Uganda: Panyadoli Healthcare Project
184 Assessed for Malnutrition: Q4 2018
April 18, 2019
Naku Charles Lwanga
Summary of Activities
- 30 inpatient beds were repaired at Panyadoli Health Centre III.
- Conducted care group approach training for 300 volunteers (125 refugees and 175 nationals), both male and female.
- Conducted drama shows in the community as part of our World AIDS Day celebrations.
- 354 people (31 pregnant, 196 lactating, and 94 non-pregnant or lactating women, as well as 33 men) attended a community dialogue on fistula, facilitated by the EPI focal person at Panyadoli Health Centre III.
- Transport was provided to 105 clients (25 male and 80 female) with war violence-related illnesses: 101 (23 male and 78 female) were referred to St. Mary’s Hospital Lacor, 4 (2 male and 2 female) were referred to CORSU in Kisubi, and 2 (1 male and1 female) underwent orthopedic surgery at CORSU.
- Supported integrated outreaches in the settlement and host community where a range of services were offered, such as family planning services, HIV/AIDS testing and counseling, and cervical vaccination.
- RMF procured and delivered sufficient cleaning supplies and tools, maintaining a highly motivated, wellequipped 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.
- On-the-job mentorship is ongoing at the health facilities.
- 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.
- 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.
- Continued tracing patients on ARV treatment and following up with those who have defaulted so that they can be restarted on ART.
- There is ongoing door-to-door, active case finding for TB patients, which started on November 9, 2018 through funds from IGAD in partnership with RMF. 14 new patients (9 refugees and 5 nationals) have been identified as testing positive for TB through this outreach.
- Continuous in-house training on medical waste management and occupational hazards was conducted for the cleaners.
- Facilitated UNHCR and partners’ coordination meetings both in the settlement and in regional offices, helping to promote cohesiveness in operations.
- Continued facilitating demonstration gardens at Panyadoli Health Centre III as part of our growing Nutrition department.
- Continued to provide dental services to clients through the dental clinic.
Children’s Health Initiatives
Child Days Plus Campaigns
RMF boosted child and teenage health in both schools and communities by conducting Child Days Plus campaigns for the mass vaccination of children and young adults.
Continuous immunization of all under-5 children living in and around the settlement was implemented through the health facilities and outreach activities.
Comprehensive Health Coverage
Prevention and Treatment
Lifesaving medical treatment and preventive health services were continuously provided to the refugee and host communities through outpatient, inpatient, maternity, nutrition, ART, and outreach services. Thanks to this comprehensive health coverage, very few lives were lost.
Medical screening of new refugees at Kiryandongo Refugee Settlement was effectively performed.
Assessing for Malnutrition
184 people (27 pregnant and 113 lactating women, 25 girls, and 19 boys) were assessed for malnutrition using mid-upper arm circumference (MUAC). 5 were found to be malnourished and referred to ACF.
130 follow-ups were conducted, reaching 38 lactating and 24 pregnant women, 7 boys and 4 girls age 0–6 months, and 26 boys and 31 girls age 6–24 months. Mothers and children identified as having health and nutrition issues were referred for further medical attention.
2 sensitization meetings were held on HIV/AIDS awareness, early and forced marriage, and GBV causes, prevention, mitigation, and management. A total of 287 people attended (88 men and 199 women).
A 4-day workshop on the new HIV/AIDS treatment guidelines was conducted at Panyadoli Health Centre III from Tuesday, November 21, 2018 to Friday, November 30, 2018. 48 staff members benefited from the training, which is expected to promote improved treatment of HIV/AIDS clients.
Beds and Medicines Received
Panyadoli Health Centre boosted the stock of medicines with a consignment of assorted drugs received from Direct Relief International.
During the reporting period, we also received the long-awaited consignments of medicines from UNHCR through AIRD.
IPD status was improved with a donation of 100 adult mattresses received from African Integrated Churches and 4 delivery beds from UNFPA through ACORD.
Quality, Reliable Healthcare
Building Knowledge and Skills
Through RMF/WCF’s support, Panyadoli Health Centre III has become a reliable source of healthcare services to the community. Panyadoli Health Centre III has also become a source of knowledge. Since RMF has brought in a professional and experienced workforce, medical and social institutions are now sending students to complete their internships here, and our team is doing tremendous work in guiding them. Thus, the project is promoting learning and sharing of knowledge and skills within Uganda.
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.
Click to enlarge
Ojok Munguriek is a 3-year-old boy from Karagalya, in the host community. He was brought to the health center with sudden and persistent generalized body swelling, loss of appetite, watery diarrhea, vomiting, and a fever. Ojok was screened for malaria, hemoglobin estimation, and RBS, and he was diagnosed with severe acute malnutrition (SAM) and edema, as well as malaria and moderate anemia.
He was initiated on therapeutic milk, artesunate, amoxicillin syrup, paracetamol, and albendazole. Ojok was admitted for a week and discharged to receive outpatient care with resolved edema and watery diarrhea and resumption of appetite. The team continued to follow up on his condition.
Moses Byaruhanga, a 6-year-old boy, was admitted with a high-grade fever, vomiting, generalized miliary tuberculosis, pus discharge from both eyes, and failure to eat for two days. Moses was screened for malaria and tested negative. He was diagnosed with suspected complicated measles, admitted to the Pediatric ward, and initiated on intravenous antibiotics, antipyretics, vitamin A, and hydration fluids. He was discharged in good health following a five-day course of oral antibiotics. He will receive continued vitamin A supplementation and antibiotics.
Rose Achan, a 28-year-old woman from South Sudan living in Cluster K, was brought to the health center with acute vomiting for two days and fresh blood in her vomitus for one day, in conjunction with severe abdominal pain. She was diagnosed with acute peptic ulcer disease, admitted to the Female ward, and initiated on IV ranitidine with intravenous hydration therapy and paracetamol. She was discharged after two days in a fair general condition. She was given omeprazole and paracetamol and scheduled for a two-week review.
Ajak Deng is a 24-year-old woman from South Sudan staying in Cluster MR. She was admitted with a history of labor-like pains for about 4 hours at home. On examination by the attending midwife, the onset of labor was confirmed. But progress as revealed by the partograph indicated suspected obstructed labor that was later confirmed by the medical officer. Ajak was transferred to Kiryandongo Hospital for subsequent management. She later returned to Panyadoli Health Centre III for review and immunization of her baby following a caesarian section at the hospital.
End-of-Year Staff Party
During this event, all staff serving in Kiryandongo Refugee Settlement under the RMF umbrella meet together and celebrate the year’s successes.
RMF staff members lined up to enjoy a celebratory meal at the end-of-year party. A variety of dishes were served in honor of the team’s progress throughout the year.