1. 2013 RI CONVENTION
Partners for Change
Moderator: Future Vision
Committee Member Sam Okudzeto

2. 2013 RI CONVENTION
2013 ROTARY INTERNATIONAL CONVENTION
Panelists:
Jan Leentvaar, Professor of Environmental Policy
Making, UNESCO-IHE Institute for Water Education
Dr. Peter Linz, Chief International Medical Officer, Mercy Ships
Dr. K.V. Ravishankar, Rotarian Team Member, Mercy Ships
Vocational & Medical Service Team
Zahir Janmohamad, Director General, Resource
Development, Pakistan/Canada, Aga Khan University
Rizwan U. Khan, General Manager, Pakistan and Afghanistan
Region, Coca-Cola Export Corporation

3. 2013 RI CONVENTION
UNESCO-IHE Institute
for Water Education
Jan Leentvaar
Professor of
Environmental
Policy Making

4. 2013 RI CONVENTION
Rotary and Mercy Ships
- Partners for Change
in western Africa
Dr. Peter Linz

5. 2013 RI CONVENTION
Mercy In Action
Video: Mercy in Action

6. 2013 RI CONVENTION
Mercy Ships - Overview
• Established in 1978
• $1 Billion+ in free health care services
• 61,000 operations
• 540,000 patients
• Mentored/trained 29,500 local health
care professionals
• 1,000+ volunteer crew from 30+ nations
annually
• In West Africa since 1990

7. 2013 RI CONVENTION
West Africa – The Need
• Most countries in the region rank in the
bottom 25% of the UN Human
Development Index
• Majority of the people live on less than two
dollars per day
• On average, there are 23 physicians and
100 nurses/midwives for every 100,000
people. [i]
• Severely inadequate medical infrastructure
[i] Calculated using the WHO 2004 Health Workforce and population numbers.

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Mercy Ships - Regional Focus

9. 2013 RI CONVENTION
Mercy Ships – Regional Focus
• 17 country coastal region of western Africa ranging
from Senegal in the North to Congo in the South
• Goal: Improvement of internationally recognized
health indicators.
• phased approach that includes:
- country assessment
- pre-ship program activities
- ship deployment
- post-ship program activities
- program evaluation

10. 2013 RI CONVENTION
Rotary and Mercy Ships – History of working together
• Rotarians have partnered with Mercy Ships
since 1987
Resulting in:
• 8 matching grants
• RIBI Charity of Choice 2005-06
• 1 competitive grant
• 3 global grants
• 2 Vocational Training Teams

11. 2013 RI CONVENTION
Rotary and Mercy Ships – Partners for Change in western Africa
• Rotary and Mercy Ships are focused on impacting
Disease Prevention and Treatment in some of the
world’s greatest areas of need.
• Rotary-initiated teams of skilled professionals
partner with Mercy Ships to help build local health
workforce capacity through Rotary Vocational
Training Teams (VTTs)
• Two recent examples in the country of Guinea
• Disease Control/hospital infection control
• Ophthalmic Training

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Rtn. Dr. RAVISHANKAR, MD
FRCS(Edin)UK
RC Mysore west
RID 3180, INDIA

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Pre-designed projects funded by the World Fund
and the strategic partner, no DDF required
Opportunity to work with Rotary’s Strategic
Partners in large-scale grant activities
Align with Rotary’s areas of focus
Can include scholarships, humanitarian
projects, and vocational training
Rotarians can focus their talents and energies on
implementation
PACKAGED GRANTS

14. 2013 RI CONVENTION
Disease Control Training Team
Vesicovaginal Fistula (VVF) Surgery Team
My Team: Cataract Surgery Team
PACKAGED GRANT WITH MERCY SHIPS
Vocational training
and Medical Service Teams:

15. 2013 RI CONVENTION

16. 2013 RI CONVENTION
DAILY CROWD AT CLINICS

17. 2013 RI CONVENTION
BILATERAL CATARACTS -CAN NOT SEE THE EVEN GRANDCHILD

18. 2013 RI CONVENTION
CATARACT IN A CHILD-LEARNING/ PLAYFUL AGE WASTED

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OUR EXPERIENCE –ROLE OF VTT
4 eye surgeons team from India
Initiated by RID 3140 under FVP pilot project
Led by Rotarian Dr. Arun Chaudhary RID 3140-
Members – Rtn Dr. Ravishankar – Mysore
RID 3180
Non Rotarian members Dr. Jenin Bharath
Patel, Dr. Nirav Agarwat

20. 2013 RI CONVENTION
OUR EXPERIENCE –ROLE OF MERCYSHIPS
Pre-selection of local partners to work with in
Guinea
Making sure the local planning was complete
Logistics
Liaison with government – taking licenses, etc.
Safety and security of the team

21. 2013 RI CONVENTION
DESSO & BARTIME EYE CLINIC

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WET LAB IN PROGRESS

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SURGERY DEMO & MENTORING

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GROUP DISCUSSIONS IN PROGRESS

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WHY ROTARIANS NEED TO DO THIS
Resources in a country like Guinea are scarce
Simple problems become highly complicated
before getting medical help
Medical/surgical mission offers only temporary
solution – training manpower offers lasting
solution
Training in addition to direct service is best mode
By this we are training local healthcare workers to
be able to successfully perform these critical
procedures and surgeries on their own

26. 2013 RI CONVENTION
VALUE ADDED BY MERCY SHIPS
Extensive knowledge of Africa
Infrastructure to carry out programme of this nature –
highly organized in approaching these issues
Established working partnerships with governments and
several institutions in various nations
Mercy Ships has a strong work culture we need to
emulate
Mutual missions of both Rotary and Mercy Ships gets
filled…so it’s a WIN-WIN!

27. 2013 RI CONVENTION
VALUE ADDED BY ROTARY
Great network of professionals
Good number of Rotarians willing to give time. Presence
of fellowships/Action Groups make it easy
TRF funds activities in the DPT area of focus through
packaged grants
Since non-Rotarians are welcome, there are endless
possibilities
Culture of giving and learning
Mutual missions of both Rotary and Mercy Ships gets
filled…so it’s a WIN-WIN

28. 2013 RI CONVENTION
SUMMARY
TRF-MERCY SHIPS PARTNERSHIP IS FORMIDABLE
THIS IS WIN –WIN FOR BOTH
TRF CAN APPROACH AFRICAN HEALTH PROJECTS
MUCH EASILY
MERCY SHIPS CAN GET TALENTED
ROTARIANS/OTHERS WHO CAN GIVE
TIME/SKILLS
FOR ROTARIANS NEED NOT GO IN SEARCH OF
ORGANISATIONS NEEDING TRAINING
TERMS OF SERVCIE/TRAINING VERY CLEAR

29. 2013 RI CONVENTION
Empowering Excellence
Aga Khan University
& Rotary International
Partners for Change
in Maternal & Child Health
Zahir Janmohamed
Lisbon, June 2013

30. 2013 RI CONVENTION
OUR CHALLENGE
• Complications from pregnancy and childbirth claim the lives of
thousands of women, mostly in developing countries.
• Millions of babies are stillborn, more millions die before they are a
month old, and many suffer neurodevelopmental disabilities and
impairments.
• Most neonatal deaths are caused by preterm birth, asphyxia during
birth, and infections such as sepsis, pneumonia, and meningitis.
• Effective, low-cost interventions are available, but they are not
reaching all of the women and babies who need them.
• Skilled providers in poor countries often lack access to current tools
or do not use them.

31. 2013 RI CONVENTION
MATERNAL MORTALITY RATION IN 2011
(273, 500 Deaths)
Source: IHME (Lancet 2011)

32. 2013 RI CONVENTION
UNDER-FIVE MORTALITY RATION IN 2011
(7.2 million Under 5-yrs Deaths)
Source: IHME (Lancet 2011)

33. 2013 RI CONVENTION
TOP 10 COUNTRIES FOR NUMBERS OF
STILLBIRTHS, NEONATAL AND MATERNAL DEATHS
Ranking for neonatal
deaths
Ranking for
maternal deaths
Ranking for
stillbirths
India 1 1 1
Nigeria 2 2 3
Pakistan 3 8 2
China 4 13 8
DR Congo 5 3 6
Ethiopia 6 5 5
Bangladesh 7 6 4
Indonesia 8 7 7
Afghanistan 9 4 12
Tanzania 10 9 11
1.5 million
neonatal
deaths
Approx
67%
of global
total
178,000
maternal
deaths
Approx
65%
of global
total
1.77 million
stillbirths
Approx
63%
of global
total
Ref: Lawn JE et al BJOG Sept 2009. Data sources: Estimates of maternal (2005) and neonatal (2008) deaths from WHO.
Stillbirths from Cousens et al 2010 Updated Aug 2010

34. 2013 RI CONVENTION
• Aga Khan University (AKU), is a private, non-denominational
university promoting human development through
research, teaching and community service.
• Operates 28 academic programmes, 7 hospitals, more than
250 clinics, and active research projects in 8 countries on 3
continents across East Africa, the Middle East, South and
Central Asia and Europe.

35. 2013 RI CONVENTION
Vision
• Aga Khan University will be an autonomous, international
institution of distinction, primarily serving the developing
world in innovative and enduring ways.
Mission
• AKU is committed to the development of human capacities
through the discovery and dissemination of knowledge, and
application through service.
• It seeks to prepare individuals for constructive and exemplary
leadership roles, and shaping public and private
policies, through strength in research and excellence in
education, all dedicated to providing meaningful
contributions to society.

36. 2013 RI CONVENTION
• Offers programmes of international quality;
• Responds to identified needs in the countries and regions which it
serves;
• Priorities teaching and research which will inform and underpin
intellectual innovation and change;
• Provides service to advance its educational and research mandates
• Fosters and develops leadership capacity through its education and
research programmes;
• Assesses its impact and effectiveness;
• Promotes access and equity to make the University inclusive of all
socio-economic groups, addressing the particular needs and
circumstances of the disadvantaged, promoting the welfare and
advancement of women.
AKU operates on the principles of quality, relevance, impact
and access
To advance this mission, AKU:

37. 2013 RI CONVENTION
• The University’s curricula in nursing, medicine and
educational development reflect the unique needs of
the communities and countries where it operates, so
that students and graduates can immediately apply their
knowledge where it will have the most impact.
• Through a needs-blind admissions policy AKU selects the
most promising students who will become leaders and
thinkers in the region; cultivating in them an ethic of service
and the skills to help communities improve their quality of
life.

38. 2013 RI CONVENTION
• AKU is one of nine agencies of the Aga Khan Development
Network (www.akdn.org), a group of private development
agencies with mandates ranging from health and education to
architecture, culture, microfinance, rural
development, disaster reduction, the promotion of private-
sector enterprise and the revitalization of historic cities.

39. 2013 RI CONVENTION
“First, the University will build
on its strengths in maternal and
child health. Its research into
problems which strike the most
vulnerable of God's people, is
carrying it toward the goal I
have as Chancellor: that the
Aga Khan University should
be one of the world
resources in health
problems of mothers and
children, and that its work on
these problems will be on the
frontiers of knowledge.”
-- His Highness The Aga Khan,
Chancellor, AKU
Convocation 1989

40. 2013 RI CONVENTION
AKU – ROTARY INTERNATIONAL PARTNERSHIP
• The Rotary Foundation’s six areas of focus reflect critical
humanitarian issues and needs that Rotarians are addressing
worldwide.
• It enables Rotarians to improve the health of mothers and their
children by:
• Reducing the mortality and morbidity rate for children under
the age of five;
• Reducing the maternal mortality and morbidity rate;
• Improving access to essential medical services, trained
community health leaders, and health care providers for
mothers and their children;
• Supporting studies for career-minded professionals related to
maternal and child health.

41. 2013 RI CONVENTION
ABOUT THE PARTNERSHIP
• Goal of our strategic partnership: improved maternal and
child health.
• Under the partnership, the Rotary Foundation provides grants
to Rotary clubs to establish volunteer teams to support the
professional development of nursing faculty at AKU’s East
Africa campuses in Kenya, Tanzania and Uganda.

42. 2013 RI CONVENTION
ABOUT THE PARTNERSHIP
• AKU’s Advanced Nursing Studies programme was established
in response to requests from East African governments to help
upgrade nursing skills and build healthcare human resource
capacity in the region.
• Through continuing education programs, graduates are able to
work in their communities to provide better quality health care
services as well as lead policy development at the national level.
• The result is better qualified regional healthcare
professionals who are helping to build
accessible, responsive and sustainable healthcare
systems in East Africa.

43. 2013 RI CONVENTION
WHAT WE SET OUT TO ACHIEVE
• Training health care
professionals to provide
leadership at all levels of the
health care system.
• Utilizing appropriate models for
clinical care and planning for
national, regional and global
policy in maternal and child
health.
• Conducting cutting edge
research to promote effective
interventions as well as probing
the frontiers of knowledge.

44. 2013 RI CONVENTION
FOCUS ON MATERNAL & CHILD HEALTH IN EAST AFRICA
• Training health care professionals
to provide leadership at all levels
of the health care system.
• Utilising appropriate models for
clinical care and planning for
national, regional and global
policy in maternal and child
health.
• Conducting cutting edge research
to promote effective interventions
as well as probing the frontiers of
knowledge.

45. 2013 RI CONVENTION
CARDIAC SURGERIES IN PAKISTAN
• Funding life-saving cardiac
surgery for children of
families who cannot afford
expensive surgery for
congenital heart defects
• Financial support
committed for 2012 by the
Rotary Humanitarian
Trust, Pakistan Chapter for
surgery for 20 children at
the state-of-the-art Aga
Khan University Hospital in
Karachi

46. 2013 RI CONVENTION
Human resource challenges remain a hurdle for many countries. 57 do not have the
minimum level of staff recommended to provide services required to reach coverage and
mortality reduction targets. Sub-Saharan Africa accounts for 50% of the world’s maternal
and child deaths, but only 3% of the world’s health workers.
Source: World Health Report 2006

47. 2013 RI CONVENTION
RESEARCHED SIMPLE TECHNOLOGIES THAT SAVE LIVES
Application of chlorhexidine provided in clean delivery kits
reduced newborn deaths by 40% in the poorest district of Sindh

48. 2013 RI CONVENTION
“A new study suggests that “lady health
workers,” as Pakistan calls them —
women trained as part of a government
program to give care to poor people in
rural areas — can make a difference in
saving the lives of newborns.
Researchers from Aga Khan University
in Karachi followed almost 50,000
households in two health districts for
two years. The areas where the women
were assigned to work had 21 percent
fewer stillbirths and 15 percent fewer
newborn deaths than in other areas.
That success was achieved even though
the health workers generally had only
10th-grade educations and one extra
week of training for the project.”
Pakistan: Short Training for Women
Workers Goes Far in Saving
Newborns’ Lives
January 24, 2011

49. 2013 RI CONVENTION
NURSES & MIDWIVES ARE CRITICAL

50. 2013 RI CONVENTION
The AKU-Rotary Foundation Partnership focuses on:
• Strengthening midwifery education in East Africa and expanding it to
Pakistan and Afghanistan
• Prepare fully qualified midwives to provide high quality, evidence-based
health services for women, newborns and childbearing families
Our approach recognizes the central role of local healthcare providers.
To support their work, we invest in efforts to:
• adapt and develop innovative tools, technologies, and treatments
• Improve the counseling and negotiation skills
• Encourage families to practice healthy behaviors and seek out quality
maternal and neonatal care
• Strengthen frontline health workers’ skills and effectiveness
• Advocate for targeted national and global policies, funding, and
leadership.
OUR PARTNERSHIP

51. 2013 RI CONVENTION
Coca-Cola and its support to polio eradication
Coca-Cola’s Partnership
with Rotary international
Rizwan U. Khan
General Manager, Pakistan and Afghanistan Region
Coca-Cola Export Corporation

52. 2013 RI CONVENTION
CLICK TO EDIT MASTER TITLE STYLE
60 YEARS OF COCA-COLA IN PAKISTAN
During these 6 decades , the positive socio-economic impact on
communities has expanded manifold

53. 2013 RI CONVENTION
Main areas for Coca-Cola’s CSR are
Women
Empowerment
Education Environment
Disaster relief
& recovery

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Women Empowerment
Support to Kashf
Foundation Honey Bee Farming

55. 2013 RI CONVENTION
Education
Care Foundation TCF
LUMS Endowment
Fund
We have been enacting a wide-ranging education support program for several
years, spanning from primary to university education.

56. 2013 RI CONVENTION
Environment
Sub-Watershed Management
Project in Ayubia National
Park Area
Water & Environmental
Sanitation Improvement in
Coastal Communities Project
We have implemented a multi-dimensional strategy to protect the environment.

57. 2013 RI CONVENTION
Disaster Relief and Recovery
Donations for victims of earthquake 2005, floods 2010 and
2011 in Pakistan

58. 2013 RI CONVENTION
Polio in Pakistan
Countries
Year-to-date 2013 Year-to-date 2012
Total in
2012
Date of
most
recent
case
WPV WPV3 W1W3 Total WPV1 WPV3 W1W3 Total
Pakistan 10 10 14 2 1 17 58
May 10,
2013

59. 2013 RI CONVENTION
Challenges in eradicating polio from Pakistan
• Difficult to access volatile and troubled areas
• Large segments still believe that Polio vaccine is anti-
Islamic
• Violence against humanitarian workers

60. 2013 RI CONVENTION
Coca-Cola & Rotary Partnership
• Coca-Cola has donated Rs. 1 million for installation of
Reverse Osmosis and Filtration Plant in SITE Town
Karachi which is a polio high risk area.

61. 2013 RI CONVENTION
Coca-Cola & Rotary Partnership
• Coca-Cola & Rotary are working together to improve the
environmental conditions and treating open sewage
system - major threats causing communicable diseases like
polio.

62. 2013 RI CONVENTION
Coca-Cola & Rotary Partnership
• Awareness and advocacy campaigns on improving literacy
levels in underprivileged communities regarding polio is
also a component.

63. 2013 RI CONVENTION
Way forward
Despite the challenges, we must continue our fight against
Polio which is a preventable disease
• We need to keep at it
• We have to support each other
• We should think of new ways for overcoming the obstacles

64. 2013 RI CONVENTION
Thank you for your
time and service to Rotary!
Questions?