Kids Operating Room and Smile Train roll out solar surgery system to improve care of children in Nigerian hospitals

  • Kids Operating Room and Smile Train successfully install solar surgery systems in 23 hospitals across Nigeria
  • The Solar Surgery system ensures reliable power for medical equipment during surgeries, addressing frequent power cuts
  • Initiative boosts patient safety and surgical outcomes, and reduces carbon emissions
  • Partnership aims to upgrade more than 30 paediatric theatres across Africa by 2025

Kids Operating Room (KidsOR), the Scottish charity dedicated to ensuring every child has access to safe surgery in low- and middle-income countries (LMICs), and Smile Train, the world’s largest cleft-focused charity, announce the successful implementation of the Solar Surgery system in 23 hospitals across Nigeria.

In their groundbreaking partnership, the two organisations are taking significant strides to enhance surgical care in Nigeria through the creation of new surgical facilities, training of local surgical teams, and now the deployment of solar powered operating theatres to ensure every child has access to a safe operation, free from the risks of power outages.

Solar panels have been installed on the roofs of the operating facilities in Nigeria, charging smart battery units that power vital medical equipment in an operating room. This innovative approach combats the frequent power cuts experienced in many African hospitals, ensuring uninterrupted care and better outcomes for patients.

The system monitors what power is needed by the surgical team and provides that directly from the panels, meaning children across Nigeria are now having operations powered entirely by the sun. However, the system can seamlessly switch to a blend of solar and battery power on cloudy days and can go on to provide 8-hours of continuous use into the night. Only when there is no sunlight, and the reserve is being depleted will the system start to pull power from the local grid. 

The partnership between KidsOR and Smile Train promises to deliver reliable power to Nigerian hospitals, improving patient safety and improving surgical results while also reducing the carbon emissions of the facilities – setting a sustainable standard for medical treatment across Africa.

Globally, one in 700 babies are born with a cleft lip and/or palate. Sadly, many of these children miss out on the vital reconstructive surgery they need, which can lead to challenges in eating, breathing, and speaking. Smile Train is the world’s leading charity focused on transforming the lives of these children and recently announced supporting their 2 millionth cleft surgery.

Nkeiruka OBI, Vice-President and Regional Director, Africa of Smile Train, commented: “Erratic power supply is a norm in Nigeria, like most developing countries. Interruption of power during a surgical procedure could jeopardise the life of the patient. It is not a desirable experience.  

“By harnessing clean and renewable solar energy, which by the way we have in abundance in this part of the world, surgical teams can confidently operate critical medical equipment and ensure that children with clefts can receive safe, timely surgeries regardless of power outages.  

“The solar-powered theatre is a game changer, in transforming healthcare delivery across Africa, especially in areas where unreliable power limits access to safe surgical care. 

“With each solar-powered theatre, we take a step closer to universal access to safe surgery, amplifying the impact on children, families, and entire communities. Smile Train and KidsOR’s partnership truly serves as a model on how meaningful collaboration and innovation can overcome healthcare challenges and drive sustainable change across the continent.”

David Cunningham, CEO of KidsOR, commented: “Our partnership with Smile Train is making a life changing difference to children in developing countries across the globe. In Nigeria, and across Africa, we are working with Smile Train to pave the way for a future where no child has to fear a power outage as a significant risk to their life during an operation.

“In Nigeria, we will shortly have moved 30 operating rooms onto the exciting Solar Surgery system, which means surgical facilities across the country will be able to operate at full capacity and are no longer restricted by frequent power outages.”

Solar to power Operating Rooms across Africa

Smile Train and Kids Operating Room poised to launch Solar Surgery System

Global health NGOs, Smile Train and Kids Operating Room (KidsOR), have announced an ambitious plan to reduce the cost and carbon footprint of surgery, while increasing quality and patient safety, across low- and middle-income countries, starting in Africa.

After a successful four-month solar panel pilot program at a mock operating room in Dundee, where KidsOR is based, the two organizationsare moving forward to provide sustainable, reliable power to operating rooms in parts of Africa where the main power grid is unstable and power outages are common.

“This initiative aims to give consistent and reliable power to medical professionals in the operating room that will enhance patient care and safety while protecting much needed medical equipment that can be damaged when there’s a voltage irregularity with the main power grid,” said Susannah Schaefer, President, and Chief Executive Officer at Smile Train.

“We work closely with the team at KidsOR on hospital infrastructure projects and we asked them if they could develop a solution to this significant, multifaceted problem.”

Power cuts in African hospitals can severely impact on patient care with many hospitals suffering from hundreds of hours of power outage each month. In some cases, these power cuts last for days. Meanwhile, when they’re working at full capacity, operating rooms are a significant source of greenhouse gas production for hospitals.

To help tackle this dual challenge, Smile Train and KidsOR will begin implementing stand-alone solar battery support systems in pediatric operating rooms in Africa in 2023, with the first hospitals being identified now. Solar panels will be mounted on the roof of a facility, which will charge a battery unit capable of powering medical equipment in an operating room continually during daylight and for a further six hours after sunset.

Picking up the challenge to develop a surgery specific power system, Garreth Wood, chairman of KidsOR, responded: “Our team are experts at working in remote and challenging environments and we approached this with a view that we had to provide seamless power supply to the operating rooms of even the most remote hospitals.

“Our solution is a combination of solar systems with some new developments, some of which are so unique that we 3D print them for each project. We can now deploy a power unit that removes reliance on the national grid, requires no diesel generator back-up, reduces the carbon footprint of each operation, increases patient safety and integrates high tech activities like anaesthetic gas scavenging to even the world’s most remote hospital.”

The non-profits say their shared model is to strengthen the local healthcare system and give the local doctors tools and skills needed to care for their own population.

Garreth continued: “This unique solar surgery system makes the best possible care available to the most vulnerable and remote child. While improving health today, this partnership will also make sure we aren’t contributing to the climate change burdens of tomorrow.

Smile Train and KidsOR work together in countries around the world to increase capacity for safe pediatric surgery, including lifesaving cleft lip and palate surgeries.

About Smile Train:Smile Train empowers local medical professionals with training, funding, and resources to provide free cleft surgery and comprehensive cleft care to children globally. We advance a sustainable solution and scalable global health model for cleft treatment, drastically improving children’s lives, including their ability to eat, breathe, speak, and ultimately thrive. To learn more about how Smile Train’s sustainable approach means donations have both an immediate and long-term impact, please visit smiletrain.org.

About KidsOR: Kids Operating Room is a global health NGO that works directly with local surgeons and their teams across Africa and South America. Transforming hospital spaces into dedicated Operating Rooms for children’s surgery, we create child-friendly surroundings and provide surgeons with the specialist equipment they need to care for their nation’s children. 

We also fund training of surgeons and anaesthesia providers and work with National Ministries of Health to develop sustainable healthcare services. www.KidsOR.org

Further reading:

https://www.thinkglobalhealth.org/article/power-cuts-south-africa-wreak-havoc-health-care

Scottish charity redevelops paediatric Operating Rooms in Zambia

Thousands of children in Zambia now have better access to safe surgery with the opening of six new paediatric Operating Rooms courtesy of global health charity Kids Operating Room (KidsOR).

KidsOR, a Scottish global charity with bases in Edinburgh, Dundee and Nairobi, works to ensure that all children around the world have access to safe surgery. The charity also funds training of paediatric surgeons and anaesthesia providers, and estimates that more than 43,000 children have accessed life-changing or life-saving care via one of the 35 Operating Rooms they have installed since 2018.

The six new Operating Rooms in Zambia are located at University Teaching Hospital (UTH), in Lusaka, and in Arthur Davison Children’s Hospital (ADCH), in Ndola, with each hospital hosting three separate Operating Rooms.

The Scottish Government provided £45,000 of funding to assist with the refurbishment, re-equipping and retraining of staff at the paediatric surgical facilities at UTH.

David Cunningham, CEO of KidsOR, said: “I am proud that KidsOR has installed and equipped six Operating Rooms across the two hospitals. This is our largest project in a single country at the one time, and will ensure that surgeons have the right equipment to save thousands of children’s lives for years to come.

“With around 45 per cent of Zambia’s population being children, this is a country that will particularly benefit from these facilities.”

KidsOR collated data on surgical cases in the past 24 months at UTH so that it could track the difference made once the Operating Room was installed.

The charity identified that in the past two years, almost one in five of the operations that went ahead did so without the necessary surgical equipment and 40 per cent went ahead missing the necessary anaesthetic equipment.

These issues will be rectified as soon as surgeons start using the newly installed Operating Rooms to treat children.

Mr Cunningham added: “This latest project forms an important part of the KidsOR ‘Africa to 2030’ plan which will see us create 120 centres of excellence across Sub-Sahara Africa, each with world-class, state-of-the-art dedicated Operating Rooms for children.

“We aim to ensure that every child can access safe surgery when they need it.”

Dr Bruce Bvulani, Consultant Paediatric Surgeon at University Teaching Hospital, said: “The renovations and re-equipping of the theatre suite is not only timely but also momentous.

“These new Operating Rooms will put a smile not only on the faces of the children but the surgeons as they use their new wares in a refurbished centre. On behalf of the children of Zambia, we are truly grateful to KidsOR, and we promise to make full use of the equipment for the betterment of the children.”

Senior Medical Superintendent and Consultant Paediatrician at Arthur Davison Children’s Hospital, Dr Mwansa J Kaunda, also extended his gratitude. He added: “There will be an increased capacity and ability to care for more paediatric patients considering the hospital serves the northern part of the country. This means expanded services and more treatment options at the hospital, hence improved quality of health for children.

“What’s more, the new equipment and set up of theatre will improve efficiency in procedures, reduce the risk of post-operative wound infections. I am so excited as I never imagined that our Operating Room could look so nice. The last time it got a touch up was in 1978 and we have recently had to carry out operations using a phone torch light rather than proper operating lamp.”

International Development Minister Jenny Gilruth said: “The Scottish Government’s investment in this project will help benefit thousands of children who require life-changing and life-saving care.

“As well as contributing to the new paediatric Operating Rooms, our support will also enhance the skills and knowledge of the surgical teams that carry out these vital procedures. We are proud to work with KidsOR on a project that will change the lives of children and their families and strengthen the capacity and resilience of the health care system in Zambia.”

Africa has the greatest unmet surgical need in the world. Half of Africa’s population (1.3 billion) are children. It is also estimated that 85 per cent of children in Africa will require some kind of surgical care by the age of 15. 

Two of the six Operating Rooms in Zambia have been achieved courtesy of KidsOR’s partnership with cleft-focused organisation Smile Train.

Nigerian hospital reports surge in child ops thanks to KidsOR charity

A hospital Operating Room for children in the capital of Nigeria, which was newly installed in August 2019 thanks to a Scottish-based charity, has managed to increase the number of paediatric operations carried out by more than two-thirds in just a year.

From July 2018 to July the following year, 229 operations on children at the National Hospital in Abuja were carried out. Then, thanks to Kids Operating Room, a new Operating Room was installed in August 2019. This new Operating Room has enabled the surgical team in Abuja to undertake 381 operations from September 2019 to September last year – a staggering rise of more than 66 per cent.

Commenting on the difference that the new Operating Room has made, Dr Olubunmi Majekodunmi, the hospital’s Chief Paediatric Surgeon, said: “Having a KidsOR Operating Room has made surgeries far more effective. We have paediatric-sized instruments and do not have to struggle with larger ones meant for adult surgeries.

“As for the children, they move into an Operating Room filled with beautiful wallpapers and exciting toys and are so engaged that they do not even realise when they are put under anaesthesia. But, most importantly, our backlog of patients which used to involve a waiting list of a year or sometimes more, has been cleared.

“The relief on the faces of parents when they realise that their kids can have surgeries within a few days – enough time for pre-operative preparation – is priceless. Thank you KidsOR for such a tremendous gift!”

Rosemary Mugwe, Africa Director at KidsOR, said: “The Surgical Team at National Hospital were carrying out fantastic work before KidsOR came on board; however, they lacked specialist paediatric equipment to provide safe, quality surgery.

“We were happy to provide the tools – metaphorically and literally – to give them even greater capacity to help the children of Abuja. And we are delighted to learn of the large increase in the number of operations being carried out meaning that children do not have to wait for life saving or life changing surgery.”

The charity’s research also revealed that the percentage of wound infections decreased from 1.3 per cent to 0.29 per cent during the year after the new Operating Room was installed. This figure represents the percentage of surgical cases in which the patient developed a surgical infection and is another quality of surgery measure.

KidsOR is a Scottish global health charity with bases in Edinburgh, Dundee and Nairobi with an ambition to provide all children around the world with access to safe surgery.

The charity also funds training of surgeons and anaesthesia providers and works with National Ministries of Health to develop sustainable healthcare services.

Charity’s child surgery work creates £1bn of economic benefit

A Scottish-based charity that provides dedicated, specialist facilities and equipment for children’s surgery in low-income countries is today celebrating a significant landmark.

Since its inception in 2018, the work of Kids Operating Room (KidsOR) has given more than 43,000 children access to life-changing or life-saving surgery. Today, KidsOR has announced that the economic benefit of these operations has broken the £1 BILLION mark!

Through independent research, the charity has calculated that a child undergoing an operation in one of its Operating Rooms in Africa or Latin America is projected to go on to contribute an average of £26,000 in additional GDP in the years to come.

David Cunningham, CEO of KidsOR, said: “When a child has a lifesaving operation, or an operation that cures a simple condition like incontinence, that allows the child to stay in school and grow up to contribute to their nation’s economy, we can calculate what the economic benefit to that country was of the child surviving or being able to go to school.

“A core part of our mission is to produce the evidence desperately needed to show that providing surgical care is one of the most impactful investments you can make in global health.

“At KidsOR, we rely on academic partners to conduct independent research to evaluate the impact of our work. For every operation performed in one of our partner hospitals, a local data collector records key data about the operation and its outcomes, as well as its impact on the child and their family.

David Cunningham added: “With all of that in mind, we are delighted to have reached the incredible landmark of £1 billion in economic benefit generated for our partner nations. But our work will not stop here, and we are already working to create many more Operating Rooms and to train many more local surgeons in countries where they are needed the most.”

KidsOR is a Scottish global health charity with bases in Edinburgh, Dundee and Nairobi. It works directly with local surgeons and their teams across Africa and South America to transform hospital spaces into dedicated Operating Rooms for children’s surgery, creating child-friendly surroundings and providing surgeons with the specialist equipment and training they need to care for their nation’s children.

Since 2018, the charity has created the capacity for more than 41,000 operations to be carried out.

A single operation taking place in a KidsOR Operating Room is estimated to prevent an average of 17.1 years of life lost due to disability or premature death. This is the key metric used by the World Health Organisation to assess the global burden of disease.

From Scotland with love

Vital equipment on it’s way to fight Covid-19 crisis in Malawi, Rwanda and Zambia

A grant of more than £270,000 from the Scottish Government’s International Development Fund will fund the supply of 300 items of vital equipment to treat Covid-19 patients in Africa.

The funding will allow Kids Operating Room, a Scottish-based global health charity, to distribute 100 oxygen concentrators each to Malawi, Rwanda, and Zambia.

Covid-19 cases in Malawi, Rwanda and Zambia are rising quickly, with the health system in Zambia especially under severe stress.

One of the biggest impacts of the rise in Covid-19 cases is a shortage of oxygen, and oxygen concentrators are easy to use, are suitable for patients of all ages, and can be used throughout the health service.

External Affairs Secretary Angus Robertson said: “The Covid situation in Malawi, Rwanda and Zambia has become very serious, very quickly, and we know that the pressure on health services are putting great stress on their infrastructure, especially in relation to the delivery of oxygen to patients.

“This funding for oxygen concentrators will go some way to help ease the current stress on the health services in our three African partner countries, and we are delighted to work with Kids Operating Room to make sure this vital equipment is put to use as soon as possible.

“Scotland remains fully committed to playing our part in tackling shared global challenges, and we are committed to increase the International Development Fund (IDF) by 50% to £15 million.

“As the global pandemic continues, we firmly believe this is not the time to turn our back on the poorest and those in dire need – instead, this is precisely the moment when we should be living up to our core values.”

David Cunningham, the chief executive officer of Kids Operating Room, said: “Our model is to listen to doctors, then give them what they need – right now, the message is coming back loud and clear that what they need is access to more oxygen to fight Covid-19.

“Oxygen concentrators are key pieces of equipment that are needed to meet the region’s critical oxygen shortage. They are suitable for all ages and durable for years to come post-Covid, making them incredibly essential to support the health services in the long-term.”

Kids Operating Room is a Scottish global health charity with bases in Edinburgh, Dundee and Nairobi. It works directly with local surgeons and their teams across Africa and South America to transform hospital spaces into dedicated operating rooms for children’s surgery.

Oxygen concentrators provide a sustainable and cost-effective source of medical oxygen – they draw air from the environment and then concentrate that room oxygen to therapeutic levels for delivery to patients.

The charity will coordinate the distribution of the oxygen equipment.  They will arrange for delivery to doctors in Lusaka, Lilongwe and Kigali, and have the equipment distributed to the most in-demand hospitals.