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You are here: Home / Archives for clinic in Lesotho

My First Basotho Funeral

August 7, 2016 by Sonia Marsh 3 Comments

 

The traditional Basotho blankets
Mary and Sonia in their traditional Basotho Blankets

It’s very sad but there seems to be at least one funeral every Saturday in my village in Lesotho, Africa, and I experienced my first Basotho funeral yesterday.

My counterpart, the 7th grade teacher at my school, lost her husband to TB. He was only 37.

Funerals are important community events in Lesotho, and I’ve become aware of the multiple billboards in the capital city, as well as the ads on local television for funeral insurance.

It seems that even the poor, spend at least 10,000 Rand, or $700 on a funeral, and that is a ton of money for a family that cannot feed itself. I admit, I’m not familiar with the details, however, my first Basotho funeral, was elaborate, with numerous priests, a choir, and a brass band.

Mary, my host “mother,” wanted me to wear the traditional Basotho blanket, and I’m glad I did, as it was important to fit into the community.

Numerous tents were set up in the compound where my teacher and her mother-in-law live, and women were busy breaking twigs to keep the fire going under the cast iron pots.  They prepared a traditional meal of beef, samp (like hominy), rice, carrots and beetroots, to feed everyone after the service.

Cooking food for the funeral congregation

Lines of buses and cars flocked the dirt road, and Mary and I arrived a little late, at 10:30.  The grieving wife and mother-in-law, sat on a mattress, next to the coffin, and at one point, the wife covered her entire body and face with the blanket.

When she spotted me, she gestured for me to come and sit next to her on the mattress. I was embarrassed, as I had to walk in front of the entire congregation, including the choir and the priests to reach her.

“Can you please take photos of the coffin and my husband’s photo,” she said. “I do not have a camera.”

Casket with photo
Casket and priests

Her husband’s framed photo sat on top of the casket, with a bouquet of artificial flowers propped up next to his picture.

I did what she requested, but being the only white person in the entire congregation, I felt conspicuous, especially acting like a paparazzi standing in front of the coffin.

A man distributed the folded program listing the names of the speakers at this Basotho funeral, and I had no idea this would be an all-day event.

The choir sang intermittently while the brass band played, and everyone stood, swaying to the music. I watched my teacher in tears, and it seemed more like a festive celebration for the attendees, while she sat, distant and numb, in her own thoughts.

Click here to listen to choir singing.

 

Choir, ladies all in the same blankets
Brass Band

After everyone had spoken, we followed the pallbearers up the hill where the casket was laid to rest in the ground. Two beautiful marble headstones were unveiled, while mourners sobbed at the graveside.

Congregation walking to burial site
Standing in front of the burial site
Headstones

“Let’s go home,” Mary said.

I was expecting us to go back to my rondavel, but then Mary said, “We need to wash our hands.”

She led me back to the tent where the food was displayed in various oversized plastic bowls.

Choir Ladies getting food

“Follow me. We have to wash our hands first,” Mary said.

She showed me what to do. I had to bend over a plastic tub, scoop cold water into my cupped hands and throw the water onto the dirt, so as not to contaminate the water in the bowl.

Mary washing hands before our meal at Basotho Funeral

With wet hands, we proceeded to get a plate of food.

Mary was proud of me wearing her blanket, as her friends complimented her on the way I looked. It means so much to the Basotho when you wear the same as them.

The funeral ended around 4:30 p.m., when the choir ladies boarded the bus, and the brass band, priests and local chief, headed home. I asked Mary if this was a traditional Basotho funeral, and she said yes, apart from the brass band. That was different.

I cannot imagine attending a funeral every Saturday, however, when I ask the teachers at my school how they are spending the weekend, I often get the following response, “I’m going to a funeral.”

Integrating into My Rural Village in Lesotho

January 11, 2016 by Sonia Marsh 6 Comments

The American built clinic in a rural village in Lesotho, southern Africa
The American built clinic in a rural village in Lesotho, southern Africa

Visiting my local clinic is an important part of integrating into my community as a Peace Corps volunteer. I live in a rural part of Lesotho, a small landlocked country in southern Africa.

I want to find out whether rural clinics are providing ARV’s (Antiretroviral) medication to HIV patients in my area, and if they teach sex education and condom use in schools. Peace Corps informed us that 30% of girls between 20-24, have HIV in Maseru, the capital of Lesotho, and 23% of the total population has HIV/AIDS, which makes Lesotho the country with the second highest prevalence rate in the world.

road to clinic
Road to the clinic

My host mother, ‘M’e, and I walk along the two kilometer stretch of dirt road to the clinic; the one I visited on a previous weekend, and discovered it was closed. (Apparently it’s only open on weekdays.)

Americans funded hospital

The clinic is super modern, built three years ago, with U.S. funds. The waiting room has metal chairs arranged in airport-style seating, and I asked ‘M’e how does the staff know the order of the patients arriving, since there is no check-in system. “They just do,” she replied.

A flat screen TV with a Basotho soap, entertains the patients. They are laughing and chatting away and I feel like I’m inside someone’s house, waiting for the popcorn to be passed around.

‘M’e introduces me to the head nurse, and all of a sudden, I get the VIP treatment. I walk past all the patients, and follow nurse to her office. There another nurse is talking to a patient.

I feel uncomfortable knowing that twenty or so patients are sitting in the waiting room, and these two nurses are allowing me to ask them questions about the clinic.

In the three months I’ve been in Lesotho, I realize the importance of forming relationships, so I ask the nurses if they have children, and let them talk about themselves first, before interviewing them about their work.

The younger nurse is six-months pregnant and is sitting on the edge of the desk, holding a blood pressure cuff. I joke around and ask her to take my blood pressure.

“The batteries are dead and we don’t have other batteries,” she says.

“Do you have a manual one?” I ask, demonstrating the pumping action with my hand.

“No.”

I know ‘M’e came along to get her blood pressure checked so they could give her medicine, so I’m concerned for her.

Peace Corps informed us that local clinics are supposed to send nurses to schools to talk to the children about HIV/AIDS, several times a year, and these nurses told me they had only been out once last year, for three hours, to my assigned school. They taught sexual reproduction health and HIV/AIDS to grades 4 through 7.

“We do not do condom demonstrations because we are Christian,” the nurse said, “We encourage children to come for voluntary HIV testing at the clinic. They have to come with their mother,” she continued.

I was happy to see the shelves fully stocked with ARVs, and other medications which are delivered monthly through NDSO (National Drug Service Organization,) according to what I was i

Medicine

My ‘M’e sticks her head through the door and says, “People are waiting.”

I feel guilty taking up so much time.

“They wouldn’t let me go,” I said in the hallway.

She returns to watch the soap, and arranges for the cleaning lady/pharmacist, yes, they wear many hats in this clinic, to show me around.

She takes me on a tour of all the buildings, and I’m in shock. There is a delivery room with a baby monitor, and apparently only 7 babies have been delivered there since the clinic opened, three years prior.

maternty

There is also a room with a fridge and gas stove, all equipped with brand new cooking pots, and this room has never been used, and when I ask her why? she says, “There aren’t enough nurses to take care of the women who are waiting to deliver their babies.” There is a ward with eight brand new beds, which is not being used. Another building has a shower, a toilet and a sink, and the floor shows signs of a previous leak, so I ask if they have running water, and she says, “No, because of the leaking toilet.”

large maternity ward
large maternity ward
New kitchen for moms, never used.
New kitchen for moms, never used.
Mother-baby pack
Mother-baby packs available, but not sure if they are given away
Sonia
A nice workshop room at the center
Seating in the workshop room
Seating in the workshop room

I am happy to see that ARVs, and being given to patients with HIV, but due to a lack of government funding, there is a shortage of nurses. This is what I was told.

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