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REPORT FROM SOUTH AFRICA

Visiting Chris Hani Baragwanath Hospital

By Quo Judkins

Soweto, South Africa

The writer was part of a Peoples Video Network delegation--which also included Johnnie Stevens, Andre Powell and Sue Harris--that went to South Africa in April to work on a video about the life and contribution of the late South African Communist Party leader Chris Hani.

On April 12 our delegation had the honor and privilege to visit the world's largest hospital. It is the Chris Hani Baragwanath Hospital in Soweto, South Africa. Vusi Mbasela, an African National Congress employee, drove us from ANC headquarters to the CHBH.

We met with the CHBH Head Nurse Peggy Motlhamme. Delegation member Andre Powell presented the head nurse with a resolution by the City Council of Baltimore supporting the right of the South African government to obtain enough medication to treat the AIDS pandemic at a price the people can afford.

Motlhamme provided us with an extensive history of the hospital and its current role in South Africa's health-care system, which is especially challenged by the AIDS pandemic.

Though there are many HIV/AIDS patients treated at the hospital, there is no system of segregation, no ward just for AIDS patients. Motlamme was quick to point out the malignant psychological effects of employing a system of segregation. "This would be harmful to their psyche and wrong, and we must treat everyone as human beings," she said.

Members of the PVN delegation noticed that the patients, even those who were sick, seemed to be in better spirits than would be expected.

Snapshot of history

The hospital was originally a barracks during World War II. The name Baragwanath comes from the barracks' name.

Injured soldiers were brought to the barracks, and soon after it became a hospital. Over time it also evolved into a teaching hospital.

In the post-apartheid era, this hospital has emerged as the largest in the world, with over 2,000 beds and six wards. These include maternity, pediatric, and surgical, as well as St. Johns, a specialized ophthalmology ward with its own surgical unit.

There are 39 operating theaters or rooms, 5,000 employees and 500 doctors.

Motlamme directed us to the head of the Casualty Department, Lucy Shabalala, who gave us a grand tour of the hospital. We began the tour in the Casualty reception area where the patients undergo triage--where the decision is made as to who needs immediate surgery or resuscitation.

We then proceeded to the various wards where we met the nursing staff and some doctors.

Issues facing the hospital

Shabalala said there is a shortage of staff. That is partly due to the stress of the long hours needed to provide adequate coverage and lack of medical resources to treat the patients.

She paid special emphasis to those workers who have chosen to stay on despite the difficulties, referring to them as the most dedicated. They often work through lunch breaks and long past their shifts to continue follow-up with patients in critical condition.

Most of the health-care staff is African, although there were a few white and Indian-origin care-givers.

Shabalala also cited the upcoming renovation project to expand specific wards such as the Casualty Department, to move it closer to the main entrance, and a general upgrade of the hospital.

This article is copyright under a Creative Commons License.
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