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Kemirembe is a single mother from Uganda who needs $239 to fund a hysterectomy.

Kemirembe
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June 2, 2020

Kemirembe is a 49-year-old mother of five and shared that her husband died in 1998. He left her with a grass thatched house, and through hard work, she managed to construct a three-room semi-permanent house to shelter her children. Her house though, was washed away by floods early last month due to constant rains in the country. She is currently struggling in putting up a temporally one because she wasn’t financially prepared for the disaster.

Her firstborn is 30 years old and joined a technical institution immediately after completing primary school class seven, the second born is 27 years old and dropped out of school from secondary school class two, her third born is 25 years old and got married after primary school class seven. Her fourth is 23 years old and is in secondary school class four while her last born is 22 years and dropped out of school from primary school class seven. Most of her children are casual laborers and can only offer minimal support to her.

At Rushoroza Hospital, she presented with a history of lower abdominal pain plus menorrhagia. If not treated through a total abdominal hysterectomy, she could have chronic pelvic pain that will stop her from doing her daily activities, severe anemia secondary to menorrhagia leading to possible heart failure.

Kemirembe is a small-scale farmer who grows a variety of crops for survival. Her husband used to own and raise livestock such as cows and goats. He had many of them, she told us. Kemirembe managed to pay school fees for her children by selling the cows and goats and now is left with no animals.

Kemirembe shared, “I had lost hope. May my prayers be answered. I look forward to putting more effort to farming in order to be able to take good care of myself in a few years when I grow older.”

Kemirembe is a 49-year-old mother of five and shared that her husband died in 1998. He left her with a grass thatched house, and through har...

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Kemirembe's Timeline

  • June 2, 2020
    PROFILE SUBMITTED

    Kemirembe was submitted by Joan Kadagaya, Curative Medical Support Program-Partner Representative at African Mission Healthcare, our medical partner in Uganda.

  • June 03, 2020
    TREATMENT OCCURRED

    Kemirembe received treatment at Rushoroza Hospital. Medical partners often provide care to patients accepted by Watsi before those patients are fully funded, operating under the guarantee that the cost of care will be paid for by donors.

  • June 03, 2020
    PROFILE PUBLISHED

    Kemirembe's profile was published to start raising funds.

  • July 09, 2020
    AWAITING UPDATE

    Awaiting Kemirembe's treatment update from African Mission Healthcare.

  • TODAY
    AWAITING FUNDING

    Kemirembe is currently raising funds for her treatment.

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Treatment
Total Abdominal Hysterectomy
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $239 for Kemirembe's treatment
Hospital Fees
$157
Medical Staff
$0
Medication
$24
Supplies
$38
Labs
$20
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

Symptoms vary depending on the condition that requires the total abdominal hysterectomy. If the cause is cervical, uterine, or ovarian cancer, there may not be symptoms, especially if the cancer is early-stage. In more advanced cases of cervical and uterine cancers, abnormal bleeding, unusual discharge, and pelvic or abdominal pain can occur. Symptoms of ovarian cancer may include trouble eating, trouble feeling full, bloating, and urinary abnormality. If the cause is fibroids, symptoms may include heavy bleeding, pain in the pelvis or lower back, and swelling or enlargement of the abdomen.

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

Fibroids can grow large, cause abdominal pain and swelling, and lead to recurring bleeding and anemia. Cancer can cause pain and lead to death.

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

Most cervical cancer is caused by a sexually transmitted infection called human papillomavirus (HPV), which can often occur alongside a HIV infection. As a result, cervical cancer is the leading cause of cancer death among African women in areas of high HIV prevalence. Cervical cancer is also more prevalent in Africa than in the United States due to the lack of early-detection screening programs. The other conditions treated by a total abdominal hysterectomy are not necessarily more common in Africa.

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

What does the treatment process look like?

The patient first reports for laboratory testing. The following day, the patient undergoes surgery. After the operation, the patient stays in the hospital ward for three to four days, during which she is continually monitored. The surgery is considered successful if the wound heals without infection, bleeding, or fever, and if the patient no longer experiences urinary dysfunction.

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

In the case of uterine fibroids or early-stage cancer, a total abdominal hysterectomy is curative.

What potential side effects or risks come with this treatment?

If performed early enough, this surgery is low-risk and curative, with few side effects.

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

This surgery is available, but many patients cannot afford it. Many women are screened for cervical cancer with a low-cost alternative to a pap smear. This is common in HIV treatment programs. If necessary, the woman is referred for surgery, which she often cannot afford.

What are the alternatives to this treatment?

If cervical cancer is caught early enough, some minor procedures can solve the problem. Women with fibroids who still wish to have children may opt to undergo a surgery only to remove the fibroids, which is called a myomectomy.

Meet another patient you can support

100% of your donation funds life-changing surgery.

Meet another patient you can support

100% of your donation funds life-changing surgery.