In Masanga, a rural region in Sierra Leone, efforts have been underway for years to go beyond just medical care: strengthening local knowledge and skills. In 2025, an intensive training program took place for the fourth consecutive year, training local healthcare professionals in trauma care. With the support of ZGToverZee and partners such as Capacare and Global Surgery Amsterdam, another important step was taken towards sustainable improvement of surgical care. ZGToverZee report Masanga 2025

Practical training with direct impact

During the first week of training, local clinical officers received a targeted trauma course. The second week saw the Basics of Open Fracture Course, specifically for Sierra Leonean physicians. The goal was clear: to transfer knowledge that is directly applicable in daily situations where resources are limited but medical needs are often high.

A total of 27 clinicians were trained in the basic principles of trauma surgery. This year, three national surgical specialists were also involved as faculty, which further anchored local expertise. This combination of international collaboration and local involvement makes the program strong: knowledge remains available even after the trainers have left. ZGToverZee report Masanga 2025

Not just training, but also treatment

In addition to the training, there was active participation in the operating room. During the training weeks, the team supported local healthcare providers in the surgical treatment of eleven patients with complex fractures. This not only provided immediate care but also offered a unique learning environment where theory and practice converged.

With support from ZGToverZee and the Hartstra Foundation, a trained trauma nurse was also deployed for postoperative care. This postoperative follow-up is essential in an environment where specialized care is not readily available. Good aftercare reduces complications and increases the chance of full recovery. ZGToverZee report Masanga 2025

From individual care to structural improvement

A key goal for the coming years is to further professionalize trauma care in Masanga. Therefore, the plan is to launch the Masanga Trauma Registry in 2026. This registration system will systematically track patients with complex fractures. Treatment plans will be developed in collaboration with external experts, followed by a one-year follow-up.

This will generate valuable data on trauma care in a low-resource setting. By systematically recording what works—and what could be improved—more and more knowledge is being generated that not only helps Masanga, but also other hospitals in similar circumstances. ZGToverZee report Masanga 2025

Collaboration as key

What makes this mission special is the way in which knowledge sharing is central. It’s not about temporary assistance, but about empowerment: training local healthcare professionals so they can independently provide high-quality care. The involvement of international partners, local specialists, and supporting foundations demonstrates how collaboration across borders can improve lives.

Gratitude and the future

The progress made in Masanga is partly made possible by financial and practical support from the Netherlands. Thanks to this contribution, training sessions can continue, materials can be purchased, and local staff can receive further training. On behalf of the local healthcare team and the patients, a clear message of gratitude resonates.

The ambition is clear: step by step, building a healthcare system that is sustainable, independent, and future-proof. And every training session, every operation, and every collaboration brings that future a little closer.