NAMESPECIALITY PROFESSOR FRANCIS ABANTANGASURGEON DR. NSOH AZAARESURGEON DR. NUHU NAABOSURGEON DR. DOMINIC AWARIYAHTRAUMA ORTHOPAEDIC CONSULTANT DR

APRIDEC MEDICAL OUTREACH

PROGRAMME REPORT21ST – 31st DECEMBER 2011

APRIDEC MEDICAL OUTREACH PROGRAMME

INTRODUCTION The December 2011 outreach programme took the group to the following

areas of the Upper East Region. BONGO DISTRICT BAWKU WEST TALENSI DISTRICT NABDAM DISTRICT NAVRONGO CENTRAL BOLGATANGA MUNICIPAL

The group arrived on the 21st of December and exited on the 1st of January 2012. The results as captured below at the various health facilities show how the challenges are enormous and the call to all and sundry to help in which ever way to enable the group provide healthcare services to the deprived people of the Northern Regions.

OUTREACH TEAM

NAME SPECIALITY

PROFESSOR FRANCIS ABANTANGA SURGEON

DR. NSOH AZAARE SURGEON

DR. NUHU NAABO SURGEON

DR. DOMINIC AWARIYAH TRAUMA ORTHOPAEDIC CONSULTANT

DR. MUHAMMED DUAH E NT SPECIALIST

DR. EDWIN M.T. YENLI SURGEON

DR. HOYTE WILLIAMS SURGEON

DAVID KESSIEDU NUTRITIONIST

COMFORT ASOOGO ONCOLOGIST

PATRICIA A. AMOSHIE NURSE

ROSE-MARY SASU- SIAW ANESTHETICS

OUTREACH TEAM

NAME SPECIALITY

DAN P. AWINDOR PHARMACIST

HECTORIA ATARITULUM AWEKEYA MEDICAL STUDENT

ABEO UTHMAN ASAAH NURSE

NANA YAA OPOKU-DARKWA ADMINISTRATOR

ABASS ABDULLAH MEDICAL STUDENT

ANTHONY AYAMBIRE MEDICAL STUDENT

CLEMENT AKUULA MEDICAL STUDENT

MBABILA BABA DICK PHARMACIST

JULIANA LARIBA AGANDAA NURSE

ANTHONY AMALBA PHARMACIST/LECTURER

CHRISTIANA AMALBA NURSE / TUTOR

ROBERT AMESIYALAWRENCE NSOH NSOHLEBNA

MEDICAL OFFICEMEDICAL STUDENT

HEALTH FACILITIES VISITED

NAME DATE – DECEBER 2011

ZEBILA DISTRICT HOSPITAL 22 - 23

TONGO HEALTH CENTRE 24 - 25

BONGO DISTRICT HOSPITAL 26 - 29

WAR MEMORIAL HOSPITAL 26 - 27

BOLGATANGA HOSPITAL 29-30

AFRIKIS

HEALTH EDUCATION

BREAST CANCER NO: SCREENED

ZEBILA DISTRICT HOSPITAL 17

TONGO HEALTH CENTRE 13

BONGO DISTRICT HOSPITAL 3

WAR MEMORIAL HOSPITALNAVRONGO

26

BOLGATANGA HOSPITAL

AFRIKIDS

Health education

Breast Cancer Awareness Creation – The Team on their various health centres’ visit, conducted presentations on Breast Cancer detection and management. Participants in the various Health Institutions visited, were educated on

How to detect the early signs of breast cancer. How to perform self breast cancer examination.

Both men and women were screened.

Nutrition – The people also benefited from an educational talk on: Adopting proper eating habits. Appropriate diet for people with diabetes, hypertension, high

cholesterol etc. How to manage diabetes, cholesterol, hypertension through

proper eating habits.

WAR MEMORIAL HOSPITAL NAVRONGO- 26/12/2011(opd)

NO SEX AGE DIAGNOSIS

1 F 49 Synopsis

2 M 45 Malaria / URTI

3 M 64 Review RT

4 M 24 N Y D

5 F 41 Malaria / U R T I

6 M 61 Malaria / U R T I

7 F 17 P I D / U R T I

8 F 12 U T I / P I D


10 F 30 Lacerated Wound / R T A

11 M 7/12 Malaria / U R T I

12 M 15 Nucha sis



13 F 25 P I D

14 F 6/12 U R T I

15 M 30 Allergy

16 M 24 Tumour LT Hip

17 M 72 Hydrocele

18 F 10 Malaria

19 F 49 U R T I

20 F 2 Malaria

21 M 2 Laboratory

22 F 43 U R T I

23 F 79 U R T I

24 M 67 U R T I



25 F 26 ******

26 F 46 H P T

27 M 30 Malaria

28 M 14 Malaria / H P T

29 F 52 Malaria

30 M 26 Peptic Ulcer

31 M 16 Hepatitis

32 F 53 H P T

33 F 46 Septic Wound

34 F 30 Malaria

35 F 46 Malaria

36 M 65 Malaria / Arthritis



37 F 16 P U D

38 F 21 Malaria

39 M 3/12 U R T I

40 F 24 U R T I

41 M 23 Dysentery

42 M 21 Lacerated Wound

43 F 15 Skin Infection

44 F 33 Malaria

45 M 34 Conjunctivitis

46 F 3/12 Malaria/Abscess

47 M 9/12 Laceration/Dysentery

48 F 30 Malaria/U R T I



49 F 13 Malaria

50 M 70 U R T I/B P H

51 F 16 Malaria /U R T I

52 M 40 Pneumonia

53 F 34 Allergic Conjunctivitis

54 M 1 Eye Injury


56 M 6/12 Malaria/ / U R T I

57 M 4/12 Malaria /Dysentery/ A R I






1 F 54 Lump RT Breast


3 F 6 Malaria

4 F 33 Secondary Infertility

5 M 29 Fistula – in – Anus

6 F 34 Threaten Abortion

7 M 2/12 Malaria

8 F 64 U R T I

9 M 67 Review / U R T I

10 F 23 Malaria

11 F 39 Malaria



12 F 34 Whitlow left finger

13 M 85 Hepatoma

14 M 72 RT Inguina Hernia


16 F 36 malaria/

17 M 9 Malaria/S C D

WAR MEMORIAL HOSPITAL NAVRONGO 26 – 27 December 2011 CASES operated

No: AGE SEX DIAGNOSIS NAME OF OPERATION

1 7 M RT Inguina Hernia Herniorrhaphy

2 31 M LT Inguina Hernia Herniorrhaphy

3 56 M LT Hydrocele Hydrocelectomy



6 4 M Inguinoscrotal Hernia Herniorrhaphy

7 38 M RT Inguinoscrotal Hernia Herniorrhaphy

8 22 M Hydrocele Hydrocelectomy

WAR MEMORIAL HOSPITAL NAVRONGO 26 – 27 December 2011 CASES operated

No: AGE SEX DIAGNOSIS NAME OF OPERATION

9 26 F Placenta Abruption C/S

10 8 M RISH Herniorrhaphy

11 43 F LT Inguina Hernia Herniorrhaphy

12 57 F RT Inguina Hernia Herniorrhaphy

13 79 M RT Hydrocele Hydrocelectomy





War memorial hospital – navrongo 26 – 27 December 2011 total cases operated

Condition Number

Inguina Hernia 8

Hydrocele 6

Inguinoscrotal Hernia 2

Placenta Abruption 1

Total Cases Operated 17

WAR MEMORIAL HOSPITAL NAVRONGO

47%

35%

12%

6%

CASES OPERATED - 17

Inguina Hernia - 8Hydrocele - 6Inguinascrotal Hernia - 2Placenata Abruption - 1

WAR MEMORIAL HOSPITAL – NAVRONGO

GENDER DISTRIBUTION

ADULT MALE ADULT FEMALE CHILDREN

Age Range

16-90

Age Range

16-90

Age Range

0-15

24 32 19

42% 56% 2%

WAR MEMORIAL HOSPITAL – NAVRONGO

42%

56%

2%

GENDER DISTRIBUTION

ADULT MALE 16 - 90 (24)ADULT FEMALE 16-90 (32)CHILDREN 0-15 (19)

WAR MEMORIAL HOSPITAL – NAVRONGO26 – 27 December 2011

RECURRING CONDITIONS DETECTED

Others 39

Malaria 33

Upper Respiratory Tract Infection 23

Hernia 16

War memorial hospital – navrongorecurring Medical condition Detected

Others Malaria U R T I Hernia0

5

10

15

20

25

30

35

40

45

Series 3

Condition

To

tal N

um

be

r

TONGO HEALTH CENTRE – 24TH DECEMBER 2011(OPD)

NO : SEX AGE DIAGNOSIS

1 M 58 Chronic pain

2 F 71 Eczema

3 M 40 Inguina scrotal Hernia

4 M 6 Malaria

5 M 74 Ulcer


7 M 4 Inguina hernia

8 M 9 LT Inguina Hernia

9 F 3 LT Inguina Hernia

10 M 64 Peristasis

TONGO HEALTH CENTRE – 24TH DECEMBER 2011(OPD)


11 M 70 Hypertension

12 F 73 Hypertension

13 F 72 P U D

14 F 40 Anxiety

Tongo health centre – 25th December 2011(OPD)


1 M 6 Right Inguina Hernia

2 F 55 Lipoma on left side of forehead

3 M 44 RT Inguinoscrotal Hernia

4 M 2 Buried Penis –Post Circumcision



7 M 9 LT Inguina Hernia


9 F 54 Goitre

10 M 28 Epididymoorchitis

Tongo health centre – 25 December 2011(OPD)


11 F 73 P U D

12 M 71 Lipoma – Left side of chest

13 M 65 Bilateral Hydrocele

14 M 72 RT Inguinoscrotal Hernia

15 M 70 Bilateral Inguina Hernia

16 M 68 P U D – Gastritis

17 F 68 X-Ray Review


19 M 35 Hydrocele

20 F 5 Cavernous Haemangioma

TONGO HEALTH CENTRE- OPERATED CASES(referred to afrikiDS MEDICAL CENTRE-BOLGATANGA)

24 – 25/12/2011

NO: AGE SEX DIAGNOSIS NAME OF OPERATION





5 71 M Lipoma Excision



8 70 M Inguina Hernia Herniorrhaphy

9 55 F Lipoma Excision

Tongo health centre- total cases operated 24 – 25/12/2011

Condition Number

Inguina Hernia 5


Hydrocele 1

Lipoma 2

Total operated Cases 9

Tongo health centre - cases referred to afrikis

56%

22%

11%

11%

CASES OPERATED - 9

Inguina Hernia - 5Lipoma - 2Inguinoscrotal Hernia - 1Hyrocele

Tongo health centre - gender distribution


Age Range

16-90

Age Range

16-90

Age Range

0-15

16 8 10

47% 29% 24%

Tongo health centre – gender distribution

47%

24%

29%

Gender Distribution

Adult Male - 16 Adult Female - 8 Children - 10

Tongo health centre – recurring medical condition

Condition Number

Hernia 14

Others 13

Hydrocele 2

Lipoma 2

Hypertension 2

Malaria 1

TONGO HEALTH CENTRE – recurring conditions detected

Hernia Others Hypertension Lipoma Hydrocele0

2

4

6

8

10

12

14

16

Series 3

Condition

Nu

mb

er

ZEBILLA DISTRICT HOSPITAL -22ND DECEMBER 2011(OPD)

NO: AGE SEX DIAGNOSIS

1 56 M LT Inguina Hernia


3 66 M Hydrocele

4 35 M Inguina Hernia

5 60 M Bilateral Hydrocele

6 77 M Hernia

7 74 M Inguinoscrotal Hernia

ZEBILLA DISTRICT HOSPITAL -23rd DECEMBER 2011(OPD)


1 5 M Hydrocele

2 43 F Nasolabial Cyst.

3 9 M RT Inguina Hernia


5 55 M LT hydrocele

6 75 M RT Inguina hernia

7 81 M RT Inguinoscrotal Hernia

8 1 M Foreign body in RT ear


10 42 F Chronic PID/ RT Ovarian

11 73 M Osteoarthritis

12 80 M Lipoma



13 70 M Musculoskeletal Pain

14 70 M Malaria

15 47 M Malaria

16 71 F Neuroma

17 73 F Osteoarthritis

18 8 M Schistosomiasis

19 41 M Elephantiasis

20 74 F Malaria

21 34 F Pyelonephritis

22 34 F Polycystic Kidney

23 74 M Malaria

24 33 F Ganglion



25 5 M Anaemia

26 49 M Ascites 2 Alcoholic Liver

27 50 F Chronic West Pain

28 48 F Hypertension

29 70 F Musculoskeletal Pain / Arthritis

30 32 F V VF (Post C/S)

31 41 M Chronic Constipation

32 30 F Ovarian Cyst./Uterine Fibroid


34 24 M Carpal Tunnel Syndrome

35 39 M Urethral Structure

36 16 M Epididymoorchitis



37 34 M External Haemorrhoid

38 18 F Cyesis

39 27 F PID Infertility

40 76 F Gastritis

41 35 F Ovarian Cyst. / Uterine Fibroids


43 30 F Ganglion

Zebilla district hospital - OPERATED CASES


1 56 M LT Inguina Hernia Mesh Repair

2 9 M LT Inguina Hernia Hernia Repair



5 60 M Bilateral Hydrocele Hydrocelectomy

6 77 M Hernia Herniorrhaphy

7 74 M Inguinoscrotal Hernia Mesh Hernia Repair


9 43 F Nasolabial Cyst. Excision


11 75 M RT inguina Hernia Mesh Repair


Zebilla district hospital - OPERATED CASES


13 75 M LT Hydrocele Hernia Mesh Repair/ Hydrocelectomy

14 75 M RT Inguina Hernia Hernia Mesh Repair

15 81 M RT Inguinoscrotal Hernia Hernia Mesh Repair

16 1 M Foreign body in RT ear Removal of FB

17 71 M RT Inguinoscrotal Hernia Hernia Mesh Repair

Zebilla district hospital- total operated cases22 – 23/12/2011

Name of Operation Number

Inguina Hernia 7


Hydrocele 5

Nasolabial 1

FB 1

Total Operated Cases 17

Zebilla district hospital- operated cases

Inguina Hernia-744%

Hydrocele - 425%

Inguinascrotal Hernia -3

19%

Nasolabial - 16%

FB Removal - 16%

Total Operated Cases - 16

ZEBILA DISTRICT HOSPITAL – GENDER DISTRIBUTION


Age Range

16-90

Age Range

16-90

Age Range

0-15

23 20 7

ZebilLa district hospital – gender distribution

46%

40%

14%

Gender Distribution

Adult Male - 23Adult Female - 20Children - 7

ZEBILLA DISTRICT HOSPITAL – RECURRING CONDITION DETECTED, 22 – 23/12/2011

CONDITION NUMBER

Others 28

Hernia 10

Hydrocele 4

Malaria 4

Hypertension 3

Lipoma 1

ZEBILLA DISTRICT HOSPITAL – RECURRING Conditions DETECTED

Others Hernia Malaria Hydrocele Hypertension Lipoma0

5

10

15

20

25

30

Series 3

Condition

Nu

mb

er

BONGO DISTRICT HOSPITAL – 26/12/2011 (OPD)

NO AGE SEX DIAGNOSIS

1 82 M Lipoma

2 72 M Lipoma


4 44 F Lipoma


6 45 M Hydrocele

7 33 M Hydrocele

8 76 M Hydrocele





BONGO DISTRICT HOSPITAL – 27/12/2011(OPD)



2 31 M Hydrocele

3 46 M Hydrocele

4 11 M Undescended testicles

5 40 M Hydrocele

6 40 M Inguinoscrotal Hernia

7 60 M Inguina hernia

8 64 F Lipoma

9 36 M RT Inguina hernia

10 76 M RT inguinoscrotal Hernia

11 71 M Lumbar Hernia

12 6 F URTI


NO AGE SEX DIAGNOSIS TOTAL NUMBER

13 0-15 M/F URTI 7

14 16-90 M URTI 2

15 16-90 F URTI 1

16 16-90 F Sinusitis 4

17 16-90 F P I D 2

18 16-90 F Peptic Ulcer 2

19 0-15 M/F Malaria 7

20 16-90 F Malaria 9

21 16-90 F Dysentery 2

22 0-15 M Undescended testicles 1

23 0-15 F F.B –RT Ear 1

24 16-90 F Eczema 1


NO AGE SEX DIAGNOSIS TOTAL NUMBER

25 16-90 F Otitis 3

26 16-90 F Conjunctivitis 1

27 16-90 F Yaws 1

28 16-90 F Gassiest 1

29 0-15 F Severe Malaria 2




2 8 M LT Inguinoscrotal Hernia




6 25 M Umbilical Hernia


8 39 M Lipoma

9 65 M hydrocele

10 10 F Malaria

11 25 F Malaria

12 4/12 F U R T I



13 10/12 M Malaria/ Diarrhoea

14 5/12 M Malaria

15 17 M R T A

16 15 M R T A

17 29 F Malaria

18 51 F Malaria / Helminthiasis

19 53 F Malaria

20 6 F Fungal infection

21 1 F Malaria

22 70 M Hypertension

23 76 F Malaria

24 72 F Arthritis



25 60 F Peptic Arthritis

26 4 M Delayed speech

27 6 M Review


29 56 M Haemo rids

30 72 M Malaria

31 62 M Peptic Ulcer

32 1 F Malaria

33 50 M Dyspepsia

34 11 F Malaria

35 6 F Malaria

36 68 M U R T I / Dyspepsia



37 7/12 M U R T I

38 18 F Abnormal Uterine Bleeding

39 45 F Spondylosis

40 6 M Malaria

41 4 M U R T I / Malaria

42 73 M Malaria

43 19 F Osteomyelitis

44 40 F U R T I / Malaria

45 2 M Lipoma

46 10/12 F Malaria

47 45 M Lumbago

48 2 F Malaria





51 29 F LT Hip Arthritis

52 38 F Malaria

53 1 M Severe Anaemia








6 29 M Ingrowing Toe Nail


BONGO DISTRICT HOSPITAL – cases operated

NO AGE SEX DIAGNOSIS NAME OF OPERATION


















16 11 M Undescended testicles ******


18 40 M Inguinoscrotal Hernia Herniorrhaphy




22 76 M RT inguinoscrotal Hernia Herniorrhaphy





25 8 M LT Inguinoscrotal Hernia Herniorrhaphy




29 25 M Umbilical Hernia Hernia Repair




BONGO DISTRICT HOSPITAL – cases operated26 – 29/12/2011





36 72 M LT Inguinoscrotal Hernia Herniorrhaphy


38 29 M Ingrowing Toe Nail ******


Bongo district hospital 26-29/12/2011

Hernia - 2553%

Hydrocele - 721%

Lipoma - 426%

Total Operated Cases -36

Bongo district hospital


Age Range

16-90

Age Range

16-90

Age Range

16-90

43 37 45

36% 34% 30%

Bongo district hospital

34%

30%

36%

Gender Distribution

Adult Male - 43Adult Female - 37children - 45

Bongo district hospital recurring conditions detected26 – 29/12/2011

CONDITION NUMBER

Malaria 36

Others 35

Hernia 28

U R T I 9

Hydrocele 7

Lipoma 6

Hypertension 1

Bongo district hospital – recurring conditions detected 26-29/12/2011

Malaria Others Hernia URTI Hydrocele Lipoma Hypertension0

5

10

15

20

25

30

35

40

Series 3

BOLGATANGA REGIONAL HOSPITAL 29/12/2011(OPD)


1 M 43 Lumbago

2 F 34 Infected D/Femur

3 M 37 Close RT Tibia Plateau

4 M 48 Partial Stenosis

5 M 57 Chronic Ulcer LT Ankle

6 F 41 Post Traumatic Osteoarthritis RT ankle

7 M 37 Acute Lumbalia

8 F 63 Chest Pain

9 F 31 Avascular Necrosis LT Head

10 F 35 Lumbago

11 F 43 Severe Thoracic Sclerosis

12 M 36 Nasal Septum



13 F 32 Visceral Vagina Fistula

14 M 68 Thoracic Compressive #



1 2/12 M Clip Feet

2 50 F Lower Back Pain

3 49 M GERD

4 34 F I H D

5 3 M P P V

6 1 1/12 M Enlarged LT Inguina

7 18 M P.P V


9 19 F U R T I

10 47 F Malaria/ U R T I

11 56 F Malaria / U R T I

12 9 M Pneumonia



13 15 F Vaginal Candidiasis

14 6 M Malaria

15 70 F H P T

16 81 F Compression LT

17 20 F Scabies

18 54 F Cellulitis of LT Leg

19 69 M Bilateral Hydrocele

20 34 M Malaria

21 45 F Anal Prolapse


23 47 M Chronic Ulcer

24 18 m U R T I



25 68 M U R T I

26 35 M Urine Retention

27 72 M Lipoma

28 49 M Anal Sinuses

29 30 M Lumbago



32 76 M Hypertension

33 54 F Cervical Cancer

34 72 F Laceration RT Thumb

35 22 M P.P V

36 48 F Malaria



37 42 M Hydrocele

38 68 F Prolapsed Uterus

39 34 F Malaria

40 9/12 M Haemangioma

41 29 F Malaria

42 68 M Degenerative Spondylosis

43 33 M Malaria

44 21 F Fibroid RT Breast

45 58 F Malaria

46 50 F Osteopathy

47 57 M U R T I / Hypertension

48 4 F U R T I



49 27 M Haemorrhoids

50 81 M Malaria

51 7/12 M Umbilical Hernia


53 50 F Malaria

54 58 F Lumbago

55 28 M Injury to L.T.

56 71 M Lymphadenitis

57 64 F Malaria

58 81 F Malaria

59 50 F Goitre

60 43 F Lipoma LT Thigh



61 24 M Soft Tissue Contusion

62 30 M Vaginal Hydrocele

63 60 F Arthritis of Knee and Hip

64 39 M Recurrent RT Inguina Hernia

65 54 F Multinodular Goitre


67 33 M Wedge Tibia

68 46 F Arthritis

69 2 M Mild vulgaris

70 48 F Moderate Obesity

71 72 F Arthritis

72 38 F Malaria



73 41 F Malaria

74 45 F Injury of anterior Tibia

75 65 F Pseudoarthritis

76 6 M Malaria


BOLGATANGA REGIONAL HOSPITAL – cases operated30TH DECEMBER 2011



2 26 M Lt. inguinal Hernia Herniorrhaphy


4 64 M Hernia/Hydrocele Herniorrhaphy/Hydrocelectomy

5 3 M PPV Herniorrhaphy



8 40 F Bony Tissue Excision

9 69 M Hydrocelectomy Hydrocelectomy


11 34 F Post Op Infected of femur Incision and Drainage

SUMMARY NAME OF HOSPITAL NO. OF OPD CASES NO. OF SURGERIES

Zebilla District Hospital

50 17

Tongo Health Centre 34 9

Bongo District Hospital

103 39

War Memorial Hospital 77 17

Bolgatanga Regional Hopsital 91 11

TOTAL 355 96

APPRECIATION

APRIDEC Medical Outreach Group wishes to express its profound gratitude and appreciation to all for your support in terms of cash, various donations and your kindness towards the Health Outreach Program carried out in Bolgatanga, Bongo Hospital, Tongo Health Centre, Nangodi CHIPS compound, Navrongo War Memorial Hospital and Zebilla District Hospital during the December 2010 to the 3rd of January 2012. Your contributions largely led to the success of the program and we say thank you. It is our fervent wish that you would be of continuous and enormous help to us when we call on you again for your support of this laudable exercise to reach the deprived and vulnerable in society as far as providing quality health care is concern. May the Almighty God richly bless you in all your endeavours towards rendering quality health care to the needy and the deprived.

Documents

NAMESPECIALITY PROFESSOR FRANCIS ABANTANGASURGEON DR. NSOH AZAARESURGEON DR. NUHU NAABOSURGEON DR. DOMINIC AWARIYAHTRAUMA ORTHOPAEDIC CONSULTANT DR