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Improving health in Africa

Masanga Leprosy Hospital A post war rehabilitation project in Sierra Leone. Improving health in Africa. Introduction. About Sierra Leone Masanga Hospital How you can help. Sierra Leone. Background 5 million 70% less than $1/day Ranked 176 out of 177 in UN Human Development Index (2005)

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Improving health in Africa

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  1. Masanga Leprosy Hospital A post war rehabilitation project in Sierra Leone Improving health in Africa

  2. Introduction • About Sierra Leone • Masanga Hospital • How you can help

  3. Sierra Leone Background • 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

  4. Masanga 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

  5. Masanga

  6. Brutal rebel war devastated country • Lasted 10 years • Over two million displaced • Tens of thousands deaths • Civilians amputated • Ended by UK led International Community

  7. Effect 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

  8. Masanga 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.

  9. SLAAAcronym for Sierra Leonean Adventists Abroad • A UK Charity Commission registered (no 1085938 ) objectives: • To assist with the advancement of education in developing countries as an instrument to achieve longer lasting improvement of economic standards • To provide assistance to people affected by war and natural disasters • 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

  10. How SLAA is STRUCTURE Project Committees TRUSTEES • Responsibilities :- constitution etc Masanga Hospital MEMBERS • Elect Exec • Decides on projects undertaken & all business matters by majority voting • Internal funding by voluntary subscription BENEFICIARIES/RECIPIENTS OF AID Education EXECUTIVES • Operational management SLAA representative in Freetown. Mr Val Thomas LLB

  11. The Project • Planned in phases • Out patient clinic • Hospital • Sustainability • Finance • Progress • Partner • Contract with Gov 06 • Opened July 06 • Patents treated • Needs and Challenges

  12. Local & 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

  13. Employs 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

  14. Masanga Hospital- Early stageBudget Projection • Budget for start-up of OPD: • Amounts are per annum and inUSD • 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

  15. Masanga Hospital Now Clinic opened July 2006 Pregnancy TOP TREATMENTS Leprosy Motherhood Tuberculosis Malaria 70% Diarrhoea/ Typhoid Pneumonia Claims 48% outpatient morbidity in SL

  16. Paediatric Ward opened Jan 2007 Need 8 Staff to operate $500/month salary bill

  17. Past & New Medical Professionals & Student Volunteer combination to Operate Masanga

  18. Management Structure of Masanga Hospital • Management board • Business manager • Hospital Administrator • Departmental Heads

  19. 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

  20. SLAA 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

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