走进纳谷鲁中乌友好医院
文 & | 罗纳德·加藤 乌干达《非洲新闻报》记者
翻译 | 齐晓彤
编辑 | 裴安迪
设计 | 李玉丹
制作 | 黄硕存
导读:
1983年,中国第一支医疗队踏上了乌干达土地。许多年过去了,大约有170位医护专家在乌干达工作过,他们的专业覆盖了泌尿学、矫形术、传统中医学、眼科学和妇科学。
● 纳谷鲁中乌友好医院
●中国的医疗队
●对中医药的感激之情
●将医疗服务带到农村地区
星期六早上,在乌干达首都坎帕拉的中乌友好医院,伴随着一间产房如释重负的叹息声,28岁的玛格丽特·南特扎的宝宝降生了。
“是个女孩,我非常开心”,她说。产程延长了数小时,南特扎已经精疲力竭了,在医院助产士的帮助下,孩子顺利降生了。这下,南特扎终于笑出来了。南特扎是从一家小一点的医疗中心坐救护车转诊过来医院的。“如果路上耽搁几分钟,结果将会很糟糕”,医院的一位助产士说。
南特扎不知道的是,她自己即是中-乌健康与医疗合作的受益者,这项合作开始于1983年,自那时起,中国以基础设施准备、能力建设、物流、人力资源训练与人才交流等方式支持乌干达的卫生系统。
纳谷鲁中乌友好医院
纳谷鲁中乌友好医院由中华人民共和国政府捐赠,于2012年1月6日竣工并递交给乌干达政府。中国政府于2009年至2012年间设计并完成建造,这座耗费800万美金(200亿乌干达先令)的医院是中国政府赠与乌干达人民的礼物。
为了修建医院,坎帕拉市政府捐赠了五英亩的土地。乌干达政府对建筑材料使用、装修、通路和牌照费用进行税收减免,以此贡献了约200万美金(48亿乌干达先令)。医院坐落于纳卡瓦地区、纳谷鲁山、纳谷鲁街道旁。
医院的服务范围覆盖了坎帕拉大都市区,也面向其他地区的乌干达市民开放。纳谷鲁医院建造的目的是给穆拉戈国家医院导流,穆拉戈国家医院是面向坎帕拉大都市区300万居民的唯一一家综合性公立医院。医院有100张床位,其使用规则载于2006年公立医院政策条例。据院长伊曼努尔·巴蒂布维所言,医院每年为2.2万位母亲接生。
医院的愿景是成为提供专科与综合医疗服务的一等中心。医院的使命则是“提供综合与专科的患者救护服务,培养医疗骨干,开展研究项目”。 在这里,为人称道的服务项目有住院服务、出院服务、诊断服务、专科治疗护理服务、疾病预防与康复服务、社区外联服务以及管理与支持服务。
纳古鲁医院于2011年12月份竣工,共有七座大楼、四间手术室、一间产房、一间小儿科室、一个青少年中心(青少年卫生科室)、一座血库、放射科(包括一部CT扫描机)以及医疗员工宿舍。纳古鲁医院于2012年1月10日正式递交给乌干达政府,并由卫生部与坎帕拉市政府共同管理。
据乌干达卫生部称,自正式开放的第一天起,医院的患者数目日益增长,大多数患者接受生殖卫生服务的同时,也会享有泌尿、 肠胃病、矫形术、针灸、耳鼻喉、肥胖、高血压、儿科等专业服务。
中国的医疗队
1983年,中国第一支医疗队踏上了乌干达土地。许多年过去了,大约有170位医护专家在乌干达工作过,他们的专业覆盖了泌尿学、矫形术、传统中医学、眼科学和妇科学。去年在欢迎最新一支医疗队伍赴坎帕拉的庆典上,乌干达的卫生部长露丝·阿曾对中国为改善乌干达医疗卫生状况所付出的努力予以赞许。 “我们感谢中国多年以来的合作与支持,对这些医疗队在医院的贡献予以肯定。”阿曾说道。
目前这批医疗队在中乌友好医院工作,共计9名成员,由丛林海博士带队。团队由全科医生、外科医生与针灸专家组成。医疗队也负责训练送至中乌友好医院的实习医师。
“我们的任务是提供救护并与乌干达同事们分享技术与经验”,丛博士说道。据丛博士所言,医疗队任务进展顺利,在乌积累了宝贵的经验。来自云南省的外科医生杨军告诉我说与患者沟通不畅一定程度上使工作复杂化了。
⬆中国医生与乌干达医生进行业务交流
“很多患者英文说得不太好,中文就更不必说了。我不得不花很多时间听患者叙述症状并问问题”,他说。杨军经常请他的乌干达同事为讲卢干达语的患者看病。卢干达语是乌干达最常用的语言之一。
对中医药的感激之情
中乌友好医院的针灸病房门庭若市。针灸科科长倪伟负责接待大多数患者,因为乌干达同事尚未掌握替代疗法这一传统中医学的重要组成部分。
64岁的杜尼·穆萨在今年年初罹患中风,他在内陆一家收费较少的医院接受了一个多月的治疗后转诊至纳古鲁医院接受针灸治疗。 “治疗收效很好,我现在可以移动大部分身体了,药效可观”,杜尼说道。
⬆中国医生为中国-乌干达友好医院的一位病人进行针灸治疗
针灸在乌干达越来越受欢迎,并已成为中乌卫生与医疗合作的重要组成部分。倪伟正在训练病房的几位护士,教她们针灸疗法。其中一位护士说,“我们学得很开心。”
罗丝·纳卡菲洛是从乌干达中南部的一家医院转至针灸病房的。三个月前,40岁的她跌倒了并严重伤及后背,这导致她无法坐立自如。自从转院以来,纳卡菲洛恢复迅速。
“我现在可以坐起来了,也能下地走路了。最重要的一点是治疗是免费的。中国这些针啊,使我很快乐”,她指的是针灸操作的方法。
在乌干达东部的金贾转诊医院,中国医疗队已经训练出两位可以进行针灸治疗的护士了。与纳古鲁医院的情况相似,金贾医院的针灸病房也已经人满为患了。
“教会他们技能是我们的核心目标之一”,医疗队领队丛博士说。
将医疗服务带到农村地区
今年三月,乌干达中部农村地区卡云加区的居民,今年45岁的斯蒂芬·穆卡萨得知他所居住的村庄附近将会建造一个医疗诊所,他准备区诊所检查一下腿部,这两年双腿令他病痛缠身。“我到那里的时候,医生们为我做了检查并给我开了药。自那时起,疼痛减轻了。应该邀请医疗队经常来我们这给我们治病”,穆卡萨说道。
医疗营是由中国水电建设集团组织的,该公司是尼罗河上伊斯姆巴水电站的建筑方。中国医护人员与乌干达同事一道为居民提供免费治疗。“悬壶济世给我们带来很多成就感,与我们而言是非常重要的”,医疗队领队丛博士欣慰地说。
英文版:
英文版:
China-Uganda Health Cooperation: Saving Lives, aiding prosperity
Author | Ronald Kato
Journalist of Africa News in Uganda
Design | Li Yudan
Production | Huang Shuocun
● China-Uganda Friendship Hospital Naguru
●Chinese medical teams
●Appreciation for Chinese medicine
● Taking health services to rural areas
Saturday morning and a sigh of relief in one of the delivery rooms at the China-Uganda Friendship in Kampala, Uganda’s capital. 28 year old Margaret Nanteza’s baby has just been born.
“It is a girl. I am very happy”, she says. Although exhausted after hours of obstructed labour, Nanteza is able to smile, thanks to the staff at the hospital. She came to the hospital by ambulance after being referred by a smaller health centre. “If she had spent any more time away from the hospital, things would have ended really bad”, said a midwife at the hospital.
Unknown to her, Nanteza is another beneficiary from the China-Uganda health and medical cooperation, an arrangement which began in 1983 where China supports Uganda’s health systems through provision of infrastructure, capacity building, logistics, human resource training and personnel exchanges.
China-Uganda Friendship Hospital Naguru
The China-Uganda Friendship Hospital Naguru (CUFH-N) was donated by the Government of the People’s Republic of China was completed and handed over to the Government of Uganda on 6th January 2012. The Chinese government, designed and built the hospital between 2009 and 2012 as a gift to the people of Uganda, at a cost of US$8 million (UGX:20 billion).
Kampala Capital City Authority (KCCA) donated the 5acres site where the hospital was built. The government of Uganda contributed an estimated US$2 million (UGX:4.8 billion) in tax waivers on construction materials used to build the hospital, landscaping, road access and licensing fees. The hospital is on Naguru Road, on Naguru Hill, Nakawa Division.
The facility serves Kampala Metropolitan Area and other Ugandans. Naguru Hospital is also meant to decongest Mulago National Referral Hospital, the only general public hospital serving an estimated 3 million inhabitants of the Kampala Metropolitan Area. The hospital has a bed capacity of 100 beds and its mandate is stipulated in the National Hospital policy of 2006. The facility delivers 22,000 mothers annually according to its director, Mr. Emmanuel Batiibwe.
It has a vision of being a centre of excellence in providing specialized and general health services. The mission of the hospital is “ to provide general and specialized patient care. services, train health professionals and conduct research. The hospital is famed for Inpatient Services, Outpatient services, Diagnostic services, Specialized curative care services, prevention and rehabilitation, Community outreach services , management and support services.
Naguru hospital was completed in December 2011 and consists of seven buildings, four operating rooms, a maternity ward, a pediatric unit, a teenage center (adolescent health unit), a blood bank, radiology department (including a CT scanner) and housing for medical staff. Naguru hospital was officially handed over to the Government of Uganda on 10 January 2012, to be jointly administered by the Ministry of Health and Kampala Capital City Authority (KCCA).
Ever since the official opening, the hospital has seen growth in the number of clients , the majority of whom access reproductive health services, specialized services such as Urology, gastroenterology, Orthopedics, acupuncture, E.N.T, diabetes, hypertension, specialized pediatrics among others are offered, according to Uganda’s ministry of health.
Chinese medical teams
The first Chinese medical team set foot in Uganda in 1983. Over the years, about 170 medical experts in different specialties ranging from urology, orthopedics, Traditional Chinese Medicine, ophthalmology and gynecology have served in Uganda.
At a ceremony to welcome the current team in Kampala last year, Uganda’s minister of health, Hon. Ruth Aceng praised China’s efforts in improving Uganda’s health sector. “We thank China for the continued collaboration and support. We appreciate the good work these teams do in our hospitals,” Aceng said.
The current team is headed by Dr. Cong Linhai. The nine-member team is based at the China-Uganda Friendship hospital. It has general medicine, surgeons and acupuncture specialists. The team also helps to train intern doctors sent at the facility.
“Our mission is to provide care and share skills and experience with our Ugandan colleagues”, said Cong.
According to Cong, the mission has going well and has the team rich experiences.
Yang Jun, a surgeon originally from Yunnan province told me that the failure to communicate with his patients well somehow complicates his work.
“Many don’t speak English very well. Neither Chinese. I have to spend a lot of time listening and asking questions”, he said. Yang often seeks the help of his Ugandan colleagues to attend to his Luganda speaking patients. Luganda is one of the most spoken languages in Uganda.
Appreciation for Chinese medicine
The acupuncture ward at the China-Uganda Friendship hospital is full to capacity. Ni Wei heads the department and handles most of the patients as his Ugandan colleagues still have not mastered the alternative therapy, a key component of Traditional Chinese Medicine.
64 year old Duni Musa suffered a stroke at the start of the year. After being admitted in an upcountry hospital for over a month with little change, he was referred to Naguru hospital for acupuncture.
“I am making good progress. I can move most of my body now. The medicine is working”, said Duni.
Acupuncture has grown in popularity in Uganda and has become an important element of the China-Uganda health and medical cooperation. Ni is training several nurses in the ward to administer acupuncture and “we’re happy to do it”, said one of the nurses.
Rose Nakafeero was referred to the acupuncture ward by a hospital in south central Uganda. Three months ago, the 40 year old fell and hurt and hurt her back badly. She could not sit or stand well. Since her referral, Nakafeero has made fast progress.
“I can now sit and walk. The most important thing is that the treatment is free. I am happy for the Chinese needles”, she said referring to the way acupuncture is administered.
At Jinja referral hospital in eastern Uganda, the team has trained two nurses to administer acupuncture. And just like at the Naguru hospital, the acupuncture ward at Jinja hospital is too overwhelmed by patients.
“Skills transfer is one of our core objectives”, said Cong, head of the Chinese medical team.
Taking health services to rural areas
In March this year, 45 year old Stephen Mukasa, a resident of Kayunga district in rural central Uganda was told about a medical outreach clinic happening close to his village. He prepared to have his legs that had given him excruciating pain for over two years examined.
“When I went there, the doctors examined me and gave me medicine. The pain has since reduced. They should come back to treat us often”, said Mukasa.
The medical camp was organised by China Water and Electric, the Chinese company building the Isimba hydro power station on the River Nile. Chinese medical personnel and their Ugandan counterparts joined hands to offer residents free treatment. “It is important for us to save lives. It gives a lot of satisfaction”, said Cong, head of the Chinese medical mission.