NORTHERN UGANDA MEDICAL CENTER
An Outreach of St. Philip Orthodox Church
Tampa, Fl. & The Orthodox Church of Uganda

AKONYIBEDO MEDICAL CENTER
UNDER THE PATRONAGE OF ST. NEKTARIOS
Located in Northern Uganda

A Joint Outreach of The Orthodox Church of Uganda
and the Friends and Members of St. Philip the Apostle Orthodox Church Tampa, Florida.


The Akonyibedo Medical Center is located in northern Uganda approximately thirty mile south of the South Sudan Boarder. It was dedicated and began seeing patients in January of 2014. Since that time, by necessity, the originally anticipated staff of an R.N. and lab technician has expanded by adding a clinician (the Ugandan equivalent of a physician), a nurse's aide, an administrative person to allow the medical personnel to focus entirely on the medical needs of the patients and a night watchman/handy man. The medical center serves the surrounding villages where previously there was no medical services at all. Ugandan life expectancy is 54 years and the infant mortality rate is 10 times that of the U.S. We are serving some of the most needy of God's children.
Please take the time to explore our website and see what wonderful things are happening in this remote part of Africa. Donations may be made from this website at several links through PayPal Likewise the address of St. Philip Orthodox Church is provided for those wishing to donate by mail. All donations are tax deductable and 100% of donations go directly to the medical center. All costs of fund raising are paid for by the parish. If you wish to discuss anything about the clinic and especially  if you are a medical professional interested in serving at the clinic for a two week period, please contact Fr. Joseph at 813 933 9807

 



ADDING ON

Blessing Building Site
Blessing Building Site
Blessing Building Site
Breaking Ground
Breaking Ground
Breaking Ground
Construction Starts
Construction Starts
Construction Starts

CONSTRUCTION OF MATERNITY WARD BEGINS.

   A little over two years ago we opened our medical clinic in Northern Uganda with a staff of one nurse and one lab technician. We immediately found a need to expand the staff by the addition of a clinician (the Ugandan solution to not having physicians), a nurse's aide, an administration specialist and a night watchman/handyman. Recognizing the extreme need for prenatal, birthing and postnatal services, we began to raise the necessary funds. One third was raised at this year's Orthodox Clergy Brotherhood of Greater Tampa Bay's Pan-Orthodox Vespers. Our Center medical advisor, Sue Nelson raised a generous sum also. Fr. Joseph had been receiving donations for this project and on Monday May 9th Fr. George blessed the site for our maternity and pre and post natal services facility. The next day construction of the 550 square foot, free standing, building began. As soon as construction is completed we will add a midwife to our staff for a total of seven.    
   We are no longer classified as a medical clinic by the Ugandan Ministry of Health but as a Level 2 Medical Center. We hope to be receiving vaccines from the Government soon and we may begin receiving AIDS medications as well.



TIME TO GROW

MEDICAL CENTER NEEDS TO EXPAND

   It happened sooner then we could ever have expected. The Center needs to expand to create a an antenatal facility. We must add a midwife to our staff in order to serve our patients. Above is a rendering of the approximately 600 square foot separate building needed for delivering babies. Child birth is a source of much of the infant mortality rate in northern Uganda. We are preparing to hire a midwife and to purchase the necessary equipment for her. However, for the safety of the mothers and new-borns, a separate building is a must. We cannot have them exposed to the possibility of infectious diseases that exist at any medical facility in Uganda. Donations may be made at the donation tab here on our website. Please pray for us as we begin this new phase in our treating of God's needful children.



Medical Clinics in Remote Villages Begin

Health classes under a tree
Health classes under a tree
Health classes under a tree
A clinic held in a native hut
A clinic held in a native hut
A clinic held in a native hut
An outdoor mobile pharmacy
An outdoor mobile pharmacy
An outdoor mobile pharmacy

CENTER BEGINS OUTREACH TO MORE REMOTE VILLAGES
THROUGH MOBILE MEDICAL CLINICS

In order to better serve the people of the more remote outlying villages, the Center staff has begun periodic mobile clinics. Held in the various villages, health classes are taught while at the same time patients are being seen for a variety of diseases. The staff take medicines with them which are then dispensed as prescribed by the clinician or the R.N. Intestinal worms and malaria are pandemic. Patients have presented with tuberculoses as well as leprosy. These mobile clinics, though a strain on the staff, are a necessary part of our effort to improve the health of these wonderful people of northern Uganda.




AT LAST, LIGHT AND ELECTRICITY

Another dream for the clinic finally comes true, thanks be to God. Two years and two months after opening, the medical clinic we have solar powered lights and electricity in the building. The system was expensive because everything is imported from Europe and then trucked to us from Kampala the capitol. An example is the batteries which are made in Germany, but by the generosity of our supporters we finally had enough funds to complete the project. We had no choice in installing power since we are now also treating inpatient. Two small rooms were created in our formerly large waiting room, (see photo below). Our next project is to obtain the necessary equipment for use by a midwife. Also staff salaries are funded from donations raised in the United States. PayPal donations may be made on this website.

 


Uncrating begins
Uncrating begins
Uncrating begins
Then Blessing
Then Blessing
Then Blessing
Outside installation
Outside installation
Outside installation
Inside of renovated waiting room
Inside of renovated waiting room
Inside of renovated waiting room
Vaccine Refrigerator Installed

Installing Vaccine Refrigerator.
Installing Vaccine Refrigerator.
Installing Vaccine Refrigerator.
Solar panels will power.
Solar panels will power.
Solar panels will power.
A job well done.
A job well done.
A job well done.

SOLAR POWERED VACCINE REFRIGERATOR INSTALLED

Another milestone for the Medical Center. After having to retain a different company, a refrigerator for the storing of vaccines was installed. Powered by its own dedicated solar panels and its own batteries, this special refrigerator can store vaccines for an extended period of time. We will now be able to begin a vaccination program for the children, something they have never had before. This refrigerator, like everything else at the center, was made possible by the generosity of so many in the United States, both Orthodox and non-Orthodox.




Blessing at start of work
Blessing at start of work
Blessing at start of work
It begins
It begins
It begins
Another drill pipe
Another drill pipe
Another drill pipe

1st drink by Fr. George
1st drink by Fr. George
1st drink by Fr. George
Now the Clinic Officer
Now the Clinic Officer
Now the Clinic Officer
The gift of life
The gift of life
The gift of life

AT LAST, CLEAN, FRESH WATER!
Deep drilling at the Clinic results in a well of fresh, drinkable water.

The drillers have completed their work and our dream of having a reliable source of potable water at the clinic has been realized. Having previously conducted a geophysical test of the clinic property revealed the presence of water in the rock that lies below the soil layer. The drilling company's confidence that water would be located in sufficient amounts to serve the needs of the clinic and those of the local population was born out when after drilling hundreds of feet the water was located. A hand pumping station was installed and, by the grace of God, another clinic dream has been realized.

 




Brothers in Christ serving mankind.
Brothers in Christ serving mankind.
Brothers in Christ serving mankind.
License received
License received
License received

Children ravished by malaria
Children ravished by malaria
Children ravished by malaria
Drawing blood.
Drawing blood.
Drawing blood.
Fathers, Sue and clinic staff
Fathers, Sue and clinic staff
Fathers, Sue and clinic staff

FR. JOSEPH AND NURSE PRACTIONER SUE NELSON VISIT THE CLINIC
AND CONTRACTS FOR A WELL AND SOLAR POWER ARE MADE.
Staffing has been dramatically added to meet unanticipated need.

   Leaving on July 27th, Fr. Joseph and Nurse Practioner Sue once again traveled the 8,500 miles to the medical center which is located about 25 mile south of the South Sudan boarder. After greeting and conferring with His Eminence Jonah, Metropolitan Archbishop of all Uganda, they traveled by dirt road the 190 miles from Uganda's capital Kampala to the clinic. Nurse Sue, supervised an inventory, checked the center records, met individually with each member of the center staff, chaired a staff lunch meeting and still made time for her first love, the treating of patients at the clinic.
Fr. Joseph and Fr. George, the director of the clinic (in addition to serving three parishes and a preschool), met with a drilling company and with a supplier and installer of solar power. Discussions and negotiations continued for several days and finally an agreement was made for the drilling of the well and for the installation of solar power.
   The well will be drilled into rock and will supply potable water for use in the clinic. The villagers will be encouraged to draw from the well for their cooking and drinking needs and for brushing their teeth. This should help to improve their overall health. The driller agreed that he will drill until he reaches water and if a dry hole is drilled he will continue to drill at no extra charge until a usable well is in place. Initially a hand pump will be used to draw water.
   Solar panels and appropriate batteries were contracted for and will be installed for the electrical needs of the clinic. A specialized refrigerator for storing vaccines was ordered and a sterilizer was purchased as well. The immediate need for lighting was made evident as the clinic overflowed with patients due to a large and virile outbreak of malaria. Many patients had to be kept overnight to administer IVs and the malaria medication. Likewise several venomous snake bites have been treated and those patients also must be kept overnight. The clinic was built with the foresight to prewire it for power, so installation should be relatively fast.
   Originally, we had intended to have a staff consisting of a nurse and a lab technician. Because of the high need for services and the complexity of some of these services we have added a Clinical Officer. This is the Ugandan solution to a critical shortage of medical doctors. Likewise we have added a nurse's aid and an administrative aid to assist Fr. George. We also have a night watchman for safety and security.
   Our next project is a very pressing one. We need desperately to add a nurse/midwife to the staff. Infant mortality is ten times that of the U.S. and we must attack it at its root. The biggest cause of infant deaths is the total lack of any antenatal services. 
   While at the clinic, an incursion into northern Uganda by South Sundanese militia to a point within approximately 20 miles of the clinic occurred. The invaders were quickly repulsed by elements of the Ugandan Defense Forces. Father Joseph and Nurse Sue have never felt in danger including this visit. For Nurse Sue it was her ninth visit and Father Joseph's fifth.
   Donations may be made to the medical center through links on this website. All contributions are 100% deductable and all moneys received are used for the direct support of the clinic.

 


190 miles on a dirt road
190 miles on a dirt road
190 miles on a dirt road
Old car, bad road
Old car, bad road
Old car, bad road
There at last
There at last
There at last

Hope for good health
Hope for good health
Hope for good health
More patients
More patients
More patients
GIft of homemade beads
GIft of homemade beads
GIft of homemade beads

Dr. Sue with the staff.
Dr. Sue with the staff.
Dr. Sue with the staff.
Our first patient.
Our first patient.
Our first patient.
Waiting room.
Waiting room.
Waiting room.
Examing room.
Examing room.
Examing room.

Lab awaiting equipment.
Lab awaiting equipment.
Lab awaiting equipment.
Testing lab.
Testing lab.
Testing lab.
Drug storage.
Drug storage.
Drug storage.
Consult room.
Consult room.
Consult room.


CHILDREN OF AKONYIBEDO VILLAGE


THESE ARE THE REASON FOR THE MEDICAL CLINIC

   These children of Akonyibedo Village in northern Uganda are the fortunate ones. They have survived an infant mortality rate ten (10) times that of the United States. However, most of them will not live beyond their mid fifties, the life expectancy in Uganda. This is only 2/3s that of the United States. All of these children are infected with intestinal worms and many have already suffered at least one bout of malaria. A recent study showed that at any given time 64% of them are sick.
    Right now it is relatively secure in their village but should the rebel forces return they could be pressed into service as soldiers by the rebels at the age of 10, 11 or 12. This happened to their parish priest when he was 12. After one month he escaped and hid out on his own from the rebels. When they are old enough they will help their parents with the subsistence farming that is the way of survival in this region.
   More than anything they need a medical clinic. There they can be vaccinated, receive tablets to keep them free from worms and receive treatment for their diseases. What does this mean overall for them. Simply this; longer, healthier and happier lives. For them we have undertaken to build and staff a medical clinic located just outside the village to serve all of the people of the region. Some may ask: "why doesn't their government do it?" The answer is that it does not matter. Simply put, either we do it or there will continue to be no clinic.
   Please read the other articles on this website, review the photos and then click on the "Donations" tab at the top of any page. Thank you and God bless you.

 



HOW IT STARTED

Fr. Joseph takes a turn breaking ground. Fr. George is to the right<br> in gold vestments. Metropolitan Jonah is in the background.
Fr. Joseph takes a turn breaking ground. Fr. George is to the right
in gold vestments. Metropolitan Jonah is in the background.
Fr. Joseph takes a turn breaking ground. Fr. George is to the right
in gold vestments. Metropolitan Jonah is in the background.

Click here for a short video with Orthodox
Ugandan
chanting from the grouund breaking.

A DREAM COMING TRUE

By Fr. Joseph Ciarciaglino 

I am Fr. Joseph Ciarciaglino, pastor of St. Philip the Apostle Orthodox Church in Tampa, Florida. In 2010 I had the great privilege to serve on a short-term medical mission team to northern Uganda, under the auspices of the Orthodox Christian Mission Center. In ten days our doctors and nurses, aided by several laymen, treated almost 3,800 people. This is a testimony to the wonderful heath care providers who were on the team. For most of the people that we saw this was the first medical attention they received since the team was there in 2009. It would also be the last that they would receive until the team returned in 2011.

Malaria and intestinal worms were pandemic. Patients presented with tuberculosis, dysentery, open wounds, broken arms and legs that had not been set and even leprosy. Many of these people were only two years removed from the displaced person camps into which they had been forced due to previous rebel and terrorist activity. Some evenings our traveling pharmacy did not finish filling the doctors’ orders until after dark by the light of a kerosene lamp. None of our mobile clinics had electricity, running water or toilets.

No matter the temporary inconveniences, all of us on the team were well rewarded by the love and gratitude shown to us by the northern Ugandan people. These are truly the poorest of God’s children. Most have only the clothes that they are wearing, yet they are some of the most joyful and appreciative people that I have ever met. At each village we were met like rock stars by throngs of cheering, jumping children screaming over and over: “Bazanga, Bazanga” which means white people. At one village of mud walled huts with thatched roofs, I asked Fr. George, one of our native priests, what the people thought of Americans. His quick and sincere reply was that their definition of Americans is “white people who bring us strong medicine because they love us.”

Upon my return home, of all of the sounds and sights of this trip there was one thing that I could not get out of my mind. If I close my eyes even now I can plainly hear one of the interpreters telling the triage nurse: “He knows that he is filled with worms because he can feel them moving around.” I was appalled. I knew that there were tablets that could effectively deworm a person. And for want of a few pills this horrible condition existed in most of the people we saw. I could not get the wonderful people of Uganda out of my mind. I kept up an email correspondence with Fr. George and we discussed building a clinic in Akonyibedo village. If Archbishop Jonah, Metropolitan of all Uganda, gave his blessing I would try to raise the funds and Fr. George would oversee the construction. In June of 2012 we received permission.

Our first large donation was from the Tampa Bay area Pan-orthodox vespers’ charity collections. The Orthodox Clergy Brotherhood of Greater Tampa Bay voted to donate the entire collected amount of $6,500 to the clinic. My own parish of St. Philip the Apostle has been most generous in its collective contributions as well as understanding as to the amount of my time necessary for this project. To ensure the operation of the clinic once it is opened, St. Philip parish has committed to paying the nurse’s salary for two years. Our parish in Jacksonville, St. Justin Martyr, has committed to paying the lab technician’s salary for the same period.  

In December of 2012, I was once again among the people of northern Uganda whom I have come to know and love. We met with the Metropolitan to give him an interim report, a bank account was opened, plans approved and job offers extended to and accepted by a nurse and laboratory technician to staff the clinic. Construction has now begun. Fr. George tells me that every day people come from all around to see the progress and that many tears of joy are shed. Our long-term plan is to provide running potable water from a deep well. This will be very expensive. Likewise we hope to build staff quarters so that the nurse and lab tech can be on call afterhours. Finally our plan is to build a birthing facility in an attempt to reduce the infant mortality rate. To do this we need your help. Please click on the “Donations” button at the top of the page.

God bless you. 

 
 


PAINTING

Red cement is used to finish the floor.
Red cement is used to finish the floor.
Red cement is used to finish the floor.
A second coat of primer.
A second coat of primer.
A second coat of primer.
Fr. George shows how it is done.
Fr. George shows how it is done.
Fr. George shows how it is done.
BUILDING THE CLINIC.

A distinctive color makes clinic identifiable from far off
A distinctive color makes clinic identifiable from far off
A distinctive color makes clinic identifiable from far off
Attention to detail with the white trim.
Attention to detail with the white trim.
Attention to detail with the white trim.
 
 
 
 (Clink here to go to constrution photos and slide shows.)

 

MEDICAL CLINIC IN NORTHERN UGANDA NEARS COMPLETION

   By the grace of God, the first phase of construction is nearing completion on the medical clinic in Akonyibedo village in northern Uganda. With native pastor Fr. George in overall charge of the project, we are now painting the clinic. Remaining to be done before opening is the building of the latrine and of the incinerator as well as fencing the property. All construction is by hand, from digging of footers to the mixing of concrete, to the building and installing of trusses. The clinic is located in one of the poorest areas of Uganda and its construction is a much needed source of employment for the local villagers. A Ugandan engineering firm from Gulu is directing the project and its onsite foreman ensures day to day progress. Fr. George keeps Fr. Joseph appraised of progress by email and they confer regularly regarding the overall project.
   We hope, upon passing inspection by the Ministry of Health, to begin seeing patients before the end of this year. Once we have opened and have raised more funds we will, God willing, begin phase two which will be the drilling of the well, installations of the well head, pump and generator and the piping of water to the clinic. Phase three will be the building of staff quarters and phase four will be the construction of a birthing and neonatal facility.

(Click here for construction slide shows,)





GROUND BREAKINGFOR UGANDAN MEDICAL CLINIC

   On December 9th, 2012, ground was broken at Akonyibedo village in northern Uganda for the construction of a medical clinic. In this area the people are just a few years out of the displaced persons camps and security is only now taking hold. Fr. Joseph visited this area in 2010 as part of an OCMC medical mission team. Moved by the need of the people for a permanent clinic, he sought and received in 2012 the blessing of Archbishop Jonah, Metropolitan of all Uganda, to attempt to raise the funds necessary to build and equip such a clinic. Through the generosity of both Orthodox and non-Orthodox, sufficient money has now been raised to begin construction. Despite having been involved in a serious motor vehicle accident two months prior, Fr. Joseph traveled to Uganda to meet with the Metropolitan, review plans for the clinic's construction and to help decide on the staff for the clinic. Sue Nelson, a nurse practioner, who has treated patients in Uganda for a number of years and with whom Father served on the 2010 medical team, accompanied him. Lovingly referred to by the Ugandan people as "Doctor Sue," her knowledge and experience regarding the medical needs of the people in Uganada had been very helpful in the planning and fundraising and her assistance was a great help on this trip, especially in suggesting changes to the proposed clinic plan and in interviewing potential staff. On Sunday the 9th of December, a Hierarchical Divine Liturgy was celebrated in the mud walled, thatched roof church at Akonyibedo village. After Liturgy, the land was blessed and the ground broken. Following that came speeches, native dancing and the serving of a meal. Local officals were in attendance and many people traveled long distances by foot to join in the celebration of a dream coming true.

 


Plans for the Clinic

PLANS ARE DRAWN FOR NORTHERN UGANDA MEDICAL CLINIC

Above and below are drawings for the medical clinic in Akonyibedo, Uganda. The building has been staked out on the land and construction is underway.


Front of Clinic