Aktuell rapport från sjukhuset - Bridging Health Development

Rapport:

Det går utmärkt på barnavdelningen med ett undantag. Vi har haft en högre dödlighet än normalt. Sammanlagt har 9 barn avlidit under april. De flesta av barnen avled under tiden jag arbetade vid sjukhuset och de avled av flera olika orsaker men den viktigaste var att de kom mycket sent i sjukdomsförloppet. Vi ska dock fortsättningsvis göra noggrann analys av varför de barn som avlider avlidit och se om vi kan förbättra överlevnaden. Vi har dock fortfarande påtagligt låg dödlighet jämfört med andra sjukhus i Sierra Leone.

James (den brittiska läkaren) har gjort mycket bra saker för sjukhuset. Bland annat har han sett över läkemedelskostnaderna vilket även, i viss utsträckning, kan sänka våra kostnader.

Beläggningen på alla avdelningarna, bortsett från barnavdelningen, är låg och man stänger därför kvinnoavdelningen. De kvinnliga patienterna får flytta in på halva manliga avdelningen som utnyttjas dåligt och är i bättre skick än kvinnoavdelningen.

För att Ni ska få en uppfattning om månadsrapporterna vi får, finns nedan senaste rapport från sjukhuset. Kommentera mycket gärna på Facebook https://www.facebook.com/bombalihealth/

eller ställ gärna frågor.

Lasse

KAMAKWIE WESLEYAN HOSPITAL PAEDIATRIC WARD REPORT

FOR April, 2019

	<1month	<1year	<5 yr	6-12	Total
Admissions	6	60	170	22	258
Discharges	5	58	166	19	248
Death	0	2	4	3	9
Absconded	0	0	0	0	0
Referral	0	0	0	0	0
Out patient	3	711	487	215	1,416

Patients seen at the Out-Patient but end up been admitted are recorded as admissions

Inpatient admissions by disease, April, 2019

Diagnosis	<1month	1month-5yrs	6yrs – 12yrs	Total
Malaria	0	176	17	193
Pneumonia	6	38	10	54
Severe Anaemia	0	24	0	24
Meningitis	0	0	0	0
Typhoid	0	2	5	7
Herbal intoxication	0	26	10	36
HIV/AIDS	0	0	0	0
Surgery	0	1	3	4
Burns	0	2	0	2
Sickle cell	0	O	0	O
Others	1	2	1	4
Total number of inpatients				258

Cases in the category of others include hepatitis, sepsis, and tuberculosis.

Paediatric Feeding Operational Cost – April, 2019

*Morning Expenses*
Corn meal powder	300 cups	Le1500/cup	450,000
Sugar	70 cups	Le2400/cup	1688,000
Milk	120 cups	Le7500/cup	900,000
Total			1,518,000

*Afternoon Expenses*
Item	Quantity	Unit	Total
Beans	180 cups	1,500/cup	270,000
Rice	300 ʺ	1,350ʺ	410,000
Pepper	60 ʺ	2,000 ʺ	120,000
Onions	30 ʺ	2,000 ʺ	60,000
Seasoning	30 ʺ	3,000 ʺ	90,000
Palm oil	90 pints	3,000/pint	270,000
Fish	30	30,000	900,000
Total			2,120,000

Evening Expenses

Item	Unit price	Quantity	Total
Egg		1 Box	360,000
Chocolate powder	16,000	4	64,000
Corn milk		1 B0x	240,000
Total			664,000

Other recurrent costs

Charcoal	36,000
Dish washing soap	60,000
Total	96,000

Summary of Expenditure for feeding

Item	Cost/ LE
Morning	1,518,000
Afternoon	2,120,000
Evening	664,000
Other Recurrent costs	96,000
Diesel for shopping	300,000
Total	4,698,000

Summary of financial report for feeding April, 2019

Amount Received	USD 552.70	Le.4,698,000	1 USD=Le. 8,500
Less Expenses	USD 552.70	Le. 4,698,000
Balance at hand	0	0,000

Paediatric Staff Salary – April, 2019

Cadre	Gross Emolument	No. of Staff	Total cost(Le)
SECHNs	1,051,000	2	2,102,000
New SECHNs	930,000	6	5,580,000
SRN	1,990,000	1	1,990,000
NAs		4	3,364,,000
Porters/ Cleaners	625,000	1	625,000
Cook allowance	700,000	1	700,000
Employer’s 10% NASSIT			1,099,950
Staff bonus for April,2019	0	0	0
Staff annual leave allowance			0
Total	USD 1,818,93		15,460,950

Income	Le	USD (@Le 8,500)
Deficit for previous month	0	0
BHD for April	34,850,000	4,100

Total	34,850,000	4,100

Expenditure – April, 2019	Le	USD @ Le 8,500
Staff Salary	15,460,950	1,818.93
Staff annual leave allowance	0	0
Food	4,398,000	517.41
Outreach	0	0
Wear and Tear for Outreach vehicle	0	0
Bank charges	0	0-
Drugs	10,535,653	1,239.48
Shopping food items	300,000	35.29
Stationeries	850,000	100
Referral	0	0
Surgeries x 3	1,800,000	211.76
Burns management	0	0
Consumables	0	0
Investigation	4,830,000	563.24
Total	38,131,950	4,486.11

PEADIATRIC SURGERIES FOR APRIL, 2019

PT;S ID NO.

AGE

SEX

DIAGNOSIS

SURGERY

5355

10 years

Typhoid perforation

Laparatomy

9354

11years

Typhoid perforation

Laparatomy

9617

7 years

L I H

Lt. Hernioraphy

Total Income(USD)

For April, 2019

Total Expenditure(USD)

Balance(USD)

4,100

4,486.11

386.11

Bill For May, 2019

Item	Amount (Le)	USD ( Le 8,500)
Staff Salary	15,460,950	1,818.93
Food	4,698,000	552.70
Outreach x2	0	0
Drugs	15,500,000	1,823.52
Consumables x 252	6,300,000	741.17
Shopping food items for Peds inpatient feeding	300,000	35.29
Stationeries	850,000	100
Surgeries x4	2,400,000	282.35
Burns x3	0	0
Extra charges approved by BHD (staff bonus)	0	0
Deficit for April	3,281,935	386.11
Referrals	0	0
Laboratory investigation	6,000,000	705.88
Total	46,290,630	5,445.95

Amount due for May, 2019 = $ 5,445.95

Payment for supplies, transport and bonus refunds= 963.13

Actual bill for May, 2019 = $ 4,482.82

US dollar account at the Sierra Leone Commercial Bank in Makeni.

Account Name: Kamakwie Wesleyan Hospital Peadiatric Ward Support

Account Number: 003006004468412138

Signed: LAConteh

Mr. Lomprie A. Conteh

Operations Manager Kamakwie Wesleyan hospital

Chief Medical Officer (CMO) – Dr Thomas Ashley

DATE: April, 2019	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31	TOTAL	Cost/unit	Amount(Le)
DRUG NAME
ANTIBIOTIC																	400
AMOXICILLIN 250 mg	300	300	700	300	500	600		700	500	200	200		600		600	300	400	400	300	500		600	240	260	200	300	500		600	400		10 500	198	2 079 000,00
AMOXICILLIN CAPS 500MG																																0	22	–
AMOXICILLIN 125MG SYR						10		6		10		7																				33	3000
BENZYLYPENICILLIN/XPEN 1G																																0	540	–
AMPICILLIN INJ 500MG			50																													50	1000	50 000,00
AZITHROMYCIN SYRUP																																0	3500	–
AMPICILLIN INJ 1G								50					50					50		50					200	100				50		550	1500	825 000,00
CLOX CAP 250MG			300	400								1000										1000				400						2 000	150	300 000,00
CLOX 125MG SYRUP																																0	3500	–
CIPRO 500MG TABS						300		100																								400
CIPRO 500MG IV																																0	3850	–
CEFTRIAXONE 250MG																																0		–
CEFOTAXIME INJ 1G																																0	4500	–
CO-TRIAMZZOLE tabs 240MG	200	400			200	400			200			200				200	200	100				200			100	200	80		150	100		2 930		–
CEFTRIAXONE 1G					10	8		20					10		20			20		10		10			10	10	10		10	10		158	4500	711 000,00
CHLORAMPHINE SYRUP 125MG																																0		–
CLINDAMYCINE INJ																																0
CLINDAMYCINE 150mg TABS																																0		–
ERYTHROMYCIN SYRUP 125MG													5							10		5										20	5000	100 000,00
ERYTHROMYCIN TABS 250MG																																0		–
ERYTHROMYCIN TABS 500MG																																0	440	–
FLAGYLL TABS 400MG			100	100		100		200	200	400	400	200	200		400	300	300															2 900	300	870 000,00
FLAGYLL SYRUP	31	42	40	17				15					2		3																	150		–
FLAGYLL IV						5																								5		10	3850	38 500,00
GETAMYCIN 80MG INJ						30							30		20			40		30												150	440	66 000,00
																																0		–
DIGOXIN 0.5MG																																0		–
FUROSEMIDE INJ 20MG/2ML															10																	10	440	4 400,00
																																0		–
BENZL BENZOATE LOTION																																0		–
DAKTACORT 1%W/W OINTMENT		10	16					19		10												10										65	5000	325 000,00
CLOTRIMAZOLE CREAM												10																				10	5000	50 000,00
HYDROCORTISONE CREAM																																0		–
10ML SYRINGES																																0	385
5ML SYRINGES					100			100							100							100						100				500	275
																																0		–
NYSTATINE SYRUP 1000.UNIT																														20		20		–
0RS											12	12										40	26	14	15	20			15	10		164	550	90 200,00
ZINC SULFAT																											18					18		–
DISPENSING BAGS																													8			8	4000	32 000,00
																																0		–
CHLORAMPH EYE DROP																																0	5000	–
GETAMYCIN EYE DROP																																0	5000	–
TETRACYCLINE EYE OINTMENT																																0	3000	–

DIAZEPAM INJ 5mg/ml								10										10
DEXAMETH INJ 4MG					10										10																	20	3300	66 000,00
HYDROCORTISONE INJ 100MG																																0	3850	–
IV.																																0		–
BLOOD BAG 250						10									10			5												10		35	10000	350 000,00
BLOOD TUBING						25																								25		50	3000	150 000,00
IV.R/L 500ML			7			6		10					10													5	10			5		53	4620	244 860,00
IV.N/S 500ML			6					10										10							10					5		41	4620	189 420,00
IV .D 5%			5										5					5							5					5		25	4620	115 500,00
IV .D50%																																0	20	–
IV.SET																		25												20		45		–
CANNULAR BLUE 22G																																0		–
CANNULAR PINK 20G																																0		–
CANNULAR YELLOW 24G					100													100							100	100		50				450		–
VATAMIN TABS																																0		–
FERROUS/FOLIC TABS																										1000						1 000	183	183 000,00
FERROUS SYRUP																																0		–
FERROUS TABS	400	300	300					300		200	300		400			300	300	400	150			300	400	400		300	200			100		5 050	183	924 150,00
FOLIC ACID	300	200	200	400	300				300							300	300	400	250	300		100					300					3 650	183	667 950,00
MULTIVITAMIN																																0	20	–
B-COMPLEX TABS																																0	183	–
B-COM SYRUP																																0		–
VATAMIN C CHEWABLE 100MG																																0		–
ANTI PARASITE																																0		–
ARTEFAN 20/120	21			20	25	120		45	20		10	21	10		10	20	10	8	14	16		43	18	26	34	30	16	60	44	50		691		–
ARTEMETHER 20MG INJ																			24													24		–
ARTEMETHER 80MG INJ		10	10	20	15	20		60	20			10	60		15					71				30	30			60				431	1283	552 973,00
ARTSUNATE IV 60MG			20			10		10					20					20							10				20			110	11500	1 265 000,00
COARTEM 20/120			40														30	60														130		–
VERMOX TABS 100MG	40	54	90	50	20	30		40	50	30		30	20		24	30	36	50	40	80		50	60	58		32	28		52	48		1 042		–
KILLMALL TABS																																0		–
PAIN RELIEF																																0		–
ASA 300MG																							64		112	160	160					496		–
DICLOFENAC INJ																				20							20					40		–
PCM 500MG	300	100	400	200		400		200					100	300	300	300	400		100	400		100	500	400	300	1200	200		300	400		6 900	41	282 900,00
PCM 250MG																																0	40	–
PCM125MG	300	100	380	120		200																										1 100	22	24 200,00
PCM 125MG SYRUP																																0		–
IBUPROFEN 200MG TABS					100			300																								400	71,5	28 600,00
CREPE ELASTIC BANDAGE																																0		–
GLOVES (Boxes)					100																											100		–
ADHESIVE TAPE																																0		–
ZINC SULPHATE TABS																																0		–
																																		10 535 653,00
																																	USD	1 239,49

KAMAKWIE WESLEYAN HOSPITAL BHD LABORATORY REPORT

DATE: April,2019	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22	23	24	25	26	27	28	29	30	31	TOTAL	Cost/unit	Total cost
TYPE OF TEST DONE																																	Le	Le
MALARIA PARASITE TEST	0	2	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0	10	31	19	12	8	23	18	24		147	0
HEAMOGLOBIN	22	24	15	11	25	15	1	15	14	6	20	18	20	5	20	24	14	11	8	18	19	31	24	10	6	18	11	9	19	14		467	1 000	467 000,00
WHITE BLOOD CELL COUNTS	0	0	0	0	0	0	2	0	1	1	0	0	0	0	0	1	0	0	0	0	0	0	0	0	0	0	0	1	1	0		7	5 000	35 000,00
TYPE & CROSSMATCHING	4	2	2	6	4	12	2	2	0	2	3	0	4	16	16	2	0	8	2	2	0	4	18	6	2	12	2	8	4	7		152	2 000	304 000,00
BLOOD TRANSFUSIONS	3	1	1	3	3	6	1	1	0	1	2	0	2	7	7	1	0	4	1	1	0	2	8	3	1	5	1	4	2	3		74	5 000	370 000,00
HBV	3	1	1	3	3	6	1	1	0	1	2	0	2	7	7	1	0	4	1	1	0	2	8	3	1	5	1	4	2	3		74	15 000	1 110 000,00
HCV	3	1	1	3	3	6	1	1	0	1	2	0	2	7	7	1	0	4	1	1	0	2	8	3	1	5	1	4	2	3		74	15 000	1 110 000,00
SYPHLIS	3	1	1	3	3	6	1	1	0	1	2	0	2	7	7	1	0	4	1	1	0	2	8	3	1	5	1	4	2	3		74	15 000	1 110 000,00
ESR																																0		–
STOOL	3	6	4	5	1	1	0	4	8	2	0	2	0	0	0	0	0	3	1	1	0	0	3	1	3	2	5	1	1	1		58	2 000	116 000,00
URINE ANALYSIS	0	0	0	0	0	0	0	0	0	1	0	0	0	1	2	0	0	0	0	0	0	0	0	0	0	0	0	0	0	0		4	2 000	8 000,00
SRV																																0	0	–
X-RAY																																0	20 000	–
RANDOM BLOOD SUGAR																																0	0	–
ULTRA SOUND SCAN											2					8																10	20 000	200 000,00
SICKLE CELL TEST																																0		–
TOTAL																																0		4 830 000,00
																																	USD	568,24

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