Development of a Tertiary Neurological Rehabilitation Centre in Sudan
The December Revolution Centre for Rehabilitation of Traumatic Spinal Cord and Brain Injuries at Khartoum Teaching Hospital addresses the lack of holistic patient-centered rehabilitation services in Sudan. Following the December 2018 Revolution, the need for specialized care for victims with spinal cord and brain injuries was evident. Through a partnership involving the Sudan Doctors Union UK Branch, Khartoum Teaching Hospital, and the Federal Ministry of Health, funding was secured for the establishment of Sudan's first tertiary neurological rehabilitation center. The center aims to provide specialized care, prevent secondary complications, serve as a national referral center, offer training for healthcare professionals, and set a precedent for future neurorehabilitation centers in Sudan.
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* Facts about the December Revolution Centre for Rehabilitation of SCI and TBI Mr Wail Ahmed Consultant in Spinal Cord Injuries SDU UK Member of Rehab Project Committee 7thMarch 2023
*The December Revolution Centre for Rehabilitation of Traumatic Spinal Cord and Brain Injuries The Hyper-acute Rehabilitation Unit *Khartoum Teaching Hospital *Name and place
*Sudan lacks inpatient multidisciplinary neurological rehabilitation services where patients are provided with holistic patient-centred rehabilitation programs that enable them to be re-integrated into the society following catastrophic acute neurological conditions such as strokes, traumatic brain injuries (TBI) and traumatic spinal cord injuries (TSCI). *The need for inpatient multidisciplinary neurological rehabilitation services was very much highlighted during the December 2018 Revolution when tenth of injured heroes sustained gunshot TSCI and/or severe TBI. *How it started
*In September 2019, the SDU UK acted as guarantor for a lump sum crowd fund of million USD gathered by the Manchester Sudanese Diaspora group, to support the December 2018 Revolution victims. *An opportunity was opened then for SDU UK members to bid for funding with project proposals to support the treatment of the revolution victims or the hospitals treating them. *As there were several victims with disabling SCI and TBI that required specialist neurorehabilitation and long term care, a proposal was written by SDU UK members, specialist in the field, to develop the first tertiary neurological rehabilitation centre in Sudan for long term medical and rehabilitation care of these victims. *How it started
*The centre will provide specialist inpatient hyper-acute and tertiary multidisciplinary neurological rehabilitation services for traumatic spinal cord and brain injury patients. *The centre will also provide life-long medical and rehabilitation care for prevention of secondary complications including, for example, neurogenic spasticity, neurogenic pain, neurogenic bladder and bowel dysfunction, and pressure sores. *The centre will be the first tertiary national neurorehabilitation centre in Sudan that will take referrals from all hospitals in Sudan. *The centre will be a training hub for all staff including doctors, nurses, therapists etc. and an example to follow to develop other neurorehabilitation centres in Sudan *Vision
*The project was executed through partnership of the Sudan Doctors Union UK Branch (SDU UK), Khartoum Teaching Hospital (KTH) and the Federal Ministry of Health (FMoH) as follows: SDU UK = Main author and funder of the project (through purchase of specialist rehabilitation equipment) KTH = Host Hospital who provided the building, hospital equipment, essential supporting medical services and equipment (e.g. ITU and radiology departments), and staff FMoH = Government body that supports the project through funding of staffing and equipment maintenance through the finance of medical subspecialties *A Memorandum of Understanding (MoU) was signed by the 3 partners on 02/04/2022 *Partnership
*Mobile hoists and slings for patients transfer *Electrical titling table *Functional electrical stimulation bikes *Electrical and manual wheelchairs *Pressure care cushions *Essential care pressure mattress *Examples of Specialist equipment funded
*The total budget allocated for the project is 163,000 *Money spent to purchase specialist equipment for the KTH Hyper-acute Rehabilitation Unit is 106,000 (118,000 Euros) *On 20/1/2023, the SDU UK Treasurer completed a bank transfer of 53,000 (60,500 Euros) i.e. 50% of the total cost. *The remaining 50% will be paid once equipment is received in KTH. *Expected equipment delivery date is around 3 months. *The remainder ( 57,000) will be used toward the tertiary centre in Soba University Hospital. *Equipment budget
Specialist neuro-rehabilitation inpatient and outpatient services for the following patients: All adult traumatic spinal cord and cauda equina injury patients All adult moderate and severe traumatic brain injury patients All non-progressive spinal cord and brain disease with neurological deficits Patients and families education about SCI and TBI Families and siblings counselling services *Beneficiaries in general
*Numerous head injuries with high death rate *Several moderate to severe TBI surviving victims *Revolution SCI/CES injuries surviving victims total = 23 Dec 2018 to Aug 2019 = 11 oDeath = 2 oUnderwent specialist neuro-rehabilitation in India = 6 oCosts of 3 months rehabilitation per individual = $20,000 to $25,000 Oct 2021 to date = 12 oDeath = 5 oUnderwent specialist neuro-rehabilitation in Egypt = 6 oCosts of 3 months rehabilitation per individual = $15,600 *All surviving Revolution TBI and SCI/CES injuries victims will receive free regular lifelong medical and rehabilitation inpatient and outpatient services as indicated based on their needs *Benefits for Revolution victims
MDT Training Opportunities in Neurorehabilitation Medicine Undergraduate training opportunities for: Undergraduate student nurses Undergraduate Student physiotherapists Undergraduate Student occupational therapists Undergraduate Student psychologists Post-graduate training opportunities for: Physical & Rehabilitation Medicine Trainee Registrars Post-graduate specialist nurses training in neurorehabilitation Post-graduate specialist physiotherapists training in neurorehabilitation Post-graduate specialist occupational therapists training in neurorehabilitation Post-graduate specialist neuropsychology training in neurorehabilitation Post-graduate specialist neuro speech and language therapist training Training opportunity of transferrable skills to other medical and surgical specialties including neurologists, stroke physicians, neurosurgeons, orthopaedic surgeons, plastic surgeons etc. *Benefits for the medical field
