Juba Link Newsletter No. 4


The second trainers visit to Juba Teaching Hospital took place between the 17th March and 3rd April 2009.  The team was led by Dr Eluzai Hakim, Physician and included Dr Fiona Henderson, Anaesthetist and 2 Nurses – Sharon Evemy and Noreen Collins.

Dr Eluzai Hakim attended ward rounds, medical referral clinics, discussed the value of training and how to progress their careers as junior doctors, as well as undertaking teaching to many of the trainee doctors. He also met with the Ministry of Health and explored the establishment of a School of Nursing and Midwifery.

Dr Fiona Henderson worked alongside the Medical Assistants (non-medical anaesthetists) and was able to do some “hands on” training during the routine and emergency work.  She was particularly concerned by the high number of maternal and perinatal mortality rates and noted that there was no obstetric analgesia provided and no anaesthetic presence in the Labour Ward and that the Labour Ward Theatre was unused. Emergency and  elective Caesarian sections were performed in the main theatre block.

Mrs Sharon Evemy and Mrs Noreen Collins were able to work on the wards and having assessed the most urgent needs concentrated their teaching on training in basic observations, recording of vital signs, implementing a very basic care plan, multi-disciplinary team working and also spent an afternoon in the hospital Resource Room illustrating how nurses could access information online for research, reading nursing journals and accessing websites for information relevant to their practice and personal development.

Over the last few months discussions took place with The Real Medicine Foundation in the USA as they were interested in establishing some medical input into Juba, mainly through Primary Healthcare Clinics.  However, they were also interested in getting the defunct School of Nursing and Midwifery going.  Following the submission of a business case by the Juba Link and  many long-distance phone calls a Memorandum of Understanding was established between the Real Medicine Foundation, The Juba Link, The World Children’s Fund and the Ministry of Health (GOSS) and funding was made available through the World Children’s Fund to re-establish the School of Nursing and Midwifery at Juba Teaching Hospital.  This is due to reopen in October 2009.

Discussions are being held with FK Norway – a team of orthopaedic surgeons who are planning to undertake training in orthopaedics at Juba Teaching Hospital.  It is hoped the Link and FK Norway will be able to build accommodation and work together in Juba.

During November and December 2009 a team from the Juba Link will visit to undertake training and operative management of vesico-vaginal fistulae.   This is a common and degrading problem for many children and young women who are married at an early large, become pregnant and have an obstructed labour as they are not fully grown themselves.  This leads to a fistula and leakage of urine causing these girls to become outcaste.  A relatively simple operation, in many cases, can put this right and they can lead a normal life thereafter.  The team is being lead by Mr Mike Bishop, Urologist from Nottingham and Mr John

Makunde, Urologist from the Isle of Wight.  The rest of the team are Tim Walsh, General Surgeon , Zorina Walsh, Educationalist and Coordinator , Fiona Henderson, Anaesthetist and Sharon Evemy, Nurse.  Funding for this visit has been made available thanks to grants from the British Medical Association and the Foreign and Commonwealth Office in Juba.

A Mental Health  team, led by Dr Jane Newson-Smith plus 2 midwives (France Reed and Jane Alger) are planning a visit to Juba Teaching Hospital in March/April 2010 and it is hoped to follow this with a visit by a team from Emergency Medicine, led by Dr Maria Lynch.

The first Juba Link AGM was held on the 22nd June 2009 and the following are now Trustees : Dr Marilyn Boll, Mrs Sheila Paul, Mr David Redstone, Dr Jane Newson-Smith, Dr Fiona Henderson, Mrs France Reed, Mrs Sharon Evemy.

Fundraising  in aid of the St Mary’s Hospital,IW-Juba Hospital Link :

  • Kim Hayter doing a parachute jump on the 17th September
  • John Cassidy just completed a cycle ride across Ireland
  • Pub quiz at the Riverside Centre, Newport at 7pm on the 18th September 2009
  • West Wight Triathlon on 20th September– team entry :
  • Car boot organised by Kim Hayter on 20th September
  • JP’s Beach Party on the 27th September at The Beach Huts at Appley Park, Ryde from 2pm.  BBQ, fun, games for all the family
  • Joint open meeting with the Anandadhara Shishu Niketan charity at Binstead Community Centre, Ryde at 6.30pm on the 2nd November.
  • Music Pot Pouri at the Methodist Church Hall, Quay Street, Newport on the 6th November at 7.30pm
  • Bikeathon (4 hrs of cycling in the gym) sponsored by TJ’s Gym at Lake on the 14th November.  25 bikes available for teams of 4 each. Must raise at least £100 per bike.
  • Hospital Chrismas Quiz on the 10th December.
  • New Leaflets have been printed and forms for “Membership/Friend of the Juba Link” are on the back.  It only costs £5 per year to become a Friend.
  • The Isle of Wight PCT (St Mary’s Hospital) have kindly agreed to enact “Give as your earn” donations from salary.  It is hoped to be able to start this by October 2009.

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