Rancho Santa Fe Rotary together with other District 5340 and U.S. Rotary clubs are teaming with Uganda's Kampala Naguru Rotary and neighboring District 9211 clubs to provide vital signs equipment and training to five local government Districts in Uganda ("the Rotary Consortium"). These 5 Districts together operate 110 public rural health centers treating approximately 825,000 patients per year. The main objective of this project is to improve the diagnosis and treatment of illness, and therefore healthcare outcomes, of potentially hundreds of thousands of patients.
The Ugandan Ministry of Health (MOH) has invested heavily in healthcare infrastructure, with 3,100 medical facilities in a country the size of Oregon. Ugandan patient exit interviews show that 98% of patients rate MOH facilities highly on staff knowledge and competence, but 70% found them unacceptable in the availability of medical equipment and 69% in the availability of the drugs that the clinicians are prescribing.
Vital signs equipment has been part of the standard of care in the West for decades. Unfortunately, given limited resources, the MOH budget does not include vital signs equipment. In addition to the patient exit interviews, a recent healthcare provider survey indicates that only about 2% of patients are currently having vital signs taken, which means that many treatable diseases are going undiagnosed and untreated. The survey also shows that when vital signs equipment is available, 23% of Ugandan adults who had their blood pressure taken were diagnosed with hypertension, a serious but treatable disease.
Through this global grant, the Rotary Consortium will provide basic vital signs equipment and training to at least one hundred rural Ugandan health centers. To assist in the distribution and training, the Rotary Consortium is working with Bulamu Healthcare International, a US non-profit and Ugandan NGO regulated by the government's NGO Board. Bulamu was founded in 2016 to provide primary medical care to the rural poor in Uganda. Bulamu has developed cost-effective models in partnering with local government Districts to provide Western medical diagnosis and treatment without charge to impoverished rural residents. (A copy of Bulamu's annual report and letter of recommendation are included in the documents section.)
On average, the donated "kits" with training cost $638 per facility, and include digital and infrared thermometers, stethoscopes, weighing scales, height rods, blood pressure monitors, glucometers, glucose strips, oxygen saturation monitors, batteries. Also greatly needed and included in the grant for many facilities will be handwashing stations and PPE. Vital Signs Equipment will be purchased in Uganda from local suppliers and will be subject to a competitive bidding process.
For this Rotary project, the Ugandan Rotary clubs, which count many medical doctors among their members will select the local government Districts that will receive the equipment and training. The determination will be made based on need as well as proximity to where Rotary members can most easily provide volunteer support. Once the Districts have been selected, Ugandan Club members will be involved in meeting with the local councils, assisting in vital signs/triage training, and helping with other functions such as IT data entry, depending on their skills.
Your project is "Fully Pledged". This means the amount of the pledges is equal to the total budget of the project. Now the project needs to be finalized and go through the approval process with The Rotary Foundation. This process gets started on the administration page.
Project listed for the 2021-22 Rotary Year.
The TRF Grant application number is #2127364.
Existing Contributions Towards This Project
Kampala Naguru (9211)
Rancho Santa Fe (5340)
San Diego (5340)
East Palo Alto Bayshore (5170)
Amount Requested from The Rotary Foundation
DDF contributions in grey are pending approval of the corresponding district committee.
Note: as of July 1, 2015 there is a 5% additional support fee for cash contributions. This fee does not appear in the financials above because it does not apply if the funds are sent directly to the project account (without going through TRF, and therefore without Paul Harris credit). Clubs sending their cash contribution to TRF must be aware they will have to send an additional 5%.