While waiting for appointments at my gynecologist’s office, I used to enjoy looking at the doctor’s bulletin board, covered with pictures of babies that she had delivered. At some point, due to privacy concerns, she took down the display. Dignity:Liberia’s bulletin board is Facebook. We receive permission from our patients before posting pictures of them and their newborn babies.
 
I recently received pictures of three babies born in April. Two were delivered at Hope House. The third patient was transferred to a local hospital for delivery by C-section. Kulah Tokpah was grateful to Dignity:Liberia whose intervention resulted in her delivering a healthy baby girl. She appreciated the excellent, professional care she received from our nurse-midwives. After examining her, they determined she was at risk for complications if she delivered naturally. She told nurse-midwife Patricia Kollie Kpalo, R.N. that she wanted to name the baby after one of the people who had made all this possible. Patricia asked me if Kulah could name her baby after me. I got tears in my eyes. What an honor. I told her yes!
 
Board members and the staff that work at our compound in Todee are the face of Dignity:Liberia, but there is a foundation of support, without which we could not function. There are churches whose leadership and congregations made it their mission to help prevent obstetric fistula in Liberia. There are foundation boards that voted to support our funding requests. There are countless volunteers in Liberia and the United States, who have donated their time and talents to fistula survivors, as well as to the women who come to Hope House for prenatal care and delivery. There are Traditional Tribal Midwives who decided to work with our medical staff in the care of the women and girls from their villages. There are individuals who have supported us financially. This is only a partial list of all the support we have received.
 
Last week, people around the world celebrated Mother’s Day. From Mother’s Day 2025 to Mother’s Day 2026, 18 women gave birth at Hope House while 20 who had complications were transported to a hospital. Today we celebrate you for your part in giving so many women a happy Mother’s Day.

Two Questions:

1. Do you recall the content of the blog that featured this mother and baby?
2. Do remember something specific about this mother and baby?

 
The blog, Our Impact on Maternal Health in Liberia, highlighted the purpose of our ministry, which is to bring restoration and hope to women with fistula and their communities through healing, education, and prevention. It included quotes from Dignity:Liberia’s founder and president, Kathi Gutierrez, as well as from Becky Mueller, CNM who stated, “Our impact on maternal health in Liberia has begun, one woman and child at a time.” You may not remember all that. I write most of the blogs, and I certainly didn’t, so I looked it up on Dignity:Liberia’s  website. However, I did recall that this mother (Famatta) was the first to give birth at Hope House, and that her baby was born on Easter Sunday 2025.
 
A picture truly is worth a thousand words. So much is happening at Dignity:Liberia’s Todee compound right now: births at Hope House, meetings with TTMs (Traditional Tribal Midwives), construction of Dignity Clinic. There’s also outreach to the surrounding communities. In order to help you keep up with these goings on, we will soon begin posting on Instagram (handle: @DignityLiberia). This will allow you to get updates shortly after they happen.
 
Stay tuned!  We will advise you on Facebook once we launch our Instagram account.

One year in elementary school, we made big envelopes from construction paper, decorated them, and put our names on them in preparation for the Valentine cards our classmates would give us. Most of the cards were store-bought, but some were handmade. I enjoyed seeing the different greetings I had received.
 
Many Americans spend about $252 on Valentine’s Day, though adults between the ages of 35 and 44 often spend over $300!  According to the National Retail Federation, that includes candy, flowers, greeting cards, an evening out, and jewelry. This past Saturday was about romantic love.  
 
According to an article that appeared in Psychology Today*, the Greeks had 7 types of love including philia (the kind friends have for each other), storge (familial love), and agape love (a love that is similar to modern altruism). Agape love includes selflessness, sacrifice, and unconditional care for others.
 
Dignity:Liberia’s supporters demonstrate love with each donation they make. The medical team at Hope House cares deeply for the welfare of pregnant women and teenage girls, working tirelessly to educate them and encourage them to get prenatal care and give birth in a clinical  setting. Yes, they are paid, but their dedication to the efforts to provide safe deliveries and to eliminate fistula goes beyond a paycheck. Certainly Dignity Advocates and others who travel to Liberia sacrifice time, money, and comfort (airlines don’t allow a lot of leg room and Liberia’s heat and humidity can be a bit draining). On both sides of the Atlantic, we care for each other as brothers and sisters.
 
I end phone calls with some of my friends and family by saying, “Love you!”  I will also end this month’s blog by saying to each of you, “Love you!”
  
 
 
 
 
 
*Neel Burton, M.A., M.D., (2025, November 16), Did the Greeks Really Have 7 or 8 Words for Love?, Psychology Today

On one of my trips to Liberia, I purchased an abstract wooden figure. The salesman told me it represented the tough decision a man had to make during the Ebola pandemic, as to whether he should stay in Liberia or leave. This piece appealed to me, as it symbolizes any hard decision I need to make, especially those that I wrestle with in prayer. I placed it in the area I have set aside for my morning devotions. I often glance at it when struggling with tough choices.
 
Not all decisions are difficult, of course, but trusting someone with our health care is a big deal. In the villages visited by Dignity:Liberia’s nurse-midwives, the village chiefs’ decision to welcome their outreach goes a long way toward acceptance by the communities. The traditional tribal midwives’ decision to work with us is a tough one, as it may impact their livelihood. When pregnant women and girls decide, along with their families, to avail themselves of our services, they are trusting someone different with their health care. After examining expectant mothers, nurse-midwives Patricia Kollie Kpalo and William S. Tamba, Jr. decide whether the babies can be safely delivered at Hope House or whether they will need advanced care in a hospital setting.  
 
As we board members receive reports from Liberia, we make decisions based on our various areas of expertise – particularly about the running of Hope House and on issues related to the ongoing construction of Dignity Clinic. We need to make the right decisions, so fistula repair surgery and C-Sections can be safely performed at our clinic once it is operational.
 
You, our supporters, also decide whether to support us or send your donations elsewhere. We know you have a choice when it comes to your charitable donations, and we thank you for deciding to be a part of the solution to preventing obstetric fistula in Liberia.

I am reading, an Advent devotion book* that features a different animal each day. The book describes the measures the animal takes to survive the harshness of a freezing winter landscape, bare of the plants or other animals that provide it food, living in darkness before the hope of spring.
 
At Hope House, the nurse midwives have treated and counseled teens pregnant with their first child, as well as women who are pregnant for the third or fourth time, yet who remain childless. The care they receive gives them hope that this time, things will be different.
 
Through our blog, we have introduced you to many women and girls who have lived in darkness, suffering physically, mentally, and spiritually as the result of an obstetric fistula. Yet each hopes that with fistula repair surgery, the leaking can be stopped so she can resume a normal life. Currently under construction, Dignity Clinic will respond to that hope.
 
At Christmas we celebrate the gift of a promise fulfilled. Hopelessness is changed to hope with the arrival of a tiny infant. December 25. Whether you celebrate the birth of the Christ child or the arrival of Santa (or perhaps a mix of both), may you always have hope. Merry Christmas!
 
 
* All Creation Waits by Gayle Boss, © 2016

Both Liberians and Americans celebrate Thanksgiving in November. It is a national holiday in both nations (the 1st Thursday of the month in Liberia and the 4th Thursday of the month in the United States). Dignity:Liberia has been showered with an abundance of blessings this year, and for that we give thanks.
 
A few months after Hope House began accepting patients, Dignity:Liberia began Phase II of its building project: the construction of a dedicated fistula clinic. From the start, we have received substantial support from Lakeland Community Church in Lee’s Summit, Missouri. This year, Friends of Liberia and The Butterfield Foundation provided additional funding through grants that are restricted to the clinic’s construction.
 
Just last month, another dream of ours came true: we were able to purchase an ambulance! Since Hope House began accepting patients in January 2025, those needing care in a hospital setting were transported in a 4Runner which had been outfitted to serve as an emergency vehicle. This left us short a vehicle for use by board members and dignity advocates to complete other work while in Liberia. In a recent sermon, First United Methodist Church Brenham’s pastor, Mike Lindstrom, invited the congregation to donate money toward an ambulance. The church members’ generosity not only covered the entire purchase but also provided additional funds that are being used for the construction of Dignity Clinic!
 
While the incoming resources are a cause for celebration, a huge blessing this year has been the impact our presence is having on maternal health in Liberia. Much of that is due to the dedicated clinic staff at Hope House, who have seen 98 patients since January!
 
Five babies were delivered at the home, while six other patients were transferred to a nearby hospital for delivery. In one of the pregnancies, the baby was positioned in such a way that it would not have been able to pass through the birth canal during natural childbirth. Another expectant mother had been told she was carrying twins, but actually was carrying a baby that weighed over 10-lbs. We are thankful that these women were able to deliver by C-section and avoid suffering an obstetric fistula injury.
 
Our nurse midwives have visited 42 towns for community outreach. They have forged a working relationship with the Traditional Tribal Midwives (TTMs), hosting them at our compound for sessions of education and information exchange.
 
We continue to enjoy the support of volunteers (both in Liberia and the US), who donate hours of their time and talent to preventing fistula. Since our incorporation, each of your generous monetary gifts has supported our efforts to end obstetric fistula in Liberia. You can meet some of our supporters on our website.
 
Every time a woman gives birth by a delivery that does not cause obstetric fistula, there is cause to rejoice. We are blessed. We are thankful. Happy Thanksgiving!

During her recent trip to Liberia, Dignity Advocate Jenneh Clark met with Korto Kollie, who works as a nurse aide at Hope House, and asked her to share a bit about herself so our readers could get to know her.
 
Korto Kollie is a registered nurse who speaks both English and Kpelle. She likes taking care of mothers and babies and said, “that is what Hope House is all about.”  Korto’s goal is to continue working at Dignity:Liberia’s Hope House, as the job allows her to support herself and her family.
 
Korto lives on her own in Todee in Goyah Town. She has five brothers and two sisters. She also has a daughter and a granddaughter.
 
She said she loves taking care of patients and their surroundings. This is evident to those who see her at work, and we are glad she is part of the team at the Todee compound!

A few years ago, I had a number of doctor visits, lab tests, and even surgery in the course of a few months. I joked that I was supporting the local medical community. I’m not joking when I say that we could use your support for our medical team.
 
We recently introduced you to our nurse midwives and plan to interview nurse aide Korto Kollie for a future blog. In addition to being onsite at Hope House 24/7, our nurse midwives travel to nearby villages, where they become familiar faces in the communities while building relationships with the Traditional Tribal Midwives (TTMs). As we shared in last month’s blog, they educate the communities on the importance of prenatal care and advise pregnant teenagers and women, who live a distance from a health facility, to seek treatment at Hope House.
 
Last month, a 17-year-old girl went to Hope House for care. The medical team assessed her condition and realized that she would be unable to deliver naturally. They took prompt action, arranging for the girl to be transported to C.H. Rennie Hospital where she was safely delivered of a baby boy. Had the teenager not been at our maternity home, she likely would have been in labor for days, under the care of a TTM, which could possibly have resulted in a stillborn baby and an obstetric fistula for the girl.
 
Your support over the years resulted in a functioning modern maternity waiting home providing life-saving care. Your continued donations are helping with the construction of a dedicated fistula clinic, where doctors will be able to perform C-Sections as well. Can you dig a little deeper and sponsor our medical staff?
 
A donation of $50 a month will help Dignity:Liberia to cover the expenses of a Nurse Midwife or Nurse Assistant to be onsite at Hope House. It is quite easy to set up a recurring gift by debit, credit, or your Pay Pal account by clicking on the Pay Pal link on our Donate page. Want to make a larger gift of stock? That can be done through Donate Stock button also found on the Donate page. You can mail a check to Dignity:Liberia / 2210 Randy Ct / Granbury, TX 76049. Whether or not you can sponsor our medical team, please continue praying for the work we are doing, and for the precious babies who have already been born at Hope House. Thank you.

17-year-old with newborn, delivered by Cesarean

Hope House was built in order to combat the problem of obstetric fistula in Liberia. Preventive measures involve both prenatal checkups and education. Since January, Dignity:Liberia’s nurse midwives, Patricia Kollie Kpalo and John Flomo, have traveled to 23 villages. At each stop they first meet with influential people, such as the town chief and elders, to inform them of Dignity:Liberia’s mission. They explain that the purpose of Hope House is to care for pregnant women at high risk in hard-to-reach communities, mainly to prevent fistula, and also to observe women for signs of complications. Following this introduction, they meet with members of the community. In all of the towns they have visited, the town chief, the elders, the traditional tribal midwife (TTM), and community health assistant (CHA) have played a vital role in their outreach to expectant mothers, encouraging them to be treated by our medical staff. They are helping us achieve our goal of preventing fistula in Liberia.
 
The meetings are more than just a plug for the home. They educate the TTMs on high-risk pregnancy, and how to identify potential complications in pregnancy. Dignity:Liberia’s nurse midwives encourage them to make a prompt referral to a health clinic should they see any cause for concern. TTMs are encouraged to take pregnant women to a nearby health facility for prenatal visits and safe delivery. Patricia and John discourage them from performing home deliveries, as this is often a cause of fistula in Liberia. They stress that any women with a history of fistula, postpartum hemorrhage, high blood pressure, or who have had a C-section, should have outpatient checkups at Hope House, and be treated as inpatients shortly before their due date. Additionally, they advise pregnant teenagers and pregnant women who live a distance from a health facility, to seek treatment at Hope House.
 
The community outreach is building relationships between Dignity:Liberia and the villages. Patricia and John are working with the traditional tribal midwives as partners. The format of the meetings varies from village to village. At a recent meeting, following opening songs and prayers led by two TTMs, there was a moment of silence in memory of Goyah Town's TTM, who passed away in June. In other meetings the class was interactive, with most of the tribal birth attendants sharing their experiences and giving examples of various danger signs seen in pregnancy.
 
One question that comes up in the meetings is why women have to leave Dignity:Liberia’s compound and be transferred to a different facility to give birth. The answer is, Hope House is not a clinic. We have delivered 5 babies at the waiting home and transferred two other expectant mothers to a hospital where they delivered by cesarean. However, we have begun work on Dignity Clinic! With your continued help, a transfer won’t be necessary; we will be able to take the women to our clinic to give birth!  Your support also helps us in our community outreach where we are building relationships. Thank you.