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Projects
17.
'I.T. Wise Project' - Chapter 1 -
Nkawkaw
16.
Kattappana Observational Training
15.
NUWLIFE Project
14.
Mother
and Child Care Project - Jirapa, North Ghana
13. Rural Based
International Surgical Centre Receives Support
Motec has received
overwhelming support for the creation of a surgical centre in rural
Western Ghana. The project is aimed at providing an international
arena for experts to train rural health work force and to treat
patients most of whom reside on farmlands in the Western Region of
Ghana.
Mr John Mitchell and
Reverend Brother Laurence Kearns of Ireland are backing the local
hospital administration and Motec Life UK to improve health care in
rural Ghana. The project appeal for support in kind, cash, material
and human resources is being launched by Motec Life -UK. This
follows two visits to the site by the Motec leadership in October
2007 and June 2008.
At a meeting in
London, Mr and Mrs Ofori-Atta representing Motec and Mr John
Mitchell of Dublin Ireland, both parties pledged to work closely
together for the good of mankind. An action plan has been laid out
and targets set for full function of the centre within 8 months.
More info...
12.
Destination Ghana
11.Targeted
Education, Training, Transfer of Skills
Some aspects of Motec work would require training of some
medical, nursing and para-medical staff would benefit from training
in some U.K institutions to enable the hospitals maintain a better
level of care:
Nkawkaw Holy Family should benefit from a local doctor training in
‘surgical ultra-sound’ in the U.K. Senior members of Motec are happy
to arrange an attachment for Dr. Brobey to visit the U.K. for
clinical attachment and train for three weeks. This would involve a
trip and accommodation cost of about £2000 (ticket £500, hotel
accommodation £1000, living allowance of £500). It would require a
portable ultrasound machine and donations are welcome as the cost of
the equipment is estimated at about £15,000.
St Joseph’s hospital as well as Nkawkaw Hospitals should benefit
from an exposure of a two selected nurses to be trained for theatre
recovery ward and the management of an orthopaedic theatre. A three
week intensive observational attachment to a British facility would
prove very useful. Total cost of the project is estimated at £4000.
Motec is already striving to equip the recovery wards at both sites.
10.
Outreach Project
The task ahead in Ghana is immense. All the same, we are
prepared to share our experience with groups with similar or better
agenda. In our infancy, many have called on us for guidance and
help. We believe in working with local people in their environment,
inter-changing ideas and formulating plans for development of
individuals and the hospitals through a multi-discilinary and
inclusive approach, education, training, support with affordable
material and equipment giving respect to the value and contribution
of local health workers to the overall health care of the people.
These are areas that Motec has researched. We have engaged
positively with patients, local health workers and administrators in
Ghana. We are more than willing to provide support to Groups based
in the U.K. who have asked for help for The Gambia and Nigeria.
9.
Mobility of Motec in Ghana
With large numbers of teams going to Ghana, the demand on the
host local hospital transport in Ghana will soar. Minibuses are
actually the only means of transport for medical supplies, staff
trips etc. It may become necessary for Motec to appeal for a 10 to
12 seater vehicle to serve our organisation and other sister groups
during working visits to Ghana. It should be a vehicle kept with a
recommended responsible authority in Ghana outside general use to
avoid problems.
8.
Pramso Project
Motec have visited St Michaels Hospital at Pramso near Kumasi.
Our organi- sation has accepted the challenge of supporting the
hospital starting initially with an educational programme based on
the report reviewed by the Trustees following a fact-finding mission
to the hospital in February 2007 with an edu- cational programme to
be started in October 2007.
7.
Running Costs of Organisation / Educational Programmes in Ghana-
Special Fund Project
Motec estimate that the running cost of the organisation and
maintaining a reasonable educational programme would require
stationary, laptop computers, projector, public address system,
proper documentation and audit system. Sometimes the organisation
may have to sponsor individuals who have no financial resources to
receive both basic and complex surgery in Ghana. This means that
running cost would run into several hundreds of pounds.
6.
Cost of Freight for Equipment and Passenger Tickets Motec
It will cost a minimum of £1,900.00 to send a 20ft container to
Ghana and about £550. 00 to send one motec member to Ghana. There
are two Surgical teams each with a lead consultant in Orthopaedics,
Obstetrics & Gynaecology ENT, Plastic/General Surgeons, Anaesthetist
and a combination of appropriate selection of skilled personnel from
a group of Physiotherapists, Operating Department Practitioners,
Haematologists. Specialist Scrub nurses, Pharmacist Technicians,
Surgical assistants, Registrars, Infection control experts,
Occupational therapists, General nurses, Theatre equipment
sterilisation, plaster technicians and other members from other
departments per team for intensive two-week work in which several
patients will undergo complex and basic surgery and rehabilitation.
As from October 2007, Motec will be sending out three teams to meet
the demand for help. Motec has in mind a separate fund that
individuals or companies who are sympathetic to our course could
contribute into or provide partial or full sponsorship of items or
projects. Motec would welcome shipping agents, airlines, churches,
manufacturing companies, individuals, business executives’ societies
and members of the public to assist her in achieving her goals.
5.
Physiotherapy, Koforidua Central, St Joseph’s and Nkawkaw Holy
Family Hospitals
Koforidua Central has a physiotherapy department that is better
equipped than most NHS physiotherapy facilities in the U.K but has
only one experienced well-trained physiotherapist. There is supposed
to be a physiotherapy training college in Accra but there is severe
shortage of physiotherapists and perhaps, understandably, some have
not been exposed to the rehabilitation of patients undergoing major
orthopaedic bone and joint surgery. There is an urgent need to train
the local staff to carry out the minimum rehabilitation. On the job
training means that for the short term, more of Motec
physiotherapists have to travel with the group to treat patients and
to train staff preferably at the Koforidua Central Hospital. The
target Hospitals have expressed their willingness to assign some of
their staffs to attend short-term training sessions. It will cost
about £4000. 00 per year to send our physiotherapist to Ghana. This
will be against the background of an achievement of specific goals
like improvement of patient rehabilitation, early discharge leading
to more patients being treated. We have learnt painfully of the long
waiting list for basic operations at Koforidua. The organisation is
looking at long-term solutions.
4.
Laboratory, Koforidua St Joseph’s Hospital
The hospital runs a histopathology service with an American
Health Institution in which specimens are airlifted fortnightly.
Unfortunately, microbiology, haematology and clinical chemistry
services, which clinicians may need to aid in diagnosis in a matter
of hours remains inadequate and poor. Equipments such as
microscopes, autoclaves, incubators, safety cabinet and small to
medium automatic analyser’s for sample analysis are all urgently
required. Consumables such as antibiotic susceptibility disks,
Staphaureus, Streptococcus grouping kits, disposable plastic loops,
prolab cryovials, microscopic slides, disposable Petri dishes for
microbiological culture and susceptibility testing are required.
Estimated cost of £20.000 would be needed to set up the pathology
department and provide training for the staff. Donations of
equipments in good working condition could reduce the cost. It is
hoped that benevolent diagnostic companies, or individuals with
skills will contact Motec through our biomedical scientist to
upgrade the services.
3.
Recovery Ward, Koforidua St Joseph’s Hospital
The hospital has a two-bedded room close by the theatre that is
called recovery ward. It is ill equipped and apart from the
Anaesthetist who may visit to review patient, there is no trained
staff, proper recovery or monitoring of patients. There is an urgent
need for equipment in the recovery ward and personnel to be trained
to effect the planned improvement. Items like suckers, ventilation
machine, BP monitors, pulse oximetres, a good supply of oxygen are
the minimum required. It is the recommendation that dedicated
nursing staff are trained in the elite hospitals with effective and
efficient recovery ward and process of recovery such as in some
private Hospitals in Accra. Donated material will help cut the huge
cost of implementation of this project from well over £11,000. 00 to
the cost of freight and sponsorship of local nurses and medical
staff to under £3,000
2.
Elective Orthopaedic Ward
In view of the large mix of admissions, it is necessary to have a
clean ward of about sixteen beds for elective admissions for all
planned non-infected bone and joint surgery. Local builders of St
Joseph’s Church in Ghana may be prepared to provide voluntary
services and the hospital administration at Koforidua are prepared
to support the project. Hospital land has been earmarked for the
project. The total cost of the project is estimated at about
£25,000.00 (under). Benevolent organisations in the U.K have already
donated beds for this Project.
1.
Theatres, Koforidua St Joseph’s and Nkawkaw Holy Family Hospitals
Revamping of the
theatre equipment, surgical instrumentation, tourniquet, safe
anaesthetic equipment. Operating tables to replace very old ones,
orthopaedic traction tables, suckers, improvement in the theatre
sterilisation equipment are essential pat of the drive to improve
hospital care as identified together with our host hospitals.
There
is an urgent need for an improvement in radiological services in the
theatre particularly for fracture management at both hospitals and
working C-arm machine each for these hospital will go a long way to
improve care. It seems that Koforidua is overwhelmed with Trauma
some of which are referrals from Nkawkaw. The authorities at Nkawkaw
and Koforidua seem willing to expand their capacity, which is easily
achievable to cover trauma care. It seems logical that both with
spare third theatre can renovate these and put them to use.
Equipment in good condition that could be easily maintained, donated
to these hospitals with manuals could minimise the cost of
improvement to a minimum of about £5000 to cover local materials and
cost of transport within the U.K. and freight to Ghana.
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