IR 2010 - 2011 Lions Norway’s international projects Marit L. Klokkerhaug head of the national and international aid groups (MD IRC) Why should we contribute to international work? • Lions are an international organization and would like to help where the need is greatest • Lions want to create an understanding among all people of the world for humanitarian assistance, and provide volunteers • Lions members around the world share the same interest in combating blindness • LCIF rebuilding communities after disasters Why give money to Lions? • When we collect money for humanitarian work, we want every penny should go to those who need it • Lions, we distinguish between activity and management accounts • No funds from our many income-generating activities are used for administration Sustainability • Lions will lay the foundation of the business through investment and training • Local authorities will take over operations • The project must have a solid grounding in authorities both at main and local administration • All employees within the eye care sector must have the relevant skills Cooperation with Norad • Lions Aid Norway, have in cooperation with Norad, built seven eye care clinics, several light eye care clinics in rural areas, trained personnel and bought cars and other necessary equipment • NORAD covers up to 90% of project cost ends Eye health in developing countries • Eye health project in Uganda • Eye health project in Malawi • Upcoming Eye health project in Zambia Eye health project in Uganda • 1994: Eye Clinic in Masaka Eye Clinic in Mbale • 1999: Eye Clinic in Lira Polyclinic in Apac • 2002: Eye Clinic in Arua • 2005: Eye Clinic in Gulu Eye health project in Uganda • 2003: Polyclinic in Yumbe Polyclinic in Nebbi. Polyclinic in Moyo • 2007: Polyclinic in Moroto Polyclinic in Kotido • 2007: Construction of training units in Masaka and Mbale with classroom, kitchen and eight beds Education and awarness in Uganda • 1993 – 2009: Training of ophthalmologists, eye nurses, operation room nurses, health workers • 1993 – 2010: Raising awareness of teachers and head teachers, local politicians, natural doctors and others • 1996/2001/2005/2009: Evaluation represented by independent consulting firm in each of the years. Results in Uganda 2009 • 27.924 patients visited the clinics we have phased out from - Mbale, Masaka and Lira • 13.263 patients visited Arua and Gulu Clinics • 35.002 patients sought eye care personnel outside clinics Total 76.189 patients Results in Uganda 2009 • 2.195 operations at the clinics • 1.684 operations in mobile clinics include 1.242 for cataract • Total 3.879 operations School Projects Uganda • Co-financing of the school in the slum area of Kampala (2 mill N.Kr.) • Primary school with a library in Kabuki, teachers housing, kitchen, well at the same school School Projects in Uganda • • • • Primary school in Bugono, Primary school in Buluya,1. phase Primary school in Buluya, 2. phase Primary school in Buwuni, kitchen at the school • Primary school in Balakwar, Kitgum with toilets, library and reading room • Teacher Housing, kitchen, playground and well School Projects in Uganda • Primary school in Butaleja (Queen of Peace), 2. og 3. phase • Euroba Primary School ( dormitory for deaf and visually impaired children) – 1. phase is completed – 2. phase was completed in 2010 Other projects in Uganda . • Construction of kitchen at Kamwokya primary school in Kampala • Meeting places with kitchen for HIV / AIDS disease in the Kampala slum area • 2007 – 2010: Assistance to the AIM program Water and well projects • About 20 wells are completed and adopted in Uganda • 2 well projects in Malawi. • Shared equipment, tents, blankets and the like with flood disasters • Provided food grain and flour by famine, in cooperation with LC Soroti (Lions Disaster Preparedness) Sponsor Children • We support education for approx. 200 sponsored children through two schemes in Uganda - Kamwokya CCC - Balikuddembe (Bjørn Simensen) • Any request for a sponsor children are to go through the Lions office: post@lions.no • Sponsoring children in Uganda are supported by our office in Kampala Aid in Meeting • AIM is an activity developed by Lions Bergen Student. • Approx. 50 young people have participated in different projects • Silent Voices – construction of pig farm in Busheney in Uganda • Introduction training about Lions Quest Project Visits • Several Lions members and individuals want to visit Uganda / Malawi because: - They get an insight into how the eye care projects are running - They see several other needs that they want to do something with… such as building schools, wells, working for HIV / AIDS Eye health project in Malawi • Malawi is divided into four health regions with a hospital in each region. We are awarded two regions. • 2007: Eye Clinic in Mzuzu, which is located to the central hospital • 2010 : Eye Clinic in Zomba, the acquisition October the 1th. 2010 • 2006 - 2010: Training Program as in Uganda Results in Malawi 2009 • Sponsored education of five health professionals who have graduated as Ophtalmic Clinical Officers • Sponsored education of 563 health workers • Sponsored 18 nurses and clinic personal with a clinic course in basic eye care • 6 mobile clinics • 30.247 patients have visited our service • 711 operations, mostly cataracts Other projects in Malawi • School buildings in Malakotera (joint project with the Lions club in Mzuzu) • Well in Malokotera • School buildings are established in Mzimba • Boarding at the deaf school in Mzuzu ZAMBIA • Jan Erik Larsen has been appointed Resident Representative in Zambia from October 1th, 2010 • Regional Director for our development work in Africa • He was our representative in Uganda for 3 years • Good relations with the embassy and MoH • Greater use of the Lions in Zambia • Anchor Eye health among local and national • West Province: Trakom (15-16%) • Build clinic, hiring drivers, program officer… Financing • At the end of 2009 it was used 69,3 million from Norad and 16,3 million from Lions funds for the Lions projects in Uganda • In Malawi: 15,6 mill. from Norad og 2,9 mill. from the Lions funds (All amounts in N.Kr.) Evaluation of Uganda • Done by a group from the Departement of Sosiology at Makerere University, Kampala • Improvement items in terms of sustainability and the authorities responsible for follow up with action • Eye care is discouraged at the hospitals • Too soon that LAN withdraws from Uganda • Periodic shortages of doctors at Eye Clinics Evaluation of Uganda • The Board requested that the LAN at home and abroad will take this discussing with the ministry, hospital management and leadership of the Eye Clinic, with a view to achieving more binding agreements • There is a need for closer monitoring by Norway in the future Evaluation of Uganda • Supply of new funds do not provide a sustainable solution of the challenges that we have • It creates aid dependency • LAN must be stronger in its impact on districts and ministries - so that they will assume the obligations they have, according to the agreements made Evaluation of Uganda • LAN must have a closer monitoring of the districts • LAN must ensure that organizational and operational integration of the eye health units at the hospitals is carried out • BUT… we must accept that the services will be somewhat reduced compared to what it was at full LAN support EDUCATION • Program and plan for training of health personnel in eye health has been successful, and has meant a lot to get eye care on the map in rural areas, and provided an eyecare offer to the people at village level • LAN must work to get eye care into the curriculum of education of health professionals Shutting down in Uganda • Norad has in connection with the approval of the annual report for 2009, pointed out that the activities in Uganda will end in 2015 • Arua will cease in 2012, office assistant and a driver will be dismissed • Gulu will cease in 2013, office assistant and a driver will be dismissed Shutting down in Uganda • Instruments and equipment at the clinics are reviewed • Repaired or re-acquired by LAN wthin the expense budget • The cars are transferred free of charge to the hospitals / clinics • MD104 have covered the areas we are awarded in collaboration with the Ministry of Health NORAD • Norad's participants in the evaluation of the eye care project, suggests that LAN should continue longer • The evaluation report is not received • They will make proposals for action THE END… • The eye care project in Uganda has been very successful • The project has given eye care to over half of the country. It includes large areas that previous were very poorly covered • We have been pushing to get eye care into the public health system THE END… • We are the biggest external player within eye care. • When such a player reduces its operations, it will naturally leave gaps, but they must ”be refilled” • Problems in the phase-out was expected, and they came. We may not have taken action in time to counteract this? All Lions – we serve the world Lions Norway is amazing on IR in Uganda, Malawi and Zambia