Annual Report July 2015 June 2016 Bijilo Medical Centre The Gambia

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Annual Report July 2015 June 2016 Bijilo Medical Centre The Gambia Introduction This document summarizes major activities, achievements and setbacks of our hospital during the time period of July 2015 to June 2016. BMC Mission Bijilo Medical Center Hospital-Hospital (BMC) is a non-governmental health facility with the goal of providing affordable quality medical services to all in The Gambia. BMC is non-profit orientated. However costs must be recovered to assure sustenance. The hospital was established in 2002 and is presently financially autonomous. BMC Vision Healthcare is a fundamental component of global socio-economic development. BMC has been established to facilitate access to healthcare in The Gambia. Guided by our motto Care, Compassion, Commitment and coordinated support, BMC is progressively been developed to become a multidisciplinary centre of excellence for Primary Health Care Continuing Training Clinical Research

Institutional organization Bijilo Medical Centre consists of the following departments. Medical and Paramedical Services 1) Nursing 2) Obstetrics and Antenatal Clinic 3) State immunization programme for children 4) X-Ray department 5) Ultrasound 6) ECG 7) Laboratory 8) Pharmacy 9) Surgical Theater 10) Physiotherapy Supportive services 1) Administration, Finance and HR 2) Reception 3) Cashier and Accounts 4) Housekeeping 5) Security BMC Staff List This staff list comprises of core employees. It does not include contractors who affected specific jobs on short-term basis. Presently the active employees comprise of: 1. Dr. Musa Touray, Physician, FMH Specialized in Internal Medicine 2. Dr. Menno Bakker, Physician, Specialized in Tropical Medicine and International Health 3. Dr. A.O. Ebirim, Physician 4. Dr. A.O. Balde, Physician 5. Dr. Y. Sankareh, Physician 6. Mr. Lamin Sawaneh, Chief Nurse, State Enrolled Nurse 7. Mr. Lamin Tamba, State Registered Nurse 8. Mrs. Salla Ndimballan, State Enrolled Nurse 9. Mr. Ebrima Bah, State Enrolled Nurse 10. Mr. Ebrima Faye, Community Health Nurse, Midwife 11. Mr. Saikou Ceesay, Nurse Attendant 12. Mr. Ebrima Suwaneh, Nurse Attendant 13. Ms. Binta Bojang, Nurse Attendant 14. Mr. Ousainou Ceesay, Trainee physician 15. Mr. Essa Ceesay, Trainee physician 16. Mrs. Fatou Bah Baldeh, Laboratory Technician 17. Mr. Hamat Jobe, Laboratory Assistant 18. Mr. Lamin Kinteh, Chief Pharmacist 19. Mr. Abdou Ceesay, Pharmacy Assistant

20. Mr. Musa Drammeh, Pharmacy Assistant, X-Ray Assistant 21. Mr. Ansumana Darboe, X-Ray Technician 22. Mrs. Mariama Ndow Sanneh, Cashier and Accounts 23. Mr. Sanna Juwara, Cashier 24. Ms. Amie Mbye, Cashier, Reception 25. Mr. Bakary Dibba, Reception 26. Ms. Haddy Ndow, Reception 27. Mrs. Ellen Somers, Administration 28. Mrs. Jainaba Sanneh, Housekeeping 29. Mrs. Isatou Sanneh, Housekeeping 30. Mrs. Fatou Bintou Jatta, Housekeeping 31. Prestige Security Services (24 hour coverage) Clinical Activities Consistent with the primary goal of providing affordable healthcare to all at affordable cost, below we summarize the clinical work done at BMC during the mentioned period. Table 1: Summary of clinical activities at BMC from July 2015 until June 2016 Category Number of patients Definition Patients 32,864 Registered patients at the hospital 01-08- 2016 Outpatients 9,528 Patients that consulted a physician Inpatients overnight 683 Patients that spent at least 1 night at the hospital Inpatients detained 283 Patients that were admitted for observation but did not stay overnight Deliveries 43 Antenatal mothers giving birth at the hospital Surgeries 7 Surgical interventions that were effected in the surgical theatre Mortality 9 Patients passed away in the facility

Estimate of annual budget The table below depicts estimates of the major costs in the year July 2015 June 2016. Table 2: Estimated cost of major annual projects Project / Items Estimated Cost ( ) Origin Medicines & Consumables 21,702.00 IDA Foundation, Amsterdam, The Netherlands Transportation (EU-Gambia) 2,059.00 Transportation of medication and supplies, 20- foot Container Reflotron Test Strips 1,800.00 Polymed Medical Center, Mont sur Lausanne, Switzerland Hospital maintenance 2,840.00 Maintenance of building, premises, medical equipment and ambulance. Rent 18,000.00 Rental of hospital property Total 46,401.00 International Collaborations 2015-2016 Antwerp-Banjul Challenge: A team participating in the Antwerp-Banjul rally has chosen to support Bijilo Medical Centre. Upon arrival in the Gambia, they brought surgical tools. Their car was sold at an auction, with the plan of donating the profit to Bijilo Medical Centre s solar project. In addition to the goods donated, the Antwerp-Banjul team supported the solar project with the sum of GMD 62,500.00 ( 1,250.00) through car auction. United Nations Industrial Development Organization (UNIDO): UNIDO has been the major donor in accomplishing a long kept dream of Bijilo Medical Centre being off-grid and being able to supply its own energy demand. Bernhoven Hospital, Uden, The Netherlands: This hospital supported our nursing team with the donation of 5 high quality blood pressure machines. Medisch Centrum Leeuwarden, the Netherlands: MC Leeuwarden has offered a diathermia to use in BMC s surgical unit, which was installed April 2016. It enables our surgical team to operate more safely and effectively.

Accomplished Projects Solar Voltaic Energy for BMC: In March 2016 a photovoltaic system was installed by a German team provided by EKS Energie and Hummel Systemhaus. The system allows the hospital to be a clean and safe environment for both patients and our staff. Since the project was partly sponsored by a UNIDO grant, Bijilo Medical Centre now serves as a showcase for how sustainable energy can contribute to quality health care services. Painting the Walls of BMC: The outside walls of the hospital were painted in July 2015 by Mr Joseph Mendy. This has given the hospital very hygienic and relaxing atmosphere for patients, their escorts and the staff of BMC. Surgical theater: With combined efforts of BMC staff and surgical consultants, the hospital has resumed operating its surgical theater. The first major case went to a successful surgical procedure in January 2016. Pavement of hospital premises: In July and August 2015 BMC grounds underwent a improvement by putting tiles on the unpaved areas of the hospital premises. We sincerely appreciate the efforts of Mr. Moussa Joof and his team. Development Projects During the coming months, we intend to embark on the following developmental projects: - Laboratory: In collaboration with the Antwerp-Banjul Challenge we wish to upgrade our laboratory testing facilities with the goal of more precise clinical diagnostics. - Delivery unit: With a growing number of mothers consulting our doctors for antenatal care and deliveries, Bijilo Medical Centre wants to improve its safety standards to the benefit of mother and child. To this effect, we will put efforts in obtaining medical equipment for our delivery unit, including a vacuum extractor and a cardiotochography machine.

Visit or contact Bijilo Medical Centre The Gambia is a small peaceful country situated in Western Africa. It is just six hours flight from most European cities. The Gambia has a rich culture and the people are in general very friendly. BMC is situated in a fishing village called Bijilo, 15 km from Banjul, the capital of The Gambia. Long stretches of beautiful sandy beaches are within a walking distance. It may be very enriching for you and for BMC if you can share your professional experience with us by visiting us. Although we cannot presently offer you free accommodation, we may be able to assist you to obtain an affordable one taking into consideration your personal life style. We offer you free breakfast and lunch at work. Since its establishment BMC is privileged to welcome over 200 European volunteers. There are no street names or numbers. Once in The Gambia, you may reach us using this address: Bijilo Medical Centre Off Senegambia Highway Near Bijilo Primary School Bijilo Village The Gambia Dr. Musa Touray MD PhD Clinical Director Swiss FMH Board Certified In Internal Medicine PO Box 3349 Serekunda The Gambia E-mail: drmusa@bijilomedical.org Telephone: +220 6665555 +220 9980371 Acknowledgements We present our sincere gratitude to several individuals and institutions that contributed to the successful establishment and sustenance of BMC.