Kenya: Lodwar District Hospital Support

Lodwar Community Hospital Patient Numbers Increasing, Q1 2015

June 12, 2015

Mwanaidi Makokha

Summary of Activities

RMF was off to another great start of the year 2015. Focusing on the hospital needs and strengthening the health system has proven to create significant impact in these last 4 years; RMF continued to support the hospital with medicines and medical supplies, non-pharmaceuticals, cleaning agents and disinfectants.

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Results &

ACCOMPLISHMENTS

Medical Supplies

Emergency Drugs Purchased

RMF purchased a substantial amount of emergency drugs in the quarter to ensure that the pediatric patients do not lack the vital drugs.

Medical Equipment

Additional Equipment Purchased

To ensure that the hospital continues to be well equipped, additional equipment was purchased in the quarter.

Non-pharmaceutical Supplies

Necessary Supplies Purchased

Non-pharmaceuticals such as clean gloves, surgical gloves, branulas, methylated spirit, surgical spirit, crepe bandages, strapping adhesives and cotton wool amongst others were purchased.

Cleaning Supplies

Clean, Hygienic Hospital

In a bid to ensure that the hospital is being kept disinfected and clean at all times and patients do not get infected further, RMF continues to purchase cleaning agents and disinfectants to ensure that the hospital wards are clean and hygienic.

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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.
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More

Photos

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Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
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Numbers

Served

Q1, 2015

29,136 Outpatients

A total of 29,136 Outpatients (10,518 being Pediatric Outpatients); 858 Inpatients (425 Pediatric Inpatients); and 584 Occupational Therapy Patients were treated at Lodwar District Hospital in Q1 2015.

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Success

Stories

Charity Akeno

Name: Charity Akeno
Age: 9 months
Gender: Female
Origin: Kambi mawe

History: The patient was admitted through the LDH Outpatient Department with complaints of fever, vomiting, abdominal pain, paleness and wasting. This was the first time of admission with these symptoms. The child was delivered at home without complications. She received all the immunizations as per schedule. Charity is the second child in a family of two siblings.

Diagnosis:
Severe Acute Malnutrition, Anemia

-Blood slide (for malaria) negative
Malnutrition (SAM MUAC 9.8cm)

Treatment:
-Gentamycine 40 mg od 5/7
-Ranferon 5mls tds 1/52
-Xpen 1/2 ml qid 5/7
-Flagyl 150mg tds 3/7
-Paracetamol 5ml qid 3/7

Management of Malnutrition:
Therapeutic milk F-100 for three days
On discharge, the patient was given FBP (Food By Prescription), and was to come back after once per month for nutrition assessment.

Charity progressed well and was discharged after three weeks of treatment.

Liz Narogoi

Name: Liz Narogoi
Age: 11 months
Gender: Female
Origin: Kanaam

History: The patient was admitted with complaints of watery diarrhea, and severe wasting. She had been treated before at a local clinic with no improvement. This was the patient’s second admission. Liz was delivered at the hospital without complications. She received all immunizations as per schedule. The parents were tested for HIV and turned out HIV-. Liz is the second born in a family of two siblings. There has been no history of allergies or chronic illness.

Diagnosis:
Severe Acute Malnutrition, Diarrhea, Abscess

-Blood slide (for malaria) negative
Malnutrition (SAM MUAC 10.6cm); weight 4.8kg

Treatment:
-Folic acid 5g od
-X-pen qid 5/7
-Gentamycine 4.5mg od 5/7
-Salbutamol 2.5ml tds 5/7
-Paracetamol 2.5ml tds x 5/7
-M/Vit 5ml tds x 5/7
-Oral Resomal
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 every two weeks for follow up assessment.

Lomanat Ekiru

Name: Lomanat Ekiru
Age: 2 years
Gender: Male
Origin: Nayaparkakou

History: This patient was admitted through the LDH Outpatient Department with complaints of diarrhea and difficulty breathing. This was the second time of admission of this patient with similar symptoms. He was delivered at home without complications; he did not get all immunizations as per schedule. He was tested for HIV and was HIV-.

Diagnosis:
Pneumonia, Severe Acute Malnutrition, Extensive Edema, Diarrhea

-Blood slide (for malaria parasites) negative
Malnutrition (SAM MUAC 14cm) weight 13 kg

Treatment:
-Amoxil 5ml tdsX5/7
-Zinc sulphate
-Paracetamol 5ml tds x 5/7
-Oral Resoma
-X-Pen QID
-Gentamycine 5mg/kg od x 5/7

Management of Malnutrition:
Therapeutic milks -F-75 for 4 days until edema subsided
-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 per month for follow up assessment.