NewsPeace Q2 2012
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Transcript of NewsPeace Q2 2012
T oo often, a pregnant woman in rural Nigeria is at serious
risk of becoming another statistic in the maternal mortality
index. She’s lucky if she can manage the trip from her village
to the nearest health clinic. Even then, the health workers
may not be trained to provide care if things go wrong.
In fact, USAID estimates 500,000 women die each year from
complications related to pregnancy and childbirth. Ninety-nine
percent of these deaths happen in the developing world.
But in Pampaida, Nigeria – a cluster of villages in Kaduna State
– pregnant women have a critical lifeline in Dr. Ojo Euitayo and
his small team of midwives. Dr. Ojo, as he is known, is the
sole physician at the Pampaida Health Clinic. The clinic serves
a population of about 20,000, including thousands of pregnant
women and recently delivered babies and it provides a safe
and clean place for prenatal and antenatal appointments, labor
and delivery, and information sharing between the villages’
traditional birth attendants and clinic staff. For three years, it’s
also been a partner site for Physicians for Peace training.
In Nigeria and far beyond, Physicians for Peace trains healthcare
teams that care for pregnant women, mothers and infants,
ensuring that local village clinics and hospitals have the skills and
resources they need to save lives and protect the connection
between a healthy mother and her baby. We train medical
teams, so that families have the chance to realize their dreams
without the burden of preventable injuries and death.
In this special issue of NewsPeace, you’ll find out more about
our work on behalf of mothers and babies in underserved
areas -- and how your investments are saving lives and building
healthy communities.
Healthy Pregnancies. Safe Deliveries. Thriving Moms and Babies.Seven yearS afTer launching our MaTernal and child healTh PrograM, PhySicianS for Peace exPandS efforTS To
SuPPorT healThier MoMS and babieS.
Phot
o By
: Ste
phen
Kat
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neWSPEACE Send One. Train Many. Heal the World.
A newsletter from Physicians for Peace Second Quarter | 2012
The World Health Organization estimates that 22 countries need to double their midwifery workforce by 2015 . Sixteen need to at least tr iple them.
Dear Friends,
“Nothing for them without them” has become a rallying cry among nonprofits working in
the developing world. The idea that we have a duty to include our beneficiaries in program
planning, implementation and evaluation – and that their input is the key to real, meaningful
change – is central to the Physicians for Peace model. It always has been, and it always will
be. Maintaining that focus and ensuring that we are meeting the needs of the people we serve
requires regular self-assessment.
This year, our Board of Directors and staff made a strategic decision to invest more time and
resources in measurement and evaluation, so that we can pinpoint where our model is truly
best in class and make sure that we’re meeting our partners’ needs. After a rigorous Request
for Proposal process, we recently chose The Improve Group (of St. Paul, MN) to assess three
core outreach efforts – our Burn Care and Walking Free programs and our Resource Mothers
program. We also welcomed a new staff member, Ph.D. candidate Korinne Chiu, to work in
the near term with The Improve Group and oversee our measurement and evaluation efforts
year-round.
We know that both The Improve Group and Korinne will find exciting opportunities for
program expansion and improvement. Their assessments will focus our efforts on the
projects that are delivering results and changing lives for the long-term – those efforts that
are ready to be replicated and expanded to help even more people. I look forward to sharing
our findings with you in the coming months.
In this special issue of NewsPeace, we’re highlighting recent campaigns for mothers and
babies around the world. These are critical health issues. Having seen the impact of our
programs firsthand in Africa, Asia and the Caribbean, I can tell you that your investments are
empowering providers and supporting healthy communities. We’ve made great strides, but
there’s still much work to be done. Thank you for your support.
I also want to share some updates from the field and news from our headquarters, which is
a challenging task simply because our portfolio is ever-expanding. (Please follow us online
for real-time updates.)
new outreach efforts
n We are deploying our international medical educators to serve as faculty overseeing the
Surgical Intern Training Project at Queen Elizabeth Central Hospital in Blantyre, Malawi.
The project trains interns and residents in basic surgical techniques. This training is crucial
to the health of a nation with an average life expectancy of just 38 years old.
n In March we mobilized experts from Sentara Norfolk General Hospital and Eastern
Virginia Medical School, both in Norfolk, Va., to work alongside professionals at Philippine
General Hospital in Manila during the country’s first burn care conference. The World
Health Organization estimates that between 4,000 and 5,000 Filipinos die from burn-
related injuries each year. Two-thirds of these victims are under the age of 10.
expanded efforts
n LaVern Morris, a physician liaison at Children’s Hospital of The King’s Daughters in
Norfolk, Va., delivered 480 bilingual children’s books, along with training and new skills, to
our Resource Mothers in Santo Domingo, Dominican Republic. Morris served as regional
coordinator of the Resource Mothers program in South Hampton Roads (Va.) before
helping Physicians for Peace launch our program in the Dominican Republic in 2005.
n Our Resource Mothers also received training this spring from an intrepid group of
nursing and physical therapy students from our longtime partners at Old Dominion
University’s (ODU) College of Health Sciences in Norfolk, Va.
CEO Message: Proving It
July 1 - 8 Manila, Philippines
July 7 - 15 Port Harcourt, Nigeria
July 11 - 22 Port-au-Prince, Haiti
July 14 - 16 Davao, Philippines
Aug. 2 – Sept. 29 Blantyre, Malawi
Aug. 29 – Sept.1 Bogotá, Colombia
Oct. 7-13 San Salvador, El Salvador
Oct. 9-14 Florianópolis, Brazil
MiSSion
Schedule
Jonathan Niszczak, MS, OTR/L, and Mohammed, 9, in the West Bank
LaVern Morris with three Resource Mothers in the Dominican Republic
n The dean of the dental school at Autonomous University
of Nicaragua (UNAN) in León came to Norfolk, Va., this
spring for an international educational exchange centered on
curriculum development and best possible practices in dental
care. During his visit, Dr. Humberto Altamirano drew on the
experience of ODU’s College of Health Sciences and visited
private practices of Physicians for Peace dental educators. In
2011, we helped the university launch Nicaragua’s first dental
assistant program and we’re coordinating ongoing efforts
to develop a hygiene curriculum and program track.
n On a return mission to Luis Vernaza Hospital in Guayaquil,
Ecuador, Physicians for Peace responded to a direct request
from our longtime partners to introduce a pre-surgical diagnostic
evaluation for epilepsy patients. This diagnostic evaluation,
standard practice in the U.S. but new to our partners, reduces
risks posed by unnecessary surgery.
n Dr. Eid Mustafa of Wichita Falls, Texas, led his 24th Physicians
for Peace outreach mission to the West Bank. The team worked
alongside local surgeons and, for the second year, delivered
hands-on training for burn care professionals in Nablus, including
a workshop that introduced face mask technology to in-country
providers. The masks significantly reduce the traumatic scars
of burn patients and promote faster healing.
n An outreach in February gave VonZipper, one of our corporate
sponsors, the opportunity to deliver more than 2,400 donated
prescription eyeglasses to partner sites in the Philippines – a
gift that supports our efforts to eliminate avoidable blindness
in the country by 2020. VonZipper’s president and Physicians
for Peace-Philippines trainers also worked with local teachers
on pre-screening techniques to identify children with vision
impairments. Without treatment, common vision problems
often prevent children from succeeding in the classroom.
n This spring we worked again with our friends at ReSurge
International to improve the short- and long-term care provided
to Nicaraguan patients suffering from traumatic burn injuries.
Support update
n Board Chairman Dr. Ed Karotkin was named a 2012 “Health
Care Hero” by Inside Business in Norfolk, Va.
n The American Burn Association invited longtime international
medical educator Carolyn Ramwell, RN, of Charlottesville,
Va., to present on burn care in under-resourced settings at
the group’s annual meeting in Seattle. Her talk focused on
care in several Central American countries – and the need for
innovation, collaboration and education.
n This spring, we welcomed several new Board Directors: Huda
Ayas, MBA, EdD, founder and Executive Director of the Office
of International Medicine Programs at The George Washington
University in Washington, D.C.; Shelley Mishoe, PhD, dean of
the College of Health Sciences at Old Dominion University in
Norfolk, Va.; Christine Neikirk, community philanthropist, of
Norfolk, Va.; and Jayne T. Keith, community philanthropist, of
Palm Beach, Fla., who rejoined our Board after a brief hiatus.
I’d also like to thank the dedicated Board Directors who have
stepped down recently due to term limitations or professional
obligations. Thank you!
n In addition to Korinne Chiu, Director, Program Evaluation, we’re
proud to have the following talented members join our team:
Homer Babbitt, Director, Major Gifts; Dana Doan, Coordinator,
Global Health Programs; Dawn Dikun, Executive Assistant; and
Natalie Klinkenberger, Director, Global Health Programs.
Our newly redesigned website at www.physiciansforpeace.org
offers more extensive information on our field updates, along with
an outreach mapping project and video library. While you’re there,
we invite you to explore all that we have to offer online through our
social media communities on Facebook, Twitter and YouTube. We
always value your feedback and questions, and our online portal is
one more way to become even more engaged with us.
Best wishes for a happy, healthy summer. Thank you for your
support.
Sincerely,
Ron Sconyers (USAF, Ret.) President and CEO
1
2011 Maternal & child health
by the numbers
NUMBER OF HEALTHCARE PROVIDERS WE TRAINED:
179
NUMBER OF VOLUNTEER HOURS WE INVESTED: 1,070
NUMBER OF AT-RISK MOTHERS MENTORED
THROUGH THE RESOURCE MOTHERS PROGRAM: 299
In the Dominican Republic, one in four women will have at least
one pregnancy by the age of 20. Many of them drop out of school
or are kicked out of their homes. Launched in 2005, the Physicians
for Peace Resource Mothers program aims to give these young
women a trusted advisor. Through the program, we pair at-risk
mothers with experienced, local mentors for prenatal, antenatal
and early childhood education and assistance.
The program started in 2005 with 10 Resource Mothers serving
92 teens in five barrios. By last year, the program had 20 Resource
Mothers paired with 233 clients in 10 barrios. In seven years,
hundreds of young mothers have moved through the program,
getting the support, education and guidance they need to have
healthier pregnancies, healthier babies and brighter futures.
Among teen mothers who participated in Resource Mothers:
• 52 percent breastfed for at least one year.
• 90 percent completed more than 6 prenatal checkups.
The program also empowers the Resource Mothers themselves,
giving them the chance to see themselves as agents of change.
“Because of this program, I feel more like a leader,” said Resource
Mother Reyita Caraballo. “My children see me as a leader, too.”
Looking Ahead: With seven years of experience to draw from, the Resource Mothers program is now ready to be expanded and replicated.
POSTParTuM heMOrrhageS account for 34 percent of maternal deaths in Africa, and they’re a leading cause of death among new mothers in Asia and the Americas.
In Pampaida, Nigeria, Physicians for Peace has provided training on
a diverse range of topics, from clinical skills – identifying signs of
pre-term labor – to administrative tasks – scheduling midwives for
365-day coverage at the clinic and improving communication among
clinic staff, traditional birth attendants, village leaders and expectant
mothers. This education has helped the clinic staff improve care
for mothers. In fact, the United Nations reports that pregnancy-
related visits to the clinic in Pampaida increased threefold
between 2007 and 2009.
The uptick indicates that more women are coming to the clinic
for care, rather than laboring through dangerous health conditions
at home. That’s good news for mothers and babies, but it’s also a
cultural shift that can improve the lives of whole communities.
“The health of mothers and babies impacts the entire world,”
said international medical educator Robin Jones, RN, CNM, of
Chesapeake, Va. “If we don’t have healthy women and children, we
all suffer.”
In late 2011, Physicians for Peace introduced Nigerian health workers
to Helping Babies Breathe, the American Academy of Pediatrics’
neonatal resuscitation curriculum for resource-limited regions.
Seven months after the initial training, additional staff members at
two clinics in Nigeria have been trained in the life-saving technique,
and at least 10 babies have been successfully resuscitated. Those
lives were saved as a direct result of education we delivered.
Standing together for MotherS and BaBieS South ASiA: EducAtion to SAvE infAntS’ l ivES
West AfricA & southeAst AfricA: trAining Providers to helP Mothers thrive
With a population of more than 1.2 billion, the health needs among
communities in India can vary dramatically. Our most recent
training efforts in Sawangi, Nagpur and Kochi focused on adding
to the skill sets of the nurses, doctors and medical students who
care for infants in distress. With these partners, our aim is clear:
train the trainers, so that, ultimately, we can help save as many
newborns as possible. Armed with the curricula we present,
including Helping Babies Breathe, Pediatric Advanced Life
Support (PALS) and the Neonatal Resuscitation Program (NRP),
local hospital teams are then empowered to train local community
health workers. In this way, the education we deliver can help
bridge the significant gap between healthcare services available
in rural and urban India.
Despite the wide variety of needs, one factor remains consistent:
the health needs at our partner sites rarely go unmet because of
a lack of ability or passion. During an international conference on
life-threatening pediatric diseases in Nagpur, Chris Foley, MD, was
struck by the rapt attention of 50 pediatric faculty members and
residents and their expressions of gratitude.
“Their appreciation seemed exaggerated for what I was doing,
something I do back here at home on a regular basis,” explained
Foley, an assistant professor of pediatrics at Eastern Virginia
Medical School in Norfolk, Va. “But their reaction reminded me
how voracious their appetite is for knowledge, and how limited
they are in resources.“
Team approaches for patient-centered care also is a focus of our
outreach in India. Volunteers often center their training efforts on
the specific roles that healthcare providers – especially nurses –
play within a team.
Marsha Scott, NP, trained health workers in Malawi during a 10-week outreach in 2010.
In Kochi, India, Dr. Bonnie Dattel led a group workshop focused on resuscitating newborns.
Caribbean: Mentors for Young Mothers
In many places, giving birth is still a life-threatening activity. The World Health organization estimates that for every woman who dies in child-
birth, 20 more suffer injury, infection or disease. That’s 10 million women every year. Babies are at serious risk, too. Four million newborns
die in the first four weeks of life each year, according to USAID. This is a tragedy. Most of these women and babies live in the developing
world. We believe the answer to this health crisis is better care through trained, in-country providers. Since 2005 Physicians for Peace has
delivered targeted education to healthcare professionals and community health workers serving mothers and babies in countries in
Africa, Asia and the Caribbean. In 2011 alone, we trained nearly 180 health workers, ensuring that the youngest members of the next
generation, and the women caring for them, have the best possible chance for a safe and healthy life.
Among partners in Africa, clinics often lack sophisticated
equipment and sufficient materials. In these situations,
“high-touch, low-tech” approaches can provide an answer.
In rural Malawi, Marsha Scott, NP, of Atlanta, Ga., saw many
effective low-tech education tools aimed at community
health workers and expectant mothers, including posters
illustrating warning signs of pre-term labor. She also saw
the health issues of women and babies compounded
by misinformation (or the absence of information) on
breastfeeding, HIV and contraception. But Scott believes
there is reason for hope.
“With more training, health workers could easily use
simple guided questions to generate better diagnoses,”
said Scott, who will resume training efforts in Malawi later
this year.
Looking Ahead: Physicians for Peace will introduce Helping Babies Breathe to teams of health workers in Rivers State, Nigeria, in July 2012.
Phot
o by
Dan
a K
uhn
32
2012 international charity benefitGet ready to celebrate better health for all people. On Oct. 27, 2012,
hundreds of our supporters will gather in downtown Norfolk, Va., for
the Annual Physicians for Peace Gala. Proceeds from this fun-filled
fundraiser benefit our training programs around the world. The evening
includes silent and live auctions, a seated dinner and the presentation
of our 2012 Volunteer Awards. This year we’ll honor J. Morgan Davis,
president and chief banking officer of TowneBank in Hampton Roads,
Va., with our special President’s Award for his longtime support and
volunteer service. Sponsorship opportunities and tickets are available.
In March, Samuel W. Hill retired after nearly two decades with
Physicians for Peace. In his honor, we’ve established the Sam Hill
Scholarship Fund to support healthcare professionals, including
nurses, occupational therapists and physical therapists, who lack
the funds to fully support their travel and mission-related costs.
for more information, please visit www.physiciansforpeace.org or call 757.625.7569.
founding MeMberS of The SaM hill ScholarShiP fund
— robin Jones, rN, CNM, who has worked alongside Dr. Ojo euitayo and his team on training in Pampaida, Nigeria, since 2009.
Looking Ahead: While many NGOs focus exclusively on maternal morbidity, newborns now account for 40 percent of preventable child deaths worldwide. To reverse this devastating trend, Physicians for Peace will continue to train health workers in critical resuscitation and life-saving techniques.
“As a doctor, Dr. Ojo has committed himself to improving care in Nigeria. He’s a real role model to the community, and he deserves our support.”
A Big CElEBrAtiOn and a Fond Farewell
our MaTernal and child healTh PrograM in acTion
Resource Mothers program begins in Santo Domingo,
Dominican Republic
Partnership with Eritrea graduates its first class of
pediatricians. Maternal and Child Health outreach to India
begins.
Maternal and Child Health outreach begins in Malawi, Mali
and Nigeria. Midwifery training in Liberia.
Physicians for Peace begins introducing Helping Babies
Breathe to partner sites. The award-winning neonatal
resuscitation curriculum emphasizes skilled attendance
and specific assessment techniques within “The Golden
Minute” after birth.
Sam Hill escorting Medical Diplomat Award Winner Emily Tinsley, RN, MSNEd, during
the 2011 Physicians for Peace Gala.
2005 20092006 - 2007 2011 - 20122004
Physicians for Peace collaborates to launch the Partnership
for Eritrea to assist in development and implementation of
post-graduate medical programs in pediatrics, surgery and
gynecology.Ph
oto
By: S
teph
en K
atz
Phot
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: Ste
phen
Kat
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Phot
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: Ste
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Kat
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be a champion
Physicians for Peace believes every woman deserves a champion. Because of your support, we’re helping mothers and babies lead healthy
lives and giving community health workers and educators the chance to become leaders in their communities. Join the chorus of Physicians
for Peace supporters calling for better care and more education for women and children. Your investment will allow us to build up our time-
tested model and reach out to even more mothers and babies in need.
MEntOrs: Strong Women for Strong Communities “When you look at what makes the biggest impact on communities, it’s making sure that women and girls are healthy and educated, and that is an immediate need that Physicians for Peace can help fulfill.” — Carmen hooker Odom, President, Milbank Memorial Fund
Watch how lives are changed: www.physiciansforpeace.org Mr. John M. Berkley
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J. Morgan DavisPresident and Chief Banking Officer, TowneBank
54
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PaidNorfolk, VA
Permit No. 2015
Send One. Train Many. Heal the World.
To reduce cosTs and proTecT your invesTmenTs, we’ve posTed our annual reporT
online aT www.physiciansforpeace.org. call - 757.625.7569 To requesT a prinT copy.