Kristina Acuma Achon Medical Clinic Project Proposal

Achon Uganda Children's Fund

April, 2011
Executive Summary

From 1987-2006, the people of northern Uganda were caught in a war between their
government's military and rebels of the Lord’s Resistance Army. The LRA survived throughout
this conflict by kidnapping an estimated 66,000 children and forcing them to become child
soldiers. At its height, this bloody civil war displaced nearly 90% of the region’s population (1.8
million people) and lead to northern Uganda being called the world’s worst neglected
humanitarian crisis. Although the LRA largely withdrew from the area in 2005-2006, the
process of rebuilding northern Uganda has been a slow and arduous one. The poorest region in
one of Africa's poorest countries, northern Uganda faces a lack of food and safe water, poor
infrastructure and inadequate access to healthcare and education. These factors affect rural areas
disproportionately: indicators of health, including mortality rates and prevalence of disease are
significantly worse in rural villages.

Awake is one such rural village in northern Uganda. Residents here must travel over 5 km for
even the most basic medical care. For the 22,000 residents in surrounding Orum County, the
closest Regional Hospital is in Lira, some 65 km away along challenging roads. As such, people
in this region suffer daily, and in some cases, die needlessly because they do not have access to
routine, preventive health care or emergency medical attention.

One former resident of Awake Village, Julius Achon, knows firsthand the suffering caused by
Uganda's civil war and the harsh realities of trying to survive in its aftermath. Julius was
kidnapped by the LRA as a boy, yet was able to escape and, miraculously, went on to become a
celebrated Ugandan runner and two-time Olympic athlete. Over the past six years Julius has
dedicated his life to aiding the people of his home village.

Achon Uganda Children's Fund (AUCF) was officially incorporated in 2007 by Julius Achon and
a board of directors in response to the dire situation faced by the residents of northern Uganda.
AUCF has a strong track record of fundraising through private donors, and has utilized those
funds to provide shelter, food, clothing, education, healthcare and guidance to a group of 31
orphaned children from Awake Village. In addition, AUCF has built a church for the community
and provided food relief in times of famine. In 2009, AUCF received IRS 501(c)(3) designation
and established a partnership with Love Mercy Uganda, an Australian organization dedicated to
the same vision and goals as Julius Achon.

AUCF has undertaken a project to construct the Kristina Acuma Achon Medical Clinic, a non-
profit, non-sectarian healthcare facility in Awake which represents the first level of interface
between the formal health sector and the community. It will be staffed by medical professionals
to provide affordable, basic care to treat and triage the sick and injured.

The clinic will be comprised of a main building with six diagnosis/treatment beds, a diagnostic
laboratory, a supply storage room, and a covered veranda serving as a waiting area. A second
building will contain separate living quarters for the permanent medical staff and traveling
volunteers.

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The clinic will be staffed by a full time clinic manager, a full time comprehensive nurse, a part-
time physician or clinical officer, and additional support staff, augmented by visiting healthcare
professionals from the US and Australia.

Within three months of opening, we expect to see and serve 40-50 patients per day from Orum
County and other areas of the surrounding Otuke District. During visits from healthcare
professionals who are able to perform specialized services, we expect to serve 60 - 100 patients
per day from this region.

The budget to build and equip the clinic is approximately $125,250. The budget to operate the
clinic for the first three years is approximately $57,600. These funds will be comprised of cash
contributions and in-kind donations of equipment and infrastructure by partner organizations.
AUCF has already established partnerships with other local and international organizations such
as Crown Renewable Energy, Engeye Clinic, Lifewater International, Medical Teams
International, Nike, Ugandan Ministry of Health and Welch Allyn, Inc.

We expect to open the clinic by January 1, 2012. AUCF will fund the clinic's operation for the
first three years, after which our goal is for it to become financially self-sustaining.

Statement of Need

The approximately 22,000 residents of Orum County in northern Uganda live 50 to 80 km from
the nearest hospital, Lira Regional Referral Hospital. This facility is government-run, and as
such, provides medical treatment free of charge to a population in excess of 2 million. However,
because it is the primary medical facility for several districts (and the only one consistently
staffed by doctors), it is chronically over-crowded, under-staffed and lacking in sufficient
inventories of medication. Its aging buildings and equipment are inadequate to meet the needs of
the patients filling the floors and outdoor areas awaiting attention.

There are several government-run and private medical clinics in Orum County and the
surrounding Otuke District, however, they too are often unable to provide the care that is needed
for the district’s 84,000 residents. A recent survey of facilities between Lira and Awake village
finds the following:

• Orum Health Center IV (5.2 km NW of Awake) is the primary level IV clinic in Otuke
District, and refers critical patients to Lira Hospital. Run by the government and augmented
by a partnership with Baylor College of Medicine and Children’s Hospital, Orum HC IV
provides inpatient and outpatient care, HIV/AIDS testing, counseling and prevention of
mother-to-child transmission, maternal and child health, TB screening and immunization.
Like other government clinics, it is plagued by under-funding, over-crowding, insufficient
staff, nonfunctional equipment and lack of sufficient medications. Of note, in November,
2010, the clinic had been without a medical doctor for several weeks due to illness, and his
return date is uncertain.

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 • Aliwang Catholic Parish Clinic (8 km SW of Awake) was established 40 years ago by
Italian missionaries and is run today by the Catholic church as a private clinic focused on
pediatric and maternity care. The staff includes one RN, two midwives and support staff,
and the clinic, comprised of two wards, holds 14 beds. Aliwang is a primary source of
healthcare for pediatric and obstetric care for Otuke District. Despite the passion and
dedication of the facility manager, and the size of the facilities, the clinic is unable to expand
its services due to lack of funding.
• Anep Health Center II (4.3 km north of Awake) was constructed by the government in
2000, yet was never opened, and was in fact occupied by the LRA during the civil war.
Construction has resumed in 2010, yet there is no official word about plans for the facility.
Regardless, without a substantial change in the way government facilities are funded, staffed
and supplied, this clinic alone cannot meet the needs of the residents in this county.

As a result, the vast majority of Orum residents are required to travel many kilometers to reach
medical care of any kind, often find those facilities unstaffed and lacking in medications, and
cannot afford or access the infrequent motorized transportation to Lira for the health care offered
there. As such, every day, people in this region suffer and sometimes die simply because lack
access to basic preventive care, medicine and emergency medical attention.

Although the Ugandan Ministry of Health (MOH) has set forth goals related to reducing
maternal and child mortality, fertility, malnutrition, the burden of HIV/AIDS, tuberculosis,
malaria and the disparities in healthcare within the country, these efforts do not seem to have
reached the most needy - namely residents of rural villages in the north of the country. These
residents routinely suffer from communicable diseases such as malaria, tuberculosis and
HIV/AIDS, go without vaccinations, give birth without medical care, and lack education
concerning hygiene, sanitation and family planning.

Of particular note is the disease burden posed by inadequate sanitation. From the Uganda MOH
Health Sector Strategic Plan II:
"Over 75% of Uganda’s disease burden is considered to be preventable as it is
primarily caused by poor personal and domestic hygiene and inadequate sanitation
practices (failure to break the faecal-oral disease transmission routes). This vicious
cycle that affects most Ugandans can be reversed, as has already been proven in
several other countries, through a well-integrated and coordinated deployment of
existing resources.”

Again, however, this deployment of resources does not seem to have reached rural northern
Uganda. According to the Lira Ministry of Health Office Director, John Nelson Opio, “Otuke
District realizes severe sanitation problems with 17% of the population practicing basic
sanitation versus 62% in Lira. There is a need to focus on prevention and education as well as
provide treatment. Health is made at home.”

Due to the lack of sufficient healthcare facilities in rural areas and the high vacancy rate of
medical staff in existing facilities, the Ministry of Health highlights the need to augment the
existing healthcare system in rural Uganda in its Health Sector Strategic Plan III 2010-2015. The

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HSSP III goals include increasing the proportion of the population living within 5 km of a health
facility from 72% to 90% and the number of health facilities by 30% by 2015.

The Kristina Acuma Achon Medical Clinic will augment the current healthcare delivery system
in northern Uganda by providing access to basic, affordable healthcare to a currently under-
served area.

Project Description

The Kristina Acuma Achon Medical Clinic, named in honor of Julius Achon's mother who was
killed by the LRA in 2004, will be a non-profit, non-sectarian healthcare facility in the village of
Awake, Orum County, Otuke District, Uganda. The clinic will be designated a Health Centre II
facility as defined by the Uganda Ministry of Health, representing the first level of interface
between the formal health sector and the community. The clinic will provide primary medical
care including triage and appropriate treatment, disease testing, inoculation, medication
dispensing and education. Maternity services will be added in a second phase with the date yet to
be determined.

Achon Uganda Children’s Fund will finance and manage the clinic’s creation, and will employ
local Ugandans to do as much of the on-site work as possible, including construction and
administration. At completion, it will be staffed by local medical personnel, augmented by
visiting medical professionals from the US and Australia and managed by an on-site Clinic
Manager who will report to the AUCF Board. Initially, its operations will be funded by a
combination of AUCF payments and nominal patient payments, with the goal of self-sufficiency
within three years.

Kristina Acuma Achon Medical Clinic Objectives

1. The first objective is to build, furnish, and staff a fully-functional medical clinic in the
village of Awake, Otuke District by January 1, 2012.
2. The second objective is to treat, triage or refer every patient who comes to the clinic, and
to keep appropriate records of each patient visit. By the end of the first year of operation,
we will have a record of every patient that attended the clinic, with the following
information: patient name, age, village, symptoms, diagnosis, treatment, payment and
recommended follow-up.
3. The third objective is to have the clinic operate self-sufficiently by the end of its third
year of operation. At this point in time, KAAMC will operate independently of AUCF
funding and oversight; it will be managed by local Ugandans and supported financially
through a combination of nominal patient payments and a related income-generating
project developed in concert with Love Mercy Uganda based in Sydney, Australia.

Methods

Clinic Description

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The Kristina Acuma Achon Medical Clinic will be modeled after the Engeye Clinic located west
of Masaka, Uganda opened in 2007. It will be comprised of a main clinic building which will
include:
• three exam/treatment rooms
• a larger room which can be sub-divided into three additional exam/treatment areas
• a diagnostic laboratory room
• a locked supply storage room
• a covered veranda serving as a waiting area.
A second building will contain four separate living quarters with private living area, bedroom,
kitchen, and shower for the three permanent medical staff and for traveling volunteers. Separate
pit latrines will serve the clinic and living quarters.

The clinic will be furnished with a water collection system to harvest rainwater, and a bore-hole
well will be drilled on the premises to augment water needs during the dry season. Solar panels
will be installed to provide electricity sufficient to power a generator, lights, medical equipment
and a refrigerator to store medications and a high-temperature incinerator will be installed on the
premises to dispose of medical waste. Please see Appendix for Clinic Site Plan and Drawings.

The clinic will be equipped with basic medical supplies including:

• diagnostics – including diagnostic kits (e.g. malaria), temperature and blood pressure
measuring devices, otoscopes, opthalmascopes, glucose test kits, urinalysis kits
• electronic vital signs monitoring devices - spot check (NIBP, SPO2 and Temperature),
continuous (ECG, NIBP, SPO2, Temp.)
• treatment - IV kits, non-refrigerated medicines, syringes, first aid supplies and other
necessary supplies such as scales, durable mobility devices (crutches, canes, etc)

The clinic will initially be open Monday through Friday from 9 am to 5 pm. The following staff
will manage its daily operations:
• Medical Director will be responsible for medical oversight, finalizing diagnostic and
treatment protocols, licensing, treating higher-acuity patients and nursing supervision. This
physician or clinical officer will be involved in setting up the clinic operations, and will
work part-time in the clinic once it is open.
• Enrolled Comprehensive Nurse will be responsible for patient diagnosis, triage, treatment
and record-keeping. The nurse will work at the clinic full-time and will be provided living
quarters on-site. We are assessing the ability to hire a back up nurse position for emergency
situations.
• Clinic Manager will be responsible for site management, financial management, ordering of
supplies and materials, supervision of caretaker and regular reporting to the AUCF board.
The clinic manager will work at the clinic full-time and will be provided living quarters on-
site.
• HIV / AIDs Counselor will be responsible for administering HIV/AIDs tests, counseling and
referring patients for treatment, and providing general education concerning HIV/AIDS.
• Pharmacist will be responsible for tracking and preparing medications and vaccines, as well
as patient record-keeping.
• Caretaker will be responsible for cleaning the clinic and dormitory, laundry and cooking for
the medical staff and visiting volunteers.

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 • Volunteer medical staff will be hosted every other month for a duration of 2-4 weeks. We
plan to establish partnerships with 2-3 hospitals / medical schools that allow their doctors,
nurses, technicians and students to visit KAAMC on a yearly medical mission.

Note: AUCF board members have met with medical officials in Lira (Lira Ministry of Health)
and have been assured that if paid an appropriate salary and provided housing (see above) that
filling these positions is readily achievable; there are medical professionals without work in the
Lira region today.

Clinic Services
The clinic will be a fully-functional Uganda Healthcare Level II facility providing basic triage,
diagnostic and treatment services for the most common health issues facing rural Ugandans.
Data from Engeye Clinic which treats a similar demographic indicate that the following
diagnoses are the most common: Malaria, Respiratory Tract Infection, GERD / Dyspepsia /
Peptic Ulcer Disease, Hypertension, Gastroenteritis / Diarrhea, Urinary Tract Infection, Sexually
Transmitted Infections / Pelvic Inflammatory Disease, Allergy, Type II Diabetes, injury / trauma
and maternity. Kristina Clinic staff will be trained and prepared to treat these and similar
conditions (exception maternity which will occur at a later date).

Medicines, purchased monthly at the Joint Medical Store in Kampala, will include the following
as an initial inventory (based upon Engeye Clinic recommendation):

Medication Diagnosis Medication Diagnosis

Albendazole Worm Infestation Aminophylline Asthma
Artemether Malaria Prednisone Asthma
Quinine Sulfate Malaria Dexamethasone Asthma
Lumefantrine Malaria Betamethasone Eczema
Clindamycine Malaria Metoclopramide Vomiting, Gastroenteritis
Ceftriaxone Bacterial Pneumonia, Gonorrhea Saline solution Dehydration
Bacterial Pneumonia, Peptic
Amoxicillin Ciproflaxin Dysentery, Gonorrhea
Ulcer
Magnesium
GERD Diclofenac Arthralgia
Trisillicate
Omeprazole GERD, Peptic Ulcer Paracetamol Arthralgia
Peptic Ulcer, Trichomonas, UTI : Acute Cystitis,
Metronidazole Co-trimoxazole
Anerobes Pyelonephritis
UTI : Acute Cystitis,
Bendrofluazide Hypertension Ciprofloxacin
Pyelonephritis
Atenolol Hypertension Doxycycline Chlamydia
Benzathine
Nifdepine Hypertension Syphillis
Penicillin
Spironolactone Hypertension Azithromycin Chlamydia
Hydralazine Hypertension Cetirizine Allergic Rhinitis
Salbutamol Asthma Chlorpheniramine Allergic Rhinitis
Beclomethasone Asthma Glibenclimide Diabetes Type II
Metformin Diabetes Type II

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The following table represents the recommended immunization schedule for children in Uganda
according to the World Health Organization.

Vaccine Schedule
BCG Bacille Calmette-Guérin vaccine birth
Diphtheria and tetanus toxoid with
DTwPHibHep whole cell pertussis, Hib and HepB 6, 10, 14 weeks
vaccine
HPV Human Papillomavirus vaccine 10-12 years; +4 weeks; +5 months; Part of country
Measles Measles vaccine 9 months
OPV Oral polio vaccine birth; 6, 10, 14 weeks
TT Tetanus toxoid 15-49 years; +4, +6 weeks; +1, +1 year
6 months; 1, 1.5, 2, 2.5, 3 years
VitaminA Vitamin A supplementation

Water, Hygiene, Sanitation & Education

Achon Uganda Children's Fund has established a partnership with Lifewater International in
order to provide, through its WASH (Water, Sanitation & Hygiene) Program, safe water,
adequate sanitation and education concerning effective hygiene for the local community.
Lifewater International will drill a bore-hole well at the clinic site. In addition, certified field
trainers from Lifewater's local in-country partner will then implement their Community Health
Through Hygiene Lessons (Handwashing at Critical Times, Safe Fecal Disposal, Keeping Water
Safe) to the clinic staff, and to community members who will become trainers.

Lifewater International and their in-country partners have been facilitating access to clean, safe
water and educating populations in communities around the world in a participatory, culturally-
appropriate way for over 25 years. They have had tremendous success in northern Uganda
bringing WASH to the youth through soccer and to large communities through health workers,
teachers and church workers.

HIV / AIDS
Kristina Clinic intends to partner with Aids Healthcare Foundation via its Uganda branch
Uganda Cares (UC) to provide HIV testing, counseling and referral for treatment. Uganda Cares
is one of Uganda's largest providers of AIDS treatment and its program has been identified by the
World Health Organization and UNAIDS as a best practice model for antiretroviral therapy
(ART).

Based upon the UC and Engeye model, Kristina Clinic would receive free, unlimited HIV
diagnostic kits (finger-stick test) from Uganda Cares. In order to qualify, Kristina must employ a
registered counselor and have a higher-level healthcare facility to refer to for treatment. The
intent is to partner with the Soroti Uganda Cares location which is the closest to Kristina Clinic.

Dental Care
Dental care will be provided only when a dentist visits the clinic. Our goal is to arrange for a US
or Australia-based dentist to visit the clinic two times per year in order to provide basic services.

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Maternity, Obstetric & Newborn Care
During phase I of Kristina Clinic’s operation, pre-natal care, delivery, post-natal and newborn
care will be referred to Aliwang Clinic or Orum Health Center IV. We intend to add pre-natal
care, delivery, post-natal and newborn care in a second phase, with a time frame to be
determined.
Chronic Disease Management
During phase I of Kristina Clinic’s operation, chronic disease management will be treated per
established protocols and medications, if appropriate, or referred to Orum Health Center IV or
Lira Regional Referral Hospital.

Project Timeline
June 2010: Purchase land
An 80 meter by 60 meter parcel of land has been purchased in Awake village to build KAAMC.
The parcel of land is located centrally within the Awake community, and within walking distance
of other community infrastructure including the trading center, church and school. A bore hole
well was installed by Care International, located directly adjacent to the clinic site, in August
2008.

Jan. 2011: Hire in-country Project Manager

An in-country project manager has been hired, based in Lira. The project manager is responsible
for the overall clinic construction co-ordination, oversight of construction personnel and
materials and regular communication to the AUCF board. Fund dispersal will be managed by
Jimmy Okullo, brother of Julius Achon, reporting to the AUCF board of directors. Jimmy Okullo
has previously successfully managed the construction of a home in Lira as well as a church in
Awake.

Jan. - Feb. 2011: Design buildings and site layout

The clinic design and construction is based upon the Engeye Clinic, using their original blue
prints updated to the Awake site by our Lira-based architect. Design is now complete, including
site plans and architectural drawings.

Jan. - June 2011: Obtain permitting

With final building and site design completed, necessary permits including NGO registration,
Uganda bank account, MOH approval will be obtained.

Apr. – Sept. 2011: Construct bore hole well and latrine

In collaboration with Lifewater International, a bore-hole well and two latrines will be built on
the clinic site. The well and latrine will provide water and toilet facilities during construction for
the work staff. Once completed, the well and latrines will be used by patients and staff.

Apr. 2011 - Sept. 2011: Construct buildings and utilities

Construction of main clinic building and dormitory, water collection and storage system will take
place. Clinic construction will use plans developed for Engeye Clinic and augmented as
necessary by a Lira-based engineer. We will use local and Lira-based non-skilled and skilled

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labor for construction, and will use local materials, such as bricks and lumber, whenever
possible.

Sept. - Nov. 2011: Purchase and install furnishings

We will procure clinic furnishings including beds, tables, storage cabinets, benches, chairs,
curtains and linens locally or from Lira and Kampala.

Sept. - Nov. 2011: Acquire medical equipment and supplies

We will obtain medical equipment and supplies by donation or acquisition through partnerships
(see Partners section). We will purchase medications from the Joint Medical Store based in
Kampala, or obtain them through donations.

Oct. - Dec. 2011: Install solar power and incinerator

Solar power will be designed and installed by Crown Renewable Energy and incinerator will be
sourced from Uganda-based Technology for Tomorrow (T4T)

Nov. - Dec. 2011: Hire staff

With the assistance of Uganda Ministry of Health Otuke, and Medical Teams International Lira,
and Awake village leaders, AUCF board members will interview and hire a full-time nurse, part-
time doctor or clinical officer, clinic administrator and caretaker, and create contracts for each.

Nov. - Dec. 2011: Establish diagnostic and treatment protocols

Based upon the established Engeye Clinic model, we will implement medical diagnostic and
treatment protocols and a patient reporting plan (recording information about patients for follow
up, metrics, and quality control).

Jan 1, 2012 Open clinic

Feb. - Mar. 2012: Set up volunteer / visiting personnel protocols

Partnerships/ Suppliers
AUCF has begun forming partnerships with other non-profits, NGOs and local businesses for the
purpose of gaining expertise, sharing methods and resources, and soliciting in-kind donations.
• Engeye Clinic has been our primary model during the planning phase of the Kristina Clinic
project. Founders Dr. Stephanie Van Dyke and John Kalule have provided extensive
mentorship and guidance in planning the clinic, including its business model, physical
attributes and diagnosis / treatment protocols. Founded in 2006 near Masaka, Uganda,
Engeye Clinic sees approximately 15,000 patients per year in addition to operating a
scholarship program for local children. It is a mature, successful organization that is
operating with similar goals in within a similar demographic to that of the Kristina Clinic.
• Lifewater International and AUCF have entered into an agreement whereby Lifewater will
build a deep borehole well on the clinic property and provide WASH education for the
medical staff and community leaders. Lifewater International and their in-country partners

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 have been facilitating access to clean, safe water and educating populations in communities
around the world in a participatory, culturally-appropriate way for over 25 years. They have
had tremendous success in northern Uganda bringing WASH to the youth through soccer
and to large communities through health workers, teachers and church workers.
• Welch Allyn, Inc., former employer of two AUCF Board members, has committed to
donating clinic equipment including bedside diagnostic devices, ECG machines and vital
signs monitors for the care of higher-acuity patients. Further, several Welch Allyn clinical
consultants (nurses) have committed to traveling to Kristina Clinic as volunteers.
• Medical Teams International has expressed interest in providing medical supplies to the
clinic.
• Crown Renewable Energy will provide the design, construction and on-site installation of a
solar panel array sufficient to provide electricity to the clinic and living quarters. The CEO
and management team of Crown have expressed a commitment to using their resources and
contacts within the industry to ensure the renewable power needs of the Kristina Clinic are
met.
• Uganda Ministry of Health continues to work with AUCF in the areas of certification,
guidance, medical professional recruitment assistance.
• Rotary Clubs: AUCF has established relationships within the Rotary Clubs of Seattle,
Beaverton and San Luis Obispo, as well as Lira, Uganda. We hope to gain Seattle Rotary
Service Foundation’s support of the project and to leverage that endorsement to encourage
the other US-based clubs to augment the investment. Lira Rotary Club will act as the local
host partner, providing oversight and accountability to the US-based Rotary organization.

Project Administration Staff

The following represents the staff that will administer the development of Kristina Clinic and
provide oversight during its daily operations:

• Construction Project Manager will be responsible for the overall clinic construction co-
ordination, oversight of construction personnel and materials and regular communication to
the AUCF board.
• Achon Uganda Children's Fund Board of Directors will be responsible for fundraising,
financial governance, stateside coordination & communication with local Construction
Project Manager, hiring of clinical and administrative staff and implementing their contracts,
organizing volunteer involvement and protocols, establishing partnerships with other NGOs
and governmental organizations, and working with medical staff to establish diagnosis and
treatment protocols. Once the clinic is running, AUCF Board will provide general
oversight, and will be responsible for reporting and project outcomes.

Evaluation

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Achon Uganda Children's Fund Board of Directors is responsible for evaluating whether the
objectives of the Kristina Clinic project have been met, and evaluating the impact the project is
having on the people it is meant to serve.

Objective 1: Clinic Construction

The AUCF Board will evaluate the progress of the project against the Project Timeline stated
above on a quarterly basis starting at the end of Q2 2010. Project status will be reported to
funding agencies and to private donors and supporters.

Objective 2: Treatment and Record-Keeping

During the first year of operation, AUCF Board will collect and examine the patient diagnosis
and treatment records to ensure that appropriate record-keeping is being conducted. This review
will be conducted on a quarterly basis. Our plan is to add a medical professional to the AUCF
board with experience in medical administration and oversight.

After each year of operation, AUCF Board will collect and examine the patient records generated
during that year. An annual report will be generated which details the number of patients seen by
geographic area, age, gender, diagnosis and treatment. Recommendations will be made regarding
changes to treatment, additional development projects, etc, based on the community's needs and
our ability to meet those needs. The Annual Report will be disseminated to funding agencies,
private donor and supporters as well as partner agencies.

Objective 3: Self-Sufficiency
At the end of the third year of operation, an audit will be performed by the AUCF Board to
determine if Kristina Clinic is meeting its objective of operating independently of AUCF
funding and oversight. The Board will assess if any requests for additional funding or for
administrative intervention are being made to AUCF. The Board will perform an audit of the
Clinic's financials, including expenses, patient payments and profits from the joint development
project with Love Mercy Foundation. A report on this audit will be disseminated to funding
agency, private donors and supporters.

Sustainability

Each patient will be charged a nominal charge per visit consistent with the charges established at
Engeye Clinic. This nominal fee will be requested primarily to ensure that the patient values the
service being provided, and increases the likelihood of the patient following the recommended
treatment course. However, these fees will also be useful in defraying a portion of the clinic's
operating expenses. As stated below in the Budget section, it is estimated that it will require
approximately $1,500 per month to keep the Clinic operating. While this payment will initially
be made by AUCF through private donations and grant funding, our goal is that it will, within
three years, be financed through patient charges and a development project undertaken with Love
Mercy Foundation.

Over the past three years, Achon Uganda Children's Fund and its sister organization Love Mercy
Uganda have raised approximately $100,000 to construct a church and latrine in Awake village,
provide financial support to 31 orphaned children for a period of three years, and begin to save
for the medical clinic project. We expect to raise an additional $110,850 through donations,

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grants and partnerships to complete the medical clinic by January 1, 2012 and supplement its
operations for the first three years. We believe that our demonstrated ability to raise funds and
complete development projects over the past three years will continue to make AUCF attractive
to donor organizations in the future. Orphanage Mosquito

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Budget

Construction and Startup Expenses

Item Estimate Notes
A 3-acre parcel of land in Awake village has been
Land purchase $3500
acquired for $3,500.
Construction of clinic, living quarters and
$65750 Detailed cost roll up completed 4/1/2011
latrines
Rain water collection system $5000 T4T Africa

Solar power for clinic and dormitory $8000 Crown Renewable Energy
High temperature incinerator $4000 T4T Africa
Bore hole well $10000 Donated by Lifewater Int'l
Clinic and dorm furnishings $3000 Beds, cabinets, tables, chairs, linens
Diagnostic Laboratory Equipment $5000
EKG, patient monitor, BP, Oph/Oto/temp, supplies –
Medical equipment and disposables $5000 purchased from or donated by Medical Teams Int'l,
Welch Allyn and other partners
Medications $5000 Initial inventory of medicines and vaccines
Misc. travel, lodging, vehicle rental to
$7000
complete construction
To be employed full-time at $500/month through the
Clinic Construction Manager Salary $4000 planning and construction phase, estimated at 8
months.

Total Construction / Startup Expenses $125250 In-kind donations are expected to total $25,000

Monthly Personnel Expenses

Position Hire Date Hours Monthly Salary
Clinic Site Operations 2 months prior to clinic
Full time $350
Manager opening
Physician / Clinical 6 weeks prior to clinic
Part time $350
Officer opening; consultation prior
Enrolled Comprehensive 1 month prior to clinic
Full time $350
Nurse opening
Caretaker and cook 1 week prior to clinic Full time $125
opening
HIV / AIDS Counselor 1 week prior to clinic Part time $100
opening
Pharmacist 1 week prior to clinic Part time $100
opening
Total Monthly Personnel Expenses $1375

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 Monthly Operating Expenses
Item Notes Estimate
Medications / Vaccines Cost of medications and supplies to be $150
Supplies partially offset by patient payment of $75
$3000 SH (around $1.50) per visit
Total Monthly Operational Expenses $225

Total Cost Estimate for First Three Years

Construction and Startup Costs $125250
Monthly Personnel Expenses for 36 months $49500
Monthly Operating Expenses for 36 months $8100
Kristina Clinic Funds Balance as of April, 2011 $47000
Estimated In-kind Donations $25000
Remaining Funds to be Raised for Clinic Completion and 3 Years Operation $110,850

Organization Information

Achon Uganda Children's Fund (AUCF) was officially incorporated in 2007 in Oregon by Julius
Achon and a board of directors in response to the dire situation faced by the residents of northern
Uganda. AUCF has a strong track record of fundraising through private donors, and has utilized
those funds to provide shelter, food, clothing, education, healthcare and guidance to a group of
22 orphaned children from Awake Village. In addition, AUCF has built a church for the
community and provided food relief in times of famine. In 2009, AUCF received IRS 501(c)(3)
designation and established a partnership with Love Mercy Uganda, an Australian based
organization united through the vision and goals of Julius Achon.

The mission of the Achon Uganda Children's Fund is to improve quality of life in rural northern
Uganda through access to health care and education, improvements to infrastructure and means
of self-sufficiency. Each development project undertaken as a partnership between AUCF and
native Ugandans will transition to a state of self-sustainability and independence from outside
assistance.

The three-year goals of AUCF and Love Mercy Uganda are:

1. To establish a medical clinic in Awake Village, Otuke County to provide life-saving
healthcare to its residents and those of the surrounding community.
2. To establish a system of health education outreach focusing on issues of sanitation,
hygiene, and food preparation and storage.
3. To build and staff a pre-school providing early-childhood education to the youngest
residents of Otuke County and the surrounding community.

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Achon Uganda Children's Fund is currently comprised of a four-member volunteer Board of
Directors (see below), and a small group of dedicated volunteers. We are working to increase
volunteer participation through active outreach, media exposure and Julius' speaking
engagements.
• Julius Achon (Founder) was born in Awake village future site of Kristina Clinic, a former
child soldier who escaped and went on to become a great Ugandan runner and two-time
Olympian. Julius has dedicated his life to aiding the people of his village in the North and is
a well known figure in Northern Uganda both as an athlete and a humanitarian through the
Achon Uganda Children's Fund in the United States and Love Mercy Uganda in Australia.
• James Fee (Executive Director) retired in May 2009 after a 40 year career in the medical
device industry. During his career, Jim held executive and senior management positions at
Welch Allyn, Protocol Systems and Physio-Control. Jim also served on the board of
directors of Acrymed, Inc. and Eastside Catholic HS, and for 20 years led an outreach
program at Welch Allyn and Protocol Systems providing medical equipment for medical
missions.
• Stephanie Musho (Director) has a master's degree in Biomedical Engineering, a keen
interest in business development, and a varied background in marketing, product
management and research & development in the healthcare, high-tech and athletic
industries. Most recently, Stephanie served as Marketing Manager for Acute Care
Monitoring and Systems for Welch Allyn in Beaverton, Oregon.
• Pastor Fred Carson is the Lead Pastor at True Life Fellowship in Beaverton, Oregon. Fred
has provided the leadership and guidance that has transformed True Life Fellowship into a
vibrant, motivated, family-oriented church. He has extensive experience with humanitarian
projects in Africa, and has trained hundreds of ministry leaders overseas.

Achon Uganda Children's Fund has demonstrated the capability to effectively complete the
Kristina Acuma Achon Clinic project. Our personal connection to the area and its residents and
our intention to use local labor and materials affords us a significant level of local support.
Julius Achon was born and raised in Awake Village, where his father and stepmother reside and
where the clinic will be established. Julius is a well-known figure in northern Uganda both as an
athlete and humanitarian and maintains a close connection with the people of Awake and Otuke
District through regular visits and financial assistance. Julius' brother Jimmy, who will assist in
overseeing the clinic construction, has served effectively in a similar position when he managed
the construction of the Lira home for the orphan children. Jimmy today manages the orphan
facility and its finances. Julius’ father Charles is a leader in the Awake community, lives next to
the clinic site, and 84,000 will act as a liaison between the village and clinic construction team.
The AUCF Board of Directors brings substantial experience in the medical device industry,
strong project management, and a broad network of medical industry executives and healthcare
professionals to provide both financial support and medical expertise.

Conclusion

In conclusion, the members of Achon Uganda Children's Fund are dedicated to its mission to
improve quality of life in rural Northern Uganda through access to health care and education,

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improvements to infrastructure and means of self-sufficiency. We understand the people of
Awake Village and Orum County are severely under-served with regard to medical care with the
closest medical facility of any kind several miles away. As such, every day, people in this region
suffer, and in some cases, die needlessly because they do not have access to routine, preventative
health care or emergency medical attention. We are committed and determined to build the
Kristina Acuma Achon Medical Clinic to provide primary medical care including triage and
appropriate treatment, disease testing, inoculation, medication dispensing and education with a
staff will be comprised of Ugandan medical professionals augmented by US and Australian
based medical professionals. We are confident and have demonstrated expertise to raise the
necessary funds to complete the project and the relationships to staff and maintain the clinic.
With the hard work and efforts of our Team and the support of individuals and corporations we
will be successful.

Appendix: Clinic Site Plan and Drawings

Kristina Acuma Achon Medical Clinic Compound

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 Main Clinic Building

Living Quarters

Latrine

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 Clinic Site Plan

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Achon Uganda Children’s Fund page 20
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