Date post: | 16-Dec-2015 |
Category: |
Documents |
Upload: | reynard-parsons |
View: | 215 times |
Download: | 1 times |
Improving health in Africa
Masanga Leprosy HospitalA post war rehabilitation project in Sierra Leone
IntroductionIntroduction
About Sierra Leone
Masanga HospitalHow you can help
Sierra LeoneSierra LeoneBackground
- 5 million
- 70% less than $1/day
- Ranked 176 out of 177 in UN Human Development Index (2005)
- Life expectancy 41 yrs (UK is 79 years)
- Less than half of the population have access to safe and clean waater
- Illiteracy. Very high esp amongst girls
- Highest rate of maternal mortality in the world – 1800 per 100,000 women die during child birth
Highest infant immortality in the world
• 283 out of 1000 Children die before 5yrs (2004)
– Diarrhoea from drinking water
– Measles
– Malaria
Health problems
• 1 medical doctor per 104,000
• Malaria endemic – 48% of total outpatient morbidity
• HIV/AIDS – 3% and rising
Masanga Leprosy Hospital Pre rebel warMasanga Leprosy Hospital Pre rebel war
Before it was destroy during the 10 year swar in Sierra Leone the hospital:
• The largest of three hospitals specialising in leprosy treatment in Sierra Leone.
• 200 bed hospital providing primary health care in northern province of SL, and treated patients from Liberia and Guinea
• Operated by the Seventh Day Adventist Church
• Well recognised for treatment of Tuberculoses and Polio
• Acted as a vaccine inoculation centre in the Northern province, e.g .against river blindness
• Provided education/rehabilitation and vocational training for ex-leprosy patients and schooling for children
Masanga
Brutal rebel war devastated countryBrutal rebel war devastated country
Lasted 10 years
Over two million displaced
Tens of thousands deaths
Civilians amputated
Ended by UK led International Community
Child amputees are a common sight
Effect of war on Masanga Leprosy HospitalEffect of war on Masanga Leprosy Hospital
• Rebels attacked the hospital
• Infrastructures damaged
- operating theatres, wards, laboratory, staff quarters, physiotherapy, class rooms, water supply system were , burnt, vandalised and looted.
• Hospital staff and Masanga town residents displaced
Masanga Leprosy Hospital Post Rebel WarMasanga Leprosy Hospital Post Rebel War
• Basic building structure survived but remained derelict.
• Leprosy cases are rising in Sierra Leone -The 2003 annual report National Leprosy/TB control programme in Sierra Leone reported a rise of 8.3% in new cases, from 751 in 2002 to 814 in 2003.
• Tuberculosis is on a slow and steady rise
• SLAA (Sierra Leonean Adventists Abroad) embarked on a project for rehabilitation of Masanga.
• Project proposal drawn up to raise fund worldwide, rehabilitate the hospital and manage it .
• Done in consultation with and approval of the Government of Sierra Leone
• Phase 1 to open an out-patient clinic.
SLAAAcronym for Sierra Leonean Adventists Abroad
SLAAAcronym for Sierra Leonean Adventists Abroad
• A UK Charity Commission registered (no 1085938 )
objectives:
1. To assist with the advancement of education in developing countries as an instrument to achieve longer lasting improvement of economic standards
2. To provide assistance to people affected by war and natural disasters
3. The relief of poverty by providing aid to people in sever financial distressed
• MISSION STATEMENT is to contribute to long term poverty alleviation in deprived communities by sustained and targeted funding of health and educational
• Working to make a difference in Masanga though health project since 2004
- People with local knowledge
- Ex Masanga Hospital staff
- UK healthcare professionals
EXECUTIVESOperational management
TRUSTEESResponsibilities :- constitution etc
How SLAA is STRUCTURE
MEMBERS
Elect Exec
Decides on projects undertaken & all business matters by majority voting
Internal funding by voluntary subscription
SLAA representative in Freetown. Mr Val Thomas LLB
Masanga
Hospital
Education
BEN
EFICIA
RIES/R
ECIPIEN
TS OF A
IDProject Committees
The ProjectThe Project
• Planned in phases
- Out patient clinic
- Hospital
- Sustainability
• Finance
• Progress
- Partner
- Contract with Gov 06
- Opened July 06
- Patents treated
• Needs and Challenges
Local & International ApprovalLocal & International Approval
Approved by Government of Sierra Leone
•Part of national heath strategy
endorsed by local people & European partner (AFOM)
Three way agreement between SLAA, AFOM & Gov SL
•Raise funds. £100,000 target
•Rehabilitate hospital
•Manage hospital
Agreement with Government of Sierra Leone
Employs Local PeopleEmploys Local People
Staff team of 25
Only $3.00 per patient per month to run
12,000 patients in 1st 6 month
$100,000 investment to date
Masanga Hospital- Early stageBudget Projection
Masanga Hospital- Early stageBudget Projection
• Budget for start-up of OPD:
• Amounts are per annum and in USD
• Staff
• Medical co-ordinator 38,709
• 1 doctor (local) 6,429
• 1 clinical officer 2,142
• 2 nurses 3,000
• 2 midwives 3,429
• 1 radiographer 1,548
• 1 lab tech 1,287
• 17 auxiliary staff 14,620
• Total staff 71,123
• Running costs:
• Medical equipment 9,000
• Transport/freight 5,000
• Consumer goods 8,000
• Fuel 9,000
• Cars/rental/maintenance 6,193
• Cleaning 683
• Communication 1,612
• Other expenses 8,387
• Total running costs 47,893
• Total staff and operations 119,016
• Investments for start-up
• Generators, cables etc 24,193
• Sanitation 16,129
• Medical/technical equipment 8,064
• Total 48,387
• Total start-up and operations first year 167,403
Masanga Hospital NowMasanga Hospital Now
Clinic opened July 2006
TOP TREATMENTS
Leprosy
Malaria 70%
Claims 48% outpatient morbidity in SL
Pregnancy
Pneumonia
Tuberculosis
Diarrhoea/ Typhoid
Motherhood
Paediatric Ward opened Jan 2007Paediatric Ward opened Jan 2007
- Need 8 Staff to operate
- $500/month salary bill
Past & New Medical Professionals & Student Volunteer combination to Operate Masanga
Management Structure of Masanga Hospital
Management Structure of Masanga Hospital
• Management board
• Business manager
• Hospital Administrator
• Departmental Heads
How you can Help?How you can Help?• Financial Donations
- Running costs, salaries, drugs
- Capital equipment, buildings
• Personnel
- Resident doctor
- Visiting specialist
• Infrastructure
- Laboratory
- Staff quarters
- Water pumps – clean water
- Incinerator
- Patient toilets
- Clean reliable power supply - solar
• Ambulance
- Outreach into surrounding areas
• Tell Others
SLAA ContactsSLAA Contacts
SLAA
P.O.Box 86 Bromley
Kent
BR1 5SY
Web: www.slaa.org.uk
Email: [email protected]
Phone: +44 (0)844 800 5696