SEXUAL & REPRODUCTIVE HEALTH

SEXUAL & REPRODUCTIVE HEALTH


Our goal is to reduce maternal morbidity mortality, perinatal mortality and total fertility rate through , quality ante natal and post-natal care, safe deliveries for all women in our catchment area, improved access to all gynecological services, youth friendly services and all individuals having access to Family Planning.

 

Our Services

We serve a population of over 100,000 people and offer fulltime emergency obstetric care.


Maternal Health Services

Improving access to quality maternal health services is deeply embedded in our vision and mission at Bwindi Community Hospital.

Identify Risky mothers who are admitted in the waiting hostel and at least an average of 50 risky mothers benefit from the hostel monthly.

An average of 170 deliveries per month is achieved, and all these deliver under a skilled midw  ife and an obstetrician. 40 % of those who deliver take up postpartum family planning.

We offer high quality prenatal services to an average of 250 mothers per month and every mother has a privilege of getting at least two Ultra Sound Scans done.

The mothers receive a complete package of Antenatal care services including HIV testing for Elimination of mother to child HIV transmission (EMTCT), Syphilis testing, iron and folic acid supplementation.

We have established strong linkages with the community working closely with the community structures including leaders and village health teams to improve birth preparedness and service uptake.

Our waiting mothers hostel, where mothers living far away from a health facility can come and stay towards term as they await labour to start. The innovation has significantly contributed to better maternal and newborn outcomes since the impassable forest and terrain presents unique transportation challenges limiting quick access to skilled care at the time of birth.

The USAID RHITES SW project has supported our services to improve service quality through initiating quality improvement projects on care for the preterm and strengthening partograph use for monitoring mothers in labour.


Antenatal Services

Conduct daily comprehensive Antenatal care clinics - on average, we see 250 mothers per month.

  • Routine pregnancy ultra sound scans, including Doppler ultrasound scan at a greatly subsidized fee.
  • High risk obstetric clinics/ services
  • Extensive health education and birth preparedness plan.
  • Waiting mothers’ hostel for high risk pregnant mothers and those living in hard to leave  conditions.
  • The mothers’ waiting hostel also provides an opportunity for skilling women during their time of stay to raise money for their sustainability and survival after discharge.
  • Provision of long lasting insecticide treated mosquito nets to all mothers on first antenatal visit.
  • Half-slips to mothers on timely first antenatal attendance

Post-natalServices

Postnatal health education and counselling

  • Post caesarean section care
  • Postnatal reviews and Family planning, including immediate postpartum family planning
  • Provision of long lasting insecticide treated mosquito nets to all mothers after delivery
  • High dependency unit(HDU) with monitors and a capacity of 3 beds


Gynaecology Services

Specialist gynaecology services.

  • Cervical cancer screening and treatment for premalignant and early cancer using cryotherapy, thermocoagulation and hysterectomy.
  • Operative gynaecology services
  • Rehabilitative gynaecology services with elective fistula surgery and care.
  • Pelvic reconstructive surgery.
  • Hysterosalpingography (HSG) and hydrotubation.
  • Ultrasound scan both trans-abdominal and endovaginal scans.
  • First level infertility treatment

Family planning Services

Uganda has one of the highest fertility rates in the world at 6.7 children per woman, and has the youngest population on the planet with a median age of less than fifteen. Large families trap people in poverty with not enough money for food, schooling and health care for their children. High fertility rates are dangerous for women, and make it hard for them to escape traditional childbearing roles. A 3% annual population growth rate is unsustainable for the environment, and leaves younger generations without enough water or land for cultivation. Three years ago, we were providing short-term methods of family planning, currently 60% of the services offered every month are long term. Now the contraceptive prevalence rate (proportion of women of childbearing age using some form of contraception) is 46% the Bwindi area. Our target is 70% by 2020.

Our family planning department operates every day, providing services and each department in the hospital has a family planning ambassador/champion to talk about family planning to the clients. Our services are not only given to the married women but also teenagers have turned up for the services because they are sexually active. So far, the youngest conception age in our catchment area has been 13 years and average conception age is 18 years.

Bwindi Community Hospital in partnership with the Royal College of General Practitioners was awarded funding to increase the number of health workers who are trained to give counselling about the benefits of family planning and where appropriate provide methods of modern contraception. The initiative, known as U-SHAPE (Uganda Sexual Health and Pastoral Education) also includes training for local teachers and Village Health Teams. The aim is to reduce unmet need for family planning, by dispelling the many fears and misconceptions that people have. We have a particular emphasis on preventing unwanted teenage pregnancies and helping mothers to space their children, both of which are known to reduce maternal and infant mortality.


WISH LIST

  • Fetal Doppler (2)
  • Monitors for HDU
  • HDU beds (3)
  • BP Machines- manual
  • Metallic Fetal scopes
  • Metal trollies
  • Vacuum delivery set
  • Electric infant warmer
  • Overhead torches
  • CTG machine
  • Screens for patient privacy
  • Bed linen
  • Hand towels
  • Moyo devices for mothers in labour