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Leading a STM Medical Team


Early Pre-Trip Tasks


Budget


Medical supplies
The development of a budget is an ongoing process which starts at the very beginning of the planning for a trip and ends with the post-trip leader debriefing and filing reports back to the sending organization. Here and in Budget, Part II and Budget, Part III we will consider the development of a trip budget. Part II contains a more detailed description of the use of the budget spreadsheet we've used, and in Part III there is a discussion of fund-raising.


The greater part of the cost is generally the air travel expense. Other costs include housing, food, ground transportation, translators, ministry costs (medicines, evangelism tools, health education tools, puppet ministry, crafts, etc.), and miscellaneous. Sources of income are the fees paid by participants (or their supporters), funds allocated to the trip by the sending organization, and funds donated for the benefit of the trip by outside donors.


Travel costs: With internet search capabilities (our favorite is this site: Kayak) one can get a very close approximation of the final cost of air travel at a very early stage of planning. As a travel agent (we have used Fellowship Travel with good success) is brought into the planning the costs become more focused.


Many countries require a cash payment to depart the country back to the USA. It can be called an exit or airport tax. Some countries require exact cash payment while others allow credit card payment. Some include the "tax" in the airfare paid to the airline. It is good to get clarification on all these points. Some countries require a Visa before entry is allowed. These can be expensive. Rules for individual countries can be found at the US State Dept web site. Be sure to plan on getting a Visa well ahead of the departure date to allow sufficient time for the process.


Excess baggage charges for a large group can be quite high. It is good to verify rules which will apply to your group as early as possible in the planning process. Other possible expenses to discuss with the travel agent are Airline Cancellation fees and Travel Insurance. See the link below for an example of a low-cost policy we have often used.


As you work with the national host, the in-country costs will become clear. It is very important to be specific - day by day and meal by meal - about who pays for what. Our preference is to have the host organization pay all costs in-country with reimbursement by the sending organization. Usually a large deposit is required with the host organization prior to the trip with the balance due upon completion. It is important to verify that the costs for meals, housing, transportation, translators, and security are fixed ahead of time (often by negotiation). Once you are in the field it is very difficult to know what the "market" rate is for different services.


Most often the retreat/debrief time falls outside the scope of what the national host provides. They might be able to help locate a retreat location in-country, but generally you negotiate prices for room and board with the retreat location separately. Early clarification on this point prevents problems later.


The medical and nursing directors can help develop a list of medical supplies (some essential, some desired but not essential). Raising support for this amount is the way many teams fund this portion of the budget. It is common for the sending organization to host a celebration dinner for the nationals with whom they have worked.


As the weeks pass from the first thoughts about a trip to its completion the budget moves from general ideas to very specific amounts. At some point you will need to tell the team what the cost to them will be, generally at or near the first team meeting. At an even earlier date, during recruitment, you will need to give people an idea about the estimated cost. We have taken the position to estimate high so people are pleasantly surprised when you "save" them a few hundred dollars.


Downloads and links available:

  1. Sample budget
  2. Visa information
  3. Travel agent
  4. Travel Insurance



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