KITOJO WOMEN ACCESS FREE CERVICAL CANCER SCREENING

Thanks to a partnership with YAWE (Youth and Women Empowerment) and RHA (Reproductive Health Uganda), 47 women were screened for cervical cancer on May 15, 2016. An additional 16 women could not be attended to that day, so the exercise was repeated on May 23 when at least 45 women accessed the service. The screening protocol includes health education, HIV and blood sugar screening, blood pressure testing, visual inspection of the cervix using acetic acid (vinegar) and cryotherapy on any lesions discovered. Advanced cases of cancer are referred to specialists. On the first day, 3 women had  treatable precancerous lesions and one women was discovered with cancer. Cervical cancer is the most commom cancer in Ugandan women and every year 2,464 women die of the disease there.

Women line up for cervical cancer screening registration
Women line up for cervical cancer screening registration

KIDA RECEIVES AN EQUIPMENT DONATION FROM KENYA COMMERCIAL BANK, UGANDA

Rev. Musobozi has been active in soliciting support from sources within Uganda. In February he traveled to Kampala's Kenya Commercial Bank, Uganda (KCB) to apply for KIDA Hospital support. He was favorably received and promised a future delivery of some needed equipment. Delivery of 10 hospital beds, 10 mattresses and 10 IV stands occurred on March 30, 2016. Also a delegation of bank's department heads traveled all the way from Kampala to accompany the delivery. The event was covered by the Uganda press. The bank team was very impressed by the high level of cleanliness and attractive environment not seen in many Ugandan health facilities. One team member remarked "I am not surprised when you say this hospital was ranked best in the district last year". KIDA and FOR are grateful to KCB bank for their generous donation.

Rev. Ezra and KIDA Hospital personnel receive donation of IV stands from KCB bank officials
Rev. Ezra and KIDA Hospital personnel receive donation of IV stands from KCB bank officials

KIDA INTERVIEWS AND HIRES TWO HAIRDRESSING TEACHERS

By popular demand from the community, KIDA's Vocational School is adding another course to the menu of three skill training courses. Hairdressing will now be taught along with carpentry, tailoring and building construction. On March 15, a panel of hairdressing professionals from Fort Portal evaulated two candidates for the open position of Hairdressing Instructor.

Two candidates Peluce Businge and Richard Twikirze scored over 91% in the interviews which included skill demonstrations on a doll. They were both offered the opportunity to share the teaching position.  KIDA's goal is to enroll at least 10 students in the year-long course.

Richard Twikirze operates a successful hairdressing shop in Rwaihamba trading center, two kilometers from KIDA. When he began his training, he didn't listen to taunts from his friends that hairdressing is a female career. Now his friends are jealous of his good income. By teaching at KIDA, he wants to diffuse the negative mentality among men about the skill.

Richard demonstrates his hairdressing skill with a doll
Richard demonstrates his hairdressing skill with a doll
Peluce's hairdressing skill is evaluated by a professional panel
Peluce's hairdressing skill is evaluated by a professional panel

KIDA EMPOWERS WOMEN FARMERS

The UN has established new goals to achieve by 2030.  Goal #2 is to end hunger and improve nutrition. KIDA is engaged in a program to improve nutrition for women and their children (see previous article here). In addition they address the needs of women farmers whose work in the fertile, family-owned small farms of the Ruwenzori foothills provides the major food source. KIDA's SACCO microloans assist these women to purchase tools and seeds.

Kitojo women work hard to produce food for their families
Kitojo women work hard to produce food for their families

KIDA GETS A NEW MICROSCOPE

We don't know how long KIDA's lab technicians were struggling with an old reburbished microscope, but recently they reported that one objective was not functioning.  That made certain diagnoses more difficult. Baylor Uganda inspected the lab last fall. Although the lab passed inspection, they learned that they would get a higher licensing level if they upgraded their microscope. Jacob Kato, KIDA's senior technologist, researched the options and proposed a new purchase.  KIDA accepted his proposal and sought the funding for this unanticipated need.

After the funding arrived, Jacob traveled to Kampala and purchased a brand new Olympus CX22LED microscope pictured below. He carried the boxed microscope on his lap on the bus trip back to Fort Portal and by car to KIDA Hospital. He also connected with Alfred Andama, a lab technician in Kampala who advised him on the latest microscopy technology.

KIDA HOSPITAL RANKED THE BEST PERFORMING HEALTH FACILITY IN KABAROLE DISTRICT!

The recognition from the Uganda Ministry of Health was announced by the District Health Officer on January 8, 2016.  KIDA Hospital ranked even higher than the three hospitals in Fort Portal with an overall score of 88% in achieving national targets in maternal-child healthcare delivery. Some of the indicators were DPT vaccination coverage, percentage of pregnant women delivering in a health unit, attending all four prenatal visits, accessing malaria prevention medication and HIV testing and treatment of babies born to HIV+ women.

Rev. Ezra attributes this award to KIDA’s professionalism and high level of teamwork, stable funding that provides adequate drugs and supplies and allows staff to be paid promptly, proper handling of data, and accountability.

Rev. Ezra says “This comes for us as a challenge to remain at a high level of performance. We need to work even harder and better as we meet increased demand for our services.”

Congratulations, KIDA!

One of the heathy KIDA Hospital-born babies and her happy mother
One of the heathy KIDA Hospital-born babies and her happy mother

KIDA'S INTERVENTIONS ADDRESS UN GOAL TO PROMOTE HEALTH

The United Nations established new development goals for the next 15 years, calling them the Sustainable Development Goals. Goal #3 (to ensure healthy lives and promote well-being for all at all ages) has a target that KIDA works hard to address: "By 2030, reduce neonatal mortality to at least as low as 12 per 1,000 live births and under-5 mortality to at least as low as 25 per 1,000 live births."  In Uganda, the latest figures show the under-5 mortality rate as 66 per 1,000 live births.

KIDA's interventions of providing prenatal care, hospital delivery services, vaccinations, outpatient and inpatient hospital care of children (all unavailable there before 2011) include communinity outreaches to help make rural people aware of how to live healthy lives.

KIDA has their own targets for 2016. One is to immunize 2500 children in their first year of life with all the recommended immunizations. Another is to provide prenatal care to 1371 women and to deliver 600 babies at KIDA Hospital.

KIDA's day by day interventions will go a long ways toward achieving SDG #3 in the Ruwenzori foothills.

Rev. Ezra with a malaria-recovered child about to be discharged from the hospital
Rev. Ezra with a malaria-recovered child about to be discharged from KIDA Hospital

KIDA HEALTH CARE INSURANCE COOP INCREASES HOSPITAL USAGE

“Health care seeking behavior” at KIDA Hospital is increasing! When rural people have lived hours away from any health care provider all their lives, untreated illnesses became the norm.  Minor and treatable conditions become major illnesses that can lead to early death. 

In the past when people got sick, they would either tough it out or make a long trip to health care center only to find out that they can’t afford the care or the drugs they needed were out of stock.  Even when KIDA Hospital opened in 2011, some of the former barriers still existed, particularly unaffordable care to those who are destitute.

 KIDA’s accountant Mr. Robert Mugenyi reports that since KIDA launched a health care insurance cooperative to make care more affordable, the usage at the Hospital increased. There was a large jump in membership in the cooperative after KIDA, on the advice of  Health Partners (Uganda), did three things: (1) promoted the program to existing village groups, (2) renamed the program “KIDA BATAKA TWEJANJABE” which means “Let us a s a local community take care of our health”, and (3) began health education sessions with each group to help people understand the benefits of health care as well as how to prevent getting sick.

The coop membership now stands at 1739!  KIDA’s membership goal is to reach 3,000 by October 1, 2016.  Further growth will increase hospital usage and help people become healthier.  We wish KIDA well with the effort towards a goal of creating a healthy community.

Mothers line up for well-baby checks and vaccinations at KIDA Hospital
Mothers line up for well-baby checks and vaccinations at KIDA Hospital

GETTING TO ZERO HIV INFECTION: KIDA'S EARLY INFANT DIAGNOSIS CLINIC

The EID (Exposed Infant Diagnosis) Clinic is a department in KIDA Hospital that cares about the exposed babies and infants who are born to HIV positive mothers. When a pregnant mother is tested HIV positive, she is immediately started on antiretroviral treatment during her prenatal visit to reduce the chances of the baby contracting the disease. As long as an HIV positive mother chooses to deliver her baby at KIDA Hospital, the baby is started on ARV treatment (just in case) at birth. The mother comes into the clinic regularly for her treatment and brings the baby along for treatment. At the time when testing can be done that proves that the child does not harbor the virus, usually at 18 months of age, the baby discontinues treatment and is discharged.  Pictured here is one of the babies, Akampumusa Pretty, recently discharged from the Clinic and pronounced HIV negative!

Akampumuza Pretty at 18 months is HIV-free!

80 KIDA BABIES ARE HIV FREE SINCE EID PROGRAM STARTED!

 KIDA Hospital participates in the Uganda Ministry of Health program to eliminate mother to child transmission of HIV, which is possible when antiretroviral drugs are taken during pregnancy and at delivery. Timing is everything. The babies are seen in the Early Infant Diagnosis Clinic (EID).
 
In September four babies born to HIV positive mothers turned 18 months, the time when a baby can be tested accurately for the presence or absence of the virus.

All four "graduated" from HIV care! Everyone, mothers and staff members alike, is happy when both the a baby's PCR and HIV antibody test results come back negative. Lucy, one of the mothers said, "Thank God that my child doesn't need any more drugs, and he will not have to suffer with a life-long infection like so many do."

Talemuza Seleveno is HIV-free! No more drugs!

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