Broken Hips and Broken Legs
A project on lower extremity fractures in rural sub-Saharan Africa.
Our goal is to improve surgical care for trauma patients worldwide. We wish to make trauma care accessible and available for everyone. We believe that no one should suffer from long-term disability after sustaining an injury. With your support we want to improve surgical care when needed for patients who have broken their hip or leg in a low resource setting.
Access to safe surgical care is a challenge for many people worldwide. Not many people know that injuries cause more annual deaths worldwide than HIV, Malaria and Tuberculosis together. This unmet need is highest in lower- and middle-income countries. As a result of accidents and falls, even more people worldwide suffer from lifelong disability.
What We Need
In order to continue the project, we are in need of financial support. Funding for trauma research is very scarce. That’s why we share our stories here and ask for assistance. Every little contribution helps.
Lower extremity fractures: access to care and outcome of treatment in rural Tanzania
The rates of extremity fractures in low- and middle-income countries are two to five times higher than in high-income countries (HICs). Trauma contributes significantly to the burden of disease worldwide and injuries account for a major part of the surgical burden [...].
Since May 2019 three researchers from Global Surgery Amsterdam have been working on trauma care in Haydom Lutheran Hospital, a large regional referral hospital in rural Tanzania. They want to answer the following questions:
What happens with people who have broken their hip or lower leg? We evaluate access to care and look for opportunities to improve access to safe surgery. We also evaluate the current treatment provided in the hospital.
To what extent do patients suffer from disability up to 1 year after the injury? By visiting the patients in the community, we gain more insight in how the injury impacts the daily lives of the people.
In addition, we are working on making surgical care available for patients with a hip fracture in Haydom Lutheran Hospital. By writing about how we achieve this, we wish to lead as an example for other hospitals.
Anneloes is a Dutch Global Health doctor and has been working in Haydom since March 2019. She is working on the surgical department in Haydom and she has started this project together with Grayson Mtui.
Grayson is a medical doctor working in Haydom since 2018. He is head of the medical department with a great interest in research. He has been working with GSA since 2018 and he has started this project together with Anneloes Eleveld.
Fleur is a medical doctor currently working in The Netherlands. She has been in Haydom for 6 months to work on this project. She has continued to work on the project since she is back the Netherlands.
The Project (continued)
With this project we aim to find ways to improve access to care and quality of care in similar settings all over the world. We work on making safe surgical care available for every patient with a broken hip or leg.
The research project is an initiative from Global Surgery Amsterdam and Haydom Lutheran, and has started with support from the Otto Kranendonk Foundation, Doctors of the World, Tweega Medica and the Amsterdam UMC.
We have accomplished a lot, but to be able to finish the work we are in need of financial support. Funding is needed to finish data collection in the hospital, cover x-rays, travel expenses for patients, outreaches, administrative costs like ethical clearance, surgical implants, follow up costs, research assistance, data analysis and scientific writing.