Health facility utilization is progressing. From October to December 2017, RMF carried out 168,800 medical consultations, treating 109,429 refugees and 59,371 nationals. 52,596 people (42,179 refugees and 10,417 nationals) were admitted to the inpatient departments at RMF medical facilities with different conditions.
The ART clinic established by RMF in Bidibidi Refugee Settlement is growing steadily, and additional patients are reached through outreaches and RMF-supported health centers outside of the settlement. During the reporting period, 91,752 clients were tested for HIV/AIDS (70,038 refugees and 21,714 nationals). 53 tested HIV-positive. During counseling sessions, all patients are encouraged to practice safe lifestyles, and those who are HIV-positive are encouraged to enrolled in ART.
RMF is building a relationship of strong trust with UNHCR. For instance, IGAD funds given to UNHCR for implementation of HIV/AIDS and TB related activities in the refugee settlements of West Nile have been entrusted to RMF for implementation. RMF was entrusted with these funds because of our visibly exceptional performance; UNHCR has confidence that the work will be completed and well done. 962,957 condoms were distributed through community outreach and the STI clinic.
During the reporting period, RMF Uganda’s team also coordinated and received two donated consignments of medicine: one from Direct Relief International and another from World Children’s Fund. These additional medicines helped support program operations immensely.
RMF’s work in Bidibidi Refugee Settlement also is attracting more partners who have offered contributions to the refugee program through RMF. For instance, Convoy of Hope is funding a nutrition program for pregnant and lactating women (PLW) through RMF. Currently, over 577 mothers are benefiting from the program (281 in Zone 1, 150 in Zone 3, and 146 in Zone 4).
Since 2009, RMF has been working to help the people of South Sudan recover from decades of civil war, which destroyed much of the country’s infrastructure and healthcare system. RMF initiated, co-founded, and continues to support the Juba College of Nursing and Midwifery, supports the Juba Teaching Hospital, and in December 2014, became the UNICEF implementing partner for malnutrition treatment and prevention in Jonglei State and the greater Pibor Administrative Area. Even after renewed fighting broke out in July 2016, RMF’s in-country teams have continued these programs. RMF has also been providing health services, school support for children, and vocational training to South Sudanese refugees in Uganda’s Kiryandongo Refugee Settlement since 2008, and was appointed UNHCR Health Implementing Partner in 2014.
To accommodate the large numbers of South Sudanese refugees fleeing to Uganda (between July 1, 2016 and September 21, 2016, there were 163,540 new arrivals), the Ugandan Office of the Prime Minister (OPM) and the UNHCR, in partnership with RMF and other organizations, opened the new Bidibidi Refugee Settlement on August 5, 2016. Bidibidi is located near the South Sudanese border in the Yumbe district of West Nile, Uganda, and has the capacity to support 180,000 refugees. Bidibidi is being built from the ground up, and during August 2016, 31,902 refugees were relocated to the settlement. Real Medicine Foundation is the main UNHCR Health Implementing Partner for Bidibidi Refugee Settlement, and between August 5, 2016 and August 31, 2016, 5,331 patients were treated at RMF’s health clinic.
About 350,000 refugees from South Sudan and over 60,000 people in the host community
Due to the increased number of cases requiring an orthopedic expert, RMF opened an Occupational Therapy/Physiotherapy department in Bidibidi Reception Health Centre III so that all orthopedic cases can be handled within the settlement. Since the establishment of the department 6 months ago, the department has registered the following successes:
Physiotherapy & Orthopedic Services
3,522 patient consultations were provided during the department’s 6 months of operation, with an average of 147 consultations weekly, 587 consultations monthly. 11,280 consultations were provided during the department’s 6 months of operation, with an average of 470 consultations weekly, 1,880 consultations monthly. Patients presented with fresh fractures, both closed and open. 67% were closed (simple) fractures and 33% were open (compound) fractures.
Cases of Head Injury
180 head injuries were seen during the department’s 6 months of operation, of which 60 were open head injuries successfully referred to Arua Regional Referral Hospital. The most common causes of head injury were domestic and gender-based violence, falling from a height (especially among children), and traffic accidents (especially among boda [motor bike] cyclists.