WEEKLY REPORT AS AT 18th TO 24TH OCTOBER 2010

THE CLINIC

The clinic is now making some improvement, at least the patients who came paid well.  Most of them were admitted for a day or two; in total we had 23 out patients.  Maternity also boosted us, as many mothers came to deliver and totaled to 11, although there was one mother who declined to take the baby even after doing a lot of talking and counseling.  The baby was later on taken to New Life Home to wait adoption.  We also had 1girl from former Jubilee Children’s Home that came for treatment.

Outpatients raised USD 438.92 while maternity USD 362.12 making a total of USD 801.04, though lower than last week but it is still better.

Total expenses were USD 437.91 included in this week was Njuguna’s shop that we paid USD 172.73 where we collect items on credit.  I would also like to mention water- Due to low income coming in, the clinic was not able to buy water and it inconvenienced the Learning Centre, we were forced to buy water little by little for two days, until on the 21^st when we managed to buy the 5,000 water tank for USD 22.20 this can be verified on page 2 AND 3.

LEARNING CENTRE

There is one child who has not reported for the second week running.  His name is Bernard Okoth aged 10 yrs, had disappeared from home as well as the Learning Centre.  He was found on 18^th in company of street children in Kawangware.  He had been sodomised by an older street boy and rescued by other street children who threw stones at the adult (chogora- Kiswahili) but he made sure he achieved what he wanted.  Our Clinical Officer found no evidence after examining him as it had dried up.  Just at the end of Friday, teacher Evelyn reported that he had disappeared again.  Bernard is HIV+VE and orphaned, only stays with relatives and friends.

Barasa brought some beans for the children and also a laptop of teachers, which had been donated by the visiting American students.

20^th October was a public holiday so the Learning Centre closed.

 COMMUNITY OUTREACH

Nothing much to report, but 32 came for the Thursday support meetings.

Rosemary

October 24, 2010

CASH COLLECTED AT THE CLINIC AS 18^th TO 124^TH OCTOBER 2010

OUT/PATIENTS

DATE		USD
18th October 19th October 20th October 21th October 22th October 23rd October 24th October		41.14 90.06 86.36 92.53 56.63 29.61 42.56
TOTAL		438.89

MATERNITY

DATE		USD
18th October 19th October 20th October 21th October 22th October 23re October 24th October		33.92 12.33 81.43 85.13 41.94 95.00 12.33
TOTAL		362.08

EXPENSES 18TH TO 24^TH OCTOBER 2010

DATE	ITEM	USD
18TH OCTOBER	MILK DRUGS	0.37 39.29
19TH OCTOBER	MILK WATER DRUGS AGNETA – LOCUM (2 NITES) GAUZE	0.74 3.70 11.59 7.40 6.16
20TH OCTOBER	PATIENTS FOOD DRUGS	8.57 11.00
21TH OCTOBER	PATIENTS FOOD NJUGUNA’S SHOP PHOTOCOPY DRUGS	2.22 172.73 2.46 28.13
22nd OCTOBER	PATIENTS FOOD PARAFFIN DRUGS STATIONERY CITY COUNCIL (LEVY)	7.15 3.70 26.95 6.78 3.70
23rd OCTOBER	WATER PATIENTS FOOD DRUGS	22.20 7.79 15.96
24th OCTOBER	PATIENTS FOOD DRUGS AGNETA - LOCUM MOSES LAB	7.27 30.84 7.40 3.70
	TOTAL	437.80

WEEKLY REPORT AS AT 11th TO 17TH OCTOBER 2010

THE CLINIC

There was a slight improvement on the number of out patients as well as maternity.  The number of outpatients was 22 higher than last week while maternity was 5. Among the patients were two children from former Jubilee Children’s Home.

Outpatients raised USD 546.32 while maternity USD 267.76  making a total of USD 814.06.

The Total expenses were USD 769.15. This included the salaries of the staff that were not paid by end of last week.  Florence and I also received some allowance, this is because Peninah our former pharmacist is not on our payroll and locum (part-time) staff has reduced.

 You can, verify on page 3 for details.

Staff:  Florence is facing a financial crisis and has pledged help from her close friends and family.  This resulted from a big bank debt incurred by her late husband on a house, which is in her name bought some years back.  The house is in Nairobi Loresho area and has a debt of close to 3 million Kshs.  If she doesn’t pay off the debt by October 31^st, the house will be sold.  It is worthy 80 million.  So she is asking for help.

.

LEARNING CENTRE

The children are doing well.

COMMUNITY OUTREACH

30 came for the Thursday support meetings and we served them with porridge, which we had donated sugar and flour.

Rosemary

October 17, 2010

CASH COLLECTED AT THE CLINIC AS 11^th TO 17^TH OCTOBER 2010

OUT/PATIENTS

DATE		USD
11th October 12th October 13th October 14th October 15th October 16th October 17th October		108.82 111.04 49.59 109.80 71.43 71.569 24.05
TOTAL		546.29

MATERNITY

DATE		USD
12th October 13th October 14th October 15th October 16th October 17th October		19.74 62.92 38.24 29.61 92.53 24.67
TOTAL		267.71

EXPENSES BETWEEN 11^TH  TO 17^TH OCTOBER 2010

DATE	ITEM	USD
11TH OCTOBER	DRUGS PATIENTS FOOD KEN – STAFF – PART SALARY	38.61 1.23 54.28
12TH OCTOBER	DRUGS TRANSPORT SELESTINE – STAFF – PART SALARY	11.59 12.33 74.02
13TH OCTOBER	MILK SELESTINE – STAFF – PART SALARY KEN – STAFF – PART SALARY	4.07 86.36 27.14
14TH OCTOBER	DRUGS CITY HALL – LEVY MILK ROSEMARY FLORENCE	56.75 3.70 0.37 30.84 24.67
15TH OCTOBER	PATIENTS FOOD DRUGS FLORENCE ROSEMARY	5.92 57.37 37.01 37.01
16TH OCTOBER	WATER PATIENTS FOOD FLORENCE	3.70 3.45 98.70
17TH OCTOBER	PATIENTS FOOD PARAFFIN ROSEMARY MOSES LAB AGNETA –LOCUM (2 NITES)	11.10 3.70 74.02 3.70 7.40
	TOTAL	769.04

WEEKLY REPORT AS AT 4th TO 10TH OCTOBER 2010

THE CLINIC

The Clinic is doing badly, just as I had indicated earlier in my reports; we are running in arrears in most of the areas. For instance the salaries, has a deficit of USD 357.80/- have not been raised, as there is still a balance of USD 173.12 to pay off the last members of staff. Beside that, we still have other outstanding bills to clear. It has never occurred to us this way and the situation is becoming out of control. One member of staff who has not received his salary could not control himself but broke into tears. We just looked at him helplessly.

The number of patients for example was 9 for the 7 days and yet we used to receive between 9-15 patients a day. The deliveries have also decreased, at least we used to get 1 to 2 deliveries daily but now we are only receiving 1 to 2 deliveries a week.

We used to think this situation was temporary, but now it looks like it has come to stay.

Despite the fact that we are receiving few patients, the expenses on the hand are rising. This is articulated to usage of water, electricity, free medical for staffs and children, maintaining staff while on duty like making tea, tissue/toilet papers among others.

Cash generated from outpatients and maternity was USD 342.13 much less than the USD 498.30 raised last week. Outpatient was USD 273.03 and maternity realizing only USD 69.09.

The expenses amounted to USD 157.45 leaving cash balance of USD 184.67 which went to the deficit of USD 357.80 from last week salaries and left deficit balance of USD 173.12 which we shall continue to raise in the next week..

You can verify the details on pages 3 and 4.

LEARNING CENTRE

The children are doing well and have added weight and look healthy.

The Nairobi International Show was on for the whole week and all schools were advised by the Ministry of Education to attend. So our learning centre closed on Friday to give opportunity for those who could afford to attend.

 The teacher informed me that Glide Church will visit the centre in December and would install some computers/laptops in one of the units upstairs, where they will be networked for the children to use. This is indeed a big step for the children and we are looking forward for that moment.

If they have to use the unit upstairs which is actually idle, we have to re-allocate the community outreach for their Thursday meetings, which is not a problem.

COMMUNITY OUTREACH

During the Thursday’s support group meetings, the number increased to 36 from 30. We surprised them by giving each two kilos of sweet potatoes and packet of milk.

Florence encouraged them to eat nutritional foods such as sweet potatoes, which are cheap and readily available in the streets. They should not always think of maize or Rice to be the only food yet very expensive for them to afford.

Rosemary

October 10, 2010

CASH COLLECTED AT THE CLINIC AS 4^th TO 10^TH OCTOBER 2010

OUT/PATIENTS

DATE		USD
4th October 5th October 6th October 7th October 8th October 9th October 10th October		37.50 27.88 28.00 79.58 29.73 45.03 27.76
TOTAL		275.48

MATERNITY

DATE		USD
3rd October 10th October		44.41 24.67
TOTAL		69.08

EXPENSES BETWEEN 4^TH OCTOBER TO 10^TH OCTOBER 2010

DATE	ITEM	USD
4TH OCTOBER	STAFF FOOD NATHAN – LOCUM TRANSPORT	11.93 8.63 3.08
5TH OCTOBER	DRUGS PATIENTS FOOD PLUMBER	37.01 1.85 6.16
6TH OCTOBER	GLOVES	6.16
7TH OCTOBER	MILK DRUGS	0.74 17.27
8TH OCTOBER	MILK MISCELLANOUS	0.37 17.27
9TH OCTOBER & 10TH OCTOBER	PATIENTS F00D LOCUM – NATHAN- NURSE                   MOSES - LAB                   AGNETA – CLEANER (2 DAYS)                    BOICE- CO	2.46 17.27 3.70 7.40 7.40
	TOTAL	148.70

WEEKLY REPORT AS AT 27th SEPT TO 3rd OCTOBER 2010

THE CLINIC - All Currency has been converted straight from Kenyan Shilling to US dollar (amounts are rounded to nearest $1.00)

This week was the worst week compared to other weeks in the month.  Only 11 outpatients were seen at the clinic and 1 maternity case, which was later on referred to Pumwani Maternity Hospital.

Cash generated from outpatients and maternity was $502.00 lower than last week.  Outpatient was $489.00 and maternity realizing only $12.50/-

The expenses amounted to $305.00 leaving cash balance of $197.00.

You can verify the details on below spreadsheets.

 

Bank – The total savings at the bank was $674.00 that was reduced by a bank overdraft of $410.00 leaving a balance of $264.00.

 

Staff – This is a budget of the salaries that need to be paid as we have now approached end of month

Boice Kitavi – Clinical Officer           -           $230.00

Selestine Lombisya – Nurse on night             $186.00

Rhodah Khasandi – clerk/cleaner                  $81.00

Ken Otsieno - Security guard                        $81.00

Everlyne (casual cleaner)                               $56.00

                                                                    $634.00

We only have $264.00 and leave a deficit of $370.00, which we have to raise in this month.

 

Florence has to earn $373.00 and myself $249.00/- but for the past three months we have not earned any salary.

So you realize that we run in arrears most of the time and it becomes very difficult for some of us to operate.

Florence is back at the clinic although she still looks weak and stressed.

 

Comment

If the situation doesn’t improve by December, then we need to address this issue in a different angle collectively.

 

LEARNING CENTRE

All went well at the centre.  They were privileged to receive some visitors who came with Barasa.  They stayed for lunch and later on had a tour with Hendricka in the slums.  It was indeed a memorable occasion for the kids.

 

COMMUNITY OUTREACH

Our clients were also very happy to see the visitors.  Florence received them and introduced them to our clients and at the clinic and gave us the blue towels to be used on patients.

I had bought some maize to give out without them having an idea, but apparently there was a leakage that we could supply them with food, so the number shot to 30 clients.

 

 

October 4, 2010

CASH COLLECTED AT THE CLINIC AS 27^TH SEPT – 3^rd OCTOBER 2010

 

OUT/PATIENTS

DATE		Coverted $
27th September 28th September 29th September 30th September 1st October 2nd October 3rd October		39.00 99.00 51.00 35.00 80 32 154
TOTAL		489

 

MATERNITY

DATE		Coverted $
3rd October		12.40
TOTAL		12.40

 

EXPENSES AS AT 27^th SEPTEMBER TO 3^rd OCTOBER

 

DATE	ITEM	Coverted $
27th September	PATIENTS FOOD	.40
	PARAFFIN	3.72
28-29 September	DRUGS PATIENTS FOOD TRANSPORT ELECTRICITY BILL LOCUM – DAVID SECURITY GUARD	41.00 .62 1.86 50.00 22.36
30TH SEPTEMBER	NO EXPENSES
1ST OCTOBER	PATIENTS FOOD DRUGS PARAFFIN LOCUM – BONFACE – NURSE	4.72 3.73 3.73 30.00
2ND OCTOBER	PATIENTS FOOD DRUGS TRANSPORT	3.23 11.08 .25
3RD OCTOBER	PATIENTS F00D DRUGS LICENSE – GOVERNMENT REFISING REFUND – MATERNITY TO PUMWANI LOCUM – LAB LOCUM – CLEANER LOCUM – NURSE ON NIGHT TRANSPORT- NURSE TO PUMWANI	6.60 55.60 25.00 12.50 3.73 7.45 17.40 1.25
	TOTAL	306.23