[10] In 1922, an additional contingent of Swedish missionaries joined the initiative; however, they encountered significant challenges in securing state permission to conduct their missions.

[10] This ordeal led to various theories regarding the fatalities, with some attributing the deaths to alleged poisoning by the local populace, who were initially resistant to the missionaries' gospel, while others suggested that the harsh climate of the Ruzizi Plains was to blame.

In 1924, Julius successfully obtained authorization to acquire a hillside area encompassing a few hundred meters in a village situated in the mountains west of Uvira, known as Nia Magira (present-day Lemera), named after Chief Nyamugira Mukogabwe II of the Bafuliiru Chiefdom.

[1] The dispensary's increasing popularity prompted an expansion of facilities, including the introduction of maternity services initiated by Goth Petersson.

[1] This growth facilitated the hospital's formal launch in 1971 under the leadership of CEPAC's Legal Representative Jean Ruhigita Ndagora Bugwika.

[9][13] Upon her return, she became the hospital's physician-in-charge and played a pivotal role in addressing maternal health challenges by performing C-sections to combat high mortality rates caused by obstructed labor and the harmful effects of traditional medicine.

The number of births at the facility increased annually, and the hospital relied on a mission vehicle to transport patients to Uvira for complex procedures.

[16] Lemera Hospital also witnessed the emergence of Congolese medical practitioners, including Alfayo, Epiki, Runyambo, Musafiri, and Ndombe.

[16][1] In 1981, Jean Bugwika secured funding from the Swedish International Development Agency (SIDA) to construct additional facilities, including halls and a hydroelectric dam for electricity and water to the hospital and the broader Lemera's populace.

[1] Following the attack, the hospital persisted with the aid of international support, and in 2003, Alexis Kashobo Nagoyola assumed the role of Medical Director.

It catered to wounded Zairean soldiers caught in the crossfire of armed conflicts, local civilians, and Hutu refugees who were fleeing from Burundi and Rwanda.