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: eddiejcole@slaa.org.uk

Phone: +44 (0)844 800 5696