Update on Achievements
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?
- 4,019 consultations were conducted during this reporting period: 2,514 at Panyadoli Health Centre III, 845 at Panyadoli Hills Health Centre II, and 660 at Nyakadot Health Centre II.
- 43 referrals were supported: 13 nationals and 30 refugees (20 to Kiryandongo District Referral Hospital, 19 to Gulu Regional Hospital, 1 to Lacor, and 3 to Mulago National Referral Hospital).
Main Gaps and Solutions
- Shortage of nurses vis-à-vis the number of patients admitted in the In-Patient department is still a challenge as well as power blackouts affecting the same department.
How many ANC consultations? Break down of refugees/nationals? Which partners? UNHCR?
- 643 ANC consultations (104 refugees and 539 nationals) were registered during the reporting period: 424 at Panyadoli Health Centre III, 130 at Panyadoli Hills Health Centre II, and 89 at Nyakadot Health Centre II.
- 115 Maternity ward admissions (27 refugees and 88 nationals) were registered at the Maternity ward during the reporting period at Panyadoli Health Centre III.
- 118 babies were delivered (27 refugees and 91 nationals) by skilled health workers: 80 at Panyadoli Health Centre III, 3 at Panyadoli Hills Health Centre II, and 35 at Nyakadot Health Centre II.
Is this figure included in the number of consultations above under “Health?”
Other notable activities?
- 1,061 new arrivals (520 male and 541 female) were screened and registered at Reception Centre during the reporting period.
- 403 complicated cases (115 in the Maternity ward, 82 in the Male ward, 99 in the Female ward, 102 in the Paediatric ward, and 5 in the Nutritional ward) were admitted through the inpatient department.
- 3 deaths occurred (1 refugee and 2 nationals) causes: 1 male died of persistent diarrhoea, 1 female died of cerebral ISS, and 1 female died of liver disease.
- 29 supplementary feedings and 32 outpatient therapeutic care sessions were conducted in the Nutritional Unit.
- 15 people were enrolled to the ART clinic.
- 405 children immunized (static): 211 male and 194 female.
- 401 children were dewormed and given vitamin A at Panyadoli Health Centre III, Panyadoli Hills Health Centre II, the Reception Centre Clinic, and Nyakadot Health Centre II.
How many vaccinations? Which vaccines? Breakdown of refugees/nationals?
- 899 < 895 people were vaccinated: 351 at Panyadoli Health Centre III, 221 at the Reception Centre Clinic, 37 at Panyadoli Hills Health Centre II, and 290 at Nyakadot Health Centre II during the reporting period.
- Vaccinations administered were for BCG, polio, DPT, and measles.
- 3 integrated outreaches were held, during which 20 children were immunized, 373 dewormed, and 418 given Vitamin A.
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