Celebrating 10 Years of Ministry

Overcoming Challenges in Health Together

2016 Annual Report

A Ministry of Sharing Health & Hope

Words will never be enough to express our gratitude and how deeply touched we are fto have the privilege of being in ministry together. For the past 10 years, AMOS has been about sharing with one another. We are so grateful to all of you who have been our teachers, friends, mentors and cheerleaders – from community leaders and health promoters to our team here at AMOS and all of you who have shared your time, wisdom, and talents with all of us here in Nicaragua. Thank you for serving alongside us -- for sharing your faith and pouring out your hearts to the people we serve,

for helping to spread the word about AMOS, for praying for us, and for sharing your resources to support health programs that help communities improve their well-being and save lives. These 10 years of ministry alongside communities in need have only been possible because of you--our loyal and wonderful supporters!

Our Visionand Mission:

MissionAMOS is a Christian non-profit organization that exists to improve the health of impoverished communities by working alongside them in health, education and development.

VisionThrough our partnerships, we seek:• Health for all people• A world where no child dies of a preventable disease• Effective and empowering health care Thank You!

You are reaching out to hundreds of moms like Janet and giving them hope for their children!

Petronilo Gaitán is the health promoter of Fila Grande, in Matagalpa. One evening, Janet Balladares arrived to the community clinic with Juan, her three-month old baby who was barely moving. He had trouble breathing, and his skin looked blue. Janet was desperate.

Petronilo was recovering from a surgery and was still walking around with draininage tubes in his body. However, when his wife told him about the baby and the symptoms, he knew he had to do something.

“I asked my wife and grandchild to help me stand up. I knew the last bus to take them to the nearest government health center had left long ago, and we were more than 40 kms away from a nurse or doctor. If I didn’t help them, that baby was going to die.” Even though his whole body hurt, Petronilo carried on. “The possibility of that baby dying was more painful than my physical pain,” he said.

“I examined little Juan and verified he had trouble breathing and that his condition was serious. Following what we learn in trainings with AMOS I applied salbutamol to help him breath better and gave him amoxicillin. I kept the baby in the clinic and 2 hours later I saw his skin was gaining color and his respiratory frequency was getting better. Four hours later, it was noticeable that the baby was able to breathe better.”

“For the glory of God, little Juan is growing up healthy and beautiful, and his family is incredibly happy.”

Petronilo lovingly serves the 777 people living in his community, with a special emphasis on the most vulnerable: children, pregnant women, and the elderly.

Petronilo’s wife captured this photo of him attending to Juan on her mobile phone.

Serving the Most Vulnerable

“The possibility of that baby dying was more painful than my physical pain.”

0

2

4

6

8

10

Deaths of Children Under 5

Neonatal Dealths (28 days or younger)

20162015201420132012

Decrease of Deaths in Children under 5 Years in

Rural Communities

0Maternal deaths

$77,000saved by rural families

in medical-related expenses

In 2016:

“All endeavor calls for the ability to tramp the last mile, shape the last plan, endure the last hour’s toil. The fight to the finish spirit is the one... characteristic we must posses if we are to face the future as finishers.”— Henry David Thoreau

Overcoming Challenges in Health Together

When it comes to health inequities, we cannot ignore the “last mile.” The last mile is where children die unnecessarily.

Formal health care systems are made up of hospitals and clinics staffed by health professionals, but people that need care must travel to them.

We see time and time again that it is the families who live farthest away in rural villages or lack the resources to pay for medications (even if the doctor’s visit is free), who suffer the most.

Bringing healthcare TO the people and uniting communities who live in the last mile to work together is what saves precious lives. For the last 10 years, AMOS has used proven, cost-effective methods to build capacity in communities to help them save babies, children, and mothers from preventable deaths.

And going the last mile has been an arduous journey that we could have never walked without YOU. You have helped us train and work alongside health promoters and volunteer mothers who know exactly what to do when a baby has pneumonia or pregnant woman is bleeding, hours

away from a doctor. The results have been remarkable – 90% reduction in child deaths and 0 maternal deaths every year in the communities we serve.

With hope, we turn our eyes to the years ahead to build upon our collective strength to create the world we long to see – one in which no child dies of a preventable cause and there can be health for all. Our passionate, experienced, and dedicated staff are united with community leaders to do our part over the next decade (and beyond if needed) in achieving this vision. Thank you for always being there for us and for the people of Nicaragua,

Drs. David and Laura Parajón

A Letter from Our Founders

Launch of Water Filter and Youth Empowerment Pilot Project

AMOS moves to Nejapa campus, takes on Samaritan Clinic

First Global Health Practicum

Essential Care for Every Baby pilot program starts in the RACCS and Chontales

Zika Prevention Pilot Project

2015

Celebrating Ten Years

A History of AMOS

Gustavo Parajón begins his community-based health work.

Accepted invitation to work with communities in the RACCS, Chinandega, and Matagalpa

AMOS’ official start, training the first group of 9 health promoters in Boaco

All new communities trained in Census based model

The first AMOS Delegation, First Baptist Church of Greater Cleveland visits Sabalete, Matagalpa

1967

2006

2007

2009

2010

2011

2012

2014 2016

AMOS Health & Hope is celebrating our 10 year anniversary, but the important work of saving lives by training local people to provide basic health care in very remote communities in Nicaragua began 50 years ago. Dr. Gustavo Parajón was one of the co-founders of AMOS and was a pioneer in community health work in his home country. We are honored to carry on the legacy he began.

AMOS Health & Hope provided services to over 60,000 people

in 2016 through four main programs:

• The Urban Primary Health

Care program, in our home community of Nejapa in Managua

• The Zika project, which serves two districts in Managua (including Nejapa)

• The Rural Primary Health Care Program, which operates in 22 community clinics in rural communities in four regions of Nicaragua

• The Essential Care for Every Baby Program, which currently serves in two municipalities in two departments of Nicaragua, will be expanding in 2017 to serve thousands more people.

“We have saved lives in difficult moments. We have seen children and their mothers in tears. We have been touched and moved by that. God has sent us to save lives, and we are ready and up for the task.“- Pedro Pablo Guillén, health promoter of Sabalete

Served by AMOS in 201662,612 People

In the Most Remote Communities

Primary Health CareOur rural health care programs aim to reduce health barriers for people living in remote areas through community-based primary health care. This approach focuses on disease prevention, health promotion, and access to health care within the community to diagnose, treat, and follow-up on the most common illnesses.

Through our partnerships with the Nicaraguan Ministry of Health, the communities, and our supporters, we are able to train local leaders on basic, life-saving health protocols, equip them with essential medications and the supplies they need to offer basic care, and accompany them in their efforts towards better community health.

Health promoters, health committee members, volunteer mothers, youth committee members, and water promoters are all part of the amazing network of community health workers who we work alongside with, and whose daily service is saving lives and improving health for the most vulnerable people.

14,098 community clinic

visits

24,764 prescriptions for

needed medications

9,603 Follow-up

home visits

0maternal deaths

Trained to Save Lives

Jessenia is a volunteer mother, a community health worker in La Danta, a remote community in the region of the RACCS. During the rainy season from June through December, this community is only accessible by canoe. As a volunteer mother, Jessenia, like other volunteers, is trained by AMOS to provide support and counseling to accompany other women during pregnancy and their postpartum period in order to improve the health of moms and babies in their communities.

One of the women Jessenia worked with in her community was 41-year-old Juana. When Juana returned to her home after giving birth, Jessenia made sure she hiked the one hour trek to Juana’s house to do a post partum visit to counsel her about the importance of breastfeeding. Three days later, Juana began to bleed heavily, and quickly remembered Jessenia’s counseling--– that heavy bleeding after giving birth was a sign of danger. She quickly asked her husband to get Jessenia, who had already activated the emergency transportation committee and arrived with the health promoter and other health committee members. Because of their training, the committee quickly realized Juana was having a postpartum hemorrhage and her life was at risk.

Once the community health network was activated, a member of the committee used his personal vehicle to take Juana to the nearest health unit, where doctors were already waiting for her and assisted her successfully.

Juana’s life was saved thanks to the important work of volunteer mothers and the efforts of a community working together!

Monitoring and

Evaluation

M&E

Monitoring and Evaluation is how we continuously improve our ongoing work and measure for impact.

In order to measure the progress we are making, our team continuously asks ourselves the following questions: How well are the activities to improve health being carried out? Are we reaching the people who most need it? What changes are we seeing in behaviors to improve health such as exclusive breastfeeding of newborns and handwashing to prevent diarrhea?

Most importantly: are we reducing health inequities in our work?The AMOS monitoring and evaluation system helps us evaluate our ongoing health work and allows us to make mid-course changes based upon community data.

In our communities, we use participatory evaluation methods such as co-developing indicators, and engaging

health committees in the collection and analysis of data, presenting data to the community, and using

data to take action through the development of annual plans.

Through monitoring and evaluation, we can see what we are making progress

and become aware of obstacles in our work. AMOS is able to detect concrete

impact such as improve neonatal care outcomes, increased access to care, and

an ability to make mid-course changes. Our impact is increased as we accompany

and work alongside community health workers to use data to measure the impact of their work.

W.A.S.H.Water, Sanitation, and Hygiene

Can you imagine a life without running water at home? In rural Nicaragua, many people collect their water from open streams and springs that are vulnerable to contamination. This means that entire families, especially children, suffer from diarrhea due to water contamination, which can lead to malnutrition and even death.

Since 2010, health committees have been trying to change this with the help of our Clean Water Program. Every year, service teams take long hikes with community members to reach the more remote houses to help the health committee members install a water filter in each household that needs one. They also check on the ones that were previously installed to make sure they are still working fine and producing safe drinking water.

Using a community empowerment approach, we started training water promoters to provide maintenance and perform minor repairs to water filters in their own communities. In 2016, we had trained water promoters in the communities of Banco de Sikia, Nawawasito, and El Bambú. These amazing volunteers and health committee members also conduct talks at schools and regularly visit homes to educate children and their families on personal and home hygiene, waste management, and how to prevent recontamination of filtered water.

Every year, service teams devoutly

walk and hike to reach the most remote houses

to help the health committee members install and supervise water filters in

each household that needs one.

The problem:

Contaminated water and lack of hygiene and sanitation can lead to sickness, and even death.

since 2010:1,411Filters

Installed in 21 Communities

Over 5,382 People With Clean Water

692 under the age of 5

Hand washing

Proper garbage disposal

Preventing recontamination of clean water

AMOS’ Solution

Sanitation and Hygiene Education

AMOS is working with the Nicaraguan Ministry of Health to take action and make sure that mothers and practitioners know how to

provide Essential Care for Every Baby: E.C.E.B.

Essential Care for Every Baby

While the death rate for children under five years old has improved dramatically in the last decade, this is not the case for neonatal mortality, defined as death within the first 28 days of life - which has shown little improvement. Because this is the main cause of childhood mortality in the developing world, AMOS is taking action to make sure that doctors and nurses in clinics and health promoters, midwives, and mothers in the communities know how to provide Essential Care for Every Baby - E.C.E.B.

Low-cost, evidence-based interventions to reduce the neonatal mortality rate include training health professionals in neonatal resuscitation, and essential newborn care including skin to skin contact, early initiation of breastfeeding in the first hour of life and training parents to recognize signs of danger for common illnesses in babies.

In 2016, we launched the E.C.E.B program with several university and government partners, working in two rural government health centers of the Nicaraguan Ministry of Health (MINSA) in two municipalities in the department of Chontales. Our ECEB team included three nurses who helped support MINSA’s physicians and nurses with training and the development of quality improvement teams to improve the correct application of newborn care guidelines for newborns and their moms. At the community level, our team also worked to train health promoters, volunteers and midwives to improve newborn care.

Thanks to these efforts, there was an increase in early initiation of breastfeeding rates of up to 91% and skin to skin contact in the first hour of life of up to 100%. Both of these practices have been shown to strengthen a baby’s immune system, increase mother-baby bonding and reduce future health complications.

ECEB

“Thanks to the counseling that the health center staff do using the parent’s guide the number of sick newborns coming in has diminished. Moms are taking better care of their babies following the instructions of the health center staff and the parent’s guide.”Mario Lazo, Director of El Ayote health center

A Focus On Nutrition

For the past 3 years, a drought has affected San Onofre and the 4 rural communities we serve in Chinandega, leaving them without enough food. This increased child malnutrition and anemia, and posed a threat to children’s health.

Following on our experience with the Healthy Moms, Healthy Kids project in 2014, we developed a Nutrition Project that reached out to 391 children, pregnant and lactating women, and elders.

Last April Dr. Gretchen Berggren, nutrition specialist, visited San Onofre to understand the context, food available, and the limitations for good nutrition; and also conducted a cooking contest with moms from Nejapa to create highly nutritious recipes that were acceptable and accessible to the community.

Thanks to Dr. Berggren’s assessment we developed the program’s methodology and created educational materials to teach moms about food as a source of energy, proteins, and vitamins. Through our partnership with Convoy of Hope, we were able to provide monthly nutritious food supplements since August.

Volunteer mothers and other members from the community network are conducting monthly home visits to educate moms on good nutrition, follow-up on the preparation of food, and measure children’s height and weight to keep track of their progress.

We developed a Nutrition Project that reached out to 391 children, pregnant and

lactating women, and elders.

Youth are our future, and if we invest in youth they will have the power to make a difference in their communities. Since 2013, AMOS has been working with youth using empowerment education methods to contribute to reducing and preventing alcohol and drug use, tobacco use, accidental injuries, depression, teen pregnancy and poor nutritional habits. As part of the program, we also encourage youth participation in social action projects designed to improve health and influence community policy.Our program is currently in five communities in the RACCS region as well as three sectors in our semi-urban community of Nejapa. In each community, we begin by listening to the youth through methods like photo voice -- which gives youth cameras to take pictures of their community strengths, dreams, concerns and hopes. From Photovoice, we then work with the youth to develop action plans using their strengths and hope to address their concerns to arrive at their dreams! This past year, work with the you included facilitating community movie nights, youth fairs, sports activities, and trainings on leadership, community organization and self-esteem.Youth empowerment committees have been formed in the communities of La Danta, El Bambú, and Nejapa. In 2017, these youth leaders will be trained to be facilitators to work with other youth in their communities to share their knowledge and support behavior change to lead healthier lives with a mission to serve!

EmpowermentYouth

“I want to strenghten myself as a person, my self-esteem, and be able to transmit self-confidence to other young boys and girls, so that they think consciously about their actions before doing them.”

Marcia Elena Paiz, 17 years old, youth group member in Nejapa

To reach out more effectively to people in our home community of Nejapa, we adapted the model we use in the rural areas to our own semi-urban setting to provide prevention and health promotion services.

In 2014 we trained local health advisors (called Consejeras de Salud) who are members of the Nejapa community with a call to serve! The consejeras work alongside our clinic staff to follow-up on the most vulnerable patients through home visits.

Consejeras also work with our staff to facilitate support groups for pregnant women, youth, and patients with chronic illnesses. These sessions are an effective way for patients to learn from each other, share their experiences, and support each other in trying to improve their health.

The number of patients seen in our urban clinic has been increasing as more people in Nejapa and the surrounding neighborhoods have been hearing about the services we provide. Patients pay a symbolic fee and receive donated medications. U

rban Health

18,787 PrescriptionsFor needed medications

121 Patients Had access to specialized treatment

121 MembersReached by support groups

Chronic Patients’Support Group:48 participants

Youth EmpowermentGroup:35 participants

PregnancySupport Group:38 participants

7,227 ConsultationsIn the Samaritan Clinic

740 Home Visits Made to our most vulnerable neighbors6,532

PeopleLiving In1Urban Community

Addressing Health Disparities in our Home CommunityUrban Health

Community Health Workers in NejapaConsejeras: Patricia Salazar has been a Nejapa

Health Educator since November of 2015. She is 44 years old and lives with her 2 children and her sister.

Five years ago, Patricia lost her husband, and 2 years later she lost her son and her mother-in-law. After that, she wouldn’t leave home and wanted to be alone. She lost her appetite and stop taking care of herself; she was depressed. Encouraged by her family, she sought help and joined her local church, where she learned about the work AMOS was doing in Nejapa.

Since Patricia has always had a passion to serve and take care of the elderly, she found in AMOS a way to make this happen:

“My dream has always been to study palliative care. My heart warms for the elders. Sometimes, people don’t treat them well because they are at the end of their lives, but that is exactly when they need more love and attention. That is why I joined the Nejapa Health Educators. At AMOS I am

learning about care for the elders and my community. I have learned how to take vital signs, test blood sugar levels, counsel on Zika prevention, teen pregnancy, good nutrition, and habits for a healthy lifestyle.

Every week I join the Chronic Patients Support Group to help facilitate the activities. And I also do home visits to follow up on their health.”

Patricia told us how working for her community has made her feel useful and alive again.

“Before, there was no one to counsel and follow up on the vulnerable and sick people in the community. Now, people recognize me as Health Educator, and let me in their homes to talk about health promotion and disease prevention.

I hope to keep learning to better serve my community, I want the elders to feel they are worthy and that we love them as our brothers and sisters, I want them to know we care and that they matter.”

At the beginning of 2016, the World Health Organization (WHO) declared the Zika virus an international public health emergency. For the majority of people, a Zika virus infection is a mild flu-like illness with headache, low grade fever, and rash, and most people who get Zika never have symptoms. But for a pregnant woman, a Zika infection can attack the fetus, which can result in birth defects like

microcephaly, blindness or seizures. Zika packs a double whammy because not only is it transmitted by mosquitoes, but it is also the first mosquito borne virus that can also be sexually transmitted. Knowing that the area where we work in Nejapa is an area of extreme poverty, and that the poorest people are always the most impacted by any disease, AMOS immediately began working with the community to try to combat the Zika virus.With our consejeras, we began working on posters about Zika prevention, symptoms to watch for, and where to get tested. Our staff, mission team members, and volunteers helped to share this information with the communities we serve all throughout Nicaragua.To impact the densely populated Nejapa (our home community) and nearby areas, we designed a Zika Prevention Project in coordination with the community and Sustainable Sciences Institute (SSI), another organization in

Nicaragua that has many years of experience in community-based mosquito control methodologies. In addition, we are using Care Groups, which is a proven, evidence-based methodology that trains community health workers at scale to help address behavior change –in this case, behaviors to prevent getting the Zika virus.A community- based response is important for mosquito- borne diseases since getting rid of mosquitoes depends on the eliminating their breeding sites. Mosquitoes breed in standing water, and even in a small bottle

Zika hurts babies most.

cap, the mosquitoes can breed—so helping communities with clean up campaigns is critical. Helping women also be able to have access to contraceptives during the “time of zika” will also important for people who want to delay pregnancy.Our current Zika prevention project is reaching 50,000 people in 2 districts of Managua, helping organize neighborhood prevention circles that eliminate mosquito-breeding sites and also to share important information about Zika prevention to pregnant women.

The Zika ProjectIn February

2016, the World Health Organization declared Zika

a public health emergency.

EducationGlobal HealthA very important part of the mission of AMOS is to help shape the leaders of tomorrow with the principles of community empowerment and participatory approaches to decreasing health inequities.

Since 2014, we have offered a unique opportunity to undergraduate, nursing, public health and other students who are interested in learning about global health. Our Global Health Practicum combines classroom work in Managua with fieldwork in our communities. Students learn from

37 students Representing 18 universities

Participated in 2 fieldwork courses

our community health workers and AMOS staff as the work alongside them to support community projects in both Nejapa and the rural areas.

Last year, 37 students took on the challenge and participated in two global health courses. Seventeen of them additonally participated in our capstone and internship programs, and effectively contributed to further develop four of our health programs:

• Zika Prevention• Women’s Empowerment• Youth Empowerment • Clean Water Program

Our hope is that these students can develop as leaders who keep community-based approaches in the forefront of the policies they will develop locally in their own communities, nationally, or globally.

Making a Positive Difference

“Working with the community is of utmost priority, and... through empowering a community, you can improve their level of health for the long term.”

-Austin Chen, Harvard University

In 2016, we were blessed to host 32 incredible service teams, who lovingly devoted a week of their time to

work alongside us and the communities we serve in rural and urban Nicaragua.

Thank you for working so hard to improve the infrastructure of clinics, walking to families’ homes to make sure they drink clean

water, sharing about God’s love with the children, training community leaders on emergency health protocols, and opening up your hearts to the

people we serve.

To all our 2016 service teams members: Thank you for putting your compassionate love in action! You have made a difference in hundreds of people’s lives.

Service Teams

Thank YouDonors andPartner Organizations

Thank You

29% of our 2016 income came from 32 organizations

and foundations

29% came from 350 individual donors 32 service teams in 2016

More than 350 individuals and 32 organizations and foundations from all over the world that share our vision of empowering communities to improve their own health, partnered financially with AMOS last year.

Your outstanding support, trust, encouragement, and accompaniment is fostering positive change in thousands of people’s lives in Nicaragua through improved access to health care, clean water, disease prevention, follow-up to the most vulnerable, and maternal and newborn care.

Thank you for making this possible!

Church PartnersThank You

Since its conception, AMOS has been blessed with the support of an amazing network of churches and people of faith. Last year, churches helped us cover 31% of our funding, so that we can continue sharing health and hope!Whether you sent a service team to work alongside us, sponsored a volunteer that came to serve, organized a collection to raise funds, opened up your doors to host us and let us share about our mission, prayed for us and Nicaragua, or made a financial contribution towards our health programs, your support has been fundamental to advance our mission.To all members of the 57 churches we partnered with last year: we are so grateful for your faithful hearts and commitment to join us in overcoming health challenges together!

“So we, though many, are one body in Christ, and individually

members one of another.”- Romans 12:5

“For you have been a stronghold to the poor, a stronghold to the needy in his distress, a shelter from the storm and a shade

from the heat.” - Isaiah 25:4

Volunteers and InternsThank You

13 volunteers

18 volunteers

42 volunteers1-3 weeks

1-2 months

4-12 months

10

20

30

40

50

60

70

80

2016201520142013201220112010Year

Number of Volunteers 19 20

29

4348

59

73

Since its beginnings, AMOS has brought people from different backgrounds together to face health challenges affecting the most vulnerable.

Last year, our skilled and talented volunteers and interns made important contributions working alongside our staff and community members:

Trained our Chronic Patients Support Group to improve their health, taught community health workers about care for wounds and burns, and how to help patients cope with emotions during illnesses, provided health care to patients in our Samaritan Clinic, participated in our Zika prevention efforts, identified asthma prevalence in Nejapa, conducted health stations to determine anemia and malnutrition rates, supervised water filters and educated families on hygiene to prevent diseases.

Thanks, 2016 interns and volunteers, for your hard work and kind hearts!

2016 Income

2016 Expenses

Youth Empowerment Project

Water, Sanitation, and Hygiene Program

Zika Prevention Project

Essential Care for Every Baby Project

Communications and Fundraising

Volunteers Projects and Coordination*

Urban Health Programand Samaritan Clinic

Guesthouse*Community Development through Service Teams*

Administrative CostsRural Health Program22.5%

16.5%

9%

4.5%

3%

18%

11.5%

8%

3%

3%

1%

Communications and Fundraising

Youth Empowerment Project

Water, Sanitation, and Hygiene Program

Zika Prevention ProjectEssential Care for Every Baby Project

Urban Health Programand Samaritan Clinic

Undesignated Funds

Volunteers Projects and Coordination*

Guesthouse*

Community Development through Service Teams*Rural Health Program26%

19%

5.5%

3%

3%

21%

12%

5.5%

3%

2%

0.2%*NOTE: Income from these three programs cover their own expenses, and their extra income helps fund AMOS’ health programs.

One of our most important core values is excellent stewardship of the resources that are entrusted to us by the hundreds of generous individuals, churches, universities, and foundations that give to AMOS. We could not do this work without you. No matter how large or how small a donation, each and every donor is an important part of this ministry. We strive through many different forms of communication - online, in-person, and in print - to share how your donations are making a truly significant impact in the lives of the communities we serve.

We are proud of and grateful for our staff that help maintain clear and transparent financial reports, sharing those with our donors and supporters every year. Many donors decide to contribute to a specific program, and our staff painstakingly ensure that those donors funds are used for the purpose they intended.

And because of the support of several key partners and donors, AMOS has been able to find innovative ways to connect with groups, businesses, and other organizations looking for lodging and conference space in Nicaragua to bring in additional funding needed to support our mission. Our AMOS Guesthouse is also a space used by the service teams and interns who work alongside us and a way we are able to show our gratitude through hospitality. The income from the services offered through our Guesthouse help cover the costs of the Samaritan Clinic and 46% of our administrative costs.

We could not be more grateful for your support that helps us continue this ministry. Please contact us if you are interested in learning more about our finances or ways you can contribute to AMOS’ long-term sustainability.

2016 Finances Being Good Stewards of the Gifts We Receive

Donors and Partners2016AMOS

Church PartnersChrist United Methodist ChurchFBC in BeverlyFBC Kansas CitySt. Aidans Episcopal Church Discretionary FundTrinity Lutheran Church of Douglas County IncABCOPADAmerican Baptist Churches of NY StateAnacortes FBCBethel Baptist ChurchBinkley Baptist ChurchChrist the King Community ChurchEldred Baptist ChurchEpiscopal Church of the MessiahFifth Avenue Baptist ChurchFBC Ann ArborFBC BentonFBC BirminghamFBC ConnellsvilleFBC Fort LauderdaleFBC Greater ClevelandFBC HamiltonFBC JohnstonFBC LancasterFBC MassillonFBC MattoonFBC McMinnvilleFBC MolineFBC PetersburgFBC SpencerFBC TopekaFirst Presbyterian Church of Topeka

First Saints Community ChurchFoothills Community ChurchGrace-Trinity Community ChurchGreenfield Baptist ChurchHills Baptist ChurchJeff Street Baptist Community at LibertyKnollwood Baptist ChurchMcGrawville Baptist ChurchMeridian Avenue Baptist ChurchMount Pleasant Presbyterian ChurchNorth Hills Community Baptist ChurchOcean View Baptist ChurchPark Avenue Baptist ChurchParkersburg Baptist TemplePate Chapel Baptist ChurchPine City Baptist ChurchPullen Memorial Baptist ChurchSt. Mark Presbyterian ChurchSt. Wilfrid’s Episcopal ChurchTabernacle Baptist ChurchThe Pittsburgh Baptist AssociationUniversity Baptist ChurchVineyard Christian Fellowship of Boise, IncWest End United Methodist ChurchWest Virginia Baptist ConventionWestlake Hills Presbyterian Church

University PartnersAlderson Broaddus UniversityChemeketa Community CollegeChristian Brothers University - MHIRT ProgramDuke University School of

NursingLerner Center for Public Health PromotionNational Autonomous University of Nicaragua (UNAN)Texas A&M University - Tri-Delta SororityThe Ohio State UniversityUniversity of Miami Medical SchoolUniversity of North Carolina - Chapel HillWake Forest University

Organizations and FoundationsAmerican Baptist Women MinistriesAlliance of BaptistsAmerican Academy of PediatricsAmerican Baptist Churches - International MinistriesChenMedChristian Aid MinistriesFirst Aid ArtsGlobeMed at Rhodes CollegeGood Samaritan Mission Councili-61 MinistriesLDS Charities

Masek FoundationMedshareMedtronic, Inc.Ministerio Mano a ManoMorris Farms, Inc.Nicaragua Medical MissionsNorth American Taiwanese Medical Association FoundationObz DesignOperation AgriPure Water Access Project, Inc.RAD-AID InternationalStrachan FoundationSustainable Sciences Institute (SSI)Teach to Transform, Inc.White CrossWorld RenewFederación Red NicaSaludVitamin AngelsConvoy of HopeAqua ClaraNicaraguan Ministry of Health (MINSA)

Individual DonorsAaron and Jillinda AnsellAdam and Sandy LaChantAdrian Rogier

*FBC is an abbreviation for “First Baptist Church.”

Aileen DuldulaoAjay PatelAlex GallowayAlistair FrancisAllen Miguel and Marjorie M. TelloAllison SnyderAlma and Matthew ReedAmanda Fowler and William FifeAmanda Hendler-VossAmber and Rudy RodriguezAndre WaldAndy Loving and Susan TaylorAngela Riley-BlanchardAnn Maria AnsellAnn MorganAnne WilsonArnold and Mary ShihArthur and Marlene FrancisAustin Patrick Egan and Kirsten MeisingerBarb and Don CatlinBarbara A WoodsBarbara BrinkleyBarry YenBenjamin and Mary HamblettBernard and Norma Herr HarrisBeth Fields

Beth GarryBeth SpenceBeth, Lynn, and Bryan MagyarBetsy FooteBetty R. BewakBhavender and Kathryn SharmaBill and Linda YostBob and Susan GallionBrandon LiBruce and Becky Van Der BeekCarol and George BauerCarol and Richard VickCarol TeverbaughCarole Boutwell and David SimpkinsCatherine SalamCathy ChangchienCathy NemtsovCecilia GoodCecillia and Alfredo LiCecily RoseCharlene and Don FollettCharles J. and Patricia A. TobeyCheryl and Gary JebsenChing ChenChristiane LondonChristine ChanChristine LaffertyCindi AllenClay Scott

Clayton BalsleyConnie WilliamsCraig and Kristen NebelCristina DamianD. B. JohanpeterD. Eileen SmithDale and Karolyn HerrigstadDale JerniganDaniel ParkDaniel SwihartDarin LondonDave and Abby StalsbrotenDavid and Dian GossDavid and Joann Elaine SwihartDavid BundyDavid ChouDavid HallettDavid HowellDavid Stewart and Carol V. HarveyDavid TrasorasDebbie O’BrienDebora ChavarriaDeborah and Ross BassettDeidre DrukDenise YennieDenny and Joanne JenkinsDewyth and Esther BeltzDiane GonzalesDick Kraft

Donald J. WatsonDonald PekrulDonna McDillDonna ShanholtzerDoreen ChangDoug and Kim DonleyDouglas MartiDr. Chuntung and Li-shie ChangchienDr. Daniel ThimannDr. Deborah Norton and Jonathan SledgeDr. Fred and Joann LaffertyDr. James and Christine HoekwaterDr. Jeffrey ChungDr. Kuen Yong and Tsai Hsiu Yen LiuDr. Michael VisickDr. Robert and Jean McElroyDr. Suzanne LakeDr. Wai Choong and Soo Kwan FoongDuane and Eileen TaylorEdith HarrisonEllen and Steve ShieldEllen ParkhurstElyse HarropEmily BernsEmily Henderson

Donors to the new AMOS Training Center with Board members, staff, and community health works at the building’s inauguration (Aug. 12, 2016).

Emily KensethEmily KerriganEric and Lori TissueEric MartinErica Coulter and Matthew MayoErminia P. McKennaEsther and Darrel MastEsther and Joe HarfordEugene AllenEugenia KirchnerEvelyn GarnessFong Ping Lee and Jen Syin TsaoFr. Michael and Cindy ArcherFran and Vic LeanzaFrank D. and Marueen J. FortGabriel LeggottGary and Jo Ann ClausGary and Margarett KunzGene and Connie MarshGeorge and Gladys HerrickGeorge and Joyce KimseyGeorge and Ronnie JacksonGeorgia M. YoungGerald and Carrie LinGreg and Amy McLarenHarold and Sylvia MartinHazel CribbHector and Argentina GonzalezHelen and Timothy HuiHelen RounceHelena Li and Samuel LamHenry and Susan BodeIrene Chen

J.E KohlhaseJaividhya DasarathyJames and Mary JohnsonJames and Shizuka ChenJames and Susan StinespringJames FoxJames GaultJames Hsu and Orchid YangJames JenningsJames Van LommelJane KinneJanet and Dr. Thomas HryniewickiJanice L. GroganJanice L. MottJared and Bethany NissleyJay and Suzanne WengerJean and Jim StrathdeeJean FrommJeanne PakJeff MartinJennifer BlairJennifer BurchettJennifer Scott and Russell WeaverJennifer SlaterJeremy MoseleyJesse BrownJill and David BernsteinJill and William CrawfordJim and Beth PembertonJim and Hazel OldhamJim and Phyllis KnaufJoan Gotwals and Terry Yoder

Joan Liu and Hen-Shin WuJoan ParajonJoan ScharffJohn and Austa Marie GuarascioJohn and Dorothy ReedJohn and Lois DinsmoreJohn and Stefanie PitchfordJohn HammondJohn HuiJohn Khanlian and Janet Leventhal-KhanlianJohn Laney and Joan YarboroughJon D. and Laurel L. JorgensonJorge MolinaJoseph Helios and Lisa Ovando-ArreolaJulie and Michael SextonJunichi HondaKaren GriffithKarenand Lindsay MillsKatherine KerschbaumKathleen A. FinkenauerKathleen J. and David L. FondaKathleen Keener and Stanley ShantzKay CarnegieKendall and Lisa RuthKenneth PiontekKerry DmaxKevin and Paula HuberKiera O’RourkeKim GazellaKirsten and Michael Baker

2016 AMOS Staff

Krista CleggKurt E. and Ritsuko N. ClarkKurt HaasL. Ray and Phyllis SellsL. Wayne Ritchie and Judith SidesLarry and RaeDella WengerLaura AnLee HowardLee ThomassonLinda ChuangLinda ReaganLoren Shumaker-ChuppLorraine Tiffany and Robert MaloneLouis and Patricia CenegyLouise ReddingLynn BernardLynn Marie SuitsLynne MitchellM Joane StraussMacauley RybarMacy F. and Susan H. MeyerMadeleine GrunbergManny BurgessMarcella AndersonMargaret BurrusMargaret GreenMarian BuckwalterMarie and Tse-Shiung WuMarissa C. AlanizMark and Amy MassagliaMark and Lisa JensenMark Fakhoury

Richard Nguyen and Amy Ford NguyenRita Ailinger and Philip HudockRobert and Bonnie KiddRobert and Debra LoudenRobert LaneRobert SchneiderRoberta HinshawRonald and Arbutus SiderRonald and Dana ThiedeRonald E. PustRosemarie and Harry WoodsRoy and Judy JohnsenRoyce Jones and Angeline Ripley JonesSaloni GuptaSamantha WagarSandra DorsainvilSandra Lehr and Jennifer BradleyScott and Susan LaffertySharon ShumakerSherry and Russ GallowayShirley RussellShoshana AguilarSkyler WilsonStephanie FordStephen and Anita RatcliffeSteve, Melanie, and Rose BodieSteven Andrew and Amy Lynn MorinStrachan FoundationSue Ellen GloverSusan and R. Lynn AdamsSusan and Scott ChambersSusan BrandtSusan MaiocchiSusan MastSusan MorrisSusannah Gordon-MesserSuzanne and Bill MolloySuzanne and Fouad

Mark WilsonMartha GaleMartha L. SledgeMartha VanCleaveMartin and Elsie Marie HerrMary BakerMary BorgerMary DavisMary HillMary PulvermacherMary SegerMeagan MaasMeredith EckelMichael and Patricia LeviMichael and Susan McGearyMichael and Tamra BowmanMike and Bridget JeffriesMing and Helena ChiouMonica DownsNancy WheatonNoreen RogersOlivine KendallP. Eugene and Joyce WeberPaige and Dick CantwellParkersburg Baptist TemplePatricia WentworthPatrick Cleary-BurnsPatrick YanceyPaul and Sharon EklofPaul and Susan DavisPaula and Peter LimburgPenny A. Pratl TteePeter BonePhilip and Robin Williams HarnishPhyllis RideoutRachel SteadmanRebecca NidaRev. Kent and Tricia HarropRichard and Elizabeth MyersRichard and Joan AveryRichard and Kim BernardRichard HobbsRichard Messenger

DarweeshSuzanne F. KlicksteinSylvia BeckerTai Wen and Lu - Ming ChienTamara WalterTammy RichardsTara and Bradford KirkThomas ClemmonsTibi MatthewTim and Kirsten Johnsen MartinTim and Pauline SpringTina ChanTobili Sam-YelloweTodd HarveyTom and Gail LitwilerTom and Marion Metz

Trudy and Mark LaffertyTsunie and Ching Chih ChanchienTzumin and Fumei KaoVerna TreasureVictor and Sarah TupitzaVirginia Batson and Peter GrantW.H. & L.C. TsaiWayne and Kathy BeckwithWesley McDougalWillard Delwin Aldridge Jr.William BarbourWilliam GowanWini and Keith DeweyYesi CastroZwu-Shin and Seh Seh Lin

Together, we share health and hope!

Thank you for your service! Carmen and Linsey Curro, missionaries with AMOS 2013-2016

The 2016 AMOS BoardArthur Francis, CA

Carmen Largaespada, PhD

David Hallett, JD

David Parajón, MD, MPH, MBA

Deborah Norton, MD, MPH

Laura Chanchien Parajón, MD, MPH

Marlene Francis, PhD

Rev. Dr. Jim Stinespring, D.Min.

Rev. Kent Harrop

Rev. Mike Jeffries

Octavio Cortés

Roberto Antonio Martínez, MD, MPH

Robert McElroy, MD

Román Santamaría, DDS

Sixto Ulloa

Rev. Dr. Tim Spring, D.Min.

Honorary Member: Dr. Suzanne Lake, PhD

Come Serve With Us!Come to Nicaragua and use your talents to help improve access to health care for vulnerable communities.

Individual volunteer• Urban Clinic Rotation• Rural Health Care Rotation• Global Health Internship• Research AssistantshipIf you are interested in volunteering with AMOS, email us at volunteer.coordinator@amoshealth.org

Service teamsTeams of 10 -15 people work alongside us and the communities we serve during a life-changing experience of 10 days. If you are interested in bringing a service team, email our Service Opportunities Manager at cinthya.lopez@amoshealth.org.

Want to get involved?

How You Can Donate to Help Save LivesDonations to AMOS help make sure vulnerable families in Nicaragua have access to health care. Here are the ways you can make a donation:

Through Appreciated Stock:Please email communications@amoshealth.org for more information on how you can make a stock donation to AMOS.

Online: For a one-time gift or monthly support, visit www.amoshealth.org/donate and select the type of gift you would like to make.

AMOS is a registered 501(c)(3) nonprofit organization (TIN#27-0837989) and your donations are tax-deductible.

By Check:Mail your check made out to “AMOS Health & Hope” to:

AMOS Health & Hope, Inc.P.O. Box 6155Hermitage, PA 16148-0922

Connect with us!

facebook.com/amoshealth

@amos.nicaragua

communications@amoshealth.org

www.amoshealth.org