Sunday, December 4, 2011
Significance by Association
One of the main reasons we have been so busy is that Zambia was chosen as the country to launch a new initiative - Pink Ribbon Red Ribbon (PRRR). This is a public private partnership attempting to address both breast cancer and cervical cancer, building on the incredible success of the Pink Ribbon campaign in the states. We were asked to write a proposal during my first few weeks here in August. We did not hear much until a few weeks ago when it was announced that we would be the lead country and George W. Bush, Laura, and their daughters Barbara and Jenna would be coming to make the announcement. In addition, the president of Merck Vaccines, Julie Gerberding (formerly Director of CDC) and a host of other industry leaders were present. The visit just ended this morning. As you can see from the photo we did get to meet the president (that is John and GWB). I found the President to be quite a personable guy, funny, folksy, and actually humble. He seems really passionate about making sure we (USA) don't neglect our responsibility to care for people with less resources. He made many references to scripture in his brief remarks - we need to be good stewards, to whom much is given much is expected, we are all made in the image of God...
Perhaps the funniest moment for me was Friday evening, at the ambassador's reception, I was standing to the side of the podium in the crowd listening as the ambassador was making opening remarks when I turned to the guy standing next to me and it was President Bush! He leaned over and asked how I was doing, what my job was, etc. I was a little at a loss for words but managed to tell him what I did, and that I have never been more proud of being an American than I was when he announced PEPFAR in 2003 (see below).
The Zambians were absolutely delighted that he visited. They pointed out that his program - PEPFAR (Presidents Emergency Program for AIDS Relief, $15 billion) which started in 2003 has probably saved some 7 million African lives through provision of anti-retroviral therapy, as well as other care and support.
My role was to develop the actual work plans for PRRR with the Ministry of Health and the cooperating partners at a meeting Saturday (as well as try to squeeze as much free vaccine for HPV out of Merck as possible), it went very well and I am pretty optimistic going forward.
I was amused at how much all of us, myself included, were so excited about meeting a former president. It seemed to me that we all were gaining a sense of being significant because we met the president, "Did you shake his hand? Did he talk to you? What did he say?". It made me realise, again, how important it is for each of us to feel significant. I try to remind myself as we celebrate the birth of Jesus that I already have my significance as a beloved child of God, someone who Jesus lived and died for! That's pretty significant indeed!
Next weekend we will be hosting and leading the monthly youth group at our house. It is a large group of high school kids from a variety of the churches that serve the expatriate community. I am hoping our Nooma videos arrive so we can use one of them, if not we will figure out something. My work at the seminary is at a slight stand-still as we are between terms. Many of my colleagues at the CDC have expressed an interest in a Bible study so I am hoping to get that together soon.
I'll close with a brief Christmas greeting....
Friday, November 18, 2011
Termites, makoswe and gekkos, oh my
Monday, November 14, 2011
Out-swimming the Crocodiles!
If I could have one wish fullfilled it would be for a comprehensive system of paved roads - this would not only improve health but it would also foster broad economic development, as farmers and small business persons could get products to market. This would also further open up one of Zambia's most valuable resources - national parks. Tourism could help the economy immensely. I would employee Zambians to build the roads, which would also stimulate the local economy (too much aid actually goes right to the donor nations companies and nationals). Given that Zambia is only about the size of the state of Texas and has a stable government, this really is not too tall of an order.
When visiting Lundazi, which includes the Luangwa River Valley (where North and South Luangwa National Parks are located) we were told that during the rainy season about 15% of the population is cut-off from the rest of the district. If a woman needs to get to a health facility she may be placed on a raft and a few strong swimmers will push her across the flooded river beds, always mindful of the crocodiles! Yet these National Parks are considered some of the most beautiful in Africa and have many tour groups operating within their boundaries, tour groups with numerous all terrain vehicles. This seems an obvious opportunity for a public-private partnership. Wouldn't the average European or North American tourist be delighted to know that the company they are using is helping to save the lives of pregnant women?
I also noted so many broken vehicles and equipment - wouldn't it be wonderful if retired (but not tired) people from Europe and North America with skills (mechanics, electricians, medical equipment repair technicians, etc.) considered taking a year or two and volunteering in some of these places - teaching Zambian's some of the skills needed to sustain the equipment - think of the stories one would have for the golf buddies! I remember one of my seminary friends once asking, "where in scripture does it say we should retire from serving?"
Thursday, October 27, 2011
Chichewa, a Beautiful language
Tuesday, October 18, 2011
Moving In
Sunday, October 9, 2011
John and Chris Settling In
The boys are really settling in well. John has jumped right in at school, the American International School of Lusaka, and now plays volleyball. He is the team setter. They recently came in second in the country and will travel next month to South Africa for an international tournament.
He also has a leading role in The Wiz - he plays the Tin Man! It makes me wonder - can a person made of tin move quickly enought to set a volleyball? Apparently so.
Amy and Ruth are busy sewing costumes. This includes many trips to the "compounds" (very poor shanty town areas) looking for clothes. It is amazing what they can find for 2 pin (2,000 kwacha, or about 40 cents). Probably all Salvation Army discards that tend to get shipped to Africa.
Chris recently visited a chimpanzee rescue program called Chimfunshi Chimpanzee Orphanage. They spent a week observing the animal behavior, hanging out as it were. It seems to have been a good trip with a chance to get to know classmates as well as the chimps.
Saturday, October 8, 2011
Thankful for glimpses of the Kingdom
Sunday, October 2, 2011
Reflections on Worship
Last Sunday we visited St. Columba Presbyterian Church in Lusaka and heard a wonderful sermon on worship. I was especially excited to listen because our church back home, First Presbyterian Church of Evanston, is in the midst of changing worship service and exploring new ways of thinking about worship. I have been following the conversation in Evanston via the internet.
The sermon was really great. Basically the pastor challenged us to think of our whole lives as worship – glorifying God all the time. He encouraged us to really not think about Sunday morning as our main time of worship. Worship is a lifestyle. For what are we living? Are we living for our jobs, or our hobbies, or our family, or our possessions? Are we living to glorify God? He charged us to leave the church on Sunday and go out and worship God in all we do.
I was especially encouraged as I will be spending the next three days visiting small villages in the rural south of Zambia to try and see what needs to be done to improve maternal mortality. Many women in Zambia die giving birth and I have been charged with the task of helping improve this situation. I will be away from home and not in communication. It will be my 50th birthday on Tuesday and part of me was sad to be away from family and friends, and probably staying in a relatively uncomfortable living unit. But then I thought, how better to worship God than to be doing what He has called me to do.
What a privilege – to spend my 50th birthday worshiping God and serving others!
Tuesday, September 20, 2011
God transformed a brothel
AISL Volleyball Champions
Theater is a new class for him and he tried out and was chosen for the Tinman in the WIZ. Jim and I are still hoping we will find a violin teacher and he will want to continue his musical studies......
I went birding with the Zambian Ornithological Society (ZOS) this weekend north of the city just beyond the Mutumbi Cemetary.We saw waxbills, twinspots, puffbacks, yellow canaries, weavers, boubou, sunbird, Ashy flycatcher, Cardinal woodpecker, chinsopt batis, Paradise flycathcher(with tail that looks about a foot long), Tawny-flanked prinia, cisticola, bulbul, greenbul,wire;tailed swallow, black kite, Wahlberg's eagle, apalis, and gray heron. There were many more heard like the hoopoe, but not seen.
Wattled Cranes in flight
Friday, September 16, 2011
Traditional Health Practitioners
When I asked our speaker how he as a Christian would understand the taboo in Leviticus against cutting the body and tattoos and where scripture condemns divination he acknowledged that he knows divination is wrong and that it is using power only God should have. But "we have all sinned and fall short." Additionally the patients who come to him for help keep him sinning. When they stop coming for help he will stop. He stated there is a great temptation if a large amount of money is given for services. He also shared it is unethical to say no to a patient who asks for your help. Syncretism is defined as "to inconsistently attempt to unify or reconcile differing philosophical or religious schools of thought"
Saturday, September 10, 2011
Avoiding dishes
One thing that's going to take getting use to is the money. You see one US dollar is equivilent to 5000 kwacha. So during the first week when someone asked for 10000 kwacha my first reaction was "10000!? Heck no!" but then I realized that was only 2 dollars. Also the food at the school is very cheap. Its 2000 kwacha for a ice cream bar (40 cents), 1500 for a bag of popcorn (30 cents, and the bags are pretty decent sized). And for a Swift, which is a fruit drink that is like the same size as a coke, its 4000 (80 cents). So I can bring 10pin (pin is a symbol for a thousand, so 10pin is really 10000) to school and get a drink, ice cream bar, and popcorn.
Well the dishes are now done so I will be signing off. I hope everyone in the US is doing fine. See ya.
Friday, September 9, 2011
What am I doing here?
As many of you know Amy and I have felt a sense of call to serve overseas for many years. I am working for the Centers for Disease Control as a medical epidemiologist. My actual role seems to be broadly that of a physician-public health person who is to support "where needed most." The where needed most for the foreseeable future is helping articulate what the Global Health Initiative (http://www.ghi.gov/) means in Zambia, and designing and implementing an ambitious maternal mortality reduction plan in four districts. I hope to also engage in the University Teaching Hospital soon as they form an infectious disease fellowship. The Medical College is moving towards developing a School of Public Health and I hope to pitch in there as well. I am sure there are many other projects and tasks that I will get involved in over time.
My main concern is that I not let work overwhelm my time, there is much more to engage in here in Zambia - getting to know the people and culture. I truly hope to engage in the local church and the seminary and do not want my work at CDC to consume me.
Probably the biggest adjustment for me has been going from being in a leadership role at Rush to being somewhat peripheral. I suspect this is not such a bad thing - leadership has its headaches. But beyond fewer headaches, I think this will give me an opportunity to mature spiritually by forcing me to think about my ego, my pride, and my source of a sense of significance. Not bad lessons to learn as I turn 50 in few weeks.
My most significant early observation is that Zambia is a country moving forward from a development point of view but they must do something about the significant disparity in wealth. Of course this is a problem in most countries of the world, but the contrast here is huge. Well over half the population lives on $1-2 per day, with all of the issues associated with poverty (malnutrition, low life expectancy, poor education, etc.), while a significant proportion, particularly here in Lusaka, have most of the trappings as well as some of the problems (obesity) associated with wealth.
I am glad we came even though these initial days have been hard. One can hardly complain when there is so much true poverty around you, but I have to admit I would like to get into our permenant house, have a car, get our household effects, and have consistent internet.
I continue to pray the children will adjust well and hope you will do the same. - Jim
Thursday, September 8, 2011
Restoring Children on the Streets
Property Inheritance and Ritual Cleansing
Tuesday, September 6, 2011
Birthday celebration, deities and caterpillars
On Sunday we drove to northwest Lusaka to the Matero area where Jim preached at a CCAP partner church. Miriam, Jim and I were the only nonZambians there. Several choirs sang and there were about 12 different offerings collected for different purposes; by region of the neighborhood of which there were about eight, from women, from men, from youth, from the choirs, from pastors, and from guests. Following the collections the totals were calculated and the amount collected in each bucket was read out publically. Jim preached from Acts 16 about the slave girl, Paul and Silas being imprisoned, the earthquake and the jailer coming to faith.
Monday I attended my first class at FENZA the Catholic Faith and Encounter Center. I learned there is a traditional god of earthquakes, Makumba, as well as ifibanda, evil spirits whose powers are taken away by Christians. I wonder about the average African in the pew and their interpretation of the events in Acts where we read about earthquakes and spirits of fortunetelling. I also learned about Musonda, the forest god connected to caterpillars. In November there is a very delicious kind of caterpillars with spines ("not the yellow ones"), which can be found in the forests to the north of Lusaka. It is a lucrative business for those who collect and sell them. As you pick the caterpillars from the branches it is easy to find after sometime that you have become lost and you are at risk of perishing or being eaten by wild animals. To prevent these calamities and for protection before leaving for the hunt the chief must perform a ritual to the god, Musonda to keep the caterpillar hunters safe.
Today I learned if you are offerred something to eat such as caterpillars it is OK to refuse but you must eat something unless you are truly sick or it will be offensive to your host who has prepared the meal for you. You may also be given a care package since the meal was prepared for you and is considered yours. When someone comes to your home for a meal they may request a care package since the meal was prepared for them and is theirs.
Miriam's first impressions
Thursday, August 25, 2011
MOMS IN TOUCH
Funeral Support
Monday, August 22, 2011
First weekend
Friday, August 19, 2011
Bread making
This afternoon we are being picked up for a BBQ at the Ambassador's for new families to meet old families. I have learned of a Moms in Touch group that is meeting weekly. I know those I usually pray with Kim Klamm, Irene Doyle, Anne Peterson, and Julie Stamos will be excited to hear of this international connection.I am hoping for some new friends.
Thursday, August 18, 2011
First Days
Tuesday- The boys left at 6:30am for school today and first day went well. Jim headed off to work at 7:30 am and returned at 6:30 pm, doing well praise God. Today I cleaned up garbage in the driveway, put up the broken curtains, swept the floor, unpacked bags and stored the suitcases, did two loads of laundry with Miriam, went to the local store, cleaned vegetables in bleach, and realized all the things I failed to bring like cloth napkins and a cookbook. These are in the shipment and will arrive in about three months.It's very windy here with rattling windows and doors and cool so we are wearing sweaters. The high cement walls enclose three sides of this huge estate and can see the backs of houses with laundry hanging on one side. I have only seen the guard and someone checking laundry. I feel like we are in a secret garden.
Wednesday- I set out with the girls on a walk past the local garden center to discover what else is nearby. Although we did not go in we found several restaurants including a Subway, a clothes store, meat store, dessert store, pizza place that delivers, a Blockbuster video, and a grocery. The boys are making some friends and learning their schedules at school. Tomorrow I will try to make bread.
Wednesday, August 17, 2011
Pilgrimage and Prayers
Friday, July 29, 2011
Our New Adventure
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