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2019 Annual Report (5)

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The Foundation began its partnership with the Rural Health Fellowship on the Rosebud Reservation in 2017 and renewed

its funding with a 3-year grant commitment of $250,000 per year (2019 - 2021).

Schooner recently convened the leadership of the MGH Rural Health Fellowship, Rosebud Economic Development

Corporation (REDCO), Boston University Center for Innovation in Social Work and Health (BU CISWH), Partners in

Health/COPE, and other leaders engaged on the Reservation. During this meeting, stakeholders shared their visions for

their work and identified areas for partnership and future collaboration. Partnership. The meeting proved to be a success

and constructive next steps are emerging.

Impact And Successes

- In 2018, MGH assisted the Tribe in obtaining $500,000 over two years through the Substance Abuse and Mental

Health Services Administration (SAMHSA) for opioid care.

- In 2019, MGH assisted the Tribe in obtaining a $4 million five-year grant for youth suicide prevention, alsot

thruogh SAMHSA.

- In the summer of 2019, MGH assisted the Tribe in obtaining a one-year planning grant through the IHS for the

deployment of the Tribe?s Medical Mobile Unit.

- In 2018, the Mass General clinical team performed 4,000 patient visits at the Rosebud Indian Health Service.

- The Suboxone program cares for 10-12 patients, helps these patients maintain sobriety from opioids and, by

doing so, helps keep the opioid epidemic from striking the Reservation.

One Heart Worldwide | Nepal

Current Grant Commitment: $265,000 over 3 years ($85,000 in 2019 and $90,000 in 2020 and 2021)

Total Granted to Date: $110,000 SF Grantee Since: 2018

Annual Budget: $3.26M Founding Year: 2004

Founder: Arlene Samen (Founder and President)

Relationship: Cynthia and

Stephanie

One Heart Worldwide?s (OHW) mission is to improve access to, and utilization of healthcare services to reduce the risk of

maternal and neonatal mortality in the most remote, rural areas. They believe that all women and newborns can receive

the quality healthcare services they deserve during pregnancy and childbirth, anytime and anyplace. OHW seeks to build

a network of safety around a mother and her baby to end these needless deaths.

Based on over ten years of experience in the Tibetan Autonomous Region, OHW has established an effective, replicable

and sustainable model to reduce preventable deaths related to pregnancy and childbirth among vulnerable populations in

remote rural areas with limited access to care. They are currently active in 13 districts in Nepal, representing 122

municipalities. Essential to the OHW model are integration of local resources, collaboration with local communities and

providers, and respect for cultural norms and practices.

One Heart Worldwide was first introduced as a discretionary grant by Cynthia, and became a Foundation grant in 2019.

Following a site visit this April, OHW and SF are implementing a new joint training package including Helping Mothers

Survive (HMS) and Helping Baby Breathe (HBB), two established evidence-based, hands-on training protocols developed

by a unique partnership of notable leaders in global health (Jhpiego, Laerdal Global Health and the American Academy of

Pediatrics).

Both HMS and HBB have been developed to reduce maternal and neonatal mortality in resource-limited environments.

HMS and HBS modules are data-driven teaching materials that consist of concise facility-based training sessions,

followed by short, frequent sessions to improve team performance. They also instill the importance of tracking

improvements in outcomes. In the realm of skills transfer, these curricula are on the forefront of improving outcomes for

women and babies.

? Helping Mothers Survive (HMS): is designed to improve the quality of care to women and families. It is a suite of

hands-on, simulation-based learning modules designed to improve and sustain the critical skills of midwives, nurses,

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