Projects

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Mr. Joseph Fobbie, Manager (Administrator) of Adventist Health System

STRATEGIC PLAN

ADVENTIST HEALTH SYSTEM

WATERLOO HOSPITAL

 

Waterloo Hospital is the flagship facility of the Adventist Health System of Sierra Leone, it is currently also the only facility in the System, but that hopefully will change soon.  Waterloo Hospital (WH) has many things in its favor such as:

  • Ideal location along the Waterloo-Masiaka Hwy
  • Close to the new airport
  • Committed staff with good morale
  • Intelligent competent staff
  • Good Leadership
  • Solid western connection
  • Support of the local church/mission
  • Little government competition in the health care arena
  • Good relationship with ADRA
  • Post Ebola support

WH also is exposed to a number of challenges:

  • The theatre is poorly equipped
  • The hospital is only set up for 22 beds, too few for adequate income
  • Guest housing is too limited, no room for volunteer groups
  • There is no staff housing on campus for staff who need to be on call
  • No OB coverage
  • Inadequate laundry facilities for efficiency
  • Limited Staff education
  • Inadequate facilities for administration
  • Inadequate computing power/software for maintaining accurate financial and inventory records
  • Inadequate space for PT
  • Inconsistent power and water supply
  • Lack of Blood Bank
  • Lack of climate controlled environment for lab supplies and pharmaceuticals
  • Lack of adequate cafeteria
  • Lack of conference and training facilities
  • Need for a new physician housing
  • Lack of satellite/feeder facilities

Waterloo Hospital is poised to be a major player in health care in SL.  However, unless major capital improvements are done very soon we will be passed over by the government and other NGO/private facilities.

When I first wrote this over a year ago, I had no idea how God was going to bless our efforts. Many of the challenges and deficits we faced in the list above have been remedied, or are in the process. When you look down the list of projects and needs below you will find that most of them are funded, and many of those are completed. I cannot begin to praise God enough for what He has done here. However, do not despair, those of you who still want to be a part of this, there are ongoing funding needs. One that does not receive enough attention but is always a priority is indigent care. We live in one of the five poorest and least developed nations on the planet and most of these people do not have the money to pay what it costs to give them care and treatment. Still the hospital stays true to it’s mission, vision and core values and treats people regardless of ability to pay. Yes the needs are great, but our heavenly Father is greater. Thank you to all of you for your support.

For a detailed story on how God has blessed in our work please read the three blogs entitled Projects I, II, and III. If any of these projects piques your interest please send me an e-mail with your questions and we will talk about how you can help. scottgardner56@gmail.com

To donate go to the Donate Here Tab for detailed instructions.

 

 Needs

  • Automatic BP cuff   $40-60
  • FUNDED and PURCHASED!

  • The GFI electrical outlets for the autoclaves    $100
  • FUNDED and PURCHASED!

  • Voltage transformer 220-110   $100-150
  • FUNDED AND PURCHASED

  • Hemocue test Strips   $168/100
  • FUNDED and PURCHASED!

  • Oxygen Concentrators   $500
  • FUNDED and PURCHASED!

  • Generator 4KW   $1,300
  • FUNDED and PURCHASED!

  • Industrial Washing Machines/Dryers  $2,000/ea
  • FUNDED and PURCHASED!

  • 4WD Vehicle for Community Outreach  $9,000
  • FUNDED and PURCHASED!

  • Vehicle for Ambulance  $9,000
  • FUNDED and PURCHASED!

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Our current washing machine. The clothes line works great as a dryer in dry season, not so well in rainy season.

Capital Improvements

PHASE I

Completion of Hospital Extension:

This will increase bed capacity to 46-50 beds (depending on configuration), giving us a men’s wing and women/children’s wing.  In the men’s wing we will have an 8 bed surgical ward and 8 bed medical ward as well as two semi-private rooms, 2 or 1 bed each.

In the women’s wing we will have an 8-10 bed post-surgical and post-natal ward, and an 8-10 bed medical/pediatric ward.  There will be two 2 bed semi-private rooms for infectious pediatric cases and 2 private to semi-private rooms for adult women (one to two women per room).

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One of the new wards waiting completion

That same ward, now completed and in use.

FUNDED AND COMPLETED

The operating theatre is not more than minimally functional due to lack of equipment and training of the staff.  By God’s grace a new functioning OR table, suction and cautery and a surgical headlight are on their way to Waterloo.  However, we are still using a desktop dental autoclave for sterilization.  And although the headlight is a temporary solution, we still need a good overhead light in the major theatre.  And we need cabinets for storage of supplies in the rooms.

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Operating with 2 of 5 working bulbs, and a goose neck light that does a great job lighting the back of my hand.

Our new giant autoclave being drug into the hospital.

NEEDS

  • Overhead lighting in major and minor theatre ($10,000)
  • Autoclave ($10,000)
  • Upgrade Electrical ($3,500)
  • Cabinets ($1,000)
  • Fix wall mounted cupboards ($500)
  • FUNDED AND COMPLETED

    Water  

    There is currently not reliable water to the hospital.  The hospital water supply comes from 3 wells, one has a solar pump.  Towards the end of dry season often the water table is low enough that it is not possible to pump water to the water tanks.  The hospital and some of the surrounding community then rely on the sole functioning well, with a hand pump to supply water.

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    Our one working well, with the hand pump.

    Pump and Installation                                                    PARTIALLY FUNDED

    Physical Therapy Building

    Physical therapy has quickly demonstrated its potential to be a source of income for the hospital as well as being a badly needed service for the community.  Currently PT is being done in the Palava Hut (a large gazebo).  With the onset of the rains they will need to move into one of the future women’s wards, but by April 2017 they will need their own building.

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    Physical Therapy in the Palava Hut

    It is proposed to use the slab on the north edge of the compound, just north of the palava hut currently being used.  There is easy vehicle access via the back entrance for outpatients.  We will need to put in drainage ditches as the building would be likely to flood without them.  The current slab may also need to be reinforced and extended.

    FUNDED AND COMPLETED

    LAB AND PHARMACY BUILDING

    We need a 24/7 climate controlled environment to store pharmaceuticals and lab reagents.  In addition, we need consistent refrigeration to make a blood bank possible. And, well, a pharmacy not in a closet, and an adequate sized lab, with the ability to do more tests.

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    The building that needs to be enlarged and remodeled into pharmacy and climate controlled storage.

    The plan is to remodel the building currently being used for HIV counseling, and doubling the size by building an addition to the west.  With the battery system as noted above we would be able to power the refrigeration needed to keep blood and pharmaceuticals fresh.

    FUNDED AND IN PROCESS

    WE ALSO HAVE FUNDING FOR 10 MONTHS OF A CERTIFIED LAB TECH FROM THE PHILIPPINES TO TRAIN ON OUR STAFF AND PURCHASE MORE LAB EQUIPMENT.

    HUMAN RESOURCE FUNDING

    To achieve the mission of a Seventh-day Adventist hospital means having Seventh-day Adventist staff as much as possible.  One way to ensure a supply of Sierra Leonean physicians, nurses, lab techs, and other staff is to help them with the education.  In exchange they sign a contract to work the for the Adventist Health System for 5-10 years depending on the amount of their scholarship. This model has been used effectively in other African countries.  The candidates are carefully screened to ensure that the money is being used to educate quality young people.

    Goal                                                                            $25,000

    INDIGENT CARE

    Patient Ward

    Patient Ward

    Every day we live our mission statement, to demonstrate the health care ministry of Jesus Christ. That means caring for everyone who comes to us, regardless of ability to pay. If they choose to seek care with us, we will care for them. However, that also means we have less money to purchase medications and supplies, and pay for fuel for the generator, and pay staff salaries. We do not get a regular subsidy from any organization so we rely on donations to help cover costs of indigent care. We need people who are willing to give on a regular basis to help with caring for the poorest of God’s children.

    $3,000/Month

    GUEST HOUSING

    We have a steady stream of volunteers from the US, Europe and around the world. We need more on campus guest housing. An addition to our current house has been built. It has two studio apartments that will hold up to 5 short term volunteers in each one.

    FUNDED AND COMPLETED

    CHAPEL

    The hospital church has been meeting across the street in a school room of the SDA Primary school. It is far enough away that patients, families and staff cannot attend easily. We have also outgrown our morning worship site in the Out Patient department. A Chapel is currently under construction next to the main building that will serve as our morning worship site and church. There is also an attached library and board room.

    MOSTLY FUNDED AND IN PROCESS

    INCINERATOR AND WASTE MANAGEMENT SYSTEM

    We have plans to construct an incinerator and waste management system to properly dispose of our medical waste, which will include a secure sharps pit. Currently we burn everything in a big ditch, not the best, but all we have.

    MOSTLY FUNDED STARTING FEBRUARY 2018

    WAREHOUSE

    Our current warehouse was constructed hastily in Ebola times. It is made of wood and canvas tarp and is literally falling down due to termite damage. We have 3 40 foot containers that will be moved in place on a cement slab and then closed in and roofed over with metal trusses.

    FUNDED AND STARTING JANUARY 2018

    WALL AROUND THE HOSPITAL COMPOUND

    Theft and break-ins are common here, and with a complex that has multiple buildings it is almost impossible to guard adequately at night. All compounds here are walled. We have a partial chain link fence but that is falling down. We are exposed and often hospital property is stolen. Our next major initiative to fund is to build a solid wall around the compound.

    NEEDED $75,000-100,000 USD

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