He returned to Burundi in 2006, and opened the Village Health Works (VHW) outpatient clinic in Kigutu in 2007.

In 2014 the VHW opened a preschool, and the Ministry of Education gave it the mandate to administer the primary and secondary schools in Kigutu, with about 500 children.

In 2017 the Bill & Melinda Gates Foundation donated two million dollars to held start construction of the Kigutu Hospital and Women’s Health Pavilion.

The Kigutu International Academy opened in 2020 and construction of the Learning Center and Teachers' House was completed in 2022.

[5] The new hospital has four general operating theaters, each capable of four operations per day, a maternity wing with private delivery rooms, neonatal and adult intensive care units, general pediatric & adult wards, and emergency ward and an observation/triage area.