The birth of twins Jane and her sister brought joy to their parents. She is the 4th born in a family of five. She is a bright grade 1 student who likes reading, drawing and colouring. Her family hails from a small village, and both her parents are farmers. Soon after birth, her parents discovered the challenge of Jane being born with multiple birth conditions: Bilateral clubfeet, hydrocephalus, and spina bifida. They shared that they were quite shocked as they had not heard or experienced any of them before. Treatment for hydrocephalus and spina bifida required a collaborative effort between orthopaedic specialists and neurosurgeons. At ten days, she underwent a spina bifida surgery at a local hospital to address the neural tube defect affecting her spine and then hydrocephalus. Jane is a resilient girl and has overcome so much, carrying a big smile on her face. She now needs treatment for her clubfoot condition as her feet are bent inward, hindering her mobility. She is scheduled to undergo surgery, which will be impactful to her because she will be able to walk confidently like other children and continue with her education. “My desire is to see my daughter walking well and any kind of help is greatly appreciated,” Jane’s mother told us.

58-year-old Natchokani is a widow from a village in Dedza District in Malawi. With seven children, six of whom have passed away, she now lives with her youngest child, who is 7 years old and attending primary school. Natchokani never had the opportunity to attend school, making it challenging for her to find employment. Consequently, she relies on farming to sustain herself and her son, growing maize, beans, and groundnuts for both sustenance and income. Twenty years ago, Natchokani noticed an itch and an uncomfortable feeling in her throat whenever she was eating. Shortly after, people in her vicinity informed her of a swelling on her neck, which she eventually noticed herself. The swelling has been increasing in size over the years but she never went to seek medical help in health centers as she did not have finances to pay for treatment. Instead, she tried traditional medicine to no avail. Natchokani has continued to experience severe headaches and pain in her upper back. She struggles to swallow and sometimes has shortness of breath when she is lying down. She is unable to carry a heavy load on her head, therefore making it difficult for her to carry out household chores such as fetching water, and firewood and going to the maize mill. One day while she was visiting a patient at our medical partner's care center Nkhoma Hospital, she was seen by a surgeon who later diagnosed her with a multinodular mass, and thyroidectomy was recommended. Our medical partner African Mission Healthcare is requesting $491 to fund Natchokani's thyroid surgery scheduled for March 7th. Following the surgery, her symptoms will be alleviated, allowing her to breathe more easily and engage in her daily tasks without discomfort. Natchokani says, “I hope to receive treatment and resume life without this condition so that I can take care of my only son.”

Roem is a 25-year-old construction worker from Prey Veng province. Roem shares a home with his mother, his elderly grandmother, and his three siblings - one brother, and two sisters. Most of the family farms rice or works in local clothing factories. Last August, Roem was riding his motorbike, when he collided with a trailer that was being towed by another motorbike. The collision resulted in significant injuries, particularly to Roem's right forearm, which was fractured, along with his wrist. The local clinic where his parents took him asked for $800 to do surgery, a price beyond their means, so the family traveled three hours to seek help from our medical partner, Children's Surgical Centre. Roem underwent an open reduction internal fixation of his right radial fracture, and several metacarpal bones. However, subsequent complications, including persistent infections, necessitate the removal of the hardware that was placed during the initial surgery. Children's Surgical Centre is requesting $304 to defray the cost of the hardware removal procedure, which is scheduled for January 8th, at Kien Khleang National Rehabilitation Centre. This procedure should eliminate infections at the surgical site, and facilitate the ongoing healing process of Roem's bones. Roem said: "I hope the infection goes away and my hand is better, so I can go back to construction work to help my family."