“Let us bury ourselves”

Bwindi Community Hospital Admin lobbyAs I was conducting research to expand and update the wikipedia article for the Bwindi Community hospital, I found this story.  Its beauty is something I need to share with you.

In the 80’s the country was experiencing close to 25% percent prevelance in AIDS infections and by the 90’s, due to a lack of retrovirals, population reduction due to the AIDS epidemic was astounding[1]. People who traveled to Uganda in the 90’s remember the “boom” in casket making.  At the village level a structure and community process was created to address the large amount of deaths.  In the southwest region burial leaders were selected and they would coordinate the burial, donations, and assistance to the families.  Their motto for this process was Bataka Twizikyo, “Let us bury ourselves.”

In 2010, as the idea for a community health care scheme began to take root the hospital searched for a motto. As  a way to explain the health insurance scheme the hospital explained that the whole community “pools” their money to care for each other. When they need to go to the hospital they have paid their 6,000 UGX ($3USD) per person per year.  The pooled money is available to pay for their treatment when they get sick with anything from a broken bone to more serious diseases.  The natural motto then was built upon the earlier burial phrase, it became, Bataka Twetambire, “Let us heal ourselves.”

This community has substantial ownership of the hospital and healthcare scheme.  They worked hard to create the hospital and now to improve its services.  I am working on writing a history of the hospital. A task that will take several more interviews when I return to the US.
Check out the hospital website and the new Wikipedia Article. The pictures for Wikipedia are still awaiting approval.  45% of their funding comes from individual donors so think about making a small donation.  $100 USD pays a doctors wage for 1 month.
Bwindi Community Hospital, Uganda. 

[1] Avert. Org, HIV and AIDS in Uganda. http://www.avert.org/aids-uganda.htm#contentTable0 accessed February 4, 2013

The Fig Tree

A Tree in Bwindi

I found a beautiful sacred space yesterday.  It has been in use for over 100 years.  It has no walls and yet it still shelters life. The giant fig tree (Ekitoma in the local Rukiga language , stands next to the playing field of the primary school. It has been a shrine, a school, a hospital, and a meeting place.  The giant fig towers nearly 50 feet. Its trunk, a tangled swirl of vine and roots is 15 feet at its base.

Until 1935, when Christianity had a stronger presence, the villages would bring offerings of honey and meat to wait the arrival of the great snake.  They would gather around its base, leave offereings and dance waiting for its arrival. As Christianity made its creep along the continent eventually reaching this isolated village in the mountains of a deep rainforest, the villages stopped bring the offerings to the trees.  A small church now stands 50 yards from the tree.  Interestingly, at chapel this Sunday, someone brought an offering of millet along with the paper and metal offerings of Ugandan Shillings.  In a farming and subsistence culture, offering some of your bounty will always continue.

The tree became a school where children would meet with their teachers, learning english, history, and math.  A school building was built in the same clearing.

In 2003 a medical missionary named Scott Kellerman from Texas, came and held clinics under the giant fig tree. The clinics were to treat the Batwa (a pygme tribe ousted from the forest when it became a World Heritage site), eventually treating all the people from the village and surrounding community.  Cases range from the simple and complex to the joyful and the tragic. They all came.

The villagers eventually approached Kellerman about establishing a hospital.  Kellerman asked the villagers to work together with all the leaders of the community and to gain wider community support. He partnered with Ugandan doctors and the Church of Uganda to help the community establish the Bwindi Community Hospital and the Kellerman Foundation.  They now serve the entire community at the hospital, at 2 satellite sites, and by village health teams who travel to the villages 7 days a week.  Now a nursing school is being built just a few minutes walk from the giant fig.

The fig tree is again a gathering place for villagers. The Batwa gather here with tourists as they begin the ascent up the hill to the Batwa Cultural Center and living museum. A project of the Batwa Development Program, the cultural center is a series of tiny grass dwellings where the elders demonstrate for toursits their forest life, enabling them to also pass on the traditions to their youth. They gather in the waning light of day to share stories and teach.

Much that sustains this community is within walking distance to this tree. The cry of new born babies, the voice of a teacher, the splashing of a creek, the rustle of banana leaves, the singing of hymns, can all be heard here. All that is essential to life is here within 10 minutes walk to this tree.