IR 2010 - 2011IR 2010 - 2011

Lions Norway’s international projectsLions Norway’s international projectsMarit L. KlokkerhaugMarit L. Klokkerhaug

head of the national and international aid groups (MD IRC)(MD IRC)

Why should we contribute to international work?• Lions are an international organization and

would like to help where the need is greatest• Lions want to create an understanding

among all people of the world for humanitarian assistance, and provide volunteers

• Lions members around the world share the same interest in combating blindness

• LCIF rebuilding communities after disasters

Why give money to Lions?

• When we collect money for humanitarian work, we want every penny should go to those who need it

• Lions, we distinguish between activity and management accounts

• No funds from our many income-generating activities are used for administration

Sustainability• Lions will lay the foundation of the business

through investment and training• Local authorities will take over operations• The project must have a solid grounding in

authorities both at main and local administration

• All employees within the eye care sector must have the relevant skills

Cooperation with Norad

• Lions Aid Norway, have in cooperation with Norad, built seven eye care clinics, several light eye care clinics in rural areas, trained personnel and bought cars and other necessary equipment

• NORAD covers up to 90% of project cost ends

Eye health in developing countries

• Eye health project in Uganda

• Eye health project in Malawi

• Upcoming Eye health project in Zambia

Eye health project in Uganda

• 1994: Eye Clinic in Masaka

Eye Clinic in Mbale• 1999: Eye Clinic in Lira

Polyclinic in Apac• 2002: Eye Clinic in Arua• 2005: Eye Clinic in Gulu

Eye health project in Uganda

• 2003: Polyclinic in Yumbe

Polyclinic in Nebbi.

Polyclinic in Moyo• 2007: Polyclinic in Moroto

Polyclinic in Kotido• 2007: Construction of training units in

Masaka and Mbale with classroom, kitchen and eight beds

Education and awarness in Uganda

• 1993 – 2009: Training of ophthalmologists, eye nurses, operation room nurses, health workers

• 1993 – 2010: Raising awareness of teachers and head teachers, local politicians, natural doctors and others

• 1996/2001/2005/2009: Evaluation represented by independent consulting firm in each of the years.

Results in Uganda 2009

• 27.924 patients visited the clinics we havephased out from - Mbale, Masaka and Lira

• 13.263 patients visited Arua and Gulu Clinics

• 35.002 patients sought eye care personnel

outside clinics

Total 76.189 patients

Results in Uganda 2009

• 2.195 operations at the clinics

• 1.684 operations in mobile clinics

include 1.242 for cataract

• Total 3.879 operations

School Projects Uganda

• Co-financing of the school in the slum area of Kampala (2 mill N.Kr.)

• Primary school with a library in Kabuki, teachers housing, kitchen, well at the same school

School Projects in Uganda

• Primary school in Bugono, • Primary school in Buluya,1. phase • Primary school in Buluya, 2. phase• Primary school in Buwuni, kitchen at the

school• Primary school in Balakwar, Kitgum with

toilets, library and reading room• Teacher Housing, kitchen, playground and

well

School Projects in Uganda

• Primary school in Butaleja (Queen of Peace),

2. og 3. phase • Euroba Primary School ( dormitory for deaf

and visually impaired children)– 1. phase is completed– 2. phase was completed in 2010

Other projects in Uganda

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• Construction of kitchen at Kamwokya primary school in Kampala

• Meeting places with kitchen for HIV / AIDS disease in the Kampala slum area

• 2007 – 2010: Assistance to the AIM program

Water and well projects

• About 20 wells are completed and adopted in Uganda

• 2 well projects in Malawi.• Shared equipment, tents, blankets and the

like with flood disasters• Provided food grain and flour by famine, in

cooperation with LC Soroti

(Lions Disaster Preparedness)

Sponsor Children

• We support education for approx. 200 sponsored children through two schemes in Uganda

- Kamwokya CCC

- Balikuddembe (Bjørn Simensen)• Any request for a sponsor children are to go

through the Lions office: post@lions.no• Sponsoring children in Uganda are

supported by our office in Kampala

Aid in Meeting

• AIM is an activity developed by Lions Bergen Student.

• Approx. 50 young people have participated in different projects

• Silent Voices – construction of pig farm in Busheney in Uganda

• Introduction training about Lions Quest

Project Visits

• Several Lions members and individuals want to visit Uganda / Malawi because:

- They get an insight into how the eye care projects are running

- They see several other needs that they want to do something with…

such as building schools, wells, working for HIV / AIDS

Eye health project in Malawi

• Malawi is divided into four health regions with a hospital in each region. We are awarded two regions.

• 2007: Eye Clinic in Mzuzu, which is located     to the central hospital

• 2010 : Eye Clinic in Zomba, the acquisition     October the 1th. 2010

• 2006 - 2010: Training Program as in Uganda

Results in Malawi 2009

• Sponsored education of five health professionals who have graduated as Ophtalmic Clinical Officers

• Sponsored education of 563 health workers• Sponsored 18 nurses and clinic personal

with a clinic course in basic eye care• 6 mobile clinics • 30.247 patients have visited our service• 711 operations, mostly cataracts

Other projects in Malawi

• School buildings in Malakotera

(joint project with the Lions club in Mzuzu)• Well in Malokotera• School buildings are established in Mzimba• Boarding at the deaf school in Mzuzu

ZAMBIA

• Jan Erik Larsen has been appointed Resident Representative in Zambia from October 1th, 2010

• Regional Director for our development work in Africa• He was our representative in Uganda for 3 years• Good relations with the embassy and MoH• Greater use of the Lions in Zambia• Anchor Eye health among local and national• West Province: Trakom (15-16%)

• Build clinic, hiring drivers, program officer…

Financing

• At the end of 2009 it was used 69,3 million from Norad and 16,3 million from Lions funds for the Lions projects in Uganda

• In Malawi: 15,6 mill. from Norad og 2,9 mill. from the Lions funds

(All amounts in N.Kr.)

Evaluation of Uganda

• Done by a group from the Departement of Sosiology at Makerere University, Kampala

• Improvement items in terms of sustainability and the authorities responsible forfollow up with action

• Eye care is discouraged at the hospitals• Too soon that LAN withdraws from Uganda• Periodic shortages of doctors at Eye Clinics

Evaluation of Uganda

• The Board requested that the LAN at home and abroad will take this discussing with the ministry, hospital management and leadership of the Eye Clinic, with a view to achieving more binding agreements

• There is a need for closer monitoring by Norway in the future

Evaluation of Uganda

• Supply of new funds do not provide a sustainable solution of the challenges that we have

• It creates aid dependency• LAN must be stronger in its impact on

districts and ministries - so that they will assume the obligations they have, according to the agreements made

Evaluation of Uganda

• LAN must have a closer monitoring of the districts

• LAN must ensure that organizational and operational integration of the eye health units at the hospitals is carried out

• BUT… we must accept that the services will be somewhat reduced compared to what it was at full LAN support

EDUCATION

• Program and plan for training of health personnel in eye health has been successful, and has meant a lot to get eye care on the map in rural areas, and provided an eyecare offer to the people at village level

• LAN must work to get eye care into the curriculum of education of health professionals

Shutting down in Uganda• Norad has in connection with the approval

of the annual report for 2009, pointed out that the activities in Uganda will end in 2015

• Arua will cease in 2012, office assistant and a driver will be dismissed

• Gulu will cease in 2013, office assistant and a driver will be dismissed

Shutting down in Uganda

• Instruments and equipment at the clinics are reviewed

• Repaired or re-acquired by LAN wthin the

expense budget• The cars are transferred free of charge to

the hospitals / clinics• MD104 have covered the areas we are

awarded in collaboration with the Ministry of Health

NORAD

• Norad's participants in the evaluation of the eye care project, suggests that LAN should continue longer

• The evaluation report is not received

• They will make proposals for action

THE END…

• The eye care project in Uganda has been very successful

• The project has given eye care to over half of the country. It includes large areas that previous were very poorly covered

• We have been pushing to get eye care into the public health system

THE END…

• We are the biggest external player within eye care.

• When such a player reduces its operations, it will naturally leave gaps, but they must ”be refilled”

• Problems in the phase-out was expected, and they came. We may not have taken action in time to counteract this?

All Lions – we serve the world

Lions NorwayLions Norwayis amazing on IR in is amazing on IR in

Uganda, Malawi and ZambiaUganda, Malawi and Zambia