Gisenyi hospital now handles kidney problems
Written by: Daniel Tuyizere
Thursday, November 23rd, 2017, 13:23
Gisenyi District Hospital relieved residents of Northern and Western provinces of the burden of travelling long distances seeking kidney treatment in Kigali and Butare by opening a dialysis centre that treats kidney diseases.
Gisenyi Hospital started as far back in 1930 by the Belgium colonial administration as a health centre. It is the only hospital in Rubavu District where it serves over 400,000 people in partnership with 13 health centres.
The hospital’s drive to scale up service delivery has seen the new buildings completed like emergency ward, laboratory and new modern maternity with neonatology services.
Dr William Kanyankore, the hospital’s Managing Director, said that the reference laboratory provided by the Global Fund offset the workload at the Kigali-based National Reference Laboratory and improved access and saved patients’ time who would wait for hours at the Multi Drug Resistant Tuberculosis (MDR-TB) results. This laboratory has significantly reduced the backlog of other examinations related to HIV viral load, blood count, hepatitis and all other viral diseases as they no longer send samples to Kigali for examination.
Major Dr William Kanyankore, the Managing Director of Gisenyi hospital
The hospital has developed gradually and in 1970s became a district hospital with advanced maternity and internal medicine services.
In 1990, the hospital became a modelhospital till now where it works as a public institutionunder the Ministry of Health.
Gisenyi Hospital delivers different healthcare services in accordance with its status. These include; surgery, emergency, paediatrics,maternity, neonatology, laboratory and a special kidney dialysis only available in referral hospitals.
In line with government programme of increasing the number of doctors, the hospital has increased the number of doctors to 17 general physicians and three specialists including a gynaecologist, paediatrics and specialist in internal medicine.
Dr Kanyakore says that this development has reduced infant and maternal deaths. There were 11 registered deaths per month in 2010 compared to zero currently.
Owing to the RapidSMS system established by UNICEFthere is no more home and/or on-the-way delivery by pregnant mothers.This progress is partly attributed to the dutiful community health workers who send the information to the health centre and hospital in order to understand better ways to help them early to allay health complications hence the hospital health system effective monitors the communities.
He adds that this system helps to simplify follow-ups on pregnant mothers to make the four mandatory visits for antenatal care thereby preventing health complications linked to labour and maternity.
The hospital has adopted enhanced ways of responding to outbreaks of epidemic diseases given the fact that Rubavu District borders the Democratic Republic of Congo which has a history of epidemics like Ebola andCholera.
It is against this backdrop that Gisenyi Hospital established clubs in villages to help people understand how to respond and report such cases in order to help the hospital respond in time before they can spread. The hospital has Personal Protection Equipment and isolation areas to help people in case of victims of an epidemic.
To boost service delivery roads leading to health centres are in good conditions and the seven ambulances are able to reach to any health centre while containing emergencies.
To take malnutrition fight to a greater level, malnutrition cases are monitored at the grassroots wherebychildren with signs of stunted growth and malnutrition are helped through government programmes like Girinka, Shisha Kibondo and others.
Other initiatives include creation of a District Management Team,which is charged with giving periodical reports on the assessment of nutrition status and the health status in general at the district level in order to improve health in the area.
In order to sustain and better healthcare delivery, Gisenyi District Hospital plans to expand its services to match with those provided by referral hospitals by acquiring some equipment used in a referral hospital to complement what they have already like kidney dialysis.
In a Private Public Partnership, the hospital has signed a memorandum of understanding (MoU) with a private company to acquirean advanced scanner services known as MRI to help patients with complications like and internal blood clotting and injuries in head plus different cardiovascular problems, which are not easily examined all to help patients from not incurring huge costs to search for such medication.
They plan isto launch e-medicine to facilitate of expertise with other doctors from within and abroad. For instance, surgery and other operations need consultation among medics.
The hospital wants to enhance urology services to help male adults with prostate problems or female adults with reproductive health problems and they will continue expanding the eye services by hiring an eye specialist.
Dr Kanyankore said that they have requested the President of the Republic of Rwanda Paul Kagame to contribute towards the rehabilitation of the hospital alongside erecting new buildings toget ample space for all services.
The Managing Director of Gisenyi hospital urges the people to have their medical insurances being key to access to healthcare. He stresses that availing healthcare services is one thing and accessing them is another.