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WILKINS FOUNDATION HEALTH CARE INITIATIVE

September 2019

Web Address: www.untoallnations.org

Email: [email protected]

Telephone 706-255-9469

Wilkins Foundation, Inc.

P.O. Box 48821

Athens, GA 30604

mailto:[email protected]

http://www.untoallnations.org/

Health Care Initiative by Wilkins Foundation, Inc.

TABLE OF CONTENTS

Introduction……………………………………………………………..….…..Page 3

Background……………………………………………………………….…....Page 4

Pictures of Progress……………………………………………………….…...Page 8

Appendix A………………………………………………………………….….Page 18

Appendix B……………………………………………………………………..Page 25

Report…………………………………………………………………………..Page 31

References……………………………………………………………………...Page 37


INTRODUCTION

Our work in Africa began when we learned some 20-30 children had been

buried in one week in a small village. They had died from malaria. This village was

without health care…to say nothing about poverty. The World Health Organization

estimated:

219 million malaria cases worldwide in 2017 versus 239 million in 2010 resulting in 435,000 deaths in 2017 versus 607,000 deaths in 2010.1

Our desire to fight this disease was strengthened when we read Bill and

Melinda

Gates emphasized malaria is treatable! In December 2014 with only $2,000 contribution, we began our goal to help build a medical center near where the above-mentioned children died from malaria. We knew this would be a difficult project due to significant poverty and under development in this area. With a long-term vision, we decided to start with what money was on hand and then to call on help from friends, now known as our benefactors. Our confidence was strengthened knowing we were partnering with a man with a proven track record. He had help build many schools (see page16). Today, our goal is in operation. People living in poverty paid for treatment of 4731 diseases during 2018. See Appendices A and B (page 18 and 25) for proof that the center is self-supporting. Our expanded

1 World Malaria Report, World Health Organization, Geneva, Switzerland, 2018, pages 14 & 15.


goal includes maternal care.

IMAGE # 1 : ALAIN MUGISHA SAFARI: NURSING DIRECTOR WEIGHING NEW-BORN BABY

BACKGROUND

Located in central Africa, and once referred to as “The Heart of Darkness” by Polish-British novelist, Joseph Conrad, The Democratic Republic of The Congo is the second largest country by land area in Africa. It was formerly known as the Belgian Congo and also as Zaire. It is larger than the combined areas of Norway, Sweden, Germany, France and Spain. Its size is equal to the United States east of the Mississippi, making it the 11 th largest country in the world. Its small coastline abuts to the Atlantic Ocean. It is near the equator. The rest of its land is landlocked, adjoining South Sudan, Uganda, Rwanda, Zambia and Angola. Since 1990 the population has grown from 34.6 million to 97.9 million in 2018, representing a 182% increase. Family sizes are much larger than in the United States. During this same period, the life expectancy at birth has increased from 40 to 60, a 22% increase.2

Its capital, Kinshasa, has a population of 13.2 million people and is pictured below.3 Kinshasa is the world’s largest French-speaking city in the world…larger than “the City of Lights,” (Paris, France). The French language is the official language of the Democratic Republic of The Congo.

2 “Country Profile,” The World Bank.3 Central Intelligence Agency (July, 2018 estimate)


IMAGE # 2 PHOTOGRAPH OF KINSHASA, CAPITAL AND LARGEST CITY IN THE DEMOCRATIC REPUBLIC OF THE CONGO, BESIDE THE CONGO RIVER. SOURCE: THE WORLD BANK, WASHINGTON

This country is well known for the Congo River, the second longest river in Africa, covering 2,900 miles, and considered the deepest in the world. The Congo River is known for its voluminous outpouring of water into the Atlantic Ocean due to heavy rainfalls. This river has the potential to build the world’s largest hydroelectric-dam project which could be twice the electrical output of The Three Gorges Dam in China, which is currently the largest energy generator ever built.

DRC is rich in mineral resources, such as cobalt, making it’s the world’s largest cobalt producer with 50% share of world output. 4This metal is used in jet turbines, gas turbine generators and lithium-ion batteries for smartphones and electric cars. The world’s second largest copper belt lies in the DRC and its neighbor Zambia.

Despite many advantages, this country is suffering from several problems:

Outbreak of Ebola Virus.

The price of cobalt has dropped 65% over the past year.5

According to the Central Intelligence Agency’s World Factbook, 63% of the population live below the poverty line.

The International Monetary Fund foresees lower economic growth in the country in 2019 due to lower cobalt price. Nonetheless, a positive growth rate is expected.

Dollarization is significant. This means that the U.S. dollar is widely used as a today-to-today currency as well as for bank deposits and loans. This condition heightens the risk to banks from exchange rate movements.

A wide gap in incomes where many people live on a few dollars a day and others have a high standard of living.

4 “Cobalt,” Natural Resources Canada as cited by Wikipedia.

5 “Plummeting cobalt price takes toll on Democratic Republic of Congo”, Financial Times, London, June 24, 2019.


The country’s economy and health care services has suffered in the past 20 years due to the spillover effects of the genocide in Rwanda. The World Bank argues:

“Health care in Sub-Saharan Africa remains the worst in the world with few countries able to spend the $34 to $40 a year per person that the World Health Organization considers the minimum for basic health care. And despite widespread poverty, an astonishing 50 percent of the region’s health expenditures is finance by out-of-pocket payments from individuals.” 6

See Appendix A and B on page 18 and page 25 for log of income and expenditures at the center showing how payments for services were paid by the patients.

A recent report from the Washington-based Center for Global Development claims that poor countries pay ultra-high prices for everyday medicines, such as for heartburn and pain relivers. This was explained by lack of competition at the supply side of the market.7

According to the Central Intelligence Agency’s World Factbook, doctors are in short supply, with only 0.0089% of the population counted as medical doctors.

” DRC has some of the highest maternal and child mortality ratios in the world; …For every 1,000 children born, 58 die before their first birthday and 105 die within the first five years of life. Chronic malnutrition affects 43 percent of children under five, one of the worst rates in the world.”8

“Despite the global progress in reducing child mortality over the past few decades, an estimate 5.4 million children under age 5 died in 2017—roughly half of those deaths occurred in sub-Saharan Africa.”

In the Democratic Republic of the Congo the probability of dying between birth and exactly 5 years of age could be 7% to 10%. Some 3% of live births may die before reach 28 days of age.9

6 “Health Care in Africa,” International Finance Corporation/The World Bank.7Poor countries pay up to 30 times more for medicines,” Financial Times, London,6/16/20198 Democratic Republic of Congo, The World Bank9 “Neonatal Mortality Rate,” World Data Atlas, 2017


$40,146 INVESTMENT HELPS OPENS CENTER

Between December 2014 and September 2019, Wilkins Foundation, Inc. has contributed itself and raised from outside benefactors $40,146 for development of this medical center in Mosho, South Kivu, Democratic Republic of the Congo. This small town is near the south western shore of Lake Kivu and the town of Bukavu. 100% of contributions received from benefactors were or are being used for this medical center.

Map # 1: Democratic Republic of the Congo. Source CIA.

4,757 Diseases Were Treated in First year of Operation (2018) 10 : Diseases/aged 0 to 11

months12 to 59 months

6 to 14 years 14 years & plus

Total

Malaria 362 699 388 499 1,948

Acute respiratory infection 167 563 286 259 1,275

Typhoid fever 5 46 35 48 134

Gastroenteritis 49 68 25 45 187

Other diseases 69 374 231 457 1,131

Small surgeries 1 4 14 37 56

Childbirth 0 0 0 26 26

General total 653 1,754 979 1,371 4,757

10 Source: Bishop Steven Ayule-Milenge


Pictures of Development

We started in our 2015 newsletter, where we showed what we and our benefactors’ contribution of $5,250 had accomplished. We asked for $18,650 to go forward.

IMAGE # 3 WILKINS FOUNDATION NEWSLETTER 2015

IMAGE # 4: ONE YEAR LATER IN OUR 2016 NEWSLETTER PICTURED PROGRESS.


Hooray, the medical opened and began treating patients

This during-con struction photo shows a covered

area giving patients some relief from the scorching sun and inclement

weather.

THE CLINIC!

Dr. Vital (right) and the Bishop Ayule-Milenge in thedelivery room. Notice the scales and delivery bed.

IMAGE # 4 OUR 2017 NEWSLETTER SHOWS CLINIC OPENING


IMAGE 5 SHOWING PHARMACY ROOM:

IMAGE # 6 INSIDE THE CLINIC


IMAGE # 6 FOUNDATION FOR THE MATERNAL DEPARTMENT, FUNDED BY A SINGLE GENEROUS BENEFACTOR.


IMAGE # 7 WALLS OF MATERNITY DEPARTMENT


IMAGE # 8 THE NEXT PICTURE SHOWS THE CURRENT STATUS OF THE MATERNAL DEPARTMENT

IIMAGE # 9 AT LEFT: DENIS MWEZE CIVARARA, ASSISTANT NURSING DIRECTOR IN CHARGE OF PHARMACY, IN THE CENTER DR. MURPHY KABAMBA NDATABAYI , MEDICAL DIRECTOR AND TO RIGHT, ALAIN MUGISHO SAFARI, NURSING DIRECTOR. OTHER STAFF MEMBERS ARE AIMÉRANCE PEDANGI HAM


Dr. Kabamba completed his medical studies at the Catholic University of Bukavu and completed several training courses in malaria, community health, gynecology & pediatrics 11. He has positions at several medical centers in Bukavu. Regarding malaria treatment, kindly see the financial report for 2nd quarter, 2019 showing heavy malaria treatment. Dr. Kabama is the son of a nurse, he is aged 33, and has recently married the 11th of July 2019.

As seen in the below June 2019 financial report, there were 94 cases of malaria in that month alone, representing 45% of all 211 cases for June. According to the Central Intelligence Agency’s World Factbook for Malaria, malaria is “mostly [in] tropical countries with 90% of cases and the majority of 0.4-0.8 million estimated annual deaths occurring in sub-Saharan Arica.”

11 “Established in 1989, Université Catholique de Bukavu (Catholic University of Bukavu) is a non-profit private higher education institution located in the urban setting of the small city of Bukavu (population range of 250,000-499,999 inhabitants), South Kivu. Officially accredited and/or recognized by the Ministère de l'Enseignement Supérieur et Universitaire, République Démocratique du Congo (Ministry of Higher Education, Democratic Republic of the Congo), Université Catholique de Bukavu (UCB) is a small (uniRank enrollment range: 3,000-3,999 students) coeducational higher education institution formally affiliated with the Christian-Catholic religion. Université Catholique de Bukavu (UCB) offers courses and programs leading to officially recognized higher education degrees in several areas of study. See the uniRank degree levels and areas of study matrix below for further details. This 30 years old higher-education institution has a selective admission policy based on entrance examinations. The admission rate range is 30-40% making this Congolese higher education organization a very selective institution. International applicants are eligible to apply for enrollment.” Source: internet search at https://www.4icu.org/reviews/universities-english/1156.html

“Catholic University of Bukavu has seven (7) faculties: Architecture and Urbanism, Law, Medicine, Economics and Management, Agricultural Sciences, Computer and Environmental Sciences and Social Sciences, Agronomy, offering a PhD in Economics, Doctorate in Law and Medical degree in public health, with specialization in surgery, obstetric gynecology and pediatrics.” Source in French and translated by author of this report from the internet


IMAGE # 10 ANN AND TOM WILKINS WITH BISHOP STEVEN AYULE-MILENGE.

Bishop Ayule-Milenge oversees the medical center. He is the author of The Church is Central to God’s Purpose, available on Amazon. Below is limited information about him. More is available about him and his work at his web site which is www.accmdcongo2.wixsite.com

He was born October 20th, 1962 in the small eastern Congo city of Mihenga. His father was also an Anglican Priest. He was educated in Primary and Secondary Schools in the Democratic Republic of Congo (called Zaire from 1971 to 1997). After Secondary school he went overseas and earned bachelor’s degree in Communications. His Theological Studies were at Uganda Christian University and South Africa Theological in Johannesburg. And then, he went to study master's degree in Apologetics and Theology at Trinity Graduate School of Apologetics and Theology in Karela, India in 2010. His doctorate study was followed at Atlantic Coast Theological Seminary, Daytona, Florida, USA where he was graduated Doctor of Philosophy in Theology (PhD) in 2014. He went to study Post-doctorate study at Madison International Institute & Business School where he earned Master of Arts (M.A) in Economy, option: Human Resources Management in 2015.

He is Bishop Ordinary of The Missionary Diocese of Congo of The Anglican Catholic Church. He has six children 3 daughters and 3 sons (Furaha, Zawadi, Fidèle, Patrick, Grace and Elisha AYULE-MILENGE) with 4 grandsons and grand-daughters.

Below are pictures of a school built by Bishop Steven & Christmas Service

http://www.accmdcongo2.wixsite.com/


“We are to go into the world and preach the Gospel of salvation, to teach the principles of the Kingdom of God, heal the sick and deliver those afflicted by the demonic (see Matthew 28:19-20). The Church is designed to be a full expression of the body of Christ here on earth. The internal functions of the Church are therefore aimed at relating the members correctly with the head and with each other. The image of God in man is that Spirituality through the Church. God is Spirit, and it is but natural to expect that this element of spirituality also finds expression in man as the image and likeness of God. The Church as the continuation of the incarnation-as the continuing presence of Christ in our world; as the locus of God's offer of grace to us-coming to us still both in the preaching of the Kingdom, the healing of the sick, and the sacramental system of Catholic Christendom where believers grow to the maturity in-as an extension of God's Ministry on the world. Our faith in Christ leads us to be conformed to the image of Christ. Christ's return will complete restoration of God's image and likeness in man”12

12 Ayule-Milenge, Steven, The Church is Central to God’s Purpose: Creating Sons and Daughters in his own Image and Likeness, Revival Waves of Glory Books & Publishing, 2016 Available on Amazon

Our closing comments received from Bishop Steven: “We thank the Wilkins Foundation with its partners for helping Mosho’s people to have a beautiful clinic. It was a dream when Thomas Wilkins funded the buying of a plot of land…. Today we can see from the photographs that our dream has become a reality.”

12


APPENDIX A

FINANCIAL REPORT MEDICAL CENTER HAVERLAND MOSHO, JANUARY 2018-- MARCH 2019 Translated from French by the author, subject to revisions

Kindly note the following receipts and expenses are expressed in U.S. dollars. It is believed that U.S. dollar bills are accepted as cash payment throughout the entire country. It is also believed that a high percent of the entire money supply is expressed in foreign currency. Academic publications referred to this as « dollarization » and also as « currency substitution. »13

Month Receipts Amount $ Expenses Amount $

January

2018

Hospitalization

Outpatient Care

212.50

175.50

-Purchases of Medicines

-Other Expenses

-Medical Center Administration

-Personnel Salaries:

*Permanent Nursing Staff

*Assistant Nurse

*Bookkeeper

*Orderly

*Night Watchman

155.10

43.80

62.50

37.90

37.90

25.30

12.60

12.60

Total Receipts January, 2018 US$ 388.00 Total Expenses US$ 387.90

February

2018

Hospitalization

Outpatient Care

315.10

269.00


-Other Expenses


- Personnel Salaries:


*Assistant Nurse

288.70

63.70

100.00

37.70

37.70

25.10

1313 Berg, Andrew and Eduardo Borensztein, « The Pros and Cons of Full Dollarization, » International Monetary Fund, Research Department, Washington, DC, March, 2000.

Honohan, Patrick and Anging Shi, “Deposit Dollarization and the Financial sector in Emerging Economies,” The World Bank, Development Research Group, Washington, DC, December, 2001.

“Dollarization in Sub-Saharan Africa,” International Monetary Fund, African Department, Washington, DC, May, 2015.

Marketplace, “Why the Congo is so dependent on the U.S. Dollars,” December 10, 2014 . online at https://www.marketplace.org/2014/12/10/why-congo-so-dependent-us-dollar/


*Bookkeeper

*Orderly

*Night Watchman

13.80

13.80

Total Receipts February 2018 US$ 584.10 Total Expenses US$ 580.90

March

2018

Hospitalization

Outpatient Care

314.42

209.12


-Other Expenses




*Assistant Nurse

*Attending Nurse

*Bookkeeper

*Orderly

*Night Watchman

236.36

60.42

100.00

28.70

28.70

28.70

19.66

10.50

10.50

Total Receipts March, 2018 US$ 523.54 Total Expenses US$ 523.54

April

2018

Hospitalization

Outpatient Care

311.10

183.80


-Other Expenses




*Assistant Nurse

*Bookkeeper

*Orderly

*Night Watchman

221.10

57.20

100.00

32.30

32.30

21.30

11.80

11.80

Total Receipts April, 2018 US$ 415.50 Total Expenses US$ 415.50

May

2018

Hospitalization

Outpatient Care

294.90

200.00


-Other Expenses




*Assistant Nurse

366.80

74.50

100.00

52.90

52.90

35.20


*Bookkeeper

*Orderly

*Night Watchman

21.15

21.15

Total Receipts May, 2018 US$ 797.38 Total Expenses US$ 724.78

June

2018

Hospitalization 598.86 -Purchases of Medicines

-Other Expenses


-Salaries of Personnel:


*Assistant Nurse

*Attending Nurse

*Bookkeeper

*Orderly

*Night Watchman

197.90

86.33

100.00

48.00

48.00

48.00

32.00

19.21

19.21

Total Receipts June, 2018 US$ 598.86 Total Expenses US$ 598.83

July

2018

Hospitalization 620.30 -Purchases of Medicines

-Other Expenses




*Assistant Nurse

*Attending Nurse

*Attending Nurse

*Bookkeeper

*Orderly

*Night Watchman

243.11

72.60

100.00

39.60

39.60

39.60

39.60

26.40

15.80

15.80

Total Receipts July, 2018 US$ 620.30 Total Expenses US$ 632.51

August

2018

Hospitalization

Outpatient Care

Recoverable Debts

219.90

129.00

33.00


-Guard Fees

-Other Expenses


98.50

28.10

13.30

100.00




*Assistant Nurse

*Attending Nurse

*Bookkeeper

*Orderly

*Night Watchman

38.00

28.70

28.70

19.10

11.48

11.48

Total Receipts August, 2018 US$ 381.90 Total Expenses US$ 377.70

September

2018

Hospitalization

Outpatient Care

Recoverable Debts

230.10

187.10

43.10


-Guard Fees

-Other Expenses




*Assistant Nurse

*Attending Nurse

*Bookkeeper

*Orderly

*Night Watchman

140.90

26.00

25.00

100.00

46.60

35.00

35.00

23.00

26.40

14.00

14.00

Total Receipts September, 2018 US$ 460.30 Total Expenses US$ 460.30

October

2018

Hospitalization

Outpatient Care

215.50

200.00


-Guard Fees

-Other Expenses




*Assistant Nurse

*Treating Nurse

*Bookkeeper

*Orderly

*Night Watchman

118.30

27.30

17.40

100.00

40.10

31.30

31.30

18.80

15.50

15.50

Total Receipts October, 2018 US$ 415.50 Total Expenses US$ 415.50


November

2018

Hospitalization

Outpatient Care

228.50

210.70


-Guard Fees

-Other Expenses


-Salaries of Personnel


*Assistant Nurse

*Treating Nurse

*Bookkeeper

*Orderly

*Night Watchman

128.30

17.40

27.30

100.00

45.10

36.30

36.30

21.50

13.50

13.50

Total Receipts November, 2018 US$ 439.20 Total Expenses 439,20

December

2018

Hospitalization

Outpatient Care

234.60

230.00


-Guard Fees

-Other Expenses




*Assistant Nurse

*Treating Nurse

*Bookkeeper

*Orderly

*Night Watchman

148.30

27.30

17.30

100.00

42.10

37.30

33.30

24.00

17.5017.50

Total Receipts, December, 2018 US$ 464.60 Total Expenses US$ 464,60

January

2019

Hospitalization

Outpatient Care

Childbirth Delivery

298.60

193.00

41.20


-Guard Fees

-Structural Expenses



*Medical Director

*Director of Nursing

*Director of Assistant Nursing

166.70

29.20

29.00

100.00

147.00

25.00

28.00


*Pharmacist

*Nurse in Charge of Finance

*Orderly

*Night Watchman

20.00

10.00

10.00

Total Receipts January 2019 US$ 532.80 Total Expenses US$ 537.60

February

2019

Hospitalization

Outpatient Care

Childbirth Delivery

457.20

225.68

50.00


-Guard Fees




*Medical Director


*Pharmacist


*Orderly

*Night Watchman

202.86

32.94

37.23

100 .00

116.54

77.69

66.00

50.00

27.19

27.19

Total Receipts February, 2019 US$ 732.88 Total Expenses US$ 738.20

March

2019

Hospitalization

Outpatient Care

Childbirth Delivery

458.90

276.30

90.00


-Guard Fees

-Other Expenses

-Coordinator


*Medical Director


*Director of Assistant Nursing

*Pharmacist


*Orderly

*Night Watchman

192.07

36.40

95.90

100.00

127.90

85.30

72.50

55.40

25.00

25.00

Total Receipts March, 2019 US$ 825.2 Total Expenses US$ 825.37


APPENDIX B

Translated from French by the author, subject to revisions

FINANCIAL REPORT MEDICAL CENTER HAVERLAND APRIL, 2019—JUNE 2019

Kindly note the following receipts and expenses are expressed in U.S. dollars. It is believed that U.S. dollar bills are accepted as cash payment throughout the entire country. It is also believed that a high percent of the entire money supply is expressed in foreign currency. Academic publications referred to this as « dollarization » and also as « currency substitution. »14


April 2019 - Hospitalization

- Outpatient care

-Childbirth Delivery

340.00

200.00

114.10

-Medicines Purchased

- Guard Fees


-Administrative Expenses

-Personnel Salaries

*Medical Director

*Nursing Director

*Nursing Deputy Director

*Pharmacist


*Orderly

*Night Watchman

60.23

36.47

47.40

100.00

410.00

130.85

87.23

74.14

56.70

30.53

30.53

Total Receipt April 2019 US$ 654.10 Total Expenses US$ 654.10

14 Berg, Andrew and Eduardo Borensztein, « The Pros and Cons of Full Dollarization, » International Monetary Fund, Research Department, Washington, DC, March, 2000.

Honohan, Patrick and Anging Shi, “Deposit Dollarization and the Financial sector in Emerging Economies,” The World Bank, Development Research Group, Washington, DC, December, 2001.

“Dollarization in Sub-Saharan Africa,” International Monetary Fund, African Department, Washington, DC, May, 2015.

Marketplace, “Why the Congo is so dependent on the U.S. Dollars,” December 10, 2014 . online at https://www.marketplace.org/2014/12/10/why-congo-so-dependent-us-dollar/


Monthly Epidemiological Report of Diseases, April 2019

Disease 0-11 months of age

1-5 years of age

6-14 years of age

Greater than 14 years of age

Total

Malaria 7 31 7 22 67

Malaria in Pregnant Women

0 0 0 03 03

Acute Respiratory Infection

5 18 6 11 40


Typhoid Fever 0 0 0 1 1

Surgery 0 0 0 02 02

Urogenital Infections 0 0 0 5 5

“Natural” Childbirth 0 0 0 01

1Doctor-assisted Childbirth

0 0 0 0

Other Diseases 0 5 4 15 24

Total 10 68 15 60 153


May, 2019 Hospitalization

Outpatient Care

Childbirth Delivery

837.00

230.55

50.00


-Guard Fees

-Medical Supplies

-Building Expenses

-Administrative Expenses

-Personnel Salaries

*Medical Director

*Nursing Director

*Pharmacist

*Nurse in charge of finance

*Orderly

*Night Watchman

174.00

39.52

245.00

58.82

100.00

500.00

157.80

105.20

94.70

68.40

30.00

30.00

Total Receipts May, 2019 US$ 1,117.55 Total Expenses US$1,117.34


Monthly Epidemiological Report of Diseases, May,2019

Disease 0-11 Months of age

1-5 years of age

6 to 14 years of age

Greater than

14 years of age

Total

Malaria 10 36 8 24 78


0 0 0 4 4


5 21 3 7 36



Surgery 0 0 1 6 7

Urogenital Infections 0 0 0 3 3

Childbirth Delivery

0 0 0 5 5

Other Diseases 1 9 2 24 36

Total 19 68 14 75 176

Rapport Financier: Centre Médical Archevêque Mark Haverland Mosho de Juin 2019

June 2019 -Hospitalization

-Outpatient Care

-Childbirth Delivery

609.23

374.52

30.00


-Guard Fees

-Building Expenses

-Administration Expenses

-Medical Supplies

-Miscellaneous

Personnel Salaries

*Medical Director

*Nursing Director

*Pharmacist

155.90

52.80

183.13

100.00

100.00

21.00

129.03

86.02

77.41


*Nurse in charge of finance

*Orderly

*Night watchman

47.31

30.10

30.10

Total Receipt June, 2019 US$ 1013.75 Total Expenses US$ 1012.83

Monthly Epidemiological Report of Diseases, May, 2019

Disease 0-11

months of age

1-5

Years of age

6 to 14

Years of age

Greater than

14 years of age

Total

Malaria 20 42 8 26 94


0 0 0 4 4


15 27 4 10 36



Surgery 0 0 0 4 4

Uro-genital Infections

0 0 1 15 16

Childbirth Delivery 0 0 0 2 2

Other Illnesses 1 7 1 12 21

Total 41 83 14 73 211


Dr. Vital R. Malekera authored last year the following about malaria:

“Experiments on malaria: what should be noted malaria is a parasitic infection transmitted by the female anopheles mosquito. There are 5 species of plasmodina parasite. From an epidemiological point of view, malaria is the world's leading parasitic endemic that affects 40% of the world's territory. The most vulnerable are infants, young children and migrants.

The symptoms of malaria are: a) simple access to malaria: chills, heat sensation, severe sickness, lack of energy, sweating, heat decline, nausea, vomiting, diarrhea, headache and body aches; and (b) pernicious access to malaria (severe malaria): neurological disorders, convulsion, coma, prostration; signs of liver failure; signs of functional renal failure; signs of acute lung adenosis (ARDS); signs of massive hemorrhage by CIVD; signs of hypoglycemia, and so splenomegaly, hepatomegaly.

For the Para-clinic we use blood smear, thick blood, biological sign of orientation such GB, HB, CRP, hypercholesterolemia, hyper triglyceridemia, blood sugar, ...

For the treatment of malaria, there are three kinds of treatment:

(a) Preventive treatment: sleeping under an insecticide-treated mosquito net, environmental sanitation and insecticides;

(b) Simple treatment: we use ACT (Artemicinin combination of treatment base)

- Artesinates + Amodiaquine

- Artesinates + Mefloquine

- Artesinates + sulfadoxine-pyrimethanine

- Artesinates + lumefatin

- Dihydro-artemicinine + piperaquine

The combination is done every 12 hours for 3 days, combined with an antibiotic and an antipyretic like doxycycline + Paracetamol.

For the severe treatment of malaria: by Quinine according to WHO scheme

- Dose of attack: 16 to 20mg / kg in SG 5% 10mg / kg to be poured during 4 hours, rest of 8 hours.

- Maintenance dose: 8 to 10 mg / kg Intravenous infusion 4 hours plus antibiotics such as: injectable ampicillin 100 to 150 mg for 3 doses gentamycin 3 to 5 mg per day for adults.


REPORTS

Diocèse Missionnaire du Congo Evêque Ordinaire Bishop Ordinary +Son Excellence Mgr. Dr. Steven AYULE -MILENGE (B.A, MTh, MA. PhD)

2016 Financial Report of the Construction of Abp Mark Haverland Clinic Mosho

I. Introduction

The Missionary Diocese of Congo thanks again the Foundation Wilkins with his benefactors for the donation of $US 5,500 sent through the Diocese of South Missionary Funds for the construction of roof structure (framework) and roof metal of Archbishop Mark Haverland’s Clinic Mosho.

II. Activities of Construction

The first donation of $US 2,500 was used for the construction of roof structure (framework) with wood, this phase finished, and the pictures were sent with short report. The second phase has received US$3,000 which was used for the roof metal.

III. Table of spending funds

Income from Wilkins Found Amount US$ Spending Amount US$

5,500.00 - Bank charge 35.00

- 140 rafters and chevrons 980.00

- 40kg of nails (10cm &12cm) 160.00

- 5000bricks 450.00

- 13 bags of cement 247.00

- 6m3 of sands 150.00

- 150 roof metal 2,250.00

- 65kg of sheet metal’s nail 300.00


- Labors total 500.00

-Transport of material 200.00

Total Received US$ 5,500.00 Total spending US$ 5,272.00

Balance US$ 228.00

Commentary

- We have planned to buy 10bags of cement, but it was not enough finishing the construction this has obliged to complete with other 3bags of cement.

- The roof structure (framework) with woods and roof metal of the clinic is finished. The building is ready to go on the third phase of the fixing of doors and windows.

- The balance in our construction’s account is US$ 228 which can help for one door and one window. Now we need donation for 3 metal’s door, 8 wood’s doors and 11 metal’s windows for the following budget.

IV. The third phase is fixing of doors and windows

- 3 Metal’s doors x US$150 = US$ 450- 8 wood’s doors x US$100 = US$ 800- 11 metal’s windows x US$ 60 = US$ 660- 12 locks x US$30 = US$ 360- 33m2 of windowpane x US$12 = US$ 396- 100kg of putty x US$1.5 = US$ 150- Transport of material = US$ 100- Labor = US$ 200

-------------------------------------Sub-total = US$ 3,116

V. The fourth phase: Finishing work of the clinic

a) Pavement and walls cleaning - 30m3 of sands x US$25 = US$ 750- 120 bags of cement x US$19 = US$ 2,280- 5,000bricks = US$ 450- 2m2 of sieve = US$ 10- Labors = US$ 500- Transport of material = US$ 100

----------------------------- Sub-total = US$ 4,090

b) Ceiling construction


- 72 Triplex = US$ 720- 320 rafters (chevrons) = US$ 1,600- 100kg of nail = US$ 350- 300 laths = US$ 450- 300 liters of color = US$ 750- Transport of material = US$ 150- Labors = US$ 500

--------------------------------------- Sub-total = US$ 4,520

VI. Conclusion

Thank you again for the support from Wilkins Foundation which is giving hope and trust of love to villagers of Mosho. The help is most contribution for surviving people.

Thanks, and many blessings

+The Right Reverend Dr. Steven AYULE-MILENGE

Bishop Ordinary

________________________________________________________________________

Financial report of grants received from Wilkins Foundation fall 2017 and early 2018

1. Introduction

The Anglican Catholic Church, Missionary Diocese of Congo thanks Wilkins Foundation with his benefactors for helping people of Mosho to have a beautiful clinic. It was as a dream when the Foundation has funded for buying a plot of land for the construction of the clinic. Mrs. Luella Dickey funded the construction of clinic’s foundation. The dream has become reality grace of the generosity of Wilkins Foundation and his benefactors, Mrs. Luella Dickey, Berry’s family and Archbishop Mark Haverland.

2. Grants received from Wilkins Foundation fall 2017 and early 2018

Again, we thank the foundation and its benefactors for the following grants received fall 2017 and early 2018:

- Fall October 2027 Sent through Diocese of South Missionary Fund: US$ 2,600- January 19, 2018 we received through Western Union: US$ 300


- February 2018 sent through Missionary Society Saint Paul we received: US$ 6,070

As recommended by donor the funds were used as following:

Grants received Amount US$ Expending Amount US$

1. Sent through Diocese of South Missionary Fund

2. Sent through Western Union by Tom. Wilkins

3. Sent through MSSP

2,600.00

300.00

6,070.00

1. Bank exchange

2. Clinic’s medicines

3. Toilet completion

4. Clinic’s water tank

5. Health Ministry’s

inspection for clinic

6. Health Ministry’s

Certificate for Medical

Centre

7. Bedding

8. Incinerator & placating’s

Hole

9. Surgical materials

10. Doctor salary 6 months

(January to June)

11. Transport of materials

60.00

1,500.00

500.00

750.00

250.00

750.00

800.00

300.00

1,500.00

1,800.00

80.00

Total grants received US$ 8,970.00 Total used US$ 8,290.00

Balance US$ 680.00

Comment

- The grant received was used for the different issues as it is shown in the financial report’s table.

- The doctor’s wage is payed each three months from January to June 2018. The balance of US$ 680.00 is for the doctor’s wage of two months coming (July and August). The doctor is Dr. Rubambura Malekera Vital, he is generalist doctor.

- The State Minister of Health has not yet signed the Certificate or letter, which allows the change of Archbishop Mark Haverland Clinic Mosho to Archbishop Mark Haverland Medical Centre Mosho. The file is now at Provincial (State) Government of Health’s General Secretary waiting for the signature of Minister. It is a long process.


- We have paid the fees of US$250 by hands for inspectors and US$750 was wired by bank at State Government bank account.

- The inspectors have allowed us to start working as Medical Centre because everything seems to be in order and asked us to pay the Provincial (State) Ministry of health’s fees this to confirm us the inspection was good. However, the small surgeries cannot begin before constructing operating treat room.

- Since January 2018, Dr. Vital Rubambura Malekera was coming to consult patients at clinic one time per week without getting any fees; this to help our clinic to be in order where the government’s inspectors can appreciate the work. It is that reason we have paid doctor’s wage for three months first and then for other three months.

3. Quarterly epidemiological report of common diseases treated at Archbishop Mark

Haverland Medical Centre Mosho (January to March 2018)

Diseases/aged 0 to 11 months

12 to 59 months

6 to 14 years 14 year & plus

Total

Malaria 172 473 278 199 1,122

Acute respiratory infection

58 252 154 84 548

Typhoid fever 0 35 13 19 67


Other diseases 59 274 129 104 566

General total 308 1,061 589 431 2,389

4. The need recommended by the government inspectors

a) First urgent need as recommended by the government inspectors

- Install solar power in the Archbishop Mark Haverland Medical Centre costs US$ 2,500 this including materials and labor.

- Completing doctor’s salary with US$ 1,080.00 this to have annual wages as it was done by the foundation in the last donation.

b) The operating theater in the Medical Centre Archbishop Mark Haverland Mosho

The government’s inspectors have made many recommendations as I emailed you in many emails. This pushes us to plan immediately the construction of an operating theater in the dispensary Archbishop Mark Haverland Mosho newly built with the funding of our partners mentioned above. The said dispensary has been authorized to function as a Medical Center thanks to the efforts of the Wilkins Foundation and its benefactors who have paid the fees required by the Provincial Government of South Kivu for the opening of a Medical Center. The Medical Center will help to have a general practitioner to work there and to acquire other doctors from abroad. The idea or


purpose of building an operating room within the Mosho Medical Center is to save the woman from dying after giving birth to a child; and to protect the child from death at birth. The operating room we want to build is not an operating room, as you understand it in the sense of the West; but rather an operating room for small surgical procedures such as: saturated traumatic wounds, abscess incision, caesarean section, appendectomy, hermoraphia, exploratory laparotomy... The construction of operating theater will be done phase by phase and gradually as we did for the clinic. The project will be implemented in three to four phases depending on the availability of funds.

- The first phase: will consist of laying the foundation of the building: US$ 3,248.00

- The second phase: is the elevation of the brick walls, followed by Linton’s construction:

US$ 4,895.00

- The third phase: will be the contruction of the roof of the building: US$4,500.00

- The last phase: the finishing works (plastering, pavement and ceiling followed by the placement

of doors, windows, and sanitary installation): US$ 8,808.00.

The operating theater will include a maternity’s room as recommended by inspector and the actual maternity will serve as pediatrics’ room.

The diocesan council has decided on the Archbishop Mark Haverland Medical Centre that:

- The Medical Centre will be named “Archbishop Mark Haverland Medical Centre” as it is registered before Provincial Government of Health.

- The actual building will be called “Anne & Thomas Wilkins’ building” and the rooms inside will remain as it were dedicated such as: Maternity for Luella Dickey, men & women hospitalization’s rooms for LeAnne & Frank Berry’s rooms.

- The operating theater building will be dedicated to “Mrs. Luella Dickey’s building” in memory to honor the great contribution, which she has done for the construction of Archbishop Mark Haverland Medical Centre. Inside one room will be dedicated for “Mrs. Kent Garbee’s room” also for her contribution and for LeAnne & Frank Berry’s room.

Conclusion

The Anglican Catholic Church, Missionary Diocese of Congo thanks his donors for all efforts you are doing for the development of the diocese by helping people of Mosho to have a good and beautiful building, which will assist them to have first healthcare. God bless all.

Issued Bukavu, May 10, 2018

For the Anglican Catholic Church

Missionary Diocese of Congo

+The Right Reverend Steven AYULE-MILENGE (PhD)

Bishop Ordinary


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The Christian’s Faith Under Fire: Issue of Liberal Theology, BHP, 2016

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Berg, Andrew and Eduardo Borensztein, « The Pros and Cons of Full Dollarization, » International Monetary Fund, Research Department, Washington, DC, March 2000.

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