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> Surgical Mission
> Leprosy
> Community Based Rehabilitation

Surgical care is still limited in South Sudan. AAA in collaboration with CCM Italy and AMREF provided surgical services to the needy people in remote areas of South Sudan. The provision of surgical and maternal care is absolutely inadequate in most low-income countries. Particularly in sub-Saharan Africa, the need for surgical care is unmet, resulting in a loss of quality of life and an economic burden to the individuals and to society in general. The tragedy of maternal and surgical deaths in the rural areas of developing world has been neglected for too long. Mortality rates due to surgically treatable diseases are not as important as the great killers in DC – malaria, pneumonia, diarrhea, and malnutrition in small children, HIV/AIDS infection in adults. Nevertheless, 10% of all deaths, and almost 20 % of deaths in young adults are still likely due to untreated surgical/ obstetrical conditions.

Every year more than 500.000 women die in the world as a result of pregnancy-related causes. 99% of these deaths occur in developing countries. The situation is worst in sub-Saharan Africa, where the Maternal Mortality Rate is 1.700/100.000 live births, and a woman has a 1 in 13 lifetime chance of dying in pregnancy or childbirth (South Sudan: 1 in 8, South Asia: 1 in 54, Middle East and North Africa: 1 in 55, OCDE: 1 in 4,085). Two million women, mostly from sub-Saharan Africa,
have vaginal fistulas, which is not only a physical handicap, but also a social stigma. Unavailability of the Caesarean section significantly contributes to the high morbidity and mortality rates.

Children are commonly affected by surgical diseases (6-12 % of all pediatric admissions in sub- Saharan Africa) and are a significant public health problem in DC. “Congenital anomalies (e.g. inguinal hernia, club-foot) go unrepaired, treatable injuries (e.g. mismanaged burns and fractures) result in lifelong disabilities, and children die of easily correctable surgical
problems, e.g. airway foreign bodies and incarcerated inguinal hernias”. It has been claimed that surgical care should be an essential component of child health programs in DC (Bickler SW, 2003).

Achievement 2015

  • 389 of patients benefitted from surgical mission
  • 15 of health workers benefitted from capacity building