BSG Sponsored Endoscopy Training at Kamazu Central Hospital - Malawi

Endoscopy Training at Kamazu Central Hospital (KCH) Endoscopy Unit - Lilongwe-Blackpool Endoscopy Link 25th February – March 1st 2013.

Visit by Dr Mark Hendrickse(MH) Consultant Gastroenterologist, Blackpool Teaching Hospitals NHS Foundation Trust


Lilongwe is the largest city and capital of Malawi. Kamuzu Central Hospital(KCH) is the main government funded tertiary referral hospital, with an estimated number of beds varying from 600 – 1000 beds. Upper GI bleeding from portal hypertension complicating schistosomiasis and oesophageal cancer are major causes of morbidity and mortality hence the need to have a comprehensive endoscopy service. Through links with the Mersey school of Endoscopy and the Liverpool Malawi Welcome trust previous visits to KCH endoscopy unit in 2011 and 2012 by MH, Dr Paul O'Toole (POT) and colleagues initially involved a basic skills in gastroscopy course for surgical registrars, assessment of endoscopy nurse practice / training and decontamination, and subsequent follow up of trainee endoscopist / endoscopy nurse training evaluation. Recommendations on endoscopy unit expansion, decontamination requirements and support in nurse training were also made. After visits to the Blantyre endoscopy unit and participation in endoscopy nurse training programme in 2011, Rachel Jiya (RJ) and colleagues produced a comprehensive report detailing suggested developments / improvements required in the KCH unit. This has been forwarded to The Matron and the Hospital director at KCH.

Aims of current visit:

  1. To assess endoscopy training requirements of current trainees
  2. To provide small group teaching with all surgical trainees on:
    1. management of upper GI bleeding with particular emphasis on Variceal bleeding (including use of sengstaken tube)
    2. endoscopic therapy particularly variceal banding, oesophageal dilatation and stenting
  3. Review endoscopy training for surgical trainees committed to GI surgery
  4. Provide a refresher / enhanced skills course for those with endoscopy experience
  5. Basic skills course for those with no or very limited endoscopy experience
  6. Evaluate more experienced endoscopist (GM), and run a training the gastroscopy trainer course
  7. Set up meetings with Hospital director, Matron and Head of Department to take forward recommendations from previous visits / report by RJ and colleagues
  8. Assess current endoscopy unit equipment / facilities and future requirement

A full report of the visit may be downloaded below:

Malawi 2012

GI Cancer: an emerging African priority in 2012

Report on a workshop on GI cancers in Lusaka, Zambia

7th – 13th September, 2012

This workshop was held in the University of Zambia School of Medicine and the University Teaching Hospital, Lusaka.

Malawi Endoscopy Training Visit 2011

'Sustainable Partnerships in Gastrointestinal Endoscopy Training and Practice - Outreach to Support Regional Central Hospitals in Malawi'

19-30 September 2011

The IHL partnership in endoscopy between Malawi and Liverpool, funded with previous IHLFS grants since 2009, made excellent progress against its stated aims to provide TTT to Blantyre endoscopy trainers, develop training materials and tools, and develop audit and governance tools. Initially, much of this training was delivered by inviting delegates to the UK (Liverpool Mersey School of Endoscopy). Blantyre is, however, now becoming a sustainable African centre of excellence in endoscopy practice and training. Our previous 2009 application stated "we intend that as sustainable practice is achieved in Blantyre, we will extend training to other regions/centres in Malawi, and hope to eventually provide TTT within Malawi"

A full report on the training course may be downloaded below:

GI Disease Workshop Lusaka, Zambia 2011

Themes in African Gastroenterology

9th-13th September 2011

A workshop was held in Lusaka in September, 2011, hosted by the Zambian Association for Gastroenterology and Nutrition and the University of Zambia School of Medicine, and funded by the British Society of Gastroenterology and with a contribution from the British Society for Paediatric Gastroenterology Hepatology and Nutrition. The objective was to deepen the knowledge base of physicians, surgeons and paediatricians with an interest in disorders of the digestive tract, and to encourage and stimulate junior doctors and nurses to join the specialty. Gastroenterology is an under-resourced specialty in Africa, despite the huge burden of diarrhoea, hepatitis and non-communicable digestive disorders.

Download Lusaka Report 2011 [ 1 Mb ]

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