1 Version: 15 Sep 2005

Progress Report: Real Medicine Clinic, Yayawatta, Tangalle, Sri Lanka

Date: May 2, 2014 Prepared by: Stephney Minerva Fernando I. Demographic Information 1. City & Province: Tangalle, Southern Province, Sri Lanka 2. Organization: Real Medicine Foundation Sri Lanka – www.realmedicinefoundation.org 3. Project Title: Yayawatta Health Clinic 4. Reporting Period: January 1st - March 31st, 2014 5. Project Location (region & city/town/village): Seenimodora, Yayawatta, Tangalle, Sri Lanka 6. Target Population: 94 Tsunami affected families and the surrounding communities of four villages with a population of 4,000. II. Project Information 7. Project Goal: Provide medical care to Tsunami affected families and the less privileged to help build a healthy community. 8. Project Objectives:

1. Support the community with free high quality healthcare services 2. Help to create a healthy community, especially amongst the younger generation

9. Summary of RMF-sponsored activities carried out during the reporting period under project objective

(note any changes from original plans): The clinic was opened 10 days per month to provide free healthcare services to the community of Yayawatta at Seenimodara in Tangalle, Sri Lanka, and its surrounding villages and communities of Palapotha, Kadurupokuna & Seenimodara. 10. Results and/or accomplishments achieved during this reporting period:

The clinic was opened for 10 days each month and for the First Quarter of 2014, we saw an average of 21 patients per day with a total of 625 patients treated.

• In the month of April, 210 patients were treated, 98 males and 112 females • In the month of May, 209 patients were treated, 100 males and 109 females • In the month June, 206 patients were treated, 99 males and 107 females. 11. Impact this project has on the community (who is benefiting and how):

This project benefits two categories of patients; the community of Yayawatta, who had lost their livelihoods and loved ones in the Tsunami of December 2004, and the lower income groups of families that live in the villages and communities around Yayawatta. 12. Number served/number of direct project beneficiaries (for example, average number treated per day or month and if possible, per health condition). A total of 625 patients were treated at our clinic during this reporting period. 13. Number of indirect project beneficiaries (geographic coverage): Approximately 4,000 14. If applicable, please list the medical services provided: The clinic was opened 10 days per month from 7.00 am to 11.00 am.

2 Version: 15 Sep 2005

The most common diseases treated at the clinic in JANUARY 2014:

01. Influenza 02. Acute Gastritis 03. Rheumatoid Arthritis 04. Hypertension

Family Planning Program: 6 mothers received oral contraceptives in JANUARY 2014. The most common diseases treated at the clinic in FEBRUARY 2014:

01. Viral Influenza 02. Chronic Arthritis 03. Chronic Gastritis 04. Chest Pain & Hypertension 05. Skin Rashes

Family Planning Program: 5 mothers received oral contraceptives in FEBRUARY 2014. The most common diseases treated at the clinic in MARCH 2014:

01. Viral Infections with Fever 02. Chronic Gastroenteritis 03. Ischemic Heart Disease 04. Hypertension 05. Skin Diseases

Family Planning Program: 6 mothers received oral contraceptives in MARCH 2014. 15. Please list the five most common health problems observed within your region.

• Respiratory Tract Infections • Arthritis • Gastrointestinal Tract Infections • Heart Disease • Skin Diseases

16. Notable project challenges and obstacles: N/A 17. If applicable, plans for next reporting period: Continue clinic operations; continue reporting of clinic attendance, disease prevalence and family planning utilization for Quarter 2, 2014. 18. If applicable, summary of RMF-sponsored medical supply distribution and use: Monthly lists of medicines and supplies are attached in Annex 1. 19. Success story(s) highlighting project impact: 1. Mrs. Ranjani had come to the Real Medicine Clinic in Yayawatta with swelling & joint pain of her right ankle. She has a history of falling and had ignored the pain in her ankle for a long time. After x-raying her ankle it was clear she had fractures in her foot. She was referred to the Orthopedic Clinic at the Tangalle Base Hospital and is now healing with a plaster cast on her foot.

3 Version: 15 Sep 2005

Mrs. Lasika is 27 years old and came to our clinic with complaints of increased urination and thirst. Blood tests were taken and it was found that she is a diabetic. She was referred to the Diabetic Clinic at Tangalle Base Hospital and is now undergoing treatment and will be closely monitored at our Yayawatta Clinic as well moving forward.

Dr. Chamal Sanjeewa, RMF’s medical consultant serving at our clinic since its inception, passed his examination as an Administrator of the Health Department and in the near future will be supervising all the medical consultants in the district/region.

4 Version: 15 Sep 2005

20. Photos of project activities (file attachment is fine):

III. Financial Information 21. Detailed summary of expenditures within each budget category as presented in your funded proposal

(file attachment is fine). Please note any changes from plans. Monthly expenditures of the clinic for JANUARY, FEBRUARY & MARCH 2014 are attached with this report.

5 Version: 15 Sep 2005

Morbidity Report Beneficiaries

Direct Beneficiaries Yayawatta Year Month Patients Male Female Average

2014 JANUARY 130 61 69 13 FEBRUARY 133 63 70 13.3 MARCH 128 63 65 12.8 TOTAL 391 187 204 39.1

Indirect Beneficiaries Villages Year Month Patients Male Female Average Palapotha, Seenimodara & Kadurupokuna

2014 JANUARY 80 37 43 8 FEBRUARY 76 37 39 7.6 MARCH 78 36 42 7.8 TOTAL 234 110 124 23.4

Disease Chart of the Real Medicine Clinic in Yayawatta, Tangalle, Sri Lanka JANUARY 2014

Disease Type PERCENTAGE PATIENTS MALE FEMALE 01. Influenza 50% 105 49 56 02. Gastritis 20% 42 20 22 03. Rheumatoid Arthritis 20% 42 19 23 04. Hypertension 10% 21 10 11 TOTAL 210 97 113

FEBRUARY 2014 Disease Type PERCENTAGE PATIENTS MALE FEMALE 01. Influenza 50% 105 56 49 02. Chronic Arthritis 20% 42 18 24 03. Chronic Gastritis 10% 21 09 12 04. Chest Pain & Hypertension 10% 20 10 10 05. Skin Diseases 10% 21 07 14 TOTAL 209 100 109

MARCH 2014 Disease Type PERCENTAGE PATIENTS MALE FEMALE 01. Viral Infections with Fever 25% 52 25 27 02. Chronic Gastroenteritis 25% 51 24 27 03. Ischemic Heart Disease 20% 41 19 22 04. Hypertension 20% 42 21 21 05. Skin Diseases 10% 20 10 10

206 99 107

Place Year Month Patients Male Female Percentage Real Medicine

Clinic 2014 JANUARY 210 98 112 21

FEBRUARY 209 100 109 20.9 MARCH 206 99 107 20.6

TOTAL 625 297 328 62.5

6 Version: 15 Sep 2005

Total Patients numbers by Village:

Village JANUARY FEBRUARY MARCH Total Yayawatta 130 133 128 391 Palapotha 29 31 29 89 Kadurupokuna 32 30 31 93 Seenimodara 19 15 18 52 Total 210 209 206 625

Total Patient Numbers by Age & Gender:

ANNEX 1 EXPENDITURE FOR MEDICINES AND MEDICAL SUPPLIS FOR JANUARY, FEBRUARY & MARCH 2014 JANUARY 2014

NAME QUANTITY COST CAPSULES & TABLETS 01.Cloaxicilline(500mgs.) 300 Rs.1,500/= 02. Brufen(200mgs) 300 Rs.819/= 03. Cephelexin(250mgs) 300 Rs.2,790/= 04. Digene 300 Rs.1,098/= 05. Derriphilline(300mgs) 200 Rs.1,125/= 06. Dulcolax(5mgs.) 300 Rs.981/= 07. Mebandazole(100mgs.) 300 Rs.360/= 08. Emitop(Domperadine) 300 Rs.570/= 09. Famotedene 300 Rs.480/= 10. Folic Acid 500 Rs.250/= 11. Prednisilone 200 Rs.300/= 12. Atoruastatin(20mgs.) 200 Rs.2,190/= 13. Vitamin B Compound 500 Rs.175/= 14. Pyrentin(125mgs.) 300 Rs.2,100/= 15. Vitamin C (Ascorbic Acid) 1000 Rs.840/= 16. Dianil 300 Rs.945/= 17. Cephelexin(125mgs.) 300 Rs.2,634/= SYRUPS 01. Aminoplus 06 Bottles Rs.2,3664/= 02. Becadex 06 Bottles Rs.1,350/= 03. Derriphilline 06 Bottles Rs.720/= 04.Phenagan 500mls. Rs.180/= 05. Mumfer 03 Bottles Rs.909/= 06. Phenycof(Adult) 06 Bottles Rs.792/= 07. Phenycof(Junior) 06 Bottles Rs.642/= 08. Belcid 06 Bottles Rs.1,182/= 09. Domtic 03 Bottles Rs.780/= 10. Cephelexin 03 Bottles Rs.819/= OINMENTS & CREAMS

By Age JANUARY FEBRUARY MARCH Total Male Female 0 – 05 years 44 43 46 133 64 69 06 – 15 years 40 39 42 121 55 66 16 – 24 years 32 35 34 101 47 54 25 – 49 years 49 47 43 139 70 69 50 years+++ 45 45 41 131 61 70 Total 210 209 206 625 297 328

7 Version: 15 Sep 2005

01. Soframycine 06 Tubes Rs.576/= 02. Betnovate N 06 Tubes Rs.1,560/= INJECTIONS & OTHERS 01.Mithuri 06 Rs.600/=

TOTAL(PAID) Rs.31,931/= FEBRUARY 2014

NAME QUANTITY COST CAPSULES & TABLETS 01. Amoxicilline(250mgs.) 300 Rs.1,050/= 02. Orron 300 Rs.3,000/= 03. Buscopan 300 Rs.3,150/= 04. Dexamethazone (0.5mgs) 1000 Rs.530/= 05. Ciprofloaxanin(500mgs.) 300 Rs.2,550/= 06. Diazepam(0.2mgs) 200 Rs.60/= 07. Diclofenac(50mgs.) 300 Rs.915/= 08. Erythromycine(500mgs.) 300 Rs.3,000/= 09. HCT(Hydrochlothiazede) 200 Rs.150/= 10. Iron(Ferrous Sulphate) 200 Rs.400/= 11. Mebandazole(WORMIN-500) 30 Rs.1,200/= 12. Piriton(4mgs.) 1000 Rs.150/= 13. Glicocide(80mgs.) 200 Rs.1,680/= 14. Paracitamol 1000 Rs.675/= 15. Augmentin(375mgs.) 30 Rs.1,440/= 16. Mefanamic Acid 300 Rs.345/= 17. Zinnet(500mgs.) 30 Rs.3,270/= SYRUPS 01. Amoxicilline 06 Bottles Rs.1,320/= 02. Fersovite 06 Bottles Rs.1,080/= 03. Derriphilline 06 Bottles Rs.720/= 04.Piriton 750mls. Rs.235/= 05. Paracitamol 750mls Rs.300/= 06. Salbutomol 750mls Rs.235/= 07. Cephelexin 06 Bottles Rs.1,692/= 08. Erythromycine 06 Bottles Rs.2,100/= OINMENTS & CREAMS 01. Jonac Jel 06 Tubes Rs.492/= 02. Mycoral 06 Tubes Rs.1,020/= INJECTIONS & OTHERS 01.Mithuri 06 Rs.600/= TOTAL(PAID) Rs.32,759/=

MARCH 2014

NAME QUANTITY COST CAPSULES & TABLETS 01. Cloaxicilline(500mgs.) 300 Rs.1,923/= 02. Vitamin A & D 500 Rs.460/= 03. Brufen(200mgs.) 300 Rs.819/= 04. Dexamethazone (0.5mgs) 1000 Rs.530/= 05. Cephelexin(250mgs.) 300 Rs.1,710/= 06. Calcium Lactate 200 Rs.58/= 07. Digene 300 Rs.1,080/= 08. Derriphilline(300mgs.) 200 Rs.750/= 09. Dulcolax(5mgs.) 300 Rs.984/= 10. Emitop(Domperidone) 300 Rs.540/= 11. Mebandazole(WORMIN-500) 30 Rs.1,200/=

8 Version: 15 Sep 2005

12. Salbutomol 1000 Rs.241/= 13. Atorustatin(20mgs.) 200 Rs,1,300/= 14. Mebandazole(100mgs) 300 Rs.420/= 15. Flagyl(Metronidozole 400mgs.) 300 Rs.2,277/= 16. Multivitamin 500 Rs.500/= 17. Famotedene(20mgs) 300 Rs.300/= 18. Prednisilone 200 Rs.300/= 19. Pyrentin(125mgs.) 300 Rs.2,400/= 20. Vitamin B Compound 1000 Rs.403/= 21. Omeprazole(20mgs.) 300 Rs.900/= SYRUPS 01. Amino Plus 06 Bottles Rs.2,760/= 02. Becadex 06 Bottles Rs.1,350/= 03. Derriphilline 06 Bottles Rs.720/= 04.Phenycof(Junior) 06 Bottles. Rs.642/= 05. Phenycof(Adult) 06 Bottles Rs.792/= 06. Mumfer 03 Bottles Rs.945/= 07. Belcid 06 Bottles Rs.1,188/= 08. Domtic 03 Bottles Rs.780/= OINMENTS & CREAMS 01. Jonac Jel 06 Tubes Rs.492/= 02. Mycoral 06 Tubes Rs.1,050/= 03. Soframycine 06 Tubes Rs.576/= 04. Ciplox 06 Bottles Rs.450/= 05. Chloramphenicol 06 Bottles Rs.216/= 06. Betnovate N 06 Tubes Rs.1,560/= INJECTIONS & OTHERS 01.Mithuri 06 Rs.600/= TOTAL(PAID) Rs.33,186/=

Clinic Staff Payments

JANUARY FEBRUARY MARCH Total Rs.50,080/= Rs.50,080/= Rs.50,080/= Rs.150,240/=

Medicine Rs.31,931/= Rs.32,759/= Rs.33,186/= Rs.97,876/= Other Expenses Rs.2,885/= Rs.545/= Rs.4,800/= Rs.8,230/= Photo Copy, Internet Rs.1,678/= Rs.1,020/= Rs.1,486/= Rs.4,184/= Total Rs.86,574/= Rs.84,404/= Rs89,552/= Rs.260,530/=