The Road Ahead – Work Planned for 2016 and Beyond
The year 2015 saw many of our programmes, projects and initiatives take form, receive funding and begin implementation. We are now in a solid position financially and operationally to consolidate and execute new initiatives in 2016 and beyond. In the coming years, AOAF will focus on working toward the following key outcomes:
Continued implementation of the Malawi Country Initiative
The second year of the 5-year initiative will see infrastructure projects in Lilongwe get underway. Commissioning of the operating theatres at the Queen Elizabeth Central
Hospital is expected by end of year. The two clinical research proposals, one for quality
assurance for surgically treated fractures and the second one establishing trauma registries, will be implemented and will begin to generate data. A recently graduated T&O surgeon will travel to India to spend 1 year on an AOAF Spine Fellowship, and will return with this added expertise to establish a basic trauma spine surgery programme in Lilongwe. Four additional T&O residents will be enrolled in the residency programme. We plan to have 20 new OCO graduates available to staff the District Hospitals.
Phase 1 implementation of the Ethiopia Country Initiative
The AOAF Board has approved the following educational events for 2016:
- Bahir Dar: AOAF nonoperative course
- Hawassa: AOAF operative course for ORP
- Addis Ababa (BLH): Pre-basic course for residents
The country initiative proposal will also emphasize educational support for the main residency institution (BLH) and support for one to three regional referral operative centres. Infrastructure support based on the strategic plan of MoH, in collaboration with the ADFA, is panned in Hawassa.
Execution of needs assessment in Ghana
The AOAF proposes to partner with the Ghana Government and Ghana College of Physicians and Surgeons (GCPS) to raise the capacity for training T&O surgeons through the focused development of two additional sites as T&O residency centres. AOAF proposes to develop the training of all T&O residents through access to appropriate fracture care education, and development of clinical research and audit techniques.
AOAF proposes to focus on two other cadres of healthcare worker essential for provision of T&O care, namely ORP and Plaster Technicians. All interventions will partner with Ghana Government bodies and aim to be sustainable.
Launch of the “Paediatric fracture solutions for Ghana” project
The goal of this AOAF project is to reduce disabilities, morbidity and mortality resulting from paediatric musculoskeletal trauma through prevention education and by improving clinical care provided by doctors, nurses, allied healthcare workers, first interveners and primary caregivers. Fractures are a common finding in paediatric trauma and frequently involve unaccompanied children. These injuries often lead to lifelong complications. Our project aims for trauma prevention strategies directed at parents and primary caregivers, as well as appropriate fracture care education for various traditional and biomedical providers at various levels of care referral, from the community to the tertiary trauma centres. At the end of 4 years of intervention in Ghana, there will be a quantifiable increase in the number of healthcare workers who can deliver basic non-operative and operative paediatric fracture care, and refer complex cases appropriately to the two identified centres. Quality of care will improve, and qualitative evaluations are expected to document this change. Progress will be sustainable in human and physical costs. AOAF will be known as a regional leader in fracture care education. AOAF contacts and culture will be established in Ghana such that a platform would be available for an AOAF country fracture care initiative.