AHED - Ethiopia Nursing Project - Presentation

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  • 1. Presentation Steven Davis Executive Director Academics for Higher Education and DevelopmentIntroduction (slides 1 and 2)I want to talk to you about a project that Academics for Higher Education and Development,with the University of Toronto’s Faculty of Nursing as a partner, is doing at Addis AbabaUniversity’s School of Nursing. Let me begin by telling you something about Ethiopia.The Country (slides 3 and 4)Ethiopia is one of the poorest countries in the world. 39% of the population lives on less than$1.25 dollar a day and 90% suffer across a range of deprivations. (slides 5 and 6) The averagenumber of years of schooling is 1.4. 42% of children under five are malnourished, which effectscognitive development. On the 2010 United Nations Development Programme DevelopmentIndex, Ethiopia is 157th out of 169 countries.Health in Ethiopia (slide 7)Health outcomes are deplorable and it is the women, infants, and children who suffer the most.The infant mortality for children under five is 109 per 1000. The maternal mortality is 673 per100,000. Over 70% of Ethiopian women undergo female genital mutilation often with crudeinstruments, a broken piece of glass, a rusty razor, or a sharpened stone. The fertility rate is 5.3births for each woman. (slide 8) By having many children, parents buy an old age pension,hoping that some of them will live into adulthood to take care of them when they are old. If morechildren lived past five, there would be a reduced reason to have so many children. 1
  • 2. Moving Forward (slide 9)It might seem that Ethiopia is hopeless. Nevertheless, the country is developing. In the UnitedNations Development Programme 2010 edition of its development index, it lists the countriesthat have improved the most over the last twenty years. Ethiopia comes in 11th. I realize thatthere are problems with governance in Ethiopia. But AHED does not do business with thegovernment. It sends expertise, not money. So there is no possibility for corruption.The Project (slide 10)The goal of the project is to set up a Master’s programme in maternal and reproductive health atAddis Ababa University. Teams of four from the U of T’s Faculty of Nursing, will be sent twicea year for a month’s stay, over the three years of the project. After the second year, theUniversity of Toronto nursing faculty will co-teach with the nursing faculty at Addis AbabaUniversity.At the end of three years, the programme will be in place, enabling the Ethiopians themselves totrain nurses in maternal and reproductive health. Some of the graduates will be employed byother nursing schools to set up similar programmes. Some will be employed by health clinics andhospitals throughout the country dispensing information and treatment concerned withpregnancy, child birth, and infant and child health. The ultimate goal is to improve the health ofwomen, infants and children, allowing women to control their rate of pregnancy and to reducethe disastrously high mortality rate of infants and children and of women in child birth.SustainabilityCan the project be sustained? The project is part of the Toronto Addis Ababa AcademicCooperation (TAAAC) at the University of Toronto’s Faculty of Medicine, which is run by ClarePain, my collaborator. Clare, a professor of psychiatry at the U of T’s Faculty of Medicine, ran apredecessor programme. In 2003, Ethiopia had only nine foreign trained psychiatrists and noprogramme to train psychiatrists locally. Sending trainees abroad resulted in hundreds ofEthiopian physicians staying abroad. Today, Ethiopia has 40 practicing psychiatrists and a 2
  • 3. thriving psychiatric residency program. It thus is now in a position to train its own psychiatrists.Our project is modeled on this programme.The Budget (slide 11, 12, 13)Addis Ababa University will provide housing and the volunteers will pay for their meals. AHEDwill cover the rest of their expenses which total $62,832. (11) The partners in the project havecommitted $50,000. (12) I am here at the Toronto Funding Network to raise the final $12,832that we need to make this project possible. (13) Almost all the funds we raise go into projects; Iwork pro bono as do many on my staff.Extra Money (slide 14)If AHED were to raise extra money this evening, it would use the money to send more facultynurses from the U of T to train more nurses at the University of Addis Ababa. 3
  • 4. The Country EthiopiaPopulation 85 millionLiving on $1.25 a day 39%Living on $2.00 a day 78%Suffering from Deprivations 90%No electricity 86%Inadequate sanitation 88%No Floor in living quarters 88%No clean water 54%No Schooling 62%Average years of schooling 1.4Percentage undernourished 65%Percentage of under fives malnourished 42%UNDP Development Index 157th out of 169 countriesCountry Briefing: Ethiopia, Oxford Poverty and Human Development Initiative (OPHI),July 2010.The Real Wealth of Nations: Pathways to Human Development, Human Development Report2010, 20th Anniversary Edition, United Nations Development Programme 4
  • 5. Health in Ethiopia Ethiopia CanadaLife Expectancy 58 81Infant Mortality 109 per 1000 4 per 1000Maternal Mortality 673 per 100,000 9 per 100,000Fertility rate 5.3 per woman 1.6 per womanDoctors <.5 per 10,000 (1806) 19 per 10,000 (62,000)Nurses & Midwives 2 per 10,000 (19158) 100 per 10,000 (327,000)Female genital mutilation 70%World Health Statistics 2010, World Health Organization 5
  • 6. The Budget - ExpensesExpense AHED Addis Ababa University VolunteerAir Fare (KLM) $1618.00Accommodations 0 XMeals 0 XLocal Transportation 0 XVaccinations $150.00Taxis $200.00Incidentals $100.00Travel and Health Insurance $350.00Medication $200.00Total per volunteer $2618.00Project total for 24 volunteers $62832.0 0 6
  • 7. RevenueRevenueAHED $25000.00The University of Toronto Faculty of Nursing $25,000.00Toronto Funding Network $12,832.00Total $62,832.00 7
  • 8. 8