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OHAI Liberia ends cleft lip operations in Southeast Liberia

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It has been a bright moment and turning point for children born with cleft lips in southeastern Liberia when Oral Health Advocacy Initiative (OHAI) conducted successful surgeries on children from Maryland, Grand Kru, River Gee and Grand Gedeh counties, respectively.

The surgeries which ran 2-19 March brought a new birthday to children who benefited from the free medical services. Parents are glad that the successful operation means their children would no longer be stigmatized again in their respective communities.

“Thank God, his operation was successful and I hope he will get even better treatment. There is clear change, because initially the lip was opened but it has been corrected. I expect a lot more improvement but for now, he is healthy and will get better,” one mother said.

Oral Health Advocacy Initiative is a Pan-African Non-Governmental Organization that was established with a mission to advance the course of oral and dental health delivery in Africa, through advocacy, strategic partnership, and community mobilization. Speaking at the end of the surgery, Oral Health Advocacy Initiative Team head, Hilenen Aben said the free cleft surgeries targeted children and adults.

“We are not only conducting the cleft surgery and we have also trained health workers of J.J Dossen Hospital on how to care and conduct cleft lip surgery,” said Mr. Aben.

“Children and adults who are living with these defects are confronted with series of difficulties in the communities, including stigma and discrimination by the members of the communities. They are also confronted by direct complications such as difficulties in feeding, ear infections and hearing loss, dental problems, and speech difficulties among others. It is our aims that everyone would have adequate knowledge on these deformities desist from harmful practices such as excessive alcohol intake, tobacco and to encourage pregnant women to go for regular medical check-ups”, the head of the international none governmental organization stated.

According to Mr. Aben, Cleft lip is a condition that occurs when a baby’s lip or mouth does not form fully during pregnancy. It can either be a small or large opening that goes through the lip to the nose, making feeding and speaking difficult and even cause stigmatization of the person.

“The child cannot play with other children, the children cannot go to school, he or she is not comfortable with neighbors and when grow up they can’t marry or get married easily and after that they find it difficult to get work because some people cannot employ them of their health status, so when we do one cleft lip we solve the problem for the family of the children”.

The Three-day cleft operation has benefited about 45 patients — some of them from other counties in the southeast region of Liberia.All of the parents of these patients could not hold back their excitement after the exercise appeared largely successful.

“When I gave birth to Annie Karmanu, my daughter and a Cleft Patient in late 2020, and discovered that her mouth was opened so I immediately called the nurse at that time to find out what was the cause, and they told me that my daughter has a cleft lip, I immediately feel discouraged,” explains Victoria Kamanu, 34, of Harper.

She said the surgery was “timely and has given hope to many other parents”. “I am very happy that my child’s mouth can be reconditioned by these Doctors,” she added.

For him Mark Wilson, 21, who had a cleft lip, he is now thankful to the doctors after the surgery. “Sometimes I can feel embarrassed and ashamed of myself, and ask God: ‘questions why I should come on earth with this kind of sickness?” asks the student of J.S Pretty High School in Harper. “At some point in time I almost lost hope because of the constant stigmatization from my peers.

“I am grateful that I was successfully operated on by these doctors today, I can now go in my community and play with my friends without being afraid anymore”.

Meanwhile, Maryland County Health Officer, Dr. Methodius George has lauded the effort of Oral Health Advocacy Initiative for coming down to Maryland County to conduct the surgeries.
Dr. George, however, outlined some of the causes of the deformity in children.

“These happen when parts of the developing face fail to fuse in the early months of pregnancy. Cleft lip affects the facial appearance of a child and it is not a well-known condition, especially in the rural communities. Oftentimes, when babies are born with any form of deformity, including cleft lip, they are assumed to be cursed. Sometimes they’re accused of being witches, and most often, these children are literally thrown into the jungle to die to avoid the wrath of the gods,” he explains.

He then cautioned pregnant women to be careful with what they consume, while those aware of the existence of the deformity within their family lineage should inform health workers during routine clinic visits.

Meanwhile, the OHAI held its first set of training workshop for Nurses in southeast Liberia. The workshop titled ‘Nursing Care Saves Lives’ was organized in partnership with the Maryland County Health Team and held at the J. J. Dossen Memorial Hospital, Harper, Maryland.

The training workshop which is aimed at improving the safety and effectiveness of post-operative nursing care for children following cleft surgery was attended by nurses in Maryland, Grand Kru, and River Gee Counties respectively.

Speaking on the goal of the training, the Country Representative for OHAI Liberia, Mr. Hilenen Aben stated it was to empower nurses and raise their confidence to deliver higher quality care for their patients. Mr. Aben added that as competent practitioners, they will be able to apply their knowledge and experience to deliver safe and effective nursing care to children undergoing #cleft #surgery in partner hospitals in the country.

The International resource person for the workshop, Dr. Thomas Afeleokhai; a practicing maxillofacial surgeon and consultant at OHAI-Africa emphasized the need to empower nurses and raise belief in their capacity to improve nursing care.

Dr. Afeleokhai further noted that poor standards of training, low professional status, and poor working conditions mean that nurses often lack essential nursing skills and have a poor assessment of their contribution in improving outcomes. The training, therefore, seeks to improve skills and understanding through a practical application of learning in the classroom so that nurses can deliver a higher standard of care.

Responding, the County Health Officer (CHO) for Maryland County, Dr. Methodius George lauded the effort of the Oral Health Advocacy Initiative for going down to Maryland County to train nurses and to conduct free cleft surgeries to the unreached in the community.

OHAI is a Pan-African International Non-governmental Organization that is advancing the cause of oral and dental health delivery through advocacy, intervention, and health capacity development.

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