Yesterday I walked around the Mulago Hospital in Kampala. It is the largest state hospital in Uganda. It was a very challenging end of my busy programme in Uganda which started, over a week ago with a breakfast meeting on the terrace of my hotel in Kampala. I was in Uganda as part of the Global Health Exchange placement programme and also and partly to scope out opportunities to contribute to the Uganda UK Health Alliance programmes aimed at establishing more generalised health partnerships and collaboration. After breakfast it was off in a small minibus to tackle the traffic on our way to Maya, a small rural community just outside of Kampala. The final mile of the journey was on an unmade and treacherously slippery road carved out of the red mud of a hillside.
He collects and stores rain water from the clinic roof. This water goes into a 1000 gallon tank buried in the ground, and need to be pumped manually up the hill to other storage tanks before it is fed by gravity back down to the clinics taps and toilet. Patients are asked if they would spend 5 minutes (or more if they are able) on a machine rather like a bike that pumps water up the hill. Not only does this improve their cardiovascular circulation, but in so doing helps reduce anxiety. It was a fantastic set up.