14 Hhrg December 2008 Newsletter

8/14/2019 14 Hhrg December 2008 Newsletter

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Welcometo the Things We Do Health and HungerResource Group December Newsletter.

We primarily encourage support of OurRotary Foundation and Polio Eradication.

This edition features an article presentedby PDG Prof. Dr. Robert Zinser focussingon what Rotarians can do to addresschild health. It is important to be awareof successful projects, partnerships andsome inexpensive solutions.

We report good progress with your herdand Matching Grants for Birth Kits whichyou can easily join, at this time of giving.

Please promote these opportunities to

your clubs and friends to help build ahealthier, more peaceful world.

RI President Dong Kurn Lee addressed government andcivic leaders during a September forum convened byUN Secretary-General Ban Ki-Moon in New York.

At the event, attended by top government and civicleaders, President Lee praised the 20-year partnership

between Rotary and the United Nations in fighting polioand reaffirmed Rotary's commitment to working with the UN to eradicate polio andbuild a healthier, more peaceful world.

"We have brought the world closer to the end of a disease and to the achievement ofthe fourth Millennium Development Goal: reducing child mortality," .... "We havecreated partnerships that will endure and will yield benefits far beyond the eliminationof one disease."

Reducing Child MortalityDecember 2008H.HRG #4

Contents:2. Continue Building Your Herd3. Global Network for Blood Donation4. What Rotarians can do to address child health9. Suggested Health Hunger Activities10. Foundation Matching GrantBirth Kits11. Learn Grow. Plant nutrition12. Area Coordinator Mark Doyle12. Brad Howard. 9 N.I.Ds to Africa13. Medical Mission to Niarobi14. Area Coordinator Luiz Coelho de Oliveira

Latin America report

Take a comprehensive approach

Heather YarkerGeneral [email protected]

Chuck KurtzmanAssistant

General Coordinator

THINGS YOU CAN DOA compilation of Rotarian Action Groupswww.crmrotary.org.au/docs/Things_You_Can_Do.pdfClick here

The best and sustainable way to combat Child and Maternal Mortality is through acomprehensive approach in close cooperation with the government, with hospitalsand other stakeholders active in this field and in the same target area.Rotary, including leaders in all professions like gynaecologists, managers,organizers, accountants can shoulder such a comprehensive approachBut each single and simple intervention to reduce childmortality is a contribution which every club can make.

Giving birth in a safe, professional environment should nolonger be a privilege for the richit is a right all

women should enjoy.Prof. Dr. Robert ZinserRotary received royal recognition by the Emir of Zaria in particular for this project..

There is no task more noble than togive a child a better future. Anon.

Give Blood. Give a Heifer, a goat or chickens. Give to a birthing kit project.Give some of your talent, encourage others to give some of their talent.

Give some of your time and a little of your treasure.

[email protected]


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Ibqqz!Gftujwf!Tfbtpo Make Dreams RealContinue to build your Herd

Congratulations Rotarians - already $13,000

This is a wonderful opportunity

that is easy, fun and gives hopeto those in need. Please selectfrom the pictures and build yourown virtual District or Club herd.

Thank a guest speaker byadvising that the club will select anappropriate gift ofHope in therehonour.

When a club member celebratesan achievement, birthday, anniversarythey could select a gift which givesHope.

Give as a family gift atChristmas time.

Go to the Heifer International gift page.www.heifer.org/site/c.edJRKQNiFiG/b.204586/

Heifer International has many answers.Visit them on www.heifer.org

The following gifts will Make Dreams Real.

10 to 50 chickens $201 beehive $30Flock of ducks $203 Rabbits $60Trees $601 Goat $1201 Pig $1201 Llama $1501 Water Buffalo $250

1 Heifer $500Payment Note;Payment by electronic transfer or credit card will enableHeifer International to record the Rotarian World HerdPlease be sure to identify your Rotary club / district onthe second page of the order form. Choose OtherOrganization then fill the Name of Organization field withRotarian your name, or Rotary Club of or RotaryDistrict xxxx

Nblf!zpvs!Cjsuiebz-!Disjtunbt!ps!Dmvc!hjgu!lopxo!cz!tfmfdujoh!b!hjgu!dbse!boe!qfstpobmj{joh!ju!vtjoh!uif!Ifjgfs!Joufsobujpobm!Hjgu!Dbse!tztufn/!Print this page as your promotional brochure

H.HRG #4 2008 Page 2

Dear Rotarians ,Hunger and poverty is the single greatest challenge to peace in our world.Heifer has long known that when people are poor, hungry and desperatethey have to fight for their survival. But when alternatives to fighting are

available, these same people have a chance to enjoy a stable andpromising future.

Through gifts of livestock and training, Heifer is making a difference inplaces like Rwanda, Haiti and Cambodia, whose histories are punctuatedwith conflict. Here, we are providing more than just a way for communitiesto lift themselves out of poverty; our sustainable approach offers peaceand, most importantly, a chance at that promising future.Yours for a better world,

Ashley Michael.Heifer International

Tfbtpot!Hsffujoht!!!Hjwf!up!Ifjgfs!Gpvoebujpo!boe!tfmfdu!b!hsffujoh!dbse/!Tfoe!b!nfttbhf!up!mpwfe!poft!bewjtjoh!uifn!zpv!ibwf!hjwfo!jo!uifjs!obnf/!!Lopx!uibu!zpv!ibwf!hjwfo!up!nblf!uif!xpsme!b!cfuufs!qmbdf/!


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Global Network for Blood Donation A Rotarian Action Group

Four hours from now

She may be your daughter; he may be your son fourhours from now any us may be in need of a transfusion.

Our systems of healthcare are based upon the premisethat adequate and safe supplies of blood will beavailable when and where needed and that we have theinfrastructure to collect, test, store, and distribute bloodand its components.

In developing countries, about two-thirds of the bloodsupply is needed for young children and maternal care.

Around the world, transfusions help save the lives ofthose with malaria, leukemia patients, those stricken withanaemia, accident victims.Volunteer blood donors are the key to saving these lives.

Rotarians roll up their sleeves and provide over 1% ofthe worlds blood supply. We help our blood centers as

volunteers, we provide technology and education.

Tomorrow morningYou could be donating blood at your community bloodcenter

Next monthYour Rotary Club could be hosting a community blooddrive

Right nowYou can make a phone call to your community blood

center to schedule a donation, organize adrive, volunteer your time and talent.

Contact Chuck Kurtzman, Vice President and

CoFounder. [email protected]



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IntroductionIn the Breakout Session on June 17,2008 of Rotary InternationalConvention in Los Angeles, theRotarian Action Group for PopulationGrowth & Sustainable Development(RFPD) presented project proposalsto tackle child mortality, the new RIpresidential emphasis.

Child Mortality is a complex problem.It is linked with maternal mortality,where the world community hardlyachieved any progress during the lastdecades. In child mortality however,there has been some progress duringrecent times.

The best and sustainable way tocombat Child and Maternal Mortalityis through a comprehensiveapproach in close cooperation withthe government, withhospitals and otherstakeholders active in thisfield and in the same targetarea.

Rotary, including leaders inall professions likegynaecologists, managers,organizers, accountants canshoulder such acomprehensive approach aswe point out below.But each single simpleintervention to reduce child

mortality is a contribution every clubcan make.

Partnering with professionalorganizations which deal with thissubject is advisable. There are manyorganizations which clubs anddistricts can contact to seek advicelocally, such as World HealthOrganization (WHO), United NationsChildrens Fund (UNICEF), UnitedNations Population Fund (UNFPA),and not least The Partnership forMaternal, Newborn & Child Health(PMNCH).

The Challenge of the newemphasis on Child MortalityOur RI President D.K. Lee has to becommended for taking up the

Reduction of child mortality as thisNr. 4 Millennium Development Goal(MDG) being one of the mostimportant. The other one is Nr. 5MDG Improvement of MaternalHealth. RI President D.K. Leerepeatedly emphasizes that Rotarycontributes to the MDGs.

There are new commitments formaternal, newborn & child health

made by the United Nations.

At the United Nations GeneralAssembly in September 2008, theleaders spoke up about the worldtragedy that 6 million children, 4million newborns, and 530,000mothers die each year from largelypreventable causes.

Leaders stood up and madecommitments to new and renewed

action and funding to improvematernal, newborn and child healthand help the world achieveMillennium Development Goals 4 & 5 the two goals which strive toreduce child and maternal mortality.

These MDGs call on countries toreduce by two thirds the mortalityrate among children under five, andto reduce the maternal mortality ratio

by three quarters by the year 2015.

The third health MDG aims to combatHIV/AIDS, malaria and otherdiseases including tuberculosis.

International partners also committedto the Countdown 2015 for Maternal,Newborn and Child Survivalinitiativethat focuses on 68 countries whichtogether account for 97% of

maternal, newborn and child deaths.

WHAT ROTARIANS CAN DO TO

ADDRESS CHILD HEALTH

RI PRESIDENT D. K. LEE HAS CHALLENGEDROTARIANS WORLD WIDE

TO HELP REDUCE CHILDHOOD MORTALITYH.HRG #4 2008 Page 4

The Countdown to 2015tracks coverage of essential interventions which have been proven toreduce mortality among mothers, newborns and children to measure progress made bycountries towards the achievement of the health MDGs. See www.countdown2015mnch.org/


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The Partnership for Maternal,Newborn & Child HealthOur Rotarian Action Group forPopulation Growth and SustainableDevelopment (RFPD) is a member ofThe Partnership for Maternal,

Newborn & Child Health.

The Partnership is a global healthpartnership launched in September2005; This organization joins thematernal, newborn and child healthcommunities into an alliance ofalmost 260 members to ensure thatall women, infants and children notonly remain healthy, but thrive.

The Partnership Secretariat is hostedby WHO, Geneva. The ExecutiveDirector of The Partnership, Dr.Francesco Songane, former HealthMinister of Mozambique, presentedin our breakout session at the RIconvention 2008.

He states in impressive words, below

(Dr. Francisco Songanewill again advise us howbest to combat child andmaternal mortality whenhe will present at the RIMembership & ChildMortality PresidentialConference 67

February 2009, Egypt inCairo February 57,2009)

RFPDs Model of a ComprehensiveApproach to Reduce Child andMaternal Mortality for replication

jointly by districts or several clubstogether

District 9120 and theircommunities in 2004 requestedhelp to fight fistula and toreduce maternal mortality.

Rotarian Action Group for PopulationGrowth & Sustainable Development(RFPD) advised the host district andinternational partner clubs to take acomprehensive approach as we

learned that between 1990 and 2005the mortality rates fell at less than 1%per year although the worldcommunity agreed on a SafeMotherhood Initiative in 1987.

As mentioned Improving maternaland child health is a complex matter,hence a comprehensive approachwill bring more progress.

Four Districts(Germany, Austria,Nigeria) and 60German Clubs from 7 other Districtsas well as 1 Rotaract Club, 15 InnerWheel Clubs and 1 Rotary club fromFrance, Great Britain and The

Netherlands joined this MatchingGrantProject implemented byDistrict 9120 Nigeria.

The project with an amount of 1Million Euro was cofunded byThe Rotary Foundation,AVENTIS Foundation and theGerman Government. RotarySatellite projects, large

donations

in

kind andcooperation with stakeholdersincreases this amount and theeffect of this project.

Rotarian Action Group for PopulationGrowth & Sustainable Developmentpresented the project at theInternational Women deliverconference in October 2007 in

London.The Ministers and theirrepresentatives who gathered thereencouraged us to continue as theirresolution stated child and maternalmortality should best be tackled in acomprehensive approach and in aconcerted effort with stakeholders as

nobody can doitalone.

By saving women, we save not only a motherbutperhaps, the whole family.The mother is the central figure in maintaining the healthof her family. The newborns life is far more secure if themother is alive, as are the lives of her other youngchildren.

In many poor countries, about 60% of all interventions inhealth centers are related to maternal and child healthcare.If we succeed in properly addressing these problems, we

will be making tremendous progress in the consolidationof services.This means that by improving maternal health care indeveloping countries, we can begin not only to savematernal, newborn and child lives, but also set standards

for functioning health systems.Maternal and child mortality indicators (including thenewborn) are a mirror of how countriesand all of uscommit to improve socioeconomic conditions andovercome poverty.By saving the lives of half a million women who die eachyear from pregnancyrelated causes in developingcountries, we also stand to save a significant number ofthe 3.3 million stillborn and 4 million newborns who dieevery year, as well as millions of young children underfive.

Giving birth in a safe, professionalenvironment should no longer be a privilege

for the rich it is a right all womenshould enjoy.



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Prof. Dr. Robert Zinser (left)Rotary received royal recognition bythe Emir of Zaria in particular for this

project.. It is a Model for The RotaryFoundations Future Vision Plan

In this 4yearpilot project whichstarted in 2005, we focus on two

northern states of Nigeria (Kadunaand Kano) with a target group of5,000,000 women.

Our goal is to identify main riskfactors for pregnant women and theirbabies and address them throughadvocacy and by raising awarenessat the grass roots level. Theelements of our comprehensiveapproach include behavior change byradio serials, training of healthpersonnel, delivery of medicalequipment and improvement ofquality of structure and process,distribution of mosquito nets anddelivery kits as well as prevention ofmothertochild transmission of

AIDS (PMTCT).Two hospitals have been equipped toserve as Fistula Treatment Centers

where patients receive necessaryreconstructive surgery and postoperative care.

The project cooperates with manystakeholders such as Traditionalrulers, Government, NGOs,Foundations, i.e. the David andLucile Packard Foundation.

Additional satellite Rotary projects,

such as education and microcreditsfor successfully treated fistulapatients enable them to have theirown income.

Safe water management withhygiene and sanitation for hospitalsare increasing the projects lastingeffects in preserving the health ofchildren and their mothers.

The sophisticated part of our Modelto Reduce Maternal and FetalMortality is Quality assurance bybenchmarking amongst 10 selectedhospitals in two Nigerian statessupervised by the correspondinguniversity teaching hospital.

Especially this aspect was presentedby Rotarian Prof. W. Kuenzel, a

member of the German project team,at the International Stillbirthconference Oslo, November 2008.

Quality goals inobstetrical serviceare:Quality of structure

Hospital building, equipment,number of staff, service level .

Quality of processTrained and experienced

personnel and professionalperformance

Quality of outcomeMaternal and fetal morbidityand mortality

We encourage districts and clubsjointly to replicate this pilot project.Such a comprehensive approach toreduce child and maternal mortalitywill demand a few hundred thousand

US Dollar.But together with a FoundationMatching Grant or even 3-H grant forsuch an exemplary project fundsfrom other sources can be gained aswe successfully managed.One replication is already understudy. Many more should follow.RFPD is ready to give advice.

Single interventions to combat

child mortalityProposals for club projects

Also single interventions to reducechild mortality make sense as evenour comprehensive approach existsof many single partly smallinterventions.

Also such single activities aremeasurable by following up one ormore individual indicators for thesuccess of the intervention; seeindicators for the correspondingproposal below.

In District 9120 clubs of Rotary,Rotaract and Inner Wheel contributeto the comprehensive approach withsingle interventions.

OBSTETRIC FISTULA IS AN INJURY OF CHILDBEARING. IT OCCUIRS WHEN A WOMAN ENDURES

OBSTRUCTED LABOUR WITHOUT APPROPRIATE MEDICAL INTERVENTION. THE CONSEQUENCES ARE:THE BABY USUALLY DIES, AND THE WOMAN IS LEFT WITH CHRONIC INCONTINENCE THE TRAGEDYOCCURS BECAUSE THE SUSTAINED PRESSURE OF THE BABYS HEAD ON THE MOTHERS BLADDER ORRECTUM DAMAGES SOFT TISSUES CREATING A HOLEOR FISTULA THAT LEAVES THEWOMAN UNABLE TO CONTROL HER FLOW OF URINE, OR FAECES, OR BOTH.


1,120 fistula patients have successfully been treated (as ofNovember 2008), thereof 110 repaired patients have beenrehabilitated and reintegrated into their communities; a part ofthem received microcredits.


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Delivery of medical equipment.There is an unbelievable lack ofequipment last not least in thegynecological departments of the

hospitals.Improvement of the structureincluding equipment is crucial; seeremarks on quality assurance above.

Clubs can easily get proposals fromtheir local hospitals.

A typical Matching Grant project.It has to be made sure beforehandthat the equipment can be handledand that it will be maintained.INDICATOR: Number anddescription of the donated medicalequipment.

Delivery of delivery kits whichcan be purchased from Birthing KitFoundation, Australiawww.birthingkitfoundation.org.au) orat UNFPA (www.unfpa.org).

Clubs can distribute them amongstmidwives and traditional birthattendants (TBA) assisting homedeliveries as explained in thenewsletter of RI Resource Group inSeptember 2008.

The Head Midwife employed in ourcomprehensive project requestedthese delivery kits as basic

equipment for home deliveriesespecially in rural areas.INDICATOR: Number of delivery kitsand number of recipients ofdonated delivery kits.

Main categories in which Rotary clubs can implement in communitiessuch individual interventions to contribute to the reduction of child

mortality with Matching or 3H Grants:

3. Procurement of equipmentand drugs for hospitals,midwives and TraditionalBirth Attendants


Awareness campaign forbreastfeeding.Clubs can contribute to reducedeaths caused by lacking ofbreastfeeding by organizing relevantcampaigns. With breastfeeding1,300,000 deaths could beprevented. INDICATORS: Number ofpregnant women or mothers who

attended such campaigns.Traditional Birth Attendants reportingon increase of breastfeeding.

Education about hand washingwith soap.Clubs can organize talks withtraditional rulers/religious leaders toinform the families and with schoolclasses to directly educate childreni.e. about handwashing with soap

with a vow to keep themselves freeof diarrhea and pneumonia twomajor killers of children spread

mainly via dirty hands.

According to studies by theInternational Centre for DiarrhealDiseases Research in numerouscommunities less than 1 percentreported washing hands with soapbefore eating.Similarly only 17 percent of peoplereported washing hands with soap orash after defecation. Such practices

do not remove germs and do notprevent the transmission of diseasessuch as diarrhea or pneumonia.

Studies have proven that effectivehandwashing for at least 20seconds with soap, cuts deathsfrom pneumonia and diarrhoea bysome 50 percent and is the cheapesthealth intervention in the world.

INDICATOR: Number of childreneducated in hand washing, Reportsof hospitals and TBAs on number of

diarrhea cases.

Building of toilets where badlyneeded. Of the approximately 120million children born in thedeveloping world each year, half donot have access to improvedsanitation, jeopardizing their survivaland development.Poor hygiene and lack of access tosanitation together contribute to

about 88 percent of deaths fromdiarrheal diseases 1.5 milliondiarrhearelated underfivedeaths each year.More than 35,000 children under fivedie of diarrheal diseases each year,an average of 100 deaths a day,according to UNICEF.INDICATOR: Reports of hospitalsand TBAs on number ofdiarrhea cases.

1. Advocacy / PublicAwareness / Behaviour

change

Trainings of midwives andother skilled birth attendants(TBAs) can be organized andimplemented by clubs in developingcountries.

Midwives and TBAs are caring forsafe delivery in hospitals and formothers and their babies during theirhome delivery.

In some countries we experience70 % home deliveries.These are excellent matching grantproject proposals.

About half of all women still gothrough childbirth without access toskilled care or emergency obstetricservices.INDICATOR: Number of newlytrained midwives or skilled birthattendants.

2. Education and training ofall grades of health personnel


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Child mortality is a complexissue that lacks a singlesolution.However, a number of internationaldevelopment organizations including

UNICEF, the World HealthOrganization, and Save the Childrenhave suggested the followingstrategies for reducing child mortality.

Invest in inexpensive solutions Mostchild deaths could be prevented bysolutions that cost as little as US$ 1.00per child. These include immunizations,breastfeeding, oral rehydration therapy,antibiotics, trained birth attendants,nutritional supplements, and insecticide

treated mosquito nets.

Educate women and girls Educatedwomen and girls are a crucialcomponent to reducing child mortality.As a whole, women and girls who areeducated are healthier and betterequipped to understand and address thehealth risks mothers and children face.

Train health care providers Manycommunities lack access to trained

health care providers who can provide

life saving care for children and mothers. Strengthen health systems Healthsystems, particularly in localcommunities, should be strengthenedand expanded to provide technicalhealth interventions to children, mothers,

and their families.

Promote partnership Partnership atlocal, regional, and national levelsenhances the ability of the worldcommunity to reduce child mortality byincreasing the effectiveness ofinterventions, minimizing costs,improving accountability, and avoidingthe duplication of efforts.

Involve governments Increasinggovernment support for proven solutionsthat save the lives of mothers, childrenand newborns has been an essentialpart of reducing child mortality rates incountries worldwide.

To address other major health andhunger issues Rotary clubs can:Promote giving blood in your club andyour community.Invite speakers to present programsabout aspects of health and hunger at aclub meeting.

Organize a communityproject in health, such as a health fair,perhaps in conjunction with your locallibrary or chamber of commerce.

Volunteer to serve at a soup kitchen,individually or as a Rotary club.Develop a project to improve health inthe workplace, a prison, or anorganization in your community where aneed exists.

Conduct a project in which every newmother at a local hospital receives apackage of information regarding goodhealth and nutrition.

Promote a contest, whereby childrenwrite, draw, paint, or use some other

type of materials, to present theirrendering of health and hunger needs.

Become involved in an internationalhealth or hunger project either hands on,shipping supplies or by providing grantsupport, i.e. AIDS, World FoodProgramme, PolioPlus, Operate HeartSurgery, and HungerPlus.

Prepare an exhibit of your clubs healthand hunger projects and

display it at your district

Rotarian Action Groups are voluntaryassociations of committed Rotarians,Rotarian spouses, and Rotaractorsunited around a common humanitarianservice issue.Through their worldwide networks ofvolunteers, Rotarian Action Groups

conduct international service projectsthat advance the Object of Rotary.Any Rotarian interested in the work of aRotarian Action Group is invited to visittheir website use their references andother materials, and consider becominga member. While Rotarian ActionGroups are formally recognized byRotary International, the recognition of aRotarian Action Group by Rotary

International in no way implies legal,financial or other obligation orresponsibility on the part of RI, or anydistrict or club. A Rotarian Action Groupmay not act on behalf of RotaryInternational, or represent or imply that ithas authority to act on behalf of R.I.Rotarian Action Groups are not agenciesof, or controlled by, RotaryInternational.

Supported by Rotary International, the Health and Hunger,Literacy, and Water Resource Groups were established tohelp support Rotarys annual service emphases and connectRotary clubs and districts with the information and resourcesthey need to address these issues in their communities.In the 2008-09 Rotary year, resource groups are alsoresponsible for making the RI president and the directorsaware of what clubs and districts are doing to reduce childmortality a special emphasis of RI President D. K. Lee.

The 2008-09 Health and Hunger Resource Group iscomprised of experienced Rotarian coordinators appointed byRI President D. K. Lee and hundreds of District Coordinatorsappointed by their respective district governors to support thegoal of reducing child mortality and to Make Dreams Real.Additional information about the Health and Hunger Resource

Group may be found on the RI website, including contactinformation for your districts zone coordinator.http://www.rotary.org/en/AboutUs/RotaryLeadership/RIPresident/Pages/HealthandHunger.aspxThe Health and Hunger Resource Group supports andencourages Rotary club and district efforts to improve healthand nutrition in their communities, paying special attention toissues that primarily affect children and their mothers. Theresource group encourages clubs to conduct projects that

improve nutrition, reduce vulnerability to preventable ortreatable diseases, and increase access to safe drinkingwater and basic sanitation. By carrying out these types ofprojects, clubs and districts will go a long way towardachieving 2008-09 RI President D.K. Lees goal ofreducing child mortality.

SOME SUGGESTED ACTIVITIES FROM THE HEALTH AND HUNGER RESOURCE GROUP

THE HEALTH AND HUNGER RESOURCE GROUP

ROTARIAN ACTION GROUPS



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THINGS YOU ARE DOINGSAVING LIVES

Select yourCountry and number of birthing kits

Solomon Islands -Need 15,000 @ US$3Promised now 1,000 KitsThe Rotary Club of Honiara administers supply of kits toremote villages throughout the small Island Nation.

Select.1. Select a Country2. Select number of kits3. Select payment method

Direct to Birthing Kit Foundation at http://www.birthingkitfoundation.org.au/rotary.htmwhere special gift forms are available.Email your expression of interest to Heather Yarker [email protected] be placed in current Matching Grants.

Nigeria - NorthernNeed 30,000 kits @ US$3Promised now 150,000 Kits150,000 kits annually to compliment the Rotary InternationalNigeria Fistula Project.

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Picture courtesy Birthing Kit Foundation

Rotary Foundation Matching Grant Progress East TimorDescription Supply of Maternity Packs to East Timor.Host Partner Rotary Club of Mt Isa SouthWest. $ 10,000

International Partner Rotary Club of Dili $ 100Participants Rotary Club of Coomera River Midday. $ 4000

District 9640 District Designated Fund. $ 2000Your personal contribution $Your Club $Your District $

EthiopiaRotary Foundation Matching Grant ProgressDescription Supply of Birthing Kits to Ethiopia via Hamlin Fistula HospitalHost Partner Rotary Club of Twin Bridges $ 250International Partner Rotary Club of Addis Ababa Central Mella $Participants Rotary Club of Addis Ababa $

Rotary Clubs of Districts estimated $ 4000District 7190 Designated Fund. $ 2500District 7150 Designated Fund. $ 3000District 7120 and 7170 Designated Fund. $Yourself $

Your Club $Your District $

Rotary Club of TwinBridges Board voted

yes to this mostsignificant MatchingGrant proposal.

This is indeed a project worthy ofsupport.We look forward to working withyou in support of this project.Best regards,Yours in Rotary,Tehout (Mrs)Director Community ServicesRotary Club of Addis Ababa

H.HRG #4 2008 Page10


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One person can make a differenceH.HRG #4 2008 Page11

Imagine, if you could, aworld that was free ofchronic malnutrition.

Where children as young asfive did not die of hunger ordisease.

Well that could be a reality now thanks to theefforts of Tasmanian Agricultural Scientist, BruceFrench. Bruce has devoted a lifetime of work to

devising a simple and sustainable solution toglobal malnutrition through establishing the not-for-profit organisation, Food Plants International.

Through his work he has documented theworlds most complete and comprehensivedatabase of edible plants.

These plants thrive in their homelands, providenutrition and, most importantly, help the hungryfeed themselves.

How can Rotary help?The database is only of use in the hands ofthose who need it most, and herein, thechallenge lies.

Rotary is uniquely positioned to take a lead role inmoving this project forward, representing a worldwidenetwork and a deep concern for world health and hungerissues.

In a joint venture with not-for-profit organisation FoodPlants International, the Rotary Club of Devonport Northin Tasmania, Australia, Rotary District 9830 hasestablished the LearnGrow project.

The aim of the project is to develop strategies to deliverthis vital information to countries most in need.It also aims to raise awareness and encourage the useof the database among existing aid agencies andprograms.

One Club - Your Club - can make a difference


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Meet Health and Hunger Resource Group Area Coordinator, Africa. Mark Doyle

H.HRG November 2008

Page 2

Marcus Patrick (Mark) Doyle

After a career in the BSA Police(Rhodesia/Zimbabwe) in whichMark served almost exclusivelyin Criminal Investigation heentered the security industry in

which he still practices today ona South African, African andinternational basis as anindependent consultant.

He has 38 yearsmembership in serviceorganizations.

Past president of Association ofRound Tables in Central AfricaMalawi/Mozambique/Botswana/Lesotho/Swaziland/Rhodesia-Zimbabwe) 1975/76

Joined RC Belmont D 9250,Bulawayo, Zimbabwe as chartermember in 1978.Joined RC Pretoria 6 (first trulynon-racial club in South Africa) in1982 112 members.President RC Pretoria 61986/87. Joined RC Pretoriawest 1999, president 2002.

D 9250 GSE team leader toAlaska and Yukon Territory D5010 in 1990

Numerous 9250 district postsincluding District RotaryFoundation Committee chairman1992 to 1995 and 2003.District Governor D 92501996/97Regional Rotary Foundation Co-

Ordinator Southern Africa 1998-2000

Zone 10 (English SpeakingAfrica) Co-Ordinator forFoundation Alumni 1994-96,Membership 2001-2003, Healthand Hunger 2005 2008.Chairman Foundation low-income country scholarshipselection committee 2000 -2006.D 9250 representative to 2001Council on LegislationRI Presidents Representative toNigeria, Zambia and SouthAfrica.Executive member of theGovernors Council of Southernand Eastern Africa 1995 to 2005 Chairman 1999 2001.

3 x Rotary volunteer conductingforensic 3H and Matching Grantaudits to two Districts in Indiaand once in the Philippines (withRI President Bill Boyd)5 RI conventions. 24 D 9250

conferences, 8 other districtconferences including D 9700Australia in 2008..

Visited and spoken atconferences, Institutes andFoundation seminars in 17African countries and 8 othercountries world-wide.

Paul Harris Fellow x 6Sapphires.Recipient of The RotaryFoundation Citation forMeritorious Service (1999) andDistinguished Service Award(2005) and the D 9250 ServiceAbove Self certificate 2002.

Life Member RFFA March 2006.RFFA ANCHOR Director AfricanOperations and RFFA GlobalVice Chair.

But still just anordinary Rotarian.

A Rotarian since 1985,Brad a past president ofthe RC Oakland-Sunrise, D 5170California has a loveaffair with Africa.

He was districtgovernor of D 5170 in

2002-2003 RI presidentBhichai Rattakul Sowthe seeds of Love.

Brad has participated in and organized 9NID initiatives in West Africa (Togo,Nigeria, Cote dIvoire and Ghana)encouraging more than 600 otherRotarians, primarily from the UnitedStates and Canada, to join him on thesemissions.

The last three of these missions have

coincided with the annual West AfricanProject Fairin Accra, Ghana 2006, Abuja,Nigeria 2007 and Abidjan, Cote dIvoire2008.Although Brad is cited as a Rotary Hero heis the first one to say that he only represents

those 600 Rotarians that have participated inthe missions and also the Rotarians andpeople of the host countries whom he states,are the real heroes.

Perhaps,primus inter pares, amongst thevolunteers is Barbara Groaner, who atAbuja in 2007 was completing her 11thmission to destinations a far-flung as

India, Brazil and Africa amongst others.We salute Barbara as representing allvolunteers in this, largely unsungnetwork of Rotary Service that criss-crosses the world.

Amongst Brads treasured memories ofthese missions is being witness to theawakening to service that, often, this firstvisit to Africa and sometimes the first tripoutside continental America hasengendered. This has led to many partnerprojects and personal steps towards club,

district and even international leadershiproles by participants.

Brads experience enabled him to deliver aseminal presentation on Cultural differencesbetween host and international partners at

this years Project Fair Opening Workshops.

All too often the meaning of a word in oneculture has a completely difference meaningin another. All too often concepts of timeand urgency are different.

And, partners, especially in the developedcountries, should understand countryinfrastructures sometimes mean that noteven all professional and affluent Rotarianshave automatic internet access at home oreven in the office. In many instances theresponse to an email does not simply meanhitting the reply button whilst sitting in ones

own office during the routine download but atime-consuming visit to an internet cafe.

Truly, Brad has lived up to thecall by his RI PresidentBhichai and Sown the seedsof Love

Meet Rotarian Brad Howard

The essence of his presentation wasthe need for true communication; thatis, true understanding of what hasbeen said and what has been meant.

Rotary takes ordinary people and gives them extraordinary opportunities to do more withtheir lives than they ever dreamed possible Past Rotary International President 1978-79. Clem Renouf



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Medical Mission to provide services to orphans and vulnerable children.See; www.gothic63.com

September, 2008, after months of planning and grant applications to the Rotary Foundation, a teamof 73 Rotarians and non-Rotarians from 10 countries set off forNairobi, Kenya, led by Sally Platt,RN, http://sallyskenyablog.blogspot.com and Connie Sparks, District Governor Elect 7390.

I have never been blessed by God,Allah and told I am a miracle workerso many times before.Our whole team have received somany thankyous and good wishes forour life, it should last us all for manylifetimes to come.

Charmaine Whitejoined theinternational team which included healthcare professionals and non-medicalvolunteers from Australia, Brazil,Canada, Denmark, India, Japan, SouthAfrica, Tanzania, Uganda, United

Kingdom and the United States. Theyinclude physicians, dentists, dentalassistants, paramedics, registerednurses, optometrists and opticians.About two thirds of the volunteers aremembers of Rotary clubs.

The medical mission focused on thehealth needs of children living in theNairobi slums of Mukuru, Mathare andKorogocho, where the poverty rate ishigh and access to preventive health

care extremely limited.

Charmaine reported; My Kenyanadventure was a leap of faith that Rotarywould look out for me. It was for me totake the risk and go half way aroundthe world on my own, to a place,Africa that I had never been and meetpeople that I had never met.

Mukuru is a slum neighbourhood ofNairobi. It houses, in shanties, over500,000 people. Our site was a schooland we had a medical, optical and dentalteam and a busy pharmacy. In ten dayswe saw about 6,000 and some liveswere saved. The people were so patientthey just lined up and waited all dayliterally in the heat.We worked on tables and the age of myundernourished patients ranged fromthree months, a first time mumconcerned about a lump in her babies

mouth to a 20 year old mum who hadthree children and a very infected molarthat I extracted.I extracting over 100 teeth not countingmouldy root fragments.I was lucky enough to work with aCanadian dentist Wayne who was alsodoing his first volunteering stint andJapanese dentist Koji 73 years old anddoing his tenth mission.

My saddest patients were the orphanswho some did not even know theirnames so the registration volunteers

gave them names and then explained inSwahili what they meant like beautifuland gift strong brave and smiley.

We had outstanding young locals whovolunteered their time and translated forus, without them we would have notbeen as effective or efficient, they werea vital necessity.

The doctors sawabused childrenthat had to betaken to welfarehomes and thefamiliesinvestigated bypolice.

During our time there were severalmercy dashes to hospitals for cases likediabetic twin babies and dehydratedbabies and several third degree burns,some TB ulcers and lots of ringworm,umbilical hernias and weird hardly everseen infections that is not mentioning allthe families that were referred to VCT(the HIV /Aids volunteer counselling andtesting facility). HIV testing is voluntaryso this is a big issue getting people toget tested as usually it is the womensworld that falls apart as the husband

leaves and finds another wife.

We talk about orphans but I heard of onegroup of children who were fending forthemselves, 12 year old boy with 10 yearold sister and 4 year old sister.He works to support his sisters and 10year old goes to school when she canand the 4 year old stays around theshack until sister gets home.

To my understanding ofMukuru that is a very

dangerous situation forthem to be in but theyhave each other so arenot classed as orphans.No doubt lots of childrenare in a similar situation,at risk, and literallysurviving as best they canon a day to day basis.

Yes what we all did was a drop in theocean but we went with open hearts and

skills and did what we could. Themajority of the children were so braveand so good especially as they had noidea what to expect and most that I sawneeded extractions on their first visit tosee a white person. One poor child wasso scared that he could not even let meput a mouth mirror in his mouth, but hewas one of a few.

CharmaineRotaryClubParkwood,D.9640



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Rotary Club of Foz do Iguau D4640 Entity: Bank of Human Milk. Participation of the Club: PartnerThrough the initiative of the Club, it was possible to create the Bank of Human milk. The project had thepartnership of City Hall, Foundation of Health Ita. Foundation of Health Itaiguapy and Itaipu Binational. With theinitiative, it was possible to reduce the infant mortality, since it can answer around 480 newborns annually. Theproject also broadcasted the motherly breastfeeding through direction, over 3,100 mothers. Besides the 3,100mothers. Besides the donation of equipment for pasteuralization, cooler, shaker, feezers, computer, printer andair-conditioning, the objective is to increase the collection and pasteurization of human milk and to enlarge thenumber of beneficiaries.

Rotary Club of Lajeado Engenho D-4700 Entity: APAE Association of Parents and Friends ofExceptional Excepcionais Participation of the Club: PartnerThe organization attends approximately 170 individuals with special needs, with age special needs, with agebetween 03 months to 45 years old, originating from wanting families. They receive psychological care,pedagogic service, health, early stimulation and other therapies needed, as music music therapy. With theresult of a promotion, the club destined R$ 5.000.00 (US$ 3,125.00) for improvements in the living room ofmusic.

Rotary Club of Curitiba Bom Retiro. District - 4730 Project: Encouragingthe Planting of Fruitfull Trees in Brazil

With the aim of promoting health, combating hunger and reducing the infant mortality

infant mortality on 02/08/08 it was officially launched by the Club the Project ofEncouraging the Planting of Fruitfull Trees in Brazil. The goal is to get the awareness of theStates, Local authorities, Schools, Churches, Trade Unions, Associations, Clubs,

governmental organizations and non-governmental organizations, of the importance of planting fruitful trees toprovide fruit in the diet of needy communities. With the adhesion of the District Governor, the Project has become an initiative of theDistrict. http://rotarybomretiro.org/arvoresfrutiferas/ www.rotarybomretiro.org

- Held Seminar for the Defense of Life during the XXXI Rotary Institute of Brazil, in September, in Belo Horizonte.- Signed term cooperation with the Secretary of State for Health of Minas Gerais, seeking the partnership of the Rotary Club of the statewith the program LIVELY LIFE, which aims to combat maternal and infant mortality in 30 municipalities in the state.- Created committee between Districts 4520 and 4760 in defense of life, for actions to combat maternal and infant mortality, through theRotary Club of Belo Horizonte and the metropolitan area.

- Motivational talks and enlightening program to combat hunger nutrition and infant mortality in all the training seminars of Districts ofMinas Gerais.- Sent letters to all Districts of the Zone 20, asking for the report of actions related to hunger combat, malnutrition and infant mortality.

Luiz Coelho de Oliveira

and wife Lucilena

[email protected] Coelho de Oliveira

Coelho is a doctor urologist with apost-graduate degree inoccupational medicine and healthadministration. He also completeda MBA in Health Management inBrasil as well as a SpecializationCourse in Advanced HealthManagement in Harvard, USA.

He has been municipal secretaryof health and a deputy in theregional medicine council of thestate of So Paulo.

A member of the Rotary Club ofLimeira-Leste, Brazil since 1977,he has served RI as 1992-93district 4590 governor, RI trainingleader, Regional RotaryFoundation coordinator,committees and task forcesmember and RI director 2003-05.

He has also served as Council onLegislation representative, manyInternational Institutes andConventions and has represented

RI presidents in Brazil andabroad.

He has been recognized as TheRotary Foundations Citation forMeritorious Service and its

Distinguished Service Award.

He is married to Lucilena, apedagogue and doctor in School

Psychology. He, his wife, andthree children are Paul HarrisFellows, as well as RotaryFoundation Benefactor and MajorDonors.

Coelho was member of the 2006Nominating Committee for RIPresident, 2008 Los Angeles RIConvention Promotion member,RI delegate for the UN FAO (Foodand Agriculture Organization)Conference for Latin America and

Caribbean in April, 2008 andnowadays he is the 2008-09 LatinAmerica area coordinator Healthand Hunger Resource Group, withfaith and enthusiasm.

Meet Health and Hunger Resource Group Area Coordinator, Latin America,Luiz Coelho de Oliveira


14 Hhrg December 2008 Newsletter

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