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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.

Archemed Surgery Tanzania
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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