AIC Kapsowar Hospital

Jonah is a 66-year-old man from Kenya. Before he got sick, Jonah faithfully served as a pastor and supplemented his income through small-scale farming. Together with his wife, he relied on farming to meet their daily needs and maintain a modest but dignified livelihood. However, since the progression of his kidney disease, he has become physically unable to work, leaving him dependent on the support of his children for food, medical expenses, and other necessities. Jonah was diagnosed with End-Stage Renal Disease (ESRD) and began life-sustaining hemodialysis in September 2025. Since then, he has attended dialysis sessions twice every week, on Mondays and Thursdays, using a tunnelled right internal jugular (RIJ) dialysis catheter. While he has remained committed to his treatment schedule, concerns have arisen regarding the long-term function and reliability of the catheter, making it necessary to establish a more durable and safer dialysis access. In September 2025, Jonah underwent the first stage of a brachiobasilic arteriovenous fistula (AVF) creation, an important step toward achieving permanent dialysis access. A recent medical assessment revealed a palpable thrill over both the basilic vein and the distal cephalic vein, with slow capillary refill. These findings indicate the need for a second-stage brachiobasilic AVF transposition together with ligation of the competing cephalic vein to optimise the fistula and ensure reliable, long-term dialysis treatment. This procedure is critical for Jonah's ongoing care. A well-functioning arteriovenous fistula is considered the preferred form of vascular access for dialysis because it provides better blood flow, reduces complications, and improves long-term treatment outcomes. Without the recommended surgery, Jonah remains dependent on a catheter that carries increased risks of infection, clotting, and inadequate dialysis. On August 7th, Jonah will undergo surgery to create an arteriovenous fistula to facilitate his treatments. Our medical partner, African Mission Healthcare, is requesting $1,127 to fund his procedure and care. Jonah says, "I am looking forward to recovering soon so that I can continue serving in the ministry. "

Vivian is a 36-year-old mother of two children, aged 12 and 7 from Kenya. She comes from a humble background and was only able to study up to Form 2, before dropping out of school due to financial challenges. Together with her husband, she has worked hard to provide for their children through small-scale mixed farming. Six years ago, Vivian began to experience troubling symptoms, including swelling at the front of her neck. With time, she began experiencing headaches, tiredness, and weight loss. Concerned, she eventually sought medical attention. She was diagnosed with non-toxic goitre, which is an enlargement of the thyroid gland. Vivian needs surgery to prevent her symptoms from getting worse. Unfortunately, her national medical cover was exhausted by a fracture repair surgery last year, and the little money she raised from selling off her chickens was spent on preoperative investigations. Her family is therefore unable to afford her upcoming surgery. Our medical partner, African Mission Healthcare, is helping Vivian receive treatment. She is scheduled to undergo a thyroidectomy on August 10th at AIC Kapsowar Hospital, where surgeons will remove all or part of her thyroid gland. This procedure will cost $830, and she and her family need help raising the funds. Vivian says, "My wish is to undergo surgery treatment and return home to my children, healthy. I hope I can recover before my children reopen school."

Edwin is a 25-year-old young man from Kenya. He has just begun building his life and is looking forward to a promising future. He is single and completed Information Technology in Business Management. Although finding stable employment had been difficult, Edwin remained determined to make a living and support himself. He took up casual jobs while searching for better opportunities. In January 2026, while on his way home, Edwin was struck by a speeding car and thrown into a ditch, sustaining a severe open fracture of his right tibia. He was rushed to a health facility near his home, but the injury was extensively contaminated. What followed was a long and difficult journey involving several operations. He initially underwent surgical washout and later had an open reduction and internal fixation (ORIF) of the fracture. Although the surgery was initially successful, he subsequently developed an opening in the lateral aspect of his leg with a persistent draining sinus and a wound that failed to heal. ‎Because of the complexity of his condition, Edwin was referred to our medical partner's care center, AIC Kapsowar Hospital, for further care. An examination revealed extensive necrotic soft tissue around the distal tibia wound, including necrosis involving part of the Achilles tendon. There was also non-viable bone, requiring extensive surgical debridement. ‎Edwin was taken back to the operating theater and underwent several complex procedures, including placement of an Ilizarov external fixator and provisional fixation of the distal tibia using mini-plates. In an effort to cover the extensive soft-tissue defect and give his leg a chance to heal, he later underwent a left anterolateral thigh fasciocutaneous free flap with microvascular free-tissue transfer to the defect. ‎Initially, Edwin did well after the procedure. Unfortunately, the flap later failed because of progressive infection. Despite antibiotic treatment, the infection remained difficult to control. He was subsequently placed on broad-spectrum antibiotics and planned for further surgery, including extensive sequestrectomy and placement of an antibiotic spacer to address the infected and non-viable bone. ‎Edwin has now returned for further management. The orthopedic team is planning additional surgery, including ORIF and bone grafting, although ankle fusion may also be necessary to achieve stability and preserve the limb. ‎Throughout this long and painful journey, Edwin has remained hopeful. Fortunately, surgeons at our medical partner can help. On August 11th, Edwin will undergo surgery that will allow doctors to save his leg. Edwin is hopeful he will regain his independence, return to a productive life, and continue pursuing the future he had worked so hard to build. Now, our medical partner, African Mission Healthcare, is requesting $1,014 to fund this procedure. Edwin says, It's the best feeling to be well and be able to walk without support. Been on crutches for 7 months and hoping one day I will walk independently. I know my recovery journey will be quite long, but trusting in God. My parents and I have gone through a lot, both physically and financially."

52-year-old Christine is a wife, mother of six, and a hardworking farmer, who lives in Kenya. Her husband retired from the police force, and now farms along with his wife, hoping to provide a stable future for their family. Christine and her husband have children who are still dependent on them, with some preparing for college, and others continuing their secondary education. Their children look to their parents for school fees, food, and other basic needs. When Christine’s husband retired, he bought land as an investment with his retirement benefits, to help sustain the family after his retirement. Part of his retirement money was also used to pay school fees, and to meet the family’s immediate needs. Since then, the couple has relied largely on seasonal farming income to support their household and to educate their children. In early March, Christine was on her way to their farm. She was going to look for workers who would help prepare the land ahead of the April planting season. She never imagined that this ordinary journey would change her life forever. She was traveling in a public service vehicle, when a speeding car crashed into them. The accident was devastating. Christine considers herself fortunate to have survived, but she sustained multiple severe fractures, and was rushed to a health facility in Eldoret. She spent nearly a month as an inpatient, undergoing treatment for injuries to several parts of her body. She had sustained fractures involving her right hip, right femur, left knee, and left wrist. She eventually underwent surgery, including open reduction and internal fixation (ORIF) of her wrist, femur, and hip. The surgeries were successful, and she was discharged for continued recovery and follow-up. For some time, Christine was hopeful that her life would gradually return to normal. However, she continued experiencing persistent and severe pain around her right hip. As the pain continued, Christine decided to seek further specialized care at our medical partner's care center, AIC Kapsowar Hospital. She was reviewed by the orthopedic team, and underwent a CT scan which revealed a right hip dislocation, post-surgical changes following the previous right acetabular (hip socket) ORIF, and a moderate right hip joint effusion. The findings explained why Christine continued to experience pain, and why she had been unable to walk independently. The orthopedic team has determined that Christine requires another complex operation. The planned procedure involves surgical reconstruction of the right hip, with possible joint replacement, together with further fixation of the femur. This is expected to be a difficult and lengthy procedure, because of the severity of her original injuries, and the previous operations she has already undergone. As a result of the care that Christine needed right after the accident, her national health insurance has been exhausted. Although the family has some support available for the specialized surgery that Christine will require, the cost of the required implants and other surgical expenses remains a major challenge. Christine is still hopeful, even as she continues to be unable to bear weight, and needs crutches to be able to move around. Fortunately, surgeons at AIC Kapsowar Hospital, can help. On August 20th, Christine will undergo a fracture repair procedure, called an open reduction and internal fixation. This procedure will enable her to walk easily again. Now, our medical partner, African Mission Healthcare, is requesting $1,247 to fund Christine's surgery and care. Christine said: “I was almost losing hope because of everything I have gone through since the accident. Being able to walk independently, without support, is what I am looking forward to. Please help me complete this journey."

At just 11 years old, Victorine has had multiple hospital admissions and surgeries. What began as a simple fall while playing at school has turned into a long and difficult journey with chronic bone infection, an open wound, repeated operations, and the need for complex reconstructive surgery. In 2023, Victorine, a 3rd grader then, was playing at school when she fell and sustained a fracture of her right lower leg. She was taken to a health facility, where the fracture was managed with a cast, and she was discharged. Her family continued taking her for follow-up clinics, hoping the injury would heal and that she would soon return to her normal childhood. Months later, however, Victorine began developing a persistent wound on the front of her leg, with part of the bone exposed. Further investigations, including an X-ray, showed features consistent with chronic osteomyelitis and sequestrum, which is dead bone trapped within the infected area. Victorine's family decided to seek further care at our medical partner's care center, AIC Kapsowar Hospital, where a repeat X-ray showed evidence of chronic osteomyelitis with poor healing and possible non-union of the tibia. The surgical team explained to the family that the immediate priority would be to remove the dead and infected bone and control the infection, but that this would not be the final stage of treatment. Victorine would likely require several procedures before her leg could be adequately reconstructed. Victorine underwent a sequestrectomy, during which the surgeons removed the dead and infected bone. Extensive debridement was performed, and an antibiotic spacer was placed to help manage the infection and prepare the leg for future reconstruction. Victorine was then discharged, but unfortunately, her surgical wound opened again, and she had to return to the operating theatre for another procedure. Victorine has been attending follow up clinics and recently, the surgical team determined that she now requires a more complex reconstructive procedure for removal of the antibiotic spacer, flap coverage, bone grafting, and application of an external fixator. The surgery will help provide healthy tissue coverage, stabilise the tibia, and allow her leg to heal. Victorine is currently in the hospital with her father, a small-scale farmer, who has remained by her side throughout this difficult journey. Victorine has seven siblings who also depend on their parents for their daily living. Since her first hospital admission, the family has relied heavily on support from the national health insurance and well-wishers to help meet the cost of her treatment. Unfortunately, Victorine now has limited approval in the health cover for the upcoming surgery. Her family is seeking to raise $694 for the procedure, which is scheduled on August 19th. Victorine's father says, "My daughter has been out of school for a very long time. My prayer is for healing, so that she can continue with her education. Please help us."

Ian is 23 years old and a recent university graduate from Kenya. He has a degree in Mathematics and Physics, and like many young graduates, he was looking forward to securing employment, building a career, and supporting himself and his family. He is the second-born in a family of three boys. His father is a carpenter who, after years of hard work, recently established his own carpentry workshop. His mother supplements the family's income through a small business selling toothbrushes and toothpaste within the community. Following graduation, Ian was in a motorcycle accident, which has left him in the hospital for the last three months and anxious about his ability to work and support his family in the future. Ian was unconscious for 50 minutes before being rushed to a healthcare facility, where investigations revealed an open fracture of the left tibia. He underwent open reduction and internal fixation (ORIF) and was later discharged. Unfortunately, his recovery was complicated by infection. During follow-up, the surgical wound showed signs of deterioration, prompting debridement and wound washout procedures. Despite these interventions, the condition worsened, eventually developing into a draining sinus with persistent pus discharge. Seeking more specialized care, Ian was referred to African Mission Healthcare. Although his facial injuries had healed, the damage to his lower limb was extensive. He was admitted immediately for aggressive limb-salvage treatment aimed at eliminating infection, preserving function, and preventing amputation. Since admission, Ian has undergone several major procedures under the care of both orthopedic and plastic surgery teams. These have included metatarsal pinning, application of an external fixator, free flap reconstruction with venous grafting to cover the tibial defect, and split-thickness skin grafting (STSG). Despite these efforts, the flap later became necrotic, leading to flap breakdown, persistent infection, and delayed wound healing. As a result, further surgery was required. Through daily wound care, close monitoring, and intravenous antibiotics, the infection is gradually coming under control, and the wound is beginning to heal. The orthopedic and plastic surgery teams are preparing for another major reconstructive procedure involving flap coverage, external fixation, and split-thickness skin grafting. This surgery is essential to provide durable soft-tissue coverage, stabilize the limb, promote healing, and maximize Ian's chances of keeping his leg and regaining mobility. Ian is scheduled to receive reconstructive surgery on his leg on August 24th. Our medical partner, African Mission Healthcare, is requesting $1,500. to fund Ian's procedure and care. Ian shares, "I have been in hospital for three months. The medical team has been encouraging me to be patient because we've come a long way to give up now. I do understand that I still have further procedures, and I pray to God for success in the coming procedures. I was worried about my government insurance coverage and was worried because my family has been struggling financially for transportation and food. I always prayed to God for provision, and indeed he provides in miraculous ways. Please help me pay for this surgery and also pray for success. Looking for a day I will get back on my feet."

Esther is a 46-year-old small-scale farmer from Kenya. She has three adult children who are all married. Her husband has suffered from severe mental illness for many years and has been unstable and unable to provide consistent care or support for the family. Esther is living with HIV, although the source of the infection remains unknown. Her weakened immune system left her highly vulnerable to infections and other complications. Esther accidentally injured her leg with a stick. What initially appeared to be a minor injury rapidly progressed into necrotizing fasciitis, a severe and potentially life-threatening infection that destroyed the tissues of her leg. She underwent several surgical debridement procedures, multiple wound debridements, wound vacuum-assisted closure (VAC) therapy, multiple blood transfusions, and a split-thickness skin graft (STSG). Although the graft took remarkably well and the leg wound eventually closed, she later developed a breakdown of the donor site wound on her thigh, which now requires another split-thickness skin graft. Fortunately, our medical partner, African Mission Healthcare, is helping Esther receive treatment. On August 2th5, surgeons will perform a debridement and skin graft procedure to help cover the large open wound on her thigh, promote wound healing, prevent further tissue damage, reduce the risk of infection, and allow the wound to close. Successful treatment will improve her recovery, preserve the progress already made during her lengthy treatment journey, and help her return home to continue her life and farming activities. Now, Esther needs help to fund this $1,183 procedure. Esther says, "I have been in this hospital bed for a long time, and I really hope I will be out someday. I have been left alone without a caretaker. I am not in a position to pay; please help me."

Chepkat is an 11-year-old girl from Kenya. She comes from a pastoralist family whose livelihood has always depended on keeping goats and cattle. Due to the harsh, isolated nature of their residence, Chepkat has never had the opportunity to attend school. Her parents survive through livestock keeping, but recently their family suffered a major setback when raiders attacked their homestead and drove away their cattle, leaving them with nothing. One afternoon, while trying to pick fruit from a tree, Chepkat accidentally stepped on a dry branch that suddenly broke beneath her. She fell heavily to the ground and immediately experienced severe pain. Due to the remoteness of their home, the family had to travel nearly two hours to reach the nearest health facility. At the first facility, she was immobilized and later referred to another hospital, where she was managed conservatively with bed rest and pain medication. However, her condition did not improve, and her pain persisted. Chepkat was referred to our medical partner's care center, AIC Kapsowar Hospital, where an x-ray revealed a fracture of the head of her hip bone, a serious injury that requires urgent surgical intervention. She needs an urgent Open Reduction and Internal Fixation (ORIF) to stabilize and repair the bone. On March 11th, Chepkat will undergo a fracture repair procedure. She needs help so that she can receive the operation she needs and regain the chance to walk and live a healthy and active life. Now, our medical partner, African Mission Healthcare, is requesting $1,247 to fund this procedure. Chepkat's mother says, "My child is in pain and cannot stand, please help her so she can regain her mobility."

Eman is a five-year-old boy living in Kenya with his parents and younger brother. The family is originally from Ethiopia, where his father served as a missionary, but have relocated while his father is attending missionary college. As a student, Eman’s father does not have a work permit, and the family relies on a small income from the church. They have also been unable to obtain health insurance. Eman was originally referred to our medical partner for chronic tonsillitis, but during his evaluation, doctors identified a reducible left inguinal hernia. This type of hernia is present at birth, but symptoms can take some time to appear. Doctors advised that the hernia repair be postponed until after a tonsillectomy, as the tonsillitis was causing repeated hospital admissions, frequent infections, and continuous use of antibiotics. Eman’s tonsillitis surgery was successful, and his recovery has been remarkable. His father expresses immense joy and gratitude because Eman is sleeping better, is more active, and is able to enjoy his childhood without constant illness. With his recovery complete, Eman is now scheduled for hernia repair surgery. Our medical partner, African Mission Healthcare, is requesting $864 to fund Eman’s surgery, which will take place on May 15th. This surgery will give him the chance to grow up healthy, attend school without discomfort, and avoid future complications. Eman's father says, "This hospital has been a blessing and a healing to our family. My son has since improved after the first surgery, and we thank God for everything. Please help us so that my son can grow like other children, healthy, go to school, and we will testify to what the Lord does.”

Kenneth is a calm and humble 33-year-old man from Kenya. Trained in a beauty college, he started a small hair salon where he provides manicure and pedicure services. His wife is also actively involved in the business, making their clients' hair. Together, the couple works tirelessly to provide for their family and build a better future. Kenneth shares that his strong work ethic was shaped by his parents. In 2020, Kenneth’s life took an unexpected turn when he started experiencing episodes of swelling on his legs and persistent headaches. After a medical evaluation, he was diagnosed with hypertension. He was managed as an outpatient at a private clinic near his village and placed on medication, but over time, Kenneth struggled with adherence. He would take his blood pressure medication mainly when he had headaches or felt unwell, and on other days, he would skip his medication. By January 2025, Kenneth's condition had progressed to chronic kidney disease, leaving him dependent on dialysis to sustain his life. He was started on dialysis twice every week, and since then, has shown great commitment and compliance with his treatment. He attends his dialysis sessions regularly and follows up with his nephrologist, who later referred him to our medical partner's care center, AIC Kapsowar Hospital, for specialized care. Initially, Kenneth had a temporary dialysis catheter, which he used for some time. Unfortunately, he began experiencing recurrent infections and discomfort related to the catheter. He successfully underwent a procedure to create an arteriovenous fistula, to use for his dialysis sessions. With time, however, it became weak, and the thrill was lost, making it no longer suitable for use. After his most recent dialysis session, Kenneth noticed swelling around the fistula site. He was assessed and referred back to AIC Kapsowar Hospital for evaluation, and creation of another fistula, so he could continue receiving life-sustaining dialysis safely. Previously, he underwent the procedure via his national medical cover, but the annual allocation has since been exhausted. He used his little savings to cater for transport to and from the hospital for his dialysis sessions, but the financial burden has become overwhelming, and he is not able to afford the upcoming procedure. Fortunately, our medical partner, African Mission Healthcare, is helping Kenneth receive treatment. On July 1st, he will undergo a procedure to create the arteriovenous fistula, which will make his dialysis sessions safer. Now, Kenneth needs help to fund this $1,127 procedure. He says: "I really pray that the fistula works, so that my access is made possible. I also love serving people and it would be great if I don't encounter discomfort at work. Please assist me."

Michael is a 57-year old police officer from Kenya, and a father of five children. As a dedicated family man, Michael has always worked hard to provide for his family, but being the sole breadwinner means his income is stretched across many responsibilities. He also has existing loans and financial commitments, making this period especially difficult. He has undergone several surgeries, and his medical insurance approvals have now been exhausted. At one point, he had to pay for treatment out of pocket and even sold part of his maize harvest to help settle his medical bills. He shares that currently, it is difficult to source funds to continue paying for the treatment that he still needs. In March 2025, Michael was involved in a tragic road traffic accident while on leave. He was traveling back home in a lorry that was carrying poles, when it suddenly lost control and swerved off the road. The driver was fortunate to escape, but Michael, who was seated in the co-driver’s seat, was thrown out of the vehicle and sustained multiple severe fractures on both his lower legs and his left thighbone. He received initial treatment at another facility and continued with follow-up care and postoperative management. However, despite the treatment, his recovery was not progressing as expected. Almost a year later, Michael went to our medical partner's care center, AIC Kapsowar, hoping for better care. He was experiencing painful swelling and instability of both legs. He reported that his legs would buckle at the fracture sites whenever he attempted to bear weight, suggesting that the fractures had failed to unite properly. Further investigations, including X-rays, revealed osteomyelitis (bone infection) of the right leg, and he was diagnosed with septic non-union. Michael was taken to the theatre, where the infected hardware was removed, a thorough surgical washout was performed, and an antibiotic spacer was inserted to help clear the infection. Michael returned to hospital in May 2026, and successfully underwent an open reduction and internal fixation (ORIF) procedure. However, his treatment journey continued, as he had also been found to have a femoral non-union and a left ankle malunion requiring further staged reconstruction. In June 2026, Michael underwent another successful procedure involving exchange nailing and bone grafting to address the femoral non-union. He is now awaiting correction of the left ankle malunion. This next stage will require the removal of existing surgical hardware, followed by complex ankle fixation using plates and screws. Due to the demands of his job and his current condition, Michael has been unable to work and earn additional income since his accident. Our medical partner, African Mission Healthcare, is helping Michael receive treatment. On July 2nd, he is scheduled to undergo a fracture repair procedure, so he can continue his path to recovery and regain strength and movement. Now, Michael needs help to fund this $1,014 procedure. Michael says "I came to AIC Kapsowar Hospital with a lot of hope, and I can testify what the Lord had done for me to date. I look forward to the day I will fully walk independently without support, so that I can go back to work and serve humanity."