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Lusaka (Zambia)

Aim

Urolink's aim in Lusaka is to support the education, training, development and equipping of urological surgeons at the University Teaching Hospital (UTH). The aim of the Urolink project is to work in partnership with UTH to improve urological surgery (endoscopic & open) through a package of training, ongoing support and mentorship which will lead to sustained changes in clinical practice.

Skills stransfer will strengthen the local health system and continue to build on the current work and success of previous visits by the Urolink team, and hence continue to improve the quality of urological care in Lusaka and, eventually, across the whole of Zambia.

SUPPORTED BY:
    (Click the graphic for further information)
BACKGROUND: Zambia is classified as a low-income country and has a population of 11.6 million. The public sector is the largest provider of healthcare. Zambia is also one of the most urbanised countries in sub-Saharan Africa, with approximately 38% of the population living in urban areas.

UTH is the largest hospital in Zambia, located in the capital city, Lusaka, approximately 4km east of the city centre. It is the principal medical training institution in the country for medical students, interns and post-graduate doctors. It also trains nurses (through the Nursing School within the hospital grounds) and Clinical Officers (through their college at Chainama Hills College Hospital). UTH has approximately 1655 beds and 250 baby cots. It provides a full range of primary, secondary and tertiary care with both inpatient and outpatient services.

View the THET Health Partnership Report from the Association of Anaesthetists.
UROLOGY DEPT: The Urology Department is part of the Department of Surgery and, as such, has no designated ward for its patients; it operates within the general surgery wards where it is allocated approximately 25 beds. The department consists of three units: Dr Nenad, Dr Bassem & Dr Victor.

The Department runs a post-graduate programme (MMed) and currently has 10 - 15 trainees.  Some trainees also participate in the COSECSA urology programme.
HISTORY:
2001, 2003, 2007 and 2010 Working visits from Christine Evans (retired Consultant Urologist from Rhyl, North Wales) established the link
 
2011 Shekhar Biyani (Consultant Urological Surgeon, Leeds) & Jaimin Bhatt (Consultant Urological Surgeon, Ayr) introduced the urology module of the Management of Surgical Emergencies (MSE) Course (ASGBI and COSECSA)
 
2013 to 2015 Ongoing MSE urology modules, led by Shekhar Biyani
OBJECTIVES:
  • To assist with the development of endoscopic urological services;
  • To assist with education around the management of urethral stricture disease, & mentoring to perform urethroplasty surgery; and
  • To support ongoing urological training and education.
NEEDS: Consultant Urological Surgeons / Senior Trainees to spend a prolonged period (recommended 4 to 6 weeks) to help embed endoscopic surgery and mentor local surgeons.

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