April Update

A Day in the Field
We fetched Bonisile, our home-based caregiver, at the pre-arranged spot on her dirt road intersection, standing with her umbrella in the midst of a drizzling rain. With all this rain and the resulting mud, it was far from an ideal day to be doing home visits. Especially because I hadn’t been prepared for the drizzle and didn’t have anything but my fleece with me - no rain jacket or umbrella of my own. And neither did our two new Thembalethu staff whom I had set out to orient to our home-based work: Roy, our newly-arrived Peace Corps volunteer for two years had arrived the week before, and Philip, a Zulu Pastor who has just joined our team to support our caregivers, patients and orphaned & vulnerable children as well as other clients.
Bonisile climbed into the back of the pick-up (bakkie in South African lingo) to join Roy, as we still only have our one two-seater truck and I was orienting Philip in front. (We are trusting God to provide us with a five-seater vehicle in the coming months. If you would like to assist, please let me know.) Bonisile then directed us through the grass and mud paths to the first of her patients’ homes where we parked the bakkie a short distance away and walked the rest of the way through the wet grass.
We arrived at the homestead, a row of mud huts, where Bonisile tucked her head in one of them that was pouring out smoke, and then invited us to follow her as she entered. As our eyes adjusted to the dark, windowless room, we saw a weakly warming wood fire pouring out smoke and immediately my eyes started to water. Just behind the smoky fire were nearly a dozen buckets and dishes of all kinds that filled up nearly half the room, placed strategically to catch the water pouring through the roof onto the mud floor. We arranged our Zulu grass mat to sit on the floor just outside the muddy radius and greeted our patient, a middle-aged woman dressed in navy blue. From the duk head-tie of navy cotton through to a navy cloak, navy top and navy skirt, seemingly every inch of our patient was covered in navy blue – the clothing of a recent widow. The woman went on to tell us that her one daughter had married off, and with her husband passed away in December, she was now alone and without any income or assistance.
To make matters worse, because of traditional restrictions on widows, she was unable to make or sell any of her handywork, or even earn any money from her skilled mud-cement plastering of the exterior walls of people’s homes. Her in-laws, whose compound she lived in, perhaps because of their own limited income, left her to fend for herself. Which was difficult, in fact nearly impossible for her to do as long as she is wearing mourning clothes. She would be allowed to burn those clothes in June/July at a traditional party and when a cow had been slaughtered for the ancestors.
We prayed for Bonisile’s first patient; Philip encouraged her and shared God’s love and hope with her, encouraging her to not give up, but to continue persevering through this difficult period. We said our goodbyes and left her with a large bag of maize meal, as well as some beans and soy protein mix, making a note to refer her to Xoli who, having completing her studies, is now registered as a social auciliary worker.
Bonisile then continued to lead us onto the neighbor and her other patient, who, we found out, was also recently widowed in a very similar situation; without family support or any hope of making an income as long as she was in mourning clothes. We listened to her sad, lonely story, Phillip encouraged her and we prayed for her, buying some Zulu grass mats from her to support one income-generating activity she could, as a widow, be involved in. We also left her with a bag of maize meal to give her the local staple.

Joshua has a brief rest during a day at the office. He enjoys a drink of water on top of the bags of maize meal for distribution to our OVC.

Blessed to Be a Blessing
Thembalethu has received and been able to pass on tremendous blessings to the Amangwe community in the past few months. Below are some of the highlights.
• In March we started a soup kitchen with new funding we received from Breadline Africa! We are now cooking for 19, soon to be 35 orphaned and vulnerable children three days a week before and after school. We also provide these children with home work assistance, and also fun!

 • We have also received funds to add a pastor on part-time to provide spiritual support to our caregivers, patients and OVC. Phillip Tshabalala joined our care team in April and has already received very positive reports from our caregivers as well as some of the patients and OVC he has been able to visit.
• With the funding we received from NACOSA (The Global Fund to Fight HIV, TB and Malaria), we give 42 OVC food parcels each month, and we also assisted 64 OVC with full school uniforms, school bags, blankets and other material support. (Some are pictured here.)
• We have also added a Peace Corps volunteer, Roy Griffin from Oklahoma, to our team. He is living with a Zulu family near to our centre and will be working with us for two years. He has already been a great help with our data and reporting to funders and will hopefully help us get a big, flourishing veggie garden going as well.
We are so amazed at God’s goodness and provision to us. Thank you also for your prayers and support to make all this work possible!

Betsy, Eugene & Joshua Meyer

January Update

Compliments of the New Year to you all!

Cleaning and sweeping and cleaning some more, installing new locks and sorting through keys, repairing donated furniture, assembling desks and bookshelves, installing sinks and computer software on new donated computers, installing outside lights and a whole new solar system (panels, batteries, regulator and inverter), and training our new admin assistant. It’s been a very full couple of months for Eugene, Joshua and I as we’ve been back and forth to the Berg countless times recently getting things in place.

Eugene (standing) and metal workers inspect their
installation work. 

I can’t tell you how exciting it is to have moved into our new building, and to set up as a functioning office!! For so long, Xoli and I have both been operating with our homes as offices and they have been taken over by boxes, filing cabinets, home-based care supplies and food for orphans as well as all our patient files and computers. Finally we have been able to move much of our work into our new buildings, which we have done with great flourish, and we are very thankful to have such a beautiful new building to operate from!

Our new offices open,
now powered by the sun!

Eugene and I spent much of our Christmas leave at our Thembalethu Centre setting up and installing a new solar system donated generously by Blue Oak Energy (big thanks to Janie and Tobin Booth!). There is no electricity in the Injesuthi Valley, and having electricity allows us to have a functioning office, powers our computers and copy machine, gives us the capacity to do so many more things from our offices. We have come far from working out of our bakkie (pick-up) house to house! We feel very blessed to have received so generously!

So much has happened in the past few months since our last October update. It has been a busy couple of months as both our little boy, Joshua as well as Thembalethu have undergone a tremendous amount of growth.

Not only have we moved into our new offices, but we have also grown up tremendously in our work with our new Global Fund to Fight HIV, TB and Malaria grant:

· In home-based care, we jumped up from 85 patients to 210 in the period of a month, and the visits to these patients has also increased greatly to provide more thorough care and support of the sick, primarily those infected with HIV and TB.

· We have added five dedicated caregivers in our community-based care of orphaned and vulnerable children as well as additional children (120 per month) that receive psychosocial support as well as some receive food parcels, others school uniforms and school supplies for the new school year.

· We now have 17 caregivers who are now receiving stipends for their work, being able to receive some support for their generous heart-felt care of their sick and vulnerable neighbors.

· We have added one of our patients on as a part-time admin assistant to help us meet the reporting requirements of the Global Fund and with general admin tasks such as maintaining the database and all our client files.

· I have also learned a lot about finances through our new funder in producing financial reports as well as better managing and monitoring our organizational finances.

Joshua, meanwhile, has also undergone many changes since our last update. On 5 February he will be celebrating his first birthday, hard to believe the little guy is nearly at such a seemingly monumental milestone! In the past few weeks he has gone from doing the ‘butterfly stroke crawl’ to truly being able to move himself around the house, and in the past two weeks has started to really explore, leaving little ‘piles’ of books, CDs or other household items as signs of his exploration. He is ‘cruising’ around the furniture, and we don’t think it will be long before he starts walking on his own – he has taken to grabbing our legs and walking with us wherever we are going any chance he gets. Joshua cut four new teeth over Christmas, and is very cute little guy with his six teeth who brings a lot of joy, smiles and laughter into our home. 

It is going on two and a half years that I have been living in Tugela Ferry and travelling to the Drakensberg two, three and four times a month for two days at a time. I am becoming increasingly excited at the prospect that these two hour drives will soon come to an end as we look to the close of our days in Tugela Ferry, and moving back to the Winterton area. We will really miss the lovely mission-minded community here, and the many friends that we have made. In April, both Eugene and I will reach our seven year marks in KwaZulu Natal (he came from Cape Town, by way of Zambia) – he having spent that entire time in Tugela Ferry. Eugene has given his notice to complete his work at Philanjalo at the end of April where he has been financial manager for the past five years. From May or June, we are planning to spend a much-anticipated few months in the USA after what will be nearly two years without a visit. I can’t tell you how much I am looking forward to reconnecting and catching up!

After our furlough in for the summer in the US, God willing, we plan to move to Winterton area where Eugene will run his new alternative energy business selling everything from solar panels to wind and hydro powered systems and efficient shower heads while continuing to help out Thembalethu as handyman, solar and operational guru, and likely helping out another ministry or two as well. When we are back in Winterton, I will be able to have more contact with our caregivers, patients and children, and allow us to deeper convert our centre to a true community resource centre that shows God’s heart and shares resources with the community.

Thank you very much for your prayers and support in all that we do. May God continue to bless you for making my being here and this work possible.

Prayer Requests

· Prayers of thanksgiving for the recent donations we have received – from our new office building, to the office furniture we have now put to use, the solar system to power our new offices, and the Global Fund grant.

· Prayers for a possible additional funder who responded to our proposal two years after submission and may be interested in jazzing up our old building to make it into a more usable community resource centre – putting in a large covered waiting area, putting in a proper floor and ceiling, as well as funding some of our running costs (fuel and communication), and possibly putting in a well to make us less dependent on the municipality to fill up our water tank in the dry winters.

· Prayers for wisdom and discernment as we may be receiving a Peace Corps volunteer in the next few months. Pray that God would bring the right person to us, if we get one.

· Prayers for Eugene and I that we may stay centred on Christ in the midst of many things going on. Please pray that we would focus on the voice of Truth in the midst of many other competing noises.

· Prayers for God’s wisdom and timing in having some furlough in the USA. We are looking at coming in May or June for an uncertain number of months and are seeking God’s leading in the timing and duration for this.

· Prayers for the right people to come together to fill the gaps for the work that I do while I’m away from Thembalethu on furlough in the USA.

· Pray with us for God’s vision and guidance as we dream about possible uses of our facilities. Join me in praying for God to bring a solid Zulu Christian pastor to us who can strengthen the spiritual side of our work. 

Family Pics

The Meyer Family

A happy little man!

Christmas Party for OVC

With the new funding we received from the Global Fund, we threw a Christmas party for 75 orphaned and vulnerable children that we are providing psycho-social support to throughout the Amangwe Tribal Area. They have all lost one or both parents, or have a very sick parent at home, or are otherwise extremely vulnerable. It was a lot of fun to organize activities with them, but they all ended up being indoors as it poured down rain all day. This was our first time to organize something to bring together the OVC that we are looking out for in the community, and we hope to continue to increase our support and care as time goes on. We also cooked them lunch and sent each of them home with a food parcel to ensure proper nutrition for the Christmas season. 

Mealie Sack Races

Balloon 'release' competition

Balloon Relay Races

Summer with a Kick!

Just as the summer fades away for you all in the Northern Hemisphere, it comes with a kick here for us in South Africa. There’s no fading or easing in for us, especially in Tugela Ferry. Spring simply means big shocks between cool and hot from one day to the next. Perhaps it’s the nights that are the nicest around spring – the night air is cool and refreshing after days that top 90°F.

We are eagerly awaiting and desperately needing the summer’s rains and grateful that the temperatures haven’t yet reached their summer scorching level yet. Unfortunately I don’t know if the new little man in our lives, Joshua, agrees. We are official foster parents to little Joshua Nkhanyiso now (we scratched the earlier name idea of Moses), and he has a birth certificate as well, both exciting achievements. The adoption process is also underway, as we have decided that he is much too precious for anyone else to raise up.

Joshua is now eight and a half months old and is a very contented, happy baby who has made leaps and bounds in his development since we took him over three months ago. We have really enjoyed watching him through the milestones he’s already made – lifting his head, smiling, laughing, sitting, rolling over, cutting through his first two teeth, with crawling still to come. With the suddenness of becoming parents without the standard nine months preparation, we’re both still getting used to the title of Mom and Dad – they both seem strange concepts still, but we certainly enjoy the new roles. The fun thing is that I now have a new name in addition to my other two Zulu names (Nomangwe and Thembalethu), it’s MakaNkhanyiso or MakaJoshua, depending on which name people call our little son by.

Ambulance-Driver

While balancing the addition of motherhood, I continue to get out in the community and support patients, orphaned and vulnerable children as well as doing lots of office work from home. Repeatedly over the past two years, I have played 'ambulance driver' to patients needing a step-down care centre.

The first patient I transported recently was during the public service strikes, which was a horribly traumatic time to be sick. This patient had been in the local hospital as it closed down, and discharged without her HIV or TB medications. The family put her on traditional medicines, which we thought sedated her heavily. Coordinating with Philanjalo’s step-down unit doctor, I brought her to Philanjalo for care as the hospital was closed at the time. Because of the severity of her condition, she was transferred to COSH (the hospital where we live) and died shortly thereafter of some kind of swelling in the brain. We'll never know what, as the referral hospitals were closed and she couldn't get a CAT scan or the correct treatment in time. We can just pray that public service strikes like this are not allowed to cause such suffering in future years and the definition of ‘emergency services’ includes hospital services.

The second patient I brought over was also a Thembalethu patient I visited, in this case one who had been discharged from the hospital and looking suspiciously like a MDR (multiple drug-resistant) TB case.  She was very very very thin and very sick. Through a local doctor friend, she was admitted to COSH for investigations and treatment. Unfortunately, she passed away just three days after being admitted. This sweet lady was my age and has a baby girl Joshua's age, as well as a four year old abandoned child she'd taken in. Her mother has now lost both of her children, and widowed daughter-in-law is also one of our sicker patients.  She has just started treatment for TB, but not yet ARVs and has four children of her own. My heart and prayers go out to her family in this difficult time, and we will continue to provided support and assistance to the children left behind, as well as the other sick widow. Aagh. I think I'll leave being an ambulance driver for a while now... While it offers tremendous opportunities for some patients to receive reliable, conscientious care, for some it’s just too late. I’ve nearly had to become a hearse driver on two different occasions now. I am very grateful other solutions came available for the families instead.

Thembalethu Expands!

Our new building is nearly finished, with a generous donation from a South African organization! It is a beautiful addition to our new piece of land, and we are very blessed to have so much space and possibility. We are planning to utilize the old building (orange/grey) as the community resource centre which we’ve started doing already on a small scale. The physical, occupational and speech therapists are already coming once monthly as an outreach for the disabled. We are striving to bring all the disabled children ‘out of the woodwork’ from the midst of the rural area so that they can get the therapy, support, care and schooling they need to thrive. Next month the mobile clinic should also start using our premises, moving over from functioning from the back of their converted-pickup truck and under the awning of the local store. We hope the new space will improve the primary health care service provision to the community and that we can also provide them with support and even HIV/AIDS testing and counseling for interested community members.

Thembalethu is currently offering the following services to the Amangwe Community:

• Home-Based Care to the sick
• Nursing supervision to local home-based caregivers
• Food parcels and support for orphaned and vulnerable children
• Preventative education about HIV/AIDS and TB
• Community resource centre

o           Special Needs Day once monthly

o           Mobile Clinic starting in November.

Funding Update:

Great news came in this week –we have been approved for small bit of funding from the Global Fund to Fight HIV, TB and Malaria. This will be our first real funding coming in on this level, and I am both excited and a bit daunted by the prospect of moving to the next level. The funding will cover some stipends for our caregivers as well as other costs for running some of our home-based care as well as orphaned and vulnerable children care. We are very grateful for this new input of funds, thankful to God for His perfect timing in providing for funding for us to continue loving and serving the community. We have nearly come to the end of previous financial gifts, and the timing for additional funding is perfect! 

Our caregivers have been solely volunteers up until now, and these stipends will be a great help to them, but can greatly change the dynamic of the work. Please pray for our wisdom as we move forward with this, and also for wisdom in our decision of which caregivers to offer stipends to. Please also ask God that the caregivers we select will be able to continue to serve their neighbors from hearts of love, care and compassion and not let the new financial dynamic ruin their beautiful gifts to others.

I continually give God thanks for the generous gifts that I have received to support my work and living expenses here over the past 6 ½ years! So far in 2010, these funds have been limited (just over $6,000, while my annual budget is $15,000) and while they cover my first priority – Thembalethu ministry expenses, they have not covered much beyond this. I would be very grateful for any additional funds to support this.

There are two primary ways that you can support this work:

	Support Thembalethu Directly	Support Betsy’s Living Expenses
Direct Funds to:	University Presbyterian Church – 4540 15th Ave NE, Seattle, WA 98105
Online Giving	upc.org  - following links to ‘give’ and ‘online giving’ or Click here to go straight to UPC's online giving page
Online Specifications	Fund: Missions - Global Sub Fund: Thembalethu	Fund: Missions – Global Sub Fund: – Meyer (Elfers), Betsy - South Africa
Check Specifications	Make out to UPC “Thembalethu” in memo line	Make out to UPC  “Betsy Meyer” in memo line

It has been over six and a half years since I first came to South Africa. It's hard to believe that so much time has gone by, but I am very grateful for the way that God has guided and provided for me in so many ways along the years and the journey. We are thinking in spring 2011 to spend some time on ‘furlough’ in the USA to spend a some time (3-6 months, depending on how I can leave work here) reconnecting with friends and family after so much time away. We also look forward to introduce Joshua to everyone! Please keep us in our prayers as we look to how to coordinate this, both in South Africa, and the Seattle area.

Unkulunkhulu akubusiso,

Betsy (Eugene & Joshua) Meyer