On Sunday September 7, 2008 Saskia and I will give a powerpoint presentation about our experiences in Togo and an evite invitation will follow in August.
We can show you many pictures, tell you many stories and let you all know what happened with your donations of goods and money.
We hope you will be able to come for an afternoon of sharing drinks, food, photos and fun.
Wednesday, July 23, 2008
Pictures
School Children
Street Scene in Lome
Cooking Lunch
Pediatric Ward at the
University Hospital in Lome
Creative Time at PDH
Siblings coming for the childrens support group
Soccer Teams outfitted with the donated socces shirts
Classroom
Transportation in Togo
Friday, July 4, 2008
Last day
Here it is. Its arrival was imminent yet it still feels as though it snuck up on us, quickly: the last day.
During our stay at PDH we have laughed and cried, pulled out our hair in frustration over not being able to do more and our hearts just generally overflowed with emotion. We have learnt so much about Togo, its culture, its inhabitants and the hardships they face on a daily basis. For this we don't only want to thank the clients, we also want to thank the staff at PDH. Their patience, ingenuity and devotion are incredible and inspirational.
We have been able to see the enormous difference that PDH makes in people's lives here, sometimes solely by just providing a listening ear or a comforting hand on a shoulder. PDH helps people to smile again and their children's activities enable these kids, even if it is for only one afternoon per month, to be kids and just have fun.
The departure is a dreaded one. There is still so much work to do, so many cases still unresolved. As such we aim to continue working with PDH, albeit at a distance, perhaps returning one day. The work is incredibly important and we feel honoured that we have been able to play a small role in this. Thanks to everyone here, thank you to everyone who donated money and goods, they have had a huge impact. Even though this might be the end of a chapter, the book is far from written. Keep checking the site to see how the story unfolds.
Bisou!
Yoka and Saskia
During our stay at PDH we have laughed and cried, pulled out our hair in frustration over not being able to do more and our hearts just generally overflowed with emotion. We have learnt so much about Togo, its culture, its inhabitants and the hardships they face on a daily basis. For this we don't only want to thank the clients, we also want to thank the staff at PDH. Their patience, ingenuity and devotion are incredible and inspirational.
We have been able to see the enormous difference that PDH makes in people's lives here, sometimes solely by just providing a listening ear or a comforting hand on a shoulder. PDH helps people to smile again and their children's activities enable these kids, even if it is for only one afternoon per month, to be kids and just have fun.
The departure is a dreaded one. There is still so much work to do, so many cases still unresolved. As such we aim to continue working with PDH, albeit at a distance, perhaps returning one day. The work is incredibly important and we feel honoured that we have been able to play a small role in this. Thanks to everyone here, thank you to everyone who donated money and goods, they have had a huge impact. Even though this might be the end of a chapter, the book is far from written. Keep checking the site to see how the story unfolds.
Bisou!
Yoka and Saskia
Dirty lawyer
Some mornings I feel like a lawyer. Not one of those good ones, no, I feel like the dirty kind. The kind that knowingly defends the guilty guy. Yes. My guys, girls, men and women are guilty. I am just trying to prevent them from receiving the death sentence. Literally. They are guilty of unwillingly being stuck by crippling disease. Severe cases that require long term care, tests, medications. All of which come at a cost. The resources of PDH are limited; for the cost of one of ‘my’ cases they could easily help many others.
Voices in favour of not taking on such long term expensive cases are starting to emerge. People that say perhaps only medical tests should be paid for, not the long-term follow-up care. I play the devil’s advocate and say that medical tests are by definition intended to expose problems. Those problems need follow-up care to solve them. Well, those voices say, then perhaps not pay for any medical tests at all. That’s not a solution either, without knowing what is wrong no solutions can be found.
I continue my exposé, there is no point in starting something, getting so incredibly close to resolving problems and then pulling out at the last minute, as someone decides that enough money has been spent on an individual and the remainder is better spent on multiple less ill cases.
It is easy to understand however, that when the money runs out there is no longer a choice. Then aid turns into a sinking ship, spectacularly so, dragging innocent victims down to the dark recesses of the ocean, titanic style. As such I can also see the other side of the story; there is something to be said for helping many who are less ill instead of helping one who is violently ill.
Yet helping someone undergo surgery but then not pay for the post-operative drugs is not acceptable, not even when the problem is lack of money. Thankfully the people here agree. Yet financially we’re up against a brick wall and faced with an immense dilemma, morally, ethically. I end up compromising for the moment, settling for a visit to a neurosurgeon. Enquire about possible cheaper drug options.
The dirty lawyer? Perhaps, but I can’t let someone my sister’s age, 21, slip away because of something that can be treated. Here and now.
Voices in favour of not taking on such long term expensive cases are starting to emerge. People that say perhaps only medical tests should be paid for, not the long-term follow-up care. I play the devil’s advocate and say that medical tests are by definition intended to expose problems. Those problems need follow-up care to solve them. Well, those voices say, then perhaps not pay for any medical tests at all. That’s not a solution either, without knowing what is wrong no solutions can be found.
I continue my exposé, there is no point in starting something, getting so incredibly close to resolving problems and then pulling out at the last minute, as someone decides that enough money has been spent on an individual and the remainder is better spent on multiple less ill cases.
It is easy to understand however, that when the money runs out there is no longer a choice. Then aid turns into a sinking ship, spectacularly so, dragging innocent victims down to the dark recesses of the ocean, titanic style. As such I can also see the other side of the story; there is something to be said for helping many who are less ill instead of helping one who is violently ill.
Yet helping someone undergo surgery but then not pay for the post-operative drugs is not acceptable, not even when the problem is lack of money. Thankfully the people here agree. Yet financially we’re up against a brick wall and faced with an immense dilemma, morally, ethically. I end up compromising for the moment, settling for a visit to a neurosurgeon. Enquire about possible cheaper drug options.
The dirty lawyer? Perhaps, but I can’t let someone my sister’s age, 21, slip away because of something that can be treated. Here and now.
Wednesday, July 2, 2008
Les Soeurs de la Providence
Once a week, José from PDH, goes to the Soeurs de la Providence, a religious order from Italy in Lomé, to help with the administration. PDH has a collaboration with the nuns and one morning a week baby formula, rice and porridge is given to those who need it among many other things. The whole morning misery is walking by; the mothers who do not have the money to buy formula if they cannot breast feed their baby, the woman whose husband just passed away and left her behind with seven kids; the HIV positive mother with a very malnutritioned child, who is also suffering from malaria; the woman with a young baby who is crying since she is in an advanced stage of aids, the sick who cannot pay for their medicine. The baby with a cleft palate, who is fortunately going to Europe for surgery, paid for by Terre des Homme, but all the pre testing needs to be paid for in the local hospitals in Lomé. The list goes on and on and on; misery condensed in a four hour period. The sister is friendly to all, but harsh to some for a good reason, but when it comes to babies she is melting away completely. She is handing out the plastic bags filled with baby formula, rice and porridge , but she is also giving medicins to people who come with a prescription from a doctor and she gives shoes and clothes for the children. All medicins come from Italy as does most of everything else she gives to the woman and children. I have only seen one man coming in to ask for help, the others were all women and children; they are suffering the most. Everything from the formula to the medicins have been donated by friends of her. I have seen several women with twins; it seems that several of the very poor and malnutrioned people give birth to twins, I do not know whether there is any relation or this is just a matter of coincidence.
I recognise a few people, since they also come to PDH for help, those are in the most difficult of circumstances. Such as the family with nine kids, the twins of two months old are malnourished, they have a handicapped son of three years old who is very cute and always smiles, and a son who has had surgery and still needs lot of antibiotics, which is really expensive here. Without the antibiotics the surgery will not have the right outcome and he is will be back to square one. He might even die of his brain and nerve system infection. A daughter is sick with malaria at the moment. The husband cannot work because of an eye problem; this family is definitely desparate for help. We still had euros to donate and both PDH and us have decided that daughter Lawoe will be added to the education project; she will be given the opportunity to become a hairdresser and will be able to support her family after she finishes the program. They were so extremely pleased and grateful for this opportunity.
The university hospital is definitely not a place to be: some wards are so crowded that there is only a small space left between the beds, just enough for one person to stand there. There are no sheets for the beds, patients lay down a piece of plastic and spread some clothe above that and that is it. Some matresses are so worn down that the filling is coming out. When I was in the office of the head of the pediatric department, I saw a bed with a sheet with the name of the hospital on it, the way probably all beds have looked like in the past. Like in many African countries relatives care for their loved ones, bring food and everything else they need. Saskia has seen that they are even cleaning the floors.
All guide books mention that Togo did so much better in the distant past than they are doing now. According to a newspaper article people are now faring 7 times worse than they did 25 years ago. Togo was a prosperous country; it is hard to believe when you look around; it made good profits from the export of coffee, cocoa and phosphates. Than a group of friends around the president started with huge building projects, took out monster loans they never could be pay back etc. Corruption and fraud is the reason that this country is suffering; that many roads are dirt roads, the roofs of schools are leaking and will not be repaired, the health system is extremely bad and parts of the city are inundated during the rainy season and most of the time there is no electricity. Now 7 out of 10 people are considered poor and are suffering from malnutrion. As far as I can see only private initiatives can really help; the government here is doing absolutely nothing; it is scandalous. But private organisations like PDH and the Sisters can only do so much; there is never enough money to help everyone in need.
I recognise a few people, since they also come to PDH for help, those are in the most difficult of circumstances. Such as the family with nine kids, the twins of two months old are malnourished, they have a handicapped son of three years old who is very cute and always smiles, and a son who has had surgery and still needs lot of antibiotics, which is really expensive here. Without the antibiotics the surgery will not have the right outcome and he is will be back to square one. He might even die of his brain and nerve system infection. A daughter is sick with malaria at the moment. The husband cannot work because of an eye problem; this family is definitely desparate for help. We still had euros to donate and both PDH and us have decided that daughter Lawoe will be added to the education project; she will be given the opportunity to become a hairdresser and will be able to support her family after she finishes the program. They were so extremely pleased and grateful for this opportunity.
The university hospital is definitely not a place to be: some wards are so crowded that there is only a small space left between the beds, just enough for one person to stand there. There are no sheets for the beds, patients lay down a piece of plastic and spread some clothe above that and that is it. Some matresses are so worn down that the filling is coming out. When I was in the office of the head of the pediatric department, I saw a bed with a sheet with the name of the hospital on it, the way probably all beds have looked like in the past. Like in many African countries relatives care for their loved ones, bring food and everything else they need. Saskia has seen that they are even cleaning the floors.
All guide books mention that Togo did so much better in the distant past than they are doing now. According to a newspaper article people are now faring 7 times worse than they did 25 years ago. Togo was a prosperous country; it is hard to believe when you look around; it made good profits from the export of coffee, cocoa and phosphates. Than a group of friends around the president started with huge building projects, took out monster loans they never could be pay back etc. Corruption and fraud is the reason that this country is suffering; that many roads are dirt roads, the roofs of schools are leaking and will not be repaired, the health system is extremely bad and parts of the city are inundated during the rainy season and most of the time there is no electricity. Now 7 out of 10 people are considered poor and are suffering from malnutrion. As far as I can see only private initiatives can really help; the government here is doing absolutely nothing; it is scandalous. But private organisations like PDH and the Sisters can only do so much; there is never enough money to help everyone in need.
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