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Acrrm …… the most flexible training pathway around. You can be creative with your training! Dr Anne Kleinitz. MBBS, DRANZCOG, MPH & Trop Med. 1. The various undergraduate initiatives to get more rural doctors are worthwhile 2. Doctors can be creative with their training because….
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Acrrm…… the most flexible training pathway around. You can be creative with your training! Dr Anne Kleinitz. MBBS, DRANZCOG, MPH & Trop Med
1. The various undergraduate initiatives to get more rural doctors are worthwhile 2. Doctors can be creative with their training because…. 3. ACRRM is the most flexible training college around! Key messages
Niertiti • 5 expats • Dr, nurse, midwife, logistics and field Co • 40,000 refugees • Initially measles outbreak • Inpatient– 70 bed • Malnutrition Centre, Paediatric, Obstetric, Male, Female, Isolation, Intensive Care Unit (?!) • Outpatients– 200/day (1200/wk) • Kutrum – rebel area
Supervisor • IPD & OPD • 4 national Drs • 6 MA’s • Mobile clinics • Teaching
The top 5 admission morbidities • Malnutrition • Obstetric & Deliveries • Lower Respiratory Infection • Diarrhoea • Malaria (but significantly reduced with mosquito nets)
Meningitis • Mass vaccination campaign • Hepatitis E • Education & awareness • Improved sanitation
SGBV/rape • Sporadic cases on the periphery of town • 14 women attended in one day • My role: medical care, meds, certificate & f/up • Rabies- a few cases in surrounding towns • Tetanus • Trauma • Several deaths in the camp from gunshot wounds
Not the novotel…. Pit toilets cold showers
Malnutrition • Paediatric • Respiratory • Diarrhoea • New for me • Landmines • FGM