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Manguzi, South Africa

Manguzi, South Africa. Jasmin Nwachokor. Learning Objectives. Observe the differences in quality, cost and delivery of healthcare in South Africa compared to the US Enhance understanding of South African culture and history

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Manguzi, South Africa

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  1. Manguzi, South Africa Jasmin Nwachokor

  2. Learning Objectives • Observe the differences in quality, cost and delivery of healthcare in South Africa compared to the US • Enhance understanding of South African culture and history • Determine how Manguzi physicians adapt their plans of care in such a resource limited area • Improve clinical and procedural proficiency • Examine the social, economic and personal burdens of communicable infectious diseases such as HIV and TB • Compare and contrast the delivery of and challenges to women's health in Manguzi

  3. Manguzi • 20 minutes south of the mozambique border • Province: KwaZulu-Natal • Area: 5.64 km2 • Population: 5,534

  4. Primary Languages in Manguzi 90.8% Zulu 4.2 % English 1.4% Tsonga

  5. Manguzi Hospital • 304 bed hospital • Departments: Resuscitation unit, male medical, female medical, male surgical, female surgical, paediatrics, maternity ward, multi-drug resistance tuberculosis (MDR) and outpatient clinic) • Service 11 remote, permanent PHC clinics ranging from 3 to 88 km away, each of which we visit at least once a week. • 3 mobile teams which serve about 30 mobile points.

  6. Around Manguzi Hospital

  7. Memorable cases – Male and Female Wards • 26 yo M with Hepatocellular carcinoma (likely from congenital Hepatitis B) complicated by hemoperitoneum • FNA for Ddx of Lymphoma • Young adult male presenting with Psychosis post- inhalation of ARV medication • TB abdomen X3 • Fungating breast mass in a 12 yoF • Choriocarcinoma metastasis to the lung, AIDS dementia • Numerous patients co-infected with HIV and TB • Palliative management of stage IV breast cancer

  8. Memorable cases- Operational Theater (OT) & Resuscitation unit (RU) OT: • Abdominal hysterectomy • Metatarsal amputation with minimal resources • Hydrocele repair • Countless caesars and I&Ds • Termination of pregnancy RU: • Domestic Violence and gender equality challenges • Pt with burns covering 75% of the body surface area due to a wildfire • Numerous Laceration repairs • Post-ictal epilepsy patients X4

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