HEAL Africa Blog

Sunday, November 18, 2007

What's it like to live and work in Goma right now?

Do you wonder how people live and work in Goma in the middle of the conflict? Do you wonder how the Congolese continue to work, go to school, farm, and write music in the circumstances of the country in the eastern provinces, with many armies and militias vying for power and control of the land?

Here's a blog from Harper McConnell, a young woman who grew up in Kansas, lived in Minnesota before coming to HEAL Africa as a volunteer in September 2006. She was sent by the Upper Room community in Edina in a new type of partnership model. She's been involved in developing the HEALing Arts program (skills training and school), and in new ways to help families keep kids in school. She's smart, sensitive, and has learned Swahili and French as she's lived in Goma this past year and a half. We're grateful for the way she gives of herself on a daily basis!
Judy Anderson

Here's Harper:

I am sitting on my balcony as the sun is setting. It rained a lot today so I can see the island which is about 20 km in lake in front of me. The mountains are a deep violet and its sharp points are balanced out by rolling contours. The sky is pink in the place where the horizon converges at the furthest point you can see.
But, outside of my house on the lake and right outside of Goma the beauty is completely demolished…it still exists tangibly but how could rural inhabitants notice it with the recent developments in the war? Since January 2007 over 370,000 people have been displaced in North Kivu province alone and new internal refugee camps have popped up surrounding Goma. About 80km away refugees are rioting against the UN peacekeeping troops for allowing Nkunda (the pro-RPF Rwandan backed rebel) to remain in their town in order to keep his supply line from Rwanda open as well as rioting against other non-profits who are filling the refugee registration process with complicated bureaucracy. There is an 18 year-old sharp mouthed, strong girl in the hospital who was shot in her hip by Nkunda’s soldiers and fled, but has no idea where her parents are. We brought back another bloody 18 year old with a shattered femur who had been hit by a huge truck. The 1 ½ drive back from the village was filled with excruciating anticipation of how every bump on the dirt road would hurt this boy laying on the floor of the car.
There is a boat pulling a wakeboarder blaring techno music driving past me right now on the lake just to show the dichotomy in living situations here.
War and insecurity hinders any type of development. HEAL Africa is a development focused organization rather than relief focused and so it adds an extra problem to our programs when we must concern ourselves with security. Despite this our staff is wonderful. In Maniema province we have someone doing extensive research on income generation grants and over 900 women from North Kivu have received fistula repair surgery as well as income generation grants to start a business or start cultivating when they return home. Our public health nurse has been invited by vying military factions and rebel groups to come and educate their troops about HIV AIDS and basic health care. We are starting a program called Gender and Justice which educates rural communities about the new constitution, the justice system, provides justice and gender relations curriculum in primary and secondary schools, and will establish 18 legal clinics throughout the province. We believe these are taking steps to developing a grassroots movement to enforce the law and deliver justice. We have had successful training seminars for health care professionals, pastors, and activists throughout the past several months at HEAL Africa. Participants came from all over the provinces seeking professional development so that they could do their job better.
The other day over lunch I was discussing with two of my best friends from Goma the feeling of complacency and victimhood that seems to permeate the population’s attitude towards the war. We all have fairly revolutionary attitudes, but they tried to get me to see how the mentality now has been shaped. Up until 1997, DRC (then Zaire) was ruled by Mobutu who brutally killed and tortured anyone who spoke against his regime and used the state treasury as his personal pocketbook. From the coup that overthrew Mobutu until present, different military and political groups have instilled an incredible fear in the population that if you criticize or involve yourself with the wrong people you will pay for it with your life. There is not a weekend that goes past without hearing some story about how someone was robbed or shot because he/she associated with someone from the other side, etc. This fear has inhibited any type of revolution of the people. If you go on a peace march through Goma tomorrow, several people will inevitably die that night at their homes.
These friends I was having the discussion with started a film, music, art, dance, and culture organization called Yole! Africa which has been operating for about 5 years and seeks to portray Africa in film and art through an African perspective. You can check out their website at http://www.alkebu.org/index1.html . They are trying to break this cycle of victimhood through film, art, music, and communication. They put on a 10 day film festival in Goma last month showing both fiction films and documentaries. Many of the documentaries focused on struggles for freedom in surrounding African countries and social issues many African countries have in common. One of the nights we had the festival at HEAL Africa. Government ministers attended as well as HEAL Africa staff, the youth of Goma, Yole Africa participants, non-profit foreign workers, and uneducated patients from the hospital who are from rural areas. The demographic that night was incredible and we all went away with hope and a bounce in our step because we were able to bring together completely different groups through film and art and have a constructive conversation between the different groups after the film.
Despite all the setbacks and discouragement with the recent increase in violence and insecurity I still am encouraged every day by my Congolese co-workers and friends. Though they are used to these situations as the regular ebb and flow of life, there is never a pervasive attitude of negativity, but instead a tireless attitude with the conviction that they are in the historic process of building their country.
peace,
harper

ps. If you would like to read more regular updates please check out my blog at www.where-is-harper.blogspot.com

Saturday, November 10, 2007

Program updates from Goma

Goma and Congo have been in the news a lot. We're thankful to all the reporters and news teams who are bringing this news to the public. We urge you to read and get informed about the situation, and to let your elected representatives know that you're concerned that peace be a priority.

Remember that this is the Goma that has been flooded with refugees. The latest MONUC report (6 November 07) is that there are about 800,000 displaced persons in North Kivu province, and that about 150,000 have been displaced since September 07. Many of the women who've been healed, many of the residents of villages where there have been Nehemiah committees have had to flee the advances of various military groups. The roads have often been closed to places where HEAL Africa has been working with clinics and community groups. The fact that staff continue to go out to these communities as soon as roads are cleared is a tremendous sign of their commitment and passion to bring peace and hope in the midst of war. Thank you for your support for these men and women!

Judy Anderson

Dr. & Mrs. Jo Lusi were on a month-long break and have just returned to Goma. Here's an update from Lyn.

VVF campaign with Dr Christina De Wind
The whole hospital is taken over by VVF (fistula repair) care! Dr Christina is back (2nd visit this year) and she has already done 52 cases in 3 weeks. Please pray for strength for her: she is sometimes discouraged by the cases referred to her, where other people have tried a repair and failed. They are such difficult cases. Elsewhere, she has fresh cases and can get almost 100% success rates. Please pray for the patients to heal; pray too for the nurses, who are working extremely hard and devotedly.

PMTCT program has started!
We are really excited about the start of PMTCT services (prevention of transmission of HIV from mother to child). Dr William and Ghislain started the services in Nyamilima Binza zone in October in the hospital and 3 out of four health centres. And yesterday Ghislain went to Masisi, where they hope to be able to start in the hospital and two out of four health centres. Just as soon as there was a lull in the fighting, these men were out there, skirting around the battles to get to the places where the programme can start. I admire their courage. Please pray for their safety.

Lumo's house
Ndungo and Prosper took advantage of the lull in the fighting to get up to Maissi to start work on building Lumo's house. She and her mother are going to live in the town, where she will have a little business, and a nearby field for her mother to cultivate.

Family Medicine
Dr Vindu (HIV clinic) and Dr Masoda (Shyira, Rwanda) are in Kinshasa for thier written final exams in Family Medicine. They both wrote to us yesterday, delighted that they have passed. So are we. It's not easy doing exams like those in English! Next week they go to RSA for the oral finals. They still need our prayers.

A new training strategy
South Africawill no longer offer a decentralised program for Family Medicine. This is a setback for the young doctors hoping to specialise. We had a meeting with them all on Wednesday, and they have devised a new approach. We will no longer offer Family Medicine alone as the specialty. We have other specialists working with us (Dr Bitwe - pediatrics, Prof. Tsongo - Medicine, Dr Rogatien - Ob Gyn, Dr Didier - Radiology, Dr Kimona - Surgery, Dr Lusi - orthopedics, Dr Likofata - public health), so each can take a registrar or two and prepare them for specilialisation. While waiting to get a study grant and register in a University outside the country, they will follow the internal academic program within HEAL Africa. The doctors were very happy with the proposal and each one is working to put together his or her own program.

Six project staff are registering for the Masters in Community Based Care for HIV. This is a decentralised program of the University of Wales, supervised by St Paul's Limuru. The staff are Ndungo, Felicien Maisha, Roger Basungeli, Dr William Bonane, Fred Kahunde and Ciza Nakamina; maybe also Richard Malungule. The whole programme is taught in English. Oh !!! Their first semester starts in April. These candidates have no funding yet, so if anyone wants to sponsor one of them, we will be grateful.

We are thankful to the sponsors of Dr Luc Malemo, Dr Justin Paluku and Mr Siva in Makerere, Uganda, starting surgery, gynecology and dentistry respectively. Dr Aldy Tahuhana is registered in Ophthalmology in Kinshasa, and Dr Flory is now in South Africa registered in Ob-Gyn.

I think that's enough for today - it's not the end of the news, but probably the end of your time. God bless you too.
LL