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Laudara Sack Gardens: UN Year of Women Farmers

Sun, 22 Mar 2026 06:57:45 GMT

Empowering Women Farmers 2026

The United Nations has declared 2026 the International Year of the Woman Farmer, spotlighting women’s vital yet often overlooked roles in global agrifood systems. Laudara’s sack gardens project in Uganda exemplifies this focus by equipping women farmers with innovative, space-efficient tools to boost food security and economic independence.

Project Overview

Laudara’s sack gardens initiative targets rural women in Uganda, using vertical sack-based farming to grow vegetables in limited spaces. These portable gardens help women produce high-yield crops like kale, spinach, and tomatoes despite land scarcity and climate challenges. By providing training and materials, the project addresses key barriers such as limited access to land and resources, aligning with UN goals to close gender gaps in agriculture.

Alignment with Global Goals

The project supports the International Year of the Woman Farmer’s aims: raising awareness, promoting policies for equal access, and fostering investments in women-led agriculture. In Uganda, where women comprise nearly half the agricultural workforce but own minimal land, Laudara’s efforts contribute to poverty reduction and sustainable development.

Laudara invites partners and donors to amplify these stories during 2026, turning recognition into lasting change for women farmers worldwide.

Focus on Women Farmers

From Classroom to Community

Sun, 01 Mar 2026 19:24:04 GMT

Empowering Youth Through Health Education

Miriam's Empowering Sessions for Girls

Miriam facilitates dedicated sessions for girls, creating a safe space to discuss topics that are often left unspoken. She addresses the physical and emotional challenges that can accompany menstruation and shares practical guidance on managing these with confidence. Her sessions also cover topics such as unplanned pregnancy, informed decision-making, and STI prevention — all tailored to the realities young girls face in their communities. Miriam's approach encourages honest, open dialogue, and the girls respond with remarkable engagement: asking questions, sharing experiences, and making personal commitments to their own wellbeing. During these sessions, girls have also opened up about real challenges they face, including the inability of some families to afford sanitary pads and poor sanitation conditions both at home and at school. These conversations are a powerful reminder of why this work matters.

Prevention at the Heart of Our Mission

The Ndegeya Community Clinic, the school medical care programme, and the Mother and Childcare Centre together provide vital healthcare services to the community. But treatment alone is not enough. Prevention is equally important — and often more powerful. By reaching young people before problems arise, we can equip them with the knowledge and confidence to make healthier choices and avoid unnecessary illness.

The time and effort invested in this outreach is not something the communities we serve are able to fund themselves. That is why the Laudara Foundation is committed to supporting this work. Through better hygiene practices, open conversations, and increased health literacy, we believe we can help reduce preventable diseases and build a generation of young people who are informed, empowered, and ready to take charge of their own health.

Working Together for Health.

Sun, 08 Feb 2026 11:56:42 GMT

NCC’s Efforts to Support Ndegeya’s Communities

In the heart of Ndegeya, the NCC Clinic continues to serve surrounding rural communities, committed to ensuring access to quality healthcare. Over the past year, the clinic’s work has focused on one of the area’s growing public health challenges—the rising burden of non-communicable diseases such as hypertension and diabetes, which now account for a significant proportion of deaths in local villages.

The Challenge of Isolation and Neglect

In many parts of Ndegeya, elderly residents live in isolation—often neglected, unable to reach health facilities, and without regular contact with healthcare workers. As a result, diagnoses are delayed and preventable complications such as stroke and heart disease are becoming increasingly common. This reality underscores the urgent need for community-based health approaches that bring care directly to people’s homes.

Home Visits and Health Promotion

Building a Culture of Prevention

The experience in Ndegeya highlights a vital lesson: long-lasting health begins with prevention at the community level. Regular screenings, conversations about nutrition and exercise, and guidance on treatment adherence can prevent disease before it becomes severe.

NCC remains committed to strengthening training, building trust in community health systems, and supporting the volunteers at the heart of this work. Together, we can ensure that every community member—especially the elderly and those living alone—has a fair chance at a healthier, longer life.

Sack Gardens for Ndegeya

Thu, 05 Feb 2026 12:47:17 GMT

Growing Hope from Doorsteps

Imagine a mother in Ndegeya, Uganda, carrying her stunted child to the clinic. While waiting, she notices vibrant green nakati and kale sprouting from recycled sacks lining the entrance. She tastes a fresh leaf offered by the nurse. "This grows here?" she asks. That's the moment sack gardens change everything.

In Ndegeya's nine villages near Masaka, families face daily battles: no land for vegetables, UGX 5,000 per kilo for market greens, and 25-29% of children too short for their age from posho-and-beans diets missing vital nutrients. The Laudara Foundation launches Sack Gardens for Ndegeya doorstep gardens that fight hunger, create income, and build self-reliance.

From Empty Sacks to Full Plates

Sack gardens work simply. Take a 50kg grain sack, fill it with soil mixed from nearby Lwannunda farms, add a central gravel column for even watering, cut holes along the sides, and plant kale or nakati at 45-degree angles. Plants grow outward while tomatoes or peppers rise from the top. Marigolds at the base naturally repel pests. Water once daily from the borehole. In four weeks, harvest the outer leaves. One sack yields 2kg monthly—enough for a family of five.

This isn't experimental. Kibera slum mothers scaled from two sacks to ten. Kampala urban farmers earn steady income. In Ndegeya, where posho dominates meals, these greens deliver the missing iron, vitamins A and C, and calcium that prevent permanent stunting damage after age two.

Three Lives Changed Forever

Healthier families eat iron-rich greens daily, cutting stunting risks while boosting adult immunity and maternal health. Economic freedom arrives through UGX 5,000 weekly market sales plus barter networks swapping greens for neighbors' eggs and bananas. Stronger communities emerge as champion families train Village Two, women's groups earn UGX 50,000 monthly selling to Masaka hotels, and Ndegeya earns fame as "the green village."

Barter markets spring up naturally. Church demonstrations spread knowledge. Clinic nutrition education ties gardens to growth charts. Every element feeds the next, creating contagious change across nine villages.

Perfect Fit for Laudara

This embodies our Health-Education-Income pillars. Clinic demos improve health outcomes. Hands-on trainings build skills. Sales create sustainable income. Our motto—Laugh, Dare, Raise Up—lives in every thriving sack. Having built clinics, boreholes, and reading programs in Ndegeya, sack gardens complete our ecosystem.

Join the Doorstep Revolution

For €10, sponsor one family. The families will get two sacks, training and support. This will provide them with two kilos of greens per month, healthier children, extra income. €100 funds the pilot. €200 transforms one villages.

Donate kits today. Volunteer for trainings. Connect us with local partners.

Together, we'll fill every Ndegeya doorstep with green hope—one sack at a time.

From Vision to Reality

Tue, 27 Jan 2026 15:42:54 GMT

How the Idea of a Community Mill Began

In 2024, the Laudara Foundation began a series of in‑depth conversations across the nine villages of the Ndegeya community. Rather than arriving with prepared plans or solutions, our team came to listen and talk with the people who know the land best. These meetings opened space for genuine dialogue and trust. It was through these conversations that the realities of daily life emerged, especially the challenges faced by young adults seeking to build a better future and break the cycle of poverty.

The elders and families spoke about several recurring issues: limited opportunities for youth, lack of access to clean water, poverty, unemployment, and the high costs related to farming and food preparation. In nearly every household, people relied on maize as their staple food. Yet, to use maize for cooking, it must first be milled into flour. Without a local mill, families had to travel all the way to Masaka, paying high commercial milling fees and transport costs—expenses that often exceeded the value of the grain itself. For small farmers, this meant having little or no gain from their harvests.

These shared experiences planted the seed of a question that came naturally from the community itself: what if Ndegeya had its own mill—locally owned, locally managed, and accessible for everyone? Similar discussions had taken place in other parts of Uganda, but this time, the idea came from within Ndegeya and belonged entirely to its people.

From the beginning, Laudara’s commitment was to leave the power and ownership with the community. Our role was not to lead from the front but to walk alongside—to support elders and villagers in shaping a plan that reflected their priorities. The village elders became key partners : they guided discussions, shared local wisdom, and helped communicate ideas in their villages. Their leadership ensured that decisions were made with understanding and inclusion, strengthening the community’s sense of unity and responsibility.

The conversations during that meeting focused on two clear guiding principles. The first—and most important—was that the project must remain in the hands of the community, not Laudara. We could assist, facilitate, and encourage, but ownership and decision‑making had to stay local. The second principle was that all nine villages should benefit equally. No single group or individual should dominate. To honor those principles, the elders and our team discussed creating a formal structure that could represent everyone’s voice fairly.

From the start, we agreed that this new association should include older and younger members, men and women alike. The elders offered continuity, stability, and wisdom; the younger generation would bring energy, skills, and innovation. This balance reflects the heart of Ndegeya itself—a community that values experience while welcoming new perspectives.

This collaborative process embodies Laudara’s mission : connecting health, education, and income through participation and shared responsibility. A community mill that is truly owned by the people creates benefits far beyond food production. It brings empowerment, cooperation, and opportunity. By walking alongside the elders and their communities, we aim not to direct the path ahead but to ensure that each step forward is taken together.

So that the power to shape Ndegeya’s future remains exactly where it belongs: with its people.

Where the Harvest Stays Local

Sat, 24 Jan 2026 14:50:14 GMT

Laudara's 2026 Community Milling Initiative

In 2026, Laudara will focus its work and resources on supporting community-led economic development in Ndegeya through the establishment of a Community Milling Association and the conversion of an existing building into an association owned milling enterprise. This project reflects our commitment to practical, sustainable development that strengthens livelihoods, builds local capacity, and keeps economic value within the community.

For farming families in the region, maize is a staple food and a primary source of income. Yet the lack of local milling services means many farmers travel long distances to process their crops, increasing costs and reducing the value of their work. By creating a locally operated milling facility, this initiative will reduce the farmer’s expenses, save time, plus ensure that money spent on milling remains in the local economy.

The Community Milling Association is inclusive, bringing together members from across age groups and social roles to reflect the diversity of the region. This association structure promotes shared ownership, transparent governance, and collective responsibility. By centring local leadership and decision-making, the project strengthens community trust and increases the likelihood that the enterprise will remain viable well beyond its initial launch.

Beyond providing a critical service, the milling enterprise will function as a platform for skills development and job creation. Community members involved in the mill will gain hands-on experience in equipment operation, basic maintenance, financial record-keeping, customer service, and association management. These transferable skills enhance employability and support future entrepreneurship. The mill will also create direct employment while stimulating indirect income opportunities such as the use of milling by-products such as maize bran for livestock feed.

Evidence from rural Africa underscores the impact potential of this type of investment. Research from Ethiopia shows that grain milling contributes close to twenty percent of employment in some rural industrial sectors, making it a significant source of non-farm income. Additional studies indicate that households with access to local milling services can reduce grain processing and transport costs by up to thirty percent, freeing resources for education, healthcare, and agricultural reinvestment. These outcomes align with our focus on sustainable, people-centred development.

Ndegeya's Vaccine Lifeline

Mon, 29 Dec 2025 17:35:20 GMT

Ndegeya Now Vaccinates On-Site

Enhancing Healthcare in Ndegeya with a New Cold Chain Unit

We proudly announce the installation of a state-of-the-art cold chain unit at the Ndegeya Community Clinic (NCC) and Maternal and Child Care Clinic (MCC). This essential equipment strengthens healthcare delivery for the entire Ndegeya community by ensuring the safe storage and distribution of temperature-sensitive vaccines, medications, and biological samples. The project was made possible through a collaboration with the Lions Club of Masaka, with generous funding from the Joanne Foundation.

Vaccines Supported by the Cold Chain Unit

The new unit will enable reliable storage and administration of key vaccines, including BCG (for tuberculosis protection at birth), oral polio vaccine (OPV), pentavalent vaccine (protecting against diphtheria, tetanus, pertussis, hepatitis B, and Haemophilus influenzae type b), pneumococcal conjugate vaccine (PCV) for pneumonia prevention, and rotavirus vaccine to combat severe diarrhea in infants. For mothers and older children, it supports measles-rubella (MR) and HPV vaccines. This ensures timely immunizations right at the clinics, aligning with Uganda's national schedule and WHO standards.

Why Cold Chain Equipment Matters

Transformative Impact on Local Care

Previously, new mothers had to travel to distant facilities with their newborns for vaccinations, often delaying critical care. The solar-powered unit now overcomes power outages and harsh weather, allowing the clinics to serve more families effectively. With dependable refrigeration, NCC and MCC can boost immunization rates, improve emergency responses, and deliver quality healthcare closer to home.

The Power of Partners

Tue, 11 Nov 2025 12:27:30 GMT

Working with and through the local experts

As directors of Stichting Laudara, we spend the last month for a few weeks with the communities in Ndegeya, Uganda, as our mission is to work closely with the local people to increase the empowerment of communities. During our visit last year, we spoke with the elders of six of the nine village in and around Ndegeya to understand the main challenges in their own unique villages. These elders are respected leaders and act as a bridge between the residents and the local government at the LC1 level.

From our discussions emerged the idea to set up a maize milling business, driven by and for the community itself. Last month, we were very pleased to be able to invite all village elders to come to our clinic in Ndegeya to discuss the outcomes and all the ideas en projects we have been working on. Beside setting up an association of local members for the milling business, we also talked about a community farm, beginning with the village that has already provided one acre of land. This farm will serve as a model project to encourage other villages to participate. With this, we aim to strengthen the triangle of health – education – income in the community.

Special attention is given to involving young adults, a group identified by the elders last year as particularly vulnerable due to challenges such as unemployment, limited opportunities, and lack of support. These young adults struggle to find work due to limited education and prospects. Social and economic factors further complicate their situation. We believe it is important to actively include this group in the projects, motivate and support them to build their own future and that of the community.

With this approach, we strengthen local ownership and resilience. The elders remain our key figures as connectors between community and government and driving forces behind initiatives for health, education, and income. By explicitly involving young adults, we work towards inclusive and sustainable community development.

These projects and our collaboration with the elders show how empowerment is put into practice: respecting local structures and creating sustainable change through cooperation and inclusive engagement.

Meet the elders:

A Good Start for Newborns

Tue, 28 Oct 2025 19:35:53 GMT

Laudara Foundation supports new mothers with baby packs

At the Mother and Childcare Centre in Ndegeya, we recently distributed 50 specially prepared baby packs to new mothers, many of whom traveled from afar to receive these essential supplies that aim to give their babies a better start in life. This initiative is part of the foundation's ongoing commitment to supporting maternal and child health in Uganda’s underserved rural communities.

In Ndegeya, it is a shared belief that “every child is a blessing from God,” bringing joy and hope to the family and community. Yet, each blessing comes with responsibilities such as feeding, clothing, and educating the child. For many young and single mothers facing poverty, fulfilling these needs can be particularly challenging.

The reality in Uganda is that many young mothers are single and face pregnancy without traditional family support, and poverty often compounds these struggles. However, the Laudara Foundation’s approach is one of empowerment and dignity rather than weakness. By investing in community healthcare and education, the foundation helps mothers build healthier lives for themselves and their children, strengthening families and communities.

Thanks to the generous support of donors, the foundation is able to continue expanding these life-changing services. Every baby pack given and every consultation offered at the centre is a contribution toward a future where every child can thrive from the very start.

This story of hope and support highlights the essential work at the heart of the Mother and Childcare Centre in Ndegeya—a place where compassion, care, and community come together to nurture life and build brighter futures.

Forgotten Heroes

Fri, 26 Sep 2025 13:37:36 GMT

How Ndegeya’s Elders Are Surviving Against All Odds

As we approach the International Day of Older People on October 1st, we celebrate the elderly community of Ndegeya, Uganda—remarkable individuals who serve as living bridges between our past and future. These respected elders are the keepers of invaluable wisdom, traditional knowledge, and cultural heritage that defines our community's identity.

The Reality They Face

Yet behind this reservoir of wisdom lies a stark reality. Many seniors live with untreated health issues such as arthritis, peptic ulcers, hypertension, cancer, and mental health concerns. Access to healthcare is limited, and some must walk long distances for treatment. The Ndegeya Community Clinic (NCC) currently supports and treats over 70 elders, but resources remain insufficient to meet all their needs or reach every elderly household.

Economic insecurity compounds the struggle. A government grant of 25,000 UGX per month (about $7) is intended for those over 85 years, yet coverage is inconsistent, and the payment is unreliable. Many seniors fall outside this support bracket altogether.

Beyond personal health and poverty, elders in Ndegeya carry an enormous burden. With many young adults moving to towns and cities for work, grandparents are left caring for grandchildren—often an average of four per elder—without sufficient food, school supplies, or other necessities. In some cases, relatives abandon basic responsibilities such as providing food, housing, or even toilets, leaving elderly caregivers to struggle in silence.

A Commitment Beyond Recognition

True honour for our elders requires sustained action beyond annual celebrations. This means supporting accessible healthcare initiatives for rural seniors, creating economic opportunities that utilize their skills and experience, and ensuring their voices remain central to community decision-making processes.

Moving Forward Together

The elderly community of Ndegeya actively participates in shaping their community's future. They remind us that growing older means reaching depths of understanding that only time and experience can provide.

This International Day of Older People, we commit to creating communities where seniors receive the respect, support, and recognition they deserve. The wisdom of Ndegeya's elders is of unmeasurable value and their contributions continue enriching our collective journey.

One Year of Care and Community at the MCC

Fri, 18 Jul 2025 08:58:35 GMT

One Year One of special care for pregnant women

It’s hard to believe that twelve months have passed since the MCC opened its doors. As we look back on this first year, we do so with immense pride—because true care only bears fruit when it’s done together. And that is exactly what is happening here.

20 Births, Countless Consultations, One Mission

In this inaugural year, we have joyfully welcomed 20 babies into the MCC family. Each newborn is a living testament to what accessible, quality care can achieve. To honor every new life, a painted balloon bearing the baby’s name now brightens the walls of the center—a colorful reminder of hope and new beginnings.

But the journey is about much more than just births. We have provided dozens of mothers with medical consultations, shared vital education on nutrition, hygiene, and disease prevention, and offered essential emotional support. Because being a mother is more than pregnancy—it’s about strength, confidence, and knowledge. It’s these values we commit to nurturing every day.

In Partnership with the Community

The true strength of the MCC lies in its close collaboration with the local community. We work hand in hand with village leaders and healthcare providers to ensure our care reflects the real needs of women and families we serve. This partnership makes the center not just a place for care but a place of and for the community.

Attention also goes to practical, lifesaving details. For example, the establishment of a dedicated placenta pit has been crucial in providing safe and hygienic childbirth care. This seemingly small addition significantly reduces infection risks and promotes better health outcomes across the region.

Smart Technology Saving Lives

Perhaps one of the most exciting advancements this year has been the introduction of modern technology into our rural, small-scale setting—something that was only possible through generous donations. Two innovations stand out:

The Butterfly iQ: A Mobile Ultrasound Scanner
This compact yet powerful device fits in the palm of your hand but has a huge impact. It allows us to quickly and accurately examine pregnant women, detecting complications early on, such as incorrect fetal position or multiple pregnancies. Thanks to this technology, we can refer mothers for timely care or intervene as needed—sometimes making the difference between life and death.

The Baby Warmer: A Lifeline of Heat
In places where incubators are scarce, the baby warmer provides vital warmth for newborns, especially premature babies or those with low birth weight. Over the past year, this simple, easy-to-use device has been used many times, proving itself indispensable in keeping vulnerable babies safe and warm.

An Indispensable Link in Maternal and Child Care

Thanks to these innovations and the tireless dedication of people like midwife Miriam Masembe, the MCC has quickly become an essential cornerstone of maternal and child health in Ndegeya. Communication is direct, care is personal, and the results are clear. Every day, we witness women navigating their pregnancies with greater confidence, babies entering the world healthier, and families growing stronger through challenging times.

As we celebrate this milestone, we remain energized and committed to expanding our impact—knowing that together, with community and technology, we can give every mother and child the best possible start.

Give Babies a Good Start

Wed, 25 Jun 2025 08:52:04 GMT

The Importance of a Good Start: Supporting New Mothers and Babies in Ndegeya

The first days and weeks following a baby’s birth are crucial for their health and well-being. A warm environment, clean clothes, nourishing food, and basic care can make the difference between a fragile start and a healthy future. Unfortunately, for many mothers in Ndegeya, these essentials are not a given. Without support, their babies face increased risks of hypothermia, infections, and malnutrition.

That’s why the MCC, with the generous help of our sponsors, is assembling starter kits for expectant and new mothers . These kits contain everything needed for a safe and healthy first period at home, including:

Warm blankets and baby clothes
Muslin cloths and diapers
Basic hygiene products for both mother and child
Nutritional supplies or infant formula where needed
Medicines or vitamin supplements when necessary
Educational materials on care and feeding

By providing these kits, we offer mothers not only practical items but also the reassurance that they are not alone. It’s a gesture of support and care from the MCC and our sponsors—a true heartwarming symbol of community and involvement.

Our dream is for every mother leaving the MCC to receive a starter kit, so she and her baby can begin their life together with warmth and security. Thanks to the support of our sponsors, we can continue assembling and distributing these kits to the most vulnerable families.

Would you like to help give mothers and babies in Ndegeya a healthy start?
Every donation, big or small, makes it possible to provide more starter kits and change the lives of newborn children for the better.

Together, we bring warmth, care, and hope—from the very first moment.

A Better Start in Life

Sun, 25 May 2025 14:30:30 GMT

The Necessity of Vaccinations

The Mother and Child Centre (MCC) in Ndegeya, Uganda, is providing a service for pregnant women by improving maternal and child health in the communities, where such services are urgently needed. Since its official opening last October, the MCC has safely welcomed 15 newborns into the world, providing not just a place for safe deliveries but also a foundation for healthy beginnings. Each baby born gets a painted balloon on the wall of the Centre with their name to celebrate the arrival of a new little human.

The Laudara Foundation has played a supporting role in the work and growth of the MCC, with a clear focus on health and, above all, prevention. Our mission extends beyond childbirth, encompassing comprehensive postnatal care, health education, and empowering families to make informed choices about their children’s well-being.

One of the most critical aspects of early childhood health is vaccination. Immunising newborns and infants protects them from life-threatening diseases such as tuberculosis, polio, hepatitis B, diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), pneumococcal infections, rotavirus, and measles. In the first 18 months of life, a child should receive a series of vaccines according to the World Health Organization and Uganda’s national immunization schedule. Typically, these include:

At birth: BCG (tuberculosis), oral polio vaccine (OPV 0), and hepatitis B (where available)
At 6, 10, and 14 weeks: DTP-HepB-Hib (pentavalent), OPV, pneumococcal conjugate vaccine (PCV), and rotavirus
At 9 months: Measles and rubella, yellow fever (where available)
At 18 months: Booster doses for measles and other vaccines as per national guidelines

These vaccines are essential for preventing childhood killer diseases—diseases that can otherwise claim young lives or cause lifelong disabilities.

“We do everything to support the mother during her pregnancy and delivery of her baby, and it will enhance the success of a healthy start in life, if we can assist by providing de necessary vaccinations during the consults.”

Mariam Masembe, midwife at the Mother and Child Centre

The Laudara Foundation is now working with input from Unicef, focusing to raise $5,000 to purchase a solar-compatible cold storage unit for the MCC. This investment will ensure that vaccines remain potent and accessible, even during power cuts. Moreover, the cold storage will serve the entire community clinic, supporting all vaccination efforts and reinforcing the foundation’s commitment to prevention and sustainable health solutions.

“Providing vaccination services at the Mother and Child Centre is not just a convenience—it’s a lifeline. Every child deserves a healthy start, and with on-site vaccination and reliable cold storage, we can protect our youngest community members from preventable diseases right from the beginning,” says Irene, founder and director of the Laudara Foundation.

The journey of the MCC in Ndegeya is a testament to what can be achieved through partnership, vision, and community support. By focusing on prevention and equipping the clinic with the necessary tools, the Laudara Foundation is not only saving lives today but building a healthier, more resilient future for generations to come.

Malaria's Rain, Remedy and Resilience

Mon, 12 May 2025 14:18:32 GMT

The Fight Against Malaria in Ndegeya

What Is Malaria?

Malaria is a serious illness that people get from being bitten by certain types of mosquitoes. These mosquitoes carry tiny parasites that enter your body when they bite you. Once inside, the parasites travel to your liver, grow, and then move into your blood, where they make you sick.

People with malaria usually start to feel sick about one to two weeks after being bitten. The most common symptoms are fever, chills, headache, and feeling very tired—almost like having the flu. If malaria isn’t treated quickly, it can become very dangerous and even life-threatening, especially for young children and pregnant women.

In Uganda, and especially in places like Ndegeya, malaria is common because the weather and environment are perfect for mosquitoes to breed. That’s why fighting malaria is so important for the health and future of the community.

The Rain

The Remedy

When it comes to treatment, the community clinic in Ndegeya uses artemisinin-based combination therapies (ACTs) to treat uncomplicated malaria cases. For more severe infections, second-line drugs like artemether, quinine, and artesunate are used, either as oral medication or injections. These treatments have been helpful in managing the disease, but there are still many challenges that make it difficult to fully control malaria in the area.

Challenges

One of the biggest hurdles is the lack of treated mosquito nets. Many people either don’t have mosquito nets or don’t sleep under the treated ones that can protect them from mosquito bites at night. Some families don’t even have enough bedding, which leaves them even more vulnerable. On top of that, many community members don’t have enough information about how malaria spreads or the best ways to prevent it. This lack of awareness means that people don’t always take the precautions that could protect them and their families.

Vector control, which involves reducing the mosquito population, is another challenge. Although some measures exist in Uganda, many people in Ndegeya can’t afford to buy pesticides to spray around their homes. This makes it easier for mosquitoes to thrive close to where people live. Housing conditions also play a role—many homes are poorly built and lack proper ventilation, allowing mosquitoes to enter easily. Additionally, many families live near bushy areas, swamps, or forests, which are ideal breeding grounds for mosquitoes.

"Every mosquito bite avoided brings us closer to a malaria-free world"

Shaban Walakira, nurse at the Ndegeya clinic

What is Done and is Needed

So, what can be done to improve the situation? The community clinic has been working hard to educate people about malaria—how it’s caused, how it spreads, and what steps can be taken to prevent it. Health education is crucial because when people understand the risks and the ways to protect themselves, they are more likely to take action. Another important step is distributing treated mosquito nets to families who don’t have them. This simple intervention can significantly reduce the number of malaria cases.

Community clean-up efforts are also making a difference. By clearing bushes and draining stagnant water around homes, the community reduces places where mosquitoes can lay their eggs. Providing pesticides to families to treat waterlogged areas can further help lower mosquito populations, but this requires support and resources.

A Clearer Future

Thu, 01 May 2025 08:15:14 GMT

Transforming Lives with Vision Care

Good eyesight is invaluable, especially in developing countries where poor vision often has major economic and social consequences. In Ndegeya, Uganda, for example, the lack of good eye care leads to limitations in daily life. People with poor vision have fewer opportunities for education, work and independence. Many eye problems can be easily remedied with glasses, but this requires access to eye care and resources. However, there is often a lack of resources for a good eye examination and the purchase of suitable glasses.

He sends the measurement results to the Netherlands, where Derk-Jan and his team make the glasses to measure. Because postal packages with glasses often do not arrive, the glasses are taken to Uganda by travelers.

My first trip to Uganda was with half a suitcase full of mainly children's glasses. Together with Michael, we went to distribute them at the relevant schools. It is so special to see how the children react once they have the glasses on. For many, a whole new world literally opens up once they get prescription glasses.

In addition to providing glasses, there is also a lot of attention for prevention. Many eye complaints in Ndegeya are caused by bright sunlight, a lot of dust and poor hygiene, such as rubbing the eyes with dirty hands. Wearing good sunglasses helps prevent damage from sunlight, and education about hygiene helps reduce eye infections. In addition, the necessary materials are provided, such as eye drops and eye ointment, so that eye care is complete.

Michael's story shows how important it is to involve and train local people. Through his efforts and through the collaboration with optometrist Derk-Jan and his wife Christien, sustainable eye care is made possible in Ndegeya. Laudara is proud of this collaboration and continues to work to ensure that good vision is not a luxury, but a right for everyone. Because with good glasses and the right care, people in Ndegeya can look clearly towards their future.

Building Healthier Schools

Fri, 18 Apr 2025 14:14:41 GMT

How we Focus on Prevention

When I visited some of the schools in the heart of Ndegeya, schools like Bugabira Primary, Christ the King Primary, Faith Nursery, St. Bruno Primary, and Trust High School Butego bustle I saw nothing but beautiful children, most in their school uniform, running around, or standing in small groups looking curiously at me. Yet, behind the scenes, there are some big challenges like poverty and maintaining good health.

The Ndegeya Community Clinic

Shaban is the nurse from the clinic that looks after the schools. Although over time health has significantly improved but regarding disease prevention there is still improvements to be made. Some students arrive at school without treated mosquito nets, leaving them vulnerable to repeated bouts of illness. The lack of basic sanitary materials like soap and sponges makes it difficult to maintain personal hygiene, and in some schools, general cleanliness remains a persistent issue. Toilets and latrines, often without adequate washing equipment, become hotspots for infections such as typhoid fever. When students are tasked with cleaning these areas, they frequently do so without protective gloves, exposing themselves to diseases like amoebic dysentery.

Teachers and staff work hard to keep their students safe, but they often lack the resources or knowledge to fully address these health risks. Health education sessions are not always regular or comprehensive, leaving gaps in understanding about how to prevent the spread of infections. For orphans and children without parental support, the challenges are even greater. Without basic scholastic materials and health resources, these students can feel excluded and are more susceptible to illness.

Curing the sick
This is where the Ndegeya Community Clinic makes a real difference. The team is deeply committed to both curing and preventing illness among students. When children fall seriously ill and cannot reach the clinic, they go to them, providing treatment and care directly at school. They have distributed mosquito nets to students who suffer repeated malaria episodes, and we offer flexible payment plans so that schools can access care without financial strain.

“We are committed to go on to service the schools as we daily see that improving health education in schools directly impacts the health of the children”

Shaban Walakira, Nurse at the NCC

Community Impact
This dual focus on curing and preventing illness has had a powerful ripple effect. As the health of students improves, word spreads throughout the community and even beyond, drawing families from Masaka town, Ssaza, Nyendo, and Kalagala to our clinic. Our reputation grows, but more importantly, so does the trust and health of the community.

World Water Day 2025

Tue, 11 Mar 2025 14:31:24 GMT

Uganda's Water Revolution - A Closer Look at Laudara's vision

World Water Day is an annual United Nations observance day aimed at highlighting the importance of freshwater and advocating for its sustainable management. It focuses on raising awareness about global water challenges, such as access to clean water, sanitation, and hygiene (WASH), and supports the achievement of Sustainable Development Goal 6 (SDG 6) by 2030.

As we approach World Water Day on March 22, 2025, the global community unites to address critical water issues. While this year's international theme focuses on glacier preservation, Uganda's story presents a different but equally compelling narrative. In this East African nation, the celebration of World Water Day highlights the transformative power of providing clean, accessible water to rural communities.

The Ugandan Water Challenge

The "Pearl of Africa”, Uganda, faces significant challenges in clean water accessibility. It has a population of approximately 44 million people and, according to the UK’s WaterAid analysis, over 20.2 million people lack access to safe water. In 2019 only 69% of Uganda's rural population has access to basic water services

These numbers underscore the critical need for interventions like those provided by Laudara.

The Ndegeya Project and Beyond

The Joanne Foundation has effortlessly worked for many years in providing funding for bore holes in de Ndegeya area. In collaboration with them we continue to ensure that all villagers have access to clean water.

Upto now a total of 19 boreholes have been installed in the area, and all 9 villages have benefited directly from it.

Our approach goes beyond mere charity; it's about empowering communities through sustainable water solutions.

Our Strategy

Laudara's choice of community boreholes as the primary intervention is strategic and multifaceted. With proper maintenance, these boreholes can last 20-30 years, providing long-term solutions. Each project involves local communities in planning, implementation, and maintenance, fostering ownership and sustainability.

Challenges and Future Directions

As we continue our mission, supported by local communities and global partners, the dream of universal access to clean water in Uganda inches closer to reality.

This World Water Day, let us celebrate all sponsors who made it possible to install clean water bore holes an recommit to the global effort of ensuring clean, accessible water for all - one community, one borehole, one life at a time.

Miriam Masembe: A Midwife's Journey of Care and Compassion

Thu, 06 Mar 2025 18:27:39 GMT

A profile story for International Women's Day 2025: Accelerate Action

In Ndegeya, Uganda, a transformation in maternal healthcare is taking place led by Miriam Masembe, a dedicated midwife whose passion for mothers and babies is transforming lives.

"I see every birth as a miracle," says Miriam, who has been serving at the Mother and Child Care Centre for nine months. Her journey to midwifery was inspired by her elder sister, a nurse, and her innate love for newborns.

After two and a half years of rigorous training at Kabale School of Comprehensive Nursing, Miriam entered the field where experience has deepened her expertise. Now, she stands as a guardian for expectant mothers, ensuring they receive essential services for healthy pregnancies and safe deliveries.

Bridging Tradition and Modern Medicine

The path to improved maternal health in Ndegeya hasn't been straightforward. Miriam notes that traditional pregnancy care methods once prevalent in the community exposed women to significant risks. Through persistent health education during antenatal visits, midwives like Miriam have dramatically reduced maternal and infant mortality rates.

"When a mother trusts us with her care, she's not just protecting herself but also giving her child the best possible start," Miriam explains. This trust has been hard-won, as women increasingly seek medical advice and implement the guidance they receive.

Challenges Beyond the Delivery Room

Despite progress in medical care, Miriam witnesses daily the broader struggles women face. From irresponsible partners who abandon their responsibilities to employers reluctant to hire mothers, women's challenges extend far beyond childbirth.

"Some women come to us not just with physical ailments but carrying the weight of broken marriages, domestic violence, and economic hardship," Miriam reveals. She sees firsthand how poor economic conditions prevent mothers from accessing adequate care and nutrition, sometimes resulting in birth complications.

Particularly troubling to Miriam is the ongoing denial of education to young women, forcing many into early marriages and perpetuating cycles of dependency and poverty.

Accelerating Action: What the Theme Means to Miriam

Technology as an Ally

Miriam embraces technology as a crucial partner in her work. Ultrasound scanning allows her team to detect fetal abnormalities early and monitor development. Advances in neonatal care have dramatically improved survival rates for premature babies and those born with health challenges. Surgical technologies have saved countless mothers who cannot deliver vaginally. She said with pride:

"What was impossible just a generation ago is now routine because of technology,"

A Message to Future Midwives and All Women

To young women considering midwifery, Miriam's advice is clear: "Love and passion must come first. Commitment to learning must precede any financial considerations."

Her message to all women resonates with hope and determination: "Never lose hope, whatever you're going through. For young women with educational opportunities, embrace them fully—education is one of the most powerful tools a woman can possess."

Miriam urges women not to be defined by their past difficulties but to move forward for their mental wellbeing. "Women are powerful beings," she concludes. "They should never underestimate themselves at any point."

As she continues her vital work at Ndegeya Mother and Child Care Centre, Miriam Masembe embodies this year's theme by accelerating action every day—one mother, one child, one miracle at a time.

Empowering Tomorrow

Sun, 02 Mar 2025 05:34:19 GMT

Celebrating Resilience on International Women's Day

As International Women's Day 2025 approaches on March 8, the world prepares to celebrate under the theme "For ALL women and girls: Rights. Equality. Empowerment" . This year's celebration holds special significance as it marks the 30th anniversary of the Beijing Declaration and Platform for Action, a landmark blueprint for advancing women's rights globally.

The theme "Accelerate Action" underscores the urgent need to address persistent gender inequalities and remove systemic barriers that hinder women's progress. Despite advancements, the World Economic Forum estimates that at the current rate, full gender parity won't be achieved until 2158 , highlighting the importance of swift and decisive action.

This year's celebration emphasizes the role of youth, particularly young women and adolescent girls, as catalysts for lasting change. It calls for empowering the next generation to drive forward the agenda for gender equality and women's rights.

Women continue to face challenges in various aspects of life, from workplace discrimination to unequal distribution of household responsibilities. However, the resilience and determination of women worldwide continue to inspire and drive progress towards a more equitable future.

One example is the story of Miriam, a midwife whose journey reflects the sacrifices and triumphs of many Ugandan women

Born as the fifth child in a family of eight, she grew up witnessing her mother shoulder the immense responsibility of raising her children almost single-handedly. Despite limited resources, her mom worked tirelessly to ensure all her eight children had access to education, healthcare, and basic needs. Her unwavering dedication saw her sell part of their land and take loans to fund Miriam’s education at Kabale School of Nursing and Midwifery.

Her own life was also not without its challenges. After giving birth to her baby daughter, Miriam faced heartbreak when her partner abandoned her. Struggling with depression, she leaned on her family for support and entrusted her baby to her mother while she sought employment to provide for her child.

Through perseverance, she completed her midwifery certificate—a moment that fulfilled her mother’s dream of seeing her succeed.

Today, she works as a valued midwife at our Mother and Childcare Centre, a role that allows her to give back to society and support other women during critical moments in their lives. She runs the centre and is about to start her diploma program for Midwife.

Her story is a powerful reminder of the importance of family support and the resilience of women in Uganda. As we celebrate International Women’s Day, let us honour women like Miriam and her mother who embody strength and hope for a brighter future.

Digging Deep for Clean Water

Fri, 14 Feb 2025 14:25:56 GMT

A success story of the boreholes donated by the Joanne Foundation

To be able to empower local communities in Uganda, our focus is on improving health, eduction and income. All three aspects interact with each other and need to be focused on. But it start with good health as the foundation. One factor that has caused big challenges to the communities in and around Ndegeya have been the lack of fresh water. Over the past years newly built boreholes have made a substantial change to the health of these communities.

Achievements

Use of the waterpump

Each water pump has its own water committee. They're responsible for ensuring everything runs smoothly, keeping the area clean, preventing damage, and performing minor maintenance. Bakka handles major maintenance.

By now, 18 boreholes have been installed. Most are near the swamp, where the water table is higher. However, for the pump at the school for the deaf, they had to dig very deep. In such cases, special machines were rented to penetrate the rocky soil.

The construction of these boreholes was funded by sponsorship money, often from schools or churches donating large amounts, but sometimes by private sponsors. Today the cost of building a borehole is around 2,300 euros.

"Piss" When "Too Pissed" ??

Wed, 01 Jan 2025 08:16:19 GMT

The Dark Side of Christmas in Rural Uganda

For many, Christmas is a joyful time spent with family and loved ones. However, in the rural communities of Uganda, this festive season often reveals a darker side. Poverty, unemployment, and boredom drive alcohol consumption as a coping mechanism or form of entertainment, and this tendency becomes even more pronounced during the holiday season.

Alcohol consumption

A recent report by the WHO indicates that Uganda has the highest alcohol consumption rates in Africa. Titled “World health statistics 2023: Monitoring health for the SDGs,” the report highlights alarming statistics: approximately 33% of the rural population consumes alcohol, with 17% engaging in medium to high levels of consumption. On average, Ugandans consume 12.21 liters of alcohol per capita annually, significantly higher than the African average of 6.3 liters. Men consume about 19.93 liters of pure alcohol each year, while women average only 4.88 liters. This disparity reflects the cultural and social dynamics surrounding alcohol use in Uganda. The consequences of excessive alcohol consumption are severe, contributing to increased poverty, health issues, domestic violence, and neglect—often diverting funds meant for children's education into local bars instead.

Waragi

“ Christmas this year seemed more like World Alcohol Day. In every village you could see a father succumbed by alcohol lying on the road and who will die if it is nog given the appropriate care”

Michael Kabugo, Nurse at the Ndegeya Community Clinic

Urine Use

Among other treatment It is crucial to administer immediately glucose to restore normal blood sugar levels and prevent death.

In some instances, when individuals become comatose due to alcohol abuse, a local tradition involves administering urine from pregnant or elderly women—who may have glyciosuria or glucose in their urine—hoping to restore normal blood sugar levels. However, this practice poses significant health risks; urine contains waste products such as salts and ammonia that the body expels and often contains bacteria that can lead to infections.

Future

The Ndegeya Community Clinic is working tirelessly to provide care and support for patients struggling with alcohol abuse. However, caring for patients alone is insufficient; a collaborative effort is needed that encompasses education, policy reform, community engagement, and accessible treatment options.

The local government backs the national Alcoholic Drinks Control Bill aimed at limiting licenses issued and regulating selling hours. Additionally, prevention efforts must focus on awareness campaigns that educate the community about the dangers of excessive alcohol consumption while addressing its root causes.

However at Laudara, we believe that tackling alcohol abuse requires a broader and more comprehensive approach. Simply knowing that alcohol is harmful is not enough to drive change. To truly make an impact, communities must become healthier, better educated, and self-sustainable by creating opportunities for employment and income generation.

Only by providing individuals with viable alternatives for improving their lives can we elevate them from their current circumstances and pave the way for a brighter, happier future.

Rethinking Millet for Uganda’s Food Security

Thu, 12 Dec 2024 07:32:31 GMT

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At the heart of Uganda’s agriculture, a quiet change is taking place. As local communities face critical nutritional challenges, traditional crops like millet are receiving special focus for their potential to address both food security and sustainability. At Laudara Foundation, we have seen firsthand how various agricultural choices can have a lasting impact on the well-being of the community, particularly in regions like Ndegeya. However, the problem is stark: recent research indicates that 6.3% of Ugandan households are food insecure, while 21% are on the verge of food insecurity due to poverty, inequality, and drought (Akumu et al., 2023).

Understanding Uganda's Nutritional Challenge

Traditional Ugandan diets for many generations centered around staples like matoke (green bananas), cassava, and maize. However, recent research by the African Journal of Food and Agriculture, Nutrition, and Development shows hat these dietary patterns are changing, particularly in urban areas. Despite Uganda producing enough food to feed its own population, approximately 29% of households still face food insecurity. Due to restricted access to a variety of nutrient-dense foods, this disparity is mostly caused by unbalanced diets, especially in rural areas.

Dietary patterns show that most Ugandans rely heavily on starch heavy staples, with cereals and their products contributing 29.3% of daily energy consumption, followed by roots and tubers (16%), plantains and bananas (12.4%), pulses and nuts (11.7%), and oils and fats (9.5%)(Akumu et al., 2023). While these foods provide basic calories, they often lack essential micronutrients, resulting in nutritional deficiencies in many households.

Why Millet Matters

Millet, particularly finger millet (Eleusine coracana), has been a traditional crop in Uganda for generations. Recent studies highlight its exceptional nutritional profile as:

Rich in iron and zinc , which are essential minerals that often are lacking in modern diets (Revoredo-Giha et al., 2022).
High protein content compared to other cereals found (Revoredo-Giha et al., 2022).
Excellent source of dietary fiber , which promotes digestive health (Revoredo-Giha et al., 2022).
Contains important B vitamins , including niacin and riboflavin (Revoredo-Giha et al., 2022).

Understanding Uganda’s Millet Crisis
Once a staple in Uganda, millet, especially finger millet, is a nutritious and drought-resistant crop. However, its consumption has sharply declined over time due to the rise of maize and rice, which are commercially more available but unfortunately lack the same nutritional and climate resilience that millet has. This decline in growing millet threatens the national diet and food security.

Several factors help contribute to this decline:

Changing Consumer Preferences . There has been a shift, not just local but also globally) towards processed and non-traditional foods, which as a result has reduced the demand for millet (Revoredo-Giha et al., 2022).
Price and Market Access . The high cost of millet and limited market opportunities have made it less accessible to the public, especially for poorer households (Revoredo-Giha et al., 2022).
Climate Change . Even though millet is drought-resistant, growing it has declined due to a shift in agricultural practices and a preference for more profitable, yet less resilient, crops. (Auma et al., 2019).

The Role of Millet in Sustainable Agriculture

Promoting Millet Consumption

For millet to once again become important to the Uganda’s diet, several steps need to be made. The first priority is lowering its price and increasing its availability to middle- and lower-income households. Also, more research into improving millet yields is important in order for this to happen. This can be achieved through the following:

Interventions on the supply side . By supporting millet farmers with improved seeds, agricultural techniques, and training on sustainable practices, this can increase crop yields and further reduce costs (Revoredo-Giha et al., 2022).
Interventions on the demand side : Raising awareness about the health benefits of millet and incorporating it more in the diets can help increase consumer demand. Public health campaigns and community-based initiatives can also help change perceptions about millet, hopefully to one where it is a preferred choice once again (Revoredo-Giha et al., 2022).
Improving market access . Creating better supply chains and connecting farmers with markets can help millet become more accessible and affordable for consumers across Uganda. It would be the responsibility by both the government and NGOs through policy changes and financial investments.

Laudara Foundation’s Commitment to Millet and Food Security

At Laudara Foundation, part of our commitment is to support agricultural diversification whether the use of underutilized crops like millet or through other sustainable projects in Uganda. We work to empower local farmers by providing the tools, resources, and knowledge needed to cultivate millet more effectively. Our efforts also include and partnerships with local communities and hopefully supporting educational campaigns to provide support.

By supporting millet cultivation, we aim to enhance food security, improve nutrition, and promote sustainable farming practices. This approach aligns with our broader mission to foster self-sustainability in communities across Uganda and beyond.

Together, we can create a more food-secure Uganda, where crops such as millets can play a central role in nourishing future generations.

Sources Cited:

Akumu, G., Ogenrwoth, B., Mugisha, J., & Muyonga, J. (2023). Dietary patterns in Uganda and their influencing factors: A critical review. African Journal of Food, Agriculture, Nutrition and Development, 23(2), 22328–22353. https://doi.org/10.18697/ajfand.117.22345
Auma, C. I., Pradeilles, R., Blake, M. K., & Holdsworth, M. (2019). What can dietary patterns tell us about the nutrition transition and environmental sustainability of diets in Uganda? Nutrients, 11(2), 342. https://doi.org/10.3390/nu11020342
Revoredo-Giha, C., Toma, L., Akaichi, F., & Dawson, I. (2022). Exploring the effects of increasing underutilized crops on consumers’ diets: The case of Millet in Uganda. Agricultural and Food Economics, 10(1). https://doi.org/10.1186/s40100-021-00206-3

World Aids Day

Mon, 02 Dec 2024 15:30:44 GMT

A Community-based HIV testing day

World AIDS Day is observed annually on December 1st. This international day serves as a crucial platform for raising awareness about the HIV/AIDS epidemic and honoring those who have lost their lives to AIDS-related illnesses. It aims to unite individuals and communities globally in the fight against HIV stigma and to promote education surrounding prevention and treatment options. Worldwide 31 million people are infected by HIV.

Recent estimates show that 1.49 million people in Uganda are living with HIV (4,8%!!), of which are about 95,000 children under the age of 14. The HIV virus itself does not directly cause death, but it severely weakens the immune system, making the body vulnerable to infections and cancers. Without treatment HIV normally leads to AIDS at which point the immune system is so weakened that even minor illnesses can become life threatening.

In the Ndegeya community our team is working effortlessly on care and prevention of HIV positive people. All the pregnant mothers who come to the Mother and Child Care Centre for support, for instance, do get tested for HIV. This is to prevent Mother-To-Child-Transmission (MTCT). If tested positive they immediately will receive the proper care, and be able to reduce the MTCT risk to less than 5%. Without intervention the risk ranges from 15-45%

In one day, a total of 90 people received HTS from the comfort of their physical localities. Of these, 43 were females and 47 were males.

There are still some challenges to overcome:

Despite the efforts of ministry of Health Uganda in creating awareness on HIV/AIDs, there is still a lack of sufficient knowledge on prevention and treatment.
Unwillingness of the people to get tested and knowing their statues as most people still stigmatize those with HIV/AIDs.

At the Ndegeya clinic and Mother and Child Care Centre we work effortless to educate and care for the people to prevent AIDS. This important and successful day brought us another small step in the right direction.

Opening Mother and Child Care Centre

Mon, 18 Nov 2024 14:37:19 GMT

Nurturing Futures: Celebrating the Opening of the MCC

In an effort to enhance maternal and child health outcomes in the Ndegeya Community, the Mother and Childcare Centre (MCC) was inaugurated on October 19, 2024. This initiative aligns with Uganda's Millennium Development Goals aimed at significantly reducing under-five and maternal mortality rates. The MCC is dedicated to providing comprehensive healthcare services that will empower mothers and improve the well-being of children in the region.

Background:

In Uganda, where primary healthcare budgets do not yet fully meet demand, child healthcare services provide a high return on investment, compared to routine services that are often offered one by one. Local evidence shows that the opening of the maternal and childcare center can achieve high coverage and reduce child and maternal illness and mortality in the community since mothers will have an area in their closest proximity to monitor their labor processes and childbirth.

A real community event

The official opening of the MCC was a momentous occasion celebrated by community members, local officials, and families alike. The event kicked off with a warm welcome from the Master of Ceremony, who set an uplifting tone for the day. Local council officials took to the stage to share their insights and express their support for the MCC, emphasizing its importance in reducing maternal and child mortality rates in Uganda. Their speeches highlighted the collective effort required to improve healthcare access and outcomes for families in Ndegeya.

One of the highlights of the opening ceremony was the symbolic ribbon-cutting performed by the Honourable Mayor of Michael Nakumusana. This act not only marked the official inauguration of the centre but also represented a commitment to improving health services for mothers and children in the community. The Mayor's remarks underscored the significance of this new facility as a beacon of hope for local families seeking quality healthcare.

Cultural Engagement

In addition to formal speeches, the event featured also fun activities designed to celebrate local culture and involve children from the community. A vibrant dance workshop allowed local children to express themselves through movement, fostering creativity and joy. This was complemented by traditional dance and drum performances by schoolchildren, showcasing the rich cultural heritage of Ndegeya and bringing a festive atmosphere to the occasion.

Community Involvement

To really show that we all work together the children participated in hand painting on the walls of the MCC. This collaborative art project not only beautified the centre but also instilled a sense of ownership among young community members. Their contributions serve as a reminder that this facility is not just a healthcare center but a community hub.

The Vision of the MCC

Thu, 14 Nov 2024 15:25:11 GMT

A significant step forward in addressing critical healthcare needs

Significance

Most mothers in Ndegeya community and beyond initially had to seek maternal services from the near government facilities which are overstretched and lack enough commodities and supplies for health workers and mothers to use while in labor and this has caused some mothers to loose their trust in the government facilities while others never get the expected level of care and end up with after birth complications like Sepsis and hypothermia for their babies. The opening of the MCC rather comes as a blessing to the Ndegeya community.

Focus Areas and Services

The MCC will concentrate on improving several key areas of maternal and child health:

Maternal health education and counseling
Immunization services for babies
Antenatal care
Postnatal care
Infant monitoring
Ultrasound scans for expectant mothers

Community Engagement and Outreach

On its opening day, the MCC demonstrated its commitment to community health by offering a range of free services to local residents. During the day 8 ultrasound scans, 10 eye tests, 21 HIV tests, 10 consultations and 8 hearing tests were provided. This outreach is crucial for building trust and encouraging utilization of the center's services.

Challenges and Proposed Solutions

Despite its promising start, the MCC faces several challenges that need to be addressed:

Vaccine Storage: The lack of a proper cold chain fridge limits the center's ability to provide consistent vaccination services.

Staff Training: Additional training is needed for midwives and nurses, particularly in ultrasound scanning and laboratory procedures1.

Elderly Care: There's a need to improve services for the elderly population, particularly in managing non-communicable diseases.

Laboratory Capabilities: While equipment is available, staff require further training to fully utilize these resources.

To address these issues, the MCC is exploring several solutions, including sourcing a cold chain fridge, organizing specialized training sessions, and seeking ways to enhance the budget for elderly care1.

Why Boreholes Matter

Wed, 06 Nov 2024 11:05:38 GMT

The Link between Water, Health and Equality

Access to clean water is a fundamental human right, yet millions of people worldwide still struggle to obtain this essential resource. In rural Uganda, where water scarcity remains a pressing issue, boreholes have emerged as a vital solution, transforming lives and communities. These deep wells not only provide a reliable source of clean drinking water but also empower individuals, particularly women and children, by freeing them from the burdens of water collection.

The Right to Clean Water

The United Nations has recognised the right to clean water as essential for the enjoyment of life and all human rights. However, approximately 748 million people globally lack access to safe drinking water, with many relying on stagnant or contaminated sources.

In Uganda, the quest for clean water remains a pressing challenge that intersects with the United Nations' Sustainable Development Goal 6 (SDG 6), which aims to ensure availability and sustainable management of water and sanitation for all. The Ugandan government's commitment to providing safe and affordable drinking water by 2030 is commendable, but it faces obstacles such as increasing pollution, growing demand, and the impacts of climate change. Achieving universal clean water access is not just a matter of infrastructure development, but also requires addressing issues of water cooperation, sustainable management practices, and community engagement.

Boreholes: A Game Changer

Health Benefits and Community Empowerment

The health benefits associated with boreholes are profound. Access to clean drinking water reduces the incidence of waterborne diseases such as cholera and diarrhea, which are rampant in areas without safe water sources. In Uganda, it has been reported that rehabilitated boreholes can prevent up to 100 cases of diarrhea and save multiple lives each year. By ensuring that communities have access to safe drinking water, we are also investing in their future health and well-being.

Furthermore, the installation of boreholes promotes gender equality by alleviating the burden placed on women and girls. Traditionally responsible for collecting water, women often face risks while traveling long distances alone. With boreholes in place, they can access clean water within their communities, reducing their vulnerability and allowing them to participate more fully in social and economic activities.

Challenges and Sustainability

HIV Care

Fri, 25 Oct 2024 10:16:39 GMT

The impact of HIV Care in Ndegeya

In rural Uganda About 11.2% of people are living with HIV, with women affected more than men (12.9% vs. 8.6%). This is a serious health issue, especially since this region has historically had high HIV rates.

Recent data shows also that around 1.04% of adults get HIV each year, with younger people being more affected. Specifically, young men and women aged 20-24 have the highest rates, at 9.2 per 100 for men and 6.8 per 100 for women. These numbers highlight the ongoing risk of new infections, particularly among younger individuals.

The HIV situation in the Ndegeya community also reflects this and causes ongoing challenges and developments in the community’s public health landscape.

Testing

HIV testing is the vital first step toward prevention, care, treatment, and support services! The goal of HIV testing services (HTS) is to quickly identify HIV status, ensuring timely access to essential resources. According to the 2020 UPHIA data, only 81% of the 1.45 million HIV-positive individuals aged 15 and older knew their status, but among those, 96% were on an antiretroviral therapy (ART), and 92% achieved viral suppression!

To boost access and efficiency, HTS must reach everyone at risk using impactful strategies. Excitingly, the Ndegeya community clinic has teamed up with the Infectious Diseases Institute (IDI) to strengthen HIV/AIDS prevention in the Masaka region. They've received 100 HIV testing kits to kickstart their efforts!

Importance of Testing for Pregnant Women

In Uganda, it is essential for all pregnant women to know their HIV status to prevent the transmission of the virus to their babies during childbirth and breastfeeding. At the new Ndegeya Community Clinic (MCC), all mothers are screened for HIV during antenatal care, because it is the earliest possible opportunity that we recommend HIV testing before delivering. Those who tested positive were promptly linked to HIV care at nearby government facilities, where they can access free HIV medications. This initiative is a crucial step in eliminating mother-to-child transmission of the virus!

Promoting testing

Heat for Hope

Fri, 18 Oct 2024 12:12:14 GMT

A Baby Warmer in Ndegeya's Mother and Childcare Centre

In Ndegeya, the introduction of a baby warmer is a significant step towards enhancing neonatal care and improving health outcomes for newborns. This device is crucial in maintaining the normal body temperature of infants, especially those who are premature, low birth weight, or facing health complications at birth.

Neonatal Hypothermia

Vulnerability of Newborns: Newborns, especially those who are premature or have low birth weight, are unable to regulate their body temperature effectively. Even in warm climates, these infants can experience hypothermia if not adequately cared for.
Environmental Factors: Rural areas may have fluctuating temperatures, especially at night or during rainy seasons. The ambient temperature can drop significantly, leading to potential risks for newborns who require stable warmth 5 .
Kangaroo Mother Care Limitations: While Kangaroo Mother Care (KMC) is effective for maintaining warmth through skin-to-skin contact, it may not always be feasible. For instance, mothers might be unable to provide continuous KMC due to fatigue or other responsibilities. A baby warmer can serve as a supplemental heat source during these times

Impact on Ndegeya Community

A study conducted in Lira district found that 51% of neonates experienced hypothermia (defined as an axillary temperature below 36.5°C) at some point during their early life. Among these, 32% had mild hypothermia and 18.7% had moderate hypothermia.The provision of a baby warmer in Ndegeya represents a commitment to improving maternal and child health services in the region. With this equipment, our healthcare professionals can ensure that infants receive the warmth they need during their most vulnerable moments.

By ensuring that newborns maintain their body temperature, this initiative aims to enhance survival rates and promote healthier outcomes for infants in the community.

Starting a Community Project 2

Thu, 17 Oct 2024 14:32:36 GMT

Choosing a Project

The Laudara Foundation is committed to fostering sustainable development through a focus on three interconnected areas: Health, Education, and Income. Our approach recognizes that these domains are interdependent and essential for empowering communities to thrive.

In the realm of Health, we aim to enhance community well-being by promoting healthcare initiatives, establishing clinics, and providing mental health support. Projects like the Ndegeya Community Clinic and the Mother and Childcare Centre in Ndegeya exemplify our commitment to maternal and child health, offering education and care during critical early stages of life.

In Education, we support initiatives that improve literacy and vocational skills among community members. By implementing reading programs in primary schools and offering training in various trades, we strive to equip individuals with the knowledge and skills necessary for personal and professional growth.

In terms of Income, we focus on stimulating local economies through projects that support small businesses and cooperatives. By providing microloans and facilitating market access, we aim to create stable economic environments where community members can achieve financial independence.

Identifying Key Areas for Development

Successful rural development initiatives often require collaboration with local leaders and community members. Working closely with village leaders build trust and encourage participation in programs aimed at poverty alleviation and economic development. Through our discussions with the different village leaders of the Ndegeya community, we will be able to identify key areas for development. These may include:

Agriculture: Enhancing climate-smart agricultural practices to improve food security and income.
Education: Supporting literacy and vocational training programs.
Health: Addressing health challenges through improved access to healthcare services.
Water and Sanitation: Ensuring access to clean water and proper sanitation facilities.

Learning from the past

Starting a Community Project 1

Mon, 14 Oct 2024 07:23:54 GMT

Understanding community needs

At the Laudara Foundation, we believe that sustainable community development begins at the grassroots level. Our mission is to empower local communities in rural Uganda. To identify and develop impactful community projects it is for us essential to involve the local people, and specifically the village leaders. This collaborative approach not only fosters ownership but also ensures that initiatives are tailored to meet the unique needs of each village.

Governance Structure

Uganda's governance framework is rooted in the Local Government Act of 1997, which established local governments responsible for administrative functions and service delivery in rural areas. This decentralized approach is intended to empower local communities by involving them in decision-making processes and ensuring that resources are allocated according to local needs. This structure is supported by various policies and programs aimed at improving the living conditions of rural populations, which constitute over 75% of the country's population.

Village council

Village councils, known as Local Council I (LCI), are the foundational governance structures that facilitate local administration and community engagement. These councils are composed of elected members who play various roles to ensure effective governance and development at the village level and enhance local participation in decision-making and development processes. A local council ofter exists out some of the following key positions: Chairman, Vice Chair, Secretary, Treasurer and secretaries of different committees like for youth, the elderly, education, security, women’s interest and disabilities

Roles and Responsibilities of Village Leaders

Community Representation : Village leaders serve as representatives of their communities, voicing the needs and concerns of residents to higher levels of government. They are expected to ensure that all community members, including marginalized groups, have a voice in local governance 1 .
Implementation of Development Projects : They are instrumental in implementing community development projects. Their leadership is essential for mobilizing resources, coordinating activities, and ensuring that projects align with community needs.
Conflict Resolution : Village leaders often act as mediators in disputes within the community, helping to maintain peace and harmony. Their knowledge of local customs and relationships enables them to address conflicts effectively.
Facilitating Participation : They are tasked with promoting inclusive participation in community affairs. This includes encouraging the involvement of women, youth, and other marginalized groups in decision-making processes

Economic Activities

The majority of rural households depend on agriculture for their livelihoods, with about 89% engaged in farming activities. However, challenges such as climate change, limited market access, and inadequate financial services hinder agricultural productivity. The Ugandan government has initiated various programs to support small businesses, including the provision of loans aimed at helping villagers start or expand their enterprises. One example is the micro loan of unto UGX 1,000,000 that is provided by ASA.

ASA Uganda Ltd, also known as ASA Microfinance Uganda, is a for-profit, non-depository microfinance institution operating in Uganda. It was established in 2013 and is regulated by the Uganda Microfinance Regulatory Authority (UMRA). ASA Uganda is a subsidiary of ASA International, one of the world's largest international microfinance organizations.

Combatting Malnutrition

Sun, 06 Oct 2024 07:05:55 GMT

Malnutrition as a Leading Cause of Infant Mortality

Malnutrition is a silent killer, responsible for millions of preventable infant deaths worldwide, particularly in low-income regions such as rural Uganda. At the Mother and Childcare Centre in Ndegeya, we are acutely aware of the devastating impact malnutrition has on the youngest and most vulnerable members of our community. In Uganda, malnutrition contributes to nearly half of all child deaths, as infants fail to receive the essential nutrients they need for survival, growth, and development.

Addressing malnutrition is critical to reducing infant mortality at our facility and ensuring that every child has a healthy start to life. This blog explores how malnutrition contributes to infant mortality and outlines the steps we need to take at the Mother and Childcare Centre in Ndegeya to tackle this pressing issue.

Malnutrition as a Leading Cause of Infant Mortality

Malnutrition occurs when an infant’s diet lacks the essential nutrients, vitamins, and minerals needed for proper growth and immune function. It can manifest in several forms, including:

Undernutrition : A deficiency in calories or protein, leading to stunted growth, wasting (severe weight loss), and underweight infants.
Micronutrient Deficiencies : A lack of vital vitamins and minerals such as vitamin A, iron, iodine, and zinc, which are crucial for growth and immune function.
Overnutrition : While less common in rural Uganda, overnutrition (inappropriate feeding with high-calorie, low-nutrient foods) can also cause developmental issues.

In rural settings like Ndegeya, undernutrition and micronutrient deficiencies are the most prevalent and deadly forms of malnutrition. Malnourished infants have weaker immune systems, making them more susceptible to infections like pneumonia, diarrhoea, and malaria. These infections, in turn, can worsen the child’s nutritional status, creating a vicious cycle that often ends in death. Additionally, poor maternal nutrition during pregnancy contributes to low birth weight and increased vulnerability to illness in newborns.

Why Malnutrition Persists in Rural Uganda

Several factors contribute to the high rates of malnutrition in rural Uganda, including:

Poverty : Many families in Ndegeya live below the poverty line and struggle to afford enough food or maintain a diverse diet rich in essential nutrients.
Limited Access to Healthcare : Malnourished children are often not diagnosed early, and families may lack access to nutritional supplements or appropriate treatment for malnutrition-related complications.
Food Insecurity : Droughts, poor harvests, and a lack of agricultural resources lead to seasonal food shortages, reducing the availability of nutritious foods like fruits, vegetables, and proteins.
Cultural Practices : In some cases, cultural feeding practices and myths around infant nutrition prevent the introduction of healthy foods at the right time during infancy.
Maternal Health and Education : Malnutrition often begins in the womb. Poor maternal nutrition, coupled with limited knowledge about breastfeeding and proper weaning practices, contributes to poor infant nutrition.

Addressing Malnutrition

To combat infant mortality due to malnutrition, we must implement a multifaceted approach focused on prevention, early detection, and treatment. The following points can make a significant impact:

Promoting Exclusive Breastfeeding
Breastfeeding is one of the most effective ways to prevent malnutrition in infants. Breast milk provides all the essential nutrients an infant needs for the first six months of life, along with antibodies that help protect against infections. However, in many rural areas, early weaning or the introduction of non-nutritious foods can undermine the benefits of breastfeeding.
At our centre, we need to prioritize educating mothers about the importance of exclusive breastfeeding for the first six months and continued breastfeeding up to two years or beyond, alongside appropriate complementary feeding. This can be achieved through antenatal and postnatal classes, where mothers learn about the health benefits of breastfeeding and how to overcome challenges such as low milk production.

Nutrition Screening and Growth Monitoring
Early detection of malnutrition is key to preventing severe health complications. Routine growth monitoring of infants, including tracking weight, height, and mid-upper arm circumference (MUAC), can help identify children at risk of malnutrition before the situation becomes critical. This can be done during regular immunization visits and check-ups at our clinic.
Once malnourished infants are identified, they can be enrolled in nutritional rehabilitation programs, which include providing therapeutic foods, vitamin and mineral supplements, and tailored feeding plans.

Provision of Nutritional Supplements

Micronutrient deficiencies, particularly of vitamin A, iron, and zinc, are major contributors to infant mortality in Uganda. The Mother and Childcare Centre should ensure that children and pregnant women have access to essential micronutrient supplements. Vitamin A supplementation, for instance, can reduce mortality by strengthening the immune system, while iron supplements prevent anaemia, which is common among malnourished children.
In addition, we can collaborate with government and non-governmental organizations to procure ready-to-use therapeutic foods (RUTF) for treating severe acute malnutrition.

Education on Complementary Feeding

After six months, infants need more than breast milk alone. However, many families in Ndegeya may not know how to introduce nutrient-dense complementary foods such as fruits, vegetables, grains, and proteins in a balanced manner. At our centre, we can run workshops and one-on-one counseling sessions for mothers, teaching them how to prepare locally available, nutritious foods for their babies.
Emphasizing the use of diverse, locally available ingredients like beans, millet, and sweet potatoes can help mothers create affordable and nutritious meals for their infants.

Improving Maternal Health

Maternal nutrition during pregnancy has a direct impact on infant health. Mothers who are undernourished are more likely to give birth to low birth weight babies, increasing their risk of malnutrition and death in infancy. This a reason why we already focus on maternal care by providing prenatal vitamins, iron supplements, and nutritional counseling to ensure pregnant women receive the nutrients they need for a healthy pregnancy and a strong baby.

Community Outreach and Awareness

Malnutrition is not just a medical issue; it is also deeply rooted in cultural and social practices. Engaging the community through outreach programs is vital to improving infant nutrition. We work with local health workers and community leaders to conduct home visits, hold village meetings, and distribute educational materials that promote good nutrition practices for both mothers and infants.

Collaboration with Government and NGOs

Addressing malnutrition requires collaboration with the wider health sector. By partnering with government health programs, international organizations, and NGOs, the Mother and Childcare Centre can access resources such as vaccines, nutritional supplements, and training for healthcare staff. Strengthening these partnerships will enhance our ability to prevent and treat malnutrition effectively.

Malnutrition is a leading cause of infant mortality in rural Uganda, but it is also preventable. By implementing a comprehensive approach at our Mother and Childcare Centre, including promoting breastfeeding, early nutrition screening, maternal health interventions, and community education, we can reduce malnutrition and save the lives of countless infants.

Together, we can ensure that every child born in Ndegeya has the opportunity to grow, thrive, and reach their full potential. Ending malnutrition is not just about food; it’s about creating a healthier future for our entire community.

Tackling Sickle Cell Anemia

Mon, 30 Sep 2024 11:21:40 GMT

Helping children lead a full and healthy life

Sickle cell anaemia is a significant public health challenge in many parts of Africa, including Uganda, where the prevalence of the sickle cell trait (SCT) is high. It is a genetic blood disorder that disproportionately affects people of African descent. In Uganda, approximately 20,000 babies are born with sickle cell disease (SCD) each year, and many do not live beyond their fifth birthday due to limited access to proper medical care. Addressing this issue at Ndegeya Medical Clinic in rural Uganda is critical to improving patient outcomes and reducing the impact of this debilitating disease on families and communities.

Understanding Sickle Cell Anaemia

Sickle cell anaemia is caused by the inheritance of two abnormal copies of the hemoglobin gene, leading to the production of "sickle" hemoglobin (HbS). This abnormal hemoglobin causes red blood cells to assume a rigid, sickle shape, reducing their ability to transport oxygen effectively throughout the body. These misshapen cells also have a shorter lifespan, leading to chronic anaemia, and they can block blood flow in small blood vessels, causing painful episodes known as "sickle cell crises." Over time, this condition can result in severe complications such as organ damage, stroke, and increased vulnerability to infections.

In rural areas like Ndegeya, the burden of sickle cell anaemia is particularly acute due to limited healthcare infrastructure, lack of specialized care, and widespread lack of awareness about the disease.

Key Medical Services Needed

To effectively manage sickle cell anaemia in Ndegeya and surrounding rural communities, our clinic must provide a range of essential services. These include:

Early Diagnosis and Screening
Early detection is crucial for improving the outcomes of children born with sickle cell anaemia. Newborn screening, a practice used in many parts of the world, allows early intervention with treatments like penicillin prophylaxis and vaccinations to prevent deadly infections. At Ndegeya Mother and Childcare Centre, introducing routine sickle cell testing, particularly for newborns and young children, is essential. Given the high prevalence of sickle cell disease in Uganda, this service should be prioritized for all pregnant women and infants during antenatal and postnatal visits.
Genetic Counseling and Awareness Programs
Raising awareness about the genetic nature of sickle cell disease is important for reducing the spread of the condition. Many people in rural Uganda are unaware of their sickle cell status or how the disease is inherited. Our clinic wants to offer genetic counseling to couples planning to start families, helping them understand their risk of having children with sickle cell disease. This service can empower families to make informed decisions and reduce the stigma surrounding the condition.
Comprehensive Management and Treatment of Sickle Cell Crises
Managing sickle cell crises is one of the most immediate challenges for people with the disease. The crises are excruciatingly painful and often life-threatening, requiring prompt medical attention. Our Medical Clinic needs to be equipped with pain management protocols, including access to effective analgesics and fluids for hydration. Training the clinic’s staff on recognizing and managing sickle cell crises is vital for improving patient outcomes and reducing complications.
Access to Essential Medications
Patients with sickle cell anaemia need ongoing treatment to manage their symptoms and prevent complications. Hydroxyurea, a medication shown to reduce the frequency of painful crises and the need for blood transfusions, is a cornerstone of sickle cell treatment but is often not accessible in rural areas. Ensuring that Ndegeya Medical Clinic stocks Hydroxyurea and other essential medications like folic acid and antibiotics is critical. Regular access to these drugs can significantly improve the quality of life for sickle cell patients.
Vaccination and Infection Prevention
Sickle cell patients are particularly vulnerable to infections such as pneumonia and malaria, which can trigger crises and lead to severe complications. Ensuring that patients receive appropriate vaccinations, such as pneumococcal and Haemophilus influenzae type b (Hib) vaccines, is vital. Additionally, we need to implement malaria prevention strategies, including the distribution of insecticide-treated bed nets and antimalarial medications, as malaria is a common cause of morbidity and mortality among sickle cell patients in Uganda.
Psychosocial Support and Patient Education
Living with sickle cell disease can take a significant emotional toll on both patients and their families. Establishing support groups and counseling services can help patients cope with the psychological aspects of the disease. Educating families about how to manage sickle cell disease at home, including hydration, recognizing early signs of crises, and the importance of regular follow-up visits, is equally important.
Nutritional Support
Proper nutrition plays a key role in managing sickle cell disease, as patients often suffer from malnutrition due to their chronic condition. Ndegeya Medical Clinic should include nutrition counseling in its services, ensuring that patients, especially children, receive adequate vitamins and nutrients to support their overall health. Folic acid supplements are essential for promoting red blood cell production and should be part of the clinic’s treatment protocol.

While we aim to offer comprehensive services, it has been essential to establish partnerships with larger hospitals in nearby Masaka.

Sickle cell anaemia is a complex and life-threatening condition that requires a comprehensive, multidisciplinary approach to care. By providing essential services such as early screening, pain management, infection prevention, and patient education, we can significantly improve the lives of those affected by the disease in our communities. While challenges remain, particularly in terms of resource availability and community awareness, a strong commitment to tackling sickle cell anaemia will help create a healthier future for Ndegeya and its surrounding communities.

Together, we can turn the tide against this disease and give every child born with sickle cell anaemia the chance to lead a full and healthy life.

Sharing the Vision of Laudara

Thu, 19 Sep 2024 09:50:43 GMT

A Serendipitous Meeting in Uganda

Life has a beautiful way of bringing people together from different corners of the world, weaving their paths into a tapestry of shared goals and aspirations. Our story, Kelly Brantner and Irene, is a testament to this magic, a journey that began in Uganda and has led to join forces in the recently set of the Laudara Foundation—a beacon of hope and change.

Kelly's Roots: From Rural Canada to the World

Kelly Brantner's roots has her roots a rural farm in Canada. Growing up amidst the vast landscapes, she learned the invaluable lessons of community and togetherness. These early experiences on the farm didn't just shape her values; they ignited a passion that would guide her career path. Her journey took her far from the Canadian countryside all the way to China, where is lived for many years. Her career became a global expedition, traveling the world to work on various projects that always echoed her core belief: the importance of community and making a positive impact.

Irene's Drive: From the Netherlands to International Ventures

Irene Zijp's story begins in the Netherlands. After completing her university studies, her professional journey took her overseas, working for an international company that opened her eyes to the limitless possibilities of the global market. But Irene's true ambitions was to help others succeed.

Irene embarked on a path of entrepreneurship, buying and starting companies with a singular goal in mind: to create thriving environments where people and groups could flourish. Her experiences across different continents and industries have equipped her with a unique perspective and a wealth of knowledge, all driven by her desire to make a tangible difference in the world.

Crossing Paths in Uganda

It was in Uganda that our paths crossed, a meeting that neither of us could have anticipated but both of us now cherish. We were both there, driven by our individual missions to foster growth and support communities. And enjoyed having breakfast together while watching the Formula 1.

We found common ground in many aspects and despite our different backgrounds we discovered a shared passion for making a difference. Conversations flowed easily, filled with stories of our personal journeys and experiences and dreams of creating a better world.

The Birth of Laudara Foundation

Our meeting in Uganda was not just a chance encounter; it was the beginning of a collaborative journey. Irene decided to start a new foundation in close cooperation with the Joanne Foundation that had brought her to Uganda in the first place. After some initial talks we quickly concluded that combining Kelly's extensive experience in international projects and Irene's entrepreneurial spirit, we envisioned that by joining our forces we could lead a foundation that would encapsulate our shared values and goals.

Laudara is more than just a foundation; it is a manifestation of our belief in the power of community and the importance of helping others thrive. With Kelly's hands-on approach and Irene's strategic vision, we are dedicated to creating sustainable growth and positive change. Our projects are diverse, but they all stem from a common ethos: to support and uplift communities, fostering environments where everyone has the opportunity to succeed.

Looking Ahead

As we continue to build and grow the Laudara Foundation, we keep being reminded that life’s most meaningful journeys often start with unexpected meetings. We are excited about the future and the endless possibilities that lie ahead. Together, we are committed to making a difference, one community at a time, inspired by the values that brought us together and the shared dream that drives us forward.

Our journey is just beginning, and we invite you to join us as we work towards a brighter, more inclusive future for communities around the world.

Sometimes You Must Act!

Fri, 23 Aug 2024 13:27:25 GMT

The Start of the Mothers and Childcare centre

Sometimes, making a big difference starts with an unexpected chain of events. In Ndegeya, it all began with some troubling signals that could no longer be ignored.

Our local media clinic was increasingly confronted with emergencies related to childbirth. Pregnant women would arrive in a panic, often already in labor. In many cases, they were supposed to be referred to the larger hospital in Masaka, which is several dozen kilometers away. But for many women, that journey was simply too long, too dangerous, or just not possible. Traditional midwives from surrounding villages also came seeking help during the night for difficult births.

There was often a lack of specialized care, and sadly, some babies did not survive childbirth. Every loss was heartbreaking and confronting—not only for the families, but also for our staff.

The urgency of the problem became painfully clear on a night we will never forget. One of our staff members found a young woman by the side of the road, right near the clinic. She was on her way to Masaka to give birth—on foot, alone, and in the middle of the night. But the distance was too great. She gave birth right there, by the roadside, without any medical help. That experience struck us deeply. It was a turning point. We knew: this should never happen again.

A Safe Place for Mothers and Their Babies

That night sparked an idea: the creation of a Mother and Child Center (MCC), right next to our clinic. A place where expectant mothers can go for expert, compassionate, and accessible care—day and night.

With the support of numerous dedicated sponsors, the Joanne Foundation was able to make this idea a reality. The construction of the MCC was carried out with great care, keeping in mind the specific needs of mothers in the region. After completion, the Laudara Foundation took over the project. Their focus was on recruiting a qualified midwife and establishing a sustainable care structure within the center.

A Center with Heart for Mothers and Children

Now, the Mother and Child Center offers a safe, welcoming place where mothers receive the care they deserve. There is a well-equipped consultation room, a delivery room where women can give birth in a calm and hygienic environment, and a recovery room where they can rest after childbirth.

Thanks to the MCC, we can now help women in Ndegeya and the surrounding area in time, without them having to make the long journey to Masaka. The center has become an irreplaceable part of healthcare in our region.

What began as one harrowing experience has grown into a lasting difference for hundreds of mothers and children. And this is just the beginning.

Open Reading Day

Thu, 25 Jul 2024 06:54:54 GMT

Cultivating a Love for Reading at Ban Huay Saeng School

Ban Huay Saeng School, a primary institution committed to the holistic development of its students, has this week started the innovative reading program designed by TWA to engage all school years. The goal of this initiative is to create a communal reading environment where both students and teachers can develop a fondness for books and reading.

Why Reading for Pleasure

Reading for pleasure is vital for creating a brighter future for children. It goes beyond academic achievement, fostering creativity, empathy, and critical thinking. When children read for enjoyment, they develop a love for stories and knowledge, which enhances their cognitive and emotional development. This habit nurtures a lifelong curiosity and a passion for learning, equipping them with the tools to navigate an increasingly complex world. Additionally, reading for pleasure improves language skills, expands vocabulary, and boosts comprehension, giving children a strong foundation for success in all areas of life. By fostering a love for reading, we empower children to become well-rounded, informed, and empathetic individuals, capable of making positive contributions to society. (See article: importance of reading for fun )

The Concept and Goals

The primary objective of Open Reading Day is to establish a stress-free and enjoyable setting where both students and teachers can immerse themselves in the world of books. Given that many at the school have not previously had the opportunity to read for pleasure or participate in reading aloud, this initiative is especially significant. By creating a relaxed environment, the school hopes to ease teachers into the practice of reading aloud without any pressure, allowing them to experience the simplicity and joy of this activity. This approach aims to gradually encourage teachers to better incorporate reading aloud into their regular classroom routines.

Benefits for Teachers

For teachers at the Ban Huay Saeng School, Open Reading Day serves as an eye-opener. Those who have not yet adopted reading aloud in their classrooms will have the chance to observe the positive reactions and enthusiasm of their students during these sessions. This direct exposure is expected to inspire and motivate teachers to embrace reading aloud as a regular classroom activity, thereby enhancing the overall educational experience. Teachers who are already practicing reading aloud will find validation in seeing their students' excitement and engagement, reinforcing the value of their efforts.

Benefits for Students

From the students' perspective, Open Reading Day is a gateway to a world of stories and knowledge. Participation in these sessions allows them to experience the joy of active reading engagement in a communal setting. Exposure to a diverse range of interesting books will gradually foster a motivation for reading among students. This experience aims to build their confidence and skills, ultimately enabling them to access and enjoy literature independently. By immersing students in a vibrant reading culture, the school hopes to implant a lifelong love for books.

The Activities: "Open Reading Sessions" and "Reading Aloud and Storytelling"

To keep the program straightforward and inclusive, the school has named the activities "Open Reading Sessions" or "Reading Aloud and Storytelling" in Thai. This deliberate choice of terminology avoids the potentially intimidating concept of "independent reading," ensuring that teachers understand their active role in the reading experiences of their students. During these sessions, teachers read aloud to students, share stories, and create a dynamic and engaging reading atmosphere.

Expected Outcomes

The long-term vision for Ban Huay Saeng School's reading program is to see a significant development in students' reading skills and habits. By nurturing a positive and enthusiastic attitude towards reading, we will work with the school to aim of cultivating a generation of confident, independent readers. The Open Reading Day initiative is a crucial step in this direction, as it lays the foundation for a vibrant reading culture within the school.

Importance of Reading for Fun

Mon, 22 Jul 2024 05:33:48 GMT

Reading for fun is not just fun

Reading for pleasure (RfP), an academic term for leisure reading, has been identified as a tool to overcome low SES (Krashen, 2011a; OECD, 2010; Sullivan & Brown, 2013). Clark and Rumbold (2006) aggregated extensive research on RfP, a popular approach in the United Kingdom, where literacy development is of major concern for poverty eradication. They defined it as “reading that we do with our free will anticipating the satisfaction that one will get from the act of reading… It typically involves materials that reflect our own choice, at a time and place that suits us” (Clark & Rumbold, 2006, p.5).

Reading for pleasure is crucial for developing literacy skills and fostering a lifelong love of learning.

Encouraging children to read for fun has several benefits:

Enhancing Comprehension Skills : When children read books they enjoy, they are more likely to understand and engage with the content, improving their overall comprehension skills.
Expanding Vocabulary : Reading diverse genres exposes children to new words and phrases, helping to build a rich vocabulary that is essential for effective communication.
Stimulating Imagination and Creativity : Books open up new worlds and possibilities, stimulating children's imaginations and encouraging creative thinking.
Improving Academic Performanc e: Numerous studies have shown that children who read for pleasure perform better academically across all subjects, not just in language arts.

Impact on the Future: Breaking the Cycle of Poverty

Literacy is a foundational skill that significantly impacts an individual's future opportunities and quality of life. For children in Thailand, improving literacy rates can be a powerful tool in breaking the cycle of poverty:

Access to Better Employment Opportunities : Higher literacy levels increase the chances of securing well-paying jobs, leading to improved economic stability for individuals and their families.
Empowerment through Education : Literacy empowers individuals to pursue further education and vocational training, opening doors to diverse career paths and personal development.
Informed Decision-Making : Literate individuals are better equipped to make informed decisions about health, finances, and civic participation, contributing to their overall well-being and that of their communities.
Economic Growth : A literate population is a cornerstone of a strong economy. By investing in literacy, Thailand can cultivate a skilled workforce that drives innovation and economic growth.

The Tai Wisdom Association(TWA) is a child-focused, non-governmental and not-for-profit organisation, specialising in reading-based child development. They have effortlessly worked over the past two decades to promote reading for children and has been able to study the results of the development of the children who have followed the specially developed reading program. Reading for fun is not only fun, it is a crucial skill for the development of a child. And especially for children who do not have easy access to lots of facilities and live in less developed area's reading can help them to grow beyond their current situation.

Where a nation is lacking in taking action, ground root projects, like working with local schools, are able to give children in poor economic area's the tools to achieve their dreams by obtaining the necessary skills to read and a love for reading in general.

Decline in Literacy in Thailand

Fri, 12 Jul 2024 07:06:45 GMT

The importance of reading for fun

Thailand, once praised for its robust educational advancements, now faces an alarming decline in literacy rates, particularly among its primary school students. According to recent statistics, literacy levels have dipped, with fewer children meeting the expected reading proficiency standards. This decline raises concerns about the efficacy of Thailand's primary education system and the long-term socio-economic impact on the nation's youth.

According to research findings by Mr. Koji Miyamoto, Senior Economist at the World Bank, almost two-thirds or 64.7 percent of the youth and adult population in Thailand are below the threshold level of literacy skills, meaning they are unable to read and understand short passages to solve simple problems, such as following a medicine label.

Regarding the reading ability of Thai students, the PISA 2015 results revealed that Thailand had a low ranking of 54th out of 70 OECD counties and an overall drop in scores from the 2010 test. There was a sharp decline in reading scores from 441 points in 2010 to 409 points in 2015

Challenges in the Primary Education System

Several factors contribute to the decline in literacy rates in Thai primary schools:

Curriculum and Teaching Methods : The curriculum in Thai primary schools often emphasizes rote learning over critical thinking and comprehension skills. Traditional teaching methods, which focus on memorization rather than understanding, hinder students' ability to grasp and enjoy reading.
Lack of Resources : Many schools, especially in rural areas, suffer from a lack of adequate resources. Insufficient libraries, outdated textbooks, and a scarcity of trained teachers all contribute to the poor literacy outcomes.
Socio-Economic Disparitie s: Economic disparities play a significant role in educational attainment. Children from low-income families often face additional challenges, including limited access to educational materials and supportive learning environments.

The decline in literacy rates among Thai primary school students is a pressing issue that requires immediate attention. By fostering a love for reading and enhancing the primary education system, Thailand can equip its children with the skills needed to break free from the cycle of poverty and build a brighter future. Reading for fun is not just a pastime; it is a vital component of educational success and personal empowerment.

The Tai Wisdom Association is a child-focused, non-governmental and not-for-profit organisation, specialising in reading-based child development. They have over 20 years of experience and a wide range of expertise in this field. The founder of Laudara, Irene, has been working with this organisation for more than 17 years, and has seen what impact can be made in early childhood, and primary school children. Where a nation is lacking in taking action, ground root projects are able to give children in poor economic area's the tools to achieve their dreams by obtaining the necessary skills to read and a love for reading in general.

A Butterfly for Better Diagnosis

Mon, 01 Jul 2024 06:31:51 GMT

The Butterfly iQ+: A Game Changer for Rural Healthcare in Uganda, Especially for Pregnant Women

Healthcare access in rural areas of Uganda, like the Ndegeya community, faces numerous challenges, including limited medical facilities, inadequate healthcare professionals, and a lack of advanced diagnostic tools. These issues are particularly critical for pregnant women, who require regular monitoring to ensure the health and safety of both the mother and the unborn child. In the Ndegeya community a special Mother and Child Centre has been built to provide much needed care and support for this group.

The Butterfly iQ+, a portable, a handheld ultrasound device can bring advanced diagnostic capabilities to even the most remote areas.

In collaboration with the Joanne Foundation and the Butterfly Netwerk and a donation by Stichting MondiAalten we are very excited to have b een able to purchase this valuable probe.
.

Overview of the Butterfly iQ+

The Butterfly iQ+ is a compact, portable ultrasound device that connects to a smartphone or tablet, transforming it into a powerful diagnostic tool. Unlike traditional ultrasound machines, which we could not afford, the Butterfly iQ+ is easy to use, and can be taken to even the most remote house in the community.

Accessibility and Portability

One of the most significant advantages of the Butterfly iQ+ is its portability. Traditional ultrasound machines are typically confined to hospitals and clinics in urban areas, making it difficult for rural populations to access these vital services. The Butterfly iQ+ can be easily transported to remote locations, allowing healthcare providers to offer diagnostic services directly within the community.

Cost-Effectiveness

The Butterfly iQ+ is more affordable than traditional ultrasound machines. This cost-effectiveness makes it feasible for use in low-resource settings, where budget constraints often limit the availability of advanced medical equipment. By providing a cost-efficient solution, the Butterfly iQ+ enables healthcare facilities in rural Uganda to expand their diagnostic capabilities without incurring prohibitive costs.

Ease of Use

The Butterfly iQ+ is designed to be user-friendly, with an intuitive interface that healthcare providers can quickly learn to operate. This ease of use is particularly beneficial in rural areas, where there may be a shortage of specialized technicians. With minimal training, general healthcare workers can effectively use the device to perform essential diagnostic procedures.

Special Benefits for Pregnant Women

As it was clear through the work in the medical clinic that pregnant women needed special care and support a new Mother and Child Centre has been built in the last year. This centre aims to facilitate, support and educate pregnant women and mother with babies unto one year old.

Improved Prenatal Care

Regular prenatal check-ups are crucial for monitoring the health of both the mother and the fetus. In Ndegeya, where access to prenatal care is often limited, the Butterfly iQ+ can significantly improve the quality of care. Our trained nurses can use the device to conduct routine ultrasounds, detect potential complications early, and make informed decisions about the management of pregnancies.

Early Detection of Complications

The Butterfly probe allows for the early detection of various pregnancy-related complications, such as ectopic pregnancies, fetal growth restrictions, and placental issues. Early diagnosis of these conditions is critical for timely intervention, which can prevent severe outcomes and improve maternal and fetal health.

Enhanced Maternal Health

By enabling more frequent and comprehensive prenatal assessments, the Butterfly helps to ensure that any health issues affecting the mother are identified and managed promptly. This proactive approach to maternal health care can reduce the risk of complications during pregnancy and childbirth, contributing to better overall health outcomes for women in rural Uganda.

Training

A special Training program focusing on the use of this technology has enhanced the skills of our local nurses, empowering them to deliver higher-quality care and fostering a culture of continuous learning and improvement.

The Butterfly probe will offer a practical, cost-effective, and accessible solution to many of the challenges faced by Ndegeya. For pregnant women, in particular, this innovative device can mean the difference between routine care and life-saving interventions. By bringing advanced diagnostic capabilities to their doorstep. the Butterfly probe not only enhances maternal and fetal health but will also strengthen the overall healthcare system, paving the way for a healthier future for all.

The First Baby Born in our Centre

Sat, 29 Jun 2024 13:47:01 GMT

Celebrating the First Baby delivered in the Mother and Child Centre

A Milestone for Our Community

We are very excited that on June 25th 2024, we celebrate a momentous occasion in our community's history. Our new Mother and Child Centre, a beacon of hope and care, has welcomed its very first baby into the world. This joyous event marks the beginning of a new era in maternal and child healthcare for our community, promising brighter futures for countless families.

The Journey to This Day

The journey to this day has been one of dedication, hard work, and unwavering commitment by the local team as well as the financial support of the Joanne Foundation . From the initial planning stages to the construction and finally the opening of the centre, every step has been taken with the utmost care and consideration. The goal has always been to provide a safe, nurturing environment where mothers and their babies receive the highest standard of care.

The first delivery in MCC

We are thrilled to announce the first newborn delivered at our centre. The little baby girl and her mother, are both doing very well. The skilled hands of the new midwife, Miriam and the medical team ensured a smooth and safe delivery, reflecting the expertise and compassion that define our services.

The Centre's Facilities

Our Mother and Child Centre is equipped with the necessary facilities designed to support mothers and their babies through every stage of pregnancy, childbirth, and postpartum care. Some of the key features include:

A Delivery Room: providing a comfortable and private environment for labor and delivery.
Neonatal Care Unit: ensuring the newborns receive the best possible start in life.
Postnatal Support: supporting mothers and their babies during the critical first weeks after birth.
Community Programs: Educational programs and support groups to empower parents with knowledge and resources.

We look forward to welcoming many more babies and supporting countless families in the doming years. Our vision is to create a community where every mother and child has access to quality care, and where every family feels supported and empowered.

Thank You to Our Supporters

This achievement would not have been possible without the support of our community, donors, and partners. Your generosity and belief in our mission have made this centre a reality. Together, we are making a lasting impact on the lives of mothers and children in our community.

Thank you for being a part of this incredible journey. Here’s to many more joyful beginnings at our Mother and Child Centre!

Rural Communities in Thailand

Fri, 21 Jun 2024 05:50:53 GMT

Breaking the cycle of poverty

Ban Huay Saeng is a small village located 30 km from Kalasin city, in upper northeast (Isan) region of Thailand.

Like many rural villages in Isan, Ban Huay Saeng's economy is primarily based on agriculture. The villagers' livelihoods depend on growing and selling sugar cane, cassava, and rice, crops whose market values fluctuate unpredictably from year to year. This economic uncertainty has led to a significant rural-urban migration pattern. Approximately 75% of the working-age population leaves their homes to seek employment in industrial areas such as Bangkok, or its surrounding provinces.

National issues

This migration to industrial areas has been going on for decades, creating persistent social and economic issues that the government struggles to address. The most visible impact is the separation of families: young children and elderly grandparents remain in the village to tend the farms, while parents work in factories far from home. This arrangement, coupled with limited financial support from absent parents and the generational gap between children and grandparents, has led to various social and developmental challenges for the children.

The cycle perpetuates itself as children grow up and become the next generation of migrant workers, trapping many families in a cycle of poverty and separation.

Compounding these issues is Thailand's declining birth rate, a result of a highly successful family planning campaign implemented by the government over the past 5-6 decades. The number of annual births has dropped dramatically from one million in 2012 to less than 500,000 in 2023. This demographic shift has had a profound impact on all sectors as well as the education system.

Schools

Initially, the Ministry of Education established over 35,000 schools to serve 70,000 villages nationwide (an average of one school for every two villages). While this system effectively met the national need at the time, the declining birth rate has led to the closure of many schools due to insufficient enrollment. Many remaining schools have fewer than 10 students across all grade levels, resulting in limited resource allocation for personnel, learning materials and programs such as school lunches. This situation has contributed to poor educational outcomes.

To address this, the government has attempted to merge small schools in close proximity to concentrate resources and provide dedicated teachers for each class. However, these efforts have not always been successful. It's not uncommon to find one or two teachers responsible for educating 8-15 students from pre-school to grade 6 in a single school.

In this context, providing quality education becomes crucial for breaking the cycle of poverty. However, when discussing "education" for children in these circumstances, it's important to note that a vast majority of students across all grade levels struggle with basic literacy. According to the latest survey by the Equality Educational Fund and the World Bank, the illiteracy rate in in Thailand is as high as 70%.

The ability to read and write is a critical foundation for success in school and beyond. Improving literacy rates is essential for giving these children a better chance at success in their education and ultimately, a better quality of life than their parents.

Literacy

Literacy is a fundamental skill that can significantly impact a child's future. By improving reading and writing abilities among children in rural areas like Ban Huay Saeng, we can equip them with the tools they need to:

1. Excel in their studies and pursue higher education opportunities

2. Access and comprehend information beyond their immediate environment

3. Develop critical thinking and problem-solving skills

4. Increase their employability and career prospects in future

5. Break free from the intergenerational cycle of poverty

By focusing on enhancing literacy, we can empower these children to create a better future for themselves and their communities. This, in turn, will contribute to the overall development of the region and the country, helping to bridge the urban-rural divide that has persisted for generations.

Amakira

Mon, 17 Jun 2024 08:19:16 GMT

Preventing the risk of eating your own baby

The risk of eating your newborn baby

During my stay in Ndegeya, in central Uganda, I came across a special topic about mothers just after the birth of their baby. We know that it takes a lot of physical effort to deliver a healthy baby. But mental complications appear to be much more difficult to comprehend.

Mental illness is often viewed with fear and horror. For example, in Uganda, psychotic mental illnesses (eddalu) are attributed to bewitchment (Orley, 1970), or to vengeful ancestral spirits called Lubaale, with superhuman qualities that, if wronged, can haunt individuals of a clan by tormenting them with mental illnesses . (Nzita & Mbaga-Niwampa, 1997).

Many have heard of postpartum depression. This is a form of depression that can interrupt a mother's ability to bond with her baby. This affects about 1 in 8 mothers. A much worse condition is Postpartum Psychosis (PPP), also called puerperal psychosis, in which the mother's sense of reality changes after childbirth. Although the reasons are not fully understood, the symptoms are usually similar: paranoia, racist thoughts, delusions, an inability to sleep.

In this way she can harm herself or her children. In Central Uganda this was given the term Amakiro (Cox, 1979). In severe cases, people with Amakiro may try to kill themselves or their baby.

Sometimes the mother has a strong urge to eat her baby.

There are a number of factors that increase the risk of Amakiro:

- Medical factors, such as previous mental disorders and genetic predisposition;

- Psychosocial factors, such as lack of social support, difficult living conditions.

In Uganda, the psychosocial factors are so great that Amakiro is a well-known concept in the community.

However, Amakiro is treatable and early treatment increases the chance of a good outcome. A reason for the medical clinic in Ndegeya to take action.

More than 6,000 people live in the Ndgeye community, the majority of whom have little or no food, medication or transportation and are dependent on the medical clinic set up by the Joanne Foundation. We are now working hard to set up a Mother and Childcare Center next to the clinic. The building is ready and the first pieces of furniture and equipment have been ordered.

What is needed now is to obtain the right medication for, among other things, mental health, such as antipsychosis and anti-epileptic medication, lithium, and mood stabilizers and equipment such as a mobile ultrasound scanner. In addition, a midwife must be hired and trained. This person can therefore help to develop and implement a workable program.

This center will focus on supporting pregnant women, helping with a safe delivery and ensuring that new mothers and babies get the help they need. By monitoring, providing timely information and, if necessary, giving the right medication, mothers and babies can be prevented from getting stuck at the start.

No One Sleeps in Ndegeya

Sun, 16 Jun 2024 10:56:31 GMT

Fear lives everywhere

The remote community of Ndegeya, north of the Ugandan town of Masaka is an area where many people live in an extreme basic environment. But there are also very rich people there who possess large blocks of land and grow crops to sell. It is confusing to watch the stark contrast between these two groups.

During my stay there I had the opportunity to spend time with the local people for whom each day is a struggle. I visited, together with the local nurse Michael, the elderly who are sick and are in need of care or at least medication. It is very common that the grandparents are caring for their grandchildren. Or that families allow the homeless to stay on their properties and care for them where possible. They often have no source of income nor clean water.

Many people are only able to eat once a day. They can’t sleep well at night as they are hungry or are very uncomfortable laying on the hard floor.

The Joanne Foundation has been there for many years providing the most fulnerable with some of the basic necessities like mattresses with bedding, watertanks, toilets, and food packages.

For some it must be very difficult to see possessions given to others where you have nothing yourself. Theft is always lurking around the corner. Waterwells get damaged as the iron top part is stolen to be sold for the metal. Even the only possessions of bedding and mattresses, given to them by the foundation get sometimes stolen. If you have nothing you got nothing to loose. They are forced to keep an eye open all the time to watch their only possessions.

But the rich inhabitants in the area who live there are spending time and money trying to secure their valuable possessions. They live hidden away on large blocks of land that are surrounded by high walls with heavily chained and locked gates. It reminds me of another place where one only involuntarily wants to spend time… They are often seen by other as having made their fortune by frauduleus work and have to live with the fear of burglary and theft or being murdered. They literally pay a high price to live in their paradise.

Listening to all the stories I was thinking of the quote Ramathan Ggoobi, the permanent secretary at the ministry of finance once said: "In Uganda, no one sleeps!!” The question is: Can we sleep comfortable knowing we do our part to help the needy?