Tag: Not-For-Profit

Witness & Work: FullSoul’s Intern’s Experience in Uganda

I was in Uganda’s Mukono Health Centre IV the first time I saw a woman give birth. The hospital’s delivery suite was about the size of a single private room in a Canadian hospital, yet at that moment it hosted 1 midwife, 4 nurses, 4 occupied beds, medical supplies, and myself. The woman’s delivery was difficult and as I watched, I experienced a rollercoaster of emotions – worry, amazement, relief, and, finally, elation. During the delivery, the midwives and nurses worked in a well-practiced manner, improvising when certain materials, such as forceps or surgical scissors, were not available. I was surprisingly unfazed by the conditions; I had already mentally accepted that hospitals in Uganda are often insufficiently funded. However, I was shocked by the implications of this reality. For the first time, I saw what it meant for a woman to deliver a baby without adequate medical facilities, privacy, or support.

Alyna at Mukono

FullSoul Intern, Alyna Moosabhoy, interviews the head midwife at Mukono Health Centre IV, one of the locations of the FullSoul Kits.

Unnecessary delays are believed to be a significant cause of otherwise preventable maternal deaths and they occur all too often when hospitals are not properly equipped. I travelled to Uganda this past summer to evaluate FullSoul Canada’s Maternal Medical Kit project, which supplies essential delivery tools to under-funded rural Ugandan hospitals. Throughout my internship, I recognized first-hand the relevance and significance of the work FullSoul does. A large portion of my role entailed listening and observing. From site visit observations, audits, and interviews with healthcare workers, I gained insights on the specific needs and challenges of our partner hospitals regarding maternal health. Simultaneously, through conversations with newfound Ugandan friends I furthered my understanding of the context of FullSoul’s work, as we discussed the fundamentals of national politics, economics, and healthcare.

FullSoul partners with local stakeholders and institutions to practically and appreciably improve maternal healthcare and decrease the number of preventable maternal deaths in a country that has one of the world’s highest maternal mortality rates. Using the DMIAC (Define, Measure, Analyze, Improve and Control) approach, I evaluated the efficacy of the program’s implementation, the details of which can be found in the published Evaluation Report. I am grateful to have gained insight on the state of maternal healthcare in Uganda from my internship, as it now enables me to contribute informed ideas on how FullSoul may best progress and grow. I have taken this opportunity to work with an organization that saves lives by implementing a feasible solution to the immediate problem many rural Ugandan hospitals face: lack of basic medical tools. I also developed personal and professional skills, and was immersed in a spectacular cultural experience. I worked alongside local Ugandans, some of whom became my closest friends. I learned of cultural differences that challenged my perceptions, beliefs, and values. In such a beautiful country, surrounded by lush greenery, I was welcomed by its people and free to discover its many charms; ultimately I had a uniquely wonderful two months.

In the two short months I was there, I came to love Uganda. I cherish my time there and the people I met, and I hope to return soon. In the meantime, although I am back in Canada my journey with FullSoul has not ended. FullSoul does great work and I can clearly envision its bright future, which I am excited to work towards with the rest of the team.

Alyna Moosabhoy served as a FullSoul Intern in Uganda for May-July 2017, evaluating the kits and the needs surrounding maternal health in these facilities. She continues to work with FullSoul in their evaluation, development and implementation of projects since returning to Canada.

 

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One more delivery for deliveries…

Though the FullSoul visitors have returned home, we still had one more delivery to attend to.

Five kits were going to Nakaseke Hospital, in the Central Region of Uganda, about 2 hours north of Kampala, so our FullSoul Uganda Team hopped on an early morning Matatu to head to the hospital.

We met with Dr. Mubeezi, the Head Doctor of the hospital, to speak more about what the greatest challenges they face in their facilities, and how they experience Maternal Health- and Maternal Mortality, as one of the largest hospitals in their area. Though not technically a referral hospital, this facility often acts as one due to the large catchment area that it serves. However, this causes problems with resources, since it will be under-supplied to deal with the number of cases that it actually receives.

Watch more about the ‘delivery’ experience and more of the challenges that this FullSoul Partner Hospital faces…

 

 

 

 

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Days of Living FullSoul in Uganda [Dec 2016-Jan 2017]

Take a peek into the days of living SoulFully in Uganda! Each day brought a new adventure and experiences, and further understanding of the importance of bettering Maternal Health in Uganda.

Day 1: The first day of our first trip as a team in Uganda! We’re so excited to bring each of you along with us on this journey!

Co-founder Christina Hassan and our Ugandan team (Asha, Vicent and Bersh) met the first of our Canadian arrivals at the Entebbe airport- including Christina’s parents for their first time in Uganda- and a fellow Master of Public Health, Emma!

The team got outfitted with hats worthy of a FullSoul adventure, met other Ugandans passionate about the work FullSoul does, took a boat ride on the beautiful lake Victoria, and finally picked up our guests into the night as their flight arrived.

Day 2:

Still in Entebbe, our team spent their first FullSoul day in Uganda; Waking up to our first real views of the country, we took strolls through the city of Entebbe, meeting Ugandans and exploring the art and beauty that Uganda as to offer! Ending with the Wildlife Education Centre and the beaches of Lake Victoria, it was a perfect day to adjust to the home of FullSoul.

Day 3:

The rest of our team joins us in Uganda! Another experience with the great Lake Victoria, our team spent the day out on the water!  We made our way to the equator on Lake Victoria, went fishing on the lake- and caught a Nile Perch for our dinner!  Back to the airport for two more pickups, we finally have the whole team with us back to Kampala for the end of the night- ready for the FullSoul Experience to begin!

Day 4:

Exploring the busy city of Kampala! Our team took to the markets and taxi park to really get a feel of the hustle and bustle of Uganda’s capital city. Onward to Mukono, where the Save the Mothers accommodations would be hosting us for a few days as we prepare the Safe Birth Medical Kits for delivery! We were able to attend the Mukono Rotary meeting and bring greetings from three different Canadian Rotary clubs as well, joined by members of the Ugandan club and the Mayor of Mukono! Ending the night showing off our dance moves, it was a great welcome to the town where the idea for FullSoul began.

Day 5:

Getting to work; Preparing the medical kits for delivery. Each kit has the same number and type of tools. They are all purchased within Uganda and engraved with the Health Centre’s name, before delivery. These two aspects of FullSoul’s model are extremely important to us:

  1. This not only keeps the cost of the kits lower (than it would be to import them from Canada), but it also keeps the money within Uganda, and with Medical Supply Companies that cater to the entire country- this means that they will be able to continue to grow in their reach and what they are able to offer, which benefits our partnerships as well as others.
  2.  This gives a sense of ownership, pride and responsibility to the hospitals that we deliver the engraved kits to- they know that they belong to them and are proud to use and care for them as needed. This also helps decrease the risk of theft and loss of materials, and makes it easier for us to track where our donations are and how they function and deliver in their respective hospitals and health centres.

Our team then, as safely as possible, took boda-bodas to the Mukono Health Centre IV to deliver the first 5 of our kits! We met with the head midwife on duty and were able to see more of the health centre, as well as meet some mothers and their babies- all safe and healthy! Mukono Health Centre has grown substantially since FullSoul began, and it’s very exciting for us to witness the positive changes that we see at this centre!

Ending our evening with a bit more culture, the group joined the Ndere Troupe; a group of incredibly talented young Ugandans who preform cultural dances, songs and stories from around the country- this is a great, and very fun, introduction to many of the areas and cultures within Uganda! Of course, we end out evening, again, with dancing.

Day 6:

New Years’ Eve Day- Off to the second Medical Kit delivery of our time here, we travelled to Kawolo Hospital. Meeting with the head midwives that were just finishing off their overnight duty shifts, this hospital held many many mothers that had just delivered and some still waiting to labour- the midwives were thankful to share with us the importance of the kits delivered, and expressed again how important it is for them as well to have these tools- to keep themselves safe and work most effectively!

From Kawolo, we continue to Jinja, and take another boat onto Lake Victoria to the Source of the Nile River! The longest river in the world, this amazing natural wonder begins in Uganda-and our team was able to stand at this very spot!

At midnight, we joined others from around the world to celebrate and welcome in the new year! 2017 was off to an amazing start!

Day 7:

Heading north-east from Jinja, the team joined our FullSoul Ugandan Team member- Asha, with her project (MENTOR) in delivering school supplies to one of the schools that she works with in Mbale District. While the students were not currently in school, it was an oppurtunity for our team to see another aspect of Ugandan life and the education system.

Day 8:

Beginning our day at the beautiful Sipi Falls in Kapchorwa District of Eastern Uganda; Armed with our handy hiking sticks our team began the day hiking through the rainforest, coffee plantations and hills to reach the spectacular falls. The team joined a radio station in the region to speak more about the importance of maternal health and safe motherhood- Radio is an important tool in Uganda to share information throughout the population- it is accessible since most homes have access to a radio, it is availible in local and many languages and with a high illiteracy rate, it is an easy medium to understand.

Day 9:

A truly amazing day, our team visited FullSouler Asha’s mother and village in Mbale district. An amazingly warm welcome, the team was able to celebrate the day with the men, women and children in the village- with songs, hugs, food and of course, dancing! Such a special treat to be able to connect with the families of our Team FullSoul Uganda members!

Day 10-13

The remaining days of our FullSoul Uganda Experience took our team across the country and across the equator again.

After taking a bus back to Mukono, our team then met with our safari van to head to Queen Elizabeth National Park, to meet some amazing Ugandan wildlife, from Marabou Storks to chimpanzees in the trees! We walked the tea plantations and saw how one of Uganda’s largest exports is harvested, and were able to meet many other Ugandans- and other travellers- along the way.

Finally, the majority of our team headed back to Entebbe to catch the flights back to Canada.


We are so thankful and truly honoured to be able to share our FullSoul Experience and our work with this team- connecting our Ugandan team and friends to those in Canada has been amazing- and we’re very excited to be able to continue building these connections and creating more #sindica for change.

FullSoul in Uganda, 2016-2017

For more of a look into the daily adventures of FullSoul, head over to our youtube channel!

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Calgary Gala

On July 27th, 2014, FullSoul partnered with the talented Prosad for an amazing afternoon of soulful music, dancing and fundraising- all done in the name of Safe Motherhood in Uganda. Through this event, we were able to purchase over 20 safe birth kits for health facilities in Uganda!

Calgary Gala

Coverage of this event was promoted by the Calgary Sun, whose article can be found here: http://www.calgarysun.com/2014/07/23/calgary-woman-reaches-back-to-africa-to-help-improve-conditions-for-pregnant-women

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The FullSoul Experience in Uganda [Dec 2016-Jan 2017]

The FullSoul Experience in Uganda- a group of 12 FullSoulers, Canadian and Ugandan, spend 12 days in Uganda. From medical kits to villages, our team of FullSoulers were able to see a lot of Uganda in 12 days, meeting a lot of folks along the way, and most importantly, delivering safe medical kits to hospitals and health care workers along the way. Making delivery a safer experience for mothers and babies throughout Uganda is our goal- we’re so thankful that we are able to share this with our team and supporters!

Learn more about what the experience meant to each of us, how we got connected and invested in living soulfully for this cause, and what our time together in Uganda means for the future. Special thanks to our Rotarians on the trip, who speak so passionately about the cause and about FullSoul to their own clubs and districts; after sharing Uganda with us, we know they have big plans for the FullSoul Future!

Check out our day to day adventures in our next post coming soon!

Interested in joining us in Uganda? Follow here for updates on future experience trips- we would love to share Uganda with you!

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Evaluation: The Process, Importance and How We Are Innovative in Our Model

Canada’s infant mortality rate (IMR; the number of infant deaths per 1,000 live births) and maternal mortality ratio (MMR; the number of maternal deaths per 100,000 live births) are some of the lowest in the world with 4 infant deaths/1,000 live births and 7 maternal deaths/100,000 live births recorded in 2015, respectively (World Bank, 2016). As a result of this, childbirth is not considered to be a risk to a mother’s or an infant’s life in Canada or in most other Western countries. On the other hand, “childbirth” and “a safe procedure” are not synonymous concepts in many underdeveloped countries of the world such as Uganda where delivery-related complications cost the lives of roughly 17 women per day (World Health Organization, 2013). Despite experiencing a slow decline in such statistics over the past few years (World Bank, 2016; Mbonye et al., 2007), Uganda still had some of the highest MMRs and IMRs in the world in 2015 with 343 maternal deaths/100,000 live births and 38 infant deaths/1,000 live births, respectively (World Bank, 2016). Rather than being a risk-free process that symbolizes the beginning of one’s life, in Uganda childbirth is more of a dangerous task that could cost the life of the mother, the child, or both.

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Fullsoul co-founder Christina Marchand (middle) discussing deliveries for Mukono Health Centre IV with Dr. Kasirye (left) and Josephine (right) from Save The Mothers

With this in mind, an organization that is highly aware of the poor state of such health indicators in Uganda is FullSoul Canada, anon-profit social enterprise dedicated to reducing such alarming statistics within this African country. FullSoul aims to improve and protect the health and safety of delivering mothers, their infants, and the medical staff involved in the birthing process by providing necessary Ugandan hospitals with locally made, safe, and reusable medical kits. With each sterile kit consisting of a needle holder, a dissecting forceps, 3 artery forceps, 3 surgical scissors, and 2 kidney dishes, such medical equipment is believed to contribute towards significantly reducing the burdensome tertiary delays – delays in receiving adequate or timely care once present at a health facility due to a lack of available medical resources, personnel, and/or services – that are responsible for roughly 50% of Uganda’s high MMR (Thaddeus & Maine, 1994; AOGU, 2013).

With each medical kit costing $500 CND to produce, translating into an expense that is less than 5 cents for every baby delivered, each one is theoretically capable of assisting the birth of 2-3 babies per day for about 20 years thereby potentially safely delivering over 15,000 infants in its lifetime. With 15 kits having already been implemented in 3 different Ugandan hospitals, it is hypothesized that this will be able to statistically significantly improve the proportion of mothers and infants surviving childbirth in these locations. It is theorized that these medical kits will provide such hospitals with a larger quantity of safe medical resources allowing for more timely and efficient care to be provided which will lead to a significant reduction in the effects of tertiary delays on maternal mortality and therefore also significantly reduce the MMR in these respective Ugandan hospitals.                                                                                                                  However, in order to confirm that such medical kits are actually able to achieve these intended aims, their abilities must be measured both quantitatively and qualitatively; one way that this can be done is via a comprehensive program evaluation that systematically analyzes both the processes and outcomes of this initiative. The outcome assessment of such evaluations involves a step-by-step process that investigates how effectively a particular program is achieving its intended outcomes (Centers for Disease Control and Prevention, 2011). Alternatively, the process assessment is meant to specifically evaluate if a particular program is being implemented as planned as well as to deduce how the program is operating with respect to what tasks are being carried out, who is performing them, how these are being performed, and who is being affected as a result of such tasks in order to inform the continuous improvement of the program. Overall, both the process and outcome aspects are critical components of an evaluation because they determine not only if a program works and/or is sufficient for achieving the intended goals but also allow for exploring its strengths, weaknesses, and areas that can be potentially improved in order to better obtain the desired results (CDC, 2011). All of this is to be done while simultaneously and continuously incorporating the needs and desires of key stakeholders throughout the entire process with such findings then being communicated back to these individuals as a means of being accountable for the program’s effects on the projected goals.

With respect to the medical kits, their ability to significantly reduce the MMR will be evaluated in the three Ugandan hospitals where they have already been implemented. The overall objective of the outcome portion of this evaluation will be to determine if the MMRs in these three hospitals after the kits have been implemented are significantly lower than the MMRs in these same respective hospitals before the initiation of this program. Likewise, it will be assessed if the MMRs in these locations have been significantly reduced in comparison to Uganda’s average MMR to determine if this initiative improved the health of the mothers and their infants. Secondary data sources will be used to keep track of such rates at both the hospital and national levels in order to compare the pre- and post-treatment MMRs. For the process evaluation, how the medical kits are being implemented (i.e. if the medical personnel involved in the childbirth process are using the kits as they were instructed with respect to using them at the right time, applying the correct techniques, properly sanitizing the kits after each use, being the only qualified stakeholders to use such kits, etc.) will be assessed using site observations, interviews, focus groups, and case reviews with information being collected from the hospital staff as well as the mothers being cared for in order to evaluate if the program is being delivered according to plan and if the kits are being used as intended in order to achieve optimal effectiveness. This will also be used to detect if the delivering mothers are informed about and receptive to such medical kits by analyzing if more of them are choosing to have their babies in a hospital setting where such materials are available instead of attempting to give birth in private venues such as within their own homes. By evaluating the implementation of these medical kits in 3 distinct hospitals, the execution of this program within these different settings can be compared and contrasted in order to obtain information with respect to how the overall delivery of this program can be improved (i.e. by either having more kits, having more tools in each kit, developing better ways of teaching the medical personnel how to use the kits, etc.). Such a process can underline some potential barriers to the proper delivery of this program that may exist in one hospital and not in another whereas it may also point out if one hospital is doing something differently than the other two which could lead to a more successful delivery of this program.

All in all, implementing such an evaluation and disseminating its findings will inform the Ugandan mothers and hospital staff as well as the FullSoul team, the sponsors of this organization, and any other key stakeholders if the implementation of these medical kits is a sufficiently effective approach for significantly improving the safety of childbirth in such Ugandan hospitals. Similarly, this assessment will reveal to such stakeholders if this program is being carried out as planned with respect to the kits being used as intended and if they are reaching a sufficient number of mothers in need. Both components of the evaluation will be used to infer if this current approach is sufficiently effective and if it is ready to be implemented in more hospitals to achieve such goals or if more work needs to be done in order to develop this program into a more feasible and successful initiative before a significant impact on Uganda’s MMR can be attained.

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Connections & Collaborations

The non-profit industry requires a certain level of collaboration to function effectively and properly; perhaps influenced by the Ugandan way of life, where community comes first. One of the greatest issues is making sure that, as an organization, we are continuing to work effectively to fill these gaps that exist. Again Susan Fish’s article for ‘Charity Village’ in 2015, Fish quotes FullSoul co-founder Christina in saying that

“[FullSoul] is another strong believer in partnership. “We decide it’s right time to have a partner when someone does something better than us. We can then focus our time and effort on what we’re really good with. You have to know what each other’s values are. When you find a partner whose values are on the same wavelength, it’s a great relationship.”

Indeed, FullSoul has been inspired by countless other organizations throughout our years- and each volunteer brings many of their own influences as well. Christina’s first-hand exposure to the issue of maternal mortality in Uganda was during her co-op placement in 2013, working at Save the Mothers in the East African country.

Save The Mothers & FullSoul

Save the Mothers is one organization that has 
inspired, influenced and advised 
FullSoul from the beginning!

Working with and learning from other students- any who were forming their own organizations at the same time- at St. Paul’s GreenHouse at the University of Waterloo, was another great way for Christina to connect with passionate individuals- and volunteers! Students in this program are encouraged to reach out to those in their industry of interest, and work with them to see not only what is needed, but what has worked and perhaps more importantly, what has not in the past. It takes collaboration to know exactly where those gaps are and what is needed to fill and resolve them; With years of collective experience among organizations, it makes sense in the non-profit world to work together to create change. At times, collaboration that comes in the way of just talking- having a conversation about the reality of situations and what is realistically happening to solve issues; With FullSoul, Christina is not one to shy away from conversations- even the difficult ones that may be necessary in forming an organization, or working with an issue as sensitive as mothers and babies dying during childbirth.

“Talking with a larger organization gives us the experience we don’t have, someone to talk to who has been there before, to remind us to dot our Is and cross our Ts — somewhat like a mentor relationship. And larger organizations can recognize that smaller organizations are doing great things too.”

Considering the big picture is important in these organizations, and understanding that there is collaboration that needs to take place- no one- person or organization- needs to do it all, nor can they! In working together at an organizational level, we can hopefully create an environment and culture of commitment and collaboration among those communities we work with as well- which then truly benefits everyone!

To ensure that our collaborations are indeed creating a positive impact for those involved on every level, there are some questions that must be asked before entering into partnerships, mentorship and collaborations:

The ‘Three R’s are something that FullSoul, and our co-founders specifically seek to consult when we are looking to partnerships with other organizations and groups. Outlined and beautifully stated as well in Fish’s article, these are:

Reciprocity (“making sure it’s good for them and good for us, and no one’s values are compromised”).
This is important as an organizational stand-point- with so many incredible and very important causes, it is important to have a focus; we can’t do everything! Being able to find what we (or any organization) excel at allows us to do the job well- and others to do the same! Teaming up can assist in larger projects succeeding, which is beneficial for all those involved!

Relationships (communication, follow-up, etc.); and,
Treating people with respect! Allowing those important communications at a higher level in the organizations really does come down to how we treat people at an individual level as well. When we can have those honest, open and effective communications in planning meetings, we can take that same attitude when we’re ‘on the ground’- and vise-versa!

Reality Check (“being realistic with what we’re talking about so we don’t take on too much and we can keep our commitments”).
Again- knowing what we are and what we are best at. Where our reach is and what we can do most effectively with our resources. Sometimes large projects are the dream but not accessible at a certain time- and that is okay! Allowing others to take on a good idea instead of holding it back to be our own- that creates the change that we are all working towards.

Much of what a non-profit, especially FullSoul means is working together- from metropolis Canada to rural Uganda- we are all working for people- to allow others to live and thrive and do the same. Everyone has a part to play in this and as a non-profit organization, FullSoul is one example of soulful individuals collaborating to create something big- reducing maternal deaths and bettering maternal and child health in Uganda. None of us could do it alone, and FullSoul could not do it without you too.

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Full(Soul)y Incorporated

After some soul-searching for the right model for us, our vision and our cause, FullSoul became a not-for-profit in Canada. With many new organizations now working from a for-profit model (and doing so effectively), this was an important choice for us- and one that now made, really defines FullSoul, and, what’s more, what living SoulFully means to us.

Art for the Soul Event

Our co-founder, Christina was interviewed for a piece by Susan Fish called “Reinventing the Wheel: Does Canada need more nonprofit organizations” (spoiler alert- if done well, of course!) for ‘Charity Village’ a networking site that allows non-profit organizations to post jobs, find volunteers, as well as host online education sessions and develop directories as a community, in 2015. She was quoted in saying “Had the Ugandan government filled hospitals with medical supplies, we wouldn’t have gone into that area. There has to be a gap where you can meet a need”- a need that Christina has witnessed and experienced first hand in Ugandan hospitals and clinics since 2013. She says, “as in any sector or industry, new initiatives in the charitable and social purpose sector come about when people see a gap”.  In the case of FullSoul, non-profit just works better!

As a non-profit social enterprise, FullSoul can focus on our vision- of allowing mothers access to a safe delivery, regardless of where they live.  Non-profit means that we work with giving- from beginning to end; connecting with like-minded soulful individuals and groups around the world to raise money- and compassion- for women and their families in Uganda, where 6,000 women die each year from pregnancy related causes; this number does not even include those babies that die before, during or shortly after delivery. Giving support, giving money, giving interest and attention, from both groups and individuals, and moving with this support to those that give medical assistance to those mothers who are giving life.

 

 

If living soulfully, and helping others to do so, is a cause you’d like to join, let us know!

FullSoul’s work is only possible due to the generous contributions of our donors. You can donate here to help better maternal health in Uganda- 100% of your contributions will go towards FullSoul’s Medical Kit Program.

 

Coming Next:

Working together to make Non-Profit Happen! How collaboration and community makes FullSoul function.

 

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