 Well, thanks very much, Anna, and thanks to all of you for coming here early Sunday morning. It's great to see such a large group of you here. I'm really pleased to be here. In fact, I was here about six years ago, exactly, 2008. And I have a talk on it. I had a chance to give a paper on the health clubs, which you've heard quite a lot about this morning. So I'm not going to really go back on that. But I really would like to talk about those. Just kind of what's happened really in the last six years since then, because it was at that stage, it was still very much at an NGO kind of level we were really thrilled by what was happening. We were seeing in Zimbabwean and with other partners, with other NGOs that we were partnering with in different parts of Africa. But it was kind of an NGO kind of stuff. And as you heard from Honours when he gave the presentation from Dr. Fidel Ngarbo, who's the director of maternal and child health in Rwanda, suddenly it's got to another stage. And this is what we're really so excited about, because it's come out of the realm of NGO project stuff and it's got into the national thing. And we've been working as Africa ahead, working closely with the Ministry of Health in Rwanda for some years. In fact, since about 2008, 2009. And it's been really exciting. And it's basically this sort of, I'm trying to tease out what's actually happened in these last six years. And I think there are three sort of themes, I think, that I believe has made it go from NGO to where it is now. So there's obviously the whole issue of scalability. It's gone from kind of NGO to scale and a country like Rwanda where it's been taken, as you heard earlier, right across the country. There's also the whole issue of integration, how this integration has worked. And you've heard quite a lot about that from Judith now and moving into the fan club. So I think there's that whole aspect that's a strong selling point. I think governments, presidents, like the idea of an integrated program getting a really good bang for your buck. Certainly the Ministry of Finance really likes that. And in fact, the Ministry of Finance is able then to put a lot of pressure on the Ministry of Health to stop and only talking about curative stuff and to move on to preventative health. And the third thing is about quality control. How do you have a nice little model? But how do you keep the franchise going, as it were, sort of McDonald's? You know you're gonna get a good quality hamburger wherever you go. But how do you make sure the health club can keep up the standards? And I want to talk about that a little bit. But also just to sort of say how in terms of going to scale and what's happening in Rwanda right now with Ngarbo who couldn't come here, Dr. Ngarbo. Just yesterday, and that's why I'm slightly talking of peace and not going to be sharing my presentation right now because I'm not very good at multitasking and having the locked into the slides will just spoil things for me a bit. So I hope you'll bear with me just to tell you a little bit about what's happening in Rwanda. You've seen quite a lot of slides anyway. So that sort of hopefully explains a lot of it already. You've got it in the mind, you've got the sort of sense of the pictures of what's been happening. But just yesterday we got an email from the head of environmental health who we've been kind of connected with for the last few years. And the news from him was that environmental health, the environmental health desk, it was a desk in the Ministry of Health is going up to directorship level. And so for us that's a really quantum leap. It's kind of like, wow, environmental health is now being taken really seriously in Rwanda. Where it should be? It's environmental health that saves the millions. It's not the curative hospitals that does sort of curing people that shouldn't have got sick in the first place and spending all the millions of dollars there. It's really stop people getting sick in the first place. And we know from those graphs that we're seeing and WHO and UNICEF sort of show us 87% of the disease burden across Africa can be prevented. So that's what we should be doing. Saving the millions and also saving the money. So anyway, those three themes, reaching scale and how to achieve integration and quality control is what I'm sort of arguing about can be achieved with this health club model. It's a recipe. It's just this very simple recipe that can be repeated. But as long as you kind of repeat it properly and there's some key ingredients that I think Julia's been talking about. But so maybe just a quick example of what we're excited about in Rwanda because it's there, little Rwanda, 20 years exactly since the genocide, everybody was totally alarmed by it. And this country has just suddenly surged. It's the bright star in Africa now in terms of development. More women, MPs than I think even in this part of the world. It's just, it's really strong, not just MPs, but Ministry of Finance, Ministry of Health. They're all women and they really are changing things there dramatically. And so there's really good leadership there and it's attracting the locals. So just a few weeks ago, I had to go back to Rwanda because we had a delegation of senior doctors, directors of health from the three Eastern provinces, North Kivu, South Kivu, and Maniema, the whole Eastern sort of swath of DRC. And they'd heard about this project going on. In fact, Rusezi, which you saw slides of earlier, Rusezi District in the extreme south waste of the country, that borders Burundi and DRC just across the river from Bukavu. And so all this delegation about 18 people came across from DRC to find out about this CHC model. Is it, does it really work? Because they've got a great model that they're very proud of in Congo, in DRC, called the Village Assani Project, the Village School and Health Program, Healthy Villages. And they're quite strong on that and it's well embedded into their program. So quite understandably kind of they've got a good program. What's this about CHCs? Is there any added value we can bring to our own program in DRC from what they might see in our program in Rwanda? And so this large delegation came across and we were hosting them together, as Africa here together with the Ministry of Health, to see how, you know, to show them around. And I'm sure a lot of you who've come on these sort of tours, evaluations or annual reviews for big programs and stuff, who have had this experience where you're kind of being led by the nose and being shown to the villagers and showing everything that sort of, that they want you to see. And the kind of the frustration one has of that when you're just being, the whole things that have been rigged and you've been taken to the village and expecting you that they've had lots of time to prepare. And I personally had this rather horrible experience a couple of some months ago where, you know, we were told a whole area, this is not Rwanda, this is another country altogether. And I won't mention names, but it was quite a wake-up call for me. Because we just have been complaining, why aren't we seeing, your report is saying all of these villages are ADF, can't we just duck off the road anywhere and have a look at some of these villages? And they, you know, because we haven't seen much evidence yet. And so sort of they said, okay, we'll take you to one tomorrow morning. We'll collect you from the airport, from the hotel and get you to one of these villages. And honestly, they collected us quite a couple of hours late from the hotel. Then we drove for a good couple of hours. So it was a good four or five hours before we actually got to the village, sort of late morning by the time we got there and got out and nice little village and everything looking great. Went to the one home, lovely toilet, all nicely swept, nice little bowl of ash, nice lid on the top. Went to the next one, same sort of story. Eleven in them in fact, just went on to all of them. And I've got this rather nasty little habit that Peter Morgan showed me some time ago of you just move the lid and you take a, have your camera ready and you take a quick click and you see if there's, you know, if it's fly production, you know, if there's flies coming out then you know you've got a fly factory. So, and that's what you don't want obviously. So anyway, took this, no flies, no smell. Well, this is quite impressive. Had a look inside. It was about that deep. And it had never been used. This is this ODA village. They don't shit there, you know, they just completely empty. Went on to the next one. They were all exactly the same. They'd all, they were dummy latrines. They'd been built in a few hours that it took us to get there. And so this was a major program in a significant country using a lot of donor funds. And this is what we saw. Complete cover up. And so anyway, so I had, I had the feeling this crowd from DRC, doctors, senior running whole programs weren't that going to be that interested in a pre pre rigged thing. So we gave them a list of the, of the villages, the 50 villages. Here we are, this is the date they were started. This is how many, you know, how many members we've got in this club. Here's the list, you go and choose. And it was taking your risk, but we sort of felt pretty confident about our program, but you choose and you go off. And they divided into three teams and we all went off. And I, you know, it's really sort of, you know, we're pretty concerned about this. We don't know what the hell we're going to see. And it's a program that had only been going two or three months by that stage. Anyway, off, off we went and drove the village that I, the vehicle I was with, with one of these directors of health from Maniam province, went along. And we drove for a good two and a half hours to the village that he'd selected, off dirt tracks, winding along. And then we sort of stopped, there was a few people around, we thought was, you know, this, I wonder if this is the village, let's stop and ask somebody around. So we got out of the car and saw a little old lady sort of peeping out from her hut, a little old man hut. And they asked her, they will speak the same language there, just across the border. And they asked her, you know, is this the village that we're looking for? And she sort of nodded rather nervously. And then the guy said, well, are you, do you know anything about health clubs? So she sort of, again, nodded, not wondering what the nurse was going on. And then, well, do you have a membership card? And then she ducked back into her little hut and came back with a green card wrapped up in plastic and showed it to us. And we looked at it and half the topics had really been signed off and she was sort of getting quite pleased about things. And then she took us into her home and we wandered around. And I mean, it was just stunning. Everything we've just been hearing about, you know, it was beautifully swept. There was a garbage pit there. There was a hand washing tap there with soap and water. She hadn't had time to rig it and put it up. The toilet was there. The cover was on. It was a clever thing that you use your foot. So it's a kind of a hands-free way of changing the cover. You always know there's a point of contact. It's just asking for trouble to have that. So nice sort of foot thing. And it was just there. It was perfect. It was an efficient stove. We were totally amazed. And she was old. I mean, she was about the age of my mum. She was about 90, 91. You know, she was kind of like, wow, how did you manage all this? And she said, well, it wasn't just me. I'm part of the club. They all helped me. They came. They fixed me. They made this stove for me. So anyway, I was actually delighted, obviously. And the team I was with were Julie and Prist and they were quite convinced. And we went on like this. And it was really great. They had this randomized idea of looking and finding out things. So we got back and we had the three days of workshop and they were all well and truly primed. They thought, yes, we can introduce this. So anyway, this is kind of going to scale. And I just, so how did we start in the first place? And I think in Rwanda, I was with an advisor with WSP, with the Ministry of Health with sanitation at the time. And I had that introduced to the Minister of Health by the head of the environmental health desk, now the directorate. Anyway, the desk officer introduced me to his minister, Minister Richard Sezibera. And who actually is now the, he's the Secretary General for the whole of the East African community based in Arusha. So he's gone to dizzy heights. But anyway, this is the kind of minister that you want in every country. He was just sort of, he asked me to sort of tell him a little bit about the health clubs and how they worked. And I did my best. And I sort of said, okay, well, you know, could we try them? I think it might work in Rwanda. Could we try them in a couple of places on a pilot basis? And you go, Anthony, we don't have time to pilot in this country. You've been piloting for years. No, go, just give me a roadmap. So anyway, this is the roadmap and we did it. And he signed the forward and you can see it. But it was really just such a great start. And we did this and we did it in Kenya, Rwanda. And just sort of what we thought how it would work, the whole principle, how they were. Anyway, so he went off and he talked to his cabinet colleagues. And if we had a printout in Kenya, Rwanda. And anyway, just a few weeks later, the president called all 30 mayors from the whole country and dished out this road back to all of them and said, I want a health club in every village like yesterday, you know. So suddenly we'd gone from some NGO project work to a whole national program in a country like Rwanda. And now we're seeing it sort of spinning off across into DRC. Burundi is interested. Tanzania we're really talking about it. We'll hear a bit about Uganda. So it's kind of like from one little place it's beginning to spread. So that's the exciting side for us, sort of going to scale. This whole idea that we can reach scale. And I think the other thing was just going back to what was it about that appealed to Dr. Richard Cesarbera, the Ministry of Health. And I think it's a lot what Anna was talking about earlier. And I think it was kind of like seeing that round pie graph that we were looking at. If you just think of that as kind of like a target for dots. And it's sort of like instead of one dot going for that little dire little segment the whole time. It's like getting a whole fist of dots and hitting the whole dot. It's just kind of this idea of an integrated approach. You're hitting all those things. From a Minister of Health's point of view to hit that whole target is what they're looking for. It's really exciting to them. And when he starts talking about that to his Minister of Finance and to the President and everybody, they say, well, for goodness sake, if this thing works, let's just do it. So I think it was that sort of idea that it's practical, it's low cost. It's using their own existing staff, the extension staff, and the people in the villages. So it's not waiting for a donor to come and dish out any money. This red light doesn't talk about money. So everybody's saying, but where's the budget? How many millions do you need for this? There was no budget, deliberately no budget. It was just what can we do ourselves to get things moving? So I think that was the kind of the whole integrated side of it. And you saw a lot of that already. And the final thing is the aspect of quality control. And I think Julia also mentioned about the Gates Foundation coming in. Because again, this was a kind of a seeing-as-believing moment with the Gates guys who talked to them at a conference like this. And they said, come see what's happening in Uganda, in Rwanda. And they sort of said, yes, OK, let's have a look. And they've got carried out funding, a lot of money to do a randomized control trial, massive thing. And that's running right now. And so in a way, and they funded us to be able to do the quality control really. But it's a classic CHC. So we could bring in all the things, the four T's, the trainers, the training, the training materials, quality training materials, piece of paper about training materials and transport, motorcycles or bicycles, so that the guys can cover the villagers out there. And for environmental health staff to have motorcycles and be given this kind of stuff, it's great. So it's just making sure that the recipe was done in the proper way that we had had experience of. They started 20 years ago in Zim. So this is sort of a lot of refinement and getting, bestilling out what are the key ingredients. And that's what's happening in that RACISI program that you heard about earlier with those results. And I think that was really, really a thing. So I think, time for the next three of these things. Very fast, if you like. OK, so it's the five million. That's the target we're talking about. Just, I think you've seen them. All of the PowerPoints are going to be available on the net. We'll have them all uploaded for you. The RAC we went among, that's a little old lady that we stopped and asked her if she, if this was the right village. And then she is finding her card with her card and so on. Anyway, I will. If you need this presentation, I think it's on the Africa Head website. I just must do my training. I just, one thing I must show you. That's integrated development, I think. This is the five dollars. And we're part of an energy thing. Just both on your energy component as well. Anyway, thanks very much. Just one very, very short question. I know I cut the gentleman off last time. If you have a question now, you're more than welcome. Or if you want to ask that question from before, you can do that. Otherwise, we will tip to you. You'd have to come to the podium for that. Thank you very much for the opportunity. I'm Gordon Chinnemarim from Nigeria. OK. On the six months training course, the course you do for the health club members, I would like to know what's your vision. Do you hope to train the entire members of the community? Or do you hope to get some people trained that were in town? Train others? I also want to quickly say about our program in Nigeria. We have a voluntary wash club. What we do is we get students willing to volunteer. They are trained on issues surrounding water, sanitation, and hygiene. They now go into primary schools to establish wash clubs. They also go to communities and enlighten them on wash issues. Last week, we picked about three of them and we trained them on boho drilling in Kaduna National Water Resource Institute, Kaduna. So I want to say we would like to bring in this, your concept of explaining to the community, training them, giving them certificate. I want to say that that strategy is a very good one because in Africa, people value certificates. But it gives them all the certificate and say, oh, you've been trained in this area. That's what we're excited. Like what you showed there. You saw people excited about that. So we are interested in bringing this into communities in Nigeria. We hope to partner with you on that. Thank you very much. Maybe, yeah, again, that's not really clear. We sort of take it for granted. What we do is, OK, look at Rwanda, I developed a training manual for Rwanda. Not this one, but we've got a Rwanda one. I then trained core trainers, 25 core trainers for Rwanda. I did the training myself at that stage because we didn't have such a team then. So I trained the trainers. Those trainers are working with Ministry of Health. Those trainers do other training in districts. They go out and they train all the environmental health staff in each district. So you've got 30 districts. You work your way around the country doing the training in each district with your core trainers. Then when you've got your district trained, you've got core trainers in each district, those district trainers who are still Ministry of Health, right? You're not paying them anything extra. That's their job. Then they train from the community. So now say one environmental health technician has got five villages under him, right? He's gonna train one person from each of those villages. Just community members. They've gotta be fairly literate. They've gotta have a good recommendation from be kind of volunteered by the community for the service. It's a voluntary service. They get trained and all they get for it actually is usually just a t-shirt. If the project allows maybe a bicycle as a sort of form of recompense for the training. And then they train their own community. So it's not you coming in from outside training it with your project officers. It's the community training themselves. And that's why it's sustainable. The trainer remains in the community. They remain with their toolkit. They know what they're doing. They can carry on and do reruns of the same training at Infant Item. That's how you get to a country just one by one like that.