South Sudan: Juba Teaching Hospital Support
Improving Hospital Environment: Q3 2016
September 30, 2016
Dr. Taban Martin Vitale
Summary of Activities
- Continued to provide maintenance for the Antenatal care block following the refurbishment completed during a previous quarter.
- Provided micronutrient supplements to Juba Teaching Hospital’s Antenatal Care Unit (ACU).
- Printed and provided antenatal cards for the ANC department.
- Facilitated minor repairs, such as plumbing repairs, in the ANC department.
- Supported the Infectious Disease unit of Juba Teaching Hospital by installing doors for the wards and washrooms.
- Supported the hospital’s human resource capacity by providing one RMF registered nurse, now serving in the Gynecology department.
- Continued to support RMF cleaners attached to the Pediatric department to supplement the few cleaners maintained by the Ministry of Health (MOH).
- Procured and provided adequate cleaning materials for the Pediatric department to keep the wards clean.
- Hired a research consultant to review the final version of the Maternal Near-Miss Audit report; the audit was conducted at Juba Teaching Hospital (refer to detailed Near-Miss Audit report).
- Installed additional office space for RMF’s Juba-based team.
- Procured and delivered 2 additional laptop computers for RMF’s Juba coordination team.
- Continued to support high speed WIFI internet service at RMF’s office and the Maternity ward.
- Continued monitoring and mentorship of trained healthcare professionals on the usage of Health eVillages tablets.
- Facilitated and coordinated meetings with the MOH, UN agencies, and other partners on how to improve services at Juba Teaching Hospital.
- Renewed RMF’s certificate of operations with the Relief and Rehabilitation Commission.
Antenatal Care Unit
The upgraded/improved Antenatal Care Unit (ACU) continued to provide comprehensive services for women and their families in a clean, well-organized environment.
Waiting times in the Antenatal Care Unit (ACU) have been reduced, since there are now three well-furnished examination rooms compared to only one before the renovation. This has a very positive effect, as women are receiving quality services and encouraging their communities to visit JTH, hence improving the rate of institutional deliveries and overall pregnancy outcomes.
The Pediatric inpatient wards are kept clean, reducing nosocomial infections, and the premises are conducive to the health and well-being of healthcare providers, patients, and visitors.
JTH premises and the surrounding areas are preserved and kept clean and safe through regular removal of the waste which had posed a threat to the healthcare workers, patients, surrounding community, and the environment. The working conditions of JTH’s janitorial workers have been improved through implementation of the waste management policy, developed with the support of RMF staff.
Creating Safe Spaces
The remodeled Antenatal Care Unit (ACU) has three furnished examination rooms, which ensures privacy and encourages women to share their concerns and pregnancy related complications with healthcare providers. This plays a significant role in the overall outcomes of their pregnancies.
There is now an adequate waiting area for conducting health education, which is positively influencing the health habits of women and thus pregnancy outcomes; it is also encouraging child spacing and family planning services.
Students from JCONAM, Juba Health Science Training Institute, Juba School of Nursing, Central Equatoria School of Nursing/Midwifery, the Juba University College of Medicine, and visiting teams continued to have adequate learning space and are interacting well with the pregnant women, tutors, and ANC midwives.
The women coming for routine antenatal care services are benefiting from RMF-provided micronutrient supplements, reducing the financial burden of buying supplements from private pharmacies and encouraging pregnant women to come for services at JTH, hence improving pregnancy outcomes.
High Speed WIFI
The high speed WIFI internet service at the Maternity department and RMF office provides internet access to doctors, nurses, midwives, and RMF’s team, facilitating research and improving continuous medical education for healthcare professionals and coordination for RMF’s team.
Juba Teaching Hospital, the only referral hospital in the whole country of South Sudan, is located in its capital Juba, Central Equatoria State. With an estimated population of 10.16 million basing on annual population growth of 3% from a population census conducted in 2008 and lack of proper functioning primary health care facilities upcountry, many South Sudanese have nowhere to go to but this national referral hospital. Military and police hospitals, if any, are non-functional country wide, forcing soldiers and officers to share the limited facilities with civilians.
Juba Teaching Hospital is directly funded by the central government through the National Ministry of Health, and supported by Real Medicine Foundation, Medical Mission International, UN agencies and other NGOs. Our overarching goal is to improve the quality and sustainability of medical and surgical services provided at Juba Teaching Hospital.
- Improve patient wards and build infrastructure within Juba Teaching Hospital starting with the Pediatric wards.
- Assist in improving conditions for providing health care at Juba Teaching Hospital, including the policies and management of regular and medical waste.
- Rehabilitate and/or purchase new medical equipment.
- Provide basic medical supplies, disposables and pharmaceuticals for the Pediatric Department, complementing those provided by the Ministry of Health.
- Organize on-site clinical training, beginning with general equipment usage.
Click to enlarge
A young girl underwent several surgeries for rectovaginal fistula following a gunshot wound, now stable carrying a child on treatment for simple malaria.
A child on treatment for bronchopneumonia with a good prognosis.
A child on treatment for malaria with a good prognosis.
A child admitted due to severe malaria, has improved and allowed to continue with oral medications at home.
A child on treatment for G/E and malaria. Her young sister is by her side to give her support.