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Nakoyai is a 13-year-old student from Tanzania who needs $880 to fund mobility-restoring corrective surgery.

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September 9, 2021

Nakoyai is a 13-year-old student and the second-born child in a family of five children and lives with her parents who keep livestock for a living.

Nakoyai was involved in a motorbike accident while walking to school. This left her with acquired valgus of her left foot, in which the joint of the toe closest to the ankle is bent upwards, while the others are bent downwards. She has difficulty walking and was admitted to a local hospital for almost one year, throughout which her parents spent their savings and sold most of their cattle to pay the hospital bills. Nakoyai dropped out of school after her discharge from hospital because she was no longer able to walk to her school, which was quite far from her home. One year later, she received a scholarship to join a boarding school and was brought to our medical partner’s care center seeking treatment.

Our medical partner, African Mission Healthcare (AMH), is requesting $880 to fund corrective surgery for Nakoyai. Treatment will hopefully restore Nakoyai’s mobility, allowing her to participate in a variety of activities and greatly reducing her risk of future complications. The procedure is scheduled to take place on September 10th.

Nakoyai shared, “I feel pain when I walk and I cannot play most of the sports at school because of my leg. I will be happy if my leg could be treated so that I can walk around and play like my friends.”

Nakoyai is a 13-year-old student and the second-born child in a family of five children and lives with her parents who keep livestock for a ...

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Nakoyai's Timeline

  • September 9, 2021

    Nakoyai was submitted by Edward Mugane, Impact Assessment Coordinator at African Mission Healthcare.

  • September 10, 2021

    Nakoyai was scheduled to receive treatment at Arusha Lutheran Medical Centre (ALMC) in Tanzania. 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.

  • September 13, 2021

    Nakoyai's profile was published to start raising funds.


    Nakoyai is currently raising funds for her treatment.

  • TBD

    Awaiting Nakoyai's treatment update from African Mission Healthcare.

Funded by 27 donors

Funded by 27 donors

Fluorosis - Genu Valgus / Varus
  • Cost Breakdown
  • Diagnosis
  • Procedure
On average, it costs $880 for Nakoyai's treatment
Hospital Fees
Medical Staff
  • Symptoms
  • Impact on patient's life
  • Cultural or regional significance

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

Patients with genu valgum (or "knock-knees") have knees that bend inward and cause an abnormal walking gait. Patients with genu varum (or bowleggedness) have knees that bend outward and cause knee or hip pain and reduced range of motion in the hips.

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

The patient's mobility is hindered, which can prevent the patient from making a living through physical labor. The patient may also develop arthritis later in life.

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

In the United States, supplemental fluoride is added to the water to improve dental health. However, in areas of northern Tanzania, there is too much naturally-occurring fluoride in the water, which causes bone curvature.

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

What does the treatment process look like?

After surgery, the patient will stay in the hospital for 4-5 days. During this time, the surgical wound will be monitored for swelling and infection. The patient will complete physiotherapy to help him or her walk or move the limbs. A series of X-rays will be performed over several months to monitor the healing process.

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

The bones and joints will be aligned, and long-term disability will be prevented.

What potential side effects or risks come with this treatment?

This procedure is not risky, but it is time-consuming. The rehabilitation process can take several months.

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?

There are no alternatives. Although some cases can heal on their own, the patients submitted to Watsi require dedicated treatment.

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.