• Outpatient clinics
• Surgical intervention
• Practical training and education of local doctors and nurses
• Taking care of courses for Ghanees and Dutch trainee doctors
• Acquiring, buying and transportation of the necessary equipment and medication

All the patients have urological health problems, for example urinating problems caused by a benign enlarged prostate gland, a common problem in all countries. In contrast to western countries you will find it a normal situation in Ghana that an older man with these problems will have a urinary catheter for up to 10 years before he can be treated. Because of the low hygiene and the length of time the patient has this catheter in situ, is the infection rate high. A relatively simple operations can expand the life expectancy and quality of life.
There is also in Ghana and Tanzania a problem with the peri natal health care. This results in a long and difficult labour .This usually occurs with women who are far from a clinic and results in the woman being in labour up to 3 days before she receives help. This is very dangerous, consequential for both the mother and baby. The long term problems what can occur because of the pressure between the uterus and bladder are a bowel fistula (open connection) causing the woman to become incontinent of urine or faeces. This causes problems in their relationships with their spouse because they are regarded as "unclean". Ananse tries to help these woman by performing surgery so that the damage is restored and they can function normally.

In developing counties the specialised medical care is a luxury that is only available to the few who can afford it. The foundations aim is to make this "luxury" available to everyone regardless of their financial status, religion etc.

• Personal gifts from the team members, friends and family
• Gifts from a third party
• Donations from companies in the form of equipment etc

All the doctors from Ananse pay their own travel costs and offer their time and abilities free. They receive no compensation for their time and project work. Equipment that is still functional but depreciated from western hospitals are sent to Africa where it often can be used for many years to come. Sometimes equipment can be bought from companies at a reduced rate and also be sent to Africa for use. The local hospitals that are involved with Ananse are responsible for the local costs of the doctors. They take care of the payment for the transport from one hospital to the other. This way the costs are restricted.

The necessary equipment is technical and very prone to problems. This equipments needs to be regularly checked and maintained and if necessary replaced. Some patients do not have the means to pay for their stay in a hospital, Ananse has a fund to help these patients. Although we do everything in our power to keep the costs low,but we are sometimes forced to have to pay for medication etc. Also the costs of transportation of equipment, medicines and nursing supplies are funded by the foundation Ananse.

The foundation is aware of the importance of awareness, that's why many volunteers hold meetings and lectures about their work for Ananse by Church communities, Rotary clubs and WI (women's institute). Thus hoping to collect money but also awareness of their work. One of the most important coverage was on the Dutch television program "2-Today" in 2006.

Initially the foundation was started to give on a regular basis urological health care. This because the urologists travelled to these counties to give free medical care or to stay on a semi permanent basis. Gradually the emphasis of the foundation turned to education so that Ghana's doctors could give the health care themselves.

The first congress was held in Kumasi in 2004 where both the Erasmus university (Netherland) and Medical centre (Ghana) took part. This was the first milestone in the transmission of the needed knowledge. A congress was also held in Tanzania in November 2007 together with the University hospital Groningen(Netherlands). Working together with the Ghana Health System there is a hospital being built in central Ghana specifically for urological health care. In the future Ghanees doctors and young surgeons will be schooled in the specialism urology.