Country of Operation
- Foundation for International Medical Relief of Children (FIMRC)Not-for-profit
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryProject Bumwalukani provides preventive and curative services for communities in Bududa. Also, the project runs outreach programs at the clinic, including home-based health education and first aid, and bimonthly community outreaches to villages, trading centers, and schools within the district.
Project Bumwalukani works to improve pediatric health, enriching the lives of children in rural Uganda by providing access to high quality clinical care in combination with well-rounded education within the village communities, to curb the devastating spread of common endemic diseases caused by preventable microbial infections. As a result, Project Bumwalukani seeks to create an integrated system of health care that connects clinical services and health education for both patients at the clinic and to the community as a whole.
The project seeks to create a replicable model for sustainable and effective delivery of acute and preventative healthcare to members of the under served Ugandan community.
Key program components
Project Bumwalukani operates in a rural and remote region of eastern Uganda. The district where the clinic is located has poor roads, limited electricity, and a population that is almost entirely eliant on subsistence farming. In this context, Project Bumwalukani provides high-quality clinical service exclusively targeting this population, consistently ranked in in the poorest 10% of Uganda's population.
Through the outreach program, Project Bumwalukani conducts weekly voluntary HIV testing and counseling where all positive patients are monitored at home by the Community Health Educators (CHEs), monthly immunization clinics, and health education among the primary and secondary school children in the trading centers, churches, as well as in the rest of the community through the FIMRC Acting Community Troop (FACT), a drama group that performs health related skits and songs to raise awareness about community health.
The project also initiated a maternal-child health program through which bimonthly antenatal care is provided at the clinic, a pregnant women’s health group and home-based follow-up is carried out for women enrolled in the program.
Project Bumwalukani's clinical programs include a "station system" through which all patients must pass to ensure that they are receiving a complete set of vital sign tests, diagnosis, and treatment. Additionally, all stations provide education to patients regarding their signs and symptoms and eventual diagnosis. In order to increase community ownership of the clinic and, as a result, of community requests for additional buy-in, adult patients are charged a small fee for services and medications. Services for children are free of charge. In addition, FIMRC oversees the region's only antenatal clinic, which includes necessary lab testing for expectant mothers, staffed by a local midwife and overseen by clinic officers.
Since its initiation, all aspects of the project's programs have undergone repeated review and evaluation to improve the quality of services provided.To whatever degree possible, Project Bumwalukani has integrated this feedback into daily operations. Currently, the project is working on establishing a comprehensive, ongoing data-based monitoring and evaluation tool to ensure quality of services into the future.
FIMRC partnered with the Arlington Academy of Hope (AAH) to establish a health clinic serving the community of Bumwalukani, Uganda allowing FIMRC to administer basic healthcare to the 300 hundred students and teachers that attend the neighbouring rural school, as well as serve the needs of the surrounding region.
The program also serves the dispersed rural communities at the foot of Mount Elgon, which according to the Ministry of Health has the highest prevalence of HIV infection in Uganda makes the clinic an essential resource for the approximately 10,000 to 15,000 rural inhabitants. The clinics serves 1,000 patients a month.