Atiak Uganda Hospital Global Grant

The objective of this Global Grant is to bring state-of-the-art health care to the residents of Northern Uganda by providing medical and dental equipment for a new hospital in Atiak, Uganda.

Atiak Uganda Hospital Global Grant


Background. Through existing contacts with San Diego RC, Hexham RC was invited to donate towards this Global Grant project to provide maternity and dental equipment to a new Ugandan hospital. Seeking to raise $300000 by early September 2017, a generous San Diego Rotarian promised to match donations to provide $100000 of this sum. By contributing £750 (approx $1000), Hexham RC has secured a matching sum of $1000 DDF from District 1030, all of which will attract further RI matching so giving a total of $3500 to the project. This is before further matching by the generous San Diego Rotarian!

Ojective

The objective of this Global Grant is to bring state-of-the-art health care to the residents of Northern Uganda by providing medical and dental equipment for a new hospital in Atiak, Uganda. Initially the hospital will provide services ranging from surgery and anaesthesiology to maternity and child health for a population of 100,000 with a plan to expand to serve 500,000 people. (Because of its location near the border with South Sudan, the hospital is also expected to serve a substantial number of the 600,000 refugees that have fled the current civil war in that country.)

Community involvement

Radio announcements and focus groups were used to identify priorities and gain the commitment of the local people. As a result, the community of Pupwonya Parish donated five acres of land for a hospital, with the offer of more land if required to expand the hospital later. Community youth also voluntarily cleared the proposed hospital site. As a result, the major stakeholders came together to form a strategic partnership to design, build and staff the new hospital. The hospital is being built using local labour.

The hospital is owned by the Alliance for African Assistance, a Uganda non-governmetal organization whose Board Chair is the current Chief of Atiak, Richard Santo Apire. Mr. Apire graduated from the University of Nairobi with a degree in financial management and has been Chairman of Uganda’s Electricity Regulatory Authority (ERA) since 2010.  The Uganda Alliance has close ties to a sister organization in San Diego, California, that has donated funds for the hospital. The Executive Director of the San Diego Alliance, Walter Lam, is one of Teresa Ayiko’s sons, and is also a member of the San Diego Rotary Club. The Executive Director of the Uganda Alliance, Geoffrey Okello Openy, is a member of the Rotary Club of Gulu.

Area of Focus. The Rotary Area of focus for this project is Disease Prevention and Treatment. The Atiak hospital will receive modern medical equipment as detailed in the budget to enable the hospital to diagnose and treat a broad range of medical problems, including emergency, surgery, anesthesiology, x-ray, obstetrics, neonatal care, laboratory, pathology, and pharmacy.

Impact. The impact of this project will be measured initially by whether we successfully deliver the equipment in this proposal to Atiak and set it up in working order with technicians trained to operate it. In additon, the Rotary Club of Gulu will monitor the equipment during the first year, to insure that it is being maintained in good working order.

Local funding source to ensure long-term project outcomes. The hospital will establish a fee schedule for services based on income, residence in the cummunity, and level of care. It will also enter into contracts to provide health and medical services with the Uganda Ministry of Health, other government agencies including the United Nations High Commissioner for Refugees, and with medical insurance companies. Additional funding will be sought from private sources on an ongoing basis.

Every item on this global grant will be in the sole ownership of the hospital at the end of the project.

Supporting information

Uganda has one of the highest rates of maternal and neonatal deaths in Sub-Sahara Africa. Infant mortality is 57.6/1000, compared to Europe at 4/1000. The rate of maternal death is also very high (1/47 compared to 1/5800 in Europe). Mortality for children under five is also high due to pneumonia, malaria, diarrhea, measles, whooping cough, tuberculosis, hepatitis and HIV/AIDS. The area has also been affected by Ebola and tropical diseases including sleeping sickness.

Who will benefit from this global grant? Uganda has the third highest birth rate in the world, at 43.4 per 1000 population. So the direct beneficiaries will include outpatient and inpatient care for an estimated 2,000 babies, their mothers, and their families. In addition, the new hospital will provide direct medical services for a population of 100,000 people. The grant will also improve the knowledge and skills of health personnel and staff who work at the hospital, and the hospital will provide an important source of jobs for the community.

Project implementation schedule.

No. Activity Duration

1 Project development and funding, two months July & August 2017

2 Sourcing and purchase of equipment, 6 months Sept, 2017 – Feb. 2018

3 Project handover, one month March 2018

4 Monitoring and Evaluation, one month May 2018

The community planning process was coordinated by the Community Development Office of Atiak Sub-County and the Atiak community under the leadership of the Chief of Atiak—a legally recognized position in Uganda, and the community donated the land for the hospital.

The hospital is named Teresa Ayiko Memorial Hospital in memory of Mama Teresa Ayiko, 1923 –1981, who was a daughter, wife, mother and grandmother of Atiak. She was married in Atiak to Tulio Lam, the son of Musa Bongorwot, Chief of Atiak, and had eight children, five girls and three boys and left many grandchildren, great-grandchildren and great-great-grandchildren. Mama Teresa also took care of many of her sister’s children and put them through higher education. She also cared for children of relatives, friends, and neighbors as well as orphans in the community. She would invite everybody into her home including many patients who visited a nearby hospital. She also visited patients in the hospital and brought them meals until they were discharged.

Training, community outreach, and educational programs.

The Chief Medical Officer, Dr Enrico Frontini, has been a pediatrician since 1973, graduated in Milano (Italy) and specialized in Kingston (Canada). He has 10 years’ experience in underdeveloped countries including four years in Gulu, Uganda. He has worked for several government and nongovernment organizations including the start-up of a children’s hospital in Kumasi (Ghana) and has contributed to the development of primary health care services in Balaka (Malawi). He has been a consultant to UNICEF in Rwanda, and to WHO in Kosovo, Afghanistan, Serbia, Darfur (Sudan). Under Dr. Frontini’s leadership, the hospital will provide continuous in-house training for staff and will develop outreach and educational programs for the community as well as for students in the undergraduate medical and public health programs at Gulu University. The hospital will coordinate training with community health clinics and community based health workers to engage the community. Special focus will be on partnering with community gatekeepers, male engagement and provision of socio-cultural sensitive messages for acceptability.

SUSTAINABILITY.

How will the beneficiaries maintain these items? We will ensure that all equipment and suppliers have both local retailers and local maintenance. Where necessary we will enter into maintenance contracts.

BUDGET

Equipment to be purchased for this grant. (The costs are estimates and the actual costs may vary. The current exchange rate for Uganda shillings (UGX) is 1 UGX = 0.00028 USD, or alternatively, 1 USD = 3592 UGX.)

Description Number Cost (USD)

Laboratory

binocular microscope 1 400

centrifuge electric angle head, 8 tubes 1 200

complete blood cell counter 1 10,000

thermostatic bath 1 500

minor equipment (tubes, pipettes) 2,000

malaria rapid test 2000 2,000

blood group reagents 1 200

HIV test 200 400

Hepatitis B test 200 400

Hepatitis C test 200 400

VDRL (syphilis test) 200 400

glucometer and reagents 1 200

saturimeter (pulseoxymeter) 1 300

total 17,400

Imaging

portable x-ray machine 1 70,000

developer 1 4,000

sonographer (echography apparatus) 1 70,000

total 144.000

Delivery rooms

delivery bed 2 1,000

oxygen concentrator 2 1,000

lamp 2 1,000

hospital bed 4 600

resuscitation bag (adult and neonatal) 4 700

warming table for infant resuscitation 2 1,000

suction apparatus 2 1,000

surgical instruments kit 2 500

vacuum extractor 2 500

total 7,300

Outpatient department

hospital beds 4 700

ambulance 1 70,000

clinical examination beds 8 2000

otoscope/ ophtalmoscope 4 2000

consultation room lamp 8 2000

computers, printers, back-up units 8 6000

total 82,700

Dental Equipment 50,000

Grand total 301,400

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