COSECSA: Achievements And Challenges in Improving Global Surgery

Transcription

1 COSECSA: Achievements And Challenges in Improving Global Surgery Professor Pankaj G. Jani. M.Med.(Surgery), FRCS. Department of Surgery, University of Nairobi. Kenyatta National Hospital Secretary General, COSECSA 1

2

3 SATELITE COUNTRIES Niger Cameroon Gabon Lesotho

4 Countries likely to join Sudan, S. Sudan, Somaliland, Swaziland, Botswana, DRC

5 MISSION OF COSECSA The Mission of COSECSA is: To promote access to and excellence in Surgical Care, Training and Research.

6 COSECSA OPERATION COSECSA is a College without Walls We use national resources to train: Established training institutions Health care delivery institutions Practitioners and employed educators deliver training Trainees are employees engaged by health delivery systems The whole country is a training ground Students do not need to be relocated in order to train

7 COSECSA OPERATION COSECSA works through the Country Chapters Each surgical society is the Country Chapter Therefore the Country Chapters are the face of COSECSA in each country. The two country representatives on Council are the link between COSECSA and the Country surgical society

8 My purpose Enhance the mission of COSECSA to increase surgical capacity and improve surgical outcomes through creative international partnerships for exchange programs for fellows and faculty distance and innovative learning programs Joint research

9

10 Number of Surgeons in ECSA Countries Country Population (m) Surgeon per population Present Kenya (20) 20 Uganda (7.4%) 7.5 Tanzania (6.4%) 7.5 Zambia (14%) 15 Zimbabwe (11.6%) 10 Malawi (4.6%) 5 Ethiopia (7.2%) 7.5 Mozambique (6.5%) 7.5 Rwanda (7%) 7.5

11 Distribution of Surgeons in the ECSA Region 85 % of the Surgeons serve 15% of the urban population

12 COSECSA ACHIEVEMENTS

13 MCS CANDIDATES MCS MCS

14 FCS CANDIDATES GEN.SURG. ORTHO UROL PLAST NEURO PAED

15 COSECSA Achievements up to 2013 Trained & Accredited 147 MCS Candidates ( REGISTRARS ) 102 FCS Candidates (JUNIORCONSULTANTS )

16 What do Graduates do in ECSA Graduated Members of the college perform on average, over 200 operations per year covering Basic and Emergency surgeries while Fellows perform most other surgical procedures in the much needed rural locations.

17 COSECSA CANDIDATES 2014 MCS 76 FCS GEN. SURG. 19 FCS ORTHO FCS PAED FCS NEURO TOTAL 120

18

19 COSECSA Achievements College without walls. Training of surgeons and organizing examinations over the last 11 years. Over 500 training courses in all. This includes 70+ Train the Trainer courses for faculty 290+ Basic Surgical Skills, Basic Surgical Sciences, Trauma and Critical Care courses for Membership candidates. Endoscopy, Laparoscopy, Leadership, Management and Ethics/Professionalism courses 250+ candidates taking the examinations and : Graduated 147 Members (Surgical Registrars) 102 Fellows (Consultants), in 5 specialties

20 Spreading across Africa COSECSA spans across 14 different countries across Africa from Niger in the west to Kenya in the east and from Ethiopia in the north to Lesotho in the south. Examination and Credentialing Seminars have been organized since 2010 with over 70 examiners benefitting to improve training, examinations and eventually provision of safer surgery in the region.

21 Skills Lab

22

23

24

25

26

27

28

29 Surgery in Africa Candidates still read and learn Useful Topics covered Needs Revival

30 E- LOG BOOKS From 2015

31 Cosecsa Partners RCSI Irish Aid Financial support/courses PAACS Run Hosps. in 6 countries and Train surgeons OXFORD UK COOL project / CURE hospitals ASGBI - Courses O.I.S. Toronto SIA CNIS

32 RELATIONSHIP WITH PAACS CAMEROON BINGO HOSPITAL GABON BONGOLO HOSPITAL ETHIOPIA SODO HOSPITAL NIGER SIM GALMI HOSPITAL KENYA KIJABE & TENWEK HOSPITALS TANZANIA LUTHERAN, ARUSHA ALL ACCREDITED FOR MCS TRAINING

33

34 Electricity to Bomet Tenwek

35

36 Sim Galmi Water to Sim Galmi town residents

37

38 CURE HOSPITAL KENYA

39 CURE HOSPITAL UGANDA

40 CURE HOSPITAL MALAWI

41 CURE HOSPITAL ZAMBIA

42 CURE HOSPITAL ETHIOPIA

43 COOL

44 ADVANCED ORTHOPAEDIC COURSES

45 ADVANCED ORTHOPAEDIC COURSES Developing Training Capacity The initial PTC courses in each COSECSA country will be organised and led by teams of experienced PTC instructors and local faculty, in coordination with COSECSA representatives, followed by a transition to local PTC committees in each country who will prioritise and organise subsequent courses to cascade the training in each country, with the aim of reaching areas in most need of trauma training. Inter- COSECSA country exchange of trainers is encouraged to strengthen regional partnerships and consistency in training.

46 COSECSA CHALLENGES

47 What is needed in the next decade Expand capability of general doctors and surgical technicians to offer basic surgery (MCS, ZEST, COST) Make training more practical and competency based Realign capability surgical specialists to leapfrog technology -- Establish Centers of Excellence Emphasize endoscopic and minimally invasive surgery Setting up of more Skills Labs Pankaj Jani 47

48 What is needed in the next decade Eliminate inefficiencies and costly low quality care Exploratory Laparotomy Demand that surgical output reach an average of 5 cases per day per surgeon by fixing health system deficiencies Hospital Equipment

49 How can you be part of the change Visiting Faculty 2 weeks to 1 year Training materials ( Books, DVD s, Simulators, ) Hospital Equipment ( Any useful, Endoscopy/Laparoscopy) Surgery in Africa resatrting Research partnership Sponsorships for : Student Rotations/ Accomodation Etc. Training (1 $ A DAY)

50 How can you be part of the change 1 $ A day for 5 years (sponsor a trainee)

51 How can you be part of the change STOP

52 CONTACTS

53