CEML Hospital Angola

"Jesus had compassion

on them and healed
Lubango
their sick." Matt 14:14

Providing Health and Hope for Christ in Angola

CEML
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CEML
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 ◦
PEOPLES
Total Population 17 million
Ovimbundu 37%
Mbundu 25%
Literacy 35%

ECONOMY
The economy relies heavily on the oil industry,
which is responsible for about 90 percent of
Angola's exports. Angola also has large
reserves of gas and diamonds. Other large
mineral deposits, such as iron ore and gold,
have been minimally developed.

GEOGRAPHY
Approximately twice the size as the state of
Texas, the terrain is comprised of a narrow,
dry coastal plain with the rest being a tropical
agricultural highland, averaging 5000 feet in
elevation.
POLITICS
A Portuguese colony for 450 years, Angola
was given independence in 1975 after years of
fighting by rebel factions. In the wake of
independence there was a 27-year civil war
that ended in 2002, in which an estimated 1.5
million people died with an additional 4 million

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were displaced. Land mines were used by both
sides and parts of eastern Angola remain land
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mined. 4
 After the 1975 decolonialization of Angola, the
first President, a Marxist, vowed to eradicate
Christianity within 20 years. During this time,
there were many incidents of repression and
outright persecution of Christians. Christians
suffered ostracism, abuse, discrimination for
many decades. In the first ten years after
independence there was intense persecution of
Christians, dozens of pastors and thousands of
believers were martyred or abducted, and many
churches were deliberately destroyed.
RELIGION
The harsh realities of war and ideological collapse
Indigenous beliefs are the most common in
of Communism in the 1990s resulted in an
Angola, with several Christian religions also
easing of nearly all discrimination against
being prominent: Roman Catholicism and
Christians. Many simple Christians kept the faith
Protestant denominations.
and witnessed. As a result, congregations have
Church Denomination Breakdown multiplied, services are packed, and despite their
desperation and destitution hundreds of
Catholic 38% thousands have trusted in the Lord Jesus Christ.
Protestant / Evangelical 30%
The shortage of trained, godly leadership is the
Animists / Indigenous Beliefs 30%
most critical problem limiting church growth and
Independent (Jehovah‟s Witness/Mormon) 2% maturity. The results have produced many
leadership struggles and divisions. For years,
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little formal training was given, but now there are
seven Bible schools and four seminaries. 5
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 DEMOGRAHPHIC STATISTICS NOTABLE POINTS
Ethnic Group Populations  Despite high GDP rates; poverty is
Ovimbundu 6.2 million widespread and income inequity is steadily
Mbundu 4.3 million worsening: over 100 individuals in Angola are
worth more than $50 million;
Recognized Indigenous Groups 7
 Notable world statistics:
Human Development Index Rating (UN ranking
of human longevity, education , and standard of living  Highest infant mortality rate: 18%;
conditions compared to 177 countries) 162/177 (compared to USA: 6%; Canada: 5%);

Income/person $2335 (7.5% of USA)  Second highest death rate: 2.4%;

(compared to USA: .8%; Canada: .7%);
Percentage of Population:
 Second worst life expectancy length: 38.2
Under 15 45% years; (compared to USA: 78.1; Canada: 81.3);
Living in Rural Areas 43%  Highest number of amputees in the world
Unemployment 40% per capita: over 100,000;
Percentage of Population living on less than  Angola has the third lowest missionary to
$2 per day 70% population ratios in all of Africa: There is
Percentage of HIV Infection Rate 4.1% only one (1) missionary for every 70,000
people.
CEML
UN Statistics 2008

UN Statistics 2009
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 INFRASTRUCTURE AND SYSTEM OVERVIEW
Angola is now showing clear evidence of recovery from the effects of
three decades of civil war, which ended in 2002. Nevertheless, many
challenges remain. Much of the national physical healthcare
MAF Canada
infrastructure has been destroyed as well as the systems that were
built up during the colonialism era: over three hundred thousand
people fled the country, leaving less than a 100 university-trained
medical graduates.
Now, the Angola Ministry of Health recognizes the need to improve the
quality, rather than quantity, of health workers. They request outside
Most basic level nursing schools are overcrowded, use
outdated curricula and are staffed with teachers who lack
continual education.
assistance to update their health systems to new medical norms.
Human and institutional capacity is lacking at all levels of the public
health system as well as the lack of supplies such as drugs, basic
instruments/equipment, electricity and potable water needed for
service delivery.
Clearly, major sources of healthcare deficiencies are

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insufficient public health financing, the need for
outside, strategic assistance and the
USAID Report 2008 7
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 Angola‟s health indicators are some of the worst in sub-Saharan Africa:

Malaria is reported to be the principal cause of mortality and

morbidity in the country, with a total 3.25 million cases and 38,000
deaths due to malaria reported in 2006.
MAF Canada
A small number of diseases, namely malaria, acute diarrheal diseases,
acute respiratory infections, measles, and neonatal tetanus, are directly
responsible for 60 percent of child deaths, despite the fact that it is
relatively easy to prevent or treat these problems at the level of the
primary health care (PHC) services, and through better practices and
care at household level.

Malnutrition is the main associated cause of mortality. The rate of

maternal mortality was estimated to be between 900 and 1,300
maternal deaths per 100,000 live births, which is 12 times higher than
in other developing countries.

These health indicators reflect a series of contributing factors such as

lack of access to health services, water, means of excreta disposal,
personal and food hygiene, food security, housing, household income,
and health care knowledge and practices in communities and
households
UN / USAID Statistics 2009

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 After 30 years of civil war, it became apparent for CEML based on its ability for continuous
to expatriate missionary, Dr Steve Foster, that resupply and ready access to air transport.
a private, mission hospital was necessary to
Opening in 2006, CEML was financed from private
assist the weakened national healthcare
donations from USAID and Samaritan‟s Purse.
system.
Dr. Foster, a Canadian surgeon Strategy: Meet the great Now, CEML is governed by a
who was raised in Africa by national board consisting of
missionary parents, has served
medical needs in the Angolan doctors, pastors, and
over 30 years in medical region and be a platform Christian professionals.
ministries in Angola. Being a for spiritual outreach.
Canadian board-certified
specialist in General Surgery, Dr. Foster's
vision was to establish a stable central
hospital in southern Angola as a base to 
support a series of remote clinics in areas not
readily accessible by vehicles. Lubango,the
regional capital of Huila Province in
southern Angola , was chosen as
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the location
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 „Health and Hope through Christ‟
Vision Statement: As a church-related health
care institution we seek to provide medical
services for an estimated 50% of Angolans who
currently have no alternative coverage.
Goals:
 To develop and maintain high-quality
tertiary care.
 To create partnerships with like-minded
health care providers.
 To develop Public Health and primary care
services for our local community.
 To train and retain Angolan professionals
and leaders.
 To research and develop optimal health
service initiatives for the region.
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The hospital infrastructure consists of a 53-
bed acute care facility with a 24 hour
emergency ward, 7 consulting rooms and
treatment area, administration, lab and x-ray
with digital capability, 2 O.R. theaters, and a
large ward with 8 semi-private beds.
Since 2006, over 28,000 new patients have
been registered, with over 2800 surgical
procedures and over 1000 cataract surgeries
performed.
A strategic plan to build up 20+ remote
clinic sites around Lubango has been set in
motion and will be supported by MAF aircraft
which will enable regular health team visits.
CEML has completed Phase One of its three
Phase Growth Plan. Phase Two would bring
CEML to a full service 130 bed hospital with
the implementation of two ICU units, plus
renal dialysis and CT scanners; essentially
being the only functioning units within a 900
km radius. 10
 “ Often we conduct trips to the outlying areasDr. Steve Collins then
for the purpose of seeing ophthalmology operated and in a few
patients and do cataract operations for those minutes the process
who needed them. As is always the case, was done. The patient
some cases are terribly sad – a 3-year old girl
was led away by the
with a tumor bulging several inches from her family member to their
face, many people with optic nerve atrophy mattress for the night.
that we cannot explain. Many, many for whom The next morning was
we could do nothing. the best.
One by one, we removed the
But then there were the After eye surgery, one 40-year patches and asked what
cataracts. Generally older old man saw his 1-year old they saw. “My daughter!”
people, brought in by daughter for the first time and “My grandson!” “White man!”
young family members, began to dance and praise God. It gave me chills every time.
often led with a stick. We
would examine their eyes, So now they can appreciate
take their blood pressure, stick tape on the beauty of their own
their foreheads to indicate which eye was to country again with the eyes
receive an operation, place the dilating God gave them to
drops. I would call them when we were ready, see it.”
and have them take off their “panos”, African
cloths that seem to be worn in unending
layers. I would stick the needle in and there
was rarely a flinch.

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 CEML Hospital is located in the southwestern
highlands of Angola, located 7 kilometers from
Lubango‟s city center. Lubango has grown to
more than a half a million inhabitants,
becoming the intellectual and economic hub of
three provinces.
CEML provides primary
healthcare to an
CEML‟s immediate
immediate catchment catchment population is
population of over 2.5 over 2.5 million people.
million Angolans within a
250 kilometer radius and serves a referral
center for a much larger region. Surrounding
CEML are several small government
dispensaries and health centers; many patient
referrals come from those facilities.
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Outside of the city center, many rural tribal
groups utilize CEML Hospital. Besides the
dominant Ovimbundu people group, the other
proximate tribal groups of
the Mumuila, Nganguela,
Mungambwe, Kwangali,
Himba and Nyaneka
peoples utilize CEML and are
actually listed as the most largely unreached
people groups for the Gospel in Angola. All
.
of these groups have very little access to
basic healthcare.
The Himba are, to this day, one of
the most isolated nomadic peoples
in the world. They are noted for
their basic wear of loincloths, beads
and a mixture of fat and clay, which
they paint on their bodies. Because
they are nomadic, they possess few
belongings and have very limited
access to basic healthcare or to
healthcare facilities. 12
 “True spirituality in action shares, serves, and empowers.”

To ensure CEML‟s this important contribution

sustainability in by expatriate medical
the long-term, an practitioners who have a
effort of training, passion for the ministry.
mentoring, and Strategically then, the
empowering of training of Angolans in
the Angolans in healthcare services is the
medical services most effective and cost
must take place. efficient solution in view of
their residency and
ministry access advantages.
THE NEED FOR SUSTAINABILITY
Since its opening in 2006, medical services at CEML TRAINING STRATEGY
CEML has been significantly assisted by the Considering the immense healthcare needs,
many expatriate medical staff who have CEML strategy is to concentrate on training and
volunteered their skills and efforts on a the implementation of a plethora of Angolan
short-term basis to the ministry. non-physician clinicians to meet the needs in
With Angola in the state of transition, any rural areas.
potential changes in Angola government
Higher level strategy implements the training of
immigration regulations, would curtain this
Angolan surgeons through the Pan-African
Academy of Christian Surgeons (PAACS). The
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first graduate of this program working with
presently working part-time at the hospital. 13
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 CEML is essentially a fee-for-service facility. Treatment is never denied to those who are
unable to pay, and over $15,000 is allocated each year for additional social assistance.
The hospital still relies heavily on donors to provide for the continued development of
services and new equipment.

VOLUNTEER OPPORTUNITIES MAJOR EQUIPMENT NEEDS:

Medical:
While there is an acute shortage of
accredited medical staff in every specialty,
the needs are most urgent for coverage in:
• Ophthalmology
• Orthopedics
• OB/GYN
• General surgery (relief)
• Dentistry and dental surgery
Allied Health Professional:
• Ultrasound and Biomedical Technicians.
• Physical and Occupational Therapists
• C-Arm
• Urological Endoscopic system to permit
trans-urethral resections, and Arthroscopic
system for use with the in-house Video
Camera and Monitor
• CT scanner
• 3 Ventilators
• Anesthetic machine
• Ethylene Oxide sterilizer
• Electrosurgical Unit (400 watt)
• Satellite communications link with North
America
CONSULTATION COST SHARING
Each patient is expected to contribute to the
medical costs according to their ability to

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enforce an attitude of ministry ownership
and avoid creating a culture of dependency.
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 Mark and Jana Faus plan to join the CEML team in
Angola in early 2010.
Mark will enter the role of CEO / General Director
of CEML, to:
Direct the administration activities;
Manage the expansion projects;
Train Angolans in administration roles;
Integrate a „flying doctor / medivac‟ service
Mission Aviation Fellowship of Canada
from the hospital with MAF.

Outgoing funds, in the amount of USD$55,000, must be raised before the departure to Angola
for the following items:

 4X4 Vehicle; A robust vehicle is required to facilitate travel to many

rugged, isolated, outlying areas to conduct medical trips and in the survey
and construction of clinic airstrips.

 Language Study and Travel; Coverage of fees for language acquisition

courses and language study helpers on the field; costs of air tickets to
Angola.

 Shipping; Cost of purchasing a shipping container and the costs incurred

for shipping the vehicle, personal effects, and computer/office equipment
to Angola.
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 All financial donations to the Faus Family can be directed to:

“Mark and Jana Faus Outgoing Funds”

Mission Aviation Fellowship Canada Mission Aviation Fellowship

264 Woodlawn Rd. W, P.O. Box 47,
Guelph, Ontario, Canada Nampa, ID 83653
N1H 186
Toll-Free Phone 1.877.351.9344 Tel: 800-FLYS MAF (359-7623)
Fax (519) 823-1650
Info@mafc.org
MAF is a 501(c)3 not-for-profit charity
and a charter member of EFCA (Evangelical
MAF Canada is a Canadian Registered
Council for Financial Accountability) and is
Charity (Registration Number 12994 2561
able to issue receipts for income tax
RR0001) and is able to issue receipts for
purposes.
income tax purposes.
MAF Canada is a charter
member of the Canadian
Council of Christian Charities.

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 Consider contributing to the ongoing development and service of
CEML facility as it expands to serve the ever-growing needs of the
local Angolan citizens for high quality health care.

All financial donations to the CEML Hospital can be directed to:

“Evangelical Medical Center”

ADVANCING THE GOSPEL IN ANGOLA, INC.

25 Maple St.
Addison NY 14801-1009.
All gifts are tax deductible.

Tel: (607) 359-2949

AGA is a 501(c)3 not-for-profit charity and a

charter member of EFCA (Evangelical Council for
Financial Accountability) and is able to issue
receipts for income tax purposes.

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