The Mother Maryam Foundation Clinic Project Proposal


This is the Health Clinic Project proposal we submitted to the Rotary Foundation. The Rotary Foundation agreed to provide medical equipment, an emergency / transport vehicle, and a generator for the clinic.

Description of the community, its assets, and its needs
Az-Zawrat is a village of 4,000 people located in the Northern Province of Sudan, in desperate need of a health clinic. The economy is based on subsistence agriculture, irrigated by Nile River and groundwater. Community assets are proximity to the Nile and the presence of ample groundwater. A high degree of social cohesion and solidarity is a great asset to this and surrounding communities. The community is in need of a local source of primary and preventive health care and health education. The local clinic, established in 1957 and never renovated, has one nurse. Many children are not vaccinated, even against common childhood diseases, tetanus, polio, diptheria, whooping cough, tuberculosis, measles. There is no maternity or routine postpartum or well-baby care available locally. There is no emergency service. There is no facility for routine testing, although there is frequent need for blood sugar, malaria, and other tests. The nearest comprehensive health care available is in the provincial capital, Dongola, 20 k. away, with travel difficult and expensive.

Description of the proposed project
This project consists of the construction and equipping of a community health center which will be staffed by a doctor and allied health professionals paid by the local authorities. It will provide: outpatient services; preventive services including vaccination, maternity and postpartum and well-baby care; common laboratory tests; health education; emergency care and stabilization of patients for transport to Dongola hospital; some inpatient services. This will result in reduced infant/ child/ maternal mortality and make primary health services available to these rural inhabitants. This project will serve the 17,000 inhabitants of Az-Zawrat and the surrounding villages of Binna, Jarada, Iris island, and Tura.

Project activity to date
The provincial health authority has agreed to provide and pay staff for the clinic and to provide some basic supplies. The local community is forming a committee to oversee the project, following the model that the community of Kolomiseed (which is a sub-section of Az-Zawrat) used for its successful Rotary-sponsored drinking water project. The community has donated and allocated land for the project. Dr. Omda, a Dongola-based physician who is from Zawrat, has committed himself to assist in planning and implementation. There has been a commitment of seed money from the private sector in Khartoum and a commitment of labor by the local community.

Participants:

Community

The community is electing a committee of 9 members, including 3 women, to represent the community in decision-making in planning and implementing the project. People from the community that live outside (Khartoum, Gulf countries, the West) will contribute seed money. The community will select the site, and will provide the labor and materials to construct the outer wall and courtyard.

Khartoum Rotary Club
The Khartoum Rotary Club will handle finances and oversee implementation of the project. A member or members will donate time and travel in order to assess project progress and ensure its suitability to community needs.

Others
Sudatel, the national telecommunications company, has made a commitment of seed money of $20,000. The provinicial branch of the Ministry of Health will provide and pay the doctor, physician's assistant, nurse, midwife and dentist.

Clinic building (according to model provided by provincial health authority)
1- Physician's examining room
2- Physician's assistant examining room
3- Prenatal and pregnancy care room
4- Laboratory
5- X-Ray room
6- Dentist's room
7- Vaccination room
8- Pharmacy
9- Women and children's ward
10- Men's ward
11- Operating theater
12- Storage
13- Bathrooms
14- Residence for the physician


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