Gateway Care



Gateway Care is a long-term, multi-level medical assistance and capability development program established by the 1st NAEF to address the medical care needs of under-served, vulnerable, and neglected populations in austere locations.

The Gateway Care name is taken from our pilot program, which increased medical accessibility and availability in the remote ‘Gateway to Kilimanjaro’ / Moshi region of Tanzania. Two phases of development have already been successfully completed in Tanzania, in 2016 and 2018; the third phase is planned for 2019/2020.


Accessibility to medical services is a challenge for populations in remote or austere locations, especially those who are marginalized and/or living in under-developed or rural areas.


Gateway Care is a part of the 1st NAEF’s organizational commitment to addressing the needs of, and care gaps for, vulnerable populations globally.

Gateway Care‘s mission is to reduce medical aid gaps and increase medical services accessibility for neglected populations in austere and remote locations.


Gateway Care is a medical assistance and capability development program. The pilot project (ongoing) was launched and implemented in the ‘Gateway to Kilimanjaro’ region of Tanzania in 2016.

It currently comprises a medical treatment center (clinic) at St. Joseph’s Orphanage in Moshi, Tanzania, and a separate pop-up clinic at a remote orphanage 50km away.

Key activities:

  • Providing field clinical and outreach medical services, including neo-natal care and HIV monitoring, to members of the local population and to orphanage children

  • Facilitating medical services development, including capacity building and increased services accessibility

  • Working with local medical partners to address shortfalls and gaps in local medical coverage

  • Medical facility analysts and upgrade support

  • HIV monitoring and support

  • Motorcycle Medics’: A military veterans medical outreach initiative – military medical services veterans on motorcycles set up and operate pop-up clinics in remote locations


Gateway Care supports local populations (patients) and medical practitioners in austere locations, where lack of medical access, support, and service development is a significant issue.

The program also benefits other stakeholders:

  • International organizations: UN (UNICEF, WHO), Red Cross

  • Local doctors and nurses

  • Medical products developers: For donations of medical supplies, and field applications testing and support (e.g. blood carriage devices)

  • Environmental energy stakeholders: Clinic upgrades aligned to clean energy and climate goals


  • Increased medical access and treatment for under-served populations in austere locations

  • Enhanced medical services capability, capacity, and processes for local medical networks in these regions

  • Improved healthcare for women, including enhanced neo-natal care and reduced infant mortality rates

  • Greater monitoring and control of life-threatening and infectious diseases, including HIV monitoring protocols

  • Exposes Western medical professionals to treatment of diseases previously eradicated, but now reemerging, in the West (such as polio or TB)

  • Provides side-by-side training, in clinical and surgical procedures, for local doctors and nurses

  • Allows military medical veterans to share and apply their specialist life-saving skills


Note: All of our achievements and work have been self-funded.

Phase 1 (2016)

A 1NAEF member provided medical treatment services, and conducted future operations assessments, at the emergency treatment clinic attached to St. Joseph’s Orphanage.

  • Clinical support

  • Surgical and treatment assistance

  • Medical training for neo-natal care

  • Patient-tracking enhancement

Phase 2 (2018)

  • Clinical needs assessment (site, facility, operations)

  • Clinical support

  • Pop-up medical programs

  • Remote orphanage medical outreach

  • Upgrade needs assessment (site, facilities, support)

Phase 3 (Planned 2020)

  • Clinic renovation (structure, water system, lighting and power)

  • Remote site renovation and upgrade (structures, water, lighting and power, farming)

  • Documentary with celebrity builder, along with a joint veteran/athlete project, to support renovation aspects

  • Supplies and equipment provision

  • Pop-up medical programs

  • Medical tech field testing

  • Motorcycle medic programs development