Bread and Water for Africa

Health - general and rehabilitative:since mid-2020, the pandemic has further exposed weaknesses in Africa's management of emergency health hazards and has exponentially drawn-out various healthcare deficiencies from the lack of life-saving equipment, medical supplies, medicines, and healthcare facilities to inequalities in the delivery of quality medical services. To help address that challenge, in fy23 bwa increased and focused our healthcare program support in Africa. (see schedule o for continuation)in total, bwa provided $52,929 in cash grants and $26,818,098 gift in-kind value of medicines, medical supplies and equipment, wheelchairs, prenatal vitamins and personal protection equipment (ppe) and uniforms for healthcare workers, to healthcare-focused program support in Africa. Bwa in-kind support is aligned with our long-term mission to improve health conditions in underserved parts of Africa and to ensure that the clinics we built and hospitals we support can continue to operate effectively and efficiently in sierra leone, cameroon, kenya, ethiopia, and malawi.sierra leone is home to four non-governmental organizations (ngos) with healthcare projects, clinics, and hospitals supported by bwa: united methodist church of sierra leone ("umcsl"), faith healing development organization ("fhdo"), sierra leone mission and development ("smd"), and rural youth development organization-sierra leone ("rydo-sl"). Combined, these ngos provide care to more than 65,000 people every year, with a focus on general healthcare for pregnant, lactating women and children under five. (sierra leone has among some of the highest maternal and infant mortality rates in the world).fhdo operates three clinics in kenema, freetown and bunumbu. This year, the clinics received donated medicines, prenatal vitamins and medical supplies. In addition to basic healthcare services, fhdo operates a food program for pregnant women and lactating mothers to increase their nutrition levels and overall general health.umcsl has three member hospitals and four health centers across sierra leone with the mission of providing quality medical care to all patients and ministering to their physical and spiritual needs. In addition to providing inpatient care, surgery, obstetric delivery and newborn care, the hospitals provide laboratory, ultrasound and x-ray services. Full-service outpatient clinics are operated six days per week along with a full malnutrition program in the area. This year, umcsl member hospitals and clinics received medical supplies and medicine. Bwa has been partnering with rydo-sl since 2020 with the goal of transforming communities by building capacities and promoting socio-economic development. Bwa provided medicines, medical supplies and equipment in addition to cash grants to support rydo-sl and its partner hospitals and clinics. In fy23, more than 36,000 individuals received medical treatment at 14 health centers and two hospitals across sierra leone.in cameroon, bwa has been partnering with hope services ministry international ("hsmi") based in yaound and douala since 2011. Its objective is to provide holistic care primarily in areas of medicine, psychology, social needs and education. The hospitals in yaound and douala meet the needs of more than 65,000 people each year at little or no cost to the patients. Additionally, hsmi provides medical outreach to villages in the northwest region twice a year. In kericho, kenya bwa has been partnering with the kebeneti dispensary. The clinic provides services for more than 1,500 individuals annually. In ethiopia, bwa partnered with haramaya university ("hu") and debre tabor university ("dtu"). Hu, located in eastern region of the federal republic of ethiopia, is a learning institution is comprised of ten or more colleges of various disciplines, including a college of medicine and college of health education. Hu also has a campus clinic, community clinics, and hospitals that provide educational and health services to a population of more than 50,000 residents. This year, through this partnership, bwa donated prenatal vitamins which benefited more than 12,000 individuals. for the first time in fy23, bwa partnered with dtu, a public university in ethiopia located in the south gondar administrative zone, established to contribute to the overall development of the country through producing competent graduates in all programs and excelling in agriculture and environmental science, health sciences and technology, and solving societal problems by combining scientific research with indigenous knowledge. Through community outreach program dtu provides medicines, medical equipment and supplies to hospitals and clinics where dtu students are giving internships, externship services, and community health centers. Bwa donated medical supplies used to benefit more than 3,500 individuals.in malawi, bwa partnered with our aim foundation ("oaf"). The goal of oaf is to inspire hope, dignity, and empowerment in communities by providing sustained support to improve quality of life. Oaf operates a health center tongozola, mchinji district. The health center provides services for approximately 100 individuals on a daily basis. Bwa provided medicines, medical supplies, and equipment to strengthen the health center capacities. In fy23, the most of cost effective and efficient healthcare program was a project, in partnership with oaf, to expand its healthcare through mobile medical clinics that serve the residents of more than 125 villages (an estimated 25,000 individuals) across the traditional authority in mkanda. Its primary objective is to enable rural residents, including families living in remote villages, to access primary healthcare services by providing valuable medical services that inspire hope and give patients dignity. Most who receive treatments at the mobile clinics have never visited a health facility, or even been examined by a trained healthcare provider. This year, bwa provided cash grants, medical supplies, and medicines to support the mchinji district facility, the mobile medical operation service and 11 hospitals and clinics, including government hospitals by collaborating with ministry of health which resulted in a total of more than 40,000 individual being served.

Orphan care:many children in Africa have been orphaned due to hiv/aids, preventable and treatable diseases, unrest and war, and social conditions that have prematurely claimed the lives of their parents. Without help, these children have little to no hope for their prospects of economic and social advancement, and sometimes even for their very survival. We are proud to support our partners' efforts to provide these children with a brighter future and to that end provide grant funding amounting to $191,117 to orphanages and children's homes in four countries this year.see schedule o for continuation)in kenya, the lewa children's home ("lch") is a model for the many other orphan car programs we support. The lch was founded after bwa's volunteer spokesperson phyllis keino took in four children whose parents - who had been good friends of the keino family were killed in a car crash in the early 1970s. Today, the lch provides food, shelter and other basic needs along with comprehensive care for 33 children on-site and provides 18 additional children from surrounding communities with funding for school fees and basic necessities such as food and clothing. In addition, the lch provides employment for 10 individuals in the surrounding city of eldoret. Over the years, phyllis has expanded her efforts by founding the kipkeino primary school and the baraka (blessed) farm, all within the 500-acre complex, working together to make the community stronger. Bwa continued our enthusiastic support of the lch in 2023 with grant funding used for the upkeep of the home and operational daily support.in zambia, the kabwata orphanage and transit centre ("kotc"), located in the capital city of lusaka, was founded by angela miyanda to provide a loving, caring, secure and healthy environment for orphans in the country. The majority of the children taken in by kotc have lost their parents to the terrible aids epidemic in the country. The kotc provides quality nutrition, shelter, education, and skills training for 130 orphans and more than 20 other individuals who benefit from these services, which bwa is proud to fund. As it continues down its path toward self-sufficiency, the centre has developed income-generating projects including fish farming (aquaculture), a plant nursery and landscaping services. In zimbabwe, shinga development trust (and its lerato children's home) in mutare reaches out to nearly 120 children per year through its school fees support program. Given the desperate economic situation in zimbabwe (with an unemployment rate of 95 percent and per capita gdp of under $100), shinga's mission is to care for the children most in need in its service area. Shinga also pays the school fees, operates a food program and provides foster care sponsorships to many children in the area. Currently, the home shelters and cares for 14 children on-site and more to come as the zimbabwe social welfare department places more orphaned and abandoned children with shinga. In tanzania, bwa began providing support to watoto wa Africa ("children of Africa") orphanage ("wwa") in fy23 by providing support to meet the basic needs of 86 children and youth, including food and daily living necessities and education. Bwa also prevented the wwa orphanage from being shut down permanently after the government's child welfare agency threated closure due to unsafe infrastructure, below-standard living conditions and an overall unhealthy environment for the children due to wwa's lack of resources to remedy the concerns. If bwa had not stepped in, the home would have been forced to close and the orphaned, abandoned and destitute children would be back on the streets forced to fend for themselves, as the government had offered no reliable solutions to help. We are very proud of our new partnership with wwa to alleviate the most dire living conditions for children who call the wwa orphanage their home.

Educational institutions:a key tenet of bwa's mission is that education is the future of Africa. Educating Africa's younger generation has been a priority for bwa since our founding. Bwa granted in total $86,398 in cash grants to support educational programs in kenya, zambia, cameroon, chad, and zimbabwe while bolstering partnerships that have been helping children and youth to attend in these countries for more than a decade. In total, more than 1,200 students benefited through our school fees support and other educational programs in these countries this year. (see schedule o for continuation)in addition, bwa provided in-kind support valued $771,925 to support education program in ethiopia and sierra leone.in ethiopia, bwa worked with dtu by providing $264,000 in-kind value of primary, junior high and secondary school text and reference books. These donations benefit more than 58,000 students and educators in 27 schools every year at the school libraries which are accessible to anyone, including nearby community members. In addition, bwa provided combined (i.e., chair and table) desks for use by 690 students in the south gondar region. Bwa also worked with woldia university ("wu"), located in northern ethiopia, about 75 miles from the small town of lalibela, one of the world's most standing sacred sites where 11 medieval monolithic churches were carved out of the rock. Among the missions of the university is the provision of community to the society in agriculture, education, health care and others by implementing community outreach support services. This year, bwa provided 700 combined desks to serve 700 students in north wollo. In sierra leone, bwa built additional classrooms and toilet facilities to accommodate the growing number of students at the united brethren in christ (ubc) primary school in the mokoba community to serve 438 students and provided combined desks.

Other programs