Our Training Project

Basingstoke Hoima Partnership For Health

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

Our Training Project

The report of the visit to Hoima in October 2009 defined a set of basic clinical objectives, as follows.

1) 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 as a result. (A partogram is a progress chart which prompts the midwife to intervene at the right time when labour is not progressing normally.)

2) To train all doctors and midwives in the techniques of infant resuscitation.

3) To train all doctors and midwives in the management of eclampsia (epileptic fits resulting from high blood pressure before delivery which may be fatal) and post-partum haemorrhage (bleeding after delivery which accounts for 25% of maternal deaths).

4) To train doctors, clinical officers, nurses and midwives in the value of routine observation of pulse, temperature and blood pressure and to train staff in using charts.

5) To supply drug administration charts and train the doctors, clinical officers and midwives in the value of using drug charts and how to fill them in.

6) To establish a system of patient ID for the avoidance of drug, blood transfusion and operative errors. BHPH obtained a Health Links grant from DfID/British Council/ Tropical Health and Education Trust to support this programme in August 2010, giving us £24,739 over two years. When the grant expired in June 2012, demonstable progress had been made in all of these strands but there is still a long way to go. We now have a grant from the British Medical Association to allow this work to continue.

All of these aims sound easy and straightforward but the reality is that they involve changes in clinical practice which will be hard to achieve. We must work on these at every visit and be able to demonstrate progress.

Hoima

Has a population of 585,000

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