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  A letter from Beth and Bill Rule in Malawi  
             
 

December 1, 2003

Embangweni #15

Dear Friends and Family,

It is now a month since our New Hampshire wedding interlude, and back in Embangweni, life has again taken on much of the routine that it eventually must in any circumstance. Having turned over hospital administration to Mrs. Kamanga, Bill was asked to help a while longer as "financial advisor" to fill the gap created by the extended absence of our accountant, Mr. Kaunda, due to his continued illness. Meanwhile, Beth has returned to the schedule of daily clinics—some on site and some mobile. The things we see are the things we have seen before, and it is sometimes hard to recognize the newness or the particular interest that might lie in everyday events. Having said that, life is not totally without adventure.

The days are warm and lazy. Rainy season is beginning and is such a relief after the dryness that has lasted so many months. There are daily surprises, joys, and sorrows—and frustrations, for this is Africa. On a recent mobile clinic day for Beth, there were trials and joys as usual. The day began cool and clear but promised to be hot, as the sun was bright. After loading the ambulance with clinic supplies and food for everyone for lunch we discovered that our clinic volunteer, who lives near the village where we were headed, had lost his wife the day before so we needed to stop at the funeral to "condole" with the family. As we parked the ambulance under a tree, we discovered a flat tire and so we had to change that and continue without a spare. The mourners at the home of the volunteer were singing and some were wailing. We joined the group and sat for a while singing and praying for the wife and her loved ones, then excused ourselves as we had to go to clinic. We arrived at the clinic site without further mishap and found at least 150 people sitting under the trees waiting for us and singing. After a class about immunizations and family planning, the clinic began with some workers seeing children and giving immunizations, some doing HIV testing and counseling, one doing lab testing, and Beth and two home craft workers examining about 60 prenatal and family-planning patients. There was little ventilation in the room we were using and it was very hot, but mercifully a thunderstorm arrived just in time, bringing strong wind and heavy rain and lowering the temperature by about twenty degrees at least. Our examinations and screenings found about 10 prenatal patients who needed some intervention ranging from just counseling about a potential problem to actually bringing two patients back to the hospital for treatment and observation in the maternity ward.

The women of the village as usual had prepared a lunch for us with the food that we brought, so we sat down to a lunch of nsima, rice, and greens, with a boiled egg and tomato sauce, which was so good after that long morning (until 2:00 p.m.) of work.

 
             
  After arriving back at Embangweni, we heard that seven mourners at the funeral had been struck by lightening and three were dead. Our clinic driver was sent back with the ambulance to bring in the four survivors for treatment. This kind of thing happens a few times each year during rainy season. Our Malawian friends are very much afraid of the lightening, with good reason. So much of their daily activity is outside including cooking, washing, and walking everywhere that they go. Even meetings are sometimes outside.   Clinic nurse Tamara Chirwa conducting a class under the trees in one of the villages, with a baby scale hanging from the tree limb.
Clinic nurse Tamara Chirwa conducting a class under the trees in one of the villages, with a baby scale hanging from the tree limb.
 
             
 

Thursday we celebrated Thanksgiving with four American friends. Hayden and Margot Boyd and their friend Tom Toleno visited from Mzuzu where Hayden is teaching at the university came with them. Of course, Martha Sommers, our American doctor here at Embangweni, also joined us. Bill had found two small turkeys at a shop in Lilongwe on his last trip and brought them back to our freezer. We had turkey and stuffing, mashed potatoes, broccoli, and apple pie. There was no cranberry sauce to be found so we had raspberry jello with fruit, just for something red! The power went out during the roasting so we had to take the turkeys over to Martha's wood stove. And then an hour later brought them back as the power came back on. Martha had organized an American touch football game since the Dimmocks had sent her a real football. Several hospital staff members joined in and learned some of the basics of the game. Of course they are all avid soccer players, prompting Hayden to remark that some of them are "really fast.” They want to play again so Martha is organizing another game in a week or two. She knows that if Bill and Beth play, she will fix any broken or dislocated limbs they may have. To the Malawians, we are really old, at over 50! It is strange for oldsters and women to be playing such a game!

During this period, Bill has spent much of his time on the road. The weekend after our last letter, we both went to Lilongwe to do some shopping and pick up supplies for the hospital. Normally we would make this 3-4 hour trip about once a month. However, the very next day after our return, Mrs. Kamanga, the new administrator, broke the news that she had discovered 37 members of staff who were not properly registered to the receive the normal supplement to their paychecks from CHAM, the Christian Health Association of Malawi. This ecumenical organization receives grants from the Malawi government and passes them on the member hospitals to help cover salary costs because the network of Christian hospitals in the country constitutes such a huge percentage (something close to 40 percent) of the overall national health services. In effect, Embangweni Hospital had been paying these 37 people exclusively from donated funds. Bless Mrs. Kamanga for making this discovery but it meant that she and Bill had to turn right around and return to Lilongwe the next day in order to straighten this out and get the people registered. CHAM graciously agreed to make payments retroactively to the beginning of our fiscal year in July. Hopefully this will help to relieve some of the pressure on our meager hospital budget!

The following week, Bill and several others had to make the two-hour trek to Mzuzu for the quarterly CHAM meeting. As usual on these trips, he took a long list of other errands in order to take full advantage of the fuel and time spent going to and coming from the city. However, when they arrived in Mzuzu, they discovered that, overnight, the president of Malawi had declared a snap national holiday in connection with the end of the Muslim Ramadan! All the banks and many of the stores and offices were closed for the day. Adding insult to injury, the CHAM meeting itself, which normally does not go past noon, dragged on into the late afternoon and the whole tired group returned to Embangweni after dark with little accomplishment to show for their day. Then, once again, two days later (on Thanksgiving), it transpired that Bill had to make a second trip within the week to Mzuzu, with the hospital accountants, in order to collect the money for end-of-month salaries. Salaries here must be paid in cash, no checks mailed out, no direct deposits to employee bank accounts. To their chagrin, they discovered on arrival in Mzuzu, that the aforementioned CHAM had not yet deposited the funds for November salaries into the hospital's bank account and the hospital did not have an existing balance sufficient to cover them until the CHAM deposit would be received. Panic! Telephone calls to CHAM revealed that their staff had all left town for a weekend retreat and no one could be found to sort the problem out. The backup plan had been to bring along a pre-signed check from one of our special project accounts but inexplicably, the bank rejected the signature on that check as somehow not genuine and refused to cash it. Instead of a quick return to Embangweni so that Bill could spend Thanksgiving afternoon, at least, with our guests, the team had to spend the rest of the day scratching, scraping, begging, borrowing, arranging and ultimately managing to cobble together enough money to bring back the money to pay the salaries. Bill missed the football game but did get back in time for the Thanksgiving dinner. Once CHAM makes the deposit (hopefully next week), we will repay all those creditors, but it was a close call and illustrates well how hand-to-mouth our existence is! Such is life but we (and the hospital staff!) were thankful that a solution was found and salaries could be paid.

We hope you all had a wonderful Thanksgiving and we are all looking forward to a wonderful Christmas season. Between now and then, we hope to tell you more about how Christmas is celebrated here in Malawi. In the meantime, our love to you all and grateful appreciation for you prayers, your support and your emails!

Bill and Beth Rule

The 2004 Mission Yearbook for Prayer & Study, p. 58

 
             
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