Goal: To improve the quality of health care services.
Background: The insurgency in Gulu District that lasted two decades caused huge displacements of people from their communities to Internally Displaced Persons (IDP) camps, a condition that has led to an emergency of marginalized households and the breakdown of family and community support systems and structures that used to provide for the basic needs of children.
The net impact of this has been gross inaccessibly to disease prevention, care and mitigation as well as civil protection services.
The health situation in the district still falls below National Standards, largely due to the difficult living conditions in the re-settlement areas
Agonga KCHC Unyama Construction
Agonga KCHC Unyama Opening
(original villages) and biting poverty due to prolonged conflicts. Most of the diseases are preventable and are associated with poor environmental sanitation and hygiene, as well as a lack of medicine and immunisations in the communities.
The philanthropic purpose of the clinics has allowed growth through actively creating Public and Private Partnerships in health service delivery. As no profits are sought by the directors of the clinics, the community health centres can approach government and donors, as well as local and international NGOs to bring necessary services to Gulu district.
What we do now and can improve upon to ensure we can provide the services needed
We have opened two health centres;
- Karin Medical Centre in Bungatira sub county, Gulu District and
- Agonga Karin Community Health Centres in Unyama sub county, Gulu District.
Unyama Clinic Opening
The medical centres continue to increase their connections to the community level health providers and are recognised by the local district health office and the Ministry of Health as important participants in health service provision. Since their foundation, the clinics have had a broad range of collaborations.
Our services benefit over 20,000 people, especially children and expectant mothers in this community.
Agonga KCHC Staff
These services provide the critical ‘front line’ of health services in the community, where many people come from distances up to 20 km away to receive medical attention. In particular, our community outreach services provide mobile health services to all villages in our area. This serves to educate the community in preventative health measures, and to provide curative services to those who are unable to/have not yet come to our health facilities.
The Karin clinics took on the staffing of the weekly child immunization services prior to relocation to the new premises in 2015. The numbers of immunizations per month now exceeds 500 interventions. These have provided an ad hoc entry point for assessment of other conditions including treatment of malnutrition with supplementary feeding. Improved supplies of family planning products and a range of single event, monthly, quarterly and multi-year contraceptives have greatly increased our ability to serve clients and hence to mobilize clients to consider Reproductive Health options.
We provide a wide spectrum of curative and preventative health services to communities bereft of any other formal health care facilities.
Our health services can be broken down into 7 main areas:
- General medical services;
- Young child visit care including Immunisations;
- Maternity services including antenatal and postnatal care;
- Sexual and Reproductive Health;
- Laboratory services;
- HIV/AIDS testing and counseling;
- Community Integrated Outreach services.
What we can be supported to do:
- We can distribute health commodities (nutrition support, bed nets, water purifiers) with very low distribution costs and can do so alongside health education and preventative care information.
- We can also provide printed health information campaigns and distribute these to mothers, children, youth and families.
- The related need exists for volunteer- or grant-funded staff to develop and implement integrated management of childhood illnesses as a free-to-client screening service linked to weekly immunization sessions .
- Training opportunities for health workers.