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SAVING LIVES OF CHILDREN BORN WITH CONGENITAL HEART DISEASES-UGANDA- GG2460555
USD 19000 required, USD 28000 already sourced , Total Project: 47,000.
Host Rotary Club: Rotary Club of Nsangi District 9214
International Rotary Club: Still searching.
Other significant partners: Rotary Fellowship of Camping.
Rotary Area(s) of focus: Disease Prevention and Treatment
Project Location: Gulu and Kabale Reginal referral Hospitals (for equipment), 10 referral hospitals (training of cardiological health workers
Introduction/Overview:.
Prevalence: In Uganda, CHD affects approximately 8ÃÆ'Æ'Æ'ÃÆ'â₀šÃ‚¢ÃÆ'Æ'¢ÃÆ'¢ââ₀šâ‚₀Ã...¡ÃÆ'¢ââ‚₀Ã...¡Ã¢â₀šâ‚₀"12 per 1,000 live births, translating to about 16,000 cases annually (Namuyonga et al., 2020 .
Common Defects: The most frequent lesions include Ventricular Septal Defect (27%), Patent Ductus Arteriosus (22%), Atrial Septal Defect (9%), and Tetralogy of Fallot (7%) (Namuyonga et al., 2020).
Mortality: Without treatment, up to one-third of infants with significant CHD die within the first month of life; regional studies report overall mortality around 25% (Aliku et al., 2021 ; Nampijja et al., 2017 ).
Diagnosis: Nearly half of cases are diagnosed late (after 6 months), largely due to limited screening and reliance on alternative care (Aliku et al., 2021).
Challenges: High disease burden, high costs, and shortage of specialized facilities (World Heart Federation , n.d.).
Current Efforts: Uganda Heart Institute (UHI) programs are improving surgical capacity, but demand far exceeds supply (Nile Post, n.d .).
Project beneficiaries:
1. Two (02) Regional Referral hospitals (Gulu Regional Referral Hospital and Kabale Regional Referral Hospital), that will both get specialized heart equipment
2. Twenty (20) medical workers. Two (02) from each the 9 selected regional referral hospitals in Uganda and 02 from Bungoma County Referral Hospital in Kenya
How the project will address the community needs:
Equipment and training will reduce the CHD burden as follows:
1. Early Diagnosis: Advanced diagnostic tools and trained staff enable timely detection of CHD in infants.
2. Improved Treatment Access: Specialized equipment and skilled teams allow local surgical and catheter-based interventions.
3. Lower Mortality Rate; Prompt care prevents complications and reduces deaths from untreated CHD.
4. Decentralized Services: Regional hospitals equipped and staffed can manage cases, reducing pressure on the Uganda Heart Institute or those seeking exorbitant treatment abroad.
5. Sustainable Capacity: Training builds a pipeline of specialists and ensures long-term self-sufficiency in cardiac care.
Major Project Activities:
1. Needs Assessment & Planning: Evaluate current capacity, identify gaps, and develop a roadmap for equipment procurement and training.
2. Procurement: Prepare specifications, tendering, contracting, and ensure quality delivery and installation of cardiology equipment.
3. Infrastructure Preparation: Establish operation, maintenance and sustainability systems.
4. Training & Capacity Building: Develop curricula, conduct workshops, and implement fellowships for cardiologists, nurses, and technicians.
5. Monitoring & Evaluation: Track equipment use, measure clinical outcomes, and ensure continuous professional development.
Budget Estimates: The total Budget in USD is 47000.
# Description Quantity Cost in USD
1 Haemogram machine-2 2 units 18,461.08
2 CRP Equipment -2 2 units 14,864.86
3 BP Machine-17 17 units 2,788.00
4 Training 20 personnel 5,784.00
5 Project Mgt lumpsum 1,351.35
6 Medicines lumpsum 1,351.35
7 Contingency lumpsum 1,319.00
8 Monitoring/evaluation lumpsum 1,081.08
9 TOTAL 47,000.73
Financing Plan
# Source Amount (USD)
1 Camping Rotarians Fellowship 10,000
2
3 DDF from D9213 5,000
4 DDF from D9214 5,000
5 World Fund ( 80% of DDF) 8,000
6 Amount Secured 28000
7 Funding Gap 19 000
8 TOTAL 47,000
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