Hepatitis B Vaccine

St. Joseph’s Hospital Kitgum started massive vaccination against Hepatitis B. The program is being supported by the Government of Uganda under Ministry of Health and it’s integrated under primary healthcare. This program came as a result of the outcry of the epidemic in the region (Northern Uganda) and the Government of Uganda has taken it up to vaccinate everyone from the age of 5 years and above. Children below 5 years received the vaccine together with other vaccines against the six killer diseases.    

Vaccine against hepatitis B remained expensive for a common man (50,000/=) and the testing costed 5,000/=. This made many people to remain in the dark without knowing their status and as a result many lost their lives. We thank the Ugandan Government with her partners for this immense support to the citizens. St. Joseph’s Hospital Kitgum shall remain a key implementer of this program. The community is hereby encouraged to come for the test / screening and those found negative should receive the vaccine.

The vaccine is given three times with an interval of one month between the first and the second dose, while the third dose is given after three months from the second dose. Make sure that you finish your three doses correctly if you start for effective outcome. Those found positive (with the virus) should immediately seek for medical attention from rightful medical personnel.    

 

Testing / screening and vaccination are done twice a week (Tuesdays and Thursdays) in the main out patients department (OPD). Testing and receiving vaccine is done after proper pretest counseling (basic information giving) and results giving (post test counseling) are done by professionals.

Clients are seated in lines in front of the laboratory to be bled for testing. The demand for the service is high but the number of staff is very limited. St. Joseph’s Hospital Kitgum (PNFP affiliated to Uganda Catholic Medical Bureau) and serves as the major referral facility in East Acholi sub region appeals to the Government of Uganda for the secondment of staff (Doctors and Nurses) so that higher capacity to provide quality health services delivery in the region reach the common person.

 

 

 QUALITY WASTE MANAGEMENT IN ST. JOSEPH’S HOSPITAL KITGUM

 

1.Hospital information

St. Joseph’s Hospital Kitgum is a 55 years old PNFP facility of Gulu Archdiocese, accredited by UCMB. The institution though is a general hospital; it serves as the major referral facility for the districts of Kitgum, Lamwo, parts of Pader, Kabong and South Sudan. The hospital has 280 beds with estimated population of 118,135 people within the allocated catchment area (4 sub counties). It has an annual recurrent budget of 4.2 billion.  

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    2 .Where the hospital was

Up to 1994, the hospital was still using ordinary un-drainable pit latrines. The latrines exhausted the allocated land and there was no more space for further construction.

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    3.From ordinary pit latrines to drainable pit latrines

The exhaustion of land through digging ordinary pit latrines made the hospital to think of constructing drainable latrines which were costing the hospital 12.2 million every quarter to empty (48.8 million annually). Patients drop different materials including plastic bags in latrines and that require application of manual labor to remove it before an emptier vehicle is used.

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4.How the hospital improved

In 2008 the hospital came into partnership with Horizont3000, DKA and BBM to implement ecological rehabilitation project which focused on among other things human waste management.

The project constructed three types of toilets in the hospital; Composite toilet (2 blocks), Ecosan toilet (6 blocks), and urine diversion toile (6 blocks).                                                                                 

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                                                               Composite toilet which uses organic materials

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                                                                                   Ecosan toilet that uses organic materials

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The ecosan toilet has chambers where plastic wheelbarrows are placed to receive the fecal matter.

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This type of toilet (ecosan) employs the use of organic materials (preferably grasses or leaves). Plastic wheelbarrows are used to receive the fecal matter. The wheelbarrows have holes at the base to enable liquid to percolate through into the sewer lines. A thin layer of grass is packed at the base of the wheelbarrow before pushing it into the chamber; these are to ease the liquid elements to drip.The sewer lines runs to the wetland which is a kilometer away from the hospital.

Another type of toilet is Urine Diversion: This type of toilet uses ash for proper decomposition of the fecal matter. The users should apply ash after using the toilet. This would reduce the smell; hence no flies will be attracted. The urine line is connected to a tank and it’s collected to be used for plants as liquid manure. The toilet is incorporated in all the new hospital’s building plans.

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All the new buildings in the hospital have urine diversion system. New staff are inducted on how to use the system. Bakets are place into the chamber of the toilet to receive the fecal matter. Whoever uses the toilet must apply ashes. When the baket in the chamber is full, it’s removed and taken to pretreatment unit for empting. The fecal matter from the pre treatment unit is generated into manure.    

  1. 1.Pretreatment unit:

All the fecal matters from the different toilets are taken to a pretreatment section where they are shorted out. The pretreatment yard is 10 meter by 8 meter. The plastic materials and any other un-decomposed materials are shorted out and are taken for incineration. The fecal material plus the organic substances are generated into manure of different grades. The special grade which is in powder form is packed in branded bags for sale at 50,000/= for 50kgs, and the ordinary grade is sold at 50,000/= for 100kgs.

decomposing

incinerator

Different grades of manure is being generated (from far behind of the photo) and un-decomposed materials are being shorted out for incineration.  

6.Wetland

Wetland is the point where all the water flows and undergoes purification process. The bed is made of fibrous, and on top it has aggregates and sands. The liquid substance from the toilets moves to the wetland through the sewer lines. The liquid from the wetland is filtered through the sands and the aggregates into the wetland bed and then it moves into an underground tank where it’s pumped using a motor. The water is pumped back to the hospital and it’s stored in tanks for reuse (watering flowers, oranges, and vegetables). The hospital is having plan of connecting the recycled water to all the flash toilets in the hospital.

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The elephant grass in the wetland is to reduce the over flow. It also serves as organic material to facilitate decomposition and generation of manure.

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The recycled water is stored in the tanks for reuse. Currently the water is used for watering plants on the compound. The compound is evergreen through the use of recycled water.

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ward3 7.Common challenges of the system

Bad signs                                                                    Remedies

1. Pronounced smell                                1. Add more ashes or organic materials

2. Many flies / maggots                                   2. Check drainages and add more ashes organic materials

3. Wetting of the waste                               3. Seal off leaking roof and place the  

               Wheelbarrows correctly adjusted to the sewer lines.

4. Persistence misuse                            4. Lock the door & train the user on how to use          

   of the facility                                           the facility.

8.Disadvantages of the system over the ordinary toilet system    

 

  1. Requires skilled & committed operators
  2. Might not be convenience for visitors because it may require special orientation.
  3. May become a disaster in the events that the users remain stuck to negative attitudes.
  4. Production of manure may be hard in a situation of shortage of organic materials.
  5. Cultural practices looking at the use of ash on fecal wastes as taboo (prohibited traditionally)

9.What made the project to succeed in the hospital                                                       

  1. Donors’ commitment to finance the project and constant follow up of the project.
  2. Ownership of the project by the hospital (management and staff).
  3. Community / users acceptance to use the facility.  
  4. Self motivated staff.
  5. Management commitment to finance maintenance of the project.

 

Complied By:

Ochola Robert

Hospital Administrator

St. Joseph’s Hospital Kitgum

This email address is being protected from spambots. You need JavaScript enabled to view it.

+256772054720

           

 

 

 

 

 

 

St Joseph's Hospital Is Participating in the 2015 cooperate league Football Game.

First Game was 2:0 as they lost to IGF

Second Game 3:0 as they beat Apowegi Company

St Joseph's Hospital Won the Soccer League for Children Galla which took place on Saturday the 22nd August 2015

by taking trophy plus 10 gold medals

St. Joseph’s Hospital Kitgum has now opened Nursing and Midwifery Training School in November 2015. The address of the school is;                       

St. Joseph’s Hospital Kitgum School of Nursing and Midwifery

P.O. Box 31, Kitgum

The school has enrolled both boys and girls between the ages of 19 – 25 for Certificate in Enrolled Nursing, and only girls for Certificate in Midwifery.

The New Intake is for November 2016

The applicants for the courses MUST have passed five subjects including English, Mathematics, Biology, and Chemistry.    

Application forms are available in the school for those who are in Kitgum and the nearby districts, and for interested candidates who are in Gulu and the districts around application forms are available in Mega F.M and Radio Rupiny at a fee of Ush. 20,000 which is paid to the school bank account with the following details; St. Joseph’s Hospital Kitgum School of Nursing and Midwifery, Current A/No 7410400054, Centenary Bank, Kitgum Brach. Dateline for submitting application is on the 13th September 2015 and only shortlisted candidate will be contacted for interview which will be at a fee of Ush. 15,000/=.

The school is striving for holistic approach in developing professional health workers with good moral values and rightful attitudes. Experienced Tutors and all the teaching requirements are available. The school has well and adequate infrastructures to facilitate proper learning. Attached is the photo of the school main hall.

From the left to the right are; the Hospital Administrator, the Medical Director, the LC V Chairperson Kitgum District Local Government, and the Human Resource Officer.  

For more information please contact us on +256 772 591 493 or +256 772 054 720

Main gate to the school

                                                                                  Classroom ready for students

 Well equipped library for students

Well established dining hall for students

 

 

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