This picture shows Massanja in the middle. Cantwell and David paid him a visit last year.
So far Massanja has paid forward to two participants in his community who are living in extreme poverty to start up small businesses for self sustenance.
With his pharmacy kiosk he is operating, he has succeeded to reach a number of people who were sometimes helpless. For instance:
(i) Simple treatment their minor through 'spot diagnosis'
(ii) Referral of complicated detected patients.
(iii) Early detection of diseases which would result into complications.
(iv) To some extent, availability of drugs especially antibiotics and anti malarial as bacterial and malaria infections are the leading diseases
(v) Giving health education to patients living in poor areas.
However he has been facing a number of challenges in his services as follows:
(i) Most of people living in extreme poor condition do believe in witchcraft.
A child who is traditionally prevented from convulsive febrile illnesses. Black ropes/rings round the neck and hand can be seen. This is associated with witchcraft beliefs.
(ii) Lack of a laboratory to support my diagnoses.
An old weighing scale he is using which needs to be exchanged for a digital one.
(iv) Opening of a laboratory belonging to Roman Catholic church almost one kilometer from his pharmacy kiosk has led to more patients going to the clinic resulting in reduced sales.