As the year comes to a close, I find myself reflecting on just how much has changed in twelve short months. The work has been steady, often challenging, and always meaningful. When I look back on this past year at Senitizo, what stands out most are the milestones when plans became places - opening doors at new clinics and new patients receiving the high-quality health care they deserve.

This year, we began operations at our HIV and tuberculosis clinic in Bangui, expanding our programs for the first time into the capital city and responding to urgent health needs among the city’s most vulnerable populations. It is a space built not just for treatment, but for trust—where patients are known, followed, and supported over time.

In rural Lobaye just south of where our first primary health clinic has been operating for the past five years, we celebrated the opening of a new maternity ward, bringing safe delivery services closer to women who previously were forced to deliver at home. We have now tripled the number of women that are giving birth with skilled care, clean facilities, and the reassurance that they and their babies will be safe if emergency care is needed.

This year also marked the beginning of our extended vaccination outreach campaigns, which reach children who haven’t yet received any immunizations. Traveling to remote communities, including Aka encampments often missed by routine services, our teams began closing the gap for these “zero-dose” children. The campaigns now include the new life-saving malaria vaccine, which has already made an immediate impact on the ground.

These new projects were all built on the successes of our rural health programs we’ve been strengthening year by year. We’ve again treated over 10,000 patients, two-thirds of which are children, at our first rural primary health clinic. Mothers walked long distances with sick children on their backs and found not just healthcare, but dignity and compassion from the skilled hands waiting for them at our facilities.

I am deeply grateful to each of you who chose to stand with Senitizo this year. Your generosity—whether through a first-time gift, a monthly donation, a grant, or a word of encouragement—made our work possible. Here in the Central African Republic, where resources are scarce and challenges are constant, your support was a steady presence.

Your generosity is carrying us forward into 2026 as we prepare to continue expanding our maternal health services, strengthen vaccination outreach, and deepen the impact of our programs in both rural and urban settings. Thank you for believing in this work, for standing with our team, and for helping build a future where high-quality healthcare is not a privilege, but a promise. These new projects are ambitious, but they are grounded in what we know works: locally led, patient-centered, sustainable care.

With gratitude,

Ted Hooley, President and CEO