Great Nyamyumba: Health
The medical dispensary that depends on the local hospital in Munini and the Ministry of Health is managed by nurses and assistants.
It needs 14,925 people in the surrounding area.
Munini hospital director Dr. Innocent Ndenbeyaho, a valuable supporter and supervisor, visits us weekly.
The construction of recent studies (dental, epilepsy, hypertension) have been carried out by Mabawa, which supplies when necessary medicines and small medical equipment: autoclave, electron microscope, ultrasound, EEGigraph, various tensiometers, etc...
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Following the visit of a dentist, a member of Mabawa, made evident the need for dental surgery:
statistics revealed that 54% of clinical cases seen at the dispensary were of dental origin that lacked the appropriate treatment structure in the area.
Construction began in January 2012 and ended in April 2012. European dentists visited during the training period while a dentist from the Butare Medical School, visits now once a week according to needs and surgery.
Angela Casadei, Neurophysiopathology technique at the Civic Hospital of Lugano, collaborated with Mabawa from 2014 to 2017.
Thanks to the skills acquired following a first project MABAWA, at the hospital of Mibilizi, where she was put in contact with the reality of Rwandan, agreed to concentrate her efforts in this field familiar to her.
In 2015, the Nyamyumba dispensary (which serves 14,925 people) launched the new "Epilepsy" project, which began with an EEGigraph and related software.
Telesphore Vuguzigame, already responsible for neurological care in the reference hospital of our District (Munini) was made available to the project and formed by Angela during various stays: today he is very competent. He regularly follows training seminars to improve his training and from the beginning of 2018 he will begin a course to obtain the Master in Neuro-physiology.
Since 2014, Professor Sebera, neurologist at the Ndera hospital in Kigali, is our "tutor" and follows the project with great interest and passion. She comes monthly 2 days in Nyamyumba to monitor the work in general and particularly the most complex cases.
In Rwanda it is estimated that 4.9% of the population suffers from epilepsy, which makes the project particularly necessary.
As of July 2017, Telesphore reported a case study of 187 patients at the clinic, 163 of whom were epileptics... and the figures are constantly increasing.
A room for the diagnosis and treatment of epilepsy (photo below), extension of the dental cabinet structure, was built and has been in use since May 2017, greatly facilitating the work that was previously done in the dentist's antechamber!
The project is constantly under development 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 epileptics poor patients from our medical clinic, asked and obtained help from Mabawa to pay for access to the "mutuelle de santé", which is indispensable for access to treatment.
In addition to financial aid to members and their families, 29 goats were distributed to the poorest to encourage them.
Neonatality and ginecology
In use since 2011 and then enlarged, today it takes care of all women and mothers. Since February 2018, an ultrasound scanner has been in use that allows pregnant women to carry out checks on the spot and not have to travel for an hour (on the way and one on the way back) on the dirt track to reach Munini Hospital, where up to now there was the only ultrasound scanner in the area.
Diagnosis and treatment centre for hypertension
In 2017, the need for a health intervention to diagnose and treat cardiovascular risk factors and in particular arterial hypertension was highlighted, also thanks to patient controls carried out in the context of epilepsy.
The screening was extended to a sample of about 800 people and the results of the measurements carried out between November and December 2017 with the new tensiometers confirmed the hypothesis that even in a rural and apparently very poor region, arterial hypertension is present with a high incidence (more than 30% of the users of the two clinics).
It has thus been possible to confirm the usefulness and necessity of associating a new "hypertension" project with the already existing "epilepsy" project to identify subjects at greater risk of cardiovascular complications.
In 2018, a proposal was formulated for a "Health Capital Project" which foresees, within a protocol to be shared with the Ministry of Health and other interested partners, a targeted intervention in the two dispensaries (Nyamyumba and Munini Hospital) already under evaluation.