A young Tanzanian doctor examines a malnourished child in Haydom Lutheran Hospital's pediatrics unit last February. Photo by Tony Bartelme
Doyle Word, executive director of Madaktari Africa and resident of Folly Beach, recently met with Tanzanian president Jakaya Kikwete in the country's State House. "It’s not easy to get access to the big brains in the medical profession," Kikwete said about Madaktari's efforts to teach neurosurgery."I’m sure many people envy us that we’re getting this piece of medical training. It's rare."
Photo provided by Amil Shivji
In many developing countries, babies with hydrocephalus and other easily treatable brain problems die because no neurosurgeon is available to save them. Here, Dilan Ellegala, a U.S. neurosurgeon, prepares to teach a German and Tanzanian doctor how to relieve the pressure in the baby's skull. Photo by Tony Bartelme
Converted Land Cruisers serve as ambulances in the bush, which deliver patients to the front door of Haydom Lutheran Hospital. Photo by Tony Bartelme
Lutheran missionaries from Norway built a hospital in the early 1950s on the edge of the Rift Valley. Few people lived in that remote corner of Tanzania then, but now a village of about 20,000 people has grown up around its gates and the facility serves an area of more than 1 million people. Photo by Tony Bartelme
U.S. neurosurgeon Dilan Ellegala, left, teaches a German pediatrician, Theresa Harbauer, and a Tanzanian doctor, Juma Igogo, how to insert a shunt into a baby suffering from hydrocephalus. Ellegala only steps in when he sees the doctors may make a mistake. Photo by Tony Bartelme
Dilan Ellegala, left, and Doyle Word, center, talk with a former Tanzanian health official during a function in early February to celebrate the opening of a new medical supply warehouse in Dar es Salaam, which was largely built with U.S. foreign aid dollars. Photo by Tony Bartelme
As the sun sets in Haydom, the shadow of volcanic Mount Hanang is visible from the front gate of Haydom Lutheran Hospital. Photo by Tony Bartelme
In early February, the pediatrics ward at Haydom Lutheran Hospital was full of malnourished children like this one, who despite his size, is two years old. His father spends hours with him at his bedside. Photo by Tony Bartelme.
This Tanzanian man said he was stabbed in a fight but is doing well after being patched up at Haydom Lutheran Hospital. Photo by Tony Bartelme.
A Tanzanian clinician, Emanuel Mayegga, left, learned brain surgery from Dilan Ellegala and is now poised to finish medical school in Dar es Salaam. He attends the International Medical and Technological University with his friend Daniel Anemia, who also is from Haydom and is seeking advanced training in laboratory work. Photo by Tony Bartelme
Patients arrive at Haydom Lutheran Hospital on buses, stretchers, motorcycles and on foot. Photo by Tony Bartelme