2014 Annual Review - Amref Health Africa

Transcription

Amref Health Africa UK
Sauti ya jamii – Voices from the community
2014 Annual Review
© 2015 Amref Health Africa UK
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Amref Health Africa UK | 2014 Annual Review
Thank you for your support
Board
Gautam Dalal (Chairman)
Ian Gill
James Murray Grant
Dr Josephine Ruwende
Katy Steward
Liam Fisher-Jones
Paul Davey
Sally James
Sue Hunt
Sub-Committee members
Alistair Smith
Anne O’Brien
David Jackson
Justine Frain
Mark Dickinson
Corporate Partners
Bryan Guinness Charitable Trust
The Chalk Cliff Trust
Charities Advisory Trust
Comic Relief
The Clumber Charitable Trust
The Dulverton Trust
Emerton Christie Charity
The Family Reach Charitable Foundation
The Gilander Foundation
The Golden Bottle Trust
The Hermitage Charitable Trust
The Lord Deedes of Aldington
Mainhouse Charitable Trust
Martin McLaren Memorial Trust
Michael and Anna Wix Charitable Trust
Miss K M Harbinson’s Charitable Trust
The N Smith Charitable Settlement
Nominet Trust
The PF Charitable Trust
The Paget Charitable Trust
The Pennycress Trust
Peter Storrs Trust
The Prince of Wales Charitable Foundation
The Rainford Trust
Rest-Harrow Trust
Somerset Local Medical Benevolent Fund
Stephen Clark 1965 Charitable Trust
The Tory Family Foundation
Souter Charitable Trust
St Mary’s Charity Trust
The Sylvia Adams Charitable Trust
The Vernon Educational Trust
Accenture Foundation
Allen & Overy
AstraZeneca
Bart Ingredients
BBH
Capacity Media
Daily Mail and General Trust
Diageo
Euromoney Institutional Investor
GSK
Orbis
Opal Foundation
Simmons and Simmons
Somak Holidays
UBS Investment Bank
ViiV Healthcare
Williamson Tea
All Saints Church Hale Barns
Wolfson College
Women4Africa
Young Fabians
Institutions
Individuals
Department for International Development
European Commission
Jersey Overseas Aid Commission
Adam Williams
Adebusuyi Adeyemi
Alexander Wilson
Alison Warner
Alistair Boyd
Alistair Smith
Annelise Dearden
Aseer Akhter
Attila Katona
Caroline Franks
Catherine Hampshire
Trusts and Foundations
A and E Education Trust
Allan & Nesta Ferguson Charitable Trust
AP Bartleet Trust
The Austin Bailey Foundation
The Batchworth Trust
Big Lottery Fund
Community Partners
Charles Fitzherbert
Chris Winnington-Ingram
Christopher Lethbridge
David Finnegan
David K Brewer
Derek Fouche
Elizabeth Wilmshurst
F H Hodgson
Florencio Cabrera Fernandez
Garth C Edward
Gautam Dalal
Gemma Armes
Griselda Kumordzie Togobo
Jane P Harington
Jane Swain
Jeremy J Davy
John Pool
Jonathan Davison
Judith Wright
Justin Wooldridge
Karen Jaques
Les Berry
Lynn Corr
Mark Brooking
Mark Rushbrooke
Matt Donnelly
Michael Bosworth
Mike R Cowley
Murray Grant
N G Browning
Nathan Danby
Nicky Blundell-Brown
Nora Wright
Philip Edwards
Robin Asbury
Sally Crawford
Sally Poltimore
Samara L Hammond
Stephen Brenninkmeyer
Tim Moore
Tom Geraghty
Zoe Lawrence
Volunteers
Anne-Louise Vernes
Camille Orsoni
Emily Hull
Emma-Kate Jackes
Filmawit Kiros
Olivia Boyle
Paris Baker
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Contents
04
Foreword from
His Royal Highness
Prince Charles
06
Introduction from
Miranda Harington
UK Country Director
08
About us
12
Where we work
14
Voices across Africa
22
Financial
highlights
© Orbis
www.amrefuk.org
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In Africa
3% of the world’s health
workers are fighting one
quarter of the world’s
disease burden.”
5
Foreword from
His Royal Highness Prince Charles,
Patron, Amref Health Africa UK
www.amrefuk.org
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An introduction from
Miranda Harington
UK Country Director, Amref Health Africa
When a team of three reconstructive surgeons
started Amref Health Africa 60 years ago,
it was in urgent response to an unmet need.
The premise was simple: if patients couldn’t
get to them, then they would get to the
patients. Almost six decades later, what
began as Flying Doctors has grown to
become one of Africa’s leading healthcare
development organisations – one that over
its history has touched the lives of 31 million
African people. Today, I am immensely proud
to represent that organisation here in the UK.
I never fail to be inspired by the work
and scope of Amref Health Africa, and
by the determination of our teams
across the world to pioneer new
solutions to long-term health
challenges. From aeroplanes to mobile
technology, we use the tools of our
time to tackle the root causes of
poverty and disease, making sure that
public healthcare can truly meet the
needs of the public.
That’s our bottom line, because
underpinning each and every one of
our programmes lies an unwavering
belief and commitment to the people
our programmes are designed to
support, those living in some of
Africa’s most remote and vulnerable
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underpinning each and every oneof our
programmes lies an unwaveringbelief and
commitment to the people our programmes
are designed to support.”
communities, often where nobody
else is able or willing to go.
At Amref Health Africa we believe that
lasting health change starts with the
community – they must not be
overlooked. Communities are the very
foundation of public health systems.
They are the first step, the voice that
both inspires and demands change.
It is through this communal voice
that this year the UK has funded
projects targeting more than 700,000
people across three countries,
with our GSK 20% reinvestment
programme reaching a further
5,000 health workers across
12 sub-Saharan countries.
Whether the expectant mother and
father in Ethiopia, who are learning
how to protect their unborn child
from the threat of HIV, or the health
volunteer in Kenya building critical
skills through the use of a mobile
phone, Amref Health Africa is with
them every step of the way.
Asante sana!
Miranda Harington
Together we have a powerful voice.
This year we want to share those
voices with you – because they are
Africa’s health heroes, and theirs is a
story of change, empowerment, and
the future. And because these are
the stories that you, as a supporter
of Amref Health Africa, have helped
to write.
www.amrefuk.org
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About Amref Health Africa
Amref Health Africa is one of the leading healthcare development
agencies on the continent. Since 1957, we have been working with
the most isolated African communities to achieve lasting health
change in more than 35 countries.
Headquartered in Nairobi, we are a truly African
organisation. This ethos defines our community-based
approach and echoes across each and every one of our
programmes and projects we deliver.
Amref Health Africa began as the Flying Doctors of East
Africa, but today we deliver a range of preventative,
community-based public health services. With a focus
on women and children, we also manage a full range of
health programmes that tackle some of the most critical
challenges facing Africa today: HIV & TB, malaria, clean
water, sanitation, and surgical and clinical outreach.
As Amref Health Africa has grown and evolved, so too has
our commitment to strengthening the very foundation
of public health systems. We believe that the power of
lasting health change lies within its communities.
That’s why we work side-by-side with the people living
and working in those communities to build the knowledge,
skills and means to transform their health. And that’s
why we are committed to training thousands of health
workers every year. We are there to catalyse the hidden
but real energies.
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Themes we address
Women &
child health
Training health
workers
Malaria
HIV & TB
Sanitation
Water
www.amrefuk.org
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Our promise
To improve the lives of disadvantaged
people in Africa through better health
To bridge the gap between communities,
health systems and governments
To be a leading force for advocacy for
health system reforms in Africa
To be a leader in the NGO community,
developing and documenting best
practices and training programmes
In 2014 Amref Health Africa supported more than
172 projects across 26 countries
– a step that in the last three years touched the lives of more than
31 million people
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Our strategic priorities
2014 headline achievements
• In 2014 Amref Health Africa UK
funded 22 projects across
13 countries.
01
Making pregnancy safe and
expanding reproductive health
02
Reducing morbidity and
mortality among children
03
Scaling up HIV, TB and
malaria responses
04
Preventing and controlling
diseases related to water,
sanitation and hygiene
05
Increasing access by
disadvantaged communities
to quality medical, surgical
and diagnostic services
06
Developing a strong research and
innovation base to contribute to
health improvement in Africa
07
Creating a strong, unified
global Amref Health Africa
• Our flagship programmes in Ethiopia,
Kenya and Tanzania are working
together to transform healthcare
for a potential 737,520 people.
• Of these, 207,844 are children
and 308,742 are women.
• As part of the GSK 20% reinvestment
initiative, we are also supporting the
training of 5,000 health workers
across 12 sub-Saharan countries –
bringing critical public health
services to thousands more
women, men and children.
• We designed four new projects in
partnership with Big Lottery Fund,
Comic Relief and Jersey Overseas Aid
Commission to launch in Kenya,
Tanzania and Uganda in 2015.
• We featured as beneficiaries for the
BBC Radio 4 appeal, narrated by
screen star Jenny Agutter.
• Launched our first ever summer
‘Nyama Choma’ fundraising
campaign in the UK.
www.amrefuk.org
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Where we work
Sudan
South Sudan
Senegal
Gambia
Sierra Leone
Liberia
Ghana
Nigeria
Rwanda
Cameroon
Burundi
Angola
Key
Zambia
Flagship Amref Health UK projects
Namibia
Additional countries where Amref Health Africa operates
UK-supported partnership projects with pharmaceutical
company GSK, with a ‘20% reinvestment programme’
Swaziland
(A) Amref Health Africa global office locations
HIV/AIDS
Women &
child health
Water
Human
resources
Sanitation
Surgical
outreach
Botswana
Malaria
Lesotho
South Africa
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Uganda
Amref Health Africa, UK funded programmes
Ethiopia
No. projects: 4
Country Director:
Dr Florence Temu
Target beneficiaries: 501,959
Funds: 32%
Specific health themes:
‘When their partner hands
them our invitiation care for an
antenatal appointment, men
look at them and think ‘now I
can see that nurses are taking
me seriously’, and so they
happily come to appointments’.
Sirgut Fissha, Antenatal Nurse
Djibouti
Somalia
No. projects: 5
Funds: 34%
Kenya
‘If it hadn’t been for Amref
I would be dead. I could not
bear the stigma any more.
I had reached the point
where I could not go on’.
Caroline Ngina, mother
Interim CEO: Dr Lenny
Bazira Kyomuhangi
Tanzania
Country Director:
Dr Festus Ilako
Malawi
No. projects: 1
Funds: 6%
‘After eight years working for
Amref Health Africa I continue
to be driven by the positive
affect our work is having on
the lives of Tanzanians in
need of better healthcare.’
Dr Amos Nyirenda,
programme manager
Zimbabwe
Madagascar
Mozambique
Amref Health Africa UK is one of 11 Northern
fundraising offices. With our headquarters based
in Nairobi, we are a truly African organisation,
with the ambition of bringing better health to
those living in some of the region’s poorest and
most remote communities.
www.amrefuk.org
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Voices across Africa
Working on the ground to
combat malaria has given me a
better understanding of the real
health needs of rural Tanzanians.
I now look at those living in
remote areas as very special
people who deserve to be a high
priority in any health planning.”
Dr Amos Nyirenda
In Tanzania, malaria is responsible for more than one third of child
deaths. Pregnant women are at particular risk, as it reduces a woman’s
immunity to the disease. For those living in the country’s most rural
communities, a lack of basic healthcare, and the health education that
comes with it, means that malaria outbreaks are commonplace.
Dr Amos Nyirenda understands the impact of the disease
far too well. After 12 year’s working as a doctor, diagnosing
and treating patients, he has seen more than his share of
malaria cases. But he has also seen the impact a strong
public health service can have in preventing and
controlling the disease. Here something as simple as a
treated bed net, or an understanding of symptoms and
treatment options, can quite literally save lives.
‘After working for almost 12 years as a doctor in clinical
settings treating patients, I wanted to help prevent some
of the devastating diseases that I had spent my career
trying to treat.’
Today Dr Amos works as the Programme Manager for
Amref Health Africa’s Clinical Diagnostics Programme.
Based in Tanzania, our team is working to educate
communities on malaria prevention by training local
health workers and supporting the delivery of outreach
work and village health campaigns. Our teams will
use everything from billboards to wall murals and
drama groups to help deliver these important public
health messages.
‘Since I started working for Amref I’ve seen positive changes
in Tanzania in the fight against malaria. The management
of malaria has improved due to health workers receiving
the right training. The disease is being diagnosed faster
through the use of rapid diagnostic tests, more people are
sleeping under mosquito nets and sanitation has improved
resulting in fewer breeding sites for mosquitoes.’
But Dr Amos’ work isn’t done. His work with the Amref
Health Africa team strengthens his conviction in the role
of public health – and public health systems – in meeting
the needs of communities across Tanzania, no matter
how remote.
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Caroline Ngina
In Kenya, one in four young girls
bears children before the age of
18. But Caroline Ngina was just
12 when she first gave birth.
She was in labour for three days.
Her body – too young for the task demanded of it –
was simply not developed or strong enough to deliver
her child. The labour was obstructed and with no
access to professional medical support, Caroline’s
baby did not survive. Caroline herself was left with one
of the most debilitating and traumatic complications
of childbirth: fistula. A condition almost unheard of in
the West, almost two million women across Africa
suffer from the double incontinence that not only has
debilitating physical effects but that also carries with
it the burden of stigma and social isolation.
‘I just wanted to die. No one wanted to see me.
If I went anywhere I had to carry a heavy bag of rags
on my head and change them every hour to soak up
the leaking. I suffered regularly from infections and
sores. Just walking was painful.’
Carrying her secret with her, Caroline became a
housemaid and fled to Nairobi. It was here that she
first learned about the work of Amref Health Africa,
and our dedicated team of surgeons that travel round
Kenya bringing surgical outreach – and hope –
to thousands of women like Caroline.
A routine operation to repair obstetric fistula costs just
$300, but thanks to the work of Amref Health Africa,
women like Caroline don’t have to pay.
Caroline is now 24, married, and mother to two healthy
baby boys. She hopes that in the future she will be
able to give them a sister.
I felt like I was born a second
time… If it hadn’t been for Amref
I would be dead. I could not bear
the stigma any more. I had reached
the point where I could not go on.”
Amref Health Africa’s surgical outreach
programme operates across East Africa.
This year 1,700 people like Caroline are
benefitting from operations delivered through
this programme. Caroline’s story was featured
in this year’s Times Christmas Appeal – you can
read the full article on the Amref website.
www.amrefuk.org
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Ikiru Echwa
Every 30 seconds a child
like Ikuru dies from malaria.
But thanks to the quick response
of the Amref Health Africa team,
it didn’t take long for his
condition to improve.”
Ikiru Echwa is two years old. He lives in Attir, a small village in the
Turkana region of Northern Kenya. More than 80% of the people
living in this area are nomadic pastoralists, migrating across the land
in search of grazing pastures. One of the country’s most remote and
isolated areas, public health services here are almost non-existent.
For Ikiru and his mother Nancy, so-called ‘local’ health
facilities are dangerously inaccessible. This doesn’t just
make the accessing of physical healthcare services a
challenge, it also means that women like Nancy are denied
even the most basic health education. That’s why, when
Ikiru started showing signs of a fever, Nancy chose to stay
with him in Attir. She simply didn’t recognise the symptoms.
But Ikiru’s condition got worse. His temperature rose and
he refused to eat. He also developed a wheezing cough
and diarrhoea – conditions which can quickly become
dangerous for young children like Ikiru. Fearing for her
child, it was then that Nancy decided to risk the journey
and travel to Letea in search of care and support.
It was in Letea that Ikiru and Nancy met a team of
community health workers, trained by Amref Health Africa,
who were going door-to-door visiting people across the
town. They recognised Ikiru’s symptoms immediately, and
he was referred straight to the dispensary where he was
tested for malaria. The test was positive and Ikiru was
quickly given anti-malarial drugs, rehydration salts and
anti-biotics.
Every 30 seconds a child like Ikiru dies from malaria.
But thanks to the quick response of the Amref Health Africa
team, it didn’t take long for his condition to improve.
Both Ikiru and Nancy continue to be visited regularly by a
community health worker at home in Attir who provides
ongoing care, support and health education. Now Nancy
knows the symptoms for malaria and other childhood
illnesses, and she has also been taught about key
prevention measures.
Attir village is one of 16 villages currently supported by a team of 100 community health workers
deployed as part of our Bamocha Maternal Newborn and Child Health project funded by
The Big Lottery Fund. In support of the government ministry’s ‘Community Strategy’ to date,
these health workers have been assigned households in both settled and mobile communities
across Turkana – reaching more than 1,000 children in 2014.
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Amref Health Africa’s WASH project
in the Kechene area of the Gullele
sub-city is due to run until April 2015.
Last year through this project we
brought improved access to water
and sanitation to 5,704 people.
Children of Kechene
For many children living in the
Kechene slum of Addis Ababa
in Ethiopia, the ‘flying toilet’ used
to be a part of everyday life. One
of the poorest regions of Addis
Ababa, clean water sources were
few and far between – often little
more than a communal tap shared
by hundreds of households.
As for sanitation? With no public
sewerage system in place, too often
a ‘makeshift’ technique involving
a plastic bag and a local ditch
would have to do.
Such unsanitary conditions breed ill health and expose
young children to unnecessary risk. Across Kechene
outbreaks of acute diarrhoeal were commonplace.
Globally, diahorreal infection is one of the leading
causes of death in children under five.
With good hygiene, improved sanitation and access to safe
drinking water, these diseases are entirely preventable.
That’s why, at the request of the government ministry,
in 2013 the Amref Health Africa team expanded its
programme in water and sanitation into two new regions
of Gullele, Kechene.
The aim of the project was simple: to increase access to
clean water and sanitation for 5,837 children, women and
men – all in just two years.
To do this, the team introduced new sanitation kiosks,
complete with latrines, showers and the facility to store
water, so that the tap can run 24 hours a day.
But building work was just part of the plan. We also worked
closely with local community groups to ensure that each
kiosk was well looked after. To add to this, we supported
local teachers and schools, setting up health clubs and
running education campaigns – helping to make sure that
the children and their families living in the area would
benefit in the longer term.
With the project concluding in April 2015, for the children
of Gullele, the threat of diarrhoeal disease is one that is
beginning to fade. And the ‘flying toilet’? That’s set
to become something of an urban legend.
‘Previously my family members were using a bucket and
plastic bag, and would then discard it in the sewerage
system. But now thanks to Amref Health Africa we have
a clean toilet and shower facility near our residence.’
Enanu Fires, mother of five.
www.amrefuk.org
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I don’t want
what happened to
me to happen to
my daughter. ”
Sihiba Tembo*
Sihiba is 15. Like many girls her age
in Tanzania, she has a young child –
having become pregnant aged 12.
Here, more than a third of young girls are married by
the age of 18. This, together with deep-rooted traditions,
and low levels of sexual health education, means that girls
continue to take a lower social status than other groups
of people. They have less access to social services and
economic resources, less power in decision making, and
ultimately, less control over their lives. As Sihiba explains:
‘I was pregnant at 12. I had no knowledge of family
planning. There was peer pressure and we were given
money by boyfriends.’
Young people like Sihiba are particularly vulnerable
because they lack the knowledge to negotiate safe sex
and have limited awareness of their rights in this area.
But by focussing on sexual health education and other
health services, Amref Health Africa can help change this.
We work closely with young people, and their families,
schools and communities, and we can empower girls like
Sihiba to make their own choices so that they can continue
with their education. And it’s working.
‘Now I have knowledge of family planning and sexual and
reproductive health. I have started my studies and returned
to school. I am learning to sew. My baby gets free services
when she is sick and my mother and the community
support me’.
By supporting young girls like Sihiba, Amref Health Africa
is laying a foundation for change that will give women and
young girls across Tanzania the knowledge, confidence
and resources to stand up for their rights.
*name has been changed
‘I don’t fear the future because I am back in education.
I don’t want boyfriends or husbands until I am successful.
I don’t want what happened to me to happen to my
daughter. I will talk to her when she’s older about family
planning and teach her. Thank you to everyone for
assistance I pray for everyone who has touched my life’.
Sihiba is part of Amref Health Africa’s ‘Sauti
ya Vijana’ (Voice of Youth) project in the
Mtwara region of Tanzania. Over the course
of the project the number of girls like Sihiba
with access to sexual health and education
and counselling services increased from
69% to 84% – with almost 80% of girls now
accessing family planning services. ‘Sauti Ya
Vijana’ officially concluded June 2013 –
but its impact can still be felt today as our
team now prepares to launch a similar
scheme in Northern Tanzania, bringing
critical education and health services to
84,258 more young people.
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After the delivery my baby
and I were given proper care, all
the nurses were kind to me; they
treated me with care and respect.”
Florence
Syombua
Ndeto*
Florence is an ambassador of change. She lives with her husband
in the Kateti village of Makueni, Kenya. She saves lives.
Last year Florence gave birth in her local health centre. It
wasn’t her first child – in fact, it was her fifth – but it was a
first of another sort for Florence. People in Kateti village
didn’t used to travel to the health centre to deliver; in fact
across Makueni county, only 36% of women were able to
access any form of antenatal care at all. Often women like
Florence would visit traditional birth attendants during
pregnancy and childbirth – they were nervous of going to
health facilities and believed that the nurses would be
harsh, or that they would be operated on unnecessarily.
So what changed?
Florence met Regina, her local community health worker –
trained and supported by Amref Health Africa. Regina
talked with Florence about the risks of unsupervised labour,
and the benefit of giving birth in a health centre where
emergency support would be close at hand. This drastically
reduces the risks of common complications such as
obstructed labour and excessive bleeding. Regina listened
to Florence’s fears and concerns, and reassured her. She
was with her every step of the way.
‘Right from the moment I entered the hospital the nurse
was good in how she approached and talked to me, how
she examined me… After the delivery my baby and I were
given proper care, all the nurses were kind to me; they
treated me with care and respect’.
Florence had seen too many women ‘die while bringing
life on earth’ and, inspired by her experience, became
determined to help other women in her community
access the same care and support.
Now she regularly visits homesteads and talks to women
and their partners about the benefits of maternal health
care. She knows the myths – she used to believe in them
too – and so she knows how best to reassure people,
sharing her own experience with each one. And people
are listening.
‘The woman was bleeding for a while after giving birth at
the hospital, but she was given an injection to help stop
the bleeding. It was a life changing experience for her
because she was amazed at the care given by the nurses.
That is when I feel happy – because I influenced another
woman to give birth at the hospital’.
Florence is one of 30,695 women targeted
through Amref Health Africa’s Mama Na
Mtoto wa Afrika project focussed in
targeted regions of Makueni county, Kenya.
We are now halfway through the delivery of
this project, funded by Comic Relief, with
our data showing double the number of
women now giving birth with the support
of a skilled attendant.
*image reflects general beneficiary of Mama Na Mtoto wa Afrika
www.amrefuk.org
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My interest in
midwifery is all about
the mothers and how
they are suffering.”
Catherine Benneth
In South Sudan, women like
Catherine Benneth are very rare.
The world’s newest country, decades of internal conflict
have left South Sudan void of even the most basic
healthcare resources: with just one midwife to every 30,000
women, it is one of the most dangerous places for a
woman to give birth. For young girls, the chance of dying
as a result of pregnancy or childbirth is three times that of
entering secondary education. It’s a shocking statistic that
proved all too real for Catherine.
‘The mortality rate is really too high for mothers. You will
hear today, a mother has died due to delivery. Every time
you hear they are dying just because of delivery. It’s just
because of the poor service they are having. We don’t
have enough health workers who can really help in
the community.’
That’s why, with the support of Amref Health Africa,
Catherine decided to train as a midwife, and to become
part of a solution looking to change the face of maternal
health in the Maridi region of South Sudan.
‘My interest in midwifery is all about the mothers and how
they are suffering… When you see a mother who wanted
to bring life in the world, just passed away like that, it is so
painful. In our community it’s worse because you find many
[pregnant] women who just stay in their homes. Most of
them fear to go to hospital because it is very far and there
is no transport for them’.
The majority of maternal deaths can be easily prevented
through routine antenatal checks and skilled support
during birth. The solutions are well-known, and they are
inexpensive. By giving women like Catherine the chance to
gain a professional skillset, we can be part of that solution –
one that is reaching out to women and young girls across
South Sudan.
‘My expectation [when I have finished my training] is going
out to serve my community. Even if I do not work at this
hospital, I will be able to move around in the community
where there are people who cannot reach other help…
that’s why we are here’.
Catherine Benneth is part of the GSK’s 20% reinvestment programme that is currently training
23 midwives in the Maridi region of South Sudan. Together with her colleagues she is part of a project
aiming to bring critical maternal health services to more than 108,000 people living across the county.
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Jelu Hussen
Maternal health isn’t just for women.
A fact that Jelu Hussen, husband
and father, understands all too well.
Jelu and his family live in Addis Ketema, a sub-city of
Addis Ababa where rates of HIV and AIDS are high, and
the risk of mother-to-child transmission of the virus is all
too real. Jelu is lucky to have fathered four children, the
eldest of whom has grown to reach 12 years old. But his
wife, Sofya, received little antenatal care and support
during her pregnancy – often having to wait until her fifth
month before seeking care. Delays of this kind put both
her and her children at unnecessary risk, not just during
childbirth, but also increasing their chances of contracting
HIV which can be directly transferred from mother-tochild during pregnancy, the birth itself, and through
breastfeeding.
But when Sofya met the Amref Health Africa team,
she was advised to visit the health centre earlier in her
pregnancy, and to go for repeat and follow-up care.
They became part of a programme focussed on the
prevention of mother-to-child transmission of HIV,
one which encourages women and their partners to
know their status, and supports them in taking the
necessary actions and precautions to stay HIV-negative
and prevent other family members from contracting HIV.
It’s important that men are involved in this process and in
their partner’s maternal health in general. This helps to
ensure that they and their partner can understand the
importance of seeking care and support. It can be a
difficult and sensitive subject to broach. That’s why the
Amref Health Africa team puts women and their partners
at the heart of its work. To do this, the project actively
encourages men to go for HIV and AIDS counselling and
testing – and we make sure that our sites are ‘male friendly’
and that they’re open at weekends when men like Jelu are
more likely to be available. We also send individual invites –
not dissimilar to a wedding invitation – to men to
encourage them to attend antenatal classes with their
partners and share in the importance of care.
By making maternal health a couple’s issue, men are
empowered to make positive decisions and ensure that
both they and their partner access the services they need.
Jelu is just one of them – together he and Sofya have
made the choice not to have any more children, and to use
contraception. And if they do decide to grow their family,
then with Sofya now known to the team at Teklamot
health centre (where her last child was born) care and
support is close to hand.
Jelu Hussen and his wife Sofya are two of
57,381 people targeted by Amref Health Africa’s
‘Biruh Tesfa’ (Bright Hope) programme in the
Addis Ketema region of Addis Ababa, Ethiopia.
This project, due to conclude in January 2015,
aims to reduce the transmission of HIV from
mother-to-child and alleviate the impact of
the disease on mothers, their children and
their families.
www.amrefuk.org
22
Financial highlights
Income
£3,616,563
£750,388
Restricted (83%)
Unrestricted (17%)
Individual donors (77%)
Trusts and Foundations (9%)
Events and sales (8%)
Gift In Kind (5%)
Other (0%)
(£576,422)
(£65,882)
(£62,569)
(£40,000)
(£5,515)
83%
17%
£4,366,951
Expenditure
Charitable activities (84%)
Fundraising (15%)
Governance (1%)
£3,689,732
£653,366
£28,057
84%
15%
£4,371,155
Outlook
for 2015
Thanks to the hard
work of our teams
across Africa, in 2014
we also designed a
number of successful
opportunities that
will launch next year.
In Kenya we will expand
our work in maternal,
newborn and child
healthcare and HIV and
AIDS into the slum areas
of Kibera and Dagoretti,
thanks to funding
provided by Comic Relief.
In Tanzania we will improve
the sexual health and
reproductive rights
education of young people
in the Meatu region of the
country, thanks to our new
partnership with the Global
Law Firm Allen & Overy and
together with funding from
The Big Lottery Fund.
In Uganda we will launch
a new water and
sanitation project in
primary schools in
Northern Uganda, as well
as a new maternal and
child health project to be
funded by Comic Relief.
1%
23
Programme expenditure
Kenya (34%)
£1,265,788
Ethiopia (32%)
£1,174,199
HQ, including GSK 20% (26%) £942,052
£211,939
Tanzania (6%)
£86,373
Uganda (2%)
£9,382
Other (0%)
32%
26%
34%
6%
£3,689,733
Of every £1 spent,
84p goes on charitable activities,
15p is spent on fundraising and
1p on governance.”
2%
Of every £1 spent
on fundraising, £6.69 is
returned income.”
In the UK
We are delighted
to be involved in
a range of fundraising relationships.
Thank you to everyone
who has helped make
this possible.
The global charity partner
of international legal
practice, Allen & Overy.
One of just three
recipients of the 2014
Times Newspaper
Christmas Appeal.
Charity beneficiary
of the Glorious
Goodwood Regency
Ball and Ladies Day.
www.amrefuk.org
Amref Health Africa,
Lower Ground Floor,
15-18 White Lion Street,
London, N1 9PD
Amref Health Africa is Africa’s leading health
development organisation, saving and
transforming people’s lives in the continent’s
poorest and most marginalised communities.
AMREF UK is a company limited by guarantee
registered in England.
Company Registration Number 00982544
Charity No: 261488
CONNECT WITH US ON-LINE
www.twitter.com/amref_uk
www.facebook.com/amrefuk
Special thanks to Allen & Overy for their help
in designing and printing this document
CS1502_CDD-41358_ADD-51920
www.amrefuk.org

2014 Annual Review - Amref Health Africa

Transcription

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