2013ANNUAL REPORT

2013
ANNUAL REPORT
looking forward.
LOOKING
FORWARD
INTRODUCTION
growing
01
Muso’s work over 2013 represents continued progress
in our efforts to eliminate preventable deaths in one of
the world’s most vulnerable places. At a time when the
global community is not yet on track to meet the Fourth
Millennium Development Goal — a 2/3 reduction in child
mortality by 2015 — Muso has shown that rapid
progress is achievable. To this end, our activities in
2013 demonstrated continued programmatic success on
the ground while enabling us to share our model with the
world in an unprecedented way.
In 2013, Muso markedly strengthened our model health
system. We deployed a new cadre of Community Health
Workers and CHW Supervisors supported by new
models for data-driven supervision and performance
improvement. We provided health care to tens of
thousands of residents in the communities we serve,
and we continued to push the envelope in the design and
implementation of an efficient, effective, and scalable
model for improving child and community wellbeing.
refining
02
THE MUSO MODEL
Muso recognizes that to save lives in the world’s poorest communities, a reactive model is not enough. Early
access to care is crucial to survival. To address this challenge, we built a different kind of health system — one
that removes barriers and brings care to patients proactively. Through a decade of research, Muso developed a
proactive healthcare system designed to save lives.
PROACTIVE SEARCH
CHWs provide a package of
life-saving health care services in
the home.
DOORSTEP CARE
Community Health Workers and
community members search for
patients through door-to-door
home visits, to connect them
with care early.
RAPID-ACCESS CLINICS
For patients who need more care
than is possible at the doorstep,
we quickly bring them to Rapid
Access Clinics.
03
TREATMENT TIME FOR CHW PATIENTS IMPROVES
86%
43%
63%
64%
2013
2009
32%
improving
18%
IMPACT
We launched the newest iteration of Muso’s health
system in the summer of 2013 in an event that brought
together national leaders from the Malian Ministry of
Health, the Ministry of Social Welfare, and community
members from across Yirimadjo. The launch marked a
further deepening of Muso’s partnerships with local and
national leaders to create a vanguard model for universal
health care and improved child survival.
Our 2013 patient care numbers represent a significant
improvement compared to CHW outreach speed in 2009,
when they reached 18% within 24 hours, 32% within 48
hours, and 64% within 72 hours. We know, however, that
we can make even further improvement. This is why we
have tripled our CHW team and improved our supervision
structures to enable each CHW to perform to their fullest
potential and to optimize the speed and quality of care
they provide.
2009
2013
2009
WITHIN 48 HOURS
WITHIN 24 HOURS
2013
WITHIN 72 HOURS
TOTAL 2013 IMPACT
84,337
86%
19,097
HOME VISITS
CHW PATIENTS REACHED
IN 72 HOURS
CLINIC VISITS
initial sick patient visits
19,097
intravenous infusions to treat illnesses
2,698
nursing and wound care
2,590
CLINIC VISITS
.
12,642
prenatal consultations
patient referrals to district or national hospitals
1,156
156
expanding
04
EXPANDING THE TEAM
In the first half of 2013, Muso completed the training
and launch of our expanded Community Health Worker
(CHW) team, which grew from 23 to 75 CHWs supervised
by four internally-promoted CHW supervisors. In
November 2013, we reinforced this expanded team
through a refresher training in recognizing the signs
and symptoms of pediatric illnesses and appropriate
responses, including in-home assessment and treatment
of malaria and diarrheal diseases and referral of severe
cases including malaria, diarrhea, pneumonia, tetanus,
meningitis, severe dehydration, sepsis, liver failure,
kidney failure, and surgical emergencies.
SUPERVISING COMMUNITY HEALTH WORKERS
The launch of Muso’s enhanced health system
galvanized Community Health Worker performance
through the recruitment, training, and transformation of
Muso’s highest performing veteran CHWs into a CHW
supervision team. Each of the four supervisors, trained in
positive coaching, have provided supervision, mentoring,
and support to 16-20 CHWs through:
• Direct observation of each CHW monthly
• Interviewing randomly selected households
within each CHW’s catchment area monthly
• Analysis of patient care forms filled out by CHWs
transforming
05
PUBLICATIONS & AWARDS
Muso is making important progress transforming health
outcomes for the more than 77,000 people we serve.
But our aim extends still further. We have developed a
scalable model for strengthening health systems and
stopping preventable child deaths. Through research,
best practice sharing, and advocacy, we are extending
the impact of Muso’s work to shape policy change and
to advance global efforts to improve child survival. On
these fronts, we made important strides this past year:
GLAXOSMITHKLINE HEALTHCARE INNOVATION AWARD
In November 2013, Muso was honored to receive a
$100,000 GlaxoSmithKline Healthcare Innovation Award
designed to support new models that have been successful
in reducing child deaths in developing countries. Muso was
one of 5 organizations chosen out of nearly 100 applicants
from 29 countries.
CAPLOW CHILDREN’S PRIZE
In December 2013, Muso was also selected as a finalist
for the first annual $1 million Caplow Children’s Prize. A
judging team of global health experts and philanthropists
recognized Muso as one of the 8 highest impact models in
the world for child survival among 565 applicants from 70
countries.
PLOS ONE PUBLICATION
The child survival study conducted by researchers at
Harvard, the University of California San Francisco, and the
Malian Ministry of Health was published this past
December in the academic journal PLOS ONE. The study
documented a ten-fold difference in child mortality in
Muso’s area of intervention from baseline. The published
results generated significant global attention and media
coverage from the New York Times, Reuters, ABC News, the
Gates Foundation’s Impatient Optimists blog, and others.
GLOBAL ADVOCACY
Over the past year, we have shared Muso’s results with
global leaders in child survival: UNICEF’s headquarters
leadership, the MDG Health Alliance, and the 1 Million
Community Health Worker Campaign. These ongoing
relationships enable Muso to help advance the global effort
to stop millions of child deaths.
16%
Revenue & Support
Contributions
Grants Contributions
$596,874
$111,257
Total
$708,131Ex-
revenue
84%
Expenses
Grants
Program
Other Operating Costs
$546,729
$46,652
Total
$593,381
Ex-
92%
Mali
Assets
$73,571
$114,750
Net Assets, End of Year
$188,321
total
expenses
8%
United States
2007
2008
2009
2010
2011
$476,000
$343,000
$329,000
$262,000
2006
$175, 000
$63,000
YEAR-OVER-YEAR EXPENSES
2012
$684,000
Net Assets, Beginning of Year
Change in Net Assets
$28, 000
building
06
FINANCIALS
2013
advancing
07
SUPPORTERS
ORGANIZATIONAL FUNDERS
BTIG LLC
Elmo Foundation
Fabrangen Tzedakah
Frieze Family Foundation
Larson Legacy Foundation
M&T Investment Group
Merck Partners for Giving
Mulago Foundation #2
Rotary Club of Hamilton
Rotary Club Of Kowloon
Rotary Foundation of Friendship
Heights
Segal Family Foundation
Skoll Fund
Skoll Global Threats Fund
The Asen Foundation
The Larson Legacy Foundation
Trust For Conservation
United Way of New York City
Vitol Foundation
Watsi
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