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hank
you for your interest in our project among the people with AIDS and their
orphans. Masoyi Home Based Care is a Christian project caring for dying
people in their homes. By far the majority of our patients will never see
the inside of a hospital. Why? We have about 1500 hospital beds available
in our province. Since 1998 more the 40 000 people infected with HIV every
year. Each one of these people will need a hospital bed about three times
a year for between 7 and 10 day. This places an impossible burden on the
health system. We have trained community volunteers to care for the people
in their homes. I am the project co-ordinator and my wife Carolyn is the
project nurse. We also have an orphan co-ordinator Florence Mbokazi. Every
day we spend our time in the field with the volunteers supporting them as
they look after the patients and their orphans. Currently we have about
80 volunteers, 750 patients and 830 orphans. We try to keep the orphans
in their homes. This ensures minimum disruption after the death of their
parents. Their homes are also the only inheritance they will ever have.
Normally the granny of the orphans will move in and start to care for them.
We are then able to support the granny. Thus the adopt a granny project.
The try to let the granny move into the house while the mother or father
is still alive. During this time the children can bond with their 'new'
mother and see that it is the will of the sick mother. We provide the orphans
with food, school fees, clothes medical help, and electricity at the moment.
As you can imagine, our resources are stretched to the limit, but it is
still the most economical and effective method of caring. We strongly encourage
the community and the extended family to except responsibility for the orphans.
We see our role as a supportive role. We will also start to build some homes
this year for our destitute orphans. The home will take six orphans and
house parents. We are actively seeking a 'bank of foster parents' in the
churches. This will help us to place destitute orphans in good homes in
a very short time period. Some of our policies among the orphans are:
- no school no food. The orphans must attend school (and behave while
there!) to qualify for food. Our volunteers also represent them in school
meetings for parents. The teachers know whom to contact if there is
problems, and the children know we will also stand up for them if necessary.
- No vegetable garden no food. We developed big vegetable gardens in
the community for our orphans. Each orphan family has its own stand
in this garden. We buy the seedlings for them and they can eat or sell
the vegetables that they produce.
- We placed all our pre-school orphans in pre-schools. We are also
busy developing after school caring centres for the orphans. There they
will receive a good meal and will do their school work under supervision.
All this activities is done in and by the local community.
We also provide food and medicine to our patients with AIDS. Most of
the rural clinics cannot provide any medicine to really treat our AIDS
persons while at home. We work closely with a medical doctor, who is also
running an AIDS clinic. Food and medicine are the two top priorities of
any person with AIDS in Africa. This nutro porridge is a pre cooked porridge
and only water is added. People with oral thrush (very typical for AIDS
people) can eat this soft porridge. At the moment we buy the medicine
and porridge from big companies ourselves.
We have already been instrumental in the initiation of 28 other similar
projects caring for people with AIDS by training potential project co-ordinators.
All these projects are in Mpumalanga, Northern Province, Swaziland, Mozambique,
and Zambia.
George Snyman
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