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23 June 2011
Dear Friends of the Clinica Ana Manganaro,
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There is a lot to share with you about the Clinic this year. After long negotiations, the Clinic became part of the National Health System which “reinforces all the work that had been done in the community on a self-managed basis, and which had shown some progress and achievements in the health of the community quite unique in the country.” (Nov. 2010 report)
The clinic has been converted into a reference center for the Eastern zone of Chalatenango which covers seven municipalities with a population of 18,000 people. The Ana Managanaro Clinic will be called The Ana Manganaro Community Center for Specialized Family Health. It will be divided into two parts: The health team for basic health called family ECOS and a specialized team called specialized ECOS.
When we visited in March, the Clinic was bustling with activity. They now see 80-100 people/day, with people coming from as far away as Honduras. With specialists on staff, the people can receive attention without going to Chalatenango or San Salvador. All of the care with the exception of the ambulance is free. For the people, it is a realized dream.
The Funes government has given uniforms, shoes and school supplies for children in all the education centers in the country, has built 4 national hospitals and created 408 Community Health Centers, including in Guarjila. Now there is more attention in hospitals, more specialists and health teams moved to the communities and small villages. In Agriculture, they have given seeds and fertilizers to farmers. Nevertheless, the major issues of jobs and security remain major problems.
Through your generous contributions we were again able to bring a check for $7,000 to the Clinic which will pay the staff not covered by the Health Ministry. They will dedicate the rest of the funds to health education and promotion, prevention, and medicines not available through the Health Ministry. The Clinic is the major employer in the community. Now that the Clinic is part of the National System, many of the previous staff will be paid (though it is less) by the government and medicines and supplies will be provided.
In 2010 the revenues were $77,450.83 USD, of which the partners contributed $54,681.20 USD, and the rest, $22, 769.63 USD, was from local revenue, other revenue, and the balance from 2010. See www.ifcla.net for a complete report on the clinic in 2010.
We are also happy to announce that a documentary on Ann’s mission is in process. We are raising funds to pay a film-maker to work with the 24 hours of footage Dr. Rodney Yarnal and Christen Parker took of interviews (and much more) with the people who knew Ann. This is an ambitious undertaking! We welcome contributions for this project.

Hopefully you will be able to continue to give to match Ann’s birth anniversary. I think it is interesting that the Clinic is government-supported in Ann’s Medicare year. 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.
2010 Clinic Letter (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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