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

Date: November 4, 2016 Prepared by: Alphonse Mwanamwolho Organization: Real Medicine Foundation Uganda (www.realmedicinefoundation.org)

Project Location: Panyadoli Health Centre III, Kiryandongo Refugee Settlement, Uganda

August 2016 – October 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 the LDS Charities to expand the Maternity ward and construct a Minor Operating Theatre at Panyadoli Health Centre III at 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 in 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. Structural Dimensions 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

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Anesthetist’s room Surgeon’s room Lavatory

Construction Progress Stage 1: Mobilization The selected construction company, Ben and Dok Enterprises Ltd, has mobilized:

Tools and equipment (tracker, concrete mixer, hoes, wheel barrows, harmers) Materials (sand, aggregate, cement, BRCs, timber, etc.)

Stage 2: Clearing the Building Site and Laying the Foundation Maternity Ward Tasks Completed

Leveling the ground Setting out Excavating trenches Casting the concrete foundation Plinth wall construction Plastering the plinth wall Applying bitumen paint Backfilling Spreading of the hardcore Blinding Applying PVC Placing form work to hold the concrete Applying oversite concrete

Now the concrete slab will be given 7 days to cure before the main wall can be set. Minor Operating Theatre Tasks Completed

Leveling the ground and uprooting tree trunks Setting out Excavating trenches Casting the concrete foundation Plinth wall construction Backfilling Spreading of the hardcore

Overall, the work is progressing well, with some challenges which we have the financial means to address.

Project Photos

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Leveling the ground for the Maternity ward expansion

Removing loam from the site

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Excavated trenches of the Maternity ward expansion, cast with concrete

Setting out corners of the foundation for the Maternity ward expansion

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Construction of the Maternity ward expansion’s foundation in full progress

The foundation of the Maternity ward expansion beginning to show above ground

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Backfilling and compacting the foundation of the Maternity ward expansion

Casting the oversite concrete, with form work and bitumen paint visible

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Full view of the Maternity ward expansion’s foundation

Concrete foundation of the Maternity ward expansion, being watered as it cures for 7 days

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Foreground: beginning of the minor operating theatre, Background: foundation of the Maternity ward expansion

Plastering the foundation of the minor operating theatre

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Blinding and plastering the foundation of the minor operating theatre (Ben and Dok Enterprises Ltd provides equal

employment opportunity to both men and women)

Filling the minor operating theatre’s foundation with hardcore

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Filling the foundation of the minor operating theatre with hardcore

RMF’s site consultant, Peter Mbusa, explaining the design and physical plan of the Maternity ward expansion to the

OPM/UNHCR infrastructure committee

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Concluding Observations According to the contractor, Ben and Dok Enterprises Ltd, the most difficult part of the work is almost completed, and the remaining tasks will go much faster. Thus, the contractor is still committed to finish the project by the end of December 2016.