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Dr Francis Manyinza, a senior clinician at the Migori County Referral Hospital in southwestern Kenya, wasn’t surprised when lifelong tobacco farmer Petalis Ouma sought medical care for his chronic cough and ever-worsening chest pains. 

Growing up in the fishing village of Chorkor in Ghana’s Greater Accra region, 46-year-old Mary* experienced regular bouts of malaria. “I remember the fever, the profuse sweating and chills that shook my entire body, and I never want to go through that again,” she says. 

Marlène Seck has brought her infant daughter to the Philippe Maguilene Senghor Health Centre in Yoff, Senegal, to be vaccinated against hepatitis B. The baby cries as she receives her jab, but the tears are worth it: having received her first dose at birth, this is her third dose of the life-saving vaccine.

In 2018, 60-year-old James Kimeu Mulei suffered a badly broken ankle that left him unable to walk after a violent attack. A few years previously, this story could well have ended with a permanent injury that restricted Mulei’s ability to work and live a full life. 

When a man in Temessadou M’Boket – a village in the densely forested southern Guinea region – died in early August 2021 after suffering fever, headache and haemorrhage, Fassara Diawara, the head of a local clinic, was quick to act. 

“Blood cannot be manufactured. It is only through donations that it reaches those in need,” says Dominique Linguedze, a voluntary blood donor in Brazzaville, the riverside capital of the Republic of the Congo. “To give my blood is to give a little of myself. It makes me feel like a heroine.”

“As a doctor, there are calls you can’t ignore. When there is a health emergency in your community, it is your responsibility to be part of the solution,” says Dr Emile Rwamasirabo, a urological surgeon who participated in Rwanda’s home-based care initiative for COVID-19.

Zione Chiwaula, who lives in southern Malawi’s hard-to-reach Neno district, has two children who suffer from sickle cell disease. “They spent most of their early years admitted in hospitals, as they would regularly present with severe symptoms that needed special care,” she says.