1. Nigeria Team Case List 8/17/09-8/21/09 Total cases: 89 Cases by SLR Surgery: 59

2. Nigeria

3. Population: 150 million –Most populous in Africa, 8 th most populous in world 32 nd largest country (about 2x size of California) Nigeria = “Niger Area” –Niger River, Benue river Nigeria

4. Language: English, Hausa Currency: Naira @ N150 to $1 Previous military state, now federal republic modeled after the US w/ executive, judiciary, and national assembly Religion: –Christianity (south) –Muslin (north): Sunni >> Shiite –Indigenous – Orisha, Igmo Odinani Quality of life Nigeria

7. Health care: –Historically terrible access to health care –1987 Bamako Initiative – promotes community-based centers –MD shortage due to emigration to North America & Europe 21,000 Nigerian MDs in US System: –Government run, but private industry (fee for service) exists –Federal government – runs university teaching hospitals –State – general hospitals –Local – pharmacies But access in rural areas severely limited… Nigeria

8. Pro Health International Non-profit, volunteer-driven health care organization Dedicated to the rural, impoverished people of Africa Founded in 1991 by medical professionals Now lead 25-30 missions annually

9. Pro Health relies on volunteer efforts from both home and abroad. GHO and many other organizations donate time and resources to Pro Health. Thousands of people flock to mission trips, often from great distances.

10. Global Health Outreach Non-profit group which organizes teams from US to travel abroad to provide free medical care in developing countries GHO is the short term medical and dental mission arm of Christian Medical & Dental Associations. In addition to medical care, GHO and Pro Health recognize the ability of our service to enrich our lives and outlook

12. Pharmacy

13. Facilities

15. Central Sterile

17. Pre-operative Holding

18. Preadmission Testing: Hematocrit Urinalysis Rapid HIV screen

19. PACU Post Operative Orders: Ampiclox 500 mg QID x 5 days Ibuprofen 400 mg BID x 5 days Vitamin C 100 mg TID x 5 days

20. Transport

21. Rounds