Community Outreach at Rubare Health Center IV- Ntungamo District
11 Nov 2019
Community outreach is one of the community services carried out periodically in the Department of Social Work, Social Administration and Governance. This is one of Kabale University's objectives that tailor to increase productivity, inclusiveness, and wellbeing of the population. In a bid to extend psychosocial support to inpatients at various hospitals in the Kigezi region, this time around the Department extended the services to Rubare Health Center IV in Ntungamo District.
A total of 130 students (74 male and 56 female) under the guidance of 7 lecturers and 1 Webmaster; Mr. Aryeija Warren, Mr. Mugisha Abbas, Mr. Hategekimana Donesian, M / s Uwinana Annah Besigye, Dr. Karuhanga Samuel, Dr. Barigye Godfrey, Mr. Collins(WebMaster) and Mr. Adebayo Tajudeen Sanni- the HOD. The journey started from the University campus at Kikungiri with the University bus, two hired Costa buses and one private vehicle that transported the University staff. The team reached Rubare Health Center IV at 10 : 20 am.
On arrival the team was welcomed and briefed by the Senior Clinical Officer- Mr. Barejjjusa Francis a former student of Kabale University and gave its brief history. He said it opened in the 1930s as a TB treatment center then progressed into a dispensing maternity unit and presently it is at the level of health center (IV) with a full setup operational theatre (theatre however not in use at the moment due to the condition of the ceiling that is threatening to crumble down anytime). The following were noted;
RANGE OF YEARS TOTAL
13years Below 4
14years 19years 11
20years 30years 20
31years 40years 21
41years 50years 2
TOTAL NUMBER OF IN-PATIENT 58
Alongside psychosocial support, patients and their attendants were given some material gifts including soap and cups to assist them while in the hospital. Every patient and attendant visited in the ward was given a gift. Some patients were attended to from the hospital compound where they were found sunbathing. Gifts were served along with the interface interviews with patients using the formatted questionnaires.
After the ward visitations, students, University staff gathered and received training about community health care systems. The training was given by the hospital Senior Clinical Officer who doubles as the in-charge hospital administrator Rubare Health Center IV.
He mentioned different activities and services offered which include; general management of communicable diseases like TB, HIV / AIDS, Missles etc, Childhood illness management, Malaria treatment, Handling people faced with domestic violence- by offering testing and treatment service as well as testifying in courts in the event where some cases opt for legal actions, family planning services, counseling services, Immunizations, environmental health promotion services, health education, mental health treatment, in-service health submissions HIV testing and counseling, community outreaches, infection control services, palliative care, and adolescent health services.
Questions and answer session :
iii) As mentioned about the hospital is the only one serving the whole constituency, the question about accessibility was raised by a student. To this, it was reported that the hospital organizes community outreaches and the hospital staffs are deployed to offer services like immunizations and education health talks. There came up another sensitive response to this whereby some patients especially those with HIV / AIDs prefer using far off health facilities due to stigma and denial about their health status. For example, it was said that there was a patient attending the ART clinic at Rubare HC IV while coming from Kanungu.
General observation and recommendations :
iii) The maternity ward had well set up buildings with different units such as space for newly born babies, pre-mature babies room, space for mothers waiting to deliver which was a well-organized place for service provision.
vii ) On the whole, counseling services and psychosocial support services were being mixed up with medical health care services by the practicing medical workers in response to the big felt and expressed the need of the community. It is therefore highly recommended that trained counselors and social workers be employed to meet the community’s demand / needs if a minimum health community is to be realized.
Lunch and departure : Each student and staff were given facilitation for their lunch and the journey from Rubare back to Kabale started at 5 : 00 pm.
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