RAY OF HOPE CLINIC & COMMUNITY CENTRE - MAY 2011 WEEK 4 REPORT

THE CLINIC

The week went on quietly.  As like the previous week the number of outpatients decreased but maternity improved.

We received 25 outpatients and 9 maternity cases in the week.

Cash realized was as follows:-

MATERNITY

DATE	AMOUNT PAID (USD)
23RD MAY 2011 24TH MAY 2011 25TH MAY 2011 28TH MAY 2011 29th MAY 2011	119.76 101.16 30.23 113.95 -
TOTAL	365.10

There was an improvement and unlike the previous week where only USD 267.44 was realized.

OUTPATIENTS

DATE	AMOUNT PAID (USD)
23RD MAY 2011 24TH MAY 2011 25TH MAY 2011 26TH MAY 2011 27TH MAY 2011 28TH MAY 2011 29TH MAY 2011	29.65 37.44 40.11 75.58 77.09 81.62 43.02
TOTAL	384.51

The whole total was USD 749.65

 EXPENSES

PARTICULARS	AMOUNT USD
DRUGS LOCUMS ELECTRICITY PARAFFIN PATIENTS FOOD SUPPLIES MISCELLANOUS	99.22 32.55 72.09 5.81 44.41 50.74 29.07
TOTAL	333.89

The expenses went in line with the budget.

WORLD FOOD PROGRAMME

0N 24^TH the malnourished children under 5 and pregnant mothers came to receive the flour.  Hendricka and Vincent who are our CHW attached to the centre did the supervision.  The officials were supposed to come and see how the exercise was going on but failed to come.  They promised to increase the supply, as the demand was very high.

LEARNING CENTRE

All went on well, a part from Okoth who was taken for a minor surgery at Kenyatta National Hospital by Evelyn the teacher.  As I had mentioned in my previous report that Okoth needed an urgent medical surgery to remove some growth at his throat.  Remember Okoth is HIV +ve and is not on ARVs as he absconded when he became homeless and lived on the streets.  Until a proper residence is determined, Lea Toto cannot resume ARVs.  This could be the reason why he is now having complications.  Right now he is on Septrin and multivitamin, which cannot help in building his immune system.

The still stays with him and footed the bill, which was USD 15.11.

 COMMUNITY OUTREACH

The number of attendance this week was 25 we served them with porridge.

They still continue with their support group contribution and this week they contributed USD 15.11, which they took to the bank.

Rosemary

29^th May 2011

CASH COLLECTED AT THE CLINIC AS 22^nd to 28^th NOVEMBER 2010

OUT/PATIENTS

DATE		USD
22nd November 23rd  November 24th November 25th November 26th November 27th November 28th November		184.53 83.14 95.34 155.23 102.21 82.55
TOTAL		703

MATERNITY

DATE		USD
22nd November 23rd November 24th November 25th November 26th November		93.02 38.37 29.07 11.62 39.53
TOTAL		211.61

A        

EXPENSES 22^nd to 28^th November 2010

DATE	ITEM	USD
22nd November	DRUGS PARAFFIN MILK	59.41 3.48 .34
23rd NOVEMBER	PATIENTS LUNCH DRUGS	6.39 13.95
24th NOVEMBER	PATIENTS FOOD AGNETA – LOCUM DRUGS WATER PARAFFIN	2.09 3.48 49.33 3.48 3.48
25th NOVEMBER	FUSE KITCHEN LAB REAGENTS REPAIRS AGNETA – LOCUM ELECTRICITY BILL CITY HALL DRUGS	2.32 4.76 54.88 4.65 3.48 50 3.48 45.75
26th NOVEMBER	KITCHEN DRUGS MISC WATER LAB REAGENTS SELESTINE - ADVANCE	2.09 45.81 8.13 2.90 5.81 46.51
27th NOVEMBER	PARAFFIN KITCHEN SELELSTINE - ADVANCE	3.48 6.88 69.76
28th NOVEMBER	NATHAN – LOCUM AGNETA – LOCUM MOSES – LOCUM PTS LUNCH WATER	16.27 6.97 3.48 4.06 2.90
	TOTAL	539.8

MAY 2011 WEEK 3 REPORT

THE CLINIC

The week started well, though low.  Just like previously explained the cost of living has become high and the locals are filling it, so to us too.

We received 32 outpatients and maternity 7 cases.

We were able to generate $ 714.30, outpatients raising $ 446.86 while maternity $ 267.44.

Expenses

Particulars	Amount USD
DRUGS	209.30
LOCUM	37.20
PATIENTS FOOD	48.11
STATIONERY	38.37
SUPPLIES	51.07
PARAFFIN	10.46
MISCH.	13.95
TOTAL	408.46

 

DRUGS - The total amount of $209.30 is high, this is because an outstanding bill of         $95.34 was offset.

LOCUM – is low compared to other weeks as Florence has since reported from her bed rest and so we could not pay an extra person, this also was the same with the lab man, as Solomon resumed from the exams he did for a period of 5 days and had to higher an extra person.

SUPPLIES – these expenses are the commodities the clinic requires which include cotton wool, detergents, serviettes, toilets papers among others.

Staff

Florence who has been sick has improved and she is back to the clinic.  Solomon – lab that was doing exams is also back.

Other Information

On 19^th May 2011 we were privileged to receive some students from US.  They had come under Ray of Hope Foundation – Dr Gipson.

They arrived at 10.00 am accompanied by Barasa and were received by Florence and myself. There was a brief introduction and tour of the clinic.

The children and support group entertained them, after which we requested them to distribute food, which Kitchel had left some money to purchase food for them.

They spent the rest of the day with the children, had a tour to the homes of some clients and children.

They had brought some medical supplies such as surgical drapes, surgical towels, sterile, gloves, Oley catheter, baby flats and baby blankets that we received with a lot of thanks.

 LEARNING CENTRE

The children were happy to receive the American students whom they entertained with poems and songs.  They later stayed with them had lunch and toured the community.  They had brought some learning materials, which the teacher acknowledged.

Apart from the cost of living, which is proofing to be difficult day by day, the children are fine.

COMMUNITY OUTREACH

The number of attendance was 29.  During their Thursday meetings they entertained the American students who had come along with Barasa.  They received two packets of unga Jogoo plus 3 kilos of wimbi floor for their porridge.

They contributed $13.95, which will be banked.

Rosemary

22^nd May 2011

REPORT FOR THE MONTH OF APRIL 2011

THE CLINIC

The month of April started on a low pace due to the cost of living becoming high as the Government increased taxes on fuel and food commodities.

These increases have made life to become very hard by the day; which has driven many families to cut down their expenses.

The clinic was not spared either as the cost of drugs, electricity and commonly used items rising.

During such difficult times patients tend to ail in heir houses or buy drugs from Chemists or visit traditional medicine men that are cheap but dangerous.  The pregnant mothers try to deliver in their houses by themselves or approach traditional birth attendants, some who are not properly trained.  Sometimes these patients are rushed to the clinic and end up paying nothing or the patients die while being attended to.

PATIENTS

We managed to see 142 outpatients and 30 mothers delivered safely without any complications and stillbirths, which was lower than the month of the previous month.

Two children died aged below one year, one was at the clinic while the other died on arrival.

CASH REALIZED

Outpatients in the month realized USD 2291.18 while maternity was USD 1323.34 making a total of USD 3614.53

The figures show a drop of 20% compared to the month of March 2011

DONATIONS

WE RECEIVED THE FOLLOWING

USD 1,100$ FROM KERMIT FOR RENT

KSHS 5,000 FROM TERESA GIPSON TOWARDS UTILITY – LEARNING CENTRE

THE ALLOWANCE FOR THE LAB MAN WAS NOT INCLUDED.

USD 119.76 FROM CHRIS KITCHEL TOWARDS FOOD- THE COMMUNITY.

APRIL 2011 EXPENSES

ITEMS	USD
STAFF SALARIES	1556.88
LOCUMS	431.13
NJUGUNA’S SHOP	195.95
DRUGS	620.66

 

BANK CHARGES	227.54
CLIENTS PORRIDGE (support group)	23.95
WATER	21.55
ELECTRICITY	74.25
PARAFFIN	29.94
PATIENTS FOOD	152.28
STATIONERY	9.58
TRANSPORT	35.92
DETERGENTS	78.87
CITY HALL	20.35
POLY BAGS	35.92
GIFTS – CHRIS	23.95
MISCELLANOUS	35.92
TOTAL	3574.64

 

As you can verify from above the expenses in the month of April totaled USD 3574.64 which is still high

Staff salaries –The expense of USD 1556.88 looks high but it is because Solomon lab is included and also there was a slight adjustment of salaries in March due to inflation as the cost of living has become unbearable.

Locums - totaled to USD 431.13 this is so due to key staffs at the clinic going on their 7 days off plus the Easter Holidays forcing us to high staff as they went for their offs.  We realized later on that we should have not heaped all of them together as it has now affected the cash flow.

 

DRUGS – the cost of USD 620.66 is still high compared to the budgeted of USD 479.04.  This affiliated to the high prizes

Patients’ food and other items - Despite the fact that we stopped getting food on credit from Njuguna’s shop, the prices of food has made this area almost equivalent.

.LEARNING CENTRE

Bernard Okoth has had many appointments at Kenyatta National Hospital and Lea Toto.  He has a growth, which needs to be removed.  Teacher Everlyn and Hendricka were with him during his appointments.   They were trying to get funds from Lea Toto for his surgery and it is taking a little bit longer.

The children were recalled twice during the month of April.  The first one was when Chris and her husband were visiting and the latest when Monique and her group visited.  The clinic took care of the children’s lunch, though Monique also provided sand witches, biscuits and milk.  They were also able to visit the community with the children, Barasa, the two teachers and Hendricka.

The schools will formally open tomorrow the 3^rd including our children.

 

COMMUNITY OUTREACH

The number of attendance has been fluctuating between 18 and 30.  Those who have been coming are very determined.  They still hold their account and contribute every time they meet and bank.

This last Thursday, they prepared soap, which they are going to sell and boost their account.

Just like the children they were also interrupted and were there when Chris and Monique’s Group visited.