Annual Report 2008

Afrika
Country / Projects Sponsorship Details
124 Projects 7.257.953,04 €
Angola: 1 Project 9.358,16 €
Burundi: 1 Project 20.000,00 €
Cameroon: 1 Project 15.007,50 €
Egypt: 8 Projects 168.086,22 €
Ethiopia: 26 Projects 1.078.624,66 € more details

Äthiopien Forschung DAHW

Financial Volume: 45,378 Euro
Research Partner: London School of Hygiene and Tropical Medicine
In charge: Prof. Dr. Diana Lockwood
Results expected:  foreseen for 2010

The starting position: Unlike the well known co-infection of TB/HIV hardly anything is known about the interaction of an HIV infection with leprosy. The effects of a leprosy/HIV co-infection are as unexplored as the possible consequences for treatment.
The question to be studied: What are the clinical effects of a co-infection and how should such patients be treated and cared for in future?
Possible positive answers: For the first time, this research project will bring us usable data about leprosy/HIV co-infection. On the basis of these data doctors will have a deeper understanding of the interactions between these two diseases, and standards for the care of affected patients will be improved.

General: 0 Project 547.292,34 €
Ghana: 1 Project 20.000,00 €
Kenya: 1 Project 20.000,00 €
Liberia: 1 Project 110.974,30 €
Madagascar: 1 Project 20.000,00 €
Mozambique: 1 Project 10.000,00 €
Nigeria: 14 Projects 1.476.230,43 € more details

Nigeria Dr. Joseph Chukwu

DAHW does not abandon the people in Nigeria

In the late evening three workers of the German Leprosy and Tuberculosis Relief Association (DAHW) reach the hospital of Abeokuta wearing next to nothing – they came on foot, although they have a journey of more than 400 km behind them. They started by car from the DAHW office in Enugu. The old off-road vehicle is the most useful means of transport for longer distances given the road conditions in this country.

Fidelis Adebayo runs to the door to welcome his colleagues. The DAHW social worker based in Abeokuta already suspects what has happened: Shortly before reaching the destination the vehicle was stopped by an armed gang and their colleagues were robbed. Every worker of DAHW in Nigeria has learned how to behave in such a case: raise one‘s hands up slowly, follow the orders of the robbers and offer them politely everything they want.

In this case the robbers literally wanted everything: vehicle, money, watches, luggage and even some of the clothes and shoes of their victims. However, the workers of DAHW could save the most important thing: their own lives. “That is a kind of code of honour of the robbers, if the victim does not behave like a hero,” Fidelis explains and later adds, “You never will be able to understand Nigeria!”

It is no secret why there are so many armed gangs in the country: The gangsters are getting their automatic weapons from their principals. They are engaged by entrepreneurs or rich individuals to protect them and sometimes also to intimidate their rivals.

When the principals do not need these “protection services” anymore they just dismiss the people. They are allowed to keep the weapons so to speak as “support for starting a new existence”, the business of this new “Ego-company” is reduced to the basic competencies: robbery, blackmailing and intimidating – just what they had been doing before, but now it’s at their own risk. The people causing these problems don’t care about them and almost everybody in Nigeria can become a victim of these gangs – relief agencies as well as government institutions.

Fidelis shrugs his shoulders, he does not have a solution either, “We just try to travel in the daylight only, when the danger is not as great.” An alternative would be not to travel throughout the country to the many small places far away from the great mega cities. But for the DAHW worker this is out of question, “Who else will take care of the people who get leprosy or tuberculosis and are in urgent need of help? Many of them do not have any possibilities for travelling to the next big town or to a hospital.”

In the most highly populated country of Africa, almost 5,000 persons are diagnosed annually with leprosy; the darker number of unreported cases might be much higher. Every year, more than 500,000 people get tuberculosis and, what is more, one in every ten of them in combination with HIV/AIDS.

Almost all of these patients are from the poorest sector of the population, living in villages without any infrastructure or sufficient provisions or in the slums of the big cities where sometimes more than ten persons are sharing one room. “These are more than 500,000 sound reasons for me and my colleagues not to surrender to the violence in our streets,” Fidelis says when climbing his old motorbike in order to visit some patients – the people he does not want to leave alone in the future, either.

Senegal: 3 Projects 499.093,05 €
Sierra Leone: 4 Projects 399.803,92 €
Sudan: 19 Projects 917.014,46 €
Tanzania: 18 Projects 892.295,77 € more details

Tansania Forschung DAHW

Financial Volume: 40,000 Euro
Research Partner: Medical Mission Institute Wuerzburg
In charge:  PD Dr. August Stich,  Dr. Samuel Kalluvia
Results expected:  foreseen for 2010 at the earliest

The starting position: HIV infected patients need antiretroviral medicines in order to delay the outbreak of the immunodeficiency syndrome Aids – especially if patients have contracted tuberculosis in addition. These drugs are not always available in developing countries.
The question to be studied: Can a lower dosage of Cortisone help to significantly delay the necessity of antiretroviral treatment?
Possible positive answers: Ideally a low dosage of steroids would enable the immunological system to adapt to the infection and thereby would delay the application of antiretroviral drugs.

Moreover, there is hope that the number of TB infections among this patient group will no longer exceed the average to such a large extent.

Togo: 4 Projects 312.596,03 € more details

Schuluntersuchung DAHW

How DAHW is helping in one of the poorest countries of the world

Screening campaign for Buruli ulcer – DAHW staff Dr. Adolf Diefenhardt and Carola Mühleisen discussing with the village elders.

Negotiations in the Ministry, crisis talks in the national office of the World Health Organization (WHO), control visit of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), discussions with a prospective donor, exchange of experience in the German Embassy: every 20 minutes the telephone rings, somebody needs some help or advice – quite a normal day for Franz Wiedemann, the Representative of the German Leprosy and TB Relief Association (DAHW) in Togo.

At the same time, Issoyo Touakawa, Health Control Officer from Sotouboua, is on his way to Tindjassé and Tchatchako in the North of the country. The distance between the capital Lomé and these remote places is “only” 350 km, but the trip takes two days. Streets which are worthy of the name hardly exist in Togo. The gravel roads and cart tracks are very difficult to pass by car and they are completely impassable in the rainy season. But Touakawa is travelling by cross-country motorcycle and on his way he is testing the new model for the mobile health services.

DAHW Representative Wiedemann’s telephone is ringing once more: Health Control Officer Touakawa informs him that in all probability he will still arrive today. The new motorcycle is more reliable and so is shortening travel time. Wiedemann is pleased about this news; “I want to do everything I can to ensure that everything is functioning in the field so that our doctors, nurses and medical assistants can take as much care as possible of the patients.”

Thus he is also away from Lomé, “At least every second week I have to go to the field. I do not want to lose contact and our partners in the field must feel that they are important to us.” Above all, however, he wants to see the work which can be done thanks to donations from Germany – and a bit of control can’t be harmful.

Uganda: 20 Projects 741.576,20 €

Overview Annual Report 2008