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Kisiizi (Uganda)

Aim

The primary aim of the Urolink workshops at Kisiizi Hospital is to train local urologists and improve patient care.

BACKGROUND: Church of Uganda Kisiizi Hospital is situated in Rukinguri District south-west Uganda, between Kabale and Rukungiri. approximately 42 kilometres (26 miles) south of Rukungiri, where the district headquarters are located.

It is a community hospital, founded by Dr John Sharp, a missionary doctor, in 1958 and later taken over by the Church of Uganda, under the North Kigezi Diocese of the Church. It is one of the 55 non-government Hospitals in Uganda. The hospital has operated continuously from the day it was founded in 1958. The bed capacity is 250 plus 10 cots/incubators in the Special Care Baby Unit.

It is a fee-paying hospital, although no-one is turned away because of their inability to pay. The fees collected from the patients cover only about 40% of the total hospital expenses. To supplement that income, the hospital operates several other businesses and receives charitable contributions from supporters in Uganda and overseas. The hospital's other businesses include:

  • Kisiizi Hospital Primary School - taking day pupils and boarders from hospital staff families and the community, with around 430 children enrolled
  • Kisiizi Hospital School of Nursing - training nurses and midwives, with around 200 students
  • Kisiizi Hospital Health Insurance Scheme - covering members in the 4 local districts of Rukungiri, Kabale, Ntungamo and Kanungu with over 36,000 people registered in an area extending up to 60km from Kisiizi
  • Kisiizi Hospital Power Limited - the operator of Kisiizi Power Station, a 300 kW hydroelectric project that supplies the hospital and the town of Kisiizi
UROLOGY DEPT: There are two qualified general surgeons (with the urology lead being Dr Robert Mugarura), one obstetric and gynaecology surgeon, two physicians and several medical officers. Dr Ian Spillman, a retired UK paediatrician, is the Medical Director and has introduced governance systems, uptake of WHO checklists and projects on surgical safety. 
HISTORY: The TURP camps are organised by Adam Jones (Consultant Urological Surgeon, Royal Berkshire Hospital): Kisiizi Hospital maintains strong links with the Royal Berkshire Hospital and with Chester Hospital. In practice, an involved UK urologist visits Kisiizi approximately every six months. 
OBJECTIVES: The workshops are designed to be predominantly TURP camps and, while they are taking place, all other elective surgery is put on hold. Ultimately, the aim is to train local surgeons to undertake TURP independently.

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