2018
ANNUAL REPORT
2 ANNUAL REPORT 2018 YWAM MS
YWAM Medical Ships
Australia - Papua New Guinea
YWAM Medical Ships Australia Ltd (YWAM MS) 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 MS is a Public Benevolent Institution (PBI) and a
Deductible Gift Recipient (DGR).
YWAM MS’ auditor is Jessups North Queensland - Chartered
Accountants.
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 MS 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 MS, PO Box 1959,
Townsville QLD 4810.
YWAM MS’ complaints policy can be accessed via our
website, https://ywamships.org.au/faqs/
CONTENTS 2 PROGRAM OVERVIEW 3 LOCATION SNAPSHOTS 4 FINANCIALS
2.1 Maritime Operations....................................................................14 3.1 Central Province...............................................................................32
1 2018 AT GLANCE 2.2 Primary Health Care......................................................................15 3.2 Gulf Province......................................................................................33 4.1 Plain Language Summary.........................................................42
1.1 Message from the Managing Director..............................6 2.3 Primary Health Care - Maternal Health Focus................16 3.3 Milne Bay Province..........................................................................34 4.2 Financial Statement..................................................................43
1.2 2018 Milestones & Highlights.............................................. 7 2.4 Primary Health Care - Child Health Focus..........................17 3.4 Morobe Province............................................................................. 35
1.3 History........................................................................................... 8 2.5 Tuberculosis & Mobile Clinical Laboratory........................18 3.5 Oro Province........................................................................................36 5 MOVING FORWARD
1.4 Who We Are & What We Do....................................................9 2.6 Eye Health.........................................................................................20 3.6 Western Province...........................................................................37 5.1 Moving Forward................................................................................50
1.5 Message from YWAM MS Patrons.....................................10 2.7 Eye Health: Optometry................................................................21 3.7 National Captial District........................................................... 38 5.2 2019 Deployment............................................................................51
1.6 Key Partners............................................................................... 11 2.8 Eye Health: Ophthalmology.................................................... 22 3.8 Townsville Campus.........................................................................39
1.7 Supporters.................................................................................. 11 2.9 Oral Health.........................................................................................23 6 APPENDIX
2.10 Health Promotion & Empowering Communities......25 6.1 Letters of Endorsement............................................................. 54
2.11 Health Workforce & Capacity Building............................. 26 6.2 Board of Directors & Project Management Team.........56
2.12 Supply Chain Support................................................................27 6.3 Advisors................................................................................................57
2.13 Water/Sanitation & Solar Power........................................28 6.4 List of Abbreviations.....................................................................57
4 ANNUAL REPORT 2018 YWAM MSA
ANNUAL REPORT 2018
01
2018 AT A GLANCE
6 ANNUAL REPORT 2018 YWAM MS
1.1
MESSAGE FROM
MANAGING DIRECTOR
What an incredible year 2018 has been. Throughout the One of the most surreal moments of 2018 was standing
year we had the privilege of working alongside 162 Papua in the halls of Buckingham Palace receiving the Order
New Guinean health care workers in some of the most of the British Empire from Her Royal Highness Princess
remote areas of Papua New Guinea (PNG) delivering on- Anne on behalf of our hard-working volunteers, generous
the-job training and collegial support. donors, and loyal supporters who have helped make
this wonderful work in Papua New Guinea possible. My
As I reflect on the pages of this report, these men forefathers who arrived on Australian shores generations
and women deserve great commendation and ago as convicts would never have seen this coming!
encouragement as they persevere against great odds I sincerely thank you for being a part of this special
to help establish healthy villages. I am reminded of the journey.
individuals we have encountered throughout the year
who benefited from our teams’ efforts; the husband who As we look forward, may you also be inspired and
received cataract surgery and is now able to provide for encouraged as we work together to develop healthy
his family, the University of Papua New Guinea (UPNG) villages for a healthy nation. We are well aware that
Medical student who received experiential training in there is much more to be done and, despite the many
her rural health placement, the mum-to-be in a remote challenges we face, we continue to keep in the forefront
village who was able to hear her baby’s heartbeat for the of our minds the individuals whose lives are changed as
first time, the child who received her polio vaccination, we persevere and bring hope.
and the health centre that now has a working solar-
powered vaccine fridge to help deliver immunisations. Kind regards,
The contents of these pages represent thousands and
thousands of individuals’ lives changed. What a privilege Ken Mulligan OBE OAM
to be a part of such change. Managing Director
This past year brought an important stage in our
operations - an external review, initiated by YWAM MS in
conjunction with the Australian Department of Foreign
Affairs and Trade (DFAT). This review proved to be very
beneficial and encouraging. It highlighted some areas of
significant strength, and specific areas we want to focus
on for strategic growth. Some exciting developments
have already taken place since that time.
YWAM MS ANNUAL REPORT 2018 7
1.2
2018 MILESTONES & HIGHLIGHTS
430,844 753 26 Expanded Outreach Schedule and Geographic Footprint GeneXpert Increases Lab Capacity
Our ship-based outreach schedule expanded from nine Following installation in 2017, YWAM MS’s GeneXpert IV
HEALTHCARE AND TRAINING SERVICES VOLUNTEERS NATIONALITIES REPRESENTED outreaches to twelve, further accelerating the service system has significantly boosted the team’s capacity
capacity delivered from MV YWAM PNG. Across both to test for drug resistant TB. Alongside other parts of the
269 38,614 22,882 ship-based and land-based teams, this helped to TB response, the lab aboard MV YWAM PNG ran over 260
facilitate a greater geographical reach, stretching from GeneXpert tests in 2018, supporting local health workers
PNG NATIONALS ENGAGED TOTAL PATIENTS IMMUNISATIONS ADMINISTERED Lake Murray LLG in Western Province, to Woodlark Island to be able to effectively diagnose and treat
in Milne Bay Province, and up as far as Umboi Island in rural patients.
464 216,579 3,030 Morobe Province.
1000th Eye Surgery
INDIVIDUALS TESTED FOR HEALTH PROMOTION ATTENDEES REPRODUCTIVE HEALTH SERVICES Increasing Papua New Guinean Involvement In September 2018, YWAM MS was delighted to achieve
TUBERCULOSIS We celebrated our highest number of Papua New the milestone of its 1000th eye surgery in PNG.
Guineans serving directly aboard the MV YWAM PNG Remarkably, volunteer ophthalmologist Dr Keith Maslin
in marine, medical or other operational roles. YWAM performed the 1000th surgery; and he was also the
MS is honoured to have had 178 Papua New Guineans doctor who performed YWAM MS’s first eye surgery in 2010.
(approximately 25% of all YWAM MS volunteers) choose
to join colleagues from many nations to donate their Breakfast By The Sea
time and skills to serve PNG (151% of the 2016 tally). In June 2018, YWAM MS hosted its annual fundraiser,
Breakfast By The Sea, in Townsville. YWAM MS was
Polio Outbreak Response privileged to welcome representatives of the
YWAM MS was pleased to be able to collaborate with Government of Papua New Guinea, the Honourable
a number of provincial governments to support mass Charles Abel MP, Deputy Prime Minister and Minister
polio immunisation drives, following a polio outbreak. for Treasury, and the Honourable Sir Dr Puka Temu KBE
YWAM MS helped transport local health workers and CMG MP, Minister for Health & HIV/AIDS, alongside the
essential polio immunisations to remote locations, Honourable Dr John McVeigh, Minister for Regional
and provided additional human resources, boosting the Development, Territories and Local Government, as a
reach of provincial health teams to achieve excellent representative of the Government of Australia, alongside
immunisation coverage. over 550 other guests.
15,085 499 6,123 New Engines
Towards the end of 2018, one of the engines aboard the
GLASSES DISTRIBUTED OPHTHALMOLOGY PATIENTS DENTAL PROCEDURES MV YWAM PNG failed and required replacement. In a
major team effort, two new engines were successfully
installed aboard the vessel. These will power the MV
YWAM PNG to continue serving the people of PNG for
many years to come.
8 ANNUAL REPORT 2018 YWAM MS
1.3 After much research, a second-hand ship was found – a
small cruise liner built in 1999 by Austal. The asking price
HISTORY was AUD 6.5 million. To acquire the ship took an extreme
amount of work; a small dedicated team made of up of
YWAM Medical Ships Australia & Papua New Guinea volunteer staff named the campaign “Overcoming the
(YWAM MS) first started to engage in Papua New Guinea Impossible”. The team worked tirelessly, giving their time
(PNG) in 2009, although YWAM’s presence through land- and personal funds to make the dream a reality. People
based teams began in 1969. from all walks of life gave as the vision was presented
- communities, churches, school students, companies,
Before YWAM MS’ operations began, the YWAM MS governments, charities, and individuals from all over
senior leadership team met with the then Secretary the world contributed to the need. In 2014, YWAM MS
for Health for PNG, Dr Clement Malau, to present the officially acquired the vessel and began to work through
idea of a medical ship reaching rural and remote areas the details of refitting the vessel into a training and
of the country with healthcare and training. With no medical ship that would serve hundreds of remote
money and little resources at hand, YWAM MS received villages on an annual basis.
an invitation from Dr Malau on behalf of the National
Department of Health to bring the first ship, the The vessel was named the MV YWAM PNG to reflect its
MV Pacific Link, to the Gulf Province. The MV Pacific Link intended purpose of dedicated service to the nation of
was gifted to YWAM Australia from YWAM Marine Reach PNG. YWAM MS’ shared desire with national and provincial
New Zealand. health authorities is for the vessel to be utilised
as an innovative tool to deliver services that build
The first number of years were very challenging as YWAM capacity in local villages, by helping to provide training,
MS started to sail into PNG’s very remote and rural supplies, encouragement, and support to the dedicated
communities. From the beginning, YWAM MS worked in health workers serving on the ground. The vessel is
partnership with PNG both at a national and grassroots headquartered out of Townsville, Australia and spends
level to bring hope and resources to villages in great ten months of the year in PNG.
need. It became obvious that the MV Pacific Link (a 37
metre-long Japanese fishing vessel built in 1979) was
limited to fulfill 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 to increase YWAM MS’ capacity
to support PNG’s health system. At the time, it was a
huge undertaking as YWAM MS had no funds toward the
vessel. However, the very real needs up close on the field
far outweighed the obstacles.
YWAM MS ANNUAL REPORT 2018 9
1.4
WHO WE ARE & WHAT WE DO
YWAM MS, a Christian charity, works in partnership • Work with grassroots communities (with a special As a mother ship, the MV YWAM PNG serves to build join multiple outreaches a year to fulfill their rural
with relevant national and provincial health focus on youth) to empower them to take an capacity in hundreds of villages throughout the health placements. YWAM MS’ goal is to increase the
authorities around a shared vision: healthy villages, increasingly active part in promoting their Southern Region and Morobe Province each year. YWAM health workforce in PNG, and training is a vital part of
and a healthy Papua New Guinea. YWAM MS’ model is own wellbeing MS is not there to create an independent or parallel that. That said, all students work under supervision of
centred around the value of the individual and their health service. YWAM MS aligns itself with the goals qualified medical professionals with the appropriate
right to receive healthcare. Over 84 percent of PNG’s • Advocate to spotlight areas of current under-service, and objectives outlined in the National Department of medical qualifications and registrations for their job.
population live in rural areas. The isolation and lack of directing attention and resources to improve the Health’s NHP. In some cases, these are among some of the foremost
infrastructure makes delivering healthcare and training situation on the ground professionals in their industry in their home nation.
very challenging. Facilitating collaborative patrols is implemented in a
• Champion young people variety of ways: YWAM MS works by invitation, seeking to work
YWAM’s Christian ethos endeavours to create policies • Patrol supported by MV YWAM PNG at short range in collaboration and respect with a non-partisan
and procedures that cultivate a healthy organisation PNG’s National Health Plan (NHP) includes the approach at the national, provincial, district, local level
to care, connect, serve and build within individuals and expectation that rural health facilities will regularly (teams deployed less than a 2-hour boat ride from the government, and village level. YWAM MS commenced
communities. YWAM MS teams work in partnership reach out to villages in their catchment on what mothership) outreaches in the Southern Region and Morobe
with rural health workers, especially at the district is called ‘patrol’, with a special focus on preventive • Patrol supported by MV YWAM PNG at long range Province after receiving an invitation from each of
level, to achieve the following right at the doorstep of maternal-child health services (including offering deployed via extended-range patrol tenders (boats the provinces. These outreaches are carefully planned
coastal and inland villages across the Southern Region family planning and immunisations). It is these regular carried aboard) or with detailed reports submitted after the completion
and Morobe: visits that are supported by YWAM MS’ teams, along of each outreach. Over time, specific districts have
• Strengthening the capacity of rural facilities to serve with a package of additional support, significantly On foot / trekking or requested longer-term assistance and support as they
reducing the marginal cost of each activity delivered Via helicopter develop their region and in 2019-20, YWAM MS will pilot
year around including: to these challenging locations. While YWAM MS teams • Patrol conducted by ship-independent, land-based a new phase of Healthy Village – Healthy Nation in
Delivery of drug supplies are there, communities benefit from additional services teams partnership with several districts.
Assistance with vital maintenance and upgrades to such as:
equipment • Optometry services YWAM MS proudly involves many students in patrols.
Peer support, supervisory visits, in-service updates • Sight-restoring eye surgeries This includes a variety of training programs, such as
Boost district patrol capacity through facilitating • Health promotion rural health workers who have requested upskilling,
collaborative patrol activities (explained below) in • Tuberculosis screening third and fourth year nursing and midwifery students
currently poorly served areas • Oral health and dental services doing their rural placements, and first year primary
• Facility upgrades for health clinics (solar power, health care workers. Fifth year medical students
from the University of Papua New Guinea (UPNG) also
access to clean water, etc.)
10 ANNUAL REPORT 2018 YWAM MS
1.5
MESSAGES FROM YWAM MS PATRONS:
PAPUA NEW GUINEA AUSTRALIA
I am immensely proud of all that has been achieved It is an honour to write this message, in this, my tenth
throughout 2018. The stories outlined in this report year as Australian Patron for YWAM Medical Ships
are just a small glimpse of the thousands of lives Australia and Papua New Guinea. What a privilege
changed. These changes are made possible thanks to to work alongside the hard working, committed,
our many partners across Papua New Guinea, Australia, and professional group of people who donate their
and beyond. professional services to make this dream a reality. They
are truly inspirational.
I would particularly like to acknowledge Puma
Energy and the Papua New Guinea Government for The outcomes which are being achieved in Papua New
their strong support of YWAM MS over many years. Guinea year on year are astounding. To be a part of
Partnerships are a critical element of our work in delivering 430,480 training and medical services in 2018
Papua New Guinea and I have been proud of the to some of the most remote locations in the world is
productive relationships established across both an immense privilege.
Australia and Papua New Guinea.
I want to particularly extend a heartfelt thanks
As I conclude I would also like to thank our many to Managing Director, Ken Mulligan for his strong
partners including sponsors, volunteers, and the leadership, commitment, and vision in 2018. The stories
leadership team who are firmly focused on improving of individuals and communities strengthened is not
access to basic healthcare for our rural majority. Their possible without strong leadership.
care and commitment for individuals is truly moving
as they give their lives to see lasting change in Papua In concluding, I would be remiss not to acknowledge
New Guinea. Thank you. and commend the hundreds of volunteers from around
the world who give of their own time and money to play
The Right Honourable Sir Rabbie Namaliu their part in this incredible journey.
GCL KCMG CSM
Patron – Papua New Guinea Honourable Mike Reynolds CBE, AM
Patron – Australia
YWAM MS ANNUAL REPORT 2018 11
1.6 1.7
KEY PARTNERS SUPPORTERS
Air Niugini HI Fraser PNG Eye Care / Brien Holden
Aputos Insight Surgical Vision Institute
Aquacorp International Agency for the
Atlas Copco Compressors Ports North
Prevention of Blindness (IAPB) QantasLink
Australia – QLD Jessups North Queensland QBE Australia
Barnabas Foundation Laila Foundation RA Tech Engineering Services
B.Braun Australia Pty Ltd Lloyd’s Register RANZCO Scientific Congress
BlueKino Marine Safe Australia Rosshaven Marine
BOC Ophthalmic Instruments Maritime Cook Islands Shailer Medical
Carl Zeiss Pty Ltd Maritime Safety Queensland Signs of Excellence
Cattani Australia Metro Pharmacy Stryker Medical
Cirrus Insight MOB Enterprise Suncorp Bank
Cook Islands Trust Corporation Mineral Resource The Drill Guys
Credit Corporation The Navigation Centre
Designs for Vision Development Company Thermo Fisher
Device Technologies Nalco Total E&P
Dow Water & Process Solutions North Queensland Bulk Tradelinked Cairns & PNG
Electrotech Transpacific Industries Group LTD
Filter Supplies Ports Corporation Vital Medical Supplies
First Advisers Novartis Pharm WearCheck
Food Relief NQ O’Shea & Dyer Solicitors William Talbot Eye Care
Gadens OilMin Xerox
GE & MJ Chapman Partnership Pacific Marine Group YWAM Melbourne
GME Australia Pacific International Hospital YWAM Newcastle
Heroes Need Heroes Penske Power Systems Zoll Medical Australia
PNG Australia Association
PNG Dockyard Limite
12 ANNUAL REPORT 2018 YWAM MSA
YWAM MSA ANNUAL REPORT 2018 13
02
PROGRAM
OVERVIEW
14 ANNUAL REPORT 2018 YWAM MS
PICTURE 2.1
MARITIME OPERATIONS
The year 2018 saw the MV YWAM PNG in Papua New • On November 1st, the starboard main engine failed
Guinea for 10 months supporting 12 outreaches. This while underway in Western Province. The ship was
required continued growth in the capacity to support able to complete the outreach and return to Port
ongoing maintenance and repair in the course of routine Moresby with the port main engine. Same-model
operations. The crew continued to be very internationally replacement engines were located in New Zealand
diverse with captains from Canada, Norway, USA, and and delivered to Port Moresby where both engines
the Netherlands. As the ship continued to serve and were replaced over the course of December 2018
build capacity in some of the same villages visited since through early-January 2019 allowing the ship to be
2010, YWAM MS also served for the first time in villages fully ready for outreaches commencing in
between Lae and Finschhafen. January 2019.
ACCOMPLISHMENTS • Several new handheld radios, mounted radios for
• Migration from a legacy planned maintenance small boats, and Emergency Position Indicating Radio
Beacons (EPIRBs) were donated by GME. A complete
system with limited users and onboard-only new set of mooring lines were donated by Lankhorst
functionality, to a cloud-based system. Using Euronette. Many other partners and stakeholders
tablets and smartphones, multiple persons can continue to support the ship from PNG, Australia, and
complete and record both planned maintenance and around the world.
repairs at work sites all over the ship into a system
that facilitates continuous monitoring and support
from the shore-based management team.
• ITC Global donated and installed a VSAT satellite
antenna, providing a second such antenna on the
ship. A second wifi network was set up so that
short-term volunteers can access prepaid bandwidth
while serving in remote areas away from their homes
and businesses. This second antenna creates an
important redundancy capability for the ship’s
critical communication infrastructure.
YWAM MS ANNUAL REPORT 2018 15
2.2 Demographics of Patients:
PRIMARY HEALTH CARE
YWAM MS continued to work closely alongside PNG basics” approach, ensuring that each individual receives
health care workers in 2018 to collaboratively provide the basic healthcare that he/she requires. This includes
general outpatient consultation services and facilitate immunisations, antenatal care, family planning, wound
integrated maternal-child health outreach patrols. The care, and general outpatient services.
primary health care clinics are driven by the PNG National
Health Plan 2011 - 2020, which advocates for a “back to
SUMMARY STATISTICS PRIMARY HEALTH CARE PATIENTS 4,543 Girls (Under 18) 6,192 Women
4,716 Boys (Under 18) 3,204 Men
Across 12 ship-based & 5 land-based 18,655
outreaches in 2018
Target: 19,500
16 ANNUAL REPORT 2018 YWAM MS
2.3
PRIMARY HEALTH CARE:
MATERNAL HEALTH FOCUS
As previously outlined, maternal health care is a key 2018 HIGHLIGHT Comparative Family Planning Choices:
focus of YWAM MS’ activities in Papua New Guinea. This In 2017 YWAM MS engaged with Guasopa Health Centre in
includes both antenatal checks and family planning Milne Bay, providing education to local health workers at 1,500
consultations. the facility on various topics around antenatal care. Upon
YWAM MS’ return in September 2018, the local health 1,200
YWAM MS continues to provide medium-term, reversible workers at Guasopa proudly reported that the maternal
contraceptive implants, which provide three to five morbidity rate decreased significantly in 2018, with only 900
years of contraception, as well as short-term options, one maternal death occurring in the village. The health
including DMPA (Depo) injections and oral contraceptives. workers attributed this to the teachings they had 600
YWAM MS teams provide education about the various participated in with YWAM MS teams the year previous
family planning methods and advocate for women to and were excited to learn more in 2018. 300
care for their bodies, while also encouraging wives to
bring their husbands along in the decision-making 0 2017 2016
journey. In 2018, YWAM MS provided 3,457 family planning 2018
consultations (913 in 2017, 278% increase), empowering Oral Contraceptive Pill
women in remote locations to make informed decisions Subdermal Implant
about caring for themselves and their families.
DMPA “Depo” Injection
SUMMARY STATISTICS INDIVIDUALS RECEIVED FAMILY PLANNING COUPLE YEARS OF PROTECTION ANTENATAL CONSULTATIONS
PROVIDED (CYP)
Across 12 ship-based & 1,180 1,060
5 land-based outreaches in 2018 2,181
Target: 1,563 Target: 788
Target: 1,650
YWAM MS ANNUAL REPORT 2018 17
2.4
PRIMARY HEALTH CARE:
CHILD HEALTH FOCUS
Child health continues to be a focus of YWAM MS’ 2018 HIGHLIGHT
activity, with an emphasis on preventative care and In addition to actually administering immunisations,
working alongside local health workers to provide quality YWAM MS was pleased to deliver 2,200 doses of the oral
care for Papua New Guinea’s future generation. polio vaccine (OPV) to the Middle Fly District Health
Services (MFDHS) team in Western Province for round four
In addition to continued support in delivery of PNG’s of the OPV Supplementary Immunisation Administration
Routine Childhood Immunisation Schedule, YWAM MS patrol. These vaccines were delivered from the Area
was able to assist in delivery of several phases of a Medical Store in Port Moresby and were picked up by a
polio vaccination drive during the second half of 2018 in MFDHS team from the MV YWAM PNG in the Bamu River.
response to a confirmed outbreak within the country. This delivery served to empower the MFDHS team to
Teams were deployed via small boat, four-wheel drive, continue to fight against polio in their own province.
and helicopter. Over 3,970 polio vaccinations were
administered throughout YWAM-facilitated patrols in Total Number of Childhood Immunisations:
the latter half of 2018.
25,000
20,000
SUMMARY IMMUNISATIONS ADMINISTERED SCHOOL CHILDREN SCREENED 15,000
STATISTICS
22,068 3,127 10,000
Across 12 ship-based &
5 land-based outreaches in 2018 Target: 15,000 Target: 2,700
5,000
0 2017
2018
18 ANNUAL REPORT 2018 YWAM MS
2.5
TUBERCULOSIS & MOBILE
CLINICAL LABORATORY
Tuberculosis (TB) continues to be a major public health 2018 HIGHLIGHTS
issue in PNG. YWAM MS continued collaborations In December 2017, YWAM MS’ lab team identified two
with partners to stop TB, through screening and four-year-old girls on Mailu Island as having TB. The MV
testing suspected TB cases in the onboard mobile YWAM PNG returned to Mailu Island late in 2018 and
clinical laboratory, providing health education to followed up on these cases. Both girls had finished
communities, and supporting the professional their treatment and were healthy and enjoying life.
development of PNG personnel in YWAM MS is grateful to have had the opportunity to
lab-based skill sets. play a part in their treatment story.
This year saw the GeneXpert System mature Tuberculosis Test Distribution:
into an integral part of the YWAM MS’ TB testing
process, with 267 GeneXpert tests run to detect 800
TB and resistance to the drug rifampicin in cases of
suspected TB. This was up from 27 in 2017 when this 700
testing capability was introduced.
600
Additionally, YWAM MS supported the upskilling of
Papua New Guinean lab workers, and provided training 500
on the use of GeneXpert System in anticipation of
the delivery of the technology to several partnering 400
hospitals and health centres.
SUMMARY STATISTICS INDIVIDUALS SCREENED BY LAB 300
Across 12 ship-based & 464 200
5 land-based outreaches in 2018
Target: 360 100
0 2017
2018
Microscopy Tests GeneXpert Tests
YWAM MS ANNUAL REPORT 2018 19
MOBILE LAB PROVIDES
DIAGNOSIS TO
EIGHT-YEAR-OLD WITH
ADVANCED TB
Wailagi Sub Health Centre sits on the mountainous That is where the ship’s laboratory came in. The sub One of the beneficiaries of the speedy testing was an Additionally, the primary health care, optometry,
shores of Goodenough Island in Milne Bay. The bustling health centre had been waiting for Alotau’s results for eight-year-old boy, Isaac*, from a nearby village. “He ophthalmology, dentistry, and community engagement
centre serves the village of Wailagi and its surrounding follow-up TB tests, but it was unclear when the results was identified, tested, and confirmed on Monday,” said teams worked with the centre to offer further training
areas, but its location offers a unique set of challenges, would make it back to Wailagi. Tabitha Colwell, the ship’s laboratory manager, “and by and services. “I’m thankful for YWAM coming here,
particularly for laboratory services. During the MV that evening he was receiving treatment for TB.” His TB partnering with us, and for the in-service sessions they
YWAM PNG’s visit to Wailagi, the ship’s laboratory staff When the MV YWAM PNG arrived in Wailagi’s waters, Ms was quite advanced, yet he is now expected to make a had,” said Ms Feluwa.
had the opportunity to collaborate with the centre’s Feluwa decided to recollect the samples and send them full recovery.
personnel for tuberculosis (TB) testing. to the ship’s onboard laboratory. “We got our results As the ship set sail for other villages on Goodenough
the same day we sent the samples in,” said Ms Feluwa, The ship’s laboratory staff also offered the health Island, volunteers hoped their time at the sub health
The centre sees high numbers of TB, but in order for it “having YWAM here is…very helpful in many areas.” centre further training on completing lab forms, heat centre was restorative for the hardworking Wailagi
to be tested and treated, samples have to be sent fixing samples, and staining slides, which are all critical staff.
to a laboratory in Alotau. Getting the samples to the steps in TB testing.
mainland can be problematic: “it takes sometimes *Name changed
months — we have communication problems, transport
difficulties, and…we’ve been having very rough seas,”
said Wailagi’s Nursing Officer, Cindy Feluwa.
20 ANNUAL REPORT 2018 YWAM MS
2.6 In 2017, a range of eye health partners undertook a
Rapid Assessment of Avoidable Blindness in PNG. The
EYE HEALTH findings of this survey confirmed previous estimates
of a very high burden of reversible blindness in
Papua New Guinea. This includes both refractive
error (corrected with glasses) and blindness due to
cataract (corrected with surgery).
YWAM MS continues to respond to this confronting
reality through membership of the PNG Prevention
of Blindness Committee, ongoing collaborative rural
extension services, and capacity building activities.
YWAM MS ANNUAL REPORT 2018 21
YWAM MS continues to work with local partners to 2.7 Glasses Distributed:
facilitate optometry outreach services in focus districts
across the Southern Region and Morobe Province. This EYE HEALTH: 15,000
includes visual acuity assessments in a clinic setting
and vision screening in rural schools. OPTOMETRY 12,000
In addition to ship-based patrols, YWAM MS was pleased 2018 HIGHLIGHTS 9,000
to support several land-based patrols, which provided In December 2017, ophthalmic surgeons on board the MV
reading glasses to 3,132 individuals. YWAM PNG performed cataract surgeries on three sisters 6,000
from Loupom Island, Central Province, two of whom had
OPTOMETRY PATIENTS significant visual deficits. The surgeries were successful, 3,000
and after a follow-up visit ensuring the wellbeing of
SUMMARY STATISTICS 14,753 these three sisters, they went home to their village in 0
Central Province to enjoy their newly-received sight. 2018 2017 2016
Across 12 ship-based & Target: 10,300
5 land-based outreaches in 2018 While the ship was in the area again in October 2018, Prescription Sunglasses
YWAM MS team members sought out the three sisters
during a clinic day. The volunteer refraction worker and Reading
optometry team leader made a special trip to assess the
sisters’ vision. All three sisters were found to be doing
well, and stated that they have “noticed growth” in
themselves and enjoy simple, everyday tasks once again,
such as caring for their grandchildren. All three sisters
had their vision screened, and two of the sisters received
new prescription glasses.
22 ANNUAL REPORT 2018 YWAM MS
2.8
EYE HEALTH:
OPHTHALMOLOGY
In 2018 the day procedure suite aboard the MV YWAM made even more memorable as Dr Keith Maslin, longtime eye, but even with it, she could only see broad hand
PNG continued to be used to mobilise eye health YWAM MS volunteer and ophthalmologist, performed motions from a distance of three metres or less.
professionals from PNG and other nations, to contribute the 1,000th surgery. Dr Maslin also performed YWAM MS’
to reversing blindness for men, women, and children in first eye surgery back in 2010. YWAM MS’ volunteer ophthalmologist approved
remote parts of PNG. Margaret’s right eye for cataract surgery, which went
YWAM MS reached a very exciting milestone in 2018: its 2018 HIGHLIGHTS smoothly. When she came back aboard the next day she
1,000th eye surgery in PNG. These surgeries represent At 57-years-old, Margaret is stunning with her full face blinked in the light as the patch was removed, and then
much more than just procedures; but many lives have tattoo and wide smile. She has a large family and loves a slow smile spread across her face.
been transformed, such as 27-year-old Makasi seeing spending time with them, but for the last seven years
her young children for the first time, six-year-old Mandy her failing vision has restricted her ability to work She pointed to the YWAM logo on a volunteer’s shirt and
slowly taking in her family’s faces after three years of alongside them. said “I couldn’t see this yesterday…[now] I can see the
blindness, and 17-year-old Bray returning to school after name: Y, W, A, M.”
his vision faded away at age 14. This milestone was Her visual difficulties were a result of cataracts, which
limited her vision since 2011. Margaret loved caring for Her vision had improved to 6/36 — and would continue
SUMMARY STATISTICS her family, but the cataracts forced her to relinquish to improve over the next few days — meaning she
many of those tasks. “My children had to do every work could resume many of the activities that her vision
Across 12 ship-based & for me, like cook and feed me,” she said, “I want to get had previously made inaccessible. “I’m excited to read
5 land-based outreaches in 2018 better, I want to see and help my family.” again,” she said, “and my children will be happy too,
because they missed me a lot, for so long…I’d like to
When the MV YWAM PNG sailed into the waters near her thank the Lord for doing healing on me.”
home in Goodenough Island, Milne Bay, Margaret was
excited to come aboard the ship to visit the onboard Total Ophthalmology Procedures:
ophthalmology clinic. Her right eye was her strongest
1,200
OPHTHALMOLOGY PATIENTS
1,000
499
800
Target: 300
600
400
200
0
2010 - 2016 2017 2018
YWAM MSA ANNUAL REPORT 2018 23
2.9
ORAL HEALTH
Dental Procedures Performed: Improving oral health and providing dental services 2018 HIGHLIGHTS
remained a key component of YWAM MS’ operations in YWAM MS is pleased to strengthen the ability of rural
7,000 2018, with dental teams seeing more than 4,700 patients CHWs to effectively fulfill their role under PNG’s Oral
and performing more than 6,100 dental procedures Health Standard Treatment Guidelines, as well as
6,000 across the Southern Region and Morobe province. Dental supporting other PNG oral health professionals to further
activities occurred in the MV YWAM PNG’s onboard their ability to provide effective oral health care to
5,000 dental clinic and on land-based patrols utilising portable their patients. One way YWAM MS gives this support is
backpack dental chairs. Emergency extractive work through provision of dental tools and equipment, such
4,000 continues to be the prime focus of dental engagement, as the I-DENT portable dental chair. An I-DENT portable
but demand for preventative and, in particular, dental chair was given to Oro dental therapist, Vinoria
3,000 restorative treatments has continued to increase across Anjiga in 2018. Ms Anjiga expressed that the chair would
YWAM MS’ areas of engagement. improve her effectiveness while undertaking oral health
2,000 patrols in remote communities.
Hand-in-hand with provision of dental services, YWAM MS
1,000 continued to provide oral health education to engaged Another example of YWAM MS’ support is Mrs Rennah
communities, empowering and strengthening more than Delesae, CHW from Balimo Health Center, who was given
0 30,000 people in remote communities to maintain or the opportunity to train alongside Australian dentist, Dr
2018 2017 2016 improve their oral health. Phillip Roxburgh, for the duration of a two-week outreach.
According to the dental scope of practice for a CHW, she
Cleanings Extractions YWAM MS is thrilled to collaborate with many skilled was trained in administering anaesthetic (local and
PNG oral health workers from many different health nerve block), performing extractions (including retained
Restorations Other facilities to support their delivery of these services. Such roots), and in the use of self-curing glass ionomer cement
collaboration continues to be a significant component (GIC) for fillings as per the atraumatic restorative
of YWAM MS’ oral health program. technique (ART) for management of dental caries. Mrs
Delasae was also provided with a set of extraction
SUMMARY TOTAL DENTAL PROCEDURES DENTAL PATIENTS instruments and the supplies and consumables she will
STATISTICS need for extractions and GIC restorations. Mrs Delesae
6,123 4,707 reported that the skills learned will be incredibly useful
Across 12 ship-based & in her home town of Balimo, where she reports many
5 land-based outreaches in 2018 Target: 5,700 Target: 4,800 people experience tooth pain and are in need of dental
treatment.
24 ANNUAL REPORT 2018 YWAM MS
SPECIAL NEEDS
DENTAL SPECIALIST
TREATS YOUNG MAN’S
TOOTHACHE
At 18-years-old, Edwin is a charmer. When he first met “If you’ve got a patient with Down Syndrome, it’s a case
the YWAM MS volunteers, he grinned, waved, and took of behaviour management, knowing what comorbidities
photos with them as he waited for a YWAM MS dinghy to tend to present with Down Syndrome, and then making
arrive on the shores of Sohe District in Oro Province. The allowances for that,” said Dr Sundaresan.
dinghy would take Edwin and his mother, Jesset, to the
dental clinic aboard the MV YWAM PNG. Dr Sundaresan worked quickly, using smiles and hand
gestures to assure the young man. By the end of the
His visit to the clinic was special: Edwin has Down procedure, Edwin had three teeth extracted — including
Syndrome, a chromosomal disorder characterised by the tooth that had caused him pain for two years.
developmental and intellectual delays. Although Edwin is
nonverbal, he used signs to tell his mother that his teeth His mother was grateful for Dr Sundaresan’s compassion
were hurting him. He first complained of the pain two for her son. “He was very good with Edwin. It was
years past, but this was his first trip to the dentist. interesting to see. [Edwin] didn’t fight back, he was just
lying there, still [and] peaceful,” she said.
Unbeknownst to Edwin and his mother, one of the ship’s
volunteer dentists, Dr Daniel Sundaresan, specialised The experience was deeply meaningful for Dr Sundaresan
in special needs dentistry. As Edwin’s Down Syndrome as well. Several days later, when asked for the highlight
merited a nuanced approach, Dr Sundaresan’s presence of his outreach, he said simply, “Edwin.”
was invaluable.
YWAM MS ANNUAL REPORT 2018 25
2.10
HEALTH EDUCATION &
EMPOWERING COMMUNITIES
Health education continues to be a strong focus for have the opportunity to make a pledge to abstain Percentage of Sessions Delivered on
from gender-based violence. YWAM MS community Health Education Topics:
YWAM MS. It plays an important role in strengthening engagement teams were also diligent to facilitate
mens’ and womens’ talks throughout many villages
and empowering communities to engage in engaged, discussing healthy relationships and gender
appreciation.
strategies to see greater holistic health in their
Peer mentoring, involving the mobilisation of young
communities. Education sessions were delivered for Papua New Guineans as educators, remains a strong
focus for YWAM MS. These young Papua New Guineans
men, women and children and topics covered a broad remain a crucial component of YWAM MS’ community
engagement teams.
range of health-related topics, including:
Late-2018 has also seen YWAM MS begin to
• Nutrition • Immunisation, Child implement the Community Action and Participation
(CAP) initiative, designed to empower members of
• Oral Health Health, and ‘Lukautim communities to drive local initiatives to see healthy
villages forming across Papua New Guinea. YWAM MS
• HIV/AIDS Pikinini’ (child was delighted to work alongside the Sohe District CAP
coordinators while in Oro Province to help strengthen
• Tuberculosis protection) YWAM MS’ understanding of the potential impact
that the program can have in villages. YWAM MS
• Malaria • Safe Pregnancy and plans to implement the CAP program more
comprehensively in 2019.
• Gender Based Violence Birth
and Safe Communities • Puberty
• Water and • Joint Care and
Sanitation Musculoskeletal Health
• Family Planning
YWAM MS has also partnered with the Tribal 18.4% Oral Health 4.7% Nutrition
Foundation to advance education about gender
appreciation and gender-based violence in Papua New 16.5% Safe Pregnancy & Birth 2.9% Joint Care/
Guinea. “Senisim Pasin” is a film created by the PNG Immunisations, Musculoskeletal
Tribal Foundation and was screened in many villages
engaged throughout 2018. After the film, viewers 13.6% Child Health 1.8% Eye Health
& ‘Lukautim Pikinini’
1.7% Tuberculosis
11.4% Family Planning
1.4% Gender Based Violence
10.1% Puberty & Safe Communities
SUMMARY STATISTICS ATTENDEES AT HEALTH PROMOTION SESSIONS 8.3% Hygeine 1.3% HIV/AIDS
Across 12 ship-based & 216,579 6.7% Malaria
5 land-based outreaches in 2018
Target: 240,000
0.7% Other
0.6% Water & Sanitation
26 ANNUAL REPORT 2018 YWYWAAMMMMSAS
2.11
HEALTH WORKFORCE
& CAPACITY BUILDING
YWAM MS engages in a range of activities to strengthen 4.Community health education
Papua New Guinea’s health workforce, especially in Previously outlined at 2.10
rural areas. Activities also focus on building capacity
within young Papua New Guineans serving as part of the 5.Youth empowerment program
program in non-clinical roles. This is in addition to the Young PNG volunteers are given opportunity to join
community health education focus presented at 2.10. YWAM MS field teams as general volunteers and
receive mentoring, practical leadership training,
YWAM MS’ human capacity building initiatives can be and skills development specific to their placement;
broadly classified into five main domains: all the while, immersed in an international team
1. Collaborative clinical activity: peer support and environment and gaining exposure to development
opportunities within their nation.
collegial education is an important developmental
strategy in health professional vocational practice 2018 HIGHLIGHTS
YWAM MS’ first outreach in Finschhafen District proved
These opportunities, including exposure to to be quite a highlight in regards to health workforce
international colleagues, are not otherwise available strengthening. Braun Hospital has a tremendous number
to the majority of rural health workers and also of staff who are eager to be continually upskilled, as
benefit urban-based PNG health workers well as a community health worker (CHW) school full of
serving aboard students who are excited to begin their journey into
2.In-service training sessions health care.
Provided for rural health workers, often directed to
learning needs they identify, however, interlinked Forty-nine CHW students from Braun CHW School joined
with topical updates from key partners (e.g. updates the YWAM Medical Ships’ community engagement
on new inclusions in the PNG Childhood Immunisation teams throughout the first week of the outreach. These
Schedule or updates to PNG Standard students were made familiar with YWAM MS’ health
Treatment Manuals) promotion material and then went on to conduct health
3.Rural clinical placement for students promotion sessions in the communities on multiple
For example, UPNG medical students are regularly topics, including general hygiene, malaria prevention,
engaged aboard for their Year five Rural Block health hand washing, and oral health. This not only increased
attachment their knowledge in simple health care topics, but also
There is strong qualitative evidence from students served to provide a learning opportunity in leadership,
and their supervisors that their attitudes to education, and public speaking.
practice and orientation to rural health are positively
impacted by such placements
YWAM MS ANNUAL REPORT 2018 27
2.12
SUPPLY CHAIN SUPPORT
SUMMARY STATISTICS DOSES OF VACCINES TRANSPORTED ESSENTIAL MEDICAL SUPPLIES VARIOUS FAMILY PLANNING MODES Whenever possible, the MV YWAM PNG is utilised
TRANSPORTED TRANSPORTED not only as a medical and training ship, but also as
Across 12 ship-based & 16,610 a small cargo ship, providing logistical support to
5 land-based outreaches in 2018 19,421 946 the provinces through transportation of essential
medications and consumables. In this way,
(Medications, consumables, etc) (Oral contraceptives, subdermal YWAM MS is able to support and empower local health
contraceptive implants) workers to care for the people within their districts
and provinces.
2018 HIGHLIGHTS
The Area Medical Store (AMS) in Port Moresby released
five pallets of medical supplies to YWAM MS to deliver
to health centres in Gulf Province throughout a
scheduled two-week outreach in the province. During
this same outreach, a dinghy was transported to Gulf
Province on behalf of the TB Emergency Response Team
(ERT) in Port Moresby.
An additional highlight of 2018 was when YWAM MS
assissted with the installation of a solar refrigerator
at Guasopa Health Centre, restoring cold chain at
this facility for the first time in six months. This
now allows for the consistent administration of
immunisations for the people living within
this catchment.
28 ANNUAL REPORT 2018 YWAM MS
2.13
WATER/SANITATION & SOLAR POWER
An ongoing task for YWAM MS community engagement enabled them to power their vaccine fridge. This
teams has been helping support local communities to increased the ability of health workers to provide
increase their access to clean water and electricity immunisation coverage to nearby populations. YWAM
through helping install or repair water tanks, and MS team members also helped to repair a water pump
installing water filters and solar power kits. Members of at the health centre, ensuring that the health centre
YWAM MS community engagement teams collaborate continued to have access to clean water.
with members of the local population to increase
knowledge among locals, and to upskill individuals and In 2018 YWAM MS sent three young Papua New Guineans
groups within communities to independently maintain to Solomon Islands to attend Community Transformation
and repair such infrastructure. and Water Technologies seminars. These three
volunteers, along with some of their classmates, will join
One such collaboration occurred at Guasopa in Milne the MV YWAM PNG on outreach again in 2019. They will use
Bay Province, where members of YWAM MS engineering their training to drill water wells and to install low-cost
team aided staff of Guasopa Health Centre to install hand pumps to provide communities with reliable, clean
solar panels on the roof of the health centre which water sources.
SUMMARY STATISTICS WATER TANKS NSTALLED WATER TANKS REPAIRED WATER FILTERS MADE
Across 12 ship-based & 3 91 45
5 land-based outreaches in 2018
YWAM MSA ANNUAL REPORT 2018 29
30 ANNUAL REPORT 2018 YWAM MSA
ANNUAL REPORT 2018
03
LOCATION
SNAPSHOTS
32 ANNUAL REPORT 2018 YWAM MS
DISABILITY ENGAGEMENT IN
CENTRAL PROVINCE
3.1 Alongside providing care to general ambulatory for his hand to prevent contractures, and an overhead
patients presenting to mobile clinics, clinic staff trapeze was fabricated to enable the patient to rise
CENTRAL PROVINCE are always intentional to engage local health into a sitting position independently. This overhead
care workers and communities in identifying and trapeze also allowed for transferring to a chair with
YWAM MS has engaged with Central Province since but also consistently maximises this outreach accessing consultation for people living the assistance of just one person, which would
the acquisition of the MV YWAM PNG in 2015. One opportunity for her team in order to reach as many with disability. otherwise take three individuals.
significant driving force behind these collaborative people as possible.
efforts is the unmatched passion of Sister Rigolo One noteworthy case was that of a sixty-year-old Another patient living on Yule Island presented to
Mokela, Family Health Services Coordinator for Abau Abau District continued to be a large focus area male in Pinupaka who was an incomplete quadriplegic clinic with an amputated hand due to a machete
District. Sister Mokela (also known as “Sister Riggs” of 2018, with engagement in Rigo and Kairuku-Hiri from a sporting accident many years ago. The man incident four years prior. To the primary health
to her ship family) not only joins outreach herself, Districts as well. was housebound and mostly limited to lying on the care clinic leader’s amazement, a volunteer nurse
floor. YWAM MS’ volunteer occupational therapist practitioner from Hawaii had brought two prosthetic
and physiotherapist assessed the patient and his arm attachments along on the outreach. The patient
environment to provide recommendations to him and was therefore fitted with a prosthesis, allowing him
his family for adequate care. A splint was fabricated to regain some use of that arm.
SUMMARY STATISTICS
3,429 356 167 2,974 1,713 4,293 40,842
PRIMARY HEALTH CARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 2,170
SESSIONS/ACTIVITES
YWAM MS ANNUAL REPORT 2018 33
3.2 LAND-BASED TEAM DEPLOYED
FROM THE MV YWAM PNG TO
GULF PROVINCE KEREMA DISTRICT
YWAM MS and Gulf Province have been collaborating forces while the MV YWAM PNG was in the province. This In November the MV YWAM PNG was scheduled to this outreach. Mr Bal worked to secure transport and
since 2009, and collaboration in 2018 served to continue ensured an efficient and fruitful outreach. GCS was also engage in Kikori District for a two-week outreach. accommodation for the team, while Sister Mefaramu
to strengthen this partnership. Ship-based patrols instrumental in the transportation of patients to and Unfortunately, the ship experienced an unforeseen communicated with the health centres to ensure
were focussed in Kikori District, while land-based teams from the ship for ophthalmic consultations, ensuring engine malfunction, requiring the ship to remain they were expecting the YWAM MS team.
served primarily in Kerema District. that patients in the most remote locations were able stationary and therefore unable to sail from Port
to undergo sight-restoring surgery. Moresby to Kikori. As an alternative to ensure General outpatient services, antenatal care, and
Gulf Christian Services (GCS) continues to be a good Gulf Province engagement, a land-based team family planning sessions were held in primary health
friend and partner of YWAM MS, and many health was deployed by vehicle to Kerema, while the ship care clinic in six locations. A small optometry team
workers from GCS came aboard once again to join remained anchored near Port Moresby. also assessed patients and dispensed reading glasses,
and health promotion teachings were conducted
YWAM MS leadership was pleased to collaborate with throughout the two weeks.
Mr Ben Bal, Provincial Health Administrator, and Sister
Ekaloa Mefaramu, Provincial Health Coordinator for
Public and Rural Health Extension Services, to plan
SUMMARY STATISTICS
1,558 233 128 2,216 679 2,098 15,106
PRIMARY HEALTH CARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 917
SESSIONS/ACTIVITES
34 ANNUAL REPORT 2018 YWAM MS
3.3 MBPHA OPHTHALMIC TEAM
TRANSPORTED TO
MILNE BAY PROVINCE GOODENOUGH ISLAND
The MV YWAM PNG’s operations spanned across For the second year, collaboration with Woodlark YWAM MS was very pleased to work in synergy with end of the island, where they performed cataract and
Kiriwina-Goodenough, Esa’ala, Alotau, and Samarai- Mining Company served to be synergistic, as the the ophthalmic team from Alotau General Hospital, pterygium surgeries for the week.
Murua Districts in 2018. YWAM MS was pleased to company generously provided vehicles and drivers led by Dr Helai Baru. This team of four planned an
collaborate with Milne Bay Provincial Health Authority to transport teams and patients from the ship to ophthalmic outreach patrol in conjunction with the YWAM MS also supported this ophthalmic team
(MBPHA) once again to provide services to the remote villages on Woodlark Island. YWAM MS outreach to Goodenough Island, utilising through the donation of surgical consumables and
and isolated regions of the province. The YWAM MS the MV YWAM PNG for transportation to their planned provided 80 litres of diesel fuel to the Bolubolu Health
field team and local health workers were joined by location. Dr Baru’s team, plus surgical equipment and Centre team for transport of the ophthalmic team to
Alotau General Hospital staff, including specialty consumables, traveled on board during the initial sail Watuluma and for continued transport of patients
staff from paediatrics, physiotherapy, psychiatry, from Alotau to Bolubolu, Goodenough Island. The team requiring eye surgery to Watuluma throughout the
laboratory and infectious disease, ophthalmology, then received transport via Bolubolu Health Centre week as they presented.
and oral health. ambulance to Watuluma Health Centre at the north
SUMMARY STATISTICS
2,430 232 73 1,653 986 2,319 44,355
PRIMARY HEALTHCARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 1,410
SESSIONS/ACTIVITES
YWAM MS ANNUAL REPORT 2018 35
3.4
MOROBE PROVINCE
YWAM MS continued to build relationship within The ship-based outreaches focused on Tewae-Siassi DENTAL VETERAN LEARNS NEW
Morobe Province in 2018, engaging in both familiar and District once again, with expansion into Finschhafen SKILLS IN YWAM DENTAL CLINIC
new territories. As always, efforts within the province District this year. Finschhafen was especially
were a true collaboration amongst YWAM MS and welcoming and rallied multiple health centres When the MV YWAM PNG, sailed into the waters near had 40 more years under his belt than I did, but we
Morobe Provincial Government, as well as Provincial within the district to provide transportation for the Mr Ben Sunga’s workplace, the Papua New Guinean were both on the same wavelength.” Mr Sunga echoed
and District Health Teams. YWAM MS teams. Helicopter patrols were deployed dentist was eager to come aboard for the outreach the sentiment, “I’ve learned a lot from this.”
to reach communities in inland Kabwum District. in Finschhafen District, Morobe Province. Mr Sunga
Honourable Ginson Saonu, Governor of Morobe, and Ms These helicopter patrols, funded by Morobe Provincial has worked as a dentist for 41 years, but volunteering As Finschhafen’s sole dentist, Mr Sunga was eager to
Sheila Harou, Acting Provincial Administrator at the Health, were strategically planned with the Morobe on the ship’s two-week outreach gave him his first learn techniques that had arisen in the years since his
time, visited YWAM MS headquarters in Townsville Provincial Health team, to aid the emergency polio chance to collaborate with another dentist. training. During his time onboard, Mr Sunga and the
while travelling in Australia. Strategic planning response, which was led by Mrs Patricia Gahano, team performed 280 procedures. Mr Sunga returned
meetings were held during this visit, discussing Family Health Services Coordinator, and to assist in In the ship’s onboard dental clinic, Mr Sunga worked to Braun Hospital at the end of the outreach but
both long- and short-term goals of the partnership containing a noted pertussis outbreak. alongside Dr James Clish, an Australian dentist who took the lessons with him. “I’m so happy to learn from
between Morobe and YWAM MS. qualified in 2015. The differing backgrounds proved James,” said Mr Sunga.
YWAM MS was also grateful to receive a funding valuable. “It was really collaborative,” said Clish, “He
pledge of PGK 500,000 from Honourable Ginson Saonu
on behalf of the Morobe Provincial Government. This
funding was provided during the course of 2018.
SUMMARY STATISTICS
3,122 358 197 5,708 792 2,785 50,020
PRIMARY HEALTH CARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 1,285
SESSIONS/ACTIVITES
36 ANNUAL REPORT 2018 YWAM MS
3.5 COLLABORATIVE PATROL
REACHES REMOTE COMMUNITY
ORO PROVINCE IN SOHE DISTRICT
YWAM MS engaged in both Sohe and Ijivitari Districts Each year YWAM MS looks forward to collaboration YWAM MS was pleased to deploy a sixteen-person stated that the cases were less severe, and the
once again in 2018, spending time in Tamata Rural, with the Oro Provincial Health team, including Mr collaborative team for a three-day, two-night patrol village was cleaner. “There have been improvements,”
Oro Bay Rural, Safia Rural, and Tufi Rural LLGs. Most Philip Tahima and Mr Nitchkey Guba, who have been to Iaudari No. 2 for the second consecutive year. said Mr Tahima. The improvements are a testament
communities engaged had been visited in the past involved with YWAM MS since 2013. Ten other health In 2017 the patrol was facilitated via helicopter; to the village’s perseverance. Despite a village elder’s
by YWAM MS; however, it was the first time for the workers from Oro Province joined the teams in 2018, however, this year YWAM MS was able to send two estimation of population of 300 to 400, Iaudari has
MV YWAM PNG to hold clinics in several communities, ensuring excellent collaborative care for the patients boats upriver, affording a larger team and an increased no community healthcare workers or nurses, nor any
including Foru, Gobe, Dombada, Bebewa, and Jingada. within the province. number of services. power or running water. As a result, the ill have to
walk at least an hour to the closest health centre.
Mr Phillip Tahima, Oro Provincial Community Health Once there, healthcare services are limited due to
Worker and longtime YWAM MS volunteer, noted that supply shortages; the centre has no immunisations or
things had changed since 2017’s collaborative patrol. malaria medication.
Although malaria was still prevalent, Mr Tahima
SUMMARY STATISTICS
2,015 196 106 1,611 395 851 16,083
PRIMARY HEALTH CARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 672
SESSIONS/ACTIVITES
YWAM MS ANNUAL REPORT 2018 37
2018 HIGHLIGHT
3.6 Collaborating with local health workers in the fight November 2017 outreach to the Bamu River, a
against TB is consistently a theme when working mother receiving TB treatment was seen with her
WESTERN PROVINCE within Western Province, and 2018 proved to be no young baby by YWAM MS’ primary health care team.
different. While the YWAM MS team was in Daru, they It was found that the mother’s milk production
The year 2018 marked YWAM MS’ ninth year of YWAM MS further increased it’s geographical footprint had the pleasure of collaborating with World Vision, was quite low, and the baby was malnourished and
collaboration with Western Province. Relationships within the province, sending a land-based team to working at five of their feeding program sites for underweight. The mother was given medication to
with Middle Fly District Health Services (MFDHS) Lake Murray for the first time. This was a significant patients on TB treatment. They supported the feeding stimulate milk production. The primary health care
and Western Provincial Health continue to be quite patrol, pioneering relationships and endeavours that program, while also delivering health promotion team also educated the woman and her husband how
fruitful. While engagement focused primarily along will continue to be developed throughout the years. education that can empower those with TB and their to administer baby formula, which was provided by
the Bamu River, in Daru, and surrounding villages, the family members. Community engagement teams also the team. In March 2018, the woman and child were
MV YWAM PNG made her maiden voyage to the North collaborated with TB treatment supporters seen again by YWAM MS’ primary health care team.
Bank of the Fly River, engaging in villages that YWAM (trained by World Vision) in most villages engaged in The mother was tested by the YWAM MS lab team for
MS had not reached since MV Pacific Link days. the Bamu River. follow-up as a TB patient; sputum microscopy and
GeneXpert tests were negative. The baby had also
One highlight of the year in Western Province gained weight since November and was found to be
was providing follow-up consultation to a woman much healthier!
assessed 2017 by the YWAM MS team. During the
SUMMARY STATISTICS
4,732 795 476 8,122 1,205 1,417 37,034
PRIMARY HEALTH CARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 2,007
SESSIONS/ACTIVITES
38 ANNUAL REPORT 2018 YWAM MS
3.7 MV YWAM PNG HOSTS APLS
COURSE IN PORT MORESBY
NATIONAL CAPITAL
DISTRICT An experienced team of five instructors from This proved to be a unique partnership between APLS
anaesthetic, emergency, intensive care, paediatric, and YWAM MS, as the MV YWAM PNG served as the
YWAM MS ended 2018 with a planned one-week as well as Living Light Clinic in Kaugere. Relationships and general practice backgrounds travelled to Port floating classroom for the course. Instructors also
outreach in NCD in collaboration with NCD Public between YWAM MS and NCD Public Health were Moresby from Australia to facilitate an Advanced slept on board the ship, which was in Port Moresby for
Health. This outreach proved to be quite noteworthy, fortified, and it is expected that ongoing results from Paediatric Life Support (APLS) course for 12 Papua New the week, with local PNG candidates coming on board
as it was the first outreach dedicated solely to this this outreach will continue to be seen in years Guinean candidates. This is the first time that such a each day to attend the course activities.
district since 2014. During this time, operations to come. course has been carried out in Port Moresby, with local
focused primarily in the coastal communities of NCD, staff from multiple disciplines coming together to It is anticipated that this will be the first of many
learn and share their experiences. APLS courses to be run in PNG over the coming years.
SUMMARY STATISTICS
913 71 33 537 353 1,322 10,281
PRIMARY HEALTH CARE PATIENTS REPRODUCTIVE HEALTH FAMILY PLANNING RECEIVED IMMUNISATIONS ADMINISTERED DENTAL PROCEDURES GLASSES DISTRIBUTED HEALTH PROMOTION SESSION
CONSULTATIONS ATTENDEES ACROSS 460
SESSIONS/ACTIVITES
YWAM MS ANNUAL REPORT 2018 39
3.8
TOWNSVILLE CAMPUS
The City of Townsville, Sister City to Papua New Guinea’s The renovations have included the construction of • Certificate IV Leadership and Management Live FM and the Media Hub has a focus on registered
capital Port Moresby, is proud host to the headquarters dormitory-style accommodation for 278 students, 26 (BSB42015) training courses, which is anticipated to soon be
of YWAM MS. Based out of the City Campus with new apartments for volunteer staff, a dining room and offered as part of our training and capacity building
YWAM Townsville, the main office of YWAM engages a café, recording studios, interior and exterior painting, • Certificate IV Youth Work (CHC40413) services in PNG.
committed and diverse team of self-funded volunteers repaving the car park and landscaping of the centre • Certificate IV Christian Missions (10173NAT)
from many nations working together with a network of courtyard and grounds. • Diploma Christian Missions Leadership (10174NAT) YOUTH ENGAGEMENT
advisors and other professionals to operate the Training Expanding the range of available training courses is an YWAM engages youth in high school seminars, and local
and Medical Ship in PNG. YWAM Townsville Assoc Inc The developments continue to contribute toward exciting step toward equipping more young people to and overseas service projects. Each initiative aims to
is a separate legal entity from YWAM Medical Ships strengthening the link between Townsville and Papua serve communities in Australia, PNG and beyond. provide a positive safe environment where young people
Australia & PNG. New Guinea. feel valued, motivated, and empowered to be the best
99.9 LIVE FM they can be while serving the needs of others. YWAM
Support from the Townsville community for the work TRAINING OPPORTUNITIES In 2018 YWAM MS enjoyed continued growth as a result works in partnership with schools, social clubs, youth
of YWAM MS in serving its nearest international YWAM Townsville City Campus is a Registered Training of the partnership with 99.9 Live FM. Live FM broadcasts organisations, and governing bodies.
neighbour has been strong and consistent. This Organisation (RTO Reg. No 30614, CRICOS Provider No. a mixture of music and short, encouraging words aimed
reached a new level in 2014 to 2018 when the broader 02205D) with the following courses on scope: to bring life, which reaches 26,000 people in the North YOUTH ADVENTURES
community of Townsville got behind the redevelopment Queensland region and growing. In the last nine years, over 680 teenagers have
of YWAM City Campus, in the heart of the Central • Certificate III Business Administration (BSB30415) participated in YWAM’s Youth Adventures program.
Business District (CBD). • Certificate III Hospitality (SIT30616) In addition to the compelling content YWAM MS Youth Adventures offers incredible short-term
• Certificate III Events (SIT30516) provides for listeners, it is a great avenue to gain more opportunities for teams and individuals to come
Since 2014, the campus has undergone a series of • Certificate III Information, Digital Media and volunteers to serve in PNG. together to be challenged, grow in their cross-
developments to transform the former TAFE institution cultural understanding, and serve courageously. An
into a vibrant, versatile centre to support YWAM Technology (ICT30115) A significant outcome of this arrangement has initial hands-on training phase prepares teams to be
Townsville’s training activities, youth development • Certificate III in Screen and Media (CUA31015) been the expansion of a shared media hub, including immersed in communities in North Queensland and
work, and YWAM MS’ operations in PNG. • Certificate III in Dental Assisting (HLT35015) conference room, further office space, and a video Papua New Guinea.
• Certificate III Discipleship (10473NAT) recording studio. This shared space greatly enhances
Alongside YWAM personnel, more than 100 local • Certificate IV Marketing and Communications both operations resulting in greater outcomes for In 2018, over 70 youth from six schools participated in
businesses have contributed to a series of stages the community. Youth Adventures.
of development at the campus during 2014 to 2018. (BSB42415)
• Certificate IV Primary Healthcare for Developing
Nations (10477NAT)
40 ANNUAL REPORT 2018 YWAM MSA
ANNUAL REPORT 2018
04
FINANCIALS
42 2 ANNUAL REPORT 2018 YWYWAAMMMMSAS
4.1
PLAIN LANGUAGE
SUMMARY
YWAM MS’ total income grew from $7,371,000 in 2017 to WHERWEheTrHe EthMe mOoNnEeyYcComOeMs EfrSomF:ROM: WHEWRhEeTreHtEheMmOoNneEyYgoGeOs tEoS: TO:
$8,773,000 in 2018. The biggest change was in gifted
goods and services, which increased by $1,150,000 70% Donations: Gifted Goods & Services 71% Non-Cash Program Expenses
to $6,152,000. This growth was primarily driven by an 11% Grants: Other Overseas 20% International Programs - Cash Expenses
increase in donated professional services in PNG by 9% Other Income 4% Accountability & Administration
752 volunteers from 26 different nationalities. PNG 5% Grants: DFAT 4% Program Support Cost
contributions also increased with $808,000 received 5% Donation: Cash 1% Fundraising and Community Education
in gifted goods and services and $956,000 received
in grants, sponsorships, and donations. DFAT grants
accounted for $473,000.
The main expenses recorded in 2018 were once
again the non-cash program expenses of $6,399,000
(including depreciation and amortisation). Additional
cAadsdhitoiofn$a2l,1c7a1,s0h0owf a$s2,i1n7v1,e0s0t0ewd iansiinntveersntaetdioinal
pinrtoegrnaamtsio(nthaal ptriosg, praromgsra(tmhatctisiv, pitrioegsrainmPNacGtaivnidties
ipnroPgNrGamansduprpoogrrtacmostusp)p, aonrtdc$o3s6t0s,0),0a0ndw$a3s6i0n,v0e0s0tewdas
invaecsctoeudnitnaabcilcitoyunantadbaidlimtyinainsdtraadtmioinn.isYWtraAtMioMn.SYWAM
MspSesnpte$n4t2$,04020,0i0n0fuindfuranidsrianigsicnogstcsosatnsda$n2d2$,02020,0o0n0 on
community education in Australia.
YWAM MS had a small operating deficit of $221,000
resulting from the medical supplies closing stock
being $682,000 lower than 2017 due to timing of stock
delivery, not due to a decrease in supply sources. In
the financials this is considered an expense although
it is not a cash item. In 2018, YWAM MS was able to
reduce the outstanding amount owing on the MV
YWAM PNG by $400,000.
*Figures rounded to the nearest thousand.
43
4.2
FINANCIAL STATEMENT
YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904
INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2018
REVENUE 2018 ($) 2017 ($)
Donations & Gifts 434,347 775,515
Monetary 6,152,183 5,002,548
Non-Monetary
472,735 764,844
Grants - 472
Grants & Sponsorship: DFAT - 610
Grants & Sponsorship: Other Australia
Grants & Sponsorship: Other Overseas 956,064 431,059
Grants & Sponsorship: Other Overseas - Papua New Guinea 1,428,800 1,196,984
Total Grants
1,552 2,403
Investment Income 756,220 393,674
Other Income
8,733,102 7,371,126
TOTAL REVENUE
44 ANNUAL REPORT 2018 YWAM MS
YWAM MEDICAL SHIPS - AUSTRALIA LIMITED YWAM MEDICAL SHIPS - AUSTRALIA LIMITED 2017 ($)
ABN: 45 070 160 904 ABN: 45 070 160 904
1,134,471
INCOME STATEMENT FOR THE YEAR ENDED 31 DECEMBER 2018 BALANCE SHEET AS AT 31 DECEMBER 2018 355,793
1,311,970
EXPENDITURE ASSETS 2018 ($)
International aid and development programs expenditure 2,850
2018 ($) 2017 ($) 2,805,084
Accountability and Administration 360,253 507,068 Current Assets 924,885 1,168,320
Community Education 22,492 11,625 Cash and cash equivalents 226,076 2,750,000
Fundraising Costs 41,706 65,980 Accounts receivable and other debtors 630,122 3,918,320
Inventories on hand 6,723,404
International Programs 1,780,701 1,303,788 Other current assets 2,850
Funds to international programs 389,966 393,025 Total Current Assets 1,783,933 348,562
Program Support Costs 2,170,667 141,985
Total International Programs 1,696,813 Non-Current Assets 1,387,404
6,086,064 Property, plant and equipment 2,650,000 21,473
Non-Monetary Expenses 312,773 5,002,548 Intangible assets 4,037,404 512,020
Depreciation and Amortisation 287,838 TOTAL NON CURRENT ASSETS 5,821,337
Total International Aid and Development Programs Expenditure 8,993,954 TOTAL ASSETS 3,203,600
7,571,872 -
TOTAL EXPENDITURE 8,993,954 LIABILITIES
EXCESS/(SHORTFALL) OF REVENUE OVER EXPENDITURE (220,853) 7,571,872 2,398,672
Other Comprehensive Income (200,747) Current Liabilities 56,693 5,602,272
TOTAL COMPREHENSIVE INCOME - Accounts payable and other payables 156,218 6,114,292
(220,853) - YWAM Townsville Assoc. Loan 16,865
(200,747) Provision for employee benefits 229,777 609,112
TOTAL CURRENT LIABILITIES
The accompanying notes form part of these financial statements 3,200,562 609,112
Non-Current Liabilities 4,914 609,112
YWAM PNG Ships funds held on Trust
Provision for employee benefits 1,997,826
Suncorp Loan - Non Current 5,203,302
TOTAL NON-CURRENT LIABILITIES 5,433,078
TOTAL LIABILITIES
NET ASSETS 388,259
EQUITY 388,259
Retained Surplus 388,259
TOTAL EQUITY
The accompanying notes form part of these financial statements
YWAM MS ANNUAL REPORT 2018 45
YWAM MEDICAL SHIPS - AUSTRALIA LIMITED YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904 ABN: 45 070 160 904
STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 31 DECEMBER 2018 STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 DECEMBER 2018
Retained Surplus ($) Total ($) 2018 ($) 2017 ($)
Balance at 1 January 2018 609,112 609,112 CASH FLOW FROM OPERATING ACTIVITES 2,682,043 2,619,091
Receipts from customers, etc (1,924,633) (2,441,458)
Comprehensive Income (220,853) (220,853) Payments to suppliers and employees
Surplus/(Loss) for the year attributable to members of the entity - - Interest received 1,552 2,403
Prior period adjustment - - Dividends received - -
Other comprehensive income for the year Interest Paid
Total comprehensive income attributable to members of the entity (220,853) (220,853) Net cash generated from operating activities (114,081) (109,824)
644,881 70,212
Other Transfers - - CASH FLOW FROM INVESTING ACTIVITES
Cumulative revaluation surplus relating to sale of property, transferred to - - Proceeds from sale of property, plant and equipment (495,861) (128,799)
388,259 388,259 Payment for property, plant and equipment (495,861) (128,799)
retained earnings Net cash used in investing activities
Total other transfers 809,858 156,218 251,810
Balance at 31 December 2018 CASH FLOW FROM FINANCING ACTIVITES (514,824) (259,410)
(200,747) Proceeds from borrowings (358,606)
Balance at 1 January 2017 809,858 - Repayment of borrowings (7,600)
- Net cash used in financing activities (209,586)
Comprehensive Income (200,747) 1,134,471 (66,187)
Surplus/(Loss) for the year attributable to members of the entity - (200,747) Net increase/(decrease) in cash held 924,885 1,200,658
Prior period adjustment - Cash and cash equivalents at the beginning of the financial year
Other comprehensive income for the year - Cash and cash equivalents at the end of the financial year 1,134,471
Total comprehensive income attributable to members of the entity (200,747) -
609,112
Other Transfers -
Cumulative revaluation surplus relating to sale of property, transferred to -
609,112
retained earnings
Total other transfers
Balance at 31 December 2017
466 ANNUAL REPORT 2018 YWAM MS
YWAM MEDICAL SHIPS - AUSTRALIA LIMITED
ABN: 45 070 160 904
NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 DECEMBER 2018
The financial statements cover YWAM Medical Ships - Australia Limited as an individual entity, incorporated and
domiciled in Australia. YWAM Medical Ships - Australia Limited is a company limited by guarantee. The company is a
not-for-profit entity for financial reporting purposes under Australian Accounting Standards.
Note 1 - Summary of Significant Accounting Policies This financial report is a summarised version of our full
Basis of Preparation financial report. Copies of our 2018 audited financial
This summary financial report has been prepared in report can be obtained by visiting
accordance with the requirements set out in the https://www.acnc.gov.au/RN52B75Q?ID=5670DF3D-
ACFID Code of Conduct. For further information on 7C7C-4A4F-9C28-AA4633998936&noleft=1
the Code please refer to the ACFID Code of Conduct
Implementation Guidance available at NOTE 2 - Donated Assets
www.acfid.asn.au. The donated assets have been treated as a
contributed asset and classed as Property Plant and
The financial statements, except for the cash flow Equipment on the balance sheet. This is the variance
information, have been prepared on an accruals between the non-monetary donated revenue and
basis and are based on historical costs, modified, non-monetary donated expenses on the income
where applicable, by the measurement at fair value statement.
of selected non-current assets, financial assets
and financial liabilities. The amounts presented in
the financial statements have been rounded to the
nearest dollar.
YWAM MSA ANNUAL REPORT 2018 43
44 ANNUAL REPORT 2018 YWAM MSA
ANNUAL REPORT 2018
05
MOVING FORWARD
50 ANNUAL REPORT 2018 YWAM MS
5.1
MOVING FORWARD
An external review, initiated by YWAM MS in The Community Action and Participation (CAP) model
conjunction with DFAT, was conducted in March 2018. will also become an increasingly integral part of YWAM
This review proved to be quite beneficial for YWAM MS operations moving forward. This model empowers
MS as an organisation, highlighting some areas of village leaders to identify areas for growth within
significant strength, and specific areas we want to their village, and then work within their community
focus on for strategic growth. YWAM MS used this to create steps toward sustainable solutions.
review as a catalyst to verbalise and strategise
ongoing goals and vision for 2019 and beyond. As training continues to be the heartbeat behind
all YWAM MS operations, the organisation is looking
Relationship within PNG, both at the upper levels of ahead to create specific training pathways to provide
government and at the grassroots level with local clear direction for those interested in growing in
health workers, continues to be quite a strength of specific areas of leadership. These pathways will
YWAM MS. Moving forward, the organisation looks hopefully not only strengthen YWAM MS, but also the
to see how these relationships can continue to be nation of PNG.
strengthened, with focus on fortifying those at the
district level. YWAM MS is keen to put forth concerted
effort into a few key districts, while also maintaining
relationship with the entire Southern Region and
Morobe Province.
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