Busamaga, eastern Uganda
In areas of Africa with Malaria the use of mosquito bed nets and administration of high-dose vitamin A can halve the death rate of children under 5.
In 2009 SHAPE Trustee Dr Neil Fletcher visited eastern Uganda. Working with a local church group in the Anglican Parish of Busamaga, 30 km East of Mbale, he set up and ran a mobile clinic.
In June 2010 he returned to the area to implement 'Project Bednet'. SHAPE has funded medicines, local transport costs and almost 1000 mosquito bednets - enough to protect every young child and pregnant woman within the community.
With a local nurse and a team organised by the community, he ran a clinic in each of the 12 villages making up the parish, distributed the bed nets and gave a high dose of vitamin A to all children under 5.
Neil says " This project alone should save the lives of over 400 children and mothers-to-be over the next five years, and will continue to save significant numbers of young lives over the next decade. I will be accompanied by new SHAPE team member, teacher Jenny Cole from Cam in Gloucestershire, who hopes to establish links between Gloucestershire and Busamaga schools."
NEIL FLETCHER AND JENNY COLE ARE NOW BACK FROM UGANDA
Below are the daily updates send during their the trip.
Messages are listed as they came in, with the last at the bottom.
Sunday 20th June: from Kampala by email.
Jen and I landed at Entebbe airport this morning to be met by some friendly Ugandan faces. Pastor Paul and driver David. David was particularly enthusiastic to tell me of the latest arrival to his family, his tiny new baby daughter. And YES- she does already sleep under a mosquito net!
Shortly after checking into our Kampala hotel we met with the Permanet suppliers. They have kindly delivered 600 nets to the church and we have paid the balance in full. I have inspected the nets and I'm really pleased with the order. They are nicely packaged and treated with long-lasting insecticide, exactly as I ordered. We've had a quick photoshoot with the guys that delivered them and their stunning "Fight Malaria" T-shirts
It's lovely to be back to the hustle and bustle of Kampala township life. It's a pleasant 28 degrees and hot and sunny. Jen is in her element playing with the coryzal bare-foot toddlers. I think primary school children are a bit beyond her - she seems much more comfortable with the nursery age kids!
The remaining nets and pharmaceuticals we ordered from Europe have arrived successfully by airfreight, and we will clear them with the Ugandan Drug Authority and customs first thing tomorrow (Monday) morning.
Next job: to find a team of local men to load the tonne of nets onto our vehicle!
Monday 21st June: text message from Neil.
After a five-thirty a.m. departure and a six hour journey in two minibuses we arrived in Busamaga and were greeted by a very happy Reverend Mike and the lovely Juliet.
We have unloaded the full order of bednets and drugs, they are all stored safely and we have two new recruits, Isaac and Bec, for helping with their systematic distribution.Mike and all the community send their thanks, blessings and gratitude for all that have funded this project
Tuesday 22nd June: text message from Jenny
Wow ! What a day. We are out in the very rural Ugandan bush in Busamaga. It is beautiful here, not nearly enough words to convey it! We had the most amazing thunderstorm earlier, real tropical weather that makes france storms look tame.
Everyone is beyond kind and have made me feel so welcome and at home and the children are simply gorgeous and completely inspiring to be around. Spending tomorrow at the local secondary school and plan to give vitamin A and bed-nets to 3 of the 10 villages. Lots of love, Jenny XX.
Wednesday 23rd June: text message from Neil
So, today was the first day of distribution of the malaria nets. Moses kindly rounded up the first three villages of children, pregnant ladies and heads of households using a large battery-powered megaphone and a motorbike ! The staff distributed 248 bed-nets to all the eligibles. Have got loads of photos. Can't wait to share them with you all.
The response from the community has been amazing. The school kids love Jen's pupils' posters of sources of vitamin A and the bed-net education stations worked beautifully - complete with Rangeworthy School's buddy bear posing as a Ugandan baby !
Thursday 23rd June: text message from Jenny
Another phenomenal day! My head feels fit to burst with everything I am learning. I spent this morning working with the SHAPE team on Project Bednet, distributing around 100 nets by lunchtime. However, the importance of the project was really brought home with many very poorly, very young children coming to see us - 90% testing positive for malaria.
It is heartbreaking to know that without the treatment we were able to give them today many would have died from this horrible infection when something so simple as sleeping under a bed net would so significantly prevent them getting the infection in the first place. A couple of £ to save a child's life...
In the afternoon I visited a primary school which was fantastic, our children could learn a lot from the children here, often 100 or more in a class and impeccable behaviour! They were all delighted with their pencils too, such a small gift yet hugely appreciated and valued.
Thursday 23rd June: text message from Neil
Another hugely successful day. A further 350 bed-nets distributed by our superb team. Had very positive discussions with the government District Medical Officer of Sironko district.
Of the sick young children that came to the clinic, around 90% tested positive for falciparum malaria, for which they received curative treatment, highlighting the tremendous importance of the life saving SHAPE Project Bednet.
Friday 24th June: text message from Neil
Every single last malaria net has now been distributed. We had an overwhelming response to the mobile clinic today with Dr Neil being mobbed at regular intervals by sick Ugandans. Many, many feverish children that have tested positive with our Paracheck rapid diagnostic tests have been treated for malaria.
This afternoon Jen worked as a dispensing pharmacist in the clinic. It was a mega steep learning curve for her. We saw a really sad case of untreated hydrocephalus in a toddler. Any one know a neurosurgeon that can fit VP shunts for free in Kampala ? Martin, fancy a trip here ?
Jen had a wonderful time in primary school today - you think British class sizes are big ? She had 800 in her class today.
Our Ugandan hosts have treated us like absolute royalty. These people have much to teach the Brits about hospitality, love and generosity of spirit.
Saturday 25th June: text message(s) from Neil
Today's mobile clinic was extremely stressful and packed with adrenalin. This morning, in a dusty wattle and daub church in the bush, a lady rushed up to us with a deeply unconscious 3-year old girl in her arms. She was grand mal fitting with violent convulsions, biting her tongue.
We had only basic medicines and equipment so I put some co-artem in a syringe and gave her a huge rectal dose; plus some rectal calpol. At one point I thought her lungs were filling with fluid - pulmonary oedema. I tried to protect her airway with my gloved finger but her clenched teeth kept rhythmically chomping on my finger.
Next I gave her some intravenous diazepam which seemed to stop her fitting. We summoned a motorbike by mobile phone and Jen rushed to a pharmacy in town to get some ampoules of quinine. Thirty minutes later she returned with the same. I injected it into the child's thigh and shortly afterwards she began to rouse and stir. Then we managed to get some oral fluids and glucose into her and she began to respond to pain.
Two hours later she was opening her eyes and six hours later she was sitting on my lap calling "papa" in her native lugissu, smiling and playing. The transformation was phenomenal. Jen said she would never have believed it if she had not witnessed it with her own eyes. A miracle. A life saved.
Jen was moved to floods of tears and despite working in the life and death business for some years I was still shaking two hours later. I am just so thankful that this child made a full and complete recovery.
This child with cerebral malaria would have faced certain death had we not been there. She was fortunate. But, in Uganda alone, one child in every five minutes of every hour is not.
Saturday 25th June: text message from Jenny
A day of many mixed and extreme emotions. It has really brought home the enormous need for the incredible work done by SHAPE.
Today I witnessed the most beautiful little girl dying right before my eyes, the result of malaria, such an easily preventable yet indescribably horrific infection. I have never felt so utterly powerless, where at that moment in time the very best I could do was hope.
Fortunately for this child we were in the right place at the right time and Neil's excellent medical skills, care and quick thinking aided a small miracle and saved this child's life. But the fear we all shared while we waited to see whether we had acted soon enough, fast enough, while we watched such harrowing suffering now haunts me.
Despite the overwhelming happiness I feel that this beautiful child's life was saved, and her amazing recovery which I watched unfold, it cannot mask the simple fact that in Uganda alone 3 in 20 children die every day in exactly this way from malaria. That's one beautiful innocent life gone every 5 minutes and it is not a peaceful death. It is a cruel painful one.
I will treasure the memory of this child only a few hours after treatment, as for me she represents every reason why projects like this one are so important and the hope that they bring. For tonight however I sit here in silent tears for she was one of the lucky ones. Much love Xx
Wednesday 30the June: email from Neil
Hello All - Mission Accomplished.
On behalf of the community in the Parish of Busamaga, Uganda, Neil and Jenny just wanted to say a HUGE thankyou to ALL of the supporters of SHAPE. You have done something AMAZING, something VERY SPECIAL, for THOUSANDS of people that live THOUSANDS of miles away from the UK.
We are back in the UK now, and have gone back to work for a rest!!!
Much love, Neil xx