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Global Grant Proposal Form for Project G-2729 Last updated by Judy Rowles <tisirowles@cox.net> on 2-Jul-21 Project Title Ugandan Vital Signs Equipment Type of Project [X] Humanitarian [ ] VTT [ ] Scholarship Primary Host Partner Information
Primary International Partner Information
Grant Host Committee
Grant International Committee
Do any of these committee members have potential conflict of interest? If so, please briefly explain. No Tell us a little about your project. What are the main objectives of the project, and who will benefit from it? Rancho Santa Fe Rotary Club, along with several other U.S. Rotary clubs is teaming up with 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 operate 109 public rural health centers treating 825,000 patients per year. The Ugandan Ministry of Health (MOH) has invested heavily in healthcare infrastructure, with 3,100 medical facilities in a country the size of Oregon. 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. A recent Ugandan survey indicates that only about 2% of patients are currently having vital signs taken, which means that many treatable diseases are going undiagnosed. The survey 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 over one hundred rural 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 attached.) On average, the donated “kits” with training cost $641 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. (A spreadsheet of anticipated costs is attached.) 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. Which area of focus will this project support?
Which goals of this area of focus will your project support? - How will you measure your project impact?
Do you know who will collect information for monitoring and evaluation? -
Humanitarian Project 125 Rural Outpatient Medical Facilities in 6 districts in Uganda, Africa.
Cooperating Organization (Optional)
Why did you choose to partner with this organization and what will its role be? Bulamu Healthcare International was chosen because it is a major provider of primary medical care to rural poor in Uganda. It has the expertise, framework and governmental support to assist in the proper distribution and training required for the vital signs equipment this global grant will provide. Founded in 2016, Bulamu is a US non-profit and Ugandan NGO regulated by the Ugandan government’s NGO Board. 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. Using its “Core Team” of 75 licensed Ugandan clinicians, Bulamu provided healthcare to 64,792 patients in 2020 through its Clinical Support Team. Bulamu has developed a modern hospital/clinic management system, piloted in 2019-20, that will be installed in numerous healthcare facilities throughout Uganda by August 2021. In 2019, the Ugandan Ministry of Health authorized Bulamu to develop and install a pilot health unit management system in the Sheema District of Uganda called the Bulamu Health Center of Excellence Program ("HCE.") The Ministry of Health recent issued an endorsing Bulamu and finding that the HCE has been a proven success. In 2020, in response to the pandemic, Bulamu developed and implemented two related healthcare programs to provide clinical support for providers in Ugandan healthcare facilities. For more information on Bulamu visit https://bulamuhealthcare.org/ Bulamu's role is described in detail on the Global Grant Implementation, Training, and Monitoring Supplement uploaded to this application. Partners (Optional) List any other partner that will participate in this project. - Volunteer Travelers (Optional) Provide name, email of traveler(s). - Describe this person's role in the project. - Rotarian Participants Describe the role that host Rotarians will have in this project. As part of this Rotary project, the Ugandan Rotary clubs, which count many medical doctors among their members are currently having meeting to assess community needs. Based on its assessments, the Rotary club Kampala Naguru, with anticipated assistance from neighboring Ugandan Rotary Clubs, 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. Describe the role that international Rotarians will have in this project. The Rancho Santa Fe Rotary Club has taken the lead in building an international team and fundraising for this project. The members of it's Foundation and grants committee have had numerous zoom meetings with other San Diego and Ugandan clubs involved and Bulamu Healthcare International. During these meetings, the International Rotarians have reviewed the data collected and information presented to provide input on the structure of the grant and its implementation. Rancho Santa Fe along with its US partner Rotary Clubs will continue to meet virtually with the Host Club(s) to review and monitor their progress, strengthening ties between the different Rotary groups. What is the budget for this grant?
Tell us about the funding you have secured for your project.
Humanitarian Projects - Project Planning Describe the community needs that your project will address. - How did your project team identify these needs. - How were members of the benefiting community involved in finding solutions. - How were community members involved in planning the project. - Humanitarian Projects - Project Implementation Summarize each step of your project's implementation.
Will you work in coordination with any related initiative in the community? If yes, briefly describe the other initiatives and how they relate to this project. If no, please explain. Are local initiatives not addressing these needs? Or, if they are, why did you decide not to work with them? - Please describe the training, community outreach, or educational programs this project will include. See attached Training and Monitoring Supplement How were these needs identified? See attached Training and Monitoring Supplement What incentives (for example, monetary compensation, awards, certification, or publicity), will you use, if any, to encourage community members to participate in the project? - List any community members or community groups that will oversee the continuation of the project after grant-funded activities conclude. Both the Host and International Clubs hope to make this a multi-year project. Bulamu Healthcare International will also assist in overseeing continuation of use and upkeep of Vital Signs Equipment. Budget Will you purchase budget items from local vendors? Explain the process you used to select vendors. There are two main suppliers of medical equipment in Uganda. One is the National Medical Stores which is operated by the Ugandan government. The other is Joint Medical Store which is a private-Not-For Profit NGO established in 1979 as a joint venture between the Uganda Catholic Medical Bureau and the Uganda Protestant Medical Bureau. Bulamu prefers to order from Joint Medical Store because its experience has been the equipment is higher quality at better prices. There are other medical equipment suppliers in Uganda however. Therefore, the list of vital signs equipment to be purchased will be put out to other suppliers as well as JMS with the goal to purchase the best quality equipment at the lowest price possible. The Rotary Club of Kampala Naguru will be involved in the vendor selection process. Did you use competitive bidding to select vendors? If no, please explain. A competitive bidding process will be used to purchase the vital signs equipment and supplies. Please provide an operating and maintenance plan for the equipment or materials you purchased for this project. This plan should include who will operate and maintain the equipment and how they will be trained. Bulamu Healthcare International, together with volunteers from Kampala Rotary Clubs who have medical backgrounds, will visit and train healthcare professionals in each of the district healthcare facilities where the equipment is provided. The training will include proper operation of all equipment. With proper use, cleaning and storage, most of the equipment has a life expectancy of 5 years. Describe how community members will maintain the equipment after grant-funded activities conclude. Will replacement parts be available? Local Ugandan Rotarians have expressed a desire to have this as an ongoing volunteer project. They will continue to assist in the use and troubleshoot equipment maintenance and issues. With regard to equipment like stethoscopes and blood pressure monitors, care basically involves keeping the equipment properly cleaned and stored when not in use. Replacement parts will be available. If the grant will be used to purchase any equipment, will the equipment be culturally appropriate and conform to the community's technology standards? If yes, please explain. If no, describe how the project team will help community members adopt the technology. - After the project is completed, who will own the items purchased by grant funds? No items may be owned by a Rotary district, club, or member. The equipment will be owned by the rural Ugandan healthcare facility to which is it provided. Funding Have you found a local funding source to sustain project outcomes for the long term? If yes, please describe this funding source. - Will any part of the project generate income for ongoing project funding? If yes, please explain. No Is your economic and community development activity a microcredit project? If yes, upload your microcredit supplement file. - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||