Yayawatta Real Medicine Clinic, Tangalle, Sri Lanka
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1 Yayawatta Real Medicine Clinic, Tangalle, Sri Lanka Date: May 17, 2016 Prepared by: Stephney Minerva Fernando I. Demographic Information 1. City & Province: Tangalle, Southern Province, Sri Lanka 2. Organization: Real Medicine Foundation, Sri Lanka ( 3. Project Title: Yayawatta Health Clinic 4. Reporting Period: January 1, 2016 March 31, Project Location (region & city/town/village): Seenimodera, Yayawatta, Tangalle, Sri Lanka 6. Target Population: 94 tsunami-affected families and the surrounding communities of 4 villages: a population of 4,000. II. Project Information 7. Project Goal: Provide medical care to tsunami-affected families and the less privileged to help build a healthy community. 8. Project Objectives: 1. Support the community with free, high quality healthcare services 2. Help to create a healthy community, especially amongst the younger generation 9. Summary of RMF-sponsored activities carried out during the reporting period under project objective (note any changes from original plans): The clinic was open 10 days each month to provide free healthcare services to the community of Yayawatta and Seenimodera in Tangalle, Sri Lanka, and the surrounding villages and communities of Palapotha, Kadurupokuna, and Seenimodera. 10. Results and/or accomplishments achieved during this reporting period: RMF s Real Medicine Clinic was open for 10 days each month. During the first quarter of 2016, we saw an average of 22 patients per day, treating a total of 654 patients. JANUARY patients, 106 male and 114 female, were treated at Real Medicine Clinic in January. o 25% of the patients were treated for a fever and respiratory tract infection, o 25% were treated for joint pain, o 20% were surgical cases, o 10% of the patients were treated for ischemic heart disease, o 10% were treated for skin diseases, and o 10% were treated for hypertension. There were 138 direct beneficiaries, and the most common illness was a respiratory tract infection with fever. 22 indirect beneficiaries were treated for fever and respiratory tract infections. The direct and indirect beneficiaries were treated for 6 types of diseases, and a total of 82 patients were indirect beneficiaries. FEBRUARY patients, 99 male and 117 female, were treated at the Real Medicine Clinic Yayawatta in 1
2 February. o 35% of the patients were treated for viral fever, o 20% were treated for rheumatoid arthritis, o 15% were treated for ischemic heart disease, o 15% were treated for hypertension, o 10% (especially children) were treated for worm infestation, and o 5% were treated for skin diseases. The number of direct beneficiaries was 141. The number of indirect beneficiaries was 75, and they came from Palapotha, Kadurupokuna, and Seenimodera to receive treatment at the Real Medicine Clinic. This free health clinic is entirely a gift from Real Medicine Foundation, which has a heart to help our communities that suffer from the tsunami s destruction and from poverty. MARCH patients were treated at Real Medicine Clinic in March. o 25% of the patients were treated for viral fever, o 15% were treated for osteoarthritis, o 15% were treated for gastritis, o 15% were treated for ischemic heart disease, o 15% were treated for hypertension, and o 15% were treated for skin diseases. There were 139 direct beneficiaries from Yayawattwa who received treatment, and 79 indirect beneficiaries obtained medication. Direct and indirect beneficiaries were treated for 6 types of diseases. 20 of the indirect beneficiaries were treated for viral fever. They came from Palapotha, Kadurupokuna, and Seenimodera. A total of 79 patients came to the Real Medicine Clinic from these surrounding villages. 11. Impact this project has on the community (who is benefiting and how): This project benefits 2 categories of patients: 1. Community members in Yayawatta, who lost their livelihoods and loved ones in the tsunami 2. Lower income families that live in the villages and communities surrounding Yayawatta 12. Number served/number of direct project beneficiaries (for example, average number treated per day or month and if possible, per health condition). A total of 654 patients were treated at the Real Medicine Clinic during this reporting period. 13. Number of indirect project beneficiaries (geographic coverage): Approximately 4,000 people 14. If applicable, please list the medical services provided: The Real Medicine Clinic was open 10 days each month, from 7:00 AM to 11:00 AM. JANUARY 2016 The most common diseases treated at the clinic in January 2016: 1. Fever and Respiratory Tract Infection 2. Joint Pain 3. Surgical Cases 4. Hypertension 5. Ischemic Heart Disease 6. Skin Diseases! Family Planning Program 5 mothers received oral contraceptive treatment for the month of January. 2
3 FEBRUARY 2016 The most common diseases treated at the clinic in February 2016: 1. Viral Fever 2. Rheumatoid Arthritis 3. Ischemic Heart Disease 4. Hypertension 5. Worm Infestation 6. Skin Diseases! Family Planning Program 5 mothers received oral contraceptive treatment for the month of February. MARCH 2016 The most common diseases treated at the clinic in March 2016: 1. Viral Fever 2. Osteoarthritis 3. Gastritis 4. Ischemic Heart Disease 5. Hypertension 6. Skin Diseases! Family Planning Program 6 mothers received oral contraceptive treatment for the month of March. 15. Please list the five most common health problems observed within your region. Respiratory Tract Infections Arthritis Gastrointestinal Tract Infections Heart Disease Skin Diseases 16. Notable project challenges and obstacles: N/A 17. If applicable, plans for next reporting period: Continue clinic operations, and continue reporting clinic attendance, disease prevalence, and family planning utilization for the second quarter of 2016, April June. 18. If applicable, summary of RMF-sponsored medical supply distribution and use: Monthly lists of medicine are attached in Appendix C. 19. Success story(s) highlighting project impact: JANUARY and FEBRUARY 2016 MR. CHANDRASIRI is a 62-year-old man, and the father of one of Real Medicine Clinic s direct beneficiaries. His daughter lives in Yayawatta. Mr. Chandrasiri came to the Real Medicine Clinic with a very high fever, a cough, and a severe cold. When he arrived at our clinic, Mr. Chandrasiri looked very ill and was complaining of chest pain. We examined him thoroughly and found that there was less air entry in the right side of his chest. We discussed the seriousness of his condition with his daughter and referred Mr. Chandrasiri to the Base Hospital in Tangalle. X-rays clearly showed that Mr. Chandrasiri s right lung was most affected, and medical consultants at the hospital diagnosed him with pneumonia. Mr. Chandrasiri has been admitted to the hospital, where he is undergoing treatment and is recovering. MARCH
4 Please see Appendix A for more photos showcasing stories from the Real Medicine Clinic in Yayawatta and Seenimodera in Tangalle, Sri Lanka. III. Financial Information 21. Detailed summary of expenditures within each budget category as presented in your funded proposal (file attachment is fine). Please note any changes from plans. Monthly expenditures of the Real Medicine Clinic in January, February, and March 2016 are attached with this report. Appendix A: Project Photos Real Medicine Clinic staff members carefuly dispense medicine These young boys enjoy visiting the clinic A mother brings her 3 children to the Real Medicine Clinic; many children had a fever and cough 4
5 Fever and cough were very common Patients with their files 62-year-old Mr. Chandrasiri arrived at the clinic in very poor health 5
6 Real Medicine Clinic s staff hard at work Patients medical histories are recorded in their files Place Year Month Patients Male Female Percentage Real Medicine Clinic 2016 JANUARY FEBRUARY MARCH TOTAL A future generation s health is improved at the Real Medicine Clinic Beneficiaries Appendix B: Morbidity Report 6
7 Direct Beneficiaries Village Year Month Patients Male Female Average Yayawatta 2016 JANUARY FEBRUARY MARCH TOTAL Indirect Beneficiaries Villages Year Month Patients Male Female Average Palapotha 2016 JANUARY Seenimodera FEBRUARY Kadurupokuna MARCH TOTAL Disease Chart of the Real Medicine Clinic in Yayawatta, Tangalle, Sri Lanka JANUARY MARCH 2016 JANUARY 2016 Disease Type PERCENTAGE PATIENTS MALE FEMALE 1. Fever and Cough 25% Joint Pain 25% Surgical Cases 20% Hypertension 10% Ischemic Heart Disease 10% Skin Diseases 10% TOTAL FEBRUARY 2016 Disease Type PERCENTAGE PATIENTS MALE FEMALE 1. Viral Fever 35% Rheumatoid Arthritis 20% Ischemic Heart Diseases 15% Hypertension 15% Worm Infestation 10% Skin Diseases 5% TOTAL MARCH 2016 Disease Type PERCENTAGE PATIENTS MALE FEMALE 1. Viral Fever 25% Osteoarthritis 15% Gastritis 15% Ischemic Heart Disease 15% Hypertension 15% Skin Diseases 15% TOTAL Total Patients Per Village Village JANUARY FEBRUARY MARCH Total Yayawatta Palapotha Kadurupokuna Seenimodera Total
8 Total Patient Numbers by Age & Gender Age JANUARY FEBRUARY MARCH Total Male Female TOTAL Appendix C: Medicine Expenditures for the Real Medicine Clinic January March 2016 JANUARY 2016 NAME QUANTITY COST CAPSULES & TABLETS 1. Diazepam (0.2 mg) 200 Rs.60/= 2. Deriphyllin (300 mg) 300 Rs.750/= 3. Diclofenac (50 mg) 300 Rs.300/= 4. Dexamethasone (0.5 mg) 1,000 Rs.530/= 5. Erythromycin (500 mg) 300 Rs.7,800/= 6. Famotidine (20 mg) 300 Rs.300/= 7. Flagyl (Metronidazole 400 mg) 300 Rs.2,774/= 8. Cephalexin (125 mg) 300 Rs.2,100/= 9. Hydroco Thiazide (HCT) 200 Rs.150/= 10. Multivitamin (500 mgs.) 500 Rs.300/= 11. Mebendazole (WORMIN -500) 30 Rs.1,200/= 12. Omeprazole (20 mg) 300 Rs.1,360/= 13. Piriton (4 mg) 1,000 Rs.900/= 14. Paracetamol 1,000 Rs.670/= 15. Prednisolone 300 Rs.300/= 16. Pyrantin (125 mg) 300 Rs.2,400/= 17. Salbutamol (2 mg) 1,000 Rs.241/= 18. Vitamin B Compound 1,000 Rs.403/= 19. Augmentin (375 mg) 30 Rs.1,440/= 20. Atorvastatin (20 mg) 200 Rs.1,300/= SYRUP 1. Pancof (Adult) 6 Bottles Rs.792/= 2. Derripyilline 6 Bottles Rs.720/= 3. Pancof (Junior) 6 Bottles Rs.642/= 4. Mumfer 6 Bottles Rs.2,040/= 5. Belcid 6 Bottles Rs.1,187/= OINMENT & CREAM 1. Betnovate 6 Tubes Rs.1,560/= 2. Jonac Gel 6 Tubes Rs.534/= 3. Chloramphenicol 6 Bottles Rs.210/= 4. Mycoral 6 Tubes Rs.1,020/= 5. Soframycin 6 Tubes Rs.576/= INJECTIONS & OTHERS 1. Mithuri 6 Packets Rs.600/= TOTAL (PAID) Rs.35,359/= FEBRUARY 2016 NAME QUANTITY COST CAPSULES & TABLETS 1. Amoxicillin (250 mg) 300 Rs.900/= 2. Cloxacillin (500mg) 300 Rs.1,800/= 3. Brufen (200 mg) 300 Rs.519/= 4. Dexamethasone (0.5 mg) 1,000 Rs.530/= 5. Ciprofloxacin (500 mg) 300 Rs.2,590/= 6. Cephalexin (250 mg) 300 Rs.4,500/= 7. Digene 300 Rs.1,080/= 8. Dulcolax (5 mg) 300 Rs.1,050/= 9. Emito (Domperidone) 300 Rs.555/= 10. Mebendazole (100 mg) 300 Rs.600/= 11. Mebendazole (WORMIN -500) 30 Rs.1,200/= 12. Pyrentin (125 mg) 300 Rs.2,400/= 8
9 13. Glycoside (80 mg) 200 Rs.400/= 14. Mefenamic Acid 300 Rs.2,850/= 15. Zinnat (500 mg) 30 Rs.2,175/= SYRUP 1. Amoxicillin 6 Bottles Rs.1,620/= 2. Deriphyllin 6 Bottles Rs.720/= 3. Amino Plus 6 Bottles Rs.2,760/= 4. Becadex 6 Bottles Rs.1,350/= 5. FerroVite 6 Bottles Rs.1,080/= 6. Dometic 6 Bottles Rs.1,560/= 7. Cephalexin 6 Bottles Rs.1,000/= 8. Erythromycin 6 Bottles Rs.2,340/= 9. Salbutamol 750 ml Rs.290/= 10. Piriton 750 ml Rs.290/= 11. Paracetamol 750 ml Rs.325/= OINMENT & CREAM 1. Betadine 500 ml Rs.382/= 2. Betnovate 6 Tubes Rs.1,560/= 3. Jonac Gel 6 Tubes Rs.534/= 4. Cipralex 6 Bottles Rs.510/= 5. Mycoral 6 Tubes Rs1,.020/= INJECTIONS & OTHERS 1. Mithuri 6 Packets Rs.600/= TOTAL (PAID) Rs.41,050/= MARCH 2016 NAME QUANTITY COST CAPSULES & TABLETS 1. Vitamin A & D 500 Rs.460/= 2. Buscopan 300 Rs.3,150/= 3. Mebendazole (100 mg) 300 Rs.600/= 4. Dexamethasone (0.5 mg) 1,000 Rs.530/= 5. Augmentin (375 mg) 30 Rs.1,440/= 6. Cephalexin (125 mg) 300 Rs.2,100/= 7. Atorvastatin (20 mg) 200 Rs.1,300/= 8. Orron 300 Rs.300/= 9. Calcium Lactate 300 Rs.175/= 10. Deriphyllin (300 mgs.) 300 Rs.800/= 11. Erythromycin (500 mg) 300 Rs,7,800/= 12. Famotidine (20 mgs.) 300 Rs.600/= 13. Flagyl (Metronidazole 400 mg) 300 Rs.2,774/= 14. Iron (Ferrous Sulfate) 200 Rs.225/= 15. Multivitamin (500 mg) 500 Rs.300/= 16. Omeprazole (20 mg) 300 Rs.1,360/= 17. Paracetamol 1,000 Rs.670/= 18. Vitamin C (Ascorbic Acid) 1,000 Rs. 860/= 19. Daonil 500 Rs. 1,575/= SYRUP 1. Amoxicillin 6 Bottles Rs.1,620/= 2. Deriphyllin 6 Bottles Rs.720/= 3. Pancof (Junior) 6 Bottles Rs.642/= 4. Pancof (Adult) 6 Bottles Rs.792/= 5. Belcid 6 Bottles Rs.1,187/= 6. Phenergan 500 ml Rs.450/= OINMENT & CREAM 1. Soframycin 6 Tubes Rs.576/= 2. Betnovate-N 6 Tubes Rs.1,560/= 3. Jonac Gel 6 Tubes Rs.574/= 4. Mycoral 6 Tubes Rs.1,020/= INJECTIONS & OTHERS 1. Mithuri 6 Packets Rs.600/= TOTAL (NOT PAID) Rs.36,760/= JANUARY FEBRUARY MARCH Total Clinic Staff Payments Rs.54,788/= Rs.54,788/= Rs.54,788/= Rs.164,364/= Medicine Rs.35,359/= Rs.41,050/= Rs.36,760/= Rs. 103,169/= Other Expenses Rs.3,050/= Rs.2.205/= Rs.3,865/= Rs.9,120/= 9
10 Photocopy, Internet Rs.1,593/= Rs.1,745/= Rs.1,058/= Rs.4,396/= Total Rs.94,790/= Rs.99,788/= Rs96,471/= Rs.28 1,049/= 10
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