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NGO Focus—Lesotho Durham Link
Lesotho Durham Link is another NGO working towards improving Basotho lives in Lesotho under extremely difficult conditions. Established in 1986 as a link between two churches in Lesotho and the UK, the Link has over the years provided youth, health and community services. Their current areas of focus include youth and HIV/AIDS services, establishing landmark projects in both of these areas. And yet, even with the governments focus on youth and HIV/AIDS, Lesotho Durham Link still find it difficult to find financial support for their important activities.

We examine some of these services and ask the recipients their views on what they have received and also how they would like to see the services develop.

If we look at Lesotho Durham Links former projects we begin to build a picture of their experience in community projects. They have been involved in the Mohatlane Community Education Centre, a centre that provides a health clinic, a primary school, adult skills workshops and poultry and piggery facilities. They have developed and now handed over a Rural Health Centre at Ha Popa linked with St James Mission Hospital, providing support to antenatal and post natal mothers and their children and were also involved in the St James Mission Hospital. Both are now run by the church. Other projects they have been involved in are poultry and piggery projects linked to twenty secondary schools and community forestry.

Added to this they also provide an exchange scheme for short periods of time. Rural Health - Basali 'Moho Day Hospice

An area that Lesotho Durham Link have excelled is in Rural Health. In partnership with Skillshare Lesotho the Link have set up a pilot day care hospice in a village outside of TY. Basali 'Moho Day Hospice was set up after the Link conducted a needs analysis in the local area. The needs analysis discovered that there were people being tested and found positive for HIV/AIDS, but they could not access ARVs or painkillers, thus the centre was set up to help with these needs. It was discovered that many poor people are infected by the disease and that it was important that they should generate income to pay for their transport to and from hospital and to help support them and their families at home.

The centre currently treats 23 people, mainly women and helps them come to terms with the disease and provide support through counselling, food and small amounts of financial assistance. Me Annie Siyanga, a palative care nurse provided through Skillshare International, helped to set up the project . When asked what the centre’s biggest successes were she said “ We have managed to set up this centre to help support rural women. We have taught them about self-care, nutrition and how to look after themselves with the disease. We allocate painkillers supplied by the hospital and through the community health workers have encouraged women not to fear the stigma and have enabled them not to feel alone. We have convinced the very sick to take ARVs, but we also help people stay off the drugs through ensuring they learn to look after themselves appropriately. We have also initiated income generation projects that we hope will improve and help them to lead independent lives.”

I met with five of the women who were willing to talk about the hospice and HIV/AIDS. When I asked the women whether they wished to be named in this article they unanimously said they were open about their status and wished to help educate people about the disease. This in itself shows the centre is having a good impact in supporting women deal with the disease. Women are sent to the centre from the Pilot Health Clinic based at Berea Hospital. After people have been identified as positive they are counselled at the centre and then referred to the Basali 'Moho Day Hospice. All of the women live in the rural villages around TY and have to travel distances of between 25-50km to the main hospital, some have to cross rivers just to get there. I asked the women how the hospice helps them. Me Mathabo Ratsese, a 61 year old woman from Ha Lethokonyane said “I am happy about the hospice because it helps us to survive”. Me Ntsoaki Monethi a 25 years old woman from Ha Monethi said ‘ They get us money to go for testing of our CD4 counts and to get ARVs, they have also helped us to make clothes and showed us how to plant food and to grow vegetables’. Libuseng Leche, 29 from Ha Ramajoro said “ It has helped me to accept the disease and it helps me to know I am not alone. I am able now able to disclose my disease. It has also helped me not commit suicide.”

The women told me that they are also able to educate their families and children about the disease. I asked them how the centre could be developed to help them with their needs. Mapakiso Maebo, 29 from Ha Lekhafola said “We need money for a sewing machine and materials, we need seeds to grow food and second hand clothes to sell. We need money for transport to go for CD4s counts and medicines at the hospital and for hospital fees.’ The women told me that they were afraid that if they get sick they would not be able to travel to hospital or afford the fees. They would like the centre improved so they can receive their treatments closer to home.

And what of the impacts if the hospice closed. “Some of us will not survive, it will be hard for us. We will not be able to check our CD4s, we will not be able to get the food and the nutrition we require, or transport to hospital. They give us fruits here and coins to buy soap to wash our clothes.”

Me Mathabo Ratsese said “We want our clinic here, because it is local, we need daily counselling and we need work for those who are still healthy. We want the hospice to be improved so our families can come here for testing.”

The women of Basali 'Moho are an inspirational bunch. Despite their illnesses they are still trying to help provide for themselves and make the centre work for their community. This is why it seems almost scandalous that once again a centre that can act as an example of rural health care, has run out of funding. I asked the staff how much it costs to keep the centre alive and was told by ‘Me Siyanga that “We need M1500 per month for running costs and a further M4000 per month for our community nurse. Money to help us create income generation schemes would also assist us. We have applied to PACT but have been put on a reserve list and have applied to Comic Relief who told us to re-apply in February. We have written to the EU but have received no reply. If we had funding we could increase the services here as there are many more who need our help.”

Youth Support

Lesotho Durham Link also bring together a coalition of organisations that work with children and young people. They work with the Girl Guide Association, Save the Children, the Juvenile Training Centre, T'sosane Support Group for HIV/AIDS Orphans and Kananelo Centre for the Deaf. The groups are provided with outdoor activities that involve elements of counselling and promotes team building and working together in the young people. It also gives these children opportunities that otherwise they might not have access to. Ntate Stephen Mabula, the Youth Activities Project Manager said “the activities help children understand that we need each other and should support each other. It helps them to learn to communicate more with each other and to develop other life skills’.

From the members of this project a new project is being initiated called SHAPE. SHAPE involves training peer educators on HIV/AIDS. Children are trained to educate others on the disease and its prevention. The children that are trained return to their schools and have to hold education sessions with other children. The scheme has proved that the children equipped with this knowledge often take initiative for themselves and some have begun to help support home-based carers and orphans in their own villages. So far the scheme has trained 15 young people who have peer trained children at their 15 separate schools. The scheme is now approaching funders for new financial support, but unfortunately an application to the PACT scheme was turned down.

Lesotho Durham Link are working hard to help and support those in need. Unfortunately at LCN we hear of many NGOs struggling to survive despite their good and innovative work. It appears that the government’s health services are in chaos and the recent presence of Global Fund to fund HIV/AIDS projects has failed to reach organisations working on the grass roots. Indeed as Ntate Mabula from the Link commented “Funding restricts us from expanding and reaching out to rural people. It restricts us from getting more staff and to extend our services to people who are really in need. Especially locally it is difficult to fundraise. Great energy is spent on this but all too often it is worthless’.

Let us hope that the services that Lesotho Durham Link provide are recognised and supported. It seems that rural communities need support to get back on their feet and fight the disease of HIV/AIDS, but until the government and donors cut out the red tape and ensure that funds are reaching grass-root services, this is becoming an impossible dream.
 
© Lesotho Council of NGO's - 2006

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