Hubertus Jochen, Abera Gersam, Haileamlak Abraham, Siebeck Matthias, von Schweinitz Dietrich, Wagner Ferdinand, Eckle Rosa, Wessel Lucas, Ritz Laura, Ardelean Mircia Aurel, Becker Kristina, Seifu Alemu
Department of Pediatric Surgery, Dr. von Hauner Children's Hospital, LMU University Hospital, 80337 Munich, Germany.
Department of Surgery and Child Health, Jimma University Hospital, Federal Ministry of Health, Jimma 47, Ethiopia.
Children (Basel). 2021 Mar 22;8(3):244. doi: 10.3390/children8030244.
Ethiopia is a rapidly developing country in Eastern Africa. In total, 43.2% of the population are younger than 15. In contrast, until a few years ago, pediatric surgery was only available in Addis Ababa. Now, Ethiopia is making great efforts to improve the care of children who require surgery. JimmaChild was established to set up a pediatric surgery in Jimma.
JimmaChild developed from a scientific collaboration between Jimma University (JU) and Ludwig-Maximilians-University. The project was developed and realized by Ethiopian and German colleagues. A curriculum was written for this purpose. The pediatric surgical training of the fellows was carried out on-site by German pediatric surgeons.
A new pediatric surgery was established at JU with its own operating room, ward, and staff. After two and a half years, two fellows completed their final examinations as pediatric surgeons. Among others, 850 elective surgeries were performed, 82% assisted by the German colleagues. The German colleagues rated the preparation for the trip, the on-site support, and the professional progress of the fellows mostly as good to very good. Reported problems in the program flow were also recognized and solved in part.
The best possible integration of the project into existing structures was achieved by close cooperation of Ethiopian and German colleagues during the project development. Problems were identified and addressed early on by external monitoring. As the project responsibility was mainly with the Ethiopian colleagues, a department was created that now exists independently of external funding and trains its own fellows.
埃塞俄比亚是东非一个快速发展的国家。总体而言，43.2%的人口年龄在15岁以下。相比之下，直到几年前，儿科手术仅在亚的斯亚贝巴才有。如今，埃塞俄比亚正在大力改善对需要手术治疗儿童的护理。吉马儿童项目的设立是为了在吉马建立一家儿科外科。
吉马儿童项目源于吉马大学（JU）与路德维希 - 马克西米利安大学之间的科学合作。该项目由埃塞俄比亚和德国的同事共同开发并实施。为此编写了一门课程。 fellows的儿科外科培训由德国儿科外科医生在当地进行。
JU建立了一家新的儿科外科，拥有自己的手术室、病房和工作人员。两年半后，两名 fellows 完成了儿科外科医生的期末考试。其中，共进行了850例择期手术，82%由德国同事协助。德国同事对行程准备、现场支持以及 fellows 的专业进展大多给予了良好到非常好的评价。项目流程中报告的问题也部分得到了识别和解决。
在项目开发过程中，埃塞俄比亚和德国同事的密切合作实现了该项目与现有结构的最佳整合。通过外部监测早期识别并解决了问题。由于项目主要由埃塞俄比亚同事负责，因此创建了一个现在独立于外部资金并培训自己 fellows 的部门。
