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Mission: Tanzania November 29, 2015
Complexity: Medium - High
Where in the World Tanzania is located in the eastern region of Africa. It is bordered by Kenya and Uganda to the north; Rwanda, Burundi, and the Republic of Congo to the west; and Zambia, Malawi and Mozambique to the South. The population of Tanzania is about 47.4 million and 45% of the population are children between the ages of 0-14. The population distribution of Tanzania is extremely uneven with most people living on the northern border or eastern coast. Many Tanzanians live on an equivalent of less than a dollar a day. The Mwanza Region is located in northern Tanzania with a population of 2,800,000, the second largest city in Tanzania. The Mwanza Region is occupied by various tribal groups. The region currently has 6 hospitals, led by the Bugando Medical Center. Healthcare in Tanzania Healthcare in Tanzania is not accessible to the entire population. It is only available to those who have income. Health insurance has only been recently introduced, but it is very limited and does not attend to the needs of the majority of Tanzanians, particularly those outside of urban areas. For a population of almost 50 million people, there are only approximately 800 qualified doctors in entire the country. This patient to doctor ratio is among the worst in all of Africa. The Children According to UNICEF, the under-five mortality rate in Tanzania is strikingly high at 81 deaths per 1,000 live births. The infant mortality rate is 51 per 1,000 live births. Tanzania is making considerable progress in the reduction of child mortality due to the government’s commitment to increase use of key health interventions. These include sustained high coverage of under-five immunizations, Vitamin A supplementation, insecticide treated bed nets, and better treatment for malaria. The Mission This inaugural Mending Kids ARM mission to Mwanza will take place from November 29-December 5, 2015 in collaboration with the surgical team from the Colorectal Center at Cincinnati Children's Hospital and the Bugando Medical Center. This mission will be led by pediatric surgeon, Dr. Jason Frischer. The goal is to provide life-changing surgeries for up to 15 kids, including training for local surgeon, Sister Dr. Alicia Massenga. There are currently hundreds of children at the center with complex colorectal malformations who are awaiting surgeries. Goals Short term: 1. Mend a dozen children requiring complex surgeries to help Sister Dr. Massenga gain more skills and confidence. 2. Train nurses on bowel management and post-operative care for their patients. Intermediate term: Collaborate with other mission teams to have a steady flow of surgeons travel to the Bugando Medical Center throughout the year to keep up the doctors' training. This will not only empower Sister Dr. Massenga but also encourage the Bugando Medical Center to allocate more funds for pediatric congenital colorectal care. Long term: Establish a successful colorectal program in Tanzania so that children from all over the country and region can be referred there for safe, life-changing surgeries.Read more