Surgical Training Programin Sierra Leone

September 2013

Objective of the Program

• To train Medical Doctors (MD) and Community Health Officers (CHO) to perform basic life saving surgery at district hospital level

• By Using the concept of task-shifting in surgery widely used in East-Africa

• In cooperation with the Ministry of Health and Sanitation and a strong network of partner hospitals

Classroom Sessions

Skills Training - Ultrasound

Skills Training - Obstetrics

Practical training

Teaching Facilities

Primary Training Center1. Masanga Hospital

Partner Hospitals2. Magbenteh, Makeni3. Holy Spirit, Makeni4. St John of God, Lunsar5. Kamakwie Weslian Hospital6. Lion Hearth Medical Center, Yele7. Gundama Refferal Center, Bo8. Serabu Catholic Hospital9. Aberdeen Womens Center,

Freetown

Housemanship Hospitals10. Canaught University Hospital,

Freetown11. PCMH Maternity Hospital, Freetown

Number of students in the program

1st half 2011 2nd half 2011 1st half 2012 2nd half 2012 1st half 20130

2

4

6

8

10

12

14

16

18

2

5

8

12

16

Number of attended procedures

1st half 2011 2nd half 2011 1st half 2012 2nd half 2012 1st half 20130

500

1000

1500

2000

2500

3000

3500

214

634

1409

1912

3260

Procedure Number Percentage1. Inguinal hernia repair 2095 28.2%2. Caesarian Section 1292 17.4%3. Explorative laparotomy 419 5.4%4. Tubal ligation 315 4.2%5. Incision & Drainage 257 3.5%6. Hysterectomy 246 3.3%7. Obs/Gyn Other 241 3.2%8. Scrotal Hydrocele 240 3.2%9. Dilatation and Curettage 189 2.5%10. Appendectomy 179 2.4%Other 1958 26.3%Total 7431 100.0%

Top 10 procedures