In 2022 Marian was found via an African NGO outreach program. She had a tumour growing inside her.

A donor from Australia, a surgeon from Africa and aftercare nearby was selected.

Today Marian is growing into a beautiful young lady, she lives with her father near Dodoma. Tanzania.

Her surgery, follow-up, and recovery in 2022, cost less than a family weekend here. She’s now a healthy young girl, living near Dodoma, Sub-Sahara.

 

I met her and her father this year in 2025. Every mile of the journey to see her was worth it.

You don’t need to solve everything. Just help one child. That ripple touches families, schools, hospitals. It lifts communities.

Your gift multiplies itself!

  1. The child gets to live. To be part of the village. Go to school.
  2. The mother (or father, or relative) who once stayed home can now work – eg earn income for family.
  3. The sibling who was also a carer can go to school.
  4. The village becomes more productive.
  5. Over time, whole communities shift. I have seen it!
  6. Money spent on surgery also strengthens hospitals:
  7. Strengthens kitchens, nurses, doctors who stay local – building a better health system – less charity – less foreign aid is needed.
  8. Young surgeons like Dr Kimaro who rise, train others, and choose to remain.

Your kindness multiplies.

When One Child Heals, Everything Changes. Most of the conditions treated are fixable: like a broken arm from playing,  cleft palates, bowlegs, untreated heart conditions. Over here, they’re routine. Over there, they’re life-threatening – eg cancer is sometimes solved with amputation, tonsils with removal as no other way eg steady supply of non fake antibiotics. Fixing one changes everything.

This is Rahman. He had a simple surgery paid for - it changed his life.

This is Lobikieki. He was dying. No options. Surgery. 5 years on alive.

2023 Lobikieki's follow up

2025 catch up in Arusha

2025 to school first time

Donation Page is this

Receipt on email is this

Total Donations

Current Surgeries + Waiting List
0

We fund via % of our income every month – low-cost, high-impact, safe, local, family-permissioned, life-changing surgeries when no other satisfactory option for the child, is available to the family, due to poverty.

Trained surgeons. No one religion, no politics. No further intervention after this one magic life-changing moment.

Given to Sub Sahara Child Surgeries to Jan 2026
$ 0

1. Work is referred between business

2. Instead of fee, sponsor surgeries

3. Client sign up and work done

4.  Paid and %$ go to child surgeries

5. %$ sits in morechildsurgeries a/c

6. Child found who needs surgery

 

Total Children To Date
0

7. Child video to morechildsurgeries

8. Agree to fund child surgery

9. Child to Diagnosis – Video

10. Child to Surgery fix – Checklist

11. Child to Village – Aftercare video

12. We Verify & Pay Medicals

How do you know what the needs is?

I have this stat in real life 7 times.

It is estimated that 93% of people in Sub-Saharan Africa do not have access to safe, affordable surgical and anaesthesia care when needed. It is also estimated that 45-50% of the total population falls in the paediatric age range and 85% are expected to require a surgical intervention by age 15. Access to surgical care is limited by many factors such as transportation, hospital infrastructure, limited surgical supplies, affordability, and Inadequate number of surgical workforces in the region.

How do you know your money is well spent Mal?

  1. Well its my money too
  2. From a review point of view – we feel comfortable that the medical competency is there with 59 of the 70 children reviewed being good on our seventh trip this year in 2025.

 

How do we assess when not medically qualified?

When reviewing all children we would much prefer them to be reviewed by a doctor – but due to the tyranny of distance, time and money that has not been happening. So we follow a 3 step test

  1. How does his or her general health appear.

  2. Looking at the specific problem of the child (we have the before videos, you can see them on YouTube) does it on the whole seem to be been solved

  3. What does Mum and Dad think. They are asked in Swahili and pushed a little to see if they have any issues.

Its not perfect but a lot better than not helping.

Selian Hospital Tanzania

Lightness Mboya (Chairwomen CST)

[email protected]

Selian Ngaramtoni Arusha Tanzania 

Child Surgeries Tanzania

Batro Ngilangwa  (CEO CST)

+255 745 347 411   [email protected]

KISANGANI STREET, MWILAMVYA,
KASULU TOWN COUNCIL, KIGOMA REGION.

Melbourne Australia

Mal James James Buy Sell

0408 107 988   [email protected]

47 Warleigh Grove Brighton Victoria 3186