Uganda

Project Goals:
Upgrade and maintain the clinic to a new hygienic and operating standard; to restore optimal function back to the levels prior to IRC pull out and reduction in UNHCR support.

Project Objectives:
• Provide medicine, medical supplies, and medical support
• Support the Health Management Information System Maintenance (staff and petrol supply)
• Maintain hygiene at clinic to Best Practice Western standards
• Enhance existing structures for Malnutrition Ward and Main Center
• Provide cooking materials such as charcoal stoves, saucepans, utensils, etc.
• Unblock the pipes in some of the building at the health centre
• Renovation of the health centre again through painting and plastering

Summary of RMF/WCF-sponsored activities carried out during the reporting period under each project objective:

• RMF provided the Panyadoli Health Center with medicines and medical supplies, and covered existing gaps during this reporting period.
• Two ward cleaners and two ground keepers sponsored by RMF are reported by Simon Opieto, in charge of Panyadoli Health Center, the grounds are groomed regularly and the cleanliness of the wards and offices is well maintained. 
• Continued maintenance of water pipes and solar pump installation. 

Results and/or accomplishments achieved during this reporting period:

• The coordination of medicine supply to the clinic has made a significant difference to the community and has increased the clinic’s treatment capacity and overall reliability. 
• Due to an increase in patients from the new Ugandan IDP arrivals and the onset of the rainy season, an emergency resupply of medicine was coordinated using RMF/WCF funding.  Inflation costs have also driven the costs of medicine and supplies higher so RMF allocated a larger share of funding to medicines this quarter than usual.
• The wards are kept clean, and equipped with medicines and supplies; this is all a joint effort of RMF, the Masindi local government, and UNHCR.  But RMF/WCF is so profound and praised in this project because it always provides quickly during times of great need.
• The grounds are continuously cleaned and maintained so that everyone feels safe to walk around without fear of being bitten by snakes.
• The Solar Powered Water Pump is continuing to run successfully and is now providing clean running water to the clinic wards and  offices which greatly increases hygienic conditions of the clinic. 
• Dr. Martina Fuchs, RMF’s Founder and CEO, visited Kiryandongo and the Panyadoli Health Center and met with Dr. Simon Opieto and OPM representatives to review the state of the health center and discuss ideas for further expansion and improvements. 

Number served/number of direct project beneficiaries:

• During the month of July, 2,163 patients were treated at the health centre, out of which 787 were male, and 1,376 were female. 
• During the month of August, 1,725 patients were treated at the health centre, out of which 658 were male, and 1,067 were female. 
• During the month of September, 1,602 patients were treated at the health centre, out of which 601 were male, and 1,001 were female. 
• During the month of October, 2,391 patients were treated at the health centre, out of which 815 were male, and 1,576 were female.
• During this reporting period, the health centre lost 8 patients due to malaria, typhoid, and malnutrition.

Plans for next reporting period:

• Purchase medicine and medical supplies as needed.
• RMF and the Panyadoli team are looking into the possibility of upgrading the health center into a hospital. In addition to more possibilities for patient care, this would also attract additional government funding.
• RMF will provide cookware for admitted patients such as saucepans, vacuum flasks, basins, Jeri cans, etc.
 

Patient Stories:

Achiro Angelina is a 65 year old Sudanese Woman who has lived at the Kiryandongo Refugee Settlement for the past 20 years.  Achiro was admitted to the Health Center with malaria symptoms and was treated with intravenous Quinine injections.  Within 3 days she had fully recovered and was discharged from the female ward and sent home.

Milka Nafula, a Kenyan refugee with a 1 year old child was admitted to the Health Center. The child was found to be positive for Malaria. It was administered a Quinine injection and showed signs of improvement quickly.

Jeninna Sebet, a 26 year old Ugandan woman, was admitted today in the morning while in labor and she delivered safely 4 hours later.

Lilian Odong is a 34 year old Sudanese refugee, who has lived at the Kiryandongo Refugee Settlement for the last 12 years. She was admitted in the Health Center with a sick child suffering from Malaria who was treated with Quinine and discharged 3 days later.