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Saturday, 30 August 2014

OBERABIC HEALTH CENTRE ll REPORT
AUGUST 2014

Acting Diocesan Health coordinator Paska Aciro and Project support officer Maxwell Okot recently visited and sent this update


                         Good the Team is There!
Sadness. Paska wrote, This Picture shows a mother with 
her child being treated when he was beaten by his aunt.  The mother
 did not bring the child immediately and so he stayed for
 3 days without urinating. This arises as a result  of poor education 
which makes them not realise  the importance of visiting the Health 
facility in  case of any health problems.
                                                  Education
Consultations are often delayed through ignorance but the 
Health Centre team is undertaking new education sessions
 that we that we are funding


                                                        
                                                       
SAVING LIVES
Maternity Service
Paska sent these photos (below) and said, The mother with a young child at her back, pregnant with another little one demonstrate the results of very limited health care. However, with constant sensitization (Uganda speak for health education) and abolition of Traditional Birth Attendants, mothers have realised the importance of Antenatal visits.

 
.Maternal Mortality

Is about 40 times 
higher in our area
than in the UK





 SAVING MORE LIVES
Family Planning

There is virtually none in our area leading to multiple births and large families resulting in: poor nutrition, poor education and likelihood of being orphaned. A personal and demographic disaster.

 Long term methods are organised and subsidised
 by Marie Stopes – Blue Star programme. The health
 education that we are funding will promote family planning

None of our patient’s 
pregnancies are planned”

LOCAL MIDWIFE


The Situation
In her report Paska reminded us of the population’s poverty and the Health Centre team's action to improve health care. She sent these photo's


 It’s Grim

Aaah lovely picture!  - but - Smiling faces and the quaintness of mud huts cannot hide the daily grind of living with no electricity, no nearby water, dreadful nutrition, overlarge families and often alcoholic men
 Making a Difference
Paska said, , I chatted with this lady who is very impressed with the positive things about Oberabic HC II, like the facility is easily accessible, drugs are available,, the staff are welcoming. She gets treated at low cost and she also expressed her happiness for new midwife who has made delivery very good.
(Much) More to Do
In addition, she expressed her negative feelings on the health facility, such as there is no delivery equipment There is also no Electricity and this makes it very difficult for deliveries. There are also stock outs for some essentials drugs sometimes which put patient’s lives at risk.

What you/we have provided recently
·         Oct 2013 – Vaccine Fridge- Oct 13 (Picture)
·         July. Medicines £1,200
·         July – Equipment - £200
·         August. Delivery Bed - £450. The bed in last 
      blog was procedure bed - not delivery bed.
·         August. - Repair to water bore hole -£150
·         August – Patient beds x 2 £150


SOLAR -What we need.
What is Next?
Solar Needed
The next big need is solar power for the vaccination fridge and provide light for deliveries at night.
Let’s  work together to get it.

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Please Help us Develop Oberabic Health Centre
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Tuesday, 26 August 2014

WELCOME GEMMA
Blog is Back

Thank you for checking the Blog. Many apologies for the delay in postings. We are  back now and will aim to keep up to speed now we have Gemma working in the the UK.



It is Office to Office. Paska and Maxwell in Uganda (what a neat office!) in frequent contact via e-mail and phone


 
Work continues as normal - See "Normal Day at the Office" post below
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Some Ideas on How you can help including giving money. Please click this link

Thursday, 21 August 2014

TRANSFORMATION
St Philips Health Centre
Amazing Progress - Changing Lives

50 years ago both  the Roman Catholics and Anglicans opened small health Centres. Now the Roman catholic Unit has become Lacor hospital with 480 beds and three satellite units.

The Anglican unit is St Philips Health Centre which 3 years ago was struggling with the outside paint disguising the termite attacked inside. The unit was staffed by clinical officer Otika in his seventies and Nurse Assistant Christine who never had basic training. Very few patients were seen and the medical standards were poor.

Nurse Christine
St Philips Health Centre










Clinical Officer Otika


Outreach with infant immunisations and child surveillance was better.




Reforms and Finance

We introduced reforms in structure and staffing and now things are very different. Otika has retired with UK subsidised pension,  and been replaced by Diana (picture) young, experienced and dynamic Clinical Officer. In addition there is a trained nurse, new nurse assistant, laboratory assistant (picture) and a further multitask worker. The Diocesan office organised the changes and financed the initial moves. 
St Philips has now attracted funds from the British funded Northern Ugandan Health Programme, and is now massively busy - 888 new patients in January 2014 and 1173 in February. (Apologies report is so late!)

I regret the recent photos showing progress have not downloaded. However we can say that the building has been significantly improved including the erection of a new latrine block. 

Where Now?

We are proud of the part we have played in St Philip's transformation. The unit is increasingly self organised and is fully financially independent. We are willing to help when invited and although we do not agree with some of their decisions, we wish them well in further development. Maybe, they  will add maternity and inpatients in the medium term future. 
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Can you help, can you give, towards the work we do for units like St Philips?
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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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Can you Help? Can you Give?
Some Ideas on How you can help including giving money. Please click this link

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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Can you Help? Can you Give?
Some Ideas on How you can help including giving money. Please click this link


Tuesday, 22 October 2013

GULU CONNECTION BLOG

Thanks for checking Gulu Connection Blog.

Soon it will be up and running with news about our effective project providing health care for the poor in Northern Uganda. Please look again. It should be stimulating and your interest will encourage our efforts.

In the meantime check out our Leaflet. It folds into 3 when printed. It has two pages.

Also you might like to look at our video.- a bit out of date but gives an idea of what we do.  UTube Video (Do look at the "bye, bye" at the very end of the video - the fun bit!)

On behalf of one of our little patient pictured here and the whole Gulu Connection team including Carol and I - Thanks for looking

Pete Hill
(dnuds321@gmail.com)


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Can you Help? Can you Give?
Some Ideas on How you can help including giving money. Please click this link