These hand powered carts allow disabled people to get around. We use them for polio patients, amputees, undiagnosed neurologic disorders, but mostly for TB patients.

Here, transport to TB clinic for treatment is a family affair. This Mom with spinal TB was finally able to sit up but could not yet get the hang of using her arms. Her young son is proud to “drive” his mom around town, including a daily trip to the clinic for her directly observed medication. In the background is the base of the water tower! The tower supplies water for the TB patients so they can drink their tablets under the watchful eyes of the staff, and runs through pipes to get to the shower, the latrines, the hospital and for washing the solar panels!

This young girl above arrived with fevers we could not figure out. She had pus in the deep compartments surrounding her femur – pyomyositis. Syringing out the pus helped, but she continued to fever despite good antibiotics. Then we treated her for TB. Her fevers left, her smile returned and she is going around again with a walker!

This litle one had hydrocephalus. She talks, and laughs but has not walked for more than a year. She was scooting around on the ground, but now with her new walker, she can use her arms to steady herself on her partially paralyzed legs. They come from far.

Neurosurgery is not an option in South Sudan. Even if she got a shunt what would happen if it blocked? She and mom are grateful that she is back on her feet. Scooting around on rough ground, or in floodwater is hard!