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AMNA KENYA HEALTH AWARENESS _JAN 2004

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AMNA KENYA HEALTH AWARENESS _JAN 2004 Powered By Docstoc
					AFRICAN MISSIONS
NORTH AMERICA:
  Kenya Health Awareness Week
              Report
       Jan 18-Jan 25 2004
OUTLINE
1. Introduction – Background and Purpose of
   Trip
2. Activities for the week
3. Needs Assessment & Strategic Action Plan
4. Conclusion
5. Appendix
1. Introduction
   1.1 Overview of AMNA

              African Missions North America (AMNA) is a faith based Non profit
       Organization and endeavors to provide sustainable holistic programs that will
       improve the quality of life of disadvantaged children, youth and families in
       Africa. AMNA provides support to the communities in Africa through it’s
       regional support groups – East , Central and Southern Africa .

Affiliated with the Redeemed Christian Church of God , the Support group for the East
Africa region comprises of volunteers from the US and Canada .

The Health Awareness week was a follow up to a previous visit made by the AMNA
President, Pastor Abby Daramola in 2002 .

Previous activities of AMNA for the East Africa region include fund raising activities
,and a clothing drive . The health awareness week was planned and implemented by the
East Africa Region Support team .

1.2 Purpose

       The purpose of the trip was

       •   To run health clinics at identified locations

       •   Donate medical supplies and medicines

       •   Carry out a needs assessment and identify potential projects

       •   Create an AMNA awareness locally and explore opportunities to partner with
           the government and other non profit organizations for future projects
2. Overview of Medical needs in Kenya
  (some brief statistics is required here about the medical situation in Kenya –
HIV/AIDS stats , accessability to good health care & Malaria situation. A paragraph or
so will be adequate)

3. Health Awareness trip background

3.1 Planning the trip

The trip was initially planned for the American thanksgiving week in November 2003
but was not possible due to lack of funds . Shortly after thanksgiving we lost one of our
team members , Pat Hackney from Houston . Sister Pat was a nurse and a missionary
who had been on several trips and was key to planning this trip. Her sudden death kept
plans on hold for a few weeks after which we forged ahead.

Visas were obtained from the Kenya High Commission in Ottawa Canada ( for the
Canadians ) and Washington D.C. (for the Americans0.

3.2 The team

   The team of three was led by Moji Olagbegi , the AMNA East Africa Regional
   Administrator. Other team members were Dr . Wole Oladute from Houston and Dr.
   Bayo Osibajo from Toronto. Unfortunately , the fourth team member, Dr. Obi
   Olisa could not make it due to some unexpected issues just before commencement of
   the trip.

3.3 Donations

       8 Suitcases /boxes were sourced by the AMNA East Africa team in Canada,
       Houston and Michigan as well as the AMNA Corporate office . The AMNA
       East Africa team also raised funds to pay for the expenses for the trip (Amount
       ?) .

        The supplies included medicines , medical supplies , clothing and educational
       toys .

       Donations were received from

                Crosslink International

                Various organizations and Doctors offices

                Friends of AMNA
              AMNA East Africa team members individual efforts

       Details of items donated is included in Appendix …

4. Health Awareness week Daily Activities

DAY 1 - Sat Jan 17th P.M.

The team members departed from Toronto, Detroit and Houston on
January 17th and met at Amsterdam where they boarded a KLM flight to
Nairobi , Kenya .

DAY 2 -- Sun Jan 18th –

 The team arrived on Sunday evening and were met at the airport by
representatives of RCCG East Africa Coordinator - Pastor (Dr.) Beth
Rapuoda and Sister Funmi Olagbegi.

The team was housed in a hostel run by a group of Italian catholic sisters –
Avrie Sisters . They provided bed and a light breakfast for a reasonable
cost ($20/person/night) . The hostel was simple and well kept . They were
also very strict about their rules specifically being back in the hostel by
10p.m. every day .


DAY 1 - Mon Jan 18th

Pastor Beth Rapuoda picked up the team at he hostel on Monday morning for a planning
meeting held at the RCCG Eastern Africa Coordinator’s. The purpose of the meeting
was to plan our activities for the week. Present at the meeting were:

1.Pastor Prince Obaseke – Ike - RCCG Eastern Africa Regional Cordinator

2. Pastor Beth Rapuoda - RCCG parish Pastor and also a medical Dr. at the Ministry of
health

3. Mrs Helen Jalango - a Kenyan philanthropist who had previous contacts with the
AMNA corporate office in the U.S. and had expressed a desire for us to visit her
projects in Obaga . She is also the wife of the Kenyan rep to the United Nations.

4. AMNA team members - Sis Moji, Dr. Wole and Dr. Bayo
At the meeting Sis. Moji Olagbegi stated the goals of the team (as listed above ) and
also AMNA’s objective of working in communities in East Africa through the RCCG
network.


       Monday Jan 19th - Sort out all supplies and medicines & make appointments

       Tuesday Jan 20th - Visits to International Organisations & the Ministry of health

       Wed Jan 21st - Medical camp at Kwangari ( a slum in Nairobi where Dr. Beth
       pastored a parish of RCCG)

       Thurs. Jan 22nd Depart for Obaga and prepare for clinic

       Friday Jan 23rd - Medical camp at Obaga where Mrs. Jalango had worked with
       the locals to build a small hospital but required equipment, medicines and
       medical staff to make it operational.

       Sun Jan 25th - Fly back to North America



After our meeting , we had the opportunity to meet RCCG pastors from other regions
in East Africa who were all in Nairobi for a regional retreat. We met the Turkana
pastors from Northern Kenya and the Pastors from Rwanda and Ethiopia .

The Pastors from Ethiopia and Rwanda both commented that they were looking forward
to RCCG coming to their countries. Pastor John Imodu , from Ethiopia also mentioned
that he had been talking to RCCG in Nigeria and was in touch with RAPAC (Redeemed
AIDS Program Action Committee about setting up a non profit in Addis Ababa . He
also informed us that all foreign based churches have been asked by the government to
start implementing community based programs otherwise their work permits would not
be renewed and they would have to leave the country .

Pastor Prince also talked about promises that were made to The Turkana people by
AMNA but had not been fulfilled.      He said that the Turkana pastors were very
disappointed and the AMNA team offered to look into this and see what could be done

PM

The team spent Monday evening consolidating all the medicines and supplies , taking an
inventory and sorting out what was to be used for each camp and donations to the
hospitals .

DAY 2 - Tuesday Jan 20th

Appointments had been made for the team by Pastor (Dr.) Beth Rapuoda who was a
valuable asset being a Dr. at the ministry of health as well as an RCCG pastor . Dr. Beth
is a senior official at the ministry and was the former head of Malaria. She is well
known by the international organizations and was able to schedule appointments with the
organizations and the heads of departments at the Ministry of Health

The team paid visits to the following :

Details of each meeting required here !!

Japanese Embassy _ JiKA

Ministry of Health - Malaria

Ministry of Health – AIDS - main needs

Dr. the head of AIDS initiactive , also filled our questionnaire on needs assessment
which we had been prepared by our healthcare team in Canada.

Ministry of Health – Tubercolosis

At each of these meetings , the team introduced AMNA and informed them of the plan
to hold the medical plans , carry out a needs assessment and also to seek areas of
cooperation whereby AMNA could collaborate with the agencies .

Details of each meeting …….



P.M.

Tracts were purchased which were to be used for both medical camps.

In the evening , we met up with local pharmacists who helped sort out some of the
medicines and we also purchased additional medicines for the camps - mainly
anitmalaria’s.



DAY 3 – Wed Jan 21st

The medical camp was held at the RCCG parish in Kwangari . The building was a
simple hall made out of corrugated iron sheets .

Publicity was by word of mouth and before team finished setting up , there was already
had a long line waiting . To make the camp more effective , in addition to the 2 AMNA
doctors, locals medical personnel were hired for the exercise. This included 1 doctor , a
pharmacist and 2 medical technicians . We also had 2 interpreters , 1 health counselor
and 2 Christian counselors .
We also had some AIDS health education material that the AIDS counselor used and
explained preventive measures to the people.

2XX people were treated and XX gave their lives to Christ . The children were also
given some toys and other goodies. .

Later , Dr. Beth , the Pastor in Charge of the parish testified that the church attendance
went up the following week.



P.M.

Dr. Rapuoda and Sis. Moji Olagbegi took time out during the camp and visited the
USAID contact – Mr. …… Sis . Moji introduced AMNA, our mission on this trip and
our hope that we can collaborate on projects in the future.

He advised that we contact USAID in the US as most of the projects and partners are
agreed upon in the U.S. he also referred us to some websites where we could get more
information.

DAY 4 – Thursday Jan 22nd

The team flew to Kisumu en-route to Obaga. The team from Nairobi comprised of the
following :

   1. The AMNA team – Sis Moji, Dr. Wole & Dr. Bayo

   2. Dr. (Pastor ) Beth Rapuoda

   3. Dr. ….

   4. Bro . Paul … (Represented Pastor Prince ) to survey the area for the possibility
      of establishing a parish in the area.

At Kisumu we met up with a Kenyan Pharmacist from Houston , Sophia Muma is a
Kenyan pharmacist from Housto nand had been on the swhom

Dr. Beth had made arrangements for a Ministry of Health truck to meet us at Kisumu but
it was not at the airport on our arrival (it showed up later but did not have adequate room
for the entire team) . We hired a bus and picked up a pharmacist Sophia Muma, a
Kenyan that lives in Houston. The AMNA team had met Sophia on the flight from
Amsterdam to Nairobi and she had shown an interest in AMNA activites and
volunteered her services . Fortunately, her hometown was in Kisumu , near Obaga
where a pharmacist was needed for the camp.

The team stopped by the Chief Medical Officer’s office in Kisumu to pay a courtesy call
but he was out of his office. Dr. Beth informed his secretary that we had sent a letter to
their office informing them of our impending visit and the medical camp in Obaga. This
is the normal procedure as the Ministry of health needs to be aware of activities in the
district.

From there, our bus driver drove us to Bondu where we stopped by the Chief Medical
Officer’s office and from there we drove to a village near Obaga for the night . There
were no hotels nor hostels in the area and we were hosted by Dr. Beth’s family who
coincidentally were from this area. The villages in this area (all situated around the lake
Victoria) had no pipe bound water nor electricity .

DAY 5 - Friday Jan 23rd

In the morning, the team drove to the Bondu Medical center and met with the District
medical officer and other officials . Again, Sis Moji talked about the mission of the
AMNA team and it’s plan to have a long term relationship with the district though
holistic programmes . The team then donated the bulk of the medicines and supplies to
the hospital .

The group did a tour of the hospital and were shown the wards and the very limited
facilities .

In patients included people with various ailments including HIV/AIDS victims and
children with malaria and other illnesses . There was the a case of a 17 year old lady
who was very ill from HIV/AIDS and informed the team that she had lost her parents to
AIDS . She also said she could no longer eat the food at the hospital and was very weak.
The pediatrics ward was particularly touching as there were inadequate beds and an
avaerage of 5 children (including babies ) were admitted on each bed along with their
mothers. This meant that the mothers and children sat on the bed right through the
admission period . General conditions at the hospital were really moving and it was quite
clear that they had inadequate supplies and skilled personnel. Also, mortality rate was
high % - because the hospital was not easily accessible to many people (they had to
walk several miles) and malaria and other disease claimed several lives .

At the end of the tour, District Medical Officer gave us 2 Nurses and 2 medical
technicians to assist us in Obaga (which is under the Bordu sdistrict)

From there, the team went on to Obaga where we received a rather overwhelming
welcome. Mrs. Helen Jalango had mobilized the entire village and their expectations
were quite high.

The medical camp was held at the dispensary /clinic that had been built by Mrs. Jalango
and the community . The community had been promised by the government that if
they put up a dispensary and equip it they would send them a doctor. They now have a
dispensary but are unable to equip it.

There was a formal welcome session after which the medical team immediately went
into consultation and dispensing medicines . Over 300 people were treated for various
illnesses and medications were dispensed. Also, medicines were left behind at the
dispensary which could be utilized by the Medical technicians from Bondu when they
visited the dispensary . Workers from CDC stopped by to see what was going on, held
some discussions with the AMNA . They also commented that on their project they are
only able to help people that were HIV positive and this was a commendable work as
the community had little access to health care

During the medical camp, Dr. Beth and Sis Moji went with Mrs. Jalango to visit the
school which Mrs. Jalango had also assisted in building and the teachers and students
made a presentation . They also visited the Widows and orphans center. The widows
and orphans at obaga were predominantly HIV/AIDS widows and orphans . The Kenyan
government is no longer encouraging orphanages but a feeding programme instead . In
the villages and smaller towns where home owners live in the city, people donate their
homes for this programme . The orphans live with family members but are provided
with clothing , school supplies and food at the center. They eat Breakfast and dinner at
the center which ensures the children are fed at least twice a day . Meals are cooked by
the widows. The widows also offer services like catering and sewing that helps them
make an income .

AMNA promised to send a box of educational supplies and toys which had been left in
Nairobi. (Dr. Beth later arranged for this to be delivered ).

At the end of the camp , Mrs. Jalango hosted the entire team and also led community
members in presenting their needs to the AMNA group . Sis Moji responded and also
made it known that AMNA was a relatively young Non profit with specific focus and
resources . However, she said we would look into these requests and get back to her on
what could be done to assist.

The team traveled back to Kisumu and flew to Nairobi that evening .



DAY 6 – Sat Jan 24 th

The AMN team did a review of the week and also went to a Nigerian Embassy function
where they met with the Acting High Commissioner and other officials .

The team also attempted to purchase air tickets to go to Ethiopia (based on discussions
with Pastor Imodu on Day 1) so as to assess the needs there but were not able to get
confirmed flights and it was decided to leave Ethiopia till the next trip.

DAY 7 - Sun Jan 25th

The team worshipped at Solution Center parish of RCCG .

After the morning worship service , the team met with Pastor Prince and Dr. Beth to
review activities of the week. It was agreed that it had been a successful week despite
initial concerns during the planning stage that medicines would be inadequate. It was
also revealed to the church in Kenya ways the church can utilize on community based
programmes as an evangelistic tool .Sis Moji also mentioned that even though AMNA
may not sponsor the church directly , AMNA can support the church through
programmes like the clinc at Kwangari, counseling programmes etc. These would also
help build up the church congregation and give the church more visibilty .

Also, it was decided that Dr. Beth Rapuoda should be the AMNA rep in Kenya since she
was well positioned both as an RCCG pastor and a medical doctor at the Ministry of
Health. Sis Moji asked for the cost of registration of Amna to be sent so that it’s
presence as an NGO could be established.

Also the global fund was discussed and how AMNA could position itself to benefit from
it . Dr. Beth also offered to look into what needed to be done locally and the AMNA
team also said they would research it back in N. America.

The team departed that evening and boarded flights from Nairobi to the US & Canada
via Amsterdam.




4. Needs assessment and Observations -Strategic Action Plan
       The Health Awarenss week was quite successful and opinions were expressed at
meetings and with officials for the need to come back and implement more programs
preferably a continuous one .



Based on our meetings, experiences and observations , the following needs were
identified:

              •   In the Turkana area, malnutrition is a major issue (as even the
                  ministers from the area looked malnourished ) and financial assistance
                  for clothing and education . Also , since AMNA had made some
                  promises earlier to support them, the people have been looking
                  forward to some support

              •   In Malaria prone areas in the villages , malaria is still a major cause of
                  infant mortality due to inaccessible medical care

              •   Many medical conditions remain untreated due to high poverty rate
                  particularly in the slums

              •   HIV/AISS rate amongst women is high anbout 9% and 6% amongst
                  men. The ministry of health has good programs for containing
                  AIDS/HIV and help is required more in the area of education and
                  providing …. Medicines . . Also more help
              •     The villages in the Bondu district are highly underdeveloped with
                    no pipe bound water or electricity . Also the people live in abject
                    poverty and do not have the resources to good medical care and other
                    basic needs.

              •     There will be a need to start looking into Ethiopia urgently so as to
                    avoid RCCG mission being closed down and to assess what the needs
                    are in the country and the role AMNA can play.

              •     To have a significant impact and to be effective, Programmes like the
                    health awareness week need to be done on a continuous basis as it
                    involved treatment of illnesses that could recur or long term medical
                    conditions .



Strategic Actions

       Based on the needs listed above , the proposed strategic plan is as follows :

              •     A Medical Assistance Plan wherby clinics are run on a regular basis
                    at Kwangari and Obaga (e.g. monthly) . Also the plan will include
                    sourcing, securing and distributing essential medicines, medical
                    supplies and equipments to the Obaga hospital, Bondu district
                    hospital and Kwangari clinics at the parish. This will be done by
                    working in partnership with local doctors and pharmacists who will
                    visit these two locations regularly. This programme can be done for a
                    twelve month period and then revisited . A Monitoring system will
                    also be put in place to ensure that the supplies are being distributed
                    and utilized as expected.

              •     Al

              •     A Psychosocial Care Program that would provide awareness and
                    training of community resource persons who will reach and assist
                    children and families experiencing trauma and acute stress (August
                    ‘03- July ’04)

              •     Family Food Supplement Program to meet the needs of selected
                    individuals and families through distribution of food baskets (July-Dec
                    ’03) .

       World Compassion is accepting financial gifts, medical gifts-in-kind, and
educational packs to achieve its strategic actions.
             Through it’s liaison assistants and by communication with institutional partners,
      World Compassion will continue to review and monitor the humanitarian environment
      and rebuilding effort in Iraq.




     Program Opportunity Strategic Objectives                  Funding Required           Term Period

1.




2.
5. Conclusion

				
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