Alaska Sudan Medical Project ALASKA SUDAN MEDICAL PROJECT

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1 Alaska Sudan Medical Project ALASKA SUDAN MEDICAL PROJECT

2 South Sudan CAR Sudan Ethiopia DRC Kenya Uganda 2

3 Old Fangak Nestled between the White Nile and the El Zaref rivers, in the Sudd, one of the largest swamp in the world.

4 Old Fangak, Jonglei State Remote and isolated Only accessible by boat or small aircraft Population at beginning of project (2008): 5000 Home to the Nuer people Largely untouched by aid organizations Current population (2016): 45,000+

5 Key Demographics: Population: 8-12 million Age Structure: 65% of people are 24 or younger Median Age: 17 Facts & Figures: Worlds most failed state Worlds most corrupt state 2 nd most violent country in the world (after Syria) Highest illiteracy rate in the world Highest maternal fatality rate in the world Women more likely to die in childbirth than to get an education 2 in 5 people country-wide don t have access to clean water 2.2 million displaced by civil war 4.8 million food insecure

6 Refugee Population Over 2 million people displaced since ,000 have sought refuge in Old Fangak area.

7 Mission: Saving lives through health, clean water, and agriculture. Vision: Building hope and health for life. ASMP s mission is to provide health, water, sanitation and agricultural systems to counter the injustice and chaos caused by the effects of 40 years of civil war first between north and south Sudan, and now between competing tribes in South Sudan.

8 ASMP Defined Goals 1. Increase access to health care 2. Increase access to clean water 3. Increase access to food 4. Ensure project sustainability Projects Building medical clinics Drilling water wells Water pump micro-loans Seed & tool distribution Latrine construction Local employment & training

9 Programs Health Completed Project: Construction of Primary Health Care Clinic Planned Projects: Construction of Tuberculosis & Infectious Disease Clinic Immunization outreach Agriculture Completed Projects: 83 farms & gardens started 38 water pumps loaned Planned Projects: Continued recruitment of new farmers & scaling up of current gardens. Agriculture expert evaluation WASH (Water, Sanitation & Hygiene) Completed Projects: 14 water wells drilled 16 latrines 3 hand washing stations Planned Projects: Water wells & latrine construction Training Completed: 6 Apprentices trained in well drilling & maintenance, welding, and construction Planned Projects: Continued training Formalization of program

10 (water video)

11 Water, Sanitation & Hygiene 14 water wells 16 latrines 3 hand washing stations

12 Well Locations

13 Clinic Hand Washing Stations

14 Latrine construction on clinic grounds.

15 Agriculture 83 farms Agriculture

16 How it works: 1. Locally led Farming Council recruits new farmers. 2. ASMP distributes seeds and basic tools to farmers. 3. After 1 year farmers become eligible for micro-loans for scale-up tools like water pumps and rototillers. 4. Farmers grow crops, feed their families, sell their surplus produce, and pay back their loans - which are then reinvested into the next farmer.

17 Health Clinic Construction

18 Clinic Fire 2012

19 Completed Primary Health Care Clinic

20 Tuberculosis & Infectious Disease Clinic

21 Vocational Training Drilling Welding Construction

22 Locally Led Programs Locally Led

23 History of ASMP 2007 Jack visits South Sudan 2008 ASMP is born, begins PHCC construction, drills first well 2009 ASMP starts agriculture program with 1 pilot farmer 2010 ASMP continues work on PHCC, expands agriculture and water programs 2011 July South Sudan becomes independent nation 2011 ASMP continues work on PHCC, expands agriculture and water programs 2012 Fire destroys half of clinic in December, ASMP continues work on PHCC, expands agriculture and water programs 2013 Clinic completion, bicycle immunization outreach program, expansion of agriculture program well drilling 2013 December Conflict breaks out between Government and Rebels (ASMP team evacuates) 2014 Despite ongoing conflict, ASMP expands well drilling and agriculture programs, begins WASH projects 2015 Despite ongoing conflict, ASMP expands agriculture program and constructs storage structure for TB Center 2016 Planned activities include agriculture expansion, well drilling and TB Center fence construction.

24 Challenges & Constraints 1. Conflict & Insecurity Civil war from Civil war from Continued conflict Civil war from Continued conflict present

25 Challenges & Constraints 2. Logistics: Pre-Conflict River travel, barges with containers or trader boats. 4 containers on 2 barges 1 sunken trader boat w/drill rig & supplies 3 successful trader boats

26 (barge video)

27 Challenges & Constraints 3. Logistics: During Conflict Air travel only Private Charters UN Assistance

28 Challenges & Constraints 4. Lack of infrastructure 5. Remote 6. Distance of material procurement 7. 6 month work season 8. Expense of operating 9. Local education level

29 Organizational Structure Volunteers & Staff Local Staff Field Operations Manager Agriculture and Maintenance Manager Lead Well Driller Kenya Logistician South Sudan Logistician U.S. Staff Program Director + Volunteers South Sudan: 2-15 people/year U.S.: people/year U.S. Board & Committees: 9-15 people/year

30 Where we are going 2016/2017 Drill 2 water wells Build fence around TB clinic land Recruit and equip new 25 new farmers Long-term Replicate WASH and agriculture programs in most underserved communities Immunization outreach program

31 Thank you!

32 saving lives through health, water and agriculture

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