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Responses about running of mukuyu-ini health centreMANAGEMENT AND OPERATION OF
ST. CYRIL & METOD HEALTH CENTRE
In order to streamline the management of the hospital it was recently decided that the hospital should be registered as a trust deed under trustees. This was done and the following is the current composition of the caretaker management committee; Lions representatives – 2No Local catholic church representatives – the Priest-in-charge and the Church Chairman Local leaders representatives – the local Area chief Local community representatives - one member The Management Committee is responsible for the day-to-day running of the Health Centre including payment for cleaning, salaries and maintenance of the buildings. Funds for this purpose are raised through user charges, fundraising activities, donations and other means as detailed in the project proposal. Committee meetings are held once every month unless there is an urgent matter requiring a meeting in between the month. Since it started operations, the Health Centre is opened for six days a week, that is, Monday to Saturday and is only closed on Sundays. It opens for eight hours per day that is 8am -1pm in the morning and 2pm - 5pm in the afternoon. Staff Composition
Currently the following technical and support staff are employed at the health centre: Registered clinical officer . l Nursing officer . 1 Nursing assistant . 1 Pharmacy assistant . 1 Cleaner . 1 Watchman . 1 The current Consulting Doctor at the Health Centre is Dr. George Karanja, who is also a member of the Lions Club of Thika Kilimambogo. Types of Diseases Treated
There are about twelve common diseases treated at the health centre. These include clinical malaria, hypertension and respiratory tract infections. Other common infections include diarrhea diseases, dental health problems and mental disorders. Tables 1.0 below shows the number of most common cases attended to during the year: Table 1.0 : Twelve Most Common Diseases
Table 2.0 below shows other common cases attended to during the year: Table 2.0 : Other Common Diseases
Type and Quantities of Drugs Dispensed
The types of drugs and quantities dispersed during the year in treatment of various diseases are presented in the Appendix. These include analgesics, anti-asthmatics, anti-diabetic agents, cough anthist, haematinics, vitamins & minerals among others Diseases Not Treatable
The following types of diseases are not treatable at the health centre due to lack of the necessary facilities: Surgical cases requiring theatre Medical cases requiring admission Dental cases requiring fillings and root canal treatment Eye complications Problems Encountered in Running the Facility
Some of the problems encountered in running the health facility include the following: Perception by some members of the local community that the facility is a donation so its services should be entirely free or be fully subsidized Occasional cash flow problems Lack of sufficient Laboratory Facilities lack of referral vehicle for maternity complicated cases Appendix
Type Of Drugs and Approximate Quantities Dispensed
Sedatives & Tranqui.
Vitamins & Minerals
e u r o p e a n j o u r n a l o f p a e d i a t r i c n e u r o l o g y x x x ( 2 0 1 0 ) 1 e7Ofﬁcial Journal of the European Paediatric Neurology SocietyLevetiracetam: Safety and efﬁcacy in neonatal seizuresGeorgia Ramantani a,b,*, Chrysanthy Ikonomidou a,c, Beate Walter a, Dietz Rating d,Juergen Dinger ea Department of Pediatric Neurology, University Children’s Hospital Dresden, Fe