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Moshi (Tanzania)

Aim

The primary aim for collaboration with Moshi is to introduce a modern stone management service and explore the provision of these services nationwide both in Tanzania and, potentially, in other countries in East Africa.

Urolink will provide support and guidance in acquiring equipment, making the best use of the existing facilities, and will facilitate education and training for the local urologists to deliver a high-quality service to the local population. Ultimately, this will equip the local KCMC consultants with the knowledge and expertise to educate the urology trainees in the Medical College. 

SUPPORTED BY:
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BACKGROUND: Kilimanjaro Christian Medical Centre (KCMC) is located in the foothills of the snow-capped, Mount Kilimanjaro, Tanzania (pictured). It was opened in March 1971 by the Good Samaritan Foundation, who planned and raised large funds to build and equip it.

KCMC is a referral hospital for over 15 million people in Northern Tanzania. The hospital is a huge complex with 500 - 800 inpatients in 630 official beds, 90 canvas, 40 baby Incubators. There are 1852 students, 1300 staff, and 1000 visitors (plus companions) daily.
UROLOGY DEPT: The Institute of Urology at KCMC is one of the leading centres for urological surgery in Africa. It is also an important training centre for urologists in East Africa. There are up to 12 Registrars attached to the unit, together with trainees from surrounding countries (including Malawi, Rwanda, Uganda & Kenya) and from other regions of Tanzania. Delegates at conferences include general surgeons and urologists from across Tanzania and neighbouring countries, with trainees and students from the Medical School at KCMC.
HISTORY: Lester Eshelman (1921 - 2009) devoted much of his life to developing urological services in East Africa and at KCMC in particular. A workshop bearing his name is run at KCMC biennially. The theme for the most recent workshop was "Paediatric Urology, Reconstructive Urology & Bipolar TURP".

The workshop is conducted under the auspices of COSECSA / ASEA and has been generously supported by BAUS Urolink, ANANSE Foundation Holland, the Global Philanthropic Committee (of the SIU, EAU & AUA), Olympus Surgical Technologies and The Oak Foundation.
OBJECTIVES: To promote the development of Urology at KCMC by establishing a sustainable and self-perpetuating cycle of training, and by equipping urological surgeons.

Surgeons will be trained in the techniques of ureteroscopy and percutaneous nephrolithotomy. The role of the radiologist in the team will be explored and their expertise will be included, as required. The Theatre team will be involved in training for their role in the procedure but, in particular, will be instructed in the handling, care and sterilisation of delicate equipment.  
NEEDS:
  • To continue with ongoing audit/data collection;
  • The centre would benefit from a UK surgeon spending four to six weeks with clear objectives; 
  • Future funding to consider short-term observerships for local urologists & residents, as well as approaching interested UK urologists to consider longer visits; and, 
  • Equipment for percutaneous nephrolithotomy, ureteroscopy and mechanical stone fragmentation.

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