Outreach clinics are a cost-effective patient-friendly way of serving a large needy population who reside within the same locality. There are seven outreach clinics run by the three HAU hospices serving patients in need of palliative care who live outside the immediate catchment boundaries of each hospice. Assisted by Community Volunteer Workers the HAU clinical team is able to set up clinics that serve numerous patients in one day, reducing dramatically the costs that would otherwise be incurred if the HAU team visited each patient in their own home in the community. At these clinics patients or their carers receive clinical assessments and management of their ailments, have prescriptions reviewed and their medications filled, receive spiritual and psychosocial support and counselling, listen to health talk or testimonials from other patients, enjoy a hot nutritious meal and those in dire need receive food or other welfare support. Across the three hospices over 200 patients are cared for every month through outreach clinics.
The current gap in funding for community outreaches activities is approximately €17,810.
Over 60% of the patients seen at outreaches are living in poverty and are unable to afford the transport costs to come to the clinic. In order to ensure these patients receive the care they need HAU provides a transport facilitation to and from home. This is given to those in the greatest need who the clinical teams are concerned would not be able to come to the clinic without this facilitation.
Radio announcements are undertaken in selected rural areas to mobilize the community to access cervical and breast cancer screening at HAU outreach clinics for early cancer diagnosis and treatment. This screening enables early detection, treatment, care and support services for patients.
|Outreach Clinics Funding Gap||Euros|
|Palliative care nurse salary||4,600|
|Social worker salary||8,570|
|Mobilisation for cancer screening||65|
|Contribution to administration||1,605|
Patrick, a 31 year old man, was enrolled on the Hospice programme in September 2009 for pain control and psychosocial support. He was HIV positive and suffering various complications that had followed, such as sores on his feet, discharging wounds, and swollen legs. He was in severe pain and could not stand or walk unsupported which had resulted in his legs developing contractures. He was diagnosed with Kaposi’s Sarcoma, a cancer associated with HIV/AIDS, while he was concurrently being treated for tuberculosis.
Because of severe health problems, Patrick was unable to financially support himself or pay for investigations and treatment. He was dependent on his parents, who were small-scale traders, for financial aid. When HAU initially met this family, Patrick’s mother had given up her own job to care for him. As a result of these events there was immense strain on the family’s ability to support even their most basic needs.
HAU’s team assessed Patrick’s situation and immediately provided him with treatment to control his pain. After his suffering was alleviated, HAU referred him to a social worker for further counseling and for an assessment to ascertain his social class and provide for his needs.
The top priority for Patrick was to provide him with nutritional support and beddings. He spoke of how he could not swallow his required medication, because he simply did not have enough to eat and he was not sleeping because he did not have a mattress. HAU enrolled Patrick onto HAU’s “Comfort Fund”, a small pot of money from which funds can be drawn to cater for essential patient needs. With these funds Patrick was able to have a new mattress, bed sheets and a blanket.
Patrick needed treatment for his cancer but was unable to afford the fare for transport to the hospital. HAU assisted with paying for taxis to the hospital for chemotherapy. His treatments were successful and Patrick’s health improved as a result. Working with her partners, HAU coordinated for Patrick to have additional specialized investigations and treatment at another major city hospital.
Patrick now regularly attends an outreach which is conducted in his neighborhood. He reaches there by a short taxi ride, and is attended to by the outreach palliative care team. A Community Volunteer Worker regularly checks after o his welfare. As a result of Hospice Africa Uganda’s holistic support and care, Patrick’s condition greatly improved and he gets a wonderful palliative care service close to his home in the community because an outreach clinic is well established there.ick now regularly attends an outreach which is conducted in his neighborhood. He reaches there by a short taxi ride, and is attended to by the outreach palliative care team. A Community Volunteer Worker regularly checks on his welfare. As a result of Hospice Africa Uganda’s holistic support and care, Patrick’s condition greatly improved and he gets a wonderful palliative care service close to his home in the community because an outreach clinic is well established there.