The Child Rescue Centre and Mercy Hospital continue to find ways to partner together to provide care to people in the Bo community. This summer, they worked together to diagnose, treat and then place a deaf and mute child who’d been sleeping on the street. That child, Joseph Deen, now lives with his caregiver, the headmaster at the local deaf school, and is also enrolled in the school.
Recently, on a home visit to two children in the CRC Program (Kula Sesay Lassie and Paul Lassie), CRC Case Managers and Counselors, Rosa Saffa and Emmanuel Lamin realized that their grandmother, Kula Sesay, seemed quite ill. Kula shared that she had felt sick for over a year. Kula has been caring for her two grandchildren ever since their mother, Hannah, died during an epileptic seizure.
Rosa and Emmanuel encouraged Kula to go to Mercy Hospital for diagnosis and treatment. She worried at first about her lack of ability to pay for her treatment, but the CRC staff members were happy to share with her Mercy’s policy to provide care regardless of a patient’s ability to pay. Mercy’s Community Health Officer, Deborah Boima diagnosed Kula with tuberculosis, and provided her with medicines and monthly treatment at Mercy Hospital. Grateful, Kula said, “I am really excited with the support of CRC, my health is now satisfactory.”
In May of 2018, at a regular meeting conducted by the Ministry of Social Welfare and Gender Affairs (MSWGA), Director Mohamed Nabieu was alerted to the case of child in need. According to MSWGA, a 4-year-old boy had been discovered by the local police, hiding in one of the drainage ditches in Bo. He was brought immediately to the Ministry to try to trace his parents. However, this was complicated due to the fact that he was apparently deaf and mute, and therefore unable to communicate any information about his family or home. The Ministry put up signs and made radio announcements, but after several months, no one had come forward to claim him.
It was at that point that the Ministry shared the case with the child protection agencies attending the meeting. After discussing it, the CRC Director Nabieu, Mercy Hospital Administrator Jinnah Lahai and Lead Doctor Sao Amara agreed to take responsibility for the boy. He was brought to Mercy for a proper medical check-up, and the CRC was able to find him a safe and loving foster home with the principal of the local deaf school. The CRC has committed to continue providing for his educational, spiritual and counseling needs, while Mercy will take care of his medical needs.
Named Joseph Deen by his new foster family, he now lives with his foster father, the principal of the Ebert Kakua School for the Deaf, where he is also enrolled. He is learning sign language, and enjoys going to school with children like himself. According to his foster father, Joseph enjoys playing with the other children at school, playing with his toys and helping out with household chores. He enjoys going to his family’s farm and helping there as well. His father shares that Joseph’s happiest time of day is when it’s time to go to school.
Emmanuel Moriba (7 months) was identified on the Mattru on the Rail outreach. He was acutely malnourished and had a fever and coughing for three days. He was given medicine and enrolled into the nutrition program. After two months in the program, he was discharged this month.
His mother, Kadijatu, says, “I was really worried with my child’s condition. I heard that the Mercy Hospital Outreach team will visit our village and I brought him to see them. Thank God, he will well now. They are really caring."
23-year-old Baindu Dukullay was identified on an outreach to Flawahun village. She was pregnant with twins and found to have pregnancy induced hypertension. She was treated for the hypertension and referred to Mercy Hospital for future care. She successfully gave birth to two healthy twin girls at Mercy Hospital.
Baindu expressed, “I really appreciate Mercy for their help and keeping myself and my babies safe. They have really been taking good care of people in my village.”
First-time mother Fanta Kargbo, was only 18 years old when she enrolled in Mercy Hospital’s Prenatal Program at one of the outreach team’s trips to her village in Bandajuma in July. Ever since then, she has attended each monthly outreach to check the progress of her pregnancy, and was encouraged to give birth at Mercy when the time came.
She arrived at Mercy one morning in October, experiencing labor pains (which had been going on for some time). She was suffering from prolonged labor and finally gave birth to a healthy baby boy after 5 pm. According to the Mercy’s State Certified Midwife, Christiana Tommy, “it was not easy because she is a first time delivery. She was having trouble pushing and we had to encourage her. We thank God for her being at Mercy where we were able to provide her so much assistance. There were five of us helping her!”
When asked what the fate of Fanta and her baby would have been had she attempted to give birth in the village, the normally cheerful midwife became unusually solemn. “It would have been a problem because she was having difficulty pushing and she needed help. They would have forced her to push and that could have led to a fistula or even the death of the baby. We were able to encourage her, give her a catheter, and stitch up her tear so that she did not get fistula or any other problem.”
Christiana is referring to a basic lack of qualified personnel in the villages. While a village may have a Traditional Birth Attendant (TBA), this person is someone who likely has very little to no formal education (not even primary school), but has some basic training in childbirth, and can deliver under normal, uncomplicated circumstances. Many of the village clinics do not have midwives or TBAs, and may only be staffed by a nurse not necessarily trained in childbirth.
Fanta, clearly still exhausted the next day, was also very excited to welcome her new baby into the world. She could not stop smiling as she shared, “I am okay now, thanks to Mercy. I am so happy that my baby is safe."
Foday Koroma Jr. (12 months) is enrolled in Mercy Hospital’s Nutrition Program, and has been receiving Pikinmix (a healthy meal supplement) when Mercy’s Outreach team comes to his village each month.
On a recent trip, the Outreach staff discovered that Foday had a runny nose, cough, and headache. Mercy Outreach staff were able to quickly diagnose and treat him for an acute respiratory infection.
According to his mother, Florence, “I am very happy with the medication. I really saw great improvement. I am impressed with Mercy and the free treatment.
Lead contractor, Maada Salia handed the keys to Mercy Hospital’s new OR wing over to the staff on Monday, November 5th. Over the weekend of November 1st, the Mercy staff worked tirelessly to load in the equipment and supplies delivered in September by Project CURE, and ensured that the wing was ready for operations. Dr. Boima, a well-known surgeon in Sierra Leone and Dr. Amara’s mentor declared the wing and its two operating theatres “excellent” and “the nicest in Bo.” “I am very happy that the OR is now completed which means that the referral cases for surgery such as obstructed delivery and c-sections will now be treated here, “ said Dr. Amara, Mercy’s chief medical officer. “Before, the space was so limited we were very restricted in what we were able to do. Now, there are many more possibilities to help the community.” Head Matron Sister Augusta Kpanebaum agreed, “We have been waiting for this day a long time. We will be able to attend to cases instead of referring, especially maternity. We are so ready to go and want to thank our partners for the initiative. We are all very grateful!"
On Thursday, November 8, the first surgeries to be performed in the new OR were done by doctors affiliated with the Praise Foundation team in conjunction with trainings they are providing to Mercy staff in critical care management, obstetrics, and ultrasound. Like all medical professionals working at Mercy, PRAISE Foundation staff were required to provide medical credentials information to the Medical and Dental Counsel prior to performing surgeries at Mercy. Over the course of the first two days of operations in the new OR wing, 56 surgeries were performed by the Praise Foundation team with assistance from the Mercy staff, most of these were hernia operations and other minor surgical procedures.
Mercy will operate through the end of 2018 on a limited capacity, as they await the arrival of a blood bank and an anesthesia machine later this year. Until these important pieces of equipment arrive, Mercy will not be able to perform major surgeries, but will continue to provide the surgeries that it always has, now in a new, state-of-the-art surgical facility. Likewise, Mercy staff does not yet have the expertise to perform more complex surgeries such as c-sections. Dr. Amara will continue to work with Dr. Boima (a COMAHS professor and surgeon) to assist in surgeries beyond his current level of expertise, and now that those surgeries can be performed at Mercy, other staff will benefit in training opportunities as well.
Qualified surgeons who wish to perform surgeries at Mercy with Dr. Amara’s assistance, will be welcomed for the purpose of providing Mercy staff with teaching opportunities. This will include medical teams from overseas from time to time. Nonprofits utilizing Mercy OR for their own medical missions will do trainings as part of the privilege of performing surgeries at Mercy, and leave behind unused equipment and supplies for future use by Mercy. The PRAISE team has already demonstrated the value of simply having the facility with the collaborative spirit of Mercy Hospital available in their community.
Additional training for Mercy staff is also being planned. Project CURE is scheduled to provide training in obstetrics and critical care, and Dr. Amara and Matron August Kpanebaum will be attending GBGM training in obstetrics and Cesarean-sections in February of 2019. The official ribbon-cutting ceremony will take place on January 18, 2019.
Since it is rainy season, malaria rates are higher than usual. Eleven-year-old Steven came in to Mercy with malaria and was very weak and restless. Since receiving treatment, he is feeling much better. His father, Paul Ngaojia says, “Our family is thanking God for Mercy Hospital. They have done so much for us."
One year old Moserray was recently brought to Mercy Hospital recently by his extremely concerned mother and father. The Mercy staff quickly observed that Moserray was extremely malnourished and admitted for evaluation and treatment. In addition to malnutrition, Moserray was diagnosed with malaria. He had a high fever and difficulty breathing.
The staff treated Moserray for malaria and referred him to the Government Hospital, where he will receive more intensive care for the malnutrition than Mercy can provide. The government hospital often runs out of critical medicines, so Mercy will ensure the family has everything their child needs to heal.
Isatu is 30 weeks pregnant and enrolled in Mercy Hospital's prenatal program. During a routine check she was found to be extremely anemic, a problem for anyone but especially dangerous for pregnant women and their unborn babies. Isatu was treated for the anemia and is now feeling much better.
“I appreciate the maternity unit for their help with my problem. I want to thank God for their efforts in saving my life," Isatu says. She successfully delivered her first child at Mercy and trusts the staff to take good care of her and her baby.