Burundi Centre for advanced orthopaedic surgery Note: This project has been cancelled, because of difficulties within the partnership.In Burundi, some 95% of the people that suffer from orthopaedic disorders (bones, joints, knees, hips, ankles etc) have no access to proper medical care. The lucky 5% are the happy few who can afford expensive treatments abroad or people that get selected to be treated in medical camps initiated by the charity sector. Main cause for the deficit is the lack of investments in advanced medical facilities. The applicant is an Indian multi super specialty tertiary care hospital, with specialties in all major fields. They provide medical care in five locations in and around Hyderabad to the local population as well as to foreign patients from 58 other, mainly Africa and Asian, countries. Local partner is a private hospital in Bujumbura. In this project the applicant and local partner will establish a medical centre for advanced orthopaedic diagnosis and surgery that complies with the latest standards for medical quality, as well as environment, health and safety. The availability of these treatments in Burundi will make them accessible for a large group of people at more affordable prices. The partners will establish a joint venture and will recruit 64 new employees, provide training both to employees, to partners in the value chain and to regulatory authorities. There are many opportunities for follow-up investments: both for up-scaling the capacity and for diversifying the portfolio of treatments.Corporate Social Responsibility (CSR)The centre will be designed in accordance with international health, safety and environmental regulations to ensure working conditions and patient safety. The joint venture will provide a programme of fringe benefits to its employees, including maximum working hours, paid holidays and salaries at least 30% above the minimum wage level. Men and women will be equally treated and rewarded. The partners will provide employees with professional training and offer them opportunities for further development.Impact•	Employment and working conditionsStaff is regarded as a valuable asset. Health and safety issues are properly addressed, full-time employment and fixed term and permanent contracts offering living wages fringe benefits for basic-level jobs.•	Innovation / Transfer of knowledgeThere is no orthopaedic diagnostics and surgery centre in Burundi yet.•	Chain effectsImpact on local suppliersInputs include medical supplies and consumables, other supplies and consumables, logistic and ambulance services.Impact on local customers or consumersThe impact for local customers is huge, orthopaedic treatment will become more accessible and patients will not need to travel abroad for treatment; a clear advantage as this is not only expensive also often patients conditions make it hard to travel.•	Impact on the sectorOther private and public hospitals will be able to send their patients for diagnostics and surgery.•	Position of womenHalf of the staff will be women, especially in medium-level positions (nurses and middle management). Also, as much hard labour is done by women in Burundi, this results in relatively high numbers of orthopaedic disorders, so many of the patients will be women. To establish Burundis first medical centre for advanced orthopaedic diagnosis and surgery with a capacity to treat 2,200 patients yearly.