She also worked with the local African population, especially children, and often treated casualties of violence, as in 1901 when she cared for Aro survivors of a military attack.
She took up the work of fellow Scottish missionary nurse Mary Slessor, in her particular concern for the fate of twins; she oversaw the building of a care home for abandoned children, and taught embroidery as a marketable skill to women left without traditional supports.
[1] Margaret Manson Graham was awarded the Africa General Service Medal in 1901, and was made a Grade V member of the Order of Saint John in 1906.
[3] Upon retirement in 1919, she returned to Orkney, but only stayed a few years before going back to Africa, to live out her days in Nigeria, training young women as nurses and caring for children.
There is a bronze plaque dedicated to the memory of Margaret Manson Graham, placed at St Magnus Cathedral in Kirkwall in 1964.