From July 20 to 25, 2018
Led by Doctor Bruno Schaffner, Commander of the Hospitallers of France, and Doctor Bernard Pincemaille, Hospitaller Knight of the Order of Saint Gabriel
For the third time, our medical team went to Côte d’Ivoire to assess the status of Saint Joseph Hospital in Yamoussoukro. The visit made it possible to determine the needs of this entity, with which the Order of Saint Gabriel has a partnership agreement.
CONCLUSIONS:
- MOTHER-CHILD UNIT: In the process of being organized
- RADIOLOGY UNIT: A number of weaknesses are observed, notably regarding the use of existing high-quality equipment. There is also a critical shortage of competent and available radiologists.
Communication and organization of the reception need to be improved.
A – Lack of Staff Training: At almost all positions – practical, effective internships should be considered and implemented.
B – Critical lack of patients in general, despite the FAVORABLE environment and the regional population.
• Rapid reactivation of EMERGENCIES and the MOTHER-CHILD unit.
• Effective activation of the RADIOLOGY-SCANNER + MRI unit.
• Full-time, competent doctors.
KEY POINTS FOR FUTURE DEVELOPMENT:
• MEDICAL IMAGING – ESSENTIAL UNIT – generates significant revenue for the Hospital.
• Implementation of precise protocols according to pathology – optimize skills:
Radiologists – Technicians – Effective patient preparation (if injection needed).
• Rapid interpretation leading to timely and properly conducted treatment.
• Develop the RENAL DIALYSIS unit – also essential for hospital revenue – INDISPENSABLE.
• The MOTHER-CHILD unit must be rapidly developed.
• The SURGICAL unit requires better organization to allow greater efficiency.
Here too: TRAINING and protocols – Implementation of advanced techniques – epidurals – blocks – upper and lower limbs.
TO ACHIEVE THIS, WE PROPOSE THE FOLLOWING SOLUTIONS:
In agreement with Dr. JP PICHON ENT
Develop an advanced consultation system around Yamoussoukro – in the villages – on-site in the most representative areas of the population, in pediatrics – ENT – dermatology – gynecology, using adapted mobile units – minibus or bus within a 20/25 km radius around Yamoussoukro at first, in agreement with the Government, allowing on-site triage and then referral of patients to Moscati for specialized care.
Train Moscati personnel – on-site – EPU – intervention protocols – sending specialized personnel – Radiology Technicians – Anesthesia – ICU – Renal Dialysis – ENT – Ophthalmology – fully prepared to intervene under the supervision of the medical team of the Order of Saint Gabriel. The trained personnel will then train their colleagues (specialized nurses and others). Practical internships could include Video participation + Colloquia – On-site Q&A.
HEREFORE:
Initially, these are the solutions we propose to engage Moscati Hospital, which presents many advantages to actively develop and thus achieve quality outreach in the region and beyond, given its location between Abidjan and Burkina Faso.
Bruno SCHAFFNER
Hospitaller Commander of the Order in France
