PROJECTS
Prenatal Care Project
Background: There is a significant morbidity and mortality rate for both the mother
and child throughout pregnancy and delivery. Quality health care for newborns is
directly related to 5 year child survival rates.
Plan: Clinics of Hope has taken over as the place where most non-complicated
pregnancy care is performed in the villages. We believe that there are very cost
effective ways to decrease complications.
1. Insecticide Impregnated bed nets for pregnant woman and children
2. Prenatal multi-vitamin and mineral supplementation
3. Appropriate training of all clinic staff to effectively implement this program.
4. Appropriate teaching to the villagers and leadership on this program
Cost: approximately $30 dollars per pregnancy
Worm Treatment Project
Background: It has been very well documented that the worm infection rate in
remote African villages for children age 2- 17 is as high as 90%. We have seen the
devastation that this has caused; children are malnourished, anemic and miss many
days of school. They have a much higher sickness rate.
Plan: In 2004 Clinics of Hope “de-wormed” the village of Fohe. This was repeated
one year later. The results were incredible. The village chiefs and teachers all
remarked that the children were much healthier. The village was more productive
and there was a palpable feeling of positive self- esteem.
1. To maximize effectiveness of this program each village that COH works in would
need to be de-wormed every 6 months. All children aged 2-19 will receive the
appropriate dose.
2. This distribution of medicine would coincide with teaching on prevention of worm
infection.
3. The medicines used need to be taken with plenty of clean water. We will need to
co-labor with our well providers to ensure that this water is available.
4. Appropriate training of all clinic staff to effectively implement this program.
5. Appropriate teaching to the villagers and leadership on this program
Cost: approximately: $160 dollars per village/ per year
High Blood Pressure Screening/ Diagnosis and Treatment Program
Background: In 2007 we began a blood pressure screening program. We found two
villages with a particularly high incidence of hypertension. In one village our
missionary Cyrille had two strokes prior to his 40th birthday. His uncontrolled
hypertension certainly played a role here.
Plan: We would like to begin yearly blood pressure screening for each villager. We
will also provide health education to lessen the risks and to increase awareness of
this disease.
Diet and behavior modification will be taught. Simple, safe medicines will be
dispensed at no charge to patients with hypertension.
1 Yearly blood pressure screening
2 Patient education, diet and behavior modification, (stress, alcohol, smoking)
3 HCTZ will be dispensed and monitored at no cost to the patients
4 Patients with a less than optimal response will be quickly and easily referred
to a local government health center for the next level of treatment.
5 Appropriate training of all clinic staff to effectively implement this program.
6 Appropriate teaching to the villagers and leadership on this program and its
availability
Cost : approximately $7 dollars per hypertensive patient per year.
Rapid Diarrhea Intervention Program
Background: Every day in all of our clinics a significant number of children present
with diarrhea. There are many causes of this; but the majority of cases can be
treated rather easily by drinking clean water mixed with balanced electrolyte solution
(BES). If left untreated this problem can become severe and can cause death.
Malnourished, sick, weak children are particularly at risk. Recent studies have
shown that dietary supplementation with the mineral zinc while a person has
diarrhea will decrease the duration and severity of the disease.
Plan: We would like to have pre-packaged BES and zinc tablets available to patients
with diarrhea. We will need to teach the community to recognize complicated
diarrhea or diarrhea that does not respond to this simple therapy. Diarrhea cause
and treatment both relate to village water quality. We will need to co-labor with
Water for Life to be sure clean drinking water is present. This program will also
incorporate the long term goal of having adequate latrines in every village.
1. Preparation of BES/ Zn pre-made packages with instructions, (written and
illustrated)
2. Appropriate training of all clinic staff to effectively implement this program.
3. Appropriate teaching to the villagers and leadership on this program and its
availability.
4. Co-labor with other ministries / organizations to provide clean water and latrines.
Cost: $2 dollars per patient per episode of simple diarrhea
Alcohol Abuse Awareness Program
Background: Often we meet with the chiefs and leaders of our villages to discuss
Clinics of Hope. We try to fit our clinic work very closely with the needs of the
community. The leadership of Ganave commented that alcohol abuse creates a
wide variety of medico-social problems in their community. Clinics of Hope is the only
medical care facility in the area, so we are in a position to address this need.
Plan: Our program will consist of one on one patient provider discussion and
intervention. If the patient is serious about solving this problem they can be referred
to other resources. These resources would need to be developed at the village level
by COH staff, chiefs and elders. Groups for counseling and; or support may be
initiated. Because this village is already at risk of alcoholism a health education
program will need to be implemented among all people in the villages. Assistance
from the village leadership, school, COH and COH Director Mic Oke will be
necessary to present this audio/ visual program to the crowd.
1. Seek Alcohol Abuse materials here in the U.S
2. Assist COH staff in how to discuss alcohol use/ abuse with patients
3. Co-labor with the village leadership to implement group treatment methods.
4. Co-labor with the village leadership/ teachers to implement alcohol education
programs.
Cost: difficult to determine, perhaps $500 per year for all clinic sites combined
Container Shipment Project
Background: Throughout the years we have always physically carried all our
supplies and equipment on the plane and across the borders in hand. Since 2005
we have had a great relationship with the Togolese Regional Medical Directors and
the Minister of Health. Because of these relationships, we would be able to get a
shipping container with supplies through customs and the port. Usually this process
is very corrupt, expensive and difficult. We are currently storing a lot of medical
equipment which has been donated to COH. Much of this equipment is urgently
needed in Togo for our clinics and for other medical providers. We simply need the
money to procure and ship the container and the time to package it.
Schistosomiasis Program
Malaria Treatment Program, Vitamin A and Bed nets
Begin with pregnant women, families with young children; expand to all families, total
access. Children and pregnant females may be free/ under cost, remainder may be
sold at cost. Vitamin A supplementation will be given with confirmed cases.
Pioneers Togo Missionary Health Care Initiative
Vitamins, immunization, simple meds, hospitalization/ minor surgery / in patient
treatment program
Pioneers Africa Missionary Immunization Program
Hepatitis A and B in Togo, Ghana, and 13 other African countries
Village Vitamin Supplementation Program
Macronutrients first, cost, missionaries and their families including children from birth
to age 18
Hospitalization / In-patient Care Program
Clinic Staff Motorcycles:
We would like to provide at least on motorcycle per clinic site, these will be used for
staff transportation, patient transportation and getting supplies.
Cost; $1000 per new motorcycle and $50 dollars yearly for insurance, registration
and repairs. $200 dollars per year/ per motorcycle for gas, oil.
Prenatal Care Project
Background: There is a significant morbidity and mortality rate for both the mother
and child throughout pregnancy and delivery. Quality health care for newborns is
directly related to 5 year child survival rates.
Plan: Clinics of Hope has taken over as the place where most non-complicated
pregnancy care is performed in the villages. We believe that there are very cost
effective ways to decrease complications.
1. Insecticide Impregnated bed nets for pregnant woman and children
2. Prenatal multi-vitamin and mineral supplementation
3. Appropriate training of all clinic staff to effectively implement this program.
4. Appropriate teaching to the villagers and leadership on this program
Cost: approximately $30 dollars per pregnancy
Worm Treatment Project
Background: It has been very well documented that the worm infection rate in
remote African villages for children age 2- 17 is as high as 90%. We have seen the
devastation that this has caused; children are malnourished, anemic and miss many
days of school. They have a much higher sickness rate.
Plan: In 2004 Clinics of Hope “de-wormed” the village of Fohe. This was repeated
one year later. The results were incredible. The village chiefs and teachers all
remarked that the children were much healthier. The village was more productive
and there was a palpable feeling of positive self- esteem.
1. To maximize effectiveness of this program each village that COH works in would
need to be de-wormed every 6 months. All children aged 2-19 will receive the
appropriate dose.
2. This distribution of medicine would coincide with teaching on prevention of worm
infection.
3. The medicines used need to be taken with plenty of clean water. We will need to
co-labor with our well providers to ensure that this water is available.
4. Appropriate training of all clinic staff to effectively implement this program.
5. Appropriate teaching to the villagers and leadership on this program
Cost: approximately: $160 dollars per village/ per year
High Blood Pressure Screening/ Diagnosis and Treatment Program
Background: In 2007 we began a blood pressure screening program. We found two
villages with a particularly high incidence of hypertension. In one village our
missionary Cyrille had two strokes prior to his 40th birthday. His uncontrolled
hypertension certainly played a role here.
Plan: We would like to begin yearly blood pressure screening for each villager. We
will also provide health education to lessen the risks and to increase awareness of
this disease.
Diet and behavior modification will be taught. Simple, safe medicines will be
dispensed at no charge to patients with hypertension.
1 Yearly blood pressure screening
2 Patient education, diet and behavior modification, (stress, alcohol, smoking)
3 HCTZ will be dispensed and monitored at no cost to the patients
4 Patients with a less than optimal response will be quickly and easily referred
to a local government health center for the next level of treatment.
5 Appropriate training of all clinic staff to effectively implement this program.
6 Appropriate teaching to the villagers and leadership on this program and its
availability
Cost : approximately $7 dollars per hypertensive patient per year.
Rapid Diarrhea Intervention Program
Background: Every day in all of our clinics a significant number of children present
with diarrhea. There are many causes of this; but the majority of cases can be
treated rather easily by drinking clean water mixed with balanced electrolyte solution
(BES). If left untreated this problem can become severe and can cause death.
Malnourished, sick, weak children are particularly at risk. Recent studies have
shown that dietary supplementation with the mineral zinc while a person has
diarrhea will decrease the duration and severity of the disease.
Plan: We would like to have pre-packaged BES and zinc tablets available to patients
with diarrhea. We will need to teach the community to recognize complicated
diarrhea or diarrhea that does not respond to this simple therapy. Diarrhea cause
and treatment both relate to village water quality. We will need to co-labor with
Water for Life to be sure clean drinking water is present. This program will also
incorporate the long term goal of having adequate latrines in every village.
1. Preparation of BES/ Zn pre-made packages with instructions, (written and
illustrated)
2. Appropriate training of all clinic staff to effectively implement this program.
3. Appropriate teaching to the villagers and leadership on this program and its
availability.
4. Co-labor with other ministries / organizations to provide clean water and latrines.
Cost: $2 dollars per patient per episode of simple diarrhea
Alcohol Abuse Awareness Program
Background: Often we meet with the chiefs and leaders of our villages to discuss
Clinics of Hope. We try to fit our clinic work very closely with the needs of the
community. The leadership of Ganave commented that alcohol abuse creates a
wide variety of medico-social problems in their community. Clinics of Hope is the only
medical care facility in the area, so we are in a position to address this need.
Plan: Our program will consist of one on one patient provider discussion and
intervention. If the patient is serious about solving this problem they can be referred
to other resources. These resources would need to be developed at the village level
by COH staff, chiefs and elders. Groups for counseling and; or support may be
initiated. Because this village is already at risk of alcoholism a health education
program will need to be implemented among all people in the villages. Assistance
from the village leadership, school, COH and COH Director Mic Oke will be
necessary to present this audio/ visual program to the crowd.
1. Seek Alcohol Abuse materials here in the U.S
2. Assist COH staff in how to discuss alcohol use/ abuse with patients
3. Co-labor with the village leadership to implement group treatment methods.
4. Co-labor with the village leadership/ teachers to implement alcohol education
programs.
Cost: difficult to determine, perhaps $500 per year for all clinic sites combined
Container Shipment Project
Background: Throughout the years we have always physically carried all our
supplies and equipment on the plane and across the borders in hand. Since 2005
we have had a great relationship with the Togolese Regional Medical Directors and
the Minister of Health. Because of these relationships, we would be able to get a
shipping container with supplies through customs and the port. Usually this process
is very corrupt, expensive and difficult. We are currently storing a lot of medical
equipment which has been donated to COH. Much of this equipment is urgently
needed in Togo for our clinics and for other medical providers. We simply need the
money to procure and ship the container and the time to package it.
Schistosomiasis Program
Malaria Treatment Program, Vitamin A and Bed nets
Begin with pregnant women, families with young children; expand to all families, total
access. Children and pregnant females may be free/ under cost, remainder may be
sold at cost. Vitamin A supplementation will be given with confirmed cases.
Pioneers Togo Missionary Health Care Initiative
Vitamins, immunization, simple meds, hospitalization/ minor surgery / in patient
treatment program
Pioneers Africa Missionary Immunization Program
Hepatitis A and B in Togo, Ghana, and 13 other African countries
Village Vitamin Supplementation Program
Macronutrients first, cost, missionaries and their families including children from birth
to age 18
Hospitalization / In-patient Care Program
Clinic Staff Motorcycles:
We would like to provide at least on motorcycle per clinic site, these will be used for
staff transportation, patient transportation and getting supplies.
Cost; $1000 per new motorcycle and $50 dollars yearly for insurance, registration
and repairs. $200 dollars per year/ per motorcycle for gas, oil.
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| Clinics of Hope Togo, West Africa |
"Meeting all people where
they are to provide medical
and spiritual care."
they are to provide medical
and spiritual care."
