1. Global Health: The 10 year Ghana Experience James Aikins, MD FACS, FACOG Associate Professor Cooper Medical School of Rowan Univ. Medical Director /Founder International Healthcare Volunteers Inc

2. A F R I C A

3. International Healthcare Volunteers, Inc.  Established in 2001  501c non-profit organization  To provide medical services to women and their families in underserved areas  To facilitate educational opportunities to healthcare providers in underserved areas

4. Goals of the Organization  To provide medical and surgical services to underserved regions of Africa,Caribbean South America and Asia  Institute ongoing medical education seminars for healthcare professionals  Provide support for Undergraduate and graduate physician training in underserved areas.

5. IHCV Medical Mission Team 2002

6. IHCV Medical Mission Team 2009

7. IHCV Medical Mission Team 2012

8. IHCV Medical Mission 2002-2012 (2 weeks) YearTotal PatientsMajor Surgical Procedures DaysVolunteers 20022102489 200345040824 200460042818 2005140066833 200691053828 200793067827 200890065830 2009100074732 2010950110852 2011135095842 201299090832

9. Volunteers  Medicine  ID  GI  Pediatrics  Surgery  Gynecologist  GYN oncology  MFM  Anesthesiology  Urogynecology  Nurse anesthetist  Dentist  Dental Assistant  Nurses  Resident Physician  Medical Students  Senior Volunteer  Junior Volunteers

10. Medical Mission 2012  Regional Hospital @Cape Coast  Metropolitan Hospital @Cape Coast  Apam  Mankessim- Fistula Hospital  KNUST Kumasi  LaGeneral Hospital

11. P R O G R A M S  Primary Care Pediatrics Medicine OB/GYN Dental Screening  Specialized Care MFM GYN Oncology Surgical Oncology GI ID/HIV  CME/Didactics  Outreach Cape Coast Orphanage Blood Drive BP screening Community Media - Primary Prevention

12. F I R S T S I T E

13. INITIAL SURGERY SITE

14. FIRST CLINIC DAY

15. PEDIATRIC CLINIC

16. IHCV Clinical Sustainable Projects  Cervical Cancer Screening Project  Colon Cancer Screening Project  HIV Screening and Prevention Program

17. WHO  Cervical Cancer 2 nd most common Cancer in developing countries  World wide 500,00 new cases/year  80% of cervical cancer occurs in developing countries  25% occurs in Africa

18. Cervical Cancer Screening Program  Pap smears not in existence in Ghana  2009 – Workshop/Colposcopy cervical Ca screening  2010-2012 Continued screening, colposcopy of HR HPV patients  Cryotherapy  Cone biopsy

19. Cervical Cancer Screening  2009 – 2012 (10 days/year)  Sites: Cape Coast/Kumasi  Total Screened 310 Ages 30- 52 yrs HR HPV +35(11%) Colposcopy/Bx25 ○ CIN I 17 ○ CIN II 6 ○ CIN III 2 ○ Cancer 0 ○ Pending 10

20. OPERATING ROOM

21. Case GO Exp. Lap – TAHBSO debulking - Chemotherapy - Currently NED after 4 Courses of Chemo

22. IHCV Sustainable Educational Arm  Partners University of Cape Coast – School of Medical Sciences ○ CME Attendings House Officer Nursing ○ Didactic program for 4 th and 5 th year Medical students Korle-Bu Teaching Hospital ○ Oncology Fellowship

23. Korle-Bu Teaching Hospital

24. Cape Coast Orphanage  Orphans due to AIDS 160,000  Orphans due to other causes 110,000

25. Challenges  Lack of Physicians  Lack of Facilities to Process Specimens  Not a High Priority

26. WELL BABY/CHILD CLINIC

27. Apam – Accident & Emergency Ward

28. AD

30. Kakum Rain Forest

31. Rich Culture - AKWABA

32. Elimina Castle

33. Cape Coast Castle

34.  International Healthcare Volunteers  Ihcv.org  Contact: IHCVINFO@GMAIL.COM

35. ELIMINA CASTLE

36.  THANK YOU