Angola Mission Hospital Ceml Presentation

CEML Hospital Angola

Lubango

"Jesus had compassion on them and healed their sick." Matt 14:14

Providing Health and Hope for Christ in Angola

CEML

Centro Evangélico de Medicina do Lubango

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PEOPLES

Total Population Ovimbundu Mbundu Literacy

17 million 37% 25% 35%

ECONOMY The economy relies heavily on the oil industry, which is responsible for about 90 percent of Angola's exports. Angola also has large reserves of gas and diamonds. Other large mineral deposits, such as iron ore and gold, have been minimally developed.

GEOGRAPHY

Approximately twice the size as the state of Texas, the terrain is comprised of a narrow, dry coastal plain with the rest being a tropical agricultural highland, averaging 5000 feet in elevation.

CEML

Centro Evangélico de Medicina do Lubango

POLITICS A Portuguese colony for 450 years, Angola was given independence in 1975 after years of fighting by rebel factions. In the wake of independence there was a 27-year civil war that ended in 2002, in which an estimated 1.5 million people died with an additional 4 million were displaced. Land mines were used by both sides and parts of eastern Angola remain land 4 mined.

After the 1975 decolonialization of Angola, the first President, a Marxist, vowed to eradicate Christianity within 20 years. During this time, there were many incidents of repression and outright persecution of Christians. Christians suffered ostracism, abuse, discrimination for many decades. In the first ten years after independence there was intense persecution of Christians, dozens of pastors and thousands of believers were martyred or abducted, and many churches were deliberately destroyed.

RELIGION

The harsh realities of war and ideological collapse of Communism in the 1990s resulted in an easing of nearly all discrimination against Christians. Many simple Christians kept the faith and witnessed. As a result, congregations have multiplied, services are packed, and despite their Church Denomination Breakdown desperation and destitution hundreds of Catholic 38% thousands have trusted in the Lord Jesus Christ. Protestant / Evangelical 30% The shortage of trained, godly leadership is the Animists / Indigenous Beliefs 30% most critical problem limiting church growth and Independent (Jehovah‟s Witness/Mormon) 2% maturity. The results have produced many Indigenous beliefs are the most common in Angola, with several Christian religions also being prominent: Roman Catholicism and Protestant denominations.

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Centro Evangélico de Medicina do Lubango

leadership struggles and divisions. For years, little formal training was given, but now there are seven Bible schools and four seminaries. 5

DEMOGRAHPHIC STATISTICS Ethnic Group Populations Ovimbundu 6.2 million Mbundu 4.3 million Recognized Indigenous Groups 7 Human Development Index Rating (UN ranking of human longevity, education , and standard of living conditions compared to 177 countries)

162/177

Income/person $2335 (7.5% of USA) Percentage of Population: Under 15 45% Living in Rural Areas 43% Unemployment 40% Percentage of Population living on less than $2 per day 70% Percentage of HIV Infection Rate 4.1%

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Centro Evangélico de Medicina do Lubango

UN Statistics 2008

NOTABLE POINTS Despite high GDP rates; poverty is widespread and income inequity is steadily worsening: over 100 individuals in Angola are worth more than $50 million;  Notable world statistics:  Highest infant mortality rate: 18%; 

(compared to USA: 6%; Canada: 5%);

 Second highest death rate: 2.4%; (compared to USA: .8%; Canada: .7%);

 Second worst life expectancy length: 38.2 years; (compared to USA: 78.1; Canada: 81.3);  Highest number of amputees in the world per capita: over 100,000;  Angola has the third lowest missionary to population ratios in all of Africa: There is only one (1) missionary for every 70,000 people. UN Statistics 2009

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INFRASTRUCTURE AND SYSTEM OVERVIEW Angola is now showing clear evidence of recovery from the effects of three decades of civil war, which ended in 2002. Nevertheless, many challenges remain. Much of the national physical healthcare MAF Canada infrastructure has been destroyed as well as the systems that were built up during the colonialism era: over three hundred thousand people fled the country, leaving less than a 100 university-trained medical graduates. Now, the Angola Ministry of Health recognizes the need to improve the quality, rather than quantity, of health workers. They request outside

Most basic level nursing schools are overcrowded, use outdated curricula and are staffed with teachers who lack continual education. assistance to update their health systems to new medical norms. Human and institutional capacity is lacking at all levels of the public health system as well as the lack of supplies such as drugs, basic instruments/equipment, electricity and potable water needed for service delivery. Clearly, major sources of healthcare deficiencies are insufficient public health financing, the need for outside, strategic assistance and the Centro Evangélico de misallocation of resources. Medicina do Lubango

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USAID Report 2008

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Angola‟s health indicators are some of the worst in sub-Saharan Africa: Malaria is reported to be the principal cause of mortality and morbidity in the country, with a total 3.25 million cases and 38,000 deaths due to malaria reported in 2006.

MAF Canada

A small number of diseases, namely malaria, acute diarrheal diseases, acute respiratory infections, measles, and neonatal tetanus, are directly responsible for 60 percent of child deaths, despite the fact that it is relatively easy to prevent or treat these problems at the level of the primary health care (PHC) services, and through better practices and care at household level. Malnutrition is the main associated cause of mortality. The rate of maternal mortality was estimated to be between 900 and 1,300 maternal deaths per 100,000 live births, which is 12 times higher than in other developing countries. These health indicators reflect a series of contributing factors such as lack of access to health services, water, means of excreta disposal, personal and food hygiene, food security, housing, household income, and health care knowledge and practices in communities and households

UN / USAID Statistics 2009

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After 30 years of civil war, it became apparent to expatriate missionary, Dr Steve Foster, that a private, mission hospital was necessary to assist the weakened national healthcare system.

for CEML based on its ability for continuous resupply and ready access to air transport. Opening in 2006, CEML was financed from private donations from USAID and Samaritan‟s Purse.

Dr. Foster, a Canadian surgeon Strategy: Meet the great who was raised in Africa by medical needs in the missionary parents, has served region and be a platform over 30 years in medical ministries in Angola. Being a for spiritual outreach. Canadian board-certified specialist in General Surgery, Dr. Foster's vision was to establish a stable central hospital in southern Angola as a base to  support a series of remote clinics in areas not readily accessible by vehicles. Lubango,the regional capital of Huila Province in southern Angola , was chosen as the location

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Centro Evangélico de Medicina do Lubango

Now, CEML is governed by a national board consisting of Angolan doctors, pastors, and Christian professionals.

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„Health and Hope through Christ‟ Vision Statement: As a church-related health care institution we seek to provide medical services for an estimated 50% of Angolans who currently have no alternative coverage. Goals:  To develop and maintain high-quality tertiary care.  To create partnerships with like-minded health care providers.  To develop Public Health and primary care services for our local community.  To train and retain Angolan professionals and leaders.  To research and develop optimal health service initiatives for the region.

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The hospital infrastructure consists of a 53bed acute care facility with a 24 hour emergency ward, 7 consulting rooms and treatment area, administration, lab and x-ray with digital capability, 2 O.R. theaters, and a large ward with 8 semi-private beds. Since 2006, over 28,000 new patients have been registered, with over 2800 surgical procedures and over 1000 cataract surgeries performed.

A strategic plan to build up 20+ remote clinic sites around Lubango has been set in motion and will be supported by MAF aircraft which will enable regular health team visits. CEML has completed Phase One of its three Phase Growth Plan. Phase Two would bring CEML to a full service 130 bed hospital with the implementation of two ICU units, plus renal dialysis and CT scanners; essentially being the only functioning units within a 900 km radius. 10

“ Often we conduct trips to the outlying areas for the purpose of seeing ophthalmology patients and do cataract operations for those who needed them. As is always the case, some cases are terribly sad – a 3-year old girl with a tumor bulging several inches from her face, many people with optic nerve atrophy that we cannot explain. Many, many for whom we could do nothing.

Dr. Steve Collins then operated and in a few minutes the process was done. The patient was led away by the family member to their mattress for the night. The next morning was the best. One by one, we removed the After eye surgery, one 40-year patches and asked what old man saw his 1-year old they saw. “My daughter!” “My grandson!” “White man!” daughter for the first time and began to dance and praise God. It gave me chills every time.

But then there were the cataracts. Generally older people, brought in by young family members, often led with a stick. We would examine their eyes, take their blood pressure, stick tape on their foreheads to indicate which eye was to receive an operation, place the dilating drops. I would call them when we were ready, and have them take off their “panos”, African cloths that seem to be worn in unending layers. I would stick the needle in and there was rarely a flinch.

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So now they can appreciate the beauty of their own country again with the eyes God gave them to see it.”

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CEML Hospital is located in the southwestern highlands of Angola, located 7 kilometers from Lubango‟s city center. Lubango has grown to more than a half a million inhabitants, becoming the intellectual and economic hub of three provinces.

Outside of the city center, many rural tribal groups utilize CEML Hospital. Besides the dominant Ovimbundu people group, the other proximate tribal groups of CEML provides primary CEML‟s immediate the Mumuila, Nganguela, healthcare to an catchment population is Mungambwe, Kwangali, immediate catchment Himba and Nyaneka population of over 2.5 over 2.5 million people. peoples utilize CEML and are million Angolans within a 250 kilometer radius and serves a referral actually listed as the most largely unreached center for a much larger region. Surrounding people groups for the Gospel in Angola. All . CEML are several small government of these groups have very little access to dispensaries and health centers; many patient basic healthcare. referrals come from those facilities. The Himba are, to this day, one of the most isolated nomadic peoples in the world. They are noted for their basic wear of loincloths, beads and a mixture of fat and clay, which they paint on their bodies. Because they are nomadic, they possess few belongings and have very limited access to basic healthcare or to healthcare facilities. Centro Evangélico de 12

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Medicina do Lubango

“True spirituality in action shares, serves, and empowers.” To ensure CEML‟s sustainability in the long-term, an effort of training, mentoring, and empowering of the Angolans in medical services must take place.

THE NEED FOR SUSTAINABILITY Since its opening in 2006, medical services at CEML has been significantly assisted by the many expatriate medical staff who have volunteered their skills and efforts on a short-term basis to the ministry. With Angola in the state of transition, any potential changes in Angola government immigration regulations, would curtain this

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Centro Evangélico de Medicina do Lubango

this important contribution by expatriate medical practitioners who have a passion for the ministry. Strategically then, the training of Angolans in healthcare services is the most effective and cost efficient solution in view of their residency and ministry access advantages.

CEML TRAINING STRATEGY

Considering the immense healthcare needs, CEML strategy is to concentrate on training and the implementation of a plethora of Angolan non-physician clinicians to meet the needs in rural areas. Higher level strategy implements the training of Angolan surgeons through the Pan-African Academy of Christian Surgeons (PAACS). The first graduate of this program working with presently working part-time at the hospital. 13

CEML is essentially a fee-for-service facility. Treatment is never denied to those who are unable to pay, and over $15,000 is allocated each year for additional social assistance. The hospital still relies heavily on donors to provide for the continued development of services and new equipment.

VOLUNTEER OPPORTUNITIES Medical: While there is an acute shortage of accredited medical staff in every specialty, the needs are most urgent for coverage in: • Ophthalmology • Orthopedics • OB/GYN • General surgery (relief) • Dentistry and dental surgery

MAJOR EQUIPMENT NEEDS: • •

• • •

• •

Allied Health Professional: • Ultrasound and Biomedical Technicians. • Physical and Occupational Therapists

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Centro Evangélico de Medicina do Lubango

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C-Arm Urological Endoscopic system to permit trans-urethral resections, and Arthroscopic system for use with the in-house Video Camera and Monitor CT scanner 3 Ventilators Anesthetic machine Ethylene Oxide sterilizer Electrosurgical Unit (400 watt) Satellite communications link with North America

CONSULTATION COST SHARING Each patient is expected to contribute to the medical costs according to their ability to enforce an attitude of ministry ownership and avoid creating a culture of dependency.

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Mark and Jana Faus plan to join the CEML team in Angola in early 2010.

Mission Aviation Fellowship of Canada

Mark will enter the role of CEO / General Director of CEML, to: Direct the administration activities; Manage the expansion projects; Train Angolans in administration roles; Integrate a „flying doctor / medivac‟ service from the hospital with MAF.

Outgoing funds, in the amount of USD$55,000, must be raised before the departure to Angola for the following items:  4X4 Vehicle; A robust vehicle is required to facilitate travel to many rugged, isolated, outlying areas to conduct medical trips and in the survey and construction of clinic airstrips.  Language Study and Travel; Coverage of fees for language acquisition courses and language study helpers on the field; costs of air tickets to Angola.

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 Shipping; Cost of purchasing a shipping container and the costs incurred for shipping the vehicle, personal effects, and computer/office equipment to Angola. 15

All financial donations to the Faus Family can be directed to:

“Mark and Jana Faus Outgoing Funds” Mission Aviation Fellowship Canada 264 Woodlawn Rd. W, Guelph, Ontario, Canada N1H 186 Toll-Free Phone 1.877.351.9344 Fax (519) 823-1650 [email protected] MAF Canada is a Canadian Registered Charity (Registration Number 12994 2561 RR0001) and is able to issue receipts for income tax purposes. MAF Canada is a charter member of the Canadian Council of Christian Charities.

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Centro Evangélico de Medicina do Lubango

Mission Aviation Fellowship P.O. Box 47, Nampa, ID 83653 Tel: 800-FLYS MAF (359-7623)

MAF is a 501(c)3 not-for-profit charity and a charter member of EFCA (Evangelical Council for Financial Accountability) and is able to issue receipts for income tax purposes.

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Consider contributing to the ongoing development and service of CEML facility as it expands to serve the ever-growing needs of the local Angolan citizens for high quality health care. All financial donations to the CEML Hospital can be directed to: “Evangelical Medical Center” ADVANCING THE GOSPEL IN ANGOLA, INC. 25 Maple St. Addison NY 14801-1009. All gifts are tax deductible. Tel: (607) 359-2949

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Centro Evangélico de Medicina do Lubango

AGA is a 501(c)3 not-for-profit charity and a charter member of EFCA (Evangelical Council for Financial Accountability) and is able to issue receipts for income tax purposes. 17