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A recent post by Dr. Alison described how she helped to establish an STD Clinic within the Touch Namuwongo Programme in Kampala.

This summer Alison, Alan and their family raised £1,171 to help support this programme by speaking at a local church lunch and hosting a Ugandan party for supportive friends in her native St Albans.

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Alison (on right in photo above) sent us this message:

We wanted to update you after our latest fundraising venture on 16th July. It was a fantastic evening of fun and frolics in the community centre around the corner from us and was well-attended with over 80 people. Whilst people could still concentrate, we kicked off with a talk from us about our time in Uganda including the work of the Suubi Trust and the Royal Pride School in which Alan was involved. We raised a total of £1168 which we will split evenly between the 2 causes (£584 each). Everyone came in the Ugandan colours and some draped in the Ugandan flag.

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(Alison’s husband Alan is in the centre in the photo above)

So, in summary, this means that the first church event raised £587 and this latest event raised £584 – a total of £1,171.

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Our thanks to Alison and all her friends for their generosity and continued support; this will help to make a difference for many of our Touch clients receiving care at this clinic.

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The IMF team based in Kasese recently performed a Health Day for the pupils, parents and caregivers at St. Mark’s Primary School, which is supported by the UK based charity, An African Dream, AAD.

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Zainabu, an IMF Nurse Counsellor (in the photo above), met with 104 parents and caregivers before the event to explain what would be taking place and discussed the following issues:

  • HIV:
    Mode of transmission of HIV
    Prevention of HIV
    The importance of knowing one’s HIV status
    Meaning of POSITIVE and NEGATIVE results
    Way forward when one is found HIV positive
    Effects of HIV/AIDS.
  • HYGIENE/SANITATION:
    Hand washing
    Environmental hygiene/waste disposal
    Personal hygiene
    Boiling drinking water.
  • NUTRITION:
    Using locally available food to maintain a healthy balanced diet.

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On Friday August 5th Carolyne, the IMF Kasese Clinical Officer (in photo above), led a clinical team to perform:

  • HIV counselling and testing for both pupils and their caregivers
  • General examination, basic laboratory tests and treatment for minor illnesses for pupils.

104 adults and 141 children were tested for HIV, 93 pupils were tested for Malaria, most of the children received de-worming tablets and some were treated for minor fungal and upper respiratory tract infections.

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A number of recommendations have been made by Carolyne and the IMF team, which are now being considered by the AAD trustees.

Making a difference to Healthcare in Uganda

Making a difference to Healthcare in Uganda

International Medical Foundation has a vacancy for a Projects and Funding Manager.

The role of Projects and Funding Manager requires you to source and apply for funding for the various community projects, taking on a strategic role in the Senior Management Team to ensure a comprehensive and well planned response to organizational development. You will also be required to track and oversee spend against budgets and progress to targets across the IMF portfolio of projects, with a particular focus on projects in Northern Uganda.

If you are interested and have some of the following skills and experience, then please get in touch… email hr@img.co.ug

  • Master of Public Health or similar degree
  • 3-5 years experience working in community-based health
  • Proposal writing and applications experience
  • Budgeting and planning skills
  • Knowledge and experience of working with International Donor Agencies
  • Experience of monitoring and evaluation
  • Great interpersonal and writing skills
  • Willingness to spend short periods in the field away from Kampala visiting project sites.

You can read more about the role in this document.

Alison with her familyAlison Cowan, a GP from the UK, and her family have recently returned after a fabulous 18 months in Uganda working with the IMG group through the charity VSO. She came to Uganda initially to facilitate the training of medical staff across the various IMG primary care clinics. Through this work she came to appreciate the enormous burden of sexually transmitted disease (STD) and its devastating consequences within Uganda and especially Kampala and recognised the need for a comprehensive sexual and reproductive healthcare service. So, once her original placement objective was fulfilled, she extended her placement to work with the Touch Namuwongo Team based at the International Hospital of Kampala (IHK), within the neighbouring communities, to tackle this growing problem of STDs.

Even though STDs are very prevalent in Kampala, and are responsible for a lot of death and disease, very little attention and minimal resources are focused on this area, beyond HIV. The Touch Namuwongo team work with the poorest members of the Kampala community local to IHK and offer services for HIV, TB and STDs. With respect to STDs, prior to Alison’s involvement, the team were just able to treat the symptomatic cases in their hospital clinics and community outreach. However, this approach was only scratching the surface of the problem as 50-70% of disease can be silent. There was no system or resources in place to identify and screen those members of the community most at risk from these diseases and who were often without symptoms. As well as unknowingly transmitting these diseases on to others, the presence of STDs also facilitates transmission of HIV so further fuelling the HIV epidemic. Alison developed a risk score tool capable of identifying such members of the community and which would also then appropriately target their limited resources to the most in need of treatment. Despite resources being very stretched, with the enthusiasm and commitment of the Touch Namuwongo team, the support of IMG and the help of kind donations they were able to get establish a comprehensive service which identified both symptomatic and asymptomatic disease.

Alison also obtained some funding from Oxford University to carry out a research project that aimed to derive and validate this risk score tool. As an associated benefit, the study also funded a large volume of screening and medicines for treatment of STDs in the data gathering process.

The Touch Namuwongo team took on the extra burden of work involved in the study without complaint and worked tirelessly to deliver the service and also produce the data which is in the process of being analysed to develop an effective protocol going forward.

Alison with Immaculate one of theTNP team

Initially Alison was heavily involved in the actual running of the clinics, but by the time Alison returned to the UK, the team was delivering the service without any additional input and continues to do so with great effect, despite the challenges and hard work this entails. Even though the clinics are already very busy, the team recognise what a valuable service it provides and so continue to reach out to the community to encourage others to be screened and treated, especially those communities where the need is greatest. They have got a good relationship with the local commercial sex workers, who continue to attend the clinics and who themselves are becoming advocates of the service.

The research funding has now drawn to an end and so there is a desperate need for on-going funding to continue to deliver this valuable service. Alison continues to raise funds for the STD programme through Suubi Trust, recently speaking at a local church lunch and is soon hosting a Ugandan party for supportive friends in her native St Albans.

The team with some added extras Alison’s children

By Jemimah Kiboss:

A few weeks ago a relatively young lady (Rose*) walked into my office looking ten years older than she actually was. She came looking for help for her mother with an ultrasound scan report indicating that her mother had a mass in her cervix and another mass nearby as well as a collection of fluids in her abdomen. She told me a horrifying story of a woman in excruciating pain and health workers who could not do much for her because specialists at a certain facility were engaged in an exercise that could not afford them time to attend to this patient.

When I discussed these reports with our specialist gynaecologist and oncologist they suspected that the lady had advanced cancer of the cervix. The Hope Ward team reviewed the case and agreed that there would be no added value in admitting this lady to Hope Ward. She was probably receiving all the care she could at this alternative hospital because she already had a visit from a palliative care nurse and a supply of morphine.

When we broke this news to Rose she could understand the logic behind the situation but pleaded with us to admit her mother. She said that her mother was tired of being at this other facility and had asked them to take her home to die. Her sisters had sent her to Hope Ward in hope that we would admit her and provide better care. Unfortunately at this time the ward was fully occupied. She begged us to admit her mother and at least even provide space for her to sleep on the floor but this was against hospital policy.

After many hours of discussion with this lady, the oncologist agreed to at least review her mother in the clinic and advise the family. So she was given an appointment for the following day. However Rose and her mother did not return to the clinic on the next day. Her mother’s condition worsened and she was admitted into hospital. She came back with the same request, if we could only admit her mother because she felt that she was not receiving adequate care at this other hospital; again our ward was full. We tried to explain this to Rose and she said she could understand but she just had to fight for her mother and could not bear the sight of her mother in so much pain and suffering.

Two days later I came to work early in the morning and found Rose seated on a bench at the Hope Ward balcony and her mother on the floor. She was in too much pain to sit down. Fortunately the Hope Ward team had discharged a patient the previous day, so Rose’s mother was given a bed. The challenge the Hope Ward team now faced was to stabilise the patient;

Continue Reading »

Scooby-Doo money

New Life Church in Menorca recently donated another £300 to help support the development of a theatre and maternity services at our clinic in Lira, northern Uganda.

Pamela receiving cheque from Lyn

Last year when I was with Alan and Lyn in Menorca they asked me to say something about our work in Lira, which Pamela followed up with on her recent visit. Since then the church members have been giving their loose change each week.

Faith and Works

Lyn sent us the following:

New Life has certainly embraced Suubi Trust in a big way. They refer to the “Scooby-Doo money” and are so faithful to bring their loose change each week which soon mounts up to a reasonable amount. We originally pledged 50Euros per month from our change but have had other sums come in as well which have brought us to 100Euros!

This extra money came from:

  • Offering from Carol Service
  • Hermann asked for his birthday gifts to be donated
  • One of our members is the Entertainment guy at a holiday resort and had two people donate their Bingo winnings when they heard about Suubi Trust
  • Trisha asked for her birthday gifts to be donated.

Thank you so much for the funds and your continued support and promotion of Suubi Trust, we really appreciate it.

Kevin.

By Hannah Magoola:

Please accept our “thank you” note for your support to Rose’s Journey – we couldn’t have done it without you. Thank you to all the companies that supported us with publicity and other logistical support: Sanyu FM Breakfast show, Power FM, CBS, Rwenzori Water – we thank you.

Thank you to all the walkers / runners – you were stars … your level of dedication was exceptional – well done you all! Your messages after the journey have been very encouraging and we are even more motivated to keep organising this event. We are so glad to hear that this was more than a ‘walk’ or ‘run’ to you – many of you feel that this was an expression of your own journey in life and of the things that touch your very humanity – hope, love, courage, inspiration, victory… and much more.

Rose quotes J Piper on her email signature thus: “Love is a way of saying to another: It’s good that you exist, it’s good that you are in the world” – this is the message that I feel most of you conveyed by support Rose’s Journey and joining us to walk / run the many kilometers from Bamunanika to Kiwoko.

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It is rewarding to note that we had at least 82 walkers/runners. We have already collected $15,000 for Hope Ward (mostly from online donations), collected 3,018,000/= in Uganda and are following up 820,000/= in pledges. Your generosity is much appreciated … we know that you have planted the seeds that we trust will yield even more donations so as to achieve our goal of fund raising for the treatment of needy people on the IHK Charity Ward (Hope Ward) and for a nursing scholarship for deserving but poor students. Thank you for touching those around you …

Thank you for bringing hope and adding your voice to Rose’s Journey.

Hannah Magoola

You can visit Katherine’s JustGiving page by clicking here.

Sunday 10th July Update:

We walked yesterday! So did around 60 people in Uganda. They did it under a baking sun, and we did it in a mix of clouds and monsoon-like rain…

Katherine Luke Miriam and Caleb walk with Rose

As planned, Katherine walked 11.5 miles to meet Luke, Miriam and Caleb at Dalkeith Country Park, where we were also joined by some friends. Together we walked about 2.5 miles around the park (with quite a lot of stops for playing and a few carries..!), and then Luke walked the 11.5 miles back. A familial total of 33 miles (52 km, like Rose and the team did from Bamunanika to Kiwoko)

Miriam and Caleb walking with Rose

We felt very lucky to be part of such a great project, and are extremely thankful for your very generous support.

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Katherine, Luke, Miriam and Caleb will be walking (between them) a total of 52 km on saturday the 9th of July, the same day our friend Rose will be walking that distance in Uganda retracing a journey she made 22 years ago. She will be walking with many other friends and collegues, and Rose’s Journey for 2011 has three goals:

  1. Raise $10,000 to establish a scholarship fund for future Ugandan nurses.
  2. Raise $15,000 for use in the Hope Ward of IHK where charitable medical care is provided.
  3. Provide an additional platform to increase awareness about child sacrifice.

Rose is a very dear friend of ours, who lives a fascinating and inspiring life. This video tells you more about her, and the walk (there is footage from when she first retraced her steps, two years ago)

http://news.bbc.co.uk/2/hi/programmes/world_news_america/8550854.stm

More details of the aim of her walk, and the reason that she is doing it, can also be found here:

http://www.narrowroadintl.org/Narrow_Road__Roses_Journey.html

The funds will go straight to great use where we used to work in and around Kampala. They will help support young people to train as nurses at the nursing school Katherine used to teach at, and to provide complex medical care for patients from around Uganda who would otherwise not be able to afford it. We have really seen the impact that these funds can have, and so we would greatly appreciate any contribution you are able to make.

Thank you xxx

In 2009 Rose’s Journey raised $15,000 for Hope Ward; we are proud to announce that Rose’s Journey is back again. We will be walking again on Saturday, July 9th 2011.

Cheque Handover

In 1989, as a young girl, Rose Nanyonga was forced to leave her family’s village in Uganda.  She was alone and, as a female in Uganda without family protection, she had little hope. At the root of her forced departure was a conflict between Rose’s practicing of the Christian faith and her family’s desire for her to take part in witchcraft. Witchcraft, which can include the abhorrent practice of child sacrifice, is practiced in parts of Uganda and had driven a wedge between Rose and her family.

Upon leaving her village Rose began a 52 kilometer journey that would take her from her home village of Bamunanika to Kiwoko.  Amidst the hopelessness of this journey she found Ian and Robbie Clarke, Irish citizens working to establish better medical care in Uganda.  This encounter with the Clarke’s would forever alter the direction of Rose’s life.  Under their care, Rose would once again be part of a family.  She also began a career in nursing which would lead to her working as Director of Clinical Operations at International Hospital Kampala (IHK) in Uganda.  Today Rose balances responsibilities with IHK, a Ph.D program at Yale University, and assistance to numerous organizations including Narrow Road, where she serves as a board member.  On July 11, 2009, with the support and company of individuals from 5 different countries, Rose walked the same 52 kilometers from Bamunanika to Kiwoko.  This journey, 20 years after her initial footsteps on this path, was the beginning of a new pursuit that continues on July 9, 2011. You can read about that walk by clicking here and view my tweets on the day here.

Rose is an ambassador for many in Uganda who are unwanted, unloved, uncared for, and without hope.  She holds their stories in her heart, and seeks others to help her in this cause.  Specifically, Rose desires to provide opportunities for young girls to enter the medical profession.  She seeks to provide medical care to those who need it most but do not have the means to pay for their treatment.  And she seeks to raise the issue of child sacrifice so that additional lives are not needlessly lost. Read Rose’s Blog here.

Rose’s walk for 2011 has three goals:

  1. Raise $10,000 to establish a scholarship fund for future Ugandan nurses.
  2. Raise $15,000 for use in the Hope Ward of IHK where charitable medical care is provided.
  3. Provide an additional platform to increase awareness about child sacrifice.

If you would like to support Rose you can give securely online by clicking here, please mark your donation Rose’s Journey.

Published on BMJ Blogs: Click here for original.

richardfeinmannI suppose I could be accused of banging on too much about doctors volunteering at the end of their career. But now I have another reason.

At my age, I thought the days of national and international meetings were long gone. So, what a surprise to find myself at the Hilton on Park Lane with my wife in a lovely new dress and about 500 of the great and good in medicine, for one of the best evenings of my life.

I’m never quite sure how anybody can afford to live in London. The Hilton does not come cheap but they certainly know how to put on a good do with lashings of champagne and an excellent meal. I was a little nervous about being on the same table as the others who had been shortlisted for the same award as the group I was representing, but the wine flowed and everything was very cordial.

This is the third year of the BMJ Group awards and there are 13 categories, or maybe 12 and one special lifetime award. I was nominated for the “getting evidence into practice” award for the work I did as a VSO volunteer working at International Hospital in Kampala. The story began with Dr Mark Russell, another VSO volunteer, persuading the hospital to build a category 3 TB laboratory. Then my friend Dr Grania Brigden, another VSOer, applied for funding for a research project from a UK charity called Target TB. The funding allowed us to culture the sputum of 500 HIV patients for TB. Culture is rarely done in Uganda because of cost but our MOTS test had been shown to be cheap and quick in Peru. I completed this phase of the work and set up Phase 2 looking at not only culturing but also checking drug sensitivities on a further 300 patients. We were now looking at our own clients using outreach staff and volunteers to find people who had a productive cough for more than 3 weeks. Having proved the test worked, the project has now been handed over to Ugandans and since 2009 over 1000 HIV sufferers have been tested and more than 50% have TB. Fortunately we found a very low incidence of drug resistance.

So there I was, slightly pickled with champagne and thinking about my good friends in Uganda – over 100 Ugandan volunteers, Bosco in the lab, Dr Ian Clarke and Kevin Duffy who run the charity that employed me at International Hospital, Deborah my TB nurse, and Helen and Jemimah who carefully stretched out the funding from Target TB. Suddenly Gavin Esler, who was hosting the evening, announced that they were going to open the envelope to find the winner for my category.

It was a bit like the Oscars, especially as Hugh Grant was sitting on the next table. And the winner is; “Dr Richard Feinmann.” The champagne anaesthetic dramatically disappeared and from the back of the room I went up to receive our prize. I hope I managed to make it clear in my short speech that I was just a small cog in the team and paid tribute to them all but my memory is slightly blurred.

The only downside was that this was a team effort and the team could not be there. All our work was done with charitable monies and getting them all to the Hilton was not possible.

But what a great evening. Thank you BMJ.

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