Starting work…

On Thursday March 10, I participated in the hospital’s orientation.  Considering that this hospital hasn’t received any reimbursement from the government in about 8 months, it is doing very well in managing its meager resources. They even provided a small lunch and dinner for attendees. They also provide a monthly incentive (about $3) for workers who have a savings account. This is added to their savings. The goal is to encourage financial planning for the workers.

Today (Monday March 14) marked my first day at the Methodist hospital in Ankaase. I moved into my apartment yesterday (Sunday March 13) with help from my mom and sister. They were very helpful and even prepared my meals for the weak. I am very blessed and thankful for their help. Of course, the meals were delicious and have been a life saver:)

The hospital is about a 10-minute walk from my house. Thankfully, it was a cooler morning and afternoon (mid 70s) with scattered thunderstorms therefore my commute to and from work was pleasant. I hope the weather stays cooler.

My new home, thanks to Dr. Gongwer, for the next year. There are three hospital staff members living here too.


I am serving in the hospital’s emergency room (ER). It is a 10 bed unit with 3 staff nurses, a nurse aide and a charge nurse. A physician comes in periodically to see the patients and as needed. When the physician is not seeing patients in the ER, he/she sees patients at the out-patient department (OPD). They have an outstanding case load just like the nursing staff. However, they (nurses and physicians) are judicious in their duties and really care about their jobs and the patients.

Path leading to the new place of abode....the white house is reserved for security personnel


Because of the lack of resources and space, the ER sees both pediatric and adult patients within a confined area. This could lead to potential problems especially in the case of patients with infectious diseases. The hospital is in the process of building a new OPD and we are hopeful that this new facility will reduce this burden and risk. Other challenges include lack of cardiac monitoring devices, isolation rooms for tuberculosis (TB) and other transmissible conditions in addition to a lack of annual TB screening for the workers. We are working on finding a sustainable solution to the screening issue. It is of particular importance considering the endemicity of tuberculosis in this region. We had a patient in the ER who tested positive for TB and had to be referred to another facility due to lack of TB medicines at the pharmacy. Remember, the government hasn’t paid this facility in 8 months so it’s a real challenge to operate smoothly.

Path leading to town (Ankaase). Its a 10 minute walk from here to the hospital


The challenges are too many to mention but there’s always a ray of hope. If you are reading this, please pray for strength and good health for the workers at this hospital. Also, pray for God’s direction in finding ways to solve the problems and challenges being faced by staff and management.

A view of the Ankaase township.The building on the left with 2 stone columns is the local Methodist Church. To the right of the tree, in the middle of the picture, is a yellow building. This is the top portion of the hospital; a two story building.


Thank you so much for your time and loyalty to this blog. It is very appreciated. I will try to update as often as possible.

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