Nigeria: Healthcare Project, Gure

Project Goal:

Upgrade of the existing clinic and managing of the clinic according to RMF/WCF’s global standards, improving hygiene, function and safety as well as standard of medical operations; restore community faith in clinic’s operations.

Project Objectives:

• Human capacity building and upgrade of the clinic for better health care delivery
• Provide regular Medicines and Medical supplies to the clinic
• Provide support to existing Medical Personnel
• Investigate solar electrical supply
• Borehole for drinking water and water clinic
• Review urgent needs to increase the quantity of patients treated and quality of treatment
• Prepare larger project quotes for capacity improvement (solar power/borehole drilling)

Summary of RMF/WCF-sponsored activities carried out during the reporting period under each project objective (note any changes from original plans):

• Treatment of patients at the clinic, focusing on Malaria, Maternal Child Healthcare, and prenatal care and observation
• Maternal and Child Health trainings and outreach being conducted for new mothers
• Immunization of Newborns
• Treatment of Malnutrition cases in village outreach
• Provision of Medical Laboratory services
• Continued purchase and delivery of medicines and medical supplies
• Provision of Dental care services for patients in the community

Results and/or accomplishments achieved during this reporting period:

• Patient numbers keep going up with the regular supply of medicine, supplies and lab reagents resulting currently in an average of more than 832 per week.
• A total of 9,993 patients were treated at our clinic during the First Quarter 2015
• Weekly immunizations are being conducted.
• Basic Laboratory Reagents/Facilities:  Basic laboratory tests are being conducted in the clinic to facilitate better health care delivery

Success Stories and Project Photos:

Benasol Model is a 9-month-old girl from Basa village, a distance of 28km from our Gure Clinic; she was brought by her parents because she was passing stool with mucus and stains of blood. ABD not clear, not pale, chest clear
 
Diagnosis: Dysentery, Food poisoning
 
RX: Flagyl sus 2 bottles /1tds/5days, Amocil sus 1qd/5days, Paracetamol syr 1ts/3days, 2sachets given

Sandra Memunat is 2½ years old and came from Gberu village via Iya Sikira, a distance of 8½ km from our Gure Clinic, weak and with very high fever. Very pale, Pulse 126/min, RR 18/min, Temp 39C.
 
Diagnosis: Severe Malaria with Anemia
 
RX: Blood transfusion, Furosemide ¾ ml ST, Pcm inj 1amp ST, lV Artesunate 600mg stat, then 12 inly x 3/7                                                                                          

Amadu Umah is 30 years old and from the Adamu Kore Compound in Gure; he presented with painful urination.
Not pale, lower abdomen painful, Temp 36C, Pulse 98/min, RR 16/min
 
Diagnosis: Gonorrhea
 
RX: Tabs Ciprofloxacin 500gm bd, Tabs Diclofenac 50mg bd, counsel on safe sexual practice.

Lokotoro Beery is 69 years old and from Tunka, a village 3km from Gure; she presented with epigastric pain and frequent stooling. O/E: Temp 38C, Pulse 98/min, RR 18/min,
 
Diagnosis: Gastroenteritis, Peptic Ulcer Disease
 
RX: Caps Tramadol 50mg bd x 3/7, Tabs Omeprazole 20mg bd, Tabs fFagyl 400mg NS x 5/7, counsel to avoid spicy food.

Memunat Saidu is 35 years old and from Kotokpegaru, Gure; she presented with f dizziness, amenorrhea, and bleeding. O/E: BP 110/70, Temp 38C, Pulse 76/min, RR 18/min, chest clear, abdomen clear.
 
Diagnosis: Thread of Miscarriage
 
RX: Counsel on strict bed rest, daily feto-material monitoring, Tabs Folic acid 50mg daily x 1/12, Tabs Fersolate 200mg Ns x 1/12

Balikis Bio is 23 years old and from Yourudaku village, a distance of 6km from our Gure Clinic. She came in for antenatal care. O/E: Gravida 3, BP 110/70, weight 54kg, FH 36 weeks, FHS heard, not pale, no edema, TP, cephalic presentation- ROA, normal routine AMC drugs given

A new born baby was delivered on 8/12/2014 at about 11:42 am and weigh 2.6 kg.  The baby is female, mother's name Doti and father, Mohamedu, from Imam's compound, Gure.