2021

ANNUAL
REPORT
I
NTRODUCTI
ON
SafeSurgicalAidisanon- prof
it,non-gover
nme ntalor
ganizationregist
ere
dwiththeNGO boa r
dof
Ke nya,ef
fecti
vel
yf r
om 24thFe bruary,2021.
Wea rethebrainchildofyoungdoctor
sbrought
togethe
rbyt heneedt oaddre s
smyr iadofhe al
thchall
engesfac i
ngc ommunit
iesli
vingi
na r
easthat
havenoa ccesstoessent
ialsurgic
a landnons urgi
calheal
thc areservic
es.

Vi
sion
He
alt
hy,
produc
tiveandgl
obal
lyc
ompe
tit
ivec
ommuni
ti
es

Mi
ssi
on
Toprovi
dear e
sponsi
veandsust
ainabl
ehe
alt
hcar
esys
temf
orc
ommuni
ti
est
hathavenoac
ces
sto
bas
icheal
thc
areintheHornofAfr
ica

OurGoal
Pr
ovi
des
afe
,qua
li
tya
nda
cce
ssi
bles
urgi
calc
aref
ort
hel
esspr
ivi
le
gedi
ntheHor
nofAf
ri
ca.

‘
’itismyaspi
rat
iont
hathe
alt
hfi
nal
lywi
llb
ese
enno
tasab
les
singt
obewi
she
dfo
r,b
uta
sahuma
nri
ght
t
ob efo
ughtf
or’
’

Ko
fiAnna
n.-Thel
ateSe
cre
tar
yGe
ner
alo
fTheUni
tedNa
tio
ns.
Pr
inc
ipl
eObj
ect
ive
s
•Tor a i
se,mobili
zefundsandot herresource
sforthepr ovis
ionofs afe
,andres
ponsi
vesur
gical
c
a r
et opoora ndinaccess
ibl
eareasinKe nya.
•Pr ovidehealt
he ducati
onanda wa re
ne s
sont heimporta nc
eofs urgic
alnee
dsfors
urgi
cal
ly
amena blecondi
tions.
•Toa ctasaref
er r
alorgani
zati
onf orfurt
herspecial
ize
ds urgicalcare
.
•Tope ri
odical
lyscree
npa t
ientsforsurgic
all
yt r
eatabl
ec ondit
ions.
OurPr ogr
ams
Sur
ger
ies Tr
aini
ng
ProvisionofSa f
eSur gicalprogr amsamong Trai
ninga ndcapaci
tybuil
dingofthe
themos tvulne r
ablea ndma rginali
zedcommuni
tie
s heal
thcareworkersthr
oughs e
mina r
s,
thathavenoa cces
stos ur
gicalc ar
e.Thisi
ncl
ude
s: symposium, s
hortandlongcourse
s
•Ea r,Nos ea ndThr oa tSurge r
ies Mat
ernalHeal
thCar
e
•EyeSur geries(ma i
nl yca t
arac t
s)
Provis
ionofma ter
nalsurgic
alhe al
thcare
•Ur ologicala ndGyne cologi
c alSurger
ies
ma i
nlyrepair
sofrecto-
vaginalorve s
ico-
•Pl as
tica ndRe c
onstruc t
iveSur gery
vaginalf
ist
ulas,e
xcis
ionofut e
rine
•Ne ur osurger y
le
sionsandothergyna e
cologic
alcondi t
ions
Advoc
acy
Wat
er& Sani
tat
ion
Advoc ac
ya nda warenes
sc ampai
gnstoe ducat
e Wa te
ra ndsani
tati
onpr ogr
amssoas
communi ti
esonl oc
alsolut
ionsf
orlif
e-st
yle toincre
a s
esust
ainableacce
sst
osafe
i
llne
sses,detri
me nt
alcult
uralpr
acti
cesand dri
nkingwa ter
,cleanandhygeni
c
sust
ainablecommuni tybasedheal
thcar
es ys
tems envir
onme nt
GYNACOLOGY, CAMPI N WAJ IRCOUNTY-Thi si st
hef i
rstfreeme di c
alcampor ganizedbySaf
e
Surgi calAi dincollaborat
ionwi thPatientsHelpingFund, acha ri
ty organizati
oninKuwa i
tand
ReliefOr ganizat
ionofEa stafr
icaba s
edi nKe nya.Thec a mpwa sconduc tedinWa jirCount y.
Wa jirisloc at
edint henor t
he as
tofKe nya ,i
t'
sas emi -ar
ida r
eai nhabit
e dbynoma dica nd
pastoralistcommuni ti
es.Thecount yisamongt hela rgestandt hepoore stinthecount ry
coveringa nareaof5 5,
841km² ,I
tisspar s
elypopulate dandha sapproxima tel
y7 20,
00 0people.
Inthi scamp, Wet eamedupwi t
honc ologist
sf rom themi nistryofhe alt
hi nkenya ,whowe re
conduc tingac ervicalcancers
creeningwhe r
e1 70patientswe rescreeneda nd3pos itivecases
identifi
e d.
GYNECOLOGYCAMPI
NWAJI
R(JUNE)

51
7
ENROLLMENT
41
3
SUCCESSFULCONSULTATI
ONS
39
MAJORSUGERI
ES
Nur
iamohamedwhos
ell
shayat
t
hemar
ketandwhos
ehus
bandt
eac
hes
t
heQur
ani
nal
ocalMadr
asawas
pr
ese
nte
dtouswi
thahugei
ntr
a-ut
eri
ne
mas
sthats
hehasl
ivedwi
thf
or
4year
s.
Shehasbeent
osever
alhos
pit
alsbut
c
oul
dnotaf
for
dthes
urgi
calc
ost
.
Shewasoper
atedonf
orf
reeanda
ut
eri
nemas
sof7kgsr
emoved.
Themas
shasbeengi
ving
herr
ecur
rentpervagi
nal
bl
eedi
ng,anaemi
aand
c
hroni
cbac
kac
heaswel
l
aspr
ess
ures
ympt
oms
.
Ha bibaBul lepr esent ed
wi thut er
inepr olaps e
(ute rusda ngl ingbe tween
he rt highs)f orc loseto3 -4
ye arsgi vinghe rur ine
rete ntion.He rda ught er
whom s hede pe ndson,
coul dnota f
for dt opa y
forhe rme dical
inte rvention. Our
sur ge onsope ratedon
he r.Sheunde rwe nt
trans va gi
na lhys t
e r
e ct
omy
a nds hewa sr elieved
GelayIsma ilwhoha slivedwith
vesi
cal-
va ginalfistulafor1 1yearsandgot
abandone da nddi vorcedbyhe rhus band
becauseofc onstantl eakageofur ine
rec
eivedf reesurge ryinourgyna ecology
campa ttheWa ji
rCount yRe ferr
al
Hospital
. Shewa se xci
edt hatshec an
fi
nallyvisitherfrie ndsa ndfamilya nd
praynorma llylikeot herwome n.Shef el
t
herdignityr es
tored.
Therearema nyotherwomenwhocould
notregi
sterforcampbutar
esuf
feri
ng
withpredi
c amentss
imil
artoGe
lay’
s.

Wa j
irCount yhasnotha dagynaecology
consult
a ntforma nyyearsandthecas es
backlogi soverwhe l
ming.Iti
sourvi si
on
toreacha llthewome ninthepastorali
st
countiesa ndprovidefrees
ugerie
sa nd
othersolut i
onstothecommon
gynaecologyc ompl i
cat
ions.
A27yearol dl adywho
decli
nedmar riaget wicebut
neverexpl ainedt hereas ons
toanyoner egis t
eredf orour
gnaecologyc ampi nWaj ir
.
Durings creeni ngandon
exami nati
on,i twas
disc
over eds hehadc ompl ete
vaginalstenos i sduet o
FGM ( vaginalbl ockage) .
Shewasbookedf ors urgery
andoper atedonbyDr
CaesarMakar a(pict
ured).
Shewasexc i
tedand
wasl ookingf or war dt o
gett
ingmar ried.
EYECAMPI
N WAJ
IR(
JUNE)

106 PATI
ENTS 65
MAJ
ORSUGERI
ES
Gabow a70yearol
dmanf
rom Waj
irhas
beenbl
indf
or20year
s.Hehadnots
een
hi
sfami
lyf
oral
lthos
eyear
s.Hec
oul
d
onl
yident
ifyt
hem byt
hes
oundoft
hei
r
voi
ces
.Hec
oul
dnott
ellwha
tcol
ourof
hi
scl
otheswer
e.Hel
ikedt
oreadt
he
Qur
’an,
thehol
ybookofMus
lims
,
bef
orehel
osthi
svi
sionduet
ocat
arac
t.
Hehadas
uces
sfuls
urger
yandhi
sonl
y
wi
shwast
oseehi
sfami
lymember
sand
r
eadt
heQur
’an.I
mmedi
atel
y,af
tert
he
s
urger
y,hewant
edt
oseei
fhec
oul
dread.
Her
eadaf
ew ver
sesf
rom t
hemobi
lephone.
EYECAMPI
N DAADAB(
AUGUST)

412PATI
ENTSSCREENED 205
EYESUGERI
ES
HassanAliAbika r
,aSoma l
iref
ugee
atDagahleyrefuge ecampi nDa daab,
i
soneoft hebene ficiar
iesofour
Catar
actCa mpa ttheMSF_ Eas
tAfri
c a
Hospitali
nDa ga hley.

Ha ssanis8 3yearsold.Hewa s
assaultedinSoma l
iama nyye arsago,
hisrighteyewa sseveredandhel ost
hisvision.Hes ufferedcatarac
tfor
ma nyye arsonhi slefteye.Hewa s
compl etel
ybl i
ndwhe nher egist
ered
forthec amp
Heha das uccessf
ulsurgeryandthe
visi
ononl efteyewa sres
tored.As
youc anseefrom thephotos,hecoul
d
countthefingersofthesurgeon
-Dr.Sa mpeleLayian.

Mos tofthepa t
ientswhos uff
erfrom
bli
ndne ssasare s
ultofcatar
actonly
needs i
mples urgicali
nter
ventionto
res
toretheirvisi
on.
EYECAMPI
N WAJ
IR(
OCTOBER)

989 PATI
ENTSSCREENED 507
EYESUGERI
ES
TheOc toberCa ta
ractmi s
sioninWaj irwasconductedbe t
we en1 st
October,2021to6 t
hOc tober,2021inGr ift
u,Ha basweinandWa j
ir
TownbySa feSur gic
alAi d,withlogisti
calsupportfrom Wa ji
rCount y
He al
thDe part
me nta f
terane xt
ensives cr
eeningfortwowe eksbe tween
20thSeptembe rto5thOc tober,2021dur i
ngwhi chwei denti
f i
e dover500
patient
swi t
hre vers
ibleblindnessc ausedbyc at
aractandothe reye
il
lnesses.
EYECAMPI
NIJ
ARA-MASALANI(NOVEMBER)
457 PATI
ENTSSCREENED 202
EYESUGERI
ES
Saf
eSur
gic
alAi
dconduc
tedt
heNovemberf
reemedi
calc
ampi
nIj
araCons
tit
uenc
yofGar
iss
a
Count
y.Thec
ampwashos
tedatTheMas
alaniSub-
Count
yHos
pit
al,al
evelf
ourhos
pit
ali
n
Mas
alaniTown.
Mas
alanii
sas
mal
ltown,l
ocat
edi
nSout
h-Eas
tofKenyaandi
s540km awayf
rom Nai
robiand
2
0 4km f
rom Gar
iss
a,t
hehe
a dquar
teroft
hec
ount
y.Thepeopl
egener
all
yar
epoorandl
eada
pas
tor
ali
standnomadi
cli
fes
tyl
e.Theyr
elyonl
ives
toc
krear
ingands
mal
l-
scal
esubs
ist
enc
e
f
armi
ng.
Inc
oll
abor
ati
onwi
thKuwai
tiHor
izonsChar
itySoc
iet
y,Rel
iefOr
gani
zat
ionofEas
t
Af
ric
aandTheDepar
tmentofHeal
thoft
hec
ount
ygover
nmentofGar
iss
a,Saf
eSur
gic
alAi
d
c
arr
iedoutaweekl
ongs
cre
e ni
ngbef
rom 24t
hOc
tobert
o30t
hOc
tober
,2021.Wes
creenedover
4
5 0pat
ient
sint
hatper
ioda
ndi
dent
ifi
ed210c
asest
hatr
equi
reds
urgi
cali
nter
vent
ion.Thef
ree
s
urgi
calc
ampwasc
onduc
tedf
rom 5t
hNovt
o8t
hNov2021atMas
alaniSub-
Count
yHos
pit
al.
EYECAMPI
N MANDERA(
DECEMBER)
1473 PATI
ENTSSCREENED 304
EYESUGERI
ES
Thi
sli
tt
lepr
inc
essf
rom Rhamuhadapi
ece
ofat
hor
ninhereyef
or8mont
hs.Shel
ived
wi
tht
heexc
rut
iat
ingpai
nfort
hos
emont
hs
s
inc
eshec
oul
dnotaf
for
dtot
ravelands
eek
t
hes
ervi
cesofas
urgeon.

Thepar
ent
sbr
oughthert
obes
creenedand
r
egi
ster
edf
oroureyec
ampi
nRhamul
ast
week.Thes
urgeonsr
evi
ewedherc
aseand
i
mmedi
atel
ytooki
nfors
urger
ythatl
ast
ed
l
esst
han5mi
nut
es.

Thepi
eceoft
het
hor
nwass
ucc
ess
ful
ly
r
emovedands
hewoul
dli
vepai
nfr
ee
c
hil
dhood,hopef
ull
y.Shec
annow f
ocuson
s
choolandMadr
asa.
12YEARSWI
THOUTASI
GHT!
Shar
ifaAbdii
sa95year
sol
dmamaf
rom Suf
tu,
as
mal
lvi
ll
ageal
ongKenya-
Ethi
opi
abor
der
.
Shenow l
ivesi
nMander
atownwi
thherni
ece,
Bi
shar
aDakane,whot
akesc
areofher
.Shel
ost
al
lherc
hil
drenexc
epta9yearol
dgr
ands
on
whom s
hehasnevers
een.‘
Wil
kaaneyeyda
uahay,s
esuyaal
amagar
anayi
’,l
ament
sMama
Shar
ifa.
MamaShar
ifal
osthereyes
ight12year
sago.
For12year
s,s
hedependedonherni
ecet
o
movear
ound,vi
sitt
het
oil
et,ac
ces
sherbed
andwearherc
lot
hes
.Herol
dagemakesi
t
evenhar
der
.Whenherni
ecehear
daboutt
he
f
reeEye-
Campor
gani
zedbySaf
eSur
gic
al
Ai
d,s
hebr
oughthergr
andmaf
ors
creeni
ng.
OnMonday13t
hofDec
ember
,Mama
Shar
ifar
ecei
vedaFREECATARACT
SURGERYatt
heEye-
Campi
nMander
a
Count
yRef
err
alHos
pit
al.Af
tert
hes
urger
y,
s
hewasabl
etos
eet
hepeopl
ear
oundher
.
Shec
oul
dcountt
hedoc
tor
sfi
nger
s.
Shewasexc
ited.Thet
eam ac
compani
ed
herhomet
oconf
irmt
hats
hec
oul
dfi
nal
ly
s
eehergr
ands
on.Shewasel
atedwhens
he
s
aw hergr
ands
on.Shec
oul
dn’
tbel
ieveher
eyes
.
SAFESURGI
CALMEDI
ACOVERAGE
PARTNERS
Sa
feSur
gic
alAi
dre
pre
sent
ati
veswi
ths
omeoft
hes
pons
ers