Global Grant Proposal Form for Project G-2919

Last updated by Bob Chalfa <bob@sweetwaterequip.com> on 17-Apr-22

Step 1: Basic information

Project Title

Thousand Smiles Clinic Upgrade

Type of Project

[X] Humanitarian        [  ] VTT        [  ] Scholarship    

Primary Host Partner Information

The host partner is a: Club

Last Name:

Lopez

First Name:

Ernesto

Email:

licernestofg@live.com.mx

Phone:

+52 686 119 9861

District:

4100

Club:

Ensenada Centenaria

Primary International Partner Information

The international partner is a: Club

Last Name:

Self

First Name:

Bob

Email:

bobself@hotmail.com

Phone:

+1 619 298 2053

District:

5340

Club:

Old Mission (San Diego)

Step 2: Committee Members

Grant Host Committee

Host Partner #1: Julio Santibañez
Host Partner #2: Ortiz Fernando
Host Partner #3: -

Grant International Committee

International Partner #1: Lee Kaminetz <lkaminet@san.org> (+1 (619) 851-1529)
International Partner #2: Jaqueline Carpenter <jcarpentercpa@gmail.com> (+1 (619) 823 7805)
International Partner #3: -

Do any of these committee members have potential conflict of interest? If so, please briefly explain.

no

Step 3: Project overview

Tell us a little about your project. What are the main objectives of the project, and who will benefit from it?

Equipping the Thousand Smiles Ensenada Clinic, Located at AV Mexico 124 (Corner of Av Mexico and 18 de Marzo), Fracc Buenaventura, 22880 Ensenada, B.C., Mexico with additional equipment necessary to improve our treatment of patients. This equipment includes Solar Panels, a new Full Digital Intraoral X Ray, and a new high pressure Vacuum Pump necessary for our Operating Rooms

Step 4: Area of Focus

Which area of focus will this project support?

[  ]

Peacebuilding and conflict prevention

[  ]

Disease prevention and treatment

[  ]

Water, sanitation and hygiene

[X]

Maternal and child health

[  ]

Basic education and literacy

[  ]

Community economic development

Step 5: Measuring success

Which goals of this area of focus will your project support?

-

How will you measure your project impact?

Measure

Collection Method

Frequency

Beneficiaries

Do you know who will collect information for monitoring and evaluation?

-

Step 6: Location and dates

Humanitarian Project
Where and when will your project take place?

Ensenada, Baja California. 05 Aug, 2022 to 04 November 2023

Step 7: Participants

Cooperating Organization (Optional)
Provide the name, website and location of each cooperating organization.

Name

Website

Location

Why did you choose to partner with this organization and what will its role be?

-

Partners (Optional)

List any other partner that will participate in this project.

-

Volunteer Travelers (Optional)

Provide name, email of traveler(s).

-

Describe this person's role in the project.

-

Rotarian Participants

Describe the role that host Rotarians will have in this project.

-

Describe the role that international Rotarians will have in this project.

-

Step 8: Budget

What is the budget for this grant?

Local Currency: USD
Exchange Rate Used US$1 =

Category

Description

Supplier

Local
Amount

USD
Amount

Equipment

Pation Roofing Cover for solar system

Arq Judith Romero

1911

$1,911

Equipment

Solar System

Solar Energy BC

7873

$7,873

Equipment

Medical Vacuum Pump

Medical Gas Resources

25868

$25,868

Equipment

Digitsal Intra-oral X Ray

Benco Dental

5709

$5,709

Total Budget

$41,361

$41,361

Step 9: Funding

Tell us about the funding you have secured for your project.

DDF Amount in US$

$22,593

Rotarian Cash Amount in US$

$20,800

Additional Outside Funding in US$

$0

Requested TRF Match in US$

$32,993

Total Financing in US$

$61,467

Step 10: Sustainability

Humanitarian Projects - Project Planning

Describe the community needs that your project will address.

The Mexican community has a population segment that is severely challenged financially. These people many times lack basic non urgent health and dental care that most take for granted. The country also has about 1 in every 650 children born with facial deformities such as cleft lip and palate. These children are often sheltered and many do not even go to school. The government has programs to treat these children but unfortunately does not offer comprehensive care, including orthodoncia and bone grafting, and also does not have the capacity to treat all of the candidates even with simple cosmetic soft tissue repair.

How did your project team identify these needs.

Our project team has been working with this foundation for many years. We have had input not only from the Thousand Smiles team, but also from their local partners such as DIF - Ensenada (Desarroyo Integral Familiar), Hospital General de Ensenada and Rotarians from the area.

How were members of the benefiting community involved in finding solutions.

The Ensenada Centenaria Rotary advertises prior to clinics to inform potential patients and their families.The project receives patient referrals from local doctors, from the Hospital General de Ensenada, and from DIF - Ensenada.

How were community members involved in planning the project.

The project planning sessions are attended by members of the Ensenada Centenario Rotary and The Thousand Smiles Foundation Board

Humanitarian Projects - Project Implementation

Summarize each step of your project's implementation.

#

Activity

Duration

1.

Purchase, import and install items

180 days

Will you work in coordination with any related initiative in the community? If yes, briefly describe the other initiatives and how they relate to this project. If no, please explain. Are local initiatives not addressing these needs? Or, if they are, why did you decide not to work with them?

Desarrollo Integral Familiar (DIF - Ensenada) - Locating, screening and delivering patients to the facility.

Please describe the training, community outreach, or educational programs this project will include.

UCLA and Loma Linda University are planning on sending medical and dental students and residents to the facility to compliment their training. We will invite UABC in Baja California to do the same.

How were these needs identified?

The solar system was decide on by the board of Directors. After the organization's donations decreased significantly during the covid Pandemic, the Board decided on trying to decrease the clinics monthly costs.

The vacuum system was requested by the surgical team. Presently the operating rooms use the dental vacuum system which has lower pressure that that needed in surgery. The digital x ray will replace an older non digital unit which is having some issues and is not compatible with the current digital system being used in the clinic.

What incentives (for example, monetary compensation, awards, certification, or publicity), will you use, if any, to encourage community members to participate in the project?

none

List any community members or community groups that will oversee the continuation of the project after grant-funded activities conclude.

The Thousand Smiles Foundation, Fundación Mil sonrisas, A.C, (Mexican sister foundation), Club Rotario Ensenada Centenaria, DIF - Ensenada

Budget

Will you purchase budget items from local vendors? Explain the process you used to select vendors.

Competitive bidding. Solar System and roof expansion will be purchased from local vendors.The other items will be purchased in the US

Did you use competitive bidding to select vendors? If no, please explain.

Yes

Please provide an operating and maintenance plan for the equipment or materials you purchased for this project. This plan should include who will operate and maintain the equipment and how they will be trained.

Operation of the equipment is done by trained and licensed doctors, dentists, nurses and technical people with experience in the area.

Describe how community members will maintain the equipment after grant-funded activities conclude. Will replacement parts be available?

Local contractors and Thousand Smiles volunteer swill maintain the items. Parts will be available in the foreseeable future

If the grant will be used to purchase any equipment, will the equipment be culturally appropriate and conform to the community's technology standards? If yes, please explain. If no, describe how the project team will help community members adopt the technology.

Yes, all medical and dental equipment must conform to local regulations or it cannot be imported.

After the project is completed, who will own the items purchased by grant funds? No items may be owned by a Rotary district, club, or member.

Fundación Mil Sonrisas, A.C.

Funding

Have you found a local funding source to sustain project outcomes for the long term? If yes, please describe this funding source.

Yes, Thousand Smiles Foundation and Fundación Mil Sonrisas, A.C. are funded by multiple donations from individuals, charitable foundations, Rotary Clubs and firms. It has been in operation since 1985. It presently has an operating budget, not including equipment purchases of $85,000 per year.

Will any part of the project generate income for ongoing project funding? If yes, please explain.

Thousand Smiles Foundation and Fundación Mil Sonrisas, A.C. are funded by multiple donations from individuals, charitable foundations, Rotary Clubs and firms. It has been in operation since 1985. It presently has an operating budget, not including equipment purchases of $85,000 per year.

Is your economic and community development activity a microcredit project? If yes, upload your microcredit supplement file.

no