2013 RI CONVENTIONPartners for ChangeModerator: Future VisionCommittee Member Sam Okudzeto
2013 RI CONVENTION2013 ROTARY INTERNATIONAL CONVENTIONPanelists:Jan Leentvaar, Professor of Environmental PolicyMaking, UNESCO-IHE Institute for Water EducationDr. Peter Linz, Chief International Medical Officer, Mercy ShipsDr. K.V. Ravishankar, Rotarian Team Member, Mercy ShipsVocational & Medical Service TeamZahir Janmohamad, Director General, ResourceDevelopment, Pakistan/Canada, Aga Khan UniversityRizwan U. Khan, General Manager, Pakistan and AfghanistanRegion, Coca-Cola Export Corporation
2013 RI CONVENTIONUNESCO-IHE Institutefor Water EducationJan LeentvaarProfessor ofEnvironmentalPolicy Making
2013 RI CONVENTIONRotary and Mercy Ships- Partners for Changein western AfricaDr. Peter Linz
2013 RI CONVENTIONMercy In ActionVideo: Mercy in Action
2013 RI CONVENTIONMercy Ships - Overview• Established in 1978• $1 Billion+ in free health care services• 61,000 operations• 540,000 patients• Mentored/trained 29,500 local healthcare professionals• 1,000+ volunteer crew from 30+ nationsannually• In West Africa since 1990
2013 RI CONVENTIONWest Africa – The Need• Most countries in the region rank in thebottom 25% of the UN HumanDevelopment Index• Majority of the people live on less than twodollars per day• On average, there are 23 physicians and100 nurses/midwives for every 100,000people. [i]• Severely inadequate medical infrastructure[i] Calculated using the WHO 2004 Health Workforce and population numbers.
2013 RI CONVENTIONMercy Ships - Regional Focus
2013 RI CONVENTIONMercy Ships – Regional Focus• 17 country coastal region of western Africa rangingfrom Senegal in the North to Congo in the South• Goal: Improvement of internationally recognizedhealth indicators.• phased approach that includes:- country assessment- pre-ship program activities- ship deployment- post-ship program activities- program evaluation
2013 RI CONVENTIONRotary and Mercy Ships – History of working together• Rotarians have partnered with Mercy Shipssince 1987Resulting in:• 8 matching grants• RIBI Charity of Choice 2005-06• 1 competitive grant• 3 global grants• 2 Vocational Training Teams
2013 RI CONVENTIONRotary and Mercy Ships – Partners for Change in western Africa• Rotary and Mercy Ships are focused on impactingDisease Prevention and Treatment in some of theworld’s greatest areas of need.• Rotary-initiated teams of skilled professionalspartner with Mercy Ships to help build local healthworkforce capacity through Rotary VocationalTraining Teams (VTTs)• Two recent examples in the country of Guinea• Disease Control/hospital infection control• Ophthalmic Training
2013 RI CONVENTIONRtn. Dr. RAVISHANKAR, MDFRCS(Edin)UKRC Mysore westRID 3180, INDIA
2013 RI CONVENTIONPre-designed projects funded by the World Fundand the strategic partner, no DDF requiredOpportunity to work with Rotary’s StrategicPartners in large-scale grant activitiesAlign with Rotary’s areas of focusCan include scholarships, humanitarianprojects, and vocational trainingRotarians can focus their talents and energies onimplementationPACKAGED GRANTS
2013 RI CONVENTIONDisease Control Training TeamVesicovaginal Fistula (VVF) Surgery TeamMy Team: Cataract Surgery TeamPACKAGED GRANT WITH MERCY SHIPSVocational trainingand Medical Service Teams:
2013 RI CONVENTION
2013 RI CONVENTIONDAILY CROWD AT CLINICS
2013 RI CONVENTIONBILATERAL CATARACTS -CAN NOT SEE THE EVEN GRANDCHILD
2013 RI CONVENTIONCATARACT IN A CHILD-LEARNING/ PLAYFUL AGE WASTED
2013 RI CONVENTIONOUR EXPERIENCE –ROLE OF VTT4 eye surgeons team from IndiaInitiated by RID 3140 under FVP pilot projectLed by Rotarian Dr. Arun Chaudhary RID 3140-Members – Rtn Dr. Ravishankar – MysoreRID 3180Non Rotarian members Dr. Jenin BharathPatel, Dr. Nirav Agarwat
2013 RI CONVENTIONOUR EXPERIENCE –ROLE OF MERCYSHIPSPre-selection of local partners to work with inGuineaMaking sure the local planning was completeLogisticsLiaison with government – taking licenses, etc.Safety and security of the team
2013 RI CONVENTIONDESSO & BARTIME EYE CLINIC
2013 RI CONVENTIONWET LAB IN PROGRESS
2013 RI CONVENTIONSURGERY DEMO & MENTORING
2013 RI CONVENTIONGROUP DISCUSSIONS IN PROGRESS
2013 RI CONVENTIONWHY ROTARIANS NEED TO DO THISResources in a country like Guinea are scarceSimple problems become highly complicatedbefore getting medical helpMedical/surgical mission offers only temporarysolution – training manpower offers lastingsolutionTraining in addition to direct service is best modeBy this we are training local healthcare workers tobe able to successfully perform these criticalprocedures and surgeries on their own
2013 RI CONVENTIONVALUE ADDED BY MERCY SHIPSExtensive knowledge of AfricaInfrastructure to carry out programme of this nature –highly organized in approaching these issuesEstablished working partnerships with governments andseveral institutions in various nationsMercy Ships has a strong work culture we need toemulateMutual missions of both Rotary and Mercy Ships getsfilled…so it’s a WIN-WIN!
2013 RI CONVENTIONVALUE ADDED BY ROTARYGreat network of professionalsGood number of Rotarians willing to give time. Presenceof fellowships/Action Groups make it easyTRF funds activities in the DPT area of focus throughpackaged grantsSince non-Rotarians are welcome, there are endlesspossibilitiesCulture of giving and learningMutual missions of both Rotary and Mercy Ships getsfilled…so it’s a WIN-WIN
2013 RI CONVENTIONSUMMARYTRF-MERCY SHIPS PARTNERSHIP IS FORMIDABLETHIS IS WIN –WIN FOR BOTHTRF CAN APPROACH AFRICAN HEALTH PROJECTSMUCH EASILYMERCY SHIPS CAN GET TALENTEDROTARIANS/OTHERS WHO CAN GIVETIME/SKILLSFOR ROTARIANS NEED NOT GO IN SEARCH OFORGANISATIONS NEEDING TRAININGTERMS OF SERVCIE/TRAINING VERY CLEAR
2013 RI CONVENTIONEmpowering ExcellenceAga Khan University& Rotary InternationalPartners for Changein Maternal & Child HealthZahir JanmohamedLisbon, June 2013
2013 RI CONVENTIONOUR CHALLENGE• Complications from pregnancy and childbirth claim the lives ofthousands of women, mostly in developing countries.• Millions of babies are stillborn, more millions die before they are amonth old, and many suffer neurodevelopmental disabilities andimpairments.• Most neonatal deaths are caused by preterm birth, asphyxia duringbirth, and infections such as sepsis, pneumonia, and meningitis.• Effective, low-cost interventions are available, but they are notreaching all of the women and babies who need them.• Skilled providers in poor countries often lack access to current toolsor do not use them.
2013 RI CONVENTIONMATERNAL MORTALITY RATION IN 2011(273, 500 Deaths)Source: IHME (Lancet 2011)
2013 RI CONVENTIONUNDER-FIVE MORTALITY RATION IN 2011(7.2 million Under 5-yrs Deaths)Source: IHME (Lancet 2011)
2013 RI CONVENTIONTOP 10 COUNTRIES FOR NUMBERS OFSTILLBIRTHS, NEONATAL AND MATERNAL DEATHSRanking for neonataldeathsRanking formaternal deathsRanking forstillbirthsIndia 1 1 1Nigeria 2 2 3Pakistan 3 8 2China 4 13 8DR Congo 5 3 6Ethiopia 6 5 5Bangladesh 7 6 4Indonesia 8 7 7Afghanistan 9 4 12Tanzania 10 9 111.5 millionneonataldeathsApprox67%of globaltotal178,000maternaldeathsApprox65%of globaltotal1.77 millionstillbirthsApprox63%of globaltotalRef: Lawn JE et al BJOG Sept 2009. Data sources: Estimates of maternal (2005) and neonatal (2008) deaths from WHO.Stillbirths from Cousens et al 2010 Updated Aug 2010
2013 RI CONVENTION• Aga Khan University (AKU), is a private, non-denominationaluniversity promoting human development throughresearch, teaching and community service.• Operates 28 academic programmes, 7 hospitals, more than250 clinics, and active research projects in 8 countries on 3continents across East Africa, the Middle East, South andCentral Asia and Europe.
2013 RI CONVENTIONVision• Aga Khan University will be an autonomous, internationalinstitution of distinction, primarily serving the developingworld in innovative and enduring ways.Mission• AKU is committed to the development of human capacitiesthrough the discovery and dissemination of knowledge, andapplication through service.• It seeks to prepare individuals for constructive and exemplaryleadership roles, and shaping public and privatepolicies, through strength in research and excellence ineducation, all dedicated to providing meaningfulcontributions to society.
2013 RI CONVENTION• Offers programmes of international quality;• Responds to identified needs in the countries and regions which itserves;• Priorities teaching and research which will inform and underpinintellectual innovation and change;• Provides service to advance its educational and research mandates• Fosters and develops leadership capacity through its education andresearch programmes;• Assesses its impact and effectiveness;• Promotes access and equity to make the University inclusive of allsocio-economic groups, addressing the particular needs andcircumstances of the disadvantaged, promoting the welfare andadvancement of women.AKU operates on the principles of quality, relevance, impactand accessTo advance this mission, AKU:
2013 RI CONVENTION• The University’s curricula in nursing, medicine andeducational development reflect the unique needs ofthe communities and countries where it operates, sothat students and graduates can immediately apply theirknowledge where it will have the most impact.• Through a needs-blind admissions policy AKU selects themost promising students who will become leaders andthinkers in the region; cultivating in them an ethic of serviceand the skills to help communities improve their quality oflife.
2013 RI CONVENTION• AKU is one of nine agencies of the Aga Khan DevelopmentNetwork (www.akdn.org), a group of private developmentagencies with mandates ranging from health and education toarchitecture, culture, microfinance, ruraldevelopment, disaster reduction, the promotion of private-sector enterprise and the revitalization of historic cities.
2013 RI CONVENTION“First, the University will buildon its strengths in maternal andchild health. Its research intoproblems which strike the mostvulnerable of Gods people, iscarrying it toward the goal Ihave as Chancellor: that theAga Khan University shouldbe one of the worldresources in healthproblems of mothers andchildren, and that its work onthese problems will be on thefrontiers of knowledge.”-- His Highness The Aga Khan,Chancellor, AKUConvocation 1989
2013 RI CONVENTIONAKU – ROTARY INTERNATIONAL PARTNERSHIP• The Rotary Foundation’s six areas of focus reflect criticalhumanitarian issues and needs that Rotarians are addressingworldwide.• It enables Rotarians to improve the health of mothers and theirchildren by:• Reducing the mortality and morbidity rate for children underthe age of five;• Reducing the maternal mortality and morbidity rate;• Improving access to essential medical services, trainedcommunity health leaders, and health care providers formothers and their children;• Supporting studies for career-minded professionals related tomaternal and child health.
2013 RI CONVENTIONABOUT THE PARTNERSHIP• Goal of our strategic partnership: improved maternal andchild health.• Under the partnership, the Rotary Foundation provides grantsto Rotary clubs to establish volunteer teams to support theprofessional development of nursing faculty at AKU’s EastAfrica campuses in Kenya, Tanzania and Uganda.
2013 RI CONVENTIONABOUT THE PARTNERSHIP• AKU’s Advanced Nursing Studies programme was establishedin response to requests from East African governments to helpupgrade nursing skills and build healthcare human resourcecapacity in the region.• Through continuing education programs, graduates are able towork in their communities to provide better quality health careservices as well as lead policy development at the national level.• The result is better qualified regional healthcareprofessionals who are helping to buildaccessible, responsive and sustainable healthcaresystems in East Africa.
2013 RI CONVENTIONWHAT WE SET OUT TO ACHIEVE• Training health careprofessionals to provideleadership at all levels of thehealth care system.• Utilizing appropriate models forclinical care and planning fornational, regional and globalpolicy in maternal and childhealth.• Conducting cutting edgeresearch to promote effectiveinterventions as well as probingthe frontiers of knowledge.
2013 RI CONVENTIONFOCUS ON MATERNAL & CHILD HEALTH IN EAST AFRICA• Training health care professionalsto provide leadership at all levelsof the health care system.• Utilising appropriate models forclinical care and planning fornational, regional and globalpolicy in maternal and childhealth.• Conducting cutting edge researchto promote effective interventionsas well as probing the frontiers ofknowledge.
2013 RI CONVENTIONCARDIAC SURGERIES IN PAKISTAN• Funding life-saving cardiacsurgery for children offamilies who cannot affordexpensive surgery forcongenital heart defects• Financial supportcommitted for 2012 by theRotary HumanitarianTrust, Pakistan Chapter forsurgery for 20 children atthe state-of-the-art AgaKhan University Hospital inKarachi
2013 RI CONVENTIONHuman resource challenges remain a hurdle for many countries. 57 do not have theminimum level of staff recommended to provide services required to reach coverage andmortality reduction targets. Sub-Saharan Africa accounts for 50% of the world’s maternaland child deaths, but only 3% of the world’s health workers.Source: World Health Report 2006
2013 RI CONVENTIONRESEARCHED SIMPLE TECHNOLOGIES THAT SAVE LIVESApplication of chlorhexidine provided in clean delivery kitsreduced newborn deaths by 40% in the poorest district of Sindh
2013 RI CONVENTION“A new study suggests that “lady healthworkers,” as Pakistan calls them —women trained as part of a governmentprogram to give care to poor people inrural areas — can make a difference insaving the lives of newborns.Researchers from Aga Khan Universityin Karachi followed almost 50,000households in two health districts fortwo years. The areas where the womenwere assigned to work had 21 percentfewer stillbirths and 15 percent fewernewborn deaths than in other areas.That success was achieved even thoughthe health workers generally had only10th-grade educations and one extraweek of training for the project.”Pakistan: Short Training for WomenWorkers Goes Far in SavingNewborns’ LivesJanuary 24, 2011
2013 RI CONVENTIONNURSES & MIDWIVES ARE CRITICAL
2013 RI CONVENTIONThe AKU-Rotary Foundation Partnership focuses on:• Strengthening midwifery education in East Africa and expanding it toPakistan and Afghanistan• Prepare fully qualified midwives to provide high quality, evidence-basedhealth services for women, newborns and childbearing familiesOur approach recognizes the central role of local healthcare providers.To support their work, we invest in efforts to:• adapt and develop innovative tools, technologies, and treatments• Improve the counseling and negotiation skills• Encourage families to practice healthy behaviors and seek out qualitymaternal and neonatal care• Strengthen frontline health workers’ skills and effectiveness• Advocate for targeted national and global policies, funding, andleadership.OUR PARTNERSHIP
2013 RI CONVENTIONCoca-Cola and its support to polio eradicationCoca-Cola’s Partnershipwith Rotary internationalRizwan U. KhanGeneral Manager, Pakistan and Afghanistan RegionCoca-Cola Export Corporation
2013 RI CONVENTIONCLICK TO EDIT MASTER TITLE STYLE60 YEARS OF COCA-COLA IN PAKISTANDuring these 6 decades , the positive socio-economic impact oncommunities has expanded manifold
2013 RI CONVENTIONMain areas for Coca-Cola’s CSR areWomenEmpowermentEducation EnvironmentDisaster relief& recovery
2013 RI CONVENTIONWomen EmpowermentSupport to KashfFoundation Honey Bee Farming
2013 RI CONVENTIONEducationCare Foundation TCFLUMS EndowmentFundWe have been enacting a wide-ranging education support program for severalyears, spanning from primary to university education.
2013 RI CONVENTIONEnvironmentSub-Watershed ManagementProject in Ayubia NationalPark AreaWater & EnvironmentalSanitation Improvement inCoastal Communities ProjectWe have implemented a multi-dimensional strategy to protect the environment.
2013 RI CONVENTIONDisaster Relief and RecoveryDonations for victims of earthquake 2005, floods 2010 and2011 in Pakistan
2013 RI CONVENTIONPolio in PakistanCountriesYear-to-date 2013 Year-to-date 2012Total in2012Date ofmostrecentcaseWPV WPV3 W1W3 Total WPV1 WPV3 W1W3 TotalPakistan 10 10 14 2 1 17 58May 10,2013
2013 RI CONVENTIONChallenges in eradicating polio from Pakistan• Difficult to access volatile and troubled areas• Large segments still believe that Polio vaccine is anti-Islamic• Violence against humanitarian workers
2013 RI CONVENTIONCoca-Cola & Rotary Partnership• Coca-Cola has donated Rs. 1 million for installation ofReverse Osmosis and Filtration Plant in SITE TownKarachi which is a polio high risk area.
2013 RI CONVENTIONCoca-Cola & Rotary Partnership• Coca-Cola & Rotary are working together to improve theenvironmental conditions and treating open sewagesystem - major threats causing communicable diseases likepolio.
2013 RI CONVENTIONCoca-Cola & Rotary Partnership• Awareness and advocacy campaigns on improving literacylevels in underprivileged communities regarding polio isalso a component.
2013 RI CONVENTIONWay forwardDespite the challenges, we must continue our fight againstPolio which is a preventable disease• We need to keep at it• We have to support each other• We should think of new ways for overcoming the obstacles
2013 RI CONVENTIONThank you for yourtime and service to Rotary!Questions?