Clinical partnerships – commitment in the Global South
Within the framework of „Initiative Klinikpartnerschaften - Partner stärken Gesundheit” (clinical partners initiative – partners strengthen health), the Federal Ministry for Economic Cooperation and Development will, hand in hand with the Else Kröner-Fresenius foundation, support partnerships projects between German companies operating in the health care sector with partners in developing countries. The Charité is involved in this initiative with a large range of projects:
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Initiative Hospital Partnerships
The Initiative Hospital Partnerships supports social commitments and cooperations between German institutions in the health sector and developing countries. In this case, the focus will be on knowledge transfers as well as the exchange of experiences and reinforcement of innovations across borders. For more information, please click here.
Current prosthetic concepts: knowledge transmission, training and implementation
Partner: Faculty of Dental Medicine, University of Medicine, Tirana.
Contact: Prof. Dr. Florian Beuer, Department of dental prosthetic, geriatric dentistry and functional training Courses.
Description: At the core of the clinical partnership is the exchange of ideas relating to current prosthetic concepts and modern therapeutic approaches. The methods implemented at the Charité in digital dentistry will be established and further developed at the University of Tirana. Other than fixed and metal free dental prosthetic, the project deals in particular with digital full sets as well. In Albania, there is a high demand for these kinds of prosthesis. As a result, the University of Tirana wishes to implement a Master program for dental prosthesis in cooperation with researchers at the Charité.
Safe obstetric care in Sierra Leone in the light of outbreak preparedness and infection control
Partner: Princess Christian Maternity Hospital, Sierra Leone; Holy Family Virika Hospital, Uganda.
Contact: Prof. Dr. Gundel Harms-Zwingenberger, Institute for tropical medicine.
Description: When it comes to giving birth, Sierra Leone represents one of the most dangerous country in the world with a maternal mortality of 1,360 deaths for every 100,000 births. At the same time, the often-poor obstetrical care of this country has further languished during the Ebola epidemics towards the end of 2015. Furthermore, the number of safe deliveries in health facilities decreased significantly due to a lack of capacity as well as a decay of trust from mothers-to-be in the public health services. Because of this, a partnership was set up between the Institute for Tropical Medicine and International Health of the Charité Berlin and the Princess Christian Maternity Hospital, in Freetown, Sierra Leone. This clinical partnership aims to improve the quality of the obstetrical care in Sierra Leone and in particular in hindsight of the Ebola epidemic. The partnership is based on Sierra Leone’s national health care strategy and runs in close cooperation with the project “health care system reinforcement and epidemics prevention” of the local health program GIZ. In addition, within the framework of this clinical partnership, a south-south cooperation will be set up with the Virika Hospital in Uganda which should enable an exchange program of the African partnership concerning the project “Ebola Outbreak Preparedness”.
Clinical partnership with Guinea - Hôpital Régional de Faranah, Guinea
Partner: Hôpital Régional de Faranah.
Contact: Prof. Dr. Titus Kühne, institute for Imaging Science and Computational Modelling in Cardiovascular Medicine.
Description: In Guinea, the lack of health care staff and the precarious state of health infrastructures inhibit many people from accessing public health facilities. Consequently, there exists a strong dependence on international aid. This clinical partnership aims to create communication infrastructures in the field of medicine. The goal of this project is to also establish a Satmed platform that would build a modern patient data management platform in Guinea. Satmed already operates in several African countries and is available via e-health apps in an independent and safe environment for committed doctors, nursing staff, midwives and Community Health Workers. This platform also offers tools for simple and efficient cooperation, for conferences, e-Learnings and for data transmission. The Charité is a competent partner in the field of telemedicine and teleradiology as well as offering a wide spectrum of clinical specialties. In the long term, the access and the quality of public health service should improve in Farunah and in the whole country too.
Creation of a perinatal center in Barentu, Eritrea
Partner: Ministry of Health of the State of Eritrea/ Gash Barka Referral Hospital Barentu, Eritrea.
Contact: Dr. Carolin Meinus und Dr. Katharina Marggraf, Department of Pediatric Pneumology and Immunology - Intensive Care Medicine.
Description: in cooperation with the group ARCHEMED - Ärzte für Kinder in Not (Doctors for Children in Distress) – and with the Eritrean Ministry of Health, the Charité has since 2012 supported the Gash Barka Referral Hospital in Barentu, Eritrea. This project seeks to build clinics in neonatology, obstetrics and pediatrics as well as an improvement in the care of mothers and children, particularly premature infants. An advanced training of Eritrean colleagues through bedside teaching (for instance, hygiene, heat regulation, food), training (among others, in the areas of newborns-reanimation and the establishment of standards for frequent diseases) as well as professional discussions with Eritrean colleagues is high on the agenda. Since 2018, this project has concentrated on the work of the clinic’s emergency department. The adequate provision of a room for the care of the children, refining the definition of treatment standards and training of the emergency room personnel should improve the initial care and treatment of pediatric patients. Together, with our Eritrean colleagues on the ground, we aim to provide a significant contribution to the reduction of child and maternal mortality in the region of Gash Barka.
Improving patient safety: prevention and control of healthcare associated infections, antibiotic resistance and highly contagious infections
Partner: University Teaching Hospital of Butare, University of Rwanda.
Contact: Prof. Dr. Frank Mockenhaupt, Institute for Tropical Medicine.
Description: since March 2007, an ESTHER-partnership exists between the clinical university Butare (Centre Hospitalier Universitaire Butare, CHUB) and the Institute for Tropical Medicine in Berlin. The goal of this clinical partnership aims to improve the quality of patients´ treatment at the CHUB: This partnership exists through the following tasks:
- The development of reference guidelines (which are based off national guidelines) for clinical and diagnostic way of proceeding with HIV-patients.
- Increase in HIV relevant levels of knowledge and expertise on CHUB and ITM through exchange between personnel.
- Implementation of pilot programs for the improvement of hands disinfection in the clinical area.
- Knowledge management, publications and public presentation of scientific findings at both a national and international scale.
- Research tasks in the field of parasitic infections, hospital-acquired infections and other diseases.
Advanced training, quality improvement and research on cervical cancer/gynecological oncology
Partner: Université Hassan II, Casablanca.
Contact: Prof. Dr. Jalid Sehouli, Clinic for Gynecology with the Center for oncological Surgery at the Charité CVK and CBF.
Description: Breast cancer and cervical cancer are the most common forms of cancer in women. Although the prevalence of breast cancer in Morocco is lower than in the western industrialized countries, nonetheless cases are on the rise. Each year, around 2.000 women in Morocco develop cervical cancer. Within the framework of a national plan aimed at enhancing cancer prevention, the Ministry of Health has put in place various measures in collaboration with the foundation Lalla Salma to improve cancer prevention and treatment nationwide and to increase the patients’ quality of life. Thanks to the partnership with the University of Hassan II in Casablanca, in cooperation with the foundation Lalla Salma, the quality of treatment in Morocco should rise. The focus is on communication and quality assurance processes such as tumor conferences, interprofessional communication and SOPs as well as patient-oriented communication and care. In the long term, a nationwide dialogue with all universities is sought.
Promoting psychiatric care in Vietnam through continuing education
Partner: Department of Psychiatry, Medical University of Hanoi, Vietnam.
Contact: Dr. Thi Minh Tam Ta, clinic for Psychiatry and Psychotherapy CVK.
Description: The establishment of a clinical partnership in 2017 seeks to guarantee a long term and flexible cooperation between the clinic of Psychiatry and Psychotherapy at the Charité CBF, the Department for Psychiatry of the medical university of Hanoi and the National Institute of Mental Health in Vietnam. In accordance with the fundamental principles at the core of the Charité (healing, teaching and research), this long-term cooperation should improve the psychiatric care in Vietnam and for Vietnamese migrants in Germany also.
- Clinic: In a first step, the target group will be doctors, psychologists and already qualified psychiatrists. In the long term, this would lead to more skilled labour, resulting in significant improvements in the under-provision of such professionals in Vietnam as well as improving quality and quantity of mental health services whilst at the same time reducing the “Mental Health Treatment Gap.
- Advanced Training: In addition to the exchange of psychiatric seminars focusing on adapted knowledge transfer, improvement of continuing education in psychiatry and modern psychiatric multimodal therapies, these establishments will aim to raise the standard of psychiatric specialist and basic education to a high standard.
- Research: within the stipulated terms, common research projects and PhD programs are planned with the Charité CBF. By embedding these in three mutually reinforcing areas, a sponsored clinic partnership can contribute in the long term to the internationalization and modernization of psychiatry in Vietnam, but also provide new impulses for German-speaking psychiatry.
Quality reinforcement in prevention, diagnosis and treatment of post-op and musculoskeletal infection in hospitals
Partner: Université Evangélique du Cameroun, Cameroon.
Contact: Prof. Dr. Andrej Trampuz, Center for Musculoskeletal Surgery (CMSC).
Description: in developing countries, post-op and hospital-acquired infections are very common. Particularly in countries such as the Cameroon, where patients must bear the health costs themselves, such post-op infections may lead to dramatic consequences for patients and their families. It will lead to longer and more expensive hospital stays, to a longer loss in employability and possible to job loss, disability and in the worst-case scenario, premature death. On the other hand, many infections are clearly treatable and avoidable thanks to greater understanding. Regarding the clinical partnership with the Université Évangélique du Cameroun and the Hôpital Protestant de Mbuou, the nursing staff and medical students will be trained in the prevention, diagnosis and treatment of post-op and musculoskeletal infections Furthermore, infections and cases of resistance will be closely monitored. Hygiene plans will be developed and new methods in diagnostics and treatment will be introduced. In the long term, the project should contribute to the development of a national strategy in this area. The project is supported by a grant from the PRO-IMPLANT foundation.