ESTABLISHING A MODEL MATERNITY UNIT AT BOMANI DISPENSARY
A PROJECT OF THE ROTARY CLUBS OF MTWAPA, KILIFI COUNTY, KENYA
Founded in 1995, the Bomani-Malde Dispensary is located at the centre of the rural community of Bomani on an approximately 2.5-acre community parcel with perimeter fence. Having started as a community, not-for-profit clinic, the dispensary is now governed by the County of Kilifi. The dispensary is well embedded in the local community. Close co-operation and association exists between the dispensary and the nearby North Coast Medical Training College in the fields of knowledge transfer, equipment and personnel. Both preventive and curative healthcare are offered to the local economically-challenged population. The present focus areas of healthcare at the Dispensary are: family Planning, HIV-care, malaria, chronic diseases, especially diabetes and hypertension, as well as immunizations and maternity care. The Dispensary has a permanent staff of four medical and 3 support personnel; it also works through a group of community health volunteers, it is supported regularly by a group of Dutch doctors. The Bomani Dispensary provides low-threshold care in a very authentic and poor region of Kenya.
PRESENT MATERNITY CARE
Although Bomani Dispensary provides antenatal care and mother-and-child care for many women in the vicinity, care during labour and delivery is barely provided for due to lack of proper facilities and equipment. Kenya ranks among the countries with the highest maternal mortality rates in the world; currently around 500 maternal deaths per 100,000 newborns – about 50 times higher than in many Western countries. The statistics from Kilifi County are even worse and show about 20-25 women dying every month through pregnancy-related problems in a population of only about 1.2 million. Almost all these deaths are preventable with appropriate care. Contributing to this high mortality rate are:
Bomani Dispensary provides basic antenatal care (history taking, physical examination and provision of preventive medicine for malaria and anaemia) to many of the women in the locality. However, actual deliveries at the facility are very low considering the need. Approximately 5-6 births/month take place at the facility, whereas there are about 90 deliveries every month in the area. The reason is that due to lack of facilities, proper maternal care during delivery cannot be provided. Most of the women stay at home for the delivery whereas some go to other health centres or hospitals much further away. The few deliveries per month are done in a part of the dispensary that is normally used for giving vaccinations and other injections. In addition, the absence of post-natal facilities forces the dispensary to send women home immediately after delivery. It is impossible to conduct a 24 hour ‘watch over woman and child’ to prevent post-natal complications from becoming dangerous and life threatening.
It is against this background that the Rotary Club of Mtwapa wish to support the Dispensary to improve provision of care during labour and delivery by establishing a model maternity unit at Bomani Dispensary to extend its ability to provide more and proper maternity care with up-to-date, dedicated facilities. Projected maternity care should be realized for at least 25-30 women per month and possibly many more. With this project we intend to support the maternity care expansion by:
We have received support from Dutch and US clubs as well as other D1070 clubs plus support from German, Swiss and Kenyan charities and NGOs - a truly international project.
The project has been approved by The Rotary Foundation and the grants paid and is due to start construction activity by 30 Nov 2020.
more Our project 2016/17 delivered with benefit of a District Grant
more Defibrillator 2017/18
more A project to help AIDs orphans cared for by the Mango Tree Trust in Western Kenya - with the help of a Rotary District Grant
more Provision of a community access defibrillator for Uppingham with the assistance of a Rotary District Grant
more Club participation in a project to provide playgrounds in Mbale Uganda
more A joint project in aid of East African Playgrounds
more Club participation in District 1070 Uganda Motorbike Ambulance Project
more Our 1st Foundation grant project. Handover of an autoclave by members of the Rotary Club of Accra(West) on behalf of Uppingham to the Ghanaian Ministry of Health for use in eye surgery camps.
back Each subject covers one of our major projects