Clinic plans to build a new in-patient ward and offer devotions for patients and family members
Timeline: 1 year
Anticipated Lives Impacted: 3,500
Total Amount Requested: $59,360
In their own words:
“As a clinic, we have treated patients from far and wide. Recently, an 18-month- old baby was hospitalized at a hospital in Juba, South Sudan. While there, the child became sicker and was unconscious. Getting worse each day, someone advised the child’s parents to transfer him to Martha Clinic, Yei. The child was brought to us in Yei, 100 miles and a five-hour drive away, on really bad roads and on the back of a motorcycle, while unconscious. Twenty-four hours after arriving in Yei, we correctly diagnosed, treated the child and he began to recover. We are grateful because we continue to save many lives in our community.”
— James Malish, clinical officer, Martha Primary Health Care Center, Yei, South Sudan
In many areas of South Sudan, meningitis, measles, yellow fever and whooping cough are endemic. Many of the leading causes of illness are preventable diseases like malaria and acute respiratory infections. Also common are river blindness, sleeping sickness and cholera. In Yei, as in many other parts of South Sudan, infant mortality rates are high. Healthcare facilities in rural parts of South Sudan remain scarce.
Only about 30 percent of the population of South Sudan has access to very basic healthcare. Facilities, skilled health workers, medications and equipment are minimally available. Currently, there are 11 beds in the children’s ward, but an average of about 20 pediatric patients on any given day.
The Martha Primary Health Care Center will build a new ward that provides sleeping accommodations for 18 patients. The clinic will also provide patients, their families and other community members with opportunities to interact with God’s Word through daily devotions. The clinic hopes to reduce the number of deaths resulting from treatable illnesses, giving residents the chance to be more economically productive and improve their lives.
This project benefits 3,500 people, some through multiple impacts:
3,500 people demonstrate a willingness to engage with God’s Word by attending daily devotionals while they or their family members are being treated at the expanded ward over the course of 12 months
52,000 people receive medical care at the clinic over the course of a year, as demonstrated by hospital records; of these 2,000 will be patients in the new ward
The Martha Primary Health Care Center will solicit bids to construct a new ward that will house 18 new pediatric patient beds, treatment rooms, an isolation room, a nurses’ office and a store. The clinic will seek bids from contractors who have worked with the clinic before. Construction is expected to take five months.
Some 2,000 patients visiting the facility will receive medical care. Families will also learn better health practices that should lead to a drop in childhood mortality rates. Patients will pay a nightly charge for accommodations, as well as a fee for medications. Those who cannot afford the fees will still receive care. An existing 11-bed children’s ward generates approximately $3,000 in income each month, which covers around 70 percent of the ward’s operating expenses, including daily activities, salaries and a portion of medication costs. A total of $2,000 will go back to the Anglican Diocese of Yei to support its ministry works.
A diocesan evangelist will lead daily devotions for patients and their families. An estimated 3,500 people will engage with the Scriptures over one year.
Measuring impact: The Martha Primary Health Care Center staff management team will oversee day-to-day operations and finances; it will submit quarterly reports to the diocese’s health board chaired by the bishop. This committee will also oversee construction of the ward. Clinic management will meet quarterly to evaluate progress and guide financial decision-making. Project staff will gather beneficiary testimonies. The Diocese of Yei will track the number of individuals receiving medical care on a monthly basis, along with the number of individuals attending daily devotions.
The Martha Primary Health Care Center opened in 1980, but was closed during Sudan’s civil war. It reopened in 2003 with funding from the Diocese of Salisbury, United Kingdom. The current facility serves about 3,500 patients a month. From April 2013 to date, it admitted 850 patients. Initially, the clinic was funded by Irish Aid, through the Church Mission Society Ireland. The diocese has also received funding from Basic Services Fund (UK Aid) to set up a mobile clinic. The Brickworks Charity funded the children’s ward and eye clinic. The diocese managed the construction of both the clinic and school buildings.
Building super-structure: (Funding provided locally: $35,325)
Building sub-structure: (Funding provided locally: $18,500)
Walls and floors: $15,000
Roofing: (Funding provided locally: $9,950)
Painting: (Funding provided locally: $9000)
Windows and doors: $8,500
Research and Evaluation: $6,360
Preliminaries: (Funding provided locally: $2,975)
Total: $59,360 (Additional funding provided locally: $75,750)
Note: Matching funds from The Brickworks in the United Kingdom.
Low: 1, Low/Medium: 2, Medium: 3, Medium/High: 4, High: 5
Concept: Risk Level 2
The clinic will give rural communities ongoing access to medical care and provide a base for preventive healthcare services, which are badly needed in Yei and surrounding towns. Patients will have opportunities to attend daily devotions, and community members can join Bible studies.
Program Design and Experience: Risk Level 1
The Martha Primary Health Care Center successfully constructed a ward, an eye clinic, operating room, laboratory, pharmacy, store and offices in Yei. It also conducts medical outreaches in surrounding rural communities with its mobile clinic. This is a high-quality facility that provides some of the best primary care in the area. Treatment protocols, an excellent stock and ordering system, financial systems, staff contracts and continuing education policies are in place. The management team reports regularly to the ministry of health and county health department. This project has been endorsed by the diocesan Bishop and synod.
Leadership: Risk Level 1
The clinic has a competent, enthusiastic and committed 43-member team, led by a management team of three senior staff and the clinical officer, all of whom work under the diocese’s health committee. The lead clinician is highly skilled, and new projects are managed by a nurse practitioner from the United Kingdom. Nursing, laboratory technicians, midwives and clinical officer students are sent to the clinic for training and practical experience.
Financial Control: Risk Level 3
The clinic has stable management and secure financial transfer methods. There is no evidence of externally audited financial statements and the diocese lacks an independent board. While not related to one another, all board members belong to the Anglican Church. Financial statements only became available in 2012.
Sustainability: Risk Level 2
The clinic operates an affordable cost-sharing plan. With a strict accounting system, the staff is paid monthly, without fail. It is well-stocked with medicines and equipment and covers 75 percent of its own costs. The clinic adheres to government guidelines for treatment.
External: Risk Level 3