Kibuye Hope HospitalKibuye, Burundi

Specialties Needed

Anesthesiology, Family Medicine, General Surgery, Obstetrics/Gynecology, Ophthalmology, Orthopedic Surgery

Contact Carly Poor to Apply!

Hospital Website
https://kibuyehope.com
Missions
Free Methodist Church and Serge
Minimum Service Requirements
The hospital asks that you serve a minimum of one month.
Profile
Kibuye Hope Hospital is located in the central region of Burundi (Gitega Province) approximately 2½ hours from Bujumbura. It is a 247-bed facility that will expand to 308 beds in 2022. Long-term expatriate and specialist staff include (3) American general surgeons, (1) Ethiopian general surgeon, (2) American family practice doctors, (1) American OB/GYN, (1) American med/peds physician, (2) Burundian ophthalmologists, and (1) American emergency medicine physician. There are also (9) Burundian general medical doctors and (8) post-graduate intern doctors.
Travel/Orientation
Fly by commercial air to the city of Bujumbura. Please DO NOT book your own international flights before talking with the logistics coordinator at World Medical Mission. The following morning there is a 2½ hour drive on a paved mountainous road to Kibuye. Upon arrival, volunteers will be welcomed and oriented by their physician host and the visiting staff coordinator. Orientation will include a short tour of the hospital. Further orientation is achieved through interaction with expatriate and national staff.
Climate
Temperatures range from 60–85 degrees. The rainy season is typically January through April, and the dry season is June through September. No air conditioning is needed at the elevation of 6,000 feet.
Language
French and Kirundi are the primary languages spoken at the hospital. Most medical students speak conversational English and can help translate.
Charting
French. Most documentation is done by the medical and nursing students.
Surgery
There are (4) operating rooms. Three rooms are utilized by surgery and OB/GYN services, and the fourth by the ophthalmology service. The hospital performs over 1,900 major operations per year as well as minor surgeries and endoscopies. Operations cover a broad base of basic surgeries including hernias, intramedullary nails, prostatectomies, bowel resections, VP shunts, and ORIFs of various fractures. There is limited in-country pathology, but pathology can be sent outside the country if needed. No laparoscopic surgery is done at this point.
Anesthesia
General anesthesia, spinal anesthesia, and regional blocks are all done routinely. We have six trained Burundian anesthetists (the equivalent of a CRNA in the U.S.). There are no ventilators at this time, but there are four semi-ICU beds set aside for the sickest patients.
Ophthalmology
Kibuye has a fully functional eye clinic with 4 slit lamp exam stations, a refraction lane, an optical shop, 2 operating microscopes, a retinal laser (indirect and slit lamp attachments), and vitrectomy capabilities, and phaco. There is a role for generalist ophthalmologists and/or sub-specialists. The clinic is full of students all the time who are eager to learn. The staff is well trained and includes two English speakers.
Obstetrics/Gynecology
Over 1,700 deliveries are done at the hospital each year. The C-section rate is high with many high-risk deliveries and obstetrical complications referred from outlying health centers. Nurses generally attend vaginal deliveries and Burundian generalists or expat obstetricians perform the C-sections. Gynecology clinic patients are seen on Mondays and gynecological surgeries are performed Tuesdays and Thursdays.
Pediatrics
There are three pediatric services: general pediatrics, neonatology, and a severe acute malnutrition service. The general pediatrics service is busiest between April and June (peak malaria and bronchiolitis season). The neonatology service includes wooden incubators. UNICEF provides the therapeutic formula and other supplies for the malnutrition service. Burundi has the unwelcome distinction of being one of the hungriest nations in the world (Global Hunger Index 2014), with 60% of children under the age of five being chronically malnourished. This complicates the clinical course for a majority of patients. The hospital also hosts an outpatient malnutrition program and a weekly pediatric specialty clinic.
Internal Medicine
The hospital has male and female internal medicine wards. There is an internal medicine specialty clinic on Tuesdays.
Emergency department
The hospital has a 6-bed emergency room. Patients are initially evaluated and triaged by the generalist or emergency physician, the nurses, and the nursing/medical students.
Laboratory
Limited laboratory tests are available, generally including CBCs, malaria smears and rapid tests, urinalysis, creatinine, HIV, Hepatitis B/C, LFTs, blood glucose, type and crossmatch, & sickle prep. No cultures are available.
Radiology
(1) fixed digital X-ray machine. There is (1) ultrasound machine in the surgery clinic, (1) in OB/GYN, (1) in the internal medicine clinic for cardiac echography, and (1) in the emergency room. There is no long-term radiologist on staff.
Common diseases/trauma
The most common conditions treated at the hospitals are traumatic injuries, malaria, URTI/LRTI, gastritis/PUD, hypertension, malnutrition, gastroenteritis with dehydration, TB, meningitis, congestive heart failure, pregnancy related complications, and HIV/AIDS.
Teaching
Kibuye Hope Hospital serves as one of two primary teaching hospitals for Hope Africa University medical and nursing schools. Medical students do both clinical rotations and coursework at Kibuye for the majority of their three clinical years. The hospital also trains post-graduate interns and is beginning PAACS surgery residency in 2022. Volunteer physicians are expected to participate in medical education within their area of expertise.
For More Information
Contact Carly Poor by email or by phone at: (828) 588-1274.
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