DOCSLIB.ORG

Kiwoko Hospital News February 2015 a Word from the Medical Director

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Kiwoko Hospital News February 2015 a Word from the Medical Director Kiwoko Hospital News February 2015 A word from the Medical Director 2015 has got off to a good fun, but working alongside levels are now taking respon- and busy start. The wards and committed enthusiastic col- sibility for leading wards and Special points of outpatients have been busy. leagues, pleased to serve developing the next genera- interest: We have had a successful those who need us, has a tion of new young nurses. Fundraising success conference for church leaders strong edge of encourage- Thanks for your continued A story from Dr Roy in Ngoma. A week of early ment. interest and support. morning prayer meetings con- In November we received Greetings from everybody at Bishop-elect Eridard cluded with an overnight of back several nurses who had Kiwoko. Prayer points prayer to end the month of gone back to college for January. upgrading. One of the most Over the holiday season we rewarding parts of working were a bit stretched at times, in Kiwoko, is seeing these with several all night sessions young folk develop. Nurses in theatre dealing with the who I first met when they consequences of drunk driv- reported to nursing school Dr Rory Wilson ing. A sleepless night is rarely after completing their O- Medical Director Fundraising Success For many years we have been expensive and complicated. students from Queens Uni- dependent on the generosity When the decision was versity, we have been able and hard work of friends made to replace our Auto- to place an order for a Inside this issue: around the world sending us clave (sterilising machine), brand new Autoclave used medical equipment. the only option was to buy which will keep us operat- Pastors’ conference 2 These days shipping is very one locally. ing (literally) for years to As with all medical equip- come. A Patient Story 2 ment, the cost was signifi- The remaining money will A mission for Frank 3 cant and well beyond our be used to close the big- financial capacity. gest gap in our perimeter X-ray news 3 Thankfully the Kiwoko fence - close to the kitch- Christmas Card Appeal was en, where most of the pigs Amazon commission 3 a great success. come in. Boosted by the fundraising Thank you to all involved in Engineers repairing the old Hear about Kiwoko 4 autoclave… again. efforts of 3 Nursing Elective raising these vital funds! Page 2 Kiwoko Hospital News Pastors’ Conference - The Supremacy of Christ The Pastors’ leadership con- commented; “The reason we lems which were in the Colos- ference took place during organize these conferences is to sian church are the same as for January and was very well help ground people with the the churches in Ngoma.” attended. Local church lead- Bible truth. This is the 10th year Thank you to all who contin- ers gathered in large numbers of the interdenominational con- ue to support these confer- to hear Pastor Johnny ference. This year's teachings ences. It is our prayer that McClaughlin, from Hamilton were from the book is Colos- we all continue to grow and Road Baptist, Bangor. sians. The teachings have been deepen in our knowledge of Pastor Johnny with Shadrach so relevant because the prob- Shadrach, the event organiser our God through His Word. translating A Patient Story I have loved helping the medi- days after admission he was ment by our whole team of cal and nursing staff over the not able to converse much doctors, nurses, physiothera- last few years as they contin- but slowly and surely he made pists and counsellors obvious- ly paid off as he was back ue to deliver quality care to right on time for his follow up their patients. It has been a “There are always appointment and what a joy it steep learning curve but may- daily challenges but it was to see him – looking be after 4 visits I am starting much better, with near com- is such a joy to see to get the hang of some of it plete healing of his extensive basic medical care at least. There are always skin ulceration and more im- daily challenges but it is such a portantly he was taking his restore more and more joy to see basic medical care progress with good robust health sustaining medication treatment and with careful reliably. Ugandans to good restore more and more nursing care and regular phys- Ugandans to good health I pray that he continues to health, sometimes in iotherapy he started to come sometimes in very miraculous stay well….. very miraculous ways!” alive. This is when his charac- ways. ter started to shine through – Emu, bbiri, ssatu, nnya, Dr Roy Harper and soon he was teaching me …….taano! South East Trust It is hard to pick out any indi- to count to five in L’uganda – vidual cases but I was struck Dr Roy Harper by the story of one young so I could help him number father of four who was admit- his ever increasing family! He ted in late January in a very and his wife seemed very poor state. He had been to a close and I was struck by few health centres and had their determination to follow some outpatient treatment. on with what would be for He needed admitted as he them a difficult medical jour- had an overwhelming infec- ney. On discharge I was nerv- tion, a terrible skin affliction ous that he would not return Dr Roy (left) is a Consultant Physi- and lots of other medical is- for on-going treatment as is cian from South East Trust, N. sues. His wife who stayed often the case with patients Ireland. He uses his annual leave with him constantly was also who have long term condi- volunteering for 6 weeks per year. expecting their fifth child in a tions. Support and counsel- few weeks. For the first few ling and continual encourage- Page 3 February 2015 Frank is on a Mission Frank Ssekyewa is the assis- neighbourhood as his family plished preacher, still trusting tant in-charge at OPD and had limited resources to care in God who has dealt with his also a senior nurse in the dia- for him. His education started fears and given him hope for betic and eye clinics. when a local witchdoctor the future. An active member of the mis- offered to pay for his school At New Hope he completed sion team for years, he has fees because the man had O-levels and came to Kiwoko recently taken on a more noted that Frank didn’t cheat to study as a nurse. active leadership role assisting him when sent on errands. Frank’s greatest passion is to Shadrach by taking on respon- An uncle took Frank to New see people enjoying God and sibility for outreach and evan- Hope orphanage (near Ki- growing in their knowledge of gelism in and around the hos- woko Hospital) in 1999 at the Him. He is a blessing to many pital. age of 14. After a year he in Kiwoko and those who Frank’s early years in Kampala surrendered his life to Christ. come to OPD seeking help. Frank Ssekyewa were chaotic. He slept at He gave his first sermon Please pray for Frank in his home with his grandmother, when he was 15 years old. 2 new role as Deputy Mission but during the day he and his young men gave their lives to Team Leader. friends foraged for food in the Christ. He is now an accom- X-ray, x-ray! Read all about it... In November we were able to reduce the items on our Equip- ment Wish List. Friends of Kiwoko United States (FOKUS) part- nered with Table Rock Fellowship, Oregon, to purchase a brand new X-Ray machine! For years we were using a 1980’s model machine which was shipped out from the hospital wing of a prison in Northern Ire- land. It served us incredibly well but was beginning to show it’s age. This new Siemens machine is ideal for Kiwoko Hospital and will help us discover and diagnose many illnesses for years to come. Thank you FOKUS and Table Rock Fellowship! Commission from Amazon During the Christmas period, over 200 people clicked the link on our website to get to Amazon. The subsequent purchases raised over £140 in commission for Kiwoko Hospital! Many thanks to all who clicked the link. The link is still there - visit the Kiwoko Hospital website. On the bottom right you will see it. Click that and you’ll be taken to the usual Amazon website. Anything you buy could earn up to 10% commission! It seems too easy, but it works! Page 4 Kiwoko Hospital News Visitors from Kiwoko Rory, Denise & Gideon Wilson will be in the UK for April. They will be speaking and sharing at various venues and look forward to catching up with you. A few highlights include: Nottingham, England - Friday 3rd April (Good Friday) Venue: Dr Steve and Lorraine Riley’s house; 4 Beaulieu Gardens, West Bridgford, Nottingham, NG2 7TL Starting 12.30 with lunch and chat, followed after lunch by more chat and recent stories from Kiwoko. The Wilsons If you are coming, please get in contact so that you can be included in lunch calculations. Please spread the word to all interested – you don’t have to have actually been to Ki- woko to be interested and welcome! Please contact Alison Fletcher [email protected] if you are hoping to be along or to get more details. Bangor, Northern Ireland - Sunday 3rd May.
Load more

Recommended publications
  • Nakaseke Constituency: 109 Nakaseke South County
    Printed on: Monday, January 18, 2021 16:36:23 PM PRESIDENTIAL ELECTIONS, (Presidential Elections Act, 2005, Section 48) RESULTS TALLY SHEET DISTRICT: 069 NAKASEKE CONSTITUENCY: 109 NAKASEKE SOUTH COUNTY Parish Station Reg. AMURIAT KABULETA KALEMBE KATUMBA KYAGULA MAO MAYAMBA MUGISHA MWESIGYE TUMUKUN YOWERI Valid Invalid Total Voters OBOI KIIZA NANCY JOHN NYI NORBERT LA WILLY MUNTU FRED DE HENRY MUSEVENI Votes Votes Votes PATRICK JOSEPH LINDA SSENTAMU GREGG KAKURUG TIBUHABU ROBERT U RWA KAGUTA Sub-county: 001 KAASANGOMBE 014 BUKUUKU 01 TIMUNA/KAFENE 716 1 0 1 0 278 2 0 1 0 1 140 424 43 467 0.24% 0.00% 0.24% 0.00% 65.57% 0.47% 0.00% 0.24% 0.00% 0.24% 33.02% 9.21% 65.22% 02 LUKYAMU PR. SCHOOL 778 2 2 0 1 348 2 2 0 1 0 110 468 24 492 0.43% 0.43% 0.00% 0.21% 74.36% 0.43% 0.43% 0.00% 0.21% 0.00% 23.50% 4.88% 63.24% 03 BUKUUKU PRI. SCHOOL 529 0 0 1 1 188 0 1 0 0 0 74 265 3 268 0.00% 0.00% 0.38% 0.38% 70.94% 0.00% 0.38% 0.00% 0.00% 0.00% 27.92% 1.12% 50.66% Parish Total 2023 3 2 2 2 814 4 3 1 1 1 324 1157 70 1227 0.26% 0.17% 0.17% 0.17% 70.35% 0.35% 0.26% 0.09% 0.09% 0.09% 28.00% 5.70% 60.65% 015 BULYAKE 01 NJAGALABWAMI COMM.
    [Show full text]
  • Nakaseke Makes Model Town Plan
    40 The New Vision, FrIday, June 4, 2010 NAKASEKE DISTRICT REVIEW SUPPLEMENT Farmers benefit from Caritas support JOHN KASOZI By John Kasozi education, in August 1993 increased, I got married truck. Next year, he plans he moved to Kampala to the following year.” to buy a plot in Kampala ILSON Nsobya find employment. He initial- Nsobya now has 15 and build a commercial could not ly wanted to work as a acres of land under structure in future. believe, when vehicle mechanic, but he pineapples. He pays school fees Wa lady she met ended up as a cleaner. He notes that on for his four children and six in the bank paid sh24,000 “I decided to go back average an acre of others. as school fees for her home after working for one pineapple brings in about Joyce Kizito, the kindergarten child. That and half years,” says sh5m per year. But with Kamukamu community was in 1993 when his Nsobya. intensive farming, a farmer resource person from monthly pay was One morning in 1994, can garner about sh10m, Kawula, Luweero who sh20,000. Nsobya decided to pack his he says. is also a CARITAS “From that day, I became four-inch mattress, The cost of one pineapple beneficiary says before restless. I wondered how Panasonic radio, a basin ranges between sh600 to they started getting I would pay fees for my and utensils. He used his sh1, 000, Nsobya says support from from the children, rent, feed the savings of sh3,000 for adding that his clientele is organisation in 2002, their family, settle medical transport.
    [Show full text]
  • Typhoid Over Diagnosis in Nakaseke District, June 2016
    Public Health Fellowship Program – Field Epidemiology Track Typhoid Over diagnosis in Nakaseke District, June 2016 Dr. Kusiima Joy, MBChB-MHSR Fellow,2016 Typhoid Alert May June 2016 2016 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Notification Data Audit ,12 health Reviewed HMIS data facilities Nakaseke 84 cases/ 50,000 by FFETP(wk 15-21) Typhoid Outbreak verification exercise 323 Typhoid cases reported 2 Typhoid verification in Nakaseke District Objectives . Verify the existence of an outbreak . Verify reported diagnosis using standard case definition . Recommend public health action 3 Typhoid verification in Nakaseke District District location 4 Typhoid verification in Nakaseke District Facilities selected . Private hospital - Kiwoko . Government hospital - Nakaseke . Health center IV - Semuto . Health center III - Kapeeka 5 Typhoid verification in Nakaseke District Data collection . Extracted records from registers (1st/12/ 2015 to 14th/06/2016) . Discussed with clinicians & lab personnel . Took clinical history &examined typhoid suspects 6 Typhoid verification in Nakaseke District Standard case definition . Suspected case: Onset of fever ≥3days,negative malaria test, resident of Nakaseke district Plus any of following: chills, malaise, headache, sore throat, cough, abdominal pain, constipation, diarrhea . Probable case: Suspected case plus positive antigen test (Widal) . Confirmed case: Suspected case plus salmonella typhi (+) blood or stool by culture 7 Typhoid verification in Nakaseke District Data quality assessment . Reviewed laboratory
    [Show full text]
  • Population by Parish
    Total Population by Sex, Total Number of Households and proportion of Households headed by Females by Subcounty and Parish, Central Region, 2014 District Population Households % of Female Males Females Total Households Headed HHS Sub-County Parish Central Region 4,672,658 4,856,580 9,529,238 2,298,942 27.5 Kalangala 31,349 22,944 54,293 20,041 22.7 Bujumba Sub County 6,743 4,813 11,556 4,453 19.3 Bujumba 1,096 874 1,970 592 19.1 Bunyama 1,428 944 2,372 962 16.2 Bwendero 2,214 1,627 3,841 1,586 19.0 Mulabana 2,005 1,368 3,373 1,313 21.9 Kalangala Town Council 2,623 2,357 4,980 1,604 29.4 Kalangala A 680 590 1,270 385 35.8 Kalangala B 1,943 1,767 3,710 1,219 27.4 Mugoye Sub County 6,777 5,447 12,224 3,811 23.9 Bbeta 3,246 2,585 5,831 1,909 24.9 Kagulube 1,772 1,392 3,164 1,003 23.3 Kayunga 1,759 1,470 3,229 899 22.6 Bubeke Sub County 3,023 2,110 5,133 2,036 26.7 Bubeke 2,275 1,554 3,829 1,518 28.0 Jaana 748 556 1,304 518 23.0 Bufumira Sub County 6,019 4,273 10,292 3,967 22.8 Bufumira 2,177 1,404 3,581 1,373 21.4 Lulamba 3,842 2,869 6,711 2,594 23.5 Kyamuswa Sub County 2,733 1,998 4,731 1,820 20.3 Buwanga 1,226 865 2,091 770 19.5 Buzingo 1,507 1,133 2,640 1,050 20.9 Maziga Sub County 3,431 1,946 5,377 2,350 20.8 Buggala 2,190 1,228 3,418 1,484 21.4 Butulume 1,241 718 1,959 866 19.9 Kampala District 712,762 794,318 1,507,080 414,406 30.3 Central Division 37,435 37,733 75,168 23,142 32.7 Bukesa 4,326 4,711 9,037 2,809 37.0 Civic Centre 224 151 375 161 14.9 Industrial Area 383 262 645 259 13.9 Kagugube 2,983 3,246 6,229 2,608 42.7 Kamwokya
    [Show full text]
  • Legend " Wanseko " 159 !
    CONSTITUENT MAP FOR UGANDA_ELECTORAL AREAS 2016 CONSTITUENT MAP FOR UGANDA GAZETTED ELECTORAL AREAS FOR 2016 GENERAL ELECTIONS CODE CONSTITUENCY CODE CONSTITUENCY CODE CONSTITUENCY CODE CONSTITUENCY 266 LAMWO CTY 51 TOROMA CTY 101 BULAMOGI CTY 154 ERUTR CTY NORTH 165 KOBOKO MC 52 KABERAMAIDO CTY 102 KIGULU CTY SOUTH 155 DOKOLO SOUTH CTY Pirre 1 BUSIRO CTY EST 53 SERERE CTY 103 KIGULU CTY NORTH 156 DOKOLO NORTH CTY !. Agoro 2 BUSIRO CTY NORTH 54 KASILO CTY 104 IGANGA MC 157 MOROTO CTY !. 58 3 BUSIRO CTY SOUTH 55 KACHUMBALU CTY 105 BUGWERI CTY 158 AJURI CTY SOUTH SUDAN Morungole 4 KYADDONDO CTY EST 56 BUKEDEA CTY 106 BUNYA CTY EST 159 KOLE SOUTH CTY Metuli Lotuturu !. !. Kimion 5 KYADDONDO CTY NORTH 57 DODOTH WEST CTY 107 BUNYA CTY SOUTH 160 KOLE NORTH CTY !. "57 !. 6 KIIRA MC 58 DODOTH EST CTY 108 BUNYA CTY WEST 161 OYAM CTY SOUTH Apok !. 7 EBB MC 59 TEPETH CTY 109 BUNGOKHO CTY SOUTH 162 OYAM CTY NORTH 8 MUKONO CTY SOUTH 60 MOROTO MC 110 BUNGOKHO CTY NORTH 163 KOBOKO MC 173 " 9 MUKONO CTY NORTH 61 MATHENUKO CTY 111 MBALE MC 164 VURA CTY 180 Madi Opei Loitanit Midigo Kaabong 10 NAKIFUMA CTY 62 PIAN CTY 112 KABALE MC 165 UPPER MADI CTY NIMULE Lokung Paloga !. !. µ !. "!. 11 BUIKWE CTY WEST 63 CHEKWIL CTY 113 MITYANA CTY SOUTH 166 TEREGO EST CTY Dufile "!. !. LAMWO !. KAABONG 177 YUMBE Nimule " Akilok 12 BUIKWE CTY SOUTH 64 BAMBA CTY 114 MITYANA CTY NORTH 168 ARUA MC Rumogi MOYO !. !. Oraba Ludara !. " Karenga 13 BUIKWE CTY NORTH 65 BUGHENDERA CTY 115 BUSUJJU 169 LOWER MADI CTY !.
    [Show full text]
  • Client Satisfaction with Health Insurance in Uganda
    Client Satisfaction with Health Insurance - Uganda CLIENT SATISFACTION WITH HEALTH INSURANCE IN UGANDA 1 Client Satisfaction with Health Insurance - Uganda TABLE OF CONTENTS I INTRODUCTION ..................................................................................................................................................... 6 II RESEARCH OVERVIEW ..................................................................................................................................... 6 RESEARCH OBJECTIVE ............................................................................................................................................... 6 RESEARCH METHODS ................................................................................................................................................ 6 RESEARCH SAMPLE ................................................................................................................................................... 7 REPORT OUTLINE ...................................................................................................................................................... 7 III SAVE FOR HEALTH UGANDA (SHU) ............................................................................................................. 8 BACKGROUND ON SAVE FOR HEALTH UGANDA (SHU) ............................................................................................. 8 THE KAMULI MUGANZI AWONGERWA ASSOCIATION – INSURANCE/CREDIT SCHEME .............................................. 8
    [Show full text]
  • NAKASEKE DLG Q4 REPORT.Pdf
    Local Government Quarterly Performance Report Vote: 569 Nakaseke District 2016/17 Quarter 4 Structure of Quarterly Performance Report Summary Quarterly Department Workplan Performance Cumulative Department Workplan Performance Location of Transfers to Lower Local Services and Capital Investments Submission checklist I hereby submit _________________________________________________________________________. This is in accordance with Paragraph 8 of the letter appointing me as an Accounting Officer for Vote:569 Nakaseke District for FY 2016/17. I confirm that the information provided in this report represents the actual performance achieved by the Local Government for the period under review. Name and Signature: Chief Administrative Officer, Nakaseke District Date: 8/23/2017 cc. The LCV Chairperson (District)/ The Mayor (Municipality) Page 1 Local Government Quarterly Performance Report Vote: 569 Nakaseke District 2016/17 Quarter 4 Summary: Overview of Revenues and Expenditures Overall Revenue Performance Cumulative Receipts Performance Approved Budget Cumulative % UShs 000's Receipts Budget Received 1. Locally Raised Revenues 1,338,786 1,704,820 127% 2a. Discretionary Government Transfers 3,314,474 3,260,284 98% 2b. Conditional Government Transfers 16,270,489 15,459,486 95% 2c. Other Government Transfers 948,643 966,847 102% 4. Donor Funding 22,900 Total Revenues 21,872,393 21,414,338 98% Overall Expenditure Performance Cumulative Releases and Expenditure Perfromance Approved Budget Cumulative Cumulative % % % UShs 000's Releases Expenditure
    [Show full text]
  • Emergency Health Fiscal and Growth Stabilization and Development
    LIST OF COVID-19 QUARANTINE CENTRES IN WATER AND POWER UTILITIES OPERATION AREAS WATER S/N QUARANTINE CENTRE LOCATION POWER UTILITY UTILITY 1 MASAFU GENERAL HOSPITAL BUSIA UWS-E UMEME LTD 2 BUSWALE SECONDARY SCHOOL NAMAYINGO UWS-E UMEME LTD 3 KATAKWI ISOLATION CENTRE KATAKWI UWS-E UMEME LTD 4 BUKWO HC IV BUKWO UWS-E UMEME LTD 5 AMANANG SECONDARY SCHOOL BUKWO UWS-E UMEME LTD 6 BUKIGAI HC III BUDUDA UWS-E UMEME LTD 7 BULUCHEKE SECONDARY SCHOOL BUDUDA UWS-E UMEME LTD 8 KATIKIT P/S-AMUDAT DISTRICT KATIKIT UWS-K UEDCL 9 NAMALU P/S- NAKAPIRIPIRIT DISTRICT NAMALU UWS-K UEDCL 10 ARENGESIEP S.S-NABILATUK DISTRICT ARENGESIEP UWS-K UEDCL 11 ABIM S.S- ABIM DISTRICT ABIM UWS-K UEDCL 12 KARENGA GIRLS P/S-KARENGA DISTRICT KARENGA UWS-K UMEME LTD 13 NAKAPELIMORU P/S- KOTIDO DISTRICT NAKAPELIMORU UWS-K UEDCL KOBULIN VOCATIONAL TRAINING CENTER- 14 NAPAK UWS-K UEDCL NAPAK DISTRICT 15 NADUNGET HCIII -MOROTO DISTRICT NADUNGET UWS-K UEDCL 16 AMOLATAR SS AMOLATAR UWS-N UEDCL 17 OYAM OYAM UWS-N UMEME LTD 18 PADIBE IN LAMWO DISTRICT LAMWO UWS-N UMEME LTD 19 OPIT IN OMORO OMORO UWS-N UMEME LTD 20 PABBO SS IN AMURU AMURU UWS-N UEDCL 21 DOUGLAS VILLA HOSTELS MAKERERE NWSC UMEME LTD 22 OLIMPIA HOSTEL KIKONI NWSC UMEME LTD 23 LUTAYA GEOFREY NAJJANANKUMBI NWSC UMEME LTD 24 SEKYETE SHEM KIKONI NWSC UMEME LTD PLOT 27 BLKS A-F AKII 25 THE EMIN PASHA HOTEL NWSC UMEME LTD BUA RD 26 ARCH APARTMENTS LTD KIWATULE NWSC UMEME LTD 27 ARCH APARTMENTS LTD KIGOWA NTINDA NWSC UMEME LTD 28 MARIUM S SANTA KYEYUNE KIWATULE NWSC UMEME LTD JINJA SCHOOL OF NURSING AND CLIVE ROAD JINJA 29 MIDWIFERY A/C UNDER MIN.OF P.O.BOX 43, JINJA, NWSC UMEME LTD EDUCATION& SPORTS UGANDA BUGONGA ROAD FTI 30 MAAIF(FISHERIES TRAINING INSTITUTE) NWSC UMEME LTD SCHOOL PLOT 4 GOWERS 31 CENTRAL INN LIMITED NWSC UMEME LTD ROAD PLOT 2 GOWERS 32 CENTRAL INN LIMITED NWSC UMEME LTD ROAD PLOT 45/47 CHURCH 33 CENTRAL INN LIMITED NWSC UMEME LTD RD CENTRAL I INSTITUTE OF SURVEY & LAND PLOT B 2-5 STEVEN 34 NWSC 0 MANAGEMENT KABUYE CLOSE 35 SURVEY TRAINING SCHOOL GOWERS PARK NWSC 0 DIVISION B - 36 DR.
    [Show full text]
  • Comparison of Public and Pnfp Hospitals in Uganda
    public administration and development Public Admin. Dev. 22, 415–428 (2002) Published online in Wiley InterScience (www.interscience.wiley.com) DOI: 10.1002/pad.244 WHAT COULD BE ACHIEVED WITH GREATER PUBLIC HOSPITAL AUTONOMY? COMPARISON OF PUBLIC AND PNFP HOSPITALS IN UGANDA FREDDIE SSENGOOBA1, LYNN ATUYAMBE1, BARBARA McPAKE2*, KARA HANSON3 AND SAM OKUONZI4 1Institute of Public Health, Makerere University, Uganda 2Health Systems Development Programme and Health Economics and Financing Programme, Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK 3Health Economics and Financing Programme, Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK 4Health Policy Unit, Ministry of Health, Uganda SUMMARY The policy of hospital autonomy has been discussed for some time in Uganda. There is little evidence from Uganda or elsewhere that increased autonomy will improve hospital performance. This article compares the performance of three private not-for- profit (PNFP) and public hospital pairs to address this question. PNFP and public hospitals have similar management structures but PNFP hospitals had better trained managers and a church affiliated chair in the hospital management committee. Both types have problems with personnel management but these appear more pronounced in public hospitals. Drug supply management appears better in PNFP hospitals. Overall, workloads are similar, but analysis of patterns of utilisation and prices across services suggest that patient choice of facilities is influenced by relative price levels, and that willingness to pay is higher for PNFP services. PNFP hospitals are more successful at generating revenue. There are no clear differences in efficiency between PNFP and public hospitals but there is some evidence of higher quality levels in PNFP hospitals.
    [Show full text]
  • Overcoming the Challenges of COVID-19 Together Responding to a Global Crisis
    Overcoming the challenges of COVID-19 together Responding to a global crisis Adara believes that everyone has the right to quality health and education services, no matter where they live. The COVID-19 pandemic has exposed communities around the world to significant challenges in accessing healthcare, education, and other basic needs and services like food, protection, and social interaction. Crises like these tend to worsen existing inequalities, and we know from previous epidemics that children and women, particularly the most deprived and marginalised, will likely be impacted for months and years to come. Adara is seeking support for our COVID-19 response in Uganda which seeks to: • undertake all mitigation, prevention, and response activities within our means to limit the impact of COVID-19, including providing training and awareness campaigns to health workers and the broader community; • provide protection to health workers through PPE and support health facilities with the necessary protocols, equipment, and supplies for addressing COVID-19, including our partner, Kiwoko Hospital; • and ensure continued access to essential Maternal Newborn and Child Health (MNCH) services to ensure mothers and babies continue to survive and thrive. The structures and tools we have developed over the last two decades in disaster relief, long term community development and maternal and newborn health will be useful as we respond to this pandemic and deal with its long term social and economic repercussions. 2 The Challenge The Ugandan government and Ugandan people have done an admirable job of holding back a significant outbreak of COVID-19 so far. Many years of experience in dealing with infectious disease, including Ebola outbreaks, along with a swift response to the crisis has meant that Uganda has so far avoided the devastation being witnessed in many other countries across the globe.
    [Show full text]
  • Lassa Fever in Benin
    Overview Contents This Weekly Bulletin focuses on selected acute public health emergencies occurring in the WHO African Region. The WHO Health Emergencies Programme is currently monitoring 55 events in the region. This week’s 1 Overview edition covers key new and ongoing events, including: 2 - 6 Ongoing events Humanitarian crisis in Ethiopia Lassa fever in Benin 7 Summary of major Lassa fever in Nigeria challenges and Crimean-Congo haemorrhagic fever in Uganda proposed actions Rift Valley fever in South Sudan 8 All events currently For each of these events, a brief description followed by public health being monitored measures implemented and an interpretation of the situation is provided. A table is provided at the end of the bulletin with information on all new and ongoing public health events currently being monitored in the region, as well as events that have recently been closed. Since the beginning of the year, nine events have been closed including outbreaks of foodborne illness in Benin, influenza A H1N1 in Ghana, malaria in Kenya, Crimean- Congo haemorrhagic fever in Mauritania, meningitis and hepatitis E in Niger, dengue fever in Senegal, cholera in Uganda, and anthrax in Zambia. Major challenges include: The complex and protracted humanitarian crisis in Ethiopia does not yet show signs of improvement, and current levels of health and other assistance are inadequate to meet the needs of affected populations. National and international humanitarian actors should urgently scale up response efforts in order to avert a worsening of the crisis in 2018. The Lassa fever outbreak in Nigeria is of significant concern given its national scale and risk of regional spread.
    [Show full text]
  • Adaranewborn Achieving the Maternal and Newborn Survival Targets in Ten Health Facilities Across Uganda (2020-2030)
    AdaraNewborn Achieving the maternal and newborn survival targets in ten health facilities across Uganda (2020-2030) Overview Adara Development (Adara) is seeking long-term support from 2020 to 2030, to expand our high-impact model of maternal and newborn care to ten health facilities across Uganda serving populations with very high numbers of newborn deaths. This model, pioneered at Kiwoko Hospital in central Uganda over the past twenty years, has delivered strong results. More than 90% of sick and vulnerable newborns now survive and maternal deaths as a proportion of hospital births have fallen by 20%. The model also incorporates a “Hospital to Home” (H2H) program to further improve maternal and newborn health up to six months post- discharge and the ABAaNA Early Intervention Program to better support babies with moderate to severe developmental disabilities and their caregivers. Adara is seeking to demonstrate that introducing these three “arms” of the AdaraNewborn model - (1) Prenatal Care, (2) Delivery and Newborn Care, and (3) Community Care - can reduce health facility maternal and newborn deaths to the levels required by the Sustainable Development Goals (SDGs) in high-need settings across Uganda. The overarching goal of the program is to help Uganda “bend the curves” and reduce the national maternal mortality ratio to less than 70 maternal deaths per 100,000 live births and newborn deaths to less than 12 deaths per 1,000 live births by 2030. In addition, AdaraNewborn wants to show that 90% maternal and newborn vaccination rates, 90% exclusive breastmilk-feeding rates, and meeting 100% of the unmet need for modern contraception is achievable in Ugandan health facilities and the communities they serve, and will lay a strong foundation for the sustained low rates of maternal and newborn deaths required by the SDGs.
    [Show full text]