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)
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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
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