Uganda Healthcare Expedition Part I

Question: Why have I decided to create a healthcare expedition?

Answer: Because I believe I can be of more value, to the people who need it.

According to UpToDate’s article on ‘Screening for cervical cancer in resource-limited settings’, cervical cancer is the most common malignancy among women in the developing world, where more than 85% of worldwide cervical cancer deaths occur.

I have been in regular contact with the community hospital in Bwindi, who have expressed wishes for some equipment…including:

-A colposcope-a special magnifying device used to look at the cervix. If part of the organ is found to be abnormal, a medical professional can take a tissue sample and send it for analysis

-and a cryotherapy machine, used to treat the early stages of cancer.

jcct-colposcopy-illustration-11-13cervix4

It would be fantastic to get this equipment for the hospital. It could really save so many lives, what more value can you provide? But I thought to myself, how on earth can I get it? I’m only a GP trainee and I don’t really have any connections with the gynaecology department, or any medical equipment stores. So I decided to take the first step…I needed to make the connections. I went on our hospital trust’s website, searched for the list of consultants, word searched ‘colposcop'(in the hope of finding either colposcopist/colposcopy/colposcope) and a list of 3 colposcopists appeared. I emailed them all, appealing to them for advice and direction, about how to get this equipment.

I didn’t hear anything for almost two weeks. And at the point of almost giving up on them, I came home from work and checked my emails, only this time to find a reply. And then two. And then a chain. My enquiry was passed onto other gynaecology colleagues and the general manager of the gynaecology department, all absolutely pointing me in the right direction(!)

My next steps are:

  1. To get in touch with the medical equipment stores for quotations.
  2. To organise fund-raising for the equipment

It just goes to show, don’t be afraid to ask for help. If people can, they will most probably go out of their way to help you. And if they can’t, what have you got to lose? You did your bit by asking.

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