Mobile Medics

 











 


   

Travel Journal

Day 120 Maputo to Pretoria
Day 118-19 Maputo
Day 117 Chiaquelane to Maputo
Day 116 Chiaquelane

Day 115 Xai-Xai to Chiaquelane
Day 114 Tofu to Xai-Xai
Day 102– 113– Tofo

Day 101– Chimoio to Tofo

Africa

Day 120 Maputo to Pretoria

After enjoying a light breakfast at the Café Continental we left Maputo and headed towards the border. The road to the border shows all the benefits of South African investment into this part of Mozambique and was of the standard of good European Autoroutes, meaning we made good time. At the border (where on our last visit five years ago we'd seen police officers shooting at people) we were quickly and efficiently herded onto the South African side. The South African Customs officials said we'd need to pay to get our import documentation in order - we'd hoped to miss any charges as HFA had arranged us to be exempt from import duties. Given that neither we nor the officials seemed totally sure about the best course of action to take, we chose to enter the country using our Carnet, circumventing any charges but possibly meaning more paperwork later……..

The road continued in its immaculate state (such a dramatic change from all the African roads we'd been on so far) and we headed on, hoping to reach the Hope for Africa office before it closed that evening. Sadly we'd underestimated how long it would take us and at four o'clock it became apparent that we wouldn't arrive until after seven, in the dark. Phoning ahead, we agreed we'd instead head for a backpacker's in Pretoria use that as a base to get a few things sorted on the Land Rover before heading up to meet HFA.


As usual, with nothing but our trusty basic Lonely Planet map of Pretoria (certainly no A-Z) we headed into a capital city after dark with only a rudimentary idea of where we were going. In the lead, Andy & Giles pulled another blinder and without too many u-turns we arrived safely at the Pretoria Backpackers. Kindly (especially given Giles' greeting) they let us park in their secure parking and we dumped our bags and headed out for some food. It was a pleasant evening out as we all realised that we'd finally reached the most Southerly point in our journey and that from now we were going to be responsible to people other than ourselves. We all felt a great deal of satisfaction at having completed the journey and that we and Bert & Ernie were all still in one piece.

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Day 118-19 Maputo

Foolishly (in retrospect) we got up early to "enjoy" the rugby surrounded by Kiwis. Still the cricket was going well. The city itself afforded good opportunities for internet and some fabulous eating establishments.
It had become clear in Chiaquelane that the problems facing the locals were fairly large so we spent the days formulating plans as how best we may be able focus the resources to deliver the maximum sustainable result. None of us wanted the prospect of leaving the vehicles only for them to end up slowly rotting due to a lack of mechanical or financial support. As the accounts of Mobilemedics are looking healthy at present, we discussed the ways in which we could commit to keeping Bert and Ernie functioning for as long as possible. We decided to aim to assist to the upkeep of the vehicles after our return to UK and looked forward to discussing with HFA exactly what form this would take.

The cricket went better, the football worse, but the food in Maputo stayed on excellent form. With Bethany safely on a flight home it was time to head down to Pretoria to get the vehicles in as good a shape as possible and finally meet with the Hope for Africa team to discuss where best the vehicles could be utilised.

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Day 117 Chiaquelane to Maputo

Once again we were awoken in the wee small hours by the harmonious church singers. With breakfast duly laid on, Pastor Clatus took us out to the fields where the agricultural fieldwork is accomplished. This area spans 16 hectares, irrigated by channels left over from the Portuguese era. As the HFA fields are the last in a long series along the water channel, their water supply is sporadic at best. As a result they can only really farm one crop a season, despite a large amount of water in the area. Currently they are only farming a one third of a hectare, but there are plans to extend to the full 16 hectares.

This will be farmed by both students and local villagers with the hope of not only providing food but also additional income which can then be channelled into setting up similar projects. It became clear that with the addition of a pump they could redirect flow from the local river and plant more than one crop a season, dramatically increasing the yield and hence the amount of people they would be able to support.
Once returned from the fields we said our goodbyes and headed on to Maputo to pick up our missing member, Pastor Clatus in tow as the Mozambique authorities require him to visit the border every 10 days to get his visa renewed. This is a considerable undertaking, both financially and in terms of deprivation of his expertise in teaching the students. As such we agreed to take him down to the border to attempt to minimise the impact on this occasion.
The journey down to Maputo highlighted the investment of South Africa, in terms of roads and filling stations. This made the journey relatively quick and we drew into Maputo by lunch that day. The city itself is on a raised spit of land overlooking the sea and the main deep water port of Mozambique. A vibrant city of crumbling colonial houses and broad tree lined avenues, cafes and live music. The afternoon was spent tracking down various people who'd been in Tofu, and finding our missing member (Duncan) and his girlfriend. That evening we had dinner with them, regaling stories and generally catching up on all the news from home. It was lovely to see a face from home; all of us were feeling the length of the tour by now, and the huge task that still lay ahead. The later part of the evening was highlighted by watching a live band of incredible talent, and bizarrely, opera singing.

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Day 116 Chiaquelane

Rather unexpectedly we were awoken at four the following morning by the sound of the morning service getting underway. The reason for the pre-dawn start being the need to get to the fields early in the morning. Far from being upsetting it proved to be quite magical as the melodic voices singing hymns drifted across the night.
Slightly later in the day we rose for tea and established that we were to go en masse to Chokwe to meet the area chief, local authority head and local minister for health. We had the feeling that this 'brief visit' was rapidly snowballing into a major undertaking.
Along with Isaac, Clatus and the local chief we made our way to the office of the chief of the Chokwe region.
He was far younger than his local counterpart but no less impressive as a result. As before we discussed the relevant health issues facing the community and he proved a highly intelligent and useful source of information. He expanded on the theme of Malaria, Cholera and AIDs telling us that the majority of people were unable to afford mosquito nets and the lack of accessible water pumps led to people drinking the standing water in the fields with disastrous results. We discussed the attitudes of the community to people with AIDs and he told us that those known to be infected were thought of as being already dead and as a result no real attempt was made to provide comfort or support.
The issue of health education on AIDs as well as other basic health matters was raised and the Chief told us of a theatre group that toured the area providing entertaining and educational shows about AIDs attempting to banish some of the myths and get people talking.
Again a fascinating insight into the local views on the issues and it gave us hope that with people like the Chief in charge real progress could be made.
From here we went on to the local Government office where we met the Deputy Chief Administrator and Head of Health for the region. They were effusive in their greeting and spoke of the dire situation following the floods. The flooding led to the entire town of Chokwe being underwater to the point where people sought refuge on the roof of the three storey Administration office as it was the only building not completely submerged.
They had generously and enthusiastically put together a two week plan for us allowing us to tour the many different health facilities of the area, sadly given that we had to get to South Africa to register the vehicles we had to pass on the offer with the sincere hope that we would have the opportunity to return to the area.


With warm farewells we made our way back to the mission where we found a group of locals waiting for our return. The word had gone out that there were some doctors staying there and it didn't take long for a queue of people with medical problems to collect.
Slightly nervously we agreed to see if we could help and set to work. An impromptu clinic was set up and it was with trepidation that we started to see and treat what we could. This was all made possible through the help of Pastor Anton who had a talent for translation. We saw everyone from a two year old child with breathing problems to a local guy with fully blown Falciparum Malaria. We treated what we could and gave advice when we couldn't.
It was an extraordinary privilege to be in a position to help out and the experience gave us a real sense of purpose and fulfilment. It also provided an insight into the potential value of our medical training, something that one can lose sight of when in the thick of it in the UK. Of course we all rather hoped that we hadn't horrendously misdiagnosed some serious problems and sent our unsuspecting victims off to their doom. I was reassured by the thought that we could only be of value ultimately as if we didn't help out then the likelihood was that nobody else would.

After we had seen all of the people waiting we were asked into the main building where a number of the local community had gathered to ask us questions. It was another remarkable experience as we walked into the building to be confronted by the local womenfolk singing a welcome, surely this couldn't be for us, don't they know who we are?
Again with the help of Pastor Anton we did our best to answer the questions asked of us, this time it proved harder as they talked of issues such as the need for another water pump, medicines and a working generator. Having established our limited resources we discussed the other problems facing the community such as difficulties in childbirth in the absence of a midwife. Child mortality and death in childbirth was worryingly high and the views on these issues fascinating.
As the meeting drew to a close we were once again treated to a thank you song and made our way to have a final dinner with the pastors and then fall into bed and contemplate the barrage of experience and information we had come across that day.

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Day 115 Xai-Xai to Chiaquelane

Up early as promised we drove the final few hundred kilometres to Chiaquelane and found ourselves surrounded by increasingly open countryside hinting at the proximity to the Kruger National Park just over the border.
Soon after getting underway we came across the broad expanse of the Limpopo River, the nominal endpoint of our journey as it is located roughly near the sites in Southern Mozambique and South Africa (and sounds good after London). Unfortunately we were unable to stop at the river itself due to strict security restrictions that had lead to someone we met coming the other way being thrown in jail for stopping to take a picture. Naturally we courted controversy by taking a sly photo as we drove past the sign (that was Dr Andrew Shawyer officer….). And seemingly in an instant we were across the river with barely time to appreciate the significance; 4 months, 18,000 miles (roughly), one puncture and a whole heap of stories. Quality, well done us.
The journey soon came to an end and having driven straight past the Hope for Africa site we executed a swift about turn and found ourselves drawing up to the mission. The first impression was very positive as the mission was set in attractive open ground just off the road with a colourful playground by the side of the cluster of buildings.
First to greet us was Pastor Isaac, the man in charge of the mission. With him was Pastor Clatus, originally from Zimbabwe he was heading the Agricultural training regime.
The mission itself has been there since 2000 when it is was established in response to the terrible floods. Isaac has been there since then and has overseen the construction of over 140 houses built for people displaced by the floods.

He has subsequently gone on to aid in the building of 14 brick buildings for other local pastors as well as large open-plan buildings that act as a church, school and meeting place for the community. All of this whilst still living in a small tent with his wife.
After their warm greeting we were beckoned into their office/dining room/meeting room where we had tea and heard more about their set up. It was here we discovered the pastor was to be our first contact with Malaria as he had been struggling for the last few days with the effects of this potential killer. Having established this was a benign form of malaria we were able to provide him with the appropriate treatment and hoped his condition would improve swiftly.
We discovered the mission was primarily there to provide religious support to the community and establish an agricultural programme. This involved them taking on 10 students from the area and training them over a three year period in the essentials of farming and a basic theological training. It seemed strange that it an area of such fertile land there just didn't seem to be the knowledge or resources there to farm it. We found out that of a potential 4000 acres in the area a mere 500 were being actively farmed, and a great deal of that was ineffective.
The idea seemed to be to provide the knowledge to a select few who could then take that back to their communities and allow them to propagate that knowledge. The students were coming to the end of their three years and there was palpable excitement at prospect of them fulfilling their potential.
Having had tea we learnt we were to meet the local chief, whose approval would greatly help us. We piled into the back of Clatus' dysfunctional van and headed up the road to the chiefs home. With a crash course in the appropriate words of greeting in Shangani (the local language) we introduced ourselves to the top man. He proved to be a charming, benign character that very much resembled the type cast African community chief. Grey haired and quiet he proved a fascinating source of information on the health issues affecting the local population.
He told us that the community was made up of around 4000 people who suffered mainly from conditions such as Malaria, Cholera secondary to a lack of clean water and HIV/AIDS. It seemed to come down to the lack of the most basic health requirements and education. There were local health posts staffed by competent nurses however they lacked the materials to deal with anything other than the most basic of problems. The nearest hospital was over 30 kilometres away in Chokwe, an impossible distance to the significantly unwell with no transport available.
After this constructive meeting we were taken to see one of the local health posts and meet another pastor who worked with the nurse there. A bumpy trip up the road saw us arrive at the home of Henni who, with his wife and daughter, had relocated from South Africa to the area. Amongst his pastoral duties, Henni made time to help out at the local clinic becoming the resident expert in the treatment of minor injuries. With basic training and a paucity of materials he was working wonders treating a huge quantity of cuts, scrapes and burns that walked through his door. A combination of common sense and perseverance meant he coped, even with a rather unconventional use of animal disinfectant as a cure for septic wounds.


We went on to tour the clinic itself and meet the nurse who dealt with anything and everything. In the absence of ARV's she was limited to symptomatic relief of the many manifestations of AIDS in the multitude of patients suffering from this widespread problem.

It was after dark by the time we got back to the mission and after a very welcome dinner we collapsed into bed exhausted, our minds buzzing with information.

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Day 114 Tofu to Xai-Xai

The day began with a final breakfast overlooking the Indian Ocean in beautiful Tofu. The journal needed updating and as both vehicles had been static for a few days inspections were more involved than normal. Happily both vehicles were in good order so off we headed to Inhambane to send the journal. The journey down to Xai-Xai was marked by our first encounter with the Mozambique police. With prior warning of an impending speed trap Austin slowed to 10kph below the speed limit. This limit had been imposed at the bottom of a hill by the unique method of repainting the sign to 50kph, the very first time any limit below 60kph had been imposed. Needless to say the police stopped us and presented a radar gun with 57kph displayed. Neither Giles nor Austin had seen this gun being fired and it became laughably apparent that this was a method of increasing wages. The officer duly imposed his fine which was halved with a little gentle persuasion from Austin, no receipt naturally. Doubly frustrating since we have had no such problems since leaving West Africa and so were a little out of practice. The Nigerian defence may have been a possibility. He was never going to be strong enough….
Thanks to this delay and a later than expected departure time we found ourselves driving into the darkness with the best part of 100 miles to go to Chiaquelane. Given the poor state of the roads and the suicidal driving we have encountered at night we decided to stop for the night at Xai-Xai and then get up early the next day to make Chiaquelane for early morning.
We made camp at a strangely desolate caravan park with howling offshore winds shaking the tents alarmingly and settled down to a relatively sleepless night.

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Day 102– 113– Tofo

Mozambique continued to impress us as we took the chance to stop to rest for a few days and make contact with Hope for Africa to update where we were heading for. Another round of e-mails and counter e-mails with the fantastic staff at Hope for Africa found them pleasantly surprised at our imminent arrival and allowed us to find out that there was a site that they had built that is doing some great work in the community near Xai-Xai that we could visit. We managed to arrange to visit them the following week; we were hoping this would give us a chance to see the kind of work they do, which encapsulates aspects of Religious, Agricultural and Health support.
We were excited to think we might get a sneak preview of the kind of stuff they are doing before we have to head south to register the vehicles, especially given that we may be able to purchase supplies in South Africa that we could bring back up to Mozambique.
The time in Tofo also gave us a chance to start getting in gear ideas about how best we could apply ourselves in terms of research or education. We have a number of different potential projects in mind but are acutely aware that these need to be flexible to allow for adaptation on site. We all very much hope we will be able to do some basic health education whilst we are there and possibly some research into what is known locally about HIV/Aids.
Whilst in Tofo we had the kind of chance encounter that never ceases to amaze us. Staying in the same camp site for a couple of days were Marcus and Nicola, a couple of HIV specialist nurses who had driven down from the UK, via a different route to our own, and had spent time in Ghana setting up a health post and doing health education at a local school (under the name of Africaid).
They were continuing on to further fantastic projects including another site in Durban and working for the Harare based Mildmay project (the same group who’s site we visited in Uganda). We had actually had a series of e-mail contacts with them whilst we were still in England but never expected to meet them in person. Quite apart from being great fun they provided inspiration to us as they gave us a run down of the amazing work they had done both establishing the health post and putting together education about ARV’s (Antiretrovirals – the mainstay of treatment of HIV/AIDS).
Given that we have no specialist knowledge of HIV we were encouraged to hear that the majority of their work outside of teaching about ARV’s was on basic health education such as sanitation, nutrition and information about sexually transmitted infections. This is all very much along the lines of what we hope to achieve ourselves and was a timely boost to our efforts.
Around all of this excitement we fully recuperated and enjoyed the beautiful surrounds of Tofo, meeting the locals as well as the many South Africans and other nationalities. We were fortunate to meet a fellow Englishman who talked of current plans in the community to establish a health post and the great needs for education and health support there are here, and it has certainly been added to the list of potential sites that need future support.
It was with a sad heart that we prepared to leave Tofo but excited at the prospect of seeing some of Hope for Africa’s work first hand.

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Day 101– Chimoio to Tofo

We continued our journey with the aim of getting to the coast that day. As per usual our approach to travelling dictated we pulled long days of covering great distances before resting.
Throughout this slog our appreciation of the difference between Mozambique and the rest of East and Southern Africa was growing. Originally known as Portugese East Africa, Mozambique has seen years of highly destructive civil war followed by horrendous floods in 2000 that left the economy crippled and infrastructure almost non-existant. Despite all of these problems (or perhaps because of them) the people are some of the friendliest we had come across, all around the country there seemed to be a crumbling Portugese flavour combined with sunny African smiles. We were happy to find that our group’s lack of Portugese didn’t hamper us thanks to the multilingual capabilities of the majority of the people we met.
We once again drove on better roads than we expected and made good time to Villanculos, the stepping off point for the Bazaruto Archipeligo, a stunning group of islands. Having quickly cased the joint we decided we could still push on further down the coast and to a smaller but equally lovely site called Tofo.
The road took us past acres of swaying palm trees and paddy fields that increasingly took on a sandy background until we finally arrived, exhausted at a campsite near the beach.
Verging on the side of masochism Duncan decided he would push on to Maputo very early the following day to enable him to be there in good time to meet the lovely Bethany, his girlfriend (and supplier of the emergency rations that we enjoyed so much in the middle of the jungle), with whom he would be having a few days holiday. Having had a quiet pasta supper and an early night he was ready for the uncomfortable bus journey to Maputo, suffice it to say we said our goodbyes in good style the night before to avoid dawn the following day.
God speed Bunky….

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