Annual Report 2014 2015 Contents President’s report 3 Why are we in PNG? 4 Year at a glance 7 Integrated health patrols 8 In-service training 12 Namatanai District Hospital 14 Pathology 17 Western Province 18 Sydney office 19 Sponsors and supporters 20 Board of Directors 21 Board of Directors’ report and declaration on financial statements 22 Auditor’s report 23 Financial statements 25 Notes to financial statements 30 Cover: Children play outside a remote health centre in New Ireland, PNG. Right: ADI volunteer Dr Max Osborne tends to a newborn while on patrol. Document: Annual Report produced by ADI volunteer Kim Smee. Publication queries: [email protected] or +61 2 9976 0112. Our Vision People in remote areas across PNG have access to good quality primary health services. The prevention of unnecessary deaths. Who we are Australian Doctors International is a not-for-profit development Our Mission healthcare organisation working to To recruit and deploy volunteer health professionals and improve the lives of people living implement health projects to provide essential health services in in remote PNG communities. remote PNG and upskill local people to do the job once we are gone. 2 President’s report It’s always pleasing to report another successful year in Papua New Guinea for Australian Doctors International (ADI), although it’s not without its challenges and frustrations. The program in New Ireland has built on past successes and is really making a difference to the health of people in the most remote areas. Our volunteers continue to and management in Western organisation, the Board and its organise and participate in joint Province. Our three way committees spend many hours patrols and training courses with partnership is flourishing and ADI seeking opportunities, creating local health workers. Besides doctors will now resume patrols as contacts and aiming for financial these primary health projects, ADI part of the overall primary health security. It’s been a tough year is making real strides in building services in North and Middle Fly. and the Board has had to make the capacity of the small hospital some difficult decisions in reducing at Namatanai. I think it’s fair to say ADI has developed strong head office costs and is even more that ADI is gaining a reputation for partnerships with the New reliant on office volunteers, whose excellence at many levels and I am Ireland Government as well dedication is really appreciated. I proud of our achievements. as Catholic Health in Western would like to express my thanks Province. It would be impossible to ADI’s finance department for a Papua New Guinea (PNG) is a to carry out our activities without tight control of the books which is hard country to work in; there these partnerships. As a small evident later in this document. are many cultural, geographic organisation, ADI relies on and financial challenges. ADI is and values them. We are also ADI has a unique model of bringing successfully meeting these with part of the Non-Government health services to those most in the support of the Australian Organisation (NGO) network need. This has been refined over Government, which contributes through our membership of the the years which will yield great to our New Ireland projects. I Australian Council for International results in 2016 and beyond. always make a point of sharing our Development (ACFID). stories and experiences with the Finally, my thanks to our Board, Department of Foreign Affairs and This year has seen joint projects dedicated staff and generous Trade (DFAT) team based in Port with Marie Stopes (family volunteers and sponsors. Without Moresby. planning), Fred Hollows (eye them, there would be no ADI. surgery) and Becton Dickinson Thanks to the support of Horizon (medical technology). This has Oil Ltd, ADI provided a volunteer allowed ADI to leverage its health advisor who spent almost presence in the field and increase Dr Peter Macdonald three years mentoring and effectiveness. OAM MBBS MRCGP DA DRCOG supporting the Catholic Health President Office in areas of administration All this requires funding and the Donations of $2 and over are tax deductible Make a donation by visiting our website www.adi.org.au or by calling us on (02) 9976 0112 3 Why are we in PNG? Papua New Guinea Population 7.3 million Overview Goals Papua New Guinea (PNG) is Australia’s nearest neighbour, yet the standards of health care are worlds apart: according to the World Health Organisation (WHO), PNG has the worst health status in the Pacific region. PNG ranks 157 out of 187 countries on the UN’s Human Development Index, worse than Bangladesh and Myanmar. Australia ranks second. In PNG, the infant mortality rate is 40 per 1,000 births In Australia, it’s 4 In PNG, the maternal mortality rate is 220 per 100,000 births In Australia, it’s 6 The average Papua New Guinean will live to 62 The average Australian will live to 82 Maternal mortality: PNG National cause 62% of deaths and cervical cancer which claims Department of Health statistics nationwide. the lives of about 900 women a estimate that at least 5 women Non-communicable diseases: The year). die in childbirth every day. incidence of non-communicable Water-borne diseases: Only diseases in PNG is rising, creating the double burden observed in most developing countries. This Infant mortality: of rural people includes tobacco and alcohol 33% of babies will die5.5% before age two. have access to clean water, a related illnesses, diabetes major factor in the 2009 cholera Communicable diseases: and hypertension, and cancer outbreak that affected 14,000 Tuberculosis, malaria and (especially oral cancer caused by people, while diarrhoea is the other communicable diseases chewing betel nut and tobacco, seventh bigger killer. 4 Goals ADI is a not-for-profit, non-government health care and development aid organisation with no religious or political afflilations. Our goals are to: • Deliver and strengthen primary health services to rural communities in PNG through Doctor Supervised Integrated Health Patrols. • Reduce preventable diseases through public health programs, health education and health promotion. • Increase the capacity of local health workers to manage and deliver primary health services through training and education. • Improve access to primary health services by rural and remote communities. • Demonstrate improvement in health indicators as a result of our activities through the use of a structured monitoring and evaluation framework. • Continue to be a leading non-government professional provider of high quality primary health care in Papua New Guinea, seeking always to increase public awareness of our work and continual improvement through ongoing rigorous evaluation of programs and activities. In PNG, the maternal mortality rate is 220 per 100,000 births ADI operates in New Ireland and Western Province. 5 What are we doing? New Ireland province In 2014/15 ADI primarily operated within New Ireland province where many of PNG’s health issues are most prevalent, partly due to its remoteness. In New Ireland, only of births are conducted at59% a health facility. There is only one doctor About of health facilities people. per 32,344 have no90% telephone or radio communications. Medical supplies are only available There is a staffing shortfall. To meet WHO45% standards to deliver minimum primary health care services an additional 200 of the time. health workers are needed. 50% Achievements at a glance 2014/15 Deployment of two volunteer doctors who visited the most remote areas of New Ireland province with a team of allied health professionals. PAGE 9 PAGE 8 6 Delivery of Co-ordinating clinical in-service family planning educational seminars in seminars to partnership with health workers Marie Stopes from across the International. province. PAGE 12 PAGE XX PAGE 13 Pathology training, equipment Delivery of in- donations and service educational laboratory upgrades seminars to across the region health workers in partnership with from across the Becton Dickinson province. (BD). Deployment of a volunteer doctor at the most remote hospital in Namatanai. PAGE 17 PAGEPAGE 14 XX Co-ordinating an outreach program to Delivery of in- Namatanai service educational residents seminars to living with health workers or at-risk of from across the diabetes. province. Connecting the water and power supply to enable operations to occur at Namatanai. PAGE 16 PAGEPAGE 15 XX Funding a worker in Western Province to improve the distribution of vital medicines. Co-ordinating an eye surgery program with Fred Hollows to restore sight to those with vision impairments. PAGE 16 PAGE 18 Integrated health patrols Overview ADI partners with New Ireland Provincial Health to co-ordinate integrated health patrols which deliver a full range of health services – curative, preventative and capacity building – to remote and rural communities throughout New Ireland province. Each month, the ADI volunteer doctor and patrol teams set out from the provincial capital, often over rough seas in small ‘banana’ boats, to treat patients who might otherwise never see a doctor or a health professional. They also provide unique case-based training to local health workers in some of the most remote corners of PNG. ADI’s program responds to the fact that health training and services, for a population of 160,000 people, are confined to the provincial capital Kavieng, where 12 of the 13 doctors in the province are based. Rural patients and local health facilities, often rundown, under-staffed and under-resourced, are in great need. Patrol schedules are advertised on the local health radio, Radio New Ireland and RENB so villagers know when the team will arrive. In 2014/15, ADI had two doctors managing integrated health patrols – Dr Jenny Hamper from July to December and Dr Max Osborne from January to July.