Project identified by Savvas Andronikou and Arthur Daire
In July 2014 WFPI undertook an exploratory outreach mission to teach and determine pediatric radiology needs in different environments in Malawi. The visit rolled out with to providing tele-reading support for pediatric imaging and paving the way for future teaching and training visits.
A member of the South African Pediatric Imaging Society and a WFPI tele-reader volunteer,
Dr. Tracy Kilborn (Red Cross War Memorial Children’s Hospital, Cape Town) volunteered for the trip. Her geographical proximity and experience with endemic diseases, equipment constraints and environmental limitations leave her well equipped for regional outreach.
The trip covered 4 different health facilities in Malawi
- Queen Elizabeth Hospital, Blantyre
- Chiradzulu District Hospital - MSF AIDS-HIV project
- Kamuzu Central Hospital, Lilongwe
- Pothawira Haven, Salima
Dr. Tracy Kilborn with Dr. Peter Maseko, Pothawaria Haven Salima, Malawi
Queen Elizabeth Hospital Blantrye offers 300 Pediatric beds and conducts 100,000 Pediatric reviews per year in A/E with 20,000 Pediatric admissions per year. A 0.75T open magnet, installed by Johns Hopkins as a research magnet, is used by the hospital. A CT machine purchased 4 years ago is in storage while waiting for a room to be built. The sole MoH radiologist is stretched to support radiography and ultrasound as well as MRI.
Right: Dr Arthur Dale, MoH radiologist, Queen Elizabth Hospital Blantyre
Below: Paediatric Ward, Queen Elisabeth Hospital, Blantyre
Teaching activities in Blantyre and at Kamauzu Central Hospital in Lilongwe included lectures to the paediatric and paediatric surgical staff on:
- Approach to a paediatric CXR,
- Approach to a paediatric AXR,
- Imaging of neonatal GI emergencies,
- Imaging of non-accidental injuries,
- Basic approach to nuclear medicine in renal disorders
along with teaching paediatric ultrasound techniques to sonographers, consultations on complex medical and surgical cases and engaging in discussions on CXR technique with radiographers.
Among the conclusions of the trip: Point of Care (PoC) ultrasound in all the facilities visited would be of immense relevance and value.
At Pothawira Haven, Salima, Dr. Peter Maseko (image left), 4 nurses and an occasional volunteering medical student run a clinic that sees 200-300 patients a day. Pothawira also supports 110 orphans, all of whom live at and are schooled at the Haven. The entire project is funded through donations. WFPI delivered a new portable ultrasound machine, donated to Pothawira by Dr. Kristen DeStiger of Imaging the World. Accompanied by a radiologist resident from Lilongze, Dr. Pamela Gunde (image below) and with excited orphans queueing up as teaching material, the ultrasound training at the clinic began. After 2 days, the two physicians could competently scan pediatric heads, chests, abdomens and look for pericardial effusions.
WFPI hopes to partner with Imaging the World in its future Malawi project so as to move PoC ultrasound forward in Pothawira Haven and elsewhere.
More on WFPI's volume sweep ultrasound research here
| Chiradzulu District Hospital, where suspicions run deep that Childhood TB is severely underdiagnosed
| Happy volunteers for the ultrasound training...!
| Kamuzu Central Hospital, Lilongwe