The ART clinic is implementing the 90-90-90 government strategy of testing all patients that come to the health facility for HIV/AIDS. Those found HIV-positive are immediately enrolled for treatment. To date, the ART clinic has served 3,570 clients. Active on treatment are 1,577 clients.
The program faced a shock in November 2017 due the death of Caroline Tukugize, the well-loved RMF program manager for Kiryandongo Refugee Settlement. She died shortly after undergoing a successful C-section to deliver twins at Paragon Hospital in Kampala. Our team is keeping in touch with Caroline’s husband, Francis, and we are providing support for her twins who are now 4 months old.
The Mental Health department continues to register great success and now has client load of 1,069. Among these, 213 clients were newly enrolled. 734 clients are categorized as stable. In addition, the department successfully conducted community sensitization on mental health. During this activity, the community was encouraged to refer victims without traumatizing them.
Through our partnership with the UNHCR and OPM (Office of the Prime Minister), RMF received a new ambulance to support the health implementation program in Kiryandongo Refugee Settlement.
Immunization coverage was maintained at a high rate. For instance, BCG coverage was at 94.5% by end of the reporting period and polio coverage was 97.7%. Overall, immunization coverage stands at 96.2%, which is within acceptable stands.
During this quarter, staff established demonstration gardens at Panyadoli Health Centre III. The purpose of these gardens is to instil the idea of producing nutritious foods at home, thus reaching durable solutions to prevent malnutrition.
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 23,289 outpatients were treated during the reporting period.
Esther Adyeru is a 35-year-old South Sudanese woman who has been at Panyadoli Health Centre III for a month now. She arrived weak, unconscious, and thinking she could not recover. Esther has tuberculosis and HIV, and the team has struggled to give her the best treatment. Esther can now move and eat; she is recovering well. Stigma is still a big problem for those living with HIV, especially in rural areas. Thankfully, the RMF staff’s kind attitude encourages patients to open up and makes counseling easier. Esther confessed that she had wanted to open up to people several times and be tested for HIV, but she found it difficult. This time when she got malaria, it worsened her HIV and TB condition, and when she was approached by RMF staff who spoke with her well, she felt it was time to open up for help. It is through “the RMF smile” and warmth of the staff that Esther’s life has been improved.
Paul Sunday is a 23-year-old South Sudanese man who was brought to Panyadoli Health Center III. He was unconscious for four days, unable to open his eyes, eat, or speak. However, due to the continuous care of RMF’s medical team, Paul was able to regain consciousness and is now recovering well. Since RMF began running the Panyadoli Health Centres, the refugee and host communities are treated quickly and medication is available. In the past, the health centers were usually out of medication and patients who could not afford to purchase their prescribed therapy could only get painkillers at the health center. RMF started providing drugs to the health centers even before becoming UNHCR Healthcare Implementing Partner, beginning a marked change in health-seeking behaviors among people of concern.
Geoffrey Irungu is a 45-year-old Kenyan refugee living in Kiryandongo Refugee Settlement. He is also living with the HIV. Geoffrey contacted the virus in 1999, when he was taking care of his boss who was helpless. In the process, Geoffrey acquired the disease because he had wounds on his hands, which were exposed. Unaware of his HIV-positive status, Geoffrey saw his life deteriorating; he was losing weight and coughing hard, among other symptoms. He then became so sick that he had to be admitted to the hospital. Geoffrey was tested, and the results showed that he was HIV-positive. He was in a bad condition and his body was weak, but slowly with the help of the RMF counselors and medical team, he improved. Geoffrey is now healthy and working as an interpreter in the health center and as a community leader. He has 3 children with his wife. They live happily, and he is thankful for the help of the Ugandan government and RMF’s team for saving his life and family. He urges that more support be provided to help other people as well. Geoffrey opens up in public about his health and living with HIV/AIDS, and he is an advocate for good health.
Rose is a 6-year-old Ugandan national who was admitted to the Nutrition department at Panyadoli Health Centre III. She was admitted with severe edema, and she could neither walk nor eat. However, due to the hard work and efforts of the nutrition team, Rose can now eat and walk well. Her caregivers were very happy, saying that RMF is doing what the local government could not do for them before the health center was handed over to RMF.