Antenatal services are run Monday to Friday with the exception of
Thursday.
Postnatal services are run on Thursdays
Family planning clinics are run on Wednesday afternoons.
Gynaecological Clinics are run on Thursdays and Fridays.
Immunization clinics
are run on Thursday. Although these clinics are programmed thus, clients who
turn up for any problem or service are seen irrespective of the day i.e.
integrated services are offered.
Sex and reproductive health services.
Antenatal care to couples i.e.
mother and her spouse.
At the
clinic, health education is given, physical examination done; investigations
like heamoglobin concentration and blood group are done. Screening for sexually
transmitted infection mainly syphilis, hepatitis B, rubella and HIV is routinely
done.
Screening for
diabetes mellitus is also routinely done by doing a random blood glucose
estimation.
Where
necessary, specific treatment is prescribed. As a routine, iron and folic acid
tablets are prescribed to all mothers.
Likewise,
trimethoprime/sulphadoxine is give to primigravidae during the second and
beginning of the third trimester as prophylaxis treatment against attacks of
malaria during pregnancy.
Tetanus
toxoid immunization is done to all mothers at the earliest opportunity during
pregnancy.
Antenatal
admissions are done for mothers who fall sick and for high risk pregnancy as
determined by the doctors.
Maternity Services
Prevention of mothers to child
transmission (PMTCT)
Mothers who are HIV positive are
given Nevirapine tablet at onset of labour in order to prevent them from passing
on and infecting the baby during labour. Babies are born to HIV positive
mothers are prophylactically treated with syrup Nevirapine.
The rest of the mothers are
carefully delivered in the labour wards. Caesarian section is done for specific
indications intended to reduce mother and baby morbidity and mortality.
Mothers are observed on the
postnatal ward for not less than twelve hours before discharge and are helped to
establish breastfeeding.
Vitamin A drops are given to the
baby and the mother as prophylaxis against infections and childhood blindness.
Post Natal Services
The mothers are seen within one
week after discharge and gain at six weeks after delivery.
Assessment at the postnatal
visits is intended to detect complications like anaemia, breast infections,
genital infections, healing of genital wounds etc. Mothers are guided through
breastfeeding, postnatal exercises for abdominal and perineal muscles, family
planning, immunization schedule for the infant and weaning among other issue.
A screening test for cancer of
the cervix is done at six weeks after delivery and each woman is advised to have
this test repeated every two years.
Immunization Services
Immunization of the infants is
done on Thursday although when a mother turns up on any other day, she is given
the services.
Diseases that are immunized against include the following:
Tuberculosis, (BCG)
Polio
Diptheria
Whooping cough
Tetanus (as DDT)
Hepatitis B
Influenza and measles.
Vitamin A supplementation is
continued at regular intervals until the child is five years.
Pregnant mothers are also
immunized against tetanus at least twice during the antenatal period.
The rest of the population is
immunized against tetanus mainly on Monday and Friday every week.
At the end of the first year of
life, the infant must have been immunized against all immunizable diseases.
Family
Planning Services
Family planning services are
mainly given on Wednesday afternoon although when a client turns up on any other
day, she/he is attended to.
Temporary methods available
include pills, injection of depo-provera, Norplant insertions, condoms and
intrauterine devices mainly those impregnated with copper.
Permanent methods available
include female fallopian tube ligation and male vasectomy.
Post Abortion Care Services
Women who are exposed to unsafe
traumatic abortions are intensively treated, counselled and given family
planning options on a daily basis.
Community Outreach Sex and Reproductive Health
Services are extended to the
surrounding communities daily within the districts of Kampala and Wakiso.
Gynaecological Out
Patient Services
Women with sex and reproductive
health problems are attended to on Thursday and Friday morning every week
although when a woman turns up on any other day she is attended to.
Men friendly clinic where men
come to discuss family issues and personal sex and reproductive health problems
are seen every Monday from 5.00 p.m to 7.00 pm.
Problems of infertility are
attended to with the gynaecological and the men friendly clinics.
Adolescent friendly clinics are on
Tuesday morning. Both girls and boys between the age of 13 and 24 years are
attended to and their problems discussed, mainly sexually transmitted
infections, unwanted pregnancies, family planning and plans for marriage.
Supportive Services
The department of obstetrics and
gynaecology is supported by a very good laboratory, X-ray and Ultrasound
services.
OUR NEEDS
Although the department offers
very good services, it still lacks items to make it reach excellency.
