Saw Kyaw is a 25-year-old man living in Thailand. He currently lives with his older sister, younger sister, mother and her niece. He moved from Burma to Thailand for job opportunities three years ago. He was working in a shop and was able to support two younger siblings who are studying in Karen State in Burma. Around the end of July, he was playing football with friends when he slipped trying to kick the ball. His lower right leg was very painful, but he was still able to bear weight lightly on that leg. At the time, Saw Kyaw didn’t have health insurance, so he went to a clinic instead of the hospital. There they examined his leg, gave him some medication for the pain and advised him to go to the hospital for an X-ray if the pain persisted. Saw Kyaw rested for two days and then went back to work. That day at work, Saw Kyaw was carrying a heavy load when he slipped again. This time, the pain was severe, and he was unable to stand on his right leg. He went to a hospital in Bangkok where they X-rayed his lower right leg and told him that the tibia was fractured. The doctor recommended surgery where they would use a metal rod to connect the bones and set them in the correct position to heal. Saw Kyaw was told that the surgery would cost between 40,000 to 50,000 baht (approx. 1,330- 1,660 USD). He told them that he did not have insurance and was unable to afford the surgery, so they gave him pain medication and bandaged up his leg. He returned to the hospital three times and each time the doctor recommended surgery, but Kyaw was unable to figure out how he could get that kind of money. His employer was not helpful and refused to assist with the cost of the surgery. Since Saw Kyaw didn’t have the money, he decided to just rest and see whether the bones would heal on their own. Saw Kyaw recalled that he had fractured his femur when he was young, and he had used a traditional medicated oil to help heal the injury. He hoped that he could use this on his new fracture. But now he cannot walk properly and cannot work since his accident. He is stressed about his condition and his future. With the help of our medical partner, Burma Children Medical Fund, Saw Kyaw will finally undergo surgery to reset his fractured bones and ensure proper healing. The procedure is scheduled for December 7th and will cost $1,500. He will able to go back to work after surgery Saw Kyaw said, “I would like to go back to Bangkok and find work again so I can go back to helping my family; my siblings who are studying in Burma, and also my mother who is getting older. I also want to save some money for my future. I will not work at the same place though as they have not been kind or caring since I had the accident.”

Samuel is a 21-year-old talkative young man. He is the second born in a family of five children. His father passed away when he was four years old, so his mother had to raise him and his siblings by herself. She does jobs on tea farms to provide for the family. When Samuel was two years old, his abdomen started to swell, which was very painful for him. His mother took him to the hospital and he was given some medication and sent back home. The medication did not work as expected. He was then taken to a different hospital for examination. He was given more medication and after some time he seemed to be better. The stomachache did not go away completely, however. Samuel and his mother shared that over the years, he has had stomachaches and gotten used to taking pain medication. In 2017 when Samuel was in high school, the pain worsened and his abdomen started to swell again. He had to leave school as a result. His mother took him to a hospital in Meru where he was admitted for three months. While in the hospital, scans and a biopsy were done to determine what the problem was. He was given a colostomy, where the end of the colon is brought through an opening in the abdominal wall, in order to pass stool. This surgery is often performed to bypass bowel malformations, but colostomies are usually temporary and may call for closure. In Samuel's case, his colostomy requires closure in order to restore bowel function and prevent future complications. At that time, his doctors did not manage to treat him and referred him to BethanyKids Hospital in 2018. On arrival, he was examined and admitted, as he was not in good condition. After more scans and tests, he was ultimately diagnosed with Hirschsprung’s disease. Since then, Samuel has undergone several surgeries with the aim of trying to better his condition. The first surgery failed, but the second was successful. He is now scheduled to undergo his last surgery to close the colostomy so that he can pass stool on his own again and live a more active life. Earlier in his treatment, Samuel's parents had enrolled in the national health insurance program (NHIF), which helped them pay for most of his hospital bills. BethanyKids also chipped in on occasion to help with some of the bills. Unfortunately, for his last surgery, NHIF has rejected the request since he is beyond the age to be covered by his mother’s insurance. Our medical partner, African Mission Healthcare Foundation, is helping him to undergo treatment and needs $1,084 to cover the cost of a colostomy closure for Samuel. The surgery is scheduled to take place on November 11th and, once completed, will hopefully allow him to live more comfortably and confidently. Samuel’s Mother says, “For years now, I have been very worried about my son, but God has seen us through.”

Hsa is an 18-year-old living with his parents, three brothers and a sister, in Burma. Two of his siblings are still in school, while the remainder of his family work as subsistence farmers. Hsa, however, is currently unemployed, and enjoys playing various sports with his friends. Hsa has cataracts in both of his eyes, making it difficult for him to see clearly. Thanks to assistance from our medical partner, Burma Children Medical Fund, Hsa is scheduled for cataract surgery on October 11th, at Maharaj Nakorn Chiang Mai Hospital. During the surgery, doctors will replace Hsa's own lenses with intraocular implants, enabling Hsa to live a more independent life. Now, Hsa needs your help to fund this $1,500 procedure. Hsa said: "I wish to see again so that I can look after myself. Then my family will no longer need to assist me with everything."

Meet Venesa, a beautiful two year old girl. She was born at home with a swelling at the lower part of her back, and with legs that were not straight like other babies their family knew. The day after she was born, Venesa's parents took her to the hospital, where she was diagnosed with spina bifida and clubfoot. The family was advised to wait until Venesa turned nine months old, before having her undergo the surgery that she needs. Although surgery was deemed urgent, when Venesa was finally old enough, her parents couldn't afford to pay for it. Then, about a year ago, Venesa was diagnosed with hydrocephalus. Venesa's mom shared that shortly after this last diagnosis, Venesa's father abandoned the family and is not involved in helping support them any more. Venesa's mother used to work at a salon, but after Venesa's birth, she has been unable to work. They are now living with Venesa's grandmother, who does what she can to help. Without surgery for her spina bifida, Venesa risks paralysis of her lower limbs, infection of the exposed nerve tissue, and developmental delays. Our medical partner, African Mission Healthcare Foundation, is requesting $1,151 to cover the cost of Venesa's spina bifida closure surgery. The procedure is scheduled to take place on September 14th, at BethanyKids Kijabe Hospital. This procedure will hopefully spare Venesa from the risks associated with her condition, allowing her to experience a strong and healthy life. Venesa’s mother says: “Since she was born, I have no peace knowing that I can’t afford her treatment.”

Onesmus is a cheerful and friendly 7-year-old student from Kenya. His father is a minibus taxi driver, and his mother sells vegetables to locals. Onesmus is the firstborn of three children in his family. He has a brother who has the same condition as him, and they both require surgery. Onesmus was born with hypospadias, a congenital condition that causes urinary dysfunction. Without treatment, he will continue to experience uncomfortable symptoms and will be at risk of infertility. Onesmus is visiting our facility for the second time. He and his brother both underwent first stage hypospadias repair about a year ago. Now, they must undergo a second and final stage repair for full functioning of the affected area. Onesmus's family has insurance, which is paid for by the government through the National Hospital Insurance Fund (NHIF). However, NHIF could not approve surgery for both brothers, so only one surgery will be funded. Due to financial constraints, their parents are unable to fund Onesmus's procedure. Fortunately, our medical partner, African Mission Healthcare Foundation (AMHF), can help. Onesmus is scheduled to undergo second stage corrective surgery on July 25th at our medical partner's care center. AMHF is requesting $874 to cover the total cost of his procedure and care. Onesmus's mother shares, "I am really looking forward to my son's well-being. I believe all will be changed by the end of the procedure.”

Penlope is a 42-year-old mother of three children, with all her children in school. She does farming together with her husband and what they earn helps to meet their day to day needs. Penlope is expecting a new baby and has been having antenatal care at Nyakibale Hospital. At her last visit, the medical team has recommended she delivery via cesarian section to ensure a safe delivery. She is not able to raise the funds needed for surgery and appeals for help. Penlope shared: “I hope to deliver well this time, in safe hands, and I expect all to be well with your support.”

Nancy is a bright and social 12-year-old student from Tanzania. She is the youngest in a family of three children. Her and her siblings are being raised by their grandparents with the help of amazing well-wishers, since their grandparents are older and appreciate the extra help. Nancy currently attends primary school, and her favorite subjects include Swahili, mathematics, and social studies! She is very friendly and loves to play netball with her schoolmates. However, playing is becoming increasingly difficult due to her condition. Nancy has clubfoot of the left foot. Clubfoot is a condition where the foot is twisted out of shape, which causes difficulty walking and even wearing shoes. Fortunately, Nancy and her family traveled to visit our medical partner's care center, Arusha Lutheran Medical Centre. There, surgeons will perform clubfoot repair surgery on July 15th. Our medical partner, African Mission Healthcare Foundation, is requesting $935 to fund Nancy's clubfoot repair. After treatment, she will be able to walk easily. Her grandmother says, "Nancy and her siblings have been in my care since they were babies. We struggle to raise them. That's why well-wishers help. Unfortunately, they can’t help her with her treatment. Please help us."