Past Reports from the Health Officer 2013-2016
May 2014 – Drug prices rise: As you may be aware it has rain twice in the Gambia which is an alert that we are entering the malaria season. Therefore we are expecting the turn out of the patients to be high in the next months meaning our working hours will be extended to 8-9pm.
Looking at the amount spent on drugs it is quite much especial during the dry period when we are having less patients than during the rainy seasons. This is because some of the prices of the drugs have increased. There is possibility to spend three times of this amount on drugs during the rainy season.
June 2014 – Balancing the books: TCHC being a children health centre received more children than adult during the course of this month which has some effect on our earning because children under 1 year pay no fee. It is ok for us since we know that the mission of the health facility is not makes profit. However, the Staff working here is expected to go home with the agreed salaries at the end of every month. We found it very hard to pay each Staff in full as expected because of the low earning we have.
We have just completed the payment of the Salaries today while having a debt of over eighteen thousand Dalasi at the pharmacy were we usually buy drugs. It is for these reasons that we still soliciting for your intervention in order to maintain the Staff and keep the facility running for the interest of all especially the poor.
It is not our wish to sent back any patient who comes to seek treatment from; but we have no choice.
We stop registration of patients as early as 3pm. With this the afternoon staff will work until 7pm before they will leave. we have to contract an extra nurse of whom we are paying 150 dalasis (£3) as daily wages to help the work go fast.
We would have love to employ more Staff to continued with the night shift but paying them and the cost of the drugs is a problem especially when 70-90% of our patients are children who pays nothing our 10 dalasis to receive treatment.
August 2014 – Our good services in terms of patient care particularly to the children has a great impact in the communities we are serving. On daily basis 20-28% of our patients are new patients. This is because of what they heard about the health center. Yesterday we registered 27 patients. out of this, 7 are new patients ( visiting the health center for the first time) of which 5 are under 5 years. We feel great as the number of children visiting the health facility is gradually increasing.This means that our services as a non-profitable health facility is been maintain.
However, this is possible because of the service deliverers working with us who we are paying on monthly bases. we want to sustain this project as a non-profit making institution. Any contribution means that children and other patients can be assured affordable, accessible and quality services from our team.
December 2014 – In addition to the information I sent, although we are seeing less patients compared to the rainy season, the few malaria cases that we are seeing now are always more serious than the ones in the rainy season. This is because majority comes with vomiting, high fever, diarrhea or even unconscious in rare cases. We belief the change of the weather contributes a lot. Most of this patients will end been admitted in our small ward for infusion and observation.
Infusions are quite expensive for an institution that is not making profit. The Staff here are well committed to the job and our priority is the welfare of the patients.It is for this reason that we sometimes use our remaining cash for the salaries to get necessary drugs for our patients regardless of the price while delaying the salaries of which the Staff understood. for in stand a tin of 1000 tablets of quinine cost us D,4000 today. just for one tin.
We cannot take this for granted as any employee will want to get his or her salary before or at the end of the month. To avoid this, salaries has to paid on time of which we wish but griped with limited resources. If things continues like this we may loose some of these staff and this will compromised the services thereby risking the lives of patients. Donors like you can help prevent this. As small as you may think, do not underrate that, you can safe a life or maintain a Staff at the TCHC with that amount.
August 2015 – It is not our wish to sent back any patient who comes to seek treatment from; but we have no choice. We stop registration of patients as early as 3pm. With this the afternoon staff will work until seven to 7pm before they will be ready.
We have to contract an extra nurse to whom we are paying 150 dalasis as daily wages to help the work go fast.
We would love to employ more Staff to continue with the night shift but paying them and the cost of the drugs is a problem especially when 70-90% of our patients are children who pays nothing our 10 dalasis to receive treatment.
With generous donors and phyllantropist like out there; all these can be achieved within a short period. We assure you that your money is put at right place to save lives and promote health.