1. By Francis N. Kateh, MD, MHA, MPS/HSL Medical Director/CEO May, 2011 Jackson F. Doe Memorial Regional Referral Hospital “Caring with Compassion and Quality” " Caring with Compassion and Quality" 1

2. The History begins with Him Paramount Chief Strother -giver of the land (50 acres) on which the Hospitals (both old and new) are built " Caring with Compassion and Quality" 2

3. History The thought of a hospital being built in Tappita came about in the mid 70s when the Late President William R. Tolbert envisioned the need for the erection of such facility in Tappita. The necessary arrangements were made but it did not come to fruition due to his death. The Late President Samuel Kanyon Doe decided to engage partners in order to fulfill this vision and subsequently bring about a genuine reconciliation between the people of Nimba and Grand Gedeh Counties. The effort of the late President Doe led to erection of a structure that was not officially opened prior to the civil crisis but was vandalized during the crisis. " Caring with Compassion and Quality" 3

4. Photos of the Old Hospital & Residence for Staff built during President Doe’s Administration Old Hospital Old staff residence " Caring with Compassion and Quality" 4

5. Continuation of History During the 2005 presidential campaign, the people of the Tappita District requested from then Mrs. Ellen Johnson Sirleaf to prioritize the renovation of the Tappita Government Hospital if elected President. Her response was an overwhelming yes! On countless occasions, leaders make promises during campaign season but because of priorities within priorities, these promises are not kept. However, this was not the situation regarding the Tappita Government Hospital. It became a priority within priorities by Her Excellency, Madam Ellen Johnson Sirleaf. She immediately began taking concrete actions to facilitate its fruition immediately after her ascendency. " Caring with Compassion and Quality" 5

6. New Structure The history of Tappita Government Hospital blossomed from just an ordinary district hospital to a Regional Referral Hospital of international standard and quality as a gift from the People’s Republic of China to the People of the Republic of Liberia. This is the 2nd Tertiary Hospital in the nation. Area View –New Hospital Medical TechnologyOut Patient Dept In Patient Administration/Cafeteria " Caring with Compassion and Quality" 6

7. Best of the Best in the Region In patientOne of the two elevators Mini Distillation Unit Two of the three 500KVA Generators " Caring with Compassion and Quality" 7

8. Modern Equipment 1 st CT Scan in Liberia Operational Unit of the CT Scan " Caring with Compassion and Quality" 8

9. CT Scan at Work 1 st CT image in Liberia Pt being positioned Pt being wheeled after imagingBrain image " Caring with Compassion and Quality" 9

10. 1 st C-Section Focusing of OR light prior to surgery Completion of surgery " Caring with Compassion and Quality" 10

11. Patient being brought to JFDMRRH As a tertiary hospital, most pts are transferred from around the country including Ivory Coast and Guinea From Inception Feb. 4 –April 26, 2011 OPD Visit ………… 1112 In patient …………. 455 Total 1567 Female (Adult)….. 623 Female (Children).. 205 Male (Adult) ……... 567 Male (children) ….. 172 Total……………… 1567 Surgeries Total Surgeries.. 46 C-section…………. 9 Hysterectomy….. 5 Myomectomy ….. 4 Herniorhaphy….. 16 EOU……………….. 8 Exploratory Laporotomy… 2 Apendectomy …………….. 2 " Caring with Compassion and Quality" 11

12. Modern Equipment Echo-cardiogram ENT (Ear, Nose and Throat) Unit " Caring with Compassion and Quality" 12

13. Modern Equipment Automated Chemistry Analyzer Automated Hematology Machine " Caring with Compassion and Quality" 13

14. Modern Equipment Histological AnalyzerTissue Embedding Machine " Caring with Compassion and Quality" 14

15. Modern Equipment One of the six VentilatorsIncubators " Caring with Compassion and Quality" 15

16. 2 nd Floor Medical Technology Building going towards the Laboratory " Caring with Compassion and Quality" 16

17. Front View (Out Patient Department) " Caring with Compassion and Quality" 17

18. Night View- OPD " Caring with Compassion and Quality" 18

19. Two of the Six Residential Apartments " Caring with Compassion and Quality" 19

20. Strategic Importance Tappita  Looking at the road net work, Tappita is almost centrally located  It has the propensity to be like Mayo Clinic which is in Rochester, MN that begun in a farming community- Today, it is a world renowned facility in terms of excellence in health care  With the advance medical equipment, business and other economic activities will boom  The location is ideal for solitude in building a viable healthcare service of quality and excellence " Caring with Compassion and Quality" 20

21. The way forward With this magnificent gift from the People’s Republic of China, what are we as a nation, people and individuals can do to make this institution world class? What are the immediate challenges? What are the short and long term goals for the institution How can we get there……. " Caring with Compassion and Quality" 21

22. Immediate Challenges Recruitment of specialized physician in these various disciplines Pediatrician ENT (Ear, Nose and Throat) Gastroenterologist Ophthalmologist with expertise in retina care Pathologist Radiologist with diagnostic expertise and CT interpretation Obstetrician/Gynecologist Cardiologist General Surgeon Urologist Oncologist " Caring with Compassion and Quality" 22

23. What has been done MOU has been signed between Korle Bu Teaching Hospital and Jackson F. Doe Memorial Regional Referral Hospital in the provision of short- term consultants in helping to build the capacity of the institution. This has begun and has been a short term remedy for the provision of services although a little costly. MOU has been signed with the Egyptian Government through a Tripartite agreement including the Governments of China and Liberia for Egypt to provide at least two specialized physician Due to the Egyptian crisis, there has been some delay. " Caring with Compassion and Quality" 23

24. Recruitment, Building Relationships/ Capacity for Liberians Presently reviewing the salary structure for specialized physicians in the African Sub region and India Based on the results, we are going to recruit specialized physician in each department that will enable us to build our capacity while providing quality health care to the people of Liberia and the sub-region. Proactively engaged other institutions to provide short term specialized physician through a bilateral relationship. This process involves everyone that have the connection(s) with institution that will be willing to help. Housing, feeding and local transportation will be provided. " Caring with Compassion and Quality" 24

25. Accessibility to Care With all of its splendor in technology, if access of care is not adequately address, the short and long term goal will be blurred, hence the following is being looked at: Toyota Land Cruiser Ambulance The minimum of six including one for critical care patient has to be in placed before December 2011 Medical Helicopter We are in discussion with the manager of Carolinas Healthcare System Medical Helicopter’ Director to assist in a feasibility studies that will enable us to get the right kind of Helicopter that will withstand the Liberian terrain with low cost maintenance. He will visit Tappita in August, 2011 " Caring with Compassion and Quality" 25

26. Building Capacity Presently there are 24 staff from the Hospital in Shanghai, China undergoing six weeks intensive training in operating various equipments. Five Chinese technicians will come to Tappita for one year to continue in the building of staff capacity beginning this August. The need to establish a Para-medical institution in the following areas will enhance capacity: Sonogram/ Echocardiogram Technician C-T Scan Technician Biomedical Equipment Technician " Caring with Compassion and Quality" 26

27. What next Establishing a Cancer Treatment Center The Levine Institute of Cancer Research, Charlotte, NC is willing to work with the institution in training and the development of protocols for treatment in the following types of cancers: Cervical Breast Various forms of Lymphomas Establishment of a Dialysis Center A meeting is being arranged with a provider that will donate the equipment and train staff with the understanding that all of the reagents will be purchased from them. " Caring with Compassion and Quality" 27

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29. So…….. The dial has been cast, the seed has been planted.. It is incumbent upon everyone of us to unite and work together in building a healthcare institution in Liberia that will become a hub of quality and excellence in patient care. We can make it if we put our differences aside and work together for the common good of our people. I am of the candid opinion that by saving lives, those that have been lost during the course of the crisis will smile and say, “my life has not been destroyed for nothing, but has served as a conduit for greater and better Liberia…” " Caring with Compassion and Quality" 29

30. Hence…… The Chinese Ambassador- Xhou Yuosio said during the official opening and dedication that “the Chinese build a building, but it is up to Liberians to make it a hospital” Are we going to yield to the call of service…. Think about it….. " Caring with Compassion and Quality" 30

31. Bidding Farewell As I leave you, it is my plea that we keep in contact and please help me build a vibrant institution that we will all be proud of….. " Caring with Compassion and Quality" 31

32. Contact Information Thanks a million Email: Frankateh@aol.comFrankateh@aol.com Cell: 0112316360715 " Caring with Compassion and Quality" 32