Global Health: The 10 year Ghana Experience
James Aikins, MD FACS, FACOG Associate Professor Cooper Medical School of Rowan Univ. Medical Director /Founder International Healthcare Volunteers Inc
AFRICA
International Healthcare Volunteers, Inc. Established
in 2001
501c non-profit organization To provide medical services to women and their families in underserved areas To facilitate educational opportunities to healthcare providers in underserved areas
Goals of the Organization
To provide medical and surgical services to underserved regions of Africa ,Caribbean South America and Asia Institute ongoing medical education seminars for healthcare professionals Provide support for Undergraduate and graduate physician training in underserved areas.
IHCV Medical Mission Team 2002
IHCV Medical Mission Team 2009
IHCV Medical Mission Team 2012
IHCV Medical Mission 2002-2012 (2 weeks) Year
Total Patients
Major Surgical Procedures
Days
Volunteers
2002
210
24
8
9
2003
450
40
8
24
2004
600
42
8
18
2005
1400
66
8
33
2006
910
53
8
28
2007
930
67
8
27
2008
900
65
8
30
2009
1000
74
7
32
2010
950
110
8
52
2011
1350
95
8
42
2012
990
90
8
32
Volunteers
Medicine ID GI Pediatrics Surgery Gynecologist GYN oncology MFM Anesthesiology
Urogynecology Nurse anesthetist Dentist Dental Assistant Nurses Resident Physician Medical Students Senior Volunteer Junior Volunteers
Medical Mission 2012
Regional Hospital @Cape Coast Metropolitan Hospital @Cape Coast Apam Mankessim- Fistula Hospital KNUST Kumasi LaGeneral Hospital
PROGRAMS
Primary Care
Pediatrics Medicine OB/GYN Dental Screening
Specialized Care
MFM GYN Oncology Surgical Oncology GI ID/HIV
CME/Didactics Outreach
Cape Coast
Orphanage Blood Drive BP screening Community Media Primary Prevention
FIRST
SITE
INITIAL SURGERY SITE
FIRST CLINIC DAY
PEDIATRIC CLINIC
IHCV Clinical Sustainable Projects Cervical Cancer Screening Project Colon Cancer Screening Project HIV Screening and Prevention Program
WHO
Cervical Cancer 2nd most common Cancer in developing countries
World wide 500,00 new cases/year
80% of cervical cancer occurs in developing countries
25% occurs in Africa
Cervical Cancer Screening Program Pap smears not in existence in Ghana 2009 – Workshop/Colposcopy cervical Ca screening 2010-2012 Continued screening, colposcopy of HR HPV patients Cryotherapy Cone biopsy
Cervical Cancer Screening 2009 – 2012 (10 days/year) Sites: Cape Coast/Kumasi Total Screened 310 Ages 30- 52 yrs
HR HPV + Colposcopy/Bx ○ CIN I ○ CIN II ○ CIN III ○ Cancer ○ Pending
35(11%) 25 17 6 2 0 10
OPERATING ROOM
Case GO Exp. Lap – TAHBSO debulking - Chemotherapy - Currently NED after 4 Courses of Chemo
IHCV Sustainable Educational Arm
Partners University of Cape Coast – School of
Medical Sciences
○ CME Attendings House Officer Nursing ○ Didactic program for 4th and 5th year Medical
students
Korle-Bu Teaching Hospital ○ Oncology Fellowship
Korle-Bu Teaching Hospital
Cape Coast Orphanage Orphans due to AIDS 160,000 Orphans due to other causes 110,000
Challenges Lack of Physicians Lack of Facilities to Process Specimens Not a High Priority
WELL BABY/CHILD CLINIC
Apam – Accident & Emergency Ward
AD
AD
Kakum Rain Forest
Rich Culture - AKWABA
Elimina Castle
Cape Coast Castle
International Healthcare Volunteers Ihcv.org Contact: IHCVINFO@GMAIL.COM
ELIMINA CASTLE
THANK
YOU