The two main objectives of the fistula project are to repair fistula and train medical staff. Doctors are trained in fistula repair and nurses in pre-operation, operation and post-operation. In addition midwives are trained in working and following parthogram to prevent fistulas at labour.
During the first year 4 physicians were trained in repairing simple fistulas, and 8 nurses and 10 midwives demonstrated increased competence. During 2010 7 doctors were trained in performing more complex cases of fistula operations and 14 nurses took part in the project’s training program. The program continues to be supported by a number of
To ensure a good continuation there are also follow up visits to the physicians, nurses and midwives when they are back in their own respective working areas.
An important feature of the fistula projects at Panzi is outreach missions. Staff meet women in their villages, to treat them, raise awareness about fistula and to inform them of where and how to get treatment. The outreach team collaborate with local partners including NGO’s, churches and health institutions. The team performs simple fistula surgery on the field while more severe, complex fistula cases are referred to the Panzi Hospital. The costs of transport, treatment and care of referred cases are covered by the project.
Reparations have been performed at Lemera, Luvungi, Nundu (in the south part of the province), Kindu (in the Maniema province) and Kalemie, Kongolo in North Katanga province.
Financial Support: Fistula Foundation, Engenderhealth, PMU
Project Implementation: Panzi Hospital, PMU
The nutrition project addresses the problem of malnourished children in South Kivu has been running since 2000. Malnourishment is a significant problem in South Kivu due to a variety of causes. Displaced families in Bukavu lack access to farmland to grow food and income to purchase it from the market. Extreme poverty, low levels of family planning and good breastfeeding practices also contribute to malnourishment. Panzi Hospital has a monthly average of 50 new cases of severe malnutrition that can result in complications such as anemia, diarrhea, vomiting, infections, dehydration and lack of appetite.
The project began in 2000 with support from a number of organisations. Activities aimed at preventing malnutrition include awareness programs among parents to develop strategies which alleviate malnutrition. Staff also conduct home visits and cultivation training as part of the project.
Implementation: Panzi Hospital
There are few organisations in South Kivu responding to the actual need of treatment for people living with HIV/AIDS. In response to this the Stephen Lewis Foundation established a HIV/AIDS initiative at Panzi Hospital in 2007. Patients come from the Survivors of Sexual Violence (SSV) project, Panzi Hospital’s other departments, outreach activities in churches and schools, and other hospitals and NGOs.
The project offers services such as paediatrics, maternity services, nutrition of inpatients, anti-retroviral treatment, a Volunteer Test Centre (VCT), Laboratory and a secure blood transfusion centre. The project also includes social activities such as micro-credits and school equipment and fees for students. Panzi Hospital staff are also able to perform counselling and HIV testing in villages outside Bukavu.
Funding: Stephen Lewis Foundation
Implementation: Panzi Hospital
Läkarmissionen supports a number of other projects aimed at supporting women and infants. The hospital is also involved in other projects such as mobile clinics.