METHODIST CHURCH NIGERIA AMAUDO ITUMBAUZO

2016 ANNUAL REPORT

AMAUDO ITUMBAUZO PROVIDING MENTAL HEALTH CARE AND COMMUNITY BASED REHABILITATION (CBR)

2016 ANNUAL REPORT

2016 01-12 AMAUDO IS COMMUNITY WHERE WE WORK WORSHIP PLAY EAT & CELEBRATE TOGETHER

CENTRE FOR MENTALLY ILL DESTITUTE (Healing heads, hearts and humans) P.M.B. 1020, Bende, Abia State, Nigeria email: [email protected] Website: www .amaudo.org TEL: 08074771781 VVISIONISION A world, in which people with mental illness and Children with Physical and learning disabilies are accepted, supported and have their human rights upheld by their families, communies and society.

MISMISSIONSION Amaudo Itumbauzo implements programmes which support, inform and rehabilitate people with mental illness and Children with physical and learning disabilies. Amaudo challenges human rights abuses, advocates for equal opportunies and is commied to ensuring that mental health issues make it onto the health agenda of policy makers

Board Members 1. Rt. Rev O. C. Chiemeka (JP) - Chairman 11. Dr. (Mrs.) Nwakanma N C. 2. Sir Emmanuel Ndukwe (KJW) 12. Mrs Nnenna Chikezie 3. Sis. Rosalind Nkechi Colwill 13. Chief (Mrs) Hazel Kalu 4. Very Rev I.O Ekeke 5. Rector MTI Umuahia 14. Mr. John Mba 6. Sir Emerson Nwakanma (KJW) 15. Elder Stanley O. Uwadinachi 7. Sir Eddy Ogbonna (KJW) 16. Barr. Acho Ochonma 8. Dr. G. O. C Okafor 17. Very Rev Kenneth E. Nwaubani 9. Bro Chukwemerie E. Ikechukwu 10. Mr. Nkwachukwu Agomoh DIRECTOR’S REVIEW

n 2016, Amaudo continued to provide rehabilitation for people Iwho are mentally ill and homeless including rehabilitation for children with physical and learning disabilities in Abia State and beyond. The Centre focused on picking 56 people who are mentally ill and h o m e l e s s o f f t h e s t r e e t s f o r rehabilitation. We targeted to successfully rehabilitate, discharge and reunite 30 people who are mentally ill and homeless with their families. Other targets include provision of affordable and accessible mental health care for Very Rev. Kenneth Nwaubani people with mental illness in local (Director) communities through 54 nurses lead community mental health clinic Amaudo picked 49 people who were i n c l u d i n g c o m m u n i t y b a s e d mentally ill and homeless off the street rehabilitation (CBR) for 180 children for rehabilitation at the centre in with physical and learning disabilities Itumbauzo. 30 people of the number in 3 Local Government areas in Abia picked were rehabilitated and certified State. mentally stable to live with their families and society. They were discharged and reunited with their The centre set to achieve these targets rd through picking of mentally ill destitute families on 3 December, 2016. off the major streets of cities in Abia Rehabilitation was provided for 180 State for rehabilitation, identification children with physical and learning and visit of children with disabilities in disabilities like cerebral palsy, physical communities for rehabilitation, impairment, down syndrome, autism creating awareness on mental health spectrum and mental retardation in and referral of people with mental their communities in Bende, Ohafia and illness to the 54 community mental Isuikwuato Local Government Areas health clinics located in Local of Abia State. Parents of the children Government Area in South East were supported and educated on how to Nigeria. manage their children at home.

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 01 need”. The WHO maintained that with We recorded total of 701 new referrals proper care, psychosocial assistance to the community mental health clinics and medication tens of millions could for treatment and 9577 visits to the be treated of depression, schizophrenia, clinic for treatment by old clients. The and epilepsy, and prevented from community mental health programme suicide and begin to lead normal lives- helps to address the problem of even where resources are scarce. This is affordable and accessible mental health the reason Amaudo Mental Health Care care thereby closing the mental health Programmes are very important and gap in Nigeria. relevant in Nigeria. Aware of the human rights of the people with mental illness to live in healthy Amaudo is committed to strengthening and safe environment and committed to collaboration with local and foreign respect and promote those rights, partners to ensure that quality and Amaudo embarked on projects to evidence based mental health care is assure the Health, Safety and Dignity of provided for people with mental health people with mental illness undergoing problems as well as advocating for their rehabilitation at the centre at human rights. Amaudo will also Itumbauzo. The projects include a continue to provide community based water sanitation project which rehabilitation for children with converted 34 pit toilets to water system physical and learning disabilities. toilets and reticulation of water to all residential houses, reroofing of We therefore urge all our partners to 5residential houses with long span continue to support Amaudo to provide aluminium roofing sheets, purchase of treatment, care and support for people 84 new iron bed and 80 new foams, with mental illness and children with refurbishment of residential houses and physical and learning disabilities in others. Abia State and other parts of South East Nigeria. According to the WHO “mental, neurological and substance use disorders are common in all regions of the world, affecting every community and age group across all income countries. While 14% of all the global burden of disease is attributed to disorders, most of the people affected – 75% in many low – income countries do not have access to treatment they

PAGE 02 METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO DETAILS OF THE 2016 REPORT

REHABILITATION OF PEOPLE WHO ARE MENTALLY 1. ILL AND HOMELESS IN 2016

maudo targeted to pick 56 people reintegrated with their families and society. who are mentally ill and homeless This reveals that we achieved 80 % of our Ain 2016 for rehabilitation. The target for picking and 100% of people with centre also targeted to achieve successful mental illness targeted for successful rehabilitation of 30 people out of the 56 rehabilitation and reunion with families. people picked for rehabilitation.

49 people who were mentally ill and homeless were picked off the streets of major cities in Abia State like Umuahia, Aba, Ohafia. They were taken to the centre at Itumbauzo for rehabilitation.

30 people with mental illnesses were successfully rehabilitated, discharged and

Figure 1 Cleaning up a new resident

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 03 THE 2016 DISCHARGE AND REUNION SERVICE 2.FOR 30 REHABILITATED RESIDENTS The 2016 discharge service was C h a i r m a n R t . R e v O . C Also in attendance were the held on 3rd December 2016 at Chiemeka. The service was Ladies of Knights of the Amaudo centre. attended by the wife of the Archdiocese of Umuahia led by The service is a ceremony to Executive Governor of Abia the Chairperson Lady Ngozi E mark the successful recovery of State Mrs Nkechi Ikpeazu who Alighili and Members of the the people who are mentally ill was ably represented by the wife host community and the Media. and homeless from their of the Deputy Governor of Abia The service featured formal sickness and the joy of reunion S t a t e L a d y Vi v i a n U d e discharge and reunion of with their families. Okochukwu. Other dignitaries discharged residents with their included Kate Lumley and relatives, donation of gifts to 30 residents who completed Daniel Warren from Amaudo U Amaudo by the wife of the their rehabilitation and were K , Sir Emma Ndukwe the Governor, Ladies of Knights certified mentally stable to live Chairman of Management, The and other dignitaries. with their families and society Honourable Commissioner for participated in the service. 25 Women Affairs and Social During the service the Director representatives of various D e v e l o p m e n t w h o w a s of Amaudo Very Rev Kenneth families of the discharged represented by Dr (Mrs) Nnenna Nwaubani and the Board residents were at the service for Chikezie the Permanent C h a i r m a n R t . R e v O . C the reunion and reintegration Secretary and other staff of the Chiemeka in their separate with their relative who has Ministry , Pastor Okey Dike the addresses urged the wife of the recovered from mental illness. T r a n s i t i o n C o m m i t t e e Governor of Abia State to plead C h a i r m a n B e n d e L o c a l with the Governor to rehabilitate The discharge service was Government Area. the Amaudo road which has o f fi c i a t e d b y t h e B o a r d been in a deplorable condition.

Figure 2 Lady Vivian Ude Okochukwu wife of the Deputy Governor Abia State made donations to Amaudo on behalf of the Wife of the Governor

Figure 4 Lady Ngozi E, Alighili (Ph.D) Figure 3 Lady Vivian UdeOkochukwu Chairperson Ladies of Knights Archdiocese of handed over discharge certificate to one the Umuahia handed over discharge equipment to a discharged residents discharged resident

PAGE 04 METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO TRAINING FOR RELATIVES OF DISCHARGED RESIDENTS ON “MENTAL HEALTH AND SUPPORT SKILLS FOR PEOPLE WITH 3.MENT AL ILLNESS AT HOME” H a v i n g i d e n t i fi e d T h e 2 0 1 6 t r a i n i n g o n e d i s c u s s i o n a n d ignorance, wrong beliefs, program for the relatives counselling. stigmatization and poor of discharged residents care as major causes of w a s h e l d o n 2 n d The training was attended relapse of discharged D e c e m b e r, 2 0 1 6 a t b y 2 5 r e l a t i v e s o f r e s i d e n t s , A m a u d o Amaudo Chapel el of discharged residents. The developed a training Peace. The training which participants felt informed program on “mental w a s c o n d u c t e d t h e and supported hence they health and support skills D i r e c t o r Ve r y R e v were happy to reunite

for people with mental Kenneth Nwaubani and with their relatives who i l l n e s s ” f o r f a m i l y M r E l u w a G o d f r e y have recovered from members of discharged focused on mental health, mental illness and to residents as part of h u m a n r i g h t s a n d support them at home. activities to prepare them psychosocial support. f o r s u c c e s s f u l P r i v a t e i s s u e s a n d reintegration with their questions raised by families and to reduce p a r t i c i p a n t s w e r e relapse cases. addressed through one on

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 05 COMMUNITY MENTAL HEALTH 4. PROGRAMME The Community Mental increase in referrals in some referrals to the clinics. Health Programme was clinics. Some clinics however The Community Mental designed to provide affordable had less referral. It was H e a l t h P r o g r a m m e and accessible mental health noticed that the referrals were maintained a strong drug care for people with mental carried out by someone revolving fund which made it health problems in the members of the communities possible for the Nurses to sign communities .The programme who have become aware of the up psychotropic drugs from also provides mental health Amaudo rehabilitation centre the community mental health care for the people with and the Community Mental programme supervisors when mental illness who were Health Programme. Stories of requested with out running out rehabilitated by Amaudo successful treatment of people of drugs. when they have returned to with mental illness by the their communities. The Community Psychiatric However the Community Community Mental Health Nurses in the clinics also Mental Health Programme Programme helps to close the encouraged people to visit the was challenged by increase in gap in mental health care in clinics. The activities of the t h e n u m b e r r e t i r i n g Nigeria. Self Help Groups in such psychiatric Nurses and poor In 2016 the community mental Local Government Areas enrolment of students for health programme recorded equally contributed to the training as psychiatric nurses.

maudo still support 9 Self Help Group (SHG). Members of the Self Help Groups (SHG) 5. THE SELF HELP GROUPS Awereactive in their routine active like monthly meetings in 2016. The monthly meetings enable them to come together to relate with each other, review the mental health care they receive from the clinics, review their individual mental health status and drug compliance. They equally discuss their performance in the small scale business which some of them are engaged in for livelihood and the micro nance credits which Amaudo provided for them. Two members of the Self Groups Mr Ifeanyi and Zitawere invited by Amaudo to speak to the residents who were discharged on 3rd December, 2016. They shared their experience on the road of recovery from mental illness and encourage the residents to take their medication as prescribed. It was very inspiring to listen to Ifeanyi and Zita share their experiences the residents who were preparing to be reunited with their families. The residents and their family members who were present at the event were encouraged by the testimonies of Ifeanyi and Zita. It was also good experience for Ifeanyi and Zita and Amaudo used the event to prepare them for advocacy and members of the Self Help Groups.

PAGE 06 METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO PROJECT COMFORT COMMUNITY BASED REHABILITATION (CBR) FOR CHILDREN WITH 6. PHYSICAL AND LEARNING DISABILITIES Project Comfort Consolidated the successful collaboration with communities in providing rehabilitation for children with disabilities inBende, Ohahia and Isuikwuato Local Government Areas where the project is providing community based rehabilitation for children with disabilities.

9 new eld workers joined the project bringing the number of volunteer eld workers to in Bende and Isiukuato Local Government Areas to 15. There are 180 children with physical and learning disabilities receiving rehabilitation through periodic visit by Project Comfort team of staff.

7. THE STORY OF THE YEAR

SHE WAS MENTALLY ILL AND WANDERED AWAY FROM HER HOME. HER MOTHER AND OTHER MEMBERS OF HER FAMILY WERE ANXIOUS TO FIND HER SO THEY CONSULTED THE PRAYER HOUSES. ONE PRAYER HOUSE TOLD THEM THAT SHE WAS DEAD. THE OTHER PRAYER HOUSE SAID SHE WAS MARRIED TO AN UNKNOWN MAN WHO HAS IMPREGNATED HER AND SHE WILL NEVER BE FOUND. BUT AMAUDO PICKED HER FORM THE STREET AND REHABILITED HER AND REUNITED HER WITH HER MOTHER AND FAMILY. THOSE MASSAGES FROM THE PRAYER HOUSES WERE FALSE

A young girl (name withheld) was picked by Amaudo on 14th February, 2016 along Uzuakoli road Umuahia where she was roaming the street. She was found to be mentally ill and she had speech impairment. But she was literate so she was able to write her name and home town as she became mentally stable at Amaudo. Amaudo took to her to Enugu her home town for home tracing. She was first taken to her secondary school in Enugu. The school mates who knew her were all surprised to see again because they were not expecting to see alive based on the false information from the prayer houses on her where about. The school teachers revealed that she was 16years old and in Senior Secondary School 3. She was about to write her final exam before she had mental health problem and she wandered away from the School. The school authority assisted Amaudo to trace her family. On seeing their daughter they family members were bewildered. They could not believe that she is alive. Her mother was short of words. She had given up hope on her daughter returning home because revelations from the prayer houses which she visited to know where she was. The 'pastors' of the prayer houses gave her revelations which indicated that it was of no value to look for her daughter. One of the pastors during a prayer informed the girls' mother that her daughter has died hence there was no need to look for her. Another pastor of another prayer house informed her that her daughter had married an unknown

PAGE 07 METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO man and that she was pregnant hence looking for her would be useless.

On the day Amaudo brought the girl who had been rehabilitated back to her home to reunite with her mother was emotionally confused because of false information given to her about her daughter who wandered away. Mama could not believe that her daughter was alive and back to her house. She was very thankful to God for his mercy. All the revelations from the prayer houses were totally false. The young girl was not dead and she was neither married nor pregnant. Amaudo will continue to bring hope to the people who are mentally ill and homeless and their families.

8. PROJECTS COMPLETED IN 2016 In recognition of the human rights of the people with mental illness undergoing rehabilitation at AmaudoItumbauzo and the need to provide a habitable environment for rehabilitation, Amaudo embarked on projects to assure the Health Safety and Dignity of the residents and staff in the community.

THE WATER /SANITATION PROJECT address these needs through 1. Conversion of 34 pit toilets in Amaudo The centre's 34 pit toilets were constructed in 1989. At 2014 most of the pit toilets had to water system toilets. either filled up or were broken. The poor 2. Construction of 20 feet steel water state of the toilets resulted to poor odour and other unhealthy conditions at the centre. storage stand with 4000 gallons Moreover the water pipelines were capacity plastic tanks constructed with iron pipes which had 3. Reticulation of water to the residential rusted. Thus the water was not very safe for drinking. Also the water supply at the centre buildings, the dining hall and kitchen was not enough for everyday use. The water/ sanitation project was funded The poor condition of toilet facilities and by Amaudo UK and was completed in water supply systems indicated the need for 2016 at Amaudo improved modern toilet facilities and improved water storage and supply The project was dedicated by Rt. Rev O C rd systems. The water sanitation project will Chiemeka on 3 December, 2016. METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 08 Figure 7. Rt. Rev O C Chiemeka Dedicated Figure 5The water project of the water project.

Figure 6 A resident washing hands in a wash hand basin

his project has really improved the sanitation of Amaudo centre. There is Tadequate and easily accessible water for staff and resident's needs.

The toilet facilities have been improved and there are presently enough toilets for staff and residents. The poor odour caused by over filled pit toilets has since disappeared at the centre. Figure 8 Kate the CEO of Amaudo UK opened 1 of the taps aer dedicaon

PAGE 09 METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO RE-ROOFING OF 6 RESIDENTIAL BUILDINGS WITH LONGSPAN ALLUMINIUM ROOFING SHEETS

n continuation of the buildings since 1989 have Amaudo UK and Human r e r o o fi n g o f 1 5 b e c o m e w e e k , w e Resources Development Iresidential houses complete the re-roofing of Umuahia. In all we have which have multiple 5 residential buildings completed the reroofing leakages because the w i t h L o n g s p a n of 9 buildings reaming 6. locally fabricated roof tile aluminium roofing sheets u s e d i n r o o fi n g t h e through the support of

- Figure 9 Old roof - - Figure 10 New roofs - PURCHASE OF 80 NEW 6X8 FOAMS AND 84 NEW 6X8 IRON BEDS:

n line with our plan to broken were also assessed. We the purchase of 80 new foams renovate or build for health, therefore purchased 80 new a n d 8 0 n e w b e d s w h i l e Isafety and dignity of the foams covered with mackintosh Worcester Link Group UK residents we assessed the foams and 84 new iron beds for the use funded the purchase of 4 beds. and beds which they use and o f r e s i d e n t s u n d e rg o i n g The new beds and foams have found out that most of the beds rehabilitation at the centre. greatly improved the sanitary were worn out and dirty. The H u m a n R e s o u r c e s condition of the residents' rooms wooden beds which were also Development Umuahia funded and their quality of life.

RENOVATION OF 3 RESIDENTIAL BLOCKS. In in line with our plan to provide an environment that assure the health, safety and dignity of residents and staff at Amaudo we embarked on renovation of the residential houses beginning with 3 houses. 24 wooden windows of the 3 residential buildings were replaced with glass windows and protectors. The 3 houses also were repented. This has made the houses very clean and safe for residents and staff to live in. The renovation was funded by Figure 11 New beds and foams Human Resources Development Umuahia. John Pannells a trustee of Amaudo UK had volunteered to visit Amaudo in January 2017 to support in building repairs and decoration in line with the renovation for Health, Safety and Dignity

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 10 FARMING FOR SUSTAINABILITY 9. AND REHABILITATION In 2016 Amaudo embarked the purpose of supporting The Amaudo farm produce on cultivation of arable land the centres in providing cassava which is processed at Amaudo 1 and 2. Crops adequate and quality food to garri one of the major like cassava, maize, melon, for the residents undergoing staple foods consumed at the pumpkin, were planted. The rehabilitation. The farms centre. The production of centre has revived the also generate income for cassava for garri has stopped poultry farm with 150 layers Amaudo as well as useful for the system where staff and and broilers. The palm rehabilitation as the residents visit churches to p l a n t a t i o n i s a l s o residents participate in beg for garri a practice that maintained. farming to learn farming lowered the dignity of the Farming at Amaudo is for skill. residents.

Figure 12 Revived poultry farm

Figure 13 Vegetable farm

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 11 STUDENT NURSES PARTICIPATED IN COMMUNITY MENTAL HEALTH 10. 250 EXPERIENCE AT AMAUDO maudo maintained her collaboration with School of Psychiatric Nursing Umunata Bende and Federal School of Psychiatric Nursing Calabar to Aprovide training in Community Mental Health Care for student Nurses. In 2016 Amaudo hosted 250 students Nurses from Federal School of Psychiatric Nursing Calabar, School of Nursing Umunnato and School of Health Technology Aba who were at the centre for experience in community mental health care.

The Students were trained on skills in rehabilitation of people with mental illness and their human rights.

Itumbauzo from 28th November to 6th December, 2016. The visit was for the purpose of evaluating the rehabilitation activities across the projects like Amaudo 1, Amaudo 2, Community Mental Health Programme and Project Comfort., to review the progress and impact of projects funded by AmaudoUK like the water/sanitation project, conduct training for staff and to participate in the 2016 discharge service. Kate and Dan met with Very Rev Kenneth the Director of Amaudo to plan for future activities and projects for funding.

The visit was very useful because it helped Kate and Dan to catch up with the Figure 14 Student nurses rehabilitation activities Amaudo is carrying observing a resident out and to know the best way to keep supporting Amaudo. They also met with staff and residents and saw the impact of the COLLABORATION completed projects like the water sanitation 11. WITH AMAUDO UK project, reroofing, new foams and beds. Kate and Dan participated in the 2016 discharge ollaboration with service for 30 residents. Amaudo UK – visit Co f K a t e : K a t e Lumley the Chief Executive of Amaudo UK and Dan Warrel a trustee of Amaudo U K v i s i t e d A m a u d o

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 12 COLLABORATION WITH 12. GOVERNMENT OF ABIA STATE Amaudo Itumbauzo collaborates with the Government of Abia State through the Office of the Wife of the Governor, the Ministry of Women Affairs and Social Development and Ministry of Health. The Government of Abia State has continued to support Amaudo through Subvention and donations.

Figure 15 Mrs Nkechi Ikpeazu Wife of the Executive Governor Abia State and her cabinet with members of Amaudo Board at a courtesy visit by the Board

TRAINING FOR STAFF ON 13.HUMAN RIGHTS

he Director of Amaudo Very Rev Kenneth Nwaubani has ensured that he transfers his knowledge in Mental Health Human Rights and Law to Amaudo staff so as to Timprove their knowledge on human rights of people with mental illness and reduce stigmatization against people with mental illness. Very Rev Kenneth conducted the following trainings for staff of Amaudo- Introduction to the Convention on the Rights of People with Disabilities (CRPD), Key Rights of people with mental and psychosocial disabilities, Legal Capacity, Stigma and Discrimination, International and UN Human Rights Instruments.

The staffs are now aware of the Convention on the Rights of People with Disabilities (CRPD) and other human rights issues. Poor attitude against people with mental illness which previously were not regarded by staff as human rights abuse has reduced.

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 13 14. OUTSTANDING GOVERNMENT IMPACT IN 2016 n continuation of series of appeals by Amaudo to Abia State Government to rehabilitate the Bende -Amaudo Itumbauzo road which was abandoned for the past fifteen years, the Board paid a courtesy visit to the Wife of the Executive I th Governor of Abia State, Mrs Nkechi Ikpeazu on 20 November, 2016 and request her to urge the Governor to rehabilitate Bende- Amaudo Itumbauzo road and to attend the discharge service. It was amazing that the Governor directed that Okopedi - Amaudo road be graded. The road was graded in December, 2016.

It is easier now to come out from Amaudo to Okepdi junction. As we thank the Governor we still appeal for full reconstruction of Bende – Amaudo Itumbauzo road.

Figure 16. Repair of Okopedi - Amaudo road 15. CHALLENGES

HIGH INFLATION: In 2016 Amaudo like other individuals and corporate bodies in Nigeria witnessed an astronomical increase in prices of food stuff and other household items like rice, palm oil, garri, beans, kerosene, premium spirit, etc. The increase the prices of goods were over 100%. It was difficult because as a charity organization, Amaudo depends on donations to fund the project. Donations in cash and kind were drastically reduced because the inflation affected our local donors. We resorted to cutting down on expenditure and prioritizing our activities so as to continue to provide mental health care for people with mental illness in our society.

STIGMATIZATION: There is still strong stigmatization and human rights abuse of people with mental illness in our society. Some families do not give support to their relatives with mental illness. Some refuse to accept them after rehabilitation. Stigmatization is responsible for poor funding of mental health and lack of human right based mental health law by Government.

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 14 16. R E C O M M e n d a t i o n s Having reviewed the activities of 2016 we wish to recommend thus: 1. That Methodist Church Nigeria and other Churches should support Amaudo in creating awareness on mental health and encourage people with mental illness to go to Mental Health Clinics and Hospitals for proper treatment and rehabilitation instead of attributing the causes of mental illness to demons and referring people with mental illness to prayer houses and witch doctors.

2. The Governments, State and Federal Legislatures and policy makers in Nigeria should make mental health laws and policies in line with international human rights instruments so as to improve mental health care for people with mental illness in Nigeria.

3. Government should train more psychiatric nurses to replace those who are retiring.

4. The Government of Abia State should reconstruct the Bende – Itumbauzo road to reduce the difficulties Amaudo is encountering in providing mental health care for the people.

5. Governments, Corporate bodies and individuals should support Amaudo through donations, funding of projects, payment for professional staff and fundingof training programmes for staff and psychiatric nurses to enable Amaudo continue to provide mental health care for people with mental illness.

17. TARGETS FOR 2017 e plan to do the following in 2017– Pick 56 residents off the street for rehabilitation, successfully rehabilitate, discharge and reunite 35 residents Wwith their families. in , provide mental health care to people with mental illness in communities through 54 community mental health clinics, provide Community Based Rehabilitation (CBR) for 130 children with physical and learning disabilities, start the pilot Community Mental Health and Awareness Programme in Umuahia North Local Government Area, Reroof 6 residential houses focusing on the renovation for health, safety and dignity, Carry out training for staff and residents on Mental Health and Human Rights and other aspects of training that will improve the skills of staff in their service delivery to the service users. Details of the targets including results, indicators and time frame are contained in the 2017 project target booklet.

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 15 18. SPECIAL APPRECIATIONS 1. Appreciation to Okezie Ikpeazu Ph.D. Executive Governor, Abia State for grading the Okepedi - Amaudo road and for providing subvention to amaudo Itumbauzo.

2. Appreciation to His Eminence Dr. Samuel Chukwuemeka Kanu Uche, Prelate Methodist Church Nigeria for funding the tuition fee of Chijoike Egwu (amaudo client) in the Nigeria law school. The prelate promised to fund the law school tuition fee of Chijioke Egwu during the 25th Anniversary of amaudo. He redeemed it as Chijioke gained admission into the Nigeria law school enugu in 2016.

3. Mrs Nkechi Ikpeazu Wife of the Executive Governor Abia state for attending the 2016 amaudo discharge service and for her financial support

4. Amaudo uk for funding the reroofing and renovation of residential buildings at amaudo 1 and the water /sanitation project

5. We are grateful to Nigeria health care project

6. We thank Margaret Clutter Buck and the entire Worcester link group UK

7. Human resources development, umuahia for funding the purchase of 80 beds and 80 foams, reroofing and renovation of 3 residential buildings at amaudo 1

8. Nigeria health care projects for funding the reroofing of 1 residential building

9. Ladies of knights, Methodist Church Nigeria, Archdiocese of Umuahia for attending the 2016 discharge service and donations to the centre.

10. Mrs ozumba and friends for donation to the centre

We appreciate everyone who has contributed in cash or kind to support amaudo in providing mental health care and rehabilitation for our service users. We commend the Board Chairman Rt. Rev O. C Chiemeka, the Chairman of

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 16 18. SPECIAL APPRECIATIONS (CONT.) Management Sir Emmanuel Ndukwe and all members of Board and Management for your support. And We commend all the staff of Amaudo for their commitment to service which has brought great joy and hope to all our service users. We appreciate our host community Mbukwa and the entire Itumbauzo for all accommodating Amaudo and every support.

We will not forget to appreciate Sister Rosalind Nkechi Colwill for her vision in establishing Amaudo and for all her efforts to ensure that the project survived. May God continue to strengthen her.

We thank God Almighty who has always amazed us with divine provisions and blessing at all times.

Very Rev. Kenneth E. Nwaubani Director

METHODIST CHURCH NIGERIA, AMAUDO ITUMBAUZO P AGE 17