misean cara


Sr. Martine Makanga MMM

Medical Missionaries of Mary
Rwanda

Sr. Martine Makanga MMM, Medical Missionaries of Mary, is a paediatric surgeon who works as a Senior Lecturer in Surgery at the Medical Faculty of the National University of Rwanda. She also works as a Paediatric and General Surgeon at the nearby Teaching University Hospital of Butare.

During 2007, I continue to perform my duties as a Senior Lecturer at the Medical Faculty and as Paediatric and General Surgeon at the University Hospital of Butare. As well as feeding into the academic development of students, due to the shortage of surgeons I had to do both paediatric surgery and general and orthopaedic surgery for adult patients.

In paediatric surgery, I encountered an unusual number of malformations in neonates and many neglected osteomyelitis and fractures in children. I was challenged by the cancer patients (children and adults): there is no available oncology department (no chemotherapy and no radiotherapy). We tried our best to help them and I tried also to conscientise my colleagues, students and staff to their special needs and those of their families as taught in Palliative Care.

My main objectives were to improve childcare in the surgical department and to assist in the training of future Rwandan doctors and surgeons. This had many components. In 2007, it meant teaching two classes (180 students), supervising 30 interns and 5 residents in surgery, bedside teaching and teaching in the operating theatre, and directing 17 final medical students for their thesis.

This work takes years. Following the Genocide, there were few doctors remaining and it was a joy and a privilege for me to see several of my former students now working as doctors in District Hospitals to help the rural population.

During my time in Rwanda, what helped me most was to see patients recovering from their illnesses and returning home. I was also encouraged by the trust and the goodwill of my colleagues in our efforts to participate in the formation of the future doctors and surgeons. In Rwanda there are about 401 doctors for a population of 9.9 million.


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