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