Malaria remains the cause of morbidity and it continued to bring most patients for admissions.  It was equally the main killer disease among the under 5 years old children.

The wards are headed by In-charges, mainly registered and a few enrolled Midwives/Nurses.  Under the In-charges are a number of other enrolled nurses, nursing assistants and nursing aides. There existed regularly updated duty rosters indicating the working shifts and duty allocations like admissions, cleaning, treatment, dressing surgical wounds, attending to ward rounds, etc.

A minimum of three major ward rounds and minor ones in between a week are conducted in each ward. These rounds are conducted according to the work schedules convenient to that particular ward. The Medical Officers handles all the discharges except in the maternity ward. In the maternity ward the Midwives do the discharges following normal deliveries. There are provision for hand washing in between the patients and adequate sterilization of instruments for procedures in all the wards to contain cross infections in the hospital.

Nearly all the patients discharged are followed up on appointments in the OPD unless specified. The deaths are reported by the nurses or the midwives to the Medical officers for confirmation. Medical audits are conducted occasionally but mainly for the maternal deaths.  Requests for death certificates are made by very few relatives within the stipulated 14 days after deaths.

The hospital had specialist support supervision visits from Arua Regional Referral Hospital in two quarters. A Tropical Medicine Senior Consultant from Italy visited the hospital every six months in the FY. A urologist from Italy also came once during the year. The unit for special care existed only in the Maternity wards for pregnant women at risk of difficult and complicated labour.  There is a shelter for the attendants of the patients but is quite a difficult place to control in terms of noise and petty theft.

 

 

On the other hand pastoral care for the sick was continuously enhanced during the last FY as a result of more training offered by UCMB.

READ MORE ABOUT INPATIENTS DEPARTMENT