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Weekly Ghana Meeting Jan 9 2026

Meeting Title: Weekly Ghana Meeting Jan 9 2026 Attendees: • Abbie (CEO) • Kevin (CFO/CTO) • Salam (Ghana Lead) • Benny (Compliance and Socials) • Warihana (Senior Grant Writer) [00:00:08] Welcome & Master Statement of Work • Abbie celebrated the high-velocity start to 2026. • The team aligned on the "Master Statement of Work" for the pilot: Launching *two* Health Hubs staffed by Nurse Entrepreneurs. • Roles: Salam (Ops/Implementation), Benny (Compliance/Finance), Warihana (Grant Strategy/Website). [00:08:53] Health Hub Strategy: Capital vs. Operations • Ownership: Give Basic Needs retains ownership of land, buildings, and capital assets (beds, Starlink). • The Model: The RN is an "Entrepreneur," operating rent-free as long as they adhere to standards. • Control Mechanism: While a "punitive rent increase" was discussed as a theoretical lever, the *final decision* is to rely on specific termination clauses in the **Franchise Agreement**, granting the org legal right to evict non-compliant nurses. [00:24:47] Medical Supply Chain & Regulations • Compliance: Give Basic Needs cannot legally dispense medication without a pharmacy license. • Solution: Partner with a licensed supplier. Purchase invoices will list the RN Entrepreneurs' license IDs to ensure legal chain of custody. • Warehousing: The Tamale office acts as a secure "warehouse" for bulk purchases to secure discounts. • Subsidies: The org purchases vaccines (Typhoid, Meningitis, Hep B) and provides them to RNs at a heavy subsidy. RNs sell them for a nominal fee (e.g., 1-2 Cedis) to generate their income. [01:30:32] Logistics Pivot: Vehicle vs. Motorbike • Pivot: Moving away from motorbikes/drones due to safety and rainy season limits. • Proposal: Warihana suggested purchasing a used Toyota Hilux (likely US import for NGO duty exemptions). • Justification: A truck proves "logistical readiness" to grantors (USAID) and serves multiple uses: delivery, safe monitoring visits, and media filming. • Action: Salam to conduct a cost analysis (Buy vs. Rent). [01:11:06] Scope of Practice & Monitoring • Warihana emphasized a strict "Scope of Practice." High-risk procedures (abortions, blood transfusions) are prohibited to protect liability. • Monitoring: Salam to conduct weekly visits. Discussed installing Starlink-connected cameras in reception areas for remote attendance monitoring. [01:23:48] Grant Coordinator Role Decision • Warihana requested a Grant Coordinator. • Decision: Hiring paused. Leadership wants to "slow roll" initial grants to establish processes first. Kevin offered personal assistance to Warihana for specific data tasks. [02:00:23] Social Welfare Registration Update • Issue: Certificate stalled as US-based directors cannot be physically verified locally. • Resolution: Salam will be listed as local representative/owner for compliance. • Requirements: Authorities require a Board Resolution, Power of Attorney for Salam, and a consent letter for background checks. Action Items: • Salam: Create spreadsheet comparing Toyota Hilux costs (US import vs. Rent vs. Motorbikes). • Salam: Email Abbie the list of required legal docs (POA, Board Resolution, Consent Letter). • Salam: Send Kevin map/geocoordinates of proposed Health Hub locations. • Warihana: Continue website redesign as the absolute top priority. • Benny: Hold off on "Northern Health Shield" blog post until new site is live. Individual Priorities: • Abbie: Reviewing/signing legal docs (POA, Board Resolution); Final approval of Nurse Entrepreneur model. • Kevin: Drafting "Scope of Practice" & Franchise Agreement (w/ termination clauses); Website technical support (cloning); Data strategy. • Warihana: Website Redesign (Primary Focus - writing paused); Researching potential grant opportunities for Northern Health Shield; Strategic alignment. • Salam: Social Welfare Registration (Legal priority); Land/Site acquisition; Vehicle Cost Analysis; Supply Chain sourcing. • Benny: ERPNext Compliance (Inventory/Item codes for warehouse); Social Media maintenance. #GiveBasicNeeds #SmallActsBigHappy #Nonprofit