Monday, March 24, 2008

Education, Wealth and Life expectancy

Data indicate growing disparity in life expectancy between richer and poorer.



"New government research has found 'large and growing' disparities in life expectancy for richer and poorer Americans, paralleling the growth of income inequality in the last two decades." According to Gopal K. Singh, Ph.D., a demographer at the Department of Health and Human Services, "'the growing inequalities in life expectancy' mirrored trends in infant mortality and in death from heart disease and certain cancers." Although the government has made some efforts to reverse this trend, the gap between the wealthy and the poor continued to grow, such that "[b]y 1998-2000, the difference in life expectancy had increased to 4.5 years (79.2 versus 74.7 years)."


Indeed, "life expectancy was higher for the most affluent in 1980 than for the most deprived group in 2000," said Singh. Furthermore, "men in the most deprived counties had 10 years' shorter life expectancy than women in the most affluent counties (71.5 years versus 81.3 years)," while the "difference between poor black men and affluent white women was more than 14 years (66.9 years vs. 81.1 years)."


According to findings which will be broadcast in the next month on PBS, researchers have found that "contrary to popular belief, your health is not just the sum of your genes, your health habits, and the quality of your health insurance plan. Your income, education, and race matter; so does your address, your job title, and...the status your parents had when you were small."



Sleep Deprivation and Risk Health Issues

Sleep deprived workers may be at increased risk for certain health problems.


A
ccording to the Bureau of Labor Statistics, "20 percent of American workers are night-shift workers, and th[at] number is growing by about three percent per year." Such workers include "police officers, security guards, truck drivers, office cleaning crews, hotel desk clerks, nurses, pilots, and many others." Previous studies have shown that "[t]hese workers -- and people with more conventionally sleep-deprived lifestyles -- are known to be at higher risk for

  1. accidents,
  2. sleep disorders, and
  3. psychological stress due to daytime demands, such as family and other obligations, that interfere with sleeping."

Moreover, "scientific evidence suggests their disrupted circadian rhythms may also cause a kind of biological revolt, raising their likelihood of
  1. obesity,
  2. cancer,
  3. reproductive health problems,
  4. mental illness, and
  5. gastrointestinal disorders."

One explanation for this phenomenon is the fact that about "15 percent of human genes function on a schedule, with highly regulated, oscillating patterns of activity." And, by disrupting their circadian rhythms, people impact the functions of these genes.


"Even with sleep increasingly recognized as an important determinant of health, some doctors may resist the evidence. From working round-the-clock shifts during residency to on-call nights to early-morning rounds, they're sleep-deprived -- and proud of it." According to Charles Czeisler, M.D., Ph.D., director of the division of sleep medicine at Harvard Medical School, "Organized medicine and the professional medical societies are sanctioning 100,000 people a year to working 30-hour shifts twice a week during their medical education." But, physicians "should care more about sleep -- for their own sake as well as their patients," said Eve Van Cauter, Ph.D., a professor of medicine at the University of Chicago.




        Lack of sleep increasingly implicated in mental, cognitive problems.



"Night-shift work and chronic sleep deprivation are increasingly implicated in mental and cognitive problems." Specifically, "[a]bnormal insulin levels...may increase the risk for certain neurodegenerative disorders." Resistance to insulin "may cause inflammation in the brain, a key process in the development of Alzheimer's." In addition, "[p]roper alignment between sleep times and internal circadian time is crucial for optimal cognitive performance." Mood can be affected by "[e]ven moderate changes in sleep times," and "serotonin levels -- a key substance for mood stability -- are lower in shift workers than day workers." Finally, "[f]lawed circadian rhythms may be to blame for bipolar disorder," according to genetic research done in mice.


        Study suggests poor sleep may cause more damage to women's hearts.


According to a study published online in the journal Brain, Behavior, and Immunity, "[w]omen suffer more damage to their cardiovascular health from poor sleep than men do." Edward Suarez, Ph.D., an associate professor in the department of psychiatry and behavioral sciences at Duke University Medical Center, and colleagues, examined "210 healthy middle-aged women and men without any history of diagnosed sleep disorders." Study "participants filled out a standard sleep quality questionnaire, and were assessed for levels of depression, anger, hostility, and perceived social support." The researchers analyzed participants' blood samples, and found that although "men and women in the study had similar sleep quality ratings," the "[w]omen who were poor sleepers...had higher levels of C-reactive protein and interleukin-6 -- inflammation biomarkers associated with increased risk of heart disease and higher levels of insulin." Furthermore, Suarez noted that "for women, poor sleep is strongly associated with high levels of psychological distress, and greater feelings of hostility, depression, and anger."

Wednesday, November 7, 2007

Why Medical Mission

Penury: A Mountain of Adversity

Consider the facts:
  • Almost half of the world's population (3 billion people) lives on less than two dollars a day, adjusted for purchasing power. www.worldbank.org
  • 840 million people in the world don't have enough to eat. www.wfp.org
  • 10 million children die every year from easily preventable diseases. www.unicef.org
Why Reach the Poor?

Isaiah 61:1 says, "The Spirit of the Sovereign LORD is on me, because the LORD has anointed me to preach good news to the poor. He has sent me to bind up the brokenhearted, to proclaim freedom for the captives and release from darkness for the prisoners."
The rest of Isaiah 61 teaches us about the effects this good news has on those who hear it.
"They will be called oaks of righteousness, a planting of the LORD for the display of his splendor.
They will rebuild the ancient ruins and restore the places long devastated;
they will renew the ruined cities that have been devastated for generations."
When we join Jesus in preaching good news to the poor, we will see lasting results that God has designed. Yet many of the world's poorest countries are unreached by the Gospel of the Kingdom.
  • The 48 poorest countries of world are also among the least evangelized.
  • 98% of the least evangelized poor (1.4 billion) live in the 10/40 Window, from West Africa to China.
  • Only 4% of the missionary force now works among this 23% of the world's population. www.gmi.org
When sin entered the world, mankind experienced whole life brokenness. Not only are we separated from God by our sin, but we also suffer physical illness, harsh environmental conditions, and broken relationships. The ones who feel the effects of this whole life brokenness the most are the poor.

Links to Christian Medical Missions

Christian Medical Missions Links

Christian medical missions sites offered by Heal the Nations.

Mission: Moving Mountains - A Minnesota-based international Christian mission organization which matches unreached or difficult-to-reach people groups with well-selected and equipped teams of quality people.
 
American Leprosy Missions - Organization campaigning to cure Leprosy, view medical case histories, service and career opportunities.

Cross Cultural Solutions - Offers volunteer opportunities working in the areas of education, health care and community development in Asia, Africa, Latin America and Eastern Europe.

Evangelism Task Force - A medical evangelism ministry doing short term projects to third world nations, primarily in South and Central America.

Fellowship of Associates of Medical Evangelism - Dedicated to bringing help and hope to least reached people in undeveloped nations through medical evangelism.

Global Health Ministries - Lutheran organization involved in funding, assembling medical supplies, and recruiting medical workers for overseas missions.

Global Health Outreach - Branch of Christian Medical and Dental Association offering short-term missions trips plus opportunities for teaching and evangelism.

HEAL THE NATIONS: Christian Medical Missions - Our vision is to reach our world one village at a time. We promote community health development for needy people in the world's underserved areas. We are currently active in Uganda and India.

HealthCare Ministries - As the Assemblies of God Worldwide Medical Missions Outreach, this ministry sends volunteer medicalteams to extend Christ's touch of compassion to the sick and needy all over the world.

Humanitarian Medical Relief - Nonprofit organization donating medical equipment, supplies, and volunteer services in order to provide free medical care to third world countries.

In His Image Family Practice Residency - Program overview, curriculum & facilities, frequently asked questions, must-read reviews, how to apply.

The Luke Society - An international ministry combining community health and medical care with evangelism.

Medical Ambassadors International - Under the Lordship of Jesus Christ, Medical Ambassadors International (MAI) recruits, trains, and supports national leaders among developing peoples to take responsibility to reach their own people physically and spiritually.

Medical and Dental Mission Opportunities - Comprehensive listing of Christian organizations who invite health care professionals of almost any specialty to serve in short term missions. Some long term opportunities as well.

Medical Missionary Association - Mobilizing Christian health professionals to serve Christ and the Church in developing countries.

Mercy and Truth - Provides outreaches several times a year with the goal of offering medical care while sharing Jesus Christ.

Mercy Ships - Nonprofit Christian humanitarian organization committed to a three-fold purpose of mercy and relief, training and ministry.

MercyWorks: YWAM Tyler - Relief agency providing medical outreach assistance to individuals in El Salvador and Sudan.

Missionary Ventures - Our purpose is to encourage and support indigenous missions through personal involvement, financial sponsorship and ministry development.

Open Directory Project Medical Missions Links - Provides information on Christian organizations that are involved in medical missions, medical evangelism and humanitarian medical relief.

Serving in Mission- Worldwide family of interdenominational believers dedicated to reaching out with the good news of Jesus Christ. Offers long term and short term trips.

Volunteer Humanitarian Opportunities - A physician's guide to volunteer humanitarian opportunities.

Volunteer Nursing Net Links - A list of volunteer health care organizations, both Christian and secular.

Volunteer Nursing Opportunities in Developing Nations - Website designed for Registered Nurses with an interest in volunteering in developing nations. Features stories on volunteer Nurses and related links.

Yahoo/International Relief and Development Links - dedicated to bringing medical help and hope to least reached people in underdeveloped nations.

New links are being added regularly. If you would like your site listed, or you know of worthwhile medical missions sites please check
 

Tuesday, November 6, 2007

Thinking of Medical Mission?

Great books for Medical Mission in Nepal
 
If you have a dream and a vision to become a medical missionary to Nepal, then here are some great books which have inspired and still inspiring thousands of people. You may order a copy through Interserve, amazon.com and various other sites. These are not the only ones there are others too, just keep looking

  1. Don't Let the Goats Eat the Loquat Trees,
  2. On the Far side of LigLig Mountain,
  3. Living Stones of the Himalayas, and
  4. On Being a Missionary


These books are about the life and experiences of an American Family as missionary doctors in Nepal.

Drs. Tom and Cynthia Hale have been working in Nepal under the United Mission to Nepal since 1970. Cynthia is a pediatrician and public health educator and concert pianist while Tom is a surgeon and author.

For their first twelve years in Nepal, the Doctors Hale were assigned to a remote rural mission hospital where Tom served as both surgeon and medical director, and Cynthia served as pediatrician and family physician. Cynthia is an Associate Professor in the Department of Community Medicine and Family Health at the Institute of Medicine of Tribhuvan University, Katmandu, Nepal.

Tom is an author of four popular books above. Tom has also written a New Testament translated into a number of languages, including English, Spanish, French, Marathi, Sinhalese, Filipino, and Yoruba.

Writing A Successful Grant Proposal

 
Writing A Successful Grant Proposal
 
 
Introduction
 
Nepal among other things needs lots of development work and tremendous amount of grant is required. If this is done by the right people in the right time, Nepal will in no time become of of the successful country. There are plenty of good money for great works. The philanthropist Billionaires are giving away their fortunes for important cause, so if you have it in your mind, write the grant proposal, this article is here to help you if needed. 
 
A funder's guidelines will tell you what to include in a grant proposal for its organization. Most funders want the same information, even if they use different words or ask questions in a different order. 
 
Some funders prefer that you fill out their own application forms or cover sheets. If the funder uses an application form, be sure to get a copy and follow the instructions. Standard Grant Application Forms can be found on the internet, and these forms can be adapted to fit the needs of your organization.   However, make sure that the funder you are approaching accepts a standard type form.
The following outline should meet the needs of most funders, or guide you when approaching a funder with no written guidelines. The outline is for a project proposal, and is most appropriate for a project that is trying to correct a problem, such as water pollution, school truancy or ignorance about how HIV/AIDS is transmitted. (See the section on variations on the standard outline for guidance on other types of proposals). The grant proposal as a whole, not including supplementary materials, should usually be five pages or less.
Note: Consider using subheads for each section, such as "Organization Information," to help you, and your reader, keep track of what you're trying to say.
 
Summary

At the beginning of your proposal, or on a cover sheet, write a two- or three-sentence summary of the proposal. This summary helps the reader follow your argument in the proposal itself. For example:
"Annunciation Shelter requests $5,000 for a two-year, $50,000 job training program for homeless women in southwestern Minnesota. Training will be offered at four rural shelters and will include basic clerical skills, interview techniques and job seeker support groups."
 
Organization Information
In two or three paragraphs, tell the funder about your organization and why it can be trusted to use funds effectively. Briefly summarize your organization's history. State your mission, whom you serve and your track record of achievement. Clearly describe, or at least list, your programs. If your programs are many or complex, consider adding an organization chart or other attachments that explain them. Describe your budget size, where you are located and who runs the organization and does the work. Add other details that build the credibility of your group. If other groups in your region work on the same issues, explain how they are different and how you collaborate with them, if you do.
Even if you have received funds from this grantmaker before, your introduction should be complete. Funders sometimes hire outside reviewers who may not be familiar with your organization.
 
Problem/Need/Situation Description

This is where you convince the funder that the issue you want to tackle is important and show that your organization is an expert on the issue. Here are some tips:
0.        Don't assume the funder knows much about your subject area. Most grantmaking staff people are generalists. They will probably know something about topics like Shakespeare, water pollution and HIV/AIDS, but you should not assume that they are familiar with "Troilus and Cressida," taconite disposal methods or Kaposi's sarcoma. If your topic is complex, you might add an informative article or suggest some background reading.
     
0.        Why is this situation important? To whom did your organization talk, or what research did you do, to learn about the issue and decide how to tackle it?
     
0.        Describe the situation in both factual and human interest terms, if possible. Providing good data demonstrates that your organization is expert in the field. If there are no good data on your issue, consider doing your own research study, even if it is simple.
     
0.        Describe your issue in as local a context as possible. If you want to educate people in your county about HIV/AIDS, tell the funder about the epidemic in your county — not in the United States as a whole.
    
0.        Describe a problem that is about the same size as your solution. Don't draw a dark picture of nuclear war, teen suicide and lethal air pollution if you are planning a modest neighborhood arts program for children.
     
0.        Don't describe the problem as the absence of your project. "We don't have enough beds in our battered women's shelter" is not the problem. The problem is increased levels of domestic violence. More shelter beds is a solution.
 
Work Plan/Specific Activities
Explain what your organization plans to do about the problem. What are your overall goals? You might say:
"The goals of this project are to increase the understanding among Minneapolis middle school students about the impact of smoking on their health, and to reduce the number of students who smoke."
Then go on to give details, including:
0.        Who is the target audience, and how will you involve them in the activity? How many people do you intend to serve? Some projects have two audiences: the direct participants (the musicians in the community band, the kids doing summer clean-up in the parks) and the indirect beneficiaries (the music lovers in the audience, the people who use the parks). If so, describe both. How will you ensure that people actually participate in the program?
    
0.        What are you going to do? Describe the activities. Tell the funder about the project's "output," or how many "units of service" you intend to deliver over a specific time period: how many hours of nutrition counseling to how many pregnant women; how many HIV/AIDS hot-line calls answered by how many volunteers. Be sure you don't promise an unrealistic level of service.
      
0.        What project planning has already taken place? If you have already done research, secured the commitment of participants or done other initial work, describe it so the funder can see that you are well-prepared.
     
0.        Who is going to do the work and what are their credentials? (Attach resumes of key people.) Some funders ask for the name of a project director, the person most responsible for the project, whether volunteer or paid. Demonstrate that the staff or volunteers have the expertise to do a good job.
    
0.        When will the project take place? Some funders ask for the project start date and project end date. In general, a project can be said to start when you start spending money on it. If the project is long, consider including a timeline.
     
0.        Where will the project take place?
You may not know the answers to all these questions when you submit your proposal. But the more you know, the better the proposal will look. Apply the "mind's eye test" to your description. After reading it, could the reader close his eyes and imagine what he would see if he came into the room where your project is happening? Many project descriptions are too vague.
Remember: You can continue to submit updated information to foundation staff almost until the date the board actually reviews the proposal.
 
Outcomes/Impact of ActivitiesTell the funder what impact your project will have — what will change about the situation as a result of your project. For example, your pregnancy nutrition counseling program intends to increase the birth weights of your clients' babies.
The impact of a project is sometimes hard to define. What is the intended impact of a performance of Beethoven's "Ninth Symphony," for example? 
Impact can be difficult to measure. The desired impact of a smoking cessation program is clear, but the desired impact of a leadership program for teenagers may be ambiguous and difficult to quantify.
To add to the difficulty, few nonprofits can prove conclusively that a given impact was caused directly by their project. Your clients' babies may weigh more, but the cause may not be your nutrition program. Nevertheless, you must do the best job you can to define your intended impacts.
Other Funding 
Here the funder wants to know if other organizations have committed funds to the project or been asked to do so. Few funders want to be the sole support of a project. (This may not be true if the project cost is very small — less than $5,000, for instance — or if a corporation is seeking public visibility by sponsoring the project.) Funders generally expect you to ask for support from more than one source. In this section, you can also describe the in-kind contributions (goods or services instead of cash) that people are giving to the project.


Future FundingIf you continue this project in the future, how will it be supported? Most funders don't want to support the same set of projects forever. Many funders see their niche as funding innovation: supporting new approaches to old problems or finding solutions to new problems.
What the funder really wants to see is that you have a long-term vision and funding plan for the project, that the project is "sustainable," especially if it is a new activity. If you don't have such a plan, start thinking about it — if not for your funders then for the success of your project or organization.

EvaluationHow will you know whether you achieved the desired impacts? If you have done a good job of defining them, all you need to do here is describe the information you will gather to tell you how close you came. Will you keep records of incoming hot-line calls? Will you call your counseling clients six months after they leave the program to ask how they are doing? Explain who will gather the evaluation information and how you will use it. Be sure your evaluation plan is achievable given your resources. If the evaluation will cost money, be sure to put that cost in the project budget.

Budget
How much will the project cost? Attach a one- or two-page budget showing expected expenses and income for the project. Or you can use the budget format in the Minnesota Common Grant Application Form.
 
EXPENSES 
Divide the expense side into three sections:
0.        Personnel Expenses
0.        Direct Project Expenses
 
Personnel Expenses include the expenses for all the people who will work on the project. They may be employees of your organization or independent contractors. If they are employees, list the title, the annual pay rate and, if the person will be working less than full-time or less than 12 months on the project, the portion of time to be dedicated to the project. For example, if an employee will work half-time on the project from October through May:
Counseling director ($35,000 x 50% x 8 months) = $11,667
Also consider the time that may be contributed by other staff who are not directly involved. For instance, the executive director must supervise the counseling director:
Executive director ($40,000 x 5% x 8 months) = $1,333
If you are using employees for the project, don't forget to add payroll taxes (FICA, Medicare, unemployment and workers' compensation) and fringe benefits such as health insurance. You can include a portion of these costs equal to the portion of the person's time dedicated to the project.
For independent contractors, list either the flat fee you will pay ($1,500 to design costumes for a play) or the hourly rate ($40/hour x 40 hours).
Direct Project Expenses are non-personnel expenses you would not incur if you did not do the project. They can be almost anything: travel costs, printing, space or equipment rental, supplies, insurance, or meeting expenses such as food.
Remember that you will have to live with this budget; you can't go back to the funder and ask for more money because you forgot something. Think carefully about all the expenses you will have. If you will be hiring new people, for example, don't forget that you may have to pay for classified ads. Also take the time to get accurate estimates. If you will be printing a brochure, don't guess at the cost. Call your printer and ask for a rough estimate.

 
Administrative or Overhead Expenses are non-personnel expenses you will incur whether or not you do the project. But if you do the project, these resources can't be used for anything else. For example, if you pay $500 a month for an office with space for four employees, you will continue to rent the office even if the project doesn't happen. But if the project does happen, one-quarter of the office space will be occupied by the project director. So you can charge for one-quarter of your office rent, utilities and administrative costs, such as phone, copying, postage and office supplies.
Be sure to read the funder's fine print on administrative or overhead expenses (sometimes called indirect expenses). Some funders don't cover administrative expenses. Some instruct you to charge a flat percentage of your direct expenses. Others will allow you to itemize. If the funder has rules about overhead, remember that some of your personnel costs may in fact be "overhead" and should be moved to this section. An example is an executive director supervising a project director. You will pay the executive director whether or not you do the project, so she could be considered an administrative expense.
Note: Be sure to add up all your expenses carefully. Incorrect addition on budgets is one of the most common errors in a grant proposal.
 
INCOME
All income for a project fits into two categories:
0.        Earned Income
0.        Contributed Income
 
Earned Income is what people give you in exchange for the service or product your project generates. Not all projects generate income, but many do. A play generates ticket income and maybe concession income. An education project may have income from publication sales or tuition. Show how you calculated the estimated earned income:
Ticket sales ($10/ticket x 3 performances x 200 seats x 50% of house) = $3,000
Contributed Income comes in two categories: cash and in-kind. Show cash contributions first and indicate whether each item is received, committed, pending (you've made the request but no decision has been made) or to be submitted. This section should correspond to the Other Funding section in the text. For instance:
Ardendale Community Foundation (received) 
$5,000
City of Ardendale (committed) 
$2,500
Acme Widget Corporation (pending) 
$3,300
Jones Family Foundation (to be submitted) 
$4,000
Other funders (to be submitted) 
$5,400
If you plan to seek funds from a number of other funders but don't know which ones will say yes, an "other funders" line is an easy way to indicate how much total money you need to receive from all other sources to balance the budget.
In-kind contributions are gifts of goods or services instead of cash. They can include donated space, materials or time. If you list in-kind contributions as income in your budget, you must also show the corresponding expenses. If someone gives you something at a major discount, you would show the whole expense and then list the portion being donated under in-kind contributions. Here are some examples:
Expenses: 
  
Classroom rental 
$1,500
Curriculum consultant 
$2,000
Teacher aides (4 x 40 hours each x $5/hour) 
$800
In-kind contributions:
 
Ardendale Community Ed. (classroom rental) 
$1,500
Jane Doe (curriculum consultant) 
$1,000
Parents of students (teacher aides) 
$800
In this example, Jane Doe, the curriculum consultant, is doing the work for half-price, while the parents are volunteering as teacher aides.
In-kind contributions can be important for three reasons:
1. It shows all the ways in which the community is supporting your project, even though not everyone is giving cash.
2. It shows the true cost of the project -- what you would have to spend without the community support.
If you want to show in-kind for these reasons, you can either show it in the budget, as above, or simply add a footnote to the bottom of the budget, like this:
"This project will also receive more than $3,000 of in-kind support from the school district, participating parents and various education professionals."
3. If you are applying for a matching grant, the in-kind income may sometimes be used as part of the match. If you want to use in-kind contributions as part of your match, then you must put a dollar value on them and put them in the budget. Funders who provide matching grants may have policies on how much in-kind expenses you can use in your match and how it must be documented.
 
 
Supplementary Materials
Funders may ask for a variety of materials along with the proposal itself. Almost all funders want at least the following:
0.        A copy of your IRS letter declaring your organization tax exempt . If your group is not tax exempt, you may need to apply through a fiscal agent, or fiscal sponsor. In that case, send a copy of your fiscal agent's IRS letter.
    
0.        A list of your board of directors and their affiliations , such as "CPA," "marketing director, Acme Widget" or "parent volunteer."
   
0.        A financial statement from your last complete fiscal year , including a statement of income and expenses and a balance sheet showing assets and liabilities at the end of the year. Some funders ask for an audited statement. If you are too small to be audited, call to ask whether an audited statement is mandatory or just preferred.
   
0.        A budget for your current fiscal year. If you are well along in the fiscal year, also show actual year-to-date income and expenses next to the budget projections.
     
0.        A budget for the next fiscal year if you are within three or four months of the new year.
Some applicants are small parts of very large institutions, such as a department at the University of Minnesota or an after-school program in the Minneapolis Public Schools. In such cases, you may be better off submitting supplementary materials only for your program, not for the whole institution. Ask the funder what you should do.
Grantmakers may ask for other materials, such as a copy of your most recent IRS Form 990. If you don't understand what a funder is requesting from you, ask. If you don't have some of the requested materials, attach a note explaining why.
You can also attach resumes of your key personnel as well as general information about your organization, such as newsletters, brochures or annual reports. If you have a lot of supplementary materials, consider adding a sheet that lists them in the order in which they are attached.
Putting It All Together
Now put the whole thing together: the cover sheet (if appropriate), the proposal itself, the budget and the supplementary materials. Add a cover letter if you wish. Don't put the proposal in a fancy binder; a paper clip is fine. Be sure to note if the funder wants multiple copies of anything, or if a cover sheet needs to be signed by a staff or board member.
    
 
Variations on the Standard Outline
The proposal format described above is most appropriate for a problem-based project costing $5,000 or more. At times you will need to alter this format to suit other circumstances:
0.        Small project proposal
 
Small request
If you are asking for a small amount of money ($1,000 or less), you can put the entire proposal in a two- or three-page letter with required attachments. Use the same outline, but keep it short.
Non-problem-based project
Many arts and humanities projects are not trying to solve a problem. A performance of Beethoven's "Ninth Symphony" is not a response to some societal ill. If that is your situation, you can alter this outline by deleting the situation description. After you have described your project, insert a new section in which you discuss the benefits of the project.
General operating proposal
Often you are asking for money not just for a specific project but to support all your activities for one fiscal year. In this case, adapt the standard proposal as follows:
0.        Organization information: No change. 
     
0.        Situation description : What issues was your organization founded to address? Why is your organization needed? (If yours is not a "problem-based" organization, you can skip this part.)
     
0.        Work plan/specific activities: Use this section to explain what your organization plans to accomplish during the year for which you seek operating funding.
    
0.        Impact of activities: What are the intended impacts for that year's activities?
    
0.        Other funding: Who are the other funders providing operating support for this year?
   
0.        Future funding : What is your long-term funding plan for your organization, especially if your operating budget is growing?
    
0.        Evaluation : In general, how do you evaluate your work?
     
0.        Budget: You don't need a special project budget, just the financial information described under Supplementary Materials, above.
 
Capital or endowment proposal 
Include the same information as for a project proposal. Explain how this building project, or the creation or expansion of your endowment, will help you do a better job of serving your community. But also write about your long-term plans for financial health, especially if you want money for a building. The funder doesn't want to help you buy a building if you can't afford to maintain and operate it.
     
 
 
 
 
Common Questions about Grantwriting
 
1. Should I apply to more than one grantmaker at a time? Should I ask each one for the project's entire cost or just a portion?
As noted in the Other Funding section, few funders want to be the sole support for a project. You should usually apply to multiple funders, asking each for partial support. Ideally, the total of all your funding requests will add up to about 200 percent of the money you actually need. This allows for the likelihood that some funders will turn you down or give you less than you requested.

2. Should I use a professional grantwriter?
There are plenty of freelance grantwriters in most communities who write proposals for a fee. (Most experienced writers will not work on commission, however.) There are both good and bad reasons to hire a freelancer:
Good reasons to hire a freelance grantwriter:
0.        To write a good, basic proposal — the "mother proposal" — that your group can then adapt to suit different circumstances. After a year or so, however, you should be able to write this on your own.
0.        To search grantmaker directories and databases and identify likely funding sources. Again, your organization should soon develop these skills internally.
0.        Because you have five proposals due in one week.
0.         
Bad reasons to hire a freelance grantwriter:
0.        Because your group wants grant money but neither your volunteers nor your staff want to "dirty their hands" by asking for money. Seeking money is a core activity for most nonprofits. Learn to live with it.
0.        Because a freelance fund raiser promises he can get you a lot of money through his "connections." Particularly with major funders, projects are generally funded because of their worth, not due to connections.
0.        Because your organization has never tried to raise money before and suddenly wants a large amount of money for a big capital project. Alas, big money tends to go to groups with a long track record and solid funding base. There are exceptions, but don't count on being one of them.
If you decide to hire a freelance grantwriter, be sure to look at some writing samples. And ask for the names and phone numbers of past clients who work in your field.

3. What happens to my proposal after it reaches the grantmaker?
In some foundations, the staff screen out proposals that are ineligible or poorly planned or simply not within the organization's current focus. Staff then research the remaining proposals and write recommendations for the board. The research may include meeting with the applicants. Recommendations may go to the board with or without the original proposals. The board makes the final decisions.
In other foundations, staff members make decisions on smaller requests. In still other foundations, the board sees every proposal unscreened by staff.
Grantmakers with no paid staff typically do not have the resources to do a thorough review of each applicant. They therefore tend to fund projects and proposals that are already familiar to their boards, perhaps through personal involvement or because an applicant has been recommended by someone they know and trust.

4. What should I do if my proposal is rejected?
The letter giving you the unhappy news will probably be a form letter. But if you wish and the funder has staff, you may phone and ask, "Can you tell me anything that will help us another time?" Perhaps they liked your proposal but just ran out of money; perhaps there was some tiny point of confusion that could be resolved easily. But don't make such a call if you are feeling angry or combative. You are trying to get information, not argue a case in court.
If you are rejected, but after an objective review of the funder's guidelines you still believe there is a match, apply again in about a year. Many applicants are only successful on the second or third try.

5. What should I do if my proposal is funded?
If your proposal is funded, you may receive the check with a cover letter. Or you may get a full-blown contract stipulating, among other things, that you must submit a report when the project is done.
In all cases, write immediately to acknowledge the gift. If you sign a contract, be sure to read it first and note when and what kinds of reports are due. Then turn the report in on time. If you realize you can't do so, send a note or call to say it will be late.
Before preparing a report for a funder, check to see if the funder has specific reporting forms and guidelines. You may also use the Minnesota Common Report Form if the funder accepts it. Introduced by the Minnesota Council on Foundations in March 2001, the Minnesota Common Report Form provides a standardized format for a nonprofit grantee to use in reporting to different grantmakers about work it has accomplished with their grants, reducing the amount of time the grantee must spend rearranging basic information to fit funders' varying reporting requirements. To download the form and view a list of funders that accept the form, click here .
Even if the funder doesn't ask for a report, send one anyway. Show the funder how well you are using the money. If your project generates a newspaper article or other publication, send a copy. If it includes a public event, invite the funder to attend. If you get heartfelt letters of thanks from participants, send a sampling to the funder. Don't be like the stereotypical college student who only writes home when he needs money.
What if you get some funding but not what you wanted for the project? For example, you had budgeted $50,000 for the project but you could only raise $35,000. You will then have to decide whether you can do the project in a meaningful way with the money you have. If you can, you must write all those who funded the project and explain how you will adapt to the lower budget. If you can't, write the donors to explain the situation and ask if you can transfer their money to another project (that you describe fully). They might say yes. If not, you must return the money.
6. What should I do if I raise some money, but not all I need?
What if you get some funding but not what you wanted for the project? For example, you had budgeted $50,000 for the project but could only raise $35,000. You could submit another round of proposals to different funders. Or you will then have to decide whether you can to do the project in a meaningful smaller way with the money you have. If you can do so, you must write all those who funded the project and explain how you will adapt to the lower budget. If you can't do the project and can't raise additional funds, write the donors to explain the situation and ask if you can transfer their money to another project (which you describe fully). They might say yes. If not, you must return the money.
 
Conclusion
Seeking grant money can be time-consuming and sometimes frustrating. Among Minnesota's largest grantmakers, about one proposal in three is funded. You may find that you can get project money but not the operating money you need to keep your basic activities going. You may be surprised by funders' generosity, but you may also be surprised by their periodic changes in focus, especially if those changes leave you on the outside looking in.
But remember that Minnesota has an extraordinary fund-raising climate. People from other states envy the major corporations and large family foundations that form the backbone of many of our innovative social and cultural programs. Most funders have board and staff people who are thoughtful, careful, curious, well-educated about community issues and willing to help you. If you have a good project that has been carefully planned to meet some real needs, you will find people willing to talk with you and advise you. Good luck!

Monday, November 5, 2007

A Hope for Nepal

A Good Start

Nick Simons, a son of multibillionaire Jim and Marilyn Simons ,was a New Yorker who, having recently graduated from college, came to Nepal to work in 2002. He fell in love with the country, and returned home with the dream of becoming a doctor for the underserved.

Tragically, Nick's life ended some months later when he drowned while swimming in Indonesia.Jim and Marilyn Simons came to Nepal to establish a project in their son Nick's name.

After funding the building of a new Maternity Ward for Patan Hospital in Nepal, they helped develop a new organization that would reach out to rural communities, principally through the training of health care workers for local needs.

In March 2006, NSI was formed from this nucleus. NSI is a charitable company whose Board is composed of distinguished Nepalese professionals. The organization has its headquarters in Kathmandu valley, but works through a network of health care institutions spread across the country.