Gregory is a 44-year-old husband and devoted father of five children from Malawi. As the family's sole breadwinner, he carries the immense responsibility of supporting his wife and children. His eldest child is currently a second-year university student, while his other children are in Form 4, Form 3, and Form 1, all relying on him for school fees, food, and daily necessities. The youngest is still an infant and depends entirely on his care and support. Gregory earns a living as a small-scale farmer, growing maize, Irish potatoes, vegetables, and rearing a few chickens. For many years, farming has been the foundation of his family's survival. Through hard work and determination, he has managed to provide food for his household and keep his children in school despite the many challenges of rural life. His health problems began when he noticed a small swelling in the upper part of his abdomen after carrying heavy metal objects. Initially, the swelling caused little concern, and he responded by avoiding heavy lifting. However, over time, the swelling became progressively larger and more painful, especially when performing strenuous farm work. Seeking medical attention, Gregory visited several healthcare facilities where he was diagnosed with an epigastric hernia, which is a bulge occurring in the upper abdomen, caused by tissue pushing through weak abdominal muscles. Although surgery was recommended, repeated delays and busy surgical schedules at the public hospital meant that he never received the operation he needed. As the years passed, the hernia continued to worsen, causing increasing pain and limiting his ability to work. While still waiting for treatment, Gregory developed another problem two years ago. A soft swelling appeared on his back and rapidly increased in size. Doctors later identified it as a lipoma, a slow-growing fatty tumor located between the skin and muscle layer. Unfortunately, the mass has continued to grow and has now become so large that it interferes with the movement of his arm, making farming activities increasingly difficult and painful. Today, Gregory lives with constant discomfort from both conditions. The painful abdominal hernia affects him whenever he bends, lifts, coughs, strains, or works in the fields. At the same time, the large lipoma limits his mobility and makes routine farming tasks exhausting. Determined to find help, Gregory came to PIH after hearing that patients could receive timely surgical treatment. He hoped that surgery would finally free him from years of pain and allow him to resume caring for his family without limitation. Gregory was evaluated by the surgical team at PIH who confirmed that he required two surgical procedures, which could be done in the same operation: an Epigastric Hernia Repair and a Major Mass Excision (Removal of the Large Lipoma). If left untreated, the hernia could place him at risk of complications such as incarceration or strangulation. The large lipoma would also impact his daily activities. Fortunately, our medical partner, African Mission Healthcare, is helping Gregory receive treatment. On August 19th, he will undergo the two procedures to relieve years of pain, restore his ability to earn a living, and give him the chance to continue supporting his family. Gregory is contributing to his care, but needs help to raise an additional $575 for his treatment. He says: "Your support will be highly appreciated, to restore my health and help me focus on my farm work."

Koumba is a 48-year-old woman living in Yirimadio, Mali. She is a homemaker, and has one son. About two months ago, Koumba started experiencing abdominal pain, fever, and a feeling of fullness. She went to a health center and upon clinical examination, aided by ultrasound, a diagnosis of uterine fibroids was made. Uterine fibroids, are benign growths in the uterus. She needs to undergo a myomectomy, a procedure in which surgeons will remove the fibroids. Our medical partner, Muso, is requesting $677 to fund Koumba's surgery. She is scheduled to undergo her myomectomy on September 8th at Hôpital du Mali. Koumba says: "I will be very happy to be in good health after my treatment."

Birhanu is 75 years old and a retired soldier from Ethiopia. His wife makes handicrafts to bring in extra money. Together, they work hard to support their four children—three sons and one daughter. For more than two years, however, a growing cloud in his left eye—known as a cataract—has turned his life upside down. Birhanu's vision has become blurry and weak, making it dangerous for him to walk outside, especially after dark. Simple chores around the house have also become exhausting challenges, taking away the independence and quiet daily routines he has relied on for decades. Fortunately, Birhanu is scheduled to undergo cataract surgery with the help of our medical partner, Saglan Wajee General Hospital. Surgeons will remove and replace the blurred lens. After recovery, he will be able to see clearly. Now, he needs help to raise $150 to fund this procedure. Birhanu shared, "I hope to walk safely at night, go back to doing odd jobs to help my family, handle chores on my own, and get my confidence and active life back in the community."