This document summarizes a presentation about healthcare in Burundi given by the founder and CEO of Village Health Works, Deogratias Niyizonkiza. It provides background on Burundi's population of 10 million people, 90% of whom live in rural areas, and its poor health indicators like 1 in 5 children dying before age 5. It then describes Village Health Works' model of community-owned healthcare and its programs in health, education, agriculture, economic development, and women's health. The presentation outlines accomplishments to date and a strategic plan to build a teaching hospital and expand its programs by 2014.
2. • Population: 10 million
• 90% living in rural areas
• Agriculture-based
economy
• Languages: Kirundi,
French, English
• $279 GDP per capita
• 80% living on <$1 a day
• 185 of 187 countries in
the 2011 UN Human
Development Index
“The world’s
poorest country”
(World Bank, 2006)
185 of 187 countries on
the 2011 UNDP HDI
$279 per capita GDP
80% living on <$1 a day
27,830 sq. km. of land
10,557,259 total population
90% living in rural areas
1 in 5 children die before age five
1 in 9 lifetime risk of maternal death
BURUNDI
VHW
3. Burundi: Rwanda’s “Evil Twin”
Similarities:
Colonized by Germany (1890) and Belgium (1916)
Densely populated (~10mn people)
Size of Maryland
Mountainous terrain
Genocidal civil wars—between October 1993 and
August 2005 in Burundi and between April and June
1994 in Rwanda
Differences:
GDP:
2.326 billion USD in Burundi
6.375 billion USD in Rwanda
UN Millennium Development Goals Progress Index:
1.5 of 8 for Burundi
6 of 8 in Rwanda
Burundi
Rwanda
4. Why Invest in Burundi?
VHW’s model of community ownership
demonstrates the immense human capital available.
Burundi is a post-conflict country; foreign
attention and investment is necessary for building
development and peace & security.
In May 2013, Burundi was ranked among the
global top 10 improvers in the ease of doing
business for the second consecutive year.
5. Context
Genocide and civil
war (1993-2006)
Long, dark shadow of
civil war
Government hospital
operating room
• Belgian colony from 1945-1962
• Independence: July 1962
• Genocide and civil war (1993-2006)
• 1 in 5 children die before age five
• 1 in 9 lifetime risk of maternal death
• 1 doctor per 50,000 people
6. Deogratias Niyizonkiza
Founder and CEO
• 2014 Dalai Lama Unsung Heroes Award
• 2013 People to People International’s
Eisenhower Medallion Award (previous
recipients include Nelson Mandela, Mother
Teresa, and Neil Armstrong)
• 2013 Williams College Honorary Degree
• 2011 International Medal Award of St. John’s
University
• 2010 Women Refugee Commission’s Voices
of Courage Award
• Strength in What Remains chronicles Deo’s
experiences through…
• Childhood in Burundi
• Medical school in Bujumbura
• Escape from Burundian genocide
• Homelessness in New York
• Founding of Village Health Works
13. Vision
Village Health Works (VHW) seeks to be an international center of excellence
and premier teaching institution in global health. We envision a healthier and
more just, peaceful, and prosperous society in Burundi and beyond.
14. Health
• inpatient and outpatient care
• doctor, nurse, and CHW training
• laboratory and pharmacy
• home visits
• overseas treatment
Education
• after-school program
• music and arts programs
• computer literacy classes
• supply drives
• student, teacher, and principal training
Community Engagement
• "VHW demonstrates an unparalleled
level of community participation"-Dr.
Paul Farmer
Agriculture & Environment
• demonstration garden
• greenhouse
• livestock
• household gardens
• farming cooperatives
Economic Development
• livelihood skills training
• women's income-generating
cooperatives
PEACE
&
PROSPERITY
Program Overview:
15. Health Care
Because without good health, no society is self-sufficient.
In 2012:
-23,497 patients treated
-103 community health workers
-100% patient adherence to AIDS
and tuberculosis treatment
-228% increase in the rate of HIV
voluntary testing (2,225 cases in
2012)
-221% increase in prenatal
consultations (1,141 cases in 2012)
-1,332 malnutrition patients
treated
- 266% increase in epilepsy
patients treated (571 cases in 2012,
decreasing stigma across Kigutu)
16. Education
• After-school program
• Arts and music program
• IT classes
• Supply drives
• Student, teacher, and
principal trainings
*We are establishing Kigutu
Academy, a model school of
excellence encompassing
everything from early
childhood development to
higher learning and research.
In 2012:
- 61 teachers trained
- 130 after-school participants
- 13,800 students benefited from principal
management training
- 2,690 6th grade students participated in practice
tests
- 4,935 notebooks and 1,362 pens distributed
Because a well-educated mind is the best foundation for progress.
Program Overview:*
17. Agriculture & Environment
• General and specialized training
programs for agricultural
extension agents (AEAs),
women, and patients
• Demonstration garden
• Livestock
• Household gardens
• Farming cooperatives
• Greenhouse
• Seed distributions
• Environmental protection
initiatives
Program Overview
In 2012:
51 farming cooperatives
426 household gardens
52 goats and 12 chickens distributed
20,000 tree seedlings planted
Because nutritious food is medicine.
19. Women’s Health Pavilion
The WHP will offer:
• Safe delivery of babies
• Safe emergency obstetrics care
• Capability to grow into comprehensive surgical services
Burundi’s premiere teaching hospital, training national and regional health professionals
20. Learn
Join VHW's global
community at
villagehealthworks.org
Advocate
Start a student or
community group
to raise awareness.
Donate
Make a tax-
deductible
contribution by
mail or online.
Volunteer
Apply to a
volunteer or
internship
position online.
Call to Action
www.villagehealthworks.org
IMPACT
21. Appendix
Board of Directors
Anne Peretz (Chair)
Deogratias
Niyizonkiza
Dziwe Ntaba
Paul Farmer
Joia S. Mukherjee
Tracy Kidder
Bill Jacob
Lesley King
Paul English
Andrew Haring
Megan Newman
Edward M. Cardoza
Richard J.
Deckelbaum
Advisory Board
Jozelyn R. Davis (Chair)
Peter Awn
Louise Braverman
Susan Feagin
Steven Glickel
Etsuko Haring
Tom Henry
Sharon Howe
Sharon Jacob
Sarah Bennison Machiels
Arien Mack
William McClure
Jack McGourty
James O’Malley
Sandhya Persad
David Roubini
Lelia Ruckenstein
Mary Kay Smith-Fawzi
In-Country Executive
Council
Théodore Niyongabo (Chair)
Marianne Barutwanayo
Bishop Venant Bacinoni
Fr. Charles Bizimana
Minister Saidi Kibeya
Astere Niyonkuru
Gerard Hakizimana
Partner Organizations
Burundian Government
Columbia University
Global Health Corps
Partners In Health
PRODEMA
UNICEF
World Food Program
Wendy Steiner
Judith Stone
Kentaro Toyama
22. Statement of Activities
2012 2011
Revenue
Contributions, grants and gifts in kind $1,111,226 $785,258
Government Grants $295,892 $103,882
Gifts in kind and contributed services $6,000 $86,550
Other Income $15,004 $-
Total revenue $1,428,122 $975,690
Expenses
Program Services 887,127 611,401
Development 126,733 95,243
Administration 253,464 172,976
Total Expenses $1,267,324 $879,620
Excess/(shortfall) of revenue over expense 160,798 96,070
Restricted Funds balance Excess/(shortfall) for
programs and capital projects. 265,710 498,939
Change in net assets 426,508 595,009
Net assets at beginning of year 1,330,968 735,959
Net assets at end of year 1,757,476 1,330,968
23. Balance Sheet
2012 2011
Assets
Cash and cash equivalents 335,211 559,381
Grants and contributions receivable 482,584 336,933
Fixed Assets 1,065,549 522,724
Total assets 1,883,344 1,419,038
Liabilities and net assets
Liabilities
Accounts payable and Accrued Expenses and
Line of Credit
125,868 46,672
Deferred Revenue 41,398
Total liabilities 125,868 88,070
Net assets
Unrestricted 992,827 832,029
Temporarily restricted 764,649 498,939
Total net assets 1,757,476 1,330,968
Total liabilities and net assets 1,883,344 1,419,038
24. Accomplishments & Strategy
To Date:
• Land donated by the community
(2006)
• Began operating:
• Health center (est. 2007)
• Staff residence (2008)
• 51 agricultural cooperatives
(2008)
• Community center (2009)
• Solar farm (2009)
• 4 women’s cooperatives (2011)
• After-school program and
teacher training (2012)
By 2014*
• Women’s Health Pavilion
• Full-fledged teaching hospital
• Kigutu Academy (from early
childhood to higher research)
• Augmented power supply
• Expansion of agricultural
cooperatives and women’s economic
development cooperatives
*See our strategic plan for more information.