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  A letter from Sue Makin in Malawi  
             
 

November 10, 2002

Reflections on the Global Fund

Dear Friends,

I subscribe to the PC(USA) News Service, which is a free service. I find that it helps me to keep up with current issues in the U.S. I am sending you a recent message from this service. The issue addressed in this article on AIDS touches me and my work directly every day here in Malawi. I would like to add some information that I have to this message.

About three weeks ago I attended a one-week meeting on HIV/AIDS sponsored by the Christian Health Association of Malawi, a Christian umbrella organization of all the health entities sponsored by churches in Malawi. This group would be the complementary group to the government health services in the country. The churches in Malawi probably provide at least one half of the health care in the country.

 
             
 

"It is my privilege to minister to a special group of God's own children, women dying of cervical cancer. Cervical cancer is the most common cancer in women in poor countries."

  Important information at this meeting included the fact that Malawi's application to the "Global Fund" for funding to fight AIDS has been approved. The "Global Fund" is an international effort to help in fighting AIDS, tuberculosis, and malaria in poor countries. The approval is for the government, not the churches, but the churches will actively participate with the government. Twelve million dollars is approved for the first year. $196,000,000 is approved over five years. There are strict accounting measures that must be observed for the first year in order to qualify for the second year and so forth.  
             
 

As I saw these dollar figures on the PowerPoint display I was, of course, glad to hear of this aid that will be available to Malawi. On the other hand, I was overwhelmed by the enormity of the administrative and bureaucratic obstacles that would have to be overcome in order to help the people "on the ground" who need the help. I decided then and there to pray for the Ministry of Health of Malawi so that they could do the job right.

In very poor countries in Africa it is very hard to see how foreign aid really helps people on the ground. Unfortunately, there is corruption and misdirection of funds from the highest to the lowest level. There are also well-meaning and honest people at all levels who are doing their best. I am reminded of some of the phrases from that great hymn "Once to Every Man and Nation" with the words by James Russell Lowell. "New occasions teach new duties" in the third verse. "Though the cause of evil prosper, Yet ‘tis truth alone is strong; Though her portion be the scaffold And upon the throne be wrong; Yet that scaffold sways the future, And, behind the dim unknown, Standeth God within the shadow, Keeping watch above His own."

It is my privilege to minister to a special group of God's own children, women dying of cervical cancer. Cervical cancer is the most common cancer in women in poor countries. It develops slowly over five to ten years, and it progresses slowly. Once it advances past a certain stage, there is no way to stop it in a poor country. Thus, as a gynecologist in a poor country, I am diagnosing and treating many women with this problem. When there is no hope of cure, we have a word for the type of care we are trying to give, palliative care. We are trying to relieve pain and any distressing symptoms we can.

I am seeing about ten patients who are in this category. I have a small supply of pain-relieving medicines, non-prescription pills you can get at any drug store in America. These women cannot afford these pills. I am happy to be able to give the pills to them at no charge. They are extremely grateful for the help, to such an extent it is hard for me to not cry sometimes.

Yesterday, I saw one of my regular patients, about sixty years old, who has pain every day. We talked for a while, and then I gave her 120 pills for a month. If she takes six a day, the pills will not last a month, but my supply is limited. Then she left to walk on the muddy road for one mile to catch the bus to go to her home village 30 miles away. She came back in tears after about thirty minutes. I thought she might be crying because of pain or because she had a deadly disease. She was crying because she had lost her pills on the way to the bus. Fortunately, I was able to give her some more of the same pills. She was very grateful and blessed me for that.

Sincerely,

Sue Makin

The 2002 Mission Yearbook for Prayer & Study, p. 39

 
             
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