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Monday 11 November 2013



OBERABIC HC ll

A GREAT OPPORTUNITY

70 kilometres away from Gulu, in the impoverished Amuru district is our Oberabic HCll.
  
The building is modern courtesy of MAP international. The countryside  is beautiful. Locally there is no electricity, limited  access to water, poor schools  and exceedingly poor health facilities. 15 kilometres in one direction is a small hospital (Health Centre lll) and in the other direction a large population which until recently had no health  facilities at all. The Government is now trying to open a  small HC.
Staff Accommodation
HC Side View













We did an outreach and the photo shows the queue that immediately formed for immunisations.

 The population is poor. Even though the ground is very fertile most children have the pot belly of mild malnutrition. Family planning and maternity services are sparse leading to high maternal mortality.

Queue on Outreach


As ever, the greatest need is  combined with the poorest resources. The local government can  not pay  the normal health centre subsidy even though they have the money  paid by central government. The unit missed out on NUHP. The Unit has just got some help from a USAid project  (NU-HITES) and Marie Stopes international.

We have a passion to see this unit develop very significantly through extra equipment and staff to increase services especially family planning and maternity both at the unit, and on outreach. We have put resources aside for this.

Delivery Bed
There is a new in charge Paul and two good nurse assistants. We are looking to recruit a new comprehensive nurse. 
Monitoring in progress

The unit's remoteness means monitoring is a challenge but we are determined to see great improvements in the months ahead. 



Community meeting



To do this we will continue to work with the local community and management committee


We will update on progress. It is a great opportunity to radically improve the health care of a truly poor population

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Friday 8 November 2013

A NORMAL DAY AT THE OFFICE.


A NORMAL DAY AT THE OFFICE.

Health care is all about doctors and nurses – right? – Well only partially.

Up to 2011, health care within the Diocese was only succeeding in one unit. Since then several are turned around and are looking for much more. The catalyst for change has been the effective work of the office that has to liaise with the Government and a confusing mixture of independent organisations. In addition the office has to visit units to monitor  the management committees and staff. The challenges are huge with so many stake holders, endemic financial irregularities and a paucity of qualified staff.
The office boss is Paska Aciro who has a degree in Development studies and has huge integrity, tenacity, skill and charm. She is ably assisted by Maxwell - also a graduate. 
Paska

Maxwell
The high performance of this team cannot be praised enough. We have had to let three people go because of poor performance.

One duty is to visit units that can be up to 80 km away on maram roads that are dusty in the dry season and flooded when wet leading to overturned vehicles. 
The Car We Hire
Oops!!
We are often asked to take some extra luggage like charcoal, vegetables  or  -----
Needs to get home!

Fresh Chicken


If only one member is going a boda- motor cycle taxi  - is used. 80 kilometres is a long way in the rainy season -- Yes, there have been accidents. 

Boda Passenger (Not one of our team)

We are very grateful to Paska and Maxwell for their dedicated and effective work. 
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CELEBRATING SUCCESS - SAINT LUKE’S HEALTH CENTRE, KORO


CELEBRATING SUCCESS - SAINT LUKE’S HEALTH CENTRE, KORO

St Luke's HC
St Luke’s Health centre, outside Gulu, in the Koro area, for years an ineffective drug shop staffed by a nurse assistant is now developing into an expanding unit providing excellent primary curative and preventative care including deliveries,  for truly poor people. 
Reception











Dorcas
All this started when in-charge Nurse Dorcas came along in early 2013. She has faced opposition and logistic challenges but is overcoming.

Her efforts have been fuelled by money from our kind donors which paid for increased staff and equipment which enabled the British government funded Northern Ugandan Health Programme (NUHP) to increase assistance which is determined by the standard of care delivered from 3 million Uganda shillings (£700) a quarter to 13 million. We are expecting more.

So congratulations to Dorcas and her team and congratulations to our donors. And also thanks from the poor patients whose health care opportunities have been so improved. 
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Some Ideas on How you can help including giving money. Please click this link