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Monday, September 27, 2010

WEEKLY REPORT AS AT 20th TO 26th SEPTEMBER 2010

NOTE: All Currency is in Kenyan Dollars for this entry.


THE CLINIC

We only managed to see 14 outpatients and 5 maternity cases. One mother gave birth but the infant died, the nurse said that just when the mother was in labour she threw herself on the ground and that could have been the cause of her baby dying.

We raised a total of Kshs 41,290higher than last week. Maternity generated Kshs 14,600 while outpatients generating Kshs 26,690 the expenses totaled Kshs 34,268 higher than last week due to high cost of drugs, leaving a balance of Kshs 7,022, which was saved, to the bank.

Petty Cash – Njuguna’s shop

This is a shop where we pick items to be used at the clinic such as milk, sugar, detergents etc etc. We agreed to be paying every end of month so in August we used KShs 13,300, which we paid in this week.

Drugs – This week we paid Ksh 11,400/- for the drugs.

Staff - Peninah who is our Pharm Tech has left the clinic. According to her she went to further in her career, but we knew that was not the case. Despite my persuasion to stay on did not yield any fruits. Generally, she was not a good worker as she failed to maintain an accurate data at the pharmacy and could not agree to be corrected. The worst of all is when we asked her to bring back the laptop (donated by Teresa) that was in her procession. Anytime we asked her to return the lab top a quarrel could erupt. The problem is that when Florence gave her the laptop to take for repair sometime last year, she never signed anywhere.

LEARNING CENTRE
All was well during the week apart from two children from Kileleshwa and one from the Learning centre who were sick. They were

1. Ian Savindi, had a surgical wound near his right heel, which was scratched by an old iron sheet and stayed without coming for treatment. He was sent back from school because he couldn’t put on shoes. He has been coming for dressing for 5 days and now healed.

2. Baron Babu had diarrhea and headaches. Was tested and found with malaria and treated.

3. Samuel from the Learning centre brought in the clinic unconscious by a Good Samaritan. Examined and found with high malaria, had been given some drugs on an empty stomach and became weak. Admitted for observation and has now recovered and discharged. I understand the mother is upcountry so he was alone in the house.

COMMUNITY OUTREACH
The number of clients has narrowed down again to 13. They still claim, luck of food and medication is the cause of them going to other projects. I encouraged them to continue coming as we are trying to see whether we shall find a donor who could donate some food.

Support Group – The few who have remained look forward to start a project, which could generate some income so that they don’t keep waiting to be helped.

Monday, September 20, 2010

WEEKLY REPORT AS AT 13TH TO 19th SEPTEMBER 2010

THE CLINIC:


By 19th we managed to see 18 outpatients and 8 maternity cases.

Drugs:
We are encountering a lot of problems on drugs. There is a Pharmaceutical Company where we normally take on credit and pay by end of the week, but this time, things are becoming tough, whereby sometimes he doesn’t want to give us on credit. Just this week alone we paid a total of $232.00. Most patients pay lab services, but end up paying very little for the drugs because they usually don’t have enough cash.

Staff:
Since Florence is still sick, I still continue to hire and pay whoever stands in for her, and other staff who go off on Sundays, just this week I paid a total of $64.00.

Cash Flow and Expenses

We raised a total of $654.00 higher than last week. Maternity generated $287.00 while outpatients generating $367. The expenses totaled $430 higher than last week due to high cost of drugs, leaving a balance of $224 which was saved, to the bank, this savings is used to pay staff salaries and bank charges.


LEARNING CENTRE
The numbers of the children who have reported so far are 29. The total number was 37 but some children got sponsorship and went to Kileleshwa as the teacher explained. So now the number will remain 29, not 37 as I had indicated earlier.

Barasa is in the process to supervise the recruitment of those who have since left. He has been around to do budgets with the teachers for 2011, and reflect the previous years 2009, 2008 and 2007, which Teresa requested.

On 17th September, we were privileged to have Mr. John and his wife Sharma from Oregon-USA who wanted to see the children and take photographs, Barasa was there to introduce them to the teachers and children.

COMMUNITY OUTREACH
This week the clients who reported were 15 at least slightly higher than last week.

Teresa had asked me to find out how we could partner with St. Francis Church to see how our children and clients could benefit from the Education Programme Sponsorship. We approached a Mr George of the church, who told us that Amuka Centre is an organization, which sponsors children to school whose parents are HIV+VE. Hendricka our community health worker is following up the issue and will report to you of the outcome.

Thursday, September 16, 2010

Proposed Budget for 18 Children to attend Private school

 Below are our estimated costs / Contributions solely from our charity for private school on 18 of our children that are ready for private school. all values were converted to US funds and are not Exact to the penny but are to the dollar. Dollar amounts are totals for ALL children.

1) Uniforms (shirt,sweater,socks, short and tie) - 828

2) School Shoes (2 pairs per yr/per chiled)       - 234

3) Games Kit (Tshirt, Shorts/rubber shoes,
    give student ability to play in afterschool
    activitiees.                                                    - 360

4) Shoe Polish                                                 - 18

5) Shoe Brushes                                              - 18

6) Back Bag                                                    - 126

7) Excerise Books (Children write seven
 subjects. Pupils will use three 200 page
exercise books per subject –Thus-18 children
 x 7 subjects x 3 exercise books per book.
It should be noted that children will be
encouraged to continue using the books they
have until they will be filled up then replacements
will made.The books will be bought from a
whole who will give us discount.                       -144

8) Story Book ( Each pupil is expected to
 buy two story books-18  children x  story
 books x  Sh 350 per book)                            -72

9) Ruler                                                          - 8.00

10) Rubber (erasers)                                       -3.60

11) Diary (Pupils are required to purchase
 diary to record and keep audit of school
 events. One booklet per child per year is
 adequate per year- 18 x Sh  100)                   -18.00

12) Examination Fees -(Pupils are expected
 to pay for purchase of their test papers which
 are printed out of school. The payment is
 made once per school term- three times
 per year 18 x 1 term x Sh. 90                       - 18.00

13) Parent/teacher Assoc. Fee (The amount is
 used by School Management Board to
improve on the schools infrastructure. The
amount is paid per term-18 x 1 term x
Sh 500)                                                       - 90.00

14) Medical Expenses- (Children come from
 poor home. Their parents or guardians
 cannot pay for emergency treatment. Each
 child is expected to have any emergency
 fund of Ksh. 2000 per child per year for
 specialized medical care. (18 x 2000) divide
 by 3 terms)                                                - 342.00

15) Enrichment Fee - (Children will be fed
 at Ray of Hope during tuition on Saturdays
 and holidays when they come do their
 home assignment and for discussions with
 the teachers 18 x 90 days in a year x Sh 30) -8100.00

16) Transport to School- (Children are
 taken to school in a private van to avoid
 incidences of delay and school maintain
 school attendance 18 x 4 months
 x Sh 1250)                                                 -216.00

17) Nutritional Assessment- (Since children
 are fed at the centre, it is important that
 we seek the advice of a nutritionist for
 technical information of the nutritional
 status of the children in relation to diet
 that we give them)                                     -36.00

18) Meals -                                                -126.00

TOTALS for 18 Children for 2010-2011yr - 10829.00


Jan 2011 budget for Learning Center Children:
Food: 250.00
Learning Materials: 140.00
Water: 46
Electricity : 28.00
Utilities (other than electricity) $37.00
Petty Cash : 19.00
Maintenance : 10.00
Uniforms: 616.00

TOTAL for Jan 2011 : 1146.00


Total requested for Uniforms only in Jan 2011:  680.00

MEALS FOR CHILDREN at Learning Centre:
1) No Food has been received at LC from Feed the Children
2) We need the following additional items per per:

Maize- 4 bags @ Ksh 25 =100
Beans – 3 bags @ Ksh 41 =123
Total =243.00

Comments


 All Ray of Hope sponsored children in Kileleshwa primary school were sent back today at 11am due to lack of proper uniforms.
 Kermit bought 16 sweaters and 16 pairs socks.
 Children at Kileleshwa were not allowed to move to their 2010 classes because they have no writing materials.
 Rosemary’s daughter has selected one of the children standards who will report to class 5 in Kileleshwa this week after buying all the necessities tomorrow.
 Children who Katie sponsored will attend the interview at Kileleshwa in the course of the week and are expected in class next week in full uniform if not their vacancies will be taken up by other children on the waiting list.
 Children will not come on Saturdays to LC for enrichment because there in money for food at the moment.
 Some children have skin conditions that need medical attention. We agreed in a meeting in 2009 that LC will pay medical, part of water and electricity bills. Kindly confirm these issues.

Tuesday, September 14, 2010

Picnic for the Children - Organized by Kermit Washington

On our last visit to the clinic in Nairobi, We decided to hold a picnic for our students and it was very successful and reinforced our promises to the children that a good education is the best way for them to give a better life.

Below are photos taken at the picnic (not in order):

2 Boys/students at play with Hula Hoops (tm)

Students already excited about today's Trip

The Bus ride to the park

Trip Photo


Children showing off their Soccer skills



Student challenges a Chaperone



Monday, September 13, 2010

WEEKLY REPORT AS AT 6TH TO 12th SEPTEMBER 2010

THE CLINIC

The week started quietly the clinic managing to see 25 outpatients and 5 maternity cases. Most patients came suffering from malaria; this is because most residents travel to western Kenya during school holidays where malaria is very common.

Amongst the staff – Florence was diagnosed with malaria and high fever. She was treated and now on sick off for a couple of days.

We raised a total of Kshs 47,080 higher than last week. Maternity generated Kshs 10,700 while outpatients generating Kshs 37,080. The expenses totaled Kshs 21,700 leaving a balance of Kshs 26,080, which was saved, to the bank.

The expenses were lower since electricity is paid once a month so didn’t appear in this week. You will also note there was no water bought since we were lucky to have received free water from Nairobi City Water.

Solomon - lab is showing having been paid 2,500/- because his salary is Kshs 17,500/- from the 200 USD sent the clinic adds the Kshs 2,500/- every month.

We still continue to buy drugs from the money we receive in small quantities.

LEARNING CENTRE

By Friday the total number of children who had reported were 26 from a total of 37. The reason given by the teacher is that some went through circumsion ritual and are now healing while the rest could have traveled to their rural home and are trying to come back to Nairobi.

Those who reported had lost weight.

On 9th September Sheila Muyodi a student from Kileleshwa was brought at night by the parent with high fever, was tested and found with malaria and was put on treatment.

COMMUNITY OUTREACH

Last Thursday 9/9/2010 only 11 clients reported. During the past a full attendance was 120 clients although those registered are 200.. The number started reducing day by day as most clients are looking for other projects that can supply them with food. Surprisingly, the parents of our children from Learning Centre and Kileleshwa have also stopped coming.

When I asked the Community Health Worker, she confirmed that through her mobilization visits, she found out that most of the clients are now going to St. Francis Church, which is providing them with food, medication and could get sponsorship for their children up to secondary level. I also spoke to a few whom I happened to meet on the streets and they confirmed that since they were not receiving food they had to look for another alternative. This problem started soon after the food distribution was stopped, but we never new the situation could be this bad.

Currently she is in the process of recruiting new members.

A close look of things show that the clients’ dropping is also affecting the flow of patients at the clinic and our children’s attendance at the Learning Centre and it could also affect the Kileleshwa lot if the situation is not addressed urgently.

Sunday, September 5, 2010

RAY OF HOPE CLINIC & COMMUNITY CENTRE

RAY OF HOPE CLINIC & COMMUNITY CENTRE: WEEKLY REPORT AS AT 30TH AUGUST TO 5TH SEPTEMBER 2010



THE CLINIC


During the week we managed to get 22 out patients and 7 maternity cases. Most of the patients had acute malaria, typhoid, Brucellosis, Diarrhea & vomiting and Pneumonia. Those found with T.B and HIV/AIDs were referred to big hospitals.



In this week we managed to raise a total Kshs 38, 540/-. Maternity generating Kshs 13,300/- while Kshs 25,240/- from out patients, which included lab, tests, drugs, immunizations, antenatal profiles and consultations. Against this total of Kshs 38,550 there were expenses, which totaled to Kshs 26,050/- living a balance of Kshs 12,490.00 that was sent to the bank. I have attached schedules of income generated and expense list.



We also received $ 1,200 dollars equivalent to Kshs 91,200 from Florence which had been sent by Kermit. $ 1,100 dollars meant for the rent and $100 dollars to Rosemary to be used in sending reports on weekly basis. The $200 dollars for the lab man was not included in this donation.



The flow of patients slightly improved but the expenses are still high. This is as a result of hiring staff on locum; electricity bill went up as well the cost of drugs. This could be improved if drugs were bought in bulk instead of buying from retail pharmaceutical companies. The expense on hiring staff will go down since Florence is now back.



Learning Centre

The children are still on recess until 7th of September, but there was one boy by name Samuel Ouma who accompanied the guardian’s body which was transported to their rural home on Thursday the 2nd. Hope Samuel will be able to come back on time when the schools open.



Community Outreach

This group continues to attend their Thursday meetings, although the number has reduced since food distribution was discontinued. During the week we had two very sick clients whom we gave transport to Mbagathi.