Here is a video that Fred Ochieng' and Maurice Omondi Ochieng' shot of a woman who had to be taken to a nearby "clinic" in the middle of the night. A special night vision camera chronicles the journey.
http://www.youtube.com/watch?v=3V4Phs3KvDg
Estimated budget for year 1 US$60,000-US$90,000
Lwala Health Clinic Summary | | | | | |||
| | | | | | | |
| 2005 | | 2006 | | 2007 | | Total |
Donations | 40,684.00 | | 21,619.24 | | 74,834.29 | | 137,137.53 |
Wire transfers | 32,322.44 | | 15,000.00 | | 26,000.00 | | 73,322.44 |
Balance | 8,361.56 | | 6,619.24 | | 48,834.29 | | 63,815.09 |
Needs
Two 8,000 liter rain water catchment tanks
Six 80W solar panels for lighting
Centrifuge (battery powered)
Stethoscopes 3
Blood Pressure Cuffs 3
Thermometers (oral, rectal) (10)
Needle destroyer (Safe case) 2
Sterilizing equipment 2 (solar autoclave)
Weighing scales (paediatric and adult)
Fetoscope
HIV rapid testing kits
small vaccination ice boxes
Two way radios
Solar-powered/Light microscope
Ambulance 4wdrive
Fencing off the compound
Obstetrics and Gynecology Equipment for Rural Clinic (Adapted from Western Australia)
· Gloves (sterile and unsterile)
· Syringes/needles/alcohol swabs/kidney dishes
· Tourniquet
· Blood specimen tubes (including cord blood)
· Cord clamps
· Obstetric cream/lubricant
· Antiseptic lotion eg: Cetrimide 0.5% solution
· Sterile delivery pack
· Suture set
· Suture material
· Single use and indwelling catheters
· Urine drainage bag
· Sterile Lignocaine Gel
· Sterile water for irrigation
· IV additive/allergy labels
· IV dressings and tape
· IV fluids
· IV cannula and giving set
· Sterile combine
· Sterile cotton balls
· Sterile gauze
· Modess
· Plastic aprons
· Safety glasses
· Masks
· Incontinence sheets
· Adult resuscitation trolley and drugs
· Tape measure
· Sphygmomanometer/Stethoscope
· Wall clock
· Maternal oxygen and suction equipment
· Airways
· Yankeur suction
· Hudson face mask and tubing
· Infant oxygen and suction
· 02 catheters (size 8 routine and size 6 on standby for premature) and tubing
· Y suction catheters (size 10) and tubing
· Bedside locker
· Tissues/drinking straws
· Emesis bowl
· Spare linen
Sonicaid
· Overhead light
· Rubbish bin
· Infant basket
· Neonatal resuscitation equipment comprising:
Þ Neonatal bags and masks
Þ Neonatal airways (various sizes)
Þ ETT tubes nasal 2.0 – 4.0:oral 2.0 –
3.5
Þ Laryngoscope (size 0 and 1)
Þ Introducer
Þ Magills forceps
Þ Neonatal drugs
Þ Cord scissors
Þ Baby name tags
Þ NG tubes (sizes 5, 6, 7 &8)
Þ Size 24 IV annula
Þ Suction tube
Þ Y-sucker s26, straight s10
Þ Oxygen catheter size 8 routine, size 6
on standby for premature
NEONATAL DRUGS
Naloxone 0.4 milligram in 1ml
Konakon 1 mg ampoules
NSA IV solution
10% Dextrose IV
5% Dextrose IV
1: 10, 000 Adrenaline ampoules
Sodium Bicarbonate 8.4% ampoules
Calcium Gluconate ampoule Igm in IOrnl
Cefotaxime
Gentamicin
Benzylpenicillin
Amoxil
Water for injection
Saline for injection
To stabilise infant prior to arrival:
Thermal pack
H/box perspex or incubator
Oxygen analyser
Oxygen saturation monito
Overhead radiant warmer
ADULT OBSTETRIC DRUGS
Celestone Chronodose ampoules
Magnesium Sulphate for injection
Nifedipine tablets 10mg
Ergometrine 0.5mg in 1ml
Syntometrine
Syntocinon (10 units)
Sodium Citrate
- 1% Lignocaine ampoules
- Salbutamol Obstetric 5mg in 5ml ampoules
- Diazepam ampoules 10mg/2rnl
- Hydrallazine 20mg
- Diazoxide – 300mg in 20ml
- Gelofusine
- 4% and 1/5 IV fluids
- Normal Saline fluids
- Hartmanns solution 500 and 1000mls
- 5% Dextrose IV fluids
- Narcotics
- Maxolon 10mg in 2ml ampoules
- Antibiotics
Resuscitation drugs as per adult resuscitation trolley
Drug List adapted from Partners in Health and UN Millenium Project in Sauri Kenya
DRUG LIST Lwala Clinic
1 Anaesthetic and rescuscitative agents
Diazepam injection 5mg/ml
Ethylchloride spray 100ml
Oxygen
Lignocaine HCL 2%(50ml) 30 bottles
2 Analgesics,antipyretics and NSAIDS
2.1 Non Opiods
Asprin tabs 300mg
Indomethacin tabs 25 mg
Paracetamol suspension 120mg/5ml
Paracetamol tabs 500mg
Meloxicam tabs 7.5 mg(for people with peptic ulcer disease)
2.2 Opiods
Pethidine hydrochloride injection 100mg/vial
Dihydrocodeine tartate tabs 30mg
3 Anti-allergics and drugs used in anaphylaxis
Adrenaline tart inj 0.1% 1ml
Chlorpheniramine inj 10mg/ml
Chlorpheniramine syrup 2mg/5ml 60ml
Chlorpheniramine tabs 4mg
Hydrocortisone inj 100mg base
Prednisolone tabs 5mg
4 Antidote and substances used in poisoning
4.1 General
Charcoal,activated 5g powder
Ipecacuanha syrup
4.2 Specific
Atropine sulphate injection 1mg/ml
Pralidoxime mesylate inj 200mg/ml
5 Anti-convulsants
Carbamazepine tabs 200mg
Diazepam injection 5mg/ml or 10mg/2ml
Phenobarbitone tabs 30mg
Phenobarbitone injection 200mg/ml
Phenytoin sodium caps/tabs 50mg
Phenytoin sodium inj 50mg/ml 5ml
6 Anti infective drugs
6.1 Antihelminthics
Mebendazole susp 200mg/5ml
Mebendazole tabs 100mg
Albendazole susp 400mg/5ml
Albendazole tabs 200mg
Praziquantel tabs 600mg
6.2a Antibacterials - Oral liquids
Amoxyllin susp 125mg/5ml
Ampiclox syrup 250mg/5ml
Cotrimoxazole susp 200:40/5ml
Erythromycin ethyl succinate syrup 200base/5ml
Metronidazole syrup 200mg/5ml
6.2b Antibacterials - Oral tabs/caps
Amoxyl caps 250mg or 500mg
Chloramphenicol caps/tabs 250mg
Ampiclox caps 250mg
Cotrimoxazole tabs 400:80
Doxycycline HCL caps 100mg
Erythromycin stearate tabs 250mg
Nalidixic acid tabs 500mg
Nitrofurantoin sodium tabs 100mg
Ciprofloxacin tabs 250/500mg
Tetracycline HCL caps 250mg
6.2c Antibacterials injectibles
Benzyl penicillin inj 1MU/5MU
Fortified procaine pennicillin inj 4MU
Metronidazole inj 500mg
Ceftriaxone inj 500mg/250mg
Gentamycin inj 80mg/2ml
6.2d Anti-leprosy and Anti-Tuberculosis drugs
Streptomycin injsulphate inj 1g
Rifater tabs (Rifampicin + Isoniazid + Pyrazinamide)
Rifinah tabs(Rifampicin + Isoniazid)(150mg+75mg)
Ethambutol HCL tabs 400mg
Isoniazid + Ethambutol tabs (150mg + 400mg)
Dapsone tabs 100mg
6.3 Anti-fungals
Clotrimazole cream 1% 15gms
Clotrimazole vaginal pessaries 100mg
Griseofulvin tabs 125mg
Fluconazole tabs 200mg
Nystatin oral suspension 100,000IU/ml
6.4 Anti protozoal agents(mainly antimalarials)
Quinine sulphate tabs 300mg
Quinine HCL inj 300mg
Proguanil(paludrine) tabs100mg 25
Amodiaquine syrup 50mg/5ml
Amodiaquine tabs 200mg
Dihydro-artemisinin syrup 10mg/5ml
Dihydro-artemisinin tabs 60mg
Sulphadoxine/Pyrimethamine 500mg/25mg
Sulphadoxine/Pyrimethamine 250mg/12.5mg suspension
7 Anti-hypertensives
Hydralazine inj 20mg/ml
Hydralazine tabs 24mg
Propranolol tabs 40mg
Frusemide tabs 40mg
Digoxin inj 0.5mg/2ml
Digoxin tabs 0.25mg
Nifedipine tabs 20mg
8 Dermatological preparations
Calamine lotion
Bezyl benzoate lotion
Clotrimazole cream 1% 15gms
Gentian violet crystals powder 10gms
Silver sulphurdiazine cream 500gms
9 Disinfectants and antiseptics
Cetrimide 15% and Chlorhexidine gluconate
Lysol(cresol and soap solution)
Hydrogen peroxide 6% (20 vols)
Methylated spirit
Chlorhexidine gluconate solution 5%
Povidone Iodine 10%
Sodium hypochlorite soln 4-6%
10 Diuretics
Frusemide inj 20mg/ml
Frusemide tabs 40mg
11 Gastro-intestinal drugs
Compound magnesium trisilicate tabs 1.5
Oral Rehydration Salts (WHO formulation)
Loperamide caps 2mg
Hyoscine N-Butylbromide inj 20mg/ml
Hyoscine N-Butylbromide tabs 10mg
12 Hormones,Endocrine drugs and contraceptives
Hydrocortisone sodium succinate inj 100mg base
Contraceptives low oestrogen 30mcg
Insulin and anti-diabetic agents
Chlorpropamide 250mg tabs
Glibenclamide tabs 5mg
Insulin lente 100iu
Insulin soluble 100iu
Metformin tabs 500mg/850mg
13 Vaccines
Anti snake venom sera inj
BCG dried vaccine powder
Pentavalent vaccine
Hepatitis B vaccine
Measles vaccine
OPV (Oral Polio Vaccine)
Rabies vaccine Diploid vaccine
Tetanus toxoid vaccine
Tuberculin PPD vaccine
14 Opthalmologic,ENT preparations
Chloramphenicol ear drops 5%
Chloramphenicol eye drops 0.5%
Hydrocortisone eye drops 1%
Tetracycline eye ointment 1%
15 Oxytocics and antioxytocics
Oxytocin inj 5IU/ml
Ergometrin maleate inj 500mg/ml
16 Psychotherapeutic drugs
Amitriptylline hydrochloride tabs 25mg
Chlorpromazine HCL tabs 25mg/100mg
Chlorpromazine HCL inj 50mg/2ml
Diazepam tabs 5mg
17 Respiratory tract drugs
Salbutamol inhaler 0.1mg/dose
Aminophylline inj 250mg/10ml
Salbutamol inj 0.5mg/ml
Salbutamol syrup 2mg/5ml 100mls
Theophylline tabs
Salbutamol tabs 4mg
18 Solutions for water,electrolyte,acid,base disturbance
Calcium gluconate inj 10% 10ml
Darrows solution 1/2 strength (500ml)
Dextrose inj 50% w/v (50ml)
Hartmans solution (500mls)
Normal saline inj 0.9% (500mls)
dextrose 5%/10% solution w/v (500mls)
Sodium Bicarbonate inj 8.4%
Water for injection
19 Vitamins and Minerals
Ferrous sulphate compound tabs 200mg
Folic acid tabs 5mg
Vitamin A Retinol tabs 100,000IU
Multivitamin tabs
Multivitamin syrup 100ml
Vitamin B complex tabs
