Sizolwethu Mobile Health

Complex Wound Management

Wound Care management is the process of assessing, cleansing, preparing, and treating wounds. The main principles are to stop bleeding, prevent or treat infections, relieve pain, close the skin, and dress the wound. Wound Care management requires patient-centered care and documentation. In 2020, the organization officially opened the Sizo Wound Clinic.

The goal of the clinic is to ensure that ALL patients have access especially those of low incoming standing. We wanted to ensure that we cater for the masses and that everyone has equal opportunity to have proper patient centered wound care management and care.

The clinic is run by a qualified wound care specialist nurse, trained in the USA, Sr. Elizabeth Edwards. Currently, other local general nurses are in the process of training to obtain the qualifications so as to ensure sustainability and growth of our clinic. We work with multiple doctors in different specialties to ensure patients get the best possible care.

Story of Change/Success

The man across from me moves from the stretcher and smiles, a compression sock covers his right leg. A nurse smiles at him and says she’ll act as translator. He leans to her and asks her to tell me that the pants he’s wearing fit again because the swelling has finally gone down. He tells me he’s had the wound for thirty years, he’s 54 now.
“It was itchy," he says simply. He scratched it, and it grew.
Mr. Itch was later diagnosed with venous disease, and his affected veins led to pooling of blood in his legs, leaving perfect conditions for a life-changing wound.

Mr. Itch has suffered from this debilitating wound for more than half his life. When asked how many doctors he’s seen he shakes his head and answers ‘’Too many”, including traditional healers, clinics, prophets, hospitals and private consultation.

Last year this time his wound was 30 cm by 25cm (12 inches by 10 inches) with only a tiny strip at the back of his leg left, today it’s barely 4 cm by 4cm. (2.5 inches by 2.5 inches)

“Myself I am happy” he says, “I am very very happy.”
“Tell me what Sister Edwards did differently.” I ask.
“She convinced me to take a skin graft”. Mr. Itch feared the idea of creating another wound, and feared more pain. After the graft Sister Edwards struggled to keep Mr. Itch away from work. His job as a ground supervisor requires constant standing and nurses desperately tried to make him understand the importance of resting and elevating his leg to heal. Sister Edwards’s 30th wedding anniversary was coming up and she was determined to celebrate the healing of a 30 year wound at the same time.

I ask him what he’ll do now that his leg is healed. He tells me about his plot of land that he has so desperately wanted to work and how throughout his injury he has made no progress, “I’m leaving my job in August to go start my project” the nurse translates. There is a plot of land waiting, the pride of every Zimbabwean, that has remained uncultivated all these years. “I’ll farm chickens or maybe cabbages, I’m excited”

Mr. Itch grows somber as he tells me all his wound has cost him.

His family found themselves in financial hell, with one daughter paying two thirds of his fees. As talks about the price that traditional healers demand and begins to open up about the tortuous process. His wife tells me they lost 6 new blankets, 3 goats, a number of chickens and enough money to buy ‘a beast’. “Above all,” she says “there was no happiness in the family.”

“They told me I was being bewitched,”Mr Itch recalls of his original diagnosis. And with that poured out mistrust and fear. Mr. Itch recalls carrying his lunchbox wherever he went to prevent someone from poisoning him. It destroyed his relationships; he couldn’t talk to anyone around him and was legally prevented from accusing anyone of witchcraft. So he retreated into himself. He tells me about the embarrassment that cut into him, always covering up and hiding. Long pants on hot days. He lost all motivation to work but needed money for his treatments.

His breaking point came like a blow to the stomach. On a drive home on a kombi, an affordable but often overcrowded form of public transport, the driver called out that “whoever (was) carrying rotten meat should throw it out, children shouldn’t eat that no matter how hungry, and it makes us want to vomit,” he said. Mr. Itch’s heart fell; he knew immediately that no one was carrying rotten meat. He walked across to the driver and broke down telling him that it was not meat but his leg that smelled. He knew at that moment that something had to change. He began seeking professional help and was soon referred to sister Edwards.

He glows as he talks about how quickly hypochlorous healed a smaller wound and what immense progress it has made to his leg. He tells me that his neighbors’ daughter had struggled desperately with tinea capitis (ringworm of the scalp) and he recommended hypochlorous and billowed with pride as he watched the rings disappear.

‘That is why I am sharing my story, so that people do not have to go through what I went through. “I’ve referred people here”he beams. “I want my story to help.”