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Increasing Infrastructure at Panyadoli Health Centre III Maternity Ward Expansion and Minor Theatre Construction

Date: December 10, 2016 Prepared by: Alphonse Mwanamwolho Organization: Real Medicine Foundation Uganda (www.realmedicinefoundation.org) Project Location: Panyadoli Health Centre III, Kiryandongo Refugee Settlement, Uganda

November 2016 – December 2016

Real Medicine Foundation 11700 National Blvd., Suite 234 Los Angeles, CA 90064 +1.310.820.4502

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Background In 2016, Real Medicine Foundation received funding from LDS Charities to expand the Maternity ward and construct a Minor Operating Theatre at the Panyadoli Health Centre III in Kiryandongo Refugee Settlement, Uganda. RMF Uganda’s team received this funding with great joy, because it has been our dream to build an Operating Theatre and expand the Maternity ward at Panyadoli Health Centre III since 2009, when we began our support and improvement of the health centers at Kiryandongo Refugee Settlement. Limited space in the Maternity ward and the absence of an Operating Theatre have been key issues limiting service delivery at Panyadoli Health Centre III. Once completed, this construction will significantly contribute towards improving the health status of refugees in Kiryandongo Refugee Settlement, as well as the host community.

Project Planning Contractor Selection Through a bidding process, Ben and Dok Enterprises Ltd was selected to construct the Maternity ward expansion and the Minor Operating Theatre. The company also agreed to integrate graduates of RMF’s Panyadoli Vocational Training Institute who have been trained in construction. Thus, an additional benefit of the project is that it has provided employment for several of our graduates, as well as increasing their chance of participating in future construction projects conducted by other partners in Kiryandongo Refugee Settlement. There is also a very high possibility of some of our graduates being retained by Ben and Dok Enterprises Ltd. Scope of Construction Maternity Ward

Waiting room (3.2m x 4.9m) Porch (1.3m x 4.2m) Sterilizing room (2.8m x 2.6m) Stage 1 room (3.2m x 2.6m) Delivery room (3.2m x 4.4m) Midwife room (2.8m x 1.8m) Linen room (71.7m x 1.8m) Ward (6.4m x 6.9m) Sluice room (2.2m x 1.8m) Bathroom (2m x 1.8m) Passage (1.8m)

Minor Operating Theatre (Dimensions: 19.9m x 11.65m)

Lobby Supervisor’s room Duty station Ante recovery room Operating room Sluice room Sterilizing room Storeroom for sterilized items Anesthetist discharge Storeroom Anesthetist’s room Surgeon’s room Lavatory

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Construction Progress The construction of the two buildings has continued steadily. Below is an outline of accomplishments:

Maternity Ward: Additional Tasks Completed Mobilization of bricks, cement, sand, water, etc. to construct the superstructure from window level to

ring beam Mobilization of trees to construct the scaffolds (trees, nails, timber etc.) Mobilization of timber, nails, aggregate, cement, iron bars, rings, binding wire, etc. for forming the ring

beam Construction of wall plates Completion of gables Mobilization of material for roofing (timber, nails, rings, etc.) Application of preservative to rafters Excavation of the foundation for construction of the verandas and aprons

Minor Operating Theatre: Additional Tasks Completed Construction of superstructure from window level to ring beam and wall plates Mobilization of material to form the ring beam Mobilization of trees to construct the scaffold (trees, nails, timber etc.) Preparing the ring beam formwork Casting the ring beam Construction of the wall plates

Next to be installed: roofing (corrugated iron sheets)

Project Photos

Construction of the Maternity ward expansion above window level

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Preparing the iron bars for the ring beam of the Maternity ward expansion

Sizing timber for the ring beam formwork

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Setting the ring beam for the Maternity ward expansion

Aggregate being delivered for casting the ring beam

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Ring beam of the Maternity ward expansion fully cast

Building the roof of the Maternity ward expansion

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Roofing under progress - Side view of the Maternity ward expansion

Applying preservative to the rafters and excavating the foundation to construct the veranda

of the Maternity ward expansion

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Construction of the Minor Operating Theatre from foundation to window level

Operating Theatre construction continues above window level

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Front view of the Operating Theatre after the ring beam

Inside the Operating Theatre

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Minor Operating Theatre on the wall plate level

As construction continues to progress at a good pace, the next report will show fully roofed structures and overhead work.