refuge place international 2018 annual report · 2019-03-19 · refuge place international 2018...
TRANSCRIPT
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Refuge Place International
2018 Annual Report
Table of contents
Perspective from Dr. Mosoka P. Fallah
Year in Review Field notes from across our work
Patient statistics and Financial Summary December 2017, through November 2018
Leadership and staff Our directors, officers, and staff
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Patient’s population increase at Refuge clinic 2018
Refuge Place International expanded its facility
due to the over-load of patients
Refuge Place International Newly constructed surgical pavilion
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Message from the Chief Executive Officer
Dear members of the Board, Partners and friends of Refuge Place
International. We bring you greetings from all of our staffs, patients and
friends in different parts of Liberia where we continue to provide access to
affordable and quality health care. In 2018 (December, 2017 to November,
2018), we saw an expansion in our services as many people are asking for us to
bring our unique health care model closer to them. We completed our second clinic at Low
Cost Village that was ravaged by ebola leaving 18 dead and leaving several ebola orphans.
We are completing the construction of the third clinic in Nyemah, an isolated Cluster of 32
villages and 10,200 residents. These people walk an average of 4 hours to access health care.
Once our third clinic is completed in the next few months, we will reduce that time and avert
the deaths of innocent women and children. Construction of the fourth clinic has started in
central Liberia, Bong County.
We continue to expand our “co-investment
model”, where the local people contribute towards
the construction of our clinics, while RPI provide
modern and costly materials like zinc, steel rod,
nails and pays for professional contractors (See
Figure). This allows RPI to spend about $25,000
to construct a new clinic in an isolated and poor
village with limited resources except the
determination, resilience and unity of the locals.
In all three of our new clinics, the land, local
materials and labor were provided by the men,
women and children of the communities. This
increases cost-effectiveness and fosters a strong
sense of ownership by the local communities, thus
ensuring sustainability.
In 2018, RPI had 436 safe deliveries (the highest number of deliveries since
our founding in 2014) and treated 14,891 patients, with malaria accounting for nearly 49% of
the cases. On the financial profile, the operational cost of our Refuge Place Central clinic was
$74,265 of which $55,591 was collected from patient fees. This means that 75% of the
operational cost was raised by the patients (from 62% in 2017), while 25% came from
donations by our partners. This is exceptional, as we started with 100% donations while we
provided FREE Service in 2014/2015 during the ebola crises. This means that we spent $4.80
per patient including deliveries.
In 2018, $53,166 was used for construction of the new clinics and the initial
construction work of the new health center. Thus, we raised a total of $127,431 from both
donations and patient fees to cover both the operations of the Refuge Place Central Clinic and
the new constructions. Imagine how much impact we will make in Liberia with $500,000.
Since we started our operation on June 9, 2014, we continue to see increasing number
of deliveries and patients care. It is a testament to the high quality of affordable and
accessible care we provide to our patients. Over the 4 (2014-2018) years of our existence, we
have had a total of 1,276 safe deliveries with ZERO Maternal deaths.This is amazing as
Liberia has the second highest maternal mortality rate in the world (1072 maternal deaths per
100,000 live births). We have treated a total of 49,802 patients at the RPI clinic in Bassa
Town.
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Like us on follows us on
Refuge Place International: How we work
Vision: Our vision is a model of affordable, accessible and quality care for
the poor.
Mission: To create an environment that empowers poor and marginalized
people residing in the urban slums of Liberia and sub-Saharan Africa so that
they can provide their own high-quality maternal, newborn and child (MNC)
care services, and thus reduce mortality and disease burden among women
and children.
Core Values: RPI subscribes to the following values:
Compassion
Accountability
Transparency
Partnership
RPI 2019 CORE PROJECTS
Opening of the surgical pavilion for complicated pregnancies
Dedication of the Low Cost Village Refuge Place Clinic
Continued construction of the Nyemah Village Refuge Place Clinic, Lower Bong County Refuge Place Clinic,
Arttington buckbrush rural Montserrado etc.
Launch of Eye Screening and Lenses program in collaboration with the Eye Division of Ministry of Health
Construction of Cafeteria and patients visitor palava hut at Bassa Town clinic
Expansion of construction for EPI, Communities Health Center and Eye Clinic
Construction of hand pumps and latrines in urban and rural areas
Provision of solar power to RPI health facilities
Collaborating with the communities (Chicken soup factory, Bassa Town) in fixing the road
About Us
Refuge Place International
(RPI) is a registered non-
governmental organization
(NGO) both in the USA and
Liberia. Refuge Place
International Maternal Child
& General Clinic was
officially launched as the
clinical arm of Refuge Place
International on June 9, 2014
with the primary objective of
achieving zero tolerance for
maternal and child deaths
during delivery.
Contact Us
Bassa town, Lower Johnsonville Cell Phone: +231888349115/+231778786017/+231881
560787
Email: [email protected]
refugeplaceinternational.com
Website:
www.refugeplaceinternational.org
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Refuge Place International (RPI) was established in response to the high rate of maternal and
child mortality in Liberia, one of the poorest countries in the world. Half of the population
(50.9%) live in abject poverty or are extremely poor according to the most recent household,
expenditure and income survey (Liberia Institute for Statistics and Geo-information
Services). Access to healthcare is limited in post-conflict Liberia in particular among the
poor. The Ministry of Health of Liberia reports that in order to provide access to quality
health care for the poor about 422 health care facilities need to be built. In June 2014 RPI
launched Refuge Place International Maternal Child & General Clinic to serve the population
Of Chicken Soup Factory, Bassa Town, an urban slum in the capital Monrovia, with the
vision of providing affordable, accessible and quality care for the poor.
With maternal and child health a priority for RPI, a goal of having 100% of deliveries within
the catchment area occur at the facility was set from the outset and was achieved quickly.
There are zero home deliveries in the RPI catchment areas and there have been zero maternal
deaths at the facility. Community health workers employed by the clinic track pregnant
women within the community, and additionally, traditional midwives are employed to refer
women to the clinic for delivery. RPI has an ambulance available to transport women with
complicated pregnancies and deliveries to hospital (James David Memorial Hospital, John F.
Kennedy hospital etc.). Maternal health services are provided free of charge to the poor
communities served by RPI. Likewise, child health services are also provided at no cost and
CHWs track children in the community to ensure a high rate of vaccination coverage. Free
immunization services are provided at the clinic in collaboration with the Ministry of Health,
who provide the vaccines for pregnant women and children.
Other services are provided to general members of the community at an affordable cost
($4.75USD; 700LD) that has been determined in consultation with the community. This
amount includes the cost of drugs that are required for treatment. The provision of drugs at an
affordable cost, as well as the provision of quality care has enabled RPI to build a strong
reputation, and the clinic sees patients that travel long distances because of these reasons.
Malaria is the most common condition treated at the clinic followed by urinary tract
infections and acute respiratory infection.
The RPI model is designed so that is accessible to all. For extremely poor community
members who cannot afford treatment cost, RPI has an aid program to enable them to receive
services at the clinic. The cost of this is currently covered by Dr. Fallah. Additionally, RPI
identified early that health care for the elderly was often a low priority for the poor families
within the Chicken Soup Factory community. In 2015 Refuge Place International introduced
a free treatment service to patients aged 65 and above. The elderly are tracked by CHWs, and
they are provided with an identification card by RPI that enables them to receive free
treatment at the clinic. Over 2500 elderly people have benefited from this service to date.
The majority of the population in the poor communities where RPI works do not have access
to clean water and sanitation. To address this situation RPI has constructed two hand pumps
over the past year, one each at the Bassa town and Low Cost Village clinic sites. Construction
of an additional four hand pumps is currently underway. These hand pumps are accessible to
the public.
Having demonstrated the feasibility of this model for quality, affordable and accessible health
care over the past four years, RPI is currently expanding to three additional sites in rural
areas. Two of these are set to begin offering services in 2019. Partnership with the
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Members of the communty’s are very much excited
about the hand pump project and they are fully
having access to safe and clean drinking water.
community has been the cornerstone of bringing the RPI model to these areas. We see
involvement of the community as critical for sustainability of the clinics. RPI works in
collaboration with the Ministry of Health to facilitate the provision of trained staff and
medications for the facilities. It is RPI’s vision to ultimately expand this model more widely
throughout Liberia, always putting the needs of the communities at the center of our efforts,
and relying on the communities to invest in the clinics and building a sense of community
ownership.
Well condition before the construction of the hand
pump at Bassa Town
Constructing of new pump project in low-cost village,
rural settlement.
Hand pump constructed by RPI at Bassa Town
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Where we work: Update on Refuge Place Clinics
Refuge Place Clinic Bassa Town- Lower Johnsonville
The original RPI maternal, child and
general clinic operates at Bassa Town in
Lower Johnsonville, an urban slum outside
the capital, Monrovia. The clinic serves a
population of 25,000. Ambulance,
pharmacy and laboratory services are
available at this clinic. In 2018 the clinic
saw 14,891 patients and 436 babies were
delivered at the facility with five neonatal
deaths (the Liberian neonatal mortality rate
is 25.1 per 1000 births). From this rate, we
should have lost 11 neonates, but we lost
only 5 (5/11) which is is 55% survivor rate.
Our goal is to increase this to 100%
survivor rate for neonates.
Extensive construction projects were
undertaken in 2018. A new maternal
surgical facility has been built and will
being operating in March 2019, and the
existing clinic has been expanded to
accommodate the patient load and to house
a new eye clinic to provide quality eye
screening for the poor at low-cost. The eye
tests will be free and patients will pay $8
USD for the glasses. Additionally, a wired
fence has been built around the facility to
create a safe and secure environment for
staff and patients.
The clinic has benefitted from the
generosity of donors over the past year
having received a donation of a vital signs
machine (Dr. Laura Skrip), computers
(Angene and Jack Wilson, Ellen Cull,
Krysia), solar lamps (Village Improvement
Project Inc.) and drugs (Mercy Partner).
Refuge Place values and is part of the
community. As usual we closed the year
with a Children’s Christmas Party, Staff
and community leader’s appreciation party
and distribution of food to the elderly
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Low Cost Village Refuge Place Clinic, Careysburg
District-Rural Montserrado
Construction of the Low Cost Village RPI
clinic was completed in 2018. This rural
community is located in Careysburg
District, Montserrado County. The clinic
was constructed in a partnership between
the community and RPI. The community
provided labor and local materials (blocks,
sand, water etc.), while RPI provided other
materials such as zinc, cement etc. The
successful implementation of this Co-
Investment model has demonstrated the
feasibility of this approach for building
clinics in hard to reach places at a low cost.
The Low Cost Village community
encompasses 41 villages and towns and the
clinic will serve a population of 7,717. RPI
has trained 20 local Community Health
Workers (CHW). The clinic is expected to
open to the Public in March 2019.
Trained community health worker Low-cost clinic Staff quarter
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Nyemah Village Refuge Place Clinic
The third RPI clinic is being constructed in
Nyemah, a hard to reach community in
rural Montserrado and will serve a
population of 10,200. Construction began
in 2015 and has been hampered by a
number of challenges that have slowed
progress.
Access to the village is affected by poor condition of the road. Limited community member availability for provision of labor and heavy rain caused extensive damage to one side of the building. These issues are being addressed by RPI and construction is expected to be completed in mid-2019.
.
Bong County Refuge Place Clinic
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
RPI is working to establish a clinic in rural
Bong County. This community
encompasses over 60 villages that do not
currently have access to a health facility.
The community is committed co-investing
in construction of a new RPI clinic by
assisting with the provision of labor and
materials. Construction is ongoing with the
foundation built and construction of the
walls underway.
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Patient statistics and finances for 2018
FINANCIAL REPORT: In 2018, RPI had 436 safe deliveries (the highest deliverance since our founding in 2014) and
treated 14,891 patients, with malaria accounting for nearly 49% of the cases. We raised a total of $127,431 from both donations ($71,840) and
patient fees ($55,591) to cover both the operations of the Refuge Place Central Clinic and the new constructions In the same 2018, RPI
demonstrated that financial sustainability is achievable in our clinics, while at the same time providing affordable fees to our quality health
services. The operational cost of our Refuge Place Central clinic was $74,265 and of this amount $55,591 was collected from patient fees. This
means that 75% of the operational cost was raised by the patients, while 25% came from donations by our partners. This is exceptional, as we
started with 100% FREE Service in 2014/2015 during the ebola crises. Now the patients are contributing 75% an increase from 62% last 2017. In 2018, $53,166 was used for construction of the new clinics and some of the construction work of the new health center.
Table 1 (patients statistics, facts and figures on diseases, source of income and major expenditure)
Months Dec
2017
Jan
2018
Feb.
2018
Mar.
2018
April
2018
May
2018
June
2018
July
2018
Aug.
2018
Sept.
2018
Oct.
2018
Nov.
2018
Total
Number of patients Statistics
# of patients 1028 1270 1118 1253 1406 1663 1651 1451 1135 858 1127 931 14891
Facts and Figures on Select Diseases and Conditions
ARI 216 304 273 317 374 324 393 437 335 257 508 410 4148
UTI 356 765 546 634 748 866 910 688 809 474 692 557 8,045
Malaria 750 869 728 901 1136 1218 1303 1114 725 663 1000 752 11159
Typhoid 176 215 201 154 214 208 314 241 216 156 293 268 2656
Worm 25 16 3 20 38 77 87 118 100 50 171 232 937
Canadensis 108 92 74 76 106 138 89 114 61 56 143 98 1155
Total 1631 2261 1825 2102 2616 2831 3096 2712 2246 1656 2807 2317 28100 Free Services
Delivery 36 42 35 47 36 49 53 47 19 22 29 21 436
65 years above 78 80 60 73 88 90 95 84 59 68 71 64 910
Dr. Fallah Aid 11 13 7 12 12 15 12 20 14 12 18 14 160
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Total
RPI Health Center Bassa town Expenditures
Drugs 1,716 1,419 516 1,420 1,643 2,321 2,580 2,108 1,999 978 1,740 1, 673 20,111
Salary 3,600 3,836 3,720 3,849 4,643 4,196 5,072 4,734 3,934 4,093 4,093 5,178 50,947
Requisition 518 231 134 112 198 132 201 315 251 177 233 57 2,559 Operation
funds 65 48 65 65 65 65 0 65 0 65 65 84 648 Total 5,899 5,534 4,435 5,446 6,549 6,714 7,853 7,222 6,184 5,313 6,131 5,319 74,265
Source of income (USD) Patient Fees 4,138 4,570 3,986 4,352 4,759 5,856 5,439 4,585 5,038 3,699 4,922 4,245 55,591
Amount
donated 3,791 2,396 1,620 2,608 2,219 1,541 4,944 3,322 2,004 1,562 1,820 3,261 31,091 Sub-Total 7,929 6,966 5,606 6,960 6,978 7,397 10,383 7,907 7,042 5,261 6,742 7,506 86,682
Others expenditure RPI
Construction 0 1,311 4,361 968 2,054 3,017 220 2,341 304 0 0 8,270 22,845 Low-cost
Construction
work 865 1815 1260 400 910 3550 360 355 665 718 4333 1123 16354 Nymeah
construction 0 0 100 0 200 0 400 450 150 0 0 0 1200 Bong
County
Constriction 0 0 0 0 0 0 0 350 0 0 0 0 350 Sub-Total 865 3126 5721 1368 3164 6567 980 3496 1119 718 4333 9393 40,749
Grand Total …………………………………………………………………..86,682+40,749=127,431
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Graphical illustration of Number of patients 2018 Fact and Figures on selected diseases and conditions 2018
A R I U T I M A L A R I A T Y P H O I D W O R M C A N A D E N S I S
7865
1524020726
49421828 2088
Total of selected diseases treated at refuge place in 2018
0
200
400
600
800
1000
1200
1400
1600
1800
1 2 3 4 5 6 7 8 9 10 11 12
# of patients December-2017-November 2018
64%
36%
% for source of income (running cost)
Amount generated by clinc
Amount donated by partner
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Patient statistics 2014-2018 Since opening on June 9,2014 in Chicken Soup Factory, Bassa Town, RPI has been providing quality health care to a growing number of
patients in this previously underserved poor community. The number of safe deliveries perform are 1,276. There was zero maternal deaths. This
is amazing as Liberia is the second country with the highest maternal mortality rates in the world (1072 maternal deaths per 100,000 live births).
During the 4 years since our inception (2014/2015-2018), a total of 49,802 patients were treated at the RPI clinic in Bassa Town.
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Thanks and appreciation to the hard working staff at Refuge Place in 2018
Administration
Dr. Mosoka Fallah
Decontee Walker
Alaine F. Seenah
Jim S. Suah Jr.
Lewis Wesley
John M. Lamin
Harris K. Korkulo
Clinical and Support
Staffs
Sarah Aboloy
Augustine T. Shepoh
Lulu C. Tarblo
Victoria Bearpeen
Fintesa F. Josiah
Agnes F. Shelwah
Jeneve Bainda
Ellen Y.W.Ben
J. Abeningo N. Jimmy
Ezekiel M. Kombo
Momory Saah
Soliar M. Kolako
Ruth Bacon
Martha M. Joe
Nimely W. Weah
Cecelia S. Howard
Joseph T. Bundor
Davidetta Mark
Teah Weah
Kaimah Golafily
Kenneth D. Nyanford
Emmanuel
Joseph Fayiah
Bill Wandah
Fayiah Lenor
Shabaku A. Brosious
Martha Airport
John Flomo
Nowai Kanasuah
Abigail Ruth Varney
Onikeh Summerville
Priscilia B. Suduail
Yamah S. Belleh
Rachel Davis
Veronica Sopah
Susan M. George
Agnes S. Fallah
Lois N. Teah
General Community
Health Volunteer
Ade Wilson
Mardea David
Samuel S. Brima
Patience Robertson
Patrick Porka
Hawa Palley
Esther Monquuio
Joseph N. Karjue
Josephine Gardiner
Torgar G. Tarr
Krubo Kollie
Patricia Tarnue
Moses Whaleah
James Sieh
Mama S. Sumo
Clarence E. Tarr, Jr.
Charles T. Fendoe
Feticial B. Johnney
Jeremiah Whaleah
Josephine K. Weah
Princess S. Solo
Cecelia W. Taylor
Abraham T. Holloe
Lovo S. Tamba
Joseph Howard
Patience Monger
Volunteers Health
Workers
Mary Saah Bendo .
Nancy F. J. Tulay
Naomi M. Muhen
Tenneh S. G. Fahn
Trained Traditional
Midwives
Mary Vinton
Marie Mulbal
Martha Yormie
Ma. Zoe Williams
Low-cost Security
Isaac Borbor
James Tamba
REFUGE PLACE INTERNATIONAL 2018 ANNUAL REPORT
Board of Directors
Partners and Donors
Over the years Refuge Place International would not have accomplished what it
has without the collective support of its partners and donors.
Partners
Name Location Amount
Royer Charitable Foundation USA $40,000
Mercy Partner USA $18,000
Ministry of Health (MOH) Liberia Vaccines
Americare USA Drugs
Einhorn Family Foundation Sweden $2,500
Total $60,500
Individual Contributors
Ragon Family USA $1150
Angene and Jack Wilson USA $1500
Jim Brazim USA $2000
Jim Fett USA $500
Shane and Lara Olson USA logistics
Mosoka P. Fallah Liberia $6,190
Total $11,340
Patient Fees
Payments by Patients Liberia $55,591
Total Donations- $60,500 + $11,340 + $55,591 =127,431
Jim Balz, MD USA
Jack Wilson USA
Angene Wilson USA
Shane Olson USA
Lara Olson USA
DeAnne Rogan USA
Lila Rogan USA
Ravi Nirmal, USA
Rachel C. Lewis USA
Mosoka P. Fallah Liberia