Crowdfunding medicine via Facebook is a lifesaver for sick children in Sudan

“Our government doesn’t want [NGOs] here … there were so many, but they were driven out,” says Hathim Ahmed, one of many pharmacists working with Sharia’ al-Hawadith to provide medicines that most insurance won’t cover. None of the volunteers are paid.

The initiative does some preliminary means-testing by speaking to parents, and asks them to contribute between 10% and 50% for expensive medicines or to buy the cheap ones themselves. For those who can’t contribute, Sharia’ al-Hawadith bears the total cost.

“About 25% of the people I see can’t afford to pay for treatment or medicines,” says junior doctor Leben Khair, who has volunteered for Sharia’ al-Hawadith since discovering that most insurance policies only pay for up to 10% of medicines and that “even private insurance doesn’t cover the expensive ones”.

In Sudan, while NGOs have floundered, such online crowdsourcing models have prospered, allowing people to donate for medicines, books, blankets or food without going through an organisation that could be considered a political threat.

“We publish the daily needs in the Facebook page … and we write the medicines or the cheques we need to do today,” says Ibrahim Alsir Alsafi, a journalist, who – like most other volunteers – spends a day or an evening a week sitting at the tea stall the street.

Ayman Saeed, one of Sharia’ al-Hawadith founders, says not being an NGO has its advantages. “It gave us more room to move freely and expand as much as we can, and our [decentralised] management system … was a good strategy.” He says it gives people the chance to approach the concept in their own way.

More than 100,000 people follow the Facebook page where the prescription requests and the whereabouts of sick children are posted. With volunteers working in all of Sudan’s 18 states, and most children’s hospitals, people can give money personally or send it through people they know living locally. “Sudanese people – most of them from outside Sudan – help us by transferring lots of money. We don’t have a bank account but they transfer it to their relatives here and they come to give it to us by hand,” says Alsafi.

The initiative requires a level of trust between pharmacists and volunteers, who all keep accounts of what has been bought or given on credit per shift. Some people who donate, especially for chronic cases or for first-time donors and who want to see where their money’s going, meet the patients, and sometimes, like the volunteers, get to know their families quite well.

Some pharmacists in Khartoum say that per shift they can give away anything from 200 to 2,000 Sudanese pounds’ worth of medicine, but that they trust the initiative and know they will be paid.

“Sometimes people go to the pharmacy and they just pay our debts for the whole month,” he says.

The largest donation received was from a wealthy Khartoum woman who didn’t have cash so turned up with her gold jewellery. When the dealer found out the money was going to charity, he paid double for it.

People living abroad also respond to the regular calls for drugs that are not available in Sudan, or are extremely expensive imports, by sending them over. “Antibiotics, especially injectables, are very expensive, and cancer drugs per injectable dose can cost 900,000 Sudanese pounds. A course of 28 tablets can cost 1.5m,” says Ahmed.

Since running his own pharmacy in the hospital district, Ahmed, like many other pharmacists, has worked with different charitable funds and given away drugs to needy customers for years. He now extends credit to Sharia’ al-Hawadith to reach increasing numbers of poor people who have been hit by inflation and a falling currency, which puts medicines imported from Europe or the US even further out of reach.

“People are really getting poorer and poorer every day; things are getting worse, so we are trying to help,” he says.

 

Thomson Reuters Foundation