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2022-12-31-accounts

NIDSG 2022 ANNUAL REPORT

Our Motto: “Brighten the corner you’re in!”

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1. About NIDSG

NIDSG (Nigerian IDP Diaspora Support Group) is a UK registered charity, established to help victims of conflict from insurgency by Boko Haram, Islamic State West Africa and other insurgent groups , made up of Nigerians in diaspora and friends of Nigeria who felt a moral obligation to help internally displaced people (IDPs). Our Trustees and volunteers are mostly doctors and healthcare professionals with decades of experience. We work in collaboration with local people from IDP camps and host communities, Muslim and Christian organisations, community groups, local chapters of the Nigerian Medical Association, local and international NGOs NIDSG. These Channels TV Interview and AIT TV Interview highlight the work that we do (the NIDSG website is under re-construction). Our past initiatives are listed in Appendix C.

1.1 NIDSG’s Focus Areas in 2022

Our 2022 Charity programme for 2022 addressed the following areas of need:

Lay Trauma Counsellor Training

A research report led by the Duke University Global Health Institute titled: “ Identifying Mental Health and Psychosocial Support Needs Among Internally Displaced Persons in Nigeria ,” detailed the severe mental health and psychosocial consequences of insurgency in Northern Nigeria and recommended focusing on “low-skill mental health and psycho-social support (MHPSS) interventions that can be delivered by lay community members.”

Maternal and Child Health Clinics

The health indices on Women’s Reproductive Health care in Nigeria are simply appalling, as Nigeria suffers one of the worst maternal mortality rates in the world. Nearly 20% of all under-five and maternal deaths in the world, occur in Nigeria. There are over 1 million new-born, infant and child deaths in Nigeria from birth related complications and six women die every hour, resulting in over 50,000 maternal deaths every year) ; The situation in the areas of conflict is significantly worse than the national average, and horrendous for women in IDP Internally Displaced People (see: Delivering babies in a Nigerian IDP camp:)

1.2 Summary of Outcomes in 2022

Although the effort, costs, time and resources involved in delivering an expanded charity programme were quite considerable, 2022 proved to be our most successful year to date:

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1.3 The NIDSG Team

From left to right, Dr Femi Adebajo, Hafsat Dagazau, Tally Tripp, Fiona Lovatt, Adebola Aroboto, Dr Wale Lagundoye (MHPSS Programme Director), Kevin Obi, Dr Chris Piwuna, Dr Brigid Allagoa, Feyi Tinubu, Lorette Dye, Dr Ify Anidi, Prof Rotimi Jaiyesimi (MCH Clinical Director), Dr Zainab Imam, Tutu Asielue

1.4 Acknowledgements

NIDSG wishes to thank our trustees and the mission team (including Wendy Olayiwola and Dr Ijomah, who could not travel), our work is only made possible by the amazing effort and contributions of these talented individuals. We owe a huge debt of gratitude to the Minister for Mines & Steel of the Federal Republic of Nigeria, Arch Olamilekan Adegbite,who has provided NIDSG with security transport and Logistics support on recent charity programmes. Thank you to my honorable dear friend and his team. NIDSG would also like to thank our main sponsors, SCIB & Co Nig Ltd, and in particular to Mr Shola Tinubu, Solanke Ogunlana and Ms Olamipo Adeola, as well as “Friends of NIDSG” who each make a generous contribution to our charity every year. We’d also like to express our gratitude to our delivery partners, Lux Terra Leadership Foundation, NEEM Foundation and University of Abuja Teaching Hospital. Our highest appreciation goes to Barrister Chris Onyemanem and Mr Fed Ikhile for their steadfast support

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and assistance. Many thanks also to the Association of Nigerian Physicians in the Americas (ANPA) and A Ray of Light Foundation for their donations of medicines and supplies. Last, but certinly not the least, thank you to the British High Commissioner to Nigeria, Ms Catriona Liang, and the Deputy British High Commissioner to Nigeria Gill Atkinson,for hosting the NIDSG team in Abuja, Nigeria, an to the Nigerian High Commissioner to Great Britain, His Excellency, Ambassador Sarafa Tunji Isola, for his continued support.

Kevin Obi Chair, NIDSG

Section A: NIDSG Lay Mental Trauma Counsellor Training in 2022

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2. Overview of NIDSG Lay Mental Trauma Counsellor Training in 2022

Between 11-13 October 2022, NIDSG’s team of Psychiatrists and Psychotherapists delivered intensive 4-day training and skills development workshops. The training programme was hosted by our partners, Lux Terra Leadership Foundation in Abuja, who provided an excellent venue and facilities at no cost. We are extremely grateful for their support.

A cross section of Lay

Mental Trauma Counselling delegates

The Lay Mental Trauma Counselling Training Delegates were separated into 2 cohorts:

Elective Workshops & Fiona’s Kitchen

For the first time, this year’s programmes included a choice between two halfday elective workshops and also, Fiona’s Kitchen Table:

Mission Team

This year’s training was all delivered in-person. Names and short bios of the Lay Mental Trauma Counsellor Training instructor and development team are detailed in Appendix A

Follow-On Training, Development and Support

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all attendees and instructors how they would work together in their groups to help trauma sufferers in their communities.

3. Delegates Attending NIDSG’s 2022 Lay Trauma Counsellor Training Programme

Delegate numbers . A total of 42 Mental Trauma Counsellors attended the 2022 programme, 15 Child Arts Therapies Counsellors and 27 Adult Mental Health and Psych-Social Support Trauma Counsellors. The delegates were enthusiastic and engaging participants in the programme. 63 people had originally requested to attend, but there was an unusually high number of “no shows,” including 3 out of the 4 delegates nominated by the Federal Ministry of Health.

Geographical Spread of Delegates . Delegates attended from Adamawa, Bornu, Kaduna, Benue, Plateau, Kebbi, Kano, Niger, Zamfara, Katsina, and Nasarawa States and from the Federal Capital Territory of Nigeria. This perhaps reflects the increasing insecurity and breakdown in Civil society, and how trauma is now becoming more widespread across the middle belt and in Northern Nigeria.

Representation came from IDP Camps, faith groups, State government health authorities, local hospitals, and local NGOs. These included

Skill of Delegates. The calibre of delegates attending the 2022 training were the best to date. Skills ranged from lay counsellors/volunteers to doctors, nurses, psychologists, teachers, NGO staff and health workers who are active in NGO communities. One key observation is that many of the delegates themselves had witnessed traumatic incidents themselves.

4. Training Programme Feedback and Outcomes

Adult MHPSS Course

The format used was a mixture of teaching and interactive workshops, with an emphasis on skills development. There were multiple practical role play exercises to enable delegates practice Counselling skills in small groups. The seminars were highly interactive, with delegates contributing their shared experiences, asking questions about the learning and providing valuable feedback.

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Images from the Adult MHPSS Course

Child Art Therapy Course

The course delivery was a good blend of didactic information and experiential practice. The experiential focus (art making activities) supported a wide range of themes. There was good variation in the art activities, using different materials, focusing on different issues (such as grounding, managing trauma, finding safety, expressing feelings). It was helpful to have break delegates into pairs or small groups (2-4 people) to discuss experientials without having to talk in front of the large group. That allowed more intimate discussion. At the end of the training, we looked together at ALL the art they made and that provided a great overview of the experience. Taking time to do a “wrap up” - was important.

Images from the Child Art Therapy Course

Overall, what worked well

Key Outcomes Achieved

The Adult MHPSS Trauma Counsellor Training was successful itraining local lay counsellors to recognise, work with and provide basic psychological interventions to internally displaced persons suffering from psychological trauma from their experiences from conflict and from being displaced from their homes.

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The feedback from delegates following the course indicated that the programme was a successful and worthwhile endeavour. They appreciated the practical nature of the programme and felt that the skills they gained would very much help them make a positive impact on those in need. The participants engaged actively with each other and the mission team, throughout the four days of the course.

The art therapy delegates gained new awareness of how art can be a tool to manage, contain and express trauma. They were given information about the neurobiology of trauma and how it affects the mind and body. The delegates learned a range of art-based tools that can help with

regulating overwhelming feelings. In the training, we practiced integrating somatic skills (breathing, mindfulness, focusing) and art directives (making masks, drawing about personal experiences, using clay to create a self-symbol) which can be used in a variety of settings (schools, camps, home). Because the training was highly experiential, each participant gained the experience of what it is like to create art in response to a given directive or theme. This will help them use the tools more effectively with the children they work with in their individual settings. Through the art making experiences and discussion, we explored themes of safety, self-image, managing trauma, and, most importantly, self-care, finding strength and resilience.

5. Recommendations for future programmes

Course Content and Delivery

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Logistics & Admin

Delegates Issues

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Section B: Maternal and Child Health Clinics in 2022

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1. Introduction

NIDSG’s Maternal and Child Health (MCH) clinical mission, ran from 11th-14th October 2022. The team spent 11th-12th October treating patients from Durumi IDP camp and 13th-14th October 2022 at the Wassa IDP Camp in FCT, Nigeria. The NIDSG MCH comprised of an international team of 1 x Obstetricians & Gynaecologist, 1 x Midwife, and 2 x Paediatricians (See Appendix B).

The NIDSG MCH team worked alongside a medical team from University of Abuja Teaching Hospital and lay health workers to transfer expert knowledge. For example, to ensure that birth attendants have enhanced skills to reduce mortality rates in mothers and new-borns.

2. Objectives of the MCH Clinical Mission

A cross section of the IDP population attended to in the maternal and child health clinics at Durumi and Wassa IDP Camps

3. Key Outcomes of the Maternal and Child Health Mission The 2022 MCH clinical mission was a resounding success:

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4. Clinical Issues Encountered in the IDP Camps

4.1 Maternal Health

Although many patients attended the maternal and women's reproductive health clinics, our medical examinations resulted in relatively few remarkable ailments. One postnatal lady who was breastfeeding was diagnosed with mastitis. She had been in excruciating pain for days. The NIDSG team treated her with the appropriate antibiotics and analgesics. The heart-warming outcome was that she came back voluntarily to give feedback that she had experienced great relief and wanted to express her appreciation to the team. The maternity team diagnosed two women with pregnancy induced hypertension and instituted the appropriate treatment and advised the patients to attend the secondary care hospital in the area.

Patients attending the women’s reproductive health clinics

4.2 Child Health

NIDSG’s original plan was to treat children from birth to 2 years at the two camps. However, because of the wider needs, the MCH team treated ended up treating circa 200 sick children, aged between a few days old to 5 years over the 4 days. Many children encountered were malnourished and had upper respiratory infections, gastrointestinal conditions, infections, especially skin infections like scabies and impetigo. Overcrowded living conditions has led to easy spread of diseases amongst the inhabitants. The most common pathology amongst the children was malnourishment, restricted growth, and dehydration. Diarrheal illnesses were also rampant, and the Association of Nigerian Physicians in the Americas (ANPA) provided necessary oral rehydration solutions, and multivitamins, via a local distributor, that were distributed to patients.

Patients attending the child health clinics

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4.3 Follow-On Treatment

On the first day of the MCH clinical mission at Durumi IDP camp the team attended to a child with hypovolemic shock and another with severe anaemia. The NIDSG team urgently transferred these children to nearby local hospitals and paid for the children to receive care till they were discharged. In Wassa IDP Camp, the team identified 2 other children who required urgent specialist care (a 4-week-old child with a large inguinoscrotal hernia, also very malnourished with extensive bullous impetigo; a moderately severe skin infection that can lead to multi-organ failure if left untreated. Another 6-monthold boy, also malnourished and in constant pain was diagnosed with congenital glaucoma of the Left eye. Congenital glaucoma if not immediately treated, could result in loss of vision. It is worthy to note that the mother and his grandmother, had trekked several miles to get to the Wasa clinic to receive care when they learnt the NIDSG team was coming to the Wasa IDP camp. NIDSG was able to liaise with a local hospital for treatment and follow up care. NIDSG arranged and paid for specialist surgery for these children.

Child patient before treatment, after impetigo treatment and after inguinoscrotal hernia surgery

Unfortunately, the mother of the child with hypovolemic shock had been previously subjected to violent gang rapes two separate times. NIDSG has asked our Mental Health local partners, NEEM Foundation to help provide psychotherapy, although the language barrier has made this difficult. Options to overcome this barrier are still being investigated,

5. Malnutrition is a Key issue Impacting the Health of IDPs

Through our pre-mission investigations, NIDSG was made aware that malnutrition is a major issue faced by people in IDP communities. This has a significant impact on the future cognitive and physical development of children in particular. The obvious reason for this is the IDPs poor nutrition, and diet which consists mainly of maize with no protein source whatsoever. The malnutrition in children commences from birth, as the mothers who are already undernourished, breast feed their children up to 2 years of age or more. Mothers are also multiparas i.e., have had lots of children average 4 children to each mother. To address this issue, NIDSG also partnered with the FCT nutrition team, who provided health education to patients that were identified as being malnourished, commenced feeding regimens and disbursed multiple micronutrient supplements (MMS) to both mothers and children in Wassa and Durumi IDP Camps.

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The MCH team were advised to provide some sort of sustenance alongside medical treatment. After debating various options, the MCH team decided not to do this for 3 reasons:

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6. Stakeholder Engagement and Collaboration with local Partners

6.1 Engagement Stakeholders in IDP Communities

NIDSG engaged with local stakeholders to assess IDP needs, mobilization of patients in the IDP camps and mobile clinic set-up. NIDSG created an assessment form to gather information on patient needs and existing medical provision and worked with the IDP Camp Health Workers and Women Leaders to complete this. Permission was obtained from the Wassa and Durumi IDP Camp Chairmen to carry out the MCH mission in their camps. Close liaison with women leaders and volunteer health workers in the IDP Camp Health clinics, and significant effort by these indigenes, was critical for mobilizing pregnant women, mothers, babies, and toddlers to attend the clinics.

The Methodist Church in Durumi kindly offered their church premises for the MCH clinics for Durumi Camp. However, conducting the medical clinics in a Church near the Durumi IDP Camp led to a minor setback as some of the patients (of Muslim faith) were not comfortable going to the church to receive treatment, because they thought NIDSG was running a religious mission. This resulted in a delay in starting the clinics on day two. However, the medical team relocated the Durumi IDP Camp MCH clinic into a small medical facility in a shipping container within the Durumi IDP Campgrounds. The Wassa MCH clinics were also delivered from a small medical facility in a shipping container within the camp and in a couple of canopies erected by NIDSG outside the facility.

6.2 Collaboration with Local Partners

NIDSG worked in collaboration with the of University of Abuja Teaching Hospital , who provided a Hausa speaking local medical team of doctors and nurses (1 x O&G, 1 x Paediatrics, 2 x Nurses) to support NIDSG’s MCH mission, and transported them to and from the IDP Camps every day. The local medical staff were a valuable resource, as they provided most of the translation and were critical to the success of the mission. For example, the paediatric resident, provided targeted health education to the families attending the MCH clinics, gave explanations/directions given for the medications prescribed and helped to coordinate follow-up care for the 4 children requiring further specialist in-patient treatment. The local team worked very well under NIDSG supervision, and also gained on-the-job, mentoring and knowledge transfer from NIDSG’s highly experienced MCH team. NIDSG is very grateful to them for doing a great job and to the Chief Medical Director of the University of Abuja Teaching Hospital, Prof Bishop Ekele, for providing the local medical staff and transportation for the staff.

NIDSG also partnered with Health and Human Services Secretariat and Primary Health Care Board of the Federal Capital Territory in Nigeria , where the Wassa and Durumi IDP Camps are based, and in particular the FCT Nutrition Coordinator, Mrs Clementina Okoro. The multiple micronutrient supplements (MMS) distributed to address malnutrition in both mothers and children in the IDP Camps visited were provided by Vitamin Angels – a global Non-for profit. The FCT Primary Health Care Board also used NIDSG’s MCH mission as an opportunity to register babies presented for treatment in the IDP Camps.

NIDSG 2022 Annual Report Number 1191702

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The NIDSG MCH Team worked with local partners from the University of Abuja Teaching Hospital and a team from Primary Health Care Board of the Federal Capital Territory in Nigeria

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7. Medicines and Medical Supplies

The MCH team travelled with a substantial number of medicines and supplies because of uncertainty over local availability, costs, and quality. However, some items were unavailable and the team topped supplies with purchases from local sources. The Association of Nigerian Physicians in the Americas (ANPA) also donated oral rehydration solutions and vitamins for children attending the NIDSG MCH clinics. The MCH Clinical team donated medical supplies such as gloves and other consumables, that were severely lacking, in Health Clinics in the IDP Camps. NIDSG also donated medical supplies and equipment to the University of Abuja Teaching Hospital.

The NIDSG MCH Clinical team handing over some of the medical supplies to the University of Abuja Teaching Hospital, to the Durumi Camp IDP clinic and receiving the ANPA donation of multinutrients for IDP children

8. Accommodation, Transport, Security and Logistics

Accommodation, Logistics, transportation, and security arrangements were excellent. The hotel accommodation for volunteers was relatively central and quite comfortable. The MCH team was co-located with the MHPP Trauma Counsellor Training Team. Durumi Camp was within the Abuja City Limits, However the Wassa IDP Camp was outside Abuja, but within the Federal Capital Territory. The Clinicians were transported in a Toyota people carrier and there was a 4-person armed security escort in a separate HiLux pickup (a second Toyota people carrier provided by Mrs Dagazau proved very useful). We are grateful to the Honourable Minister for Mines and Steel Arch Olamilekan Adegbite, for providing transport, security, and logistics support at the airport.

9. Recommendations for the future MCH Missions

The following key recommendations will be explored for future MCH clinical missions:

NIDSG 2022 Annual Report Number 1191702

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NIDSG 2022 Annual Report Number 1191702

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NIDSG 2022 Annual Report Number 1191702

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Appendix A: NIDSG’s Lay Trauma Counselling Team

----- Start of picture text -----
Name Experience Nationa
lity
Tally Tripp Adjunct Professor at George Washington USA
University's Graduate Art Therapy program and
Founder and Director of the George Washington
University Art Therapy Clinic. She is an expert in
psychological care to survivors of sexual and
gender-based violence (SGBV) and recipient of the
International Society for the Study of Trauma and
Dissociation (ISSTD) Fellow Award, 2017
Lorette Dye Psychologist, Art therapy expert, Rector of Art South
Healing Academy. Expert with an M.Sc. and vast Africa
experience in psychological care to survivors of
sexual and gender-based violence (SGBV)
Dr (Mrs.) Consultant and specialist in Rehabilitation Nigerian
Zainab Imam Psychiatry, Psychodynamic Psychotherapy,
Perinatal Psychiatry and Early Intervention in
Psychosis. She is a Member of the Royal College of
Psychiatrists
Dr Chris Chris Piwuna is Head of Department and Associate Nigerian
Piwuna Professor in Psychiatry at Jos University Teaching
Hospital.
Dr Femi Consultant Psychiatrist in the UK National Health Nigerian
Adebajo Service and a member of the Royal College of
Psychiatrists
Dr Wale Clinical Director and Consultant Psychiatry in the Nigerian
Lagundoye UK National Health Service and Honorary Senior
Clinical Lecturer in psychiatry at the University of
Sheffield, UK, and member of the Royal College of
Psychiatrists (MRCPsych)
Dr Geoff Consultant Forensic Psychiatrist/ in the UK NHS and Nigerian
Ijomah member of the Royal College of Psychiatrists, with
qualifications and a special interest in
psychotherapy
Adetutu Spent over 15 years as a Senior manager Nigerian
Asielue supporting Mental Health Service Operations
across severe, complex, and non-Psychotic services
within a UK NHS Trust
Dr Ijomah was unable to join the 2022 mission due to the lack of availability of
remote delivery facilities at Lux Terra Foundation
----- End of picture text -----

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Appendix B: Maternal and Child Health Team

----- Start of picture text -----
Name Experience Nationality
Profess Consultant obstetrician and gynaecologist in the UK Nigerian
or NHS with over 40 years’ experience in a wide range
Rotimi
of obstetric and gynaecological disorders. Recipient
Jaiyesim
of the UK Health Service Journal National Award and
i
Lifetime Achievement Award from University of
Ibadan for services to medicine.
Dr Ify is a Consultant Paediatrician for the Kaiser Nigerian
Anidi Permanente, one of the largest Health Maintenance
Organizations in California, U.S.A. She has over 30
years’ experience as a doctor and is a veteran of
many several medical missions to the medically
underserved countries
Dr Brigit Consultant Paediatrician in the UK National Health Nigerian
Allagoa Service, with over 30yrs experience. Dr Allagoa is
also a former British Army Lt Col (Reserve) and
received an International Security Assistance Force
(ISAF) medal for her service in Helmand Province in
Afghanistan.
Wendy Is a UK registered nurse and midwife, President of Nigerian
Olayiwol Nigeria Nurses Charitable Association UK, she is a
a founding member of Better health for Africa UK an
expert and resource group for shaping African
healthcare, was awarded a British Empire Medal
(BEM) for service to the NHS in the Queen’s 2021
New year’s Honours list, Global WHO/UN/WGH 100
outstanding women nurse and midwife leader, and
NHS@70 women leaders Award
Mrs Is a UK registered Nurse and has been a midwife for Nigerian
Adebola over twenty years, who works as a female genital
Aroboto mutilation (FGM) and perineal health specialist
midwife in the UK National Health. In 2020 she was
awarded British Journal of Midwifery’s Midwife of the
Year Award and won the NHS@70 Excellence Awards
UK for Outstanding Contribution to Midwifery
Comrad Has over 20 years’ experience as a Nurse specialized Nigerian
e Lawal- in paediatric nursing and nutrition. Currently she
Aiyedun serves as the Chief Executive Officer of the Spina
Olubun Bifida and Hydrocephalus Care Foundation (SBH) and
mi MARCH Care Initiative (MCI). She is the pioneer of
Birth Defect Surveillance in Nigeria also served as
the first and immediate Past President of the
National Association of Nigeria Paediatric Nurses
(NANPAN), and served as member committee on the
National Surgical, Obstetrics, Anaesthesia and
Nursing Plan (NSOANP) for Nigeria
Mrs Mrs. Hafsat Dagazau is the NIDSG Country Nigerian
Hafsat Administrator in Nigeria. She also serves as the
Dagazau Programme coordinator for the Maternal and Child
----- End of picture text -----*

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Health programme. She is graduate of University of Maiduguri. Kevin Kevin is the Chair of NIDSG Nigerian Obi

*Wendy participated in planning, but was unable to join the 2022 mission for personal reasons

Appendix C: Examples of past NIDSG Charity Programmes

NIDSG has a proven track record and has delivered multiple humanitarian initiatives to support IDPs in the Middle Belt and Northern Nigeria, including:

  1. Paediatric Clinical mission provided medical treatment for 471 IDP children

  2. Life-saving follow-up treatment for two critically ill children, from the paediatric clinical mission at Jos University Teaching Hospital

  3. Local surgery for IDP victims suffering gunshot wounds from Boko Haram at Vom Christian Hospital

  4. Delivery of healthcare relief items to IDP refugee camps

  5. Training of approximately 150 Mental Trauma Counsellors (2017,2019, 2021), some of whom have gone on to win National Awards

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Draft NIDSG 2022 ACCOUNTS

Item Amou
nt (£)
Notes
Inco
me
Overseas Income
Private donations 2816.4
9
Donations from "Friends of NIDSG"
Corporate Sponsorship 6335.3 Sponsorship by SCIB & Co Nig Ltd
UK Income
Private donations 1114
UK Fundraising campaign and
donations from "Friends of NIDSG"
Funding for international fightsA 9180.5 9 volunteers donated their own fight
costs, and time and expertise for free
Total Income 19446.
29
Expenditure
Maternal and Child Health (MCH)
Clinics and local health worker
training
Clinical Costs 1923.2
0
Costs associated with setting up and
running mobile health clinics
Follow-up Patient Treatment 367.44 Life-changing follow-up in-hospital
treatment and surgery for 4 babies
International Flights for MCH Clinical
TeamA
5702.7
7
From UK and USA - mostly self
funded by volunteers.
MCH Team Accommodation and
subsistence
1,749
Accommodation and subsistence for
MCH medical team for 1 week
Sub-total MCH Clinics and health
worker training costs
9742.4
1
Lay Trauma Counsellor Training
Accommodation & Subsistence 4687
For Instructors and trainee
counsellors
Course delivery 3252.3
7
Printing, catering, venue costs,
admin expenses
International FlightsA 7575.4
9
From UK, USA, South Africa - mostly
self-funded by volunteers
Sub-total Lay Trauma Counsellor
Training costs
15514.
86
Sub-total Logistics & Admin
costs
470.69
83
2 x Security team and transportation
and other miscellaneous costs for
MCH Clinics and Lay Trauma
Counsellor Training
Total Expenditure in 2022 25727.
97

Draft NIDSG 2022 ACCOUNTS

Operating Surplus (defcit) -
6281,6
8
Defcit for 2022 covered by reserves