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Paulin Banguti, who completed much of his medical training in the Democratic Republic of Congo before returning to Rwanda in 2004 with a desire to make an impact on the nation’s health care system.

With only 15 active nurse anesthetists and anesthesiologists in the entire country, the workload is immense.

They came back saying, ‘Why did we wait so long before starting something like this?

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“I used to be involved in cleft surgeries and missions with people coming from abroad.

The old way of doing business was to come, operate and go.

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“When you treat children with cleft lip and other craniofacial defects you don’t only treat them, but you also treat the community and even the family,” Mpirimbanyi said.

Ntireganya is one of just two plastic surgeons serving Rwanda’s population of more than 11.9 million people.

There are only 15 nurse anesthetists and anesthesiologists and 44 general surgeons.

The only way we are going to make a difference is to train people to continue doing that work.” In addition to building surgical capacity for the future, Operation Smile volunteer plastic surgeon Dr.

Bruce Ferris, who has been visiting Rwanda regularly since 2011, pointed to the benefit training rotations have on the safe surgical care patients receive.

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