Uganda - Campaign to End Fistula

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REPORT OF THE BASELINE ASSESSMENT OFOBSTETRIC FISTULA IN UGANDASUBMITTED TOUNFPAUGANDA COUNTRY OFFICEBy:Dr. Apollo KarugabaConsultant,P.O. Box 25985,Kampala.Tel: 077 424582E-mail: abkarugaba@yahoo.com7 th May 2003
iTABLE OF CONTENTSTABLE OF CONTENTS..................................................................................................... iLIST OF ACRONYMS ..................................................................................................... ivACKNOWLEDGEMENT .................................................................................................. vEXECUTIVE SUMMARY ............................................................................................... viBACKGROUND ................................................................................................................ 12.0 TERMS OF REFERENCE.............................................................................. 52.1 Objectives of the Study........................................................................................... 52.2 Specific Objectives ................................................................................................. 53.0 METHODOLOGY: ................................................................................................ 63.1 Ethical Control........................................................................................................ 63.3 Preparation for the Study ........................................................................................ 64.0 RESULTS ............................................................................................................... 74.1 Policy ......................................................................................................................75.0 INDIVIDUAL HOSPITAL ASSESSMENT.......................................................... 85.1 Mulago National Referral and Teaching Hospital.................................................. 85.2 Mengo and Rubaga Missionary Hospitals .............................................................. 85.3 Nsambya Catholic Missionary Hospital ................................................................. 95.4 Kitovu Catholic Missionary Hospital ..................................................................... 95.5 St. Francis Mutolere Hospital ............................................................................... 105.6 Kagando Hospital.................................................................................................. 105.7 Mbarara Teaching Hospital................................................................................... 115.8 Fort Portal Referral Hospital................................................................................. 125.9 Hoima Referral Hospital....................................................................................... 135.10 Gulu Hospital........................................................................................................ 135.11 Lacor Catholic Hospital ........................................................................................ 145.12 Arua Hospital........................................................................................................ 145.13 Nebbi Hospital ...................................................................................................... 145.14 Kuluva Hospital .................................................................................................... 155.15 Lira Hospital ......................................................................................................... 155.16 Amai Hospital (Lira District)................................................................................ 155.17 Soroti Hospital ...................................................................................................... 155.18 Mbale Hospital...................................................................................................... 165.19 Kamuli Hospital.................................................................................................... 165.20 Jinja Hospital ........................................................................................................ 165. 21 AMREF Flying in Doctors: Dr. Tom Raassen..................................................... 175. 22 Masaka Regional Referral Hospital...................................................................... 175. 23 Kabale Regional Referral Hospital ....................................................................... 176.0 PROVIDER ASSESSMENT................................................................................ 186.1 Special Hands-on Training in VVF Management ................................................ 186.2 Distribution of Categories of Service ................................................................... 186.3 Adequacy of Training ........................................................................................... 186.4 Needs for Hands-on Training................................................................................ 196.5 Performance Assessment for the Year 2002 by Respondents .............................. 19
Page 5 and 6: 9.9 Attitudes of Health Care Provid
Page 7 and 8: vACKNOWLEDGEMENTFirst and foremost
Page 9 and 10: viiThese were major constraints ide
Page 13 and 14: 3High levels of childhood malnutrit
Page 15 and 16: 52.0 TERMS OF REFERENCE2.1 Objectiv
Page 17 and 18: 74.0 RESULTS4.1 PolicyIn the year 2
Page 19 and 20: 9hence would never qualify for subs
Page 21 and 22: 11VVF week was carried out between
Page 23 and 24: 135.9 Hoima Referral HospitalThis h
Page 25 and 26: 155.14 Kuluva HospitalThis is Churc
Page 27 and 28: 175. 21 AMREF Flying in Doctors: Dr
Page 29: 19The training curriculum never spe
Page 32 and 33: 226.18 Geographical and Ethnical Di
Page 34 and 35: Typical Road up the hills off Kabal
Page 36 and 37: 267.0 CHARACTERISTICS OF PATIENTS W
Page 38 and 39: 287.11 Condition of the baby at Del
Page 40 and 41: 30Provision of quality care may con
Page 42 and 43: 32supplies. The problem is compound
Page 44 and 45: 34Bicycle Ambulance (hind view)Brok
Page 46 and 47: 369.10 Characteristics of Patients
Page 48 and 49: 3810.0 RECOMMENDATIONS10.1 Immediat
Page 50 and 51: 40(xi)(xii)Detailed protocol and gu
Page 52 and 53:
4211.0 HOSPITAL SUMMARY FORMForm 4N
Page 54 and 55:
44Name of HealthUnitMULAGOHOSPITALC
Page 56 and 57:
46LIST OF INSTRUMENTSList of Instru
Page 58 and 59:
48Basic Laboratory RequirementSn It
Page 60 and 61:
50Supplies and Equipment (* Optiona
Page 62 and 63:
5253 Sphygmomanometer 154 Stethosco
Page 64 and 65:
37. Dr. Osinde Obstetrician/Gynaeco
Page 66 and 67:
56OBSTETRIC FISTULA (VVF)PROVIDER/F
Page 68 and 69:
58e. Clamps……………………
Page 70 and 71:
60OBSTETRIC FISTULA (V.V.F)PATIENT
Page 72 and 73:
62OBSTETRIC FISTULA (V.V.F)Form 3KE
Page 74 and 75:
641. What is the policy?MINISTRY OF
Page 76 and 77:
668. X-ray (IVP)9. Cytoscopy10. Exa
Page 78:
6817. Raassen Tom: VVF Surgery Repo
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