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  Letter from Tom Johnson in Niger, West Africa  
             
 

November 2003

Vol. 3, No. 6

Hello Everyone,

In our last email, Aïchatou and I were trying to sort out when or if we were going to return to the Maradi area for her to complete a two-month rural health rotation. We were waiting for her medical school to authorize the rotation, but because the university undergraduate students were on strike, it seemed like no decisions were being made. Not long after our October email, the sixth-year medical students were finally told to report to their rural postings and were given stipends to cover their expenses for the two months. So, we packed our bags and went to the Danja Leprosy and Health Center, which is where I lived from March-June of this year and which is just two miles from the Dogon Gao Bible School. During her first week of work, the student strike ended and the university re-opened (this was also just after French President Jacque Chirac left the country for his two-day visit, and thus the students could no longer hope to embarrass the government with an international leader present). We had a momentary fear that the medical students would now be called back to class, but fortunately that didn't happen.

 
             
 

"Aïchatou and I are expecting our first baby around May 1! We've recently passed the three-month stage, have had an ultra-sound done in Niamey and everything seems to be progressing fine."

  So, after a little more than two weeks, we are enjoying our time in Danja. Aïchatou is very happy to have escaped the classroom (and also the boredom of her unwanted holiday during the student strike) and likes seeing real patients with real illnesses. Now her coursework is being put into action! SIM's (Serving in Mission) Danja Leprosy and Health Center is not a real hospital, but has evolved from once being only a leprosarium to more of a community medical practice. With modern drugs, there is no longer a need to isolate and care for leprosy patients for the rest of their lives, so leprosy patients come to get their treatment and then leave.  
             
 

There is one medical doctor at the center, a Congolese, who is an employee of the International Leprosy Mission. He has general clinics twice a week that are open to the public, but otherwise he busies himself with leprosy work. The Center does have two nurses, who really see the majority of the local patients on a daily basis and there is also a drug dispensary and an eye clinic. This is primary medicine and not real exciting or complicated work. Anything serious, including childbirth or surgery, is referred to the Maradi General Hospital, about 15 miles away. Yet, it is a good place to get experience and to better understand the realities of rural health care in a developing country, like Niger. We are staying in the same Center staff apartment that I lived in before, so it feels like home. My hope is that these two months will give Aïchatou a better idea of what kind of health ministry she would like to be involved with in the area after her studies are finished. Work has again resumed on our Dogon Gao house, but it isn't yet finished, nor is the addition fully funded.

I was particularly glad to return to the Maradi area, because it is here where I had the greatest amount of work to do. We have been making a lot of progress on launching a micro-credit project and on December 8, Steve Salowitze of FARMS International (www.farmsinternational.com) will arrive in the country to meet with our supervisory loan committee in Maradi. These six men and women will be responsible for administering the small loans and upholding the program's guidelines, which include recipients agreeing to donate 10 percent of their profits from their loan projects to the work of the church. This program has the potential to be a real milestone in the life of the Nigerien Church by making it more self-sufficient and less dependent on outsiders for local church work. In a way, we are totally acting on faith with this because the entire initial loan amount has yet to be raised.

Normally, Steve wouldn't conduct this training unless there was definitely enough money to start the Nigerien program, but two things happened. First, he was unexpectedly invited to come to Senegal in December (which has direct air connections to Niamey and that makes a trip here rather affordable) and then, secondly, in late October a regional U.S. presbytery invited FARMS to apply for exactly enough funding for us to begin work. So, while everything looks positive, we still need prayer to make it all a reality!

I've also been working with the Dogon Gao Bible School's new board of directors. Prior to June, the School operated under the general council of the EERN and never had a separate governing board. We have been authorized to open a banking account, which we did just last week. It is rather a cumbersome process. Not only did we need lots of forms and letters, but we also needed to have photographs of all the signatories, plus a notarized photocopy of their national identity card. Finally, we needed 250,000 francs ($454) just to open the account for the initial deposit—no small matter for a school and church where everyone operates on a month-to-month (or day-to-day) basis. Again, God is good. When I arrived in October, there were two gifts for the Bible School from current and former SIM missionaries and volunteers. With these funds, not only were we able to open the bank account, but also, we had enough money to add a bathroom to the professors' duplex (yes, in 15 years, they have never had a bathroom), built interior doors for the professors' homes (they were using curtains for privacy), buy a 100-meter nylon rope for the school's 50 to 55 meter-deep well (their old rope had deteriorated) and re-equip the classrooms with solar lighting (the original solar panels work, but existing batteries and lighting fixtures are no longer functioning).

As I stop and reflect on my work, I ask myself "What value am I giving the church? Is this the best use of my time and talents?" I think it is, at this point in time. I'm doing a lot of project coordination, but my day-to-day work is materials-, funds- and goods-sourcing. The Church in Niger needs someone who can launch these projects. The most difficult thing about Niger is getting something new started because of the high "transaction costs" involved. What are "transaction costs"? Well, this is a term I learned in graduate school that sums up all the details that need to be arranged before a transaction can take place. It includes everything from the price of a phone call, to assuring that your money is really going to be safe in a bank when you deposit it to guaranteeing that the person you hired for a job will actually do it—and if he doesn't, there are enforceable consequences.

Central to this is trust with key individuals, but almost as important is good communication—making sure that everyone understands what needs to be done and that they have adequate resources to do what is required. As I've said before, communication is relatively expensive here. Few people have cars, phones, emails or even access to a postal box. I've got all those things, plus I have broad enough job duties and my expenses are reimbursable so that I can usually act rather quickly. As a missionary, people tend to trust me—I haven't yet given them a reason not to (I think!). I'm in a unique position in the Nigerien Church and I'm using it to advance the church's own agenda in a way that would have been slower and often more difficult if done by Nigerien Christians, who aren't as well resourced. Yet, we are all working together for a common purpose and I act only after consulting church leaders. I know, however, that as things progress, I'll probably be doing less of this day-to-day kind of sourcing and transition more to people and leader training, so that Nigerien Christians will be doing these same things in the future.

Now, if you managed to slug through that last paragraph, you will be rewarded with some big news! Aïchatou and I are expecting our first baby around May 1! We've recently passed the three-month stage, have had an ultra-sound done in Niamey and everything seems to be progressing fine.

Your prayers will be appreciated as we approach this big event!

Prayer requests

  • Pray that Aïchatou and the baby will be fine for the next six months. We've been battling colds and allergies because of the change in seasons (the northern winds bring Saharan dust now), so please pray for good health for our whole growing family.
  • Thank God for our time together in Danja and pray that he will use this period for us to develop a common sense of our future mission activities. Pray that Aïchatou will further develop her medical skills and become more confident in making diagnoses and in prescribing treatments.
  • Pray for our upcoming micro-credit training in December. Pray that Steve Salowitz will arrive safely and in good health. Pray that the six Nigeriens who will lead this effort will fulfill their responsibilities and serve as godly role models for Christian micro-credit. Pray for the local policies, decisions, and precendents, that they establish will determine the success of this project. Pray that adequate funding for fully launching the project will arrive.
  • Pray for the two couples and one work team that are now planning to come to Niger between January and March. Pray that their needs will be met.

In Christ,

Tom and Aïchatou

 
             
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