Rural Health Care Initiative Activity Report, January 2020
RHCI in Sierra Leone operates programs out of its office in Tikonko to support efforts in maternal and child health. The programs in this report include:
Mbao-mi Birth Waiting Home, Tikonko Community Health Clinic birth waiting facility support, Kassama and Sembehun Tabema Motorbike Outreach – Tikonko; serving Lembema, Dodo, Gbalehun and Sunga Motorbike Outreach – Gondama; serving Gelehun, Sembehun Kokofele, Magbema and Gandorhun Family Planning Services, Tikonko and surrounding villages Birth Waiting Homes
The Mbao-mi accommodates 24 women and is staffed with a Senior Midwife, State Registered Nurse, Community Health Workers, security and administration personnel with two drivers for the RHCI vehicles. Women admitted are referred by the Tikonko Community Health Clinic (CHC) and receive lodging, food, health care, education, vocational training and transportation to the site of delivery and to their home village. Most women return to Mbao-mi after delivery for post-natal care, education and support. Mbao- mi provides staff and supplies to accompany the woman to the CHC for delivery. The Gondama Birth Waiting Home will accommodate 10 women and will provide similar services as Mbao-mi. The Kassama and Sembehun Tabema Peripheral Health Units PHU’s receive support from RHCI. The support includes medical supplies, medications and a stipend for food for women who stay at their facilities prior to labor and delivery. This arrangement was made between RHCI and these PHU’s due to their desire to keep deliveries at their CHC.
Table 1. Number of Birth Waiting Home admissions in January, 2020. Location Admissions Tikonko 14 Kassama 5 Sembehun Tabema 3 Gondama Not Open Total 22
Motorbike Outreach Clinics
The motorbike outreach program is a partnership with the Tikonko CHC and Gondama CHC. It provides staff stipends, medications, supplies and education to eight villages in the Tikonko Chiefdom. Each village in the outreach program hosts a motorbike clinic one day per month. Services provided include: immunizations (provided by UNICEF), triage and treatment for children under 5, malnutrition evaluation and referral, prenatal visits with monitoring, treatment and education.
Table 2. Number of children and pregnant women evaluated and treated by clinic location and date. January, 2020. Under ’s Antenatal Care Location Date Number Treatments* Number Treatments* Tikonko Outreach Lembema January 3 21 59 5 11 Dodo January 10 67 116 5 13 Gbalehun January 17 46 81 7 16 Sunga January 24 24 70 5 16 Tikonko Total 158 326 22 56 Gondama Outreach Gelehun January 2 59 93 16 45 Gandorhun January 9 72 137 9 24 Magbema January 16 20 37 13 35 Sembehun Kokofele January 23 18 48 20 60 Gondama Total 169 315 58 164 Total 327 641 80 214 *Treatments are the number of doses of medications that were dispensed, some individuals received multiple treatments.
During January, children were most frequently treated for acute respiratory infections/pneumonia and malaria. Malnutrition was not documented specifically as a diagnosis on the patient ledger, but will be tracked in future reports and evaluated based on MUAC and Z-scores. A diagnosis was not reported on every child treated.
Table 3. Diagnoses reported in Children’s Under ’s Clinic, ordered by most frequent; January, 2020. More than one diagnosis can be reported for each child. Under ’s Diagnosis Tikonko (number) Gondama (number) Acute respiratory Infection or pneumonia 39 52 Malaria 36 46 Diarrhea 2 11 Skin infection 10 1 Anemia 0 1 Eye infection 0 0 Other reported diagnoses* 6 0 *other diagnoses reported included: malnutrition, sepsis, intestinal parasites
Family Planning Activities
Table 4. Number of women evaluated and treated by clinic location, date and method of family planning. January, 2020 Method of Family Planning Condom Pills* Depo Implant Location Date Number Number Number Cycles Number Number Tikonko January 7 15 0 7 14 6 2 Dodo January 17 35 2 7 14 23 3 Tikonko January 21 28 0 20 40 8 0 FAWE School January 25 34 0 32 44 2 0 Surgbehun January 28 32 0 18 25 14 0 Total January, 2020 144 2 84 137 53 5 *Birth control pills are documented as the number of women prescribed this method of family planning. A cycle is 21 active pills, 7 days no active pill
Under 5's Motorike Outreach Medications and Treatments, January 2020 January Tikonko Gondama Medication Albendazole 400 mg, Tab 5 9 Amoxycillin 125 mg/5ml, bottle 1 7 Amoxycillin 250 mg, tab 72 10 Ampicillin 500 mg, pow for inj, Vial 0 2 Benzyl Benzoate 25%, Emulsion 100 ml Bottle 10 0 Chlorhexidine 7.1% Tube 0 0 Clotrimazole 1%, Tabs250 mg 22 19 Cotrimoxazole 240 mg mg/ 5ml, Susp Bottle 1 1 Dexamethazone 4mg/ml. Inj 0 0 Dextrose 5%, Soln Bag 0 0 Diazapam, 5mg/ml, Inj 0 0 Erythromycin 125mg/5ml, powder, bottle 0 0 Erythromycin 250, tab 0 0 Ferrous Sulphate 125 mg.ml, oral drop bottle 0 3 Ferrous sulphate 200mg tab 31 29 Folic acid 5mg tab 0 0 Gentamycin 0.5%, eye drop, bottle 0 0 Gentamycin 400 mg/ml, Inj 0 3 Lidocaine HCl 2%, vial 0 0 Metronidazole 200 mg/5ml, Powder100, bottle 1 2 Metronidazole 250 mg tab 10 6 Normal saline 0.9% soln, bag 0 0 (ORS) oral rehydration salt 7 1 Paracetamol 100 mg Tab 6 3 Paracetamol 125 mg/5ml, syrup or bottle 5 15 Paracetamol 250 mg tab 119 63 Ringers Lactate soln, bag 0 0 Tetracycline 1% eye ointment, Tube 0 0 (RUFT) Ready to Use Therapeutic Food, Sachet 0 0 Zinc Sulphate 20 mg, Tab 1 0 AL-6 Tab Blister or ASAQ-3 tab (2-11 mos) 35 39 AL-12 Tab Blister or ASAQ-3 Tab (1-5 yrs) 0 7 Artesunate 60 mg.ml Inj, 1 ml vial 0 0 LLIN (Long Lasting Insecticide-Treated Net) 0 0 Vitamin A red 30 mg RE (6-11 mos) 0 31 Vitamin A blue 60 mg RE (12-59 mos) 0 6 Vitamin A (not defined) 0 10 MLS 0 5 MSD 0 13 Nystatin syrup 0 3 Cystain injection 0 2 Cough syrup 0 1 Penta 2 Vaccine 0 2 Penta 3 Vaccine 0 4
Yellow Fever Vaccine 0 8 TOTAL 326 304
Rural Health Care Initiative Activity Report, February 2020
RHCI in Sierra Leone operates programs out of its office in Tikonko to support efforts in maternal and child health. The programs in this report include:
Mbao-mi Birth Waiting Home, Tikonko Community Health Clinic birth waiting facility support, Kassama and Sembehun Tabema Motorbike Outreach Tikonko; serving Lembema, Dodo, Gbalehun and Sunga Motorbike Outreach Gondama; serving Gelehun, Sembehun Kokofele, Magbema and Gandorhun Family Planning Services, Tikonko and surrounding villages Patient Transports RHCI vehicles
Birth Waiting Homes
The Mbao-mi accommodates 24 women and is staffed with a Senior Midwife, State Registered Nurse, Community Health Workers, security and administration personnel with two drivers for the RHCI vehicles. Women admitted are referred by the Tikonko Community Health Clinic (CHC) and receive lodging, food, health care, education, vocational training and transportation to the site of delivery and to their home village. Most women return to Mbao-mi after delivery for post-natal care, education and support. Mbao- mi provides staff and supplies to accompany the woman to the CHC for delivery. The Gondama Birth Waiting Home will accommodate 10 women and will provide similar services as Mbao-mi. The opening of the Gondama birth waiting home is being delayed due to the global COVID-19 pandemic. The Kassama and Sembehun Tabema Peripheral Health Units PHU receive support from RHCI. The support includes medical supplies, medications and a stipend for food for women who stay at their facilities prior to labor and delivery. This arrangement was made between RHCI and these PHU due to their desire to keep deliveries at their CHC.
Table 1. Number of Birth Waiting Home admissions in February, 2020. Location Admissions Tikonko 20 Kassama 4 Sembehun Tabema 4 Gondama Not Open Total 28
Motorbike Outreach Clinics
The motorbike outreach program is a partnership with the Tikonko CHC and Gondama CHC. It provides staff stipends, medications, supplies and education to eight villages in the Tikonko Chiefdom. Each village in the outreach program hosts a motorbike clinic one day per month. Services provided include: immunizations (provided by UNICEF), triage and treatment for children under 5, malnutrition evaluation and referral, prenatal visits with monitoring, treatment and education. Beginning in mid-April, 2020 Pikinmi ill be o ided a a ea men fo maln i ion a all nde mo o bike o each clinic A nutritionist will accompany motorbike outreach and provide assessment for this treatment and nutrition education.
Table 2. Number of children and pregnant women evaluated and treated by clinic location and date. February, 2020. Under s Antenatal Care Location Date Number Treatments* Number Treatments* Tikonko Outreach Lembema February 7 NR NR NR NR Dodo February 14 36 73 3 9 Gbalehun February 21 25 44 4 8 Sunga February 28 35 58 6 16 Tikonko Total 96 175 13 33 Gondama Outreach Gelehun February 6 25 78 17 46 Gandorhun February 13 36 103 12 40 Magbema February 20 19 55 12 28 Sembehun Kokofele February 27 24 69 19 53 Gondama Total 104 306 60 167 Total 200 481 73 200 *Treatments are the number of doses of medications that were dispensed, some individuals received multiple treatments. NR=No Report for Tikonko Outreach on February 7, 2020 due to training for nursing staff. During February, children were most frequently treated for acute respiratory infections/pneumonia and malaria. Malnutrition was not documented specifically as a diagnosis on the patient ledger, but will be tracked in future reports and evaluated based on MUAC and Z-scores. A diagnosis was not reported on every child treated. The Tikonko CHC did not have a sufficient supply of malaria test kits or medication. The result was children not being tested or treated for malaria from the Tikonko Outreach. The report below documenting two children being diagnosed for malaria reflects the lack of testing, diagnosis and treatment this month, not the actual number with the illness.
Table 3. Diagnoses reported in Child e U de Cli ic, ordered by most frequent; February, 2020. More than one diagnosis can be reported for each child. Under s Diagnosis Tikonko (number) Gondama (number) Acute respiratory Infection or pneumonia 79 54 Malaria 2 41 Diarrhea 7 16 Skin infection 6 18 Anemia 0 0 Eye infection 0 0 Other reported diagnoses* 1 2 *other diagnoses reported included: malnutrition, sepsis, intestinal parasite Family Planning Activities
Table 4. Number of women evaluated and treated by clinic location, date and method of family planning. February, 2020 Method of Family Planning Condom Pills* Depo Implant Location Date Number Number Number Cycles Number Number Tikonko February 3 4 0 0 0 2 2 Lembema February 7 8 0 1 2 3 4 Dodo February 14 35 3 5 10 16 11 Tikonko February 14 2 0 2 2 0 0 FAWE School February 19 44 0 41 41 3 0 Gbalehun February 21 21 0 7 9 10 4 Surgbehun February 28 19 0 8 9 9 2 Total February, 2020 133 3 64 73 43 23 *Birth control pills are documented as the number of women prescribed this method of family planning. A cycle is 21 active pills, 7 days no active pill
RHCI Vehicle Patient Transports
RHCI has two vehicles for patient transport use. Two motorbikes are available for transports if a a vehicle is not available. The vehicles provide as essential infrastructure since ambulance service is not available between Mbao-mi and the Bo District Maternity Hospital or the Tikonko CHC. In addition to providing patient transport to the site of delivery, the vehicles provide transportation to sick children requiring ea me a B Child e H i al e a he m he h me illage af e di cha ge f m Mbao-mi a d i me ca e a f m he m he s home village to Mbao-mi.
Table 3. Patient transports; February, 2020. Patient Transports Destination Patients Transports Mbao-mi to Tikonko CHC 11 22 Mbao-mi and Bo Maternity Hospital 4 2 Mbao-mi to Village 7 7 Bo Children s Hospi al 10 22 Total 32 53
Rural Health Care Initiative Activity Report, March 2020
RHCI in Sierra Leone operates programs out of its office in Tikonko to support efforts in maternal and child health. The programs in this report include:
Mbao-mi Birth Waiting Home, Tikonko Community Health Clinic birth waiting facility support, Kassama and Sembehun Tabema Motorbike Outreach – Tikonko; serving Lembema, Dodo, Gbalehun and Sunga Motorbike Outreach – Gondama; serving Gelehun, Sembehun Kokofele, Magbema and Gandorhun Family Planning Services, Tikonko and surrounding villages Patient Transports – RHCI vehicles
Birth Waiting Homes
The Mbao-mi accommodates 24 women and is staffed with a Senior Midwife, State Registered Nurse, Community Health Workers, security and administration personnel with two drivers for the RHCI vehicles. Women admitted are referred by the Tikonko Community Health Clinic (CHC) and receive lodging, food, health care, education, vocational training and transportation to the site of delivery and to their home village. Most women return to Mbao-mi after delivery for post-natal care, education and support. Mbao- mi provides staff and supplies to accompany the woman to the CHC for delivery. The Gondama Birth Waiting Home will accommodate 10 women and will provide similar services as Mbao-mi. The opening of the Gondama birth waiting home is being delayed due to the global COVID-19 pandemic. The Kassama and Sembehun Tabema Peripheral Health Units (PHU’s) receive support from RHCI. The support includes medical supplies, medications and a stipend for food for women who stay at their facilities prior to labor and delivery. This arrangement was made between RHCI and these PHU’s due to their desire to keep deliveries at their CHC.
Table 1. Number of Birth Waiting Home admissions in March, 2020. Location Admissions Tikonko 18 Kassama 4 Sembehun Tabema 4 Gondama Not Open Total 26
Motorbike Outreach Clinics
The motorbike outreach program is a partnership with the Tikonko CHC and Gondama CHC. It provides staff stipends, medications, supplies and education to eight villages in the Tikonko Chiefdom. Each village in the outreach program hosts a motorbike clinic one day per month. Services provided include:
immunizations (provided by UNICEF), triage and treatment for children under 5 years of age, malnutrition evaluation and referral, prenatal visits with monitoring, treatment and education.
Table 2. Number of children and pregnant women evaluated and treated by clinic location and date. March, 2020. Under s Antenatal Care Location Date Number Treatments* Number Treatments* Tikonko Outreach Lembema March 6 NR NR NR NR Dodo March 13 55 116 6 15 Gbalehun March 20 25 55 7 23 Sunga March 27 41 83 7 19 Tikonko Total 121 254 20 57 Gondama Outreach Gelehun March 5 61 160 15 31 Gandorhun March 12 18 56 5 6 Magbema March 19 33 109 12 36 Sembehun Kokofele March 26 20 60 17 48 Gondama Total 132 385 49 121 Total 253 639 69 178 *Treatments are the number of doses of medications that were dispensed, some individuals received multiple treatments. NR=No Report for Tikonko Outreach on March 6, 2020 due to polio and bednet campaign at the Tikonko CHC. During March, children were most frequently treated for acute respiratory infections/pneumonia and malaria. Malnutrition was not documented specifically as a diagnosis on the patient ledger, but will be tracked in future reports and evaluated based on MUAC and Z-scores. A diagnosis was not reported on every child treated. Malaria testing and diagnosis for Tikonko Outreach was lower than expected. This could be due to the shortage of kits or medication from the previous month. All diagnoses of common cold are documented under Acute respiratory infection or pneumonia.
Table 3. Diagnoses reported in Children’s Under 5’s Clinic, ordered by most frequent; March, 2020. More than one diagnosis can be reported for each child. Under s Diagnosis Tikonko (number) Gondama (number) Acute respiratory Infection or pneumonia 83 84 Malaria 24 53 Diarrhea 5 5 Skin infection 9 25 Anemia 0 0 Eye infection 0 0 Other reported diagnoses* 1 2 *other diagnoses reported included: malnutrition, sepsis, intestinal parasite
Family Planning Activities
Table 4. Number of women evaluated and treated by clinic location, date and method of family planning. March, 2020 Method of Family Planning Condom Pills* Depo Implant Location Date Number Number Number Cycles Number Number Tikonko March 6 4 0 1 1 3 0 Dodo March 13 38 3 12 12 20 3 Tikonko March 13 10 0 4 4 5 1 FAWE School March 31 40 0 38 38 2 0 Gbalehun March 20 11 0 6 6 4 1 Surgbehun March 27 25 0 16 16 5 4 Tikonko March 30 10 0 4 4 6 0 Total March, 2020 139 3 81 81 45 9 *Birth control pills are documented as the number of women prescribed this method of family planning. A cycle is 21 active pills, 7 days no active pill
ND=number of cycles dispensed is not documented.
RHCI Vehicle Patient Transports
RHCI has two vehicles for patient transport use. Two motorbikes are available for transports if a a vehicle is not available. The vehicles provide as essential infrastructure since ambulance service is not available between Mbao-mi and the Bo District Maternity Hospital or the Tikonko CHC. In addition to providing patient transport to the site of delivery, the vehicles provide transportation to sick children requiring treatment at Bo Children’s Hospital, return transports to the mother’s home village after discharge from Mbao-mi and in some cases, transport from the mother’s home village to Mbao-mi.
Table 3. Vehicle Transports; March, 2020. Patient Transports Destination Patients Transports Mbao-mi to Tikonko CHC 16 32 Mbao-mi and Bo Maternity Hospital 2 4 Mbao-mi to Village 10 10 Bo Children s Hospi al 0 0 Total 28 46
Under 5's Motorbike Outreach Medications and Treatments March Medication Tikonko Gondama
Albendazole 400 mg, Tab 0 0 Amoxycillin 125 mg/5ml, bottle 11 8 Amoxycillin 250 mg, tab 54 21 Ampicillin 500 mg, pow for inj, Vial 2 11 Benzyl Benzoate 25%, Emulsion 100 ml Bottle 7 7 Chlorhexidine 7.1% Tube 0 0 Clotrimazole 1%, Tabs250 mg 8 22 Cotrimoxazole 240 mg mg/ 5ml, Susp Bottle 2 1 Dexamethazone 4mg/ml. Inj 2 0 Dextrose 5%, Soln Bag 0 0 Diazapam, 5mg/ml, Inj 0 0 Erythromycin 125mg/5ml, powder, bottle 0 4 Erythromycin 250, tab 0 14 Ferrous Sulphate 125 mg.ml, oral drop bottle 3 3 Ferrous sulphate 200mg tab 39 96 Folic acid 5mg tab 0 0 Gentamycin 0.5%, eye drop, bottle 0 0 Gentamycin 400 mg/ml, Inj 0 13 Lidocaine HCl 2%, vial 0 0 Metronidazole 200 mg/5ml, Powder100, bottle 0 0 Metronidazole 250 mg tab 5 8 Normal saline 0.9% soln, bag 0 0 (ORS) oral rehydration salt 10 12 Paracetamol 100 mg Tab 1 0 Paracetamol 125 mg/5ml, syrup or bottle 11 13 Paracetamol 250 mg tab 75 100 Ringers Lactate soln, bag 0 0 Tetracycline 1% eye ointment, Tube 0 0 (RUFT) Ready to Use Therapeutic Food, Sachet 0 0 Zinc Sulphate 20 mg, Tab 0 5 AL-6 Tab Blister or ASAQ-3 tab (2-11 mos) 20 44 AL-12 Tab Blister or ASAQ-3 Tab (1-5 yrs) 4 3 Artesunate 60 mg.ml Inj, 1 ml vial 0 0 LLIN (Long Lasting Insecticide-Treated Net) 0 0 Vitamin A red 30 mg RE (6-11 mos) 0 0 Vitamin A blue 60 mg RE (12-59 mos) 0 0 Vitamin A (not defined) 0 0 MLS 0 0 MSD 0 0 Nystatin syrup 0 0 Cystain injection 0 0 Cough syrup 0 0 Penta 2 Vaccine 0 0 Penta 3 Vaccine 0 0 Yellow Fever Vaccine 0 0 TOTAL 254 385
Rural Health Care Initiative Activity Report, April 2020
RHCI in Sierra Leone operates programs out of its office in Tikonko to support efforts in maternal and child health. The programs in this report include:
Mbao-mi Birth Waiting Home, Tikonko Community Health Clinic birth waiting facility support, Kassama and Sembehun Tabema Motorbike Outreach Tikonko; serving Lembema, Dodo, Gbalehun and Sunga Motorbike Outreach Gondama; serving Gelehun, Sembehun Kokofele, Magbema and Gandorhun Family Planning Services, Tikonko and surrounding villages Patient Transports RHCI vehicles
Birth Waiting Homes
The Mbao-mi accommodates 24 women and is staffed with a Senior Midwife, State Registered Nurse, Community Health Workers, security and administration personnel with two drivers for the RHCI vehicles. Women admitted are referred by the Tikonko Community Health Clinic (CHC) and receive lodging, food, health care, education, vocational training and transportation to the site of delivery and to their home village. Most women return to Mbao-mi after delivery for post-natal care, education and support. Mbao- mi provides staff and supplies to accompany the woman to the CHC for delivery. The Gondama Birth Waiting Home will accommodate 10 women and will provide similar services as Mbao-mi. The opening of the Gondama birth waiting home is being delayed due to the global COVID-19 pandemic. The Kassama and Sembehun Tabema Peripheral Health Units PHU receive support from RHCI. The support includes medical supplies, medications and a stipend for food for women who stay at their facilities prior to labor and delivery. This arrangement was made between RHCI and these PHU due to their desire to keep deliveries at their CHC.
Table 1. Number of Birth Waiting Home admissions in April, 2020. Location Admissions Tikonko 15 Kassama 5 Sembehun Tabema 4 Gondama Not Open Total 24
Motorbike Outreach Clinics
The motorbike outreach program is a partnership with the Tikonko CHC and Gondama CHC. It provides staff stipends, medications, supplies and education to eight villages in the Tikonko Chiefdom. Each village in the outreach program hosts a motorbike clinic one day per month. Services provided include:
immunizations (provided by UNICEF), triage and treatment for children under 5 years of age, malnutrition evaluation and referral, prenatal visits with monitoring, treatment and education.
Table 2. Number of children and pregnant women evaluated and treated by clinic location and date. April, 2020. Under s Antenatal Care Location Date Number Treatments* Number Treatments* Tikonko Outreach Lembema April 3 20 46 NR NR Dodo April 10 18 50 5 15 Gbalehun April 17 41 113 5 11 Sunga April 24 35 83 5 11 Tikonko Total 114 292 15 37 Gondama Outreach Gelehun April 2 34 94 19 46 Gandorhun April 9 37 101 3 10 Magbema April 16 27 73 13 40 Sembehun Kokofele April 23 62 114 21 62 Gondama Total 160 382 56 158 Total 274 674 71 195 *Treatments are the number of doses of medications that were dispensed, some individuals received multiple treatments. NR=No Pregnant women attended the Lembema Outreach on April 3, 2020. During April, children were most frequently treated for acute respiratory infections/pneumonia and malaria. Malnutrition was not documented specifically as a diagnosis on the patient ledger, but will be tracked in future reports and evaluated based on MUAC and Z-scores. A diagnosis was not reported on every child treated. All diagnoses of common cold are documented under Acute respiratory infection or pneumonia.
Table 3. Diagnoses reported in Child e U de Cli ic, ordered by most frequent; April, 2020. More than one diagnosis can be reported for each child. Under s Diagnosis Tikonko (number) Gondama (number) Acute respiratory Infection or pneumonia 69 81 Malaria 42 24 Diarrhea 0 11 Skin infection 4 16 Anemia 1 10 Eye infection 0 0 Other reported diagnoses* 1 2 *other diagnoses reported included: malnutrition, sepsis, intestinal parasite
Family Planning Activities
In April, 116 women were evaluated and provided treatment for family planning. The FAWE school was closed due to the COVID-19 pandemic. This resulted in about 40 women not receiving family planning consultations and treatment this month who had received services from RHCI in the past. These women are not seeking services at alternate motorbike outreach.
Table 4. Number of women evaluated and treated by clinic location, date and method of family planning. April, 2020 Method of Family Planning Condom Pills* Depo Implant Location Date Number Number Number Cycles Number Number Tikonko April 1 3 0 1 1 1 1 Lembema April 3 7 1 5 5 1 0 Dodo April 10 27 4 21 21 2 0 Tikonko April 11 10 0 4 4 4 2 FAWE School April Gbalehun April 17 17 0 5 5 12 1 Surgbehun April 24 35 0 18 18 16 1 Tikonko April 26 17 0 14 14 1 2 Total April, 2020 116 5 68 68 37 7 *Birth control pills are documented as the number of women prescribed this method of family planning. A cycle is 21 active pills, 7 days no active pill
RHCI Vehicle Patient Transports
RHCI has two vehicles for patient transport use. Two motorbikes are available for transports if a a vehicle is not available. The vehicles provide as essential infrastructure since ambulance service is not available between Mbao-mi and the Bo District Maternity Hospital or the Tikonko CHC. In addition to providing patient transport to the site of delivery, the vehicles provide transportation to sick children requiring ea me a B Child e H i al e a he m he h me illage af e di cha ge f m Mbao-mi a d i me ca e a f m he m he s home village to Mbao-mi.
Table 3. Vehicle Transports; April, 2020. Patient Transports Destination Patients Transports Mbao-mi to Tikonko CHC 14 28 Mbao-mi and Bo Maternity Hospital 0 0 Mbao-mi to Village 12 12 Bo Children s Hospi al 1 2 Total 27 42
Under 5's Motorbike Outreach Medications and Treatments, April 2020 April Medication Tikonko Gondama Albendazole 400 mg, Tab 7 24 Amoxycillin 125 mg/5ml, bottle 45 13 Amoxycillin 250 mg, tab 1 8 Ampicillin 500 mg, pow for inj, Vial 2 5 Benzyl Benzoate 25%, Emulsion 100 ml Bottle 0 8 Chlorhexidine 7.1% Tube 13 0 Clotrimazole 1%, Tabs250 mg 1 26 Cotrimoxazole 240 mg mg/ 5ml, Susp Bottle 0 6 Dexamethazone 4mg/ml. Inj 0 0 Dextrose 5%, Soln Bag 0 21 Diazapam, 5mg/ml, Inj 0 0 Erythromycin 125mg/5ml, powder, bottle 0 3 Erythromycin 250, tab 1 4 Ferrous Sulphate 125 mg.ml, oral drop bottle 64 1 Ferrous sulphate 200mg tab 0 64 Folic acid 5mg tab 0 1 Gentamycin 0.5%, eye drop, bottle 0 0 Gentamycin 400 mg/ml, Inj 0 5 Lidocaine HCl 2%, vial 1 1 Metronidazole 200 mg/5ml, Powder100, bottle 1 1 Metronidazole 250 mg tab 0 3 Normal saline 0.9% soln, bag 10 15 (ORS) oral rehydration salt 6 8 Paracetamol 100 mg Tab 11 0 Paracetamol 125 mg/5ml, syrup or bottle 86 12 Paracetamol 250 mg tab 0 80 Ringers Lactate soln, bag 0 5 Tetracycline 1% eye ointment, Tube 0 0 (RUFT) Ready to Use Therapeutic Food, Sachet 0 0 Zinc Sulphate 20 mg, Tab 40 5 AL-6 Tab Blister or ASAQ-3 tab (2-11 mos) 0 19 AL-12 Tab Blister or ASAQ-3 Tab (1-5 yrs) 0 3 Artesunate 60 mg.ml Inj, 1 ml vial 0 0 LLIN (Long Lasting Insecticide-Treated Net) 0 0 Vitamin A red 30 mg RE (6-11 mos) 0 5 Vitamin A blue 60 mg RE (12-59 mos) 0 3 Vitamin A (not defined) 0 19 MLS 0 0 MSD 0 4 Nystatin syrup 3 1 Cystain injection 0 0 Cough syrup 0 0 Penta 2 Vaccine 0 0 Penta 3 Vaccine 0 3 Yellow Fever Vaccine or M/SYF 0 6 TOTAL 292 382