Malteser InternationalAnnual Report 2006

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Malteser InternationalAnnual Report 2006
Malteser International
   Annual Report 2006

www.malteser-international.org
 www.malteser-international.org
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
8
Malteser InternationalAnnual Report 2006
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
Malteser InternationalAnnual Report 2006
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
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                                                                                                     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
18
21

                                                 15      14     10
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                                                                             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

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                   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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