The improved/upgraded, well-furnished, well-maintained Antenatal Care Unit (ACU) continued to provide quality antenatal care services for women and men. The ACU also provides a favorable learning environment for students from JCONAM, Juba Health Science Training Institute, Juba School of Nursing, Central Equatoria School of Nursing/Midwifery, the Juba University College of Medicine, and visiting teams. The Maternity Operating Theater continued to provide emergency obstetric services, further improved by the installation of an air conditioning system.
There is also general improvement in patient care in all departments at Juba Teaching Hospital (JTH) following the training on psycho trauma support, as most of the healthcare professionals are now able to provide comprehensive healthcare services including identification and management of traumatized patients. Schoolteachers trained in psycho trauma support by RMF continued to provide services for traumatized students, hence improving the general performance and school attendance of children and young adults.
We continued to support high speed WIFI internet service at both the Maternity ward and RMF’s office, providing internet access to doctors, nurses, and RMF’s Juba team. RMF’s Juba-based staff is benefiting from the provided laptop computers, which are helping improve coordination and program performance. This is also facilitating research and improving continuous medical education for healthcare professionals and coordination for RMF’s team.
The two Health eVillages (HeV) master trainers, along with Juba Teaching Hospital’s nurses, midwives, and doctors continued to benefit from the HeV tablets. JTH staff is now able to do quick reference checks, hence improving the quality of care and general services they provide. We collected the monthly report from healthcare professionals on the usage of HeV tablets and patients’ responses to how the application of the tablets influenced their healthcare experience. This is to evaluate the impact of the Health eVillages project (the evaluation is still ongoing).
Prepared and submitted proposals to Health Pooled Fund as a consortium for implementing health and nutrition services in Juba, Maridi, and Mundri counties with RMF expected to run hospitals in those counties. We are diligently following up on the WASH proposal submitted to a private donor. Dr. Martina Fuchs supported the RMF in-country team and strengthened RMF’s collaboration with the Ministry of Health, UN agencies, NGOs, donors, JCONAM, and JTH administrators, thereby opening the way for new opportunities.
Waiting times in the Antenatal Care Unit have been reduced, since there are now three well-furnished examination rooms compared to only one before the renovation. This has a very positive effect, as women are receiving quality services and encouraging their communities to visit JTH, hence improving the rate of institutional deliveries and overall pregnancy outcomes. These rooms also ensure privacy and encourages women to share their concerns and pregnancy related complications with healthcare providers. This plays a significant role in the overall outcomes of their pregnancies.
Juba Teaching Hospital, the only referral hospital in the whole country of South Sudan, is located in its capital Juba, Central Equatoria State. With an estimated population of 10.16 million basing on annual population growth of 3% from a population census conducted in 2008 and lack of proper functioning primary health care facilities upcountry, many South Sudanese have nowhere to go to but this national referral hospital. Military and police hospitals, if any, are non-functional country wide, forcing soldiers and officers to share the limited facilities with civilians.
Juba Teaching Hospital is directly funded by the central government through the National Ministry of Health, and supported by Real Medicine Foundation, Medical Mission International, UN agencies and other NGOs. Our overarching goal is to improve the quality and sustainability of medical and surgical services provided at Juba Teaching Hospital.