This document summarizes initiatives that are improving healthcare access and outcomes. It discusses increasing healthcare access through mobile clinics, telemedicine, and nurse training programs. It also covers improving maternal and child health by focusing on safe deliveries, obstetric care, and preventing mother-to-child transmission of HIV. The document advocates that basic training can expand basic healthcare provision and addresses scarcity of resources through clinical officer programs in places like Southern Sudan.

1. THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST
Vi ACY E
8
Gi R LETGINU
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OF OU N
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W W W . D I R E C T R E L I E F . O R G
THINGS
THAT ARE
WORKING
NOW
(in the U.S. and around the world) P / 2
1/ Increasing Access
2/ Primary Care
3/ Focus on Moms & Kids
4/ HIV Prevention & Testing
5/ Basic Training for Basic Care
HELP ‘ROUND
THE CORNER
FREE CARE
IN SB P/7
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CALIFORNIA SPECIAL SUBVERTING
EMERGENCY DR.MIKE
PREP P/7
MARKS your
WILL NOW take
REPORT P/6 THE #
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1 CAUSE
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IN FIJI P / 6
QUESTIONS P/4

2. T H E S O LUTIONS ISSUE / 5 THINGS WOR K I N G N OW I N H E A L T H CA R E
What’s Working Now.
Healthcare challenges are daunting. They are easy to see in developing countries and being vigorously debated in the
U.S. The elusive trifecta solution involves: ACCESS, QUALITY, and AFFORDABILITY. Working with great partners
in all 50 states and in 60 countries, we get to see great examples of each at Direct Relief.
For more on the
1/
Elusive Formula
see P/4
Increasing Access
M
any factors limit people’s access to care. Scarcity
of resources—human, financial, technological, and medical
material—and limited access to education and physical proximity
to care are among the many challenges. Consider the Liberian
family in the Temor Cheifdom of Grand Bassa County who walk
ten hours to cross a river in a dugout canoe to get to the nearest
hospital in Kakata. Or the Quechuan man in Cochabamba,
Bolivia, unaware that his advancing blindness is a result of
diabetes. Or the expectant Latino mother in the Lower Ninth Ward of New Orleans, Louisiana,
anxious for prenatal care, but having difficulty understanding her options because of language
barriers.
The healthcare providers Direct Relief supports in the U.S. and abroad are constantly
IRMA TURTLE
looking for pragmatic, innovative ways to bridge such obstacles to access. Be it through mobile
clinics, telemedicine, or medical training, Direct Relief has worked, for over 60 years and
in over 60 countries, to infuse essential medical resources into in-country systems so more
Direct Relief USA supports the people can receive better quality care.
creative efforts of community-based clinics
and health centers expanding access for In Niger, the Nomad Foundation has brought health care
millions of uninsured and working-poor to nomadic populations by establishing a medical center on a
Americans… well-traveled migratory route. A Nigerien woman has a one in
seven lifetime risk of dying in childbirth—the worst reported
ratio in the world. At and near the health center, the Tuareg and
TRANSPORTATION Wodaabe peoples of the isolated Sahel and Sahara regions can
Direct Relief purchased vans to shuttle patients
now access essential medicines, patient services, clean water,
to U.S. Surgeon General Nominee Dr. Regina Benjamin’s
clinic in Bayou La Batre, Alabama, and Common Ground food, education, and skills training—without compromising
Clinic’s outreach program for Latino workers in the Lower their traditional herding cultures.
Ninth Ward of New Orleans. In Los Angeles, multiple The U.S.-based nonprofit TurtleWill works with nomads
providers run mobile clinics to homeless shelters and in Niger, Mali, and Ethiopia—populations particularly afflicted
IRMA TURTLE
gathering sites. by malaria, respiratory infections, and parasites—by conducting
annual medical camps along migratory routes, providing
primary care to over 20,000 people since 2004.
TELEMEDICINE b
In Southwestern India, the Amrita Institute of Medical Sciences (AIMS)
Direct Relief and FedEx established video conferencing for
clinic associations and their members in California, and
operates a cutting-edge telemedicine van to bring care to the many people
Venice Family Clinic—the largest free clinic in the U.S.— who are too remote, sick, or poor to get to a hospital. Direct Relief funded the
MATT MACCALLA
transmits images of retinal screenings to ophthalmologists van and provides the medical material for everything from its ongoing health
at UCLA’s Jules Stein Eye Institute for interpretation. clinics in nearby villages, to its broad excursions to the sites of natural disasters b
and health emergencies where there is little other access to care. The van
EMERGENCY RESPONSE has brought state-of-the-art care to more than 30,000 people using live-video conferencing and real-time transmission
Direct Relief’s Hurricane Prep Pack Program of medical information to expert medical providers at AIMS hospital. Earlier this year, a second Direct Relief-funded
provides easy access to medicines and continuity telemedicine van was set up with another specialty hospital in South India.
of care in emergencies. This year, 25 packs were deployed In India’s southeastern port-city of Chennai, Ramakrishna Math runs a Direct Relief-sponsored nurse assistant
to clinic partners in five Gulf States and Puerto Rico. Each training program that has graduated 1,200 nurse assistants in four years to work in regions suffering from a shortage of
pack contains medical supplies to treat 100 patients for professional medical personnel. The graduates have a 100 percent employment rate, bringing needed financial help
three to five days.
to the young women, their families, and the villages they come from.
To learn more about our partners’ innovative approaches to broadening access to care,
visit www. D I R E C T R E L I E F . O R G
2 WWW.DIRECTRELIEF.ORG FALL 2009 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST

4. T H E S O L UTIONS ISSUE / 5 THINGS WOR K I N G N OW I N H E A L T H CA R E
BONKWASO
OUTREACH
CLINIC,
GHANA
The
CRAIG BENDER
Elusive
E
Formula
KRISTIN BROWN
very 48 seconds,
a child is infected
with HIV, the virus
THE TRIFECTA FOR that causes AIDS. This
IMPROVED HEALTH
Focus on
is a profound human
CARE DELIVERY tragedy, the primary
3/
cause of which is
Access preventable. Without
Moms & Quality
medical intervention, the chance that a
mother will pass along the virus to her child
during birth is as high as 30 percent, but with
Kids Affordability proper testing and therapy, this chance can
be nearly eliminated.
Stating the staggering numbers of HIV
or any other health crises does not in
Prevention is always itself tell us what to do about it. A vaccine
key, but when care may someday protect humans against this
is needed, it must be and other deadly viruses, and aggressive
others are the cornerstones of families, communities,
economies, and societies worldwide. That’s why accesible, of high quality, education and prevention campaigns are
essential. Also essential is to focus resources
it’s staggering that the World Health Organization estimates and affordable.
on where this infectious disease exists to
that a woman dies each minute from complications during save those who have contracted it and can
pregnancy and childbirth—more than 500,000 each year transmit it and those who are most likely to
worldwide. Pregnancy is often a time of joy and trepidation, but in developing countries, contract it. As Paul Farmer says, with HIV
pregnancy is a life-threatening condition, as pregnancy and childbirth are the second-
leading cause of death among women of reproductive age.
In 2007, more than nine million children
Give it to us
died worldwide under the age of five from
In Sub-Saharan Africa, largely preventable causes—illnesses such as
only 40% of women are
straight, Doc…
pneumonia, diarrhea, and malaria, and indirect
attended by a health causes including conflict and HIV/AIDS.
professional during Malnutrition, poor hygiene, and lack of access to
childbirth. Direct Relief has safe water and adequate sanitation contributed
financed and equipped 4 to more than half of these deaths. Nearly one-
surgical theaters costing up third of children in the developing world are Mike Marks, M.D., Direct Relief’s
to $50,000 each in Malawi,
Tanzania, and Zimbabwe
chronically malnourished. Broadening access to
care and maintaining good nutritional status are International Medical Advisor
to enable safe C-section integral to improving child survival. “Every day, three
deliveries and other Many of the risks for pregnant women and jumbo jets full of Q What are kids dying of in Africa?
surgeries children in developing countries are related to pregnant women A The most common causes of death in children are
general conditions of poverty, nutrition, and not tropical diseases but rather diarrheal illnesses
crashes...and it
severely limited health resources and access that and chest infections—things kids get everywhere.
doesn’t get on
READ affect everyone. Direct Relief ’s core activities have long been aimed
at expanding the quality, availability, and access to health services the news.” Antibiotics and clean water, if they were universally
available, could prevent most of these deaths;
MORE unfortunately they are not.
about these initiatives for all people. But a principal focus of this effort is on maternal and
and watch video of the child health and, more specifically, interventions that directly address
women whose health the specific threats to women during pregnancy through childbirth.
has been restored Q How dangerous is pregnancy and childbirth in the
through obstetric These interventions include expanding access to care, ensuring developing world?
fistula repair in Africa safe deliveries through midwife training and kits, addressing
D IRECT R ELIEF . ORG complications through emergency obstetric care,
A Let me put it this way: Every day, three jumbo jets full of pregnant
women crashes, killing every last passenger, and it doesn’t get on
restoring health through obstetric fistula the news.
repair, and preventing mother-to-child
transmission of HIV.
Q Can we beat AIDS?
A History has shown that we can overcome anything viral, like
Every Day is Mother’s Day smallpox or polio, by severing the connection between virus and host.
Help us ensure safe pregnancy and delivery—donate online So yes, someday AIDS will be eradicated.
and create a tribute page for your mom D IRECT R ELIEF . ORG
4 WWW.DIRECTRELIEF.ORG FALL 2009 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST

5. Tools for
Midwives
Defining the
4/ Big Problems
HIV Prevention and Testing
and other infectious diseases “treatment is prevention.” And deciding who to treat requires knowing who is sick.
Training and equipping midwives saves lives and
significantly increases and improves the chance for
safe delivery. Based on input from partners in the
field, and with support from the Steinmetz
Foundation, Direct Relief designed and provided
more than 700 medical kits to midwives in 14
countries:
AFRICA: Cameroon, Ethiopia, Ghana, Uganda
In 2007, Direct Relief began supporting Abbott’s efforts to distribute free, HIV rapid test kits. Sixty-nine ASIA: Afghanistan, China (Tibet), India, Indonesia,
developing countries are eligible for the program, including all countries in Africa, where the burden of HIV is heaviest. Laos, Philippines
Direct Relief and Abbott are working to eliminate barriers to the testing of pregnant women for HIV in countries where LATIN AMERICA AND THE CARIBBEAN:
mothers and their children face the greatest threat. El Salvador, Haiti, Honduras
The Abbott-donated Determine® test is quick—results take 15 minutes—and requires no electricity or water, PACIFIC: Fiji
making it ideal for areas that may lack steady access to either resource. If a pregnant woman tests positive for HIV, the
healthcare provider can take the necessary steps to help prevent the baby from being infected with the virus. The $50 kit is designed to handle 100 deliveries,
Between 2002 and 2008, Abbott donated more than 11.2 million rapid HIV tests to prevention programs with equipment that is sterilized after each use and
throughout the developing world. Through 2008, more than 9.5 million pregnant women have been tested and supplies that can be restocked by Direct Relief.
980,000 of those women tested positive for HIV. Rapid tests have also have been provided for more than two million
spouses and children of pregnant women who have tested positive.
In many developing countries, Abbott and Direct Relief work closely with ministries of health and other major AN AFGAN
healthcare networks running prevention of mother-to-child transmission (PMTCT) programs to distribute the test kits. INSTITUTE
The Rwandan Ministry of Health, one of the first to subscribe to the program, has tested more than 860,000 pregnant OF LEARNING
NURSE-
women. In Kenya, where UNAIDS estimates 8.3 percent of adult females are HIV-positive and 117,000 children under MIDWIFE
the age of 14 are infected, Direct Relief partner Elizabeth Glaser Pediatric Aids Foundation has tested 350,000 TRAINING
expectant mothers, more than 15,000 of whom were HIV-positive. COURSE
Basic Training for Basic Care
5/
S
carce resources, high demand, clinical officers conduct basic surgical
and the high costs of training procedures in the absence of a doctor.
specialists create huge obstacles
WILLIAM VAZQUEZ
The need for trained health workers in
to people seeking care. These Southern Sudan is great: Almost 20 years
pressures are magnified by economic of war has led most of the surviving health professionals to flee
forces that inspire the “brain drain” (or the country. It is estimated that there is only one doctor for
“human capital flight”) of trained health every 220,000 people. Direct Relief joined with AMREF to
professionals to places where their skills address Southern Sudan’s priority healthcare infrastructure by Sakena Yacoobi in 1995, AIL provides healthcare services,
are better compensated. needs. This year, Direct Relief committed $192,000 to preschool through university-level education, and training to
The poorest parts of the sponsor 30 clinical officer students at the National Health women and girls at four sites in Afghanistan. With support
world have long been Training Institute (NHTI) in Maridi. Students began from the Abbott Fund and Direct Relief, AIL has operated
compromised by the flight their coursework in January 2008. The program is open to a successful nurse-midwife training course since 2005. To
of health professionals Sudanese nationals who have met preliminary health worker date, 78 women have completed their training, with most now
in whom scarce training qualifications. Students from different ethnic groups and employed in clinics and hospitals. An additional 25 students
AMREF
has been invested. But remote areas are actively recruited for the program, which pays are expected to graduate in 2010.
some groups, like the for tuition, room and board, insurance, a personal stipend, Trainees study a comprehensive curriculum of medical
“In the next five years African Medical Research and transportation. After completing the three-year course, subjects during the 18-month program and after graduation
Southern Sudan will Foundation (AMREF) graduates intern for a year at one of seven hospitals, and are are able to treat an estimated 11,000 patients a year. Because
need 1,500 clinical are filling these voids by then required to work in their home communities for three it is culturally preferred that Afghan women receive health
officers—a tenfold analyzing what can be years. care from a female provider, highly skilled nurse-midwives
increase of the current done by paraprofessionals, To provide better maternal and child health care, many represent greater access to care and are highly sought
production of NHTI, technicians, community- groups are addressing the absence of health professionals after. The Abbott Fund has funded nurse-midwife training
the only clinical based educators, and other by putting resources behind midwives, traditional birth programs since 2005; together, Direct Relief and the Abbott
officer training school. levels of health workers— attendants, and skilled birth attendants. Pregnancy and Fund have provided AIL with more than $7 million in cash
With the generous and then developing childbirth are the leading causes of death and disability among grants and medical material assistance.
support of Direct training to enable more women in developing countries. Having a skilled attendant
Relief we will double
the production of NHTI
basic essential care to be present during delivery is considered the single most critical FACT:
provided at lower costs, intervention for ensuring safe motherhood.
in the next two years.” allowing for the more Direct Relief supports midwife training programs in 12
efficient use of scarce
In Afghanistan,
– Dr. Peter Ngatia, AMREF countries, including Afghanistan, which has one of the highest
Director of Capacity of Building
high-level skills. In many maternal mortality rates in the world. The Afghan Institute of only 14% of births are attended
and Human Resources for
Health Development countries, non-physician Learning (AIL) is working to reverse that statistic. Founded by a skilled healthcare worker.
WWW.DIRECTRELIEF.ORG FALL 2009 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST 5

6. On the “U.S. health centers’ expertise
Brink of Flu
in providing comprehensive
Season
primary and preventative
health services to low-
income, ethnically diverse
patients makes them uniquely
PREPARING FOR SWINE FLU positioned to participate in
IN THE U.S. AND MEXICO community response to an
influenza pandemic.”
As the fall/winter flu season approaches, Direct – Mollie Melbourne, Director of
Emergency Management, National
Relief has been building an effective response plan
Association of Community Health Centers
to a widespread outbreak of the H1N1 Influenza-
A strain. Working closely with the emergency
response agencies at the national and state level, ethnically diverse patients makes them uniquely
Direct Relief staff has identified key items designed positioned to participate in community response
to help healthcare workers avoid infection so they to an influenza pandemic,” says Mollie Melbourne,
can continue to treat patients. director of emergency management for the
With the support of major healthcare company National Association of Community Health
donors and funds designated for emergency Centers.
response, Direct Relief is sourcing the materials During the first phase of the new flu strain,
U.S. clinics will need to address H1N1 flu Direct Relief activated its emergency response
prevention and infection. The Johnson & team to provide medical supplies to clinics in
Johnson Family of Companies provided a large California and Texas, states where the infection
donation of flu-fighting products in support of the rates were highest. Aid was also sent to the
Most Vulnerable to H1N1 Flu* H1N1 response, including Tylenol for adults and National Institute of Pediatrics in Mexico City, a
Children under 5 children, Imodium, hand sanitizer, and soap. As 500-bed hospital that cares for children age 17 and
REUTERS/JORGE DAN, COURTESY OF WWW.ALERTNET.ORG
People over 65 the Centers for Disease Control and Prevention younger, regardless of their ability to pay.
Pregnant Women has indicated, good personal hygiene provides While H1N1 is proving to be less virulent
People with chronic respiratory and protection against the flu virus. than previously thought, the Centers for Disease
pulmonary illnesses, including asthma and Direct Relief ’s unique nationwide partner Control and Prevention indicates that several
diabetes network will play a crucial role in a large- groups are advised to take precaution against
People with immunosuppression caused by scale H1N1 response, taking the burden off infection, including children under the age of 5;
medications and HIV crowded emergency rooms. “U.S. health centers’ adults 65 and older; pregnant women; people with
Residents of nursing homes and other expertise in providing comprehensive primary chronic conditions such as asthma and diabetes;
chronic-care facilities and preventative health services to low-income, and people with suppressed immune systems.
* according to the CDC
Fighting Heart Disease in Fiji
INFUSING RESOURCES WHERE THEY’RE NEEDED MOST
T FACT:
hanks to Direct Relief and Merck
& Co, Inc., 400 patients at Fiji’s
DR. ERIC
Savusavu Hospital will receive
KLEERUP,
medication to treat their high cholesterol, CLINICAL
one of the population’s gravest chronic
conditions, free of charge for one year.
Ischaemic heart disease, PROFESSOR
OF
“Many people think of Fiji only as brought on by high PULMONARY
white-sand beaches, turquoise waters with cholesterol, diabetes, MEDICINE
colorful fish and magnificent coral, and AT UCLA
and hypertension, is Fiji’s SCHOOL OF
the friendliest people on earth,” noted Dr.
Mohammed Ishaque, director of Savusavu leading cause of death. MEDICINE,
EXAMINES A
Hospital and Sub-Divisional Medical – WHO, 2006 PATIENT AT
Officer for Cakaudrove Province on Vanua SAVUSAVU
Levu. “But unfortunate medical conditions HOSPITAL
dampen this idyllic place. Diets often high IN FIJI
in saturated fats, starch, and sugar lead to education guides to accompany their drug
KEN BARASCH
cases of high cholesterol and heart disease.” treatment regimen.
The donation was made possible Merck & Co., Inc. also donated 25
through a collaboration between copies of the 18th edition of the Merck
Merck, Direct Relief, and the Savusavu Manual for use at Savusavu and Labasa
Community Foundation, a nonprofit Hospitals, in addition to nursing stations
corporation operating in the U.S. and and medical centers throughout the region. “Unfortunate medical conditions
Fiji to provide medical, education, and The Merck Manual is a widely used guide dampen this idyllic place. Diets
environmental support to Savusavu and to assist doctors and nurses in diagnosing
other areas throughout Fiji. The Jean- and treating medical problems, from simple often high in saturated fats,
Michel Cousteau Fiji Islands Resort ailments to complex diseases. Dr. Neil starch, and sugar lead to cases
handled the consignment and physical Sharma, Fiji’s Minister of Health stated, of high cholesterol and heart
delivery of the donation to Savusavu “I find these manuals invaluable and hope
disease.”
KEN BARASCH
Hospital. to eventually have copies at all of Fiji’s
Patients will also receive nutrition medical locations.” – Dr. Mohammed Ishaque, Director of Savusavu Hospital
6 WWW.DIRECTRELIEF.ORG FALL 2009 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST

7. Equipping Medical Reservists
Here at Home EMERGENCY PREPAREDNESS
BACKPACKS START AT
»»
THE BASIC LEVEL FOR AN
AUSTERE MEDICINE FOR LOCAL EMERGENCY RESPONSE VOLUNTEERS EMERGENCY MEDICAL
TECHNICIAN,
T
AND INCLUDE MORE
he Santa Barbara County Medical Reserve Corps (MRC) advanced products and supplies for nurses and physicians.
ADVANCED PRODUCTS
was founded in 2007 to ensure that medical volunteers Contents include first-aid supplies, medications, and diagnostic AND SUPPLIES FOR
would be ready and able to help during a public health tools. The kits enable MRC members—trained, credentialed NURSES AND PHYSICIANS
emergency. Like other MRCs around the country, the Santa medical personnel—to support the work of first responders
Barbara County MRC is completely volunteer and members when an emergency strikes.
must provide their own supplies and equipment for use during Designed to “grab and go,” the preparedness kits were INFECTION CONTROL, critical in
emergencies. created with input from other experienced emergency any emergency, particularly hurricanes and
At the request of the Public Health Department’s Office responders, including physicians from the UCLA School floods, during which waterborne illnesses are
of Emergency Services, Direct Relief designed and provided of Medicine, the University of Pittsburgh, emergency prevalent
90 members of the Santa Barbara County MRC with custom field physicians from Australian Aid International, and
N95 PARTICULATE MASKS
preparedness kits. The streamlined backpacks start at the basic representatives from the Santa Barbara Public Health
EXAM GLOVES
level for an emergency medical technician, and include more Department.
HAND SANITIZER
ANTIBIOTICS
ANTIFUNGAL OINTMENT
What is austere HYDROCORTISONE CREAM
medicine?
DIAGNOSTICS to quickly and accurately
“It’s a phrase for the practical, assess the condition of affected people on-
universal applicability scene
of care we’re trying to
accomplish through the STETHOSCOPE
packs—optimizing emergency BLOOD PRESSURE CUFF
medicine with the most OPHTHALMOSCOPE
critical components in the THERMOMETERS
fewest number of moving
parts. The packs are
streamlined for mobility,
TRAUMA CARE for open wounds most
but each unit’s versatile frequently associated with earthquakes
medical functionality belies its GAUZE PADS AND BANDAGES
37.2 c
compact size.” SCALPELS AND SHARPS CONTAINER
– Brett Williams, Direct Relief SUTURE KIT
Emergency Response
Coordinator IODINE
PERSONAL PROTECTION +
TOOLS to help first responders get to
people trapped under debris after an
earthquake or keep people warm and dry
through a hurricane
HEADLAMP AND WORK GLOVES
EMERGENCY BLANKETS
PONCHOS
COLD AND HEAT PACKS
MULTI-TOOL AND DUCT TAPE
Healthy Smiles FREE DENTAL CARE FOR LOCAL KIDS
The number one unmet health
need in Santa Barbara County is FACTS: Healthy Smiles focuses on
preventing dental disease and tooth
undertaking with many community
members sharing in the project of
dental care for children. decay. Working in partnership with more making oral health information and
Direct Relief started Healthy Smiles in than 40 local agencies and hundreds services accessible and fun for children
1994 to provide free oral health services 33.9% of kids in of community volunteers, including and families who otherwise cannot
to thousands of the county’s low-income Santa Barbara 25 dentists who donate their time and afford a visit to the dentist office. Pre-
kids who would otherwise go without. County are without expertise, Healthy Smiles has provided dental and pre-medical students from
According to the Surgeon General dental hygiene kits serving over 265,000 UCSB, dental hygiene students from
JOEY SCHAFFER
and the Henry J. Kaiser Family
dental insurance.
kids and parents since 2003. The kits are Allan Hancock College, Santa Maria
Foundation, oral diseases have been – UCLA Center for Health Policy part of a broad effort to bring bilingual High School’s Key Club, dentists who
linked to weakened immune systems, Research oral health and nutrition education to are members of the Central Coast Dental
diabetes, and heart and lung disease. A children in need and their families. Society and the Santa Barbara-Ventura
A YOUNG PATIENT RECEIVES
lack of dental treatment has the potential 24% of children under Since 2002, Healthy Smiles has Counties Dental Society, the staff of each
to affect speech, nutrition, growth, and 11 in California helped more than 600 low-income, host dental office, and the Santa Barbara
FREE DENTAL CARE AT A social development. Children with oral uninsured and highly affected children County Dental Disease Program’s Tooth
HEALTHY SMILES DENTAL CLINIC
diseases are estimated to miss over 51 have never been to a receive critically needed dental Fairies all volunteer their time to make
IN GUADALUPE, CALIFORNIA
million hours of school each year. In dentist. treatment at no cost to families through the day a success, put the parents at ease,
rare cases, untreated dental disease in – California Healthcare one- and two-day dental clinics. Each and ensure that each child is treated with
children leads to death. Foundation Healthy Smiles Dental Clinic is a major care and a smile.
WWW.DIRECTRELIEF.ORG FALL 2009 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST 7

8. Leave a THE $5
Difference
Legacy Does a $5 donation make a
difference? The answer is a
resounding yes when it comes to the
Make a legacy gift medical aid Direct Relief can provide.
We put needed materials, supplies,
BRYAN WATT
to Direct Relief and medicines into the hands of
and extend your healthcare providers caring for the
generosity beyond most vulnerable people in their
communities, including the U.S.
your lifetime. Your commitment and dedication will help people
affected by poverty, emergencies, and civil unrest live better, See some examples of the
support that donations provide—
healthier lives far into the future. and make a $5 difference—at
For more information, contact Jill Muchow Rode, CFRE, Director of Development HTTP://DRI.CONVIO.NET/5DOLLARDIFFERENCE
jrode@directrelief.org or (805) 964-4767 x181
100% OF CONTRIBUTIONS ARE
DEVOTED TO OUR PROGRAMS. All overhead (non-program) expenses are
covered by a generous bequest.
LEARN MORE. FACEBOOK facebook.com/directrelief
Get Connected with Direct Relief SPREAD THE WORD.
INTERACT WITH
TWITTER twitter.com/directrelief
OTHER SUPPORTERS. YOUTUBE youtube.com/directrelief
EVEN RAISE MONEY! SOCIAL VIBE socialvibe.com/directrelief
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U.S. POSTAGE PAID
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PERMIT #756
27 S. LA PATERA LANE
SANTA BARBARA, CA 93117
TEL: 805.964.4767 TOLL FREE: 800.676.1638
FAX: 805.681.4838
www.DirectRelief.org
BOARD OF DIRECTORS
CHAIR Dorothy F. Largay, Ph.D.
VICE CHAIR Thomas J. Cusack
SECRETARY James H. Selbert
TREASURER Kenneth J. Coates
Frederick Beckett • Jon E. Clark • Patty DeDominic • Ernest H. Drew, Ph.D.
Patrick Enthoven • Gary Finefrock • Paul Flynn • Richard Godfrey
Bert Green, M.D. • Raye Haskell • Stanley C. Hatch • W. Scott Hedrick
Priscilla Higgins, Ph.D. • Brett Hodges • Ellen K. Johnson • Donald J. Lewis
Robert A. McLalan • Rita Moya • Carmen Elena Palomo • John Romo
Ayesha Shaikh, M.D. • George Short • Gary R. Tobey • Sherry Villanueva
INTERNATIONAL ADVISORY BOARD
CHAIRMAN Frank N. Magid
Lawrence R. Glenn • E. Carmack Holmes, M.D.
S. Roger Horchow • Stanley S. Hubbard • Jon B. Lovelace
Donald E. Petersen • Richard L. Schall • John W. Sweetland
PRESIDENT & CEO Thomas Tighe
HONORARY BOARD
PRESIDENT EMERITUS Sylvia Karczag
CHAIR EMERITUS Jean Hay
DIRECTOR EMERITUS Dorothy Adams
8 WWW.DIRECTRELIEF.ORG FALL 2009 THIS REPORT WAS PAID FOR BY A GENEROUS BEQUEST