Proposal for a Sustainable Community Medical Clinic at Koindu, Kailahun District in Eastern Sierra Leo June 9, 2016 Usman F Daramy – Facilitator 1377 Keppen Blvd. Lincoln Park, Mi. 48146 313-923-7261 540-414-1112 [email protected]Kollan Kissi Rural Development Agency (KKRDA) is a development oriented Non-Governmental Organization registered in Sierra Leone and the United States whose mission is the development and implementation of self-sustaining systems and community development platforms. KKRDA has established a strategic collaborative partnership with globally willing individuals and institutions such as the Henry Ford Health System Global Health Initiative in Detroit, Michigan, USA.
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Proposal for a sustainable community medical clinic at koindu 1
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Proposal for a Sustainable Community Medical Clinic at Koindu, Kailahun District in Eastern Sierra Leo
The goal of this project is to establish a sustainable clinic and help ensure the availability of preventive
health services for all residents living in the Makona River Union (MKRU) areas. Such a facility will
benefit residents in Koindu, Kailahun district. At the same time, the established clinic will be a center for
health-care service innovation by providing rapid, portable and affordable diagnostic services to residents
such as screening for eye diseases using a pocket-sized ophthalmoscope costing just US$8.00. This
simple, field-tested device offers a low-cost tool to improve medical care and provides a novel tool for
training of health professionals in developing countries.
Figure 4 Manual Cassava tuber preparation for bending to produce flour.
Figure 5. Potential dehydration feed stock products food powder production
before packaging.
Figure 6. Food produced from cor. Figure 7. Proposed packaging container
for mixture of edible gari, and corn meal.
OBJECTIVESThe overall objective of the project is to design and build a community development platform with a clinic as the nucleus. This program is expected to help ensure the provision of basic quality health services, preventive health education, and to identify appropriate technologies, renewable energy for the establishment of mini agricultural industries, and to plants the seeds for research – including record keeping. Specific objectives:
1. Establish procedures for ongoing assessments of health threats to the population in and around Koindu particularly women and children’s vulnerability to malaria, water borne diseases, including the Ebola or any endemic. Promote the Koindu clinic, as a model of the first integrated regional health program.
2. Develop a training program in partnership with the Centre for Affordable Water and Sanitation Technology (CAWAST) a non-profit organization that provides training and consulting to organizations working directly with people in developing countries who lack access to clean water and basic sanitation. The community would be educated to
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Figure 2 Cardio-pad
Figure 3 Pocket Ophthalmoscope
KOINDU MKRU CLINIC
understand that there are many factors that can affect health including exercise, diet, environment, and heredity.
3. Establish a basic research program that would stimulate intellectual thoughts, and job satisfaction – hence, enhance youth retention. Develop proactive measures for the handling of the next Ebola, or any other epidemic.
4. Exploit available local resources, including the region’s strategic location for establishing a modern food production, and processing for the domestic, regional, and the international market. Advance the mini agricultural initiative to an integrated regional economic development program, by evenly dividing the mini processes between the three countries.
Budget Tables
Item Year 1 Year 2 Year 3Clinic $381,420Cassava Flour BakeryDehydration $Corn/Gari meal Packaging
Appendix 1 Project Timeline
Activity
Year 1 Year 2
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
THE PROJECT PROGRESS AND GOALS TIMELINE.Project Timeline for Activities
Budget & Components activity
Responsible (Party)
Cost Milestones Deliverables Completed date
Sensitization Programs
Converging a 1 or 2 day regional meeting at Koindu signing of project support letter.
International partner rep.
U. Daramy & Medical expert
$10,013 9/15/2016 Receive written
endorsement of the
project from all the
relevant authorities.
9/30/2016
Clinic Proposal & total 3/1/2016 In progress
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KOINDU MKRU CLINIC
costComplete business plan for associated agricultural industry
4/18/2016 In progress
Identify funding sources
Submit Funding applicationAdministrative Costs
Total Project Costs
PROJECT OUTCOMES:
The Koindu clinic would be staffed by one doctor, assisted by two nurses, two employees, a medical assistant, and a receptionist. Ongoing training, and support for these employees will be provided by national Governments throughout the first and second year. The promotional events, all aimed at residents living within a 40 mile radius. With only one hospital within that radius, we project a gradual increase in patient load over the first two years as we find our place in the community. As patient volume increases, we will begin supporting our expenses from revenues. At the end of the second year, the subsidies will cease, and the resident doctors, including supports staff’s will become the clinic’s expenses. We expect to incur operating losses in the first and second year, but have planned for a strong cash flow to keep the business running. We will begin a small profit at the start of the third year. We will promote community pride, and clinic ownership to facilitate affordable monthly premium payments – with free health services for the most vulnerable community members.
PROJECT’S LASTING AND SUSTAINED IMPACT IN SIERRA LEONE:
The Koindu clinic has been designed strategically to disassociate it from the infamous white elephant projects of the past. It is an integral of a total community development platform that encompasses income generation, and employment. As part of the ongoing efforts to improve access to health care in rural areas, several local Governments and international agencies are subsidizing the start-up and first year of operations of a new family medicine practice, such as the Koindu Clinic. Throughout the first year, the Koindu clinic will work closely with advisers from local and international medical experts to get the clinic on a sound financial and operational footing, using this medical clinic business plan as a guiding management tool. These strategies in addition to the anticipated increased community income earnings would positively impact a lasting sustainability of the clinic, the community, Sierra Leone, and the region.