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Dr. Joyce Samoutou-Wong and her husband Henri are the cofounders of New Sight, a ministry serving the Republic of Congo, Central Africa. In 2012, Joyce and Henri uprooted their family from the United Kingdom and moved to the rainforest in rural Congo to pioneer the area's first non-profit eye surgical center. In 2019, they moved to Ouesso, Congo and launched the construction of a hospital on 6 hectares of land. Starting from scratch, they founded an international medical charity with offices in three countries, learnt several lessons along the way and saw 20% year-on-year growth in consultations, with 100% positive patient feedback and over 97% awarding them the highest satisfaction rating. Phase 1 of the new hospital is due to be completed and open at the end of this year. They also run a training school, eye screening and community health programs. Seeing the connection between health and education, they also formed partnerships with over 30 schools and started a nationwide children's magazine to promote health literacy. They homeschooled their three children until they all won scholarships to study at a boarding school in the U.K.

American medical practitioners face several unique challenges when caring for patients in Africa. African researchers contribute to 1% of clinical research publication in the world (Adams et al., 2010; Mbaye et al., 2019). Only around 6% of publications in leading medical journals have authors or contain data from regions that account for more than 90% of the global population (Patel & Sumathipala, 2001; Woods et al., 2023). Therefore, very few studies and evidence-based guidelines that are contextually relevant in the low- to middle- income country settings are available to guide American medical practitioners in making clinical decisions. Moreover, when faced with severe shortages of medicine, clinical consumables, investigations and referral services, American medical practitioners may not be able to follow ‘medical textbook’ or evidence-based management. Trying to find a pragmatic ‘best practice’ can add to the stress of living overseas in communities with overwhelming needs.

In this session, participants will gain insight into the challenges that medical practitioners face in creating access to care for patients, developing resilience, maintaining well-being when practicing medicine and its supportive services in resource-limited settings, and offer practical solutions to overcome them.

References

Adams, J., King, C., Hook, D. (2010). Global research report Africa. Evidence, Thomson Reuters. Retrieved from 20 May 2024, from https://www.sciencedirect.com/science/article/pii/S000709121830521X#bib3

Mbaye, R., Gebeyehu, R., Hossmann, S., Mbarga, N., Bih-Neh, E., Eteki, L., Thelma, O. A., Oyerinde, A., Kiti, G., Mburu, Y., Haberer, J., Siedner, M., Okeke, I., & Boum, Y. (2019). Who is telling the story? A systematic review of authorship for infectious disease research conducted in Africa, 1980-2016. BMJ Global Health, 4(5), e001855. https://doi.org/10.1136/bmjgh-2019-001855

Patel, V., & Sumathipala, A. (2001). International representation in psychiatric literature: survey of six leading journals. The British Journal of Psychiatry: The Journal of Mental Science, 178, 406–409. https://doi.org/10.1192/bjp.178.5.406

Woods, W. A., Watson, M., Ranaweera, S., Tajuria, G., & Sumathipala, A. (2023). Under-representation of low- and middle-income countries (LMIC) in the research literature: Ethical issues arising from a survey of five leading medical journals: have the trends changed? Global Public Health, 18(1), 2229890. https://doi.org/10.1080/17441692.2023.2229890

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