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Dr. Grania Brigden (Price) worked at International Hospital Kampala as a volunteer, with VSO, for one year up to September 2008. She and her husband Dan kept their family, friends and supporters up to date on their experiences via their Blog, The Flip Side of the Coin.

The Blog has now become available as a book which you can buy for a very reasonable £10. This will include a £3 donation to Suubi Trust, to help raise funds for Hope Ward at IHK.

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If you would like to know what life is like here for volunteers, learn about our innovation in TB Diagnostics and read some very touching patient case studies then please let us know and we can arrange for a copy to be sent to you.

You can of course read more about this on their Blog, linked above.

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If you would like a copy then please use this form to let us know…

We will not give your email address to anybody else.

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Rose’s Journey

Rose

Target: £12,500.00
Raised so far: £5,926.00

Almost £6,000 received so far and some more pledged, please help if you can.

In 1989, as a young girl, Rose Nanyonga was forced to leave her family’s village in Uganda.  She was alone and, as a female in Uganda without family protection, she had little hope. At the root of her forced departure was her unwillingness to take part in child sacrifice.  This witchcraft ritual, common in sections of rural Uganda, had driven a wedge between Rose and her family.

Upon leaving her village Rose began a 52 kilometer journey that would take her from her home village of Bamunanika to Kiwoko.  Amidst the hopelessness of this journey she found Ian and Robbie Clarke, Irish citizens working to establish better medical care in Uganda.  This encounter with the Clarke’s would forever alter the direction of Rose’s life.  Under their care, Rose would once again be part of a family.  She also began a career in nursing which would lead to her working as Director of Clinical Operations at International Hospital Kampala (IHK) in Uganda.  Today Rose balances responsibilities with IHK, a Ph.D program at Yale University, and assistance to numerous organizations including Narrow Road where she serves as a board member.  On July 11, 2009, with the support and company of many, Rose will walk the same 52 kilometers from Bamunanika to Kiwoko.

Rose Nanyonga Clarke is one of those very special people; an absolute pleasure to meet, work with and to be around. I first met her about 3 years ago in Kampala when working together as Directors at International Hospital.

Rose has set herself quite a challenge this summer, hoping to raise more than £12,500 to help support Hope Ward and to establish a scholarship fund to support students at the Nursing School.

You can read more about this and give your support by visiting her fund raising page on Justgiving.

Please give her your support, every little helps…

IMG Logo

IHK

In an earlier posting I mentioned that for a hospital to operate well we need, in addition to Doctors and other Clinical staff, a wide range of non-clinical expertise.

Much of my time over the last few months, and indeed during my time over the last 2-3 years as a non-exec Director, has been spent reviewing the numbers. IMG is a relatively large organisation and managing the financials (Management Accounts, Finance Accounts, Billing, Credit Control, Central Purchasing and Audit) and improving upon the associated processes is quite a task. We need more help with this and would welcome contact from any suitably experienced individuals who might consider giving some of their time and sharing their expertise.

Here are some of the numbers:

  • International Medical Group employs just over 550 staff.
  • Our monthly payroll totals more than 400 million Ugandan Shillings.
  • The Outpatients department (OPD) at International Hospital Kampala receives more than 6,000 patient visits every month, 72,000 in a year. That’s a lot of patient records to be updated, bills to be generated and collected. OPD numbers in Q1 showed a 10% increase over those for Q4 ‘08.
  • We have 8 standalone health centres and a further 5 within schools and factories; these clinics provide care to more than 2,500 patients every week, almost 130,000 patient visits every year. Even more records to be updated, bills to be generated and monies collected. Monthly totals for these clinics have increased by 20% since the start of this year.
  • 425 women were admitted onto the Maternity ward in Q1.
  • 648 diagnostic tests were performed in Q1, mainly for Cardiology plus 1,525 Ultrasound Scans, 1,122 X-Rays and 6,679 Lab Tests.
  • In the same period there were 550 surgical operations.

Surgery at IHK

  • Of special note, 62 patients were admitted onto Hope Ward (Charity)during Q1 compared to 58 patients in the last quarter of 2008.
  • IMG has a Central Purchasing Department which manages the purchasing, storage and provision of the drugs, treatments and medical supplies necessary for all of the above; a significant undertaking and an essential management control.

If you are interested in helping and up for a fresh challenge, then please do get in touch. You can contact me by clicking here.

Touch Namuwongo

International Medical Foundation has been delivering an HIV/AIDs outreach programme to the people living in and around the hospital at Namuwongo, Kampala.

Barbie in Kisugu

In the last year more than 4,750 people have received counselling and testing. Of those, 514 have tested positive; 43 are receiving Anti-Retroviral Therapy and 291 are being given other treatments and are continually monitored for any change in their condition that might trigger the need for ART.

More than 130,000 Ugandans are enrolled on the government’s free antiretroviral programme, but more than 250,000 people are estimated to need treatment.

Touch Namuwongo is supported by funds managed by the Civil Society, from sources such as the Irish Government.

Suubi Trust helped to get this programme started by meeting the initial project costs and by providing assistance in the creation of the proposal for funding.

I am NOT a Doctor

In recent months I’ve had an increasing number of contacts from those who have read this Blog and started thinking about maybe coming out to Kampala to help at the hospital or clinics. Often they, and I, are not immediately clear about what they could do when they get here; what would be useful for us, interesting for them and make a difference for our patients and staff.

I have some thoughts about this, that may become clearer over the next few postings…

As I walk around the hospital (IHK) visitors and staff often greet me as “Doctor”. Now doctors are nice people and very necessary members of the team in a hospital but I am NOT a doctor, and in many ways (that will hopefully become clear) I think that is good for IHK.

We always need more good doctors, nurses, physios, lab techs, pharmacists and any other clinicians, either to do or to teach/coach/mentor. In fact the t/c/m is probably more useful as it fits very well with our aim of raising standards and building local sustainability.

If you are already qualified (or almost) in any of the above and interested then please do get in touch. You can contact me by clicking here.

Of course for a hospital to operate well, we also need a wide range of non-clinical expertise; which I’ll start to address in the next post.

International Medical Group is the leading private provider of health care services in Uganda. There are three main divisions in the group and our model is similar to that of HMOs in the USA:

1. IAA Health Care provides Health Schemes to employers for their employees and families and also some personal schemes. These schemes meet the costs of any treatments required. Members can get treatment from IMG, or from a number of other partner health service providers.

2. International Hospital Kampala, the largest private hospital in Uganda, provides care for IAA members, for those with other health insurance and for cash and invoiced patients. IHK has 100 beds for in-patients, plus general outpatient and specialist clinics. It is the country’s first ISO certified hospital.

3. International Medical Centres has 13 community based Health Clinics throughout the country. These provide primary health care and refer patients to IHK as needed. Some of these are stand alone clinics and others are in large Factories and Schools.

IMG employs about 530 people and has more than 100,000 clients.

In recent months we have started to shape our plans for the next 5 years. We want to add to the specialist services available at IHK creating a hospital capable of being a Regional Referral Centre for East Africa. In May we heard that IMG had been awarded a very significant grant to implement a fully fledged Cardio Vascular Centre, which will be the first of its kind in Uganda.

We have a number of strategic discussions underway with other potential investors and business partners. With one of these we are exploring how best to extend the reach of our community based primary care.

Dr. Ian and I are looking for a few good people to join our management team to help develop and implement these new ventures. Ideally we would like those who can work as volunteers or interns or at the very most be content to receive a local wage (for now).

Ideal candidates will be those with a number of years business management experience, perhaps working with or at Board level, now looking for a sabbatical and a new experience to add to their portfolio.

Alternatively you may have just completed a Business related degree and looking for an early opportunity to start building your CV. If that’s you and you have no job to go to yet then get in touch.

Others might have been considering doing an MBA and could see this as a very viable and less expensive alternative.

You must have great communications skills, both verbal and written and also be able to work with numbers, spreadsheets and lots of data.

You must be very driven, ambitious and the type that won’t stop until all objectives are achieved and issues overcome. If, when thrown in the deep-end, you think this is okay, I can do this, I can cope on my own, then this may just be the opportunity you’ve been looking for.

To find out more you can contact me by clicking here.

I thought you might be interested to know that Aureos Capital has had a First Close of its Fund. Please see the attached circular from the IFC.

We’ll pick up our discussions with them again in July.

Kevin.

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New Private Equity Fund Launched to Strengthen Health Care in Africa

London/Washington, D.C., June 4, 2009—IFC, a member of the World Bank Group, the African Development Bank, the Bill & Melinda Gates Foundation, and the German development finance institution DEG – Deutsche Investitions- und Entwicklungsgesellschaft mbH announced today that they have created a new private equity fund that will invest in Africa’s health sector.

The Health in Africa Fund, managed by Aureos Capital, will invest in small- and medium-sized companies in sub-Saharan Africa, such as health clinics and diagnostic centers, with the goal of helping low-income Africans gain access to affordable, high-quality health services. The fund will be measured not only by fiscal performance but also by its ability to cultivate businesses serving the poor.

The Health in Africa Fund will help implement key recommendations of IFC’s landmark report, The Business of Health in Africa: Partnering with the Private Sector to Improve People’s Lives, which found that the private sector already delivers about half of all health-related goods and services in Africa, and that greater investment in private health companies could have major health and economic benefits for low-income Africans.

The fund will target commitments between $100 to 120 million over two closings. Today’s first closing of $57 million includes investments from IFC ($20 million), the African Development Bank ($20 million), the Gates Foundation ($7 million), and DEG ($10 million). The final closing will take place within a year.

“This is a great opportunity to provide health services where it’s needed most,” said Lars Thunell, IFC Executive Vice President and CEO. “The Health in Africa fund is a key component of IFC’s $1 billion Africa health strategy, which includes improving the operating environment for companies in addition to providing financing.”

Donald Kaberuka, President, African Development Bank, noted: “The Health in Africa Fund is likely to have considerable growth potential despite the global economic slowdown and we are committed to supporting this landmark initiative.”

The fund will make long-term equity and quasi-equity investments in socially responsible and financially sustainable private health companies with the aim of scaling up successful businesses, taking proven business models into new regions, and identifying and investing in areas where there are critical gaps.  It will invest in a wide range of companies that deliver health services (clinics, hospitals, diagnostic centers, labs); risk pooling and financing vehicles (health management organizations, insurance companies); distribution and retail organizations (eye clinics, pharmaceutical chains, logistics companies); pharmaceutical and medical-related manufacturing companies; medical education; and providers of medical education.

“To fight disease and save lives in sub-Saharan Africa, it is important to improve both public and private health care options for the poor,” said Tachi Yamada, president of the Bill & Melinda Gates Foundation’s Global Health Program. “With so many low-income Africans already accessing care through the private sector, this fund will help enhance the quality and quantity of that care, while also directly supporting local economies.”

Dr. Winfried Polte, chairman of DEG’s Board of Management, said: “We are proud to support an initiative that is introducing innovative approaches to meet Africa’s health challenges and could help in reducing poverty.”

The fund plans to make about 30 investments, ranging from $250,000 to $5 million. Although viable investment opportunities from all parts of Africa will be considered, priority countries include Côte d’Ivoire, Ghana, Kenya, Nigeria, Senegal, Tanzania, and Uganda.  Angola, Burundi, Democratic Republic of Congo, Ethiopia, Mozambique, Rwanda, South Africa, and Zambia are expected to follow.

“Aureos is delighted to manage a private equity fund focused on bringing capital and business services to SMEs in Africa’s health sector,” noted Sev Vettivetpillai, CEO, Aureos Advisers Limited. He added that the fund manager will provide value-added services to investee companies, including HIV/AIDS management support, business development, quality control, marketing, corporate governance, and operational assistance.

The Health in Africa Fund is part of IFC’s Health in Africa Initiative (http://www.ifc.org/healthinafrica) under which IFC intends to mobilize up to $1 billion in investment and advisory services over five years, following publication of its 2007 Business of Health in Africa report, which focuses on how to improve people’s lives by partnering with the private sector. Besides the equity vehicle, IFC is improving access to long-term financing for smaller companies involved in health care through local financial intermediaries. Together with the World Bank and other partners, IFC is working with governments to help them better harness the private sector to achieve national health goals and is producing the first biennial report on Africa’s health care investment climate.

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One Wild Life

Clare Mulvany

One Wild Life is an account of a journey Clare Mulvany made in 2007 travelling the globe for 11 months documenting inspiring stories of social change throughout the world. She interviewed hundred of social entrepreneurs and change-makers about their life stories, their motivations and their desires, and sought out individuals who were using their ideas, creativity and innovations to bring hope to millions.

One of those that she met and interviewed is Dr. Ian Clarke, Founder and CEO of International Hospital Kampala (IHK). His story is included in this new book.

A collection of stunning photography, travel narratives, diary extracts and interviews, One Wild Life offers people of all ages’ inspiration and guidance on how to build a better world through their career and life choices. It promises all who read it that – if they are willing and committed to change – they can have a profound effect on their world and the world around them. In the midst of an economic meltdown, Social Entrepreneurship is a growing area and now more than ever it is seeing unprecedented rises in the people coming together to make their mark on the world, One Wild Life is the embodiment of this positive change.

Click on the image below to view the book details on Amazon.

OneWildLife Front Cover

Clare Mulvany first posted the following on her Blog in July 2006. At the time she was on a journey around the globe interviewing ‘people who change our world’ about their life stories. Her theme of “Social Entrepreneurs” has since blossomed into a new book, “One Wild Life”, about which I will post details later.

>>>

I first came across Ian Clarke through a viewing of the ‘Longest River’, when he joined the rafting crew down the Nile (see previous blog ‘Quite Bright and Filming’). Watching him in action, I was impressed by his commentary and observations while passing through the conflict zones of South Sudan, and particularly with his leadership ability within the team. So when I heard about his work in Kampala, I was eager to track him down.

Dr. Ian Clarke

Ian, an Irish medical doctor, originally came to Uganda as a GP and from there set up a rural hospital North of Kampala. His work there showed him the need for high quality medical service provision across the country. He was also eager to show that when it comes to the medical profession that ‘quality’ and ‘Uganda’ can be combined. ‘I decided that my goal was to start a hospital in Kampala and raise medical standards’, he commented. ‘But this time, instead of targeting the rural poor, where I had been working, that I would target the emerging middle income group, and use the money that they pay to upgrade the services and thus effect the overall health services’

So emerged ‘International Hospital Kampala’, a private hospital which provides specialist services in the city. Included are Oncology and Plastics departments, and a nursing school.

‘So it means that you can have a third world country, but it does not mean that it is third rate’, he added-with pride.

The hospital is now at a stage of attracting private sector sponsorship to support a charitable ward in the hospital, so that people who cannot afford the services can still access them. (Since then of course Hope Ward has been implemented and has treated very many charity patients… KFD)

There are also has plans for a medical university, so as to raise the bar on training, and to expand clinical services regionally.

‘The core value is making a difference- and if you are making a difference, you are bringing hope. The ideal of wanting to make a difference, is wanting to multiply ourselves. We are not there just for our service, even making the competition buck up a bit, but we want to take some of the principles we learned and teach other people’.

It has been an intense few years for Ian, who himself has had a battle with illness. I asked him what has kept him going.

‘I have a very strong belief in people, and I think it is my belief in people which enables me to do what I do’, he added. ‘Plus some of it is just determination. You don’t give up and you don’t expect to make huge strides at once. Things happen incrementally, and then you look around in a couple of years, and say, yes, look at what we have done’.

tradeaiduk

We are very pleased to announce the receipt of a further £6,000 from Trade Aid UK to help support our Health Centre in Pader, Northern Uganda, which has treated, free of charge, 1,652 patients since last October (as at mid-May).

Click here to read more about Trade Aid UK.

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