Kangaroo Mother Care: What is it

IMG_9841.JPGBy Dr Angela Muriuki, Head of Child Survival, Save the Children – Kenya

Definition and History: KMC is continuous, prolonged, skin to skin contact between a baby and a mother or any other adult for at least 18 hours a day for several weeks. It provides warmth, promotes breastfeeding, reduces infections and links with additional supportive care, if needed. It is a powerful easy to use method to promote the health and well-being of infants born pre-term as well as full term. There are two types s KMC- contious which is skin to skin contact for at least 18 hours and intermittent where contact is brief and at least for 3 hours.

KMC begun in Bogoa, Colombia in 1979 by Dr. Edgar Rey and Hector Martinez in response to a shortage of incubators and severe hospital infections.

Who qualifies for KMC? The current Moh recommendation for KMC in Kenya is for stable babies (not on oxygen, not receiving intravenous medicines) as long as they meet the criteria: baby less than 37 weeks or completed gestation and the mother willing to provided KMC for at least 18 hours, mentally sound, not ill etc. It is hard to objectively say who is most likely to use it i.e. which mother is likely to accept KMC, early involvement of their partners and family in the process and promotion of support systems at home but also using mothers who have successfully practiced KMC.

Challenges that face premature babies and which of these can be resolved by KMC: In the simplest forms, small babies are at risk of death due to hypothermia (they are not able to regulate their body temperature very well), hypoglycaemia (also not able to regulate their blood sugar very well as their systems are not fully developed),and respiratory diseases (they get severe problems with their respiratory system in part due to the fact that their lungs are not fully developed and that they get infections very easily) as well as problems with their eyes, brain and gastrointestinal systems all because of being born too soon.

Some of the benefits of KMC for the baby include thermoregulation (the constant contact20150303_183400 between mother and baby keeps the baby warm), it promotes exclusive breastfeeding (hence addressing the issue of hypoglycaemia), babies gain weight faster (due to better thermoregulation, feeding and bonding which reduces stress for the newborn) and therefore it shortens the hospital stay (reducing the risk of exposure to infections). For the mother, it gives her confidence in caring for her newborn, it improves bonding between mother and baby and empowers the mother to be the primary caregiver. It also reduces stress for the mother since she is with her baby constantly as opposed to conventional care in the newborn unit where the mother only comes to feed her baby every 3 hours (and in between feeding times is constantly worried about whether her baby is still alive). For the hospital – engaging mothers in the care of their babies means that the nursing staff available can focus on the very sick babies and work with the mothers to care for the stable babies, incubators are in short supply and often shared so KMC ensures that incubators are left for the sick babies who really need them and the shorter hospital stay for babies is also advantageous
Some of the benefits of male involvement: There are several reasons why men should be involved (especially when mother is discharged to practice KMC at home)

–        Financial support for the care of the baby especially if the mother has to be away from work (her daily source of income) to care for the baby

–        Emotional and psychosocial support for the mother

–        Fathers themselves can practice KMC giving the mother some time to rest or carry out other household activities

–        They can help around the household so that she focuses on care for the baby (or get some help for the household)

–        Financial resources so she can attend the monthly follow up visits at the health facility

Women experience the lack of male involvement differently depending on their support networks.

When is the best time and for how long? KMC is initiated immediately (and as long as mother and baby meet the criteria described above). KMC is practiced for at least 18 hours a day. When a baby gets to 2000gm, they can be discharged to go home and continue KMC until the baby is 2500gms (with frequent visits to the facility to make sure the baby is ok and gaining weight).

Can it be practiced instead of/along with incubator care and when?KMC is not a replacement for incubator care or an intervention for poor countries/communities. It is the current recommended care for small babies (in the west, even unstable babies are put on intermittent KMC – can send pics from internet though copyright could be an issue). KMC is practiced alongside incubator care because as I mentioned, there are babies who still need incubator care and don’t qualify yet for continuous KMC according to the Kenya guidelines  – very sick, on oxygen, on IV medicine etc. even these sick babies can be put on intermittent KMC and returned to the incubator.

Is KC beneficial for babies born term? No, term babies don’t tolerate KMC at all.

KMC should be differentiated from skin to skin care for all babies – this is where any baby born should be put skin to skin with its mother to keep it warm until it can be wrapped warmly. This is standard practice for all babies at delivery. KMC on the other hand is for small babies (preterm, low birth weight), and is continuous (at least 18 hours)

Which institutions within and outside Nairobi are equipped to and encourage KC?

I can only speak for the ones we support. We have supported county MoHs to set up KMC in Bungoma and Busia counties and provided technical support to other organisations to set up KMC services. From August 2016, we will be supporting Nairobi County to do the same and Wajir County later in the year.

We also extend an offer to any organisation/county which requires technical support to set up KMC services. If they get in touch with us, we are happy to provide this support (technical support since financial resources are limited).

End

Photography by: Nash of NaMeD Afrika Studios and Family File

https://viphealthyleadership.wordpress.com/2016/08/23/kangaroo-mother-care-saved-baby-winnie/

Kangaroo Mother Care Saved Baby Winnie

IMG_9851Phyllis Wanja Kariuki

Age: Early 30s

In her own words:

I lost my first pregnancy at 15 weeks. I had 20150303_183406begun bleeding, and doctor in Mandera, where I worked as a Logistics officer with Save the Children, Kenya, recommended two weeks bed-rest. I came back home to Nairobi and all went well. The day before my scheduled return to Mandera, my friend and I went shopping. I started feeling funny, like cramps and remembered that the doctor had permitted me to take regular painkillers for this, so I took a Panadol. I did not expect that there would be any adverse effects, and it helped. At night however, I woke up to the same cramps, intense pain. When I went to the toilet, some water came out. I did not understand what to make of this, as it was my first pregnancy. I was rushed to Nairobi hospital, and on getting there, they discovered that the amniotic fluid had leaked out. Their prognosis was not good. They suggested a termination of the pregnancy as it had only a 90% chance of being viable. I resisted this and sought a second opinion. I went to Aga Khan hospital. I was given the same story. The doctors there meet and make sure that by the time they are giving you your report, they have tested you, they have discussed it together and allow you to make the final decision based on their thorough analysis of the your case. I had stayed for so many hours, and since this was my second stop, I felt I had no other choice but concede.

It was a horrible experience. They started with the treatment, and I was discharged and moved on with my life. After six months I conceived again, and I still had issues. I started bleeding at 8 weeks. This time I was more cautious, and able to see the warning signs. I went to the nearest clinic, St. Bakita in Utawala, and was injected with Buscopan. They suggested I go for a scan.  I went home and the next morning went to Agakhan for the scan. I was frightened of loosing my child. During the scan, the doctors were discussing the point of bleeding around a certain spot. But there was another spot and when I asked what that was, I was told it was another baby. I understood them the magnitude of what I was carrying and how careful I needed to be. After the scan at the ER, I was referred to Dr. Obura, a Gynaecologist. He looked at the results and gave me hope.  He gave me medication to strengthen the wall of my uterus, and advised me to avoid strain.

At around 18 weeks I started spotting again, but this was not serious.  Both at home and in the field in Mandera, I took very good care of myself. Mandera was less strenuous for me as I only had short distances to walk, and we are basically taken care of. I did not have to cook or do anything for myself. I stayed there for six weeks and then came back for R&R. At the airstrip, the flight attendant asked me how far along I was. She alerted me to the fact that I could not travel in a small aircraft beyond that point, and I understood that to mean that I would now be working from Nairobi. I worked for one more month before I started swelling. One of my colleagues, Eric Muthiani adviced me to have my blood pressure checked to rule it out as a cause for the swelling. My pressure was normally but now my feet begun to swell as well. It was during clinic test. I was to do a HCG test to determine my glucose level. It takes time, but they advised I change the clinic date as it was too late in the day. But I wanted to understand what was causing the swelling. The doctor insisted on a urine test. I had to do it twice for them to determine what the problem was. The doctor told me that my urine had a lot of protein in it, and suggested for additional tests to determine the functionality of my kidneys. This came out normal. They connected me to someone closer to home who would monitor my blood pressure daily, as they had noticed that it was fluctuating. I was to call the hospital daily to give them the readings.

This was on a Friday, but on Saturday, I was planning on going shopping for baby clothes so I did not go to check my pressure. I went in on Sunday, it turned out high. It read 170/100mmhg. The doctor recommended I go home and rest. I rested, and went back for another reading in the evening, this was even higher after then rest. I know High Blood Pressure is serious, but had no reference for people having it around me, and therefore did not see it endangering the pregnancies. The doctor recommended that I go into hospital immediately. I went home, got ready and then went to hospital. I was alarmed to find a team waiting for me on my arrival at the hospital. I was feeling fine, and wondered why they found this reception necessary. The scan showed that the blood was not flowing into the second baby as it should. I was admitted, but even then I thought it would just be for a night. At around 1am the doctor came to check on me and informed me that they would have to do an emergency Caesarian Section if my blood pressure did not go down. I had no idea that HBP could lead to one giving birth to pre-terms.

In the morning, a group of four doctors, took me to radiology for a scan. They sat around me and studied me. They told me they needed to do the emergency CS, in order to save my life and try save the lives of my babies. I therefore signed the consent and the CS was done at 3pm that day. This was on February 2, 2015. Everything went well. They did a spinal epidural, where I can see what is going on. They did a good job, they engaged me a lot. I heard my babies cry and I was excited. I was not able to see them immediately as they needed to be taken into the ICU, as they were a bit small. My daughter was 790grams and my son was 970grams. My son was a bit bigger. Everything was completed and I was taken to the ward. I wanted to go see my babies but I was not allowed then. It was too early, I was still numb. I saw my babies the following day.

It’s quite bad when you are in the ward, can hear other babies crying and you don’t have yours. You deal with a lot at that point, even the bills. I went to see the babies on February 3rd, around mid-day. I remember the nurses telling me that I needed breast milk, even if it was just two drops. Imagine there is no way I can be able to stimulate…you need the baby to stimulate it to produce milk. The nurse told me to be strong, calm down, focus on the babies, and try to express. There are other liquids they give the babies for feeding. I tried to express and nothing was coming out. By evening I had two drops and the staff was quite encouraging. The biggest trauma was when I saw the babies and how tiny they were, and wondered when they would ever grow to the size of the other newborns in the ward. I remember my daughter was the size of the 300mm soda bottle, she could be held in a hand. A nurse advised me to be strong and to take every single day at it comes. Her words remained with me through my darkest times.

The reality of the bills started hitting me. My insurance had been exhausted and my family began counselling me towards moving to a cheaper hospital. I was spending about Kshs 50,000 per baby per day in the ICU. On the 4th the doctor attending to the babies came to the ward. I sensed that something was wrong. The previous night, my son Jaden had been transfused. She started with the positive, telling me that my daughter Winnie was doing well, but the boy was struggling. I did not want to hear anymore. I told her to take me to them. She got somebody to take me to them in the ICU. I found them trying to resuscitate him. They did this while I watched. I told them to do all they could, within their power to make sure he was well. A male doctor assured me that they were. They kept encouraging me that girl was doing well. Unfortunately Jaden passed him while we were looking at each other. I felt like he was telling me ‘mum do something’ or ‘you are going to be okay just take care of my sister.’ Everything was done. I cried a lot. But I turned to the girl, and prayed to God ‘God I am going to walk out of this hospital with this one, and I know you can make it happen.’ I kept telling my close friend and colleague Jane the same. She was there for me through it all. I told her I was sure God would answer my prayer to the affirmative.

20150203_214802I did not want to mourn a lot because I needed to be strong for the girl. I had no choice. I remember the nurses counselling me and telling me, “this one was not yours, let go.” I could not let go the first day. It could hit me and I could cry, and then remember that this one was not mine but I had one surviving. I also remembered that the first time I came to this hospital, I had left without a baby, this time I had a chance to leave with one. I gave it all my energy, I did everything possible to get enough milk. I did not want stress to be a reason for not having milk for my baby. We paid a fee for the hospital to take care of my son’s remains as I did not have the energy to handle it. The hospital recommended some counselling, but most times I cannot and help me move on during dark times. I stayed for a while as they needed to monitor my pressure, but I was doing well. I was discharged on the 6th of February.

The bills were also increasing but my colleague encouraged me to focus on the baby as the money would somehow come.  Miraculously everyday passed. When I was told to give a deposit of Kshs 600,000. I borrowed this. I did not care where it came from as long as I could save a life. The credit office kept calling me and one day I went there and just told them “you are ladies like me, and am sure some of you are even mothers. You call me every time. I know you are doing your job, but at some point try and engage someone. My baby is in these wards, meaning I have not running away. Meaning I cannot run away. At this time my baby was in ICU. She stayed there for two weeks, and luckily she was doing well. She had the oxygen tubes from the 2nd to the 7th then they removed them because she was able to breath on her own and her oxygen saturation was normal. We moved out of ICU to the normal HDU ward. She had a oxygen desaturation, so she was put back on oxygen. I remembered the nurses words about living a moment at a time. She had also told me about how much pre-term babies were affected by movement. Moving mine from 1st to 2nd floor had had this effect.

Proffesor Aketch, told me that they would put the baby on medication to strengthen the lungs, and this caused the sugars to rise up to 21 and its supposed to be between 6 and 8. It really stressed me. I tried to get information for myself, from Google. The pain of seeing my child on injections, tubes and the thought of them having to put down her sugars. I cried a lot, it was very painful to watch.

I started doing Kangaroo at 800grams while she was still at the ICU. She was very tiny. I remember the feeling of putting her against my chest, how nice it felt. It was the first time I was touching my baby and she was calm. Every time I was doing Kangaroo I was happy and not tense. I could sense how happy she was as she could pray. Whenever I arrived in the hospital in the morning, she would play as though she sense I was there. I would do at least two hours daily. I would split this between morning and evening. I sometimes extended depending on how available the baby was in between procedures. The nurses used to encourage us and I used to Google the importance of Kangaroo MotherCare. It improves oxygen saturation, helps in weight gain which was very important for me since I needed my baby to gain weight, and also the bonding thing. These three are the three things that made me keep at it. It really motivated me.

There is this powder they normally mix with the milk call suffactor that helps them to gain weight. Winnie’s body rejected this, so they needed to lower the quantity they put. She got an infection after getting it. Imagine this was her chance for boosting weight gain. I could look at other babies, and though we were told not to compare our babies. I was jealous. They had their own problems but not those challenging weight gain like mine. I never lost hope. I even encouraged others. We had a group and I was considered the experienced. We had a room and we would chat and I discovered that others had problems that made mine. For instance one lady told us how her cousin had triplets and stayed in hospital three weeks and then they suddenly died, one by one. This really challenged me, as I still had a baby. Every time I remember that situation I remember her. I realised how blessed I was. There were others who were crying, and I needed to motivate myself to care for my baby. These helped me get stronger daily.

It was my job to wake up in the morning like I was going to work, get to the hospital, express milk as I could not kangaroo with the milk as it would leak, and then kangaroo. The fact that our babies could not breast feed by themselves, they were too tiny for it. For Aga Khan, until the baby is 1800grams they are still kept in an incubator. After that they are put in a cot. The first time when I saw my baby in cloths it was really happy, it was exciting. I would tell the other mothers “am nearing the door”. In her first two months Winnie went through several lung treatments and two blood transfusions. I did Kangaroo for two months and increased the hours. I could do several 1 and a half hours sessions. I used to cry a lot when I had to leave her especially when she was under treatment. She went through two transfusions. These were the worst since I connected the death of my son with the transfusion he had undergone the night before he developed breathing complications that led to his death. From Google I learnt that transfusions sometimes cause complications in pre-terms.

Some of effects of Kangaroo on Winnie Wakanyi is that she is very close to me, she is alsoIMG_9869.JPG friendly and independent. She is still small bodywise though she weighs 8.3kilos, but this does not discourage me. I knew this would happen. The nurses taught us that when we went to the clinic and were asked the age of my baby…even now when I tell them that she is 1 year 5 months, I see the shock in their faces. I don’t explain unless I feel it’s necessary. One time a nurse responded by asking me if my child was picky about food. She is doing very well, I make sure that I don’t miss clinic. She has never been put on a special diet on her hope. She is now walking on her own and is really fast. I remember the nurses telling us to never compare our children’s milestones with another child’s. The pace does not really matter as long as they get there. As long as everything else is normal, they are good. For pre-terms, don’t mix yourself with pressures from outsides, its her time. If its kangaroo, her time is her time.

vipslit@yahoo.ca

Photography: Nash of NaMeD Afrika Studios and from Family Files

First published on the Sunday Magazine, Sunday Standard, August 21, 2016 (shorter version)

Broken Heel Days

Sometimes, the devil throws stuff at you, but God allows you to walk on through to a lovely day. It may be a puncture, a broken heart, a betrayal or two by a friend, financial challenges, an illness, ministry, or work challenges, an eviction, a death – varying degrees of pain and discomfort; it does not have to be fixed the way you desire it to be. But you run to Him, cling on Him, realizing your need of Him…keep your toes and heels level as best as you can, your hand in His and keep walking. Its not yet over, until God says it is.

A broken heel, should never prevent you from getting home…and when you do, in spite of it, you realize that those broken heel days, are actually miracles in the making. I did.IMG_20160811_122029

`Thus says The LORD to Cyrus His anointed, Whom I have taken by the right hand, To subdue nations before him And to loose the loins of kings; To open doors before him so that gates will not be shut: “I will go before you and make the rough places smooth; I will shatter the doors of bronze and cut through their iron bars. “I will give you the treasures of darkness And hidden wealth of secret places, So that you may know that it is I, The LORD, the God of Israel, who calls you by your name.`
Isaiah 45:1-3

LESSONS FROM THE LABOR WARD

I spent last night and early this morning at a labor ward with a close friend whose husband was away on a trip. The labor ward has a lot of lessons for those who wait in prayer in The LORD.

I learnt that because you get in first, does not mean that you get out first or at all, or even get blessed first. Sometimes, one looses their expectation at this crucial time.

I learnt that, in the labor ward, modesty of dress and manner is really not priority. The less you have on, the easier it is to remove, the better you will be attended to. Ignore those that mock you in your birthing hour…they are the ones who are inappropriate.

I learnt that when you pray for release, and the pain seems to increase, and your groans seem to choke up your prayers, God is still in charge, and at His exact timing, He answers your prayer according to His Will.

I learnt that sometimes the more human assistance you require and receive at this crucial place of birthing, the longer it takes you to heal from the trauma of it all.

I learnt that when you hold the answer to your prayers in your arms, it is often very difficult to remember what you just went through, and if you focus on the past, it keeps you from enjoying and worshiping God for the breakthrough you have received.

I learnt that something you go through may be potentially fatal, but does no harm to you or your blessing – but one may be harmed in seeming safety.

I learnt that you may be in the same situation with another in the ward, even groan at the very same time, but that even when someone is there to hold you, the pain still is very personal…and cannot be numbed simply by being in like company.

I learnt, that God raises who He Wills to intercede for your birthing experience, that others may want to be there for you, but are kept out because He is The Writer of your story.

I learnt that the intercessor will notice others that suffer like you, but because they are called to stand with you, they can not stand with the others there too. Not in the way they are with you anyway.

I learnt that you may know its time, the intercessor may know its time, but it is God who moves the mountains to work in agreement with His timing for you. You cannot make it happen, because though there for you, there are not really there for you…but for themselves.

I learnt that in labor ward, it helps to focus on the task of birthing. Just that.

I am grateful that God raised me, and strengthened me and moved me to be in a place of His revelation, then rested me afterwards.

To Climb a Tree

WHAT MADE A RICH AND POWERFUL MAN CLIMB A TREE:
I got thinking today, seeing in my mind the rich and powerful people I know, have heard of or seen from a distance, and imagined them, one by one, hoisting themselves up a tree for a better few of…okay, think of the ones you know, unless they are actors or environmentalists, what would they be doing up there? It would be more plausible for them to shove their way to the front, or get their security to do it for them so that they would get a better view. And then I thought of a group of rich and/or powerful men all trying to get a glimpse of the same thing, live. That would be even worse…a cloud of security would probably make it impossible for their bosses to get a glimpse.
Short Zacchaeus was in such a situation. He was rich, he was powerful, but the pharisees and the disciples seemed more fitted for a close up with Jesus Christ. This was not his crowd, and it was likely that they would not hesitate to remind him of the fact. Among this sort, his position was despicable…because you see, they thought they knew him well. The source of his wealth was, fishy, so they felt it was their duty to protect God and heaven from the likes of him. Even without knowing they were doing it. But this did not numb his keen hunger, to see Christ, and say to Him what only He could hear, understand, appreciate and mitigate.
So he did something that could mostly be associated with a child, or someone who life had drained of anything they could loose. He was both. And because the Kingdom of Heaven belonged to such as he, The LORD of Heaven, ‘heard’ his faith, his hunger, and saw him shed all, that he might have a glimpse of Him. And Jesus, spoke above the cloud that hindered Him from getting to Him, and then drew Him forth that they might fellowship together.
BELOVED, SO ‘THEY’ ARE IN THE WAY, BLOCKING YOU FROM SEEING THE LOVE OF YOUR LIFE – THE LOVE OF ALL AGES. DO SOMETHING THEIR POMP AND POWER WOULD KEEP THEM FROM DOING, SOMETHING POWERFULLY CHILDLIKE, ENOUGH TO GIVE YOU A VIEW OF HIM. ‘THEY’ MAY DESPISE YOUR FAITH IN ACTION, BUT THAT HAS NEVER MATTERED, WHAT MATTERS IS THAT YOU DRAW THE APPROVAL OF THE ONE WHO MADE THEM AND YOU. [thoughts on Luke 19:1-10]
“let the LITTLE children come to Me, and do not hinder them, for the Kingdom of God belongs to such as these. I tell you the truth, ANYONE who WILL NOT receive The Kingdom of God like a LITTLE CHILD will NEVER enter it.” Luke 18:15-17
vipslit@yahoo.ca

Yet Again

So there I was, feeling sorry for myself, yet again. Thinking I deserve much better, yet again. Unwilling to intercede even as I found myself on my knees, yet again. So I opened my Bible yet again, and once more, hoped that God would not rebuke me for my wicked stance, yet again. He reminded me, yet again, that I was His bride eternally. And as He did, it dawned on me, that He, has called me to find my life, strength, sense of worth, contentment in Him, that He lives to intercede for me all the time despite my penchant for murky waters, that He loves me perennially, defends me with all He is and has against all who perpetually accuse me, and that He, not I, not by a long shot, deserves better. And once again, I find myself where I truly am made by Him, made ready by Him, made more than I deserve by Grace in Him.

“For your Maker is your husband,
The Lord of hosts is His name;
And your Redeemer is the Holy One of Israel;
He is called the God of the whole earth.
For the Lord has called you
Like a woman forsaken and grieved in spirit,
Like a youthful wife when you were refused,”
Says your God.
“For a mere moment I have forsaken you,
But with great mercies I will gather you…“O you afflicted one,
Tossed with tempest, and not comforted,
Behold, I will lay your stones with colorful gems,
And lay your foundations with sapphires.

…All your children shall be taught by the Lord,
And great shall be the peace of your children.
In righteousness you shall be established;
You shall be far from oppression, for you shall not fear;
And from terror, for it shall not come near you.
Indeed they shall surely assemble, but not because of Me.
Whoever assembles against you shall fall for your sake.
“Behold, I have created the blacksmith
Who blows the coals in the fire,
Who brings forth an instrument for his work;
And I have created the spoiler to destroy.

No weapon formed against you shall prosper,
And every tongue which rises against you in judgment
You shall condemn.
This is the heritage of the servants of the Lord,
And their righteousness is from Me,”
Says the Lord.” Isaiah 54:5 NKJV

vipslit@yahoo.ca

 

Water to be Bought

Notes to Self a.k.a. Therapeutic Venting:
Eagle on edge of cliffSomehow, there was always water to be bought, but in the five years I have been here, and four houses that I have lived in here, none from the taps. I have loved this beautiful wilderness in which God has planted me – mainly because He did not dump me here and take off, but He stayed. He has gently guided me, from the humblest of new beginnings, to a spacious place while retaining some thorns in my flesh, probably to keep me from thinking I did and have it all together. That’s Merciful – because am not leaving this place to go to hell for having a big head – not for any reason.
One thing that has been common in all the places He has allowed me to stay, is that I have had to buy water. At 20/ per 20 liter Jerrican(Mitungi or container). And its water for everything – washing, flushing, cooking. Now that there is a baby in the house, lets just say…that we have been blessed with the challenge of not being able to plan our usage as we did when it was just us, adults. Gory tales are rife in these parts about why there is no water…I have been asking my landlord to look into this for the past 16 months. Recently he asked me to check if my neighbors have water before calling him again…it is well. I love my house. I hate moving, for one, it is too expensive.
 
Now there is a new hurdle. There seems to be no fresh water. My neighbor told me yesterday, that somehow the sewage got mixed up with the fresh water, where the vendors get it. Another story is that there will be no fresh water in Tassia for the next two weeks, just borehole water, which is salty… Hmmm, imagine salty tea, salty ugali…especially for me who is fighting a health situation that is hostile to salt. I asked the ladies during today’s lunch hour Bible-Study if they had any ideas…there is a place, but I would need a truck, lots of muscle, fuel, containers, the time, not to mention the money to buy it. Then I called Nairobi Water…they require an account number, which we do not have. With that I can go to Kayole, and get them to send me a tanker full of what I need, but I would need a huge tank or two with taps to store this precious commodity, or help sealing and disinfecting the ones that come with my house due to a leakage issue that…well…that happened. Besides…whenever I look at those tanks…they ‘smell’ costly even without the water we need. Somehow, there is always water to be bought.
 
Aaahhh…so my name is Vip Ogola, and I love living in Tassia where God in His Wisdom and Love, and fore-thought (this is not an accident…five years is a looong time for an accident to just be happppenningggggg) placed me to learn more about Him, and allow Him to deal with the things about me that are unlike Him. Which leads me to why I even have words to vent…I thank God for the internet…and for Dr. Google. I blogged “no water, verse’ and came to find a treasury of beautiful verses that on the most part humbled me with the information that am not the first person to be in this situation, ever, and that God does answer prayers like mine, and has🙂. Somehow that comforts me.
 
Thanks for reading through, now you know a little bit more about my lovely Tassia – beautiful homes…where God answers prayers, by the second. Am waiting for mine before The Rock of my salvation.
 
vipslit@yahoo.ca
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