2019 Annual Report

AMREF FLYING DOCTORS AMREF Flying Doctors 24 Hour Emergency Contact Details

YEAR IN REVIEW Emergency Contacts 2019 2019

Tel: +254 20 699 2222 / +254 20 699 2299 IN YEAR Mobile: +254 730 811 811 / +254 709 962 811 Fax: +254 20 600 0665 Email: Emergency@ﬂydoc.org REVIEW

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General Contacts

Location: Wilson Airport, Nairobi Address: PO BOX 18617-00500 Nairobi, Kenya Tel: +254 20 699 2000 www. ydoc.org Mobile: +254 730 811 000 / +254 709 962 000 Fax: +254 20 600 0665 Email: info@ﬂydoc.org LIVE YOUR LIFE, WE’VE GOT YOU COVERED! Get Maisha Air Ambulance Plan

Call: +254 (0)709 962 000 www.flydoc.org 15% of sales generated from Maisha subscription go towards the Amref Health Africa campaign to end Female Genital Mutilation (FGM) CONTENTS

LIVE YOUR LIFE, Where We Fly 2 Vision / Mission 3 WE’VE GOT YOU COVERED! Chairman’s Message 4 Message from the CEO 5 Get Maisha Air Ambulance Plan Board Members 6 Tribute to Dr. Bettina Vadera 7

Our Commitments 8

Our Business 9

Our Staff 10

Our Services: Maisha Cover 16

Training 18

Medical Assistance Services 22

Aircraft Available 24

Range Map 25

Up Close 26

Day in the Life 27

Operations and Emergency Control Centre 28

Medical Store 29

Highlights 30

Marketing and Promotion 36

Amref Health Africa Highlights 38

Finance and Investments 42

Specialist Outreach Programme 44

Professional Partners 46

Evacuations by Nationalities 53

AMREF Flying Doctors’ Editorial Team: Call: +254 (0)709 962 000 www.flydoc.org Dr. Bettina Vadera, Stephen Ombuya, Catherine Ochola, Henry Ogembo, Nicky Blundell-Brown, Flavier Esilaba and Jane Muthoni. 15% of sales generated from Maisha subscription go towards the 1 Amref Health Africa campaign to end Female Genital Mutilation (FGM) OUR REACH

WHERE WE FLY

Some of the destinations we have reached around the world.

STOCKHOLM

LONDON BEIJING

BEIRUT TOKYO NEW DELHI

DUBAI DAKAR

CONAKRY

CAMEROON

ANTANANARIVO

CAPE TOWN PERTH

WEST AFRICA SOUTHERN AFRICA EUROPE MIDDLE EAST AND ASIA ABIDJAN ANTANANARIVO AMSTERDAM FRANKFURT NURNBERG ABU DHABI MUSCAT ABUJA BEIRA ATHENS GENEVA THESSALONIKI AHMEDABAD NEW DELHI BAMAKO BULAWAYO BARCELONA GLASGOW OSLO BEIRUT SALALAH BRAZAVILLE CAPE TOWN BERLIN HELSINKI PARIS BEIJING SANAA CONAKRY HARARE BERNE IRELAND INNSBRUCK CHENNAI TOKYO DAKAR JOHANNESBURG BIGGIN HILL LEIPZIG HERAKLION DELHI TEHRAN DOULA MAURITIUS BILBAO LINCOLN LEEDS DHAKA TEL AVIV FREETOWN PORT ELIZABETH BOLOGNA LISBON LONDON DUBAI GABON REUNION BRUSSELS LIVERPOOL ROTTERDAM HYDERABAD LAGOS VICTORIA CARDIFF LUXEMBOURG STUTTGART ISLAMABAD NDJAMENA WINDHOEK COPENHAGEN MADRID STOCKHOLM KUWAIT YAOUNDE DUBLIN MILAN VENICE KABUL EDINBURGH MUNICH LAHORE EINDHOVEN NANTES MUMBAI

2 VISION / MISSION

OUR VISION o be the leading aero-medical Tand health solutions provider. OUR MISSION o deliver internationally accredited aeromedical and Thealth assistance services through empowered people, leveraging the latest aviation and medical technology to ensure our patients receive unrivalled care. We complement the work of Africa’s largest health development organisation, Amref Health Africa, to achieve lasting health change.

OUR VALUES

Integrity & Transparency

e put integrity and transparency at the heart of all we Wdo ensuring ethical and moral standards are upheld at all times. We are open and honest in our business dealings.

Patient care

e are committed to providing a world-class Wservice, ensuring our patients receive the best possible management, care and compassion.

Responsiveness

ith decades of experience, we are positioned Wto provide a fast and efﬁ cient response, even in difﬁ cult and challenging circumstances.

Safety

afety is inherent in all we do. Whether we are Sin the air or on the ground, the wellbeing of our patients, passengers and staff is our utmost priority.

Innovation & Creativity

e support innovation and creativity to ensure Wthat relevant solutions are available to our customers at all times.

3 CHAIRMAN’S MESSAGE

unsurpassed. We wish Bettina and her family John Stone all of the very best as they embark on this new Incoming Chair chapter in their lives journey. After a rigorous recruitment process, Stephen 019 will be remembered as the year Gitau has been appointed as AMREF Flying 2of signifi cant change, with the recently Doctors CEO to succeed Bettina. Steve will acquired two new air ambulance jets becoming take full responsibility of his new position fully operational. This was a major achievement from January 2020 and we wish him every and the enormity of this task should not be success in his new position as CEO. We have underestimated. The management team must great confi dence that he will provide strong be commended for their enormous effort in leadership to guide AMREF Flying Doctors achieving this within a relatively short time. through the next chapter of its development. At the April, 2019 Board Meeting, long- We are also pleased that Mike Black has time Board Member and Chairman, Clyde agreed to extend his contract as Chief Thomson, retired after he had served his Operating Offi cer for at least another 4-year maximum permissible time on the Board term. His unique experience, leadership of AMREF Flying Doctors. With his astute and Medical Director to relocate to Germany and skills add signifi cant value to the top diplomatic leadership, Clyde has served with her family later in the year 2020. Bettina’s management team. AMREF Flying Doctors with commitment vision and leadership has seen AMREF We thank all the members of the AMREF and generously shared his wisdom and Flying Doctors develop into the internationally Flying Doctors team for their contribution many years of experience for the benefi t of respected air ambulance operation that it is to the growth and development of AMREF the company. We are pleased that Clyde today, which Clyde has so suitably described Flying Doctors and I would like to thank my will continue as an advisor to the Board, for in his report. Suffi ce to say, in the short time fellow Board Members for their commitment, which we are extremely grateful. that I have been involved with AMREF Flying guidance and wise counsel. Finally, we It was also at the April AMREF Flying Doctors Doctors, it has always been a pleasure to thank all our business partners for their past Board meeting that Dr Bettina Vadera work with Bettina. Her commitment, energy support and look forward to developing announced her resignation as Chief Executive and passion for AMREF Flying Doctors is these relationships into the future. Capt. Clyde Thomson

Outgoing Chair

e have had another successful and Wchallenging year at AMREF Flying Doctors, as we continue to develop our jet operations, which give us a global reach. Our new Operations and Emergency control Centre has enabled AMREF Flying Doctors to provide medical advice together with the effi cient coordination of aircraft operations both domestically and internationally. In addition, we have continued to broaden our service profi le through the expanded provision of medical assistance services and training. We have further developed our Maisha Air Ambulance Plan, Maisha, which has been expanded to include a Maisha Diamond category. This includes post- evacuation inpatient benefi ts and, if medically required, onward transport to South Africa. A signifi cant event during the year was the decision of Dr. Bettina Vadera to resign from her position as Chief Executive and Medical Director for family related reasons. My term as Chair expired in 2019 and I am pleased to advise that Board member Mr John Stone who has considerable experience in the Aeromedical operations, will undertake the role of Chairman.

4 MESSAGE FROM THE OUTGOING AND INCOMING CEO

improvement in performance and fi nancial Flying Doctors for 21 years in different results during the second half of the year, capacities from fl ight physician to Medical with an average of 200 fl ying hours on Director and CEO, has been the best, most medical missions across the fl eet and an challenging and gratifying experience in overall profi table end of the year. my professional life! I feel honoured and We have continued to look after our Maisha privileged for the opportunity to serve this members, providing them with medical unique and prestigious organisation. It has advice, ground ambulance transport and been an amazing journey for me! To work close to 50 air evacuation fl ights throughout with and lead such an incredibly energetic the year. Our Maisha membership base is and dedicated group of professional people growing and many Tour Operators in Kenya has been a wonderful experience and I take and Tanzania have made it compulsory to great pride in all that we have accomplished register their clients with our services for together, with a special thanks to the Senior their safety and peace of mind. Additionally, Management Team! As I am passing the we were pleased to win back the National baton into the capable hands of Steve Gitau, Hospital Insurance Fund (NHIF) contract the incoming CEO and close colleague of for medical evacuation services of Kenya’s mine over the last eight years, I thank the Disciplined Forces and Civil Servants and to AMREF Flying Doctors Board of Directors for sign a new contract with NHIF for the cover having placed their trust and confi dence in Dr. Bettina Vadera of all Secondary School Children in Kenya. my abilities to lead this great company and Chief Executive & Medical Director, Our new Operations and Emergency Control for their wise advice and guidance during my AMREF Flying Doctors Centre launched in 2018 with state-of- time as CEO. the-art IT and communication equipment, In my 21 years with AMREF Flying Doctors, 019 was a challenging year for AMREF has enabled us to become more effi cient I have made valuable business contacts and 2Flying Doctors, following the acquisition and improve the coordination of medical solid friendships within the industry and I of two dedicated air ambulance jets in 2018. and aviation operations for our domestic thank all our clients and business partners Flying hours across the fl eet, including our and international aeromedical missions. for their support and the pleasure it has been two PC12s and the new jets, were lower Additional operations and fl ight crew for me to work with them. than expected in the fi rst six months. The have joined our work force in the course What remains to be said is that our business uptake of our Maisha cover started equally of 2019 to increase our capability and plan for 2020-21, developed jointly with the slow at the beginning of the year, leading service availability. AMREF Flying Doctors Senior Management to a fi nancial performance below our Following a diffi cult family decision to relocate Team and the incoming CEO Steve Gitau at expectations and the company’s margin to Germany in June 2020 for our childrens’ the helm, is exciting and promising, setting trends of the past eight years. However, education, I announced my resignation AMREF Flying Doctors up to new, ambitious I am pleased to report that a concise to the AMREF Flying Doctors Board of performance goals, while keeping our core turnaround strategy and strong actions Directors in April 2019 with a heavy heart. values and in particular the care of our taken by management produced a marked Serving Amref Health Africa and AMREF patients at the heart of all we do.

NEW CEO ANNOUNCEMENT

Stephen Gitau Administration (MBA) from Strathmore Chief Executive Offi cer Designate, Business School, a BA in Economics AMREF Flying Doctors from University of Nairobi and is a Certifi ed Information Systems Auditor The AMREF Flying Doctors Board of (CISA) and Certifi ed Public Accountant Directors announced the appointment (CPA-K). Steve joined AMREF Flying of Stephen Gitau as the new Chief Doctors, when it was transitioning from Executive Offi cer Designate for AMREF a department of Amref Health Africa, to Flying Doctors. Steve replaced Dr. a commercial entity in 2011. During this Bettina Vadera, who retired from AMREF time, Steve was providing vital support Flying Doctors at the end of 2019. Steve in strategic leadership, while managing transitioned into his new role from 1st of the Finance, Human Resources, ICT and October 2019 and fully assumed offi ce Administration units. He has been part of on 1st January 2020. During the three the AMREF Flying Doctors Executive Team month transition period, Bettina and Steve all along and is determined to take AMREF worked closely together. Flying Doctors to the next level. Under his Steve has been the Chief Finance visionary leadership and with the support & Administration Offi cer (CFAO) of of the Board of Directors and the staff of AMREF Flying Doctors for the last eight AMREF Flying Doctors, the company is years. He holds a Master of Business looking at prosperity and growth.

5 BOARD MEMBERS BOARD MREF Flying Doctors is Acommitted to excellence, not only in the service we provide to our partners and clients, but to the medical community at large. The Board provides governance and ﬁ duciary oversight, sets policy, and assesses AMREF Flying Doctor’s overall performance. We are extremely grateful for their dedication and contribution to John Stone Jane Mbatia Dr. Githinji Gitahi our work.

“I am happy to note that you are already implementing several business initiatives to help bridge that gap in provision of emergency response in the country. Through your existing Kellen Kariuki Capt. Clyde Thomson Dr. Terry Martin expansion plans for you air ambulance ﬂ eet, your regional footprint and product diversiﬁ cation I believe you are in the right track towards attaining this objective.” Ambassador Raychelle Omamo SC, EGH

Jonathan Dutton Amb. Raychelle Omamo Maj Gen (Rtd) Charles Mwanzia MEMBERS

6 CAPT. CLYDE THOMSON’S TRIBUTE TO DR VADERA

VADERADr. Bettina s the past Chairman and Board member for A six years I am incredibly grateful to Bettina for the energy, vision, and compassion that she dedicated to Amref Health Africa (AHA) and AMREF Flying Doctors in particular. Her 21 years of service as an emergency fl ight physician, head of emergency services, Medical Director and for the last eight years as the Chief Executive Offi cer have been exemplary. During her time with the organisation, Bettina was instrumental in achieving great changes. Under her leadership as CEO and Medical Director, AMREF Flying Doctors developed from an aeromedical Outreach programme of Amref Health Africa (AHA) into a successful, award winning accredited international air ambulance company that has become an important pillar and vital source of funding for AHA. These signifi cant advances achieved by AMREF Flying Doctors could not have been achieved without the hard work and dedication of all our staff and I wish to thank them for their support. Signifi cant accomplishments during Bettina’s dedicated service included: • Development of a professional, internationally recognised Air Ambulance and Medical Assistance company • Awarded ITIC Air Ambulance provider of the year on two occasions • International accreditation and consecutive re-accreditations by the European Aeromedical Institute (EURAMI) • Creation of the Volunteer Physician and the Charity Evacuation Programmes • Development of the Maisha Air Ambulance insurance schemes • Building of a modern Operations and Emergency Control Centre • Upgrading and expansion of the AMREF Flying Doctors aircraft fl eet with two Turboprop PC12 and two Cessna Jet aircraft. The Board is extremely grateful to Bettina for her dedication, passion and motivation she has given AMREF Flying Doctors over a span of 21 years.

7 OUR COMMITMENTS

Clear Communication

We use satellite tracking to follow the aircraft in-ﬂ ight and maintain regular contact with relevant stakeholders, ensuring everyone is kept up to date as much as possible to alleviate unnecessary worry. Sharing our Heritage We go the extra mile

AMREF Flying Doctors’ 62-year history is Complex medical problems, logistical captured in the Visitors’ Centre at Wilson constraints, and the unusual environment Airport. The Centre is open to anyone of Africa all pose regular challenges for our who wishes to visit and learn about our staff. We work together to leverage collective rich history and the remarkable efforts of skills and expertise to resolve issues and ﬁ nd our founding fathers. solutions in the fastest possible way.

We go where no one else goes

We put our patients at the heart of all our missions, no matter where they are. The challenging geography of Africa, regional conﬂ ict, cross-border operations, and bureaucracy means real resourcefulness and determination on behalf of the staff in order to reach those who need us.

We partner with others Maintain ﬁ rst-class Innovation

We work with Kenyan County We operate in a fast-paced and rapidly Governments and regional hospitals, changing environment. Our continued as well as community and other investment in world-class equipment and international associates, such as Capital staff training keeps us at the forefront Air Ambulance, to deliver the best and of medical care and ensures the best fastest service to those who need us. possible outcomes for our patients.

Caring for the Uncared

Our charity ﬂ ight programme evacuates patients free of charge from the most remote regions in Kenya, ﬂ ying them to medical facilities where they can receive medical care.

8 OUR BUSINESS

Air Ambulance Services

ir Ambulance Services have remained performance across the entire AMREF Flying Other business activities that have been vital Athe core business for AMREF Flying Doctors aircraft fl eet was recorded and to AMREF Flying Doctors’ success include Doctors, supported by other related medical management was complimented for the our Maisha Air Ambulance cover that has services and our Maisha Air Ambulance immense efforts it had taken to successfully continued to attract new members in 2019. Cover. In order to remain competitive and implement the new jet operations in a Medical Assistance Services and Training take control over the aircraft fl eet that is relatively short time. have been additional areas of focus in 2019, essential to AMREF Flying Doctors’ air The newly gained independence from external with an outlook to increase their capacities ambulance business, two jet aircraft had aircraft charter companies has given AMREF and grow both units. been acquired in 2018. 2019 was marked Flying Doctors the strength to retain its Maisha joins FGM campaign by bringing the new jet aircraft fully on line, competitive edge regionally and to provide A conscious decision to contribute 15% of including the recruitment and training of long haul repatriation fl ights to other continents Maisha membership income towards Amref new jet aircrew. A number of necessary out of its own capacity. The signifi cant Health Africa’s efforts to combat Female Genital steps to fl y both jets at their capacity were advantage and return on the jet investment will Mutilation was made during the last quarter of delayed due to unforeseen circumstances, become fully tangible in 2020 and will continue 2019 and has given additional importance and but by the second half of 2019 a good to do so over the coming years. meaning to our Maisha scheme.

Business Memberships & Afﬁ liations

he beneﬁ ts of maintaining strong • Kenya Association of Air Operators • British Chamber of Commerce Tbusiness and professional memberships (KAAO) – KAAO was established to Kenya (BCC Kenya) – With a network in driving growth cannot be overstated – promote, foster and protect the interests of more than 320 active members – more so, for the MEDEVAC industry. During of all licensed commercial air operators ranging from FTSE 100 companies 2019, AMREF Flying Doctors continued and other authorised bodies engaged to individual British consultants to pursue and maintain such strategic in the Aviation industry which are based working in Kenya – BCC Kenya is an memberships in the following regional and in Kenya. ideal forum for business networking International organisations. Here is a little bit for AMREF Flying Doctors and this of background on some of them: • Tanzania Association of Tour included contact with the over 200 UK Operators (TATO) – TATO is a companies operating in the country. • International Assistance Group (IAG) membership organisation representing the – IAG is the world’s largest alliance of interests of more than 256 tour operators • The African Travel & Tourism independent assistance companies and from both mainland Tanzania and Zanzibar Association (ATTA) – ATTA is a accredited providers and correspondents with the Government of Tanzania and its member-driven trade association that – currently numbering more than 140 and institutions on matters pertaining to policy promotes tourism to Africa from all supporting over 118 million end users development and planned programmes. corners of the world. As the premier worldwide. IAG works with established network of tourism product specialists local companies, hand-picked in line in Africa and those in the rest of the with stringent quality criteria, including world promoting tourism in Africa, an average of 15 years’ experience in ATTA offers extensive networking and respective markets. marketing opportunities for AMREF Flying Doctors. • Kenya Chamber of Commerce & Industry (KNCCI) – The KNCCI is • Kenya Healthcare Federation (KHF) AMREF Flying Doctors is the only EURAMI- a membership-based trade support accredited (European Aero-Medical Institute) Air – KHF is a private sector membership- institution working to protect commercial Ambulance provider in the region and twice a winner based organization, constituting the of the International ITIJ Air Ambulance Provider of and industrial interests of the Kenyan the Year Award, the most prestigious award in the health sector board of the Kenya Private business community. KNCCI advocates global travel and health insurance industry. Sector Alliance. KHF has a membership for the creation of a favourable of 75+ organizations, consisting of commercial, trade and investment corporate members, professional and environment that supports enterprise institutional associations in the Kenyan expansion. health sector. KHF’s goal is to have an enabling environment that supports • Kenya Association of Tour Operators quality affordable healthcare for all (KATO) – KATO is a leading tourism These awards and accreditations are a true Kenyans. AMREF Flying Doctors is reﬂ ection of the exemplary effort being put in by trade association in Kenya representing our highly skilled staff support from our local and a corporate member and gains from the interests of over 400 of the most international customers and partners. this federation by being involved in the experienced tour operators in Kenya. formation of healthcare policy.

9 OUR STAFF

Medical staff Aviation Operation staff AMREF Flying Doctors staff Our medical staff are exceptionally and fl ight crew are renown for being expertly qualifi ed and skilled at providing The professionalism and commitment trained and highly qualifi ed. emergency and primary healthcare of our pilots sets us ahead. All staff are Backed by dedication and on board aircraft and in remote areas. professionally qualifi ed and meet the professionalism, our staff work Ongoing professional development is a aviation industry’s highest standards. high priority for us. Medical staff frequently Our pilots are highly experienced in tirelessly to ensure that our undergo training in Intensive Care carrying out medevac fl ights from reputation as the leading Air Medicine. All staff are certifi ed in Advanced regional bush airstrips, medium and long Ambulance service provider in Cardiac Life Support, Advanced Trauma haul, as well as international missions – Life Support, and Paediatric Advanced Life all to the highest international standards. Eastern Africa is upheld. Support. They are also certifi ed for Critical They deliver safe, courteous, reliable, Considerations in Aeromedical Transport. and fi rst-class service to all our clients.

Sales and customer service team

Support Staff “Working with AMREF Flying Doctors for the last ﬁ ve years as a Working behind the scenes at Customer Service Representative has been an amazing roller coaster. the AMREF Flying Doctors is a I have learnt that giving real service you must add something which dedicated team of support service personnel, who ensure our front can’t be bought or measured with money, and that is Sincerity and line teams can keep focused on Integrity. At AMREF Flying Doctors, we aim to provide an excellent their roles and continue providing the ﬁ nest service to our clients and customer service experience full of sincerity and integrity.” customers. Whether it be in Finance, Human Resources, Sales, Customer Caroline Thiong’o Service, Operations, Engineering Customer Service Representative and Maintenance, or Marketing and Communications, these team members are providing crucial services to ensure AMREF Flying Doctors remains solely intent on delivering world class service.

10 OUR STAFF

New Appointments

Dr. Joseph Lelo Medical Director Dr. Joseph Lelo is the newly appointed Medical Director at AMREF Flying Doctors. He is a practicing anaesthesiologist and an experienced fl ight physician, having performed complex and demanding aeromedical patient transfers across the globe. A graduate of The University of Nairobi’s medical school, he holds a Master of Medicine degree in Anaesthesiology and a Bachelors degree in Medicine and surgery. He has a keen clinical interest in extreme physiology as well as healthcare economics and is an avid outdoorsman. He is also a certifi ed aviation medical examiner with the Kenya Civil Aviation Authority. He holds certifi cation in pre-hospital care and is a life support instructor certifi ed by the American Heart Association. Prior to becoming the Medical Director, Dr. Lelo worked as the Chief Medical Offi cer at AMREF Flying Doctors and at Karen Hospital in Nairobi.

Margaret Kariuki Operations Manager Margaret Kariuki will be succeeding Stephen Ombuya as AMREF Flying Doctors’ new Operations Manager. Known for her resilience and enthusiasm, she brings to the organization a longstanding experience in Flight Operations. Margaret is a licensed Flight Operations Offi cer, Aeronautical Information Offi cer and is currently pursuing project management at the University of Cape Town. She joined AMREF Flying Doctors in 2015 as a Flight Operations Offi cer and has grown within the organization to the role of Operations Manager, responsible for the Operations Department. She has over 10 years of experience in fl ight operations and aeronautical information working with different organizations in the aviation industry. Prior to joining AMREF Flying Doctors, she worked at African Inland Mission Air, Fly Emirates, Precision Air and at Dar-es-Salaam’s Julius Nyerere international airport where she worked as Flight Operations and Aeronautical Offi cer.

Stephen Ombuya Chief Commercial Offi cer Stephen Ombuya has recently been promoted to be AMREF Flying Doctors’ new Chief Commercial Offi cer. He brings to the organization a unique combination of sales, marketing and aviation operational management experience. Stephen is a licensed Flight Operations Offi cer and a Certifi ed Aviation Management professional. He joined AMREF Flying Doctors in 2012 as a Flight Operations Offi cer and grew within the organization to the role of Operations & Network Manager, responsible for the Operations Department as well as the international client network. He has over 10 years of experience in customer relationship management, working with different organizations in both the retail and hospitality industries. Prior to joining AMREF Flying Doctors he worked at a Corporate Branding fi rm in South Africa as a Marketing Merchandise Specialist.

11 NEW STAFF

TALENT AMREF Flying Doctors is always on the lookout for talented, focused, self-driven, professional, hardworking people to join the team.

Medical Department

“It’s been an amazing time to be part of “It is eight months this wonderful team. For the ﬁ ve months now since I joined that I have been here, I have received AFD. It has been a great mentorship and feel so much at very exciting journey home. I have been able to ﬁ t in my job full of adventures well with the help of my mentors and and great learning colleagues, and continuing to learn each experiences in and every day as it is a different setting diverse environments Jared Oyayo from what I was used to. I am looking Anne Kamontho and scenarios. Best Emergency Flight Nurse Emergency Flight Nurse forward to another wonderful year AFD.” place to be!”

“It has been an amazing “It has been an experience for me. Maisha amazing journey so evacuations tops it all. Seeing far full of learning the smile on our clients after experiences. I thank a successful Maisha evac the AFD team for is the most satisfying bit in the support given as working for this prestigious I settled in the new Neville Segera organization.” Joan Ndirangu working environment.” Emergency Flight Nurse Emergency Flight Nurse

“Nothing could be more satisfying than being part of a team delivering social good in the health space.” Gideon Nyaga Sales Executive Sales Department

Nicholas Kioko Irene Karaba Ann Watetu Gideon Nyaga Sales Executive Sales Executive Sales Executive Sales Executive

“Thank you AFD “Happy to be part “Customer service shouldn’t “Working at AFD is very exciting for giving me a of the team and just be a department; and fulﬁ lling. There is great chance to utilize my looking forward it should be the entire happiness working in a team God-given talents to the journey company. You are serving that is inspired and focused on and skills.” ahead.” a customer, not a life saving lives by ensuring that sentence. Learn how to emergency medical service is enjoy your work.” provided with utmost care and professionalism.”

12 NEW STAFF

Operations Department Each year we receive a growing number of enquiries from young professionals interested in furthering their career experiences with AMREF Flying Doctors. In 2019, we hosted interns in IT, Operations, Marketing and Medical teams. “It’s a great honour to Our objective is to help graduates deﬁ ne the area of study be part of AMREF Flying they wish to enter and prepare them to pursue that goal. Doctors family as a ground operation crew. My work is Interns to prepare medevac ﬂ ights on time for emergency responses, it’s a quite Evans Mukuhya fascinating experience.” Aircraft Towing Operator

“Working with AMREF Mary Matogo Daniel Mwangi Flying Doctors gives me Sales Unit Sales Unit pride and satisfaction when I prepare medevac “Glad to get on board “...AMREF Flying Doctors ﬂ ights on a mission to alongside such a wonderful is enriching with a ﬂ air for save a life.” Eric Salago and dedicated team!” the challenging...” Aircraft Towing Operator

“In AFD we strive to instill a new style of thinking, a new culture and dedication to doing things right and learning when things go wrong.” Rufus Mutwol Quality and Compliance Manager Mercy Nkirote Victoria Mburu Maintenance Department Sales Unit Sales Unit “As a sales person, I have “AFD provides a strong “It has been an exciting learnt not to celebrate and positive work culture experience diving into a work- closing a sale but rather with numerous growth environment that inspires you celebrate opening a opportunities; I can say to realize real potential; an relationship. I am proud to I am happy to be part of environment that personal be part of this great team!” the AFD family” and professional growth never stops; an environment of highly cohesive and Rufus Mutwol collectively productive teams Quality and Compliance that motivates you to stretch Manager your limits.”

“The company and its employees embrace Christine Kasera Patrick Warigi change, accommodate Medical Unit Operations Unit new trends and technology, and “Amazing staff dedicated “Professionalism is key incorporate new skills. to duty. in achieving your goals. I am happy to be part of So far, good time!” Coupled with hard work Irine Ojow this team.” Continuing Airworthiness and persistence, your Ofﬁ cer vision is achieved.”

13 VOLUNTEER PHYSICIANS PROGRAMME

Sharing life-changing medical experience

or doctors from different parts of the world the their time and expertise to AMREF Flying Doctors. FVolunteer Physicians Programme offers a unique During their placement, the Volunteer Physicians (VPs) opportunity to work with Africa’s most recognised Air are required to give at least one training session with the Ambulance service. This programme was launched in medical staff to share their skills and insights, as well as 1997 and during the last 23 years, doctors have donated their current emergency care practice.

Dr. Katie Flower Dr. Andrew Darby Smith Dr. Pol Quintana Mathe Dr. Ferdinand Daniel Ulbricht

“My experience as a Volunteer Physician with AMREF Flying Doctors cemented my passion for stabilisation and transfer of critically ill patients. It also provided the opportunity to work alongside a unique and brilliant team Dr. Adam Low – an experience I will never forget. I would whole heartedly recommend the Volunteer Physician 2010-11 Currently Consultant Neuroanaesthetist, University Hospital Birmingham; Consultant programme to anyone with an interest in Transfer & Retrieval Medicine.” in Pre Hospital Emergency Medicine, Midland Air Ambulance Charity & West Midlands Ambulance Service (MERIT)

Dr. Patel Nirav Ashokkumar Dr. Samir Ali

Dr. Dermot McGuckin Dr. Barnaby John Dykes

14 PLANNINGPLANNING AA VISITVISIT TOTO EastEast Africa?Africa?

GET YOUR 30-DAY TOURIST AIR AMBULANCE COVER

To subscribe contact: [email protected] www.flydoc.org OUR SERVICES

The Future of Maisha is Global!

e all spend a great deal of time and Growing Maisha with changing product also include transfer and medical Weffort trying to stay safe and healthy customer needs treatment in South Africa if the members’ – away from medical emergencies. But As customers’ needs change, so do our medical condition cannot be treated prevention does not always work and products. In 2018 we developed a new adequately in Kenya. With such additional/ the next best way to manage should the Maisha Air Ambulance Cover known as innovative products, we aim to offer a emergency happen is to be prepared. “Maisha Diamond”, which became the cover seamless service to our members, from of choice for many in 2019. This is a ground- the time of an evacuation to admission As part of a wider Emergency Preparedness, breaking medevac product that gives our in hospital. AMREF Flying Doctors developed the Maisha clients not only access to our medical air Air Ambulance Cover scheme in 2012. The evacuation services, but comes with a post- Our Maisha Air Ambulance Cover extends concept was to allow clients that peace of evacuation hospitalisation beneﬁ t to ensure throughout the Eastern Africa region and mind while going about their day-to-day a smooth admission and access to hospital includes Kenya, Uganda, Tanzania, Rwanda, activities and travels, knowing that they can call treatment without any delay. Burundi, South Sudan and Ethiopia. Our goal AMREF Flying Doctors for assistance should is to have Maisha subscriptions available they get caught up in a medical emergency. Additional beneﬁ ts of the Maisha Diamond throughout the African Under the Maisha cover assistance can range from medical advice via telephone to ground or air evacuation to Nairobi.

During the eight years of its existence, the Maisha Air Ambulance Cover has helped save many lives throughout the Eastern Africa region. We have undertaken hundreds of medevac missions from places as far-ﬂ ung as South Sudan to some of the best medical facilities on the continent here in Nairobi.

The Maisha Air Ambulance Cover promises a fast response to our members who are our priority, and enjoy preferential service. However, we also offer our air evacuation services to non-members, where our capacity allows.

16 OUR SERVICES

Continent. In order to achieve this AMREF benefi t, it is a stand-alone cover which leaves Flying Doctors is reaching out to partners and your in-patient premium untouched. Maisha Air other players in the Aeromedical industry, Ambulance Cover is for everybody. including local and international insurance companies. It Makes Sense Our subscription rates for Maisha are very low Maisha is for All compared to the benefi ts, should an emergency Part of the reason behind the introduction really happen. As an example, a subscription of Maisha was to bring the benefi ts of air to Maisha Bronze covering anyone residing ambulance services to more people in this in Kenya, is US$25 per year (approx. region. Air ambulance services 2500Ksh). In comparison, if a had hitherto been perceived person in Mombasa without as a product of the rich, a Maisha Membership was but the affordable prices to pay for an evacuation to of Maisha have made air Nairobi, an upfront payment ambulance cover affordable of about US$10,000 would to a wide clientele. be required. The myth that once The positive testimonies medically insured you from our Maisha members do not need our Maisha who have been evacuated cover is also untrue, as clearly demonstrate the with Maisha the costs for an difference this cover has air evacuation are no longer made to their or their loved deducted from your in-patient ones lives.

BILHAR GITHINJI STORYMy Regional Sales Executive (Corporate)

AMREF Flying Doctors has been a affordable air and ground evacuations great pillar in the growth of my career schemes with many people as not only by creating opportunities to present as a cover but for their own peace medical evacuation services to both of mind. Maisha’s major target is to individuals and corporate clients. make sure every East African resident does not incur huge costs to access Previously I worked with Multichoice emergency evacuation to a medical Kenya as a Branch Sales Team Leader. facility of their choice. With the help of My reasons for joining AMREF Flying the management and close team work Doctors was for international exposure, we have seen our sales’ database grow career and personal growth, as well as gradually with exciting new prospects the association with a strong brand. in the pipeline. “The impressive image of AMREF Flying My best moment is when I find out Doctors in our community through that a Maisha member has been its decades of help to its people has evacuated and their life saved. It feels made it easier for me to create product great knowing he/she had a team of receive in the Maisha office for the amazing awareness to everyone. professionals on standby just for that experience had by our members goes beyond I have gained a passion to share our crucial moment. The testimonials we appreciation and encourage all the staff greatly. ” 17 AMREF FLYING DOCTORS AMREF FLYING DOCTORS TRAINING COURSES TRAINING COURSES

COURSES OFFERED REGISTER NOW 1. First Aid course including; · Health talks with AMREF Flying Doctors · Refresher courses for a certified course · Tailor-made courses 2. COVID-19 Preparedness Training AMREF Flying Doctors is an 3. Heart Saver First Aid HOW TO APPLY accredited American Heart Association training centre. 4. Basic Life Support (BLS) We are approved by National 5. Wilderness First Responder Call: +254701147506 / +254722207350 Industrial Training Authority (NITA) as a Provider of Emergency Life E-mail: [email protected] 6. Basic Trauma Life Support (BTLS) Support Courses. 7. Advanced Cardiovascular Life Support (ACLS)

www.flydoc.org www.flydoc.org AMREF FLYING DOCTORS AMREF FLYING DOCTORS TRAINING COURSES TRAINING COURSES

Expanding training to meet increasing market demands

AMREF Flying Doctors is the leading Emergency Life Support skills training provider in the region. The highly trained critical care team with vast experience assures quality training.

Our training department has grown tremendously in the last year both in terms of number of training courses, number of trainers and also our training Oequipment. We are an American Heart Association (AHA) Centre in this region for both Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS). All our ﬂ ight nurses are now involved in active training of Emergency First Aid and Basic Life Support. We have a total of 16 First Aid trainers. This means, we can comfortably run 2 courses concurrently without affecting other medical units.

Emergency First Aid and Basic Life Support Basic Trauma Life This is a comprehensive two-day training Support (BTLS) to equip individuals with necessary skills to deal with emergencies at the workplace, This is a two-day training course, tailored at home or out in the fi eld. Target for the group that has already completed Basic Life Support (BLS) Audience: Everyone! All company workers, the Emergency First Aid and Basic Life Drivers, Emergency Vehicle operators, support: an advanced training for First This is a one-day American Heart Tour Operators, Lodge Managers, Tour Aid with a focus on trauma emergency. Association training course; a must for Guides, Domestic Workers, Airline Crews, This is most essential for all Safari lodges all healthcare professionals: Doctors, Ground Operations for Airlines, Teachers, and anyone working in the wilderness Nurses, Clinical Offi cers, Laboratory and Students. This training helps with minimal resources. To qualify for Technicians, Pharmacists, Healthcare individuals to cope with emergencies this, you must have done our First Aid Assistants, Orderlies, Physiotherapists, before a medical team arrives. This course training and performed excellently. Pre-hospital Providers. Anyone who has can be done at our facility or we can contact with patients. go to the client and offer the course in Certifi cate is valid for two years. This Course gives you the basics of initial their environment. recognition and management of patients In the year 2019, we hosted a total of six Training is done as per the medical in cardiac arrest before the advanced First Aid Courses. standards of AMREF Flying Doctors. team arrives.

20 OUR SERVICES

COURSES Basic Life Support & Advanced Cardiovascular Life Support

Basic Life support (BLS) Our Course is accredited and certifi ed by the American Heart Association. Certifi cate is valid for two years. We also offer re-certifi cation course.

Advanced Cardiovascular Life Support (ACLS) This is a two-day AHA training course recommended for all Doctors, Nurses, Clinical Ofﬁ cers and Paramedics. However, more important for anyone working in the emergency and critical care set-up like Casualty departments, Critical Care Department, Operating

ACLS Courses Emergency First Aid Training at Olonana - Sanctuary Retreat in Maasai Mara. 4 held in 2019 BLS Theatre, Pre-hospital providers and any certifi ed by the Courses resuscitation team member. American Heart 4 held in 2019 This covers, in depth, the advanced Association. recognition and management of cardiac Emergencies. Topics covered include, Certifi cate is valid for two years. Management of Pre-cardiac Arrest We also offer a re-certifi cation course. Rhythms, Cardiac Arrest Rhythms, Airway Management, Electrical Therapy i.e. Tailor–made courses Defi brillation, Cardioversion and Pacing, This is where we conduct specifi c Acute Coronary Syndrome and Stroke. trainings for specifi c groups as per Our ACLS Course in accredited and their request.

STORYMy ANTHONY KIHARA Aeromedical and Training Coordinator

Over the years, AMREF Flying as the anticipated accreditation Doctors has been conducting will open the ways for expanding Emergency Courses, including: our trainings to meet the needs First Aid; Basic Life Support (BLS) of our people both within Kenya and Advanced Cardiovascular Life and beyond. Support (ACLS) - but at a local level. We will also be responsible for “In 2019, we started on a journey developing emergency courses of becoming an American Heart instructors and monitoring how they Association (AHA) Centre. This are conducting their trainings. involved going through vigorous We are very hopeful for a good year training, testing and auditing. ahead in training as we take-up This will certainly be a huge the new challenges in improving milestone for AMREF Flying Doctors emergency medicine in this region.

”21 OUR SERVICES

MEDICAL ASSISTANCE SERVICES Our Medical Assistance Services provide a vital local link for our International Insurance & Assistance Partners

MREF Flying Doctors provides medical on behalf of our clients – mainly International who have signed a Service Provider Aassistance services within the Eastern Insurance and Global Assistance partners Agreement with AMREF Flying Doctors. Africa region, including Kenya, Uganda, numbering over 200. The proﬁ le of these Category of services includes: Medical Tanzania, Rwanda, Burundi, Ethiopia, South clients is as diverse as Tourists, Expatriates, Assistance, Arranging Transport and Sudan, Djibouti and beyond, on a case to Corporates, Kenyans living abroad and Accommodation; Funeral Assistance and case basis. visiting Kenya on holiday, together with Repatriation of human remains; Financial Medical Assistance Services are Medical and Airline staff, volunteers and students. Assistance; Investigation Services, and Technical support services that we provide The services are offered only to clients Medicine Dispatch.

1. Medical Assistance 3. Transport 6. Investigation This involves Hospital Guarantees, This can be in the form of arranging services booking appointments for various ﬂ ights to include train and ferry tickets. Incudes assessment of therapies, performing medical 4. Funeral Assistance and invoices and receipts assessments, providing medical related to the case where advice and follow up of medical Repatriation of human remains there is a suspected progress reports. This involves identifying a local coroner to fraudulent claim. It 2. Arranging accommodation obtain the necessary documents, make also involves engaging arrangements for burial or cremation and an investigator where This includes hotel accommodation transport of the human remains to the necessary. for patients after their discharge from deceased’s home country. hospital, accommodation for their family 7. Medicine dispatch members, short term accommodation 5. Financial and Legal assistance This service entails in apartments or hostels for clients This includes cash advance, helping delivery of medicines or undergoing long periods of treatment in retrieving lost or stolen documents substitute medicines for a such as physiotherapy and dialysis but or luggage, and arranging legal patient, as well as issuing don’t need to be in hospital. representation or referral. of prescription if required.

the client experience. There has also been a defi nite relationship development with our STORYMy International partners through platforms such as the International Assistance Jane Munyua Group (IAG) Academies and Fora which Medical Assistance Manager have enabled me to market AMREF Flying Doctors’ capabilities in the health assistance The opportunity to head the Medical arena. The number of cases handled per Assistance docket in the capacity of Medical year has also grown. Performing audit visits Assistance Manager was not only a growth of our service providers ensures that we curve in my career given the years that can reliably and confi dently recommend I have served at AMREF Flying Doctors, them to our International Assistance and but was also an indication of the Senior Insurance clients when they seek medical “Leadership’s confi dence in my ability to lead and technical services within our network. people, and contribute to the growth of In line with the company wide strategy, the Company through this revenue stream. my goal is to see the assistance docket Taking on this challenge has enabled me to meet the budget goals and surpass them. streamline the processes of the Assistance All in all, AMREF Flying Doctors should Services initiative in regards to the day to be considered the reliable solution when day case management, staffi ng, invoicing health assistance services within the as well as engagement with our local and African continent are sought after by our regional service providers and improving on International partners.

22 ” OUR SERVICES

The Rhino Charge Air Ambulance Services Using our fleet of short- and long- range turboprop and jet aircraft, we provide air ambulance services from Africa to the rest of the world. All our aircraft are dedicated and configured as an air ambulance aircraft. A specialised medical team comprising of a flight physician and flight nurse accompany the missions.

Every year, AMREF Flying Doctors provides standby services to sporting events. Medical Escort In 2019, we partnered with the following major events We provide experienced English- to provide necessary speaking doctors and nurses to medical care. accompany patients on commercial airlines worldwide. This includes arranging for medical clearance by Kenya Polo the airline, assistance at the airport, Association ground transport and other logistics like coordinating hospital admission tournaments and contact with the receiving doctors. • Gilgil • Nairobi • Timau • Manyatta

Horse Medical Standby Association of We offer medical standby Kenya services using ground ambulance, helicopter or ﬁxed- • Gilgil Horse Show wing aircraft for special events. • Nanyuki Horse Show • Jamhuri Horse Show

National Events:

• Safaricom Lewa Marathon • The Rhino Charge

Safaricom Lewa Ground Transport Marathon Our ground ambulances, ﬁtted with integrated patient transport stretcher systems and the latest medical equipment, ensure efﬁcient ground transport service, world class patient care and are available on request.

23 AIRCRAFT AVAILABLE

CITATION XLS C560 RANGE (NM): 2,100 SPEED (KNOTS): 420 CAPACITY: 2 STRETCHERS & 1 SITTING

CITATION BRAVO C550

RANGE (NM): 2,020 SPEED (KNOTS): 350 CAPACITY: 2 STRETCHERS & 1 SITTING

PILATUS PC12

RANGE (NM): 1,800 SPEED (KNOTS): 240 CAPACITY: 2 STRETCHERS & 1 SITTING

24 RANGE MAP

JET FLEET

RANGE IN NAUTICAL MILES (TECH STOPS) SPEED AIRCRAFT CAPACITY (NO STOPS) (1 STOP) (2 STOPS) (KNOTS)

Citation Bravo C550 (Owned) 1,800 nm 3,500 nm 5,250 nm 350 2 stretchers & 1 sitting

Citation XLS C560 (Owned) 2,000 nm 4,000 nm 6,000 nm 400 2 stretchers & 1 sitting

Citation Sovereign C680 2,800 nm 5,600 nm 8,400 nm 440 2 stretchers & 3 sitting

TURBO PROPS RANGE IN NAUTICAL MILES (TECH STOPS) SPEED AIRCRAFT CAPACITY Eurocopter AS350 (NO320 STOPS) nm (1 STOP)- (2 STOPS)- (KNOTS)100 1 stretcher

Pilatus PC-12 (Owned) Citation Bravo C550 (Owned) 1,8001,450 nm 3,500- nm 5,250- nm 230350 2 stretchers2 stretchers & 1 & sitting 1 sitting

Kingair B200 (Owned) 1,600 nm - - 240 2 stretchers & 1 sitting Citation XLS C560 (Owned) 2,000 nm 4,000 nm 6,000 nm 400 2 stretchers & 1 sitting

25 Citation Sovereign C680 2,800 nm 5,600 nm 8,400 nm 440 2 stretchers & 3 sitting

Eurocopter AS350 320 nm - - 100 1 stretcher

Pilatus PC-12 (Owned) 1,450 nm - - 230 2 stretchers & 1 sitting

Kingair B200 (Owned) 1,600 nm - - 240 2 stretchers & 1 sitting UP CLOSE

Jet Operations One year on

n November 2018, AMREF Flying Doctors took delivery of the fi rst of two Ifully owned air ambulance jets that the organisation had set out to acquire. The acquisition of the jets, a Cessna Citation XLS and Cessna Citation Bravo, was a bold business leap from an operation with largely leased aircraft fl eet to a fully-owned fl eet of dedicated air ambulance aircraft. One year down the line, the new jets have drastically enhanced AMREF Flying Doctors in-house capability for aeromedical patient repatriation to and from many destinations across the globe. Nicky Blundell-Brown set out to fi nd out more detail from Mike Black, the Chief Operating Offi cer (COO). Here are the highlights:

What prompted AMREF Flying Doctors to jet maintenance capability. purchase its own jets? This involved expanding and upskilling the aviations Jet Air Ambulance fl ights make up the operations capability and applying for and Mike Black, Chief Operating Offi cer biggest part of our business, making us a getting Third Country Operators to operate truly international Air Ambulance operator. in Europe so that the operational control of capability to its clients, due to of the Using third party aircraft to carry out this jet operations and ensuring the Safety and diverse capabilities of the aircraft in its fl eet. part of AMREF Flying Doctors’ business Quality requirements were all in place. became limiting and eventually became a Can you recall a fl ight performed by one business risk because we could not control How has the acquisition of the two of the new jets that was parti cularly the pricing nor the operational availability of jets impacted your Air Ambulance challenging or rewarding? aircraft and/or aircrews. capabilities? Air Ambulance fl ights are by their very What were the biggest hurdles bringing First and foremost, the acquisition has nature rewarding, knowing that without the the two jets online? allowed AMREF Flying Doctors’ to service service our patients would not be able to its extensive client base better by allowing access the quality medical care needed with The challenges in creating a jet capability, Air Ambulance fl ight pricing and availability sometimes fatal consequences. capacity and supporting infrastructure options not previously available. This included fi rstly sourcing and purchasing has made us a truly international Air We have also done a number of wing to the two jets, the aircraft fi nancing and Ambulance provider. Second, we are one wing fl ights with air ambulance partners structuring thereof. We then had to import, of the very few Air Ambulance service on very long range fl ights, where a single and get the aircraft registered, compliant providers globally to offer both short operator is limited due to crew fl ight and operational under Kenyan Civil Aviation (including capability to operate out of bush/ and duty restrictions. We have recently regulations. Followed by employing and unprepared strips of less than 900 metres) successfully completed two Cape Town to training jet aircrews, as well as creating a and long haul/international air ambulance UK patient transfers this way.

In 2019, AMREF Flying Doctors took delivery of two Jet Air Ambulances: a Cessna Citation XLS (christened, Sir Archie) and Cessna Citation Bravo (in the image, left and far right, respectively)

26 A Q&ADAY IN THE LIFE OF...

…Captain Wainaina Ngiya

Safety fi rst First we do a pre-fl ight where we check if day. The operations and medical team will At AMREF Flying Doctors, our day shift the aircraft is airworthy and serviceable, always get the details of a medical case. starts at 6.30 AM if fi rst on call on the check if the documentation is in place PC12s. and the aircraft is fueled ready for takeoff. “Happiness does not If standby on the jets we don’t have to be After that, we check on the current in the offi ce but we standby at home. NOTAM’s (notice to airmen) and weather, come from doing The fi rst hour is spent on getting ready. as well as familiarize ourselves with the easy work but from current happenings around the country, as well as the region in terms of security. the after-glow of “No two days are ever st nd At any given day we have 1 , 2 and satisfaction that the same at AMREF night stand-by’s. Having the 2nd and night team in place means we can respond comes from achieving Flying Doctors. The to calls effi ciently. The process is very a diffi cult task that weather and the similar, but we must factor in crew rest as it is of great importance. The crew on demands our best.” incidents we attend night duty are supposed to be well rested as they might have to fl y all night. As pilots, the most important piece are different hour by of information we need is where we are going as the planning is always hour and day to day. Ready for take off dependent on the destination. After the Some things don’t Our shifts completely depend on what confi rmation, we walk out to the aircraft incidents we are tasked to attend to. We and follow our company’s standard change though, so I’ll face all kinds of medical emergencies operating procedures to execute a give you an insight into – the worst being animal attacks or mission. Within a few minutes the next accidents. crew are called in after the fi rst crew has what we do.” It’s rare that we don’t go out at least once a left for a fl ight!

27 OPERATIONS & EMERGENCY CONTROL CENTRE

ur dedicated Operations & Emergency Control Centre O(OECC) provides state-of-the-art technology – including fl ight tracking systems – for our medical and aviation professionals. The teams work hand in hand 24/7 to ensure aviation safety, quality, fast response and the fi nest of medical care to our patients. All staff are fl uent in English and local vernaculars.

28 MEDICAL STORE

ur medical store is at the heart of our evacuation Omissions. Always fully stocked with medication, supplies and internationally certiﬁ ed equipment, including Patient Transportation Chambers, Stretcher Systems and Monitors – just to name a few.

29 HIGHLIGHTS

Mwangala completes London Marathon in a feat of endurance

wangala Lethbridge walked the 2019 visit her family. Mwangala was flown from husband Adam, and her father-in-law MLondon Marathon with a prosthetic Zambia to Kenya by AMREF Flying Doctors, Christopher Lethbridge, have long been leg. She had lost her leg in a motorbike who she remains grateful to ever since. associated with Amref Health Africa in the accident whilst on a trip to Zambia to Her sister Notulu together with other race UK and in East Africa. officials encouraged her through the long race that took her 10 hours and 45 minutes to complete. At the crossing of the finish line, Mwangala was awarded a medal. She had successfully raised £3,500 for the Flying Doctors that gave her a new chance in life. Mwangala decided to enter the London Marathon to raise funds to help other people needing AMREF’s specialised care. “I want to contribute towards another person’s evacuation,” said Mwangala. “For two years after my accident I hid my leg, but it is not something I am ashamed of. I am alive because of charities like AMREF Flying Doctors. “They do amazing work which does not receive enough publicity.” Mwangala is now resting at home with husband, Adam but has no plans to compete in any more marathons. “I will never do a marathon again but I do want to raise more funds for AMREF so I am thinking of other ideas.” Mwangala’s

Airlift to Specialist Treatment AMREF Flying Doctors evacuates three minors following bandit attack at Furole in Marsabit

n the afternoon of Sunday, 25th there was a quick transfer of OAugust 2019, AMREF Flying Doctors’ the patients’ relevant medical Control Centre received an urgent distress records. The three patients were call requesting the airlift of three critically barely conscious with very weak wounded minors from Kalacha to Nairobi for pulses. They were stabilized specialized treatment. and immediately loaded onto The three, included two boys (16 and 14) the aircraft where they were all and a girl (6), who had sustained severe put on life support machines. The gunshot wounds following a bandit attack plane was soon airborne back to Nairobi at Furole in Marsabit district – on the border whilst the emergency crew continued with Ethiopia. Their medical condition was to monitor the vital signs of the dire and beyond the capacity of the local patients. The aircraft landed medical facility thus requiring specialist care at Wilson Airport at 21h00, only available in Nairobi. The three patients from where the patients were were therefore referred to Kenyatta National rushed to Kenyatta National Hospital which is the largest referral hospital Hospital in our Advanced Life in East Africa. Relatives of the minors could Support Ground Ambulance. not afford the cost of a crucial medevac They were all in a critical to Nairobi and road transport was not an condition when they were handed option due to their condition and the long to Kenyatta National Hospital. distance to Nairobi on unpaved roads. Charitable evacuations such as these The case was discussed with the AMREF are carried out free of charge paid for Flying Doctors Medical team, and the by the funds raised through the Maisha decision was reached to evacuate membership scheme. AMREF Flying This evacuation them. Our team departed from Wilson Doctors greatly appreciates all those who was carried Airport at 14h30 and touched down at fundraise for us across the globe, so we can out at a cost of Kalacha Airstrip at 18h50. At the airstrip, keep doing what we do best – saving lives. US$ 9,000

30 HIGHLIGHTS

Mwangala completes London Marathon in a feat of endurance AMREF Flying Doctors joins the “Say No to FGM” Campaign

mref Health Africa “Say No to FGM” and is intended to raise up to US$200,000 the communities through the anti-FGM Acampaign is set to beneﬁ t from a new plan annually for the campaign which intends to campaign. We want to help take it a notch by AMREF Flying Doctors that will see 15% end FGM by 2030. Stephen Gitau, new Chief higher and we also want to deliver more of sales generated from Maisha subscription Executive Ofﬁ cer for AMREF Flying Doctors value to our subscription product, Maisha.” support the anti-FGM (Female Genital made this announcement during the 2019 Say No to FGM #endFGMCampaign targets Mutilation) campaign by Amref Health Africa. Client Thanks you Cocktail event: girls throughout Eastern Africa at risk of FGM The new arrangement kicked off in January “Our mother-company, Amref Health Africa, and offers an alternative rite of passage to 2020 and will run for an initial three years is already making a profound impact in the communities.

STORYMy Silas Saitoti Emergency Flight Nurse

My waking up to prepare for Strong values such as any imaginable case has been strength, courage, discipline a usual trend during my time and being a good listener with AMREF Flying Doctors. as well as a key observer It has taught me to prepare have been quite key for the worst case scenarios, in aeromedicine. “as well as maintaining a high Dedication and professionalism speculation index and at the coupled with the availability of same time hoping for the best. the best medical equipment in My most exciting and the state-of-the art tailored Air rewarding moments materialize ambulance. This enables us when I derive real satisfaction to offer the best to our clients from delivering medical care and expedites their access to to clients at their weakest and emergency medical care within needy moments in life. the golden window periods.

” 31 HIGHLIGHTS

12th Year of Accreditation by EURAMI MALARIA Yet another re-accreditation marks the continuing advancement of AMREF Flying Doctors BREAKFAST In June AMREF Flying Doctors joined ollowing a successful completion of a “On behalf of all the leadership at AMREF hands with Response-Med, the British Fvoluntary and exhaustive audit process Flying Doctors, I would like to congratulate Chamber of Commerce, AFEX, and during June 2019, AMREF Flying Doctors everyone who contributes, on a daily JW Seagon, a local insurance agent attained yet another re-accreditation basis, to the provision of high-quality care and long-time supporter of AMREF from EURAMI (the European Aero through our air evacuation services. To be Flying Doctors, hosting a breakfast Medical Institute). reaccredited by EURAMI is a wonderful meeting for business partners and This is the 4th re-accreditation since the independent endorsement of the quality of corporate clients to create awareness ﬁ rst accreditation was achieved in 2007 – service we deliver,” Dr Lelo. on the recent World Malaria Day. marking the twelfth consecutive year of the EURAMI is a world leader in aeromedical The event also provided a valuable prestigious EURAMI accreditation. accreditation and only recognizes air opportunity for us to strengthen The re-accreditation covers Long- ambulance services with the very highest connections with stakeholders in the Range / Intercontinental Fixed Wing medical protocols and aviation records. health industry. and Commercial Escort Accreditation EURAMI accreditation is just one of a categories and endorsements on Adult number of prestigious accreditations held Critical Care. This conﬁ rms clients can by AMREF Flying Doctors who have also depend on AMREF Flying Doctors to been twice the winner of the prestigious ITIJ provide the utmost quality services at (The International Travel & Health Insurance international standards. Journal) Air Ambulance of the Year Award.

DIGITAL INNOVATION IN CLIENT SERVICE AWARD During the 2019 Smart SMB Summit & Gala Awards ceremony, AMREF Flying Doctors won the Digital Innovation in Client Service Award – in recognition of the outstanding effort in deploying digital transformation strategies.

32 HIGHLIGHTS

AMREF Flying Doctors Charity Evacuation Golf Tournament

he second edition of the AMREF Flying have ensured that our services are also available TDoctors’ annual Charity Evacuations Golf to those in desperate but without any means Tournament took place on the Friday October to pay. This is what makes the Annual Charity 22 at the Karen Golf and Country Club. Thanks Evacuations Golf Tournament such an important to the huge turnout of golfers and sponsors the activity in the AMREF Flying Doctors calendar. day was a great success. 2020 will see us make a signiﬁ cant change to We were honoured to have a record 22 the tournament. We will be incorporating the sponsors (double the number from 2018) and Amref Health Africa, “Say No to FGM” Campaign over 180 golfers (over 60% more than 2018). as one of the beneﬁ ciaries. The Charity Evacuations programme is very Thanks to all the sponsors and individual dear to us. Saving lives, caring for patients, is players who joined us in support of this noble at the heart of what we do. For decades we mission and hopefully had a fun day too!

Thank you to the players and our generous sponsors for supporting the 2019 AMREF Flying Doctors Charity Evacuation Golf tournament

33 CLIENT COCKTAIL AND DR VADERA’S FAREWELL

MREF Flying Doctors family recently bid farewell to AChief Executive and Medical Director, Dr Bettina Kwaheri Vadera who has retired after 21 years of service. The occasion, which took place together with the annual to long-serving CEO Client Thank you Cocktail on Friday 22 November 2019, brought together AMREF Flying Doctors’ Customers, Dr Bettina Vadera Partners, Friends and Staff.

Clockwise from top left: Desta Lakeuw, Mette Kinoti, AMREF Flying Doctors Board member Dr Elizabeth Wala & Kellen Kariuki; Lizz Ntonjira, Kellen Kariuki with Bettina; Bettina with Ambassador Raychelle Omamo; AMREF Flying Doctors staff presenting Dr Vadera with commemorative rug; Bettina with her family, Hanna, Jojo and husband Bilu; Incoming CEO Steve Gitau and former Chair, Clyde Thomson giving an AMREF Flying Doctors picture to Dr Vadera.

34 CLIENT COCKTAIL AND DR VADERA’S FAREWELL

Clockwise from top left: Kellen together with The Chief Guest was Ambassador Raychelle Under Dr Bettina Vadera’s leadership, Bettina and Hanna Vadera; Cake Cutting with GCEO Omamo Cabinet Secretary for Defence. AMREF Flying Doctors made signifi cant Amref Health Africa, Dr Githinji Gitahi, on the left, Bettina and her family, together with Kellen Kariuki, Gifts for Dr Vadera and her family were growth and development of its services in Ambassador Omamo and Steve Gitau; AMREF Flying given by AMREF Flying Doctors staff, whilst and out of Eastern Africa. Mr. Stephen Gitau Doctors staff welcoming a guest at Registration. congratulatory and appreciative speeches were who takes over from Dr Vadera as the new made by former Board Chair, Clyde Thomson, CEO assumed offi ce on 01 January 2020. Global CEO of parent company Amref Health Stephen was previously the Chief Finance Africa, Dr Githinji Gitahi, as well as the Chief & Administration offi cer at AMREF Flying Guest, Ambassador Raychelle Omamo. Doctors for the last eight years.

Clockwise from far left: Bilu and Bettina Vadera open the dancing; a great turn out for the occasion with customers from the tourism sector; Aero Club Java staff; Oskar von Malzan, Regional Director for KFW Kenya and Somalia, with his wife Katharina; Dr Gitahi with Dr Vadera; Bilu and his children talking with musician and artist Sam Madoka, who together with his band provided the entertainment; Mansoor Jiwani from Go Places with Nicky Blundell-Brown.

35 PROMOTIONAL OPPORTUNITIES

Marketing and Promotion

Kenya Institute of management - Members Forum

uring 2019 AMREF Flying Doctors Sales KARIBU-KILIFAIR MAGICAL KENYA TOURISM DDepartment participated in a number EXPO of exhibitions in Kenya and Tanzania. The The 2019 Karibu-Kilifair was an outstanding goal is to use these opportunities to raise success. The Fair, which was at Friedkin The Magical Kenya Tourism Expo has the proﬁ le of AMREF Flying Doctors and the Recreation Centre, Arusha, attracted high progressively become one of the fastest Maisha Air Ambulance Cover, as well as to quality buyers and exhibitors from across growing exhibitions in East Africa’s tourism emphasize the quality of service offered by Africa and beyond. From June 7th to 9th, industry. The Expo held at KICC Nairobi AMREF Flying Doctors. the expo provided AMREF Flying Doctors attracted visitors from all aspects of Tourism These exhibitions are an important platform with a platform to hold meetings and as it raised the proﬁle of the destination for AMREF Flying Doctors to network, showcase our tourism products, particularly and the region as a whole. This Event gave strengthen local and regional relationships the Maisha Scheme B. a chance for AMREF Flying Doctors Sales and also provide an opportunity for AMREF The Fair is famous for its social atmosphere and Marketing team a chance to meet and Flying Doctors to present and discuss our Air attracting both the tourist community as conduct business with the many visiting Ambulance Services. well as the general public, whose spending agents and and tourist operators. power and personal experience play an Some of the exhibitions attended include; important part in the growth of tourism. The Fair has attracted regional in-bound tour

Left to right: Magical Expo 2019; handing out information operators, tourist boards, camping and safari at Karibu / Kilifair; KIMS Members Forum; Karibu / Kilifair registration companies, wildlife lodges and hotels, local and regional airlines as well as equipment manufacturers and logistical services, supporting the travel and tourism industry.

36 PROMOTIONAL OPPORTUNITIES

Marketing and Promotion

In 2019 AMREF Flying nternational conferences are important Insurance conference (ITIC) Doctors was well Iplatforms for AMREF Flying Doctors which took place in Malta. to strengthen its global presence and This event prides itself with represented at the ITIC relationships. These conferences provide hosting over 1000 delegates. AMREF Flying conferences hosted by an opportunity for representatives from the Doctors had a shared exhibition with Capital the Voyageur Group insurance/ assistance industry worldwide, as Air Ambulance under the “Wing to Wing” well as air ambulance operators to network banner. AMREF Flying Doctors’ outgoing and discuss medical service standards CEO, Dr Vadera, participated in panel together with quality of patient care. In 2019, discussions and gave presentations on all AMREF Flying Doctors’ senior management aspects of AMREF Flying Doctors’ work.

AMREF Flying Doctors team joined participated in a number of conferences, Other international conferences attended during the global Travel and Health Insurance including the global International Travel and this year included ITIC in UK and Hong Kong. community in Hong Kong for a three-day conference and exhibition.

1000+ 5 70+ 560+ attendees days countries organisations

Delegates at ITIC Global in 2019

37 AMREF HEALTH AFRICA THE GOLDEN CIRCLE - Strategy at a glance

RCEF RESOU UL

| Our Fo What cus

w | Our Ed

Ho ge

o I

I t T

a N

v U

u Why | Our Vision

o l

M T

The Golden Circle H

A n O

W I

f I

O r

R & i R Lasting Health c O Strategy at a Glance K G a h F

E n c R Change in r N S

a O I e s T Africa G C e E R N T

I O C R P N L A C I o A C V m d m se N N unity Ba I A I F IN B F D R E A T N C T A E H C N EA CE LTH SS S N SO ITIE LUT UN O ION OMM S & SERVICES FOR C C

Amref Health Africa 8 Global Strategy Pillars VISION Lasting health change in Africa

MISSION To increase sustainable health access to communities in Africa through solutions in human resources for health, health services delivery and investments in health

HUMAN RESOURCES INNOVATIVE HEALTH INVESTMENTS IN FOR HEALTH SERVICES AND SOLUTIONS HEALTH

STRATEGIC FOCUS AREA 1 STRATEGIC FOCUS AREA 2 STRATEGIC FOCUS AREA 3 Develop and sustain Human Resources for Develop and deliver sustainable health Contribute to increased investments in Health (HRH) to catalyse the attainment of services and solutions for improved access health to achieve Universal Health Universal Health Coverage in Amref Health to and utilisation of quality preventive, Coverage (UHC) by 2030 Africa target countries curative and restorative health services

STRATEGIC OBJECTIVES (SO) AND STRATEGIC OBJECTIVES (SO) AND STRATEGIC OBJECTIVES (SO) AND PRIORITY INTERVENTIONS (PI) PRIORITY INTERVENTIONS (PI) PRIORITY INTERVENTIONS (PI)

SO-1 Increase the number and skills matrix of SO-1 Increase access to quality promotive, SO-1 Develop and implement sustainable and mid-level and community level health preventive, curative and restorative scalable models to invest in health. workers. health services among women, children, PI-1 Develop and employ sustainable PI-1 Increase in numbers and skills adolescents and the youth. and innovative models for delivery matrix PI-1 Health services improvement of healthcare PI-2 Advocacy for HRH policy PI-2 Promotive health PI-2 Unlock public and private capital for health investments SO-2 Strengthen Leadership, Management SO-2 Increase use of health services and Governance (LMG) capacities within PI-1 Demand creation SO-2 r health systems. disadvantaged communities in target SO-3 Innovatively improve quality health PI-1 Enhanced LMG capacity for HRH countries in order to reduce out of services pocket expenditure. SO-3 Improve Human Resources for Health PI-1 Institutionalise quality PI-1 (HRH) productivity. protection for health PI-1 Optimising performance of HRH PI-2 Develop and test models for PI-2 Research and advocacy for productivity and retention SO-3 Advocate for increased investments and

sub-Saharan Africa. PI-1 Create an enabling environment for investment in health PI-2 Advocate for increased allocation and utilisation of funds in the health sector

CROSS-CUTTING THEMES GENDER RESEARCH ADVOCACY & POLICY INNOVATION

38 AMREF HEALTH AFRICA

Amref Hosts the 3rd Africa Health Agenda International Conference (AHAIC)

mref Health Africa, in collaboration Awith the Rwandan Ministry of Health co-hosted the 3rd edition of the Africa Health Agenda International Conference (AHAIC) at the Kigali Convention Center in Kigali, Rwanda on March 5-7, 2019. The conference was opened by Dr Diane Gashumba, the Rwandan Minister for Health and Guest of Honour, following a brief video-link message from the WHO Director General for Health, Dr Tedros Adhanom Ghebreyesus. The three-day conference brought together more than 1,800 delegates, among them scientists Dr Githinji Gitahi, Group CEO Amref Health Africa addresses delegates at the 3rd edition of the Africa and researchers, leaders from government, Health Agenda International Conference (AHAIC) health systems, addressing health multilateral agencies, the private sector, inequities, supporting community civil society, development partners, youth, the conference: health and ensuring universal access to advocates for health, as well as delegates • President Paul Kagame received the immunization. from 49 countries to discuss, debate and UHC Presidential Champion award • i-PUSH, an initiative of Amref Health share the latest scientifi c knowledge and for his relentless political leadership Africa and PharmAccess Foundation, evidence for achieving the vision of Universal and accountability to advance UHC in was launched at the conference with Health Coverage (UHC) in Africa. Rwanda, and serving as an example the aim to leverage mobile technology Organised around the theme ‘2030 Now: for the region while Ethiopia’s Minister to directly connect women to Multi-sectoral Action to Achieve Universal of Health was also recognised for healthcare fi nancing, quality healthcare Health Coverage in Africa’ the conference efforts to strengthen Primary Health and information empowerment. focused on four sub-themes – Access, Care, receiving the UHC Ministerial Quality, Financing and Accountability, Champion award. with specifi c objectives to bring together • Amref Health Africa and Results for diverse stakeholders to address how Africa Development launched the Strategic can accelerate progress towards UHC, Purchasing Africa Resource Centre exchange scientifi c knowledge and best (SPARC), a new resource centre to help practices on how new research, innovation African countries get more value for and political commitments can solve money from health spending. Africa’s health challenges and advance • The Women in Global Health (WGH) UHC. At the same time, the aim was to Africa Regional Hub was launched to identify and discuss gaps and challenges drive greater gender equity in global in implementing UHC in Africa, as well as health leadership in Africa. Delegates at the Africa Health Agenda International share home-grown solutions to address • Parliamentarians from Ghana, Kenya, Conference (AHAIC) these challenges. The main conference was Rwanda, Senegal, Tanzania and • The inaugural Excellence in Health preceded by a Youth Pre-conference (March Zambia launched the ‘Kigali UHC Journalism Awards were presented by 3-4, 2019) which was attended by more Communiqué’ committing to advance the Africa Media Network on Health, than 350 young people. Universal Health Coverage in their recognising health champions in the Several announcements were issued during countries, including by strengthening media. The award ceremony honoured journalists who have demonstrated outstanding merit in health reporting, and launched a new curriculum for journalist education in health.

AHAIC 2019 was convened through the generous support of GlaxoSmithKline (GSK), Swiss Agency for Development Cooperation (SDC), Takeda Pharmaceuticals, Philips, General Electric, Access Accelerated, Global Health Strategies, Elsevier, Result for Development (R4D), AMREF Flying Doctors, and the Strategic Purchasing Africa Resource Centre (SPARC) among other partners.

39 AMREF HEALTH AFRICA

A First for Amref International University Amref Health Africa Ofﬁ ces

Amref Health Africa in Africa Amref Health Africa in Ethiopia Bole Sub City, Woreda 03, House # 2310, P.O.Box. 20855 Code 1000, Addis Ababa, Ethiopia Tel: +251 11 662 7851 Fax: +251 11 662 7887 Email: [email protected] [email protected]

Amref Health Africa in Kenya P O Box 30125, 00100, Nairobi, Kenya Tel: +254 20 699 4000 Fax: +254 20 600 6340 Email: [email protected] Website: amref.org/kenya

Amref Health Africa in South Africa Hillcrest Forum Building 731 Duncan Street, (Corner Lynwood Rd), Pretoria, South Africa (Post Net Suite 92, Private Bag X19, Menlo Park, 0102) Tel: +2712 362 3135/6/3127 Fax: +2712 362 3102 Email: [email protected] Website: amref.org/south-africa

Amref Health Africa in South Sudan Opp UN-OCHA Juba Above from left: Prof Margaret Kobia, Chairperson of the University Council, Dr Githinji Gitahi, Group CEO Amref Health Africa, Mr. Omari Issa, Chairman of the Amref International Board of Trustees, H.E Festus Mogae, Tel: +249 955 442486 AMIU Chancellor and Prof Marion Mutugi, Vice Chancellor at the Inauguration of the fi rst Chancellor Email: [email protected] Website: www.amref.org 019 was a historic year for the Amref had completed their programmes in Amref Health Africa in Tanzania 2International University (AMIU), a pan- Comprehensive Reproductive Health and Ali Hassan Mwinyi Road, Plot 1019, African university that focuses primarily on Registered Community Health Nursing PO Box 2773, Dar es Salaam, Tanzania health sciences training with a commitment was held in December 2019. This was the Tel: +255 22 2116610 / 2130860 to progressively develop innovative institution’s first graduation ceremony after Fax: +255 22 2115823 programmes catering to the present and transitioning from the Amref International Email: [email protected] Website: www.amref.org future needs of African populations. Training Centre (AITC) into the Amref Early in the year, the University International University (AMIU). Amref Health Africa in Uganda inaugurated H.E. Mr Festus Mogae, Amref International University is an affiliate Plot 01 Okurut Road, Kololo, Kamwokya, Kololo, Kampala, Uganda the third President of Botswana as the of Amref Health Africa, and had been Tel: +256414346822 First Chancellor who will serve in the operating as Amref International Training Email: [email protected] position for a term of five years. He will Centre. According to World Health confer Degrees and award Diplomas and Organisation (WHO), Africa has a shortfall Amref Health Africa West Africa Hub Sacre Couer 3, Extension Villa No 105 en Certificates during graduation ceremonies of more than 800,000 health workers and face de l’école Sédar, Dakar, Senegal among other duties. The inauguration there is an urgent need to increase the Tel: +221 33 860 60 08 of the chancellor positioned AMIU to health workforce by 140% to meet the Fax: +221 33 860 60 03 hold graduations. The first graduation health needs of people. The University Email: [email protected] Website: www.amref.org of the first cohort of students who already contributes towards filling this gap. Amref Health Africa in Zambia Plot No.10484 Dambo Close, Olympia Bill & Melinda Gates offers $2.55 million Extension, P.O Box 31678, Lusaka grant to Amref Health Africa Amref Health Africa in North America Amref Health Africa in the USA A big win for Amref Health Africa in 2019 75 Broad Street, Suite 703, New York, was securing a grant of $2.55 million from BILL & MELINDA NY 10004, United States of America the Bill and Melinda Gates Foundation to Tel: +1 212-768-2440 GATES foundation Email: [email protected] support general operations. The funding was Website: www.amrefusa.org offered after an extensive review through Culture of empowerment, Enabling One its Partner Organization Effectiveness (PoE) Amref, Strategy execution and External Amref Health Africa in Canada process, and is meant to address the key focus for partnerships and thought 489 College St. Suite 403, Toronto, Ontario M6G 1A5, Canada areas identifi ed for our organization to move leadership. This funding is a fi rst of its kind Tel: +416 961 6981 from fi xing mode to growth and these are: and will run for over three years. Fax: +416 961 6984 Email: [email protected] Website: www.amrefcanada.org

40 AMREF HEALTH AFRICA

Amref Health Africa Holds Golf Tournament

Amref Health Africa in Europe to Raise Funds to Support Fistula Repair Amref Health Africa in Austria Nonntalerhauptstrasse 61, 5020 Salzburg, Austria Tel: +43 662 840101 Fax: +43 662 821224 Email: ofﬁ [email protected] Website: www.amref.at

Amref Flying Doctors in France 23 Quai Alphonse Le Gallo, 92100 Boulogne-Billancourt, France Tel : + 33 (0)1 41 13 07 41 Tel : (Direct Line) +33 (0)1 41 13 07 45 Email: [email protected] Website: amref.fr

Amref Health Africa in Germany Brunnenstrasse 185, 10119 Berlin, Germany Tel: +49 (0)30 288 733 81 Fax: +33 (0) 1 71 19 75 35 Email: ofﬁ [email protected] Website: www.amrefgermany.de

Amref Health Africa (Global Headquarters) PO Box 27691-00506 Nairobi, Kenya Above: Chief Guest at the 2019 Fistula Challenge Tournament First Lady H.E Mrs Margaret Kenyatta receives a Tel: +254 20 6993000 token of appreciation for her support towards ending female genital fi stula from Amref Group CEO Dr Githinji Gitahi Email: [email protected] and Health Services Strengthening Programme Director, Dr Elizabeth Wala. Website: www.amref.org mref Health Africa in Kenya hosted the and maternal morbidity. Amref Health Africa Italy Fistula Challenge Golf Tournament on The event raised Kshs 1.2M that will be Main offi ce: Via degli Scialoja n. 3 A 00196 Rome, Italy November 29, 2019 at the Karen Country used to meet the cost of reconstructive Tel: +39 0 699 704 650 Club to raise funds to support reconstructive surgery for women living with complications Fax +39 0 632 02227 surgery for women living with fi stula. Kenya’s caused by obstetric fi stula. Email: [email protected] First Lady H.E Mrs Margaret Kenyatta, a ‘‘Although maternal morbidity and obstetric Website: www.amref.it champion for women’s health through the fi stula are preventable, the two health Amref Health Africa Monaco Beyond Zero Initiative, graced the event conditions have continued to be a major Le Saint Andre, 20 Boulevard de Suisse and reaffi rmed her commitment to ensuring challenge to women due to lack of access Monaco 98 000 MC mothers have access to antenatal care and to proper care during delivery,’’ noted the Tel: +377 97 77 08 08 Email: [email protected] skilled deliveries to eliminate obstetric fi stula fi rst lady. Website: www.amrefmonaco.org

Amref Flying Doctors Netherlands Schuttersveld 9, 2316 XG Leiden The Netherlands Partnership with Schiphol Airport Tel: +31 71-576 9476 Email: [email protected] or the last three years Amref Flying working with Royal Schiphol Group - the Website: www.amref.nl FDoctors in the Netherlands has been 3rd largest airport in Europe. The airport is Amref Health Africa Nordic visited by around 70 Ofﬁ ce c/o Impact Hub, million passengers Luntmakargatan 25 annually. 111 37 Stockholm, Sweden As well as the Tel: +46 8 410 883 44 Email: [email protected] promotional campaign which has Amref Health Africa Spain raised over $200,000, Paseo de las Delicias, 20 2º-C, 28045 Madrid, Spain there are around Tel: +34.91.310.27.86 / +34.91.310.27.86 20 collecting boxes Fax: +34.91.319.68.12 where travellers can Email: [email protected] leave their foreign Website: www.amref.es currency. Schiphol Amref Health Africa UK employees, partners Lower Ground Floor, 15-18 White Lion and passengers have Street, London N1 9PD, raised over $900,000 United Kingdom Tel: (+44) 0207 269 5520 in the past three Email: [email protected] years. Website: www.amrefuk.org

41 FINANCES & INVESTMENT

Finance and Investments

espite going through a challenging fi rst experienced in the fi rst half of the year contributed to the weak performance in Dhalf of 2019, AMREF Flying Doctors leading to losses as the full overhead was in the year. These challenges were addressed was able to generate a net surplus by the place without corresponding revenue. For in the second half of the year leading to end of the year. instance, there was the cost of hiring and a turnaround, with the second half of the training new pilots for the jets early on in the year sales being higher than the fi rst half During 2019, the Group fully launched its year with the jets coming into full operations of the year sales. The net effect of this jet fl eet operations. However, operational later in the year. There were also challenges weak performance was a very tight liquidity challenges and additional costs were on the Maisha cover income and this also position for the better part of 2019.

Contract Business Maisha Subscription Income Other Income 8% 4% Training Income 0% 13%

21% Medical and Assistance Service Air Ambulance Income 54%

Future prospects With the investment in jets made in 2019 costs, aircraft availability and pricing. Plans The 2020 - 2024 strategic plan was recently fully in place, improved future ﬁ nancial are also underway to invest in an internal concluded and one of the focus areas of this performance is projected. The acquisition of satellite maintenance station which will plan is for AMREF Flying Doctors to expand its own ﬂ eet makes AMREF Flying Doctors further address aircraft repair costs and into new lines of business and growth of more competitive going into the future availability, as well as boosting the Group’s existing lines of business even further. with better control of staff, operational competitiveness going forward.

42 KEY FACTS

Operational Activity Total Patients

Charity Total Medical Standby Total First Aid Courses Evacs in 2019 Total Evacs - Transport Incubator Total Commercial Escort 9 Total Intnl Evacs - Citation Bravo Jet **AMREF Aircraft years **Subcharter Aircraft 62in the aeromedical transport industry

Total Night Evacs (>7pm) + Total No. 100subscriptions ,from000 the tourism Assistance Jobs industry for short-term air ambulance cover every year 793 total no patients 318 475 ground air

Clientele Status + 500medical helpline calls every month Maisha Members 42 49 91

NHIF 15 15 National Hospital Insurance Fund

SPA 83 234 318 Service Provider Agreement

Charity 5 4 9

Non Member 56 124 180

Tourist Scheme ‘B’ 6 21 27 United Nations Support Ofﬁ ce for AMISOM

UNSOA 55 28 83 United Nations Support Ofﬁ ce for AMISOM Ground ambulance BATUK 67 67 Air British Army Training in Kenya ambulance

0 50 100 150 200 250 300 43 SPECIALIST OUTREACH PROGRAMME

Six Decades of Delivering Specialist Care

n 1957 the three founders of AMREF IFlying Doctors, Sir Archie McIndoe, Sir Michael Wood and Dr. Tom Rees, all reconstructive surgeons, had been caring for patients in the remote hospitals of Kenya and Tanzania. They had seen the need for Specialist surgical care to be taken to these rural hospitals of East Africa, as they had seen patients waiting in these hospitals for months. They recognised that if they could take their expertise to these places, these patients could benefi t. By setting up AMREF and its Flying Doctor Service, this Specialist Outreach project became the corner stone of the Organisation. 62 years later the original concept of taking specialist care to the needy areas still continues, although with better roads, mobile coverage and domestic air routes, the programme has changed. These pages refl ect how the patients of Ethiopia, Kenya, Tanzania and Uganda still benefi t from the original dream of AMREF Flying Doctors’s Founders. Kenya Restoring the Dignity of Women with Fistula r Anthony Wanjala is an Obstetrician- and has provided corrective surgery DGynaecologist, Fistula and Head services to over 250 Fistula patients and of the Department of over 300 gynaecological Reproductive Health Fistula cases in that time. at Kapenguria Country 213 surgical Dr Wanjala feels that 'The Teaching and Referral repairs partnerships that this Hospital in Western carried out in 2019 programme has forged with Kenya. Dr Wanjala County Governments have started working with the Specialist had a positive impact on health promotion Outreach Programme in September 2016 and well-being of the general population'.

Uganda

Sir Archie McIndoe’s grandson visits AMREF Flying Doctors amie Bebb, grandson of AMREF Flying JDoctors’ Founding Father, Sir Archibald McIndoe, pointing out the name Sir Archie on the new AMREF Flying Doctors' jet. Jamie was visiting with Angie his wife, together with UK Director of Fundraising, Katie Greywood, and other UK Philanthropy Team members, Patrick Disney, and Charles Fitzherbert. The UK team were hosted by Dr Joseph Lelo, James Kimuri, Ephraim Kanuri and Carolyne Achieng. Outreach Eye Camp, Kitgum, Northern Uganda.

44 SPECIALIST OUTREACH PROGRAMME

Ethiopia Constance van Haeften

mref Health Africa in In Memoriam AEthiopia mobilised n September 2019, gynaecologists and an Ithe former Executive anaesthetist from Addis Ababa Director of AMREF to perform the UVP (Uterine Flying Doctors in the Prolapse Repair) for women Netherlands, Constance suffering from this problem. van Haeften passed Here, a patient is receiving away. From 1994-2004 the services of the clinical and Constance led the offi ce’s surgical Outreach for UVP in transformation from a volunteer organisation one of the rural communities to a high successful fundraising organisation. in Jinka, Southern Ethiopia. During that time King Willem-Alexander (then Crown Prince) became Patron of the organisation in the Netherlands, and Amref Ethiopia clinical outreach intervention – 2019 Constance organised successful visits for Activities benefi ciaries /participants the Patron to revisit AMREF’s work in Kenya. Patient operated on 50 These followed the Crown Prince’s original Consultations made 65 three-week stay with AMREF in 1989, when as well as seeing work in the fi eld he International TOT essential and basic burn training for doctors & nurses 40 frequently fl ew the AMREF Flying Doctors International advance burn training for nurses 32 planes. Constance was responsible for the Local essential basic burn training for nurses and doctors 102 Government of the Netherlands’ sponsorship of two Grand Caravan Cessna aircraft to Basic burn training for community workers (health extension workers) 125 AMREF Flying Doctors. After her retirement Community research and survey on burn prevalence 1 Constance was honoured by receiving the Annual assessment of Key hospital burn services 4 Order of Orange Nassau. She retained a close interest in AFD’s work until her death.

Tanzania Tribute to Specialist pecialists from KCMC referral hospital in patients from ﬁ ve different rural hospitals. Outreach Surgeon: SArusha, packing their medical equipment The Specialist Outreach Programme into an AMREF Flying Doctors plane before continues to provide specialist healthcare Professor Jimmy James departing to different remote communities services to rural and hard to reach In 1977 Michael Wood invited Jimmy James in Tanzania. These specialists will attend communities as it has for the last 62 years. to work with Amref’s Specialist Outreach programme to do Leprosy reconstruction and general surgery. Jimmy brought his family to Kenya where he worked until 1981. He also learnt to ﬂ y and frequently piloted himself. In 1996 Jimmy was highly involved in setting up COSECSA (College of Surgeons for East Central and Southern Africa) and became its Secretary General. He was also responsible for setting up a Burns Unit in Malawi. Jimmy retired to Scotland and died of cancer at his Scottish home in December 2019. Remembering Jimmy James: Dr Bill Adams Ray, who followed Jimmy as Reconstructive Surgeon for the Specialist Outreach programme. TOP 5 CONDITIONS ATTENDED TO: “Jimmy James turned out to be a wizard Urological conditions, Cardiovascular, Diabetes, Gynaecological, ENT Consultations 432 of surgery. Humour, Medical Staff trained in Opthalmology 62 connecting and teaching colleagues and General Operations 559 staff, trying to explain to worried parents what is planned for their child, are all Medical Staff trained by General Surgeons, Gynaecologists, specialists in Neonatal, 1780 where Jimmy James excelled.” Obstetrics, Urology, Endocrinology, Opthalmology, ENT and Biomedical Engineers

45 ROYAL FLYING DOCTOR SERVICE – AUSTRALIA

he words of the Revd. Dr. John Flynn, Tthe founder of the Royal Flying Doctor Service of Australia (RFDS) to provide a ‘Mantle of Safety’ for pastoralists, miners, road workers, railwaymen and other settlers, of the remote Australian bush inspired Sir Michael Wood in 1957 when he was struggling to set up the Flying Doctors of East Africa (later to become AMREF Flying Doctors). beginning 91 years ago. In those days they In addition to the aircraft Revd. Flynn realized had a single DH 50 Victory plane leased from early on the need to have a radio network and Quantas on a one year trial. was responsible for the Traeger’s famous pedal In 2019 the RFDS has a fl eet of 71 planes, radio which had a transmission range of 300 123 road service vehicles and 1,500 have the continuing support and sharing of miles! The RFDS radio network linking up the professionals provide extensive primary expertise with the RFDS, particularly through rural and distant hospitals, was also a feature healthcare and 24-hour emergency services former AMREF Flying Doctors Chair, Capt. that Sir Michael Wood recognized as vital to the to people over an area of 7.7 million square Clyde Thomson who served with the RFDS success of the Flying Doctor Services. kilometers covering the whole continent for 40 years. At one time the AMREF Flying Doctors radio of Australia. It is interesting to note that H.R.H. The Prince network was the largest in Eastern Africa. In of Wales is Patron both of the RFDS as well 2019 the AMREF Flying Doctors Operations RFDS travels the equivalent of 34 trips to as the AMREF Flying Doctors support offi ce the moon and back every year. and Control Centre radio network boasts a in Amref Health Africa UK. continent wide capability. RFDS recommended that AMREF Flying The RFDS is now one of the largest and most Doctors should procure two Pilatus aircraft. The RFDS provides the fi nest care to over people comprehensive aeromedical organizations in This advice has proved invaluable. AMREF each year. 280,000 the world, and has come a long way since its Flying Doctors is grateful and proud to That's one person every two minutes!

Rio Tinto LifeFlight PV-24 jet 'Kimberley', Jandakot Base, Western Australia Images provided and owned by Royal Flying Doctor Services

46 PROFESSIONAL PARTNERS

n a joint and relentless effort, Malteser Iand AMREF Flying Doctors are constantly aiming to provide the best medical care to patients. Malteser Service Centre has been using the high-quality services provided by AMREF Flying Doctors for over 20 years. The ability to evacuate a patient out of an area with limited medical care and bringing him or her to Nairobi for further stabilization is a key process in organizing medical evacuations. Once the patient has been stabilized, the Malteser Service Centre is able to bring the patient to his or her home physiology. By maintaining a range of country via air ambulance or commercial anesthesiologists, internists, pediatricians, airline with a medical escort. surgeons and other specialists, as well as Malteser Service Centre is established additional paramedics and ICU-nurses, as one of the leading medical assistance they can cover a wide spectrum of medical companies in Germany. National and cases and ensure safe evacuations. Contact: international clients have placed trust in All crew must undergo regular training Johannes Hoischen their services since 1992. Air ambulances, sessions and exams throughout the year. International Network medical escorts on commercial fl ights, This ensures that each staff member is up and Repatriation medical reports and cost containment to date with the newest regulations and Malteser Service Centre services are only a part of the scope of medical treatment of patients. Erna-Scheffl er-Strasse 2, services offered by Malteser. Every air ambulance is fully equipped 51103 Köln, GERMANY From an aviation perspective, Malteser with Hamilton T1, Zoll-X-Series, Propacq Phone: +49 (0) 221 98 22 9503 Flight Services are operating air LT, I-STAT Blood Gas Analyser, Zoll Fax: +49 (0) 40 694597 61339 ambulances (three Learjet 55s, three AED, Intensive Care Bag, Akkuvac Email: [email protected] Learjet 35As, and one Learjet 36) in Recuse Suction Unit, Fresenius cooperation with their aviation partner. Injection Pumps and additional special Website: Malteser employs highly-trained medical equipment, as needed depending on the www.malteser-service-center.de personnel – all are specialized in fl ight patient’s condition.

47 PROFESSIONAL PARTNERS

WING 2 WING AIR AMBULANCE ALLIANCE

The Wing 2 Wing air ambulance alliance we can transfer patients seamlessly from between Capital Air Ambulance and the tarmac to hospital bed – providing AMREF Flying Doctors allows us to an unparalleled quality and continuity of provide a consistent level of high-quality care, from start to fi nish. patient care and a rapid response, on a global basis – with a guaranteed bed- to-bed service. There is a natural fi t to our partnership as we are both EURAMI accredited to the same high international standards, our combined jet fl eet can mobilise fast, connecting the two largest continents with the rest of the world.

We have aligned our medical protocols, equipment and staff to operate at the same levels which means, for insurers and assistance companies, arranging a global medical assistance ﬂ ight is now more convenient, straightforward and reliable – with only one operations centre and set of logistics to deal with. We are highly competitive on price, compared to using two separate air ambulance Lisa Humphries, Managing Director of Capital Air services to complete the transfer and, Ambulance, together with Dr Bettina Vadera at the signing of the Wing 2 Wing Agreement between AMREF through our ﬂ eet of ground ambulances, Flying Doctors and Capital Air Ambulance. ATTA

48 PROFESSIONAL PARTNERS

KATO The Kenya Association of Tour Operators whose membership is of benefi t to KATO. KATO (formed in 1978) is one of Kenya’s These fall under the affi liate and corporate leading tourism trade associations, membership categories. representing the interests of over 400 of the All KATO members are bound by the rigid most experienced tour operators in Kenya. rules of their own Code of Conduct. The Our membership comprises both large and Association ensures that all its members small operators. provide the highest standard of service to KATO’s Objectives: clients. Any complaints that may arise are • To ensure that Kenya Tour Operators handled by our Ethics and Standards Sub- maintain the highest possible standards of Committee in liaison with the Ministry of service and integrity. Tourism. • To provide information to members, clients In enhancing our client’s perception of and agents towards benefi cial relations. credibility and quality, KATO has introduced • To create business opportunities a Bond Scheme for all their members, for members. with the key objective of offering fi nancial • To lobby for the interests of KATO guarantee to all their clients. members in the formulation and For a complete listing of our members, implementation of government policy please visit: www.katokenya.org and legislation. • To mediate disputes between members Kenya Association of Tour Operators KATO and trade partners. Place (opposite Shelter Afrique Centre), Our Members Membership of KATO is open Upper Hill, to all licensed tour operators who meet P. O. Box 4846100100, Nairobi, KENYA our basic requirements as provided in the Dropping Zone No. 174, Biashara Street, Constitution. There are three main Revlon Plaza Phone: +020 2713386 / membership categories for tour companies, 2726517/ 2622961 / 2417864 Cell: +0722 namely full, associate and provisional. 434845 / 0713 762076 There is also a provision for non-tour Email: [email protected] operating companies allied to tourism and Website: www.katokenya.org

TATO Tanzania Association of Tour Operators TATO’s Objectives: was established in 1983 to promote and • To promote and facilitate members to represent individual tour operators in the provide marketable tourist services into country and at the international level. the local and world market. The association was established at the • To act as a link between government peak of the economic crisis in Tanzania. and its institutions in the promotion of At that time, the economy was centrally tourism in Tanzania. planned and dominated by the public • To co-ordinate its members and help sector, while the private sector was small them in all technical matters pertaining and struggling. to tourism both at a national and The purpose of TATO was considered international level. important as a united front to advance • To promote tour operators ability the interest of private tour operators to interact with the community at by engaging the government through large and to protect the interest of dialogue in the promotion of tourism, and individual tourists. at the same time acting to promote high For a complete listing of our members, tourist service delivery, both nationally please visit our website: www.tatotz.org and internationally. Also, to promote mutual expansion of the For more information, contact tourism sector both internally and at an 11 Simeon Road, Phyilips Area international level by opening avenues of P.O Box 6162 marketing in relation to other bodies such Arusha as TTB and the Ministry of Tourism. Website: www.tatotz.org Currently, TATO is composed of more than 200 members.

49 PROFESSIONAL PARTNERS

European Air Ambulance

Partners for rapid response he services provided by AMREF Flying assistance companies, governments and TDoctors and European Air Ambulance NGOs, corporations and individuals. missions from Eastern are perfectly complementary, and already Africa to Europe have many years of experience of working Its team of experienced multi-lingual medical together. European Air Ambulance relies experts includes specialists in neo-natal on AMREF Flying Doctors for medical and paediatric care. EAA can organise the evacuation out of remote areas to fl y patients complete transport of the patient - alerting Contact: into an international airport, where EAA the appropriate medical staff and fl ight crew, European Air Ambulance can perform a wing 2 wing transfer of the preparing the aircraft with all the necessary patient to one of its aircraft for transport medical equipment and medicines, 24/7 Sales Department & back to Europe, North America or any other consulting with the physicians who have Mission Control Centre requested destination. already treated the patient, planning the fl ight Phone: +352 26 26 00 route, coordinating delivery of the patient Fax: +352 26 26 01 Over the years, EAA has proven itself to be a to the pick-up airfi eld and ensuring ground leader in providing global patient repatriation transport at the other end. Email: [email protected] services. It is a commercial operation that Website: www.air-ambulance.com provides a range of worldwide air ambulance EAA co-ordinates a fl eet of 6 air ambulance repatriation services to insurance and aircraft, LearJet 45XR, all fi tted with state-of- the-art medical equipment and supplies to ensure the best possible patient care in the air. These aircraft are based in Luxembourg.

All EAA missions are staffed by an experienced intensive care medical team consisting of at least one physician and one ﬂ ight nurse. EAA can choose the physician from a large pool of anaesthetists, neonatologists, paediatricians, gynaecologists, obstetricians or other specialists, depending on the patient’s medical condition.

“We greatly appreciate the professionalism, experience and ﬂ exibility of AMREF Flying Doctors. In our mind, AMREF has the best knowledge and expertise for Africa in general and East Africa in particular,” says Patrick Schomaker, Director of Sales and Marketing at EAA.

50 PROFESSIONAL PARTNERS

Making the impossible possible.

SUN. 05:30 SUN. 08:30 LIFT-OFF Remote Russia. Patient faces Turn and Burn. Medical crew We achieved the impossible by grueling 12-hour drive to airport. flown to remote area; patient is turning a 12-hour drive into a Likely won’t survive the trek; loaded in helicopter. 4-hour transport, ensuring the Gateway International EMS is safety and comfort of the patient. called to help find a better way.

SUN. 06:30 SUN. 10:30 Solution Found. We coordinated Arrive at Airport. Within 4 ground ambulance and helicopter hours, patient handed over transportation. to Air Ambulance company.

Our network of 3,000+ providers across the globe

ANCILLARY ASSISTANCE SERVICE PROVIDER OF THE YEAR help close the gap when your patients need it most.

Worldwide EMS Solutions, Simplified™ | Call Us 24/7: +1-888-828-5258 | gateway-ems.com | [email protected]

Quality communications is a major factor in the success of AMREF Flying Doctor, aero-medical operations. It is, therefore, so appreciated to get the ISTAT Foundation donation of $6,000 in support of upgrading the current equipment.

51 PROFESSIONAL PARTNERS

Proud supporters of AMREF Flying Doctors

AMREF Flying Doctors would like to say a very special thank you to all our professional partners. With their help and generosity, we have been able to produce our most comprehensive annual report to date.

A HUGE THANK YOU TO YOU ALL

52 2019 Evacuations by Nationality EUROPEAN OTHERS BRITISH Of the 792 patients, the nationalities most frequently 181 58 evacuated during the period of this report were: 122

OTHERS (AFRICAN) 45

AUSTRALIAN / NEW ZEALANDERS 9

AMERICAN 62

SOUTH RWANDAN BURUNDIAN AFRICAN TANZANIAN KENYAN UGANDAN SOMALI ETHIOPIAN 16 15 9 10 195 35 6 29 AMREF FLYING DOCTORS AMREF Flying Doctors 24 Hour Emergency Contact Details

YEAR IN REVIEW Emergency Contacts 2019 2019

Tel: +254 20 699 2222 / +254 20 699 2299 IN YEAR Mobile: +254 730 811 811 / +254 709 962 811 Fax: +254 20 600 0665 Email: Emergency@ﬂydoc.org REVIEW

Radio Frequencies HF: 9116kHz LSB / 5796 kHz LSB

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