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Phone: +387643932728
Phone: +387123456789

Aktuell rapport från sjukhuset

Rapport:

Det går utmärkt på barnavdelningen med ett undantag. Vi har haft en högre dödlighet än normalt. Sammanlagt har 9 barn avlidit under april. De flesta av barnen avled under tiden jag arbetade vid sjukhuset och de avled av flera olika orsaker men den viktigaste var att de kom mycket sent i sjukdomsförloppet. Vi ska dock fortsättningsvis göra noggrann analys av varför de barn som avlider avlidit och se om vi kan förbättra överlevnaden. Vi har dock fortfarande påtagligt låg dödlighet jämfört med andra sjukhus i Sierra Leone.

James (den brittiska läkaren) har gjort mycket bra saker för sjukhuset. Bland annat har han sett över läkemedelskostnaderna vilket även, i viss utsträckning, kan sänka våra kostnader.

Beläggningen på alla avdelningarna, bortsett från barnavdelningen, är låg och man stänger därför kvinnoavdelningen. De kvinnliga patienterna får flytta in på halva manliga avdelningen som utnyttjas dåligt och är i bättre skick än kvinnoavdelningen.

För att Ni ska få en uppfattning om månadsrapporterna vi får, finns nedan senaste rapport från sjukhuset. Kommentera mycket gärna på Facebook     https://www.facebook.com/bombalihealth/

eller ställ gärna frågor.

Lasse

 

KAMAKWIE WESLEYAN HOSPITAL PAEDIATRIC WARD REPORT

FOR April, 2019

 

  <1month <1year <5 yr 6-12 Total
Admissions 6 60 170 22 258
Discharges 5 58 166 19 248
Death 0 2 4 3 9
Absconded 0 0 0 0 0
Referral 0 0 0 0 0
Out patient 3 711 487 215 1,416

 

Patients seen at the Out-Patient but end up been admitted are recorded as admissions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient admissions by disease, April, 2019

Diagnosis <1month 1month-5yrs 6yrs – 12yrs Total
Malaria 0 176 17 193
Pneumonia 6 38 10 54
Severe Anaemia 0 24 0 24
Meningitis 0 0 0 0
Typhoid 0 2 5 7
Herbal intoxication 0 26 10 36
HIV/AIDS 0 0 0 0
Surgery 0 1 3 4
Burns 0 2 0 2
Sickle cell 0 O 0 O
Others 1 2 1 4
Total number of inpatients 258

Cases in the category of others include hepatitis, sepsis,  and tuberculosis.

 

Paediatric Feeding Operational Cost – April, 2019

Morning Expenses
Corn meal powder 300 cups Le1500/cup 450,000
Sugar 70 cups Le2400/cup 1688,000
Milk 120 cups Le7500/cup 900,000
Total     1,518,000

 

Afternoon Expenses
Item Quantity Unit   Total
Beans 180 cups 1,500/cup   270,000
Rice 300 ʺ 1,350ʺ   410,000
Pepper 60    ʺ 2,000 ʺ   120,000
Onions 30   ʺ 2,000 ʺ   60,000
Seasoning 30   ʺ 3,000 ʺ   90,000
Palm oil 90   pints 3,000/pint   270,000
Fish 30 30,000   900,000
Total       2,120,000

 

Evening Expenses

Item Unit price Quantity Total
Egg   1 Box 360,000
Chocolate powder 16,000 4 64,000
Corn milk   1 B0x 240,000
Total 664,000

 

 

Other recurrent costs

Charcoal 36,000
Dish washing soap 60,000
Total 96,000

 

 

 

Summary of Expenditure for feeding

 

Item

 

Cost/ LE

Morning

 

1,518,000
Afternoon

 

2,120,000
Evening

 

664,000
Other Recurrent costs

 

96,000
Diesel for shopping 300,000
Total 4,698,000

 

Summary of financial report for feeding April, 2019

Amount Received USD 552.70 Le.4,698,000 1 USD=Le. 8,500
Less Expenses USD 552.70 Le. 4,698,000  
Balance at hand  0 0,000  

 

Paediatric Staff Salary – April,  2019

Cadre Gross Emolument No. of Staff Total cost(Le)
SECHNs 1,051,000 2 2,102,000
New SECHNs 930,000 6 5,580,000
SRN 1,990,000 1 1,990,000
NAs   4 3,364,,000
Porters/ Cleaners 625,000 1 625,000
Cook allowance 700,000 1 700,000
Employer’s 10% NASSIT     1,099,950
Staff bonus for April,2019 0 0 0
Staff annual leave allowance     0
Total USD 1,818,93   15,460,950

 

                                                                                                                                

 

 

Income Le USD (@Le 8,500)
Deficit for previous month 0 0
BHD for April 34,850,000 4,100
     
Total 34,850,000 4,100

 

 

 

 

 

 

Expenditure – April, 2019

Le USD @ Le 8,500
Staff Salary 15,460,950 1,818.93
Staff annual leave allowance 0 0
Food 4,398,000 517.41
Outreach 0 0
Wear and Tear for Outreach vehicle 0 0
Bank charges 0 0-
Drugs 10,535,653 1,239.48
Shopping food items 300,000 35.29
Stationeries 850,000 100
Referral 0 0
Surgeries x 3 1,800,000 211.76
Burns management 0 0
Consumables 0 0
Investigation 4,830,000 563.24
Total 38,131,950 4,486.11

 

 

PEADIATRIC SURGERIES FOR  APRIL, 2019

PT;S ID NO.

 

AGE SEX DIAGNOSIS SURGERY
5355 10 years F Typhoid perforation Laparatomy
9354 11years F
Typhoid  perforation Laparatomy
Laparatomy
9617 7 years M L I H  Lt. Hernioraphy
         
         

 

 

 

 

 

 

 

 

Total Income(USD)

For  April, 2019

Total Expenditure(USD) Balance(USD)
4,100 4,486.11 386.11

 

 

Bill For May, 2019

 

Item Amount (Le) USD ( Le 8,500)
Staff Salary 15,460,950 1,818.93
Food 4,698,000 552.70
Outreach x2 0 0
Drugs 15,500,000 1,823.52
Consumables x  252 6,300,000 741.17
Shopping food items for Peds inpatient feeding 300,000 35.29
Stationeries 850,000 100
Surgeries x4 2,400,000 282.35
Burns x3 0 0
Extra charges approved by BHD (staff bonus) 0 0
Deficit for April 3,281,935 386.11
Referrals 0 0
Laboratory investigation 6,000,000 705.88
Total 46,290,630 5,445.95

 

 

Amount due for May, 2019 = $ 5,445.95

Payment for supplies, transport and bonus refunds= 963.13

Actual bill for May, 2019 = $ 4,482.82

 

US dollar account at the Sierra Leone Commercial Bank in Makeni.

Account Name: Kamakwie Wesleyan Hospital Peadiatric Ward Support

Account Number: 003006004468412138

 

Signed: LAConteh

Mr. Lomprie A. Conteh

Operations Manager Kamakwie Wesleyan hospital

 

 

Chief Medical Officer (CMO) – Dr Thomas Ashley

 

 

DATE: April, 2019 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL Cost/unit  Amount(Le)
DRUG NAME
ANTIBIOTIC 400
AMOXICILLIN 250 mg 300 300 700 300 500 600 700 500 200 200 600 600 300 400 400 300 500 600 240 260 200 300 500 600 400 10 500 198          2 079 000,00
AMOXICILLIN CAPS 500MG 0 22                               –
AMOXICILLIN 125MG SYR 10 6 10 7 33 3000
BENZYLYPENICILLIN/XPEN 1G 0 540                               –
AMPICILLIN INJ 500MG 50 50 1000                50 000,00
AZITHROMYCIN SYRUP 0 3500                               –
AMPICILLIN INJ 1G 50 50 50 50 200 100 50 550 1500              825 000,00
CLOX CAP 250MG 300 400 1000 1000 400 2 000 150              300 000,00
CLOX 125MG SYRUP 0 3500                               –
CIPRO  500MG TABS 300 100 400
CIPRO  500MG IV 0 3850                               –
CEFTRIAXONE 250MG 0                               –
CEFOTAXIME INJ 1G 0 4500                               –
CO-TRIAMZZOLE tabs 240MG 200 400 200 400 200 200 200 200 100 200 100 200 80 150 100 2 930                               –
CEFTRIAXONE 1G 10 8 20 10 20 20 10 10 10 10 10 10 10 158 4500              711 000,00
CHLORAMPHINE SYRUP 125MG 0                               –
CLINDAMYCINE INJ 0
CLINDAMYCINE 150mg TABS 0                               –
ERYTHROMYCIN SYRUP 125MG 5 10 5 20 5000              100 000,00
ERYTHROMYCIN TABS 250MG 0                               –
ERYTHROMYCIN TABS 500MG 0 440                               –
FLAGYLL TABS 400MG 100 100 100 200 200 400 400 200 200 400 300 300 2 900 300              870 000,00
FLAGYLL SYRUP 31 42 40 17 15 2 3 150                               –
FLAGYLL IV 5 5 10 3850                38 500,00
GETAMYCIN 80MG INJ 30 30 20 40 30 150 440                66 000,00
0                               –
DIGOXIN 0.5MG 0                               –
FUROSEMIDE INJ 20MG/2ML 10 10 440                  4 400,00
0                               –
BENZL BENZOATE LOTION 0                               –
DAKTACORT 1%W/W OINTMENT 10 16 19 10 10 65 5000              325 000,00
CLOTRIMAZOLE CREAM 10 10 5000                50 000,00
HYDROCORTISONE CREAM 0                               –
10ML SYRINGES 0 385
5ML SYRINGES 100 100 100 100 100 500 275
0                               –
NYSTATINE SYRUP 1000.UNIT 20 20                               –
0RS 12 12 40 26 14 15 20 15 10 164 550                90 200,00
ZINC SULFAT 18 18                               –
DISPENSING BAGS 8 8 4000                32 000,00
0                               –
CHLORAMPH EYE DROP 0 5000                               –
GETAMYCIN EYE DROP 0 5000                               –
TETRACYCLINE EYE OINTMENT 0 3000                               –
DIAZEPAM INJ 5mg/ml 10 10
DEXAMETH INJ 4MG 10 10 20 3300                66 000,00
HYDROCORTISONE INJ 100MG 0 3850                               –
IV. 0                               –
BLOOD BAG 250 10 10 5 10 35 10000              350 000,00
BLOOD TUBING 25 25 50 3000              150 000,00
IV.R/L 500ML 7 6 10 10 5 10 5 53 4620              244 860,00
IV.N/S 500ML 6 10 10 10 5 41 4620              189 420,00
IV .D 5% 5 5 5 5 5 25 4620              115 500,00
IV .D50% 0 20                               –
IV.SET 25 20 45                               –
CANNULAR BLUE 22G 0                               –
CANNULAR PINK 20G 0                               –
CANNULAR YELLOW 24G 100 100 100 100 50 450                               –
VATAMIN TABS 0                               –
FERROUS/FOLIC TABS 1000 1 000 183              183 000,00
FERROUS SYRUP 0                               –
FERROUS TABS 400 300 300 300 200 300 400 300 300 400 150 300 400 400 300 200 100 5 050 183              924 150,00
FOLIC ACID 300 200 200 400 300 300 300 300 400 250 300 100 300 3 650 183              667 950,00
MULTIVITAMIN 0 20                               –
B-COMPLEX TABS 0 183                               –
B-COM SYRUP 0                               –
VATAMIN C CHEWABLE 100MG 0                               –
ANTI PARASITE 0                               –
ARTEFAN 20/120 21 20 25 120 45 20 10 21 10 10 20 10 8 14 16 43 18 26 34 30 16 60 44 50 691                               –
ARTEMETHER 20MG INJ 24 24                               –
ARTEMETHER 80MG INJ 10 10 20 15 20 60 20 10 60 15 71 30 30 60 431 1283              552 973,00
ARTSUNATE IV 60MG 20 10 10 20 20 10 20 110 11500          1 265 000,00
COARTEM 20/120 40 30 60 130                               –
VERMOX TABS 100MG 40 54 90 50 20 30 40 50 30 30 20 24 30 36 50 40 80 50 60 58 32 28 52 48 1 042                               –
KILLMALL TABS 0                               –
PAIN RELIEF 0                               –
ASA 300MG 64 112 160 160 496                               –
DICLOFENAC INJ 20 20 40                               –
PCM 500MG 300 100 400 200 400 200 100 300 300 300 400 100 400 100 500 400 300 1200 200 300 400 6 900 41              282 900,00
PCM 250MG 0 40                               –
PCM125MG 300 100 380 120 200 1 100 22                24 200,00
PCM 125MG SYRUP 0                               –
IBUPROFEN 200MG TABS 100 300 400 71,5                28 600,00
CREPE ELASTIC BANDAGE 0                               –
GLOVES (Boxes) 100 100                               –
ADHESIVE TAPE 0                               –
ZINC SULPHATE TABS 0                               –
       10 535 653,00
USD                  1 239,49

 

 

KAMAKWIE WESLEYAN HOSPITAL BHD LABORATORY REPORT
DATE: April,2019 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL Cost/unit Total cost
TYPE OF TEST DONE Le Le
MALARIA PARASITE TEST 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 31 19 12 8 23 18 24 147 0
HEAMOGLOBIN 22 24 15 11 25 15 1 15 14 6 20 18 20 5 20 24 14 11 8 18 19 31 24 10 6 18 11 9 19 14 467 1 000       467 000,00
WHITE BLOOD CELL COUNTS 0 0 0 0 0 0 2 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 7 5 000          35 000,00
TYPE & CROSSMATCHING 4 2 2 6 4 12 2 2 0 2 3 0 4 16 16 2 0 8 2 2 0 4 18 6 2 12 2 8 4 7 152 2 000       304 000,00
BLOOD TRANSFUSIONS 3 1 1 3 3 6 1 1 0 1 2 0 2 7 7 1 0 4 1 1 0 2 8 3 1 5 1 4 2 3 74 5 000       370 000,00
HBV 3 1 1 3 3 6 1 1 0 1 2 0 2 7 7 1 0 4 1 1 0 2 8 3 1 5 1 4 2 3 74 15 000    1 110 000,00
HCV 3 1 1 3 3 6 1 1 0 1 2 0 2 7 7 1 0 4 1 1 0 2 8 3 1 5 1 4 2 3 74 15 000    1 110 000,00
SYPHLIS 3 1 1 3 3 6 1 1 0 1 2 0 2 7 7 1 0 4 1 1 0 2 8 3 1 5 1 4 2 3 74 15 000    1 110 000,00
ESR 0                         –
STOOL 3 6 4 5 1 1 0 4 8 2 0 2 0 0 0 0 0 3 1 1 0 0 3 1 3 2 5 1 1 1 58 2 000       116 000,00
URINE ANALYSIS 0 0 0 0 0 0 0 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 2 000            8 000,00
SRV 0 0                         –
X-RAY 0 20 000                         –
RANDOM BLOOD SUGAR 0 0                         –
ULTRA SOUND SCAN 2 8 10 20 000       200 000,00
SICKLE CELL TEST 0                         –
TOTAL 0    4 830 000,00
USD 568,24

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