Background

Members of Ogbona Elites Forum under the Presidency of Mr. Gilbert Odior organized a free medical outreach in collaboration with some philanthropic organizations within and outside Nigeria at Ogbona, Avhianwu clan, Etsako Central Local Government Area of Edo State from 1st to 3rd September, 2018.

The medical Outreach attracted thousands of people within and outside Ogbona community. The medical outreach was applauded and judged to be very successful, worthy of emulation.

LIST OF PARTNERING TEAMS IN THE OUTREACH

1. Ben Itsuokor and European team
2. MAKURDI TEAM led by Dr. Paulinus Abu
3. Dako Foundation
4. Amazing Grace Medical Outreach
5. Edo-SACA
8. Etsako Central Local Govt, Nursing Services
9. MCK Orbih Comprehensive Health Center

1. The European team of four medical consultants led by Ben Itsuokor treated different illnesses through detection using the ECG machines. During the program, the team examined several patients, diagnosed and successfully completed 25 ECG Cases. Following the substantial number of hypertension/stroke cases examined, the team concluded that hypertension is the most common illness in the community. The team also identified a young girl with a whole in the heart and her case has been referred to Rotary Club international through Amazing Grace Clinic led by Dr. Princewill Oyakhilome. The Itsuokor foundation also presented to the MCK Health Centre a couple of medical equipment including;
   1. 2# ECG machines
   1. 1# Patients monitoring device
   1. 5# Medicated eye glasses and 10# Pulse Oximeter
   1. Laboratory test materials, i.e. Glucometer, psa/urinalysis/malarial test kits, swabs, diagnostics sets, otoscope, pen touch, gloves etc.
   1. Others medical devices including stethoscopes and sphygmomanometers
   1. Generator that will be delivered later

• The Makurdi Team: But for the Makurdi Team organized and led by Dr. Paulinus Abu, it is doubtful if the medical outreach would have been successful.
• The team was made of up 19 medical personnel amongst who were Pharmacists, Dentists, Opticians, Ophthalmologists, Lab technologists, surgeons etc. and other supportive staff.
•  They came with various surgical equipment like eyes surgeries, dental surgeries, some general surgeries, Pediatrics and various Gynecological surgeries and a couple of eye drugs, dental drugs, antibiotics, analgesic drugs, anesthetic drugs, antimalarial drugs, diabetic and hypertensive medications.
• Also brought by the team were all the surgical consumables i.e. sterile gauges, suture materials, antiseptics, surgical gloves, latex gloves and an autoclave for sterilization of the surgical equipment.
• Over 90% of the eye glasses given out during the outreach was brought by the team too.
• There were also various laboratory reagents for MP, Wilda testing, HIV, hepatitis VDRL test kids, urinalysis and pregnancy strips, glucometer etc. brought by the team.
• The leader of the team single handily transported the medical personnel, drugs and equipment to and from Makurdi to Ogbona, paid some little stipends to the medical personnel.
• On the average Dr. Paulinus Abu spent two million five hundred thousand naira, N2.5M of his personal money to finance the outreach.

• Dako Foundation for Rural Health Care & Education made up of 11 staff carried out the following medical services:
• Total number of children given vitamin A who are less than 1 year = 51
• Total number of children given Vitamin A who are 1 year and above =628
• Total number of people 1 year and above who were dewormed =1945
• Total number of pregnant and lactating mothers who were given multivitamin = 108

Drugs used (doses).

1. Vitamin A 100000IU for children 6months -11 months =51
2. Vitamin A 200000IU for children 1 year and above = 628
3. Chewable Albendazole (deworming drugs) = 1945
4. Multivitamins for Pregnant and Lactating women = 3240

• Amazing Grace Medical Outreach was organized by one of our diaspora members, Catherine Asapokhai to compliment the effort of other medical personnel on ground. The team was made up of 5 consulting doctors and 2 nurses

• Edo State Action for the control of AIDS (Edo-SACA) was another corporate body that partnered with OEF to create awareness about AIDS, its management and controls. The group of 7 carried out free HIV tests throughout the program and handed out several condoms. EdoSACA organized two Counseling and Testing Tents to provide privacy and shelter to all that came for the HIV Testing Services (HTS). A total of 119 persons were counseled and tested using the full complement of M&E tools. All the people were made to go through both the Pre-test and Post-test counseling routines

• Prezens For Charities USA and Emergency Response International Nigeria team of 4 led by Christopher Asapokhai. The team conducted the following training;
• CPR TRAINING: 33 persons trained.
• BLS TRAINING: 6 Nurses participated. The training session was not comprehensive due to In and Out of participants from the class because of their involvement in the theater and the wards. Will have a comprehensive session at a later date.
• ACLS: This could not hold. No time.

• Etsako Central Local Govt, Nursing Services were also at hand with their staff to support other nurses for the various medical programs.

• MCK Orbih Comprehensive Health Center played host to the medical outreach and supported the events with 46 staff made up of doctors, nurses, pharmacists, technicians and others in all aspects of the programs.

However, despite the somewhat smooth takeoff of this program on the first day, our feeling of drugs adequacy was short-lived as we ran out of some common prescription drugs and infusions sooner which OEF had to make provisions for. These purchases which occurred daily from start to end of the entire programme was made possible because of our last-minute anticipation to have a plan B that will cater for possible shortfalls that could emanate in the cause of this medical outreach. To this end, OEF spent well over N1,000,000.00 for additional drugs during the period, whereas some other drugs were in excess. The second and third days of the event started on a smooth note and saw the Europe team as well as partnering teams well settled down for work.

SUMMARY OF THE 2018 FREE MEDICAL OUTREACH OF OGBONA ELITES FORUM HELD AT MCK ORBIH HEALTH CENTRE, OGBONA FROM 1ST TO 3RD SEPTEMBER 2018

Ogbona Elites Forum organized a 3-day medical outreach to Ogbona Community and environ from September 01 to 03, 2018. Over 3,000 people from Ogbona and surrounding villages were at the MCK Orbih Comprehensive Health Centre daily for the free medical programs. Below is a summarized list of cases completed during the medical outreach.

1. Dental treatment 113

2. Eye surgeries 42

3. General and Gynecological surgeries 80

4. ECG done on Patients 25

5. Eye drugs given 575

6. Eye glasses given 700

7. Dental drugs given 409

8. GOPD (CHILDREN, ELDERLY, HYPERTENSIVE, DIABETES., MALARIA, TYPHOID, UTI, URTI, etc.) with drugs given at PHARMACY 2,400 and

9. LAB TEST PERFORMED 496

EdoSACA organized two Counseling and Testing Tents to provide privacy and shelter to all that came for the HIV Testing Services (HTS). A total of 119 persons were counseled and tested using the full complement of M&E tools. All the people were made to go through both the Pre-test and Post-test counseling routines.

Dako Foundation for Rural Health Care & Education

Total number of children given vitamin A who are less than 1 year = 51,

Total number of children given Vitamin A who are 1 year and above =628,

Total number of people 1 year and above who were dewormed =1945,

Total number of pregnant and lactating mothers who were given multivitamin = 108

Ogbona Medical Outreach Training

1: CPR TRAINING: 33 persons trained.

2: BLS TRAINING: 6 Nurses participated. The training session was not comprehensive due to In and Out of participants from the class because of their involvement in the theater and the wards. Will have a comprehensive session at a later date.

3: ACLS: This could not hold. No time.

THE 2019 MEDICAL OUTREACH PLANS:

Health Care Committee Members: Dr Paulinus Abu – Lead, Other Members: Bernard Odior, Stella Mode, Peter Aigba, Phillip Ogedegbe, Albert Ikhane, Dr. Dorothy Kufeji, Mrs. Catherine Izuagie, Augustine Mode and Christopher Asapokhai

RECOMMENDATIONS

1. We shall organize the 2019 medical outreach as was done with some modifications, e.g. no training/ workshop
2. Due to the financial implication of the medical outreach is suggested that the program should be biannual
3. The financial estimates for the 2019 medical outreach will continue to be refined.
4. Medical personnel of Ogbona origin should be contacted about the outreach Program
5. The 2019 medical outreach will take place August/ September 2019

THE 2019 MEDICAL OUTREACH COVERAGE

1. Pediatrics medical cases
2. Pediatrics surgical cases
3. Hypertension
4. Diabetes
5. Dental problems
6. Eye cases (surgical, medical and reading glasses)
7. Malaria, typhoid fever, etc.
8. Gynecological surgeries and medical problems
9. Geriatric problems
10. HIV, HERPATITIS Screening and counselling
11. Ante Natal Care
12. Surgical cases e.g. hernia, lipomas, appendectomy, etc.

FINANCIAL ESTIMATES FOR THE MEDICAL OUTREACH

1. Drugs for about 3000 people NGN5,000,000.
2. Eye glasses 800 pieces    NGN 700,000.
3. Dental Consumables NGN 400,000.
4. Hiring medical equipment for surgeries NGN 600,000
5. Surgical consumables for 160 patients in eye, general and Gynecological surgeries NGN 800,000.
6. Laboratory investigations kits for 600 patients NGN 300,000
7. Honorarium to medical personnel @ #20,000. per day (3 days outreach), estimated medical personnel 50.  NGN 1,000,000.
8. Accommodation, feeding and transport of medical personnel will be taken care of. N1,000,000
9. Stationaries, banners, photos, video and other miscellaneous not captured please N200,000
10. Total cost of the outreach (8 & 9 inclusive) is NGN 10,200,000