This document discusses requirements and best practices for successful global grant projects. It then provides details on a strategic planning process in Nsukka, Nigeria that engaged community leaders to assess needs and develop a five-year plan. The plan addresses infrastructure, education, clinical services, and governance. Initial steps include a clean water project, biomedical training, and developing a facility plan. An emphasis is placed on community engagement and establishing relationships with the local Rotary club.

1. Successful and Sustainable
International Global Grant Projects
July 7, 2016

2. Requirements
• High Impact
• Community Engagement and Assessment
• Measurable Performance Goals and
Outcomes
• Sound Financial Management of Revenues
and Expenses
• Structured Implementation Plan
• Sustainable
Rotary Foundation Stewardship: Aligns with Best
Practices in Grant Management

3.  North of Capital of Enugu in Enugu State
 Cultural Zone of nearly 1.4 million people; about
400,000 in city
 Estimated 70%-78% live in extreme poverty
 Site of first Nigeria University – University of Nigeria
at Nsukka (UNN)
 Recent attack of Fulani Herdsmen
 Site of one of the first battles in Nigeria- Biafran civil
war in late 1960’s
– UNN destroyed; since re-built
– Bishop Shanahan Hospital equipment destroyed and
staffing shattered; still recovering with additional smaller
system hospitals built in Adani and Enugu-Ezike
Nsukka

4. NSUKKA

5. Key to Success is Simply -
Trusting Engagement and Empowerment
of Community Leaders and Members
Building a Successful Community Assessment Leading
to Sustainable Strategic Plan and Implementation

6.  Community assessment
evolving into sustainable
strategic plan
 Three day process involving
all provider participants
followed by five days of
review and discussion with
hospital communities and
board members
 Rotary’s role was to
facilitate all meetings and
discussions and to
document and develop
strategic plan and
monitoring systems
Community Assessment – Nigeria Example

7. NSUKKA DIOCESAN HEALTH SERVICES STRATEGIC PLAN:
JULY 2015 – JUNE 2020
Mission Goals Strategic Initiatives & Outcomes
Community Health
Education and
Outreach
Go To Resource for
Healthcare Services
Organizational
Infrastructure Support
Staffing Support
Governance and
Financial Resources
Vision
Provide the highest
quality health services
and healthy living
information to
increase the health
and well-being of the
people of Nsukka
Create and sustain the
highest quality
physical, mental,
spiritual, and social
well-being services and
support for all
residents served by the
Nsukka Diocesan
Health Services
 Increase voice and effectiveness on healthy living through outreach and
education in church, community settings, hospitals, clinics, and schools
 Partner with other providers and public and private organizations to
develop and support medical education programs and coordinate public
health and disease prevention messages
 Develop and support services to meet the needs of the community
 Implement performance based programs to provide highest quality
healthcare services
 Prioritize staff needs and develop plan to secure necessary equipment and
supplies to effectively and efficiently serve patients
 Develop a building design plan to address patient and staff needs in the
hospital with short-term priority given to maternal care
 Develop and implement plan for clean water, water distribution, and
contaminated waste water disposal for hospitals
 Develop a comprehensive plan to achieve a supportive wage and salary plan
for clinical and non-clinical staff
 Provide staff with on-line and local educational programming resources to
increase and maintain professional clinical knowledge
 Engage and support staff in ongoing multi-hospital discussions within clinical
service areas on a monthly or quarterly basis
 Recruit local and national health experts to serve on the Nsukka Diocese
Healthcare Commission
 Provide board members with performance expectations and orientation
 Develop and Implement a plan to ensure proper payment for services
delivered to patients, including public and private support
 Develop a collaborative organizational approach with other religious-based
health providers for government support and payment for patients and
communities serving poverty and extreme poverty communities
 Develop an approach for qualified insurers to provide health insurance plans
to Nsukka Diocesan residents for usage within the Diocesan Health System

8. Strategic Plan Report with Accompanying Drill Down Report

9. • Addressing:
– Critical Infrastructure
– Collaborative Culture for
Quality Improvement
– Community Engagement
– Clinical Needs
– Education Programs
• Using
– Global Grants
– Vocational Training Teams
– Club Travel Funds
– Team of Advisors / Community of
Interests
– Clinical Experts
IMPLEMENTING SUSTAINABLE STRATEGIC PLAN: FIRST STEPS

10. CLEAN WATER PROJECT AT BISHOP SHANAHAN HOSPITAL
& MODEL SCHOOL
• Clean Running
Water throughout
Hospital, Schools,
Housing
• WASH Training
& Services
Integration into
Hospital
• Community Sales
& Outreach for
Prevention
• Completion in
2016

11. • Assistance
from TriMedX
Foundation
June 2016
• Make All
Equipment
Operational
• Build Up
Hospitals’
Bio-Tech
Capability
BIO-MEDICAL TECHNICIAN TRAINING FOR HOSPITAL EQUIPMENT

12. BIO-MEDICAL TECHNICIAN TRAINING FOR HOSPITAL EQUIPMENT

13. • Assistance from
Rotarian Architect
Advisor
• Incorporate Mission
of Each Facility &
Sustainability
• Priorities
– Labor & Delivery
– Other Wards
– Rehab floors & roofs
– Surgical suite
– Lab Tech School
– Sustainable power
• Complete 1st Phase
Plan in 2016
DEVELOP MASTER FACILITIES PLAN FOR HOSPITALS

14. DEVELOP MASTER FACILITIES PLAN FOR HOSPITALS

15. • Strategic advantage of establishing relationship
with local Rotary Club – with or without a grant
involved
• Visit with the Rotary Club leaders and members
• Participate in their meetings and join for
fellowship
• Keep them engaged and
updated; ask their leader
to be part of the assessment
and planning process
Establish Meetings and Ongoing Relationship with Host Rotary Club

16. Joint Leadership and Participation
Leading to Wider Community Participation
Rotary Club of Nsukka Meeting
Sharing our Joint Project and Rotary
on Community Radio

17.  Address unmet need for working poor; low or no cost dialysis
services
 Initiated discussions in July 2015
 Center Grant Opening on June 26, 2016
 Patients treated on June 27, 2016
 Partners on Global Grant
Co-Leads: Rotary Clubs of Hyderabad Deccan and Naperville
Supporters: Rotary Clubs of Bolingbrook, Darien, Joliet,
Naperville Sunrise, Oak Park-River Forest, and Oaklawn
Healthcare
Ongoing Support from India Foundations and Rotary Club of
Hyderabad Deccan
DIALYSIS CENTER – Hyderabad Deccan

19. THANK YOU!