KIDA was granted a license to operate a general hospital in 2011 and opened KIDA Hospital on August 2. 2011. Physician in charge is Dr. Charles Irumba. KIDA also hired a hospital administrator Mrs. Aidah Ninkusiima and formed a Hospital Management Board that has some members in common with KIDA's Board of Directors.
(Prior to 2011, KIDA's medical programs took place as an outreach AIDS clinic, supervised by Dr. Moses Walakira of the HIV/AIDS center at Virika Hospital in Fort Portal. This is no longer necessary since KIDA Hospital is a licensed health center and can provide HIV care on its own.)
KIDA Hospital now provides rural people with general inpatient and outpatient medical care for the first time right in their community. It was previously almost impossible for 100,000 rural people, who lack vehicles, to access care, since the nearest hospital in Fort Portal is 24 km away, much too far to walk.
Voluntary Counseling and Testing (VCT), now called HIV Couseling and Testing, is currently a routine service, offered daily. Since VCT started in 2004, over 15,000 rural villagers have learned their HIV status at KIDA. Since the hospital opened, an average of 160 people per month seek testing. Those who have tested positive start on cotrimoxazole preventive therapy (to protect them against opporltunistic infections). Thence their CD cells are monitored. They are launched on ART (anti-retroviral therapy) according to WHO criteria.
KIDA continues to provide special support to people living with HIV and AIDS. Most of those who test positive choose to register as clients and reveal their status, an important first step toward “positive living.” Besides ongoing medical treatment and counseling at the clinic, they attend educational workshops and have a trained community home visitor assigned to them. KIDA's HIV positive clients take daily prophylactic antibiotics to prevent opportunistic infections. Even without antiretroviral drugs, many of these clients can do quite well with health and nutrition counseling.
Margaret takes her ARV pills to the field where she farms. She has experienced the return of her health and a normal life since taking this medication.
KIDA’s Medical Services include:
1. Daily Voluntary Counseling and testing:
Staffed laboratory provides HIV antibody testing on site at KIDA hospital/clinic
Counseling occurs before and after the test and results given out.
Often done in conjunction with clinical assessment and treatment by a doctor.
2. Treatment and counseling at the clinic:
Antibiotic treatment available to all HIV positive clients
Antiretroviral drugs are started according to WHO criteria. Clients are monitored with monthly blood tests.
One-on-one and group teaching in drug adherence and positive living to increase compliance.
3. Home visiting program:
20 trained volunteers visit all the HIV+ clients in their homes each month.
Periodic seminars keep volunteer staff continually educated.
4. Hygiene and sanitation improvement program:
This program was started in 2009 by Peace Corps volunteer Mark Sevier and continued with Christopher Frey, PCV.
Group sensitizations at KIDA's positive living conferences, community drama shows, community volunteer training sessions in water treatment, hygiene and sanitation.
Home visits for one-on-one counseling
School visits and KIDA orphan seminars provide further opportunities for teaching.
New programs added since KIDA Hospital opened in August, 2011: 2013 data
- Vaccinations of children, 2143 in 2013
- Prenatal care; 1431 women in 2013
- Maternity care: labor and delivery at the hospital: 478 women delivered in 2013, approximately 40 per month
- General medical outpatient care, Average 300 visits per month
- General medical inpatient care, Average 125 admissions per month
- Minor surgery includes emergency C-sections in cases of obstructed labor (since July, 2012), Average 7/month
- KIDA hospital also provides family planning services and well-baby care. 281 women sought family planning services in 2013.
Affordable health care has been a challenge in this poor rural community. KIDA has addressed this problem by launching a health insurance cooperative in September 2013.