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					                       Caroline Irby, Ethiopia, Concern Worldwide

Concern Worldwide US
                              Valerie Gatchell, Ethiopia, Concern Worldwide

A vision of a world without
poverty & injustice...
Table of Contents

Board of Directors                Mission & Vision Statement                              2
Concern Worldwide US, Inc.        Message from the Chief Executive                        4
Thomas J. Moran                   Message from the Chairman                               6
Chairman, Concern Worldwide US    Message from the Executive Director & Hon. President    8
Chairman, President & CEO,
Mutual of America
                                  Worldwide Map                                          10
                                  Worldwide Overview                                     12
Joan Carroll
PricewaterhouseCoopers            Afghanistan                                            14
Dolores T. Connolly
                                  Bangladesh                                             15
Sterling Engineering, Inc.        Burundi                                                16
Lisa D’Urso                       Cambodia                                               18
Robert M. Fitzgerald
                                  Chad                                                   19
                                  Democratic Republic of the Congo                       20
Jack Haire
HMA                               East Timor                                             22
Kevin Kearney
                                  Ethiopia                                               23
Wingate, Kearney & Cullen         Haiti                                                  24
Eugene Keilin                     India                                                  26
KPS Funds                         Kenya                                                  27
Alfred F. Kelly, Jr.              Lao PDR                                                28
American Express Company          Liberia                                                30
Edward J. T. Kenney               Malawi                                                 32
Mutual of America
                                  Mozambique                                             33
Edward R. McCarrick               Nepal                                                  34
TIME Magazine
                                  Pakistan                                               36
Jim Miley
                                  Rwanda                                                 37
Chairman, Concern Council (IRL)
                                  Somalia                                                38
Denis O’Brien
                                  Sudan (North)                                          40
                                  Sudan (South)                                          41
Brother John J. O’Connor
                                  Tanzania                                               42
Frances O’Keeffe
Concern Council (IRL)
                                  Uganda                                                 44
                                  Zambia                                                 45
George Pappas
MCS Advertising LTD               Rwanda: Progress in the Fight Against Malaria          46
Margaret (Peggy) M. Smyth
                                  USAID Partnership                                      48
United Technologies Corp.         Concern’s Response to Cyclone Sidr                     50
Ambassador Nancy Soderberg        Activities in the US                                   52
International Crisis Group        Supporting Concern                                     56
Lynn Tierney                      Financial Summary                                      58
Federal Aviation Administration   International Co-Funders                               60
    Concern Worldwide US
    Our Mission and Vision
    Concern’s mission is to help people living in
    absolute poverty achieve major improvements in
    their lives that last and spread without ongoing
    support from Concern Worldwide.

    Our vision is of a world where no one lives in
    poverty, fear or oppression; where all have access
    to a decent standard of living and the opportuni-
    ties and choices essential to a long, healthy and
    creative life; where everyone is treated with
    dignity and respect.

    Our goal is to ensure that people living in
    extreme poverty are able to meet their basic
    needs, achieve their rights and manage their own
    development. We do so by working with them
    and using the experience and learning from that
    work to address the root causes of extreme
    poverty through policy change.

                                         Photo: Response to Cyclone Sidr, Bangladesh, Concern Worldwide

    meet critical needs.
...responding rapidly to
    Message from the

    Chief Executive
                                                    hundreds of millions of children, physi-          and provide people with pathways out of
                                                    cally and mentally, each year. The kind           poverty. Education of girls and women,
                                                    of hunger that, along with preventable            which is central to our education program,
                                                    diseases, leads to 10 million children dying      is key to any long-term strategy to improve
                                                    each year.                                        food security at the household level. We are
                                                                                                      investigating different types of improved
                                                    This is the world Concern has been dealing        nutrition in our HIV&AIDS program which
                                                    with, and helping to make a somewhat              will lengthen people’s lives.
                                                    better place, over the past 40 years.
                                                                                                      Beyond what we do in our own program,
                                                    But through 2007, and gathering pace in           we are advocating for policy change, at
    Tom Arnold                                      the early months of 2008, the poorest             the national and international level, to
    Chief Executive                                 people have been affected by another              bring greater urgency and more effective
                                                    insidious threat to their lives and liveli-       action in the fight against hunger.
    Since its foundation in 1968, Concern’s         hoods: rapidly rising food prices. The price of
    core focus has been improving the lives of      rice, the most basic of foods for the bulk of     We have entered into a unique partner-
    the poorest people in the poorest coun-         humanity, has doubled between the first           ship, involving Concern, the Washington-
    tries. Over the past forty years, economic      quarter of 2007 and 2008. The increasing          based International Food Policy Research
    growth has lifted hundreds of millions of       number of food riots in poor, and even in         Institute (IFPRI), a world leader in food and
    people out of poverty. The world now has        middle income countries, shows how the            nutrition research—and the Kerry Group,
    its largest ever population with the small-     very existence of millions of poor people         Ireland’s largest food company. Together
    est percentage living in extreme poverty.       without proper access to food has become          we will carry out a program of action
                                                    more precarious.                                  research, based on Concern’s programs in
    But this is little consolation for those who                                                      the field. We will gather the evidence from
    remain stuck in the poverty trap. In 2007,      Concern was founded to respond to the             these programs and work with our part-
    Paul Collier, an economist who worked           terrible famine in Biafra, in Eastern             ners to develop policy recommendations.
    with the World Bank, wrote an insightful        Nigeria. In the intervening decades, we
    book, The Bottom Billion. It described the      have been present whenever extreme                In October 2008, we will host a major
    reality for the poorest billion people on the   poverty tipped into famine: Bangladesh            international conference on hunger in
    planet who, in the main, live in countries      and Ethiopia in the 1970s; Ethiopia and           Dublin. Kofi Annan will be the keynote
    in conflict, or failed states with corrupt or   Sudan in the 1980s; Somalia and Sudan in          speaker and will head a panel of interna-
4   weak governance; countries with feeble
    economies and low tax revenues which
                                                    the 1990s; and Niger in the first decade of
                                                    the 21st century.
                                                                                                      tional leaders, each of whom has the
                                                                                                      passion and the influence to help win the
    depend on aid; countries affected by the                                                          fight against hunger.
    burden of disease and under-resourced     It is no surprise that a core part of our work
    public health systems.                    continues to be responding to acute mal-                We are using the program for our 40th
                                                                       nutrition and find-            anniversary to thank many people: The
    This sounds familiar                                               ing new and better             supporters from the public, our volun-
    to people in Concern.            We have the                       ways of alleviating            teers, governments and other donors.
    We work in countries                                               chronic hunger. This           We acknowledge yet again the commit-
    with these charac-
                                responsibility to release              2007 Annual Report             ment and talent of our staff across the
    teristics; the “bottom        the potential of the                 provides many such             organization.
    billion” represents                                                examples.
    the core of our target
                                    poorest to work for                                               We remain committed to the values, the
    group.                            a better future.                     In recent years, we        courage, the imagination of the founders
                                                                           have pioneered, in         of Concern. Because the need is still there.
    Hunger goes hand                                                       association     with       We have the responsibility and the privi-
    in hand with extreme poverty. Some 900          Valid International, an improved way of           lege to do what we can to meet that need
    million people go to bed hungry every           dealing with acute malnutrition—Commu-            and to release the potential of the poorest
    night. Less than 10 percent of these suffer     nity Therapeutic Care (CTC). We are proud         to work for a better future.
    from extreme malnutrition, the kind of          that, in May 2007, the U.N. adopted this
    hunger which leads to the terrible images       approach as international best practice
    of starvation we associate with famine and      and encouraged national governments to
    which accounts for the deaths of one to         build it into their public health systems.
    two million children annually.
                                                    We are tackling the root causes of hunger.
    But the majority suffer from chronic mal-       Our health and livelihoods programs aim
    nutrition, the kind of hunger that stunts       to improve the basic health of communities
Photo: Makoni village, Sierra Leone, Concern Worldwide


                                                          ...ensuring healthier
                                                         lives for thousands of
                                                            women and children.
    Message from the

                                                      In Rwanda, we visited a Genocide Memo-          Concern’s role is to help the local people
                                                      rial where 250,000 human remains are            rebuild their lives by supplying farming
                                                      buried and new remains continue to be           tools, seed fairs, livelihood security pro-
                                                      found. We saw pictures of slaughtered           grams, pay for work, etc.
                                                      children, heard stories of people seeking
                                                      sanctuary inside a church only to be mas-       Concern did what it always does: Identify
                                                      sacred while standing inside, and               the need, measure its urgency, and find
                                                      watched videotapes of survivors telling         solutions and humanitarian strategies
                                                      stories of the fear and horror they experi-     through careful neutrality and purity of
                                                      enced. Rwanda is still a nation very much       purpose. But something was different on
                                                      in recovery; Concern is playing an impor-       this trip, and when I got back to New York,
    Thomas J. Moran                                   tant role in that process.                      I realized what it was. In the other places
    Chairman                                                                                          I have visited, the suffering was a result of
                                                   Leaving Rwanda, we drove several hours             natural disaster, and was not man-made.
    As Concern Worldwide celebrates its 40th       to the border of the Democratic Republic           In Rwanda, the people are haunted by the
    anniversary in 2008, I will be remembering     of the Congo and spent a night in Goma,            memory of the genocide, and the fear that
    the last decade of my involvement with         then flew several hours south to Kasongo.          it is not over. In the DRC, people are slowly
    Concern. During that time, it has been my      There, deep in the heart of the Congo,             rebuilding their lives, but are haunted by
    priviledge to serve as Chairman of the         Concern is working with the local villages         the memories of their children who were
    Concern Worldwide US Board of Directors.       to rebuild the infrastructure of the region.       taken away and transformed into child sol-
                                                   Bridges had been destroyed during the con-         diers. And they wonder if the current fragile
    In this report, we hope to give you a          flict, making it difficult if not impossible for   state of stability will last, or if there will be
    clear sense of Concern’s vitality as it        commerce to take place between the dif-            another outbreak of violence and horror.
    approaches its 40th anniversary. Concern’s     ferent villages. Medical care (2 doctors for
    mission is to help people living in extreme    200,000 people) was no longer accessible.          As 2007 came to a close, we were privi-
    poverty achieve major improvements in          Roads were not passable during the rainy           leged to welcome Nobel laureate Elie
    their lives, improve-                                                    season because they      Wiesel as the honoree at our annual Seeds
    ments which will                                                         would wash out. So,      of Hope Dinner. His presence, and espe-
    last and spread with-           It is hard to ignore the                 in addition to every-    cially his words that night, helped give
    out ongoing support             spirit of hope and self-                 thing else Concern is    meaning to Concern’s role in places like
    from Concern. In                                                         doing, our staff there   Rwanda and DRC as we chart our course
6   the past year, we            determination springing up                  are also facilitating    for the next 40 years. He congratulated
    pursued that mission         where Concern is working.                   the rebuilding of        Concern for going to those places where
    in 30 countries in                                                       bridges and digging      poverty is most extreme, where loss is the
    Africa, Asia and the                                                     drainage      ditches    most profound, and where hope is most
    Caribbean, and thanks to the support of our    alongside those roads most affected by the         illusory. Implicit in his praise was a chal-
    donors, Concern Worldwide US was able          rainy season. They are building schools            lenge to continue the effort because the
    to support efforts in 23 of those countries.   and doing whatever the community iden-             needs are still so great and the victims
                                                   tified as essential to their becoming self-        need to be reminded that they have not
    In 2007, I was privileged to visit Concern     sufficient again after 40 years of conflict.       been forgotten.
    operations in two countries where our
    work is engendering hope among people          From Kasongo, we flew to Shamwana,                 Along with all the staff of Concern and as
    who would have had every right to              which was particularly hard hit by con-            Chairman of Concern Worldwide US, I
    abandon hope long ago: Rwanda and the          flict. When Concern arrived in Shamwana            commit to continuing this effort to eradi-
    Democratic Republic of the Congo (DRC).        in July of 2006, most of the village had not       cate poverty and its causes, I thank you for
    The combined loss of life between Rwanda       yet returned. They had spent two years             taking part in this important work, and I
    and DRC in the last 13 years is shocking—      living in the bush after being driven away         ask you for continued support. I espe-
    1 million lost to the genocide in Rwanda,      from their village by rebel forces. Their          cially want to salute and thank Fr. Aengus
    and over 5 million lost in DRC to a civil war  food, farming tools, and livestock were all        Finucane, our Honorary President and our
    (1997–2003), and related hunger, disease,      stolen, and their homes were burned.               Executive Director, Siobhan Walsh, along
    and regional conflicts that continue to kill.  Once the thatched roofs were burned, the           with her dedicated colleagues in New
    These are places that should weigh             rainy season reverted the mud bricks used          York and Chicago as they work tirelessly
    heavily on the collective global conscience.   to build the homes back to their original          to organize and direct our efforts.
                                                   state. There were only 500 people in
    It is hard not to notice the sense of tremen-  Shamwana when Concern arrived in the
    dous loss that pervades these places, but it   summer of 2006. By the time I visited in
    is also hard to ignore the spirit of hope and  the summer of 2007, there were about
    self-determination springing up everywhere.    6,000, with more still returning. Again,
Photo: Nepal, Concern Worldwide


                                    Access to clean water is
                                  a fundamental human right.
    Message from the

    Executive Director &
    Honorary President
                                                    We think of our tireless staff, both here      This report is an overview of the work that
                                                    and overseas—they are some of the most         Concern undertook in the past 12 months.
                                                    talented and committed professionals           We seek to give you an assurance that
                                                    dedicated to the mission of Concern.           your contributions are meaningful, to
                                                                                                   thank you for your generosity, and to ask
                                                    We think of Nobel Laureate Professor Elie      you to continue to be part of Concern. We
                                                    Wiesel, the honoree at our recent Annual       know that it is not possible for the vast
                                                    Awards Dinner. His unforgettable address       majority of you to ever visit the countries
                                                    captured Concern’s legacy:                     where Concern works, or to meet the
                                                                                                   people whose lives are touched by your
                                                      What adds to the suffering of the victim     support. We assure you that Concern will
    Siobhan Walsh      Aengus Finucane                is always the notion that nobody             spare no effort linking your caring with the
    Executive Director Honorary President             cares—the solitude of the victim, the        needs of the poorest in distant lands.
                                                      feeling of being abandoned, of being
    June 28, 2008 was Concern’s 40th birthday.        neglected. You are present in those          Thank you.
    Among the many important developments             places . . . You are there where you
    of the last 40 years was the establishment        are needed. Can you help always? Of
    of Concern Worldwide US. Our presence             course not . . . We cannot guarantee
    in the US has granted Concern access to           success, but we must guarantee
    millions more concerned global citizens,          effort, and the effort is yours.
    and some remarkable individuals who are
    helping us realize our mission and vision.      Professor Wiesel’s remarks spoke not only
                                                    to the actions of Concern’s founders, but
    We think of the members of Concern              also to our efforts in Chad, where we
    Worldwide’s US Board who bring the same         launched an emergency relief effort. The
    drive and passion that have made them           lack of publicity about what was happen-
    successful executives to their work on behalf   ing there made Chad in many ways a case
    of the world’s poorest. Our Chairman has        in point for Professor Wiesel’s observation.
8   never been content to confine his efforts to
    the boardroom, traveling in recent years
                                                    An emergency assessment found that
                                                    200,000 people had been driven from
    to Ethiopia, Niger, Haiti, Sri Lanka, Rwanda    their homes and a million more were at
    and the Democratic Republic of the Congo.       risk. A subsequent appeal brought a gen-
    He has traveled not only as a caretaker of      erous response from Concern’s US donors
    the organization, but also as an ambassa-       and donors in Ireland, and a comprehen-
    dor, bringing a message of urgent need          sive relief effort is now underway. The
    back to the American public and corpo-          Chad emergency is still unfolding, and
    rate community. Thanks to Tom’s leader-         the need for relief assistance for thousands
    ship and the Board’s active stewardship,        of displaced families will be protracted.
    the organization has grown exponentially.       Concern will be there.

    We think of our loyal volunteers—media          The 40-year history linking Biafra to Chad
    professionals such as Jimmy Garland, Tim        is built on the commitment, ingenuity and
    Peek and Liam Burke, and event managers         pragmatism of the thousands of people
    such as John Volpe—who gave generously          who have worked for Concern as employ-
    of their time and skill as an expression of     ees, volunteers, board members. Even
    their devotion to the cause of the poorest.     more importantly, it is built upon the
    Dozens of others serve in New York and          knowledge, efforts and abilities of the mil-
    Chicago on the organizing committees for        lions of poor people with whom we work
    our many fundraising events.                    every day.
                                      Photo: Robis Village School, Sierra Leone, Concern Worldwide

 Educated children lead
safer, healthier lives.
     Concern Worldwide
     In 2007, Concern’s international network spent $131.5 million on projects in 30 countries.

     Concern Worldwide US, Inc. is an affiliate of Concern Worldwide and supports the Concern network
     by recruiting staff, supporting program development, creating public awareness of humanitarian
     issues, and financially supporting programs.

                   Haiti                                                                                                     Niger




     ■ Shaded areas represent countries where Concern Worldwide worked in 2007. Concern Worldwide US, Inc. provides funding for
       programs in the countries listed below.

     Country               Total Program   Concern US                Country            Total Program          Concern US
                           Expenditure     Grants to Programs                           Expenditure            Grants to Programs
     Afghanistan           $5,512,000      $150,000                  Ethiopia           $5,849,000             $488,000
     Angola                $2,319,000                                Haiti              $6,839,000             $593,000
     Bangladesh            $8,849,000      $334,000                  India              $4,129,000             $100,000
     Burundi               $1,960,000      $103,000                  Indonesia          $2,757,000
     Cambodia              $4,667,000      $100,000                  Kenya              $3,418,000             $225,000
     Chad                  $1,861,000      $166,000                  Laos               $2,265,000             $25,000
     DR Congo              $6,025,000      $1,226,000                Liberia            $5,048,000             $63,000
     East Timor            $1,943,000      $35,000                   Malawi             $4,605,000             $100,000





               Ethiopia                                                Sri Lanka

  Uganda      Kenya
      Burundi                                                                                               Indonesia
 Congo Tanzania
                                                                                                                                  East Timor


  Zimbabwe                                                                                                                               11

         Country              Total Program   Concern US                   Country              Total Program     Concern US
                              Expenditure     Grants to Programs                                Expenditure       Grants to Programs
         Mozambique           $3,942,000      $77,000                      Somalia              $3,443,000        $310,000
         Nepal                $1,428,000      $103,000                     Sri Lanka            $618,000
         Niger                $4,423,000                                   Sudan                $16,160,000       $3,442,000
         North Korea          $2,542,000                                   Tanzania             $2,873,000        $125,000
         Pakistan             $8,244,000      $213,000                     Uganda               $5,060,000        $68,000
         Rwanda               $2,035,000      $947,000                     Zambia               $2,770,000        $130,000
         Sierra Leone         $3,769,000                                   Zimbabwe             $6,151,000
     Worldwide Overview
     Concern Worldwide US supported Concern Worldwide’s work in 23 of 30 countries in 2007. Here
     is an overview of the organization’s impact over the last year, both in terms of lives touched and
     key outcomes.

     Health                                                                 Education
     In 2007, Concern implemented projects and programs in the              In 2007 Concern implemented projects and programs in the
     health sector in 17 countries. The objective of the Health program     education sector in 12 countries.
     is to contribute to the achievement of health and nutrition security
                                                                            Concern’s education program objective is to strengthen formal
     for the poor within the context of the health-related Millennium
                                                                            education provision among the poorer sections of society by
     Development Goals (reducing child mortality, improving maternal
                                                                            addressing the obstacles that hinder access to and successful
     health, combating HIV and AIDS, malaria and other diseases,
                                                                            completion of formal primary education. All country programs
     ensuring environmental sustainability).
                                                                            work with communities (school management committees, parent
     The table below details the beneficiaries reached in 2007.             teacher associations, school councils, etc.) to build the capacity
                                                                            and involvement in school management and an awareness of the
                                                                            children’s right to an education.
                             TOTAL DIRECT           TOTAL INDIRECT
                             BENEFICIARIES          BENEFICIARIES           The table below summarizes the number of direct and indirect
     Mother and              752,655                1,012,984               beneficiaries of our education program during 2007.
     Child Health
     Nutrition               325,693                1,958,348
                                                                                                   TOTAL DIRECT          TOTAL INDIRECT
     Water Supply            590,216                1,130,172                                      BENEFICIARIES         BENEFICIARIES
     and Sanitation
                                                                            Primary Education      358,374               1,214,042
     Total                   1,668,564              4,101,504
                                                                            Non Formal
                                                                            Education              358,252               2,047,448
                                                                            Total                  716,626               3,261,490

     Livelihoods                                                            HIV & AIDS
     In 2007, Concern implemented projects and programs in the liveli-      Concern implemented direct HIV and AIDS programs in 14 coun-
12   hoods sector in 29 countries. All programs are geared to relieve the   tries in 2007. HIV and AIDS interventions are integrated through
     impacts and/or reduce the incidence of poverty by increasing           programs in the Education, Livelihood and Health sectors.
     people’s livelihood options—leading to real improvements in            Concern’s HIV and AIDS program aims to reduce the prevalence
     their lives over the short and long term. To meet this objective       of HIV and the impact of AIDS on Concern target populations in
     Concern engaged in a broad range of activities in 2007.                all of our emergency and development projects.
     The table below describes the number of direct and indirect            The table below describes the number of direct and indirect
     beneficiaries Concern reached in 2007.                                 beneficiaries reached in 2007.

                             TOTAL DIRECT           TOTAL INDIRECT                                 TOTAL DIRECT          TOTAL INDIRECT
                             BENEFICIARIES          BENEFICIARIES                                  BENEFICIARIES         BENEFICIARIES
     Natural Resource        910,882                3,075,679               HIV and AIDS           330,442               7,657,869
     Management                                                             Total                  330,442               7,657,869
     Food Production/        860,776                1,765,328
     Market Interaction      168,954                1,508,594
     Responsive              1,385,127              8,137,931
     Total                   3,325,739              14,487,532
During 2007, Concern implemented 34 projects in emergency              emergency to which Concern responded, but conflict still plays a
contexts in 20 countries. The range of program activities was          major role as a trigger for emergency response interventions.
broad but reflected Concern’s emergency program focus on the
                                                                       Concern aims not only to respond to emergencies as they arise
provision of reproductive and child health, environmental
                                                                       but also to work with vulnerable communities to reduce the
health (water and sanitation), nutrition, food security, shelter and
                                                                       frequency and impact of disasters. In 2007, Concern conducted a
improving infrastructure.
                                                                       baseline assessment to establish awareness, knowledge and appli-
In 2007, 20 countries (out of 30) responded to an emergency, or        cation of Disaster Risk Reduction as an approach and to identify
continued to implement emergency/rehabilitation projects that          examples of good practice. The aim is to incorporate risk analysis
had commenced prior to 2007. Concern assisted (either directly         in all program design in order to reduce vulnerability in Concern’s
or through partners) over 2.9 million people with emergency            target group. Concern will aim to implement the lessons learned
interventions in 2007. Drought and floods were the most common         in 2008.

COUNTRY                  SECTOR/ACTIVITY SUMMARY                                                                       TOTAL DIRECT
PROGRAM                                                                                                                BENEFICIARIES
Pakistan                 Cyclone Yemyin: Rehabilitation and distribution of food and NFIs (non-food items)                    67,360
Zambia                   Severe flooding: Flood awareness, cash transfer, livelihoods recovery                               189,711
North Korea              Flooding: Water supply and sanitation, infrastructure rehabilitation                                 83,000
DRC                      Global Acute Malnutrition and conflict: Livelihoods recovery, school construction,
                         Community Therapeutic Care                                                                            111,735
Niger                    Global Acute Malnutrition: Community Therapeutic Care (CTC)                                            23,429
Tanzania                 Site management/Refugee Care: Water supply and sanitation                                              25,758
Uganda                   Civil conflict/flooding: Water supply and sanitation, livelihoods recovery                            164,949
Zimbabwe                 Drought/Government Land Reforms: Food distribution                                                    176,937
Liberia                  Conflict/flooding: Water supply and sanitation, emergency rehabilitation                               96,239
Kenya                    Drought: Community Therapeutic Care, livelihoods recovery                                               8,628
South Sudan              Conflict: Shelter, supplementary feeding, livelihoods recovery                                         28,764       13
Ethiopia                 Natural Disasters: Provision of fuel, seed distribution, emergency preparedness                         3,948
North Sudan              Conflict: Water supply and sanitation, camp coordination, livelihoods recovery,
                         NFIs, health and nutrition                                                                            448,889
Bangladesh               Natural Disasters: NFIs, food distribution                                                            788,391
India                    Natural Disasters: Food, NFIs, shelter and livelihoods recovery                                       244,636
Chad                     Conflict: Site management                                                                              38,000
Haiti                    Natural Disasters: Food distribution, livelihoods recovery                                              7,765
Somalia                  Drought/conflict: Water supply and sanitation, CTC, livelihoods recovery                              360,142
Mozambique               Flooding: HIV and AIDS mitigation, education, food, NFIs (non-food items)                              29,319
Malawi                   Drought: Livelihoods recovery                                                                          50,845
Total                                                                                                                        2,948,445
     Afghanistan’s economy has been growing strongly since the fall of the Taliban in 2001. However,
     the country remains extremely poor and highly dependent on foreign aid. Extreme weather
     conditions, shortages of food, a lack of clean water and limited access to medical care continue
     to threaten the well-being of Afghanistan’s population.

     Continued insecurity, particu-                  members—charged with monitoring access         46,895 people, significantly reducing
                                                     and quality of education and formulating       their risk of waterborne disease.
     larly in the south and south east               local solutions.
     of the country has affected
                                                                                                    LIVELIHOODS—Creating new options
     access to services and threatens                In all, Concern’s education efforts have
                                                                                                    for the poorest urban and rural
     economic development. Fur-                      benefited 7,853 girls and women, and
                                                     6,540 boys and men in the last year.
     thermore, the expanding poppy                                                                  Concern’s comprehensive livelihoods
     cultivation and opium trade                                                                    program is targeting both rural and urban
                                                     HEALTH—Reducing risk of waterborne             communities: in rural areas, the focus in
     remains one of the govern-                      disease for 47,000 Afghans                     2007 was rejuvenation and management
     ment’s most serious challenges.                 Concern is addressing the urgent lack of       of natural resources in order to strengthen
                                                     access to safe water and sanitation by tar-    the economic base; in the urban areas, the
     Now in its ninth year in                        geting the poorest communities of people,      focus was on reviving traditional handi-
                                                     particularly mothers and children. The         crafts and setting up micro-enterprises
     Afghanistan, Concern is working
                                                     objective is to reduce the incidence of        through self-help groups.
     in 346 villages across 10 districts,            waterborne disease through health,
     mainly in the rural northeast.                  hygiene and nutrition education, and           In rural Badakshan and Takhar provinces,
                                                     through community-led and managed              activities included the planting of 48,054
                                                     interventions in water and sanitation.         saplings on community land with a view
     EDUCATION—Strengthening access,
                                                                                                    toward reforestation and the support of
     community support and resources for
                                                     In Takhar North, 4,400 families benefited      sustainable livelihoods.
     the poorest children and their families
                                                     from the construction of 8 major water
     In 2007, the primary focus was the con-
                                                     supply systems, the rehabilitation of four     Concern’s REFLECT program, a self-help
     struction of buildings with separate, well-
                                                     natural springs, and the excavation and ren-   group approach to micro-enterprise
     constructed latrines for girls and boys,
14   drinking water facilities, and the provision
                                                     ovation of 101 wells. Also in Takhar North
                                                     as well as in Badkshan, Concern con-
                                                                                                    expanded beyond the urban setting of
                                                                                                    Kabul to the countryside, spawning several
     of teaching and learning materials.
                                                     structed 2,094 family pit latrines. At the     successful businesses. In Kabul, 18 joint
     Concern also supported “social capital”
                                                     end of 2007, Concern handed over to the        bakeries and seven carpet weaving units
     strengthening activities to foster long-term
                                                     government a block of 10 public latrines in    were in full operation during 2007 benefit-
     community involvement.
                                                     Taloquan City and eight in Rustaq. All water   ing 114 women and their families. By the
                                                     and sanitation initiatives were supple-        end of the year, 29 REFLECT circles compris-
     2007 saw the completion of Pitaw Roo
                                                     mented by the formation of village water       ing 1,265 women members were active in
     primary school in Badakshan province,
                                                     and health committees, which held meet-        Kabul. The REFLECT approach was repli-
     including six hygienic latrines and drink-
                                                     ings and discussion groups aimed at long-      cated in rural areas, such as Badakshan,
     ing water facilities on the school premises.
                                                     term health and hygiene behavior changes.      where several new circles were established,
     Originally designed to meet the needs of
                                                                                                    resulting in a new bakery and several sewing
     857 boys and girls, the school has enrolled
                                                     Concern provided access to safe drinking       and weaving circles, and a sales outlet that
     over 1,000 students, and also serves as a
                                                     water and adequate sanitation facilities to    sells handcrafted items made by the women.
     meeting place for 5,142 local village resi-
     dents. In Farkhar, Takhar South, Concern
     also constructed 12 temporary school struc-                                                    Area: 652,000 sq km
     tures in 3 villages where there had been no                             Rustaq •               Population: 25.1 million
     schools before. Ongoing funding for these                                                      GDP per capita: N/A
     schools will be provided by local families
     whose economic condition improved
                                                                            Kabul   •               Infant mortality rate
                                                               AFGHANISTAN                             (per 1,000 births): 165
     thanks to Concern’s livelihoods programs.
                                                                                                    Life expectancy: 43
     In Takhar North, Concern facilitated the                                                       Living with HIV & AIDS: <0.1%
     setting up of a district level education task                                                  Literacy rate: 28%
     force—comprising officials from various                                                        Access to safe water: 39%
     ministries, NGOs and key community                     IRAN                                    Human development rank: N/A
Bangladesh is the seventh most populous country in the world. Only 13 percent of births are attended
by a skilled professional and 88 children out of every 1,000 will die before the age of five. While
the Bangladesh economy grew by an estimated 6 percent, in 2007 41 percent of the population
continues to live on less than $1 per day. Following political violence and postponed elections in
2006, a caretaker government has been in power for all of 2007. Elections are rescheduled for
October 2008 and tensions remain high while the country remains under a state of emergency.

Concern has been working in                     In 2007, the number of direct beneficiar-      beneficiaries, community health workers,
                                                ies of Concern’s livelihoods programs          and partner organizations, incorporating
Bangladesh since 1972. A key                    tripled, to over 432,000, 69 percent of        HIV & AIDS into all new project proposals.
focus of our work is improving                  which are women. At least 36,000 families      Direct beneficiaries included 210 Concern
health, nutrition and education                 became eligible to obtain micro-credit,        staff, 1,100 partner staff, and four million
of women and children.                          and nearly 70,000 families are maintain-       program participants across all sectors.
                                                ing regular savings totaling approximately     Concern also continued to participate in
                                                $1.4 million, creating unprecedented           the national policy dialogue, working with
HEALTH—Improving the health of                  security among the poorest. Concern’s          different government ministries to replicate
355,963 of the poorest people                   vocational training programs provided          its successful HIV & AIDS mainstreaming
In 2007, Concern’s health programs reached      alternatives for sex workers and new oppor-    approach.
a total of 355,963 direct beneficiaries.        tunities for adolescents, among other
                                                vulnerable populations: In all approxi-
                                                                                               EMERGENCY—Leading the response
The Municipal Health Partnerships Project       mately 36,000 participants have under-
                                                                                               and building preparedness for natural
(MHPP) and Community-Based Integrated           taken income-generating activities or
Management of Childhood Illness (CIMCI)         become self-employed.
                                                                                               2007 has seen a number of natural disas-
program continued to revolutionize the
                                                                                               ters in Bangladesh, and the poorest have
planning and delivery of maternal-child
                                                EDUCATION—Improving quality and                been the most severely affected. In addi-
health across Bangladesh. MHPP trains
                                                access for 24,620 children                     tion to responding to four separate major
health workers and supports local health
                                                Although the government has been suc-          emergency events—a cold wave, a mud-
committees, empowering communities to
                                                cessful in providing free primary education    slide and flash floods, heavy seasonal
provide the crucial first line of care. Simi-
                                                to a high percentage of the population,        flooding, and Cyclone Sidr—Concern
larly CIMCI, a pilot project in partnership
                                                almost half of all primary school-age chil-    worked year-round to increase the disaster
with the government, targeted improve-
                                                dren do not complete a full five-year          preparedness and management capacity
ments in access to and availability of com-
munity-based treatment, and in behavior
                                                cycle. Concern is addressing this problem
                                                by working to improve the quality of and
                                                                                               of 35 partner organizations.                    15
and care practices of families. Together
                                                access to education in 75 schools that         In each emergency, Concern’s Disaster and
the projects reached 235,774 people.
                                                serve extremely poor children in Shariat-      Environment Management Unit (DEMU)
                                                pur District. In 2007, 24,620 children         took a lead role in the response but was also
Concern’s urban nutrition and food secu-
                                                benefited from the improvements, and           able to leverage and work through partner
rity program increased awareness about
                                                3,700 teachers and school management           organizations to maximize our impact. In
the importance of nutrition for good
                                                committee members received training.           the case of the massive June–September sea-
health, and demonstrated that community-
                                                                                               sonal floods, which affected over 12 million,
based strategies are viable in the slums.
                                                                                               Concern and its partners conducted search
Among the program’s 120,189 direct ben-         HIV & AIDS—A national approach to
                                                                                               and rescue operations, and relief distribu-
eficiaries, measurable gains were seen in       reducing vulnerability to HIV & AIDS
                                                                                               tions for 69,500 families. After Cyclone
the reduction of low birth weight, house-       In 2007, Concern continued to raise aware-
                                                                                               Sidr, which killed nearly 3,500, a similar
hold access to food, dietary diversity, and     ness and provide HIV & AIDS preven-
                                                                                               effort brought relief to 26,000 families.
household income.                               tion and treatment information to its staff,

LIVELIHOODS—Providing skills training                                                          Area: 144,000 sq km
and microfinance to 432,000 people                                                             Population: 153.3 million
                                                          •Saidpur INDIA                       GDP per capita: $2,053
In collaboration with local partner organ-
izations, Concern assisted extremely poor                          •Khallajuri                 Infant mortality rate
families through long-term livelihood                         BANGLADESH                          (per 1,000 births): 54
strategies, including: local savings and                       Dhaka •                         Life expectancy: 63.1
credit programs, vocational and entrepre-                 Khulna•          •Chittagong         Living with HIV & AIDS: <0.1%
neurial skills training, and agriculture and                                                   Literacy rate: 47.5%
other micro-enterprises using locally                           Coxes Bazar•                   Access to safe water: 74%
available resources.                                   Mouth of the Ganges
                                                                                               Human development rank: 140
     Twelve years of civil war finally came to an end in 2006 as the last remaining active rebel group—
     the Hutu Palipehutu-FNL—agreed to a ceasefire with the government in September. The next
     challenge for the government is to agree a peace deal with the rebels. The conflict has taken an
     enormous toll on the country; eighty-eight percent of the population live on less than $2 a day and
     the majority of Burundi’s 6.8 million people suffer from insufficient access to food, basic social
     services, and economic opportunities.

     Concern first began operations                  LIVELIHOODS—Improving                         EDUCATION—Improving access to
                                                     productivity and long-term food               primary education for 1,198 vulnerable
     in Burundi in 1994 and currently                security in Kirundo Province                  children in Cibitoke Province
     operate nutrition, food security,               Concern addressed both immediate and          One of the biggest problems facing
     health and education projects                   longer-term food security needs in            Burundi is the number of children who
     in the three provinces of Bururi,               Kirundo by diversifying crop production,      drop out of formal classes. Concern has
                                                     improving yields, and training in better      been active in working with local part-
     Cibitoke and Bujumbura Rural.                   soil and water conservation practices. A      ners, including the Department of Educa-
                                                     key part of the process has been the          tion, to promote “catch-up” classes for
                                                     engagement of community members in            such children. These classes are accompa-
     HEALTH—Reducing rates of
                                                     understanding their own livelihoods and       nied by outreach to the wider community,
     malnutrition and the prevalence of
                                                     building a consensus about their develop-     teacher training, the establishment of
     malaria among 16,142 children and
                                                     ment priorities for the future.               elected community education commit-
     women in Cibitoke province
                                                                                                   tees, the distribution of educational equip-
     Concern is taking a community-based
                                                     Concern initiated better irrigation prac-     ment, and the rehabilitation of school
     approach to reducing malnutrition and
                                                     tices utilizing nearby Lake Cohoa, provid-    buildings. The combined effect is a wide-
     malaria rates in Cibitoke for 13,247 children
                                                     ing 22 pedal pumps to 5 poor farmers’         spread re-integration of children into
     under five and 2,895 pregnant and new
                                                     associations cultivating along the lake,      formal education.
     mothers. The program established elected
                                                     providing tools to 6 others, and distribut-
     community health committees at the
                                                     ing maize and vegetable seeds. In partner-    In 2007, the catch-up-classes made it pos-
     village level, and trained 257 Community
                                                     ship with the Food and Agriculture            sible for a total of 1,198 children that had
     Health Workers and 257 Traditional Birth
                                                     Organization and a local agronomy insti-      dropped out to reintegrate back into
     Attendants in the identification of malaria
                                                     tute, Concern distributed 900,000 cassava     formal primary schools, a number double
     and growth monitoring techniques. A
                                                     cuttings resistant to the mosaic virus,       the original target of 600. Concern’s com-
     further 36 staff members from 12 health
                                                     which had devastated the local staple         pletion of construction at the previously
16   centers have been trained in the diagnosis
     and screening of malnutrition and growth
                                                     crop. The cassava planting is expected to     severely underesourced Ruhembe and
                                                     boost household food production, reduc-       Ndava Village schools by late 2007/early
     monitoring, allowing 1,981 malnourished
                                                     ing prolonged hunger gaps that are annu-      2008 has benefited over 2,000 students,
     children to be treated in their home com-
                                                     ally experienced in Kirundo. With             now learning in new, well-resourced
     munities. The distribution of 6,500 insecti-
                                                     continued community participation, thou-      classrooms.
     cide-treated mosquito nets for children
                                                     sands of farming families in Kirundo will
     under five years of age was accompanied
                                                     have a more secure future.
     by the distribution of a variety of health
     and nutrition education materials.

     Concern has observed marked improve-                              RWANDA
     ments in the diagnosis and treatment of
     malaria and malnutrition in health centers,                •Cibitoke
     and widespread community adoption of                                                          Area: 28,000 sq km
     best practices in the prevention of malaria                                                   Population: 7.9 million
     and improved nutrition.
                                                     DR CONGO          BURUNDI
                                                                                                   GDP per capita: $699
                                                                   •Bujumbura                      Infant mortality rate
                                                                                    TANZANIA          (per 1,000 births): 114
                                                                       •Bururi                     Life expectancy: 48.5
                                                                                                   Living with HIV & AIDS: 3.3%
                                                                                                   Literacy rate: 59.3%
                                                                                                   Access to safe water: 79%
                                                                                                   Human development rank: 167
Photo: Child Survival Program, Bangladesh, Concern Worldwide


                                                                                 The Power of Community
                                                               “Saving every mother and child’s life has become my ethical responsibility after receiving the train-
                                                               ing from Concern Worldwide’s Municipal Health Partnership Program. Otherwise I can’t pardon
                                                               myself,” said Yasin, a young Community Health Volunteer.

                                                               Recently, while roaming through his neighborhood in a slum of Dinajpura in northern Bangladesh,
                                                               Yasin heard wailing from a nearby house. He rushed to the house and found Salma, a 17-year-old
                                                               housewife living with her parents. She had just given birth with the help of an untrained traditional
                                                               birth attendant—she was hemorrhaging, struggling for her life. Yasin quickly assessed the situation.
                                                               With no local transport available, he placed Salma on a rickshaw van and pulled her to Sadar Hos-
                                                               pital. Working with the Ward Health Commissioner, Yasin mobilized blood donors and helped raise
                                                               money for the medicine. Yasin donated blood; inspired by his actions, a doctor and nurse also
                                                               donated. After a successful operation, the Ward Health Committee raised 3,000 taka ($54 USD),
                                                               which covered Salma’s hospital bill. Salma survived, and she and her baby are doing well. Yasin is a
                                                               role model to all the Community Health Volunteers and other community members have learned
                                                               about the importance of antenatal care and delivery at health facilities.
     Following years of protracted and difficult negotiations, the tribunal to prosecute crimes during the
     Khmer Rouge period held its first hearing in 2007. Between one and two million Cambodians died
     under the Khmer Rouge and the leader of the group, Pol Pot, died in 1998. The conflict took its
     toll on Cambodia, which is currently the second poorest country in South East Asia, with 35 percent
     of the population living below the poverty line.

     Concern originally started work-                                                             business programs consistently reported a
                                                                                                  decrease in time without food and an
     ing with Cambodian refugees                                         LAOS                     increase in income.
     in Thailand in 1980 and started
     relief and rehabilitation pro-                                                  VIETNAM
                                                                                                  2007 also saw a scale-up in disaster man-
     grams in Cambodia in 1991.                     •SisophanSiem Reap
                                                                                                  agement planning aimed at reducing vul-
                                                                                                  nerability to natural disasters and other
     Concern established an award-                        •PursatKampong Chnaang
     winning Cambodian microfi-                                 •
                                                                                                  livelihood shocks—Concern focused its
                                                                                                  infrastructure construction and rehabili-
     nance institution, AMK, in 2003.                             •Kompong Speu                   tation efforts in areas benefiting from
                                                                 •Phnom Penh                      year-round rice production, thus protect-
                                                                                                  ing a vital food resource.
     LIVELIHOODS—Working toward
     lasting change for 125,000 of the                                                            Finally, Concern worked to effect systemic
     rural poor                                                                                   change at both the community and
     The Supporting Initiatives for Livelihood                                                    national levels. At the local level, Concern
     Improvement in Cambodia program                                                              has enhanced its partners’ ability to
     (SILIC) is a comprehensive approach to       Reduction (DRR), HIV&AIDS and gender            conduct commune and provincial devel-
     improving access to food and sustainable     equality into programming where possible.       opment forums, which have been instru-
     livelihoods in Cambodia’s poorest rural      Concern plays an essential coordination         mental in infrastructure development, and
     communities. In 2007, the program tar-       role with its partners, and with govern-        are now being used to drive social devel-
     geted the provinces of Kampong Cham,         ment, civil society, and the business sector.   opment programs. Landless families in
     Kampong Chhnang, Pursat, and Siem                                                            several provinces secured access to
     Reap. SILIC is implemented through gov-      In 2007, Concern added three new                common land for activities such as short-
     ernment and non-government partners,         Cambodian organizations to its list of          term rice cultivation during the dry
18   who receive support to engage communi-       partners, bringing the total to 21. The         seasons, vegetable production, and tem-
     ties to understand their development         Natural Resource Management (NRM)               porary residence. At the national level,
     needs and rights, to take action to bring    program, which empowered partners and           Concern and its partners worked to influ-
     about a sustainable improvement in liveli-   service providers to address livelihood         ence policy change on behalf of the rural
     hoods security and to increase the capac-    needs through improved skills in agricul-       poorest. One of their joint initiatives is the
     ity of institutions to better respond to     tural production, small businesses enter-       draft “Organic Law,” which would provide
     community needs.                             prises, and access to markets reached over      key guidelines and procedures for decen-
                                                  125,000 direct and 181,000 indirect ben-        tralization reform and local planning
     Partners are encouraged to consult the       eficiaries. Community members partici-          processes, and will likely be presented by
     poorest at every stage of the program        pating in Concern-coordinated livestock         the Ministry of Interior to Parliament for
     cycle, and to incorporate Disaster Risk      raising, integrated farming, and small          approval in 2008.

                                                                                                  Area: 181,000 sq km
                                                                                                  Population: 14.0 million
                                                                                                  GDP per capita: $2,727
                                                                                                  Infant mortality rate
                                                                                                     (per 1,000 births): 98
                                                                                                  Life expectancy: 58
                                                                                                  Living with HIV & AIDS: 1.6%
                                                                                                  Literacy rate: 73.6%
                                                                                                  Access to safe water: 41%
                                                                                                  Human development rank: 131
Chad consistently falls at 170 in the United Nations’ ranking of countries for human development.
In a country that has experienced, coups, instability and civil war, there is a one in three chance
of Chadians not surviving past the age of 40. Sixty-six percent live on less than $1 a day, and only
9 percent of the population have access to proper sanitation. With the violence from neighboring
Darfur spilling over into Chad, the prospects for peace and reconstruction are not strong.

Concern began working in                       One of Concern’s primary roles in the
                                               camps is management—working closely
Chad in 2007 in response to                    with UNHCR and the Chadian National
the humanitarian needs of large                Committee for the Assistance of Refugees
numbers of displaced people                    to ensure effective delivery of services to
who were fleeing from violence                 the displaced. Concern also worked
                                               closely with camp committees in all four
and insecurity.                                sites, helping people discuss issues,
                                               represent their own needs and advocate                             LIBYA
                                               for support from the humanitarian
EMERGENCY—Providing 38,000                     community and local authorities. Among
displaced people with urgently needed          the program’s accomplishments was the                NIGER
relief supplies                                creation of committees for previously                        CHAD           SUDAN
In response to the displacement of thou-       underrepresented groups, such as women                Chad
sands of people—official estimates indi-       and youth.                                                   •      •Goz Beida
cated more than 180,000—who relocated                                                          NIGERIA   N’Djamena
and settled in several camps all along         Concern also distributed non-food items,                         CENTRAL
Chad’s eastern border with Sudan,              including blankets, plastic sheeting, mos-                       AFRICAN
Concern launched an emergency relief           quito nets and mats to 8,637 families in                         REPUBLIC
effort there in 2007. Based on an April        July and August, giving them protection
2007 assessment that identified an urgent      for the coming rainy season. A second dis-
need for better coordination in the delivery   tribution of 20,500 blankets was launched
of humanitarian aid in the camps, Concern      at the end of 2007. Indications are that the
focused its efforts on Goz Beida, working      emergency in eastern Chad will be pro-
in four camps among a target population        tracted, and Concern plans to be there to
of 38,000 displaced people.                    assist with longer-term needs.                                                      19

                                                                                              Area: 1.3 million sq km
                                                                                              Population: 10.1 million
                                                                                              GDP per capita: $1,427
                                                                                              Infant mortality rate
                                                                                                 (per 1,000 births): 124
                                                                                              Life expectancy: 50.4
                                                                                              Living with HIV & AIDS: 3.5%
                                                                                              Literacy rate: 25.7%
                                                                                              Access to safe water: 42%
                                                                                              Human development rank: 170
     Democratic Republic of Congo
     With over five million deaths since 1998 and a further 45,000 people dying every month, some
     are calling the current situation in the Democratic Republic of Congo (DRC) the world’s worst
     humanitarian disaster. Homes, schools, health structures and livelihoods have been destroyed
     during decades of war, leaving 80 percent of the 55 million that live in this vast, underdeveloped
     country trying to survive on less than a dollar a day.

     Concern started operations in                  security, improving access to markets, and    EMERGENCY—Helping 57,000
                                                    increasing household income. Concern’s        formerly displaced people rebuild
     DRC in July 1994, following the                work in war-torn Masisi in North Kivu         their lives
     massive influx of refugees into                province targeted similar improvements,       Launched in September 2006, Concern’s
     the country in the aftermath of                but progress was difficult as normal activ-   post-conflict emergency response in
     the Rwandan genocide. In                       ities were suspended due to insecurity. In    Katanga Province continued in 2007. The
                                                    all, Concern provided farm training for       multifaceted program included distribution
     2002, a national program for                   2,796 people, while 2,406 received live-      of food, seeds, and tools, as well as infra-
     the DRC was initiated, focusing                stock, and 45,652 received seeds and          structure rehabilitation in order to assist
     on livelihood security, nutri-                 tools. Road and bridge rehabilitation in      the resettlement of some 200,000 people
     tion, emergency response and                   Maniema opened markets to villages once       who had fled violence in the region.
                                                    disconnected, and the related construction    Concern’s efforts targeted 59 villages, and
     HIV&AIDS.                                      work provided income to 4,540 people.         included distribution of emergency food
                                                                                                  rations to 25,810 people, seeds and tools
                                                                                                  to 21,125, and non-food items (e.g. cooking
     HEALTH—Making significant progress
                                                                                                  kits, blankets, water containers) to 57,000
     against malnutrition among 6,835
                                                                                                  people. 300 workers were employed in
     children and their mothers
                                                             CENTRAL                              road and bridge rehabilitation, and 29 of
     Concern’s nutrition program in the impov-
                                                         AFRICAN REPUBLIC           SUDAN         the 59 villages were targeted for school
     erished Maniema Province targets the
     reduction of morbidity and mortality
     associated with global acute malnutrition                                         UGANDA
     in children under five and pregnant and        CONGO
     breast-feeding women by introducing                                  Masisi   • RWANDA
     Community-based Therapeutic Care                          DR CONGO             BURUNDI
20   (CTC), and training Ministry of Health staff      •Kinshasa             •
     and community volunteers. Concern                                                TANZANIA
     operates a Stabilization Center for severe
     cases of malnutrition with complications,          ANGOLA              •
     but the CTC approach also utilizes the dis-
     tribution of ready-to-use therapeutic food
     and outpatient care to reduce depend-                                ZAMBIA
     ence on traditional feeding centers, espe-
     cially for moderately malnourished
     children. The program expanded and the
     number of children receiving treatment
                                                    In Kisenso, an extremely poor neighbor-
     increased from 4,401 in 2006 to 6,385 in
                                                    hood on the outskirts of the capital city,
     2007. Nutrition Education for 5,576
                                                    Kinshasa, Concern is working to improve
     mothers and a radio public awareness
                                                    family livelihoods by increasing access to    Area: 2,345,000 sq km
     campaign about malnutrition supported
                                                    small loans and saving programs and sup-      Population: 58.7 million
     Concern’s efforts.
                                                    porting small business development. In        GDP per capita: $714
                                                    2007, 11,067 people benefited from a
                                                                                                  Infant mortality rate
     LIVELIHOODS—Improving options                  grant program designed to support small
                                                                                                     (per 1,000 births): 129
     for generating income                          businesses such as milling, tailoring, veg-
     Concern continued to work to reduce            etable and poultry production. The            Life expectancy: 45.8
     poverty by enhancing sustainable liveli-       program aims to reinforce traditional         Living with HIV & AIDS: 3.2%
     hoods in some of the poorest areas of the      savings systems by establishing a formal      Literacy rate: 67.2%
     country. In remote southern Maniema            savings and loan program based on exist-      Access to safe water: 46%
     Province, the focus was on increasing food     ing local practices.                          Human development rank: 168
Photo: Cambodia, Concern Worldwide


                                     Helping Families Earn Income
                                     Him Sophorn is a single mother of four children in Trapang Pou, a rural village in Cambodia. She
                                     struggles to earn enough income to feed her family. In the past three years, however, she has
                                     expanded her small business with the help of extra capital provided by a Concern-supported micro-
                                     finance banking institution called AMK.

                                     Sophorn rises at 4:00 am each day to travel to the river where she buys fresh fish and prahok (a local
                                     Cambodian delicacy of fermented fish). She then travels 125 miles to a market, where she sells the
                                     fish and prahok at a profit. Before AMK began operating in her village, Sophorn was only able to buy
                                     100kg a day. Her first loan of around $200 allowed her to buy more inventory and expand her busi-
                                     ness. She used the extra profit to pay her loan back early, and has since taken two more loans from
                                     AMK. Sophorn now earns a healthy profit of around $21 each day.

                                     All of Sophorn’s children are now in school. She says proudly that one daughter wants to be a doctor,
                                     and her son wants to be a teacher. “I tell my children to study hard because I work so hard for their
                                     education. I want them to study to higher levels”, she says.
     East Timor
     Amid continuing insecurity, a new president and parliament were elected in 2007. With more than
     10 percent of the population still displaced and South East Asia’s highest malnutrition rates, the
     new government is under pressure to deliver tangible benefits to the poor and ensure long-term
     stability. Only half the population are literate and only 42 percent have access to clean water.

     Concern has been working in                   partners, and national level govern-           NUTRITION—Reaching 4,099 at-risk
                                                   ment staff visited other projects to learn     children under five and mothers
     East Timor since 1999. Our                    about sustainable farming and livestock        In 2007, Concern took action in response
     work there focuses on liveli-                 rearing. In all, 5,344 people benefited from   to emergency-level malnutrition rates
     hoods and health and we plan                  the program’s agricultural component.          (12 percent) instigated by the internal
     to expand our activities to                   Significant planning and preparation was       conflict of 2006, and subsequent popula-
                                                   also underway to connect poor farming          tion displacement. In its rural program
     include nutrition in 2008.                    communities with markets and micro-            areas, 2,741 children under five and
                                                   finance institutions.                          1,358 pregnant and breastfeeding women
                                                                                                  benefited from a supplementary feeding
                                                   To encourage improved health and nutri-        program. These efforts were comple-
     potential and reducing risk for
                                                   tion, Concern conducted training and           mented by health and hygiene education,
     over 36,027 people
                                                   awareness-raising initiatives, including       provision of essential items such as water
     Concern’s umbrella Livelihood Security
                                                   cooking demonstrations, health and             containers and soap, and training of local
     program, called “Poverty Reduction
                                                   hygiene promotion, and classes in water        and national staff in health and nutrition
     Options and Strategies for the Poorest”
                                                   purification and home gardening. Among         support services.
     (PROSPER) takes a holistic approach to
                                                   the direct beneficiaries were 1,970 women
     addressing the needs of the very poorest in
                                                   and girls.
     East Timor’s Manufahi and Lautem Dis-                                                        EMERGENCY—Meeting the basic
     tricts. Working with local community-                                                        needs of 6,720 people displaced by
                                                   28,713 people benefited from PROSPER’S
     based organizations, PROSPER seeks to                                                        conflict
                                                   disaster risk reduction component,
     ensure that the poorest increase agricul-                                                    In East Timor’s capital, Dili, where some
                                                   designed to give the poorest security
     tural and food production, gain access to                                                    30,000 are displaced and living in camps,
                                                   against recurring floods and drought.
     income opportunities, improve food use,                                                      Concern has focused on two IDP camps
                                                   Activities included: watershed mapping;
     health and nutrition, and reduce vulnera-                                                    where inhabitants had been subjected to a
                                                   community-based disaster risk manage-
22   bility to natural disasters.
                                                   ment planning; public awareness-raising
                                                                                                  wide range of protection issues, including
                                                                                                  lack of access to health care, and lack of
                                                   through radio messages, film and bill-
     In 2007, Concern provided seeds, tools,                                                      adequate water and sanitation. With its
                                                   boards; the establishment of early warning
     irrigation and nursery systems, and helped                                                   local and international NGO partners,
                                                   and forecast systems and evacuation
     develop demonstration farms in an effort                                                     Concern coordinated improved delivery
                                                   plans; and Disaster Risk Reduction Funds
     to spur agricultural production and crop                                                     of food, water, shelter and basic health
                                                   (e.g., a grain bank).
     diversity. Farm community leaders, local                                                     services to 6,720 people.

                                                                                                  Area: 19,000 sq km
                                                                                                  Population: 1.1 million
                                                            • EAST •Loré
                                                         Dili                                     GDP per capita: N/A
                                                        Same• TIMOR                               Infant mortality rate
                                                                                                     (per 1,000 births): 52
                                           INDONESIA                                              Life expectancy: 59.7
                                                                                                  Living with HIV & AIDS: <0.2%
                                                                                                  Literacy rate: 50.1%
                                                                                                  Access to safe water: 58%
                                                                                                  Human development rank: 150
Political tension remains following the disputed elections in 2005, and were high preceding the
elections in April 2008. Relations with its neighbor, Eritrea, are still fractious and border clashes
in December keep the prospect of war very real. At the same time, cycles of droughts and floods
leave the population chronically poor and facing food shortages. Although it is enjoying double-
digit economic growth, Ethiopia remains one of the poorest and most famine-prone countries in
the world, with 23 percent of the population living on less than $1 per day.

Working in Ethiopia since 1973,                basic education and preschool, and to          communities. The program reached over
                                               support formal schools, library services,      14,000 people, with over 10,000 attend-
Concern continues to assist the                and income-generating activities for the       ing community awareness performances
rural and urban poor by provid-                parents. In 2007, direct beneficiaries         and peer education sessions.
ing critical emergency relief and              included a total of 5,582 previously out-
implementing nutrition and long-               of-school children (over 50 percent were
                                               girls), 180 preschool children and 300
term development programs.                     vulnerable women. 90 percent of children
                                                                                              immediately to several emergencies
                                                                                              Concern responded to several localized
                                               who completed their third year of non-
                                                                                              emergencies and provided assistance to
                                               formal education in 2007 were able to
HEALTH—Improving health among                                                                 people affected by flooding, hailstorms,
                                               join formal schools in September.
nearly 300,000 people in rural Ethiopia                                                       disease, and nutritional emergencies.
In 2007, Concern continued the imple-
                                               Also in 2007, two non-formal learning
mentation of a comprehensive five-year
                                               centers and one formal primary school
program in Kalu District, which aims to
                                               were built in rural settings, along with one
improve health by building the capacity of
                                               classroom in each of four existing centers
the local Ministry of Health, and by pro-
                                               to accommodate more children. Concern
viding training and material resources.
                                               identified the training needs of partner
The program targets 239,013 people in
                                               organizations and provided training to
Kalu, and had 90,044 direct beneficiaries
                                               improve teaching skills, performance and
in 2007. Key initiatives included a clinic
                                               commitment. Basic business skills train-
rehabilitation (including installation of
                                               ing for mothers increased household
new water systems), the establishment of a
                                               income and helped children continue                               Red Sea
radio communication system between the                                                                      ERITREA
                                               their education.                                                            YEMEN
District health office and two of the
remotest health centers, the use of donated
                                               LIVELIHOODS—Empowering 83,601
                                                                                                                           Gulf of Aden   23
vehicles and motor bikes, and the introduc-                                                                •North Kalu
tion of kerosene-operated refrigerators.       of the urban and rural poor to change                    ETHIOPIA        SOMALIA
                                               their lives                                                 •Addis Ababa
                                               The Urban Livelihood program in Addis
NUTRITION—Expanding life-saving                                                                   Sheko• •Damot Weyde
                                               Ababa is a partnership with community-                                           Indian Ocean
interventions for malnourished children
                                               based NGOs and a private magazine                        Lake
A key element of the national health                                                                    Rudolf
                                               publishing organization. It benefited
program was the outpatient therapeutic
                                               3,601 poor people in 2007.                                  KENYA
feeding program for children under five
known as Community-based Therapeutic
                                               The Rural Livelihoods programs are located
Care (CTC). These feeding programs have
                                               in Wollo in the Amhara Region and
been established in 72 health facilities (up
                                               Wolayita in the SNNP Region, and focus on
from 22 in 2006) in food insecure areas
                                               agriculture and natural resource manage-
including Kalu, which is in Amhara
                                               ment, targeting some 80,000 beneficiaries.
Region, and in 3 other Regions. Concern
                                               Initiatives included a spring development
provided technical assistance for the Min-                                                    Area: 1,104,000 sq km
                                               and pipeline extension project serving
istry of Health to incorporate this life-                                                     Population: 79 million
                                               over 12,000, decreasing travel time for
saving intervention into their routine                                                        GDP per capita: $1,044
                                               water collection from over two hours to
health activities.
                                               less than 30 minutes on average.               Infant mortality rate
                                                                                                 (per 1,000 births): 109
EDUCATION—Improving access to                                                                 Life expectancy: 51.8
                                               HIV&AIDS—Working through partners
formal and non-formal education for                                                           Living with HIV & AIDS: .9–3.5%
                                               toward prevention and support
6.062 children                                                                                Literacy rate: 35.9%
                                               Concern has been working in Addis
Concern worked with six local partner
                                               Ababa and in rural areas to reduce the         Access to safe water: 22%
NGOs to improve access to non-formal
                                               impact of HIV&AIDS on the poorest              Human development rank: 169
     Haiti’s prolonged history of political instability has left it the poorest country in the Western
     Hemisphere. Recent progress to stem gang violence has coincided with a drop in the number of
     kidnappings. Police reforms and increased UN security presence has also helped the situation.
     However, the economy is not reflecting improvements in the security situation. Floods, high fuel
     prices and tighter customs control has led to high inflation, particularly for food prices, and a drop
     in the value of the local currency.

     Concern has been working in                       LIVELIHOODS—Improving access to                five peace committees were established
                                                       credit and income                              and supported in the urban slum of Saint
     Haiti since 1994 and currently                    Concern supported 150 ultra-poor families      Martin, and a new initiative was launched
     operates 14 projects in the areas                 in the selection, start-up and management      in the slum of Martissant.
     of health, water/sanitation,                      of sustainable income-generating activi-
     education, microfinance, liveli-                  ties, including goat breeding and poultry
                                                                                                      HIV&AIDS—Enhancing services and
                                                       production, and other local produc-
     hoods and peace building.                         tion and services. Concern also worked
                                                                                                      care for 46,633 people
                                                                                                      Concern Haiti’s HIV programming had a
                                                       to roll out an innovative loan package to
                                                                                                      major impact in the lives of 46,633 Haitians
                                                       extremely poor rural areas, providing
     HEALTH—Improving access and                                                                      by making quality treatment available at
                                                       5,125 small-scale traders in remote and
     quality of care                                                                                  primary health care level, improving screen-
                                                       poor urban areas with access to credit.
     In 2007, programs reached 8,787 people.                                                          ing, treatment and counseling services in
     A major accomplishment of the Child                                                              the poorest neighborhoods, and working to
     Survival Program was the improvement in           WATER—Building clean water resources           combat discrimination. Pairing advocacy
     access to Oral Rehydration Salts (ORS) as         for 1,800 families on La Gonave                efforts with capacity-building at the com-
     a household level treatment of diarrhea.          On La Gonâve, 1,800 families (5,508            munity level, Concern was able to de-
     Concern established 47 convenient distri-         women, 5,292 men) living in isolated           centralize the distribution of anti-retroviral
     bution points in five of Port-au-Prince’s         areas benefited from the construction of 6     drugs, making them available at five front-
     poorest neighborhoods and mobilized               community cisterns to harvest rainwater        line health centers. Concern also partnered
     youth volunteers to serve as distributors of      for use during the long dry season. This       with a local NGO to build a center for
     ORS. In the new maternity ward at the             reduced the average time spent collecting      urban youth with free information on HIV.
     community health clininc in Saut d’Eau,           water from 3 hours to 15 minutes. Work
     deliveries assisted by a trained Traditional      also began in the effort to upgrade the
                                                                                                      EMERGENCY—Providing critical relief
     Birth Attendant increased from 15 to over         Nan Jozen spring, which provides over
                                                                                                      to 1,450 families
24   40 percent.                                       700 families with water. To ensure the
                                                       long-term viability of these new facilities,
                                                                                                      The 2007 hurricane season was especially
                                                                                                      tough on Haiti between August and
                                                       eleven water management committees
     EDUCATION—Creating better                                                                        November. Responding to a request by
                                                       were created or restructured and trained.
     learning environments for                                                                        National Civil Protection authorities,
     16,881 students                                                                                  Concern provided support to victims in
     Concern continued its work in health and          LOCAL GOVERNANCE—Cultivating                   Cavaillon (South department) and Cabaret
     hygiene in schools across Haiti, including        peace in the poorest urban                     (West department) after the October rains,
     99 schools in the Central plateau, 60 on          neighborhoods                                  and in Thomazeau and on La Gonâve
     the island of La Gonâve, and 10 in the            Concern worked with strategic partner the      following Hurricane Noel. Concern was
     impoverished urban neighborhood of Saint          Glencree Institute for Reconciliation (an      among the first agencies to respond to the
     Martin. In all, nearly 17,000 pupils bene-        Irish peace-building initiative) to train 15   needs of these populations, distributing
     fited from the program, which included            young men and women in conflict man-           hygiene and kitchen kits and blankets to
     improved teaching in health sciences and          agement, laying the cornerstone for the        1,450 families.
     hygiene. Infrastructure improvements,             development of a Haitian peace institute.
     including new classrooms, school offices,         In recent years, Concern and Glencree
     latrines, benches, and blackboards bene-          have conducted trainings for over 1,000        Area: 28,000 sq km
     fited 12,230 children and adults.                 youth in at-risk neighborhoods. In 2007,       Population: 9.3 million
                                                                                                      GDP per capita: $1,663
                                                                                                      Infant mortality rate
                                                                                                         (per 1,000 births): 84
                Caribbean Sea                                                                         Life expectancy: 59.5
                                                                                                      Living with HIV & AIDS: 3.8%
                      La Gonâve •                        DOMINICAN REPUBLIC                           Literacy rate: 54.8%
                          Port-Au-Prince •
                                         •Saut d'Eau                                                  Access to safe water: 54%
                                                                                                      Human development rank: 146
Photo: Goz Beida, Chad, Concern Worldwide


                                                                  Survival and Endurance
                                            These women are lucky to be alive. Rebel militias attacked their homes in an early morning raid,
                                            killing their husbands and burning their village. They gathered their children and ran—taking nothing
                                            but the clothes they were wearing. With no possessions, no food, and no shelter, they sought refuge
                                            in a temporary camp managed by Concern in the village of Koloma.

                                            The conflict in Darfur has largely overshadowed the crisis in Chad. Over 1 million people have been
                                            affected by the fighting and unrest there. Violence has devastated entire villages, displaced hundreds
                                            of thousands of people, and strained the resources of already impoverished host communities to the
                                            breaking point. Insecurity is a major problem for the displaced, villagers, and the aid agencies.
                                            People live in constant fear of attack from rebels and militias.

                                            Concern has a team of 20 staff in Abeche and Goz Beida responding to the crisis. We are responsible for
                                            ensuring the delivery of essential items such as plastic sheeting, food, mats, and water cans for over
                                            38,000 people in four camps. But the work is just beginning. Concern continues to monitor the situation
                                            and respond to the needs of those who have been left utterly dependent on humanitarian aid for survival.
     Despite impressive gains in the economic sector, India continues to face pressing problems, such
     as the ongoing dispute with Pakistan over Kashmir, environmental degradation, severe poverty and
     ethnic and religious strife. The country’s growing population of over one billion strains resources,
     and this is further compounded by the floods, drought, landslides and cyclones that occur
     regularly. As a result, over one quarter of the population live on less than $1 a day and nearly half
     of children under the age of five are underweight.

     Concern, which has been oper-                 LIVELIHOODS—Helping the rural                        HIV&AIDS—Strengthening the
                                                   poor claim their right to a secure                   local response to the pandemic
     ating in India since 1999, con-               livelihood                                           in Orissa
     tinued working with our                       Concern continued its comprehensive                  HIV&AIDS has reached pandemic levels
     partners on the post-tsunami                  work to equip and empower the poor and               in the impoverished state of Orissa, and
     response, while at the same                   marginalized to claim secure livelihoods             Concern has mounted a response through
                                                   and achieve sustainable improvements in              local partners to reduce the risk and vul-
     time responding to flooding in                their lives. It launched an ambitious 4-year         nerability to HIV infection and ensure
     the state of Orrisa which                     program that will have as many as one                improved quality of life for people living
     affected over 100,000 families.               million direct beneficiaries. Much of the            with HIV&AIDS. Concern and its partners
     Concern is also focusing on                   activity in 2007 focused on advocacy to              seek to work with high-risk communities
                                                   help the rural poor claim their rights under         in both rural and urban areas, focusing
     improving livelihoods and                     National Rural Employment Guarantee                  on youth and adolescents. To combat
     access to education.                          Act (NREGA), which provides, among                   stigma and discrimination, Concern
                                                   other entitlements, a legal guarantee of             coordinated a photography exhibition in
                                                   one hundred days of employment per                   five districts targeting mixed groups,
     EMERGENCY—Bringing relief, recovery
                                                   year to adult members of any rural house-            including college students, hospitals,
     and preparedness to 244,636 people
                                                   hold. Concern has focused its work at the            women’s groups, and slum populations.
     affected by natural disaster
                                                   grassroots level, working closely with               A similar program, featuring a photo-
     In 2007, Concern—in partnership with
                                                   social activists and local NGOs to trigger           graphic exhibition and people living with
     local organizations—was active in a
                                                   better access to employment and other                HIV trained as positive speakers, reached
     number of different emergencies, includ-
                                                   basic rights, including the right to food.           500 doctors training at 14 hospitals.
     ing the ongoing tsunami recovery
     program, and an emergency response to
     the South Asia floods in Bihar and Orissa.
26   The tsunami program concluded at the
     end of 2007 after assisting 25,000 families                                    CHINA
     in Tamil Nadu and Andhra Pradesh, with
     the broadest coverage through a program
     of revolving microcredit loans to func-
                                                       PAKISTAN           •       NEPAL

     tional groups and women’s self-help
                                                                      New Delhi               •Bhutan
     groups. These loans will continue to spur
     the recovery process. In Bihar, Concern                             INDIA                 BANGLADESH
     distributed emergency relief supplies to                                                      BURMA
     10,000 affected families. 14,000 families          Arabian Sea                   •  Orissa
     (approximately 70,000 people) in Orissa
     benefited from a program including cash                                            Bay of Bengal
     for work, agricultural distribution, small-
     scale house reconstruction, and tubewell
     repair. An additional 16,000 poor farming
     families in Orissa benefited from a subse-                                   Sri Lanka
     quent emergency preparedness program.                                                              Area: 3,288,000 sq km
                                                                                                        Population: 1,134.4 million
                                                                                                        GDP per capita: $3,452
                                                                                                        Infant mortality rate
                                                                                                           (per 1,000 births): 56
                                                                                                        Life expectancy: 63.7
                                                                                                        Living with HIV & AIDS: 0.9%
                                                                                                        Literacy rate: 61.%
                                                                                                        Access to safe water: 86%
                                                                                                        Human development rank: 128
Disputed election results in December sparked violence that led to large-scale displacements of
people. Reconciliation and rehabilitation are likely to dominate the agenda in the immediate and
medium-term future. Concern will be focusing on the needs of the most vulnerable affected by the
conflict throughout 2008.

Concern has been operational                    school management committee training,           to reduce the number of new HIV infec-
                                                and school health clubs. Similar efforts are    tions, minimize the impact of AIDS, and
in Kenya since 2002 and has                     underway in the slums of Nairobi and            improve the quality of life of the infected
been focusing on education,                     Kitale, where Concern is supporting 6           and affected among the poorest commu-
HIV&AIDS and livelihoods.                       educational institutions and two media          nities in Kenya. The program focuses on the
                                                partners, with programming and messages         urban slums in Nairobi, and in Nyanza
                                                aimed at improving access and quality of        province, which has the highest preva-
HEALTH—Providing life-saving
                                                education across all 170 slums in Nairobi.      lence in Kenya. A total of 27,537 people
                                                                                                directly benefited from activities including
Concern’s successful Community-based
                                                                                                peer education targeted at young people
Therapeutic Care (CTC) response to a            LIVELIHOODS—Moving from
                                                                                                and high risk adults, training of commu-
nutrition emergency in northern Kenya’s         livelihood restoration to long-term
                                                                                                nity health workers, new equipment for
Moyale District concluded in early 2007         security for 63,370
                                                                                                clinics, improved care and counseling for
after providing supplementary food support      Concern’s livelihoods program focuses on
                                                                                                orphaned and vulnerable children.
to 6,629 children, 800 pregnant and breast-     the arid and semi-arid regions of Kenya
feeding women, and 300 elderly persons.         (Marsabit and Moyale districts in the
Two hundred severely malnourished               North, Kajiado in the southern rangelands
children also received therapeutic care. A      and Malindi along the coast) where pre-
January 2007 nutrition survey showed            dominantly pastoralist communities face
success (cured) rates of 80 percent for the     recurrent droughts and floods.
supplementary feeding and 90 percent for
the therapeutic care program.                   Through September 2007, 48,625 people
                                                benefited from activities including: a com-
This success led to an invitation by the        plementary food and non-food voucher
Kenyan Ministry of Health to join a task        safety net program; water projects, includ-                             ETHIOPIA
force assigned to develop national guide-
lines for the treatment of severe malnutri-
                                                ing construction of underground storage
                                                tanks, sanitation facilities and wells; seed                             •Moyale               27
                                                                                                      UGANDA          KEN
                                                                                                                      KENYA SOMALIA
tion. Concern worked with NGO partners          distributions; restocking of livestock to the
to draft a set of guidelines that will assist   most vulnerable; and the distribution of                   Lake  •Nakuru
Kenya in incorporating the treatment of         household kits for displaced families.                     Victoria
malnutrition into routine child health
services. Concern also did innovative           In October, the program shifted from                      TANZANIA
work in the field of HIV&AIDS and Nutri-        emergency to development program-
tion, assisting a local partner, Lea Toto, in   ming. Activities included: livestock health
improving their management of severe            and management activities; marketing of
malnutrition among 3,000 HIV-positive           livestock products; peace-building in
children in six Nairobi slums. Both efforts     conflict-prone areas; seed-banking in
will have a significant impact on Kenya’s       agropastoralist areas; marketing with
national health policy.                         women’s groups; beekeeping and tree
                                                planting; advocating on land justice
                                                issues; capacity building of partners and
EDUCATION—Giving 36,502 of the                                                                  Area: 583,000 sq km
                                                communities; and community disaster
poorest children access                                                                         Population: 35.6 million
                                                risk reduction planning meetings. The
Concern’s education reached 36,502                                                              GDP per capita: $1,240
                                                program directly benefited a total of
direct beneficiaries in 2007, focusing on
                                                14,745 people before the end of the year.       Infant mortality rate
giving access to quality primary education
                                                                                                   (per 1,000 births): 79
to children residing in urban slums, and
orphaned and vulnerable children living         HIV&AIDS—A community approach to                Life expectancy: 52.1
in areas of high HIV & AIDS prevalence.         prevention, treatment and care for              Living with HIV & AIDS: 6.1%
Working with 269 schools in Nyanza,             27,537 people                                   Literacy rate: 73.6%
Concern’s activities include improvement        Concern’s Community-Based Prevention,           Access to safe water: 61%
of school infrastructure, teacher training,     Treatment and Care (PTC) Program seeks          Human development rank: 148
     Despite continued economic growth, Laos People’s Democratic Republic is one of the most
     underdeveloped countries in the world. Over one quarter of the population lives on less than $1
     per day. Rural communities are isolated and residents have limited access to basic services
     including health facilities, schooling and markets.

     Concern has been working in                    MICROFINANCE—Advocating and
                                                    facilitating pro-poor microfinance
     Laos PDR since 1992 and recent                 policy                                          BURMA                     VIETNAM
     years have seen an expansion                   Livelihood activities at the village level
     of our work there, with Concern                were complemented by Concern’s micro-
     now implementing programs                      finance activities in the nation’s capital,
                                                    Vientiane, as Laos developed its first micro-                      LAOS
     relating to livelihoods, primary               finance regulation. Concern supported dis-
     health and strengthening the                   cussions on the draft microfinance policy                            •Vientiane
     nascent civil society.                         through district, provincial, and national
                                                    level workshops and meetings, and partic-
                                                    ipated in workshops organized by the Bank                          THAILAND
                                                    of Lao for the review of the draft policy.
     LIVELIHOODS—Working with the
                                                    The final microfinance policy is expected
     poorest, most remote communities to
                                                    to come out in 2008. Concern was also
     achieve sustainable livelihoods
                                                    instrumental in establishing a microfinance
     Concern has been successful working
                                                    working group with 11 key microfinance
     with partner organizations to target activi-                                                                             CAMBODIA
                                                    operators and practitioners from across
     ties to the specific needs of the rural poor
                                                    the sector; the working group engaged in
     communities where they are working. In
                                                    policy dialogue with the government, train-
     2007, 29,598 direct beneficiaries partici-
                                                    ing, coordination, information exchange         more mothers are using oral rehydration
     pated in programs that included natural
                                                    and promotion of best practice principles       salts to treat children suffering from diar-
     resource management, food production
                                                    among microfinance practitioners. An            rhea. The program will expand to 162 vil-
     and processing, and improved access to
                                                    estimated 260,000 microfinance groups           lages over the next four years.
     markets. In remote Bokeo province, in the
                                                    benefited from Concern’s advocacy
28   northwest, Concern worked to manage
     the impacts of a new highway linking
                                                    regarding microfinance policy.
                                                                                                    HIV&AIDS—Working with the
     Thailand to China, which passes through                                                        government and advocacy groups to
     the heart of its program areas. Efforts        HEALTH—Improving the quality and                build public awareness
     focused on capitalizing on the opportuni-      accessibility of health services among          Concern launched a new project based
     ties presented by this new commercial          the poorest                                     on meeting the needs and gaps in service
     link, while minimizing the risks associ-       In 2007, Concern launched the                   for people living with HIV&AIDS. In addi-
     ated with modernization (e.g., increased       Houaphan Health Program (HHP), which            tion to providing financial and technical
     exposure to HIV&AIDS, deforestation,           targeted 30 villages in the remote northern     support to LNP+, the national network of
     unregulated demand-driven trade, etc.).        Houaphan province. HHP works with the           HIV-positive people, Concern staff met
     Concern continued to provide small and         provincial and district governments to          regularly with the national committee and
     large livestock, as well as to promote         engage community partners at the village        secretariat, providing mentoring and organi-
     contract farming by providing seeds for        level, including health dispensary staff,       zational development advice.
     food and cash crops, then connecting           village chiefs, village health and develop-
     farmers with buyers and extension support      ment committees, health volunteers, and
     from the government.                           traditional birth attendants. 36,809 vil-       Area: 237,000 sq km
                                                    lagers benefited from improved primary          Population: 5.7 million
     Further south, in Savannakhet province,        health care services thanks to training of      GDP per capita: $2,039
     approximately 300 poor families received       community health workers, health educa-
                                                                                                    Infant mortality rate
     over 37 metric tons of rice as part of a       tion, and hygiene and sanitation improve-
                                                                                                       (per 1,000 births): 62
     food-for-work program. The labor they          ments. Communities are now beginning
     provided produced a new access road,           to plan and address how they can reduce         Life expectancy: 63.2
     1.2 km of irrigation infrastructure, and       the incidence of preventable diseases and       Living with HIV & AIDS: 0.1%
     increased wetland rice paddy, all signifi-     malnutrition in children under five. Early      Literacy rate: 68.7%
     cantly improving immediate and long-           reporting indicates that the incidence and      Access to safe water: 51%
     term food security.                            severity of malaria is decreasing, and that     Human development rank: 130
Photo: Katanga, DRC, Peter Doyle, Concern Worldwide


                                                                 Maximizing Local Potential
                                                      Concern’s emergency assessment in the Democratic Republic of the Congo’s Katanga province deter-
                                                      mined that 26,000 people in isolated rural villages were in urgent need of seeds, tools, and food
                                                      rations before planting season. However, after three months of heavy rain, the region’s already
                                                      damaged roads were totally flooded and impassable. Concern’s Area Coordinator Peter Doyle said of
                                                      the situation, “Trucks were breaking down. Vehicles were stuck in feet of mud. Time was running out.
                                                      If we couldn’t get the food through, these people were in jeopardy.”

                                                      By February 2007, the situation was dire. When Doyle and the Concern staff noticed that the only
                                                      things moving reliably in or out of the villages were bicycles, they took action. He contracted local
                                                      bicycle owners from villages along the route to carry the seeds and food to distribution sites. The
                                                      results were astounding: Two hundred community workers made 2,400 trips, carrying 170 pounds of
                                                      rations per bike over 125 miles. The bike convoy delivered 450 tons of seeds to 24 villages, feeding
                                                      26,000 people.
     Following the election of Ellen Johnson Sirleaf to the office of President in 2005, there is now
     cautious optimism that Liberia can recover from a 14-year legacy of conflict. Many challenges lie
     ahead for this country, in which 39 percent of the population lacks access to safe water and the
     average life expectancy is 44 years.

     Operational in Liberia since                   included: the expansion of successful          EMERGENCY—Targeting appropriate
                                                    Farmers’ Resource Centres (FRC) and            responses to the aftermath of war
     1992, Concern is transitioning                 Farmer Field Schools (FFS); a small-scale      and flooding
     from emergency programming                     agriculture and skills training in urban       Concern’s emergency programming in
     to more long-term develop-                     areas that included people living with         2007 included a continued response to an
     ment interventions.                            HIV; skills training and adult literacy; and   influx of returnees after Liberia’s 14-year
                                                    improving market access.                       civil war, and a new response to the
                                                                                                   unprecedented heavy rains and flooding in
                                                                                                   operational areas in Montserrado County
     HEALTH—Bringing clean water,
                                                                                                   in August this year. In Grand Bassa and
     sanitation and hygiene to over                                        GUINEA                  Bong, efforts focused on meeting the basic
     80,859 people
                                                          SIERRA                                   survival and environmental health needs
     Concern is working in the poorest rural              LEONE                                    of returnees through the construction and
     and urban communities to improve health
                                                                                                   repair of clean water sources, latrines, and
     by providing safe water and sanitation
     facilities, and promoting improved health                   •Bomi County       COTE
                                                                                                   health and hygiene education. In Lofa, the
                                                                                                   emphasis is on reclaiming war–damaged
     and hygiene practices, including malaria                    •Monrovia                         infrastructure—the construction of culvert
     control. In 2007, the program directly               Atlantic Ocean    LIBERIA                crossings, repair of feeder roads, and
     impacted 80,859 people in Grand Bassa,
                                                                                                   rehabilitation of social infrastructure such
     Bong, Lofa, and Montserrado. All activities
                                                                                                   as markets and schools. In Montserrado
     are carried out in close collaboration with
                                                                                                   County, where 20,000 people were
     the Ministry of Health and other interna-
                                                                                                   temporarily displaced and more than 900
     tional NGOs as part of a newly formed
                                                                                                   homes were flooded by August rains,
     Water & Sanitation Consortium, to ensure
                                                    In Grand Bassa, Bong and Lofa counties         Concern acted quickly in cooperation
     coordination of efforts and maximum effi-
                                                    Concern provided local populations with        with the Ministry of Health to expedite
30   ciency. Common activities included con-
     struction and rehabilitation of wells,
                                                    information on improved crop varieties         drainage, promote health and hygiene,
                                                    and breeding methods, seeds and tools,         and implement home chlorination.
     pipework construction, and the installa-
                                                    and training. Grand Bassa’s FRC also hosts     Accomplishments included the distribu-
     tion of latrines. Sustainability is achieved
                                                    an adult literacy program. In Montserrado      tion of 2,472 mosquito nets, benefiting
     through the mobilization of water & sani-
                                                    County, home to capital city Monrovia,         350 pregnant women and 2,172 children
     tation committees in each community,
                                                    Concern initiated an urban agriculture         under five from 2,103 families.
     whose responsibility is to ensure that
                                                    program aimed at mobilizing small-scale
     newly installed facilities remain func-
                                                    farming among the most vulnerable of the
     tional. Another common aspect of all
                                                    slum communities. A total of 250 farmers
     efforts is health and hygiene education,
                                                    received assorted hand tools, vegetable
     including malaria prevention messages
                                                    seeds and formal training. An additional       Area: 111,000 sq km
     and HIV & AIDS awareness, through activ-
                                                    livelihoods program for people living with     Population: 3.4 million
     ities such as the “child-to-child” hygiene
                                                    HIV & AIDS supported 250 people with 6         GDP per capita: N/A
     promotion and community focus groups.
                                                    acres of agricultural farm. Montserrado
                                                                                                   Infant mortality rate
                                                    was also home to skills training in pastry
                                                                                                      (per 1,000 births): 157
     LIVELIHOODS—Establishing                       making, soap making and cosmetology,
     agricultural and vocational                    and an active literacy training program        Life expectancy: 44.7
     opportunities for 23,495 people                targeting market women. Finally, in 2007       Living with HIV & AIDS: 2–5 %
     In 2007, Concern’s livelihood security         Concern rehabilitated six bridges, con-        Literacy rate: 51.9%
     program reached 23,495 people across its       structed one new bridge in Grand Bassa,        Access to safe water: 61%
     four counties of operation. Focus areas        and a footbridge in Montserrado County.        Human development rank: N/A