2016 High-level Forum of Directors-General for Development Cooperation (DG Form) (Dubai - 3 November 2016) Case Study by the Egyptian Agency of Partnership for Development (EAPD) A The SDGs most relevant to the case study: SDG3: Ensure healthy lives & promote well-being for all. SDG4: Ensure inclusive and equitable quality education and promote lifelong learning opportunities SDG8: Promote inclusive and sustainable economic growth, employment and decent work for all. B The portion of the DG Forum sessions that fits the case study: - Portion 3 on the “Tools for strengthening South-South and Triangular Cooperation”. C Summary of the case-study: Title: “Partnering with Egyptian Centers of Excellence in the Medical Field to Provide Regional Solutions with a Global Perspective”. Country/organization: Egypt – The Egyptian Agency of Partnership for Development (www.eapd.gov.eg) – The Egyptian Ministry of Foreign Affairs. Implementing agencies: 1. The Magdi Yacoub Heart Foundation (the Heart Center in Aswan). 2. The Mohamed Ghoneim Urology & Nephrology Center in Mansoura. 3. The Children’s Cancer Hospital Egypt (57357 hospital). Thematic areas: Capacity building in the medical fields – Partnerships with Medical Centers of Excellence – Improving Health Care systems in Africa. Period of Implementation: Since August 2014. D Case study description: As the first development institution in Egypt established to support countries of the South, especially in Sub-Saharan Africa, to achieve their sustainable development goals, the EAPD quickly realized that one of the biggest hurdles to development in many countries in this part of the world remained the heavy burden of disease. Despite the overall progress made in reducing mortality and prolonging life since 1970, countries in Sub-Saharan Africa still showed elevated rates of death within certain age groups due to a number of diseases, including some noncommunicable diseases for which known cures and interventions were available in other parts of the world. This is a multi-pronged problem since deaths from a number of these prevalent diseases are due to a number of factors, including lack of awareness, absence of early detection, weak health care systems and shortage (and in some cases non-existence) of medical expertise and equipments. Although this seemed like a colossal problem to try to tackle, the EAPD believed that it could contribute in alleviating this heavy burden. Since this was a multi-pronged problem, it could only be approached through a multi-pronged solution. Traditional measures would not work. We needed to think creatively if we wanted to make a difference, however small, given the huge undertaking and our limited resources. 1 Brainstorming sessions by the EAPD team were conducted to identify the elements of the solution that could be put in place. The overarching aim was to make a quick, yet lasting and scalable, impact relying on the comparative advantages Egypt possesses. EAPD itself does not have expertise in the medical fields, however it has convening power, the long-standing experience of decades of international development cooperation work by its two predecessors (the Egyptian Agency for Technical Cooperation with Africa and the Egyptian Fund for Technical Cooperation with the Commonwealth States) and the desire to think outside the box. The conventional tools of development cooperation were initially thought of: sending medical aid or equipments to African countries; dispatching doctors expert in a number of diseases for a short duration; organizing capacity building workshops in Egypt for medical practioners from SubSaharan Africa. However the problem was too big for any one tool or one intervention. Then the idea of forging long-term partnerships with the entities that had expertise in selected diseases surfaced during our meetings. The EAPD team wanted to collaborate with the best of the best in the medical fields. The intent was to leverage their knowledge, resources, technical expertise, networks and big hearts to help a number of African countries progressively build their capacities to face the heavy disease burden they are facing. The idea of reaching out to international partners was briefly discussed, however we all quickly came to the same conclusion: why look outside when Egypt was home to world-class medical institutions with undisputable achievements and ambitious plans for the future, headed by renowned experts in a number of diseases. This is how our partnerships with three Egyptian Centers of Excellence in medicine were born back in mid-2014. We are very proud of what is being achieved for Sub-Saharan Africa through these partnerships. They are enabling us to make a difference in the lives of many there, and is giving us hope that more can be achieved in the future. Each Center of Excellence’s contributions are different; however their interventions are comprehensive since they all include elements of: building the capacity of African medical practioners who have enormous untapped potential + providing sophisticated medical equipments to African hospitals + offering free treatment to a number of African patients. Below are snapshots of these institutions and of what is being achieved in Africa through them: 1. The Magdi Yacoub Heart Foundation (the Heart Center in Aswan): - The burden of cardiovascular disease in African countries is huge. It is, in most cases, the second common cause of death after infectious disease, and a major cause of chronic illness and disability, with serious negative impacts on development efforts. - The Foundation was established by Sir Magdi Yacoub, the prominent Egyptian Professor of Cardiothoracic Surgery at Imperial College; who is the founder of the largest heart & lung transplantation programme in the world and of the Chain of Hope Charity which treats children with correctable cardiac conditions developing countries. The Foundation’s Aswan Center offers state-of-the-art free basic health services to the less privileged at the highest international standards. - The EAPD has signed a memorandum of understanding with the Foundation with the overall aim of developing African expertise in the cardiovascular field through the transfer of knowledge, skills and experience as well as providing opportunities for talented African practioners there to realize their potential (5 training opportunities a year, each for 6 months, in the Aswan Heart Center). 2 - Currently, 5 practioners from Uganda are being trained there, and an Ethiopian doctor has just returned to Addis Ababa after having completed a 12-months Cardiology fellowship program at the Aswan Center. Another doctor from Ethiopia is due to start a one-year programme shortly. She was spotted by Sir Magdi Yacoub during his last visit to Ethiopia and he was keen to give her the opportunity to train under his supervision at the Heart Center to gain the skills needed to treat her fellow compatriots back in Ethiopia once she returns. - The EAPD, in cooperation with the Foundation, has in July 2014 donated a cardiac surgery unit at a hospital in Addis Ababa, which is mainly serving children who suffer heart conditions. Through this partnership, a heart catheter was also donated to a hospital in Addis Ababa in July 2016, which represents a quantum leap in the hospital’s capacities and will be used by the doctors trained at the Aswan Center. - A regional conference on rheumatic heart disease (high prevalence rates in Africa) is being organized by the Aswan Heart Center, in cooperation with the Pan-African Society of Cardiology, in Egypt in January 2016. - The Foundation also offers free treatment to some African patients, and has sent medical convoys to African countries under the leadership of Sir Magdi Yacoub to operate there, train medical teams to perform heart surgeries and use the modern equipment donated by EAPD. 2. The Mohamed Ghoneim Urology & Nephrology Center in Mansoura: - Chronic kidney disease remains a forgotten and neglected condition in many countries of Africa and as such is not a priority on the African health agenda. Very few people in the continent with kidney disease are managed early or receive treatment, creating a substantial health burden. - The Urology & Nephrology Center in Mansoura was established in 1983 by Professor Mohamed Ghoneim, the distinguished Egyptian Urologist and world leader in this field, to provide comprehensive management of disorders from the urology and nephrology points of view. The world class Center acts not only as a provider of medical services but also as a center for advanced research. - The EAPD has signed a Memorandum of Understanding with the Centre which is paving the way for a fruitful collaboration for the benefit of African countries. It was agreed that 4 training programs would be organized annually for African practioners, with the possibility of dispatching specialists and technicians from the Center to conduct training courses in a number of African countries. 3 - For example, a training program was held for 28 African doctors from 15 countries in kidney and urinary tract surgery (in collaboration with the Islamic Development Bank) back in December 2015; and an international Hemodialysis training course for African countries was organized in April 2016 to enable African doctors to provide high-quality medical care for end stage renal disease patients in African countries. The course included practical training on applying the latest techniques for hemodialysis using the latest medical equipment, and working on solving clinical problems. - The EAPD had in 2014 financed the establishment of an EgyptianEthiopian Nephrology & Dialysis Center in Ethiopia, which has made a huge impact given that there was no kidney dialysis machines in Ethiopian’s government hospitals. Two Egyptian urology specialists and three nurses were assigned to work at the center for six months. 3. The Children’s Cancer Hospital Egypt (57357 hospital): - The Children’s Cancer Hospital Egypt is the first and only specialized children’s cancer hospital in the Middle East and Africa and the largest in the world. Launched in 2007 as a community charity hospital, it has a capacity of 320 beds with an expansion capability to accommodate 350 beds. The hospital offers world-class treatment and research in pediatric oncology, and relies on highly competent professionals and the most advanced technology. It is the leading health care information technology provider in the region. - The EAPD and the hospital have embarked on an ambitious cooperation program, that includes a capacity building component aiming at training 600 African medical practioners in the hospital premises in Cairo, providing technical expertise to a number of hospitals in Africa, as well as offering free treatment to a number of children with cancer in African countries. 4 - The EAPD is also partnering with the hospital (among other partners) to explore the possibility of establishing an African Health Data & Disease Control Hub that would serve as an African health & disease data, information, surveillance & communication portal; and would leverage Egypt’s advancements in ICT & its commitment to healthcare for the benefit of Africa. E Information: Name: Dr. Hazem Fahmy. Title/Organization: Secretary General of the Egyptian Agency of Partnership for Development. Email address: [email protected] F Attachment: PowerPoint presentation. G Sharing agreement: We are happy to share this information with other institutions/countries. H Checklist for Submission of Case Study: A B C D E F G Relevance to SDGs – Which SDGs. Relevance to DG Forum session – Which session. One Paragraph summary. Case Study description Submitter’s information. Attachments. Consent to share. ------ 5
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