Global Health: The 10 year Ghana Experience James Aikins, MD FACS, FACOG Associate Professor Cooper Medical School of Rowan Univ. Medical Director /Founder International Healthcare Volunteers Inc

A F R I C A

International Healthcare Volunteers, Inc.  Established in 2001  501c non-profit organization  To provide medical services to women and their families in underserved areas  To facilitate educational opportunities to healthcare providers in underserved areas

Goals of the Organization  To provide medical and surgical services to underserved regions of Africa,Caribbean South America and Asia  Institute ongoing medical education seminars for healthcare professionals  Provide support for Undergraduate and graduate physician training in underserved areas.

IHCV Medical Mission Team 2002

IHCV Medical Mission Team 2009

IHCV Medical Mission Team 2012

IHCV Medical Mission (2 weeks) YearTotal PatientsMajor Surgical Procedures DaysVolunteers

Volunteers  Medicine  ID  GI  Pediatrics  Surgery  Gynecologist  GYN oncology  MFM  Anesthesiology  Urogynecology  Nurse anesthetist  Dentist  Dental Assistant  Nurses  Resident Physician  Medical Students  Senior Volunteer  Junior Volunteers

Medical Mission 2012  Regional Coast  Metropolitan Coast  Apam  Mankessim- Fistula Hospital  KNUST Kumasi  LaGeneral Hospital

P R O G R A M S  Primary Care Pediatrics Medicine OB/GYN Dental Screening  Specialized Care MFM GYN Oncology Surgical Oncology GI ID/HIV  CME/Didactics  Outreach Cape Coast Orphanage Blood Drive BP screening Community Media - Primary Prevention

F I R S T S I T E

INITIAL SURGERY SITE

FIRST CLINIC DAY

PEDIATRIC CLINIC

IHCV Clinical Sustainable Projects  Cervical Cancer Screening Project  Colon Cancer Screening Project  HIV Screening and Prevention Program

WHO  Cervical Cancer 2 nd most common Cancer in developing countries  World wide 500,00 new cases/year  80% of cervical cancer occurs in developing countries  25% occurs in Africa

Cervical Cancer Screening Program  Pap smears not in existence in Ghana  2009 – Workshop/Colposcopy cervical Ca screening  Continued screening, colposcopy of HR HPV patients  Cryotherapy  Cone biopsy

Cervical Cancer Screening  2009 – 2012 (10 days/year)  Sites: Cape Coast/Kumasi  Total Screened 310 Ages yrs HR HPV +35(11%) Colposcopy/Bx25 ○ CIN I 17 ○ CIN II 6 ○ CIN III 2 ○ Cancer 0 ○ Pending 10

OPERATING ROOM

Case GO Exp. Lap – TAHBSO debulking - Chemotherapy - Currently NED after 4 Courses of Chemo

IHCV Sustainable Educational Arm  Partners University of Cape Coast – School of Medical Sciences ○ CME Attendings House Officer Nursing ○ Didactic program for 4 th and 5 th year Medical students Korle-Bu Teaching Hospital ○ Oncology Fellowship

Korle-Bu Teaching Hospital

Cape Coast Orphanage  Orphans due to AIDS 160,000  Orphans due to other causes 110,000

Challenges  Lack of Physicians  Lack of Facilities to Process Specimens  Not a High Priority

WELL BABY/CHILD CLINIC

Apam – Accident & Emergency Ward

AD

Kakum Rain Forest

Rich Culture - AKWABA

Elimina Castle

Cape Coast Castle

 International Healthcare Volunteers  Ihcv.org  Contact:

ELIMINA CASTLE

 THANK YOU