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Masanga Leprosy Hospital Rehabilitation Project in Sierra Leone

Learn about the Masanga Leprosy Hospital project in Sierra Leone, how the hospital was affected by the war, its current challenges, and how you can help improve healthcare in Africa. Support the rehabilitation and management of the hospital for a lasting impact on the local community.

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Masanga Leprosy Hospital Rehabilitation Project in Sierra Leone

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  1. Masanga Leprosy Hospital A post war rehabilitation project in Sierra Leone Improving health in Africa

  2. Introduction • About Sierra Leone • Masanga Hospital • How you can help

  3. Sierra Leone Background • 5 million • 70% less than $1/day • Ranked 176 out of 177 in UN Human Development Index (2005) • Life expectancy 41 yrs (UK is 79 years) • Less than half of the population have access to safe and clean waater • Illiteracy. Very high esp amongst girls • Highest rate of maternal mortality in the world – 1800 per 100,000 women die during child birth Highest infant immortality in the world • 283 out of 1000 Children die before 5yrs (2004) • Diarrhoea from drinking water • Measles • Malaria Health problems • 1 medical doctor per 104,000 • Malaria endemic – 48% of total outpatient morbidity • HIV/AIDS – 3% and rising

  4. Masanga Leprosy Hospital Pre rebel war Before it was destroy during the 10 year swar in Sierra Leone the hospital: • The largest of three hospitals specialising in leprosy treatment in Sierra Leone. • 200 bed hospital providing primary health care in northern province of SL, and treated patients from Liberia and Guinea • Operated by the Seventh Day Adventist Church • Well recognised for treatment of Tuberculoses and Polio • Acted as a vaccine inoculation centre in the Northern province, e.g .against river blindness • Provided education/rehabilitation and vocational training for ex-leprosy patients and schooling for children

  5. Masanga

  6. Brutal rebel war devastated country • Lasted 10 years • Over two million displaced • Tens of thousands deaths • Civilians amputated • Ended by UK led International Community

  7. Effect of war on Masanga Leprosy Hospital • Rebels attacked the hospital • Infrastructures damaged • operating theatres, wards, laboratory, staff quarters, physiotherapy, class rooms, water supply system were , burnt, vandalised and looted. • Hospital staff and Masanga town residents displaced

  8. Masanga Leprosy Hospital Post Rebel War • Basic building structure survived but remained derelict. • Leprosy cases are rising in Sierra Leone -The 2003 annual report National Leprosy/TB control programme in Sierra Leone reported a rise of 8.3% in new cases, from 751 in 2002 to 814 in 2003. • Tuberculosis is on a slow and steady rise • SLAA (Sierra Leonean Adventists Abroad) embarked on a project for rehabilitation of Masanga. • Project proposal drawn up to raise fund worldwide, rehabilitate the hospital and manage it . • Done in consultation with and approval of the Government of Sierra Leone • Phase 1 to open an out-patient clinic.

  9. SLAAAcronym for Sierra Leonean Adventists Abroad • A UK Charity Commission registered (no 1085938 ) objectives: • To assist with the advancement of education in developing countries as an instrument to achieve longer lasting improvement of economic standards • To provide assistance to people affected by war and natural disasters • The relief of poverty by providing aid to people in sever financial distressed • MISSION STATEMENT is to contribute to long term poverty alleviation in deprived communities by sustained and targeted funding of health and educational • Working to make a difference in Masanga though health project since 2004 • People with local knowledge • Ex Masanga Hospital staff • UK healthcare professionals

  10. How SLAA is STRUCTURE Project Committees TRUSTEES • Responsibilities :- constitution etc Masanga Hospital MEMBERS • Elect Exec • Decides on projects undertaken & all business matters by majority voting • Internal funding by voluntary subscription BENEFICIARIES/RECIPIENTS OF AID Education EXECUTIVES • Operational management SLAA representative in Freetown. Mr Val Thomas LLB

  11. The Project • Planned in phases • Out patient clinic • Hospital • Sustainability • Finance • Progress • Partner • Contract with Gov 06 • Opened July 06 • Patents treated • Needs and Challenges

  12. Local & International Approval • Approved by Government of Sierra Leone • Part of national heath strategy • endorsed by local people & European partner (AFOM) • Three way agreement between SLAA, AFOM & Gov SL • Raise funds. £100,000 target • Rehabilitate hospital • Manage hospital Agreement with Government of Sierra Leone

  13. Employs Local People • Staff team of 25 • Only $3.00 per patient per month to run • 12,000 patients in 1st 6 month • $100,000 investment to date

  14. Masanga Hospital- Early stageBudget Projection • Budget for start-up of OPD: • Amounts are per annum and inUSD • Staff • Medical co-ordinator 38,709 • 1 doctor (local) 6,429 • 1 clinical officer 2,142 • 2 nurses 3,000 • 2 midwives 3,429 • 1 radiographer 1,548 • 1 lab tech 1,287 • 17 auxiliary staff 14,620 • Total staff 71,123 • Running costs: • Medical equipment 9,000 • Transport/freight 5,000 • Consumer goods 8,000 • Fuel 9,000 • Cars/rental/maintenance 6,193 • Cleaning 683 • Communication 1,612 • Other expenses 8,387 • Total running costs 47,893 • Total staff and operations 119,016 • Investments for start-up • Generators, cables etc 24,193 • Sanitation 16,129 • Medical/technical equipment 8,064 • Total 48,387 • Total start-up and operations first year 167,403

  15. Masanga Hospital Now Clinic opened July 2006 Pregnancy TOP TREATMENTS Leprosy Motherhood Tuberculosis Malaria 70% Diarrhoea/ Typhoid Pneumonia Claims 48% outpatient morbidity in SL

  16. Paediatric Ward opened Jan 2007 Need 8 Staff to operate $500/month salary bill

  17. Past & New Medical Professionals & Student Volunteer combination to Operate Masanga

  18. Management Structure of Masanga Hospital • Management board • Business manager • Hospital Administrator • Departmental Heads

  19. How you can Help? • Financial Donations • Running costs, salaries, drugs • Capital equipment, buildings • Personnel • Resident doctor • Visiting specialist • Infrastructure • Laboratory • Staff quarters • Water pumps – clean water • Incinerator • Patient toilets • Clean reliable power supply - solar • Ambulance • Outreach into surrounding areas • Tell Others

  20. SLAA Contacts SLAA P.O.Box 86 Bromley Kent BR1 5SY Web: www.slaa.org.uk Email: eddiejcole@slaa.org.uk Phone: +44 (0)844 800 5696

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