The Clinic has been treating patients since 1998. Our aim is to provide healthcare at a price which
is affordable by the poor rural community of Kangulumira sub-county which has been hard hit by HIV / AIDS. We have a particular focus on helping people with HIV and women and children.
We aim to provide a caring and supportive environment where people feel free to talk about their problems. Patients who would like it are offered prayer and counseling. Although the clinic ethos is Christian we offer services to all and many of our patients are Muslims.
Our focus is on treating the common infections of the community, such as malaria, chest infections and diarrhoea which without treatment result in much misery and death. We also treat opportunistic infections in people with HIV and provide them with free Septrin, a drug which helps to prevent several common and potentially dangerous infections.
HIV testing is provided free of charge to anyone requesting it and patients with HIV are encouraged to access antiretroviral (ARV) therapy from a government centre when they reach an appropriate stage in the disease. TB is a major cause of death in people with HIV and we also offer free TB testing and treatment. In 2013/14 the clinic administered 2100 HIV tests. Of these 115 were HIV positive.
Babies and small children are particularly at risk from most infections, so we run an under 5s clinic to help them receive treatment quickly. This also reduces the amount of time that mothers have to spend at the clinic and therefore unable to attend to the many other demands they face in their day-to-day lives.
The Integrated Management of Childhood Illnesses
is a service to Children under five years of age. These children are highly susceptible to Malaria, Pneumonia and Other Respiratory Infections as well as Diarrheal diseases. The government trained our staff to manage these problems, under the Integrated Management of Childhood Infections (IMCI) strategy to expedite treatment and management.
Basic Laboratory services are also provided. A microscope is in place and the lab is in demand to test for malaria, intestinal parasites, syphilis, etc.
In 2013/14, out of the 4,090 people tested for malaria, 2,138 were found positive.
TB/CAP Clinic: Because of HIV/AIDS, the clinic started seeing many patients coming with Tuberculosis and Community Acquired Pneumonia. The two problems shared some signs and symptoms, such as pleural effusion, chronic cough, etc. Because
of this, the local government health authorities, in response to the services we were giving, recognised the Clinic as an official TB/CAP treatment centre. They also trained our staff in TB/CAP management.
Clients presenting with TB/CAP symptoms are tested, and if found positive, appropriate treatment is given, and proper follow-up procedures are put in place, to help them adhere with the treatment
Special Epilepsy Clinic: The clinic also runs a special clinic for the epileptic patients with the purpose of creating awareness about the problem, lessen stigma associated with the disease, and provide prompt treatment and follow up for the patients.
For example, - a father in the community had spent a lot of money visiting witch doctors trying to find a cure for the fits his four daughters were having. Three girls were in the ages of 14-18, and the fourth one about 23. The father suspected the fits had something to do with witchcraft, but despite all his efforts their situation was not getting any better. However, when they came to the clinic, they were diagnosed to be having epilepsy. The girls were put on treatment and the three younger ones were able to go back to school. They had had to drop out of school because of their fits.
Maternal Child Health. To prevent disease in children we offer a full programme of routine immunizations, both at the clinic site and in neighbouring village.
This immunisation programme runs alongside an antenatal and family planning programme, thereby offering mothers and small children an integrated disease prevention package. HIV and Syphilis testing are offered free of charge to all pregnant women. Those found to have HIV are counseled to receive treatment to prevent them passing HIV to their unborn babies and women with syphilis are treated for their own benefit and also to prevent their unborn babies becoming infected with syphilis. To prevent malaria (a major cause of sickness and death in pregnant women and small children) the women are offered the chance to buy insecticide treated mosquito nets at a highly subsidized price.
Each quarter, 135 new women register for antenatal care, 80 women receive contraception and about 150 children attend for immunization. The clinic does not do deliveries but works in partnership with the local midwives.