Domestic and Universal Agency for Empowerment against Maladies

DUAEM (DUAEM) Charity Organisation

Website: https://maaceaduganda.org
CHARITY Email: duaemcharityorganisation@gmail.com
REG.NO: 80020003922089
ORGANISATION Location: Along Budhumbula-Balawoli Road, next to Dawson Hotel Kamuli
“Vitalizing Hope” Municipality, Kamuli District Uganda

Introduction

The proposed project Ultrasound Scan At Reach (USAR) is designed to build the capacity and
give skills to midwives and nurses about Point Of Care Ultra-Sound (POCUS) in obstetrics and
equip two remotely located health facilities (Buwenge Health Center IV and Budhima Health
Center III) with mobile ultrasound machines aiming at reducing maternal and child mortality
during and after pregnancy.

Problem Statement

Becoming pregnant in Uganda is a scary prospect. Women here have a one in 17 chance of dying
during pregnancy or childbirth – thought to be the highest maternal mortality rate in the world.

It’s not hard to see why. In Jinja District in Buwenge Sub-county, over 76,802 people rely on just 2
maternal and child health posts. Many are based in rural communities, and are equipped with only
the most basic of facilities: a bed, a community health worker and some medicines which are
always in shortage.

“We only have very basic things at this unit,” says Konso Stella, who has delivered over a thousand
babies in five years as a rural midwife working with Buwenge Health Center 1V. Stella’s facility is
typical – women with anything but the most straightforward pregnancies could be in mortal
danger.

“It's really a matter of time. As soon as you know this case is an emergency, it has a time limit
because the baby will not wait for you to get prepared. The longer you stay, the more distressed
the baby becomes.”

Sadly, all too often complications are spotted too late - and babies’ lives can't be saved.

“When we lose a baby, I have to shed tears. I'm a mother, too. I have two children. I know how it
feels. Most times you do not cry in front of them. I will just go to my office, because it tells on you
as the midwife. Your responsibility is to save the mother and the child. And if the child dies, you
did not do your job for the mother.”
The pressures faced by midwives like Stella are incredible, especially when considered in the
context of the discrepancies between rural Uganda and wealthier countries.

The WHO recommends an ultrasound scan in the first 24 weeks of pregnancy to detect foetal
abnormalities, complications and multiple pregnancies – which could help midwives make
important decisions.

It’s something taken for granted by expectant parents living in wealthier parts of the world: having
a scan is a ritual that provides reassurance, peace of mind and an opportunity to connect with the
life growing inside them. Seeing their baby’s heartbeat on the ultrasound monitor for the first
time is a moment few mothers forget.

This is not the experience, however, for the vast majority of women in rural Jinja district, Uganda.
Just one single ultrasound machine exists in Jinja Regional Referral Hospital, a facility serving an
area of nearly 767.7km2 that is home to well over half a million people.

Most of them live in rural locations far from the hospital, relying on a basic health centre, which
may still be hours away from home. This has caused a vast majority of pregnant mothers lose
their expectant babies where some unfortunately die in the due course.

It’s upon this background that DUAEM CHARITY ORGANISATION has designed Ultrasound Scan At
Reach (USAR) Project.

OBJECTIVES TO BE REACHED

S/N Objective Out-put

01 1) To enhance midwives and nurses with
knowledge and skills of obstetric
ultrasound scanning for a period of 6
months.
a. Jinja District Health Officer and two
health center In-charges mobilized and
oriented about USAR project.
b. 10 midwives and nurses mobilized and
oriented about USAR project

c. 10 midwives and nurses trained in point

of care ultrasound (POCUS) skills in
obstetrics.

02 2) To reduce maternal and fetal a. Two facilities (Buwenge Health Center IV

mortality rates associated with and Budhima Health Center III) equipped
pregnancy with mobile ultrasound scan machines.

b. 700 mothers accessed ultrasound scan

services
 03 1) To monitor and evaluate the project a. Both monthly and annual reports
milestones by the end of 6 months’ generated
training.
b. A project inventory and publications
made for public accountability.

Activities

1. Mobilizing the District Health Officer (DHO) and the two health center In-Charges for the project
entry and orientation meetings.
2. Conducting one orientation meeting with the DHO and the two health center In-Charges while
identifying 10 midwives and nurses to train.
3. Conducting one orientation meeting with the identified 10 midwives and nurses while putting
them into two groups for the training.
4. Conducting one month’s training of each group of the volunteer midwives and nurses in
obstetric ultrasound scanning skills.
5. Procurement and distribution of ultrasound scan machines to the two identified health facilities.
6. Supporting the trained midwives and nurses in delivering Point Of Care Ultrasound (POCUS)
services in obstetrics to the mothers attending the identified health facilities.
7. Conducting monthly stakeholders’ meetings to assess project progress and generate monthly
reports.
8. Conducting onsite (health facility) visits to assess the uptake of and resilience in POCUS services
delivery in obstetrics by the midwives and nurses.
9. Conducting an exit meeting with the key stakeholders to hand over project to the local
authorities.
10. Hire of external audit services.
11. Conducting an exit meeting with the external auditors.

Budget Summary

Activity Description Donor Request In Pound Community

Sterling Contribution
(1:4314.45)
Mobilizing the District Health Officer
(DHO) and the two health center In-
01
Charges for the project entry and 44,525.12 10.32 04.02
orientation meetings.

Conducting one orientation meeting

with the DHO and the two health
02
center In-Charges while identifying 350,000.00 81.12 46.36
10 midwives and nurses to train.
 Conducting one orientation meeting
with the identified 10 midwives and
03
nurses while putting them into two 450,000.00 104.30 46.36
groups for the training.

Conducting one month’s training of

each group of the volunteer
midwives and nurses in obstetric
04
ultrasound scanning skills. 9,000,000 2,086.02 2,781.60

Procurement and distribution of

05 ultrasound scan machines to the two
16,000,000 3,708.47 59.76
identified health facilities.

Supporting the trained midwives and

nurses in delivering Point Of Care
06 Ultrasound (POCUS) scan services in
350,000 81.12 00.00
obstetrics to the mothers attending
the identified health facilities.

Conducting monthly stakeholders’

07 meetings to assess project progress
600,000 139.07 463.56
and generate monthly reports.

Conducting onsite (health facility)

visits to assess the uptake of and
08 resilience in POCUS services delivery
350,000 81.12 185.42
in obstetrics by the midwives and
nurses.

Conducting an exit meeting with the

09 key stakeholders to hand over project
700,000 162.25 00.00
to the local authorities.

10 Hire of external audit services.

1,200,000 278.14 00.00

Conducting an exit meeting with the

11 external auditors while generating an
567,000 131.42 185.42
audit report.

PROJECT TOTAL COST 29,611,525.12 6,619.99 3,772.50

ORGANISATION BACKGROUND

Domestic and Universal Agency for Empowerment against Maladies (DUAEM) CHARITY
ORGANISATION, formerly called MAACEAD FOUNDATION UGANDA is a community based
organization that was started in 2018 by a group of healthcare workers spearheaded by Medical
Clinical Officer Kalende Alex, as an initiative looking after, supporting and educating people about
sickle cell disease. In 2022, the organization was fully rebranded and incorporated under REG.NO.
80020003922089, with a mission of eradicating poverty, disease and ignorance for the benefit of
Socio-Economic Emancipation (SEE)

Since our inception, DUAEM has implemented a number of projects before and after incorporation
including;

01. Nutritional Enhancement For Children Under Five (NEFCUF) in 2022, a project that
looked at sensitizing 100 Households with malnourished children and supporting them in dietary
replenishment through setting up gardens with nutritious foods.

PROJECT TEAM
KALENDE ALEX KATAMBA JORAM Dr. WASSWA DUBYE JALIATI
MUSIS YOSAMU
PROJECT LEAD TECHNICAL PERSON TECHNICAL PERSON FINANCE SECRETARY

Founder and Executive Holds a diploma in Holds a Bachelors Hold a Diploma in

Director of DUAEM Medical radiography degree in Medicine Social Work and
CHARITY of Mulago and Bachelors degree Administration of
ORGANISATION. Holds Paramedical in in Surgery of Gulu Kampala International
a Diploma in Clinical Uganda. Experienced University (Uganda), a University-Uganda,
Medicine and in ultrasound scanning Diploma in Clinical Certificate in
Community Health of for 10 years. Medicine and Computer Applications
Gulu School of Clinical Works with Kamuli Community Health of of Makerere
Officers. District Hospital as a Mbale School of University.
senior radiographer. Clinical Officers,
Certificate in Palliative
Care of Institute of
Hospice in Africa