Kenya: Lodwar District Hospital Support

Equipment and Supplies Purchased to Improve Care: Q3 2015

November 24, 2015

Mwanaidi Makokha

Summary of Activities

Yet another exciting and successful quarter thanks to the support from RMF/MMI for the Lodwar County and Referral Hospital (LCRH). RMF engaged in so many activities ensuring that the momentum and pace is maintained. By the end of September 2015, there was still a lot of excitement not only from the staff of RMF but also the LCRH staff.

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Results &

ACCOMPLISHMENTS

Medical Equipment

New Sterilizer Causes Excitement

The sterilizer was received at the RMF offices with much excitement since it had been such a hurdle to sterilize equipment especially after procedures

Medical Supplies

Pediatric Ward Receives Emergency Drugs

As it has always been a priority, RMF purchased medical supplies for the pediatric ward. The pediatric patients benefitted by receiving emergency drugs in the quarter.

Non-pharmaceutical Supplies

Essential to Day-to-day Activities

As always, to support the entire hospital, RMF continued to purchase non-pharmaceutical supplies not only for the pediatric ward but for the entire hospital.

Cleaning Agents & Disinfectants

Enabling Infrastructure Upkeep

To ensure that the infrastructure repairs are done well and to prevent nosocomial infections of the patients, RMF continued to purchase cleaning agents and disinfectants for the entire inpatient ward.

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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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Numbers

Served

Q3, 2015

33,3861 Outpatients

A total of 33,861 Outpatients (13,247 being Pediatric Outpatients); 811 In-Patients (500 Pediatric In-Patients); and 349 Occupational Therapy Patients were treated at LDH in Q3 2015.

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Success

Stories

Akiru Esarait

Age: 3yrs 5 months
Origin: Napetet

History: The patient was admitted with complaints of diarrhea, severe wasting and difficulty in breathing .Akiru had been treated as an outpatient with no improvement. This was the first time of admission presenting with these symptoms. Delivery at hospital without complications; all immunizations as per schedule. The parents are HIV neg. Akiru is the second born in a family with three children. There has been no history of allergies or chronic illness.

Diagnosis: Kwashiorkor, Dehydration
• Blood slide (for malaria) negative
• Malnutrition (SAM -MUAC 10cm)

Treatment:
• Flagyl 5ml tds x 5/7
• Paracetamol 5ml tds x 5/7
• M/Vit 5ml tds x 5/7
• Oral Resomal

Management of Malnutrition:
Therapeutic milks: F-75 for 5 days until edema subsided; 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 follow up assessment.

Ekutan Ng’ipeyok

Age: 4 years
Residence: Kakwanyang’

History: This patient was admitted through the OPD with complaints of diarrhea, swollen painful stomach, lack of appetite and fever. He had been treated as an outpatient with no improvement. This was the first time of admission complaining of these symptoms. Delivered at home without complications; received all immunizations as per schedule. Parents are HIV neg. Ekutan is the second born in a family with three children. There has been no history of allergies or chronic illness.

Diagnosis: Kala Azar; Kwashiorkor
• Blood slide (for malaria) negative
• Malnutrition (SAM – MUAC 11cm)

Treatment:
• IV X-pen 14 mu qid
• Paracetamol 5ml tds x 5/7
• Pentostam 10ml/bdwt
• Gentamycin 50mg od x 5/7
• Ranferon 5ml tid 2/52

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 per month for follow up assessment.