She established hospitals and mills to assist the Bulgarians following the April Uprising in 1876 that preceded the re-establishment of Bulgaria.

She was awarded the Royal Red Cross medal by Queen Victoria for establishing another hospital in Cairo.

[2] The book that she wrote, Egyptian Sepulchres and Syrian Shrines was dedicated to her sister, and describes the places she visited in Syria, Lebanon, Asia Minor and Egypt with illustrations based on her sketches from her journey.

It is true its style is neither pure nor severe: nothing over which the lavish hand of hasty and Imperial Rome has passed is ever so: but, Tadmor [Palmyra] is free from all the vulgarity of real decadence; it is so entirely irregular as to be sometimes fantastic; the designs are overflowing with richness and fancy, but it is never heavy: it is free, independent, bizarre, but never ungraceful; grand indeed, though hardly sublime, it is almost always bewitchingly beautiful."

[2] In 1859 and 1860 she was travelling in Smyrna, Rhodes, Mersin, Tripoli, Beirut, Baalbek, Athens, Attica, the Pentelicus mountains, Constantinople and Belgrade.

Following her husband's death Strangford volunteered to serve as a nurse in (probably) University College Hospital in London.

This idea did not gain official backing as the major objective at the time was to establish nursing as a profession and not as a part-time activity for amateurs.

[9] Thousands of pounds were raised by the Bulgarian Peasants Relief Fund and she went to Bulgaria in 1876 with Robert Jasper More, eight doctors and eight nurses.

[2] The hospital continued in operation thanks to a grant of £2,000 per year from the Egyptian government taking in local students for training and offering first class accommodation on a private basis.