DR. SEKOU M. SYLLA

Founder & President:
The
Guinea Development Foundation
www.guineadev.org
drsylla@guineadev.org
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The
program can be viewed in it's entirety by clicking on the You Tube link
below
http://www.youtube.com/watch?v=mBpGuFKzgrk
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DR. SEKOU M.
SYLLA
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More About:
DR. SEKOU M. SYLLA &
THE GUINEA DEVELOPMENT FOUNDATIONS
Sekou
Michael Sylla, M.D., MPH Personal Background Place of Birth
Republic of Guinea, West Africa. Permanent resident, USA.
Languages French, English, Africa languages Travel Experience
Central, East, West and North Africa; Lebanon; Israel; Europe;
West Indies, Bahamas, Puerto Rico; USA and Canada. Professional
Experience 1988 - present President, Guinea Development
Foundation. Created and currently directs this nonprofit
organization whose mission is to assist in the social and
economic development of the country. The Board of Directors of
the GDF is comprised of distinguished representatives from the
fields of business, industry, health and government service. One
of the GDF's primary goals is to improve the quality and
delivery of health care servcies to underserved areas. 1991 -
1992 Research Associate and Consultant Community Health Center
for HIV/AIDS Education School of Public Health, Columbia
University 1979 - 1988 President, American/African Medical and
Surgical Supplies,Inc. a company providing health care in
African countries 1978 - 1979 Surgical Assistant, St. Clare's
Hospital, New York, NY Assisted the late Dr. Michael Jordam,
Professor and Director, Obstetrics-Gynecology Service. 1978
Physician with New York Board of Health Directed three nurses in
Federal lead poisoning control program 1976 - 1978 Assistant to
the Director, Associated Mission Medical Office (AMMO), Division
of Overseas Ministries, National Council of Churches, New York,
NY. Investigated and prepared reports on nutrition, tropical
virues and filarial infections in Africa. 1974 - 1976 Research
Associate, St. Luke's Hospital Medical Center, New York Assisted
Director of the Division of Metabolism and Nutrition; researched
metabolic diseases and nutritional-related disorders in vitro.
1971 - 1973 Emergency Room Physician, Matte-Garde, Paris, France
Physician in charge of patients in private and government
hospitals Medical Interships, Research Fellowships and
Assistantships 1989 - 1991 Graduate Research Assistant, Columbia
University College of Pysicians and Surgeons, School of Public
Health, Division of Tropical Medicine. 1989 - 1990 Research
Fellow, Sickle Cell Anemia, Albert Einstein College of Medicine
of Yeshiva University, Department of Medicine, Division of
Hematology. 1970 - 1971 Hospital Kremlin-Bicetre, Seine, France.
Special training in intensive care unit in General Medicine.
Received special certificate in ICU. 1968 - 1971 Internships in
Paris, France and Oxford, England. Certificates in
Obstetrics-Gynecology. Surgical training in both countries.
Education Masters of Public Health, Columbia University of
Public Health, Division of Tropical Medicine, 1992. M.D.,
Faculty of Medicine, Parid Sud, France, 1970. Graduated with
honors. Faculty of Sciences, Censier, Paris France, 1963.
Certificate in Physics, Chemistry and Biology. Medical Licenses
and Other Certification New York State permanent license in all
areas of laboratory research, specifically involving nutrution,
metabolism, in vitro. Temporary M. D. license in Medicine and
Surgery in the State of Connecticut. ACLS/CPR Certification.
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Since April 1984, the government of Guinea has undertaken
a fundamental transformation of its national institutions and
its socio-economic structures. As a part of this new effort, the
Guinea Development Foundation was established by a group of
Guinean nationals, supported by friends of Guinea throughout the
world.
Health conditions in the Republic of Guinea are among
the poorest in the world as classified in 1993 by the UNDP. Its
population of approximately eight million people have a life
expectancy at birth of only 39 years, while the average in
sub-saharan Africa is over 50. The infant mortality rate is 155
per thousand live births and the mortality rate for children
under age 5 is 44 per thousand. This figure represents 50
percent of all deaths in the country. In addition, maternal
mortality is also high at 8 per thousand pregnancies and a crude
birth rate of 45 per thousand.
In the industrialized world, having a family member
seriously ill or handicapped is the exception rather than the
rule. In the tropics, however, disease is a way of life.
Everyday Guineans contend with the illnesses found all over the
world, such as pneumonia, bronchitis, cancer, heart disease,
AIDS and other sexually transmitted infections; as well as the
many fatal and debilitating diseases that are predominately
found in the tropics. Respiratory diseases, malaria, diarrhea,
onchocerciasis, leprosy and other preventable and treatable
ailments such as measles, tuberculosis, pertussis, poliomyelitis
and tetanus account for three quarters of reported cases of
morbidity. In both rural and urban regions, the inaccessibility
to potable water and poor sanitation are the primary causes of
parasitic and endemic diseases, especially among children under
the age of five.
These figures are dramatically disparate from those of
the United States in which the infant mortality rate is
approximately 9.8 per thousand and the life expectancy is over
75 years.
The Guinean Ministry of Health and Population has made
numerous attempts to improve the overall administration of the
country's health care system. Limited resources and increasing
demands, however, consistently disrupt distribution of health
care services and often favor urban centers at the expense of
rural areas. In Guinea over 73 percent of the population live in
areas inaccessible to health care services provided in urban
centers. In addition to being underserved, Guinea's rural
population is largely illiterate. This adds to the challenge of
reaching these communities.

The Republic of Guinea has an area of 94,926 square miles-over
twice the size of Pennsylvania-with a population of about
8,000,000. Despite the fact that the Republic of Guinea is
endowed with rich natural resources, such as bauxite, iron ore,
diamond, gold, uranium, cobalt, oil and gas, etc... it has been
classified by the United Nations Development Program (UNDP) as
the least developed country in the world.
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The Guinea Development Foundation, is a non-profit 501
(c) (3) corporation which seeks to improve the nation's
preventative, primary and emergency health care services and to
develop sustainable plans for the delivery of such service, with
particular emphasis on Guinea's under-served, rural areas.
Since its inception in 1988, The Guinea Development
Foundation has dedicated itself to the social and economic
progress of Guinea. Recognizing the important relationship
between good health and national progress, the Foundation has
sought the cooperation of individuals and organizations in the
promotion of modern health care services in the rural sectors
where the needs are greatest. Its program for action is
fivefold:
1. Education of rural populations in basic preventive
measures related to health.
2. Establishment of rural treatment and inoculation
centers.
3. Adaptation of successful health care programs from
other countries to local conditions.
4. Training of local health care providers.
5. AIDS education and prevention.

The
Plan: Boffa Health Center
Aims and Objectives
With the assistance of both private
and public donors, the Guinea Development Foundation seeks to
join the common efforts to assist every Guinean citizen to gain
access to quality medical care through an improvement in the
quality of the nation's preventive, primary, emergency, and all
other health care services.
Our objectives will be
implemented through an existing pyramidal organization structure
that is characteristic of the nation's health services system.
Program implementation will begin by first targeting primary
health care clinics in rural settings. Generally, these clinics
provide the first line of treatment for the population in the
rural areas of the country. Approximately 75 to 85% of the
health care needs of these rural settings are managed by these
local hospitals and clinics. Given the large portion of the
population that these treatment centers see on a regular basis,
our plans for the development of Guinea's health care
infrastructure quite logically begin with them.
We plan simultaneously to
improve the quality of care offered through regional medical
posts, subprefectorial centers, and prefecturial hospitals, all
of which provide more specialized treatment facilities. Finally,
at the highest levels of Guinea's system of health care, we will
be offering programs to the regional hospitals and the capital's
two university hospitals.
Paralleling this main thrust,
the Foundation also seeks to create a number of different
projects within non governmental organizations (including
various community living centers). Our goal is to stimulate
development of projects in the private sector that will
eventually become self-supporting and that will test new ideas
for increasing access to health care services for the creation
of new public services.
These pilot projects will
provide us with an opportunity to test a variety of health
promotion and disease prevention strategies. We are particularly
interested, for example, in social marketing strategies which,
if successful, would provide us with the ability to produce
effective health education programs. In a nation with a quite
low literacy rate, we hope to create a wide variety of materials
using new technologies such as video, but also incorporating
standard approaches using pamphlets and brochures (published in
all native tongues as well as in picture format).
Evaluation of these efforts
will be undertaken by experts from the Columbia University
School of Public Health (New York), the Morehouse School of
Medicine (Atlanta), and other international institutions.
Starting with the Boffa area
of Guinea (a region consisting of 231 villages, which currently
have limited or no health care services) we plan to expand these
services to all areas of the country.
Who will benefit from the
program and how
The program we envision will be targeted to the general
population, but with particular focus on women of child bearing
age, children, senior citizens, and the handicapped.
They will benefit as a result
of improved education, changes in health behavior patterns, and
increased access to health services. If successful, these
efforts will result in reduced rates of infant and maternal
mortality and morbidity, and lower incidence of malaria,
childhood diseases, and diarrhoeal and respiratory diseases.
Statistical breakdown of
direct beneficiaries
As noted previously, there are approximately 142,000 people to
146,000 within the 231 villages we hope to serve. Of that
number, approximately 85% will directly benefit from this
program i.e. approximately:
(a) 35,000 to 45,000 men;
(b) 35,500 to 49,000 women;
(c) 40,000 to48,000 children;
including:
(d) 2,000-3,000 the handicapped;
(e) 10,000-25,000 senior citizens
Statistical breakdown of
indirect beneficiaries
It is impossible to give a precise breakdown of the indirect
beneficiaries. These will include people in surrounding regions
who hear about the program and who attempt to imitate its
successes. We have become convinced that we will be filling a
health care vacuum whose existence is well understood by the
region's inhabitants. Without adequate census data we are unable
to project with great accuracy how many inhabitants will
ultimately be served, however, we are convinced that given the
immense needs of this population that we will quite probably be
in a position to serve the vast majority of the region's
population.