Upgrading infrastructure to manage & contain COVID
To reach the most vulnerable and address their immediate health and economic needs.
The only health facility Butangasi Health Center in the area is poorly facilitated, health workers are being exposed to the virus and infecting patients. There are no gowns, masks, goggles and gloves, inadequate water, sanitation and hygiene (WASH) services which are essential to infection prevention and control (IPC) are lacking. Good hand washing and hygiene practices are essential to reducing transmission and exposure to the coronavirus. However, lack access to safe water at home, lack of access to safely managed sanitation. The poor and vulnerable are disproportionately affected.
The socio-economic impact of COVID-19 is being felt hardest by the world’s most marginalized group in the community. Many children in the project area live in poverty, and the consequences of COVID-19 response measures risk plunging them further into hardship. Basic water and hygiene facilities remain out of reach for many children, this is because of lack of basic knowledge on hand washing with soap.
Currently there is extremely limited availability of personal protective equipment (PPE), including gowns, masks, goggles and gloves. Children and adults with disabilities (particularly girls and women) are at heightened risk due to underlying health conditions, lack of information about prevention and assistance, barriers to accessing nutritious diets and health and protection services, and difficulty accessing WASH services. Persons with disabilities are disproportionately affected due to reliance on service providers for daily tasks.
The district referral hospital is 65km on average it takes about three hours to travel to the facility due to the poor nature of the connecting roads; particularly during the rainy seasons as such people suffer daily in some cases die needlessly because they do not have access to routine preventive healthcare or emergency medical attention. Butangasi health centre is not large enough to meet the rising demands for medical services in Masaba Subcounty, it has one room clinic with only one hospital bed serving 80 people per day there is insufficient drug supply the clinic lacks a laboratory to facilitate medical investigations for effective holistic clinical management, poor transport facilities ultimately impacts not just referrals, but also access to the necessary hospital supplies, often resulting in stock-outs of essential medicines, the scarcity of water poses serious hygiene and sanitation problems at the facility, especially during the provision of delivery services. Having identified these challenges, Pearl Integrated Development Agency (PIDA)-Uganda is asking for support to prioritize the most vulnerable and the world’s most marginalized groups during this COVID 19 pandemic. We are urgently appealing for funding and support to set up an Isolation centre construct, upgrade and renovate the health facility including increasing access to water, electricity and purchasing supplies,ambulance,refrigerators & furniture.
• Ensure public health measures such as social distancing to reduce COVID-19 transmission.
• To improve knowledge about COVID-19.
• To fight stigma among corona virus survivors.
• Ensure essential relief items reach the intended beneficiaries.
Goal: To protect vulnerable children 5-19 years and women against the disease and address its immediate health and socio-economic impacts.
- Raising capital
What we need help with
Project description: Pearl Integrated Development Agency (PIDA)-Uganda in consultation with the Subcounty COVID 19 pandemic task team, community members, local council & religious leaders at various levels has been engaged in an interactive process to identify needs, interest, planning and development of programs for the community. The process of debating the consequences of COVID-19 and response measures has been ongoing and the community leaders have identified the need to upgrade, renovate and equip Butangasi health centre to a hospital status to be able to contain and manage COVID 19 cases as priority. PIDA-Uganda has designed a project to response to COVID-19 pandemic focusing on the following strategic priority areas: Public health response to reduce coronavirus transmission and mortality. Appropriate communication on effective hand washing and hygiene practices, physical distancing and other behavior changes that are critical to slowing the transmission of COVID-19,building the capacities of key influencers – such as community groups, parents/caregivers, women and youth groups, health workers, organizations of people with disabilities, and community volunteers – to raise awareness and promote healthy practices,providing WASH services and supplies in health facilities and at-risk settings in communities by ensuring access to WASH services for households living in affected and high-risk areas,provide health care facilities with WASH services (e.g., training personnel) and supplies (e.g. such as gowns, gloves and masks and case management supplies such as oxygen concentrates and drugs),ensure that women and children can access essential health care services, including immunization, prenatal and postnatal care, and gender-based violence response care, build the capacities of health workers to detect and manage COVID-19. The grant amount will be used to recruit trained medical personnel, conduct refresher trainings, awareness arising using social media, lighting the facility, install solar panels, heating, refrigeration & sterilization equipment, install motorized solar water pumping boreholes to supply clean safe running water, establish and construct an Isolation centre with a reception, waiting room, consulting room, pharmacy, treatment room, store room, procure tents,furniture,beds,blankets,mattresses,jerrycans,sanitaizers,gloves,gowns,masks,mosquito-nets,laboratory supplies, medical ambulance & delivery van and security fence. We will have awareness arising to fight stigma for COVID 19 survivors and sensitization sessions on intimate partner violence, gender-based violence, violence in homes, family conflicts, civil unrest, child labour and child marriage. Women and girls are especially vulnerable to the impact of the COVID-19 response due to the additional care burden they bear for their families and the risk of sexual violence as they struggle to meet their daily needs in the context of lock downs and curfews. We will have corona virus emergency radio talk shows, DJ mentions and announcements to sensitize the masses. The health facility will offer a 24-hour services attending to between 80-200 cases daily offering counseling, psychosocial and spiritual support will open throughout the week. Target beneficiaries: The project will serve eight Sub counties with a population of about 200,000 vulnerable children & women imparting 400,000 people. Project implementation: The human resource requirement at the health facility, the following staff will manage its daily operations: • Medical Director will be responsible for medical oversight, finalizing diagnostic and treatment protocols, licensing, treating higher-acuity patients and nursing supervision. This physician or clinical officer will be involved in setting up the clinic operations, and will work part-time in the clinic once it is open. • Enrolled Comprehensive Nurse will be responsible for patient diagnosis, triage, treatment and record-keeping. The nurse will work at the clinic full-time and will be provided living quarters on-site. • Clinic Manager will be responsible for site management, financial management, ordering of supplies and materials, supervision of caretaker and regular reporting to the board. The clinic manager will work at the clinic full-time and will be provided living quarters on-site. • Counselor will be responsible for counseling and referring patients for treatment, and providing general education concerning COVID 19. • Pharmacist will be responsible for tracking and preparing medications and vaccines, as well as patient record-keeping. • Caretaker will be responsible for cleaning the premises and cooking for the medical staff and volunteers. • Volunteer medical staff will be responsible for attending to patients, providing 1st aid. Sustainability plan: We plan to establish partnership with Masafu hospital a government medical facility we will use the existing medical systems under this arrangement the activities of the program can be incorporated into their existing programs. The project implementation fits well within the Uganda Ministry of Health-COVID 19 emergency plan and has high level of political support. We will continue to lobby for financial support from our partner organizations and establish partnership with local & international organizations.
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