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News from Lacor Hospital - Fondazione Corti

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Until now, the group has been nearly exclusively a<br />

family association, led initially by my father Mario<br />

and my sister-in-law Vanda. They purchase medicines,<br />

tools, etc. and send them <strong>from</strong> the family’s textile company,<br />

Manifattura <strong>Corti</strong>. One of my brothers, Eugenio<br />

<strong>Corti</strong>, is now President of the Group, our nephew Mario<br />

Vismara is Vice-President and Mario Botteon in Besana<br />

has offered his precious accounting services. Others,<br />

such as Dr. Morelli, my nephews, brothers and sisters,<br />

our daughter Dominique, as well as friends and benefactors,<br />

have given their time and/or money to the <strong>Hospital</strong>.<br />

Basically, my nephew Mario Vismara is the soul<br />

and keystone of the Group, even using the family company<br />

as a hub for gathering and shipping everthing.<br />

Since 2012, after the closing of Mario Vismara’s company,<br />

the <strong>Hospital</strong>’s “Support Group” is hosted by the Manifattura<br />

<strong>Corti</strong>, just as it was in the beginning. It is now directed by<br />

another Mario <strong>Corti</strong>, one of Piero’s nephews. .<br />

All these benefactors, along with all those who worked<br />

at the <strong>Hospital</strong>, have represented a sort of personification<br />

of Providence for <strong>Lacor</strong>.<br />

Gradually, <strong>from</strong> ’75 onward, health services in Uganda<br />

were offered almost exclusively by the missionary<br />

hospitals. This pushed us to aggressively develop <strong>Lacor</strong><br />

<strong>Hospital</strong> services in order to answer as best as<br />

possible to the increasing needs of the population.<br />

These hospitals, now known as Catholic not for profit hospitals,<br />

still carry out approximately 40% of the health care<br />

activities in Uganda.<br />

THE AFRICANISATION PROCESS<br />

In ‘82 the <strong>Hospital</strong> was approved for the internship of<br />

newly graduated Ugandan doctors <strong>from</strong> Mulago University<br />

in Kampala. After various unsuccessful attempts,<br />

we were convinced that we should intervene directly<br />

in the process of professional training of Ugandan<br />

physicians if we wanted to convince them to work with<br />

us and to get to know each other…<br />

In ‘84 the first Italian/Ugandan technical cooperation<br />

project started; it was supervised directly by the<br />

Italian Ministry of Foreign Affairs and was aimed at<br />

putting <strong>Lacor</strong> hospital in the condition to train each<br />

year 4-6 Ugandan medical interns and of obtaining the<br />

authorisation <strong>from</strong> the Ugandan Ministry of Health to<br />

work in our missionary hospitals once they had completed<br />

their internship.<br />

Accepting and carrying out the Italian Cooperation<br />

project for us was a dream come true, because it gave<br />

us, in just a few years, resources and qualified personnel<br />

that we did not expect to have before 2000.<br />

LACOR HOSPITAL TODAY<br />

Summarizing <strong>Lacor</strong> <strong>Hospital</strong> in just a few numbers today,<br />

July ‘92, can help understand it a little more.<br />

Number of beds: 450, including 90 in the almost completed<br />

tuberculosis ward: the spread of the AIDS Virus (at<br />

least 15% of the population in Gulu district has AIDS)<br />

has multiplied the number of patients with active tuberculosis<br />

by 10, making this ward a priority.<br />

Doctors: 16 Ugandan, of which 3 specialists, 4 medical<br />

officers and 9 interns.<br />

Lucille and I are the only white doctors remaining.<br />

Foreign specialists/experts are present on short missions<br />

when we request <strong>from</strong> the Italian Ministry of<br />

Foreign Affairs for the training of Ugandan doctors.<br />

<strong>Hospital</strong> activity in the year 1/7/91 to 30/6/92: we admitted<br />

11,595 patients (of which 4,869 children); and 104,240<br />

patients were treated as out-patients; 1,200 major operations<br />

and 2,636 minor operations were carried out,<br />

there were726 deliveries, 9,188 antenatal examinations,<br />

14,620 radiological and 3,120 ultrasound examinations;<br />

248 endoscopies, 952 biopsies…<br />

This is exclusively the <strong>Hospital</strong> activity, because the<br />

three peripheral health centres of Opit, Amuru and<br />

Pabo were raided and have not been active since ’86.<br />

By comparison the activities of the <strong>Hospital</strong> alone in the<br />

year 2011/12, illustrated in this year’s first newsletter show<br />

that the total number of doctors and interns has doubled,<br />

the number of patients admitted and treated at the out patient<br />

department has doubled (this number does not include<br />

the patients treated in the now active peripheral health<br />

centres, which represent 30% of all <strong>Lacor</strong> patients), the<br />

numbers of major operations have increased by four, the<br />

deliveries by five, the number of ultrasound examinations<br />

by almost ten times.<br />

Since January 1991, <strong>Lacor</strong> <strong>Hospital</strong> is engaged with the<br />

government health personnel in a vast program of primary<br />

health care in the entire Gulu district.<br />

When peace prevailed in nearly all of Uganda <strong>from</strong> the<br />

early ‘90s (with the exception of the north), the Ugandan<br />

Government, strongly supported by international aid, tried<br />

to reconstruct the health sector, which however is still very<br />

poor especially in the rural areas. Since the second half of<br />

the ‘90s, the government invited the former mission hospitals<br />

to share the national health strategy and in turn subsidizes<br />

them. In spite of the inevitable difficulties, the public<br />

– private partnership continues: the subsidy, or Government<br />

of Uganda delegated funds, covered 8% of <strong>Lacor</strong>’s<br />

operating costs last year. In 2003, the government founded<br />

the country’s third faculty of medicine (the only one in the<br />

north), of which <strong>Lacor</strong> as a university teaching site.<br />

It must be pointed out that all the “common” patients who<br />

are admitted (95% of the total) pay a 4 to 6 dollar fee,<br />

everything included. Food is provided and prepared by<br />

the relatives. For children under 6 any kind of treat-<br />

4

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