For the past 15 years, longtime CMMB volunteers, the Hartmann’s have dedicated so much of their lives to bringing hope and dignity to the people of Swaziland through home-based healthcare.

Together with a team from the Good Shepherd Mission Hospital, they administer medications, treatments, and huge doses of human kindness and compassion to those too often forgotten. They also dedicate a lot of time advocating for those whose voices are so often unheard.

Here, Kathleen Hartmann shares the story of a woman who is making a brave recovery from a tragic accident. 


Busi is a 48-year-old woman who lives in a very remote and poor area of Swaziland. She works hard and raises a few chickens to provide a small income for herself.

Busi’s kitchen and chicken coop (where she was burned)

Busi’s kitchen and chicken coop (where she was burned)

A few weeks ago, while working, her Lihiya – known in the U.S. as lye – caught on fire and she sustained 2nd-degree burns over the backs of her legs and buttocks. At first, she was brought to the hospital, but due to lack of resources for treatment, she was sent home to do the best she could to clean and dress the wounds herself.

Upon hearing about the situation a few days later, the Home Based Care team set out to visit her. When we arrived, her wounds were blackened and showed evidence of a traditional medicinal treatment common in Southern Africa known as muti.  The team spent more than 2 hours cleaning the area, and counseling both Busi and her caregiver on the dangers of using this local remedy. Because muti is the only remedy available to many people living in Southern Africa, it is imperative that the Home Based Care team comes equipped with the more advanced treatments.

Busi in her home during a visit from the home based care team.

Busi in her home during a visit from the home based care team.

In this case, we were able to clean and dress her severe burns because of a donation of hi-tech dressings provided by Mölnlycke Health Care, a Swedish medical device company. In January we brought these dressings with us on our flight to Swaziland, and they have been indispensable in our healing mission ever since. Since our initial treatment, we have visited Busi every 3 to 4 days to maintain pain control with morphine, ensure proper nutrition, and keep her wounds from getting infected by carefully irrigating and changing the dressings.

Busi with her grandson. She is so relieved now to be able to get off her mat and walk.

Busi with her grandson. She is so relieved now to be able to get off her mat and walk.

Due to the hi-tech dressings and the team’s commitment to keeping her wounds clean, Busi was finally admitted to the hospital and has had her burns successfully grafted. The surgeon said that the grafts have taken well, and the improvement in her health is astounding. Busi is walking again, and a smile has not left her face since the surgery. Now our main concern is making sure the graft and the graft site do not get infected at home. She will be discharged from the hospital today and must return to her homestead where she does not have access to clean water. The surgeon wants the areas to be kept open, but clean. We will be keeping her under close supervision to ensure a proper recovery.

She is back on her feet and smiling! Home based care in swaziland

She is back on her feet and smiling!

UPDATE: 
On May 16th, 2017, Busi came into the hospital for a check up. It was so wonderful to be greeted by her smile and to see her healing so well.  She has been accompanied on her healing journey by one of her dearest friends, Make Mashaba, who has been caring for her since the day she was burned and one of our most amazingly dedicated nurses, Phila Langwenya, who is a longtime member of the Home Based Care and Palliative Care Team in Swaziland.

Busisiwe with nurse Phila Langwenya

Busi with nurse Phila Langwenya and Make Mashaba,