ANNUAL REPORT OF FOUNDATIONS DARE2CARE 2014 – 2015

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Introduction

As director of Foundation Dare2Care we post our financial statements on the foundation’s site as they become available every year. Typically, its financial statement for each year beginning from the year 2014 will be posted before the summer of the following year, while the report on the foundations activities and year plan beginning March 2014 till December 2014 is available to public view.

Content

  1. What is Foundation Dare2care?
  2. History
  3. Mission
  4. Leadership and Organization
  5. The country Nigeria
  6. Umuahia, where the FMCU is situated in Nigeria
  7. Health issues, Maternal and child healthcare)
  8. Childhood Mortality in Federal Medical Centre Umuahia, (FMCU) South Eastern Nigeria
  9. Achievements 2014
  10. Financial and material support
  11. Partnerships
  12. Activities in the Netherlands
  13. Fundraising
  14. Public relations
  15. Financial situation Foundation Dare2Care
  16. Highlights for the coming year
  17. Statistics
  18. References

 

1. What is Foundation Dare2care

Foundation Dare2Care is an experience based on the philosophy of daring tocare for others in need. Its mission is to help newly-born children in the intensive care unit of the Federal Medical Centre Umuahia (FMCU), Nigeriato survive the beginning of life. Foundation Dare2Careis a purposeful scheme based on personal knowledge of the inadequacy and lack in the unit. It is personal because our son Miracle was born premature at 32 gestation period in the same hospital under conditions that could be described by European standards as slightly medically backward and which in turn limits the chances of survival for new-born children. The challenges that the birth of Miracle brought to our experience were enormous and difficult to manage without help from outside the country. The FMCU experience was an eye opening illustration of the distinction between the health care system there and in the Netherlands. The experience reveals the disparity between the various types of institutional advantages, medical care and wellness that citizens are privileged to have in the Netherlands in contrast to the limitations and general lack in Nigeria standard hospitals, of basic medical amenities and convenience.

Foundation Dare2Care is a non for profit organization focused on managing resources donated by goodwill individuals, groups and organizations to the Federal Medical Center Umuahia. The Foundation deploys these resources to the Hospital intending that the hospital reacts quickly and effectively in using the resources to care and support the new-born intensive care unit of the hospital and beyond. The foundation plays leading role in helping to formulate delivery standard and expects its charitable resources to be deployed usefully in keeping with established policies and guidelines of the hospital. The foundation wants the unit to use the resources to provide professional service and to give care and support to the premature and care-needing children in the intensive care unit of the hospital. The foundation expects to have the room to investigate and provide open and expert critique, insight and professional advice where need be. With the Foundation’s strong support for the development of collaborative approaches with other parties in delivering care, its directors are competent in applying life-long learning, work experience and intellectual comprehension in managing the delivery of the resources.

2. History

 In March of 2014, our directors created a one-entity structure: Foundation Dare2Care. The open-appeal-method of fund raising alone has not provided sufficient funds to carry out the foundation’s programs as quite often imagined .To help the foundation further financially, to pay for its administrations, freelance over-head expenses, logistics programs including the costs for shipments of donations to their destinations, local operational costs in the Netherlands and costs for transportations within the area of delivery of donations and the remuneration of labor on this locations, we decided to add two more layers of activities to the foundation’s on-going programs. Therefore in September 2014 our trustees took the initiative and created a forum in a house where non-school going children between the ages of 0 till 4 could spend play time daily for some hours and parents make voluntary contributions to the foundation. In October 2014 our trustees arranged a sport initiative with the neighborhood community center where citizens participate freely and the community center pays the foundation a small fee for organizing and running the sport. Both initiatives are parts of foundation Dare2Care’s original charitable mission. They are tax-exempt and are structured into the foundation’s fund raising mechanisms and donations to help save the life of children in Federal Medical Center Umuahia in Nigeria.

3. Mission

 The foundation works to support the on-going efforts of the hospital. In the hospital, it focuses on improving health and alleviating extreme dependency on very limited available resources within the children care unit. As parents we run foundation Dare2Care as a non-profit organization run. The Foundation is founded on the principle of risking for others’ children and helping others at the expense of oneself. It operates under the ethos of bridging gaps and eliminating cultural, ethnicity, cast, family, social influences and to give back to society. It works on the premise of being compassionate and to pursue a just cause for humanity by daring to care for someone without considering bond,  affiliation, relationship, financial or material gains. It values child development and care and cherishes family values. In the Netherlands, the foundation works in collaboration with other organizations and individuals with similar visions as foundation Dare2Care and also solicits for funds and materials to support its mission and programs:

4. Leadership and Organization

The foundation trustees hold two annual meetings in April and October. The primary role of the trust is to manage and oversee activities in the foundation, hold annual meetings and make decisions to advance the mission of the foundation, use donated funds to fascilitate the foundation’s activities where necessary and to achieve the foundation’s charitable goals. The foundation is based in The Hague, with address on Anna Blamanplein 36. Its directors and trustees are Jonathan Ogidi-Nwankwo, Dr. Lyanne Rövekamp-Abels, Dr. Wouter Dikker and Nicoline Tresfon.

Jonathan Ogidi-Nwankwo – Director and Co-Founder
Dr. Lyanne Rövekamp-Abels – (Neonatologist Juliana Children’s Hospital) – medical adviser
Dr. Wouter Dikker – (General Practitioner)- Medical adviser tropical deseases
Nicoline Tresfon – Co-Founder

Head Office Dare2Care Foundation –  Anna Blamanplein 36, 2525 ZV, The Hague

5. The Country Nigeria

Nigeria is a country in West Africa. Nigeria shares land borders with the Republic of Benin in the west, Chad and Cameroon in the east, and Niger in the north. Its coast lies on the Gulf of Guinea in the Atlantic Ocean in the south and it borders Lake Chad to the northeast.Nigeria, officially the Federal Republic of Nigeria, is a federal constitutional republic comprising 36 states and its Federal Capital Territory, Abuja. By World Bank’s records the country’s population is estimated at 173.6 million (2013). The official language is English.

The country is the site of many ancient kingdoms and empires, the modern political state of Nigeria has its origins in the British colonization of the region during the late nineteenth to early twentieth centuries; it emerged from the combination of two neighboring British protectorates: the Southern Nigeria Protectorate and Northern Nigeria Protectorate. During the colonial period, the British set up administrative and legal structures whilst retaining traditional chiefdoms. Nigeria achieved independence in 1960, but plunged into civil war several years later. It has since alternated between democratically-elected civilian governments and military dictatorships, with its 2011 presidential elections being viewed as the first to be conducted reasonably freely and fairly.

Nigeria is often referred to as the “Giant of Africa”, due to its large population and economy.[14] With approximately 174 million inhabitants, Nigeria is the most populous country in Africa and the seventh most populous country in the world. The country is inhabited by over 500 ethnic groups, of which the three largest are the Hausa, Igbo and Yoruba. Regarding religion, Nigeria is roughly divided in half between Christians, who live mostly in the southern and central parts of the country, and Muslims, concentrated mostly in the northern and southwestern regions. A minority of the population practice religions indigenous to Nigeria, such as those native to Igbo and Yoruba peoples.

In 2014, Nigeria’s economy (GDP) became the largest in Africa, worth more than $500 billion, and overtook South Africa to become the world’s 26th largest economy. Furthermore, the debt-to-GDP ratio is only 11 percent (8 percent below the 2012 ratio). By 2050, Nigeria is expected to become one of the world’s top 20 economies. The country’s oil reserves have played a major role in its growing wealth and influence. Nigeria is considered to be an emerging market by the World Bank and has been identified as a regional power in Africa. It is also a member of the MINT group of countries, which are widely seen as the globe’s next “BRIC-like” economies. It is also listed among the “Next Eleven” economies set to become among the biggest in the world. Nigeria is a member of the Commonwealth of Nations, the African Union, OPEC, and the United Nations among other international organizations

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Map of Nigeria showing different states and population distribution

6. Umuahia, where the FMCU is situated in Nigeria

Umuahia is the capital city of Abia State in south eastern Nigeria. This is where the FMCU is situated. Umuahia is located along the rail road that lies between Port Harcourt to Umuahia’s south and Enugu city to its north. Umuahia has a population of 359,230 according to the 2006 Nigerian census. Umuahia’s indigenous ethnic group are the Igbo. Umuahia comprises two local government areas: Umuahia North and Umuahia South. These local governments are also composed of clans such as the Umuopara, Ibeku, Olokoro, Ubakala and Ohuhu communities.

Abia State of Nigeria with Umuahia town as headquater occupies about 5834 square kilometer.

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Map of Nigeria showing Abia State

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Map showing

There are seventeen local government areas (LGAs). Each local government is headed by a democratically-elected Chairman working with an elected council. The State Government is led by a democratically-elected executive Governor who is working closely with an elected State House Assembly. The capital city is Umuahia. The major urban areas include Aba (a major commercial centre in southeastern Nigeria), Umuahia, Arochukwu, Abiriba, Nbawsi, Ohafia, Omoba, Ovim, Akwete, Obehie, Mgboko, Isuochi, and Osisioma.

7. Health issues, Maternal and child healthcare

In June 2011, the United Nations Population Fund released a report on The State of the World’s Midwifery. It contained new data on the midwifery workforce and policies relating to newborn and maternal mortality for 58 countries. The 2010 maternal mortality rate per 100,000 births for Nigeria is 840. This is compared with 608.3 in 2008 and 473.4 in 1990. The under 5 mortality rate, per 1,000 births is 143 and the neonatal mortality as a percentage of under 5′s mortality is 28. The aim of this report is to highlight ways in which the Millennium Development Goals can be achieved, particularly Goal 4 – Reduce child mortality and Goal 5 – improve maternal death. In Nigeria the number of midwives per 1,000 live births is unavailable and the lifetime risk of death for pregnant women 1 in 23.

The federal government’s role is mostly limited to coordinating the affairs of the universityteaching hospitals, Federal Medical Centres (tertiary health care) while the state government manages the various general hospitals (secondary health care) and the local government focus on dispensaries (primary health care), which are regulated by the federal government through the NPHCDA.

The total expenditure on health care as % of GDP is 4.6, while the percentage of federal government expenditure on health care is about 1.5%.A long run indicator of the ability of the country to provide food sustenance and avoid malnutrition is the rate of growth of per capita food production;

In May 1999, the government created the National Health Insurance Scheme, the scheme encompasses governmentemployees, the organized private sector and the informal sector. Legislative wise, the scheme also covers children under five, permanently disabled persons and prison inmates.

8. Childhood Mortality in Federal Medical Centre Umuahia, (FMCU) South Eastern Nigeria

According to  abstract reports( received 12 May 2014 and accepted 10 Aug 2014) written by Drs.Nwafor Chukwuemeka Charles, Abali Chuku, of Federal Medical Centre, Umuahia Abia of Department of Pathology,  and Nnoli Martin Anazodo ofDepartment of Pathology, University of Calabar, Calabar, Cross River State  (DOI 10.5001/omj.2014.87) from a  descriptive study aimed to evaluate the mortality pattern in children seen at Federal Medical Centre Umuahia (FMCU) Abia state, South Eastern Nigeria, a mortality pattern leading to childhood death was covered in the report over a 5-year period from January 1, 2004 to December 31, 2008 using data retrieved from the hospital’s medical records department. The result of the study pointed that a total of 3,814 children were admitted in the hospital and 434 of them died giving a mortality rate of 11%. The mean age was 1.7 (Std D of 3.19). Two hundred and thirty eight of them were males while 196 of them were females giving a sex ratio of 1.2:1. Majority of the mortality (49%) occurred within 24 hours of admission. The major causes of death during neonatal period were birth asphyxia (34%), prematurity (24%) and neonatal sepsis (24%). Malaria was the leading cause of death beyond the neonatal period accounting for 42% of cases. Other common mortality causes were pneumonia, septicaemia, diarrhea, HIV AIDS and meningitis each accounting for 10%, 10%, 7%, 7% and 5% respectively. The months of July, May and March accounted for most deaths (12%, 12% and 11% respectively). The study concluded that birth asphyxia and malaria associated deaths were responsible for most deaths during neonatal and beyond neonatal periods respectively. Presence of trained personal at all deliveries will help to reduce neonatal asphyxia. Efforts should be made to reinforce the existing effective malaria control tools.

Table 1: Age and sex distribution of cases.

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Table 2: Duration of hospitalization before death.

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Table 3 shows the various causes of death in neonates. The major diseases in neonatal period were birth asphyxia (34%), prematurity (24%) and neonatal sepsis (24%). Other causes were neonatal jaundice (8%) and low birth weight (6%). Table 4 shows the various diseases causing deaths in children in post neonatal period. Malaria was the leading cause of death accounting for 42% of cases. Other common mortality causes were pneumonia, septicaemia, diarrhea, HIV AIDS and meningitis each accounting for 10%, 10%, 7%, 7% and 5% respectively.

Figure 1 shows the monthly pattern of mortality. The months of July, May and March accounted for most deaths (12%, 12% and 11% respectively). Other months with high mortality were September (10%), January (9%) and June (8%).

Table 3: Causes of neonatal deaths.

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Table 4: Causes of death after neonatal period.

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RTA= Road traffic accident, DIC= Disseminated intravascular coagulation, Obst= Obstruction.
Others include all diseases that caused death in only one person and include the following; rheumatic heart disease, hepatitis, typhoid perforation, epilepsy, leukaemia, malnutrition, hydrocephalus, ewings sarcoma, gunshot and electrocution.

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Figure 1: Monthly pattern of mortality

9. Achievements 2014

  • 3 Ambulances shipped to Nigeria.
  • 4 sets of Monitors sent to Nigeria.
  • 1 Incubator sent to Nigeria.
  • Several cartons of disposables, urine drainage items sent to Nigeria.
  • 2 Weighing machines sent to Nigeria
  • 1 Bilirubin bed sent to Nigeria
  • 6 Intravenous injection pumps sent to Nigeria.
  • Half container-load of children cloths sent to Nigeria

10. Financial and material support

Foundation Dare2Care is a non-profit organization. Consequently, the Foundation is entirely dependent on donors to enable it carry out its activities.  Financial as well as material donations are accepted. The Foundation also appreciates and works with professionals such as doctors and nurses willing to advice or work as interns in its team, or to volunteer their expertise to the cause of the foundation.  The Foundation accepts new and fairly-used ambulance and hospital tools and equipment, usable goods and clothes for children and all forms and types of medical equipment that you could be instrumental in delivering care and support to the foundation’s target groups

Above all the mentioned methods of raising funds for the foundation, members of trustees of the foundation make occasional private financial contributions and material donations to the foundations to help in running the foundation, maintain its webpage and to facilitate the execution of its programs.

11. Partnerships in the Netherlands.

  • Stichting Zebra
  • Buurthuis Boerenplein
  • VAS
  • Juliana Kinderziekenhuis
  • Haga Ziekenhuis
  • MediProma
  • Medic Appeldoorn

12. Activities in the Netherlands

  • Foundation Dare2Care promotes its own mission through flyers and posters.
  • Explains its strategies and programs to families within the foundation’s network.
  • Works in collaboration with other partners and organizations to foster its mission.
  • Organizes public events and workshops to raise awareness of its mission and activities.
  • Publishes in the media and gives presentations at organized social forums and events.
  • Does administration and updates the foundation’s websites with new information and events images and footages.
  • Gathering medical equipment, goods and donations.

13. Fund Raising

The foundation has also received some financial contributions from organizations and individuals. The donors that represent a company are displayed on the foundation’s website as a sponsor. Each individual donation and collective donations have served distinct purposes. You will find the pictures of the donated equipment and disposables on the website under ‘your donation’.

14. Public relation

As founders of foundation Dare2Care, the idea to set up the Foundation was formed by the reality of the near-death difficulties and complications we encountered before the preceding phases and during  the unique and miraculous birth of our son, Miracle at the Federal Medical Center in Umuahia (FMCU), in Nigeria on 8 August, 2013 and the shocking but nevertheless confronting realities we had to endure with our son Miracle after his birth in FMC Umuahia. We see their experience in FMC Umuahia as a clarion-call to take action and bring about positive change as well as an opportunity to make others aware of the life threatening difficulties that newly- born and premature children in FMC Umuahia undergo. As parents we use our privileged and influence as Dutch citizens to help other children born in the FMC Umuahia to survive and live after their birth.

15. Financial situation Foundation Dare2Care

In the annual financial report to be made available in 2015 the following points will be published

  • Internal loans to foundation in 2014
  • Internal voluntary material donations in 2014
  • Free financial donations from donors in 2014
  • Free Material donations from donors in 2014
  • Total value of lending in 2014
  • Total value of donations in 2014

The Operating expenses from march 2014 till Dec.2014  will be published in 2015

  • Cost of Petrol/Transport in 2014
  • Promotions/flyers/media in 2014
  • Website building in 2014
  • On- going website maintenance in 2014
  • Internet/telephone usage in 2014
  • Stationery and office equipment  in 2014
  • Computers / telephone sets in 2014
  • Travel & flight tickets to Nigeria in 2014
  • Shipments of donations to Nigeria in 2014
  • Local Taxis & transport in Nigeria of donations
  • Total money contributions till December 2014
  • Total spending from contributions till December 2014
  • The account balance in December 2014

16. Highlights of the coming year

  • More media coverage
  • Extensive campaign for funds and donors
  • Event organizations with JKZ, presentations in local community centers and public forums
  • At least twice shipments of medical equipment and goods to Nigeria
  • Media coverage during the presentation of the donated medical equipment to the FMC in Umuahia Nigeria

17. Statistics

Current number of foundation freelance workers: 10

18. References

  1. www.omjournal.org/fultext_PDF.aspx?DetailsID=559&type=fultext by NC Charles
  2. www.ncbi.nlm.nih.gov › NCBI › Literature › PubMed Central (PMC)
  3. healthfolk.net/news/11925/childhood-mortality-in-federal-m
  4. www.pubfacts.com/author/Abali+Chuku
  5. scibite.com/site/topic/INDICATION:SCB2X23019
  6. scibite.com/site/query/q=OR[INDICATION:D008288,MIRNA:MIRA]
  7. en.wikipedia.org/wiki/Nigeria
  8. tripnigeria.org/about-nigeria-2/
  9. www.stichtingda2care.nl
  10. www.foundationdare2care.com
  11. Wikipedia, the free encyclopedi (The Federal Ministry of Health is a Nigerian)