Nigeria: Healthcare Project, Gure
Healthcare Project, Gure Q3 2013 Report
September 30, 2013
Rotimi Salau and Jonathan White
Summary of Activities
Continue to 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.
- 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
Supplies Yield Impressive Results
Numbers up from Previous Quarter
Patient numbers continue to be high with the regular supply of medicines, supplies and lab reagents, now at an average of 675 patients per week.
Asthmatic Patients Breathe Easier
Nebulizing Device Purchased
A nebulizing device to stabilize patients suffering from asthmatic attacks was purchased.
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)
Duwerat Suleima traveled from Kuburufu village, 8km away from Gure, with complaints of labor pains. On examination, Duwerat Suleima’s abdomen was enlarged and fundal height was 36.52 in size; she was afebrile, anicteric, not pale, not dehydrated and not in painful distress. There was a single fetus in longitudinal and cephalic presentation. Descent was 55 and fetal heart sounds were heard and regular. Vaginal examination revealed a soft anterior, fully effaced cervix which was about 6cm dilated and station was at 0+2. It was determined that the patient was in active labor. Duwerat Suleima subsequently delivered a 2.9kg male baby who cried well at birth. She was subsequently placed on 500mg of Armpiclox capsules for five days, Fersolate, Vit B complex, and received Paracetamol for pain.
Anifat Ibrahim, a 2-month old boy, presented to our clinic with fever and dehydration due to severe diarrhea and vomiting; he also presented with distended abdomen, but was not jaundiced. Anifat was diagnosed with acute gastroenteritis and an upper respiratory tract infection. He received the following treatment and fully recovered:
➢ I.V. Quinine in 10% Dextrose, 10mI/kg over 4 hours slowly, followed by Quinine Syrup orally
➢ Flagyl Syrup, 10mI 3x 5/7
➢ Multivitamins 5mI 3x daily 5/7
➢ ORS, 100mI 2hourly
Rasheed Jimoh, a 6-month old boy, residing 6km from Gure town, was rushed into our clinic on account of serious weakness of his body and loss of appetite. On examination at presentation, he was severely pale, febrile, though anicteric and not dehydrated. He weighed only 4.5kg (60% of expected weight for his age). Rasheed’s respiratory rate was 22 per minute and air entry was reduced bilaterally. His abdomen was distended and moved with respiration.
A diagnosis of bronchopneumonia and severe malnutrition was made. Rasheed was transfused with 15ml/kg of sedimented cells (67.5ml) under 1ml/kg (4.5ml) Lasix cover. He was also given a 200mg injection of Paracetamol, 200mg I.V. Xtapen, 1ml/6h for 5 days, followed by oral medication. Rasheed’s mother was also advised and educated on malnutrition rehabilitation for her child at our clinic.