Page 30 - Uganda Health Care Directory 2024

TRANSFORMATION OF
MULAGO NATIONAL REFERRAL HOSPITAL

Mulago National Referral Hospital, Uganda's premier healthcare facility,
has gone through incredible transformations and achieved significant
milestones in recent years.

Mulago, the country's major health institution, has taken the lead in • Advanced Medical services i.e. Geriatrics (medicine for the elderly) , The hospital is embarking on the implementation of the Integrated Hospital
implementing government initiatives to develop and sustain the healthcare Gastrointestinal and Hepatobiliary [Advanced diagnostic and therapeutic Management System to streamline patient management, better
system. This article discusses the hospital's notable achievements and endoscopic procedures, Hematology, Endocrinology[Endocrine emergencies coordination and reduce on patient turn around time. In addition, steps
advancements in health-care provision. such as thyroid storm, Transphenoidal hypophisectomy, Laparascopic have been taken to improve infection control practices, proper waste
Adrenalectomy, Insulin pump therapeutics, Endocrinology, Stone Clinic handling and disposal resulting to reduced nosocomial infections thus
1. Remodelling and upgrade of infrastructure services], Nephrology(Dialysis, Renal transplant), Neurology[Brain mapping, contributing to higher standards of care and better treatment outcomes
Neurogenetics, Deep brain stimulation] Pulmonology [Endobronchial
One of the most important accomplishments has been the significant ultrasound transbronchial needle aspiration, ECMO services] 6. Expansion of Outreach and Community Health Programs
extension and refurbishment of Mulago Hospital's infrastructure. The Dermato-Venereology [Hair follicle transplant ] Infectious Diseases
hospital has renovated, remodelled, and upgraded Lower Mulago, also [Complicated infectious diseases e.g. with drug resistant pathogens, Post Mulago Hospital has extended its impact beyond its walls through various
known as New Mulago, to provide specialized healthcare services. organ transplant infectious diseases] outreach and community health programs. The hospital has launched
State of the art laboratories at Lower Mulago • Pediatrics services such as Neonatology; premature babies care, intensive Diagnostic open days, Surgical weeks, wellness clinics, patient follow ups and
• Constructed an organ transplant unit with 2 operating theaters, 2 ICU nutrition support and management of advanced syndromes health education campaigns aimed at reaching the marginalized
rooms, 1 HDU, and 36 dialysis beds for kidney, liver, bone marrow, and cornea • Imaging equipment: MRI 1.5T, X-ray machines - Bucky system, X-Ray • Diagnostic services such as Advanced Interventional Radiology, Nuclear populations. These initiatives are designed to provide essential health
transplants. Machine, Fluoroscopy, X-ray machine C-Arm, Mobile X-Ray Machine, CR Medicine, Pathology [Molecular diagnostic Pathology], Advanced services, raise awareness about preventive care, and address health
• Expanded operating theatres from 7 to 22. System, Mammogram X-Ray system (Digital), Dental digital X-ray with bio-chemical analysis [Genotyping, Cytogenetics]. disparities in remote and marginalized communities.
• Increased the ICU capacity from 8 to 44 beds. Sensor, CT Scanner - 128 slices, PAC System, 4D Ultrasound machines and 3D
• A&E department expanded to offer medical, pediatric, surgical, and Cardiac Ultrasound. This has been augmented by the introduction of advanced treatment
imaging emergency services. •Critical care and anaesthesia equipment; Extracorporeal Carbon dioxide protocols and technologies which has elevated the hospital's status as one
• The Radiology department has expanded to include services such as MRI, Removal (ECCO2R), Advanced bedside monitors, Ventilators, Defibrillators, of the leading centres for specialized medical care in the region.
CT scan, Fluoroscopy, mammography, Interventional Radiology, X-ray, and DVT compression device and other life support equipment
ultrasound. Provision of a diagnostic suite for ECG, EEG, and Diagnostic and • Neurosurgery equipment; Neuro Navigation, Neuro Microscopes, 4. Enhancing Training and Research
Interventional Endoscopic procedures). Stereotactic system, CUSA Ultrasonic aspirator, Neurosurgery head
• Improved patient care by connecting each bed to Oxygen, Medical Air, and frame/clamp, Neurosurgery Power Drill, Greenberg self-retracting system, Recognizing the importance of education and research in advancing
Vacuum gases. Suction machine neurosurgical. healthcare, Mulago Hospital has strengthened its role as a training and
• Constructed VIP rooms for exclusive outpatient and inpatient care. • Medical scopes; Duodenoscope, Gastroscopes, Endoscopes, Bronchoscopy research centre for universities and other health training Institutions.
• Constructed training facilities with a resource center, studio, and lecture machine, Proctoscopes, Arthroscopy Machine, Colonoscope, Paediatric Scope Collaborations with national and international academic institutions have
rooms connected to theaters via video links. Set with Cysto Urethroscope, Urology Laser Surgery Set, Cystoscope set, contributed to the development of new training programs for health Interventional Radiology team conducting a procedure
• Creating a separate ambulance lane for the A&E department. urology, professionals. The hospital in conjunction with partners offers fellowship
• The Pathology Department expanded from 10 to 160 bodies. • Physiotherapy and General Medical Equipment programs in specialised health care disciplines. Conclusion
• Established 6 Histopathology labs. • Surgical Operating Instruments • Urology, Paediatric Surgery, Neurosurgery, Orthopaedics, Plastic Mulago National Referral Hospital has made significant progress in
• Installed 8 oxygen plants with a total capacity of 345m3. • Medical Furniture Surgery, General Surgery in partnership with COSECSA. enhancing its capabilities and expanding its range of services. The
• Improved air circulation in wards. • CSSD Equipment • Interventional Radiology in partnership with Yale University, Emory achievements in infrastructure development, specialized care, training,
• Creating a healing environment with green zones. • Workshop Tools/Equipment University, Duke University, Harvard University, Makerere University and patient safety, community outreach, and partnerships underscore the
• Improved road network in the hospital. Road2IR. hospital's commitment to advancing healthcare in Uganda and fulfilling the
• Provide backup power generators and inverters. The introduction of state-of-the-art equipment, including advanced • Endoscopy in partnership with KOICA. vision of His Excellency the President of the Republic of Uganda of reducing
• Install outdoor lights with sensors to reduce power consumption. imaging and diagnostic tools, has significantly enhanced the hospital's • Heamatoncology program with Texas Children's Hospital and Makerere in medical tourism.
• Installation of 10 New Lifts. ability to provide quality care. This expansion is aimed at reducing patient University.
• Revamp of the plumbing and electrical systems. congestion, improving patient outcomes, and offering a more comfortable
environment for both patients and staff. The hospital has also become a hub for clinical research, contributing to
2. Introduction of state-of-the-art equipment advancements in medical science and the implementation of evidence-based
3. Improvement in Specialized Services practices. The Hospital is also conducting ground breaking studies in
In order to transform Mulago into a specialised hospital, state of the art collaboration with partners.
equipment was procured and installed including; Mulago Hospital has made significant strides in expanding the scope of
• Laboratory Equipment: PCR Equipment, for antigen identification; specialized services. The introduction of new services such as; 5. Improved Patient Care and Safety
Haemoglobin Electrophoresis equipment; Automated Micro-Biology • Advanced surgical services [organ transplant, neurosurgery, Minimal
• Histopathology equipment Invasive /laparoscopic (pinhole) surgery, breast and endocrine surgery, The hospital has maintained patient care and safety as key elements in
• Radiotherapy Equipment: (3D Treatment Plan System; Brachytherapy cardiothoracic surgery, upper GIT/hepatobiliary, colorectal surgery, service delivery. new protocols and systems to enhance patient safety and
machine; CT Simulator (16 Slice)) ophthalmology, Ear Nose and Throat (ENT),urology, paediatric surgery, improve the overall patient experience have been adopted e.g.
• Eye and ENT Equipment dentistry/oral, maxillofacial, orthopaedics (including heap and knee international accreditation for laboratories (SANAS-M0659) was achieved.
• Surgical Operating Instruments replacement), reconstructive and cosmetic surgery]. The hospital is also currently working on ISO accreditation (ISO 45001:2018) Patient undergoing a CT scan procedure
and the first phase has been successfully concluded.

Extension of oxygen Voltage stabilizer Laparoscopy equipment State of the art mammography imaging equipment Sterilization services Fully functional MRI machine C-Arm Imaging machine

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