Great Nyamyumba: Health
The medical dispensary that depends on the Munini Area Hospital and the Ministry of Health is managed by nurses and assistants.
It serves 14,925 people from the surrounding area.
Munini Hospital Director Dr. Innocent Ndenbeyaho, a valuable supporter and supervisor, visits us weekly.
The constructions of the recent studies (dentistry, epilepsy, hypertension) have been made by Mabawa, who provides medicines and small sanitary materials when necessary: autoclave, electron microscope, ultrasound, EEGigraph, various tensiometers, etc..
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After the stay of a dentist, a member of Mabawa, the need to build a dental office emerged: in fact, statistics showed that 54% of the pathologies that occurred at the dispensary were of dental origin and that there was no suitable structure for treatment in the area.
Construction began in January 2012 and was completed in April 2012. The facility alternates between European dentists and a dentist from the University of Medicine of Butare who is present on site one or two days a week, depending on the need.
Angela Casadei, Neurophysiopathology technician at the Civic Hospital of Lugano, worked with Mabawa from 2014 to 2017.
Thanks to the skills acquired following a first MABAWA project, at the Mibilizi hospital, where she was put in contact with the Rwandese reality, she accepted to concentrate her forces in this field familiar to her.
Thus, in 2015, the new "Epilepsy" project, which began with an EEGigraph and related software, came to life at the Nyamyumba dispensary (serving 14,925 people).
Telesphore Vuguzigame, already responsible for neurological care in the reference hospital in our District (Munini) was made available to the project and trained by Angela during several stays: today she is very competent. She regularly attends training seminars to improve her training and from the beginning of 2018 she will start a path to obtain the Master in Neuro-physiology.
Since 2014 Professor Sebera, neurologist at Ndera Hospital in Kigali is our "tutor" and follows the project with great interest and passion. He comes monthly 2 days in Nyamyumba to monitor the work in general and in particular the most complex cases.
In Rwanda it is estimated that 4.9% of the population suffers from epilepsy, which makes the project particularly necessary.
In July 2017, Telesphore reported a case history of 187 patients who came to the clinic, 163 of them epileptic ... and the numbers are constantly increasing.
A room for the diagnosis and treatment of epilepsy (photo below), an extension of the dental cabinet structure, was built and has been in use since May 2017, greatly facilitating the work previously done in the dentist's antechamber!
The project is constantly being developed and many improvements are being studied. Telesphore has applied for and obtained a scholarship to obtain a master's degree in neurological technology and regularly attends training seminars.
The Girokwizera cooperative, made up of 47 destitute epileptic patients from our medical dispensary, asked and obtained help from Mabawa in order to pay for access to the "mutuelle de santé", which is essential for access to treatment.
In addition to financial aid to members and their families, 29 goats were distributed to the poorest to encourage them.
For those who wonder why there are so many cases of epilepsy, we propose the reading of this article on neurocysticercosis. Recent statistics suggest that over 40% of cases in Rwanda are related to this problem and Mabawa keeps the community on guard against free breeding of pigs, which can carry the tapeworm and its eggs.
Newborn and gynaecology
In use since 2011 and then enlarged, today it takes care of all women and mothers. Since February 2018 there is in use an ultrasound scanner that allows pregnant women to do the check-ups on the spot and not having to spend an hour (on the outward and return) on a motorcycle on the dirt track to go to Munini Hospital, where until today there was the only ultrasound machine in the area.
Centre for diagnosis
Hypertension is the main risk factor for cardiovascular disease. Due to the common lack of clinical symptoms, hypertension often remains undiagnosed and treated with delay.
The increase in the percentage of hypertension in Africa has been attributed to a combination of factors including population ageing, as well as factors resulting from rapid urbanization (built environment, diet, sedentary lifestyles, exposure to tobacco, soft drinks and alcohol).
The consequences are more devastating among Africans and include: heart failure even severe, chronic kidney and cerebrovascular diseases and sudden death.
The need for medical intervention to diagnose and treat cardiovascular risk factors is highlighted in 2017: a screening on a sample of about 800 people at the Nyamyumba dispensary and Munini hospital confirms the hypothesis that even in a rural and very poor region, hypertension is present in over 30% of users.
In 2018 a proposal for a "Health Capital Project" was formulated and presented to the authorities, which provides for a targeted intervention in the two dispensaries and is intended to be a model of preventive medical advice.
Phase I: it is essential that the clinical consultation is functional and easy to access, so that the population can be informed of risk factors.
Phase 2: the model can then be transferred to other hospitals and health centres in the country.
We are recognized and have the "endorsement" of the World Hypertension League (WHL) and the Swiss Society of Hypertension (SSH):
a recognition of the program that gives visibility to the project for funding and increases the interest of the Rwandan authorities.
In October 2019, Mabawa was very pleased with the project, which received the approval of the
Ethics Committee of the Rwandan Ministry of Public Health.
Dr. F. Muggli, creator and implementer of our hypertension project, immediately ran in Rwanda: many contacts with the authorities, all convinced of the validity of the project and we can count on their support. Dr. Bienvenu Muvunyi, director of the hospital in Munini, destined to become the reference centre of the hypertension project, is our most valuable pillar.
In Nyamyumba, our doctor Muggli has set up a network of "health volunteers" at
who has been trained. We will have at our disposal, through a door-to-door screening of the communities that refer to the Nyamyumba dispensary (about 15,000 people) an important collection of fundamental data.
The first results will soon be available.
In January 2020 the construction of the new hypertension clinic is progressing, exploiting the size of the useless space of the former dental office, which is being moved to a smaller but sufficient room.
Approved by the Rwandan National Ethics Committee and the Ministry of Public Health, the hypertension project has entered the implementation phase: 25 "auxiliaires de santé" are in the villages affiliated to the Nyamyumba dispensary (about 1,500 people)..
Subsequently, depending on the results, subjects suffering from hypertension will be taken over by the local nursing staff, under the supervision of the project managers.
The aim of the project is to train local medical staff to effectively take care of hypertensive patients, avoiding the development of serious complications.
Training and first screening in the villages: