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Outpatient Services

Outpatient Services (3)

Orthopaedic Clinic

Our Orthopaedic Outpatient Clinic is held on the 2nd and the 4th Thursday of every month. One of the conditions managed is club foot, which is treatable immediately after birth. Other orthopaedic conditions seen in the clinic include:

  • Fractures
  • Dislocations
  • Corrections of bone deformities including the spine and limbs, bow legs, knocked knees, rickets,
  • Cerebral palsy
  •  Fabrication of artificial limbs-prosthesis.
  •  Back pain and arthritis

 

 

Maternal and Child Health (MCH) Services

 The staff in MCH is committed to enhancing the health of mothers and children under the age of five years. The services offered here include:
•    Antenatal care (ANC)
•    Child welfare and Immunization (CWC)
•    Prevention of mother transmission of HIV(PMTCT)
•    Health Education

ANC is supported by OBA program. On average about 400 mothers visit the clinic each month. Through this initiative, mothers are allowed four antenatal visits during which they receive health education on pregnancy related issues –FANC- Focused Ante Natal Care. Care of mother include: monitoring of vital signs including weight, full physical examination with emphasis on the growth of the pregnancy, laboratory examination – ANC profile.  All mothers who attend the clinic and counseled and tested for HIV infection (PMTCT) during their first visit. Couple counseling is encouraged during this period and the mother are asked to bring their spouses/partners to the clinic. The uninfected couples are counseled on the need to remain infection free while the infected couples are enrolled for HIV treatment and care.

The Child Welfare Clinic (CWC) attends to children under the age of five – through health education to their mothers, monitoring weights and administering primary vaccines - BCG, polio, pentavalent, and measles. Special concerns such as underweight and malnutrition are identified during this clinic and appropriate intervention taken. The sick children are also identified and treated.

 MCH is manned by nurse/midwives.

General Outpatient Care

 Our Outpatient department operates 24 hours. Patients are received at the registration desk where they pay a small fee for service. They are then directed to the nurse in the triaging area. The nurse while triaging must be alert to identify the very sick patients and direct them to be seen by the clinicians immediately.  In the clinical rooms, history is obtained from the   patients or their relatives. This is followed by a thorough physical examination and evaluation of the patients that aids in making a diagnosis. Additional laboratory tests or radiological examinations may be required to make a diagnosis. Once a diagnosis is made, the clinician prescribes treatment and discharges the patient through pharmacy, or the patient is admitted for further care and treatment.
The outpatient department works very closely with the laboratory, radiology and pharmacy. Messages are relayed from one department to the other through the through the Health Information System in use (SmartCare).

Emergency cases are dealt with promptly before they are admitted to the wards or referred for specialized treatment. On average, the number seen in outpatients on a daily basis is 100. The top five causes of morbidity at outpatient level are:
•    Malaria
•     Hypertension
•    Diabetes
•    Upper Respiratory Tract Infections
•    Amoebiasis

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