one IMPACT REPORT 2015
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I’m delighted to introduce to you the latest Impact Report. 2014 was a year where I was, yet again, privileged to witness both the commitment of Christian healthcare workers and your dedicated support.
ONE BODY
It often strikes me how interconnected we all are: you, me, health workers across the world, patients, families, those with compassion for friends and strangers. We may not all know one another but, without each other, our lives would be very different. We depend on one another and we all have our roles to play. “ JUST AS A BODY, THOUGH ONE, HAS MANY PARTS, BUT ALL ITS MANY PARTS FORM ONE BODY, SO IT IS WITH CHRIST.” Our partners across the world work in difficult situations and rely upon your support. 2015 has already proven to be a challenging year, with an earthquake in Nepal and devastating floods in Malawi. Your support is more important than ever.
Together, we improve the lives of people whose experience of poverty has taught them not to expect quality healthcare, let alone loving, compassionate healthcare. It’s my prayer that you will be encouraged by the stories of the people that you are helping, and that you will be assured that your generosity is having a lasting impact. Next year will see 175 years of EMMS bringing health and hope to some of the world’s poorest communities. We look forward to celebrating this with you and giving thanks for God’s faithfulness. As you read this report, remember that you are part of this and you have helped to make it happen. Together we are one. Every blessing. James Wells, Chief Executive
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Nepal 2
One Mother, One Child
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Nepal Bike Ride
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One Life
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One Visit
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One Million Thankyous
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One Year, Many Lives
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One Family
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One Pound
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One History
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One Future
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Many Thanks
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One Gift
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CONTENTS
One body
IMPACT REPORT 2015
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ONE MOTHER, ONE CHILD Saving mums and babies in Nepal
Karuna Neupane is a paramedic who works in the Dang district of Nepal, overseeing an EMMS International project to protect mothers and babies. She writes:
My father worked at a hospital, so I grew up in hospital surroundings. I remember seeing lots of sick people, but it was seeing mothers and children in such miserable conditions that led me to work in healthcare. I look after the maternal and child health project in Dang, working with different people in the community and other health institutions to
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improve the care of mothers and babies. I support a team of staff and volunteers and facilitate training. We are working to reduce the number of mums and babies dying due to lack of health awareness, equipment and trained health staff. We are providing training to women in the community who volunteer, supporting pregnant women, visiting homes
and providing equipment. This is all made possible thanks to the kindness of EMMS International’s supporters. We are very thankful for your support and prayer. As a result, more mothers know how to stay healthy during pregnancy, to go to a clinic to deliver and how to care for their newborns. We still have a long journey ahead of us if
we are to achieve our goal, with many cultural barriers to overcome. Please continue to remember us in your prayers.
More than half of all births in the region happen without a skilled birth attendant present.
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ONE MOTHER, ONE CHILD
In the field One of Karuna’s team, Archana, was caring for a pregnant neighbour, giving her advice on immunisation and staying healthy. When she began to suffer abdominal pain, Archana knew it was time to get her to the clinic to deliver. There, she gave birth to a healthy baby boy. Days after going home, Archana went to visit and found the child to be desperately ill. The baby was lethargic and unable to feed, and when she arrived, she found the child near an open fire in a smoke-filled room with no ventilation.
Having local healthcare workers that are trained and trusted is essential for the health of mothers and babies in rural Nepal.
The family had taken advice at a pharmacy and been giving medicine at home, but ignored the recommendation to go to the hospital. Archana knew they must go to hospital and told the family that the baby’s life was at risk. Thankfully, the mother sent for an ambulance. After 5 days in intensive care and with the proper treatment, the child was restored to full health. Having local healthcare workers that are trained and trusted is essential for the health of mothers and babies in rural Nepal. To make a gift to support Karuna and her team in protecting the mothers and babies of rural Nepal, visit emms.org/nepalmums or use the form at the back of this report.
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NEPAL BIKE RIDE 24 participants met the challenge of cycling 350km in the foothills of the Himalayas. Together, they raised over £52,000 to support mothers and babies in Dang District.
‘The most physically challenging but emotionally rewarding experience of my life’ – Miriam Rowlands, 23, Piano Teacher.
Stop Press… Earthquake
At the time of writing this report, Nepal suffered its most devastating natural disaster in 80 years. Thanks to your generosity, EMMS International has been able to work with people like Karuna to bring immediate help to those who need it. Rehabilitation for the 23,000 injured and the country as a whole has only just begun. IMPACT REPORT 2015
8 Our friends and partners have been hard at work making Queen Elizabeth Central Hospital in Blantyre a centre of excellence in palliative care delivery and research. Dr Cornelius Huwa is the medical director of the Palliative Care Support Trust (PCST). He shares his thoughts with us here.
ONE LIFE Caring for the Whole Person
Thanks to your generosity during the Sunday’s Child appeal, a new project has begun to extend and improve end-of-life care across Malawi.
Why palliative care? My desire for working in palliative care started and grew when I worked at Mulanje Mission Hospital. I came face-to-face with the great need for palliative care in our country. My heart for people in pain has been enlarged. I always saw pain from one angle but, today, I see it from many different angles. I have seen how the management of simple distressing symptoms, including pain, can make a huge difference in people’s lives and touch the whole family. This always gives me reasons to appreciate the people I work with and those who have worked before me in palliative care. The things that these people do change lives in more ways than one can explain. How have we impacted on people’s lives in Malawi? One of our patients is Gloria. We shared her story throughout the Sunday’s Child appeal. Cancer left her in terrible pain, unable to walk and confined to a hospital ward.
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All she wanted to do was to go home and see her friends. If you have experience of the pain and trauma that cancer can bring, you know that caring for her involves the tireless efforts of many men and women. Despite having an incurable illness, Gloria’s pain is now manageable and she is back at school with her friends. Support and care for Gloria continues. Her family receive ongoing care and counselling at home. Your gifts have given her more days in which to enjoy life, as well as a life she is able to enjoy – at home and free from pain. Thank you.
What does the future hold? Thanks to EMMS International supporters, and match funding from the UK government, the Sunday’s Child project is possible. Together, we will bring pain relief, end-of-life care and support to more than 40,000 people in its three year period of implementation, and countless more in years to follow. Individuals, families, communities and the whole country of Malawi will be touched in one way or another with this work. It is a seed for the future development of palliative care in Malawi. Thank you. IMPACT REPORT 2015
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ONE VISIT If one part rejoices, every part rejoices with it.
In September 2014, I visited Malawi to see the work supported by EMMS. I was privileged to join local health workers as they provided vital support to their patients in rural hospitals and also on a number of home visits. The care and professionalism of these individuals, along with an insight to the training and education programmes supported by EMMS, convinced me that any support given was making an immediate positive impact but, more importantly, was also an investment in the development of health provision in Malawi that will see continuing benefits in the future. While I had prepared myself to witness sadness and suffering, the lasting impression was that, with the right support, positive things are happening and real progress is being made.” Richard Hamilton, EMMS Supporter From mission hospitals to impoverished villages, I saw the incredible work EMMS does in helping to improve end-of-life care in Malawi. Long before the recent floods, Malawi needed our help – now that help is urgent.” David Pratt, Foreign Editor, Sunday Herald
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ONE MILLION THANKYOUS
Thanks to your support and matched funding from the UK government, the Sunday’s Child appeal raised £1,003,168, so care will not stop when there isn’t a cure.
41,385 people like Gloria will be cared for at home as a result. IMPACT REPORT 2015
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IN 2014, YOUR SUPPORT I LIVES OF 123,013 PEOPLE BETTER HEALTHCARE.
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IMPROVED THE E BY PROVIDING
123,013 IMPACT REPORT 2015
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ONE YEAR, MANY LIVES In 2014 every one came together to make a big impact. Every gift of money, effort and prayer has made an impact.
24 cyclists went to Nepal 68 challengers took part in a challenge event 49 churches and organisations got involved
11 funded medical students completed electives overseas 20 people with chronic illness had a respite holiday 20 fewer babies in north Malawi were born with HIV
2 new training courses in north Malawi started, one to train 20 new Clinical Officers per year, the other to train up to 80 new nurse midwives per year.
2,808 people gave a gift 1,035 people gave regularly through Direct Debits
2,235
PEOPLE IN MALAWI RECEIVED IMPROVED PALLIATIVE CARE
464 people collected money in their Home Money Box
EMMS INTERNATIONAL
7% more people were treated for malaria in central Malawi, 26% more for diarrhoea, 129% more for pneumonia
Of 158 babies born in Mzenga, north Malawi, only 1.2% tested HIV+, a significant improvement on the previous 14%
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4 healthcare workers were funded to do a B.Sc. in palliative care in Uganda
In Mulanje, south Malawi,
18,608 people received primary healthcare, including HIV testing, drugs and nutrition
3,600 people were trained in
3,950 people benefitted from
nutrition, sanitation and hygiene
palliative care in India
243 orphans and vulnerable children were fed CLEAN WATER SUPPLIES WERE BROUGHT TO
75,600 PEOPLE
40 villages were sprayed against mosquitoes In Nkhoma, central Malawi,
1,000 88,331 people received bednets people received to protect them from mosquitoes
9,700 patients received better ante-natal care from Prem Jyoti Hospital
MATERNAL MORTALITY MORE THAN HALVED IN PREM JYOTI HOSPITAL CATCHMENT AREA, 8 FEWER WOMEN AND 7 FEWER BABIES DIED THAN IN PREVIOUS YEARS
improved primary healthcare
IMPACT REPORT 2015
16 One family’s sacrifice to give health a home at Madhipura.
ONE FAMILY
Dr Timothy is a Radiologist and leads the staff of Madhipura Christian Hospital.
Coming to Madhipura Hospital was a great personal sacrifice for Dr Timothy and his family. Through college years, they prayed for the passion and vision to make a difference to the poorest and most vulnerable people. The answer to these prayers led them to Madhipura, but still they were not prepared for the culture shock when they arrived. The level of poverty and harsh attitude of society towards people of “lower castes” was a stark contrast to their lives to date in a more affluent southern India. There is no school for their daughter, or friends for her to play with. The hospital’s facilities are basic, with limited opportunities to further their careers compared to other hospitals. They are trusting that God will build the team and call more Indian missionaries to this special place. Their vision for transformation is inspiring and their sacrifice is humbling. In 2014, with your support, prayers and gifts, that vision started to become a reality. Work has begun to build accommodation to bring more nurses and doctors to Madhipura Hospital. The hospital were also able to purchase a new scanner to improve the care for their patients.
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Putul’s Story
The mothers of Madhipura rely upon the hospital in times of crisis. One such mother, Putul, benefitted from the new scanner. During her ultrasound, Dr Timothy identified that her unborn baby had a large abdominal cyst. Left undiagnosed, Putul would almost certainly have died alongside her unborn child. The diagnosis is just the beginning of this story. Putul will rely upon the hospital for follow-up scans and to care for her and her baby when the time is right to deliver by the necessary caesarean section. They have been given an opportunity for a safe delivery, a chance to avoid suffering many hours of excruciating pain and exhaustion, and possibly even death.
I had the privilege of visiting Madhipura Christian Hospital for 3 days, during which I was inspired by the care and dedication of a very small team of staff to serve the very poor community around. Talking to the staff and visiting them in their homes, it was clear that they were struggling to cope at times with both the pressure on them at work and their very poor living conditions. Knowing the need of the community for caring health care and, therefore, the need to keep the existing hospital staff and attract more, I have been delighted to be able to support the project to refurbish staff houses.” Dr Ishbel Dorward
You can give a gift to support Timothy’s vision and help mothers like Putul at www.emms.org/madhipura or by using the form at the back of this report. IMPACT REPORT 2015
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ONE POUND
For every pound given in 2014, 72p went directly to healthcare projects. This figure is lower than in 2013 because so many generous gifts were received in December, the end of our financial year. These gifts have been carried forward to be spent in 2015.
Income 2014 Incoming Resources
2014
2013
Individual Giving
545,372
315,443
Trusts & Foundations
214,285
45,026
Church & Community Fundraising
Income 2014
Overseas Events Other events Legacies Institutional Funding
44,438
44,603
108,864
142,982
8,505
15,885
107,984 113,187 4,179
66,004
1,033,627
743,130
Rental Income
2,713
14,682
Other Income
1,300
200
Bank Interest
155
234
66,128
100,021
TOTAL VOLUNTARY INCOME
Investment Income
TOTAL INCOMING RESOURCES 1,103,923 858,267
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Programme Expenditure 2014 Grants to India
442,897
Palliative Care at Harriet Benson, Broadwell, GM Priya, Prem Sewa, Madhipura, Chhatarpur and Duncan Hospitals
165,518
Shalom HIV and AIDS clinic
82,531
Renovation at Madhipura Hospital
60,000
Maternal health at Duncan Hospital
51,742
Maternal health at Prem Jyoti Hospital
37,904
Maternal health at Chhatarpur
28,500
Other Emmanuel Hospital Association
3,398
International Children’s Palliative Care Network
12,500
Other Grants to India
804
Grants to Malawi
228,058
Palliative Care Support Trust including Palliative Care Handbook
94,327
Primary Healthcare & Palliative Care at Mulanje Mission Hospital
54,300
MZICHE, Livingstonia AIDS Programme
37,883
Essential Healthcare at Nkhoma Mission Hospital
21,674
Ekwendeni College of Health Sciences (Supported by Scottish Government)
17,877
Livingstonia Synod Health Director Other Grants to Malawi
1,747 250
Grants to Nepal
57,500
Maternal Health Project, Dang District, International Nepal Fellowship
57,500
UK Grants
19,968
Hawthornbrae, Palliative Care UK
10,868
Student Elective Bursary TOTAL PROGRAMME EXPENDITURE
9,100 748,423
IMPACT REPORT 2015
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ONE HISTORY
175 75
SAVE THE DATE
Years of Health & Hope
175 Years of Health and Hope
Share your story
2016 is the 175th anniversary of EMMS International. The anniversary is an opportunity to celebrate the impact that so many people, yourself included, have made over the years.
Did you do a student elective with EMMS or stay in the ‘Mish’? Have you met partners and staff that have inspired you? Did you work in a partner hospital? We want to hear your stories. Please send your memories by post or email (info@emms.org).
There will be a series of special events, including a travelling photo exhibition showcasing the long history of medical mission work, a symposium for Student Elective Bursary recipients and alumni, and mission talks around the country. We would love you to join us.
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175th Anniversary Thanksgiving & Vision Service, 27 November 2016 The world has changed significantly since EMMS’ work began as part of the medical missionary movement of the early 19th century, but the motivation to serve God’s purposes in our own generation remains unchanged. There is much to celebrate and be thankful for. You are warmly invited to join us for a special Thanksgiving & Vision Service in Edinburgh, to both celebrate the work of EMMS International over the past 175 years and to share the vision for the future of Christian healthcare among the world’s poor and marginalised.
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ONE FUTURE
Looking ahead, there are exciting events for you to join to celebrate and support the delivery of essential healthcare to some of the world’s poorest communities.
Cycle Iona, 25-27 September 2015 Join this cycling pilgrimage from Glasgow to the Holy Isle of Iona and see some of Scotland’s most beautiful scenery. Enjoy fellowship over the 120 miles before finishing at the historic Iona Abbey. www.emms.org/cycleiona
Duncan Dinner, 20 November 2015 An Indian-themed dinner and ceilidh awaits you at the prestigious Royal College of Physicians in Edinburgh. Be entertained by Indian dancers, join in the auction and help raise essential funds to care for mothers and babies in India’s poorest state. www.emms.org/ duncandinner
IMPACT REPORT 2015
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MANY THANKS Our profound thanks go to: The faithful volunteers who give so generously of their time. Prayer champions, and all those who uphold the work of EMMS and its partners in prayer. Every person who supported the Sunday’s Child appeal in gift, prayer and action, and to the UK government for matching donations. Our partners in the Sunday’s Child appeal: Sunday Herald, eatacd.com and eHospice. Every person responding to appeals for support. Those who have committed to making regular gifts. Churches and community groups who partner with us. Each home money box supporter, sustaining our work by collecting their pennies. Those who get together in support of better healthcare, like The Friends of Duncan Hospital.
Those who advocate for our work by telling others. Challengers new and old who get out there to raise money. Those who have remembered EMMS International in their will. This year we give thanks for the memory and gifts of Mary Welsh, Margaret Boyd and Helen Pool. Trusts and grant-giving organisations who partnered with us in 2014: Andrew Anderson Trust, ECHO, Forest Hill Charitable Trust, Maple Trust, Maurice and Hilda Laing, Medical Service Ministries, Misses Robinson Charitable Trust, Pollock Memorial Missionary Trust, Radio Cracker Ballymena, Scottish Government, Souter Charitable Trust, True Colours Trust and Veta Bailey Charitable Trust.
“Now you are the body, and each one of you is a part of it.” EMMS INTERNATIONAL
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ONE GIFT Name Address
I wish to receive updates by email email I wish to make a single gift for the sum of £__________ to the work of EMMS International I enclose a cheque/postal order/charity voucher (payable to EMMS International) or please debit my VISA/Mastercard/Maestro/Delta/CAF Card using the details below. Name of card holder Card number Last three digits of security number (on reverse of card) Expiry Date / Start Date / Issue No (Maestro only) I wish to make a regular gift of £__________ monthly/quarterly/semi-annually/ annually (please select) to the work of EMMS International Name of Account Holder: Account Number:
Sort Code:
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Bank Name: Date within month
1st
15th
Month to start
If you are a UK tax payer, EMMS International can claim an extra 25p for every £1 you donate at no extra cost to you. Please select one of the options below. Yes, I am a UK taxpayer and I would like EMMS International to treat this and all gifts of money I have made in the past four years and all future gifts of money that I make from the date of this declaration as Gift Aid donations* No, do not treat my donations as Gift Aid donations.
Signed
* You must pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that you donate to will reclaim on your gifts for that tax year. Please note that other taxes such as VAT and Council Tax do not qualify. Please inform us if you change your name or home address, want to cancel your declaration or if your donations cease to qualify for Gift Aid tax relief. If you pay tax at the higher rate you can claim further tax relief in your SelfAssessment tax return.
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www.emms.org EMMS International is a charity registered in Scotland No SC032327. A company limited by guarantee. Registered in Scotland No SC224402.