Thanks too Munduru
I salute all dear distinguised WNs.
Allow me stick to the pt of service delivery to community and their
involvement in receiving the service.
The few works (consultancies for water supplies) i have done in
handful of districts round the country, i have noticed and witnessed
that much as the community knows that they need such services, they
expect to be informed on  how the project would be conducted and its
impacts, and the roles they (comm.) would play rather than negatively
surprising them which inturn has huge impact on taxpayers billions
used dumped .
Therefore involvement of stake holders is paramount in project
success; and this reminds me that meetings for such projects were
undoubtedly done in kampala or else where instead of Arua but to suit
our people's needs minus site.
The consultant together with the hospital adminstrators or mins. of
health whoever were responsible for sensitization of the community and
i am sure it might have being clearly spelt in the contract, what ever
happened, God knows.
Secondly, i too appreciate this WN net via discussions because some of
us not within coud reach the happenings backhome.
However what defeats a normal man's oblongota is that so many
sensitive matters are raised in such discussion by distinguised
professionals-experts from WN but not worked on but its no wonder as i
see few of our MPs partcipating and i doubt if such matters put forth
on this WN net is availed in those consultative meetings by our
leaders as evidence of feelings of WN community instead of them
presenting their own ideas to suit our needs as they have also failed
to conduct the last users of services as they did in giving them the
mandates to be in their various capacities.
What belong to Siza be given to him, i strongly urge that let the
politicians loby for services and our engineers put it on ground for
the community on supervion of stake holders.
I here by finalize by saying that the common man on ground should be
involved in development of his,her area.
Thanks
Gatre Patrick
Engineering surveyor
JCs

On 12/21/11, Christine Munduru <[email protected]> wrote:
> Thanks Fr. for sharing this.
>
> The problem of the lagoon is merely lack of community involvement. If the
> community was involved and the project explained to, such would not have
> happened. The feeling that community is there to just take up any
> development activitiy without a choice as one MP once mentioned in the net
> has resulted in this, that rights do not matter in development issues, we
> just take services to people, I hope he learns one thing from this. When
> the issue of lagoon was explained in cafe in Arua by the health inspector,
> you could see how the community was unhappy about why this issue was taken
> to court. The community was simply unware of what this would mean and how
> it would be handled and this needed explanation. The engineers also made a
> mistake not to have fenced and this has caused all this chaos which is
> really very unfortunate.
>
> Christine
>
> On Tue, Dec 20, 2011 at 8:08 AM, Ezama Ruffino
> <[email protected]>wrote:
>
>>  *Sahring this article from Daily Monitor*
>>
>> *
>> *
>>
>> *
>> *
>>
>> *Hospital Lacks Space As New Ward Stays Idle*
>>
>> Felix Warom Okello and Tabu Butagira
>>
>> 17 December 2011
>>
>>
>>
>>
>> Patients in Arua Hospital's male ward are reportedly huddling in between
>> and under beds, choking for fresh air.
>>
>> To find a bed, patients are forced into a tough bargain with medical
>> personnel. But, even then, they have to share the bed, with one patient
>> lying legs facing the other's head.
>>
>> These are patients suffering from different illnesses, some communicable.
>> The hospital officials say they would prefer to keep the patients on
>> separate beds but they have no option because the plight of patients in
>> the
>> male ward is no different from that of the crowded pediatric ward, part of
>> which has been carved to accommodate the female ward.
>>
>> Patients receiving medication through Intravenous Fluids (IV) sit still on
>> the floor, holding their medication because they have no where to strap
>> it.
>> "The situation is pathetic," Dr Bernard Odu, the hospital director, said.
>>
>> Arua Hospital was established by the colonialists in 1939 before being
>> expanded to a 372-bed capacity facility by the post-independence
>> governments, elevating it to the level of a regional referral hospital.
>>
>> The original ward facility was condemned by engineers several years ago as
>> inhabitable, but the new storied structure that was later built as a
>> replacement has created controversy instead of relief.
>>
>> Plans to construct a shallow pool for sewage treatment did not kick off
>> and to date, the hospital manages its effluents on-site using soak pits,
>> which often fill up, forcing waste down River Osu, which is the main water
>> source for Bibia slum.
>>
>> This notwithstanding, three residents of Anyafiyo suburb, who were unhappy
>> the foul smell from the lagoon would suffocate them and also cause loss to
>> their business, went to court and secured an injunction to stop its
>> construction.
>>
>> This has in turn stalled the opening of the new Shs3 billion ward, fitted
>> with state-of-the-art equipment.
>>
>> It has also emerged that the National Environment Management Authority
>> cleared the lagoon project a week ago but resumption of its construction
>> cannot be effected because hearing of the case, already adjourned several
>> times, has been pushed to February next year.
>>
>> This means the storied structure which was completed in June last year
>> will spend a few more months unutilised, wasting away, while in-patients
>> continue to suffer.
>>
>> This condition has left able patients seeking treatment at the few private
>> health facilities in the town, but the poor find themselves in double
>> jeopardy in the crowded wards.
>>
>> "I cannot have my child share a bed with another person because he may
>> contract a disease," Ms Grace Angutoko said.
>>
>> *Multiplied infections*
>>
>> A senior doctor, who asked not to be named because he is not authorised to
>> speak on behalf of the hospital, said tuberculosis cases have increased
>> due
>> to cross-infection in the packed wards.
>>
>> "There are so many patients and you don't know whom to help first. Even
>> passing through them is a problem," the doctor said.
>>
>> The Ministry of Health through Parliament, allocates finances based on bed
>> capacity of the health facilities and its catchment population. The
>> country
>> does not budget for non-citizens, who, according to hospital officials,
>> constitute about 20 per cent of patients from DR Congo and South Sudan.
>>
>> Mr Odu asked MPs to contrive other benchmarks for resource allocation to
>> health units otherwise Arua will remain disadvantaged and overwhelmed.
>> This
>> compromises quality of health care delivery and safety of health workers,
>> experts say.
>>
>> This newspaper has been told that the Japanese government that offered to
>> erect new Out-Patients', Casualty and Maternity wards complete with lagoon
>> system has asked hospital administrators to quickly resolve the current
>> impasse or they relocate the proposed project to another needy region
>>
>>
>>
>>
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