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The Institute of Ear , Nose and Throat Surgery and Audiology
Beit Cure Hospital Lusaka ZambiaAlice Kirby
Ann O’ConnorHannah O’Driscoll
Uta FoeschlKieran O’Driscoll
Basic Zambian Facts
• Land – locked country• Approx 12 million pop.• Former Northern Rhodesia• Independent since 1964• Mostly rural but most urbanized in Sub Saharan
Africa• Democratic and politically stable• Famous for Victoria Falls and wildlife
Core Health Indicator
Zambia UK
Physicians (number)
1,264 133,641
Physicians (density/ 1000
population)0.1 2.3
Nurses (density/ 1000
population)1.5 12.1
UK Zambia
Total population 59,668,000 11,657,000
Life expectancy at birth M/F (years)
77 / 81 40 / 40
Probability of dying under five (per 1000 live births)
6 182
% population living below poverty line < $1/day
- 64
African Health Issues
• HIV• Malaria• TB• Surgery as a public health Issue• Organisational Issues leading to specialty
crises – burden of acute and chronic suffering
Recent WHO perspective on Surgery
• 11 – 13 % of world health burden is surgical• Surgery is public health issue• Surgery in developing countries is
underfunded• ENT surgery must be regarded as public health
issue in context of retuning people back into the work force and children back into the classroom
Zambian ENT Services
• Based only in (UTH)• 4 Doctors in 2004• Now 2 – 3 doctors• No Audiologist• No peripheral clinic in
2004• Now 1 clinic in Ndola
ENT Zambian Trust Fund
The ENT Zambian Crisis
The Zambian ENT Crisis
The ENT Zambian Crisis
Summary of Findings Mar ‘04• Under equipped• Under-funded• Under- trained• No leadership• Ear issues – mortality/morbidity/ Deafness• Head neck issues - late diagnosis
What Needed To be Done
• Supply equipment• Support Training• Financed short term
locums for ENT Surgeons• Financed Anaesthetic/
Audiological/ Nursing locums
Partnerships/Collaborations up to 2006 and beyond!
Hearing Aids
Amplifon
Bonvox
Audiology Techno
Equipment
Metronics
Eurosurgical
Technosurgical
Local Partnerships
Christian Blind Mission
Local E.N.T Surgeons
University Teaching Hospital
Lusaka Eye Hospital Irish Funding
Rotary Tullamore
Electric Aid (E.S.B)
Gorta
Individual Irish Donors
Integrated Community Groups
SMA Fathers
Sisters of Mercy
Donations from Irish Hospitals
Tullamore General Hospital
Royal Victorian Eye and Ear Hospital Dublin
St.Francis Hospital Mullingar
What To Do Next
Central Hub Development
Peripheral Contact ( ? Mobile Clinic)
Sustainable ENT Service
Partnerships /Collaborations – Keys to success
Education PartnershipsUniversity of ZambiaCOSECARCSI
ENT PartnersENT Zambia
Christian Blind Mission
Hospital PartnersZambian GovernmentCURE InternationalBEIT Trust
Financial PartnersIrish AidGORTA BMZ Germany