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.

Medical Mission in Mountains

Medical Mission in Remote Mountains of Nepal

Unable to afford even basic health care, many of them would not even consider coming to the hospital. Some of them would learn to live with disease and think of sickness a part of their life. Being illiterate, poor and simple, many of them would die of ordinary and easily treatable diseases like pneumonia, diarrhea, malnutrition, meningitis and tuberculosis. Some become blind just for lack of Vitamin A or lose limb from simple fractures.

In spite of all these sufferings, many of them still have a mysterious smile on their faces, which makes them so unique. Even receiving ordinary medicines for their pain and suffering means a lot to them.

They have very grateful hearts. This makes them beautiful despite their poverty. Having worked in places such as these, a desire comes into our heart to do something for these beautiful people and communities by reaching out to them with adequate resources and qualified professionals and help them build infrastructure to become self sufficient .

Paradigm of CMC Vellore for Nepal

Story of CMC Vellore

To run a Medical Mission in Nepal, it may be helpful to learn from Christian Medical College & Hospital, Vellore and from the life of Ida Sophia Scudder, a child of a missionary doctor.

Vellore Christian Medical College & Hospital, known simply as "CMC", is one of those unique organizations that you fall in love with at first sight. At its heart is the story of the founder, Ida S. Scudder, and the thousands of dedicated men and women who have followed her at CMC in India.

The story of Ida Scudder's visionary mission begins in the late 1800's when she was a young American girl reluctantly visiting her medical missionary father, John Scudder, at his post in Tamil Nadu, South India. One fateful night, Ida was asked to help three women from different families struggling in difficult childbirth. Custom prevented their husbands from accepting the help of a male doctor for them and being without training at that time, Ida herself could do nothing. The next morning she was shocked to learn that each of the three women had died. She believed that it was a calling and a challenge set before her by God to begin a ministry dedicated to the health needs of the people of India, particularly women and children. Consequently, Ida went back to America, entered medical training (practically unheard of for women at that time) and, in 1899, was one of the first women graduates of the Cornell Medical College.

Shortly thereafter, she returned to India and opened a one-bed clinic in Vellore in 1900. Two years later, in 1902, she built a 40-bed hospital, the forerunner of today's 1700-bed medical center. In 1909, she started the School of Nursing, and in 1918, her fondest dream came true with the opening of a medical school for women. (Men were admitted in 1947). With the training of these women as doctors and nurses, Indian women would now begin to have access to health care professionals. This was the beginning of the vision of Ida S. Scudder which continues to grow to this day.

In addition to the care of women, Ida Scudder saw the need for bringing health care to the poor, the disabled, and the neglected of India. She traveled regularly to outlying villages, bringing medical care to the doorstep of poor villagers, many of whom had never seen a real doctor or nurse, starting CMC's first "roadside" dispensary in 1916. Over the years, these roadside dispensaries have developed into extensive rural health and development programs that have become internationally acclaimed in the Community Health field. These dispensaries have attracted members of the medical community from around the world, from young medical students to nurses to highly skilled surgeons, to study and contribute their skills.

The 100 years since Ida Scudder opened the first small clinic have seen remarkable growth. Here is an example of the daily activity that goes on there today: 2,000 outpatients per day, 1,000 inpatients, 43 operations, 22 clinics, and 16 births. Ten Bible Classes are held each day and 380 patients are visited by a Chaplain. In addition, there is the work of CHAD, CONCH, and RUSHA, which go out to the villages and rural areas bringing methods of disease prevention, health care and community empowerment to tens of thousands more. Started with one woman and her vision, CMC employs over 4300 people today.

But, the story of CMC is not merely growth, high tech surgery, and medical degrees. It is the story of people sharing their time and talents in a loving and caring manner. Throughout its history CMC has taken up each new task in response to Christ's command. In the words of Ida Scudder, ";we thank God for the way He has led us in the past and look forward to an even greater future."

Loving Nepal

Sign of Love for Nepal- Iwa

In recognition of the highly distinguished contribution in missionary works as a doctor in Nepal for decades, Dr. Noboru Iwamura, former chairman of International Human Resources Institute Network has received many awards and honors.

In 1962, he came to Nepal as a doctor through Japan Overseas Christian Medical Cooperative Service. Since then, for 18 years he continued to render service to patients suffering from various diseases going from village to village. In the mountains of Nepal, the most common ailment he encountered was tuberculosis and leprosy. Concerned by the large number of patients suffering from these diseases in particular, he devised other ways to control these diseases by teaching the people how to improve public health and implementing immunization campaigns in the villages.

Besides, he also contributed in educating doctors, nurses and paramedical personnel for effective healthcare delivery in Nepal. These dedicated missionary activities that Dr. Iwamura carried out over the years have also contributed enormously in deepening the mutual understanding and friendly relations between Japan and Nepal.

Apart from this, his selfless service took him to far away places in Asia, Africa and Latin America. His work laid the foundation to bring together the leaders of Asian communities and he was conferred the 'Magsaysay Award' in 1993 for international understanding.
Dr. Iwamura Memorial Hospital and Research Center

Dr. Iwamura Memorial Hospital was established in December 2001 in Bhaktapur, in memory of Dr. Noboru Iwamura. To continue his unfulfilled duties towards the Nepali community, Ms. Purnima Gurung, colleagues from Nepal, India and Japan have founded this memorial hospital. Established under the financial assistance from the Rotary International District 2640 and 2680 Japan, the hospital provides 24 hours out patient services, emergency services, as well as general medical and surgical services especially on cardiology, nephrology, gastrology and neurology. This hospital needs you.

Dr. Mary Jean Yoder

The Dr. Mary Jean Yoder Memorial Endowment Fund is directed by a Committee within Mennonite Mission Network, and receives and disburses grants or self‑canceling loans for medical and paramedical training of national Christians in developing countries.

Established in 1990 by the Class of 1964 in celebration of the 25-year reunion of the class, this fund commemorates their classmate, Mary Jean Yoder, M.D., who exemplified the ideals of perseverance and service to others. Dr. Yoder was tragically killed in an automobile accident less than a week after graduation from Medical School ( the IU School of Medicine).

The Mary Jean Yoder AwardDr. Mary Jean Yoder was a Mennonite and a graduate of this school. In memory of her ideals, this award honors a graduating senior who exhibits high moral character, academic excellence, and, especially, dedication to service to others.
 
Her dream was to help people in dire need and in remote places like Nepal as a doctor.

Rural medicine in Nepal

Rural medicine in Nepal

Introduction

Nepal is a fascinating country, famous for its mighty Himalayan peaks

and ancient untouched cultures. In spite of its great beauty and attraction,

Nepal remains one of the poorest countries in the world. As in many

developing countries, most of the population lives in rural areas while

most of the medical facilities and health professionals are found in the

capital city. Although there are many rural hospitals scattered throughout

the hills of Nepal, many function very poorly, suffering from shortage of

staff, medicines and low quality of care. Some however have gained a

reputation for offering good and appropriate service to the communities

they serve. I currently have the privilege of working in such a hospital,

the TEAM mission hospital in Dadeldura.


The hospital in Dadeldura Dadeldura is the district headquarters

of the Far Western region and as such is relatively large town. It is

on the top of a ridge of mountains and has a spectacular view over

rolling river valleys rising up to steep hills, backed by an East to West view

of the snow capped Himalayas. The hospital has 30 beds, with 2

wards. Men, women and children, medical and surgical cases are all

mixed together in these wards. Initially I was surprised to see that it

was possible to run a hospital with only 30 beds. However there were

never any patients who had to sleep on the floor since I have been here

and 30 beds seem enough. There is a much higher threshold for admitting

patients; for example, patients suffering from typhoid, which

is endemic, are usually not admitted, and TB patients usually stay for only

a few days. The hospital sees about 100 out patients a day and does

about 50 deliveries a month.


The hospital is run by two doctors, both family physicians from

USA. One has been at that hospital for 20 years and is an extremely well

known figure in the community. He told me that on his first visit

to the hospital, he had to walk for three days to reach the hospital

as the road had been blocked by landslides.


The real keys to the hospital are the 5 CMAs (Clinical Medical Assistants).

These workers are the Nepali equivalent of PHC nurses in South

Africa. They sit in out patients department and see most of the patients.

They also manage the wards, giving injections and doing dressings.

As there is no radiographer, they take all the X-Rays. They also

conduct all of the deliveries that happen at night. For caesarean sections

they scrub and assist in theatre. They are the main people to see

patients after hours and so take turns to be on call, working the whole of

the next day as well after a call. And for all this they have 15
months training.

Many of them are highly experienced and a real pleasure to work with.


Challenges


A thing I have found surprising is the relatively high proportion of surgical

and especially orthopaedic patients that we admit. People are

often falling out of trees - or off the steep terraces that they farm on.

They climb the trees to cut off branches to feed their buffalo. (As

a result, most of the trees here have no side branches and just grow vertically

up). About 3 patients with fractures come to the hospital every

day, and supra condylar fractures of the humerus are especially common.


In my first three days here, 4 women arrived in labour with dead

babies. Two were in transverse lie with cord prolapse and we had to

deliver the babies by caesarean section. One was a breech and delivered

vaginally, and in the case of the other we had to do a destructive

procedure on the skull to deliver the baby. None of these women had

been for antenatal care, which seems to be the rule rather than the

exception here. It is not hard to see why Nepal has one of the highest

maternal mortality rates in the world. Very few patients are admitted here

to await labour, and the concept of maternity villages does not seem to

have been proposed at all in South Asia. As some mothers come from

several days walk away, this situation is very difficult. At least they can do

caesarean sections at this hospital. There are many district hospitals

in Nepal where not even this is possible.


The lack of referral facilitates is difficult. The hospital is not far from

the India border, so if patients have money many choose to go there.

But there is no close relationship between TEAM hospital and larger

referral hospitals. In my first week here we had several difficult cases

with no one to ask - like an open skull fracture with meninges showing

- and a man with Fournier's gangrene. It made me appreciate

"Mailadoc" (email discussion list) and the good referral backup we had

while I was working at Manguzi Hospital, in KwaZuluNatal. We often refer

patients to larger centres, up to 8 hours away, without being sure they

will reach the correct place or receive the correct treatment. I have seen

several people who travelled far and spent much money on investigations

such as X-Rays and blood tests, only to not have enough money for

treatment, or to be told that it was an incurable illness. Referral often

does not seem rational and a lot of money seems to be unnecessarily

spent by anxious relatives wanting to do the very best for their loved

ones, even if that means spending money they have had to borrow.

At first I thought that being able to collect blood from a willing family

member donor was a huge advantage and would prevent the situation

we tried to avoid at Manguzi of our blood supply running out. I have

since found out that this is not true.


Generally speaking, people seem very unwilling to give blood except

to very close family members. Women seem particularly reluctant, fearing

that it will make them too weak to work in the fields. I have now

observed three occasions where very anaemic patients, one with an

ongoing gastrointestinal bleed, had to be sent home or to another centre

at great cost, simply because no

willing donor could be found. The problem of unusual blood types is

even more of a challenge. Last week, after persuading over 10 villagers to

have their blood tested, seeking a donor for an A negative patient, none

was found to match. Eventually the patient was sent to a bigger centre.


Some solutions

An innovation at this hospital that I have found very useful is the solar

lights. Each light fitting has two lights - one working off the main power and

one off a solar battery. The hospital does have a back up generator but

this has to be turned on manually at the workshop. When the lights go out

in that crucial stage of a delivery or operation, with a flick of a switch one

can be using solar power, while waiting for the generator to be turned on.


Unlike the situation in South Africa, where interpreters are widely

used in consultations, here there is a high expectation on expatriate

doctors to be able to speak the local language. I had to take a 4 month

course in Nepali before working here and all of my work with staff and

patients is done in this language. The increased depth of communication

that this makes possible has lots of rewards. One of these is being

better able to appreciate and in some ways manage the personal

and contextual aspects of the consultation.

I am amazed at the number of patients, even in this very poor

rural community, who present with physical symptoms, but have underlying

depression or anxiety, often from family related problems.


Conclusion

In all, though, it is in many ways like a rural hospital at home. The doctors'

houses look the same, the communal social life is the same, and the fact

that all the staff in the hospital are related to everyone in the village is

the same. It has not taken me long to feel at home here.

I have found that rural health care has many similarities all over the

world. It is my hope and prayer that its joys and challenges will keep me
in this type of work for a long time to come. For those who like adventure,

enjoy a challenge, find other cultures stimulating and want to

make a difference in the world around them, I can recommend it