PDF - Touch Foundation
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PDF - Touch Foundation
10 Celebrating Ten Years Of Touch Foundation 2014 ANNUAL REPORT contents Mission2 Letter from the President 5 Healthcare Crisis Overview 6 Touch’s Approach to Addressing the Healthcare Crisis 8 Impact to Date 10 2014 Asante Event 14 Board of Directors 18 2014 Board of Directors’ Trip to Tanzania 20 Financials22 Donors and Partners 24 Front cover: Patient care rounds at the Catholic University of Health and Allied Sciences Inside cover: A physician attends to a patient at Bugando 2 celebrating ten years of touch foundation Medical Centre celebrating ten years of touch foundation 1 mission Touch Foundation is a secular, non-profit organization committed to improving the health of the Tanzanian population by strengthening the health system across the different levels of care. Touch focuses on two key elements of the health system Improving the quantity and quality of healthcare workers Enhancing healthcare delivery mechanisms Touch Foundation expands its impact by sharing the acquired knowledge with the local and international public health community. Tanzania 2 celebrating ten years of touch foundation celebrating ten of touch foundation Lakeyears Victoria, Mwanza, Tanzania 3 letter from the president lowell l. bryan president Dear Friends, This year marks Touch’s ten year anniversary. Together, over the past decade, we have made a remarkable impact on the Tanzanian health system and thereby on the lives of the Tanzanian people. When we first launched Touch, we faced a daunting challenge. Tanzania ranked near the bottom, worldwide, in a host of health indicators and its health system was woefully ill-equipped to provide care for its people. Our impact to date has far outpaced our most optimistic expectations. Over the past 10 years, Touch has supported the education of over 2,000 healthcare workers, including 278 physicians and 70 specialists. 96% of these graduates remain in Tanzania and continue to work in the healthcare sector. In addition to focusing on training much needed healthcare workers, we have also strengthened the various healthcare delivery mechanisms for the institutions that comprise our Treat & Train network. Through improvements in infrastructure, equipment, and supplies, we have enabled healthcare workers to optimally use their knowledge and skills to serve the many patients in need. Stepping into Touch’s second decade, we will build on our success by further expanding our focus on strengthening the overall health system to ensure proper delivery of care. In addition to continuing our current efforts, our work will include a concerted focus on optimizing deployment and retention of skilled healthcare workers in areas where they are needed the most. With the knowledge gained from our ten years of on-the-ground experience, we will continue to share this replicable and scalable healthcare model, serving as a resource for other frontline players addressing the healthcare crisis in disadvantaged communities around the world. Our committed and deepening partnerships with the Catholic University of Health and Allied Sciences, Bugando Medical Center, the United States Agency for International Development, and the Tanzanian government have never had more momentum. We are poised for our next decade to be even more impactful than the last. Even with the great progress made over the past decade, much remains to be accomplished. Sub-Saharan Africa still faces a severe shortage of human resources for health and an extraordinary disease burden. In our globalized world, our response to this crisis not only has profound implications for the people within these affiliated geographies but also for many others beyond these regional borders. I am profoundly grateful for the partnership, commitment, and generous support of our donors, board members, staff, partners, and volunteers. Your support is deeply appreciated. Thank you for an extraordinary decade of life-saving work. Warmest regards, 4 celebrating ten years of touch foundation Students studying at Bugando Medical Centre celebrating ten years of touch foundation 5 healthcare crisis overview Tanzania has a population of 49.3 million people, making it one of the most populous countries in Africa.1 Access to even basic healthcare services is often limited for a significant portion of the population, particularly for the 70% of the population living in rural areas.2 In Tanzania, women are 15 times more likely to die during childbirth and there are nearly 2.5 times as many deaths from cardiovascular disease and diabetes than in the United States. Child mortality, as defined by 95 is 54 deaths 95 the WHO, per 1,000 live births 957 7 45 95 54 45 54 54 in Tanzania, compared to 45 in South Africa and only 7 in the U.S. The majority of deaths in children under five are due to acute respiratory infection, birth asphyxia, premature birth, malaria, and diarrhea.3 All of these causes would be easily preventable, provided access to proper facilities, basic drugs, and skilled healthcare workers. HEALTH WORKFORCE STATISTICS Physician Physician density,density, per 10,000 per people 10,000 people United States United States 24.5 Africa Africa 1 2013 data, World DataBank, World Development Indicators, The World Bank 2 Tanzania Census 2012, Sensa 2012 79 79 58 79 79 61 59 59 58 61 Tanzania 54 61 58States South 59 58 59 United States United Africa Tanzania Africa South Africa Africa 61 Tanzania United States United Africa Tanzania Africa South StatesSouth Africa Africa Tanzania United States United Africa Tanzania Africa South States South Africa Africa Tanzania 7 KEY HEALTHCARE STATISTICS Child MortalityChild Mortality Number of children whoofdie by the who age die by the age Number children of five,Mortality per 1,000 live births, 2012live births, 2012 of five,Mortality per 1,000 Child Child Number of children whoofdie by the who age die by the age Number children of five, per 1,000 2012live births, 2012 of live five,births, per 1,000 7 95 95 95 95 45 500 45 7 500 Life ExpectancyLife Expectancy Number of years an individual is an individual is Number of years expected to live,Life at birth, 2012 expected to live, at birth, 2012 Life Expectancy Expectancy Number of years an individual is an individual is Number of years expected to live,expected at birth, to 2012 live, at birth, 2012 54 45 54 79 79 58 54 410 45 54 410 79 79 58 382 59 58 61 59 61 59 58 382 307 61 59 341 307 Tanzania South Africa Tanzania 61 341 7 United7States United Africa Tanzania Africa South StatesSouth Africa Africa Tanzania United States United Africa Africa States South Africa United States United Africa Tanzania Africa South StatesSouth Africa Africa 410 Tanzania United States United Africa Tanzania Africa South Africa 382States South 341Africa 382 Tanzania 341 United28States United Africa Tanzania Africa South Africa Africa 28StatesSouth 140 140 Child MortalityChild Mortality Number of children who by the age United States Africa Tanzania South Africa Number ofdie children who die by the age United States Africa South Africa Child Mortality Child Mortality of five, per 1,000 live births, 2012 of five, per 1,000 live births, 2012 Number ofMortality children whoofdie by the who age die by the age Number children Maternal Maternal Mortality of five, per births, 2012live of live five, per births, Number of 1,000 women who die1,000 Number of women who die 2012 during pregnancy and pregnancy childbirth during and childbirth Maternal Mortality Maternal Mortality per 100,000 live births, 2013 per 100,000 live births, Number of women who of diewomen Number who 2013 die during pregnancy and pregnancy childbirth and childbirth during per 100,000 live births, 2013live births, 2013 per 100,000 Tanzania United Africa Tanzania Africa South States South Africa Africa 137States United 137 Life ExpectancyLife Expectancy Number of years an individual is an United States Africa Tanzania South Africa South Number of years individual is United States Africa Africa Life Expectancy Life Expectancy expected to live, at birth, 2012 expected to live, at birth, 2012 Number ofRate years an to individual is Number ofRate years an to individual is Mortality due Cardiovascular Mortality due Cardiovascular expectedand to live, at birth,and 2012 expected to live, at birth, 2012 Disease Diabetes Disease Diabetes Age standardized adult mortality byto Cardiovascular Age standardized adult mortality by Mortality RateMortality due to Cardiovascular Rate due cause, ages perages 100,000, 2008 cause, per 100,000, 2008 Disease and30-70 Diabetes Disease and30-70 Diabetes Age standardized mortality adult by mortality by Ageadult standardized cause, ages 30-70 perages 100,000, cause, 30-702008 per 100,000, 2008 Tanzania 28 500 28 500 140 500 500 500 500 140 410 Tanzania 410 410 410 28 28 140 410 140 28 28 140 140 137 137 307 307 Tanzania 382 382 307 341 307 341 137 137 382 382 307 341 307 341 137 137 United States United Africa Tanzania Africa South StatesSouth Africa Africa Tanzania United States United Africa Tanzania Africa South States South Africa Africa Tanzania United States United Africa Tanzania Africa South StatesSouth Africa Africa Tanzania United States United Africa Tanzania Africa South States South Africa Africa Tanzania Maternal Mortality Maternal Mortality Number ofMortality women who of die Number women who die Maternal Maternal Mortality SOURCES WHO World Health Statistics 2013 & 2014 during pregnancy and childbirth during pregnancy childbirth Number of women who diewomenand Number of who die per 100,000 live births, 2013live births, per 100,000 2013 during pregnancy and childbirth during pregnancy and childbirth per 100,000 live births, 2013live births, 2013 per 100,000 6 celebrating ten years of touch foundation 24.5 2.6 2.6 United States United States 98.0 Africa Africa 12.0 South Africa South Africa7.8 7.8 South Africa South Africa49.0 Tanzania Tanzania 0.6 Tanzania Tanzania 0.6 98.0 2.4 12.0 49.0 2.4 3 WHO Tanzania health profile, 2012 45 45 United States United Africa Tanzania Africa South StatesSouth Africa Africa 7 Nurse and Nurse midwife and midwife personnel personnel density,density, per 10,000 per people 10,000 people Mortality RateMortality due to Cardiovascular Rate due to Cardiovascular Disease and Diabetes Disease and Diabetes Mortality Rate due to Cardiovascular Mortality Rate due to Cardiovascular Age standardized adult mortality by mortality by Age standardized adult Disease and Diabetes Disease and Diabetes cause, ages 30-70 per 100,000, cause, ages 30-702008 per 100,000, Age standardized mortality by Ageadult standardized adult mortality2008 by SOURCES 1) WHO WORLD HEALTH STATISTICS 2014 2) THE WORLD BANK The shortage of skilled healthcare workers is one of the key factors affecting the overall health system performance. Although the number of practicing doctors has more than doubled over the past ten years, Tanzania’s physician density of less than one doctor per 10,000 people still lags far behind South Africa’s 8 doctors and the U.S.’ 25 doctors per 10,000 people.4 Similar shortages exist in mid-level cadres such as nurses and midwives, Assistant Medical Officers, and Clinical Officers, which constitute the much needed backbone for basic healthcare delivery. As a result, many health facilities are under-resourced and lack staff with appropriate clinical qualifications. Furthermore, the limited healthcare workforce is unevenly distributed across the country. Healthcare workers are concentrated in urban centers while rural districts suffer from a chronic shortage of skilled staff. Even when healthcare workers are available, several other factors prevent patients from receiving quality care. These include a limited availability of medical equipment and supplies, poor infrastructure, a malfunctioning referral system, and poor management of health facilities. As an example, a recent assessment of the Sengerema district in the Lake Zone showed that life-saving maternal health commodities such as benzathine penicillin, oxytocin, and oral rehydration therapy are out of stock up to 125 days per year.5 All of these factors need to be addressed to improve the effectiveness and efficiency of the Tanzanian health system. 4 2006 figure for number of doctors in Tanzania is from the 2009 Touch Foundation report, Catalyzing Change: Molecular Strengthening of the Health System in the Tanzanian Lake Zone. The 2013 figure for number of doctors in Tanzania was estimated based on the number of physicians in Tanzania as of 2008 (according to the Annual Health Statistical Tables and Figures published by the Ministry of Health and Social Welfare in 2009) as well as on the estimated number of MD graduates from the 5 Tanzanian medical universities during 2009-13. The world average of physician density is from Global Health Facts, http://kff.org/ global-indicator/physicians/ 5 An Assessment of Maternal and Neonatal Health Commodities in Sengerema District, Tanzania, 2014, VillageReach cause, ages 30-70 perages 100,000, cause, 30-702008 per 100,000, 2008 celebrating ten years of touch foundation 7 touch’s approach to addressing the healthcare crisis Touch is committed to improving the health of the Tanzanian population by strengthening the overall health system. We approach the health system as an interconnected web of elements, all of which need to be functional to enable effective delivery of care. These elements include healthcare workers, infrastructure, supplies and equipment, transportation and referrals, and healthcare management, among others. Touch works across the different levels of the health system from tertiary hospitals down to village level facilities. We structure our work within two main programs: Treat & Train: an integrated healthcare and education network in the Lake Zone of Tanzania Knowledge Management and Sharing We increase the number of quality skilled healthcare professionals by training new and existing healthcare workers such as physicians, nurses, lab technicians, health institution managers, and many others and ensuring they receive a quality education. As an example, through our external clinical rotations, part of the Treat & Train program, we send students from the Catholic University of Health and Allied Sciences (CUHAS) in Mwanza and local and international faculty to partner hospitals in the region. This decreases the student load at Bugando Medical Centre (BMC), Mwanza’s tertiary hospital, and enables students to receive high quality training from the posted faculty. The specialists not only support the education of critical cadres of healthcare professionals, but also provide patients with access to care previously unavailable at these hospitals, enhance the skills of the existing staff, and drive improvements in hospital systems and procedures. Touch approaches the health system as an interconnected web of elements, all of which need to be functional to enable effective delivery of care 8 celebrating ten years of touch foundation Ensuring long-term impact and sustainable results through an innovative approach A student in class at CUHAS Touch also improves healthcare delivery mechanisms by strengthening the Treat & Train facilities as well as enhancing the processes and systems for collaboration among institutions. We support local facilities with investments in needed infrastructure such as C-section theatres and student housing, and equipment including biomedical devices, power generators, and IT systems. We simultaneously build collaborative structures across the network to enhance critical functions such as patient referrals, patient transportation, supply and procurement, and repair and maintenance. At the national level, we work to address the deployment and retention of healthcare professionals to ensure they are posted where needed the most, thus optimizing the distribution of the scarce resources available across the country. Through our Knowledge Management and Sharing program, we aim to expand our impact across Tanzania and beyond by translating on-the-ground results into a scalable model and sharing learnings with the local and international public health community. Touch’s work in Tanzania has been driven by an extensive and long-standing collaborative network which includes central and local governments, and local and international partners. These collaborations and partnerships are integral to the success and the longterm financial and managerial sustainability of our programs. Touch designs high-impact initiatives by applying a rigorous problem-solving approach. We select key areas of intervention and design our programs based on a robust needs analysis and the experience we have gained on the ground. Touch acts as a catalyst by attracting local and international partners to bring together the technical expertise required to affect change. We undertake our work hand-in-hand with our Tanzanian partners, enabling them to own the programs from the very beginning and ensuring that Touch can transition out when the programs have been established. After actively managing the initial execution phase of each project, we gradually transition program management to local owners. To manage our programs and coordinate our partners, Touch employs a team of professionals with diverse backgrounds, including management consultants, medical doctors, and academics, combining the best of private and public sector approaches to deliver maximum impact. celebrating ten years of touch foundation 9 impact to date Since Touch was founded in 2004, we have supported the education of over 2,000 healthcare workers. In addition to helping graduate a large number of healthcare workers, we have also improved the quality of their education. Today, the vast majority of these graduates work within Tanzania’s health system, providing much-needed healthcare to the Tanzanian population. We have further improved healthcare delivery by enhancing the skills of existing healthcare workers as well as strengthening healthcare delivery mechanisms, such as upgrading facilities and medical equipment, and enhancing management of healthcare facilities. ~2,000 400 Other (PhD, MPH, etc.) Diagnostic Radiographers 350 Nurse Anesthetists 300 Pharmacists 200 Touch has contributed to a substantial increase in the quality of education for healthcare students by significantly enhancing the 150 Nurses 100 50 Assistant Medical Officers 04/05 05/06 06/07 07/08 Medical Doctors and Specialists Total non-MD graduates Increased production of new healthcare workers In the past ten years, Touch has helped graduate 278 physicians (~10% of the country’s total), 70 specialists, and approximately 1,700 other healthcare professionals, including ~2,000 388 Assistant Medical Officers (AMOs), 376 (PhD, MPH, etc.) nurses, 168 nurse anesthetists, 259Other laboraDiagnostic Radiographers tory scientists, and 249 pharmacists. Nurse Anesthetists Student enrollment at our network flagPharmacists ship institutions, the Catholic University of Health and Allied Sciences (CUHAS) and the Lab Technicians Bugando Medical Centre (BMC) in Mwanza, has also grown tremendously sinceNurses Touch’s involvement. The inaugural class of 10 MD Assistant students in 2004 has grown to more thanMedical Officers 750 MD students currently enrolled, with an Medical average first year enrollment of over 150Doctors newand Specialists MD students every year. Total enrollment at BMC and CUHAS across all cadres has also Increased quality of student education 250 Lab Technicians learning environment in both classroom and clinical settings. We have improved classroom training through investment in infrastructure, supplies, textbooks, and teaching equipment. We have improved clinical training quality by enhancing healthcare delivery mechanisms, including infrastructure, medical equipment, and supplies. Furthermore, our clinical rotations program for tertiary level students from CUHAS and BMC has improved the student to specialist ratio from over 30 to 1 at BMC to a range between 10 to 1 and 5 to 1 at partner hospitals. grown more than six times from 277 students in 2004 to over 1,800 students today. CUHAS and BMC are today prepared to ensure a sustainable pipeline of future graduates across 14 healthcare worker cadres, from the certificate to the post-graduate degree level. AGGREGATE NUMBER OF HEALTHCARE GRADUATES SUPPORTED BY TOUCH’S WORK 08/09 09/10 10/11 11/12 12/13 MDs and Specialists HEALTHCARE GRADUATES PER CADRE SUPPORTED BY TOUCH’S WORK TOTAL NUMBER OF HEALTHCARE GRADUATES PER ACADEMIC YEAR SUPPORTED BY TOUCH’S WORK Assistant Medical Officer Doctor of Medicine Diploma in Nursing Master of Medicine Diploma in Medical Laboratory Sciences Master of Public Health Diploma in Diagnostic Radiography Bachelor of Science in Nursing Education 354 327 69 298 64 Doctor of Philosophy Diploma in Pharmacy 400 Nurse Tutor (discontinued) 350 Nurse Anaesthetist Certificate Bachelor of Medical Laboratory Sciences 6 8 13 1 6 49 42 45 200 156 164 9 46 43 100 25 23 95 08/09 09/10 10/11 MDs and Specialists 11/12 12/13 29 23 26 24 04 /05 63 49 40 31 13 27 30 45 11 17 16 13 14 28 23 12 19 75 34 28 45 29 33 40 50 13 1 34 47 54 135 150 15 46 11 250 Total non-MD graduates 21 241 25 8 300 04/05 05/06 06/07 07/08 24 62 252 13 15 21 05/06 06/07 07/08 34 36 38 28 43 18 31 08/09 18 16 23 14 12 15 09/10 10/11 11/12 12/13 *Between 2000 and 2004, CUHAS (formerly BUCHS) students received support by Touch’s founders through the Maryknoll Fathers 10 celebrating ten years of touch foundation celebrating ten years of touch foundation 11 impact to date (continued) Strong deployment and retention of trained healthcare workers We are proud to report that 96% of the CUHAS and BMC graduates are deployed and remain in the Tanzanian health system, delivering quality healthcare to the population across the country. These graduates are working in all but one region of Tanzania and approximately 85% of them are performing clinical work. Moreover, these graduates are having a tremendous impact on the population’s health; over the course of their career, each MD will save at least 300 lives and care for thousands of people.1 DENSITY OF TANZANIAN HUMAN RESOURCES FOR HEALTH (HRH) BY REGION Number of healthcare workers per 10,000 people Number of healthcare workers per 10,000 people 1-11 healthcare workers Mwanza Kagera Mara 12-23 healthcare workers Arusha Mwanza Shinyanga Mara Kagera Tabora Shinyanga Rukwa Singida Tabora Mbeya Singida Iringa Dodoma Through the expansion of our Treat & Train network to regional and district hospitals in the Lake Zone, up to 500 local healthcare workers are continuously improving their skills by collaborating with international specialists and the faculty from the tertiary institutions in their daily activities. Improved healthcare delivery in the Lake Zone of Tanzania and beyond By training new and existing healthcare workers (as detailed above) and investing in infrastructure, medical equipment, and capability building at our supported Treat & Train institutions, Touch has contributed to improving the quality of care offered to Pwani Dar es Salaam Morogoro Iringa Mbeya Morogoro Ruvuma Improved skills of existing healthcare workers >23 healthcare healthcare workers workers 1-11 Only two healthcare regions meet 12-23 workers the >23 WHO recommended Arusha Manyara healthcare workers Kilimanjaro HRH density Tanga Only two regions meet Dodoma the WHO recommended Dar es Salaam Manyara HRH density Tanga Kigoma Kigoma Rukwa Kilimanjaro Ruvuma Lindi Pwani Mtwara Lindi Mtwara Number of graduates working in Tanzanian health system CUHAS AND BMC GRADUATE POSTINGS BY REGION Number of graduates working in Tanzanian health system Mwanza Kagera Kagera Kigoma Mara Simiyu GeitaMwanza Shinyanga Mara Arusha Simiyu GeitaTabora Shinyanga Arusha Manyara Kigoma Katavi Tabora Rukwa Katavi every year. The new theatre will also expand capacity for the expected increase in the number of total deliveries brought in through our Mobilising Maternal Health program’s referral network. Finally, the ongoing expansion of the post-delivery ward will create a suitable environment for new mothers, who currently may be required to share a bed with one or two other mothers recovering from child delivery. As part of the external clinical rotation program, CUHAS and BMC faculty, and specialists from our partner international organizations, posted at Treat & Train hospitals have delivered specialized care to more than 250,000 local inpatients and outpatients. Across the nation, the over 2,000 BMC and CUHAS graduates from the past 10 years are now working in all but one region of Tanzania, continuing to provide quality healthcare across the country, long after their training has concluded. 1-25 graduates Kilimanjaro 26-50 graduates >50 graduates 1-25 graduates Kilimanjaro Tanga 26-50 graduates >50 graduates Dodoma Manyara Singida the Tanzanian population at the tertiary, regional, and district hospital levels. BMC, the tertiary hospital located in Mwanza, has more than tripled its inpatient volume in the last ten years and serves a catchment population of approximately 16 million people. To provide adequate care, the hospital staff has grown significantly, especially in areas of high clinical expertise. BMC has seen a four-fold increase in surgery staff and a twelve-fold increase in pediatric staff, including specialists, residents, and registrars. Laboratory testing, radiological procedures, and surgical procedures have also grown over the same period of time. At the district level, we have supported clinical upgrades at Sengerema Designated District Hospital (SDDH) by purchasing critical biomedical devices, such as a portable ultrasound and a digital x-ray. We are also building a dedicated C-section theatre to improve the quality of care delivered to the nearly 1,000 women in need of a C-section Dar es Salaam Tanga Mbeya Singida Iringa Dodoma Pwani Dar es Salaam Morogoro Rukwa Njombe Iringa Mbeya Njombe Morogoro Ruvuma Ruvuma Lindi Pwani Mtwara Lindi Mtwara SOURCE “DENSITY OF TANZANIA HUMAN RESOURCES FOR HEALTH BY REGION” TANZANIA HRH COUNTRY PROFILE REPORT 2013 note: 1) MOST RECENT HRH DATA RELEASED BY THE GOVERNMENT DO NOT REFLECT THE 4 NEW REGIONS DESIGNATED IN 2012 (I.E. GEITA, SIMIYU, KATAVI, AND NJOMBE) 2) WHO MINIMUM DENSITY GUIDELINE OF 23 HEALTHCARE WORKERS PER 10,000 POPULATION FOR SUFFICIENT MEDICAL COVERAGE 1 “Investing in Tanzanian Human Resources for Health,” McKinsey & Company (2006) Patient admission at BMC 12 celebrating ten years of touch foundation celebrating ten years of touch foundation 13 2014 asante event This year, at our 2014 Asante Supper, we celebrated ten remarkable years of Touch Foundation. At this milestone celebration, we were proud to honor two highly distinguished honorees. lowell l. bryan President and Founder of Touch Foundation We are proud to honor Mr. Lowell Bryan for ten years of extraordinary leadership, generosity and dedication. Mr. Bryan led the effort to create Touch Foundation and has served as President since its inception in 2004. As President and Chairman of the Board, Lowell has worked tirelessly to ensure the success of the organization, thus changing the lives of many in Tanzania. stroock Mr. Lowell Bryan, Touch Director, and Ms. Jane Fraser, Touch Director, reflect on Lowell’s ten years with Touch 2014 Asante Supper at The Morgan Library & Museum & stroock & lavan llp We are delighted to recognize the excellent legal and charitable support of Stroock & Stroock & Lavan LLP. As Touch’s pro bono general counsel, Stroock has advised the organization in many practice areas, including Corporate, Intellectual Property, Real Estate, Tax, Government Relations, Non-Profit, Employment and ERISA, contributing 2,500 hours of legal service over the past ten years. Mr. Morgan’s Library, The Morgan Library & Museum 14 celebrating ten years of touch foundation Dr. Luisa and Mr. Lowell Bryan Mr. Kevin Curnin, Touch Director, accepts the award on behalf of Stroock & Stroock & Lavan LLP from Ms. Celia Felsher, Touch Director Sister Marie-Jose Voeten, Medical Officer in Charge at Sengerema Designated District Hospital Father Peter Le Jacq, Touch’s longtime partner and friend, Mr. Lowell Bryan, and Mr. Tom Teles, Touch Director Mr. Andrew Dunnett, Director of Vodafone Foundation, remarks on Vodafone’s partnership with Touch Foundation Held at New York’s iconic Morgan Library & Museum, the event also welcomed a number of special guests from Tanzania, including: Dr. Frederick Kigadye, Secretary of the Tanzania Episcopal Conference, Father Charles Kitima, Vice-Chancellor of and Lecturer at St. Augustine University, Dr. Charles Majinge, Director General at BMC, His Excellency Mr. Tuvako Manongi, Ambassador of the United Republic of Tanzania to the United Nations, Dr. Mange Manyama, Associate Dean at CUHAS, Dr. Stella Mongella, Pediatric Specialist at CUHAS, Professor Jacob Mtabaji, Former Principal and Vice-Chancellor of CUHAS, Dr. Isidor Ngayomela, Orthopedic & Trauma Surgeon at BMC, Professor Paschalis Rugarabamu, Vice-Chancellor of CUHAS, Archbishop Thaddaeus Ruwa’ichi, Archbishop of Mwanza and Chairman of the Health Department and BMC, Bishop Augustine Shao, Bishop of Zanzibar, Dr. Godwin Godfrey Sharau, Pediatric Cardiac Surgeon at BMC, and Sister Marie-Jose Voeten, Medical Officer in Charge at Sengerema Designated District Hospital. The word Asante, in Swahili, means thank you. The event celebrated the tireless commitment of individuals and organizations, without which Touch’s impact over the past decade would not have been possible. Mr. Morgan’s Library celebrating ten years of touch foundation 15 2014 asante event: tanzanian medical leader panel The 2014 Asante program included a panel discussion with four Tanzanian medical leaders. The leaders discussed their personal journeys in the health system, the progress in strengthening the health system, and the key challenges that lie ahead. dr. stella dr. godwin godfrey dr. isidor dr. mange mongella sharau Dr. Sharau is the first Pediatric Cardiac Surgeon in Tanzania. Upon completing a five-year fellowship training in Israel, he returned to Tanzania in 2013 to help establish a cardiac center at BMC. ngayomela manyama Dr. Ngayomela is an Orthopedic and Trauma Surgeon at BMC. Dr. Ngayomela is also the Head of the Department of Surgery at BMC and lecturer at CUHAS. Dr. Manyama is a Senior Lecturer and Head of the Department of Anatomy and Cell Biology at CUHAS. He is also the Associate Dean at CUHAS. Dr. Mongella is a Pediatric Specialist at CUHAS, where she currently works as a lecturer in the Department of Pediatrics and Child Health. Dr. Mongella was one of the ten students in the first medical class at CUHAS. What changes have you seen over the ten years you have been at CUHAS ? “In the past ten years that I have been at CUHAS, I’ve seen enormous growth. What began as a single college has now blossomed into a full-fledged university with several schools. I was part of the first group of ten; we called ourselves ‘the guinea pigs.’ Since then, the university has produced hundreds of physicians, nurses, lab scientists, and allied health specialists and our current graduating class now has 140 students. A growing student body has also brought new ventures in expanding our teaching sites. Teaching has grown beyond the tertiary level, reaching down to the regional and district hospitals. This has given our students a wide range of clinical exposure and enabled us as clinicians to see how medicine is practiced at other facilities. All the progress that has occurred in the past ten years has been accomplished with great support from the friends and supporters of Touch Foundation, who have been with us from the beginning. We are very appreciative of this support.” 16 celebrating ten years of touch foundation Why did you to return to Tanzania? Describe the types of surgery you currently do at BMC. What types of surgery do you hope to do in the future and why? “What brought me back home, first, was that it just felt right to work in an area where my skills and knowledge are so needed. Second, I knew that I would get greater satisfaction working in this area, because with little input and few resources, you can achieve significant changes and impact so many lives. Third, I wanted to inspire young professionals to be part of spearheading healthcare development in Tanzania. Fourth, it is home and there’s no place like home. At BMC, we not only do open heart surgeries for children who are in need of these lifesaving surgeries, but we also operate on adults. You cannot return to this resource-limited area and say ‘I only trained in pediatrics;’ you have to do a lot more. Yet, with such a long waiting list and very limited resources, we have to be very selective as to which patients we will operate on. This is a challenge but we hope in the future, we can approach more complex cases if resources will allow.” What are some of the challenges you face in delivering care and how could those be alleviated in the future? “We have a large number of patients and we simultaneously face human resource shortages, amongst other challenges. There are things like infrastructure—our only referral hospital in the Lake Zone has the capacity for one thousand patients, but we still have, at some points, two patients lying in one bed. We also have shortages with surgical supplies such as instrumentation and orthopedic implants. The biggest burden we now have in Tanzania is trauma. One of the ways we are trying to address issues such as trauma is by training more medical professionals, an area Touch Foundation is supporting. We are hoping in the future that we will be able to provide more specialized treatments, not only related to trauma, but also for problems like degenerative conditions and neurological conditions.” How has teaching evolved at Bugando in your time there? “There has been progress in the graduate numbers and infrastructure. We are now extending our teaching to nearby hospitals around Mwanza. What this has done is not only provide our students with clinical training, but also, when faculty teach at these hospitals, they are specialists who then provide care to patients. In addition, when we started, the professors in Bugando very much depended on the professors at institutions nearby. Now in most departments, we have our own professors teaching and we continue to improve their expertise. Touch supports our effort to brush up the skills of our professors in Bugando. We have also been able to review the curriculum and introduce a lab so students can practice their skills in a safe environment before they examine patients. As faculty, we will continue to improve more and more, enhancing the education of healthcare workers and advancing Tanzania’s health system.” NOTE: CUHAS: Catholic University of Health and Allied Sciences BMC: Bugando Medical Centre celebrating ten years of touch foundation 17 board of directors lowell l. bryan, president claudio braz ferro steven kelmar marco spinelli Lowell L. Bryan retired in January 2012 from McKinsey & Company after 36 years at the firm. He served as Director for 27 of those years, helping found and lead McKinsey’s financial institutions and strategy practices. Though retired, Lowell continues to serve as Director Emeritus of the firm. He provides advice and counsel to the top management and the boards of directors of several large clients through his own advisory firm. He also currently serves as the Lead Independent Director for DST, a public company. Lowell holds a B.A. from Davidson College and an M.B.A from Harvard Business School. Claudio Braz Ferro is the Chief Supply Officer and member of the Executive Board of Management for Anheuser-Busch InBev, the leading global brewer. Claudio, a Brazilian citizen, holds a Degree in Industrial Chemistry from the Universidade Federal de Santa Maria, RS, Brazil and studied Brewing Science at the Catholic University of Leuven, Louvain-La-Neuve, Belgium. Steve Kelmar is Executive Vice President, Corporate Affairs of Aetna, Inc. He also serves as Chief of Staff to Aetna’s Chairman and CEO and is a member of the company’s executive committee. Prior to joining Aetna, Steve was Head of Global Public Affairs and Policy for Merck and Co. and served in a similar position at Novartis AG. He has also worked as Senior Vice President of External Relations for Medtronic, Inc. Steve holds a B.A. from Pennsylvania State University. Marco Spinelli is the Global Product Manager for Economics and Macro Strategy at UBS. Previously, Marco was the Co-CEO of a conglomerate of industrial companies in Brazil, Head of Analytics at Bridgewater Associates, held multiple roles over his six-year tenure at Morgan Stanley, and was a consultant for McKinsey & Company. Marco holds a B.S. and an M.S. in Electrical Engineering/ Automation and Control from University of Sao Paulo and an M.B.A. from the Wharton School of Business. kevin j. curnin Kevin J. Curnin is a Partner of Stroock & Stroock & Lavan LLP and the Founder and Director of Stroock & Stroock & Lavan’s Public Service Project. Kevin is responsible for the program’s overall management, advising transactional and litigation clients, and assisting associates and partners with their pro bono work. Kevin holds a B.A. from Dartmouth College, an M.A. from University College Dublin, and a J.D. from Fordham University. celia felsher Celia Felsher is Chief Operating Officer and General Counsel of Reservoir Capital Group, LLC, a New York-based investment management firm. Prior to joining Reservoir, Celia was a partner in the Corporate Department of Milbank, Tweed, Hadley & McCoy. Celia holds an A.B. from Princeton University and a J.D. from Columbia University School of Law. 18 celebrating ten years of touch foundation jane fraser Jane Fraser is Chief Executive Officer of U.S. Consumer and Commercial Banking and Global Mortgage at Citi. She sits on the firm’s Operating Committee. Prior to joining Citi, Jane was Partner at McKinsey & Company in London and New York for 10 years, serving clients in the financial services industry. Jane holds an M.A. from Cambridge University and an M.B.A. from Harvard Business School. mbago kaniki Mbago Kaniki is Chief Executive Officer of Adansonia Management. He was previously a Managing Director and the Head of Strategic Investments at 40 North Industries, a Senior Analyst at Anchorage Capital Group, a Principal at Sageview Capital, a Vice President at The Carlyle Group, and a Business Analyst at McKinsey & Company. Mbago holds a B.A. from Harvard College. robert h. niehaus Robert H. Niehaus is the Chairman and Founder of GCP Capital Partners LLC which currently manages four private equity funds totaling $1.8 billion in committed capital, consisting of three U.S. private equity funds and a European private equity fund. Bob holds an undergraduate degree from Princeton University and an M.B.A. from Harvard Business School. salim ramji Salim Ramji is Senior Managing Director and the Global Head of Corporate Strategy at BlackRock. Before joining BlackRock in April 2014, Salim was a Senior Partner at McKinsey & Company. Salim was a corporate finance and mergers and acquisition lawyer in London and Hong Kong before joining McKinsey. Salim holds a B.A. from the University of Toronto and a J.D. from Cambridge University. charbel tagher Charbel Tagher is the President of Specified Technologies, Inc. (STI), a provider of firestopping products and solutions he co-founded in 1990. Prior to STI, Charbel spent 8 years with McKinsey & Company and was Vice President of Thomas and Betts. Charbel holds a B.B.A. from the American University of Beirut and an M.B.A. from the Wharton School of Business. tom teles Tom Teles is the Global Head of Securitized and Government Investments, Global Head of the Duration Strategy and Co-Head of the Cross-Sector Strategy within the Global Fixed Income team in Goldman Sachs Asset Management. He is also a member of the Fixed Income Strategy Group, which oversees all Global Fixed Income and Currency portfolios. Prior to joining the firm, Tom was the Assistant Investment Officer at Travelers Insurance Group. Tom holds a B.A. from the University of Maryland and an M.B.A. from The University of Chicago. celebrating ten years of touch foundation 19 2014 board of directors’ trip to tanzania In June 2014, Touch’s Board of Directors visited Tanzania for a weeklong trip. Together with our in-country team, they solidified existing partnerships and explored new opportunities. Members of the Board and staff held strategy sessions with key stakeholders, including USAID, the Tanzanian Ministry of Health and Social Welfare, CUHAS (the medical university), and BMC (the tertiary hospital), among others. On tours of the different healthcare facilities, the Directors observed the progress made over the past ten years in student education and patient care. The Directors also had an opportunity to meet and socialize with current students, alumni, faculty, and members of the local community, hearing their perspectives on the impact of Touch’s work as well as the challenges that remain to be addressed. Mwanza, Tanzania From left to right: Touch Directors Mr. Mbago Kaniki, Mr. Lowell Bryan, Ms. Celia Felsher, and Mr. Charbel Tagher at a Leadership Council Planning Summit We’re still processing the benefits of the board trip, which included: (i) gaining a deeper appreciation of Tanzania and our close partners there; (ii) witnessing first-hand the tremendous work of the Touch staff; (iii) touring and better understanding the challenges at the facilities which we are helping to transform; and (iv) getting to know my wonderful fellow directors better. Sharing this all with my wife, a healthcare provider, made the trip even more memorable. kevin curnin, touch director Mr. Lowell Bryan, Dr. Massimiliano Pezzoli, and Professor Paschalis Rugarabamu, Vice Chancellor of CUHAS Mr. Mbago Kaniki and Dr. Charles Majinge, Director General of BMC Ms. Annemarie Curnin, wife of Mr. Kevin Curnin, with local teenagers at the Dancing Rocks in Mwanza Sister Marie-Jose Voeten, Medical Officer in Charge, leads the Board of Directors on a tour of Sengerema Designated District Hospital (SDDH) Mr. Charbel Tagher, Touch Director, and Sister Marie-Jose Voeten talk to a patient at SDDH Touch Board of Directors and Touch senior staff after a meeting with the Prime Minister’s Office of Regional Administration and Local Government, from left to right: Mr. John Cecil, Husband of Ms. Celia Felsher, Dr. Massimiliano Pezzoli, Country Director, Dr. Steve Justus, Chief Medical Officer and Senior Vice-President, Mr. Valerio Parisi, Program Manager, Mr. Mbago Kaniki, Mr. Lowell Bryan, Dr. Deo Mtasiwa, Deputy Permanent Secretary for Health, Mr. Kevin Curnin, Ms. Celia Felsher, Mr. Marco Spinelli, Mr. Charbel Tagher, and Mr. Noah Leff, Chief Financial Officer 20 celebrating ten years of touch foundation celebrating ten years of touch foundation 21 financials STATEMENT OF FINANCIAL POSITION AS OF SEPTEMBER 30, 2013 ASSETS In fiscal year 2013, Touch Foundation’s gross revenues were $5,879,396. Contributions of $1,726,875 and Donated Goods and Services valued at $1,187,252 constituted 30% and 20% of the Foundation’s gross revenues, respectively, with the remaining 50% comprised of $2,965,269 in government funds provided by USAID. Total expenses in fiscal year 2013 were $5,409,202. In addition to our ongoing support of CUHAS and BMC, our work in 2013 was largely focused on expanding our Treat & Train program. Expenditures on Treat & Train in 2013 were approximately $4.02M, and included the funding of clinical rotations between tertiary, regional and district facilities, building and equipping critical hospital infrastructure, and financing a variety of student costs including materials and supplies, transportation, and accommodations. 2013 also included further development of our Knowledge Management and Sharing program, which disseminates lessons learned from our work as a critical step in scaling and replicating our approaches, and comprised $286K of our 2013 expenditures. Copies of our financial statements, audited by KPMG LLP, are available on our website, www.touchfoundation.org. On behalf of Tanzania’s medical students, recently graduated healthcare professionals, and their patients, we thank you sincerely for your continued support. noah leff, chief financial officer Cash and Cash Equivalents Contributions and Grants Receivable Prepaid Assets Total Assets REVENUE BY DONOR CATEGORY, FISCAL YEAR 2013 LIABILITIES 17% $961,890 13% $764,985 20% $1,187,252 13% Individual Accounts Payable and Accrued Expenses Deferred Income Grants Payable Total Liabilities Corporations and Foundations NET ASSETS Donated Goods and Services 17% $961,890 50% Government $2,965,269 $764,985 Donated Goods and Services $63,402 $16,974 $292,900 $373,276 Unrestricted Temporarily Restricted Total Net Assets $178,410 $1,219,667 $1,398,077 Total Liabilities and Net Assets $1,771,353 Individual 20% Corporations$5,963,371 (unaudited) and Foundations $1,187,252 $6,000,000 50% Government $5,409,202 $2,965,269 $5,021,438 $5,000,000 $4,532,134 TOTAL SPENDING BY FISCAL YEAR $4,211,678 $4,000,000 $5,963,371 (unaudited) $6,000,000 $3,000,000 $5,409,202 STATEMENT OF ACTIVITIES FOR THE YEAR ENDED SEPTEMBER 30, 2013 $5,021,438 $5,000,000 $2,000,000 $4,532,134 SUPPORT AND REVENUE $4,211,678 $4,000,000 $1,000,000 $3,000,000 2010 $2,000,000 2011* 2013 2012 2014** *2011 includes 15 months due to change of fiscal year from July–June to Oct.–Sept. **2014 numbers are based on an unaudited year end. Contributions Government Grants Donated Goods and Services Investment Income Total Support and Revenue $1,728,077 $2,965,269 $1,187,252 $(1,202) $5,879,396 EXPENSES $1,000,000 2010 2011* 2012 2013 2014** *2011 includes 15 months due to change of fiscal year from July–June to Oct.–Sept. **2014 numbers are based on an unaudited year end. Grant and Program Activities Management and General Fundraising Total Expenses $4,313,048 $745,985 $350,169 $5,409,202 NET ASSETS Increase (Decrease) in Net Assets Net Assets, Beginning of the Year Net Assets, End of the Year 22 celebrating ten years of touch foundation $818,349 $912,636 $40,368 $1,771,353 $470,194 $927,883 $1,398,077 celebrating ten years of touch foundation 23 donors and partners Institutional Donors $5 MILLION + USAID We gratefully acknowledge USAID’s generous $9.5 million of support for Touch’s work over the past decade. Citi (in honor of Mr. Sanford I. Weill) McKinsey & Company* $1 MILLION – $4,999,999 A student in the Catholic University of Health and Allied Sciences library Abbott Fund Citigroup Foundation Goldman Sachs Gives New York-Presbyterian Hospital* Stroock & Stroock & Lavan LLP* Vodafone Foundation Weill Cornell Medical College* $500,000 – $999,999 Vitol Charitable Foundation $100,000 – $499,999 Akin Gump Strauss Hauer & Feld LLP* African Barrick Gold Group Afya Foundation* Patient rounds at Bugando Medical Centre Baylor College of Medicine* Bristol-Myers Squibb Foundation, Inc The Sarita Kenedy East Foundation $25,000 – $49,999 AWL Industries, Inc. Bulldog Gin Company* Aetna Foundation Avion Tequila* Byram Hills Preschool Association Barrick Gold Corporation Bank of America Cablevision Systems Corp.* Catholic Foreign Mission Society Barclays Capital Charles Komar & Sons, Inc. Hudson Terrace* BMB Foundation Cook, Young & Kei Reservoir Capital Group Brown Penny Fund David Arky Photography* Rockefeller Foundation Buckland Partners Management Co., LLC Deutsche Bank Americas Foundation Rush University Medical Center* Scanlan International* Carnegie Corporation of New York Equinox Fitness Club* Victoria Park Charitable Trust Chic Studios* Estate Agency LLC Crosland, LLC Gotham Comedy Club* $10,000 – $24,999 Diamond Club Jewelry* Grandstand Sports & Memorabilia, Inc. Catholic Medical Mission Board* E&J Gallo Winery HBO* Davidson College Evolution Painting* Deutsche Bank Fidelity Charitable Gift Fund The Hebrew Home for the Aged at Riverdale The Fifth Child Foundation General Electric Jane Mogel Interior Design* Financial Sec. Assurance, Inc. Google Matching Gifts Program Jewels of the Ocean* Fred Foundation GTL Europe Ltd Kakira Sugar Works (1985) Ltd Goldman, Sachs & Co. Harvard Business School Kiehl’s* The MCJ Amelior Foundation Hawkins Delafield & Wood LLP Open Society Institute Host Committee The Samuel J. & Ethel LeFrak Charitable Foundation Patron Spirits Company* The Huisking Foundation Lyle Foundation The Sage Foundation Irene Lau Designs* Cynthia and George Mitchell Foundation Sageview Capital, LLC JSK Consultants Ltd New York Knicks* Singita Grumeti Game Reserves* KPMG LLP Pfizer Foundation Matching University of Calgary* MacNeil/Lehrer Productions The Purchase Fund Weil, Gotshal & Manges LLP Maendeleo Foundation Room Mate Hotels* William & Flora Hewlett Foundation Manhasset High School SoHo Grand Hotel* Metropolitan Telecommunications St. John’s Episcopal Church $5,000 – $9,999 Milbank Memorial Fund St. Vincent De Paul Society, St. Helen Church Broadreach Advisors Ltd Moor Childrens Foundation The Peter & Caroline Striano Foundation, Inc. Davidson College Presbyterian Church MSDS* Suncor Energy Gridiron Capital, LLC New York Environmental Systems TC Group The Griffin* The Nickel Foundation Thomas Martin Events Macquarie Group Foundation Nuvision Medspa* VenBerg Foundation Merck Company Foundation Plastic Surgery of Southern Connecticut, LLC Visa Givingstation The Renaissance Foundation WCMC - Department of Obstetrics and Gynecology Merck Partnership For Giving SEED/Peace Corps Global Health Service Partnership* Monterey Fund, Inc. Nedbank Northern Trust $50,000 – $99,999 Pfizer Foundation Alice Shaver Foundation Taormina Sales Company Canadian Network for International Surgery* DST Systems, Inc. Matching Gifts Program W Hotel New York* Sonas Accounting Solutions* St. John’s University Starry Night Fund Triangle Equities Mgmt Co. LLC $1,000 – $4,999 The ELMA Philanthropies 3i Anchorage Advisors, LLC American Express Foundation A radiologist at Bugando Medical Centre 24 celebrating ten years of touch foundation Scott Raymond Evans Foundation Electronic Arts Aid for Africa $500 – $999 American Charities Avon Products, Inc. *Includes in-kind donations NOTE: In-kind contributions from inception to September 30, 2013. Financial contributions from inception to August 12, 2014 Blue Ridge X-Ray Co. celebrating ten years of touch foundation 25 donors and partners (continued) Individuals and Family Foundations Tanzanian Partners bugando medical centre sekou toure regional hospital One of the four largest hospitals in Tanzania, Bugando Medical Centre (BMC) is a 900-bed referral and teaching hospital in the Lake Zone region of Tanzania, serving 16 million people. BMC and Touch Foundation have worked in partnership since Touch’s inception in 2004. Sekou Toure is a 350-bed regional hospital in Mwanza City. Sekou Toure joined Touch’s Treat & Train network in 2013. catholic university of health and allies sciences One of seven medical schools in Tanzania, the Catholic University of Health and Allied Sciences (CUHAS) currently educates over 1,800 total students. CUHAS, BMC’s affiliated medical school, has worked in partnership with Touch since 2004. christian social services commission Christian Social Services Commission (CSSC) supports the delivery of social services by church institutions in Tanzania. CSSC partnered with Touch Foundation in 2004, initially serving as a liaison with local organizations for Touch’s initial studies. mzumbe university of health and allied sciences Mzumbe University of Health and Allied Sciences is located in Dar es Salaam, Tanzania. Mzumbe and Touch worked in partnership on improving healthcare management in Tanzania. 26 celebrating ten years of touch foundation sengerema designated district hospital Sengerema Designated District Hospital (SDDH) is a 300-bed Catholic hospital serving Sengerema, a district of over 700,000 people. SDDH joined Touch’s Treat & Train network in 2013. In addition, Vodafone Foundation and Touch have partnered to implement Vodafone Foundation’s Mobilising Maternal Health program at the hospital. tanzania episcopal conference The Tanzania Episcopal Conference (TEC) is the national organization of the Catholic Bishops in Tanzania. It coordinates and facilitates the education institutions owned and managed by the Church at all levels. Touch has collaborated with the TEC leaders in support of our partner institutions, including CUHAS and BMC, since Touch’s inception. tanzanian ministry of health and social welfare The Tanzanian Ministry of Health and Social Welfare (MoHSW) formulates health and social welfare policies and monitors their implementation to ensure all Tanzanians have access to quality health and social welfare services. The MoHSW endorses Touch Foundation’s mission and provides on-ground expertise. $5 MILLION + Charbel & Aida Tagher Oded Weiss & Yael Amit Christopher Keogh* Lowell & Luisa Medrano Bryan Paul & Katherine Watson Elisha Wiesel* Robert & Chris Kleinert Lynne Wheat $1 MILLION – $4,999,999 Judah & Michele Kraushaar $10,000 – $24,999 Allan & Karen Levine* Cashin Family Fund $25,000 – $49,999 Alexandre Behring Richard Lightburn Celia A. Felsher & John Cecil Dominic & Sheila Barton Christian & Amanda Briggs Jeffrey & Jane Lightcap Robert & Kate Niehaus Scott & Roxanne Bok John & Barbara Burns Vincent & Anne Mai John van Rens & Sarah Lutz James M. Brasher III & Jon Ambrose Irving T. Bush Foundation, Inc. Ned W. Massee Don & Lisa Callahan T&J Meyer Family Foundation $500,000 – $999,999 Carlson Family Foundation, Inc. Madhvi Chanrai Peeyush Misra* Thomas & Sharon Teles* William Conley* David Cielak The Moffit Family Fund* Sanford I. & Joan Weill Kevin & Dee Conway Adam Cioth & Beth Cobert Gavin & Marybeth O’Connor* Steven Denning & Roberta Bowman Frank & Mary Collins, Jr. William & Winifred O’Reilly Richard & Angela Comeau Noah & Annette Osnos Terrence & Maura Connolly The Parsons Family Foundation Francis & Ellen Coughlin Scott Pearson & Diana Farrell Kevin & Annemarie Curnin Mary Pedersen Vijay D’Silva Thomas Peterffy Ronald Daniel & Lise Scott Charles & Jan Raymond Sam Dimon Lonny Reisman Jack & Christine Edwards Philip & Emily Restifo William & Cathleen Ellsworth Charles & Diana Revson Thomas & Dolores Gahan Michael Richman* Renata & Claudio Garcia Saul Rosenberg Kevin Gasvoda* Robert & Judy Gibbons Martin & Carolina Manhusen Schwab Justin Gmelich* Gavin Simms & Sarah Gray* R. David & Pam Sprinkle $100,000 – $499,999 Dennis & Eileen Denihan Jane Fraser & Alberto Piedra Robert & Elizabeth Jeffe Louis & Kathleen Le Jacq Malcolm & Carolyn Wiener $50,000 – $99,999 Daniel & Maureen Cahill The Clinton Family Foundation David Coulson & Margaret J. Holen* Juan & Lorena Ferrara Claudio & Tânae Ferro Andrew Fisher Leonard & Geraldine Genovese Arthur & Elisabeth Golden Fred & Sarah Hahn James & Claudia Joyce Thomas J. Kenny* John F. McCartney Asheet & Kirtna Mehta Fr. Carl Meulemans Dolf & Josephine DiBiasio Bob Meyer & Terri Edersheim Richard DiCicco Bruce & Elizabeth Miller Mbago Kaniki & Davine Davids Jeffrey & Jacqueline Morby Steven & Patricia Kelmar Lawrence Plover & Toni Saychek Rolando & Monica Gonzalez-Bunster David & Rita Kirby Robert & Karen Porter Gary & Nancy Goodenough The Daniel and Nanna Stern Family Foundation The Georges and Claire Mabardi Foundation Urvesh & Aditi Rajani Judith Hazlewood Michael Steven Swell* Mark & Monika Riely Healey Family Foundation The Tierney Family Foundation Vikram & Mary Malhotra Robert & Barbara Mullin Rosiello The Conrad N. Hilton Foundation Regi Vengalil & Payel Vengalil James McNamara* D. Gregory & Judith Anne Horrigan Diodato & Karen Villamena Salim Ramji & Parisa Jaffer The John H. & Dorothy M. Scully Trust Alan & Frances Tietjen Wiener Marco & Fernanda Spinelli Craig & Tracey Huff Michael & Juliet Patsalos-Fox Andrew Wilson* Don & Karen Waite John & Kelly Ivanoski Ted & Vada Stanley Frederick, II & Abbeline Wyman Peter & Francine Walker Doug & Sharon Karp Jack Stephenson John & Maureen Kenlon celebrating ten years of touch foundation 27 $5,000 – $9,999 John Herbert & Patricia Gauvey Kevin & Kristie Smith Peter & Fay Bisson Kimberley Sockwell Davis Daniel Fisher Christopher Hoffmann Jill Kowal & William Benjamin Ali Ahsan Elizabeth & Frank Ingrassia Family Foundation Sergio & Ana Paula Spinelli Thomas & Michelle Blair Hamid Daya Jarad Fisher Chris & Jean Hogan Ida Kristensen Jurek Antoszewski Craig Stewart Claudia Bonnist Ruth De Backer Alan FitzGerald Richard Hogg Alok Kshirsagar & Swati Apte George W. Banks Julius & Joan Jacobson Zubin Taraporevala Mairtin & Berdie Brady Alex de Jonquières Michael Fleming Rosemary Hogg John & Deborah Kucharczyk Michael Barrett Raza Jafar Ali Colin Teichholtz and Stella Um Stephan Braig Michael & Evelyn de Quadros Holly Fogle Robert W. Hoke Dheeraj Kunchala Bialkin Family Foundation Bhulo Kansagra Paul Tudor & Sonia Jones Thomas Brennan Monisha de Quadros Michelle Forrest & Alastair Cairns Richard & Wendy Hokin Ross Kutisker-Jacobson David Blood Raj Karia Jeffrey Verschleiser* Sally Briggs Kenneth de Regt Michael & Dorothy Freeburg John Hourihane Philip & Madeline Lacovara Peter & Jill Borst* Leo, Jr. & Katherine Karl Barraud & Lynne Watson Brad Brown The Friedman Family Foundation Tony Howell David Langdon Adam Bow Roger C. Kline Donald Wiesen Craig Brown Michael and Susan Dell Foundation Donald Gabay William Howle Kathleen Le Jacq Kevin Brine Harlan & Amy Korenvaes Benjamin Wright Drew Brownstein Richard M. DeMartini Dominick & Lynn Gadaleta Hanneli Hudock Peter Le Jacq, MM Michael & Ruth Broderick Steve Lackey Judy F. Zankel Deborah B. Bryan Donald & Deirdre Denihan Mark Gallogly Brian & Laura Hull Christopher Leech Kevin S. Buehler Eric Lane* Anthony Calenda Michael C. Denihan John & Vera Gardell Delos A. Humphrey, MM Luis Felipe Dutra Leite Clare Byrne Josh Link Byron & Allie Callan Richard Denihan James Jr & Margery Garnett Benjamin Hunter Peter & Diane Leverich Raymond G. Chambers Mahony Philanthropic Fund $1,000 – $4,999 Charles & Kathleen Carey Robert Deutsch Wayne & Valerie Gattinella Chris Hussey David Levin Roger Coleman The Masin Family Foundation Joseph Abboud Christine Carmody Peter DeYoung E.E. & Victoria Geduld Douglas Hymas Michael Levy Michael Conway The Charles A. Mastronardi Foundation Frank & Monica Abenante Thomas & Judith Carroll Michael DiBiasio Vincent & Linda Geoffroy Ilias Iliopoulos Romain Levy Aaron Aboagye Bill Casazza Louis DiCerbo II Christina Gibb Alexander Ince-Cushman Robert & Susan David Lewin Feby Abraham Kaushal Challa Brian Dineen David & Patricia Gibbons Valentina Isakina James & Paula Liang Shantanu Agrawal Jeremy Cherry Thomas & Kathy Dodge Janna Davidson Gilbert David & Lisa Issroff Michael Liewen Lenny Mendonca Russell & Marilyn Albanese Frank A. Chervenak Richard Donelle Steven & Anita Gilbert Martha Jeffrey Jim & Cricket Lockhart Johnny Miller Zack & Anne Alcyone Frank Chu Michael & Hanne Donovan Leslie Giordano Brian & Ann Jennings Robert E. Long, Jr. Ellen Murphy Mitchell & Kathleen Alden Timothy & M. Celeste Cole Richard & Barbara Donsky John & Patricia Glynn Mark & Laurie Johnson Teri Longacre Joseph & Fran Murphy Kathryn Alford & Angus O’Shea Stuart Coleman Richard & Katherine Drago Christopher Golden Warren & Barbara Johnson David Lowden Kevin Murphy Peter Allen Alvin Concepcion Christina Ducharme The Goldstone Family Foundation Dixit Joshi Stephen I. Lucas Osman Nalbantoglu Herbert & Simin Allison Kevin & Mary Connolly Theodore & Marea Dumbauld Steven & Elizabeth Goldstone James & Mary Judge Eugene & Carol Ludwig Ajeeth & Srivast Narayan Aser Rodriguez Alvarez Ronald & Suzanne Connors John Dyon Alastair Green Steve & Phyllis Justus Larry & Victoria Lunt Frederic & Cortney Nauck Colin & Katie Anderson James Jr. & Dolores Conway Alexander Edlich Peter & Beth Greene Joann Kalaka Ian Lutz Thomas D. Nerney Bruno Annicq Mike & Leslie Conway Blair Effron Vartan Gregorian Peter Kavanagh Sally Lutz Joseph & Lesley O’Connell Lacoste Aude Carol & Raymond Cook Oliver Engert John & Laura Rutledge Grimes Allyson Ke Marshall & Karen Lux Alex Ong Jonathan & Jessika Auerbach Willard Cook & Lisa Paolella Gary D. & Dao Nguyen Engle Donald W. Gross William Keller Kevin & Diana Mahaney Richard Ostrander & Raj Seshadri Byron Auguste & Emily Bloomfield Robert & Susan Cotter Matthew Engler The Hajim Family Foundation Brian & Gail Kelly Lionel & Catherine Mailloux Craig & Nancy Overlander Thomas J. IV & Karen Aylward Robert Craddock Melvin & Rachel Epstein Ed & Anita Hall The Kathleen Kelly Trust George & Kathleen Malhame Richard & Laura Parsons Charles & Linda Aysseh David Crampton Ahmet Onur Erzan Beverly S. Hance Lee S. Kempler & Allison Pease David & Marylin Malkin Robert & Laura Pavlovich Jim & Susan Azzarito Alberto & Raffaella Cribiore Philip & Erika Farese Thomas & Laura Hanley Emily Pfahler Paul & Penny Curnin F. Mark Fariborz Bruce Hanrahan Thomas Kempner Jr & Katheryn Patterson James Mandel Christian Barker Barnet & Sharon Phillips Joanna Barsh Thomas & Brenda Curnin Andrew & Pamela Farley Andre & Hillary Haroche Somesh Khanna David Mann Matthew Pruitt Michael & Mwavisu Beasley Christopher & Joanne Daly Peter & Molly Farnsworth Michael & Teresa Haskett Stephen Klar & Janice Gross Brendan Manquin Richard & Ellen Richman Tracy Beechey Kevin & Cathy Dann Barbara M. Federowicz Douglas Haynes Robert Kligerman Stephane & Camille Mantelin Thomas Ryan Donald Bendernagel & Sally Brazil Andrew & Ellen Dannenberg Jose Feliciano Lynn Heilig Byron Knief Mutuma Marangu Robert Schiff & Harper Matheson James Bernard & Effie Han The DaPuzzo Family Foundation Bernard & Linda Ferrari Joseph & Candace Kolars Jacqueline Mark Leo & Diane Schlinkert Andreas Beroutsos & Abigail Hirschhorn Bruce V. II & Debbie Darden Peter & Luann Ferrari Benjamin Heineman & Christine Russel Daniel Kolb Alexandre Martinez Eric David & Lacy Crawford William & Mary Beth Fessler Edwin & Helen Hetherington Charles P. & Elizabeth Kontulis Sam Marwaha David Bevan Robert & Lisa Davies Ronald Finiw & Marisa Lago Tom & Meaghan Hetherington Yan Kors Joseph & Elizabeth Masci Chris Davis Kevin & Maryellen Finnerty Peter Hinson George & Sanjana Koshy Marco Masotti & Tracy Stein Barbara W. Cook Laura Corb Christopher & Ann Creed* Andrew Crichton Thomas & Miriam Curnin Christopher and Amy D’Annibale Francis & Anne Darcy Toos Daruvala Ian Davis James & Anne DeNaut Matthew DeNichilo Doris Denihan John & Judy Donnelly Joseph & Judy Donovan Emma Dorn Bernard & Tracy Dowd Andre Dua Brian Elliott Daniel Ennis Glenn Forman Anna Gannon Antonio & Anita Gotto Janet Grace Ezra Greenberg Gupta Family Foundation Margarita A. Hammond Jeanne Hardy-Sloan William & Anne Harrison Elizabeth McCaul William B. McGuire, Jr. Family Foundation Jules Seeley James & Nancy Shifren John & Pamela Shilling 28 celebrating ten years of touch foundation Michael & Chris Zimmerman Avner & Esther Bezborodko Vani Manja & Russ Ewing celebrating ten years of touch foundation 29 Henry & Lisille Matheson Harrison & Margaret Pierce Jeanne Short Cynthia Vanneck Bob Bentley Kim Crew Joseph & Biagina Fonti Timothy P. Higgins Richard & Diane Mayberry Ronald Piervincenzi Rebecca Silver Ruben Vardanian Andrea Berchowitz Antony & Cecilie Cruger Andras Forgacs Russell Hilliard Frederick McCarthy & Patricia Karam Philip & Polly Pope Richard & Vivienne Silver Jerome Vascellaro Eliana Betancourt Gail Cunningham Michael Fox Chelsea Hochstin Babak Poushanchi Pablo Simone Cathie Currie Liz Frank Stephen Hoge & Molly Yancovitz Herbert & Lori McCooey Paul Veith Anthony & Marie S. Bianco Vince Pribble James Simons Hugh Verrier Mary Bladel John & Stephanie Dains David & Mika Frechette William & Mary Hollyer Mary McDermott William & Heather Prince Spyros & Victoria Skouras Renee Bomchill Alexander D’Amico Zachary Fuchs Anita Houston Steven & Patti Ann McDonald Christian Walsh Gunnar Pritsch Chad Slawner Kevin & Donna Wang James Bragg Mirna Daouk Kale Gaddy Kyle Howat James McGovern Seth & Lisa Slotkin Howard & Anne Ward Barbara Brennan Ryan Davies John Galbraith & Brooke Barrett Gray Hudkins Kerri McNicholas Nicholas Prouty & Valantina Whitlock Gordon & Helen Smith Felipe Dawes Amit Garg Emily Inouye Marc Mezvinsky & Chelsea Clinton Alfred Purrington Iain D. Ware David Brinton Kevin Sneader Mitchell Denburg John Genovese Matthew & Elizabeth Janiga Percy R. IV & Alison Pyne Seth & Sheila Waugh Melvin & Linda Brosterman Gregory Michnikov Maria Sodini Charlotte Brown Daniel & Kathleen Denihan Jeffrey & Meredith Gibbons Emily Johnson Alexa Miller Leslie III & Eileen Quick David & Ji Eun Wax Bal Sohal Melanie de Quadros Juliet Glennon Rajive & Indrani Johri Patrick & Marjorie Quinn John & Anne Weber Amy Budinger Timothy & Theresa Miller Pam Solo Samuele Butera Glenn & Virginia DeSimone Frederick & Linda Gluck Kenneth Kabat Jean-Hugues Monier Lucia Rahilly Mark Weidman & Dana Kirchman Jordan Solomon Guy Dimaggio Vijay Goel Timur Kalimov Burke Montgomery Leon Rawlings Lois Weinroth Susan Cahn Emilio Sosa Basil & Elizabeth Donnelly Heitor Goncalves & Liliana Kawase Kevin Kallock Ian & Lise Reddin Leigh Weiss David & Maria Eugenia Campagna Caroline Morgan Ronald Sostaric & Jennifer Gruber Lisa Carnoy Sarah Donovan Mendy Gonzales Larry Kanarek J. Tom & Carol Morgan Stephen Redwood The White Family Charitable Fund Aly Spencer Peter Dopsch & Alison Lowy Malcolm & Louise Goodridge Robert & Linda Haase Kane James & Mary Regan Andrew Whitehouse Casey Cassidy Peter & Marie-Therese Moyer Kevin Steen Robert Catell James & Lynn Dowd John F. Gordon Illan Karak Luis Nario Noeli & Silvio Reichert Veronica Whitlock Andreas Stenbeck Vincent Dowling Frances Gormley Jared Katseff Thomas & Jackie Nastos Thomas Reid Ronald Williams Aida Causevic Sophie Stenbeck Patrick Doyle Joan Gourin James Kaufman Matt Renirie Gregory Wilson Ines Cavaco John & Carol Ann Navratil Lise Stolt-Nielsen Lawrence & Jeanne Ceriello Washington Dutra Marjorie Grace Keith Kearney Timorthy Neher Jason Rico Matt Wilson Claudio Storelli James Kelly Carol Storey-Johnson Tim Dwyer John & Antonina Grazioli James Keneally & Alyne Diamond Kazuhiro Ninomiya Michael Robson Kevin & Janice Wulwik Carlos Eduardo De Souza Cerqueira Michael Graif Curtiss & Leslie McShane Roach Edward Woodcock Damien Dwin Patrick Ngan Sara Strang Saira Chaly-Burgess David Patrick Eich Andre Gregory Cynthia Kim Frank Noto Juan Rosas Rodrigo Dana & Mary Streep Martin Elling Leo Grepin Yong Sook Hahn & Myung Kim Christine Nounou Stanley Rohrer Amir Zamani Alda Chan Jon Stryker R.V. Paul Chan Monica Endy Jason Griffith Ann Marie Kinberg Adesunloye Obatoyinbo Charles Roxburgh & Karen Pierce Michael Zea Angus Sullivan Mark & Anelise Engel Kevin & Mary Ellen Grimm William King Robert & Patricia O’Brien Donald & Shelley Rubin Gregory & Jacquelyn Zehner Daniel Chao Thomas & Margaret Sweeney Gustave Chappory John & Margaret Ennis Michelle Grobman Cindy Kleine Philip Ogren Tracey Ryan Louise Tait Richard M. Zuckerman & Linda Yowell Francis Chen Brenda Erskine Joseph Robert & Mary Gross James Kloppenberg Colleen O’Hora Marilyn Chinitz-Pozzi Thomas O’Keefe The Richard Salomon Family Foundation Emery G. & Barbara Olcott Lydia Sankey Warren Olsen David Scannell Patrick H. O’Neill Rick Schlesinger Susan O’Shea David Schoeman Bernardo Paiva Charles & Malissa Schwartz Michael & Julia Papa Vanessa Selbst Joseph Pappano Nadine Seltzer Greg & Amanda Heron Parsons Ishaan Seth & Neda Daneshzadeh Nehaben Patel Edward & Joanne Shapoff Elizabeth Pavlovich Deepak Sharma Lasse Nymand Petersen Raghav Sharma Nicholas Petraglia Ryan Shaughnessy Peter Pfeiffer Tariq Shaukat 30 celebrating ten years of touch foundation Thomas W. York, Jr.* Victoria Ervin Peter Groves Charles Knight Paolo Timoni $500 – $999 Kelvin Cho Michael Espiritu Vincent Gubin John Knight Eric Tollefson Robert Abrams Andrew Chomer Paulo Esteves Beatriz Hajjar Thomas & Kathleen Knight Charles Tollinche Amichaim & Rachel Abramson Andrew & Jenny Chow John Ettinger Raymond Hakimi Doug Kreeger Paul A. & Eileen Toretta Amit Agarwal Tim Chow Robert Farrior Gregory Hall & Candace Killam Mark & Brett Kristoff Charles M. Trunz III Najla Almidfa David Chubak Sherrie Feinstein Scott & Alissa Hartman Harpal & Benita Kumar Ken Tsang C. Arora Colette Clancy Mary E. Feloney Ronan Harty Pooja Kumar Daryl Tulimieri Nicholas Babaian Nhickolle Clayton John & Maureen Ferrari Judith Harvey Samuel & Deborah Lashlee Richard Ung Anthony Baldino Cece Coffin Ramez Fiani Elinor M. Hayes Casper & Jo Lawson Robert & Ruth F. Vagt John & Mary Anne Bates Abby Joseph Cohen Hugh & Peggy Finnegan Bob & Shelley Heinemann Norton Lazarus Theodore Van Beuren Patrick & Hombeline Baugier Adrianna Cohen Richard & Pamela Fisk Edward & Angela Henderson Anthony Lee William & Ann Van Ness Kelly Beechey Joel Cohen Matthew Fitzpatrick Nelly Henein Christine Lee Mark Van Wyk & Susanne Forsyth Michael Benevento Susan Colotti Edgar M. Fitzsimons Jr. Scott Herrick John Lee Christina Vanderlip Burton Benjamin Paul Consiglio Robert Hewlett Nicholas Lee Jordan & Jane VanLare James Benkard Christian & Jeanne Corin J. Christopher Flowers & Mary White Kate Heyer Thomas Leddy Patrick Thomson celebrating ten years of touch foundation 31 Paul & Judy Leonard Melody Tsung Wen Ngan Rafik & Hannah Saddeek Gregory VandenBosch James Li Anne Nymand Pedersen David Sadler Luis & Gisela Vergara Lisa Lillie Charles John O’Byrne Ronald Safran Kent & Kathlyn Vilendrer Monica Logani Carmen Hooker Odom Christie Salomon Sommer Wagoner Eleanor Lorig Chika Okereke Sunil & Shabnum Sanghvi Dina Wang Nick Lovegrove Keith & Kimberlee Overlander Mark & Mary Sauvigne Matthew & Saranne Warner Thomas & Janice Luddy Stephen Owens Furio Savone Anne Waters Olivia Lundberg-Carr Jon & Katie Owsley Harold Schaaff Allen Weinberg Matthew Lusins Ritankar Pal Ronald Schiferl Richard Weinberg Dennis & Marcia Lynch John & Laura Papa Bob & Sue Ann Schiff Lee Wells Charles Mack & Patricia Fogarty-Mack Carl Pate & Beatrice Gavin Bruce & Susan Schneider Sophia Widjaja Harish Patel Seth Schuler Jane Williams-Vale Betty Mah Joanne Pearson Ron & Lauren Segal Kathryn Wissel Renata Maia Steven Peck Spencer Segura Danny Yagan Aamir Malik Jay Penske David & Stacey Seldin David Yates John Malysiak Jose Rubens Pereira H. Richard & Adeline Seltzer Dennis Yu Avery Manchester Jacqueline L. Perlman Dan Senor & Campbell Brown Joseph Zarella Mark & Susan Manley Kaia Peterka Dhiren & Katie Shah Gregg & Mariko Zeitlin Robert Marks Elliot Peters Michael Sherman Ariel Zucker Andrew & Paula Martin Andrew Petitjean Myron Shurgan Michael Mathieu Josephine Phelan Venetia Simcock David Maue Andrea Phipps The Simmons Family Foundation James Maund Brian Pike Timothy Simons *Donated through Goldman Sachs Gives Robert & Catherine McBride Gayle Pritchett Angad Singh Stephanie McCavitt John & Elizabeth Procaccino Emily Slota Vincent & Kathleen McGill Jesse Pujji Mary Olive Smith NOTE: In-kind contributions from inception to September 30, 2013. Financial contributions from inception to August 12, 2014 James & Patricia McGivney Adeel Qalbani Jerome Snider Thomas III & Patricia McGrath Jacques-Olivier Quilghini Nicholas & Claire Sotell Janice McKie Lavanya Radhakrishnan Willow Stelzer Kevin McLaughlin Paul E. Raether Destiny Stenbeck Mark McMillan Lewis Ranieri Hugo Stenbeck Denise Meismer Wendell & Kathryn Rawls Archie Stroh Leonardo Melo Frank Resnick Chris Stroup Jon Mensing Scott Resnick Nicholas Tagher Thomas Mercer Edmund & Annemarie Resor Andrew Tarnell Edward Miller Elizabeth Retz Rowan & Julie Taylor Brian & Mary Moran Martha Rhein Hiten & S. Thakrar Ignacio Morillas James Roberts John & Susan B. Thompson Eugene Moy Laura Roosevelt Timothy & Kathleen Thornton Estomih & Elizabeth Mtui Lawrence Rosenthal Conor Tochilin Thomas & Rosemary Mulligan Peter & Kathleen Rozsa Roger Torda & Kathleen Sullivan Katie Murphy Lou & Gina Ruedebusch Sarah Turner Rahul Nand Anne Ruiz Michael Van Beuren Dilip & Aruna Navapurkar Craig Russell & Pamela Jones Reginald Van Lee 32 celebrating ten years of touch foundation We extend our heartfelt gratitude to all of our donors and partners for a decade of exceptional support Our work is made possible with the generous support of the American people through the United States Agency for International Development (USAID). The contents of this document are the responsibility of Touch Foundation and do not necessarily reflect the views of USAID or the United States Government. celebrating ten years of touch foundation 3 Touch Foundation, Inc., P.O. Box 1420, New York, NY, 10150 T. (212) 351-0721 F. (212) 351-0864 www.touchfoundation.org Touch Foundation, Inc. is a 501(c)(3) public charity organized under Connecticut State Law. As required by federal law, Touch Foundation retains discretion and control over all contributions received in support of its grants to foreign charities. A mother and daughter walk outside of Sengerema Designated District Hospital