Build A COMMUNITY Birth Center,

by Aparis Community Development Program
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,
Build A COMMUNITY Birth Center,

Project Report | Mar 16, 2023
Partnerships,Research, Advocacy and collaborations

By SHARE NGO | Director

Stroke cases in hospital, needs urgent care
Stroke cases in hospital, needs urgent care

Trends of admissions and case fatality rates among medical in-patients at a tertiary hospital in Uganda; A four-year retrospective study!

Background

Sub-Saharan Africa suffers from a dual burden of infectious and non-communicable diseases. There is limited data on causes and trends of admission and death among patients on the medical wards. Understanding the major drivers of morbidity and mortality would help inform health systems improvements. We determined the causes and trends of admission and mortality among patients admitted to Mulago Hospital, Kampala, Uganda.

Stroke cases in Uganda

Methods and results

The medical record data base of patients admitted to Mulago Hospital adult medical wards from January 2011 to December 2014 were queried. A detailed history, physical examination and investigations were completed to confirm the diagnosis and identify comorbidities. Any histopathologic diagnoses were made by hematoxylin and eosin tissue staining. 

The team of doctors identified the 10 commonest causes of hospitalization, and used Poisson regression to generate annual percentage change to describe the trends in causes of hospitalization. Survival was calculated from the date of admission to the date of death or date of discharge. Cox survival analysis was used to identify factors associate with in-hospital mortality.

Specific leading causes of morbidity were HIV/AIDS in 30% patients, hypertension in 14%, tuberculosis (TB) in 12%), non-TB pneumonia in11%) and heart failure in 9.3%. There was decline in the proportion of hospitalization due to malaria, TB and pneumonia with an annual percentage change (apc) of -20% to -6% (all p<0.03) with an increase in proportions of admissions due to chronic kidney disease, hypertension, stroke and cancer, with apc 13.4% to 24%(p<0.001). Overall, 8,637(17.1%) died during hospitalization with the highest case fatality rates from non-TB pneumonia (28.8%), TB (27.1%), stroke (26.8%), cancer (26.1%) and HIV/AIDS (25%). HIV-status, age above 50yrs and being male were associated with increased risk of death among patients with infections.

Stroke cases in Uganda!

According to world health organization stroke is the third leading cause of death

accounting for approximately 4.6 million deaths annually, Stroke requires immediate specialized

medical care and it’s associated with debilitating life-long complication. Stroke is currently

increasing in developing countries thus the need to find the prevalence in different hospitals,

regions, and Uganda at large. This study is aimed to determine the prevalence of stroke and the

demographic profiles of patients admitted with stroke in medical ward of KIU-TH in 2018.

Method: 

Retrospective cross sectional descriptive study design was employed and it involved

use of data extraction forms to gather information from patients’ files. The total of 2384 patients’

files was reviewed.

Results: 

The total of 2384 patients were admitted in medical ward of KIU-TH in 2018 and 42

patients had stroke and the rest had non-stroke conditions, This therefore reflected a prevalence

of stroke in medical ward of KIU-TH to be 1.76% in 2018. Stroke was more pronounced in

elderly patients (above 55years) evidenced by 78.6% as compared to middle aged (36-55years)

21.4% and young adults (13-35) 4.8%. Stroke occurred more in female patients (61.9%) as

compared to male (38.1%) patients. Majority of the patients that suffered stroke were married

(54.8%), followed by those that had lost partners (35.7%), and lastly by those that divorced

(9.5%.

SHARE Organisation is currently involved in cancer advocating. Introduced a fight against cancer and stroke in Northern and Eastern Uganda for purely charitable purposes. It has got strong partnership with GlobalGiving organization to fundraise for good causes such as this, cancer and stroke to save human life. 

Since COVID-19 attack, SHARE NGO has been positioning itself to effectively coordinate all village health teams and local volunteer actors in cancer control.v

 SHARE NGO looking to work with interested donor partners, volunteers such as well as scale up awareness raising and advocacy for a effective cancer, stroke service delivery in the country. We expose challenges that stroke survivors go through in the journey of recovery, in order to empower them live an independent life.

The 2010 Global burden of Disease profile indicates that in 1990 stroke was ranked at number 19, responsible for 0.9% of deaths among the top 25 causes of death in Uganda; by 2010 this had risen to number 14, responsible for 1.4% of all deaths. The 2014 World Health Organisation country profile for Uganda shows that strokes are responsible for 3.9% of all deaths in Uganda, ranking stroke at number 5 among the top 10 causes of deaths in the country.

Our mission is to enable people with mental health conditions or epilepsy and their families to live and work successfully in their communities by combining health, socio-economic and community orientated solutions with changes in policy, practice and resource allocation.

It is part of the BasicNeeds Network

Summary of relevant work: Our core intervention areas

Community mental health

With funds available, we intend to provide mental health services to persons with mental health conditions and epilepsy, very common disease among many rural poor, which include the provision of medical treatment, counselling, home visits, and mental health education for service users and establishing sustainable supply of mental health medicines by building community's drug bank, or healthcare facilities with the support of GlobalGiving donors and volunteers 2023 going forward.

Capacity building

SHARE NGO is plan to sensitize and train local community volunteers, invite trained mental health stakeholders which includes both health workers and none health workers (police, community development officers, local leaders, religious leaders, traditional healers and other relevant government employees). We sensitize and train these stakeholders using the WHO’s Mental Health Gap Action Programme intervention guide (mhGAP-IG) for mental, neurological and substance use disorders in non-specialists health settings.

Sustainable livelihoods

SHARE organization is fundraising for sustainable livelihoods with intent to support and stabilize persons with mental health conditions and epilepsy and their caregivers to resume their original work and/or identify suitable business opportunities in their local community that will enable them enter the local market. 

Our organization will support those who have recovered, and to match individual skills and capabilities to available business opportunities and provide them with start-up funds.

Research, advocacy and collaboration 

Trained international volunteer's, and local health workers will continue conducting research, record change stories and empower service users to advocate for better mental health services and influence policy among the supported communities in Uganda.

As we ask you to donate a sizable amount, from $50and above, it's our sincerest appeal to willing partners in the fight against cancer and stroke, any international acoalitions of leading health and development organizations to urgently support us in urging our government to accelerate universal health coverage so that everyone, everywhere, can access quality health services without financial hardship.

We also ask for community support services among others things, an ambulance, our people are suffering, no means to get out of home to hospital in any location, rural for that matter and it's many cases it has resulted in deaths. Slow response and pick-up for the victims, time and location's.

If funds available, to work in partnerships with local village health team's effectively with the support of international volunteer's. Medical field, professional counselor's and any interest with experience is welcomed.

After COVID-19 declines,

As the pandemic continues to decline, SHARE NGO is working alongside communities to meet their needs and promote prevention and public health measures.

In Uganda, COVID-19 Health conditions are improving which recorded a steep drop in Covid-19 cases following a lockdown between June and July and an ongoing curfew. However, the vaccination rate remains low. Only 9% of people have had two doses of the vaccine.

Promoting public health measures

Working alongside health staff and communities, SHARE NGO is helping counter the direct and indirect impact of Covid-19 despite limited funding by:

Promoting inclusive communication of public health messages, through local VHTS

Producing six Covid-19 awareness radio segments

Helping rural health facilities,

 Support higher risk people with masks, the cheapest we can afford, but very effective measure to fight COVID-19.eg especially with disabilities, and local communities identify and support particularly other at-risk populations, including aging and sick people

We are also engaged with Implementing hygiene training for local volunteers, who help in emergency rooms.

Evaluating staffing and equipment needs in five health centers

Ensuring equal access to essential services

SHARE NGO is making future plans for people to access humanitarian aid and employment to curb the economic effects of the pandemic. It includes:

Providing cash grants for sick cancer and stroke people to access essential services such as food, medicine and housing

Helping people access temporary work so they can receive food aid and to promote economic growth

Supplying 20 cheaper telephones disability, elderly, orphaned, widow's, to enable electronic fund transfers in areas with stable cell service

Training communities to prevent violence and abuse, vulnerability person by establishing a free helpline, suggestions box and report desk

Forming and training community boards to record and address reports of violence and abuse to street orphaned children.

Conclusion: 

The prevalence of stroke was low in medical wards in 2020. Admissions and case fatality rates for both infectious and non-infectious diseases were high, with declining trends in infectious diseases and a rising trend in NCDs. Health care systems in sub-Saharan region need to prepare to deal with dual burden of disease.

My biological mother suffered stroke attack in 2017 and since she is struggling with life and medical care , regular vsist to the regional hospital in mbale all those years, I have know anls lost people to this disease, cancer inclusive, my mother is lucky, she has been a sch principal now retired and has some little pension to look up to, how about the unfortunate, who never went to school?

  They need both you and my help? So kindly donate now to help these victims, living in horrible pain every day. Thanks for your help today, just  a gift of only $ 100

Stroke and Cancer, case, please help now
Stroke and Cancer, case, please help now
Support our rural health clinics ,screening camp's
Support our rural health clinics ,screening camp's
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Organization Information

Aparis Community Development Program

Location: Kumi District, Ajuket Parish - Uganda
Project Leader:
Aparis CDP
Kumi , Uganda
$89 raised of $50,000 goal
 
6 donations
$49,911 to go
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