Read Hope Clinic's 2009-13 Plan

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The investment by the NGO founders in the new facility was to help us serve the community's needs

We opened in July 2005 and the range of services have broadened and the numbers of patients have also increased. In 2006 we were assessed by the Ministry of Health and accredited as a Anti-Retroviral Therapy (ART) site. The facility has been a key factor in our hosted referrals approach. By locating ourselves within the community and having designed specific areas for confidential discussions, medical examinations or group meetings for clients it means we have the premises through which other implementers can reach the patients who need them.

Each month we compile information for decision making by the medical staff and management and through displaying these charts at the clinic we provide feedback to the community. The HMIS 105 form is a monthly submission to the health authorities in local government and is used by the national government towards the monitoring of their attainment of MDG goals. For our facility, they show the growth in our patient volumes using our services.

The out-patients services are available every day and through the whole 24-hours. These are for men and women, children, under-18s and adults. When the facility opened, we saw 350 a month, this rose to 600 a month for 2007 and 2008 but as we took on more staff and our reputation spread, so our patient volumes also grew.

In April 2011, 35% of the patients were confirmed to have malaria, 27% reported with coughs including pneumonia and 11% had diarrhoea symptoms unrelated to malaria.

A key service provided to the community through the new facility is laboratory testing and 24-hour access to diagnosis of fevers to determine the cause. Households waste precious funds on self-diagnosis and presumptive treatment of every fever as malaria.

The clinic has 12,000 people within its village, over 100,000 live under 2 miles from the clinic. However, after dusk ours is the only laboratory in the village. Each test we provide that confirms the fever is not caused by malaria saves the patient the cost of ACTs.

The purpose built pharmacy has allowed us to more easily manage the centrally purchased drugs and patient aids. We stock and distribute without cost malaria drugs funded by the Global Fund, HIV prevention treatments from UNITAID and ART funded by the Government of Uganda and by PEPFAR. We also have mosquito nets, family planning commodities and single-use syringes.