Health Care

We operate the good hope health clinic because everybody deserves access to healthcare. Support us with equipment and materials.

‘Good Hope’ health unit offers basic health services to the people in our area, at affordable prices.

What we offer

  1. Laboratory services to test for malaria, HIV/AIDS and other Sexually Transmitted Diseases among others.
  2.  Diagnosing of infections and diseases.
  3.  A small in-patient ward for further supervision and treatment.
  4. A maternity ward, providing prenatal services to pregnant women. Normal deliveries can take place at the health unit, but for more complicated cases, patients are referred to the nearest hospital, approximately 35 kilometers away.

Support us
To be able to provide affordable, high quality services to our community, we are constantly looking for people, who can support our work with knowledge, donations and equipment. If you are a health worker and would like to offer your services for a period of time to our health unit, we are more than happy to receive you! Also donations in money and kind are very welcome!

Future plans
1. Acquiring an ambulance
– to ensure that patients can reach the health unit faster, in cases of emergencies
– needs: funds
2. Establishment of a theatre:
– so that we can carry out surgeries, including caesarean sections.
– Needs: funds
3. Hiring a doctor and gynecologist:
– On a permanent basis for improved health care.
– Needs: funds
4. Establishing a dental department at the health unit:
– As there are hardly any dentists in the region.
– Needs: funds and/or a temporary voluntary dentist for training and services.

Complementing free governmental health care
Our services are not free, but are offered at reduced prices, to ensure the quality of the care. This is opposed to the government operated health units in the area, which are free, but face difficulties of providing a consistently reliable service. Often, essential medicines are out of stock or health care staff not available, since most run private clinics on the side to supplement their small income. Therefore, our services are an essential complement.

Health care in Uganda is a major challenge. Uganda’s healthcare performance is ranked as one of the worst in the world, by the World Health Organisation in their World Health Report 2000. The country was ranked 149th out of 191 countries.

Recent statistics of the World Health Organisation1 show that life expectancy at birth in Uganda is 56 years. Child mortality (death before the age of five years) occurred in 141 of every 1000 births. At least one visit of antenatal care is accessed by 95% of the pregnant mothers, but only 48% of them access antenatal care at least 4 times (recommended). Also only 50% of pregnant women in Uganda with HIV receive antiretrovirals to prevent mother-to-child-transmission. The maternal mortality ratio for Uganda is 310 per 100,000 live births. As a comparison, the United Kingdom has a maternal mortality ratio of only 12 women per 100,000 live births. Lastly, with a population where only 35% uses improved sanitation, it is expected that preventable diseases will keep occurring.

A study was done in 2007 in 54 districts and 553 health facilities in Uganda to determine availability of emergency obstetric care and its related maternal deaths. The study found that few of these units had running water; electricity or a functional operating theater. However, having these items was shown to have a protective effect on maternal deaths.

The availability of midwives had the highest protective effect, reducing the case fatality rate by 80%. This study found that while 97.2% of health facilities were expected to have emergency obstetric care services, few had provided these services. This is the most likely explanation for the high health facility-based maternal death rate of 671 per 100,000 live births in Uganda in 2007. The study concluded that addressing health system issues, particularly among human resources, and increasing access to emergency obstetric care could reduce maternal mortality.

Despite this study and Uganda’s efforts to improve on its health care, the system still faces major challenges. In the Saturday Vision of 14 September 2013, the front page shows ‘Health centres in financial crisis’. The article explains that ‘the recent campaign to boost staffing in health facilities means several health centre IVs now have doctors, but a scarcity of operational fees and drugs threatens to overturn the achievement’.

All this shows the need for private health units to complement the government’s health facilities and ensure greater access to health care for the Ugandan population!

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