Cancer care is largely unavailable in Sierra Leone. But at PIH-supported Koidu Government Hospital,  Margaret was an exceptional case—one who helped set in motion a slow, steady expansion of the hospital's oncology services.

One of the major developments following the earthquake on January 12, 2010, was PIH's decision to build University Hospital in Mirebalais, a hub for high-quality care and medical residency programs in the Central Plateau.