|7-Jul-21||SILVESTER JUSTINE LAIZER||13 YRS||M||CHRONIC OSTEOMYELITIS|
|7-Jul||IDRIS HAMRAT YUSUPH||12 YRS||M||CEREBRAL PALSY WITH SHORTENED ACHILLES TENDON|
|7-Jul||ALJARAH HAMRANA YUSUPH||10YRS||M||CEREBRAL PALSY WITH SHORTENED ACHILLES TENDON|
|22-Jul||MESHACK E KIMARIO||7 YRS||M||umbulical hernia,adenotonsillar hypertrophy|
|8-Jul||GIFT JOSEPH||4 yrs||M||VISCERAL PERFORATION (JEJUNUM) SEC TO BLUNT ABDOMINAL INJURY|
|2-Jul||Angel Elisha Laigwashi||6 YRS||F||close fracture of left supracondylar of humerus|
|2-Jul||Godson Ezekiel Bayo|
|M||post k wire fixation sec to supracondylar fracture of humerus|
|2-Jul||Ramadhan Heri Juma||4 yrs||M||bilateral congenital genu varus|
|15-Jul||James Sanare Palateti||4 yrs||M||bilateral congenital genu valgus|
|15-Jul||Jovin Mapambano Kishasi||4 yrs||M||bilateral congenital genu varus|
|15-Jul||Joel Fredy Maliaki||3 YRS||M||tonsillar hypertrophy|
|23-Jul||Joshua Fredy Maliaki||7 YRS||M||adenotonsillar hypertrophy and turbinate hypertrophy|
|22-Jul||Elibarik Laizer||4 yrs||M||adenotonsillar hypertrophy and turbinate hypertrophy|
|12-Jul||Joshua zakaria||4 yrs 7 month||M||adenotonsillar hypertrophy and turbinate hypertrophy|
|17-Jun-21||DAINES EZEKIEL MERIN||4 Yrs||F||LEFT SUPRACONDYLAR CLOSED FRACTURE|
|10-Jun-21||Nadri Ramadhan Amran||5Yrs||M||RIGHT INGUINAL HERNIA|
|10-Jun-21||EZEKIEL MAIKO JOHN||8YRS||M||ANKYLOGLOSIA,ADENOTONSILLAR HYPERTROPHY|
|1-Jun-21||JOSAM MUSSA MARIASA||9 YRS||M||OPEN LEFT SUPRACONDYLAR FRACTURE OF THE HUMERUS|
|22-Jun-21||LOMNYAKI KERISHO NGARABALI||15 YRS||M||CHRONIC OSTEOMYELITIS|
|22-Jun-21||LEVIS LEONARD MSUTA||3YRS||M||UNILATERAL GENU VALGUS|
|3-Jun||HALIMA HERI JUMA||15 yrs||F||ADENOID HYPERTROPHY AND TURBINATE HYPERTROPHY|
|3-Jun||RAMADHAN HERI JUMA||4 yrs||M||RIGHT MID SHAFT FRACTURE OF RIGHT FEMUR|
|10-Jun||ANGELA ELISHA LAIGWANANI||6yrs||F||LEFT SUPRACONDRLAR FRACTURE OF THE HUMERUS|
|21-Jun||Godson Ezekiel Bayo||8yrs||M||LEFT SUPRACONDRLAR FRACTURE OF THE HUMERUS|
|11-Jun||NOELA DEODAT MICHAEL||6 YRS||F||PALATE TONSILS HYPERTROPHY|
|3-Jun||Saimon Mathayo Melau||4 YRS||M||CEREBRAL PASLY WITH SHORT ACHILLES TENDON|
|12-Jun||Nengilanget Nangalai||1.2 YRS||F||CEREBRAL PASLY WITH SHORT ACHILLES TENDON|
|7-Jun||RAHIM ALHAJI OMARY||2 YRS||M||BILATERAL GENU VARUS|
|7-Jun||RAHMA ALHAJI OMARY||2 YRS||F||BILATERAL GENU VARUS|
|5-May||MOSSES NGENYIKI MOLLEL||21 yrs||M||genu varus|
|13-May||MICHAEL MATHAYO LOOTA||1 yrs||M||INTESUSCEPTION|
|5-May||MOSSES SEURI MOLLEL||6 yrs||M||closed fracture of proximal femur|
|11-May||NEEMA GERALD MOLLEL||5Months||F||INTESUSCEPTION|
|6-May||MAGDALENA ELISHA MEISHILIEK||7 yrs||F||Adenotonsillar hypertrophy|
|10-May||TRESURES HILLARY MVUNGI||3yrs 6moths||M||Adenotonsillar hypertrophy|
|10-May||HENRY KELVIN LEONARD||5 yrs||M||cerebral palsy with shortened achilles tendon|
|13-May||SHUKURU MAINE SANDEU||18 yrs||M||parotid tumor|
|13-May||LAZARO MBAUDA||15 YRS||M||genu valgus|
|12-Apr-21||Najim Shagi Mavere||6YRS||M||knee contusion|
|12-Apr-21||Shakila Musa||10YRS||F||adenotonsillar hypertrophy|
|16-Apr-21||ASHA ALAIS NAIROWA||2 yrs||F||adenotonsillar hypertrophy|
|8-Apr-21||FAISAL SIRAJI||2yrs||M||adenotonsillar hypertrophy|
|12-Apr-21||Melau Mbauda||7 yrs||M||chronic osteomylitis|
|12-Apr-21||LALASHE SAIGURAN||9 yrs||M||closed fracture of distal ulnar and radius|
|19-Apr-21||Joshua Lomnyak||2yrs||M||right side ingunal hernia|
|22-Apr-21||Sinyati Laanyun||8 yrs||F||intestinal obstuction|
|24-Apr-21||Sinyati Lotoishe Lengalasi||8 yrs||F||fracture of midshaft tibia and fibular|
|3-Mar||IBRAHIM LOWASSA KIVUYO||3 yrs||M||right inguinal hernia|
|3-Mar||LALASHE SAIGURAN||11 yrs||M||Let supracondylar fracture|
|24-Mar||ELIAS SIYANGOI KURSAS||9 yrs||M||right inguinal hernia|
|10-Mar||MENEJA LOMAYANI MEIPONYI||17 yrs||M||left prox.humerus #,Left tibia and fibular#|
|27-Mar||LAIZER LOMUNYAK LOLEPO||3 yrs||M||Rt supracondylar#|
|18-Mar||MELADI NOELY SIYANGOI||3month||M||Adenotonsillar enlargement|
|15-Mar||MOSSES NGENYIKI MOLLEL||21 yrs||M||Left leg genuvarus|
|24-Mar||BARIKI MOSSES MEISEYIKI||9yrs||M||neck mass|
|15-Mar||Lucas Njoolay mollel||4 yrs||M||Let supracondylar fracture|
|22-Feb-21||Salome Pinieli Lucumay||11Yrs||F||umbilical hernia|
|14-Feb||Lazaro Mbauda Masumbura||15 YRS||M||bilateral genuvalgus|
|14-Feb||LENGAI NGAIYO NEAPA||2 Yrs||M||nilateral genuvalgus and manultrition|
|8-Feb||IKRAM ZUBERI MDOE||1 Yr(s) 10 Month(s)||M||adenoids hypetrophy|
|8-Feb-21||BRILIANCE AMANI KULEI||3 YRS||M||adenotonsillar enlargement|
|2-Feb||NOREEN GILBERTH MINJA||1 YRS||F||adenotonsillar enlargement|
|2-Feb||BLESS YONA LIHI||2 yrs||F||acute osteomyelitis|
|21-Feb||DANIEL JOSEPH LAIZER||7yrs||M||supracondylar fracture|
|3-Dec-20||SEBASTIAN E MOLLEL||1.8 yrs||M||Fructure sapracondislar|
|3-Dec-20||Mejooli Lebahati mollel||7yrs||F||Fructure On Femur|
|11-Dec-20||Magdalena Benard korgodi||6yrs 9 month||F||genu valgus|
|17-Dec-20||Fidelis Sadala||9yrs||M||malunion of the right femur|
|21-Dec-20||Jefason Emanuel||1 yrs||M||tonsills hypertrophy|
|26-Dec-20||Meshack Maiko Samwel||3 yrs||M||chronic tonsillitis|
|9-Nov-20||PATRICK KASTO||4yrs||M||chronic tonsillitis|
|9-Nov-20||Happyson Venance||F||Hypertrophy of adenoids|
|9-Nov-20||Monica Peter||6yrs||F||Hypertrophy of adenoids|
|16-Nov-20||JOSHUA EMANUEL||3yrs||M||Hypertrophy of Tonsils with hypertrophy of Adenoids|
|16-Nov-20||Simon Julius||1 yrs||M||Unilateral Inguinal hernia|
|16-Nov-20||Glory Stephano||13 yrs||F||unilateral valgus(let|
|16-Nov-20||Elisante Emmanuel||13 yrs||M||Injury of Achiles tendon|
|18-Nov-20||Christian Charles||3yrs||M||chronic tonsillitis|
|10/7/20||SESILIA GRAYGODY RICHARD||9 Yrs||F||Chronic Tonsillitis|
|10/11/20||JOSHUA MARTIN DANIEL||2 yrs||M||Hypertrophy of Tonsils with hypertrophy of Adernoids|
|7-Oct||IRENE LABAN DANIEL||6 yrs||F||Hypertrophy of Tonsils with hypertrophy of Adernoids|
|7-Oct||JOARI ABDUL HAMMISSI||10 yrs||F||Hypertrophy of Tonsils with hypertrophy of Adernoids|
|11-Oct||CAREEN GODSON NAIMAN||F||Hypertrophy of Tonsils with hypertrophy of Adernoids|
|10/11/20||JULIANA MATHAYO JACOB||3yrs||F||Hypertrophy of Tonsils with hypertrophy of Adenoids|
|24-Oct||LIDYA AUGUSTINO CHISALUNI||3 months||F||Bladder Extrophy|
|10/11/20||SAMWEL SAMBETA BILAUTI||3 yrs||M||Genu Valgus|
|10-Oct||NAIS PETER MESHILU||F||Hypertrophy of adenoids|
|28-Jan||BARAKA OMARY ISSA||17YRS||M||HYPOSPADIUS|
|12-Jan||Gabriel Godlisten Rick||3YRS||M||GENU VALGUS|
|12-Jan||Wilson Allex Mashaka||16yrs||M||chronic tonsillitis|
|12-Jan||JACKLINE RAYMOND SAMBO||16 YRS||F||chronic tonsillitis|
|12-Jan||PRINCE ELIAS JAMES||7 MONTHS||F||Tonsillectomy - Head & Neck|
|14-Jan||JOVIN MAPAMBANO KISHAI||4YRS||M||GENU VALGUS|
|18-Jan||VENERANDA MISS QUANG||6YRS||F||Proximal Femoral deficiency|
|17-Jan||JUNIOR JOVENALLY MINJA||1 YRS||M||Hypertrophy of adenoids|
|19-Jan||CHRISTIAN EMMANUEL||2YRS||M||adenotonsils hypertrophy|
|5-Dec||Hamis Azizi||6YRS||M||Post-Turbinate cauterization|
|2-Dec||Mosses Nganyiko||20||M||Unilateral genus varus|
|4-Dec||Bryson Vumilia||9yr||M||Umbilical hernia|
|4-Dec||Rebeka Hawaki||18||F||Oral cavity mass|
|5-Dec||Michael vitalis||17||M||Chronic tonsillitis|
|16-Dec||Evance Augustino||1yr||M||Adenoid hypertrophy|
|13-Dec||Juliana Leonce||3YRS||F||Bilateral genus varus|
|12-Dec||Joseph Abraham||12||M||Chronic osteomyelitis, treated previous early this year|
|13-Dec||Loleku Lakarai||13YRS||M||Unilateral genus varus|
|14-Dec||Lazaro Elisha||19YRS||m||Unilateral genus varus|
|12-Dec||Adonikam geofrey||13YRS||M||Adenotonsillar hypertrophy|
|16-Dec||Prince Hassan||4YRS||F||Chronic tonsillitis|
|19-Dec||Cauthary seleman||9YRS||F||Turbinate hypertrophy|
|19-Dec||Baraka Laizer||10yrs||m||Chronic tonsillitis|
|21-10-019||Dino Almasi||4yrs||M||Post mass excision|
|17-10-019||David Sakayo||1yrs||M||Post Z-Plasty|
|01-10-019||Simon Mamasita||3yrs||M||Bilateral genus valgus|
|5-Oct-19||Izack Juma||1yr||M||Closed fracture of femur|
|07-10-019||Omary bakari||5yrs||M||Genus Varus|
|17-10-019||Abobakar Rajab||5yrs||M||Post adenoidectomy|
|07-10-019||Beckhom William||15-May-13||M||Post osteotomy|
|17-10-019||steven mukigala||1-Jul-05||M||Post-Achilles tendon release|
|17-10-019||Munila Amri||2yrs||M||Post -BSC Release|
|17-10-019||Regina lengas||17yrs||F||Old elbow dislocation|
|07-10-019||Mathayo mollel||16yrs||M||Post osteotomy|
|03-10-019||loveness sube||15yrs||F||Turbinate hyertrophy|
|10-10-019||Paulina kima||8YRS||F||Post implant removal|
|28-10-019||veronica richard||10yrs||F||Post laparatomy|
|30-09-019||Advan Rashid||2yrs||M||Adenotonsillar hyertrophy|
|24-10-019||isaya musila||1yr||M||Post Hip spica|
|07-10-019||Elizabeth elias||16yrs||M||Bilateral genus valgus|
|16-Oct||najma mdoi||3yrs||F||Extensive burn wound|
|17-10-019||christina john||13yrs||F||Post adenoidectomy|
|17-10-019||mosses ngenyiki||19yrs||M||Post plating|
|17-10-019||happyness christopher||4YRS||F||POST -ADENOTONSILLECTOMY|
|17-10-019||Nosim Nyaru||3yrs||F||Genus Varus|
|31-10-019||mwanaisha hussein||10||F||Extensive burn wound|
|22-Oct||emanuel adrea||9||M||Post Z-Plasty|
|21-10-019||pendael daudi||13yrs||M||Chronic tonsillitis|
|18-11-019||musa brown||7mo||M||Post Hip spica|
|21-10-019||lucy daniel||8yrs||F||Post K-wire insertion|
|17-10-019||mohamed issa||4YRS||M||Adenotonsillar hyertrophy|
|17-10-019||steven silvester||10yrs||M||Achilles tendon shortening|
|17-10-019||shimba mabutu||3yrs||M||Bilateral genus valgus|
|21-10-019||emanuel daudi||2YRS||M||Adenotonsillar hyertrophy|
|24-Oct||happyness christopher||4yrs||F||Adenotonsillar hyertrophy|
|21-0ct||asha zuberi||5yrs||F||Adenotonsillar hyertrophy|
|28-Oct||michael meshack||14yrs||M||Closed fracture of tibia/fibula|
|21-10-019||baraka aminiel||4YRS||M||Auricular mass|
|2-Nov||Hassan Mkamba||1||M||Bilateral genus valgus|
|11 nov 019||WINNER A.LUKUMAY||13||F||Bilateral genus valgus|
|5 nov 019||Rajab H. Msuya||4yrs||M||Bilateral genus valgus|
|28-oct-019||Emanuel Ngomou||4yrs||M||Chronic tonsillitis|
|05-Sep-01||Isaya mollel||M||Post adenoidectomy|
|11-Sep-01||patrick samweli||M||Post adenoidectomy|
|16-Sep-01||misheli sailepu||Chronic tonsillitis|
|19-Sep-01||amani julius||M||Post ORIF|
|19-Sep-19||Fahadi alhaji||M||Osteogenesis imperfecta|
|19-Sep-19||Samweli Alex||3yrs||M||Valgus deformity|
|19-Sep-19||Isaya Musila||1yrs||M||Post Hip spica|
|21-Sep-01||simon mamasita||3yrs||M||Bilateral Genu Valgus|
|15-09-019||Musa kiraruji||5months||M||Femur fracture|
|25-Sep-01||Gadi mkaza||1yr||M||Urethral fistula|
|23-Sep-19||Munila riziwan||2 yrs||F||Keloid|
|23-Sep-19||Emanueli Andrea||9 yrs||M||BSC Lf axilla|
|23-Sep-19||Dino ndugai||4 yrs||M||BSC|
|23-Sep-01||Tekno halanga||16 yrs||F||BSC|
|23-Sep-19||Daniel Loveness||6 yrs||M||BSC Lf Hand|
|23-Sep-19||David patrice||1 yrs||M||Club foot|
|23-Sep-19||Paskali pius||M||Lower limbs deformity|
|23-Sep-19||Queen jeremia||F||Post ankle fracture|
|23-Sep-19||Claver innocent||M||Post tendon release|
|19-Sep-19||Sarah simon||6yrs||F||Adenotonsillar hypertrophy|
|24-Sep-01||sinorita stephano||M||Bilateral Genu Valgus|
|24-09-019||Loleku shikok||12YRS||M||POST DFO|
|24-09-019||lighness liliko||10YRS||F||Achilles tendon shortening|
|26-09-019||Veronica Laizer||10yrs||F||Acute abdomen|
|26-09-019||Abubakar Ramadhan||5yrs||M||Adenotonsillar hypertrophy|
|26-53-29||Ester Anderson||3yrs||F||Adenotonsillar hypertrophy|
|30-09-019||Advan Rashid||2yrs||M||Adenotonsillar hypertrophy|
|30-09-019||Catherine Mchomvu||5yrs||F||Adenotonsillar hypertrophy|
|26-09-019||Zainabu Hemedy||6yrs||F||Adenotonsillar hypertrophy|
|02-10-019||Izack Juma||7mo||M||Closed # femur|
|03-10-019||Loveness Antony||16yrs||F||Turbinate hypertrophy|
|03-10-019||Gadi Amani||1yrs||F||Post-fistula repair|
|30-09-019||Catherine mchomvu||14yrs||F||Adenotonsillar hyertrophy|
|06-Mar-19||Yohana Nathan Thomas||6months||M||Bilateral cleft lip|
|13-Mar-19||Zacharia Ndosikoi||3yrs||M||Congenital varus deformity|
|13-Mar-19||Raphael Tubulu||7yrs||M||Bilateral inguinal hernia|
|13-Mar-19||Lobikieki sabaya||M||RT.LEG TUMOUR AND UMBILICAL HERNIA|
|19-Mar-19||Queen S. Laiser||1Yrs||F||Symptomatic Umblical Hernia|
|13-Mar-19||Grace Elisha||7yrs||F||chronic osteomyelitis of left limb|
|21-Mar-19||Angela Hamedus John||3yrs||F||Chronic tonsillitis and Adenoid hypertrophy|
|19-Mar-19||Akuila Daniel Lalaji**||1month||F||Spinal bifida|
|13-Mar-19||Helena Tumain||6yrs||F||Bone cyst on proximal tibial|
|29-Mar-19||Nancy Mollel||5yrs||F||Chronic tonsillitis and Adenoid hypertrophy|
|14-Apr-19||Zipora stephano||4 YRS||F||Bone mass|
|19-April-019||remember simon||3 YRS||m||Congenital varus deformity|
|10-Apr-19||ngayai parmero||2 YRS||F||Down syndrome|
|25-May-19||johson raphael||M||Chronic tonsilitis and adenoid hypertrophy|
|02/may/019||Neema Thomas||2 yrs||F||Adenoid hypertrophy|
|02/may/019||Blessing Raymond||1 yrs||M||Adenoid hypertrophy|
|02/may/019||Salimon Boniphas||5 yrs||M||Congenital varus deformity|
|13-May-19||Elizabeth Lameck||4 yrs||F||Chronic tonsilitis and adenoid hypertrophy|
|13-may-019||Elizabeth Richard||11 yrs - seems wrong age||F||Nasal Polyps|
|13/may/019||Ivan Richard||6 yrs||M||Nasal turbinate and adenoid hypertrophy|
|02/may/019||Natacia Lazaro||3 YRS||F||Septic burn wound|
|13-MAY-019||Wilfred W.Mollel||11||me||Adenoid hypertrophy and nasal turbinate|
|15-May-19||Moris Paulo Esau||1 YRS||M||Hydrocephalus,Congenital heart disease|
|15-May-19||raphael lelya||7 yrs||M||post henioraphy.|
|15-May-19||Lobikiek sabaya||12 yrs||M||Post-BKA due to neuroma|
|15-May-19||Haruni israeli||10 yrs||M||Post patella repair|
|15-May-19||Grace elisha||7 yrs||F||post sequestrectomy|
|15-May-19||elizabeth richard||20 yrs||F||post polypectomy|
|26-05-19||Ivan peter||6 yrs||M||tonsils hypertrophy|
|Elizabeth lameck||4 yrs||F||post tonsilectomy|
|Wilifred willium||11 yrs||M||post adenotonsilectomy|
|Remember simon||3 yrs||M||post PTO|
|Magdalena marco||1 yrs||M||osteogenic imperfector|
|Shine aron||3 yrs||F||rectal prolapse|
|06-Mar-19||neema thomas||2 yrs||F||Adenoidhypertrophy|
|bless raymond||1 yrs||M||Adenoidhypertrophy|
|13/06/16||Hellen tumain||6yrs||F||Post bone cyst curretage|
|Zacharia ndalaskoi||3 yrs||M||post PTO|
|Haruni israeli||10 yrs||M||Post patella repair|
|Magdalena marco||1 yrs||F||ostegenic imperfector|
|Loliku lakarai||12 yrs||M||congenital deformity of femur|
|Remember simon||3 yrs||M||post corrective osteotomy|
|Meshack omari||1 yrs||M||hypertrophy tonsils|
|sosteness kavishe||6 yrs||M||Hydrocele|
|Najma ijumaa||4MONTH||F||Cleft palete and lip|
|joseph abraham||11 yrs||M||Osteomyelitis|
|Mosses N. Mollel||18 yrs||M||Closed fracture of femur|
|Lokeku Lakarai||12 yrs||M||Varus deformity|
|20/06/19||Ethan Alex||1 yrs||M||ADENOID HYPERTROPHY|
|meckline robert||7 yrs||F||hypertrophy tonsils|
|Ivan Godson||5 yrs||M||adenoid and tonsils hypertrophy|
|jeni saimon||5 yrs||F||adenoid hypertrophy|
|joseph swai||13yrs||M||adenoid hypertrophy|
|20/06/19||salimon kisai||2 yrs||M||Post PTO|
|24-06-19||jeni aruni||5yrs||F||ADENOID HYPERTROPHY|
|meckline robert||7yrs||F||hypertrophy tonsils and adenoid|
|24-06-19||Angel mollel||18 yrs||F||shorteningof the achilles tendon|
|24-06-19||Abedinego kavishe||3 yrs||M||Varus deformity|
|01-Jul-19||meshack omary||M||post tonsillectomy|
|02-Jul-19||Jane samson||F||post adenotonsillectomy|
|03-Jul-19||Ivan Godson||M||Pos-tadenoid hypertrophy|
|01-07-019||Emiliana joseph||4yrs||F||Hypertrophied tonsils and adenoid|
|01-07-019||Nufaysia ramadhani||14yrs||F||Chronic tonsillitis|
|01-07-019||Arafu msafir||10yrs||M||Hypertrophied tonsils and adenoid|
|01-07-019||Ethan Alex||1yr||M||post adenotonsillectomy|
|04-Jul-19||abdul sambwena||18yrs||M||Intestinal obstruction secondary to adhesion|
|08-Jul-19||Christina john||6yrs||F||Nasal turbinates|
|11-07-019||mariam akubo||5YRS||F||Nasal turbinates|
|08-07-019||Joseph Swai||13||M||post adenotonsillectomy|
|01-06-019||Shedrack Mamasita||4yrs||M||Extensive burn wound|
|7/15/019||Joseph abraham||11yrs||M||Surgical site infection|
|15-07-019||Sosteness thadui||6yrs||M||Post hydrocelectomy|
|15-07-019||musa laanyuni||4yrs||M||Inguinal hernia|
|18-07-019||fahadi alhaji||4yrs||M||Osteogenic imerfecta|
|25-Jul-01||zakayo lemali||2yrs||M||adenoid hypertrophy|
|08-Feb-19||Claver John||7YRS||M||Spastic diplegia|
|25/07/019||Zakayo lemalali||2yrs||M||Tonsils hypertrophy|
|15/08/019||Calvin Msende||19yrs||M||Rt.femur fracture|
|18/07/2019||Musa laanyuni||4yrs||M||Inguinal hernia|
|23/7/2019||Lucy Daniel||8yrs||F||Supracondylar fracture|
|25 /07/2019||Adrian daniel||3yrs||M||Chronic tonsillis|
|25 /07/2019||Abigael Daudi||2yrs||F||Thyroglossal duct cyst|
|05/08/019||Godlisten Loishiye||3months||M||Bilateral inguinal hernia|
|05-Aug-01||Mogan Emmanuel||1yrs||M||Chronic tonsillis|
|05-Aug-01||Anjela Metawasi||18yrs||F||Fused tendon|
|06-Aug-01||Felex Ndakidem||18YRS||M||Rt.femur fracture|
|12-Aug-01||Aberinego Melkiory||3yrs||M||Valgus deformity|
|15-08-019||Jesca Joel||1yrs||F||Chronic tonsillis|
|16/08/019||Joshua James||1month||M||Bilateral hydrocele|
|16/08/020||Beckam Willium||7yrs||M||Valgus deformity|
|16/08/021||Aman Mollel||10 yrs||M||Malunion radial/ulnar right|
|19/08/2019||Fahadi Alhaji||4yrs||M||Osteogenesis imperfecta|
|12-08-019||Adonai Frank||1 yr||M||Adenoid hypertrophy|
|22-08-019||Mosses Mollel||19YRS||M||Post -ORIF|
|22-08-019||Loleku Shukok||12 yrs||M||post DFO|
|22-08-019||Nosim Nyaru||3YRS||F||Congenital valgus deformity|
|26/08/2019||Patrick Samwel||3month||M||Adenoid hypertrophy|
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.
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
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.
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
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.
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.
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.
deeper dive: for those that like to know more
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
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
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.
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.
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
INSTAGRAM / VIDEOS / PICTURES
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:
where every dollar goes.
|Children Surgeries - Letion||2543||2543||2543|
|Children Surgeries - Selian||1240||1240||1240|
|General Expenses (such as bus fares)|
|Paul for Lunches||50||50|
|Doctors W.H.O. Checklists||300||300|
|Staff Cleaning, Nursing and Admin Awards|
|Currency Fluctuations and Bank Fees||$50|
|Children Surgeries - Letion||$2,061||$2,061||$2,061|
|Children Surgeries - Selian||$1,910||$1,910||$1,910|
|General Expenses (such as bus fares)||$50|
|Staff May Awards||$2,272|
|Paul for Lunches||50||50||50|
|Doctors W.H.O. Checklists||300||$300|
|Staff Cleaning, Nursing and Admin Awards||0||0||0|
|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|
|Children and CTC Meals||498||498||$498|
|Doctors W.H.O. Checklists|
|For Doctors and Macha to practise Diagnosis videos|
|Selian Outreach Program|
|Paul for Outreach Transition Plan in 2 weeks||200||200||$200|
|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|
|Children and CTC Meals||253||253||$253|
|OT Music Therapy System||195||195||$195|
|Doctors W.H.O. Checklists|
|For Doctors and Macha to practise Diagnosis videos||$250|
|Best Departments 3 @ 174||522||522|
|COVID Front liner 60 @ 21||1260||1260|
|Best Employees 22 @ 45||990||990|
|Nurses 68 @ 10||680||680|
|Nurse assistant 10 @ 10||100||100|
|Retired staff 2 @ 260||520||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|
|Children and CTC Meals||199||199||$199|
|Doctors for seting up W.H.O. Checklists||$500|
|Joseph, Augusta, Noela and Frank||88||88||$88|
|Macha Zoom Incentives||100||100||$100|
|Tarangire Trip (as promised for Level 2)||$1,800|
|Incentive to organise Level 2||$100|
|Remy for advice||$50|
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
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.