International Grant: Malawi Hepatology Training Course Report
- Dr Jonathan Ngoma, Hospital Director Kamuzu Central Hospital
- Prof Adrian Stanley, University of Glasgow, UK
- Dr Alexander Stockdale, University of Liverpool/ Malawi Liverpool Wellcome Programme, Blantyre
- Dr John Mponda, Kamuzu University of Health Sciences, Blantyre
- Dr Gift Mulima, Kamuzu Central Hospital, Lilongwe
- Prof Maud Lemoine, Imperial College London, UK (Remote)
- Dr Mike Vinikoor, University Teaching Hospital Lusaka, Zambia
- Dr Wilfred Dzama, Malawi Blood Transfusion Service, Blantyre
- Dr Owen Nkoka, Malawi Epidemiology and Intervention Research Unit, Lilongwe
- Dr Rabson Kachala and Dr Wongani Mzumara, Malawi Ministry of Health, Lilongwe
- Prof Philippa Easterbrooke, WHO Geneva (Remote)
- Dr Davies Mtotha, Mr Ellos Lodzeni (Patient group representatives
Organisers: Dr Alexander Stockdale, University of Liverpool/ Malawi Liverpool Wellcome Trust and Dr Wongani Mzumara, Malawi Ministry of Health
Co-funders: Clinton Health Access Initiative, Baylor Children’s Foundation Malawi
Event Information: Bingu International Conference Centre, Lilongwe, Malawi, 28th September 2023
Aims:
- To run an update on the management of liver disease to provide training for Malawian physicians, clinical officers and policymakers
- To provide a forum for discussion and debate on optimizing care for patients with liver disease, cirrhosis and hepatocellular carcinoma
- To disseminate the recently published Malawi guidelines for management of viral hepatitis from 2023
With the generous support of a grant from the British Society of Gastroenterology we organized a training conference: the Third Conference on Liver Disease in Malawi. We provided travel and accommodation for delegates from all over Malawi, ranging from Karonga in the far north to Chikwawa in the South. Delegates heard updates from a range of international and local expert speakers on the practical management of liver disease, new research findings from Malawi, an update on new guidelines for managing viral hepatitis.
We enjoyed a mix of lectures and panel discussions and debates, as well as networking opportunities. The support for travel and local accommodation allowed delegates from district and more remote settings who have few opportunities to attend formal teaching, to access high quality teaching from experts. A total of 80 delegates attended the one-day course in Lilongwe including clinicians designated hepatitis B focal persons responsible for implementing hepatitis B care in each of the regions of Malawi. We made available teaching materials from the course afterwards to download the slides from an online repository.
“On the road to elimination of hepatitis by 2030 in Malawi”
Bingu International Conference Centre, Lilongwe
Thursday 28th September 2023
0800- 0815: Arrival and Registration
0815: Arrival of Quest of Honour
0820: Introductions, welcome remarks, opening prayer: Master of Ceremonies
0830: Opening Keynote Address by WHO Country Representative
0840: Remarks by Director of HIV, STI & Viral Hepatitis, Ministry of Health.
Opening Remarks Guest of Honour: Principal Secretary Administration; Mr Benson Chisamile
0900: Media interface
SESSION 1: UPDATE ON MANAGEMENT OF LIVER DISEASE
Chairperson: Dr Wezi Mumba, Deputy Director, Health -Intergovernmental coordination
Rapporteur: Kamuzu Central Hospital representative
0905: Management of Decompensated Liver Disease - Dr Jonathan Ngoma, Director, Kamuzu Central Hospital, Lilongwe, Malawi
0920: Upper GI Bleeding and Management of Varices - Prof Adrian Stanley, Consultant Hepatologist, University of Glasgow, Scotland
0940: Aetiology and outcomes of cirrhosis and HCC in Blantyre, Malawi - Dr Alexander Stockdale, Senior Clinical Lecturer and Consultant in Infectious Diseases University of Liverpool and Malawi Liverpool Wellcome Trust, Blantyre
1000: Impact of Herbal Medicine on management of Liver Disease Dr John Mponda, Lecturer, Kamuzu University of Health Sciences
1020: Q&A and discussion: How can we improve care for our patients with cirrhosis?
Introduction: Prof Adrian Stanley
Participants: Dr Jonathan Ngoma, Dr Gift Mulima, Prof Adrian Stanley, Dr Alexander Stockdale
1040: Coffee
SESSION 2: VIRAL HEPATITIS
Chairperson: Dr. Tamiwe Tomoka, Kamuzu Central Hospital
Rapporteur: MLW representative
1100: Mother to child transmission of hepatitis B in Africa: what do we know, what is new and what can we do? - Prof Maud Lemoine, Consultant Hepatologist, Imperial College London and MRC Gambia
1130: Hepatitis B and HIV interaction in Zambia - Dr Mike Vinikoor, Consultant Physician and Associate Professor, University of Alabama and University Teaching Hospital, Lusaka, Zambia; Kamuzu Central Hospital, Lilongwe
1150: Viral Hepatitis and the Malawi Blood Transfusion Service - Dr Wilfred Dzama, Director, Malawi Blood Transfusion Service
1210: Epidemiology of Hepatitis B and C and alcohol in Karonga and Lilongwe - Dr Owen Nkoka and Dr Nicholas Riches, Malawi Epidemiology and Intervention Research Unit
(MEIRU)
SESSION 3: THE VIRAL HEPATITIS PROGRAMME IN MALAWI: GUIDELINES AND FUTURE DIRECTIONS
Chairperson: Dr. Rabson Kachala, Directorate of HIV, STI and Viral Hepatitis
Rapporteur: Lighthouse representative
1330: The new hepatitis B and C guidelines for Malawi 2023: what do we recommend and why? - Dr Wongani Mzumara, Viral Hepatitis Programme Manager, Ministry of Health and Population
1400: WHO guidelines for hepatitis B in 2023: what are the new directions? Prof Philippa Easterbrook, World Health Organization, Geneva, Switzerland
1430: Viral Hepatitis: CSOs perspective: Dr. Davies Mtotha/ Mr. Ellos Lodzeni
1440: The experience on the ground: Focal Persons for Hepatitis: Neno
1450: The experience on the ground: Focal Persons for Hepatitis: Balaka
1500: Tea Break
1530: Roundtable discussion and Q&A: What are the opportunities and challenges for the Viral Hepatitis Programme in Malawi? - Dr Wongani Mzumara, Dr George Limwando, Dr Davies Mtotha, Dr. Jonathan Ngoma
1600: End of Program
International Grant Report: Malawi Endoscopy training visit report
After arriving in Lilongwe, we visited KCH and met the local Endoscopy team including Mr Chipilimo and the two senior local trainees who had both undertaken <5 endoscopies previously but had been identified by senior clinicians for Foundation endoscopy training at the unit. We spoke with them regarding their current work, resources and requirements and donated endoscopic equipment from Glasgow.
International Grant: Malawi Hepatology Training Course Report
With the generous support of a grant from the British Society of Gastroenterology we organized a training conference: the Third Conference on Liver Disease in Malawi. We provided travel and accommodation for delegates from all over Malawi, ranging from Karonga in the far north to Chikwawa in the South
International Committee Project: Establishing a self-sufficient upper gastrointestinal endoscopy training programme in Lusaka, Zambia
A postgraduate MMed programme in gastroenterology has recently been established within the University of Zambia School of Medicine with the aim of increasing the number of qualified gastroenterologists working within Zambia to meet some of this need. An element of the programme is to provide endoscopy training with hands on apprenticeship type training akin to the UK. Lusaka, Zambia 15-19 April 2024 - Dr Duncan Napier