The population of the refugee community has increased lately due to push factors in refugees’ countries of origin, especially South Sudan. Push factors include violence, financial instability, famine, lack of reliable services, etc. According to UNHCR statistics, there have been 19,730 new South Sudanese arrivals in Kiryandongo between July 1, 2016 and September 25, 2016.
There has been a general improvement in quality of life among the population served; the increase in the number of staff members in all health facilities has added tremendous value to health services, and the establishment of the Health Clinic at the Reception Centre has reduced overcrowding at Panyadoli Health Centres II and III. Because of these factors, the health facility utilization rate has increased, with changed health seeking behavior among refugees.
RMF took an integrated outreach approach with services covering:
These outreaches have been planned in regular visits to established sites by an integrated team of qualified staff with a clear work plan.
Various capacity-building activities were undertaken as planned. Most training sessions were planned through direct implementation by UNHCR, with RMF making considerable, successful efforts to fast track implementation. Community health promoters’ (VHTs) training in disease surveillance and prevention are invaluable at a time when there are outbreaks of epidemics in the world like Ebola in West Africa. As a result, one of the trained VHTs was able to detect a suspected case of polio in Magamaga.
Continued efforts were made to ensure that drugs were locally procured for patients with illnesses for which drugs were not available in the stores. Other services like:
these services are not readily available at either Kiryandongo Hospital or Gulu Hospital, which are the nearest referral points. However, these services were made available by supporting patients financially to access such services at the offices of private medical practitioners.
HIV/AIDS Voluntary Counseling and Testing (VCT) services were provided at Panyadoli Health Centre III. The ART clinics have been conducted every Wednesday, condoms have been distributed, and opportunistic infections properly managed with survivors assisted and supported. Communities have been sensitized on:
These services are conducted both at the static units and outreaches. The recruitment of an HIV/AIDS counsellor has helped build confidence among the clients in need of HCT services at the health facility and outreach sessions.
Community health promoters were trained on disease surveillance and prevention and their roles, while an assessment of the training needs for the Health Unit Management Committee members has been undertaken.
Because of the improved healthcare services that RMF/WCF has facilitated, the community is healthier, and thus engages in productive activities, especially farming. A number of families are producing food and vegetables to supplement the food rations provided by WFP.
Since the health and other services supported by RMF cater to both the refugee and host community, this has promoted peaceful coexistence.
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.
19,391 patients were treated during the second quarter of 2016.
8,474 male patients and 10,919 female patients.
23 deaths were reported at the clinics during this quarter. The causes of death were anemia, HIV/AIDS, malaria, TB, pneumonia, liver failure, and one case of post-abortion complications.
Sylivia is a 3-year-old girl. She was brought to the health facility with severe malaria and vomiting. We found that the girl was poorly fed and did not get enough breast milk since her mother was not producing enough breast milk. The doctor diagnosed Sylivia with malnutrition after finding signs of swelling in her stomach and face. Sylivia was put on outpatient therapeutic treatment Plumpy Nut (RUTF – Ready-To-Use Therapeutic Food). After being given IV Quinine, IV Expense, and IV Setragon, she improved and started breastfeeding. Sylivia was also introduced to F75, F100 with a positive response. She has improved and can now play with her peers; a thing that Sylivia could not do before. Looking at the picture, one would think she was a one-year-old.
Yusuf Bisiku is a three-and-a-half-year-old boy. He is a refugee from Cluster G. Yusuf had symptoms of malaria and he was vomiting. After investigation by laboratory technicians, he was diagnosed with severe malaria and being underweight. He looked like a much younger child. After the diagnosis, Yusuf was immediately put on treatment based on the following drugs:
Due to their flight from South Sudan, Yusuf’s mother said they did not have enough food, and they survived on water and biscuits and some food begged from well-wishers they found along the way. The whereabouts of Yusuf’s father are unknown, but there is a high chance that he perished in the war.
Yusuf continued with his medication and has greatly improved; he has gained weight and is now playing with his friends. Yusuf has a future thanks to RMF’s work in the settlement and also thanks to the VHT system that has been able to constantly monitor and encourage the community to go to health facilities for treatment.
Scovia is a 9-month-old girl who lives in Cluster B with her family. She was brought to the health facility coughing and vomiting. Her mother said that life has not been easy and they cannot afford a balanced diet. The doctor diagnosed Scovia with malnutrition, after finding signs of swelling in her stomach. Scovia was put on outpatient therapeutic treatment with Plumpy Nut (RUTF – Ready-To-Use Therapeutic Food). After being given IV Quinine, IV Expense, and IV Setragon, Scovia began showing improvement with time, and the excitement of her mother was evident when she visited.
RMF also provided some foods that the mother will keep cooking for Scovia so as to boost her immunity.