Between October 2015 and March 2017, with funding from UK Aid, CNTD supported over 9,200 hydrocele surgeries in 6 countries: Bangladesh, Burkina Faso, Ethiopia, Malawi, Mozambique and Nepal. 

In 2016, surveys were conducted in Malawi and Bangladesh to determine the impact of the surgery on the quality of life of the patients, assessing six main aspects: pain, mobility, daily activities, self-care, social issues and psychological health.  

John is a 29 year old farmer from Malawi and was suffering from scrotal swelling (hydrocele) caused by LF.  He is married with a family and could not afford the cost of the surgery. 

 John had trouble doing simple things like sitting or getting out of a chair and his condition also affected his ability to help with household activities and attend social and leisure activities such as visiting friends or attending church.

His condition caused him considerable pain and severely affected his ability to do his job, on average he would have to take up to seven days off work each month.  His wife Eliza and his eldest daughter would have to care for him when he had fever attacks and help him with aspects of daily living.  Eliza would also have to work on the farm alone when he was not able to and leave their home to take John to the hospital. 

He had severe concerns about his future because of his condition and the whole family’s livelihood was affected.

 Through the support of CNTD and UK Aid, John received the surgery he needed to remove the hydrocele.

Getting back to work

 Following his surgery, John no longer has problems with pain or mobility.  He can now look after himself and work as a farmer and has not needed to take any days off work since his operation.  He also reports that he now longer has any difficulty with daily living and his concerns about his future have gone. 

John says: “I have had no problems, no pain, everything is good”

Eliza also states that John is much better after his operation and says that “He is able to work and we are working together to help the home” 

His daughter says “I am happy because now my father is able to work and our livelihood has changed”