i ^ WORLD HEALTH ORGANIZATION EB83/NGO/5

衫 ORGANISATION MONDIALE DE LA SANTE 3 October 1988

RESTRICTED

EXECUTIVE BOARD •тс’:

Eighty-third Session

APPLICATION FROM AN INTERNATIONAL NONGOVERNMENTAL ORGANIZATION

REQUESTING OFFICIAL RELATIONS WITH WHO1

1. Name of the international nongovernmental organization

(hereinafter referred to as "the organization")

WORLD VISION INTERNATIONAL (WVI)

VISION MONDIALE INTERNATIONALE

2• Address of headquarters and name of person to whom correspondence should be

addressed

919, West Huntington Drive

Monrovia

California 91016

USA

For correspondence :

Technical issues to be addressed to:

Dr Eric Ram

Director, International Health Programmes

and Child Survival

at the headquarters

International liaison issues to :

Mr Graeme Irvine

Vice-President for International Relations

44, Chemin des Coudriers

1209 Geneva, Switzerland

3• General objectives

World Vision is a Christian humanitarian agency providing emergency relief and

conducting health and development activities in response to human need worldwide.

4. Main activities

The general objectives of the organization are pursued in six broad areas of work.

Although separately described below, these main activities are normally well integrated

in practice.

As submitted by the applicant on 29 July 1988.

The designations employed in this document are those which have been used by the nongovernmental organization itself in its application and do not imply the expression of any opinion whatsoever on the part of the Secretariat concerning the legal status of any

country, territory, city or area or of its authorities or concerning the delimitation of

its frontiers or boundaries. EB83/NGO/5 page 2

A. Child and Family Care - WVI takes a development approach to assisting children

and families, putting emphasis on projects designed with the participation of the

community, owned and conducted by the community, and having specific development goals

that benefit all those in the community. This approach helps to change the conditions in which the children are living and helps create an environment that offers hope for the

future. The projects can benefit children by providing funds for schools, books or

clothing; immunization against childhood diseases, dental and medical care, nutrition

education for mothers, agricultural production, health training, vocational training,

etc.

A more detailed list of activities directly related to health with selected examples

is as follows :

(a) Health care and integrated health and development

In the Maranhao State in North-East Brazil an integrated health programme among

the poor farmers has been able to reduce the infant mortality, for instance,

from 200/1000 live births to 20/1000 within five years.

(b) Maternal and child health care

In Northern Mali a maternal and child health programme along with a nutrition

and health education programme has grown in demand among the Touareg and Sonrai

people.

(c) Immunization programmes

In most countries where World Vision operates, immunization is part of the

health care programme for children. One example is Senegal. where a high level

of immunization coverage has been achieved in the Louga region.

(d) Diarrhoeal diseases control

Use of oral rehydration treatment is promoted through all health programmes.

World Vision International has undertaken water development programmes to

ensure that people have access to safe water. In Ghana this has been carried

out on a wide scale.

(e) AIDS

Health education and information material from WHO and other organizations are

made available to health care workers.

(f) Health service development and management

World Vision encourages hospitals and dispensaries to evolve primary health

care programmes as part of the health service programme, so that they can be

better used as support and referral centres.

(g) Health education and information

Health education is the basis of World Vision's health programmes. A number of

training seminars have been held on health education and educational materials

provided and used in partnership with the Mauritanian Ministry of Health, for

example, where World Vision's health education programmes are regularly

featured on television. EB83/NGO/5 page 3

(h) Essential drugs. through hospital associations and maj or relief medical programmes

A shipment of essential drugs has recently been sent to the Malawi Ministry of Health, for the use of both Malawians and the Mozambican refugees. This is but one of a number of recent medical supplies in relief situations.

(i) Nutritional programmes

Mali. Mauritania. Chad. Ethiopia, and Brazil can be cited as examples of countries where nutrition programmes have been established. In Mauritania in

the Assaba, where night blindness is very common, a special emphasis has been given to strengthening the vitamin A programme, with good results.

(j) Communicable disease control programmes

Uganda. Philippines. Guatemala. Kenya. and Ethiopia are some of many countries where control and prevention of communicable diseases are part of the primary health care programmes. Community health workers are trained in these areas.

(k) Environmental health

Provision of safe drinking-water through boreholes and protected wells is being provided in Senegal, Ghana, Malawi, Kenya, etc. Building sanitary latrines is a component of numerous programmes in Kenya, Zimbabwe. India, Bangladesh. etc.

B. Relief and Rehabilitation - World Vision has a reputation for being among the first to respond to disasters - and then staying on to carry out rehabilitation programmes that meet community needs. When famine needs had been met in Ethiopia in 1986 and in Mozambique in 1987, an AgpaK programme was developed to provide thousands of families with the seeds, fertilizers and tools with which to become self-reliant again. Over the years, World Vision has responded to earthquakes in Nicaragua and Guatemala, to floods in Bangladesh and India, to famine in Ethiopia, Mozambique and Sudan, to refugees in Thailand, Zimbabwe and Zaire, to the boat people fleeing Viet Nam and many others. Whenever possible, relief programmes are carried out through local or national partners. When necessary, the agency's specialized relief staff become directly involved.

C. Community Development - Projects funded by World Vision are aimed at those needs identified by the community. The community's leadership must be involved in the design, operation and evaluation of the project. Also, the community itself must make some type of investment in the project, which can include a wide range of activities, such as: health/nutrition/family planning, agricultural production, land regeneration, employment and income generating programmes. Most projects are medium-range (1-5 years) in length; occasionally, larger complex regional development programmes are undertaken. Because of the size and nature of such projects, specialized staff in engineering, hydrology and other required skills are directly involved.

D. Leadership Development - World Vision seeks to support, encourage and strengthen Christian leaders through Pastors‘ Conferences, consultations, training programmes and educational opportunities. These activities, which are usually the outcome of local initiative, involve both clergy and lay people, women and men, and youth.

E. Sharing Faith - The agency seeks to communicate God's love for all mankind by caring for peoples' physical and social needs, as well as by providing opportunities for spiritual nurture. This opportunity is extended by local Christian partner agencies or churches to ensure a presentation that is sensitive to local culture. World Vision works with churches of all denominations and is opposed to proselytism or coercion of any kind. EB83/NGO/5 page 4

F. Creating Worldview - It is important that people see beyond their own situations and be concerned about the needs of others. World Vision believes it has a vital role in development education, in both support and field countries,1 as economic conditions improve, those who have received help often wish to assist others less fortunate. Providing the opportunity to tangibly express compassion enhances one's dignity and progress towards self reliance. Over the years, field countries like Japan, Hong Kong and Singapore have become supporting partners; others like the Republic of Korea and Brazil are in the process.

5• How do the objectives and activities of the organization relate to the General Programme of Work of WHO?

World Vision International‘s objective of making health care available to all, especially the children, the most deprived and poor, relates well with WHO's objective of "Health for All".

6• Specific interest with reference to the work of WHO

(a) Please list activities which the organization has carried out jointly with WHO during the preceding period of working relations

In 1980 the process of collaboration between WHO and WVI started when WHO invited WVI to help develop material for publication on the issue of health systems support for primary health care.

Since then, a WVI representative has attended a number of WHO expert committee meetings in an advisory capacity. In 1984, a WVI representative served as a temporary adviser in the preparation of materials for a WHO expert committee on the role of the first referral level in primary health care.

In 1985, a WVI representative was invited as temporary adviser to the Expert Committee on the Role of Hospitals at the First Referral Level. The paper contributed was also published in World Health Forum.

In 1986, WHO provided technical advice to WVI on the development of regional immunization programmes, such as the Zambia immunization project, and in Louga, Senegal, the immunization and child survival programme. At the invitation of the WHO Expanded Programme on Immunization (EPI), WVI‘s representative, Dr R. Macagba, attended the Global

Advisory Group meeting in New Delhi.

In 1987, WVI shared with WHO/EPI the field data showing the high coverage rate of immunization within the target population by its field staff. The Senegal experience (of which Dr Milton Amagun is Project Director) is particularly noteworthy. A further study is under way to maintain that high level of performance over a longer period of time.

At the invitation of WHO/EPI, WVI's representative, Dr R. Macagba, attended the Global Advisory Group meeting held in Washington D.C. WVI has made WHO'S excellent training manual arid publications available to the field staff for implementation in their programmes.

(b) Please specify those programmes and activities of WHO with which the organization will wish to be associated in future, together with details of any planned collaborative activities with WHO

Leadership Development for Health

Collaboration in selected countries from the least developed countries on leadership development for health can take place through a series of seminars in an intersectoral

1 Support countries : fund-raising for field projects; Field countries : where projects are carried out. EB83/NGO/5 page 5 manner; to find ways to identify and expose potential leaders in the community for health; south-to-south visits to share experiences, and to help clarify the role of leaders and expand the vision of health.

Immunization Programme

WHO/EPI and WVI/International Health can hold joint seminars and consultations. WHO can also help WVI in the training of its field staff for large scale immunization programmes. WVI has immunization programmes in 60 countries around the world, and would welcome joint collaboration with ministries of health and WHO.

Health Service Development and Management

WVI has invested much energy and resources in the PHC strategies to achieve health. It can collaborate with WHO in developing and strengthening local health care systems management and health care delivery systems at community and district levels, with particular attention to collaboration with the hospitals in their role in primary health care.

Health Education and Information

Collaboration in j oint seminars and consultations on health education arid study on how to make the flow of two-way communication a reality.

WVI can help make WHO's health information available to its constituency through its publications.

Dr Eric Ram will contribute an article on "Communication for Health" for WHO's "World Health" January 1989 issue in addition to the one he wrote in April 1988 on "Leadership".

Maternal and Child Health

WHO and WVI can take up joint training and supervision of traditional birth attendants and auxiliary nurse-midwives; and cooperate in developing training manuals.

Primary Health Care

WHO and WVI can undertake joint programmes in the training and supervision of community health workers and the establishment of new community health centres when necessary and strengthen existing health centres where needed.

WVI will work with other NGOs as partners in the field and hold consultations and seminars on primary health care, especially with the view to strengthen the health services at the district and community level, and promote integrated health and development in an intersectoral approach.

Diarrhoeal Disease Control

WVI can collaborate in the promotion and development of safe drinking water, the promotion of oral rehydration solution - especially through mothers at home; publication of preventive and educational material and prevention of acute and respiratory infections of children.

AIDS

WVI will collaborate with WHO in its AIDS prevention and education programme. WVI will promote pastoral care of AIDS patients and the dying and their relatives; acceptance of AIDS patients by the community and proper sterilization of instruments, syringes and needles. EB83/NGO/5 page 6

Nutrition Programme

WVI will collaborate at country level in the promotion of locally available food for better health, focusing on children and mothers, as well as continuing to develop child nutrition programmes in developing countries.

WVI can help disseminate WHO material in the field.

Essential Drugs

WVI can collaborate with WHO in promoting the lists of essential drugs, help ensure the availability of essential drugs in the countries in need and promote local production wherever possible.

7. (a) Does the organization advocate any special health measures or procedures? If so. what are these?

Emphasis on primary health care and integrated health development particularly for the poor and needy and especially in the least developed countries.

(b) Has the organization any special reservations as to treatment for health procedures? If so what are these?

World Vision is opposed to the practice of abortion.

8. History

World Vision was founded in 1950 to help children orphaned by the Korean War. Since then, it has grown into a global Christian humanitarian organization serving the poor and destitute - without regard to race, sex, nationality, religion or politics - in more than 80 nations.

Although initially begun to help orphaned children, the agency soon expanded its services to include relief and rehabilitation, and then community development. Where possible, it works through partner agencies and local churches of all denominations. Its field staff of 2600 is over 94 percent nationals.

While founded in the United States of America, the organization began its metamorphosis into an international agency in 1955, when it helped establish a new office in Canada. Since then, more than a dozen other supporting offices have been established (see No. 9). In 1978, World Vision International was separately constituted, distinct from World Vision U.S. or any other national entity.

Since 1980 World Vision has expanded its services to include regional development programmes in which water development and child survival are major components, particularly in Africa. Relations have also been developed with United Nations organizations (see No. 10).

9• Membership

The following are fully autonomous (*) organizations with their own boards supporting World Vision International or are developing support entities :

World Vision Australia (•) Melbourne, Victoria; branches in Adelaide, Brisbane, North Hobart, Sydney and Perth.

World Vision Britain (•) Northampton, England, with management responsibility for World Vision Ireland in Dublin. EB83/NGO/5 page 7

World Vision Canada (*) Mississauga, Ontario; branches in Calgary, Edmonton, Halifax, Montreal, Regina, St. John, Toronto, Vancouver, Victoria Winnipeg.

World Vision Finland Helsinki.

World Vision Federal Republic Oberursel, FRG, with management responsibility of Germany (*) for World Vision Austria in Vienna and World Vision Switzerland in Zurich.

World Vision Hong Kong Kowloon.

World Vision Japan Tokyo.

World Vision Netherlands Amersfoort.

World Vision New Zealand (•) Auckland.

W.V.I. Singapore Singapore.

W.V. Southern Africa (*) Roodepoort, South Africa.

W.V. United States (•) Monrovia, California.

Personnel of the above organizations 1 158 Staff in the International Office 153 Full-time national field staff 2 638 Contract (59) and expatriates in field 107

TOTAL 4 056

All of the organizations listed above carry out fund-raising activities for the purpose of funding World Vision International programmes throughout the world.

A World Vision International Council of approximately 90 people representing support and field countries meets every three years. It is the formal membership body of the organization that has authority over the Constitution and By-Laws.

10• Is the organization affiliated to any other international nongovernmental organization, or to an organization of the United Nations system?

World Vision has consulting/working relationships with UNHCR, UNICEF, WFP, WHO and others. It was given consultative status, Category II, with the United Nations Economic and Social Council in May 1985.

The organization has also worked in partnership with ACROSS, Church World Service, Mozambique Red Cross, the Salvation Army, YM-YWCAs and numerous other NGOs.

It has also worked and cooperated with the relief/development agencies of the governments of the United States of America, Canada, Australia, Federal Republic of Germany, UK and the EEC.

1 World Vision has an anti-apartheid policy. A copy of a recent statement is attached as Annex 1. EB83/NGO/5 page 8

11. Addresses of branch/regional offices

Support Offices - 16. Field Offices Africa - 18. Field Offices Asia/Middle East - 18. Field Offices Latin America - 12.

A complete list of the Support and Field Offices and addresses are given in Annex 2.

12• Structure

Control of World Vision International is vested in:

A. World Vision International Council - (This is a group of approximately 90 men and women from all parts of World Vision - both support and field countries. The Council has authority over the Constitution and By-Laws). Meets every three years - last meeting in 1986.

B. International Board of Directors - (18 members from 12 countries). Meets twice annually - last meeting September 1988.

C. International Affairs Committee - (12 senior executive leaders from support and field operations plus 2 board members. Consults and decides on key issues and recommends p1ans/budgets to the board). Meets twice annually - last August 1988.

13• Officers - World Vision International

Rev. Tom Houston, International President Mr Edward Dayton, Vice President-at-Large Dr Manfred Grellert, Vice President Latin America and Caribbean Mr Reda Harina, Vice President Asia arid Middle East Mr Graeme Irvine, Vice President, International Relations Dr Samuel Kamaleson, Vice President, Evangelism and Leadership Dr Bryant Myers, Vice President, Corporate Services Dr Samuel Odunaike, Vice President, Africa Ms Susan Wagner, Vice President, Finance

14• Can officially designated representatives speak authoritatively for the membership orí matters concerned with the stated purposes of the organization?

Yes.

15• Finances

The current annual budget for 1988 and Financial Statements for 1985, 1986, and 1987 have been provided.

16. Publications

WVI corporate brochure - General information. Published initially in English, translated into Spanish, French and other languages by various field offices.

Together - A quarterly journal for those concerned/involved in development. Published in English. Special Spanish editions prepared periodically.

1 Held by the WHO Secretariat. EB83/NGO/5 page 9

Christian Leadership Letter - Monthly newsletter in English, translated by various field offices, for encouragement/training of clergy/lay leadership.

Mission Handbook - Every two or three years, in English; a directory of North

American mission agencies and their missionary involvement.

Occasional special reports/papers - Ex: Hunger in Africa and Hunger in Africa II. 1984 and 1985 respectively to highlight the causes and status of Africa's famine. Also, What World Vision Staff Need to Know About AIDS. 1987 information booklet for the organization's 4000 worldwide staff and families.

17• Documentation

The constitution and Membership List have been provided.^

World Vision International do not publish an Annual Report, though many of the national entities do.

1 Held by the WHO Secretariat. EB83/NGO/5 page 10

ANNEX 1

WORLD VISION INTERNATIONAL

A STATEMENT ON SOUTHERN AFRICA

World Vision International believes that issues of justice and truth are absolutely fundamental to the peaceful development of all the peoples of Southern Africa. World Vision's own activity in the region, inspired by the vision of the Kingdom of God as given by Jesus Christ, seeks to contribute to the transformation of society towards a new order free from racism, tribalism, oppression and structural inequalities, and in which real Christian values undergird the social, economic and political aspects of national life.

World Vision, therefore:

* Condemns apartheid and all such injustices as totally repugnant;

* Believes and prays for radical changes to the social, economic and political structures in South Africa leading by peaceful means to a nonracial democratic government, and is ready to cooperate with, and support the efforts of, others who are working for the same end;

* Regrets deeply all the manifestations of violence in the current situation;

And affirms its commitment to:

* Alleviating suffering among people affected by apartheid throughout Southern Africa;

* Working developmentally towards a post-apartheid society in which all peoples may realize their God-given potential in conditions of peace, justice and reconciliation;

• Strengthening its relationships with the Christian churches in the region and to improving its communications with their leaders. EB83/NGO/5 page 11

ANNEX 2

WORLD VISION ERNATIONA

LIST OF SUPPORT AND FIELD OFFICES BY REGION AND BY COUNTRY/TERRITORY

Support Offices

WORLD VISION AUSTRIA - MariaHilfestrasse 10/10 - 1070 Wien -161 Sturt St., South Melbourne, 3205 Victoria WORLD VISION BRITAIN - Dychurch House, 8 Abington St., Northampton, UK WORLD VISION CANADA 6630 Turner Valley Rd., Mississauga, Ontario WORLD VISION FINLAND - Kalevankatu 14 С 13, Helsinki WORLD VISION FRG - Adenauerallee 32, D-6370 Oberursel WORLD VISION HONG KONG - 17-19 Prat Avenue, Tsim Sha Tsui, Kowloon WORLD VISION IRELAND - 38 Upper Baggot St. Dublin WORLD VISION JAPAN - osee 2-1 kanda Surugadai, Chiyoda-Ku, Tokyo WORLD VISION NETHERLANDS - Maliesingel 73, 3582 AB Utrecht WORLD VISION NEW ZEALAND - 17 George St., New Market, Auckland WORLD VISION SINGAPORE - 15 Enggor St. 07-01/02, Realty Center WORLD VISION SOUTHERN AFRICA - 5 Main Ave., Florida Extension, Roodepoort, South Africa WORLD VISION SWITZERLAND - Badenerstrasse 87 - 8004 Zurich WORLD VISION UNITED STATES - 919 Huntington Drive, Monrovia, CA, USA WORLD VISION WASHINGTON D.C. - 220 I St., NE, Suite 270, USA

Field Offices Africa

WORLD VISION/AFRICA - City House, Waberal & Standard Sts, Nairobi, Kenya WORLD VISION INTL. - P.O. Box 2055, Gaborone, Botswana (and Lesotho, Swaziland) WORLD VISION CHAD - Avenue Charles de Gaulle, N'Djamena WORLD VISION ETHIOPIA - Bethelehem Office, Asmara Rd., Addis Ababa WORLD VISION GHANA - №1 First Rangoon Close, Cantonments, Accra WORLD VISION KENYA - National Bank Bldg., Harambee Avenue, Nairobi WORLD VISION MALAWI - P/Bag 30, Blantyre VISION MONDIALE INTLE - B.P. 2347, Bamako, Mali WORLD VISION MAURITANIA - Ilot M-42, Nouakchott WORLD VISION MOZAMBIQUE - Ave Paulo Samuel Kankhomba, Maputo WORLD VISION INTL - 47 Marina, 7th Fl., Lagos, Nigeria WORLD VISION INTL - 15-17 Cite Bagdad, Louga, Senegal WORLD VISION SOUTHERN AFRICA - 5 Main ave., Florida Ext., Roodepoort, S.A. WORLD VISION INTL - Lake Duluti, Tengeru, United Republic of Tanzania WORLD VISION INTL - 15 В Nakasero Rd, Kampala, Uganda WORLD VISION INTL - 960 Pdt Mobutu Ave., Lubumbashi, Zaire WORLD VISION INTL - Brentwood Drive, Longacres, Zambia WORLD VISION INTL - Dolphin House, 123 Moffat St., Harare, Zimbabwe EB83/NGO/5 page 12 Annex 2

Field Offices Asia/Middle East

WORLD VISION INTL - Asia Regional Office, Union Church Bldg. Legaspi & Rada Sts., Legaspi Village, Makati, Metro Manila, Philippines WORLD VISION BANGLADESH - House 27, Road 16, Dhanmondi, Dhaka WORLD VISION EGYPT - 30 Dr Michail Bakhoum St., Dokki, Giza WORLD VISION INTL - Air Pacific House, Butt & McArthur Sts., Suva, Fiji - 344 Pantheon Rd., Egmore, Madras WORLD VISION INDONESIA - Jalan, Wahid Hasyim N033, Jakarta WORLD VISION INTL - P.O. Box 51399, East Jerusalem, Israel WORLD VISION KOREA - 24-2 Yoido-Dong, Youngdeungpo-Ku, Seoul, Republic of Korea WORLD VISION INTL - Sinyora Bldg., Montazah, Mansourieh el Metn, Lebanon WORLD VISION/MID-EAST - 11-13 Arch, Makarious III Avenue, Nicosia, Cyprus WORLD VISION INTL - Kasagten St. Madang, Papua New Guinea WORLD VISION INTL - NPF Plaza, Mendaria Ave., Honiara, Solomon Islands WORLD VISION SO. PACIFIC - 75 Templar's Road, Mount Lavinia, Sri Lanka WORLD VISION TAIWAN - №24, Sec. II, Ho Ping East Rd. , Taipei, China (Province of Taiwan) WORLD VISION FOUNDATION OF THAILAND - 582/18-22, Sukhumvit 63, Bangkok WORLD VISION INTL - Mateialona & Fatafehi Rds., Nuku'alofa, Tonga WORLD VISION INTL - Kaviti Bldg., Kumal Highway, Port Vila, Vanuatu

Field Offices Latin America

WORLD VISION BOLIVIA - Casilla 20558, La Paz VISAO MUNDIAL - Rua Antonio Albuquerque, 788 Savassi, Belo Horizonte, Brazil VISION MUNDIAL INTL - Avda Apoquindo, №3795, Dept 32, Santiago, Chile WORLD VISION INTL - Calle 13 №6-82 Piso 3, Bogota, Colombia WORLD VISION INTL - Apartado 133, 2300 Curridabet, San Jose, Costa Rica WORLD VISION MUNDIAL - Apartado 40-A, Quito, Ecuador WORLD VISION EL SAVADOR - 23 Calle Pte 1005, Dol, Layсо, San Salvador WORLD VISION GUATEMALA - 7 Avenida 7-73, Zone 9, Guatemala City WORLD VISION HAITI - Valerio Canez Bldg., Delmas, Port-au-Prince WORLD VISION INTL - P.O. Box 79-C, Teguciagalpa, Honduras VISON MUNDIAL DE MEXICO - Moras 430 Colonia del Valle, Mexico VISION MUNDIAL I./PERU - Av. Maximo Abril 551-555, Jesus Maria, Lima