Meet Moises, Mbawa Health Center Volunteer

excerpt from a report by Tito Jequicene, MD and Jonathan White

Mobile Clinic increases access to health services at Mbawa Health Center

Moises Pedro Monteiro, 50, is married and the father of a 16-year-old son. He lives in the town of Mbawa and has been a volunteer with the Mbawa Health Center for over five years. Moises has given lectures and sensitized the community on disease prevention and the importance of going to a health center as soon as you have any signs of illness. Moises recounts that:

“Before the arrival of the Mobile Clinic, I had many problems with the community. After lectures I conducted, people came to the hospital, and often received transfer slips or referrals to go to the district headquarters in Namacurra, which is 30 km from Mbawa, or at best, the rural hospital in Macuse that is about 13 km away. I myself had to take samples for suspected TB cases to Macuse, by bike, and sometimes even accompanied by patients who were very sick and unable to walk. With the arrival of the Mobile Clinic last September, everything changed. Most diseases are now being treated right here in Mbawa with medicines readily available.”

The Mobile Clinic’s General Medical Technician, Elévio, says that in addition to strengthening the health center staff and improving drug stock management with the arrival of the Pharmacy Technician, the Mobile Clinic has also increased consultations. There has been a more dynamic attendance among community members for a range of services. For example, cases of epilepsy have been identified, harvesting and processing of samples for suspected syphilis and other sexually transmitted infections has increased and the control of diabetes and blood pressure has been made possible.

These services did not exist at the health center before the Mobile Clinic arrived. Elévio explained that: “There was a very large decrease in referral of patients to other hospitals, because the Mobile Clinic is equipped with a team of health professionals ranging from medical technicians, pharmacists and maternal and child health nurses.”
The head of the Mbawa Health Center feels that the Mobile Clinic has enhanced the service capabilities of the facility, providing faster results for sample harvesting and processing and providing an overall benefit to patient care.

for more information about the Mobile Clinic and other initiatives in Mozambique, click here to link to the full report

Kenya: Economic Development through Agricultural Training, Partnership with Development in Gardening (DIG)

excerpt from a progress report prepared by Katherine Falk and Jonathan White

The Lwala Community Alliance is a non-profit health and development agency working in Nyanza Province, Kenya. Supported by Real Medicine Foundation Kenya and World Children’s Fund, the organization provides 33,000 patient visits each year through the Lwala Community Hospital. The mission of the organization is to meet the health needs of all people living in north Kamagambo, including its poorest. The hospital is part of a larger effort to achieve holistic development in Lwala, including educational and economic development.

One of the main project objectives is building the capacity of community members in income generating activities. Through a partnership with DIG (Development in Gardening), the Lwala Community Alliance is training farmers in agriculture and nutrition to maintain diverse, sustainable gardens.

Economic Development through Agricultural Training

Lwala Community Alliance’s partnership with DIG aims to empower young men and women through economic and marketplace development. DIG has facilitated access to business skills training, financial literacy, and technical training in organic vegetable production.

In Lwala, sugar cane is the primary cash crop and often one of the only viable sources of income for young men and women between the ages of 20 and 35. The low supply of sugar cane in the area has increased competition among the distributors, including young women who sometimes struggle to secure even a day’s supply and who often resort to risky sexual behavior to earn a living wage.

Beldine and Rose both married into jaggery (unrefined sugar) production families that are struggling to survive due to decreasing supplies of sugar cane to the millers in the area. Now, they both are members of a farmers group that was implemented by DIG in the Lwala community. They have learned the basic skills in local vegetable production and have received vegetable seeds from DIG through a cost-sharing model.

Beldine, a young mother and wife, is quick to express pride that she contributes to her family’s well-being, “before we were completely dependent upon jaggery production, which is in decline, but now I can feed my family without the sugar cane.”  With the help of partner DIG, Beldine is growing local vegetables to supplement the wages of her husband, a machine operator at the milling site.

Rose, a 31-year-old mother and a wife, also grows vegetables. Her husband struggles to earn livable wages from the sugar cane milling sites to feed their family, but now he hopes to learn more about growing vegetables from his wife. “She is a good teacher,” he says.

Both Beldine and Rose are optimistic about their futures. As Beldine says, “I believe I will be successful. I can feed my family and now avoid the abuse found with the sugar cane industry.”

Beldine collects produce from her garden

Beldine collects produce from her garden

Additional Program Highlights

• 10 model farmers planted vegetable gardens that will be harvested in January and February, when vegetable supply is typically low. The same farmers received training on soil fertility and soil management techniques.

• Farmer field training began with 4 newly identified support groups (126 members total). Tree nurseries were set up with 10 pupils in their home gardens. DIG staff conducted follow up with 12 pupils who have home gardens and provided training on record keeping.

• Maurice, an intern in the Economic Department, was trained by DIG as a Trainer of Trainers on organic agriculture; he will act as the lead trainer working youth groups in North Kamagambo.

• A North Kamagambo Youth Representative meeting was held in November. 14 members attended representing the 8 youth groups who wish to have Lwala Community Alliance assist with seed capital in loans with flexible payment periods.

Thanks to IRD, Anemia Can Be Prevented in Bogo City

update from the Main Health Office, Bogo City, Philippines

The Bogo City Health Office has limited funds for the purchase of Ferrous Sulfate tablets.  If there are supplies available, the pregnant women are the top priority, however, the availability of the iron vitamins is not sustained so there are times that those pregnant women have to buy the Ferrous Sulfate tablets on their own. Unfortunately, most of the pregnant women seeking prenatal care in our health centers are not financially capable and most of them stop taking iron vitamins during their pregnancy.

Upon the receipt of the donated bottles of Ferrous Sulfate tablets from RMF and International Relief and Development, there is continuous supply of the iron vitamins to all our pregnant women starting from the 1st trimester of their pregnancy until their lactating period.

THANK YOU to RMF/IRD, ANEMIA is being prevented in our locality.

Below are some of the pictures taken during the distribution of Ferrous Sulfate tablets to the pregnant women during their prenatal visits.

Pakistan: Polio Vaccine Campaign and Workers Are a Target for Extremist Violence

Update: Just today the Pakistani army has agreed to provide security to those providing polio vaccinations following a series of attacks against individuals involved in the campaign. Click here for the full story.

by Rubina Mumtaz, BDS, MPH, Country Director, Pakistan

POLIO CAMPAIGN

Pakistan is one of three countries (Nigeria and Afghanistan) in the world where Polio has yet to be eradicated. According to the Global Polio Eradication Initiative, Pakistan stepped up its eradication efforts and numbers fell from 173 cases in 2011 to 58 in 2012. Unfortunately, with the advent of 2013, Pakistan became the most hazardous country in the world in terms of Polio where all persons involved in Polio drops distribution from grass root field workers, the organizational employees dealing with EPI as well as the security workers accompanying the polio workers have been killed by terrorists across the country. Beginning in December 2012 where 8 Polio drop workers and 4 aid workers were slain in Karachi and KPK respectively, these horrendous senseless attacks have not ceased or eased even slightly.

The killings are believed to have been the work of radical, extremist Islamic groups who call vaccination programs a Western conspiracy to sterilize Muslim populations. They cite the U.S. operation that led to the 2011 killing of Osama bin Laden in Pakistan as the foundation of their suspicion. It was a Pakistani doctor conducting a fake vaccination program in 2011 to collect DNA samples from residents of Osama bin Laden’s compound to verify the Al Qaeda leader’s presence there. As a consequence, the seeds of distrust of health campaigns with foreign links germinated.

Our Agra Health Center located bang in the center of this storm, 20 km away from the organization whose aid workers were killed on New Year’s Day 2013 did not deter from its Polio drop drive. Security measures were put into place to protect the staff but our Polio drive that began in January 2013 at our health center continued unabated. A Polio Awareness session was held before the start of the vaccination with parents of children. The attendants and participants were mostly women, men and children, who were informed about the importance of Polio eradication. It was also stressed that all children less than five years of age should be brought to the clinic for Polio drops.

Over a period of 9 months from January 2013 to September 2013,, in conjunction with the KPK Health Department and the Rotary Club Renaissance of Islamabad, a total of 1,704 children under the age of 5 years from not only UC Agra but also from other neighboring Union Councils were administered Polio drops.

Despite the fear and depression that was palpable at every turn, the silver lining was the brave commitment of our staff to continue risking their lives refusing to bow down to extremists’ demands. Based on their beliefs, they argue that the time of birth and death is determined by Allah, hence no mortal can change that; if their death is meant to take place in the hands of a terrorist attack, so be it. Meanwhile they are not going to allow a handful of twisted men change the way they live the life meant in their ‘kismet’ roughly translated as fate. This fatalistic view to life is perhaps the strongest weapon against the terror of extremist militants. It can easily be said that this view characterizes the resilience of the Pakistani people, a fact that has undermined all the efforts of the Taliban so far.

 

Pakistan’s Agra Health Project Closed: The Lives We Touched

by Rubina Mumtaz BDS, MPH, Country Director, Pakistan

In August 2013, three years after the fateful floods of 2010, District Charsadda was the last to be struck off the list of flood affected areas of KPK and the government announced that the road to recovery was at last present. The Pakistan People’s Health Initiative (PPHI), a semi-government body had signed an MOU with the KPK Health Department to adopt all the BHUs in the main districts of Charsadda, Nowshera and Swabi, effectively revitalizing the BHU in Union Council Agra. Given RMF’s mission to avoid duplicating services, the primary health care services in the Agra Health Project were closed. Read the full report here.

The Lives We Touched

Parvaiz

One of our first patients to frequent our Agra Health Center, fifth born son of his parents, Parvaiz was born severely physically handicapped, affecting his speech and facial expression as well. Unable to communicate, the family always treated Parvaiz as mentally challenged as well and hence he had lived his 7 years socially ignored by his kith and kin except his mother who insisted that he communicated with her with his eyes. Attributing this to maternal instinct, the family cast

aside the mother’s insistence that he was not mentally challenged, only physically handicapped. RMF’s Health Center was the first time the family had a doctor at a walking distance from their poverty stricken makeshift home. Parvaiz was brought to the clinic for his first ever evaluation by a doctor. On examination, RMF’s doctor came to the conclusion that his mother was right all along, Parvaiz was mentally as fit and aware as any other 7-year-old. Lacking the physical capacity of contracting and relaxing his facial and oral muscles, he was unable to speak or change his expression but could understand all that was happening around him. The expression of delight on his mother’s face was priceless; the family was instructed to keep Parvaiz fully involved in the family and all should talk to him as a normal person and given time and perhaps proper therapy, he might eventually grow to live a semi-normal life. A private citizen from Peshawar had donated the wheelchair, depicted below, to the family.

Parvaiz

Spogmai

Spogmai

Spogmai, which means “Moon” was 20 months old when she came to our clinic with a presentation of a severe chest infection that, according to her mother, had plagued her on and off at varying intensities since her birth. The mother never understood that Spogmai

was an asthmatic child and would turn to traditional healers for her repeated episodes of breathlessness and frequent chest infections. With RMF’s Health Center a 5-minute walk from the family’s house, Spogmai received a simple antibiotic course for her chest infection, diagnosed as pneumonia and recovered completely. The family was educated about asthma and instructed on how to prevent and/or deal with mild asthmatic attacks at home.

Mashal

Mashal (which means “Light”), a 12-month-old girl, was brought to our clinic in UC Agra, Charsadda by her panic-stricken parents.  She presented with respiratory distress, extremely high fever and a full body rash.

Mashal was born premature and her weakened state was exaggerated by the fact that she was not breastfed by her mother who had been misled into believing that bottled milk was a better option. A weak baby, at nearly a year of age, she looked 6-7 months old and could not sit unsupported.  Mashal had contracted measles from her older siblings and cousins living in the extended family set-up and within a few days of spots erupting over her body, she rapidly slipped into respiratory complications and pneumonia. She

Mashal

came to us with very high fever, her breathing was rapid and shallow, and her skin color had a bluish pallor. The child immediately received urgent medical care and within a few days was on the road to recovery. Even in previously healthy children, measles can be a serious illness and as many as 1 out of 20 children under five with measles develop pneumonia. In developing countries where malnutrition and Vitamin A deficiency are common, measles can kill 1 out of 5 children. Mashal with her weak nutritional status, stood a reduced chance of recovery but it is because of our clinic that she was lucky to have survived this episode.

Mashal is the youngest of 6 children born to Sakeena and Amjad whose only source of income comes from Amjad’s daily laborer wages and, according to her mother, had not had any vaccinations since her birth (Sakeena delivered all her children at home at the hands of traditional birth attendants called ‘dais’).  Mashal was registered with our EPI team and we ensured that her vaccinations are up-to-date as her mother was educated on the importance of this aspect of all her children’s health.

Raza Bibi

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Razia Bibi, a 70-year-old widow living alone whilst her two sons work in Karachi, 3,000

miles away, was plagued with several medical issues attributed to her advanced age. Quoting her:

“I am sick and can’t go to the hospital in Peshawar because I am alone and can’t afford the transportation.  This hospital and your medicines gave me hope for life. Now I am not dependent on my children to come home on holidays and take me to the doctor.”

The Children of Agra

Private philanthropists from the UK donated a boxful of Teddy Bears to PHF who had them shipped to the Agra Health Center. About 25 Teddy Bears were distributed to children visiting the hospital and other children who poured in once the word was out that little furry toys were being given to each child, for no reason other than being a child, with the only return being asked was the pleasure of their delighted smiles. A light happy day where we hope the new furry friends provided comfort and smiles to the girls and boys, lessening some of the post-tragedy psychological trauma caused by the floods.

                        

A Remarkable Recovery: Pablo

Pablo Ng’asike, a 13-month-old boy from Loareng Village in Turkana County, was admitted to Lodwar District Hospital with Kwashiorkor (a form of malnutrition that occurs when there is not enough protein in the diet), severe anemia, oedema+++ (also known as dropsy, is where there is an excessive build-up of fluid in the body’s tissues), dermatitis (inflammation of the skin) and very high fever. Pablo is the 2nd born in a family with six children. The mother and father are alive but very sickly. The mother is a housewife and the father is a herdsman. On admission Pablo had massive swelling of his face, high fever and was gasping in pain. (warning: graphic image below)

Treatment & Medication:

Septrin 1.5ml OD

Folic acid 5mg OD

Paracetamol 5mls tds 3/7

IV Gentamycin

FeSo4 (after the child started picking up on weight)

All the above medications are purchased and supplied by RMF/MMI. The following day Pablo developed a fever of 39C and was introduced to Ceftriaxone 500mg bd 5/7. On day 12, Pablo’s weight drastically reduced to 7.2kg and the swelling had subsided. Temperature settled to 37.2C. By the 25th day, his general condition had improved immensely, vital signs became normal. He was later reviewed by the doctor and was found to be stable and fit for discharge.

Nutritional Support:

Pablo was given F-75 (therapeutic milk products designed to treat severe malnutrition) for 4 days until his edema subsided. He was then graduated to F-100 for 3 days. On discharge, he was given Ready to Use Therapeutic Food (RUTF) and advised to come back weekly for follow up.

Pablo at admission to Lodwar District Hospital:

Pablo Before Picture

Pablo on the day of discharge is even able to eat unassisted — a remarkable development considering his condition upon admission:

RMF Reunites 2nd Year Nursing Student Peter Atiep with his Family

written by Dr. Taban Martin Vitale

Peter Atiep is a South Sudanese national from Upper Nile State, Baliet County. A second year nursing student of Juba College of Nursing and Midwifery (JCONAM), Peter is married to Ajak Abe Nyok and they have 5 children (3 girls and 2 boys): Abuk Atiep Kur, a 10-year-old girl; Awol Atiep Kur, an 8-year-old boy; Monyuat Atiep Kur, a 6-year-old boy; Nyalueth Atiep Kur, a 3-year-old girl and Nyanlong Atiep Kur a baby girl of 3 months.

When the fight broke out in Juba in mid-December 2013, Peter and his family were in his home town Baliet, which was overrun by the opposition forces on January 11th, 2014. As everyone took cover and ran for their safety, Peter was separated from his wife and they were not able to locate each other at that time. Peter ran with the first three children (Abuk, Awol and Monyuat) and his wife ran with the 3-year-old child and the baby. Peter finally made his way to Palogue (Malut County in Upper Nile State), then to Juba on January 19th, 2014 and immediately proceeded to Kakuma refugee camp in Kenya. He left the children there with a relative and returned to Juba to continue with his studies at JCONAM. Fortunately, Peter managed to connect with his wife who took refuge in Renk County (Upper Nile State) and requested she come to Palogue where there is an operational airstrip with regular Dar Petroleum flights. Peter desperately wanted to reunite with his wife and children but was unable to afford to airlift his wife/children from Palogue to Juba and to Kakuma to reunite with the three children.

During this critical moment, RMF stepped in and facilitated the transportation of Peter’s wife and the children from Palogue to Juba by air on March 28th, 2014 and then to Kakuma refugee camp by road on March 30th, 2014. Peter confirmed to RMF the arrival of his wife and children to Kakuma.

March 28th, 2014 was a turning point for Peter: On seeing his wife and children at Juba International Airport, the depressed Peter was full of joy and his wife and 3-year-old girl were equally delighted to see him. RMF staff then drove them to New Site (suburb of Juba) to the house of a friend of Peter’s where they rested before leaving for Kenya.

Peter gathered the family members housing his wife and said: God bless RMF for doing all this for his family and I pray that RMF grows bigger and bigger. I now know that we as South Sudanese, we are ONE people; it does not matter where you originate from and one’s ethnicity should not be a factor when delivering services. He couldn’t believe this, his fellow South Sudanese from different regions and ethnicities coordinated all this and made sure his wife and children made it safely to Juba and are now going to facilitate their travel to Kenya, Kakuma Refugee Camp. He now believes in unity and that every individual is a child of God: “God bless you all, the donors and RMF as a whole. Now, I will concentrate on my studies, and will keep updating you about the condition of my family. Thanks and God bless you.”

L to R: Peter’s wife Ajak Aben Nyak and friend who received them at her home in Juba, carrying the 3-month-old baby

3-year-old Nyalueth Atiep looks malnourished due to poor feeding during the crisis

L to R: Peter Atiep holding his child Nyalueth and his wife Ajak Aben Nyok; all are happy about the reunion

Peter, his wife, child and Dr. Taban Martin Vitale

Ajak Aben and Nyalueth visit with Emily, a medical student from Juba University who went to see them

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CEO Dr. Martina Fuchs’ 2014 Trip to Uganda: School Support

When the Kenyan refugees arrived at the Kiryandongo Refugee Settlement in 2008, there was very little support in terms of school fees for their children, and there was no nursery school at the settlement. RMF stepped forward to establish a school support program to cover fees and supplies for Nursery, Primary and Secondary School children of the Kenyan refugee community at Kiryandongo. In the subsequent years, students from (South) Sudan, Congo, Burundi and Rwanda have been accepted into our program as well. RMF pays a portion of the tuition fees, school uniforms, school supplies, and exam fees for the students of parents unable to afford the fees. We also cover the cost and travel expenses for the final examination tests for the senior high school students. Up to 1,602 students have been sponsored per month.

The refugee children we currently support are from Kenya, Congo, Burundi, Sudan and attend the following schools in the settlement: Beth Cole Nursery School; Day Star Nursery School; Arnold Primary School; Can Rom Primary School; Panyadoli Secondary School. We also continued to provide funding for the annual registration of candidates in Senior Level Four and Senior Level Six that are in our sponsorship program and facilitated candidates taking their national exams in the city of Masindi.

The massive influx of South Sudanese refugee children has created an additional tremendous need. Many of these children are severely traumatized and need urgent psychological trauma support. In many of the class rooms we visited on February 24 and 25, South Sudanese children outnumbered all others. Their stories are heartbreaking. To help, please visit our website.

South Sudanese Refugee Students at the Kiryandongo Resettlement Camp as of February 24, 2014:

Dr. Martina Fuchs and school children

Dr. Martina Fuchs and school children

South Sudanese refugee students telling their stories of how their family members were killed in front of their eyes. It was heartbreaking to see these young men trying to hold back their tears.

On February 25 we continued to visit RMF projects in Uganda, our Vocational Training Institute in Kiryandongo; our projects in Buwate and Kampala. On February 28, we left for Eastern Uganda where RMF has school projects in Tororo.

CEO Dr. Martina Fuchs’ 2014 Trip to Uganda: Panyadoli Health Centers

PANYADOLI HEALTH CENTER III – KIRYANDONGO REFUGEE CAMP

This Level III Health Center’s target population is about 60,000 residents in the Bweyale region, including 41,000 Ugandan IDPs, Bududa survivors, and Refugees from Kenya, Sudan, Congo, Burundi and Rwanda which are the main target population. In the past, the large influxes included that of 10,000 new Ugandan IDPs in October 2010 and another 15,000 joined the Kiryandongo Resettlement Camp at the end of May 2011.

The Panyadoli Health Center treats as many as 3,000 patients per month, for a wide variety of issues including malaria, malnutrition, maternal and child care, and HIV/AIDS; cases requiring tertiary care are referred to the closest county hospital.

With an additional influx of more than 12,000 refugees since December 2013 (as of February 24), and an expected additional 40,000 coming, resources are seriously strained.

Severe acute malnutrition cases have not been infrequent in the past, with deaths being reported in children whose parents came too late for treatment. These numbers have now been rising with many of the South Sudanese refugee children already arriving acutely malnourished.

RMF’s consistent supply of medicine and supplies to the health center has also enabled the running of a smaller second clinic (Panyadoli Health Center II) at a further away location in the settlement and enables the Panyadoli Health Center to handle more complicated cases. In addition to the continuous medical support, RMF has also has maintained the solar powered water pumps, pipes, and taps that supply all the clinic buildings and that we had installed in a previous year. Our vision continues to be to expand and upgrade the Panyadoli Health Center’s capacity and services so it can function as a Level 4 Hospital. With the recent influx of new patients, this has become more urgent. (Warning: some of the pictures below are graphic. Not suitable for everyone.)

maternity building at Panyadoli Health Center III

maternity building at Panyadoli Health Center III

patients

patients

RMF team members, Clinical Officer Simon Opieto, nurse trainees

RMF team members, Clinical Officer Simon Opieto, nurse trainees

17-month-old, severely malnourished child

17-month-old, severely malnourished child

Another malnourished child in the Malnutrition Ward of Panyadoli Health Centre III. A large percentage of the refugee children arrive significantly malnourished.

Another malnourished child in the Malnutrition Ward of Panyadoli Health Centre III. A large percentage of the refugee children arrive significantly malnourished.

PANYADOLI HEALTH CENTER II

RMF’s consistent supply of medicine and supplies has also enabled the running of a smaller second clinic at a further away location in the settlement, Panyadoli Health Center II. This health center is now getting additional attention and needs additional support since many of the South Sudanese refugees are being resettled in close proximity to this health center.

Patients on their way to the Health Center

Patients on their way to the Health Center

Panyadoli Health Center II, OPM, Dr. Martina Fuchs and RMF Team

Panyadoli Health Center II, OPM, Dr. Martina Fuchs and RMF Team

 

CEO Dr. Martina Fuchs’ 2014 Trip to Uganda: Kiryandongo Refugee Camp

In the evening on February 23 RMF’s South Sudan and Uganda teams parted ways and Martina and crew drove to the Kiryandongo Refugee/ Resettlement Camp.

____________________________________________________________________________

RMF has been serving Ugandans, Ugandan IDPs and refugees from other African nations since April 2008, when the RMF team first arrived from the US to the Mulanda Refugee Transit Centre, giving emergency assistance to the large influx of Kenyan Refugees escaping political violence in Kenya.  This emergency help was initially in the form of psychological trauma and social support, school fee subsidies, clothing, care kits and seeds for the refugees to start their own small gardens.  During this initial phase of emergency assistance, help was also provided to the surrounding local Ugandan communities of Tororo through the Mella Health Centre, St. Anthony’s Hospital, the Mama Kevina Comprehensive School, and the youth in the slums surrounding the Mama Kevina School.

When the Kenyan refugees were eventually transferred from the Mulanda Transit Centre to the Kiryandongo Refugee Settlement in mid-2008, the RMF team followed and continued to provide school support, medicines and medical supplies, and other projects as needed.  RMF also continued to maintain its presence in Tororo.

Since those early days, RMF has greatly expanded its support and development initiatives at the Kiryandongo Settlement to both Ugandan IDPs and refugees from numerous other African nations with Vocational Training, Water System Repair and upgrades, School Fee Support, Support of Kiryandongo’s Panyadoli Health Center with continuous medicine and medical supplies as well as personnel support; RMF also continues its support to the Mama Kevina Boarding School and Orphanage, and is now also constructing additional buildings on the school’s campus.

Also in Uganda, RMF runs youth projects in Buwate and has supported refugees from the DRC, and renovated and completely equipped a new hospital in Nakalanda.

The Kiryandongo Refugee Settlement in Bweyale, Uganda, is a UNHCR managed refugee settlement that provides shelter, land and support for more than 25,000, comprised of Ugandan IDPs and refugees from Kenya, Congo, Rwanda, Burundi and (South) Sudan.  RMF has partnered with UNHCR in supporting Kiryandongo and the greater surrounding community of Bweyale (an additional 30,000 residents) with health care, education and vocational training since 2008.  Our vision at Kiryandongo has always been to help the refugee communities get back on their feet through better health, education, and new work skills/vocational training so that they are equipped to leave the Refugee Camps and be able to support themselves.

Since the end of December and as of February 24, 2014, Kiryandongo has received an influx of more than 12,000 refugees from South Sudan, and is expecting as many as 40,000 more.  These new refugees will be in need of health care at the onsite RMF supported 2 health centers, education funding/support for their children at the settlement schools, and other livelihood and water/food/supply support.

There are horrific stories from so many people whose parents, children, loved ones killed in front of their eyes. I was very impressed how the Uganda OPM reinforces (as RMF does) that in the camp there are no tribes, there are just people living together now and trying to help each other. And it works.

Unaccompanied refugee children

Unaccompanied refugee children