A Request and a Promise

As a medical student, I have learned about the health impact of HIV/AIDS for the individual patient. I have learned about the anticipated disease course, treatment regimens, preventative measures, and support groups for patients and their families. In the United States, an HIV diagnosis has a troubling prognosis but has improved greatly in the last three decades since the disease emerged. The medical research community may be years away from a vaccine or cure, but HIV may be considered a chronic condition in some patients. However, the impact of HIV/AIDS on any individual, regardless of country or wealth is tangible and dramatic.

HIV/AIDS has dramatically changed the landscape and culture of Lesotho. In a country of 1.8 million, there are an estimated 160,000 orphans and vulnerable children. The impact is noticeable in every village, despite improvements in detection and treatment. The need for change and improvement is apparent. The problem-solving (and public health) part of my brain wants to assess communities and villages, design programs in collaboration with the villages, and record results and improvements in the outcomes for these orphans to celebrate their successes. However, my motivation and passion to improve the lives of Basotho children is not driven by the analytical part of my brain. My motivation and passion comes from my heart and a promise to a young mother in Lesotho in 2009.

On my second trip to Lesotho in 2009, a brief conversation with a young mother changed my life forever. We were at the Baylor Pediatric Centre of Excellence, a treatment facility for HIV positive children, to play and interact with the children while they waited for their appointments at the clinic. It was relatively quiet near the water tap and I was taking a moment to enjoy the smiles and laughter around me. The mother approached me with her youngest child on her back, secured by a Basotho blanket. We exchanged greetings and I explained why we were at the clinic. Then she asked me one of the hardest questions I’ve ever had to answer, “Will you take my child back to the United States? I’m HIV positive and I can’t take care of her.” I fumbled over my words and held back tears as I tried to explain that I couldn’t take her child. A laundry list of reasons and excuses ran through my head, but they all seemed insufficient. So in that moment, I did the only thing that seemed to do justice to the young mother’s request. I promised that I would finish my education and work as hard as I could to improve the lives of Basotho orphans and vulnerable children. I could not make an individual promise to the young mother and her children, but I could promise to never forget her children or her country. It wasn’t enough for her that day, but it is the best I could do.

Every morning I am reminded of her face as she made such a challenging request and I work tirelessly to fulfill my promise to her. I have a few more years of medical school ahead of me, but I am able to work on my promise by volunteering with Bloom Africa. Bloom Africa has allowed me to accomplish more than I ever could as an individual, a true example of Ubuntu. “You cannot do all the good the world needs, but the world needs all the good you can do” (Anonymous).

Khotso & Lerato (Peace & Love),

Betty

Betty Cheney currently serves as the  Secretary of the Bloom Africa Board of Directors. She is a medical student at Wright State University in Dayton, Ohio.