ISU Audiology in Africa Uganda Statistics. Uganda 2012

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1 ISU Audiology in Africa 2012 Gabriel Anne Bargen, Ph.D., CCC A/SLP Assistant Professor of Audiology Idaho State University Uganda Statistics Uganda total area 91,135 sq mi Land area 77,108 sq mi Total population million 49% under 15 years of age Life expectancy at birth female: 52 years; males: 48.8 years In 2010, ~1.3 million pupils below 18 years were orphans In 2009/10, 7.5 million (living in 1.2 million households) were considered poor Official language English but Luganda most widely used and preferred Religions: Roman Catholic (41.9%), Protestant (42%), Muslim (12.1%) Labor agriculture, fishery 458,106 businesses registered in 2010/11 on average each business employed about 2 persons Malaria remains highest cause of morbidity and mortality among children < 5 years 1

2 Kampala Statistics Largest city and capital of Uganda Population 2012 midyear 1.72 million 2

3 501(c) 3 non profit organization Mission: develop successful international partnerships and projects in the areas of Education, Health Care and Economic Development (main focus Africa) Nsumba Orphanage Project Nsumba Orphanage Project Began in 2009 The partnership has flourished into a 5 year commitment to help enhance the infrastructure and resources of the orphanage with an intent to create a self sustaining community. Boise based teams travel twice a year to provide medical screening, develop projects to improve the general well being of the students and to create partnerships with groups in Boise to assist with support. More information at 3

4 Nsumba Orphanage 20 miles outside of Kampala (capital city of Uganda) owned by Kampala Catholic Diocese managed by the Ggogonnya Sisters Nsumba serves over 500 children ~400 live at Nsumba and another ~100 come in for school Life at Nsumba 4

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7 Team Nsumba 2012 Margaret Doucette, M.D. Physician at Boise VA (previously at Elks Wound Center) Nsumba project lead for Be the Change, Inc. Numerous medical mission trips Judy Thorne, MPA, RTC Program Coordinator; HIV/Viral Hepatitis Education 3 rd Medical mission trip to Uganda Gabriel Bargen, Ph.D., Audiologist 6 th Medical mission trip Nicole Butler ISU AuD student, started 4 th year externship Bessie Katsilometes, Ph.D. Dean, Academic Programs ISU Meridian Health Science Center Jason Bargen (Dr. B s husband) 4thMedical mission trip Team Nsumba 2012 con t Nursing staff (4) 1 from Utah, 3 from Boise (St. Luke s) High school students (3) Boise Watumishi Photographer/blogger 7

8 ISU Team Members In Country Help William: Driver and liaison Peter: Liaison and coordinator **Also had additional drive that came with the rental vans 8

9 Nsumba Orphanage Uganda, Africa Goals of medical team: Create a medical record for 600 students Begin HIV/malaria screenings with local referral Hire a Ugandan Clinical Officer to be on site Establish ISU student rotations (Audiology, Dental, PA) Other work: donate supplies, shoes, toothbrushes, balls, school items, etc. Audiology Goals o Hearing screenings on as many students as possible o Hearing evaluations as needed o Cerumen Management (earwax removal) o Hearing aid fittings as needed 9

10 Making contact Equipment/Supplies Battery powered portable audiometers ISU Otoscopes ISU Otoacoustic emissions unit ISU Cerumen removal tools Manipulation, irrigation, drops ISU; donated from Westone, Elks H&B; purchased by Be the Change, Inc. Hearing aids Donated by GN Resound Hearing aid fitting tools Donated by Westone Hearing aid batteries Donated by ZeniPower and Rayovac 10

11 Screenings Cerumen Removal 11

12 Hearing Aid Fitting None fit at orphanage 1 fit to a 19 year old refugee from Congo Connection made from family in Boise Hearing loss due to blunt trauma at age 12 Loss was conductive probably middle ear bones dislodged/disconnected With hearing aid will hear essentially normal given type of loss Arnold s hearing aid 12

13 Fitting a hearing aid in 3 rd world country Not quite as easy as USA hearing aid fitting Old technology Trim pot Earmold Follow up??? Audiology Statistics Total individuals served: 149 Students: 141; Adults: 8 Hearing screenings completed: 138 Hearing loss identification: 16 OAE screens: 8 Cerumen management: 35 Foreign object removal: 2 Hearing aid fit: 1 Middle ear infections: 9 ENT consults needed: 5 13

14 Successes Charlie Day 2 Day 10 Other Nsumba Project 2012 Successes Mosquito nets Distributed donated items Met with Archdiocese Met with Dean of Public Health at Makerere University Began interviews for Health Controller TASO HIV education and HIV testing 14

15 TASO Destiny Friends International 15

16 Dr. William Bazeyo Dean School of Public Health Asso. Prof. Occupational Med. College of Health Sciences Time for Play! 16

17 Amazing country, amazing kids Be the Change, Inc. Nsumba Project 2012 was a success! Safari Time 17

18 Future Opportunities Ecuador, South America July 13 21, 2013 Trip planned by MMF Medical Missions Foundation out of Kansas $2000 per participate Space limited (application process) Potential but not confirmed Uganda, Africa (2013) Tanzania, Africa (2014) Local hearing aid fitting Starkey Special Olympics Cerumen removal clinics (Meridian) Webale! Questions? 18

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