THE HEALING HAND/ The Newsletter of EMMS International
health for Today, Hope for Tomorrow
Autumn / WINTER 2015
TriMalawi Challenge 2
20-29 august 2016
kayak Lake Malawi Bike Rural villages Hike Mount Mulanje
Early bird offer! sign up by 31 January to save ÂŁ50. www.Emms.org/trimalawi 175 years
0131 313 3828 events@emms.org
EMMS International is a charity registered in Scotland No SC032327. A company limited by guarantee registered in Scotland No SC224402. Registered office: EMMS International, 7 Washington Lane, Edinburgh, EH11 2HA.
Contents
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Emergency update: Nepal Earthquake
Madhipura: Giving health a home A vision for India’s Health
Malawi Flood Cycle Malawi 2015 175 years of EMMS International
Why I support EMMS International 5 lessons from Malawii Supporter Update
Book a Speaker
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Emergency update: Nepal Earthquake
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On 25 April at 11:51 a devastating 7.8 magnitude earthquake struck Nepal. Numerous aftershocks, and another large earthquake on 12 May, followed. Your response to the emergency appeal allowed our partner, INF Nepal, to respond to those left in desperate need.
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here was significant damage in Kathmandu and the districts around the epicentre, including Gorkha and Dhading, where your support was directed. In total, 8,702 people were killed and half a million homes were destroyed. Thanks to your generosity, our partners were able to provide emergency medical relief and distribute essential supplies. INF Nepal was able to mobilise a medical team very quickly and was the first to arrive in Gorkha. INF’s specialist spinal unit expanded its capacity to relieve pressure on government hospitals and care for the injured. With roads swept away and many surviving routes impassable, a helicopter was used to get supplies from people who had been cut off. Essential supplies of food, hygiene kits, blankets and shelter helped people stay safe and warm. Our partner estimates that 26,000 people were helped as a result, receiving much-needed shelter and nourishment. Your support, together with the dedicated staff, volunteers and local churches, provided a quick and effective response to the people of Nepal in a time of crisis. Thank you.
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What happens now? As people begin to rebuild their lives, your support is continuing to make a difference. It’s crucial that, as life begins to move on, the most vulnerable aren’t left behind. Two dedicated healthcare workers are to provide holistic care to elderly, disabled and chronically ill people in areas near the quake’s epicentre. They will also work towards developing an effective model for palliative care in the wake of disasters. Your support is continuing to care for those who need it most, now and in the future.
FACTS & FIGURES:
505,745
Houses destroyed
279,330
Houses damaged
8,702
People killed
Essential supplies: Your support means:
3,556
Households were supplied food
1,856
Hygiene kits
1,417
Tarpaulin shelters
4,737
Blankets
26,000
People were given shelter and food
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Madhipura: Giving health a home
At Easter 2014, we shared the story of Madhipura Christian Hospital and the difficulties it encounters as a result of flooding. Since then, you have supported, given to and prayed for Madhipura and the dedicated people who work there. Here is the story so far‌ Madhipura is in rural Bihar, where buildings are mostly mud constructions and electricity is scarce. The people the hospital serves get paid in grain, not money, and the caste system is strong; keeping poor people poor and ‘untouchables’, untouchable. Madhipura Hospital itself is a well-constructed hospital, served by dedicated staff. Although the hospital itself is in reasonable condition, the staff accommodation is barely habitable. The villages outside the hospital complex simply cannot provide adequate accommodation. As a result, trained staff do not want to live here, and those that do stay, live in the most basic and unhealthy conditions. Staff have made huge sacrifices to work at Madhipura, but their dedication comes at a cost.
8 Nurse Elizabeth lives and sleeps with her family of 5 in one crowded room. They have neither plumbing nor cooking facilities. Hospital Administrator Michael was working in a prosperous hospital in South India when he felt God calling him to serve in a poorer hospital in North India. Michael admits that, if he or his wife had seen Madhipura before he arrived, he would not have taken up the post. ‘I have a young family to think about’, he says, ‘I hadn’t realised just how big a sacrifice God was asking of me!’ Michael now struggles to perform his job when trained staff are so few. A lack of staff has put the neonatal unit and other services under threat. It was agreed that the hospital desperately needed to build some habitable accommodation to attract new staff, honour the sacrifices made by others and keep this hospital serving and saving. Plans were drawn up to build a new nurses’ block, 3 doctors’ family houses and renovate 2 other properties for staff.
The whole project will cost £300,000 and, to date, many people have generously donated gifts totalling £250,000, which is amazing. The staff are excited about being able to attract more well trained Christian health care workers. They are too polite and humble to say it themselves but they are excited at the thought of not sharing their own homes with snakes and damp. These gifts that have been given will deliver a significant part of the project, however it is not quite enough to bring all the changes that we hoped and prayed for. The monsoon season has finished for this year and the building season is beginning. The builders at Madhipura are about to break ground. Currently, we cannot build all the homes. We are dependent upon your generosity and the grace of God to complete this project to the full. Please do not be offended that our ‘Gifts for Life’ leaflet contains the building of an entire house; Michael, Nurse Elizabeth, and the whole team at Madhipura need someone to fund this. Completing this project would mean so much to so many.
I hadn’t realised just how big a sacrifice God was asking of me!
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A vision for
India’s Health
Dr Sunil has taken up the role as Chief Executive at Emmanuel Hospital Association. He reflects upon their role in bringing physical and spiritual health. EHA has undoubtedly been a ‘shot in the arm’ for Indian Christian medical work in India - we have too far rested on the laurels of foreign Christians who sacrificed so much to achieve so much, especially in the fields of education and health, and spiritual enlightenment. We are quite certain that their blood, sweat and tears, mixed with their prayers, are now bearing fruit, and we are doing the reaping for what they sowed. For there now to be an indigenous work involving such a degree of commitment and persistence is significant. The fact that it has survived these 40-odd years is, in itself, a testimony that the Lord is in the work. It is a privilege to be part of this great work of the Lord in our country! All organisations are prone to humanity’s shortcomings. None of us is perfect. Surprisingly, though, our call is to perfection!! - “Be perfect, even as your Heavenly Father is perfect”!
It is in this light that we can view EHA - an organisation fraught with limitations, yet having the potential to constantly strive, change and improve, as we progress toward the goal of our faith. So, we really do need to ask ourselves the question: “What is the ultimate vision of EHA?” Wellequipped, professionally sound, financially viable institutions, with the Gospel work as an inclusion? OR is it the other way around – godly, faith-based institutions focused on building the faith of staff, patients, relatives, visitors – willing to pay whatever price it takes to live out biblical principles, while including equipment, professionalism and financial principles in the process? It is for us in EHA to consider this as we work to honour the Lord in the way we work in His kingdom.
Malawi Flood An estimated 1,101,364 people were affected; 230,000 displaced and 106 killed by devastating floods in Malawi at the beginning of this year. In every sense, lives were washed away. With crops ruined families are counting the long term cost of the floods. Your generosity enabled our partners to respond to this emergency quickly and effectively.
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Your support means that, in Mulanje • Mulanje Mission Hospital stayed open thanks to provision of generator fuel, emergency lighting and new toilet blocks • Emergency care was provided and additional medical and cleaning supplies were purchased to deal with extra patients • Disease spread was prevented. 350 pit-latrine toilets were rebuilt in the local villages. In Blantyre • Emergency supplies of food, shelter and cooking utensils were distributed by Palliative Care Support Trust • Home-bound patients were visited to offer any help they needed. • Your support helped PCST reach 723 families and 28 patients. What now for Malawi? This emergency places more pressure on a country already in crisis. As Dr Jane Bates of PCST wrote during the flood: “Away from the flooding, there are different kinds of disaster. In Malawi’s biggest hospital, where I work as a palliative care doctor, oral morphine supplies ran out last week. It’s distressing that this is unlikely to get any attention or funding despite the fact that it is an ‘emergency’ for the many people suffering severe, chronic pain.”
Our partners were already facing a massive battle to improve health in Malawi with a chronic shortage of healthcare staff and resources. With harvests and livestock washed away, people are being pushed further into poverty. Without food or livelihoods, families are going hungry. Mothers are feeding their children unripe mangoes to keep hunger at bay. They usually rely on these mangoes at the end of the season when their crops have run out. They take what little money they have to buy maize but, after queuing for up to three days, many are going home empty-handed. One village headman tells of people fainting while waiting in line for food. Mphatso Nguluwe, of Livingstonia Synod AIDS Programme, shared her heartfelt concerns for the people in her area. She writes: “I immediately think of people who are living with HIV. They depend on food to take their antiretroviral drugs. If food is not available, there is a risk of drug non-compliance, which will lead to more deaths. At the same time, there is a greater risk of transmitting HIV when drugs are not being taken. Both adults and children are at a great risk but more so children.” Your support of healthcare in Malawi is crucial. Please make a gift to the Malawi fund to help where the need is greatest.
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Cycle Malawi
Taking part in Cycle Malawi 2015 meant so much to so many people. For many, it was a chance to meet with old friends and make new ones. Others were new to undertaking such a feat. Yet you couldn’t tell who were the newcomers and who were the experienced challengers. “The whole group gelled together so well, I think this is one of the most memorable bike rides ever”, said Evelyn Cook, one of EMMS International’s most prolific challengers!
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2015 T
he warm heart of Africa did not disappoint. “I think we said waa waa (“Hi” in Chichewa) to every Malawian along the way, which was invariably met with a warm smile, wave and often great guffaws of laughter too!” said Heather, one of the most cheerful cyclists of our group. The hardest day was when we tackled Mount Dedza, the equivalent of cycling the height of Ben Nevis! But everyone rose to the challenge. A strong sense of comradeship and some stunning views got us through, and the feeling of achievement was unbelievable. The cycle challenge was topped off with a project visit to Nkhoma Mission Hospital, a wonderful way to end our six day tour of Malawi’s central region. On arrival, a large group of local women sang and danced to warmly welcome us. We were taken on a tour of the hospital, which proved to be fascinating. We viewed many different wards and heard about their various services – it was inspiring to see how much Nkhoma Mission Hospital has to offer.
Our tour ended with an explanation of what goes on in their blood lab. Our tour guide’s words about the difficulties of keeping certain blood types in stock were enough to mobilise many to give blood. Considering that they had completed a 60 km cycle just a few hours beforehand, that really was going the extra mile! So far, £61,000 has been raised by this group of heroes. Well done.
Join us next year
Take on your most exciting challenge yet for EMMS International with the Tri Malawi Challenge, 20 – 29 August 2016, part of our 175th Anniversary celebrations. Trek up Mount Mulanje, the most majestic sight in Malawi; Kayak from the shores of Cape Maclear to Mumbo Island, a deserted tropical island; Cycle through rural Malawian villages to experience the real heart of Africa and support a local healthcare project at Mulanje Mission Hospital, seeing lifesaving healthcare work in action. More info at www.emms.org/trimalawi
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175 years of EMMS International 2016 marks the 175th Anniversary of the founding of the Edinburgh Medical Missionary Society, EMMS International’s earliest incarnation. Here we take a look at past anniversaries for inspiration and reflection. We have much to be thankful and much to pray for.
Founding Day: 1841 St Andrew’s Day, 30th November 1841, the Edinburgh Medical Missionary Society came into being.
50 years: 1891 The Jubilee Commemoration Sermon was preached on March 13th by the Venerable Archdeacon Farrar in the Synod Hall. Hundreds were unable to attend as the hall was filled to capacity. Preaching on Mark 8:2, he stated, “Nothing could be more ideally beautiful, nothing more profoundly Christian, nothing more effectively beneficent than the theory upon which it (the Society) is founded, - that, if we would proclaim to men the doctrine of a future, we must show our love for men in the present; if we care for the needs of their souls, we must not neglect the suffering of their bodies; if we preach Christ to them, we must do as Christ did.” 100 years: 1941 A grand Public Meeting took place in the Assembly Hall and the meeting noted: At the time the society had 23 medical students on its roll. Only two recent graduates had been able to go overseas, the remaining eight graduates were unable to go because of the War. Work continued at the Cowgate in Edinburgh, with free clinic and home visits benefitting both patients and students. News reported from abroad included the reopening of the Victoria Hospital in Damascus and training
of Palestinian girls as nurses being an important part of the work of Nazareth Hospital. The Stamp Bureau, which continues to this day, was noted for raising “£67 for the purchase of such requisites as Medical Textbooks, Surgical Instruments, etc”. Other supporters met for an all-day working party on Wednesday 26th March to sew, knit and roll bandages for the hospitals, the Cowgate and Hawthornbrae convalescent home. 150 years: 1991 From the Healing Hand editorial: “In reflecting on the Society’s role in the field of missionary endeavour, one can trace three major strands of vision and inspiration; first, in pioneering the concept of medical missionary and medical missions, it became the first Society of its kind and a model for other Medical Missionary Societies; second, in the practical outworking of its vision, the Society provided for the training of Christian medical students not only in medicine, but also in evangelism, with a view to service abroad as medical missionaries; and third, as a result to this work, Christian medical clinics and Christian hospitals were established in various parts of the world…” A new history of the Society, “The Coogate Doctors”, written by John Wilkinson was published.
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Anniversary DATES FOR YOUR DIARY To celebrate our 175th Anniversary, we have a wide range of events planned. Please put these dates in your diary now so that you can join us. Student Elective Symposium Sat 23 January, 2-5pm St. Silas Church, Glasgow
This half day Symposium will focus on the value and impact of Student Electives. Come and be inspired by leading healthcare professionals and academics, and hear from some of our Alumni. Burns Night Supper & Ceilidh Sat 23 January, 6-10pm St. Silas Church, Glasgow
An opportunity for reunion, dancing, sharing and celebration. All welcome.
175th Anniversary weekend Sat 26- Sun 27 November 2016. Dinner, Ceilidh & Service
A 175th Anniversary Dinner and Ceilidh will be held on Saturday 26 November in Edinburgh. The highlight of the year will be a Thanksgiving and Vision Service, held in Greyfriars Kirk, Edinburgh on Sunday 27 November at 3pm. These events will be a lovely opportunity to catch up with old friends and make some new ones. Everyone is warmly invited. OVERSEAS ANNIVERSARY SERVICES Services of Thanksgiving will be held with our partners in India, Nepal and Malawi during 2016. Photographic exhibitions Look out for venues and details of our 175th Anniversary exhibition, featuring work by renowned international photographers and the story of our founding fathers. To come along to any of these events or host this exhibition in your church or community, please contact mary.robertson@emms.org
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Why I support EMMS International Gordon and Jackie Mackay are passionate supporters of the Duncan Hospital in Raxaul. Here, they tell us about their love for Duncan, its life-saving mother and baby project, and why they are matching gifts to the ‘Send a Light’ Christmas Appeal for Duncan Hospital. Tell me about your love for Duncan Hospital The Duncan Hospital is a Scottish success story that is very dear to us. As a family, we are continually inspired by the tireless and selfless commitment of the staff to improve the health and well-being of others. Despite limited resources, the team reach out and care for all those in need. It has earned respect and trust in this povertystricken area, often devoid of basic healthcare. Why is the mums and babies project so important to you? Ensuring the welfare of mums and babies through education and healthcare is fundamental to every community. It allows every child the best start in life and empowers mothers within the family structure. We believe that, by caring for the health of mother and child, we are protecting the future of every community.
Why ‘Send A Light’? ‘Send a Light’ is the vision of the amazing healthcare workers bringing the light of hope and health into some of the darkest villages in rural Bihar. What can people do to get involved? There is lots that you can do to support child-mothers. You could request prayer and giving packs for yourself, your church or your friends. You can organise a fundraiser, such as a bake sale. You could give some alternative Christmas gifts this year, through ‘Gifts for Life’. You can pray that we raise enough money to save the lives of childmothers and their babies. Any final words? We often reflect on the amazing commitment and legacy of a Scottish Doctor who was prepared to help. Eighty years on, his selfless commitment continues to ease pain and offer hope. It is this Scottish tradition of medical innovation and compassion which continues to underpin the work of EMMS International.
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Lessons from Malawi
Rachel Hammond shares five lessons she learned during her time in Malawi on an elective placement. I am a final year medical student at Dundee University in Scotland. I arrived at the Palliative Care Support Trust (PCST), based in Queen Elizabeth Central Hospital, Blantyre, Malawi, in February 2015. I will never regret the choice I made to come to Malawi. There are so many great and important lessons from this six week rotation with Tiyanjane and Umodzi palliative care teams at PCST. I would like to share five lessons I learned during my time here:
of Palliative care is 1. Success not measured in numbers. I have seen what so few people can accomplish if they work as a team. At PCST everyone counts. A good example is the care given to a 15 year old boy with metastatic Ewing’s sarcoma, a bone cancer which spreads. While he was in the ward, the team counselled and helped with decisions about end-of-life preferences. A good understanding led to discharge from the hospital so that the boy could be cared for at home. A day later, the team received a distress call from the family. The administrative officer doubled as an emergency driver to get the team to their home. We gave more liquid morphine for pain control, counselled further on the diagnosis and prognosis, and assessed the complex social issues with the help of our social worker. It was team work in action!
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This all required a lot of work, but success in palliative care is not measured in numbers of patients seen, but rather in meaningful improvements in patients’ lives.
care offers 2. Palliative something else: time. I am never going to forget the effort put in by a PCST nurse with one grandmother who feared tube feeding her four year old granddaughter. She could only be convinced after more than two hours of patiently discussing her issues and fear. It required time as well as empathy and understanding. It would be easy to get frustrated, but they recognise that holistic care extends to the family also. If surgeons save lives in the operating theatre, then the Umodzi team save lives with their conversations!
effective team is a 3. An happy team. I saw some great examples of effective multidisciplinary team work at PCST. The passion of the team was inspiring, and each was an important advocate for furthering good palliative care. Each person looked out for the other. They pray together and set a Wednesday morning to pray for the team. Indeed, I even heard the team was referred to as “my family”!
presence is a service 4. Our in itself. On one home visit, deep in the countryside, we reached a river with no apparent crossing. Taking off our shoes and socks and rolling up our trousers, we waded across the river. We walked as soldiers for the good! It turned out that there were no physical symptoms. However, we did a full physical, social, psychological and spiritual assessment and were able to reassure the family in how they were looking after the patient. “I didn’t think you would ever come,” whispered the patient eventually from his mat on the floor. Although we didn’t “do” much or change anything, simply being there for patients and their families, to let them know that they have not been forgotten about, is such a great act of service in itself!
is key to personal 5. Education development. This elective has been made possible by support from EMMS International’s Student Elective Bursary programme. I am sure this elective will play an important part in my continuing formation as a person and as a doctor. Inspired by this amazing work, I hope that my career will also be dedicated to establishing good palliative care, both in the UK and abroad. “Freely you received, so freely give.” – Matthew 10:8.
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Supporter Update Radio Cracker EMMS International is grateful for the support of Radio Cracker’s listeners over many years. The charity radio station, based in Ballymena, needs your help to continue its service and charity support. If you are interested in volunteering, contact Gordon Dawson as soon as possible on 07808738720 or grdawson@btinternet.com. This year’s broadcast begins on 27th November and you can listen online via www.radiocracker.org.uk Supporter Survey Thanks to everyone who completed and returned their Supporter Survey. Your feedback is helping us improve the way we keep you up-to-date on the impact your support is having. If you haven’t had the chance to respond, there’s still time. Congratulations to Dr Woolcock, who won the luxury hamper in the survey draw.
Cycle Iona From 25th-27th September, ten intrepid cyclists, travelling from as far away as Surrey, Leeds and Scarborough, took part in the Cycle to Iona. They could appreciate some of Scotland’s finest scenery on this stunning cycle. The 74 mile route from Balloch to Oban on Day 1 made for a great challenge and a real sense of achievement. The island of Mull, with its quiet roads and Highland cattle, was a haven of tranquillity. Participants were blessed with reasonable weather on the 50 miles around Mull, and the sun shone on them as they made their way for the special finale at Iona Abbey. Ian Knox said, ‘It was wonderful to share such beauty with others’. It is hoped that this will become an annual pilgrimage to Iona.
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Daredevil from Ayr does Skydive! Susan Searle from Alloway Parish Church, Ayrshire completed her first skydive on 31st August in St Andrews. “Although initially it was scary, everything went really well and, fortunately, we had a perfect landing. Skydiving is brilliant and definitely worth doing!” Well done to Susan on raising £850. Zip Slide the Clyde Another group of challengers zipped across the river Clyde in September. The group, including five from John Knox Church in Ayrshire, raised over £2,200. “I want to go again, it was amazing!” Abseil Well done to Linsey, father and son Bill and Tom Duncan, and sisters Sally McGuinness and Kara Gibson for taking on the Forth Rail Bridge 125th Anniversary Abseil in June. The five fearless abseilers descended 165ft SAS-style, raising £1,620 for vital healthcare. “Sometimes in life we step out of our comfort zone but, when you experience the exhilaration and the knowledge of what you have done for others, you know you took the right step.” Bill Duncan. “It was a fantastic experience. A great bunch of people raising money for a great cause!” Sally McGuinness.
Supporter challenges Naomi Wyatt completed the Edinburgh Marathon for EMMS International in a time of 3.43. She was running in aid of Broadwell Christian Hospital, India, after spending time there four years ago and was delighted to raise £1,298.75 for the hospital’s ongoing work. Lucie Allan, a former elective student, and her husband created their own 5x50 challenge - running/walking/ biking 5km a day for 50 days and raised over £1,200. “We’ve really enjoyed doing our 5km every day although there have definitely been some highs and lows!” Church visits We’ve been happy to meet supporters at the following church talks: Torrance Parish Church, Abbey and Dirleton Kirk in East Lothian, South East Edinburgh Churches Acting Together, Kirkliston Parish Church, Fintry Kirk Guild, (Stirling) and Smithton-Culloden Free Church. If you would like to book a talk for your church or group, please get in touch.
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Book a Christian health worker to speak at your church
You can hear him speak at Dr. Philip Finny of the Duncan Hospital, in India will be speaking • Saturday 21 November 7.30pm in the UK about improving the care Bollywood Film Night of mothers and babies in the rural Saltyard Cafe, Edinburgh villages of Bihar. • Sunday 22 November 11am He is currently working as a St. Stephens Comely Bank Church, physician and endocrinologist at Edinburgh the Basildon University Hospital, Essex. While in the UK, he is happy to • Saturday 28 November 7.30pm share about the work of EHA and the All Saints Church, Belfast Duncan Hospital, to raise awareness • Sunday 6th December, 10.30 am and support for the mission work of St. George’s Church, Southall, EHA in North India. Middlesex Dr. Finny has a great reputation as aADVERT speaker, a true1missionary and a Page get in touch to book Dr. Finny to D4372_A6 D4372_A6 ADVERT S2_Layout S2_Layout 1 02/10/2015 02/10/2015 14:21 14:21 Page 1Please 1 great doctor. speak at your church.
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EMMS International is transforming lives through compassionate, effective and sustainable healthcare. Palliative Care | Fighting Disease and Disability | Maternal and Child Health
7 Washington Lane Edinburgh EH11 2HA Tel: 0131 313 3828 Email: info@emms.org Twitter: @emmsintnl Facebook: EMMSInternational
EMMS International is a charity registered in Scotland No SC032327. A company limited by guarantee. Registered in Scotland No SC224402.