Clinic Partner: Rugarma Hospital, Uganda
Rugarama Hospital is a private not for profit Hospital situated in Kabale a south western district of Uganda just north of Rwanda; the District population is over 500,000. The Uganda under-five mortality rate is at 99 deaths/1,000 live births (2010) and the Maternal mortality also remains rather high in Uganda at 430 deaths/100,000 live births (2008). Most women die as a result of infection and hemorrhage equally many others have obstructed labor and cannot get a caesarean section.
Until February 2011, Kabale District had only the Regional Referral Hospital offering EMOC services. Bearing in mind the challenges common to all Government facilities, it goes without saying that the Kabale MCH situation could only be worse than the stated National situation.
Rugarama Hospital realized the need to establish EMOC services as far back as 2004, however due to limited resources this dream dragged on and on. Several attempts to start were made, but with key components lacking, they were always fruitless. However, there was a ray of Hope in April 2010 when officials from DRI visited the Hospital with an intention to improve MCH services in Kabale. It was on May 24th 2011 that there was a communication from DRI as such “DRI was committed to health system strengthening in Kabale in the years ahead, and to that effect w
The District has since had a second operating theatre and there has been tremendous improvement in MCH service utilization at Rugarama Hospital. For the years 2008, 2009 and 2010 the total number of Deliveries at the Hospital was 55, 82 and 212 respectively. However with the introduction of EMOC services by DRI support the total number of deliveries of 2011 were 453 and already in the 1st Quarter of 2012 deliveries are already 90 in total. Nearly 1/3 of the deliveries are by caesarean section.as prioritizing establishment of Emergency Obstetric theatre, based at Rugarama hospital” On 5th August 2011, this was realized and there was an official handover of theatre equipment required to establish EMOC.
In addition to theatre equipment DRI supported Rugarama Hospital in establishing the 2nd blood bank in the District and also a number of oxygen concentrators for use the Hospital neonatal unit that takes care of both neonates and premature babies- the only one in the region.
All these interventions have greatly improved both Maternal and neonatal outcomes at the Hospital and in the District at large. The Hospital is committed to putting the donated equipment to the intended purpose as it seems the only appropriate appreciation to DRI for the offer.