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Burundian Village Health Clinic Project Vision and Mission Empower a Burundian village to self-sustain a health care

clinic by providing the needed tools to succeed. The Burundian Village Health Clinic Project will select one specific village and help them improve their standard of living. The hierarchy of needs demands that all basic needs are met before an individual can aspire to learn and succeed. Basically, what we are proposing is to raise the aspirations of a village by teaching them a sustainable model for health maintenance; including how to treat and prevent disease. Background and History
Burundi has a great proportion of people living in extreme poverty it is currently rated as the third poorest country in the world. The country s environmental, epidemiological and geographical challenges including low-productivity agriculture, a high disease burden, and high transport costs render Burundi most vulnerable to persistent extreme poverty. This means that to collect safe drinking water and firewood for cooking, people must walk several miles every day. It means that children in Burundi die of malaria every day, and many women die in childbirth. With these rural communities stuck in a poverty trap, they are unable to make the investments in human capital and infrastructure required to achieve self-sustaining health needs.

Project Summary
Project Title: Design and implement a self-sustaining Burundian Village Health Clinic Duration: 2012-2014 Supervision: Burundian Village Health Clinic team members The plan is to unite the people in the village through an association where they can work as a team and help maintain a Community Health Clinic. The goal is to have a Burundian village health clinic designed and implemented for Burundians by Burundians through Burundians. The project will focus on gaining commitment from the villagers from the beginning to commencement and every step in between. The project team will need to find a NGO that will partner with the village association for a temporary period to help the association to stand on its own legs and fully maintain the community clinic by itself. One of the key ideas behind the project is to help the village create businesses that can feed back into health clinic. The association will be able to re-invest by providing a specific percentage on their benefits made by the businesses implemented by the project. The project team will be divided into the groups below:

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Steering committee: Members will be in charge of interacting with the entire project team and make decisions by votes. All other committees will be reporting to the steering committee. Finance committee: Members will be in charge of the group treasury and different transactions needed to run the project. Business committee: Members will be in charge of assessing the needs of the village and also implementing and executing the 3 chosen businesses ideas by the group. They will also be in charge of raising funds though different organizations/corporations/churches and individuals. Health committee: Members will be in charge of assessing diseases and social issues affecting the village and make recommendations of what needs to be done to eradicate those issues. Recommendations will include training, constructions of public facilities (well...) or house reforms (bathroom ). Events committee: Members will be in charge of deciding the content of each event around the world (USA, Canada, Europe and Burundi). They will also be responsible for running the events (parties, debates, inviting renowned singers and activists). Communication committee: Members will be in charge of advertising the project among Burundians and other donors. They will also be in charge of creating and maintaining the project website. They will also be the responsible for maintaining a list of all contact information for the project members. They will also be in charge of contacting different Burundian companies/businesses to allow them to be advertised during fundraising events. Engineering committee: Members will be in charge of building the clinic and other small public facilities that might be needed (Well ). They will also need to make recommendations on the structure of the village. Agateka (Value) Committee: Members will be responsible for organizing the village through an association. They will also be in charge of building the can do attitude through vigorous training to the village. The training will not only include self-reliance courses but also human rights. This committee will need to find a good way to dedicate the community clinic to Jean Marc Ntwari Mbesheburusa. All committees will need to provide updates and reports to the steering committee on regular basis. At least one steering committee member will need to be in all other committees.

Key Activities
Milestone 1
Key Activities:

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Outcomes:

Identify village based on criteria as defined by the steering committee, to be determined Assess specific needs of community; poverty, health, infrastructure Design and implement training based on needs; may include construction of training facility Identify potential businesses for long-term support of clinic

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Increased awareness of project needs Empowered skilled villagers Strong potential business models

Milestone 2
Key Activities:

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Expand disease control for assessed diseases (typical is HIV/AIDS, malaria, tuberculosis and other tropical diseases) Begin construction of health clinic and rehabilitation of other necessary infrastructure (water points, electricity, etc.) Select three businesses

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Outcomes:

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Reduced child mortality and maternal mortality rates Improved health care and disease control Decreased prevalence of disease New health care clinic and improved key facilities

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Long-term business plan established

Milestone 3
Key Activities:

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Outcomes:

Promote the three businesses Expand capabilities and outreach of health clinic; diagnostic equipment, staff, medicine, etc.

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Increased self-financing of health care clinic Growth in local business and entrepreneurship Greater access to healthcare Make progress towards reducing child and maternal mortality, improving education, environment, health, gender equality and water

Sustainability and Cost
The Burundian Village financing model is built on the premise that, with modest support, the village economy can transition from subsistence healthcare to self-sustaining commercial activity. Funding and implementing a Burundian Village is a shared effort among the Burundian Village Health Clinic Project, donors, NGOs and the village community itself. Fundraising activities will be necessary to launch the project. The committees will be created on a volunteer basis. Subject matter experts/ trainers will be volunteers or NGO partners. The guiding principle of the Burundian Village Health Clinic Project budget is that local commerce will support the health clinic long term. The health interventions target child and maternal survival and the control of the major diseases, including HIV/AIDS, TB, malaria, and worm infections (neglected tropical diseases). The training interventions support the completion, and improvements in the health clinic. The infrastructure investments will focus on supporting the function of the health, including water and sanitation.

Financial Contributions from Key Stakeholders

Community 30% Burundian Villages Project 70%

Budget Allocation by Sector

Community Development 20% Building Construction 50% Agriculture & Nutrition 8% Training 5% Health 7% Water & Sanitation 8% Environment 2%

Local Ownership
Critical to the sustainability of the Burundian Villages is the need to empower the entire community, including women and vulnerable groups, by building local technical, administrative, and entrepreneurial capacity. In conjunction with improved health and education, this transformation encourages women

and men to establish their own businesses, to take advantage of microfinance and micro-enterprise opportunities and to explore income earning possibilities beyond farming. Participatory, community-led decision-making will be central to the way Burundian Village Health Clinic Project will work and is also fundamental to sustainability. Establishing community agreement to begin the project will take place through a series of discussions with the community committees, and open forums at the local level. Discussions will entail a description of the objectives, a brief summary of the goals and outcomes, and the concept behind the Burundian Village Health Clinic Project. This village dialogue is a means of assuring transparency and carries through the course of the entire project. Once agreement is established, specific committees and community members will begin the process of identifying and evaluating project possibilities with the support of the project members. Together they will create a package of village-specific project initiatives that are deemed most appropriate and cost effective. They will also produce a community action plan for implementing and managing these projects On-site facilitators in community management and oversight, and health and infrastructure will be hired through the project budget. A training center will need to be established in the community. Technical capacity building, beginning at the onset of implementation, will provide villagers with the skills they need to sustain the project initiatives in the long-term. Training courses for health and nutrition, water resources and sanitation, and business and communications will provide villagers with the skills they need in each area.