Amref Health Africa in the USA

Creating Lasting Health Change in Africa


2016 Annual Report

Welcome to our 2016 Annual Report

Robert Wolk | Board Chair

Welcome to our 2016 Annual Report. I am delighted to have the opportunity to share with you an overview of Amref Health Africa’s essential work.

Africa has 16% of the world’s population, but 49% of the world’s maternal deaths and 50% of the world’s children-under-five deaths. Furthermore, there is a critical lack of access to trained healthcare workers, especially in rural areas.

That's where Amref Health Africa comes in. Amref Health Africa is the largest healthcare NGO in Africa and aims to create lasting change by empowering communities, strengthening health systems and training trusted health workers to serve in their communities. This year alone we trained over 234,000 health workers (the majority of whom are women).

Having visited many of Amref Health Africa’s programs, I have witnessed firsthand the commitment and dedication of the organization – and our amazing staff – to the communities we serve and the impact the health workers we train make.

As Board Chair, I am incredibly proud of the work Amref Health Africa does, which we could not accomplish without your support. However, I recognize there is still an enormous need and we can do so much more to improve the lives and enhance the potential of women, men and children across sub-Saharan Africa. We are profoundly grateful for your continued support and hope you enjoy our 2016 Annual Report.

Year in Review

Message from the Executive Director | Robert Kelty

Dear Friends,

2017 marks Amref Health Africa’s 60th anniversary. 60 years of bringing grass-roots, sustainable, effective programs to communities across sub-Saharan Africa. In 60 years, we have reached millions upon millions of women, men and children, thanks entirely to our donors.

Now more than ever, we recognize the importance of our supporters. For organizations dedicated to providing care for the most vulnerable populations in Africa, the drastic reductions in foreign aid from the US Government makes these especially challenging times. The current administration’s budget for next year proposes a 32% reduction in all foreign humanitarian aid, with the greatest cut to family planning programs. This means that the population that Amref Health Africa primarily serves—women and children—would be the hardest hit.

In 2016, in anticipation of these potential changes, we ramped up our activities to reach more supporters and raise awareness of our work. We created our now annual fundraising event, ArtBall, ran the TCS New York City Marathon, engaged young professionals, and went after private foundation funding. I am also proud to announce we were awarded our first grants from the Bill & Melinda Gates Foundation and the Rockefeller Foundation. I hope you enjoy reading about these initiatives, and of our work on the ground in Africa that helped expand access to maternal care, prevent HIV infections on a large-scale basis, and so much more.

We know that because of your support, we will not only continue to run our life-saving and life-changing programs, but we will strive to be more innovative than ever before – thank you!

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About Amref Health Africa

What We Do:

To achieve our vision of lasting health change in Africa, we strengthen health systems from the ground up through the critical areas of: maternal and child health, fighting infectious disease, clean water and sanitation, clinical and surgical outreach, and girls empowerment. We train local health workers at all levels, from Community Health Workers – health workers who are elected by their community – to midwives and nurses, using tried-and-true methods like on-the-job training and innovative solutions like using mobile phones as an educational platform. Our 60 years on the ground has also taught us that change lies in Africa’s communities, which is why we partner directly with communities and equip them with the knowledge, skills and means to transform their health.

Why Amref Health Africa:

With nearly 97% of our staff coming from the communities in which we work, we specialize in African solutions to African problems using African expertise.

Maternal and Child Health

Reducing illnesses and preventable deaths

Fighting Infectious Diseases

Preventing and treating HIV/AIDS, TB, Malaria and Ebola

Clean Water and Sanitation

Making sure more communities have access to clean and safe water

Improving Surgical, Diagnostic and Clinical Services

Expanding access to quality health services for disadvantaged communities

Girls Empowerment

Ensuring that young girls are equipped with the right knowledge to make informed decisions about their health and future

Training Health Workers

Creating a strong backbone for local health systems that will last for generations to come

Improving Maternal and Child Health in Iten, Kenya

Iten is known as the marathon training capital of the world because its high altitude makes it ideal for endurance training. Despite its notoriety, historically less than 35% of the women in Iten received assistance from a trained health worker, like a midwife, while giving birth. Without the presence of a health worker, a woman in labor increases her chances of death, or of complications that can last a lifetime. Thanks to supporters like you, Amref Health Africa has changed this.

To combat this, we launched a project in Iten in March 2016 with marathon superstars Mary Keitany and Wilson Kipsang to show their support for the people in their home communities. The work included increasing local women's access to quality Reproductive, Maternal and Child Health (RMNCH) services by training health workers like midwives and nurses to provide better care to women before, during and after childbirth, and to provide the community, especially expecting and new mothers, with health education to make informed decisions about their health.

Additionally, we trained midwives and other health workers on how to manage common childhood illnesses in young children. Recognizing that Traditional Birth Attendants (TBAs) – respected women who perform traditional rituals – are important in the community, we trained TBAs to refer women to health facilities for care, and to promote healthy behaviors such as washing their hands and attending at least four antenatal care visits while pregnant.

We also organized monthly dialogue days where trained health workers held meetings to provide health education, and community members could discuss their health concerns. We also organized regular outreach days where health workers would visit community members who lived in harder-to-reach areas, miles away from the closest health facility.

The following are a few highlights of what your support has made possible:

  • 28 midwives trained in Basic and Emergency Obstetric and Newborn Care, enabling these midwives to assist women in labor safely deliver their newborns
  • 24 midwives and nurses trained to improve the quality of antenatal care services offered to pregnant women
  • 25 health workers (including nurses and midwives) trained in the management of childhood diseases
  • During one community dialogue day in particular, the community agreed that HIV/AIDS was an issue they wanted to collectively address. As a result, a “health action day” was organized – where community members could receive voluntary counseling and testing to know their HIV status. Over 600 community members benefitted from these services
  • Four medical outreach days were conducted where over 1,000 people received various RMNCH services, including antenatal care for pregnant women, cervical cancer screenings, family planning, and HIV/AIDS testing and counseling
  • 20 TBAs were trained to offer health promotion and education and to refer pregnant women and women in labor to a health facility
Mother holding child

Scaling up HIV/AIDS Prevention in Uganda

Within Uganda’s population of 30 million, approximately 1.1 million are infected with HIV, with 132,000 new infections of HIV occurring annually. Since 2010, Amref Health Africa, in partnership with the Centers for Disease Control and Prevention (CDC), has helped to reduce the number of new HIV infections in Uganda through the Scale-up of Comprehensive HIV/AIDS Prevention (SCHAP) Program. The focus of SCHAP is to reduce new HIV infections by expanding HIV/AIDS prevention services with Voluntary Medical Male Circumcision (VMMC) as the key intervention, as VMMC has been proven to reduce the risk of contracting HIV by over 60%.

We’ve also been able to improve treatment and prevention of other sexually transmitted infections (STIs) and condom distribution. We trained health workers to offer quality HIV testing and counseling services including couples counseling. As part of the program, when someone happens to find out they are HIV positive, health workers have been trained to immediately refer them to treatment as well as group counseling.

Part of the program’s success is due to satisfied VMMC beneficiaries who volunteer to become community mobilizers, and go out into their community and educate their friends, family and neighbors about VMMC and other prevention services they’ve received. This has been crucial in mobilizing other men to seek out VMMC themselves. SCHAP was originally planned to end in 2016, but the program was so successful that the CDC extended the program for an additional year into 2017.

Because of our supporters, we’ve been able to achieve the following:

  • Provided VMMC services to 336,383 males aged 10 years and above against an original target of 294,554 (114% achievement)
  • Conducted 302,227 HIV tests and linked 1,967 patients who tested as HIV-positive to anti-retroviral treatment and counseling
  • Conducted 6,678 couples counseling sessions
  • Provided 11,320 men and women with STI treatment services
  • Distributed over 3 million condoms
Older people supporting

Working Towards Our Vision of a Continent Free of FGC by 2030

Mother holding child

According to a recent UN report, more than 200 million girls and women in 30 countries around the world have undergone Female Genital Cutting (FGC) – a dangerous practice that involves the partial or total removal of female genital organs for non-medical reasons. In some communities throughout sub-Saharan Africa, FGC is still considered an important tradition that marks a girl’s transition from girlhood to womanhood. The practice, however, is extremely harmful, can lead to death, and is internationally recognized as a human rights violation.

This is why we have taken the ambitious stance to end FGC in Africa by 2030. For the past 10 years, we have successfully partnered with communities to end the practice and adopt the Alternative Rites of Passage Program (ARP), and we know we can go further. Read more about our Vision to End FGC by 2030

ARP is a community-led and community-driven alternative to FGC that retains the harmless cultural rituals and celebrations around womanhood while removing the harmful cut for girls. In Kenya in 2009, Amref Health Africa worked side-by-side with the Maasai community who proposed the alternative to FGC themselves to roll out ARP. ARP offers training that sensitizes local communities to the dangers of FGC, and promotes a collective decision to abandon it and embrace ARP. The new ritual combines the traditional ceremony with sexual and reproductive health education and the promotion of girls’ education.

To date, more than 10,000 girls in Kenya and Tanzania have participated in the ARP program, enabling them to escape child marriage, and continue their education.

In 2016, we created The Wangechi Mutu Alternative Rites Education Scholarship which will cover the schooling fees for 35 girls who have undergone ARP. Read more about the scholarship

Meet Midwife Jaseline

Mother holding child

Jaseline is a 31 year old midwife who lives and works in Iten. She was one of the midwives we trained thanks to your support.

Before Amref Health Africa began training midwives there, Jaseline says “In this region, many mothers were delivering at home with traditional birth attendants. But I’ve seen a drastic change, especially in delivery. So many mothers are coming to deliver at the health facility.” Jaseline recounts a day at work when the training she received helped her and her patient in a time of need: “One day, I delivered a mother and the baby was asphyxiated. Through the training I received from Amref Health Africa, I was able to resuscitate the baby and the process was successful.

As a midwife, it was important for me to get training especially on Basic and Emergency Obstetric and Newborn Care because I work in the labor ward and it has helped me to manage emergencies before, during and after labor. The training has helped me a lot to even diagnose complications before they happen and I can provide the necessary help to the mother. Since the training, I have not had any maternal deaths or fetal deaths and I can say that is the important thing about the training.”

Since the training, I have not had any maternal deaths or fetal deaths."

Young Professionals Board

Last year, Amref Health Africa in the USA launched the Young Professionals Board (YPB) to help raise awareness and support for our work among professionals under the age of 35 in the New York area as well as throughout the USA. The YPB offers an environment where members can deepen their understanding of international development, gain leadership experience, and have a greater network of peers and established professionals interested in reducing global poverty.

The YPB is currently comprised of up-and-coming professionals from a variety of backgrounds including finance, media, and global health, and have been essential in raising Amref Health Africa’s visibility. Alvin Massy is a Chief Risk Employee at Barclays. He joined the YPB in 2016. Read why Alvin joined the YPB:

"On October 15, 2015, I returned to the US, marking my second trip to the "continent" after spending almost 2 weeks in Tanzania. I only saw a small cross sample of how people in Tanzania lived, but it made me understand how fortunate I was to enjoy certain amenities that I take for granted. It was enough to invoke a deep sense of servitude and a desire to start my own not-for-profit.

It was upon my return, where I was introduced to Nyagaka Ongeri, a member of Amref Health Africa’s Board of Directors, by way of my manager at Barclays. Nyagaka described who Amref Health Africa was and its importance and impact on Africa. Given that I manage healthcare credit counterparties at Barclays, I reveled at the idea of marrying the social impact with my day job. In the Spring of 2016, I joined Amref Health Africa as a member of the YPB."

At Amref Health Africa and by extension - YPB, we act like a family driven by a passion to improve the quality of life through our various outreach programs. Franklin Delano Roosevelt once said that a test of our progress is not whether we add more to the abundance of those who have much; it is whether we provide enough for those who have too little. I believe that my involvement with Amref Health Africa is helping me to fulfill my destiny. I look forward to visiting a program site in the fall and being more engaged with the organization.

Older people supporting

ArtBall

Mother holding child

On June 8, 2016 in New York City, we hosted our inaugural Amref Health Africa ArtBall – a contemporary African art auction and event whose proceeds went to support our work on the ground in Africa.

ArtBall honored acclaimed contemporary Kenyan artist, Wangechi Mutu, with the Rees Humanitarian Award for her work in celebrating and empowering African communities. Artwork auctioned at the event was generously donated by renowned contemporary artists representing 11 different African countries including Mutu’s home of Kenya, as well as Burkina Faso, Cameroon, Congo, Egypt, Ghana, Ivory Coast, Nigeria, Senegal, South Africa and Tanzania. The event was attended by over 300 people and in total raised over $100,000.

With a generous contribution from Liz Rees, daughter of Amref Health Africa founder Tom Rees, we created the Wangechi Mutu Alternative Rites Education Scholarship. The scholarship was presented to Wangechi during the event alongside the Rees Humanitarian Award. Inspired by Ms. Mutu’s work, the scholarship will pay the education fees for 35 girls in Kenya who have successfully avoided FGC and have undergone the Alternative Rites of Passage (ARP) Program. ARP keeps all the traditional ceremonies associated with becoming a woman in Maasai communities, but replaces the act of FGC with reproductive health education and empowerment to finish their education. The scholarship will ensure that the girls can carry on what they learned through the program and are encouraged to share knowledge with their peers.

TCS NYC Marathon

For the second year in a row on November 6, 2016, along with over 50,000 other runners, Team Amref Health Africa ran in the TCS New York City Marathon – the world’s largest and most popular major marathon.

Every year, the TCS NYC Marathon selects a handful of charities to participate in its Official Charity Partner Program, which awards each charity with entries to the race. Our team this year was comprised of 11 runners from a diverse array of professional and personal backgrounds. This year, eight runners came from states all over the USA including New York, Texas, Massachusetts and Illinois. Three runners traveled all the way from Nigeria to participate.

Together the team raised over $35,000. Sarah Bilson from Oak Park, Illinois explains why she decided to join Team Amref Health Africa:

 

 

Older people supporting I ran the TCS NYC Marathon for Amref Health Africa because I believe it's an injustice that so many people continue to suffer or die from preventable health issues, while treatments exist. I wanted to do my small part to change it.”

This year, Amref Health Africa is once again running in the TCS New York City Marathon and you could too. Click here to learn more about joining Team Amref Health Africa

Financial Summary

Amref Health Africa is committed to financial transparency. We are a 501(c)(3) nonprofit organization registered with the Internal Revenue Service, and we are proud of the way we manage our contributions.

  Unrestricted Temporarily Restricted 2016 2015
Revenue        
Federal awards $3,123,756 $ - $3,123,756 $2,646,100
Foundations corporate grants and individual donations 2,335,057 154,329 2,489,386 3,911,429
Special events (net of expenses of $68,522 in 2016) 96,248 - 96,248 -
Other income 12,000 - 12,000 13,336
Investment income (loss) 69,032 - 69,032 (37,963)
Released from restriction 453,265 (453,265) - -
Total Revenue 6,089,358 (298,936) 5,790,422 6,532,902
Expenses
Program Expenses
Health training, education and primary care 2,608,999 - 2,608,999 2,263,541
Clinical services 2,180,448 - 2,180,488 1,591,987
Evaluation and operations research 59,838 - 59,838 884,477
Total Program Expenses 4,849,285 - 4,849,285 4,740,005
Support Expenses
Management and general 603, 637 - 450, 373 424,630
Fundraising 528,548 - 681,812 1,013,541
Total Support Expenses 1,132,185 - 1,132,185 1,438,171
Total Expenses 5,981,470 - 5,981,470 6,178,176
Increase (decrease) net assets 107,888 (298,936) (191,048) 354,726
Net Assets
Beginning 2,153,223 298,936 2,452,159 2,097,433
End $2,261,111 $ - $2,261,111 $2,452,159

Thank You to Our Donors

We extend our deepest gratitude to all those who help us work toward our vision of lasting health change in Africa. Our work would not be possible without the contributions of these generous individuals, foundations, corporations, partners, government agencies, NGOs, and multilateral agencies that supported Amref Health Africa in the USA during the 2016 fiscal year (October 1, 2015- September 30, 2016).

$500,000+

  • Anonymous
  • Jonhnson & Johnson

$250,000 - $499,999

  • Center for Disease Control and Prevention

$50,000 - $249,000

  • Joseph Handleman I Believe In You Trust Foundation
  • The Search Foundation

$25,000 - $49,999

  • The Branchville Agency Insurance
  • Michael Cushing
  • Flying Doctor's Society of Africa
  • Mary Cooney and Edwards Essl Foundation, Inc.
  • Smile Train

$10,000 - $24,000

  • Anonymous
  • Louis Auer Private Foundation
  • The Benevity Community Impact Fund
  • Ruth Ann Geisbuhler Trust
  • Global Impact
  • Peter Goldstein
  • Cynthia Hermes and Tom Wilson
  • Liya Kebede (lemlem Foundation)
  • Luz and William H. MacArthur
  • Management Sciences for Health
  • The Nommontu Foundation
  • Newman's Own Foundation
  • Inosi Nyatta
  • The Jay & Rose Phillips Family Foundation of Minnesota
  • Liz Rees
  • Bruce and Lori Rosenblum
  • Timothy Wilson

$5,000-$9,999

  • El Anatsui
  • Rajeev Bhaman
  • Chemonics
  • Kathy Echternach
  • Mark Hanhardt
  • Lazare Kaplan International Inc.
  • Richard and Jane Mescon
  • Milwaukee Jewish Day School
  • Brian M. Stewart
  • Maurice Templesman
  • Rob Wolk and Kyung-Ah Park
  • World Bank Community Connections Fund

$1,000 - $4,999

  • Michael Anderson
  • Ned and Jean Bandler
  • Antonia Belt
  • Catherine Cahill and William Bernhard
  • Amy Bilkey
  • Bruce Bodner
  • Karen Bychowski
  • Stephen Cummings
  • Lawrence Daniels
  • Laura Donnelley
  • Fregens Duvalsaint
  • Lucy Fato
  • Fidelity Charitable Gift Fund Anonymous
  • Gretchen Fisher
  • Robert Garthwait
  • Dale Glasser
  • Global Giving Foundation
  • Benjamin Glover
  • Richard Goldsmith
  • The Good Works Foundation
  • Mary Hamra
  • Nate Holobinko
  • Nancy Hsiung and Charles Keough
  • Philip W. Johnson
  • Michael Jung
  • Peter Kahane
  • Natalie Kates
  • Reed Kendall
  • Bryan Kleist
  • Landmark Charitable Foundation, Inc.
  • Ronald and Valerie Lauderdale
  • The Lawson Family Charitable Fund
  • Matthew Levie
  • Bob and Susan Lilley
  • Susan MacLaury
  • Madison Performance Group
  • Phillip Marriott
  • John Morriss
  • Charles Mott
  • Greg Muir
  • Jennifer Nadeau
  • Alexander Obbard
  • Akintunde Ogunmodede
  • Nyagaka Ongeri
  • Igbal Paroo
  • James Protz
  • Leigh Rawdon
  • William Revelle
  • Peter A. Ridings Foundation
  • Anonymous
  • David Rolf
  • The Schmitz-Fromherz Family Fund
  • Christine Schulter
  • Schwab Charitable Fund
  • Stoddard Sennott
  • Richard Sine
  • Michael Steele
  • Madlyn Stokely
  • Jeffrey Sturchio
  • Madeline Thomas
  • Jan Van Dam
  • Tom Varkey
  • Cynthia Wachtell and Jeffrey N. Neuman

$500-$999

  • Eritrea Abraha
  • Ehimhen Agunloye
  • Smita Aiyar
  • Nelson Aluya
  • Ameriprise Financial Employee Gift Matching Program
  • Olubukonla Anyanwu
  • Kobby Bentsi-Enchill
  • John Bilson
  • Neil Blumstein
  • Lee Brekke
  • Steven Brown
  • Elizabeth Carr
  • Michael Carty
  • Rebecca Chee
  • Tammy China
  • Elizabeth Colton
  • Elizabeth Cooke
  • Maurice Couser
  • Emily Crowell
  • Mazy Dar
  • Tamer Elrashedy
  • Ikem Emelieze
  • Michael Folk
  • Susanne Fox
  • George Gibson
  • Theo Giesy
  • Charlie Gilmore
  • Gary Glaser
  • Google Inc.
  • Jerome Hanner
  • Donald Harris
  • Aileen Hefferren
  • Henry Huntley Neales Shriver & Margaret
  • C. Shriver Family Foundation
  • Harold Hernandez
  • Erin Hopfensperger
  • Rebecca Hoppy
  • IBM Employee Services Center
  • Maryanne Ilnickij
  • International Monetary Fund
  • Carol Jenkins
  • Linda Jones
  • Just Give
  • Susan Kelley
  • Robert Kelty
  • Hugo and Christine Keunen
  • Family Khosla
  • Younsoo Kim
  • Timothy Kloehn
  • Jennifer Komba
  • Diana MacArthur
  • Francois Maisonrouge
  • McBride Family & Aspen Business Center
  • Foundation
  • George McCartney
  • Microsoft Giving Campaign
  • Henry Middleton
  • Deborah Mitchell
  • Brian Moran
  • Bridget Moran
  • Katharine Morgan
  • Kathleen Murray
  • Matthew Neiger
  • Jessica Neuwirth
  • Laura Nicholson
  • Pius Nyutu
  • George Odongo
  • Tayo Oviosu
  • Douglas Pasto-Crosby
  • Carolyn and Bill Patterson
  • Jennifer Pickett
  • Pittsburgh Trust for Cultural Resources
  • Priscilla Pochna
  • Philip Pope
  • Margaret Quinn
  • Gary Rawdon
  • Kent Redding
  • Dennis Reid
  • Eric Rogoff
  • Terry Rolleri
  • Paul Schuman
  • Robert Schweich
  • Oludare Senbore
  • Kathleen Shafer
  • Dean Shuey
  • Richard Sime
  • Anonymous
  • John Sweeney
  • United Health Group Employee Giving
  • Campaign
  • United Way of Central Maryland
  • United Way of Central New Mexico
  • Marjolein van der Meulen
  • Heather Van Ness
  • Louis Walker
  • Donald Weaver
  • Lisa Werstler
  • Jeffrey West
  • Samuel Won
  • John Wright
  • Unjin Zimmerman

Amref Health Africa in the USA

  • Michael J. Cushing
  • Rodney Davis, MD
  • Hensley Evans
  • Carol Jenkins
  • William H. MacArthur
  • Inosi M. Nyatta
  • Nyagaka Ongeri
  • Joseph E. Pegues, Jr.
  • Roshan Rahnama
  • Liz Rees
  • Timothy S. Wilson
  • Robert I. Wolk

  • Colleen Boyne
  • Emily Correale
  • Maryama Diaw
  • Angelica Jacinto
  • Robert Kelty
  • Agnes Mestrich
  • Anita Pirani

  • Tooni Akani
  • Amanda Cassiday
  • Mackenzie Colgan
  • Danielle Goldman
  • Liza Kelly
  • Hayley MacMillen
  • Alvin Massy
  • Bridget Moran
  • Esther Orudiakumo
  • Brittany Pavon Suriel