Uganda: Panyadoli Healthcare Project

Mental Health Department Supporting 688 Patients: Q4 2017

March 18, 2018

Naku Charles Lwanga and Alphonse Mwanamwolho

Summary of Activities
  • RMF procured and delivered sufficient medications and medical supplies to the Panyadoli Health Centres. These were delivered on time throughout the reporting quarter.
  • RMF procured and delivered sufficient cleaning supplies and tools, maintaining a highly motivated, well-equipped team of cleaners who continued to keep the health centers clean and neat.
  • Provided sufficient laboratory supplies so that patients requiring laboratory services are tested accordingly.
  • Provided sufficient stationery and printing supplies for the program, mainly to support the data department.
  • Conducted special trainings on TB and HIV/AIDS treatment and management.
  • Conducted an in-house special training for the cleaners on medical waste management.
  • Continuous Medical Education (CME) sessions were facilitated for all staff working in the health facilities, so that team members keep sharing and increasing their knowledge.
  • Provided mentorship of medical workers and VHTs in the comprehensive management of HIV based on the new guidelines.
  • All patients that came to the health facilities received treatment, and those whose conditions were beyond the capacity of the health facilities were referred accordingly.
  • Integrated services that benefit both refugees and the host community were continuously provided. For example, RMF’s surgeon works certain days at the nearby district hospital.
  • The mental health department is improving and its client load continues to grow.
  • Salaries, wages, and top-up allowances for all RMF staff members were paid in a timely manner. This kept the team’s morale high.
  • Conducted staff meetings to keep the team well coordinated.
  • Conducted an end-of-year party for staff members and partners to celebrate our joint work and accomplishments.
  • Maintenance and repair were promptly performed for hospital equipment, furniture, water sources, generators, etc.
  • The health facility was maintained and cleaned, ensuring that the compound, wards, offices, common areas, and the entire facility are hygienic and conducive to healing and working.
  • Strengthened data collection and processing in all health centers of the settlement by ensuring that every health center has an RMF staff member in charge of data.
  • RMF continued to facilitate integrated community outreaches (including malaria prevention, immunization, safe birth, HIV/AIDS, and disease surveillance outreaches).
  • Continued tracing patients on ARV treatment and following up with those who have defaulted so that they can be restarted on ART.
  • Continuous immunization of all under-5 children living in and around the settlement was implemented through the health facilities and outreach activities.
  • Organized World AIDS Day celebrations, as well as 8 days of activism. During the celebration, additional awareness of HIV/AIDS was created.
  • Facilitated the disease surveillance team to strengthen disease surveillance activities in the settlement and surrounding areas
  • Medical screening of new refugees at Kiryandongo Refugee Settlement was effectively performed during the reporting period.
  • Facilitated UNHCR and partners’ coordination meetings both in the settlement and regional offices, helping to promote cohesiveness in operations.
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Results &


Extending Services

Creating an Impact

The ART clinic is continuously creating an impact and extending services to the people of concern. Presently, we have 631 clients on ART, of which 230 are refugees and 401 are nationals. The ART clinic is implementing the new government policy of testing all patients who come to the health facility for HIV/AIDS and enrolling all HIV-positive clients on treatment. By the end of December 2017, the clinic was treating 101 children under 14 years of age (40 boys and 61 girls) and 42 children under 5 years of age (18 boys and 24 girls).

Immunization activities were conducted at both static and outreach points.

Immunization Coverage

Continuing to Improve

Immunization coverage continues to improve. For instance, BCG coverage was at 94.5% by the end of December 2017 and polio coverage was 97.7%. Overall, immunization coverage stands at 96.2%.

New Mental Health Department

688 Mental Health Patients

RMF’s new mental health department has progressed tremendously, continuing to expand its capacity to serve more clients. By the end of the reporting period, the department had extended support to more than 688 mental health patients: 249 in October, 242 in November, and 197 in December 2017.

Dr. Robert treating an expectant mother in the Maternity ward expansion, newly constructed by RMF

Reproductive Health Services

Continued Improvement

During the reporting period, RMF continued to improve reproductive health services. For instance, antenatal care and attendance were recorded at 92% against the UNHCR expected standard of 100%.

RMF Creating Awareness

Increased Access to Contraceptives

RMF has *increased access to contraceptive*s. As of the previous quarter, coverage was rated at 63.2. At the close of 2016, access and use of contraceptives was rated at 54. This has been achieved because of the increased awareness RMF is creating.

New and Effective Tests

Improving Laboratory Services

The laboratory now offers a wider range of tests and performs them effectively. These include:

  • hepatitis B
  • hemoglobin estimation
  • blood grouping
  • urine gram stain
  • urinalysis
  • stool tests
  • ZN stain.
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& Objectives


The Panyadoli Health Centres, located in Kiryandongo Refugee Settlement near Bweyale, Uganda, provide healthcare services to over 100,000 refugees from Kenya, South Sudan, DR Congo, Burundi, and Rwanda, as well as members of the host community.


  • Provide medicine, medical supplies, and medical support
  • Support the Health Management Information System Maintenance (staff and petrol supply)
  • Maintain hygiene at clinic to Best Practice Western Medicine standards
  • Enhance existing structures for Malnutrition ward and main center
  • Provide cooking materials such as charcoal stoves, saucepans, utensils, etc.
  • Upkeep and renovation of the health center through periodic re-painting and re-plastering.
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Click to enlarge

Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
Real Medicine Foundation - more photos.
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A total of 21,670 outpatients were treated during the fourth quarter of 2017.

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Mourning the Loss

Grief & Tragedy

Caroline Tukugize, the well-loved RMF program manager for Kiryandongo Refugee Settlement Caroline Tukugize's Funeral

Untimely Death of Caroline Tukugize

RMF’s Global Family Mourns

The program faced a shock due the death of Caroline Tukugize, the well-loved RMF program manager for Kiryandongo Refugee Settlement. She died shortly after undergoing a successful C-section to deliver twins at Paragon Hospital in Kampala.

RMF, OPM, and UNHCR team members traveled to Tororo in Eastern Uganda to attend Caroline’s burial. RMF continues to send financial support to help provide for her newborn twins.