Australian Doctors for Africa
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Australian Doctors for Africa (ADFA) is a licensed
charity Charity may refer to: Giving * Charitable organization or charity, a non-profit organization whose primary objectives are philanthropy and social well-being of persons * Charity (practice), the practice of being benevolent, giving and sharing * C ...
registered in
Western Australia Western Australia (commonly abbreviated as WA) is a state of Australia occupying the western percent of the land area of Australia excluding external territories. It is bounded by the Indian Ocean to the north and west, the Southern Ocean to th ...
. Established in November 2005 by
orthopaedic Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal ...
surgeon Dr Graham Forward, ADFA is a non-profit community-based organisation with its headquarters located in Perth, Western Australia. It has no political affiliations. The goals of ADFA are to provide medical supplies, equipment, consult, undertake surgical procedures, disseminate best practice in health care, up skill, in-service and teach local medical and hospital staff and to assess future training needs of local staff to build capacity and maintain sustainable programmes and projects.


Structure

The charity has some 250 members. ADFA is registered with the
Australian Taxation Office The Australian Taxation Office (ATO) is an Australian statutory agency and the principal revenue collection body for the Australian Government. The ATO has responsibility for administering the Australian federal taxation system, superannuatio ...
and ASIC. Although the size of medical teams vary, ADFA attempts to ensure that a typical team comprises orthopaedic surgeons, an anaesthetist and theatre nurse with additional specialised support incorporated into the team such as a physiotherapist, plaster technician and orthopaedic technician. Other speciality team members include gastroenterology and urology. ADFA has also developed a relationship with The
University of Western Australia The University of Western Australia (UWA) is a public research university in the Australian state of Western Australia. The university's main campus is in Perth, the state capital, with a secondary campus in Albany and various other facilitie ...
and sends academic staff to conduct medical student teaching. There are 2-4 visits to each location per year. The organisation has been recognized by the
Royal Australasian College of Surgeons The Royal Australasian College of Surgeons (RACS) is the leading advocate for surgical standards, professionalism and surgical education in Australia and New Zealand. Known by its common acronym RACS, it is a not-for-profit organisation, sup ...
and the Australian Orthopaedic Association. With an operating budget of less than $200,000 per annum ADFA relies on the support of corporate partners, donations, fund raising activities and volunteers to maintain its core business. At each location, teams work very closely with the local medical staff with an aim to provide sustainable service provision. There is reciprocal learning and teaching between the visiting and local medical staff.


Current work

There are three locations where the charity has established programmes of medical aid:
Somalia Somalia, , Osmanya script: 𐒈𐒝𐒑𐒛𐒐𐒘𐒕𐒖; ar, الصومال, aṣ-Ṣūmāl officially the Federal Republic of SomaliaThe ''Federal Republic of Somalia'' is the country's name per Article 1 of thProvisional Constituti ...
,
Madagascar Madagascar (; mg, Madagasikara, ), officially the Republic of Madagascar ( mg, Repoblikan'i Madagasikara, links=no, ; french: République de Madagascar), is an island country in the Indian Ocean, approximately off the coast of East Africa ...
and
Ethiopia Ethiopia, , om, Itiyoophiyaa, so, Itoobiya, ti, ኢትዮጵያ, Ítiyop'iya, aa, Itiyoppiya officially the Federal Democratic Republic of Ethiopia, is a landlocked country in the Horn of Africa. It shares borders with Eritrea to the ...
.


Somalia

Original efforts were based in
Bosaso Bosaso ( so, Boosaaso, ar, بوصاصو), historically known as Bender Cassim is a city in the northeastern Bari province ('' gobol'') of Somalia. It is the seat of the Bosaso District. Located on the southern coast of the Gulf of Aden, the mu ...
in the north, in
Puntland Puntland ( so, Puntland, ar, أرض البنط, it, Terra di Punt or ''Paese di Punt''), officially the Puntland State of Somalia ( so, Dowlad Goboleedka Puntland ee Soomaaliya, ar, ولاية أرض البنط الصومالية), is a F ...
on the Gulf of Aden following the 2005 tsunami which affected the area. Visiting teams of orthopaedic surgeons, nurses and anaesthetists have carried out consultations in clinics and performed many operations on Somali people, injured civilians in the clan fighting and civil war. Visits to Bosaso have been temporarily suspended due to increasing political tension. However work has continued in
Hargeisa Hargeisa (; so, Hargeysa, ar, هرجيسا) is the capital and largest city of the Republic of Somaliland. It is located in the Maroodi Jeex region of the Horn of Africa. It succeeded Burco as the capital of the British Somaliland Protector ...
, Somaliland. The first visit to Hargeisa Group Hospital was in 2007 and since then teams have been visiting 2-3 times a year. Work there includes orthopaedic consultation, teaching and performing operations as well as medical student teaching in conjunction with the University Medical faculty. ADFA has also built a relationship with Edna Aden Maternity Hospital and in 2013 aided to fund the construction of a radiology building. As well as the medical and educational assistance provided in Hargeisa, other capacity building achievements include the renovation of the hospital laundry and two operating theatres. Multiple sea container loads of medical and hospital equipment have been despatched from the port of
Fremantle, Western Australia Fremantle () () is a port city in Western Australia, located at the mouth of the Swan River in the metropolitan area of Perth, the state capital. Fremantle Harbour serves as the port of Perth. The Western Australian vernacular diminutive for ...
to Bosaso and Hargeisa as well as many kilograms worth of air freight.


Madagascar

Regular visits have been made to
Toliara Toliara (also known as ''Toliary'', ; formerly ''Tuléar'') is a city in Madagascar. It is the capital of the Atsimo-Andrefana region, located 936 km southwest of national capital Antananarivo. The current spelling of the name was adopted ...
in the southwest of the country and Antananarivo on the east coast, providing orthopaedic and
gastroenterology Gastroenterology (from the Greek gastḗr- “belly”, -énteron “intestine”, and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract ...
services to patients at the General Hospital, the Clinique St Lucque, the Military Hospital and the University Hospital. A Urology programme has also been set up. Teams from all three specialty areas provide consultation, teaching and procedures. Much endoscopic equipment has been donated. Teams have been able to train local medical staff in orthopaedics, gastroenterology and urology to ensure that services are sustainable and readily available outside of team visits. Multiple sea containers of surgical and endoscopic equipment have been sent.


Ethiopia

Regular operating and
teaching Teaching is the practice implemented by a ''teacher'' aimed at transmitting skills (knowledge, know-how, and interpersonal skills) to a learner, a student, or any other audience in the context of an educational institution. Teaching is closely ...
assignments are carried out at the Tikur Anbessa (Black Lion) Hospital in
Addis Ababa Addis Ababa (; am, አዲስ አበባ, , new flower ; also known as , lit. "natural spring" in Oromo), is the capital and largest city of Ethiopia. It is also served as major administrative center of the Oromia Region. In the 2007 census, t ...
. Over the years that ADFA have been visiting Tikur Anbessa, they have helped build the orthopaedic training program and in 2013 there are 16 orthopaedic residents in training, up from just a few five years earlier. ADFA provides basic orthopaedic surgical skills courses for these trainees. Furthermore, it has helped establish a talipes program based on education, early referral and assessment as well as treatment for children with talipes. The latest capacity building project at Tikur Anbessa is aid with building two new specific orthopaedic operating theatres which begin construction in 2013. Multiple sea containers of medical and equipment have assembled and sent from
Claremont, Western Australia Claremont is a western suburb of Perth, Western Australia, on the north bank of the Swan River. History Prior to European settlement, the Noongar people used the area as a source of water, for fishing and for catching waterfowl. In 1830, Jo ...
since 2007.


References


External links

*{{Official website, http://www.ausdocafrica.org Health charities in Australia Foreign charities operating in Ethiopia Medical and health organisations based in Western Australia Foreign charities operating in Madagascar Foreign charities operating in Somalia