Obstetrician / Gynaecologist
"In Britain most women only want two children and as the operation has become safer and safer the threshold for doing a Caesarean has fallen. So safe that we do fewer and fewer complicated vaginal births such as breech or twins. Increasingly we do Caesarean sections on request when there is no medical reason. This amazes my African midwifery and medical colleagues."
Palorinya refugee settlement in northern Uganda has become host to approximately 147,000 South Sudanese people since renewed conflict broke out in July 2016. Sam is a public health physician who has just returned from the settlement, where he's been helping MSF to understand the health care needs of the community.
Tomas blogs from South Sudan about treating a series of patients in Agok hospital's surgical ward.