On January 10, 2016, Real Medicine Foundation (RMF) signed a tripartite agreement (a follow-up to our 2014 agreement) with UNHCR and the Government of Uganda to implement a health program aimed at addressing two goals: emergency operations, and care and maintenance of refugees and asylum seekers in Kiryandongo Refugee Settlement through the delivery of quality healthcare services.
How many health facilities are there? What is the number of staff? Who are we partnering with?
RMF/UNHCR is directly supporting a total of three (3) health facilities: Panyadoli Health Centre III, Panyadoli Hills Health Centre II, and the Reception Centre Clinic. There have also been significant numbers of PoC (Persons of Concern) accessing services at Nyakadot Health Centre II, as some of the refugees have sought to settle at Bweyale Trading Centre. Nyakadot Health Centre II is located in the host community.
How many consultations were carried out this week?
4,351 consultations were conducted during this reporting period: 2,572 at Panyadoli Health Centre III, 848 at Panyadoli Hills Health Centre II, and 931 at Nyakadot Health Centre II.
51 referrals were supported: 23 nationals and 28 refugees (28 to Kiryandongo District Referral Hospital, 14 to Gulu Regional Hospital, 1 to Atapara, 3 Butabika, and 5 to Mulago National Referral Hospital).
Drug shortages, or running out of drugs, were our main challenges in health units during this reporting period.
Regarding Reproductive Health: How many ANC consultations? Breakdown of refugees/nationals? Which partners? UNHCR?
611 ANC consultations (93 refugees and 518 nationals) were registered during the reporting period: 425 at Panyadoli Health Centre III, 86 at Panyadoli Hills Health Centre II, and 100 at Nyakadot Health Centre II.
152 Maternity ward admissions (38 refugees and 114 nationals) were registered at the Maternity ward during the reporting period at Panyadoli Health Centre III for antenatal and postnatal services.
109 babies were delivered (23 refugees and 86 nationals) by skilled health workers: 69 at Panyadoli Health Centre III, 7 Panyadoli Hills Health Centre II, and 33 at Nyakadot Health Centre II.
This figure is included in the number of consultations above under “Health".
Other notable activities:
1,514 new arrivals (786 male and 728 female) were screened and registered at the Reception Centre during this reporting period.
358 complicated cases (152 in the Maternity ward, 34 in the Male ward, 66 in the Female ward, 100 in the Paediatric ward, and 6 in the Nutritional ward) were admitted through the inpatient department.
4 deaths occurred (2 refugees and 2 nationals) causes: pneumonia, malaria, and burns. All of the patients who died in this reporting period were under 5 years of age.
22 supplementary feedings and 33 outpatient therapeutic care sessions were conducted in the Nutritional Unit.
21 SAM (Severe Acute Malnutrition) cases were discovered through screening at the Reception Centre.
97 MAM (Moderate Acute Malnutrition) cases were discovered through screening at the Reception Centre.
21 people were enrolled to the ART clinic.
How many vaccinations were administered and what type? And what was the breakdown of refugees/nationals?
722 < 725 people were vaccinated: 382 at Panyadoli Health Centre III, 294 at the Reception Centre Clinic, 46 at Panyadoli Hills Health Centre II, and none at Nyakadot Health Centre II during the reporting period.
Vaccinations administered were for BCG, polio, DPT, and measles.
Cervical cancer screenings are also ongoing though all trained staff. One mother was screened and found to be cancer free.
The project has been implemented in Kiryandongo Refugee Settlement as part of the emergency response to the South Sudanese refugee influx. Health services are provided through the established health centers: Panyadoli Hills Health Centre II, Panyadoli Health Centre III, Nyakadot Health Centre II, and the Reception Centre Clinic with community-based care supporting both the refugee and host community.
Funding is provided by UNHCR to aid the influx of refugees and asylum seekers into Kiryandongo Refugee Settlement. The number of refugees is projected to increase. This is due to the political instability in South Sudan, as the cease-fire agreement signed in Ethiopia has not yielded peace as anticipated.
Real Medicine Foundation (RMF) has hired a manager who is responsible for the overall implementation and coordination of planned interventions, whereas OPM and UNHCR do oversight functions. Activities are planned, coordinated, and reviewed on a weekly, monthly and quarterly basis through coordination meetings chaired by OPM at the settlement level.
- Emergency operations
- Care and maintenance of refugees and asylum seekers in Kiryandongo Refugee Settlement through the delivery of quality health care services
- Ensure optimal access to reproductive health and HIV/AIDS services