Adventist Health INTERNATIONAL

Hope

2007 ANNUAL REPORT President’s Report

This past year marked our 10th anniversary for AHI. What a ride it has been. Despite many challenges and seemingly insurmountable barriers, God has continued to bless our efforts. With the addition of Inisa Hospital in Nigeria, we have grown to 22 hospitals and 70 clinics in 12 countries. Plans are progressing to add another three or four countries soon. We also have requests from several countries to establish new health facilities in areas where nothing now exists. There are many countries in the 10/40 window that Thave great needs. This is a new direction for AHI, but one that feels right for this time. The Adventist Church has a unique opportunities within the Muslim world that makes our involvement easier than for many others. One of the most gratifying impacts of AHI has been its impact here at Loma Linda University. Though AHI is an entirely separate organization from the University, having it based on campus has inspired many students and faculty. Young professionals hear about what is happening and want to be involved. This may include short-term mission trips, raising money for projects, finding equipment, and planning for long-term service. There is nothing like infectious enthusiasm for doing good. We are recognizing that the most important thing we bring to the world is HOPE. There is HOPE for those working at our AHI facilities. And certainly for those who come to seek health care. HOPE is a major force driving all those who want to engage with the world’s needs. Thank you for being part of this message of HOPE. Our supporters are the major force that make the projects and activities of AHI possible. We often question how much bigger and more complex should AHI become? How many more places can we help? When will the people and funds start limiting the requests we can respond to? Only you can answer that. So far, many of you seem to be saying, “Keep growing, keep pushing out the boundaries of our network to reach even more with the message of HOPE and compassion.” Thank you for being such incredible partners in bringing HOPE to the world.

Richard H. Hart, MD, DrPH, president Adventist Health International

Front cover photo by Caleb Magnino, Nashville Photography Group

2 Strengthening Adventist systems in the developing world for today’s health ministries

• Management support • Governance • Facility improvement • National integration • HIV/AIDS care • Children’s charity care

TABLE OF CONTENTS

President’s report 2 Feature—Collateral benefits 4 Feature—How big is enough? 5 Financial report 7 AHI supporting partners 8 Country reports 14 Philanthropic support 22

Adventist Health International (AHI) is a multinational, nonprofit corporation with headquarters in Loma Linda, California. AHI has been established to provide coordination, consulta- tion, management, and technical assistance to hospitals and health care services operated by the Seventh-day Adventist Church, primarily in developing countries. AHI is not a funding agency and depends on various organizations, foundations, governments, and individuals to provide financial assistance when needed. AHI believes that every health care institution must be firmly rooted in its community with concern for all aspects of development and will pursue policies and programs that accomplish this aim. AHI is committed to the education of local health care professionals and will encourage the establishment and/or retention of professional training programs whenever appropriate.

3 Collateral Benefits

A euphemism we have become calloused to in the lexicon of war is collateral damage. This term is used to describe “the unintentional death of people or destruction of buildings that occurs as a side effect of bomb- ing or fighting.” A much more encouraging Aterm is what Adventist Health International refers to as collateral benefits. This is what hap- pens when AHI projects have an effect beyond the actual activity. People are inspired to par- ticipate on their own and even improve on AHI initiatives. Four main projects this year could working at Béré and keeping her parents, classify as collateral benefits. These are David and Lisa Randall, updated on all initiatives taken on by others that assist the challenges. One of the biggest needs AHI in its global activities. The first was at most hospitals is for functional trans- by the National Auxiliary of the Loma portation, and this was certainly the case Linda University School of Medicine, at Béré. Dave and Lisa decided to use which chose to further develop Béré their annual Christmas letter to seek Adventist Hospital in Tchad. They suc- funding for a new vehicle, and set the cessfully raised $70,000 among their vari- goal at $25,000—more than enough to ous national chapters. These funds will get a good used pickup. They made their help to expand capacity at the hospital appeal, and the checks started coming in and develop additional services in south- to AHI. By this past December, the total ern Tchad. As you can imagine, James had reached $27,000. James is now and Sarah Appel, our leaders there, are searching for the right vehicle to handle delighted. While Béré has come a long their needs. Thank you to the Randalls way from the meager facilities depicted in for making this Christmas memorable for the video “Unto The Ends,” there are still the staff and patients at Béré. many needs that will now be met. Our students here at Loma Linda The second collateral benefit also have also been active. Many of them have occurred because of Béré, by one of the the chance to rotate at AHI facilities, many young people who rotated there for which always stimulates discussion of the mission experience. Elisabeth Randall, needs that are in each place. The sopho- originally from Spangle, Washington, was Continued on page 6

4 How big is Enough?

Adventist Health International started with tell, “Sorry, we cannot help you. Our plate is two hospitals ten years ago—Davis full.” Even some of our existing hospitals Memorial in Guyana, and Gimbie Adventist wish we would concentrate on supporting in Ethiopia. We are now at 22, counting them more rather than spread to additional the newest hospital that just came on places. Their message is simple: “Help us board in Nigeria: Inisa. Many more now and worry about the others later.” requests to join are coming in. We fre- In addition to the remaining hospitals in quently have the discussion of how big the church, we are getting an increasing should we get? Is there a limit to the number of other requests, of two basic types. Adonors who are interested in supporting One is from individuals, other organizations, these institutions and health care efforts and governments asking AHI to take on their around the world? Are there only so many struggling institutions. We usually avoid health professionals that are willing to those places, though in certain circum- work within Church-based hospitals? And stances they offer incredible opportunities perhaps most pressing, how many coun- for the local church. This has recently been tries and institutions can a volunteer- the case in Papua New Guinea, Niger, driven organization manage over time? Nigeria, and other countries. At the present time, there are about 70 The second intriguing group of opportu- Adventist “mission” hospitals in the Majority nities is to begin new health services in World. Some have closed. Others are barely countries where the Church has nothing— worthy of being called hospitals. But many the 10/40 window of largely Muslim coun- struggle on, trying to maintain their services tries across central Africa, and the great amidst difficult political, financial, and countries of Asia. It seems that the world’s employment conditions. The question that is health care needs just keep escalating due to so hard to answer is which ones we should epidemics, political turmoil, and the usual lack of resources in developing countries. The Adventist Church has used health care very effectively to enter some of these countries with a message of compassion and caring. Particularly in Muslim countries, our unique blend of conservatism and spirituality gives acceptance in many local cultures. The global mission arm of the Church has recently asked us to develop new health activities in Mauritania where there are incredible needs and little foreign pres- Continued on page 6

5 Story from page 4… some of its earlier status by the time it more medical class decided they wanted celebrates its 100th anniversary this a major project for their class to work on September. Aimie Apigian, the social vice until their graduation in 2010. They president of the LLU student association, wanted an institution that they could has led out in this project, which has visit occasionally, as well as upgrade. included programs and fundraisers on After consideration, the hospital in Port- campus, many church presentations by au-Prince, Haiti, was chosen. They have students and appeals over the Internet. requested 100 of their classmates to raise By the end of 2007, they had raised $1,000 each—a total of $100,000—by $80,000. The project has led a growing their graduation to help this hospital. number of students to go to Malamulo to They are also planning a clinical and con- assist. struction trip to Haiti in 2008, and expect The real positive aspect of these col- to make this an annual event, even after lateral benefit activities is not the funds graduation. raised, of course. It is the connection Finally, the entire student association with missions. The sense that “we can here at Loma Linda University has taken make a difference” in the world. The on the challenge of upgrading Malamulo measure of HOPE given to others. We are Hospital in Malawi. They are working on grateful for this kind of “unintentional” raising $200,000 over the next several activity. years to repair or purchase equipment, fix decaying buildings, expand student Story from page 5… capacity at the College of Health ence. Those requests can be repeated many Sciences, and many other smaller proj- times over in other countries. ects. We hope to have Malamulo regain These are questions that can only be answered over time and with much discussion and time on our knees. We don’t want to be foolish or become ineffective with our efforts spread too thin around the world. But so far God seems to expand His support in the form of donors and professionals who are asking us to be brave and move forward. Over the next several months, we will be making important decisions about some of these additional requests. Join with us in prayer as we struggle with what the future should hold. And stay tuned for evidence of God’s continued leading into this brave new world.

6 Financial Report

Statements of financial position (unaudited) (restated) Assets: 12/31/07 12/31/06 Cash and cash equivalents $723,847 $937,733 Other receivables 2,588 10,133 Property and equipment, net 2,433 5,578 Total assets $728,868 $953,444

Liabilities and net assets: Accounts payable $2,422 $34,208 Total liabilities 2,422 34,208 Net assets: Unrestricted 198,917 16,179 Temporarily restricted 527,529 903,057 Total liabilities and net assets $728,868 $953,444

Statements of activities

Designated Year ended December 31, 2007 (unaudited) Unrestricted Projects Total Support and revenue: Contributions $231,075 $396,687 $627,762 Interest income 34,280 2,262 36,542 Total support and revenue 265,355 398,949 664,304

Expenses: International programs — 774,477 774,477 General and administrative 80,233 — 80,233 Fundraising 2,384 — 2,384 Total expenses 82,617 774,477 857,094

Change in net assets 182,738 (375,528) (192,790) Net assets at January 1, 2007 16,179 903,057 919,236 Net assets at December 31, 2007 $198,917 $527,529 $726,446

Year ended December 31, 2006 (restated) Support and revenue: Contributions $302,698 $1,148,300 $1,450,998 Interest income 39,845 1,822 41,667 Total support and revenue 342,543 1,150,122 1,492,665

Expenses: International programs 194,834 848,938 1,043,772 General and administrative 90,462 — 90,462 Fundraising 7,712 — 7,712 Total expenses 293,008 848,938 1,141,946

Change in net assets 49,535 301,184 350,719 Net assets at January 1, 2006 (33,356) 601,873 568,517 Net assets at December 31, 2006 $16,179 $903,057 $919,236

Adventist Health International (AHI) is committed to utilize philanthropic gifts in the manner donors desire. Occasionally, conditions in the field may alter program goals or activities. If this occurs, AHI will redirect funds to similar projects. 7 AHI supporting Partners Our work is made possible only through the generous support of individuals, organizations, churches, and corporations. We deeply appreciate and thank our partners for their continued support.

LOCAL CHURCH PARTNERS Mashni African Development Leslye Ann Bradshaw Resource Fund Henry W. Branson III Network for Good Mr. and Mrs. Clay Breakie Atlanta North Church of Seventh- Ngwa Health Foundation Inc. Bernard Daniel Briggs, MD day Adventists One Source Facility Solution, Inc. Mr. and Mrs. Gene A. Brooks Columbia Union Conference One World Medical LLC Lois J. Brooks General Conference Trust Services Paul’s Appliance Repair Linda Mae Brousson Hope for Humanity Reaching Hearts International, Inc. Roger and Marthann Bruins Loma Linda Seventh-day Adventist The Smile Train Julie Bryson, MD Romanian Church US Calnet Inc. Mr. and Mrs. Barry J. Budd Loma Linda University Church of Vidal’s Marketing Fekadu Wakjira Bulo Seventh-day Adventists Mr. and Mrs. Chad Burgdorff Markham Woods Adventist Church Bob and Treva Burgess San Francisco Adventist School INDIVIDUAL PARTNERS Dr. and Mrs. Kenneth I. Burke Sandstone Chapel Seventh-day Dean Burtch, DMD Adventist Church Mr. and Mrs. Donald R. Byard St. Joseph the Worker Church Chime and Florence Adiele Victor and Purita Cabanilla The Place Pervez Akhtar Robert P. Cabugao Jr. Walla Walla College Church of Marcellis D. Albertson Alvin and Linda Cacho Seventh-day Adventists Glenn and Cynthia Alegre Katie Carroll Wilber and Mary Alexander Ernest and Mary Castro Kitty Alexenko Abigail P. Chanza ORGANIZATIONAL PARTNERS Donald R. Ammon Mr. and Mrs. Steve Chavez Aimie Apigian Hsueh T. Chiu Larry and LeAnn Apigian Rick and Jennifer Christenson Adventist Health Corporate Office Daniel Appel Camilla Cobb Air Care International Gladys I. Appel Stanley and Vaneta Condon American Medical Response Mr. and Mrs. William G. Baer Stephen and Alberta Cook Cars 4 Causes Charles and Chandra Baier Mr. and Mrs. Peter Cooper Core Financial Money Management Lindy C. Baldeosingh Marilyn C. Turner Crane Dines & Gross PC Gloria Pauline Bancarz Rick Craven Excel Medical Marketing, Inc. Joilo and Sylvia Barbosa James and Frances Crawford Georgia Heart Physicians, LLC Randal and Lynette Bates Thelma Crews Hunterdon Central Regional High Wayne and Patricia Beck Mr. and Mrs. Tim Cross School Mr. and Mrs. Robert D. Benfield Shallena Crounse Johnston Family Foundation Ron and Joyce Benfield Elder H. Carl Currie Jos-El Care Agency Inc. Jack Leonard Bennett, MD Charles and Jane Cutting Kettering Medical Center Network, Vera M. Bergmann Robert W. Cwiakala Missions Abroad Monvyl Berto Agus Darwanto Latham & Watkins LLP Brad Billington Claudia Davis Loma Linda University Peter Black Jerry and Marcia Davis Loma Linda University Pathology David Blades Shirani C. de Alwis-Chand, EdD Medical Group, Inc. Jack and Marion Blanco Deanne De Leon LLU School of Medicine Alumni Mr. and Mrs. Peter T. Blankenship Lesley De Leon Association Bruce Blum Mr. and Mrs. Morre L. Dean LLU School of Medicine Alumni Kimberly Boehler Nicolas and Liliana Diaz Association National Auxiliary Damon and Stephanie Bogan Larry and Jane Dodds LLU School of Nursing Angel and Vida Bolocio Anonymous LLU School of Public Health Gordon and Margaret Botting Mr. and Mrs. Christopher Duckett Martinson Clinic Foundation C. Edward and Teri Boyatt Merlyn Duerksen

8 Rosemary Duerksen Roxy M. Games Richard and Judith Hart Mr. and Mrs. Virgil Dumitrescu Mr. and Mrs. Heri R. Gandia Cyril G. Hartman Richard D. Dunbar Marvin Gaurino William and Cheryl Hayton Elder and Mrs. Michael E. Dunn Dr. and Mrs. Marvin R. Gee Cherrie Carolyn Heidenreich Nathanael and Christy Dunn Faith Gennick Harvey E. Heidinger, MD Mr. and Mrs. Frank F. Dupper Neeru Gera Mr. and Mrs. Randall Heilman John T. Durichek Sr. Reinold and Vivian Giesbrecht David Hendrick Mr. and Mrs. Daniel Duroseau Howard Gimbel, MD, MPH Raymond and Marilyn Herber Robert and Norma Dyke Mr. and Mrs. Everett J. Gooch Mr. and Mrs. Proceso Q. Hernandez Jamie C. Edwards III Barbara Goyne Wilmery Hernandez Merlin Ekvall Loranne Grace Clifford and Marilyn Herrmann Dr. and Mrs. Harvey A. Elder Jennifer A. Gray, Esq. Timothy Hickman Ruth Eldred David and Nancy Green Emogene Hiersche Hill Chidi and Chidinma Emeghara David and Carrie Grellmann Janet and Trenton Higgins Hampton Obinnaya C. Emerole Saidy Grey Myrtle V. Hill Aprille Febre Kenneth H. Grier David and Jill Hirst Jessica Fields Paulo Grillo Lolita J. Hirst Heidi Jo Figueroa Albin and Irene Grohar Andrew Hoehn O. M. Fillman Mr. and Mrs. Marcel D. Grondahl John Hoehn Alec Fillmore Heather Ann Guttschuss Olive F. Hoehn Arline Finkbiner Pamela Weidemann Haas Ted Hoehn Deo and Karen Fisher Edmond and Ella Haddad Dean and Catherine Horinouchi Marianne Fitzgerald Charles and Terril Haenny Lauren Horinouchi Richard and Claudia Flaiz Andrew and Laurel Haglund Pat J. Horsman Sergio and Dayane Florian Donald and Phyllis Hall Dr. and Mrs. Jerry D. Hoyle O. Ronald Follett John and Joyce Hamer Vincent Hsu Dr. and Mrs. Robert E. Ford Wendy Hamilton Wynelle J. Huff, PhD Ray and Frances Foster William Hamra Mr. and Mrs. Butch Huggard Jere-Linda Franklin Mr. and Mrs. Warren T. Hanford Elizabeth A. Hughes Katty Joy French Steven and Melissa Hannah Dr. and Mrs. W. William Hughes Norma L. Fuller Kent and Patti Hansen Gregory R. Hughey Charles and Lucille Gaede Shana Hansen Genella M. Hunt Donn and Jacqueline Gaede Mr. and Mrs. Brent G. Hardinge Ilene M. Hutchins Dr. and Mrs. Elvin C. Gaines Kenneth and Dynnette Hart Carol Y. Im Lastenia J. Galvez Lewis and Ruth Hart Mr. and Mrs. Albert Im

9 Mr. and Mrs. Nehemias Imperio Thomas and Vera Miller Calvin Rick Janice Isaac Alec and Janet Mitchell Robert and Dotty Rigsby Mr. and Mrs. Leroy Jacobus Elder Kenneth Mittleider Mr. and Mrs. Scott Rivas Mr. and Mrs. William E. Jensen Edward and Irene Moon Charlene Robertson Dr. and Mrs. Edgar J. Jimenez Trisha Moor Elizabeth Rodriguez Jayakaran and Leela Job P. J. Moore Jr., MD Jolene Roeske Mr. and Mrs. Meredith Jobe Edward and Valeetah Motschiedler John and Sue Rogers Greg and Darla Johnson Cheryl Moulton Kabeer and Sabrina Roowala Jasmine Johnson Marian Mowery Grover and Betty Rose Dustin R. Jones Wellesley Muir Kenneth and Lana Rose John and Patricia Jones Thomas and Bethany Mullen Daniel and Doris Roth Mr. and Mrs. Reginald Jones Dr. and Mrs. William G. Sara Rowland Nayna Joshi Murdoch Jr. Michael and Carol Rue Jan Judd Amy Muthersbaugh Joyce Beatrice Runge Mr. and Mrs. Edward Kakazu Sherman and Edith Nagel Kenneth J. Russell Robert and Diane Katsma Kerry Lennard Neall, MD Mr. and Mrs. Haroldo Salcedo Loella May Kennedy Bradley W. Nelson Mr. and Mrs. Laurence R. Saldecke Jared Kiemeney Linda Nelson Mr. and Mrs. Clyde J. Sample Mr. and Mrs. Choong-Man Kim Kermit and Ronnalee Netteburg Dean Sandow Joseph S. Kim Olen and Danae Netteburg Irma Santos Mr. and Mrs. Paul S. Kim Jan and Kevin Nick Desiree Santos-Kho Ramona Kim Quint and Norene Nicola Doyle and Lorelei Saxby Bill and Helen King Harold and Kathleen Nixon Hans and Mary Ann Schaepper Mr. and Mrs. Wayne King William and Dana Nutt Mr. and Mrs. John R. Schleifer Steven C. Kinzer Fyne and Margaret Obiocha Mr. and Mrs. Don A. Schlinkert Sr. Arlene Klooster Florence O’Brien McClure Ryan Schmidt Mr. and Mrs. Jasper H. Knapp Jr. Mr. and Mrs. Clinton E. Odell Alan and Connie Schneider Mirja A. Knutsen Ruby Odell Mr. and Mrs. J. Mark Schultz Hillar R. Kollist, DDS Dr. and Mrs. Franklin C. Samir and Vesna Selmanovic Mr. and Mrs. Harold L. Kostenko Ordelheide Terry Sexton Patricia Kovalski Kathryn Owen Harry and Lori Sharley Jack and Helen Krall Sarah Owen James Shepley Donauvin and Renate Krause R. Edward and Gloria Parks Philip Simmons Dr. and Mrs. Larry L. Kroll Nancie Parmenter James A. Singer Leroy and Evelyn Kuhn Atul and Jolly Patel Shkira Singh Lloyd and Ida Kuhn Mark Peabody Randy Skau David and Holly Lackey Jerry R. Peters Crystal Smith Bill and Cheryl Lake Anne Berit Petersen Mr. and Mrs. Lynford B. Sombrio Henry and Elaine Lamberton Mr. and Mrs. Arthur J. Peterson Pia A. Soule Kenneth and Stephanie Larsen Patti Pettis Claude E. Steen Jr., MD Lindy Legoh Angie Pham David and Linda Steen John and Janet Lewis Edward L. Piper Philip F. Steen Pixley and Susan Lewis Alvin and Rosemary Poblacion Charles and Sharon Stewart Aina G. Lindquist Mr. and Mrs. Ted Powers Sylvia Stewart Nathan Lindsey Ryan and Melissa Price Neoma M. Stowe Mr. and Mrs. C. D. Lougheed Barbara Prowant Amber B. Strother Anh Luong Donald and Janet Pursley Mr. and Mrs. Willard H. Stutesman Dr. and Mrs. Vernon Chin Luthas Maria Quinones Peter and Mary Sundin Mr. and Mrs. David Machoka Kathryn R. Raethel Michael D. Sutter Theodore and Norma Mackett Carlos Ramirez Cruz Jeffery and Tina Swanson Rob and Jeanene MacLean Verlynda Ramirez Eugene Tabingo Roger and Merlyn Maldonado Fern J. Ramsey Anhlinh Tang Mr. and Mrs. James Mann Mr. and Mrs. David N. Randall Barry and Desmyrna Taylor Mr. and Mrs. Raymond S. Martin Stanley Ray Richard Teller Weldon and Eloise Mattison Douglas and Barbara Rebok Heather Thayne Andrew McCash Zadock Reid David Thiel Robin McCluskey Natalie Reveles John and Bonnie Thiel Nathan and Phyllis Merkel Darcie Richards Esther U. Thompson

10 Ralph and Carolyn Thompson Alexander Tichy Joseph and Evelyn Tintera Sigve and Serena Tonstad Cameron and Ellen Trubey Uzoma O. Umez Alva Verde Matthew and Jen Viel Kirti and Smruti Vora Mr. and Mrs. Jack M. Waldorf Karen Walker Susan Walker Ralph and Elise Watts Bonnie R. Webb Russ and Winona Weidemann Raymond and Julia West Stanley D. Wheeler Charles Leonard Wical, MD Joy Wical Deanna Wickersheim R. Bruce Wilcox, PhD Herbert B. Wiles Debbie Williams Mr. and Mrs. Grant G. Williams Rick and Linda Williams Thomas and Audrey Williams Celeste A. Wilson Emilie Wilson Marilyn J. Winkler Gerald and Betty Winslow Dr. and Mrs. Raymond Y. Wong Mr. and Mrs. Gary A. Wood Robert R. Wresch Dolores Wright Lester Nils Wright, MD Lydia Zafra Eusebio and Helene Zambrano Karen Zamora Noemi Zanazanian Periza Zaninovic Grenith J. Zimmerman, PhD William and Jennifer Zittrich Janice R. Zumwalt

11 AHI INSTITUTIONS ACROSS THE Globe

Haiti Nigeria

Venezuela Trinidad Honduras Guyana Contributions to AHI* January 1 to December 31, 2007 AHI–“Global” Fund $247,045 Cameroon AHI–Cameroon 15,300 AHI–Ethiopia 70,742 AHI–Guyana 43,600 AHI–Haiti 0 AHI–Honduras 58,450 AHI–India 1,960 AHI–Malawi 68,962 AHI–Nigeria 65,105 AHI–Rwanda 1,750 AHI–Tchad 114,517 AHI–Trinidad 5,100 AHI–Venezuela 0 AHI–Zambia 29,000

Total $721,531 *Only includes funds transferred through AHI–Global

12 Globe

Tchad Ethiopia

Rwanda India Cameroon Zambia

Malawi

AHI PROJECTS

AHI–Global projects $247,045 AHI–African continent projects 365,376 AHI–Caribbean and West Indies area projects 107,150 AHI–India projects 1,960

Total contributions to AHI projects $721,531

13 Country Reports

Where does a circle start? That is the ing of HOPE that cannot be denied. question as we talk about our member We are pleased that a number of our countries within AHI. Now scattered AHI hospitals are becoming partners with across three continents, our 12 countries externally funded efforts to provide preven- contain 22 Adventist hospitals and tion education, clinical care with special- approximately 70 clinics. We always con- ized medicines for active patients, and sider the clinic number “soft” as it palliative care for those who are dying. It is depends totally on what you define as a only possible to receive these grants when clinic. Is it a building with an exam table a hospital is well organized, with stable Wand basic meds? Or do you include the accounting systems and motivated staff. mango tree where the vehicle stops each Though we may not significantly change month to immunize 100 children? the outcome for everyone, the process of With that disclaimer, let’s start in the giving HOPE makes all the difference in great continent of Africa. Though more their lives and those who care for them. politically stable than in the past, it is now laboring under the “Big 3,” as defined by WEST–CENTRAL AFRICA DIVISION the World Health Organization—malaria, Nigeria—The “sleeping giant” of Africa is tuberculosis, and HIV/AIDS. It is clear that awakening. Through the hard work of many these three diseases are synergistic, as the staff, all three of our established hospitals in weakened immune system from HIV/AIDS Nigeria—Jengre in the north, Ile-Ife in the opens the door once again to malaria and middle, and Aba in the east—have contin- TB, diseases we had previously made con- ued to make strong progress toward siderable progress in decreasing. Life improved facilities and services. Jengre in expectancy at birth, a common measure- particular has been the emphasis of a num- ment of health status in a country, has ber of donors this year, particularly those continued to drop across Africa. From with Romanian backgrounds. Drs. Akin and highs of around 55 years of life expected at Mary Obisanya were both trained in birth several decades ago, it has now Romania and have maintained effective ties dropped well into the 40s in most coun- with this culture, both in Europe and the tries and even into the upper 30s in some United States. New roofs are being installed, areas. The social and economic impact of homes repaired, and equipment purchased. this morbidity and mortality cannot be A major HIV/AIDS grant has provided equip- overestimated. Current infection rates for ment, a new vehicle, and improved funding HIV/AIDS are now hovering around 20 per- for the hospital staff. Akin and Mary are cent in many countries. staffing the facility now and enjoy the more If there is a silver lining to all this, it is rural atmosphere among the Muslim north- the incredible opportunities that we have ern areas of Nigeria. to provide compassion and clinical care for Aba Hospital, far to the east, is where the many families who are suffering from the oil riches of Nigeria are concentrated. these diseases. We can contribute to a feel- This has led to more civil unrest and terror-

14 ism than in other parts of the country. Dr. Tchad—Our little Béré Hospital continues Enyinna has served this facility well for a to shine brightly in southern Tchad. During number of years. Improvements to the this past year there have been concerns building are gradually being made, with about the rebel fighting coming in from financial support from the Igbo people scat- Sudan to the east. While the fighting tered across Europe and America. Their reached the capital of N’djamena, it never donations are greatly appreciated as they reached Béré. We did have a tragedy, due demonstrate their continued love for their to an accident on bad roads, of our only homeland. Aba Hospital is located near sev- vehicle, which resulted in the death of a eral urban areas and has great potential for young girl. Despite these concerns, the growth and the development of educational team led by Dr. James Appel and his wife, programs. Sarah, continues to serve effectively, with a Ile-Ife continues to be the headquar- growing church and school presence adja- ters for so much of AHIS in Nigeria. With cent to the hospital. the Postgraduate Medical Education pro- James’s surgical reputation continues gram for family medicine residents, the to grow across southern Tchad, with many School of Nursing, and the largest staff and patients coming from miles away. His services, it is truly a resource for much of weekly stories, posted on our AHI website, the church in the country. We have also fascinate and intrigue our many readers. officially added another small hospital to The National Auxiliary of the School of its circle of care, called Inisa Hospital. Medicine at Loma Linda chose this hospi- Located about one hour from Ile-Ife, this tal as their fundraising project for this year, small 25-bed facility has been given to the providing $70,000 to upgrade the facility. church by the local chief and community. Plans are already being laid to start We have committed to upgrading and expanding beyond Béré, with a clinic and staffing it adequately. outpatient surgery in Mondou. The other big addition has been the plans of Gospel Ministries International to base an airplane at Béré. This has now been on-site for some months and has greatly expanded the ability to move both doctors and patients with more efficiency.

Cameroon—It has been a transition year in Cameroon. Our main hospital at Koza, in the north of the country, has stabilized financially and administratively under the leadership of Drs. Greg and Audrey Shank. Perhaps you have enjoyed the stories from the Shanks on our website. They encounter some very unusual diseases and cultural prac-

15 tices in this fascinating area of Cameroon. While the hospital is doing relatively well, our next major goal is to completely rewire the campus. The current wiring is 50 years old and has many problems. They are unable to protect electrical instruments and equipment such as computers, moni- tors, ECG’s, lab equipment, etc. This project is expected to cost around US$30,000. We are hop- ing to find several electricians to carry out this project in the fall of 2008. AHIS–Cameroon is also committed to upgrading the small maternity clinic in Buea. This is in across the country. These often provide the English speaking portion of invaluable primary care in underserved Cameroon, a fertile agricultural area with areas. With low overhead and a minimal cooler climates. A new two-story building staff, they are usually self supporting and has been constructed to provide both are able to provide a significant witness inpatient and outpatient services. There for the local church. is still work to be finished inside the building as well as obtaining the appropri- SOUTHERN AFRICA— ate equipment to make a fully functional INDIAN OCEAN DIVISION small hospital. We are recruiting national Zambia—The progress in our doctors to work at this facility. Josué AHIS–Zambia institutions is impressive. Epane has been sponsored at Loma Linda With the continued growth of activities at University by AHI and is completing his all three hospitals—Mwami in the north- MBA degree. He will be returning to pro- east, Yuka in the far west, and Lusaka vide leadership at this facility. Eye Hospital (LEH) in the capital—the The final hospital in Cameroon is our health services provided by these institu- little hospital in Batouri, out in the east tions continue to expand. Dr. Michael near the Central African Republic border. Seward, an ophthalmologist from the Dr. Andre Nda’a has been anchoring this United States, has now joined LEH, sup- facility for many years but has recently ported by the Christian Blind Mission been called to Cosendai University to from Germany. This brings us to three supervise the new School of Nursing. ophthalmologists at the hospital. The Batouri is now without a physician. We Lusaka Dental Clinic is undergoing a are currently recruiting to fill this impor- transition, with a new dentist coming. tant position. Our thanks go to Dr. Mike Stafford and In addition to these three main facili- his wife, Andrea, for their years of serv- ties, there is a growing network of clinics ice. Edward Martin continues to coordi-

16 nate all these facilities alone with the the world, Malawi has a wonderful human rural health centers that are coming up spirit that impacts all who live or travel across Zambia. there. Because of the economy, supporting The Lusaka Adventist Clinic has our institutions through patient fees is grown rapidly under Dr. Philip Mubanga always a challenge. But the carefully and is now a regular part of the network. worked out turn-around plan for Malawi is Plans are moving forward for developing well underway, and the future is bright. a larger multispecialty clinic in Lusaka There are really four parts to that can establish a strong Adventist AHIS–Malawi. The Adventist Health Centre presence and provide employment oppor- Lilongwe, located in the capital city, has tunities for the growing number of always been the financial powerhouse with Adventist doctors in the capital. Philip its active dental and medical clinics. In fact will be leaving us in 2008 to pursue a res- there are now plans for expanding this idency program in South Africa. We look operation into a small hospital that can pro- forward to his return after completion. vide even greater services to the influential Our hospitals in Zambia have tradi- leaders of the country. Drs. Jesse and Sheila tionally been supported in part by “bed Agra have anchored the dental clinic for grants” provided by the national govern- many years developing a solid reputation in ment. This is in recognition of the key the country. Jesse recently went through role each institution plays in its particu- the International Dentistry Program at lar geographic area in providing basic Loma Linda University to update his skills. health services for the general popula- Dr. Rodney Kalanda, our medical director, tion. Unfortunately, there are times when also has a strong reputation for his caring the government’s income is down and and clinical skills. These three professionals they are unable to provide the estab- have built up a sizable financial reserve, lished monthly subsidy. which they have made available to the Obviously the patients continue to other institutions in AHIS-Malawi for their come, and the hospitals are somehow turn-around plans. expected to serve them even when there is Blantyre Adventist Hospital (BAH) is in no ability to recover costs. Because of this the economic center of the country, situation, we are now developing adjunct located in the south. With 55 beds, it has revenue streams at both Mwami and Yuka, done well for many years but started which have agricultural land available. The declining over the past decade. This Mwami Garden has expanded its maize resulted in deteriorating staff morale, bro- crop each year, along with a banana planta- ken equipment, and loss of clientele. Kirby tion, fish pond, and other farm produce. A Kasinja moved from Lilongwe to start the similar program is planned for Yuka. This turn-around plan two years ago, and BAH produces food for the patients and staff and is now back on its feet and digging its way also provides an income stream that sup- out of debt. This hospital has great finan- ports the hospitals. cial potential. With improved equipment and better staffing, BAH is expected, once Malawi—The “warm heart of Africa” con- again to be stable and profitable. tinues to thrive on possibilities. Though The biggest concern in the country is ranked as one of the poorest countries in the granddaddy institution in Africa—

17 Malamulo Hospital. Located about 45 min- Services. This system provides the only utes outside of Blantyre, this hospital was primary care for many rural communities. established in 1908, 100 years ago. Our goal is to upgrade each of these clinics Unfortunately, the physical plants of both to be a center of both clinical and preven- the 275-bed hospital and the 450-student tive care, as well as serving as an anchor College of Health Sciences have deterio- for each local church. rated badly. Many of the paying patients who had previously made use of the private EAST–CENTRAL AFRICA DIVISION ward have gone elsewhere. It will take some Ethiopia—Gimbie Adventist Hospital time to bring the institution back. AHI has (GAH) was one of our first AHI institutions invited the student association at Loma and continues to serve as a foundation for Linda University to assist in this process, the work in Ethiopia. The new hospital and they are raising funds and sending vol- building, opened in 2004, is now a center unteers to help in the refurbishing. for health care for the entire West Wollega Don Schatzschneider is serving as our Province. In partnership with Maternity hospital administrator at Malamulo. Dr. Worldwide, a safe birth fund has been Cristy Shank has come to strengthen the established that provides free delivery to physician manpower. Drs. Yvonne Beteta any pregnant mother who comes to the and Oswaldo Lara have anchored the place hospital. Through the education and out- for many years and are happy to have reach efforts of the staff, we are starting to assistance. Our hope is to celebrate the make significant progress on the high centennial anniversary at Malamulo in maternal mortality rates that have plagued September 2008 with clear evidence of its this part of Africa. improving finances and reputation. A goal of GAH for years has been to Finally, there is a viable network of 18 start a nursing school. This was accom- clinics scattered all across the small coun- plished this past November with an initial try of Malawi, called Adventist Health class of 31 students. Adam and Nellie Woelk, a young couple from the United States, were instrumental in this. We are deeply apprecia- tive of their efforts. Together with Ruth Lawson, our administrator, they have found the necessary materials and resources to get started in the two new buildings that were constructed a year ago. Now we need to build a second classroom building and library to meet the government expectations. A team of builders is scheduled to arrive at Gimbie in May to work on this new project. We have about half of the estimated $100,000 needed for

18 ing on, including Dr. Mark Habineza as medical director at Mugonero, along with a staff of five other national doctors. They have also been blessed with consider- able external funding to strengthen their HIV/AIDS programming. Dr. Mariane Ottoni is doing a great job at the Kyaciru Dental Clinic, though more help is needed. There are so many opportunities in this country with surging growth, and many this group to construct the new building. aid dollars flowing in for different projects. They will also repair other buildings and One of the major goals for the short maintain our network of clinics across term is to reopen the nursing school at western Ethiopia. Mugonero. The new Adventist University in The other big plans for Ethiopia include Kigali would like to start a program in a new health care facility planned for Addis nursing, but needs assistance with build- Ababa. We have always wanted a facility ings and clinical rotations, which there to maximize our impact on the Mugonero could provide. The previous national government and the growing num- nursing school facility at Mugonero has ber of people in this thriving capital city. been converted into a science secondary The family of Bekele Heye, a former church school, following government regulations. leader, has offered 20 acres of the family This means we need to raise funds for a ancestral lands on the outskirts of Addis. new nursing school on land available next This ideal building spot has been evaluated to the hospital. AHIS–Rwanda has already and a building request submitted to the city. sponsored several promising young nurses Though there are many hurdles yet to cross, for advanced degrees who can help anchor this proposed health care facility could ulti- the new program. Our hope is to have all mately anchor other work in Addis. Zewditu the pieces in place within two years to Hospital has now deteriorated to the point start the nursing program. where it is best left with the government, which has operated it for the last 30 years. INTER–AMERICAN DIVISION Guyana—As one of our first two AHI hos- Rwanda—It has been a challenging year in pitals, Davis Memorial Hospital (DMH) has Rwanda. We have not found a replacement always held a special place in our hearts. for Dr. Mark Ranzinger, who was our sur- Bertie Henry continues to serve as our geon at Mugonero. Dr. Ven Ang, our coun- administrator, with Dr. John Wilson carry- try director who was based at the ing the role of medical director. The early Polyclinique in Kigali, has moved on to quality reputation of this place has other duties. Fortunately, others are carry- returned, and DMH is ready for the next

19 lenges. With unstable national politics, consider- able inefficiency and graft in the multiple bureaucracies, and a burden of oppressing poverty, it is often difficult to believe in the future. Our little hospital in the Diquini suburb of Port-au-Prince continues to do its part in this difficult environment. The two new generators provided by AHI have been a blessing in this deteriorating capital city, where electrical big leap forward. The infrastructure is power is only available a few hours per day. strong, with additional staff housing being Security is also a concern, with guards completed. Specialized programs in dia- required day and night to protect both per- betes and hypertension have been sonnel and resources. started, reflecting the health impacts of Despite this challenging environment, rapid westernization of the diet and this hospital has been chosen by the decreasing exercise. Loma Linda University School of Our next major goal for Guyana is to Medicine class of 2010 as their special build a new Health and Diagnostic Center project. They are raising funds, planning at DMH. This would provide expanded trips to Port-au-Prince, and getting outpatient services, including a new clini- excited by the challenges they see. cal laboratory, pharmacy, and dental During the next two years before they clinic. This building would be located to graduate, they hope to enlist 100 class- eventually connect with the hospital, mates to raise $1,000 each, for a total of allowing the sharing of basic support $100,000, to upgrade the facility. What a services. Approximately $160,000 has powerful testament to the optimism of been raised to date toward the goal, with these young people, who are not put off more than $300,000 still needed. by the problems they see, but rather are Guyana’s economy is ready to embrace excited by the potential they feel. modern medicine with expectations for advanced diagnostics and techniques. Honduras—Hospital Adventista de Valle de DMH has the potential for providing a Angeles (HAVA) continues to provide a bea- model for the country with their new con of light in this beautiful country. Led by facility, and our goal is to move forward Veronica Alvarado as administrator and Dr. as soon as the funds are available. Raul Schneider as medical director, HAVA and its associated clinic in the capital of Haiti—This nation on the western half of Tegucigalpa are gradually reestablishing an the island of Hispaniola continues to be one Adventist health presence in Honduras. of the world’s greatest development chal- Financial support from Adventist Health and

20 others has provided the opportunity for and no other faith-based hospitals on the refurbishing many of the patient rooms as island. The biggest challenge is finding qual- well as clinical services. Plans are also being ified personnel that can provide the skill laid for expanding the Tegucigalpa clinic to and compassion that is necessary for reach the many there who are seeking qual- expanded services. The transition of ity health care. Caribbean Union College to the University Arthroscopic surgery has been intro- of the Southern Caribbean provides a logi- duced at HAVA, and efforts at expanding cal partner for new academic programs that physical therapy are underway. Physical can help supply the manpower needed. therapy students from Universidad del Loma Linda University is ready to assist in Plata in Argentina are using this as a site this academic expansion, but time will be for clinical experience. Both sports required to develop programs and prepare a injuries and trauma are being rehabili- new cadre of health professionals. tated in the facility. The small dental Discussions with top government lead- clinic is fully functional, with plans to ers suggest they would like Community expand the procedures offered. A growing Hospital to continue its expansion and number of students from LLU are using diversification into additional service lines. HAVA as a base for development experi- Several new graduates from Loma Linda are ence due to all the projects underway scheduled to join the staff soon. Additional throughout the country. management staff is being recruited. But with this growth comes risk. How fast can Trinidad—Amazing turnaround. May God we prepare qualified staff? How large of an be praised. That is all that can be said expansion is appropriate? How do we main- about Community Hospital in Port of Spain. tain our Adventist distinctiveness in this It has gone from heavy debt and being arena of growth and expectations? These nearly sold just six years ago, to now being are issues the board is struggling with as we debt free with a major building program face this new challenge of success. We underway. This has certainly required the earnestly seek God’s guidance as we con- hard work of many, but Dr. Richard Spann, front this world of opportunities. functioning as both neurosurgeon and president of the hospital, deserves much of the Venezuela—Despite local politics and credit. The initial remodel several years ago international news to the contrary, our established a four-bed ICU and five-bed AHIS clinic in Caracas and hospital in dialysis unit. Now a major service support Barquisimeto continue to provide quality building is nearing completion, and a seven- services in Venezuela. Our major emphasis phase remodel of the entire building is for the last two years has been to complete underway. Patient occupancy is high and the ground floor of the large hospital build- clearly Community Hospital has regained ing that was started nearly 15 years ago. its preeminent role on this island nation. Funds were raised from several sources With this success come new questions. and this first phase is nearly done. This How far and fast should we build on this will enable the physicians to establish a momentum? It is clear that the health care major new outpatient department, along needs of Trinidad are tremendous, with a with an emergency department and vari- struggling governmental health care system Continued on page 22

21 Philanthropic Support

As you will note from the accompanying statistics, the AHI VOLUNTARY PHILANTHROPIC SUPPORT philanthropic expression 1997 – May, 2008 from contributors toward AHI programs in various countries has been generous and wonderful. Since 1997, $1,500,000 through May of 2008, con- $1,200,000 tributors, individuals, and organizations, including A $900,000 $1,376,529 Church entities, have given $549,639

$600,000 2008 May, $966,865

$6,208,811 in support of $459,775 $343,946 hospital re-establishment $841,589 $236,022 $300,000 $721,531

projects in 12 countries. $135,766 $86,881 $7,257 As you well know, these $484,994 0 funds are critically important 200820072006200520042003200220012000199919981997 to move various re-establishment projects forward. The funding from you, contributors to AHI, is also they played a critical role in extending the symbolic—symbolic of the tremendous faith ministry of Jesus Christ. Through our con- that contributors have in the work imple- tributors’ philanthropy, that ministry is revi- mented by this organization’s volunteers. And talized and can continue. faith and commitment that the re-establish- To you, our many hundreds of contrib- ment work for hospitals and clinics around utors each year, thank you for re-living our the world is worth doing. Church hospitals pioneers’ passion, for breathing re-invigor- were originally established by pioneers who ated life into our hospitals and their com- had a passion for these entities’ service roles mitted staffs, and for giving HOPE to those for their respective populations, passion that in need.

Story from page 21… challenges in the country, they are opti- ous support services. With the availability mistic that God is with them and that He is of this new facility, the existing outpatient guiding their efforts to expand their serv- department will convert to a dental clinic. ices. Dr. Daniel Gonzales, our medical From the financial strength of these director, and Marbellys Garcia, our admin- expanded clinics, finances can gradually istrator, are pushing for both service excel- enable the completion of the remaining lence and a strong Christian witness. Our three floors of the new hospital building. hopes and prayers are for the completion The enthusiasm of our dedicated staff of this first phase in 2008 so the future at these places is always infectious. Despite plans can be realized.

22 AHI Leadership

Those interested in keeping up to date on AHI activities throughout the year are encouraged to visit our webpage at .

BOARD MEMBERS MANAGEMENT TEAM

Lowell C. Cooper, chair President TB. Lyn Behrens Richard H. Hart, MD, DRPH Mardian Blair Chief financial officer Maitland DiPinto Llewellyn L. Mowery Jr., CPA Larry Dodds George Egwakhe Secretary Donn P. Gaede, DRPH Ruthita Fike Allan R. Handysides Dental services Kevin J. Lang Quint P. Nicola, DDS Harold L. Lee Environmental services Pardon Mwansa David T. Dyjack, DrPH Claude Sabot Charles C. Sandefur Jr. Equipment procurement and maintenance Jerry E. Daly, MA, MSLS

REGIONAL REPRESENTATIVES Facility/construction and maintenance Kenneth J. Breyer, ME

Alexis Llaguno, MD Financial management Southern Africa–Indian Ocean Division Daniel E. Fontoura, MBA

Elie Honore, MD, MPH, MHA Legal services Inter-American Division Kent A. Hansen, JD

Fesaha Tsegaye, MD, MPH Nursing services East–Central Africa Division Jan Zumwalt, RN, MS, MBA Dolores J. Wright, DNSC, RN

AHI HEADQUARTERS Philanthropic services Albin H. Grohar, PHD

Loma Linda University Public relations Magan Hall, Room 111 Dustin R. Jones, MA Loma Linda, California 92350 Tropical medicine electives (909) 558-4540 Larry Thomas, MD, DTM&H E-mail: [email protected] www.adventisthealthinternational.org

23 On the Trail to Gimbie! (Excerpts) Adlai Albert Esteb November 4, 1963 Gimbie, via Lekempte, Ethiopia

This part of the world has two seasons, they said, The channels the rain had cut on the hills The ﬁrst one is rainy with a vast watershed. Provided real problems and plenty of thrills. It seemed the dry season had just begun, We heard the hyenas, but they did us no harm; And we could see now where the water had run. Baboons and the monkeys gave no cause for alarm.

What once had been roads were now ruts so deep, At last we reached Gimbie by ten that night, To see those big holes would make one weep. Received a welcome that made all things right. Mere words cannot paint the picture we faced; The Road to Gimbie had become a Trail. All semblance of road was completely erased. The Trail a Trial to make strong hearts quail.

How often we stopped to build our own road, We weathered the trip and had stood the test, While crossing one river took off all our load. And we welcomed with joy a chance to rest. TFor over two hours our car was stalled there, Though Gimbie is called a “jumping-off” place, But angels helped us in answer to prayer. ‘Twas a spot I found comfort, charm, and grace.

For we had done all that humans can do, Though twenty odd thousand people live there, And yet it seemed that we’d never get through. It has no banks and folks don’t seem to care. And when at last we were safe on dry banks, It boasts no railroads or latest bus styles, We shouted for joy and gave hearty thanks. The post office nearest is eighty miles,

We started again at the fabulous rate But when you arrive, and you’ve reached your goal, Of six miles an hour, and sometimes made eight. The welcome you get is good for your soul. We struggled on foot paths through elephant grass. The road to Heaven is somewhat the same, On much of the road there was no room to pass. We’ll weather the trip through Christ’s power and name.

We’ll soon forget all the trials that are past, When safely at home in heaven at last.

Adventist Health

INTERNATIONAL

Magan Hall, Room 111, Loma Linda, California 92350 (909) 558-4540; [email protected] www.adventisthealthinternational.org