Team 6: Hexadrain
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This document outlines a project called Hexadrain that aims to address issues with neurosurgical care at the district hospital level in Rwanda. It proposes a two-part solution: 1. Advocacy, awareness training, and education programs for general practitioners at district hospitals to help prevent delays in care. 2. The development of a temporary surgical tool called Hexadrain that can be used at district hospitals to monitor intracranial pressure and "buy time" for patients with severe head injuries until they can be transferred to a neurosurgeon. The tool would include components like an infrared sensor, drilling/cutting tools, an aspirator, ICP monitor, and communication device. The team believes
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This document discusses rates of Cesarean section (CS) globally and in Rwanda, and the problem of surgical site infections after CS. In Rwanda, the post-CS surgical site infection rate is 4.9%. The three most common causes of post-CS infections in Rwanda are identified as unsterile procedures during CS, neglecting safe surgery checklists, and lack of maternal awareness about risk factors. Two proposed solutions are presented: Lovin disinfectant, a cheap, locally-made disinfectant from lemon, onion and vinegar; and a C-S Infecontrol App for educational materials on infection control for healthcare providers and patients.
Team 3: Surgery care delivery system
Healthcare innovators at the Kigali international hackathon conference 2018 aimed to address delays in surgical service delivery and reduce mortality rates in Rwanda. They proposed developing a new software system that could be accessed online or via computers and smartphones to allow for data entry, reports, notifications, and chat functions. This would enable quick and easy assessment, time management, and service delivery. Key challenges included gaining ministry support, designing effective software, and ensuring data entry skills. Students concluded they could help create this software to solve problems like lost information, redundant data entry, and high mortality rates by collaborating with government and healthcare professionals.
Team 1: Artificial body support device (ABSD)
This document summarizes a presentation about developing an Artificial Body Support Device (ABSD) to help patients with paralysis after neurosurgery. The device aims to enhance outcomes, increase personal performance, and decrease complications by providing physical support through a control dashboard. Some challenges to manufacturing the device include the required technical skills, financial support, and infrastructure development. These challenges could be overcome by partnering with experts, advocating for affordable costs, training patients and hospitals, and working with the government.
Team 8: Emergency reporting and referral network
This document proposes designing a reporting and referral platform using an app to help manage emergencies at district hospitals in Rwanda. Many people in rural areas experience delays in emergency surgical care, which can turn treatable conditions into life-threatening ones. The proposed platform would allow healthcare providers at district hospitals to alert specialists at referral hospitals about cases, get early diagnoses and management guidance without referral, and prioritize cases. This idea could improve emergency case management by reducing deaths and disabilities from delayed care through a quicker and easier-to-use digital solution.
Team 10: SLEHT, Solar-based light emitting head torch
This document describes a solar-based head torch designed for use in operating rooms during power outages. It notes that over a third of hospitals in sub-Saharan Africa lack reliable electricity access. The head torch is intended to allow surgeries to continue safely during outages by providing portable, sterile lighting. It would be cheap and cost-effective, using affordable materials like solar panels, LED lights, and sensors. Circuit diagrams and prototypes are presented, along with a projected cost of $5.70 per unit to manufacture. Monitoring of the head torches' adoption in hospitals, health centers, and among doctors is discussed.
Team11
This document proposes a solution to reduce mortality rates from trauma cases in rural and urban Rwanda. It suggests establishing Trauma Intensive Care Units (TICUs) at health centers with trained nurses and equipment to treat trauma patients. It also proposes a two-way data entry software system and mobile app to facilitate early transfer of patients to specialized hospitals and interaction between TICUs and hospitals. This is aimed to reduce deaths from delays in management and transportation of trauma patients, especially those who currently take over a day to be referred from health centers to provincial or referral hospitals.
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Team 4: Community Health Worker (CHW) screening tool for surgery
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Team 9: Lovin disinfectant for SSI following C-section
Team 9: Lovin disinfectant for SSI following C-section
Team 10: SLEHT, Solar-based light emitting head torch
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
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Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
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Recomendamos muito.
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Esta publicação só está disponível em inglês até o momento.
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Team 6: Hexadrain
- 1. Hexadrain Project 1. GASASIRA BAHIZI ERNEST 2. IRADUKUNDA PATRICK 3. EMMANUEL JARIKRE 4. ABAYO ERIC 5. NZAYISENGA J PIERRE 6. ELVIS TAMUKONG 7. NDAGIJIMANA J.NEPO
- 2. Imagine A 18y/o male cyclist was involved in a RTA which resulted in a severe head injury and later died because of a delayed care to neurosurgical care WHAT WENT WRONG? WOULD THIS YOUNG MAN’S LIFE HAD BEEN SAVED?
- 3. The issues… Lack of personnel at the DH level lack of supportive instruments for these patients Delayed care , hence death. Can something be done? YES. How can we improve the neurosurgical care.
- 4. THE SOLUTION WE HAVE… Is in 2 PARTS Part 1: The easy one! advocacy awareness training programs ( especially those General practioner at DH). This a preventive solution, that shall involve many stakeholders: MoH RNP NGO…
- 5. PART 2: the hard one : A tool… yes! HEXADRAIN An emergent and temporary tool that will buy time for patient before he gets to the neurosurgeon’s table for a definitive management. Components: . A sensor [ diagnostic]: hypothetically we shall use infrared. . Drilling and Cuttings ( for perforation and craniotomy): Removable for sterilization . Aspirator and a Graduated container. . ICP monitor screen: consistently monitoring the ICP . Information Sharing tool: keep in touch with a Neurosurgeon.
- 7. o Creativity imagination and innovation is what guided our team: o The feasibility of our project can be considered with a SMART approach SIMPLE, MEASURABLE, ACHIEVABLE, REALISTIC,TIME SAVING. o Our solution is potentially impactful. Once this tool come to life, it will be distributed to all DHs and all the General practitioners will be trained to use them. This will save lives: THE GREATEST IMPACT I GUESS! o There is a need, they are users, and it adds value.