International charity, Mercy Ships returned to Madagascar to bring transformative surgical education and free, life-changing surgeries.
Freshly refitted hospital ship, the upgraded Africa Mercy® has arrived at the island nation to build on the charity’s long-standing collaboration and will provide specialised surgeries in various fields, including maxillofacial and ear nose and throat, general, pediatric specialised general, pediatric orthopedic, cataract surgery, and reconstructive plastics.
Surgical services
But islanders are being urged to wait to hear on local radio stations about small regional patient selection opportunities in their area for certain conditions rather than to make their way to the ship where no selections are happening.
A 2016 study of Madagascar revealed that only 20% of the population can access surgical services within a two-hour timeframe, and up to 95% would face financial ruin if they required surgery. With a scarcity of physicians, approximately 20 for every 100,000 people, the prospect of receiving necessary surgical treatment seems unattainable for many.
Education, training, and advocacy
The charity will begin by focusing on enhanced partnerships and relationship-building as part of its ETA
In Mercy Ships’ fourth field service, with preceding visits in 1996, 2014 - 2016, the charity will begin by focusing on enhanced partnerships and relationship-building as part of its education, training, and advocacy (ETA) programme in combination with building up its surgical schedule.
Esperant Mulumba, Mercy Ships Country Director in Madagascar, said, “We plan to spend the weeks following the ship’s arrival running patient registration in several different locations and these details will be released on local radio and advertised in the specified areas of the greatest need."
Specialised surgeries
Esperant Mulumba adds, "Surgeries can only go ahead for specific conditions when we have a full complement of volunteers to ensure specialised surgeries can happen as planned at the end of May without delays and rescheduling."
Esperant Mulumba continues, “Again, prospective patients should wait for updated information to be released through local radio stations – no patient selections will be conducted at the ship.”
Quality education and training
This focus aligns with a need for quality education and training that emerged in a recent evaluation
Mercy Ships is actively collaborating with Madagascar's Ministry of Health to identify the most pressing needs and strengthen the country's surgical systems in the long term.
Through the ETA strategy, the organisation aims to increase the number of surgical providers, provide training across the surgical ecosystem, develop sustainable educational programmes, establish a network of healthcare providers, and advocate for the importance of surgery in healthcare globally. This focus aligns with a need for quality education and training that emerged in a recent evaluation carried out by Mercy Ships in Madagascar.
Surgical training programme
Esperant Mulumba said, “There is a huge desire within the health system in Madagascar to improve the quality of education. We will be able to leverage the availability of the ship in the port of Toamasina as a platform through which we can strengthen the surgical training programme that the government has by providing residencies and other sorts of training opportunities for local surgeons, anesthetists, and other professionals of the healthcare system, particularly those related to the surgical ecosystem.”
Surgical and dental care
Throughout previous visits, Mercy Ships collaborated with the government and the Ministry of Health to provide more than 6,425 life-changing surgical procedures and over 52,395 dental procedures. In addition to delivering life-changing surgical and dental care, Mercy Ships has a longstanding commitment to education, having trained 2,019 healthcare professionals in the past.
Simulation courses
Esperant Mulumba continues, “In our last field service, we were able to provide life-transforming, life-changing, life-enabling surgeries that have allowed the people that benefited from them to be part of the communities they come from and allowed certain people to return to their jobs."
Esperant Mulumba adds, "They brought a certain dimension of hope that otherwise would not have been experienced an impact that we can't measure. We’re seeing professors that are still teaching the simulation courses that were initiated by Mercy Ships, and we’re seeing the interns that are still benefiting from this.”
Highlights of the refurbishment
Highlights of the Africa Mercy’s® refurbishment included an information technology (IT) upgrade enhancing the ship’s operating theatre functionality and performance by enabling seamless coordination between the Africa Mercy® and Mercy Ships’ latest hospital ship, the Global Mercy™, currently serving the nation of Sierra Leone in West Africa.
Upgrades will support the provision of essential training for local doctors, fostering the development of in-country healthcare professionals. Additional improvements included the modernisation of the galley, upgrades to the elevator system, and remodeling of several cabin spaces, enabling the ship’s community to better serve those in need of surgical care.
