Uganda: Panyadoli Healthcare Project
101 Pregnant Women Served: Q1 2019
June 13, 2019
Naku Charles Lwanga
Summary of Activities
- 49 patients were transported to various referral facilities for rehabilitation.
- Follow-ups were conducted for 96 beneficiaries to ensure adherence to treatment plans and track recovery progress.
- A draft of the physical master plan for Panyadoli Health Centre III was created, and the final plan will be released soon.
- 129 clients with hearing impairments were screened and counseled both by phone and in person by a team of specialists from Gulu.
- Integrated services that benefit both refugees and the host community were continuously provided.
- Carried out Continuous Medical Education (CME) sessions for all medical and support staff at the health facilities, so that team members keep sharing and increasing their knowledge.
- 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.
- Panyadoli Health Centre III was ranked the best in the country in utilizing the GeneXpert machine for TB detection.
- In partnership with the Infectious Diseases Institute (IDI), ART clinic staff members were given additional training on HIV/AIDS management and also continued to conduct follow-ups in order to reduce the number of untracked patients.
- The solar-powered water pump is continuing to run successfully, providing clean running water to the clinic wards and offices and greatly increasing hygienic conditions of the clinics.
- Medical screening of new refugees at Kiryandongo Refugee Settlement was effectively performed during the reporting period.
- During this reporting period, RMF continued to improve reproductive health services. For instance, antenatal care and attendance were recorded at 88, which is progress towards the UNHCR expected standard of 100.
- A 50-kV generator was delivered to Panyadoli Health Centre III with funding from UNHCR, and we look forward to its installation.
- Conducted nutrition assessment, counseling, and support training for people living with HIV/TB.
- Weight-for-height, door-to-door nutrition screenings were conducted both in the settlement and the host community.
- The Mental Health department continues to register great success and now has client load of 298. Among these, 58 clients were newly enrolled. During the reporting period, 8 mental health patients were referred to Butabika National Referral Mental Hospital.

Results &
ACCOMPLISHMENTS

Promoting Safe Motherhood
101 Pregnant Women Supported
This quarter, 101 pregnant women (10 nationals and 91 refugees) were mapped in Kiryandongo Refugee Settlement. Village Health Teams (VHTs) continued to support them in accessing maternal health services by referring them to health facilities and conducting follow-ups.
Previously, expectant mothers were reluctant to give birth at a health facility. With the availability of skilled midwives and ANC services, however, women are increasingly choosing to deliver at the health centers, which has added greatly to safe motherhood in the community.

Items Procured
New Supplies and Materials
RMF delivered our monthly consignments of essential medicines and other supplies to supplement those provided by the UNHCR and Kiryandongo District’s local government. RMF also provided 2 nebulizer machines.
25 handwashing facilities, 30 waste bins, and 10 sterilizers were procured with Ebola prevention funds. Panyadoli Health Centre III received 2 pharmaceutical refrigerators, which will enhance storage of vaccines and other cold chain medicines.

Supporting Nutrition
Food Distribution and Education
We carried out General Food Distribution sensitization, which reached 1,200 individuals. As over 66% of beneficiaries are buying their own food, there is a budding need to disseminate knowledge on wise food choices.
We have also been able to empower the people to engage in agriculture through the use of the demonstration gardens. As a result, a number of families are producing food and vegetables to supplement the food rations provided by WFP, while others are starting small businesses.

Medical Rehabilitation
Caring for Victims of War
94 patients affected by war violence were transported for medical rehabilitation. 25 were male, 67 were female, and 2 were gender nonconforming. These clients have shown improved psychological wellbeing and self-confidence, as well as gaining confidence in support services, building resilience, and gaining hope for a better life. 75% of clients who accessed these medical services have improved their health status and are able to function in their daily lives.

Continuing Immunizations
Successful Campaign Completed
The Multi-Antigen Campaign was conducted, the first of its kind, focusing mainly on polio (bOPV) and measles vaccines, but also covering other immunizations, such as pneumococcal conjugate vaccine (PCV). The campaign was successfully carried out in multiple phases, and the second phase was completed February 22–25, 2019.
Immunization coverage was maintained at a high rate. Overall, immunization coverage stands at 132.1%, which is well above the acceptable standards.

Continuing Healthcare Education
25 Health Professionals Trained
A total of 25 health professionals were trained on maternal and child health and nutrition (MCHN). Two trainings were conducted: one on nutrition in emergencies and one on infant and young child feeding (IYCF). The aim was to enrich health workers’ knowledge on the management of malnutrition.

Background
& Objectives
Background
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.
Objectives
- 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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