Projects
Friends of Angal Projects
“Friends of Angal” supports the hospital with many different activities, including periodical visits of expatriate senior consultants in Tropical Medicine and Urology, provision of allowances for Hospital Management and contributions to Staff salaries, sponsorship for administrative and clinical training. There are also specific projects, namely:
Low admission fees in Pediatric ward
This projects aims to increase the accessibility of the hospital for the poorest by covering the expenditure for admission of children in Pediatric Ward.
Nutrition Unit
The Nutrition Unit is located near the paediatric ward but in a different building. Nutrition Unit has its own room for the night rest, adequate space for supervised feeding, nurse’s office and duty room, kitchen and store. Medical Officer and Senior Nurse in charge are the same of children’s ward, but among the staff there are three Nursing Assistant specifically committed to Nutrition Unit and the duty roster is organized so that for every morning and evening duty, one Nurse assistant takes care of N.U. No nurses are there during the night, but mother and attendant can easily reach Children’s ward to collect the treatment or to explain major complains. However, unstable patients, during the night are transferred to Children’s ward. Three cooks work in our Nutrition Unit and the senior one has also the responsibility of store keeper.
On admission Nurse Assistant performs the antropometric evaluation (age, body weight, height, MUAC) and Medical Officer the clinical evaluation. As laboratory investigations are routinely requested BS for MPS, stool for parasites, HB. Diagnostic serology is requested according to the clinical conditions and the history. All malnourished children are treated with multivitamins, folic acid, vitamin A (day 1,2,14), antibiotic drugs. According to the clinical conditions, other treatment can be added.
In order to receive therapeutic feeding, children are divided in “initial phase” or “rehabilitation phase” and this is clearly indicated on the medical form with a different colour, to make it easier the distribution of meals. In initial phase children receive an home made F75 formula, cooked following the WHO guidelines. Unfortunately we lack mineral/vitamin solution. In rehabilitation phase children are allowed to gradually introduce some family food like, rice, beans, meat, fish, eggs, fruits.
Meals are distributed five times a day and once at night. Together with the last feeding of the evening mothers or attendants receive a flask to keep warm the therapeutic milk and give it to the child during the night.
Mother are involved in food preparation which is part of their health education. Health educations also consists of lectures with a twice a week calendar (Tuesday and Thursday) in the morning hours. Lectures are alternatively performed by Cooks, Nurses, Senior Nurse, Medical Officer. Major topics are: malnoutrition, personal hygene, weaning, immunization, acute GE, family planning, HIV/AIDS, intestinal parasitosis, malaria, pneumonia, tetanus, anaemia, disadvantages of local cuts and ebino removal, maternal deprivation, food values, skin lesions.
At discharge children receive supplementary family food for 2 weeks and then they are asked to come back for a follow up visit after 2 weeks.
Samaritan Found
This is a special found that covers medical expenditures (drugs, OPD visits, hospital admissions) for patients with chronic illnesses (CCF, diabetes, SCD…). It also helps patients who should be referred to other hospital in order to receive adequate investigations or treatments, but cannot afford the cost of the transport.
Staff houses
In order to prevent high turn over of the staff, the hospital, supported by “Amici di Angal” is building new staff houses near the hospital compound.
Karacel projects
New laundry
A project for a new laundry with washing machine using hot water solar systems, is currently in phase of approval.
“Toscana” project: “Supporting HIV AIDS services in North Uganda”. ASL 10 Florence Infectious Diseases Department
Specific objectives
1- To strengthen by training the skills of local health workers and enhance the ability in management of prophylaxis regimen and antiretroviral therapy.
2- To establish, train and coordinate a team for individualized counselling targeted at patients under ARV treatment.
3. To reduce the number of infants infected with HIV during pregnancy and/or during delivery by promoting the hospital’s capacity in the Maternal Child Health Clinic (MCHC) increasing access to PMTCT services for pregnant women.
4. To build a clinic for HIV positive patients management and promote the admission to the clinic of those patients, seropositive men and women already treated with antiretroviral regimen (ARV) at Angal Hospital.
5-. To improve the quality and quantity of diagnosis in the laboratory of Angal Hospital and optimize the management of antiretroviral drugs.
CUAMM project
CUAMM is currently implementing a 3 years project in West Nile (September 2007-september 2010), aiming to the strengthening of health services in Arua and Nebbi dioceses. Angal hospital is also covered by this project through the provision of one expatriate medical officer, the recruitment and remuneration of one clinical officer, the provision of stationary and consumable, sponsorship to the administrative and clinical staff for courses offered by Ugandan institutions and organization of training activities on specifically requested topics (ex. EmOC), dissemination of teaching material for the CME of the staff, construction and rehabilitation of hospital’s buildings (construction of a new administration block, rehabilitation of the pharmacy building).
SMOM project
Main objectives:
1) reduction of oral pathology in the area, by means of suitable strategic information and education campaigns in school and villages
2) professional qualification of a nurse and a technician in odontostomatology, who will be able to promote oral health within the local community
3) education and professional training directed towards local personnel, for a job profile as seat assistant and possible dental hygienist
4) periodical visits by volunteers, who shall have the task to cooperate with the local personnel and operate on the field according to their specific knowledge.
5) delivery of consumables for the optimal efficiency of the odontology ambulatory until the closure of the project and/or up to the auto-sustainability of the unit
“Informatici senza frontiere” project
This project mainly supports the administration in collecting and recording hospital data trough a specifically designed computer program. Technical assistance is provided by periodical visits of volunteers who can also answer by e-mail to urgent questions.