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Missionary Sisters of Our Lady of Africa (MSOLA)

The work of the MSOLA in Health

In the last 10 years, the situation of health and education in AFRICA has deteriorated greatly, due mainly to the "government expenditure cuts" imposed on the African countries by the International Institutions.

Infectious diseases - including HIV/AIDS and malaria - are ravaging the African continent.
Our sisters accompany the sick persons, the AIDS victims and their families, care for the orphans and work towards a change of laws and situations in order to obtain medicines and health care for all.

MSOLA in the health ministry

Sr. Jeanne Simons and Sr. Madeleine Diercks with the Health workers at
St. Joseph Dispensary in Kangemi - Nairobi (Kenya)
Sr. Gloria Sedes in a children's clinic in a village in Chad.
Sr. Monique Pouyez with a group of volunteers being formed
to keep the village pharmacy, in Chad.

Sr. Gloria Sedes with a group of health assistants
she has formed. Some of them work in the Maternity,
while others attend to women in their villages. Chad
Sr. Mari Angeles Yaniz in the dispensary of Deli in
South of the South of Chad.
Sr. Margarita Rodriguez in the dispensary of Deli, Chad.
Sr. Rita Toutant


Service . Solidarity . Networking . Activism

Sr. Rita Toutant

Service

Over the years I have had the privilege of working in the health field in Tanzania. I am thankful that my professional experience as a nurse midwife has been very varied, challenging and quite comprehensive.

 

Solidarity

Since 1998 I am involved in Micro Health Insurance Schemes first of all at grass roots level with the Small Christian Communities and the parishes of the Archdiocese of Dar es Salaam. It is called the Atiman Micro Health Insurance Scheme in honor of Dr. Atiman the first African doctor-catechist who was a redeemed slave from the banks of the River Niger near Timbuktu in present day Mali. He arrived in Karema in July 1899 where he ministered to the people till well into old age.

The scheme was started in 1995 by a priest economist, Fr. Vic Missiaien of the Missionaries of Africa (M.Afr.) who is a well known justice and peace policy advocate in Africa and particularly in Tanzania. The idea was to help parishes via the already established Small Christian Communities (SCC) create their own solidarity fund to enable their members to have access at least to primary health care facilities and be treated for the most common acute conditions, keeping in mind that malaria is still the top killer disease in the country.

Even though I was a nurse midwife with a long experience in rural Tanzania it was a challenge for me to get involved in this new field of health work. However a very enriching collaboration with the ILO STEP program started at this time. They had world class expertise in community animation, informal sector organizational development skills etc. but lacked the in-put of a grass roots health professional to participate in the design of micro health insurance schemes which they were promoting among informal sector business operators and self help organizations (SHO's) in line with their poverty reduction objectives. Together a methodology was designed and a draft of a Trainers Guide illustrated by culture specific cartoons was produced.

Networking

Concurrently since 1998 10 managers\promoters of MHIS from all over Tanzania were invited to regular regional conferences with participants from various African countries. So people from various Churches, informal sector groups (under VIBINDO the umbrella organization for the informal sector operators) and government attended.
In October 2003 with the support of the German Development and Technical Cooperation Organization (GTZ) the Tanzanian Network of Community Health Funds (TNCHF) was officially established and a well-equipped office was set up in the town center. You are welcomed to find out more about the vision and activities of the TNCHF on the website at: www.tnchf.or.tz

Activism

One priority of the TNCHF since its earliest days is the emphasis on "advocacy" on two levels. On one hand to promote our core value of striving to influence better policies to enable access to basic quality health care for the majority of the people who are poor. On the other to also promote grass roots democracy and activism to build up a vibrant civil society so that government policies are "demystified" and "monitored" by ordinary people. This might seem like enviable objectives for the citizens of any democracy but as I have the chance to participate in two dynamic networks of NGO's: the Feminist Activism Coalition (FemAct) and the NGO Policy Forum (NPF) and can assure you that there is now a country wide outreach with great emphasis on making the voice heard of those who are so often forgotten and who are the ones who generate a big portion of the wealth of the country - the rural dwellers. This is really a case of "thinking globally" but "acting locally".


A successful lobbying experience involving all the stakeholders was the basis for further organizing and activism. So we can celebrate the efforts of so many men and women who are giving of their time and energy to engage in the democratic processes at all levels of their society.

Rita Toutant, msola

Dar es Salaam, Tanzania


Green Medicine in Mozambique - Sr. Odile Striby

Sr. Odile Striby, a French doctor and Missionary Sister, arrived to Espungabera, a small Mozambican town in the mountains, near the Zimbabwean border in 1992. She worked in the local hospital, till a Mozambican doctor came to replace her. Since then she has dedicated herself to better the health condition of the local communities and to work with the local traditional doctors to improve their knowledge and practice.

Sr. Odile with traditional doctors

In Mozambique the civil war raged for 17 years, ravaging the country and destroying the dispensaries. There were no medicines left, and people returned to the traditional medicines. In 1991 a year before peace was signed, the Associationof Traditional Mozambican Doctors came into being. These are real doctors or traditional healers, using natural products like plants and clay and not witch doctors or sorcerers, who invoke the spirits.

Since Sr. Odile's arrival to Mozambique, she saw the great importance that the traditional doctors had and the role they play in areas where there is no modern medicine available. She got interested in them, met them, listened to them andwar eager to learn from them. They have come to know her, and she is invited to their meetings where they share their knowledge and ideas about traditional medicine (green medicine as it is called). These meetings have turned into exchanges of knowledge about new plants, new methods of preparing the medicines and better dosage.

Christian communities and health.

In each of the 23 Small Christian Communities of Espungabera parish, two people have been chosen to be trained togive health-education classes. They learn about the prevention of the most common diseases (malaria, AIDS, TB, diarrhea,etc) and also First Aid in cases of wounds and fever. These Health Workers are volunteers and committedChristians. Not only do they teach, but also visit the sick to minister to their spiritual needs and to care for them, and nurse them.

In every Small Christian Community the Health Workers have begun to plant herb-gardens for the fabrication of medicines. Now they are able to make ointments for scabies and tropical ulcers; syrup for flu, cold, bronchitis; lotions for rheumatism; vitamins of all kinds; infusions from plants for colic diarrhea…

Sr. Odily and the Diocesan Health Committee aim at reducing the dependence on modern medicine by fostering the use of traditional medicine and to allow those far away from hospitals to have access to first aid from local sources. For thosetouched by AIDS, these medicines, within the reach of everyone, provide and improvement in their comfort and well-being.


The opening a dispensary at Wamaza,
in the Eastern part of the D.R. of Congo

The MSOLA had opened a community at Wamaza, in the eastern part of Congo, a region that had suffered a lot during the post independence wars and rebellions.
They tell us how, since 1970, they went about to discover the needs and to foster the collaboration of the population.

We took time to listen to the people and to help them to express their needs. The main desires expressed were a " club "for the women to learn how to sew and to keep a house and a dispensary and a maternity. The sleeping sickness was emptying the surrounding villages.

By taking care of the sick brought to the mission I have discovered the pathologies of the region and the urgent need of health education and preventive medicine. We needed some buildings to receive the patients, so we asked the collaboration of the population. They made the bricks and they brought wood to burn them. In that way it was " their " dispensary and " their " maternity.

Soon I discovered the difficulties the women had to come to the prenatal consultation. Seeing that some had to walk 30 to 50 km. (Some came even from 100 to 150 km). Even if they considered this a kind of holiday away from their fields and an occasion to meet other women and to have news… we decided to make the best of it… We organized a series of 8 lessons touching the problems we met at the dispensary : pregnancy, malaria, intestinal worms, injuries, nutrition, newborn tetanus, TB, If at each pregnancy they would follow 3 to 5 lessons, after 2 to 3 pregnancies, they would have followed the whole program. Often the women passed their newly acquired knowledge to their friends. They could in that way help to fight certain sickness !

We kept a system of cards by village. That allowed us to know the impact of a certain number of women in changing the mentality and the health attitudes in the village.

In order to reach a larger number of women, , a monthly consultation with vaccinations and education was established in 3 big surrounding villages, a distance of about 30 km from Wamaza. After some years we had the joy of seeing that there were no more cases of cerebral malaria among children, and that the number of cases of umbilical tetanus and death caused by measles diminished remarkably.

Together with the preventive medicine and education that accompanied all the consultations, Sr. Nelly ( a social worker) sensitized men and women and involved them in activities to improve the sources of disease and habitats, to eliminatethe stagnant waters and to clear the bush of the tsetse fly causing the sleeping sickness.

Health and development aspects were dealt with together. The "Health Center", the" Women Promotion Center " andthe "Development Committee " worked together to improve the health and the life conditions.

To undertake all this, we needed collaborators. I began to give some medical courses to those who worked in the clinicand in the maternity. They did not know even how to read. There was a small "Adventist" clinic, and I had noticed that thediagnoses of the two nurses working there were not always exact. So I invited them to join the lessons, what they did. It was the ecumenism in life!

A secondary school, and a dispensary is all that is needed so that a village becomes an important town! Other services were organized to answer urgent needs: tracking TB patients and caring for them... and a house to welcome the more serious cases, child consultation for a follow-up of the vaccinations, etc. Truly, the wild mustard was becoming a large edible plant!

After the beginnings of progress which lasted some years, the region then, experienced a gradual erosion of its roads, due to the disruption of the situation in the country, and with time, the population became impoverished, in spite of theirfertile earth and continued labor. They hardly managed to sell their products: cassava, rice, palm oil, peanuts, cotton....

Since 1997, the region has experienced again the devastation of war, and the people are often forced to hide in the bush. As a consequence, the harvests are lost, and there is much suffering and misery.

Sr. Gisèle Bellemare, MSOLA
R.D. of Congo

Sisters working with persons affected and infected with HIV virus

Webmaster: Gisela Schreyer
website.gis@smnda.org

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