Generated by All in One SEO v4.9.7.2, this is an llms.txt file, used by LLMs to index the site. # CURE ## Sitemaps - [XML Sitemap](https://cure.org/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Train One Surgeon, Impact Thousands of Children](https://cure.org/news/train-one-surgeon-impact-thousands-of-children/) - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [New Surgical Center Means More Life-Saving Care at CURE Uganda](https://cure.org/news/new-surgical-center-means-more-life-saving-care-at-cure-uganda/) - CURE Uganda’s brand-new state-of-the-art surgical center will help save the lives of more children than ever before. - [Training Ethiopia’s First Spine Surgeons](https://cure.org/news/training-ethiopias-first-spine-surgeons/) - CURE is training surgeons like Dr. Yohannis to transform lives for thousands of children with severe scoliosis. - [Dr. Tesfaye Grew Up Without Doctors—Now, He Trains Them](https://cure.org/news/dr-tesfaye-grew-up-without-doctors-now-he-trains-them/) - Pediatric Plastic Surgeon Dr. Tesfaye Mulat transforms the lives of children in Ethiopia while shaping the next generation of surgeons. - [New Surgeon Brings Expertise to CURE Malawi](https://cure.org/news/new-surgeon-brings-expertise-to-cure-malawi/) - Dr. Dorothy Bbaale is somewhat of a trailblazer. There are only five registered plastic surgeons for Malawi's nearly 20 million people, and Dr. Dorothy—an Ugandan-born surgeon—is now among them. - [Mobile Clinics Bring Ministry to the Margins](https://cure.org/news/ministry-to-the-margins/) - Hundreds of thousands of children live with disabilities, and some will be fatal if not treated. For children living in the most remote, impoverished regions, reaching or affording medical care is nearly impossible. - [Prosthetics & Orthotics Service Launches at CURE Zimbabwe](https://cure.org/news/prosthetic-orthotic-service-launches-at-cure-zimbabwe/) - We're thrilled to announce a major milestone at CURE Children's Hospital of Zimbabwe: The new prosthetics and orthotics (P&O) service has recently launched and is already helping children with limb differences walk, run, and play again. - [Breaking Ground to Serve More Kids in Kenya](https://cure.org/news/breaking-ground-to-serve-more-kids-in-kenya/) - CURE Kenya has just broken ground on a new, expanded surgical center that will serve 25% more kids each year. - [Dr. Nunn: Transforming Surgery Through Training](https://cure.org/news/dr-nunn-frontliner/) - Dr. Tim is multiplying CURE’s impact by training future surgeons and expanding surgical care for Ethiopia's children. - [Hooked on Hope](https://cure.org/news/hooked-on-hope/) - See how Julee Fassnacht is turning a hobby into healing for children. - [5 Ways to Change a Life This Christmas](https://cure.org/news/5-ways-to-change-a-life-this-christmas/) - 5 Urgent Needs: By giving the gift of healing, you can help restore a child’s health and dignity—and bring hope to their entire family. - [Saving Baby Grace: A Mother’s Fight for Answers](https://cure.org/news/saving-baby-grace-a-mothers-fight-for-answers/) - Grace was born with life-threatening hydrocephalus, but she is now thriving after surgery at CURE Uganda. - [Inside a CURE Operating Room: Where Miracles Happen Every Day](https://cure.org/news/inside-a-cure-operating-room/) - # CURE - [5 Urgent Needs. An Endless Impact](https://cure.org/news/5-urgent-needs-an-endless-impact/) - Pediatric orthopedic surgeon brings surgical expertise to CURE Malawi. - [A New Era in Healing: CURE Malawi’s Surgical Center Opens](https://cure.org/news/a-new-era-in-healing-cure-malawis-surgical-center-opens/) - CURE Malawi opens new state-of-the-art surgical center to help heal more kids than ever before. - [From Part-Time Volunteer to Full-Time Surgeon: Dr. Mike Russell’s Journey to CURE](https://cure.org/news/from-part-time-volunteer-to-full-time-surgeon-dr-mike-russells-journey-to-cure/) - Pediatric orthopedic surgeon brings surgical expertise to CURE Malawi. - [Volunteers Power CURE’s Mission—And GMHC Helps Us Find Them](https://cure.org/news/volunteers-power-cures-mission-and-gmhc-helps-us-find-them/) - More than 300 volunteers help power our mission—and the Global Missions Health Conference helps us find them. - [CURE + Joni and Friends Bring Mobility to Kids in Need](https://cure.org/news/cure-joni-and-friends-bring-mobility-to-kids-in-need/) - We’re partnering with Joni and Friends to provide wheelchairs–and new independence–to children in need. - [Smiles Restored: Cleft Surgery Begins at CURE Malawi](https://cure.org/news/smiles-restored-cleft-surgery-begins-at-cure-malawi/) - CURE Malawi has performed its first cleft surgeries, bringing new smiles to children in need. - [CURE Zambia Opens Cleft Care Center](https://cure.org/news/cure-zambia-opens-cleft-care-center/) - The new Cleft Care Center at CURE Zambia is transforming how cleft lip and palate are treated in Africa. - [Tebow CURE Philippines: 10 Years of Helping Kids Heal](https://cure.org/news/tebow-cure-philippines-10-years-of-helping-kids-heal/) - Tebow CURE Hospital celebrates 10 years of helping kids heal from life-limiting but treatable disabilities. - [From Bedside to Baptism](https://cure.org/news/from-bedside-to-baptism/) - While surgery heals bodies, compassionate care transforms hearts. At CURE, we offer both to the young patients who step through our doors. - [Celebrating 365 Days of Transformation at Zambia’s Cleft Care Center](https://cure.org/news/one-year-impact-of-zambia-cleft-care-center/) - CURE Zambia’s Cleft Care Center celebrates 365 days of providing consistent, life-changing care for kids suffering with cleft lip and palate. - [Making Medical History: CURE Zimbabwe’s First Pediatric Toe-to-Finger Transplant](https://cure.org/news/making-medical-history-cure-zimbabwes-first-pediatric-toe-to-finger-transplant/) - Surgeons at CURE Zimbabwe performed the hospital's first toe-to-finger transplant for a little girl named Blessings. - [One Hospital, Two Cities, Hundreds of Lives Transformed](https://cure.org/news/one-hospital-two-cities-hundreds-of-lives-transformed/) - The story of how one innovative partnership led to 200 children transformed with life-changing surgery. - [Harnessing the Sun’s Power for Consistent Care](https://cure.org/news/harnessing-the-suns-power-for-consistent-care/) - CURE Zambia’s recently installed micro-grid solar energy system is keeping the hospital operating smoothly despite a nationwide energy crisis. - [Surgeon Goes Beyond Borders](https://cure.org/news/beyond-borders-dr-merediths-journey-from-arizona-to-zambia-is-changing-the-lives-of-children-across-africa/) - Dr. Meredith Workman’s journey to serving some of the world’s most vulnerable children at CURE Zambia began when she was just a young girl in Ohio. During a mission trip to Zimbabwe at age 14, she felt a clear call from God while reading the biography of Paul Brand, a surgeon who worked with patients with leprosy in India. - [How 90,000 Children Learned About Jesus](https://cure.org/news/helping-kids-learn-about-jesus-in-their-language/) - CURE's partnership with Praise Works is introducing thousands of children to Jesus. - [Q & A with CURE’s New Chief Medical Officer](https://cure.org/news/q-a-with-cures-new-chief-medical-officer/) - When Dr. Giorgio Lastroni first walked through the doors of CURE Zambia during a family vacation in 2008, the hospital was at a pivotal moment—they were about to lose their only orthopedic surgeon. For Dr. Lastroni, an accomplished surgeon from Italy seeking to serve in Africa with his family, the timing was providential. He offered to volunteer his services, never imagining this yes would transform into a 15-year calling. - [CURE & GMHC: Connecting Passion with Purpose for Medical Volunteers](https://cure.org/news/cure-gmhc-connecting-passion-with-purpose-for-medical-volunteers/) - Have a heart for medical missions? Learn how you can volunteer with CURE and connect with the largest community of medical missionaries. - [United in Mission](https://cure.org/news/united-in-mission/) - Drs. Andrew and Sarah Hodges are changing lives together. - [CURE and GMHC: Advancing God's Kingdom Through Medical Missions](https://cure.org/news/cure-and-gmhc-advancing-gods-kingdom-through-medical-missions/) - Together with the Global Missions Health Conference (GMHC), the largest medical missions conference in the US, we’re equipping medical professionals to serve as the hands and feet of Jesus in areas of need around the world. - [New Children’s Ward Opens in Zambia](https://cure.org/news/new-childrens-ward-opens-in-zambia/) - The expanded children’s ward at Beit-CURE Children’s Hospital of Zambia is officially open and helping more kids heal! - [Dr. Lubega: Responding to God's Call](https://cure.org/news/cure-is-my-mission-field/) - Dr. Lubega is committed to serving Malawi's children in need of surgical care and the love of Jesus. - [Helping Kids Heal One Step at a Time](https://cure.org/news/helping-kids-heal-one-step-at-a-time/) - CURE volunteer hikes the Appalachian Trail to help kids heal. - [The Biggest Expansion Project in CURE's History is Underway](https://cure.org/news/building-the-foundation-for-cure-ethiopias-next-20-years/) - CURE Ethiopia breaks ground on a new clinical services building that will help serve more children and train more healthcare workers for decades to come—the biggest hospital expansion project in CURE's history. - [Maureen Sloan: Equipping the Next Generation of Healthcare Workers with CURE](https://cure.org/news/maureen-sloan-equipping-the-next-generation-of-healthcare-workers-with-cure/) - Maureen has been a catalyst for excellence and compassion in the network’s various nursing departments, including Ethiopia, Kenya, Niger, Uganda, and Zambia. - [Celebrating 10,000 Surgical Procedures in the Philippines](https://cure.org/news/tebow-cure-philippines-celebrates-10000-surgical-procedures/) - CURE's hospital in the Philippines celebrates 10,000 surgical procedures! - [CURE Uganda Goes Global](https://cure.org/news/cure-uganda-goes-global/) - Since opening in 2001, CURE Uganda has emerged as one of the world’s leading pediatric neurosurgical hospitals—training surgeons who serve across Africa and beyond. - [Being a Neurosurgeon Is a Calling](https://cure.org/news/being-a-neurosurgeon-is-a-calling/) - “As a child, I believe I was probably too serious for life — too focused,” Dr. Emmanuel Wegoye shared with us with a subtle smile in his eye. “I loved ambition. I knew I wanted to be a doctor by 14 and worked towards that.” And, by the grace of God, these early dreams have come to fruition. For the last year, Dr. Wegoye has served as the medical director of CURE Uganda, but this is far from his first experience with CURE. - [Surgery’s Essential Role in Health Coverage](https://cure.org/news/surgerys-essential-role-in-health-coverage/) - This September the United Nations will be holding their 74th General Assembly in New York, and on September 23, 2019 they will hold a high level meeting on universal health coverage (UHC). - [CURE Malawi Provides Urgent Medical Care to Flood Victims](https://cure.org/news/cure-malawi-provides-urgent-medical-care-to-flood-victims/) - Cyclone Freddy, one of the most powerful tropical storms ever to hit southern Malawi, made landfall for the second time in a month on 12 March 2023. The ensuing flooding has devastated the region and displaced more than 560,000 people. According to the Malawi Department of Disaster Management, 511 people lost their lives and more than 1,300 were injured. - [Night to Shine Puts Spotlight on Special Kids](https://cure.org/news/night-to-shine-puts-spotlight-on-special-kids/) - Watch the Night to Shine highlight reel to see a celebration of your impact. Your generous support of CURE makes these awesome dance moves and big smiles possible! - [CURE’s Partnership with Word FM Makes Miracles Possible](https://cure.org/news/cures-partnership-with-word-fm-makes-miracles-possible/) - What happens when faithful partners catch CURE’s vision to heal the sick and proclaim the kingdom of God? In a word: miracles. - [CURE Malawi Celebrates 20 years of Medical Care with New Surgical Center](https://cure.org/news/cure-malawi-celebrates-20-years-of-medical-care-with-new-surgical-center/) - Few places in southern Africa have delivered more hope and healing than Beit-CURE Children’s Hospital in Malawi (“CURE Malawi”). - [Training Pastors to Transform Communities](https://cure.org/news/training-pastors-to-transform-communities/) - When Pastor Blessings Maganga saw Ethel in the marketplace of Malawi’s rural Thyolo district, like most people, the first thing he noticed was her clubfoot. - [Arizona Surgeon Answers Call to Serve Children at CURE Zambia](https://cure.org/news/arizona-surgeon-answers-call-to-serve-children-at-cure-zambia/) - Almost 30 years ago, an American teenager was enjoying the hard work and challenges of serving on international mission trips in developing countries around the world. - [CURE Celebrates Reaching 1.5 Million People with the Gospel](https://cure.org/news/cure-celebrates-reaching-1-5-million-people-with-the-gospel/) - Since its founding in 1996, CURE International has provided children with treatable disabilities with the gift of surgery and introduced them and their families to the love of Christ. - [KSGN Radio Partners with CURE to Change Lives](https://cure.org/news/ksgn-radio-partners-with-cure-to-change-lives/) - What do listeners of 89.7 KSGN—a Christian radio station serving the Riverside and San Bernardino region of California—have to do with an 11-year-old boy named Abdoul in Niger? - [In Their Own Words: Why Radio Hosts Brant & Sherri Care about CURE](https://cure.org/news/in-their-own-words-why-radio-hosts-brant-sherri-care-about-cure/) - Brant Hansen and Sherri Lynn, hosts of the nationally syndicated radio program, The Brant Hansen Show, are passionate CURE advocates. We caught up with them to ask why they care so much about helping children with disabilities. Here's what they shared. - [Serving in the Sahel](https://cure.org/news/serving-in-the-sahel/) - When you pass through the gates at CURE Niger, the first thing you notice—besides the sweltering heat—is the beauty. On this patch of land on the northern edge of the capital city of Niamey, there are thousands of plants, hundreds of trees, bright colors, walking paths, and the country’s best—and only—wheelchair-accessible playground. - [CURE Ethiopia & Dr. Nunn Awarded Prestigious L’Chaim Prize](https://cure.org/news/cure-ethiopia-dr-nunn-awarded-prestigious-lchaim-prize/) - Tens of thousands of Ethiopia’s children are living with scoliosis—and many of them are extreme cases that, without surgical intervention, can be fatal. The country’s hospitals are not equipped to perform these complex surgeries, leaving these children vulnerable to a lifetime of pain, illness, and ridicule. - [CURE Kenya Celebrates 25 Years of Life-Changing Care for Kids](https://cure.org/news/cure-kenya-celebrates-25-years-of-life-changing-care-for-kids/) - CURE Kenya Executive Director Evelyn Mbugua addresses the attendees of the 25th-anniversary jubilee celebration. - [Announcing the Opening of CURE Zimbabwe's New Children's Ward!](https://cure.org/news/announcing-the-opening-of-cure-zimbabwes-new-childrens-ward/) - Big news! CURE Zimbabwe’s new, expanded children’s ward is now open and equipped to help more kids heal. - [New Surgical Center Breaks Ground at CURE Uganda](https://cure.org/news/new-surgical-center-breaks-ground-at-cure-uganda/) - Over its 22-year history, the hospital has expanded its team and facilities to meet the growing need for neurosurgical care. Throughout sub-Saharan Africa, an estimated 200,000 newborns develop hydrocephalus every year. And in the past five years, CURE Uganda has experienced a 45% increase in admissions and surgeries. With the addition of a new surgical center, CURE will be able to serve approximately 1,000 more patients each year and better meet the need. - [Kids Helping Kids: Local VBS Programs Fund Surgeries for 30 Kids!](https://cure.org/news/kids-helping-kids-local-vbs-programs-fund-surgeries-for-30-kids/) - What happens when you help local churches connect with children in need of surgical care at CURE’s hospitals around the world? Lives change on both sides of the globe. - [Motion-Capture Helps Heal Kids in Ethiopia](https://cure.org/news/motion-capture-helps-heal-kids-in-ethiopia/) - We are thrilled to announce the opening of CURE Ethiopia’s brand new gait laboratory, the first of its kind in the country and the only other active gait lab on the African continent outside of South Africa. - [How CURE Treats Windswept Condition to Change Lives](https://cure.org/news/how-cure-treats-windswept-condition-to-change-lives/) - Go behind the scenes with Zambia’s Medical Director, Dr. Lastroni, to see how CURE treats children with windswept legs—helping them run for the first time! - [CURE Doctors Fly to Neighboring Country to Help Save Lives](https://cure.org/news/cure-doctors-fly-to-neighboring-country-to-help-save-lives/) - Every year, approximately 400,000 babies are born with hydrocephalus—a dangerous neurological condition causing high levels of fluid in the brain. For a child with early access to quality surgical care, the chance of leading a full, productive life is high. - [The Doctor Is In: Dr. Moyo's Live Webinar on Transforming Children with Clubfoot](https://cure.org/news/the-doctor-is-in-dr-moyos-live-webinar-on-transforming-children-with-clubfoot/) - Dr. Cyril Ilho Moyo says that in the villages of Africa, “running is life.” It’s how kids get to school, how they gather food and water for their families, how they survive. - [CURE International Partners with 104.9 The River to Increase Awareness of Global Shortage of Pediatric Surgical Care](https://cure.org/news/cure-international-partners-with-104-9-the-river-to-increase-awareness-of-global-shortage-of-pediatric-surgical-care/) - CURE International, a Christian nonprofit organization that operates a global network of children’s hospitals, has partnered with The River Radio Network, a Christian music station broadcasting in Columbus, OH, to increase awareness of CURE’s impact worldwide. - [Bringing the Story of Jesus to Kids through Partnerships](https://cure.org/news/bringing-the-story-of-jesus-to-kids-through-partnerships/) - CURE International and Praise Works Inc. have partnered together to bring the story of Jesus to kids in their own language at CURE Children’s Hospitals all over the world. Through collaborative efforts, over 106,000 books are ready to be shipped out to eight CURE Children’s Hospitals, in 14 different languages, being distributed and used to minister to kids during their time of treatment. - [WATCH: CURE + MAF Send Doctors to Remote Regions](https://cure.org/news/watch-cure-maf-send-doctors-to-remote-regions/) - CURE and Mission Aviation Fellowship partner to bring medical care to children living with treatable disabilities. This allows CURE doctors and ministry teams to reach hundreds of children living in remote regions where healthcare is limited or not existent. Together, we recently sent medical and ministry teams to one of the most hard-to-reach places in Kenya to serve 103 children. - [Remembering Dr. Anthony Chisakuta and His Legacy of Serving Children in Need](https://cure.org/news/remembering-dr-anthony-chisakuta-and-his-legacy-of-serving-children-in-need/) - It is with heavy hearts that we say goodbye to Dr. Anthony Chisakuta. We grieve, but our confidence and hope are that he is in the very presence of the Savior he loved and served. - [CURE and the GMHC: Partnering for Underserved Children in Need](https://cure.org/news/cure-and-the-gmhc-partnering-for-underserved-children-in-need/) - Through our partnership with the Global Missions Health Conference (GMHC), we ensure our staff and volunteers are equipped to meet the demands of helping these children heal. - [Dr. Moyo: A Congolese Clubfoot Champion](https://cure.org/news/dr-moyo-a-congolese-clubfoot-champion/) - Dr. Cyril Ilho Moyo understands the weight of living with a disability. He’s carried it. - [CURE International Supports Global Surgery Initiatives](https://cure.org/news/cure-international-supports-global-surgery-initiatives/) - This week, the World Health Organization (WHO) wrapped up its 72nd World Health Assembly (WHA), held May 20-28, 2019, in Geneva, Switzerland. During the opening ceremony, Richard Horton, the editor-in-chief of The Lancet, gave an address, and he did something interestingin it. In the lead-up to the WHA, Horton asked this question on his Twitter account: - [Nurses: The Heart of Essential Surgery](https://cure.org/news/nurses-the-heart-of-essential-surgery/) - Often, the discussion around global surgery focuses on the surgeons and the important work they do. This is understandable, as there is a considerable dearth of surgeons in low- and middle-income countries (LMICs), which is one of the reasons that most of the world population lacks access to surgery. - [What Does “Safe Surgery” Mean?](https://cure.org/news/what-does-safe-surgery-mean/) - When we use the term “safe surgery,” we don’t mean just the fact that the surgery is being performed by a skilled, experienced surgeon. - [Surgery: An Essential Component in Universal Health Coverage](https://cure.org/news/surgery-an-essential-component-in-universal-health-coverage/) - In the past two decades much emphasis was placed on primary healthcare, including prevention and management of infectious diseases, as well as mother and child care. The millennium development goals had three goals targeting such areas: reduce child mortality, improve maternal health, and combat HIV/AIDS, malaria, and other diseases. - [CURE International and The Global Surgery Foundation (GSF) Announce Joint Partnership](https://cure.org/news/cure-international-and-the-global-surgery-foundation-gsf-announce-joint-partnership/) - It’s often said that it takes a village to raise a child. To heal a child, however, it takes the entire international community. - [Advancing Essential Surgery Through Equipment Maintenance](https://cure.org/news/advancing-essential-surgery-through-equipment-maintenance/) - “If we can improve the efficiency of the OR, it is possible to save more lives.” Keith Miles, Executive Director of Safe Surgery Initiative. - [The Surgery Experience at CURE Uganda](https://cure.org/news/the-surgery-experience-at-cure-uganda/) - Surgery can be an intimidating thing to many, and the thought of brain surgery on a child doesn’t make things any better for an anxious caregiver. Endless questions about the child’s safety form the bulk of the conversation in taking consent the day before surgery. - [Sharing Resources and Helping Others During COVID](https://cure.org/news/sharing-resources-and-helping-others-during-covid/) - CURE’s mission to heal the sick and proclaim the kingdom of God involves helping our neighbors and community. We have been doing that in all sorts of ways since our establishment. - [Refurbishing Ventilators for Hospitals during COVID-19](https://cure.org/news/refurbishing-ventilators-for-hospitals-during-covid-19/) - You may know that ventilators are in high demand and short supply during this COVID-19 virus outbreak. What you may not know is that there are ventilator units available, they just need to be refurbished. - [Standing Strong and Stepping Up Despite COVID-19 at CURE Ethiopia](https://cure.org/news/standing-strong-and-stepping-up-despite-covid-19-at-cure-ethiopia/) - As COVID-19 sweeps the planet, it seems as if the world is a little bit darker. Clouds of fear and anxiety have blocked the sun, and it all feels a little bit desperate at times. But it’s in dark times, our light – or should I say the light in us – is needed most. - [Partnering with Michigan State University to Educate on Hip Dysplasia](https://cure.org/news/partnering-with-michigan-state-university-to-educate-on-hip-dysplasia/) - There’s an old school hit song out there comically titled “Video Killed the Radio Star” (The Buggles, 1979), and it’s a reminiscent take on the changing ways people consumed information at the time. - [Safe Anesthesia During COVID-19](https://cure.org/news/safe-anesthesia-during-covid-19/) - On the 30th of January, 2020, the World Health Organization (WHO) declared a public health emergency that was upgraded to a pandemic on the 11th of March, and elective surgery such as cleft, ENT, and non-emergency orthopedic surgery across the globe was put on hold, as hospitals had to battle with the influx of patients infected with the SARS-CoV-2 virus. - [USAID/ASHA Grant Upgrades CURE Ethiopia’s Operating Room Equipment and Equips its Medical Training Center](https://cure.org/news/usaid-asha-grant-upgrades-cure-ethiopias-operating-room-equipment-and-equips-its-medical-training-center/) - With an estimated 2.5 million Ethiopian children suffering from treatable disabilities and the ambitious dream to see every one of these freed from their disabling condition, CURE Ethiopia has a big task ahead of them. - [Enhanced Patient Safety at CURE Uganda](https://cure.org/news/enhanced-patient-safety-at-cure-uganda/) - At CURE, we strive to provide excellent care to our patients. Safety is a high priority, and we continue exploring ways of enhancing patient safety during surgical procedures. - [A New Ward and ICU on International Day of Persons with Disabilities](https://cure.org/news/a-new-ward-and-icu-on-international-day-of-persons-with-disabilities/) - On International Day of Persons with Disabilities this year, CURE Kenya was privileged to host some very high profile individuals in the government and the health sector. Among these people were a few friends of CURE Kenya, such as Hon. David Ole Sankok, the national representative of People With Disability in parliament. - [Dr. Rick Gardner Recognized by the Ethiopian Ministry of Health for Pediatric Orthopedic Treatments](https://cure.org/news/dr-rick-gardner-recognized-by-the-ethiopian-ministry-of-health-for-pediatric-orthopedic-treatments/) - CURE Ethiopia Medical Director Dr. Rick Gardner recently received recognition from the Minister of Health Dr. Lia Tadesse for his contributions to the growth of orthopedic treatment in Ethiopia. - [New X-ray Equipment and Network-Wide Bio-Tech Training](https://cure.org/news/new-x-ray-equipment-and-network-wide-bio-tech-training/) - CURE Kenya hosted a training session for biomedical technicians from across the CURE network. Mark Heydenberg, CURE’s biomedical trainer and technical advisor, came to Kenya to provide the training and also to assist with the installation of a new x-ray machine. - [How Disabilities Affect Education](https://cure.org/news/how-disabilities-affect-education/) - In most developing countries, education is a high priority for parents to give to their children. In Kenya, people used to leave their land, livestock, and other material possessions to their children to provide for their future and education was not as valued. As time went on, this thinking changed because not everyone owned land or a lot of property. There became more of a need to have an alternative source of income and a good education provided the road to a better future. - [CURE Ethiopia and Oxford University Partner to Create a Clubfoot Training Program](https://cure.org/news/cure-ethiopia-and-oxford-university-partner-to-create-a-clubfoot-training-program/) - Worldwide, clubfoot is a big problem. In Ethiopia alone, there are an estimated 40,000 children with clubfoot and more being born every year. Clubfoot is a condition where the feet appear to be internally rotated at the ankle. - [Finding neglected child health conditions with mobile clinics](https://cure.org/news/finding-neglected-child-health-conditions-with-mobile-clinics/) - Most of the children that CURE Children’s Hospitals treat come from rural villages and do not have access to specialized medical care. Because of this, conditions that should be treated right away are often neglected causing more significant problems for the child. Neglected broken bones and clubfoot are conditions that affect a child’s mobility and ability to play with their friends. - [CURE Niger and First Lady Celebrate Record-Breaking Surgery Success with New Playground](https://cure.org/news/cure-niger-and-first-lady-celebrate-record-breaking-surgery-success-with-new-playground/) - CURE Niger is the only hospital in the country of over 24 million that offers specialty surgical care for children living with treatable physical disabilities and for the first time, the expert staff at CURE Niger have completed over 1,000 surgeries in a single year! - [Children Burned in Horrific Schoolhouse Fire Receive Care from CURE Children’s Hospital of Niger](https://cure.org/news/children-burned-in-horrific-schoolhouse-fire-receive-care-from-cure-childrens-hospital-of-niger/) - Every day across Niger, children gather in straw huts that serve as schoolhouses. And every day across Niger, the hope of education is mixed with the risk of catastrophe. - [CURE Provides a Practical Theology of Disability to Communities Across its Network of Hospitals](https://cure.org/news/cure-provides-a-practical-theology-of-disability-to-communities-across-its-network-of-hospitals/) - In many regions of the world, physical and mental disabilities are viewed in negative, harmful ways. Many people — especially those living in regions where CURE International operates - [Celebrating One Year of Service to the Children of Zimbabwe!](https://cure.org/news/celebrating-one-year-of-service-to-the-children-of-zimbabwe/) - A year ago, children in Zimbabwe who needed orthopedic surgery could only dream. A year later, it has become reality for hundreds. - [BBC News Features CURE Uganda’s Shuntless Solution for Hydrocephalus](https://cure.org/news/bbc-news-features-cure-ugandas-shuntless-solution-for-hydrocephalus/) - Thirteen years ago in Kenya, a two-week-old baby named Milan was diagnosed with acquired hydrocephalus, a life-threatening condition in which fluid builds up inside the child’s brain at the time of birth or shortly after. - [CURE Opens Largest Specialized Pediatric ICU Building in Uganda](https://cure.org/news/cure-opens-largest-specialized-pediatric-icu-building-in-uganda/) - The CURE Children’s Hospital of Uganda (CURE Uganda) is the world’s foremost neurosurgical hospital, treating children suffering from brain conditions such as hydrocephalus, spina bifida, and tumors. - [Drawn to serve in Ethiopia: Laurence Wicks, orthopedic surgeon](https://cure.org/news/drawn-to-serve-in-ethiopia-laurence-wicks-orthopedic-surgeon/) - Laurence Wicks is the newest CURE Ethiopia orthopedic surgeon. He has traveled the world working in the UK, South Africa, and Ethiopia although it hasn’t always been this way. - [Marcia White receives the President's Volunteer Service Award](https://cure.org/news/marcia-white-receives-the-presidents-volunteer-service-award/) - Marcia White is a volunteer for CURE International. She first started volunteering with CURE in 2019 in the Grants department and has become a highly valued member of the team. - [Connection at its Core: A Global Misson with CURE](https://cure.org/news/connection-at-its-core-a-global-misson-with-cure/) - Finding your community is one of the most essential things to help further develop interests, passions, and goals. Having that support system can open new doors to opportunities you hadn’t heard of before and lead you on amazing paths. - [Get to Know Dr. Yong - CURE’s First Chinese-Born Surgeon](https://cure.org/news/get-to-know-dr-yong-cures-first-chinese-born-surgeon/) - Patients at CURE International hospitals are blessed to receive life-changing care from capable medical professionals from around the world. Dr. Bicheng Yong is the latest in a long line of exceptional doctors, nurses, and surgeons who put their God-given ability and renowned training to work for CUREkids. - [CURE International Honors Dr. Chris Lavy and The Beit Trust for their Remarkable Contributions to Pediatric Health in Africa](https://cure.org/news/cure-international-honors-dr-chris-lavy-and-the-beit-trust-for-their-remarkable-contributions-to-pediatric-health-in-africa/) - Dr. Chris Lavy is an example of how one person can change the world. Dr. Lavy has dedicated his life to utilizing his God-given talents to make the world a better place. - [Can Mission Hospitals Contribute to Capacity Building?](https://cure.org/news/can-mission-hospitals-contribute-to-capacity-building/) - CURE International is well-placed within the countries it serves to help foster change in surgical expertise through training and hosting international experts. CURE strives to effectively partner with each nation’s healthcare program, treating patients for whom there is neither the capacity nor the expertise available in the government sector. - [Making All Things New: How God Redeemed People, Property, and Purpose at CURE Zimbabwe](https://cure.org/news/making-all-things-new-how-god-redeemed-people-property-and-purpose-at-cure-zimbabwe/) - And He who was seated on the throne said, “Behold, I am making all things new.” – Revelation 21:5 It never ceases to amaze me how God calls, equips, and uses people like you and me to participate in His extravagant work of transformation — healing the afflicted, - [Investing in Surgical Training to Reach More Children in Need](https://cure.org/news/investing-in-surgical-training-to-reach-more-children-in-need/) - You know that story in the Bible where the boss is going on a long business trip, and he gives three of his employees some cash to see what they can do with it while he’s gone. - [Salamatou Shares the Love of Jesus with Kids in Niger](https://cure.org/news/salamatou-shares-the-love-of-jesus/) - Salamatou knows from experience how important it is for families at CURE to experience a comforting word, a joyful smile, a quiet prayer, and even a bit of fun in the playroom. - [Historic Homecoming: Zimbabwean Becomes First Pediatric Orthopedic Surgeon to Return, Treat Children At CURE International Hospital](https://cure.org/news/historic-homecoming-zimbabwean-becomes-first-pediatric-orthopedic-surgeon-to-return-treat-children-at-cure-international-hospital/) - Today at CURE Zimbabwe, Dr. Tongai Chitsamatanga became the country’s first Zimbabwean in history to return to the country to serve as a full-time fellowship trained pediatric orthopedic surgeon! - [Navigating COVID-19: Continuing to Serve Children Living with Disabilities Throughout the Pandemic](https://cure.org/news/navigating-covid-19-continuing-to-serve-children-living-with-disabilities-throughout-the-pandemic/) - CURE International has pediatric surgical hospitals in seven low and middle-income countries, serving the population of those countries by providing essential musculoskeletal, neurosurgical, and plastic surgical care. - [Your Ability is Stronger than your Disability](https://cure.org/news/your-ability-is-stronger-than-your-disability/) - For our patients, these are encouraging words especially coming from someone that has also personally dealt with a disability and hoped for healing. - [Sharing the Love of Christ and Healing the Sick: Dr. Karim](https://cure.org/news/sharing-the-love-of-christ-and-healing-the-sick-dr-karim/) - Dr. Karim Hagbe is a consultation doctor at CURE Niger. He sees dozens of patients every day, but one patient’s story remains at the forefront of his mind. - [Patient Hostel Completed at CURE Zambia](https://cure.org/news/patient-hostel-completed-at-cure-zambia/) - Over the years, we have witnessed an increase in the number of patients seeking services from CURE Zambia. In order for us to meet this need, we began construction of a patient hostel that would increase our long term patient bed space on the hospital campus. - [Research at CURE Ethiopia and the Pursuit of Excellence](https://cure.org/news/research-at-cure-ethiopia-and-the-pursuit-of-excellence/) - There’s an old Christian saying attributed to St. Ignatius of Loyola, “Ad majorem Dei gloriam.” It means “For the greater glory of God,” but it stands for the idea that every single thing we do, no matter how small or seemingly inconsequential, matters as it can be done in order to give glory to God. - [Serving God and Healing kids in Malawi](https://cure.org/news/serving-god-and-healing-kids-in-malawi/) - “My goal in life is to serve God, help others, and see them transformed,” orthopedic surgeon Jean-Claude Theis shares with us. It is this passion that has guided Jean-Claude throughout his life, eventually leading him here to the CURE Children’s Hospital of Malawi. - [Orthopedic Training Class Educates Doctors and Nurses in Zimbabwe](https://cure.org/news/orthopedic-training-class-educates-doctors-and-nurses-in-zimbabwe/) - Orthopedics, the branch of medicine dealing with the correction of deformities of bones or muscles, is a fast-growing specialty in the healthcare sector of Zimbabwe in the past decade. - [The Kenyan Smile That Inspired Others](https://cure.org/news/the-kenyan-smile-that-inspired-others/) - Like almost every young child, Kamse was beside himself with excitement when it was finally time for him to begin school. For him, this first day of school was hard-won. - [World Hydrocephalus Day 2021](https://cure.org/news/world-hydrocephalus-day-2021/) - Today is a global day of remembrance and action. Each year, roughly half a million people around the world are diagnosed with hydrocephalus, a neurological condition causing abnormally-high levels of fluid in the brain. - [CURE Uganda Hosts Fifth Annual Brain Surgery Run](https://cure.org/news/cure-uganda-hosts-fifth-annual-brain-surgery-run/) - Every year, the community surrounding CURE Uganda in Mbale comes together to support the hospital through the CURE Brain Surgery Run fundraiser to support the lifesaving, yet costly, neurosurgeries performed at the hospital. - [CURE’s First Medical Director Given Lifetime Achievement Award](https://cure.org/news/cures-first-medical-director-given-lifetime-achievement-award/) - Reflecting on the hours-long surgery he’d just performed to restore mobility to the arms of a young girl named Jocy, CURE surgeon Dr. Tim Mead said, “Surgery is where I live, and it’s what I am. It’s part of the way I worship—just doing what God called me to do.” - [He Waited Six Years for Healing](https://cure.org/news/he-waited-six-years-for-healing/) - One thing that the COVID-19 pandemic has taught the world is how to wait. We are all waiting in some capacity. Waiting for the virus numbers to decline, waiting for stores and business to reopen, waiting for travel restrictions to lift, waiting for medical treatment – the list goes on and on. - [Against All Odds: Faiscale’s Story](https://cure.org/news/against-all-odds-faiscales-story/) - A gas tank and one wrong move caused Faiscale’s disability and killed the driver of the other vehicle. The teenager was driving his motorcycle home from work one day when another bike carrying a gas tank tried to pass, but the man miscalculated and slammed into the back of Faiscale’s motorcycle. - [Determined Mom Finds Healing for her Daughters](https://cure.org/news/determined-mom-finds-healing-for-her-daughters/) - At first glance, sisters Fatuma and Meriyem seem just about as opposite as can be. Fatuma, the older of the two, is more reserved and reflective. - [Finding Hope, Peace, Joy, and Love at CURE Kenya](https://cure.org/news/finding-hope-peace-joy-and-love-at-cure-kenya/) - Four words hold great significance for Christians during the Advent season and are celebrated by lighting a candle on the four Sundays leading up to Christmas. - [Eda's Dream: A Young Girl's Journey to Healing and Her Goal of Becoming a Nurse](https://cure.org/news/edas-dream-a-young-girls-journey-to-healing-and-her-goal-of-becoming-a-nurse/) - In places where medical resources are scarce, simple childhood accidents can turn into lifelong disabilities. This could have been the case for Eda, a charming and resilient 14-year-old girl from Malawi, who fell one day and unknowingly broke her right arm and leg. - [Living Her Dreams: New Milestones, New Beginnings, and Abundant Blessings](https://cure.org/news/living-her-dreams-new-milestones-new-beginnings-and-abundant-blessings/) - After her clubfoot was surgically corrected, Lucy gained the confidence to interact with people and pursue her dreams. - [Ethiopia’s First Full Femur Replacement](https://cure.org/news/ethiopias-first-full-femur-replacement/) - You might know the story. A shepherd is out with his sheep and one goes missing. The rest of the sheep are happily munching on grass, but the shepherd is distraught and goes off searching for the one lost sheep. - [US Congressional Hearing Highlights CURE Uganda’s Impact on Global Neurosurgery](https://cure.org/news/us-congressional-hearing-highlights-cure-ugandas-impact-on-global-neurosurgery/) - On June 25th, 2021 a congressional hearing was convened by the Subcommittee of Africa, Global Health and Global Human Rights, and on the agenda was a discussion of Brain Health from a Global Perspective. - [The CURE Children's Hospital of Zimbabwe Grand Opening](https://cure.org/news/the-cure-childrens-hospital-of-zimbabwe-grand-opening/) - The President of the Republic of Zimbabwe, Dr. E.D. Mnangagwa, made an official visit to The CURE Children’s Hospital of Zimbabwe to celebrate its opening. He was joined by the Vice President and Minister of Health Care, Dr. Constantino Chiwenga, as well as representatives of the Ministry of Health and Child Care of Zimbabwe (MoHCCZ) and of the city of Bulawayo. - [Breaking Ground for Expansion at CURE Uganda](https://cure.org/news/breaking-ground-for-expansion-at-cure-uganda/) - On a beautiful morning on the 15th of February 2021, chairs were neatly arranged in a large wide semi-circle next to the existing Intensive Care Unit (ICU) at CURE Children’s Hospital of Uganda (CURE Uganda). Co-workers and guests gathered for a groundbreaking ceremony for the new laundry building being constructed and relocated to create space for a new ICU. - [CURE International Cuts Ribbon on New Global Headquarters in Grand Rapids, Michigan](https://cure.org/news/cure-international-cuts-ribbon-on-new-global-headquarters-in-grand-rapids-michigan/) - Today, CURE International was officially welcomed to its new international headquarters in Grand Rapids, Michigan by members of the community at a grand opening ribbon cutting ceremony. Grand Rapids Mayor Rosalyn Bliss and other local leaders celebrated CURE International’s decision to choose their city as the global organization’s new home. - [Vice President, Ugandan Government Officials Celebrate Major Milestone at CURE Uganda](https://cure.org/news/vice-president-ugandan-government-officials-celebrate-major-milestone-at-cure-uganda/) - On January 19, 2001, CURE International officially opened CURE Children’s Hospital of Uganda in Mbale to offer hope and neurosurgical treatment to children suffering with treatable disabilities. - [Tim Tebow Breaks Ground for New Children’s Ward at CURE Zimbabwe](https://cure.org/news/tim-tebow-breaks-ground-for-new-childrens-ward-at-cure-zimbabwe/) - Tim Tebow’s life is all about impact — both on the field and in the world. In 2014, The Tim Tebow Foundation (TTF) partnered with CURE International to open the Tebow CURE Hospital in the Philippines. - [CURE Ethiopia Performs Ethiopia’s First Microvascular Surgery to Save a Child's Leg](https://cure.org/news/cure-ethiopia-performs-ethiopias-first-microvascular-surgery-to-save-a-childs-leg/) - Three years ago, Sofonias, an eight-year-old boy, fell and broke his leg while playing outside with friends. His mom, Endawek, rushed him to a local hospital, where the doctors performed a routine surgery to fix the broken bones in his leg. After the surgery, everything seemed fine, and Sofonias was recovering. - [International Day of Persons with Disabilities 2021](https://cure.org/news/international-day-of-persons-with-disabilities-2021/) - December 3rd is International Day of Persons with Disabilities; a commemorative day observed each year on December 3rd when people around the world take time to understand and support those living with disabilities - [CURE International Celebrates 300,000 Completed Surgical Procedures Amidst Pandemic](https://cure.org/news/cure-international-celebrates-300000-completed-surgical-procedures-amidst-pandemic/) - While COVID-19 upended business-as-usual across the globe, CURE International’s free pediatric hospitals have remained in operation throughout the pandemic, allowing them to announce the completion of 300,000 life-changing surgeries in some of the poorest countries in the world. - [The CUREkid that melted the heart of the President](https://cure.org/news/the-curekid-that-melted-the-heart-of-the-president/) - On May 14, 2021, the President of the Republic of Zimbabwe, Dr. Emmerson Dambudzo Mnangagwa, paid an official visit to the CURE Children’s Hospital of Zimbabwe to celebrate its grand opening. - [MedSend Sends Additional Surgeons to CURE Hospitals](https://cure.org/news/medsend-sends-additional-surgeons-to-cure-hospitals/) - One of the greatest challenges facing the 400 million children in Africa is a critical shortage of trained medical professionals. The lack of access to care forces parents to delay medical care and/or seek dangerous medical alternatives to their children’s ailments. - [Smile Train and CURE Expand Partnership to Reach More Children](https://cure.org/news/smile-train-and-cure-expand-partnership-to-reach-more-children/) - A universal trait of parenthood is the desire to see their child smile. Yet, for hundreds of thousands of children, their smile brings social stigma, rejection, and pain. ## Pages - [Home](https://cure.org/) - CURE provides life-changing surgery to children living with disabilities around the world and shares the love of Jesus in the process. - [Club CURE](https://cure.org/club-cure/) - [Join the Smile Challenge](https://cure.org/smile-challenge-hp/) - [Giving Tuesday](https://cure.org/donate/gt/) - We’re setting out to fund 100 surgeries by MIDNIGHT on December 2nd and your gift will be matched dollar for dollar up to $30,000. - [Join the Smile Challenge](https://cure.org/join-the-smile-challenge/) - [Join the Smile Challenge](https://cure.org/join_the_smile_challenge/) - [Leadership](https://cure.org/leadership/) - [Ministry Outreach](https://cure.org/ministry-outreach/) - [Home | Vision Summit 2026](https://cure.org/visionsummit/) - [About | Vision Summit 2026](https://cure.org/visionsummit/about/) - [Frequently Asked Questions | Vision Summit 2026](https://cure.org/visionsummit/faq/) - [Speakers | Vision Summit 2026](https://cure.org/visionsummit/speakers/) - [Prayer Partners Donate](https://cure.org/donate/prayer-partners-donate/) - [Come Behold Him Donation Page](https://cure.org/donate/come-behold-him-ebook/) - [Give the Miracle of Surgery](https://cure.org/donate/give-the-miracle-of-surgery/) - [Give the Miracle of Surgery](https://cure.org/donate/give_the_miracle_of_surgery/) - [Give the Miracle of Surgery](https://cure.org/donate/givethemiracleofsurgery/) - [Unoffendable 5 Day Devotional Donation Page](https://cure.org/donate/unoffendable-5-day-devotional-donation-page/) - [Life Is Hard Donation Page](https://cure.org/donate/life-is-hard-donation-page/) - [Because He Lives Donation Page](https://cure.org/donate/because-he-lives-donation-page/) - [Sponsor a Surgery Donation Page](https://cure.org/donate/sponsor-surgery/) - [Club CURE Donation Page](https://cure.org/donate/clubcure/) - [12 Scriptures to Remember God Is with You Donation Page](https://cure.org/donate/12-scriptures-to-remember-donation-page/) - [Schedule | Vision Summit 2026](https://cure.org/visionsummit/schedule/) - [River Radio](https://cure.org/theriver/) - [Financial Accountability](https://cure.org/financial-accountability/) - [12 Scriptures to Remember God Is with You](https://cure.org/12-scriptures-to-remember-god-is-with-you/) - [President's Weekend 2026 | Videos](https://cure.org/weekend/videos/) - [Gull Lake Ministries Camp](https://cure.org/glm/) - [Donate — TEST (This is used to test ideas for speeding up the load time of the header video)](https://cure.org/donate-test/) - [Press Hub](https://cure.org/press-hub/) - [Donate](https://cure.org/donate/) - [One](https://cure.org/one/) - [Brain Surgery Run](https://cure.org/bsr/) - [Major Donor Proposal](https://cure.org/top5/) - [Contact Us](https://cure.org/contact-us/) - [President's Weekend 2026](https://cure.org/pw26/) - [Because He Lives](https://cure.org/because-he-lives/) - [Schedule](https://cure.org/weekend/schedule/) - [President's Weekend 2026 | More Info](https://cure.org/pw26/info/) - [President's Weekend 2026 | Learn Labs](https://cure.org/pw26/learn-labs/) - [President's Weekend 2026 | Map](https://cure.org/pw26/map/) - [FAQs](https://cure.org/faqs/) - [Peer to Peer](https://cure.org/peer-to-peer/) - [Terms Of Use](https://cure.org/terms-of-use/) - [Club CURE](https://cure.org/donate/club-cure/) - [Speakers](https://cure.org/weekend/speakers/) - [Vacation Bible School](https://cure.org/vbs/) - [Log in](https://cure.org/login/) - [About CURE](https://cure.org/weekend/about/) - [Thank You](https://cure.org/thankyou/) - [Give the Miracle of Surgery](https://cure.org/donate/cye/) - [Unoffendable 5 Day Devotional](https://cure.org/unoffendable-5-day-devotional/) - [Life is Hard Devotional](https://cure.org/life-is-hard-devotional/) - [Our Ministry Team](https://cure.org/our-ministry-team/) - [Word FM](https://cure.org/word-fm/) - [Come Behold Him ebook](https://cure.org/come-behold-him/) - [President's Weekend - Official](https://cure.org/weekend/) - [Giving Tuesday](https://cure.org/donate/giving-tuesday/) - We’re setting out to fund 100 surgeries by MIDNIGHT on December 2nd and your gift will be matched dollar for dollar up to $30,000. - [Frequently Asked Questions](https://cure.org/weekend/faq/) - [Give Cure](https://cure.org/donate/give-cure/) - [Thank you!](https://cure.org/thank-you-video/) - [Giving Tuesday](https://cure.org/donate/giving_tuesday/) - We’re setting out to fund 100 surgeries by MIDNIGHT on December 2nd and your gift will be matched dollar for dollar up to $30,000. - [President's Weekend](https://cure.org/weekend-old/) - March 12-15, 2026 Carlsbad, CA March 12-15, 2026 Carlsbad, CA Register Today A weekend to shape the future For over 15 years, the president of CURE has hosted a special weekend for stakeholders to meet doctors, engage directly with leadership, and shape the future of the mission. It’s the next best thing to visiting a - [President's Weekend](https://cure.org/weekend-new/) - [Prayer Partners](https://cure.org/prayer-partners/) - [Word FM](https://cure.org/word-fmold/) - [Strategic Plan](https://cure.org/strategic-plan/) - [Moody](https://cure.org/moody/) - [Strategic Plan](https://cure.org/sp24/) - [Gift Catalog](https://cure.org/gifts/) - Give the gift of healing this Christmas. Your life-changing gift will provides surgery and the love of Jesus for children with treatable disabilities. - [Prayer Partners](https://cure.org/prayer-partners-2/) - [Magazine Issue 11](https://cure.org/issue11/) - [News](https://cure.org/news/) - [Evance’s Mom Had to Carry Him to School. Today, He’s Walking on Two Feet](https://cure.org/evance/) - [Discover CURE](https://cure.org/discover-cure/) - [Fall Newsletter](https://cure.org/help/) - [Night to Cure](https://cure.org/ntc/) - [Brain Surgery Run](https://cure.org/brain-surgery-run/) - [Careers — Overview](https://cure.org/careers-overview/) - [Measuring Impact](https://cure.org/impact/) - [Our Medical Team](https://cure.org/our-medical-team/) - [Prayer Program](https://cure.org/prayer/) - [History](https://cure.org/history/) - [Network Map](https://cure.org/network-map/) - [CURE Neuro](https://cure.org/cure-neuro/) - [Medical Training](https://cure.org/medical-training/) - [Why CURE](https://cure.org/why-cure/) - [About CURE Overview](https://cure.org/about-cure-overview/) - [Surgery Overview](https://cure.org/surgery-overview/) - [Our Founders](https://cure.org/founders/) - [Night To CURE Landing](https://cure.org/ntc-landing/) - Healing Starts Here: A Grand Rapids Gala for CURE November 6, 2025 JW Marriott Grand Rapids November 6, 2025 Grand Rapids, MI Registration opens in July. Sign up for an email alertto be notified when you can purchase tickets. register Join us for a special night dedicated to providing surgeries and ministry care - [About Night to CURE](https://cure.org/ntc/about/) - [Night to CURE Sponsorships](https://cure.org/ntc/sponsorships/) - [Night to CURE FAQs](https://cure.org/ntc/faq/) - [100 smiles](https://cure.org/100smiles/) - We’re restoring 100 smiles in 60 days. Join us! Your gift of any amount will share the love of Jesus and provide life-changing surgery to a child with cleft lip and palate. - [Joy Radio](https://cure.org/joy/) - [Magazine Issue 10](https://cure.org/issue10/) - [Smile 25](https://cure.org/smile/) - We’re restoring 500 smiles in 60 days. Join us! Your gift of any amount will share the love of Jesus and provide life-changing surgery to a child with cleft lip and palate. - [Give](https://cure.org/give/) - [Sponsor a Surgery](https://cure.org/sponsor-a-surgery/) - [You Did a Beautiful Thing](https://cure.org/brant-thank-you/) - [Up Close Journeys](https://cure.org/upclosejourneys/) - [Maranatha Bible Camp](https://cure.org/maranatha/) - [Shine](https://cure.org/shine/) - [Lets Talk Smiles](https://cure.org/letstalksmiles/) - [President's Weekend Registration](https://cure.org/presidents-weekend-registration/) - [Shine 104.9 Radio Campaign](https://cure.org/shineold/) - [Advisory Board](https://cure.org/advisory-board/) - [Restoring Smiles, Rebuilding Lives in Malawi](https://cure.org/drdorothyinterview/) - [Sylvia's Sweet New Smile](https://cure.org/sylvias-sweet-new-smile/) - [The River Donation Page](https://cure.org/rivold/) - [Thank You, River Radio Community](https://cure.org/thank-you-river-radio-community/) - [Smile Challenge — 2025](https://cure.org/sc-staging/) - [Healing 2X](https://cure.org/healing2x/) - [Planned Giving](https://cure.org/planned-giving/) - [Ways to Give](https://cure.org/ways-to-give/) - [Volunteer](https://cure.org/volunteer/) - [Moody](https://cure.org/moody-old/) - [Moody](https://cure.org/moody-2/) - [Moody](https://cure.org/moodrework/) - [The River](https://cure.org/the-river/) - [The River '25](https://cure.org/the-river25/) - [Stock and Asset Giving](https://cure.org/stock-and-asset-giving/) - [Donation FAQs](https://cure.org/donation-faqs/) - [I Am Cured](https://cure.org/iamcured/) - [CURE in the News](https://cure.org/cure-in-the-news/) - [Gift of Healing](https://cure.org/giftofhealing/) - [Word FM Donation Page](https://cure.org/wordfm/) - [Word FM Radio](https://cure.org/wordfm-2/) - [Top 5 Gifts](https://cure.org/top5gifts/) - [Up-Close](https://cure.org/up-close/) - [Fall Magazine Donation Page](https://cure.org/fall-magazine-donation-page/) - [Project Play 2024](https://cure.org/play/) - [School](https://cure.org/school/) - [Back to School](https://cure.org/backtoschool/) - [ATG](https://cure.org/atg/) - [Getty](https://cure.org/getty/) - [Help Kids Heal](https://cure.org/helpkidsheal/) - [Monthly Giving](https://cure.org/monthly-giving/) - [Help Now](https://cure.org/helpnow/) - [Checkup](https://cure.org/checkup/) - [Gala](https://cure.org/gala/) - [Operation Run 2024](https://cure.org/run/) - [Volunteer FAQs](https://cure.org/volunteer-faqs/) - [Operation Run](https://cure.org/run-backup/) - [You Can Help](https://cure.org/youcanhelp/) - [Thank You](https://cure.org/thank-you/) - [Bay Area Men's Conference](https://cure.org/menweneed/) - [Serve More Children](https://cure.org/servekids/) - [Events](https://cure.org/events/) - [Smile Challenge — 2024](https://cure.org/smile-challenge-2024/) - [Kids are Waiting](https://cure.org/urgent/) - [Heal Kids Donation Page](https://cure.org/heal/) - [Joy 99](https://cure.org/joy-99/) - [What We Do](https://cure.org/what-we-do/) - [After Surgery](https://cure.org/after-surgery/) - [Before Surgery](https://cure.org/before-surgery/) - From community outreach and health education to diagnostic testing and nutritional support, children and families are fully prepared for surgical care. It’s what you make possible when you support CURE. - [Cleft Center](https://cure.org/cleftcenter/) - [Restore Kids Donation Page](https://cure.org/restorekids/) - [Spring Magazine](https://cure.org/springmag2024/) - [Legacy & Planned Giving](https://cure.org/legacy/) - [The Followership Conference](https://cure.org/follow/) - [BBS Direct Mail Donation Page](https://cure.org/impact2023/) - [BBS February Newsletter Donation Page](https://cure.org/hope/) - [Help Kids Heal Donation Page](https://cure.org/healkidsheal/) - [Kelly Products Donation Page](https://cure.org/kellyproducts/) - [The Fish Radio Campaign Donation Page](https://cure.org/thefish/) - [KSGN/CURE Event Donation Page](https://cure.org/ksgn/) - [End the Wait](https://cure.org/end-the-wait/) - [Board of Directors](https://cure.org/board-of-directors/) - [Stories](https://cure.org/stories/) - [Mission, Vision, and Core Values](https://cure.org/mission-vision-and-values/) - [Giving Tuesday](https://cure.org/giving-tuesday-23/) - [State Fundraising Disclosure Statements](https://cure.org/state-fundraising-disclosure-statements/) - [Project Play](https://cure.org/project-play/) - [CURE Hospitals](https://cure.org/cure-hospitals/) - [Press Release](https://cure.org/press-release/) - [My Account](https://cure.org/myaccount/) - [Company Matching Gifts](https://cure.org/company-matching-gifts/) - [Pillars of Practice (This is a backup of the original Pillars of Practice)](https://cure.org/pillars-of-practice-this-is-a-backup-of-the-original-pillars-of-practice/) - [Brant & Sherri](https://cure.org/brant-sherri/) - [Fish ATL](https://cure.org/fish-atl/) - [Virtual Fundraising](https://cure.org/virtual-fundraising/) - [CURE Gear](https://cure.org/cure-gear/) - [Take Action — TEMPLATE](https://cure.org/take-action-template/) - [Careers — International](https://cure.org/careers-international/) - [Careers — Corporate](https://cure.org/careers-corporate/) - [Research](https://cure.org/research/) - [Make a trip payment](https://cure.org/trip-payment/) - [Go Restricted](https://cure.org/go-restricted/) - [Affiliates](https://cure.org/affiliates/) - [Accessibility](https://cure.org/accessibility/) - [Privacy Policy](https://cure.org/privacy-policy/) - [Annual Giving Statement](https://cure.org/annual-giving-statement/) - [Theory of Change](https://cure.org/theory-of-change/) - [Malawi Flooding](https://cure.org/malawi-flooding/) - [History (Original with Map)](https://cure.org/history-map/) - [Account Settings](https://cure.org/account-settings/) - [User Login](https://cure.org/user-login/) - [Dashboard](https://cure.org/dashboard/) - [Sample Page](https://cure.org/sample-page/) - This is an example page. It's different from a blog post because it will stay in one place and will show up in your site navigation (in most themes). Most people start with an About page that introduces them to potential site visitors. It might say something like this: Hi there! I'm a bike messenger ## Events - [President’s Forum 2021](https://cure.org/event/presidents-forum-2021/) - [CURE Check-Up Webinar: February 2021](https://cure.org/event/cure-check-up-webinar-february-2021/) - [CURE Check-Up Webinar: December 2020](https://cure.org/event/cure-check-up-webinar-december-2020/) - [CURE Leadership Call May 2020](https://cure.org/event/cure-leadership-call-may-2020/) - [CURE Leadership Call: April 2020](https://cure.org/event/cure-leadership-call-april-2020/) - [CURE Check-Up Webinar - On Treating Clefts with Dr. Hodges](https://cure.org/event/cure-check-up-webinar-on-treating-clefts-with-dr-hodges/) - [CURE Check-Up Webinar: On Treating Clubfoot with Dr. Moyo](https://cure.org/event/cure-check-up-webinar-on-treating-clubfoot-with-dr-moyo/) - [CURE Up Close](https://cure.org/event/cure-up-close/) ## Hospitals - [Malawi](https://cure.org/hospitals/malawi/) - [Philippines](https://cure.org/hospitals/philippines/) - [Zambia](https://cure.org/hospitals/zambia/) - [Kenya](https://cure.org/hospitals/kenya/) - [Zimbabwe](https://cure.org/hospitals/zimbabwe/) - [Niger](https://cure.org/hospitals/niger/) - [Uganda](https://cure.org/hospitals/uganda/) - [Ethiopia](https://cure.org/hospitals/ethiopia/) ## Ministry & Outreach - [Play Therapy 2](https://cure.org/ministry-outreach/play-therapy-2/) - [Pastor Training 2](https://cure.org/ministry-outreach/pastor-training-2/) - [Advocacy and Awareness](https://cure.org/ministry-outreach/aaa/) - [Biblical Counseling](https://cure.org/ministry-outreach/bc/) - [Diagnostic Testing](https://cure.org/ministry-outreach/dt/) - [Lodging & Meals](https://cure.org/ministry-outreach/lm/) - [Nutritional Support](https://cure.org/ministry-outreach/ns/) - [Bedside Ministry 2](https://cure.org/ministry-outreach/bedside-ministry/) - [Mobile Clinics 2](https://cure.org/ministry-outreach/mobile-clinics-2/) - [Education & Prevention 2](https://cure.org/ministry-outreach/education-prevention-2/) - [Nutritional Support 2](https://cure.org/ministry-outreach/nutritional-support-2/) - [Lodging & Meals 2](https://cure.org/ministry-outreach/lodging-meals-2/) - [Physical Therapy 2](https://cure.org/ministry-outreach/physical-therapy-2/) - [Pastor Training](https://cure.org/ministry-outreach/pastor-training/) - [Mobile Clinics](https://cure.org/ministry-outreach/mobile-clinics/) - [Biblical Counseling](https://cure.org/ministry-outreach/biblical-counseling/) - [Prayer & Bedside Ministry](https://cure.org/ministry-outreach/prayer-bedside-ministry/) - [Play Therapy](https://cure.org/ministry-outreach/play-therapy/) - [Advocacy and Awareness](https://cure.org/ministry-outreach/advocacy-and-awareness/) - [Education & Prevention](https://cure.org/ministry-outreach/education-prevention/) ## Press Releases - [CURE International Welcomes Trish Moore as Chief Human Resources Officer](https://cure.org/press-releases/cure-international-welcomes-trish-moore-as-chief-human-resources-officer/) - ​​CURE International, a Christian nonprofit operating a network of eight pediatric hospitals across Africa and the Philippines, and Joni and Friends, an international disability ministry that provides practical help and gospel hope to people with disabilities, have announced a new partnership to provide more than 200 specially designed wheelchairs to children with disabilities in Uganda. - [Mercy Ships and CURE International Announce Partnership Providing Surgery to Reach More Children Living with Disabilities](https://cure.org/press-releases/mercy-ships-and-cure-international-announce-partnership-providing-surgery-to-reach-more-children-living-with-disabilities/) - Mercy Ships and CURE International announced a partnership to provide specialized surgical care to children living with disabilities across the continent of Africa. Both organizations provide hope and healing to children living with disabilities through surgical care in under-resourced countries. During a time when the COVID -19 pandemic has made access to specialized surgical care even more difficult, combining the resources of two like-minded organizations will provide treatment to the most vulnerable in under-resourced countries like Uganda and Niger. Even before the pandemic, children that need specialized surgical care often wait years before receiving treatment because of limited national resources or the lack of specialized doctors, resulting in added economic burdens for their families and additional suffering. The pandemic has only further compounded these factors. “An estimated 16.9 million people die each year from lack of accessible surgical care. A situation that has only been made worse by the current COVID pandemic. Addressing that need in Africa requires partnership and collaboration. Together with our colleagues at CURE we are pleased to be able to extend the essential services Mercy Ships provides alongside our ship-based programs," said Dr Peter Linz, Mercy Ships International Chief Medical Officer. “Dr. Peter Linz and I meet on a monthly basis with the Chief Medical Officers from two other medical NGOs to discuss COVID and it became clear that if we pooled our resources and people, it would increase our capacity to reach even more children in need of surgical care,” said Dr. Richard Gardner, Chief Medical Officer of CURE International. Mercy Ships sent UK volunteer anesthesiologist, Dr. Sarah Kwok, to the CURE Children’s Hospital of Uganda, which has been open during the pandemic and admitting children in need of specialized neurological care for conditions like hydrocephalus. “It has been a privilege to work with CURE Uganda at their neurosurgical hospital. The children here have life threatening conditions and the surgeries performed on a daily basis are changing lives and transforming futures. I have joined a team of amazing anesthesia providers and we are learning so much from each other. My hope is that CURE and Mercy Ships continue to partner together to provide the highest standards of care for every child we touch,” stated Dr Kwok. Additionally, Dr. Tertius Venter, a South African volunteer plastic reconstructive surgeon for Mercy Ships is also currently at the CURE Children’s Hospital of Niger assisting in the provision of surgery to children who have suffered from the effects of burn accidents that contract their skin and limit mobility. "We're so excited to join hands with Mercy Ships to increase access to surgical care in strategic locations across the CURE network. The challenges of COVID have resulted in creative solutions and a collaborative partnership that helps us effectively treat the most vulnerable, children with disabilities," said Justin Narducci, President & CEO of CURE International. - [CURE International and Joni and Friends Announce Strategic Partnership to Support Children with Disabilities](https://cure.org/press-releases/cure-international-and-joni-and-friends-announce-strategic-partnership-to-support-children-with-disabilities/) - ​​CURE International, a Christian nonprofit operating a network of eight pediatric hospitals across Africa and the Philippines, and Joni and Friends, an international disability ministry that provides practical help and gospel hope to people with disabilities, have announced a new partnership to provide more than 200 specially designed wheelchairs to children with disabilities in Uganda. - [CURE International and Biblica Partner to Provide Bibles to Children in Hospitals](https://cure.org/press-releases/cure-biblica-partnership/) - CURE and Biblica partner to provide 87,000+ Bibles in 22 languages to children across CURE's hospital network. - [CURE International Welcomes Christi Huizenga Renaud as Chief Donor Relations Officer](https://cure.org/press-releases/cure-international-new-chief-donor-relations-officer/) - CURE International welcomed Christi Huizenga Renaud, MBA, as Chief Donor Relations Officer—a new executive position created to deepen donor relationships and advance the mission to help more kids heal. - [CURE International Names Dr. Giorgio Lastroni Chief Medical Officer](https://cure.org/press-releases/cure-international-names-dr-giorgio-lastroni-chief-medical-officer/) - Dr. Giorgio Lastroni, who has served with CURE for 14 years, is appointed Chief Medical Officer - [CURE International Breaks Ground on Largest Hospital Expansion Project in Its 25+ Year History](https://cure.org/press-releases/cure-international-breaks-ground-on-largest-hospital-expansion-project-in-its-25-year-history/) - The new, state-of-the-art facility at CURE Ethiopia will help the hospital accommodate up to 5,000 patients annually. - [CURE International Expands Hospital in Zambia, Opens Cleft Care Center](https://cure.org/press-releases/cure-international-expands-hospital-in-zambia-opens-cleft-care-center/) - Children in one of the most under-resourced countries on Earth now have access to no-cost, high-quality, and life-changing comprehensive cleft care - [Arizona Surgeon, Family Moving to Zambia to Serve Children with Disabilities](https://cure.org/press-releases/arizona-surgeon-family-moving-to-zambia-to-serve-children-with-disabilities/) - Dr. Meredith Workman, a plastic and reconstructive surgeon in Mesa, AZ, and the founder of East Valley Pediatric Plastic Surgery, PLC, and her family will depart for Lusaka, Zambia, in January to begin a permanent mission to provide world-class surgical care to children with treatable disabilities. She will be the only practicing pediatric plastic surgeon treating children in the entire country of 20 million people. - [Former Chief Medical Officer Dr. Rick Gardner Joins CURE International Board of Directors](https://cure.org/press-releases/former-chief-medical-officer-dr-rick-gardner-joins-cure-international-board-of-directors/) - Dr. Rick Gardner, CURE Board Member - [Healthcare Executive Sharon Almeida Joins CURE International Board of Directors](https://cure.org/press-releases/healthcare-executive-sharon-almeida-joins-cure-international-board-of-directors/) - Sharon Almeida, CURE Board Member and CEO of Banner Rehabilitation Hospital (West) - [Healthcare Executive and Board-Certified Surgeon, Dr. Vaughn Frigon, Named Chief Medical Officer of CURE International](https://cure.org/press-releases/healthcare-executive-and-board-certified-surgeon-dr-vaughn-frigon-named-chief-medical-officer-of-cure-international/) - Vaughn A. Frigon, MD, MMHC, FAAOS, brings over two decades of medical experience to help lead CURE’s growing network of charitable hospitals - [Healthcare Leader Fred Bw’Ombongi Joins CURE International Board of Directors](https://cure.org/press-releases/healthcare-leader-fred-bwombongi-joins-cure-international-board-of-directors/) - GRAND RAPIDS, Mich.– November 29, 2022: CURE International, a Christian global nonprofit organization based in Grand Rapids, Michigan, that operates a global network of eight charitable pediatric hospitals around the world, has announced that Fred Bw’Ombongi has joined its board of directors. Bw’Ombongi is originally from Kenya and is a former system director at Corewell Health, formerly Spectrum Health, in Grand Rapids. He currently serves as vice president of operations at Minnesota-based Allina Health. Bw’Ombongi earned a master’s degree in healthcare administration from Grand Valley State University in Allendale, Michigan, and a bachelor's degree in international business from Aquinas College in Grand Rapids, Michigan. “I have admired CURE International for many years because of its ceaseless devotion to providing hope and healing to children around the world who need it most,” said Bw’Ombongi. “The most impactful years of CURE International are surely ahead of it, and I look forward to playing my part to ensure this organization’s continued success.” “The children who come to CURE hospitals have often been shunned by their communities; they have been rejected and scorned due to a disability. They come to CURE and experience the love and healing of God through our caring staff. I am humbled and honored to be part of this ministry that brings physical and spiritual healing to so many around the world.” Bw’Ombongi is the recipient of the Henry Dunant Global Impact Award by the American Red Cross of Greater West Michigan and the Community Champion Award by the Grand Rapids Chamber of Commerce. He was featured on the 40 Under 40 list by the Grand Rapids Business Journal in 2014. “As a native of Kenya, home to CURE’s first hospital, and through his years of executive leadership in a significant healthcare network, Fred will bring a lifetime of valuable personal and professional experience that will benefit both the organization and the patients of CURE International,” said Jerry Tubergen, chairman of the board of directors of CURE International. “I am proud to welcome Fred to our board of directors.” About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its first hospital opened in 1998, CURE has completed more than 5 million patient visits and 300,000 life-changing surgeries. For more information, visit cureintlstg.wpengine.com. Photo: Fred Bw’Ombongi (Courtesy Andris Visockis Photography) - [CURE International Relaunches International Aid to Maximize Impact for People in Need](https://cure.org/press-releases/cure-international-relaunches-international-aid-to-maximize-impact-for-people-in-need/) - International Aid will again serve children and families impacted by natural disasters and humanitarian crises in the United States and around the world GRAND RAPIDS, MI - Friday, October 28, 2022: CURE International (CURE), a Christian nonprofit that operates a global network of children’s hospitals around the developing world, and International Aid, a subsidiary of CURE that specialized in medical equipment logistics and repair, and disaster response, announces that International Aid will relaunch as an independent nonprofit organization as of November 1, 2022. This strategic decision will allow each organization to pursue its unique competencies while remaining committed more efficiently to healing the sick and proclaiming the kingdom of God. As an independent nonprofit organization separate from CURE, International Aid will focus exclusively on providing emergency supplies (food, water, shelter, etc.) to people who have been affected by natural disasters and humanitarian crises. CURE will remain focused on providing surgical services and ministry care for children worldwide who suffer from treatable disabilities through its network of eight charitable children’s hospitals across Africa and the Philippines. “This change will allow each of our organizations to do what we do best while remaining committed to our common values rooted in our shared faith,” said Justin Narducci, President/CEO of CURE International. “I am excited about this new season for both organizations because it will allow even more children and families to be served in their time of need.” International Aid joined CURE International as a distinct, wholly-owned subsidiary of CURE on July 1, 2019. Three and a half years later, the organizations are proud to have succeeded in their joint mission: last fiscal year, CURE completed more medical procedures than ever before in its 25-year history for children in need across Africa and the Philippines. ### About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its inception in 1996, CURE has completed more than 5 million patient visits and 300,000 life-changing surgeries. For more information, visit https://cureintlstg.wpengine.com. About International Aid International Aid exists to glorify Christ by responding to humanitarian crises and natural disasters in the United States and around the world. - [CURE International to Develop a Free Open-Source Electronic Medical Record System for Charitable Hospitals](https://cure.org/press-releases/cure-international-to-develop-a-free-open-source-electronic-medical-record-system-for-charitable-hospitals/) - Grand Rapids, MI – DATE, JUNE 13, 2023: CURE International, a Christian nonprofit organization that operates a global network of eight charitable pediatric hospitals in developing countries, is building an open-source electronic medical record (EMR) system that will be available to other hospitals in developing countries — dramatically increasing the efficiency of medical institutions around the world. For billions of people, medical records are printed or handwritten on paper or cards and given to patients for safekeeping. Paper records are not uniform; are frequently lost, damaged, or illegible; cannot be updated; and take valuable time for medical staff to process. The EMR system will allow hospitals to safely and reliably digitize, store, and easily access outpatient and inpatient clinical data, diagnostic results, monitoring and evaluation data, and surgical details in one centralized system. The US Government Accountability Office benchmark for the length of stay reduction associated with EMR systems is 30%¹, allowing more patients to receive even better treatment through more efficient use of existing resources. “As a hospital network that treats children with treatable disabilities around the world, CURE knows firsthand that EMR systems allow more children to have better and faster access to life-changing medical care,” said Justin Narducci, President/CEO of CURE International. “We are always looking for ways to maximize our impact and strongly believe that building the most comprehensive open source EMR for nonprofit hospitals will be a major leap forward for our team and children who are in need of medical care.” Once completed, the system will be made available in an open-source format to all medical institutions around the world, allowing for relatively easy customization and implementation in hundreds of unique hospital and clinical settings. The software is being developed by Thoughtworks, a global technology development firm, and is based on the Bahmni and OpenMRS open source projects. The project is funded by a generous grant from the Kingdom Giving Fund (KGF) and is expected to be fully developed, operational, and shared with the world by January 2025. 1. US General Accounting Office Information technology: Benefits realized for selected health care functions. Washington, DC: General Accounting Office, 2003. ### About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its first hospital opened in 1998, CURE has completed more than 5 million patient visits and 315,000 life-changing surgeries. For more information, visit https://cureintlstg.wpengine.com. About Thoughtworks Thoughtworks is a global technology consultancy that integrates strategy, design, and engineering to drive digital innovation. We are over 11,500 people strong across 51 offices in 18 countries. For 30 years, we’ve delivered extraordinary impact together with our clients by helping them solve complex business problems with technology as the differentiator. For more information, visit https://www.thoughtworks.com. - [Tebow CURE Hospital Opens in the Philippines](https://cure.org/press-releases/tebow-cure-hospital-opens-in-the-philippines/) - DAVAO CITY, PHILIPPINES - The Tebow CURE Hospital grand opening was held today at the facility in Davao City. Built and operated by CURE International, the hospital specializes in treating children with orthopedic conditions. Many donors have contributed to the project, including the Sacred Hvideost Foundation and the Tim Tebow Foundation. The grand opening was celebrated with a ribbon-cutting ceremony at the hospital, followed by an open house. In attendance were Dale Brantner, President & CEO of CURE International, along with representatives of the Tim Tebow Foundation, the Tebow family, the Sacred Hvideost Foundation, the City of Davao, the U.S. Embassy, USAID, and the Philippines Department of Health. “We’ve been looking forward to this day for a long time,” said Brantner. “After many years of prayer and much hard work, I am thrilled to be able to say the Tebow CURE Hospital is officially open! In this place, we will share the love of Jesus and bring physical healing to children and families who desperately need it.” The hospital, which began treating patients late last year, specializes in pediatric orthopedics, providing charitable treatment to children with conditions like knock knees, bowed legs, and neglected clubfoot. The Tebow CURE Hospital also provides competitively priced orthopedic consultations and surgery for adults in need of total joint replacements or arthroscopic surgery, as well as treatment for spine conditions and sports injuries. "We're excited to be open for business in Davao City, and we're grateful for the strong support from the community, our donors, and other partners to make this project a reality,” said Leron Lehman, Executive Director of the hospital. “We are already providing life-changing surgeries to children with physical disabilities and are excited about the opportunity we have to make a difference." The Tebow CURE Hospital features a Timmy’s Playroom, a special space set aside where children who are patients at the hospital can take a break from medical treatment and enjoy being a kid. The playroom was decorated and equipped by the Tim Tebow Foundation, honoring Philippines-born athlete Tim Tebow. It is the sixth Timmy’s Playroom to open and the first to open outside of the United States. “The Tim Tebow Foundation is so honored to be working with CURE International and so many incredible donors to make this hospital a reality,” said Erik Dellenback, Executive Director of the Tim Tebow Foundation. “Tim, who was born in the Philippines, has always had great passion for this country and its amazing people.” First envisioned in 2009, construction on The Tebow CURE Hospital began in 2012. The hospital received its license in November 2014 and saw its first surgery in December 2014. For more information, visit cureintlstg.wpengine.com/philippines. ### ABOUT CURE INTERNATIONAL CURE International is a Christian health care network that operates charitable hospitals and programs in 30 countries worldwide where patients experience the life-changing message of God’s love for them, receiving surgical treatment regardless of gender, religion, or ethnicity. Since 1998, CURE has had over 2.5 million patient visits, provided over 180,000 life-changing surgeries, and trained over 7,200 medical professionals. ABOUT THE TIM TEBOW FOUNDATION The Tim Tebow Foundation exists to bring Faith, Hope and Love to those needing a brighter day in their darkest hour of need. The foundation fulfills this mission every day by making dreams come true for children with life-threatening illnesses through the W15H program, building Timmy’s Playrooms in children’s hospitals, providing life-changing surgeries to children of the Philippines through the Tebow CURE Hospital, sponsoring Night to Shine, a nationwide prom for people with special needs, providing care for orphans in four countries and adoption aid grants for families who choose to adopt an international child with special needs, and encouraging service to others through Team Tebow. Download a PDF copy of this release An earlier version of this article incorrectly identified the mayor of Davao City as an attendee. - [CURE Awarded $2.79 million from USAID's ASHA program for Expansion and Sustainability Projects](https://cure.org/press-releases/cure-awarded-2-79-million-from-usaids-asha-program-for-expansion-and-sustainability-projects/) - CURE International was awarded $2.79 million in grant funds by USAID/ASHA to make improvements to CURE’s charitable children’s hospitals in Kenya, Niger, and Zambia. These projects are made possible by the generous support of the American people and will include: Solar Energy System and Sustainability Project at the CURE Kenya hospital Solar Energy System and Sustainability Project at the CURE Zambia hospital Capacity Expansion and Infrastructure Investment at the CURE Niger hospital The Solar Energy System and Sustainability Projects at CURE Kenya and CURE Zambia will provide innovative solar energy solutions and electrical upgrades to enhance the hospitals’ energy independence and create significant cost savings that will be reinvested into the hospitals’ charitable work. Through these projects, the ties between the United States and the countries of Kenya and Zambia will be strengthened and champion the ideals of sustainable energy and innovative technology in these countries. The Capacity Expansion and Infrastructure Investment project at CURE Niger will allow the expansion of the hospital’s operating rooms, children’s ward, medical equipment, and improve its current solar energy system. These upgrades will allow the hospital to continue to provide excellent care for children with treatable disabilities and further strengthen the United States’ relationship with Niger. These four-year construction projects will officially begin in October 2020 and will help support the growth and sustainability of these charitable children’s hospitals in Kenya, Zambia, and Niger. ABOUT CURE INTERNATIONALCURE International is a non-profit Christian organization that operates charitable hospitals and pediatric specialty programs in 12 countries around the world. CURE provides medical and surgical care for children with treatable conditions regardless of gender, ethnic background, or religious affiliation. Since 1996, CURE’s mission is to heal the sick and proclaim the kingdom of God. For more information, visit https://cure.org/. ABOUT USAIDUSAID is the world’s premier international development agency and a catalytic actor driving development results. USAID’s work advances U.S. national security and economic prosperity, demonstrates American generosity, and promotes a path to recipient self-reliance and resilience. For more information, visit https://usaid.gov ABOUT USAID/ASHAUSAID’s Office of American Schools and Hospitals Abroad (USAID/ASHA) provides assistance to schools, libraries, and medical centers outside the United States that serve as study and demonstration centers for American ideas and practices. USAID/ASHA awards help cultivate positive relationships between citizens of the United States and other nations. For more information, visit the ASHA page on the USAID site. - [CURE International to Launch Zimbabwe's First Children's Orthopedic Hospital](https://cure.org/press-releases/cure-international-to-launch-zimbabwes-first-childrens-orthopedic-hospital/) - CURE International (CURE), a global provider of surgical treatment for children with treatable disabilities, announced plans to open CURE Children’s Hospital of Zimbabwe, a first-in-the-nation facility providing life-transforming medical care to thousands of vulnerable children. Reconstruction of the $5 million hospital was recently completed by the Zimbabwe Orthopedic Trust (ZOT) in partnership with the Zimbabwean government. The hospital plans to open in the first quarter of 2021, and the new facility will be the eighth hospital in the CURE network, the seventh in Africa. Medical care at the CURE Children’s Hospital of Zimbabwe will be provided to all children regardless of their economic means, ethnicity, gender, or religion. “The work of our doctors through this expansion of our ministry will change the lives of children with conditions like neglected clubfoot, bowed legs, cleft lips, untreated burns, and other treatable disabilities,” said Professor Chris Lavy, a globally recognized surgical physician. Professor Lavy is also a ZOT Board Chair and a CURE UK Board Member. He worked with Dr. Collen Msasanure, one of Bulawayo’s senior orthopedic surgeons for more than five years to bring the hospital to fruition. “We’re truly bringing new hope to hundreds of thousands of families, while also sharing the love of Christ.” Chief Medical Officer, Dr. Rick Gardner and Dr. Msasanure, will support the start-up of the new children’s hospital in Bulawayo, Zimbabwe’s second–largest city. In addition to direct surgical care, Dr. Gardner and other CURE affiliated surgeons will work with Zimbabwean colleagues to train young surgeons on vital orthopedic procedures, helping to amplify the impact of this new hospital. “The people around the world who support our ministry and the tireless work of Dr. Chris Lavy will transform lives and improve the future of this beautiful country for generations to come,” Dr. Gardner said. “I am excited to serve the people of Zimbabwe while spreading the love of Christ reflected in our work around the world.” Justin Narducci, President/CEO of CURE International says, “Adding the CURE Children’s Hospital of Zimbabwe expands our ability to reach and serve more kids in Southern Africa alongside our sister hospitals in the neighboring countries of Zambia and Malawi. In the years to come, this facility and its compassionate and capable staff will serve thousands of children who otherwise may never have access to world-class surgical care. We are committed to deploying mobile clinics to reach underserved communities ensuring no child with a treatable disability is left behind in Zimbabwe.” For information about CURE’s work and how to support the CURE Children’s Hospital of Zimbabwe can be found by visiting cureintlstg.wpengine.com/zimbabwe. If you would like to join us in providing medical care for vulnerable children with treatable disabilities in Zimbabwe, click the button below. - [CURE International Opens Headquarters In Grand Rapids, Michigan](https://cure.org/press-releases/cure-international-opens-headquarters-in-grand-rapids-michigan/) - 40 Jobs expected to be housed in new location, which serves 1,000 healthcare workers worldwide GRAND RAPIDS, Mich. – Sept. 29, 2021 – CURE International (CURE), a non-profit Christian organization operating eight pediatric hospitals throughout the world, celebrated the opening of its new headquarters in Grand Rapids, Michigan, on Sept. 29. The new headquarters, located at 70 Ionia Avenue SW, will house a staff of 40 individuals, bringing CURE within steps of Grand Rapids’ large healthcare industry. “As we all know, the West Michigan community has an incredible healthcare presence. Relocating our headquarters to Grand Rapids gives us an opportunity to be a part of that community,” said Jerry Tubergen, board chair for CURE. “Cure values collaborative partnerships that cultivate trust and authenticity. And that is what Grand Rapids is, a place built on authenticity and where collaboration comes together for the greater good. With pediatric hospitals located in Ethiopia, Malawi, Philippines, Zambia, Kenya, Niger, Uganda, and Zimbabwe, CURE employs nearly 1,000 healthcare workers worldwide. CURE treats children who are dealing with clubfoot, bowed legs, cleft lips, untreated burns and hydrocephalus, among other things. Since 1996, the organization has provided more than five- million patient visits and performed nearly 300,000 thousand surgeries. “We will work to collaborate with those in healthcare in Grand Rapids to share best practices,” said CURE’s President and CEO Justin Narducci. “It is important that we not only share our mission to reach and heal children with disabilities to give them opportunities to live better lives as they mature and allow them to better interact and participate in activities with other children in their villages/communities, but to be responsible stewards within the communities that we operate.” Multiple leaders in the area of healthcare, research and education, which includes Michigan State, University of Michigan, Grand Valley State University, Ferris State University, the Van Andel Institute, and others are located in Grand Rapids. “Your work is nothing short of a miracle,” said Grand Rapids Mayor Rosalyn Bliss. “We now have another strong medical provider to add to the City’s and region’s growing list. From Spectrum Health, St. Mary’s, Metro Health, Cherry Health and so many more. I can proudly say we are home to CURE International.” CURE first moved to Michigan from New Cumberland, Pennsylvania in 2019 after acquiring Michigan-based International Aid. CURE will keep it’s warehousing operations in Spring Lake. About CURE International: CURE International is a Christian nonprofit organization that operates a global network of pediatric surgical hospitals, which serve one of the world’s most marginalized and vulnerable populations – children with disabilities. Patients at CURE hospitals suffer from orthopedic, neurosurgical, and maxillofacial conditions that limit their mobility/functionality and opportunities for education and employment. In addition to world-class clinical service, CURE intentionally ministers to the emotional and spiritual needs of patients in its care and invests in training programs that aim to equip the next generation of health workers and strengthen national health care systems. Since inception, CURE has conducted more than 5.2 million patient visits and 300,000 surgical procedures around the world. For more information, visit https://cureintlstg.wpengine.com. - [Historic Homecoming: Zimbabwean Becomes First Pediatric Orthopedic Surgeon to Return, Treat Children At CURE International Hospital](https://cure.org/press-releases/historic-homecoming-zimbabwean-becomes-first-pediatric-orthopedic-surgeon-to-return-treat-children-at-cure-international-hospital/) - UK-trained doctor is first native-born surgeon to return to practice pediatric orthopedics in the Sub-Saharan country GRAND RAPIDS, MI- October 18, 2021: CURE International, an NGO operating a global network of pediatric hospitals, proudly announces Dr. Tongai Chitsamatanga has made history today by becoming the first Zimbabwean to return to his country to serve as a full-time fellowship trained pediatric orthopedic surgeon. Dr. Chitsamatanga began practicing at CURE Zimbabwe today, October 18, 2021. “CURE International is honored to make history with the return of Dr. Chitsamatanga to Zimbabwe,” said CURE International President and CEO Justin Narducci. “Tongai represents a new generation of highly-trained African medical professionals who choose to return to Africa to improve the lives of their countrymen. CURE will continue to invest in the next generation of national surgeons in all countries and regions we serve.” Dr. Chitsamatanga grew up in Bulawayo and later moved to Harare for medical school. After an internship, he worked at a mission hospital for six years. It was while he was at the mission hospital that he realized God’s calling was for him to do similar work in the future. He trained in General Orthopedics with the College of Surgeons of East, Central and Southern Africa (COSECSA), graduating in 2017. The Zimbabwean undertook a trauma and limb reconstruction fellowship at the University of Oxford NHS in 2019. He also recently became a Clinical Fellow in Pediatric Orthopedics at the University of Derby and Burton NHS Trust, UK. A longtime supporter of CURE International, Dr. Chitsamatanga first attended a pediatric orthopedics course run at Beit-CURE International Hospital in Malawi (Beit-CURE Malawi) in July 2013. He later completed a nine month fellowship at Beit-CURE Malawi hospital in partnership with The College of Surgeons of East, Central, and Southern Africa (COSECSA) Oxford Link (COOL). “It is a personal milestone, as well as a proud professional achievement, for me to be able to return to my beloved Zimbabwe to improve the health of children. Paediatric Orthopedics is my passion,” said Dr. Chitsamatanga. “I hope to heal, and maybe even inspire, many children who live in the country where I grew up.” Dr. Collen Msasanure, President of the Zimbabwe Orthopaedic Association said, “We are all excited and grateful that Dr. Chitsamatanga is joining CURE Children’s Hospital of Zimbabwe. Over the past few months the volume of work has increased beyond our expectation. We are grateful to God for the help that he is going to bring to so many children with orthopaedic deformities in Zimbabwe. Welcome, Dr. Chitsamatanga.” Thousands of young lives are changed every year because of the dedication of doctors like Dr. Chitsamatanga who put their abilities to work for some of the most deserving children in the world. To learn more about ways you can support CURE’s mission, visit https://cure.org/. About CURE Children's Hospital of Zimbabwe Established in April 2021, CURE Zimbabwe is the first and only hospital in the country of 14 million people to provide orthopedic care for disabilities such as clubfoot, bowed legs, and knock knees to children regardless of their economic status. The teaching hospital has 13 beds, three operating theaters, and an outpatient clinic. The hospital was refurbished by the Zimbabwe Orthopedic Trust in partnership with the Zimbabwean government and is located adjacent to United Bulawayo Hospital in Bulawayo. About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its inception in 1996, CURE has completed more than 5 million patient visits and 300,000 life-changing surgeries. For more information, visit https://cure.org/. ### Media Contact: Austin Cantrell, Austin@CanComms.com, (954) 790-1015 - [Pennsylvania Doctors, Husband and Wife, Will Move to Philippines to Care for Children at CURE International Hospital](https://cure.org/press-releases/pennsylvania-doctors-husband-and-wife-will-move-to-philippines-to-care-for-children-at-cure-international-hospital/) - CURE Philippines was established in 2014 in partnership with the Tim Tebow Foundation GRAND RAPIDS, MI- October 19, 2021: CURE International, an NGO operating a global network of pediatric hospitals, announces Dr. Bill Hennrikus and Dr. Eileen Hennrikus will put their years of experience and medical and surgical talents to work at Tebow CURE Hospital to improve the lives of children suffering from treatable disabilities starting November 8, 2021. They currently reside in Hershey, PA and serve as Emeritus Professors at the Penn State Health Milton S. Hershey Medical Center. “CURE International is proud to attract some of the best and brightest to our hospitals to serve children who need our help,” said CURE International President and CEO Justin Narducci. “Bill and Eileen will join our talented Filipino hospital team to make a world of difference to the children of the Philippines.” Bill and Eileen are the only physician couple to have been elected to the Penn State College of Medicine Distinguished Educator Society. Dr. Bill Hennrikus received his medical degree from Georgetown University, his Orthopaedic Residency Training at Balboa Naval Hospital in San Diego, and his fellowship training at Boston Children's Hospital - the primary pediatric teaching hospital for Harvard Medical School. He is past Chairman of the American Academy of Pediatrics Orthopaedic Section and a past member of the boards of the Pediatric Orthopedic Society of North America (POSNA) and the Society of Military Orthopaedic Surgeons. Dr. Bill Hennrikus has authored more than 150 scientific articles and book chapters. “It is a privilege to be in a position to offer care and hope to the children of the Philippines,” said Dr. Bill Hennrikus. “Eileen and I are so excited to join the CURE team because we know the amazing work they have done — and continue to do — for children suffering with treatable disabilities.” Dr. Eileen Hennrikus also received her medical degree from Georgetown University. She is a professor of medicine at the Pennsylvania State University College of Medicine and an Internal Medicine Specialist in Hershey, PA. Dr. Eileen Hennrikus has over 38 years of experience in the medical field. At Penn State, she has served as co-director of first-year Scientific Principles of Medicine and as a clinical skills adviser in Foundations of Patient-Centered Care. “Bill and I have been associated with CURE International for years and have seen first-hand the good they do around the world,” said Dr. Eileen Hennrikus. “For us, to be able to join in that mission is a dream come true.” Thousands of young lives are changed every year because of the dedication of doctors like the Hennrikus’ who put their abilities to work for some of the most deserving children in the world. Their efforts are multiplied through in-country staff training opportunities, allowing their impact to spread even farther. To learn more about ways you can support CURE’s mission, visit https://cure.org/. About the Tebow CURE Hospital Established in 2014 through a partnership with the Tim Tebow Foundation, CURE Philippines performs over 700 life-changing reconstructive plastic and orthopedic surgeries every year for children suffering from treatable disabilities. Strategically located in Davao City, the hospital has 30 beds and three operating rooms to treat children with conditions like clubfoot, cleft lip and palate as well as disabilities following chronic burn contractures. About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its inception in 1996, CURE has completed more than 5 million patient visits and 300,000 life-changing surgeries. For more information, visit https://cure.org/. ### Media Contact: Austin Cantrell, Austin@CanComms.com, (954) 790-1015 - [CURE International completes 300,000 surgeries despite pandemic](https://cure.org/press-releases/cure-international-completes-300000-surgeries-despite-pandemic/) - The US-based NGO operates a global network of children’s hospitals across Africa and Asia GRAND RAPIDS, MI - November 9, 2021: While COVID-19 upended business-as-usual across the globe, CURE International’s free pediatric hospitals remained operational, allowing them to announce today the completion of 300,000 life-changing surgeries in some of the poorest countries in the world. CURE’s decision to remain fully operational during the pandemic provided hope and healing to thousands of suffering children and their families during this uncertain time. “This major achievement is the result of millions of hours of hard work, thousands of selfless staff and volunteers, dozens of partner organizations, and each individual donor trusting us to make a difference,” said Justin Narducci, President and CEO of CURE International. Founded in 1996, CURE International provides free care for children suffering with treatable disabilities at its eight hospitals across Africa and the Philippines. Every month, CURE International completes more than 1,000 pediatric surgical procedures. The Christian organization also provides spiritual and emotional care for patients and family members as they navigate treatment and the stigmas associated with disability. “For 25 years, our mission to heal the sick and proclaim the kingdom of God has been unwavering,” said Narducci. “We look forward to the day that we can celebrate 1,000,000 life-changing surgeries that empower some of the most vulnerable children in the world.” About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its inception in 1996, CURE has completed more than 5 million patient visits and 300,000 life-changing surgeries. For more information, visit https://cure.org/. ### Media Contact: Austin Cantrell, Austin@CanComms.com, (954) 790-1015 - [CURE International Breaks Annual Record by Completing 14,000+ Surgical Procedures for Children Across World](https://cure.org/press-releases/cure-international-breaks-annual-record-by-completing-14000-surgical-procedures-for-children-across-world/) - Grand Rapids, MI, USA – August 2, 2022: CURE International announces that its world-class medical professionals completed 14,333 pediatric surgical procedures during the fiscal year 2022 – the most completed in a single year in the organization’s 26-year history. The Christian nonprofit organization, which operates a global network of eight pediatric hospitals across Africa and the Philippines, greatly surpassed its annual goal of completing 12,000 life-changing surgical procedures to help children in need. CURE International specializes in the surgical treatment of children who suffer from neurological, orthopedic, and reconstructive conditions that if left uncared for become permanent disabilities. The organization’s hospitals play an integral role in strengthening the healthcare systems of host countries, serving as a training ground for local physicians in residency, and offering formal fellowships in pediatric orthopedics. The completion of 14,333 pediatric surgeries marks a 50% increase from the previous year. Although the COVID-19 pandemic made healthcare more challenging, CURE’s children’s hospitals never closed their doors to children in need and continued operating throughout the crisis. The addition of seven surgeons and the expansion of a new hospital to the network helped to drive this remarkable growth in access to care. “This accomplishment is shared with our donors, partners, and 1,000 colleagues who come to CURE every day to serve with compassion and excellence,” said Justin Narducci, President & CEO of CURE International. “Though we are celebrating this success, we don’t see patients as statistics – we believe each one of these children is loved by Christ and is worthy of the best care.” About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its inception in 1996, CURE has conducted more than 5 million outpatient visits and completed more than 300,000 life-changing surgeries. For more information, visit https://cure.org/. - [CURE International and Smile Train Tackle Clefts With New Global Partnership](https://cure.org/press-releases/cure-international-and-smile-train-tackle-clefts-with-new-global-partnership/) - Goal: Expand cleft care and double cleft surgical capacity across the hospital network GRAND RAPIDS, MI - December 5, 2022: Each of CURE International’s seven pediatric orthopedic hospitals across Africa and the Philippines will offer comprehensive cleft care and more surgical capacity for children thanks to an expanded partnership with Smile Train, the world’s largest cleft charity. Comprehensive cleft care is a multidisciplinary approach designed to ensure that every child born with a cleft has access to a portfolio of essential treatments, including feeding/nutrition services, hearing services, speech/language therapy, psychosocial support, and dental/orthodontic care. In addition to these services, the organizations have agreed to double the cleft surgical capacity across the CURE hospital network to nearly 2,500 cleft/palate procedures per year. This is a positive step forward in treating the estimated 200,000+ babies born each year with a cleft. CURE International and Smile Train are building upon a successful history of partnership. Since 2007, the organizations have partnered to provide more than 15,000 cleft surgeries for children living in seven different countries ranging from West Africa to Southeast Asia. “Serving alongside the world-class Smile Train team is empowering CURE to reach more kids in more ways than ever before,” said Justin Narducci, President/CEO of CURE International. “We are blessed to have such a capable partner for this important work and look forward to expanding comprehensive cleft care to serve CURE kids who desperately need it. “This partnership is a win-win as CURE and Smile Train are aligned with a goal of changing more lives of cleft-affected children,” said Susannah Schaefer, President and CEO of Smile Train. Children born with clefts need more than surgery. Together, we’re committed to treating the whole patient through programs that provide access to important comprehensive cleft care services.” ### About CURE International CURE International is a Christian nonprofit organization operating a global network of eight children’s hospitals that offer free surgical interventions for children living with treatable disabilities. CURE hospitals provide life-changing care for children suffering from conditions such as cleft lip/palate, neglected clubfoot, bowed legs, burn contractures, spina bifida, brain tumors, and hydrocephalus. In addition to world-class clinical service, CURE ministers to the emotional and spiritual needs of patients and their communities. Since its inception in 1996, CURE has completed more than 5 million patient visits and 300,000 life-changing surgeries. For more information, visit https://cure.org/. About Smile Train Smile Train empowers local medical professionals with training, funding, and resources to provide free cleft surgery and comprehensive cleft care to children globally. We advance a sustainable solution and scalable global health model for cleft treatment, drastically improving children’s lives, including their ability to eat, breathe, speak, and ultimately thrive. To learn more about how Smile Train's sustainable approach means donations have both an immediate and long-term impact, please visit smiletrain.org. Media Contact: Austin Cantrell, Austin@BridgePublicAffairs.com, (954) 790-1015 ## Research - [Prevalence and characteristics of scoliosis among Ethiopian schoolchildren aged 6–15 years: A school-based cross-sectional study](https://cure.org/research/prevalence-and-characteristics-of-scoliosis-among-ethiopian-schoolchildren-aged-6-15-years-a-school-based-cross-sectional-study/) - Abstract: Scoliosis is a progressive spinal deformity that often develops during childhood and adolescence. In Ethiopia, population-level prevalence data are scarce, and school-based screening, though practical, may overestimate cases without radiographic confirmation. Understanding its distribution and severity is critical for guiding clinical and public health strategies. To estimate the prevalence of scoliosis among Ethiopian schoolchildren, characterize its types and severity, and examine associations with clinical and anthropometric variables. A cross-sectional school-based screening was conducted from March 2024 to June 2025 across 42 public primary schools in six regions. Children aged 6–15 years were screened using the Adam’s Forward Bend Test and scoliometer; suspected cases (ATR ≥ 7°) were referred for radiographic confirmation. Prevalence estimates and associations were analyzed using chi-square tests and t-tests. Data were analyzed in Python, with quality control ensured through standardized training, pilot testing, and double-entry verification. Of 32,000 children screened, 48 were suspected of scoliosis (0.15%; 95% CI: 0.11–0.20%), and 21 were radiographically confirmed (0.066%; 95% CI: 0.04–0.10%). Congenital scoliosis was most common (61.9%), with male predominance (69%), while idiopathic scoliosis (23.8%) was more frequent in females (60%). Neuromuscular and syndromic scoliosis were rare. Severity analysis showed male predominance in mild and very severe cases, with equal sex distribution in severe scoliosis. The mean Cobb angle was 47.4° (SD ± 28.9), most cases involved the thoracic spine (52.4%), and the rib hump was typically right-sided (61.9%). Cobb angle correlated positively with ATR (r = 0.61) and thoracic loss (r = 0.48), and negatively with age (r = –0.24) and thoracic height (r = –0.46). This study shows that scoliosis prevalence within the school population is low, with adolescent idiopathic cases markedly underrepresented compared to other school-based screening reports. These findings suggest that nationwide school screening programs are not recommended. Instead, efforts should prioritize strengthening diagnostic and referral pathways for clinically evident cases to ensure timely access to specialized care. - [Natural history of gait patterns in untreated children with bilateral cerebral palsy in a low-income country setting](https://cure.org/research/natural-history-of-gait-patterns-in-untreated-children-with-bilateral-cerebral-palsy-in-a-low-income-country-setting/) - [Pollicization of index fingers for bilateral hypoplastic thumbs of twin babies: Case series at CURE Children's Hospital of Ethiopia](https://cure.org/research/pollicization-of-index-fingers-for-bilateral-hypoplastic-thumbs-of-twin-babies-case-series-at-cure-childrens-hospital-of-ethiopia/) - Abstract: Thumb hypoplasia is a congenital birth defect in which a child is born with an underdeveloped or missing thumb. It is a rare condition affecting approximately 1 in 100,000 live births and occurs equally in both males and females. Pollicization is a surgical procedure used to treat severe thumb hypoplasia by transferring another finger to the thumb position. Twin girls aged two years and eight months, born to a 42-year-old para III mother, presented with bilateral thumb hypoplasia. There was no family history of similar complaints, and no consanguinity was identified between their parents. After excluding other associated anomalies, index finger pollicization was performed for all four hands of the children according to modified Buck-Gramcko techniques, with modifications from Ezaki et al. Generally, index pollicization executed with careful preoperative, intraoperative, and postoperative planning will lead to aesthetically and functionally attractive thumbs for children with congenitally severe hypoplasia or absent thumbs. - [Are generative pretrained transformer 4 responses to developmental dysplasia of the hip clinical scenarios universal? An international review](https://cure.org/research/are-generative-pretrained-transformer-4-responses-to-developmental-dysplasia-of-the-hip-clinical-scenarios-universal-an-nternational-review/) - Abstract: There is increasing interest in applying artificial intelligence chatbots like generative pretrained transformer 4 (GPT-4) in the medical field. This study aimed to explore the universality of GPT-4 responses to simulated clinical scenarios of developmental dysplasia of the hip (DDH) across diverse global settings. Methods: Seventeen international experts with more than 15 years of experience in pediatric orthopaedics were selected for the evaluation panel. Eight simulated DDH clinical scenarios were created, covering 4 key areas: (1) initial evaluation and diagnosis, (2) initial examination and treatment, (3) nursing care and follow-up, and (4) prognosis and rehabilitation planning. Each scenario was completed independently in a new GPT-4 session. Interrater reliability was assessed using Fleiss kappa, and the quality, relevance, and applicability of GPT-4 responses were analyzed using median scores and interquartile ranges. Following scoring, experts met in ZOOM sessions to generate Regional Consensus Assessment Scores, which were intended to represent a consistent regional assessment of the use of the GPT-4 in pediatric orthopaedic care. Results: GPT-4's responses to the 8 clinical DDH scenarios received performance scores ranging from 44.3% to 98.9% of the 88-point maximum. The Fleiss kappa statistic of 0.113 (P = 0.001) indicated low agreement among experts in their ratings. When assessing the responses' quality, relevance, and applicability, the median scores were 3, with interquartile ranges of 3 to 4, 3 to 4, and 2 to 3, respectively. Significant differences were noted in the prognosis and rehabilitation domain scores (P < 0.05 for all). Regional consensus scores were 75 for Africa, 74 for Asia, 73 for India, 80 for Europe, and 65 for North America, with the Kruskal-Wallis test highlighting significant disparities between these regions (P = 0.034). Conclusions: This study demonstrates the promise of GPT-4 in pediatric orthopaedic care, particularly in supporting preliminary DDH assessments and guiding treatment strategies for specialist care. However, effective integration of GPT-4 into clinical practice will require adaptation to specific regional health care contexts, highlighting the importance of a nuanced approach to health technology adaptation. Level of evidence: Level IV. - [Pattern and clinical profile of patients with cleft lip and palate at pediatrics surgical hospital in Ethiopia](https://cure.org/research/pattern-and-clinical-profile-of-patients-with-cleft-lip-and-palate-at-pediatrics-surgical-hospital-in-ethiopia/) - [Treating older children with clubfoot: results of a cross-sectional survey of expert practitioners](https://cure.org/research/treating-older-children-with-clubfoot-results-of-a-cross-sectional-survey-of-expert-practitioners/) - [One-year follow-up of orthopaedic implants in HIV-positive patients](https://cure.org/research/one-year-follow-up-of-orthopedic-implants-in-hiv-positive-patients/) - Abstract: We followed prospectively 38 orthopaedic implants in 36 HIV-positive patients. X-rays and clinical examination were used to assess union, and observation was made for early and late wound sepsis for 12 months from the time of surgery. Two patients died of causes unrelated to the implantation, two patients had implants removed for reasons other than infection and eight cases were lost to follow-up. Of the 26 cases that were reviewed at 1 year, no late sepsis was identified. All of the fractures, non-unions, osteotomies and arthrodeses united. The literature indicates that late sepsis following arthroplasty occurs more frequently in haemophiliacs who are HIV positive than their HIV-negative counterparts. It is still not certain whether or not such a risk also applies to HIV-positive patients who are not haemophiliacs and have undergone internal fixation of fractures or non-unions. This study increases the confidence that fixation in immune-compromised patients with intact skin is safe, at least for the time period that the implant is required. Further studies are required to know whether or not fixation implants should be removed. - [Orthopaedic training in developing countries](https://cure.org/research/orthopaedic-training-in-developing-countries/) - Abstract: More than 80% of the population of the world and a vast reservoir of orthopaedic pathology is located in developing countries. Our experience is mainly in central and sub-Saharan Africa, yet our conclusions hold for poor countries of all continents. The need for both elective and emergency orthopaedic services in developing countries is great. Most of the degenerative musculoskeletal diseases seen in the West are prevalent, as well as conditions such as untreated club foot, gross genu varum and valgus, tuberculosis of the spine and severe chronic osteomyelitis. Road traffic accidents are becoming an epidemic. More than 80% of deaths in road traffic accidents and more than 90% of those involving children occur in developing countries.1 In Malawi there are only four orthopaedic surgeons to care for a population of 12 million people. The need for postgraduate training in orthopaedic surgery in a developing country is undeniable, but whether this should be the only level of training depends on the general level of health services in the country. In Malawi, most of the 25 district hospitals have only one doctor of Senior House Officer level and no specialists. The majority of patients are managed by paramedical personnel known as clinical officers. Our main emphasis in training is to instruct these clinical officers in practical orthopaedics and the treatment of fractures. Each district hospital has one or more orthopaedic clinical officers (OCOs), who are able to treat most trauma safely and relatively conservatively. We have a visiting consultant support service which is patchy at present, but will improve as the number of trained specialists increases. Thus, in Malawi a two-tiered orthopaedic training programme has evolved, where we can train OCOs and postgraduate orthopaedic surgeons side-by-side. The majority of the OCOs work at the district level, while the orthopaedic surgeons are in central or teaching hospitals providing service for clinical referral and increasing the scope of training programmes. We believe this is to be a realistic, cost-effective, and achievable strategy. Other developing countries, where there are more doctors, may aim to have a postgraduate level surgeon at every district hospital (either an orthopaedic surgeon, or a generalist with orthopaedic experience). - [Hydrocephalus in Uganda: the predominance of infectious origin and primary management with endoscopic third ventriculostomy](https://cure.org/research/hydrocephalus-in-uganda-the-predominance-of-infectious-origin-and-primary-management-with-endoscopic-third-ventriculostomy/) - Abstract: The aim of this prospective study was to investigate the causes of hydrocephalus in Uganda, the efficacy of endoscopic third ventriculostomy (ETV) in this environment, and whether existing parameters could be used to guide patient selection. Methods: Three hundred consecutive children, 81.3% of whom were younger than 1 year of age, underwent ventriculoscopy preceding ETV as an initial treatment for hydrocephalus. In 179 patients (60%) the hydrocephalus was caused by a cerebrospinal fluid infection; in 76% of patients the infection had occurred in the 1st month of life. In 229 patients (76.3%) ETV was performed; 2% of patients were lost to follow up after less than 1 month and the surgical mortality rate was 1.8%. The first ETV was successful in 115 patients (52%); the mean follow-up period was 15.2 months. The mean time to repeated operation following a failed ETV was 1.5 months. Sixty-five patients underwent a second endoscopy; 37 underwent a second ETV, of which 14 procedures (38%) were successful (mean follow-up period 12.25 months). The overall success rate for ETV was 59%. Among patients older than 1 year of age, the procedure was successful in 22 (81%) of 27 with postinfectious hydrocephalus (PIHC) and 18 (90%) of 20 with nonpostinfectious hydrocephalus (NPIHC). The success rate of ETV among those patients younger than 1 year of age was 59% (60 of 101) for patients suffering from PIHC and 40% (21 of 52) for those suffering from NPIHC. Age correlated with success for NPIHC (p = 0.0002) and PIHC (p = 0.0421). The success rate of the surgery for patients with myelomeningocele and hydrocephalus who were younger than 1 year of age was 40% (eight of 20). The success rate of the surgery for PIHC in infants younger than 1 year of age was 70% (44 of 63) among patients with aqueductal obstruction but 45% (14 of 31) among patients with aqueductal patency (p = 0.0254). Fourth ventricular size as demonstrated on cranial ultrasonography or computerized tomography scanning predicted whether the aqueduct was patent (p = 0.0001). Conclusions: Infection is the most common cause of hydrocephalus in Uganda. In all children older than 1 year of age and in those younger than 1 year of age with PICH and aqueductal obstruction, which was reliably predicted by cranial ultrasonography, ETV was effective. - [Comparison of 1-year outcomes for the Chhabra and Codman-Hakim Micro Precision shunt systems in Uganda: a prospective study in 195 children](https://cure.org/research/comparison-of-1-year-outcomes-for-the-chhabra-and-codman-hakim-micro-precision-shunt-systems-in-uganda-a-prospective-study-in-195-children/) - Abstract: The author investigated the 1-year outcomes for shunt treatment of hydrocephalic children in Uganda, comparing the results using the inexpensive Chhabra shunt ($35 US dollars), widely used in East Africa, with those using the Codman-Hakim Micro Precision Valve shunt ($650). Methods The results in 195 consecutive children (mostly infants) in whom shunts were placed were studied prospectively. In Group 1, 90 patients randomly received either the Chhabra or Codman shunt as primary treatment for hydrocephalus. In Group 2, 105 patients received the Chhabra shunt when endoscopic third ventriculostomy could not be performed or had failed. The end points of the study were shunt malfunction, shunt migration, wound complication, death, or no problem at 1 year. Of all patients, 9.7% were lost to follow up and 15.9% died before 1 year. The occurrence of complications in all patients were infection (9.7%), migration/disconnection (6.3%), wound complication (5.7%), valve malfunction (3.4%), ventricular catheter obstruction (2.8%), and peritoneal catheter obstruction (1.1%). There was no statistically significant difference in any outcome category for patients receiving the Codman or Chhabra shunt (p = 0.2463–1.0000). Conclusions Ventriculoperitoneal shunt insertion for treatment of hydrocephalus can be performed in a developing country with results similar to those reported in developed countries. No difference in outcome was noted between the two shunt types. No advantage was found in using a shunt system that, in this setting, is prohibitively expensive. - [HIV/AIDS in trauma and orthopaedic surgery](https://cure.org/research/hiv-aids-in-trauma-and-orthopedic-surgery/) - Abstract: Immune deficiency associated with pneumocystis carinii pneumonia and Kaposi’s sarcoma was first recognised in the United States in 1981. The causative virus, now known as the human immunodeficiency virus (HIV), was identified in 1983 by Barre-Sinoussi, Montagnier and colleagues at the Institut Pasteur, Paris.1,2 The resulting disease has been known as acquired immune deficiency syndrome (AIDS). In 1983 Bayley3 described aggressive cases of Kaposi’s sarcoma in Zambia. In the same hospital in Lusaka, Jellis4 highlighted the musculoskeletal manifestations of HIV-AIDS. The author’s interest in the relation of HIV to the practice of orthopaedic and trauma surgery began during post-graduate training in Bulawayo, Zimbabwe in 1994, and has continued in Blantyre, Malawi since 1999. HIV is a retrovirus which encodes its genome in RNA and transcribes genome copies in DNA using the enzyme reverse transcriptase. This occurs within host cells such as the human CD4 (T helper) lymphocyte. HIV is marked by a fall in the CD4 cell count with an associated decrease in immunity, particularly in humoral immunity. Antiretroviral therapies such as nucleoside analogues and protease inhibitors reduce the viral load in the host serum and restore the numbers of host CD4 cells. The infected individual is not cured but their immunity is at least partially restored. - [Pin-track infection in HIV-positive and HIV-negative patients with open fractures treated by external fixation](https://cure.org/research/pin-track-infection-in-hiv-positive-and-hiv-negative-patients-with-open-fractures-treated-by-external-fixation/) - Abstract: Patients infected with HIV presenting with an open fracture of a long bone are difficult to manage. There is an unacceptably high rate of post-operative infection after internal fixation. There are no published data on the use of external fixation in such patients. We compared the rates of pin-track infection in HIV-positive and HIV-negative patients presenting with an open fracture. There were 47 patients with 50 external fixators, 13 of whom were HIV-positive (15 fixators). There were significantly more pin-track infections requiring pharmaceutical or surgical intervention (Checketts grade 2 or greater) in the HIV-positive group (t-test, p = 0.001). The overall rate of severe pin-track infection in the HIV-positive patients requiring removal of the external-fixator pins was 7%. This contrasts with other published data which have shown higher rates of wound infection if open fractures are treated by internal fixation. - [Combined endoscopic third ventriculostomy and choroid plexus cauterization as primary treatment of hydrocephalus for infants with myelomeningocele: long-term results of a prospective intent-to-treat study in 115 East African infants](https://cure.org/research/combined-endoscopic-third-ventriculostomy-and-choroid-plexus-cauterization-as-primary-treatment-of-hydrocephalus-for-infants-with-myelomeningocele-long-term-results-of-a-prospective-intent-to-treat-s/) - Abstract: Shunt dependence is more dangerous for children in less developed countries. Combining endoscopic third ventriculostomy (ETV) with choroid plexus cauterization (CPC) was previously shown to treat hydrocephalus more effectively than ETV alone in infants < 1 year of age. The goal of this prospective study was to evaluate the effectiveness of ETV-CPC as primary treatment of hydrocephalus in infants with myelomeningocele. Methods: One hundred fifteen consecutive East African infants with myelomeningocele requiring treatment for hydrocephalus were intended for primary management using ETV-CPC. Patient information was prospectively entered into a database. Outcomes were evaluated by life table analysis. Potential predictors for treatment failure were evaluated using multivariate logistic regression. Results: Ninety-three patients had a completed ETV-CPC with > 1 month of follow-up. The ETV-CPC procedure was successful in 71 patients (76%), with a mean and median follow-up of 19.0 months. Treatment failures occurred before 6 months in 86% of the patients, and none occurred after 10 months. The operative mortality rate was 1.1%, and there were no infections. Life table analysis suggested that 72% of the patients would be successfully treated using a single ETV-CPC and 78% would remain shunt-independent with reopening of a closed ETV stoma. Multivariate logistic regression showed scarring of the cistern (p = 0.021) or choroid plexus (p = 0.026) as predictors of failure, but age at the time of surgery was not a significant predictor. Conclusions: Using ETV-CPC appears to successfully provide a more durable primary treatment of hydrocephalus for infants with spina bifida than does shunt placement. These results support ETV-CPC as the better treatment option for these children in developing countries. - [Surgery for pharmacoresistant epilepsy in the developing world: a pilot study](https://cure.org/research/surgery-for-pharmacoresistant-epilepsy-in-the-developing-world-a-pilot-study/) - Abstract: Epilepsy prevalence in the developing world is many fold that found in developed countries. For individuals whose conditions failed to respond to pharmacotherapy, surgery is the only opportunity for cure. In Uganda, we developed a center for treatment of intractable temporal lobe epilepsy (iTLE) that functions within the technologic and expertise constraints of a severely low resource area. Our model relies on partnership with epilepsy professionals and training of local staff. Patients were prescreened at regional clinics for iTLE. Individuals meeting inclusion criteria were referred to the treating Ugandan hospital (CURE Children’s’ Hospital of Uganda, CCHU) for video-EEG (electroencephalography), computed tomography (CT) imaging, and neuropsychological evaluation. Data were transferred to epilepsy experts for analysis and treatment recommendations. Ten patients were diagnosed with iTLE and surgically treated at CCHU. Six (60%) were seizure free, and there was no neurologic morbidity or mortality. Our model for surgical treatment of pharmacoresistant TLE has functioned successfully in a true developing world low resource setting. - [Results of surgical treatment of quadriceps femoris/contracture in children](https://cure.org/research/results-of-surgical-treatment-of-quadriceps-femoris-contracture-in-children/) - Abstract: The child presenting with quadriceps femoris/contracture that is resistant to serial manipulation and plaster casting and the older child with a fixed contracture of the quadriceps is treated surgically at the African Inland Church-Cure International Children’s Hospital. The surgery involves soft tissue release and lengthening of the quadriceps tendon. Open reduction of the knee and femoral osteotomy is done as indicated. Objective: To analyze the outcome of surgical treatment of quadriceps femoris contracture in children. Setting: AIC-CURE International Children’s Hospital in Kijabe, Kenya. Methodology: This is a review of files of children in our hospital treated surgically for quadriceps fibrosis over a period of three years (January 2005 to December 2007). Results: There were fifty one cases of quadriceps fibrosis in thirty six patients treated surgically over the study period. Thirty one cases were excluded due to incomplete records or patients lost to follow-up. Consequently, the remaining twenty cases were analyzed. The pre-operative range of motion of the knee was grouped as follows: two cases had dislocated knees, three had hyperextension contractures, thirteen (0-30 degrees) and two (31-60 degrees). The final post-operative range of motion was grouped as follows: three (0-30 degrees), four (13-60 degrees), three (61-90 degrees), one (91-120 degrees) and nine (full range of flexion). Gain in flexion ranged from minus forty degrees to positive 140 degrees. The average gain in flexion was 94.7 degrees. Five patients underwent a second procedure to improve flexion. Soft tissue complications developed in four cases. Conclusion: Quadriceps femoris/contracture responds well to surgical treatment with an expected gain in flexion of 94.7 degrees. The commonest complication is skin breakdown - [Neurocognitive outcome and ventricular volume in children with myelomeningocele treated for hydrocephalus in Uganda](https://cure.org/research/neurocognitive-outcome-and-ventricular-volume-in-children-with-myelomeningocele-treated-for-hydrocephalus-in-uganda/) - Abstract: Despite lower failure and infection rates compared with shunt placement, it has not been known whether endoscopic third ventriculostomy/choroid plexus cauterization (ETV/CPC) might be inferior in regard to neurocognitive development. This study is the first to describe neurocognitive outcome and ventricle volume in infants with hydrocephalus due to myelomeningocele that was treated primarily by ETV/CPC. Methods: The modified Bayley Scales of Infant Development (BSID-III) test was administered to 93 children with spina bifida who were 5–52 months of age. Fifty-five of these children had been treated by ETV/CPC, 19 received ventriculoperitoneal (VP) shunts, and 19 had required no treatment for hydrocephalus. Raw scores were converted to scaled scores for comparison with age-corrected norms. Ventricular volume was assessed by frontal/occipital horn ratio (FOR) calculated from late postoperative CT scans. The mean values between and among groups of patients were compared using independent samples t-test and ANOVA. The comparison of mean values to population normal means was performed using the single-sample t-test. Linear regression analyses were performed using BSID scores as the dependent variables, with treatment group and ventricular size (FOR) as the independent variables. Probability values < 0.05 were considered significant. Results: . There was no significant difference in mean age at assessment among groups (p = 0.8). The mean scale scores for untreated patients were no different from normal (all p > 0.27) in all portions of the BSID (excluding gross motor), and were generally significantly better than those for both VP shunt–treated and ETV/CPC groups. The ETV/ CPC-treated patients had nonsignificantly better mean scores than patients treated with VP shunts in all portions of the BSID (all p > 0.06), except receptive communication, which was significantly better for the ETV/CPC group (p = 0.02). The mean FOR was similar among groups, with no significant difference between the untreated group and either the VP shunt or ETV/CPC groups. The FOR did not correlate with performance. Conclusions: The ETV/CPC and VP shunt groups had similar neurocognitive outcomes. Neurocognitive outcomes for infants not requiring treatment for hydrocephalus were normal and significantly better than in those requiring treatment. The mean ventricular volume was similar among all 3 groups, and significantly larger than normal. There was no association between FOR and performance. Stable mild-to-moderate ventriculomegaly alone should not trigger intervention in asymptomatic infants with spina bifida. - [Intraoperative assessment of cerebral aqueduct patency and cisternal scarring: impact on success of endoscopic third ventriculostomy in 403 African children](https://cure.org/research/intraoperative-assessment-of-cerebral-aqueduct-patency-and-cisternal-scarring-impact-on-the-success-of-endoscopic-third-ventriculostomy-in-403-african-children/) - Abstract: In the setting of a developing country where preoperative imaging may be limited, the authors wished to determine whether cisternal scarring or aqueduct patency at the time of surgery was sufficiently predictive of the failure of endoscopic third ventriculostomy (ETV) to justify shunt placement at the time of the initial operation. Methods: The status of the prepontine cistern and aqueduct at the time of ventriculoscopy was prospectively recorded in 403 children in whom an ETV had been completed. Kaplan-Meier methods were used to construct survival curves. A Cox proportional hazards model was used to provide estimates of HRs for the time to ETV failure. Several independent variables were tested in a single multivariable model, including those previously shown to be associated with ETV survival, that is, age, hydrocephalus etiology, and extent of choroid plexus cauterization (CPC). In addition, intraoperative variables of particular interest were included in the analysis: status of the aqueduct at surgery (closed vs open) and status of the prepontine cistern at surgery (scarred vs clean/unscarred). Multicollinearity was not a concern since the variance inflation factors for all variables were < 2. The examination of stratified survival curves confirmed the appropriateness of the proportional hazards assumption for each variable. Results: Overall actuarial 3-year success was 57%. Consistent with previous results, age, hydrocephalus etiology, and extent of CPC were significantly associated with ETV success. A closed aqueduct and an unscarred cistern were each independently associated with significantly better ETV success (HRs of 0.66 and 0.44, respectively). The presence of cisternal scarring more than doubled the risk of ETV failure, and an open aqueduct increased the risk of failure by 50%. Conclusions: Intraoperative observations of the aqueduct and prepontine cistern are independent predictors of the risk of ETV failure and can be used to further refine outcome predictions based on age, hydrocephalus etiology, and extent of CPC. Further studies will test validity in several African centers and determine what threshold of failure risk should prompt shunt placement at the initial operation. - [Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus in Uganda: report of a scoring system that predicts success](https://cure.org/research/endoscopic-third-ventriculostomy-in-the-treatment-of-childhood-hydrocephalus-in-uganda-report-of-a-scoring-system-that-predicts-success/) - Abstract: In Uganda, childhood hydrocephalus is common and difficult to treat. In some children, endoscopic third ventriculostomy (ETV) can be successful and avoid dependence on a shunt. This can be especially beneficial in Uganda, because of the high risk of infection and long-term failure associated with shunting. Therefore, the authors developed and validated a model to predict the chances of ETV success, taking into account the unique characteristics of a large sub-Saharan African population. Methods: All children presenting with hydrocephalus at CURE Children's Hospital of Uganda (CCHU) between 2001 and 2007 were offered ETV as first-line treatment and were prospectively followed up. A multivariable logistic regression model was built using ETV success at 6 months as the outcome. The model was derived on 70% of the sample (training set) and validated on the remaining 30% (validation set). Results: Endoscopic third ventriculostomy was attempted in 1406 patients. Of these, 427 were lost to follow-up prior to 6 months. In the remaining 979 patients, the ETV was aborted in 281 due to poor anatomy/visibility and in 310 the ETV failed during the first 6 months. Therefore, a total of 388 of 979 (39.6% and [55.6% of completed ETVs]) procedures were successful at 6 months. The mean age at ETV was 12.6 months, and 57.8% of cases were postinfectious in origin. The authors' logistic regression model contained the following significant variables: patient age at ETV, cause of hydrocephalus, and whether choroid plexus cauterization was performed. In the training set (676 patients) and validation set (303 patients), the model was able to accurately predict the probability of successful ETV (Hosmer-Lemeshow p value > 0.60 and C statistic > 0.70). The authors developed the simplified CCHU ETV Success Score that can be used in the field to predict the probability of ETV success. Conclusions: The authors' model will allow clinicians to accurately identify children with a good chance of successful outcome with ETV, taking into account the unique characteristics and circumstances of the Ugandan population. - [Measuring the health status of children with hydrocephalus by using a new outcome measure](https://cure.org/research/measuring-the-health-status-of-children-with-hydrocephalus-by-using-a-new-outcome-measure/) - Abstract: In the setting of a developing country where preoperative imaging may be limited, the authors wished to determine whether cisternal scarring or aqueduct patency at the time of surgery was sufficiently predictive of the failure of endoscopic third ventriculostomy (ETV) to justify shunt placement at the time of the initial operation. Methods: The status of the prepontine cistern and aqueduct at the time of ventriculoscopy was prospectively recorded in 403 children in whom an ETV had been completed. Kaplan-Meier methods were used to construct survival curves. A Cox proportional hazards model was used to provide estimates of HRs for the time to ETV failure. Several independent variables were tested in a single multivariable model, including those previously shown to be associated with ETV survival, that is, age, hydrocephalus etiology, and extent of choroid plexus cauterization (CPC). In addition, intraoperative variables of particular interest were included in the analysis: status of the aqueduct at surgery (closed vs open) and status of the prepontine cistern at surgery (scarred vs clean/unscarred). Multicollinearity was not a concern since the variance inflation factors for all variables were < 2. The examination of stratified survival curves confirmed the appropriateness of the proportional hazards assumption for each variable. Results: Overall actuarial 3-year success was 57%. Consistent with previous results, age, hydrocephalus etiology, and extent of CPC were significantly associated with ETV success. A closed aqueduct and an unscarred cistern were each independently associated with significantly better ETV success (HRs of 0.66 and 0.44, respectively). The presence of cisternal scarring more than doubled the risk of ETV failure, and an open aqueduct increased the risk of failure by 50%. Conclusions: Intraoperative observations of the aqueduct and prepontine cistern are independent predictors of the risk of ETV failure and can be used to further refine outcome predictions based on age, hydrocephalus etiology, and extent of CPC. Further studies will test validity in several African centers and determine what threshold of failure risk should prompt shunt placement at the initial operation. - [Pediatric hydrocephalus in East Africa: prevalence, causes, treatments, and strategies for the future](https://cure.org/research/pediatric-hydrocephalus-in-east-africa-prevalence-causes-treatments-and-strategies-for-the-future/) - Abstract: The burden of infant hydrocephalus in East Africa is significant, with more than 6000 new cases estimated per year. The majority is caused by neonatal infection, and should thus be preventable. With about 1 neurosurgeon per 10,000,000 people in East Africa, initial treatment for hydrocephalus is often unavailable. This also renders shunt dependence more dangerous in East Africa than in the developed world. Endoscopic third ventriculostomy combined with choroid plexus cauterization (ETV/CPC) has proven effective in avoiding shunt dependence in the majority of infants. Unlike shunts, most failures of endoscopic treatment are evident in the early months after surgery, with later failures being rare. Easily accessible clinical parameters can be used to predict the likelihood of success in a given patient. There appears to be no developmental advantage to shunt dependence compared to treatment by ETV/CPC. Cooperative efforts such as the East African Neurosurgical Research Collaboration are needed to broaden the scope of research and training needed to significantly reduce the morbidity and mortality of this disease. - [Surgery for hydrocephalus in sub-Saharan Africa versus developed nations: a risk-adjusted comparison of outcome](https://cure.org/research/surgery-for-hydrocephalus-in-sub-saharan-africa-versus-developed-nations-a-risk-adjusted-comparison-of-outcome/) - Abstract: Surgery for children in developing nations is challenging. Endoscopic third ventriculostomy (ETV) is an important surgical treatment for childhood hydrocephalus and has been performed in developing nations, but with lower success rates than in developed nations. It is not known if the lower success rate is due to inherent differences in prognostic factors. Methods: We analyzed a large cohort of children (≤20 years old) treated with ETV in developed nations (618 patients from Canada, Israel, United Kingdom) and developing nations of sub-Saharan Africa (979 patients treated in Uganda). Risk-adjusted survival analysis was performed. Results: The risk of an intra-operative ETV failure (an aborted procedure) was significantly higher in Uganda regardless of risk adjustment (hazard ratio (HR), 95% confidence interval (CI), 11.00 (6.01 to 19.84) P - [Hydrocephalus treatment and outcome in African infants with myelomeningocele: what we have learned so far](https://cure.org/research/hydrocephalus-treatment-and-outcome-in-african-infants-with-myelomeningocele-what-we-have-learned-so-far/) - Abstract: We estimate that around 2000 infants in Uganda develop hydrocephalus (HC) each year. Post-infectious hydrocephalus (PIH) accounts for 60% of all cases, and several lines of investigation are underway to determine the pathogens and their mode of transmission. HC associated with myelomeningocele (MM) is the second most common etiology, accounting for 15% of cases. Access to treatment for hydrocephalus in Africa is inhibited by poverty, politics, poor infrastructure, and a paucity of neurosurgeons. These also present obstacles to follow up and emergency care for treatment failure, making death from future shunt malfunction a serious enduring threat. We explored the role of endoscopic treatment for hydrocephalus in African infants, and found that combined endoscopic third ventriculostomy and bilateral choroid plexus cauterization (ETV/CPC) was significantly more successful than ETV alone in those less than one year of age. Infants with myelomeningocele benefitted the most from this approach, with a 76% success rate. In contrast to shunt failure, nearly all ETV/CPC failures become evident within 6 months of surgery. We have demonstrated factors that are independently predictive of ETV/CPC outcome, and have generated a new outcome prediction score (the Uganda Score) that is currently being evaluated across several centers in Africa. In addition to safety and long-term efficacy of ETV/CPC in the myelomeningocele population, we also demonstrated that those treated in this way performed as well or better on the Bayley Scales of Infant Development over the course of their early childhood development than those who were shunted. Furthermore, we found no correlation between performance and ventricle size. We recently investigated whether the presence of HC or its method of treatment affected 5 year survival in these children, and were surprised to find no difference. Importantly, the most important determinant of survival was involvement in a community-based rehabilitation program. The five year mortality for these children was close to that of their unaffected peers (16%); whereas the mortality for those with no access to such a program was more than triple (50%). Deaths were mostly from causes not directly related to the underlying neurological conditions. ETV/CPC is a safe and effective alternative to shunt-dependence in children with myelomeningocele. In Africa, any long-term survival advantage of shunt-independence may be obscured by diseases of poverty and neglect. “Life-saving surgery” in these children must be wedded to community-based support programs that promote their access to adequate health care and nutrition. - [Encephalocele in Uganda: ethnic distinctions in lesion location, endoscopic management of hydrocephalus, and survival in 110 consecutive children](https://cure.org/research/encephalocele-in-uganda-ethnic-distinctions-in-lesion-location-endoscopic-management-of-hydrocephalus-and-survival-in-110-consecutive-children/) - Abstract: This study characterizes the first clinical series of encephalocele (EC) from East or Central Africa, and is the largest reported from the African continent. The authors explored survival, the efficacy of primary endoscopic management of associated hydrocephalus, and ethnic differences in EC location. Methods: One hundred ten consecutive children presented to CURE Children's Hospital of Uganda for treatment of EC over a 9-year period. Clinical data, including patient demographic information, birth date, lesion type (sincipital, parietal, or occipital), operative data, and subsequent course had been entered prospectively into a clinical database. Home visits to update the status of those lost to follow-up were done when possible. With appropriate institutional approvals, the database was reviewed for this retrospective study. Two-tailed probability values calculated using the Fisher exact test were used to assess the significance of differences among groups, with p < 0.05 being considered significant. The Kaplan-Meier method was used for analysis of survival and treatment success probabilities. Results: There were 53 (48%) occipital, 33 (30%) sincipital, and 24 (22%) parietal lesions. Occipital lesions were significantly more common among children of Bantu origin (p = 0.02). Nilotes demonstrated a roughly equal distribution among sincipital, parietal, and occipital locations. The female/male ratio was 1.2, with no difference between EC types (range 1.0–1.4, p = 0.6–0.8). Of 110 patients, 108 (98%) underwent surgical repair at a median age of 1 month (mean 15.7 months), whereas 2 had treatment for hydrocephalus only. Wound revision was required in 13% of cases. Surgery-related mortality was 3%. One-year and 5-year survival rates were 87% (95% CI 0.79–0.93) and 61% (95% CI 0.51–0.70), respectively. Hydrocephalus required treatment in 32%, and was equally common among the 3 EC types. Thirteen patients were treated with combined endoscopic third ventriculostomy/choroid plexus cauterization (ETV/CPC) and 2 with ETV alone, whereas 18 patients received primary shunt placement. Predicted treatment success at 1 year was 79% for ETV or ETV/CPC (95% CI 0.50–0.94) and 47% for shunt placement (95% CI 0.24–0.71). Conclusions: Analysis of this first EC series from this region suggests that sincipital lesions are 3 times more common in East than in West Africa. Occipital lesions predominate in patients of Bantu origin, but not among those of Nilotic descent. Hydrocephalus incidence was equally common among different EC types, and endoscopic treatment was more successful (79%) than shunting (47%) at 1 year. The 5-year mortality rate was similar to that for infants with myelomeningocele in Uganda, and more than twice that for their unaffected peers. - [Factors affecting survival of infants with myelomeningocele in southeastern Uganda](https://cure.org/research/factors-affecting-the-survival-of-infants-myelomeningocele-in-southeastern-uganda/) - Abstract: The survival of infants treated for myelomeningocele (MM) and hydrocephalus in Uganda is unknown. This study investigated 5-year survival and the factors that influenced death in these patients. Methods: All 140 children from 16 contiguous districts in southeastern Uganda presenting to CURE Children's Hospital of Uganda for repair of MM prior to 6 months of age between December 2000 and December 2004 comprised the study cohort. Nine patients died within 1 month (6.4% operative mortality) and were excluded from further analysis. Sixty-seven (51%) required treatment for hydrocephalus. Survival status could not be determined for 3 patients (2%). Circumstances of death were ascertained by hospital record or interview. The Kaplan-Meier method was used for survival analysis. Association between survival and district of origin, age at MM closure, MM lesion level, presence of hydrocephalus, and method of hydrocephalus treatment were investigated. Results: The median follow-up was 86 months. Seventy-three children (56%) were alive at the time of the study, and 81 (63%) had survived more than 5 years. The under-5 mortality rate was 37% (2.5 times greater than the general population). Only 4 deaths appeared directly related to hydrocephalus or MM. There was no significant association between survival and age at MM closure, MM lesion level, presence of hydrocephalus, or its method of treatment. Mortality was lower, approaching that for their unaffected peers, in districts with community-based rehabilitation programs (p = 0.001). Conclusions: Community-based support following surgical interventions for MM and hydrocephalus appears essential to the continued survival of these children in Africa. - [Association of bacteria with hydrocephalus in Ugandan infants](https://cure.org/research/association-of-bacteria-with-hydrocephalus-in-ugandan-infants/) - Abstract: Infantile hydrocephalus in East Africa is predominantly postinfectious. The microbial origins remain elusive, since most patients present with hydrocephalus after antecedent neonatal sepsis (NS) has resolved. Methods: To characterize this syndrome in Ugandan infants, the authors use polymerase chain reaction targeting bacterial16S ribosomal DNA from CSF to determine if bacterial residue from recent infections were detectable. Bacteria were identified based on the relationship of genetic sequences obtained with reference bacteria in public databases. The authors evaluated samples from patients presenting during dry and rainy seasons and performed environmental sampling in the villages of patients. Results: Bacterial DNA was recovered from 94% of patients. Gram-negative bacteria in the phylum Protobacteria were the most commonly detected. Within the phylum, Gammaprotcobacteria dominated in patients presenting after infections during the rainy season, and Betaprotcobacteria was most common following infections during the dry season. Acinetobacter species were identified in the majority of patients admitted after rainy season infection. Conclusions: Postinfectious hydrocephalus in Ugandan infants appears associated with predominantly enteric gram-negative bacteria. These findings highlight the need for linking these cases with antecedent NS to develop more effective treatment and prevention strategies. - [Hydrocephalus associated with neural tube defects: characteristics, management, and outcome in sub-Saharan Africa](https://cure.org/research/hydrocephalus-associated-with-neural-tube-defects-characteristics-management-and-outcome-in-sub-saharan-africa/) - Abstract: The past decade has provided new insights into the causes and optimal treatment of infant hydrocephalus in sub-Saharan Africa. Here, I review what we have learned in East Africa about the characteristics, management, and outcomes of hydrocephalus associated with neural tube defects, with particular emphasis on its primary treatment by endoscopic third ventriculostomy combined with choroid plexus cauterization (ETV/CPC). Methods: New data from an updated review of the CURE Children's Hospital clinical database is combined with previously published observations to summarize what we have learned to date. Results: Hydrocephalus associated with myelomeningocele (MM) accounted for 11.8% of 2,780 new cases of hydrocephalus reviewed, and that associated with encephalocele (EC) accounted for 0.5%. Treatment for hydrocephalus was required in 51% of infants with MM and 32% of those with EC. Aqueductal stenosis or obstruction was observed in 82.7% of patients with MM and 71% of those with EC. ETV/CPC successfully treated hydrocephalus without any further surgery in 76% of infants with MM and 80% of those with EC, and was superior to shunting in regard to the incidence of treatment failure, operative mortality, and infection. Shunting in MM infants has no apparent developmental advantage. Although 5-year mortality for infants with neural tube defects in Uganda is significantly greater than their unaffected peers, this appears to be dramatically reduced by the “observer effect” of community-based rehabilitation. Conclusions: Primary management by ETV/CPC avoids the increased danger of shunt dependence in sub-Saharan Africa for most infants with hydrocephalus associated with neural tube defects. - [Management of Dandy-Walker complex–associated infant hydrocephalus by combined endoscopic third ventriculostomy and choroid plexus cauterization](https://cure.org/research/management-of-dandy-walker-complex-associated-infant-hydrocephalus-by-combined-endoscopic-third-ventriculostomy-and-choroid-plexus-cauterization/) - Abstract: Dandy-Walker complex (DWC) is a continuum of congenital anomalies comprising Dandy-Walker malformation (DWM), Dandy-Walker variant (DWV), Blake pouch cyst, and mega cisterna magna (MCM). Hydrocephalus is variably associated with each of these, and DWC-associated hydrocephalus has mostly been treated by shunting, often with 2-compartment shunting. There are few reports of management by endoscopic third ventriculostomy (ETV). This study is the largest series of DWC or DWM-associated hydrocephalus treated by ETV, and the first report of treatment by combined ETV and choroid plexus cauterization (ETV/CPC) in young infants with this association. Methods: A retrospective review of the CURE Children's Hospital of Uganda clinical database between 2004 and 2010 identified 45 patients with DWC confirmed by CT scanning (25 with DWM, 17 with DWV, and 3 with MCM) who were treated for hydrocephalus by ETV/CPC. Three were excluded because of other potential causes of hydrocephalus (2 postinfectious and 1 posthemorrhagic). Results: The median age at treatment was 5 months (88% of patients were younger than 12 months). There was a 2.4:1 male predominance among patients with DWV. An ETV/CPC (ETV only in one) was successful with no further operations in 74% (mean and median follow-up 24.2 and 20 months, respectively [range 6–65 months]). The rate of success was 74% for DWM, 73% for DWV, and 100% for MCM; 95% had an open aqueduct, and none required posterior fossa shunting. Conclusions: Endoscopic treatment of DWC-associated hydrocephalus should be strongly considered as the primary management in place of the historical standard of creating shunt dependence. - [Five-year survival and outcome of treatment for postinfectious hydrocephalus in Ugandan infants](https://cure.org/research/five-year-survival-and-outcome-of-treatment-for-postinfectious-hydrocephalus-in-ugandan-infants/) - Abstract: Neonatal infection is the most common cause of infant hydrocephalus in Uganda. Postinfectious hydrocephalus (PIH) is often accompanied by primary brain injury from the original infection. Since 2001, ETV (with or without choroid plexus cauterization) has been our primary treatment for PIH. The long-term outcome in these children is unknown. Methods: We studied the 5-year outcome in a cohort of 149 infants treated for PIH from 2001 to 2005 and who lived in 4 districts close to the hospital. Survival analysis was performed using the Kaplan-Meier method. Statistical significance was determined using the Fisher, Breslow, and log-rank tests. Results: The patients' mean age at presentation was 9.5 months (median 3.0 months). Eighty-four patients (56.4%) were successfully treated without a shunt. Operative mortality was 1.2% for ETV and 4.4% for shunt placement (p = 0.3). Five-year survival was 72.8% in the non–shunt-treated group and 67.6% in the shunt-treated group, with no difference in survival (log rank p = 0.43, Breslow p = 0.46). Of 43 survivors assessed at 5–11 years, those with shunts had significantly worse functional outcomes (p = 0.003–0.035), probably reflecting treatment selection bias since those with the worst sequelae of ventriculitis were more likely to be treated with shunt placement. Conclusions: Nearly one-third of treated infants died within 5 years, and at least one-third of the survivors were severely disabled. There was no survival advantage for non–shunt-treated patients at 5 years. A randomized trial of endoscopic third ventriculostomy versus shunt placement for treating PIH may be indicated. Public health measures that prevent these infections are urgently needed. - [Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa](https://cure.org/research/costs-and-benefits-of-neurosurgical-intervention-for-infant-hydrocephalus-in-sub-saharan-africa/) - Abstract: Evidence from the CURE Children’s Hospital of Uganda (CCHU) suggests that treatment for hydrocephalus in infants can be effective and sustainable in a developing country. This model has not been broadly supported or implemented due in part to the absence of data on the economic burden of disease or any assessment of the cost and benefit of treatment. The authors used economic modeling to estimate the annual cost and benefit of treating hydrocephalus in infants at CCHU. These results were then extrapolated to the potential economic impact of treating all cases of hydrocephalus in infants in sub-Saharan Africa (SSA). Methods: The authors conducted a retrospective review of all children initially treated for hydrocephalus at CCHU via endoscopic third ventriculostomy or shunt placement in 2005. A combination of data and explicit assumptions was used to determine the number of times each procedure was performed, the cost of performing each procedure, the number of disability-adjusted life years (DALYs) averted with neurosurgical intervention, and the economic benefit of the treatment. For CCHU and SSA, the cost per DALY averted and the benefit-cost ratio of 1 year’s treatment of hydrocephalus in infants were determined. Results: In 2005, 297 patients (median age 4 months) were treated at CCHU. The total cost of neurosurgical intervention was $350,410, and the cost per DALY averted ranged from $59 to $126. The CCHU’s economic benefit to Uganda was estimated to be between $3.1 million and $5.2 million using a human capital approach and $4.6 million–$188 million using a value of a statistical life (VSL) approach. The total economic benefit of treating the conservatively estimated 82,000 annual cases of hydrocephalus in infants in SSA ranged from $930 million to $1.6 billion using a human capital approach and $1.4 billion–$56 billion using a VSL approach. The minimum benefit-cost ratio of treating hydrocephalus in infants was estimated to be 7:1. Conclusions: Untreated hydrocephalus in infants exacts an enormous price from SSA. The results of this study suggest that neurosurgical intervention has a cost/DALY averted comparable to other surgical interventions that have been evaluated, as well as a favorable benefit-cost ratio. The prevention and treatment of hydrocephalus in SSA should be recognized as a major public health priority. - [Shunt survival after failed endoscopic treatment of hydrocephalus](https://cure.org/research/shunt-survival-after-failed-endoscopic-treatment-of-hydrocephalus/) - Abstract Object: It is not known whether previous endoscopic third ventriculostomy (ETV) affects the risk of shunt failure. Different epochs of hydrocephalus treatment at the CURE Children's Hospital of Uganda (CCHU)—initially placing CSF shunts in all patients, then attempting ETV in all patients, and finally attempting ETV combined with choroid plexus cauterization (CPC) in all patients—provided the opportunity to assess whether prior endoscopic surgery affected shunt survival. Methods: With appropriate institutional approvals, the authors reviewed the CCHU clinical database to identify 2329 patients treated for hydrocephalus from December 2000 to May 2007. Initial ventriculoperitoneal (VP) shunt placement was performed in 900 patients under one of three circumstances: 1) primary nonselective VP shunt placement with no endoscopy (255 patients); 2) VP shunt placement at the time of abandoned ETV attempt (with or without CPC) (370 patients); 3) VP shunt placement subsequent to a completed but failed ETV (with or without CPC) (275 patients). We analyzed time to shunt failure using the Kaplan-Meier method to construct survival curves, Cox proportional hazards regression modeling, and risk-adjusted analyses to account for possible confounding differences among these groups. Results: Shunt failure occurred in 299 patients, and the mean duration of follow-up for the remaining 601 was 28.7 months (median 18.8, interquartile range 4.1–46.3). There was no significant difference in operative mortality (p = 0.07 by log-rank and p = 0.14 by Cox regression adjusted for age and hydrocephalus etiology) or shunt infection (p = 0.94, log-rank) among the 3 groups. There was no difference in shunt survival between patients treated with primary shunt placement and those who underwent shunt placement at the time of an abandoned ETV attempt (adjusted hazard ratio [HR] 1.14, 95% CI 0.86–1.51, p = 0.35). Those who underwent shunt placement after a completed but failed ETV (with or without CPC) had a lower risk of shunt failure (p = 0.008, log-rank), with a hazard ratio (adjusted for age at shunting and etiology) of 0.72 (95% CI 0.53–0.98), p = 0.03, compared with those who underwent primary shunt placement without endoscopy; but this was observed only in patients with postinfectious hydrocephalus (PIH) (adjusted HR 0.55, 95% CI 0.36–0.85, p = 0.007), and no effect was apparent for hydrocephalus of noninfectious etiologies (adjusted HR 0.98, 95% CI 0.64–1.50, p = 0.92). Improved shunt survival after failed ETV in the PIH group may be an artifact of selection arising from the inherent heterogeneity of ventricular damage within that group, or a consequence of the timing of shunt placement. The anticipated benefit of CPC in preventing future ventricular catheter obstruction was not observed. Conclusions: A paradigm for infant hydrocephalus involving intention to treat by ETV with or without CPC had no adverse effect on mortality or on subsequent shunt survival or infection risk. This study failed to demonstrate a positive effect of prior ETV or CPC on shunt survival. - [Educate one to save a few. Educate a few to save many](https://cure.org/research/educate-one-to-save-a-few-educate-a-few-to-save-many/) - Abstract: Roughly one-third of the world's nearly 7 billion people are covered by approximately 1/20 of its neurosurgeons. Neurosurgeons in the more developed countries have a moral obligation to increase access to neurosurgical care for the rest of the world. This can be achieved most effectively through neurosurgical education. Many neurosurgeons have already contributed greatly in this regard. Because of insufficient access to neurosurgical care, most children with hydrocephalus in Africa go untreated. Possibly as many as 2000 infants per neurosurgeon per year will develop hydrocephalus in sub-Saharan Africa. We have adopted a disease-specific strategy for training and equipping centers to provide evidence-based endoscopic treatment of hydrocephalus to save lives while avoiding the danger of shunt dependence, which is magnified in this context. In Uganda, we have successfully educated one to save a relative few. Our aim is to educate a few to save many. Such a disease-specific approach may provide a useful strategy for increasing access to care for other common, treatable neurosurgical conditions in resource-poor settings. - [Assessing quality of existing data sources on road traffic injuries (RTIs) and their utility in informing injury prevention in the Western Cape Province, South Africa](https://cure.org/research/assessing-quality-of-existing-data-sources-on-road-traffic-injuries-rtis-and-their-utility-in-informing-injury-prevention-in-the-western-cape-province-south-africa/) - Abstract: This study assessed whether the quality of the available road traffic injury (RTI) data was sufficient for determining the burden of RTIs in the Western Cape Province and for implementing and monitoring road safety interventions. Methodology: Underreporting was assessed by comparing data reported by the South African Police Services (SAPS) in 2008 with data from 18 provincial mortuaries. Completeness of the driver death subset of all RTIs was assessed using the capture–recapture method. Results: The mortuary and police data sets comprised 1696 and 860 fatalities respectively for the year 2008. The corresponding provincial road traffic mortality rates were as follows: 32.2 deaths/100,000 population per year (95% confidence interval [CI]: 30.7–33.8) and 16.3 deaths/100,000 population per year (95% CI: 15.3–17.5). The police data set contained 820,960 crashes, involving 196,889 persons, indicating substantial duplication of crash events. There were varying proportions of missing data for demographic and other identifying variables, with age missing in nearly half of the cases in the police data set. The estimated total number of driver deaths/year was 588.6 (95% CI: 544.4–632.8), yielding estimated completeness of the mortuary and police data sets of 57.6 and 46.4 percent separately and 77.3 percent combined. Conclusion: This study found extensive data quality problems, including missing data, duplication, and significant underreporting of traffic injury deaths in the police data. Not all assumptions underlying the use of capture–recapture method were met in this study; hence, the estimates provided by this analysis should be interpreted with caution. There is a need to address the problems highlighted by this study in order to improve data utility for informing road safety policies. - [Avascular necrosis of the femoral head in HIV positive patients-an assessment of risk factors and early response to surgical treatment](https://cure.org/research/avascular-necrosis-of-the-femoral-head-in-hiv-positive-patients-an-assessment-of-risk-factors-and-early-response-to-surgical-treatment/) - Abstract: 26 consecutive patients (37 hips) with avascular necrosis (AVN) of the femoral head treated surgically at our institution from 1999 to 2008 were reviewed . The aims of the study were to evaluate the risk factors associated with AVN in HIV positive and HIV negative individuals, and assess early response to total hip replacement (THR) surgery in HIV positive and negative patients. There were 15 male and 11 female patients in total. The mean age for all patients was 47.1± 8.0 years (range, 33 to 66 years). 12 patients were HIV positive, 11 patients were HIV negative and 3 patients had unknown HIV status. Excessive alcohol intake was the most common risk factor for developing AVN .15 patients (58%) had more than one risk factor for AVN and only 2/12 (17%) HIV positive patients had no other risk factor apart from HIV infection. There were no early postoperative complications in 34 arthroplasties in both HIV positive and negative patients. The aetiology of AVN seems often to be multifactorial, even in the presence of HIV infection. Early response to arthroplasty surgery in AVN of the femoral head is equally good irrespective of the HIV serostatus of the patients. - [Effects of honey and sugar dressings on wound healing](https://cure.org/research/effects-of-honey-and-sugar-dressings-on-wound-healing/) - Abstract Objective: To investigate whether there is a difference between the efficacy of honey and sugar as wound dressings. Method: Patients with open or infected wounds were randomised to receive either honey or sugar dressings. Bacterial colonisation, wound size, wound ASEPSIS score and pain were assessed at the start of treatment and at weekly intervals until full healing occurred. Results: Forty patients were enrolled; 18 received sugar dressings and 22 honey dressings. In the honey group, 55% of patients had positive wound cultures at the start of treatment and 23% at one week, compared with 52% and 39% respectively in the sugar group. The median rate of healing in the first two weeks of treatment was 3.8cm2/week for the honey group and 2.2cm2/week for the sugar group. After three weeks of treatment 86% of patients treated with honey had no pain during dressing changes, compared with 72% treated with sugar. Conclusion: Honey appears to be more effective than sugar in reducing bacterial contamination and promoting wound healing, and slightly less painful than sugar during dressing changes and motion. - [Presentation, pathology, and treatment outcome of brain tumors in 172 consecutive children at CURE Children's Hospital of Uganda. The predominance of the visible diagnosis and the uncertainties of epidemiology in sub-Saharan Africa.](https://cure.org/research/presentation-pathology-and-treatment-outcome-of-brain-tumors-in-172-consecutive-children-at-cure-childrens-hospital-of-uganda-the-predominance-of-visible-diagnosis-and-the-uncertainties-of-epidemi/) - Abstract: This study reviews the first operative series of pediatric brain tumors from Uganda, the largest series from Sub-Saharan Africa, and explores the challenges to progress in pediatric neuro-oncology in the region. Methods: This is a retrospective operative series of brain tumors in 172 children at Cure Children’s Hospital of Uganda over 10 years. Demographics, clinical presentation, lesion location, histopathology, operative management, and outcome were investigated. Survival was assessed using Kaplan–Meier method. Log-rank test and p value with Bonferroni correction were used to determine significance of survival differences. Results: There were 103 males (59.9 %) and 69 females (40.1 %; mean age at diagnosis 6.5 years with 29 % - [Use of antibiotic cement spacers/beads in treatment of musculoskeletal infections at A.I.C. Kijabe Hospital](https://cure.org/research/use-of-antibiotic-cement-spacers-beads-in-treatment-of-musculoskeletal-infections-at-a-i-c-kijabe-hospital/) - Abstract: The study was done to determine outcome of treatment of chronic musculoskeletal infections involving bone after use of local antibiotic impregnated cement and report the microbiological patterns of these infections in our hospital. Setting: A.I.C. Kijabe Hospital, Kenya. Patients and Methods: The medical charts of all patients treated with antibiotic cement were reviewed over the period of one year [September 2012 to September 2013]. The cohort consisted of 80% males and 20% females. The patterns of cultures for infections were reviewed and the procedure of antibiotic impregnated cement placement described. Results: Twenty patients charts were reviewed, 4 (20%) were females and 16 (80%) males with ages ranging between 4 years and 62 years. Of these 40% had infected non unions of tibiae and femur, 25% open fractures, 25% chronic osteomyelitis. Culture results revealed 25% mixed infections, 20% staphylococcus aureus. All patients had initial debridement and antibiotic impregnated bone cement. Infection was cleared in 95% of the patients with 75% having radiological evidence of healing. Forty percent had bone transport of between 4 and 6 cm. A 100% of the patients had negative cultures at the time of antibiotic cement spacers removal. Conclusions: Use of antibiotic impregnated bone cement could be used in treating chronic musculoskeletal infections. - [Effectiveness of the bactiseal universal shunt for reducing shunt infection in a sub-Saharan African context: a retrospective cohort study in 160 Ugandan children](https://cure.org/research/effectiveness-of-the-bactiseal-universal-shunt-for-reducing-shunt-infection-in-a-sub-saharan-african-context-a-retrospective-cohort-study-in-160-ugandan-children/) - Abstract: Antibiotic-impregnated shunts have yet to find widespread use in the developing world, largely due to cost. Given potential differences in the microbial spectrum, their effectiveness in preventing shunt infection for populations in low-income countries may differ and has not been demonstrated. This study is the first to compare the efficacy of a Bactiseal shunt system with a non–antibiotic-impregnated system in a developing country. Methods: The Bactiseal Universal Shunt (BUS) was placed in 80 consecutive Ugandan children who required a shunt. In this retrospective cohort study, the outcome for that group was compared with the outcome for the immediately preceding 80 consecutive children in whom a Chhabra shunt had been placed. The primary end points were shunt failure, shunt infection, and death. Shunt survival was analyzed using the Kaplan-Meier method. Significance of differences between groups was tested using the log-rank test, chi-square analysis, Fisher's exact test, and t-test. Results: There was no difference between groups in regard to age, sex, or etiology of hydrocephalus. Mean follow-up for cases of nonfailure was 7.6 months (median 7.8 months, interquartile range 6.5–9.5 months). There was no significant difference between groups for any end point. The BUS group had fewer infections (4 vs 11), but the difference was not significant (p = 0.086, log-rank test). Gram-positive cocci were the most common culturable pathogens in the Chhabra group, while the only positive culture in the BUS group was a gram-negative rod. Conclusions: These results provide equipoise for a randomized controlled trial in the same population and this has been initiated. It is possible that the observed trends may become significant in a larger study. The more complex task will involve determining not only the efficacy, but also the cost-effectiveness of using antibiotic-impregnated shunt components in limited-resource settings. - [Total hip replacement in HIV-positive patients](https://cure.org/research/total-hip-replacement-in-hiv-positive-patients/) - Abstract: We report the short-term follow-up, functional outcome and incidence of early and late infection after total hip replacement (THR) in a group of HIV-positive patients who do not suffer from haemophilia or have a history of intravenous drug use. A total of 29 patients underwent 43 THRs, with a mean follow-up of three years and six months (five months to eight years and two months). There were ten women and 19 men, with a mean age of 47 years and seven months (21 years to 59 years and five months). No early (< 6 weeks) or late (> 6 weeks) complications occurred following their THR. The mean pre-operative Harris hip score (HHS) was 27 (6 to 56) and the mean post-operative HHS was 86 (73 to 91), giving a mean improvement of 59 points (p = < 0.05, Student’s t-test). No revision procedures had been undertaken in any of the patients, and none had any symptoms consistent with aseptic loosening. This study demonstrates that it is safe to perform THR in HIV-positive patients, with good short-term functional outcomes and no apparent increase in the risk of early infection. - [Back-carrying infants to prevent developmental hip dysplasia and its sequelae: Is a new public health initiative needed?](https://cure.org/research/back-carrying-infants-to-prevent-developmental-hip-dysplasia-and-its-sequelae-is-a-new-public-health-initiative-needed/) - Abstract Background Developmental dysplasia of the hip (DDH) is rarely encountered in the native sub-Saharan African population. We present a retrospective review of the incidence of symptomatic DDH in Malawi and a systematic review of the role of back-carrying as a potential influence of prevalence in this population group. Methods We retrospectively reviewed the diagnosis and management of all infants seen at the Beit CURE International Hospital, Malawi and its mobile clinics, from November 2002 to September 2012. In addition, methodical review of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-analyses checklist and algorithm was performed. Results A total of 40,683 children aged less than 16 years were managed at our institute over a 10-year period, of which 9842 children underwent surgery. No infant presented with, or underwent surgical intervention, for symptomatic DDH. Conclusions The majority of mothers in Malawi back-carry their infants during the first 2 to 24 months of life, in a position that is similar to that of the Pavlik harness. We believe this to be the prime reason for the low incidence of DDH in the country. In addition, there is established evidence indicating that swaddling, the opposite position to back-carrying, causes an increase in the incidence of DDH. There is a need for the establishment of a large clinical trial into back-carrying and prevention of DDH in non-African population groups. - [The incidence of postoperative seizures following treatment of postinfectious hydrocephalus in Ugandan Infants: A post hoc comparison of endoscopic treatment vs shunt placement in a randomized controlled trial](https://cure.org/research/the-incidence-of-postoperative-seizures-following-treatment-of-postinfectious-hydrocephalus-in-ugandan-infants-a-post-hoc-comparison-of-endoscopic-treatment-vs-shunt-placement-in-a-randomized-control/) - Abstract: There are currently no published data directly comparing postoperative seizure incidence following endoscopic third ventriculostomy (ETV),with/without choroid plexus cauterization (CPC), to that for ventriculoperitoneal shunt (VPS) placement. OBJECTIVE: To compare postoperative epilepsy incidence for ETV/CPC and VPS in Ugandan infants treated for postinfectious hydrocephalus (PIH). Methods: We performed an exploratory post hoc analysis of a randomized trial comparing VPS and ETV/CPC in 100 infants ( - [Three steps forward and 2 steps back: the Echternach Procession toward optimal hydrocephalus treatment](https://cure.org/research/three-steps-forward-and-2-steps-back-the-echternach-procession-toward-optimal-hydrocephalus-treatment/) - Abstract: The dancing procession in Echternach, a small town in Luxembourg, is a centuries-old religious procession to the shrine of St. Willibrord that has taken various forms over time. At one point in history, the celebrants took three steps forward and two steps backward, thus taking five steps to make one step of progress. This , I think, provides a good analogy for the last 100 years of progress in our understanding and treatment of hydrocephalus. I joined this procession when my family and I moved to Uganda in 2000 to work with CURE International, a non-profit Christian organization, in founding a pediatric neurosurgery hospital for the region. When the hospital was opened, it quickly became apparent that infant hydrocephalus was the most overwhelming problem, and we subsequently found that the majority (60%) of these cases were secondary to neonatal ventriculitis. We has subsequently reported the enormous burden of infant hydrocephalus in sub-Saharan Africa and the long-term outcome for these postinfectious hydrocephalus cases. We were soon treating >500 new infants for hydrocephalus at the CURE Children's Hospital of Uganda each year. Creating shunt dependence was more problematic in sub-Saharan Africa than in developed countries and begged the question as to what the best treatment for hydrocephalus would be in that particular context. However, I suggest that we do not yet know the correct answer to that question for this or any other context because we have an incomplete understanding of both cerebrospinal fluid (CSF), physiology, and hydrocephalus. The problem is compounded by often not recognizing our unfounded assumptions. - [Ponseti clubfoot management: Experience with the Steenbeek foot abduction brace](https://cure.org/research/ponseti-clubfoot-management-experience-with-the-steenbeek-foot-abduction-brace/) - Abstract: Clubfoot is one of the most common congenital deformities, with an incidence of one in 1000 live births worldwide. In Kenya, approximately 1200 infants are born with clubfoot every year. Left untreated, clubfoot leads to painful, disabling deformity and social stigmatization. Bracing is an integral part of the internationally accepted standard of care, and the Ponseti method of clubfoot management with compliance with bracing is considered to be the key to a successful outcome (1). This has brought the type of brace under scrutiny, with newer ‘child-friendly’ braces recommended over the traditional Dennis Brown brace (Figure 1), which has been associated with high rates of noncompliance. However, these child-friendly braces are expensive (USD$300) and out of reach for most families of affected children in Kenya and other developing countries. The Steenbeek foot abduction brace (SFAB) is made locally in Kenya at a cost of - [Effectiveness of caudal epidural block using bupivacaine with neostgmine for pediatric lower extremity orthopedic surgery in CURE Ethiopia Children's Hospital](https://cure.org/research/effectiveness-of-caudal-epidural-block-using-bupivacaine-with-neostgmine-for-pediatric-lower-extremity-orthopedic-surgery-in-cure-ethiopia-childrens-hospital/) - Abstract Background: This study was conducted to assess analgesia and side effects of neostgmine administered with caudal bupivacaine for pediatric lower extremity orthopedic surgeries in routine clinical practice. Methods: In this blinded effectiveness trial, we studied 86 children aged 1-12 years undergoing lower extremity orthopedic surgeries. After induction of general anesthesia, 43 children in Group-B received 1 ml/kg of 0.25% bupivacaine and the other 43 in Group-BN received 1 ml/kg of 0.25% bupivacaine with 2.5 mic/kg neostgmine caudally. Demographic data, hemodynamic data before and after caudal, ASA status, duration of general anesthesia, duration of surgery, episode of post-operative nausea and vomiting (PONV), frequency of rescue analgesics per 24 hour, pain score and sedation score were recorded. Analgesic duration was defined as time from caudal injection to first rescue analgesic administration. Mann-Whitney test to compare median values and chi-square test for nominal data were used. A value “P - [Reopening of an obstructed third ventriculostomy: long-term success and factors affecting outcome in 215 infants](https://cure.org/research/reopening-of-an-obstructed-third-ventriculostomy-long-term-success-and-factors-affecting-outcome-in-215-infants/) - Abstract Object: The role of reopening an obstructed endoscopic third ventriculostomy (ETV) as treatment for ETV failure is not well defined. The authors studied 215 children with ETV closure who underwent successful repeat ETV to determine the indications, long-term success, and factors affecting outcome. Methods: The authors retrospectively reviewed the CURE Children's Hospital of Uganda database from August 2001 through December 2012, identifying 215 children with failed ETV (with or without prior choroid plexus cauterization [CPC]) who underwent reopening of an obstructed ETV stoma. Treatment survival according to sex, age at first and second operation, time to failure of first operation, etiology of hydrocephalus, prior CPC, and mode of ETV obstruction (simple stoma closure, second membrane, or cisternal obstruction from arachnoid scarring) were assessed using the Kaplan-Meier survival method. Survival differences among groups were assessed using log-rank and Wilcoxon methods and a Cox proportional hazards model. Results: There were 125 boys and 90 girls with mean and median ages of 229 and 92 days, respectively, at the initial ETV. Mean and median ages at repeat ETV were 347 and 180 days, respectively. Postinfectious hydrocephalus (PIH) was the etiology in 126 patients, and nonpostinfectious hydrocephalus (NPIH) in 89. Overall estimated 7-year success for repeat ETV was 51%. Sex (p = 0.46, log-rank test; p = 0.54, Wilcoxon test), age (< vs > 6 months) at initial or repeat ETV (p = 0.08 initial, p = 0.13 repeat; log-rank test), and type of ETV obstruction (p = 0.61, log-rank test) did not affect outcome for repeat ETV (p values ≥ 0.05, Cox regression). Those with a longer time to failure of initial ETV (> 6 months 91%, 3–6 months 60%, < 3 months 42%, p < 0.01; log-rank test), postinfectious etiology (PIH 58% vs NPIH 42%, p = 0.02; log-rank and Wilcoxon tests) and prior CPC (p = 0.03, log-rank and Wilcoxon tests) had significantly better outcome. Conclusions: Repeat ETV was successful in half of the patients overall, and was more successful in association with later failures, prior CPC, and PIH. Obstruction of the original ETV by secondary arachnoid scarring was not a negative prognostic factor, and should not discourage the surgeon from proceeding. Repeat ETV may be a more durable solution to failed ETV/CPC than shunt placement in this context, especially for failures at more than 3 months after the initial ETV. Some ETV closures may result from an inflammatory response that is less robust at the second operation. - [Finding surgery’s place on the global health agenda](https://cure.org/research/finding-surgerys-place-on-the-global-health-agenda/) - Abstract: Billions of people worldwide do not have access to even the simplest surgical procedures. But a new global initiative has launched that hopes to change the situation. Bridget Huber reports. Joshua Bukenya was barely a week old when he started having convulsions in March, 2014. His worried parents took him to be prayed over at a church near their home in eastern Uganda's Buyende district. At first, it seemed to work, said his mother, Mera. But, with time, it became clear that the child's head was growing abnormally large. In November, his mother brought him to the CURE Children's Hospital in the city of Mbale for treatment. There, doctors explained that he had infant hydrocephalus, a life-threatening accumulation of fluid in the brain, in his case likely caused by the infection that was also responsible for his seizures. Joshua was luckier than most African children with hydrocephalus. His family lives close enough to a charity hospital that has pioneered a new treatment for the condition and provides the neurosurgery regardless of a family's ability to pay. But in sub-Saharan Africa, most children in need of such surgery for hydrocephalus-an estimated 250 000 each year—don't get it, and their prospects are dim. About half will die, in pain, by 2 years of age and most of those who survive will be severely disabled. Even people who need a simple operation often go without; globally, about 5 billion people have no access to surgical care, according to the Commission on Global Surgery published on April 27. That means conditions that could be treated surgically, like obstructed labour or appendicitis, can become a death sentence. And something as simple as a broken bone can disable a person for life. Scaling up basic surgical services in low-income and middle-income countries could save an estimated 1·5 million lives per year in these countries, according to the most recent edition of Disease Control Priorities. - [Trauma and orthopedic capacity of 267 hospitals in east central and southern Africa](https://cure.org/research/trauma-and-orthopedic-capacity-of-267-hospitals-in-east-central-and-southern-africa/) - Abstract: Trauma and road traffic accidents are predicted to increase significantly in the next decade in low-income and middle-income countries. The College of Surgeons of East, Central, and Southern Africa (COSECSA) covers Ethiopia, Kenya, Tanzania, Uganda, Rwanda, Burundi, Mozambique, Malawi, Zimbabwe, and Zambia. Ministry of Health websites for these ten countries show that 992 hospitals are covering an estimated 318 million people. Methods: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was used with added questions relevant to trauma and orthopaedic care. A web-based survey platform was used and hospitals were contacted via COSECSA representatives. Consent to share data was requested, anonymised for country and hospital. Findings: 267 (27%) of 992 hospitals completed the survey. 185 were district level hospitals and 82 were referral or tertiary level hospitals. Formal accident and emergency departments were present in only 29% of district hospitals (95% CI 22·5–35·5) and 35% (24·7–45·3) of referral or tertiary level hospitals. The mean number (SD) of surgeons was 1·4 (3·0) in district hospitals and 2·6 (4·6) in referral or tertiary level hospitals. The mean number (SD) of orthopaedic surgeons was 0·3 (0·9) in district hospitals and 0·5 (0·9) in referral or tertiary level hospitals. Medically qualified anaesthetists were available in 16% (95% CI 10·7–21·3) of district hospitals and 20% (11·4–28·6) of referral or tertiary level hospitals. C arm radiography was available in 3% (95% CI 0·5–5·5) of district hospitals and 32% (21·9–42·1) of referral or tertiary level hospitals. CT scanning was available in 6% (95% CI 2·6– 9·4) of district hospitals and 21% (12·2–29·8) of referral or tertiary level hospitals. Closed fracture treatment was offered in 75% (95% CI 68·8– 81·2) of district hospitals and 82% (73·7–90·3) of referral or tertiary level hospitals. 37% (95% CI 30·1–43·9) of district hospitals and 40% (29·4–50·6) of referral or tertiary level hospitals had adequate instruments for the surgical treatment of fractures, but only 7% (3·4–10·6) of district hospitals and 8% (2·1–13·9) of referral or tertiary level hospitals had a sustainable supply of fracture implants. Elective orthopaedic surgery took place in 30% (95% 23·4– 36·6) of district hospitals and 34% (23·8–44·2) of referral or tertiary level hospitals. Ponseti treatment of clubfoot was available at 46% (95% 38·8–53·2) of district hospitals and 44% (33·3–54·7) of referral or tertiary level hospitals. Interpretation: This study has limitations in that only 27% of eligible hospitals completed the survey, and it is certainly possible that there could be bias in that the less well resourced institutions could also be less likely to cooperate with data collection. Thus, it is possible that the figures we present overestimate the resources available in the region as a whole. However, despite the limitations in data quality, it is clear that current capacity to treat trauma and orthopaedic conditions is very limited, with particular areas of concern being manpower, training, facilities, and equipment. COSECSA will use these data as a baseline for further surveys and to develop a strategy to improve trauma and orthopaedic care in the region. - [Pediatric foot infections](https://cure.org/research/pediatric-foot-infections/) - Abstract: Superficial infections in the foot and ankle, such as those associated with ingrown toenails, are relatively common and easily diagnosed. A number of common and superficial foot infections do not require surgical intervention. However, deeper foot and ankle infections in children may present with non-specific symptoms, such as difficulty in weight-bearing, and little in the way of clinical signs. Foot infections should therefore always be considered in a limping child, especially when other causes are not found. Calcaneal osteomyelitis is an uncommon cause for limp in childhood. The infection is different from other sites of osteomyelitis because of a paucity of systemic and local findings in the early stages combined with a high likelihood of normal parameters such as white blood cell count and C-reactive protein (CRP). The diagnosis is often delayed resulting in chronicity and sequelae. Imaging modalities may be needed to localise infection before commencing treatment. Broad spectrum and specific antibiotics, usually combined with trepanation, are the first line of treatment. Late cases may require drainage, debridement sequestrectomy and antibiotic-loaded beads. Calcanectomy and talectomy may be required for salvage. Foot and ankle tuberculosis (TB) also usually presents with a limp and is rare. It forms a differential diagnosis in a child with subacute or chronic arthritis of the foot and ankle, a single or multiple radiological bony or joint lesions in the ankle and foot, associated with diffuse osteoporosis. A high index of suspicion should be entertained and confirmation obtained by biopsy and culture. Antituberculous drug therapy is the mainstay of treatment. Selective surgical intervention is indicated for neglected lesions, deformities, or joint and foot architecture collapse. The goal is disease control, and to achieve and maintain a stable painless foot. Severe infections are not common in developed countries but in low- and middle-income countries, more advanced pathologies may be seen. This chapter will therefore aim to cover conditions from the mildest, including non-surgical conditions, through to more destructive pathologies, such as tuberculosis and Madura foot. - [The Beit CURE classification of childhood chronic haematogenous osteomyelitis—a guide to treatment](https://cure.org/research/the-beit-cure-classification-of-childhood-chronic-haematogenous-osteomyelitis-a-guide-to-treatment/) - Abstract: The Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required. Methods: We present a retrospective series of 145 cases of childhood chronic haematogenous osteomyelitis classified using the BC classification. Variables measured include age, sex, bone involved, number of admissions, length of stay, type/number of operations and microbiology. Results: The most commonly affected bone was the tibia (46 %), followed by femur (26 %) and humerus (10 %). Bone defects were most common in the tibia. Staphylococcus aureus was the most commonly isolated organism. Type B, sequestrum type, was the most common (88 %), followed by type C, sclerotic type, (7 %) and type A, Brodie’s abscess (5 %). Types A and B1 had the shortest length of hospitalisation (11 days), type B4 had the longest (87 days). Types A and B1 had the fewest infection control operations. Type B4 had the greatest total number of operations. - [A review of existing trauma and musculoskeletal impairment (TMSI) care capacity in East, Central, and Southern Africa](https://cure.org/research/a-review-of-existing-trauma-and-musculoskeletal-impairment-tmsi-care-capacity-in-east-central-and-southern-africa/) - Abstract: We conducted an assessment of orthopaedic surgical capacity in the following countries in East, Central, and Southern Africa: Burundi, Ethiopia, Kenya, Malawi, Mozambique, Rwanda, Tanzania, Uganda, Zambia, and Zimbabwe. Methods: We adapted the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care with questions specific to trauma and orthopaedic care. In May 2013–May 2014, surgeons from the College of Surgeons of East, Central and Southern Africa (COSECSA) based at district (secondary) and referral (tertiary) hospitals in the region completed a web-based survey. COSECSA members contacted other eligible hospitals in their country to collect further data. Findings: Data were collected from 267 out of 992 (27%) hospitals, including 185 district hospitals and 82 referral hospitals. Formal accident and emergency departments were present in 31% of hospitals. Most hospitals had no general or orthopaedic surgeons or medically-qualified anaesthetists on staff. Functioning mobile C-arm X-ray machines were available in only 4% of district and 27% of referral hospitals; CT scanning was available in only 3% and 26%, respectively. Closed fracture treatment was offered in 72% of the hospitals. While 20% of district and 49% of referral hospitals reported adequate instruments for the surgical treatment of fractures, only 4% and 10%, respectively, had a sustainable supply of fracture implants. Elective orthopaedic surgery was offered in 29% and Ponseti treatment of clubfoot was available at 42% of the hospitals. Interpretation: The current capacity of hospitals in sub-Saharan Africa to manage traumatic injuries and orthopaedic conditions is significantly limited. In light of the growing burden of trauma and musculoskeletal impairment within this region, concerted efforts should be made to improve hospital capacity with equipment, trained personnel, and specialist clinical services. - [Ethnic pattern of origin of children with spina bifida managed at the University Teaching Hospital and Beit CURE Hospital, Lusaka, Zambia 2001-2010](https://cure.org/research/ethnic-pattern-of-origin-of-children-with-spina-bifida-managed-at-the-university-teaching-hospital-and-beit-cure-hospital-lusaka-zambia-2001-2010/) - Abstract: The incidence of spina bifida (SB) is known to differ among regions. Very little has been reported about the relationship between the incidence of SB and ethnic patterns of origin in Zambia except for the general impression that it is prevalent. The aim of the study was to establish the ethnic pattern of origin of children with SB in Zambia. It was a retrospective cross sectional study. Using a checklist, data was collected from clinical files of children with SB from the University Teaching Hospital (UTH) and Beit Cure Hospital (BCH) from 2001-2010. Descriptive statistical analysis was done in SPSS version 17. A total of 253 children with SB were identified of whom 88 (35%) of them originally came from the Southern Province of the country while the lowest province was the North-Western Province with 7 (3%). Further, a total of 77 (30%) children were referred from the Southern Province of the country and the lowest province that was represented was the North-Western Province with 5 (2%). Observed is the evidence that SB is very prevalent in the Southern Province of the country. With the presence of Uranium in the Southern Province of Zambia, a serious study ought to be done to investigate the possible link of the pollutant with the prevalence of SB in the region. It is essential that the government looks seriously at Uranium Mines being operated in the Province. - [Prioritisation of surgery in the national health strategic plans of Africa: a systematic review](https://cure.org/research/prioritisation-of-surgery-in-the-national-health-strategic-plans-of-africa-a-systematic-review/) - Abstract: Disease amenable to surgical intervention accounts for 11–15 % of world disability and there is increasing interest in surgery as a global public health issue. National Health Strategic Plans (NHSPs) reflect countries’ long-term health priorities, plans and targets. These plans were analysed to assess the prioritisation of surgery as a public health issue in Africa. Methods: NHSPs of 43 independent Sub-Saharan African countries available in the public domain in March 2014 in French or English were searched electronically for key terms: surg*, ortho*, trauma, cancer, appendic*, laparotomy, HIV, tuberculosis, malaria. They were then searched manually for disease prevalence, targets, and human resources. Results: 19 % of NHSPs had no mention of surgery or surgical conditions. 63 % had five or less mentions of surgery. HIV and malaria had 3772 mentions across all the policies, compared to surgery with only 376 mentions. Trauma had 239 mentions, while the common surgical conditions of appendicitis, laparotomy and hernia had no mentions at all. Over 95 % of NHSPs specifically mentioned the prevalence of HIV, tuberculosis, malaria, infant mortality and maternal mortality. Whereas, the most commonly mentioned surgical condition for which a prevalence was given was trauma, in only 47 % of policies. All NHSPs had plans and measurable targets for the reduction of HIV and tuberculosis. Of the total 4064 health targets, only 2 % were related to surgical conditions or surgical care. 33 % of policies had no surgical targets. Discussion: NHSPs are the best available measure of health service and planning priorities. It is clear from our findings that surgery is poorly represented and that surgical conditions and surgical treatment are not widely recognised as a public health priority. Greater prioritisation of surgery in national health strategic policies is required to build resilient surgical systems. - [What matters to children with lower limb deformities: an international qualitative study guiding the development of a new patient-reported outcome measure](https://cure.org/research/what-matters-to-children-with-lower-limb-deformities-an-international-qualitative-study-guiding-the-development-of-a-new-patient-reported-outcome-measure/) - Abstract: Lower limb deformities include conditions such as leg length discrepancy, lower limb deficiency and associated angular and rotational deformities of the hips, knees, ankles and feet. Children with lower limb deformities often have physical limitations due to gait irregularities and pain. The differences in the appearance and function of their lower limbs can discourage participation in social, recreational and leisure activities, which may result in behavioural, emotional, psychological and social adjustment problems. The health-related quality of life (HRQL) of these children is often impacted due to the factors discussed above, as well as by the complex surgical procedures. Surgical treatment options for limb deformities in children vary from limb lengthening and reconstruction to amputation. The lack of evidence demonstrating superiority of either treatment options and their effect on HRQL limits the ability of healthcare providers to counsel families on the best evidence-based treatment option for them. This manuscript describes the international qualitative study which guided the development of a new patient-reported outcome measure (PROM). Individual semi-structured face-to-face interviews with children with lower limb deformities and their parents were conducted at five sites: Canada (2 sites), Ethiopia, India and the USA. Results Seventy-nine interviews were conducted at five international sites. Five main themes emerged from the qualitative interviews and formed the basis of the conceptual framework. These themes were: 1) appearance, 2) physical health, 3) psychological health 4) school and 5) social health. Conclusions Lower limb deformities have a substantial impact on the HRQL of children. The concepts of interest identified in our study were similar across children from all countries. The conceptual framework guided the development of outcome scales specific to these patients. The information about the impact of various treatment options on the HRQL of children with lower limb deformities, collected using this new PROM, could be used to inform parents and children about outcomes (physical, social, psychological) associated with specific treatment options. This information could supplement other objective outcome information (e.g., complication rates, how the leg will look, etc.) to help families to come to a more informed decision on a child’s course of treatment. - [Pattern of distribution of patients presenting with osteogenesis imperfecta at AIC Cure Children’s International Hospital, Kijabe](https://cure.org/research/pattern-of-distribution-of-patients-presenting-with-osteogenesis-imperfecta-at-a-i-c-cure-childrens-international-hospital-kijabe/) - Abstract: The study was carried out to determine the tribal and geographical distribution of patients with osteogenesis imperfecta in Kenya. Design: This was a 14 year retrospective review study. Setting: Cure Hospital, Kenya. Materials and Methods: The medical charts of all patients admitted with Osteogenesis Imperfecta (OI) over a period of 14 years [2000 to 2014] were reviewed. Results: A total of 80 patients with osteogenesis imperfecta were seen. Fifty seven point five percent of the patients with OI were males and 42.5% were females. Thirty seven point five percent were of Kamba origin while 28.8% were from the Kikuyu tribe. Majority of these patients came from Eastern region of Kenya with 26.25% coming from Machakos and 30 out of the total of 80 patients were from Kamba tribe. Conclusions: Most of these patients come from Eastern region of Kenya. Majority of patients with OI were of Kamba origin followed by the Kikuyu tribe. A larger epidemiological study needs to be carried out to more conclusively determine the relative prevalence and genetic patterns of osteogenesis imperfecta in Kenya. - [Microbiological isolates of chronic suppurative otitis media at the University Teaching Hospital and Beit Cure Hospital in Lusaka, Zambia](https://cure.org/research/microbiological-isolates-of-chronic-suppurative-otitis-media-at-the-university-teaching-hospital-and-beit-cure-hospital-in-lusaka-zambia/) - Abstract: Chronic Suppurative Otitis Media (CSOM) is a common cause of hearing loss and many complications such as meningitis. Many approaches to treatment of CSOM have been unsatisfactory because CSOM microbiological isolates as well as their sensitivity patterns vary from place to place. Objectives: To determine the pattern of microbiological isolates of CSOM and the demographic characteristics of patients with CSOM at the University Teaching Hospital, (UTH) and Beit Cure Hospital (BCH) in Lusaka, Zambia. Study design: The study was a hospital-based Cross sectional descriptive study. Study Setting: The study was conducted at the ENT outpatient clinics of UTH and BCH in Lusaka, Zambia. Methodology: 100 CSOM patients were included in the study. Quantitative data on the participants’ demographic details and clinical features were obtained using structured questionnaires. The middle ear discharge was aseptically collected using a sterile cotton swab. In the laboratory, samples were inoculated on agar media to isolate microorganisms and antibiotic susceptibility testing was done using Kirby Bauer method as per CLSI guidelines. Results: Out of the 100 CSOM patients studied, 33(33%) were children below 18yrs and 67(67%) were adults. 59(59%) of the patients had unilateral CSOM while 41 had bilateral CSOM which gave a total of 141 ears that were analyzed. 119(84.4%) had pure cultures, 20(14.2%) had mixed cultures and 2(1.4%) had no growth. Of the 169 microbiological isolates, the most frequent isolates were Proteus mirabilis 49(29.0%), Pseudomonas aeruginosa, 32(18.9%), coagulase negative Staphylococcus 18(10.7%) and klebsiella pneumonie 17(10.1%). High sensitivity rates were revealed to Gentamycin (64-100%), meropenem (68-100%), ceftazidime (85-100%), ceftriaxone (64-80%), and ciprofloxacin (66- 88%). High resistance rates were recorded to Amoxicillin-clavulanate (as high as 100%), ampicillin (as high as 100%), tetracycline (as high as 91.2%) and cotrimoxazole (as high as 100%) and penicillin (as high as 100%). Conclusion: Proteus mirabilis was the most dominant microbiological isolate followed by Pseudomonas aureginosa. The isolated microorganisms had high susceptibility rates to gentamycin, meropenem, ceftazidime, ceftriaxone and ciprofloxacin. There were high resistance rates to amoxicillin-clavulanate, ampicillin, tetracycline, cotrimoxazole and penicillin. - [Ten-year survival of Ugandan infants after myelomeningocele closure](https://cure.org/research/ten-year-survival-of-ugandan-infants-after-myelomeningocele-closure/) - Abstract Objective: Myelomeningocele (MM) is a neural tube defect complicated by neurological deficits below the level of the spinal lesion and, in many cases, hydrocephalus. Long-term survival of infants treated for MM in a low- and middle-income country has never been reported. This retrospective cohort study reports 10-year outcomes and factors affecting survival for infants undergoing MM repair at CURE Children's Hospital of Uganda. Methods: Patients were traced by telephone or home visit. Survival was estimated using the Kaplan-Meier method. Multivariate survival was analyzed using the Cox proportional hazards model, investigating the following variables: sex, age at surgery, weight-for-age at surgery, motor level, and presence and management of hydrocephalus. Results: A total of 145 children underwent MM repair between 2000 and 2004; complete data were available for 133 patients. The probability of 10-year survival was 55%, with 78% of deaths occurring in the first 5 years. Most of the deaths were not directly related to MM; infection and neglect were most commonly described. Lesions at motor level L-2 or above were associated with increased mortality (HR 3.176, 95% CI 1.557–6.476). Compared with repair within 48 hours of birth, surgery at 15–29 days was associated with increased mortality (HR 9.091, 95% CI 1.169–70.698). Conclusions: Infants in low- and middle-income countries with MM can have long-term survival with basic surgical intervention. Motor level and age at surgery were significant factors influencing outcome. Education of local health care workers and families to ensure both urgent referral for initial treatment and subsequent access to basic medical care are essential to survival. - [Global surgery for pediatric hydrocephalus in the developing world, a review of the history, challenges, and future directions](https://cure.org/research/global-surgery-for-pediatric-hydrocephalus-in-the-developing-world-a-review-of-the-history-challenges-and-future-directions/) - Abstract Objective: Pediatric hydrocephalus is one of the most common neurosurgical conditions and is a major contributor to the global burden of surgically treatable diseases. Significant health disparities exist for the treatment of hydrocephalus in developing nations due to a combination of medical, environmental, and socioeconomic factors. This review aims to provide the international neurosurgery community with an overview of the current challenges and future directions of neurosurgical care for children with hydrocephalus in low-income countries. Methods: The authors conducted a literature review around the topic of pediatric hydrocephalus in the context of global surgery, the unique challenges to creating access to care in low-income countries, and current international efforts to address the problem. Results: Developing countries face the greatest burden of pediatric hydrocephalus due to high birth rates and greater risk of neonatal infections. This burden is related to more general global health challenges, including malnutrition, infectious diseases, maternal and perinatal risk factors, and education gaps. Unique challenges pertaining to the treatment of hydrocephalus in the developing world include a preponderance of postinfectious hydrocephalus, limited resources, and restricted access to neurosurgical care. In the 21st century, several organizations have established programs that provide hydrocephalus treatment and neurosurgical training in Africa, Central and South America, Haiti, and Southeast Asia. These international efforts have employed various models to achieve the goals of providing safe, sustainable, and cost-effective treatment. Conclusions: Broader commitment from the pediatric neurosurgery community, increased funding, public education, surgeon training, and ongoing surgical innovation will be needed to meaningfully address the global burden of untreated hydrocephalus. - [Improving hospital-based trauma care for road traffic injuries in Malawi](https://cure.org/research/improving-hospital-based-trauma-care-for-road-traffic-injuries-in-malawi/) - Abstract: The mortality rate from road traffic injuries has increased in sub-Saharan Africa as the number of motor vehicles increase. This study examined the capacity of hospitals along Malawi’s main north-south highway to provide emergency trauma care. Methods: Structured interviews and checklists were used to evaluate the infrastructure, personnel, supplies, and equipment at all four of Malawi’s central hospitals, ten district hospitals, and one mission hospital in 2014. Most of these facilities are along the main north-south highway that spans the country. Results: Between July 2013 and March 2014, more than 9 200 road traffic injuries (RTIs) and 100 RTI deaths were recorded by the participating hospitals. All of the hospitals reported staff shortages, especially during nights and weekends. Few clinicians had completed formal training in emergency trauma management, and healthcare workers reported gaps in knowledge and skills, especially at district hospitals. Most central hospitals had access to the critical supplies and medications necessary for trauma care, but district hospitals lacked some of the supplies and equipment needed for diagnosis, treatment, and personal protection. Conclusion: The mortality and disability burden from road traffic injuries in Malawi (and other low-income countries in sub-Saharan Africa) can be reduced by ensuring that every central and district hospital has a dedicated trauma unit with qualified staff who have completed primary trauma care courses and have access to the equipment necessary to save lives. - [The burden of trauma at a district hospital in Malawi](https://cure.org/research/the-burden-of-trauma-at-a-district-hospital-in-malawi/) - Abstract: Trauma disproportionately affects low- and middle-income countries, many of which do not have the surveillance systems required to design effective prevention and treatment strategies. This study aimed to establish such a system at a district hospital in Malawi in order to decrease the number of preventable injuries in the country. The most common cause was falls (53.2%), and 94.8% of patients were treated and sent home. Study recommends for preventative interventions specifically targeting this group of the population - [Past, present, and future of neurosurgery in Uganda](https://cure.org/research/past-present-and-future-of-neurosurgery-in-uganda/) - Abstract: Neurosurgery in Uganda was virtually non-existent up until late 1960s. This changed when Dr. Jovan Kiryabwire spearheaded development of a neurosurgical unit at Mulago Hospital in Kampala. His work ethic and vision set the stage for rapid expansion of neurosurgical care in Uganda. At the beginning of the 2000s, Uganda was a country of nearly 30 million people, but had only 4 neurosurgeons. Neurosurgery's progress was plagued by challenges faced by many developing countries, such as difficulty retaining specialists, lack of modern hospital resources, and scarce training facilities. To combat these challenges 2 distinct programs were launched: 1 by Dr. Benjamin Warf in collaboration with CURE International, and the other by Dr. Michael Haglund from Duke University. Dr. Warf's program focused on establishing a facility for pediatric neurosurgery. Dr. Haglund's program to increase neurosurgical capacity was founded on a “4 T's Paradigm”: Technology, Twinning, Training, and Top-Down. Embedded within this paradigm was the notion that Uganda needed to train its own people to become neurosurgeons, and thus Duke helped establish the country's first neurosurgery residency training program. Efforts from overseas, including the tireless work of Dr. Benjamin Warf, have saved thousands of children's lives. The influx of the Duke Program caused a dynamic shift at Mulago Hospital with dramatic effects, as evidenced by the substantial increase in neurosurgical capacity. The future looks bright for neurosurgery in Uganda and it all traces back to a rural village where 1 man had a vision to help the people of his country. - [Quality of life among children with spina bifida in Uganda](https://cure.org/research/quality-of-life-among-children-with-spina-bifida-in-uganda/) - Abstract: Children surviving after spina bifida repair often have significant disability, the consequences of which may be more profound in low-income countries. The aim of this cross-sectional study was to measure quality of life (QOL) reported by children with spina bifida in Uganda, and to define factors associated with QOL. Methods: QOL was measured using both the Health Utilities Index (HUI3) Tool and a visual analogue scale (VAS) marked from 0 to 10. In keeping with the WHO definition of QOL, further analysis was conducted using subjective QOL scores (using the VAS). Multivariate regression was used to investigate the association between VAS scores and prespecified variables: age, sex, hydrocephalus, mobility, urinary continence, school attendance and family size. Results: Sixty two of 68 surviving children aged 10–14 were able to complete all aspects of the assessment. There was poor correlation between the VAS and HUI3 Tool (Pearson correlation 0.488). On multivariate regression, the following variables were associated with a significant change in the 10-point VAS (change in score; 95% CI): male sex (−1.45; −2.436 to −0.465), urinary continence (1.681; 0.190 to 3.172), large family size (−1.775; −2.773 to −0.777) and hydrocephalus (−1.382; −2.374 to −0.465). Conclusions: Urinary continence and family size are potentially modifiable, the former by simple and inexpensive medical management. Enhanced investment in community-based rehabilitation and support is urgently needed. Delivery of family planning services is a national priority in Uganda, and should be discussed with families as part of holistic care. - [Trauma care in Malawi: a call to action](https://cure.org/research/trauma-care-in-malawi-a-call-to-action/) - Abstract: Injuries are a global public health concern because most are preventable yet they continue to be a major cause of death and disability, especially among children, adolescents, and young adults. This enormous loss of human potential has numerous negative social and economic consequences. Malawi has no formal system of prehospital trauma care, and there is limited access to hospital-based trauma care, orthopaedic surgery, and rehabilitation. While some hospitals and research teams have established local trauma registries and quantified the burden of injuries in parts of Malawi, there is no national injury surveillance database compiling the data needed in order to develop and implement evidence-based prevention initiatives and guidelines to improve the quality of clinical care. Studies in other low- and middle-income countries (LMICs) have demonstrated cost-effective methods for enhancing prehospital, in-hospital, and postdischarge care of trauma patients. We encourage health sectors leaders from across Malawi to take action to improve trauma care and reduce the burden from injury in this country. - [Validation and reliability of the Chichewa translation of the EQ-5D quality of life questionnaire in adults with orthopedic injuries in Malawi](https://cure.org/research/validation-and-reliability-of-the-chichewa-translation-of-the-eq-5d-quality-of-life-questionnaire-in-adults-with-orthopedic-injuries-in-malawi/) - Abstract: The EQ-5D is a standardised instrument that measures health-related quality-of-life and explores cost-effectiveness of treatments. Malawi is a low-resource country that would benefit from assessment of quality-of-life among individuals living with chronic conditions. Chichewa is the official native language of Malawi. The Chichewa version of the EQ-5D-3L developed by EuroQoL group has not been validated with Chichewa speakers. The purpose of this study was to evaluate the clinimetric properties of the Chichewa EQ-5D-3L. Methods: Patients with orthopaedic conditions were recruited in the outpatient orthopaedic clinics and wards at Queen Elizabeth Central Hospital, Blantyre, Malawi. Fifty-three patients with various musculoskeletal problems were administered the Chichewa EQ-5D-3L and World Health Organization quality of life (WHO-QOL) questionnaires. To assess repeatability, a separate test–retest population of 20 patients were also selected from orthopaedic clinics and wards to fill out the questionnaire twice. Results: Convergence validity was determined, with each of the WHO-QOL domains and the EQ-5D descriptive index and visual analogue scale (VAS) having good to moderate correlation (r = 0.3–0.7). Internal consistency was measured for the descriptive index, and the Cronbach’s alpha was 0.7. The ceiling effect for the descriptive index and the VAS were 9.4% and 0%, respectively. No respondents reached floor effect for the descriptive index or the VAS. The test retest intraclass correlation coefficient reliability at 14 days was 0.984 for the VAS and 1 for the descriptive index, with all 20 respondents providing the same responses. Conclusions: The EuroQoL translated version of the Chichewa EQ-5D-3L was found to demonstrate adequate validity, internal consistency, floor/ ceiling effects, and reliability. - [Endoscopic treatment versus shunting for infant hydrocephalus in Uganda](https://cure.org/research/endoscopic-treatment-versus-shunting-for-infant-hydrocephalus-in-uganda/) - Abstract: Postinfectious hydrocephalus in infants is a major health problem in sub-Saharan Africa. The conventional treatment is ventriculoperitoneal shunting, but surgeons are usually not immediately available to revise shunts when they fail. Endoscopic third ventriculostomy with choroid plexus cauterization (ETV–CPC) is an alternative treatment that is less subject to late failure but is also less likely than shunting to result in a reduction in ventricular size that might facilitate better brain growth and cognitive outcomes. Methods: We conducted a randomized trial to evaluate cognitive outcomes after ETV–CPC versus ventriculoperitoneal shunting in Ugandan infants with postinfectious hydrocephalus. The primary outcome was the Bayley Scales of Infant Development, Third Edition (BSID-3), cognitive scaled score 12 months after surgery (scores range from 1 to 19, with higher scores indicating better performance). The secondary outcomes were BSID-3 motor and language scores, treatment failure (defined as treatment-related death or the need for repeat surgery), and brain volume measured on computed tomography. Results: A total of 100 infants were enrolled; 51 were randomly assigned to undergo ETV–CPC, and 49 were assigned to undergo ventriculoperitoneal shunting. The median BSID-3 cognitive scores at 12 months did not differ significantly between the treatment groups (a score of 4 for ETV–CPC and 2 for ventriculoperitoneal shunting; Hodges–Lehmann estimated difference, 0; 95% confidence interval [CI], −2 to 0; P=0.35). There was no significant difference between the ETV–CPC group and the ventriculoperitoneal-shunt group in BSID-3 motor or language scores, rates of treatment failure (35% and 24%, respectively; hazard ratio, 0.7; 95% CI, 0.3 to 1.5; P=0.24), or brain volume (z score, −2.4 and −2.1, respectively; estimated difference, 0.3; 95% CI, −0.3 to 1.0; P=0.12). Conclusions: This single-center study involving Ugandan infants with postinfectious hydrocephalus showed no significant difference between endoscopic ETV–CPC and ventriculoperitoneal shunting with regard to cognitive outcomes at 12 months. - [Economic burden of neonatal sepsis in sub-Saharan Africa](https://cure.org/research/economic-burden-of-neonatal-sepsis-in-sub-saharan-africa/) - Abstract: The third Sustainable Development Goal for child health, which aims to end preventable deaths of newborns and children less than 5 years of age by 2030, cannot be met without substantial reduction of infection-specific neonatal mortality in the developing world. Neonatal infections are estimated to account for 26% of annual neonatal deaths, with mortality rates highest in sub-Saharan Africa (SSA). Reliable and comprehensive estimates of the incidence and aetiology surrounding neonatal sepsis in SSA remain incompletely available. We estimate the economic burden of neonatal sepsis in SSA. Methods: Data available through global health agencies and in the medical literature were used to determine population demographics in SSA, as well as to determine the incidence, disease burden, mortality and resulting disabilities associated with neonatal sepsis. The disability-adjusted life years (DALY) associated with successful treatment or prevention of neonatal sepsis in SSA for 1 year were calculated. The value of a statistical life (VSL) methodology was estimated to evaluate the economic burden of untreated neonatal sepsis in SSA. Results: We conservatively estimate that 5.29–8.73 million DALYs are lost annually in SSA due to neonatal sepsis. Corresponding VSL estimates predict an annual economic burden ranging from $10 billion to $469 billion. Conclusions: Our results highlight and quantify the scope of the public health and economic burden posed by neonatal sepsis in SSA. We quantify the substantial potential impact of more successful treatment and prevention strategies, and we highlight the need for greater investment in strategies to characterise, diagnose, prevent and manage neonatal sepsis and its long-term sequelae in SSA. - [Total hip replacement surgery in Ethiopia](https://cure.org/research/total-hip-replacement-surgery-in-ethiopia/) - Abstract: Total hip replacement (THR) surgery has evolved over years to the point that it has been considered as "the operation of the century". For developed countries, arthroplasty is well established for the management of various joint disorders and has completely revolutionised the treatment of the arthritic hip. The story is different in developing nations. Expensive implant costs and lack of trained orthopaedic surgeons are the main constraints; poverty has caused African countries to remain behind from enjoying the benefits of this medical breakthrough. In this study, we report our first and largest series of 50 such surgeries performed at the CURE Hospital in Addis Ababa. We believe that this is the first consecutive case series from Ethiopia and wanted to share our experience. Methods: Prospectively, all consecutive patients that underwent THR at CURE Hospital from October 2009 to October 2013 were followed for over 3 years using clinical assessments and hip scores. The hip implant used was a Stryker Omnifit Uncemented HA-coated prosthesis. The Visual Analog Scale (VAS) for pain and the Modified Oxford Hip Score were used to assess outcomes. Variables recorded for each patient included sociodemographic information, diagnosis, comorbidity, surgical approach, duration of surgery, estimated blood loss, implant sizes for Ethiopian hips, complications, sequelae, hip scores, and final patient satisfaction. These were analysed using SPSS version 16. Patterns and learning points were observed. Results: Of the 50 consecutive THR patients, 26 were male. Mean age was 48 years (range 14-85). In 30 hips, the right side was operated on, and 2 were bilaterally treated. Primary osteoarthritis (OA) and avascular necrosis (AVN) were the leading diagnoses requiring THR. Previous partial hip replacement (PHR, hemiarthroplasty) was converted to THR in 6 patients. The commonest comorbidities were diabetes mellitus and hypertension. There were 4 hips that dislocated after THR and 1 needed revision surgery. There was 1 persistent infection, 1 case of deep vein thrombosis (DVT), and 1 death. Mean EBL was approximately 1 L and only 5 patients needed transfusion. The most common sizes for Ethiopian hips were a 28 mm+0 head, 52 mm acetabular shell, and 140 mm #8 stem. The VAS and Modified Oxford Hip scores both improved significantly, and the results were comparable with international standards. Conclusions: THR is a viable, safe, and effective option in Ethiopia. Appropriate staff training, careful patient selection, continuous supply chain of implants, and establishing a dedicated joint replacement centre will reliably sustain THR surgery. - [Global neurosurgery: the current capacity and deficit in the provision of essential neurosurgical care. Executive summary of the Global Neurosurgery Initiative at the Program in Global Surgery and Social Change](https://cure.org/research/global-neurosurgery-the-current-capacity-and-deficit-in-the-provision-of-essential-neurosurgical-care-executive-summary-of-the-global-neurosurgery-initiative-at-the-program-in-global-surgery-and-soc/) - Abstract: Worldwide disparities in the provision of surgical care result in otherwise preventable disability and death. There is a growing need to quantify the global burden of neurosurgical disease specifically, and the workforce necessary to meet this demand. Methods: Results from a multinational collaborative effort to describe the global neurosurgical burden were aggregated and summarized. First, country registries, third-party modeled data, and meta-analyzed published data were combined to generate incidence and volume figures for 10 common neurosurgical conditions. Next, a global mapping survey was performed to identify the number and location of neurosurgeons in each country. Finally, a practitioner survey was conducted to quantify the proportion of disease requiring surgery, as well as the median number of neurosurgical cases per annum. The neurosurgical case deficit was calculated as the difference between the volume of essential neurosurgical cases and the existing neurosurgical workforce capacity. Results: Every year, an estimated 22.6 million patients suffer from neurological disorders or injuries that warrant the expertise of a neurosurgeon, of whom 13.8 million require surgery. Traumatic brain injury, stroke-related conditions, tumors, hydrocephalus, and epilepsy constitute the majority of essential neurosurgical care worldwide. Approximately 23,300 additional neurosurgeons are needed to address more than 5 million essential neurosurgical cases—all in low- and middle-income countries—that go unmet each year. There exists a gross disparity in the allocation of the surgical workforce, leaving large geographic treatment gaps, particularly in Africa and Southeast Asia. Conclusions: Each year, more than 5 million individuals suffering from treatable neurosurgical conditions will never undergo therapeutic surgical intervention. Populations in Africa and Southeast Asia, where the proportion of neurosurgeons to neurosurgical disease is critically low, are especially at risk. Increasing access to essential neurosurgical care in low- and middle-income countries via neurosurgical workforce expansion as part of surgical system strengthening is necessary to prevent severe disability and death for millions with neurological disease. - [Global hydrocephalus epidemiology and incidence: systematic review and meta-analysis](https://cure.org/research/global-hydrocephalus-epidemiology-and-incidence-systematic-review-and-meta-analysis/) - Abstract: Hydrocephalus is one of the most common brain disorders, yet a reliable assessment of the global burden of disease is lacking. The authors sought a reliable estimate of the prevalence and annual incidence of hydrocephalus worldwide. Methods: The authors performed a systematic literature review and meta-analysis to estimate the incidence of congenital hydrocephalus by WHO region and World Bank income level using the MEDLINE/PubMed and Cochrane Database of Systematic Reviews databases. A global estimate of pediatric hydrocephalus was obtained by adding acquired forms of childhood hydrocephalus to the baseline congenital figures using neural tube defect (NTD) registry data and known proportions of posthemorrhagic and postinfectious cases. Adult forms of hydrocephalus were also examined qualitatively. Results: Seventy-eight articles were included from the systematic review, representative of all WHO regions and each income level. The pooled incidence of congenital hydrocephalus was highest in Africa and Latin America (145 and 316 per 100,000 births, respectively) and lowest in the United States/Canada (68 per 100,000 births) (p for interaction < 0.1). The incidence was higher in low- and middle-income countries (123 per 100,000 births; 95% CI 98–152 births) than in high-income countries (79 per 100,000 births; 95% CI 68–90 births) (p for interaction < 0.01). While likely representing an underestimate, this model predicts that each year, nearly 400,000 new cases of pediatric hydrocephalus will develop worldwide. The greatest burden of disease falls on the African, Latin American, and Southeast Asian regions, accounting for three-quarters of the total volume of new cases. The high crude birth rate, greater proportion of patients with postinfectious etiology, and higher incidence of NTDs all contribute to a case volume in low- and middle-income countries that outweighs that in high-income countries by more than 20-fold. Global estimates of adult and other forms of acquired hydrocephalus are lacking. Conclusions: For the first time in a global model, the annual incidence of pediatric hydrocephalus is estimated. Low- and middle-income countries incur the greatest burden of disease, particularly those within the African and Latin American regions. Reliable incidence and burden figures for adult forms of hydrocephalus are absent in the literature and warrant specific investigation. A global effort to address hydrocephalus in regions with the greatest demand is imperative to reduce disease incidence, morbidity, mortality, and disparities of access to treatment. - [Subspecialty pediatric neurosurgery training: a skill-based training model for neurosurgeons in low-resourced health systems](https://cure.org/research/subspecialty-pediatric-neurosurgery-training-a-skill-based-training-model-for-neurosurgeons-in-low-resourced-health-systems/) - Abstract: There is inadequate pediatric neurosurgical training to meet the growing burden of disease in low- and middle-income countries (LMIC). Subspecialty expertise in the management of hydrocephalus and spina bifida—two of the most common pediatric neurosurgical conditions—offers a high-yield opportunity to mitigate morbidity and avoid unnecessary death. The CURE Hydrocephalus and Spina Bifida (CHSB) fellowship offers an intensive subspecialty training program designed to equip surgeons from LMIC with the state-of-the-art surgical skills and equipment to most effectively manage common neurosurgical conditions of childhood. Prospective fellows and their home institution undergo a comprehensive evaluation before being accepted for the 8-week training period held at CURE Children’s Hospital of Uganda (CCHU) in Mbale, Uganda. The fellowship combines anatomy review, treatment paradigms, a flexible endoscopic simulation lab, daily ward and ICU rounds, radiology rounds, and clinic exposure. The cornerstone of the fellowship is the unique operative experience that includes a high volume of endoscopic third ventriculostomy with choroid plexus cauterization, myelomeningocele closure, and ventriculoperitoneal shunting, among many other procedures performed at CCHU. Upon completion, fellows return to their home institution to establish or rejuvenate a robust pediatric practice as part of a worldwide network of CHSB trainees committed to the care of underserved children. To date, the fellowship has graduated 33 surgeons from 20 different LMIC who are independently performing thousands of hydrocephalus and spina bifida operations each year. - [Renal outcomes in children with operated spina bifida in Uganda](https://cure.org/research/renal-outcomes-in-children-with-operated-spina-bifida-in-uganda/) - Abstract: To describe the extent of renal disease in Ugandan children surviving at least ten years after spina bifida repair and to investigate risk factors for renal deterioration in this cohort. Patients and Method: Children who had undergone spina bifida repair at CURE Children’s Hospital of Uganda between 2000 and 2004 were invited to attend interview, physical examination, renal tract ultrasound, and a blood test (creatinine). Medical records were retrospectively reviewed. The following were considered evidence of renal damage: elevated creatinine, hypertension, and ultrasound findings of hydronephrosis, scarring, and discrepancy in renal size >1cm. Female sex, previous UTI, neurological level, mobility, detrusor leak point pressure, and adherence with clean intermittent catheterisation (CIC) were investigated for association with evidence of renal damage. Results: 65 of 68 children aged 10–14 completed the assessment. The majority (83%) reported incontinence. 17 children (26%) were performing CIC. One child had elevated creatinine. 25 children (38%) were hypertensive. There was a high prevalence of ultrasound abnormalities: hydronephrosis in 10 children (15%), scarring in 42 (64%), and >1cm size discrepancy in 28 (43%). No children with lesions at S1 or below had hydronephrosis (p = 0.025), but this group had comparable prevalence of renal size discrepancy, scarring, and hypertension to those children with higher lesions. Conclusions: Incontinence, ultrasound abnormalities, and hypertension are highly prevalent in a cohort of Ugandan children with spina bifida, including those with low neurological lesions. These findings support the early and universal initiation of CIC with anticholinergic therapy in a low-income setting. - [Learning based segmentation of CT brain images: application to post-operative hydrocephalic scans](https://cure.org/research/learning-based-segmentation-of-ct-brain-images-application-to-post-operative-hydrocephalic-scans/) - Abstract: Hydrocephalus is a medical condition in which there is an abnormal accumulation of cerebrospinal fluid (CSF) in the brain. Segmentation of brain imagery into brain tissue and CSF [before and after surgery, i.e., preoperative (pre-op) versus postoperative (post-op)] plays a crucial role in evaluating surgical treatment. Segmentation of pre-op images is often a relatively straightforward problem and has been well researched. However, segmenting post-op computational tomographic (CT) scans becomes more challenging due to distorted anatomy and subdural hematoma collections pressing on the brain. Most intensity- and feature-based segmentation methods fail to separate subdurals from brain and CSF as subdural geometry varies greatly across different patients and their intensity varies with time. We combat this problem by a learning approach that treats segmentation as supervised classification at the pixel level, i.e., a training set of CT scans with labeled pixel identities is employed. Methods: Our contributions include: 1) a dictionary learning framework that learns class (segment) specific dictionaries that can efficiently represent test samples from the same class while poorly represent corresponding samples from other classes; 2) quantification of associated computation and memory footprint; and 3) a customized training and test procedure for segmenting post-op hydrocephalic CT images. Results: Experiments performed on infant CT brain images acquired from the CURE Children's Hospital of Uganda reveal the success of our method against the state-of-the-art alternatives. We also demonstrate that the proposed algorithm is computationally less burdensome and exhibits a graceful degradation against a number of training samples, enhancing its deployment potential. - [Neurosurgery in East Africa: Innovations](https://cure.org/research/neurosurgery-in-east-africa-innovations/) - Abstract: In the last 10 years, considerable work has been done to promote and improve neurosurgical care in East Africa with the development of national training programs, expansion of hospitals and creation of new institutions, and the foundation of epidemiologic and cost-effectiveness research. Many of the results have been accomplished through collaboration with partners from abroad. This article is the third in a series of articles that seek to provide readers with an understanding of the development of neurosurgery in East Africa (Foundations), the challenges that arise in providing neurosurgical care in developing countries (Challenges), and an overview of traditional and novel approaches to overcoming these challenges to improve healthcare in the region (Innovations). In this article, we describe the ongoing programs active in East Africa and their current priorities, and we outline lessons learned and what is required to create self-sustained neurosurgical service. - [Development and validation of a delayed presenting clubfoot score to predict the response to Ponseti casting for children aged 2-10](https://cure.org/research/development-and-validation-of-a-delayed-presenting-clubfoot-score-to-predict-the-response-to-ponseti-casting-for-children-aged-2-10/) - Abstract: The aim of the study was to develop a simple and reliable clinical scoring system for delayed presenting clubfeet and assess how this score predicts the response to Ponseti casting. We measured all elements of the Diméglio and the Pirani scoring systems. To determine which aspects were useful in assessing children with delayed presenting clubfeet, 4 assessors examined 42 feet (28 patients) between the ages of 2-10 years. Selected variables demonstrating good agreement were combined to make a novel score and were assessed prospectively on a separate consecutive cohort of children with clubfeet aged 2-10, comprising 100 clubfeet (64 patients). Inter-observer and intra-observer agreement was found to be greatest using the following clinically measured angles of the deformities. These were plantaris, adductus, varus, equinus of the ankle and rotation around the talar head in the frontal plane (PAVER). Measured angles of 1-20, 21-45 and > 45 degrees scored 1, 2 and 3 points, respectively. The PAVER score was derived from both the sum of points derived from measured angles and a multiplier according to age. The sum of the points was multiplied with 1, 1.5 or 2 for ages 2-4, 5-7 and 8-10, respectively. This demonstrated a good association with the total number of casts to achieve a full correction (tau = 0.71). A score greater than 18 out of 30 indicated a cast-resistant clubfoot. The score could be used clinically for prognosis and treatment, and for research purposes to compare the severity of clubfoot deformities. - [Treatment outcomes of congenital pseudarthrosis of the tibia at Beit CURE International Hospital in Blantyre, Malawi](https://cure.org/research/treatment-outcomes-of-congenital-pseudarthrosis-of-the-tibia-at-beit-cure-international-hospital-in-blantyre-malawi/) - Abstract: Congenital pseudarthrosis of the tibia (CPT) is a rare condition. The natural history of CPT includes persistent instability and progressive deformity. Several CPT treatment methods have been practiced, however, in Africa where there is scarce information on the modalities of treatment available and their outcomes. Methods: A retrospective cross-sectional study which was conducted among patients with CPT at Beit Cure International Hospital (BCIH), Malawi. Forty-four patients were recruited in this study and their treatment modalities and outcomes were analyzed. Results: Out of 44 patients recruited in this study, majority (63.6%) were male. The majority of cases were stage 4 congenital tibia pseudarthrosis by Crawford classification. Most patients were treated by more than one surgical modality; however, surgical excision and intramedullary rodding was commonly used (54.7%). The outcomes of treatment were good in 5%, fair in 30%, with amputation in 45% and poor outcomes in 20% of the patients. Complications developed in 60% of patients, predominated by limb length discrepancy. The foot and ankle status were rated by Oxford Foot and Ankle scoring system (OxFAQ). Conclusions: Congenital pseudarthrosis of the tibia is a complex congenital disorder with multiple modalities of treatment. Majority of the patients were treated by more than one operation. Some patients ended up with amputation or poor outcome. Limb length discrepancy, deep infection and pin tract infection are among the common complications. - [Factors associated with non-compliance to bracing in clubfoot among mothers of children under five years with clubfoot in African Inland Church CURE International Children’s Hospital, Kijabe, Kenya](https://cure.org/research/factors-associated-with-non-compliance-to-bracing-in-clubfoot-among-mothers-of-children-under-five-years-with-clubfoot-in-african-inland-church-cure-international-childrens-hospital-kijabe/) - Abstract: The study sought to determine factors associated with non-compliance to bracing in clubfoot management among children under five years in AIC Cure International Children’s Hospital, Kijabe, Kenya. Methodology: The study adopted a cross-sectional descriptive design. It was carried out at AIC Cure International Children’s Hospital, Kijabe, Kenya between April and August 2018. Both qualitative and quantitative methods were employed using a sample size of 174 participants. A semi-structured pre-tested questionnaire was used to collect data. Further, two focused group discussions were conducted, comprising of mothers with different characteristics. Quantitative data was entered for analysis using SPSS version 23.0. Descriptive, bivariate for example Chi square and multivariate for example regression statistical analysis was performed. Qualitative data from questionnaires was analysed through textual summaries was categorized and coded to match specific relevant research questions while data from FGDs was analysed using verbatim and a three-stage thematic approach. Presentation was done through frequencies, percentages, tables and charts. Results: The proportion of non-compliance to bracing was 16.8%, and the cases of non-compliance to bracing were mostly reported in male children (89.3%), and mostly among children aged between 1-2 years of age (35.7%). Majority of the mothers (92.9%) received support from health professionals during the treatment. Gender of the child had a significant association with non-compliance with mothers of male children having 89.3% non-compliance as opposed to 10.7% non-compliance of mothers with female children. Majority of those who did not comply to bracing (81.2%) had college/university education and above. Distance to health facility, inability to meet transport costs and gender of the child had significant association with non-compliance to bracing. Unique contribution to Theory, Practice and Policy: There is need to empower local facilities that is level 1 and level 2 to be able to manage conditions like clubfoot in order to avoid relapse or even permanent disability due to non-compliance. There is also need for detailed parent education on clubfoot bracing and importance of parent compliance. - [Pediatric Hydrocephalus in the Developing World](https://cure.org/research/pediatric-hydrocephalus-in-the-developing-world/) - Abstract: Hydrocephalus in children has been inadequately recognized as an important cause of death and disability in developing countries. In addition to the expected congenital causes, for which high birth rates increase prevalence, neonatal infection and neural tube defects are especially important, and potentially preventable, causes. Research and public health policy have the potential to diminish the burden for both of these etiologies through prevention. The inadequate number of centers trained and equipped to treat hydrocephalus is a ubiquitous barrier to care for these children throughout the developing world. Relative to the treatment of other conditions, hydrocephalus treatment is very cost-effective; yet, poverty and insufficient health system support remain as significant obstacles to treatment. The lack of access to emergency neurosurgical care also renders shunt dependence more dangerous in these contexts. This provides a compelling argument for promoting primary endoscopic treatment whenever possible. In some regions, infants with hydrocephalus are not recognized as having a treatable medical condition, which can delay or prevent referral for neurosurgical treatment. A number of organized efforts in recent decades have made progress by providing treatment, training, research, and public education. But there is far more to be done. - [Sustainable orthopaedic surgery residency training in East Africa: A 10-year experience in Kenya](https://cure.org/research/sustainable-orthopaedic-surgery-residency-training-in-east-africa-a-10-year-experience-in-kenya/) - Abstract: Low- and middle-income countries (LMICs) have continued to lag behind high-income countries in all measurable outcomes of health care. As concluded by the World Health Organization during the 2013 Global Forum on Human Resources for Health, an adequate healthcare workforce is mandatory to provide universal health coverage. Despite efforts to increase the numbers of healthcare workers, an extreme deficit in highly trained surgeons remains. Several options exist to provide training for surgeons in LMICs, including local training by local surgeons, sending local surgeons abroad for training, or local training by short-term or long-term visiting surgeons from high-income countries. This article further discusses the benefits and challenges of each option and reviews the 10-year outcomes of the Orthopaedic Surgery Residency Program at the CURE Kenya Hospital in Kijabe, Kenya. The program has graduated nine orthopaedic surgeons who are all practicing in Africa, five of which are full-time attending consultants in residency training programs. An additional eight residents are currently in the program. Sustainable orthopaedic training can be accomplished in LMICs as demonstrated by the ongoing success of the CURE Kenya Orthopaedic Surgery Residency Program. Additional efforts to expand and replicate this model may assist in providing improved access to high-quality universal healthcare in LMICs. - [Impact of musculoskeletal impairment on the lives of school-aged children in Ethiopia: a prospective mixed-methods study](https://cure.org/research/impact-of-musculoskeletal-impairment-on-the-lives-of-school-aged-children-in-ethiopia-a-prospective-mixed-methods-study/) - Abstract: WHO estimates that more than a billion people live with some form of disability and most of them live in the developing countries. The American Community Survey states that 5.6% of children between the ages of 5-17 live with disability. The situation in Ethiopia is not studied and most of the data on disability comes from the population census conducted every ten years. In this study we report on the impact of musculoskeletal (MSI) on the lives of school age children in Ethiopia. This was a prospective mixed qualitative and quantitative research. The study was conducted at CURE Ethiopia Children’s hospital which is a specialized pediatric orthopedic hospital that provides free orthopedic care for children. The research was approved by the CURE IRB and a written consent was obtained from the participants. Children between 5 and 14 with acquired or congenital musculoskeletal impairment were interviewed using pretested questionnaires. We also conducted two focus group discussions conducted at a rural as well as an urban setting which were all recorded and translated to English. A total of 55 children with MSI were interviewed and 37 parents, 3 teachers and a physiotherapist were involved in the focus group discussions. These families spend a significant amount of their income for transport to the hospital and 68.3% reported getting that money was difficult. A third of these children do not go to school or have dropped out but the number goes to 69.2% when it comes to children with mobility problems. Over 80% of these children also reported abuse from peers. The three most important challenges that stood out during the focus group discussion were indignity and exclusion, financial struggles, and challenges in schools. This study highlights the most important challenges of children with musculoskeletal impairments are indignity and exclusion, financial struggles at home and challenges in school. Ethiopia is one of the countries that have legally committed themselves to delivering comprehensive rehabilitation services for people living with disabilities. The issues identified in our study can be considered as part of the comprehensive rehabilitation services and they need to be addressed properly with the concerned parties in order to improve the life and future of children with musculoskeletal impairments and their families. - [Post infective bone gap management of the lower extremity](https://cure.org/research/post-infective-bone-gap-management-of-the-lower-extremity/) - Abstract: The development of a bone gap as a sequela of chronic osteomyelitis (COM) in childhood is uncommon. The factors that lead to such an occurrence are related to the type of infecting organism and toxins produced and the stability of the segments. A critical factor for gap development in childhood is the type and extent of injury to the periosteum. The treatment of bone defects follows principles of enhancing the bone’s biological and mechanical environments whilst eliminating the infective process. Many different techniques can be successfully employed to achieve the same primary goal of bony continuity, particularly in the management of smaller defects. Long-term outcome following restoration of bony continuity in chronic osteomyelitis bone gaps is mostly predicated on other factors of the disease process such as physeal and adjacent joint destruction. - [Labio-palatal clefts: epidemiological, clinical, therapeutic, and progressive profiles: about 285 cases in Niger](https://cure.org/research/labio-palatal-clefts-epidemiological-clinical-therapeutic-and-progressive-profiles-about-285-cases-in-niger/) - Abstract: To describe the clinical presentation, surgical management and outcome of labio-palatal clefts (LBF) in Niger. This was a cross-sectional descriptive retrospective study that was carried out from January 1, 2011, to January 31, 2013. Patients were recruited in the odonto-stomatology department of the Niamey National Hospital and in the pediatric ward of the Niamey Children's Cure Hospital. Our study parameters were as follows: gender, age, clinical features, management and outcome. Out of 2333 patients who consulted during the study period, 285 (0.12%) with cleft lip and palate were recruited. There were 160 male (56.10%) and 125 female (43.85%). Their mean age was 8.13 years (range: 6 - 47 years). The age group of 6 to 10 years was the most represented with 136 patients (47.70%). There were complete forms 166 patients (58.24%). Sucking and phonation disorders were the main complaints associated with the malformation. Surgery was the sole treatment option, using cheiloplasty and palatoplasty. For 112 patients (41.20%), we used the surgical technique of Millard. The immediate and late aftermath of surgery was simple. Labio-palatal clefts are more common in boys than in girls. The mean age at consultation is 8 years. Sucking and phonation disorders are the main complaints associated with the malformation. Despite the late definitive management, the aftermath of surgery is simple and the overall prognosis is good. - [Social stigma and cultural beliefs associated with cleft lip and/or palate: parental perceptions of their experience in Kenya](https://cure.org/research/social-stigma-and-cultural-beliefs-associated-with-cleft-lip-and-or-palate-parental-perceptions-of-their-experience-in-kenya/) - Abstract: Cleft lip with or without cleft palate (CL/P)—a condition associated with speech, hearing, feeding, and dental problems, as well as anomalies of the bone and soft tissue around the mouth—is a common birth defect around the globe. The prevalence of this condition varies widely across different countries and regions, and is apparently highest among Asians and lowest among Africans. A review of literature reveals that there exists a dearth of information on experiences of parents of children with CL/P and stigma communication, as well as cultural beliefs associated with CL/P in Africa. To fill this gap, we conducted a descriptive qualitative study examining the experiences of parents of children with CL/P, stigma communication, and cultural beliefs associated with CL/P in Kenya. Twenty four in-depth interviews were done involving purposefully sampled parents of children born with CL/P at AIC CURE International Hospital in Nairobi, Kenya. Five overarching themes emerged under the lived experiences of parents of children with CL/P: Emotional experiences; relational experiences; burden of care and concerns; reaction by the public and friends; and source of social support. The stigma messages and beliefs associated with CL/P further exacerbated the stigma. The study revealed that stigma communication associated with CL/P remains a significant source of social and psychological anguish to parents and guardians of children with CL/P. These findings have critical implications for the management of stigma communication associated with CL/P. They point to the need for public awareness campaigns on CL/P to demystify the condition, its causes and treatment. The study shows that raising public awareness of CL/P would go a long way towards addressing the stigma associated with the condition. It underscores the need for open communication and engagement with all stakeholders to manage stigma communication associated with CL/P through culturally appropriate anti-stigma campaigns. - [Strategic choice and performance empirical evidence from mission hospitals in Kiambu County Kenya](https://cure.org/research/strategic-choice-and-performance-of-mission-hospitals-in-kiambu-county-kenya/) - Abstract: The modern business environment is highly dynamic and the management of every firm is compelled to make effective decisions for the company to remain relevant. Strategic choice is a critical element in the process of formulating a strategy. As a result of the threats that organizations are exposed to, organizations are adopting strategic choices to enhance performance. Despite the challenges that mission hospitals in Kiambu County encounter in the health industry, they are still luring away clients from public hospitals. Therefore, this study’s main objective was to establish the influence of strategic choice on performance of mission hospitals in Kiambu County. Specifically, the study embarked on four objectives; to establish the influence of organizational structure on the performance of mission hospitals in Kiambu County; to determine the influence of technology on performance of mission hospitals in Kiambu County; to determine the influence of leadership on the performance of mission hospitals in Kiambu County; and to establish the effect of resource acquisition on performance of mission hospitals in Kiambu County. The theories that guided this study were the agency theory, open systems theory, contingency theory, and the resource based theory. This study adopted a descriptive design. The study targeted the big four mission hospitals Africa Inland Church Kijabe Mission Hospital; Africa Inland Church cure International Hospital; Presbyterian Church of East Africa. Kikuyu Hospital; and Nazareth Hospital) in Kiambu County. The target population was 80 senior, middle, and operational managers and a census was employed. A semistructured questionnaire was utilized for data collection. Regression results revealed that organizational structure, technology, leadership and resource acquisition were highly significant on the performance of mission hospitals in Kiambu County in Kenya. The study recommended that mission hospitals in Kiambu County should create organizational structures which are in line with the goals being pursued by the mission hospitals. On technology the study recommended for effective management and use of technology infrastructure planning, on leadership, the researcher recommends that leadership development be cascaded to all level of employees/management. This is to help the mission hospitals achieve its objectives on service delivery. On resource acquisition the study recommends that managers should look for ways of motivating human resource in the organization for better performance. Mission hospitals should encourage more training and development of employees to enhance knowledge and skills if they want to sustain performance. - [Management of neglected traumatic hip dislocation in children](https://cure.org/research/management-of-neglected-traumatic-hip-dislocation-in-children/) - Abstract: Neglected traumatic hip dislocation in children is uncommon and there is no consensus on appropriate management. Previous studies report varied operative management with high rates of avascular necrosis and postoperative subluxation/dislocation. We report a series of 7 consecutive cases who underwent operative reduction after neglected hip dislocation and describe our technique for treatment. Methods: All 7 children sustained posterior dislocations and had no treatment before presentation at our institution. An associated marginal acetabular fracture was present in 2 cases. One additional patient was excluded from the study due to complete loss of articular cartilage that precluded open reduction. The mean time before surgical intervention was 13.1 months (4 to 36 mo) with a mean age of 7 years (5.3 to 10.8 y). All children underwent preoperative skeletal traction for 10 to 14 days. A postero-lateral approach was used in all cases. The acetabulum was cleared of scar tissue and a femoral shortening performed as required (5 cases). Minor erosion of the articular cartilage of the posterior aspect of the femoral head was noted in 3/6 cases. After reduction, a posterior capsulorrhaphy was performed and the patient immobilized in a hip spica for 6 to 12 weeks. Results: The mean follow-up was 44 months (33 to 56 mo). The majority of children (86%) could walk and run without a limp, could squat, and had no pain. One child had mild pain and a limp. Mean Harris Hip Score was 98.9. No hip subluxed or dislocated postoperatively. The radiographs at latest follow-up showed no evidence of growth disturbance in 29% of cases, coxa magna in 57%, and partial femoral head collapse in 1 case (14%). Of note, those patients managed within 8 months of injury had none or minimal evidence of growth disturbance. Conclusions: At medium-term follow-up, open reduction with a postero-lateral approach, posterior capsulorrhaphy, and femoral shortening (as required) produces a satisfactory outcome with a stable, congruent reduction. Good clinical function can be expected with a low incidence of avascular necrosis. - [Effects of velopharyngeal insufficiency on quality of life of adults with repaired cleft palate in Kenyatta National Hospital, Nairobi, Kenya](https://cure.org/research/effects-of-velopharyngeal-insufficiency-on-quality-of-life-of-adults-with-repaired-cleft-palate-in-kenyatta-national-hospital-nairobi-kenya/) - # - [Comparison of endoscopic third ventriculostomy alone and combined with choroid plexus cauterization in infants younger than 1 year of age: a prospective study in 550 African children](https://cure.org/research/comparison-of-endoscopic-third-ventriculostomy-alone-and-combined-with-choroid-plexus-cauterization-in-infants-younger-than-1-year-of-age-a-prospective-study-in-550-african-children/) - Abstract Object: The aim of this prospective study was to determine whether, and in which patients, the outcome for bilateral choroid plexus cauterization (CPC) in combination with endoscopic third ventriculostomy (ETV) was superior to ETV alone. Methods: A total of 710 children underwent ventriculoscopy as candidates for ETV as the primary treatment for hydrocephalus. The ETV was accomplished in 550 children: 266 underwent a combined ETV—CPC procedure and 284 underwent ETV alone. The mean and median ages were 14 and 5 months, respectively, and 443 patients (81%) were younger than 1 year of age. The hydrocephalus was postinfectious (PIH) in 320 patients (58%), nonpostinfectious (NPIH) in 152 (28%), posthemorrhagic in five (1%), and associated with myelomeningocele in 73 (13%). The mean follow up was 19 months for ETV and 9.2 months for ETV—CPC. Overall, the success rate of ETV—CPC (66%) was superior to that of ETV alone (47%) among infants younger than 1 year of age (p < 0.0001). The ETV—CPC combined procedure was superior in patients with a myelomeningocele (76% compared with 35% success, p = 0.0045) and those with NPIH (70% compared with 38% success, p = 0.0025). Although the difference was not significant for PIH (62% compared with 52% success, p = 0.1607), a benefit was not ruled out (power = 0.3). For patients at least 1 year of age, there was no difference between the two procedures (80% success for each, p = 1.0000). The overall surgical mortality rate was 1.3%, and the infection rate was less than 1%. Conclusions: The ETV—CPC was more successful than ETV alone in infants younger than 1 year of age. In developing countries in which a dependence on shunts is dangerous, ETV—CPC may be the best option for treating hydrocephalus in infants, particularly for those with NPIH and myelomeningocele. - [St. Louis docs among 20 in U.S. treating hydrocephalus without a shunt](https://cure.org/research/st-louis-docs-among-20-in-u-s-treating-hydrocephalus-without-a-shunt/) - [Growing brains: How adapting to Africa advanced the treatment of infant hydrocephalus](https://cure.org/research/growing-brains-how-adapting-to-africa-advanced-the-treatment-of-infant-hydrocephalus/) - [Children with spina bifida in Eastern Uganda report a reasonable quality of life relative to their healthy school-attending peers](https://cure.org/research/children-with-spina-bifida-in-eastern-uganda-report-a-reasonable-quality-of-life-relative-to-their-healthy-school-attending-peers/) ## Services - [Mobility & Assistive Device Fitting](https://cure.org/service/mobility-and-assistive-device-fitting/) - [Prescription Medicine](https://cure.org/service/prescription-medicine/) - [Follow-Up Appointments](https://cure.org/service/follow-up-appointments/) - [Physical Therapy](https://cure.org/service/physical-therapy/) - [Prosthetics & Orthotics](https://cure.org/service/prosthetics-and-orthotics/) - [Patient Consultation](https://cure.org/service/patient-consultation/) - [Diagnostic Testing](https://cure.org/service/diagnostic-testing/) - [Lodging & Meals](https://cure.org/service/lodging-meals/) - [Nutritional Support](https://cure.org/service/nutritional-support/) - [Single Service Page](https://cure.org/service/single-service-page/) ## Stories - [Celebrating Your Impact!](https://cure.org/story/celebrating-your-impact/) - Your generous support changed so many lives in 2025, we made a video to celebrate you! - [A Second Chance on Two Feet: Tekeste’s Transformation](https://cure.org/story/a-second-chance-on-two-feet-tekestes-transformation/) - After running away from home, Tekeste spent years living on the streets. A new prosthetic limb from CURE has provided him with full mobility and a future of possibilities. - [Trusting in God: Mercy's Brain Tumor Battle](https://cure.org/story/trusting-in-god-mercys-brain-tumor-battle/) - Mercy experienced fevers, bouts of fatigue, and persistent headaches with no medical explanation—until a devastating diagnosis. - [How Chitani Found His Worth in God](https://cure.org/story/how-chitani-found-his-worth-in-god/) - Chitani’s clubfoot made him feel unloved—until surgery at CURE Malawi transformed his life. - [Cleft Lip Repair Changes Everything—Ask Kidus!](https://cure.org/story/cleft-lip-repair-changes-everything-ask-kidus/) - Kidus was among the 1 in 700 babies born with cleft lip each year. By God's grace and with support from our donors, surgery at CURE Ethiopia restored his smile and his hope for the future. - [Edmercy: A New Creation](https://cure.org/story/edmercy/) - Learning about Jesus transformed Edmercy's life even more than the surgery that helped her walk. - [How Emmanuel Fought to Keep His Leg—and Won](https://cure.org/story/how-emmanuel-fought-to-keep-his-leg-and-won/) - Emmanuel’s painful leg condition kept him from fully enjoying life—with help from CURE, he fought for the future he wanted. - [How John Said Goodbye to Clubfoot and Hello to Hope](https://cure.org/story/how-john-said-goodbye-to-clubfoot-and-hello-to-hope/) - [Surgery Healed her Arms. Freedom Restored Her Spirit](https://cure.org/story/surgery-healed-her-arms-freedom-restored-her-spirit/) - Tragedy limited Jocy's life. You gave her freedom. - [Living Her Dreams: New Milestones, New Beginnings, and Abundant Blessings](https://cure.org/story/living-her-dreams-new-milestones-new-beginnings-and-abundant-blessings-2/) - Today, if you met 22-year-old Lucy from Kenya, you might not believe she grew up with a physical disability that left her isolated and stigmatized for most of her young life. - [Head of the Class: How Surgery at CURE Changed John’s Future](https://cure.org/story/head-of-the-class-how-surgery-at-cure-changed-johns-future/) - After surgery at CURE, John became a leader in the classroom. - [Expecting a Blessing: After Years of Waiting, Evance Receives Clubfoot Surgery](https://cure.org/story/expecting-a-blessing-after-years-of-waiting-evance-receives-clubfoot-surgery/) - [“Our Souls are Free” - Surgery Brings New Life to Three Sisters](https://cure.org/story/our-souls-are-free-surgery-brings-new-life-to-three-sisters/) - [Doctors said Tiwa Jonah would not live. Today, he is 8.](https://cure.org/story/doctors-said-tiwa-jonah-would-not-live-today-he-is-8/) - The radiographer’s words haunted her. No chance of survival. Hydrocephalus. - [Making Strides](https://cure.org/story/making-strides/) - How CURE Zambia helped lift Lemmy out of despair. - [A Mother’s Answered Prayer: Life-Saving Surgery for Her Son](https://cure.org/story/a-mothers-answered-prayer-lifesaving-surgery-for-her-son/) - [The Boy Who Fought a Crocodile—and Won](https://cure.org/story/the-boy-who-fought-a-crocodile-and-won/) - Lungisani nearly lost his leg to a crocodile bite, but CURE Zimbabwe helped him heal. - [The Presidential Motorcade that Changed a Life](https://cure.org/story/the-presidential-motorcade-that-changed-a-life/) - Sibajene's life-changing journey to CURE started with a presidential motorcade. - [How a Facebook Post Led to Healing](https://cure.org/story/tamirats-journey-of-transformation/) - The community that came together to change Tamirat’s story includes an Ethiopian village, a viral Facebook post, and you! - [Clubfoot Kept Rizamol from School—After Surgery, She’s Back!](https://cure.org/story/clubfoot-kept-rizamol-from-school/) - Clubfoot forced Rizamol to drop out of school—until surgery at Tebow CURE Philippines. - [Joy Unleashed: Surgery Gives Twins Freedom to Run](https://cure.org/story/joy-unleashed-surgery/) - Twins Eli and Elisée always had playful spirits. After surgery at CURE Niger, now their legs can keep up! - [Ismael’s Story: Walking into the Future Pain-Free](https://cure.org/story/ismaels-story-walking-into-the-future-pain-free/) - See Ismael's incredible transformation at CURE Niger! - [She Needed a Miracle for Her Daughters. CURE Stepped In.](https://cure.org/story/she-needed-a-miracle-for-her-daughters-cure-stepped-in/) - [After Surgery at CURE, Plasdus can run pain-free!](https://cure.org/story/after-surgery-at-cure-plasdus-can-run-pain-free/) - [Surgery Helped Ara Jane Get Back to School—and Build a Future](https://cure.org/story/surgery-helped-ara-jane-get-back-to-school-and-build-a-future/) - [Andualem's Story: "Now I have come this far."](https://cure.org/story/andualems-story-now-i-have-come-this-far/) - [Surgery Straightened Megertu’s Feet and Helped Other Children in Need](https://cure.org/story/surgery-straightened-megertus-feet-and-helped-other-children-in-need/) - [From Pain to Peace: Mgwayisi's Journey to Becoming a Doctor](https://cure.org/story/from-pain-to-peace-mgwayisis-journey-to-becoming-a-doctor/) - [Surgery Makes Aubrey's Dream of Becoming a Doctor Possible](https://cure.org/story/surgery-makes-aubreys-dream-of-becoming-a-doctor-possible/) ## Surgeries - [Scoliosis](https://cure.org/surgery/scoliosis/) - [Hip Dysplasia](https://cure.org/surgery/hip-dysplasia/) - [Brain Tumors](https://cure.org/surgery/brain-tumors/) - [Cerebral Palsy](https://cure.org/surgery/cerebral-palsy/) - [Epilepsy](https://cure.org/surgery/epilepsy/) - [Untreated Trauma](https://cure.org/surgery/untreated-trauma/) - [Osteogenesis Imperfecta (Brittle Bone Disease)](https://cure.org/surgery/brittle-bone-disease/) - [Windswept Legs](https://cure.org/surgery/windswept-legs/) - [Bowed Legs](https://cure.org/surgery/bowed-legs/) - [Cleft Palate](https://cure.org/surgery/cleft-palate/) - [Clubfoot](https://cure.org/surgery/clubfoot/) - [Genu Valgum (Knock Knees)](https://cure.org/surgery/genu-valgum-knock-knees/) - [Hydrocephalus](https://cure.org/surgery/hydrocephalus/) - [Burn Contractures](https://cure.org/surgery/burn-contractures/) - [Cleft Lip](https://cure.org/surgery/cleft-lip/) - [Encephalocele](https://cure.org/surgery/encephalocele/) - [Spina Bifida](https://cure.org/surgery/spina-bifida/) ## Products - [Clubfoot Surgery & Braces](https://cure.org/product/clubfoot-surgery-braces/) - Surgery corrects clubfoot, but braces keep the healing on track. By adding $75 to your gift of clubfoot surgery, you’ll provide the custom braces a child needs to maintain proper foot alignment during recovery—ensuring lasting results and giving them the best chance to walk confidently into the future. - [Clubfoot Surgery & Physical Therapy](https://cure.org/product/clubfoot-surgery-physical-therapy/) - Recovery doesn’t end in the operating room. Physical therapy is essential after clubfoot surgery to build strength, improve mobility, and ensure lasting results. By adding $50 to your gift, you’ll help a child take confident steps toward a full recovery—and a life without limits. - [Cleft Lip & Palate Surgery](https://cure.org/product/cleft-lip-palate-surgery/) - Your generosity does more than fund a procedure—it transforms a life. By giving the gift of cleft lip and cleft palate surgery, you're not only preventing future health complications but also sparing a child from the lifelong social and emotional challenges that often come with cleft conditions. Your support opens the door to a healthier, - [Art Therapy](https://cure.org/product/art-therapy/) - Give a full group session of fun and recovery for children: painting, drawing, crafting, and more! - [Clubfoot Surgery](https://cure.org/product/sponsor-a-clubfoot-surgery/) - Clubfoot, one of the most common disabilities treated at CURE, is a congenital condition where one or both feet curve inward, making walking difficult and often painful. Without surgery, children with clubfoot face significant stigmatization that can prevent access to education and employment, pushing their family further into poverty. You can help a child avoid - [Cleft Lip Surgery](https://cure.org/product/cleft-lip-surgery/) - Cleft lip can be a debilitating, even life-threatening, condition that makes it difficult for a baby to eat, leading to malnutrition. If not corrected, a cleft lip can have huge social implications later in life, affecting a child’s face, speech, and ability to smile and communicate. Fortunately, the world-class plastic surgeons at our CURE hospitals - [Burn Scar Repair](https://cure.org/product/repair-burn-scars-for-a-child/) - Because open fires are a part of life in the countries where CURE serves, second- or third-degree burns are devastatingly common. When these injuries go untreated, they form thick scars that tighten and contract, limiting mobility and making it hard for a child to use the affected limb. Surgery releases the burn scars and restores - [Urgent Brain Surgery](https://cure.org/product/sponsor-an-urgent-brain-surgery/) - CURE Uganda treats a variety of life-threatening neurological conditions, including hydrocephalus, spina bifida, brain tumors, and more. These conditions can be fatal. But when children receive surgery in time, thanks to your gift, they can be saved. - [Biblical Counseling & Art Therapy Session](https://cure.org/product/biblical-counseling-art-therapy-session/) - Biblical counseling helps a child heal spiritually, but emotional healing takes many forms. By adding $35 to your gift of biblical counseling, you’ll provide a child with the joy and support of art therapy. Through painting, drawing, and creative expression, children can process pain, express hope, and begin to heal both inside and out. - [Biblical Counseling](https://cure.org/product/biblical-counseling/) - This important gift provides a week of counseling and care to the parent of the child. - [Mobile Clinic](https://cure.org/product/mobile-clinic/) - Send a CURE mobile clinic to a remote village! Families in these areas often have no idea their child can be healed. - [Long-Term Patient Recovery](https://cure.org/product/long-term-patient-recovery/) - Some surgical procedures require an extended recovery or ongoing rehabilitation, and many families live too far from the hospital to travel back and forth for follow-up care. Your commitment provides an extended post-surgical stay at a CURE hospital, with meals, lodging, and any needed medical care. This ensures a child can safely heal under the - [The Jesus Film Presentation](https://cure.org/product/jesus-film-presentation/) - Outdoor film screenings, presented in local languages, create a space for people to hear the good news, ask questions, and experience the love of Christ in a personal way. Your gift helps bring the message of salvation to entire communities—sparking transformation, one story at a time. - [Toys for CURE Playroom](https://cure.org/product/toys-for-cure-playroom/) - Our playrooms are the best places to play, complete educational lessons, learn about Jesus, and make friends during the days or weeks of recovery. - [Patient Celebration](https://cure.org/product/patient-celebration/) - At our hospitals, we throw fun-filled birthday parties to celebrate all the kids who share the same birthday week. - [Patient Transportation](https://cure.org/product/patient-transportation/) - Transportation costs are the second biggest hurdle for children to get the help they need. You can change this today! - [Surgery Supplies](https://cure.org/product/supplies-for-surgery/) - This gift supplies the surgical items needed for each individual surgery, which may include gowns, bandages, gauze, sponges, sutures, and more. - [Surgical Instrument Set](https://cure.org/product/surgical-instrument-set/) - Provide a surgeon with the instruments necessary to perform procedures with excellence and efficiency for children in need. - [Scrubs](https://cure.org/product/scrubs-for-a-surgeon-or-surgical-staff/) - Every surgery at a CURE hospital is made possible by a dedicated team of professionals—including surgeons, nurses, anesthetists, and technicians—working together to provide life-changing care. Your gift helps us outfit our medical teams with the proper attire, allowing them to focus on what matters most: healing children. - [Vitamins & Pharmaceuticals](https://cure.org/product/vitamins-and-pharmaceuticals/) - After receiving surgery, a child may require a unique blend of medications to make their healing and recovery complete. - [Hospital Bed](https://cure.org/product/hospital-bed/) - With eight CURE hospitals to supply, new beds are always in demand. - [X-Rays/CT Scan](https://cure.org/product/x-rays-ct-scan-for-a-patient/) - Every child who enters our doors needs x-rays or scans to properly diagnose and treat their condition. - [Consultation with a CURE Doctor](https://cure.org/product/consultation-with-doctor/) - This wonderful gift allows a parent to bring their child to a CURE hospital to be evaluated and for a proper surgical plan to be developed. - [Treat a Malnourished Child](https://cure.org/product/treat-a-malnourished-child/) - Sometimes children come to CURE hospitals so malnourished that we know their bodies could not withstand the stress of surgery. But we don’t turn them away! - [Anesthesia Equipment](https://cure.org/product/anesthesia-equipment/) - The first step to a safe surgery is anesthesia, which requires special equipment to ensure our young patients feel no pain during their procedures. - [Surgical Drill](https://cure.org/product/surgical-drill-for-a-surgeon/) - You can provide a specialty surgical drill for one of our orthopedic surgeons to help repair orthopedic conditions, such as bowed legs or knock knees. - [Physical Therapy](https://cure.org/product/physical-therapy-session/) - Children who have had corrective surgeries on arms and legs receive physical therapy afterward to regain movement and functionality. - [Treat Infant Clubfoot](https://cure.org/product/treat-infant-clubfoot/) - A series of six castings for a baby with clubfoot will prevent the need for corrective surgery in the future. - [Surgeon Training](https://cure.org/product/surgeon-training/) - Every CURE hospital functions as a teaching hospital for training the next generation of orthopedic, plastic, and neurosurgeons. As part of our commitment to strengthening national healthcare systems in the countries we serve, CURE has established residency and fellowship programs that have trained hundreds of future surgeons. Every surgery is a chance to heal a - [Cart Donation](https://cure.org/product/cart-donation/) - [Sponsor a Training Session for a Surgeon](https://cure.org/product/sponsor-a-training-session-for-a-surgeon/) - Each CURE hospital is a teaching hospital—training hundreds of local surgeons, doctors, nurses, and anesthesiologists each year. - [Children's Bible Stories](https://cure.org/product/childrens-bible-stories/) - For many children treated at a CURE hospital, it's the first time they hear about Jesus. Through age-appropriate Bible storybooks, they’re introduced to the love, hope, and truth found in God’s Word—presented in a way they can understand and remember for the rest of their lives! - [Decorate a Hospital Space](https://cure.org/product/decorate-a-hospital-space/) - Hospital stays can feel intimidating for a child—but bright, cheerful spaces can make a world of difference. Your gift helps decorate hospital wards, hallways, and common areas with vibrant colors, uplifting artwork, and playful touches that bring joy and comfort to young patients. - [Train a Surgeon (Fellowship)](https://cure.org/product/train-a-surgeon-fellowship/) - Sponsor a surgical fellowship and help train the next generation of skilled, compassionate, Christian surgeons. Your commitment equips a doctor with the education and experience needed to serve at CURE hospitals—bringing highly specialized care to children with treatable conditions for years to come. - [Artificial Limb](https://cure.org/product/artificial-limb/) - CURE holds clinics where prosthetics are custom-made for children and offered at no cost to the family. - [Pastor Training](https://cure.org/product/pastor-training/) - Local pastors are often the first point of contact for families seeking help. Your gift equips these pastors with the training and tools they need to be powerful advocates for children with disabilities—helping to counteract stigmas, offer hope, and connect families to the healing care available at CURE hospitals so that no child is left - [Art Therapy Supplies](https://cure.org/product/art-therapy-supplies/) - Art is a powerful tool for healing. For children at CURE hospitals, creative expression through art therapy helps process pain, reduce anxiety, and build confidence during their recovery journey. Your gift provides essential supplies—like markers, paint, paper, and craft materials—that make these sessions possible. - [Sponsor a Doctor](https://cure.org/product/sponsor-a-doctor/) - By sponsoring the recruitment, onboarding, and first year of service for a new doctor, you’re not only launching a life-saving career but also expanding access to critical healthcare in underserved areas. Every dollar helps bring skilled, compassionate care to those who need it most, and every life they touch becomes part of your impact. Your - [Medical Equipment Upgrade](https://cure.org/product/medical-equipment-upgrade/) - Please consider supporting our efforts to provide state-of-the-art medical equipment, which is vital to the care we offer. Your generous contribution will help us deliver the highest-quality care to the children we serve, ensuring they receive advanced, safe, and effective treatment. Together, we can make a lasting difference in their health and future. - [Meals for Patients](https://cure.org/product/meals-for-patients/) - Many of the children treated at CURE go to bed hungry every night at home. Healing from surgery requires strength, and strength begins with nourishment. Your gift helps provide children with the balanced, nutritious meals they need to grow strong and recover fully. You’re not just filling empty stomachs—you’re fueling hope and healing. - [Furnish a Hope House](https://cure.org/product/furnish-a-hope-house/) - For many families, traveling to a CURE hospital is only the beginning of a long and difficult journey. That’s why CURE is establishing Hope Houses—Christ-centered spaces where patients and caregivers receive biblical counseling, life-skills training, and practical support during long-stay recoveries. By furnishing these sacred spaces with beds, tables, games, and other essentials, you’ll help - [Bible for Patient](https://cure.org/product/bible-for-a-patient/) - At CURE, physical healing is just one part of a patient’s journey. They and their families are also introduced to the hope and love found in Jesus Christ. By providing a Bible in their local language, you offer more than just words on a page—you offer comfort, truth, and the message of God’s unfailing love - [CURE Care Kit](https://cure.org/product/cure-care-kit/) - Provide a precious gift for a child. Each CURE Care Kit contains a Bible, a stuffed animal, a small hygiene kit, crayons, and a coloring book about Jesus. It's a wonderful way to shine the love of Christ! - [Vital Signs Monitor](https://cure.org/product/cital-signs-monitor/) - Vital signs monitors allow CURE’s medical staff to closely track a child’s heart rate, oxygen levels, blood pressure, and more—ensuring their safety every step of the way. Your gift helps equip our hospitals with reliable monitors, giving each child the best chance at a safe recovery and a brighter future. - [Cast](https://cure.org/product/cast/) - After surgery, stability is key to healing. A cast protects a child’s wound, keeps bones aligned, and ensures their body can recover properly. You can provide this simple but essential tool, helping children heal safely and return to walking, playing, and thriving in all aspects of life—pain-free. - [Cast](https://cure.org/product/cast/) - After surgery, stability is key to healing. A cast protects a child’s wound, keeps bones aligned, and ensures their body can recover properly. You can provide this simple but essential tool, helping children heal safely and return to walking, playing, and thriving in all aspects of life—pain-free. - [Speech Therapy](https://cure.org/product/speech-therapy/) - After surgery for a cleft condition, many children need speech therapy to learn how to speak clearly and confidently. Your gift provides a one-on-one session with a trained therapist, helping a child find their voice and be fully understood. - [Speech Therapy & Nutrition](https://cure.org/product/speech-therapy-nutrition/) - Cleft surgery is life-changing, but healing doesn’t end in the operating room. Many children need proper nutrition to prepare their bodies for surgery, and speech therapy afterward to learn how to speak clearly and be understood. By bundling these two gifts, you’ll help a child grow strong enough for surgery—and communicate with confidence and dignity. - [Portable X-Ray](https://cure.org/product/portable-x-ray/) - As CURE expands to provide more advanced and delicate surgeries, precision tools are more important than ever. Portable x-ray machines aid in surgery by providing real-time mobile imaging to guide surgeons, ensuring greater accuracy and safety. Your gift helps equip our operating rooms with critical technology, enabling life-saving surgeries that restore hope and transform lives. - [ICU Stay](https://cure.org/product/icu-stay/) - After life-saving brain surgery at CURE Uganda, a child’s healing continues in the intensive care unit. In this critical stage, children are closely monitored by skilled medical staff to manage pain, prevent infection, and respond quickly to any complications. Your gift helps ensure every child receives the attention and support they need for a safe - [Sponsor a Severe Burn Surgery](https://cure.org/product/sponsor-a-severe-burn-surgery/) - She’s happy—and healed! Rhoda’s smiles were genuine, as surgery corrected her contractures and physical therapy helped her heal. Because open fires are a part of life in the countries where CURE serves, second- or third-degree burns are devastatingly common. When these injuries go untreated, they form thick scars that tighten and contract, limiting mobility and making it hard for a child to use the affected limb. This surgery releases the burn contractures and restores function to a child's hands, arms, and/or legs. - [Matching Gifts 20X](https://cure.org/product/20x-matching-gifts/) - Each dollar is matched 20x by grants we receive for new medical equipment. - [Crutches](https://cure.org/product/crutches/) - With so many surgeries on legs, knees, and feet at CURE, crutches are a significant need! - [Braces for Clubfoot](https://cure.org/product/braces-for-clubfoot/) - You can make movement and stability easier for a child after clubfoot surgery with these important braces. - [Lab Tests](https://cure.org/product/lab-tests/) - Another crucial step in a child’s diagnosis and treatment is a blood draw. You can make this happen for another child in need. ## Categories - [Uncategorized]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [News]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Hospital Happenings]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CUREkids]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Change Makers]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Partnerships]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. ## Tags - [ETHIOPIA]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [MSU]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [SAWBO]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Malawi]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [surgeon]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [doctor]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Zambia]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [clubfoot]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Kenya]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Word FM]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Uganda]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [hydrocephalus]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Uganda]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Philippines]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [spina bifida]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Brant Hansen]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Zambia]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [prayer]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Niger]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [neurosurgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Kenya]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Malawi]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [casting]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [operating room]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Niger]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Tebow CURE Hospital]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Tim Tebow]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Night to Shine]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [healing]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Spiritual care]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Ethiopia]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Tebow CURE]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Orthopedics]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [core values]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [burn contracture]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [nurse]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [nursing]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [training]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [research]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Philippines]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [knock knees]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [msc]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [blood drive]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [education]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [spiritual ministry]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [mobile clinics]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [orthopedic surgeon]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [IDP camps]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [internally displaced persons]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [refugee camps]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [refugees]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [partnerships]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [solar power]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [nurses]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [AMTI]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [mocap]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [motion capture]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [NOVEL]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Oxford University Hospital]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [VICON]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [safe surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [global surgery initiative]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [WHA]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [WHO]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [World Health Assembly]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [World Health Organization]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [radio]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [sdg]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [sustainable development goals]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [uhc]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [universal health coverage]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Safe Surgery Initiative]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Neuro]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [biomed]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [biomed tech]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [anesthesiology]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [biomedical engineering]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Mobile clinic]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [bowed legs]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [culture]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [anniversary]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [groundbreaking]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [World Day of Prayer]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [COVID]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [COVID-19]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Global Missions Health Conference]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [refurbishment]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [ventilators]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [South Sudan]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [broken bone]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [end the wait]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [waitlist]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [burns]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [construction]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [hostel]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [ICU]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [emotional]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [trauma]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [amputation]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [cancer]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [femur replacement]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [social work]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [covid response]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [surgeons]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [child mentor]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [anethesia]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [World Disability Day]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [award]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [advent]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [slinthe]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [webinar]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [lodging]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [conditions]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [x-ray]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Zimbabwe]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [ASHA]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [USAID]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Neuro]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Need in Uganda]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Memorial]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [broken bones]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Jean-Claude]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [neurosurgeon]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Zimbabwe]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Microvascular Surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [miracles]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [partnership]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [celebrate]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [dance]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [party]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [89.7 KSGN]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [help kids heal]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CUREkid]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Cyclone Freddy]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [first lady]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [flooding]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Viton]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Advocate]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Sherri Lynn]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Nunn]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Tim Nunn]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [growth rod]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [L'Chaim Prize]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [scoliosis]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [MAF]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Juba South Sudan]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [lifesaving]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Usratuna]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [pastor training]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [theology of disability]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Tim Mead]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [lifetime achievement]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [new children's ward]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Access to Essential Surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [spine surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [VBS]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [church partnership]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Mission Aviation Fellowship]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Beldine]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [CURE Kenya 25th anniversary]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [25 years]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [silver jubilee]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Scott and Sally Harrison]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Joseph Theuri]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [The River Radio Network]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [lemmy]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [dr. moyo]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [spiritual growth]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Comprehensive Cleft Care]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Meredith Workman]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [surgeon training]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Eli and Elisee]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Jodi Klein]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Appalachian Trail]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Peer to Peer Fundraising]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Praise Works]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [The Jesus Story]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Pan-African Academy of Christian Surgeons]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [surgical center]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [hospital expansion]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [The Rees-Jones Foundation]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [milestones]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Lubega]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Andrew Hodges]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Sarah Hodges]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Global Missions]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [children’s ward]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Cleft surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Dorothy Bbaale]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [first cleft surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [comprehensive cleft care center]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [10 years]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [mission]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Surgery For Kids]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [A Christmas to CURE]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Gift Catalog]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [needs]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [specialized surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [world-class surgeon]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Tesfaye Mulat]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [pediatric plastic and reconstructive surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [expanding care]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [life-saving care]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [neurosurgical]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Dr. Yohannis Nigusu]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. ## Hospitals - [Ethiopia]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Kenya]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Niger]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Uganda]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Zambia]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Zimbabwe]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Malawi]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Philippines]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. ## Product categories - [Uncategorized]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Sponsor a Surgery]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Deliver Medical Equipment and Supplies]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Support Recovery and Healing]() - CURE is committed to expanding surgical care for all—especially children with treatable disabilities—by training surgeons in the countries where we serve. - [Top Gifts]() - Give a gift that heals and transforms lives! From a hearty, healthy meal to an artificial limb, these popular gifts provide essential care and encouragement for children with treatable disabilities. - [Gift Bundles]() - When you bundle multiple surgeries, aftercare, or other vital services, you multiply your impact. Each bundled gift helps children not only heal but thrive—expanding both your impact and their potential. - [Medical Needs]() - The operating rooms at CURE hospitals are where life-transforming surgery happens and healing begins! Here’s a chance to provide the supplies and equipment to help us stay at the forefront of modern medicine and offer the highest-quality care possible. - [Sponsor a Surgery]() - NEW! Meet the Child You Sponsor: When you sponsor a surgery marked with this symbol, you won’t just know you made a difference, you’ll see it. You’ll receive a personal update with photos and details of the child whose surgery you made possible. - [Ministry Care]() - At CURE, children and families learn how deeply valued they are in God’s eyes. Our loving staff members listen to their stories, offer prayers, share the gospel, and speak words of hope.