THE PROJECTS

In the rural areas of Nigeria live some of the poorest people in the world,  and in 1992, the Wesley Guild decided that it should seek to re-establish the task of supporting primary health care within Nigeria as it had originally done in its early years at Ilesha in 1912. Since then support has grown within the Guild movement, the wider church, Christian Guild Holidays, other organisations and from individuals.

 Today we are financially supporting seven hospitals, health centres and clinics, three centres for mentally ill people, one leprosy and rehabilitation centre, a motherless babies home and a community-based orphan care programme.

NHCP is also committed to assist in the training and education of health workers. We support a College of Health Technology, which trains community health workers and we are actively involved in promoting a school of nursing and midwifery.

In the meantime there is much to be done and requests for support in other areas.

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Map Map
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Hospitals

Methodist Hospital, Omuo-Ekiti, Ayedun Diocese, Ekiti State

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Presentation of ultrasound machine for Omuo-Ekiti Hospital

Refurbishments needed at Omuo-Ekiti Hospital

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The Methodist Maternity and Health Centre was founded in 1961 by the first resident minister, Revd J Banke Orasajo. A few years later the government took over private clinics, which sadly led to closure, and the premises were burnt down in a bush fire. Attempts were made to re-establish the centre in 1987. It struggled for three years until a retired midwife, Chief Mrs Victoria Aregbusi was employed and she rekindled hope and enthusiasm. Victoria remained a stalwart for 14 years.

In 1992 the Centre was the first to be funded by the Nigeria Health Care Project and this involvement coincided with the arrival of midwife Sheila Wray. In the next two years much was achieved and the centre was approved by the state as a hospital.

After Sheila’s departure the hospital struggled, but by perseverance, good local administration and Victoria’s skills, the hospital improved once again.

Trustees Visit 2017

The hospital continues to struggle to attract patients. A staff member has been sent for training in the use of the ultrasound machine and some refurbishments have taken place. However there were delays in the full refurbishment, also funded by a legacy from Mr Arthur Wray, when Bishop Osundina was in charge. The Medical Board of Methodist Church Nigeria is working closely with Bishop Abejide and Sir Olufemi Aribisala (Lay President of Ayedun Diocese) to ensure the work is completed.

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Bethesda Hospital, Ikachi, Oju, Igede Diocese, Benue State

Click to enlargeLeft: Dr Favour, Jenny Benfield and Dr Joseph with woolly hats for babies at Bethesda Hospital

The hospital was opened in 1963 by Dutch missionaries and doctors. In 1989 it was transferred to Methodist Church Nigeria when the Dutch decided to focus their work in Nigeria to other areas. It has been difficult for Methodist Church Nigeria to fund the hospital adequately so it has often been in crisis. However it is a much loved and much needed establishment in a remote part of the country.

This 120 bedded hospital treats and cares for patients with a wide variety of conditions including tuberculosis, diabetes, epilepsy, orthopaedics, HIV/AIDS. The hospital also has four peripheral clinics. The maternity and newborn service at the hospital is particularly valued by local people.

Trustees and Trainers Visits 2017

It was good to see three new doctors at Bethesda Hospital. Dr Joseph Onah is the new Medical Director, supported by his wife Dr Ofulae Favour and Dr Madubuko Nonso, who are both Youth Corps doctors. The hospital continues to recover its standing in the local community. Dr Joseph was an enthusiastic participant in the training programme in neonatal resuscitation and care and is forging strong links with health services run by Oju Local Government Area. 23 new participants attended for training plus 14 who had been previously trained and attended a brief refresher course. (see training report)

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Royal Cross Hospital, Ugwueke, Uzuakoli Diocese, Abia State

(See also proposed School of Nursing and Midwifery, Royal Cross Hospital)

Dr Hans

Dr Hans van den Corput

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The operating theatre

 

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Water treatment facility at Royal Cross

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Completed chapel at Royal Cross

 

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Royal Cross Hospital is always busy

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 The maternity unit, funded by a local donor

The premises were originally intended for a circuit cathedral, but the need for medical facilities was deemed to be the greater priority and so we were given the large partially built premises to complete as a hospital. Due to the enthusiasm of the then Bishop of Uzuakoli, the Rt. Revd Chris Ede, the dedication and skill of a Dutch doctor, Hans van den Corput, and the skilled and experienced administrator, Chief Paul Okorie, who was Chair of the Management Committee, this hospital, which was opened in August 2002, has grown beyond our wildest dreams.

The hospital is highly regarded throughout eastern Nigeria and beyond, particularly because of the surgical skills and dedication of Dr Hans. Closer links have been made with the Federal Medical Centre at Umuahia (the teaching hospital for the area) with doctors seconded from there to work at Royal Cross. HIV and TB services are supported by, and integrated with, the Abia State health authorities. NHCP no longer supports Royal Cross and its sister hospitals financially, because they are self-sufficient, but is actively involved in training staff.

Trustees and Trainers Visit 2017

Chief Paul Okorie has retired and been replaced by Revd Victor Ogbonna who is rapidly learning the role of Hospital Administrator. Sister Comfort has replaced Sister Stella as Matron and NHCP training coordinator for the hospitals. The chapel at Royal Cross has been completed and there has been further progress on the building of a hostel for nursing students. Another successful week of training took place (see training report). 28 participants attended for training, half were new staff and half came for a refresher course.

Nkechi Colwill Hospital

This general hospital on the Uzuakoli Methodist campus is steadily developing as the old buildings are refurbished and brought back into use. Dr Hans spends two days per week here and there is a resident Nigerian doctor. During the 2017 visit we were able to train new staff at the hospital as well as offer refresher training to people we have trained before.

See 2017 training report

Royal Cross
Two refurbished ward blocks at Nkechi Colwill Hospital

 

Felicia
Felicia and David demonstrating resuscitation to the local media

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Beautiful Gate Methodist Hospital, Ozuitem, Uzuakoli, Abia State

BeautifulGateThis small hospital, which started in 2007, has support from a local benefactor but is struggling to develop its services due to the lack of a resident doctor. When trustees visited in 2017, a new, three-bedroomed doctor’s house was almost complete so it is to be hoped that this will be sufficient to improve the situation at Ozuitem.

 

 

New doctor's house at Beautiful Gate Hospital, Ozuitem (Click on the picture to enlarge it.)

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Chijioke Osogho Memorial Hospital, Item, Item Diocese, Abia State

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Also in Abia State, this hospital was built, equipped and donated to Methodist Church Nigeria, by Sir (Chief) Ndukwe Osogho Ajala a native of Item, in memory of his sister, who died from Sickle Cell Anaemia. It is an 18 bedded hospital with a modern surgical theatre, labour room, pharmacy, medical laboratory, scanning and ECG machines and generator. This is the only hospital which serves the nine villages of Item

 

 The new staff quarters at Item
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Trustees Visit 2017

Bishop Eze has employed an enthusiastic young doctor, who completed his postgraduate training in obstetrics and gynaecology at FMC Umuahia and is working as a general doctor with a special interest at Item. He and the new matron, a registered nurse/midwife are working hard to reach out to the local community. The ultrasound machine purchased from the Arthur Wray legacy is being well used. Most of the laboratory equipment needs replacing or refurbishing.

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Methodist Hospital Ogoli Ugboju, Apa Diocese, Benue State

This was originally opened as a clinic in the 1970’s when the late Grace Mortimer worked there as a midwife. It was drawn to our attention in the year 2000, in a very sad state of repair, without any trained medical staff, either nurses or doctor.

We were asked to provide funds to repair the premises, provide equipment, drugs etc. to allow them to appoint trained medical staff.

It was almost three years before we were able to make any financial contribution, but the trust they had in us to support them gave hope, encouraged the people to make repairs to the premises and look at ways they could improve the situation themselves.

With funds much has been achieved, not least a new vision and enthusiasm.

Trustees Visit 2017

This small hospital continues to make steady progress. When Trustees visited in February 2017, we had the usual enthusiastic welcome from the Women’s Fellowship and the children of the local primary school. Bishop Peter Ikwulono provides steady leadership and the ultrasound machine is well-used. We know the welfare officer, Revd Johnson Adeno, from his time at Agboke. There are good links with the local government health services and active support from Dr Ella, a consultant from Abuja who comes from this area. On this visit we brought a refurbished microscope to improve the laboratory facilities.

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Ultra

Bishop Peter Ikwulono receiving ultrasound machine

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New Ward at Ogoli Ugboju

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Children dancing to welcome visitors to Ogoli-Ugboju

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Blessing the new microscope at Ogoli-Ugboju

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Health Centres

Dr Andrew Pearson Memorial Medical Centre, Igbo-Ora,
Elekuro Diocese, Oyo State

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Mrs Taiwo and Bishop Olumuyiwa Odejayi

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Ali Redmore and Tinu Awojobi at the Andrew Pearson Memorial Medical Centre

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The Health Centre honours the life and vision of Dr Andrew Pearson who worked at Ilesa Hospital and then at Igbo-Ora. It is in the market of this bustling town whose population are in need of health promotion and treatment.

Trustees Visit 2017

The medical centre has seen little activity in recent years and trustees were concerned about what we would find on this visit. Hopes of an active link with the Department of Family Medicine at University College of Ibadan are still alive but there had been no progress recently. NHCP Chair, Mrs Ali Redmore, is the daughter of Dr Andrew Pearson and this was her first time she had been back to Igbo-Ora in more than thirty years so the visit was particularly poignant for her.

We were pleased to be welcomed by Bishop Olumuyiwa Odejayi and his wife Taiwo, who have been at Elekuro Diocese for just over a year. Trustees noted evidence of improvement in the premises, with new doors and windows in place and an enthusiastic management committee. We had been very sad to learn of the death of Dr Yombo Awojobi in 2015. He was a charismatic Nigerian surgeon who had developed and run a hospital and health insurance scheme in the nearby town of Eruwa. Dr Awojobi helped with the development and funding of the Andrew Pearson Memorial Medical Centre (APMMC), so we were delighted that his widow, Tinu Awojobi, was present when we visited and gave an inspiring speech about the future prospects of APMMC. Trustees hope that a renewed partnership here will lead to APMMC fulfilling its potential as a health care and training centre.

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Damishi Health Centre and Galadima Health Centre, Kaduna Diocese, Kaduna State

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Damishi 2010
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Jenny Benfield greeting Esther Yakub

Damishi serves a rural community not far from Kaduna city. Galadima is further away from the city, in the direction of the Jos Plateau. We have not been able to visit Damishi or Galadima since 2010 due to insecurity in Northern Nigeria. Both health centres are in South Kaduna state where there has been a recent increase in violence between the Fulani (whose traditional way of life is to keep and herd cattle) and the settled population.

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Galadima welcome 2010
Galadima 2010
 

Trustees Visit 2017

We met with Archbishop Idoko in Abuja, the capital city of Nigeria, to discuss the situation of both health centres. Staff at both Damishi and Galadima are insecure due to the threat of violence in the area so there is an urgent need to provide security fencing and on-site housing. Laboratory facilities also need upgrading. These two health centres rely very heavily on financial support from NHCP. They are places where Christians witness to the love of Christ to anyone seeking help, whatever their ethnic group or religious background.

Esther Yakubu, the nurse midwife from Galadima, was able to make the long journey around the conflict area to join us aa a training facilitator at Bethesda Hospital in 2017.


Mental Health Projects

Centre for Mentally Ill Homeless People, Amaudo Itumbauzo, Uzuakoli Diocese, Abia State

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Amaudo Chapel 2010

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Amaudo water pump

The primary work of the centre was founded in 1990, by Ros Colwill, OBE, who has been a mission partner in Nigeria for many years and retired in 2016. The model of care developed at Amaudo was the first of its kind in Africa and continues as a beacon of good practice in the rehabilitation of people with mental illness.

Amaudo continues to do well under the leadership of the Revd Kenneth Nwaubani.

Amaudo consists of Amaudo Okopedi, the community centre, which is home to up to 65 homeless mentally ill adults. The aim is to rehabilitate the person back to their family and community. Amaudo Ntalakwu is a smaller community for residents who are unable to be rehabilitated home for one reason or another. Some live independently and others, for example with learning difficulties have more intensive support. Project Comfort is a community-based service for disabled children and young people, which now extends to three government areas. The Community Mental Health Programme (CMHP) has been implemented across five Nigerian States and continues to expand. There are now no fewer than 73 clinics operating in these five states with over 5000 patients receiving care. Community Psychiatric Nurses are trained to provide community care by clinics and home visits. The Community Mental Health Awareness Programme is closely affiliated to CMHP and trains village health workers in mental health awareness and human rights issues. The volunteers work closely with the psychiatric nurses. Amaudo celebrated its 25th anniversary in November 2014. A special appeal has been launched to refurbish each building (approx. £2700 per house). A special appeal was launched to refurbish each building and NHCP was able to respond to rehabilitate one building, with £3000 from the Arthur Wray bequest.

Click here for the website of another support charity, Amaudo UK

Amaudo also includes ‘Project Comfort’ which works with over 300 disabled children and their families in three local government areas, using a community-based model of care. NHCP ran training days with Project Comfort Staff in 2014 and 2017.

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Worship

Worship in the Chapel of Peace at Amaudo

Roof

Collapsed roof at Amuado

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Edawu Community Mental Health Care Project, Ainu, Igede Diocese, Benue State

The Nigeria Health Care Project provided funds to build and equip this Centre, which is based on the ‘Amaudo’ model, although from the outset greater emphasis was placed on treatment in the community. The Very Revd John Angwa has provided inspirational leadership at Edawu for over 14 years. Bishop Jaja Kantiyok of Igede Diocese is looking for a successor to John.

The oil-palm plantation, the seedlings for which were funded by a UK family, continues to grow. Poultry and goat-breeding projects are also generating income for the centre.The clinics in the surrounding area have large numbers of people attending, including many with epilepsy as well as those with psychiatric problems.

The Very Reverend John Angwa was delighted to receive sufficient funds from NHCP from the Arthur Wray bequest to enable Edawu to purchase a second-hand Toyota Sienna in good condition. This will be invaluable in the work of the centre for transporting patients and in outreach work.

Edawu has a strong link with Accept in the UK and the Leicestershire Partnership NHS Trust: website http://www.hopecc.org.uk

Trustees Visit 2017

It was good to see steady progress at Edawu, although Achi remains as the only qualified psychiatric nurse on the staff. The report for 2016 documents 3346 patients seen of whom 484 were new to the service. Edawu now has a number of volunteer mental health advocates in the community and this system is working well. As well as the oil-palm and orange plantations, Edawu generates income by goat and chicken-rearing.

 

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Very Revd John Angwa & Bishop Jaja Kantiyok with Edawu vehicle

The church at Edawu, built with funds from the World Church Office of the Methodist Church in the UK. The church is central to the work of Edawu, but it is also the circuit church for the surrounding area


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Goat production at Edawu

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Oil Palm plantation at Edawu


Health and Restoration Centre for Psychiatric Illness,
Agboke-Oglewu, Otukpo Diocese, Benue State


This centre originated when the then Diocesan Bishop, the Rt. Revd Sunday Idoko saw that there were many mentally ill homeless people in and around Otukpo. There were no facilities for their treatment and so he set about establishing such provision in the redundant and derelict premises of the former Methodist High School. An initial grant was made by the World Church Office of £10,000 and subsequent annual grants by the Nigeria Health Care Project. It opened officially in May 2004. There has also been considerable support from the local community and Churches. NHCP is actively looking for a UK NHS mental health Trust who may be willing to partner with Agboke.

During the 2014 visit we were privileged to meet four residents who were being discharged home after successful rehabilitation. The CBM/Australian Aid expansion of mental health services in Benue State continues to work closely with Agboke. During 2013 they were able to start work on a new clinic building. Archbishop Abah, the new Archbishop of Otukpo,  takes a close interest in the centre and has proposed to the local community that a Methodist High School is built nearby.

Trustees Visit 2017

The Revd David Onoja, the relatively new Welfare Officer, and Esther, the psychiatric nurse are doing their best in difficult circumstances. Both Agboke and Edawu have to adjust to the end of the fixed term grants from Australian Aid/CBM. Trustees were impressed with the level of local support and, as with the previous visit, were able to meet some ex-patients who had been successfully rehabilitated home. The occupational/training workshop is not currently in use.

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Click to enlarge Revd David Onoja praying with rehabilitated patients at Agboke

Orphan Care


Motherless Babies Home, Uzuakoli, Uzuakoli Diocese, Abia State

MaryMary Corput and baby

It is a sad fact that many women still die in childbirth in Nigeria, and of course, some children are orphaned for other reasons. The Motherless Babies Home continues to do good work in providing care and there have been considerable improvements in the buildings and facilities since our last visit. The home is run by Mary van den Corput, the wife of Dr van den Corput and is in the grounds of the Uzuakoli Leprosy Centre.

Trustees Visit 2017

We were pleased to see most of the boundary wall in place, funded by money from the Arthur Wray legacy. There are less children at the home as more have been found permanent homes and less have been admitted. Most of the children now attend ‘school’ in a neighbouring building which provides more variety and stimulation for them. The Motherless Babies Home has a very good reputation within the area but there is a need to review its role and function.

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Bethesda Orphanage, Ibilla Ilache, Igede Diocese, Benue State

Bethesda “Community-Based Orphan Care” aims to ensure that babies are returned to their local communities within six weeks, accompanied by a carer from their own family, often a grandmother or aunt. The project supports the care of the babies for the first two years of life, with food supplies and regular visits to check on their progress. This approach to orphan care has beneficial consequences for the emotional lives of the children and their acceptance back into their own communities. One of the biggest expenses is the provision of formula milk.  

The orphanage now has more buildings than it needs and is considering income-generating options for the future. Felicia Ibu, Director, leads the work very well and is keen to help others learn about community-based orphan care. Bethesda celebrated 50 years of proving care for orphans in March 2013.

During the 2015 Training of Trainers visit, we were able to see the girls’ high school which has started with two years’ of students being taught and accommodated in some of the buildings that were previously used by the orphanage.

Girls SchoolGirls' High School at bethesda Orphanage site

Trustees Visit 2017

Trustees found the programme in crisis due to the withdrawal of funding by the programme’s major donor because of alleged misappropriation of funds by an administrator who has been dismissed from his post and most of the funds recouped. Felicia Ibu has had to make drastic reductions in staffing and the amount of support that can be offered to orphans discharged to their communities. Bishop Jaja Kantiyok is doing what he can to rescue the situation.

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Felicia Ibu with Jenny Benfield at Bethesda Orphan Care Programme
Students at the Girls' High School

Leprosy Care & Community-Based Rehabilitation

Leprosy Centre, Uzuakoli, Abia State

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Refurbished housing for the remaining residents

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Eddy, who was disabled by polio and now works as a vehicle upholsterer, talking with David Cundall

This centre was set up by the Primitive Methodist Church in 1930. At that time leprosy sufferers were expelled from their villages and abandoned to live as best they could in the bush. By the 1950’s the Centre had become a major research and treatment hospital which housed 5,000 sufferers and families, and was responsible for 20,000 others in isolated villages throughout the region.

Improved treatment has made a tremendous difference to this illness and how people are generally treated at home. The stigma attached to the disease largely dissipated through education.

Over recent years the main task has been to rehabilitate long term patients and their families, many of whom are severely disabled by leprosy, and train them in a skills which will enable them to provide an income for their families. When this process is complete, they are provided with the tools of their trade and a small house in the area from which they originated.

There is another small group of people here who are either too infirm or elderly to be able to live independently and we make a small grant each year towards their care. Austrian Aid money has enabled all the remaining residents to be moved to refurbished housing near the centre of the site,

Trustees Visit 2017

GLRA, the German leprosy charity will be withdrawing their support soon, as there are so few people affected by leprosy remaining at the centre. GLRA helped the previous Director, Very Revd Innocent Ekeke to develop community-based rehabilitation for adults with other disabilities. He is now pursuing a Masters degree in community-based rehabilitation at Kumasi in Ghana. His replacement, Revd Joshua Okpara, has been very active in trying to develop more income-generating schemes. NHCP provides a small financial contribution for the care of the four remaining very elderly people affected by leprosy.

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Training of Health Workers

College of Health Technology, Ebenta, Igede Diocese, Benue State

 

Ebenta staff

Ebenta staff with resuscitation training materials


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The microscopes in use in the biology lab

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Many of the smaller hospitals and health centres that we support are staffed by community health workers, who are trained in Colleges of Health Technology. The College at Ebenta is therefore doing a vital job.

The College at Ebenta was doing a vital job but has struggled in the last few years. The main issue has been difficulties getting accredited, but also having buildings to maintain on two sites. Donations of computers and a college bus, two items on the long list of criteria for accreditation, have been made by Methodist Church Nigeria. Lecturers from the College have taken part in the training programmes in neonatal resucitation and care held at the nearby Bethesda Hospital.

Trustees Visit 2017

Trustees were very disappointed to find the College with less than half the number of students. Some of  the most basic facilities for the students had not been maintained. Bishop JaJa Kantiyok hopes to rescue the situation by affiliating the College to a more established one and, if funds allow, to move the College to a single, more accessible site.

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Proposed School of Nursing and Midwifery at Royal Cross Hospital, Ugwueke

Click to enlargeRoyal Cross Hospital has taken students from other nursing schools for some years. There are plans to develop their own school of nursing and midwifery.

There has been a big step forward in that specialists from the Federal Medical Centre at Umuahia are now visiting Royal Cross. The presence of consultants is one of the pre-conditions for the establishment of a school of nursing and midwifery.

Some more progress has been made with the building of a nurses hostel at the Ugwueke site. Uzuakoli Diocese now oversees three hospitals (Royal Cross, Nkechi Colwill and Beautiful Gate). Chijioke Osogho Memorial Hospital at Item is within the same local government area so there is potential for all four of these small hospitals to be part of a training institution.


Training of Trainers in Newborn Health

Over 240,000 babies die in their first four weeks of life in Nigeria every year. Most of these babies die in the first few days. See  http://www.healthynewbornnetwork.org/resource/nigeria-every-newborn-action-plan-a-plan-to-end-preventable-newborn-deaths-in-nigeria-launch-version/ Most of these babies die in the first few days. The common causes of death are difficulties at the time of birth (‘birth asphyxia’), infection and prematurity. Deaths from all three of these causes can be substantially reduced with appropriate training in newborn resuscitation and care.

FeliciaNHCP have been providing training, and training trainers in newborn resuscitation and care during brief visits for the past 6 years. Our most recent visit involved one week in Abia State and one week in Benue State (see training report). On this visit we were able to evaluate the retention of skills and knowledge by a sample of those people we have trained previously. This led us to review our approach and to concentrate on the repetition of basic skills and to focus on the training of a few local training coordinators rather than a larger number of trainers. Each year we have been able to involve more training facilitators and coordinators from Nigeria, and fewer from the UK.

GoAT

Pictures: Above Training of Trainers at Bethesda Hospital
Left: Even a goat wanted to learn at Ekiti

Below: Eunice, Esther, Marcellina, Martha, Maria training facilitators and coordinators at Bethesda Hospital 2017

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Project Comfort at Amaudo

Click to enlargeEach year for the past three years it has been a privilege to spend short amounts of time with Project Comfort team at Amaudo. They provide support and rehabilitation to over 300 disabled children and their families in three local government areas of Abia State. In 2012, David Cundall worked with the team by reviewing individual children and discussing key issued in their care. In 2013 we looked at ‘family-centred care’ during a two-day workshop. In 2014, Drs Stephanie Govenden and David Cundall led sessions on topics chosen by the workers.

In February 2017, Dr Stephanie Govenden and Dr Chakra Vasudevan, spent a day of case-based teaching with Project Comfort staff.

 


Click here for reports from previous years

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