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Hope & HealthAkot South Sudan

Dedicated to bringing life-saving medical care to those in desperate need

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What We Do

In 2005, at the urging of a missionary, a group of concerned U.S. citizens raised funds and built a medical facility in the remote village of Akot, South Sudan. In a few short years, the facility was abandoned by the U.S. nonprofit to whom it had been entrusted. During the ensuing years of neglect, the facility fell into disrepair and disuse. The absence of a functional medical facility resulted in many preventable deaths, mostly in children from malaria.

The U.S. nonprofit, Hope and Health Akot South Sudan (HHASS), in cooperation with the South Sudan Lake State Ministry of Health, was formed to support the revitalization of the medical mission facility.

Recently, UNICEF has contributed to the maintenance of thirty-one local staff.  In addition to supporting salaries, UNICEF drastically improved credentialing of the staff. Separately, the Health Ministry has recently provided periodic shipments of medicines.  Unfortunately, neither the medicinal allocation nor the staff salaries are sufficient to the needs.  These needs require supplementation.

In 2025, an experienced American physician and a young South Sudanese medical doctor agreed to live and work at the facility.  With the addition of these doctors and through the efforts of HHASS, the facility has been transformed.  During peak periods, particularly during the malarial wet season, as many as 3,500 patient visits are provided each month.  During these peak times, the facility’s 40-bed in-patient ward overflows, forcing patients to sleep on the floor.

It is now feasible to build an operating room as soon as funding permits. This room will provide C-sections, appendectomies, and other common surgical procedures that are not currently possible.

HHASS is a U.S.-based 501(c)(3) nonprofit organization.  All contributions to HHASS are tax deductible.  HHASS provides facilities, supplies, and general support while employing trained local staff.  All organizational members in the U.S. are volunteers.

Jeffery Deal and Team
Kid and Mother with Doctor Akot South Sudan

Who We Are

HHASS currently employs 37 South Sudanese clinical and support staff.  Dr. China Kuot, a young physician who was born and raised in Akot, returned to his hometown in 2025 to serve as Medical Director.  Dr. Clarke MacIntosh, a seasoned, U.S.-trained, volunteer clinician with 16 years of experience in South Sudan, serves as Director of Clinical Services and Training.

The Board of Directors, Executive Director, and Director of Clinical Services and Training are unpaid volunteers.

Board of Directors

Jeffery Deal (Chairman)

Daven Acker (Vice Chairman)

Hart Deal (Secretary Treasurer)

Executive Director

Jeffery Deal (US)

Medical Director
Dr. China Kuot (Akot)

Director of Clinical Services
Dr. Clarke MacIntosh (Akot)

Facilities Administrator

John Poth (Akot)

General Counsel

Gordon Mayom

Where We Work

Akot is a small, relatively remote village located in the Lakes State of South Sudan. The HHASS medical mission facility is strategically located adjacent to an airstrip and a main road.  It is a four-hour drive from Akot to reach a facility of similar capabilities.

The population of Akot is unknown.  Due to an influx of refugees, the population has grown significantly in recent years.  Patients arrive from great distances.  The demand for services is expected to grow.

Most of the population are Dinka Agaar, with a mix of other ethnic groups including Nuer, Atuot, and Bor. The Christian churches appear to be thriving there, led mostly by Episcopalian, Catholic, and Baptist local clergy.

Akot South Sudan

Our History

In 2005, at the urging of a missionary, a group of concerned U.S. citizens raised funds and built a medical facility in the remote village of Akot, South Sudan. Though modest, no other facility of similar scope exists within a four-hour drive.

Thanks to the generosity of many donors, especially Guy and Betty Beatty, funds were raised to build a larger and better equipped facility.

Undeveloped land was set aside for the facility by Chief Dut of Akot.  A team of architects from Charleston, South Carolina, led by Glenn Keyes, donated their time to design the buildings.

A modern brickmaking machine employing a relatively new technology was purchased.  The machine manufactures bricks using soil from the site with a small amount of added cement. Under the direction of Daven Acker (U.S.) and Peter Njenga (Kenya), dozens of local laborers constructed the facility over an eleven-month period.

The facility, named the Akot Medical Mission, opened in 2006 with a celebration by local tribal and church leaders.  The facility was initially led by Dr. Jeffery Deal, an American surgeon, supplemented by numerous American volunteers.  The facility had an immediate impact, resulting in around 38,000 patient visits per year.

Following construction of the medical mission facility, the brickmaking machine was used to construct a non-denominational mixed Christian and community high school in nearby Atiaba, about four miles away.  The nonprofit, Hope and Resurrection Secondary School (https://www.hopeforhumanityinc.org), is a separately constituted organization.  It works collaboratively with HHASS to serve the needs of the people of central Lakes State.  Despite its desperately remote location, Hope and Resurrection enjoys a reputation as one of the finest secondary schools in South Sudan.  Its scholars score among the top of graduates nationally in college placement examinations.  Recent graduates include Dr. China Kuot, MD, the medical director of HHASS, and Awut Mayom Agok, the Minister of Education for Warrup State, South Sudan.

Despite the promising start, the medical facility was abandoned a few years later by the U.S. nonprofit organization to whom it was entrusted. In the following years of neglect, the facility fell into disrepair and disuse.  Tens of thousands of preventable deaths occurred in the next seventeen years, mostly among children from malaria.  Conditions have worsened recently, primarily from regional armed conflicts and pressures resulting from changing weather patterns.  An influx of refugees into Akot has increased the need for medical services.  A camp, consisting of make-shift tarps and other temporary materials, houses 800 refugees less than a mile from the medical facility.

South Sudan Hope and Health Akot Facility
Kids in Akot South Sudan receiving medical care

Our Plan

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Phase One:

Peter Njenga to Return

Hope and Health Akot Sudan commissioned Peter Njenga to return to Akot in January 2025. His report is the basis for the first phase of the renovations. This will include repairs of the fence, water, power, roofs, screens, and doors.

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Phase Two:

March Expansion of Site

Dr. Deal and Daven Acker are returning to the site in March to plan an expansion of the site to include staff housing, development of lab site and services, and an operating theatre. We also plan to install a high-speed internet system to allow future telemedicine consultations.

Several exciting developments are making this a feasible and sustainable project including staff salary support from UNICEF and medical supply commitments from the South Sudanese Ministry of Health.

Of even greater importance is the fact the Dr. China Kuot, a native of Akot, has now completed his medical training and is willing to return and join Dr. Clark McIntosh to manage and treat patients.

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Phase Three:

Supplement Medical Packets & Birthing Kits

After the capital improvements are complete, assuming again that funding allows, we plan to supplement medical packets and birthing kits supplied by the Ministry of Health as well as the salaries of key personnel.

South Sudan at a Glance

South Sudan is the newest of the United Nations.  It is a neglected sub-Saharan African state.  Since attaining independence in 2011, the humanitarian situation in South Sudan has remained dire.  Due in part to continuing conflict in neighboring Sudan, growing numbers of refugees require assistance.  High levels of food insecurity, elevated prevalence of diseases, and poor hygiene and health services are driving acute pediatric malnutrition.

Changing regional climate patterns have also caused erratic rainfall, affecting crop production and worsening disease outbreaks. Large areas of South Sudan have recently become submerged year-round, with flooding occurring in normally dry regions.  At other times, the country suffers severe drought.

These climate changes, together with recurrent outbreaks of violence, persistent underlying poverty, and a lack of basic infrastructure and services, have created a complex humanitarian crisis.  Virtually no paved roads exist outside of the capital, Juba.  As a result, progress within the world’s youngest nation has been stymied.

The nation's health system, heavily reliant on international aid, faces staffing and resource shortages. Vulnerable groups, including women, children, the elderly, and persons with disabilities have limited access to health care and face heightened risks of illness and mortality.

South Sudan at a Glance Health Statistics
Top Causes of Death South Sudan
Image of South Sudan Statistic

Hope and Health Akot, South Sudan, is dedicated to bringing life-saving surgical care to those in desperate need.

Hope and Health Akot, South Sudan, is dedicated to bringing life-saving surgical care to those in desperate need. With your support, we can build and equip an operating room to provide essential procedures like C-sections, appendectomies, and other critical surgeries that were previously impossible in our community. This facility will save lives, reduce suffering, and give hope to countless families. Your donation will help fund construction, medical equipment, and the staffing needed to make this vision a reality. Please join us in transforming healthcare in Akot—every contribution brings us one step closer to saving lives.

Please Donate!