I'm sitting across from a young man we'll call X. He's dressed nicely, wearing a clean, ironed, checkered shirt and a jacket that looks like it could be for a special occasion. As he sits down for our chat, he takes off his hat, a sign of respect in Tanzanian culture and greets me with a confident smile, shaking my hand. However, it's important to note that things in his past haven't always been as positive as they are now.

A few years ago, X came to FAME in a deeply troubling state. He exhibited aggressive and impulsive behaviors that caused his family to lose hope for him. His actions had not only embarrassed his family but also disrupted the peace of their community. He frequently engaged in disruptive behavior at the local market, often chasing after the women selling groceries, finding it entertaining despite the havoc it would wreak. At times, he even ran through the village naked, greatly alarming and upsetting the villagers. As a result, he became somewhat isolated from both his community and his own family.

“I wasn’t feeling good. Sometimes, I had terrible headaches and my head felt heavy. Other times, my ears would ring loudly, like drums were playing inside my head! From time to time, I felt extremely happy and that’s when I’d visit the market because it was so nice to see everyone there. But sometimes I also felt deep sadness and didn’t want to leave my house.”

— X

X's mother brought him to FAME after weeks of increasingly aggressive behavior. He had become significantly worse than usual. Often, his family had to restrain his hands to prevent him from harming himself and others. Additionally, he had completely neglected his personal hygiene, making it difficult for others to tolerate his presence. Fortunately, the family lived close to FAME, making it a convenient choice.

X became highly anxious and combative with the medical staff when he arrived at FAME. He was confused and upset because the new surroundings were unfamiliar. As a result, he was quickly admitted and prescribed antipsychotic medication.

After spending several weeks at FAME, X was permitted to return home with a prescription for medication.

“Every day, I take a pill in the evenings. At first, I didn’t like them because they made me nauseous. However, they have improved my symptoms greatly, allowing me to engage in conversations with my family, which I greatly enjoy. So, I have continued taking them. I come to FAME every month to pick up my medication without fail. They help me feel like my old self, so I take them religiously. When I come here, I talk to the doctor about how I am feeling. FAME has really supported me and I am thankful for their help.”

— X

Since coming to FAME, X has been doing quite well. He tells me he has nice clothes and takes great pride in looking sharp. Whenever he washes his clothes, he takes the time to iron them neatly for the next day. He doesn't have a regular job, but he volunteers at the local church and the pastor gives him a small monthly allowance for his help. X says he enjoys being at the church every day, so he's not too keen on seeking employment elsewhere, even if he knows he could make more money.

World Mental Health Day aims to spread awareness and ensure that mental healthcare is accessible to all who require it. X's mother mentioned that since he was a teenager, he displayed some unusual behavior. Still, she didn't know how to address it and didn't want to spend money taking him to the hospital just because he was a bit different from his peers. Only years later, when he experienced a significant breakdown, did she realize it was time to seek help at the hospital.

FAME remains committed to improving mental health, particularly in our community, where significant stigma surrounds individuals and families suffering from mental health challenges.

*The patient's name has been changed to protect his privacy and permission was secured to share his story. The quotes from the interview have been translated from Swahili to English. 

Judy

Today, we are at the Reproductive and Child Health (RCH) Clinic, where we meet 36-year-old Judy*. She's here for her prenatal checkup as she's 18 weeks pregnant with her second child. This is not Judy's first time at FAME; she had previously given birth to her first child here three years ago. The delivery was difficult as her son was born prematurely, just one day short of reaching the 25-week mark.

“Everything was going well during my pregnancy for the first three months. Then, things took a turn. I started experiencing sharp pains that made it impossible for me to walk and I had to spend most of my days in bed. I attended prenatal classes at FAME then and they advised me to rest and take it easy. However, I suddenly went into full-blown labor when I was almost 25 weeks along. My sister rushed me to FAME and the doctors confirmed that they had no other option but to deliver the baby. It was a devastating experience for me.”

— Judy

Judy, being a new mom with no prior experience, felt extremely frightened and uncertain about what lay ahead.

“I was sure that my child would die. I had never heard of a baby being born that early; I didn’t think it was something that could happen. The doctors and nurses at FAME were incredibly supportive. They comforted me and reassured me that despite the odds against us, my child still had a chance to survive. My son was born weighing only 1.1 lbs. He didn’t even look like a human being! I have never cried so much in my life.”

— Judy

While FAME has a Special Care Nursery, the closest facility to a NICU for almost 100 miles, FAME does not have the synthetic surfactant injection given to premature babies to help them breathe. As a result, Judy’s baby had to be transferred to a NICU in Arusha, 95 miles from FAME.

“The NICU in Arusha was full, but thanks to the efforts of FAME doctors, they managed to secure a spot for me. When my family came to assist with the transfer, they were shocked by just how small my baby was, almost resembling a rat! Nevertheless, I was unwavering in my determination to do whatever it took to save my baby’s life.”

— Judy

Judy stayed with her baby in the NICU at Arusha Lutheran Medical Center (ALMC) for three months.

“It was a very challenging time. My baby was the smallest one in the NICU. I saw other mothers of premature babies crying a lot, but I tried my best to stay strong because I quickly realized that my tears did not make anything better. The doctors were incredibly compassionate and when my son reached 2.2 lbs, they surprised me with a cake and a little celebration! I appreciated how every little achievement was celebrated there.”

— Judy

Judy's beaming as she flips through pictures of her unstoppable three-year-old son. "FAME made it all possible and I'm so grateful," she says, deeply moved.

Judy is very thankful to FAME.

“FAME truly saved my baby’s life. He is now an active 3-year-old and very intelligent! He keeps me on my toes! I named him Godwin, but now we all just call him ‘Miracle’. I have always had faith in doctors, so I might have lost hope if FAME doctors had not told me there was a small chance of survival for my child. FAME stood by me, supporting us every step of the way. After taking my baby home from the NICU, I brought him to FAME’s RCH for vaccinations and checkups, where we still come today. FAME has been there for us for the past three years and it’s given me the courage to have another child. I am confident I am in capable hands with FAME if I ever face a similar situation.”

— Judy

FAME continues to make strides in its Special Care Nursery (SCN). In 2022, we hired pediatrician Dr. Elissa Zirinsky and in 2023, Volunteer Pediatrician Dr. Peter Wallis joined the team. With this level of support and expertise over the next year, we are excited to bring our SCN to the next level in order to greatly reduce the need for these types of referrals.

*The patient's name has been changed to protect her privacy and permission was secured to share her story. The quotes from the interview have been translated from Swahili to English. 

Nurse Denison (second left) poses with the FAME team.

Today, we publish the volunteer reflection of Karen Denison a dedicated volunteer who has been supporting our work at FAME for quite some time. Karen has been helping FAME set up our infection prevention program. Karen was actually the first person we interviewed for our "Volunteer Reflection" series back in December 2021. You can read that reflection HERE. 

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“I have volunteered at FAME five times since 2018. I am a Registered Nurse (RN) and an Infection Preventionist (IP) helping to develop the infection prevention program at FAME in Karatu. I usually volunteer at FAME for about three weeks, but this last time, in May-June 2023, I stayed for five weeks.

This time, my experience was even more fulfilling because of the time I spent working with FAME’s excellent team of nurses. Together, we work to improve the instrument sterilization processes. The team is wonderful to work with, and I found that they are knowledgeable in the processes and eager to develop best practices.

In addition to sterilization, a team of individuals from each department volunteered to be FAME’s Infection Prevention Champions. They monitor their departments for infection prevention practices and provide “just-in-time” training if missed opportunities occur. The group picture below is the “IP Team”. I back them up with continuing education throughout the year.

This has, by far, been one of the best experiences I’ve had traveling or volunteering.  I am looking forward to returning to FAME next year in the fall.”

Loipa (left) poses with his Father (right) in FAME’s Inpatient Ward.

The story below illustrates the invaluable work performed by FAME's surgical department and highlights the critical importance of having skilled medical professionals to interpret our diagnostic results. The patient's father narrates the story and this interview has been translated from Maasai into English.
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“Loipa* has been sick for a long time. For over six months, he has been coughing and complaining of chest pains and sometimes, he could not breathe properly.

I took him to the local clinic many times; they gave him different medications and even injections, but none seemed to work. Then we went to a bigger hospital where they took a photo of his chest [X-ray] but said they didn't see anything bad. They told me to take Loipa home and ensure he keeps warm and eats healthy.

But after a few days, I knew I had to do something as Loipa was getting sicker. A friend recommended FAME, so I decided to bring him here. We started the long and hard journey to FAME, where we took two buses and a bodaboda [motorcycle] to get here.

At FAME, they took another photo of Loipa and said that their photo showed something in his chest that was making him sick and he needed surgery [a thoracotomy to remove a cyst in the lung]. I was very scared but decided to be brave and trust the doctors.

I want to thank the surgeon very much. It turns out that cutting Loipa is what healed him. It has been 16 days now and even I can see a difference. He is so much better! Thank you, FAME. I pray you continue cutting people so that they get better.”

*The patient's name has been changed to protect their privacy and permission was secured to share their story. The quotes from the interview have been translated from Maasai to English. 

Disclaimer: This story addresses a workplace accident resulting in arm amputation and unfamiliar cultural practices. Reader discretion is advised.

Amina (left) poses with her sister in FAME’s Surgical Ward.

Today's story is told by the patient's sister, whom we will call Amani (not her real name). While the patient expressed a willingness to narrate her experience, her physical condition required her sister's assistance in conveying the details of the accident that led her to FAME. As a result, this story is told in Amani’s words.

“My sister doesn't have consistent employment and frequently takes different temporary short-term jobs. Recently, she had landed a three-week job harvesting maize at a private farm. She was very excited, as the pay for this job was notably higher compared to her previous work. I was happy and congratulated her on her good luck. 

A few days later, I got an urgent call from my sister's employer. He informed me of a serious accident that involved my sister and that they had brought her to FAME hospital. Having lived in Karatu for many years, I knew of FAME and had been here many times, so I quickly jumped onto a boda boda [motorcycle] and rushed here. 

Arriving at FAME, I discovered that my sister was already undergoing surgery. Her employer told me he had consented to the surgery as she had lost a lot of blood and the doctors worried that she would bleed to death. ‘Lost a lot of blood, how?’ I asked, as I was very confused. That's when her employer told me my sister had suffered a terrible accident at work and lost her left arm. I was too shocked to react. 

Later, her colleagues told me exactly what happened. Since the farm was always very dusty and the maize husks flew everywhere, my sister would always wear a headscarf to protect her hair.

On this fateful day, as she was working close to the harvesting machine, the machine caught a part of her headscarf. She put her arms up to shield her face and one of the blades on the machine severed it. Her colleagues quickly switched off the machine and rushed to help her, carefully wrapping her severed arm into a kanga [printed cloth popular in Swahili culture] and bringing her straight to FAME. 

When my sister woke up from surgery, she confirmed their story as she remembered the entire traumatic event until her admission to FAME. She recounted how she had experienced significant bleeding, so much so she thought she would die. She is thankful to FAME’s medical team for saving her life. The accident had also resulted in non-life-threatening injuries, including cuts to her abdomen, thighs and head. Stitches were applied to these wounds and she is recovering well.

Due to our cultural beliefs, my family requested her amputated arm from the medical team so we could arrange a proper burial. To us, it wasn't just a body part but an extension of her, so we did not allow the hospital to dispose of it. 

“My sister’s mental state is surprisingly good and I credit the unwavering encouragement and support the FAME doctors and nurses provide. They have consistently boosted her spirits when she has been sad and reassured her that her life isn’t over because of her injury. My family and I are very grateful to FAME; they have gone beyond saving her life to supporting her and us in the recovery process. She is now talking about looking forward to going home and caring for her five children, which is good because right after surgery, she didn’t believe she could care for her children anymore.”

— Amani

Her husband has been very supportive. He visits every day and always checks in to see if she needs anything. She always smiles when he comes, which is good to see. I am sure that with the combined strength of our family and the relentless support from FAME, my sister will confidently embrace the next chapter of her life. At only 33 years old, she has a long life ahead of her.”

*The patient’s name has been changed to protect her privacy and permission was secured to share their story. The quotes from this interview have been translated from Swahili to English.