Nigeria: Healthcare Project, Gure
Healthcare Project, Gure Q2 2014 Report
December 20, 2014
Rotimi Salau and Jonathan White
Summary of Activities
Patient numbers continue to rise with the regular supply of medicine, supplies and lab reagents resulting currently in an average of more than 724 per week.
Infants Called to Clinic for Vaccination Updates
Newborns and other children due for boosters
Newborns were due for BCG vaccine 0.05ml, OPV vaccine, and Pental vaccine. Others children were due for their Measles and Yellow fever vaccines.
Health Outreach Program
Mothers and children
Maternal and Child Health trainings and outreach being conducted for new mothers
Treatment of Malnutrition cases in village outreach
Nigeria has the 4th lowest survival rate of children under five out of 191 countries, a child mortality rate of 140 of 1000, and a maternal mortality rate accounting for 10% of the global burden of maternal deaths.
Real Medicine Foundation has partnered with the Kwara State Ministry of Health, The Nigerian Youth Service Corps and Gure Gwassoro Ward Development Committee to support the long abandoned Gure Model Health Center. Situated near the Nigerian/Benin Republic border, the clinic is the only access to healthcare for a population of 154,376 in the Baruteen Local Government area and its surrounding towns. RMF has been funding facility upgrades, providing medicines, medical equipment, and local staff to increase and strengthen its capacity to deliver best practice western medicine and critical maternal child health care services.
- 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 to 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)
Rukayat Musa, a 4 year old girl from Kuburufu village, a distance of 6km to Gure Hospital was brought to our clinic by both parents with complaints of fever. She was very pale, not dehydrated, 15kg, Temp. 38.2oC, and was diagnosed with Malaria and Anemia.
After Group Xmatch, she was transfused with one pint of blood, and then treated with Quinine Inj, Xtapen Inj, Pcm Inj. Followed by Amoxillin Sus 5ml tds x 5/7, Pcm Syr 10ml tds x 3/5, Ranferon Blood Toni x 5ml tds 5/7,M/Vit Syr x 5ml 1tds 5/7, Vit C Syr x 5ml 1tds 5/7.
Rukayat was treated over the course of three days and discharged healthy and happy.
A pregnant woman, Hawawu Suleiman, from the Imam’s Compound in Gure, came in for her Antenatal Check-up. She was examined and found to be 28 weeks along, weighing 57kg. She was given routine medication and asked to come back to our clinic for follow-up antenatal visits. Tetanus Toxoid 0.5ml stat & SP TTT stat. To be repeated after one month.
Ruth James, a 35 year old woman, from the Ajegunle area in Gure town was rushed to our clinic early on a Saturday morning complaining of a sudden onset of vomiting and diarrhea. She had vomited about 9 times and had been passing watery stool continuously. She was pale, had sunken eyes, dry lips and seemed lethargic. Pulse 58, Resp 18, Temp: 37.4oC. Ruth was diagnosed with Acute Gastroenteritis and treated with antibiotics and the medications listed below. She recovered quickly to be discharged healthy.
Rx: Flagyl infusion 500mg stat, Cipro infusion 200mg st, Dextrose 500ml drip stat. Alternate N/S 500ml. Plascil Inj 1 amp st, Xtapen 2 amp st dly, CHF Inj 1 amp st, PCM, Bco, Vit C. Tab x 5/7, Flagyl Tab 2 bd x 5/7, ORS Sachet 3 packet given. N/S= Normal Saline.