Ridge Regional Hospital is located in the capital of Accra, Ghana and is one of four government hospitals that is overseen by the Ghana Health Services. This is the primary focus of our current medical health participation in Ghana. The hospital serves Accra’s urban population of 2,905,726 identified by the 2000 National Population Census.
Dr. Kafui Demasio is a specialist in Maternal Fetal Medicine, with strengths in medical complications of pregnancy and diagnostic ultrasound. Her work in Ghana began with an invitation to join Kybele, a non-profit humanitarian organization in its work in Ghana. The objectives of this project are to: 1) improve maternal and newborn safety, and 2) continue to assess the impact of a focused short term teaching exchange. Teams that have travelled to Ghana with Kybele have been multidisciplinary, composed of an obstetric anesthesiologist, pediatricians, and organizational professionals, to name a few. The teams are also multi-institutional, with participants from Duke University, Wake Forest University, and the Albert Einstein College of Medicine. The work is hands on, and side-by-side with health providers from Ridge Hospital who deliver approximately 9000 women annually. Members of the team focus on their area of expertise. Our work begins with daily morning medical report with senior physicians, medical officers, house staff, and midwifery staff. Ward rounds are conducted daily with the medical team on high-risk obstetric patients, and management strategies are discussed where appropriate. Many of these women suffer from hypertensive disease, pre-eclampsia, and/or complications of eclampsia that are less commonly seen in the United States, but experienced routinely in many developing countries. Last year’s venture included teaching of ultrasound to assist in patient management. We continue to observe the integration of this skill into the management of patients and assess other critical gaps in patient care that we can help to address.