The start-up phase of a non-specialist paediatric surgical service by outreach focused on capacity building at the Consolata Hospital Ikonda, Makete District, Tanzania

Calisti, Alessandro; Andriani, Mariagrazia; Mlawa, Agnes; Zara, Gian P.

doi:10.4102/phcfm.v12i1.2428

Cited by 1 publication

(1 citation statement)

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“…The majority of sick children were initially treated by general surgeons. This approach is similar to Calisti et al’s concept of involving general surgeons in the care of children [ 2 ]. However, this approach does have significant limitations, so that patients with complex conditions used to be referred to the Tikur Anbessa Hospital in Addis Ababa.…”

Section: Introductionmentioning

confidence: 96%

Establishment of a Pediatric Surgical Unit at a University Hospital in Eastern Africa

Hubertus¹,

Abera

Haileamlak

et al. 2021

Children

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Introduction: Ethiopia is a rapidly developing country in Eastern Africa. In total, 43.2% of the population are younger than 15. In contrast, until a few years ago, pediatric surgery was only available in Addis Ababa. Now, Ethiopia is making great efforts to improve the care of children who require surgery. JimmaChild was established to set up a pediatric surgery in Jimma. Material and methods: JimmaChild developed from a scientific collaboration between Jimma University (JU) and Ludwig-Maximilians-University. The project was developed and realized by Ethiopian and German colleagues. A curriculum was written for this purpose. The pediatric surgical training of the fellows was carried out on-site by German pediatric surgeons. Results: A new pediatric surgery was established at JU with its own operating room, ward, and staff. After two and a half years, two fellows completed their final examinations as pediatric surgeons. Among others, 850 elective surgeries were performed, 82% assisted by the German colleagues. The German colleagues rated the preparation for the trip, the on-site support, and the professional progress of the fellows mostly as good to very good. Reported problems in the program flow were also recognized and solved in part. Conclusions: The best possible integration of the project into existing structures was achieved by close cooperation of Ethiopian and German colleagues during the project development. Problems were identified and addressed early on by external monitoring. As the project responsibility was mainly with the Ethiopian colleagues, a department was created that now exists independently of external funding and trains its own fellows.

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Section: Introductionmentioning

confidence: 96%