No charity expenses. We are all volunteers.
Everyone involved in supporting Masanga are volunteers. There are no charity expenses. All the money donated is used to fund the hospital and support the health care education programme.
Facts about the hospital
Masanga is a not for profit hospital which is owned by the Government of Sierra Leone (“GOSL”) and managed under a 15 year concession dated 13 July 2006 by the Danish charity Association Friends of Masanga/Masanga DK and the UK charity Sierra Leonean Adventists Abroad. These organisations are supported by the Dutch charity Masanga Netherlands, the Norwegian charity Capacare and the UK charity Masanga UK.
The Hospital serves the 400,000 people in the district of Tonkolili who have unmet healthcare needs.
The hospital offers free healthcare for children under 5 and expectant mothers in line with GOSL policy and, in addition, free care is provided for local people who cannot afford to pay.
The hospital has 100 beds organised into 5 wards: Emergency, Maternity, Paediatrics, Stabilization and Surgery; 2 operating theatres and an Out Patients department.
- In 2012 21,700 patients were treated, an increase of 30% over 2011, reflecting the growing reputation of Masanga and the shortage of alternative health care facilities.
- 3,731 patients were admitted to the wards and 17,800 attended the out patients department.
- 1,191 operations were performed
- 526 babies were delivered.
By far the most common diagnosis is malaria (29.7% of all admissions) and problems in pregnancy or childbirth (21.6%). Malaria is most common in children under 5 (68% of admissions) and children between 5 and 14 (52% of admissions). At ages 15 to 55, almost half relate to pregnancy and childbirth. In older adults aged over 45 years, musculoskeletal and gastrointestinal problems are most common.
The mortality rate in 2012 for admitted patients was 4.7%.
Over 100 staff and volunteers work in the hospital
- Medical staff include 2 permanent Dutch doctors, 3 Community Health officers, 3 nurses and 53 nursing aides
- Administration is kept to a minimum with 8 staff
- There are 32 support staff looking after the grounds, services and security
The hospital costs €316,000 per annum (£270,000 or $400,000) to run. The largest components of cost are medicine and staff.
The budget breaks down as follows:
- 30% on Medicine – this can be sourced more cost effectively if funding is more secure
- 16% on 2 permanent international doctors from Holland – these are supported by numerous visiting volunteer doctors
- 16% on local medical staff – many have been trained in Masanga and are supported by young volunteers on 6 month placements
- 10% on local support staff
- 28% on indirect costs
In the long term the hospital will be funded from the following sources:
- The businesses, the Masanga Nursing School and the Tonkolili College of Health Sciences and Technology
- International and local donations
In the short term hospital funding is under immense pressure for two principle reasons:
- Under the agreement with GOSL the hospital is entitled to receive free medicine for children under 5 and expectant mothers. The Board of Masanga continues to make representations to GOSL about the importance of access to free medicine but so far, very little has been received.
- The significant increase in patients attending the hospital in 2012 arose partly because of the growing reputation of the quality of care at Masanga and partly because historically the hospital only charged nominal fees which were less than GOSL run hospitals.
From 1 August 2013, out of funding necessity, the hospital will recover full cost for all procedures and services which will bring it into line with other GOSL hospitals. Children under 5, expectant mothers and the local needy will continue to receive free healthcare.
The majority of funding is presently sourced from donations.