Lalmba Association

“Stephanie and robert andzik are husband and wife. Hillary and jeff james are husband and wife.”

“The board acts on all business. There are no committees.”

“The executive director reviews the return before it is filed. Each member of the board of directors also receives a copy of the return for review.”

“Board members are asked to disclose all conflicts of interest on a yearly basis. Board members are not entitled to vote on decisions to enter into a transaction involving a conflict of interest.”

“The independent members of the board of directors reviews and approves the salaries during the annual budget process.”

“Separate financial statements are not prepared. Financial information may be found on the completed 990, which is available through guidestar. The form 990 is also available on the colorado better business bureau website.”

“Primary health care lalmba runs static health care facilities in rural kenya and ethiopia, where we provide high quality care for the poor. We believe that successful development in poor communities requires a healthy population with access to modern health care. In kenya, we operate the matoso clinic, serving a catchment population of about 50,000 people, and the ochuna dispensary, serving a catchment population of about 20,000 people. In 2018, we treated 23,796 outpatients in kenya. Hiv has done great damage to the family structure in these communities, leaving behind orphaned children and elderly parents with no one to care for them in their declining years. We change this dynamic through intensive hiv counseling, education, and treatment for those who test positive. In 2018, 2,987 people were tested and counseled on hiv prevention. 602 people are receiving anti-retroviral therapy. In ethiopia, we operate the chiri health center, serving a catchment population of 50,000 people, and the agara bushi primary clinic (abpc), serving a catchment population of 15,000 people. In 2018, we treated 9,531 patients. We have a 15-bed hospital ward where we provided 24-hour intensive treatment to 328 critcally ill patients. 87 of our inpatients were severely malnourished children, who required 3-4 weeks of intesive care. They would have died without it. Hiv rates in ethiopia are traditionally low but on the rise. Our teams of nurses and public health educators have received additional training to address this major issue. In 2018, we tested and counseled 1,845 patients at the chiri health center. Currently, we have 65 hiv+ patients receiving art and continual therapy. Public health care in kenya and ethiopia, our public health programs aim to prevent disease before it starts. Here is where the long-term battle for health is won. A diagnosis of malaria can mean weeks in bed for a child or parent, for example. A person who stays healthy won't need those weeks away from work or school, improving their financial and educational potential. Intensive health education tailored to the cultural needs, the most prevalent health issues, and the learning abilities of the people we serve is a goal of this program. Early intervention in the form of prenatal care, well-baby checks, and immunizations makes up the other part of our public health program. In total, 48,046 people were touched by our ph teams in 2018. Mobile clinics traveled to remote communities two times each week to provide education, immunizations, and mother/child health care. Education topics included hiv/aids prevention, transmission and treatment, hygiene, malaria prevention, clean water, and nutrition. Children at risk in 2018, lalmba provided for the basic needs of 1,062 at-risk children who live with guardians in the community. In kenya, 951 primary school children received school supplies, uniforms, books, school fees, health care, and supplemental nutrition to ensure good health and a quality education. An additional 103 students received scholarships to attend secondary school and vocational training. The large number of orphans requiring care in kenya is due to the aids epidemic which caused mass deaths in their parents' generation. Three years ago, we introduced a new microloan program in kenya which lends business startup money to guardians of our rcar orphans, women who know how to reach independence, but lack the means to get started. In ethiopia, lalmba provided school supplies and clothes, health care, and nutritional support for 57 children who live with guardians in the community. Attendance in school is a strict requisite for participation in the program. Elder care in this part of africa there is no such thing as social security or retirement, no assisted living communities for the elderly. For generations, the family structure has provided the safety net for the elderly when they become too old to care for themselves. But that safety net has been eroded by hiv/aids.”

“The people who make lalmba a success - we have one very dedicated part-time volunteer who works to log our donations and ensures that our friends are thanked for their generous financial support. - we have two volunteer medical directors, who embrace our mission and are dedicated to service. They advise on how to meet all of our health care goals and visit projects annually to ensure we provide the highest care possible with our limited resources. - because of these volunteers and their dedication, hillary and jeff james, lalmba's only employees, can put more energy into directing lalmba's vision and mission, strategic planning and capacity building, recruiting volunteers, and keeping the organization financially healthy through robust fundraising efforts that plainly tell the stories of the people we serve. In africa lalmba's programs are run by 102 local staff and 3-6 expatriate volunteers who are specialists in medicine, public health, financial management, and program development. In 2018, 7 expats from 5 different countries served as expert volunteers, mentoring our african staff and ensuring that our program goals are met. Our african staff serve in many professional and support roles. Our leaders in kenya are marico osiyo (project director) and jenifer atieno (children's director), and our leaders in ethiopia are atinafu gebre yohanis (general manger), desalegn nedi (ethiopian medical director), and aselefech terefe (children's director). We also have cleaners, drivers, guards, nurses, groundskeepers, health officers, housemothers who care for the orphans, and administrators. All of these people are vital to our operations. We also have many african volunteers who spend several hours each month on oversight committees, teaching in their villages, monitoring and mentoring microloan recipients, or visiting hiv patients or the elderly in their homes between clinic appointments.”