The walk through the haphazardly planned township of Fadama is not a smooth one. You have to stop from time to time to scan the road to avoid stepping into wastewater on the ground due to lack of a proper drainage system.

Several child development center workers from the Church of Pentecost Fadama went into Fadama to identify impoverished children in the community to be registered into their new center.

As the four team members turned a corner, they collided with a little boy who had been angrily shoved out of a wooden structure that serves as a place where people go to buy food and eat. Such spots in Ghana are popularly called “chop bars.”

The boy was thin, in worn-out clothes and with no sandals to protect his feet from the filth on the ground. His name was Fred. (more…)

Uganda is often held up as a model for Africa in the fight against HIV and AIDS. Strong government leadership, broad-based partnerships and effective public education campaigns all contributed to a decline in the number of people living with HIV and AIDS in the 1990s.

Despite this impressive reduction in the spread of AIDS in Uganda (from 30 percent in the 1980s to 6.5 percent to date), AIDS is still infecting and killing many Ugandans. Uganda’s HIV prevalence rate has stagnated over the past four years, meaning that the country is not managing to reduce the number of new HIV infections.

Damalie Andabati, the health specialist in our Uganda Country Office, says,

“Currently 6.3 percent of Uganda’s population is infected with HIV, and a new issue that has been discovered by the Uganda Virus Research Institute is that 66 percent of the new infections are among married couples.”

The reason for the high percentage in this unexpected group is not yet certain.

It is feared that HIV prevalence in Uganda may be rising again. It has been suggested that antiretroviral drugs have changed the perception of AIDS from a death sentence to a treatable disease. This perception may have reduced the fear surrounding HIV.

As part of our holistic outcomes around health, voluntary counseling and testing (VCT) for HIV is part of the regular health screenings conducted for the parents and children at the child development centers.

Kansanga Child Development Center carried out a VCT session back in March and 233 caregivers and children were tested, which is one of the best success stories of beneficiaries being tested for HIV by Compassion Uganda.

Kansanga, a red-light district of Kampala, is a community in the slum areas, and the child development center is located one kilometer away. Much effort has been put in clearing this district of prostitution and raising awareness about preventing HIV. Many fear being seen going for the test or seeing the results they will receive from the test.

More than 60 percent of Uganda’s population is illiterate and ignorant, and others are even too poor to own radios from which they would hear information on where to go for testing. Our church partner staff, and government officials, are hopeful for the future — that with tireless effort in community training and sensitization this figure will be adjusted.

After a disaster occurs in one of our countries, we often raise money to help those affected. We do this to help provide things such as food and water, shelter, bedding, trauma counseling or medical treatment, among other needs. Many times we also send disaster relief kits.

Let me tell you what we mean when we say “disaster relief kit.”*

A couple of weeks ago there was an earthquake off the northern coast of Honduras. Buildings and homes were damaged, including some homes of Compassion-assisted children. (Don’t worry … if your child is affected, we will let you know individually.)

In response to the earthquake, the Compassion Honduras office provided disaster relief kits to the affected families and our communications guy sent me a picture. (Thanks, Yuri!) Anyway, I thought you might like to see it …

*This is just an example of one disaster relief kit we recently provided. Contents of other kits may vary.

They are the most heartbreaking reports I’ve seen during my 12 months in this job. (Not that you can really quantify or categorize something like this, but last week was the first time I cried reading a crisis report.)

Cyclone Aila. If you haven’t heard about it, don’t feel bad. It really hasn’t been in the news much at all.

None of the major world news sites say anything about it. When I checked yesterday, they all had headlines about singing sensation Susan Boyle, but nothing about Cyclone Aila. However, just because there are no headlines doesn’t mean there is no news.

Over the past week, David Adhikary, our communications specialist in Bangladesh, has been sending photos and reports from the midst of the cyclone’s aftermath. They are devastating. Here are a few excerpts from his reports …

“During the disaster night, the children and their families suffered a lot. The cyclone took down their houses, and after that the dams were destroyed. Some of children had to stand in water for the whole night. The center staff found many of the children in a wet condition.”

“The Compassion center staff and the parents of the children are very anxious about the aftereffects of the flood. The dead animals could cause dangerous diseases, and the probability of malaria is very high.”

“There is not a single house in the village that hasn’t been affected by floodwater. The village is near the sea and the river water is very salty. The floodwater mixed with their water sources and made it impossible to drink.

“The water crisis is the major problem for the people. People were seen drinking the polluted floodwater to put off their thirst. The floodwater is very dirty and stinky. The dead animals and fish are floating all over the water. Children of that area are also drinking the same water.”

Worse …

“The affected families have taken shelter at the nearest market. The families are staying with the animals in the market. The marketplace is badly polluted as the people are using the place for all kinds of uses.

“There is no toilet and the people are using free spaces for a toilet.

“The adult girls are staying with their families in the marketplace. Their parents are very anxious about their daughters because at nighttime they have to stay with lots of unknown people together in the marketplace.”

And perhaps saddest of all …

“This morning we received very sad news about one of the children we assist. Her mother committed suicide just after the cyclone disaster. Their house was broken down and she committed suicide out of her frustrations. She lost her husband last year during Cyclone Sidr. She faced many challenges last year and finally gave up. [The children] are now orphans and vulnerable. They lost their father and mother in two consecutive cyclones. Please join us in pray for these children.”

Oh, God.

It feels like it’s too much, doesn’t it? When I read stuff like this, I find myself begging Jesus to hurry up and return and make all things right. It’s difficult not to get overwhelmed with despair.

The crazy thing is, though, God has placed Compassion right in the midst of this mess. Because of our unique church-based structure, our child development centers are distributing food and water where even relief agencies haven’t been able to access!

Families who lost their homes and have nowhere to cook are receiving hot meals at the child development centers. During the next few weeks, the centers will provide them with dry food, oral rehydration therapy and water purification tablets.

Here are a few of David’s photos. As you look at them, pray for the people in the photos and the thousands more you don’t see who are in similar desperate situations.

We have set up a fund if you would like to make a donation to help the victims of Cyclone Aila.

If you sponsor a child in Bangladesh and your child has been affected by Cyclone Aila, we will contact you as soon as we receive information about your child.

A new day begins in the city of Siguatepeque, Honduras, and with it a routine process caarried out by two girls at a child development center egg farm. They change the chickens’ water and pick up the eggs.

“Hey, here is another one,” says Keila with enthusiasm while they search for more eggs and the chickens walk between their legs.

The center is in a fresh environment with lots of pine trees. The 140 chickens lay eggs to feed the 257 children at the Pentecostal Student Center.

One of the desired outcomes of our programs is the physical development of children, but the rise in food prices has worsened our church partners’ ability to help the children grow healthy.

In Honduras, 70 percent of families in the rural areas live in extreme poverty, and in the past year, the cost of basic grains has doubled. The price of fertilizer has gone up 71 percent.

This egg farm is one of the ways Compassion Honduras is responding to the global food crisis, which has created great difficulty in the holistic development of the children.

The chicken project started as a dream of this student center in November 2008, and the dream came true through our Complementary Interventions program (CIV). (more…)

After a two-hour bus trip through chaotic traffic, I arrive at a child development center located in the northwestern part of Lima City.

The center is in a quiet place far from the noisy avenues, although the homes of squatters surround the church mission. The houses are built with precarious materials that show the poverty this community has to face. The mission is on a large property with buildings built long ago.

As I walk through the church’s wide, dusty dirt-floor patio, the center director greets me. With a wide smile and wearing blue jeans and a black hat, she looks ready to film the perfect Western TV series. Her name is Miss Pino and she is a graduate psychologist who has also studied at a Bible institute and has specialized in child advocacy and child evangelism. She has been appointed by her mission authorities as center director for Semillero de Campeones Student Center, which started in June 2008.

In this position, Miss Pino has to deal with many things she never thought she would, such as trying to keep the center open. The rising costs of household items – cooking oil, chicken, milk, etc. – has led to a 20 percent increase in food costs for all student centers in Peru.

For Semillero de Campeones, this has made it difficult to manage a program with 166 young children to feed, from which 40 percent do not have a sponsor yet.

Because of the rise in prices, many student centers have had to stop some activities such as camps, retreats and extracurricular activities. The budgets for each center are simply not enough.

Development centers with less than 160 registered children, such as Semillero de Campeones, have been more affected as they have fewer resources to face the crisis. Therefore, in order to continue serving the vital meals to the children, Semillero de Campeones received a special assistance through our Complementary Interventions Program (CIV). (more…)

Have you ever heard of Atrial Septal Defect (ASD)? Apparently, it’s a congenital heart defect.

If you have a defect in your interatrial septum, the tissue that divides the right side of your heart from the left side, your blood can get confused. And if that happens, you end up with blood that goes where it shouldn’t. That’s bad.

In a normal heart, the left ventricle has to produce enough pressure to pump blood throughout the entire body, but the right ventricle has to produce only enough pressure to pump blood to the lungs.

In the case of a large defect, this pressure difference means that blood from the left atrium can flood and enlarge the right side of the heart and, if left untreated, can result in heart failure.

That’s ASD in a nutshell. And this is why I tell you.

Alexander is an 8-year-old Kenyan boy who has ASD. He is in the third grade and is the youngest child in a family of five. Because his heart has been pumping deoxygenated blood to his growing body for his entire life, Alexander is smaller than most children his age.

In August 2008, during an evaluation at the child development center, a pediatrician noticed that Alexander has a heart murmur. Follow-up tests in Nairobi identified the birth defect and recommended a cardiac catheterization procedure and open heart surgery.

But Alexander’s parents are peasant farmers, and his mother sells fruit at the market to earn extra income. They survive on $13.70 per month.

$13.70 a month is barely adequate to meet the family’s basic needs, let alone pay for open heart surgery.

At this point, heart failure is a real possibility for Alexander. However, studies have shown that patients with a surgically repaired ASD have an excellent prognosis, particularly when the operation is done before the age of 25.

But Alexander’s family can’t afford the operation. It costs $8,303.

Alexander has been waiting to receive the surgery for several months now, since early December, but he can’t wait any longer. His condition has recently worsened – which made me think of something Amanda suggested back in February.

“I am just kicking around a few ideas here. What if Compassion had a “Spotlight of the Week” – or “Spotlight of the Month?” It could be either a child (medical need?), family, or small community need. It could even be in the area of the global financial crisis, disaster relief, Child Survival Program, or some other facet of Compassion. For example, one week you could highlight the (global food crisis) need of a community in Uganda to have goats or seeds for crops (or both). After the donations have been given, you could easily follow up with a story in the blog to share the results of the giving.”

So, Alexander has a need. And our objective is to give him a normal heart. Can we do this for him?

Make a donation to help pay for Alexander’s surgery. (Update: May 21, 2009 – You did it! And more. You contributed around $10,000. I expect to have the exact amount tomorrow.)

Thank you for loving this child.

As I receive updates on how Alexander is doing, I will share them with you. I can’t promise you updates with any degree of regularity though. I can just promise that there will be a follow-up.