Timor Leste: A RAM Team’s perspective

Jenny Kerrison, RC North Hobart D9830Andrea Grosvenor, RC Queanbeyan D9710

Shirley Hayes-Cornish & John Hayes RC Moruya D9710 David & Chris Bromwich, RC Salisbury D9630

The 2017 RAM Team

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Jenny• Team leader

– Previous visits to TL: 2013, 2014 & 2015– West Timor 1996 – 2008

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Introduction

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• Purpose • Share updates on RAM-Partner

activities • Recommend support for malaria

elimination• Team composition• Timing of visit• Locations visited

• (3mins)

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Andrea

• RC Queanbeyan NSW D 9710

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Enjoying coconut – the local way

At the Ministry of Health

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Bed net distribution

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Giving out bed nets

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A happy family with their nets

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Loading a bin and the Posse

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Filling the bin

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After the cleanup

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Barbie at President Acku’s

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Mario & Judite, Dili Liaison Office

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Bairo Pite Clinic

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PRADET, Dili

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Kits for women at PRADET

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National Eye Centre

Atauro Island…paradise…

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Talking to Macca on Australia All Over

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Partners1. National Malaria Control Program (NMCP)2. Rotary Club of Dili Lafaek (RCDL)

RAM in Timor Leste

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2014 RAM Team

Challenges to malaria elimination

• Global Funds 50% reduction 2018-2020• A developing nation • A developing National Health System• Lack of infrastructure (roads, sanitation, water)• Rural community factors (education, poverty)

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Rotary Club of Dili Lafaek

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SHIRL & JOHN, R.C. Moruya,

NSW

FROM THIS

TO THIS

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WHY TIMOR? WHY NOW?

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WHY TIMOR? WHY NOW?

Social & Cultural

HISTORICAL PERSPECTIVE

• The Timorese culturally isolated until 2002• Median age 19, Australia 39• Timor Leste in strategic position in WW2 • Present juggle of local, Indonesian, Chinese,

United States and Australian influences

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Social & Cultural

TIMOR LESTE ACHIEVING MALARIA FREE WILL

• Enhance this young nation's self esteem• Be a positive example of government action• Provide infrastructure for other health

programs• Enhance Rotary in Australia and Timor Leste

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David & Chris

• Health backgrounds• RC Salisbury

Queensland D 9630

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Team’s Impressions

Caveat• Very brief visit• Limited and probably naïve• Promote thought and discussion

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Lovely people

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National Malaria Control Program

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LLIN distribution process

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LLIN distribution process

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Rotary Club of Dili Lafaek

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Benefit of youth involvement

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Time for work – RCDL & Team

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Time for fun

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Time for fun

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Recommendations for RAM in Timor Leste

• Long-term strategic plan of support for NMCP• Strengthen RCDL’s role in healthy village project• Continue to support Dili Liaison Office

2mins

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Malaria elimination in Timor-Leste by 2021

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Can your District help?

A 3-year potential project LLINs & Sprayer Machines ~ $100,000 Rotary Global Grant + District Donations

NMCP’s needs

Requests 2018 2019 2020

LLINs for pregnant women in high risk areas

13,022AUD 57,000

13,254AUD 58,020

13,497 AUD 59,080

Indoor Residual Spraying (yearly, case response)* 80 sprayer machines

Oecusse; West Timor borders; AtauroAUD 44,000

Malaria elimination in Timor-Leste by 2021

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Questions ?