Alieu Manseray is a well trained and educated Surgical Assistant Community Health Officer, SACHO. He was enrolled from 2012 until 2015 in the famous and well-known Surgical Training Program (STP) conducted by CapaCare. After this he has been working at Serabu Hospital in the southern part of Sierra Leone. He has a special story and recently I was so lucky to meet up with him in Amsterdam where he was a keynote speaker at a reception for the book “Into the world”.
The campaign “into the world” is a about setting focus on the good work and the excellent results that has been gained over the years from the Global Health Doctors. These doctors also known as tropical doctors from the Royal Tropical institute in Amsterdam has now got a new name. Medical Doctors Global Health and Tropical medicine. MD GHTM- much easier just to say Global Health Doctors.
Due to lack of finance from the Dutch government an initiative from Dr. Matthijs Botman, a specialist in plastic surgery and a Global Health Doctors, decided to create a book with many of the good stories and literally put them “into the world.”
The lack of finance is due to a misconception in the head of the politicians. They don’t believe that doctors going to 3. World countries are contributing to the Dutch community; therefor it is a waste of resources to educate them.
The book shows us that the politicians are on the wrong track. The stories speak for themselves.
Alieu Manseray is not a Dutch doctor but a native Sierra Leonean with an education as a Community Health Nurse and later as a Community Health Officer. He lost his father in a young age. His father had 3 wives and 12 children. As the eldest brother, he had a great responsibility. Later his stepmother died when she was given birth to her 5. Child. Obstructed labor was the cause and there where nobody to save her live during the delivery. The mother and the baby died.
Alieu later dedicated his own live to educate himself so he could perform lifesavings surgery always with his stepmother in mind.
I 2011 he heard about the Surgical Training Program and applied and started in 2012. Masanga Hospital is hosting CapaCare´s Surgical Training Program and he started his surgical carrier at this hospital.
His training is conducted daily with assistance from the Global Health Doctors who are working at the Masanga Hospital. Also specialists from Europe are coming on rotations to teach and transfer knowledge and skills to Alieu and his colleagues.
At the conference, Alieu told us the story about Adama. She came to his hospital in labor. Twin delivery. She had already delivered the first baby in the village alive, 12 hours before. Now there was no progress and she came to seek medical assistance at the hospital. When Alieu examined her, he had his stepmother in mind. He could feel the baby arms and legs when he palpated the abdomen. Her abdomen had wrong shape and she was in severe pain, and it got worsened when he palpated her. He also conducted an ultrasound scan to confirm his clinical judgement. And he was right – she had a ruptured uterus and a lot of free fluid in the abdomen. The only solution was to perform an operation; the baby was dead – it was about saving the mother. They stabilized her with intra venous fluid and after controlling the bleeding, he removed the ruptured uterus. She survived. Thanks to Alieu, thanks to Global Health Doctors, thanks to CapaCare, thanks to the Masanga Hospital staff and management and so many more, and as Alieu said “Thanks to god”. A chain of stakeholders is behind the successful outcome
Alieu made a decision – he followed his dream. He is now an important Surgeon and he saves lives. He is highly appreciated and needed in his country. He will never leave. He doesn’t go for the money – but for his people.
All the effort from the cooperation groups and people behind this is reducing migration and refugees. This is another way of dealing with the migration. The global health doctors are getting experienced in optimizing the healthcare processes and increase the outcome. All healthcare systems can benefit from these experiences. Alieu is still learning from the doctors coming to Masanga Hospital and the doctors are learning from Alieu and the work in Sierra Leone.
Founder of Masanga Hospital
Peter Bo Joergensen