The team started implementing the new government policy of testing all patients who come to the health facility for HIV/AIDS. Presently, we have 1,519 clients on ART, of which 210 are refugees and 1,309 are nationals. The ART clinic treats 110 children below 14 years of age (41 boys and 69 girls).
Health seeking behaviors have improved among people of concern. This is evidenced by the rise in patient numbers. The improvement is due in part to referrals made by community health workers within the communities. RMF recruited some new staff members for the ART clinic and data department, thus reducing the challenges of long working hours and client wait times.
We have been able to sustain improved immunization coverage. By the end of 2016, the immunization coverage was rated at 60.1%, but by end of September 2017, RMF has been able to stabilize the coverage at 96%.
Reproductive services have been improved. For instance, during the reporting period ANC attendance was recorded at 91% against the UNHCR set standard of 100%. RMF has been able to* promote safe motherhood* by ensuring that highly motivated midwives are available at the health facility, who handle their work with love and passion. Throughout the reporting period, no maternal death occurred.
RMF has increased access to contraceptives. The coverage is rated at 63.2%. At the close of 2016, access and use of contraceptives was rated at 54%. This has been achieved because of the increased awareness RMF is creating.
New laboratory tests introduced by RMF’s laboratory team in the previous quarter were sustained during the reporting period. These new tests include hepatitis B, hemoglobin estimation, blood grouping, urine gram stain, urinalysis, stool tests, and ZN stain. The Infectious Disease Institute’s plan of elevating the status of the laboratory to a regional hub laboratory is still underway.
The Panyadoli Health Centres, located in Kiryandongo Refugee Settlement near Bweyale, Uganda, provide healthcare services to over 100,000 refugees from Kenya, South Sudan, DR Congo, Burundi, and Rwanda, as well as members of the host community.
A total of 26,818 patients were treated during the third quarter of 2017.
Nyakwir Atem is a 10-year-old South Sudanese refugee girl who was admitted to RMF-supported Panyadoli Health Centre III in Kiryandongo Refugee Settlement with symptoms of a bacterial infection. Although Nyakwir received treatment, her condition showed no improvement. She was referred to Kiryandongo Hospital for further management; however, her condition grew increasingly worse despite 10 days of hospitalization and receiving various antibiotics. Nyakwir’s parents were losing hope of her getting any better.
The young girl’s stomach was distended and painful, and with persistent fevers, she lost her appetite and was wasting away as the days passed. On one of the follow-up visits by an RMF medical doctor, he decided to take Nyakwir to the Operating Theatre, where they would investigate the probable cause of her agony. The operation was successful, and based on findings from the procedure, which were consistent with abdominal tuberculosis, he decided to start her on TB (tuberculosis) treatment. Since Nyakwir had also become malnourished due to her prolonged hospitalization and loss of appetite, she was also started on therapeutic foods for malnutrition—she had lost about 5 kg of her weight in one month.
One week after the start of this treatment, the young girl’s condition had improved tremendously, and you could see the feelings of satisfaction and relief in her smiling parents’ faces and the brightness of Nyakwir’s face. It was a happy moment when she could sit and hold a conversation with her parents, which had not happened in the previous couple of weeks.
Nyakwir was later discharged from the hospital and continued with her medication from home, which she periodically picked up from RMF’s TB clinic. About a week ago, she finished her six-month course of treatment and has now gone back to school, attending classes happily with her friends. Her father is also happy that his daughter recovered very well and is now back in school.
Thank you to our team of health workers, who fought tirelessly to bring back the smile on Nyakwir Atem’s face and that of her father.