Reducing inequity in basic surgical and anaestehtci access in Ninh Thuan province
Aware of MESCH’s collaborations with Lam Dong Hospital, Dr Phien (director of Ninh Thuan District General Hospital - NTDGH) spoke with us in 2016 whilst we were in Da Lat. We spoke about how basic surgery and anesthesia reduces death and disability from surgical diseases and birth defects; reduces economic and social disparity; and prevents adverse health outcomes arising from the burden of injuries and non-communicable diseases. We committed to reducing the discrepancy in access for those in poor or rural areas and in the most vulnerable - infants and small children. The specific aim of this project was to assist in the upskilling of surgeons and anaesthetists
Teaching an approach and management skills for severely injured people in resource poor environments.
The tragedy of road trauma in Vietnam is compounded by the lack of co-ordinate community or hospital based services to deal with the critical first few minutes after the accident - when doing simple things right really makes a difference. In 2018 MESCH signed an MOU with Dr Phien (director Ninh Thuan general hospital NTGH) to work with him to develop a trauma course appropriate for their resource poor environment. We all agreed to maintain local Vietnamese ownership from the outset - building confidence that an acceptable standard of care could be achieved with a minimum of technology and training staff in the necessary skills and processes to do that.
A community clothing manufacture business, creating income and self-esteem
Raga started as a sewing business that made school uniforms and clothes on Nth Pentecost Island. This gave the community a local and less expensive solution to buying clothes.
The business provided employment for women, contributing to the education and skills of those directly involved in the project and, by example and training, to the wider community.
Supporting visually impired blind people to lead independent lives though stable and dignified employment.
Visually impaired people in Vietnam have limited employment opportunities, massage being one of them. This is the first time MESCH has been involved with individuals -Khiem and his wife, Huyen. We knew Khiem through Lam Dong Blind association. He and Huyen had a long journey to start this business in DaLat and a strong commitment to build Thanh Huyen as a successful business enterprise - both for their own children and for their visually impired employees. Beginning in April 2017, the project has taught massage skills, suggested marketing options, designed a logo and business cards and produced a commercial video.
SUPPORTING DOCTORS AND NURSES DURING THE COVID PANDEMIC AND BEYOND
Despite early success in containing the Co-Vid 19 pandemic, it suddenly and rapidly spread throughout major cities and, subsequently, to rural areas like Ninh Thuan Province. MESCH contacted our previous partners in the Primary Trauma Course - Dr The (ICU) and Danh Nguyen (Director of Nursing). With rapidly increasing numbers and a high death toll, Dr The was keen to explore if other options existed and this was in line with Danh Nguyen's focus on improving outcomes from ventilation.
Through Zoom links we joined expertise to provide validation, discuss general management options and assist in formulation of appropriate strategies for the management of people with Co-Vid infections admitted to intensive care in Ninh Thuan General Hospital.