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  A letter from Martha Sommers in Malawi  
             
 

April 2006

Dear Friends and Family,

This letter was written in December, and I thought it was sent by email to be distributed, but our new technology at Embangweni is not yet dependable. I am sending it on a disk with my cousin to carry back to the United States.

May the joy and peace announced by the angels enter into your hearts and lives. During this season of Advent, I find myself reflecting that Jesus’ time on Earth began as the unborn child of an unwed teenage mother. God chose to be vulnerable! We can serve God by serving unwed mothers and their unborn children. Unwed teenage moms are especially vulnerable in Malawi. Despite the fact that an induced abortion is a criminal offence in Malawi, a higher percentage of women here choose induced abortions than they do in my home country, where it is legal. In this area of the country, the women who have induced abortions are Christians. They see it as a sin, but they were desperate. Sticks and herbs are used for many of these abortions, and complications of sepsis, bleeding, and death are common and well-known.

 
             
  Photo of al older woman and a boy standing together in the sun to pose for the camera.
In Malawi, a society devasted by AIDS and HIV, children are often cared for by ngogos (grandmothers).
  Secondary schools and training programs usually house students in crowded, single-sex hostels. Girls found pregnant are sent home, often in disgrace, to families who have invested a lot to educate them. (Many girls are pressured and raped in these institutions.) The most fortunate single moms live with their families, breastfeeding their children for at least two years so that they survive. Then they may have a chance for further education or employment. Most are not so fortunate. Children of single moms are overrepresented in our nutritional rehabilitation unit. Some live with their mothers, who have no resources to care for them. Some are left with ngogos (grandmothers) who have developed ngogo syndrome: severe malnutrition, infection, and delayed development from being left with elderly women who could not breastfeed them or care for them adequately.  
             
 

Embangweni Hospital is run by the Synod of Livingstonia, whose policy is to give maternity leave only to married women. Unmarried women are either suspended without pay or dismissed. These women suffer the stigma of their pregnancy and lose their ability to support themselves and their child. Please pray for those responsible for making the policies that affect single moms and their babies.

Adoption is not an option in this land of many orphans. Since AIDS overwhelmed this society, most households seem to be caring for “extra” children. The Crisis Nursery is presently searching for homes for more than 40 abandoned children, and there are not yet laws to permit overseas adoption.

At Embangweni Hospital and its health centers, we serve all moms and babies in the area, but our level of services continues to drop as we lose trained healthcare personnel. Earlier this week, a mom and baby were brought in after a home delivery. Both died before being assessed. In the last three weeks we have had three maternal deaths, which is more than we had in the whole year 2000. The clinical department has only 10 of the 41 skilled positions filled. The nursing department, which works under a similar strain, is losing four nurse-midwives this month. The government-set salaries are too low to compensate for the workload, which increases with each departure. I have said, “It’s too much. I think I have to go,” but then corrected with a chuckle that the time to leave is not when I have too much work, but when I have too little. Please pray that the makers of health policy take seriously the staffing needed to care for the mainly rural and impoverished populace of Malawi.

Last month, the maternity ward was incredibly strained. After a rash of thefts, the portable ultrasound was stolen. When it was reported to the police, all on duty were taken to Mzimba, and the three working in the ward at the time were jailed. A ward maid had gotten involved in a network that sold supplies over the Zambian border. When the ultrasound machine was found in her home, she said her nursing supervisor was involved, so he too was kept in jail until he could make bail. He was finally acquitted today. When he was acquitted, his accuser pointed the finger at other staff. The horror of being in a room with 70 prisoners without room to lie down, with one non-flushing toilet, little food, and no bedding provided overwhelmed him; yet he was protected by three long-term Embangweni prisoners who slept around him. The power of prayer in vigils and morning and evening prayers has been tremendous. The accused read Luke 6:27 and put into practice “Love your enemies…pray for those who treat you badly.” He prayed for her physical and spiritual welfare and encouraged us not to forget her need for our prayers. Just as the purple jacaranda blossoms and orange flamboyant blooms arrive during the desolate, dry season, when the earth seems to be blandly brown, God often sends us people who inspire us in times that try our souls.

 
             
  Amidst the stress, there have been successes and fun. Our AIDS clinic was assessed as having the highest standard of care in the country, and our pharmacy was judged as the best unit in the Christian Hospitals Association of Malawi. The vipepe came with the first rains. First, the small children batted these ants down with t-shirts and leafy branches. After the vipepe mated and dropped their wings, everyone scampered to collect them. That evening I had a tasty supper at the house of friends of cooked vipepe and the staple, nsima. The Reverend Chimwemwe Mhango launched his latest CD in Lilongwe.   Photo of two boys with big smiles, each holding a plastic cup whose contents aren't quite visible.
Boys with vipepe.
 
             
 

I went down with a carload from Embangweni and we did not have any car trouble. Reverend John Gondwe accepted a call from the Kalikumbi congregation. The six-hour service included gospel readings, preaching, vows, speeches, dancing, singing, and gift-giving.

Merry Christmas! (and also happy Easter)

Martha

The 2006 Mission Yearbook for Prayer & Study, p. 337

 
             
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