Kenya: Lodwar District Hospital Support
Lodwar Hospital Report, Q4 2014
February 27, 2015
Mwanaidi Makokha
Summary of Activities
Yet another amazing year! Thanks to the LDH staff and team in partnership and support from MMI/RMF. LDH/RMF year 2014 objectives were exceeded as per our expectations. The hospital is thankful for the generous support given to them by RMF/MMI since inception and running for four years.
Results &
ACCOMPLISHMENTS
Medical Equipment Purchase
Maternity Receives Necessary Supplies
Maternity received stretchers, dirty linen carriers, medicine trolleys, Doppler, delivery couches, BP machines, stethoscopes, weighing scales, examination couches, and delivery kits
Medical Equipment Repairs
Equipment Well-maintained
More than 90 pieces of equipment at the hospital were repaired and serviced during the quarter.
Cleaning Supplies
Wards Remain Clean and Hygienic
RMF has constantly maintained that the inpatient unit be kept disinfected and clean at all times. It is for that reason that we purchased more cleaning material and disinfectants in the quarter.
Medical Supplies
Emergency Drugs Received
As always, the pediatric ward benefitted in the quarter by receiving emergency drugs for the children being admitted at the ward.
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.
Numbers
Served
Q4, 2014
22,314 Outpatients
A total of 22,314 Outpatients (6,729 being pediatric outpatients); 1,178 In-Patients (716 pediatric In-Patients); and 338 Occupational Therapy Patients were treated at LDH in Q4 2014.
Success
Stories
Esirite Ekaru
Age: 3 years
Sex: male
Origin: Kalokol (approximately 65 km to LDH)
History: This patient was admitted with complaints of diarrhea, severe wasting, mouth sores and difficulty in breathing. He had been treated at the health centre in Kalokol with no improvement. This was his first time to be admitted with these symptoms. He was delivered at a hospital w/o complications; he received all immunizations as per schedule. The parents were tested for HIV and turned out HIV negative. Esirite is the second born in a family of three siblings. There has been no history of allergies or chronic illness.
Diagnosis:
Severe acute malnutrition, dehydration
– Blood slide (for malaria parasites) negative
– Malnutrition (SAM – MUAC 10cm)
Treatment:
– Flagyl 5ml Tdsx5/7
– Paracetamol 5ml Tdsx5/7
– M/Vit 5ml Tdsx5/7
– Oral Resoma
Management of Malnutrition:
Therapeutic milks – 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.
Ekutan Ng’itira
Age: 4 years
Sex: male
Origin: Locher-emoit (approximately 40km from Lodwar)
History: Ekutan Ng’itira was admitted through the Lodwar District Hospital Outpatient Department with complaints of diarrhea, difficulty breathing, wheezing and dizziness. This was his first time to be admitted with these symptoms.
Delivered at home w/o complications; he received all immunizations as per schedule. The parents were tested for HIV and turned out negative. Ekutan is the second child in a family of three siblings. There has been no history of allergies or chronic illness.
Diagnosis:
Pneumonia, severe acute malnutrition
– Blood slide (for malaria parasites) negative
– Malnutrition (SAM – MUAC 11cm)
Treatment:
– Amoxil 5ml Tdsx5/7
– Paracetamol 5ml Tdsx5/7
– Oral Resoma
– Gentamycine 50mg ODx5/7
Management of Malnutrition:
Therapeutic milks F-100 for 5 days
– On discharge, the patient was given SFP (Supplementary Food Program): two bags of first food and was to come back once a month for assessment.
James Ekabonyo
Age: 6 years
Sex: male
Origin: Kataboi (approximately 100km from Lodwar town)
History: James Ekabonyo was admitted through the Lodwar District Hospital Outpatient Department with complaints of distended abdomen, fever, abdominal pains, paleness and difficulty breathing. This was his first time to be admitted with these symptoms. Delivered in a hospital w/o complications; he received all immunizations as per schedule. James is the second born in a family of five siblings.
Diagnosis:
Acute malnutrition, pneumonia
– Blood slide (for malaria parasites) negative
– Malnutrition ( MAM – MUAC 12.2cm)
Treatment:
– Gentamycine 40mg odx5/7
– Ranferon 5ml tdsx1/52
– Pentostum 10ml/bdwt
– Oxygen
Management of Malnutrition:
– Enrolled in Food by Prescription program (FBP)
– On discharge, the patient was given CBS (corn based soy), and was to come back once a month for nutrition assessment.
He progressed well and was discharged after three weeks.
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Initiative Page: Lodwar District Hospital Support