Palliative Healthcare for Ngora District in Uganda
Medic Assist International enabling local people to provide home based palliative care to poor isolated rural communities in Ngora District, Uganda where incidence of HIV and cancer are very high.
July 2012 - June 2015
Medic Assist International
Government does not provide home based palliative care. The concept is poorly understood in the region. Freda Carr Ngora Hospital and FADO-T (local NGO) see the need of very poor rural communities suffering with high incidence of HIV and cancer for the service but do not have the resources. Clients suffer stigma, isolation & severe hardship. MAI plans to fund the project for a period and advise the indigenous leadership to develop local sustainability.
A significant number of clients will receive care that will restore dignity and hope. Local providers will receive resources to deliver services and, longer term, be helped towards these services becoming locally sustainable. The local Health Authority are fully supportive of the initiative.
Provide home based palliative care to a minimum of 100 clients every month.
Activities» Support 10 suitably trained Community Health Workers (CHWs) supported by two enrolled nurses & supervised by an experienced registered nurse.
Success will be...judged by the number and frequency of home care visits made, number of clients supported and client feedback on quality of care.
To provide annual training in excellent palliative care practice to CHWs.
Activities» Fund the training programme using suitably qualified nurse led training.
» Recruit suitable local volunteers to become Community Health Workers.
Success will be...all Community Health Workers successfully completing one course per year.
To advise the local partners on sustainability.
Activities» Maintain dialogue and where necessary find UK professionals to visit and advise.
Success will be...the existence of a local sustainability plan by the end of 2014.
1: An improved quality of life for a minimum of 100 clients ever year, demonstrated by their psychosocial and physical condition.
2: An improved level of health education among these communities, measured by a decline in HIV incidence locally.
3: A shift in Health Authority priorities, shown through some funding for this project from 2015.
There is a health risk to CHWs. The consumables budget permits purchase of gloves etc to obviate the risk.
The project is highly dependent on the quality of supervision. An excellent highly qualified nurse is available to lead the project. Her commitment is evident in the work she has done in this area on a voluntary basis outside of her paid employment. The other nursing staff we will employ give cover if needed.
All supporters who wish can receive a regular email update at least quarterlyy with statistics and stories. If needed, a quarterly report can be sent via snail mail.
Budget - Project Cost: £42,250Loading graph....
Amount Heading Description £16,020 Registered Nurse Supervisor £10,160 2 Enrolled Nurses Direct involvement in client care & support of CHWs £2,340 Part time Administrator Healthcare and financial reports £9,230 10 CHWs Allowances, training & transport £4,500 Consumables Provided to CHWs
Ngora District is in eastern Uganda. There are a number of poor and isolated rural communities which are the focus of this project.
No official statistics exist for the rural villages to which the project is aimed. These communities are poor and marginally self sufficient. Typically those suffering with HIV/Aids are stigmatised and isolated, leading to neglect & abandonment. Many people die alone, having spent their last resources on unproductive assistance from traditional healers.
MAI has learned of this project through a Ugandan studying in the UK who initiated the project. Its scale is suitable to our modus operandi and we have a similar project in KwaZulu Natal which may facilitate mutual learning about standards and best practice.
Read more about the Charity running this project.
Nurse Rose Aliano (BSc; RN)
She is the highly committed Registered Nurse who will supervise the project. She has already begun to undertake some home care in her own time.
Dr Deborah Ajulu
Founder Chairperson of the local NGO that, with the Hospital, has designed this project. Currently undertaking research in the UK, a strong advocate!
Dr John Gilbert
The MAI Board member who did a needs assessment of the project, met local officials & was convinced of the need & potential.