Medical Training in Asia

Training Asian Doctors to Treat Genital Tract Fistula

The Background

Neroli Darren Teaching

Neroli Darren Teaching

MEDICAL Training in Africa was approved as a project with HADA in 2011. Prior to this, it was mainly Drs Judith Goh and Hannah Krause who volunteered in developing countries, particularly in Africa, treating women with obstetric fistula and incontinence together with upskilling local health practitioners. Since that approval was given, and with the donations received, we have been able to expand our services and treat more women.  Recently an invitation has been accepted to extend our service to Asian countries.

Socially ostracized

Utero-vaginal prolapse is a common problem in Australia and Africa. However, in Africa, the women are also socially isolated and often ostracized from family, in particular their husbands. It costs $215.00 to treat each woman with a prolapse. This includes travel to and from hospital, food and all hospital costs.

Engender Health, a USA organisation, ceased its funding for fistula women in 2013. With donations to Medical Training via HADA, we were able to raise funds to continue to treat these women. It costs $324 for each fistula woman. As a woman in rural Africa usually earns less than a dollar a day, the cost of surgery is beyond her means. Each time we visit Uganda for example, we do up to 40 prolapse surgeries and 70 fistula cases. We have been going over to Uganda at least twice a year.

What is it?

Obstetric fistula is the most common fistula worldwide. It is caused by prolonged, obstructed and neglected labour. The long labour results in a stillborn baby and severe maternal pelvic injury. An obstetric fistula results in abnormal communication between the vagina with the bladder and/or rectum. This means that women will leak urine and/or feces uncontrollably into the vagina. These women, who are mostly young and in their fist pregnancy, are usually ostracized by their husbands and families.

The medical team

Dr Goh visits Hada Board

Dr judith Goh

Since 2011, the team has expanded to included Drs Judith Goh, Hannah Krause, Miriam Lee, Neroli Ngenda, Barbara Hall and John Taylor. Nurse Jasinta Suric-Maguire has also assisted, as has Mr Darren Diserens.

We have visited Democratic Republic of Congo twice, far western Uganda multiple times and Ghana twice. The team trained doctors and nurses in the management of obstetric fistula, pelvic organ dysfunction, cervical cancer screening and obstetric vacuum extraction. A formal pelvic flor workshop in Ghana took place in April this year. Nurses and doctors from three hospitals attended.

Combatting typhoid

Medical Training has also contributed to a typhoid campaign. Prior to 2010, admission to hospital in western Uganda with typhoid gut perforation was uncommon. However, since then there has been an escalation of admissions, up to one a day with significant morbidity and mortality. In 2011, Medical Training provided funds for training key community members in villages and health-care givers in ways to reduce typhoid. The campaign was successful in reducing hospital admissions and deaths in the region. A container filed with donated medical equipment was sent to Uganda in 2013, and was distributed to three hospitals (Kagando Hospital, St Paul’s Health Centre and Ishaka Adventist Hospital). Donations of clothing and school satchels were also included to be distributed in a couple of orphanages and rural villagers. ~ Dr Judith Goh

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Related news

  • Slogan Training Asian Doctors to Treat Genital Tract Fistula
  • Project Code AFR-010
  • Project Manager Dr Judith Goh
  • Listing categories Education / Health
  • Location / Region Asia
  • Address PO Box 733
    Ashmore City - 4214
    Australia

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