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Buwenge Hospital
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Dilapidated Structures
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Buwenge Hospital
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Childrens area
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Gifts
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Gifts
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Gifts
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Gifts
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Chigger problem
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Chigger problem
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Chigger problem
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Outreach
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Buwenge Hospital

BACK GROUND ON BUWENGE HOSPITAL • ELOI MINISTRIES got into a partnership with Buwenge Hospital in 2013 with the main objective to rehabilitate the health facility and revamp the services for better. • Buwenge Hospital and Medical Centre is a rural based health Centre in Buwenge Town Council in Jinja District. Initially, it was in care of the Uganda Muslim Medical Bureau but now it’s Under ELOI MINISTRIES. • The institution is set up to provide quality health services: preventive, curative and health promotive such as counseling services with an aim of improving the quality of health in the community on behalf of the Jinja District Local Government and the Ministry Of Health. Mission & Objective statements of Buwenge Hospital.raining.
VISION STATEMENT:
• “To gradually develop into a Hospital that is well equipped and able to offer efficient and sustainable care in Jinja District and the whole nation. Objectives:
• To improve on the quality of the life by offering accessible, adequate, safe, reliable, efficient and sustainable customer care • General planning, implementation , monitoring and evaluation of health activities • To facilitate and encourage health, workers skills and knowledge level • To build, promote and maintain community linkage for improved net working with all stake holders in provision of quality health services.
KEY ACTIVITIES/FUNCTIONS
• Provision of curative services-outpatient and inpatient • Provision of antenatal services normal and post Natal services including PMTCT (Prevention Of Mother To Child Transmission) service • Provision of reproductive health and Family Planning services including Norplant insertion among others. • Integrated home visiting and outreach services • To plan for provision of quality health services and ensure quality implementation, monitor and evaluation on such services • To give support to village health teams(VHT) to enable them give quality services • Provide ART Clinic-Anti retroviral treatment clinic • Provision of mental health services Minor and surgeries e.g. caesarean section and hernia

Services given at the Buwenge Hospital

FREE SERVICES OFFERED AT THE CENTRE • Ante natal care/ post natal • In-patient treatment (Children below 8years) • TB Testing and treatment • Immunization • Outreach and home visiting • HIV voluntary counseling and testing • Health Education • Psychosocial support and therapy

Challenges in the Buwenge Hospital

    Maternal-Child health service gap

  1. Administrative and managerial challenges
  2. Insufficient Government support visa vie its mandate
  3. Limited funding to support hospital mandate

GENERAL CHALLENGES

  1. Distance & Population
  2. Buwenge Sub County has a population of over 1,130,561 people with only one health facility to serve the community. In case of emergencies that cannot be handled by the hospital the next referral hospital is about 27km away which poses a danger to patient’s health.
  3. There is no transport facility to the next referral hospital. The hospital needs Ambulances to transport patients in and out of the health center.
  4. The hospital is not well equipped and is under staffed to handle most cases as a solution, they are referred to the main hospital yet some cases can be handled by Buwenge Health center.

Continuation of general challenges


Dilapidated structures All wards are in serious need of renovations but those that pose real life danger is the maternity ward for instance as seen in the picture below. It’s a health hazard for mothers and new born children. Dilapidated structures The Toilets are a danger to the patients’ health let alone causing accidents when in use as seen below. It’s not disability friendly.


MORE STRUCTURES THAT NEED REHABILITATION-Laboratory room

MEN’S WARD and CHILDREN’S WARD

Administrative and managerial Challenges of the hospital

  • Drugs-The government is not currently supplying essential drugs and medical sundries.
  • Compliance to medical process and documentation and this is due to structural and organizational issues.
  • Right doctors /specialists-The hospital does not have doctors. They depend on nurses who may at times fail to make a proper diagnosis.
  • Under staffing. The hospital lacks adequate manpower. Buwenge hospital handles a high birth rate of up to 80 deliveries a month and not enough support. (human resources, equipment & drugs)
  • A summary of the current status of affairs (Human resource) is below. The hospital requires full time staff to run the hospital efficiently.

The table shows what's currently on ground and the expected minimum number.

HUMAN RESOURCE Required NO. Current NO. GAP
Medical Officers 2 2
Registered Midwife 2 2
Registered Nurses 2 2
Clinical Officers 3 2
Anesthetic Officer 1 1
Anesthetic Asst. 1 1
Enrolled Nurses 4 3
Nursing Assistants 5 2
Dispenser 3 3

MORE ADMINISTRATIVE CHALLENGES

  1. The hospital does not have the following in place:
  2. Incinerator
  3. Mortuary
  4. Blood Bank
  5. Medical equipment(List of equipment attached at the end of slide)
  6. Ambulances
  7. Field vehicles to transport staff for out reaches and mobile clinics

PRIORITY LIST OF EQUIPMENT

S/no. Item Specification Quantity
Lab Dept Incubator Machine 1
Electric Centrifuge 1
Blood Bank Fridge Solar Fridge 1
RPR Shaker Machine 1
Sterilizer 1
Lab Reagent Fridge 1
Maternity Weighing Scale 1
Delivery Sets 3
Heater 1
Cheetal Forcepts Container 3
BP Machine 1
Treatment Room Marchinitoch Long 1
IV Drip Stand 1
Featol Scope 1
Sims
Administration Computer Set 1
Projector 1

FINANCIAL CHALLENGES in buwenge

  • The hospital lacks funding at the moment and is running on a stringent annual budget of 319,118,000/= (nearly $127,492 annually). We are working out a budget that the hospital can run on comfortably and we share it with you as soon as possible.
  • The implications of such a stringent budget are as follows:

  • Staff get delayed salaries and at times are not paid at all this affects motivation
  • The hospital can hardly cover its operational costs
  • They may not be able to pay for hospital supplies etc.
  • Proposed solutions

  • Buwenge Hospital should be considered for Primary Health Care (PHC) funding in order to rehabilitate some of hospital structures like the maternity /delivery room and toilets and completion of some blocks like the mortuary, incinerator, etc. as mentioned earlier and also purchase of key hospital equipment as per the attached list at the end of the slide.
  • Government intervention in terms of supplying essential drugs and recruiting medical staff, doctors, enrolled nurses, clinical officers, midwives that are on government pay roll.
  • Supply the hospital with basic essential especially for expectant mothers : maternity kits with basics, cotton wool, sanitary towels, mackintosh sheets, mosquito nets etc.
  • SOME OF ELOI MINISTRIES’ CONTRIBUTION TO BUWENGE HOSPITAL AND COMMUNITY.

  • ELOI ministries introduced and trained Buwenge staff on a liquid soap making project. Four jericans of liquid soap were made enough to last 6 months and also some was given to staff members.