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Clinical report: community health assessment,cse of muhima villaga

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par community clinical KHI student team
khi - bsn level 3 2009

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All respondents (i.e., focus group participants, interviewees, respondents) were asked to identify obstacles to services. A relatively short and consistent list of responses emerged. The most critical obstacles are perceived to be:

. Information gaps

. Transportation difficulties

. Lack of affordable programs and services

. Lack of health insurance coverage (most frequent survey response)

. Difficulty in getting an appointment with providers, programs or services (second most frequent survey response)


It is evident from this study, that although residents are generally satisfied with health services within the muhima health service area, gaps do exist. Muhima decision-makers need to be aware of these reported gaps in making future funding decisions, whether they are real or simply strongly perceived. The following listing reflects a summary of the recommended priority action areas within the community area, based on the analytical summary of the findings of the study. It takes into account the myriad observations and findings, and identifies those areas perceived to be the most in need of attention within the next two-to-three years.

It must also be noted that while it is important to address selected gaps, at the same time, it is essential that adequate support be maintained for existing services and programs that are doing a good job, and without which additional service gaps would emerge. A careful balance of needs should be maintained.


. Coordinate and disseminate information about programs and services.

. Enhance mental health services, particularly for persons aged 0-12 and 65 and above.

. Enhance dental services, particularly preventive and restorative services.

. Increase the number, quality and «reach» of after-school programs, including enhanced recreation options.

. Increase advocacy and public/provider/policymaker educational efforts in pertinent areas (e.g., affordable prescription drugs, affordable housing, improved availability of health insurance, improved transportation, promoting healthy behaviors).

.Enhance coordination of community organizational efforts (e.g., leadership training, inter- organizational collaboration).

. Enhance focus on senior issues.

. Enhance access to primary care services.


This is to emphasize the importance of strengthening health systems in building global public health security. To argue that many of the public health emergencies described in this report could have been prevented or better controlled if the health systems concerned had been stronger and better prepared. Some community find it more difficult than others to confront threats to public health security effectively because they lack the necessary resources, because their health infrastructure has collapsed as a consequence of under-investment and shortages of trained health workers, or because the infrastructure has been damaged or destroyed by armed conflict or a previous natural disaster. With rare exceptions, threats to public health are generally known and manageable.

Global cooperation, collaboration and investment are necessary to ensure a safer future. This means a multisectoral approach to managing the problem of global disease that includes governments, industry, public and private financiers, academic, international organizations and civil society, all of whom have responsibilities for building global public health security.

In achieving the highest level of global public health security possible, it is important that each sector recognizes its global responsibility.

In the spirit of such partnership, ministry of health urges all involved to acknowledge their roles and responsibilities for global public health.

The protection of national and global public health must be transparent in government affairs, be seen as a cross-cutting issue and as a crucial element integrated into economic and social policies and systems.

Global cooperation in surveillance and outbreak alert and response between governments, private sector industries and organizations, professional associations, academic, media agencies and civil society, building particularly on the eradication of diseases ,.. to create an effective and comprehensive surveillance and response infrastructure.

Open sharing of knowledge, technologies and materials, including viruses and other laboratory samples, necessary to optimize secure global public health. The struggle for global public health security will be lost if vaccines, treatment regimens, and facilities and diagnostics are available only to the wealth.

National systems must be strengthened to anticipate and predict hazards effectively both at the international and national levels and to allow for effective preparedness strategies

Professionals and policy-makers in the fields of public health, foreign policy and national security should maintain open dialogue on endemic diseases and practices that pose personal health threats, including HIV/AIDS, which also have the potential to threaten national and international health security.

Meeting the requirements is a challenge that requires time, commitment and the willingness to change.




· Insufficient qualified nurses

· Lack of knowledge concerning nursing process

· Insufficient materials

· Very Small health facility.

· Decreased minimum packet of activities.

· Short time of clinical practice this contributes to unaccomplishment of all objectives.

· Insufficient follow up of students due to low number of Kigali Health Institute supervisors.

· Problems related to accommodations.

· Increase a number of qualified nurses by recruiting others.

· Recruit other qualified nurses including those of high level and skills (nurses A1, A0).

· Continuous formation on medical innovation and new national protocols.

· Avail all basic materials by regular supplying.

· Request support from the sponsors especially ministry of health.

· Extension of health center thereby building unavailable accessory services.

· Facility extension, sufficient personnel and materials can be answers of this issue.

· Increase days i.e. duration of clinical placement so to allow students attain almost or even all their clinical objectives.

· Supervisors are overloaded due to follow up of many students at different sites i.e. students are not attended on time therefore they lost assistance from supervisors.

· Add to usual offered money for clinical placement.

· Give on time scholarship money.


First of all, we give thanks to the ministry of education, sciences technology and scientific research that always planifies the clinical placement for student future nurses.

For this, we greatly thank the Kigali Health Institute that sent us in clinical placement, muhima health center that received us kindly as well as our supervisors who were always available to support us.


This clinical placement passed well in warm & understood climate towards clients frequenting the health center, medical and non-medical team as well as our supervisors.

It was very important because it allowed us not only to attain almost our objectives but also to gain new theorical knowledge and practice in regard of nursing practice

According to clinical objectives, we gently inform you that some of them were not attained independently to our will.

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