Introduction.1990 (training abroad)

Otology( 3/3months rotations)Rhinology- FESS(1/fellowLaryngology, H+N surgery(1/1 fellowSpeech/languge therapy( 3Audiology (4

currentlyPaed ENT services, Basic

C.O’s Kabale, F/Portal, Masindi, Iganga, Arua, Rukungiri

SurgeonsKla, Masaka, Mbra, Jinja, Mbale, Gulu

AudiologyAudiometers ( private- play PTA, govt-

Donations, servicing- kla

Tymps, OAE’s, ABR –private

Hearing Aids- initially donations which stopped for govt, few selected sch going children in private.

Ear mould lab Mulago, now under renovation 1 in private.

Speech and Language TherapyNecessity to understand( cleft, post cochlear

implant.Kla only

3 full time therapists with no space and mostly been relaying on volunteers

The good!Bulk of patients

Health seeking behavior

EAC

Private sector

Training basic/emergency

The badLack of co-ordination( hosp,universities,

donors, specialists, govt vs private )Equipment( old, not seviceable, expense)SpaceBudgets poor prioritization, (govt, private,

community responsibilty,personel )Training not super specialized if so few with

no clear channels to pass the red tape.

Way forwardStrengthen/wider training opportunities

International collaborations

Clear roles between relationships

Outreaches

Research based on community needs

Levels of services for the futurePrevention,Diagnose /Rehabilitation

obs/gyn/paeds neonates (new born screening and cochlear implants)

Immunise( MMR routine)Noise pollution(h/phones, routine protection)Paed Hospital with ENTTrainers to come for in house sabbaticals while

teaching Equipment with regular servicing, preferably

not state of the art not stone age!

Questions?????