Rural Medical and Surgical Outreach Mission: Experience of International College of Surgeons (The Nigerian National Section)

Anyaeze, Chineme Michael; Eke, N; Anyanwu, Kenneth Kelechi; Enendu, Stephen Ejike

doi:10.9738/intsurg-d-17-00131.1

Cited by 2 publications

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Surgical Outreach as a Tertiary Hospital's Corporate Social Responsibility

Babalola

Okunlola

Ibrahim

et al. 2021

Nigerian Journal of Medicine

View full text Add to dashboard Cite

Introduction: The underserved populations of the rural and suburban communities of developing countries are challenged by the twin hurdles of low-income earning and out-of-pocket payment for surgical care services. This study aims at appraising the process, outcome, and impact of a free surgical outreach programme carried out by a Federal Teaching Hospital in South-western Nigeria. Methods: A free day-case surgical outreach programme was announced through a popular radio jingle for a period of 1 week to attract would-be beneficiaries of the programme. A 2-day screening exercise was conducted by the concerted efforts of various specialists in the department of surgery and ophthalmology to select those who are suitable for day-case surgery. A cross-sectional survey of patients who participated in the 5-day surgical outreach programme was carried out. A structured questionnaire was used to obtain information on biodata, diagnosis, surgical operations, complications, and level of satisfaction. A 3-point bipolar satisfaction outcome scale was used to assess the level of satisfaction. The data obtained were analyzed using the SPSS software version 20.0. Results: One hundred and fifty-eight patients were screened, but only 124 participated. Ophthalmic cases constituted 60.5%, whereas the rest (39.5%) were non-ophthalmic cases. Patients with cataract were 73 (58.9%) of all the surgical lesions operated during the outreach programme. Two (1.6%) patients with pterygium were the other ophthalmic cases, whereas the non-ophthalmic cases were mainly hernias. A total of 129 surgical operations were performed in the 124 patients, with 5 (0.4%) of them having bilateral cases. One hundred and seventeen patients (94.4%) expressed satisfaction with their experience of the programme. Conclusions: Optimal corporate social responsibility of tertiary hospitals can be performed effectively and satisfactorily through a properly organized surgical outreach.

show abstract

Surgical Outreach as a Tertiary Hospital's Corporate Social Responsibility

Babalola

Okunlola

Ibrahim

et al. 2021

Nigerian Journal of Medicine

View full text Add to dashboard Cite

show abstract

Common Genitourinary Fistulas in Rural Practice: Treatment and Management

Anyaeze¹

2022

Rural Health

View full text Add to dashboard Cite

Acquired genitourinary fistulas are common in rural practice. They are pathological communications between the urinary and genital tracts, or between either of the tracts and gastrointestinal tract or skin. Vesicovaginal fistula is the commonest and most devastating. They may result from prolonged and obstructed labor, injuries during obstetric, gynecologic, pelvic and urologic procedures, circumcision, fall from heights, road traffic accidents and female genital mutilation. They present as urinary leakage with characteristic odor. Diagnoses are mainly clinical and confirmed by dye tests, contrast radiography and endoscopy. Treatment is individualized according anatomic sites and etiology. Timing of repair is of essence; delayed repair for obstetric and early for focal injuries. Multidisciplinary team approach and cooperation is encouraged in the management of some of these cases. The sustenance of the 2 – way referral system is emphasized in cases beyond the scope of rural practice. Repairs when undertaken by skilled compassionate fistula surgeons with attention to principles of fistula management and surgical treatment, success rate can approach 90%. Interposition of vascularized grafts have improved success rate. The burden of this condition will be reduced through integration of rural practitioners in the preventive strategies of health education of the public and girlchild; improvement of healthcare, education and transportation infrastructures.

show abstract

Rural Medical and Surgical Outreach Mission: Experience of International College of Surgeons (The Nigerian National Section)

Cited by 2 publications

References 10 publications

Surgical Outreach as a Tertiary Hospital's Corporate Social Responsibility

Surgical Outreach as a Tertiary Hospital's Corporate Social Responsibility

Common Genitourinary Fistulas in Rural Practice: Treatment and Management

Contact Info

Product

Resources

About