Like every mission to Sahakevo and Ampasinambo, this one came with its share of challenges. Due to strict weight limits on the MAF aircraft, we were unable to bring the full Mobile Medical Safari (MMS) team and equipment. For Sahakevo, this meant we could only offer medical consultations, surgery, and ultrasound services.
An ophthalmology team had been scheduled to join us, but unfortunately, Dr. Jacky suffered an injury in Majunga and was unable to travel.
Our arrival in Sahakevo was met with difficult weather conditions. The plane had to circle the landing area three times before safely touching down. Upon arrival, two urgent C-sections were already waiting for us—one performed at 7 p.m. after our evening meal, and the second in the early hours of the morning at 1:30 a.m. Thankfully, both procedures went smoothly, and we are happy to report that the mothers and babies are doing well.
During the mission, we identified two complex cases that we were unable to treat on-site due to their delicate nature. One was a two-month-old child suffering from hydrocephalus, requiring a ventriculoperitoneal shunt. The other was a young woman with a large tumour located near her elbow and behind her ear. As we were already managing a medevac for an 18-month-old boy from Belo (Lovasoa), we could not provide immediate transfer for these additional patients, though we are continuing to assess how best to support them.
Malaria remains one of the most pressing health concerns in Sahakevo. A significant number of those we consulted tested positive, and nearly 20 patients were admitted during the mission, many already in a severe condition. Alarmingly, the local hospital has run out of both malaria tests and treatment—an issue we’re urgently working to help address.
Despite these difficulties, the mission was a success. We’re especially grateful for the warm welcome and support we received from the new mayor of Sahakevo, who kindly invited our entire team to his office following the mission.
Statistics – Total 342
Medical consultation 242; Ultrasound 74; Surgery: major 23, minor 3;
