Tag Archives: Nursing

‘Nothing inspires me like bringing new life into the world’

July 8, 2020Faculty of Public Health, Nursing and Midwifery, UCU Alumni, UCU School of Medicine#Ibanda, #Maternalhealth, #UgandaChristianUniversity, Nursing, UgandaPartnersPatty Huston-Holm

UCU Alum Christine Nimwesiga poses with a group of nurses after training them on maternal health practices.

By Alex Taremwa

(NOTE: Story and photos were generated before Uganda’s COVID-19 lockdown.)

Buried deep in the western region of Ibanda District is Uganda Christian University (UCU) Nursing Graduate Christine Nimwesiga. A trained nurse and midwife, she deputizes the District Health Officer and has been at it for seven years since she was transferred from Kisoro District.

Ibanda is a district on the verge of a municipality status, but its maternal and infant mortality leaves a lot to be desired.

“When I joined, the district registered about 18 maternal deaths,” Nimwesiga said. “but we have halved that figure to about eight and even those are referrals from outside districts.”

She is not just an administrative person. She is a self-motivated nurse and midwife who gets her hands dirty in the field. In her own words, nothing inspires her like the delivering a newborn, especially being there for that first cry.

UCU Nursing Graduate Christine Nimwesiga reviews district Maternal and Neonatal Health records with a nurse at Ruhoko Health Center in Ibanda district.

Among Nimwesiga’s accomplishments in Ibanda is that 77% of pregnant mothers deliver in hospitals. She achieves this using Village Health Teams (VHTs) and Traditional Birth Attendants (TBAs) that are trained to encourage hospital-administered deliveries.

However, needs remain. She admits that although 86% of pregnant women turn up for the first antenatal check-ups in hospitals, only 46% return for the fourth visit. As a result, cases of severe anaemia and haemorrhages manifest often during birth, some causing maternal deaths.

Documenting the need in 2018, Nimwesiga presented a research paper at the annual Nurses Celebrations. It was titled; “Assessment of adherence to iron and folic supplementation among pregnant women attending ANC.” Her results revealed that pregnant women do not take supplement iron and folic recommended during pregnancy; hence, the anaemia.

As a result, she has developed plans to train nurses on identification of potential complicated births, structured stakeholder meetings in the health sector to adopt interventions that are making Ibanda some kind of a model district.

“I have formed committees at each of the 22 high volume delivery health centres where we monitor, record, follow-up and report on each prenatal, neonatal or postnatal deaths. The results are what inform our interventions,” she said.

Nimwesiga revived the technical support supervision committees that train and mentor health workers on safe delivery, nutrition and baby resuscitation for children born when they can’t breathe, and these committees trickle down to Sub-County and Parish levels.

“It was an intentional career development plan,” she said. “Every year, I ensure that we send one nursing officer, two enrolled nurses and two enrolled midwives to school. Now I have a pool of professional staff to pick from. I have even put it in the budget that at least three nurses attend the annual nurses’ celebrations.”

Personal goals
Nimwesiga’s kind of nursing is an evidence-based one. She would rather spend her day researching, publishing and studying on solutions to her people’s problems but she has no financial support for her research. She can neither publish nor go to the field.

“Most funders want to channel their support through universities leaving most of us with valuable field knowledge and access to respondents out. In places like here, we are in a pool of data but a local government will always remain local. We have no funding, no Internet, nothing,” she lamented.

Nimwesiga, age 38, wants to have her PhD by the time she is 45. She will then join academia, grants writing and research and perhaps move close to her family that currently lives over 300kms (186 miles) away in Kisoro.

UCU relationship
Nimwesiga holds UCU in a special place in her heart. Not only did she get a promotion after her MA in Nursing, she also has been involved in the Department’s activities and ensures that UCU Nursing graduates get internship and employment places. In the future, she hopes UCU can implement plans to conduct speciality continuous development courses for working graduates.

“Our staffing is at 67% – both medical and support staff,” she said. “Compared with other places, we seem to better off but when you compare with the population of 270,500, we are limping. So I created two positions under me for capacity building and most of these are UCU graduates.”

Nimwesiga has won several scholarships including a 10-day leadership course in South Africa that she began in March. The course was taught in South Africa and only four participants were from Africa, and she is the only Ugandan.

She is grateful to UCU for the opportunities that it gave her and the foundation to take her career by a firm grip. She advises nursing students at UCU to be self-motivated, work passionately and focus on changing the livelihoods of the people in their communities.

“Your actions will sell you. I love my profession. I am a born nurse and it gives me great pleasure to serve my people. It has taken me places,” she concluded.

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To support Uganda Christian University programs, students, activities and services, go to www.ugandapartners.org and click on the “donate” button, or contact UCU Partners Executive Director, Mark Bartels, at m.t.bartels@ugandapartners.org.

Apac, Uganda, nursing school director credits UCU for her impact

July 2, 2020Faculty of Public Health, Nursing and Midwifery, Students, UCU School of Medicine#FaithPassionAmbition, #healthcare, #HealthInUganda, #MargaretEkel, #UCUGraduateStudentChangingThings, #Uganda Christian Universty, NursingPatty Huston-Holm

Margaret Ekel, founder and director of Florence Nightingale School of Nursing and Mid-wifery in Apac, northern Uganda

By Douglas Olum

While growing up in a northern Uganda village in the 1960s, Margaret Ekel admired nursing assistants who occasionally visited to interact with the people, including her parents, Tezira and Jeremiah Okot. As a young girl, she dreamed of becoming one of these smartly dressed, well-spoken medical people.

In 1968, after learning letter writing in her primary six classes, Ekel, then age 11, used that skill to begin applying to the Lira Mid-wifery Training School, seeking admission to the nursing program. Ekel overstated her age as 14. Unfortunately, because she lacked the minimum academic qualification for admission, she received a denial response with the word “regret.” As Ekel narrated this childhood memory in 2019, she could not help but smile.

“I didn’t understand the word ‘regret’,” she said, laughing.

To Ekel, that rejection was mere postponement of her admission. Her target was to get the ordinary level certificate, which she obtained in 1973. With that in hand, she applied for the nursing course while one of her brothers submitted documents on her behalf for the Laboratory Assistant program. She was admitted for both, but dropped the Laboratory Assistant offer.

After enrolling in the Masaka Nursing and Mid-wifery Training School in central Uganda, Ekel encountered challenges with the practical side of learning, including the administration of injections to patients. Giving a shot was terrifying as was dealing with death. When patients died, she hid inside a small room until the body was wrapped and taken away.

“Whenever I would lose a patient, I would cry with the relatives instead of simply empathizing with them as the profession requires,” she said. “I kept wondering why my fellow nurses would not drop a tear.”

With the help of tutors and colleagues, Ekel overcame these professional obstacles. With a midwifery certificate, she pursued a diploma in Nursing from Mulago School of Nursing and Mid-wifery before taking on a tutorship training course.

Realizing the gaps in the Uganda’s health sector, Ekel, who had worked in Government Hospitals, including at Nebbi Hospital in the West Nile region, knew that she could not do that single handedly. She opted for an early retirement from Government service as a nurse to pursue further studies so that she could influence the change she desires through imparting the knowledge and skills for a younger generation to close those gaps. So she decided to establish a school of nursing to train more Ugandans at certificate level in Apac District, Northern Uganda shortly after graduating from UCU.

Margaret Ekel at graduation from UCU in March 2014. She received her Bachelor of Nursing Science degree before enrolling for a Masters in the same field.

Ekel received a Bachelor of Nursing Science degree from the Uganda Christian University (UCU) in March 2014.

“My training in UCU opened my eyes to see the profession from a different perspective,” she said. “I was taken through the details of essentials like nursing care and nursing problems – which deals with how nurses can connect emotionally with their patients, listen to them and discover problems that could delay their healing processes.”

A mother of five boys and a girl, Ekel, who is currently a student in the Master of Nursing Science program at UCU, is founder and director of Florence Nightingale School of Nursing and Mid-wifery in Apac, northern Uganda. The school runs alongside a sister hospital, Nightingale Hospital, Apac.

Through her school and hospital, Ekel hopes to restore patients’ hopes in the nursing profession by restoring what she considers the lost image of the profession. Administratively, Ekel says her time at UCU has made her a leader with a difference because through the various fellowships and prayer sessions, she learned that it was important to involve God in everything.

“Seeing the Vice Chancellor go to eat with students at the DH (Dining Hall) taught me key leadership skills like paying attention to the people you lead, listening to them and being humble all the time,” Ekel said.

In August 2018, Ekel suddenly collapsed while she was interacting with visitors from Gulu Regional Blood Bank who had checked into her school. She was rushed to Nightingale Hospital in Apac, where she was resuscitated before being referred to Nakasero Hospital for CT Scan and Naguru Hospital for a surgical procedure. Investigations revealed that she had cerebral thrombosis, a blood clot condition in the brain, which meant the vein that supplies oxygen to her brain was blocked and she needed to stay away from stressful and physically hectic duties. The condition is normally permanent in patients, which meant she had to drop out of her masters program which she painfully did.

But to her surprise, about a year later, a doctor told Ekel that her condition had normalized. She remembers asking the doctor what could have healed her, to which the doctor reportedly responded: “Somehow God has planted a new vein to supply your brain.”

In April 2020, she was considering a return to complete her course with mostly individual research remaining.

Because of that miraculous healing, Ekel believes that: “When you are with Christ, it is different than when you are with the world.”

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Community collaboration is asset to quality nurse delivery in Uganda

June 24, 2020Faculty, Faculty of Public Health, Nursing and Midwifery, Students, UCU School of Medicine#elderly, #healthcare, #SchoolofMedicine, #traditionalhealers, #UgandaChristianUniversity, Nursing, Poverty, UgandaPartnersPatty Huston-Holm

Elizabeth Nagudi Situma, left, UCU Head of Nursing, and students meet with Magdalene Nayonjo, a community resident

By Caleb Bamwesiga

Magdalene Nayonjo is one of 653 residents of Nakkoba Village, located in rural Dundu Parish, Kyampisi Sub County – about a 45-minute mostly bumpy bus ride from the Uganda Christian University (UCU) main campus. At age 89, she’s the one I remember most during a February 2020 trip with UCU Nursing students and their head of department, Elizabeth Nagudi Situma.

Openly in her Luganda language and while plucking tiny stems from the bitter miniature apple fruit called katunkuma, she says she is barren. She admits that over the years she has been shunned for her inability to have children. Now approaching 90 years, however, she is an accepted part of her community. With her husband who has had other wives with children, she is content.

Segayi Dessan Salongo, coordinator for UCU nursing student visit in Nakkoba

Segayi Dessan Salongo, a village council member and the student nurse contact for the day, agrees. Magdalene is a respected and valued member of this poverty-stricken village. He supports the student visits not just for their ability to apply learning but also for what they teach residents about health care. In this village, safe drinking water is not abundant. There is no health care facility or pharmacy. Knowledge of the importance of cleanliness is sparse.

Elizabeth Nagudi Situma, who sits next to me enroute to and from the village and remains with me as I meet residents, explains that these visits are part of the year four learning for students working toward a UCU Bachelors of Nursing Science degree within the School of Medicine and give opportunity to students get exposed to health care at the grass roots level.

While healthy for an elderly person, Magdalene struggles more than younger residents who spend hours in farming or brick laying and ride motorcycles called bodabodas into towns with stores and clinics.

In order to address rural and urban health care disparities, Elizabeth says that the university joins forces with the Mukono district health service.

“We signed a memorandum of understanding with the Mukono district health service,” she said. “We carry out community health nursing outreach, educating people about the health preventative measure. This program is just one aspect of the university’s efforts to improve health care in rural communities around the university.”

The UCU Head of Nursing notes that the community nursing program’s strategic initiative is emphasizing preventive measures that not only have direct impact on rural areas, but also cultivate learning opportunities for students.

“With preventive measures at finger tips, this places people in the community at a privileged position of not suffering from communicable diseases, and other diseases resulting from poor sanitation are minimized,” she said. “Students are able to address critical issues encountered by health care professionals every day, from the prevention of disease to the delivery of care.”

She also noted that public awareness of symptoms of conditions and diseases (such as strokes) can help improve the speed of receiving medical help and increase the chances of a better recovery.

“On some occasions we encounter people who are sick with diabetes or blood pressure and live without knowing they are sick,” the head of nursing said. “This delays the chances of one seeking diagnosis from medical professionals. The untreated condition can advance and get worse. In these cases, the benefit of treating the disease promptly can greatly exceed the potential harm from unnecessary treatment.”

Residents are encouraged to go to government hospitals where they can access free medical services. Mulago hospital, for example, has free diabetic clinics.

John Bosco Ntambara, one nursing student, noted long-held cultural beliefs and practices keep people from seeking health care facilities. Often, they prefer traditional healers because they are better known and live nearby.

“That’s why they go for medical treatment late,” John said. “They first believe that they will get better. Some traditional healers will tell them that the payment arrangements will be made when they heal.”

However, the university head of nursing notes that one aspect of quality nurse service delivery is understanding culture and also getting to know what traditional healers offer to clients for easy clarification to community members.

“We don’t just talk,” she said. “We listen.”

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Uganda Christian University launches master’s in midwifery program

February 26, 2020Faculty, Faculty of Public Health, Nursing and Midwifery, News, UCU School of Medicine#babydelivery, #BethelUniversity, #GeorgetownUniversity, #midwife, #UgandaChristianUniversity, Medical School, Nursing, UCUPartners, UgandaPatty Huston-Holm

UCU Nursing students Babirye Tamara Peace and Kakooza Abdul Wahabu practice a birth simulation with “Baby Nicole.”

Uganda Christian University (UCU) is launching a new program – a master’s course in midwifery and women’s health – under its School of Medicine. At the request of UCU Partners, Ugandan writer Constantine Odongo had a chat with Elizabeth Namukombe Ekong, a lecturer in the medical school’s nursing department. What follows is some of this conversation related to the new program.

What programs are under the department of nursing?
We have undergraduate and master’s programs in the department. In the Bachelor of Nursing Science, which began in 2006, we have two entry points – nurses with diploma, but want to get bachelors; and the direct entry right from S6 (high school graduation). The completion program takes three years for nurses already experienced, while the other entry takes four years. The master’s in nursing started in 2008. We are now introducing the master’s in midwifery and women’s health.

Students Kiribata Dorothy, Bagenda Isaac, and Mbulaka Remmy Allan with a practice plastic baby as part of their training in the UCU nursing program.

When does the new course start?
In 2017, the National Council for Higher Education (NCHE) approved our curriculum, but we have not had the personnel the NCHE insisted on. They insisted on staff with master’s degrees in midwifery, yet most of us have masters in nursing. We have been looking around for personnel. The challenge we have had is that in Uganda, only one university has been offering this course, so not many people have the skill set that NCHE required. The other challenge is many people who opt to pursue master’s degree studies are already established somewhere else. So, it is not for us to uproot them from their already set systems. There are some people who have expressed interest, so the university actually put up advertisements in January, calling for people to apply for the position of lecturer in midwifery. As this year (2020) is the Year of the Nurse and Midwife (designated by the World Health Assembly under the World Health Organization in honor of the 200^th anniversary of the birth of Florence Nightingale), it is appropriate that UCU starts the master’s in midwifery.

Which people are you working with to ensure that the program kicks off?
We are trying to put up a team as NCHE recommended. The other thing is we have partners who are professors with PhDs in midwifery and are willing to come and teach and also offer online interactions, since the program design is a modular one. We have two professors from the United States – one from Georgetown University in Washington, D.C., and another from Bethel University in Minnesota. They are ready to start the teaching in May, if we have set our intake to start and we have finally got the required number of students, the personnel and the clearance from NCHE. We are making arrangements for the professors to come and make the physical preparations. We expect the face-to-face teaching to happen three times a year.

Elizabeth Namukombe Ekong, nursing lecturer

Who helped you design the curriculum for the midwifery master’s course?
We developed it from a prototype curriculum that was designed from a program by the East, Central and South African College of Nursing (ECSACON). The ECSACON prototype is the same that many universities in the region use to develop their curriculum. We undertook a study to review the status of midwifery in the region and established that there was a need to provide a platform for the existing midwifery cadres to upgrade their skills at master’s level. When developing the curriculum, some of the areas the study looked at is the number of midwives in the country, the mortality rates, etc. From the ECSACON prototype curriculum, we developed ours for the master’s course, with assistance from colleagues in the UK. When we were satisfied that it was ready, we passed it through the approval process up to the university Senate and the NCHE. With the approval in 2017, it meant that the moment we get the relevant personnel with a master’s degree in midwifery, we would be ready to start.

What achievements has the nursing department registered?
We have developed skilled competent and dependable nurses with the passion and faith to render services across the continent, but also offer leadership. Our graduates have been absorbed in different institutions, both state and non-state and the feedback we get about their conduct is encouraging. We have had collaborations with facilities where we send our students for placement, like Uganda-China Friendship Hospital Naguru, the hospitals of Nsambya, Mulago, Butabika, Jinja referral and many others.

Some of our students are Assistant District Health Officers, and some are in charge of medical facilities and in other leadership positions in hospitals. Others are working at the Ministry of Health.

What is in the curriculum for the midwifery master’s program that you are soon launching?
The curriculum is designed with two tracks: Education and Practice as the program prepares educators and practitioners We have areas of midwifery education, which involves teaching and learning, curriculum development, measurement and evaluation; we also have an area on research and statistics. We have another area of midwifery leadership courses and management, so our students are able to graduate with better management and leadership skills.

There are foundation science courses like pathophysiology, pharmacology, and advanced health assessment in maternal and infant care. Other profession-based foundation courses offer an opportunity for the students to learn theories in nursing/midwifery, together with advanced courses in normal and abnormal midwifery. With other partner universities both here in Uganda and beyond, we share courses to do with cultural diversity, trends and issues in midwifery, neonatal and women’s health. Students also go for an international module (internship) to strengthen their teaching approaches and clinical experiences.

The students also take selected courses in advanced clinical practice from areas of their desired specialty in maternal and child health. Health care systems is another course taught to enable students understand the major elements, dynamics, determinants and organizational themes in public health, policy issues and health financing.

How have you taken care of the developments in information and communications technology as far as your course is concerned?
We intend not to leave our graduates behind as far as information and communications technology is concerned. We have lined up a course in informatics, which involves the application of technology in what they learn. We expect to take the students through online healthcare packages, how they can remotely follow up on patients and network with the online medical ecosystem in order to know a patient’s medical history and other things.

Many women, especially those in rural areas, still opt for traditional birth attendants (TBAs) to deliver them, citing harassment from midwives. What is your department doing to reverse this phenomenon?
We always emphasize professional ethics and Christian values in our students and that is why we have faith-based and foundation courses to see how virtues of the respect for one’s work is instilled and how the students ought to relate with their clients. In the midwifery curriculum, for instance, we have integrated Christian worldview to help students relate and handle our clients from a Christian perspective.

Why should we separate nursing from midwifery? Would it be better to equip the students with both skills, so the medical field gets multi-skilled professionals?
At UCU, the Bachelor of Nursing Science teaches concepts of both nursing and midwifery, just like the undergraduate course, which teaches medicine and surgery. The specialization occurs only at post-graduate level. That said, there are universities that offer bachelor’s degrees in midwifery. It’s also important to note the difference between the work of a midwife and a nurse. A midwife’s work involves care for women and families whereas a nurse is involved with the general health of everyone. Midwives focus on women, children, pregnant women, reproductive health issues and educating the community about the same.

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To support this Uganda Christian University program and others as well as students, activities and services, go to www.ugandapartners.org and click on the “donate” button, or contact UCU Partners Executive Director, Mark Bartels, at mtbartels@gmail.com.

‘Nursing is a calling from God’

February 21, 2020Faculty of Engineering, Design & Technology, Faculty of Public Health, Nursing and Midwifery, UCU Alumni#AnnetKabanyoro, #healthcare, #KampalaInternationalUniversity, #UgandaChristianUniversity, #wellness, Africa, Nursing, UCUPartnersPatty Huston-Holm

Annet Kabanyoro, UCU graduate working on her PhD in South Africa

Annet Kabanyoro is a doctoral student in healthcare at the University of South Africa. The dean of the School of Nursing at Kampala International University, she has risen through the ranks from enrolling in a certificate in nursing and kept on advancing, including with a master’s degree from Uganda Christian University (UCU). This is part of her story as told to UCU journalism student Esther Byoona.

What do students learn in a doctoral health science program?
There is an advanced level of learning. Communication and how you communicate are advanced. We do write ups, learn how to write, scientific writing, completing the thesis because you’re at that advanced level. Everything is advanced.

How does this level of health education improve healthcare in Uganda?
When you’re at an advanced level, you can influence policy in a positive direction, to make sure health service delivery is improved to make sure people do the right things. You ensure people are using evidence, evidence-based practice, research and published scientific information so when you’re at that level you are able to influence policy, read literature synthesize it, write in scientific journals and implement more.

Why do you care about healthcare in Uganda?
A population that is not healthy cannot advance. Without healthcare, more people would be sick all the time. People cannot go to work, go to business, and go to school. There is nothing that can go on. Health and care of it should be taken as a priority. When you are healthy, you could do many things including self-care, but sickness debilitates and some people can hardly care for themselves.

What does your career path in heath care look like?
I started at a low level in 1992. I was at the certificate level in nursing and I kept on advancing. I did a diploma, degree, a masters, now I am doing my PhD. I have done other courses like leadership and management and others. But I started at that lowest level so I’ve gone through all the levels of training in nursing since 1995. I assumed different roles ranging from being a bedside nurse in the clinical area to a nurse educator.

What do you love about the healthcare profession?
When you’re a health worker, and someone comes to you very sick, and they get better, you feel motivated. You feel happy, you feel great and sweet and you know that wow, you did your part. I love to see a patient who came when they were very sick and then improve and they are walking and smiling and thanking you. In education, when you see students on day one, you see they don’t know anything about the profession so you train them. They get to know what you do. Seeing students advance and get well socialized in the profession excites me.

What are the other benefits?
I get enumeration, and enumeration helps me take care of my family. My first born is a doctor. Though it can never be enough, we thank God we have food, housing, and clothes. I network with my colleagues professionally both locally and globally. I did a module in America.

What are your challenges?
Working in a resource constrained environment. Sometimes you want to do something but you don’t have the resources. I have to improvise all the time whether in clinical or education. You want to do a training and you cannot refuse them because it is their right but the resources are never enough. And culture can be a challenge.

Do you have any advice for those who may want to study healthcare?
They should understand nursing is a calling from God. You should deliver service above self. The nurses’ anthem spells it out. There is not much money earned from nursing. Professionalism is key.

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To support Uganda Christian University programs such as the ones in nursing as well as other programs, students, activities and services, go to www.ugandapartners.org and click on the “donate” button, or contact UCU Partners Executive Director, Mark Bartels, at m.t.bartels@ugandapartners.org.

Alumnus finds greener pasture in UCU as he gives back to the community

December 2, 2019Faculty of Engineering, Design & Technology, Faculty of Public Health, Nursing and Midwifery, News, UCU Alumni, UCU School of Medicine#Christ-CentredEducation, #DonateUganda, #GiveAfrica, #Hospital, #MasterOfNursing, #nightshift, #nurse, #student, #UgandaChristianUniversity, Nursing, Sponsorship, UCU, UgandaPatty Huston-Holm

Monday Edson (right) prepares to carry out a test on the UCU Vice Chancellor, Rev. Canon Dr. John Senyonyi, inside the new university ambulance while the Guild President, Bruce MugishaAmanya (in suit), looks on, shortly after the new university ambulance was brought.

By Olum Douglas

When Monday Edson joined Uganda Christian University (UCU) for his undergraduate studies in 2010, he did not see himself on the Mukono campus beyond getting his degree. Edson then had a diploma in nursing and worked at a specialized children’s neurosurgery center called Cure Children’s Hospital of Uganda. At Cure, he was the In-Charge for the Intensive Care Unit and Wards.

But when he graduated in 2013 and returned to his work place, he felt something was missing.

“I enjoyed the Christian components of life in UCU, especially the mission weeks, prayers and worship,” Edson said. “I could not wait for a chance to return to UCU because as you may know, our work requires a lot of spiritual enrichment. And UCU provides that working environment.”

Monday Edson carries out a check on a student at the Allan Galpin Health Centre. His education is supported by UCU Partners.

His love for the university was not only based on the spirituality but also the dream to pursue further studies and share his knowledge and skills with aspiring nurses, a thing he believed the university would grant him.

Indeed, his dream is coming true, thanks in part, to Uganda Christian University Partners financial assistance. Edson, now a final-year student of the Master of Nursing Science at UCU,says after exhausting his savings to sponsor himself for the first and second modules of the program, he was at the brink of dropping out until Partners stepped in. The sponsorship has saved him from worries and given him room to focus on his work and studies.

“Many times people think when they gain skills they should run away in order to find greener pastures, forgetting that there are even greener pastures where they are,” he said. “I have found mine in UCU and I want to work, study, teach and mentor future nurses from here.”

Since his return to the university in 2013 as a staff, Edson was appointed Head of Nurses at the university’s Allan Galpin Health Centre. His key roles include supervision of nurses. But it is common to find him in practice, attending to students and staff in need of health care. He also enjoys mentoring student nurses at the university as time permits. After his Master in Nursing Science, Edson desires to pursue a PhD in the same field to enable him venture into teaching.

“I feel that I have the calling to teach, but that does not mean I will quit practicing,” he said.“My aspiration is to see the theories we learn transmitted into practice. And that is what motivates me to mentor the students.”

Outside his prescribed tasks, Edson also chairs the university’s Inspection Committee, a subcommittee of the Health and Safety Committee. His committee inspects and ensures good hygiene and healthy practices at the university’s kitchen, dinning hall, canteens and halls of residence.

To his work mates, Edson is a humble, down-to-earth, team player who is very active in every activity that involves the university’s health center.

Kenneth Kiggundu, a Medical Records Clerk at the health center, says, “Edson is a very knowledgeable person in nursing procedures, yet very humble.” Rachael Nakamya Lule, the health center administrator also says, “Edson is very committed and easy to work with.”

Since his appointment as the head of nurses in 2013, Edson has pushed for several changes in health services at the facility. Such alterations include expanding service hours from 12 to 24 hours a day. The work shifts increased from two to three eight-hour shifts that include a night shift.

While he says human resource remains a great challenge at the facility as nurses must carry out nursing as well as dispensing duties that many times cause delays, Edson is happy that a lot has changed within the health center, and many more students are appreciating the services.

To Edson, his job is a fulfillment of Christ’s mission, and there is no greater satisfaction in it than a “thank you” note from a client.

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To support UCU students, programs and facilities, go to www.ugandapartners.org and click on the “donate” button, or contact UCU Partners Executive Director, Mark Bartels, at m.t.bartels@ugandapartners.org.

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UCU nursing graduates seek to fill gap in Ugandan mental health care

June 20, 2019Faculty of Public Health, Nursing and Midwifery, UCU School of MedicineButabika Hospital, Medical School, mental illness, Nursing, Uganda Christian UniversityPatty Huston-Holm

By Douglas Olum

When Conrad Ochola suffered depression in 2017, he heard a voice in his head.

He walked before his elder sister with whom he lived and threw off some of his clothes. The abnormal action shocked not only the sister but also the rest of the family. They were not aware that Ochola, then a new graduate of Uganda Christian University (UCU), had battled his mental state for some time. He hadn’t slept for months, with strange voices constantly screaming in his head. One of the voices persuaded him to throw himself in a pit latrine. He survived because the hole leading into the pit was too small to swallow him.

Through those months, Ochola, suffering in part due to the loss of his mother, lived in fear of death, saw things in twos and dodged meals because every time he ate, he would feel pain as though he was eating his own body parts. He never told anybody.

Butabika National Referral Hospital, in Kampala, Uganda, is the country’s only mental health facility.

It was when the 24-year-old stripped naked that the family came to realize that he indeed needed mental health care. They rushed him to Butabika National Referral Mental Hospital, where he was diagnosed with depression. After months of medication in this only such facility in Uganda, Ochola recovered.

Ochola, a marketing executive at a Uganda investment company called Xeno, is an example of how proper mental health assistance can make a positive difference.

Daniel Ojok, a high school graduate, wasn’t so fortunate. He crashed himself onto a speeding truck in December 2018 along the Gulu-Juba highway, days after dropping suicide hints that nobody got. The late Ojok is like millions of Ugandans who need mental healthcare but do not get it.

One mass example is in northern Uganda where thousands still suffer the traumatic consequences of the two-decade Lord’s Resistance Army (LRA) insurgency, hundreds have committed suicide and more still continue to do.

A recent World Health Organisation (WHO) report indicates that at least 1.7 million Ugandans (about 4.6% of the total population) suffer from depressive disorders and another 3% suffer from anxiety. Depressive disorder is a condition characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, feelings of tiredness and poor concentration. Two years ago, the WHO ranked Uganda among the top six African countries heavily affected by mental health issues.

The Uganda Protestant Medical Bureau (UPMB), a charitable and technical national umbrella organization, reports that 98% of people with mental health issues in the country do not have access to care.

The problem is attributed to lack of community-based psychiatric care facilities, poverty that incapacitates many families from taking their mentally ill members for medication and the misconception that mentally ill people are connected to witchcraft, the latter often subjecting victims to rituals that, unfortunately,cause further harm to their mental states.

Butabika Hospital currently has up to 900 patients – double its capacity. A Butabika nurse who spoke on condition of anonymity said most times the extra patients are admitted because they have no where else to go.

Often, those afflicted with mental health issues roam the streets. Men and women dressed in rags, with dirty, twisted hair and many times carrying sacks of rubbish, stroll along streets of urban places across the country or seated in isolated places, mumbling junks of sentences.

Training institutions such as the Uganda Christian University aim to lessen the Butabika overload and the number of victims on the streets. The department of Nursing, for instance, is equipping student nurses with psychiatric nursing skills. Throughout their final semester of studies, students pursuing the Bachelor of Nursing Science, spend at least a day every week serving and learning at the Butabika Mental Hospital.

Mrs. Jemimah Mary Mutabazi, the head of the Department of Nursing at UCU, said as a department, they have been teaching mental health since the approval of their curriculum in 2006.

“It is part of curriculum because we want to equip our nurses with skills that enable them provide holistic care to their clients. Nurses work with people of different kinds including mentally ill patients and we want them to be able to handle all cases professionally,” Mutabazi said.

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For more of these stories and experiences by and about Uganda Christian University (UCU) programs, students and graduates, visit https://www.ugandapartners.org. If you would like to support UCU, contact Mark Bartels, Executive Director, UCU Partners, at m.t.bartels@ugandapartners.org or go to https://www.ugandapartners.org/donate/

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UCU nursing students are blessing to government hospitals

May 23, 2019Faculty of Public Health, Nursing and Midwifery, UCU School of Medicinehospitals, Medicine, Nursing, Uganda Christian University, Uganda PartnersPatty Huston-Holm

UCU student mixes drugs before administering it to a patient at Naguru Hospital while students, nurses and lecturers look on.

By Douglas Olum

When Ruth Nakanwagi woke up the morning of Wednesday, March 13, her two-year-old son, Rogers, was shaking with fever at a very high temperature and vomiting. She knew that the child needed emergency healthcare. But she did not have enough money to rush him to a private clinic where she expected faster treatment.

Nakanwagi, a fruit vendor in Nakawa, a Kampala city suburb, painfully took her child to Naguru Referral Hospital, a government facility located about six kilometers (3.7 miles) east of the city centre, with little hope that the child would get medication in time.

A UCU student administers medicine to a patient in the Medical Ward at Naguru Hospital while a Senior Nurse looks on.

“I tried to borrow money from my neighbors and friends so that I could take the child to a clinic but I failed. I didn’t want to bring him here because I thought I would find a long line and reluctant workers who would not quickly attend to the child but I was surprised by how they attended to him so fast,” Nakanwagi said, smiling vaguely.

The hospital, housed in two, long, double-stair buildings, indeed had patients lined up on benches, both at the children’s and adult sides of the Outpatient Department (OPD), waiting to be served. Others were at various locations, awaiting other medical procedures such as X-rays, CT scans or antenatal check-ups.

Those already served were either exiting the gate or seeking refuge from the scorching sunshine under trees in the hospital compound. And Nakanwagi and her son were part of those leaving, just about two hours after their arrival time.

Rogers was diagnosed with malaria, one of the leading killer diseases in Uganda. And their shocking good experience was because that morning, second-year Bachelor of Nursing Science students from Uganda Christian University (UCU) were at the same hospital for their practical training. The students had quickly assessed the child’s condition and facilitated the treatment processes.

Across the OPD, Children’s, Medical, Antenatal and Surgical Wards, the students, donned in white coats with the UCU logo printed on the upper left, were taking history, counseling and administering drugs to patients. Others were in the theatre, helping with surgical processes.

Human resource shortage remains a huge challenge in Uganda’s government hospitals. With a nurse-to-patient ratio of 1:11,000 (International Council of Nurses, 2013 report), the situation is further worsened by absenteeism and negative attitude towards work among the personnel who are poorly paid. Consequently, Ugandans who can afford it, turn to private healthcare service providers who charge them exorbitantly.

But with the interventions by trainees from UCU, the story is changing in some government hospitals like Naguru.

Aidah Balamaga Nabiryo, a Senior Nursing Officer in charge of the Medical Ward at Naguru Hospital, said while the number of patients often overwhelms them, the learning visits by the UCU nursing students come as a blessing to them because they not only reduce their workloads but also speed up their service delivery.

“We have a big human resource gap here.” Nabiryo said. “For instance, in the whole of this Medical Ward, we are only two established staff members and we get overwhelmed by the tasks. But when these students come, they relieve us because they are very hardworking and also very good in nursing processes like injections, psycho-social support, cleaning of patients and identifying those in need.”

She said unlike students from other universities and nursing schools that go for similar trainings when they don’t know what to do, UCU students are very well prepared and they know exactly what to do under nearly every circumstance.

“When they don’t know something, they inquire and shortly afterwards, you find them doing it very well. Apart from their medical skills, we even tap into their computer skills that help us in report writing and presentations,” Nabiryo added.

Every week, different groups of the students are taken for practical trainings for at least four out of the five working days in various government hospitals including Naguru, Kawolo and Butabika Mental Hospital. They participate in collaborative health care service provision with the hospital personnel and their lecturers.

During those processes, they are exposed to medical, surgical and child health care procedures.

Irene Nagadya, one of their lecturers, said such exposures help the students integrate the theories they learn in class with practical application in the field.

“We show them how to do and also allow them practice investigations, insertion of tubes and other basic and specific nursing care skills. Through these, we are build professionalism that will result into competent health workers,” Nagadya said.

While such hospitals are just training grounds for the students, their services cannot be taken for granted considering the huge gaps that they fill. It is therefore, no doubt that their release into the health sector will not only save many lives like Rogers’, but also speed-up and improve the quality of service delivery in Uganda’s hospitals.

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If you are interested in supporting UCU school of nursing students and their training or other programs and services at UCU, contact UCU Partners’ Executive Director Mark Bartels at mtbartels@gmail.com, or click on the Donate button on the Partners Web site.

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Alum Success: Fulfilling medical needs in tourist gorilla trekking area

February 7, 2019Faculty of Public Health, Nursing and Midwifery, Scholarship, UCU AlumniBwindi, Gorillas, Impenetrable Forrest, Nursing, Scholarships, Uganda Christian University, Uganda PartnersPatty Huston-Holm

Robert Kamugisha, center, with two staff members at the Uganda Nursing School (UCU Partners photo)

By Patty Huston-Holm

“This will hurt,” the nurse said, preparing to inject a vaccination into the arm of the six-year-old boy. “But it will help you be protected for the rest of your life.”

That boy was Robert Kamugisha, now age 37 and one of the leaders of a nursing school located 100 kilometers (62 miles) from the western Uganda area where he grew up and received that immunization. He has a small injection scar with a memory of how that experience propelled him to his career in medicine.

“Her words made me feel like a part of this at that very young age,” he recalled.

Signage of nursing school in the western Uganda area of Bwindi (UCU Partners Photo)

Robert is the academic registrar at the Uganda Nursing School (Bwindi), where students can get a certificate after about 2.5 years and a diploma in about 3 years. Uganda Christian University (UCU) provides the accreditation for the school. UCU’s School of Nursing relationship with the new school in Bwindi is one example of how the university reaches under-served areas.

While westerners know Bwindi best for gorilla trekking in the Impenetrable Forest, East Africans recognize the area’s rural poverty. Behind what most tourists see is the economically and educationally poor Batwa (pigmy) tribe. The Kellerman Foundation, based in Texas, has been instrumental in serving needs of this population.

“Infant mortality is a problem here,” Robert said. That’s the topic of his soon-to-be finished master’s dissertation with UCU, where he received his Bachelor of Science in Nursing in 2013. He got that degree with the assistance of a scholarship from the Uganda Christian University Partners organization.

From practicing nurse to oversight for nurses at Bwindi Community Hospital, Robert’s career climb accelerated to a leadership position for a new school when two gorilla trekkers from the United States agreed to fund the building construction in 2013. Rotary International, through the Rotary Club of Reno, Nevada (USA), and the Rotary Club of Kihihi, Uganda, furnished the school.

The first class of 36 graduated in March of 2017. Today, there are nearly 300 Uganda, Kenya and Rwanda students studying at the Bwindi facility.

Taking care of people, including nursing students, is second nature to Robert. As the first born of five children, he grew up with the family responsibility for his younger brother and three younger sisters with little financial support for himself.

Robert and his wife, Uwimbabazi Sarah, have two children. A woman from Israel sponsors Sarah’s studies at UCU through UCU Partners.

“At some point, I want to be in a position where I can support someone other than my own family,” Robert said. “Ugandans can and should give back that way.”

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If you are interested in supporting students who are making a difference in Uganda such as UCU Partners Scholarship Recipient Robert Kamugisha is, contact Uganda Partners’ Executive Director Mark Bartels at mtbartels@gmail.com.

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