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The construction of the place for clinical practice
The space for the clinical practice will have an extension of 11 m2. Likely, it will provide daily service for 300 people including men, women and children from the Sam Sam neighborhood. Having the support of the State and local authorities, the dispensary will provide 5 days of consulting per week to treat the most prevalent diseases within the population: malaria, respiratory and dermatology infectious diseases, diarrhea and malnutrition. We plan to computerize the medical records and this will increase the safety of the patients. We will work together with physicians and patient groups. The dispensary can provide health care services to more than 300 people a day, who currently have no access to any type of health network. We need a good planning foundation.
Construction of the clinic treatment room
A treatment room of 11 m2, will be located next to the room dedicated for clinical practice. The building needs a strong foundation. The treatment room will held nursing services to treat wounds, burns and infections. It will also serve for small surgical interventions such as drainages and injury excisions, otic washes and vaccinations. Undoubtedly, it is the most important room of the clinic, with an influx of about 200 patients a day and where treatments will be done sometimes without analgesia and antisepsis, something to which we are used to in the first World. This particular issue is the one we want to work harder and train professionals. The treatment room is a multifunctional space where the nurses will mainly perform the cures. It is therefore a major place that will provide quality treatment of serious burns, wounds and infectious skin lesions, which are common in Senegal, and affect many people’s lives. The aseptic conditions in this room will be critical. We want to emphasize that the implementation of aseptic practices will bring many benefits to the population in preventing sequelae from for example, an infected limb wound. We want to reach with special interest to nursing schools, care nursing and nurse educators.
Construction of the hospitalization and treatment area of the clinic
The clinic hospitalization and treatment room will have an area of 35 m2, including one full bathroom with toilet, sink and shower, as well as an outdoor steam room for all patients and visitors. Bathrooms will flow into a septic tank located at the western end of the clinic grounds. A good foundation is necessary. Approximately 100 patients will come to this room. The treatment room is a multifunctional space it will be used to perform transfusions as well as infusions of malaria treatments. Patients with fever, diarrhea or convulsions will come to the treatment room and check in. We will work towards its funding from the general population, health administration and patient associations.
Construction of the maternity department and women's hospitalization
The maternity room of the dispensary will have an extension of 52 m2, including a full bathroom with toilet, sink and shower, as well as an outdoor steam bath room for all patients and visitors. Bathrooms flow into a septic tank located at the western end of the clinic grounds. In Senegal, it is required by law and to ensure the survival of both mother and baby that women come to monitor their pregnancy and to give birth to the clinic. In Sam Sam this is not possible because for a whole population of 10,000 there is no place to carry out this right for women: “to receive quality care and live their motherhood without putting the mother’s life in danger”. The maternity room is the most important room in the clinic and is the reason why Sister Regina has been working all these years. She has seen how after putting the efforts to educate the young girls, as she calls them, they die during childbirth. The maternity room is the largest room and it is also the delivery room. The midwife will be there as well as, women will come for both the dilation of birth and the postpartum. This room will be able to hold up to 20 births per week and we specially intend to work for getting the salaries of midwives and gynecologists. A good foundation is necessary.
Construction of the pharmacy dispensary
The pharmacy and storage are two adjacent rooms, each of approximately 12 m2. They will be used for the storage and the sale of medicines, but also for the production of medicines, conducting laboratory tests (e.g. diagnosis of malaria, pregnancy ...), preparation of surgical materials, etc ...). In Senegal, patients have to pay for consultations and for each of the resources used in diagnosis and treatment (gauze, bandages ...). In general and to reduce the cost, the clinic will buy wholesale. The laboratory rooms and the warehouse will hold the functions of storage and community pharmacy. Every day there will be more than 500 people stopping by the pharmacy. We especially want to involve pharmacists and pharmacy schools. A good foundation is necessary.
|Totale||€ 7.000||€ 21.000|
On the outskirts of Dakar is a cesspool called Sam Sam neighborhood, in the district of Pikinie, where 10,000 people live in precarious conditions. Sam Sam is under sea level, in an area where the ground water is just a few meters from the surface. In rainy seasons Sam Sam becomes a morass of garbage and overflowing septic tanks.
Due to the lack of sanitary conditions in Sam Sam, life expectancy is about 60 years. In addition, there is not a single medical unit where to go in the area. There is neither a decent delivery room, so maternal mortality during childbirth is extremely high. This is a health indicator with disastrous consequences. We aim to improve this situation with our current project, among others.
Our goal is to build successive phases of funding, a dispensary equipped with doctor’s offices to take care of children, women and elderly, and a room dedicated to childbirth and for treating patients. The dispensary will also have a pharmacy and a laboratory to prepare and dispense first need medicines and to perform diagnostic tests, as well as a treatment room for primary care patients. Altogether, we will be able to provide health care to the people in this poor neighborhood, and importantly we will promote health education. The dispensary will also be a place to carry out community health activities (such as childbirth preparation classes, perinatal care, family planning ...). The construction of the dispensary will allow providing 120,000 primary health care services per year.
Sam Sam is under sea level, in a region where ground water levels lies a few meters from the surface. For this reason the cost to build the dispensary is high. A good percentage of the total budget will be used for the foundation of the building. The first phase of the financial planning and funding will be dedicated to build a strong and durable foundation for the center.
The dispensary will be equipped with waterproofed septic tanks, what will prevent water overflow during the rainy season. Also, thanks to our contacts in the region, a local construction company with outstanding credentials will carry out the project. This will ensure using high quality materials that are key for the success and durability of the project.
Our local contact is Sister Regina, whom we had personally met in November 2015. Sister Regina is strong woman who has lived for 10 years in the neighborhood and has been over 40 years in Africa. She is the Director of the Women’s Center. More than 10 years ago and thanks to her commitment and hard work she managed to get a nearby ground where the dispensary will be built. Sister Regina is our counterpart and will monitor and manage the funds that will be allocated to the construction of the dispensary. Her integrity and honesty are beyond doubt and that's why our NGO believes that the project is feasible and will take place in relatively short time. Sister Regina and us have written commitment from both local and State authorities to provide the material as well as the human resources needed for the dispensary. This written commitment guarantees the continuity of the next phases of the project in the long term. You can see more about Sister Regina’s work on the following links:
We are a committed association; we have trusted local contacts in the neighborhood. We also have support from State and local authorities and they assure that our project will be successful. A contribution of only 1 € will allow us to serve 4 people.
Now all we need is your help, without your help such a big Project wont be possible. Do you want to help us?
Descrizione del progetto. Caratteristiche, punti di forza e peculiarità.
Our goal is to build from a swale ground awarded by the local Goverment, a Health Center. The Health Center will have doctor’s offices to attend children, women and elderly; a maternity room and a treatment room for patients. The Center will have bathrooms, a pharmacy and a laboratory to develop and provide medicines and for diagnostic tests; it will also have a treatment room for primary health care. Each room will have windows to the outside for ventilation and natural light. Similarly, the treatment and maternity rooms will have inside and outside WCs for the use of visitors and other patients. This will allow minimizing the costs of the septic tank in that part of the building. The septic tank will be waterproofed what will prevent the entry and overflow of water during the rainy season. The construction of the Health Center, will allow providing 120,000 health care services in 1 single year. In addition of providing primary health care to people in this poor neighborhood, the center also will be a place to carry out community health activities (such as childbirth preparation classes, perinatal care, family planning, hygiene promotion ...).
Motivazione e a chi si dirige il progetto
We arrived in Dakar in November of 2015 and met other volunteers, NGOs and missionaries who told us about Sister Regina. They gave us her contact information and when we called her she said, "There is so much to do in this place". We did no hesitate and went personally meet her, and to know the neighborhood where she lived.
She spoke enthusiastically of her project, a clinical dispensary for the neighborhoods of Sam Sam. We caught her enthusiasm and optimism, her strength and perseverance, trust and professionalism, and her confidence and seriousness towards her goals.
The project is aimed for everybody in Sam Sam (approximately 10,000 people), its neighborhood as well as other nearby neighborhoods within the region of Pikine (approximately a total of 100,000 people), whose health is below the WHO minimum recommended basic levels. Therefore they cannot enjoy a dignified and fulfilling life that will allow them developing normal daily activities. For this reason, we aim to build a Health Center that provides assistance to some 12,000 people.
The project consists of:
• The construction of a Health Center for health care.
• The training of professionals who will work in the center.
• The official opening of the facility and the commission of the services.
• Annual monitoring of the progress of the clinic, and working closely with local professionals.
The creation of a Health Center in the neighborhood of Sam Sam is highly important if we take into account the following:
a) The people will be closer to Health Services.
b) The Sam Sam Health Center will become a reference structure for all the districts in Pikine.
Local and National authorities provide the necessary equipment, furniture and staff to run the center.
Obiettivi della campagna di crowdfunding
The main objective of this project is to improve the health status of the population of Pikine and surrounding towns.
Our goals are 1) to reduce maternal and infant mortality during childbirth or from complications of childbirth; 2) to improve immediate primary care in accidents and emergency units; and 3) to address the most prevalent diseases and other endemic diseases such as malaria, infections, etc.
We, the Toubabs Team, are the drivers and executors of this project that is carried out without intermediaries. We supervise the entire project from Spain and Sister Regina Casado supervises it from Senegal, she is our local partner who takes care the neighborhood. We travel regularly to Sam Sam to supervise and monitor the Project. Out next trip is in November of 2016.
Our team: We are Cristina Andana 34, President and Nurse at the Hospital of Vinalopó in Elche, Maria Angeles Medina 51, treasurer and Family Doctor at the Hospital of Vinalopó in Elche, Josep Moreno 60, secretary and Family Doctor at the University of Alicante General Hospital and Juanra Ramirez 31, and Carol Martinez 34, both vocal and Nurses at the Hospital of the Vinalopó in Elche.
In November of 2015 with our backpacks and full of enthusiasm and hopes, we went for one month to Dakar, Senegal. During those four weeks we traveled to different parts of the country and worked in rural clinics (dispensaries Saint Laurent in Dakar and Sanghe, Thiiés), orphanages (The Pouponnière of Dakar), nurseries (in Sanghe) and schools for women (Promotion Center female Kalasans Sam-Sam). We connected with other volunteers with NGOs and missionaries who had already spent many years working in Senegal and who helped us understand the needs to work on.
We have contacted serious and trustworthy people who in Senegal will be the counterparty and will provide transparency to the project. These people are professionals, community leaders and neighbors who felt our commitment and who provide the Know How to the project as well as its long-term viability.