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The project partners were seeking individual donations to bridge a funding gap. All the funds were raised. Many thanks to the donors. Please check the donation details on the "Financing" tab.
The objective of this Global Grant is to bring state-of-the-art health care to the residents of Northern Uganda by providing medical equipment for a new hospital in Atiak, Uganda. In its first phase, the new hospital will be a Grade IV Health Center, providing services ranging from surgery and anesthesiology to maternity and child health for a population of 100,000. However, the goal is to become a Grade V District Referral Hospital, serving 500,000 people.
Uganda has one of the highest rates of maternal and neonatal deaths in Sub-Sahara Africa. Infant mortality is 57.6/1000, compared to Europe at 4/1000. The rate of maternal death is also very high (1/47 compared to 1/5800 in Europe). Under five mortality in children is also high due to pneumonia, malaria, diarrhea, measles, whooping cough, tuberculosis, hepatitis and HIV/AIDS. The area has been affected by Ebola, and tropical diseases including sleeping sickness.
Uganda has the 3rd highest birth rate in the world, at 43.4 per 1000 population. So the direct beneficiaries will include outpatient and inpatient care for an estimated 2,000 babies, their mothers, and their families. In addition, the new hospital will provide direct medical services for a population of 100,000 people. We will also improve the knowledge and skills of health personnel and staff who work at the hospital, and the hospital will provide an important source of jobs for the community. Because of its location near the border with South Sudan, the hospital is also expected to serve a substantial number of the 600,000 refugees that have fled the current civil war in that country.
The project will be implemented between October 2017 and June 2018:
No. Activity Duration
1 Project development and funding, two months July & August 2017
2 Sourcing and purchase of equipment, 6 months Sept, 2017 - Feb. 2018
3 Project handover, one month March 2018
4 Monitoring and Evaluation, one month May 2018
In September 2015, radio announcements invited the people of Atiak and the surrounding area to a stakeholder engagement and public consultation. The focus of the consultation was to identify needs of the communities so as to make relative prioritization decisions for new investment in specialized services. Methods used for the consultation included eight focus group discussions, observation and interviews with key stakeholders. The participants were asked to identify the six most challenging problems they were facing in their parishes, and they identified lack of appropriate, accessible and affordable healthcare services as a major problem. To demonstrate the community's commitment to improving health care services, the community of Pupwonya Parish donated five acres of land for a hospital, with the offer of more land if required to expand the hospital later. Community youth also volunteered to clear the proposed hospital site. As a result, the major stakeholders came together to form a strategic partnership to design, build and staff the new hospital.
The new hospital was planned with the active engagement of the local community as the significant stakeholders, recognizing that the socio-cultural elements that may promote or adversely impact the hospital's services. The hospital is being built using local labor.
The community planning process described above was coordinated by the Community Development Office of Atiak Sub-County and the Atiak community under the leadership of the Chief of Atiak—a legally recognized position in Uganda. The hospital is named Teresa Ayiko Memorial Hospital in memory of Mama Teresa Ayiko, 1923 -1981, who was a daughter, wife, mother and grandmother of Atiak. She was married in Atiak to Tulio Lam, the son of Musa Bongorwot, Chief of Atiak, and had eight children, five girls and three boys and left many grandchildren, great-grandchildren and great-great-grandchildren.
The hospital is owned by the Alliance for African Assistance, a Uganda non-governmental organization whose Board Chair is the current Chief of Atiak, Richard Santo Apire. The Uganda Alliance has close ties to a sister organization of the same name in San Diego, California, whose Executive Director, Walter Lam, is one of Teresa Ayiko's sons. The San Diego Alliance has donated funds for the hospital, but has no legal connection with it.
The medical equipment provided by this project will allow the hospital to diagnose and treat a broad range of medical problems, including emergency, surgery, anesthesiology, x-ray, obstetrics, neonatal care, laboratory, pathology, etc.
Name Club Serving as
Dr. Cyprian Opira Rotary Club of Gulu, Uganda Host Club
1 Dr. Gerald Obai Gulu Rotary Club (Secondary Host Contact)
2 John Minge Gulu Rotary Club (Secondary Host Contact)
Dean Crowder San Diego Rotary Club International Club
1 Bill McDade San Diego Rotary Club (Secondary International Contact)
2 Camille Newbern San Diego Rotary Club (Secondary International Contact)
3 Janette Gray San Diego Rotary Club (Secondary International Contact)
No Rotarian who has a vested interest in the activity (e.g., an employee or board member of a cooperating organization, owner of a store where project goods will be purchased, trustee of a university that a scholar plans to attend) will serve on the grant committee.
The proposed budget for this Global Grant (in US Dollars) is as follows:
MEDICAL EQUIPMENT FOR PHASE 1
binocular microscope 1 400
centrifuge electric angle head, 8 tubes 1 200
complete blood cell counter 1 10,000
thermostatic bath 1 500
minor equipment (slides, tubes, pipettes etc) 2,000
malaria rapid test 2000 2,000
blood group reagents 1 200
HIV test 200 400
Hepatitis B test 200 400
Hepatitis C test 200 400
VDRL (syphilis test) 200 400
glucometer and reagents 1 200
saturimeter (pulseoxymeter) 1 300
imaging portable x-ray machine 1 70,000
developer 1 4,000
sonographer (echography apparatus) 1 70,000
delivery rooms delivery bed 2 1,000
oxygen concentrator 2 1,000
lamp 2 1,000
hospital bed 4 600
resuscitation bag (adult and neonatal) 4 700
warming table for infant resuscitation 2 1,000
suction apparatus 2 1,000
surgical instruments kit 2 500
vacuum extractor 2 500
outpatient department hospital beds 4 700
ambulance 1 70,000
clinical examination beds 8 2000
otoscope/ ophtalmoscope 4 2000
consultation room lamp 8 2000
computers, printers, back-up units 8 6000
Dental Equipment 50,000
grand total 301,400
We will obtain at least three quotations for all equipment and supplies from at least three suppliers. Our preference of supplier will be local in line with Rotary guidelines. All equipment and supplies will conform to Uganda Government Ministry of Health Guidelines. We will ensure that all equipment and suppliers have both local retailers and local maintenance. Every item on this global grant will be in the sole ownership of the hospital at the end of the project.