During the reporting period, RMF continued to improve reproductive health services. For instance, antenatal care and attendance were recorded at 131% against the UNHCR expected standard of 100%. 1,775 new antenatal visits were registered, which is a 31% increase from the expected 1,353.
RMF has increased access to contraceptives. At the end of 2017, coverage was 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.
RMF has continued to facilitate integrated outreaches. Through these outreaches, community members are empowered with preventive health strategies and knowledge concerning malaria, HIV/AIDS, and more.
Continuous immunization of all under-5 children living in and around the settlement was implemented through the health facilities and outreach activities as well.
The Mental Health department continues to register great success and now has a client load of 1,069. During this reporting period, 806 clients attended, 18 of which were new cases. Mental health patients were referred to Butabika National Referral Mental Hospital as needed. In addition, the department successfully conducted community sensitization on mental health. During this activity, the community was encouraged to refer victims without traumatizing them.
RMF has been able to eliminate unnecessary referrals to the district and national hospitals. This has been achieved because RMF now has 4 medical doctors based full-time in Kiryandongo, including a competent surgeon who is conducting most of the surgeries at the nearby district hospital. This has helped to eliminate deaths that could occur because of delayed surgical procedures and has strengthened RMF’s cooperation with Kiryandongo Hospital and Kiryandongo District’s local government.
A new laboratory has been constructed by UNHCR and is now in use. This has created more spacious and healthy working conditions for the staff. The laboratory now offers a wider range of tests and performs them effectively.
RMF also recruited, oriented, inducted, and introduced new staff members to support the new Operating Theatre, Dental Ward, and Maternity ward expansion. These new staff members have received orientation and training on RMF’s culture of respectful health care.
Demonstration gardens have been established and maintained at Panyadoli Health Centre III to enhance nutrition education and promotion. Emphasis is placed on appropriate crop production technology to empower the community in adopting sustainable supplementary nutrition practices. The purpose of these gardens is to instill 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.
Natasha Ageno is a 3-year-old South Sudanese girl living in Cluster A of Kiryandongo Refugee Settlement. She was diagnosed with complicated measles, moderate acute malnutrition (MAM), and an upper respiratory tract infection (URTI) on May 11, 2018. Her condition was concerning, and her mother’s expression revealed feelings of hopelessness. The nurses in the Pediatric ward admitted Natasha and started her on treatment immediately.
The team in the Nutrition unit also helped managing the child’s malnutrition. During the first 6 days she spent at the health center, Natasha’s healing progressed tremendously, and the doctors discharged her after 8 days. Measles is currently on the rise in Kiryandongo Refugee Settlement. Natasha’s mother was very happy with the RMF team for their commitment to the wellbeing of her child. She was heard telling other caregivers in the ward, “It is unbelievable that a team which barely knows anything about us can give us such attention and care.” She prays for the continued growth of RMF in Uganda and wherever RMF is serving.
Ruach Magong is a 12-year-old boy of South Sudanese origin. He was brought to the health center semiconscious, and clinicians diagnosed him with severe malaria and mild anemia. Ruach was started on antimalarial treatment, and a nasogastric (NG) tube was inserted to enable him to eat, since he was now totally unconscious and depleted.
Ruach started showing signs of recovery after 4 days, but his mental state was deteriorating again. He was so disoriented that he started running around as if someone were chasing after him. The doctors continued treating Ruach and closely monitoring his status. 9 days later, he was in good shape and ready to be discharged. Ruach is now a happy boy who dreams of going back home to South Sudan someday.