Uganda: Healthcare Implementing Partner for UNHCR at Kiryandongo Refugee Settlement

Update on Achievements

Operational Context

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? How many staff? Which partners? UNHCR?

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?

• 3,828 consultations were conducted during the reporting period: 2,564 at Panyadoli Health Centre III, 755 at Panyadoli Hills Health Centre II, and 509 at Nyakadot Health Centre II.
• 58 referrals were supported: 30 nationals and 28 refugees (40 to Kiryandongo District Referral Hospital, 8 to Gulu Regional Hospital, 3 to Bitaabika, and 7 to Mulago National Referral Hospital).

Main Gaps and Solutions

• Shortage of medicines and medical supplies due to an overwhelming number of patients/clients.

Reproductive Health

How many ANC consultations? Break down of refugees/nationals? Which partners? UNHCR?

• 675 ANC consultations (112 refugees and 563 nationals) were registered during the reporting period: 415 at the Panyadoli Health Centre III, 169 at Panyadoli Hills Health Centre II, and 91 at Nyakadot Health Centre II).
• 137 Maternity ward admissions (45 refugees and 92 nationals) were registered in the Maternity ward during the reporting period at Panyadoli Health Centre III.
• 118 babies were delivered (31 refugees and 87 nationals) by skilled health workers: 92 at Panyadoli Health Centre III, 12 at Panyadoli Hills Health Centre II, and 14 at Nyakadot Health Centre II.

Is this figure included in the number of consultations above under “Health?”

• Yes

Other notable activities?

• 942 new arrivals (462 male and 480 female) were screened and registered at the Reception Centre during the reporting period.
• 393 complicated cases (137 in the Maternity ward, 86 in the Male ward, 81 in the Female ward, 85 in the Paediatric ward, and 4 in the Nutritional ward) were admitted through the inpatient department.
• 3 deaths occurred (0 refugees and 3 nationals) causes: 1 female died of post-abortion sepsis, 1 male died of cerebral malaria, and 1 male died of ISS (HIV).
• 20 supplementary feedings and 14 outpatient therapeutic care sessions were conducted in the Nutritional Unit.
• 17 people were enrolled in the ART clinic.
• 374 children were immunized (static): 183 male and 191 female.  
• 466 children were given vitamin A at the Panyadoli Health Centre III, Panyadoli Hills Health Centre II, Reception Centre Clinic, and Nyakadot Health Centre II.
• 395 children were dewormed at the Panyadoli Health Centre III, Panyadoli Hills Health Centre II, Reception Centre Clinic, and Nyakadot Health Centre II. 

How many vaccinations? Which vaccines? Breakdown of refugees/nationals?

• 751 < 755 people were vaccinated: 324 at the Panyadoli Health Centre III, 294 at the Reception Centre Clinic, 38 at Panyadoli Hills Health Centre II, and 95 at Nyakadot Health Centre II during the reporting period.
• Vaccinations administered were for BCG, polio, DPT, and measles.
• Training sessions included a one-week training on comprehensive management of SGBV cases and ongoing
• One outreach was held at St. Bakita: 33 girls received HPV vaccine and 82 children were dewormed.