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Decisions, Decisions

1/20/2026

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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.

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Kathy Beth Stavinoha

Kathy Beth graduated from high school in Monrovia, Liberia in 1977. She retired from St. Edward’s University in 2022 after 21+ years of service. She lives in Brenham, TX with her husband and cat.

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