International Federation of Red Cross and Red Crescent Societies (IFRC) International Federation of Red Cross and Red Crescent Societies (IFRC)
Search :

News

News stories


News Home
News Stories
Press Releases
Speeches
Opinion Pieces
Audio & Video


Red Cross food parcels arrive at Silele clinic (p10132)



Waterborne diseases are becoming increasingly common as people are forced to use contaminated sources of water (p10145)


Southern Africa diary
A week in the lives - Wednesday

23 July 2003
by John Sparrow and Selma Bernardi in Silele, Swaziland


Around 30 per cent of Swaziland’s population will need humanitarian aid this year, even more than in 2002 when famine threatened Southern Africa. Driven by the AIDS pandemic, the crisis extends beyond food and drought to breakdowns of community and the coping capacities of families. Red Cross health clinics and their home-based care services provide essential support for those most at risk. A week in the lives in the hard-hit south shows why the International Federation is appealing for US$10 million to strengthen a safety net for vulnerable people across the region.

Wednesday

12.00 Noon


Poverty brings its own problems. Mother-of-six Nelsiwe depends on Red Cross food distributions of maize, beans and oil to feed her family and the clinic has provided corn-soy blend for the youngest to improve their nutritional intake. Today she has brought her two-month-old baby for a check up. Like all her children it has scabies.

Scabies comes from poor hygiene. Where there is a shortage of clean water and soap, or a reluctance to use them, scabies thrives. And, as Nelsiwe has discovered, it spreads like wildfire.

Poor access to safe water and adequate sanitation in Swaziland has wider and more troubling health consequences. Last December cholera broke out and the clinic dealt with a stream of cases from the surrounding Kaliba area. Mduduzi Nkonyane, the Red Cross water and sanitation officer, is in no doubt why the population is vulnerable.

“Just take a walk with me,” he says. “Most households have no latrines. People defecate in the bush. They do not cover their faeces, and do not wash their hands because water isn’t close. When it rains the faeces is washed into the rivers.

“People drink from the rivers. The water is dirty, it is kept in dirty containers, and nothing is done to purify it. Often homesteads do not have refuse pits. You find cow dung all over the yard. Food like vegetables isn’t washed before cooking or eating, and flies are everywhere.”

He is busy changing things. In the hills close by, streams are fed into filtration and purification tanks and a pipeline carries water down to the clinic. Outside, a mountain of coiled pipe reveals other plans: to take the clean water into 385 homesteads.

The digging of trenches started yesterday. Sanitation pits are also being dug, cement slabs constructed to place on top. Before water is laid on, homesteads must agree to a sanitation package.

It is the first such project in the area, and requests for similar schemes are coming from other communities. Health information campaigns would seem to be paying off although Mduduzi has no illusions. There is a long way to go yet. As he climbs the hill to inspect the trenches, he is blunt. “We still have a lot of people to educate. I mean there are these beliefs. People just won’t sit where someone else has sat. They say: if that woman is going there, I am going to the bush.”

Monday - Tuesday - Wednesday - Thursday - Friday

Related links:

Southern Africa crisis
Swaziland: appeals, updates and reports
Ensuring safe water and sanitation
Make a donation