EWMA 2020, 18-19 Nov

World Alliance for Wound & Lymphedema Care (WAWLC)

Speakers and topics

Adler Francius: Wound Care in Haiti
After the 2010 earthquake in Haiti the temporary wound centre at the airport in Port-au-Prince was established as permeant clinic at Bernard Mevs Hospital with the aid of Project Medishare and the University of Miami and under the mentorship of Dr. John Macdonald. This clinic has evolved into a clinic led and staffed by Haitians. Dr. Adler Francius will describe their experiences.

Heather Hettrick: Experience with Lymphatic Filariasis (LF) in Leogane, Haiti
Lymphatic Filariasis (LF) is the leading cause of disability in the world and in the western hemisphere, Haiti has been hardest hit. Lymphatic filariasis is considered a national disease in Haiti as it is present in 118 of 140 communes, making 88% of the country at risk.  In specific hyperendemic zones, nearly 45% of the population is infected with LF.  Estimates suggest up to 5% of the Haitian population suffers from lymphedema associated with LF.  This session will provide a historical overview of elimination efforts as well as the current morbidity plan to manage LF throughout the country.

David Keast: The wound management cycle: An approach to Wound Care

Recently Wounds Canada (www.woundscanada.ca) published an update to the Wound Bed Preparation model. Previous models such as the TIME concept focused primarily on the local wound care. The new model focuses on a process with the patient at the centre. This session will walk through the five steps of the model with emphasis on implementation in resource limited settings.

Emily Haesler: Therapies using local resources

Traditionally, the use of local resources in wound care has passed down through the generations via verbal description and demonstrations. Even in low resource communities where natural remedies are regularly used, it is not unusual that the original principles and anecdotal evidence for their use are unknown. This presentation will provide an overview of the evidence supporting the use of a range of local resources in wound care and discuss the process through which the evidence is collated and accessed by practitioners in low resource communities.

Hubert Vuagnat: Follow up after 5 yearly courses on modern adapted wound care in Cameroon

Based on six basic principles and low technological means, this knowledge greatly empowers wound care givers to deliver enhanced care to their patients
In collaboration with Yaoundé faculty of medicine, we have set up, from 2013, a basic training course based on 3 to 5 days teaching and 4 days practicing in a selected wound care ward (Akonolinga hospital). 95% of the teacher involved were locals.
To date 137 interdisciplinary students coming from all over the country, mostly doctors and nurses, but also, students, pharmacists and physio have been trained.
Some students also came from NGO’s like Médecins sans frontiers and other countries: Ivory Coast, Senegal and Togo. In these countries, the replication of this course, with the knowhow from Cameroon is going to take place in the next years.
Some student spontaneously gave birth to woundcare courses and concerns in their hospitals.

Six basic principles used are:

1.    Evaluate and correct:

  • The specific cause of the wound
  • The patient’s general condition

2.    Maintain a moist wound environment

3.    Protect wound from any additional trauma:

  • Physical, chemical
  • Protect peri wound skin

4.    Promote a clean wound bed without infection

5.    Control the peri wound Lymphedema

6.    Prevent or correct any secondary disability

About WAWLC:

WAWLC is a global partnership between health organizations, non-governmental organizations, health professional associations, academic and research institutions, industry, and individuals interested in advancing wound care and lymphoedema management worldwide.

The WAWLC mission is to work in partnership with communities worldwide in settings with limited re-sources to advance the sustainable prevention and care of wounds and lymphoedema.

WAWLC started as a working group in 2007 and was officially launched as global partnership in 2009.

Find more information about WAWLC on: www.wawlc.org