2013 SMKH Annual Report

Mission statement: Mission statement: Mission statement: The Sonja Kill Memorial Hospital is a charity hospital built with The Sonja Kill Memorial Hospital is a charity hospital built with The Sonja Kill Memorial Hospital is a charity hospital built with the vision to improve the health situation of Cambodians, the vision to improve the health situation of Cambodians, the vision to improve the health situation of Cambodians, especially children and mothers, regardless of their ability to pay.especially children and mothers, regardless of their ability to pay.especially children and mothers, regardless of their ability to pay.

Phone: +855 77 666 752 Email: Website: www.skmh.org

Kep Thmei Village, Boeung Touk Commune Toeuk Chhue District, P.O. Box 0705 Kampot, Kingdom of Cambodia

Annual Report 2013

Page 1

FROM THE DIRECTORFROM THE DIRECTORFROM THE DIRECTOR

Despite progress in the last few years, Cambodia has still some of the worst health indicators in Southeast Asia. The under-five mortality of 40/1,000 life births is three times higher than in Thailand. The probability of dying for women between 15 and 60 years is 161 per 1,000 population (Thailand 90 per 1,000).

There is growing evidence that malnutrition in early childhood causes lasting health damages and reduces the physical and mental capabilities of a population. The human body never fully recovers after prolonged starvation such as survivors of the Killing Fields and their children have faced between 1970 and 1985. As a result, Cambodia faces the double burden of infectious diseases and chronic diseases such as Diabetes mellitus, hypertension, cardiovascular diseases and chronic degenerative diseases.

The health of many Cambodians is severely impacted by their traumatic experiences. According to studies, around 50% to 60% of the Cambodians who have survived the Khmer Rouge time suffer from posttraumatic stress disorder (PTSD) and/or depression. Many families are broken, destroyed by domestic violence, alcohol abuse and poverty, and children grow up in a dysfunctional environment. Patients suffer from chronic pain syndromes, fatigue and sleeping disorder. The medical schools and the nursing schools do not deliver thorough teaching in mental health. Thus, patients travel from clinic to clinic and seek help for their health problems. Although they undergo many diagnostic tests and receive different medications for their symptoms, their underlying mental health problem is neither recognized nor dealt with. Patients are left destitute and in despair. There is a tremendous need for comprehensive primary health care that focuses not only on physical conditions and symptoms but helps patients and families in a holistic way. This is what we are doing at Sonja Kill Memorial Hospital.

The Sonja Kill Memorial Hospital is committed to deliver compassionate care and train Cambodian doctors and nurses to have the heart, knowledge and skills to address the deep needs of their patients and help restore families.

It is easier to build It is easier to build It is easier to build strong children than to strong children than to strong children than to

repair broken men.repair broken men.repair broken men. Frederick DouglassFrederick DouglassFrederick Douglass

Probability of dying between 15 and 60 years m/f (per 1 000 population, 2012)

212/161

Pill burden

ROOTS OF THE CAMBODIAN HEALTH CRISISROOTS OF THE CAMBODIAN HEALTH CRISISROOTS OF THE CAMBODIAN HEALTH CRISIS

2013 was a jump start into the second phase of the hospital. We suddenly had to deal with many children and adults in critical condition when we opened the in-patient wards and the emergency department 24 hours/7 days. This year has proven how much the Sonja Kill Memorial Hospital is needed in South Cambo-dia. However, it saddened me to see many children and adults referred out be-cause we did not have a blood bank, intensive care or a surgical department open yet. Many women ask when we will provide obstetric services and take care of difficult pregnancies and deliveries. 2014 will be a year of great develop-ment. I am confident that we will succeed thanks to our dedicated staff. Their smiles are contagious, and many patients feel better already when they see a friendly face. After less than two years, the hospital has become a place where sick patients with difficult health conditions find hope and receive good care.

FROM THE DIRECTORFROM THE DIRECTORFROM THE DIRECTOR

Dr. Cornelia Hner MD, MScPH

Page 2 of 4

PROGRESSPROGRESSPROGRESS

Opening Inpatient Wards-April 8, 2013 The Sonja Kill Memorial Hospital celebrated the long awaited opening of the inpatient wards with 19 beds for children and adults. His Excellency Soht Yea, Vice-Governor of the Kampot Province presided over the ceremony.

Community Outreach-April 7, 2013 We distributed bicycles to 75 children from poor families in partnership with the Singapore-based organization Wheels for HOPE and provided road safety education. The donation of bicycles enables children to go to school.

24-hour services With the opening of the inpatient wards, we started 24-hour services in the emergency department. 75 % of the children admitted suffered from pneumonia, gastroenteritis or Dengue fever, the three main causes of death in children < 5 year.

Health Checks and Health Education 1,455 children received free health checks. We used this opportunity to teach the parents concerning age-appropriate nutrition, dental health and vaccinations needed. Many of the underweight children increased weight thanks to the teaching.

Training We provided training to 11 doctors and 26 nurses. Many volunteers assisted in the training, including two doctors with Cambodian roots, the pediatrician Laurent Yi Vichet from Belgium and Thearith Seng from the United States.

Capacity Building We started our collaboration with the Kampot Re-gional Training Center for Nurses and Midwives and trained 28 students. In addition, 18 student and two teachers attended a workshop for pelvic floor exer-cises for pregnant women.

Education is the most powerful weaponEducation is the most powerful weaponEducation is the most powerful weapon that can change the world.that can change the world.that can change the world.

Page 3 of 4

PATIENT IMPACTPATIENT IMPACTPATIENT IMPACT

Set Serts mother was worried when she sat next to her 15-year old teenage boy bleeding from his bowel during the 30-kilometer ambulance ride from the Kep Referral Hospital to the Sonja Kill Memorial Hospital. She did not know where to go with her critically-ill child when the doctors at the referral hospital told her that they were not able to help him. She trusted a seller at the market who pointed her to the Sonja Kill Memorial Hospital. When the ambulance arrived at our emergency department, the staff rushed to help him. He had developed shock due to bleeding and bowel infec-tion. IV fluids and antibiotics stabilized him just a little bit but he needed blood, something the hospital cannot pro-vide yet. The Kampot Referral Hospital agreed to give three units of blood over three days, and life returned into his previously pale face after the blood transfusions. The mother smiled: I am very happy and grateful for the staff here. They have worked very fast to help my youngest child and are very friendly. Now my child has improved, and we pay very little. I am very happy to be here.

Can This Hospital Help My Youngest Son?

A very dedicated staff worked as a team to save this young mans life. The Sonja Kill Memorial Hospital has become a beacon of hope for patients and families in South Cambodia.

26-year old Mr. Keo came to us with severe depression. He and his wife had just experienced the birth of their first child who was now 3 months old. Even though he loved his new baby, he was over-whelmed by the new responsibility. He became violent to the point of threatening to harm his baby and his wife. When his mother heard about the Sonja Kill Memorial Hospital, she travelled more than 40 kilometers to bring her son for treatment. Our new Chief Op-erational Officer Dr. Jan Osborne, US board-certified psychiatrist assisted our young doctors in assessing and treating this patient with anti-depressive medication. After four weeks of medication, Mr. Keo felt strong enough to help on the farm every day and take care of his family.

Dr. Jan Osborne shares: I realize more every day how enormous, devastating and far reaching the consequences of the Khmer Rouge regime are. As the song says, The vision that was planted in my brain still remains, within the sound of silence, the experiences of atrocities resound in the minds of the Cambodian people many years later. Mental illness is not well understood or recognized in Cambodia by the population in general. Individuals with psychosis are sometimes caged or chained within their homes or treated by doctors not experienced with mental health. Patients often sell all their belongings, but do not improve and remain hopeless.

From Despair to Hope-A Family Restored

Page 4 of 4

STATISTICSSTATISTICSSTATISTICS

THANK YOU TO OUR DONORSTHANK YOU TO OUR DONORSTHANK YOU TO OUR DONORS

Financial Donors Kindermissionswerk Die Sternsinger, Germany BILD hilft e.V. Ein Herz fuer Kinder, Germany Sonja Kill Foundation, Germany HOPE worldwide, USA HOPE worldwide Zurich, Switzerland International Church of Christ, Munich, Germany Kevin and Nanshil Grady Jeffrey and Janet Jones Heidi Perez Edison International Employee Contributions Campaign, Teresa Escobar PECO Foundation, Dr. Peter Curran

Donors of equipment and supplies AmeriCares, USA Direct Relief International, USA Aesculap AG, Germany Dr. Wolfgang Probst, Germany Dr. Bernhard Rinderknecht, Switzerland Interbroc Hilfswerk, Switzerland Partners Sonja Kill Foundation, Cambodia Ministry of Health, Cambodia Sihanouk Hospital Center of HOPE, Cambodia National Blood Transfusion Center, Cambodia Kampot Regional Training Center for Nurses and Midwives

66%

24%4%

1% 1% 2% 2%

FirstTimePatients2013byProvinceKampot

Sihanoukville

KrongKepKohKongTakeo

PhnomPenhOther

Mission statement: The Sonja Kill Memorial Hospital is a charity hospital built with the vision to improve the health situation of Cambodians, especially children and mothers, regardless of their ability to pay.Annual Report 2013

/ColorImageDict > /JPEG2000ColorACSImageDict > /JPEG2000ColorImageDict > /AntiAliasGrayImages false /CropGrayImages true /GrayImageMinResolution 300 /GrayImageMinResolutionPolicy /OK /DownsampleGrayImages true /GrayImageDownsampleType /Bicubic /GrayImageResolution 300 /GrayImageDepth -1 /GrayImageMinDownsampleDepth 2 /GrayImageDownsampleThreshold 1.50000 /EncodeGrayImages true /GrayImageFilter /DCTEncode /AutoFilterGrayImages true /GrayImageAutoFilterStrategy /JPEG /GrayACSImageDict > /GrayImageDict > /JPEG2000GrayACSImageDict > /JPEG2000GrayImageDict > /AntiAliasMonoImages false /CropMonoImages true /MonoImageMinResolution 1200 /MonoImageMinResolutionPolicy /OK /DownsampleMonoImages true /MonoImageDownsampleType /Bicubic /MonoImageResolution 1200 /MonoImageDepth -1 /MonoImageDownsampleThreshold 1.50000 /EncodeMonoImages true /MonoImageFilter /CCITTFaxEncode /MonoImageDict > /AllowPSXObjects false /CheckCompliance [ /None ] /PDFX1aCheck false /PDFX3Check false /PDFXCompliantPDFOnly false /PDFXNoTrimBoxError true /PDFXTrimBoxToMediaBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXSetBleedBoxToMediaBox true /PDFXBleedBoxToTrimBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXOutputIntentProfile () /PDFXOutputConditionIdentifier () /PDFXOutputCondition () /PDFXRegistryName () /PDFXTrapped /False

/CreateJDFFile false /Description > /Namespace [ (Adobe) (Common) (1.0) ] /OtherNamespaces [ > /FormElements false /GenerateStructure false /IncludeBookmarks false /IncludeHyperlinks false /IncludeInteractive false /IncludeLayers false /IncludeProfiles false /MultimediaHandling /UseObjectSettings /Namespace [ (Adobe) (CreativeSuite) (2.0) ] /PDFXOutputIntentProfileSelector /DocumentCMYK /PreserveEditing true /UntaggedCMYKHandling /LeaveUntagged /UntaggedRGBHandling /UseDocumentProfile /UseDocumentBleed false >> ]>> setdistillerparams> setpagedevice