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 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)

Summary of RMF/WCF-sponsored activities carried out during the reporting period under each project objective:

• 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 remain steady with the regular supply of medicine, supplies and lab reagents resulting currently in an average of more than 739 per week.
• A total of 8,878 patients were treated at our clinic during the Fourth Quarter
• Weekly immunizations are being conducted.
• Basic Laboratory Reagents/Facilities:  Basic laboratory tests are being conducted in the clinic to facilitate better health care delivery

Patient Stories

Aminat Yusuf, 31 years old and from Sinaguru, a village 8km from the Gure Clinic, came to our clinic complaining of passing frequent stools with mucus. Temp 38, BP 120/80, Pulse 98/min, RR 22/min
 
Diagnosis: Acute Gastroenteritis
 
RX:
Cap Amonil 500mg qds  5/7, Tab Flagyl 400mg qds  5/7, personal hygiene recommendations

Usman Mohamed, 30 year old farmer from Yarin town, came to the Gure Clinic with complaints that he had had an accident at home when a tree he was cutting fell on his back. He presented with severe back pain and bruises all over his back.
 
Diagnosis: Injury to the back, fall from height 
 
RX:
IM Diclofenac 75mg, then tabs Diclofenac 50mg bd x 3/7 ( to be taken with food), Neurogesic cream

Abdulahih Abib, 7 month old baby from the Saruma compound.  His mother brought him to the clinic with complaints of passing watery stool, vomiting, high temperatures, and cough, not pale; chest and abdomen clear to auscultation, Temp 38C
 
Diagnosis: Uncomplicated Malaria
 
RX:
Paracetamol syr 1tds/3days, Flagyl suspension 1tds/5days, Ampiclox 1qds/5days, ORS Sachet given, Coartem tabs ll bd x 3/7

Adijat Mohamed, 33 years old and from Chickada Town, 26km distance from the Gure Clinic, came to our clinic with complaints of general body pain, cough, high temperature, sore throat pain. BP 110/80; temp 38C, Pulse 98/min, RR18/min; chest clinically clear.
 
Diagnosis: Upper Respiratory Tract Infection; Uncomplicated Malaria
 
RX:
Cap Ampidox 500mg qds, Tabs Paracetamol lg tds.
Tabs Loratidine 10mg od x 1/52
Tabs Lonart  DS T bd x 3/7

Adamu Ahmed, 20 years old and from Abasoro village, came to our clinic with complaints of high fever, general body pain, epigastic pain, and dizziness. BP 110/80, weight 67kg, chest not clear, ABD epigastric tenderness
 
Diagnosis: Acute Peptic Ulcer Disease, Uncomplicated Malaria
 
RX:IM Pentazocin 30mg start, than Tramadol 50mg bal 3/7;
IV Omeprazole 20mg bd x ¾; Tabs Paracetamol Ig tds x 3/7