serving the most rural and...
TRANSCRIPT
February 28, 2018 2
IMB SUPPORTS THREE SITES ACROSS RWANDA
S. Kayonza (since 2005)
> 300,000 people
District Hospital with 150 beds
8 Health Centers
Rwinkwavu District Hospital
Kirehe (since 2006)
> 350,000 people
District Hospital with 226 beds
16 Health Centers
Kirehe District Hospital
Burera (since 2008)
> 300,000 people
District Hospital with 156 beds
19 Health Centers
Burera District Hospital
This year, these three district hospitals were ranked among the top 10 hospitals of
Rwanda after accreditation assessment; with results of 80% and more.
February 28, 2018 3
ACROSS SITES, PIH OFFERS A VARIETY OF SERVICES TO THE MOST RURAL AND DISADVANTAGED
Neonates
Mental Health
Oncology NCD
CHWs
February 28, 2018 4
AS OF JULY 2016, ALL PIH-SUPPORTED HOSPITALS HAVE A NICU
5% of children in Rwanda die before they reach the age of 5, and almost 40% of these deaths occur in the first month of life.
Kirehe was the last of the three to open a NICU; since opening in July 2016, it has served 617 babies.
Source: DHS 2014-2015.
Rwinkwavu Hospital NICU
PIH Co-founder Ophelia Dahl visiting KireheHospital NICU
A premature baby receiving phototherapy in ButaroHospital NICU
February 28, 2018 5
A CANCER DIAGNOSIS IS NO LONGER A DEATH SENTENCE IN RWANDA, EVEN FOR THE RURAL AND DISENFRANCHISED
Nurse Christophe Rwagema administers
chemotherapy to Esther Kabagwira at Butaro
Ambulatory Cancer Center. Esther is being treated
for an early stage breast cancer
Dr. Egide Mpanumusingo, PIH/IMB Burera District
Clinical Director, discussing with patients in the
garden of the Butaro Ambulatory Cancer Center.
Photo by Dr. Alex Coutinho
Dr. Fidel Rubagumya and Pediatric
Cancer Patient at BCCOE
February 28, 2018 6
THE BUTARO CANCER CENTER OF EXCELLENCE CONTINUES TO SERVE THE PEOPLE OF RWANDA
We reduced the
time patients
waited for biopsy
lab results from 7
weeks to 5 days
We referred
100 patients
for radiotherapy
We provided high
quality care and
followed up with
3,802 patients
In the last year….
February 28, 2018 7
PIH OPENED A NEW PATHOLOGY LAB, INCREASING THE TURNAROUND OF RESULTS FOR PATIENTS
In October 2016, a new pathology opened at BCCOE funded by the American Society of Clinical Pathology
Reducing the average turnaround time between pathology between biopsy and results from 7 weeks to 5 days
Dr. Deo Ruhangaza, Butaro Hospital pathologist,
analyzing digital slides in the pathology lab
Lab technician Gaspard Muvugabigwi gives a tour of the
pathology lab at Butaro District Hospital. Photo by Cecille
Joan Avila
February 28, 2018 8
AN INTEGRATION OF MENTAL HEALTH ENSURES THAT THE WHOLE PATIENT IS TREATED
Bashar, beneficiary of our mental health program, and his
sister sit near the family’s home together with the MOH nurse
from Kinyababa health center and Sifa Dorcas, PIH/IMB
Mental Health Community and Social Support coordinator who
are visiting them
Bashar and Dorcas confer near his family home. A year ago, Dorcas
helped Bashar, a farmer who was suffering from hallucinations and
paranoid delusions, get his illness diagnosed and treated.
February 28, 2018 9
PIH/IMB HAS CONTINUED TO INTEGRATE MENTAL HEALTH INTO PRIMARY CARE ACROSS RWANDA
After 2 years, mental health is integrated in 19 health centers of the Burera District:
48 primary care health center nurses received intensive decentralized training on the practical aspects of clinical care of patients with severe mental disorders and epilepsy.
946 CHWs were trained on the identification of patients with severe mental disorder, and supported by PIH/IMB to ensure appropriate patient follow-up and integration between levels of care.
Mental health service integration is now being expanded to the Musanze District, and PIH/IMB is seeking support to expand to Southern Kayonza and Kirehe Districts
The number of Mental
Health patients visit at
Health Centers increased
from 2,252 (FY16) to 3,351
(FY17)
Patients experienced an
average of 54%
improvement in symptoms
after 6 months
February 28, 2018 10
NCD CLINICS OFFER A VARIETY OF SERVICES
NCD counseling for children with diabetes.
Nurse Clemence during her first consultation at the
new NCD Clinic of Rutare Health Center
February 28, 2018 11
PIH/IMB HAS PROVIDED INCREASED ACCESS TO NCD CARE
In collaboration with the MOH, PIH/IMB developed an innovative model that integrates hypertension, heart failure, diabetes, and asthma.
The MOH has decided to implement NCD clinics nationwide based upon our model.
In FY17 we contributed to the opening of 3 new health center level NCD clinics in Southern Kayonza, and 4 in Kirehe.
We have seen 90% of
our NCD patients
attend their next
scheduled appointment
these past 6 months
We provided high
quality care and
followed up with 3,438
patients
We helped 60% of our
diabetes patients
achieve glycemic control
(Hba1C<8%)
February 28, 2018 12
CONTINUED EVOLUTION OF COMMUNITY HEALTH WORKERS’ ACCOMPANIMENT
Nutrition
Malaria Testing & Treatment
Anti Retroviral Treatment
February 28, 2018 13
CHWS CONTINUE TO SUPPORT HIV-POSITIVE PATIENTS
83% of Rwandan patients have demonstrated viral load suppression, indicating they can successfully take their medication as prescribed.
In July 2016, PIH/IMB and RBC officially launched a new initiative – targeted Community-based Accompaniment for those with proven adherence challenges.
CHW Mukamana with HIV patient. CHWs providing pediatric HIV accompaniment.