1. NHS Fife – Malawi Project Update May 2017

2. ENT Fife Malawi Project
Project initiated by Sheffmed and ENT Fife
ENT Fife keen to assist in Malawi
Visit to ENT Malawi February 2016
Project set up
Ungweru: hope in the light

3. Malawi Country of 16.5 million people in southern Africa.
1 ENT surgeon and 1 Head and neck surgeon.
Based in Blantyre, the country’s main business centre
Big historical link with Scotland

4. NHS Fife Initial Visit Nurse and I visited last February
Trying to assess what was required
Not what we thought was required
We don’t want to parachute in to do operations
“Give a man a fish and he feeds for a day, teach him to fish and he feeds for the rest of his life”

6. Needs
Simple
Bottom up
Shelves – trays – organise theatre – more efficient lists
Not fancy kit (microscope graveyard...)
Maintenance: screwdrivers, bulbs
Training:
Nurses
Clinical Officers
Surgeons

7. Next Step
Reciprocal Visit
Nurse and Clinical Officer
November 2016

8. What this taught us Not November!
Clinical Officers not appropriate for visit
Nurses need to be able to do!

9. Second Visit
Kerry, Trish (ward nurse) and Annie (theatre nurse) went back
Plan based on initial visit and experience there
Worked to implement changes
Identified staff

11. Achievements Tidied and cleaned Implemented ward-round
On the job training
Good theatre practice
Identified staff

12. Did it work?

13. Wider Involvement St Andrews University Global Health Network
Set up Ungweru board with University
Charitable status through this
Scottish Government: Scotland Malawi Partnership
Glasgow College

14. Where do we go from here? Nursing staff Identified 2 nurses
Planning visit for 3 months
University of St Andrews visiting scholars
Can do things!
Created a curriculum and will certificate in ENT Nursing
Planning for next visit: ward nurses

15. Where do we go from here? Medical Staff Registrar going through MTI
Glasgow College assistance
Taken surgeons through it before
Will be based between Fife and Dundee
Clinical Officers
Course run in Blantyre
Theatre skills (e.g. Myringoplasty)
Diagnostic Skills

16. Fundraising ENT Scotland Rotary in Kirkcaldy Events: walk, dook
Sheffmed continued input
Fundraisers
Profitshare

17. Ungweru Project is moving along ENT Scotland thanks
Nurses
Doctors
Clinical officers
ENT Scotland thanks
Even if we stop now we’ve made a difference!