Global Health: The 10 year Ghana Experience

James Aikins, MD FACS, FACOGAssociate ProfessorCooper Medical School of Rowan Univ.Medical Director /Founder International Healthcare Volunteers Inc

A F R I C A

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 Team2002

IHCV Medical Mission Team2009

IHCV Medical Mission Team 2012

IHCV Medical Mission 2002-2012 (2 weeks)Year Total Patients Major Surgical

ProceduresDays 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

P R O G R A M S Primary Care

PediatricsMedicineOB/GYNDental Screening

Specialized CareMFMGYN OncologySurgical OncologyGIID/HIV

CME/Didactics Outreach

Cape Coast Orphanage

Blood DriveBP screeningCommunity Media -

Primary Prevention

F I R S T S I T E

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 + 35(11%)Colposcopy/Bx 25

○ CIN I 17○ CIN II 6○ CIN III 2○ Cancer 0○ Pending 10

OPERATING ROOM

Case GO

Exp. Lap – TAHBSO debulking

- Chemotherapy - Currently NED after

4 Courses of Chemo

IHCVSustainable Educational Arm Partners

University of Cape Coast – School of Medical Sciences○ CME

AttendingsHouse OfficerNursing

○ 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

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Kakum Rain Forest

Rich Culture - AKWABA

Elimina Castle

Cape Coast Castle

International Healthcare Volunteers Ihcv.org Contact: IHCVINFO@GMAIL.COM

ELIMINA CASTLE

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