Clinic

“Taking Christ-centred health care to the villages”




The clinic began in 1998 in rented premises in the village of Bukhaweka, and Dr Jan travelled there every day. Land for a purpose-built clinic was purchased in 2000, and the completed building was opened on 1st January 2005. There is now a permanent staff in place at the clinic and Jan now attends each Tuesday, the local market day.

Current situation
The clinic is now run and overseen by Betty, a registered nurse, who has a vision to serve the village people and so the clinic is running well. They handle the usual range of ailments and injuries, but specific areas include deliveries, vaccinations, malaria and HIV AIDs.

About £5,000 per year (in addition to contributions by patients) is needed in order for the clinic to function.

Deliveries

The birth of babies is attended in the villages by traditional birth attendants (TBA). In spite of offering training and sterile delivery kits, the TBAs are reluctant to embrace the safer methods and the infant mortality rate is high. So that remains an area of concern. The clinic has a 3-bed ward and is able to handle deliveries of babies with trained midwives. Currently, they are averaging 2 deliveries a week. Considerable quantities of baby clothes were donated from the UK. These will be offered to women delivering in the clinic as an incentive to entice ladies to deliver in clinic. Thus there will more safe deliveries and improved survival rates of new-born babies.

Vaccinations
The vision for taking vaccinations out into villages is moving forward rapidly. Each month there are significantly more children vaccinated—so much so that last month they ran out of vaccine.

Malaria
Malaria is still Africa’s big ‘killer’. The strain in Uganda is resistant to the usual proguanil / chloroquinine prophylaxis. Currently, the clinic is handling about 2 malaria cases a week.

HIV / AIDs
The overall incidence of HIV AIDs in Uganda is in excess of 6%. The clinic is now able to conduct ‘on the spot’ AIDs testing with quick results.

Solar Power
There is no mains electricity in this rural area. In 2008, Dave Downer (Basingstoke) raised funds for and installed a special solar-powered vaccine fridge (to replace the existing gas-powered one). After several initial problems, the new system is running well.
Solar-powered lighting is functioning well and in fact the nurses have a nice little sideline charging mobile phones for villagers!

Laboratory Facilities
There is the need for a small laboratory at the clinic which could be staffed by the laboratory technicians from the hospice lab. It would involve building a further room. The clinic would then move up the government scale from Clinic Level II to Clinic Level III. This would doubtless attract many more patients.

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