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2010 Sunyani Central Matching Water Grant for Ghana 1 Drill Boreholes to Fight Buruli Ulcer Disease and Other Water Borne Disease

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2010 Sunyani Central Matching Water Grant for Ghana 1 Drill Boreholes to Fight Buruli Ulcer Disease and Other Water Borne Disease 2010 Sunyani Central Matching Water Grant for Ghana 1 Drill Boreholes to fight Buruli Ulcer Disease and Other Water Borne Disease PROJECT DESCRIPTION FOR MATCHING GRANT Explanation: Matching Grants support the humanitarian service projects of Rotary clubs and districts. In this section, describe in detail the humanitarian need your project will address, the intent of the project, how the project will be implemented, and how Rotarians will be directly involved in the project. Involvement is required of both the host and international partners. Please provide the name of the project site, the city, region, and country. List all villages and cities. Project sites Small Towns and Cities in Ghana, West Africa Regions and Districts Brong Ahafo, Ashanti, Central, and Western Regions Cities in the Ahafo Ano District Susanho, Duayaw Nkwanta, Bechem, Nsuata, Brosankro, within the Ashanti Region New Brosankro, Makodroasi, Amanin, Adugyama, Baniekrom, Focus on Buruli Ulcer Villages Kunsu, Mamkragso (most are along the Kumasi-Sunyani Rd.) Cities in Brong Ahafo Region Kadelso, Kawumpe and Mahama Akura and Sunyani Focus on Guinea Worm Disease Central Region and other Agroyesum, Tontokrom, Bonsaaso, Nyamebekyere, districts in Ashanti Region Manso-Odaho, Watresom, Apenamadi, Adagya, Asamang Focus on Buruli Ulcer Villages Country Ghana, West Africa 25 January 2010 Describe the project and the problem or need it will address, including the intended beneficiaries and how the project will benefit the community in need. Provide the estimated length of time needed to complete the project. Summary Text for Matching Grant 71926: “The Clean Water Matching Grant objective is to provide clean, safe water to as many people in communities in Ghana as possible. This water will be used for drinking, cooking, and keeping clean to avoid preventable illnesses. We want to tackle a dangerous disease called Buruli Ulcer. We are working in remote villages in three regions of Ghana. Accordingly, the grant attacks water and sanitation as well as disease control.” It is possible that we will finish guinea worm disease with competitive grants 69051 and 69066. If so, we will prioritize buruli ulcer and other water borne diseases. Our goal is to eliminate the guinea worm parasite from Ghana in 2010! This grant also includes relationships and knowledge gained from matching grant 63415 and competitive grants 65414, 69051 and 69066. The primary host club is Sunyani Central. The primary International Club is Rocky Mount, VA. This new matching grant is a follow-on grant primarily from competitive grant 69051. The project will involve drilling the boreholes, finishing the boreholes off with a concrete pad, installing a pump, and installing a tap to be used for supplying the water. We want the receiving communities to take ownership in the project. The communities will decide where to put the well and will need to have a plan to manage the upkeep of the borehole. 2010 Sunyani Central Matching Water Grant for Ghana 2 The people in communities in Ghana have poor water supply and poor water quality. The people usually obtain water from surface water, wells, dams, local rivers and streams. Many of the water sources are contaminated from human waste, animal waste, diarrhea, typhoid fever and other water borne diseases. The communities also may only have a source of water in the rainy season while a river or stream is running. The community needs to have a reliable source of clean, safe water throughout the year. The communities also use more polluted sources of water as the dry season worsens near May. The overall health of the community will greatly improve with clean, safe water. This water will be used for drinking, cooking, and keeping clean to avoid preventable illnesses. The entire population of a community and surrounding farms up to 5 kilometers away will benefit. We will promote the clean water project in several ways. The work will be publicized in local newspapers in the USA, Canada, Switzerland, and Ghana. Also, radio and TV in Ghana will usually be willing to tell the story. We will also put up signage on the way to the community, at the well or borehole, and sometimes we put the Rotary wheel into the concrete pad. The timeline is below: June 2009 - Determine scope of the grant. WE wrote the first draft of grant. July 2009 - Submit summary to Rotary and US/AID of the scope of the grant. Aug 2009 - Get as many pledges as possible. Jan 2010 - Receive approval for this grant May 2010 - Able to do start the water projects Dec 2012 - Complete the water projects. The Rotary Club of Sunyani Central shall create signage at the boreholes that will be drilled to indicate that the wells were sponsored by Rotary. In addition to this, the inauguration of the wells will receive coverage in the biggest selling Newspaper in Ghana 'The Daily Graphic'. The Ghana Broadcasting Radio Correspondent in Sunyani will also cover the event so that across country the citizenry will acknowledge the good work that Rotary is doing in Sunyani and its environs. Moreover, during the dedication ceremonies, elders and chiefs from the local communities will also be invited to attend the ceremony. Photos of these ceremonies will be taken and published in the Brong Ahafo District Bulletin. This photo shows a Rotary sign on the main road going to Nabari, Ghana. 2010 Sunyani Central Matching Water Grant for Ghana 3 We will use several solutions to provide safe and clean water to communities: Solution 1: We will drill deep boreholes in communities up to 100 feet deep. The borehole cost can be close to $5,000 per well if the low cost drill rig can be used as pictured below. The well will include a concrete pad, hand pump, and a tap to be used for supplying the water. One of the boreholes will be at the Notre Dame Girls Senior High School for the AWASH initiative. Photos are of actual borehole work done on prior grants. Solution 2: We are educating people how to identify the signs of water borne diseases early enough that they are able to get treatment. We also want to train communities how to maintain and support the water projects. We will fund Buruli Ulcer interventions to explain the need to report Buruli Ulcer cases and to get treatment early in the course of the disease so that amputation can be prevented. We want to increase awareness of Buruli Ulcer in a similar way that we increased awareness of the guinea disease by the Carter Center and Ghana Health Services. The water projects give communities an incentive to learn how to prevent water borne illnesses like Buruli Ulcer. What is Buruli Ulcer? Buruli ulcer is a flesh eating disease. It has remained largely a neglected condition in local settings and the international arena. Buruli ulcer disease certainly destroys people’s lives. The debilitating effects of the disease; limbs amputations, numerous disabilities, disfigurement and social stigma of patients are large and prominent in areas where the disease occurs and where access to basic health care is limited or non in existence. Solution 2 will also involve a two week screening of community members and a three month surgical intervention. This intervention is a WHO recommended strategy for dealing with Buruli ulcer disease. The screening of community members will be preceded by a night video show, community awareness and health education. Its main purpose is to provide free outreach, education, screening, treatment and surgical services to the community. Services also include screen testing for participants with other skin conditions and abnormalities; educational sessions provided in the community for the different skin diseases; outreach services providing patient education for persons with abnormal results; one-on-one counseling and case management services as needed; help with transportation and emotional support and follow-up post-diagnosis treatment. 2010 Sunyani Central Matching Water Grant for Ghana 4 At least 17,000 people will be screened for Buruli ulcer and other related skin diseases, 300 people will be treated with antibiotics and out of this close to 90 people will be offered with surgical and physiotherapy interventions. Buruli ulcer is an emerging chronic debilitating skin disease that eats up the flesh and causes extensive skin and soft tissue destruction. In some cases, it may affect the bone leading to severe and permanent contracture. An early detection and treatment of Buruli ulcer disease is a priority and the project will work in as many communities as possible. Children are affected who are under the age of 15 years old from poor remote rural communities with little or no access to health services. By providing an opportunity for these community members to be screened, educated and treated for Buruli ulcer disease, a lot of devastating deformities and debilities would be avoided. Our goal is to increase the awareness of Buruli Ulcer disease in Western Africa. We are taking the lessons learned fighting guinea worm disease and directing it toward Buruli Ulcer. Our dream is fight this disease before it threatens more lives in a greater area of Ghana. We want to focus on communities in the Brong Ahafo and Ashanti Regions where Buruli Ulcer cases are found. We hope to increase awareness so that other Rotary grants can include an emphasis on Buruli Ulcer. We will also prioritize the other water borne illnesses in our target regions. We believe that HIV/AIDS could have been fought in the early stages easier than waiting until it was a household name. We also believe that Buruli Ulcer can be better fought now rather than waiting until it is a well known disease with thousands of victims within Ghana.
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