Aug 2007
ART-JOY-LOVE
Hadassah Pediatric AIDS Volunteer Program in
Ethiopian Orphanages
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What is ART-JOY-LOVE?
ART-JOY-LOVE is a Pediatric AIDS program in Ethiopia, under the auspices of the Hadassah Pediatric AIDS Center in Jerusalem. We treat HIV/AIDS orphans with antiretroviral therapy (ART) and other needed medical care -- and dispense the Joy and Love that are so needed.
ART-JOY-LOVE work in the orphanages is carried out in collaboration with the local orphanage teams, the Ethiopian medical staff and other involved organizations.
What is our mission?
Our mission is to volunteer in Ethiopian orphanages and assist the local teams by providing medical care, including antiretroviral therapy (ART), Joy and Love to the HIV/AIDS children.
Who are we?
This ART & JOY & LOVE program was initiated by Prof. Dan Engelhard, Head of Pediatrics and the Pediatric AIDS Center at the Hadassah University Hospital-Ein Kerem, Jerusalem. The program consists of physicians, nurses, students, medical clowns and non-professionals, who volunteer to go to Ethiopia to treat, care and love Ethiopian HIV/AIDS children.
Hadassah is a non-governmental organization (NGO). The Hadassah University Medical Center is the flagship project of Hadassah, the Women's Zionist Organization of America, Inc., the largest women’s organization in the United States.
The Hadassah Pediatric AIDS Center in Jerusalem consists of a multidisciplinary team, including physicians, nurses, pharmacists, social workers, psychologists, nutritionists, case managers and numerous specialists in a variety of medical fields.
Israel-Ethiopia Collaboration in Pediatric AIDS
Statistics indicate that close to 60,000 Ethiopian children become infected with HIV each year. It is also estimated that 2.2 million people – 200,000 of them children - are living with the virus in Ethiopia, making the country the third largest infected population in the world.
Since 2004, physicians and nurses from Ethiopia have been trained in the Pediatric AIDS Center in Jerusalem, and physicians from Hadassah have gone to Ethiopia to provided clinical mentorship in the pediatric clinics for HIV/AIDS children that are initiated following the training at Hadassah. This is done within the scope of the train of trainers (TOT) program, part of Emergency Plan program partner I-TECH (the International Training and Education Center on HIV, Seattle, USA). Prof. Engelhard is in charge of Pediatric AIDS in the TOT program, within "the Israel AIDS Consortium."

Dr. Dina Averbuch, from the Hadassah Pediatric AIDS Center, Jerusalem
The ART-Joy-Love is another mode of Israel–Ethiopia collaboration. As a result of this project, the orphans were the first Ethiopian children to get ART (Anti Retroviral Therapy, the anti-AIDS medications). Within a year-and-a-half, more than 170 children were being treated with ART in the orphanage in Addis Ababa. Updated to January 2007, more than 200 chidren receive ART treatment in Addis Ababa orphanage. There is ongoing contact and frequent consultation between the local team, the ART-Joy-Love volunteers in the orphanage and the multidisciplinary team at Hadassah in Jerusalem. This intensive collaboration has resulted in a rapid decline in the previously high mortality rate in the orphanage. Whilst at the beginning of the project, 25% of the children died, we now observe a mortality rate of only 1% per year, and the happiness and quality of life of the children have improved dramatically.
Furthermore we make Endeavour to improve their education, with the intent that when they reach maturity, they will be able to lead independent lives.

Dr. Galia Grisaru, from the AIDS Center at Dana, Ichilov Hospital, Tel Aviv
ART
ART (anti-retroviral therapy) was initiated in the orphanage in Addis Ababa in 2005 and in Debre Markos in 2006. The indications for ART and the chosen combinations are prescribed according to the guidelines of the Ethiopian Ministry of Health. The ART drugs are supplied by the Ethiopian Centers for Disease Controls & Prevention, and the President's Emergency Plan for AIDS relief (PEPFAR).

Dr. Amit Dotan and Dr. Idit Wechsberg
from The Pediatric AIDS Center, Hadassah University Hospital, Jerusalem, stayed 4 month in the orphanages, 2006
Additional non-ART drugs are available in the orphanages, many of them donated. Due to the efforts of Prof. Engelhard and Mr. Haim Divon’s, Deputy Director General, Ministry of Foreign Affairs, Head of the Center for International Cooperation (Mashav) - in June 2006, Walter Arbib, president and co-owner of Toronto-based SkyLink Aviation partnered with Lelei Lelaulu, president of Counterpart International, to donate and transport pharmaceuticals to the Orphanage in Addis Ababa,

Joy
Hadassah’s medical clowns,
working in the Center are part of Magi's fund's "Dream Doctors" at Hadassah.
They have two years experience in medical "clowning", using a unique clowns' language for children suffering from Aids and HIV virus. The "Dream Doctors" have already twice visited the orphanage in Addis Ababa twice. They had great success in making the children happy increasing their hope and strengthening their motivation to battle the disease. They also alleviated their stress and suffering. Lately they also visited the orphanage in Debre Markos.

Love
The volunteers stay weeks and months in the orphanages, dispensing love and care and assisting the local team. All of them have wonderful stories to tell about each child and what hugging can do for the children.

Uri Hochberg, a medical student from Hadassah University Hospital, Jerusalem
Who may volunteer?
Anyone who is capable of hugging those children and bestow love upon them, who is willing to stay weeks or months in those Ethiopian orphanages, is welcome to contact us.
Since we know the local conditions and the requirements needed, we make sure that the program correspond with the applicant volunteers' expectations.
Preparations, professional and personal, prior to going are done in the Pediatric AIDS center at Hadassah University Hospital, Jerusalem, Israel.

Chen Moran, January-February 2006
What are the responsibilities of the program?
Dear Volunter:
We will prepare you for your activity and stay there. We will advise you about medical issues and refer you for the proper immunizations before you go.
We would like to call your attention that the risks of being contaminated from HIV are: sexual relationships with inhabitants, or being stabbed accidentally by a used needle. We wish to clarify that there is absolutely no danger of contamination by hugging children or from daily life routine in the orphanage.
We will not be responsible for medical or personal problems during or after your stay there.
Since we know the local conditions and the requirements needed, we make sure that the program correspond with the applicant volunteers' expectations.
You will need to supply your own insurance for the flight and your stay there. So far we cannot financially support the travel or other expenses.

Vivian Tzarfati and Uri Hochberg,
August 2006
THANKS
We wish to particularly thank the ambassador of Israel in Ethiopia, Mr. Yaacov Amitai, for his strong involvement, and his interest and deep concern towards the volunteers.
Thanks to the former and present volunteers (updated January 2007):
Physicians: Prof. Dan Engelhard, Dr. Dina Averbuch, Dr. Amit Dotan, Dr. Idit Wechsberg, Dr. Saar Hashavia, Dr. Sigal Grisaru.
Dentist: Dr. Ravit Birnbaum.
Nurses: Sivan Hashavia, Raheli Zaam, Rivka Tauber.
Social Worker: Estelle Rubinstein, Yael Openheim.
Psychologist: Ahuva Yavin-Arnon, Ella Brand.
Medical Clowns: Jerome Harusch, Dudi Barashi.
Medical Students: Noa Vardi, Uri Hochberg, Bezalel Reich, Shay Kremer, Daniel Dukerevitch, Dekel Lite.
Nursing Students: Liel Ronen, Tehila Shaar-Yashouv.
Valuable Additional Volunteers: Chen Moran, Sharon Niv, Yanek Openheim, Ramit Egozi, Naomi Halbertal, Nily Faber, Eithan Kremer, Dana Mushkatblit, Vivian Tsarfati.
ART-JOY-LOVE:
Who to contact?
Program Head:
Professor Dan Engelhard, MD Head of the Department of Pediatrics, Head, Pediatric AIDS Center Hadassah University Hospital, Ein Kerem, POB 12000 Jerusalem 91120 Israel Tel +972-2-677-8960 Fax +972-2-643-4579 Mobile +972-50-787-4040
Engelhard@hadassah.org.il
Coordinator for residents and medical students:
Dr. Amit Dotan – amit_dotan@hotmail.com
Coordinator for nurses, nurse students and non-professionals:
Liel Ronen - lielronen@gmail.com

Bezalel Reich, April-May 2006
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