The Price of Stones: Medicine/Health/Healthcare

Introduction

            p. 3 – The hospital in Kambuga only had power because it used diesel generators.

–         The Jackson project has become a bright light for the village children who have lost parents to this killer disease.

Chapter 1

p. 5 – It was in 1989 and so many people suffered from very little if any lack of health care.

Chapter 2

p. 11 – Jackson attended a seminar where the United Nations Universal Declararation of Human Rights.  “Everyone has the right to a standard of living adequate for the health and well being of himself and of his family, including food, clothing and medical care and necessary social services.

p. 12 – The poor and families saw health care and well being as luxuries not rights.

Chapter 3

            No examples given.

Chapter 4

            No examples given.

Chapter 5

p. 36 – Jackson hurt his leg and needed a doctor and a hospital, but both were very far away.

p. 37 – Jackson didn’t think that he would live because he was bleeding so badly and the hospital was so far away.

p. 38 – The Kambuga hospital was found along the road to Rukungiri.

p. 39 – Taata questioned the fact that there wasn’t a doctor, “What sort of hospital is this?”

            – Taata had to hold Jackson down in order for the nurse to clean the wound

            – The doctor would be in the next day to clean and sew the wound.

            – Jackson’s would was bad enough that he needed surgery.

p. 40 – Taata was very upset that the carried his son all the way there and then had to wait till the next day for treatment.

–         The nurse applied a new bandage which caused a lot of pain.

–         Jackson received penicillin shots and was taken to surgery.  They did use anesthesia but still ever piece of sliver and then stitches could be felt.

p. 41 – each day after that the doctor had to re open the wound to drain puss and trim dying tissue.  Jackson worried that the doctor hadn’t removed all the splinters that would continue to get infected and he might die.

Chapter 6

p. 50 – No drugs were available for the HIV disease.  Children filled the hospitals as they and their parents died from this disease.

  1. 51 – Berodnda said firmly that the children need healthcare.

 

Chapter 7

–         no examples given

Chapter 8

–         No examples given.

Chapter 9

–         No examples given.

Chapter 10

–         No examples given.

Chapter 11

–         No examples given.

Chapter 12

p. 96 – Matrinda, one of the children’s grandmothers, was pleased and thankful because her grandchildren would receive all that they need including a nurse to watch over their health.

p. 98 – Another child whose parents died now relieved visiting nurse.

Chapter 13

            -No examples given.

Chapter 14

–         No examples given.

Chapter 15

–         No examples given.

Chapter 16

p. 123- Sempa’s first born was not infected but he, his wife and later 2 children were.  They believe it was from unsafe medical procedures because equipment sterilization was not adequate.  This passed HIV virus from women to women during C-sections.  Kampala had access to anti aids drugs but people couldn’t afford them over long periods of time.

p. 124- Sempa is hoping there will be enough grant money for a health care center.  Jackson was happy to have hired a nurse to visit two times per week.  They are hoping to raise enough money to hire the nurse full time.  This could help educate families with disease prevention.

  1. 125- Lake Victoria had a ministry of health building.
    1. The nurse had to help a young mother deliver the placenta after two days after birth.  She had to make due.

 

p. 125- Gloria tends to the children and pregnant women have to wait outside.  Jackson said they don’t have facilities to birth babies.

Chapter 17

  1. 132- A man that needed medical care was put into a jail cell till the next day.  His wounds had to wait.

 

Chapter 18

            p. 137- Scovia was born with HIV, but without available testing no one knew.

–         The food, love and care helped her improve health wise but then caught malaria with took her health downward and then she started to develop Kaposi’s sarcoma and then it was known of her HIV.  In that district there was no treatment for her.

Chapter 19

p. 147- Ben was pulled under water and the kids knew he wasn’t breathing.  They needed a doctor.  It was up to them to save their friend.

Chapter 20

            p. 157- Scovia went to the hospital.

Chapter 21

p. 159- Sempa said, “Either we must build a health care center or find a way to get people to the hospital.”  They needed a van.

p. 164- The ABCD program had been successful in lowering infection rates from around 30% to 6.1% by the late 1990s.  There was full presidential support and he backed the program.  More condoms were available.  Pamphlets were available that contained information to save lives.

p. 167- Needed supplies were needed for science classes and because of this problem people weren’t surprised that there were a lack of doctors and other health care professionals.

Chapter 22

p. 170- Identifying who has the HIV virus plays a huge role in the prevention of AIDS.

p. 170- At this point we can only treat students who showed signs of slim.  For the poor, this is a death sentence.  The only way most people can afford the medication was to sell their land and possessions in order to be able to purchase the medicine but when the money ran out, the people died.

Chapter 23

p. 176- Kambuga Hospital occupied more than twenty acres on a wooded hillside.  Four wards, designated for men, women, children and maternity, held about twenty-four beds each.  All were constantly busy, but the mortuary house a separate building near the maternity ward, saw more traffic than any. 

–         The district the hospital served had not seen so much death since the Amin regime, when the district administrators commandeered part of my grandparents’ land to bury unclaimed bodies.

–         The hospital would have been even busier, but for the fees.  When I was taken there as a boy, treatment was free, buy now a co-payment of eighthly cents per visit was required.  In this district, that was more than many could afford.  Scovia’s mukaaka had probably sold a precious chicken or goat to pay for her granddaughters transport and stay in the hospital.

p. 177- Old and sick people while waiting to be seen at the hospital had to wait on cement benches.

–         Nyaka donated medical equipment to the hospital the previous year.  The hospital even lacked electricity with the surgical suites relying on gas-powered generators. Everyone knew of someone who had died at the hospital during an electrical outage in the middle of surgery or for want of equipment and supplies.

–         Funds were so low that potent smells of unwashed bedding and overloaded toilets in the children’s ward.  Most children were packed into the ward with tuberculoses or malaria.

p. 178- Wards were filled with wall-to-wall patients.  Some were on beds but others had to sleep on mats on the floor.  The women’s ward was the most unclean.  Women patients had to rely on relatives to change sheets, empty bedpans and wash the sickest among them.

p. 179- Scovia laid a mat on the floor with a single yellow blanket.

Chapter 24

p. 181- Stephano’s first wife was taken to Ishaka Adventist Hospital in Bushenyi District because of bleeding problems following the birth of her last child.  He was so humbled by the Adventist’s hospitality and spiritual healing methods that he accepted Christ as his personal savior.

Chapter 25

–         No examples given

Chapter 26

            p. 199- Plans to change the part-time nurse to full-time.

–         Because of no birth control or family planning which helped the population growth before the AIDS crisis, land for agriculture was scare.  There were also few working-age adults to till the land. 

p. 200- Jackson wanted to make Nyaka self-supporting.  This would offer health care to the community.  Doctors usually left Uganda once they were trained.  This helps to make health care always a problem.  Better infrastructure and more advertising is what is needed to attract more educated people to the Kanungu District.

p. 201- video tapes were made to help with the campaign to show the district that they are making strides.  They want to pull in more tourists to visit.

p. 202- Clean water will do more for the health of the people than anything else.

Chapter 27

–         No examples given.

Chapter 28

p. 216- The children being taught at the school are now wanting professions like medical doctor.  They want to build hospitals and train nurses so that everyone in the village can receive care.

p. 217- The children want people to stop dying.  They want to end AIDS.

Chapter 29

p. 225- When the children visited different places in the city they were most amazed with the very large hospital with the many sick people.

Chapter 30

p. 233- After Scovia’s death, people were upset that children were dying under these conditions of slim.  “A third of untreated pregnant women infected with HIV pass the infection on to their babies.  Neverapine reduces the transmission of HIV from mother to child to 1%.  Most mothers couldn’t afford this dollar a day med.

p. 233- Patients were commonly carried to and from hospitals by stretcher as well but one could tell a death march as it approached.

p. 236- Everyday in Uganda 1400 mothers pass HIV on to their newborns.

Chapter 31

–         Many grandmothers had to take on care of their grandchildren because parents were dying of AIDS.

Chapter 32

p. 251- One of the students of the school would like to be the school’s van driver transporting sick people and students.

p. 258- We need more money for more schools in more villages, and better health care.

 

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