Health Services



the situation

The people of Dembayara live without even the most basic of medical services throughout the year. One doctor and one nurse midwife (shown above) work tirelessly for little or no pay assisting in the battle against malaria, upper respiratory infections, appendicitis, hernias, etc. The clinic has no electricity, no running water, very little equipment, limited beds and a nearly empty supply closet. 

There is much work for us to be done for this community, which serves dozens of other smaller surrounding villages on the outskirts of Kissidougou.



Dembayara is a remote village in the high desert region of Guinea West Africa. The only road in and out of the village is unpaved and littered with elephant sized pot holes.  Roughly 400 people live in the village, and its clinic tends to dozens of surrounding villages. They sustain themselves mainly on white rice and sauces, only consuming fish from the local pond once a year. As a result, digestion and malnutrition issues are commonplace. Medication for such issues, as well as for malaria and post-malaria illnesses, is expensive and only available in the closest city of Kissidougou.

There is no running water in Dembaraya. There are, however, two working wells that were build by UNICEF a number of years ago. Women are most often tasked with pumping and hauling water from the wells. Some women must walk hundreds of yards with extremely heavy buckets of water for their families. Men are also charged with heavy labor and lifting to support their families. As a result, hernias are rampant and regularly go untreated.  Surgery is nearly an impossibility for  the average villager because of cost and distance to the nearest operating hospital. 

Surgeon's visit to Dembayara - 2018

With funds from our generous donors, Dr. Sylla was able to travel to Dembayara for 5 days and performed 30 operations on fibromas, hernias, ovarian cysts and appendicitis, albeit in the most dire of conditions and with only local anesthetic. People from surrounding villages walked for days for the chance to see him. Dozens of consultations were performed and many villagers walked away with the precious medication they needed. I cannot impress upon you enough how grateful these people were for your donations, how far your donations stretched in such an economically modest community, and how much your continued support of the Guinea Exchange medical programs means to these beautiful Guinean people.