HOME NURSING
PROGRAMME FOR
DISABLED
AND EMPOVERSHED
PATIENTS IN KILIMANJARO AREA
TANZANIA
PREPARED BY: GRACE
SARIA
OCCUPATIONAL
THERAPIST AND NURSE MIDWIFE
DATE: December
2006
Introduction
Kilimanjaro is one of the 26 regions
in Tanzania.
The capital of the region is Moshi. It is located in the North Eastern part of
See the map (a)
map (a)
The Kilimanjaro Region is administratively divided into 6
districts namely, Rombo, Hai, Moshi Rural, Moshi Urban, Mwanga, and Same. 
See
map (b)
Map (b)
According to the 2002 Tanzania National Census, the population of the
Kilimanjaro Region was 1,381,149.
. In this
regions sits mount Kilimanjaro
which is the highest Mountain in
Africa and snowcaped. With
its large population
innevitably the region is hit
by HIV AIDS thus ranking third
among the 26 regions . This problem
is componded by
Evergrowing poverty created by
lack of jobs
and declining prices
of its agricultural products
like coffee.
Also the
poverty is escalated by
quite a number
of
its young
people moving away
from the rural
area
to distant
urban centers like Arusha
(200kms) Mwanza (1000kms) and
Dar es
salaam (500kms) away
seeking
employment thus leaving behind
the old , the poor
and the
weak.
Iam
a 32 years old woman married with two kids .Iam a
trained Nurse,Nurse midwife an I
have diploma in Occupational therapy.
I have two
years experience working as
Nurse and I have three years experience working as
Occupational Therapist.
From my
Occupational Therapy
experience I have
done a lot
of home visits as I tried to
help the sick ,the weak and the
old I have noteced the following weknesses.Patients who need a long time to
recover eg,HIV AIDS victims ,Stroke
patients, cancer patients, people with partial paralysis and the like are
normally discharged prematurally from hospital because of shortage of space to
continue to keep them in hospital, or because of inability to meet the
increasing medical expenses and care.The underlying assumption is that they
will continue to receive nursing care and medication from their relatives and
family members.
Unfortunately this
doesnot happen because the skills and
resorces to continual to give such services do not exist.
Anotherassumption
is that these patients will visit the hospital from time to time to continue to
receive help.
But experience show
that their situation get worse because of poor home nursing and increasing
poverty.It reaches a stage where it becomes very difficult for them to walk
back to hospital walking is the main transport means in Africa –people walk up
to 10 kms to get to health center.
Because of
physical weakening and because of increasing povert and poor infrastructure
they can not afford to hire transport
With my faith
strongly something must be
done at least
to alleviate or even erradicate this kind of
situation.
I have this idea
starting programme which will empower families so that they can provide home
nursing care for such victims .
Such programme
could include providing ARVs to HIV victims and improved diet.
A system of follow
up will be developed so that when patients are prematurelly discharged from
hospitals they will find the helping
hand in the community where they live supposed to spend the rest of their life
they will be cared for at every stage of
their remaining life.I see this as the christian response of suffering.Such
care is also needed for the elderly
people.
TASKS TO BE ACCOMPLISHED:
1. Providing
home Nursing and care for elderly.
2. Starting
supportive system for impoverished (HIV) victims who are discharged and need
home nursing care.
3. To provide basic training to the relatives and other
Community supporters on how to handle those patients.
4. Starting
follow up rehabilitation programme for paralysed and stroke patients who are discharged from
hospital.
5. Need
to establish Home Care system, providing them basic needs such as food and
medication.
6. Work
closely with Primary Health Care unit solving problems, including proper
sanitation, convenient toilets,
7. Provide
adaptation Training.
8. Lobby
with the local governments on improved infrastructure
9. .Mobilizing
community to provide for poor and training them how to produce their own as
much as they can.
10. For the
HIV/AIDS victims to solicit help from supportive groups to provide ARVs, Food supplements.
11. Providing counseling services
|
Goal |
Objective |
Activity |
Time frame |
Budget |
|
Provide home care for the sick and elderly people |
1)Survey to establish the needs in area |
Send a questionnaire to 150 parishes @3,000 |
2007 Jan-March |
500,000/= |
|
|
2)Train 30 supervisors of the project from the parishes |
1)Develop a training manual 50 copies @10,000 |
Jan-march |
500,000/= |
|
2)Conduct a three months workshop with the 30 supervisors |
June 2007 |
5,000,000/= |
||
|
|
3)conduct
sensitization seminars 3 siha 4 hai 2 central 4east 2 karatu |
15 seminars of 20 people each duration one week 2 seminars each month
|
Sept-2007 March 2008 Sep 2007 Feb 2007 |
Transport 5,000 X300=15,000,000/= 1,000,000/= |
|
|
4)Establish home care coordinating office |
Employ Office coordinator. |
June 2007 |
Salary 300,000x12= 3,600,000/= |
|
Train office assistant |
|
200,000/=x12 =2,400,000/= |
||
|
Hire office |
Sept 2007 |
100,000x12= 1,200,000/= |
||
|
Resources |
|
|
||
|
Housing |
|
50,000x12= |
||
|
Transport |
|
100,000x12=1,200,000/= |
||
|
allowances |
|
50,000x12=600,000/= |
||
|
|
|
200,000x12=2,400,000/= |
||
|
|
5) By 2008 dec Form 100 volunteer committee each with at
least 10 women to operate under 2
resources person |
|
Sept 2007 Sept 2008 |
|
|
|
6) Counseling |
Counseling seminars |
Three months seminars |
|
|
|
7)Procurement and distribution of essential drugs |
|
2007-2008 |
|
|
|
8)Creating a fund to help the disabled |
|
2007-2008 |
|
|
|
9) Collaboration with other organizations |
_church member -Family member -Community-local government |
2007 |
|