1. The Institute of Ear , Nose and Throat Surgery and Audiology
Beit Cure Hospital Lusaka Zambia
Alice Kirby
Ann O’Connor
Hannah O’Driscoll
Uta Foeschl
Kieran O’Driscoll
Firstly I’d like to thank David Weakliam and the organising committe committee for this great honur in addressing you all today. Its all the more an honor on this historic day when Minister Costello announced our joining the Esther alliance. This presentation as well demonstrating this new venture in Lusaka Zambia is very fitting on such an ocassion as this for it illustrates the success of partnerships and collaborations both nationally and internationally which underpins the success of the project.
----- Meeting Notes (29/01/ :17) -----
Zambia for those who are perhaps unfamiliar is a land locked nation in the northern part of of the southern african region. Its about thesize of france, gemany and the low countries combined.

2. Basic Zambian Facts Land – locked country Approx 12 million pop.
Former Northern Rhodesia
Independent since 1964
Mostly rural but most urbanized in Sub Saharan Africa
Democratic and politically stable
Famous for Victoria Falls and wildlife
In 2004 a medical based charity called “ENT Surgery for Zambia Trust Fund” was established
This was based on the findings of the consultant’s visit to Zambia earlier that year.
That visit highlighted the lack of ENT services for the 11.6 million of its population
The level of services has been presented previously at this meeting and BACO 2006.
Since its foundation the fund has provided essential equipment, educational support and performed major and minor surgeries in six visits over three years.
The outcome of the venture may provide assistance to other sub – Saharan countries in addressing this problem.

3. Core Health Indicator Zambia UK
Physicians (number)
1,264
133,641
Physicians (density/ 1000 population)
0.1
2.3
Nurses (density/ 1000 population)
1.5
12.1
Ratio of nurses and physicians to population is far worse than UK

4. Life expectancy at birth M/F (years) 77 / 81 40 / 40 UK
Zambia
Total population
59,668,000
11,657,000
Life expectancy at birth M/F (years)
77 / 81
40 / 40
Probability of dying under five (per 1000 live births) 6
182
% population living below poverty line < $1/day - 64
Life expectancy
Probability of dying under age of 5yrs

5. African Health Issues HIV Malaria TB Surgery as a public health Issue
Organisational Issues leading to specialty crises – burden of acute and chronic suffering

6. Recent WHO perspective on Surgery
11 – 13 % of world health burden is surgical
Surgery is public health issue
Surgery in developing countries is underfunded
ENT surgery must be regarded as public health issue in context of retuning people back into the work force and children back into the classroom

7. Zambian ENT Services Based only in (UTH) 4 Doctors in 2004
Now 2 – 3 doctors
No Audiologist
No peripheral clinic in 2004
Now 1 clinic in Ndola

8. ENT Zambian Trust Fund

9. The ENT Zambian Crisis

14. The Zambian ENT Crisis

15. The ENT Zambian Crisis

19. Summary of Findings Mar ‘04
Under equipped
Under-funded
Under- trained
No leadership
Ear issues – mortality/morbidity/ Deafness
Head neck issues - late diagnosis

20. What Needed To be Done Supply equipment Support Training
Financed short term locums for ENT Surgeons
Financed Anaesthetic/ Audiological/ Nursing locums

21. Partnerships/Collaborations up to 2006 and beyond!
Equipment
Metronics
Eurosurgical
Technosurgical
Med
Local Partnerships
Christian Blind Mission
Local E.N.T Surgeons
University Teaching Hospital
Lusaka Eye Hospital
Irish Funding
Rotary Tullamore
Electric Aid (E.S.B)
Gorta
Individual Irish Donors
Integrated Community Groups
SMA Fathers
Sisters of Mercy
Donations from Irish Hospitals
Tullamore General Hospital
Royal Victorian Eye and Ear Hospital Dublin
St.Francis Hospital Mullingar
Hearing Aids
Amplifon
Bonvox
Audiology Techno

22. What To Do Next
Central Hub Development
Peripheral Contact ( ? Mobile Clinic)
Sustainable ENT Service

23. Partnerships /Collaborations – Keys to success
Hospital Partners
Zambian Government
CURE International
BEIT Trust
Education Partnerships
University of Zambia
COSECA
RCSI
Financial Partners
Irish Aid
GORTA
BMZ Germany
ENT Partners
ENT Zambia
Christian Blind Mission