SlideShare a Scribd company logo
1 of 14
Download to read offline
Bridging the Gap between Education and
Practice in East African Health Care Systems
Development
LifeNet International
Maggie Ehrenfried PT, DPT
LifeNet International exists to transform
African health centers to provide quality,
sustainable health care.
LifeNet developed its concept
and proved its model in Burundi
Life expectancy = 53 years
14% of children die before age 5
Maternal mortality 5th worst
400 doctors for 8.5 million
BURUNDI
Most Continuing Education
Bujumbura
LN franchises existing health centers and improves
quality and sustainability through:
•Medical Training
•Management Training
•Growth Financing
•Pharmaceutical Supply Chain Access
Strategy: Leveraging impact through a
Conversion Franchise Model
Demonstrated Impact: doubling quality
of care for 10% of the population
94% average improvement in
quality of care since beginning
partnership
Less than $1 USD per patient
annually
60 health centers
and hospitals
1,000,000
patient visits/year
90 medication
deliveries/year
3,762 nurses & 40
clinic managers
Quality Improvement Innovation
Monthly visit:
• medical and management training
• medicine delivery
End of module quality evaluation
• Pass module at 80%, advance and
• receive star,
• Receive specialist training,
• Receive credit for medicine
inventory or equipment
Building Health Systems
Challenges
Overcoming Challenges
“Guherekeza”
Growth Goals: Vision 2025
12
10
countries
20MM
patient visits*
1,000
clinics
12
* annual
* annual
Babies Breathe ➜ Babies Live
Transforming African Healthcare
www.LNinternational.org

More Related Content

What's hot

Educating the Market: Creating Value Through Support of Continuing Medical Ed...
Educating the Market: Creating Value Through Support of Continuing Medical Ed...Educating the Market: Creating Value Through Support of Continuing Medical Ed...
Educating the Market: Creating Value Through Support of Continuing Medical Ed...Marty Daniel with ThunderActive
 
20170221 Association of Greater Manchester LMCs
20170221 Association of Greater Manchester LMCs20170221 Association of Greater Manchester LMCs
20170221 Association of Greater Manchester LMCsamirhannan
 
Women's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health PresentationWomen's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health PresentationGeorgia Commission on Women
 
IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019
IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019
IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019POSHAN
 
Kate Bukowski Health Promoting Practices Presentation
Kate Bukowski Health Promoting Practices PresentationKate Bukowski Health Promoting Practices Presentation
Kate Bukowski Health Promoting Practices Presentationkate_bukowski
 
Idinsight sbcc phase 2 v1 ifpri conference
Idinsight sbcc phase 2 v1 ifpri conferenceIdinsight sbcc phase 2 v1 ifpri conference
Idinsight sbcc phase 2 v1 ifpri conferencePOSHAN
 
CQC GM Feb 2017 v2
CQC GM Feb 2017 v2CQC GM Feb 2017 v2
CQC GM Feb 2017 v2amirhannan
 
Amira Fadel C.V(PDF)
Amira Fadel C.V(PDF)Amira Fadel C.V(PDF)
Amira Fadel C.V(PDF)Amira mohamed
 
Ccpd presentation 11 4 2011
Ccpd presentation 11 4 2011Ccpd presentation 11 4 2011
Ccpd presentation 11 4 2011Brandon Williams
 
Community-Centered Health Systems Strengthening -- Namburete
Community-Centered Health Systems Strengthening -- NambureteCommunity-Centered Health Systems Strengthening -- Namburete
Community-Centered Health Systems Strengthening -- NambureteCORE Group
 
Improvement Collaboratives
Improvement CollaborativesImprovement Collaboratives
Improvement Collaborativesprimary
 
Break-out session slides Session 2: 2.4 A practice managers perspective - She...
Break-out session slides Session 2: 2.4 A practice managers perspective - She...Break-out session slides Session 2: 2.4 A practice managers perspective - She...
Break-out session slides Session 2: 2.4 A practice managers perspective - She...NHS England
 
nguyen ifpri sbcc program1
nguyen ifpri sbcc program1nguyen ifpri sbcc program1
nguyen ifpri sbcc program1POSHAN
 
JPAL SA_Urvashi Wattal_Global evidence on cash transfers nutrition
JPAL SA_Urvashi Wattal_Global evidence on cash transfers nutritionJPAL SA_Urvashi Wattal_Global evidence on cash transfers nutrition
JPAL SA_Urvashi Wattal_Global evidence on cash transfers nutritionPOSHAN
 
Barriers to prevention of Anemia
Barriers to prevention of AnemiaBarriers to prevention of Anemia
Barriers to prevention of AnemiaAnindita Pattnaik
 

What's hot (20)

Educating the Market: Creating Value Through Support of Continuing Medical Ed...
Educating the Market: Creating Value Through Support of Continuing Medical Ed...Educating the Market: Creating Value Through Support of Continuing Medical Ed...
Educating the Market: Creating Value Through Support of Continuing Medical Ed...
 
Abstract[1]
Abstract[1]Abstract[1]
Abstract[1]
 
20170221 Association of Greater Manchester LMCs
20170221 Association of Greater Manchester LMCs20170221 Association of Greater Manchester LMCs
20170221 Association of Greater Manchester LMCs
 
Women's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health PresentationWomen's Access to Healthcare - GA Dept. of Public Health Presentation
Women's Access to Healthcare - GA Dept. of Public Health Presentation
 
IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019
IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019
IFPRI_purnima menon_evidence for maternal nutrition_sept 24 2019
 
Kate Bukowski Health Promoting Practices Presentation
Kate Bukowski Health Promoting Practices PresentationKate Bukowski Health Promoting Practices Presentation
Kate Bukowski Health Promoting Practices Presentation
 
Idinsight sbcc phase 2 v1 ifpri conference
Idinsight sbcc phase 2 v1 ifpri conferenceIdinsight sbcc phase 2 v1 ifpri conference
Idinsight sbcc phase 2 v1 ifpri conference
 
Integrating oralhealth
Integrating oralhealthIntegrating oralhealth
Integrating oralhealth
 
CQC GM Feb 2017 v2
CQC GM Feb 2017 v2CQC GM Feb 2017 v2
CQC GM Feb 2017 v2
 
Continuing Medical Education
Continuing Medical EducationContinuing Medical Education
Continuing Medical Education
 
Utilizing the District Approach for Scale-Up: The Tanzania Model
Utilizing the District Approach for Scale-Up: The Tanzania ModelUtilizing the District Approach for Scale-Up: The Tanzania Model
Utilizing the District Approach for Scale-Up: The Tanzania Model
 
Amira Fadel C.V(PDF)
Amira Fadel C.V(PDF)Amira Fadel C.V(PDF)
Amira Fadel C.V(PDF)
 
Ccpd presentation 11 4 2011
Ccpd presentation 11 4 2011Ccpd presentation 11 4 2011
Ccpd presentation 11 4 2011
 
2FINAL LHCO Sheet
2FINAL LHCO Sheet 2FINAL LHCO Sheet
2FINAL LHCO Sheet
 
Community-Centered Health Systems Strengthening -- Namburete
Community-Centered Health Systems Strengthening -- NambureteCommunity-Centered Health Systems Strengthening -- Namburete
Community-Centered Health Systems Strengthening -- Namburete
 
Improvement Collaboratives
Improvement CollaborativesImprovement Collaboratives
Improvement Collaboratives
 
Break-out session slides Session 2: 2.4 A practice managers perspective - She...
Break-out session slides Session 2: 2.4 A practice managers perspective - She...Break-out session slides Session 2: 2.4 A practice managers perspective - She...
Break-out session slides Session 2: 2.4 A practice managers perspective - She...
 
nguyen ifpri sbcc program1
nguyen ifpri sbcc program1nguyen ifpri sbcc program1
nguyen ifpri sbcc program1
 
JPAL SA_Urvashi Wattal_Global evidence on cash transfers nutrition
JPAL SA_Urvashi Wattal_Global evidence on cash transfers nutritionJPAL SA_Urvashi Wattal_Global evidence on cash transfers nutrition
JPAL SA_Urvashi Wattal_Global evidence on cash transfers nutrition
 
Barriers to prevention of Anemia
Barriers to prevention of AnemiaBarriers to prevention of Anemia
Barriers to prevention of Anemia
 

Viewers also liked

Ensayo la imprenta (4)
Ensayo la imprenta (4)Ensayo la imprenta (4)
Ensayo la imprenta (4)Josev1995
 
Introduction to cloud computing
Introduction to cloud computingIntroduction to cloud computing
Introduction to cloud computingPUBLEAD (R)
 
יוליה פאינרמן קוגנוב CV
יוליה פאינרמן קוגנוב CVיוליה פאינרמן קוגנוב CV
יוליה פאינרמן קוגנוב CVyulia fainerman
 
Business process management
Business process managementBusiness process management
Business process managementDavid Stoffel
 
La literatura no sirve para nada
La literatura no sirve para nadaLa literatura no sirve para nada
La literatura no sirve para nadaAixaGarcia
 
Psychology Presentation
Psychology PresentationPsychology Presentation
Psychology PresentationYohniki Gordon
 
Capital market
Capital marketCapital market
Capital marketRini Modi
 
Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...
Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...
Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...Fábio Silva
 
Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25
Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25
Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25Teresa Clotilde Ojeda Sánchez
 

Viewers also liked (13)

EHL_training_attendance2014
EHL_training_attendance2014EHL_training_attendance2014
EHL_training_attendance2014
 
EFST_certificate
EFST_certificateEFST_certificate
EFST_certificate
 
Ensayo la imprenta (4)
Ensayo la imprenta (4)Ensayo la imprenta (4)
Ensayo la imprenta (4)
 
Introduction to cloud computing
Introduction to cloud computingIntroduction to cloud computing
Introduction to cloud computing
 
יוליה פאינרמן קוגנוב CV
יוליה פאינרמן קוגנוב CVיוליה פאינרמן קוגנוב CV
יוליה פאינרמן קוגנוב CV
 
Business process management
Business process managementBusiness process management
Business process management
 
La literatura no sirve para nada
La literatura no sirve para nadaLa literatura no sirve para nada
La literatura no sirve para nada
 
DTP Jugando con fracciones
DTP Jugando con fraccionesDTP Jugando con fracciones
DTP Jugando con fracciones
 
Psychology Presentation
Psychology PresentationPsychology Presentation
Psychology Presentation
 
Capital market
Capital marketCapital market
Capital market
 
דיגיטל ומשפחה 2015
דיגיטל ומשפחה 2015דיגיטל ומשפחה 2015
דיגיטל ומשפחה 2015
 
Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...
Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...
Desenvolvimento de aplicação de Gestão Acadêmica para a Escola Técnica Estadu...
 
Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25
Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25
Documentos primaria-sesiones-unidad05-quinto grado-integrados-5g-u5-sesion25
 

Similar to CCIH 2015 Maggie Ehrenfried Breakout 2A

QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI
QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI
QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI Healthcare consultant
 
Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13CORE Group
 
HC Delivery 2023 for classroom - edited.pptx
HC Delivery 2023 for classroom - edited.pptxHC Delivery 2023 for classroom - edited.pptx
HC Delivery 2023 for classroom - edited.pptxMichaelEthelLeon
 
Nursing Leader Driving quality care
Nursing Leader Driving quality careNursing Leader Driving quality care
Nursing Leader Driving quality careManjunathanChandran
 
National Maternal and children health program
National Maternal  and children health programNational Maternal  and children health program
National Maternal and children health programLalitaDubile
 
UPMC W8 Communication and Collaboration in Healthcare.pdf
UPMC W8 Communication and Collaboration in Healthcare.pdfUPMC W8 Communication and Collaboration in Healthcare.pdf
UPMC W8 Communication and Collaboration in Healthcare.pdfsdfghj21
 
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...CHC Connecticut
 
Children's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care PresentationChildren's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care PresentationGeorgia Commission on Women
 
Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...
Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...
Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...Microcredit Summit Campaign
 
OAD-TPP_Annual Report_2016
OAD-TPP_Annual Report_2016OAD-TPP_Annual Report_2016
OAD-TPP_Annual Report_2016Rick Helms
 
Medical Travel Conference Agenda in Singapore
Medical Travel Conference Agenda in SingaporeMedical Travel Conference Agenda in Singapore
Medical Travel Conference Agenda in SingaporeLei Ching Y.
 
Sheila Leatherman Integrating Health and Microfinance
Sheila Leatherman Integrating Health and MicrofinanceSheila Leatherman Integrating Health and Microfinance
Sheila Leatherman Integrating Health and MicrofinanceMicrocredit Summit Campaign
 
QIHC presentation Jan 2012
QIHC presentation Jan 2012QIHC presentation Jan 2012
QIHC presentation Jan 2012Renee Pyburn
 
Strategies to engage medical staff for QI
Strategies to engage medical staff for QIStrategies to engage medical staff for QI
Strategies to engage medical staff for QIQun Catherine Li
 
FINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATIONFINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATIONKaustav Deb
 
FINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATIONFINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATIONKaustav Deb
 

Similar to CCIH 2015 Maggie Ehrenfried Breakout 2A (20)

Ccih 2014-accompaniment-healthcare-maggie-ehrenfried
Ccih 2014-accompaniment-healthcare-maggie-ehrenfriedCcih 2014-accompaniment-healthcare-maggie-ehrenfried
Ccih 2014-accompaniment-healthcare-maggie-ehrenfried
 
QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI
QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI
QUALITY MANAGEMENT AND PATIENT SAFETY DIPLOMA BY JCI
 
INP power point.pptx
INP power point.pptxINP power point.pptx
INP power point.pptx
 
Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
Pro Mujer - Pioneer in Direct Service Delivery_Jana Smith_4.23.13
 
HC Delivery 2023 for classroom - edited.pptx
HC Delivery 2023 for classroom - edited.pptxHC Delivery 2023 for classroom - edited.pptx
HC Delivery 2023 for classroom - edited.pptx
 
Nursing Leader Driving quality care
Nursing Leader Driving quality careNursing Leader Driving quality care
Nursing Leader Driving quality care
 
National Maternal and children health program
National Maternal  and children health programNational Maternal  and children health program
National Maternal and children health program
 
UPMC W8 Communication and Collaboration in Healthcare.pdf
UPMC W8 Communication and Collaboration in Healthcare.pdfUPMC W8 Communication and Collaboration in Healthcare.pdf
UPMC W8 Communication and Collaboration in Healthcare.pdf
 
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...
 
Painhealers23
Painhealers23Painhealers23
Painhealers23
 
Children's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care PresentationChildren's Mental Health Services - Well Care Presentation
Children's Mental Health Services - Well Care Presentation
 
Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...
Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...
Sheila Leatherman, Why Integrating Microfinance, Health Education, and Other ...
 
OAD-TPP_Annual Report_2016
OAD-TPP_Annual Report_2016OAD-TPP_Annual Report_2016
OAD-TPP_Annual Report_2016
 
Medical Travel Conference Agenda in Singapore
Medical Travel Conference Agenda in SingaporeMedical Travel Conference Agenda in Singapore
Medical Travel Conference Agenda in Singapore
 
Sheila Leatherman Integrating Health and Microfinance
Sheila Leatherman Integrating Health and MicrofinanceSheila Leatherman Integrating Health and Microfinance
Sheila Leatherman Integrating Health and Microfinance
 
MLHP.pptx
MLHP.pptxMLHP.pptx
MLHP.pptx
 
QIHC presentation Jan 2012
QIHC presentation Jan 2012QIHC presentation Jan 2012
QIHC presentation Jan 2012
 
Strategies to engage medical staff for QI
Strategies to engage medical staff for QIStrategies to engage medical staff for QI
Strategies to engage medical staff for QI
 
FINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATIONFINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATION
 
FINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATIONFINAL PROJECT OF JCI DOCUMENTATION
FINAL PROJECT OF JCI DOCUMENTATION
 

More from Christian Connections for International Health

More from Christian Connections for International Health (20)

Ccih2019 vanvuuren-oca definitions
Ccih2019 vanvuuren-oca definitionsCcih2019 vanvuuren-oca definitions
Ccih2019 vanvuuren-oca definitions
 
Ccih2019 vanvuuren-revised-oca-tool
Ccih2019 vanvuuren-revised-oca-toolCcih2019 vanvuuren-revised-oca-tool
Ccih2019 vanvuuren-revised-oca-tool
 
Ccih2019 usaid-tb
Ccih2019 usaid-tbCcih2019 usaid-tb
Ccih2019 usaid-tb
 
Ccih2019 usaid-new-partnership-initiative
Ccih2019 usaid-new-partnership-initiativeCcih2019 usaid-new-partnership-initiative
Ccih2019 usaid-new-partnership-initiative
 
Ccih2019 usaid-monique-wubbenhorst
Ccih2019 usaid-monique-wubbenhorstCcih2019 usaid-monique-wubbenhorst
Ccih2019 usaid-monique-wubbenhorst
 
Ccih2019 usaid-mnch-benjamin
Ccih2019 usaid-mnch-benjaminCcih2019 usaid-mnch-benjamin
Ccih2019 usaid-mnch-benjamin
 
Ccih2019 usaid-doing-business-with usaid
Ccih2019 usaid-doing-business-with usaidCcih2019 usaid-doing-business-with usaid
Ccih2019 usaid-doing-business-with usaid
 
Ccih2019 usaid-dianna-lightfoot
Ccih2019 usaid-dianna-lightfootCcih2019 usaid-dianna-lightfoot
Ccih2019 usaid-dianna-lightfoot
 
Ccih2019 usaid-brian-klotz
Ccih2019 usaid-brian-klotzCcih2019 usaid-brian-klotz
Ccih2019 usaid-brian-klotz
 
Ccih2019 strive-to-thrive-peterson
Ccih2019 strive-to-thrive-petersonCcih2019 strive-to-thrive-peterson
Ccih2019 strive-to-thrive-peterson
 
Ccih2019 poster-sessions-flash-presentations
Ccih2019 poster-sessions-flash-presentationsCcih2019 poster-sessions-flash-presentations
Ccih2019 poster-sessions-flash-presentations
 
Ccih2019 pepfar-hillis-references
Ccih2019 pepfar-hillis-referencesCcih2019 pepfar-hillis-references
Ccih2019 pepfar-hillis-references
 
Ccih2019 pepfar-hillis-key-messages
Ccih2019 pepfar-hillis-key-messagesCcih2019 pepfar-hillis-key-messages
Ccih2019 pepfar-hillis-key-messages
 
Ccih2019 pepfar-fbo-technical-assistance overview
Ccih2019 pepfar-fbo-technical-assistance overviewCcih2019 pepfar-fbo-technical-assistance overview
Ccih2019 pepfar-fbo-technical-assistance overview
 
Ccih2019 pepfar-deborah-kaliel
Ccih2019 pepfar-deborah-kalielCcih2019 pepfar-deborah-kaliel
Ccih2019 pepfar-deborah-kaliel
 
Ccih2019 mental-health-littlefield
Ccih2019 mental-health-littlefieldCcih2019 mental-health-littlefield
Ccih2019 mental-health-littlefield
 
Ccih2019 hope-he-calls-you-fikkert
Ccih2019 hope-he-calls-you-fikkertCcih2019 hope-he-calls-you-fikkert
Ccih2019 hope-he-calls-you-fikkert
 
Ccih2019 holistic-health-models-dykstra
Ccih2019 holistic-health-models-dykstraCcih2019 holistic-health-models-dykstra
Ccih2019 holistic-health-models-dykstra
 
Ccih2019 health-promoting-churches-mwai-makoka
Ccih2019 health-promoting-churches-mwai-makokaCcih2019 health-promoting-churches-mwai-makoka
Ccih2019 health-promoting-churches-mwai-makoka
 
Ccih2019 fbo-leadership-chitimbre
Ccih2019 fbo-leadership-chitimbreCcih2019 fbo-leadership-chitimbre
Ccih2019 fbo-leadership-chitimbre
 

Recently uploaded

raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetraisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetneemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetNanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetVip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetAhmedabad Call Girls
 
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetJalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅gragmanisha42
 
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetdhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetHubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh
💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh
💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In ChandigarhSheetaleventcompany
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Ahmedabad Call Girls
 
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...mahaiklolahd
 
❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...
❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...
❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...chandigarhentertainm
 
dehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetdehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Krishnagiri call girls Tamil aunty 7877702510
Krishnagiri call girls Tamil aunty 7877702510Krishnagiri call girls Tamil aunty 7877702510
Krishnagiri call girls Tamil aunty 7877702510Vipesco
 
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun  UttrakhandDehradun Call Girls 8854095900 Call Girl in Dehradun  Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhandindiancallgirl4rent
 
nagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
nagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetnagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
nagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 

Recently uploaded (20)

raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetraisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
raisen Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetneemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetNanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetVip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
 
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetJalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
 
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetdhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetHubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Hubli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh
💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh
💚 Punjabi Call Girls In Chandigarh 💯Lucky 🔝8868886958🔝Call Girl In Chandigarh
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
 
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
 
❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...
❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...
❤️Call girls in Jalandhar ☎️9876848877☎️ Call Girl service in Jalandhar☎️ Jal...
 
dehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetdehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dehradun Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Krishnagiri call girls Tamil aunty 7877702510
Krishnagiri call girls Tamil aunty 7877702510Krishnagiri call girls Tamil aunty 7877702510
Krishnagiri call girls Tamil aunty 7877702510
 
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun  UttrakhandDehradun Call Girls 8854095900 Call Girl in Dehradun  Uttrakhand
Dehradun Call Girls 8854095900 Call Girl in Dehradun Uttrakhand
 
nagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
nagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetnagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
nagpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 

CCIH 2015 Maggie Ehrenfried Breakout 2A