BLANTYRE, MALAWI – HAMBURG

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PARTNERSHIPS

PARTNERSHIP BETWEEN:

Eppendorf University Medical Centre (UKE) Hamburg,
1st Medical Clinic and Polyclinic / Germany

&

College of Medicine, University of Malawi, Blantyre / Malawi

Better patient care with point-of-care ultrasound in Malawi

Due to a lack of medical imaging and trained staff, all medical disciplines are facing problems of delayed diagnosis leading to delayed treatment and worsening of the patient’s condition. Such a situation also leads to an unnecessary prolongation of hospital stays with increased costs for both the patients and the hospital.

MORE ABOUT MALAWI

  • Malawi is a landlocked country. One third of the country is covered by Lake Malawi, the third largest Lake in Africa. It has 18 million inhabitants living on 118,080 sq km.
  • With a population growth rate of 2.7%, it is moving fast towards overpopulation.
  • The economy is predominantly based on agriculture. Over 80% of the population is engaged in subsistence farming.
  • In the lakes and rivers of Malawi numerous species of fish can be found. Lake Malawi is well known for its extraordinary biodiversity with a huge variety of local fish species living in it. The southern part of Lake Malawi National Park was labelled a UNESCO World Heritage site in 1984.
  • Life expectancy at birth in Malawi is 61(f)/ 60(m) years.
  • The probability of dying before the age of five was at 50 for 1,000 births in 2018.

 

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The use of point-of-care ultrasound (POCUS) offers the potential of a cost-effective solution to this problem and can improve diagnosis and shorten time to treatment.

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The German and Malawian partners have decided to join forces and contribute to introducing POCUS. The activities target all the departments of internal medicine, obstetrics and gynaecology, paediatrics, anaesthesia, and emergency medicine at Queen Elizabeth Central Hospital, the teaching hospital for the College of Medicine in Blantyre, and extend to nearby district hospitals. The focus of the partnership is on capacity building and continuous strengthening for the use of POCUS, a methodology proven to be effective for early diagnoses and treatment of several disease-related symptoms.

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eHEALTH

Our eHealth Contribution

Capacity development and continuous strengthening through follow-up and mentoring are ensured through the development of an app-based training course, a pre-course training to bring all participants up to the same level of knowledge, and a hands-on training. The latter is always necessary for the use of medical techniques, such as ultrasound. It is not only the correct interpretation of images that requires training but also the appropriate use of the ultrasound machines. An e-learning platform allows the exchange of images for training purposes and professional discussion after the training session to ensure the continuous improvement of skills.

POCUS has been integrated into the training curriculum of medical students and will be accredited for continuous qualification of medical professionals. Hosting the training at the College of Medicine will also allow medical professionals outside the university and even from other countries to access the training. These measures contribute to the sustainability of the efforts.

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PARTNERSHIPS

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Eppendorf University Medical Centre (UKE) Hamburg, 1st Medical Clinic and Polyclinic / Germany

specialises in gastroenterology, infectious diseases and tropical medicine. The department runs large specialist outpatient clinics for liver diseases and infectious diseases, as well as a large pre- and post-travel clinic and a large clinic for sonography. A treatment centre for the care of patients with highly contagious diseases has also been established. This treatment centre is a member of the German Permanent Working Group of Competence and Treatment Centres for high-consequence infectious diseases (STAKOB).

Contact:

Dr. Benno Kreuels & Dr. Sabine Jordan
Universitätsklinikum Hamburg-Eppendorf
Consultants in Internal Medicine
1. Medizinische Klinik und Poliklinik
Martinistr. 52
20246 Hamburg
b.kreuels@uke.de
s.jordan@uke.de

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College of Medicine, University of Malawi Blantyre / Malawi

The College of Medicine (COM) is one of the colleges of the University of Malawi (UNIMA). As the medical faculty of UNIMA, COM offers a 5-year undergraduate bachelor’s programme in medicine and surgery (MBBS) with currently 50-60 students each year. COM also runs several 4-year postgraduate master programmes in different medical disciplines (MMed). The teaching hospital of COM, the Queen Elizabeth Central Hospital (QECH), is a 1,500-bed tertiary hospital in Blantyre where all of the clinical teaching takes place.

Contact:

Dr. Jane Mallewa, MBBS (Mw), MD (UK), FRCP (London)
College of Medicine
Head, Department of Medicine
Associate Professor of Medicine
Private Bag 360-Chichiri
Blantyre 3
jmallewa@medcol.mw

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ABOUT

Eppendorf University Medical Centre (UKE) Hamburg, 1st Medical Clinic and Polyclinic / Germany

specialises in gastroenterology, infectious diseases and tropical medicine. The department runs large specialist outpatient clinics for liver diseases and infectious diseases, as well as a large pre- and post-travel clinic and a large clinic for sonography. A treatment centre for the care of patients with highly contagious diseases has also been established. This treatment centre is a member of the German Permanent Working Group of Competence and Treatment Centres for high-consequence infectious diseases (STAKOB).

Contact:

Dr. Benno Kreuels & Dr. Sabine Jordan
Universitätsklinikum Hamburg-Eppendorf
Consultants in Internal Medicine
1. Medizinische Klinik und Poliklinik
Martinistr. 52
20246 Hamburg
b.kreuels@uke.de
s.jordan@uke.de

Unknown 2

College of Medicine, University of Malawi Blantyre / Malawi

The College of Medicine (COM) is one of the colleges of the University of Malawi (UNIMA). As the medical faculty of UNIMA, COM offers a 5-year undergraduate bachelor’s programme in medicine and surgery (MBBS) with currently 50-60 students each year. COM also runs several 4-year postgraduate master programmes in different medical disciplines (MMed). The teaching hospital of COM, the Queen Elizabeth Central Hospital (QECH), is a 1,500-bed tertiary hospital in Blantyre where all of the clinical teaching takes place.

Contact:

Dr. Jane Mallewa, MBBS(Mw), MD(UK), FRCP(London)
College of Medicine
Head, Department of Medicine
Associate Professor of Medicine
Private Bag 360-Chichiri
Blantyre 3
jmallewa@medcol.mw

Unknown 1
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