Creamy Cm Prior To Ms

Imprest

Wenn irgend etwas gekauft, repariert oder angefertigt werden muss, müssen wir unsere Handwerker, Angestellten oder den Fahrer als Mittler bemühen. Natürlich könnte man selbst nach Handwerkerleistungen oder „Dingen des täglichen Bedarfs“ fragen, aber wir sind nun einmal “wazungu“ und für uns gelten beim Einkauf oder für Dienstleistungen andere Preise – Weiße sind per se reich. Auf jeden Fall wird dann zuerst nach „imprest“ gefragt. Niemand hat hier genug Geld, um eine Leistung oder Ware vorfinanzieren zu können und braucht deshalb einen Vorschuss. Da es keine Festpreise gibt, wird jeder Vorschuss zur Verhandlungssache. Bei diesen Gesprächen erlebt man dann a strange phenomenon: When it comes to their own money, the employee count every penny. Since it can happen again, that a nurse, calculates the salary payment by the required rounding, it would lose in three months about 500 shillings (or about 25 cents). A wage differential of 1000Tsh will be demanded for sure at the next salary payment. Is it for the money but the hospital will know the generosity-no limits. Advances shall often simply absurd. For example, since, as already mentioned, for the production of two chairs ever written 2kg 2kg nails and paint, for the Construction of a small sewage pit in 1000 bricks or firewood carts for 7 105 liter diesel (so you could go to Dar es Salaam and a bit further!). There is - as always, several reasons for this incomprehensible in our eyes claims.

It is, and this is also witnessed in Germany, always easy to spend other people's money, as the proverb says, with a strange ass can be good to go through the fire. Since it can ever happen that the principal of the nursing school, wishes for the door to his office an expensive designer door handle set, the 3-4 times the normal cost. It is not his money privat würde er sie niemals!! kaufen oder auch nur an einen Kauf denken. In der Vergangenheit hat sich nie jemand die Mühe gemacht nachzuprüfen, ob die beantragten Mengen auch wirklich gebraucht wurden. Um auf die Abwassergrube zurückzukommen: als wir in Lugala ankamen, lag neben jeder der in den letzten Jahren gebauten Gruben ein Haufen Ziegelsteine. Es wurden eben irgendwann einmal 1000 Steine bestellt, 700 wurden verbaut und der Rest blieb liegen und irgendwann war er überwachsen oder zerfallen. Niemand hat gesagt: 700 Steine reichen aus, diese Rückmeldung war auch nicht ausdrücklich verlangt worden und der leitende Arzt hatte mit Sicherheit anderes zu tun, als sich um den Bau von Abwassergruben zu . Take care But it is still difficult to explain to the purchasers the amount actually needed and in relation to the stones that has also only works after I have shown on a wall, how much can be built with 1000 bricks. The many stones lying around, then we have built the way for a new pit and into the floor of a whole house and there were still some left.

It is different with the aforementioned nails, paint, pens, batteries or other small things that are always required in large quantities. So much can be consumed, and I find it impossible in these orders are on a saying from the DDR: off unseren Betrieben ist noch viel mehr herauszuholen. Was dann ja auch gemacht wurde- ich war da keine Ausnahme. Oder man einigt sich hier mit dem Verkäufer (der natürlich die volle Summe als erhalten quittiert) und teilt den Überschuss. So funktioniert das bei der Materialbeschaffung und wir haben den großen Vorteil, dass wir in unserem früheren Leben in einem sozialistischen System aufgewachsen sind und uns die Tricks und Beweggründe noch einigermaßen vertraut sind.
Bei „imprest“ werden aber auch gleichzeitig die Entlohnungen verhandelt und dabei wird es dann richtig spannend. Der Vorschussempfänger wird nämlich für den Auftrag cash worker hire and every shilling that he is acting out more, to his credit. It is therefore necessary to consider: what is the qualified labor, as is the normal day's pay for it and how much time must be estimated for completion. To return to stay with our sewage pit: the construction of the pit 100 000 Tsh were written. This corresponds to the monthly earnings of an unskilled worker - the amount demanded the wages for 20 days. One must therefore reckon that the daily wage is 5,000 Tsh, ask about the time required for the construction and then the sum set, plus an encore, because somehow have to end all parties are satisfied. The currently under construction, new bike shelter is another example. The old one was more than dilapidated, and the first Imprestforderung for the new building was a little over 1.6 million. A complex roof structure, everything is new-as I said, someone else's money is no object. We then agreed after a few calls to a simpler version, and also suggest that the waste material is reused. Now it costs to build nearly 200,000 Tsh. A further difficulty is that prices in the last year to 20 - have risen 25 percent. On our arrival the cost Tsh 1600 liters of diesel, now there are 2,000 Tsh, the price of a bag of cement has risen from 1,200 to 1,500 Tsh Tsh, and this inflation must be considered natural. These "negotiations", even if jobs are to be provided directly to cash worker, it is striking that for many locals is often difficult to see certain situations abstractly and to consider the consequences. Again the example of mine: I can demonstrate how much wall you can back up with 1000 bricks, when transferring to a surface is then already very difficult. Or, if a landfill is to be prepared. This requires a large pit to be prepared (when I read the previously written: one might think, here are constantly dug pits ...) for estimates of 500,000 Tsh. That's a lot of money and the 2-3 employed Workers can make good money with this project. They are for less than 4 weeks away. Two previously mentioned workers wanted to Tsh 1.2 million, a sum that they can not imagine likely. But for the money offered them work and not sit still at home, without any merit.

All this is really only one time to illustrate how the daily process is often complicated because it often "cross-cultural problems" there. But we have in one year here and noticed that it is impossible to compare our world with the world of the locals and even less transfer. Maybe that's a good thing, because it would be bad if the German approach should the whole world.

P.

Camomile Valerian Root Tea

false start

About the trouble with our faulty equipment I had already reported the repair of the copier was really expensive and our Charger for the solar system, before we 4 weeks in Dar es Salaam have given, we are still waiting. During the evening generator run time, the batteries are charged and the solar energy during the day is not enough to supply all equipment. Since then we have to live with constant power failures. For the are operating theater is now an economical small generator, we have especially for this purpose as the emergency set of Peter's private donation in Dar es Salaam bought.

On the way there we overtook the almost obligatory flat tire, but this time not only with flat feet but totally shredded tire that was bought in October last year again. With the spare tire, we luckily without incident to Morogoro. For the real thing with another Untewegs-breakdown I would not imagine, there are finally no ADAC, can wait for you ...

No quality tires from East Africa

Wie immer war unsere Einkaufs- und Erledigungsliste sehr lang und diesmal stand auch ein Bankbesuch auf dem Programm. Es soll möglich sein, für unser Bankkonto einen online-Zugang zu bekommen, mit welchem wir immerhin unseren Kontostand abrufen können – mehr geht sowieso nicht. Die SOLIDARMED-Chefin ist öfter in Dar, hatte diesen Zugang schon beantragt, eine Bestätigung mit Passwort für das erste Login auch erhalten, funktioniert hat es nicht. Das Bankgebäude war schnell gefunden, die eisgekühlten Glaspaläste sind schließlich nicht zu übersehen. Wir vermuteten den benannten Mitarbeiter in einer der oberen Etagen oder wenigstens in einem separaten Büro. Aber er saß middle of the main hall, like all other "customer service" surrounded by countless customers who all held him any piece of paper in my face and wanted to be served first. There was pushing and the most incredible mess that you are in a bank building can not imagine and which does not quite fit the more conservative Tanzania. The jostling, I gave Peter some point he got a current account statement, a form with a further signature and a promise that the online access is enabled in the next 3-4 days. Our consultants sounded very convincing, and despite almost a year Tanzania experience we believed him - it does not work today.

Die Trockenzeit war bzw. ist diesmal sehr lang und der Wasserspiegel weit abgesunken, was bedeutet, dass schon morgens kein Wasser mehr aus der Leitung kommt und nur die Pumpe bleibt. Für den Hospitalbetrieb wird natürlich auch Wasser benötigt und wir müssen ab und zu auf teuren Generatorbetrieb umschalten, um unsere Wasserpumpe in Gang zu setzen, die übrigens auch Ersatzteile brauchte. Wird Infusionslösung hergestellt, muss die Wasserversorgung ebenfalls gesichert werden. Letzte Woche bat der Mitarbeiter, den Generator anzustellen, für die benötigte Menge Wasser braucht er ungefähr 5h. Leider fiel genau in diese Zeit seine Pause und er ist erst einmal für über eine Stunde zum Lunch verschwunden. No one understands
here that are running water and electricity something special. We know that there is no water in the morning even more, turning the taps yet to stop and when the water is flowing again, must first find someone who endeavors to cut off the taps again. Emma and Charles are the way, since no exception. In a room of the nurses station, a water tap was turned, was no longer so close. And it bother anyone that the water continued to run continuously when the generator was turned on, and then the lights during the day in all rooms. Even our so prudent Matron lost not a word, they have it simply has no sense.

beginning of February were for 3 days, the auditors, the hospital under the microscope. Their verdict was not too outstanding, but not unexpected for me. Having established that Njaala going to study, took in July of last year, our young inexperienced accountant, and his work at that time also favored by SOLID ARMED accounting program was introduced. Although there was substantial support from their accountants and adept when requesting information, we always heard hakuna Shida Dr. (no problem) but it just was not quite so. In any case, there were some discrepancies in bookings from the paper documents that were captured not necessarily complete, what surprised at his loose bits of paper, however. It was of course our stupidity, in 2010 not to declare as a test run, is the introduction of new software, it eventually finds it difficult. But afterwards it is always wiser.

But as a result is here checked off quickly. All look forward and do better next year.

B.

Steel Seal Head Gasket Repair Sale

Makambako

led the drive to Makambako our first time at the branch in Mikumi but not towards Dar es Salaam on the "Tan-Zam Highway as far south through beautiful mountain scenery. The road will be repaired, currently with Danish assistance and to switch between sections that deserve to be called expressway and causeway. It is interesting to observe the reduction of road building material. In Tanzania it is not exactly squeamish in cases of large, old trees, either as firewood or for burning of bricks, but baobabs are spared and remain on islands. To burn them, however, would also not be used because the soft trunk of the baobab is like a sponge and can store large quantities of water to it to survive secure in the dry season. For many locals, the trees are considered sacred, for which there is of course a story.

baobab or monkey bread trees - enjoy respect and not like

Makambako is a rather insignificant town and owes its popularity probably only the fact that it lies at an important transport hub, this cross railway (TAZARA ) and highway (Tan-Zam), both towards Zambia. (The z in Kiswahili as voiced s). We had arranged by telephone with Kuandika. It fit well, he was in the annual leave at home with his family, only about 5 hours by bus from Makambako entfernt und war auf dem Wege, sich ein Bahnticket bis Ifakara zu kaufen. Nach Besichtigung der kompletten Fracht hat Kuandika für einen kleinen LKW den Preis ausgehandelt, mit diesem wurden die große Kiste mit dem Narkosegerät, die sperrigen Krankenhausbetten mit den Matratzen und Rollstühle transportiert. Alle kleineren Kartons konnten in unserem Auto verstaut werden. Da Kuandika den Lorry nach Lugala begleitete, haben wir uns für die Rückfahrt 2 Tage Zeit gelassen. Einen Zwischenstop gab es für uns im ca. 1600m hoch gelegenen kühlen Iringa, und einen weiteren in den Udzungwa-Bergen. Iringa gilt als Tor zum südlichen Hochland und ist eine geschäftige Stadt mit fruchtbarem Umland. Schon in den 1930-er Jahren wurde Tabak angebaut and from this period are still a tobacco processing factory and a couple of very nice old buildings, however, have their best time long past. In addition to the tobacco there are tons of onions and tomatoes, you might think from here the whole country is supplied. In a cannery tomato and chilli sauces are made, which are considered the best of East Africa. Maybe.

course we go Kuandika inquired of the circumstances of the journey and have to learn that after a broken axle, which is here at the rickety vehicles on poor roads to normalcy, was a long enforced break. Ultimately, we almost simultaneously in Lugala on.

The beds are now enriching our intensive care unit, the anesthetic machine is still unused. Our anesthesiologist Lothi has delighted being received, he had experienced during his visit this device already in use in Torgau. For the mandatory Controllcheck before operation and in a prescribed cycle during operation needs including nitrous oxide, which in Tanzania probably hardly used and is therefore difficult to obtain. Previously, it was at least in Dar es Salaam is not available from the usual suppliers of medicines and hospital equipment, but you want to check there for us. Great things often fail on small details.

B.

Does Cocoa Butter Help Scars

ride to the start of New Year greetings

is much for us even after 10 months in Lugala difficult to understand.

school in our Nursing, there are 2 volumes with nearly 100 students, who retired from the school principal and 2 teachers, which, however, be visited as a Tanzanian government officials primarily well-paid meetings, taught. A few hours can also be given by staff of the hospital, which is much too little and they need trainers. For our registered nurses, a one-year training is sufficient in an examination, they are Nurse Tutor. So was asked by posting who has this interest. SolidarMed will pay all costs. Even on New Year's afternoon, the HMT was called the SolidarMed - representative had the training contracts a few days earlier made known to all and we expected a quick signature round. Actually, we should have known it when you have once arrived to the meeting, it will chatter. But the most incomprehensible for us here is that the three the chance to get a higher education, all costs, including accommodation, food, writing materials usw. werden übernommen und sie bekommen ihr Gehalt vom Hospital zu 100 % weitergezahlt. Doch statt wenigstens einem leisen Danke, kam als erstes Kritik, dass sie laut Vertrag 3 Jahre als Ausbilder in Lugala arbeiten müssen. Da fehlen einem schon mal die Worte.

Eine der drei Kandidatinnen war in den Wochen zuvor vom Schulleiter als eine Art Zeugwart eingesetzt worden. Damit hatte sie die Verantwortung für die Beschaffung von Material und Lebensmitteln und natürlich auch für die Aufzeichnung des täglichen Verbrauchs. Wir verwahren lediglich das Geld, geben es nach Anforderung des Schulleiters heraus und führen ein Cashbook. Reis, Mais und Bohnen müssen jetzt in großen Mengen eingekauft werden, für the storage, the hospital had the big crates provided the donations last delivery. Some things are the price seemed a bit high, and Peter said casually that he would ask Charles, where one buys the cheapest. For purchases much money was spent, always with the proviso appropriate receipts or at least the signatures of the people, of which as few bags of rice and beans were bought forward. Because of their imminent departure, they brought her out now as desired records in our office, a successor has not yet been named and is actually the transfer issue of the school head, der wie so oft nicht da war. Aber um ihr den Gefallen zu tun, haben wir gemeinsam alle Lagerräume aufgesucht - mehr als die Anzahl der Säcke feststellen konnte ich ohnehin nicht – und ich fragte, warum sie in ihren Heften nicht unterschreiben lässt, wem sie Geld für Fisch, Fleisch oder Bananen gibt. Es stimmte so vieles nicht. Ich war mir nicht sicher, ob sie es nicht besser wusste oder eben das viele Geld zu Schummeleien verleitet. Am nächsten Tag war alles irgendwie passend gemacht... Sie ließ die Bücher im Büro und auch die Schlüssel für die Lagerräume, obwohl sie ja noch ein paar Tage da war, doch verständlicherweise Zeit für ihre eigene Vorbereitung brauchte. Ich war damit einverstanden, weil in unserem Büro immer jemand ist, der den Schlüssel herausgeben kann.

Nach einem ruhigen Silvesterabend in kleiner deutscher Runde – zur Zeit weilen wieder 2 Studenten in Lugala – und einer Flasche Sekt um Mitternacht, begann der Neujahrstag mit großer Aufregung. Peter Hellmold meinte, der Schulleiter wäre da, völlig aufgelöst, er fühle seine Autorität untergraben, könne hier nicht mehr arbeiten, alles sehr theatralisch. Was war der Grund? Zunächst beklagte er sich, dass er keine Schlüssel für die Lagerräume hat. Die gebe ich immediately gratefully, finally, I should not even have. Much worse was that Peter had mentioned Charles to ask for prices. That would could now not really, if he says as principal, how much money is spent as for beans (prices vary during the year very strong) then you surely can be determined by a Gardenboy no other price. Previously, he had asked about Charles' qualifications. That our Gardenboy has often stepped in enough to take our car to the corn or rice mill, because its students in the morning before the door stood and complained that they had nothing to eat, we'd rather not mention at this moment. A driver here has a very high status and who knows whether the license of a guard Boys in his eyes is enough of pupils accompanied sacks to the mill to drive.

always be put at the end of all that there are simply misunderstandings and we passed each other in a friendly. Of course he is happy to head in Lugala.

busy in the next few days I have still the nursing school. A 4 - week internship in village health stations for the students of the 1st Cohort is to be prepared, ie 4 groups cater for themselves, have all the equipment purchased, including cooking pots, Holzkohleöfchen small, which is cooked on here and lamps, rice, maize flour and beans are packed. Money for tomato, meat, fish, etc. given. A cost estimate was not there before and still charge nurse asks me to help her. I immediately fall back on the concerns of the school head. I will certainly not determine how many students eat when, and only take on the arithmetic. Altogether there are about 20 items, from corn flour to the oil lamp, and after a few hours I give some notes from the till.

But that is still not enough, the student must be brought to the various locations, but our driver is in the next Meet with patients on the road. So once again, our car will be used and one of our students as a driver is looking forward to the fun with the Land Cruiser.

Besides, there are many other annoyances, our copier has given up the ghost, after several only sporadically successful repair attempts, we have to take it next time with Dar, our elderly solar system gets out more often and we need to switch to expensive generator operation, the employees are dissatisfied despite huge salary increase, because the escalating allowances are to be trimmed to a reasonable level ... We waited all day on the news from Makambako that the donation container has arrived for collection. We were informed that the containers, which our cases were settled is on 17 December by road from Dar was underway. The responsible staff member was asked to make contact with the parish priest and to inquire about the arrival of the container. In our daily demands, there was always the same answer: bado - yet. After he was on 3 had logged off again in January for a week to Dar for one of its important meetings, we have even called and told that the show is, since December 24 in Makambako and this was communicated by telephone. It probably has the employee is not interested, because this time nothing personal for him it was the last time he was so overzealous. The community can be the safe storage of such supplies understandably pay well, there are several institutions in the South, for whom this station is a temporary storage. In order to avoid further storage costs, we left the next day after Makambako. For us it was a welcome change that later.

B.

Court Order Comunity Service Letter

The year 2010 is over, hopefully for all back with a satisfied look. For us it was an exciting and exhausting year with many new impressions and Experiences, positive as well as depressing and sobering experience.

We wish you all the best in 2011 `s, health, confidence, joy to overcome new challenges and power, one way or another hurdle.

We come to mind for the New Year with you, to welcome in 2011, however, already 2 hours earlier.

Karibu 2011!
Karibu Tanzania!

Flashgame Train Bridge

vigilantism

before last night we are on the east by a chaotic noise awakened. Not far from our house, screaming men, women and screaming can be heard blows. We think that there will be a fight among drunks. On the bright morning then a great outcry and eventually we learn the cause of the nocturnal noise: 5 people in the tiny Duka la dawa (pharmacy) entered the village to steal, and would obviously have been surprised. A thief has caught them, the others could escape. The one they killed with clubs. This is common practice in this country certainly, but it is then but a difference whether you hear in stories like this, directly or witness is. The self-proclaimed Rächern wird übrigens nichts geschehen: erstens gehört das zur Folklore und außerdem kann kein Richter unter mehr als 20 Knüppelaktivisten den Schuldigen herausfinden- insofern ist hier Diebstahl mit erheblichen Risiken verbunden. Niemand findet das nicht in Ordnung, das Leben geht seinen gewohnten Gang.

P.

Rubbermaid Vs. Efla Shelving

Our Christmas Christmas greetings

Der Heiligabend- Arbeitstag endet ausgesprochen unerfreulich: gegen 16 Uhr kommt eine Nurse und erklärt uns, dass sie an ihrer Wohnung einiges auszusetzen hat. Bei Starkregen spritzt Wasser an ihre Tür, im Hof läuft das Regenwasser nur langsam ab, ein Schloss ist defekt und überhaupt ist die Wohnung für sie und ihren ganzen Hausrat (alles zusammen passt in eine Badewanne) zu klein. Ich sehe es mir an, die Mängel können behoben werden, sind aber seit Wochen bekannt und außerdem ist jetzt Freitagabend- man könnte also bis Montag warten. Nein, ihr husband würde kommen, außerdem gefällt ihr die Wohnung nicht und sie möchte eines der freien Häuser haben. Nebenbei: sie arbeitet erst seit vier Monaten bei uns und das Hospital hatte ihr sämtliche Studiengebühren bezahlt. Daraufhin lasse ich sie einfach stehen. Doch sie kommt wieder ins Büro und will sofort alles repariert haben. Nocheinmal erkläre ich ihr, dass jetzt kein Handwerker mehr da sei, aber sie meint, dann I will make it. Then the discussion is first of all to an end. In the following conversation with Mama Chogo and Moses is clear that it is not about the shortcomings of the house goes: the nurse was simply an excuse to be able to make the dust - because of the sponsorship they have under the contract to work 3 years in Hospital . It is not the first, will just disappear. We go first to Malinyi, there has just opened a new pub-elevated standard for the village. We allow ourselves together and still have four beers before the darkness back home. It is now about half an hour more daylight, but the shortest night is now already again behind us. We read and I try reading the Christmas story to get in the mood, but it will not succeed me.

On 1.Weihnachtsfeiertag we are in the office until the afternoon, then finally concluded and there is our dinner on the terrace: Beate a young muscovy duck has cooked with potatoes and for dessert - of course - mangoes. For cycling, it's too hot. In the evening we see the film "Keinohrhasen", it's suitable entertainment.
the 2.Weih night holiday, the way it does not exist in Tanzania, we begin with a hearty breakfast, then drive to Sofi mission. The town is ca.30km removed, we need but nearly an hour by car.

Sofi Mission

is beautifully situated on a hill, the old mission station and its associated outbuildings, as well as school and hospital. The latter no longer works and also from the farm buildings, most occurred long ago. But it's an impressive place. We walk towards the mountains and then gets really nice.

The temperatures are like in high summer in Germany - if it even is a right old German summer - and the forest is like the Hainich or on the Hainleite May Everywhere fresh green, the Brachystegiabäume with fresh leaves and flowers blooming everywhere:

orchids, lilies and iris - it's incredible and we are very impressed.

Just in time for a strong storm we reach our car.

wait Our many mangoes waiting to be processed. So we make jam, which we succeed in good and fruity taste. In the evening there again cinema and we have Christmas with "Oceans 13" end entertaining.

P.

Is Aveeno Fragance Free Good For Tattoo?

We want our families, friends, acquaintances and other readers of our blog a happy and peaceful holiday season, moments of magic and time together.

Christmas spirit comes to us not so well. Warm humid air at 30 degrees just does not fit to do so. "Christmas trees" but there are. By this time the flame trees are in full bloom and are therefore referred to here as Christmastree.

Do You Think Interest Rates Will Go Up Or Down

once Germany and Back

The farewell to Germany we would have fallen much harder than we expected. Heavier than when we first leave the country. At that time, 9 months ago we knew absolutely not what we would expect to find in Lugala and We had actually set for the worst. Our expectations were pleasantly surprised, we have arranged with the life here and do our job in the hospital without any great illusions. This work does, unfortunately, also the daily confrontation with indifference, denial of reality and often have low levels of responsibility. This change from one dominated world of rational thought in the African culture is not easy for us. But what is left of our vacation in your mind?

First : that with the expected recovery has become nothing. We'd really need to know-in the fullness of the project and tasks. Perhaps I had simply made too much, after 9 months was the first opportunity and since you can sometimes lose the right measure.

Second : it was a pleasure to see again once temperatures below 10 degrees, although the crash of about 40 degrees when we left Lugala to freezing temperatures during our stay in Arnstadt and elsewhere was a bit violent . We can imagine that the ongoing snowfall (from which we learn via the Internet) is really annoying, I was certainly very grateful to experience a winter landscape.

Third : Food. We started with pork / sauerkraut and Erbspürree and ended with duck. In the days in between all the delicious German food, of course, we have increased both anything. Next time a few words about our eating habits here in the bush.

Fourth: we think that the Europeans appreciate the people here probably never fully or even understand. The habits of mind are just too different. We have noticed that some well-meant advice - in Europe this or that might be taken forward, but here the people tick just different. An example: we have very a space for newly burned children (happens often) set up, paid for by SOLID ARMED. Everything is tiled and there is a trough in which the young patients in need can be roars with warm water. Yesterday there was quite a stir - the patients and their families wash mountains full of clothes in the bath and the special treatment room has turned into a wash-house. They said that was practical and obvious, especially since most of our patients probably out of the bush have never heard of a bath, let alone have seen. The tub was full of sand and very dirty. We have had a somewhat different view.

Meanwhile we have here in the hospital the day again and that means, among other things: our accounting assistant is for 3 weeks vacation, that all work remains with us hanging, Beate takes care of the future of the finances and management of the nursing school (which now has 100 students) , a clinical officer is cut off by DAR - despite a written commitment to work according to the study paid by the hospital here a few years. In addition, last week was without signing a retired teacher at the door the next day and wanted to start working as a trainer for the nurses. Just under a year she had requested and now she has decided. All of a sudden. The `s had to first to be accommodated in the guesthouse. The students are by the way .... even during the Christmas holidays In addition, later this month over 2 million TSH additional payment to a former clinical officer due. This has disappeared several years ago after a dispute with the former hospital doctor during the night and fog, a proper notice was not made retroactively. So he was still officially employed. Although he was never seen again here, since then working in another hospital, he had successfully appealed to the regional office of the Tanzanian trade union unity to "lost wages". What can we say. Thursday evening at 22.00 clock are - of course-three unannounced Representatives of social security on the compound will be housed and fed. You want to conclude contracts with employees so that they, their spouses and children treated in sickness free. The hospital receives a fixed amount for each. The whole affair is well known for weeks, forms should be completed and passport photos to be done but nothing is ready. It's all just lying there. Beatrice has a long two days filled with all forms, copies of marriage and birth certificates. It continues with the laboratory staff: The laboratory is staffed pretty well. They have found their own regime and do not have to work overtime, do not understand why they do not still get extra allowances.

That should be enough. In a previous post by a pink flowering tree was the speech, the name was not familiar to me. It is a Bauhinia, orchid tree also called and named after the switzerland / French. Bauhin botanists.

P.

M Belly Ringsonster Energy

this short paper I had written before mid-November after we left Germany and password set, so at this point as an afterthought, since the issue is currently still in place and every day we find all the other big and small surprises busy.

On the last weekend of October a very expensive election campaign came to an end and all of Tanzania were invited to choose a new government. Predictably, remains President Kikwete further 5 years in office. In particular, the voices of the Tanzanian Government officials and all other state employees, he could probably be safe. The government has shown previously at their best again and increased the salaries of government employees by 28% completely covered, whether the facilities, including hospitals, it can cope financially or not. Of the 80 employees of the Lutheran Hospital Lugala 18 paid by the government on this claim, of course, not want to miss. be found quite apart from that it also increases our employer, a balance had to the other hospital employees. There was a meeting every day, subject: take one bit and the other to give something. And in the end no one is entirely satisfied. For us, this is obviously a difficult situation, because reserves are not there and the savings potential is exhausted. There will be no redundancies as possible. Thus, we expect to and fro, without reaching a satisfactory solution.

B.

Wedding Messagespiritual

2010 elections back from home leave

Now we're back for a week in Lugala. For the return journey we had probably chosen the right day when we see that Germany is sinking in the snow, roads blocked and airports closed. At least, the news on the Internet.

With our luggage we had exhausted the 40 kg for each almost the whole case took 72 kg on the scale, primarily because of the tools, surgical materials and equipment for the hospital. For our purely private things probably would have been enough to hand luggage. The interested in. Fortunately, not all the luggage. The saw blades, because we had to unpack the suitcase on the flight home went smoothly this time in Berlin by the control. worked with the circular saw blades our carpenter for 20 years. Finally, was hardly an ordinary cutting is possible and so we brought the blades for sharpening. Mr. Steikert of the CNC - Tool grinding Steikert in Göllingen she has kindly sharpened free of charge for us.

Kuandika, our driver picked us up at the airport on Wednesday afternoon and then began already equal to the stress. Since Independence Day on Thursday, and thus national holiday, was all purchases had done just after our arrival will be, so drugs at two different wholesalers Kuandika had a list of spare parts for vehicles, of which he still before our arrival nicht alle besorgen konnte und natürlich auch diverse Lebensmittel und andere notwendige Dinge für die nächsten Wochen (wie Nudeln, Butter, Olivenöl, Kaffe, Waschpulver....), auch für den Arzt Peter Hellmold, der uns seine Einkaufsliste geschickt hatte. Das alles nach einem Temperatursprung von 40° nach einer fast schlaflosen Nacht im Flugzeug. Es war ganz schön anstrengend und wir sind abends todmüde ins Bett gefallen.

In Dar es Salaam gab es noch eine sehr schöne Aufgabe zu erledigen, wir haben Spendengeld aus Deutschland umgesetzt. Am letzten Tag zu Hause erreichte uns eine E-Mail von Peter Hellmold, wir sollten bitte in Dar ein Lichtmikroskop für unser Labor kaufen, er hatte es in a laboratory equipment ordered by phone. Our old microscope has withdrawn permanently and become unusable. This microscope is designed for daily observations but absolutely necessary (especially for malaria and stool tests, as most patients, mainly children verwurmt,). The microscope cost 2 million Tan.Schilling, about 1000 €. So we have the generous donation of the architects Utta Enderlein with the proceeds from stamp sales to the Friends of the stamp collectors Harri Bechtel and postcards from my father, and Ebay auctions professionals increased, and it paid for the microscope. Our laboratory manager, Mr. Kaberege, it has delighted in Empang and put into operation immediately.

Mr. Kaberege and Mama Chogo went with a new microscope

On Thursday, then a jerk as far as Lugala, 13 hour drive. After the first rains, the road from Ifakara was partially eroded very. We were lucky that no truck is stuck on the track and, like the day before blocking the road. Thus, there are difficulties here as there, with us it's the mud, the snow in Germany.

Here we were received by then equal to the usual hospital everyday life with all its (financial) trouble. We have been welcomed, the us of course happy.
Revenue in recent months after the harvest well, but it is still the problem with the totally inadequate salaries increased. Even before we left for Germany, there were countless meetings and had in fact agreed on a compromise, but was not implemented with the salary payment in late November ....

be here by and by the ripe mangoes. We have already eaten plenty, it's really a pleasure. Instead of mulled wine at the end tastes mango juice with a shot ...
We now feel comfortable temperatures about 30 degrees, it is not quite as pungent as hot as in front of our departure, but this quite humid. However, the expected rain in recent days failed to materialize, there 'is always brewing up a few clouds, but it is not a drop.

I come with the air fares well, Peter, it may well prefer a little colder. The short-lived severe winter in Germany has been enough to me completely.

B.

Can You Use A Magic Eraser On A Baby

heat and fire

about the incredible heat now in the "African winter," I've been whining-it makes us to fully build especially me. Beate does so quite well. To about 9 clock in the morning it goes. Then it gets hot and hotter, against 14 clock you can no longer be in the sun. The floor literally glows and all the air is hot. The earth is rock hard, everything is dried up and groundwater has fallen far. If we go with the wheels are late afternoon and then it's still hot enough, the earth is everywhere broken, no puddle or mud hole is visible. There is dust, dust and dust again. We protect ourselves a little by leaving Charles as the first morning sprinkle the street in front of our house with some water. But people in the villages, they almost always live in the dirt: either round mud or dust. If you still consider that they are going long distances to a bucket or Kanister einigermaßen sauberes Wasser nach Hause zu schleppen und das reicht dann gerade zum Essen kochen und Trinken- dann kann man sich ausrechnen, wieviel zum Waschen bleibt. Auch im Hospital wird das Wasser langsam knapp. Der Wasserspiegel ist so stark abgesunken, dass es gegen Mittag kein Wasser mehr gibt- es konnte einfach nicht genug Wasser in die Versorgungstanks gepumpt werden. Und beim Wasserholen an der Pumpe muss man schon einmal 5 Minuten warten, bis wieder genug Wasser für zwei Eimer nachgelaufen ist. Erst mit dem abendlichen Einschalten des Generators springt die Pumpe an und versorgt uns auch im Haus wieder mit Wasser.

Bei dieser Trockenheit ist es verblüffend, wenn gerade jetzt Bäume begin to flower and fruit is ripe. The flame trees (Delonix regia) are beginning to bloom, and another, pink flowering tree as well (name will be replenished), and the fragrant Franchipanibäume are all over full of flowers. The mangoes are getting bigger, lemons grow even with us in the garden and papayas have been around for months. The latter are so fresh from the tree really is a pleasure and with the fruit in the fruit section of supermarkets in Germany can not compare-we must also have an advantage.

As if the heat were not enough-around is now an almost daily basis, the dry grass burned in der vergangenen Woche hat es unseren compound betroffen. Plötzlich waren am Nachmittag ringsum meterhohe Flammen und mein erster Gedanke war unser Diesellager. Im vergangenen Jahr wäre es bei dieser Gelegenheit beinahe in die Luft geflogen und es hatte wohl einiger Anstrengungen bedurft, um eine Katastrophe zu verhindern.

Auf Feuerwacht mit Tischler und Feuermeister Mr. Lyabonga

In diesem Jahr hatte ich vorsorglich einen Sicherheitsstreifen hauen lassen und es war richtig schön zu sehen, wie die Feuerwand bis zu diesem Streifen vorrückte, das Feuer nur noch weiterglimmte und could be knocked out easily. Around our house or garden, it burned too brightly, it was pretty dramatic, but not necessarily dangerous, it has felt like Beatrice, was at the property line circuit.

At the garden "fence" was thankfully final

A few tragic moments, there was yet, in our garden had been living for a few days, a mother cat with her three small kitten. Although they were shy, but it was always quite entertaining to watch them at play. The boys were looking for a hiding place and then left the fire on them. This was `s then.

is in the vicinity of the garden an old, tall tree had taken root in the half-way up a swarm of wild bees. The wax is melted and of course the tree was burning and burning-in was deleted (8-10 meters high!) Of the question. During the night, the upper part of the tree crashed into our garden. Nothing happened, Beate has brought a sleepless night, Emma and Charles have the next morning got the big pile of firewood. Close by was another tree stump is another bee's nest. We had always wondered where the mango flower during the humming all around us came the swarm of bees could not find it. Now burned the stump a couple of days pretty bad at the honey. I say quite deliberately, because I've never eaten such as aromatic honey here in Africa, there is another advantage for us. The best comes from Taveta, here very close and almost as good from Tabora. But that is far away-a trip to Tabora would take longer than a flight to Germany. But even at these distances we have become accustomed, even the fact is that at some point and somehow this honey from Tabora to Dar and you can buy it somewhere in a booth. You have to find the booth only.

P.

Guy Cruiser North East

Tanzania in three weeks

Three weeks ago, I shared with Vera guest of Beate and Peter. Now I get the honor to a guest post on this blog Tanzania Adventure. My attempt to write
a structured story about the time in Tanzania, will not succeed me. Perhaps because Tanzania has no reasonable structure, maybe, because I lack the practice. Determines the latter. Therefore, the apparent arbitrariness in the following.

Habari ... (greetings)

We fail with our constant desire to accelerate in Tanzania already in the mutual greeting. For me it was a simple question for directions to the station. Irritated with Unverständnis im Blick und sehr zögerlich bekam ich mit einer Geste den Weg gewiesen. Was hatte ich falsch gemacht? In Tansania begrüßt man sich ausführlich!
Nach einer einführenden Frage nach dem Befinden, welche immer positiv beantwortet wird, kommt es zur obligatorischen gleichlautenden Gegenfrage. Diese wird – wie überraschend – natürlich ebenfalls positiv beantwortet. Dann kommen die Fragen nach Familie, Arbeit, Acker usw. Wenn dieser Dialog nach gefühlten fünf Minuten beendet ist, kommt man zum eigentlichen Thema. Das passiert uns u.a. bei einer Polizeikontrolle. Nach dem klassischen einführenden Palaver (übrigens eines der Worte aus dem Swahili, welches den Weg ins Deutsche gefunden ) has introduced the policeman firmly with great kindness, that our insurance had expired. After 5 € for his private and 10 € for the insurance we could continue.
What I could answer no one, how it works here with the emergency? At which point I would say that my house is burning?

clothing donations

So far, I thought this collection containers for meaningful Einrichtungen.Bisher!
The result of our clothing collections are auctions on various markets. Since about 5 men standing in the back and offer the land below, according to people screaming at each other through the garments. The winning bidder bekommt dann das Kleidungsstück zugeworfen und weitere, zum Auktionsteam gehörende Männer, kassieren das Geld sofort ein. Wenige Meter von dieser Auktion sitzen die Verkäufer und Verkäuferinnen ohne Kunden vor ihren Geschäften. Ebenfalls daneben sitzen Näherinnen mit ihren Singer-Nähmaschinen und warten vergeblich auf Kundschaft. Mit unseren „Spenden“ aus Europa und Amerika können nicht einmal die geringen tansanischen Lohnkosten konkurrieren.
Wir Europäer zerstören auf diesem Weg die Möglichkeit zum Aufbau einer Eigenversorgung und damit den Weg zur Selbstständigkeit. Die Abhängigkeit von Europa und Amerika – die wir zu jeder Gelegenheit beklagen - zementieren wir einfach.

Controlled cultivation

Once we can "teak furniture organically grown" and now with the appropriate approval in Germany and believe we have made also a Beirag with industry in Africa, in Tanzania you get a wonderful insight into the importance of this achievement.
Controlled cultivation means controlled logging of old appliances. Control begins with a slash and burn. After every last animal that could not escape in time, this has found its controlled end to be set with almost German sense of order at a distance of 1.80 meters, the teak trees. The forest is thus created to see that here Not much will settle. But the clean lines of this monoculture is seen that the only thing that will make even more progress here, the soil erosion.

Sauber! or say how the Tanzanians, "Safi" would.

aid to Africa

flow for many years, millions of funds to Tanzania. Germany alone has since 1962 a total of 1.6 billion EURO (€ 1,600,000,000.00) referred to development aid. For the years 2009 to 2011 is also about 50 million euros have been promised development assistance per year. This year, come back about 10 million euro budget support.

In two years anniversary! 50 years of development aid to a country in which the development assistance accounts for about 40% of the state budget. Although the country is stable from our perspective is, there seems to aid the regular dose of sedative to be.

Sure I miss this background! But it does not seem to work - that of development aid. After 50 years, perhaps a means should be reconsidered.

The dead mother and the toilet

Lugala died in hospital in a young woman. Devastating part is that the pregnant woman and her unborn child died because no vehicle was available to them in time to the hospital to bringen. Sie hatte seit dem Vorabend auf ein Fahrzeug gewartet. Wenige Minuten nach ihrem Eintreffen im Krankenhaus starb sie. Ursache war eine Uterusruptur. Bei der Einlieferung befand sie sich im haemorhagischen Schock. Sie hinterlässt drei kleine Kinder.

Am gleichen Morgen, kurz nach dem Tod der Frau, fuhren im Krankenhaus zwei Wagen ein. Eine Delegation des Distrikts, politische Vertreter der Division, Parteivorsitzende, der Hygienebeauftragte des Distrikts und die Polizei. Diese Delegation hatte ein gravierendes Problem zu lösen.
Eine Woche vorher wurden im Gästehaus des Krankenhauses „Staatsgäste“ beherbergt. Diese Gäste mussten tatsächlich, während sie auf der Toilette des Gästehauses saßen, see on a wall painted with oil paint. Just a Tanzanian state visitor has to look right on a 1.50 m high tiled wall while sitting on the toilet. In the afternoon there were two state carriages, to vote this time around the construction of two outdoor toilets.

priorities?

conclusion

Whatever is in this post, Tanzania is a beautiful country. The soil is fertile, the wildlife is abundant and people are generally friendly and kind.

Hi Beate, Hi Peter, thank you
.

Uwe

How Much Does Jcpenny Salon Charge For Color

teak ...

... from environmentally certified Cultivation - this label suggests controlled management of forests and soothes the conscience of environmentally conscious tropical wood-loving consumers. Timber growing and - weft be accepted under certain criteria as organic, but at what price?

The reality is this:

In Mikumi, leave the so-called Tanzania-Zambia Highway, a busy route from Dar Es Salaam to Lusaka, reached after nearly 3 hours the small town of Ifakara on the banks of Kilombero. Until then, a predominantly poor road with deep potholes and a few paved sections. But the track is varied, you drive through forested hills, past sugar cane plantations and rice fields, tangential to the Udzungwa National Park, rich jungle mountains with magnificent waterfalls and colorful African diversity seen in the villages along the trail.

are in the oncoming traffic is not only inter-city buses, vans and rice beer / cola truck, but also heavily laden timber transport.

Once you have crossed over by ferry happy to follow up Lugala another four hours on - depending on the season - dusty or muddy slopes and some beautiful wooden bridges, all now battered by heavy timber transporters. This route also through forested areas, however, are typical of the original rain forest with all its species richness only a few sections left. The largest part of the path line now extensively planted and fenced-in teak plantations. Where these standing in a row and `member trees soar into the sky grew closer over the centuries and also during the dry season, forest green - and was burned down. Vast areas of forest gone, and thus all animals living there. The Teak "forest" is silent. The typical sounds of the tropical forest, a permanent whistling, chirping, chirping, hissing sound - nothing is heard. Only a few Affen streunen noch herum.

Die schnell wachsenden, großblätterigen Teakbäume entziehen mit ihrem enormen Wasserverbrauch dem Boden das Wasser und sorgen mit dieser Austrocknung für eine weitere Verschlechterung der ohnehin schwierigen Wasserversorgung. Man muss ja nicht gleich jeden Wald zum Nationalpark erklären und keinerlei Bewirtschaftung zulassen, doch diese großflächige Zerstörung eines intakten Ökosystems ist einfach unverantwortlich.

"Wald" ohne Leben - Teakplantage

Wie so often, a lot of money in the pockets of fewer people. A few day laborers earn a few shillings for hard work and have to ruin their own country.

B.

How Bake With Silicone Cupcakes

The last few weeks in review - Visitors, campaign and other experiences

mid-September were 6 members of the Lugala working group, which the hospital for 20 years has supported, as a guest. Without this financial assistance would be mainly to supply the patient with drugs is not possible. Now the visitors had plenty of surgical material, various devices including a new cordless screwdriver for the OP and some culinary delights for our luggage.

Our main activity was the day before in the cleaning up, unpacking and sorting. Bed linen, towels determined, a thousand (!) Washcloth from previous broadcasts, all waiting for months in crates and boxes to use. When asked why it is not distributed to the stations, we are told that it will disappear. Will it not be distributed, it is also of benefit to anyone, but that is the nurses care. Lieber allowed to rot away unused things, as that one does not begrudge the truly needy. Take a towel in her mud hut, then the purpose is fulfilled as yet. The washcloth we now distribute to the many mothers with their children, they are grateful and happy about it.

trips to Dar es Salaam are always associated with a variety of purchases, in addition to medicines and laboratory supplies to office supplies, cleaning materials, spare parts and consumables of all kinds are concerned. addition, you drive never alone, there are always passengers who are in the morning before the door, this time we still had patients to continue treatment at Muhimbili Hospital on board and rice bags, which we were given by employees for their relatives in the capital. The expected arrival of our Guests on Monday evening gave us the opportunity for a weekend in Zanzibar. After all the daily bustle of such a small time-out is very quiet, apart from the constant sms with wishes, what is missing all of a sudden and we still would not forget to bring, such as batteries, etc., printer cartridges.

During the two shopping days in Dar, we had a total of 3 flat tires, fortunately, the guest house of the Capuchins, our head quarters in Dar. There, a friendly helper has taken over the repairs. The tubes have already been patched several times just to be replaced at some point. The climatic conditions and road conditions have been a particular hardship for people and materials. On the way to Lugala there was for the guests with a stopover visit to the Bishop in Ifakara. In addition, we received the request, but still bring 2 new mattresses for the guest house. So rope was concerned and found the fully-loaded car with lots of luggage on the roof and another 2 mattresses place. In Germany, should be met with such a charge probably no traffic control.

On subsequent days, the visitor priest, medical staff and an administrative specialist have - their activities in the hospital looking for. The 20th anniversary of the partnership was a colorful evening with many photos of the past few years, mutual gifts, with Coke, and peanuts held shower entertaining and worthy.

Peter was then with the group in our Dispensary in Tanganyika Mazagati that we had visited during the rainy season before. There necessarily had to be repaired, which are only now the dry season on the buildings. No one has been spared in this effort and the building was in addition to the necessary repairs above all a thorough cleaning and fresh paint - so neat, it has probably never looked there. Was stayed in Taveta. So this three-day trip bound deep in the African Busch the pleasant with the useful.

was during this time the hospital (control) visit to the head doctor of the district, a day later, the health minister, because it's election campaign. This opportunity should be used to once again highlight the importance of the hospital. The precarious financial situation has its cause in the fact that the government only to personnel for a 60 - bed hospital recognition and only pay for salaries. Over the years, the number of beds has increased to double, sometimes even these are inadequate and of course more staff than in the early years employed. In addition, each year 15,000 patients treated as outpatients. Thus, the device a highly frequented by the public rural hospital and guaranteed basic health care for over 100,000 residents. However, it does not have the status of a district hospital for which staff is paid more, because this comes in Mahenge, about 6 hours, for many people to rainy season almost reached. The Minister took note of it, nothing more. Success remains questionable, perhaps to somewhere else more. In any event, had to be, well that time worked with the departure of our Lugala working group for the high-score geradeso visit the guest house completely cleared. Catherine and Kurt, two German students who have completed an internship at the hospital, had to move out as well. The two I simply quartered on us, so at least I was not alone, and during our subsequent absence someone has lived in the house.

Lugala The adoption of the Working Group follows the visitors in welcoming our guests for: vera and Uwe. The two were allowed to suffer too, like the msd-shopping before the "adventure vacation" should start the next morning. We had just left the capital when suddenly a stone flies through the windshield. But bad luck that there was no personal injury and thanks Sunglasses was nothing in `s eye. People said, this raises Confused ... more bricks.

blessing in disguise

role pavement is held together with the rest of makeshift, built into the Toyota garage a replacement disc, a new South Africa must be purchased. On the site of the workshop, we heard a distinct hissing sound, the next flat tire, as appropriate.

On the way to our evening milestone Mikumi to welcome giraffes and zebras. The visit to the park brought this time ein besonders schönes Erlebnis: wir haben ein gerade geborenes Impalababy entdeckt und konnten beobachten, wie es immer wieder versucht, auf seinen wackeligen Beinen zu stehen – und es doch noch nicht schafft, allerliebst!

Noch keine Stunde auf der Welt

Am nächsten Morgen macht uns der Lodge-Inhaber freundlicherweise auf einen platten Reifen aufmerksam, Nr.5. Wir hatten uns dort ohnehin mit einem nach Dar fahrenden SolidarMed –Mitarbeiter verabredet, also übernimmt dessen Fahrer für uns die Reparatur und kauft neue Schläuche, wir erledigen in der Zwischenzeit unsere Formalitäten. Die Tagesetappe ist außerdem nur short, our goal is the Udzungwa Mountains. A day hike takes you through shady forests to the Sanje waterfalls, from the small bush elephants living there, we see only the remains.

Refreshment in the jungle to the Sanje waterfalls, 170 feet high, now in the dry season only a little water

The drive to Lugala uneventful, no flat tire, the ferry is intact. Even on our arrival we take a strange, yet unique smell was and we suspect a decaying animal in the adjacent field. Hang the laundry the next day I noticed a colorful cloth in the tree behind the garden. Closer inspection confirmed the suspicion that there is somebody I think in short, now we are also observed from this side - the people are usually only on the street in front of the house and gucken – aber er bewegt sich nicht. Peter geht näher und meint, dort hängt jemand. Wir holen Peter Hellmold und benachrichtigen Polisi Steven. Man weiß inzwischen, dass es ein seit 4 Tagen vermisster Patient war. Er muss von seinen Verwandten identifiziert werden und soll, da man ihn nicht mehr in die Leichenhalle transportieren kann, solange dort hängen bleiben. Die Familie wohnt 40 km weg, das bedeutet: Hängenbleiben bis zum nächsten Tag. Mit dieser Gewissheit und dem immer stärker werdenden Gestank ist es keine angenehme Nacht. Am Sonntag kommen die Angehörigen und schaufeln direkt unter ihm ein Grab, eine andere Bestattung war nicht mehr möglich. Charles meldet sich am Montag krank, er hat sicher nicht verkraftet, dass He has worked in the garden, without anything to say.

sort The following week I devoted to Vera books for the library, Uwe is the virus-infected computers of our "Internet cafes". Time for bike rides, trips to Malinyi, Biro or Furua and reading is for the two of course.

On the way to Biro

The planned trip by TAZARA back to Dar has been canceled, announced the 14 h delay, it may well be even more sind auch für tanzanische Verhältnisse ein bisschen viel. Außerdem erwartete uns dann eine Nachtfahrt und das heiße, staubige Ifakara ist nicht gerade eine attraktive Metropole, um sich dort die Zeit zu vertreiben. So fahren wir gemeinsam mit Kuandika im Auto in die Hauptstadt, er kauft diverse Ersatzteile für Hospitalfahrzeug, Traktor und Generator sowie zwei neue Reifen für unser Auto, damit wir für die nächste Regenzeit gerüstet sind. Wir gönnen uns ein Eis, für uns inzwischen Luxus, den es außerhalb der großen Städte nicht gibt. Für Kuandika war es das erste Eis seines Lebens.

Gemeinsam mit Vera und Uwe verbringen wir eine Woche in einer Strandlodge Pangani in the Indian Ocean. A trip takes us to Tanga, the third largest port city in East Africa with German history, morbid charm and pleasant atmosphere. We will go there again determined.

Former dt hospital - thanks to donations of money from Germany saved with a new roof before the decline, but it will continue to remain unused

For us this is the first full week of leave for 7 months. Here we reach the mandatory sms, from what Dar is still everything to bring. So we embark on the adoption at the airport again on a buying spree do get the medication in stock, not the last time, it unfortunately is not this time and break again after Lugala. On the way we now have the sixth Plates, this time in the bush. That's enough. A helping tow the broken wheel on `s roof and we reach Lugala before nightfall. The house is dusty total, said Emma has plenty to do on Monday.

It is of Day to day hot, the thermometer in the house now shows 35 degrees, everything is dried up and the dust nuisance. Once rain now would be not bad, we really have to wait until the end of November.

Large Amount Of Discharge Before Period

A check on the way

At the end of each quarter, our internet fee must be paid, just over half a million shillings. That's a lot of money not only for our troubled by financial worries Hospital in Arusha, but the provider is a monopolist determines the price, is not exactly customer friendly. The hospital has not offered in the National Micro Finance Bank (NMB), an account, online banking is, so does the payment of bills by check.

order to pay the internet fee Lugala filled in a check-whatever-Hellmold Dr. and Mr. Moses will sign. The check must now be brought to Ifakara, it needs to find someone that goes to Ifakara and bringing the check. This works well, but after a few days after the check is returned to Lugala: the signatures are not the right place. The previous checks were as-signed this time the signatures are just not in place, therefore: a new check. A friend of Fundi Kuandika want to go to Ifakara-Kuandika gets an envelope with the new check and to give to him. A few days later, we are now in Dar es Salaam to pick up guests at the Lugala working group from the airport, we get a call from Mr. Matimbwi, the solar energy expert who for the past few years no longer works at the hospital. He informed us of a call from Arusha, it was still paid more money and internet access will be blocked. Criticism here is never expressed directly, but immer über Umwege angebracht, in diesem Falle über den ehemaligen Mitarbeiter. Eine Nachfrage bei Kuandika: ja, ja sein Freund hat den Scheck mitgenommen. Noch eine Nachfrage: hat er den Scheck abgegeben? Nun ist der Freund per Celfon nicht zu erreichen.

Ein kleiner Einschub: am nächsten Morgen soll ein Mitarbeiter mit dem Bus nach Moshi fahren, um 50 kg Natriumchlorid und 25 kg Dextrose für die Infusionsabteilung zu kaufen. Abfahrt ist 4 Uhr in Malinyi/Lugala, dann ca. 12 Stunden bis Chalinze, übernachten, am nächsten Tag noch einmal etwa 10-12 Stunden bis Moshi. Dort am übernächsten Tag die Chemikalien einkaufen und in gleichen Etappen zurück nach Lugala, immer mit 75 kg baggage.

We learn that Kuandika forget the check and the employee has given him. This has the check then to a passenger who gets out in Ifakara passed, with the request to leave the envelope at SolidarMed. An employee does the banking for our hospital. Another demand: there is the check has not arrived, but he is to be located in Ifakara. We will arrange a phone call that our stub scanned from the check book and sent to Arusha. Somewhat encouraging is that our Internet connection was not switched off. Like everything here it will be announced first, followed by deeds rarely - weder im positiven noch im negativen Sinne. Ob der gescannte Kontrollabschnitt die Firma beruhigt hat oder das Geld überwiesen wurde, wissen wir ein paar Tage später noch immer nicht.

Wenig später erhalten wir von SolidarMed die Nachricht, dass der Scheck eingetroffen ist, bei der Bank eingereicht und nun mit den Unterschriften akzeptiert wurde. Fortsetzung folgt.

How Much Does It Cost To See A Vet Opthamologist

New challenges

Vor ca. 4 Wochen wurde eine vom Kreiskrankenhaus Torgau gespendete Röntgeneinheit, die einem Container beigestellt war, nach Lugala geliefert. Dieses moderne und leistungsfähige Gerät mit diversem Zubehör war in insgesamt 4 großen Holzkisten sicher verstaut und sollte nun endlich ausgepackt werden. Für solche Aktionen ist nur am Wochenende Zeit und so hatten sich am Samstag einige neugierige Helfer eingefunden. Die Kollegen der Sangerhäuser Holzbaufirma hatten schöne Kisten gezimmert und es mit dem sicheren Verschluss besonders gut gemeint. Es wurden unendlich viele Torx-Schrauben verwendet, für die zum Befestigen und Lösen ein spezielles Werkzeug benötigt wird. Wer hat so etwas im afrikanischen Busch? Natürlich der Hospitalverwalter mit seinem Akku-Bohrschrauber und den für die Torx-Schrauben passenden Bits. Der Akkuschrauber hatte schon des öfteren seine Bewunderer und in unserem versierten Hospitalfundi Kuandika einen Liebhaber gefunden. Für besondere Arbeiten bekommt er das Gerät leihweise und hatte es zwischenzeitlich schon in seinem für hiesige Verhältnisse gut ausgestatteten Werkzeugschrank einsortiert. Auch im OP wird ein solches Gerät aus einer früheren Spendenlieferung verwendet. Von diesem ist leider das Ladegerät defekt und so diente unser Gerät auch schon zum Knochen verschrauben. Für den OP erhoffen wir uns baldige Abhilfe, der Besuch einiger Lugala-Arbeitskreis-Mitglieder steht unmittelbar bevor, sie werden sicher einen Akku-Schrauber im Gepäck haben.
Die beiden Peter haben sich bei diesem Einsatz nicht geschont und damit wieder einmal Personal und Patienten beeindruckt. Leider gibt not even a photo. We had forgotten to recharge the batteries of the camera and the batteries are already available here unfit before they are even unpacked, you need it so buy the first place.
for construction and commissioning of the complete solution, we are now waiting for a mechanic from Dar es Salaam.
During this time I have copies for an existing local Polisi Steven of 50 A4 pages textbook 20 times. Our copier is indeed a very convenient device, but without ADF. Each sheet must be lodged separately and turned so the whole thing was quite cumbersome and time consuming. Also such a thing is only on weekends, on a normal working day our office is like Grand Central Station. There is no copier here, of course, far and wide, not so that this office will service as well as our Internet connection in the library be worth a lot for the hospital and become a modest source of income.
the afternoon, I've operated as a driving instructor. The hospital has 3 motorcycles, with which our medical officer for patient care now and go over land. The state program for health care requires that nurses also go to the so-called outreach and consultations in the villages and health education on nutrition, infant and child care, protection from HIV, malaria, etc. offer. Until now, Nurses were driven by car, car and driver were blocked for the whole day, transporting patients is not possible. Now we have for this purpose, a moped. The stands around unused for a month, because none of the nurses can take this pikipiki, someone has to teach it to them. I've agreed to, and of course before a round shot himself, after all I have for more than 25 years no longer sat on a scooter, than as a passenger with Jens on his S50. Back then it was my Schwalbe, this time a little, but I think, relatively heavy Honda 50th The once familiar Ride was fast despite this long break from driving again.
We had agreed on the clock 16.00 to the hospital owned airstrip. Of course, an eternity no one came and I had already contemplated again to drive, because now I seemed to me like the monkey in the zoo, or better the giraffe in the park, especially the countless children Mzungu-admired woman pikipiki with. But then they came - Mama Chogo, Prisca and Rose - in her flip flops and colorful Kangas.

first acquaintance with the Pikipiki

Despite these completely inappropriate footwear for the run three short training and less Vorführrunde by motorbike, which was off with the flip flops of course difficult. The layered, cumbersome and Kangas were taken after a short time. The most important: they enjoy and they want to go really own - let's see. are theoretical lessons and a test is not it. If we think it can go alone, then we buy for 5000 TSh (about 2.70 €!) A license to drive for the pikipiki and off you go. Now they practice every day, each with different skills - aber alle mit Turnschuhen.

Mama Chogo in Aktion

Mit Prisca bin ich die 5 km in`s Dorf sogar schon als Sozius zurückgefahren, allerdings in der hier bei den Frauen üblichen seitlichen Sitzhaltung, damit ich notfalls abspringen kann… Heute Nachmittag geht es weiter.

Rose mit Freude am Fahren

Rose war die eifrigste, fuhr jeden Tag ein paar Runden auf dem Hospitalgelände, hat sichtlich viel Freude am Fahren und war eine Woche nach der ersten Fahrstunde allein über Land move. The radius was limited to 5 km course only once, but this event was something special here and rose to be quite proud of himself.