Douglas MacLellan

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  • Portrait of Paul Thistle, Chief Medical Officer, Howard Hospital, Zimbabwe.
    MAD2006004N1213_0053.JPG
  • Zimbabwe, Mashonaland Central, Glendale area. November/December, 2001. There are few doctors at the Howard Hospital. Luckily many interns visit throughout the year. After a quick round with a doctor an intern is often on her own to do rounds. The doctor is not far off, the attention is careful and more  children and other patients get treated. That is the way it is.
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  • Howard Hospital, Zimbabwe. December 12, 2008. Two women entered Paul Thistle's office where he he issued a death certificate after a short and polite conversation. Thistle is the Chief Medical Officer of the Howard Hopistal in Zimbabwe.
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  • Zimbabwe, Mashonaland Central, Glendale area. December 12, 2008. Tinotende Phiri is 7 years old and has hydrocephalus - 'big head' syndrome. Today he is waiting to collect a United Nations donated blanket at the conclusion of a cerebral palsy workshop sponsored by the Howard Mission Hospital in Zimbabwe.
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  • Zimbabwe, Mashonaland Central, Glendale area. December 16, 2008. The Male Ward at the Howard Hospital, Zimbabwe is overflowing with patients and family members due to the closure of the four main receiving hospitals in Harare, about an hour and a half away. The Howard is the closest open hospital. Sadly the mortality rate is very high at this time -- many patients arrive too late from Harare for any real help.
    13MacLellan.jpg
  • Two overdue women are examined by a Canadian volunteer doctor in the Delivery Ward of the Howard Mission Hospital in Zimbabwe.
    MAD2006004N1206_0052.jpg
  • Tinotende Phiri is 7 years old and has hydrocephalus - 'big head' syndrome. Today he is waiting to collect a United Nations donated blanket at the conclusion of a cerebral palsy workshop sponsored by the Howard Mission Hospital in Zimbabwe.
    MAD2008007N1212_0064.jpg
  • Pedrinah Thistle in her office at the Howard Hospital in Zimbabwe. Pedrinah is the chief nurse at the hospital's labour ward.
    MAD2008007N1215_0052.jpg
  • Zimbabwe, Mashonaland Central, Glendale area. December 14, 2008. Paul Thistle, chief medical  officer of the Howard Hospital, discusses a patient's recent death.
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  • Zimbabwe, Glendale. December 14, 2008. Dr Paul Thistle, his office, Howard Hospital, Zimbabwe.
    MAD2008007N1214_0231.jpg
  • Zimbabwe, Mashonaland Central, Glendale area. December 12, 2008. Two women, one holding a death certificate, discuss the recent passing of a family member with the office of the Howard Hospital's chief medical officer.
    08MacLellan.jpg
  • The Male Ward at the Howard Hospital, Zimbabwe is overflowing with patients and family members due to the closure of the four main receiving hospitals in Harare, about an hour and a half away. The Howard is the closest open hospital. Sadly the mortality rate is very high at this time -- many patients arrive too late from Harare for any real help.
    13MacLellan.jpg
  • Two women entered Paul Thistle's office where he he issued a death certificate after a short and polite conversation. Thistle is the Chief Medical Officer of the Howard Hopistal in Zimbabwe.
    08MacLellan.jpg
  • The woman on the left is selling small fish to women residing at the Howard Hospital's Antenatal Ward. Prices were too high and sales were very slow. These women are in their 36th week or more of pregnancy and live far from the hospital. Here they will get good medical care until and after delivery. But they are on their own in terms of food and the cement floor is cold and hard. The Howard Hospital is in Zimbabwe.
    MAD2006004N1206_0299.jpg
  • Manuel Sutter, a volunteer intern doctor from Switzerland, went along with Marjorie Zavira, the Howard Hospital physiotherapist, on a trip to deliver donated wheelchairs. The Howard is a hospital based in Zimbabwe and the chairs are for people in the rural catchment area.
    MAD2008007N1212_0238.jpg
  • Students lsiten to a guest lecturer at the Nyachuru High School AIDS Club in Zimbabwe. The children, 15 to 17 years old, are interested and open to the guest''s positive  message.
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  • Dr Paul Thistle, his office, December 2008, Howard Hospital, Zimbabwe.
    09MacLellan.jpg
  • Jimgumvura Clinic, Jimgumvura, Zimbabwe is the farthest away in the Howard Hospital catchment area. The Howard sponsors a Mobile AIDS Clinic that visits the clinic on a regular basis. Medicines are dispensed, records are updated and other clinic and non-clinic items are discussed.
    MAD2008007N1215_0070.jpg
  • Manyera Mutekani is the Chair and founder of Godknows Orphange Support Scheme based in Kartu village in Zimbabwe. Her group cares for more than thirty boys and girls who have lost at least one parent. Her group receives some support from the Howard MIssion Hospital. She dyes cloth and sells or consigns it mostly to visiting health care professionals as a fundraising project.
    MAD2008007N1210_0146.jpg
  • Zimbabwe, Mashonaland Central, Glendale area. December 03, 2006. The Salvation Army Howard High School holds the last Sunday service of the school term before Christmas break.
    15MacLellan.jpg
  • Valentine Bhoma, 21, lives in Kanhukamwe village, Zimbabwe and on this lucky day received a wheelchair donated to the Howard Hospital.
    MAD2008007N1212_0408.jpg
  • After Sunday service at the Salvation Army Calvary Citadel near Nyachuru, Zimbabwe. One of the boys (ornage pants) has spina bifida but at last report is doing well.
    MAD2006004N1126_0058.jpg
  • Two members of the God Knows Orphange Supporting Scheme sitting at the Howard Hospital, Glendale, Zimbabwe. Gods Knows is headed up by an enthusiatic, HIV positive grandmorther member of the Salvation Army and is soliciting funds from the Howard. The children are orphans - many of whom are HIV positive (status of these children is unknown.)
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  • Zimbabwe, Howard Hospital. December 2006. Leaving boarding school for Christmas holidays.
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  • End of Sunday Service at the Salvation Army Nyachuru Citadel, Zimbabwe. The service is like a meeting with lots of music and testimonies, taking of donations, a sermon, prayer and nice conversations afterwards.
    MAD2006004N1126_0042.jpg
  • Dr Paul Thistle, Chief Medical Officer, Howard Hospital, Zimbabwe speaks to senior members of the community after Salvation Army Sunday service.
    MAD2006004N1126_0049.jpg
  • Zimbabwe, Mashonaland Central, Glendale area. December 04, 2006. A nurse walks down the hallway connecting the emergency and male wards at the Howard Hospital, Glendale, Zimbabwe.
    01MacLellan.jpg
  • Zimbabwe, Mashonaland Central, Glendale area. November 23, 2006.  The boy, about ten years old, has a trachea tube which will not easily come out due to the formation of polyps. The doctor at the Howard Hospital in Zimbabwe decides to leave things as they are noting the boy plays hard and seems unaffected by the tube. Plus the hospital is short on supplies.
    02MacLellan.jpg
  • Howard Hospital, Zimbabwe. December 14, 2008. The Male Ward at the Howard Hospital, Zimbabwe is overflowing with patients and family members due to the closure of the four main receiving hospitals in Harare, about an hour and a half away. The Howard is the closest open hospital. Sadly the mortality rate is very high at this time -- many patients arrive too late from Harare for any real help.
    060_MAD2008007N1216_0042.tif
  • Glendale, Zimbabwe. 2006. -- Nurses and students nurses prepare in the morning the male ward. -- The Howard Hospital is a well established Salvation Army rural mission hospital located north of Harare, Zimbabwe. It is so entrenched in the Chiweshe community that they consider it as their own.
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  • Kartu Village, Zimbabwe. December 10, 2008. The mother fell down a mountain and broke her neck  five months ago and is now permantly disabled. She receives some support from the Howard MIssion Hospital and Godknows Orphan Support Scheme. But mostly she will spend the rest of her life on the floor of her mud hut being attended by her daughter.
    064_MAD2008007N1210_0198.tif
  • Theine Mukau watches as a group of nurses and student nurses attend a doctor's round. This part of the Children's Ward is for the more serious caes  -- virtually all relating to HIV. The ward is part of the Howard Hospital in Zimbabwe.
    MAD2006004N1205_0262.jpg
  • A nurse walks down the hallway connecting the emergency and male wards at the Howard Hospital, Glendale, Zimbabwe.
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  • The Salvation Army Howard High School holds the last Sunday service of the school term. Some prayers, some sermons and then children go to the front and sing a song. The High School is in Zimbabwe.
    G99-633298.jpg
  • Zimbabwe, Howard Hospital. November 2006. Nurse doing paperwork at outpatients department.
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  • Mothers and some of their children wait for a check-up at the Mother Child Health centre at the Howard Hospital in Zimbabwe. The check-up includes a pysical as well as growth chart plotting.
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  • Nyachura Secondary School is a seven minute walk from the Howard Hospital, Zimbabwe. The students are mostly orphans - children who have lost at least one parent. The cows are a donation from a Canadian doctor. The school is closed for the Christmas holiday  and may not open on time due to the Zimbabwe econonmic situation.
    MAD2008007N1215_0320.jpg
  • Zimbabwe, Harare. November 2006. Reps Theatre Bar.
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  • A nurse walks down the hallway connecting the emergency and male wards at the Howard Hospital, Glendale, Zimbabwe.
    01MacLellan.jpg
  • Zimbabwe, Howard Hospital. November 2006. Canadian volunteer doctor's goodbye  party.
    MacLellanDouglas0028.jpg
  • The boy, about ten years old, has a trachea tube which will not easily come out due to the formation of polyps. The doctor at the Howard Hospital in Zimbabwe decides to leave things as they are noting the boy plays hard and seems unaffected by the tube. Plus the hospital is short on supplies.
    02MacLellan.jpg
  • Two boys hold an owl at the Reps Theatre in Harare, Zimbabwe. The bird appeared to be slightly injured and small. The Reps is a well established theatre.
    MAD2006004N1118_0051.jpg
  • Zimbabwe, Mashonaland Central, Glendale area. November 30, 2001. Nikrah Goredema at her home in Zimbabwe. She is HIV/AIDS positive and is at home to die. The Matilda Project sponsors a home care unit from the Howard Hospital to help. (photo Doug MacLellan)
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  • Zimbabwe, Harare. November 2006. Boys with a wounded owl, Reps Theatre.
    MacLellanDouglas0039.jpg
  • Howard Hospital, Zimbabwe, November, 2012. A person sits on a stone bench near the Tariro Clinic at the Howard Hospital, Zimbabwe. Usually this area is busy with hundreds of people coming to the TB and HIV/AIDS clinic but many patients are staying away since the Salvation Army, the hospital operator, decision to transfer a popular doctor in August, 2012.
    MAD2012037G0214.jpg
  • Mount Darwin, Zimbabwe. November 2012. -- Paul Thistle, Chief Medical Officer, Howard Hospital, in his Salvation Army uniform, relaxes at his father in law's home prior to a family lunch. -- Dr Paul Thistle, a Canadian surgeon, was transferred on short notice from his position at the Howard Hospital, north of Harare, Zimbabwe, after 17 years in August 2012. In November, it becomes certain he will be terminated from the Salvation Army, his employer. His departure creates a huge loss for the patients in the hospital catchment area as there is no replacement and some foreign donors have cut their aid.
    MAD2012037G0102.jpg
  • A High School boy plays a large drum at the last assembly before Christmas holidays. Howard Collegiate Institute, Mashonaland Central, Zimbabwe, 2006.
    MAD2006004N1203_0006_01.JPG
  • A High School boy plays a large drum at the last assembly before Christmas holidays. Howard Collegiate Institute, Mashonaland Central, Zimbabwe, 2006.
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  • Dr Paul Thistle, his office, December 2008, Howard Hospital, Zimbabwe.
    MAD2008007N1214_0231.jpg
  • Howard Hospital, Zimbabwe, November, 2012. A well used bible rests in a small room at the Tariro Clinic. The clinic usually treats or consults with hundreds of patients but patient levels have dropped since the removal of a popular Canadian doctor in August, 2012.
    MAD2012037G0216.jpg
  • Edward, groundskeeper, at the Howard Hospital in Zimbabwe, requested a potrait then lied down foe whatever reason.
    MAD2006004N1126_0005.jpg
  • Manyera Mutekani is the Chair and founder of Godknows Orphange Support Scheme based in Kartu village in Zimbabwe. Her group cares for more than thirty boys and girls who have lost at least one parent. Her group receives some support from the Howard MIssion Hospital. She dyes cloth and sells or consigns it mostly to visiting health care professionals as a fundraising project.
    MAD2008007N1210_0146.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0253.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0018.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0170.jpg
  • Bible at Tariro Clinic, Howard Hospital, Zimbabwe, 2012.
    MAD2012037G0216.JPG
  • Glendale, Zimbabwe. 2006. -- Doctor and anesthesiologist at tea break after their first round of daily surgeries. -- The Howard Hospital is a well established Salvation Army rural mission hospital located north of Harare, Zimbabwe. It is so entrenched in the Chiweshe community that they consider it as their own.e
    057_MacLellanDouglas0003.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0320.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0040.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1213_0116.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0012.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1211_0442.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1211_0280.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1211_0233.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0163.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0059.jpg
  • Paul Thistle, Pedrinah Thistle and their son at supper in a relative's home in Harare, Zimbabwe.
    MAD2012039S0094.JPG
  • Glendale, Zimbabwe. 2006. -- A man poses with a dog at the Howard High School sports field. -- The Howard Hospital is a well established Salvation Army rural mission hospital located north of Harare, Zimbabwe. It is so entrenched in the Chiweshe community that they consider it as their own.
    MAD2006004N1212_0433.TIF
  • The end of a long day in the Children's Ward at the Howard Hospital in rural Zimbabwe. The Salvation Army Hospital is located an hour and half from Harare, the capital. The woman on the left with the child is waiting to hear an update. Dr. Dante Pascali and Dr. Lorraine Irvine are writing daily reports. The 'Howard' is the regional hospital and serves about 200,000 people.  There are four doctors on staff.
    DM-01-04.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0265.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0191.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0052.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0209.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1213_0052.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1213_0045.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0354.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0286.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0232.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0009.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1211_0133.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1211_0103.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0146.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0107.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0103.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0102.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1210_0041.jpg
  • Kartu Village, Zimbabwe, 2012. -- Dinas fell down a mountain and broke her back seven years ago. She is paralyzed from the neck down. Very few people care for and about her. -- In August 2012, the Salvation Army transfer Dr Paul Thistle, a Canadian doctor, to Canada after 17 years as the chief medical officer of the Howard Hospital, a Salvation Army mission hospital in rural Zimbabwe. The transfer leads to violence and later despair as he is not replaced. The community believes they are in a worse health care situation because of the Salvation Army decision.
    MAD2012038N0281.tif
  • Mufuka Village, Zimbabwe. November, 2012. -- Elizabeth Mufuka at home. Elizabeth is the mother of two former conjoined twins who were born at the Howard Hospital and separated in Canada. -- In August 2012, the Salvation Army transfer Dr Paul Thistle, a Canadian doctor, to Canada after 17 years as the chief medical officer of the Howard Hospital, a Salvation Army mission hospital in rural Zimbabwe. The transfer leads to violence and later despair as he is not replaced. The community believes they are in a worse health care situation because of the Salvation Army decision.
    MAD2012038N0161.tif
  • Oxen driven cart on road to Howard Hospital, Zimbabwe.
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  • Glendale, Zimbabwe. 2006. -- A woman poses for a portrait outside the hospital kitchen during a rainstorm. -- The Howard Hospital is a well established Salvation Army rural mission hospital located north of Harare, Zimbabwe. It is so entrenched in the Chiweshe community that they consider it as their own.
    MAD2006004N1212_0269.JPG
  • Women wait in the Maternity Ward of the Howard Hospital in rural Zimbabwe. The Salvation Army hospital is an hour and a half drive from Harare, the capital. The hospital performs about 2500 births per year. Many of those new children will be HIV/AIDS positive. Recently the hospital is carrying out a drug study where AZT is diluted and given to pregnat women seven days before birth. Results are encouraging.
    DM-01-05.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1216_0042.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0286.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0285.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1215_0248.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0341.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0231.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0208.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1214_0132.jpg
  • Zimbabwe, December 2008: The Howard Hospital and its catchment area are not immune to the incredible outside forces that affect it.  absurb inflation rates and currency values, a cholera epidemic and the question of governence remains unanswered. Meanwhile a doctors strike drives patients from Harare to the only remaining open hospital in the area. History may well judge this as Zimbabwe's bleakest moment. But the Howard Hospital keeps its doors open and hopes to ride out the storm.
    MAD2008007N1212_0388.jpg
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