Sub-Saharan Africa has an especially urgent need to strengthen surgical care systems. Surgery has long been a neglected component of health care for people on the African continent, and equitable integration of surgical and anaesthetic care remains the key challenge to strengthening health systems and achieving universal health coverage in Africa. If we get this right, we can greatly reduce the rate of mortality and morbidity from surgically preventable and treatable conditions on the continent.

In a rural town in southern Senegal lives 5-year-old Awa, surrounded by her loving family. She has always been close with them – especially with her Uncle Woury. Since the moment Awa was born with a cleft lip, her uncle’s greatest wish was that she would someday find healing.

For more than three years, Hounsigbo lived in total darkness, cataracts clouding her vision in both eyes. Before, Hounsigbo had been busily working in her village in Togo, going every day to the forest to cut trees and weave mats out of their branches, selling them to earn a living. But now, the 70-year-old spent her nights and days in a small room in one of her children’s homes, her eyes watering constantly. If she wanted to eat something, she waited until her grandchildren brought it. If she needed to use the washroom, her grandchildren led her there. She was completely dependent on her family to survive.