Uganda: Panyadoli Healthcare Project
Panyadoli Health Centre – Q4 2015 Progress Report
April 15, 2016
Summary of Activities
Facilitating over Healthcare Needs
- In July 2014, RMF signed a tripartite Agreement with the United Nations High Commissioner for Refugees (UNHCR), and Office of the Prime Minister (OPM) for RMF to be the official Implementing Partner for health at the Kiryandongo Refugee Settlement for UNHCR/OPM for three health centers and a large community outreach program. Since then, two more health centers have been added to RMF’s portfolio.
- RMF provided the Panyadoli Health Center III with medicines and medical supplies, and covered all existing gaps, including a continued increase in the quantity needed due to the continued influx of South Sudanese refugees (now more than 170 people a day).
- Medicines, medical supplies and cleaning supplies were also provided to Panyadoli Health Center II and the Reception Centre Clinic.
- Supported important events for refugees’ programs, which included World AIDS Day.
- Facilitated UNHCR and partners’ coordinating meetings both in the settlement and regional offices, helping to promote cohesiveness in operations.
Facilitating over Center Needs
- Facilitated staff on mission: accompanying patients on referrals, coordination meetings and routine supervision.
- Support of six interpreters and 80 Village Health Team members for community outreach.
- Sustained water supply at Panyadoli Health Centre III.
- Continued maintenance of water pipes and solar pump at Panyadoli.
- Six ward cleaners and four groundskeepers sponsored by RMF groomed the grounds regularly and made sure the cleanliness of the wards and offices was well maintained.
- Timely payment of staff salaries and wages, Payee (taxes) and National social security fund.
- Procured rain coats, gumboots, etc. for cleaners, interpreters, and security guards to enhance service delivery during bad weather conditions.
Improvement in Health
Quality of Life
Through RMF/WCF’s support, Panyadoli Health Centre III has become a reliable source of health care services to the community and death rates have been reduced significantly.
There has been general improvement in quality of life amongst the population served, the increase in number of staff in all health facilities has added tremendous value to health services, and the establishment of the Health Clinic at the Reception Center has reduced overcrowding at Panyadoli Health Centers III and II, hence the hospital utilization rate has increased with changed health seeking behavior amongst the refugees.
New Services for the Center
During the reporting period, continued efforts were made to ensure that drugs were locally procured for patients with illnesses for which drugs were not available in the stores. Other services like ultrasound examinations and therapy, and X-ray services were provided; those are not readily available at either Kiryandongo Hospital or Gulu Hospital, which are the nearest referral points. However, these services were made available by supporting patients financially to access such services at the offices of private medical practitioners.
HIV/AIDS Counseling and Testing
Aiming for Prevention
HIV/AIDS Voluntary Counseling and Testing (VCT) were provided in Panyadoli Health Center III. Communities have been sensitized on prevention, care and guard against discrimination and stigma and engaging in risky lifestyles that lead to the spread of HIV/AIDS. The recruitment of the HIV/AIDS counselor has helped build confidence among the clients in need of HCT services at the health facility and outreach sessions. Availability of skilled midwives has increased ANC services at both health facilities; overall mothers are now seeing hope in deliveries at the facilities instead of delivering at home.
Reaching Farther Areas
Preventive community based health services were enriched with conducting outreaches through static units (i.e. Reception Center Clinic) and enhanced by outreach for communities with limited access to the existing health units or located over 5 km from the health facility.
RMF took an integrated outreach approach with services covering immunization, HCT, ANC, deworming, condom distribution, health education including vital information on other cross cutting issues like gender based violence since the community is reached with various medical services simultaneously in consideration of time and cost implications.
Training In Prevention
The community health promoters were trained on disease surveillance and prevention, and on their roles, while an assessment on the training needs for the Health Unit Management Committee members has been undertaken. Their training will be conducted in the next quarter.
In addition to the above, because of the improved health care services that RMF/WCF has facilitated, the community (both refugee and host community) is less sick and thus engages in productive activities especially farming. A number of families are producing food and vegetables to supplement the food rations provided by WFP. Some refugees have been employed as cleaners at the health centers.
South Sudan Tension
Refugee Population Increase
Despite the cease fire discussions in the South Sudan crisis, no agreement has been reached and fighting has continued. This implication of this is that more refugees will keep coming. This requires continuous and additional funding to provide services that will match the increased population of refugees. At the moment on average, we receive over 170 new refugees per day.
Delays in accessing services at Kiryandongo Hospital due to language barriers and the lack of a referral focal person. Lack of treatment for chronic diseases, especially high blood pressure. Lack of a psychiatric nurse at the health centre, hence high referrals. Lack of delivery sets, episiotomy sets, stitch removal sets, dressing sets.
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.
Charity is a 7-month old girl who was brought to Panyadoli Health Center III by the RMF medical team with severe Malaria. She was identified during one of our community outreach programs. Charity was staying with her mother in the community and her mother wasn’t aware how sick her girl was. It was also established that the feeding of the girl was very poor and that Charity was malnourished. Charity was treated as an inpatient, and then outpatient treatment was continued with F-75 and F-100. After a few days and significant improvement, Charity also started breastfeeding again.
Scholar presented with fever, cough, chest pain, and vomiting, and was diagnosed with severe Malaria and Diarrhea; she was admitted as an inpatient to Panyadoli Health Centre III. She was treated with IV Ampicillin, IV Gentamicin, IV Artesunate, Diclofenac injection, and IV Dextrose 5%. After eight hours, Scholar started improving and could eat some food. Her vomiting and diarrhea stopped, and she started improving in general, and gaining weight and appetite.
Scholar was discharged, and is now continuously monitored through our Community Health Promoters structure. Scholar and her parents as well as many others of our patients express how much the care, love and treatment that they receive from the RMF medical team and from our CHPs in the community means to them.
Sunday is five years old, and a refugee from Cluster K. She was brought to our Health Centre and admitted to the children’s ward after laboratory investigation confirmed the diagnosis to be severe Malaria in addition to a Respiratory Tract Infection. She was treated with IV Artesunate, Amoxicillin, and Paracetamol.