ALASKA SUDAN MEDICAL PROJECT

Alaska Sudan Medical Project

South Sudan

2

Kenya

Ethiopia

Sudan

DRC Uganda

CAR

Old FangakNestled between the White Nile and the El Zaref rivers,

in the Sudd, one of the largest swamp in the world.

Old Fangak, Jonglei State

Remote and isolated

Only accessible by boator small aircraft

Population at beginningof project (2008): 5000

Home to the Nuer people

Largely untouched by aid organizations

Current population

(2016): 45,000+

Key Demographics:Population: 8-12 million

Age Structure: 65% of people are 24 or younger

Median Age: 17

Facts & Figures:• Worlds most failed state• Worlds most corrupt state• 2nd most violent country in the world (after Syria)• Highest illiteracy rate in the world • Highest maternal fatality rate in the world• Women more likely to die in childbirth than to get an

education• 2 in 5 people country-wide don’t have access to clean

water• 2.2 million displaced by civil war• 4.8 million food insecure

Refugee Population

Over 2 million people displaced since 201445,000 have sought refuge in Old Fangak area.

Mission: Saving lives through health, clean water, and agriculture.

Vision: Building hope and health for life.

ASMP’s mission is toprovide health, water,sanitation andagricultural systems tocounter the injusticeand chaos caused by theeffects of 40 years ofcivil war first betweennorth and south Sudan,and now betweencompeting tribes inSouth Sudan.

ASMP Defined Goals

1. Increase access to health care

2. Increase access to clean water

3. Increase access to food

4. Ensure project sustainability

Building medical clinics

Drilling water wells

Water pump micro-loans

Seed & tool distribution

Latrine construction

Local employment & training

Projects

ProgramsHealth WASH

(Water, Sanitation & Hygiene)

Agriculture Training

Completed Project: Construction of Primary Health

Care Clinic

Planned Projects: Construction of Tuberculosis &

Infectious Disease Clinic Immunization outreach

Completed Projects: 14 water wells drilled 16 latrines 3 hand washing stations

Planned Projects: Water wells & latrine

construction

Completed Projects: 83 farms & gardens started 38 water pumps loaned

Planned Projects: Continued recruitment of new

farmers & scaling up of current gardens.

Agriculture expert evaluation

Completed: 6 Apprentices trained in well

drilling & maintenance, welding, and construction

Planned Projects: Continued training Formalization of program

(water video)

Water, Sanitation & Hygiene

• 14 water wells• 16 latrines• 3 hand washingstations

Well Locations

Clinic Hand

Washing Stations

Latrine constructionon clinic grounds.

Agriculture

Agriculture | 83 farms

How it works:

1. Locally led Farming Council recruits new farmers.

2. ASMP distributes seeds and basic tools to farmers.

3. After 1 year farmers become eligible for micro-loans for ‘scale-up’ tools like water pumps and rototillers.

4. Farmers grow crops, feed their families, sell their surplus produce, and pay back their loans - which are then reinvested into the next farmer.

Health

Clinic Construction

Clinic Fire 2012

Completed Primary Health Care Clinic

Tuberculosis & Infectious Disease Clinic

Vocational TrainingDrillingWelding Construction

Locally Led

Locally Led Programs

History of ASMP2007 – Jack visits South Sudan

2008 – ASMP is born, begins PHCC construction, drills first well

2009 – ASMP starts agriculture program with 1 pilot farmer

2010 – ASMP continues work on PHCC, expands agriculture and water programs

2011 – July – South Sudan becomes independent nation

2011 – ASMP continues work on PHCC, expands agriculture and water programs

2012 – Fire destroys half of clinic in December, ASMP continues work on PHCC, expands agriculture and water programs

2013 – Clinic completion, bicycle immunization outreach program, expansion of agriculture program well drilling

2013 – December – Conflict breaks out between Government and Rebels (ASMP team evacuates)

2014 – Despite ongoing conflict, ASMP expands well drilling and agriculture programs, begins WASH projects

2015 – Despite ongoing conflict, ASMP expands agriculture program and constructs storage structure for TB Center

2016 – Planned activities include agriculture expansion, well drilling and TB Center fence construction.

Challenges & Constraints

1. Conflict & Insecurity

• Civil war from 1962-1978• Civil war from 1983-2005• Continued conflict 2005-

2011• Civil war from 2013-2015• Continued conflict 2015-

present

Challenges & Constraints2. Logistics: Pre-Conflict• River travel, barges with containers or trader boats.– 4 containers on 2 barges

– 1 sunken trader boat w/drill rig & supplies

– 3 successful trader boats

(barge video)

Challenges & Constraints3. Logistics: During Conflict• Air travel only

– Private Charters

– UN Assistance

Challenges & Constraints

4. Lack of infrastructure

5. Remote6. Distance of material

procurement7. 6 month work season8. Expense of operating9. Local education

level

Organizational StructureVolunteers & Staff

Local Staff – Field Operations Manager

– Agriculture and Maintenance Manager

– Lead Well Driller

– Kenya Logistician

– South Sudan Logistician

U.S. Staff– Program Director

+Volunteers

South Sudan: 2-15 people/year U.S.: 15-30 people/year U.S. Board & Committees: 9-15 people/year

2016/2017

• Drill 2 water wells

• Build fence around TB clinic land

• Recruit and equip new 25 new farmers

Where we are going

Long-term

• Replicate WASH and agriculture programs in most underserved communities

• Immunization outreach program

Thank you!

‘saving lives through health, water and agriculture’