Kachumbala Health Centre 3 Maternity Unit  -  Uganda

Progress Update - October 2015

In January 2014 Engineers for Overseas Development (EFOD)
South West Wales accepted a challenge to improve the
delivery of maternity services in a 1950's Health Centre
in Kachumbala, Bukadea District, NE Uganda.

The current provision is just 2 small rooms for maternity services
for a population of 55,000. There are three to four births a day,
together with ante and post natal services, provided by four midwives, overseen by a clinical officer.

A new block including two delivery suites and a ward of ten beds
has been designed by the London Office of HKS Architects under
their Citizen HKS scheme, and the structure designed by EFOD
graduate engineers.

The estimated cost of the structure is £ 100,000.
To date £ 40,000 has been raised and construction started in 2015.

Eight qualified Apprentices from South West Wales have visited
the site in pairs for a period of two weeks, to hire labour,
purchase materials, and supervise construction of a local labour force
of forty people, including a local project manager and foreman.

The foundations were laid in March 2015 supervised by four Apprentices
over a three week period.

The Frame was constructed to ring beam level in August supervised
by an EFOD Engineer and an Apprentice.

The local team cast the ring beam and laid the drainage system
in August and September 2015.

Work has now been temporarily suspended pending further
fundraising. A resumption is planned in January 2016,
when the roof will be fitted and doors and windows installed
to create a dry shell.

Rendering, wiring, plumbing, tiling and decorating supervised
by further Apprentices will follow when funding permits,
hopefully by mid 2016.

EFOD SWW now have the support of Hywel Dda Health Authority to advise
on maternity services and training.

Their Director of Women's Health has visited the centre and raised funds
to pay for additional training in neonatal care for midwife Julianne Iraat.

This has already saved four lives and similar training of the other
three midwives will follow.

Plans are in preparation for trainee midwives from South West Wales
to work in Kachumbala and share their skills for short periods
once the Centre is complete.

We are grateful to the Welsh Government 'Wales for Africa' fund
for their generous support paying for flights, Constructing
Excellence Wales for adopting EFOD as their charity for 2015
and to the support of EFOD members from their employers.

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