Refuge Place Refuge Place International/USA/Liberia: a nonprofit International/USA/Liberia: a nonprofit organization committed to reducing organization committed to reducing

the very high maternal, new born and the very high maternal, new born and child (MNC) mortality in post war child (MNC) mortality in post war

LiberiaLiberia

Our people: Poverty and Diseases caused Our people: Poverty and Diseases caused

by the 14-year civil warby the 14-year civil war

The slums and conditions put women and The slums and conditions put women and

children at great risk of death and diseases children at great risk of death and diseases

around Monrovia, Liberiaaround Monrovia, Liberia

THE WEST POINT SLUM, MONROVIA, LIBERIA

OUR TARGETED SLUM: CHICKENSOUPFACTORY COMMUNITY, NEAR MONROVIA,LIBERIA

Liberia has one of the highest rateLiberia has one of the highest rate

of deaths of pregnant women and their of deaths of pregnant women and their

childrenchildren

(UN, MDG,2010; Liberia National Health Plan, MOHSW; Maternal Mortality Africa’s Burden)

mortalitymortality

Lack of Basic Health Services: findings from our Lack of Basic Health Services: findings from our

need assessment surveyneed assessment survey

Over 70% of the 165 women we interviewed had lost 2 or more children

Over 25% of the 165 women we interviewed had a complicated pregnancy

Lack of Basic Health Services

Only 28% of the 165 women we interviewed had use contraceptives

Lack of Basic Health Services

Over 55% of the 165 women we interviewed had 3 or more children

Lack of Basic Health Services

50% of the 165 women we interview had children between 15 and 18 yrs old

Lack of Basic Health Services

Over 55% of the 165 women we interviewed had 3 or more children

Lack of Basic Health Services

Only 23% of the 165 women we interviewed had at least a high school education

Lack of Basic Health Services

Our response: Acquire a land upon which to Our response: Acquire a land upon which to

build a clinic for women and children Lowerbuild a clinic for women and children Lower

Johnsonville and Chickensoup Factory slums Johnsonville and Chickensoup Factory slums

First, we needed to clear the land for the First, we needed to clear the land for the

proposed MNCproposed MNC

Laying the foundation of the future MNC Laying the foundation of the future MNC

clinicclinic

Building the MNC clinic one brick at a timeBuilding the MNC clinic one brick at a time

We could not ignore the problem: the We could not ignore the problem: the

walls of the clinic are being raisedwalls of the clinic are being raised

Beginning to roof the MNC clinic and training Beginning to roof the MNC clinic and training

centercenter

for womenfor women

Roof construction for the MNC clinic Roof construction for the MNC clinic

We are almost there : but we need your We are almost there : but we need your

supportsupport

Our services are needed: see a child with her Our services are needed: see a child with her

child. child.

We will provide family planning and We will provide family planning and

educationeducation

The women are our primary beneficiariesThe women are our primary beneficiaries

The community and its women for whom we shall The community and its women for whom we shall

serve serve

Care we will provide after the clinic is Care we will provide after the clinic is

completedcompleted

Outreach ServicesOutreach Services

Hospital and Health Facility Clinical Care

Hospital and Health Facility Clinical Care

Family Community Care (familyPlanning, antenatal visits)

Family Community Care (familyPlanning, antenatal visits)

AppropriateReferral and

Follow-Up

AppropriateReferral and

Follow-Up

Care we will provide after the clinic is completed

Bicycle pedalambulances to bring complicatedCases to the clinicfrom closer communities

Picture of completedREPI Maternal/child

clinic

Refer complicatedCases to hospitalsaccompany by SBA / fees

motor-bikeambulances to bring complicatedCases to the clinic from distant communities

Financial Report: Phase I: 11/2009 to Financial Report: Phase I: 11/2009 to

09/201009/2010

The purchasing of the land, the foundation and the initial stages of the walls

Phase I: Total Income= $14,845.00

Expenditure on Phase I = $14,395.00

Grant from Friends of Liberia: $2000.00Mosoka remittances: $2100.00Contribution from the Board $1600.00Individual: Key Roberts $100.00Individual: Edwina Roberts $100.00

Total $5,900.00

Financial report for phase II of the work: (completing the walls and casting the pillars)

Phase II: Total Income = 5,900.00

1. Construction materials (steel rod, crush rocks, cement, sand)…$4,500.002. Workmanship (masons, carpenters, brick makers)……….……..$1,200.00

3. Scholarships………………………………………………………..$200.00 Total……………………………………………………………$5,900.00

Phase II: Total Expenditures

Financial report for phase III of the work: (the roof and the zinc and casting the pillars)

Phase III: Total Income = 9,795.00

Contributor Affiliation Total

Members of REPI Board (Dr. Balz, Gary, Angene, Jack, Rachel)

$3750

Dr. Lester Hartman Classmate of Mosoka from Harvard $1525

Mrs. Walea Kofa-Payne Liberian-American nurse from PA $500

Ms. Kate Fernadez Friend of Mosoka from Harvard $170

Mr. Michael Baker Friend of Mosoka from Univ. of Kentucky

$100

Mosoka’s personal contribution While working at Harvard $3000

Total Income $9,020

Phase IIIa: Expenditures = 2,855.00

Phase IIIb: Expenditures = 6,225.00

Total cost to complete Total cost to complete the proposed MNC the proposed MNC

clinicclinic

SEE NEXT THREE SLIDES FOR THE BREAKDOWN OF THE TOTAL COST

Refuge Place international/USA: a Refuge Place international/USA: a

registered NGO in the State of registered NGO in the State of

Kentucky, USAKentucky, USA

Refuge Place Refuge Place

international/Liberia: international/Liberia:

registered with the Liberian registered with the Liberian

governmentgovernment

Local Financial Sustainability

OTHER PLANNED SUSTAINABLE ACTIVITIES:1.Real estate; 2. Cross-subsidization, 3. Donations from friends and diaspora Liberian; 4. Diversified grants for Public Health research

We are making payment on this 10-room building: we will renovate and turn it Into a private high school as a sustainable funding source for the MNC clinic as well as thetraining of maternal health workers

ON-GOING ACTIVITIESON-GOING ACTIVITIES• DEVELOMENT OF A TRAINING CURRICULUM

FOR MATERNAL HEALTH WORKERS (FAMILY PLANNING GRANDMOTHERS, MATERNAL FRONTLINE WORKERS ETC)

• RECRUITMENT OF 1 NURSE-MIDWIFE, 1 MIDWIVE AND 1 PHYSICIAN ASSISTANT PROVIDE STAFFING AND TRAIN THE MATERNAL HEALTH WORKERS

• BUILDING A NETWORK LIBERIAN HEALTH AND OTHER PROFESSIONALS IN THE USA FOR FUTURE SHORT TERM SERVICES TO THE SLUMS AND LIBERIA

• BUILDING A NETWORK AMERICANS AND INTERNATIONAL PROFESSIONALS FOR SHORT TERM SERVICES TO THE SLUMS AND LIBERIA

FUTURE FUTURE DIRECTIONSDIRECTIONS

• PARTNERSHIP AND MEMORADUM OF UNDERSTANDING (MOU) WITH THE MINISTRY OF HEALTH OF LIBERIA

• PARTNERSHIPS WITH LOCAL NGO’S• PARTNERSHIPS WITH LOCAL CLINICS AND

HEALTH INSTITUTION• GRANTS AND FUND RAISING• CONTINUOUS COMMUNITY BUY-IN

Please join our efforts in Liberia:Mosoka P. Fallah, Founder/Executive Director8572663558mfallah1969@gmail.com, mfallah@hsph.harvard.edu