Doctors working in rural hospitals are advocating for PNG’s National Service Delivery Standards.
ADI is working in partnership with the New Ireland Provincial Government and Namatanai District Health Services to support the ongoing upgrade of facilitaties and services in Namatanai Hospital.
In 2012 volunteer doctors commenced deployment to the Namatanai District Hospital, New Ireland, providing medical treatment for patients and clinical training for staff.
Hospital Capacity Building In Action
Typical conditions: one local doctor, no telecommunications and very poor facilities.
- To hospital upgrade to level 4 hospital according to PNG’s National Service Delivery Standards.
- Hospital has 47,000 outpatients a year (2012 statistics)
- The major causes of referral to Kavieng Hospital are for anaemia, followed by obstetric cases
- Malaria, urinary problems and skin conditions are the major conditions seen in outpatients
- In paediatrics the major common conditions are malaria, anaemia and pneumonia
- In adults, malaria, lung disease and accidents and injuries are the most common
- The major causes of death are malaria, anaemia and pneumonia
Facility and services.
ADI provided operating theatre, blood transfusion service and X-ray facilities, toilets, the first C-Section, the first hysterctomy and provision of regular Family planning implants and Tubal ligation procedures.
In 2015 Dr Theresa Lei became the first Papua New Guinean national employed as an ADI Medical Officer.
- Case-based and group education and in-service training
- Clinical duties in the outpatients department, on daily ward rounds and though clinical consultations.
“I would like to thank Australian Doctors International (ADI) from the bottom of my heart for giving me this wonderful opportunity to contribute to the health of my people in New Ireland Province. Without this wonderful organisation, none of this would have been possible… This was more than just a deployment, it was about making things locally relevant. It was about working with the local staff and supporting them to do what needed to be done.”
Dr Theresa Lei – January 2015
Other activities ADI undertook included:
- The employment of ADI Project officer Dashlyn Chee as the Namatanai District Hospital Health Extension Officer;
- Connection of running water to the operating theatre, the pathology laboratory and the outpatients department;
- Cataract operations: 143 people from Namatanai and surrounding villages had their sight restored thanks to cataract operations performed by the Fred Hollows Foundation. The project was a joint initiative of the Kavieng Hospital’s Ophthalmology Unit, ADI and Namatanai Rural Hospital. A total of 675 people from the area had their eyes screened.
- Scoping infrastructure upgrades including; water and power supply and key medical equipment;
- Regular provision of blood transfusions and Tubal Ligation procedures;
- 245 patients screened through an outreach diabetes and hypertension program which identified and provided management for 34 new cases of diabetes in the Namatanai region;
- Project support for hormonal implant training of 13 health workers – delivered by Rotary Australia;
- Upgrading of the Namatanai hospital laboratory including provision of a new microscope and VDRL shaker, new shelving and paintwork;
There were also on-going weekly Continuing Medical Education Sessions on the following topics:
- Basic life support flow charts; Adult and Peadiatrics ACLS flowcharts; Neonatal Resuscitation Flowcharts
- CPR using the AED machine
- The importance of proper history taking in the OPD to determine the right diagnosis
- Hypertension, stroke and diabetes
- Ischeamic Heart Disease
- Fluid therapy
- The difference between Febrile convulsion Meningitis and Hypoglycaemic fits
- The importance of proper cleaning, disinfecting and sterilisation of surgical instruments
- Apgar scoring in Neonatal
- Determining gestational age for pre-terms and the different vertex positions of a foetus during labour.
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