Lemera Hospital
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The Lemera Hospital ( French: ''Hôpital de Lemera''), commonly known as Hopital Genera de Lemera or Hôpital Général de Référence de Lemera, is a
medical facility A health facility is, in general, any location where healthcare is provided. Health facilities range from small clinics and doctor's offices to urgent care centers and large hospitals with elaborate emergency rooms and trauma centers. The num ...
located in Lemera, situated approximately 85 kilometers northwest of
Uvira Uvira is a city in the South Kivu Province of the Democratic Republic of Congo. Uvira is a Roman Catholic diocese, a suffragan of the archdiocese of Bukavu. Geography It is located at the extreme north end of Lake Tanganyika. Kalundu is a lake p ...
within the
Uvira Territory Uvira Territory is a territory in South Kivu, Democratic Republic of the Congo The Democratic Republic of the Congo (french: République démocratique du Congo (RDC), colloquially "La RDC" ), informally Congo-Kinshasa, DR Congo, the DRC, th ...
of the
South Kivu Province South Kivu (''Jimbo la Kivu Kusini'' in Swahili), (french: Sud-Kivu) is one of 26 provinces of the Democratic Republic of the Congo. Its capital is Bukavu. History South Kivu Province was created from Sud-Kivu District in 1989, when the exi ...
in the
Democratic Republic of the Congo The Democratic Republic of the Congo (french: République démocratique du Congo (RDC), colloquially "La RDC" ), informally Congo-Kinshasa, DR Congo, the DRC, the DROC, or the Congo, and formerly and also colloquially Zaire, is a country in ...
. The hospital has been at the forefront of providing indispensable
healthcare Health care or healthcare is the improvement of health via the prevention, diagnosis, treatment, amelioration or cure of disease, illness, injury, and other physical and mental impairments in people. Health care is delivered by health profe ...
services to the region's local inhabitants. The hospital is well known for the Lemera massacre when the facility was destroyed during the
First Congo War The First Congo War, group=lower-alpha (1996–1997), also nicknamed Africa's First World War, was a civil war and international military conflict which took place mostly in Zaire (present-day Democratic Republic of the Congo), with major spillo ...
by the
Alliance of Democratic Forces for the Liberation of Congo The Alliance of Democratic Forces for the Liberation of Congo-Zaire (ADFLC; french: Alliance des Forces Démocratiques pour la Libération du Congo-Zaïre; AFDL) was a coalition of Rwandan, Ugandan, Burundian, and Congolese dissidents, disgruntl ...
(AFDL). The hospital was rebuilt with the help of
international aid In international relations, aid (also known as international aid, overseas aid, foreign aid, economic aid or foreign assistance) is – from the perspective of governments – a voluntary transfer of resources from one country to another. Ai ...
, but it continued to face challenges in terms of
funding Funding is the act of providing resources to finance a need, program, or project. While this is usually in the form of money, it can also take the form of effort or time from an organization or company. Generally, this word is used when a firm uses ...
and
resource Resource refers to all the materials available in our environment which are technologically accessible, economically feasible and culturally sustainable and help us to satisfy our needs and wants. Resources can broadly be classified upon their ...
s.


History

The establishment of Lemera Hospital can be traced back to the arrival of the Swedish Pentecostal Missionaries in 1921. The facility was initially established as a
dispensary A dispensary is an office in a school, hospital, industrial plant, or other organization that dispenses medications, medical supplies, and in some cases even medical and dental treatment. In a traditional dispensary set-up, a pharmacist dispen ...
, offering medical care for an unknown illness that had claimed the lives of four missionaries in rapid succession. The tragic event gave rise to a flurry of theories, with some alleging that the missionaries had been poisoned by the native population who were initially resistant to their gospel, while others attributed the cause of their deaths to the harsh climate of the Ruzizi Plains. However, Julius and Ruth Aspenlind, the first
missionaries A missionary is a member of a religious group which is sent into an area in order to promote its faith or provide services to people, such as education, literacy, social justice, health care, and economic development.Thomas Hale 'On Being a Mi ...
to arrive in Lemera in 1924, testified that the favorable weather conditions in the area played a pivotal role in their decision to locate the dispensary in Lemera. Over time, the dispensary underwent a transformation and was developed into a fully-fledged hospital by Jean Ruhigita Ndagora Bugwika. It was officially named "Hôpital de Lemera". Prior to this, Jean Bugwika had worked as an
evangelist Evangelist may refer to: Religion * Four Evangelists, the authors of the canonical Christian Gospels * Evangelism, publicly preaching the Gospel with the intention of spreading the teachings of Jesus Christ * Evangelist (Anglican Church), a c ...
,
teacher A teacher, also called a schoolteacher or formally an educator, is a person who helps students to acquire knowledge, competence, or virtue, via the practice of teaching. ''Informally'' the role of teacher may be taken on by anyone (e.g. whe ...
, and school inspector, overseeing institutions such as EAP, ESAM, BAMS, and UMPBGJ. The hospital provided medical care to patients suffering from various conditions, including worm diseases,
malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or death. S ...
,
typhoid fever Typhoid fever, also known as typhoid, is a disease caused by '' Salmonella'' serotype Typhi bacteria. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often there is a gradual onset of a high fever over several ...
, tumor diseases, and
cardiovascular disease Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. CVD includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). Other CVDs include stroke, h ...
s. The hospital did not have native Congolese physicians, and it was administered by Ingegerd Rooth, who began her career as a
nurse Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other health c ...
before returning to
Sweden Sweden, formally the Kingdom of Sweden,The United Nations Group of Experts on Geographical Names states that the country's formal name is the Kingdom of SwedenUNGEGN World Geographical Names, Sweden./ref> is a Nordic country located on ...
to complete her medical training and ultimately coming back to Lemera to serve as the
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
in charge of the hospital. In 1981, Jean Bugwika secured funding from
Swedish International Development Agency The Swedish International Development Cooperation Agency ( sv, Styrelsen för internationellt utvecklingssamarbete, ) is a government agency of the Swedish Ministry for Foreign Affairs. Sida is responsible for organization of the bulk of Sweden ...
(SIDA) for the construction of additional facilities, including halls and a hydroelectric dam that provided electricity and water to the hospital and the inhabitants of Lemera. After Jean Bugwika's death in 1993, Menhe Mushunganya Luanda assumed his position, and in 1989,
Denis Mukwege Denis Mukwege (; born 1 March 1955) is a Congolese gynecologist and Pentecostal pastor. He founded and works in Panzi Hospital in Bukavu, where he specializes in the treatment of women who have been raped by armed rebels. In 2018, Mukwege and I ...
, a renowned
gynecologist Gynaecology or gynecology (see spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined ...
and
obstetrician Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
, relocated to Lemera Hospital. He introduced specialized gynecology and obstetrics services and became the medical director of the hospital in 1992 and held the position until the hospital was attacked in 1996.


First Congo War and Lemera massacre

During the onset of the
First Congo War The First Congo War, group=lower-alpha (1996–1997), also nicknamed Africa's First World War, was a civil war and international military conflict which took place mostly in Zaire (present-day Democratic Republic of the Congo), with major spillo ...
, the Lemera Hospital was an invaluable institution, providing medical care to approximately 300 patients, boasting 230 beds, and was the most sizeable medical facility in
South Kivu Province South Kivu (''Jimbo la Kivu Kusini'' in Swahili), (french: Sud-Kivu) is one of 26 provinces of the Democratic Republic of the Congo. Its capital is Bukavu. History South Kivu Province was created from Sud-Kivu District in 1989, when the exi ...
. The patients who received care from the hospital included a diverse group of individuals, ranging from wounded Zairian soldiers caught in the
crossfire A crossfire (also known as interlocking fire) is a military term for the siting of weapons (often automatic weapons such as assault rifles or sub-machine guns) so that their arcs of fire overlap. This tactic came to prominence in World War I. S ...
of the escalating
armed conflicts War is an intense armed conflict between states, governments, societies, or paramilitary groups such as mercenaries, insurgents, and militias. It is generally characterized by extreme violence, destruction, and mortality, using regul ...
, local civilians, and Hutu refugees who had fled from
Burundi Burundi (, ), officially the Republic of Burundi ( rn, Repuburika y’Uburundi ; Swahili language, Swahili: ''Jamuhuri ya Burundi''; French language, French: ''République du Burundi'' ), is a landlocked country in the Great Rift Valley at the ...
and
Rwanda Rwanda (; rw, u Rwanda ), officially the Republic of Rwanda, is a landlocked country in the Great Rift Valley of Central Africa, where the African Great Lakes region and Southeast Africa converge. Located a few degrees south of the Equator ...
. On 6 October 1996, members of the Banyamulenge-led armed group attacked the hospital and pillaged the
medical supplies A medical device is any device intended to be used for medical purposes. Significant potential for hazards are inherent when using a device for medical purposes and thus medical devices must be proved safe and effective with reasonable assur ...
, resulting in the deaths of many
patient A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health c ...
s, including Zairian soldiers, Hutu refugees, and Zairian civilians. The nurses were killed in their quarters. According to eyewitness accounts and the UN Mapping Report, around 37 people were murdered in their beds, either by
bullet A bullet is a kinetic projectile, a component of firearm ammunition that is shot from a gun barrel. Bullets are made of a variety of materials, such as copper, lead, steel, polymer, rubber and even wax. Bullets are made in various shapes and co ...
s or
bayonet A bayonet (from French ) is a knife, dagger, sword, or spike-shaped weapon designed to fit on the end of the muzzle of a rifle, musket or similar firearm, allowing it to be used as a spear-like weapon.Brayley, Martin, ''Bayonets: An Illustr ...
s. The attack left the hospital in ruins and caused widespread shock and outrage in the local and
international community The international community is an imprecise phrase used in geopolitics and international relations to refer to a broad group of people and governments of the world. As a rhetorical term Aside from its use as a general descriptor, the term is ...
. Denis Mukwege, the hospital's medical director at the time, took refuge in
Nairobi Nairobi ( ) is the capital and largest city of Kenya. The name is derived from the Maasai phrase ''Enkare Nairobi'', which translates to "place of cool waters", a reference to the Nairobi River which flows through the city. The city proper ha ...
before eventually returning to the DRC, where he emerged as a powerful voice and advocate for the oppressed and silenced communities.


See also

* Lemera massacre


References

{{reflist South Kivu Uvira First Congo War