InternationalMedicalHealthOrganization(IMHO)Ahumanitariannonprofitorganizationcommittedtoimprovinganddevelopinghealthinfrastructureandhealthservicesforunder‐servedcommunitiesworldwide.

AnnualReport:2009

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Foreword

DearFriends,Withyoursupport,wehaveforeverchangedthelivesofthousandsinneed,helpingtosavelivesandtoimprovequalityoflife.Workingthroughlocalpartnerorganizationsthatunderstandtheirowncommunitieswellandarepassionateaboutserviceandcreatingpositive,lastingchange,IMHOhasbeenabletoaddressserioushealthandmedicalneeds.Weareencouragedbyyourgenerosityandcommitmenttoourmission,andweknowthatwithyoubehindus,wewillbeabletodosomuchmore.Whileweareexcitedtonotethegrowthofourorganization,wearedeeplysaddenedbytheongoingsituationinSriLankaandthesufferingofthosearoundtheworldwhoareindireneedofrelief,medical&healthcare,andothersupport.Weareproudtosharewithyouourachievementsin2009inthisannualreport,buttherealityisthatwehavejustbeguntoscratchthesurfaceinaddressingtheneedsofthecommunitiesweserve.WeneedyourhelpinspreadingthewordaboutIMHO,inopeningnewchaptersinyourstateorcity,innetworkinguswithvaluablecontacts,andsomuchmore.Andasalways,werelyonyourgenerousdonationstodoourimportantwork.Onbehalfofthepeopleweserve,thankyouagainforyourcompassionandthoughtfulsupportofourwork.Allthebest,TheIMHOBoardofDirectors

Mission

Todevelopandimprovehealthandhealthcareinfrastructureinunder‐servedregionsworldwide.

VisionIMHOaimstoimprovehealthcareacrosstheglobeforthoseinneed,byidentifyinghealthneedsandprovidingresources&trainingtoaddressthoseneeds.Webelieveinempoweringcommunitiestobuildtheirownhealthsystems,improveoverallhealth,andtorespondtohealthneedsastheyarise.Inthisway,wepromoteself‐relianceandsustainability.IMHOfrequentlypartnerswithlocalandinternationalnon‐governmentalorganizationstobetterchannelassistancetoneedypopulations.OurworkisfocusedontheareasofPrimaryCare&PublicHealth,HealthEducation&Training,andCapacity‐Building

ProjectReports2009HumanitarianCrisis&IDPReliefFromJanuarythroughMay2009,theNorthandEastofSriLankaexperiencedanintensespikeinviolence,asthecountry'slong‐standingcivilconflictcontinuedtoplayout.ThewarwasofficiallydeclaredoverinMay2009whenthegovernmentregainedcontrol

overallterritory.Asaresultoftheconflict,hundredsofthousandsofpersonsweredisplaced,anddailylifewasseverelydisruptedthroughouttheaffectedregions.SinceFebruary2009,IMHOrespondedtotheneedsastheyarose.WithmanythousandsstillremaininginInternallyDisplacedPersons(IDP)campsacrossnorthernSriLanka,IMHOremainscommittedtoservingthehumanitarianneedsofthesepersonsandothersontheoutsidewhohavebeenaffectedbythisconflict.IMHO'seffortsinresponsetothisongoinghumanitariansituationupuntilNovember2009havesofarincluded:

Nutrition:$205,000 Medicines:$20,000 MobileMedicalClinics:$40,000 HygienicKits&Clothes:$12,500 HospitalRenovation:$5,000 ConstructionofToilets:$36,000 ConstructionofTubeWells:$13,300 PhysicalRehabilitationforAmputees:$38,500 MedicalStudentsSupportFund:$7,500 OrphansSupport:$9,600(pledged) MentalHealthServices:$9,500

Whatadifferencethisallhasmadeinhelpingthoseatthegroundtosavelivesandtoimprovetheconditionsandqualityoflifeforthosewhosurvivedthisterribletragedy.Byrespondingtotheneedsoflocalpartnerorganizationsandtakingadiverseapproach,IMHOhasbeenabletohelpfillinthegapsanddrawattentiontothosemostinneed.

Nutrition

Oneofthemostbasicandcriticallyimportantneedsofthoseinmarginalizedareasisthatofpropernutrition.Assuch,IMHOiscommittedtosupportingthebasicnutritionalneedsofthosethataremalnourished,especiallyforwomen,children,andtheelderly.In2009,IMHOsupportednutritionalfeedingprogramsforat‐riskcommunities,suchasthosedisplacedbytheconflict,theelderly,andchildreninschoolsandorphanages.

PrimaryCareAtitscore,IMHO’smaincommitmentistoprimarycareandpublichealthindisadvantagedandunder‐servedareas.In2009,IMHOcontinueditscommitmentbysupportinglocalhospitalsandclinicsinprovidingbasic,essentialmedicinestopoorpatientswholackthefinancialmeansofpayingforsuchmedicines.Anotherongoingpledgeistooperatingmobilemedicalclinicsinruralandunder‐servedareasalloverSriLankathroughprimarycarecenters,officesofvarioushospitals,andlocalpartnerorganizations.Themobileclinicsprovidegeneralmedicalconsultationalongwithfreemedicationssuchasantibiotics,vitamins,painkillers,andmore.

Amongstotherefforts,supportforlocaldoctors,nurses,andhealthworkerswasalsocontinuedthisyear,byprovidingincentiveallowancesandothergeneralsupportforthesepersonstoworkinveryremoteanddisadvantagedcommunities.

MentalHealthOneofIMHO’sprimaryareasoffocusisthatofmentalhealth.Theoverarchinggoalwitheverymentalhealtheffortistohelpthosestrugglingwithmentalillnessordisabilitytolearntoliveindependently.Gettingpatientsaccesstothelatestmedicationswiththeleastamountofsideeffectsisalsocrucial.IMHOsupportedapsychiatricunitinVavuniya,whichwasopenedin2009andhasplayedacriticalroleinrespondingtotheneedsoftheIDPswhoarrivedinlargenumbersinthenearbyIDPcamps.IMHOalsocommittedfinancialsupporttolocalpartnersinSriLankaforvariousothermentalhealthprojects,includingthedevelopmentofanacutein‐patientpsychiatricunitinNegombo,establishmentofamicrocreditwelfarefundforpatientsinKalmunai,supportforaMentalHealthDaycelebrationinKalmunai,andsupportforanexistingmulti‐disciplinarycounselingteam&anexistingmobilecommunitymentalhealthteaminJaffna.

EmergencyRelief

Batteredbyaseriesofnaturaldisastersinthelatterpartof2009,massivehumanitarianneedsaroseinmanycountriesinSouthandSoutheastAsia,includingthePhilippinesandIndonesia.IMHOgave$5,000toGivingChildrenHope,aCalifornia‐basedreliefNGO,tohelpsendmedicinesandsuppliestoaffectedcommunitiesinthesetwocountries.Afurther$5,000wasgiventoReliefInternational,anotherUS‐basednonprofit,tosupporttheiremergencyreliefeffortsinIndonesia,includinggettingmedicinestothoseinneed.

Earlierintheyear,IMHOdonated$5,000totheKoohiGothHospitalinKarachi,PakistanthroughtheNationalHealthForum,aregisterednonprofitintheU.S.Thishospitalservesapopulationofaboutonemillionpersons,mostofwhomarelivinginpoverty.ThefundsweregiventosupportOBGYNcareandfistularepairforwomen,addressingaseriousconditionaffectingmanywomenwhotypicallyfindthemselveslivingwithastigma,withoutanyoptionsforcare.

SpecialtyCareManyofIMHO’seffortsinhospitalandclinicdevelopmenthavebeeninvariousfieldsofspecialty,withtheoverarchinggoalofimprovinganddevelopingthehealthcareinfrastructureinunder‐servedregions.Throughout2009IMHOengagedinvariouscapacitybuildingeffortstohelptrainandsupportdoctorsandhealthworkers.IMHOgavedonationsofmedicalequipmenttohospitalsandbroughtattentiontotheissueofamuchneededcardiologyunitinJaffna.Generalsupportandassistanceweregiventocancerpatients.Additionally,IMHOhelpedtoestablishanIntensiveCareUnit,DiabeticCenter,TelemedicineUnit,andPostAnestheticCareUnitattheJaffnaTeachingHospital.

2009Partners&BeneficiariesOrganization Benefiting

Country(‐ies)Project

Category(‐ies)Amount

ConsortiumofHumanitarianAgencies

SriLanka EmergencyRelief,IDPRelief,MaternalNutrition,NutritionforIDPs,PrimaryCare,PublicHealth

$362,700.00

GivingChildrenHope Indonesia/Philippines EmergencyRelief $5,000.00HinduBoardofEducation

SriLanka Nutrition $8,800.00

JaffnaHospitalDevelopmentAssociation

SriLanka SpecialtyCare:CapacityBuilding,Anesthesiology,Endocrinology

$21,100.00

JaffnaMedicalFacultyOverseasAlumni(JMFOA)

SriLanka SpecialtyCare:CapacityBuilding(MedicalStudentsFund)

$7,500.00

LionsClubofColombo SriLanka IDPRelief $5,000.00MentalHealthSociety,Kalmunai

SriLanka MentalHealth $11,500.00

MentalHealthSociety,Tellipalai

SriLanka MentalHealth $21,800.00

MoolaiCooperativeHospital

SriLanka PrimaryCare&MobileClinics

$14,000.00

NationalHealthForum Pakistan EmergencyRelief $5,000.00NegomboHospital SriLanka MentalHealth $10,000.00RamakrishnaMission SriLanka IDPRelief(CleanWater) $13,300.00RegionalDirectorofHealthServices,Jaffna

SriLanka PrimaryCare,SpecialtyCare:CapacityBuilding

$12,700.00

*ThislistreflectsexpensesfromJanuary1st–November1st2009only.

BoardofDirectors&Team President BoardofDirectors

S.Raguraj,MD K.Devacaanthan,MD S.Jaeger,PEVicePresident N.Nanthakumar,PhDK.Senathirajah,MD S.Nanthakumar,PhD S.Rajaram,MDSecretary J.Thambiaiyah,ACMAT.Thambipillai,MD LegalCounselTreasurer A.Arulanantham,JDR.Theventhiran,MD ProgramsCoordinator G.Buie,MA

2010AnnualGeneralConventionPleasemarkyourcalendarsandjoinusforour7thAnnualIMHOGeneralConventioninBostonin2010.Forthefulleventlisting,pleasecheckbackwithourwebsite(www.TheIMHO.org),orcontactNanthaatmassachusetts@theimho.orgformoreinformationortoRSVP.

When:Friday,April30thandSaturday,May1st,2010Where:BostonHilton,Boston,Massachusetts

**Tomakeyourtax‐deductibledonationtoIMHO,pleasesendacheckmadeoutto“IMHO”toIMHOTreasurer,POBox61265,StatenIsland,NY10306ordonateonline.**

RegionalDirectorofHealthServices,Kilinochchi

SriLanka PrimaryCare,SpecialtyCare:CapacityBuilding

$5,000.00

RegionalDirectorofHealthServices,Mannar

SriLanka IDPRelief&AmputeeRehab $11,000.00

ReliefInternational Indonesia EmergencyRelief $5,000.00SivanArulIllam SriLanka IDPRelief,Nutritionfor

Orphans$37,950.00(incl.$9,600pledged)

SriRamakrishna—PointPedro

SriLanka Nutrition $4,000.00

SurvivorsAssociated SriLanka AmputeeProstheses&Rehab $25,000.00VavuniyaMentalHealthUnit

SriLanka MentalHealth,IDPRelief $3,500.00

Misc. SriLanka PrimaryCare,CapacityBuilding

$10,560.00

TOTAL $600,410.00

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