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pastorpeter@deywaministries.org

Welcome To The cross emergency Medical Clinic

About the Clinic:
The clinic is legally registered under the Allied Health Professional’s Statute No 10 of 1996
Located in Katekwan, Bukedea District in Uganda. It is a non profit medical clinic providing health care treatment and referrals to thousands of poorly underserved community members from the surrounding districts and far.

The clinic is equipped with well qualified and experienced personnel i.e. 1 Doctor, 4 Clinical Officers, 2 Lab Assistants, 3 Midwifes, 5 Nurses, 3 Nursing Assistants, 1 Stenographer, 1 Immuniser and Support staffs.

The Clinic provides both In-patient and Out Out-patient Medical services, with a catchment population of approximately 1,578,140.

Current Achievements/Performance
There is observed improvement in health and health seeking behaviours among community members. On average, a total of 850 patients are treated on a weekly basis on site, approximately 200 patients are referred and facilitated to receive treatment monthly. The patients’ treatment and referral keep increasing on a weekly and monthly basis.

There is an on-going construction of the proposed The Cross Emergence Hospital site (now two block under use and its housing the Clinic)

The clinic successfully coordinates and conducts monthly medical outreaches to the under served and hard to reach communities most especially in Karamoja region. During these medical outreaches, on average, a total of 350 patients are diagnosed and treated of different illnesses and some are given relief supplies as the team may determine.

The Clinic through the umbrella organisation DeYwa Ministry Uganda has established partnerships with other organisations including: Marie Stopes International Uganda, Abt Associate under the Voucher Plus Activity, Uganda Health Marketing Group, Red Cross, Bukedea District Local Government, as well as the Health Centres where we refer patients. These are partnering in the provision of health services not limited to family planning, maternal health and HIV prevention

On 29th November 2016, the clinic registered her first birth ever. This came as result of recruiting a midwife. Currently, with support from Voucher plus activity, on average 60 babies are born at the clinic monthly.

We successfully initiated and currently conducting minor surgeries in the clinic. This is being done in partnership with Doctors from Mulago National Referral Hospital. The clinic meet the cost of patient operations/surgeries and Doctors transport.
Equipped the delivery room with necessary equipment including a modern delivery bed, steriliser among others
We are now providing HIV and other STIs prevention services at the clinic. We conduct HIV tests, counselling and referrals, HIV education and condom education and distribution

Challenges that are hindering performance
Lack of Ambulance to aid transportation of patients especially those referred for further treatment. On a number of occasions, referred patients have used public transport to seek treatment from the health centres referred to. Patients referred to Lachor hospital in Gulu, Kampala Hospital and Mulago National Referral Hospital always board public means to reach the hospital. This affects their health the more before a treatment in administered, also it’s a health risk to other people who share transport with the patients. We have also had instances of patients who used public means after referral dying at the brim of the hospital they were referred to.

The fact that facilitation in terms of transport and treatment is provided to patients referred to other hospitals and health centres, it has attracted a great number of patients on a monthly basis seeking for the service. This has caused friction on the already limited funds and as a result patients’ treatment depending on the severity is of the illness is postponed to with the intent to have funds for severe illnesses such as surgeries-heart, tumours, congenital abnormality, Cancer and orthopaedic surgeries among others.

Humble staff facilitation especially in terms of salaries. Given the fact that the number of patients who seek for treatment increase daily and weekly, the staffs are over worked beyond normal hours. What is paid in most cases is seen to demotivated them from doing work thus a need to improve in staff facilitation.

Poor data storage. There is absence of networked electronic database that would fasten tracking of performance and giving timely feedback to the staff for improvement. The poor data storage also contributes to delays in generating program reports thus affecting performance.

Inadequate medical equipment and supplies that can help in testing, and treating various illnesses
Ill-equipped operation theatre. A room was improvised and not well equipper to depict even a minimum theatre.

Lack space for a youths corner to further HIV/STI prevention among the youths. This makes services provided not youth friendly.