OUR INTERNATIONAL CONTACTS CONTINUE TO SUPPORT US

Chad Hoffman from Christian Mission Aid

Today we had an unexpected, very welcome visitor, Chad Hoffman, regional director from Christian Mission Aid. Bram has been in contact with him for some months now, having recognised that we share the same commitment to improve the lives of our poorest and most vulnerable communities. http://www.cmaid.org/

Christian Mission Aid achieves its mission by training community leaders and by supporting them to work within their own local communities. So Chad was particularly interested to hear about our Community Outreach Team which has huge potential to develop its services if given the necessary training and resources. Chad was keen to find out about the work we already do, raising awareness about our hospital based services and organising medical camps on a variety of health issues.

Bram showed Chad round Arrow Web Hospital while they discussed how we could work together in the future. Chad has invited us to submit a workplan outlining how we could develop our outreach programs, particularly counselling and youth programs, with his organisation's support.

This is of course a tremendous opportunity for us, as our work in the community, unlike some our hospital based services, receives no support from the government.

Chad pauses to speak to a mother with her child who is receiving treatment

Chad was very interested to hear about our laboratory

Only a few days to go for Sebastian

We are really grateful to volunteer medical student Sebastian Kadex who has been working with us for six weeks now. He has been a great help to our medical staff and we do hope he has enjoyed his stay with us. He returns home to Germany on Friday and we will certainly miss him.

Sebastian working with Dr Ishmael at one of our busy baby clinics

Next month we look forward to welcoming Rosie Jeffries, from France (originally from the UK) and Kelly Potter from the US.

Improving the volunteer's experience

We have recently introduced a volunteer feedback questionnaire so that we can continually try to improve the volunteers' experience with us. James and his medical student friends who worked with us in July, suggested to us that it would be helpful if we were able to provide volunteers with information about the likely medical conditions, and the treatments available, before they arrived to work with us. So one of our great friends Dr John Gilbert from the UK is preparing a handbook for future medical student and nursing volunteers. We are very grateful to John, who you may remember volunteered with us about two years ago for six weeks, while still a medical student.

MORE VOLUNTEER NEWS

Goodbye and thank you to our Australian friends
Last week we had to say goodbye to the six Australian medical student volunteers who have worked so hard for us during their visit. We have learnt much from them and as you can see from Tori's blog they seemed to have learned from us too. We do hope you have a good rest in Mombasa and a safe trip home to Sydney. http://kickstartkidsinternational.com/category/victoria/

The volunteers show off their Certificates Of Appreciation

A special thank you from Bram to James who organises the volunteer placements

A Social Worker volunteer from the US

As you know we have been very fortunate to welcome many volunteers over the years, mainly from the medical profession who are able to work with our doctors and nurses at Arrow Web Hospital. So we were very pleased to hear from Brooke Scole, a social worker from the US when she offered to work with us for six weeks.

Brooke has been working mainly with Rachel our own social worker and each has been able to learn from the other about the real challenges in providing services to the most vulnerable and poor in their very different communities.

Much of Rachel's time is spent in the community in some of the poorest slums in the world and Brooke was able to work with her there and in Arrow Web Hospital.

Brooke holds a young baby in her arms at Arrow Web Hospital

She admires a proud mum's new baby at the clinic

Brooke hard at work at the busy immunisation clinic

Brooke has been a great help to us and we look forward to hearing more about her before she goes home.

MORE INTERNATIONAL VOLUNTEERS SUPPORT US

Jacq Goldthorp from Moray, Scotland

As you know Jacq visited us for two weeks earlier this year. She spent time with our staff at Arrow Web Hospital and out in the community with our social worker Rachel. As Jacq walked around the slums, Rachel told her about the desperate situation for people with serious learning disabilities and mental health problems. The government no longer provides them with free treatment and care and this means that many of them live in dire poverty, living on the streets.

Jacq visited Soweto Orphanage and was very impressed with the care provided there for over 250 children. Arrow Web Hospital provides immunisations and inpatient treatment and care for these children as part of the Comprehensive Care Program which has been funded by our board members.. We are currently seeking support from other donors to extend this program to help more of the poorest children in our catchment area.

During her time at Arrow Web Hospital, Jacq was able to help Bram improve the systems for managing finances and for collecting data which is required for the District Health Authority. As a result of all Jacq's work with Bram, we now have more evidence of the good governance of Arrow Kenya to show the government and potential donors. Job Onimo, our assistant board secretary has kindly agreed to lead the improvements which Jacq has recommended.

Jacq, thank you so much for all the advice and support you have given us.

"Thank you Elizabeth for looking after me so well during my stay"

Some of the children Jacq met at Soweto orphanage

Bram takes Jacq up country for a well earned break

This week's volunteers organise a special medical camp

James Harrison. who was introduced to Bram by a fellow medical student volunteer with Alison Lowndes' great charity AVIF, visited us at the end of last year. This week he returned with five other medical students from Kickstart Kids International, "a charity founded and run by young Australians, that enables advantaged countries to help "kickstart" the lives of kids who effectively have nothing"

Apart from helping out at Arrow Web Hospital and in the community, and visiting other health facilities as well as their own projects, James and the other volunteers Miranda Norquay, Victoria Rebecca, David Kc, Amanda Sherwin and Reid Schofield organised a special medical camp at the hospital for the community. They organised special treatment plans and paid for the drugs and supplies needed. These young volunteers treated over 360 children and adults in one day-what an amazing achievement. Thank you so much from Bram and the Arrow Kenya board, the staff and of course the community.

You can read about their experiences on the blogs on the Kickstart Kids International website and on Facebook. http://kickstartkidsinternational.com/category/david/ http://www.facebook.com/KickstartKidsInternational

Apart from the medical students from Australia, we also welcomed a social worker from the US.

Our volunteers from Australia and the US with our staff

"I want to play with your stethoscope Miranda"

"I am not sure about this Miranda"

James with some of our staff and patients

"Open wide for David"

Amanda listens carefully to one of the mothers

But it's not all good news.....

For those of you who have been keeping up with the challenges we have been facing in trying to transport a container full of urgently needed medical equipment and supplies to Arrow Web Hospital - last week Arrow Kenya board had to make the very difficult decision to abandon the project. We were due to ship the container on August 4th, but unfortunately our major donor COCO had to withdraw their offer of support last week, as we do not meet their new funding criteria.

This project which has been going for over three years, has been a lot of hard work for Bram and many of our supporters had given their time and money to help make this happen. Arrow Kenya would like to thank everyone who has worked with us on this project, especially Alison Lowndes from AVIF who helped set it up in the early days and has given us so much support and advice along the way. http://www.avif.org.uk/

We would also like to thank Jackie Keens from Aids to Hospitals Worldwide who has been so helpful and patient with us as we had to keep postponing the shipment, due to the difficulties in getting a Tax Exemption Certificate. http://a2hw.web.officelive.com/default.aspx

We will be contacting everyone who contributed to the project, but if you do not hear from us over the next few weeks, (when we will be asking you if you would like your donation refunded, or used to support other fundraising), please get in touch.

VERY SAD NEWS AND SOME GOOD NEWS

A TRAGIC ACCIDENT

Last week we heard the shocking news that two of our board members had been killed in a tragic car accident. We send our sincere condolences to their families for their great loss. They will be greatly missed by our board and staff.

THIS YEAR'S VOLUNTEERS

We are really pleased to let you know that the following international volunteers have confirmed that they will work with us this year:

Sebastian Nedak a medical student from Germany, who will be working with us for his medical elective for six weeks from June 25th.

Kelly Potter from the US, who will be working with us for three months from September.

James Harrison and his medical colleagues from Australia will be working with us, arriving in July. You may remember James visited us at the end of last year.

A doctor from the Emirates has applied to work with us for a year from October (we are just awaiting further documentation from him) and we are currently discussing some opportunities for another volunteer from Italy, who will be moving to Nairobi for a year in September.

We are always so grateful to all the volunteers who are willing to share their skills and give so much of their time to support the work we do. If you are interested in working with us please go to our "volunteering" section on our website; we would be very interested to hear from you.
(http://arrowkenya.org/help.php#volunteer)

Other visitors

Since our last post, we are really pleased to tell you that Muriel Armstrong a director from COCO visited us. Muriel a senior nursing lecturer from the UK, set up the Kenya Acorn Project in Ndhiwa in Western Kenya in 1998.The charity now runs a hospital and supports five schools.Bram and Muriel were able to share experiences of providing health services in two very different locations.
(http://www.kenyaacornproject.org/History.html).

Thank you for taking the time to visit us, Muriel, during your visit to Kenya.

NHS Grampian

You may remember that we applied to the International Health Links Funding Scheme for funding to support NHS Grampian volunteer doctors and midwives provide training on maternal and infant health for our staff. Unfortunately this application was not successful. However we have just heard that Dr Jamie Hogg's application to the British Medical Association will support another visit from NHS Grampian volunteers later this year. We are now working hard to find funding for a solar powered generator and reliable water supply for the hospital before their visit.

NHIF AUDIT UPDATE

Every quarter we are inspected by the Kenyan government's National Hospital Insurance Fund auditors. In April we scored well with an average of 65% (against the minimum 45% required). The main areas we need to work on are " Equipments and diagnostic" and "Transport". Both depend on our abilty to raise funds. We now need to provide an ambulance to transport patients to more specialist facilities as well as other basic equipment.

Of course the day to day work of the hospital and community outreach team continues, as we face many challenges and work hard to improve the quality of the services we provide. We rely on the commitment and dedication of our board and staff and the great support we receive from local colleagues and our international network of friends and partners.

Another safe delivery at Arrow Web Hospital - this makes it all worthwhile

A BUSY WEEK

THREE SPECIAL VISITORS TO ARROW WEB HOSPITAL

What a day! On Friday Bram welcomed three international visitors from different organisations to Arrow Web Hospital.

Paul from Tour d'Afrique, Toronto Canada

As you know, Paul McManus from Tour d'Afrique had hoped to be able to visit us this week, after he and his colleagues had given us the very generous gift of twenty five bikes, at a local ceremony in Nairobi on Sunday.

Paul was very keen to see for himself the difference these bikes make to the work of our Community Outreach Team members, who rely on them to reach even further into the slums. One of the main roles of our Community Outreach Team is to let people know about the services we offer at the hospital, particularly to encourage expectant mothers to come to the antenatal clinics regularly, have their babies delivered here and then bring their babies to our immunisation clinics. http://www.tourdafrique.com/

John from COCO, Newcastle UK

John, a new member of COCO's team based in Newcastle in the UK visited us too, for the first time. You may remember that Lucy now a director at COCO, and her colleague Kat came to see us last May. As a result, COCO decided to support some of our work with children. COCO has also already pledged over £3000 or 400,000 Ksh to help transport the container of essential medical equipment and suppplies from the UK to Mombasa.

John was particularly interested to hear about our Comprehensive Care Project, targeted at some of our poorest children and orphans. This project ensures there is enough annual funding for the treatment of these children at Arrow Web Hospital, and for the childhood immunisations they need. This year we aim to double the number of children we help in this way to two hundred. These children are the most vulnerable in our community to diseases and illness, many of which are life threatening.

We also discussed with John our plans to set up a system of solar panels, which would give us a continuous electricity supply. At the moment we have great problems when the supply breaks down and equipment fails us. http://www.coco.org.uk/

Jacq from Moray Community Health and Social Care Partnership, Moray UK

Friday was Jacq's first opportunity to see Arrow Web Hospital for herself, having arrived from the UK on Thursday night. Of course she had heard all about us from her colleagues Jamie and Liz from NHS Grampian, who visited us last September. She brought with her a laptop, camera and video camera which had been donated by some of our friends in the UK. She also brought a huge bag of essential medical supplies which Dr Ishmael Onyango, our senior doctor was really pleased with.

Jacq is a self funding volunteer who will be working with us for two weeks. She will be looking at ways of recording all our activity electronically and helping Bram set up electronic systems to make managing our finances easier and more efficient. She hopes to go out into the community with Rachel our Community Outreach Team leader, to find out more about the team's work. This will help with fundraising and in planning for the future. MHSCP link: http://tinyurl.com/4nfnotm

We look forward to hearing more about Jacq's visit and hopefully there will be plenty photos Bram!

Paul, John and Jacq outside Arrow Web Hospital

We are always so pleased to welcome visitors to Arrow Web Hospital and to know that friends all over the world support us. If you would like to hear more about the work we do or would like to arrange a visit, please contact us at http://www.arrowkenya.org/

GENEROSITY FROM INTERNATIONAL DONORS

A BIG THANK YOU TO TOUR D'AFRIQUE

Another year has passed and again we must thank Tour d'Afrique for their great generosity in donating twenty five new bikes for our Community Outreach Team. At a well attended celebration yesterday, the bikes were handed over to us as the riders make their way on the four month long cycle ride from Cairo to Cape Town.

These bikes are so essential to the services we provide in the community, allowing our community support workers to reach a much wider area and of course much more quickly.

The Tour d'Afrique tents

Organising the seating for the speeches

Job our assistant board secretary says thank you

Bram looks at the bikes with the guys from Tour d'Afrique

"What great bikes"

A final thank you and "safe journey" to South Africa from Bram

Many thanks to Mrs Rono for organising the event

More about Tour d'Afrique and the Tour d'Afrique Foundation

Tour d'Afrique is a company based in Toronto which organises cycle tours and races, all over the world. ( http://www.tourdafrique.com/ ) It is famous for its annual tour from Cairo to Cape Town and it is on this long journey that its cyclists stop to hand over bikes to Arrow Kenya. You can read about all their amazing adventures on the blog on their website.

The Tour d'Afrique Foundation is a key part of the company vision and was set up at the same time as the company. The Foundation's mission is :

"To give something back to the people and communities that we pass through on our cycling tours" and

"To raise consciousness about bicycles as an alternative, and in many ways better and more beneficial means of transport"

One of the ways the Foundation achieves its objectives is by donating bikes to individuals and organisations in Africa.

Children from the local orphanage say "Thank you Tour d'Afrique for our bikes too - we hope to see you next year and wish you a safe journey to Cape Town"

We are really pleased that Paul McManus from Tour d'Afrique is finding time to visit us at Arrow Web Hospital. Bram will be able to show him around and tell him more about how the bikes really make a difference to the work of our Community Outreach Team.

ANOTHER BUSY WEEK AT ARROW WEB HOSPITAL

Treating an outbreak in a local orphanage

Apart from the usual services we provide, last week was particularly busy as there was an outbreak of diarrhoea at a local orphanage. So it was "all hands on deck" for our doctors and nurses. As treatment for these children is not covered by the funds we receive from the government we have set up a Comprehensive Care Program for them and other poorer children to make sure they can receive the immunisations and drug treatment they need when they need it. Our board has always funded this program, but this year we are applyng for funds to extend it to help more of our most vulnerable children in our community.

Next in line for an injection

And the girls too

Our senior Doctor Ishmael Onyango gives advice to a young girl

Government report

Bram has been busy completing a very lengthy government report. Although we submit information to the District Health Authority every month, for the first time we are now being asked to complete forms about all our activity related to the government's health indicators. We are also being asked to complete detailed plans to show how we are working towards government targets. Fortunately Arrow Kenya board has already drawn up a plan for this year, taking into account these targets.

The government is expecting us to add the protection of children, adolescents and the elderly to our plans so we will be making it a priority this year.