ccih 2014-transforming-leaders-cindy-wilke
DESCRIPTION
Cindy Wilke, Director of Global Health Administration Partners (GHAP) explains the organization's mission and how GHAP works in partnership with others to transform and empower leaders and consultants to provide health.TRANSCRIPT
Global Health Administration Partners “GHAP”
Welcome
• Gathering and shipping health equipment and supply
Global Health Ministries
• Funding projects (i.e., scholarships, water, new health programs, etc.)
• Global Health Administration Partners (GHAP)
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I’m a hospital administrator. On a mission trip with my church I noticed management practices that could be improved at a small hospital in Tanzania. In talking with the Medical Director and other mission minded folks, I learned that these issues were not limited to this hospital.
Purpose to partner with faith-based health systems in developing countries to enhance governance, leadership and management practices
Vision to build a world-wide network of health administrators dedicated to creating, supporting and maintaining sustainable faith-based health systems
Global Health Administration Partners
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I’m sure you’re familiar with the challenges: underserved areas, lack of leadership/management training, and poor financial management can interfere with providing excellent quality of care. We began GHAP to work with our partners to enhance governance, leadership and management practices. Our vision is to build a world-wide network of health administrators dedicated to creating, supporting and maintaining sustainable faith-based health systems.
GHAP’s Reach in 2014
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Since 2008, GHAP has provided services in Ethiopia, Cameroon, India, Madagascar, Nigeria and several locations in Tanzania. GHAP sends a team of two volunteer consultants with Clients to assess the current state of administration, then recommendations are jointly formulated. We consult in the areas of governance, leadership development, strategic planning, efficient operations, financial management, human resource management and material management. The work is done long-term with 2 week on-site visits and ongoing communication. Building long-term working relationships with each Client requires patience and perseverance.
Transforming Lives • Case Study - Leaders • Case Study - Health • Case Study - Consultants
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Today I want to highlight the transforming nature of the work we do. First, with health care leaders, second improving health in the communities and finally, seeing how our volunteers are transformed.
Transforming leaders
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In Cameroon, we were invited by the Bishop of the Lutheran Church to work with them on hospital governance and management issues. We worked with the Church Board and Health System leadership to establish a separate Health System governing board and financial management system, develop an HR management and payroll tool, among other things. Overall, they are working toward transparency and accountability. Not everything has been easy or positive for everyone. Some individuals lost access to money when the new financial controls were put in place. At least 2 individuals were jailed for embezzlement, the Church retook control for an 18 month period, and the CFO was moved to the Church headquarters because of his competence. But, change continues. The Church re-instated the Health System by-laws and moved the CFO back into his position in the Health System. Following resignation by the Health System CEO and Board chair, they selected a qualified CEO and Board chair and are moving forward. With that backdrop, let me describe some of the transformation that has occurred. The gentleman on the left is the CFO. He had been trained in finance but not in health care. The gentleman to his left is the assistant administrator of the flag ship hospital. GHAP facilitated a meeting that reviewed the financial impact of operational decisions. For example, the radiology revenue was down considerably in one month. GHAP asked why. In looking through the detail, it was determined to all be because of a fall of ultra sound income. The assistant administrator remarked that was because the ultra sound technician took a holiday and was not replaced. GHAP asked if there was anyone else on campus who had ultra sound skills. The reply was “yes.” At the urging of the CFO, the assistant administrator concluded it would be a good idea to redeploy that individual from the non-revenue producing position he was currently in to cover for the ultra sound technician’s holidays. This kind of conversation had not occurred before and established a new pattern.
Transforming Health
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This is our newest project in Tanzania and very exciting because of its measureable improvements in community health. We are working with Empower Tanzania in the Maasai villages of northeastern Tanzania. This area is very underserved medically. The distances are far and travel is difficult, so members of these 21 villages seldom seek care in clinics or hospitals. Of the 21 villages, there is 1 water filter, no boiling, chlorine or solar treatment of water. A few people in 4 villages wash their hands. There are 13 pit latrines in all 21 villages, for approximately 75,000 people. We believe that these factors and others lead to the documented high maternal and child death rate in the area. Empower Tanzania has been working in this area for some time doing development work and equipping community health educators. But the 2 health educators can’t cover all of the territory. This project is training 30 community health workers who have been selected by their villages. Each CHW will work with up to 10 boma assistances to disseminate health information, monitor the health of their communities, care for people and refer them as necessary, and collect data for evaluation. GHAP’s role in this project is to develop a link between the CHWs and the established health care facilities run by the Lutheran Church and the government. We have also been asked to help the Lutheran and the Government Hospitals create an MOU on shared services. Although this project started only recently, we are already hearing of much excitement in the communities. For example, as our team toured the communities, there were impassioned speeches by community members to embrace this CHW project to bring health care information and skills to their villages. In this photo, CHWs are practicing to read pulse rates on each other.
Transforming Health
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This is the training class of 30 CHWs. At the conclusion of the training, a student leader stood up and made the following statement. Honorable guest, We are very grateful Maasai community to get this opportunity to attend this Seminar. Actually we have been behind in terms of development and especially health. We also thank you Maasai women in general to be chosen to learn how to prevent women and children death under 5 years. Many thanks to our facilitators NIVO and JUDITH for teaching us many topics including danger signs which are PPH, eclampsia, early rupture of membrane, family planning, malaria, communication skills, HIV/AIDS, vaccination, women rights, using safe water and gender based violence. We have been also learning through video. These have made us understand each topic nicely. This is going to be beneficial to Maasai community. We also thank our DMO to offer us certificates which will make us work safely in our community. Honorable guest, we promise to reduce mortality and mobility rate in Maasai community. Lastly we ask you to prepare another seminar which will include Maasai men to get this education too. This will be more beneficial since a Maasai woman cannot teach a Maasai man especially in building and using latrines and female genital mutilation. We also ask you for a refresh course sometimes. Thank you. Scola William on behalf of Maasai women.
Transforming Consultants
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Ron – the gentleman standing in the back on the right. Taken on Ron’s 3rd GHAP consultation trip – this one in Nigeria. He is a retired hospital administrator, someone used to making decisions, being listened to and quick responses. He has been challenged in this work. His wife and others report that he is a much better listener after his GHAP consultations. He, like other retired administrators, shares that this is an amazing opportunity. Hospital administrators immediately recognize the potential for themselves as volunteers. Where they may have been reluctant mission travelers with general purpose or medical groups, what GHAP does IS their skill base and they are excited to participate. Many indicate that the experience helps to deepen their faith. John – the gentleman on the left, working in Madagascar to strengthen the pharmacy operations of the Lutheran Church health system. John’s work throughout the visit encompassed everything from teaching supply chain best practices, to implementing reliable inventory management methods. His team’s goal was to ensure that the SALFA Depot had the right supplies available for each hospital and could fulfill orders in a timely manner. Following his visit, John shared, “I was hooked. I had never been to Madagascar but was excited to apply my supply chain knowledge to their current situation. I wanted to help build a roadmap for them going forward.” “An experience like this is much more than having a great job that pays well,” said John. “It’s also different than writing a check to an organization. My time in Madagascar absolutely reenergized me. I feel that the more blessed I am, the larger my obligation to share with others.” Claire – the young woman being blessed by the Maasai chief, has traveled and lived in Mexico and Senegal. Following her experience in the Maasai villages, Claire wrote, “There isn’t room for every story I brought back from Tanzania. I can tell you what I learned, though. I learned that, for me, it doesn’t matter whether traveling for safari, school or NGO, the most important element is always the same: the personal connections. The true, genuine connection that comes from understanding passed from one person to another. It’s the personal connections I made in Tanzania that I’ll always remember the most.”
How you can connect with GHAP...
Visit www.GHAPartners.org - Sign up to receive the GHAP eNewsletter
- Like Global Health Administration Partners - Connect on LinkedIn
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Together we can make difference.