Friday 26 July 2013

Orientation: Lighthouse (1)

Orientation at Lighthouse HIV/AIDS Unit
Lighthouse is the HIV/AIDS unit/centre in Lilongwe, treating and supporting patients with HIV/AIDS. Lighthouse is an organization funded by a number of Non-Governmental Organisations and International oganisations (NGO/INGOs). Lighthouse sees over 200 patients per day, these include women, children and men.  The Unit opens 8am to 4pm.
My orientation at Lighthouse was worthwhile and a valuable experience, both thought provoking and sobering experience.  I take my hat off to all the staff from the gardener to the Director of Lighthouse.  They are a truly astounding group of professionals, who really cared about their patients. In my professional opinion, the patients received first class care and attention.
I spent 5 days at lighthouse on orientation moving from department to department learning and participating in the care giving of patients.
First day of 5 days orientation started been welcomed by with the PA to the Director of Lighthouse followed by handover to the Training Department.  The training Co-coordinator, Ruth talked me through the work and ethos of Lighthouse. Followed by a tour of the compound, and departments, after our tour Ruth put me to work, while she then went off to put together an orientation program for me.
Day 1:
·         Tour of compound and departments
·         In reception
·         Lunch
·         Measuring: height & weight
·         Nourishing
·         Pharmacy
·         Close
I started at grass root level, booking in patients (using a touch screen computer), attending clinic. It was also an opportunity of practicing my Chichewa greetings, which needs improving. I entertain them with my somewhat muddled Chichewa greetings some laughed, others are confused and cannot understand why a black woman, a Malawian as they perceive me to be cannot speak Chichewa, I am considered a Malawian all the time. It is natural you see a follow black person and automatically assume they are of that native country.  I also encounter the same problem when I visit my home country of Ghana. However, it is slightly different in Ghana, it is the assumption I speak the Twi, which I do not! Twi is a dialect of the Akans, my mother tongue, it has become the national and widely spoken language in Ghana/Accra. I can however, hold a conversation in Ga, which is the dialect of the people of Accra, Osu-Labadi people, and understand my father tongue of Ga-Ada, also another dialect which is very similar to Ga.  As I child living with my grandmother in Ada, I spoke Ada (Ga-Adangbe), then when my sister and I moved to Accra we learnt to speak Ga, later we learnt to speak Awe(Togolese). Between the ages of 5- 10, apart from English and good understanding of French, I spoke three dialects fluently, now barely speak one fluently! A real shame, something I must seriously rectify.
Starting from reception was a good way of seeing the process of care taking place from start to finish. It also gave me an insight of the kind of patients coming through for treatment. Apart from the odd one of two who were well dressed and appeared to be financially okay, the rest were extremely poor. The patients who came through, no surprises were predominantly women and children.  I saw young women, in their early twenties, babies, teenage mothers as young as 15 and old women in their sixties plus all HIV positive and newly diagnosed HIV patients.
From reception, I moved up to measuring of height & weight, plotting the Body Mass Index (BMI). Paulo, my instructor, instructed me on what to do.  I scan the barcode from the patient’s medical notes into the touch screen computer. He weighed and I inputted the data into the system, which automatically calculates the patient’s BMI.  The average BMI for a Malawian on the patients we measured is between 20 – 21 BMI.  The lowest BMI for an adult I came across was 17, referred for nutrition counseling support. 
I then went on to Nutrition counseling, observing the nurse counseling patient with low BMI  on nutrition and giving supplement of very rich  peanut butter, high in fat, and sugar content in a sachet. Depending on the BMI of the patient they are advice to eat one sachet per in some case up to six a day. The nurse informed me, most patients do not like taking the supplement because of the high sugar content.  I finished my first day in Pharmacy observing the dispensary of drugs.
Next blog: My day in the community.

MY ROOTS

MY Roots

The Ga-Adangbe people inhabit the Accra Plains. The Adangbe are found to the east, the Ga groups, to the west of the Accra coastlands. Although both languages are derived from a common proto-Ga-Adangbe ancestral language, modern Ga and Adangbe are mutually unintelligible. The modern Adangbe include the people of Shai, La, Ningo, Kpone, Osudoku, Krobo, Gbugble, and Ada, who speak different dialects. The Ga also include the Ga-Mashie groups occupying neighborhoods in the central part of Accra, and other Gaspeakers who migrated from Akwamu, Anecho in Togo, Akwapim, and surrounding areas.
Debates persist about the origins of the Ga-Adangbe people. One school of thought suggests that the proto-Ga-Adangbe people came from somewhere east of the Accra plains, while another suggests a distant locale beyond the West African coast. In spite of such historical and linguistic theories, it is agreed that the people were settled in the plains by the thirteenth century. Both the Ga and the Adangbe were influenced by their neighbors. For example, both borrowed some of their vocabulary, especially words relating to economic activities and statecraft, from the Guan. The Ewe are also believed to have influenced the Adangbe.
Despite the archeological evidence that proto-Ga-Adangbe- speakers relied on millet and yam cultivation, the modern Ga reside in what used to be fishing communities. Today, such former Ga communities as Labadi and Old Accra are neighborhoods of the national capital of Accra. This explains why, in 1960, when the national enumeration figures showed the ethnic composition of the country's population, more than 75 percent of the Ga were described as living in urban centers. The presence of major industrial, commercial, and governmental institutions in the city, as well as increasing migration of other people into the area, had not prevented the Ga people from maintaining aspects of their traditional culture.
Reference: GhanaWeb.

  
The Settlement of the Ada People (Adas)
The Adas at their present abode came as a result of a migration of an ethnic group of people believed to be part of the great African Negro race from the Western Sudan. They comprised the Ada, and others known today as the Krobos, Osudokus, Shais, Kpones, Prampram and Ningos, all formed the great ethnic group of "Dangme". From "Seme" they came to Oyo and then to Abeokuta, then to Dahomey, now Benin. In Dahomey, the Adas were forced by hostilities in that land from establishing an exclusive settle, so they merged with the Ewes from Ketu. Then with the Ewes they traveled to a place called Tado and accompanied them again up to Ngotsie in Togo. It was at Ngotsie that King Agorkoli referred to the Adas as "ADAWOLAWO" meaning, a wild, furious, brave and warlike people who are easily provoked. Aname which has remained as characteristics of the Adas as a tribe.
The part of the Adas that were among this great migration were the four (4) Okor Clan led by a priest King known as Adi. These Clans are Adibiawe, Lomobiawe, Tekperbiawe and Dangmebiawe. They together with Krobos, Osudokus and the Shais travelled  over land and crossed the Volta River at several points at such as Aprade, Fodjoku near Akuse, Dorfor, Asutsuare and Vume. The four (4) Okor tribes have a common taboo. The priests established a theocratic political institution, which forbade them from seeing human blood. However, to sanctify the priesthood they must be circumcised (male). The crossing of the river at Asutsure was said to have come about as a result of a mystic, Tsa Avegbe, who said to have jumped into the Volta River and emerged as a crocodile, with as wide as an Odum board and spread across the Volta River for the crossing. Adi and followers were the first to cross. Lomo and Lomobiawe who crossed second followed by Terkperbiawe. Dangmebiawe who crossed last as the gate sealers or rearguard, was led by Okumo. They were followed by the other Dangme groups.
After crossing, all the Dangme tribes settled at Togologo now called Lolorvor who crossed last as the gate sealers or rearguard, was led by Okumo. They were followed by the other Dangme groups. After crossing, all the Dangme tribes settled at Togologo now called Lolorvor which is now known as Accra plains, for many years. Later events at Lolorvor served as their confederacy. It was said that, there arose a misunderstanding between them and the Manya leaders. The other members of the group tried to persuade Adi to bury the difference but the Adas told the Krobos in the Ewe language that "Lolorvor", which means the cord binding us together, is broken or severed; there is no more love to unite us. This saw the Krobos heading to the Shai hills, leaving the Adas (Okor Clan) behind on the Accra Plains at Lolorvor near the present day Afienya hills.
The Akan war raids, especially by the Ashantis forced the search for place of safety. A survey team of famed hunters drawn from the four (4) clans set from "Lolorvor" to explore new lands for settlements. It was said that Adibiawe group also gave one hunter named Buete Kpakpaku Lomobiawe also gave hunter Lomo. The Tekperbiawe group also gave one named Korley Dangmebiawe-Okumo. Their exploration took them as far as to the Sege forest and the stream. At this place, Korley climbed a tree and surveyed all the land beyond and beheld a white sheet of land in the distance and all the four (4) famed hunters moved out to see what it was. Adi took the lead followed by Lomo, followed by Korley with Okomo at the rear.
This brought about the discovery of Songor Salt Lagoon. It was that, Adi and Lomo went by the North of the lagoon and came as far as Togbloku. Korley and Okumo also took to the south and came across the Okor forest by the sea where they walked up to the Volta estuary, near the present day Lolonyakope.  It was alleged that one day, Korley went out on a hunting expedition and reached as far as Wokumagbe near Ningo. There he shot at and wounded a beast but it ran away. Korley decided to follow the foot print of the beast until he reached a thick forest. In pursuit of the beast into the forest, he discovered a secret hamlet and met an old lady in it. The old lady was seated on a stool, adored with gold. Around her, Korley saw crowd human beings which to him, were apparitions and turned to retrace his steps to give up the pursuit of the wounded beast.

The crowd instantly beckoned him to return, begging him not to run away.  Korley was said to have mastered courage and moved towards them.  He was asked what he wanted.  He told the crowd that he was a hunter who was in pursuit of the wounded beast and fell upon them in error.  Korley was then told by the old lady that she was the beast he shot and wounded and that she charmed him to follow her to her secret hide out.  She then asked Korley where he came from and he pointed out the direction of Afienya hills at Lolorvor.   At this juncture, the old lady disclosed her ownership of the Songor salt lagoon to him.  She told Korley that if he could faithfully observe the taboos and the preclusion on the usage of the lagoon, and be faithful to his oath of fidelity to her, she will turn over the ownership of the Songor Lagoon to him.
In effect, the old lady listed the hidden wealth in the Songor Lagoon as SALT & GOLD underneath the rock bed.  The old lady ask Korley to assure her that when she gives the ownership of the Songor Lagoon, neither he nor his, children after him, shall ever use GOLD as an Ornament. 
Background History
BACKGROUND OF ASAFOTUFIAMI FESTIVAL
All traditional area as in Ghana are identified with special festivals which make the people vary distinctly from other areas. The Asafotufiami Festival of the people of Ada Traditional Area in the Dangme East District of the Greater Accra Region is a rich cultural heritage celebrated annually around the first week of August. The celebration of the festival is in remembrance of the achievements in the war for settlements fought by our ancestors, hence the name
"ASAFOTUFIAMI".
"ASAFOTUFIAMI"
as the name implies, is company firing of musketry. This is the festival of the people of Ada in the olden days which for unknown reasons was discontinued for many years. In the olden days, the Ada state was made up of the following states with their Divisional Chiefs supporting the Ada Mantse as the Paramount Chief and the various Clans at Big-Ada. "Agave, Sokpoe, Tefle, Mepe, Mafi, Bakpa, Battor" with the secession of these Divisional Chiefs to form what is now known as the Tongu State, the new post of Wetsoyi (Divisional Chiefs) has been created in addition to the following State Clans of Ada, which formerly, were under their respective Wornorhi and Asafoatseme. Since 1954, the following ten (10) clans have had Wetsoyihi (Divisional Chiefs) to support the paramount stool of Ada.
·    Adibiawe
·    Ohuewem   
·    Kabiawetsu
·    Lomobiawe   
·    Korgbor   
·    Kabiaweyumu
·    Terkpebiawe   
·    Kudzragbe      
·    Kpono
·    Dangmebiawe
To encourage sons and daughters domiciled in other towns of the country to return home and help the elders in the development of the Ada State as a whole and the towns and villages in particular. The Ada Pastors and Teachers Association (APTA) joined with the Ada National Improvement Association (AN1A) to approach the Chiefs and Elders of the state to have the "Asafotu" Festival revived.
The approach made received the overwhelming support of the Chiefs and the Eiders of the Ada state hence the revival of the ancient "Asafotu" Festival which again started in 1937. There are two (2) Asafo (companies) within the Ada State viz: Akomfode and Asorkor, membership of which according to tradition is by matrilineal linage.
For this reason, children of the same father and different mothers at times find themselves in the opposite company (Asafo) and this confirms the appellation of the people of Ada as "Nyeko Bi, Tseko Bi". According to tradition, the celebration starts from Thursday in the 1st week of August with the arrival of sons and daughters, well wishers and guest(s) from other places to the town. The Thursday is devoted for house cleaning ceremony and pouring of libation at the respective shrines of the various families and keeping of vigil.
At dawn on Friday, as part of the schedule for the celebration, the two companies (Asafo) beat their respective drums to summon their members for the onward march to LUHUESE on the outskirts of Big-Ada where they are compelled and according to ancient custom, all young men who attain the puberty age were then initiated into their respective Asafo companies by taught how to handle, load a gun and fire same for the first time.

This is followed by war formation and the initiates being taught the ancient tactics of warfare. This continues until late afternoon when they will return to the Big-Ada town dressed in traditional military attire and clad with leaves and palm branches signifying conquering heroes returning from the war fronts amid tiring of musketry and war cries.
Response
Awe-e-e-e - Agba e, Bleku Tso - Nsu, O, Nsu - Enam O, Enam Enam O, Enam
Manye O, Manye - Adubani Kpotoo
Singing, fuing of musketry and dancing continue here until sunset when the procession continues to Kpomkpo Panya where the Asafo companies form a single file along the riverside and tire three consecutive volleys into the river, dip their feet into it and wash their hands to indicate the carrying away of ail evil an- bad omens of the years and looking forward to all the good in store for the years ahead.  All the followers of the Asafo companies follow the custom of feet dipping and hand washing ceremony. The procession then disperses and everyone retires home with songs of jubilation continuing until late in the night.
The new initiated young men followed by their friends proceed to houses of their in-laws and pay homage by firing musketry thrice acknowledged by cheers and congratulations of inmates.  Drinks and other presentation are made available by the in-laws and the household. The following Saturday is noted for durbar of the Paramount Chief, Divisional Chiefs and Asafoatseme carried in their palanquins through the town to the Big-Ada Presbyterian Junior Secondary School Park where the elders, men, women and children gaily dress and assemble to receive them.
Ada Youth Groups and other benevolent Societies established in certain towns of the country also in their respective uniforms of identity parade through the street of Big Ada to the durbar grounds where they march past and their positions for the Saturday and Sunday functions with their patriotic and melodious songs to grace the occasion.  After the Paramount Chief have greeted the Divisional Chief s, Asafoatseme and Eiders and the People, he sits -in state to receive in return, Greetings and homage of his people and swearing of Allegiance by the Asafoatseme at which each swearing is sealed with volleys of musketry by the divisions.

The Military Organization of Ada:
1.Adibiawe (Hlam T)           
2.Korgbor (Dzase-Hem)
3.Lomobiawe (Hlam Ta)           
4.Kudzragbe Dzase se (Atufo)
5.Tekpebiawe (Hlam Ta)         
6.Kabiawetsu
7.Dangmebiawe (Se Ta)          
8.Kabiaweyumu
9.Ohuewem (Kpeti Ta)           
10. KabiaweKpono
The following ancient wars in which the Adas were engaged feature in the oaths of allegiance sworn by the Asafoatseme to the Paramount Chief. Ada-Anlo War, battle of Nonobi, Adas supported by Akwapim, Akim Abuakwa,  Krobo and Agave defeated Anlo, Ada defeated Anlo, Unsuccessful invasion of Anlo by Ada, Akim Abuakwa, Akwapim, Krobo and part of Mefi while Akwamu supported Anlo.  Ada attacked by Anlo and burning of Ada Township. Kantamanso War near Dodowa against the Ashantis which sir Charles McCarthy died and the Ashantis were defeated.  Kantamanso War near Dodowa gainst the Ashantis in which Sir Charles McCarthy died and the Ashantis were defeated.  Glover War Capt. Glover invaded Anlo with forces drawn from Ga, Ada, Krobo, Krepi Akwapim, while Anlo, supported by Avonos and Mafi, were defeated at battles near Adidome,AvenondWheta.

After close of the function for the day, the Paramount Chief, Divisional Chiefs, Asafoatseme, Elders and the people, return home accompanied by the Youth Association and the benevolent societies with songs, drumming and jubilation.  Cinema shows, and Grand State Dance in the evening until day break of Sunday when a non-denominational open air Church Service is held at the same venue of the Durbar to give praise and thanks to the Almighty God for his abundant blessing for the success of the festival.  The following week day, Monday – Thursday are occupied with Boat Racing, Tug of War, Get-together for the aged, River excursion, Football matches and greeting of individuals and bidding good bye to each other with happy memories of the year.
 Reference: Dangme East District Assembly

What started as Lighthouse orientation have become the history and the roots of the Ada people, my father’s tribe.  I am of mixed heritage, Ada on paternal side, of Sudanese ancestry.  Akwapim (Twi) on maternal side. However, in tuned with my Ada heritage and culture than I am with the Akwapim cultural.  The name Sekwalor, originated from the Sudan.

Thursday 18 July 2013

Life in Malawi (3)

The Stranger

My stranger in the shadow
A quiet shadow, in a room by himself known to many as they come each day to pay their dues
He quietly accepts their dues and sends them on their way
Known to many, but to one his is the stranger in shadow
The stranger, the quiet shadow ever-present soft voice carries on taking their dues and sending them on their way
My stranger reveals himself to me and is no longer the stranger in the shadow
He is the shadow of life, hope and of peace
Still he takes their dues and sends them on their way
He welcomes me in gave me hope and peace
No longer is he the stranger in the shadow
I am the stranger in his shadow

Mr. Austin
Catherine Sekwalor
11/7/13
NMCM Lilongwe, Malawi

Life at NMCM (2)

Lloyd, Lloyd you are so special
Rough diamond, and so very special
You give me grey hairs
You wait for no man, time to go you say!
You say, we shall see if Hudson picks you up with big smiles and laughter
I feel I have known you all my life
You tease me. Hudson has no fuel! So you are stuck with me whether you like it or not! What can the woman from England say? Nothing
Meanwhile Hudson has abandoned me and gone off to the Ministry for Health leaving me in the hands of my dear Lloyd.
Mr. Joseph, can’t help, we are short of cars, no fuel only Lloyd has fuel he tells me
Lloyd’s laughter is heard through the corridors of the NMCM building
Meanwhile my grey hairs multiplying tenfolds, no Hudson to rescue me
Thank you Lloyd what will I do without you?
Always there to rescue me

Catherine Sekwalor
11/7/13
NMCM, Lilongwe, Malawi

Life at NMC Malawi

A collection of poems of colleagues at NMCM


The first time I met him my heartfelt joy
He came, welcomed me and took care of me
Each day he arrives takes me to the NMCM
He asks no questions, simply smiles
He smiles even when life is against him
I am privilege to have such a person in my life
He has become my friend and not just my special driver
Mr. Hudson is his name
Mr. Hudson you are the best!
So special, your smile, your warmth and kindness carries me through the day, so far from home
So special, so warm, so kind even when life is against you

MR. Hudson, my driver
Catherine Sekwalor
NMCM Lilongwe, Malawi
11/7/13

Sacrificing daughters to save marriages

It has been awhile since I last updated my blog. I am way behind and playing catchup, so much to tell. My initial intention to write in order, to be coherent, sadly just not working,  I have therefore given up.

'Sacrificing daughters to save marriages' 
 Taken from the The Daily Times, Malawian newspaper.  A shocking and sad news of Malawian young girls.


Chikumbutso Chimpeni (not her real name), a fourteen-year-old girl a former form one, student now pregnant and HIV positive.  She got pregnant and HIV positive both from the same man.  The man in question is her neighbour, married with a family, but now in prison. Chikumbutso , has been taken out of school and her life has been ruined as she will no longer be able to complete her education. Furthermore, her parents have sent her away to her home village to stay with relatives.
What makes this case fascinating is the fact that Chikumbutso’s parents together with the family of the alleged man protested against his imprisonment by going to the police station, demanding his release! Shocking, shocking, shocking, I say!!! Not only did he rape her but also infected her with the HIV virus. The concern of Chikumbutso’s family is to protect the perpetrator and not her and are clearly upset by his imprisonment.  Sorry, to say reading the article in the Daily Times both shocked and angered me to think no regard for a young innocent girl whose virtue is been taken away from her. He has not only left her pregnant but also has infected her with HIV denying her of a better future all for the sake of one man’s uncontrollable desire to cheat and rob an innocent child of her future. What a disgrace to see how innocent children, females  are been treated.
 The man in question, is a married, has a wife and children and no doubt she’s presumably also HIV positive. The report further states that when defilement happens the families involved agree to settle out of court or keep it hidden to maintain a good relationship with their neighbor.
According to the report the district of Thyolo, girls are at high risk of HIV infection and defilement (rape). The reporter also stated, “four months from January, 19 girls have been defiled (raped), 17 of the girls are HIV positive all under the age of 18. Communities have 18 per cent HIV prevalence over the national 10.6 percent, and many cases go unreported. How many unreported cases are not clear, however, what we do know is that many young innocent Malawian girls are defiled (raped), in some cases also infected and covered up all for the sake of ‘maintaining a good relationship’ with the neighbor, the perpetrator and his family.
On the other hand, is the positive side a number of Non-Government Organisations (NGOs), working with local communities to safeguard lives of young innocent girls from both defilement (rape) and from HIV infection. However, more work needs to be done to help these vulnerable young girls.

  Taken from  Malawi newspaper: The Daily Times, Thursday, June 27, 2013