Shoshong, Botswana: The Pilot Project

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Dr. Richard Brown takes you on a tour of the Shoshong clinic.

 

In 2011, WSC launched a pilot project in the rural village of Shoshong, Botswana to spearhead the development of a viable model of care for spinal conditions in underserved regions around the world.

The Shoshong project is:

  • Developing sustainable capacity for effective spinal care in Shoshong and the regional health district;
  • Implementing and evaluating spinal care screening, assessment, and treatment protocols, and the associated front-line health worker training program.
  • Conducting research: including an ethnographic study of the burden of spinal conditions in Shoshong, longitudinal treatment outcome studies, and research tracking the nature and frequency of musculoskeletal conditions occurring in patients who are living with HIV/AIDS.
  • Integrating into the health services provided by WSC such indigenous and alternative health care practices as are lawful in Botswana.

Primary Care


A primary spine care clinic has been operating in the village of Shoshong, Botswana since 2012. Over 20 volunteer clinicians had served in this clinic by the end of 2014. The clinic serves as a center for the screening of serious pathology and the diagnosis and management of patients with spinal and musculoskeletal disorder. In addition, the clinic operates as the nexus of research dedicated to the development and testing of outcome measures following treatment and the development of evidence based treatment protocols.


Secondary Care


A diagnostic rehabilitation center and second primary care clinic has been established in the Mahalapye District Hospital. The secondary diagnostic and treatment component of this program is for management of  those patients who have been identified at the primary clinics to require more advanced care. This center has basic x-ray and laboratory facilities as well as access to advanced imaging and primary medical and surgical specialists.


Tertiary Care


Patients who require advanced diagnostic facilities such as MRI, advanced surgical care or surgery are referred to the are transferred to the major teaching hospitals in Gaborone, under arrangement with the Botswana Ministry of Health, WSC’s partner in the WSC Shoshong project. Volunteer spine surgeons and medical specialists including rheumatologists and neurologists affiliated with WSC are available to act as consultants to local specialists, provide education on the latest methods of managing complex spinal disorders and to assist on the management of more complex cases.

The expected outcomes of the Project are:

  • Improved healthcare for people with spinal disorders and injuries in Shoshong and adjacent communities
  • The establishment of community education programs to reduce the impact of spinal disorders
  • To provide an ongoing and sustainable spine care program in Botswana through the training of primary spine care clinicians that can then provide similar programs in other communities.

Clinic Supervisors:

Mufudzi Chihambakwe

Mufudzi is a recent Chiropractic graduate from Durban University of Technology in South Africa. As a student, he was a member of the World Congress of Chiropractic Students which is how he first got involved with World Spine Care. In 2017, he carried out his research for his Master’s degree in the Mahalapye District Hospital where he was looking at how the local health care professionals at the hospital perceive World Spine Care. He has now joined the clinical team with World Spine in Botswana. He has a keen interest in African development and public health, and is excited to see how health care systems across the continent evolve to better meet the needs of the local people. He is an avid blogger and part time voice over artist.

 

 

Shannon Bloch

Dr. Shannon Bloch is originally from Canada and graduated from New York Chiropractic College in 2017. During this time she gained extensive clinical experience and completed several clinical rotations including the Buffalo Veterans Affairs Hospital in Buffalo NY. During Chiropractic College she took a great interest in how chiropractic and nutrition can work together to help patients achieve greater results which led her to additionally pursue and complete a Master’s Degree in Applied Clinical Nutrition. She spent one year after graduation practicing in Northern Virginia where she treated a wide variety of patients with many different conditions. She is passionate about how chiropractic can fit into a multi-disciplinary health care setting and the benefit of chiropractic care in underserved communities, which made the decision to join World Spine Care a perfect fit.

 

 


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