Lead contractor, Maada Salia handed the keys to Mercy Hospital’s new OR wing over to the staff on Monday, November 5th. Over the weekend of November 1st, the Mercy staff worked tirelessly to load in the equipment and supplies delivered in September by Project CURE, and ensured that the wing was ready for operations. Dr. Boima, a well-known surgeon in Sierra Leone and Dr. Amara’s mentor declared the wing and its two operating theatres “excellent” and “the nicest in Bo.” “I am very happy that the OR is now completed which means that the referral cases for surgery such as obstructed delivery and c-sections will now be treated here, “ said Dr. Amara, Mercy’s chief medical officer. “Before, the space was so limited we were very restricted in what we were able to do. Now, there are many more possibilities to help the community.” Head Matron Sister Augusta Kpanebaum agreed, “We have been waiting for this day a long time. We will be able to attend to cases instead of referring, especially maternity. We are so ready to go and want to thank our partners for the initiative. We are all very grateful!"
On Thursday, November 8, the first surgeries to be performed in the new OR were done by doctors affiliated with the Praise Foundation team in conjunction with trainings they are providing to Mercy staff in critical care management, obstetrics, and ultrasound. Like all medical professionals working at Mercy, PRAISE Foundation staff were required to provide medical credentials information to the Medical and Dental Counsel prior to performing surgeries at Mercy. Over the course of the first two days of operations in the new OR wing, 56 surgeries were performed by the Praise Foundation team with assistance from the Mercy staff, most of these were hernia operations and other minor surgical procedures.
Mercy will operate through the end of 2018 on a limited capacity, as they await the arrival of a blood bank and an anesthesia machine later this year. Until these important pieces of equipment arrive, Mercy will not be able to perform major surgeries, but will continue to provide the surgeries that it always has, now in a new, state-of-the-art surgical facility. Likewise, Mercy staff does not yet have the expertise to perform more complex surgeries such as c-sections. Dr. Amara will continue to work with Dr. Boima (a COMAHS professor and surgeon) to assist in surgeries beyond his current level of expertise, and now that those surgeries can be performed at Mercy, other staff will benefit in training opportunities as well.
Qualified surgeons who wish to perform surgeries at Mercy with Dr. Amara’s assistance, will be welcomed for the purpose of providing Mercy staff with teaching opportunities. This will include medical teams from overseas from time to time. Nonprofits utilizing Mercy OR for their own medical missions will do trainings as part of the privilege of performing surgeries at Mercy, and leave behind unused equipment and supplies for future use by Mercy. The PRAISE team has already demonstrated the value of simply having the facility with the collaborative spirit of Mercy Hospital available in their community.
Additional training for Mercy staff is also being planned. Project CURE is scheduled to provide training in obstetrics and critical care, and Dr. Amara and Matron August Kpanebaum will be attending GBGM training in obstetrics and Cesarean-sections in February of 2019. The official ribbon-cutting ceremony will take place on January 18, 2019.
The Child Rescue Centre provides more than health and education support to children; they help families too. CRC staff offer workshops for parents of children in its programs as well. Recently, this has included the addition of a six module training package and workshops on attachment theory, designed to help foster parents and those recently reunified with their own CRC children learn how to understand attachment in order to build and nurture healthy attachments with their children.
The six attachment theory training modules were created by the University of Maine Honors College students and faculty, working together with a wide range of professional associates in collaboration with Patty Morell. Extensive research, fact finding, and exchange of study data was drawn upon to create this workshop product. CRC staff contributed by making culturally appropriate revisions and suggestions to graphics, imagery, verbiage, and activities contained in the training.
According to CRC Case Manager Deborah Kanneh, the first two training sessions using modules one and two have been very well-received. “It has helped parents to create a healthy relationship and a strong bond with their children. The most useful lesson they learned during the first workshop was the use of the three T’s,” Deborah said. “This means they should talk with their children everyday telling them how much they love them, to touch their children by holding their hands, and also make time for them.”
Parents attending the workshops share that they’ve learned how important it is for children to be attached to their parents so that they can be more secure and comfortable around their caregivers and know that their needs will be met. “A child who has gone through trauma in his or her life needs more encouragement from me,” said one mother.
“I’ve learned that children will like to repeat positive behaviors if you speak compliments to them,” shared another.
“A child that has experienced trauma can be aggressive towards their fellow children,” shared another participant. “We have to understand the source of trauma in our children before we react.”
Participants have requested that a component of the attachment training be included in every monthly meeting they attend at the CRC, and that the CRC hold sessions that include the children as well. They’ve also requested materials they can share with other parents in the community. As one participant said, “love and attention are really important in families.”
Since it is rainy season, malaria rates are higher than usual. Eleven-year-old Steven came in to Mercy with malaria and was very weak and restless. Since receiving treatment, he is feeling much better. His father, Paul Ngaojia says, “Our family is thanking God for Mercy Hospital. They have done so much for us."