Department of Medicine, Kamuzu Central Hospital, Lilongwe 3, Malawi
INFORMATION TO VISITING INTERNATIONAL STUDENTS, CLINICIANS AND PERSONS INTERESTED TO DONATE DRUGS
AND MEDICAL DEVICES
Version: December 2013
Dear colleagues and visiting students;
Thank you for your interest to visit Kamuzu Central Hospital. Please find some information below on readings, registration, personal equipment
and lodging, that you may useful for your stay at the Dpt. of Medicine of Kamuzu Central Hospital. After your stay please share further information
with us that may help international visitors.
In the past, many visiting clinicians and students expressed their wish to support the Dpt. of Medicine by donations. For this purpose the members
of the Dpt. have developed a list of useful items. Currently we prefer to receive the below named goods over money transfers. Please understand
that these are voluntary donations.
Attached you will find a list of equipment that will be of great use at any time.
The Department of Medicine:
Head of Department: Dr. Jonathan Ngoma
Academic Lead/CoM: Dr. Clara Schlaich
The Medical Department at Kamuzu Central Hospital is organized in 4 Teams: A, B, C and D. Each team is consisting of a Head of Firm (usually a
Medical Specialists and Lecturer), consultants, Registrars, Interns and students.
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Ward 4A: Female Medical Ward
Ward 4B: Male Medical Ward (4 beds)
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
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HDU: High Dependency Unit (in ward 4 A)
Ward 2: Hemodialysis Unit (in ward 2)
Tb Ward at Bweila (ward rounds alternating Tuesdays and Fridays)
Short Stay Unit: Admitting and Short-stay ward (8 beds)
Diabetic Clinic: Medical Specialist Clinic OPD II Tuesdays from 9:30
General Medicine Clinic: Medical Specialist Clinic OPD II Wed from 9:30
In-patient HIV clinic: Medical Specialist Clinic Monday, Wednesday and Thursdays from 13:00 in OPD 1 (in collaboration with UNC, Lighthouse,
KCH clinicians)
Oncology /Hematology Clinic: Medical Specialist Clinic Tuesday, Thursday Ward 2 UNC room from 9:00 a.m (KCH/UNC).
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Also there are clinic of partnering organizations you may attend (need to request first)
Light House Trust ART Clinic: Monday to Friday from 8:00 am
STD clinic of UNC in OPD 7
COMMON HANDOVERS
The Department has a common handover in the morning at 8 a.m. in the lecture room ward 2 (renal unit).
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
SCHEDULE
8:00-9:30
MONDAY
TUESDAY
Hand-over
Case presentations
students
Case
presentation
interns/registr.
14:3015:30
ART
Clinic*
Postgrad
uate
teaching
Cancer Clinic*
Diabetes Clinic
Hand-over 7:30
Hand-over
Grand Round 8:00-9:00
x-ray /CT
presentations
(1st / 3rd week)
Ward Rounds
Diabetes Clinic
Hematology
/FNA Clinic
FRIDAY
General
Medicine Clinic
GMC
from
11:00
ART
clinic*
Ward
Rounds
Cancer
Clinic
ART clinic*
Cancer Clinic*
Hematology
Clinic
Journal
Club
15:45-16:30
Weekend
Optional:
Ward Rounds
OPD ART
Bweila Tb Ward round
Ward Rounds
Hand-over
Ward
Rounds
THURSDAY
Outreach - District Health Clinics
9:00-12:30
Outreach - District Health Clinics/ Tb Ward
Hand-over
Senior Staff meeting
(1st / 3rd week)
13:00-15:30
WEDNESDAY
Join admitting
team to cover
Short-Stay Unit,
High
Dependency
Unit, Wards.
Join Ward
rounds of teams
Afternoon Hand-over In Short Stay Unit
Monday –Friday Telemedicine lectures between 10:00-17:00; see monthly schedule
Daily: Cover of Short Stay and Consultations to other Dpts: AdmittingTeam A, B, C or D, after hours: Interns on call
Ward Rounds (4A, 4B): Daily by teams A,B,C,D. HDU and Dialysis: Daily rounds by assigned consultant (monthly) intern/registrar (weekly)
* ART Inpatient and Cancer Clinic by UNC, Light House and KCH
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
LODGING:
International Visitors will have to find their own lodging and transport. Here are some suggestions for students and junior clinicians.
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College of Medicine Dormitories (5 min. of walk from KCH)
Contact: Mrs. Ida Chapuma
e-mail: IChapuma@medcol.mw
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University of North Carolina Gusthouse (on the KCH Campus)
Contact:
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University of Pennsylvania Guesthouse
In Area 3
Contact: Prof. Thuy Buit, buit@upmc.edu
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Several Lodges such as
Area 3: Mabuya Camp Tel. 01754978, e-mail: info@mabuyacamo.com
Area 3: Cakes Lodge, e-mail cakesmw@webmail.com or cakescribe@yahoo.co.uk
And many others ………..
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
LIST OF ITEMS FOR VISITING INTERNATIONAL STUDENTS AND CLINICIANS
Items you should bring as your personal medical equipment for your patient care and occupational safety. If you wish you may donate it
after use:
For students: White Lab coat or scrubs, non-slip shoeware
(this is what our Malawian Medical students and international students alike are expected to wear, please no “flip –flops”, shorts etc. You are a
guest in our dept., show your respect to the patients and colleagues by your attire, iron your shirts and trousers, have a clean labcoat., scrubs are
a very acceptable alternative).
The following items are useful for ward rounds (bring an appropriate bag or rucksack, there is no space to lock personal belongings):
Stethoscope
Reflex tendon hammer
Sphygmomanometer
Ophthalmoscope
Thermometer
Otoscope
A reasonable supply of gloves
Hand desinfectant
Pulse oxymeter
face masks
glucometer
urinedipsticks
stationary: a pocket size puncher and stapler, extra white papers are convenient for ward rounds
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
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HIV Postexposure Prophylaxis is available: This is DUOVIR; please inform yourself on your countries’ guidelines and bring a supply of this with
you. Make sure you are fully immunized against Hepatitis A and B, as well as rabies and yellow fever.
Malaria prophylaxis: Doxycycline is available. In case you want to use Mefloquine or Malarone you need to bring this from home (no secured
supply). Treatment with Lumefantrin/Arthemeter and Malaria Rapid Diagnostic Tests are available at low cost.
Praziquantel is available (Schistosomiasis). Overall local private pharmacies are well stocked for all eventualities.
Print the attached softcopies of the relevant National Malawi Treatment Guidelines (general guideline, TB, HIV, STD guideline) and textbooks
(Neurology in Africa, Clinical Handbook). Read them in advance. You may give the printed copy away to a staff member when you leave.
You will find a compilation of these resources following the below link (courtesy of Prof. Thuy Bui, University of Pennsylvania)
http://malawiupsom.wikispaces.com/CLINICAL+MEDICINE+-+GUIDELINES+AND+BACKGROUND+READINGS
Please be aware that you need to register with the Medical Council as a student, registrar or medical specialist alike.
www.medicalcouncilmw.org/contact.htm
Also you need to report to the hospital administration when you start your rotation. An “attachment fee” may apply depending on the kind of your
attachment and your affiliation.
International students: Bring a form from your University that can be used for confirmation of your attachment.
If you wish you can use the College of Medicine for MBBS 3 Logbook to have your procedures documented. Send an e-mail to
Clara.Schlaich@jhu.edu if you wish to use the logbook.
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
OTHER USEFUL ITEMS FOR DONATION
In the past, many visiting clinicians and students expressed their wish to support the Dpt. of Medicine by donations. For this purpose the members
of the Dpt. have developed a list of useful items. Currently we prefer to receive the below named goods over money transfers. Please understand
that these are voluntary donations.
Attached you will find a list of equipment that will be of great use at any time.
For any questions on specifications please address to the following persons.
Please hand over your donations to any of the below named. Make sure you also hand
out product descriptions and possibly guarantee cards and receipts to assure
appropriate use and maintenance.
Make sure you receive a written receipt as attached below for your documentation.
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Dr Jonathan Ngoma (Head of Department):
Phone 0994095720 e-mail: jonathanngoma@yahoo.co.uk
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Dr. Clara Schlaich (Academic Lead, Dpt of Medicine/ College of Medicine)
Phone 0996265576 e-mail:Clara.Schlaich@jhu.edu
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Dr. Charles Munthali: Senior Clinician
Phone: 09 99275306 e-mail: Charles.Munthali@googlemail.com
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
Item
Perfusors
Urindipsticks
specification
ECG machine
With display, instructions in
English language
RAPIDPoint 340/350 Blood
Gas Systems from Siemens
or others
From Roche Company XS
Arterial blood Gas
analyzer
Strips for Coagucheck
XS (Roche) machine
Instrument for Point of
Care PT (INR) and
aPTT measurement
any
Two possible brands:
1) i-STAT 1 from Abbott
2) Cascade from Helena Point of
amount
any
any
remarks
1
With 1000 Capillary tubes
Comes in
packages
of 24 pc,
any
amount
1 with
reagents
Observe expiry date
Care , www.helena.com
Point of care test
5-10 pc
Nebulizers
Defibrillator
Any brand
With monitor and sync function
(such as Lifepack 20). With pads
for external temporary
pacemaking
Any brand. Professional version
with monitor preferred but not
obligatory
any
1
Textbooks
For the level of Medical specialists
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
Clarify further specifications with
CoM hematologist Dr. Mlombe
Yohnniemlombe@googlemail.com
Troponin Test
Half Automatic
Defibrillator (AED)
For general use on wards and
student teaching
Observe expiry date
Please provide spare paper rolls
2
For use on HDU and SSU by
MD´s only, mainly for
Cardioversion and temporary
pacing ( Please provide pads)
For use by MD´s and nurses on
wards and on if duty outside
hospital.
Provide at least 10 extra pads.
For general use of all clinicians
the Dpt- of Medicine Library in
Ward 2, renal Unit
For the Medical students
Hutchinsons´s clinical
examination
Oxford Handbook of
Tropical Medicine
Oxford handbook of
Clinical Medicine
British National
Formulary
Southern African
National Formulary
Face masks
Oxygen concentrators
Mobile oxygen
concentrators
Glucometer
Bone Marrow needles
Liver biopsy needles
Atraumatic spinal
puncture needles
Linear accelerator
40 each
Students library
To be handed out as a loan to our
Medical students, clinical officer
students, interns during their
rotation.
Newest version preferred, older
versions welcome
10
For all wards, OPD, SSU, HDU,
Doctor´s rooms
N 95 or FFP 3
Any
500
5
5
For the Tb ward
For all wards, HDU, SSU
For SSU and HDU
SD free with 500 teststrips
20
Single use
Or
ISLAM re-usable needles
50 adult
sizes, 25
pediatric
sizes
For general use on wards and
student teaching
Observe expiry date
For use in hematology service
Or Motorized bone marrow
needles (such as On Contorl)
Preferably as full set
Any
10
any
Clarify further specifications with
CoM hemato/oncologist Dr.
Mlombe
Yohnniemlombe@googlemail.com
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
Atropin
Naloxon HCL
Flumazenil
Acetylcystein
Ipecacuanhasirup
Activated Charcoal
Desferrioxamine
Pralidoximemesylate
Tramadol
Vancomycin
Meropenem
Piperacillin and
Tazobactam
Hydroxyurea
Hydroxycobalamin (Vit
b 12)
Warfarin Sodium
Enoxaparin or
Dalteparin
Potassium binding
resin
Radiocontrast media
Barium sulfate
Hydrocortisone
Antirabies Serum
Hepatitis B Vaccine
Salbutamol
Ipraproprium bromode
Thiamin
DRUGS (following Malawi Standard Treatment Guidelines)
Up to
Observe long expiration date
500
1 mL amp
2 mg Ampules
10
0.2 mg to 1 mg Ampules iv
10
200mg/ml, 10 ml amp
500
sirup
10
powder
50
Inj. 500 mg vial
10
Inj 200 mg/mL, 5 mL amp
Capsule 50 mg
500pck
May need prescription as
controlled drug
Iv vial 1000 mg
10
Observe long expiration date
Iv vial 500mg and 100 mg
10
Iv vials 2-4.5 gr (different brands
10
Tablets 0.5-1 gm
Up to
5000
Ing 1 mg/mL
Tblt 1-5 mg
Inj Ampules
100
200
powder
100
Oral powder 340 g pack
10
Iv 50 mg/mL
!000 IU/5mL vial
For inj
Aerosol inhalation 200 dose unit
Aerosol for inhalation
inj 100mg/mi
10
5
50
500
200
50
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
For medical staff protection
Calcium gluconate
Vitamins multiple
Streptokinase
Injection 10% 10 ml amp
Injection, high- potency 10 mL
Ampule 250.000-500000 IE
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich
100
100
5
I, Dr. ______________________________________, herewith acknowledge the receipt of the donation following medical items (name
item and number) to the Dpt. of Medicine at KCH, Lilongwe, Malawi:
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________
Received from (Name, Institution, contact details)
___________________________________________________________________________________
Handed over to
Lilongwe, the _________________(date)
To ________________________________________________________________________________________________
(print name, function in Dpt ,Signature)
Donations: List of items and receipt, Version 2 11/2013, Dr. Schlaich