The Mafubira Community Clinic

Saturday, October 15, 2011

Been Far too long

It has been too long since I have Blogged about this struggling organization. Lufafa is working tirelessly to treat the sick and the poor, the forgotten ones in his community. We all need to work together and help this struggling community clinic . Many of these people would receive no medical assistance if it were not for this clinic. We need to work together to provide the nurse with the tools to treat the patients and provide for them as is needed. Do you think that you can help raise funds for this organization, if so please contact me and we can do a little more to get this moving in the right direction.

Nicole

Sunday, March 6, 2011

The Feasibility and Necessity of the Mafubira Community Clinic

out Lufafa	Mafubira community clinic and El Shadai children’s home have been established due to the high mortality rate of the orphans who are suffering, starving , helpless and dying without medical care, food, shelter and clothing, in Jinja district.So many people in our community have been affected by the hiv/aids virus,this has affected their immunity hence many have died,many are immune supressed and so many helpless widows and orphans have been left. The project is aimed at promoting the standard of living of the orphans in this community and alleviating their suffering. The project has been securing support from the people in our local church,compassionate friends and some other well wishers, but because we are operating in a very poor community,the support we get is just a drop of milk in an ocean.We aquired a peace of land with one building where mafubira community clinic is operating right now.We also acquired a piece of land in Butiki Village, Mafubira Sub county, Jinja District and the consolidated team later mobilized the church members to put up a permanent block, the first permanent block on the site. The Project though with a number of emotionally sick children, it has very good services exhibited in the area. This has proved that indigent children, when given chance can compete with those from rich families within Jinja District but we are always limited by inserficient funds.We have challenges like lack of enough medical drugs and other medical supplies and equipments and we pray that God can send us some greate compassionate friends to stand with us on a monthly basis and be sending us some support for the project every month.We are also challenged by lack of school fees to take the orphans to school .We plan to start a paultry keeping project,to keep Egg laying birds and brailer birds that we think we shall be selling and the money will help us solve the problem of lack of school fees.We are also challenged by the buying of the daily food to feed the children,we plan to rent gurdens where we can grow more food to over come the problem of lack of enough food to feed the orphans. .we plan to expand the children dometories,the clinic and bring the safe water close to the children home. With belief that thoughtful support from donors or any compassionate friend would continue to inspire us, we are sure that we will achieve all our aims. We lack a school with facilities to provide education which will produce a whole person i.e. an individual all round in life: spiritually, psychologica lly and physically, a clinic at the organization that will enhance sustainable improved quality of care and increased level health service for the children and community at large It is for this cause that we stand in to develop our children’s home i.e. put in place a good primary school expand our dometories, a clinic and a permanent residential block, owing to our partial potentials (organizational skills), only experiencing lack of funds. MISSION To build capacity in Uganda for the delivery of sustainable high-quality care, national capacity building by bringing up young children as Psychological stable, God fearing and friendly citizens and prevention of HIV/AIDS and other infectious diseases through training and research with the local community. GOAL OF El SHADAI CHILDREN’S HOME AND MAFUBIRA COMMUNITY CLINIC Sustainable improved quality of care and increased level of service for the orphaned and vulnerable children in Jinja and Uganda. This overall goal will be achieved by reaching the following sub-goals: Improved capacity of health care services to offer high-quality care through • Enhancing skills of health care workers • Strengthening health systems Improved capacity of academic excellence through • Strengthening facilities for training the children and other vulnerable people • Improving governance and management systems. These goals will be measured using the following outcomes: • Year-on-year improvement in quality of care and increased level of service to the vulnerable and institutions involved in programs • Specific metrics, targets, and monitoring and evaluation (M&E) systems (to be designed by the end of 2012, including baseline surveys and evaluative instruments) OBJECTIVES: The objectives of this project that was set up by the members of the community through efforts of local church are:- To cater for the Needy/Poor children especially orphans and helpless children in Jinja district by providing shelter, medical care ,clothing, food and education. Introduce vocation training courses for child mothers and youths. To mobilize, sensitize and organize women in management training whereby the project has to serve as the training center. To fight poverty through participatory eradication of poverty programmes with the assistance of the relevant ministries. PROJECTS: We had tried on a tree planting project at the slopes of Igenge Hill. We had in place about 7000 pine trees which could now be about 2 years old. We hoped at maturity these would fetch us some good money to run the project. To our disappointment the government later sold off the land to private investors and all our efforts were shuttered we would like to have this project expanded, but limited by funds. LOCATION The project is located behind Butiki Hill as shown below:- Country - Uganda District - Jinja County - Butembe Sub-county - Mafubira Parish - mafubira Village - Butiki FEASIBILITY STUDY: Uganda is a Land Locked country, which has been hit hard by diseases and poverty. Demographic: In Uganda the population has grown at quite a rapid pace. Taking for example the population census from 1948 to the latest (2002): Index 1948 1959 1969 1980 1991 2002 Population 5.0 6.5 9.5 12.6 16.7 24.7 Population increase 1.5 3.0 3.1 4.1 8.0 Sex composition of the population: The study of the Sex composition of the population helps us to understand the past trends of the population change. The sex ratio defined as number of males per 100 females is an index comparing the numerical balance between the two sexes in different population groups irrespective of their size, location and time reference. There are 12.1 million males as compared to 12.6 million females. This gives a sex ratio of 96.0 males per 100 females. Hence need for emphasizing girl child education, being the majority. Population Density of Uganda. Index 1969 1980 1991 2002 Density(per sq km) 48 64 85 126 Population growth Rates Index 1948-59 1959-69 1969-80 1980-91 1991-02 Inter-censal Annual growth rate 2.54 3.84 2.71 2.52 3.4 This is a high growth rate when compared with the neighboring countries i.e. 2.0% for Kenya, 2.7% for Tanzania and 2.2% Rwanda. IMPLICATION OF POPULATION CENSUS RESULTS Given a birth rate of 47.3 per 1000, a total of 1.4 million births are expected in 2011. This is not surprising given that the women of reproductive age (15 - 49 years) are estimated to be 5 million. The primary school age (10 – 24 years) are estimated at over 9 millions. This is the population that generates the momentum for the population growth. If Uganda maintains the current population growth rate of 3.4% per annum, the population will increase to 54 million in the year 2050 i.e. doubling in less than 25 years. EDUCATION: The sector plays a vital role in promoting sustainable development through building capacity in various skills as well as raising awareness on various issues of National and International importance. Enrolment has been increasing but facilities available are very few to accommodate all or most of the pupils/Students who desire to have Education. The facilities have remained the same over years to host the increasing numbers of learners. Also due to other factors such as lack of funding, many children end up dropping out of schools, without any skills gained. It is for this cause that we have set ourselves to the service, to assist such children. We’re setting up projects e.g. tree planting, poultry farming/animal husbandry for purposes of learning and also income generating to help us sustain a number of children under that category. Very important too, we would like to establish a secondary/vocational school to produce children who would have attained skills to help them earn a living especially those who may not be able to push on with higher education. CAUSES OF LACK OF FUNDING FOR SOME CHILDREN: HEALTH: Bad health because of malaria and HIV/AIDS, continue to be the number one problem for the people. This confirms the poor quality of life as reflected in the high infant and maternal mortality rates. Of concern is the poor quality of health services, which is partly a result of underfunding resulting into unhealthy bodies and high death rates leaving behind many orphans. Impacts of HIV/AIDS: In Uganda, the estimated number of people living with HIV/AIDS as of December 2001 was 1,050,555 and the estimated cumulative death since the beginning of the epidemic was 947,552(Surveillance reports). Food insecurity degraded livelihoods; increased vulnerability and adverse socio-economic impacts have been identified in many instances as causes and consequences of HIV/AIDS. Different impacts on different livelihood groups by HIV/AIDS have been observed in the country. Reduced labor supply and productivity: Especially on the most productive segment of the population, loss of skilled labour and the agricultural knowledge base. The reduced capacity for agricultural output results in food insecurity, low incomes and poverty. High opportunity costs: The loss of time and money attending to the sick, poor performances on the job by those already infected and costs of burials. Increased dependency ratios: Number of orphans left behind by the loss of parents has increased placing excessive burdens on individuals and household economics. There are different gender and age dimensions of this impact: There has been an increase in grandparent-widow, and youth/orphan headed households. Loss of Assets: Household assets are liquidated to meet medical and other costs. Low investment in the agriculture sector: As the limited resources are diverted to caring for the sick and funeral expenses. Reduced production for the market: People produce at subsistence levels, which affect the urban consumers and downstream industries. In totality, HIV/AIDS threatens the attainment of the plan or modernization of Agriculture’s objectives. There is a need therefore to better integrate HIV/AIDS activities into the planning implementation, monitoring and evaluation of plan for modernization of agriculture activities. Some policies unwilling increase vulnerabilities to infection while others fail to capitalize on mitigating it. Unemployment: Due to lack of adequate education/skills many parents have remained unemployed. This has left many children on the streets, to look for ways to survive and hence forming a percentage of the street children. And even with some people having some qualification i.e. degree, diploma or certificate, the labour market within is very low. Poverty: Priority factors responsible for moving people into and out of poverty Moving in to poverty Moving out of poverty Priority factors responsible % of communities reporting of total Priority factors responsible % of communities reporting of total Alcoholism 42% Working hard/gainful employment 53% Polygamy 42% Multiple income sources 47% Insecurity and displacement 42% Access to land, property 47% Large families 37% Education/Literacy 37% Illness 37% Startup capital 21% Theft 37% Petty trade (women) 21% Landlessness 26% Surplus production and good prices 21% High/unfair taxes 21% Child Poverty: 62% of the poor in Uganda are children. Yet this group has not been consulted as part of the poverty eradication Action Plan process, nor have their rights been addressed specifically. As a result the Ministry of Finance, Planning and Economic Development Commissioned a study on children poverty conducted by save the children UK. The report, entitled “The Silent Majority”, made the following conclusions:- Children fall in to a broad range of poverty, which should be mirrored by a broad range of indicators. Despite a general drop in the proportion of poor in Uganda, there are large and growing groups of children in need of assistance, care and protection. Children are a low priority group and their interests are not disaggregated from those of adults. This calls for separation of these statistics. Orphans and Neglected Children: Key mediating factors for vulnerability: Being part of large families lacking facilities. Lack of social support and social protection mechanism. Being physically disabled. Lack of basic necessities food, housing and clothing Staying in large families with limited parental care Living with HIV/AIDS. No support for health and Education. Inadequate education or vocation skills. Ignorance and lack of information. Traditional role ascribed by society(female) DELIQUENCY AS A RESULT OF POVERTY: A delinquent is a young person who behaves in a way that is illegal or unacceptable to most members within a given society. The phrase JUVENILE DELIQUENCY is used to refer to crimes committed by young people and JUVENILE DELIQUENTS are young people who commit crimes. Previously, the court of law ignored crimes which were committed by children below 18 years. Today in the Ugandan court of law, under sub section 514(2) of the penal code, a child who at that material time of an alleged offence is between 7 – 12 years can be charged if the court finds that the time the alleged crime was committed, the child actually knew that what he/she was doing was wrong. According to MARTON – 1957, he proposed that crime and delinquency grow out of an imbalance between the approved goals of society and the means that the social structure provided for achieving them. COHEN – 1955, said the main problem of the youths leading them to crime as being the current status. According to him, large numbers of lower class youths experience status problems because of their failure to meet middle class standards and values. EFFECTS OF CONVICTION: When one is convicted, the following observations may be true: Becker – 1963, suggested that the experience of being caught or being arrested and officially labeled deviant may be a crucial step in building stable criminal behaviour. Farrington – 1977, Viewed convicted youths as becoming more aggressive. Further it was noted that imprisonment helps to bring together criminals of various skills and experiences. The prison environment makes it possible for criminals to teach one another the various criminal skills and attitudes. There is a great danger that those who enter prison as novices, come out as experts. All this is coming up as a result of many children lacking one to care for them. They grow up lacking secure attachments, which attachments develops as a result of one’s close and loving relationships with his/her parents or caring adults. Individuals who enjoy an affectionate relationship with their parents during infancy have been found to internalize rules easily by the process of identification and to develop guilt feelings in the case of any wrong. Internalization of rules and guilt are all associated with non delinquent behaviour. We find it therefore a very important role we MUST accomplish, to set up a family where the homeless should enjoy parental love. The family has been universally acknowledged as the basic institution in molding the behaviour of human beings. It is the primary agency for socialization. Most of the earliest development and learning takes place within the family setting. This is our duty now if we are to build a society with less crime, enjoyable to dwell in. And the reverse is true. We should prepare the youth to avoid the gates of prisons as much as possible. Hence the importance of self-reliance Area of Operation(Location) Butiki village, Mafubira subcounty, Butembe County, Jinja District District Population per county: Butembe County Male Female Total Busedde 15107 15951 31058 Kakira 15324 12729 28053 Mafubira 37392 38918 76310 67823 67598 135421

Sex	Male

Contact Information

Phone	+256 784012411Mobile +256 775525011Home

Address	Jinja town Jinja, Uganda 256

Website	http://www.mafubiracommunityclinic.org http://elshadaiorphanage.blogspot.com/ http://www.facebook.com/l.php?u=http%3A%...

Email	lufafaemmanuel@yahoo.com

Saturday, February 26, 2011

The complete clinic budget

Can you make a difference? Can you help? It is not an insurmountable total... it is a total that we as a community can raise to help the clinic which turns away NO ONE if they are unable to pay. The clinic treats the poorest of the poor, AIDS widows, AIDS orphans, all at risk children.. The clinic is open to everyone, so can you open your heart? If a lot of people donate it a little it can be raised in a short amount of time.

PROPOSED BUDGET as of 25 February 2011 Drugs and Basic Medical Supplies Commonly used at the Mafubira Community Clinic
NAME OF ITEM Quantity Unit Cost Total in Uganda-shillings Total cost in US Dollars

ANTIMALARIALS
Injectables
Quinine Ampules 100 ampules 400sh      40,000sh   $20
Chloroquine Ampules 50ampules 300sh       15000sh   $7.5
Artemether Ampules 100ampules 800sh       80000sh $40

Orals
Sulfadoxine pyrethnamide tabs 100tablets   500sh 50000sh $25
Quininn tabs 150 tabs 200sh 30000sh $15
Chloroquine tabs 1tin                      5000sh 5000sh $2.5
Artemether tabs 15 doses              8000sh 120000sh $60
Coartem tabs 20 doses 6000sh 120000sh $60

TOTAL for antimalarials     460000sh $230

2. ANTIPYRETICS
Injectables
Diclofanac 100Ampules 200sh 20000sh $10
orals
Paracetamal tablets 1tin       8000sh 8000sh $4
Diclofanac tablets 1000tablets                  1500sh 15000sh $7.5
Ibuprofen tablets                                      200tablets 100sh 20000sh $10
Indocid caps                                            50caps 50sh 2500sh $1
Nimesulide tablets                                   30tablets 300sh 9000sh $3
Olfen caps.                                               10caps 2000sh 20000sh $10
                              TOTAL 91000sh $45.5

3 ANTIBIOTICS
Injectables
Ampicilline vials 500ml           400sh 200000sh $100
Cloxacilline vials 150ml          500sh 75000sh $35.5
Xpen vials 100ml            150sh 15000sh $7.5
Gentamycine ampules 150 ampules 150sh 22500sh $11.25
Benzathine penicilline 40ml            400sh 16000sh $8
I.v metronidazole 10 bottles                2000sh 20000sh $10
I.v ciprofloxacine 10bottles                2000sh 20000sh $10
I.v levflofloxacine 10bottles 2000sh 20000sh $10
Ceftriaxon 30vials 4000sh                   120000sh $60
Chloramphenical 50vials                 500sh 25000sh $12.5
PPF 50vials       400sh 20000sh $10
Ampiclox 50 vials      1000sh 50000sh $25
Orals
Amoxyl caps 1000caps                              50sh 50000sh 25$
Doxacilline caps 50 caps                           100sh 5000sh 2.5$
Metronidazol tabs 1000 caps                    20sh 20000sh 10$
Erythromycine tabs 500caps    40sh 20000sh 10$
Chloramphenical caps 1000caps 100sh 100000sh 50$
Ciprofloxacin tabs 100caps    200sh 20000sh 10$
Ampicilline caps 1000caps    50sh 50000sh 25$
Cloxacilline 50caps    1000sh 50000sh 25$
TOTAL 914500sh 457.25$
4 ANTI FUNGALS
Creams
clotrimazol 10 500sh 5000sh 2.5$
White fild 30 500sh 15000sh 7.5$
Protective silicone 5 2000sh 10000sh 5$
Sonadam 5 2000sh 10000sh 5$
Tablets
Nystatin tablets 28 300sh 8400sh 4.2$
Grisofalvine 200 300sh 60000sh 30$
Fluconazol 50caps2000sh 100000sh 50$
TOTAL 208400sh 104.2$
5 STEROIDS
Injectables
Hydrocortizone 50 1000sh 50000sh 25$
Dexamethazone 20 1000sh 20000sh 10$
Orals
Dexamethazone tabs 50 20sh 1000sh 0.5$
Prednsoline tabs 100 25sh 2500sh 1.25$
Chlophenamine tabs 1tin 3000sh 3000sh 1.5$
TOTAL 762500sh 38.25$
6 ANTI DOT
Atenam/benzexal 20tablets 1000sh 20000sh 10$
TOTAL 20000sh 10$
7 I.V FLUIDS
Normal saline 24 1000sh 24000sh 12$
Ringers Lactate 24 1000sh 24000sh 12$
5%Dextrose 24 1000sh 24000sh 12$
50%Dextrose 10 5000sh 50000sh 25$
Darouase halfstrength 24 1000sh 24000sh 12$
Water for injection 300 100 30000sh 15$
TOTAL 176000sh 88$
8 Eye drops
Gentamycine 10 800sh 80000sh 4$
Chloraphenical 8 800sh 80000sh 4$
Tetracycline oint 15 500sh 7500sh 3.75$
TOTAL 23500sh 11.75$
9 ANTIHYSTAMINE
Injectables
plasil 30 300sh 9000sh 3$
promethazine 30 300sh 9000sh 3$
Orals
Plasil tablets 1tin 3000sh 3000sh 1.25$
Phenagan tabs 1tin 3000sh 3000sh 1.25$
Chlophenamine 1tin 3000sh 3000sh 1.25$
TOTAL 19500sh 9.75$
10 ANTI HYPERTENSIVES
Orals
Nifedipine tabs 1box 5000sh 5000sh 2.25$
Atenelol 1box 10000sh 10000sh 5$
Methyldopa 1box 10000sh 10000sh 5$
Aprinox 1box 10000sh 10000sh 5$
Propranolol 1box 10000sh 10000sh 5$
Hydralazine 1box 20000sh 20000sh 10$
TOTAL 64500sh 32.25$
11 ANTI ACIDS
Orals
Omeprazole 100caps 200sh 20000sh 10$
Cemetidine 100tabs 200sh 20000sh 10$
Magnisium trilicat 1tin 6000sh 6000sh 3$
TOTAL 46000sh 23$
12 ANTI CONVALSANTS
Injectables
Diazapam 50Ampules 500sh 25000sh 12.25$
Lagactil 20Ampules 1200sh 24000sh 12$
Orals
Valium tabs 1tin 3500sh 3500sh 1.7$
Lagactil tabs 1tin 18000sh 18000sh 9$
Imepramine tabs 1box 10000sh 10000sh 5$
TOTAL 79900sh 39.95$
13 BRONCH DILATORS
Injectors
Aminophylin 20 2000sh 40000sh 2$
Orals
Aminophylin tabs 1tin 8000sh 8000sh 4$
Salbutamol tabs 1tin 2000sh 2000sh 1$
TOTAL 14000sh 7$
14 SUPPLIES
Adhesive plaster 24rolls 1800sh 43200sh 21.6$
Gauze 5rolls 5000sh 25000sh 12.25$
Cotton 5rolls 4000sh 20000sh 10$
Hibbitane 4bottles 3000sh 12000sh 6$
Iodine 3bottles 6000sh 18000sh 9$
Neomycin cream 10 1200sh 12000sh 6$
Syringes and nidles 10boxes 10000sh 100000sh 50$
Canulars &sets 3boxes20000sh 60000sh 30$
Bandages 2boxes30000sh 60000sh 30$
TOTAL 349700sh 174.85$
15 Vitamins
muti-vitamins 2tins 6000sh 12000sh 6$
Vitamin A 1tin 6000sh 6000sh 3$
Vitamin C 3tin 4000sh 12000sh 6$
Vitamin B Complex 1tin 3500sh 3500sh 1.75
TOTAL 33500sh 16.75$
GRAND TOTAL 2577000sh 1288.5$

Parts of the Clinic Budget

TClinic Budget

Item Name Quantity Unit Cost Total Cost-Uganda Total Cost US
Anti-Malarials- Injectables

Quinine Ampules 100 ampules 400 sh 40,000 sh $20
Chloroquine Amps 50 Ampules 300 sh 15,000 sh $7.5
Arthemether Amps 100 Ampules 800 sh 80,000 sh $40

Anti-Malarials- Oral

Sulfadoxine pyrethnamide tabs 100 tabs 500 sh 50,000 sh $50
Quinine tablets 150 tabs 200 sh 30,000 sh $15
Chloroquinine tabs 1 tin 5000 sh 5000 sh $2.50
Artemether Tabs 15 doses 8000 sh 120,000 sh $60
Coarterm Tabs 20 doses 6000 sh 120,000 sh $60

Desperate Need for the clinic

The clinic is in desperate need of anti-malarial drugs and cortisone at this time. It is the rainy season, a time when the worst mosquito issues. The clinic used the last of its cortisone treated a near deadly allergic reaction in a child day before yesterday. This means that the clinic can not treat the most common illness among the widows and orphans. It also means that if a person comes in with a serious allergic reaction, a serious respiratory issue, etc.. then the clinic currently does not have the ability to treat these conditions. Can you spare a few dollars? if so the time to donate is now. This will provide critical life changing meds. If you can only donate $10 then do that, it will make a huge difference because of the exchange rate. The monies go much further there. I am going to post the list of what these drugs will run here shortly.

Thursday, February 24, 2011

Community Based Organization -Registration

Hello all,

Today I received the uploaded image of the CBO for the Community Clinic. This shows that they have met the standards for the equivalent of a non-profit by US standards. There are two levels in most African nations. The Community Based Organization, which is a local charity and the NGO, which is a Non-governmental organization. The clinic is a CBO, but they have applied for NGO status.