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 Health  Uganda Project #9919

Provide health care to 25 villages in postwar Gulu

by Karin Community Initiatives Uganda
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
Provide health care to 25 villages in postwar Gulu
malaria
malaria

Beatrice had been suffering from severe headaches for days, using traditional medicines, with little improvement. By the time she reached the clinic, she was shivering with cold and hardly able to walk. Alex recalls the state his wife was in when they arrived in the clinic. He was glad to decide to bring her to the Karin clinic, the clinician was very competent and handled her case with urgency.

 "My wife was unable to walk by the time we reached the clinic. She was diagnosed with severe malaria.” Alex said. “They gave her medicine, and I noticed that with the intravenous treatment she was given, her energy began to return. She turned to me and asked where she was? Obviously, she did not know how she got there” 

 Alex is now more conscious of the dangers of malaria. He now realizes that he could have lost his wife if it was not for the quick treatment she received. He decided to purchase bed nets for all his family. He also learned that clearing around his home is important. “So I have to do what I can to ensure that my family is safe from malaria. I want to keep my children safe by sleeping under mosquito nets and seeking medical care if they get sick.” Alex added. 

 Malaria is a major public health problem and is endemic in approximately 95% of the country.  You can help to ensure that families like Alex's have access to mosquito nets, quality healthcare, and essential medications that keep them alive and healthy.

 

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A mother at Unyama maternity ward
A mother at Unyama maternity ward

In the previous year, Our outpatient diagnosis (OPD) for our two health facilities registered 3,453 patients for Agonga health facility and 3,360 patients for Unyama health facility totalling to 6,813 cases . Out of this, over 370 children have been immunised at our health facilities. Malaria which had the highest prevalence was at 1,676 higher than what was registered in 2016. Cough among children amounted to 826 cases and Pneumonia reduced to 263 cases.


As you can see, we are already on our path to building a healthier community with resilience. A community where mothers and children can access basic quality health care at an affordable cost.

We strongly believe that no mother should die while giving birth in this current generation. Bringing life to into this world should not suddenly result into an end of a mother's life. On 29 December 2018, 3 months from now, we launched our first annual fundraising dinner, a medical camp and charity run to raise money for equipping our new maternity ward at our health facility in Unyama, Gulu - Uganda. We were mesmerised by the huge support from the local community and other stakeholders. Mothers in Gulu now have hope for safe deliveries.

Despite the challenges, our continued community outreaches together with village health teams (VHT) continue to encourage mothers to take their children for routine immunisation. Our community outreach programs continue to play a vital role in educating families about nutrition. This explains the increase in the number of immunised children compared to the previous year. Outreach programs are also being used to senstize the community about our community health insurance (CHI), an insurance scheme we started to help mothers access healthcare at the lowest cost possible.

With your continued support, we are certain that women and children in our community will have the opportunity to access quality healthcare and live healthier lives. Vital drugs will be available in our health facilities and modern equipment will be acquired. When families are healthy, they are economically productive and can build wealth for-themselves.

Please continue supporting this project – you’ll help so many women and their families fight the malaria epidemic in our community and live productive lives.

Immunisation day at Agonga health facility
Immunisation day at Agonga health facility
Patients receiving medication in Agonga
Patients receiving medication in Agonga
Village outreach programs
Village outreach programs

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Strengthening our community right now is so critical to creating lasting change for women and families who are still having challenges in accessing quality health care. Over the previous months, we have launched a community health insurance scheme whereby families are given an opportunity to plan for their health and access healthcare at a very affordable rate. This has given us tremendous breakthroughs in our fights against the malaria epidemic, Pneumonia, Typhoid, and acute bacterial infections and other killer diseases. However, with the introduction of Physiotherapy at Agonga health facility, we have seen lives being changed tremendously.

Through Karin's Physiotherapy Program, women like Evelyn are now able to move their hands and shoulders after a fatal accident. Thanks to Sajal Sen and his physiotherapy team who are revolutionizing treatment in Gulu.

Evelyn 48, a resident of Laliya, Gulu, fell off a motorcycle commonly known here as Boda Boda. This happened 6 months ago and she dislocated her left shoulder. She later visited a government hospital after the incident and was advised not to move her hand and also return to the same facility after two weeks for further examination to determine whether it was alright for her to move her hand again. On her return after the two weeks, the doctor at Gulu hospital screened her again and recommended that she could now try to move her hand with little exercises when she returned to her home.

Like many other mothers in Gulu, Evelyn didn’t know the right exercises to do and five months later, her arm still couldn’t move and the pain was worsening. It’s in these excruciating times that she came to Karin health facility for an alternative option. Sajal, our physiotherapist saw her swelling arm and quickly started her on therapy. “Don’t touch my arm” she exclaimed, “It’s very painful” She yelled out. Without proper physiotherapy, such accidents are the leading cause of permanent disability in the community. After one month of constant physiotherapy sessions, Evelyn is now able to move her hand without pain, she can wash do her laundry with ease and carryout her other daily routine with joy.

Since it’s a critical time for women and children everywhere, Karin has ALSO ensured that child health and rights are central to providing universal health coverage for everyone, everywhere. This brings us to another story of a resilient little boy called Jonathan. Unable to walk or stand, he was admitted at our health facility in Agonga with little hope from his parents that his life would change to the better. Thanks to Agonga Physiotherapy team, after numerous therapy sessions, Jonathan can now stand on his own and walk. In a few months to come, Jonathan will be able to run and play with his siblings.

In Uganda 1 in 5 persons over the age of 5 years has a disability (Demographic and Health Survey 2006). According to the 2002 Population and Housing Census, disability prevalence was at 2 per cent amongst children. And at least half of Uganda’s population cannot obtain essential health services. Month after month, poor women strive to create a life for their family that’s financially secure, healthy, and fulfilling. And month after month, we’re committed to giving them the best health care and tools they need to achieve their goals. With partners like you, your continued support means a lot for these vulnerable women and children. Together we can fight poverty and disease out of our community.





 

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in safe hands
in safe hands

It is always a pleasure to share with you the progress of the work we do. Maternal Health still remains a challenge in Uganda, where every year there are 1,600,000 pregnancies and many of these pregnant women face the probability of living or dying while giving life. According to the World Health Statistics report 2015, maternal mortality is at 320/100,000 Matched with the poor health-seeking behavior (less than half of the Ugandan women deliver with a skilled attendant) hence the need for a demand-side intervention that engages poor and underserved populations.

Demand-side financing is a tool that is being utilized to improve the utilization of underused services among the poor and under-served populations by placing purchasing power as well as a choice of provider directly in the hands of the recipients (World Health Report 2010).

This is a different story for Flavia. Flavia was lucky to have delivered safely at a health facility, however, like many mothers in the rural settings, she did not know about the voucher plus services that we offer. Many women in rural areas in Uganda still do not seek the services of health facilities.

“I used to walk 12 kilometers to the main hospital for antenatal care and because of the distance sometimes I would skip my antenatal days. What could I do?, I had to attend to my garden too at the same time carry on with my small business selling groundnuts in the market,” she explained recently in Agonga. “It was not that important to me and I did not understand the importance of not attending antenatal care services”, Flavia shared her dilemma.

"This is my first pregnancy. However, when the labour started, I knew that I would not be able to make it up to the main hospital which is a far distance from my home, I had already walked many kilometers and was getting tired of walking. As I walked towards the hospital, I saw the signpost of the Karin Medical Services and decided to branch off to it. Within no time of my admission, I delivered a baby girl. The midwife was so encouraging that each moment that past, she encouraged me until I delivered. All the necessary items needed for delivery are at Karin. “I attended ANC (Antenatal care) only one time at the regional referral hospital leaving Karin Clinic behind, but I just can’t stop thinking of the services I got from here and imagining how much more I left behind. " Flavia continued with her experience in the clinic. "I am going to be the number one mouthpiece of Karin at my village in Cetkana," Flavia said whilst smiling down at the bundle of joy she was now holding. “ Expect more mothers from Cetkana. All my neighbors and friends should know about the Karin Clinic,” she added with excitement. “I was not harassed at all by the staff. I will come back next week to vaccinate the baby,” she promised the midwife.

The voucher system is aimed at boosting maternal health services. The demand side financing projects are expected to enhance and motivate attitude of health seeking, thereby improving health system performance and boosting facility deliverables as well as skilled birth attendance thereby contributing to the reduction of maternal mortality.

Expectant mothers like Flavia would not be served if it weren't for the support from donors like yourself. I encourage you to share our stories with your friends. I also encourage you to make recurring payments so that our services are not interrupted by lack of resources. 

I thank you for walking with us and if you need to know how best you can get involved, please do not hesitate to reach out to us, by inboxing us. 

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football as a means of communication
football as a means of communication

“Sport brings people together, it encourages creativity and also attracts positive energy. It breaks deadlocks and develops natural talents and skills,” said Ocaka, a 17-year-old youth leader, from Unyama village.

 

Sport does more than this – it draws vulnerable young people to programmes where they can receive critical information and services.  This is particularly important in the Unyama community of Gulu, where many people lack access to health services and information.

 

The main issue, many youth in the community say, is that it is difficult to access the health system. Some women, for example, even resort to giving birth at home rather than going to health facilities. For the young people, there is lack of information on the best means of accessing healthcare. 

 

The Karin Medical Centre combines sport and information by working with a local football club in the community to offer information sessions and workshops on a variety of topics, including how to access health services, as well as sexual and reproductive health. For the young girls that are not able to continue with their education due to early pregnancy, the football club encourages them to seek proper health care specifically targeting them and their unborn child. 

 

A door to engagement

Football attracts young people. And these activities offer their own benefits, such as promoting health and social unity.  The right to play is even recognized in the Convention on the Rights of the Child, the most widely ratified human rights treaty in the world.

“The activities that I participate in during the youth sessions boost my self-confidence and perseverance and introduce me to new friends,” Ocaka told the team from Karin Medical Centre.

 

Karin Medical Centre is using sports as an entry point for spreading critical messages. During their sports sessions, the health team conducts information sessions that offer accurate, non-judgmental information on sexual and reproductive health issues.

Sport can also teach mutual respect, collaboration and conflict resolution – lessons that fit neatly into messages about human rights and peace building.

“It teaches the values of teamwork, fairness, discipline, respect for the opponent and the rules of the game, which can be translated into our everyday lives,” said Moses, the Laboratory Technician at the Karin Medical Staff.

Every month, the Karin team works with the young footballers to reach out to more youth in the community.  So far over 300 youth have been engaged in this network.

 

We value the support that you give to us. Please also share your global giving page with your contacts and tell them why you decided to donate to us and why they should too.

 

We also encourage you to sign up for a monthly recurring donation today. 

 

Thank you for your support!

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Organization Information

Karin Community Initiatives Uganda

Location: Gulu - Uganda
Website:
Facebook: Facebook Page
Project Leader:
Hope Okeny
Gulu, Uganda
$19,166 raised of $94,053 goal
 
198 donations
$74,887 to go
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