Health & Nutrition

Sharing abundant life

SCHOOL BREAKFAST

There is an alarming high rate of malnutrition in DR Congo. Fourty three percent of children under the age of 5 are chronically malnourished. This is due to lack of food, lack of security, and a high unemployment rate resulting in poverty. Sixty nine percent of the population lives on less than US$1.90 per day (USAID).

Statistics confirm that malnourished children perform at a lower level in school than children who have three balanced meals a day. Malnutrition also affects the emotional health and the immune system; there is a higher rate of depression and children get sick more easily and heal more slowly. The risk of dying from malaria, HIV and tuberculosis is higher.

In the village where our school is located, almost all the children only eat once a day. Because of poverty, sometimes there is no food at all. It is custom to eat that one meal around 4 pm. So the children come to school without breakfast and they don’t have lunch. In school it was noticed that the children were not able to pay attention and sometimes a child fainted. As you can imagine it is really hard to study with a hungry stomach!

We believe that food is a basic human right. Therefore, in January 2018 we started the School Breakfast Program serving a breakfast twice a week. We have built a kitchen and have bought cups and spoons for all the children. Before school starts the children receive a breakfast porridge made of corn flower, soy flower, sorghum, and sugar. Our vision is to further decrease malnutrition rate by offering school breakfast to the children six days a week. This means all the days they go to school. In addition, we want take care for families that go hungry, one family at a time.

Roland Bahozi – 2013

CLINIQUE UZIMA TELE

The vision of our medical clinic is to provide available care for the entire population, including the poorest of the poor, the homeless and patients of every race and religion. Currently, we have space for outpatient care, inpatient care and deliveries. We have a dream to continue to grow and also offer surgical procedures, including cesarean sections.

The location

The clinic is located in the Bujovu district of the city of Goma in eastern D.R. Congo. The Bujovu district is an area close to the border of Rwanda and next to the Goma International Airport.

In recent years the city of Goma has expanded toward this area, many people have bought land and built on it. In the beginning there were mostly simple huts, but over time more and more houses made of stone.
There are several small medical posts in the area. The city’s general hospital is about a 30-minute drive from the area. However, the vast majority of people do not have access to medical care because of lack of finances and because they do not have transportation to the hospital. For the Congolese population in general, 70% have little or no access to health care. One in 10 children dies before reaching the age of 5.

Plans for the building

We will eventually build a 3-story building. With on the first floor at the entrance, a desk for registration and scheduling, a room for triage of patients and two doctors’ consulting rooms. In addition, a pharmacy and laboratory and a room for financial administration. On the first floor there will also be a special room for conferences, training in community health ect.

There will be a wheelchair ramp to the second floor, the south wing of the second floor will become the surgical wing with an operating room, a recovery room, a room for sterilization and a changing room for the medical staff. This room is separated from the rest of the floor by doors for hygienic reasons. The north wing will have two delivery rooms, a neonatology ward and three rooms for inpatient care and a toilet block.

On the top floor are three more admission rooms, a kitchen and a rest room for medical staff. There is a library and archive space. And in the south wing there are three offices; for the director, hospital administration and stewardship. In an annex there will be three rooms for radiological examination, an ultrasound room, an X-ray room and a scanner.

Current situation

In August 2024, we started providing medical care. We bought land in recent years and built a wall around it. On this, the outhouse was built! We also built a toilet building, placenta pit and waste disposal furnace. We dug a septic tank and installed a water tank.

With that, everything is in place and we have started providing basic medical care in a small setup. The annex will later serve as a radiology department. In the current start-up phase, this small building serves as an outpatient clinic, a delivery room and an inpatient room.

Timetable

While we have started with basic medical care in the building that is now ready we will continue with the working out the other plans, raising funds and then building the main building.

Starting this way gives us the opportunity to see patients in a small setting and grow over time. We can explore patients’ needs and make connections in the neighborhood.

The first step is to set up the clinic. After this, we can start providing medical care.

The budget

Currently, the clinic is open for basic medical care. We are looking for people, organizations and companies who would like to get involved to bear the monthly cost of salaries, medication, laboratory resources. In addition, we would like to expand the laboratory and purchase more medical equipment to provide more advanced care.

A next step is to expand admission capacity, since the demand for care is already greater than what we can offer.

The first year

The following (medical) personnel are currently working in our clinic:

Twee algemene artsen: generalisten, in Nederland bekend als tropenarts, dit is een arts die patiënten van alle leeftijdsgroepen kan behandelen en zowel kennis van interne geneeskunde heeft alsmede chirurgische kennis.
Vier verpleegkundigen nodig, voor de verpleegkundige zorg en de triage. We zijn op dit moment gestart met twee verpleegkundigen.
Iemand verantwoordelijk voor de schoonmaak en hygiëne.
Een laboratorium medewerker.
Twee beveiligers om het gebouw, de inventaris en de mensen te beveiligen, wat helaas onmisbaar is in de huidige situatie.

Fundraising and anticipated costs

Funds have yet to be raised for the first year’s personnel costs. Initially 2 doctors will be hired, 4 nurses, 1 laboratory worker, 1 cleaner and 2 guards. The total personnel cost for this is €31,200 for the first year.
There is currently something to start, but not yet enough to run for a year.

Below is an overview of the costs:

Doctor

2

€1.200

€14.400

Nurse

4

€800

€9.600

Lab employee

1

€200

€2.400

Cleaner

1

€100

€1.200

Guard

2

€300

€3.600

Total Staff

10

€2.600

€31.200

Personnel wage costs

€31.200

Other costs:
Electricity, water, internet, care materials, medication, lab materials, etc.

€40.500

Total

€71.700

To cover all costs, we are still raising funds in abundance.

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