Our Recent Visits

Basingstoke Hoima Partnership For Health

Our Aim "To work with the people of Hoima Uganda to improve the delivery of healthcare"

Our Recent Visits

A Selection of Photos

Here are a selection of photos of Hoima.

JANUARY 2013

Rob Bates made a short visit to Hoima along with members of the Uganda Maternity and Newborn Hub, the Biomedical Engineering Project and a representative from THET. There were discussions with long term volunteer, Amy Keightly and the visitors were impressed by the progress being made in Maternity.

Approximately 50% caesarean sections are done through low transverse incision, pre- and post- operative check lists were in place, a blackboard was in use in theatre for swabs and instruments, there was a neonatal resuscitation station in the labour ward with a neonatal resuscitation grab box and about 80% of women in labour have a partogram. Patient folders remain in use.

The visitors were also impressed by improvements in hand washing and water supply; progress in the neonatal ward; the patient pathway for admission which was working well and the improvement in cleanliness of the hospital.

Understaffing means that patient observations are inconsistent and shortages of essential drugs remain but the general impression was very positive.

MAY 2013

Anne Reilly and Lorraine Major lead a paediatric team of eight. Each member brought large quantities of equipment and supplies. A microscopic chamber for counting white cells in cerebro-spinal fluid was especially appreciated for the diagnosis of meningitis.

The team worked alongside Dr Jean Bowyer, a long-term volunteer, to promote an emergency triage and training system (ETAT) and rapid diagnostic testing for malaria (RDT). In OPD, the team organised a system for all children to be seen in one room where guidelines were displayed and ETAT and RDT encouraged. A team from the Royal College of Paediatrics and Child Health came during the visit to discuss progress.

Much time was spent working with nursing students and trying to organise their use of time better. Teaching was given on ‘the unconscious patient’, hydration and care of the pulse oximeter. Great strides forward have been made in the neonatal unit and standards are being maintained at Azur.

In the school of nursing, teaching was given on the recognition and management of dehydration and anaemia.

JUNE/JULY 2013

Rhi Grindle led a group of three tutors and six student midwives from Bournemouth University for nine days of their elective experience. The local students were attentive and receptive to teaching on many subjects, with a special focus on partograms. The students joined an ‘outreach visit’ to a village far from a main road which showed them how difficult it is for emergency patients to reach the hospital.

SEPTEMBER 2013

Rob Bates led a team of 13.

The gynaecology ward is led by a dedicated and enthusiastic sister. The ward is clean and there are mosquito nets over all the beds. Care plans and notes folders are in place and the nursing students have a rota of duties. Patient observations are done daily. Education was given on the use of IV drugs and safe nursing practice on administration.

The surgical ward has been transformed since the arrival of a new consultant surgeon, Dr Kabuleta. The clinical skills of the team were very good and complex cases were well managed despite the lack of investigations. Documentation and patient observations were good. The challenges are the lack of anaesthetists and theatre staff and a lack of drug charts. The team set up a system for counting swabs and instruments in theatre and did teaching sessions for the student nurses.

In maternity, there were improvements in hand-washing and blood for transfusion arrives more quickly. There is better privacy on the labour ward and partograms are being used. On the post-natal ward, a protocol for identifying high risk patients and a system for isolating women with wound infections were agreed.

The team included a pharmacist for the first time. She was able to identify the strengths and weaknesses of the pharmacy service and make some recommendations concerning team work and supervision, ordering and stock control and opportunities for learning.

A patient observations audit across the hospital showed that, in general, the improvements have been maintained and the use of care plans has increased dramatically.

The Biomedical Engineering Project aims to improve the maintenance of medical equipment. The team shadowed the technicians and encouraged proactive rather than reactive maintenance. They were able to recommend improvements in reporting faults, recording, stock control of spare parts and regular ward visits.

NOVEMBER 2013

Rhi Grndle led a team of eight.

On the paediatric and neonatal wards there was much to praise, especially the leadership of the sisters and the commitment of the staff even though they were so few. As well as bedside clinical teaching, the team worked with their counterparts on their vision for the future, a structured daily plan and clinical guidelines. As well as bringing with them much needed drugs and equipment they bought and supplied a new oxygen concentrator with funds raised during the visit.

The anaesthetic team sought to encourage better communication between surgeons, theatres and anaesthetists and use of a pre-operative safety checklist. They advised on many aspects of clinical practice and theatre organisation.

The obstetric/midwifery team noted that blood for transfusion was more readily available and the wards were clean. Neonatal resuscitation was working well and drug charts were in use. The team continued to encourage early mobilisation after C-section, completion of partograms, regular patient observations and better team working.

Hoima

Has a population of 585,000

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Our Recent Visits

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To train all doctors and midwives to understand the value of a partogram during labour, to use it correctly and make appropriate and timely interventions..

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