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Viewing cable 08ASMARA5, MedOff Visits Self-Help Supported Fistula Center

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Reference ID Created Released Classification Origin
08ASMARA5 2008-01-04 08:21 2011-08-25 00:00 UNCLASSIFIED Embassy Asmara
VZCZCXRO4501
RR RUEHROV
DE RUEHAE #0005 0040821
ZNR UUUUU ZZH
R 040821Z JAN 08
FM AMEMBASSY ASMARA
TO RUEHC/SECSTATE WASHDC 9366
INFO RUCNIAD/IGAD COLLECTIVE
RUEHLO/AMEMBASSY LONDON 1561
RUEHFR/AMEMBASSY PARIS 1739
RUEPADJ/CJTF-HOA J2X CAMP LEMONIER DJ
RHMFISS/CDR USCENTCOM MACDILL AFB FL
RUMICEA/JICCENT MACDILL AFB FL
UNCLAS ASMARA 000005 
 
SIPDIS 
 
SIPDIS 
 
E.O. 12958:  N/A 
TAGS: SOCI EAID ER
SUBJECT:  MedOff Visits Self-Help Supported Fistula Center 
 
1.  (U) Summary:  On December 14 MedOff, CLO, and the Embassy's LES 
RN visited the Fistula Center at the Mendefera Hospital to deliver 
donated medical supplies and to meet American surgeons sent to train 
local surgeons on fistula repair techniques.  MedOff noted that the 
hospital appeared to be well kept, although some of the hospital's 
medical equipment was not functioning.  Post was also pleasantly 
surprised at how rapidly the necessary travel permits were issued. 
End Summary. 
 
2.  (U)  On December 10 MedOff and CLO submitted requests to the 
Government of the State of Eritrea (GSE) for permission to travel to 
Mendefera  (Note:  All non-Eritreans, including resident diplomats, 
are required to submit travel permits 10 days in advance of travel 
outside of Asmara.  End note.)  Travel permits, if approved, usually 
take the full 10 days to be processed.  Post was pleasantly 
surprised at the four-day turnaround. 
 
3.  (U) Mendefera is a small city of approximately 100,000 people 
located 54 kilometers south of Asmara.  The city's 250-patient 
hospital was built in 2005 by the Chinese government and is now a 
part of Eritrea's National Health Service.  The hospital's campus is 
large with several buildings separated by covered paved walkways. 
Despite being generally well kept and in good condition, MedOff 
reported that open windows in some of the buildings were not covered 
by screens, an obvious hygiene and malaria concern.  MedOff also 
noted that the hospital's mechanical system for delivering oxygen 
and providing suction to patient rooms was not functional. 
 
4.  (U) The Fistula Center receives significant funding from the 
United Nations Population Fund (UNFPA) and Johnson and Johnson.  The 
local staff performs between four and five fistula repairs per day. 
For FY 2008 approximately $10,000 of U.S. Embassy Self-Help funds 
has been allocated to the Fistula program for two key pieces of 
equipment to assist in surgeries.  One piece of equipment is an 
obstetric ultrasound machine.  This machine is a preventative tool 
for assessing women during pregnancy and while in labor for 
obstetrical complications that cause fistula.  The other is called 
an i-Stat.  The i-Stat is a hand held machine that measures serum 
electrolytes for both pre and post operative fistula patients. 
 
5.  (U) While at the Center, MedOff discussed cases and training for 
the local surgeons with visiting American surgeon Dr. Mark Morgan. 
Dr. Morgan informed MedOff that the local surgeons' skills were 
progressing under his tutelage. 
 
6.  (U) A hostel is located about 1.5 kilometers from the hospital 
to house fistula patients and provide nutritional support prior to 
surgery.  (Note:  Many Eritreans, especially those in rural areas, 
exhibit symptoms of malnutrition.  End note.)  Patients also use the 
hostel to recover, be given post operative nursing, and receive 
self-care education.  The U.S. Embassy delivered donated soaps and 
toiletries to the residents of the hostel. 
 
7.  (U) Comment:  Despite the obvious challenges of providing 
medical care in Eritrea, the medical team was impressed with the 
ability and commitment of the staff of the Fistula Center.  Although 
the facility would not meet American standards, the Center's staff 
is committed to providing this necessary surgery and to helping 
their patients overcome the social stigma of their condition. 
MedOff noted that the assistance provided to the Center through 
donations is being put to good use, as will be the future Self-Help 
Funded equipment donation.  End comment. 
 
MCMULLEN