Annual Report 2020

ANNUAL REPORT 2020 - YWAM MS

TOWNSVILLE
215 Walker Street, Townsville, QLD 4810, Australia
PO Box 1959, Townsville, QLD 4810, Australia | +61 7 4771 2123 | [email protected]

PORT MORESBY
PwC Haus, Level 6, Harbour City, Konedobu, Port Moresby, NCD, 121

YWAM Medical Ships Australia - Papua New Guinea

YWAM Medical Ships Australia Ltd ABN 45 070 160 904 is a company limited by guarantee. Its registered
office is located at 215 Walker Street, Townsville Queensland.

CHARITABLE STATUS, TAX CONCESSIONS & FUNDRAISING
YWAM Medical Ships - Australia is a Public Benevolent Institution (PBI) and a Deductible Gift Recipient (DGR).
YWAM Medical Ships - Australia’s auditor is Jessups NQ
YWAM Townsville City Campus’ auditor is Coutts Redington - Chartered Accountants.

ACCREDITATIONS

The Australian Council for International Development (ACFID) is the peak Council for Australian not-for-profit
aid and development organisations. YWAM Medical Ships is a signatory to the ACFID Code of Conduct, which
is a voluntary, self – regulatory sector code of good practice. As a signatory we are committed and fully
adhere to the ACFID Code of Conduct, conducting our work with transparency, accountability and integrity.
Complaints relating to a breach of the ACFID Code of Conduct can be made to the ACFID Code of Conduct
Committee via their website, https://acfid.asn.au/content/complaints

Feedback on this report and our operations can be sent to [email protected] or in writing to: YWAM
Medical Ships - Australia, PO Box 1959, Townsville QLD 4810.
YWAM Medical Ships - Australia’s complaints policy can be accessed via our website,
https://ywamships.org/about/faqs/https://ywamships.org.au/about/faqs/

ANNUAL REPORT 2020 - YWAM MS

ANNUAL REPORT 2020 - YWAM MS

ANNUAL REPORT 2019 - YWAM MS

Contents

SECTION ONE - 2020 AT A GLANCE

3 1.1 Message from Chair of the Board
4 1.2 Message from Managing Director
5 1.3 Twenty-Twenty Milestones and Highlights
9 1.4 History
11 1.5 Who We Are & What We Do
14 1.6 Our Footprint - Twenty-Twenty
15 1.7 Messages from Our Patrons
17 1.8 Major Donors
18 1.9 Supporters

SECTION TWO - PROGRAM OVERVIEW

21 2.1 Maritime Operations
22 2.2 Primary Health Care
23 2.3 Maternal Health
25 2.4 Child Health
27 2.5 Tuberculosis & Mobile Clinical Laboratory
29 2.6 Eye Health
31 2.7 Oral Health
33 2.8 Health Education & Empowering Communities
36 2.9 Health Workforce Strengthening & Capacity Building

SECTION THREE - FINANCIALS

41 3.1 Plain Language Summary
42 3.2 Report

SECTION FOUR - MOVING FORWARD

51 4.1 Moving Forward
52 4.2 Twenty Twenty-One Deployment

SECTION FIVE - APPENDIX

55 5.1 Board of Directors & Project Management Team
56 5.2 Advisors
57 5.3 List of Abbreviations

ANNUAL REPORT 2020 - YWAM MS ANNUAL REPORT 2020 - YWAM MS

SECTION ONE

Twenty-Twenty at a Glance

ANNUAL REPORT 2020 - YWAM MS TWENTY-TWENTY AT GLANCE

1M.1 essage from Chair of the Board

As I reflect on the past year, it would be easy to focus on all of the challenges and changes - the plans that were
cancelled or postponed and the things that didn’t reach fruition. The heart of YWAM Medical Ships is to be on the ground,
working shoulder to shoulder with local health workers toward the common goal of healthy villages and a healthy nation.
To see nine outreaches cancelled and the MV YWAM PNG return to Townsville was challenging and painful. It truly was an
unprecedented year, as has been highlighted time and time again throughout this season.

However, as I look at 2020 in its entirety, I’m reminded of all the things that we have to be grateful for. In just three
outreaches, 243 volunteers from 27 nations collaborated aboard the ship with health workers in four of the seven
provinces in which we work to engage with more than 6,800 people and support the PNG Health System. I’m beyond
grateful to all the volunteers who made that possible. Thank you for giving your time and skills to serve and strengthen
the nation of Papua New Guinea.

I am filled with further gratitude toward the full-time, long-term volunteers who worked tirelessly in the background
in Australia and Papua New Guinea to continue to hone our operations, nurture partnerships, and prepare the ship for
redeployment, even in this global climate.

We saw tremendous developments in our online training capacity, the resourcing of further training pathways for young
Papua New Guineans, and many improvements in our clinical programs to be more effective when we again hit the
ground in PNG. They are heroes to me for their tireless efforts, passion, and commitment in the midst of some of our most
challenging times!

My whole-hearted thanks also goes to our partners and supporters who continued to donate their expertise, services,
and resources to ensure that the MV YWAM PNG was equipped for outreach at the beginning of the year, and will be
equipped to return to PNG in 2021.

As 2020 draws to a close, we remain hopeful for what is ahead. I believe that we will see the fruit of all of the labour put
into this year, and we look forward to continuing to press ahead.

Kind regards,

Rebekah Hoover ANNUAL REPORT 2020 - YWAM MS
Chairperson of the Board

SECTION ONE : PAGE 3

1M.2 essage from Managing Director

What a year it's been! So challenging in many ways due to the global COVID-19 pandemic. However, in the ‘land of the
unexpected’, it would only be fitting to see incredible development and growth in the most unexpected of times!

After many years of engaging in Papua New Guinea (PNG) through medical and training ships, it was beautiful to see
the initiative and drive in our local PNG volunteers amidst this year’s climate. It has been a joy over the past year to
empower our volunteers in PNG and work directly with them, notably on the development of the vocational satellite
campus in Port Moresby.

I would like to express my gratitude to our various partners and friends for their continued support in navigating difficult
circumstances. We are honoured to be able to collaborate with the governments of Papua New Guinea and Australia, as
well as many other organisations around the common goal of building healthy lives, communities and nations.

This report highlights all that we were able to accomplish together through creating innovative pathways to continue
to engage in the nation of PNG even in the midst of trying times. While this report looks a little different than past
years, I hope you are inspired by the fight in the hearts of Papua New Guineans to see their local health and education
systems strengthened.

We look forward to many more years of stories that depict lives being changed and a nation being transformed.

Kind regards,

Ken Mulligan OBE, OAM
Managing Director

ANNUAL REPORT 2020 - YWAM MS SECTION ONE : PAGE 4

1T.w3enty - Twenty
Milestones & Highlights

YWAM Medical Ships - Australia & PNG (YWAM MS) Consequently, a major activity undertaken during 2020
continued to collaborate with various stakeholders in was the completion of a Code Self Assessment (CSA)
Papua New Guinea (PNG) and developed multiple aspects against the new Code for YWAM MS’ activities in 2019.
of operations in 2020. Below are some selected milestones The CSA is a triennial self-assessment of YWAM MS’
and highlights. compliance with sector best-practice standards
identified in the ACFID Code of Conduct, which is then
OUTREACH reviewed and validated by members of ACFID’s Standards
YWAM MS was pleased to facilitate three collaborative and Code Team. YWAM MS is pleased to report a positive
outreach patrols, with activities occurring in four of the review and continued compliance with ACFID’s
seven provinces of engagement: Morobe, Oro, Milne Bay, and Code of Conduct.
Central. Across all the clinics, 6,842 patients were seen,
and over 130 Papua New Guinean nationals collaborated COVID-19
with operations. On 11 March 2020, a global pandemic was declared by the
World Health Organization (WHO). After much deliberation
COMMUNITY BASED REHABILITATION and discussion with various stakeholders, the difficult
All abilities engagement has been a longstanding cross- decision was made on 19 March to sail the MV YWAM PNG
cutting issue across all of YWAM MS’ clinical operations. back to Australia the following day. The vessel, crew,
It has also been an identified upskilling opportunity for and personnel safely arrived back in Townsville on 3 April,
health workers in the community, and in 2019-2020, one of and the remaining scheduled outreach patrols were
YWAM MS’ volunteer physiotherapists developed resources suspended for the remainder of the year, including the
and teaching modules to raise awareness and to properly ophthalmic surgical outreaches which were planned for
care and advocate for this vulnerable population. These later in the year. Development of the district partnership
teaching modules and resources were trialed for the first program, which was planned in 2019, was also limited as a
time in early 2020 and were positively received. consequence of the pandemic.

ACFID CSA COMPLETION Twenty-twenty was nonetheless a busy year for
Twenty-nineteen marked the completion of three full YWAM MS. In light of outreach patrol activities being
years of membership with the Australian Council for suspended due to the pandemic, focus and activity
International Development (ACFID) since the most recent shifted to strengthening partner relationships, training
overhaul of the ACFID Code of Conduct. development, field planning, scheduled maintenance, and
monitoring and evaluation for the remainder of the year.
SECTION ONE : PAGE 5 Efforts were led by a team of personnel within Australia,
who continued to liaise with partners within PNG.

ANNUAL REPORT 2020 - YWAM MS

PREPARATION FOR REDEPLOYMENT
Preparations to return the ship to PNG took place throughout a significant portion of 2020. YWAM MS continued to
work to advance key areas, including progressing the development of a multipliable model of outreach. YWAM MS also
regularly consulted with relevant authorities to ensure that a number of critical requirements were met to facilitate
the redeployment of the MV YWAM PNG, including letters of invitation from PNG authorities and travel exemptions from
PNG and Australia.

PORT MORESBY CAMPUS DEVELOPMENT
Twenty-twenty saw some significant steps towards new ways of engagement with the National Capital District (NCD)
and, in particular, towards the establishment of a vocational training campus and land-support base in Port Moresby.
Reflection on ten years of operations highlighted that YWAM MS’ engagement across PNG would benefit from focused
strengthening and enhancement of engagement in the NCD. Consequently, development of this facility - affectionately
called ‘The Jetty’ by YWAM MS personnel - began this year after receiving endorsement and support from the NCD
Commission.

ANNUAL REPORT 2020 - YWAM MS SECTION ONE : PAGE 6

Twenty -Twenty

Summary Statistics

74,493 IMMUNISATIONS ADMINISTERED

Healthcare & 4,504
Training Services
PNG NATIONALS ENGAGED
DELIVERED PREDOMINANTLY IN
RURAL PNG IN COLLABORATION 136

WITH PNG GOVERNMENT NATIONALITIES REPRESENTED

TOTAL PATIENTS 27

6,842 HEALTH PROMOTION ATTENDEES

REPRODUCTIVE HEALTH SERVICES 20,458

305 ANNUAL REPORT 2020 - YWAM MS

INDIVIDUALS TESTED FOR TB VOLUNTEERS BY COUNTRY

164 87 AUSTRALIA
15 CANADA
DENTAL PROCEDURES 4 DENMARK
17 GERMANY
844 3 IRELAND
7 NETHERLANDS
GLASSES DISTRIBUTED 6 NEW ZEALAND
9 NORWAY
2,122 72 PAPUA NEW GUINEA
10 SWITZERLAND
VOLUNTEERS 51 UNITED STATES
3 UNITED KINGDOM
301 17 OTHER NATIONALITIES

ANNUAL REPORT 2020 - YWAM MS

1H.4istory

YWAM MS first began engaging in PNG in 2009, although YWAM’s presence through land-based teams began in 1969.

Before YWAM MS’ operations began, the Hon Mike Reynolds CBE, AM and YWAM MS’ senior leadership team met with the
then-Secretary for Health for PNG, Dr Clement Malau, to present the idea of a medical ship reaching rural and remote
areas of the country with healthcare and training. With no money and little resources at hand, YWAM MS received an
invitation from Dr Malau on behalf of the National Department of Health to bring the first ship, the MV Pacific Link, to
the Gulf Province. The MV Pacific Link was gifted to YWAM Australia from YWAM Marine Reach New Zealand.

The first number of years were very challenging as YWAM MS started to sail into PNG’s very remote and rural communities.
From the beginning YWAM MS worked in partnership with PNG both at a national and grassroots level to bring hope and
resources to villages in great need. It became obvious that the MV Pacific Link (a refitted 37 metre-long Japanese fishing
vessel built in 1979) was too limiting for the demands and needs identified on the field. YWAM MS then began the process
of acquiring a much larger ship that would be more suitable for PNG’s remote areas and increase YWAM MS’ capacity
to support PNG’s health system. It was a huge undertaking, as YWAM MS had no funds toward the vessel at the time.
However, the very real needs seen up-close on the field far outweighed the obstacles.

After much research, a second-hand ship was found – a small cruise liner built in 1999 by Austal. The asking price was
AUD 6.5 million. Acquiring the ship took an extreme amount of work; a small dedicated team made up of volunteer staff
named the campaign, “Overcoming the Impossible”. The team worked tirelessly, giving their time and personal funds to
make the dream a reality. People from all walks of life gave as the vision was presented - communities, churches, school
students, companies, governments, charities, and individuals from all over the world contributed to the need. In 2014,
YWAM MS officially acquired the vessel and began to work through the details of refitting the vessel into a medical and
training ship that would serve hundreds of remote villages on an annual basis.

The vessel was named the MV YWAM PNG to reflect its intended purpose of dedicated service to the nation of PNG. YWAM
MS’ shared desire with national and provincial health authorities is for the vessel to be utilised as an innovative tool to
deliver services that build capacity in local villages and assists to provide training, supplies, encouragement and support
to the dedicated health workers serving on the ground. The vessel spends most of its time conducting outreach patrols
in PNG, with administrative and logistical support coming from YWAM MS headquarters in Townsville, Australia.

Globally, YWAM is broad-structured with no centralised headquarters or funding, operating in over 180 nations. It is a
network of separate legal entities, financial and management structures. This includes local YWAM centres in PNG and
YWAM ship networks that operate in PNG waters. YWAM MS does not have oversight over or involve itself in responsibility
for the activities of other YWAM entities, except within the confines of formal agreements which may be in place from

SECTION ONE : PAGE 9 ANNUAL REPORT 2020 - YWAM MS

time to time. Such agreements are based upon the expectations of the Australian Council for International Development
(ACFID) Code of Conduct, a voluntary, self-regulatory sector code of good practice. YWAM MS is fully committed to the
ACFID Code of Conduct, conducting our work with transparency, accountability, and integrity.

YWAM MS formally partners with many like-minded organisations and has had agreements in place with both
government and non-government entities including but not limited to:
• PNG National Department of Health
• Australian Department of Foreign Affairs and Trade
• Ministry of the Foreign Affairs of Israel
• PNG Department of National Planning
• PNG Provincial Governments
• Puma Energy
• PNG Tribal Foundation
• Universities and higher education institutions in Australia and PNG

YWAM MS is honoured to carry two patrons: Patron - PNG, the Right Honourable Sir Rabbie Namaliu GCL, KCMG, CSM and
Patron - Australia, the Honourable Mike Reynolds CBE, AM. These gentlemen have been active in their positions since 2012
and 2009, respectively. Each contributes vast understanding of Papua New Guinea, its relationship with Australia and the
YWAM MS program to date. YWAM MS also has an extensive list of committed advisors who provide advice and direction
in their particular field of expertise.

In keeping aligned with the worldview and the foundational values of the organisation, YWAM MS’s Christian ethos
endeavours to create policies and procedures that cultivate a healthy organisation to care, connect, serve, and build
within individuals and communities.

ANNUAL REPORT 2020 - YWAM MS SECTION ONE : PAGE 10

1W.5ho we are & What we do

YWAM MS’ model is centred around building healthy economical application of resources to minimise,
villages for a healthy nation. Over 84% of Papua New monitor, and control the probability or impact of
Guinea’s population live in rural areas. The isolation and unfortunate events and to maximise the realisation of
lack of infrastructure makes delivering healthcare and opportunities.
training very challenging.
The PNG National Department of Health’s (NDoH)
YWAM MS aims to care, connect, serve, and build, with National Health Plan (NHP) includes the expectation
individuals and communities in Australia, PNG, and that rural health facilities will regularly reach out to
beyond. YWAM MS teams work in partnership with villages in their catchment on what is called ‘patrol’,
rural health workers, especially at the district level, to with a special focus on preventive maternal-child
achieve the following right at the doorstep of coastal health services (including offering family planning
and inland villages across the Southern Region and and immunisations). It is these regular visits that are
Morobe: supported by YWAM MS’ teams, along with a package of
additional support, significantly reducing the marginal
• Strengthening the capacity of rural facilities to serve cost of each activity delivered to these challenging
year-around including: locations. While there, communities benefit from
• Delivery of drug supplies additional services such as:
• Assistance with vital maintenance and upgrades to
equipment • Optometry services
• Peer support, supervisory visits, in-service updates • Sight-restoring eye surgeries
• Health promotion
• Boost district patrol capacity through facilitating • Tuberculosis screening
collaborative patrol activities (explained on page 15) • Oral health and dentistry services
in currently poorly served areas • Facility upgrades for health clinics (solar power,

• Work with grassroots communities (with a special access to clean water, etc.)
focus on youth) to empower them to take an
increasingly active part in promoting their own As a mother ship, the MV YWAM PNG serves to build
wellbeing capacity in hundreds of villages throughout the
Southern Region and Morobe each year. YWAM MS is
• Advocate to spotlight areas of current under-service, not there to create an independent or parallel health
directing attention and resources to improve the service. YWAM MS aligns itself with the goals and
situation on the ground objectives outlined in the NDoH NHP.

• Champion young people

Risk management is of paramount importance in our Facilitating collaborative patrols is implemented in a
operations as we identify, evaluate and prioritise on variety of ways:
a continual basis. This is followed by coordinated and

SECTION ONE : PAGE 11 ANNUAL REPORT 2020 - YWAM MS

• Patrol supported by MV YWAM PNG at short range workforce in PNG, and training is a vital part of that.
(teams deployed less than a two-hour boat ride from That said, all students work under supervision of
the mothership) qualified medical professionals with the appropriate
medical qualifications and registrations for their job.
• Patrol supported by MV YWAM PNG at long range In some cases, these are among some of the foremost
deployed via extended-range patrol tenders (boats professionals in their industry in their nation.
carried aboard) or
• On foot / trekking or YWAM MS works by invitation, seeking to work
• Via helicopter in collaboration and respect with a non-partisan
approach at the national, provincial, district, local level
• Patrol conducted by ship-independent, land-based government, and village level. YWAM MS commenced
teams outreaches in the Southern region and Morobe Province
after receiving an invitation from each of the provinces.
YWAM MS proudly involves many students in patrols. These outreaches are carefully planned with detailed
This includes a variety of training programs, such as reports submitted after the completion of each
rural health workers who have requested upskilling, outreach. Over time, specific districts have requested
third and fourth year nursing and midwifery students longer-term assistance and support as they develop
doing their rural placements, and first year primary their region and in 2019-20, YWAM MS has begun piloting
health care workers. Fifth year medical students a new phase of Healthy Village – Healthy Nation in
from the University of Papua New Guinea (UPNG), partnership with several districts, under its District
medical students from Divine Word University (DWU), Partnership Program.
and student midwives from the University of Goroka
(UoG) also join outreaches to fulfill their rural health
placements. YWAM MS’ goal is to increase the health

ANNUAL REPORT 2020 - YWAM MS SECTION ONE : PAGE 12

HEADQUARTERS

The City of Townsville, Sister City to Papua New Guinea’s capital Port Moresby, is proud host to the headquarters of YWAM
MS. Based out of YWAM Townsville’s1 City Campus, the main office of YWAM MS engages a committed and diverse team
of self-funded personnel from many nations. Throughout the organisation, and including the Managing Director, these
staff raise funds external to YWAM MS and donate their professional services gift-in-kind. A handful of critical roles
are externally filled, with remuneration when necessary (e.g. specific engineer rank, bookkeeper). All YWAM volunteers
contribute their goodwill and skills with no expectation of remuneration.

YWAM MS has a close working relationship with YWAM Townsville, itself a not-for-profit charitable entity including
a Registered Training Organisation (RTO) under the trading banner YWAM Training (RTO Reg. No 30614, CRICOS Provider
No. 02205D). YWAM Training provides nationally-recognised and accredited training in a range of fields and youth
development opportunities. This includes training opportunities for young Papua New Guineans.

1 YWAM Townsville Assoc Inc is a separate legal entity from YWAM Medical Ships (02205D). YWAM Medical Ships Training provides nationally-recognised and accredited
training in a range of fields, and youth development opportunities. This includes training opportunities for young Papua New Guineans.

SECTION ONE : PAGE 13 ANNUAL REPORT 2020 - YWAM MS

1O.6ur Footprint -Twenty -Twenty

Utilising ship-based and land-based patrol teams, YWAM MS operates across the six provinces of the Southern Region
of Papua New Guinea (including Gulf, Western, Central, Milne Bay and Oro provinces and the NCD), as well as in Morobe
Province, in the Momase Region. Operation in each of these locations is at the invitation of the respective provincial
government. YWAM MS deeply values partnership with these provinces.

In 2020, YWAM MS engaged in Morobe, Oro, Milne Bay, and Central provinces before the COVID-19 pandemic was declared,
and plans were altered accordingly.

LOCATIONS OF SERVICE SECTION ONE : PAGE 16

A N VN IUSAILT ER EDP OI NR T P2A0 P2 0U-AY WNAEMWMGS U I N E A D U R I N G 2 0 2 0

1M.7 essages from Our Patrons

PAPUA NEW GUINEA
Amidst all of the challenges and anxiety that the year 2020 brought, including the global onslaught of COVID-19, it has
been an inspiration to witness the perseverance and commitment of the volunteers, sponsors, and leadership team of
YWAM Medical Ships - Australia & PNG (YWAM MS). I am pleased to convey this message as Papua New Guinean Patron.

The continued and strong friendship and comradery between the people of Papua New Guinea and YWAM MS is testament
to the shared desire to work together for the good of the people of the nation. This is reflected in the nationalities
of volunteers who served aboard the ship - with both Papua New Guineans and Australians leading the charge and
continuing the legacy of cooperation between these nations. Even in the midst of these challenging times, this
partnership breeds anticipation and excitement for what is to come.

Out of all the activities we undertook in 2020, I was particularly encouraged to hear of the lasting impacts that
the Community Action and Participation program is having on remote communities in PNG, and the improved health
conditions that result from the actions taken by newly equipped and motivated individuals. I’m sure you will also find
this encouraging to read.

As I stop and reflect on 2020, I would like to sincerely thank the Managing Director, Ken Mulligan, for his strong
commitment and vision as he led the YWAM MS team in a time of uncertainty. The future is certainly one to look forward
to as we continue this important partnership between Australia and Papua New Guinea to create lasting positive
effects for the rural majority of PNG.

Kind regards,

The Right Honourable Sir Rabbie Namaliu GCL, KCMG, CSM
YWAM Medical Ships - Australia & PNG Patron, Papua New Guinea

SECTION ONE : PAGE 15 ANNUAL REPORT 2020 - YWAM MS

AUSTRALIA
What a year. We certainly weren’t expecting 2020 to unfold as it did, but nevertheless, it remains a privilege to work
alongside an organisation that remains fully committed to Australia’s nearest international neighbour.

Despite the rapid, unanticipated return to Townsville of the MV YWAM PNG in March, YWAM MS was still able to deliver
over 74,000 healthcare, training and capacity building services in collaboration with our many partners and supporters,
including the Australian Government, Papua New Guinean Government, various businesses, and volunteers from 27
nations across the world. The work done in such a short amount of time would not have been possible without these
partnerships.

I would like to express a heartfelt thank you to the city of Townsville, and particularly the Port of Townsville, which
generously provided a berth for the ship during this time of unprecedented disruption in global maritime operations.

Furthermore, I would like to commend the commitment of the leadership team of YWAM Medical Ships - Australia & PNG
as they navigated the uncertain, and in many ways, uncharted waters of 2020, both literally and figuratively!

We certainly look forward to 2021 and continuing to work together with people from PNG, Australia, and around the globe
to create healthy lives for a healthy nation.

Kind regards,

Honourable Mike Reynolds CBE, AM
YWAM Medical Ships - Australia & PNG Patron, Australia

ANNUAL REPORT 2020 - YWAM MS SECTION ONE : PAGE 16

1.8

Major Donors

100 YEARS IN PNG

SECTION ONE : PAGE 17 AANNNNUUAALL RREEPPOORRTT 22002200 - Y W A M M S

1S.9upporters

Alex Supply Development Company
Barnabas Foundation Novartis
BOC Ophthalmic Instruments O’Shea & Dyer Solicitors
Pty Ltd Oil Laboratories - PNG
Bridco OilMin
Carl Zeiss Pty Ltd Optical Repairs
Cattani Australia Penske Power Systems
Cirrus Insight PNG Australia Association
Consort Express Lines, PNG Eye Care / Brien Holden
Papua New Guinea Vision Institute
Cook Islands Trust Corporation PNG National Prevention of
Credit Corporation Blindness Committee
Designs for Vision Ports North
Device Technologies RANZCO Scientific Congress
Dunlop PNG Rosshaven Marine
Electrotech Shailer Medical
Filter Supplies Signs of Excellence
First Advisers Stryker Medical
Food Relief NQ The Drill Guys
FVS Fire NQ Thermo Fisher
GE & MJ Chapman Partnership Total E&P
Heroes Need Heroes Tradelinked Cairns & PNG
Kumul Consolidated Holdings Viatris
Lanotec Vital Medical Supplies
Insight Surgical William Talbot Eye Care
International Agency for the Xerox
Prevention of Blindness YWAM Melbourne
ITC Global YWAM Newcastle
Jessups North Queensland Zoll Medical Australia
Lankhorst - Euronete Australia
99.9 Live FM
Lloyd’s Register
Maritime Cook Islands
Maritime Safety Queensland
MOB Enterprise
Mineral Resource

ANNUAL REPORT 2020 - YWAM MS SECTION ONE : PAGE 18

ANNUAL REPORT 2020 - YWAM MS ANNUAL REPORT 2020 - YWAM MS

SECTION TWO

Program Overview
ANNUAL REPORT 2020 - YWAM MS PROGRAM OVERVIEW

2M.1 aritime Operations

In the second half of March, eight crew from Australia, New Zealand, and
Norway repositioned the YWAM PNG from Port Moresby to Townsville while
international borders were closing in response to the COVID-19 pandemic.
The Port of Townsville generously provided a berth during this time of
unprecedented disruption in global maritime operations.

While alongside in Townsville, volunteer crew successfully mitigated a
scourge of invasive didemnum perlucidum (also known as sea squirts) by
enveloping each hull in a 64-metre long sheath of silage plastic.

During the time in Townsville, volunteer crew also fulfilled routine
Class and Flag survey requirements including inspections of fire safety,
radio communications, and survival-at-sea appliances. Works included
painting several of the main tanks, repairs on the small boats, painting
the sun deck, and routine start-ups to ensure the ship remained ready
for deployment to PNG when international travel conditions allowed. A
company in the Netherlands donated a full set of gaskets to reseal the
plate cooler heat exchangers on the generators.

MARINE VOLUNTEERS 5 AUSTRALIA
2 CANADA
THIRTY-TWO MARINE 1 KENYA
VOLUNTEERS IN TOTAL 2 NETHERLANDS
1 NEW ZEALAND
2 NORWAY
14 PAPUA NEW GUINEA
1 PHILIPINES
4 UNITED STATES

SECTION TWO : PAGE 21 ANNUAL REPORT 2020 - YWAM MS

2P.r2imary Health Care

Ensuring that Papua New Guineans have access to primary SUPPLY CHAIN SUPPORT
health care throughout all regions of the nation is the Where possible, YWAM MS strives to provide essential
primary goal of PNG’s National Health Plan. YWAM MS supply chain support to remote health facilities.
partners with provincial health and district health teams This can include delivery of medication supplies or
wherever possible with the aim of bringing this goal to relevant equipment. These activities are designed to
fruition. strengthen local HCWs capacity to provide essential
health services in their catchment areas in the intervals
Maternal and child health is subsequently a natural between collaborative patrols directly assisted by YWAM
priority of YWAM MS’ rural patrols. Volunteer doctors, personnel. Supply chain support activities are planned and
nurses, midwives, physiotherapists, and other health coordinated in collaboration with local health authorities.
professionals work alongside local health care workers
(HCWs) on the ground to provide essential services, such Examples of volume achieved in 2020 include:
as immunisations, antenatal care, family planning, wound • 179 doses of vaccines transported
care, and general outpatient care. • 11,403 preventative health supplies delivered

(medications, consumables, etc.)
• 301 family planning items delivered (e.g. oral

contraceptive pills, subdermal contraceptive
implants)

ACROSS THREE SHIP-BASED AND ONE LAND-BASED OUTREACH IN 2020

(TARGETS WITH RANGE 80-120%)

PRIMARY HEALTH CARE PATIENTS

3,801

TARGET: 3,000 - 4,500

DEMOGRAPHICS OF PATIENTS PRIMARY HEALTH CARE PATIENTS

12.2% MEN SECTION TWO : PAGE 22
31.5% WOMEN
26.3% GIRL
30.0% BOY

ANNUAL REPORT 2020 - YWAM MS

2M.3aternal Health

From January to early March, 305 women received family planning, and 215 antenatal consultations took place. Although
the target for the number of women receiving family planning was not met, the couple years of protection (CYP) was met,
due to the large percent of women receiving implants.

ACROSS THREE SHIP-BASED AND ONE LAND-BASED OUTREACH IN 2020

(TARGETS WITH RANGE 80-120%)

ANTENATAL CONSULTATIONS CYP* PROVIDED

215 406

TARGET: 160 - 240 TARGET: 400 - 600

INDIVIDUALS RECEIVED FAMILY PLANNING

305

TARGET: 350 - 526

IMPLANTS (MIX OF THREE-YEAR & DEPO MEDROXY-PROGESTERONE
FIVE-YEAR IMPLANTS) ACETATE (DMPA) “DEPO”

134 133

ORAL CONTRACEPTIVE

38

*CYP = COUPLE YEARS OF PROTECTION (STANDARD MEASURE OF FAMILY PLANNING COVERAGE)

COMPARATIVE DEMAND FOR MAJOR FAMILY PLANNING METHODS

38 OCP DISPENSED
134 IMPLANTS INSERTED
133 DMPA INJECTED

SECTION TWO : PAGE 23 ANNUAL REPORT 2020 - YWAM MS

Highlight Story

HEARTBEAT OF HOPE

During an antenatal assessment at Umboi Island, a woman reported that she miscarried during her previous pregnancy.
She expressed concern during her current pregnancy, as she had not yet felt the baby move. A YWAM MS volunteer
midwife assured the mother that she was still very early in her pregnancy and that as time passed, she would begin to
feel more movement. During the foetal assessment, the mother was able to hear the baby’s heartbeat, and she could not
stop smiling from joy and relief. She left the clinic that day with a greater sense of peace, knowing that her child was
healthy.

A NSNEUCATLI ORNE PTOWROT :2 P0 A2 0G -E Y2W4 A M M S A N N U ASLE RC ET IPOONR TT W2 0O2 0: -P YAWG AE M3 1M S

2C.4hild Health

As previously stated, preventative child-focused health care continues to
be a pillar of the PNG National Health Plan. In 2020, YWAM MS continued to
support the delivery of PNG’s Routine Childhood Immunisation Schedule in
collaboration with local health workers.

ACROSS THREE SHIP-BASED AND
ONE LAND-BASED OUTREACH IN 2020

(TARGETS WITH RANGE 80-120%)

CHILDHOOD IMMUNISATIONS ADMINISTERED

4,504

TARGET: 2,650 - 3,976

SCHOOL CHILDREN SCREENED FOR ORAL &
EYE HEALTH

1,215

IMMUNISATIONS ADMINISTERED

SECTION TWO : PAGE 25 ANNUAL REPORT 2020 - YWAM MS

Highlight Story

COLLABORATION IN IMMUNISATIONS

In Oro Province, the Provincial Health Authority and Anglican Health Services worked together to ensure that 450 doses
of two different immunisations were delivered to the ship during outreach. Once received on the ship, the YWAM MS
team was able to transport the immunisations further up-river to Iaudari, a location that is often quite challenging for
the district health team to reach. Due to the remoteness of the village, the community health worker (CHW) stationed
in that catchment reported that she typically works in isolation, stating that the supplies she receives are also quite
limited. The YWAM MS team worked with this local health worker to immunise the children in her catchment, which
proved to be fulfilling to both the team and the health worker.

ANNUAL REPORT 2020 - YWAM MS SECTION TWO : PAGE 26

2MT.u5boebricluelCosilsin&ical Laboratory

Tuberculosis (TB) continues to be a significant health concern in Papua
New Guinea. YWAM MS is pleased to collaborate with the nation in the
fight against TB by providing education about the disease, as well as
screening services via GeneXpert system and sputum microscopy.

ACROSS THREE SHIP-BASED AND ONE
LAND-BASED OUTREACH IN 2020

INDIVIDUALS SCREENED BY LAB

164

TUBERCULOSIS TESTS CONDUCTED

Microscopy Tests
GeneXpert Tests

SECTION TWO : PAGE 27 ANNUAL REPORT 2020 - YWAM MS

Highlight Story

A LOCAL HERO

YWAM MS is grateful to collaborate with many motivated Papua New Guineans to fight TB. A particularly encouraging
example occurred this year, when YWAM MS arrived at a health facility in Morobe Province to find that the local TB officer,
in anticipation of the MV YWAM PNG’s arrival, had already prepared 13 sputum samples to be assessed in the onboard
laboratory facility. Normally, these samples would be sent to another health facility within the province for reading,
which can delay diagnosis.

The following day, the same local TB officer joined the YWAM MS team at another village closeby, as he identified this
location as a TB hotspot. He assisted in 41 tests of community members from that village, resulting in 10 positive
diagnoses.

ANNUAL REPORT 2020 - YWAM MS SECTION TWO : PAGE 28

2E.6ye Health

YWAM MS was pleased to collaborate with local HCWs to assess 2,340
patients in optometry clinics prior to the pandemic; unfortunately, the
three ophthalmic surgical outreaches that were planned for later in 2020
were cancelled due to the pandemic.

YWAM MS is a member of the International Agency for the Prevention of
Blindness (IAPB) and was able to maintain consistent communication
with the PNG Prevention of Blindness Committee throughout the year via
Zoom meetings.

ACROSS THREE SHIP-BASED AND
ONE LAND-BASED OUTREACH IN 2020

(TARGETS WITH RANGE 80-120%)

OPTOMETRY PATIENTS

2,340

TARGET: 1,800 - 2,700

GLASSES DISTRIBUTED BY TYPE

163 SUNGLASSES
1,753 READING GLASSES
360 PRESCRIPTION GLASSES

OPTOMETRY CLINIC PATIENTS

SECTION TWO : PAGE 29 ANNUAL REPORT 2020 - YWAM MS

Highlight Story

VISION ANEW

While in Finschhafen District in Morobe, a family requested that YWAM personnel visit a four year old girl in her home.
The girl was found to have a complicated medical history with neurological deficits, which resulted in alternating
esotropia. Upon arrival to the home, the child was quite anxious, crying inconsolably. Using a bit of creativity, the YWAM
MS volunteer optometrist was able to assess the child and prescribe the appropriate spectacles. When the glasses
were put on the child, her demeanor quickly changed, and she began engaging with the people around her, indicating a
significant change in the way she was now able to view the world.

ANNUAL REPORT 2020 - YWAM MS SECTION TWO : PAGE 30

2O.r7al Health

Oral health care is a significant felt need amongst rural populations in
PNG, as most villages are unable to easily access a dentist or dental
therapist. The MV YWAM PNG is equipped with four dental chairs, allowing
patients in remote locations to receive dental services.

This facility not only allows for dental services to be provided, but also
creates a space for local health workers to receive upskilling in basic oral
health skills, including simple extractions, as is acceptable per the scope
of practice of community health workers in PNG.

ACROSS THREE SHIP-BASED AND
ONE LAND-BASED OUTREACH IN 2020

(TARGETS WITH RANGE 80-120%)

TOTAL DENTAL DENTAL PATIENTS

PROCEDURES 855

844 TARGET: 700 - 1,050

TARGET: 1,000 - 1,500

DENTAL PROCEDURES

SECTION TWO : PAGE 31 ANNUAL REPORT 2020 - YWAM MS

Highlight Story

BUILDING CAPACITY

Morobe Provincial Health planned for two CHWs in two different catchments within the province to collaborate with
dentists during YWAM MS facilitated outreaches in 2020. This was one of these CHW's second time in the dental clinic
aboard the MV YWAM PNG. After his time on board in 2020, he exhibited competence in simple extractions, restorations,
cleanings, and the administration of local anaesthetics. Prior to the CHW receiving this training, there were no health
workers in his catchment who could provide dental services. These new skills attained will prove to be life-changing for
the people in his community.

ANNUAL REPORT 2020 - YWAM MS SECTION TWO : PAGE 32

2HE.8mepalothwEerdiuncgatCioonmm&unities

SECTION TWO : PAGE 33 The underlying motivation in all YWAM MS’ operations and clinical activity
is capacity building and community engagement. Equipping Papua New
Guineans with ideas, training, and education creates lasting effects and
is central to all that YWAM MS does.

Health promotion education is conducted alongside clinics in villages,
addressing topics such as general hygiene, hand washing, malaria
prevention, tuberculosis, immunisation awareness, and valuing both men
and women.

Twenty-twenty also allowed YWAM MS teams (both ship and land- based)
to continue in the facilitation of the Community Action and Participation
(CAP) program, which is outlined in the National Department of Health’s
(NDoH) Facilitator’s Guide for Community Action and Participation. This
program is designed to discuss principles of what a healthy village
and healthy nation looks like, then work with the local community to
determine what they believe will help their village be a healthy village,
empowering them to take their own steps toward the goal of creating a
healthy, thriving community.

Due to an increase in human resources allocated to the CAP program,
and in conjunction with a decrease in the number of outreach patrols
conducted in 2020, there was a notable decrease in the overall number of
health promotion sessions conducted. However, emphasis on community
empowerment of the CAP program and the potential for inspiring local
ownership of community development leads YWAM MS to assess that this
is an important priority towards which resources should be allocated.

YWAM MS also continued collaboration with the PNG Tribal Foundation
this year, screening the film, Senisim Pasin, in seven locations. This film
discusses the issues around gender-based violence and promotes gender
appreciation, allowing for a response to end gender-based violence at the
end of the film.

ANNUAL REPORT 2020 - YWAM MS

ACROSS THREE SHIP-BASED AND ONE LAND-
BASED OUTREACH IN 2020

ATTENDEES AT HEALTH PROMOTION SENISIM PASIN SCREENINGS

32,910 7

COMMUNITY ACTION & PARTICIPATION PROGRAMS MODULES COMPLETED

35

HEALTH EDUCATION SESSIONS

SENISIM PASIN SCREENINGS & CAP PROGRAMS

A NRANNUUNANUL ABRLYE RPYOEWPROTARM2T0 12M90S2- 0YIW-NYAWMPAAMMPSUM AS N E W G U I N E A D U R I N G 2 0 2 0 S E C T I O N T W O : P A G E 5 2

Highlight Story

SUSTAINABLE CHANGE

During the initial rollout of the CAP program in 2019, YWAM MS conducted the first phase of the CAP program in a village
in Oro province. Upon returning to the village in 2020 to continue the program with the second phase, the village leaders
noted that the participants of Phase One of CAP had mobilised and taken the initiative to clean the village, cutting
the long grass, removing the rubbish, and ensuring that there was no standing water remaining in the community.
Community members also reported decreased cases of malaria, attributing this to the changes implemented throughout
the year. This was supported by the YWAM-facilitated primary health care clinic, where fewer patients presented with
malaria in 2020 when compared to 2019.

SECTION TWO : PAGE 35 ANNUAL REPORT 2020 - YWAM MS

2.9

&HCeaalpthciWty BorukfiolrdicenSg trengthening

Rural patrols are truly a collaborative effort between YWAM MS
and the district and provincial health teams. In 2020, YWAM MS
directly collaborated with 99 local health workers on the ground. This
collaboration yields to a collegial environment among the volunteer
medical teams, and peer-to-peer upskilling is a natural byproduct
of this setting. In 2020, two local health workers in Morobe Province
were trained by a YWAM MS senior clinic leader in subdermal implant
insertion in the family planning clinic.

While training often occurs organically throughout the day, planned
in-service training is also conducted during the course of outreach
patrols. For example, while the ship was anchored in Finschhafen
District, an in-service training session was conducted with 25 local
hospital staff in attendance. Topics covered, per the hospital’s
request, included adult and paediatric resuscitation, neonatal
resuscitation, CPR, chronic pain management, and the updated PNG
malaria treatment guidelines. After this in-service, YWAM MS was
able to leave 20 copies of the National Department of Health’s (NDoH)
new recommendations for malaria treatment with hospital staff to
distribute to the surrounding area HCWs.

ANNUAL REPORT 2020 - YWAM MS SECTION TWO : PAGE 36

ACROSS THREE SHIP-BASED AND ONE LAND-BASED OUTREACH IN 2020

TOTAL PNG NATIONALS ENGAGED IN THE FIELD PROGRAM

130

TOTAL PNG NATIONAL HEALTH WORKERS ENGAGED

93

IN-SERVICE TRAINING SESSIONS

84

IN-SERVICE TRAINING SESSIONS DELIVERED

SECTION TWO : PAGE 37 ANNUAL REPORT 2020 - YWAM MS

Highlight Story

DISABILITY ENGAGEMENT AND COMMUNITY
BASED REHABILITATION TRAINING

Community Based Rehab (CBR) Activities: 8
All Abilities Engagement Inservice: 7

The Abau District Health team participated in a community based rehabilitation (CBR) in-service session aboard the MV
YWAM PNG. This session was delivered in partnership with a physiotherapist from Callan Services and YWAM MS volunteer
physiotherapist. Topics covered included engaging with people with disability in the communities and the five domains
from the CBR Health Matrix (Health Promotion, Health Prevention, Medical Care, Rehabilitation and Assistive Devices).

Other upskilling sessions on topics regarding all abilities engagement and CBR were conducted with CHWs and nursing
officers in health facilities in Milne Bay and Central provinces.

ANNUAL REPORT 2020 - YWAM MS SECTION TWO : PAGE 38

ANNUAL REPORT 2020 - YWAM MS ANNUAL REPORT 2020 - YWAM MS

SECTION THREE FINANCIALS

Financials

ANNUAL REPORT 2020 - YWAM MS

3P.l1ain Language Summary

YWAM MS’ total operating income in 2020 came to $3,807,000, a significant reduction from previous years. This was
largely due to circumstances related to the novel coronavirus (COVID-19) pandemic, which subsequently suspended field
activities for several months in 2020.

The largest income category remains gifted goods and services, totalling $2,686,000, thanks to 301 volunteers from 27
countries donating their professional services. The largest expense category in 2020 was non-cash program expenses of
$2,923,000, predominantly being gifted goods and services, inclusive of donated professional services.

A further $789,000 was invested in international programs and program support costs for activities in PNG, and $380,000
was invested in accountability and administration. YWAM MS spent $2,000 on fundraising costs in Australia. YWAM MS
had a small operating deficit of $287,000 which resulted from the reduction in volunteer engagement and field activities
for several months in 2020.

**Figures rounded to the nearest thousand.

WHERE THE MONEY COMES FROM

7% DONATIONS: CASH
70% DONATIONS: GIFTED GOODS AND SERVICES
11% GRANT: DFAT
4% GRANTS: OTHER OVERSEAS
8% OTHER INCOME

WHERE THE MONEY GOES

19% INTERNATIONAL PROGRAMS - CASH EXPENSES
9% ACCOUNTABILITY & ADMINISTRATION
<1% FUNDRAISING & COMMUNITY EDUCATION
72% NON-CASH PROGRAM EXPENSES

SECTION THREE : PAGE 41 ANNUAL REPORT 2020 - YWAM MS

3F.i2nancial Summary

YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904

INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2020

REVENUE 2020 ($) 2019 ($)

DONATIONS & GIFTS 268,778 194,528
2,685,654 6,461,908
Monetary
Non-Monetary 408,233 491,763
133,258 113,443
GRANTS
- -
Grants & Sponsorship: DFAT 151,029 1,403,035
Grants & Sponsorship: Other Australia 692,521 2,008,241
Grants & Sponsorship: Other Overseas
Grants & Sponsorship: Other Overseas - Papua New Guinea 421 933
Total Grants 159,704 3,203,706

Investment Income 3,807,078 11,869,315
Other Income

TOTAL REVENUE

ANNUAL REPORT 2020 - YWAM MS SECTION THREE : PAGE 42

YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904

INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2020

EXPENDITURE 2020 ($) 2019 ($)

INTERNATIONAL AID & DEVELOPMENT PROGRAMS EXPENDITURE 380,287 541,143
- 6,421
Accountability and Administration 11,774
Community Education 1,887
Fundraising Costs

INTERNATIONAL PROGRAMS 654,704 1,139,760
134,035 140,305
Funds to International Programs 788,739 1,280,065
Program Support Costs
Total International Programs 2,674,013 6,426,323
249,192 336,340
Non-Monetary Expenses
Depreciation and Amortisation 4,094,117 8,602,067
Total International Aid and Development Programs Expenditure
4,094,117 8,602,067
TOTAL EXPENDITURE (287,039) 3,267,248
EXCESS/(SHORTFALL) OF REVENUE OVER EXPENDITURE
Other Comprehensive Income - -
TOTAL COMPREHENSIVE INCOME (287,039) 3,267,248

THE ACCOMPANYING NOTES FORM PART OF THESE FINANCIAL STATEMENTS

SECTION THREE : PAGE 43 AANNNNUUAALL RREEPPOORRTT 22002200 - Y W A M M S

ASSETS YWAM MEDICAL SHIPS - AUSTRALIA LIMITED 2019 ($)
ABN: 45 070 160 904

BALANCE SHEET AS AT 31 DECEMBER 2020

2020 ($)

CURRENT ASSETS 1,981,008 1,766,230

Cash and cash equivalents 1,139 94,786
Accounts receivable and other debtors
Inventories on hand 599,733 772,569
Other current assets
TOTAL CURRENT ASSETS 89,545 2,666

NON-CURRENT ASSETS 2,671,425 2,586,251

Property, plant and equipment 541,559 601,033
Right of use assets 5,632,460 2,550,000
TOTAL NON-CURRENT ASSETS 6,174,019 3,151,033
TOTAL ASSETS 8,845,444 5,737,284

LIABILITIES 2020 ($) 2019 ($)

CURRENT LIABILITIES 273,045 149,781

Accounts payable and other payables 240,004 108,237
Deferred grant income
Provision for employee benefits 25,603 22,548
Borrowings
TOTAL CURRENT LIABILITIES (352) 1,795,128

NON-CURRENT LIABILITIES 538,300 2,075,694

Provision for employee benefits 6,611 6,084
Lease liabilities 4,932,066 -
TOTAL NON-CURRENT LIABILITIES 4,938,677
TOTAL LIABILITIES 5,476,977 6,084
NET ASSETS 3,368,467 2,081,778
3,655,506
EQUITY
Retained Surplus 3,368,467 3,655,506
TOTAL EQUITY 3,368,467 3,655,506

THE ACCOMPANYING NOTES FORM PART OF THESE FINANCIAL STATEMENTS

ANNUAL REPORT 2020 - YWAM MS SECTION THREE : PAGE 44

YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904

STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 31 DECEMBER 2020

RETAINED SURPLUS ($) TOTAL ($)

Balance at 1 January 2020 3,655,506 3,655,506

COMPREHENSIVE INCOME (287,039) (287,039)
- -
Surplus/(Loss) for the year
Other comprehensive income for the year (287,039) (287,039)
Total comprehensive income
3,368,467 3,368,467
Balance at 31 December 2020

Balance at 1 January 2019 388,258 388,258

COMPREHENSIVE INCOME 3,267,248 3,267,248
- -
Surplus/(Loss) for the year
Other comprehensive income for the year 3,267,248 3,267,248
Total comprehensive income attributable to members of the entity
3,655,506 3,655,506
Balance at 31 December 2019
ANNUAL REPORT 2020 - YWAM MS
SECTION THREE : PAGE 45