CAMTA’S MISSION • To provide medical and surgical care. • To provide public health interactive education to health care workers. • To donate supplies and equipment to our partner hospitals. • To work together both here and abroad through mutual respect and effective communication.
ECUADOR Ecuador
QUITO
HOSPITAL UN CANTO A LA VIDA
INTRODUCTION • “89% of the world’s population lives in developing countries that bear 93% of the world's disease burden”. -World Health Report 2000- • Half the world’s population lacks access to adequate health care. • Two thirds of the world’s population lacks access to orthopedic care.
FACTS • It is estimated that 80% of the trained orthopedic surgeons in the world live and practice in the 26 developed nations. • That leaves only 20% of orthopedic surgeons to practice in the developing world. • Up to 40 million people world wide may have no access or at best minimal access to orthopedic care.
WHY QUITO? THE NEED IS OBVIOUS • Quito, Ecuador has 2.5 million people. • Up to 90% have only marginal access to adequate orthopedic care.
HISTORY OF CAMTA • Received charitable status with Canada Revenue Agency in August 2001. • 14 successful missions to date.
GROWTH 2002 – 1 st CAMTA Mission • 29 team members - One week mission - 33 surgeries - $85,000 budget. 2007 – 6 th CAMTA Mission • 62 team members - Two week mission - 60 surgeries - $145,000 budget. 2015 – 14 th Mission • 93 team members - Two week mission - 69 surgeries - $400,000 budget.
CAMTA TEAM • Medical Team Members: – Pediatric and Adult Orthopedic Surgeons – Orthopedic Residents – Pediatric and Adult Anesthetists – Respiratory Therapists – Family Practitioners – Physiotherapists – Pediatric and Adult Nurses (O.R., Recovery Room, Ward) – Medical and Nursing Students
CAMTA TEAM • Non-Medical Team Members: – Administration – Logistics – Information Technologists – Translators – Bloggers – Lay People – General Students
WHO ARE OUR PATIENTS? • Ecuadorians who cannot afford the cost of adequate orthopedic surgeries. • Adults: – Total hip replacement. • Children: – Correction of deformities of the lower extremities e.g. club foot repairs.
PLANNING THE MISSION CAMTA in Canada : • Executive Committee (10 members). • Barb Moreau, (co-founder) oversees the logistics. • Sandra Muchekeza, (CAMTA Administrator) works with Barb. • CAMTA Team.
PLANNING THE MISSION CAMTA in Quito : • Brigade Leader - Dr. Patricia Jarrin • Social Worker - Nelly Mayela • Patient Follow Up - Dr. Manuel Ordonez • SIGN Nail Program - Dr. Telmo Tapia • Transportation - Maria Clara Duran • Meals - Zulay and David Palacios & Friends • Accommodation - Gerard Jumbo • Translators - Miluska Sanchez and local students
WHAT DOES CAMTA DO IN ECUADOR? • Orthopedic Surgeries and Patient Care • Information Exchange • SIGN Nail System • Donate supplies and equipment to our host hospital.
MISSION OVERVIEW • 1 st Friday : – Early morning departure from Edmonton and other cities/countries. – Late night arrival in Quito. • 1 st Saturday : – Recuperate and adjust to the altitude. – Sightseeing and team building. • 1 st Sunday : – Hospital set up – 1 st Clinic day (over 100 patients reviewed) • Monday to Friday (both weeks): – Surgeries and Patient Care. – Team two arrives late on second Friday. • 2 nd and 3 rd Saturday : – Patient care & information exchange between N & S American Orthopedic Surgeons. • 2 nd Sunday : – Team one: Final rounds and transfer of information to Team two. – Team two: Hospital set up and 2 nd Clinic day. • 3 rd Sunday: – Team two: Final Rounds and Pack up to return home.
CLINIC
OPERATING ROOM
RECOVERY ROOM
WARD
PHYSIO
ADMINISTRATION
Lay People
INFORMATION EXCHANGE • CAMTA is dedicated to developing capacity in Ecuador. • During every mission, we engage in information exchange with local medical staff and with families of patients. – Nurses and our physiotherapist give a teaching session to the local nurses, patients and families of patients. – Medical students from a local university participate in our clinic and in the OR. – Orthopedic surgeons participate at rounds in the major hospital in Quito. – Orthopedic surgeons give talks at evening seminars for local orthopedic surgeons.
SIGN Nail System Vision: Creating Equality of Fracture Care Throughout the World
WHAT IS THE SIGN NAIL? • Fracture fixation device for femurs and tibias • Used in developing countries • No special x-ray equipment required • Patients out of hospital in 48 hours.
Treatment with no SIGN Nail…
Treatment with SIGN Nail
SIGN NAIL AROUND THE WORLD Ecuador
CAMTA’S SIGN NAIL PROGRAM IN ECUADOR • CAMTA’s Vision: To implement a SIGN Nail system in all provinces in Ecuador. • CAMTA currently has SIGN Nail programs in – Cuenca – Babahoyo – Quito
Delivering SIGN Nail Inventory to a new site
Signing a contract at a new SIGN Nail site
CAMTA’S CONTAINER • CAMTA sometimes sends a container to Ecuador ahead of the mission. • This container is loaded with equipment and supplies donated by generous Canadians and organizations. Some of it is donated to our partner hospital in Quito and some of it is used on the mission.
DIRECT IMPACT OF CAMTA’S MISSIONS • Approximately 910 patients operated on by CAMTA to date. • Adults can: – Get back to work – Care for their children – Decrease burden of care to family – Keep families together • Children can: – Go back to school – Walk without help – Play independently – Grow up to be productive adults
INDIRECT IMPACT OF CAMTA’S MISSIONS • When a bread winner is unable to provide for his/her family, there are many repercussions on the lives of their family members. • CAMTA estimates that one incapacitated individual can affect 7 other individuals that are depending on him or her. • Approximately 6370 individuals have been impacted indirectly by CAMTA to date.
WOMAC, CO-OP AND CAMTA 15D Quality of Life Questionnaires • Qualitative studies that measure the improvement of quality of life (pain and disability) following surgery. • CAMTA started collecting data 11 years ago. • Challenges: Following up with patients.
CHANGES in QUALITY of LIFE FOLLOWING HIP ARTHROPLASTY 2007-2011 - MEASURED BY SF-36
WHY DO WE DO THIS? “… . the product of all this passing activity has a more lasting value. It has taught us the joy, the camaraderie, the shared sense of achievement that goes with working as a group - doing something challenging and worthwhile” . - Father Abraham-
WHAT PATIENTS SAY… “Please continue to help us because this allows us to work. This surgery is especially important for women who are so vulnerable in the workplace, regardless of their physical situation .” Maria, age 45 “Thank you! Continue to come to Ecuador – always, always, always! So many children like Cristina suffer because there is little help. I’m hopeful that she can become more independent and will be able to walk .” Mother of Cristina, age 11
WHAT PATIENTS SAY… “Thank you and God bless. Ecuador is a wonderful country, but it is very hard because there is no money. There is no way we could have paid two or three thousand dollars for this surgery plus medicine .” Mother of Lesley, age 12 “Bless the doctors and the work done by CAMTA for Ecuador, that we can continue this work because it does not exist in Ecuador. I thank you with all my heart. I am grateful with all my heart .” Rosa, age 54
WHAT TEAM MEMBERS SAY… “My biggest take away is always the people -the patients, the families and the volunteers. It never ceases to amaze me how much people give of themselves without asking for anything in return .” Deb Chalupa, RN and Board Member “It is very rewarding to go and do what we do in Ecuador. I think it all became worth it as soon as I walked through the doors of the hospital on the first day. That is a memory that will stick with me forever .” OR Nurse
WHAT TEAM MEMBERS SAY… “The entire experience was great; I'm not sure I'll ever look at things quite the same way again. I've never really felt the benefits of being on a real team before. Although we worked hard and for long days it was a pleasure to be part of a whole that was accomplishing such amazing things .” Recovery Room Nurse “It was a rewarding experience to work with the Ecuadorian nurses, bridging culture and language barriers to reach a common goal. It was rewarding to be a partner to those amazing patients who worked so hard to make their surgeries into success stories .” Ward Nurse
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