際際滷

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Refuge Place International/USA/Liberia: aRefuge Place International/USA/Liberia: a
nonprofit organization committed to reducingnonprofit organization committed to reducing
the very high maternal, new born and childthe very high maternal, new born and child
(MNC) mortality in post war Liberia(MNC) mortality in post war Liberia
Our people: Poverty and Diseases causedOur people: Poverty and Diseases caused
by the 14-year civil warby the 14-year civil war
The slums and conditions put women and children atThe slums and conditions put women and children at
great risk of death and diseases around Monrovia, Liberiagreat risk of death and diseases around Monrovia, Liberia
THE WEST POINT SLUM, MONROVIA,
LIBERIA
OUR TARGETED SLUM: CHICKENSOUP
FACTORY COMMUNITY, NEAR MONROVIA,
LIBERIA
Liberia has one of the highest rateLiberia has one of the highest rate
of deaths of pregnant women and their childrenof deaths of pregnant women and their children
(UN, MDG,2010; Liberia National Health Plan, MOHSW; Maternal Mortality Africas Burden)
mortalitymortality
Lack of Basic Health Services: findings from our needLack of Basic Health Services: findings from our need
assessment surveyassessment survey
Over 70% of the 165 women we interviewed
had lost 2 or more children
Over 25% of the 165 women we interviewed
had a complicated pregnancy
Lack of Basic Health Services
Only 28% of the 165 women we interviewed
had use contraceptives
Lack of Basic Health Services
Over 55% of the 165 women we interviewed
had 3 or more children
Lack of Basic Health Services
50% of the 165 women we interview
had children between 15 and 18 yrs old
Lack of Basic Health Services
Over 55% of the 165 women we interviewed
had 3 or more children
Lack of Basic Health Services
Only 23% of the 165 women we interviewed
had at least a high school education
Lack of Basic Health Services
build a clinic for women and children Lowerbuild a clinic for women and children Lower
Johnsonville and Chickensoup Factory slumsJohnsonville and Chickensoup Factory slums
First, we needed to clear the land for the proposedFirst, we needed to clear the land for the proposed
MNCMNC
Laying the foundation of the future MNC clinicLaying the foundation of the future MNC clinic
Building the MNC clinic one brick at a timeBuilding the MNC clinic one brick at a time
We could not ignore the problem: theWe could not ignore the problem: the
walls of the clinic are being raisedwalls of the clinic are being raised
Beginning to roof the MNC clinic and training centerBeginning to roof the MNC clinic and training center
for womenfor women
Roof construction for the MNC clinicRoof construction for the MNC clinic
We are almost there : but we need your supportWe are almost there : but we need your support
Our services are needed: see a child with her child.Our services are needed: see a child with her child.
We will provide family planning and educationWe will provide family planning and education
The women are our primary beneficiariesThe women are our primary beneficiaries
The community and its women for whom we shall serveThe community and its women for whom we shall serve
Care we will provide after the clinic isCare we will provide after the clinic is
completedcompleted
Outreach ServicesOutreach Services
Hospital and Health Facility
Clinical Care
Hospital and Health Facility
Clinical Care
Family Community Care (family
Planning, antenatal visits)
Family Community Care (family
Planning, antenatal visits)
Appropriate
Referral and
Follow-Up
Appropriate
Referral and
Follow-Up
Care we will provide after the clinic is
completed
Bicycle pedal
ambulances to bring
complicated
Cases to the clinic
from closer
communities
Picture of completed
REPI Maternal/child
clinic
Refer complicated
Cases to hospitals
accompany by SBA / fees
motor-bike
ambulances to bring
complicated
Cases to the clinic
from distant
communities
Financial Report: Phase I: 11/2009 to 09/2010Financial Report: Phase I: 11/2009 to 09/2010
The purchasing of the land, the foundation and the initial stages of the walls
Phase I: Total Income= $14,845.00
Expenditure on Phase I = $14,395.00
Grant from Friends of Liberia: $2000.00
Mosoka remittances: $2100.00
Contribution from the Board $1600.00
Individual: Key Roberts $100.00
Individual: Edwina Roberts $100.00
Total
$5,900.00
Financial report for phase II of the work:
(completing the walls and casting the pillars)
Phase II: Total Income = 5,900.00
1. Construction materials (steel rod, crush rocks, cement, sand)$4,500.00
2. Workmanship (masons, carpenters, brick makers)...$1,200.00
3. Scholarships..$200.00
Total$5,900.00
Phase II: Total Expenditures
Financial report for phase III of the work:
(the roof and the zinc and casting the pillars)
Phase III: Total Income = 9,795.00
Contributor Affiliation Total
Members of REPI Board (Dr. Balz, Gary, Angene, Jack,
Rachel)
$3750
Dr. Lester Hartman Classmate of Mosoka from Harvard $1525
Mrs. Walea Kofa-Payne Liberian-American nurse from PA $500
Ms. Kate Fernadez Friend of Mosoka from Harvard $170
Mr. Michael Baker Friend of Mosoka from Univ. of
Kentucky
$100
Mosokas personal contribution While working at Harvard $3000
Total Income $9,020
Phase IIIa: Expenditures = 2,855.00
Phase IIIb: Expenditures = 6,225.00
Total cost to complete theTotal cost to complete the
proposed MNC clinicproposed MNC clinic
SEE NEXT THREE SLIDES FOR THE BREAKDOWN
OF THE TOTAL COST
Fundraising
Fundraising
Fundraising
Fundraising
Refuge Place international/USA: a registeredRefuge Place international/USA: a registered
NGO in the State of Kentucky, USANGO in the State of Kentucky, USA
registered with the Liberianregistered with the Liberian
governmentgovernment
Local Financial Sustainability
OTHER PLANNED SUSTAINABLE ACTIVITIES:
1.Real estate; 2. Cross-subsidization, 3. Donations from friends
and diaspora Liberian; 4. Diversified grants for Public Health research
We are making payment on this 10-room building: we will
renovate and turn it Into a private high school as a
sustainable funding source for the MNC clinic as well as the
training of maternal health workers
ON-GOING ACTIVITIESON-GOING ACTIVITIES
 DEVELOMENT OF A TRAINING CURRICULUM
FOR MATERNAL HEALTH WORKERS (FAMILY
PLANNING GRANDMOTHERS, MATERNAL
FRONTLINE WORKERS ETC)
 RECRUITMENT OF 1 NURSE-MIDWIFE, 1 MIDWIVE
AND 1 PHYSICIAN ASSISTANT PROVIDE
STAFFING AND TRAIN THE MATERNAL HEALTH
WORKERS
 BUILDING A NETWORK LIBERIAN HEALTH AND
OTHER PROFESSIONALS IN THE USA FOR FUTURE
SHORT TERM SERVICES TO THE SLUMS AND
LIBERIA
 BUILDING A NETWORK AMERICANS AND
FUTURE DIRECTIONSFUTURE DIRECTIONS
 PARTNERSHIP AND MEMORADUM OF
UNDERSTANDING (MOU) WITH THE MINISTRY OF
HEALTH OF LIBERIA
 PARTNERSHIPS WITH LOCAL NGOS
 PARTNERSHIPS WITH LOCAL CLINICS AND HEALTH
INSTITUTION
 GRANTS AND FUND RAISING
 CONTINUOUS COMMUNITY BUY-IN
Please join our efforts in Liberia:
Mosoka P. Fallah, Founder/Executive Director
8572663558
mfallah1969@gmail.com,
mfallah@hsph.harvard.edu

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Fundraising

  • 1. Refuge Place International/USA/Liberia: aRefuge Place International/USA/Liberia: a nonprofit organization committed to reducingnonprofit organization committed to reducing the very high maternal, new born and childthe very high maternal, new born and child (MNC) mortality in post war Liberia(MNC) mortality in post war Liberia
  • 2. Our people: Poverty and Diseases causedOur people: Poverty and Diseases caused by the 14-year civil warby the 14-year civil war
  • 3. The slums and conditions put women and children atThe slums and conditions put women and children at great risk of death and diseases around Monrovia, Liberiagreat risk of death and diseases around Monrovia, Liberia THE WEST POINT SLUM, MONROVIA, LIBERIA OUR TARGETED SLUM: CHICKENSOUP FACTORY COMMUNITY, NEAR MONROVIA, LIBERIA
  • 4. Liberia has one of the highest rateLiberia has one of the highest rate of deaths of pregnant women and their childrenof deaths of pregnant women and their children (UN, MDG,2010; Liberia National Health Plan, MOHSW; Maternal Mortality Africas Burden) mortalitymortality
  • 5. Lack of Basic Health Services: findings from our needLack of Basic Health Services: findings from our need assessment surveyassessment survey Over 70% of the 165 women we interviewed had lost 2 or more children
  • 6. Over 25% of the 165 women we interviewed had a complicated pregnancy Lack of Basic Health Services
  • 7. Only 28% of the 165 women we interviewed had use contraceptives Lack of Basic Health Services
  • 8. Over 55% of the 165 women we interviewed had 3 or more children Lack of Basic Health Services
  • 9. 50% of the 165 women we interview had children between 15 and 18 yrs old Lack of Basic Health Services
  • 10. Over 55% of the 165 women we interviewed had 3 or more children Lack of Basic Health Services
  • 11. Only 23% of the 165 women we interviewed had at least a high school education Lack of Basic Health Services
  • 12. build a clinic for women and children Lowerbuild a clinic for women and children Lower Johnsonville and Chickensoup Factory slumsJohnsonville and Chickensoup Factory slums
  • 13. First, we needed to clear the land for the proposedFirst, we needed to clear the land for the proposed MNCMNC
  • 14. Laying the foundation of the future MNC clinicLaying the foundation of the future MNC clinic
  • 15. Building the MNC clinic one brick at a timeBuilding the MNC clinic one brick at a time
  • 16. We could not ignore the problem: theWe could not ignore the problem: the walls of the clinic are being raisedwalls of the clinic are being raised
  • 17. Beginning to roof the MNC clinic and training centerBeginning to roof the MNC clinic and training center for womenfor women
  • 18. Roof construction for the MNC clinicRoof construction for the MNC clinic
  • 19. We are almost there : but we need your supportWe are almost there : but we need your support
  • 20. Our services are needed: see a child with her child.Our services are needed: see a child with her child. We will provide family planning and educationWe will provide family planning and education
  • 21. The women are our primary beneficiariesThe women are our primary beneficiaries
  • 22. The community and its women for whom we shall serveThe community and its women for whom we shall serve
  • 23. Care we will provide after the clinic isCare we will provide after the clinic is completedcompleted Outreach ServicesOutreach Services Hospital and Health Facility Clinical Care Hospital and Health Facility Clinical Care Family Community Care (family Planning, antenatal visits) Family Community Care (family Planning, antenatal visits) Appropriate Referral and Follow-Up Appropriate Referral and Follow-Up
  • 24. Care we will provide after the clinic is completed Bicycle pedal ambulances to bring complicated Cases to the clinic from closer communities Picture of completed REPI Maternal/child clinic Refer complicated Cases to hospitals accompany by SBA / fees motor-bike ambulances to bring complicated Cases to the clinic from distant communities
  • 25. Financial Report: Phase I: 11/2009 to 09/2010Financial Report: Phase I: 11/2009 to 09/2010 The purchasing of the land, the foundation and the initial stages of the walls Phase I: Total Income= $14,845.00
  • 26. Expenditure on Phase I = $14,395.00
  • 27. Grant from Friends of Liberia: $2000.00 Mosoka remittances: $2100.00 Contribution from the Board $1600.00 Individual: Key Roberts $100.00 Individual: Edwina Roberts $100.00 Total $5,900.00 Financial report for phase II of the work: (completing the walls and casting the pillars) Phase II: Total Income = 5,900.00 1. Construction materials (steel rod, crush rocks, cement, sand)$4,500.00 2. Workmanship (masons, carpenters, brick makers)...$1,200.00 3. Scholarships..$200.00 Total$5,900.00 Phase II: Total Expenditures
  • 28. Financial report for phase III of the work: (the roof and the zinc and casting the pillars) Phase III: Total Income = 9,795.00 Contributor Affiliation Total Members of REPI Board (Dr. Balz, Gary, Angene, Jack, Rachel) $3750 Dr. Lester Hartman Classmate of Mosoka from Harvard $1525 Mrs. Walea Kofa-Payne Liberian-American nurse from PA $500 Ms. Kate Fernadez Friend of Mosoka from Harvard $170 Mr. Michael Baker Friend of Mosoka from Univ. of Kentucky $100 Mosokas personal contribution While working at Harvard $3000 Total Income $9,020
  • 31. Total cost to complete theTotal cost to complete the proposed MNC clinicproposed MNC clinic SEE NEXT THREE SLIDES FOR THE BREAKDOWN OF THE TOTAL COST
  • 36. Refuge Place international/USA: a registeredRefuge Place international/USA: a registered NGO in the State of Kentucky, USANGO in the State of Kentucky, USA
  • 37. registered with the Liberianregistered with the Liberian governmentgovernment
  • 38. Local Financial Sustainability OTHER PLANNED SUSTAINABLE ACTIVITIES: 1.Real estate; 2. Cross-subsidization, 3. Donations from friends and diaspora Liberian; 4. Diversified grants for Public Health research We are making payment on this 10-room building: we will renovate and turn it Into a private high school as a sustainable funding source for the MNC clinic as well as the training of maternal health workers
  • 39. ON-GOING ACTIVITIESON-GOING ACTIVITIES DEVELOMENT OF A TRAINING CURRICULUM FOR MATERNAL HEALTH WORKERS (FAMILY PLANNING GRANDMOTHERS, MATERNAL FRONTLINE WORKERS ETC) RECRUITMENT OF 1 NURSE-MIDWIFE, 1 MIDWIVE AND 1 PHYSICIAN ASSISTANT PROVIDE STAFFING AND TRAIN THE MATERNAL HEALTH WORKERS BUILDING A NETWORK LIBERIAN HEALTH AND OTHER PROFESSIONALS IN THE USA FOR FUTURE SHORT TERM SERVICES TO THE SLUMS AND LIBERIA BUILDING A NETWORK AMERICANS AND
  • 40. FUTURE DIRECTIONSFUTURE DIRECTIONS PARTNERSHIP AND MEMORADUM OF UNDERSTANDING (MOU) WITH THE MINISTRY OF HEALTH OF LIBERIA PARTNERSHIPS WITH LOCAL NGOS PARTNERSHIPS WITH LOCAL CLINICS AND HEALTH INSTITUTION GRANTS AND FUND RAISING CONTINUOUS COMMUNITY BUY-IN
  • 41. Please join our efforts in Liberia: Mosoka P. Fallah, Founder/Executive Director 8572663558 mfallah1969@gmail.com, mfallah@hsph.harvard.edu

Editor's Notes

  • #5: Regional patterns of neonatal death correlate closely to those for maternal death. Most maternal deaths are related to obstetric complications including post-partum haemorrhage, infections, eclampsia and prolonged or obstructed labour and complications of abortion. Most of these direct causes of maternal mortality can be readily addressed if skilled health personnel are on hand and key drugs, equipment and referral facilities are available.