For many years, an experienced team of paediatric surgeons, paediatric orthopaedists and plastic surgeons, together with paediatric anaesthetists and surgical staff, has been travelling to the Tanzanian province of Ifunda to treat children with congenital and acquired malformations of organs and extremities, as well as patients with severe burns and their consequences. Since February 2022, these missions have been taking place under the umbrella of ARCHEMED, and the team has been working in the hospital in Tosamaganga since 2023.
Most people in Tanzania are so poor that they cannot afford the equivalent of three euros per day for a hospital stay! And so, on the first official day of the mission, the central admissions area is already full of people. Some of them travel more than 500 kilometres and for more than ten hours to have their children operated on by the German surgical team free of charge. In addition to general paediatric surgery and paediatric orthopaedic care, the project also focuses on burn surgery.
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In Tanzania, as in many African countries, people cook in or in front of their huts, using open fires or unstable and unsecured kerosene stoves. This is particularly dangerous for young children, who inadvertently crawl onto or into these fireplaces and often suffer severe burns (so-called ‘fire children’). The wounds are then inadequately treated, often not at all. As a result, extensive and sometimes disfiguring scars or scar contractures develop. The latter lead to joint stiffness, which later makes it difficult or even impossible for the child to pursue gainful employment.
In complex operations that often last several hours, these patients, who are as young as a few months old, are treated and followed up, if necessary with skin grafts. During a two-week mission, an average of 160 children are examined and almost 40 of them undergo surgery. In addition, there are about 50 anaesthesia-requiring treatments such as painful dressing changes.
Project management
Dr Naim Farhat, paediatric surgeon, Hamm