Beruflich Dokumente
Kultur Dokumente
Medical Newsletter
Volume 2, Issue 1 Summer 2010 www.humanityfirstmedical.org
HF DR Team in Haiti Uganda medical project Supplies Team Report Humanity First AGM 2009 Humanity First Medical Disaster Response Course Human Disaster Implications and Climate Change
Editors Message
Wehavedecidedtoreducethenumber ofeditionsbutforeacheditiontobe morecomprehensive Itbecameapparentthatduetothevast amountofprojectsandactivitiesthat theHFteamhavebeeninvolvedinthe lasttwelvemonthsthatitwouldbest servethepurposeofthenewsletterto havelesseditionsbutforeachedition tobemorecomprehensive. Theimmediatedifferencefromlastyear isthesizeofthenewsletter,whichhas increasedsignificantlyfromtheprevi ousedition.Inthiscurrentedition, readerscangaininsightintothestrides thathavebeentakenintheUganda project,readabouttheAGMandalso ourspecialintereststorywhichison climatechange. Withthenewandincreasinglycompre hensiveformattothenewsletter,itis ourintentiontoprovideyouwithmore detailandanalysisofHFeventssuchas theHFMedicalteamsrecenttripsto UgandainDecember09&March10 andareviewofHFsresponsetothe terribleearthquaketragedythathit Haition12January. Asalways,thenewsletterteamalways welcomesarticlepiecesfromourread ersandencouragesanywhohave thoughtaboutsubmittingarelevant articletodoso.Ourcontactdetailscan befoundwithinthenewsletter. RasheedSarpong&ZakariaBhatti
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Volume 2, Issue 1
Theaimsoftheoverallprojectaretoworkon theTownClerk(Mayor),CouncilChair citationandtraumamanagementandcoor men,localMPsandRegionalDirectors dinateamedicaldevelopmentconference strategicimprovements,infrastructurede inMbalebringingthoseconcernedtogether velopment,knowledgetransferandresource ofHealthintheDistrictsofMbale, deploymentintheareasofEmergencyCare, MaternalHealth,NeonatalHealth,Chronic DiseasesandDisasterResponse. SironkoandBudakaaswellastheMu andtryandimprovethingscollectively. nicipalityofMbale(thesecondlargest TheneedsarereallyenormousinUganda towninUganda)andDirectorof thereisahugeroomforimprovementall round.Weareintendingtorunthisproject forthelongtermsoifyouareinterestedin spendingtwoweekstotrainlocalclinicians, itwouldbemostwelcomeandwouldmake
Duringthisvisit,meetingswereheldwiththe MbaleRegionalReferralHospital UgandanGovernmentMinistersOfPrimary wherewehadjointMOUssignedto Health,DisasterResponseandLandtodis continuewiththeprojectcollabora cussourproject.Wealsometwithofficialsat tively.Weheldtrainingsessionsfor MulagoHospitalattachedtoMakerreUniver clinicians(doctors,clinicalofficers,
AccidentandEmergency,Surgery,Maternity citation,generalpaediatricsandthe andNeonatalMedicineandhavehadMemo diagnosisandmanagementofhyper randaofUnderstanding(MOUs)signedwith tensionanddiabetes.Sofar,Human ityFirsthastrainedover800clinicians theHospitalandtheseDepartmentsto workontheprojectcollaboratively.Also whileinMulago,weheldtrainingsessionsfor doctorsworkingintheDepartmentsofNeo natology,AccidentandEmergencyandOb responsibleforover2millionUgan dans. Thefeedbackfromthosetrainedand theauthoritieshasbeenexcellentand wearehopingtocontinuetheproject
Prince,hencetheymobilisedand startednewoperationsintheCarre fourareawestofPortAuPrince.Car refourwasclosertotheepicentreof thequakewheremanythousandsof peoplewerestillwithoutanymedical care.TheHFteamhadsetupcamp alongsidetheUNcamptoprovide medicalsupport.Theteamtreated over28,000peoplemanyofwhom Earthquake.TheHFteamworked closelywithUNwhoprovidedthe securitycoverfortheHFmedical teams. arevolunteers,providedfreemedical caretoallpatientsaswellascoordi natingwithotherlocalandinterna tionalagenciestoprovidemedical assistance.TheUKteamtookatotal
of1.5tonnesofessentialmedicalsupplies aswellasfoodandwaterfortheteam.The UKteamspentatotalof2weeksonthe groundandarrivedbackintheUKonthe 4thofFebruary. IntotaltheHFinternationalwasableto mobilise45cliniciansfromUK,USAand Canada.TheHFTeam,allofwhomwere volunteerstreatedastaggering700plus patientsaday;theirprofessionalism,team workinganddedicationtopatientcare neverdampenedbytheharshconditionsin whichtheyfoundthemselves. AmirMalik
fromtheUKInternationalSearchandRescue werestillcarryinginjuriesfromthe
ada.Together,the2teamsofdoctors,para TheHumanityFirstteam,allofwhom
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Uganda medical project December 2009 - Mark Bryers & Kalpesh Diyar
gressbytheUgandanGovern mentthroughtheMinistryof Healthandhealthworkersin thedeliveryofhealthcareto theUgandanpeople.Itisclear thatthereisarecognitionof theneedforimprovementat alllevelstodeliverhighstan dardhealthcaretothepeople ofUganda.HFwishestowork tosupporttheseimprove HumanityFirst(HF),avolun mentsandtohelptheUgan danGovernmenttobuildonits successesinthedeliveryof healthcareonalocal,regional andnationallevel.HFrecog nisesparticularlythegovern mentalstrategyofstructuring theprovisionofhealthcareina systematicmannerofagraded systemofhealthcentresfrom levelsIIV,regionalhospitals andnationalreferralhospitals. Wealsoacknowledgetheon goingworktoestablish,up gradeandequiptheclinical facilitiesacrossUganda.HF wouldalsoliketohighlightthe dedicationandprofessionalism ofthemanyhealthworkerswe havehadthepleasureofmeet ingduringthisassessment process. Duringthehealthcareassess mentprocess,auniformas sessmentcriteriahasbeen appliedtoallareasbeingas sessedandHFisgratefulfor theassistanceandopennessof theUgandanpeopleforper mittingaccesstosites,current healthcaredataandaccessto bothstaffandpatients.During thisassessment,assistance wasreceivedfromtheUgan dangovernment,healthcare providersandtheUgandan people.HFhascommitted itselftothelongtermsupport toUgandaandthisassess mentprocessistoidentifythe scopeofassistancerequired andtheopportunitiesaf fordedtoHFtosupportthe currentUgandanhealthcare system. Theteamhascommittedto producinganassessment reportandworkingtowards improvedemergencymedical careinUgandaaspartofthe newfiveyearHumanityFirst UgandanHealthcareStrategic SupportPlan.Inordertopro videthemaximumsupportto theUgandanhealthcaresys tem,theHFEMSTeamhave strivedtobeopenandhonest duringtheassessmentproc esstobuildtherightplatform forchange. DuringthevisittoUganda, specifictraininginBasicLife Support(BLS)andintermedi ateLifeSupport(ILS)was givencliniciansandclinical supportworkersinMbale (MunicipalityandDistrict), BudakaandSironkoresponsi bleforapopulationofover onemillionpeople.Inaddi tion,advisorymeetingswere heldwithpoliticaladmedical administratorsregarding emergencymedicalcarepro vision HFrecognisesthefunding challengesthatexistwithin Ugandaandthispreliminary reportsetsoutaspirational goalswhichweacceptmaybe difficulttoachievewithcur rentfundinglevelsandwithin thepresentworldfinancial climate.
Theteamhas committedto producingan assessmentreportand workingtowards improvedemergency medicalcareinUganda aspartofthenewfive yearHumanityFirst UgandanHealthcare StrategicSupport Plan.
tary,nonpolitical,non religiousandindependentUK basedinternationalcharity, hasundertakenanassess mentofneedsacrossspeci fiedareasofthecurrent healthcareprovisionsystem atnational,districtandrural levelsinUgandaandengaged inaspecificprogrammeto improvehealthservices acrossfivespecificclinical areas:EmergencyCare,Ma ternalHealth,Neonatal Health,ChronicDiseasesand DisasterResponse. TheHFEmergencyMedical ServicesMedicalTeamcon sistedofMarkBryersand KalpeshDiyar.Formalassess mentvisitsweremadetothe Emergency(Casualty)Depart mentatMulagoHospital,the CasualtyDepartmentatMbale ReferralHospital,TheAhmadi yyaHospital,Mbaleandvari ousHealthCentres(HCs)III andIVintheMbaleMunicipal ityandDistrictaswellasinthe DistrictsofSironkoandBu daka,EasternRegion,Uganda. Inadditiontothesevisits,the policeforceresponsetomedi calincidentswasassessed. TheEMSteamrecogniseand supportfullythegreatpro
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Volume 2, Issue 1
Itisalsorecognisedthatthe UgandanMinistryofHealth havelaidoutacomprehen sivestrategicplanconsistent withtheMDGswhichare alsoconstrainedbyfunding limitations.TheHFplanaims toformulatecreativesolu tionstoproviderealprogress withstrategicorganisational planninganddissemination ofknowledge.HFcallson specialistexpertsfrommany countrieshealthservicesto developstrategicthinking withaviewtoimproving Ugandanhealthprovision. Thisreportdescribesthe administrativeandtraining elementsoftheworkunder takenduringtherecentvisit toUganda. Anyprogrammetoenhance theUgandanhealthservice willrequireaconcertedand
committedeffortonthepart ofallpartiesinvolved.The challengethatfacesusallis howdodeliverthechanges thatwillsupportthecurrent internaldrivebytheUgan danHealthMinistrytoraise standardsacrossthehealth sector.Todeliverexcellence inhealthcaretothewhole countryisasubstantialtask andwillrequiretheopportu nitytoseethesenew changesandenhancesystem inpracticeandworkingin oneareafirst.Theimplemen tationoftheproposed changescontainedwithin thisreport,includingthe adoptioncurrentUKguide lines(basedoninternational standards)intohealthcen tresandfurtherenhance mentsintohospitalcasualty departmentswithinonese
lectregioncan demonstrate thesystem working.This reportpro poseschanges inthetown, regionanddis trictsofMbale, Sironkoand Budaka. MarkBryers
mark.bryers@uk.humanityfirst.org
KalpeshDiyar
kalpesh.diyar@lfrs.org
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Volume 2, Issue 1
Althoughthereisnoformal tionsweremadeduringthetalks. iseddateatthisstage,we Wealsodiscussedourplansto expecttoholdoursecond holdoneofthedisasterresponse annual coursesataninternationalsite general (outofUK)in2010. Wearepleasedtowelcomenew comersassomeparticipantsof theAGMexpressedawishto volunteerandjointheHumanity First. WewisheverysuccessforHu manityFirstMedicalin2010,and aswecontinuetogrowwehope meet ing around Novem ber 2010. NadeemAhmadAfzal
TeaminLeicesterfromOcto ber911th2009.Therewere12 facultymembersand20atten deesincluding2representa tivesfromHFUSAand2from HFCanada.Thecourseteaches thehighestpossiblelevelof evidencedbasedpracticein theareasofdisasterclassifica strategy,safetyandrisk,triage ofmultiplecasualties,public health,campmanagement, medicalresponseteamprepa ration,medicalmanagement, paediatrics,surgicalandortho paedicmanagement.Aswell emphasisisplacedondealing withpatientswithprofession alism,courtesyandkindness andworkinginclosecollabora tionwithlocalcommunities, nationalcoordinatingauthori tiesandinternationalbodies.
Thecourseincorporatestaught lectureswithdisasterresponse exercisesinwhichactorsplay ingcasualtieswithrelevant injuriesareused,asaremem bersoftheISARteamtomake scenariosasrealaspossible.In addition,trainingisgivenin publicrelationsandbriefings tootheragenciesandtheme dia.Thefirstdaywasheldin theHiltonHotel, theseconddayat SouthernFireSta tionandthethird dayinacampsitein MeltonMowbray. Itisplannedtorun thisCourseinthe US,Canadaand Indonesianextyear andagaininthe UK. NadeemAhmadAfzal
manitarianprinciplestojoinas tion,assessment,deployment
aimtoimparttheirknowledge asformalteachingtheseareas,
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Weneedyourhelp
Youcanvolunteerby emailing or usingthecontactform onthewebsite
Inadditionthedepartment willnotbeacceptingany moremedicinedonationsfor thetimebeing,butinstead willbeconcentratingonall othermedicalandnon medicalitems.Thedepart mentwillbedoingitsbestto providesuppliesforthe Ugandantripsthisyearand ofcoursethedisasterre
DrAsifHamid
asif.hamid@uk.humanityfirst.org
DrNoorAhmad
noor@uk.humanityfirst.org
22 Deer Park Road, South Wimbledon London SW19 3AH Tel: +44 (0)20 8417 0082 Fax: +44 (0)20 8417 0110
www.humanityfirstmedical.org
HF Medical Newsletter Page 7