The Start of the End at Advent

Dear Friends

It is just over two years since we arrived to work in Sierra Leone. Our contract is for a period of two years, and so we have extended it by just a few weeks to complete all the semester work at the Theological College, including attending graduation, marking of exams, and handing over of marks for the semester.

All of these will be finalised by 18 Dec, which is the date we leave Freetown, to have 5+ weeks of the local leave we have not taken ‘in-country’, in Spain. We will then return to Britain on 6 Feb, for 3 months of ‘furlough’ which includes a number of speaking engagements in various parts of the UK, during which time we will be living in the Pickering area of North Yorkshire. From the beginning of May, Peter will be involved in the Pickering circuit, and both of us will be doing some advocacy work for the Methodist World Church Relations in the York and Hull District. At the end of August, Peter officially ‘sits down’, a phrase used by the Methodist Church, referring to retirement. Janice has been receiving her pension for 6 years and so Peter joins her in receiving a similar monthly payment into our bank account, and to no longer be in financially remunerated employment!

During the last year, since we last wrote to you, there have been changes in some of the activities that we are involved in. As a result of Daro sending us a UK newspaper article on the conditions in Freetown Central Prison, Peter has been engaged for most of this year with the prison’s inter-religious chaplaincy team. Just prior to our departure the work will conclude with a training day on the continuing development of chaplaincy work in general and on enabling a better understanding on the relationship between chaplaincy and the country’s Correction Services. As an example of mission, this has been a very, fulfilling time for Peter, not only working with the chaplains, but having discussions with the senior management of the prison services to explore how chaplaincy can assist in alleviating some of the effects of appalling conditions, as well as exploring the potential of incoming generating work by prisoners. The Methodist Relief and Development Fund offered a sum of money for humanitarian relief in Sierra Leone, and this has been distributed in the form of food aid to the families of prisoners living in the provinces, where food security is problem, especially during the ‘hungry season’.

We are now attached to the Wilberforce Circuit of the Methodist Church Sierra Leone,(MCSL), a circuit that has excellent leadership, which is discovering more of its history and what it means to be part of a connexion. Both of us travel around the circuit six churches to lead worship service, and once a month Peter chairs the leaders’ meeting at the church in Goderich, a fishing village, which like many other places along the coast has a beautiful beach.

This newsletter was started the day before a group of four people from the British Methodist Church arrived, to join the Methodist Church Sierra Leone, as it celebrated 200 years of missionary engagement between Britain and Sierra Leone. The Methodist Church is somewhat older than this, as the freed slaves, on their return to Africa, to what was then The Colony, to be later called Freetown, brought with them the various Christian traditions they had encountered in their places of bondage. So it was, that those who were Methodists, appealed to the Methodist Church in Britain to send them some helpers, and on 12 November 1811 Rev George Warren, Thomas Hirst, Jonathon Raynor, and John Healey stepped off the boat ‘The Traveller’ onto the shores of Sierra Leone. Peter has been the chair of the celebrations committee and during the last 8 months there has been various events including a lecture and a service to commemorate the four men leaving the shores of Liverpool. Warren Memorial Church was packed for the service of celebration, with the choir singing an anthem written by one of their members for 200^th anniversary of the church, and identifying with some of their ancestors in the faith as the congregation left the church to the music of a hymn from the Caribbean.

Janice’s contact with the MCSL Support Group for people living with HIV continued during the year. The main work has been with the Literacy Facilitators and small community groups. The facilitators are waiting to hear whether they will be accredited by PADECO, the organisation that trained them in 2010, and also gave them a refresher course this year. The process of handing over the project to a small group is almost complete, with the new name of Family Literacy, realising that the improvement of parental literacy impacts on the life of a family.

As a result of the subjects that Janice has taught in the college, she is part of the staff group that observes students on teaching practice, in Junior Secondary Schools ie forms 1-3. The supervision has taken her to the Methodist Boys’ High School, and to three other secondary schools. All have classes of over 50 students, with a number of them not having sufficient seats for all the students to sit down. Tertiary and secondary school teachers have, at various times during the year, been on strike, due to not being paid on time, to lack of a pay increase and improvement in working conditions. The government has offered them a “package” but the motivation for quality teaching, which encourages student participation in the learning, understanding and application process is not very common. Students’ passivity, compliance and lack of interest are disturbing, as well as the teachers’ lack of confidence to do anything that make break this model.

As we prepare to leave Sierra Leone, we are grateful for the privilege of working here, and depart realising that anything that we have done is but a drop in the nearby Atlantic Ocean. The passages of slave trade era continue to have indelible marks on the nation we leave behind. Global poverty and the lack of employment for young people are compounded by a scarcity of clean water and electricity and the high maternal and infant mortality. In stark contrast, roads with cavernous holes support numerous four-wheel drive vehicles, and privately owned prestigious cars, that are parked on the drives of the luxurious houses being constructed at a rapid rate further up the hillsides of Freetown. With national elections due to take place in 2012, a vital step away from the recent history of conflict and civil war, we will watch in the hope that the time of preparation and voting will be one of peace. This will be significant in determining if the eventual outcome is accepted by both loser and winner. We pray that that those given responsibility will work honestly and with integrity. The hope of Africa is that the nation’s leadership will in turn enthuse the people to realise their own responsibility, to not just recognise the challenges that they face, but to be innovative, creative, and hardworking for a society that becomes more self reliant, and that each person realises their God - given full potential.

Advent Blessings

Janice and Peter

Contact details:

clark.janice@gmail.com and peterclark47@googlemail.com

(from 6.Feb.2012): c/o Rosemary Wass, The Green, Fadmoor, York YO627HD, U K

Freetown Central Prison – Today'sRights, Past Wrongs

Just inside the perimeter walls of Winson Green Prison, Birmingham, England, there was in the early 1980s, an obscure semi circle of rough concrete. Surrounded by black tarmacadam, its greyness almost glared at the passer-by, as a silent announcement of the location of the prison’s gallows. The last execution performed by the apparatus of the State was that of 19 year old James Farell, on 29 the March 1949. The ageing concrete is the only epitaph to him and his predecessors, and yet I never saw anyone step on the unscripted tombstone.

Known as ‘Pademba Road Prison’, Freetown’s Central Prison, is an imposing structure like that of Winson Green Prison. It borders a major traffic artery of the city, but is closed to Prison Service vehicles for a considerable time each night, isolating the prison and its history. The life of the Pademba Road Prison maybe short in comparison with Winson Green Prison but the stories of those who inhabited and died within it are no less disturbing.

In Freetown on 19 July 1975, it was reported that fourteen men, all of them senior army and government officials, had been executed, having been found guilty of treason. The fourteen, included Dr Mohamed Sorie Forna, whose story has been carefully researched by his daughter ,the London based author Aminatta Forna, in the book “The Devil Dances on Water”. ( Her recent novel, “The Memory of Love” won the 2011 Orange prize for fiction.) Whilst there are many who can vividly recall that day, few witnessed the spectacle that took place outside the prison, where the men who had died by hanging, were displayed for an hour. The message to a shocked nation was clear, the government of Sierra Leone, a one party state, led by Siaka Stevens, would not tolerate any opposition to its authority.

My visits to the Freetown Central Prison and to the Women’s Prison, located in the cells of the former International Special Court, have been frequent for most of this year. During a recent visit Pademba Road Prison, to assist the Sunday morning worship, I asked to be allowed to visit those in the condemned cells. In February the board at the prison gate indicated “Condemned 1” but on that day displayed “2”. The Women’s Prison, with 35 prisoners, registers one.

There in the “condemned section”, close to the chapel, yet isolated from the three-storey high cells, built originally for 325,and now accommodate over 1,200 men, I visited a Muslim prisoner. I found him quietly reading his Quran. As part of the nation’s 5Oth Independence Anniversary, the President of Sierra Leone had pardoned all condemned prisoners who were immediately commuted to serve life sentences. The man I met, along with another prisoner, had, according to The Acting Director for Prison’s Mr. Sanpha Bilo Kamara, pleaded to be allowed to remain in relative isolation, as it was more congenial than the freedom being offered in the bigger overcrowded cell blocks.

In discussion with Chief Imam Sorie Sankoh Officer in Charge of Religious Affairs, and a chaplain for over 35 years, he talked of what aspects of his work he enjoyed most and least. His memory of the early years of his service, when he was physically ill on the days of execution, has left him with an abhorrence of capital punishment.

In mid September this year, Penal Reform International held a conference in London titled “Progressing towards the abolition of the death penalty and alternative sanctions that respect international human rights standards”. Among the statements of the London Declaration from the conference, there are two that resonate with the situation in Sierra Leone : the affirmation “that the death penalty undermines human dignity and can amount to cruel, inhuman and degrading treatment or punishment”, and “ that the death penalty creates additional victims, the family members of those who have been executed – who are often forgotten, marginalized, or stigmatised by society”. This is certainly true of the events in Freetown of 19 July 1975, as family members of the fourteen condemned prisoner, have frequently alleged that atrocities occurred a few hours prior to their reported deaths. Brigadier John Bangura, , the man he handed power to President Siaka Stevens,found it hard to believe that his plea for mercy had been turned down, and was beaten to death in the cells for condemned, when he refused to walk to the gallows.

The London Declaration expressed the view that the essential aim of the penitentiary system should be the “reformation and social rehabilitation” of prisoners. In Sierra Leone a new bill, “The Correctional Services Act 2010” seeking to replace legislation dating back to 1960, a year prior to independence, is still waiting parliamentary approval. However it remains to be seen if indeed the proposed reforms with their emphasis on “correction” and not “containment”, will receive the budgetary support needed for implementation from the government.

The film “Shawshank Redemption”, a classic prison-based account of hope over adversity, in which Tim Robbins co-stars with Morgan Freeman, has long been a film Janice and I have found instructive and inspiring. A recent BBC radio interview with Tim Robbins, on his work on drama workshops in a prison project, involved him explaining that the State of California’s Penitentiaries had, owing to the State’s massive financial problems, deemed that penitentiaries would only endeavour to incarcerate humanely and nothing more. It was, therefore, only externally funded initiatives, like his own, that were addressing the task of reformation and rehabilitation. Recidivism amongst prisoners was, he explained, due to people, and men in particular, not having the capacity to access alternative forms of behaviour, other than raw aggression and violence. When confronted with challenges they responded in ways which saw them re-offending and re imprisoned within a short time of being released. For Robbins, drama workshops and in particular the works of Shakespeare as a source for improvisation, taught men how to identify hitherto hidden aspects as to who they were and could be.

It is difficult to listen to Robbins arguing the case for rehabilitation programmes in prison without connecting it with Susan Sarandon, in the role of Sister Helen Prejean in the film “Dead man walking” portraying the horrors of the death penalty. It is therefore interesting to see the present controversy following her comments on Pope Benedict.

As the last execution in Sierra Leone was carried out in 1998, the country is therefore considered to be de facto abolitionist. With the commuting of the death sentences on those who had been condemned prior to April 1011, to one of “life in prison”, all the signs are of a movement in the right direction on human rights. Nevertheless the death penalty for treason, murder and aggravated robbery is still in place. The government has neither signed nor ratified the Second Optional Protocol to the International Convention on Civil and Political Rights aiming at the total abolition of the death penalty.

WWW World Wide Workers in God’s Mission

1811-2011 The Bi Centenary Celebration of Methodist Mission in Sierra Leone is based on the arrival of Rev George Warren and his three schoolteacher colleagues, Jonathan Raynor, John Healey and Thomas Hirst, in Freetown on board a ship the Traveller on 12 November 1811.

The year of this historic event provides the opportunity for a number of mission related initiatives, which included a Bi-Centenary lecture given Rev Dr Sahr John Yambasu who on Saturday 9 July addressed the issue of mission with Mende and Methodists: The Untold Story of an Emerging Church. Sahr Yambasu was born in one of the remotest areas of Sierra Leone, but studied for ordained ministry in Freetown, where he later served as Principal of SLTC &CTC. During the war, security issues for his family forced them to return to Ireland, where he had studied for his doctorate. His annual visits to Sierra Leone involve a number of mission related endeavours but are aided by international flights taking about 12 hours. Warren and his colleagues required 52 days, some of the time being chased by pirates. Their arrival was intrinsically linked to the work of Wilberforce and Wesley, for the liberty of God’s people, and as we are now serving in the Wilberforce Circuit, it is only proper that we reflect on what this historic events means for Methodists in mission today.

It is highly unlikely that William Wilberforce or John Wesley ever met George Warren but both men played a significant part in the arrival of Warren and his three schoolteacher colleagues, Jonathan Raynor, John Healey and Thomas Hirst, in Freetown on 12 November 1811.

Wesley and Wilberforce were born in places only 30 miles apart but were separated in age by more than 55 years. Together they shared a great a love of God and the transformative nature of Christian mission. Wesley’s relationship with Wilberforce was that of a teacher and inspirer, in which the young William grew to an understanding of what Christianity required of wealthy and influential young men like him, who entered into political responsibility at an early age. John Wesley wrote his last letter to Wilberforce in 1791, in which he expressed his oppositin to slaveryand encouraged him in taking parliamentary action to bring about a change in the law. The eventual abolition of Britain’s transatlantic slavery in 1807, was of major significance in the arrival of George Warren in Freetown, twenty years after Wesley’s last letter to Wilberforce.

During John Wesley’s lifetime it was the Rev Dr Thomas Coke who had encouraged him to ensure that the Methodist movement engage in mission beyond the British Isles. It was also Coke who insisted that young preachers were sent not just to where they were needed, but to where they were needed most. And that meant sending Warren and his colleagues to Sierra Leone, in response to a letter written by Methodists in Freetown some years previously, which asked for one or more of ‘Mr Wesley’s preachers’ to be sent to assist them in God’s work.

Very little can be learnt of George Warren prior to 1811 and the date and place of his birth are unknown, but we do know he served as one of Mr Wesley’s itinerant preachers in several circuits in England and Wales, before offering to serve God’s mission in Africa. Jonathan Raynor, John Healey and Thomas Hirst were all of from Dewsbury in Yorkshire, and they too were willing to serve the Methodist movement in its missionary endeavour, even if that involved travelling to what was known as ‘the white man’s grave’, to address the educational needs of Freetown and its growing population of returned and freed slaves.

In September 1811 as Warren and his colleagues set sail from Liverpool, and lacking the benefits of radio, television or even photography, they would have known very little about where they were heading for on the ship “Traveller” with Paul Cuffee as its captain. A Quaker and devout Christian, Cuffee was the son of a freed African father and an American Indian mother, Cuffee had been to Sierra Leone and was in regular correspondence with Wilberforce who had encouraged him to seek the support of the Methodist Church in London in establishing ‘The Friendly Society’, a cooperative organisation. With a journey of 52 days at sea, the Methodist missionaries would have had much to discuss and pray for as they headed towards Freetown, to begin their ministry and mission in what became the Methodist Church in Sierra Leone.

This year the MCSL will ensure that the bi-centenary of the arrival of the four missionaries, will asks of us some serious questions not just of who has influenced the growth of the church, but how Wesley, Wilberforce and Warren are still present in what we seek to do today. The bi-centenary programme will involve memorial services with special hymns written for the occasion, public lectures by people who have also contributed to God’s mission in Sierra Leone, and will have the assistance of prayers from across the United Kingdom and the African continent, as we honour the ministries of the first four young missionaries. Their commitment to God’s mission was a costly one, with Revd. George Warren dying of a fever on 23 July 1812. It is therefore appropriate that in the spirit of Wesley, Wilberforce and Warren we too should be asking, “What price are we willing to pay for God’s mission in the 21^st Century?”

Results by Payment?

Girls Education Week in Sierra Leone takes place in October each year. Opportunities are provided for girls to express their concerns about education, and to challenge the government to make sure that improvements take place.

Sierra Leone's education system is divided into four stages; primary education lasting six years, junior secondary education of three years, three years of either senior secondary education or technical vocational education and four years of university or other tertiary education. Since 2004 all primary education and junior secondary school for girls in the northern and eastern areas. Fees were also abolished for the National Primary School Examination (NPSE) that is taken at the end of primary school which led to an increase in enrolments for the exam . The NPSE is designed by the West African Examination Council and has to be passed in order to progress to secondary education. A the end of secondary education students sit WASCE, the West African School Certificate of Education.

In Sierra Leone, an estimated 64 percent of primary school aged children are currently enrolled in school. However, only 54 percent of enrolled girls successfully complete their primary education. Although attendance rates for boys and girls are almost equal at the primary education level, attendance rates for girls in secondary school stands at only 29 percent. There are many reasons for the poor attendance by girls: they may miss school one week per month as a result of not having access to sanitary protection during menstruation, lack of financial resources, early marriage or pregnancy, heavy household responsibilities for girls, lack of appropriate educational resources, primacy placed on boys' education, mothers' heavy workload.

“We need to give a voice to the other girls who can’t be here. Pregnancy and poverty and are some of the biggest problems affecting girls’ education. And when people are aware of the problem, they can start to make changes for the better,” said Salamatu Bangura, 15, from the Methodist High School, which is just over the wall from where we live, during her presentation at the Girls Education Week.

As part of Girls Education Week, Fatmata, from Bo and over 75 girls from around Sierra Leone presented a petition to the Speaker of Parliament and a cross-section of parliamentarians which called for stricter legislation to support girls’ education.

“2015 is around the corner. Every country will have a report card. If you work hard, you will get good grades. If you don’t work hard, then you will fail. We need to start working hard now,” remarked Fatmata to the Speaker of the House of Parliament.

We were sitting on our veranda having our evening meal, after dark, when the gatekeeper came to inform Peter that Isabel wanted to see him. Not knowing any Isabel he was intrigued, and later returned with Isabel’s story. She was to speak at the Independence Celebrations at the National Stadium with the task of thanking the President for what he had done to help children in school. She needed money to get her hair done, so assistance was given. Isabel then came, again in the evening, on the day of the Independence celebration to tell us how it went, but to say she had not had enough money to get her hair done. A few days later she returned again, this time with her hair plaited, so we could see it, and as Peter escorted her to the gate, she asked for money for her school fees. We later discovered that they were not for her actual fees but for the cost of private lessons, offered by a teacher, with the promise that she would be able to sit her WASCE exams privately, and earlier.

Isabel had been sent to Freetown, following the death of her mother, by her father, so that she could continue her education. She was to live with an aunt who would support her.

The nightly visits from Isabel continued and included a story already told in an earlier blog of being evicted from the house she was living in with her aunt.

More recently she appeared and was sick, with stomach problems. Assistance was given to get it sorted out, and within days she was back, in tears saying she had been told she was two months pregnant. Always visiting at night, and often when did not have power or the generator on, it was difficult to note her physique. So she was taken to the clinic, and with just a glance the nurse indicated she was 26 weeks pregnant. This was later confirmed, but with the ante natal tests she was discovered to be HIV+, and to have a number of STIs.

Treatment for HIV is free in Sierra Leone, and Isabel needed to get started on the treatment for herself and the baby immediately, as well as iron to combat anaemia, and treatment for the STIs. Isabel’s father was informed of her pregnancy and he came to collect her, to take her back to the village to have her baby. She returned with a letter of referral from the clinic in Freetown for the local hospital in Port Loko. Hopefully all her treatment will continue, but will she continue her education?

Casual sexual encounters, for money, but not as “a street girl”, are not unknown amongst teenage girls. When the odds are against you to get your school fees, and all the additional expenses where are you to get the money? Education does not just involve fees irrespective of what level you are in. Teachers may demand the students bring in food, or fresh vegetables, suggest that private lessons will ensure good results, envelopes are presented to teachers at the time of examinations, or girls may be asked to meet privately with male teachers. There is also the cost of the school uniform for daily wear, and a special uniform for events such as the school thanksgiving. Some teachers will expect students to buy photocopies of materials and if you don’t have them, then the chance of passing tests and exams is limited. You have to pay for all the exams that you take. The hidden costs of education are multiple. Teachers’ salaries are low, and so they will find creative ways of supplementing their income, often to the detriment of the students.

But many parents are committed to educating their daughters, as is Isabel’s father. Another example is Salena McCaphy who lives in the town of Waterloo to the East of Freedom. She is the mother of six children- five girls and one boy. She lost her husband earlier this year, leaving her to raise her children alone. Surviving on a very modest salary from selling vegetables from her garden, Salena faces financial uncertainty which could force her to put her children to work. In spite of all this, Salena sends all five of her girls to school – something rare here in rural Sierra Leone.
“Investing in our girls’ education will have big rewards for us,” Salena says. “I want my children to be educated so that they won’t have the problems that I have – like financial troubles. I want them to grow up to be happy.”
The oldest of these children, Humu Aruna is 13 years old. She recently passed the National Primary School Exam (NPSE), a required exam for students throughout Sierra Leone. “I want to be a nurse when I grow up, so that I can take care of my mother and grandmother. I’m so proud that I passed the exam, and I made my mother proud too!”
For more pictures on the challenge of girl education in Sierra Leone see: http://www.unicef.org/wcaro/2799.html

Fresh Footsteps Across Old Education Boundaries

My name is Jasmine Dingley and I am seventeen years old. I was recently given the opportunity to visit Sierra Leone with my Nan, as she wanted to visit friends and the school she sponsors. I attend a Steiner school, which is an alternative method of education which focuses on educating the whole child, not just the mind. The references within my reflection to ‘main lesson’ and ‘middles,’ are in relation to my experience of school. As a Society and Culture student, I believed that the experience would give me depth to my studies and an appreciation for other cultures, but what I actually gained was much more; I came back having truly gained insight and life experience. The following text is a reflection on my time in Sierra Leone.

I stepped out of the airport into a wave of dry heat. All around, bodies pressed in on me, smiling, laughing and talking in a language I didn’t understand. The lack of regard for personal space, so unlike the norms of western culture, unnerved me and I had to remind myself to refrain from judging a culture on my own values and beliefs. The feeling of truly being a minority, a lone white face in a sea of black, was alien. Over the next ten days, as I began to put aside the cultural mores and norms that form the basis of my understanding of the world, I gained insight into and appreciation for a culture that is so vastly different to anything I have experienced.

The Sierra Leoneans ability to be content and happy with what little they have is something that touched me, and something that I feel has long been lost in western culture. Consumerism and materialism are values so entrenched in our modern day society that the words ‘wealth’ and ‘status’ are essentially the same thing. The happiness that was evident in the face of so much poverty was truly shocking, I couldn’t comprehend that people could be content with so little.

This became all the more evident on our visit to Goderich Waldorf school in Rokel. The first Waldorf school in West Africa, it is little more than three tarpaulin classrooms held up by sticks and rope. With just over ninety students and three teachers, the school is located in a tiny village where the main trades are fishing and stone breaking. As I stood at the main entrance and looked at the tiny structure that supposedly housed almost a hundred children, I couldn’t help comparing it to my idea of a Steiner school, beautiful buildings, open land and shady trees. This became my main learning curve over the course of my trip, to fully understand that everything is relative to the culture in which it is located. To judge another society on the values and norms of your own is not right, although we subconsciously do it. You have to consciously think about it and make the decision to view everything with unbiased eyes, difficult though this may be. So I looked again, and this time saw the children’s faces, how happy and grateful they were to be there at all, how the lack of classrooms, of proper equipment didn’t matter to them, all that did was that they were there and learning. The teachers were happy to be there and to be working, though they received an incredibly low salary by our standards. Amongst all the vast differences I found many similarities. The days were structured in all too familiar ways, main lesson beginning the morning. The children enjoyed morning tea, and then began middles. This little oasis in the centre of poverty amazed me, and truly changed the way I view the world.

It is hard to describe the feeling of entering a completely different culture with little previous knowledge of the place, to be thrown straight in the deep end so to speak. The capabilities Sierra Leoneans must possess in order to live and survive in such a harsh social climate are hard to believe. Little or no water reaches most residential places, and electricity is temperamental at best. These conditions produce a different race of people, not just in nationality but in their incredible outlook on life. The incredible experience I underwent enabled me to get a glimpse of a culture so vastly different to my own. It truly did change the way I view my own culture. It was an amazing journey and I feel privileged to have been given the opportunity to take it.

Women and Children First - by Deidre Homer

Each time I travel, there is something new to learn about a place and the people, so even though I had heard quite a lot about Sierra Leone, to see and experience it had a great impact.

To have some an insight into some of the work that is been done through the Methodist Church in Sierra Leone and other NGOs was a privilege. I was shocked to hear that about half of the GNP of Sierra Leone comes externally from NGOs and other countries.

I visited 3 health related projects whilst staying with Janice and Peter, as well as seeing 5 out of the 6 churches in the Wilberforce circuit, to which they have recently been attached. The contrast between resources and personnel in Salone and the UK was very evident in the health projects, which is not surprising given the huge health needs of Sierra Leone country. In Salone, a woman has a 1 in 21 lifetime chance of dying due to pregnancy or childbirth compared to 1 in 4700 in the UK (Unicef 2008), and the maternal mortality ratio is 970 per 100,000 births compared to 12 per 100,000 in the UK.

The Aberdeen Womens’ Centre is situated in Aberdeen, an area fairly close to the beach. This charity is supported by Freedom from Fistula Foundation. It provides healthcare for pregnant women, runs a daily children’s clinic for the local community, and is a centre for the correction of vesicovaginal fistulae. This is a condition caused by prolonged labour that results in a connection between the vagina and bladder or bowel, causing faecal and urinary incontinence, and thereby isolation, rejection and stigmatisation of those women who are affected. Women stay at the clinic for a number of weeks whilst being prepared for the surgery and being nursed afterwards, are offered basic literacy instruction and health promotion, as well as opportunities to share fellowship and stories with other women . For more information see http://www.freedomfromfistula.org.uk/fistula_clinic.html .

In the children’s clinic , which I sat in on, there was one doctor, a team of assistants, and over 40 children to be seen that morning. Basic measurements such as height , weight and temperature were taken before each child saw a doctor, and patients were triaged with the most unwell being seen first. At least a couple of children were referred on to a nearby hospital for inpatient treatment and x rays if needed. Tests such as a full blood count and a rapid test for malaria was available at the centre and results were returned as the doctor saw more patients. I left at 13.30 and the doctor still had at least 10 patients left to be seen. The WHO recommended guidelines were used, which included everyone with a fever being tested for malaria. If a child wasn’t too unwell with malaria then a test dose of oral medication would be given at the clinic and then after observation, he or she would continue the treatment at home.

The next project visit was fortuitous as Peter developed a dental problem and the nearest dentist, other the Mercy Ship’s dental clinic, was in the UK next year. Fortunately he was able to access some temporary treatment at the clinic, which had been set up in a compound near to the docks. This again was highly organised, with patients being registered and then waiting to be seen in a large waiting room. As they waited for treatment, mostly dental extractions, and after singing some choruses , 2 staff members spoke of how to look after your teeth. In Sierra Leone there are only 2 dentists per million of the population, compared to 6000 per million in the USA.

The Mercy Ship is staffed by volunteer medical staff drawn from many countries, who spend several weeks working both on the boat and on land. This is the 5^th time that the boat has visited Sierra Leone and it will be there for 10 months until November 2011. It is working in partnership with the Aberdeen Women’s Centre. As well as providing free healthcare, it also offers training to local staff to improve long-term health care and build capacity. The ship has 6 operating theatres and 78 beds, as well as land -based eye and dental clinics. Potential patients who might benefit from treatment such as cleft palate repair and removal of cataracts are scouted out ahead of the arrival of the Mercy Ship by clinics set up beforehand. Here is a link to read more of their work in Sierra Leone.http://www.prweb.com/releases/Mercy/Ships/prweb8152864.htm and see also http://www.mercyships.org.uk/ .

On Good Friday I was very pleased to renew my acquaintance with Lillian Lahai, who I met at the last World Assembly of the World Federation of Methodist and Uniting Church Women held in South Korea 5 years ago. Lillian runs a small clinic funded by the Methodist Church, which offers care for pregnant women. It can accommodate up to 6 inpatients as well as seeing outpatients for antenatal care and common ailments. Unfortunately the need for antenatal care and care during and after labour is great in Sierra Leone. With poor maternal health and high infant mortality, the government has gone some way in trying to improve this situation and since April 2010 free medical care for pregnant women, breastfeeding mothers and children under 5 years old has been made available. However, when the government announced this plan they forgot to include or liaise with faith based organizations, who provide a fair proportion of health services. Lillian was delighted that finally, a year later, her clinic will get government funding to provide trained midwives (she is the only trained midwife presently), and funding so that those entitled to free care will no longer be charged, and medication and emergency drugs will be provided. I sat in with Lillian at an antenatal clinic, which began with an education and health promotion session , before the women were seen individually. I especially enjoyed the simile of a woman’s womb being like an overused handbag, that is in danger of splitting open if too many babies have been delivered from it.

The reality of MDG 5 came home to me as we saw a woman with massive swelling of her legs and abdomen. She had been for a scan, but there was so much fluid that we couldn’t hear the baby’s heart beat. Lillian sought advice on management of this patient from medical staff at a local hospital. I was saddened to hear that for whatever reasons, less than 2 weeks later, first the baby and then the mother had died. In the UK both mother and baby would almost certainly be alive now. The reasons why so many mothers die are complex but I only hope that provision of free maternal care will lead to better uptake of antenatal monitoring and hopefully prevent some deaths. However in a country where most folk live in poverty, on less than a dollar a day, problems such as lack of food, difficult access to clean water and the risk of malaria inevitably will continue to affect the health of the nation.

All of the projects visited seek in different ways to empower people to live positively and to make the best of their situation. I was humbled to see how medical staff, often in difficult circumstances, were doing their very best to help their patients, and I greatly admire their ability to keep on going, whatever happens.

I’m very glad to have had the opportunity to visit Sierra Leone and will hold the country and people in my prayers, as they move forward from their celebration of 50 years of independence.

Remembering for the future...

It is acknowledged that the first gunshots in the Sierra Leonean civil/rebel war were discharged by the Revolutionary United Front at Bomaru in the Kailahun District on March 23^rd 1991. To mark the 20^th anniversary of this event and to pay respects to the hundreds of thousands who died in the ensuing 12 years, the Inter-Religious Council of Muslims and Christians organised a remembrance service in the national stadium. Peace marches of both faiths began in the early evening from both the east and the west of the city and, following their respective brass bands and banners, converged in the stadium, to provide a gathering of 4-5,000 people to observe a Muslim and a Christian remembrance service liturgy.

The nation had been asked to observe a minute silence at mid-day, but it was difficult to assess how much recognition was being given to such a gesture, and as we sat in the failing light of a stadium which holds 20,000 people, it was quickly evident that seating would not be a problem. First, the motorcycle/taxi riders swept into the stadium en masse, completing laps of the track in an exuberant style, not similar to the bravado they demonstrate every day on Freetown busy streets. These men, in their early 20’s, are of the same age group as those whose expressed deep frustration with the lack of employment and economic opportunities in 1991, and who became key participants in the conflict as it grew and spread from its remote beginnings. Following the motorcyclists were the marchers of both faith groups, dressed in white, dancing their way into the arena, reminding us that in Sierra Leone, being a hijjab wearing woman is no barrier to boisterous celebratory behaviour.

With the nation’s President, Ernest Bai Koroma, a Christian, being called to Nigeria for emergency talks on the worsening situation in Cote d’Ivoire, the State was represented by the Vice President, Al Hadji Sa Sadiqui Samuel Sam-Sumana, a Muslim. The government had declared the remembrance service to be the first official event in the Nation’s 50^th Independence Celebration. This overlooked the presidential decree that declared every Saturday morning from mid March to be a time of “pick up plastic”; in an attempt to ensure that Freetown’s litter strewn streets would be relieved of their unsightly mess before 27^th April.

The city’s streets are gradually being decorated with bunting, and in fashion shops the green, white and blue of the national flag is making an impact on the style of women’s dresses as we approach the celebrations , while the famous 500 year old Cotton Tree’s trunk is festooned in the same colours.

As we left the stadium late in the night, carpenters and painters were still busy at work, mounting simple exhibition stands in preparation for a trade fair, in which national companies will demonstrate their wares and potential for national development. With few new work opportunities being evident outside of the extractive industries, and with a high and rising cost of living biting hard, astute questions are being asked about the anniversary celebration budget. When a budget of US$50 million was announced late last year, the public response was far from celebratory. Municipal workers facing the demands of Christmas festivities without the payment of their salaries were vociferous in their opposition, whilst the comment within our compound is “imagine what that money could do for schools, clinics and hospitals”. Since then the government has been embattled not just by criticism but suspected fraud scandals within the organizing committee for the celebrations. The political manoeuvring has been swift with dismissals and new appointments being hurriedly made.

Individual Saloneans, including international football super star, Mohamed Kallon, and music and movie star, Jimmy B, have been keen to demonstrate their support for the celebrations, as have commercial enterprises including the mining industry, whose enthusiasm included a donation of US$ 1 million to the activities.

This being Salone, the events calendar remains tentative as independence day is still, after all, a month away. A few weeks ago Peter asked a Sunday morning congregation how many of them could recall the events of 27^th April 1961. Less than a handful of people of some 150 people raised their hands, the vast majority were all under forty years of age. Afterwards we heard one elderly woman’s account of that first independence day, in an area not too far from where the civil war had begun in 1991. “We were told to stay indoors” she said, “nobody knew what was going to happen, so for more than two days we stayed close to home”. That is unlikely to be the response next month, as despite the many misgivings people have about the current state of the nation and its direction, Saloneans like a party and a multi faceted celebration of music, sport, jubilation and reverential officialdom is likely to emerge.