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Asma­ra, April 2025: The neo­na­to­lo­gy unit at Orot­ta Hos­pi­tal is almost unre­co­g­nisable: After months of refur­bish­ment and careful pre­pa­ra­ti­on, the ward was able to reopen in March. An exten­si­ve ter­mi­te infe­sta­ti­on in the walls neces­si­ta­ted swift action. Two of the peo­p­le who play­ed a key role in the pro­ject talk about con­s­truc­tion site dust, inten­si­ve trai­ning days and quiet moments that got under their skin: Dr Rena­te Turan, seni­or con­sul­tant at Imma­nu­el Kli­ni­kum Ber­nau, and site mana­ger Nor­bert Kess­ler.

Dr Turan, what par­ti­cu­lar­ly moved you about this assign­ment?
The trans­for­ma­ti­on. The ward was pre­vious­ly din­gy and part­ly wit­hout func­tio­ning tech­no­lo­gy. Now it is modern, struc­tu­red — a place whe­re pre­ma­tu­re and new­born babies have a real chan­ce of sur­vi­val. When the first child­ren moved into their new warm beds on the fifth day of our mis­si­on, it was a goo­se­bump moment.

What spe­ci­fic medi­cal impro­ve­ments have been made?
We have intro­du­ced the nur­sing staff to the use of sta­te-of-the-art tech­no­lo­gy: Satu­ra­ti­on moni­tors, radi­ant war­mers, per­fu­sors. The devices run sta­b­ly — even during power cuts. The new hea­ted beds keep the tem­pe­ra­tu­re con­stant. Carers regis­ter alarms more quick­ly and take more tar­ge­ted action. That saves lives.

Were the­re any par­ti­cu­lar chal­lenges?
Yes — espe­ci­al­ly when it came to hygie­ne. The­re is still a gre­at need for trai­ning, for exam­p­le in hand dis­in­fec­tion or hand­ling venous acces­ses. Unfort­u­na­te­ly, the­re have been serious infec­tions in the past. Tha­t’s why we have repea­ted­ly empha­sis­ed basic mea­su­res and dis­tri­bu­ted small dis­in­fec­tant dis­pen­sers — they fit in every lab coat pocket and make a dif­fe­rence. Hygie­ne is not a minor mat­ter — it is essen­ti­al for sur­vi­val.

Was the­re a moment that touch­ed you per­so­nal­ly?
Abso­lut­e­ly. An assistant doc­tor from gynae­co­lo­gy came to the ward round vol­un­t­a­ri­ly after her shift to learn more. This wil­ling­ness shows that our work is effec­ti­ve — not just tech­ni­cal­ly, but also on a human level. The­se are the moments that give mea­ning to our work.

Mr Kess­ler, what was your big­gest con­s­truc­tion chall­enge?
The time frame of 18 weeks was tight, so ever­yo­ne had to pull tog­e­ther. The cul­tu­ral dif­fe­ren­ces led to con­flicts at one point or ano­ther. But in the end we found solu­ti­ons tog­e­ther — often more prag­ma­ti­cal­ly than we are used to at home. For exam­p­le, the fresh plas­ter had to be pain­ted straight away.

How was the col­la­bo­ra­ti­on with your Eri­tre­an col­le­agues?
With respect. And tha­t’s what counts. In the end, we were all working towards the same goal.

What was a spe­cial moment for you per­so­nal­ly?
When we had sea­led the last win­dows, we heard the first cries of a new­born baby from the neigh­bou­ring room. Tha­t’s when we knew: We’­re not just buil­ding walls here — we’­re crea­ting a place whe­re life beg­ins.

Dr Peter Schwid­tal, First Chair­man of Archemed, adds:
‘Our craft­smen have done a fan­ta­stic job: What a pie­ce of jewel­lery has been crea­ted! Health Minis­ter Amna is also deligh­ted with the new pre­mi­ses.

A shared out­look?
Dr Rena­te Turan: We want to pass on our know­ledge — per­ma­nent­ly. The trai­ning cour­ses in the new tech­no­lo­gy were a start. Now it’s a mat­ter of our local col­le­agues deve­lo­ping the con­fi­dence to con­ti­nue inde­pendent­ly. We still have a lot plan­ned: Hygie­ne trai­ning, ultra­sound trai­ning, etc.
Nor­bert Kess­ler: And we must never for­get: Our stan­dard can­not be taken for gran­ted. But with respect and team spi­rit, we are brin­ging it a litt­le clo­ser.

Archemed plans to con­ti­nue sup­port­ing the Orot­ta Hos­pi­tal in the future with exper­ti­se, medi­cal equip­ment and mate­ri­als in order to fur­ther impro­ve the qua­li­ty of tre­at­ment and give child­ren a bet­ter future. Archemed is asking for dona­ti­ons to con­ti­nue the pro­ject: www.archemed.org/spenden, dona­ti­on account IBAN: DE63 4145 0075 0000 0882 03 (Spar­kas­se Hell­weg-Lip­pe).