and the need for accurate diagnosis and prompt treatment
Over half the out-patients who visit Hope Clinic
Lukuli report having a fever, diarrhoea, nausea and occasionally
vomiting. These may not all be malaria caused by parasites
transmitted through mosquito bites, but these symptoms
are the greatest cause of death in sub-Saharan Africa.
To the community, these symptoms mean 'Omusujja' - fever.
is blessed with heavy rainfall, fertile soil and many
lakes and rivers. In Kampala, these contribute to perfect
habits for mosquito to breed but also means food stays
fresh and safe for a short time. The lack of any planned
waste disposal or sewer system in the smallest town or
largest city means water sources can be contaminated.
Any of these can lead to fever symptoms, which can kill
in hours or a few days, and at the least mean missing
school or work. Hope Clinic Lukuli can mitigate the symptoms
and give accurate diagnosis and then treat the cause of
the fever or diarrhoea. Our lab staff work from 8am to
10pm and we use Malaria Rapid Diagnostic Tests (RDT) at
Preventing malaria is essential
- use a net
Fevers can end a pregnancy
Omusujja (fever) gwe
nsiri (from mosquito?) - Diagnose First
each year, kills 70-110,000 Ugandans per the Ministry
of Health. Malaria accounts for 20- 23% of all deaths
among children under five. Many of these children are
at increased risk due to lack of access to timely and
appropriate malaria treatment. The critical role for Hope
Clinic Lukuli is to have the oral rehydration solutions
available to rehydrate the patient and replace sugars
and body salts, to educate patients and guardians on use
of cooling baths and simple syrups to reduce the core
body temperature, and to bring the patient for diagnosis.
As a recognised partner to government, we stock and distribute
free of charge ACT called Coartem to malaria sufferers.
desire is to expand the availability of RDTs throughout
the community at every drug shop where a patient might
try to self-prescribe and guess the cause of the fever.
Through The Global Fund Round 10, Uganda will implement
its policy for RDTs at health centres III and we hope
that we will be able to bring those free RDTs to our community.