Resilient Health Outreach (RHO)

Wli Todzi Medical Mission – Operational Itinerary & Plan

Dates: February 21 – March 1, 2026
Lead: Joshua Holt, Founder & CEO, RHO
In-Country Lead: Kobe (Logistics, Liaison, Supply Procurement)

1. Mission Overview

This short-staffed mission serves as a light medical, high-assessment reconnaissance deployment to Wli Todzi, Ghana. The mission goals are to:

• Provide safe, low-acuity medical care for obvious/easily treatable conditions
• Conduct structured physical assessments for chronically ill and high-risk patients
• Build RHO’s Wli Todzi Patient Registry (v1.0) using diagnostic equipment brought from the U.S.
• Perform a comprehensive site and logistics assessment of Wli Todzi to support planning for a larger future mission
• Strengthen community partnerships and understand cultural, medical, and logistical realities on the mountain

This deployment emphasizes foundational intelligence-gathering and relationship-building, setting the stage for future full-scale operations.

2. Team Composition & Responsibilities

2.1 U.S. Team

Joshua Holt – U.S. Team Lead

• Lead clinician
• Brings and operates diagnostic equipment
• Conducts triage, exams, chronic disease assessments
• Leads patient registry development
• Directs daily clinical workflow and medical decision-making

2.2 Ghana In-Country Lead — Kobe

Primary Responsibilities

• All transportation (airport pickup, Accra movements, Wli travel, Todzi ascent coordination)
• Serves as the primary liaison with village leadership and ARC Initiatives
• Coordinates local volunteers for translation, patient flow, and on-site support
• Pre-purchases mission medications and restocks as needed through reliable contacts
• Provides real-time logistical problem-solving
• Guides and ensures safe movement on the mountain
• Assists in clinic setup, crowd control, and maintaining operational tempo

3. Clinical Scope & Strategy

3.1 Scope of Medical Care (Light Clinical Footprint)

Medical care will focus on conditions safely managed with minimal staffing:

• Fever, pain, headache
• Mild respiratory infections
• Simple GI complaints
• Skin infections, fungal issues
• Minor wounds
• Pediatric acute issues
• Malaria screening if RDTs available
• Hypertension and glucose screening
• Dehydration and nutritional concerns
• Eye/ear complaints (if otoscope carried)

Not within scope

• True emergencies
• Advanced obstetric issues
• Complicated trauma
• Procedures requiring sterile fields
• Care requiring advanced diagnostics or extensive follow-up

3.2 Diagnostic Equipment (Carried by Josh)

• Manual BP cuff + stethoscope
• Automatic BP cuff (backup)
• Pulse oximeter
• Thermometer
• Glucometer + strips
• Exam light
• Basic otoscope/ophthalmoscope (if carried)
• Height/weight measuring tape
• Notebooks/tablets for the registry
• Clean technique supplies (gloves, lancets, alcohol pads, sharps mini-container)

This diagnostic suite enables high-quality baseline assessments of chronic and acute conditions.

3.3 Medication Strategy

• Pre-Trip: Josh and Kobe finalize a medication list (OTCs, pain/fever, GI meds, simple antibiotics, antifungals, antimalarials, wound care).
• Before arrival: Kobe purchases the initial stock locally.
• During mission: Kobe can replenish any medication through trusted contacts.
• Clinic days: Medications are provided within scope and guided by diagnostic findings.

4. Data Collection: RHO Wli Todzi Patient Registry (v1.0)

Each patient encounter will capture:

• Name, age, sex
• BP, HR, RR, temp, O₂ saturation
• Weight/height if feasible
• Chief complaint
• Focused exam findings
• Chronic disease indicators
• Medication given
• Health education provided
• Follow-up level: High / Moderate / Low

This registry becomes the clinical foundation for future missions.

5. Site Assessment Objectives

5.1 Infrastructure

• Water sources
• Sanitation and waste practices
• Smoke exposure/ventilation
• Structural condition of community buildings
• Potential clinic sites
• Shelter options for future teams
• Power and lighting availability

5.2 Health Landscape

• Hypertension prevalence
• Suspected diabetes
• Nutrition and growth issues
• Respiratory/chronic lung conditions
• Elderly care needs
• Skin/wound prevalence
• Medication access gaps
• Women’s health needs

5.3 Logistics & Route Assessment

• Travel time from Wli base to Todzi
• Terrain difficulty and trail safety
• Weather exposure points
• Number of local guides needed
• Community support resources
• Potential gear caching locations
• Suitability of areas for future clinic tents or stations

6. Full Mission Itinerary

📅 February 21 — Depart Pensacola (PNS)

• Depart PNS via connecting flights
• Pack diagnostics, essential meds, travel documents, and mission binder
• Overnight in transit

📅 February 22 — Arrive in Accra

• Arrive at Kotoka International Airport
• Kobe greets team and provides transport
• Check into lodging
• Review and sort medications Kobe pre-purchased
• Verify all diagnostic equipment functionality
• Assemble clinic kits
• Planning dinner with Kobe
• Overnight: Accra

📅 February 23 — Travel to Wli

• Drive from Accra to Wli (4.5–5.5 hours depending on route)
• Check in at Waterfall Lodge
• Afternoon meeting with local contacts arranged by Kobe
• Discuss anticipated patient volume (especially chronically ill)
• Finalize ascent plan
• Overnight: Waterfall Lodge

📅 February 24 — Clinic Day 1 (Diagnostics + Light Treatment)

Objectives

• Begin vitals + focused physical assessments
• Build the initial patient registry
• Treat straightforward medical issues
• Identify chronic/high-risk patients for follow-up days

Kobe: Coordinates patient flow, assists with translation, ensures operational smoothness.

📅 February 25 — Clinic Day 2 (Chronic Disease Focus)

Objectives

• Conduct structured physical exams for chronically ill patients
• Perform glucose checks, BP monitoring, O₂ saturation
• Provide safe short-term medication support
• Expand registry with detailed chronic profiles

Secondary:

• Continue infrastructure and route assessment
• Kobe replenishes supplies if needed

📅 February 26 — Clinic Day 3 (Follow-up + Full Site Assessment)

Objectives

• Recheck high-risk individuals
• Deliver final medications and education
• Complete infrastructure and logistics evaluation
• Conduct community leadership meeting (arranged by Kobe)
• Overnight: Waterfall Lodge

📅 February 27 — Flex / Open Day

This day is intentionally left flexible to adapt to actual mission needs and team condition after three clinic days.

Option 1 — General Sightseeing / Cultural Immersion

If clinical and assessment objectives are fully completed by Feb 26, this day can be used for rest, recovery, and exploration, such as:

• Visiting Wli Waterfalls (Lower Falls or Upper Falls)
• Exploring nearby villages
• Experiencing local markets and food
• Enjoying Volta Region scenery
• Light cultural immersion
• Team decompression before returning to Accra

Option 2 — Continued Wli Todzi Mission Efforts

If additional follow-up or assessment work is needed:

• Return to Todzi for limited follow-ups
• Finalize registry data
• Complete remaining site assessments (water, structures, logistics)
• Conduct supplemental community engagement or education
• Confirm future mission feasibility

📅 February 28 — Return to Accra

• Depart Wli in the morning
• Drive back to Accra
• Debrief with Kobe
• Organize receipts, data, after-action notes
• Rest
• Overnight: Accra

📅 March 1 — Return to PNS

• Early arrival at Kotoka International Airport
• Depart Ghana
• Return to Pensacola
• Begin post-mission reporting and lessons learned documentation