Immersed in Chaos

For more than one year civil war has been raging in the Central African Republic: People live in conditions comparable to anarchy. The supply situation is dreadful. About one million people are fleeing. Those who looked for protection in the outback are left on their own. To be able to reach some of them, Cap Anamur, in the beginning of this year, started to support a hospital located in a rural area.

The district hospital of Bossembélé was abandoned and rundown – just like many other medical institutions in the country: The majority of the personnel fled to Bangui, 160 kilometers away. A few staff members tried to keep the hospital running – without success, because no medicine was left. “Especially now people need medical help because, apart from injuries from attacks, severe deficiency symptoms and illness are an indirect result of violence,” explains Volker Rath who has been coordinating the project from the very beginning.

We support the hospital across all aspects: logistical, technical, personnel and medical. Apart from a transport of drugs and basic equipment such as thermometers, blood glucose meters and surgical instruments, ultrasound equipment and a respirator had to be purchased. We organized electricity and water and thereby laid the foundations for a complete and hygienic medical support. Now, the new power generator produces electricity for the operation room and the newly drilled hospital well supplies water for the wards.

In parallel to the restoration, our physician Katharina Leschka and our nurse Andrea Bramer are working for the improvement of the medical work. “In addition to the lack of specialized personnel, procedures were very unstructured. The 2.000 patients per month could not be taken care of adequately”, Ms. Leschka explains. The scope of duties of our physicians reaches way beyond the personnel support of their local colleagues. Jointly they develop a new infrastructure to optimize all processes from patient admission and diagnostics to therapy. An improved documentation of patient data, clearer diagnostics and standardized treatment procedures lead to a more effective therapy of the patients. In addition, our staff provides training for the local specialists regarding hygiene, laboratory examinations and the use of the ultrasound device.

A good collaboration with the hospital’s director, Dr. Kanga, is very helpful in advancing the positive development,” nurse Andrea Bramer points out. “The initial skepticism of the hospital staff has disappeared because very soon it was felt that the changes meant progress for each and every one”.

An additional improvement is the establishment of a central pharmacy, which allows a permanent supply of each ward with the necessary drugs. Moreover, we provide drugs and consumables to the two nearby hospitals in Yaloke and Bouali from here. And we store the preparations for our vaccination campaign for children and pregnant women in the District of Bossembélé in this central pharmacy. Since the beginning of the crisis in March 2013 no vaccinations have been carried out anymore.