Flagship Programme · Health

Free Surgical Outreach Programme

Restoring Health, Restoring Dignity, Saving Lives.

Background & The Challenge

When treatment is delayed, the whole household feels it

Access to timely and affordable surgical care remains a significant challenge for many families, particularly vulnerable and low-income households. Cigari builds on its established community network and commitment to improving the welfare of vulnerable populations through this humanitarian health intervention.

Conditions requiring surgical intervention can result in prolonged suffering, loss of productivity, financial hardship and, in some cases, preventable complications when treatment is delayed.

For some families, the cost of treatment can mean choosing between healthcare and other essential household needs. A targeted free surgical intervention therefore has the potential to relieve immediate medical suffering while protecting vulnerable households from catastrophic healthcare expenditure.

The programme will provide eligible beneficiaries with access to free surgical consultation, investigations, surgical procedures, medicines and appropriate post-operative follow-up, subject to clinical assessment and available resources.

  • The high cost of consultation, investigations and surgical procedures.
  • The inability of low-income households to afford hospital bills.
  • Loss of income and productivity resulting from untreated surgical conditions.
  • Limited access to specialist surgical services for vulnerable members of the community.
Proposed Intervention

A structured path from registration to recovery

Organised in Kumo through collaboration with qualified medical professionals, community leaders and relevant stakeholders, the intervention follows five clear steps.

Step A

Community Mobilization & Registration

Potential beneficiaries are identified through an open and transparent registration process involving community structures and health personnel, with priority to vulnerable residents who have genuine surgical needs and limited capacity to finance treatment.

Step B

Medical Screening & Consultation

Registered beneficiaries undergo clinical assessment by qualified healthcare professionals to determine their diagnosis, eligibility and suitability for surgery.

Step C

Investigations

Necessary laboratory investigations, imaging and other pre-operative assessments are undertaken according to the clinical requirements of each patient.

Step D

Surgical Procedures

Eligible patients receive appropriate surgical treatment at designated health facilities under the supervision of qualified medical and nursing personnel.

Step E

Medicines & Post-Operative Care

Beneficiaries receive necessary medicines and post-operative instructions, with appropriate follow-up to monitor recovery and identify complications early.

Priority Beneficiaries

Those with the least capacity to pay, first

The programme prioritises residents of Kumo and surrounding communities who have identified surgical conditions and limited financial capacity to access treatment. All beneficiaries are selected primarily on the basis of clinical need and vulnerability.

Widows & Vulnerable Women

Special consideration for women carrying household responsibilities without support.

Low-Income Families

Households for whom a hospital bill would displace other essential needs.

Elderly Persons

Older residents for whom delayed treatment carries particular risk.

Persons Living with Disabilities

Where clinically appropriate, as part of a fair and inclusive selection.

Conditions

Conditions addressed, subject to clinical assessment

Subject to clinical assessment, available expertise and facility capacity, the outreach may address conditions such as those below.

HerniaAppendicitisLymphoma

Subject to clinical assessment. Every case is assessed individually by qualified professionals, and treatment depends on the clinical judgement of the medical team, available expertise and facility capacity.

Implementation Strategy

Delivered in five phases

Phase I

Planning & Mobilization

  • Engagement of relevant stakeholders.
  • Identification of participating health facilities and medical personnel.
  • Community sensitization and beneficiary registration.
Phase II

Screening & Assessment

  • Clinical examination.
  • Diagnosis and surgical assessment.
  • Laboratory and other investigations.
  • Preparation of eligible patients for surgery.
Phase III

Surgical Intervention

  • Admission where required.
  • Surgical procedures by qualified personnel.
  • Provision of prescribed medicines and immediate post-operative care.
Phase IV

Follow-Up

  • Post-operative review.
  • Wound care where necessary.
  • Monitoring of recovery.
  • Referral of complications or cases requiring additional specialist management.
Phase V

Documentation & Reporting

  • Number of persons registered.
  • Number screened.
  • Number operated upon.
  • Types of procedures performed.
  • Outcomes and follow-up status.
  • Financial expenditure.
  • Lessons learned and recommendations.
Measurable Objectives & Targets

Targets that can be counted and reported

ObjectiveIndicator / Target
Community awareness and registration500+ potential beneficiaries
Medical / surgical screening300+ persons
Investigations and pre-operative assessmentAs clinically indicated
Surgical procedures100–150 eligible beneficiaries
Post-operative follow-up100% of operated patients
Referral of complex cases100% of cases requiring higher-level care

The final targets may be adjusted following preliminary screening, available surgical capacity and approved funding.

Quality Assurance & Accountability

Patient safety at the centre of every decision

The Foundation works with qualified healthcare professionals to ensure the following safeguards throughout the programme.

Proper clinical assessment

Assessment before surgery for every patient.

Informed consent

Appropriate consent obtained before any procedure.

Safe practices

Safe surgical and anaesthetic practices at all times.

Infection prevention

Infection prevention and control throughout care.

Documentation

Proper documentation of patients and procedures.

Post-operative monitoring

Appropriate monitoring after surgery to catch complications early.

Confidentiality

Patient information kept confidential at all times.

Transparent reporting

Transparent financial and programme reporting.

Independent monitoring

An independent or designated monitoring mechanism may be established to document beneficiaries and services provided.

Expected Outcomes

What a successful outreach changes

Provide timely surgical treatment to vulnerable residents.

Reduce suffering associated with untreated surgical conditions.

Reduce the financial burden of surgical care on households.

Restore beneficiaries to productive family and community life.

Reduce avoidable delays in accessing surgical services.

Strengthen community access to quality healthcare and generate reliable data on unmet surgical needs within the target communities.

“We are not asking you to fund a promise. Ultimately, a successful surgical intervention does more than treat a medical condition; it can restore a person's ability to work, care for a family and participate fully in community life.”
Cigari Healthcare and Empowerment Foundation

Help a patient receive surgery they could not otherwise afford.

Support the Free Surgical Outreach Programme, or partner with us to make timely, safe and dignified treatment possible for vulnerable residents of Kumo and surrounding communities.