UGANDAONE is a disciplined approach to establishing a Model for Economic Growth and Human Development in the Mount Elgon Region of Uganda. UGANDAONE brings together academic and research knowledge with proven business implantation skills in Development. Rooted in the Health Systems Strengthening work of Kissito Healthcare International, Inc. (“KHI”) the Model has emerged to include committed stakeholders who are integrating Health, Nutrition, Education, Agriculture, Natural Resources, and Economic Activity into a coordinated Model of Development for one million people. Building on the experiences of the Millennium Development Villages and the collective knowledge of the Elgon Region communities, UGANDAONE truly unleashes the great potential of the Ugandan people to establish and grow a self-sufficient program of Human Development. Our report to date includes: UGANDAONE ECONOMIC ACTIVITY The Government of Uganda has provided a commercial building which KHI is repurposing to produce Ready-To-Use Therapeutic/Supplementary/Complementary Foods (“RUF”) engaging 5,000+ small and medium enterprise farmers in new income sources. KHI’s RUF facility in Ethiopia is engaged in a similar program. The Government of Uganda has provided a commercial building which is currently being retrofitted to manufacture an estimated 200,000 Improved Cook Stoves for East Africa (“ICSEA”). The environmentally sound ICSEA will generate Carbon Credit Funding which will be shared with users and reinvested in community development. Partners are providing the essential manufacturing and distribution knowledge. We are working closely with stakeholders within the Government of Uganda to engage in Reducing Emissions from Deforestation and Forest Degradation (“REDD”) programs. These large scale (25,000 Hectares) initiatives are in the pilot stage and will produce future forestry income as well as current Carbon Credit Funding. Collaborating with local stakeholders in the Elgon Region design and permitting studies are underway to construct a 10 MW Hydropower facility in the Elgon Region to provide renewable and improved power generating capacity. Small scale activities include initiatives in co-producing Vanilla/Cocoa with Coffee, Biofuels from agricultural waste, efficient charcoal kilns, the international sale of artwork and small handicrafts, and the international distribution of coffee. Microfinance Activities will fund individuals, groups, commu- nities, and Civil Society Organizations/Non-Governmental Organizations engaged in these Economic Activity initiatives. HEALTH/NUTRITION Through the sponsorship of 16 Ugandan physicians, Medical Supply/Essential Drug Supply Chain Management, expanded surgical site capacity, training, and referral interventions we have supported the Government of Uganda in the treatment of 626,000+ patients, delivery of 17,000+ babies, and successful completion of 29,000+ surgical procedures since January 1, 2011. The motorcycle ambulance referral intervention is expanding from 7 ambulances to over 30 covering all one million people in the Elgon Region. To date the ambulances have provided 5,600+ lifesaving runs in the Elgon Region. Through a comprehensive 747 question Needs Assessment of all 70 Elgon Region Hospitals/Health Facilities we have provided $2+ million of equipment upgrades and extensive Workforce Development. Health Management Information Systems (“HMIS”) and DATA collection and analysis capability has been greatly improved within the Elgon Region. The single largest impact on EmONC is coming through the expansion of surgical coverage from one site to 9 sites, creat- ing a true emergency referral network in the Elgon Region. Our MRRH EmONC initiative has been approved by the IRC with interventions currently being implemented to reduce the Maternal and Newborn hospital death rate by half. Through our partners 12 Health Facilities have been equipped with solar power specifically to address obstetrical care at nighttime. Our focus on community education and the availability of Family Planning Services is addressing unsustainable Fertility Rates. We address the treatment of Acute Malnutrition through our Community Based Management of Acute Malnutrition (“CMAM”) programs and support for the MRRH Malnutrition Stabilization Center. We are actively engaged in community based Nutritional Behavior Change and Communications both through Village Health Team workers and at the Health Facility level.
Transcript
UGANDAONE is a disciplined approach to establishing a Model for Economic Growth and Human
Development in the Mount Elgon Region of Uganda. UGANDAONE brings together academic
and research knowledge with proven business implantation skills in Development. Rooted in
the Health Systems Strengthening work of Kissito Healthcare International, Inc. (“KHI”) the Model
has emerged to include committed stakeholders who are integrating Health, Nutrition, Education,
Agriculture, Natural Resources, and Economic Activity into a coordinated Model of Development
for one million people. Building on the experiences of the Millennium Development Villages
and the collective knowledge of the Elgon Region communities, UGANDAONE truly unleashes
the great potential of the Ugandan people to establish and grow a self-sufficient program of
Human Development. Our report to date includes:
UGANDAONE
ECONOMIC ACTIVITY
The Government of Uganda has provided a commercial building which KHI is repurposing to produce Ready-To-Use Therapeutic/Supplementary/Complementary Foods (“RUF”) engaging 5,000+ small and medium enterprise farmers in new income sources. KHI’s RUF facility in Ethiopia is engaged in a similar program.
The Government of Uganda has provided a commercial building which is currently being retrofitted to manufacture an estimated 200,000 Improved Cook Stoves for East Africa (“ICSEA”). The environmentally sound ICSEA will generate Carbon Credit Funding which will be shared with users and reinvested in community development. Partners are providing the essential manufacturing and distribution knowledge.
We are working closely with stakeholders within the Government of Uganda to engage in Reducing Emissions from Deforestation and Forest Degradation (“REDD”) programs. These large scale (25,000 Hectares) initiatives are in the pilot stage and will produce future forestry income as well as current Carbon Credit Funding.
Collaborating with local stakeholders in the Elgon Region design and permitting studies are underway to construct a 10 MW Hydropower facility in the Elgon Region to provide renewable and improved power generating capacity.
Small scale activities include initiatives in co-producing Vanilla/Cocoa with Coffee, Biofuels from agricultural waste, efficient charcoal kilns, the international sale of artwork and small handicrafts, and the international distribution of coffee.
Microfinance Activities will fund individuals, groups, commu-nities, and Civil Society Organizations/Non-Governmental Organizations engaged in these Economic Activity initiatives.
HEALTH/NUTRITION
Through the sponsorship of 16 Ugandan physicians, Medical Supply/Essential Drug Supply Chain Management, expanded
surgical site capacity, training, and referral interventions we have supported the Government of Uganda in the treatment of 626,000+ patients, delivery of 17,000+ babies, and successful completion of 29,000+ surgical procedures since January 1, 2011.
The motorcycle ambulance referral intervention is expanding from 7 ambulances to over 30 covering all one million people in the Elgon Region. To date the ambulances have provided 5,600+ lifesaving runs in the Elgon Region.
Through a comprehensive 747 question Needs Assessment of all 70 Elgon Region Hospitals/Health Facilities we have provided $2+ million of equipment upgrades and extensive Workforce Development. Health Management Information Systems (“HMIS”) and DATA collection and analysis capability has been greatly improved within the Elgon Region.
The single largest impact on EmONC is coming through the expansion of surgical coverage from one site to 9 sites, creat-ing a true emergency referral network in the Elgon Region.
Our MRRH EmONC initiative has been approved by the IRC with interventions currently being implemented to reduce the Maternal and Newborn hospital death rate by half.
Through our partners 12 Health Facilities have been equipped with solar power specifically to address obstetrical care at nighttime.
Our focus on community education and the availability of Family Planning Services is addressing unsustainable Fertility Rates.
We address the treatment of Acute Malnutrition through our Community Based Management of Acute Malnutrition (“CMAM”) programs and support for the MRRH Malnutrition Stabilization Center.
We are actively engaged in community based Nutritional Behavior Change and Communications both through Village Health Team workers and at the Health Facility level.
EDUCATION/RESEARCH
In partnership with Busitema University (“Ugandan Public Institution”) KHI has provided a 16,000+/- book Medical Library, 50 Computers, Visiting Lecturers, Laboratories in Anatomy and Science, Faculty Training, Student Housing, and Scholarships for the Mbale based Health Sciences Faculty (“School of Medicine”). The new School of Medicine will admit its first class on September 14, 2013 and is designed to target prospective physicians who will practice in the rural communities of Uganda. Scholarships will bond students to practice a minimum of 5 years in rural Ugandan Districts and their training will occur in these rural areas where they will learn to cope with resource challenges. Schools of Medicine are typically located in large urban areas and after training it is all but impossible to convince a physician to willingly practice in a rural setting.
UGANDAONE National and International partners have a large portfolio of Elgon Region published research activities and a fully accredited Internal Review Committee (“IRC”) based at the Mbale Regional Referral Hospital (“MRRH”). Established as a Model for sustainable development it is critical UGANDAONE activities are rigorously documented and meet the standards of peer reviewed research.
As a partner with the College of Nursing and Midwifery we are seeking to prepare the next generation of Nurses and Midwifes with intensive skills and Universal Health Professional Values training.
Through Continuing Medical Education, particularly in Emergency Obstetrics and Newborn Care (“EmONC”) the staffs of 70 Hospitals/Health Facilities are provided with continuously reinforced skills and behavior development throughout the year.
Busitema University and KHI are collaborating to commence a two-year Diploma Program in Health Systems and Services Management. This program will prepare the next generation of Managers and Leaders to operate functional Health Services in resource challenged environments.
Chronic Malnutrition is a serious issue estimated to impact 39.6 percent of all children under the age of 5 in Sub-Saharan Africa. Chronic Malnutrition is a complex problem which will not be solved by a single intervention. Evidence has however
suggested the first 1,000 days of life (conception-age two) is a high impact period in which micronutrients and vitamins play a critical role in Early Childhood Development. We are working with the worlds thought leaders in structuring a large scale Clinical Trial in the Elgon Region which uses Ready-to-Use Complementary Food (“RUCF”) produced at the KHI RUF facility in Mbale to complement child diets between the ages of 6-24 months. Should our outcomes parallel existing evidence we intend to develop commercial markets for the use of low-cost RUCF in addressing Chronic Malnutrition.
NATURAL RESOURCES/AGRICULTURE
National environmental experts and Team Members of U.S. based Virginia Military Institute are assessing opportunities to improve access to safe drinking water and improved sanitation in the Elgon Region. A similar Team from Virginia Polytechnic Institute and State University (“VT”) is seeking to establish optimization plans for Natural Resource use in the Elgon Region which balances the needs of Humans and the Environment.
VT and Busitema University are planning to create communi-ty based solutions for the Aflatoxin/Toxin free production of the Ground Nut (“Peanut”) crop to be used in the KHI RUF food production facility. Working with the Government of Uganda other initiatives will be undertaken to increase crop yields and address Climate Change through adaptive agricultural interventions such as drought resistant seeds.
UGANDAONE is an initiative driven by Economic Activity which balances the needs of Humans and Environmental Conservation. The recent availability of Climate Change Mitigation and Adaptation funding through Clean Development Mechanisms (“CDM”) such as REDD and the ICSEA provide new opportunities to address the central question of Development Sustainability. UGANDAONE has the support and buy-in of the communities (the Elgon Region Districts of Mbale, Manafwa, and Bududa have over 3,000 villages) and Local/National Government. Once established as a sustainable Model of Development it is the intention of the Ugandan Government to replicate the Model in other Regions.
As a Non-Profit Charitable organization KHI has committed to reinvest its Carbon Credit and Investment Activity returns back into the communities we serve. Our work to date has been supported by KHI’s parent organization, U.S. based Kissito Healthcare, Inc. and likeminded donors/partners. Major funding has been provided by the Curry Family, Segal Family Foundation, Rotary Clubs of England, Welsh based PONT, Mid-Atlantic ElderCare, PLLC, IMEC, and Music for Relief. Future funding is expected from private investments in our Economic Activity and in partnership with people and organizations aligned with our purpose: to establish a self-sustaining Model of Development which balances capitalism and human needs.
STATISTICS Uganda U.S.
Population (Millions) 34.5 311.6
Life Expectancy at Birth 53.5 78.5
Infant (<1) Death rate (per 1,000 live births) 63 7
Child (<5) Death Rate (per 1,000 live births) 99 8
Maternal Death Ratio (per 100,000 live births) 430 24
Maternal Deaths Every Year 6,300 1,000
Infant (<1) Deaths Every Year 92,000 28,000
Child (<5) Deaths Every Year 141,000 32,000
Total Fertility Rate 6.7 2.1
HIV Prevalence Rate Percentage (15-49 yrs.) 6.5 0.6
