EMERGENCY We have been treating a person every 2 minutes. For 22 years EMERGENCY PAEDIATRIC PROJECTS: Dr. Andrea Porcu, Italy Pediatrician – EMERGENCY FIMP PEDIATRIA MEDITERRANEA 2016 Si fa presto a dire… BAMBINO Hotel Continental, Ischia (NA) - Italy Emergency paediatric projects ISCHIA 2016 EMERGENCY NGO Paediatrics In Sierra Leone Sudan CAR Afghanistan Dr. Andrea Porcu EMERGENCY / Who we are Independent & neutral humanitarian organization founded in Italy in 1994 to provide free of charge, high quality medical and surgical care to the victims of war, landmines and poverty. EMERGENCY promotes a culture of peace, solidarity and respect for human rights. EMERGENCY / Right Livelihood Award In 2015 (Nov. 30th) EMERGENCY and its founder Dr. Gino Strada received the “Right Livelihood Award” (Alternative Nobel Prize). EMERGENCY / World Wide EMERGENCY is a recognized charity in Belgium, Italy, UK, USA, Hong Kong, Japan and Switzerland. EMERGENCY is partner of the United Nations (DPI/NGO) and in 2015 it was granted the Special Consultative Status at ECOSOC. EMERGENCY has developed the ANME (African Network of Medical Excellence) in order to create Medical Centre of Excellence to strengthen Health Systems at national and international level. EMERGENCY / Facilities Hospitals for victims of war and surgical emergencies Leading Facilities such as a Centre for Cardiac Surgery (eg., Salam Centre, Sudan) Rehabilitation and social reintegration centres First Aid Posts for emergency treatment (FAP) Basic Health centres for primary healthcare Pediatric and Maternity centers Mobile clinics (Polibus/Politrucks) EMERGENCY / Training National Staff EMERGENCY trains national staff thoroughly, with the intent of handing over all the health facilities to the local health authorities as soon as self-sustainability can be achieved. EMERGENCY / Dove operiamo EMERGENCY / Why 90% of war victims are civilians. Poverty generates enormous health crises. Lack of free high-level facilities and specialized local staff. Lack of effective actions in the long run. We have treated over 7 milions of people in 17 different countries.1every 2 minutes. EMERGENCY / Criteri di intervento In accordo con le autorità sanitarie locali, ma indipendenti e neutrali. Linee guida e protocolli standardizzati per contesti a risorse limitate. Tecnologie affidabili ed essenziali a garanzia di un’alta qualità delle cure. IN QUALI PAESI EMERGENCY ha sviluppato i progetti pediatrici ? Anno Visite Ricoveri Afghanistan 2003 185.566 madri 32.537 neonati RCA 2009 144.866 10.560 Sierra Leone 2002 234.232 32.250 Sudan Mayo 2005 189.273 15.971 + 9.399 Port Sudan 2013 88.658 4.141 Health Development Index: place 2013 2014 • Niger last 198 • Sudan 171 177 • RCA 180 196 • Sierra Leone 178 194 Life Expectancy : years • SIERRA LEONE 45 • RCA Bangui 48 • SUDAN 55 • AFGHANISTAN 62 • ITALY 82 Under five mortality rate • SIERRA LEONE 194/1000 • RCA 112/1000 • SUDAN 107/1000 • AFGHANISTAN 200/1000 • ITALY 5,3/1000 Access to essential drugs • SIERRA LEONE • RCA < 50 % • SUDAN • AFGHANISTAN • 2.000 MILLIONS OF People don’t have access Ratio Doctors / people : x 1000 • SIERRA LEONE 0,02 • RCA 0,04 • SUDAN 0,3 • AFGHANISTAN 0,2 • ITALY 3,5 • CUBA 6,7 Under five mortality rate Italy Under five mortality rate • Giappone • Svezia 2.8 /1000 • Italia 3.6 /1000 • Francia • Germania 4/1000 • USA • CUBA 6/100 MA……. DATE of OPENING Paediatric Hospitals • AFGHANISTA PANSHIR 2003 • SIERRA LEONE 2003 • BANGUI 2009 • MAYO 2005 • PORT SUDAN 2012 PAEDIATRIC SERVICES Sierra Leone Paediatric Ward C. Prevention Malnutrition (EBOLA) C. Caustic Oesophagitis RCA Bangui Paediatric Ward Complexe pediatrique Antenatal Care Mayo OPD Refugees OUTReach activities Prevention Rheumatic Hearth Diseases Port Sudan Paediatric Ward Outreach Activities Sickle Cell Disease Paediatric Service in Panshir • Maternity • Neonatology • Newborn intensive care • Paediatrics LABORATORY • Hemogramme CRP Glycaemia • Malaria smear (thick-thin) • Rapid test Malaria Widal • Kidney function, Liver function • Urine Stool • Sierology : HBsAg HBcAg Syphilis Hiv • Blood Trasfusions Unit Equipment • Oxygen concentrators • Infusion Pumps • Enteral Pump • Nebulizer • Aspirator • Pharmacy • RX ECG STAFF • Doctors : 5 -6 / Paediatric UNIT local 2 / Mayo OPD • Nurses always at least 2 / duty 1 Paediatric Nurse International 1 Paediatrician International • Lab. Pharmacy : present day time or on call CARDIO-SURGERY NET SUDAN SIERRA LEONE RCA 3 of 25 countries involved in the SALAM CENTRE ACTIVITIES Congenital Hearth Diseas -RHD Diagnosis -Follow up SIERRA LEONE • 2001 Surgery Centre War victims Orthopedics Surgery Emergency • 2003 Paediatric Ward • 2005 Centre prevention Malnutrition Centre treatment caustic oesophagitis Sierra Leone Gooderich 31-12-2014 20 BEDS 509.000 total of treated patients 234.232 paediatric consultation 16.314 hospital admission 21% malnutrition 20% ARI 20% Acute G.enteritis 12 % malaria (only 2% nets) Splenomegaly in Sierra Leone Sierra Leone : EBOLA • 27.000 CONTAGIATI 11.000 DECESSI • CENTRO 100 POSTI LETTO • PERSONALE 500 UNITA’ Bangui : bussa… ti sarà aperto RCA Bangui 2009 Paediatric Ward Beds 20 2011 Antenatal Consultations 31.667 2013 WAR : Refuges war victims Complexe Pediatric : in charge The only paediatric Hospital Unit in RCA 1 million out 4 displaced people RCA Bangui 31-12-2014 OPD Children Consultations 144.866 HOSPITAL Admissions 10.560 • Malaria 40 % • Septic Infections 7.7% • Typhoid Fever 5.9% • Meningitis 1.3% • ARI G.enteritis 30% • Malnutrition 12% ( 2% severe) Mayo MAYO 250.000 displaced people Area of Angola • 2005 • BEDS 6 : OBSERVATION…follow up Hospital • OPD 70 Consultation /DAY • OPD 169 .956 • Referred to HOSPITAL 13.348 Sudan MAYO 31-12-2014 • OUTREACH Activities 32 441 health promoters home/hospital 50 % weekly visit in the community 50 % • Antental Care 7841 • RAA • MALNUTRITION 29 % (12% severe) Port Sudan Attentive children Port Sudan • Date december 2011 • BEDS 18 • OPD 88.658 • HOSPITAL Admissions 4341 • OUTREACH ACTIVITIES 10.753 • Health promotion • Vaccinations • Consultations PORT SUDAN POPULATION 50000…..500000 • 26-12-2011 • 3 OPD • 18 BEDS • MALNUTRITION 40% severe malnutrition Port Sudan • Hospital Admissions 2938 • Malnutrition 40% • G enteritis 26% • Pneumonia 14% • Sickle Cell 7% • Malaria 3,5 % • Hb < 4 gr/dl 2% 1° Emergency Cup ai rigori ! Un salto in Panshir Afghanistan Panshir Maternity- Neonatology • People 250 000 little villages - mountains • OPD patients 185 000 • Admitted 45 230 • Surgical Intervention 8 515 • NEWBORN 32 537 Nuove Necessità • Nuovo Complesso Maternità Neonatologia • 5000 parti all’anno • Nuovo blocco con 2 sale operatorie • 2 sale parto • Nido T Neonatale sub-intensiva • 18 FAP : Controllo gravidanze Selezione gravidanze a rischio Reparti Maternità Newborn resuscitation Anabah Maternity Panshir summer Anabah winter Panshir Transport Company Hospital Referring Passenger From Where patients arrive ? Many villages……… Arriving in Anabah Delivery room Anabah Surgical Theatre Anabah Dalla sua nascita a oggi, EMERGENCY ha curato oltre 7 milioni di persone, in 17 paesi diversi. Una ogni 2 minuti. Questi incredibili risultati sono stati raggiunti grazie all'impegno di centinaia di professionisti. WORK WITH US Per una straordinaria esperienza professionale e umana! Per maggiori informazioni scrivi a [email protected] Per la descrizione dettagliata delle posizioni e per candidarti (via form on-line) visita www.emergency.it (sezione “Lavora con noi”). Arrivano…… GRAZIE WORK WITH US Per maggiori informazioni scrivi a [email protected] Per la descrizione dettagliata delle posizioni e per candidarti (via form on-line) visita www.emergency.it (sezione “Lavora con noi”). .