our left and ahead of us. They are probably bigger than I had imagined and we are told that hippos walk along the bottom underwater water only surfacing every so often to breathe. Throughout the boat trip our guide would say...Crocodile at 10 o’clock, or Kingfisher at 9 oclock etc to help us pinpoint where everything was. There were certainly far more varieties of bird than I had imagined and I managed to get quite a few good shots considering the following: 1. My camera hasn’t got a view finder 2. The glare of the sun made it difficult to see exactly where, and at what I was pointing my camera 3. I was on the right side of the boat and the best viewing was on the left. Despite not knowing whether I had captured the intended animal or bird, or whether I would be treated to an empty bush, a bare tree or an expanse of water, I happily snapped away in the knowledge that surely I would get some decent photos. I did get a few duff ones but I also managed to snap some pretty good ones including a huge bird in full flight with a massive wingspan (I must find out what species it is).
 
The boat trip lasted 2 hours and it was fantastic. It definitely exceeded my expectations and we spent ages reviewing our photos in reception when we got back to the hotel. We had a shower and met again in the bar for a pre dinner drink where I was delighted to find their extensive range of spirits included Pernod, so had one with a Sprite. The drinks were served with some tasty roasted nuts which Beccy told me were available in huge packs at one of the shops (wooden sheds) near the hospital for 500 shillings(about 12p) and that is asked nicely, Philip would roast them for me. Note to self: Must remember to do that on Monday.

Wednesday, 21 November 2012

16. A Tearful farewell from the Radiology Team

Friday 16th November
 
Night in her office
Today’s blog will be a short one after yesterdays ... I promise! I hope you weren’t as worn out reading it as I was writing it.
 
I woke today feeling better than when I had gone to bed but was by no means back to normal so I made a coffee and took it back to bed. I decided I would miss Chapel today as I didn’t fancy the idea of having an uncontrollable coughing fit in the middle of a bible reading or prayers. Also, I still had all my packing to do for the safari weekend as I had not been in any fit state to think about that on Thursday night. I got together everything I thought I would need, and put it into my haversack (a real bargain that I had bought from Tesco the week before I left for £1.19 and then threw into my case as an afterthought.)
 
The Radiology team were leaving early on Saturday morning for the flight back to Manchester and I had promised Tracey that I would call in and see the transformed department before they went. We had briefly looked in on Monday during our introductory tour of the hospital, but the painters were there and the department was in a bit of turmoil. The 3 year Radiology Programme is nearing completion and from what I have learned this week, I can see it has been a real success. Walking towards the department just after 9am, I bumped into some of our group who told me that Tracey had spoken in Chapel about how the partnership between our two hospitals has helped Kisiizi hospital, their staff and their patients. Apparently it was very moving, a real tear jerking experience. Typical, the one morning I decide not to go to Chapel and I miss it. However I am offered a guided tour of the newly refurbished department by Brenda, the main radiographer here who recently visited Chester as part of the Programme to further develop her skills. I was extremely impressed looking at the before and after photos and learning about all the extra equipment the department has acquired by various means which enables them to X ray and scan a much larger number of patients every week. I am shown the small, neat wooden chair that the joiners have built for young children to sit on when they are being X rayed, and I learn that their film processing is now happens at the push of a button as opposed to being done the old fashioned way using chemicals and buckets to develop the images. When I read the poster that Tracey has produced showing the pathway they have followed and the huge strides forward that have been made since 2008, I can see why the Countess Radiology team are justifiably so proud of all they have achieved here. Whilst I am there, the heavens open and it is the one time I have come out without my waterproof or brolly. I stay around for a further 10 minutes until the rain has subsided and then pop back to the Isolation and Children’s wards to measure the beds I couldn’t access the other day.
 
On the way back to Rose Cottage I call into Night’s office to pay for the roof I ‘sponsored’ yesterday. I also give her 30,000 shillings (£7.50) and tell her to buy the dress she was looking at in the shop next to the hotel. It is a small gift from me to thank her for all the hard work she does. She seems very pleased.
 
We are being picked up by our driver Richard at 1pm so I decide to use my spare hour to have a final attempt to send my document back to the fundraising office. After a couple of unsuccessful attempts I have a brainwave ... I will take my computer to the IT Dept and see whether they can do anything. I say Department, but it’s actually just a desk covered by a flowery tablecloth in an office that is shared with Night. Edson does a lot of fiddling around (I hope he has not removed my anti-virus protection) and after about 10 minutes I am into Hotmail. But I still can’t attach the file. He doesn’t really know what the problem is so puts my Wednesday blog on to a memory stick, downloads it to his computer and then emails it back to me. It is now 1pm – and I am running late for Richard, our driver, who is taking us on our 4 hour journey to Queen Elizabeth Safari Park for the weekend. I hurry back to Rose Cottage in the hope that by the time I get the email with my blog will have arrived from Edson and I can forward it for posting. No such luck and everybody is waiting in the vehicle so I have to grab my bags and go.
 
I won’t describe the journey as I have promised a shorter blog today – I will save that for Sunday’s blog as we will be returning by the same route. We’d not been travelling for long (but too long to be able to turn back) when somebody said, “I hope we don’t get stopped by Police on the way like the group who visited four months ago, did.” Apparently they all had to get out of the vehicles whilst it was searched, (for what I don’t know). “At least we can show them our passports Sarah said”. PASSPORTS??!!! Who said anything about bringing a passport – I didn’t have mine with me. A wave of panic swept over me which was not completely removed by everybody’s assurance that it would be ok, or at least if it wasn’t they would come and visit me in prison.
 
We stopped on the way to Queen Elizabeth at a Hot Springs – a natural phenomenon where Ugandans come to bathe hoping to benefit from the healing properties of the water. I put my hand in to test the temperature of the water, but withdrew it almost immediately stifling the urge to let out a blasphemous scream....it was 87 degrees and on closer inspection could see it bubbling. I had been deceived by dozens of people sitting in the water and relaxing , so had assumed it would be warm, but not boiling hot obviously. How was I to know? We didn’t stay too long, but had enough time to get some photos and all agreed it was had been an interesting place to stop and stretch our legs. Taking my semi scalded hand with me, I got back into the vehicle for the next leg of our journey.
 
We had several photo stops during the remainder of the journey to capture the beautiful scenery all around us, and as we got near the edge of the National Park everybody seemed pretty relaxed and looking forward to a couple of days away from the hospital to chill out.
 
About half an hour after our last stop we arrived at the gatehouse, one of two entrances to the Park where we had to purchase our Park passes. Haley was paying in US dollars, the rest of us in shillings. Her price seemed really expensive to ours and just as the rest of us were unwittingly about to get away with a half price entry she had a ‘blonde moment’ querying why it was so much cheaper in shillings than dollars. The attendant suddenly realised that he had only charged us for a one day instead of a two day pass so we all had to get our money out and pay the same amount again. Haley was most apologetic but we all agreed we would have felt very uncomfortable knowing we had got in on the cheap, and I suggested that the attendant would probably have been in real trouble at the end of the day when the figures didn’t balance. He may even have been fed to the lions as his punishment!
 
The barrier lifted and we were now inside the park. We are officially ‘On Safari’. Richard tells us we are in the elephant area and we agree that the first person to spot an elephant buys the first round of drinks that night. That pleasure fell to Tom who quickly spotted a fairly large female followed by a couple more and a baby one. We drive the 22kms though the Park to Mweya Lodge, which will be our base for the next two days, and arrive in the nick of time at 6.50pm. The sign on the hotel entrance barrier clearly states ‘No admission after 7pm’. That was lucky! Our first impressions do not disappoint us as we enter the reception area, where we are greeted by a young lady elegantly dressed in a navy and lime green printed top and skirt, holding a silver tray with neatly folded chilled flannels to refresh us. Another silver tray follows with by glasses of chilled mango juice which tastes heavenly after our long journey. We were given our registration forms and the receptionist looked doubtful when I say I have no passport. Do you have a driving license she asks? I didn’t have that either. I suggest a credit card but she asks if I have at least the Passport Number if I don’t have the actual passport with me. Well I don’t know about you, but this is not a piece of information I readily have available. I will store it in my phone from now on in case of similar emergencies in the future. My mind flashes to our house in Heswall and I desperately try to remember where I have filed a photocopy that I can ask Peter to find. I suggest to the receptionist that I can call home to England to ask my husband to look for it but she tells me not to worry, she will sort it. Not sure what she meant by that but I was allowed to stay, which was a relief.
 
We check in to our rooms, and after some confusion in which Sarah and I are initially shown to a double room, we meet for a drink in the bar before enjoying a delicious 3 course meal in a lovely, but exceptionally warm, restaurant As I sit there with my glass of white wine I can’t help thinking about the families I met yesterday and wonder what their day and evening has been like. It’s hard to imagine a more stark contrast between two lifestyles. An hour or so later as I get into my comfortable bed, I think about the freshly laundered sheets, the warm blankets, the fully equipped bathroom and even the mosquito nets, and appreciate them all in a way I had probably not done before. We lead such full and busy lives it is so easy to take the simplest things for granted.





15. Kisiizi Orphans

Thursday 15th November 2012
Shivau, the child I have sponsored

Nothing could have prepared me for today. I came back from my day out in the community physically exhausted and mentally drained. Before I start to tell you about the day I should say two things. Firstly I will apologise now for the fact that today’s blog will probably be very long as I have so much to tell you. Secondly I forgot to mention at the end of yesterday’s blog that the Marburg suspect died late afternoon. I didn’t witness the collection of the body, but it was seemingly an event that attracted a large spectator crowd, albeit it from a distance. A team from Medicins Sans Frontier along with Government officials arrived in bright yellow protective suits to collect the body bag which was loaded into a special vehicle and taken away. They brought Isolation Tents and a range of other equipment but decided that it was not necessary to isolate any of the staff who had been in direct contact with the patient which was a good sign. However they said it would be Friday morning before they could complete the necessary tests and confirm the diagnosis one way or another.
 
Anyway, back to today. The day started with the usual shower, weetabix and Chapel. At the breakfast table I was thinking about the day ahead and it occurred to me that I was unlikely to get any lunch so I decided to take a couple of the small bananas . However, there were only a few on the plate and as the other guests hadn’t eaten yet, I restricted myself to just the one and filled up my water bottle from the cooler in the kitchen – it would be a meagre lunch but it would do. When I got back from Chapel, Phillip asked me if I would like to take a packed lunch. I didn’t know how he knew I was going out for the day, but it was a very kind offer and so I accepted. I then had an extremely frustrating 50 minutes trying to attach a document to email to the office in Chester. I got as far as opening Hotmail, but every time I tried to attach the document, an error message would appear. I had to abandon the plan at 9.50am as I was meeting the Orphan Programme Co-ordinator, Night, at 10am and she had already told me not to be late as the driver would be waiting. I go to the kitchen to collect my packed lunch, only to find it is currently in the process of being cooked! Egulas is frying chapattis so I wait whilst she finishes the third one and am presented with a huge parcel wrapped firstly in silver foil and then in a plastic bag. I thank her and head off. I was quite breathless when I arrived with about 20 seconds to spare, having rushed up the road (nursing by now what sounded like a 40 a day smokers cough) from Rose Cottage through the hospital gates and into the second courtyard, to Night’s Office.
 
We set off 20 minutes later than planned as Julius, our driver, has gone to get the tyres pumped up in preparation for “the very bumpy roads we will have to travel along” I am informed. We had travelled about half a mile down the track when Julius indicated towards a field on the right hand side and tells me that this is the spot where the Marburg body was buried. Although I knew that tests were still being carried out, another of my coughing fits suddenly took hold and I remember hoping that a chesty cough was not one of the early symptoms?
 
Having been bumped and bashed around in the back of the Toyota Land Cruiser for a further 15 minutes, our first stop was at Ikona Hillside Primary School where I was warmly welcomed by Headmaster Chris. We arrived at break time and all the staff were in the staff room having a cup of tea. I smile and politely decline their offer to join them. Chris takes me into his office and it is strangely reminiscent of my own desk covered with piles and piles of paper and files - pus the odd piece of clothing and what looked like some sheets. He cleared some stuff off a chair for me to sit down and also removed some of the debris from the desk when I asked if it was ok to take his photo. He loved that idea and made me promise I would send him a copy of the photo. We had come to the school to meet Grace, an orphan who is being sponsored by Julie, a colleague from the Countess, and Julie had sent over a gift and letter for me to give to Grace. The children in the playground are an absolute delight, giggling and shouting to be heard above the chatter of their friends. They jostle each other in an effort to get to the front of the crowd when I bring out my camera, and as I’ve said before I think their favourite part is looking at their own images – shrieking with laughter when they find themselves on the screen. It’s time to leave, so we wave our Goodbyes and get back in the vehicle and start driving uphill again. It’s a fair incline and a few minutes up the road I see a guy with a bicycle really loaded up with bananas that he is struggling to push. It reminds me what a hard life it is here. I imagine if he is lucky enough to sell all his stock, he may perhaps make the equivalent of about £8. We visit another school on the way to the village and Night explains that she has three children on the Programme here so she just wants to call in and see the Headmaster to check on their progress, so we make a short stop.
 
It’s then another 15 minutes of trailing along increasingly bumpy roads until we come to a small village and Night tells me she is looking for their Community Volunteer, She explains that each village has an appointed Community Volunteer and any orphan families who are suffering hardship are referred by the volunteer to the Orphan Programme co-ordinated in Kisiizi by Night, on behalf of a charity based in Reading. Children are classed here as either single or double orphans depending on whether they have lost one or both parents. We find Jane, the volunteer, a really jolly, happy lady with an infectious laugh. She is wearing a long maroon shift type dress and flip-flops. She joins me in the back of the vehicle and we bump along for a further five minutes climbing higher up the hillside. Night explains that we are seeing some new referrals today, families that she has not met before. We arrive at what doesn’t look too run down a house, small but with a reasonable front door and roof (often key items missing from other houses I have seen) and a small garden area at the front. However when we go inside it is a very different story. The floor is dry earth, the walls are bare and there are just two benches, one along the wall opposite where we have entered, and the other on the wall to the right of the door. To the left of the door sitting on a on the floor on a threadbare mat is a lady a pale blue T shirt, a skirt and a green piece of cloth wrapped around her head. It’s difficult to judge her age. She is probably late 40’s but looks a lot older. Jane explains to me that Winifred has nine children and she lives with them all in this house which has just three small rooms. Her husband died a week ago after being terminally ill for two years. The family had to sell their plot of land (it was used to grow crops to sell and to feed themselves) to pay for the husband’s medication. I won’t ever complain about the price of an NHS prescription again. When she can get any work she picks crops for somebody else for a wage of 2000 shillings a day (50p). I ask Jane how she manages for food. She apparently gets a bit of food from neighbours whenever they can spare it, and the 50p a day she gets buys then some millet which they grind and mix with water into what sounds like an extremely unappetising type of porridge. There are five younger children sitting on the bench to the right of me and I ask whether they go to school. Apparently they used to, but have now been excluded because she cannot afford to pay the fees. It is a heartbreaking story, except it isn’t a story - this is the harsh reality of this family’s life. It was far worse than I could ever have imagined. Sitting to my left, is Sampson, an older boy who passed his exams and was offered a place at University but has had to take a “dead year” (deferred his place), again, because the fees cannot be paid. He has been studying sciences at school and now wants to study Procurement and Logistics Management. A few minutes earlier I had been thinking about offering to sponsor one of the younger children but now I that I hear about Sampson I have a dilemma. Who will get the most benefit from my sponsorship? And how do I choose? I tell Jane to ask the mother who she would like me to sponsor. Without much hesitation she points to Sampson and I know that in my heart I am glad she has. I can see that Sampson is an intelligent young man. He is 19 and going to University is the only opportunity he will have to make a better life for himself, and hopefully help his family as well. Night starts getting all his details down in her notepad so that she can complete the necessary paperwork. Sampson is clearly very pleased, shakes my hand and says thank you. He promises he will work hard and I know that he will. I look at the younger children sitting beside me and it is very hard not to offer to help them all as well, but I have to be practical about what I can afford. I then think about the fact that I will only be committing to four years of sponsorship for Sampson to complete his degree so I find myself telling Night that I am prepared to sponsor one of the other children as well (sorry Peter!). Who does the mother think would get most benefit? She chooses the boy on the end of the bench who looks the oldest, maybe nine or ten. It turns out ‘he’ is a ‘she’ who is 11 years old, and her name is Precious. She smiles shyly and says thank you. More paperwork is completed and then I ask if I can take some photographs, so we go outside. I take Night to one side and ask if it is appropriate to give the family some money and she says that will be ok. I haven’t brought a lot of money out with me so I give Winifred 40,000 shillings (£10) and she seems very grateful. It’s not a lot to me but to her it is the equivalent of 20 days pay. Sampson stands up to say a few words on behalf of the family which is unprompted and very touching. He gives thanks to God for bringing me to their house and for the kindness I have shown them. As we bid the family goodbye, I remember the lunch parcel in my haversack and ask Night whether she thinks the family would like it. Night has already mentioned to me that we will be going to a hotel for our lunch, so the chapattis that were prepared for me are really no longer needed. She asks Winifred who looks very pleased at this suggestion and tells the children what is in the parcel as I give it to her. They looked pleased too. Night gestures to the family who are all standing in the garden and says “You see, this family is much happier now than when we arrived. Before they were depressed and now they are smiling”. Their beaming faces as they waved us goodbye was worth much more than the £10 donation, a packed lunch and the £36 a month sponsorship I had signed up to.
 
It sounds a cliché, but as I hoisted myself back into the Land Cruiser (not easy as the step was very high) I knew that this small gesture really would make a big difference to a family who I am unlikely to ever meet again. However, through letters we will send each other I hope that some form of relationship can be built and they will at least know somebody is thinking about them and that life is not as hopeless as it may have seemed yesterday.
 
I am now slightly worried that there is an expectation I will be sponsoring a child in every family that we visit today, so I explain to Night that this will not be possible, but that I am still interested to meet more families. She says she understands and Julius is instructed by Jane which route he should take. We are travelling along a very narrow path with the hedges brushing the windows on either side of the vehicle, when we come across a lady wearing a white T shit and a piece of pale blue and red patterned materials wrapped around her waist like a sort of skirt. Jane points and says something in Ugandan so we stop and she gets in. I assume we are giving her a lift somewhere. We carry on around a few bends and end up driving through a small gap into a field with hedgerows on all sides, and I see that we have arrived in a field with a young boy and about 20 goats. There is no house to be seen? We get out and follow Jane through the gap turning left, going up the lane then right into another field. We see a house in front of us with a family sitting at the front and two washing lines of clothes blowing in the breeze. But this is not our destination. We walk round the back and a bit further up we see a small mud shack. The lady we picked up en route goes in the front door followed by Jane, then myself and lastly Night enters the small rectangular room. It takes me a few seconds to realise that this is her home and this is another family that needs help. On two walls there are posters of Chelsea and Manchester United Football Clubs, nothing else. There is just a short bench against one wall which we sit on facing our ‘hitchhiker’ who is sitting on the floor. I am already thinking that I can see another sponsorship looming as I hear a bit more about the family. There are five children, and Mable, (I have now found out her name), works on a patch of land she has adjacent to the house where she grows millet and G nuts but it is very hard to make much money. Her children go to Government schools but she is finding it hard to pay the fees. I have no idea whether Mable was expecting a visit or any help but as I look across at her sitting as if she had the weight of the world on her shoulders, I knew that I had to do something to help. I asked Night to see what help it would be if one of her children were to be sponsored. She explained that it would help a lot because it would reduce the school fees she had to pay; she also knew the child would get a pair of shoes, a mattress and blanket that the younger ones could share (they currently sleep on some straw matting) and the child would get a better education in a private school rather than the Government one. Well that was enough to convince me. I agreed to sponsor one of her children. (Peter I promise this is the last one). She told Night that her 10 year old daughter Shivau is the one she would like me to sponsor. Shivau was at school but Night took down all the details and told me we would go and visit her at the school either before or after lunch. I left taking the memory with me of a lovely smile and wave from Mable as we walked back to the car.
 
I told Night I really could not sponsor any more children and she said the next visit we were making was to see somebody whose two children were already on the programme. That was a relief. Apparently their Mum has a problem with her feet and sometimes finds it difficult to walk or work and in certain circumstances some social support is offered to families where children are on the Programme. The roof had been leaking and Night wanted to check it out. We drive for between 10 and 15 minutes and then head off the road into the middle of a banana plantation. I have no idea where we are going, surely there can’t be somebody living in here? We head up a tiny track until we can go no further. We are completely surrounded by banana trees. Julius then does a seven or perhaps nine point turn so that the vehicle is back facing the way we have just come. I assume he has taken a wrong turn. Wrong. He turns the engine off, and he and Jane get out and head through the trees. I look at Night for some sort of explanation and she tells me that they are off to buy some bananas. Doh! I suppose that should have been obvious ... NOT! I must have looked puzzled so she explained that bananas were much cheaper here than in Kisiizi. 
 
We sat in the car for 10 minutes and it by now it was baking hot. Well over 35 degrees. When we are driving along I get a nice breeze from the driver’s window, but now I am sitting in a metal ‘box’, feeling (and probably looking like), an oven roasted chicken. I am thirsty but have already made the decision not to drink too much of my water as I don’t know when and where I will get the opportunity to go to the toilet. I am hungry, it’s 2pm and a long time since I had my weetabix at 7.30am. I remember my little banana (all five inches of it) so extract it from my haversack. Obviously I have to offer Night some and she accepts. So we sit in the ‘oven’, each savouring our two and a half inches of banana whilst keeping a look out for any sign of Julius and Jane. Night has her mobile in her hand and announces she is going to make a call. I am really surprised that she will get any signal out here. Turns out she didn’t mean a phone call, but a call of nature. She popped behind a banana tree and in no time at all she is back rubbing her hands with hands gel. She’s clearly done that before! Just when I think I really am going to collapse with heat exhaustion, the banana hunters return with their bounty. How they carried three huge braches (not bunches) between them I don’t know. They were so huge it was difficult to fit them through the back door of the vehicle. I ask what each branch costs and it is 10,000 shillings - £2.50! There must easily be more than 100 bananas on each branch. No wonder they eat so many bananas here.

We get moving again and at last I feel a bit cooler. We drive down the track and turn right. We seem to be going further into the banana plantation! A few minutes later we pull up outside a stone shack and everybody gets out. Night explains this is not the house we are visiting; the one we are looking for is a little bit further up the hill. A little bit further? I am not exaggerating when I tell you we trekked at least half a mile uphill, (probably more). I was struggling to breathe when we finally reached a little hedge and I saw a roof in the distance. Thank goodness, the target was at last in sight, and I should get the chance to sit down for a few moments. As we approached, a lady dressed in a pink top and red skirt appeared at the door of the house. We followed her back inside and I could see that she was struggling to walk. In the gloomy interior of the house it was difficult to see her feet and also because she was now crouched on the floor. Night introduces me to Allen and she shakes my hand. As usual we sit on the bench and Night asks Allen how the children are doing at school and how painful her feet are at the moment. The children are doing very well apparently and Night tells me they are ‘really, really beautiful children’. I see the ‘bedroom’ – a small area curtained off in the corner of the room with a piece of bright purple material and this is where the roof is leaking on to the mattress she shares with the children. She has recently built her own outdoor ‘kitchen’ and Night offers to take me outside for a closer look. It consists of a piece of corrugated iron held at a 45 degree angle by two reasonably sturdy looking branches. In the centre there is a sort of grill pan and some half burnt charcoal and ashes and this is where Allen cooks all the meals. There are no sides, so when it rains she can’t cook. We go back inside and Night asks Allen to show me her feet which are extremely deformed. I am not exactly sure what the problem is – I think club feet – and in England this is something that would have been corrected with an orthopaedic operation as a baby. I don’t know how she can manage to walk at all. I ask Night what the cost will be to repair her roof. For all the sheets of corrugated iron, the nails and a person to make the repair the total cost will be around 190,000 shillings - £45 – the costs of a meal out in the UK. I agree to pay to have the work done which makes Allen very happy. I also give her my last (almost) 20,000shillings – I need to keep a bit back to pay for lunch. As we leave she comes to the front door and apologises for the fact she cannot walk to the end of the garden with us but her feet are very painful today. I feel embarrassed at moaning (only to myself) about the trek we made earlier to reach her house and vow to never again complain about my knee pain. 
 
We get back into the car and make our way to Shivau’s school which is apparently quite close to the hotel we are on our way to. We meet Headteacher Henry who goes to in search of Shivau. She is quite a timid little thing wearing a pink dress and has a cross attached to green beads hanging around her neck. Night explains who I am and she has her photo taken firstly with Henry and then with me. As I sign the visitor book I wonder whether in years to come she will remember the day when a Mzungu (white person) in a blue spotty dress arrived at school and was introduced as her sponsor.
 
It really is time for lunch now. Its 3.15pm and I am pretty hungry. Julius is instructed to take us to the hotel. I am not sure what to expect, however I don’t think I expected what we got. Perhaps the word ’Hotel’ has a different meaning here? It was basically a room (you entered though a white tasselled curtain (or it may have been an adapted tablecloth), with wooden benches against the walls to the right and left of the door. On the back wall facing you as you entered there was a bar, and to the right of the bar a small door which presumably led to the kitchen, and possibly the toilets. There were no stairs to any upper level bedrooms, so unless they put mattress to convert the coffee tables that were positioned adjacent to the benches and used as dining tables (not that easy to eat from), I don’t have a clue where anybody slept. The only other possibility is that they had single storey buildings at the back, similar to the layout at Rose Cottage. We ordered cold bottles of Sprite, but the difficulty now was ... what to choose to eat? I remembered in the vehicle whilst chatting to Night as we waited for the bananas to arrive, that she had asked me if I had had a ‘running stomach’. So far I had been fine, but I have to admit I was wondering whether my luck was about to run out. There was no menu, just a verbal list of dishes reeled off by our waiter. I recognised only two options – rice and beans so I opted for a portion of each of those.
 
As I am paying the bill, Night says she is going next door to her friends shop. She tries on a dress but is not sure. We head back to the car and I am relieved that we are not making any more visits today as I am feeling quite exhausted by now and also it means that I won’t be faced with any further temptation to sponsor another orphan.
 
We drive back and Julius stops to drop off one of the branches of bananas at his home. About 20 minutes later the vehicle pulls up outside Rose Cottage and I give Julius my last 10,000 shillings telling him it is to pay for one of his trunks of bananas for being such a good driver. He thanks me and I promise Night I will be at her office in the morning to pay for the roof. I get some change to purchase a ginger been from the fridge outside and almost collapse in a heap on the sofa in the lounge. It has been a hell of a day!
 
I try again to send the document to work but it proves impossible so I call over to have a coffee with Sarah and Sam. Sam shows me her “stash” of sweets and chocolates and tells they always have a chocolate party one night – that is certainly something I will look forward to. My chest is really bad now and I am coughing up some pretty horrible stuff so Sarah gets Dr John to check me out and he gives me some antibiotics. I go back to Rose Cottage to get ready for dinner but by now I’m alternating between having a temperature and feeling shivery. I have a pounding headache and the light is hurting my eyes. All in all I feel quite rough. I decide I will be better going straight to bed so tell Philip I won’t be eating. He offers to cut me up some pineapple which sounds great and goes down a treat. The girls arrive for dinner and Sam gives me a knock. She says if it is any consolation, I look like s—t! I check the ‘mirror’ by the door to see how bad I look ... it catches me out every time! About 20 minutes later there is another knock at the door and it is Philip asking if I would like some chocolate cake. I’m not sure that my scratchy throat can manage chocolate cake but he assures me it is ‘very lovely’ so I accept. He brings me a plate with five pieces of cake and a mug of tea. I put the tea to one side not wanting to offend him – I will pour it away later – and get back into bed under the duvet with my cake. I only intend to eat one, maybe two pieces, but it is so light and so delicious, before I know it I have devoured four pieces. I put the remaining piece in a zipped plastic bag (a tip I was given to ensure I don’t attract ants). I get the mug to pour away the tea which looks even thicker and more like condensed milk than usual. As I start pouring, I realise it is not tea, but custard which was to accompany the cake! I manage to save about half which I eat with the spoon he has left me. I had been wondering what that spoon was for!
 
Lights out at 8.45pm and I am hoping for a good night’s sleep.



Sunday, 18 November 2012

14. Has the Marburg virus reached Kisiizi?

Wednesday 14th November 2012
 
Market scene at Kissizi
I didn’t sleep too well last night and was tossing and turning quite a bit so in the end I get up just before 6am. I am streaming with a cold and a chesty cough has developed. I make myself a coffee and have a read before deciding it’s time to get a shower. I don’t think I have given you a full description of what the shower is like yet? I may have mentioned that the pressure isn’t great but today there appears to be a distinct lack of hot water as well. Inside the shower tray which is set into a bare concrete floor there is a large round washing up style bowl which is often easier to fill and then use to get a wash from, especially if you are trying to rinse shampoo out of your hair. Anyway I didn’t fancy a cold shower today so I got dressed again went to the kitchen and boiled a kettle. I brought this back outside undressed again and added it to the cold water in the red bowl. Two interesting looking insects arrived during the short period I was missing. I’m not sure whether they crawled under the gap in the wooden door or perhaps they had fallen through the corroded corrugated iron roof. Anyway they don’t look too dangerous so I get on with my shower and decide to wash my hair tomorrow when hopefully the hot water will be reinstated.
 
As planned I try the weetabix today and bingo! It tastes almost like the weetabix we have at home, so this will be my breakfast cereal of choice from now on. As I leave Rose Cottage for the short walk up the road to the Chapel, I hear the excitable sounds of the children in the school playground over the road. It is interesting that the sound of their laughter and their playful shouting to be heard over the voices of everyone else is just like you would hear in any other primary school playground the world over. It’s like any other group of children playing with each other and having fun, but I can’t help think about how very different their lives are compared to those of most schoolchildren in the UK.
 
It’s a bit cooler today – nothing like the cold I am sure you are experiencing in the UK, but compared to the last couple of days here, the temperature has a bit of a chill in the air, but it’s still only 7.30am so no doubt it will warm up later. I arrive in Chapel a bit earlier than usual so manage to get a bench against the wall which is a bit more comfortable for my back. Today's service is very short – only 25 minutes as they are having a patient audit following the service where they announce the statistics of deaths, infections, births etc over the previous month. It is suggested that I don’t need to stay for this part if I don’t want to. I take the opportunity to put together a spreadsheet of all the mattress measuring I had done the day before. I list each ward and then have separate columns for all the different sized beds (it’s amazing how many different sizes there are). I total up the number I have measured and indicate the ones still to be audited. I use my highlight and bold buttons to emphasize certain totals and overall I am quite impressed with the result. At Banana Break I learn that they have finally sourced the supplier catalogue so that I can see what sized mattresses are on offer so that I can work out how many of the ones I have measured come close to the standard size. I suppose I shouldn’t have been surprised to learn that there is only ONE size available to order – I have 10 columns on my spreadsheet, each representing a different measurement, so that is going to be a bit of a challenge!
 
One of the things being talked about in the staff room is the fact that Sister Moreen has had a pretty stressful morning as there is a suspected Marburg virus case on the Medical Ward. I had never heard of Marburg before I came, but as I had been tipped off that there was an outbreak in Uganda I googled it. I was now wondering whether that had been a wise decision. From what I had read it is a virus linked to the deadly Ebola virus and it didn’t sound as though anybody had ever recovered from it. OMG! - The Medical Ward - that was where I had seen a very sick patient the day before but fortunately I had not been able to get close enough to measure the bed. However I didn’t know for sure that this was the patient they were talking about? He could have been in one of the other beds I had measured? I did use hand gel after visiting every ward so assured myself there was nothing to worry about, although the little voice in my head still needed a bit of convincing. The staff appear to be in agreement that his symptoms do not meet all the criteria to enable a positive diagnosis to be made, so that was reassuring. As was the fact that Angus had examined him and he didn’t seem too concerned. (But perhaps that was just his medical training kicking in?)
 
Lunch was not my favourite today. We had fish pie that was decidedly grey in colour with avocado. I filled up on two bowls of fresh fruit salad which was lovely.
 
The electricity has been off today since 10.30am (they are apparently putting in a new cable) and as I write this at 2.45pm it is still not back on which is totally frustrating as I have a couple of hours to finish off the Santa plan but there is no electricity to charge up my battery pack for the computer. For some reason fully charged it is only holding the power for about an hour. It’s 5pm now and still no sign of the electricity – another romantic dinner by candlelight beckons! I meet with Carolyn as we have decided to walk to Upper Kisiizi village to look for material for the dresses I mentioned yesterday. It’s a very steep walk and with my chesty cough I find it difficult to walk and talk at the same time (probably also something to do with my lack of fitness) so I suggest to Carolyn that she chats on the way up and I’ll chat on the way down. It takes a lot longer than the 20 minutes suggested by Sarah to reach our destination but there are some beautiful views of the surrounding countryside as we make our way up the stony path. I find it a real eye opener to see some of the houses and “shops” along the side of the road as we continue with our slow ascent. Just taking a bit of time to look around at the wooden or brick shacks with their tin roofs , no electricity or running water and whole families sitting outside, reiterated just how little these people have.
 
Finding some suitable material was initially not as easy as I had imagined but eventually I found a piece to make a skirt for me (a bargain at just £2.50!), nothing yet for the girls dresses but there are a apparently a few more shops in Lower Kisiizi and there might be more of a choice there. Upper Kisiizi Village is an interesting place with a large number of shops, ‘hotels’ and even an Executive Pub! (photo to follow!) Cows and goats just roam around freely and dozens of children play barefoot in the road. We become like a pair of Pied Pipers as they follow us all trying to be included in the photos I am taking. Old men sit on the grass verges watching the world, and the boda bodas (scooters that double up as taxis), go by. Whilst looking in another material shop I find a bright turquoise sequinned and embroidered kaftan style dress which will act as a perfect lightweight dressing gown for our weekend trip to Queen Elizabeth Safari Park. Fortunately Carolyn has brought her torch as it is almost dark by the time we get back. Chatting to the team over the past couple of days I am starting to learn more about the programmes they are working on here, and am hearing about the successes and the frustrations they experience.
 
I go to make a cup of coffee before dinner, get as far as filling the kettle, and plugging it in before my brain registers that the power is still off. Instead I purchase a bottle of ginger been from the fridge outside by the front door. It is really refreshing and sets me back all of 1000 shillings (25p).
 
After dinner the lights are back on and I have a look at the books in the bookcase in the lounge. There is a real mix of novels, travel, and medical books. One that catches my eye is called “Facts about Intestinal Worms”. This is certainly the most diverse travel experience I have had. I wonder what tomorrow with bring as I venture out of Kisiizi and into the community to visit several rural villages.

Friday, 16 November 2012

13. Mattress measuring begins!

Tuesday 13th November 2012

I have just re-read Monday’s blog and feel I should make it clear that although I found what I saw yesterday really awful, I know that many significant improvements have been made since the partnership was formed between Kisiizi and The Countess more than four years ago. Kisiizi Hospital is certainly at the top of the league tables in comparison to other hospitals in the region so I just dread to think what those other hospitals are like. I have to keep reminding myself that I am in a developing country and things are going to be very different than at home. One thing that is certainly very different is what I wear here for work. I did know before I came that trousers were not an option, but hadn't imagined I would so quickly get into wearing a dress with trainers. It’s not exactly a great look but the practically of walking around the hospital grounds and up and down the road to the guest house over what are sometimes very uneven surfaces, has had me choosing trainers over flat shoes every time. Talking of dress code I don’t think I have mentioned yet about how smart all the nurses look? They proudly walk around the grounds in their freshly laundered pale blue uniforms with neat navy cardigans and pristine white caps. Every morning in the Chapel they are smiling, singing and clapping, and it is clear how much they enjoy working here. It provides a really uplifting start to each day.
 
Another thing I didn't mention yesterday was that quite early on during our tour of the hospital in the Medical Ward, we were introduced to Esther, a nurse here. She was looking very upset as her husband was examined by a Doctor, and I noticed that a Reverend was leading prayers around the bedside. I learn that her husband is a science teacher and was preparing a lesson when he mixed two chemicals together, presumably in error, and the mixture exploded causing serious acid burns. He was brought in early on Monday and this morning at Chapel we learnt that very sadly he died overnight. Many prayers are said for Esther and her family – she has been widowed with two young girls aged one and a half and two and a half. It is a sobering start to the day obviously. During Chapel announcements one member of staff stands up and advises about arrangements for the staff Christmas party on 15th December. It appears that depending on the grade of work you do, your level of contribution for the party is adjusted accordingly. After the service Moses explains to me that to ask a porter to pay 10,000 (£2.50) is like saying to him ... don’t come ... as there is just no chance they could afford it. I consider paying myself to send them all to the party but then find out that there are 70 porters. I know that I will probably end up sponsoring an orphan whilst I am here, so I take a reality check and remind myself that I need to limit the extent of level of my charitable giving otherwise this will end up being a very expensive trip for me!
 
On my way to the hospital armed with my pen, notepad and tape measure, I meet the man in charge of waste that we met yesterday and he gives me a beaming smile. That sets me up for job ahead. I start with the Children’s ward and find I am getting some amused looks from parents as I start measuring the width and length of the beds whilst their children are still lying in them. The ward is no less depressing than yesterday. I’m unable to measure the beds in a couple of the private rooms as one child is screaming and another looks as though he is having his leg plastered. Next stop is the Isolation ward and for the reasons mentioned yesterday I am not really looking forward to this one. There are 2 bays, numbers 23 and 7 that I am advised to avoid, presumably they are the more contagious areas, so I am not going to argue with that.
 
The drum starts banging to announce Banana Break and I am glad of a sit down for 20 minutes. It is quite tiring walking between wards, standing for fairly long periods and leaning over beds to get the measurements. I have remembered by Cranberry and Orange Twinings teabag and it tastes delicious. The bananas are a welcome energy boost too. During break Sarah informs me that she has arranged for me to go out into the community on Thursday with Night, who runs the Orphans programme, and there may also be time to visit a Primary School. This sounds as though it will be an interesting experience. Sarah also presents us all with our ID badges to be worn around the grounds although I admit I felt a bit of a fraud later that afternoon wearing my badge on the wards as it is the same badge that the Doctors wear. I was sure that many of the patients looked at the badge as I approached their bed and immediately thought I had come to examine them or provide a diagnosis from an earlier examination. They were no doubt pretty surprised when I got out my tape measure and not a stethoscope.
 
After break I moved on to measure the beds in the Mental Health ward. It really is a close call between this ward and the Children’s, as to which is the most depressing. Under one of the mattresses I find a hidden razor blade which I report to the staff. They are very grateful. Perhaps I have unwittingly saved a life today. That would be very fulfilling if it were the case.
 
Lunch at Rose Cottage today is rice and mixed vegetables which was actually very tasty followed by passion fruit. During the afternoon I got round to visiting the remaining wards and measured most of the mattresses with just a few exceptions – e.g. the labour ward was in use so it didn't seem appropriate at that time to pop in and measure up – they were a bit busy - I’ll visit again tomorrow!I see Angus, one of the Australian Medical students, in the Medical ward where he has joined the ward round with a team of Kisiizi doctors and nurses. They seem deep in discussion about a patient in the bed at the top of the ward who has a lot of relatives standing around. I’m guessing that he is pretty ill.
 
I had obviously seen photos of the mattresses previously as we had used these to put together the leaflet to promote the “Sponsor a Mattress” scheme back in Chester, but it was still horrible to see the state of some of them I honestly mean it when I say some of them were so awful you would not want to put an animal on them.
 
We get some nice news today. Philip who looks after us in the guest house has become a father for the first time. His wife is in the hospital and she gave birth to a baby girl last night. They have named her Treasure. As is the culture here, Philip was not present at the birth, in fact he told us he hadn't visited yet as he was too busy working. But he does seem pretty pleased with the news.
 
I had an hour to spare so thought I would write my blog for Sunday and load it. OMG! I don’t think I have had a more frustrating hour. I kept logging on to Blogger.com but it just wouldn't let me sign on. In the end, just before I threw my computer out of the window I managed to get a very brief connection to the internet so sent the latest blog as a Word doc to Andy to upload for me. Thanks Andy – you are a superstar! I’m also struggling for some reason to attach photos. The computer seems to pretty selective about which ones if will accept and which ones it won’t. I’ll keep trying.
 
I did some washing using two bowls in the garden. Had I realised that where I would be staying would have a washing line in full view of the area where we all sit for our meals, I would have packed fewer pairs of my BIG Bridget Jones knickers. There really wasn't any way to disguise them so I just prayed it would stay sunny and dry them quickly.
 
I popped down to the Round House for a coffee with Beccy and Haley before dinner and to find out what measurements the dressmaker needs. I’m planning to get some dresses made in African material for Heidi, Erin and Naomi. Some of the girls have had these done on previous visits, and Josephine in the laundry is apparently an excellent seamstress so I’ll get the measurements sent from back home, find a local shop selling material and then place my order.
 
We had a couple of heavy but short rain showers before dinner and the power went off again. Perhaps not a bad thing as it was a pretty strange combination tonight. Matoki, which is steamed banana,lilac coloured peanut sauce, cabbage and sausage casserole (left over from Saturday so we need to finish it off tonight to avoid it coming out again in a couple of days!). Everybody was pretty tired tonight so I started my Monday blog and read a bit. I've had a tickly cough and runny nose for the past couple of days which looks like it might develop into more – hope not.

Wednesday, 14 November 2012

12. A Traumatic Day


Monday 12th November 2012

Mother with her baby
Today I tried the rice krispies for breakfast – but they were even more disappointing (and definitely more stale) than yesterday’s cornflakes, so tomorrow I will give the weetabix a go. Glad I brought some Carte Noir with me as the Ugandan coffee is certainly an acquired taste. I remembered my glasses for Chapel this morning however there was only one song (in Ugandan) plus prayers and bible readings with a translator so that took up most of the service. At the end of the service there is always time allocated for any announcements that people want to make. Whether it is a typical Monday thing but the announcements seemed to go on forever. There was a lot of information imparted about the electricity problems currently being encountered so as well as no internet access (different problem) we are having regular power cuts. They happen most evenings and sometimes throughout the day as well. Our dinner last night was enjoyed in torchlight before the electricity came back on about 9pm. We all had to stand up again and address the congregation. On Sunday it had only been Sarah and I attending but apparently there is a 3 line whip to ensure everybody attends on the first Monday of their visit. You have to say your bit in sections so that it can be translated as you go along. Hopefully that will be my last public speaking experience whilst I am here.
 
Today is when I really start to find out more about Kisiizi hospital and the difference that our fundraising, and the Nursing, Pharmacy and Radiology programmes, have been making. I am looking forward to the hospital tour that Sarah and Sam have planned for Tom and I, but at the same time I am a little apprehensive, being unsure of exactly what to expect. Our first stop is the Medical Ward to meet Sister Moreen. She is lovely and proudly shows us her office which has been achieved with Sam’s help over the past couple of years. Sam has been slowing building relationships with the right people here and then gently putting pressure on to get it built. No Estates Request forms to fill in here! The office is a very small area sectioned off from the ward using panels of rough wood with a small door cut in and a huge bolt and padlock to lock it. To me it looks like a temporary measure that would be used on a building site perhaps to section off an area to store something, but it seems that it is meets Moreen’s needs perfectly and is a huge improvement on her working from a desk in the middle of the ward.
 
The doctor’s have started their ward rounds so we are unable to see every bay in the Medical Ward as they are examining patients but from what I can see I am quite shocked. I know I have seen photos from some of the staff who have been before, and been told that every patient has to bring a carer to look after them and bring their own food, but I suppose I just wasn’t prepared for how that would translate into reality. Wards have rows of beds with metal bed frames where most of the paint has worn off, sheets and blankets in a multitude of different colours and not just on the beds but on the floors as well as this is where their relatives sleep on rolled up pieces of foam. Patients sitting or lying in various stages of rest or sleep, looking pretty helpless, hopeless and devoid of any real spark of life. I admit it was a shock to the system. I wanted to take photographs but it just seemed too intrusive. There are signs on two of the turquoise painted walls promoting male circumcision, HIV Aids prevention and encouraging you to stay faithful in marriage. On the wall opposite the window there are messages that have been written using red sticky labels saying “Happy Christmas” and “Halleluiah”. They are not messages that have been put up for Christmas 2012; these tatty greetings have clearly been welcoming patients to the Medical ward for many years. Our hospital tour continued taking in the Isolation Ward – one section of which had been barricaded off with plywood as the “Diarrhoea end” where patients with more serious infections are being treated. I learn that most of the patients in both ends of the Isolation ward are being treated for TB. I have a slight panic when I hear this as I know that my role for tomorrow is to visit all wards and measure up the mattresses. I must remember to carry my hand wash gel. On the way out of this ward we see the area where all the relatives prepare the food for the patients. Mothers with babies on their backs sit on the floor preparing the vegetables for cooking in a large outdoor brick built kitchen area with an open fire. The whole area is littered with rubbish and the smoke inhalation from the cooking can’t be good for the adults never mind the children.
 
From here we went to the Children’s Ward. What a drab depressing place this is. There is no colour, no toys, again just rows and rows of beds squashed next to each other with listless children lying there and relatives just sitting next to them staring aimlessly at nothing in particular. There is little interaction between parent and child or nurse and child and nothing at all to make their hospital stay a little more bearable. Some of the more able ones sit up a bit and can manage a smile or wave back in response to mine. I find it really hard not to get upset when I think of my three lovely granddaughters back in the UK and imagine them being subjected to these conditions. I feel like I want to get a scrubbing brush, some polyfilla and brightly coloured paint and do something practical to make this a better place, but I know it is not that easy. I don’t know how I can help but there must be something I can do for these sick children to bring a smile to their faces.
 
In most of the wards there are side rooms which are the private wards. There are single private wards some have a bathroom and some don’t; others are a double room with a curtain hanging between 2 beds. Private patients pay 20,000 shillings (£5) for the first night or 10,000 shillings (£2.50) in a shared room and the fees operate on a sliding scale with each subsequent night being a little cheaper. For ordinary patients the first night is 5,000 shillings (£1.25) and all procedures and operations have to be paid for on top of that. When you consider that an average monthly wage for a teacher is 200,000 shillings (£50) it is easy to see why people struggle to afford to pay for hospital treatment.
 
Further visits to the Surgical and Mental Health wards didn’t reveal any improvements on what we have already seen, the sights, the smells and the unbelievable poverty that some people are living in was starting to get to me. It was this point that I was actually questioning my reasons for coming. Trying to absorb it all whilst coming to terms with what I viewed as the most awful conditions that patients had to endure, was proving very traumatic.
 
It is now 11.30am and it is ‘Banana Break’. This takes place every weekday and all staff who can take a 20-30 minute break in the staff room to have a cup of tea which is accompanied by a white saucer containing 2 small bananas. This was to be my first and last cup of Ugandan tea. It is very weak and tastes like condensed milk has been added. Tomorrow I will bring a fruit teabag and do my own thing. After the break Sarah and Sam have a meeting to plan out a schedule for the fortnight of what they want to achieve, so Tom and I use the opportunity to visit the local school as Tom has a gift from a member of staff at the Countess to give to David, the Headteacher. He is in the middle of an English lesson but makes us very welcome and invites us to come to school assembly one morning. It is almost the end of playtime for the little ones and a few of them rush over to greet us. “How are you” they all ask very politely and “I’m fine” or “I’m very fine” is always their standard answer when you ask them the same question. Messages like ‘Abstain from Sex’, ‘Avoid free gifts’ and ‘Virginity is good’ appear on the external walls of the school building.
 
We have lunch at Rose Cottage and Tom is off to spend some time in Theatres whilst I have been invited by Sam and Sarah to accompany them with Sister Moreen on a trip to the Waste compound. It’s a fairly precarious walk over a bridge with no handrail, then up a steep slope (and this is the same route taken by the porters carrying all the clinical waste to be disposed of) to the top where the incinerator and placenta pit are housed. Obviously for medical people this term just rolls off the tongue but I have to admit I declined the offer to climb up further and actually look into it, however there was much celebration on the part of Sam and Sarah when they discovered the pit had been covered over with concrete and now had a removable lid for safer disposal of placentas, body parts and whatever else is disposed of in this way. I suppose I had just never thought about this aspect of hospital work. Overall Sam and Sarah were very pleased with the improvements that had been made and we met the man who was in charge of the waste compound. He was very proud of his work and allowed me to take a photo.
 
We managed to descend without incident although it must be very risky walking up there carrying waste when it has been raining. We then decided to have a look at the Generator House. We were still about 100 yards away when Jansen, they guy responsible for keeping the generator house clean came over, beaming and brandishing a set of keys. He looked delighted that we wanted to have a look in ‘his’ generator house. Dressed in a bright yellow hard hat and a yellow and blue uniform he explained to us all about the generator. I must have looked a little bit too interested as he then proceeded to take me to the back of the building and up a few steps to show me the old generator and explain the pros and cons of water versus diesel generators. I listened politely for as long as I could manage before finally extracting myself to rejoin the others.
 
We checked out the toilets at the back of the children’s ward and found some were locked and others blocked. Sarah added this to her list of things to take up with Moses, the Hospital Administrator. We had a brief meeting with Ezra the Estates Manager about a few things Sarah had seen in the laundry that needed attention, before I went back to Rose cottage just in time before the rain started. Dinner was mince, mash and veg with pineapple to follow. Not bad at all, although it was another meal by torchlight as the power had gone off again.
 
I had an early night with my book and fell asleep thinking about the mattress measuring I would be doing the next day.

11. Flip flop disaster!

Sunday 11th November 2012

Woke quite early and decided to try out the shower which is when I discovered I had packed two right flip flops as opposed to a matching pair. Despite what you are thinking it was an easy mistake to make...... Peter and I were both given matching footwear at a Spa day we enjoyed last year – so as I shuffled outside to the shower doing my best to walk in a straight line – I was imagining Peter experiencing similar difficulties back home once daylight reached the UK! There wasn’t much pressure in the shower but the water was good and hot which was the main thing. As I got dressed I had a closer look around the bedroom which revealed a few interesting features I hadn’t noticed the previous night. The most intriguing item is the blank pine picture frame on the wall opposite the end of the bed just to the right of the door. There is no backing, just four pieces of wood about one and a half inches thick which frame the whitewashed walls. I initially thought it was a mirror so was trying to use it (obviously unsuccessfully) to dry my hair. Just above the “mirror” to the right is a small square picture hanging at a jaunty angle on a nail sticking out from the bottom of a painted corner shelf – more than a bit bizarre! I must take a photo later and see whether it is a look that might catch on at home.
 
Philip (he and Eugulas are responsible for cooking for all the guests) had left breakfast on the dining table for us to help ourselves. Tom hadn’t surfaced at this point but Sarah popped in to have breakfast before we headed off to Chapel for 9am. I’d had a bit of an argument with the toaster earlier (so haven’t used it since). Cutting the bread a bit thicker than intended meant that it was necessary for me to ram the slice into the slot fairly forcibly and I foolishly thought that if I just cooked it for a bit longer it would crisp up and then I would be able to spear it with a fork and pull it out. Wrong. The bread here (which of course I had no idea about) is more of a cake consistency so trying to get it out with a fork proved impossible – it was just crumbling more and more with every attempt. In the end I got about 20 small squashed pieces which made an interesting accompaniment to my banana. After the flip flop and toast experiences I wasn’t expecting anything else to go pear shaped..... but again I was wrong. After welcome prayers, the first hymn was announced. As I looked around for a non-existent hymn book, I noticed that the words were being projected from a laptop onto the white wall at the front of the chapel above the altar. I hadn’t thought about bringing my glasses, so for an hour and a half I enthusiastically joined in all the foot tapping and clapping but was unable to make any vocal contribution as I couldn’t read a word. Another thing I hadn’t expected was being asked to stand up and introduce myself to the congregation, without any prior warning. Talk about thinking on your feet! After the service I met several members of staff and volunteers including George and Doreen who spend 6 months every year at Kisiizi. George runs the Electricity Company and Doreen organises the community goat programme. Sorry Peter..... don’t be surprised if your Christmas present this year turns out to be a sponsored goat for a local family.
 
After lunch at Rose Cottage (beef stew, green beans and potatoes, followed by passion fruit) we decided to have a team walk up to the communication mast. It was a bit further (and steeper) than I imagined but after a bit of a struggle I did make it – and I was really glad I had persevered. There were fantastic views of the lush countryside surrounding the hospital and the opportunity to engage with many of the local people on the way up and down. We were joined early on by Benjamin, a 12 year old local boy who two years earlier had accompanied Sarah and a previous group on the same walk. He actually proved to be a very interesting guide pointing out various fruits and flowers and translating when we met another group of children who couldn’t speak English. One useful bit of info he gave us was that cobras eat gooseberries, so from then on whenever we saw a gooseberry bush we kept well away just in case any snakes were slithering around looking for a late lunch. He told us a lot about his school, his forthcoming exams and his ambition to be a pilot. He also cleverly mentioned that somebody from a previous visiting group had given him a guitar which he was learning to play, and then manoeuvred the conversation around to laptops, before asking if any of us had a laptop with us. Don’t worry, I wasn’t taken in and have not promised to give him mine when I leave! It was amazing watching the women and children walking up and down with full baskets on their heads and babies wrapped in blankets tied on their back, as sure footed as mountain goats whilst I was hanging on to whatever I could whilst slowly edging my way down the path. The children just love having their photographs taken and then like to see themselves on playback, giggling away and pointing to each other when they see their images captured on the camera. When we got back to the main road we met Benjamin’s Mum who it turns out has one of tiny little shacks near the school selling fruit, veg, nuts etc. She’s also got a sewing machine in there and makes lovely bags from African material. Not surprisingly, I bought one which I am still deciding whether to keep for myself or use for a Christmas gift. I wondered about giving Benjamin some money for being our guide but I can see the issues this would create. Children then come to expect a reward and their motivation for showing hospitality to visitors completely changes. So I gave him the rest of my packet of Mentos and he seemed pleased with that and the promise of some Christmas pencils from Carolyn. It was like some of the desperately poor people I have seen living in sheds I wanted to help. Giving them 40,000 shillings (£10) would probably feed their family for a month or more but you can’t help them all and if you help one family does that then cause resentment amongst their neighbours who haven’t received any extra money? It’s a difficult one to answer and is something that I know I will find very difficult whilst I am here.
 
It had been a wonderful afternoon a really good introduction to Kisiizi which is a beautiful place, and I have been overwhelmed by the friendliness and warmth of all the locals and hospital staff we met today. Everybody smiles and says hello, asking how you are. They may be poor in terms of money and possessions but they are rich in their happy and contented outlook to life. I felt quite humbled when I got back to my room and thought about all we have in the UK, and how much we just take for granted. I think this trip is going to be a life changing experience for me.
 
After dinner I went down to the round house for a couple of glasses of wine with the rest of the group and on returning to Rose Cottage discovered that 2 Australian medical students had returned from their trip to Bwindi to see the gorillas, and David the Kisiizi engineer from Ireland had also arrived – so there are now 5 of us in Rose Cottage and adjoining outside bedrooms, so I had better make sure I am up early tomorrow if I want to avoid a queue for the shower!