Last December the clinic lost one of our members of staff, a nurse/midwife by the name of Mayase Banda. Mrs. Banda had worked at the clinic for 13 years. On Sundays, she would attend Martin Luther Church, which is on the grounds of the clinic. Pastor Titus Mbele conducted her funeral service. Is there anything one can talk about that happens without God being involved? I am not sure of anything, but one thing is that God exists everywhere and, at the end of the day, there is nothing that happens for no reason. She was one of the senior nurses, and we appreciate her work and time spent at the clinic.

Working as a member of the administrative staff at the Lutheran Mission Rural Health Centre, I am grateful for God’s grace. The facility has seen people come to the health center from as far as 15 kilometers to seek medical services, and we have heard people say, “We came this far because the medicines in this facility are prayed for and we trust that we shall find the help.” Others still say because of the name of God they trust they will be healed.

Appreciating God is acknowledging that while we were lost in sin, God did everything according to his plan to save us from the powers of Satan and power of death and indeed purchased us with his blood. Jesus Christ suffered death for the whole world to be saved. It’s a gift worth appreciating. Maybe a question would be this: How do we show appreciation for what God has done in our lives? How do we as individuals, parents, children, families show this appreciation? When you are alone and look around at how far God has brought you, do you pause for a moment and appreciate him?

Appreciating God comes in many ways. I would rather raise a generation that will have fear for the Lord at all times. There are times when I see children who do not always live as God and their parents have taught them to live.

Finally, it would be a great thing if children would be encouraged to maintain the legacy of a Christian family, so that even when the parents are gone the faith will remain. As people, we discuss how well-mannered the children are, but sometimes I find it difficult to help families realize that they could do more to help their children to be faithful, truthful, honest.

I ask that you continue to pray for families and children and encourage them to grow strong in their faith.

Written by Alisad Banda, clinic administrator in Zambia

Greetings in the name of our Lord Jesus Christ. We are in the season of Lent, where we reflect on the suffering and death of our Lord. Isaiah 53:4,5 says, “Surely he took up our pain and bore our suffering, yet we considered him punished by God, stricken by him, and afflicted. But he was pierced for our transgressions, he was crushed for our iniquities; the punishment that brought us peace was on him, and by his wounds we are healed.” This passage reminds us that the punishment and suffering of our Lord Jesus Christ brought us everlasting life and forgiveness of our sins.

This month’s newsletter tells the story of Smith Patulani, an under-5 child who is a patient at our Msambo clinic. Smith was born in October 2023 at Daeyang Luke Hospital in Lilongwe. According to Smith’s mother, Modester Patulani, Smith was born through a normal spontaneous vertex delivery, and there were no complications during birth and throughout the postpartum period. The family of Mr. and Mrs. Patulani hails from Kabula village, Traditional/Authority Chimutu in Lilongwe District. The village is not far from our Msambo clinic.

In February 2025, Smith got sick. He was presenting with fever, vomiting, and general body weakness. Upon seeing this, his parents took him to a local hospital, the Chankhungu Health Center. Chankhungu Health Center is one of the government health centers close to Smith’s village. At Chankhungu, Smith was tested for malaria, and the result came out positive. He was given a first line malaria treatment (lumefantrine artemether), which he took for three days at home, and he got well.

One Monday morning in early March, Smith’s father discovered that Smith’s lower limbs were not functional. He informed the mother, and they were both shocked, knowing that the child was fine after completing his malaria treatment in February. They then visited the Lutheran Mobile Clinic at Msambo on 17th March 2025, where they met one of our clinical officers, Davie Khumula.

At the clinic, Davie asked the mother some questions, including the medical history of the child. The mother explained everything and of course the malaria that he had in February. Davie also asked if the child received the polio vaccine, and the mother said the child completed all the vaccines, including the polio vaccine. The child was then examined for any possible signs of malaria, and there were none. Davie then examined the child’s legs for muscle strength, reflexes, and muscle tone.

He found that the muscle strength and reflexes were absent, and there was decreased muscle tone. Davie then explained more about the child’s condition to the parents, his plan of referring him to a hospital, and its importance. Smith was then referred to Kamuzu Central Hospital for further investigation for the possible cause of the paralysis, management, and initiation of physiotherapy treatment. We look forward to hearing more from Smith’s parents and how he is coping with physiotherapy treatment.

Lastly, we would like to extend our heartfelt gratitude to all the people who think about us. Your prayers keep us going. Your various donations have been of great impact to us, and that is why we keep running. May the good Lord continue blessing you and all that you do. As we journey through this season of Lent, may we embrace reflection and renewal, fostering a spirit of compassion and gratitude in our hearts.

Written by Violet Chikwatu, nurse in charge

HYPERTENSION AT LUTHERAN MISSION RURAL HEALTH CENTER (MWEMBEZHI)
The hypertension program started when the clinic saw the need. Patients were traveling to hospitals in Lusaka (the capital of Zambia) for drugs refills. This is about 50 miles from the Mwembezhi area. Due to lack of funds, most of the patients were unable to travel to Lusaka. In 2004, we had seven patients who suffered strokes in our catchment area; of those, three of them died the same month because of hypertension. Seeing the need, we began the program for those who were not able to go to Lusaka for treatment and medications.

The program began with only ten patients. The number has kept on increasing so much that now we have 561 hypertensive patients. To make sure we attend to patients in line with the Ministry of Health policy, members of staff sat and started a special blood pressure clinic one Saturday per month. Since Saturday is not a working day, it helped members of staff to decongest patients on treatment days. On Blood Pressure day, all members of staff report for work at 8:00 a.m. Blood pressure check-ups are done. We have essential hypertension (the diastolic blood pressure between 90 to 99mmHg) and crisis hypertension (the diastolic blood pressure above 100mmHg). All patients with essential hypertension are given their monthly drugs refill. Patients with crisis hypertension are admitted for observations. They can only be discharged when their blood pressure stabilizes. If it fails to stabilize, we refer to the hospital for investigations and further management.

However, hypertension has no signs and is not painful. As a result, it is very difficult to convince patients to take drugs for life. Some older people still believe in witchcraft. In 2019, we lost one Village Headman who came to clinic because of an abscess. He was also found to have hypertension. He was given drugs for the abscess and hypertension, but when the abscess healed, he refused to take the hypertension drugs. He said he cannot continue taking drugs. After four months, he was brought to the clinic with a stroke. We referred him to the hospital, but the hospital could not help. After his death and burial, Mr. Kalekwa called for a meeting with the Village headmen to explain his death. Headmen who believed in witchcraft saw the need for taking hypertensive drugs. The senior headman told other headmen to stop believing in old beliefs. He said they should always work hand in hand with health personnel to avoid disease complications. All the headmen promised to educate their citizens.

Drugs for hypertension are purchased by our clinic administrator, Mr. Banda, through the help we get from CAMM. The clinic staff work hard to provide good quality health services to all hypertensive patients. We start every morning with devotion and a prayer, followed by health education. All hypertensive patients are happy with and appreciate the services we provide.

May the almighty God bless you all in helping the poor in Zambia.

Written by Jackson Kalekwa, clinical officer in charge