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ZIMBABWE NETWORK FOR HEALTH – EUROPE
                            (ZimHealth)
            (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)



                            PROJECT PROPOSAL FORM
Thank you for taking the time to complete this form. This information will assist
ZimHealth to identify areas in need of strengthening and also assist with fundraising.



Name of Health Institution/Clinic:
MOG Phakama Clinic


Name of Person Completing this Form:
Xolani Dube
Designation:
Acting Chamber Secretary
Address:

Phakama Township,
Box 70 Gwanda.

or

Municipality of Gwanda
Cnr Lawley & 4th Avenue
Gwanda


Telephone No: +263 284 22278 (Council Switchboard)
                          22838 (Chamber Secretary)
                          22246 (Clinic reception)

E-mail address: xolanidube@gmail.com

Date: 29th March 2012




                                          Page 1 of 7
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                            (ZimHealth)
            (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

Section 1: Clinic structure

1.1    CLINIC PROFILE:

This fine-looking, elegant and well-looked after Phakama Clinic is owned by the
Municipality of Gwanda and located in a tranquil environment of Phakama High-
Density Township.

With its beautiful brick-work and ever-shiny floors as well as an unruffled
atmosphere, it is run by a capable Sister-In-Charge who has several dedicated,
friendly and highly professional qualified nurses and auxiliary staff below her, which
enables it to offer a very soothing environment to its patients.

The population of Gwanda Urban is believed to be around 60,000-70,000, most of
whom are unemployed or earn below the poverty-datum line. This clinic is supposed
to meet the health requirements of this population and operates twenty four hours,
each and every day of the year, weekends and public holidays included.

Considering the status of Gwanda as the Provincial Capital of Matabeleland South
Province, visitors from outlying districts in the province visit the town for various
government services like passports and other documents, a situation which then
creates a huge floating population of visitors, some of whom get ill and then require
medical treatment from this clinic. The exact figure of these visitors is difficult to
quantify but it significantly adds to the local population stated above.

This clinic treats patients on an out-patient basis, save for maternity, for which it has
delivery wards where expectant mothers safely deliver their new-born babies.

This clinic plays an important role in health delivery in the town as the local
Provincial Hospital is supposed to be for serious referral cases only, with the less
serious illnesses meant to be dealt with at the clinic.

Though nominal fees ranging from US$1-US$5 are charged, most patients are treated
for free, e.g. those above 65, orphans, the disabled, etc, as this is considered to be an
essential service and profit-making is not of paramount importance.

The tables below show in detail the numbers of patients attended-to at this clinic.




                                      Page 2 of 7
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                                    (ZimHealth)
                    (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

     1.2       HEALTH CARE SERVICES PROVIDED:

                  Curative health care services
                  Maternity
                  Immunisation
                  HIV testing and counselling
                  Health education, awareness, etc.

     1.3       COMMON DISEASES TREATED:

                  Fever, colds, flu, etc.
                  Sugar diabetes
                  Hypertension
                  Malaria
                  Headaches

     1.5       MONTHLY STATISTICS:

Description                  Jan        Feb       Mar         Apr       May         Jun        Jul       Aug         Sep        Oct       Nov        Dec        Total 
                                                                                                                                                                  
Paying patients             111        211        207        203        187        197        192        198        214        235        161        167        2,283 
Ante‐Natal Care Initial                                                                                                                                               
Bookings                    46         61         85         66         46         56         50         53         76         56         61         44         700  
                                                                                                                                                                         
Non‐Paying Patients         ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐    
                                                                                                                                                                      
Adults above 65yrs          8          12         8          12         8          6          8          12         8          12         8          6          108  
                                                                                                                                                                      
Family Planning             77         66         71         59         60         53         54         72         56         48         57         48         721  
TB Treated for other                                                                                                                                                       
ailments                    ‐          1          3          1          1          ‐          1          1          ‐          ‐                     ‐          8  
                                                                                                                                                                         
Disabled                    ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐                     ‐          ‐    
                                                                                                                                                                        
Orphans                     2          4          1          2          ‐          3          2          ‐          1          3          ‐          1          19  
Ante‐Natal Care Repeat                                                                                                                                            
visits                      87         69         90         101        169        129        100        99         65         139        171        131        1,350 
                                                                                                                                                                  
Post natal check‐ups        67         48         28         103        27         107        133        66         120        140        116        126        1,081 
                                                                                                                                                                        
TB New Entries              3          6          3          3          3          ‐          4          19         11         9          15         7          83  
                                                                                                                                                                  
Repeat visits               220        229        175        47         117        199        167        152        169        112        124        102        1,813 
Potentially Economically                                                                                                                                                
vulnerable Patients         ‐          ‐          1          ‐          1          2          1          2          2          1          1          ‐          11  
                                                                                                                                                                  
Total                       621        707        672        597        619        752        712        674        722        755        714        632        8,177 

                                                                 Page 3 of 7
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                                  (ZimHealth)
                  (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

     Details of TB Patients:

Description                  Jan        Feb       Mar         Apr       May         Jun        Jul       Aug         Sep        Oct       Nov        Dec        Total 
                                                                                                                                                                  
Patients on Register        97         112        115        115        105        104        97         93         98         102        102        113        1,253 
                                                                                                                                                                     
New Notifications           34         9          7          13         7          9          13         17         21         24         19         9          182  
                                                                                                                                                                  
Sub‐total                   131        120        124        128        112        113        110        110        119        126        121        122        1,436 
                                                                                                                                                                      
Due for review              23         11         9          9          9          13         16         12         16         17         12         3          150  
                                                                                                                                                                      
Discharged                  15         4          8          20         7          13         16         10         14         15         7          3          132  
                                                                                                                                                                        
Died                        3          1          2          2          1          1          ‐          ‐          2          1          1          ‐          14  
                                                                                                                                                                           
Transfer in                 1          ‐          1          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          ‐          2  
                                                                                                                                                                        
Transfer out                2          ‐          ‐          1          ‐          2          1          2          1          1          ‐          ‐          10  
                                                                                                                                                                        
Defaulters                  5          2          1          ‐          1          ‐          ‐          2          1          2          5          ‐          19  
Total patients at end of                                                                                                                                          
month                       112        115        115        105        104        97         93         98         102        109        113        119        1,282 



     Maternity Services

     The maternity figures are the ante-natal care figures in the first table above.

     There are five beds in the maternity ward.

     Out-Patient Services

     All treatments are done on an out-patient basis, with the exception of maternity deliveries only.

     Other In-Patient Services

     These are only in relation to deliveries at the maternity only.




                                                                 Page 4 of 7
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                              (ZimHealth)
              (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

Section 2: Human resources

2.1:    STAFF:

        Designation         Establishment       Actual
                                (Ideal)

State-Certified Nurses           7                    1
Registered-General Nurses        8                    8
Primary Care Nurses              3                    3
Nurse Aides                      10                   5
Phamarcist                       1                    0
Receptionist                     1                    1
Admin Clerk                      1                    1
General Hand                     6                    5
Total                            37                   24




Section 3: List of equipment required

3.1     MEDICAL REQUIREMENTS

Medical equipment

Materials                                             Number
                                                      required
Baby Resuscitator (for maternity)                          1
Digital weight scales                                      3
Digital BP Machine                                         2
Foetal detector                                            1
Digital Stetho-scopes                                      6
Autoclave (+10kg)                                          2
Digital notice board                                       1
Refrigerators                                              2
Heavy duty washing machine                                 1




                                        Page 5 of 7
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                             (ZimHealth)
             (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

Medical Consumables: Linen

Materials                Number
                         required
Gowns                       30
Blankets                    30
Sheets                      20
Mattresses                   5
Pillows                     15
Towels                      25


3.2    NON-MEDICAL EQUIPMENT

Materials                                            Number
                                                     required
Diesel Generator (at least 5Kv capacity)                 1
Borehole                                                 1
5,000 litre water tank                                   1
Computers (Full set)                                     5
Printer (4-in-1)                                         1
Printer (dot matrix)                                     2
Television set (for patients)                            2


CONCLUSION

As the above statistics show, the average number of patients treated per month is
around 600-700 per month. This number is very low compared to the large size of
the population in the town. The lack of some basic equipment and materials,
especially those listed above, makes most residents shun the clinic and, instead,
visit the provincial hospital in the hope of getting better service, but, unfortunately,
they meet the same, if not much worse conditions. Your assistance in the above,
therefore, will greatly restore residents’ confidence in this health facility so that it
plays its role and does not remain a white elephant.




                                           Page 6 of 7
ZIMBABWE NETWORK FOR HEALTH – EUROPE
                             (ZimHealth)
             (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ)

Thank you for taking the time to provide ZimHealth with this information!




The Zimbabwe Network for Health (ZimHealth) in Europe is a non-governmental
association registered in Geneva, founded by Zimbabweans as a non-profit organisation.   http:
It seeks to mobilise the support of Zimbabweans living in Europe, as well as other       //ww
interested individuals, agencies and development agencies to strengthen health-care      w.zi
services in Zimbabwe.                                                                    mhe
                                                                                         alth.
ZimHealth seeks to make a difference in Zimbabwe primarily through the following:        org/
 Raise funds directly from Zimbabweans in the Diaspora, in Zimbabwe and from
   friends of Zimbabwe all over the world.
   Through a transparent and highly targeted system, procure and distribute drugs,
    diagnostics, vaccines and other medical and non- medical commodities and essential
    equipment to rehabilitate the health facilities in Zimbabwe.
   Inform and engage interested stakeholders about the needs, successes and impact of
    the support to the health-care system in Zimbabwe.




                                           Page 7 of 7

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Phakama Clinic profile Gwanda

  • 1. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) PROJECT PROPOSAL FORM Thank you for taking the time to complete this form. This information will assist ZimHealth to identify areas in need of strengthening and also assist with fundraising. Name of Health Institution/Clinic: MOG Phakama Clinic Name of Person Completing this Form: Xolani Dube Designation: Acting Chamber Secretary Address: Phakama Township, Box 70 Gwanda. or Municipality of Gwanda Cnr Lawley & 4th Avenue Gwanda Telephone No: +263 284 22278 (Council Switchboard) 22838 (Chamber Secretary) 22246 (Clinic reception) E-mail address: xolanidube@gmail.com Date: 29th March 2012 Page 1 of 7
  • 2. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Section 1: Clinic structure 1.1 CLINIC PROFILE: This fine-looking, elegant and well-looked after Phakama Clinic is owned by the Municipality of Gwanda and located in a tranquil environment of Phakama High- Density Township. With its beautiful brick-work and ever-shiny floors as well as an unruffled atmosphere, it is run by a capable Sister-In-Charge who has several dedicated, friendly and highly professional qualified nurses and auxiliary staff below her, which enables it to offer a very soothing environment to its patients. The population of Gwanda Urban is believed to be around 60,000-70,000, most of whom are unemployed or earn below the poverty-datum line. This clinic is supposed to meet the health requirements of this population and operates twenty four hours, each and every day of the year, weekends and public holidays included. Considering the status of Gwanda as the Provincial Capital of Matabeleland South Province, visitors from outlying districts in the province visit the town for various government services like passports and other documents, a situation which then creates a huge floating population of visitors, some of whom get ill and then require medical treatment from this clinic. The exact figure of these visitors is difficult to quantify but it significantly adds to the local population stated above. This clinic treats patients on an out-patient basis, save for maternity, for which it has delivery wards where expectant mothers safely deliver their new-born babies. This clinic plays an important role in health delivery in the town as the local Provincial Hospital is supposed to be for serious referral cases only, with the less serious illnesses meant to be dealt with at the clinic. Though nominal fees ranging from US$1-US$5 are charged, most patients are treated for free, e.g. those above 65, orphans, the disabled, etc, as this is considered to be an essential service and profit-making is not of paramount importance. The tables below show in detail the numbers of patients attended-to at this clinic. Page 2 of 7
  • 3. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) 1.2 HEALTH CARE SERVICES PROVIDED:  Curative health care services  Maternity  Immunisation  HIV testing and counselling  Health education, awareness, etc. 1.3 COMMON DISEASES TREATED:  Fever, colds, flu, etc.  Sugar diabetes  Hypertension  Malaria  Headaches 1.5 MONTHLY STATISTICS: Description  Jan  Feb  Mar Apr  May Jun  Jul  Aug  Sep  Oct  Nov  Dec  Total                                             Paying patients  111   211   207  203  187   197  192  198  214   235   161   167  2,283  Ante‐Natal Care Initial                                                                                    Bookings  46   61   85   66   46   56   50   53   76   56   61   44   700                                                                                                     Non‐Paying Patients  ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐                                                                                                        Adults above 65yrs  8   12   8   12   8   6   8   12   8   12   8   6   108                                                                                     Family Planning  77   66   71   59   60   53   54   72   56   48   57   48   721   TB Treated for other                                                                                                    ailments  ‐     1   3   1   1   ‐     1   1   ‐     ‐        ‐     8                                                                                                     Disabled  ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐        ‐     ‐                                                                                                                       Orphans  2   4   1   2   ‐     3   2   ‐     1   3   ‐     1   19   Ante‐Natal Care Repeat                                                                    visits  87   69   90   101  169   129  100  99   65   139   171   131  1,350                                                                    Post natal check‐ups  67   48   28   103  27   107  133  66   120   140   116   126  1,081                                                                                                                TB New Entries  3   6   3   3   3   ‐     4   19   11   9   15   7   83                                                         Repeat visits  220   229   175  47   117   199  167  152  169   112   124   102  1,813  Potentially Economically                                                                                                                   vulnerable Patients  ‐     ‐     1   ‐     1   2   1   2   2   1   1   ‐     11                                                      Total  621   707   672  597  619   752  712  674  722   755   714   632  8,177  Page 3 of 7
  • 4. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Details of TB Patients: Description  Jan  Feb  Mar Apr  May Jun  Jul  Aug  Sep  Oct  Nov  Dec  Total                                                         Patients on Register  97   112   115  115  105   104  97   93   98   102   102   113  1,253                                                                                              New Notifications  34   9   7   13   7   9   13   17   21   24   19   9   182                                              Sub‐total  131   120   124  128  112   113  110  110  119   126   121   122  1,436                                                                                             Due for review  23   11   9   9   9   13   16   12   16   17   12   3   150                                                                                                Discharged  15   4   8   20   7   13   16   10   14   15   7   3   132                                                                                                             Died  3   1   2   2   1   1   ‐     ‐     2   1   1   ‐     14                                                                                                                 Transfer in  1   ‐     1   ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     ‐     2                                                                                                                   Transfer out  2   ‐     ‐     1   ‐     2   1   2   1   1   ‐     ‐     10                                                                                                                    Defaulters  5   2   1   ‐     1   ‐     ‐     2   1   2   5   ‐     19   Total patients at end of                                                              month  112   115   115  105  104   97   93   98   102   109   113   119  1,282  Maternity Services The maternity figures are the ante-natal care figures in the first table above. There are five beds in the maternity ward. Out-Patient Services All treatments are done on an out-patient basis, with the exception of maternity deliveries only. Other In-Patient Services These are only in relation to deliveries at the maternity only. Page 4 of 7
  • 5. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Section 2: Human resources 2.1: STAFF: Designation Establishment Actual (Ideal) State-Certified Nurses 7 1 Registered-General Nurses 8 8 Primary Care Nurses 3 3 Nurse Aides 10 5 Phamarcist 1 0 Receptionist 1 1 Admin Clerk 1 1 General Hand 6 5 Total 37 24 Section 3: List of equipment required 3.1 MEDICAL REQUIREMENTS Medical equipment Materials Number required Baby Resuscitator (for maternity) 1 Digital weight scales 3 Digital BP Machine 2 Foetal detector 1 Digital Stetho-scopes 6 Autoclave (+10kg) 2 Digital notice board 1 Refrigerators 2 Heavy duty washing machine 1 Page 5 of 7
  • 6. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Medical Consumables: Linen Materials Number required Gowns 30 Blankets 30 Sheets 20 Mattresses 5 Pillows 15 Towels 25 3.2 NON-MEDICAL EQUIPMENT Materials Number required Diesel Generator (at least 5Kv capacity) 1 Borehole 1 5,000 litre water tank 1 Computers (Full set) 5 Printer (4-in-1) 1 Printer (dot matrix) 2 Television set (for patients) 2 CONCLUSION As the above statistics show, the average number of patients treated per month is around 600-700 per month. This number is very low compared to the large size of the population in the town. The lack of some basic equipment and materials, especially those listed above, makes most residents shun the clinic and, instead, visit the provincial hospital in the hope of getting better service, but, unfortunately, they meet the same, if not much worse conditions. Your assistance in the above, therefore, will greatly restore residents’ confidence in this health facility so that it plays its role and does not remain a white elephant. Page 6 of 7
  • 7. ZIMBABWE NETWORK FOR HEALTH – EUROPE (ZimHealth) (RÉSEAU ZIMBABWÉEN POUR L’ACCÈS À LA SANTÉ) Thank you for taking the time to provide ZimHealth with this information! The Zimbabwe Network for Health (ZimHealth) in Europe is a non-governmental association registered in Geneva, founded by Zimbabweans as a non-profit organisation. http: It seeks to mobilise the support of Zimbabweans living in Europe, as well as other //ww interested individuals, agencies and development agencies to strengthen health-care w.zi services in Zimbabwe. mhe alth. ZimHealth seeks to make a difference in Zimbabwe primarily through the following: org/  Raise funds directly from Zimbabweans in the Diaspora, in Zimbabwe and from friends of Zimbabwe all over the world.  Through a transparent and highly targeted system, procure and distribute drugs, diagnostics, vaccines and other medical and non- medical commodities and essential equipment to rehabilitate the health facilities in Zimbabwe.  Inform and engage interested stakeholders about the needs, successes and impact of the support to the health-care system in Zimbabwe. Page 7 of 7