3-Aug-21MIRIAM DAMSON DAUDI9 YRSFrecurrent tonsilitis and adenoid hypertrophy
3-Aug-21IBRAHIM LOMUNYAK WILSON10 MONTHSMadenotonsilllar hypertrophy
12-AugFAHAD ALHAJI OMARY6 YRSFpost k wire fixation 
12-AugPRAISE ROBERT JOHN5YRSFadenotonsilllar hypertrophy
18-AugPRAYGORD PETER ALEX1.5 YRSMadenotonsilllar hypertrophy
18-AugELISHA ELIAMANI EMANUEL2.4 YrsMadenotonsilllar hypertrophy
22-AugFAITH PAULO MATHIAS5 YRSFadenoid hypertrophy
22-AugKERANI TUMAIN NYITI17 YrsMclosed fracture of left femur
26-AugSINALVIA LOTHA JACOB17 YrsFnasal poly
26-Augabubakari swalehe9 yrsMclosed fracture fracture of the left distal humerus
15-AugOLARIP LENGANYITI LAIZER9 yrsMClosed fracture of the mid shaft ulnar radius(malunion)
9-Aug-21SIMION LOISHOOK4 YrsMClosed fracture of the left distal humerus(supracondylar)
7-Jul-21SILVESTER JUSTINE LAIZER 13 YRSMCHRONIC OSTEOMYELITIS
7-JulIDRIS HAMRAT YUSUPH12 YRSMCEREBRAL PALSY WITH SHORTENED ACHILLES TENDON 
7-JulALJARAH HAMRANA YUSUPH10YRSMCEREBRAL PALSY WITH SHORTENED ACHILLES TENDON 
22-JulMESHACK E KIMARIO7 YRSMumbulical hernia,adenotonsillar hypertrophy
8-JulGIFT JOSEPH 4 yrsMVISCERAL PERFORATION (JEJUNUM) SEC TO BLUNT ABDOMINAL INJURY
2-JulAngel Elisha Laigwashi6 YRSFclose fracture of left supracondylar of humerus
2-JulGodson Ezekiel Bayo
7 YRS
Mpost k wire fixation sec to  supracondylar fracture of humerus
2-JulRamadhan Heri Juma4 yrsMbilateral congenital genu varus
15-JulJames Sanare Palateti4 yrsMbilateral congenital genu valgus
15-JulJovin Mapambano Kishasi4 yrsMbilateral congenital genu varus
15-JulJoel Fredy Maliaki3 YRSMtonsillar hypertrophy 
23-JulJoshua Fredy Maliaki7 YRSMadenotonsillar hypertrophy and turbinate hypertrophy
22-JulElibarik Laizer4 yrsMadenotonsillar hypertrophy and turbinate hypertrophy
12-JulJoshua zakaria4 yrs 7 monthMadenotonsillar hypertrophy and turbinate hypertrophy
17-Jun-21DAINES EZEKIEL MERIN4 YrsFLEFT SUPRACONDYLAR CLOSED  FRACTURE 
10-Jun-21Nadri Ramadhan Amran5YrsMRIGHT INGUINAL HERNIA
10-Jun-21EZEKIEL MAIKO JOHN8YRSMANKYLOGLOSIA,ADENOTONSILLAR HYPERTROPHY
1-Jun-21JOSAM MUSSA MARIASA9 YRSMOPEN LEFT SUPRACONDYLAR FRACTURE OF THE HUMERUS
22-Jun-21LOMNYAKI KERISHO NGARABALI15 YRSMCHRONIC OSTEOMYELITIS
22-Jun-21LEVIS LEONARD MSUTA3YRSMUNILATERAL GENU VALGUS 
3-JunHALIMA HERI JUMA15 yrsFADENOID HYPERTROPHY AND TURBINATE HYPERTROPHY
3-JunRAMADHAN HERI JUMA4 yrsMRIGHT MID SHAFT FRACTURE OF RIGHT FEMUR
10-JunANGELA ELISHA LAIGWANANI6yrsFLEFT SUPRACONDRLAR FRACTURE OF THE HUMERUS
21-JunGodson Ezekiel Bayo8yrsMLEFT SUPRACONDRLAR FRACTURE OF THE HUMERUS
11-JunNOELA DEODAT MICHAEL6 YRSFPALATE TONSILS HYPERTROPHY
3-JunSaimon Mathayo Melau4 YRSMCEREBRAL PASLY WITH SHORT ACHILLES TENDON
12-JunNengilanget Nangalai1.2 YRSFCEREBRAL PASLY WITH SHORT ACHILLES TENDON
7-JunRAHIM ALHAJI OMARY2 YRSMBILATERAL GENU VARUS
7-JunRAHMA ALHAJI OMARY2 YRSFBILATERAL GENU VARUS
5-MayMOSSES NGENYIKI MOLLEL21 yrsMgenu varus
13-MayMICHAEL MATHAYO LOOTA1 yrsMINTESUSCEPTION 
5-MayMOSSES SEURI MOLLEL6 yrsMclosed fracture of proximal femur
11-MayNEEMA GERALD MOLLEL5MonthsFINTESUSCEPTION 
6-MayMAGDALENA ELISHA MEISHILIEK7 yrsFAdenotonsillar hypertrophy
10-MayTRESURES HILLARY MVUNGI3yrs  6mothsMAdenotonsillar hypertrophy
10-MayHENRY KELVIN LEONARD5 yrsMcerebral palsy with shortened achilles tendon 
13-MaySHUKURU MAINE SANDEU18 yrsMparotid tumor
13-MayLAZARO MBAUDA15 YRSMgenu valgus
12-Apr-21Najim Shagi Mavere6YRSMknee contusion
12-Apr-21Shakila Musa10YRSFadenotonsillar hypertrophy
16-Apr-21ASHA ALAIS NAIROWA2 yrsFadenotonsillar hypertrophy
8-Apr-21FAISAL SIRAJI2yrsMadenotonsillar hypertrophy
12-Apr-21Melau Mbauda7 yrsMchronic osteomylitis
12-Apr-21LALASHE SAIGURAN9 yrsMclosed fracture of distal ulnar and radius
19-Apr-21Joshua Lomnyak2yrsMright side ingunal hernia
22-Apr-21Sinyati Laanyun8 yrsFintestinal obstuction
24-Apr-21Sinyati Lotoishe Lengalasi8 yrsFfracture of midshaft tibia and fibular
3-MarIBRAHIM LOWASSA KIVUYO3 yrsMright inguinal hernia
3-MarLALASHE SAIGURAN11 yrsMLet supracondylar fracture
24-MarELIAS SIYANGOI KURSAS9 yrsMright inguinal hernia
10-MarMENEJA LOMAYANI MEIPONYI17 yrsMleft prox.humerus #,Left tibia and fibular#
27-MarLAIZER LOMUNYAK LOLEPO3 yrsMRt supracondylar#
18-MarMELADI NOELY SIYANGOI3monthMAdenotonsillar enlargement
15-MarMOSSES NGENYIKI MOLLEL21 yrsMLeft leg genuvarus
24-MarBARIKI MOSSES MEISEYIKI9yrsMneck mass
15-MarLucas Njoolay mollel4 yrsMLet supracondylar fracture
22-Feb-21Salome Pinieli Lucumay11YrsFumbilical hernia
14-FebLazaro Mbauda Masumbura15 YRSMbilateral genuvalgus
14-FebLENGAI NGAIYO NEAPA2 YrsMnilateral genuvalgus and manultrition
8-FebIKRAM ZUBERI MDOE1 Yr(s) 10 Month(s)Madenoids hypetrophy
8-Feb-21BRILIANCE AMANI KULEI3 YRSMadenotonsillar enlargement
2-FebNOREEN GILBERTH MINJA1 YRSFadenotonsillar enlargement
2-FebBLESS YONA LIHI2 yrsFacute osteomyelitis
21-FebDANIEL JOSEPH LAIZER7yrsMsupracondylar fracture
3-Dec-20SEBASTIAN E MOLLEL1.8 yrsMFructure sapracondislar
3-Dec-20Mejooli Lebahati mollel7yrsFFructure On Femur
11-Dec-20Magdalena Benard korgodi6yrs 9 monthFgenu valgus
17-Dec-20Fidelis Sadala9yrsMmalunion of the right femur
21-Dec-20Jefason Emanuel1 yrsMtonsills hypertrophy
26-Dec-20Meshack Maiko Samwel3 yrsMchronic tonsillitis 
9-Nov-20PATRICK KASTO4yrsMchronic tonsillitis
9-Nov-20Happyson Venance FHypertrophy of adenoids
9-Nov-20Monica Peter6yrsFHypertrophy of adenoids
16-Nov-20JOSHUA EMANUEL 3yrsMHypertrophy of Tonsils with hypertrophy of Adenoids
16-Nov-20Simon Julius1 yrsMUnilateral Inguinal hernia
16-Nov-20Glory Stephano13 yrsFunilateral valgus(let
16-Nov-20Elisante Emmanuel13 yrsMInjury of Achiles tendon
18-Nov-20Christian Charles3yrsMchronic tonsillitis
10/7/20SESILIA GRAYGODY RICHARD9 YrsFChronic Tonsillitis
10/11/20JOSHUA MARTIN DANIEL2 yrsMHypertrophy of Tonsils with hypertrophy of Adernoids
7-OctIRENE LABAN DANIEL6 yrsFHypertrophy of Tonsils with hypertrophy of Adernoids
7-OctJOARI ABDUL HAMMISSI10 yrsFHypertrophy of Tonsils with hypertrophy of Adernoids
11-OctCAREEN GODSON NAIMAN FHypertrophy of Tonsils with hypertrophy of Adernoids
10/11/20JULIANA MATHAYO JACOB3yrsFHypertrophy of Tonsils with hypertrophy of Adenoids
24-OctLIDYA AUGUSTINO CHISALUNI3 monthsFBladder Extrophy
10/11/20SAMWEL SAMBETA BILAUTI3 yrsMGenu Valgus
10-OctNAIS PETER MESHILU F Hypertrophy of adenoids 
28-JanBARAKA OMARY ISSA17YRSMHYPOSPADIUS
12-JanGabriel Godlisten Rick3YRSMGENU VALGUS
12-JanWilson Allex Mashaka16yrsMchronic tonsillitis 
12-JanJACKLINE RAYMOND SAMBO16 YRSFchronic tonsillitis 
12-JanPRINCE ELIAS JAMES7 MONTHSFTonsillectomy - Head & Neck
14-JanJOVIN MAPAMBANO KISHAI4YRSMGENU VALGUS
18-JanVENERANDA MISS QUANG6YRSFProximal Femoral deficiency
17-JanJUNIOR JOVENALLY MINJA1 YRSMHypertrophy of adenoids
19-JanCHRISTIAN EMMANUEL2YRSMadenotonsils hypertrophy
5-DecHamis Azizi6YRSMPost-Turbinate cauterization
12-DecNason Wilson6MPost-adenotonsillectomy
2-DecMosses Nganyiko20MUnilateral genus varus
2-DecSinorita stephano18yrsfePost-Osteotomy
4-DecBryson Vumilia9yrMUmbilical hernia
4-DecRebeka Hawaki18FOral cavity mass
5-DecMichael vitalis17MChronic tonsillitis
12-DecBrenda James13FPolydactly
16-DecEvance Augustino1yrMAdenoid hypertrophy
13-DecJuliana Leonce3YRSFBilateral genus varus
12-DecJoseph Abraham12MChronic osteomyelitis, treated previous early this year
13-DecLoleku Lakarai13YRSMUnilateral genus varus
16-DecRajab Hassan5yrsMPost-Osteotomy
30-DecWinner Agustina14FPost-DFO
14-DecLazaro Elisha19YRSmUnilateral genus varus
12-DecAdonikam geofrey13YRSMAdenotonsillar hypertrophy
16-DecPrince Hassan4YRSFChronic tonsillitis
19-DecCauthary seleman9YRSFTurbinate hypertrophy
19-DecBaraka Laizer10yrsmChronic tonsillitis
26-DecSamweli michael
 
MVaricocele
21-10-019Dino Almasi4yrsMPost mass excision
17-10-019David Sakayo1yrsMPost Z-Plasty
01-10-019Simon Mamasita3yrsMBilateral genus valgus
5-Oct-19Izack Juma1yrMClosed fracture of femur
07-10-019Calvin Msede19yrsMPost-ORIF
07-10-019Omary bakari5yrsMGenus Varus
17-10-019Abobakar Rajab5yrsMPost adenoidectomy
07-10-019Beckhom William15-May-13MPost osteotomy
17-10-019steven mukigala1-Jul-05MPost-Achilles tendon release
17-10-019Munila Amri2yrsMPost -BSC Release
17-10-019zaynab senzige6yrFPost-adenotonsillectomy
17-10-019Ester anderson4YRSFPost-adenotonsillectomy
17-10-019Regina lengas17yrsFOld elbow dislocation
07-10-019Mathayo mollel16yrsMPost osteotomy
03-10-019 loveness sube15yrsFTurbinate hyertrophy
10-10-019Paulina kima8YRSFPost implant removal
28-10-019veronica richard10yrsFPost laparatomy
30-09-019 Advan Rashid2yrsMAdenotonsillar hyertrophy
24-10-019isaya musila1yrMPost Hip spica
07-10-019ally omary2yrsMPost-PTO
07-10-019Elizabeth elias16yrsMBilateral genus valgus
16-Octnajma mdoi3yrsFExtensive burn wound
11-11-019daniel loramatu17YRSMSPONDYLOSIS
17-10-019christina john13yrsFPost adenoidectomy
17-10-019mosses ngenyiki19yrsMPost plating
17-10-019happyness christopher 4YRSFPOST -ADENOTONSILLECTOMY
17-10-019Nosim Nyaru3yrsFGenus Varus
31-10-019mwanaisha hussein10FExtensive burn wound
22-Octemanuel adrea9MPost Z-Plasty
21-10-019pendael daudi13yrsMChronic tonsillitis
18-11-019musa brown7moMPost Hip spica
21-10-019lucy daniel8yrsFPost K-wire insertion
17-10-019mohamed issa 4YRSMAdenotonsillar hyertrophy
17-10-019steven silvester10yrsMAchilles tendon shortening
17-10-019shimba mabutu3yrsMBilateral genus valgus
21-10-019emanuel daudi2YRSMAdenotonsillar hyertrophy
24-Octhappyness christopher 4yrsFAdenotonsillar hyertrophy
21-0ctasha zuberi5yrsFAdenotonsillar hyertrophy
28-Octmichael meshack14yrsMClosed fracture of tibia/fibula
21-10-019baraka aminiel4YRSMAuricular mass
09-10-091Israel Melita14yrsMPeritonitis
2-NovHassan Mkamba1MBilateral genus valgus
11 nov 019WINNER A.LUKUMAY13FBilateral genus valgus
5 nov 019Rajab H. Msuya4yrsMBilateral genus valgus
28-oct-019Emanuel Ngomou4yrsMChronic tonsillitis
02-Sep-01Fauzia rajab FRicket
04-Sep-01Carick kirita MPost-herniotomy
05-Sep-01Isaya mollel  MPost adenoidectomy
11-Sep-01patrick samweli MPost adenoidectomy
16-Sep-01misheli sailepu  Chronic tonsillitis
19-Sep-01amani julius MPost ORIF
19-Sep-19Fahadi alhaji MOsteogenesis imperfecta
19-Sep-19Samweli Alex3yrsMValgus deformity
19-Sep-19Isaya Musila1yrsMPost Hip spica
21-Sep-01simon mamasita3yrsMBilateral Genu Valgus
15-09-019Musa kiraruji5monthsMFemur fracture
25-Sep-01Gadi mkaza1yrMUrethral fistula
23-Sep-19 Munila riziwan  2 yrs  F  Keloid 
23-Sep-19Emanueli Andrea9 yrsMBSC Lf axilla
23-Sep-19Dino ndugai4 yrsMBSC
23-Sep-01Tekno halanga16 yrsFBSC
23-Sep-19Daniel Loveness6 yrsMBSC Lf Hand
23-Sep-19David patrice1 yrsMClub foot
23-Sep-19Paskali pius MLower limbs deformity
23-Sep-19Queen jeremia FPost ankle fracture
23-Sep-19Claver innocent MPost tendon release
23-Sep-19Daniel lamaratu MSpondylosis
19-Sep-19Sarah simon6yrsFAdenotonsillar hypertrophy
24-Sep-01sinorita stephano MBilateral Genu Valgus
24-09-019Loleku shikok12YRSMPOST DFO
24-09-019Paulina laizer7YRSFPost-ORIF
24-09-019lighness liliko10YRSFAchilles tendon shortening
26-09-019Veronica Laizer10yrsFAcute abdomen
26-09-019Abubakar Ramadhan5yrsMAdenotonsillar hypertrophy
26-53-29Ester Anderson3yrsFAdenotonsillar hypertrophy
30-09-019Advan Rashid2yrsMAdenotonsillar hypertrophy
30-09-019Catherine Mchomvu5yrsFAdenotonsillar hypertrophy
26-09-019Zainabu Hemedy6yrsFAdenotonsillar hypertrophy
02-10-019Izack Juma7moMClosed # femur
03-10-019Loveness Antony16yrsFTurbinate hypertrophy
03-10-019sarah elibariki6yrsFPost-tonsillectomy
03-10-019Gadi Amani1yrsFPost-fistula repair
03-10-019Amani Julius10yrsMPost-ORIF
30-09-019Catherine mchomvu14yrsFAdenotonsillar hyertrophy
06-Mar-19Yohana Nathan Thomas6monthsMBilateral cleft lip
13-Mar-19Zacharia Ndosikoi3yrsMCongenital varus deformity
13-Mar-19Raphael Tubulu7yrsMBilateral inguinal hernia
13-Mar-19Lobikieki sabaya  MRT.LEG TUMOUR AND UMBILICAL HERNIA
19-Mar-19Queen S. Laiser1YrsFSymptomatic Umblical Hernia
13-Mar-19Grace Elisha7yrsFchronic osteomyelitis of left limb
13-Mar-19Haruni Israel
10yrs
MPatella dislocation
21-Mar-19Angela Hamedus John3yrsFChronic tonsillitis and Adenoid hypertrophy
19-Mar-19Akuila Daniel Lalaji**1monthFSpinal bifida
21-Mar-19Ismail Ismail6yrsMHydrocelle
13-Mar-19Helena Tumain6yrsFBone cyst on proximal tibial
29-Mar-19Nancy Mollel5yrsFChronic tonsillitis and Adenoid hypertrophy
14-Apr-19Zipora stephano4 YRSFBone mass
19-April-019remember simon3 YRSmCongenital varus deformity
10-Apr-19ngayai parmero2 YRSFDown syndrome
25-May-19johson raphael MChronic tonsilitis and adenoid hypertrophy
02/may/019Neema Thomas2 yrsFAdenoid hypertrophy
02/may/019Blessing Raymond1 yrsMAdenoid hypertrophy
02/may/019Salimon Boniphas5 yrsMCongenital varus deformity
13-May-19Elizabeth Lameck4 yrsFChronic tonsilitis and adenoid hypertrophy
13-may-019Elizabeth Richard11 yrs - seems wrong ageFNasal Polyps
13/may/019Ivan Richard6 yrsMNasal turbinate and adenoid hypertrophy
02/may/019Natacia Lazaro3 YRSFSeptic burn wound
13-MAY-019Wilfred W.Mollel11meAdenoid hypertrophy and nasal turbinate
15-May-19Moris Paulo Esau1 YRSMHydrocephalus,Congenital heart disease
15-May-19raphael lelya7 yrsMpost henioraphy.
15-May-19Lobikiek sabaya12 yrsMPost-BKA due to neuroma
15-May-19Haruni israeli10 yrsMPost patella repair
15-May-19Grace elisha 7 yrsFpost sequestrectomy 
15-May-19elizabeth richard20 yrsFpost polypectomy
26-05-19Ivan peter6 yrsMtonsils hypertrophy
 Elizabeth lameck4 yrsFpost tonsilectomy
 Wilifred willium11 yrsMpost adenotonsilectomy 
 Remember simon3 yrsMpost PTO
 Magdalena marco1 yrsMosteogenic imperfector 
 Shine aron3 yrsFrectal prolapse
06-Mar-19neema thomas2 yrsFAdenoidhypertrophy
 bless raymond1 yrsMAdenoidhypertrophy
13/06/16Hellen tumain6yrsFPost bone cyst curretage
 Zacharia ndalaskoi3 yrsMpost PTO
 Haruni israeli10 yrsMPost patella repair
 Magdalena marco1 yrsFostegenic imperfector
 Loliku lakarai12 yrsMcongenital deformity of femur
 Remember simon3 yrsMpost corrective osteotomy
 Meshack omari1 yrsMhypertrophy tonsils
 sosteness kavishe6 yrsMHydrocele
 Najma ijumaa4MONTHFCleft palete and lip
 joseph abraham11 yrsMOsteomyelitis
 Mosses N. Mollel18 yrsMClosed fracture of femur
 Lokeku Lakarai12 yrsMVarus deformity
20/06/19Ethan Alex1 yrsMADENOID HYPERTROPHY
 meckline robert7 yrsFhypertrophy tonsils
 Ivan Godson5 yrsMadenoid and tonsils hypertrophy 
 jeni saimon5 yrsFadenoid hypertrophy
 joseph swai13yrsMadenoid hypertrophy
20/06/19salimon kisai2 yrsMPost PTO
24-06-19jeni aruni5yrsFADENOID HYPERTROPHY
 meckline robert7yrshypertrophy tonsils and adenoid
24-06-19Angel mollel18 yrsFshorteningof the achilles tendon
24-06-19Abedinego kavishe3 yrsMVarus deformity
01-Jul-19meshack omary Mpost tonsillectomy
02-Jul-19Jane samson Fpost adenotonsillectomy
03-Jul-19Ivan Godson MPos-tadenoid hypertrophy
01-07-019Emiliana joseph4yrsFHypertrophied tonsils and adenoid
01-07-019Nufaysia ramadhani14yrsFChronic tonsillitis
01-07-019Arafu msafir10yrsMHypertrophied tonsils and adenoid
01-07-019Ethan Alex1yrMpost adenotonsillectomy
01-07-019Faudhia rajab1YRSFRickets
17-07-019Namja salim6monthsFMalnutrition
04-Jul-19abdul sambwena18yrsMIntestinal obstruction secondary to adhesion
08-Jul-19Christina john6yrsFNasal turbinates
11-07-019mariam akubo5YRSFNasal turbinates
08-07-019Joseph Swai13Mpost adenotonsillectomy
01-06-019Shedrack Mamasita4yrsMExtensive burn wound
7/15/019Joseph abraham11yrsMSurgical site infection
15-07-019Sosteness thadui6yrsMPost hydrocelectomy
15-07-019musa laanyuni4yrsMInguinal hernia
18-07-019fahadi alhaji4yrsMOsteogenic imerfecta
25-Jul-01zakayo lemali2yrsMadenoid hypertrophy
08-Feb-19Claver John7YRSMSpastic diplegia
25/07/019Zakayo lemalali2yrsMTonsils hypertrophy
15/08/019Calvin  Msende19yrsMRt.femur fracture
18/07/2019Musa laanyuni4yrsMInguinal hernia
23/7/2019Lucy Daniel8yrsFSupracondylar fracture
25 /07/2019Adrian daniel3yrsMChronic tonsillis
05-08-019Pitson Godfrey19YRSMHydrocele
25 /07/2019Abigael Daudi2yrsFThyroglossal duct cyst
05/08/019Godlisten Loishiye3monthsMBilateral inguinal hernia
05-Aug-01Mogan Emmanuel1yrsMChronic tonsillis
05-Aug-01Anjela Metawasi18yrsFFused tendon
06-Aug-01Felex Ndakidem18YRSMRt.femur fracture
12-Aug-01Aberinego  Melkiory3yrsMValgus deformity
15-08-019Jesca  Joel1yrsFChronic tonsillis
16/08/019Joshua  James1monthMBilateral hydrocele
16/08/020Beckam Willium7yrsMValgus deformity
16/08/021Aman Mollel10 yrsMMalunion radial/ulnar right
19/08/2019Fahadi Alhaji4yrsMOsteogenesis imperfecta
12-08-019Adonai  Frank1 yrMAdenoid hypertrophy
22-08-019Mosses  Mollel19YRSMPost -ORIF
22-08-019Loleku  Shukok12 yrsMpost DFO
22-08-019Queen Jeremia10YRSFArthritis
22-08-019Nosim  Nyaru3YRSFCongenital valgus deformity
26/08/2019Patrick  Samwel3monthMAdenoid hypertrophy

0

Low cost, high impact, safe, local, parent or child permissioned, life changing surgeries, when no other satisfactory option, without our specific intervention, is available.

 

The child has broken her leg. The goal is to fix it safely and well. The measure: is she happy, can she go to school and kick the ball post-op.

The world has the resources, the systems and even a collective desire to balance the surgical inequities that many children in absolute poverty face. However, politics, economies of scale theories, fear, historical structures, attention spans, and a herd mentality of defeat prevent solutions for millions of individual children.

 

There is a solution. You can make a difference. As an individual you can do what the many cannot: as an individual, you can provide for the individual child – you are a solution.

Our mission is not the mission or an ideology – each mission is the individual child and their best outcome.

 

The child’s outcome pivots around one community health worker (outreach and aftercare), a locally trained and expert surgeon, efficient hospital admin support and a fully informed donor.

 

We are heavily checklisted, systemized via technology and have regular debriefs. There is an emphasis on safety, accountability and verification of child result, money spent, future improvements possible.

i samwel am a warrior

Letion Luka Marari

diploma on community development

For me this is my life because I  like because it change the lives by restoring the lost smile, dreams, targets or hopes of children with disabilities in our community. 

I'm a father of one wife, Teresia and five children two boys three girls I have started working as driver at selian since 2001and 2007 I started working in these kids with disabilities and 2009 I got a chance and sponsor who paid for me to get a diploma of community development for two years I and I finish my college 2011 in Monduli

After that I was fully working in the community finding children with disabilities and take the plasterhouse  and ready for having surgery in Selian hospital or at ALMC – all in Arusha and I work with plasterhouse up 2018 then I start my own foundation called Zilper for children with disabilities and working with Mal and Phuong and Sim and Phuong and Phoebe and Maddie from 2019 up now and I have started

I have done a computer course at Babati and starting a business course at Arusha

Since 2007 up now I have 15yrs working on children with disabilities

Letion

justin is a warrior personal trainer

phuong is a chemist and warrior

dr amon selian hospital is a warrior

Macha Velly Koon.

 

I'm born at Moivaro ward in Arusha. 

 

I am the 5th in the family of 6 children. I studied primary education for 7yrs, later I went for secondary studies for 4yrs.

 

I undergone further advanced level studies for 2yrs taking Physics, Chemistry and Mathematics subjects. I did well and then applied for College studies in 2006 of which the government under the ministry of finance offered me sponsorship to undertake Computer Science at the Institute of Accountancy Arusha in Njiro, a three years course.

 

After I graduated in 2009 I applied for IT job post which was announced by Selian in 2010. I did the interview and performed well, selian employed me as an IT in July 2010.

 

I worked at Selian for 11 years now. In mid 2013/2014 I went for Postgraduate Diploma studies in Computer Science,  a one year evening program at IAA. I did my Postgraduate studies while working at Selian. In my undergraduate studies I also did basic accounting and accounting packages for two semesters.

 

I like doing the job with the children so as to improve life standard of a future Tanzanian generation and transform children poverty to well being. I have been working with children since early 2019.

 

I married in 2014 and now with two children, Giovann and Skylar. Giovann is in class one and Skylar is in baby class now. The picture above is me, Leah who is my wife and Giovann.

we are warriors (a bit of fun) for low cost, high impact, safe morechildsurgeries. 

dr elibariki i am a warrior surgeon

dr roberts i am a warrior surgeon

warrior mary works in Selian

i magda am a warrior

Maggie Tobiko Laiser,

 

Am an Occupational Therapist and Outreach.

 

I like working with children especially those with disabilities and functional problems, that means those children who are not really free or independent on their daily functional activities. So what I always do with them is to bring back their life function, happiness, value, freedom, respect and function in their community, and their Self esteem.

 

I also work with their Mental status, body and their normal life development in all areas of life functions. So generally I help to bring children back from abnormal to normal life function.

 

I am a Maasai lady, from LONGIDO rural area ( village), Went to MAASAI GIRLS LUTHERAN SECONDARY SCHOOL, from 1998-2004 from form one to six there. Then joined to TUMAINI UNIVERSITY OF KCMC, from 2004-2007, for my diploma in Occupational therapy.

 

I started working with children here at Selian Lutheran Hospital from 2007 October to today 2021. is about 12 years now, and am enjoying working with children.

Paul Ole Leitura

Outreach

 

I was born and raised in the Masai pastoralist family in the small village named Ololosokwan in Ngorongoro- Tanzania in the boundary between the Masai Mara-Kenya and Serengeti .

 

I am the third from the last born in the family of seven children.

 

I am a graduate in Project Management  & Planning,

 

I had More than 10 years working experience working in different entities with Oxfam Tanzania as Food Monitor, PINGOs Forum as Gender officer, Maternity Africa as Project Administrator & Outreach coordinator, Selian Lutheran hospital in different capacities as Human Resource Manager, Fistula outreach coordinator and Programs coordinator.

 

I love working with children, As I have a call in me, I have a passion to see children in need get helped and their life changed through paediatric surgery and their life returning to normal after medical Treatment. As a Father and  parent of two Lovely children I would like to see other children be happy and smile. I have been working with women and children since 2013, I am Married.

 

I am always dedicated to working with the community to help the needy children access medical services.

i lob am a warrior too

My name is Simone Clarke from Melbourne Australia and i am a warrior too – I have been to Selian Hospital in Arusha Tanzania and seen what they do and how they change people’s lives. My company has been there five times and pays for 10 surgeries a month. A surgery costs are around $500 for simple surgeries.

 

I love the reports we get – it connects me to the child and and doctor and gives me confidence my money is being well spent and as I have been there, I know it is. The money we put in has a real multiplier effect. Helps the child, improves medical care in Africa as the doctors do more work, employs staff, puts money into other services for food and prosthetics and drivers and education, which ultimately builds wealth more money into very poor communities. It’s smart.

This Baraka and Furahisha Mashaka Haruni twins with 4 yrs from KIGOMA I found them with a problem of bowing legs (genu valgus) and I took them to selian hospital to been seen by orthopedic surgeon and verified with same problem and order for lab test and it was okay for them to have surgery and the surgery went well and discharged to the center

If you are a doctor, donor or have some time to co-ordinate with a view to a longer term commitment then, we could work through a program with you to assist.

 

IT and admin assistance is always appreciated - its actually pretty exciting seeing things get better and better.

 

If you want to give money eg sponsor some life-changing surgeries then we can provide direct debit details for African hospitals (you will get a receipt and full reports) or go through an Australian bank account and we send on (receipts also). If you absolutely required a tax deduction then we work with a couple of brilliant Aussie charities that do similar and they can give you that tax-deduction.

 

If you have time and skills and want to liaise with any one of the community health workers and the children they work with in Africa, then there are jobs to do.

 

Doctors or retired doctors – there are always ways to assist if you have knowledge of paediatrics and are understanding with your time – telehealth during covid.

 

Visit the country later if you wish and that would add value.

 

Finally, influencers, spreading the word on the power of what can be achieved would be beneficial to all children.

 

Thank you

deeper dive: for those that like to know more

the journey

why we built an app

why we use local

We have found having clear goals and sticking to them the only way to avoid being overwhelmed when so many needy causes come across your desk.

 

Our goals are clear and ingrained in all we do and have evolved to

 

  • morechildsurgeries
  • targeted incentives for hospital medical workers
  • sustainable local hospitals

 

They are circular in that one goal feeds off the other. As you have morechildsurgeries you will have more income for staff and the hospital, which in turn allows morechildsurgeries

 

They are verifiable to all key players – sponsors in richer countries and partners, the medical workers in Africa. They are relatable because they are simple, measurable (and verifiable) and beneficial (pay and feelgood) to the sponsors, the medical workers and of course the focus, the children. They are common to all players – donors, doctors, cleaners, children, parents, community.

 

They are scalable as they are repeatable, relatable.

 

Finally the goals are non-political, non-religious, non …. – it’s hard to disagree with them and that in turn could foster major improvements in a community’s bedrock; its health and health systems, which in turn will improve its education and economy.

 

We have no mantra, no agenda and no motive other than morechildsurgeries of an improving quality that can change lives for the better (by any measurement).

 

Putting meaningless numbers up is just that, meaningless – that is why our focus is the name of a child, details of their surgery and the outcome of hopefully, one life change.

 

However, we do dream of those crazy numbers occasionally

 

999 surgeries then

999 surgeries per annum then

999 surgeries per annum at a 99.9 quality rate

999 surgeries per annum and 999 surgeries into another hospital then

999 surgeries per annum and 999 hospitals in Africa and then

999 surgeries per annum from 999 hospitals in Africa at a 99.9 quality rate

= 998,001 surgeries each year

998,001 surgeries each year at $200 per surgery and $100 per ancillary

= $200,400,300

 

Which should be enough to start asking - have we all done enough, is the job done?

 

We constantly look at the goal through the lens of

 

onemorechildsurgery and could it have been better.

We found we had preconceptions on colour and geography and poverty, based on what we learnt when we were young. This makes new steps hard. But if you take them, then new learnings open up your life and valuable new partnerships form.   

 

If you wanted to help an African child why would you not deal directly with an African doctor? Because……….. and your initial list of reasons why you cannot do that builds, ours did at first.

 

And from that, your first solution is help in your own country (noble enough). However if you still want to help the African child then you look for infrastructure that gives you comfort which is seldom African – maybe an African charity based in a  country you feel you know better and…….. within an instant, the cost of getting the help to Africa has lengthened in time dramatically and the value of your effort/donation diminished and finally the chance of helping has in all likelihood reduced.

 

There is enough wealth in the world to solve African medical poverty – but it’s not happening (yet). Why not? Communication?

 

Back to the child - more "noise" creeps into your mind and eventually your donation becomes too hard.

 

Yet a WhatsApp call, a photo and a direct bank transfer of $200 are all things you can do in 5 minutes, with basically no training.

 

You can talk direct to a community health worker or a doctor and save a life right now - if you really want to.

What would it cost to diagnose cancer, amputate a child’s leg and build a prosthetic in Australia?

 

Google it? – Surgery according to Diabetes Australia averages at $23,555 and a prosthetic average is $5000. Lob’s (in the video) surgery and prosthetic and it saved his life cost around $1000 USD.

 

20 children in Africa for the same cost as 1 child in Australia (currencies). Yes we have Medicare, so its free. There is no Medicare in almost all of Africa.

 

The cost argument goes further. The average wage in Tanzania is $270 per month.

 

How much do people on the poverty line save anyway – but let’s say Lob’s family could save a whopping 10% of their income or $27 per month – it would take $1000/27 = 37 months.

 

Lob’s could well have died whilst they saved. There is no credit or bank loan system for the poor.

Above is the WhatsApp call – direct – the issue – the quote 1,100,000 TZS is around $640 and the result.

Jambo

 

Communication - language and conversations. Google isn’t perfect and after the third sentence you have forgotten the content of the second and the flow or reason of your first because you are so focussed on understanding what each word means. Long agendas do not work.

 

It’s the same in reverse – keep it simple – keep repeating – google isn’t perfect and pictures and short written exchanges work better. Keep the meetings on zoom for relationship building.

 

sawa

A big surprise it’s not a concept for all.

 

It’s not the most common outcome measure in many things.

 

Verification of money is popular; however verification of good child outcomes is not as popular.

 

In children’s surgery quality of outcome is hugely important.

 

We have largely set up our APP as a form a child safety.

 

Its not perfect but its a whole lot better than just winging it.

 

Here are additional rules and registrations we try to adhere to

DOCTORS

  • Only the approved list of doctors will operate on the children we sponsor
  • Their qualifications medically - eg proof you receive when you engage them
  • Their specialities - what you as a hospital assess they can carry out competently

 

SURGERY

  • All operations are peer reviewed prior to starting surgery
  • All operations follow the WHO Surgical Checklist
  • All operations have an Aftercare Plan

 

AFTERCARE

  • That all operations have a before and after picture
  • That all children stay the time needed in hospital and are fed 2 meals a day
  • That any medications/prosthetics/plan for parents are given at time of leaving or in follow up - we will pay for all

 

EMOTIONAL/PHYSICAL/MENTAL HEALTH

  • All children are in fresh linen beds
  • All children we sponsor are in public wards (preferably for children)
  • All children we sponsor have a visit from doctor/nurse every day
  • All children are involved in painting/sport or music every day
  • All children are visited by Community Health Worker and a report sent

 

INSTAGRAM / VIDEOS / PICTURES

  • No child is photographed without clothes on
  • No child is photographed without parents permission
  • No child is identified with real name of village or name that goes public - change name and village
  • No culturally inappropriate pictures to be uploaded publicly

the smart and genuine money is finding what is working not reinventing it.

Community Health Workers  or Outreach workers work.

They are the glue that keeps the child's journey safe and progressing.

They are as important as the surgeon and the donor.

A really good video on the subject of CHW's or outreach workers is from Living Goods - we really admire their work:

 

August Selian ask forSub TotalVerifiedJames to Pay
SurgeryChildren Surgeries - Letion (9)1800 18001,800.00
 Children Surgeries - Selian (3)600 600600.00
   2400  
Surgery Management Dr Elibariki190 190190.00
 Dr Roberts150 150150.00
Surgery W.H.O. Checklists     
Assistant Surgeons (4.5)Dr Lilian 31.5 31.531.50
 Dr Mickton9 99.00
 Dr Samwel9 99.00
 Dr Benson4.5 4.54.50
Anaesthetists (4.5)Joseph Kwaslema36 3636.00
 Emmanuel Msaya18 1818.00
Scrub Nurse (2.5)Mwanga5 55.00
 Restuta Kabereg5 55.00
 Christina V2.5 2.52.50
 Kesia5 55.00
 Martha Mangari5 55.00
 Angelica2.5 2.52.50
 Noela2.5 2.52.50
 Mary Masawe2.5 2.52.50
Runner (2.5)Mary James2.5 2.52.50
 Charles5 55.00
 Julieth Maedo7.5 7.57.50
 Noela2.5 2.52.50
 Thomas Phelipo5 55.00
 Masawe2.5 2.52.50
 Restuta Kabereg2.5 2.52.50
 Christina2.5 2.52.50
Rodgers (1) 100 100100.00
   608  
Lunches and MealsStaff Meals594 594594.00
 Children Meals258 258258.00
 CTC Meals23 2323.00
 Paul50 5050.00
 Balancing Item325 325325.00
   1250  
      
Veggie GardenLoning'o50  50.00
 Initial Grant $250 or $1000 Budget400  400.00
   450  
Cleaners & Nurses & DoctorsAllen0   
Awards & AdminFransiska25  25.00
 Florah50 5050.00
 Staff Cleaning, Nursing and Admin Awards    
 1 Elias Siroiney22 2222.00
 2 Joseph Kwaslema22 2222.00
 3 Einoth Saiguran22 2222.00
   141  
OutreachPaul50  50.00
 Outreach Maggie50  50.00
 Transport    
 General Expenses (such as bus fares)    
   100  
Management IncentivesRemy50  50.00
 Amon150  150.00
 Lightness150  150.00
 Macha50  50.00
   400  
 Currency Fluctuations and Bank Fees5050 50.00
      
  5399539943745,399.00
      
July Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals917 917917.00
 Children Meals309 309309.00
 CTC Meals88 8888.00
 Children Surgeries - Letion2543 25432,543.00
 Children Surgeries - Selian1240 12401,240.00
 Selian Outreach    
 Paul250 2500.00
 Outreach Maggie50 500.00
 Transport50 500.00
 General Expenses (such as bus fares)    
 Management Incentives    
 Remy50 5050.00
 Amon150 150150.00
 Elibariki50 5050.00
 Paul for Lunches50 5050.00
 Allen50 5050.00
 Lightness50 5050.00
 Florah50 5050.00
 Fransiska50 5050.00
 Robert50 5050.00
 Macha50 5050.00
 Maggie50 5050.00
 Rogers50 5050.00
 Doctors W.H.O. Checklists300  300.00
 Elibariki  150 
 Roberts  150 
 Staff Cleaning, Nursing and Admin Awards    
 Adelina Shayo22 2222.00
 Lembris Naftal22 2222.00
 Ester Loth22 2222.00
      
 Currency Fluctuations and Bank Fees   50.00
      
     6,213.00
      
June Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals$739 $739739.00
 Children Meals$748 $748748.00
 CTC Meals$147 $147147.00
 Children Surgeries - Letion$2,061 $2,0612,061.00
 Children Surgeries - Selian$1,910 $1,9101,910.00
 Selian Outreach    
 Paul  $250250.00
 Phone camera  $300300.00
 Outreach Staff  $86200.00
 Transport   200.00
 General Expenses (such as bus fares)   50.00
 Staff May Awards   2,272.00
 Management Incentives    
 Remy50 5050.00
 Amon150 150150.00
 Elibariki50 5050.00
 Paul for Lunches50 5050.00
 Allen50 5050.00
 Lightness50 5050.00
 Fransiska50 5050.00
 Robert50 5050.00
 Macha50 5050.00
 Maggie50 5050.00
 Rogers50 5050.00
 Doctors W.H.O. Checklists300  300.00
 Elibariki  150 
 Roberts  150 
 Staff Cleaning, Nursing and Admin Awards0 00.00
 Selian has agreed to     
 Help 10 local children at Outpatients    
 1 Instagram story a week    
 Donation page up    
 Art Music and Sport    
 Set up Play Equipment    
 Set up Vegetable Garden    
     9,827.00
      
May Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals991 991991.00
 Children and CTC Meals498 498498.00
 Children Surgeries2319 23192,319.00
 Management Incentives    
 Remy50 5050.00
 Amon150 150150.00
 Elibariki50 5050.00
 Paul50 5050.00
 Allen50 5050.00
 Lightness50 5050.00
 Fransiska50 5050.00
 Robert50 5050.00
 Macha50 5050.00
 Maggie50 5050.00
 Rogers50 5050.00
 Doctors W.H.O. Checklists    
 Elibariki60 6060.00
 Roberts30 3030.00
 For Doctors and Macha to practise Diagnosis videos   
      
 Staff Awards    
 Ruth Lonyooki22 2222.00
 Immaculate Shirma22 2222.00
 Mary Peter22 2222.00
 Ligfhtness Mboya22 2222.00
 Paul Leitura22 2222.00
 Remy Mzava22 2222.00
      
 Selian Outreach Program    
 Paul for Outreach Transition Plan in 2 weeks200 200200.00
      
 Selian has agreed to     
 Help 10 local children at Outpatients    
 1 Instagram story a week    
 Donation page up    
 Art Music and Sport    
 Set up Play Equipment    
 Set up Vegetable Garden    
     4,880.00
      
April Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals585 585585.00
 Children and CTC Meals253 253253.00
 Children Surgeries1569 15691,569.00
 Management Incentives    
 Remy50 5050.00
 Amon50 5050.00
 Elibariki50 5050.00
 Paul50 5050.00
 Allen50 5050.00
 Lightness50 5050.00
 Fransiska50 5050.00
 Robert50 5050.00
 Macha50 5050.00
 Maggie100 100100.00
 OT Music Therapy System195 195195.00
 Rogers50 50100.00
 Doctors W.H.O. Checklists    
 Elibariki140 140140.00
 Robert110 110110.00
 For Doctors and Macha to practise Diagnosis videos  250.00
      
 Staff Awards    
 Best Departments 3 @ 174522 522 
 COVID Front liner 60 @ 211260 1260 
 Best Employees 22 @ 45990 990 
 Nurses 68 @ 10 680 680 
  Nurse assistant 10 @ 10100 100 
 Retired staff 2 @ 260520 520 
  4072 less 1800 = 2272   
      
 Selian has agreed to     
 Help 10 local children at Outpatients    
 1 Instagram story a week    
 Donation page up    
 Art Music and Sport    
 Set up Play Equipment    
 Set up Vegetable Garden    
     3,752.00
      
March Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals714 714714.00
 Children and CTC Meals199 199199.00
 Children Surgeries1743 17431,743.00
 Management Incentives    
 Remy   50.00
 Macha   100.00
 Amon   50.00
 Elibariki   50.00
 Paul   50.00
 Allen   50.00
 Lightness   50.00
 Fransiska   50.00
 Robert   50.00
 Maggie   100.00
 Doctors for seting up W.H.O. Checklists   500.00
 Staff Awards    
 Joseph, Augusta, Noela and Frank88 8888.00
 March Total  USD3,844.00
      
      
February Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals544 544544.00
 Children Meals262 262262.00
 Children Surgeries1328 13281,328.00
 Management Incentives    
 Remy50 5050.00
 Macha200 200200.00
 Amon50 5050.00
 Elibariki150 150150.00
 Paul150 150150.00
 Allen50 5050.00
 Lightness50 5050.00
 Fransiska50 5050.00
 Staff Awards0 00.00
 February Total  USD2,884.00
      
      
january Selian ask forSub TotalVerifiedJames to Pay
 Staff Meals680 478478.00
 Children Meals600 246246.00
 Children Surgeries1598 11721,172.00
 Management Incentives300 0300.00
 Christmas Gifts2646 26000.00
 Macha Zoom Incentives100 100100.00
 Questions Incentive0 0300.00
 Tarangire Trip (as promised for Level 2)   1,800.00
 Incentive to organise Level 2   100.00
 Instagram   300.00
 Remy for advice   50.00
 Bank Fee   12.00
 Awards   20.00
      
 January Total  USD4,878.00

$ 0
average cost
0
children back home last month

Child surgeries put money in the family pockets as less burden. Put happiness into the child’s life. Put money into the health system that in turn can get better surgeries, more ancillary staff, pay outside contractors like food, encourage universities to teach and so on. A well-directed dollar goes a lot further than one dollar.

If it’s not worth making a checklist, incentivising the checklist user, then it’s not that important. Without checklists that are easy to follow it's one step forward and two steps back.

 

Insisting on checklists makes the biggest difference to quality control.

 

A really good book to read or google Atul Gawande

 

A 5 minute video by him on reducing deaths in surgery

 

https://www.youtube.com/watch?v=55Nc8nccPa0

Perfection - we have found it important to strive for but not expect or require it.

 

We have found deal with what you have and keep trying to do it better.

 

We have found keeping a focus that 90% even 70% is ok, if the previous alternative were 0%.

 

Staying at grass roots – keeping it real, works for us. It may not work for you but staying connected gets a lot more out of with us and that is better for the childen.

 

Cost of money movement for poor people is horrendous. To send $50, a weekly wage - you lose almost all in fees our end, Africa end and currency exchange. Many do not have a bank account - can't afford it and how can they save?

 

Accountability we feel it’s a must if you really care about the children - we demand it. We have found it is a balance of respect - respect of the child and parents, respect of the surgeons and community health workers, respect of you and your contribution. Accountability eg reporting seems respectful it is done and then you pay for it.

 

Lack of identity – no medicare cards, passports or drivers license – how to identify

 

No phones – no email – no mail and a sick child. Churches work well for the jungle drums

 

Payments to workers – just because we don’t get paid or don’t want to be paid – doesn’t mean that a poorer person doesn’t want to be paid for their job. Well directed incentives really work if you want quality and consistency

 

Inertia and emotional connections - keep some distance if you want to keep to your goals - because things change and you may have to be strong and firm or change as well

 

Efficiencies of time – a foreign concept to many

 

Culture – wow, where do we start. All sides need to make allowances and respect the other position for it to work. And yes, we do too

 

Fun – its ok to be serious, but without fun and meaning its friggin boring

 

Mistakes – you maybe will never as many as we have made – get over them, keep going and don’t repeat them too often

 

Longshots – if it makes sense and the outlay is small – give it a go, do not fear failure ifd the potential upside is good. We back people just as we do in business.

 

Keep your cool - detective work – we have found treating problems as a game keeps you sane and not giving up when the going gets a little rough at times.

Nobody else will if you don’t is 100% true

In "developed countries" we don’t see everything as life and death – if we don’t help, somebody else will pick up the slack if it is possible. Many issues like coughs and colds don't kill because there are simple solutions.

 

In Africa there is the big difference. Simple, fixable health issues do kill or maim.

 

AND if you see somebody in need and you don’t help there is an almost 100% chance that nobody else who can help will even see it, let alone help.

 

Case in point Rooty (the mum below)

 

On a visit in 2016, Rooty who had no right foot, was outside our guidelines – eg she was a mother in her 20’s and our focus was children – so in 2016 we did nothing about it, assuming somebody else would help Rooty.

 

In 2018 we returned, and I casually asked Letion the Community Health Worker how was Rooty going? Expecting a positive reply, after all it had been 2 years.

 

Has she got a job yet? Letion replied simply "she still has no leg".

 

I felt ashamed personally that for two years I had done nothing. It was $600 (the cost of a weekend away) and I had done nothing.

 

We did something and it took a further six months and $600.

 

This is Rooty today

In 2015 a few us were invited by a great Australian, Sarah Rejman to The Plasterhouse in Tanzania – for want of a better description it’s a rehab hospital like a big family home that finds, funds and fixes children who need basic surgeries in the surrounding areas. Plasterhouse was at a turning point and we put in some significant cash and business planning, as we could see Sarah could turn it around.

 

She did – Sarah was a great bet and today the organisation has gone from strength to strength and worth a visit and your support if you are over that way. https://www.theplasterhouse.org/

 

We had a taste of what a few dollars and some smart efforts could do when well directed.

 

Basically $400 completely changes a life and if you consider an African life equal to an Australian life then there was real bang for your buck in your gift.

 

We looked around and touched the edges of some other great Australian charities in Africa, such as the brilliant Gemma Sisia and St Judes and the indefatigable Andrew Browning and Kivulini and we have been to both a number of times and would totally recommend support if you felt so inclined – we still do on all 3 above. We also got some great advice from an unsung Melbourne hero Mark Cubit who runs PFE - a brilliant charity.

 

Anyway, long story not so short during our visits we kept coming back to the local hospitals – one called Selian – it had a poor recent history (admin reputation wise), was seemingly being left behind by other mission run hospitals and the standard of care seemed from afar, a little inconsistent.

 

But a few things appealed to us – the quality of the people who survived the negatives of the past and were still there, were all local and basically great people. They had medical training and solid medical reputational skills, they had a never-ending supply of poor customers in their waiting rooms, and most of all they wanted to get better and help more children.

 

So, we applied what we learnt at Plasterhouse and other charities over many years in Australia and now we have leant a whole lot more.

 

If we get the chance we will repeat and help others repeat.

We don’t run a charity, have no particular side of politics, nor barrack for one particular religion over another or want something from you.

 

The children we assist here, the doctors and hospital workers we partner with and we ourselves are no greater or lesser cause than you, your thoughts and who you choose to partner with and help.

 

We have tried setting up a charity – even hired lawyers – but lost interest in the process due to our ongoing time, red tape and basically the inertia it created in us. However, we support a number of charities who have the admin and desire to do that. We have been involved in Africa child surgeries since 2015, in Melbourne homelessness since 2003 and deinstitutionalisation and mental health issues in the early 1980’s.

 

All money we give is primarily to achieve a result as effectively as we can, rather than for a specific tax deduction – although some money we can give as sponsorships which helps with tax.

 

Why not just keep sending money to any charity?

 

Absolutely nothing wrong with that when its smaller amounts, but as the money grows so does the red tape, egos and interference to take the money away from the practical and into more theoretical pursuits. Well that is what we have found, but maybe we are too big for some and too small for others.

 

Scalability is a real issue for medium sized donors. Give us a trial and error, a lack of perfection and job done over righteousness and ineffectiveness any day.

 

Control is important. Not control of the organisation – they should run that as they see fit, no we mean control of outcome. If you agree to pay x for a dozen bottles of coke, you want a dozen and you want it to be coke and for the amount of $ as agreed and you want it when you were told you will get it.

 

We offered substantial donations - to a number of charities if they would agree to the following 3 things

 

Specific outcomes – eg a specific child gets specifically better

We wanted the money only directed to those measurable solutions and we wanted follow-up to make sure the money was working. We would pay for that follow up

We wanted clear specific and regular reporting with individual names and photos. We would pay for that reporting.

 

We heard many reasons from privacy to staffing to against the rules or culture and we did not proceed with them. We also ran into lies, but from the bigger charities, not the local ones.

 

One example of a big charity who agreed for us to send $20,000 specifically for child surgeries to be on sent to one particular hospital. The agreement was in writing from the director, and this was to be the start of our relationship. They fell at the first hurdle, when the smaller African hospital nominated followed up to find where the money was from the big charity. They were told that a decision had been made to send the money elsewhere. When we protested, we were pushed away.

 

We found African hospitals – possibly due to the complete lack of money, willing to comply with specific outcomes, specific measurements, specific reporting.

 

With Selian we have had zero issues with integrity and we are now talking hundreds of thousands of dollars.

 

Selian is one of several hospitals we partner with.

 

You can see it position on google maps – Selian Lutheran Hospital Arusha Tanzania

 

Selian is a 170 staff, 100 bed general Level 2 hospital in Tanzania, near the Serengeti and Mt Kilimanjaro. It begun in the 1950’s.

 

Selian covers General Surgery, Orthopedics, Obstetrics and Gynecology, Pediatrics and Internal medicine and has an OT and Physio Department, on site Chemist, Dental, Pathology and Ultrasound.

 

9 local surgeons perform over 1000 basic surgeries a year with some help from overseas surgeons, the most common surgeries are hernia repair, laparotomy for intestinal obstruction, tonsillectomy, nasal polyp’s cauterization, burn contracture release, cleft lip and palate repair.

 

Three years ago, Selian doctors and staff wanted to do more for the poorest of the poor children through low cost donated surgeries for children with fixable disabilities.

 

From a donor’s point of view Selian is very transparent, timely and human in their reporting back to donors. You really don’t feel like you are number or a burden; you actually feel like you are really helping Selian make a big difference for not much in many children’s lives and the video, pictures, WhatsApp reports are great to look at, are verified and good value for your money.

 

We have never had a problem with trust, with lack of accountability, with verifying anything really. We love Selian, those that work at Selian and everything they do for the children.

thank you for Lobikieki, Magda, Anna and Samwel and their families for permission and Letion for the pictures. thank you Maddie