Increase the number of children receiving a life-changing surgery
Improve the safety whilst reducing the cost per child whilst supporting a sustainable health network
Build trust between donors, medical teams, and community based / hospital health workers so single successes repeat and scale
Step 1 — Identify Child via community outreach
Step 2 — Confirm Diagnosis
Step 3 — Source Funding
Step 4 — Deliver Surgery Locally
Step 5 — Verify Publicly (Proof of Care) – via 2/3 video system
Step 6 — Follow-Up / Review Quality
Millions of children in underserved regions lack access to safe, timely surgery, leading to preventable disability and death. Conditions routinely treatable elsewhere become life-threatening due to cost, distance, and limited care. Expanding surgical access and strengthening local health systems can deliver life-changing outcomes for children and families worldwide.
Source: Lancet Commission on Global Surgery 2030 Dr John Meara Harvard University - Professor Andrew Leather of King’s College London
Addressing this gap can begin with the provision of an individual surgery, centred on the needs of the child, supported by clear communication (also permissions) with the family, alignment with the local health network, and funding from donors to cover costs.
It requires a simple, coordinated approach between the child and family, community outreach, medical providers (surgeons, rehab nurses and hospitals), and donors – one that can be efficiently initiated, verified, and repeated, thereby strengthening outcomes for the child, the community health system, and the donor experience.
The Program already:
• Improves health systems by partnering with hospitals and healthcare providers to increase surgical capacity and access to safe, timely procedures
• Builds health employment pathways by supporting the development of local healthcare roles, including clinical and non-clinical positions, strengthening community-based health delivery
• Trains, upskills and educates local surgeons and healthcare workers through collaboration with experienced international medical professionals, fostering knowledge transfer and raising standards of care
Through these programs, skilled surgeons and medical teams have been engaged from both local and international contexts, creating an exchange of expertise that strengthens local capability while delivering immediate, life-changing outcomes for children.
Quality surgical intervention has benefits that not only save lives but also significantly improve a child’s ability to participate in education, social life, and future economic opportunities.
It also improves the economic stability of families. As children recover, family members are freed from full-time caregiving responsibilities and can return to productive economic activities, including work and agriculture. At scale, this contributes to stronger communities and broader economic development.
The model also supports the economic viability of emerging health systems by creating sustainable employment opportunities – for example, providing income for community outreach workers, nurses, and supporting the retention of local surgeons who might otherwise leave.
By combining direct service delivery with long-term capacity building, the program • creates sustainable improvements in child health outcomes • employment and education for individual health workers and • contributes to stronger, more resilient healthcare systems.
Model is individual child surgical outcome via community health worker connected directly to donor/funder connected directly to doctor in a transparent, verifiable, public process that completes, reviews, scales.
Currently 3 Videos, WhatsApp Groups, Google Sheets, Bank Transfers, Receipts = 1500 surgeries
Aiming to be WhatsApp Group, 3 Videos, Proof of Care Blockchain & Stable Coin = millions all over Africa
There’s a conversation I find myself in more often than people might expect when talking about overseas giving.
“Isn’t there corruption?” Yes. “Does the money get there?” Not always. “Shouldn’t we fix home first?” Fair point.
I agree with all of it. I’ve seen the waste, the lies, the inefficiency — up close, some of it with my money and not all of it was in my country Australia, some of it was overseas. These aren’t abstract concerns.
The question isn’t whether the risks are real — they are. It’s what we do with that reality.
Like businesses, some charities are a money pit, and for some, a dollar targeted into the right place will make a huge difference, have a magnificent multiplier effect of innovation, excitement and goodness.
For me, it’s never been about proving that giving is 100% perfectly efficient or universally successful.
Today all our life expectancies are double what they were two hundred years ago. That didn’t happen by not doing, as the previous millennia proves. Around the time of the industrial revolution, people acted via imperfect systems with uncertain outcomes. They acted anyway and stuff worked.
Well, it worked for me, how about you? I think I’d rather 84 years of relative happiness than 30 years of toothache, hunger and maybe syphilis.
So here’s my question back: not doing avoids many negatives, but how does not doing get anything done?
Front of mind is foreign aid waste – thats the new headlines. Countries are pulling back. I get the argument closer to home.
The Western world has its own challenges. The United States, for example, spends more on healthcare than any country in the world — lots more — yet 60 countries outperform the US on life expectancy. So yes, work to do, but is it more money? In Australia we spend 250 times more per person on healthcare than in Tanzania so is your money closer to home a game changer…we are 5 years of life expectancy better off than the US and in the Top 10. Maybe. I don’t know.
Have you travelled much — not the hotels in the middle of rich cities, I mean really travelled?
Here’s what it seems to me: someone born into the poorest conditions, given your income, wants almost exactly what you want. Their life would look remarkably familiar with the same $ as you: a safe home, a proper bed, a clean toilet, good food, music they enjoy, even the same brands and comforts. Coke, anyone? We are far more alike than we are different.
The gap now isn’t really chromosomes or hormones or brain cells – at the most basic levels of existence, it’s money.
Until you have enough food and water, security, education and basic healthcare its money… you need more money.
More money for you and me is largely circumstance, that is when you are born. Luck.
I’ve been lucky.
I also want to keep making my own luck for me and my family. Maybe you don’t agree, but I’ve found that building happiness comes more from sharing than hoarding. Money is a great thing — love it — but it has its limitations as American healthcare shows, as it also is in my hands, beyond the basics.
So using the extra $, in our family’s case about a tenth to a quarter of our income, to be involved beyond our immediate circle, has done more than help others. It has helped me. I’ve learned a lot. It has helped my family, my children. Our perspective, mental health, and our resilience in and to the world — all have improved through our involvement in directly helping others overseas.
But its overwhelming?
Problems of children in war or the sheer numbers? Overwhelming….. yes sometimes…. like life is sometimes. But I find comfort in the now and the personal — helping one individual, I can see, feeling that connection. And like our ancestors, I can’t get it all done in my lifetime, but I can help pay it forward. That’s how I don’t feel overwhelmed…I become just part of human life…… a wonderful thing.
So Why give overseas?
I do what I do because it feels good, and I don’t think there’s a higher reason. I’ve checked all the religious texts, the philosphers theories and the podcasters self helping highlight. I do it because it feels food…. for me……personally. That’s what I think. That’s the why for me.
When I choose to help a child receive surgery, pay part of a health worker’s wage, or give a dollar toward equipment for a developing hospital, I do it with clear eyes. I try to make it count through proof-of-care verification, so I don’t ignore the flaws, I don’t like waste but I understand them as part of the landscape.
A landscape that worked 250 years ago, and one that works now. Sub-Saharan Africa. Life expectancy. Doubled in my lifetime. Thirty to sixty. Vaccines. Education. Donations. It’s all working. As child deaths lower so do family sizes and education and wealth increases, fewer deaths from wars, less poverty. The world continues to be a better place year on year and I’m happy to be part of it.
A child helped today contributes tomorrow – to their family, their community and eventually to mine and yours. Not every time. Not perfectly in a straight line. But often enough for many to keep doing it.
If this resonates with you, that’s great.
If it doesn’t, that’s okay too.
It’s your journey mate.
All I am doing is saying the why for me.
It feels right. It feels good.
Scaling works only if outcomes improve, costs reduce, and the human connection strengthens. Our model grows by replicating one clear unit: a child, a surgery, and a fully transparent care loop linking donor, doctor, and community worker.
Proven in Tanzania, we now scale through simple, verifiable systems—3 videos, WhatsApp groups, open tracking, and financial clarity—evolving to blockchain-based Proof of Care and stablecoin funding. Every step remains visible, accountable, and human. Growth does not dilute connection—it deepens it, enabling millions of children to receive life-changing surgery with integrity intact.
MoreChildSurgeries operates in complex, real-world environments where outcomes cannot always be perfect. Children may not survive surgery, funds may be misused, and miscommunication can occur. This is the nature of healthcare and aid at scale.
Our focus is not perfection—it is performance through persistence.
Perfection implies no mistakes; in reality, no mistakes occur only when nothing is done.
We manage risk through transparency, verification, and continuous improvement. Proof of Care and ratings provide visibility across every case—enabling early detection, open review, and direct action.
The system is built to:
By transparency – meaning all can see and be complimentary or critical
Success is measured not by avoiding mistakes, but by reducing them over time—while continuing to deliver life-changing outcomes for more children, with improving results, trust and efficiency.
We are evolving from a successful Tanzanian initiative into a scalable platform for child surgery access – designed to multiply impact without multiplying cost.
Start
Then
Later
Goal:
Proof of Care Ratings are central to protecting integrity and enabling trust at scale. Each child is verified through a simple two/three-video process—need, surgery, outcome—creating clear visibility of child between donor, doctor, and community. A consistent ratings system drives performance across partners. Together, they form a transparent, self-improving model—where outcomes are proven, building trust and allowing impact to scale.
For further detail on the system and its evolution, including the integration of blockchain smart contracts and artificial intelligence to support verification, transparency, and scale, refer to proofofcare.org
Over time, these tools are intended to enhance the Proof of Care framework by enabling automated trust, real-time validation of outcomes, and a more efficient, globally scalable impact system.
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.
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
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
If you’re curious and want to get started, one way to understand it is to go and see it.
Parts of Africa are very accessible, Tanzania, for example. Safari, the Serengeti, something extraordinary. And while you’re there, you might visit a hospital, a school, a village. Just observe. Just take it in.
And the emotional payoff of a visit shouldn’t be underestimated. There is nothing quite like seeing a child you know by name – a child you first met in pain, too sick for school, uncertain future – now running around, back in class, wearing what seems like a permanent enormous smile. That image stays with you forever. It’s what drives you in the harder moments, when the complexity feels heavy and something easier is tempting. The power of seeing is real.
But that can feel like a big step.
So I wouldn’t start there.
I’d start simply.
Join a WhatsApp group. We’ve got plenty. Your privacy is respected. Stay for as long as you want and drop off anytime or do as I do full on, pause leave for others and then return when I can and want to.
Real-time communication channels connecting outreach workers in the field, doctors in the hospital, rehab nurses, and donors. Day to day you see the conversations, the receipts, videos before and after surgery, diagnosis checklists, parent permissions. The actual work, unfiltered. You just watch. You learn. You get a feel for it. It’s better than Netflix!
Over time, you might ask a question. Offer a thought. Maybe help a little. Like any aid, some you may miss the mark — no probs, we were all newbies one time – but with persistence and an open mind, your involvement will begin to have a positive multiplier effect on the children and on your own family and most importantly on you.
Money $
It’s not just about money. Money matters, of course, it’s a real driver – but so does perspective. A simple idea, a different way of looking at something, maybe a bit differently, can be genuinely useful.
And over time, if you stay around, you start to know the people. The health workers. The doctors. Their families. Their motivations. You begin to feel of real value – because….. you are of real value.
That’s what’s kept me involved. Connection to real humans and what they’re doing.
For me it’s become three things: helping more children get surgery and better outcomes; supporting the people on the ground who help them; and being part of something slowly becoming more sustainable.
Right now some are out of a mud hut – and the fact it exists at all is a wonderment to me. But the goal is a modest, modern Level 1/2 hospital: not extravagant, but properly funded, properly staffed, and secure enough that its future is a yearly budgetary discussion rather than a daily existential one. A facility wide enough to treat basic ailments (a trained doctor, we have 33 times more doctors in Australia) before they become life-threatening, connected enough to refer what’s beyond their scope up the medical chain, and focused enough on education and prevention that fewer children need to come through the door in the first place.
I’ve seen real improvement, even in just the last five years. My family is a very small part of it – but things overall are moving forward, and that feels good for everyone involved.
That’s how I started. Just watching. Then slowly getting involved.
If you’d like to do the same, I’m happy to point you in the right direction. Details below, or reach out to Lightness and Batro directly – the Chairperson and CEO of Child Surgeries Tanzania, a substantial NGO who can help you understand the work and connect you across many different parts of the child surgery process. A donation is welcome – but honestly, I wouldn’t start there. Build your knowledge first, get a feel for it, and then, like us, hop on for the ride.
Batro Ngilangwa (CEO CST)
+255 745 347 411 [email protected]
KISANGANI STREET, MWILAMVYA,
KASULU TOWN COUNCIL, KIGOMA REGION.
Colleen and Mal – Brighton Rotary
0408 107 988 [email protected]
47 Warleigh Grove Brighton Victoria 3186