Malteser International Annual Report 2006

Malteser International Annual Report 2006 www.malteser-international.org www.malteser-international.org Malteser International – help on the spot – worldwide. Malteser International is the worldwide relief agency of the Order of Malta for humanitarian aid. The organisation covers 200 projects in 30 countries in Africa, Asia, Europe and the Americas. Currently, 19 national associations of the Order of Malta are members of Malteser International. Evolved from Malteser Germany, and therefore set up in accordance with German Law, and it was internationalised as the Order of Malta’s relief service in 2005. The organisation provides aid in all parts of the world without distinction of religion, race, age or origin. Christian values and the humanitarian principles of impartiality and independence are the foundation of its work. Its mission is not only to provide emergency relief, but also to implement rehabilitation measures and to facilitate the link between emergency relief and sustainable development. Malteser International establishes and promotes primary health care services and seeks to reduce vulnerability and poverty. It is committed to high quality standards; accountability and transparency are priorities. Malteser International has the status of a Non-Governmental Organisation. The mission of Malteser International: ● ● ● ● ● ● Provide relief to major emergencies in the world, especially in the health sector Implement rehabilitation measures, and link relief, rehabilitation and development (LRRD) Establish and promote primary health care services in developing countries Reduce the vulnerability and poverty of the afflicted Provide care for refugees and returnees Support local partner Non-Governmental Organisations „Our motivation is to alleviate human suffering.“ (Code of Conduct: The humanitarian imperative comes first) Malteser International is member of: ● Aktion Deutschland Hilft (ADH) (Action Campaign Germany Helps) ● Aktionsbündnis gegen AIDS (Action against AIDS Alliance) ● Arbeitskreis Medizinische Entwicklungshilfe (AKME) (Working Group on Medical Development Aid) ● Koordinierungsausschuss Humanitäre Hilfe (KAHH) (Coordinating Committeee for Humanitarian Relief) ● Katholischer Arbeitskreis Not- und Katastrophenhilfe (KANK) (Catholic Working Group on Emergency and Disaster Relief) ● People in Aid ● Verband Entwicklungspolitik Deutscher Nicht-Regierungs-Organisationen (VENRO) (National Association of German Non-Governmental Organisations for Development Policy) ● Voluntary Organisations in Cooperation in Emergencies (VOICE) Malteser International is committed to the following national and international codes and standards: ● The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response ● The Code of Conduct: Principles of Conduct for the International Red Cross and Red Crescent Movement and NGOs in Disaster Response Programmes ● Principles for the international work of the German Caritas Association ● Code of Conduct to protect children and young people from abuse and sexual exploitation (Caritas Internationalis) 2 MISSION Editorial 2006 was a very eventful year for Malteser International. We provided help during many crises and disasters. Some were closely followed by the media, like the devastating earthquake on Java in May and the war-torn region of Darfur. Others didn’t make the news, such as the drought in Kenya in March, the destructive typhoon in Vietnam in October or the miserable living conditions of the population of the Democratic Republic of Congo. Nicolas de Cock de Rameyen President Ingo Radtke Secretary General Our aim is to provide these people and the many other victims of disasters with rapid and efficient support. Humanitarian aid must not only be supplied quickly and fulfil all moral requirements, but must also comply with efficiency and efficacy standards. It must be transparent – not just to those who provide the financing, but also and above all to those who receive the aid. Those who are affected are often our best partners on-site and are of vital importance in terms of the type, orientation, scope and duration of the aid we provide. It is not we who are the leaders of the procedure, but rather the victims themselves. Going about things differently would rob them of the last thing they have left, after they have already lost so much: their dignity. This places high demands on the aidworkers: first, it means that we must surrender our Western outlook and take on that of the people in need. If our aid is to be more than a well-meaning consolation, it has to provide a permanent and sustainable contribution to improving the situation of the poorest of the poor in the relevant location – and this must be based on the perspective of those affected. Tailor-made solutions must be found for actual problems, without offering any pre-fabricated products. Such solutions can only work if we treat the disaster victims as equals and use their ideas as the basis for our actions. We must allow – and indeed wish for – our actions to be measured against this requirement. This Report is an account of the projects we undertook in 2006. Many private individuals, organisations, institutions and companies have supported our work over the past year, as have many public donors, foundations and organisations, both national and international. We wish to express our most sincere gratitude to them all. To continue supporting the needy and working with them towards a sustainable future, we rely on your help. Please continue to accompany us along this path and support our work to help those who are so dependent on our care. Nicolas de Cock de Rameyen Cologne, July 2007 Ingo Radtke EDITORIAL 3 Contents Mission Editorial Contents Pictures of the year Malteser International – 2 3 4 6-7 Africa Our projects in Africa On the spot: Kenya On the spot: Democratic Republic of Congo On the spot: Uganda Asia Our projects in Asia Project overview 2006 On the spot: Thailand On the spot: Lebanon On the spot: India Europe Our projects in Europe The Balkans Central and Eastern Europe America Our projects in America On the spot: New Orleans Experts abroad Help at a glance Facts and Figures Annual accounts as of 31 December 2006 Financial overview 2006 Acknowledgement Member associations Structures and committees 8 9 - 14 15 16 17 18 19 - 28 24 - 25 29 30 31 32 33 - 35 33 35 36 37 38 39 40 - 41 42 42 - 43 44 45 46 47 1 AMERICA AMERICA 1 USA – p. 37 4 CONTENTS help on the spot – worldwide. EUROPE 2 3 21 ASIA 16 15 14 10 18 12 8 AFRICA 6 19 17 20 11 22 9 8 5 7 13 4 AFRICA 4 Angola – p. 9 5 DR Congo – p. 10 6 Ethiopia – p. 11 7 Kenya – p. 12 8 Sudan – p. 13 9 Uganda – p. 14 EUROPE 2 Balkans – p. 33 3 Romania – p. 35 ASIA 10 Afghanistan – p. 19 11 Cambodia – p. 20 12 India – p. 21 13 Indonesia – p. 21 14 Iran – p. 22 15 Iraq – p. 22 16 Lebanon – p. 23 17 Myanmar – p. 23 18 Pakistan – p. 26 19 Sri Lanka – p. 26 20 Thailand – p. 27 21 Turkey – p. 28 22 Vietnam – p. 28 CONTENTS 5 Pictures of the year Florian Kopp January 2006 Pakistan: Earthquake relief with helicopters for more than 1,000 families April 2006 Flood aid in Romania, Serbia and Hungary February 2006 Cholera epidemic in South Sudan March 2006 Drought in Kenya: Distribution of medical drugs and food May 2006 Earthquake on Java/Indonesia 6 PICTURES OF THE YEAR Birgit Betzelt July 2006 Tsunami on Java/Indonesia: “Don’t cry Indonesia” Caroline von der Tann June 2006 Thailand: Aid for refugees from Myanmar October 2006 Emergency relief for the victims of the typhoon December 2006 Two years after the tsunami: Aid for 500,000 people August 2006 War and destruction in Lebanon PICTURES OF THE YEAR 7 8 8 6 9 5 7 With the people, for the people In six countries in eastern and southern Africa, Malteser International focuses on providing healthcare for the population, combating epidemics and training local personnel. The maintenance of close links between the programmes for each project is crucial to ensuring the success of this single aim: effective healthcare. For example, the battle against the HIV/AIDS pandemic is linked with activities to combat tuberculosis and other illnesses that often occur in relation to HIV and AIDS. This provides more efficient measures for combatting the pandemic itself – recognised as one of the worst disasters in the world today. AFRICA DATA 4 COUNTRIES International staff: 34 National staff: 455 Aid for 4.7 million people 4 5 6 7 8 9 Angola DR Congo Ethiopia Kenya Sudan Uganda Angola International staff: 3 National staff: 18 Aid for 400,000 people Malteser International has worked in Angola since 2002. Since the end of the 27-year civil war, Malteser International has been working in the remote south-west of the country in the province of Kuando Kubango, near the border with Namibia. It is the only international non-governmental organisation working on healthcare in this neglected area of the country. The focus: development and support for existing local resources. Sadly, the large number of mines laid in the region still restricts the work considerably. Projects are limited to mine-free or cleared areas. The teams regularly provide medicine Angola: The health centres are of vital importance for the families living in the remote areas of the country. and medical supplies urgently needed for isolated healthcare facilities. These actions are largely financed by private donations, as many major international donors withdrew from Angola once the acute emergency aid period ended; this highlights the difficulty of the transition from emergency aid to development cooperation. The internationally recognised principle ‘Linking Relief, Rehabilitation and Development’ (LRRD), which aims to ensure sustainable development after the initial aid ends, is unfortunately still not implemented everywhere. But the AFRICA 9 Democratic Republic of Congo International staff: 14 National staff: 129 Aid for 2.8 million people Malteser International has worked in the DR Congo since 1996. Peaceful relations have still not been achieved throughout the entire country. Insecurity mainly exists in the east and is likely to continue for some time. Numerous efforts for peace by the United Nations and the European Union have only partly solved the problem. Nevertheless, it has been possible to restrict the tyranny of the self-proclaimed warlords dramatically, which has also made it much easier for Malteser International to help the population. However, new and unexpected conflicts constantly threaten the progress achieved so far. Malteser International is committed to supporting the healthcare systems in South Kivu, Ituri and Haut Uélé in the east of the country, with the objective of promoting long-term structures for selfsufficient supply. A particularly important element is the training of local personnel, in cooperation with the official healthcare facilities in the provinces and with local non-governmental organisations. Malteser International supplies more than 350 health centres and other medical facilities with medicine and medical supplies, provides expert medical support for the personnel and collects comprehensive data to assess healthcare development in the region and evaluate its own measures. Specific illnesses such as meningitis, cholera and plague are combatted using emergency measures. The central pharmacy, which was supported by Malteser International for several years, was successfully converted into a non-profit-making limited company and is now able to operate independently. Angola: The one-week training sessions for midwives from Kuando Kubango province include both theory and practical exercises. staying power under difficult conditions has finally paid off. In 2006, Malteser International secured extensive funding from the European Union. This enabled the relief agency to rebuild remote healthcare facilities and provide a wide range of medicine, medical supplies and numerous training programmes, e.g. for local midwives. Parallel to this is a new project planned for 2007 for combating malaria, tuberculosis and HIV/AIDS as part of the HAMSET programme, which facilitates cooperation between the World Bank and the Angolan government. The project provides support for communitybased organisations which look after those affected by the illnesses and provide them with information. LRRD LRRD stands for ’Linking Relief, Rehabilitation and Development‘. The aim is to assess the extent to which short-term measures can contribute to sustainable development at as early a stage as possible – ideally in the emergency aid phase. This concept is based on experiences, where short-term emergency aid has had undesirable effects or side-effects on some population groups or the later development of the region. To minimise these effects, Malteser International focuses on the concrete implementation of LRRD: at the planning stage for emergency aid measures, the existing structures in the affected region are assessed, together with consideration as to how to maintain the implemented measures once the aid organisation has left. A further aim during emergency aid planning is to ensure a smooth transition to rehabilitation and development. As a result of this process, after the early phase the project can usually be handed over to local organisations in a developed state that is sustainable in the longterm. Above all, this helps to reduce the vulnerability and susceptibility of the population to future crises and disasters. 10 AFRICA DR Congo: Village residents accompany an aid worker in protective clothing who is disinfecting their huts to prevent the spread of plague viruses. CHOLERA Malteser International has also continued to expand comprehensive psychological and medical care for victims of sexual abuse in all three provinces. A crucial role is played by expert training and further education, as well as the monitoring of staff and workers from local organisations in their contact with and handling of victims of sexual abuse. Combatting trauma is also a focus point. In 2006, approximately 9,000 abused or raped girls and women sought medical and psychological help from the health centres supported by Malteser International. Additional awareness campaigns amongst the population and the military have been carried out in cooperation with the local authorities and have helped stem the flood of sexual abuse. A programme for food security is an additional focus in South Kivu. Its aim is to make the population more independent of external aid. Malteser International supplies seven nutrition centres with foodstuffs to nurse undernourished children under the age of five. The organisation also supports 18 food security centres and five centres for small livestock breeding and distributes seeds to ensure a sustainable contribution towards self-sufficiency. At the nutrition centres, Malteser International trains staff who then establish special display gardens to demonstrate to the population suitable cultivation methods; they also provide nutritional advice. In many areas, the streets and slopes were in such poor condition that instant repairs were needed before anything else could be done. Some districts are still almost inaccessible and therefore have not yet received any help. Malteser International will now concentrate on these districts. In other areas, development towards normal living conditions has progressed sufficiently so that transfer of responsibility for the projects to longterm local structures has been possible. Cholera is a bacterial diarrhoea disease that spreads very rapidly, particularly in regions with a high population density, insufficient water supply and poor sanitary conditions. Refugee camps and slum areas are frequently affected. Cholera treatment basically focuses on counterbalancing the extreme fluid loss; if needed, antibiotics are given. Fundamental contributions to treatment and prevention include sufficient provision of clean water and sanitation facilities, waste management, fly control and the provision of soap. ich.tv Ethiopia National staff: 2 Aid for 2,500 people Malteser International has worked in Ethiopia since 2001. As in previous years, the focus in 2006 was on the Benishangul region, a province in the west of the country around the border with Sudan. Aid is mainly provided in the form of small projects, particularly training programmes for women. Participants learn to sew, spin, weave, make carpets or manufacture furniture from bamboo. In this way, they can earn a regular income and improve the living conditions of their families on a long-term basis. Malteser International will continue its work in small projects, and also reinforce the fight against tuberculosis and HIV/ AIDS. Ethiopia urgently needs aid from international organisations to combat these epidemics. DR Congo: To ensure food security, Malteser International also distributes livestock. AFRICA 11 Kenya International staff: 2 National staff: 14 Aid for 600,000 people Malteser International has worked in Kenya since 2002. Malteser International has been battling the spread of tuberculosis and HIV/AIDS in the slums of Nairobi since 2002. The organisation ensures the continuing function of the healthcare facilities it has constructed, established or renovated. Information campaigns and close cooperation with the authorities and local organisations contribute to stemming the spread of the illnesses. Malteser International tracks the project through quality controls. Work has continued successfully over the past year, with one of the health centres supported by Malteser International named as the facility with the best diagnostic services by the Kenyan government. In order to safeguard the long-term sustainability of the measures, more state facilities have been convinced to make a contribution to the project work. Again in 2006, the Kenyan authorities provided the majority of necessary pharmaceutical products free. The new phase of the project, due to last for three years, is again funded in part by the German Federal Department of Economic Cooperation and Development (BMZ). The Austrian Development Agency (ADA) also co-finances part of the project, based on an initiative by Malteser Austria. Thanks to the cooperation with Pathfinder International, an American aid organisation in the healthcare sector, and financial aid from USAID, it was possible to extend the project to other slums in 2006. ich.tv Kenya: To combat tuberculosis and HIV/AIDS effectively, education is crucial. ANTI - RETROVIR AL THERAPY (ART) United for Africa / Thomas Einberger Anti-retroviral therapy is used to treat AIDS, an immunodeficiency illness. Although the anti-retroviral medicine cannot cure immunodeficiency, it can fight the viruses in the body and reduce their number. It reduces both the risk of associated illnesses and the pain, giving patients a longer, pain-free life. Many can even return to work and thus safeguard a living for their families and the future of their children. Jochen Zeitz, CEO at PUMA AG: “During my visit to Kenya as part of our cooperation with the UNITED FOR AFRICA campaign in January 2006, I witnessed the fantastic work carried out by Malteser International to combat tuberculosis and HIV/AIDS in the slums of Nairobi. Thanks to extensive support, diagnosis and treatment options, they have reduced stigmatisation and discrimination; many patients can resume their lives independently, working and providing for their families.” 12 AFRICA Sudan International staff: 12 National staff: 275 Aid for 120,000 people in Darfur and 800,000 in southern Sudan. Malteser International has worked in Sudan since 1998. Implementation of the peace treaty signed in January 2005 has proved difficult and drawn-out, and unfortunately does not apply to the civil war raging in the Darfur region to the west of the country. This hot spot has not been any those most in need of aid. Despite this, Malteser International has continued its medical work in Darfur and has committed itself to the long-term, having concluded the emergency aid programmes over the first two years. This involves provision of basic healthcare services for the population – focusing on the health of mothers and children – and the fight against malaria, which poses a major threat to life in Darfur. The programme is to be extended across a wider area in 2007, as far as possible, given the tense security situation in the region and the available funding. The city of Juba is increasingly developing into the capital of southern Sudan and is thus the pivotal point for almost all decision processes. Because of this development, Malteser International opened a coordination office in Juba in 2006. VACC I N AT I O N C A M PA I G N S Many children are still dying across southern Africa from infectious diseases such as measles or diphtheria, diseases that can be avoided through the use of vaccinations. Consequently there is a major need for vaccinations in these countries. The importance of the vaccinations is explained to parents, so that they will allow their children to be vaccinated during the next major campaign. Vaccination campaigns must be extremely well organised and prepared, to treat as many children as possible. Teams often travel to the villages and regions days in advance of the campaign, announcing its start date via megaphone. Most vaccines need to be refrigerated and, in case of necessity, must be delivered quickly. Sudan: Patients arriving at the health centres on emaciated mules. less risk-free in 2006 and, despite ongoing peace negotiations, hopes of an imminent resolution of the conflict are fading. One of the reasons is a splintering of the rebel movements, which is making the position even more unclear and uncontrollable. Malteser International itself fell victim to the assaults on aid organisations in the region in 2006. Two vehicles were robbed and numerous so-called ‘safety incidents’ prevented the personnel from reaching In southern Sudan, Malteser International has continued to expand its projects in the healthcare sector in Yei and Rumbek. It combined the battle against tuberculosis with information on HIV/AIDS and extended its information campaigns into rural regions, particularly Maridi. Further focuses include combating leprosy and sleeping sickness and supporting primary healthcare services in the dioceses of Yei and Rumbek. AFRICA 13 ich.tv Uganda: After treatment at the nutrition centre in Maracha, formerly undernourished children are now fully recovered. Uganda International staff: 3 National staff: 17 (The employees of the regional office in Kampala are responsible for the administration and coordination of the projects in Uganda, in the DR Congo and in southern Sudan.) Aid for 400 people Malteser International has worked in Uganda since 1996. For many years, Malteser International has been supporting a therapeutic nutrition centre for undernourished babies and toddlers at the Maracha hospital in the north-west of Uganda: In addition to acute emergency food aid for the children, Malteser International carries out regular aftercare visits and home visits to the affected families in order to prevent a relapse and to ensure long-term improvement in the children’s health. The focus of this aftercare is on providing the families with information about healthy, rich nutrition, as well as carrying out physical checks on the children. As the general living situation of the population of northern Uganda has worsened considerably over the past two years, the long-term support measures implemented in 2006 were particularly vital. NUTRITION CENTRES Nutrition centres are healthcare facilities for the special treatment of malnutrition and undernourishment. Mainly children are affected, although it also affects those who are chronically ill, e.g. those suffering from tuberculosis and / or HIV/ AIDS. Specially trained personnel work in the nutrition centres, providing intensive care for the patients every day. 14 AFRICA O N T H E S P O T : K E N YA Light at the end of the tunnel A young woman refuses to give up fighting for her life Education, work, marriage, birth, separation, bad luck, reconciliation, children, illness, depression, therapy, relapse, a fight for survival. Eunice has experienced all of this in her life – in a mere 34 years. Eunice left school at 14, married and gave birth to her first child shortly afterwards. But the marriage only lasted for three years. Eunice completed an apprenticeship as a hairdresser and opened a salon with her own staff. A success that sadly didn’t last long: after six years, the salon burnt down and Eunice lost everything. A tragic situation that had a positive side despite the hardships: Eunice and her husband got back together. They decided to start again in the slums of Kayole Soweto in Nairobi and to open a new hairdressing salon. Eunice gave birth to her second child, a son. It seemed as if everything was finally going well. But fate dealt another blow to the young family: Eunice and her son became ill and the young boy died shortly after his first birthday. Eunice was diagnosed with tuberculosis – fortunately so quickly that she could be treated successfully. However, after a short period without problems, she found she was becoming weaker and losing weight daily. She was confined to her bed and could no longer provide for her family. It was in this period of her life that Eunice heard about the free consultations Always hopeful – Eunice fights against her illness. offered at the health centres supported by Malteser International, which look after the people in the slums of Nairobi. She took an HIV test – and it was positive. The results plunged her into depression and resignation for a long time. But Eunice was strong. She refused to be beaten and hope won in the end. Eunice declared war on the virus and started treatment. She found out about the infection, learned to cook in a more healthy way, aired her home regularly and let in more light, to prevent too much dust accumulating, as this could become a breeding-ground for bacteria. Eunice isn’t giving up – she is taking her medicine regularly and feeding herself and her family in a healthy way. Today, her health has stabilised. Thanks to regular treatment, she has even been able to go back to work in her salon. Miriam Fuß AFRICA 15 O N T H E S P O T : D E M O C R AT I C R E P U B L I C O F CO N G O Hope after years of darkness A young woman on her way to a better future Martine Bahati laughs. She proudly shows us her plastic plate, a set of colourful enamel pots and the rag dolls that she has made as part of a women’s project. “My dream is a house, my own house for me and my four daughters!”, the 28-year-old says as the people pass by her market stall in Bukavu, East Congo. Business is going well, the future is full of hope and Martine herself would be as happy as her dolls: upright, colourfully dressed, laughing – if it wasn’t for her wooden foot. The leg prosthesis is a constant reminder to Martine of the dark years in the Congo, of chaos and war. As she tells the story of the day three years ago when her life changed forever, she becomes very quiet and tears stream down her face. The memory of the brutal assault is still with her. Haltingly, she describes how the rebels invaded her house, shot her husband and beat her daughters. How the men assaulted and abused her until she lost consciousness. How she regained consciousness days later, in a hospital. On that day, Martine lost her fifth child (she was in her third month of pregnancy) and her lower left leg, which had to be amputated because of a severe gunshot wound. Afterwards she battled with appalling doubts. A priest took her in, bringing her into the city, where women from his parish looked after her and her four children. “The worst thing was that I felt so utterly useless, because I couldn’t take care of my daughters,” Martine says. “At the time, I wished I was dead.” But hope for a better future for her daughters vanquished her dark thoughts. Martine found out about the work of Malteser International, treating and looking after assaulted women at a health Martine with her home-made dolls. Martine‘s surname ‘Bahati‘ means ‘chance‘. centre in the city. A psychologist helped her come to terms with the memory and start again, despite all that had happened. With ten kilos of peanuts and a sack of charcoal – financed by the Malteser Lent Campaign – she started up her own business and became a successful business woman. Soon, Martine switched to plastic tableware, because it sold better. “I may not be able to write, but I can do sums!” she says and a huge self-assured smile spreads across her face. With the money she earns with her market stall, she buys notebooks and text books for her daughters, who all go to school. And she saves up for her dream: her own house. Eveline Stoffel 16 AFRICA O N T H E S P O T : U G A N DA Fresh vegetables for healthy children The battle against malnutrition and undernourishment Agupi-Nva is five years old. He is the youngest of five children and his parents are proud of their happy, active son. When Mama Soko goes to do the washing, she always takes her young son with her. It’s practical, as the children can play together while the mothers take care of the washing. One day, one of Soko’s neighbours noticed that AgupiNva wasn’t laughing anymore. “And he looks so ill. There must be something wrong with him,” the neighbour said. Mama Soko was angry. Angry because the neighbour had meddled unasked in her affairs and angry because she hadn‘t noticed amidst the noisy work that her youngest child wasn’t well. A few days later, he got diarrhoea. In Esoko, a village in the Ugandan district of Maracha, this is a serious illness. Soko’s husband was sure that his son couldn’t just have fallen sick like that – he looked so healthy with his little round stomach: “There must be magic behind it.” What else could it be? The village healer came to the same conclusion. The young parents used all their savings and even borrowed money from their friends, to pay for the healer’s expensive treatment. But it didn’t work. Agupi-Nva got still weaker and paler. Soko Agupi didn’t know what to do. Fortunately, the observant neighbour had heard about the hospital in Maracha. Doctors and attendants were treating people free of charge. And the daughter of a friend of hers had been helped by them last year. Sogo Agupi was sceptical. She had never been to a hospital. But as she didn’t know what else to do, she took Agupi-Nva to the clinic. The attendant at the hospital immediately saw what was wrong with him: the child was suffering from severe undernourishment. “His mother has come to us just in time,” he said and explained that her son needed intensive treatment: nasal probe, special food, medicine. While the little boy was being treated, Soko, together with other mothers whose children were as undernourished as Agupi-Nva, received comprehensive nutritional advice. The women learned what was healthy, what foods are the most fill and, especially, how to provide a balanced diet. Two weeks later, Agupi-Nva was feeling much better. He was again interested in things around him and made the whole ward smile with his bright laugh. His favourite new hobby was swinging in the hanging scales. After four weeks, AgupiNva reached normal weight for his age and was allowed to go home. Stefanie Mosch / Miriam Fuß The weight and progress of the children are checked regularly using weighing scales. ich.tv AFRICA 17 18 21 16 15 14 10 18 12 17 20 11 22 19 Help after the catastrophe The series of major disasters in Asia continued in 2006. On 27 May, the strongest of the numerous earthquakes destroyed densely populated localities in and around the capital city of Yogyakarta on Java: 6,234 people died and more than 46,000 were injured. Within a few hours, Malteser International was there with a team from Sumatra to provide medical emergency aid. Rehabilitation work in the earthquake zones in Pakistan and in the regions affected by the tsunami has now become more developmentbased: Sustainable improvements such as clean drinking water and solutions for better sewage disposal are being carried out, in addition to the reconstruction of the damaged dwellings. Malteser International is thus providing a crucial contribution to the achievement of the millennium development goals. The offices in Iran and West Afghanistan were closed at the end of 2006 after all projects were completed. Given the deteriorating security situation, activities in Afghanistan will not be extended. 13 ASIA DATA COUNTRIES International staff: 85 National staff: 301 Aid for 1.7 million people 10 11 12 13 14 15 16 17 18 19 20 21 22 Afghanistan Cambodia India Indonesia Iran Iraq Lebanon Myanmar Pakistan Sri Lanka Thailand Turkey Vietnam Afghanistan International staff: 5 National staff: 28 Aid for 200,000 people Malteser International has worked in Afghanistan since 2002. Despite the major commitment of the international community to reconstruction and peace in Afghanistan, there are still many regions difficult to access for the implementation of aid measures, due to the difficult security situation. Malteser International is therefore concentrating its aid on rural and isolated areas, where the majority of the population is living below the poverty line and has little access to public infrastructures, education and healthcare facilities. The situation is particularly precarious for women, as they are often disenfranchised and excluded, while still having to bear major responsibility for the subsistence of their families. In the western provinces of Badghis and Herat, Malteser International has successfully concluded its four-year structure promotion programme, supported by the German Federal Government: eight schools, eleven health centres and the provincial hospital of Badghis have been constructed or renovated, equipped with staff and provided with management training. To improve the everyday knowledge of large sections of the population in terms of hygiene and healthcare, short information programmes were produced in cooperation with the television broadcasting company Herai TV in Herat. In Central Afghanistan, Malteser International has improved the infrastructure in the villages through a total of 25 projects, with the support of the United Nations High Commissioner for Refugees (UNHCR). The programme also included training people in workmanship and carrying out peace building measures. Thousands of returning families are still living in poor conditions, so the organisation once again provided winter aid this year, funded by the Federal Foreign Office of Germany. Malteser International also supported a day centre ASIA 19 Cambodia International staff: 5 National staff: 10 Aid for 100,000 people Malteser International has worked in Cambodia since 1993. Thanks to comprehensive international aid, Cambodia is taking steps along the road to recovery, but decades of chaos and the fate of millions of victims who suffered under the Khmer Rouge regime are not easy to overcome or forget. There is still terrible poverty, particularly in the more remote regions. In 2006, Malteser International introduced a new motherchild project to provide innovative ways of increasing the number of births handled by a midwife. Without the help of a midwife in the village, birth complications often lead to the death of the child or the mother. The project also allows the mothers in a village to come together and learn about hygiene and other healthcare questions. As an incentive, the most active mother receives help for cultivating vegetables. Her garden then serves as a model garden for the other village residents. Another project focuses on strengthening village self-help abilities in relation to healthcare. The pilot scheme – a community-based health insurance – has achieved its first success: 308 families in four villages have organised for themselves community based health funds and have concluded agreements with the state healthcare services. By paying premiums, the funds are able to influence the quality of the work. For instance, their main priority has been to extend the opening times of the health centres. The health workers are also Afghanistan: The women produce tomato sauce and boiled vegetables which they sell at the market, thus ensuring an income for their families. in Kabul for children who do not receive sufficient care from their families. Based on the positive experiences of sustainable project approaches, particularly in villages, the organisation in 2007 will continue to focus on promoting self-help projects and strengthening local capacities. Dr. Ezmeray Azizi (29), a staff member of Malteser International, was killed in an ambush in North-West Afghanistan on 12 May 2006. He was in a UN vehicle on the way to Qala-e-Nau from Herat when it came under fire from rockets and machine guns. The driver of the vehicle, a UNICEF colleague, was killed immediately. Dr. Azizi, who was responsible for monitoring ten health centres and a province hospital, was able to escape initially, but succumbed to his injuries later. Nicolas de Cock de Rameyen, President of Malteser International, expressed the condolences of all at Malteser International: “We mourn the passing of our colleague. Our deepest sympathies go out to his family.” Cambodia: This young mother proudly presents the health insurance for herself and her family. Cambodia: Midwives teach the mothers how to use soap. satisfied, as they profit directly from the rise in the number of paying patients – with the charges partially used to directly boost their low salaries. The number of people with health insurance will rise steadily in the coming years. 20 ASIA India International staff: 4 National staff: 1 Aid for 50,000 people Malteser International has worked in South India since 1989, and also in Gujarat since the 2001 earthquake. passed since the disaster. They include the Irula, a very small population living in straw huts and working for the fishermen on the coast of Tamil Nadu. They lost all their possessions in the tsunami. Together with an Indian partner organisation, Malteser International was able to find Indonesia International staff: 27 National staff: 28 Aid for 100,000 people Malteser International has worked in Indonesia since January 2005. Due to its geographical position, Indonesia is frequently hit by natural disasters such as earthquakes and seaquakes, floods or volcano eruptions. The effects of these disasters make poverty and suffering worse for those who are particularly vulnerable. Malteser International has been working in the areas around Sumatra affected by the tsunami since January 2005 and provided emergency and reconstruction aid after the major earthquake on the island of Java in May 2006. To ensure the sustainable rehabilitation of the coastal area around the city of Lhokseumawe, destroyed by the tsunami, those affected by the disaster were included from the start when measures were being planned via cooperation with the village committees. Around 500 houses have now been built in the villages of Jambo Timu and Lancok, with a further 40 currently under construction. The construction project is being accompanied by an integrated community rehabilitation India: The Irula use bricks to plan the layout of their new houses. The Indian economy is growing and India is increasingly seen in Europe as a modern, upcoming economic power. However, those outside the major cities are experiencing little of this boom. Every third Indian – i.e. more than 300 million people – is living in absolute poverty. It is the ‘Dalit’, the ‘untouchables’ of the old Indian caste system, and the ‘Adivasi’, the original residents of India, who are being particularly excluded from society, living on the fringes without any rights or protection. In the second year after the devastating tsunami in 2004, the search for further forgotten victims was a priority: families who have received far too little help or none, although more than 12 months have land for 150 families, on which safe, small houses are now being built. The organisation is also supporting families, particularly women, in their search for work to secure their income and provide for their children. In addition to natural disasters, AIDS poses an increasing threat to the health of the poorest people. Young girls are being forced into prostitution, young men leave their home as migrant labourers, get infected and spread the HI virus to their families. In the future, Malteser International in India will focus even more intensively on providing information about the virus and its risks, and fighting for more humane treatment of those affected. Indonesia: Malteser International provides medical care for the victims of the earthquake on Java. ASIA 21 Iraq Aid for 1,200 people Malteser International has worked in Iraq since 1995. The continuing violence has led to one of the largest refugee movements in the history of this region. Estimates indicate that over 60,000 civilians have been killed in Iraq since 2003 – some say 650,000. The aggressive spiral shows no sign of coming to an end, with its mixture of denominational, ethnic and general violence. Those who can, flee. 500,000 Iraqis were driven out by the violence in 2006 and more and more people are fleeing to the neighbouring countries of Syria, Jordan and Turkey. As no international personnel can be sent into Iraq, given the security situation and the major risk of kidnapping, Malteser International has been working with Iraqi and Turkish partners on several projects since 2003. In 2006, the aid focussed on supporting a health centre in Karamless in North Iraq and supporting socially weak families. This work continues in 2007. There are also plans for further medical programmes for internally displaced persons in Iraq and for refugees outside the country’s borders. Indonesia: Malteser International ran a field hospital for three months after the earthquake in Yogyakarta. Birgit Betzelt I N C O M E - G E N E R AT I N G M E A S U R E S Poor families across the world want to find work for themselves and live on their own income, rather than receive alms. There is a crisis in terms of regularly paid work, which is hard to find in many poor countries. Malteser International is therefore running training courses that teach basic financial knowledge and then offer the participants small loans so they can start their own small business or provide a service. Many invest this starting capital in a sales or market stall, or a movable flat table, or cages for fish farming, or tools. If the new business is well planned and organised, most borrowers can pay back their small loans very quickly. The capital is then available again to help the next small business. programme. This also includes small loans to generate new income possibilities. In the province of Aceh, Malteser International is working on the introduction of an electronic healthcare information system, in cooperation with the GTZ (Community for Technical Cooperation, Germany). Training the medical staff in electronic data collection will ensure the statistical registration of medical data on a long-term basis, improving healthcare provision for the population as a whole. After the major earthquake in Yogyakarta, Malteser International ran a field hospital for three months. As a follow-up to the acute emergency phase, earthquake victims are still being treated in cooperation with local partners. Without the correct operations and treatment, these victims would have to live with permanent disabilities. This cooperation continues in 2007. Iran Aid for 300 people Malteser International has worked in Iran from 2004 to 2006. A major earthquake shook the desert city of Bam in southern Iran in December 2003. Once emergency aid measures ended, Malteser International took control of the construction of a primary school in Bharavat, in cooperation with Diakonie Katastrophenhilfe. Construction of the school was successfully concluded in August 2006 and the school was handed over to the city of Bam. 130 girls happily attend school under good conditions again. Iraq: Malteser International provides the health centre in Karamless with medicine. 22 ASIA Lebanon Malteser International supports the work of the Lebanese Association of the Order of Malta and its ten health centres. Malteser International has been engaged in Lebanon since 2006. On 12 July 2006, a commando from the Shiite Hezbollah militia kidnapped two Israeli soldiers from a tank involved in a skirmish on the Lebanon / Israel border. This kidnapping triggered a new Lebanon war that lasted for 34 days. More than a quarter of the Lebanese population of four million was driven out in this period. 916,000 people from the south of the country fled to relatives, onto the streets, into parks, schools and official buildings; very few fled abroad. The international network of the Order of Malta and Malteser International provided immediate aid for the Lebanese Association and were able to help reduce the suffering of those involved. Two of the ten health centres run by the Lebanese Association were destroyed. In the remaining centres, the staff worked round the clock to provide sufficient medical care for the internally displaced population. Thanks to generous donations, urgently needed medicine and medical MOBILE CLINIC Mobile clinics are fully-equipped health centres on wheels, travelling regularly to remote or hard-to-access villages to provide medical care for those who have little access to healthcare facilities. Mobile clinics also ensure that supplies are provided in regions where existing health centres have been destroyed by war or natural disasters and are no longer functional. supplies were provided very quickly. The Lebanese Association also ran mobile clinic units in the south of the country to cover the increased need for medical aid. In August and November 2006, a Malteser International team travelled to Lebanon to coordinate the aid efforts together with the Lebanese Association of the Order of Malta. Myanmar International staff: 14 National staff: 128 Aid for 820,000 people Malteser International has worked in Myanmar since 2001. Despite the very limited scope for action for humanitarian aid in Myanmar, the country was once again one of the focal points of Malteser International’s work in Asia in 2006. Lack of access to clean drinking water and primary healthcare services, a shockingly high child mortality rate, high levels of poverty and malnutrition amongst the population and the rapid spread of infectious diseases such as malaria, tuberculosis and HIV/ AIDS are all part of the crisis in Myanmar – and the public as a whole knows little about it. Malteser International has been active in the healthcare sector in Myanmar since 2001. Using an integrated programme approach, the organisation has tried to counter the steadily worsening disaster in humanitarian terms. Ten projects are being implemented in three programme locations. In addition to improving access to primary healthcare services and battling against malaria, tuberculosis and HIV/AIDS, these projects aim to ensure the provision of clean water and functioning sanitary facilities. A new community-orientated disaster prevention project was started in 2006 in the coastal areas of Rhakine State, which are particularly vulnerable to disasters. Myanmar: ‘Growth Monitoring Day‘: Malteser International regularly checks the children‘s weight and general health to combat the high child mortality rate. WAT E R , S A N I TAT I O N A N D H YG I E N E Lebanon: Staff at the Imam-Sadr Foundation receive medicine for the internally displaced persons. The most cost-efficient method of preventing infectious diseases is the provision of clean water, sanitary facilities and hygiene equipment. In the context of poverty, each person must have access to a minimum of 15 litres of clean water a day. Access to sanitary facilities – latrines, bathrooms, washing facilities – is just as important as soap and toothbrushes. Waste and sewage water must also be removed to prevent the outbreak of dangerous diarrhoea infections. Today, one billion people across the world have no access to clean water and 2.6 billion people have no access to sanitary facilities. 6,000 children die each day from diarrhoea infections, which could have been avoided through very simple actions. ASIA 23 Help on the spot – worldwide. – Project overview 2006 (extract) Brief Description Provision of six health centres with medication and medical appliences, rehabilitation of and medical equipment for health facilities, basic and advanced training of medical staff and midwives Support of more than 350 health centres, vaccination campaigns, basic and advanced training of staff, food security in over 30 nutrition centres, medical and psycho-social care for abused women, rehabilitation of health facilities and infrastructure (source fittings, streets, bridges) Training courses and income-generating measures for 2,500 people Improving the possibilities of diagnosis and treatment of tuberculosis and HIV / AIDS, supporting home care, health education for the slum dwellers TB, HIV, leprosy, sleeping sickness and malaria control programmes, primary healthcare, mother-child-health, vaccination campaigns, basic and advanced training Support for the nutrition unit in the hospital of Maracha, home visits, aftercare of the patients 410,000 EUR BMZ, ADA, Pathfinder International, own resources / private donations 2 Mio. EUR BMZ, ECHO, AA, DAHW, UNICEF, CHF, ADH, NiN, WHO, STI, Global Fund, UNDP, KfWH, WfP, UNFPA, own resources / private donations 54,000 EUR (incl. PMK, own resources / staff donations regional office Kampala and logistic support Office Arua) 1,691,000 EUR BMZ (KfW and CIM), UNHCR, AA, British and Australian Associations of the Order of Malta, Afghanistan Hilfe Paderborn, Malteser Moers 322,000 EUR BMZ, Canadian and Australian government, USAID via CARE, own resources / private donations 1,224,000 EUR ADH, KPMG, Malteser Paderborn 17,500 EUR Own resources / private donations NCC, Kenyan Ministry of Health, Nairobi Health Management Board, AMREF, St. Mary’s Hospital Diocese of Rumbek, Ministry of Health in Darfur 4 Mio. EUR ECHO, AA, UNICEF, FAO, OCHA, WFP, EuropeAid, Pooled Fund, own resources / private donations 234,000 EUR EuropeAid, UNHCR, own resources / private donations Programme Volume Donors / Cooperation Partners (rounded up) National Partner Organisations Provincial health department of Kuando Kubango Local and national health authorities, local partner organisations No. of Projects 1 24 Maracha Hospital Reconstruction / New building of schools and health centres, operation of a provincial hospital and eleven health centres, income-generating measures for returnees, promotion of women, day-care for neglected children, emergency relief in the winter Strengthening of the community-based healthcare system, school feeding, mother-child-health, community-based health insurance Tsunami relief: income-generating measures for more than 3,000 women and their families, community development programme for ten coastal districts, psycho-social care for tsunami victims in 13 coastal villages, medical aid, school grants, care for children and youth, repair of houses and schools; Construction of houses in Gujarat: New building of houses, disaster control, preschool programme for 1,200 children; Healthcare promotion Kaschmir: medical aid Rehabilitation of two villages: 500 houses, water supply, school, health and community hall, income-generating measures; construction of three health centres and two community halls, improving the data collection of the provincial health authorities, healthcare for UN staff Control of infectious diseases malaria, TB and HIV / AIDS, strengthening of community-based basic healthcare services, improving the access to clean drinking water and sanitary facilities, disaster control Health and school authorities, municipal councils and Afghan non-governmental organisations Provincial health and school authorities, Cambodian Health and Human Rights Alliance, village communities Indian partner organisations: HOM, CHAI, MSSS Diocese of Trivandrum, Sahayi, KIDS, DEEDS, Little Flower Convent, Dicocese of Kottar, Venture Trust, Vaan Muhil, Bharati Trust, Ekklavia Foundation, Sisters of Destitute, BSC, Unnati 3,395,000 EUR ADH, UNICEF, WHO, ZF Hilft e.V., Local and national authorities, village Happy Digits, Langenscheidt KG, committees Faber-Castell AG, BMZ via GITEC / KfW, GTZ, UNDP, Malteser Trier, own resources / private donations 1,380,000 EUR DG ECHO, EuropeAid, BMZ, ADH, UNDP, UNAIDS, WFP, WHO, UNICEF, UNODC, own resources / private donations Local health authorities, village communities Construction of winter-proof shelters, equipment of households 993,000 EUR ADH, Deutsche Bank, Liebherr-Stiftung, Canadian Association of the Order of Malta, Partner Aid International, International Blue Crescent, Palas Conservation and Development Federation, Partner Aid International Region Country Locations / Regions Programme Focus Africa Angola Luanda / Kuando Kubango Basic healthcare PROJECT OVERVIEW DR Congo Kinshasa, Ariwara, Mahagi / Ituri Bukavu / South Kivu Healthcare, psycho-social care, food security, rehabilitation, infrastructure 11 Ethiopia Mandura Woreda, Metekel Poverty reduction 1 1 Kenya Nairobi Healthcare Sudan Khartoum, Al Fashir / North Darfur, Rumbek, Yei / Southern Sudan Healthcare, rehabilitation 6 Uganda Maracha Healthcare 1 Asia Afghanistan Provinces of Badghis Emergency relief, rehabilitation, and Herat, Kabul, Kapisa, Healthcare, care for children and Parwan, Loghar and youth, reintegration of returnees Wardak 6 Cambodia Samrong / Oddar Meanchey province Healthcare 4 India States of Tamil Nadu, Kerala, Gujarat, Kashmir Rehabilitation and development, emergency relief 18 Indonesia Medan, Lhokseumawe, Rehabilitation, development and healthcare, medical emergency relief (earthquake on Java) 15 Myanmar Yangon, Phang Kham, Sittwe & Maungdaw / Yangon Division Shan State (Wa Region) Rakhine State Development oriented emergency and transitional aid in the fields of healthcare, water supply, sanitary facilities and disaster control 9 Pakistan Islamabad / Northwestern border province, Azad, Jammu Kashmir Emergency relief (earthquake in Northern Pakistan) 6 AA, ECHO, O.S.T. e.V., own resources / private donations Construction of 650 emergency shelters, medical emergency relief, distribution of drinking water, reconstruction of 700 houses, water supply, reconstruction of homes for children and disabled people, psycho-social care and training, income-generating measures 2,082,000 EUR ADH, BILD hilft e.V., Osthessen hilft Südasien, Serendib Stiftung, FC Bayern Hilfe e.V., UNICEF, Die kleinen Patienten e.V., Caritas Galle and Colombo, Archbishopric of Mainz, Malteser Augsburg, Cologne, Muenster and Traunstein, own resources / private donations 1,796,000 EUR DG ECHO, ADH, own resources / private donations Local authorities, Karen Refugee Committee, Salawin group, SEAMEO, SAN Water and other local authorities, buddhist community / buddhist monasteries, Dioceses, Help for the Children, Centre for Social Assessments, Trincomalee District Development Association, Caritas, GTZ 24 Sri Lanka Colombo, Galle, Trincomalee Emergency relief (tsunami), rehabilitation, development, psycho-social care Thailand Mae Sariang District, Northern Thailand Krabi, Phang Nga, Ranong, Puket, Southern Thailand Improving the basic health, food and income situation of the poor and of ethnic minorities, emergency relief after typhoon 166,000 EUR BMZ, World Child Foundation, AA. Own resources / private donations Healthcare, support for refugees, emergency relief (tsunami) and rehabilitation Refugee camp in the North-West: healthcare and water supply for refugees, help for AIDS orphans; Tsunami relief in southern Thailand: rehabilitation of houses, water supply and sewage disposal, healthcare, psycho-social care, income-generating measures 18 Vietnam Danang / Poverty reduction, Provinces of Quang-Nam emergency relief and Danang, Central Vietnam Construction of primary girls’ school Khadije Construction of wells and water distribution systems, construction of training centre, co-financing of medical staff 175,000 EUR 35,000 EUR Own resources / private donations Women’s Unions in local communities and districts, DED 2 Middle East Iran Province of Kerman, Bam Rehabilitation Diakonie Katastrophenhilfe International Blue Crescent (Turkey), Mostakbal Development Foundation (Iraq), Turkemeneli Cooperation and Cultural Foundation (Iraq) International Blue Crescent International Blue Crescent 1 4 Iraq Kirkuk, Karamless, various villages in Northern Iraq Emergency relief and rehabilitation Lebanon Centre for 240 mentally disabled children countrywide Emergency relief Support of health centres, provision of medicine and supply goods 51,000 EUR Associations of the Order of Malta, own resources / private donations 94,000 EUR Own resources / private donations 1 1 Turkey Izmit Rehabilitation Europe Income-generating measures, care for returnees Construction of winter-proof shelters 448,800 EUR UNHCR 9,800 EUR UNHCR 261,000 EUR AA, own resources / private donations Local partner organisations Local partner organisations Serviciul de Ajutor Maltez în România, Magyar Máltai Szeretetszolgálat, Malteska dobrotvorna organizacija Jugoslavije 216,000 EUR ADH, CARE International Germany, own resources / private donations Malteser USA, Catholic Charities Services, Rebuilding Together 2 1 1 Balkans Bosnia and Herzegovina Bihac, Banja Luka, Livno, Travnik, Mostar Structural aid Kosovo Ferizaj, Gjakova Structural aid Middleand Eastern Europe Home renovation programme, rehabilitation of living space Hungary, Romania, Serbia Support of flood relief of national Emergency aid with hygiene items and food; construction and operating of Malteser partner organisations emergency shelters, support of rehabilitation (houses, water supply) America USA New Orleans Rehabilitation 1 PROJECT OVERVIEW 25 AA ADA ADH AMREF BMZ BSC CHAI CIM CHF DAHW DED DEEDS DFID Federal Foreign Office of Germany Austrian Development Agency Aktion Deutschland Hilft (Action Campaign Germany Helps) African Medical Research Foundation Federal Ministry of Economic Cooperation and Development Germany St. Xaviers Non-Formal Education Service (India) Catholic Health Organisation of India Centre for International Migration and Development Common Humanitarian Fund Sudan German Leprosy and Tuberculosis Relief Association German Development Service Development Education Society (India) Department for International Development (United Kingdom) ECHO FAO GF GTZ HeLaBa HOM KIDS KfW KfWH KPMG MSSS NCC NiN OCHA Humanitarian Aid Department of the European Commission Food and Agriculture Organization Global Fund Community for Technical Cooperation (Germany) Landesbank Hessen Thüringen Health for One Million (India) Kottapuram Integrated Development Society (India) Development Bank - KfW Banking Group Kids for World Health KPMG Deutsche Treuhand-Gesellschaft Aktiengesellschaft Malankara Social Service Society (India) Nairobi City Council (Kenya) Nachbar in Not (Austria) Office for the Coordination of Humanitarian Affairs PMK SAN SDFI SEAMEO STI THW UNAIDS UNDP UNODC UNHCR UNICEF WFP WHO Papal Mission Organisation for Children Sustainable Agriculture Network (Thailand) Sister Doctors Forum India South-East Asian Ministries of Education Organisation (Thailand) Swiss Tropical Institute German Technical Relief Organisation Joint United Nations Programme on HIV / AIDS United Nations Development Programme United Nations Office on Drugs and Crime United Nations High Commissioner for Refugees United Nations Children’s Fund World Food Programme World Health Organisation Although the staff sometimes faced difficulties in accessing the project regions over the past year, the particularly considerate and transparent behaviour and actions of the project teams have made significant improvements possible to the situation of the most vulnerable population groups: the women and children. Pakistan International staff: 5 National staff: 12 Aid for 50,000 people Malteser International has worked in Pakistan since the earthquake on 8 October 2005. On the day of the earthquake on 8 October 2005, hundreds of thousands of people lost their livelihoods and members of their families. Pakistan is still trying to cope with the consequences. A return to normality was made more difficult because so many buildings had been utterly destroyed and it was hard to reach those in need in the mountain regions. Repeated landslides made the situation worse. Malteser International distributed winter-proof shelters and household articles immediately after the earthquake, helping 20,000 people. The work then focused on sustainable improvement of the living situation for those affected: families who had lost their entire crops were given suitable seeds for the mountainous location. The resultant crops meant that not only could they provide for themselves, but also gain new seeds. Malteser International also supported the people in nine villages as they repaired the damaged drinking water supply system. Emergency aid was required once again in the second winter after the earthquake for families most in need. They were given household items and gas cookers. Mobile medical teams provided free treatment for patients in a mountain valley. Treatment focused particularly on women and children with chronic respiratory diseases. Work also started on the reconstruction of two damaged rural primary health centres and on the construction and development of a transfer system to hospitals and medical consultants. A further project for disaster prevention will improve the selfhelp capacities of the population in case of future natural disasters. Sri Lanka International staff: 15 National staff: 47 Aid for 275,000 people Malteser International has worked in Sri Lanka since January 2005. In Sri Lanka, Malteser International has continued with the reconstruction of houses and the rehabilitation of the water supply and the sewage treatment, despite the tense security situation. Even though the conflicting parties are formally obeying the ceasefire, conditions remain close to civil war, despite international mediation initiatives. Conditions are Sri Lanka: With the support of Malteser International, more than 3,000 of the families most affected by the tsunami have built their own tanks to collect rainwater. Pakistan: Malteser International runs mobile clinics to look after the patients in the earthquake region. particularly bad in the north-east and east of the country and it is barely possible to bring any aid to the north. Hundreds of thousands of the inhabitants have been displaced, with many being looked after in camps. Across the country, the security situation has come to a head as a result of attacks and assassination attempts – mainly long-range bombs or suicide bombers – on politicians and military convoys, as well as the kidnapping of young men. In particular, the cold- 26 ASIA blooded attack on the aid organisation ‘Action contre la Faim’ in Muttur, which left 17 Sri Lankan colleagues dead, has highlighted the tense working conditions for relief organisations in the north-east. Nevertheless, Malteser International has managed to continue and further expand its programmes in cooperation with Sri Lankan partner organisations. There have only been problems in one project area in the north-east, where reconstruction and other relief projects had to be stopped temporarily and relocated to another region. Otherwise, the projects in the east have continued, particularly the construction of homes, despite occasional curfews. Malteser International has also begun new projects for drinking water supply and hygiene information in the east, south and south-east of the country, working with Sri Lankan government agencies, non-governmental organisations and UNICEF. Large areas of the country are still without a continuous drinking water supply and sewage water treatment – above and beyond the damage caused by the tsunami. Malteser International is continuing its efforts to develop local structures and provide hygiene information, particularly in schools. Thailand International staff: 10 National staff: 42 Aid for 50,000 people Malteser International has worked in Thailand since 1979. In Thailand, 2006 was moulded by political changes. Amongst many of the social classes, increasing dissatisfaction with the government led to weeks of peaceful mass demonstrations and then, in September 2006, to a military coup. There were also many more terrorist attacks in the southern province, which spread to other parts of the country. Fortunately, the work of Malteser International was never put at risk by these developments. In northwest Thailand, the organisation continued its primary healthcare project for 32,000 people and refugees from Myanmar. The importance of this work is emphasised by the fact that in the year 2006, 3,000 new refugees have sought help in the two camps supported by Malteser International. Having arrived utterly exhausted at the camps, they sought protection from attacks and human rights violations, and were given medical treatment. P SYC H O -SOC I A L C A R E Care covers both psychological and social support for individuals or communities to improve mental health. Helping people in crisis by providing pastoral or psychological advice or bringing family members together are all part of the activities. Social support focuses in particular on the social needs relating to life in general, e.g. help finding a home, provision of medical aid, support when looking for a job or going to school. Providing psycho-social care to help coping with trauma after disasters usually includes both advice and creative measures to release tension. Mental problems or illnesses are perceived and classified very differently in various cultures, so their treatment must also be different. The number of children in Thailand who have lost their parents to AIDS continues to grow. In the poor mountain villages of the Mae Sariang district, Malteser International is currently looking after 93 orphans; their care is supported by a grant. As before, another crucial focus in Thailand is dealing with the consequences of the tsunami. Some areas in the south recovered relatively quickly after the disaster. However, many groups, particularly those belonging to ethnic minorities and Muslims, are still suffering as the result of the loss of their livelihoods. Many young people are still traumatised and receiving aid from Malteser International via a diversified aid and rehabilitation programme. Thailand: In the past year alone, 3,000 refugees from Myanmar arrived at the two camps in northern Thailand, supported by Malteser International. ASIA 27 Turkey Aid for 240 mentally disabled children and their families. Malteser International has worked in Turkey since the earthquake in 1999. In 2006, Malteser International wound up its support of the centre for mentally disabled children in Izmit, the former earthquake area. The project was carried out in cooperation with the Turkish partner, International Blue Crescent. Serving as a model in Turkey, the project supports individual training measures and movement therapies for 240 children with disabilities, easing the lives of the children and their parents. Vietnam National staff: 5 Aid for 20,000 people Malteser International has worked in Vietnam since 1966. In Vietnam, the discrepancy between the living conditions of those in the urban centres and the ethnic minorities in the mountain regions is particularly severe. Almost all the mountain village residents have lost their land due to relocation and therefore the ability to support themselves. In addition, they know little about maintaining good health and have insufficient access to state healthcare services. As civil society has made little impression on the rural regions, people there have little interest in participating in development measures at village or district level. The project implemented by Malteser International to combat poverty is coping with these problems. Project partners are participating in training sessions that show how to better motivate the local populations to take part in projects. The organisation is also using demonstration business start-up courses. Training measures in the fields of nutrition, health and hygiene are improving the health situation in the country. At the start of October 2006, Hurricane Xangsane inflicted terrible damage on the project area. Thanks to the financial support of the Federal Foreign Office of Germany, Malteser International was able to provide help quickly, distributing food, blankets and corrugated iron for house repairs to 1,360 families. Turkey: In cooperation with its Turkish partner organisation, Malteser International supports a centre for mentally disabled children. Vietnam: Malteser International distributes food and blankets to those who have lost everything in Hurricane Xangsane. 28 ASIA ON THE SPOT: THAIL AND ”Life is a daily battle“ A grant enables AIDS orphans to go to school and helps their families survive maths and English. Her grandparents believe it is important that she receives a good education. “If she gets a good job, she might be able to support my wife and me sometime in the future,” her grandfather says hopefully. The consequences of AIDS are turning family relations upside down in the region around the border with Myanmar. The middle generation that normally looks after the old parents and small children is missing in many families. Responsibility passes to the oldest generation – people who are often ill and fragile. As a parting gift, Pawinee’s grandfather gives us a bag that his wife has woven. It takes one to two weeks to finish one of these bags with the traditional designs. Sometimes she can earn a little money by selling them. The family has so little and yet still wants to share everything. “Your visit to us was a gift from God,” the grandfather calls out as we make our way back down the hill. Katrin Rehfuss Trauerfeier am 26. Dezember 2005 zum Gedenken an die Opfer des Tsunami. Many families live in simple bamboo huts. We have to clamber up a steep hill to visit Pawinee and her family. Only the poor live in the bamboo huts of Mae Sariang in northwest Thailand. Pawinee’s family is poor. They couldn’t afford a house in the valley. Pawinee is ten years old. She lives with her grandparents, aunt and uncle. Her mother died six years ago, her father eight years ago. Both had AIDS. Her grandfather tells us how difficult it was to keep the family going. Throughout his story, he chews thoughtfully on a betel nut. He repeatedly wipes away the red juice from his mouth, in which the front teeth are missing. Both grandparents work as day labourers. The grandmother sells vegetables at the market, the grandfather carries wood or does construction work: “I do everything that‘s on offer,” he says. He earns 120 baht for a day’s work (about EUR 2.50). But he doesn’t find work every day. He is only 50, but looks much older. His cares and worries are written all over his face. “Life is a daily battle,” he says, with great sadness. To alleviate the battle, Malteser International is supporting Pawinee and her family with a small grant. They receive the equivalent of EUR 144 a year to pay for Pawinee’s school fees, uniform, books, pens and food. 93 children in the mountain village of northwest Thailand are currently receiving a grant. They have all lost one or both parents to AIDS. Most of them live with their grandparents, who can barely cope with this additional burden. Pawinee wants to be a teacher. She does well at school and works hard. Every afternoon from four to six, after normal lessons, she goes to a special class for Pawinee is happy about her grant from Malteser International. As a day labourer Pawinee’s grandfather earns too little money to pay for her schooling. ASIA 29 ON THE SPOT: LEBANON Helping without becoming a political tool Taking stock after the war in Lebanon Little Hassan is a war baby and his birth would have been pretty hazardous without our help: “When I arrived in the refugee camp that day, his mother was already in labour, everything was chaotic and dirty and there was no-one to help,” Sister Sylvie Toison says. She and her team look after 1,000 internally displaced persons – almost exclusively women and children – in three schools on the outskirts of Beirut. They visit them, provide them with medicine, install showers, wash the children and hand out crucial items such as soap and delousing agents. “Half of the refugees have chronic illnesses such as diabetes and high blood pressure,” Sister Sylvie says. Some illnesses have become worse through stress. “If the war had lasted any longer, we wouldn’t have had any medicine left.” But improvement is in sight on this Monday: six and a half tons of medicine, collected and sent by the French Association of the Order of Malta, are just awaiting customs clearance. And Hassan’s mother has returned home with her baby and her three other children – to a village in the south of Lebanon in which, according to reports, not a single house still stands. Two hours later we are sitting in the town hall of the Beirut suburb of Ghobeiry, guests of a mayor who, according to our Lebanese partner, is one of the most important Hezbollah leaders in the area. The Hezbollah officials give us tea and sweets, complain about the effects of the war on the residents of their city and ask us for support. The director of the Lebanese Foundation of the Order of Malta listens patiently. For him, such visits are necessary if his people are to continue working in areas with a Shiite population – and the principle of BU Sister Sylvie Toison cared for 1,000 internally displaced persons. impartiality and independence applies to him as it does to all humanitarian organisations. Those in need will be given aid – as long as no-one is made the tool of a political party. While the mayor leaves to attend the burial of a Hezbollah fighter, his brother drives us through the suburbs to the worst devastated areas. Whole streets lie in ashes and rubble. As I stand at the edge of aruin, a car stops next to me: “That was my home – on the sixth floor,” the driver says and points to a rail that is all that is left of his former balcony. “All I managed to rescue was a lampshade – everything else was destroyed.” Hezbollah have placed red placards on the rubble. They read “Made in America” – with the slogan: “The Heavenly Victory”. Later, during supper, the director of the Lebanese Foundation of the Order of Malta says to us: “What we saw today is nothing in comparison to what we will see tomorrow in southern Lebanon.” Stefan Dold 30 ASIA ON THE SPOT: INDIA Learning that the floods are a thing of the past Aid for those traumatised by the tsunami Vahini used to read the Holy Scriptures in the temple, while the people prayed to God. Today, Vahini doesn’t read any more. When the tsunami came, she was sitting on the floor in the temple of Alappad. “I heard people outside shouting. I went out and saw everyone running.” Then the water came. For Vahini, the tsunami is far from over. She is still afraid today. When she talks, it is as if the wave had just rushed through her village Alappad; as if, before her very eyes, the 150 people were perishing in the water and the 2,000 houses – including her own – destroyed for the first time. Vahini’s face looks like a mask, her eyes are often closed. Whatever she is seeing behind them, she does not tell anyone. Her hands, wrinkled from work, are always moving, always trying to hang on to something. Vahini is 44 years old. She looks much older. When the water came, she ran. Someone pulled her into a boat and she watched , helpless, as her house collapsed under the weight of the water. When the flood retreated, someone brought her to a refugee camp. Today, Vahini sits in the shadow of a palm tree grove by the lagoon. She and her family have been given a new house by the government, exactly where her old house was. The new home, the sun, the shadow under the palm trees – idyllic. But Vahini sees water, ruined houses, bodies. The fisherman’s wife has spent weeks in various hospitals in the region. She was admitted with symptoms of paralysis and pains. Again and again. Finally a specialist clinic made the right diagnosis: trauma. Vahini has been undergoing psychological treatment since April 2005. Three voluntary Community Level Workers (CLW) visit her regularly: Hajitha, Subhaka and Sridevi. As part of an extensive psycho-social aid project, Malteser International began work Gunnar Rechenburg Talking to the voluntary community workers helped Vahini to gain new courage in life. shortly after the tsunami struck, to train aid workers for psychological work with traumatised tsunami victims, in cooperation with the Indian organisation DEEDS and the local initiative Sahayi. “At first, it was very difficult to even make contact with Vahini,” Hajitha says. The traumatised woman did not want to see anyone, could not talk about the tsunami. It took all the persuasive skills of her husband to convince her that the community workers could really help. At last they were able to win Vahini’s trust. “She was suffering from severe depression, plus hypochondria,” Subhaka says. The pain and paralysis lasted for months. “When we found out that all her physical symptoms were psychosomatic in nature, we tried to work on that,” Hajitha says. “For example, at our first meeting, Vahini said she was sorry not to be able to offer us anything, that she was paralysed and couldn’t walk or move her hands. At our next meeting, we simply asked for a cup of tea – she didn’t need to think about it and just did it.” For a few weeks now, Vahini has been participating in an income generating initiative as part of her treatment, earning money by producing and selling soda water – money that her family urgently Gunnar Rechenburg It took a long time before Vahini and her husband were able to go to the coast again. needs, as her husband Sayeew has been unable to earn money since the tsunami. “My wife was so ill I couldn’t leave her alone for a minute,” the fisherman says. The three community workers helping Vahini agree that the treatment and her contribution to the subsistence of her family are immensely important for her: “She has to participate in life again. Only then can she come to terms with the fact that the tsunami is a thing of the past.” Gunnar Rechenburg ASIA 31 32 18 19 Together for a better future The reorganisation after the collapse of the former federal state of Yugoslavia has still not reached its conclusion. Serbia and Montenegro have been separated; the federal diversity of Bosnia and Herzegovina is still unproven and the future status of Kosovo remains open. Irrespective of the political path taken and yet to be taken by the successor states, with the exception of Slovenia, they all remain united bound in a deep social and economic crisis today. EUROPE DATA COUNTRIES International staff: 34 National staff: 455 Aid for 4.7 million people 18 19 Balkans Romania Balkans National staff: 21 Aid for 2,650 people Malteser International has worked in the Balkans from 1995 to 2007. Malteser International began its work in the Balkans 12 years ago with the distribution of hygiene and food packages. Since then, the organisation has been active in Bosnia and Herzegovina, Croatia, Kosovo, Serbia and Macedonia. The first office of Malteser International in Banja Luka operated from January to May 1995, but had to close due to the war. The Dayton Peace Agreement in November 1995 laid the groundwork for long-term commitment and sustainable reconstruction measures. In May 1996, Malteser International returned to Banja Luka. Further projects were soon started in Bosnia (Bihac, Travnik, Livno, Mostar, Trebinje and Sarajevo) and Macedonia (Skopje). When the war ended in Kosovo, Malteser International extended its project region there in 1999, opening offices in Ferizaj and Gjakova. All these projects focused on helping the people in the region to build a new, peaceful life after the years of bloody conflict and displacement. Malteser International organised convoys for the returning refugees, arranged and distributed financial aid for reintegration and provided winter-proof accommodation. It also supported returnees as they set up small businesses and service industries. The beneficiaries promised to donate part of their first year’s income to social and community projects, which also promoted the development of a civil society and democratic structures. Since 2000, more than 700 individual projects have been set up in this way in Bosnia alone, reaching more than 3,500 people through family or neighbourhood networks over the last six years. Because the economy in the newest successor states of former Yugoslavia is developing fairly slowly, there is still a need for existence-promoting measures. However, the project regions have grown beyond needing emergency measures and post-war aid. The European Union is already negotiating with Croatia about accession, while Bosnia, Herzegovina and Serbia are also being considered as potential acceding countries. With this in mind and because it is becoming increasingly difficult to get third-party funds for projects in the Balkans, Malteser International has ended its own project work in the region. The last project was concluded on 21 December 2006 and the last office in Banja Luka was closed at the end of March 2007. However, this does not mean that Malteser International is abandoning the region. Quite the opposite: well-organised national Malteser relief agencies have already been working EUROPE 33 in Serbia and Albania in recent years. The predominantly voluntary “Malteser Auslandsdienst” (Foreign Aid Service of Malteser Germany) is supporting these local relief agencies and is involved with numerous other social and medical projects run by other officials and initiatives. Malteser International is also continuing to support an old people’s home in Boka, Serbia. Thanks to this support, urgently needed renovation work could be carried out there in 2006. The projects implemented by Malteser International and now run by local cooperation partners will remain in place. This includes the ‘Bosnian-Herzegovina Women’s Initiative’ (BHWI) foundation, set up in 2002 to run projects especially for women. In Kosovo, the former Malteser project leader is continuing with the construction of winter-proof accommodation on behalf of the UNHCR. With the conclusion of its project work, Malteser International must also bid farewell to many colleagues, some of whom have worked with the organisation for years – Malteser International would like to take this opportunity to express sincere gratitude for their commitment. Up to 20 colleagues worked in seven locations. Former country coordinator Alisa Grabus remains in the Malteser family and is now working in Islamabad, Pakistan. She has followed in the footsteps of Vesna Bukvic from Serbia, who has already been working for Malteser International for the past two years in Myanmar. Bosnia and Herzegovina: Farmers using their new machine they received from Malteser International. Bosnia and Herzegovina: Thanks to a micro-credit this carpenter could restart his business. 34 EUROPE Central and Eastern Europe Flood aid in Romania and neighbouring Serbia and Hungary Aid for 2,600 people Malteser International has been providing emergency and reconstruction aid in the region since the flood disaster of 2005. Partnership cooperation between the national Malteser relief organisations and other agencies in charge of medical and social projects in Central and Eastern Europe at both local and national level is the responsibility of the “Malteser Auslandsdienst” (Foreign Aid Service of Malteser Germany). Malteser International only acts in these countries if the national associations of the Order of Malta or relief agencies support acute emergencies or disasters. This was the case in 2006 after the flood disasters in Romania, Hungary and Serbia. The Romanian Malteser relief agency SAMR had already provided flood aid through various projects in 2005. When storms and floods once again threatened the population of Romania in April 2006, SAMR discovered in discussions with local authorities that there was a particularly high need for aid in the project region in the district of Tulcea in the Danube delta. Mainly populated by elderly people, the villages had been 90 percent submerged by the flood. With the financial support of the Federal Foreign Office of Germany and Malteser International, tents and camp beds were Romania: Care packages including blankets and food helped the victims of the flood to get through the first days. Romania: The relief goods were brought to families by boat. purchased as emergency accommodation for families particularly badly affected by the flood. These were erected in the project area and the families were treated on-site by Malteser staff. In this way, the families were able to survive until new homes could be found for them. “The people we are helping here are mainly elderly people. It’s particularly difficult for them to leave their homes and start all over again,” Zsuzsa Barla, Secretary General of SAMR, explains. Working with the Tulcea prefecture, SAMR had already distributed 300 care packages of rubber boots, raincoats, blankets and food in an instant campaign after the disaster occurred. Providing the flood-damaged families with tents and camp beds was top priority for the affected communities. The emergency accommodation served as vital ‘protective huts’ for the flood victims once the acute phase had passed. Supported by the Federal Foreign Office of Germany, the flood aid project provoked high media interest both at home and abroad. Following the provision of emergency accommodation, the Romanian Malteser relief service managed to provide emergency and reconstruction aid in the affected areas, thanks to further support from Malteser International and generous private and corporate donations. Houses and entire villages were rebuilt in the Tulcea district, some in places different from before, to avoid the risk of renewed flooding. A daily water supply for the relocated villages was also ensured. Corporate donations of over EUR 50,000 made it possible to construct seven wells in four villages. The local Malteser relief services in the neighbouring countries of Hungary and Serbia – also affected by the disaster – provided local flood relief. Malteser International supported their work with a total of EUR 15,000. EUROPE 35 36 AMERIKA 1 Reconstruction after the storm Traces of the destruction across the entire US Gulf Coast left in the wake of Hurricane Katrina in August 2005 are still visible nearly two years on from the disaster. Only about half the residents of New Orleans have returned to their city, which was left almost entirely under water after the hurricane passed. As before, people are battling with fundamental problems, such as the lack of affordable living space, overcrowded schools and weakened public healthcare. AMERICA DATA COUNTRIES International staff: 1 Aid for 1,500 people Malteser International has worked in New Orleans since 2005. 1 USA Malteser International and the three US American Associations of the Order of Malta have been working with two partner organisations in New Orleans on a house renovation programme, enabling socially weak families to return to their homes in the districts of Treme and Gentilly. During the year after the disaster, over 900 volunteers helped make houses badly damaged by flood and storm habitable once again – in nine working weeks. These and many other houses had already been emptied and cleared of mould by volunteers from the ‘Helping Hands’ programme of the Catholic Charities in the New Orleans diocese. “The volunteers’ motivation was limitless. Cooperation with the church parishes resulted in close contact with the affected families. Reducing their pain and distress was a huge gift for all those involved,” declared Ozzy Marcenaro, project coordinator from Malteser International, looking back over his experiences after the project ended in April 2007. Michael S. Falser New Orleans: United help for the victims of the hurricane in New Orleans. Michael S. Falser New Orleans: Volunteers from all generations support the reconstruction. AMERICA 37 ON THE SPOT: NEW ORLE ANS From bank director to carpenter Home renovation programme in New Orleans As we drove along the streets in our bus, I was shocked. Even though a year had passed since the disaster, the living conditions in New Orleans remained appalling. There were still entire suburbs without power or water and the houses looked just as they had when the storm left them. In August 2005, Hurricane Katrina caused the levees to burst, leaving the lowest city quarters (where the poorest black population lived) submerged under up to eight metres of water. 2,000 people died. At the start of 2006, I moved from Vienna to San Francisco to work for twelve months as a monument conservation architect. When the second reconstruction campaign for New Orleans organised by the Western Association of the Order of Malta began in September, I volunteered. Together with Malteser International and the American organisation Rebuilding Together, the US American Associations of the Order of Malta had developed an aid programme to help needy families rebuild their houses. The 72 volunteers from all over the USA were housed in a hotel on the western edge of the celebrated French Quarter. For a demanding few days, a bank director, a lawyer, architects and managers turned into carpenters, painters, water-carriers, tool coordinators. At 7.30 every morning for a week, a bus took us to the two houses we were renovating. When we saw the extent of the damage, I doubted whether we could really make them habitable again. But thanks to the precise instructions of our group leader, our uncertainty was soon gone. We cleared the first house of its rotten waterproofing, ‚Viribus unitis‘: nine helpers and a ceiling board. Young girl from the parish of St. Peter Claver during the Mass with the helpers. of dangling ceiling joists, protruding nails and a thick coat of mud, removed the mountain of rubbish in the garden and shored up the foundation with stones. Neighbours watched us from nearby windows and doors. Shy, surprised and mostly smiling widely, they gazed at the totally filthy, yet good-humoured helpers. When we fell exhausted into bed at the end of the first day, the house had been entirely cleaned, ready for renovation and the new materials and tools which had been stored safely at the site. On the last day, we were amazed at what we had achieved: we had reached our goal. The two houses were really habitable. At supper, we handed over the keys to the emotional families – including a 100-year-old great-grandfather. Mass at the freshly renovated parish church of St. Peter Claver was another very moving moment: when Father Mike explained the motivation for our help, hundreds of children in party clothes rose from their seats and thanked us with gospel songs and standing ovations. When I look back at this moment today, I am very happy to remember that the aching muscles, the blisters on our hands and the aching backs were all worth it. Michael S. Falser 38 AMERICA Experts abroad Local staff employment per region 2006 Africa Angola DR Congo Ethiopia Kenya Sudan Uganda Asia Afghanistan Cambodia India Indonesia Iran Iraq Myanmar Pakistan Sri Lanka Thailand Vietnam Balkans Bosnia and Herzegovina Total 455 18 129 2 14 275 17 301 28 10 1 28 0 0 128 12 47 42 5 21 21 777 2005 411 19 126 2 14 237 13 426 197 18 1 31 1 1 120 4 10 40 3 28 16 865 Africa Angola DR Congo Ethiopia Kenya Sudan Uganda Asia Afghanistan Cambodia India Indonesia Iran Iraq Myanmar Pakistan Sri Lanka Thailand Vietnam Balkans Bosnia and Herzegovina America Louisiana Total Expatriate employment per region 2006 34 3 14 0 2 12 3 85 5 5 4 27 0 0 14 5 15 10 0 0 0 1 1 2005 33 4 11 1 3 12 2 88 15 2 2 27 1 0 11 0 19 10 1 2 1 1 1 * Some of the staff members are working cross-national. The total figure refers to the total number of contracts signed in the year 2006. For 39 employees it was their first contract with Malteser International, 78 employees have already been working for Malteser International in the past. 120 * 124 Nationalities of the expatriates Austria Bangladesh Belgium Bolivia Brasil Burkina Faso Canada Ethiopia France Germany Great Britain Hungary India Italy 2 1 1 1 1 1 2 1 2 71 3 1 2 1 Kenya Madagascar Myanmar Netherlands New Zeeland Philippines Poland Serbia / Mont. Spain Switzerland Tansania Uganda USA Vietnam 4 3 1 4 2 1 1 2 2 2 2 1 1 1 Expatriates by education and occupation others 7 physicians 22 trainees / project assistants 18 paramedics 3 nurses and orderlies 13 project managers 5 coordinators / managers 27 engineers 5 midwives 3 consultants 3 logistic specialists / administrators 11 E XPERTS ABROAD 39 Help at a glance Bernice Lemedeket Clinical Officer, Kenya, works in the slums of Nairobi, Kenya. “I have been working for Malteser International for two years. Every week I visit my patients at home. I really like to provide people with medicine, to help them and to see how they live. It makes me happy to experience how they manage to escape from the slums.” ich.tv Michael Hinsch Ursula Mesmer Nurse, Switzerland, works as a project coordinator in Bukavu, DR Congo. “Many people living here have gone through horrible experiences, especially the women and the children. It is a great challenge to help these traumatised victims. What makes me particularly happy is the fact that, when I go back to Switzerland, my work will be continued by a local colleague.” Sociologist, Germany, works as a counsellor for partner projects in Nagercoil, India. “Among others, I look after the awarding of small loans to women in need, HIV/AIDS awareness projects, psycho-social programmes to help traumatised tsunami victims and a house rehabilitation project for people who have lost everything in the tsunami. Before I worked for Malteser International, I could not imagine I would have contact with so many different fields of activity in such a short time.” Perly H’too Midwife, Thailand, works in a refugee camp in Thailand. “I came here as a refugee. Malteser International gave me the opportunity to learn the profession of a midwife. For me, it is very important to help the children born here. I hope they can return to their home country when they have grown up.“ 40 E XPERTS ABROAD Sandra Fröbe Cultural scientist, Germany, works as a community advisor in Lhokseumawe, Indonesia. “One of my duties is running a micro-credit-programme with which we are supporting people with a good business idea to realise their plans. This is a very encouraging experience. And in the meantime, I even learned the Indonesian word for abrasive paper.“ ich.tv Mambo Lomo Health agent, DR Congo, works as a supervisor of the health structures in Ariwara, DR Congo. “I am responsible for the control of the health centres and the pharmacies. At the end of my visits I talk with each employee and we discuss the results of the assessment. That is a good way to improve our work continuously.” Bilal Abbasi Economist, Pakistan, works as an administrator in Islamabad, Pakistan. Peter McCanny Economic advisor, Ireland, works as a programme coordinator in Yei, South Sudan. “I have been living in South Sudan for two years. The people here are very friendly and open minded, although they are extremely poor, traumatised and prone to diseases. I am really glad to have the opportunity to help these people together with Malteser International.” “The earthquake of 8 October 2005 not only destroyed the bank I was working for, but also changed my whole life. When people ask me what happened to me after the earthquake, I say: I got the very best thing I could get, a job with Malteser International.” E XPERTS ABROAD 41 Facts and Figures Annual accounts as of 31 December 2006 Balance sheet A SSE T S 31/12/2006 EUR A. Fixed assets I. Intangible assets Concessions, industrial and similar rights and assets and licenses in such rights and assets II. Tangible assets Operating and office equipment B. Current assets I. Receivables and other assets 5.159,16 110.593,49 B. Provisions Other provisions 811.558,00 469.988,00 1. Trade receivables – of which with a remaining term of more than one year EUR 0.00 (2005: EUR 0.00) – 2. Receivables from other long-term investees and investors – of which with a remaining term of more than one year EUR 0.00 (2005: EUR 0.00) – 3. Receivables from associated corporate bodies – of which with a remaining term of more than one year EUR 0.00 (2005: EUR 0.00) – 4. Receivables from Malteser Hilfsdienst e.V. – internal – – of which with a remaining term of more than one year EUR 0.00 (2005: EUR 0.00) – 5. Other assets – of which receivables with a remaining term of more than one year EUR 0.00 (2005: EUR 0.00) – II. Cash-in-hand, bank balances C. Prepaid expenses Other 497.118,52 860.712,36 458.121,85 924.032,73 363.593,84 465.910,88 EUR 31/12/2005 EUR EUR A. Equity I. Funds of the Association 1.769.884,29 25.524,56 0,00 1.795.408,85 1.450.950,01 25.524,56 318.934,28 1.795.408,85 EQ U I T I E S A N D LI A B I LI T I E S 31/12/2006 EUR 31/12/2005 EUR II. Revenue reserves III. Net income for the year 15,08 59,00 C. Liabilities 1. Trade payables – with a remaining term of up to one year – 2. Liabilities to other long-term investees and investors – with a remaining term of up to one year – 351.234,66 666,05 21.079,71 119.565,76 26.059.010,73 3.087.303,62 29.638.860,53 46.591,26 32.245.827,38 60.439,98 29.803.968,33 32.245.827,38 29.803.968,33 3.065.608,79 2.435,10 2.319,58 99.606,87 24.337.227,02 31.374,12 27.538.571,48 15.405.509,73 12.417.207,11 2.602.463,35 3.751.327,14 3. Liabilities to associated corporate bodies – with a remaining term of up to one year – 4. Liabilities to Malteser Hilfsdienst e.V. – internal – – with a remaining term of up to one year – 23.726.917,52 5.092.578,10 28.819.495,62 5. Liabilities from earmarked grants and contributions – with a remaining term of up to one year – 6. Other liabilities – with a remaining term of up to one year – 8.977.001,40 26.990.148,72 4.348.375,04 31.338.523,76 7.447.730,78 Income statement 2006 EUR 1. Sales 2. Other operating income 3. Cost of materials a) Cost of raw materials, consumables and supplies b) Cost of purchased services 4. Personnel expenses a) Wages and salaries b) Social security and other pension costs – of which in respect of old-age pensions EUR 198,092.91 (2005: EUR 172,811.39) – Interim result 5. Income from the release of liabilities from earmarked grants and contributions 6. Income from the release of special items including contributions for funding fixed assets 7. Expenses for transfers to liabilities from earmarked grants and contributions 8. Amortisation of intangible assets and depreciation of tangible assets 9. Other operating expenses Interim result 10. Other interest and similar income 11. Interest and similar expenses 12. Results from ordinary activities 13. Other taxes 14. Net income for the year 439.180,45 11.803,49 427.376,96 4.493,19 4.493,19 0,00 24.337.227,02 0,00 26.059.010,73 425.870,26 14.167.441,17 14.593.311,43 -422.883,77 339.153,47 1.423,83 337.729,64 326.949,06 8.014,78 318.934,28 -1.721.783,71 3.267.515,78 837.187,53 11.177.321,19 15.892.211,37 13.946.213,10 1.369,00 24.337.227,02 310.855,04 16.559.616,84 16.870.471,88 -10.780,58 -10.389.644,92 2.863.764,93 740.372,14 9.403.413,57 27.249.336,22 4.485.388,82 2.587.229,06 4.718.373,17 1.080.903,33 44.866,97 27.024.665,59 27.069.532,56 EUR EUR 198.493,34 36.454.256,45 36.652.749,79 2005 EUR Auditor‘s report 42 FAC TS AND FIGURES Notes on the income statement For consolidation reasons, the income statement of Malteser International is prepared according to the system of accounts established by Malteser Hilfsdienst e.V. The structure of the income statement (but not the audited contents) therefore differs in some respects from the presentation of data elsewhere in this Annual Report and is briefly explained in the following notes. I N CO M E Sales revenues include all income from supplies and services provided. Allocations and grants from the public sector include project funds provided by the Federal Foreign Office of Germany and the Federal Ministry for Economic Cooperation and Development, Germany (BMZ) amounting to € 1,845,409 (of which € 1,335,643 financed by the Federal Foreign Office of Germany) and project funds by the European Union amounting to € 7,339,655. Church contributions include project funds of € 51,247. The project resources provided by UNHCR amounting to € 977,541 are included in the contributions by third parties; the same applies to the project funds by Caritas international (€ 472,659), UNICEF (€ 492,482), GLRA (€ 83,606) and to the donations received and claimed via ADH amounting to € 9,648,244. Other operating income includes income from donations and internal Malteser organisation contributions amounting to a combined total of € 2,394,606. Grants from both public and private donors which cannot be used in the current financial year (e.g. for projects that last for several years or are carried over into the next year) as well as donations which cannot be used fully in the current financial year (since a large proportion of donations is received at the end of the year), are carried over to the next year and then used. The use of these funds is shown under Income from the reversal of liabilities from investment allocations / appropriated donations and grants not yet used. (The carry-over of such funds to the following year is shown under Expenses for transfer to liabilities from earmarked contributions.) EXPENDITURE The items Cost of materials and Personnel expenses comprise the majority of direct project costs (e.g. costs of medicine and relief items of a combined total of € 15,083,174 payments to building contractors in reconstruction projects, costs of international and local project staff) as well as parts of the indirect project costs and administrative costs (non project-specific staff costs). The item Other operating expenses also includes direct project costs (e.g. structural aid and direct project support for local partners in Eastern Europe amounting to € 697,922), as well as indirect project costs (pro-rata costs of media and public relations, costs of staff recruitment and support) and administrative costs (rent, IT). In 2006, administrative costs amounted to seven percent of our total expenditure. FAC TS AND FIGURES 43 Financial overview 2006 Where does the money come from? – Sources of funding (rounded up) UNICEF/UNDP and other UN organisations 2,085,000 EUR BMZ 890,000 EUR Europe Aid 2,399,000 EUR Caritas/PMK et al. 524,000 EUR Gitec 450,000 EUR Donations and other resources 2,395,000 EUR ADH 9,648,000 EUR ECHO KfW PMK UNDP ADH BMZ Aktion Deutschland Hilft (Action Campaign Germany Helps) Federal Ministry for Economic Cooperation and Development, Germany Humanitarian Aid Department of the European Commission Development Bank – KfW Banking Group Papal Mission Organisation for Children United Nations Development Programme ECHO 4,941,000 EUR Others (GLRA, foundations, Global Fund) 423,000 EUR Federal Foreign Office of Germany 1,336,000 EUR UNHCR 978,000 EUR UNHCR United Nations High Commissioner for Refugees UNICEF United Nations Children‘s Fund Where does the money go to? – Project expenditure by sources of funding (rounded up) Others (GLRA, foundations, Global Fund) 885,000 EUR UNHCR 863,000 EUR Europe Aid 1,239,000 EUR ECHO 4,692,000 EUR Caritas/PMK et al. 122,000 EUR UNICEF/UNDP and other UN organisations 1,112,000 EUR Donations and own resources 7,831,000 EUR ADH 4,283,000 EUR Gitec 1,693,000 EUR KfW 992,000 EUR Federal Foreign Office of Germany 1,317,000 EUR BMZ 652,000 EUR Development of incoming donations (rounded up) 25,000,000 EUR 20,000,000 EUR 15,000,000 EUR 10,000,000 EUR 5,000,000 EUR 0 thereof by ADH 3,045,000 EUR 9,648,000 EUR 23,743,000 EUR Project expenditure by continents (rounded up) Europe 1,450,000 EUR America 270,000 EUR Africa 6,742,000 EUR thereof by ADH 9,192,000 EUR 12,043,000 EUR 2004 2005 2006 Asia 13,402,000 EUR 44 FAC TS AND FIGURES Acknowledgement Malteser International would like to thank all private donors and sponsors, as well as all companies, cooperation partners, foundations, societies, schools, parishes and organisations, for their generous support in 2006. Unfortunately, we do not have space here to list all those members of the international aid community who have supported us, but a few are named below as representatives: ABB Group, Mannheim Afghanistan Hilfe Paderborn Aktion Deutschland Hilft e.V. (ADH, Action Campaign Germany Helps), Bonn Archbishopric of Cologne Augustinus-Kliniken gGmbH, Neuss Austrian Development Agency BILD hilft e.V., Hamburg Bishopric of Mainz Centre for International Migration and Development (CIM), Frankfurt/Main Confederación Cáritas Española, Madrid Community for Technical Cooperation (GTZ), Eschborn Department for International Development (DFID), London Deutsche Bank, Frankfurt/Main Deutsche Treuhand-Gesellschaft Aktiengesellschaft (KPMG), Berlin Development Bank - KfW Banking Group, Frankfurt/Main Die kleinen Patienten e.V., Bonn Dr. Hans-Liebherr-Stiftung, Biberach/Riss EuropeAid / EuropeAid Coordination Office (AIDCO), Brussels FC Bayern Hilfe e.V., Munich Federal Foreign Office of Germany, Berlin Federal Ministry for Economic Cooperation and Development Germany, Bonn Food and Agriculture Organization of the United Nations (FAO), Rome Foreign Office, Canberra Foreign Office, Ottawa Foreign Office, Tokyo German Bishops’ Conference, Bonn German Leprosy and Tuberculosis Relief Association (GLRA), Wuerzburg Gitec Technologie- und Wirtschaftsberatung GmbH, Berlin/ Hannover Himalaya-Karakorum-Hilfe e.V. Humanitarian Aid Department of the European Commission (ECHO), Brussels Joint United Nations Program on HIV/AIDS (UNAIDS), Geneva Langenscheidt KG, Munich National associations and relief agencies of the Sovereign Order of Malta Noweda – Die Apothekergenossenschaft, Essen Osthessen hilft Südasien, Fulda Partner Aid International (PAI), Berlin Papal Mission Organisation for Children (PMK), Aachen Pathfinder International, Watertown Serendib Stiftung, Hamburg Social and Economic Development Centre (SEDEC), Columbo Swiss Tropical Institut (STI), Basel Überlandwerke Fulda AG (ÜWAG) United for Africa United Nations Children’s Fund (UNICEF), New York United Nations Development Programme (UNDP), New York United Nations High Commissioner for Refugees (UNHCR), Geneva United Nations Office for the Coordination of Humanitarian Affairs (OCHA), Geneva/ New York United Nations Office on Drugs and Crime (UNDOC), Vienna United Nations World Food Programme (WFP), Vienna University of Regensburg World Child Foundation, Switzerland World Health Organization (WHO), Geneva World Pheasant Association (WPA), Hamsphire ZF-Hilft e.V., Friedrichshafen …plus countless other local, national and international partner organisations. ACKNOWLEDGEMENT 45 Member associations (Status: July 2007) Australia www.smom.org.au Austria www.malteserorden.at Belgium www.ordredemaltebelgique.org Canada www.orderofmaltacanada.org Czech Republik www.orderofmalta.org France www.ordredemaltefrance.org Germany www.malteser.de Great Britain www.orderofmalta.org.uk Ireland www.orderofmalta.ie Italy www.orderofmalta.org Malta www.orderofmalta-malta.org Mexico www.ordendemaltamexico.org Netherlands www.maltezerorde.nl Poland www.zakonmaltanski.pl Portugal www.orderofmalta.org Switzerland www.malteserorden.ch United States of America www.maltausa.org www.orderofmaltausawestern.org www.smom.org www.malteser-international.org 46 M E M B E R A SSO C I AT I O N S Structures and committees Malteser International is the international relief agency of the Sovereign Order of Malta for humanitarian aid. The legal entity of Malteser International is Malteser Hilfsdienst e.V.. This is represented by the Executive Board, currently composed of Johannes Freiherr Heereman (Executive President), Reinhard Eckert and Dr. Elmar Pankau. The President of Malteser Hilfsdienst e.V. is Dr. Constantin von Brandenstein-Zeppelin. Currently, 19 national associations of the Order of Malta are members of Malteser International. At their General Meeting they appoint a honorary Executive Committee for a term of four years. This committee consists of five members: the President, three Vice-Presidents and the Financial Supervisor. The President and at least two other members of the Executive Committee must be members of the Order of Malta. The leadership structure of Malteser International is currently as follows: President Nicolas de Cock de Rameyen (Belgium) Vice-President Comte Thierry de Beaumont-Beynac (France) Vice-President Richard Freiherr von Steeb (Austria) Vice-President Ambassador (ret.) Theodor Wallau (Germany) Financial Supervisor Charles-Louis de Laguiche (Switzerland) The Executive Board of Malteser Hilfsdienst e.V. finalises the budget proposed by the Executive Committee of Malteser International and confirms the annual accounts. The Executive Committee of Malteser International sets the strategy and makes decisions on work guidelines within the framework of written agreements made with Malteser Hilfsdienst e.V.. The Secretary General leads the operating activities of Malteser International within the framework of the adopted budget and strategy of Malteser International. He arranges meetings of the Executive Committee and participates in these meetings in an advisory capacity. STRUCTURES AND COMMITTEES 47 Do you want to be informed regularly about News, Activities and Highlights from the worldwide projects of Malteser International? Or do you want to learn more about our national and international staff and the people we support? Then subscribe to our Newsletter “On the SPOT”. It is published in English and sent via email worldwide. You will receive ”On the SPOT“ every four to six weeks free of charge and without obligation. To subscribe to “On the SPOT” please visit our website and fill out the subscription under “News/Press”. Thank you very much for your interest. www.malteser-international.org Malteser International Headquarters Kalker Hauptstr. 22-24 D- 51103 Köln (Germany) Phone +49 (0)221 9822-151 Fax +49 (0)221 9822-179 info@malteser-international.org www.malteser-international.org Published by: Responsible for content: Editorial team: Layout/Setting: Translation: Print: Photographs: Cover photo: Full page photos: Back cover photo: Malteser International Ingo Radtke Petra Ipp (editor-in-chief), Anke Barth, Esther Finis, Miriam Fuß Alexander Lengerke Design (www.alengerke-design.de) Puretrans (Glees & Purer OEG) Das Druckhaus Bernd Brümmer, Alfter, Germany Malteser International archive, Birgit Betzelt, Michael S. Falser, ich.tv, Florian Kopp, Gunnar Rechenburg, Caroline von der Tann, United for Africa/ Thomas Einberger Oral vaccination against polio in North Darfur (Picture: Birke Herzbruch) Birgit Betzelt (Africa, Europe), Michael S. Falser (America), Katrin Rehfuss (Asia) Treatment of a patient after the earthquake on Java (Picture: Katrin Rehfuss)