How To Help A Project In A Developing Country

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International Health Consultants Member of the International Hospital Federation Independent Consultancy ServicesforInternational Healthcare Projects

Asia and Far East Eastern Europe and Russia Latin America and Caribbean Middle East and North Africa Sub-Saharan Africa

Content 1. Introduction International Health Consultants 2. Services Blankensteyn 5-7 P.O. Box 23 5320 AA Hedel The Netherlands Tel. +31 (0)73 599 25 60 Fax +31 (0)73 599 42 53 www.ampc.nl 2007 3. Countries of Activities 4. Principals

1. Introduction AMPC International Health Consultants is an independent consultancy firm, providing international consultancy services in a wide range of healthcare areas. With more than 20 years of experience, AMPC has gained an immense expertise in a vast variety of healthcare studies as well as the design, preparation, equipping & furnishing, commissioning and evaluation of medical projects. Planning, coordination and monitoring, are strong assets of the organization. AMPC s main office is situated in the Netherlands, but at AMPC we actually consider the entire world our working ground. Our experience over the last years covers many countries in the Middle East, Asia, Africa, Latin America and the Caribbean. Our consultants, whether permanent, associated or freelance, come from several different backgrounds and have extensive experience in the field of healthcare projects. They all support our specific methodology, which can be summarized in the following keywords: independence, flexibility and quality.

2. Services AMPC is a flexible and versatile company, with enthusiastic people and all activities geared to the needs of thecustomer. In the process of a project we familiarize ourselves with specific habits and practices of the particular country, organization and/or institution. This will ultimately contribute to the total quality of the project. AMPC does not merely work for the client but prefers to cooperate with the principal and client. Our consultants do not impose their opinion as a specialized outsider and then leave you with a non-operational advice. They will operate as a partner in the total project team. from the early start of any project, however the experts can be included in any stage of the project. During the process of analyzing the problems and stakeholders issues, views on potential merits or difficulties and risks associated with possible interventions, are likely to be developed. This is all based on a logical framework approach, including goals, purpose, component objectives, risk analyses, outputs and activities. The incorporation of the services of AMPC always has a double effect, both the supply of excellent consultancy and the spin-off and exchange of knowledge to the receiving organization. To yield the maximum result, AMPC prefers to be involved As an independent party, AMPC provides unbiased and fresh advice. We keep ourselves informed on the latest developments in healthcare organization and equipment, but we have no commercial liaisons with manufacturers or suppliers. Although many procedures, protocols and systems in healthcare projects throughout the world are the same, each project is unique and consequently has specific requirements. At AMPC we approach our clients accordingly: the only standard in our work is quality.

2. Services General: as a first step to any project AMPC starts to familiarize it self with the national and local context of the project country and project area. This means that desk research takes place into the countries socio-economic background. Furthermore, the epidemiological situation of the country and specific project region is mapped. This data will be verified and updated through site visits in the project country and project area. The gathered data will serve as a background for the most adequate, appropriate and sustainable solution for each individual project. Hospital Design and Realization: AMPC is often involved in projects for the design and realization of new (specialized) hospitals. Based on the local needs AMPC develops, together with the counterpart, a conceptual hospital(s). This means that based on the expected number and type of patients a list of needed departments is drafted. Based on the list of departments the number and type of rooms is defined. This list will serve as a bases for a conceptual architectural design. For this design APMC will cooperate with Dutch or local architects. AMPC will keep the lead in the design process in order to guarantee a logical and functional hospital lay-out. Furthermore, AMPC will develop a detailed equipment list, medical as well as furniture, per room, including the necessary technical specifications. In the whole process the whishes and financial capabilities of the client are leading. Hospital Upgrading and Rehabilitation: AMPC is an expert in improving nation wide health care service in general or for specific diseases, on both communicable as well as on non-communicable diseases. Together with the client AMPC will visit the selected hospitals in order to map the current situation. In those visits AMPC put an emphasis on quantity and quality of the available staff and medical equipment and on the physical status of the hospital. Based on the assessment and the

2. Services specific desires of the client AMPC develops a realistic nation wide upgrading plan, consisting of hospital rehabilitation, a detailed equipment list including the necessary technical specifications, and training programs. An important aspect of the design is always the financial capability of the client. Project financing and management: Often it occurs that after the project has been designed the actual realization never takes place, due to lack of financial resources. AMPC is well aware of (international) project financing possibilities and financing schemes from international donors and/ or development banks. Financing of the project is essential for the actual execution, hence, AMPC always incorporates a sound financial plan in all the projects it develops. Furthermore, AMPC has a vast experience in project management. From the point of view of AMPC, project management starts after the project design has been approved and financing is guaranteed. AMPC can organize and coordinate the execution of any health care related project, including necessary tender procedures. Management training: Apart from the construction and/or rehabilitation of hospitals and the supply of medical equipment staff training is essential for the success of any project. Training focuses on application training, medical training, hospital management training, and facility management training. AMPC has a vast experience in designing and executing specific training programs in each of those areas. AMPC has a team of trainers available and close relation with international credited universities in order to guarantee the quality of the training programs. Gti. Project Design & Development Feasibility Studies (PESP) Financing Schemes Quantity Survey Medical Equipment Training/Education Programs (Technical Assistance) Roombook & Bill of Quantities Specification & Contract Conditions Project & Hospital Mngt & Maintenance Programs More information can be found at our web-site: www.ampc.nl

3. Countries of Activities Bolivia Equador Ghana Tanzania Madagascar Morocco Yemen Jordan References in the region Upgrading Health Centers & establishment of District Dental Centers Ghana Misurata Hospital and Al-Afia Mobile Clinics Libia Program for strengthening cardio-thoracic diagnostic centers Nigeria Jaji Hospital Nigeria Strengthening referral healthcare system Madagascar Improving country wide mother and child care Mauritania Design of Children s hospital in Tanger Morroco Improving referral healthcare system, focusing on chronic diseases Senegal Country wide rehabilitation of Diagnostic Services Tanzania Family Health Project Zimbabwe

MOROCCO Project title: Establishment of a first, second and third line pediatric and maternity health care services network in the Tangier region Tétouan Execution: 2oo6 - ongoing Summary: Design, planning and equipping of a 120 bed pediatric and maternity hospital in the city of Tangier. The hospital will serve as a reference for more than 1,2 million habitants. Partners: EGM architects and EMMA children s hospital

GHANA TANZANIA Project Title: Renovation and rehabilitation of medical equipment at 15 health centers and the construction and equipping of 22 district dental centers. Execution: 2002-2006 Summary: Develop a viable plan to improve first line health care and dental health care, including detailed list of needed equipment, works and training programs. Partner: Enraf - Nonius

4. Principals Project title: Nation wide rehabilitation of radiology services Execution: 1999-2003 Government of The Netherlands Foreign Governments incl. European Union Summary: development and execution of a nation wide improvement program of the radiology services, laboratory services and operating theaters. Partners: Philips Medical Systems NGO s and Development Organisations Banks (WorldBank, IADB, AFB, ASDB, IFC) Private Companies and Consortia Hospitals

AMPC International Health Consultants Blankensteyn 5-7 P.O. Box 23 5320 AA Hedel The Netherlands Tel. +31 (0)73 599 25 60 Fax +31 (0)73 599 42 53 www.ampc.nl