Treatment

Since 2009, ReachAnother has helped provide surgery to more than 6,000 babies

We are giving new hope for parents and doctors

Folic acid occurs naturally in some fruits and vegetables and is added through fortified flour to bread products in many countries, including the United States. In Ethiopia, few expectant mothers receive sufficient folic acid in their diet or have access to folic acid supplements before and during pregnancy. This results in 44,000+ pregnancies affected by spina bifida and hydrocephalus each year.

We are committed to

Expanding pediatric neurosurgery capacity to save more lives

Delivering technology for infant survival, aftercare and quality of life

Bringing medical equipment and training opportunities to our partners

Life-Saving Surgery

In 2011, in cooperation with neurosurgeons Drs. Hagos, Abat and Mersha, the first graduates from the Addis Ababa University’s neurosurgery training program, ReachAnother launched the Hydrocephalus Campaign. This innovative initiative made operating rooms available on weekends for surgery on these overlooked babies.

Today, ReachAnother’s mission has expanded to also include aftercare, capacity-building and prevention awareness through our Centers of Excellence in Pediatric Neurosurgery program. Saving the lives of babies born with neural tube defects through surgical intervention remains our primary focus.

Supplying diagnostic equipment for early detection

Ultrasound is a game changer in diagnosis and aftercare for babies with SBH. While this is a tool that we take for granted in the United States, until recently Ethiopia’s neurosurgeons had no access to this critical technology. Ultrasound dramatically reduces the time needed to diagnose hydrocephalus so that it can be caught early, and surgery can happen before permanent brain damage and other disabling symptoms occur. Prior to ultrasound, Ethiopian doctors relied on observing overt physical symptoms of the disease, such as head swelling, downward eye gaze, headaches and vomiting. In many cases this was too late.

In partnership with SonoSite Corporation, ReachAnother has begun providing portable ultrasound machines to pediatric neurosurgeons and their teams. Today, doctors can use ultrasound to look through the window of the fontanel right after a baby is born and catch hydrocephalus early. This technology also significantly improves aftercare by easily allowing early detection of bladder problems and post-surgery complications.

Delivering essential medical instruments

One continuing challenge facing the neurosurgeons in Ethiopia is access to medical equipment. We provide ”start-up kits” for many neurosurgeons as well as many other needed specialized medical tools for other specialties such as ENT, ophthalmology, GYN, orthopedics and general surgery.

Since 2009, we have donated and delivered over $1M in medical equipment to hospitals in Ethiopia.

Providing training opportunities to raise medical standards

ETV training – the alternative to shunt placement
We partner with CURE Neuro at its teaching hospital in Mbale, Uganda and fund the training of our Centers of Excellence lead neurosurgeons in ETV surgery. CURE Uganda is the birthplace of the endoscopic treatment of hydrocephalus and is recognized as a global leader in the minimally-invasive, shuntless treatment for hydrocephalus.

Educating a new generation of pediatric neurosurgeons

In 2009, we partnered with the new neurosurgeons of Addis Ababa University/Addis Ababa University Department of Neurosurgery to begin providing surgery for SBH infants in tandem with training neurosurgeons in pediatric neurosurgery. At the time, there was only one neurosurgeon for the whole country of 90 million people. 

Today, there are 40 trained neurosurgeons in Ethiopia. As these surgeons spread throughout Ethiopia they bring more neurosurgical care to all corners of the country, as well as new attitudes, knowledge, compassion and commitment that will enable all children with SBH to live long and productive lives.

Teaching nurses and PTs about NTD prevention, treatment and aftercare

Even with life-saving surgery, SBH (spina bifida and hydrocephalus) children need highly specialized care. One key component of our Center of Excellence program is training the medical staff in caring for these children.

We have worked with international partners to develop curriculums for physical therapists and nurses to learn about the causes of neural tube defects, treatment regimes, prevention awareness, preparation for details of surgery and instructions for parents on how to care for their children effectively.

Supplying diagnostic equipment for early detection

Ultrasound is a game changer in diagnosis and aftercare for babies with SBH. While this is a tool that we take for granted in the United States, until recently Ethiopia’s neurosurgeons had no access to this critical technology. Ultrasound dramatically reduces the time needed to diagnose hydrocephalus so that it can be caught early, and surgery can happen before permanent brain damage and other disabling symptoms occur. Prior to ultrasound, Ethiopian doctors relied on observing overt physical symptoms of the disease, such as head swelling, downward eye gaze, headaches and vomiting. In many cases this was too late.

In partnership with SonoSite Corporation, ReachAnother has begun providing portable ultrasound machines to pediatric neurosurgeons and their teams. Today, doctors can use ultrasound to look through the window of the fontanel right after a baby is born and catch hydrocephalus early. This technology also significantly improves aftercare by easily allowing early detection of bladder problems and post-surgery complications.

Delivering essential medical instruments


One continuing challenge facing the neurosurgeons in Ethiopia is access to medical equipment. We provide ”start-up kits” for many neurosurgeons as well as many other needed specialized medical tools for other specialties such as ENT, ophthalmology, GYN, orthopedics and general surgery.

Since 2009, we have donated and delivered over $1M in medical equipment to hospitals in Ethiopia.

Providing training opportunities to raise medical standards


ETV training – the alternative to shunt placement
We partner with CURE Neuro at its teaching hospital in Mbale, Uganda and fund the training of our Centers of Excellence lead neurosurgeons in ETV surgery. CURE Uganda is the birthplace of the endoscopic treatment of hydrocephalus and is recognized as a global leader in the minimally-invasive, shuntless treatment for hydrocephalus.

Educating a new generation of pediatric neurosurgeons


In 2009, we partnered with the new neurosurgeons of Addis Ababa University/Addis Ababa University Department of Neurosurgery to begin providing surgery for SBH infants in tandem with training neurosurgeons in pediatric neurosurgery. At the time, there was only one neurosurgeon for the whole country of 90 million people. 

Today, there are 40 trained neurosurgeons in Ethiopia. As these surgeons spread throughout Ethiopia they bring more neurosurgical care to all corners of the country, as well as new attitudes, knowledge, compassion and commitment that will enable all children with SBH to live long and productive lives.

Teaching nurses and PTs about NTD prevention, treatment and aftercare


Even with life-saving surgery, SBH (spina bifida and hydrocephalus) children need highly specialized care. One key component of our Center of Excellence program is training the medical staff in caring for these children.

We have worked with international partners to develop curriculums for physical therapists and nurses to learn about the causes of neural tube defects, treatment regimes, prevention awareness, preparation for details of surgery and instructions for parents on how to care for their children effectively.

“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

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.