Kenya: Lodwar District Hospital Support
Lodwar Hospital Report, Q3 2014
December 22, 2014
Mwanaidi Makokha
Summary of Activities
It was a great quarter yet again with lots of achievements. A total of 25,456 Outpatients (7,929 pediatric outpatients); 921 In-Patients (467 pediatric inpatients); and 568 Occupational Therapy Patients were treated at LDH in Q3 2014.
Full Report
Results &
ACCOMPLISHMENTS
Continued Support for 3 Departments
Dental and Medical Equipment Purchased
RMF purchased curved elevators, dental mirrors, periodontal probes, syringes amongst other equipment were purchased for the dental department. . RMF continued to upgrade the physiotherapy with items such as ankle and knee braces. MCH was a new addition in terms of medical equipment supply.
Gap in Coverage Filled
RMF Purchases Non-Pharmaceutical Supplies
RMF also continued to ensure that non-pharmaceuticals are available for almost the entire hospital. RMF purchased non pharmaceutical items such as cotton wool, gauze rolls, gloves, crepe bandages, tourniquet bands, plaster of Paris and skin traction.
Medical Supplies
Pharmaceuticals for All Patients
During Q3, RMF purchased drugs and medical supplies such as Dextran, Pethidine, Fortum, Phenitoin, Augmentin, Ceftriaxone, and Ranferon. This has ensured that the pediatric patients who are admitted and cannot afford to buy medical supplies are treated effectively which has consistently reduced the mortality numbers.
Background
& Objectives
Background
Lodwar District Hospital (DH) is the only functional government regional referral hospital for all of Turkana region, spanning a population of almost 1,000,000. This is where the vast majority of the Turkana and other populations of Northwestern Kenya as well as people from across the borders to Uganda and South Sudan seek help when they need more advanced care requiring medical equipment and specialized skills that cannot be provided at dispensaries, health centers, or private health clinics. Lodwar DH has been struggling for years with wards in need of major repair, and supplies and drugs that come in with great irregularity from the government health supplies department in Nairobi.
Objectives
- Rehabilitate the infrastructure at Lodwar District Hospital, beginning with the pediatric ward and proceeding to male and female wards.
- Rehabilitate equipment set at Lodwar District Hospital, beginning with the pediatric ward and proceeding to male and female wards, outpatient department, operating theatre and physiotherapy department.
- Provide regularity to supplies of basic medical devices, disposables, and pharmaceuticals, complementing the items from Kenya Medical Supplies (KEMSA).
- Provide equipment maintenance and spare parts management.
- Organize on-site clinical training, beginning with general equipment use and care, and pediatric emergency care.
- Provide outreach campaigns.
More
Photos
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Numbers
Served
A total of 25,456 Outpatients (7,929 pediatric outpatients); 921 In-Patients (467 pediatric inpatients); and 568 Occupational Therapy Patients were treated at LDH in Q3 2014.
Success
Stories
Lokiru Goodnews
History
The patient was admitted through the OPD with complains of diarrhea, wasting and difficulty in breathing. This was the first time of admission complaining of these conditions. He was delivered at home with no complications. He had not received all the recommended immunizations as per schedule. Lokiru is the third born in a family of three siblings.
Diagnosis:
Typhoid with Severe Acute Malnutrition
-Blood slide (For malaria parasites) positive
-Malnutrition (SAM – MUAC 12.2cm)
-Widow test suggestive
Treatment:
1. i/v Ceftriaxone 250g 6/7
2. Calpol 2.5ml Tdsx5/7
3. Oral Resoma
4. Gentamycine 50mg ODx5/7
Management of Malnutrition:
– Therapeutic milk F-75 for 2 days
– F-100 for 4 days
– On discharge, the patient was given RUSF (Ready to use supplementary food), and was to come back every one month for assessment. He progressed very well and was discharged after three weeks; the drugs used to treat Lokiru were funded by RMF.
Onesmus Alea
History
This patient was admitted through the OPD with complaints of diarrhea, severe wasting, mouth sores and difficulty in breathing. This was the first time of admission complaining of these symptoms. Delivered at the hospital without complications. He had received all immunizations as per schedule. The parents were tested for HIV and turned out HIV negative.
Onesmus is the first-born in a family of two children. There has been no history of allergies or chronic illness.
Diagnosis:
Typhoid with Severe Acute Malnutrition
– Blood slide (For malaria parasites) Negative
– Malnutrition (SAM – MUAC 10cm)
Treatment:
1. Amoxil 5ml Tdsx5/7
2. Paracetamol 5mls Tdsx5/7
3. M/Vit 5mls Tdsx5/7
4. Oral Resoma
5. Gentamycine 50mg ODx5/7
6. i/v Ceftriaxone 250g 6/7
Management of Malnutrition:
– Therapeutic milk F-75 for 2 days
– F-100 for 5 days
– On discharge, the patient was given RUTF (Ready to use therapeutic food), and was to come back every two weeks for assessment.
More Reports on: Lodwar District Hospital Support Archive
Country Page: Kenya
Initiative Page: Lodwar District Hospital Support
