Nigeria: Healthcare Project, Gure
Healthcare Project, Gure Q4 2013 Report
January 29, 2014
Rotimi Salau and Jonathan White
Summary of Activities
RMF/WCF’s presence has strengthened the faith in the Gure Clinic. Healthcare provision is being continuously improved; a continued focus on the improvement of relationships between the community and all involved parties is being kept. Weekly immunizations are maintained and regular maternal and child health as well as hygiene clinics are being held for new mothers. Word of the regular restocking of medicine and medical supplies has spread through the entire surrounding community and the clinic is now seeing more than 687 patients per week.
687 patients per week
Patient numbers continue to rise with the regular supply of medicine, supplies and lab reagents resulting currently in an average of more than 690 per week.
Basic Medicine and Supplies Purchased
RMF is providing medicines and medical supplies to the Gure Clinic in 3-month cycles, more often when needed. Weekly immunizations are maintained and regular maternal and child health as well as hygiene clinics are being held for new mothers.
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)
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50-year-old Fulani Woman from Budo-Aiki
A 50-year-old Fulani woman from Budo-Aiki Village presented to the clinic on account of frequent passage of loose stool, waist pains and fever for several days. Upon examination she was febrile (38.10C), not pale, moderately dehydrated, PR 83 bpm, BP 120/80 mmHg; she was tested for malaria with positive results.
The patient was diagnosed with gastroenteritis and malaria and was treated with IVF Dextrose/Saline, Flagyl, Penicillin, Paracetamol, Artesunate and Vitamin C. She recovered well by the third day of treatment and expressed her gratitude to RMF.
Routine Antenatal Care for 28-year-old Woman
A 28-year-old woman came to the clinic for a routine antenatal check-up. Upon examination she was not pale, afebrile (360C), nil pedal edema, RR 18 cpm, PR 80 bpm, BP 110/60 mmHg; she weighed 66kg, fundal height 36/52, foetal heart sound was heard and sounded regular.
She was placed on routine drugs; Folic acid, Fessolate, Calcium, Paracetamol, received Tetanus toxoid and was instructed to return to the clinic in a week.
25 year old, Saliu Mariam, from Gure town presented at the clinic with fever, vomiting, generalized body weakness and poor appetite. Her last menstrual period was 3/2 prior to presentation pregnancy test was done and result showed positive. On examination her general condition was stable. She was placed on folic acid, fessolate , paracetamol, metoclopromide, multivite and calcium supplement 4/52 and a follow up appointment was established.