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International Medical Support Program

Medical Cooperation Program in the Pacific Allies and Friendly Countries─Nauru

2013-2021

 

Nauru is the smallest island in South Pacific Ocean with a population of around 10,000. Due to the lack of proper nutrition in diets, obesity and non-communicable diseases are major issues for the locals. The medical cooperation program was officially launched by the Ministry of Health and Welfare in 2014 for the purpose of improving the medical healthcare in Nauru. Since then, Taipei Veterans General Hospital (VGH) along with Taichung VGH and Kaosiung VGH have been making an all-out effort to provide medical assistance for supporting the program.

 

Aiming to assist local people in tackling non-communicable diseases, Veterans General Hospitals send long-term stationing doctors to Nauru every year. Each doctor spends 3 months at the Naoero Public Health Centre, providing outpatient service, home visits and other medical services. At the same time, the doctors also share their knowledge and experience by giving lectures to local medical staff as well as instructing them throughout the process of offering medical services.

 

Taipei Veterans General Hospital has dispatched more than 10 specialists to Nauru since 2013:

Dr. Li-Hsin Chang, Division of Endocrinology and Metabolism

Dr. Yao-Ting Chang, Division of Cardiology

Dr. Tjin-Shin Jap, Division of Endocrinology and Metabolism

Dr. Bing-Chiang Liang, Emergency Department

Dr. Chun-Jui Huang, Division of Endocrinology and Metabolism

Dr. Kuo-Hua Lee, Division of Nephrology, Department of Medicine

Dr. Ching-Fai Kwok, Division of Endocrinology and Metabolism

Dr. Wei-En Wang, Department of Family Medicine

Dr. Hsing-Yu Liu, Department of Family Medicine

Dr. Hui-Chun Li, Department of Family Medicine

Dr. Po-Yu Chen, Department of Family Medicine

 

 
 
The President of Nauru Mr. Baron Waqa and Dr. Yao Ting Zhang in 2014
 
Home visits at Anetan
 
Hashing and Mobile clinic at Anabare harbor in 2014
 
Dr. Yao Ting Chang was interviewed by Nauru Television Media Bureau
 
The President of Nauru Mr. Baron Waqa and Dr. Li-Hsin Chang in 2013
 
A certificate of appreciation was given by the Minister for Health in Nauru
 
A local television station interviewed Tjin-Shin Jap in 2014
 
Tjin-Shin Jap demonstrated how to read a chest X-ray
 
The President of Nauru and Dr. Chun-Jui Huang in 2014
 
Dr. Chun-Jui Huang gave a speech about Health Education to local students.
 
The President of Nauru and Dr. Kuo-Hua Lee in 2016
 
Nauru Television Media Bureau interviewed Dr. Kuo-Hua Lee
 
The President of Nauru and Dr. Hsing-Yu Liu in 2019
 
Regular checkup for local people
 
Director of Department for Health in Nauru and Dr. Hui-Chun Li at the Diabetes Care Conference
 
Dr. Hui-Chun Li was invited to join the celebration of Nauru National Day on 31st January 2020
 
Dr. Po-Yu Chen and local doctors
 
Outpatient Service

Capacity Building Project for the Prevention and Control of Chronic Kidney Disease in St. Kitts and Nevis

2017-2020

 

St. Kitts and Nevis is located in the Caribbean with a population of more than 56,000. The average life expectance is 75.6 years and chronic diseases are the main cause of death. Although tenth of the population in St. Kitts and Nevis are at high risk of chronic kidney disease (CKD), there are only about 100 confirmed diagnoses. In addition, there’s a lack of professional medical personnel in the country. With the cost of dialysis becoming a burden, it’s necessary to reduce the incidence of kidney disease and progression to dialysis.

 

Therefore, Taipei Veterans General Hospital has cooperated with Taiwan ICDF and the Ministry of Health of St. Kitts and Nevis to implement the Capacity Building Project for the Prevention and Control of Chronic Kidney Disease in 2017.

The objectives and performance of this project are:

1.Assist in planning effective integrated care strategies and practices on the prevention and control of chronic kidney disease:

(1) Invited two senior health officials from the Ministry of Health in Nevis Island to visit Taiwan to understand Taiwan’s policy and integrated care and health education programs related to the prevention and control of chronic kidney disease.

(2) Developed “NCDs information platform and case management system” for SKN, and installed into 17 primary clinics in the St. Kitts and Nevis Island. Collected patients’ information of 3,739 CKD from 17 primary clinics and completed an epidemiology report.

(3) Hosted an international chronic disease prevention and control forum.

2.Strengthen the function of nephrology in the medical care system:

(1) Installed 3 hemodialysis machines in JNF hospital in San Kitts Island.

(2) Collaborated with Taipei Veterans General Hospital to provided training courses on CKD prevention and control to 10 health personnel from SKN.

(3) Cooperated with seed instructors to conduct 6 local workshops on CKD patients care and treatment, and provided the training to 253 health personnel.

(4) Consultants from Taipei Veterans General Hospital have been dispatched and completed seed instructor supervision.

3.Improve community’s self-management ability for prevention and control of chronic kidney disease

(1) Provided training courses on health promotion and nutrition to 5 health personnel from SKN.

(2) Cooperated with seed instructors to conduct 4 local health promotion training courses on the prevention and control of CKD, and provided the training to 228 health personnel.

(3) Integrated the local resources and held 64 health promotion activities in primary health facilities, communities and schools, and provided health education on CKD prevention and control to more than 2,000 people.

(4) Held education events with the Kidney Disease Association in the World Kidney Day, include in local radio broadcasts interviewed, urine screening and education, and women chronic kidney disease lectures.

(5) Delivered more than 20,000 pieces of the health education pamphlets through local health facilities and health promotion.

 

Further information: https://www.icdf.org.tw/ct.asp?xItem=40752&ctNode=30056&mp=2

 

 
 
TVGH and Taiwan ICDF took a field trip to Nauru in 2016
 
Mr. Eugene Hamilton, the Minister of Ministry of Agriculture and Health in St. Kitts and Nevis along with Ambassador Jasmine Huggins visited TVGH in 2016
 
Mr. Mark Brantley, the minister of Foreign Affairs of the Nevis Island Administration visited TVGH in 2017
 
Group photo with Mr. Mark Brantley and the first group of seed instructors in 2017
 
Seed instructors participated in daily ward run with attending physicians
 
Community screening event
 
Observation of dietitian consultation
 
Introduction of medical care of hemodialysis patients
 
Group discussion of clinical cases
 
NHK interview with the first group of seed instructors
 
A health promotion activity was held in St. Kitts and Nevis in 2018
 
Ms. Brandy Williams, Junior Minister of the Nevis Island Administration visited TVGH in 2018
 
The second group of seed instructors in 2018
 
The third group of seed instructors in 2019
 
Dr. Liddie from Nauru visited TVGH in 2019
 
One of the health education events for locals

Capacity Building Project for the Prevention and Control of Metabolic Chronic Diseases in St. Kitts and Nevis

2020-2024

 

The project will be conducted based on the results of the last project, the Capacity Building Project for the Prevention and Control of Chronic Kidney Disease, and integrate with The Chronic Care Model recommended by WHO and Taiwan’s profound experiences in preventing metabolic diseases. This project will strengthen the metabolic disease care system through assisting medical facilities and personnel in building up early screening capabilities, case management, and shared care between doctors, nurses, and dietitians. Therefore, the project is expected to strengthen their prevention and control system for chronic diseases caused by metabolic syndrome. Overall, this project will:

(1)Assist in planning effective integrated care strategies and practices on prevention and control of metabolic chronic diseases.

(2)Strengthen the care capacity for metabolic chronic diseases at medical institutions.

(3)Enhance the self-management ability of community residents for metabolic syndrome.

Current Progress:

To the end of March 2021, the following activities have been carried out:

1. The project officially commenced right after the signatory of the implementation agreement on July 7, 2020.

2. Due to the pandemic of COVID-19, the “Multidisciplinary care of metabolic chronic diseases” training program in Taiwan for those health personnel in St. Kitts and Nevis was switched to online training program.

3. To enhance the self-management ability of community residents for metabolic syndrome, we’ve conducted following activities:

(1) On World Kidney Day, a kidney disease prevention and control health education event was held in a high school; and a kidney disease prevention and nutrition workshop was held in Joseph N. France Hospital.

(2) Co-produced "Sports Promotion (5 episodes)", "Healthy Diet (4 episodes)" and "Salt Reduction (11 episodes)" with the Ministry of Health of St. Kitts and Nevis. Aforementioned episodes were broadcasted on the National Cable TV Channel, the Facebook and YouTube channels of the Health Promotion Unit (HPU) under the Ministry of Health.

(3) Assisting the Taiwanese diabetes educator and the Ministry of Health in filming the “In Ya Kitchen” cooking program. By using local ingredients to deliver the message of healthy cooking and disease prevention, promoting the prevention and control of metabolic chronic diseases.

(4) Health education and screening activities have been held in communities, schools, public and private institutions. 20 sessions have been held and 806 people have been screened.

 

Further information: https://www.icdf.org.tw/ct.asp?xItem=60060&ctNode=30056&mp=2

 

 
 
Implementation Planning Meeting
 
Fa-Yauh Lee, Vice Superintendent of TVGH and Timothy T. Y. Hsiang, Secretary General of TaiwanICDF