Aftercare

Multidisciplinary care coordination is vital to improving
the wellness outcome for SBH children

Creating possibilities, changing lives

In Ethiopia, care after surgery is scattered and scarce. Many families must travel great distances to reach medical care, which makes necessary follow up visits unrealistic.

To ease this barrier to aftercare, ReachAnother is helping build multidisciplinary specialized teams to improve the wellness outcome for children living with spina bifida and hydrocephalus.

We are committed to

Raising aftercare standards to prevent future health problems

Providing critical information to parents before and after surgery

Giving hope by raising awareness and addressing sensitive cultural norms

Care After Surgery

At each Center of Excellence partner hospital across Ethiopia, these teams of specially trained professionals will provide coordinated, cost-effective, multi-specialty care with the goal of bridging the gap of available aftercare services and make every attempt to give children impacted by neural tube defects a chance to live happy, healthy lives.

Training Course for SBH Care Teams

Aftercare means the care that patients receive after surgery and discharge from the hospital. To provide this care a very specialized team of caregivers is needed. To develop this expertise Reachanother has, at the request of the Ministry of Health, developed a training curriculum for Pediatric Neurosurgery Nursing Certification. This training course is set to begin being implemented during the second half of 2020.

Continence Management

Bladder and kidney problems pose life-threatening problems for Spina Bifida patients, even after a successful surgery. This can lead to bladder infection, severe kidney damage and death.

CIC provides a critical solution. But while it appears simple, nothing is simple in Ethiopia. It requires hygiene and medication and supplies and a degree of skill that is hard to teach those who need this. Our partner, Child Help International, provided the first workshop on CIC training. And now, our Centers of Excellence partner hospitals are providing doctors and nurses from around the country with professional standards, proper methods, treatments and techniques around CIC that their patients need for long term survival.

Our partners, Child Help and HOPE SBH, train nurses in continence management techniques for parents and children.
Efrata 11 years from The ReachAnother Foundation on Vimeo.

Training Physical Therapy Students

The physical therapist is an important partner in health care and fitness for anyone diagnosed with spina bifida. Physical therapists help children and adults with spina bifida gain and maintain mobility and function at their best throughout all stages of life.

We partner with Dr. Anneloes Overvelde who is a Dutch pediatric physical therapist and researcher at Radboud University in Nijmegen (NL). She is also a lecturer at Gondar University, in Ethiopia, where she coordinates the Masters Degree “Train the Trainer” program in pediatric rehabilitation. As part of a program, sponsored by Light for the World and ReachAnother, she travels twice a year to Gondar (one of our Centers of Excellence hospitals), where she trains Ethiopian physical therapy graduate students in pediatric rehabilitation.

Helping Parents Care for their Child

Aftercare starts with teaching mothers the knowledge and skills needed to provide optimal care for their baby. Currently, this is a huge challenge in Ethiopia, where phone communications and internet frequently are interrupted and unreliable.

We partner with HOPE SBH, an Ethiopian organization started in 2017 and dedicated to educating parents and improving care for children born with neural tube defects. HOPE SBH works with the Centers of Excellence to distribute informational brochures, provide parent support and train the parents and nurses in clean intermittent catheterization.

Training Course for SBH Care Teams

Aftercare means the care that patients receive after surgery and discharge from the hospital. To provide this care a very specialized team of caregivers is needed. To develop this expertise Reachanother has, at the request of the Ministry of Health, developed a training curriculum for Pediatric Neurosurgery Nursing Certification. This training course is set to begin being implemented during the second half of 2020.

Continence Management


Bladder and kidney problems pose life-threatening problems for Spina Bifida patients, even after a successful surgery. This can lead to bladder infection, severe kidney damage and death.

CIC provides a critical solution. But while it appears simple, nothing is simple in Ethiopia. It requires hygiene and medication and supplies and a degree of skill that is hard to teach those who need this. Our partner, Child Help International, provided the first workshop on CIC training. And now, our Centers of Excellence partner hospitals are providing doctors and nurses from around the country with professional standards, proper methods, treatments and techniques around CIC that their patients need for long term survival.

Our partners, Child Help and HOPE SBH, train nurses in continence management techniques for parents and children.
Efrata 11 years from The ReachAnother Foundation on Vimeo.

Training Physical Therapy Students


The physical therapist is an important partner in health care and fitness for anyone diagnosed with spina bifida. Physical therapists help children and adults with spina bifida gain and maintain mobility, and function at their best throughout all stages of life.

We partner with Dr. Anneloes Overvelde who is a Dutch pediatric physical therapist and researcher at Radboud University in Nijmegen (NL). She is also a lecturer at Gondar University, in Ethiopia, where she coordinates the Masters Degree “Train the Trainer” program in pediatric rehabilitation. As part of a program, sponsored by Light for the World and ReachAnother, she travels twice a year to Gondar [one of our Centers of Excellence hospitals] where she trains Ethiopian physical therapy graduate students in pediatric rehabilitation.

Helping Parents Care for their Child


Aftercare starts with teaching mothers the knowledge and skills needed to provide optimal care for their baby. Currently, this is a huge challenge in Ethiopia, where phone communications and internet frequently are interrupted and unreliable.

We partner with HOPE SBH, an Ethiopian organization started in 2017 and dedicated to educating parents and improving care for children born with neural tube defects.HOPE SBH works with the Centers of Excellence to distribute informational brochures, provide parent support and train the parents and nurses in clean intermittent catheterization.

Efrata – 11 years old

A Cry Never Heard – Hope SBH

“The neurosurgeons in Ethiopia are under a lot of pressure, but with limited resources and great determination they save a lot of newborns from certain death. After the neurosurgeon has done his job, the physical therapist starts his work. If all goes well there is no reason that one day these children can’t become the neurosurgeons, runners or soccer players of the future.”
Dedde de Vries

Physical Therapist, Netherlands

What are spina bifida and hydrocephalus?

Spina bifida and hydrocephalus are neural tube defects (NTDs), which are birth defects that affect a baby’s spine, spinal cord, or brain.

Normally, a fetus’ neural tube develops into their brain, spinal cord, and spinal column, but if a mother does not have sufficient folic acid in her diet during pregnancy the neural tube does not fully form or close completely.

Spina bifida, “open back,” occurs when the spine has failed to close properly during the first month of pregnancy. Surgery is needed to close the defect immediately after birth to prevent infection and preserve the existing function in the spinal nerves. Approximately 90% of babies born with spina bifida are also impacted by hydrocephalus, “water on the brain.”

Babies born with hydrocephalus suffer a fluid build up in their brain, which causes an enlarged head and, if untreated, will cause brain damage and death. Treatment of hydrocephalus consists of implanting a shunt to drain the excess fluid. When treated in a timely fashion, the overwhelming majority of these babies can go on to lead healthy lives.

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“It was incredible to be able to volunteer in the hospital as a medical student and watch as the life of a child with hydrocephalus was forever changed. But it also gave me the chance to realize that giving a life to one child also means helping that child's mother, father, family and loved ones. It provides the community with hope to know that someone cares and is willing to help.”

Lacey Menkin MD

Orlando, Florida Medical Student

We are committed to

Expanding pediatric neurosurgery capacity to save more lives

Expanding pediatric neurosurgery capacity to save more lives

Expanding pediatric neurosurgery capacity to save more lives

John Moseley, PHD

Board Member

John received his BS, MS and PhD degrees in Physics from Georgia Institute of Technology, and has received multiple awards for his research there, at SRI, and at UO. He is a Fellow of the American Physical Society and the AAAs, is listed in Who's Who in Frontier Science and Technology, in America, and in the World. He has participated at the National and International level in numerous scientific and educational committees and activities. At the local level, he has participated in a number of research, economic development, and arts related initiatives.

Dr. Moseley retired in 2006. He and his wife, Susan, live in Eugene, OR.
John has participated in visits to Ethiopia as a volunteer member of the ReachAnother Foundation team 2015 and 2017.

"My wife Susan and I first became interested in the work in Ethiopia through our friendship with Dick and Patricia. After attending a fund-raising dinner in Bend in 2012, my wife we hosted one in Eugene, and became increasingly involved, so when I was asked to join the Board in 2014 I was more than happy to do so. Participating with the team in Ethiopia in 2015 helped me to realize the effectiveness and potential of this effort, and I have appreciated the opportunity to help ever since."

We’re in it for the babies. For the families.
For Ethiopia. For the world.
We are dedicated to this work, our human family and to one another.
We are united to transform.
We are a catalyst for change.