Dear John,
The DHO, the town clerk and the others who have a stake are on this forum,
hopefully they can guide us on what is happening right now.

Christine



On Thu, Dec 22, 2011 at 5:37 AM, JohnAJackson <[email protected]> wrote:

> I am optimistic that anyone on  this forum, especially those of you in
> Arua ,  who have personal relationship with DMO  can make an appointment to
> seek the possibility/probability of organizing a public meeting where all
> the stakeholders can discuss this problem by involving all  the district
> and regional officials.
>
> The worst mistake in managing projects is to ignore the influence of some
> of the stakeholders. They can kill a project as we have seen in this case.
>
> As some of these projects are funded by Bilateral arrangement with Foreign
> governments, It would be in the best interest of our people to see that the
> project succeeds.
> It is futile to kill or paralyze a project of this significance knowing
> the limitations we have in the region. Hopefully, this issue will be
> resolved in soon.
>
> Looking back at the old hospital which was build around 1940's, the
> population  at that time was small. Today our population has multiplied
> likely 10 times. This puts pressure on the facility that has limited
> capacity to handle the ever increasing demand
>
> On the other hand, it might be great idea to conduct/review current level
> of services in this hospital. Do GAP ANALYSIS to see gaps in services, seek
> opportunities for improvement
> Finding a way to have direct conversation with some of the managers for
> these institutions may be the best way to find out what these people are
> going through.
>
> On Tue, Dec 20, 2011 at 11:25 PM, <[email protected]> wrote:
>
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>> Today's Topics:
>>
>>   1. Re: arua hospital is in coma (Diliga Richard)
>>   2. Fwd: Jobline- UNHCR (Kiggundu Mukasa)
>>
>>
>> ----------------------------------------------------------------------
>>
>> Message: 1
>> Date: Wed, 21 Dec 2011 09:12:29 +0300
>> From: Diliga Richard <[email protected]>
>> To: A Virtual Network for friends of West Nile <[email protected]>
>> Subject: Re: [WestNileNet] arua hospital is in coma
>> Message-ID:
>>        <
>> cae1t0wrmmydgefmsstu_vywgtz2nasetyhinkfu3z1252gz...@mail.gmail.com>
>> Content-Type: text/plain; charset=windows-1252
>>
>> Well we should not take the story of monitor newspaper wholesomely
>> because these are businessmen/women who want to sale their products
>> and the issue of the idle ward is a fact becoz the hospital
>> constructed the best ward among all the referral hospitals in Uganda
>> but the ward cannot be used without toilet facilities which are
>> hampered by the standoff of building a Lagoon for the Hospital  but
>> the issue of land is still a problem to be solved by the
>> Administration of the hospital remember NWSC in Arua does not have a
>> Lagoon for disposal of waste.
>> Recently i had a patient in the hospital yes there is congestion but
>> there is no patient who sleeps under the beds as reported but what i
>> saw was that attendants sleep next to the patients on the floor.
>> Let us join hands and see that the issue of land is solved so that the
>> ward is put into use and we are aware that this is the only facility
>> in westnile region which the people can access specialized services
>> Thank you
>> Driliga Richard
>>
>> On 12/21/11, Achile Fendru <[email protected]> wrote:
>> > Just within this month we have heard such disparaging and heart retching
>> > news after news about the pathetic and sorry situation in our region,
>> e.g.
>> > Monitor, Friday December 9, 2011 ?A district (Arua) crippled by no
>> > electricity?. Then, New Vision December, 14, 2011, ?97% of pupils in
>> P.7 in
>> > Nebbi and Zombo (read entire West Nile region) cannot speak a sentence
>> in
>> > English?. And yet another Monitor article of December 17, 2011 carries
>> the
>> > head line; ?Hospital Lacks Space as New Ward Stays Idle?. What can one
>> say
>> > when somebody reads about a doctor stitching a mother who has just given
>> > birth in darkness, a patient sharing a bed with another regardless of
>> the
>> > various diseases that has brought them to the hospital, and that kids
>> who
>> > are expected to brighten their future through education can?t read even
>> > though they are about to sit for national exams where they are expected
>> to
>> > read questions and provide answers.
>> >
>> > In the parts of the world were people care about human dignity and
>> decency,
>> > just one of these issues would have been enough to awaken a community to
>> > move to action. In West Nile what do we see and here? Nothing! Not one
>> > voice of outrage. You may ask outage against who? My answer? Plenty.
>> There
>> > is enough to share around. First, those leaders who purport to be
>> running
>> > the region, all those with the title district in them: District
>> education
>> > officer, district health officer, district administrative officer and
>> who
>> > ever is in charge of anything to do with the various districts should be
>> > called on to account. Then there are those who show up only during
>> election
>> > times when they need votes. They were elected to be the eyes, ears and
>> > mouth of the people. Where are they now? Except of course for their own
>> > mouths! How about those so called educated group who used the district
>> > money in one way or another to get education and put themselves
>> somewhere,
>> > but have never cared to give back. If you were educated by those garland
>> > sons and daughters of the region who gave up so much and got nothing
>> back
>> > in return, you belong to this group.
>> >
>> > But seriously, what is wrong with us??? We can not sit down and form
>> > regional action groups that can identify and come up with workable
>> > recommendations that we can use to solve these problems? Are we so
>> lacking
>> > in leadership quality that not one brother or sister can step up to unit
>> > the whole region to tackle these enormous elephant that is slowly
>> pushing
>> > our people and land into stone age? Where did we get all these
>> attitudes of
>> > resignation, do not care and defeatism from? Or am I just too na?ve to
>> > recognize that the situation is not as dire as it sounds?
>> >
>> > I can equivocally without fear and any reservation, state here that our
>> > region lacks effective leadership. I am talking about the caliber of
>> > leaders that have bias for action and passion for results. I am talking
>> > about the kind of leaders who derive their pride from the success of
>> their
>> > constituents and not personal gain. The kind who measure success in
>> terms
>> > of quality of education, health services, standard of living of all
>> their
>> > people rather than personal bank accounts. Till we start seeing those
>> kind
>> > of leaders, I am sorry to say our region will continue chasing the rest
>> of
>> > Uganda from behind, not leading it.
>> >
>> >
>> > On Tue, Dec 20, 2011 at 4:31 AM, Raphael Wokorach
>> > <[email protected]>wrote:
>> >
>> >>  Dear friends on the WNnet, I am a rare contributor but trust, I'm a
>> >> regular reader. Today i want to share with you my sense of
>> degeneration of
>> >> conditions of infrastructure in WN - following what we read about Arua
>> >> hospital. This is one among many lamentable situations.
>> >> It saddens to follow some of the stories we find about WN, the Best
>> Nile
>> >> as it is/was called sometimes. In front of these alarming situations,
>> of
>> >> failing infrastructures... which are very lamentable, there should be
>> >> questions that we need to raise in order to uplift our spirit for a
>> better
>> >> future. It looks to me our generation has degenerated so much that we
>> do
>> >> not have much to offer for the future generation.  Look at the school
>> >> situations, roads, electricity, water.... the list goes on. Anything
>> that
>> >> is hope-filled? The environment too is rapidly degrading... this should
>> >> raise gut questions. Or, what can I say of this persisting
>> >> degradation....?
>> >> My sense of it is that we have low expectation.  Road, schools,
>> hospitals,
>> >> farms, etc. have collapsed at the watch of everyone. Repair not done or
>> >> badly done - nothing seem to matter! We are indifferent to many things.
>> >> When expectations are low, it is easy to spiritualize or give way to
>> >> patchy
>> >> solutions.  This makes it easy also for the authority to manipulate and
>> >> cheat us....
>> >> Second, it seems we do not have a shared language to discuss our
>> ideals,
>> >> much less the tools to arrive at. This is reflected by the ease with
>> which
>> >> we are distracted by the petty and trivial, or better the chronic
>> >> avoidance
>> >> of tough decision and inability to build consensus to tackle big
>> problems
>> >> as a people. Today, governments work under pressure. If you can't
>> build to
>> >> create pressure, change becomes slow - even the urgent ones. This is
>> >> lacking on our side. We need to express clearly what we want, what our
>> >> ideals are and work towards them!
>> >> I may sound idealistic but i can't see any break through...
>> >>
>> >>
>> >> Fr. Raphael Wokorach
>> >> Mccj Scholasticate
>> >> P.O. BOX 24155
>> >> KAREN-nAIROBI 00502
>> >> KENYA
>> >>
>> >>
>> >> TEL: +254 711 859 551  or
>> >>
>> >>           +254 734 262 853
>> >>
>> >>
>> >>
>> >>  ------------------------------
>> >> Date: Tue, 20 Dec 2011 00:08:43 -0500
>> >> From: [email protected]
>> >> To: [email protected]
>> >>
>> >> Subject: [WestNileNet] arua hospital is in coma
>> >>
>> >>
>> >> *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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>>
>> ------------------------------
>>
>> Message: 2
>> Date: Wed, 21 Dec 2011 10:19:21 +0300
>> From: Kiggundu Mukasa <[email protected]>
>> To: A Virtual Network for friends of West Nile <[email protected]>
>> Subject: [WestNileNet] Fwd: Jobline- UNHCR
>> Message-ID: <[email protected]>
>> Content-Type: text/plain; charset="us-ascii"
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