Our Biggest Project Yet: A One Year Update
2020-11-17 · announcement · John, Isata Dumbuya · 8:11 · watch on YouTube
Topic: Global development · mode: Advocacy & fundraising · tags: fundraising ask, heavy topic, guest or collab
A year after announcing the brothers' Partners In Health maternal health project in Kono, Sierra Leone, John reports that the Maternal Center of Excellence is still set to break ground in April 2021, that over $18.5 million (93% of the $20 million needed) has been raised, and asks for monthly and large donations to close the gap.
What is said
The parts of the video and what is said in each (★ — how much it matters to the video).
00:00:00 — Recap of the PIH Sierra Leone maternal health project announced a year ago
- ★★★ John recalls that a year ago they announced a project supporting PIH and Sierra Leone's government in radically reducing maternal mortality, raising $25 million over five years to strengthen Kono's health system. — 00:00:00 · Partners In Health, Sierra Leone, maternal death, Maternal Center of Excellence, Koidu Government Hospital
- ★★ The Maternal Center of Excellence will include a child health clinic, a neonatal intensive care unit, family planning clinics, labor and delivery and operating rooms. — 00:00:29 · Maternal Center of Excellence
00:00:58 — Recommending the documentary Bending the Arc; Sierra Leone's maternal mortality rate
- ★★ John recommends the Netflix documentary Bending the Arc, on how PIH proved that treating multidrug-resistant tuberculosis in poor countries was possible when the global health community thought it impossible. — 00:00:58 · global health, tuberculosis, Partners In Health
- ★★★ One out of every 20 women in Sierra Leone can expect to die in pregnancy or childbirth. — 00:00:58 · maternal death, Sierra Leone
00:01:27 — Most maternal deaths are preventable; a strengthening health system is already reducing them
- ★★★ Almost all of those deaths are preventable with a strong health system: women die every day for want of an emergency C-section, a blood transfusion or blood pressure medication. — 00:01:27 · maternal death
- ★★ As Sierra Leone's health system has strengthened in recent years, child and maternal mortality have dropped sharply, showing these deaths are not inevitable. — 00:01:27 · Sierra Leone, child mortality, maternal death
00:01:56 — Groundbreaking still set for April 2021; system strengthening already under way
- ★★ At the large, successful Wellbody clinic PIH runs, there has not been a single maternal death in years. — 00:01:56 · Partners In Health, maternal death
- ★★ The change is happening, but John and PIH believe a high-quality teaching hospital must accelerate it. — 00:01:56 · Partners In Health
- ★★★ Despite COVID, groundbreaking on the Maternal Center of Excellence is still planned for April 2021, the original date, a credit to PIH and Sierra Leone's government. — 00:01:56 · Maternal Center of Excellence, COVID-19 pandemic, Partners In Health, Sierra Leone
- ★★ Some system strengthening is already happening: more community outreach, training for nurses and midwives, and social support for pregnant women and new mothers. — 00:02:26
- ★★ John reports that Isata Dumbuya, the nurse leading Koidu Government Hospital's maternal and child health teams, told him the next big step for the community is the Maternal Center of Excellence. — 00:02:26 · Koidu Government Hospital, Maternal Center of Excellence
00:02:48 — Isata Dumbuya on the full new NICU space and why the MCOE cannot come soon enough
- ★★ Isata Dumbuya says results in the new space the babies moved to are already phenomenal after three months, but it was full yesterday, so the MCOE cannot come soon enough. — 00:02:48 · Maternal Center of Excellence
- ★★★ Isata Dumbuya says the MCOE will be a place where Sierra Leonean women know for the first time they deserve the same care, treatment and equipment as anyone else. — 00:02:48 · Sierra Leone, Maternal Center of Excellence
00:03:16 — MCOE design, capacity and teaching role; why $20 million is needed before breaking ground
- ★★ The MCOE design, made with hospital staff and the community, uses locally sourced materials, including stones cast off from the nearby diamond mine. — 00:03:16 · Maternal Center of Excellence
- ★ The mine has become a symbol of destruction and despair for many in Kono, but its stones can now become a symbol of hope. — 00:03:16
- ★★★ The MCOE will almost triple the region's maternal hospital beds, expects over 4,000 deliveries a year and a five-fold rise in family planning visits, and will greatly increase necessary C-sections. — 00:03:45 · Maternal Center of Excellence
- ★★ As a teaching hospital, the MCOE will train the next generation of Sierra Leonean health workers, from doctors and nurses to community health workers. — 00:04:14 · Sierra Leone
- ★★★ The project's five-year cost is $25 million, but $20 million must be raised before breaking ground, so the building is not left half built, unstaffed or unsupplied, a big problem in poor countries. — 00:04:14 · Partners In Health
00:04:43 — Fundraising progress (over $18.5 million, 93%) and donation asks
- ★★★ Too often people or institutions make big promises they fail to keep or short-term investments that are soon abandoned, which never strengthens the system. — 00:04:43
- ★★★ Thanks to thousands of monthly donors at pih.org/hankandjohn, matched by donors within Nerdfighteria, current rates will raise over $15 million over five years. — 00:04:43 · Nerdfighteria · also in: I Have the BEST News
- ★★ Another $3.5 million has come from large donors to PIH. — 00:05:13 · Partners In Health
- ★★★ Altogether over $18.5 million has been raised, which John calls the most amazing thing Nerdfighteria has done in 13 years. — 00:05:13 · Nerdfighteria
- ★★★ They have raised 93% of what is needed to break ground; $1.5 million remains to be raised. — 00:05:42
- ★★ John expected pandemic stresses to reduce donations, but they have risen every month, which he finds encouraging. — 00:05:42 · COVID-19 pandemic
- ★★★ John has seen how critical the need for better maternal and child health care in Kono is: an emergency that does not make headlines. — 00:06:11
- ★★ John asks people able to give about $5,000 or more to use a separate link in the description or email him at sparksflyup@gmail.com. — 00:06:11
00:06:40 — Sierra Leonean ownership, falling but still high maternal death, closing ask and sign-off
- ★★★ The MCOE, like the whole hospital, will be owned by Sierra Leoneans through their government, staffed almost entirely by Sierra Leonean health workers and largely funded by the government. — 00:06:40 · Maternal Center of Excellence, Koidu Government Hospital, Sierra Leone
- ★★ The heroes of this story are people like Isata, who sacrifice so much to help vulnerable women deliver safely. — 00:06:40
- ★★★ Not long ago the Sierra Leone figure was 1 in 17 women, so maternal death is declining and progress is real, just not fast enough. — 00:07:09 · maternal death, Sierra Leone
- ★★ Every health worker John met in Sierra Leone tells of knowing how to save a mother or child but being unable to, for lack of an ambulance, blood bank or safe operating room. — 00:07:09 · Sierra Leone
- ★★★ John asks viewers who can to join in donating at pih.org/hankandjohn. — 00:07:39
- ★★ John thanks those who cannot donate for their attention: it matters, because if the world paid attention to this crisis, more would be done to stop it. — 00:07:39
Threads in this video
- milestone · Maternal Center of Excellence: the brothers' Partners In Health project in Sierra Leone (2019) — A year after announcing the project, John reports that altogether over $18.5 million has been raised, 93% of what is needed to break ground. (00:05:13) → refers to Why We're Donating $6,500,000
- restate · Is it acceptable that how long people live depends on where they live? — Almost all of those deaths are preventable with a strong health system: women die every day for want of an emergency C-section, a blood transfusion or blood pressure medication. (00:01:27)
- restate · What makes charity or aid work well? — Too often people or institutions make big promises they fail to keep or short-term investments that are soon abandoned, which never strengthens the system. (00:04:43)
- result reported · John asks viewers to donate to Partners In Health at pih.org/hankandjohn (2019) — Thanks to thousands of monthly donors at pih.org/hankandjohn, matched by donors within Nerdfighteria, current rates will raise over $15 million over five years. (00:04:43)
- result reported · John asks would-be donors of $2,000 or more to join the PIH Sierra Leone matching team by email (2019) — Thanks to thousands of monthly donors at pih.org/hankandjohn, matched by donors within Nerdfighteria, current rates will raise over $15 million over five years. (00:04:43)
- reminder · John asks would-be donors of $2,000 or more to join the PIH Sierra Leone matching team by email (2019) — John asks people able to give about $5,000 or more to use a separate link in the description or email him at sparksflyup@gmail.com. (00:06:11)
- restate · Is human life getting better; is now the best time to be alive? — Not long ago the Sierra Leone figure was 1 in 17 women, so maternal death is declining and progress is real, just not fast enough. (00:07:09)
- reminder · John asks viewers to donate to Partners In Health at pih.org/hankandjohn (2019) — John asks viewers who can to join in donating at pih.org/hankandjohn. (00:07:39)
- thanks · John asks viewers to donate to Partners In Health at pih.org/hankandjohn (2019) — John thanks the thousands of viewers who are already monthly donors. (00:07:39)
- predicted · John: at current rates, matched monthly donations to the PIH Sierra Leone project will raise over $15 million over five years (2020) — John says that at current donation rates the matched monthly donations will raise over $15 million over five years (by 2025). (00:04:43)
- progress update · John (with Hank): follow the PIH Sierra Leone project for five years with video, photo and audio updates (2019) — John recalls that a year ago they announced a project supporting PIH and Sierra Leone's government in radically reducing maternal mortality, raising $25 million over five years to strengthen Kono's health system. (00:00:00)
- milestone · Partners In Health maternal health project in Liberia funded by DFTBA profit (2019) — John recalls that a year ago they announced a project supporting PIH and Sierra Leone's government in radically reducing maternal mortality, raising $25 million over five years to strengthen Kono's health system. (00:00:00)
- predicted · John: Partners In Health will break ground on the Maternal Center of Excellence in spring 2021 (2020) — Despite COVID, groundbreaking on the Maternal Center of Excellence is still planned for April 2021, the original date, a credit to PIH and Sierra Leone's government. (00:01:56)
- predicted · John: the Maternal Center of Excellence should dramatically accelerate progress in care at Koidu (2020) — The change is happening, but John and PIH believe a high-quality teaching hospital must accelerate it. (00:01:56)
- repeated · John: as a teaching hospital the Maternal Center of Excellence will train the next generation of Sierra Leonean health care workers (2019) — As a teaching hospital, the MCOE will train the next generation of Sierra Leonean health workers, from doctors and nurses to community health workers. (00:04:14)
- predicted · John: at current monthly donation rates, the PIH Sierra Leone project will raise over $15 million in five years (2020) — Thanks to thousands of monthly donors at pih.org/hankandjohn, matched by donors within Nerdfighteria, current rates will raise over $15 million over five years. (00:04:43)
Where the stories that moved here went next
- John asks would-be donors of $2,000 or more to join the PIH Sierra Leone matching team by email (2019) — reported back; last: result reported, 2025-05-13
- John asks viewers to donate to Partners In Health at pih.org/hankandjohn (2019) — reported back; last: thanks, 2026-08-28
- John: the Maternal Center of Excellence should dramatically accelerate progress in care at Koidu (2020) — came true
- John: Partners In Health will break ground on the Maternal Center of Excellence in spring 2021 (2020) — came true
- John: at current monthly donation rates, the PIH Sierra Leone project will raise over $15 million in five years (2020) — came true; last: recalled, 2025-10-31
- John: at current rates, matched monthly donations to the PIH Sierra Leone project will raise over $15 million over five years (2020) — partly came true
- John (with Hank): follow the PIH Sierra Leone project for five years with video, photo and audio updates (2019) — the project it belongs to reported its result; last: progress update, 2025-10-31
- Partners In Health maternal health project in Liberia funded by DFTBA profit (2019) — completed; last: looked back, 2026-02-24
Mentioned
Central: Maternal Center of Excellence · maternal death · Partners In Health · Sierra Leone
Also: People: Isata Dumbuya
Works: Bending the Arc
Organizations: Koidu Government Hospital · Netflix · Wellbody Clinic
Concepts: Caesarean section · child mortality · community health worker · global health · neonatal intensive care unit · tuberculosis
Places: Kono District
Events: COVID-19 pandemic
Only in the description or credits: Ministry of Health and Sanitation (Sierra Leone)
Replies to
- continues · Why We're Donating $6,500,000 — “Or at least that's what I said a year ago.”
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