Health
 Uganda
Project #12354

Rwenzori Rural Health Services - an FCDE Partner

by Foundation for Community Development and Empowerment
Vetted
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Subject: Global Giving Report from RRHS –Uganda-East Africa. Rwenzori Rural Health Services (RRHS) appreciates global giving for supporting the community clinic in Rukoki Sub County, Kasese- Uganda East Africa. Below is an update of the impact that has been created in the period starting 13th May 2016, to 12th August 2016; through your support; where the lives of 7276 people have continued to be touched.

Impact realized between 13th May 2016 to 12th August 2016

Women that came for daily antenatal services 95

Deliveries performed 7

Out patient 162

Approximate Percentage of persons not willing to deliver in a Health facility.

Income realized from Clinic, user fees, in three months. 2,053,200/=

Income raised by the village bank and in circulation. 2,150,000/= 

The village bank helps members to solve immediate pressing needs, occurring any time.
 


Community members have continued to plan for the clinic where they agree to continue paying subsidized costs for the services they get at the clinic. The user fees paid is used for restocking of drugs and paying off monthly allowances for the Nurses. Although it is not always enough.


I am happy to report that in this period, we created partnership with Vitamin Angels Organization - and supplied freely Vitamin A Supplement and dewormers to 257 children less than five years; Cared for 39 in patients that were brought in while severely sick and 162 out patients.

During this period again, the international operations manager; (FCDE) visited our Clinic project to discuss progress and took a short video clip to share with other intending partners. We have received a massage from foundation For community development and empowerment, Kasese –Office announcing the approval of funds to help us equip a medical laboratory test centre at RRHS Clinic for which are extremely pleased.

Despite the successful running of the clinic, we’re still seeking funding for Reasons,

Facilitate Nurses during Outreach services in difficult to reach areas; taking Health services and medication. ( Such as Kisondo Village)

Lack of enough Drugs/ Stock

Limited Financial resources.

The user fees patients pay on Discharge is not enough to maintain routine purchase of drugs and payment of Nurse allowances.

To find a means of covering up the allowances of one Nurse for at least (12) months.

There is need to be supported to pay off allowances of one Nurse for at least 12 Months.

Constructing a latrine at the Clinic for excreta disposal. For reducing transmission of diseases. The current pit latrine is in a sorry state.

Once the above activities are successfully done, the clinic will provide quality services as expected by the Uganda Ministry of Health.
Thank you very much again, for supporting RRHS towards achieving its objective of improving rural health services.

RRHS and FCDE staff. (Stories below)
Success stories:-


I personally thank the lord for leading the Director Mr. Charles RRHS to our community, we look at Charles as a savior, because he initiated a clinic, linked FCDE, and Global giving to this community to mention a few. We are indeed very pleased. On 20 July 2016 at my home, I survived death after taking plenty of alcohol. I was brought at RRHS for treatment while in a critical condition. A few hours while at RRHS Clinic, I recovered and said “I was dying this clinic has come to safe our lives.” Said by Masereka Jocknus


 I thank the management RRHS for starting the clinic in our area. My daughter has been admitted to this clinic three times since November 2014. Because the clinic is near my home, I find it very easy to take care of the sick, and the young ones that are left at home. It continues to be my prayer that this clinic should prosper up to the extent of performing caesarian sections and laboratory services. We are so for great full for the services rendered. Said by: Sarah Kabarwani

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Attachments:
Community Dialogue meeting
Community Dialogue meeting

                                                                           Date: 13/May /2016                         

Subject: Global Giving Report from RRHS –Uganda-East Africa.

Rwenzori Rural Health Services (RRHS) appreciates global givers for supporting the community clinic here in Kasese- Uganda East Africa. Below is an update of the impact that has been created in the period starting 1stFebruary 2016, to 11th May 2016; through your support; where the lives of 7276 people have continued to be touched

Impact realized between 1st February 2016 to 11th May 2016

  1. Women that came for daily antenatal services = 63
  2. Deliveries performed = 03
  3. Outpatient = 136
  4. Approximate Percentage of persons not willing to deliver in Health Centre, including the new village = 60%
  5. Income realized from Clinic, user fees, in three months is Ugx: 1483,750 or USD.449
  6. Income rose by the village bank and in circulation. The village bank helps members to solve immediate pressing needs, occurring any time = 1800,000/=, USD: 545.

Community members continued to plan for the clinic where they agreed to continue paying subsidized costs for the services they get at the clinic. The user fees paid are used for restocking of drugs and paying off monthly allowances for the Nurse, although it is not always enough. 

During this period, I am extremely happy to report that we conducted two community events. All events focused on publicizing the clinic locally. The December 27th 2015 event was a dialogue on the Value of educating a girl child and having a rural clinic in the area. Stake holders and people of integrity attended the function. The April 2016 event was about Celebrating RRHS Good Deeds. All this was looking at creating awareness about the existence of the clinic.

More still, we have created partnership with Rwenzori School of Nursing and Midwifery –Kasese-Uganda. Student Nurses on program come to support RRHS staff in promoting   preventive Health services. During this kind of exercise, Home to Home programs are designed to help rural based families. In this quarter, 60 rural based homes have been reached. During this exercise, community needs are documented. And will be shared with development partners on line and in practice.   

Despite the successful running of the clinic, we’re still seeking funding to:

  1. Facilitate Nurses during Outreach services in difficult to reach areas; taking Health services and medication.
  • Reason:

RRHS-identified difficult to reach areas, where people completely still lack health service.  And We plan to always take health services there on program

  1. Purchase Drugs /Re-stocking drugs
  • Reason: The user fees patients pay on Discharge is not enough to maintain routine purchase of drugs and payment of Nurse Allowances.
  1. To find a means of covering up the allowances of one Nurse for at least (12) months.
  • Reason: There is need to be supported to pay off allowances of one Nurse for at least 12 Months.
  1. Painting/ Vanishing the Clinic walls to give a good appearance.
  • Reason: There is need to paint the clinic walls outside to give a good view.
  1. Constructing a latrine at the Clinic for excreta disposal.
  • Reason: For reducing transmission of diseases.

                       The current pit latrine is in a sorry state.               

Once the above activities are successfully done, the clinic will provide quality services as expected by the Uganda Ministry of Health.

Thank you very much again, for supporting RRHS towards achieving its objective of improving rural health services.

 

Thembo Charles

RRHS and FCDE staff.   (See success Stories below)

                            Success stories: - (Below)

I did not know that suturing can be done in a rural clinic, by just a nurse.  I thought that suturing is done by doctor. The RRHS December event benefitted me very much; after being sensitized about all services done at the  RRHS clinic, I personally came to the clinic for suturing after a motorcycle accident. Surprisingly; the nurses sutured me nicely and professionally. Long live RRHS, Long live FCDE and Global givers. Said by Yokonia.

My name is Magezi, I have 14 children, and two wives.  All of them are not in school. After the RRHS April 2016 community event, I learnt that planning a family is good. One can have a baby at the time of wish. And one can plan projects where he can get funds to educate his children. After the RRHS Event, I shared with my wife, and we decided to take a family planning method of choice. With this method, we are happy. We credit RRHS for celebrating her Good Deeds day.

Take a look at the photos attached to have the feel of what has taken place. (JPG pictures will be attached.)

Community Dialogue.                                                                                                 

                     

Home visit
Home visit
Apetient  cheking her blood presure
Apetient cheking her blood presure

Rwenzori Rural Health Services (RRHS) extends its appreciation to global givers for supporting the community clinic here in Kasese- Uganda East Africa. This is an update of the impact that has been created in the period starting 1st November 2015, to 31 January 2016; through your support; where the lives of people have continued to be touched. During this period, we discovered that one more village called kisondo with a population of approximately 3,776 also benefits from our services. This increases the population that we serve to 7276 instead of 3500.

Impact realized between 1st November 2015 to 31 January 2016.

 

  1. Women that came for daily antenatal services ..................... 52
  2. Income raised by the village bank and in circulation ....................,Ug Shs 2,400,000/= USD 685.

 

Community members continued to plan for the clinic where they agreed to continue paying subsidized costs for the services they get at the clinic. The user fees paid are used for restocking of drugs although it is not always enough.

During this period, I am extremely happy to report that we received a contribution from the RRHS Board members worth Uganda shillings eight hundred thirty thousand one hundred shillings only 830,100/= part of this money, shillings six hundred ten one hundred shillings (610,100) only was used to purchase assorted drugs for common diseases to the clinic in order to serve the community well. And two hundred twenty 220,000/= was used to purchase a wooden board for safe storage of drugs.

In addition to the contribution from the board this quarter, RRHS employed two qualified enrolled compressive nurses to render quality services in this rural community, and to ensure that money/ contributions from the board and from the external community is used very well. The decision of taking up the two new nurses was following a request from our previous Nurse who worked with us in the month of November requesting to be relieved from work having got married and relocated to another place with her husband.

This quarter, we struggled and installed a small wooden signpost at the trading centre in Kisondo a newly discovered Village to create awareness and direct people to the clinic. The Distance from the Clinic to Kisondo Village is approximately (12) Kilometer deep in the rural where health services does not exist.

As a means of sustaining the strategy of paying user fees to the clinic, RRHS has continued to build capacity of the members of the SACCO (village savings Bank) to improve on their legal process, the Village bank is now a member of the District Development Network; the Bank in this quarter, accumulated shillings two million four hundred thousand in circulation, with 47 Members. On 31 January all Sacco members gathered to share their savings in preparation for taking children back after the long Holidays. Total savings shared had accumulated to five million six hundred thousand 5,600,000 as from 10th January 2015.                              

Despite the successful running of the clinic, we’re still seeking funding to:

 

  1. Facilitate Nurses for Outreach services in difficult to reach areas; taking Health services and medication.

  2. Painting/ Vanishing the Clinic walls to give a good appearance.

  3. Constructing a latrine at the Clinic for excreta disposal.

 

Once the above items are obtained, the clinic will provide quality services as expected by the Uganda Ministry of Health.

 

Thank you very much again, for supporting RRHS towards achieving its objective of improving rural health services.

 

 

                           Success stories:-

We have been spending much money for services that are now being offered freely in RRHS –Clinic. I used to spend thirty thousand shillings per week to monitor my blood pleasure, but now RRHS is offering this for me freely at any time. This has contributed to my health. Because it costs me no money to talk to RRHS Nurse and to know my blood pleasure. It is my wish that RRHS and partners live forever.

Hypertensive Patient.

Today I have realized that RRHS is not for profit making, but for service giving. I have been admitted for four days at RRHS Clinic, and I thought I would sell part of my assets to pay medical bills. But the nurse told me to pay only thirty thousand as user fees. (30,000) USD 8. Yet I have been receiving total care. If I had money; I would support this facility further.

 

 

 

 

 

 

 

 

 

 

        

Apetient  being cared for by the facility nurse
Apetient being cared for by the facility nurse
members saving in the SACCO
members saving in the SACCO

Rwenzori Rural Health Services (RRHS) extends her appreciation to global givers for supporting the community clinic here in Kasese- Uganda East Africa. This is an update of the great work and impact that has been done at the clinic in the period starting 1st August 2015 to 31th October 2015; Your support has continued torching the lives of approximately 3,500 people in the community of Kabughabugha, Rukoki, Kasese, Uganda.

 

During the period August-October, I am pleased about a grant that we received from GlobalGiving through FCDE worth $1,004. The grant was conditionally used to purchase assorted materials for the community clinic. The clinic materials that were purchased among others included 1 table, 2 patient seats, 6 Patients bed side drawers, 6 stools, 2 patients mattresses, 1 refrigerator, 1  blood pressure  machine, 1 stethoscope, 3 galipots, 3 kidney dishes, 2 thermometers and 3 buckets. Part of the grant was used to facilitate construction of the ceiling in the remaining big room to the clinic.

 

Due to the purchase of the above items, service delivery at the clinic has improved and has attracted more community members to access the services as one community member noted “Nobody knew that a health facility like this one would be constructed in this rural place. I Thank the management RRHS for being consistent on the objective of improving rural health services. Nice to see wooden stools for care takes to seat on, a ceiling in the clinic completed and all the items that have been equipped in the clinic. RRHS has saved this community from walking long distances in search of good health services. The services are now near us”

 

The table below indicates the number of community members who received different services at the clinic during the period August-October 2015.

 

Mothers who attended antenatal care services-48

Safe deliveries performed 13

Out patients who turned up with different cases including malaria, respiratory tract infections and  stomach pains-91

Children immunized-57

HIV/AIDS counseling and testing-37

 

Despite the successful running of the clinic, the following are still lacking and RRHS is seeking more support from GlobalGiving donors to address them:

  1. The clinic is being run by volunteers who offer nursing services. Part of the user fees collected at the clinic is used for paying small monthly facilitation for the Nurses and purchasing the drugs. RRHS is still mobilizing funds to cover up monthly stipend of one Nurse for at least (12) months.
  2. Painting/ Vanishing the Clinic walls to give a good appearance. Any health care centre requires to be well vanished and this is a requirement by the Ugandan Ministry of Health. The community has worked to ensure that the walls of the clinic are plastered. RRHS is mobilizing resources to do wall finishing and outside painting.
  3. Constructing an improved pit latrine at the clinic for excreta disposal. The clinic is visited by many people because of the improved services and the existing latrine is getting full. An improved pit latrine that can be empted is required in order to reduce the recurring costs of constructing new ones.

Thank you very much for supporting RRHS towards achieving its objective of improving rural health.

 

Take a look at the photos attached to have the feel of what has taken place. 

This is an update of the impact that has been created by RRHS community clinic in the period May to first week August 2015. Through your support; the lives of 3,500 people have continued to be touched.

Here is some progress and impact realized:

  • 68 women received antenatal care services
  • 8 safe deliveries were performed
  • 77 community members visited the clinic to be treated of different diseases. 
  • In a survey that was conducted in July 2015, 60% of the community members are aware of the importance of delivering under the attention of trained health workers. Community members surveyed were able to tell at least 3 effects of delivering without the assistance of a trained health worker.

In June 2015, the FCDE International Operations Manager based in the US visited the clinic and shared with the staff including the nurses the future development strategies of the clinic. The International Operations Manager together with an intern who worked with RRHS for six weeks from July 2015 recommended the purchase of a hygienic close to use in the Autoclave during sterilization of medical tools to avoid infections.

The intern also supported RRHS to develop a proposal and secured a seed fund to help RRHS to generate income to sustain the clinic operation. The income generating project is about setting up an apiary to produce honey for sale. Eight beehives were purchased and installed, one protective suit and a smoker to be used to harvest honey were also purchased using the seed fund. The seed fund was also used to register the apiary as members to Bunyagambu Bee keepers cooperative based in Fort portal Uganda which is an umbrella cooperative of bee keepers. The seed fund also facilitated RRHS to register the community clinic with Uganda Nurses and Midwives council in Kampala.

As a means of sustaining the strategy of paying small user fees for the clinic for sustainability purposes, community members established a savings and credit scheme where they borrow some funds they use to access the clinic services. The savings in their Village Bank “Kigoro 1 community SACCO” has increased to Uganda shillings 1,705,000=

Despite the successful running of the clinic, a lot is still lacking in terms of purchasing basic equipment which is beyond the capacity of the community user fees.

We’re continuing seeking funding to purchase the following:

  1. Paint to paint the clinic walls outside to give it a good looking.
  2. Patient’s seats/ furniture
  3. New born baby weighing scale
  4. Complete the ceiling for the only remaining big room.
  5. Purchase a refrigerator to keep injectable and gas cylinder to provide power to the refrigerator in a rural setting
  6. Covering up monthly allowances for at least one nurse as the apiary projects develops.
  7. Helping RRHS to put in place a latrine that can be emptied to avoid re-curing construction costs.

Once the above items are obtained, the clinic will improve on the services it provides to the community.

Thank you very much again, for your support.

Please share some of the stories from the community:

  1. I had never tested for HIV/AIDS since I was born 1974.  Because I thought that it may cost a lot of money. But when I attended RRHS health talks, I decided to test voluntarily and I incurred a little cost. The results came out positive and the RRHS Nurse ensured me of living longer if I started taking ARVS. The next time, I convinced my colleagues also to test. Four of them were positive also. Following the advice of RRHS Nurses, I hope that I will live longer than if I did not test and know my status. I and my colleagues have decided to form a Positive Living Group so that other community members who are positive of HIV can join us and get HIV/AIDS services..
  1. I Thank RRHS for the services it is providing to the community.  It has improved most people’s ways of living. Mothers no long walk long distances looking for maternal health related services- such as family planning etc.

Please take a look at the photos attached to have the feel of what took place.

 

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Project Leader:
Eric Younger
Ketchum, ID United States
$2,345 raised of $6,700 goal
 
12 donations
$4,355 to go
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