Besides Hasting's wife and Macdonald, every other position in the hospital or treatment facility was filled by a local trainee. A local man and physician who graduated from the University of St. Andrews, Akanu Ibiam, was tasked with training nurses. Ibiam later became a mission doctor and a president of the World Council of Churches. When Hastings and Macdonald returned to Europe, two hospitals, two leper colonies, and an able team of local staff remained in Nigeria.
