1. Rotary Foundation Global Grant Project Nigeria Infant Mortality and Premature Infant Community Project

2. Statistics that Matter GLOBAL PROBLEM An estimated 13 million preterm babies are born a YEAR The distribution is uneven Africa and Asia have the highest rate of preterm babies Rates are increasing every year in EVERY country according to March of Dimes

3. Project Nigeria Districts Participating  Host Club –Lagos Nigeria 9110  Pilot district for Future Visions Grants  International District –Lake Mary Club 6980  Both Self-Sustaining Clubs  Focus – Maternal & Child Health The Issue  Africa has a high rate of infant mortality in premature and LBW babies  LBW infants use nearly half their energy intake maintaining body temperature, so provision of warmth and prevention of heat loss can significantly improve survival rates. The Need  Availability of incubators/warmers are uncommon  Available equipment can be old, malfunctioning or inadequate.  Babies either have to take turns or share, risking cross infection  Babies must be transported to facilities that have available equipment  The Area & Need

4. Project Nigeria  Babies Sharing Incubator  Mother Keeping Her Babies Warm Infant Mortality and Premature Infant Community Project  Nigeria’s infant mortality rate is 96 per thousand live birth  71% of the deaths of infants are from preventable causes

5. Project Nigeria  Premature Babies – Before and After

6. Dr. Ayodeji Otegbeye  Founding partner at Night Lite Pediatrics Urgent Care Centers  Consultant for the Neonatal Pediatric Follow-up and Pulmonary Clinics at Children’s Medical Services  Medical Director for Children’s Medical Services, Central Florida Region (Orange, Seminole, Osceola and Brevard counties).  Medical Director for Leesburg Regional Hospital’s pediatric hospitalist program.  Specializes in pediatric critical care with special skills and interest in pulmonary medicine.  Passionate about the care of children with special needs and medical mission trips to developing nations. URGENT CARE

7. Project Nigeria  Overall Goal is to increase the overall health of children by reducing the mortality rate of infants  Evaluate each identified facility – current need, staff & administration  Training - VTT teams will train staff in the US and in Lagos  Provide - equipment Project Goals  Akute Rotary Health Centre, Akute, Ogun State  Ibeju General Hospital, Ibeju, Lagos State  Ikorodu General Hospital, Ikorodu, Lagos State  Magboro Health Centre, Lagos  Rotary Health Centre, Ita-Elega, Abeokuta, Ogun State  Owu Community Health Centre, Abeokuta, Ogun State  Community Heatlhcare Centre, Oregun, Lagos Target Group  3 Year Project  Evaluate  Training in US and in Nigeria  Equipment Purchasing  Follow up evaluation Duration of Project Infant Mortality and Premature Infant Community Project

8.  Measurement  Established project specific measures according to quantitative and qualitative data and research (baseline data) to include numbers of infant survival rates and deaths before and after the project  Outlined responsibilities of those monitoring the project from the international district that will collect necessary data points to evaluate impact of the project. Evaluations will run quarterly, then yearly to establish trends.  Sustainability  Training and oversight from VTT, Dr. Otegbeye, hospital & grant committee of Rotarians in District 9110  Recipient hospitals will receive back up generators so that equipment is functioning at all times  Educating parents on modifiable risk factors: Nutrition, diabetes, & high blood pressure  Monthly reporting from facility administrators on progress  Regular maintenance plan of locally produced equipment from Nigeria Project Nigeria Infant Mortality and Premature Infant Community Project

9. Project Nigeria

10. Approximate Budget  Incubator & Installation  $4747.00  Baby Cot  $190.00  Mosquito Nets  $7.60 Total for Each Facility- $4944 Total for 8 Facilities - $39,550 General Financing  Current Commitments  District 6980- $15,100 DDF  District 9110 - $6,000 DDF Project Nigeria Infant Mortality and Premature Infant Community Project

11. David Apfelbaum Lake Mary Club David_apfelbaum@scps.k12.fl.us 407-873-3314 Melissa Brzezinski Lake Mary Club melissab@nightlitepediatrics.com 407-257-3283 Infant Mortality and Premature Infant Community Project Project Nigeria