Facing the World: A journey to bring back smiles to unfortunate children
London (VNA) – Vietnam News Agency’s London-based correspondents visited Katrin
Kandel’s home in London on a warm summer afternoon, which, Katrin
said, reminded her of the heat of Hanoi summer.
Located in the centre
of London, the home of the voluntary CEO of Facing the World (FTW),
is decorated with beautiful paintings, some of which are from Vietnam, giving
us a feeling of closeness to the homeowner.
Our talk with Katrin
revealed her compassion for Vietnamese children with birth defects and the
motivation for her to pursue a journey that has brought about life changes for
thousands of unfortunate children in Vietnam.
In 2007, the
foundation first was invited by a US charity to Vietnam where they found a very
high rate of birth defects, which is estimated by some experts to be
almost ten times the regional level. Following on from this, Katrin and
colleagues felt very strongly that FTW should develop craniofacial centres
in Vietnam given the compelling need across the country.
The visit marked the
start of a long journey in which FTW has accompanied Vietnamese doctors to help
bring smiles and a normal life to thousands of Vietnamese children
with craniofacial birth effects.
A UK-registered
medical charitable foundation set up in 2002 to treat children from developing
countries with craniofacial defects, FTW initially brought Vietnamese children
to the UK for treatment at the foundation’s partner hospitals with costs
ranging from 50,000 GBP (over 57,000 USD) to 1million GBP per child.
However, since 2008, the foundation began sending multidisciplinary teams of
medics to Vietnam to join local doctors operating on complex
surgical cases.
Since then, the
foundation has developed a unique, clear, sustainable strategy and
solution which will continue to lead to tens of thousands of children,
initially in Vietnam and then beyond, receiving the treatment they need for
often horrifically disfiguring birth defects.
Katrin said the key to
this viable and sustainable solution is the “teach a man to fish” approach. FTW
awards international training fellowships to Vietnamese medics, having sent
more than 100 doctors to top medical institutions in the UK, Canada, the US and
Australia to observe and learn new techniques and approaches. The doctors are
offered 2-6 week fellowships which are covered by the foundation (approximately
11,000 GBP/two-week fellowship).
Katrin said by sending
Vietnamese doctors abroad for training, the foundation aims to create an
opportunity for the doctors to work and establish relationships with doctors
in centres of excellence throughout the world.
These fellowships are
supplemented by in-country medical missions where complex surgeries are carried
out by coordinated teams of the Vietnamese doctors and the international
doctors involved in the fellowship programme. Since 2008, there have been on
average two missions to Vietnam per year, with all missions now including
teaching conferences to which doctors throughout Vietnam are invited.
The foundation also
regards telemedicine as an important part of its training strategy.
FTW has partnered with a platform technology developed by In Touch Health
(now Teladoc’s World Telehealth Foundation) that enables the development of a
‘hub-and-spoke’ outreach programme within Vietnam. The platform facilitates a
two-way mentoring, educational system for international partners as well as
longer term domestically. The foundation has collaborated with its Vietnamese
partners to identify game-changing technology needs, which are met through
donations.
Katrin pointed out
that while the number of doctors can't be multiplied, technology like
Telemedicine can help multiply their expertise. By having the
expertise in the centres in large cities, it means that doctors, nurses and
health centres from outlying areas are able to access the expertise. Longer term,
the foundation expects that the doctors will be able to assess children in all
the outlying areas and determine whether they need to be brought into the
centres or can be given advice remotely on how to treat their problems.
According to Katrin, Vietnam
is in a strong position to roll out the approach. To date, 2.4 million GBP
worth of telemedicine equipment and technology has been donated to FTW partner
centres in Vietnam. Close to 10 million GBP in other medical
equipment has been donated to the same partner hospitals.
FTW has now partnered
with three hospitals in Vietnam: the private Hong Ngoc General, and two leading
public hospitals in Vietnam: 108 Military Central Hospital and Viet-Duc
University Hospital. Their networks of approximately 100 further
hospitals and clinics, allows the foundation’s reach to extend throughout the
country, enabling treatment for the poor, primarily children, born with severe
facial differences.
At 108 Hospital, the
foundation opened in late 2018 the Centre for Craniofacial and Plastic Surgery,
the first of its kind in South East Asia. So far 26 medics from the Centre have
taken part in FTW’s fellowship programme and two telemedicine platforms
from InTouch Health have been donated to the hospital. After 8 years, the
Centre is expected to reach and treat 60% of all children born in Vietnam with
significant facial differences.
Katrin said 108 Hospital was
a wonderful example of how the number of children being
operated on has been measured. Before the centre was established, the
hospital was able to run only one mission a year into the outlying areas,
but now is running one mission every month. During the COVID-19 pandemic, the
centre was still working, performing operations for children even though FTW
medics and Vietnamese doctors couldn't travel.
In the next 5 years,
FTW plans to enable 40,000 operations to be performed by its trained Vietnamese
doctors. The foundation expects to send at least another 200 Vietnamese doctors
abroad for training. Medical equipment which is considered to be game
changing will continue to be donated.
FTW’s efforts have
been recognised by the governments from Vietnam and UK. Katrin Kandel was
awarded the Vietnamese President’s Medal for Friendship; the Medal for Peace
and Friendship among Nations; and a Certificate of Merit for significant
contributions to Vietnam's socio-economic development in 2021 by the Vietnam
Union of Friendship Organisations. Katrin was also awarded the Points
of Light Award in recognition of excellence, commended in 2017 by
the then British Prime Minister. The foundation also received
official endorsement by the UK All-Party Parliamentary Group for Vietnam
and the Vietnam-UK Network.
Katrin said an
important goal in the longer-term is for Vietnam to be very much part
of the surgical expertise at FTW, acting as a craniofacial centre in Southeast
Asia. When the foundation is able to expand into one of the neighbouring
countries like Laos and Cambodia, Vietnam is expected to become part of the
training scheme similar to the UK, Canada, Australia and America. She noted
that with 108 Hospital and Viet Duc hospital being accredited by the Royal
College of Surgeons for Accreditation, the hospitals are now seen as having the
expertise for training which is at a level similar to the UK hospitals.
Leaving Katrin’s home,
we understood why Katrin is determined to change the destiny of unfortunate
Vietnamese children as she told us a touching memory about a baby she had met.
The baby, perhaps only six months old, had severe defects that made her look
horrific to any ordinary person other than a doctor. But the baby turned into
an adorable child after an operation performed by FTW medics in collaboration
with Vietnamese doctors. Katrin said it was such a lovely feeling seeing the
change that could make a child who is ostracised become part of society. She
said the very lovely children that have horrific birth defects and the love
that their families have for them have largely encouraged FTW and herself in
fulfilling the foundation’s mission in Vietnam.
We believe with such a
great motivation, Katrin and FTW will achieve new successes in their
journey to bring hopes and happiness to unfortunate children in Vietnam and all
around the world and their families as well./.