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7 June 2012
Dear Friends of the Clinica Ana Manganaro,
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Ann would be so pleased and amazed by what has happened to the Clinic in Guarjila. Last year I reported the changes which began in August 2010. Now the ECOS system is in full swing. Dr. Dago Menjivar and Nurses Marlene Cruz and Rosaly Ortega, all health promoters trained by Ann as teenagers, wrote in the 2011 Annual Report: “We consider that there have been more advancements than difficulties, and we as a health team as well as the community feel satisfied by the interest and support provided by the government with regard to health care, which had never before been realized. This has guaranteed the best response in medical attention, oral health, Mental Health and Nutritional Care and access to better care.”
The Japanese government built a new building and upgraded the others with consultation rooms, air conditioning! and dedicated electrical service. The Clinic is the largest employer in the area (BJC of Guarjila!), twenty of the thirty-two weekly and six of the eight weekend staff live in Guarjila. This is a great blessing for so many families. Through your generous contributions we were again able to bring a check for $7,000 to the Clinic which will pay the staff, medicines and community education not covered by the Health Ministry.
In 2011 the revenues were $63,564.17 USD, of which partners like IFCLA contributed $58,534.46 USD, and the rest, $2,915.17 USD, was from local revenue, other revenue, and the balance from 2010. See www.ifcla.net/site2 for a complete report on the clinic in 2011.
The documentary is progressing slowly. We have raised $10,000 and will choose an editor this summer. The big news this year is an invitation to visit Guarjila with me. I’ve enclosed a brochure.

Hopefully you will be able to continue to give to match Ann’s birth anniversary. Please help us keep the Clinic progressing in Guarjila. If you know of someone who might be interested in the clinic, please share this letter
2012 Clinic Letter (PDF)
2011 Clinic Letter (PDF)
2011 Letter to St Louis from the Town Council (PDF)
2010 Clinic Letter (PDF)
2010 Annual Report Translation (PDF)
2009 Clinic Letter (PDF)
2009 Annual Report (PDF)
2009 Annual Report translation (PDF)
2008 Clinic Letter (PDF)
2008 Annual Report
translation (PDF)
2007 Semi-Annual Report (PDF)
Click to download Acrobat
reader if needed for viewing PDF format.
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