Report on the Fifth Medical and Health Mission to Wad Onsa Mycetoma Research Centre, Feb 2017

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
Report on the Fifth Medical & Health Mission
to Wad Onsa Mycetoma Centre
15th-18th February 2017
The Mycetoma Research Centre (MRC) in collaboration with Sennar Miniry of
Health and Wad Onsa local community had organized the Fifth Mission to Wad
Onsa Mycetoma Centre (WOMC) in the period 15th -18th February 2017.
The mission objectives were to:
• Detect early mycetoma case at Eaern Sennar Locality.
• Treat mycetoma patients locally at the WOMC.
• Conduct an epidemiological survey on mycetoma and its diribution in
the locality.
• Conduct health education activities for the aected villages’ villagers.
• Train the ate health and medical cadre on mycetoma care and referral.
• Decentralize the mycetoma service.
Wad Onsa Mycetoma Centre

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
The mission consied of three main teams:
The mission consied of three main teams:
• The Diagnoic & Treatment Team
• Health Education Team
• The Epidemiology Survey Team.
They were joined by teams from Sennar State, Miniry of Health as well from the
local community leaders and activis.
The Mission Team
The Diagnoic & Treatment Team had conducted clinical examinations for all the
suspected mycetoma patients regiered at WOMC, and they were 300 suspected
patients. The Diagnoic Team was led by Dr. Muafa EL Nour, Consultant
Radiologi, Soba University Hospital, assied by two radiology regirars and
a technician. The team scanned 270 patients with suspected mycetoma lesions.
The Treatment Team was led by Prof. A Fahal and Mr. EL Sammani Wadella,

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
The Treatment Team was led by Prof. Ahmed Fahal and Mr. EL Sammani Wadella,
Consultant Surgeons at the MRC and assied by three surgical regirars, anaes-
thetic regier, four theatre assiants and two anehetics technicians. 151 pa-
tients underwent surgical treatment. The surgical procedures ranged from wide
local excision to amputation; all patients had uneventful pooperative recovery.
The operatives ndings included mycetoma lesions (142), foreign body granulo-
mas with thorns (7), broma (2). All the surgical biopsies were hiopathologically
examined. Grains were collected for both culture and PCR identications. All pa-
tients received free treatment and inveigations. The Sennar Miniry of Health
had provided free meals and transportation for the patients and their families.
The Operating Theatre at WOMC

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
The Epidemiology Survey Team was led by Dr. Rowa Fath EL Rahman and Dr.
Eiman Siddig, Research Assiants, MRC. The team consied of ten subgroups;
each one had 3-4 members. The subgroups included clinicians, nurses, medical
udents, health workers and local community activis from Eaern Sennar local-
ity. The subgroups conducted house to house surveys in 19 villages in the locality,
and 399 suspected mycetoma patients were detected. The surveyors used a newly
designed digital data collection program called Computerized Assied Patients
Identier (CAPI) designed purposely for this udy. They used smart tablets for data
collection. Suspected patients were interviewed, the lesions were photographed,
and the patients’ localities were determined by detecting the coordinates. The data
from the village health assiants were also collected. The data were immediately
transferred to the MRC Database Server and were analyzed by the CAPI program,
and the results were archived at the MRC Database Server.
The Epidemiology Survey Team member collecting data

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
The Health Education Team was led by Mrs. Insaf Tawar, a Social Worker for
the Association for Aid and Relief, Japan, Khartoum Oce and Miss Hanan Muda-
thir, Social Worker. They conducted several health education sessions to the villag-
ers, using specially designed education material on mycetoma advocacy.
“Mesaket Story” A drama lm on a mycetoma patient journey from minor infection
which was neglected till limb amputation was shown to more than 200 individuals
at WOMC.
This team also included three ne artis and musician; they conducted several
health education sessions to the primary and secondary schools pupils using in-
novative drawing and ne art techniques.
Health Education sessions in progress
An arti conducting health education session for school udents

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
The medical and health personnel at Eaern Sennar region received training on
mycetoma patients’ care, indications for referral and population health education
and disease advocacy. The training session was addressed by the Sennar State
Minier of Health and Eaern Sennar locality Governor. A newly designed referral
cards were diributed to the trainee.
The medical and health personnel training workshop
The mission diributed around 400 shoes to the poor school pupils at Wad EL
Nimer village which is the mo aected village in the locality to improve the perThe

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
mission diributed around 400 shoes to the school pupils at Wad EL Nimer village
which is the mo aected village in the locality to improve the personal hygiene
and to reduce the risk to develop mycetoma.
The mission enjoyed the great hospitality of the community leader, Sheikh A Azziz
EL-Bashir and his family. The Minier of Health at Sennar State and his senior
adminirators made the mission a success.

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
The Mission Outcomes
1. Community engagement in early disease detection had improved.
2. More patients with early disease were seen and treated.
3. The mycetoma patients’ care quality locally had improved.
4. Better patient access to free treatment.
5. Ea Sennar medical and health a were trained on mycetoma
patients’ care, referral and community advocacy.
6. New digital data collection application (CAPI) was designed and
teed it and proved to be useful.
The mission team on the way back to Khartoum

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Wad Onsa Mycetoma Centre15th-18th February 2017, Sennar State
Aspirations & Achievements