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Pneumonia  Uganda, Africa Pneumonia  Uganda, Africa

Pneumonia Uganda, Africa - PowerPoint Presentation

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Pneumonia Uganda, Africa - PPT Presentation

By Carly Knoblauch N4 Nursing student KSON Course Objectives 1 Use evidencebased practices health care technology and effective communication strategies to guide the essential public health interventions ID: 811562

care health uganda pneumonia health care pneumonia uganda children access africa years community clinical maternity ambrosoli medical hospital treatment

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Slide1

Pneumonia Uganda, Africa

By: Carly Knoblauch {N4 Nursing student, KSON}

Slide2

Course Objectives

1. Use evidence-based practices, health care technology, and effective communication strategies to guide the essential public health interventions

across the

lifespan.

2. Use data from population assessments to identify the influences of

the determinants

of health (environmental, social, political, legal-ethical,

economic, behavioral

, and cultural) on delivery of care to diverse populations.

3. Assess the health status, health care access, and emergency preparedness

needs of

the defined population.

4. Participate with healthcare providers and community leaders in the

planning, implementation

, and evaluation of health interventions.

5. Collaborate with healthcare providers and community partners to promote

clinical prevention

and population-focused health. Apply knowledge from nursing

and related

arts and sciences to the care of selected community based aggregates.

Slide3

Background of Uganda

THE FACTSPopulation: 37,101,745

Children ages 0-14 years

: 48.1%

Infant Mortality Rate:

Total: 59.21 deaths/1,000 live births

Birth Rate: 43.79 births/1,000 populationLanguages: English(official national language, taught in grade schools). Swahili and other tribal languages are used as well.Life expectancy: 52.72 yearsReligion: Roman Catholic 41.9%.(The World Factbook ,n.d.).

LIFE IN UGANDATransportation: Walking, bicycles, and boda boda (motorcycles).Food: Posho, rice, tropical fruits, ground nuts, sim-sim, chapatti, leafy greens, chicken, goat, fish, and goat.Housing: Huts (homestead usually consists of 3 huts), apartment, and houses.Occupation: agriculture, brick making, medical staff, military enforcement, tourism, making clothing goods, etc.

Slide4

More Background

Our clinical group was comprised of 3 nursing students (BSN program), a clinical instructor, and an international advisor.

We assessed the vulnerable children population of 5 years and younger in Uganda, Africa.

We looked at the top five child morbidities which included:

Malaria

Malnutrition

Sepsis/PneumoniaTBHIV/AIDS

Slide5

Clinical Locations

GULU

OCER Campion Jesuit College

Private secondary school for students

P7-S4

Level 2 Health Centers

Laroo ClinicOutpatient, laboratory, immunizations, pharmacy, antenatal, and maternity. Run by nursing staff.St.Monica’s Health ClinicOutpatient, laboratory, pharmacy, and immunization.St.Mauritz Health ClinicOutpatient, maternity, antenatal, postpartum, pharmacy, and laboratory. Ran by missionary NP and nursing professionalsKALONGO

Saint Mary’s Midwifery School/Dr. Ambrosoli HospitalMidwifery students can obtain certification (2 years) or diploma (3 years).Hospital consisted of surgical , pediatric, TB, maternity, antenatal, and medical wards.Level 3 Health CentersPaimol Health ClinicOutpatient care, immunizations, maternity inpatient, laboratory, and pharmacy.

Slide6

Slide7

Pneumonia In Uganda

According to UNICEF when looking through the years 2008-2012 there were 78.7% of children suspected to have pneumonia who sought out medical care (Uganda Statistics, 2013

).

O

nly

about

50% of the children sick with pneumonia receive appropriate medical care and, less than 20 % of children with pneumonia receive antibiotics (Tuhebwe, Tumushabe, Leontsini, & Wanyenze, 2014).Common myth in Uganda- That children who get up early and go outside will have increased chance of catching Pneumonia.

Common home treatments include: herbs, fruit, give drinks, and giving raw eggs.Warning SignsSevere weaknessHigh feverDifficult breathing(Tuhebwe et al.,2014).

Slide8

Pneumonia Data

(Records Management: Dr.

Ambrosoli

Memorial Hospital Kalongo, 2016)

Slide9

Interventions

Primary (Prevention)Education about warning signs of PneumoniaEducation on good hygiene practices to prevent Pneumonia. ( washing hands, covering month when coughing, adequate nutrition, drinking safe water, decrease exposure to environment factors).

Immunizations (

Pneumococcal conjugate

vaccine

(PCV13

))Secondary (Screening)Most common in Africa is just a physical examinationArterial blood gas (not as commonly done in Africa)X-Ray (not as commonly done in Africa)Tertiary (Treatment)Antibiotic treatmentHospitalizationsVHT follow ups

Slide10

Interventions Continued

Individual LevelSeeking medical helpDrinking safe water/providing children adequate nutrition

Taking children to get

immunizations

VHT educate on an individual level the warning signs of pneumonia and help them seek

care

Community LevelHealth clinics have the proper vaccinations and medications to prevent/treat pneumoniaVHT and health centers use posters and educational campaigns at local events (ex. church and political rallies) that are geared toward educating, promoting vaccines, seeking care, and getting treatment.System LevelGovernment provides vaccination days free of charge Government provides antibiotics to all health clinicsA transportation system need to be put in place in order to access care.VHT and ministry of health created a centralized process to simplify access to antibiotics and treatment and access to

care.

Slide11

Village Healthcare Team (VHT)

Roles:MobilizationI

dentify

emerging

conditions

Referral

to nearby health center/hospitalHealth education talksFollow-up appointmentsMaintain hygiene in communityReport/Record Management- benchmarking districtsCommon Health Problems:MalariaPneumoniaDiarrheaConvulsionTBEpilepsyInjuries

Provides:Surveillance, family planning, hygiene promotion, community medicine administration, community vaccinations, and referrals.

Slide12

Conclusions

In conclusion Pneumonia is a deadly killer to children under the age of 5 years in Uganda Africa. Although there are prevention techniques in place the main issue is access to care. Individuals can not access the clinics and hospitals to receive care and often treatment is not available. In order to prevent this issue in Uganda, individuals need to be educated on the proper use of

immunizations

and risk factors. Also, the government needs to get involved my making it more accessible to obtain treatment. Overall, the Uganda health care systems are trying their best with the resources they have.

Slide13

Most Profound Clinical Experience

Saint Mary’s Midwifery School & Dr.

Ambrosoli

Memorial Hospital

During my time at

Saint Mary’s Midwifery School

& Dr.

Ambrosoli Memorial Hospital I got to tour many wards like the maternity ward ( I got to see a live birth!) However my greatest clinical experience was getting educated and interacting with the VHT members.

Slide14

Most Profound Cultural Experience

Visiting Nurse

Concy’s

village and home. She invited us into her hut with a traditional African welcoming.

Being taught African traditional songs and dances.

Slide15

My Favorite Pictures

Slide16

Slide17

References

Pneumonia Data For Children Under Five (p. 1, Rep.). (2016). Kalongo: Dr. Ambrosoli Memorial Hospital.

 The World Factbook (

n.d.

). Retrieved January 25, 2016, from

https://

www.cia.gov/library/publications/resources/the-world-factbook/geos/od.htmlTuhebwe, D., Tumushabe, E., Leontsini, E., & Wanyenze, R. (2014). Pneumonia among children under five in Uganda: Symptom recognition and actions taken by caretakers. African Health Sciences. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370082Uganda Statistics. (2013).Unicef. Retrieved from http://www.unicef.org/infobycountry/uganda_statistics.html