James is a 63yr old man from Elgeyo Marakwet County in Kenya. He is married and has eight children - some of still in high school while others are married. Formerly, James worked in the forestry department for twenty years and he managed to educate his children as he used to earn a salary. Currently he is a farmer who plants maize, millet and sorghum in his small piece of land for consumption and sale. He has been able to get his basic needs and that of his family through the sale of farm produce. He has no medical coverage or insurance at the moment. Recently, James fell down and rolled down a hill when he was attempting to move his cow. He is in a lot of pain, unable to use both legs. The timing of his injury is unfortunate, because he needs to tend to his farm. He has nothing that can enable him get funds at the moment. Two of his sons managed to get ksh 10,000 which is not even a quarter of the required amount for his procedure. James has suffered fractures around both his knee joints, and they require special attention so that they may not damage the articular cartilage. He needs an urgent procedure on one of his limbs, which will also enable him undergo the surgery he needs on his other leg more quickly as well. The finance issue is barring him from getting his surgery. He is now appealing to all well-wishers for help in order to get his surgery done. Fortunately, surgeons at our medical partner can help. On December 7th, James will undergo a fracture repair procedure, called an open reduction and internal fixation. He will no longer be in pain, and will be able to walk, work and provide for his family. Now, our medical partner, African Mission Healthcare Foundation, is requesting $1,145 to fund this procedure. James says, “I am in so much pain. I cannot imagine that I am not able to walk and do things on my own. I don’t regret anything, I just thank God who protected my life. Kindly help me so that I may not become a burden to my children.”

Mary lives with her husband and 5-year-old child in Kenya. She is 28 years old and works as a laborer on farms. Her husband does labor jobs when we can get them at construction sites. Their combined income is inconsistent, and they have no savings or medical insurance. Mary has been unwell for a while now. She had a hemorrhagic stroke in January of this year, which has mostly been resolved. However, an ultrasound revealed that she has a right ovarian serous cystadenoma. These are abnormal growths that need to be removed. If left untreated, they can turn into cancer (serous carcinomas). Mary needs surgery, but cannot afford it. She is scheduled for an oophorectomy procedure, which is the surgical removal of an ovary or ovaries. This surgery will cost $1074, and she needs help raising the payment. Mary says, "I am in so much pain and need treatment. If left untreated I am scared of losing my life.”

Shallot is a 28-year-old female farmer living in Southwestern Uganda. Her husband and three stepsons live on a small piece of land, where they raise crops to support themselves. The income generated from their farm helps pay for school tuition from her stepsons. Ten years ago, Shallot began to experience troubling symptoms, including substantial swelling around her neck. The village where Shallot lives is very remote, taking over two weeks for her to travel in order to seek medical care. However, six months ago, her symptoms worsened. She started experiencing neck stiffness and numbness and began having difficulty speaking and breathing. She visited several different health facilities. After multiple tests, she was diagnosed with an enlarged thyroid gland with nodules within it. Surgery was recommended, but Shallot was unable to move forward with the procedure due to a lack of funds. Fortunately, our medical partner, African Mission Healthcare (AMH), is helping Shallot receive treatment. She is scheduled to undergo a thyroidectomy on January 24th at AMH's care center, where surgeons will remove all or part of her thyroid gland. The procedure will cost $252 and dramatically improve Shallot's life. Shallot says, “I need your support, and I hope my health will get better after surgery.”

Mary is an eight-year-old girl. She is a talkative and playful young girl. She is the last born in a family of seven children and the family is not well off financially. Both of her parents do casual jobs like ploughing people's farms for a living and such jobs are not easy to find where they live. Sometimes the church members chip in to help them where they can. When Mary was one year old, she was involved in an accident where she sustained burns to her head, some parts of her face and neck. She was rushed to the hospital and was admitted for better care. While in the hospital, a surgery was done on her head where she had sustained more burns. She was then discharged and booked for wound dressing clinics. The wounds were healing well as per the doctors’ plan. Her parents managed to take her for the clinics for a few months but later stopped because of finances. While at home, the wound got infected but due to lack of funds, she was not taken to hospital at that time. Time went by and the infection spread to most parts of the head. When she was three years old, the family met up with a local pastor who started helping them. He started financing Mary’s hospital visits with the help of some church members where he ministered. The wound was dressed again but the recovery process was very slow. In mid this year, the pastor brought them to Kijabe Hospital, she was examined, and the wound was dressed properly. Since then, the wound has been healing as expected. Fortunately, our medical partner, African Mission Healthcare, is helping Mary receive treatment. On December 9th, surgeons will perform a debridement and skin graft procedure to help the remaining wound to heal properly. Now, Mary's family needs help to fund this $1,185 procedure. Mary’s father says, "Since the accident, we have been struggling a lot to make her get the required treatment but have failed to some extent. Coming to Kijabe, our hopes have been boosted greatly with the improvement she has experienced, and we hope that she will go through with the surgery and be well again.”

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.”

Olivious is a 34-year-old single mother from Uganda. She lost her husband four years ago to a road accident, leaving her the only breadwinner of the family. She is a farmer and together with her two children, lives in their two-roomed mud-built house. Her income is quite limited, which frustrates her efforts to provide a quality life for her children. Olivious has had lower abdominal pain, backaches and fatigue for sometime. She has not been able to work as well as she needs, due to this pain. When she visited Nyakibale Hospital, she was diagnosed with a large pelvic mass and a curative laparotomy surgery was recommended to heal her condition. She is not able to raise the $242 needed, and thus appeals for help. Olivious says, “I am not able to work well in the farms. Please fund my surgery so that I can be treated and resume my duties with ease."