Safe City Clinic, Oworoshoki, Lagos

In April, 398 community members received free healthcare at Safe City in Oworoshoki, Lagos, the clinic's busiest month of 2026 and a sharp rebound from 241 in March, when a staff change had slowed visits. The total since launch now stands at 7,895 patients, closing in on 8,000.

Two-thirds of April's patients (66%) were returning, the highest rate Safe City has seen this year, a sign the community has settled in with the new team. We welcomed 135 first-time visitors, and 119 of our patients were children under 18, brought in by parents who had nowhere else to turn for free care. 74% were women, most supporting families on around $9.22 (about £7) per person each month, well below the poverty line. The most common conditions we treated were upper respiratory infections (35%), muscle and body pain (30%), malaria (17%) and high blood pressure (13%). We spent $460 (about £360) on medications, supplies and clinic operations.

Mrs Yetunde came to see Safe City for herself after hearing about it from others, and shared what she found on video.

With the new team now firmly established, we expect to pass 8,000 patients next month.

In March, 241 community members received free healthcare at Safe City in Oworoshoki, Lagos, bringing the clinic's total since launch to 7,497 patients. Numbers dipped from February's 303 because Safe City recently went through a staff change. We think some patients are still adjusting to the new team, while ongoing home demolitions in Oworoshoki continued to displace residents through the month. Healthcare is built on trust, and trust takes time, especially when a familiar face changes.

Despite the dip, 62% of March's patients were returning, the highest returning rate of either of our two clinics this month, which suggests families who've come once keep coming back. Children under 18 made up 34% of visits, 80 kids whose parents had nowhere else to take them, and 73% of patients overall were women, most supporting families on around $7.81 per person per month, well below the global poverty line. One patient travelled 12.1 km from Mushin to reach us, nearly two hours each way. Malaria was the most common condition we treated (30%), followed by muscle and body pain (17%), upper respiratory infections (7%), and high blood pressure (3%). We spent about £296 (US$375) on medications, supplies, and operations.

Mrs Emini, a Safe City patient, shared her experience on video, describing what free care has meant to her.

We expect numbers to bounce back next month as the new team settles in and the community grows comfortable with them.

This month, we purchased and installed solar panels at Safe City, our clinic in Oworoshoki, Lagos. We contracted a local vendor and installer from the Oworoshoki community, which also provided a small economic benefit to the area.

In February, 303 community members received free healthcare at Safe City in Oworoshoki, Lagos, bringing the clinic's total since launch to over 7,250 patients and 681 treated in the first two months of 2026 alone.

Patient visits dipped slightly from January due to government-led home demolitions in Oworoshoki, which displaced residents and created instability in the area. Despite this, Safe City stayed fully operational and slightly exceeded its monthly target. Of the 303 patients, 35% were visiting for the first time and 65% were returning, a continued increase in repeat visits that shows how central the clinic has become for ongoing care.

The average monthly household income among patients was about 24,400 naira (roughly £13) for a family of four, which works out to about £3.30 per person per month. We spent about £303 (US$384) on medications and staff salaries.

Mrs Victoria, one of Safe City's oldest patients and a grandmother in Oworoshoki, shared her experience on video, describing how the clinic has changed her life.

With solar panels now installed and power issues resolved, the team is well placed to maintain this pace heading into Q2.

In January, 378 patients received free healthcare at Safe City, our clinic in Oworoshoki, Lagos, bringing the total since launch to 6,953. Patient visits picked up as residents returned to Lagos after the holiday season, following a quieter December.

Of the 378 patients, 40% were visiting for the first time and 60% were returning. New patients continue to hear about the clinic through word of mouth from their neighbours. The average monthly household income among patients was about 21,700 naira (roughly £12) for a family of four, which works out to about £3 per person per month. We spent about £375 (US$474) on salaries and medications.

On the infrastructure side, we have finalised plans with local engineers to install a small solar generator at the clinic. The community helped raise funds alongside Kwanda's contribution, and the vendor will install the system within the next few weeks, which will help keep the clinic running smoothly as patient numbers continue to grow.

In December, as is common during the Christmas season, many Oworoshoki residents travelled from Lagos to their hometowns, leaving the area quieter than usual. Even in the calm, Safe City remained open for those who needed care, and over 300 sick community members came in for support. This brings Safe City’s total impact to 6,575 people since launch.

This month, 31% of patients were new and 69% were returning, showing how deeply Safe City is loved and how firmly it has become part of daily life in Oworoshoki. The average monthly income of patients in December was just N11,067 ($8), highlighting the continued importance of accessible, life-saving care for our community.

Activities:

• Provided primary health care services to over 300 community members throughout December

• Treated conditions including malaria, respiratory infections, and minor injuries

• Recorded patient data showing 31% new and 69% returning patients, with average monthly income of ₦11,067

• Recruited and onboarded Nurse Jennifer through a competitive selection process with over 40 candidates

• Completed AHA approach training and induction at other clinics for the new nurse

In the coming months, we will continue delivering consistent, affordable care while supporting Nurse Jennifer to fully settle into her role and further strengthen service delivery at the clinic.

In just one year, Safe City has helped 6,268 people, around 2,000 more than our original target.

On 30 November 2024, Safe City opened its doors to the Oworoshoki community, offering free healthcare to people who were suffering and earning so little, they couldn’t afford care. Since then, we’ve welcomed patients of all ages, from one-year-olds to 89-year-olds. We’ve supported mothers and fathers with multiple children earning just $20/month or less, and thousands of children who made up over 30% of patients each month.

In November alone, we treated 595 people. Of these, 30% were new patients, 95% had no insurance, and visitors came from eight different communities. One patient travelled over 23km, almost an hour in Lagos traffic, to reach us. Even after a full year, Safe City continues to reach new neighbours, near and far, showing just how urgent the need for care remains.

After opening in the last week of September, Care Circle had its first full month of operations in October and helped 226 patients, with patients earning just an average of $9/month. This means that in the month of October alone, Kwanda helped to deliver free health care to almost 700 people (692 total) across Care Circle in Itire Surulere and Safe City in Oworoshoki, Nigeria.

Patients of all ages flocked in - with 4 one year olds being our youngest and an 88-year old Grandma the oldest. Out of the 226 patients helped in Care Circle, 14 patients were repeat patients from September!! It is so exciting as patients are now beginning to recognise that Care Circle is here to stay as their new health home in their community and coming back as repeat patients for follow-ups and spreading word to their neighbours.

Patients like Mrs Oge are also enjoying the new care! In Care Circle’s post-visit survey, 96% of patients rated the services received as “excellent”, and the remaining 4% as good!

Patients are spreading so rapidly to other communities near and far! Of particular note, a mom came in with her 3 kids to Care Circle (ages 4-6) from Ikotun, a community 20km away (this is about a 2 hr commute!!) to receive care from Care Circle. She stated “we hope this comes to our community soon.” Mrs Oge travelled 2 hours to visit Care Circles because no other means for affordable care was close to her and her kids in their home area.

Patients like Mrs Oge are also enjoying the new care! In Care Circle’s post-visit survey, 96% of patients rated the services received as “excellent”, and the remaining 4% as good!

As Safe City approaches its one-year anniversary, the free healthcare clinic in Oworoshoki, Nigeria has now reached a total of 5,673 people since inception. With 466 people helped in October alone, Safe City continues to exceed the initial monthly impact target of 300-400 patients.

40% of patients seen in October (187 people) were new patients who had never visited the clinic before. This demonstrates that even as Safe City matures in the community, new families continue to discover and access its services.

Hear from Mrs Emako, a returning patient that shares her experience at Safe City:

Distribution by illness

In October, Safe City's nurses treated:

• 32% Malaria cases — slightly higher than previous months

• 22% Upper respiratory tract infections — predominantly in children and one of the leading causes of death in the country

• 16% Hypertension management — most common in older patients

• 30% Other conditions including diabetes, anorexia, wound dressings, and ear infections

The average monthly household income of patients in October was N14,801 ($10/month) for a 4-person household. With an average of 2 children per household, the adjusted monthly income per person is approximately $3/month. Around 90% of patients seen this month were uninsured.

These numbers continue to highlight Safe City's impact in reaching people with severely limited financial and physical access to healthcare.

Patient demographics

• 44% Children under 18 (higher than previous months)

• 27% Children under 10

• Oldest patient: 88-year-old grandmother treated for diarrhea and weakness

• Youngest patients: Five 1-year-olds with respiratory infections and malaria

• 64% Female

• 36% Male (a slight increase from ~30% in previous months)

While 95% of patients live in the Oworoshoki community, Safe City welcomed patients from three other nearby communities lacking affordable healthcare: Bariga, Sawmill (5km away — the farthest distance traveled), and Gbagada.

Financial overview

$448 was spent from the Kwanda budget on staff salaries, medications and supplies.

This month, Safe City recycled 4lbs of plastic and generated N46,000 in income from 4 months of recycled plastic through its partnership with Wecyclers. This income was reinvested into clinic operations, allowing the clinic to spend approximately $30 less from the Kwanda budget this month.

Looking ahead

Safe City is on track to celebrate its one-year anniversary at the end of November. In just 11 months, the clinic has become a vital healthcare resource for thousands of Nigerians in Oworoshoki — providing care to moms rushing in before closing time, grandmothers seeking treatment, and countless children who would otherwise miss school due to treatable illnesses.

Through early intervention and preventive care, Safe City is reducing deaths from malaria and other treatable diseases, while properly managing chronic conditions like diabetes and hypertension that would otherwise go undiagnosed.

This month, Safe City treated its 5,000th patient, specifically treating 439 patients from 7 communities in September alone! On average, each patient who walked through Safe City’s doors in September survives on just $5/month in income, showing that Safe City continues to impact patients who really have no other option for healthcare due to immense poverty in Oworoshoki. This month, one patient travelled over 12 km via a 1hr bus ride to access Safe City’s free healthcare!

As kids return to school in September, Safe City saw a slight drop in the percentage of kids who walked into the clinic compared to August. Still, this month, Safe City treated 162 kids below age 18, significantly impacting the demographic most vulnerable to deaths from simple illnesses like malaria if not treated early. This month, patients presented with a wider array of illnesses, including Urinary tract infections, eye infections, and ulcers, with only 29% presenting with malaria compared to last month 38%. Safe City continues to serve as a life raft for Oworoshoki.

• In the last 4 weeks, Safe city treated 439 patients! Here’s the impact by distribution:

Distribution by illness:

• 29% had malaria

• 15% had respiratory illnesses

• 18% came for hypertension management

• 38% presented with other illnesses: UTIs, eye infections, peptic ulcers, diabetes, and more

Distribution by income:

• The average monthly household income for September patients was N32,600 ($23/month)

• Adults reported an average of two dependents, meaning most families survive on about $5/person/month—well below Nigeria’s poverty line

Distribution by age:

• The largest group was children under 18 (162 total), with 108 of them under age 10

• Middle-aged adults (ages 36–50) were the next largest group

Distribution by gender:

• 72% of patients identified as female, a 2% increase from August

Distribution by location:

• 96% of patients were from Oworoshoki

• Patients also came from seven nearby communities: Gbagada, Bariga, Ikeja, Ojota, Sawmill, and Ketu

• One patient from Ikeja took a 1-hour bus ride and walked 20 minutes to reach us!

I came in late when Safe City was almost closing for the day. If I had gone to a government hospital far away from home, they would have turned me away and asked me to come back

But at Safe City, she was helped instantly at no cost by Nurse B and Nurse Chioma. Amarachi came with her little baby, and they were helped instantly!

Challenges:

• Our walls were starting to stain from high foot traffic, but community volunteers cleaned them and they now look as good as new!

• Power outages have been frequent due to the rainy season. While our community partners cover utilities, we’re currently fundraising for a solar power unit. So far, we’ve raised N120,000 from donations and another N35,000 this quarter from recycling, just about $500 short of our N900,000 goal.

In the meantime, the clinic continues to function normally. Our WiFi is backed up by a mini UPS, and we plan to add another to prevent EMR disruptions during outages.

Financials: ~$450 was spent on salaries and medications to care for the 439 people who visited Safe City in September.

This August, Safe City treated its highest number of patients yet—786 in a single month—bringing the total number of people reached with free primary healthcare to 4,768 in just nine months. Over half of this month’s visits were returning patients, while 44% were new, showing that even as the clinic matures, word continues to spread among neighbours in Oworoshoki.

Safe City continues to serve those who would otherwise go without care: 97% of patients were uninsured and living on an average monthly income of $29 while supporting a household of four. While this figure is slightly higher than in previous months, it remains far below the poverty line. The clinic has become a true medical home and safe haven for mothers, children, and fathers alike, people whose lives have been improved or even saved thanks to your support through Kwanda. On behalf of our Oworoshoki friends, thank you for the real, tangible change you’ve made possible.

Developments:

• In August, 786 people received care, bringing the total number of patients treated from 3,982 to 4,768.

• Patients also recycled approximately 3 pounds of waste this month. The clinic will receive funds generated from the past four months of recycling through WeCyclers by the end of September.

Activities:This month, Safe City's medical team treated:

• 193 malaria patients, many of them children under 10 at high risk of severe illness or death

• 94 hypertensive patients

• 134 respiratory infections

• Over 300 patients with other illnesses, including rashes, insomnia, and peptic ulcers

Hear from Mrs Kehinde, one of Safe City’s patients, this month:

Challenges:Young adults aged 19–25 remain underrepresented among clinic visitors. We suspect this is due to work hours conflicting with the clinic’s weekday schedule (Monday–Friday, 8 am–4 pm). We’re exploring possible solutions, including telemedicine, and would welcome any thought partnership on identifying and addressing the root cause.

Financials:

About 54% of Safe City’s six-month budget has helped provide free care to 2,044 patients.

This month, we’re excited to highlight the story of Mrs. Emako and her son, who recently shared their experience at Oworoshoki Clinic. In their video testimony, they speak about the impact the clinic has had on their lives and how the care they’ve received has helped them feel healthier and more hopeful.

We’re thrilled to share that the Oworoshoki clinic has now provided care to 3,982 people since launch! This means we’re close to reaching our annual target of 4,000 patients in just eight months, showing the incredible need for healthcare in and around Oworoshoki.

In July alone, 716 patients walked through the clinic’s doors, the highest monthly number yet, to receive free, high-quality care.

A particularly significant milestone this month was the diagnosis of the clinic’s first two HIV patients in Oworoshoki, made possible by our introduction of rapid HIV test kits. Without this intervention, these individuals could have gone months or even years without knowing their status, risking progression to AIDS or unknowingly transmitting the virus. This is exactly why the Oworoshoki clinic exists.

Our medical team referred these patients, along with others in need of specialized care, to tertiary institutions for further treatment and continues to follow up with them. Through our partnership with Health Emergency Initiative, referred patients can have bills covered up to N20,000. In this case, because of their HIV diagnosis, their ongoing treatment at government institutions is fully covered.

Finances:

~$535 total used in July on the following:

• $250: Staff salaries

• $285: Medications, supplies and maintenance (slightly above monthly average budget due to higher patient turnout)

June was a huge month. We officially crossed the 3,000-patient mark! In just this month, we treated 542 people with completely free, high-quality primary care. Since launching in November 2024, we’ve now reached 3,266 lives, and the need keeps growing.

98% of our patients had no insurance, and the average household income was only ₦29,114 (~$19/month), showing the real gap we’re helping to close.

June Highlights:

• Patients came from 8 different communities, including one who traveled 23 km from Ajah (about an hour away). Word about the clinic is clearly spreading.

• Our sustainability program kept going strong. We recycled 3 lbs of plastic waste.

The clinic is delivering high-impact, respectful care to some of Nigeria’s most underserved communities.

I’ve attached the June report.