30 VHTs received training in mental health from Nipissing University, which was aimed at equipping them with skills to identify and refer patients with mental illness. This was followed with 3 outreaches (2 in the settlement and 1 in the host community) to raise awareness on mental health. The community was sensitized on the prevention of mental illness and relapses and educated on how to provide support by referring cases to a health facility.
RMF ensured that Panyadoli Health Centre III has essential medicines needed for the management of mental health conditions.
Nutrition Week was held both in the settlement and the immediate host community. RMF continued to enroll malnourished children and pregnant and lactating women (PLW) in the outpatient therapeutic care (OTC) and SFP programs. Overall, 173 new individuals were enrolled.
RMF continued to facilitate the demonstration gardens, which were set up in order to guide mothers and other patients at the facility on how to achieve a balanced diet in an affordable and easy way, at Panyadoli Health Centre III as part of our growing Nutrition department.
Lifesaving medical treatment and preventive health services were continuously provided to the refugee and host communities through outpatient, inpatient, maternity, nutrition, ART, and outreach services. Thanks to this comprehensive health coverage, very few lives were lost.
Persons of concern have expressed increased confidence in the health facilities as well as in RMF and the treatment being offered. During the reporting period, all patients that came to the health centers were treated, and those whose conditions were beyond the capacity of the health facilities were referred accordingly.
The program received a container of medical equipment from the HUDO Centre through Real Medicine Foundation, further boosting operations at Panyadoli Health Centre III, especially in the new Operating Theatre.
RMF has been able to eliminate unnecessary referrals to the district and national hospitals. This has been achieved because RMF now has 4 medical doctors based full-time in Kiryandongo, including a competent surgeon who is conducting most of the surgeries at the nearby district hospital. This has helped to eliminate deaths that could occur because of delayed surgical procedures and has strengthened RMF’s cooperation with Kiryandongo Hospital and Kiryandongo District’s local government.
RMF believes in immunization and encourages all mothers to bring their babies in for immunization against deadly diseases. Continuous immunization of all under-5 children living in and around the settlement was implemented through the health facilities and outreach activities.
RMF successfully celebrated World Refugee Day, during which several activities, such as Ebola screenings and HIV testing, were held. Medical screening of new refugees at Kiryandongo Refugee Settlement was effectively performed during the reporting period. Screened 58 (21 male, 36 female, and 1 gender non-conforming) clients for war-related illnesses and injuries. All 58 required medical rehabilitation.
On-the-job mentorship is ongoing at the health facilities. In an effort to contribute to the empowerment of communities, we run an internship program.
80 VHTs were trained by Kiryandongo District Local Government on Community-Led Total Sanitation as one of the approaches to disease prevention. 28 VHTs in the settlement were supervised by PATH on the self-administration of the family planning method Sayana Press. 35 VHTs were trained by Kiryandongo District Local Government on communicable and noncommunicable diseases.
The Panyadoli Health Centres, located in Kiryandongo Refugee Settlement near Bweyale, Uganda, provide healthcare services to over 100,000 refugees from Kenya, South Sudan, DR Congo, Burundi, and Rwanda, as well as members of the host community.
Sharon Aweko is a Ugandan national living with her grandmother in Kombe village in Kiryandongo District. Her parents are divorced, and because of the divorce, Aweko’s mother left her with her father. The father did not have the capacity to look after the baby, and therefore handed her over to the grandmother.
Our Nutrition Officer explained that Sharon was admitted to the Inpatient Therapeutic Care (ITC) unit with grade II edema and grade III dermatosis. At the time of admission on June 10, 2019, Sharon weighed 9.5 kg due to edema. Sharon presented with signs of open wounds on the body, pale skin, and brownish hair. However, she was conscious. During her hospital visit, Sharon’s condition improved, and she weighed 8.9 kg.
She was treated with Formula 57 (F-75) therapeutic milk, which was given twice hourly, 12 times per day, as well as antibiotics and zinc oxide in intensive care at the Panyadoli ITC unit.