Malteser InternationalAnnual Report 2006
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Malteser International Annual Report 2006 www.malteser-international.org www.malteser-international.org
Malteser International – help on the spot – worldwide. Malteser International is the worldwide relief agency of the Order of Malta for humanitarian aid. The organisation co- vers 200 projects in 30 countries in Africa, Asia, Europe and the Americas. Currently, 19 national associations of the Order of Malta are members of Malteser International. Evolved from Malteser Germany, and therefore set up in accordance with German Law, and it was internationalised as the Order of Malta’s relief service in 2005. The organisation provides aid in all parts of the world without distinction of religion, race, age or origin. Christian values and the humanitarian principles of impartiality and independence are the foundation of its work. Its mission is not only to provide emergency relief, but also to implement rehabilitation measu- res and to facilitate the link between emergency relief and sustainable development. Malteser International establishes and promotes primary health care services and seeks to reduce vulnerability and poverty. It is committed to high quality standards; accountability and transparency are priorities. Malteser International has the status of a Non-Governmental Organisation. The mission of Malteser International: ● Provide relief to major emergencies in the world, especially in the health sector ● Implement rehabilitation measures, and link relief, rehabilitation and development (LRRD) ● Establish and promote primary health care services in developing countries ● Reduce the vulnerability and poverty of the afflicted ● Provide care for refugees and returnees ● Support local partner Non-Governmental Organisations „Our motivation is to alleviate human suffering.“ (Code of Conduct: The humanitarian imperative comes first) Malteser International is member of: ● Aktion Deutschland Hilft (ADH) (Action Campaign Germany Helps) ● Aktionsbündnis gegen AIDS (Action against AIDS Alliance) ● Arbeitskreis Medizinische Entwicklungshilfe (AKME) (Working Group on Medical Development Aid) ● Koordinierungsausschuss Humanitäre Hilfe (KAHH) (Coordinating Committeee for Humanitarian Relief) ● Katholischer Arbeitskreis Not- und Katastrophenhilfe (KANK) (Catholic Working Group on Emergency and Disaster Relief) ● People in Aid ● Verband Entwicklungspolitik Deutscher Nicht-Regierungs-Organisationen (VENRO) (National Association of German Non-Governmental Organisations for Development Policy) ● Voluntary Organisations in Cooperation in Emergencies (VOICE) Malteser International is committed to the following national and international codes and standards: ● The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response ● The Code of Conduct: Principles of Conduct for the International Red Cross and Red Crescent Movement and NGOs in Disaster Response Programmes ● Principles for the international work of the German Caritas Association ● Code of Conduct to protect children and young people from abuse and sexual exploitation (Caritas Internationalis) 2 MISSION
Editorial 2006 was a very eventful year for Malteser International. We provided help during many crises and disasters. Some were closely followed by the media, like the devastating earthquake on Java in May and the war-torn region of Darfur. Others didn’t make the news, such as the drought in Kenya in March, the destructive typhoon in Vietnam in October or the miserable living conditions of the population of the Democratic Republic of Congo. Our aim is to provide these people and the many other victims of disasters with rapid and efficient Nicolas de Cock de Rameyen support. Humanitarian aid must not only be supplied quickly and fulfil all moral requirements, but President must also comply with efficiency and efficacy standards. It must be transparent – not just to those who provide the financing, but also and above all to those who receive the aid. Those who are affected are often our best partners on-site and are of vital importance in terms of the type, orienta- tion, scope and duration of the aid we provide. It is not we who are the leaders of the procedure, but rather the victims themselves. Going about things differently would rob them of the last thing they have left, after they have already lost so much: their dignity. This places high demands on the aid- workers: first, it means that we must surrender our Western outlook and take on that of the people in need. If our aid is to be more than a well-meaning consolation, it has to provide a permanent and Ingo Radtke sustainable contribution to improving the situation of the poorest of the poor in the relevant location Secretary General – and this must be based on the perspective of those affected. Tailor-made solutions must be found for actual problems, without offering any pre-fabricated products. Such solutions can only work if we treat the disaster victims as equals and use their ideas as the basis for our actions. We must allow – and indeed wish for – our actions to be measured against this requirement. This Report is an account of the projects we undertook in 2006. Many private individuals, organisations, institutions and companies have supported our work over the past year, as have many public donors, foundations and organisations, both national and international. We wish to express our most sincere gratitude to them all. To continue supporting the needy and working with them towards a sustainable future, we rely on your help. Please continue to accompany us along this path and support our work to help those who are so dependent on our care. Nicolas de Cock de Rameyen Ingo Radtke Cologne, July 2007 EDITORIAL 3
Contents Malteser International – Mission 2 Editorial 3 Contents 4 Pictures of the year 6-7 Africa 8 Our projects in Africa 9 - 14 1 On the spot: Kenya 15 AMERICA On the spot: Democratic Republic of Congo 16 On the spot: Uganda 17 Asia 18 Our projects in Asia 19 - 28 Project overview 2006 24 - 25 On the spot: Thailand 29 On the spot: Lebanon 30 AMERICA On the spot: India 31 1 USA – p. 37 Europe 32 Our projects in Europe 33 - 35 The Balkans 33 Central and Eastern Europe 35 America 36 Our projects in America 37 On the spot: New Orleans 38 Experts abroad 39 Help at a glance 40 - 41 Facts and Figures 42 Annual accounts as of 31 December 2006 42 - 43 Financial overview 2006 44 Acknowledgement 45 Member associations 46 Structures and committees 47 4 CONTENTS
help on the spot – worldwide. EUROPE 3 2 21 ASIA 16 15 14 10 18 12 17 20 8 11 22 AFRICA 6 19 9 8 7 13 5 AFRICA 4 4 Angola – p. 9 5 DR Congo – p. 10 6 Ethiopia – p. 11 7 Kenya – p. 12 8 Sudan – p. 13 9 Uganda – p. 14 EUROPE 2 Balkans – p. 33 3 Romania – p. 35 ASIA 10 Afghanistan – p. 19 11 Cambodia – p. 20 12 India – p. 21 13 Indonesia – p. 21 14 Iran – p. 22 15 Iraq – p. 22 16 Lebanon – p. 23 17 Myanmar – p. 23 18 Pakistan – p. 26 19 Sri Lanka – p. 26 20 Thailand – p. 27 21 Turkey – p. 28 22 Vietnam – p. 28 CONTENTS 5
Pictures of the year Florian Kopp January 2006 Pakistan: Earthquake relief with helicopters for more than 1,000 families April 2006 Flood aid in Romania, Serbia and Hungary February 2006 Cholera epidemic in South Sudan March 2006 Drought in Kenya: Distribution of medical drugs and food Birgit Betzelt May 2006 Earthquake on Java/Indonesia 6 PICTURES OF THE YEAR
July 2006 Tsunami on Java/Indonesia: “Don’t cry Indonesia” Caroline von der Tann June 2006 Thailand: Aid for refugees from Myanmar October 2006 Emergency relief for the victims of the typhoon December 2006 Two years after the tsunami: Aid for 500,000 people August 2006 War and destruction in Lebanon PICTURES OF THE YEAR 7
8 6 9 7 5 With the people, 4 for the people In six countries in eastern and southern Africa, Malteser International focuses on providing healthcare for the population, AFRICA DATA COUNTRIES combating epidemics and training local personnel. The maintenance International staff: 4 Angola of close links between the programmes for each project is crucial 34 5 DR Congo to ensuring the success of this single aim: effective healthcare. For 6 Ethiopia National staff: example, the battle against the HIV/AIDS pandemic is linked with 7 Kenya 455 activities to combat tuberculosis and other illnesses that often occur 8 Sudan Aid for 4.7 million people 9 Uganda in relation to HIV and AIDS. This provides more efficient measures for combatting the pandemic itself – recognised as one of the worst disasters in the world today. Angola International staff: 3 National staff: 18 Aid for 400,000 people Malteser International has worked in Angola since 2002. Since the end of the 27-year civil war, Malteser International has been working in the remote south-west of the country in the province of Kuando Kubango, near the border with Namibia. It is the only international non-governmental Angola: The health centres are of vital importance for the families living in the remote areas of the country. organisation working on healthcare in this neglected area of the country. The and medical supplies urgently needed from emergency aid to development co- focus: development and support for for isolated healthcare facilities. These operation. The internationally recognised existing local resources. Sadly, the large actions are largely financed by private principle ‘Linking Relief, Rehabilitation number of mines laid in the region still donations, as many major international and Development’ (LRRD), which aims restricts the work considerably. Projects donors withdrew from Angola once the to ensure sustainable development after are limited to mine-free or cleared areas. acute emergency aid period ended; this the initial aid ends, is unfortunately still The teams regularly provide medicine highlights the difficulty of the transition not implemented everywhere. But the AFRICA 9
Democratic Republic of Congo International staff: 14 National staff: 129 Aid for 2.8 million people Malteser International has worked in the DR Congo since 1996. Peaceful relations have still not been achieved throughout the entire country. Insecurity mainly exists in the east and is likely to continue for some time. Numerous efforts for peace by the United Nations and the European Union have only partly solved the problem. Nevertheless, it has been possible to restrict the tyranny of the self-proclaimed warlords dramatically, which has also made it much easier for Malteser International to Angola: The one-week training sessions for midwives from Kuando Kubango province include both theory help the population. However, new and and practical exercises. unexpected conflicts constantly threaten the progress achieved so far. staying power under difficult conditions project planned for 2007 for combating Malteser International is committed has finally paid off. In 2006, Malteser malaria, tuberculosis and HIV/AIDS as to supporting the healthcare systems in International secured extensive funding part of the HAMSET programme, which South Kivu, Ituri and Haut Uélé in the from the European Union. This enabled facilitates cooperation between the World east of the country, with the objective of the relief agency to rebuild remote Bank and the Angolan government. The promoting long-term structures for self- healthcare facilities and provide a wide project provides support for community- sufficient supply. A particularly important range of medicine, medical supplies and based organisations which look after those element is the training of local personnel, numerous training programmes, e.g. for affected by the illnesses and provide them in cooperation with the official healthcare local midwives. Parallel to this is a new with information. facilities in the provinces and with local non-governmental organisations. Malteser LRRD International supplies more than 350 LRRD stands for ’Linking Relief, Rehabilitation and Development‘. The aim is to assess the health centres and other medical facilities extent to which short-term measures can contribute to sustainable development at as with medicine and medical supplies, early a stage as possible – ideally in the emergency aid phase. This concept is based on provides expert medical support for the experiences, where short-term emergency aid has had undesirable effects or side-effects personnel and collects comprehensive on some population groups or the later development of the region. data to assess healthcare development in To minimise these effects, Malteser International focuses on the concrete implementation the region and evaluate its own measures. of LRRD: at the planning stage for emergency aid measures, the existing structures in Specific illnesses such as meningitis, the affected region are assessed, together with consideration as to how to maintain cholera and plague are combatted using the implemented measures once the aid organisation has left. A further aim during emergency measures. emergency aid planning is to ensure a smooth transition to rehabilitation and The central pharmacy, which was development. As a result of this process, after the early phase the project can usually be supported by Malteser International for handed over to local organisations in a developed state that is sustainable in the long- several years, was successfully converted term. Above all, this helps to reduce the vulnerability and susceptibility of the population into a non-profit-making limited company to future crises and disasters. and is now able to operate independently. 10 AFRICA
DR Congo: Village residents accompany an aid worker in protective clothing who is disinfecting their huts to prevent the spread of plague viruses. CHOLERA Cholera is a bacterial diarrhoea disease that spreads very rapidly, particularly in regions with a high population density, insufficient water supply and poor sani- tary conditions. Refugee camps and slum areas are frequently affected. Cholera treatment basically focuses on counterbalancing the extreme fluid loss; if needed, antibiotics are given. Fundamental contributions to treatment ich.tv and prevention include sufficient pro- Malteser International has also A programme for food security is an vision of clean water and sanitation continued to expand comprehensive additional focus in South Kivu. Its aim is facilities, waste management, fly control psychological and medical care for to make the population more independent and the provision of soap. victims of sexual abuse in all three of external aid. Malteser International provinces. A crucial role is played by supplies seven nutrition centres with expert training and further education, foodstuffs to nurse undernourished Ethiopia as well as the monitoring of staff and children under the age of five. The workers from local organisations in their organisation also supports 18 food National staff: 2 contact with and handling of victims of security centres and five centres for small Aid for 2,500 people sexual abuse. Combatting trauma is also a livestock breeding and distributes seeds to Malteser International has worked in focus point. In 2006, approximately 9,000 ensure a sustainable contribution towards Ethiopia since 2001. abused or raped girls and women sought self-sufficiency. At the nutrition centres, medical and psychological help from Malteser International trains staff who As in previous years, the focus in 2006 the health centres supported by Malteser then establish special display gardens to was on the Benishangul region, a pro- International. Additional awareness demonstrate to the population suitable vince in the west of the country around campaigns amongst the population and cultivation methods; they also provide the border with Sudan. Aid is mainly the military have been carried out in nutritional advice. provided in the form of small projects, cooperation with the local authorities In many areas, the streets and slopes particularly training programmes for and have helped stem the flood of sexual were in such poor condition that instant women. Participants learn to sew, spin, abuse. repairs were needed before anything weave, make carpets or manufacture fur- else could be done. Some districts are niture from bamboo. In this way, they can still almost inaccessible and therefore earn a regular income and improve the have not yet received any help. Malteser living conditions of their families on a International will now concentrate on long-term basis. these districts. In other areas, development Malteser International will continue its towards normal living conditions has work in small projects, and also reinforce progressed sufficiently so that transfer the fight against tuberculosis and HIV/ of responsibility for the projects to long- AIDS. Ethiopia urgently needs aid from term local structures has been possible. international organisations to combat these epidemics. DR Congo: To ensure food security, Malteser International also distributes livestock. AFRICA 11
Kenya International staff: 2 National staff: 14 Aid for 600,000 people Malteser International has worked in Kenya since 2002. Malteser International has been battling the spread of tuberculosis and HIV/AIDS in the slums of Nairobi since 2002. The organisation ensures the continuing function of the healthcare facilities it has constructed, established or renovated. Information campaigns and close co- operation with the authorities and local organisations contribute to stemming ich.tv the spread of the illnesses. Malteser International tracks the project through Kenya: To combat tuberculosis and HIV/AIDS effectively, education is crucial. quality controls. Work has continued successfully over the past year, with one of the health centres supported by ANTI - RETROVIR AL Malteser International named as the THERAPY (ART) facility with the best diagnostic services Anti-retroviral therapy is used to treat by the Kenyan government. AIDS, an immunodeficiency illness. Al- In order to safeguard the long-term though the anti-retroviral medicine sustainability of the measures, more cannot cure immunodeficiency, it can state facilities have been convinced to fight the viruses in the body and reduce make a contribution to the project work. their number. It reduces both the risk of Again in 2006, the Kenyan authorities associated illnesses and the pain, giving provided the majority of necessary patients a longer, pain-free life. Many can pharmaceutical products free. The even return to work and thus safeguard a United for Africa / Thomas Einberger new phase of the project, due to last for living for their families and the future of three years, is again funded in part by the their children. German Federal Department of Economic Cooperation and Development (BMZ). The Austrian Development Agency (ADA) also co-finances part of the Jochen Zeitz, project, based on an initiative by Malteser CEO at PUMA AG: Austria. Thanks to the cooperation with “During my visit to Kenya as part of Pathfinder International, an American aid our cooperation with the UNITED FOR organisation in the healthcare sector, and AFRICA campaign in January 2006, financial aid from USAID, it was possible I witnessed the fantastic work carried to extend the project to other slums in out by Malteser International to combat 2006. tuberculosis and HIV/AIDS in the slums of Nairobi. Thanks to extensive support, diagnosis and treatment options, they have reduced stigmatisation and discrimination; many patients can resume their lives independently, working and providing for their families.” 12 AFRICA
Sudan those most in need of aid. Despite this, The city of Juba is increasingly de- International staff: 12 Malteser International has continued veloping into the capital of southern National staff: 275 its medical work in Darfur and has Sudan and is thus the pivotal point for Aid for 120,000 people in Darfur and committed itself to the long-term, having almost all decision processes. Because of 800,000 in southern Sudan. concluded the emergency aid programmes this development, Malteser International Malteser International has worked in over the first two years. This involves opened a coordination office in Juba in Sudan since 1998. provision of basic healthcare services for 2006. the population – focusing on the health of mothers and children – and the fight VACC I N AT I O N C A M PA I G N S Implementation of the peace treaty against malaria, which poses a major Many children are still dying across signed in January 2005 has proved threat to life in Darfur. The programme southern Africa from infectious diseases difficult and drawn-out, and unfortunately is to be extended across a wider area in such as measles or diphtheria, diseases does not apply to the civil war raging 2007, as far as possible, given the tense that can be avoided through the use in the Darfur region to the west of the security situation in the region and the of vaccinations. Consequently there is country. This hot spot has not been any available funding. a major need for vaccinations in these countries. The importance of the vaccina- tions is explained to parents, so that they will allow their children to be vaccinated during the next major campaign. Vaccina- tion campaigns must be extremely well organised and prepared, to treat as many children as possible. Teams often travel to the villages and regions days in advance of the campaign, announcing its start date via megaphone. Most vaccines need to be refrigerated and, in case of necessi- ty, must be delivered quickly. Sudan: Patients arriving at the health centres on emaciated mules. less risk-free in 2006 and, despite ongoing In southern Sudan, Malteser Inter- peace negotiations, hopes of an imminent national has continued to expand its resolution of the conflict are fading. One projects in the healthcare sector in Yei of the reasons is a splintering of the rebel and Rumbek. It combined the battle movements, which is making the position against tuberculosis with information on even more unclear and uncontrollable. HIV/AIDS and extended its information Malteser International itself fell victim campaigns into rural regions, particularly to the assaults on aid organisations in the Maridi. Further focuses include combating region in 2006. Two vehicles were robbed leprosy and sleeping sickness and sup- and numerous so-called ‘safety incidents’ porting primary healthcare services in the prevented the personnel from reaching dioceses of Yei and Rumbek. AFRICA 13
ich.tv Uganda: After treatment at the nutrition centre in Maracha, formerly undernourished children are now fully recovered. Uganda For many years, Malteser International International staff: 3 NUTRITION CENTRES has been supporting a therapeutic nutri- National staff: 17 Nutrition centres are healthcare facilities tion centre for undernourished babies (The employees of the regional office for the special treatment of malnutrition and toddlers at the Maracha hospital in in Kampala are responsible for the and undernourishment. Mainly children the north-west of Uganda: In addition administration and coordination of the are affected, although it also affects to acute emergency food aid for the projects in Uganda, in the DR Congo those who are chronically ill, e.g. those children, Malteser International carries and in southern Sudan.) suffering from tuberculosis and / or HIV/ out regular aftercare visits and home Aid for 400 people AIDS. Specially trained personnel work in visits to the affected families in order to Malteser International has worked in the nutrition centres, providing intensive prevent a relapse and to ensure long-term Uganda since 1996. care for the patients every day. improvement in the children’s health. The focus of this aftercare is on providing the families with information about healthy, rich nutrition, as well as carrying out physical checks on the children. As the general living situation of the population of northern Uganda has worsened con- siderably over the past two years, the long-term support measures implemented in 2006 were particularly vital. 14 AFRICA
O N T H E S P O T : K E N YA Light at the end of the tunnel A young woman refuses to give up fighting for her life Education, work, marriage, birth, separation, bad luck, reconciliation, children, illness, depression, therapy, relapse, a fight for survival. Eunice has experienced all of this in her life – in a mere 34 years. Eunice left school at 14, married and gave birth to her first child shortly afterwards. But the marriage only lasted for three years. Eunice completed an apprenticeship as a hairdresser and opened a salon with her own staff. A success that sadly didn’t last long: after six years, the salon burnt down and Eunice lost everything. A tragic situation that had a positive side despite the hardships: Eunice and her husband got back together. They decided to start again in the slums of Kayole Soweto in Nairobi and to open a new hairdressing salon. Eunice gave birth to her second child, a son. It seemed as if everything was finally going Always hopeful – Eunice fights against her illness. well. But fate dealt another blow to the young family: Eunice and her son became offered at the health centres supported by a breeding-ground for bacteria. And she ill and the young boy died shortly after Malteser International, which look after discussed contraception methods with his first birthday. Eunice was diagnosed the people in the slums of Nairobi. She her husband to prevent the virus being with tuberculosis – fortunately so quickly took an HIV test – and it was positive. transmitted. that she could be treated successfully. The results plunged her into depression Eunice isn’t giving up – she is taking However, after a short period without and resignation for a long time. her medicine regularly and feeding problems, she found she was becoming But Eunice was strong. She refused herself and her family in a healthy way. weaker and losing weight daily. She was to be beaten and hope won in the end. Today, her health has stabilised. Thanks confined to her bed and could no longer Eunice declared war on the virus and to regular treatment, she has even been provide for her family. started treatment. She found out about able to go back to work in her salon. It was in this period of her life that the infection, learned to cook in a more Miriam Fuß Eunice heard about the free consultations healthy way, aired her home regularly and let in more light, to prevent too much dust accumulating, as this could become AFRICA 15
O N T H E S P O T : D E M O C R AT I C R E P U B L I C O F CO N G O Hope after years of darkness A young woman on her way to a better future Martine Bahati laughs. She proudly shows us her plastic plate, a set of colourful enamel pots and the rag dolls that she has made as part of a women’s project. “My dream is a house, my own house for me and my four daughters!”, the 28-year-old says as the people pass by her market stall in Bukavu, East Congo. Business is going well, the future is full of hope and Martine herself would be as happy as her dolls: upright, colourfully dressed, laughing – if it wasn’t for her wooden foot. The leg prosthesis is a constant re- minder to Martine of the dark years in the Congo, of chaos and war. As she tells the story of the day three years ago when her life changed forever, she becomes very quiet and tears stream down her face. The memory of the brutal assault is still with her. Haltingly, she describes how the rebels invaded her house, shot her husband and beat her daughters. How the men assaulted and abused her until she lost consciousness. How she regained consciousness days later, in a hospital. On that day, Martine lost her fifth child (she was in her third month of pregnancy) and her lower left leg, which had to be amputated because of a severe gunshot wound. Afterwards she battled with appalling Martine with her home-made dolls. Martine‘s surname ‘Bahati‘ means ‘chance‘. doubts. A priest took her in, bringing her into the city, where women from centre in the city. A psychologist helped smile spreads across her face. With the his parish looked after her and her four her come to terms with the memory and money she earns with her market stall, children. “The worst thing was that I felt start again, despite all that had happened. she buys notebooks and text books for her so utterly useless, because I couldn’t take With ten kilos of peanuts and a sack of daughters, who all go to school. And she care of my daughters,” Martine says. “At charcoal – financed by the Malteser saves up for her dream: her own house. the time, I wished I was dead.” Lent Campaign – she started up her Eveline Stoffel But hope for a better future for her own business and became a successful daughters vanquished her dark thoughts. business woman. Soon, Martine switched Martine found out about the work of to plastic tableware, because it sold better. Malteser International, treating and “I may not be able to write, but I can do looking after assaulted women at a health sums!” she says and a huge self-assured 16 AFRICA
O N T H E S P O T : U G A N DA Fresh vegetables for healthy children The battle against malnutrition and undernourishment Agupi-Nva is five years old. He is said and explained that her son needed Two weeks later, Agupi-Nva was feeling the youngest of five children and his intensive treatment: nasal probe, special much better. He was again interested in parents are proud of their happy, active food, medicine. While the little boy things around him and made the whole son. When Mama Soko goes to do the was being treated, Soko, together with ward smile with his bright laugh. His washing, she always takes her young son other mothers whose children were as favourite new hobby was swinging in the with her. It’s practical, as the children undernourished as Agupi-Nva, received hanging scales. After four weeks, Agupi- can play together while the mothers take comprehensive nutritional advice. The Nva reached normal weight for his age care of the washing. One day, one of women learned what was healthy, what and was allowed to go home. Soko’s neighbours noticed that Agupi- foods are the most fill and, especially, Stefanie Mosch / Miriam Fuß Nva wasn’t laughing anymore. “And he how to provide a balanced diet. looks so ill. There must be something The weight and wrong with him,” the neighbour said. progress of the Mama Soko was angry. Angry because children are checked regularly the neighbour had meddled unasked in using weighing her affairs and angry because she hadn‘t scales. noticed amidst the noisy work that her youngest child wasn’t well. A few days later, he got diarrhoea. In Esoko, a village in the Ugandan district of Maracha, this is a serious illness. Soko’s husband was sure that his son couldn’t just have fallen sick like that – he looked so healthy with his little round stomach: “There must be magic behind it.” What else could it be? The village healer came to the same conclusion. The young parents used all their savings and even borrowed money from their friends, to pay for the healer’s expensive treatment. But it didn’t work. Agupi-Nva got still weaker and paler. Soko Agupi didn’t know what to do. Fortunately, the observant neighbour had heard about the hospital in Maracha. Doctors and attendants were treating people free of charge. And the daughter of a friend of hers had been helped by them last year. Sogo Agupi was sceptical. She had never been to a hospital. But as she didn’t know what else to do, she took Agupi-Nva to the clinic. The attendant at the hospital immediately saw what was wrong with him: the child was suffering from severe undernourishment. “His ich.tv mother has come to us just in time,” he AFRICA 17
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21 15 14 10 16 18 12 17 Help after 20 11 22 19 the catastrophe 13 The series of major disasters in Asia continued in 2006. On 27 May, the strongest of the numerous earthquakes destroyed densely popula- ted localities in and around the capital city of Yogyakarta on Java: 6,234 people died and more than 46,000 were injured. Within a few ASIA DATA COUNTRIES hours, Malteser International was there with a team from Sumatra to International staff: 10 Afghanistan provide medical emergency aid. 85 11 Cambodia Rehabilitation work in the earthquake zones in Pakistan and in the National staff: 12 India 301 regions affected by the tsunami has now become more development- 13 Indonesia based: Sustainable improvements such as clean drinking water and Aid for 14 Iran 1.7 million people solutions for better sewage disposal are being carried out, in addition 15 Iraq to the reconstruction of the damaged dwellings. Malteser International 16 Lebanon is thus providing a crucial contribution to the achievement of the 17 Myanmar millennium development goals. 18 Pakistan The offices in Iran and West Afghanistan were closed at the end of 19 Sri Lanka 2006 after all projects were completed. Given the deteriorating 20 Thailand security situation, activities in Afghanistan will not be extended. 21 Turkey 22 Vietnam Afghanistan education and healthcare facilities. The healthcare, short information programmes International staff: 5 situation is particularly precarious for were produced in cooperation with the National staff: 28 women, as they are often disenfranchised television broadcasting company Herai Aid for 200,000 people and excluded, while still having to bear TV in Herat. Malteser International has worked in major responsibility for the subsistence of In Central Afghanistan, Malteser Afghanistan since 2002. their families. International has improved the infra- In the western provinces of Badghis structure in the villages through a total of Despite the major commitment of and Herat, Malteser International has 25 projects, with the support of the United the international community to recon- successfully concluded its four-year Nations High Commissioner for Refugees struction and peace in Afghanistan, there structure promotion programme, suppor- (UNHCR). The programme also included are still many regions difficult to access ted by the German Federal Government: training people in workmanship and for the implementation of aid measures, eight schools, eleven health centres carrying out peace building measures. due to the difficult security situation. and the provincial hospital of Badghis Thousands of returning families are Malteser International is therefore have been constructed or renovated, still living in poor conditions, so the concentrating its aid on rural and isolated equipped with staff and provided with organisation once again provided winter areas, where the majority of the population management training. To improve the aid this year, funded by the Federal is living below the poverty line and has everyday knowledge of large sections of Foreign Office of Germany. Malteser little access to public infrastructures, the population in terms of hygiene and International also supported a day centre ASIA 19
Cambodia International staff: 5 National staff: 10 Aid for 100,000 people Malteser International has worked in Cambodia since 1993. Thanks to comprehensive international aid, Cambodia is taking steps along the road to recovery, but decades of chaos and the fate of millions of victims who suffered under the Khmer Rouge regime are not easy to overcome or forget. There is still terrible poverty, particularly in the more remote regions. In 2006, Malteser Afghanistan: The women produce tomato sauce and International introduced a new mother- boiled vegetables which they sell at the market, thus ensuring an income for their families. child project to provide innovative ways of increasing the number of births handled by in Kabul for children who do not receive a midwife. Without the help of a midwife sufficient care from their families. Based in the village, birth complications often Cambodia: This young mother proudly presents the health insurance for herself and her family. on the positive experiences of sustainable lead to the death of the child or the mother. project approaches, particularly in villa- The project also allows the mothers in a ges, the organisation in 2007 will continue village to come together and learn about to focus on promoting self-help projects hygiene and other healthcare questions. and strengthening local capacities. As an incentive, the most active mother Dr. Ezmeray Azizi (29), a staff member receives help for cultivating vegetables. of Malteser International, was killed in an Her garden then serves as a model garden ambush in North-West Afghanistan on 12 for the other village residents. May 2006. He was in a UN vehicle on the Another project focuses on streng- way to Qala-e-Nau from Herat when it thening village self-help abilities in came under fire from rockets and machine relation to healthcare. The pilot scheme guns. The driver of the vehicle, a UNICEF – a community-based health insurance Cambodia: Midwives teach the mothers how colleague, was killed immediately. Dr. – has achieved its first success: 308 to use soap. Azizi, who was responsible for moni- families in four villages have organised toring ten health centres and a province for themselves community based health satisfied, as they profit directly from the hospital, was able to escape initially, but funds and have concluded agreements rise in the number of paying patients – succumbed to his injuries later. Nicolas de with the state healthcare services. By with the charges partially used to directly Cock de Rameyen, President of Malteser paying premiums, the funds are able to boost their low salaries. The number of International, expressed the condolences influence the quality of the work. For people with health insurance will rise of all at Malteser International: “We instance, their main priority has been to steadily in the coming years. mourn the passing of our colleague. Our extend the opening times of the health deepest sympathies go out to his family.” centres. The health workers are also 20 ASIA
India Indonesia passed since the disaster. They include International staff: 4 International staff: 27 the Irula, a very small population living in National staff: 1 National staff: 28 straw huts and working for the fishermen Aid for 50,000 people Aid for 100,000 people on the coast of Tamil Nadu. They lost all Malteser International has worked in Malteser International has worked in their possessions in the tsunami. Together South India since 1989, and also in Indonesia since January 2005. with an Indian partner organisation, Gujarat since the 2001 earthquake. Malteser International was able to find Due to its geographical position, Indo- nesia is frequently hit by natural disasters such as earthquakes and seaquakes, floods or volcano eruptions. The effects of these disasters make poverty and suffering worse for those who are particularly vulnerable. Malteser International has been working in the areas around Sumatra affected by the tsunami since January 2005 and provided emergency and reconstruction aid after the major earthquake on the island of Java in May 2006. To ensure the sustainable rehabilitation of the coastal area around the city of Lhokseumawe, destroyed by the tsunami, those affected by the disaster were included from the start when measures were being planned via cooperation with the village committees. Around 500 houses have now been built in the villages India: The Irula use bricks to plan the layout of their new houses. of Jambo Timu and Lancok, with a further 40 currently under construction. The The Indian economy is growing and land for 150 families, on which safe, construction project is being accompanied India is increasingly seen in Europe as small houses are now being built. The by an integrated community rehabilitation a modern, upcoming economic power. organisation is also supporting families, However, those outside the major cities particularly women, in their search for are experiencing little of this boom. Every work to secure their income and provide third Indian – i.e. more than 300 million for their children. people – is living in absolute poverty. It is In addition to natural disasters, AIDS the ‘Dalit’, the ‘untouchables’ of the old poses an increasing threat to the health Indian caste system, and the ‘Adivasi’, of the poorest people. Young girls are the original residents of India, who are being forced into prostitution, young men being particularly excluded from society, leave their home as migrant labourers, living on the fringes without any rights or get infected and spread the HI virus to protection. their families. In the future, Malteser In the second year after the devastating International in India will focus even Indonesia: Malteser International provides medical tsunami in 2004, the search for further more intensively on providing in- care for the victims of the earthquake on Java. forgotten victims was a priority: families formation about the virus and its risks, who have received far too little help or and fighting for more humane treatment none, although more than 12 months have of those affected. ASIA 21
Iraq Aid for 1,200 people Malteser International has worked in Iraq since 1995. The continuing violence has led to one of the largest refugee movements in the history of this region. Estimates Indonesia: indicate that over 60,000 civilians have Malteser Inter- been killed in Iraq since 2003 – some say national ran a 650,000. The aggressive spiral shows no field hospital for three months af- sign of coming to an end, with its mixture Birgit Betzelt ter the earthqua- of denominational, ethnic and general ke in Yogyakarta. violence. Those who can, flee. 500,000 Iraqis were driven out by the violence I N C O M E - G E N E R AT I N G M E A S U R E S in 2006 and more and more people are Poor families across the world want to find work for themselves and live on their own fleeing to the neighbouring countries of income, rather than receive alms. There is a crisis in terms of regularly paid work, which is Syria, Jordan and Turkey. hard to find in many poor countries. Malteser International is therefore running training As no international personnel can be courses that teach basic financial knowledge and then offer the participants small loans sent into Iraq, given the security situation so they can start their own small business or provide a service. Many invest this starting and the major risk of kidnapping, Malteser capital in a sales or market stall, or a movable flat table, or cages for fish farming, or International has been working with Iraqi tools. If the new business is well planned and organised, most borrowers can pay back and Turkish partners on several projects their small loans very quickly. The capital is then available again to help the next since 2003. In 2006, the aid focussed on small business. supporting a health centre in Karamless in North Iraq and supporting socially weak programme. This also includes small loans Iran families. This work continues in 2007. to generate new income possibilities. Aid for 300 people There are also plans for further medical In the province of Aceh, Malteser Malteser International has worked in programmes for internally displaced International is working on the intro- Iran from 2004 to 2006. persons in Iraq and for refugees outside duction of an electronic healthcare in- the country’s borders. formation system, in cooperation with A major earthquake shook the desert the GTZ (Community for Technical city of Bam in southern Iran in December Cooperation, Germany). Training the 2003. Once emergency aid measures en- medical staff in electronic data collection ded, Malteser International took control will ensure the statistical registration of the construction of a primary school in of medical data on a long-term basis, Bharavat, in cooperation with Diakonie improving healthcare provision for the Katastrophenhilfe. Construction of the population as a whole. school was successfully concluded in After the major earthquake in Yogya- August 2006 and the school was handed karta, Malteser International ran a field over to the city of Bam. 130 girls happily hospital for three months. As a follow-up attend school under good conditions to the acute emergency phase, earthquake again. victims are still being treated in co- Iraq: Malteser International provides the health centre operation with local partners. Without in Karamless with medicine. the correct operations and treatment, these victims would have to live with permanent disabilities. This cooperation continues in 2007. 22 ASIA
Lebanon being implemented in three programme MOBILE CLINIC Malteser International supports the locations. In addition to improving Mobile clinics are fully-equipped health work of the Lebanese Association of access to primary healthcare services centres on wheels, travelling regularly the Order of Malta and its ten health and battling against malaria, tuberculosis to remote or hard-to-access villages centres. and HIV/AIDS, these projects aim to to provide medical care for those who Malteser International has been ensure the provision of clean water have little access to healthcare facilities. engaged in Lebanon since 2006. and functioning sanitary facilities. A Mobile clinics also ensure that supplies new community-orientated disaster pre- are provided in regions where existing On 12 July 2006, a commando from the vention project was started in 2006 in the health centres have been destroyed by Shiite Hezbollah militia kidnapped two coastal areas of Rhakine State, which are war or natural disasters and are no Israeli soldiers from a tank involved in a particularly vulnerable to disasters. longer functional. skirmish on the Lebanon / Israel border. This kidnapping triggered a new Lebanon supplies were provided very quickly. The war that lasted for 34 days. More than Lebanese Association also ran mobile a quarter of the Lebanese population of clinic units in the south of the country to four million was driven out in this period. cover the increased need for medical aid. 916,000 people from the south of the In August and November 2006, a country fled to relatives, onto the streets, Malteser International team travelled into parks, schools and official buildings; to Lebanon to coordinate the aid efforts very few fled abroad. together with the Lebanese Association of The international network of the Order the Order of Malta. Myanmar: ‘Growth Monitoring Day‘: Malteser Inter- of Malta and Malteser International national regularly checks the children‘s weight and provided immediate aid for the Lebanese Myanmar general health to combat the high child mortality rate. Association and were able to help International staff: 14 reduce the suffering of those involved. National staff: 128 WAT E R , S A N I TAT I O N Two of the ten health centres run by the Aid for 820,000 people A N D H YG I E N E Lebanese Association were destroyed. In Malteser International has worked in The most cost-efficient method of the remaining centres, the staff worked Myanmar since 2001. preventing infectious diseases is the round the clock to provide sufficient provision of clean water, sanitary facilities medical care for the internally displaced Despite the very limited scope for and hygiene equipment. In the context of population. Thanks to generous donations, action for humanitarian aid in Myanmar, poverty, each person must have access to urgently needed medicine and medical the country was once again one of the a minimum of 15 litres of clean water a focal points of Malteser International’s day. Access to sanitary facilities – latrines, work in Asia in 2006. Lack of access bathrooms, washing facilities – is just to clean drinking water and primary as important as soap and toothbrushes. healthcare services, a shockingly high Waste and sewage water must also be child mortality rate, high levels of poverty removed to prevent the outbreak of and malnutrition amongst the population dangerous diarrhoea infections. and the rapid spread of infectious diseases Today, one billion people across the world such as malaria, tuberculosis and HIV/ have no access to clean water and 2.6 AIDS are all part of the crisis in Myanmar billion people have no access to sanitary – and the public as a whole knows little facilities. 6,000 children die each day Lebanon: Staff at the Imam-Sadr Foundation receive about it. from diarrhoea infections, which could medicine for the internally displaced persons. Malteser International has been active have been avoided through very simple in the healthcare sector in Myanmar since actions. 2001. Using an integrated programme approach, the organisation has tried to counter the steadily worsening disaster in humanitarian terms. Ten projects are ASIA 23
Help on the spot – worldwide. – Project overview 2006 (extract) 24 Region Country Locations / Programme Focus Brief Description Programme Volume Donors / Cooperation Partners National Partner Organisations No. of Regions (rounded up) Projects Africa Angola Luanda / Basic healthcare Provision of six health centres with medication and medical appliences, 234,000 EUR EuropeAid, UNHCR, own Provincial health department of Kuando 1 Kuando Kubango rehabilitation of and medical equipment for health facilities, basic and resources / private donations Kubango advanced training of medical staff and midwives DR Congo Kinshasa, Healthcare, psycho-social care, Support of more than 350 health centres, vaccination campaigns, basic 4 Mio. EUR ECHO, AA, UNICEF, FAO, OCHA, Local and national health authorities, 11 Ariwara, food security, rehabilitation, and advanced training of staff, food security in over 30 nutrition centres, WFP, EuropeAid, Pooled Fund, own local partner organisations Mahagi / Ituri infrastructure medical and psycho-social care for abused women, rehabilitation of health resources / private donations PROJECT OVERVIEW Bukavu / South Kivu facilities and infrastructure (source fittings, streets, bridges) Ethiopia Mandura Woreda, Poverty reduction Training courses and income-generating measures for 2,500 people 17,500 EUR Own resources / private donations 1 Metekel Kenya Nairobi Healthcare Improving the possibilities of diagnosis and treatment of tuberculosis and 410,000 EUR BMZ, ADA, Pathfinder International, NCC, Kenyan Ministry of Health, Nairobi 1 HIV / AIDS, supporting home care, health education for the slum dwellers own resources / private donations Health Management Board, AMREF, St. Mary’s Hospital Sudan Khartoum, Healthcare, rehabilitation TB, HIV, leprosy, sleeping sickness and malaria control programmes, 2 Mio. EUR BMZ, ECHO, AA, DAHW, UNICEF, Diocese of Rumbek, Ministry of Health 6 Al Fashir / North Darfur, primary healthcare, mother-child-health, vaccination campaigns, basic and CHF, ADH, NiN, WHO, STI, Global in Darfur Rumbek, advanced training Fund, UNDP, KfWH, WfP, UNFPA, own Yei / Southern Sudan resources / private donations Uganda Maracha Healthcare Support for the nutrition unit in the hospital of Maracha, home visits, 54,000 EUR (incl. PMK, own resources / staff donations Maracha Hospital 1 aftercare of the patients regional office Kampala and logistic support Office Arua) Asia Afghanistan Provinces of Badghis Emergency relief, rehabilitation, Reconstruction / New building of schools and health centres, operation of a 1,691,000 EUR BMZ (KfW and CIM), UNHCR, AA, Health and school authorities, municipal 6 and Herat, Kabul, Kapisa, Healthcare, care for children and provincial hospital and eleven health centres, income-generating measures British and Australian Associations of councils and Afghan non-governmental Parwan, Loghar and youth, reintegration of returnees for returnees, promotion of women, day-care for neglected children, the Order of Malta, Afghanistan Hilfe organisations Wardak emergency relief in the winter Paderborn, Malteser Moers Cambodia Samrong / Healthcare Strengthening of the community-based healthcare system, school feeding, 322,000 EUR BMZ, Canadian and Australian Provincial health and school authorities, 4 Oddar Meanchey mother-child-health, community-based health insurance government, USAID via CARE, own Cambodian Health and Human Rights province resources / private donations Alliance, village communities India States of Tamil Nadu, Rehabilitation and development, Tsunami relief: income-generating measures for more than 3,000 women 1,224,000 EUR ADH, KPMG, Malteser Paderborn Indian partner organisations: HOM, 18 Kerala, Gujarat, Kashmir emergency relief and their families, community development programme for ten coastal CHAI, MSSS Diocese of Trivandrum, districts, psycho-social care for tsunami victims in 13 coastal villages, Sahayi, KIDS, DEEDS, Little Flower medical aid, school grants, care for children and youth, repair of houses Convent, Dicocese of Kottar, Venture and schools; Trust, Vaan Muhil, Bharati Trust, Construction of houses in Gujarat: New building of houses, disaster control, Ekklavia Foundation, Sisters of preschool programme for 1,200 children; Destitute, BSC, Unnati Healthcare promotion Kaschmir: medical aid Indonesia Medan, Lhokseumawe, Rehabilitation, development and Rehabilitation of two villages: 500 houses, water supply, school, health and 3,395,000 EUR ADH, UNICEF, WHO, ZF Hilft e.V., Local and national authorities, village 15 healthcare, medical emergency community hall, income-generating measures; Happy Digits, Langenscheidt KG, committees relief (earthquake on Java) construction of three health centres and two community halls, improving Faber-Castell AG, BMZ via GITEC / KfW, the data collection of the provincial health authorities, healthcare for UN GTZ, UNDP, Malteser Trier, own staff resources / private donations Myanmar Yangon, Phang Development oriented Control of infectious diseases malaria, TB and HIV / AIDS, strengthening of 1,380,000 EUR DG ECHO, EuropeAid, BMZ, ADH, Local health authorities, village 9 Kham, Sittwe & emergency and transitional aid community-based basic healthcare services, improving the access to clean UNDP, UNAIDS, WFP, WHO, UNICEF, communities Maungdaw / Yangon in the fields of healthcare, water drinking water and sanitary facilities, disaster control UNODC, own resources / private Division supply, sanitary facilities and donations Shan State (Wa Region) disaster control Rakhine State Pakistan Islamabad / North- Emergency relief Construction of winter-proof shelters, equipment of households 993,000 EUR ADH, International Blue Crescent, 6 western border province, (earthquake in Northern Deutsche Bank, Palas Conservation and Development Azad, Jammu Kashmir Pakistan) Liebherr-Stiftung, Canadian Federation, Association of the Order of Malta, Partner Aid International Partner Aid International,
AA, ECHO, O.S.T. e.V., own resources / private donations Sri Lanka Colombo, Galle, Emergency relief (tsunami), Construction of 650 emergency shelters, medical emergency relief, 2,082,000 EUR ADH, BILD hilft e.V., Osthessen hilft Water and other local authorities, 24 Trincomalee rehabilitation, development, distribution of drinking water, reconstruction of 700 houses, water supply, Südasien, buddhist community / buddhist psycho-social care reconstruction of homes for children and disabled people, psycho-social Serendib Stiftung, FC Bayern Hilfe monasteries, Dioceses, Help for the care and training, income-generating measures e.V., UNICEF, Die kleinen Patienten Children, Centre for Social Assessments, e.V., Caritas Galle and Colombo, Trincomalee District Development Archbishopric of Mainz, Malteser Association, Caritas, GTZ Augsburg, Cologne, Muenster and Traunstein, own resources / private donations Thailand Mae Sariang District, Healthcare, support for refugees, Refugee camp in the North-West: healthcare and water supply for refugees, 1,796,000 EUR DG ECHO, ADH, own Local authorities, Karen Refugee 18 Northern Thailand emergency relief (tsunami) and help for AIDS orphans; resources / private donations Committee, Salawin group, SEAMEO, Krabi, Phang Nga, rehabilitation Tsunami relief in southern Thailand: rehabilitation of houses, water supply SAN Ranong, Puket, Southern and sewage disposal, healthcare, psycho-social care, income-generating Thailand measures Vietnam Danang / Poverty reduction, Improving the basic health, food and income situation of the poor and of 166,000 EUR BMZ, World Child Foundation, AA. Women’s Unions in local communities 2 Provinces of Quang-Nam emergency relief ethnic minorities, emergency relief after typhoon Own resources / private donations and districts, DED and Danang, Central Vietnam Middle Iran Province of Kerman, Bam Rehabilitation Construction of primary girls’ school Khadije 175,000 EUR Diakonie Katastrophenhilfe 1 East Iraq Kirkuk, Karamless, Emergency relief and Construction of wells and water distribution systems, construction of 35,000 EUR Own resources / private donations International Blue Crescent (Turkey), 4 various villages in rehabilitation training centre, co-financing of medical staff Mostakbal Development Foundation Northern Iraq (Iraq), Turkemeneli Cooperation and Cultural Foundation (Iraq) Lebanon countrywide Emergency relief Support of health centres, provision of medicine and supply goods 51,000 EUR Associations of the Order of Malta, International Blue Crescent 1 own resources / private donations Turkey Izmit Rehabilitation Centre for 240 mentally disabled children 94,000 EUR Own resources / private donations International Blue Crescent 1 Europe Balkans Bosnia and Bihac, Banja Luka, Livno, Structural aid Income-generating measures, care for returnees 448,800 EUR UNHCR Local partner organisations 2 Herzegovina Travnik, Mostar Kosovo Ferizaj, Gjakova Structural aid Construction of winter-proof shelters 9,800 EUR UNHCR Local partner organisations 1 Middle- Hungary, Support of flood relief of national Emergency aid with hygiene items and food; construction and operating of 261,000 EUR AA, own resources / private donations Serviciul de Ajutor Maltez în România, 1 and Romania, Malteser partner organisations emergency shelters, support of rehabilitation (houses, water supply) Magyar Máltai Szeretetszolgálat, Eastern Serbia Malteska dobrotvorna organizacija Europe Jugoslavije America USA New Orleans Rehabilitation Home renovation programme, rehabilitation of living space 216,000 EUR ADH, CARE International Germany, Malteser USA, Catholic Charities 1 own resources / private donations Services, Rebuilding Together AA Federal Foreign Office of Germany ECHO Humanitarian Aid Department of the European Commission PMK Papal Mission Organisation for Children ADA Austrian Development Agency FAO Food and Agriculture Organization SAN Sustainable Agriculture Network (Thailand) ADH Aktion Deutschland Hilft (Action Campaign Germany Helps) GF Global Fund SDFI Sister Doctors Forum India AMREF African Medical Research Foundation GTZ Community for Technical Cooperation (Germany) SEAMEO South-East Asian Ministries of Education Organisation (Thailand) BMZ Federal Ministry of Economic Cooperation and Development Germany HeLaBa Landesbank Hessen Thüringen STI Swiss Tropical Institute BSC St. Xaviers Non-Formal Education Service (India) HOM Health for One Million (India) THW German Technical Relief Organisation CHAI Catholic Health Organisation of India KIDS Kottapuram Integrated Development Society (India) UNAIDS Joint United Nations Programme on HIV / AIDS CIM Centre for International Migration and Development KfW Development Bank - KfW Banking Group UNDP United Nations Development Programme CHF Common Humanitarian Fund Sudan KfWH Kids for World Health UNODC United Nations Office on Drugs and Crime DAHW German Leprosy and Tuberculosis Relief Association KPMG KPMG Deutsche Treuhand-Gesellschaft Aktiengesellschaft UNHCR United Nations High Commissioner for Refugees PROJECT OVERVIEW DED German Development Service MSSS Malankara Social Service Society (India) UNICEF United Nations Children’s Fund DEEDS Development Education Society (India) NCC Nairobi City Council (Kenya) WFP World Food Programme 25 DFID Department for International Development (United Kingdom) NiN Nachbar in Not (Austria) WHO World Health Organisation OCHA Office for the Coordination of Humanitarian Affairs
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