There is the main clinic building with a reception area and 6 separate exam rooms, as well as an acute care area consisting of about 5 beds, each with a wooden frame and mosquito netting. Each bed has in addition to sheets, a wool blanket, which to my amazement many people use. Many people wear sweatshirts and sweaters.  I am really suffering from the heat, but I am told I will get used to it. Still, I am not even tolerating long sleeves, let alone sweaters.

There is a building which is the pharmacy and lab, one room for each, with outside covered waiting areas for the patients. An Administration building houses the doctor’s office, and the computer servers and some of the large batteries that store solar(?) power, as well as Joseph, the Information Technology specialist and several other offices.

Public Health and education have their own buildings, and there are various outbuildings for storage, latrines, perhaps a carpentry shop (there is a huge vise out in front of this building.) The new maternity wing is very nice and I believe it is an older building that is being re-purposed for maternity. The expat housing is on the north side of the compound, with two tin-roofed houses, one tuko, and the cook house which is also where we eat our meals, charge our devices, and enjoy a little work and social time—if there is anyone to be social with. Dr. Sam, my predecessor, is leaving today so I will be the only expat until Tamara arrives.

In contrast to the tuko, most buildings in the Matoso clinic compound are tin-roofed, of concrete block construction. The ceiling is usually open to the roof, and is supported by trusses made of two-by-fours. Some rooms have ceilings made of some big (fiberboard?) tiles, but that is an investment that is not widely implemented. A ceiling keeps the room a bit cooler, but the tiles are a big expense and I would bet the installation is quite a trick, too. Bats sometimes make their homes in the ceiling which doesn’t seem to bother anyone. They eat insects, as do the geckos. Most of the geckos I have seen so far are tiny cute little things, maybe an inch and a half long.

There are several flush toilets and septic tanks, including a septic tank I watched them build for the new maternity wing. The construction was exceptional to watch. First, an eight-foot deep hole was dug by hand. It looks about 8 feet long and 6 feet wide. Then the entire pit was lined by a concrete and brick lining, , made very square and straight, which was finished with a smooth coat of concrete on the inside. It is actually quite beautiful and elegant. Now they are constructing a reinforced concrete top for it. I am told there will be an opening so that when it is full, the contents can be removed and taken away (? Tank truck? Buckets?) The sewage pipes coming from the building look like 4 inch PVC, and they are installing an opening between the building and the tank, I assume so if there is a blockage it can be addressed.

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