Sandra Tebben Buffington: A Life of Service

When Sandra Tebben Buffington retired in 2014, she did so having lived a life of service as a nurse, midwife, missionary, educator, and researcher for over 50 years.  

She grew up in a rural farming community in Pekin, Illinois. Inspired by her mother, Buffington knew at an early age that she wanted to be a nurse.  

“My mother wanted to be a nurse, but her mother became ill, and my mother had to leave school in 6th grade and help her father care for her mother and cook for the family,” she said. “I just remember her telling me how much she wanted to be a nurse and the seed was planted that I was going to be a nurse. In church at age 8, I heard a missionary family talk about helping others in Papua New Guinea and again seeds planted. I decided in high school that I would be a nurse and help others in another country.”  

She graduated from the St. Francis School of Nursing in Peoria, Illinois, and in 1964 she made good on her goal to help people in other countries. She worked in a 120-bed hospital in Nigeria, where the need was great and the training was sparse due to lack of time and resources. Inspired, she made it her goal to develop and conduct many types of training.  

In Nigeria, she began going with a team to schools for immunizations, tuberculosis diagnosis, and teaching about hygiene. Her missionary work overlapped with a civil war in Nigeria. She was evacuated in 1966 and the Lutheran Church that employed her in Nigeria requested she go to Frontier. Several of Buffington’s fellow mission nurses had attended Frontier prior to being assigned internationally. Buffington enrolled at Frontier and passed the Kentucky boards in 1968 as a certified nurse-midwife. 

Hyden Hospital

“My experience at Frontier Nursing Service (FNS) offered me so many learning experiences thanks to the staff, including Dr. Mary Wiss and Dr. Mary Fox,” she said, noting that she learned how to do lab work, and take and read x-rays while at Frontier. “All of this was extremely useful when I returned to Nigeria as the level of equipment was similar. The doctors were the most amazing doctors. (They were) so willing to teach me everything and I was thankful to build on my experience in Nigeria.”  

“The caregivers, cooks, cleaners, and security guards were helpful, lovely and so much a part of the entire service in those days,” she said. “The quality of training and experiences stayed with me as I continued to develop training programs throughout my life. I was not privileged to meet Mary Breckinridge, but Anna Mae January, Molly Lee, and Betty Lester were my treasured guides.”  

Betty Lester

“My entire career turned towards midwifery following the FNS days. First returning to Nigeria with the International Red Cross during the civil war, I found myself in many situations where I was grateful for the additional training at FNS and my midwifery education.”  

After the war, Buffington helped build a maternity ward and three care villages in Nigeria to reduce travel time for patients. She and her colleagues also educated the village women about caring for illnesses, administering medications, and providing pregnancy care. 

“Thanks to all the clinical experience and extra teaching by the doctors at FNS, I found myself more confident and capable of guiding/teaching others. We had many challenges with malnutrition, tropical illnesses, injuries, infections, anemia, obstructed labor, and low birth weight babies.”  

“We started offering pregnancy care including delivery. We built an inpatient ward and delivery room and trained staff to conduct deliveries. We offered family planning services and in some places the communities built small huts to use for counseling, providing birth control items, and insertion of IUDs. We started a well-baby clinic offering immunizations and evaluation of children under five. The attendance was overwhelming, and we ran out of supplies to provide care. The need was great.”  

Weighing newborn at homebirth.

In 1978, Buffington left Nigeria to upgrade her training skills with a Master of Public Health. Resuming her missionary work, she lived for over 20 years in Africa and Asia. Additionally, she made more than 30 trips as a consultant and technical advisor for stints ranging from one to three months.  

“I am thankful for these opportunities and would do it all over again,” Buffington said.  

She retired in 2014 when her husband could no longer travel with her. She continued to volunteer, however, as a long-distance resource for trainers in some countries where she worked. She now enjoys her time with eight grandchildren, and 10 great grandchildren. 

Request Information Apply Give Now