However, the constant threat of robbery makes it difficult to relax. United States nationals live in virtual fortresses complete with iron bars on the windows, wrought iron security gates on all doors, a wrought iron security grate to isolate our sleeping quarters from the rest of the house, perimeter security lights, and 24-hour security guards at each compound. We carry a radio link to the US Embassy at all times for use in an emergency. Home invasion robberies, street muggings, and the more recent trend of car jackings detract considerably from enjoyment of the city. More recently, the 2-year drought has produced severe water and, therefore, electricity shortages.
Water availability is variable.
Most homes have plastic tanks to store water, but to be of much value these require electric pumps and electricity. One becomes so dependent on modern appliances in the US that the transition to kerosene lamps and 2-burner gas ranges for cooking seems like a hardship. But it certainly offers the opportunity to return to a simpler way of life. I am not quite sure how my reflections on working as a physician in Africa will be received by my colleagues and medical students. My experiences are far different from those of the many US physicians who give of their time and talents in the many mission hospitals in Africa.