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Josephine is a baby girl from Tanzania who needs $1,160 to treat bilateral clubfoot.

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January 20, 2017

Josephine and her twin brother are the third and fourth children to their parents. Josephine’s mother says she is a happy child who enjoys playing with her siblings.

Josephine’s feet are turned inward. Because she can walk, her mother never sought treatment for the condition. Recently, our medical partner’s community outreach officer traveled to Josephine’s village, where he diagnosed her with clubfeet and spoke to her parents about treatment options. Now, she is scheduled to undergo repair surgery on January 24.

Josephine’s parents are small scale farmers who herd goats and cows. However, their income is limited, and they need help to provide treatment for their daughter. Our medical partner, African Mission Healthcare Foundation, is requesting $1,160.

Josephine’s mother says, “I hope that my daughter will be able to walk straight and attend school.”

Josephine and her twin brother are the third and fourth children to their parents. Josephine's mother says she is a happy child who enjoys p...

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Josephine's Timeline

  • January 20, 2017

    Josephine was submitted by Beatrice Njoroge, Curative Medical Support Program Coordinator at African Mission Healthcare Foundation, our medical partner in Tanzania.

  • January 23, 2017

    Josephine was scheduled to receive treatment at Arusha Lutheran Medical Centre (ALMC).

  • January 23, 2017

    Josephine's profile was published to start raising funds.


    Josephine is currently raising funds for her treatment.

  • TBD

    Awaiting Josephine's treatment update from African Mission Healthcare Foundation.

Funded by 24 donors

Funded by 24 donors

  • Diagnosis
  • Procedure
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

​What kinds of symptoms do patients experience before receiving treatment?

The foot is turned inward, often severely, at the ankle, and the arch of the foot is very high. Patients experience discomfort, their foot is out of shape, and the affected leg may be shorter and smaller than the other.

​What is the impact on patients’ lives of living with these conditions?

These children have a hard time walking and running, and years of trying to walk on a club foot will cause wounds and other skeletal problems like arthritis. Many Africans make their livings through hard, manual labor, which can be difficult with an untreated clubfoot. Patients will have difficulty fitting in shoes, participating in normal play, school, and daily activities.

What cultural or regional factors affect the treatment of these conditions?

Incidence is 1/1000 live births, or about 1,600 cases in Tanzania annually—roughly the same as in the West, although many cases are probably missed. Uganda reports a higher incidence (1/750 live births). There is no known reason for its occurrence in this region.

  • Process
  • Impact on patient's life
  • Risks and side-effects
  • Accessibility
  • Alternatives

What does the treatment process look like?

Patients will undergo a series of small operations, casting, and manipulations during their course of treatment. Patients will stay in the Plaster House, a rehabilitation center for children in Tanzania, for as long as their recovery takes.

What is the impact of this treatment on the patient’s life?

The bones and joint should become aligned, and long-term disability is prevented.

What potential side effects or risks come with this treatment?

Clubfoot is very treatable. The surgery is minor and not risky.

How accessible is treatment in the area? What is the typical journey like for a patient to receive care?

Care is not easily accessible. Most patients live in remote, rural areas and are identified through mobile outreach. The pediatric surgical program at Arusha Lutheran Medical Centre was started to meet the large burden of pediatric disability in the region.

What are the alternatives to this treatment?

None. If not treated the condition will persist and disability is inevitable.