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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. 

“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.

“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.”

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.

As much-needed COVID-19 vaccinations reach vulnerable groups at a camp for internally displaced persons in Mozambique’s Niassa Province, local health worker Celio Marcelino is responsible for inputting their data into the country’s digital records system. 

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.