Q4/2019
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patients: 450
need fin. support: 35
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Screenings Operations
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registrations: 166 total: 131
traumatology: 94 patients: 104
plastic surgery: 72 dressing changes: 172
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X-Ray Laboratory
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patients: 70 blood tests: 329
HB or HIV: 145
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Births
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total: 24
sections: 6 ( 1 baby not survived )
twins: 2
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Physiotherapy Orthopedic Technology
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screened patients: 71 prostheses: 24
patients treated: 60 instructed employees: 2
treatments: 182
treatments post op: 179
In the period from 3.11.-15.11.2019 we have been with a team of 18 persons at the Dr. Atiman Memorial Hospital. During this period, we have achieved the following things:
After a radio announcement and announcement of our commitment in the churches were Dr. med. Atiman Memorial Hospital registered a total of 450 patients.
On 4/11/2019, 166 registered patients were examined. Of these, 94 patients were in traumatology and 72 in plastic surgery
A total of 131 operations were performed in 104 patients. This accounted for. The operations ran smoothly in 130 cases.
In a 10 month old child we had to endure an exitus in tabula. The background was that the child with an infected and septic mouth and teeth prae operatively and postoperatively got significant circulatory problems. 4 attempts at resuscitation did not lead to success.
In addition there were 172 dressing changes.
70 patients were examined radiographically.
In the laboratory, a total of 329 blood tests were performed during the period of use. Of these, 145 were each HB and HIV.
Of the studies on HIV, 5 were positive.
Furthermore, 6 large blood pictures and 3 blood group determinations were carried out.
Procurement and provision of HB and HIV reagents took place prior to use.
During the operation, all requested medication and dressing materials could be provided on time. Of particular note is the now significantly improved offer on MSD and Bhojani Pharmacy in Mbeya and on the diocesan pharmacy in Katandala.
The midwives took care of 24 spontaneous deliveries, accompanied 6 sections and 2 twin births.
In a cesarean section, the baby had no chance of survival because the lungs did not open. After 1:20, the respiration was stopped.
A total of 71 patients were screened for treatment. Of these, an appointment for treatment was made for 60.
A total of 182 outpatient appointments were awarded and held.
Postoperatively, 179 treatment appointments were taken on the wards.
Added to this was 1 home visit.
Samaje and Lilian were trained during the mission.
For the first time, 24 lower leg and thigh prostheses were handed over to patients for whom a plaster cast was taken in April. The prostheses were manufactured manually in Germany at stamos & braun Prothesenwerk GmbH.
With A.. and S.. 2 employees of the hospital were instructed in the orthopedic technology.
Basic equipment was provided for operating an orthopedic workshop.
A total of 35 patients received financial support for medicines, food and transport.
The cooperation with the hospital management can be rated as Outstanding. On an everyday basis, there was an exchange of information about patients, organization, permits with Dr. Ing. J.. and Mother Sr. Y.. during the mission and with Dr. J.. in advance and for the upcoming follow-up.
The cooperation with the hospital staff can be described as particularly good. All the forces deployed have gone far beyond normal levels.
The accommodation took place in the Libori Center. After renovation of the rooms and improvement of the sanitary facilities, a significant improvement can be stated.
The mission was funded exclusively by donations. A total of 183,600.000 TZS = € 72,400 was spent on Camp23. Essential positions are:
64,000,000 TZS flights
6,400,000 TZS transport of material
3,900,000 TZS permits
2,500,000 TZS visas
1.300.000 TZS water for patients
1,300,000 TZS patient support
1,300,000 TZS reagents HIV / HB
4,200,000 TZS meals
1,500,000 TZS diesel for generator
4,500,000 TZS accommodation
2,000,000 TZS IFISI Mbeya
4,000,000 TZS medicines / bandages
2,000,000 TZS bus transfer Mbeya - Sumbawanga
7,700,000 TZS surgical dressing material
7,770,000 TZS bandages
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Total 113,300,000 TZS
368,500 TZS = 144 € / operation and dressing change
61,350,000 TZS prostheses
8,950,000 TZS grinding machine
15,400,000 TZS spare parts X-ray unit / laptop / circuit board
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Total 85.7 million TZS
113.3 million TZS operating costs
85.7 million TZS investment
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Total expenditure camp23
199 million TZS
Total expenditure 2019
500 million TZS
The supply of blood for 3 amputation-dependent patients was associated with very high risk. The new procedure of sending blood samples to Mbeya via the Regional Hospital and having the blood samples screened there was both time-consuming and life-threatening in terms of the amputation to be performed. Only with massive pressure was it possible to provide 3 blood stores for one patient. The patient was already in a coma. Only at the last moment could the patient be rescued.
Recommendation for further missions is to have a minimum stock of 2 blood samples screened immediately before a mission for each blood group immediately before the start of the mission. Atiman Hospital. In addition, it is recommended that you obtain a suitable refrigerator with an interruptible power supply.
In the past, it was regulated that at the invitation already a participation of the diocese and the district government were excluded. They have been confident that our teams will pay for all the food and lodging costs. This also included the catering of the regular staff (20 persons) of Dr. Atiman Memorial Hospital.
Recommendation for further missions is that the diocese and the Rukwa region at least take over the food for the participants and the provision of food (3 sacks of cornmeal, 3 sacks of beans, 3 sacks of rice and 50 bottles of oil).
It was the first time in the 10-year history of the project that it meant that neither a diocese representative nor a representative of the Rukwa region were present to welcome the team. In addition, no welcome message was sent in writing. This was considered disrespectful by all parties involved in both the task force and the hospital. In addition, the press had been able to report about 24 prostheses, for which the signatory had assumed full financial responsibility. After all, this is a new service, with the Dr. Atiman Hospital gets a unique selling proposition for the region. Mother Sr. Y.. apologized for that at the end.
Fr. J.. only spoke on demand on the last day and informed that he was on vacation. This was also rated negative. In addition, he was not even in the hospital in the previous missions as the coordinator responsible.
Recommendation for further missions is that the work of the intervention teams and the regular staff of Dr. Atiman Hospitals e.g. appropriately praised during morning praying or a farewell evening.