Annual report 2015 2 of contents Essentials 2015 Communication Events Regional branches Digital communication Acknowledgements partners 2016 Budget Auditor’s report Treasurer’s report 2015 FinancialStatements Human capital Governance Fundraising andactivity Structure andManagement Table
...... International missions International Emergency relief ...... Humanitarian aid ...... La ChaîneduSavoir ...... Treatment ofChildren inFrance 2015 Achievements ......
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Key factsandfigures Our projects Foreword ...... 04-05 93-94 88-91 82-87 78-79 76-77 72-75 68-69 64-65 18-61 16-17 14-15 12-13 10-11 06-07 92 67 66 03
Président deLa Chaînedel’Espoir Dr EricCheysson Thank youallfrom thebottomofmyheart! will wekeeponbringingsomelightintosuchdarktimes, somehumanityinsuchcruelinjustice. Together, byanymeans possible, we are helping children victims of war and misery. And only together preparation tosecure thefuture ofoursustainedcontacts. with ourcolleaguesabroad inreal time,forbothdiagnosesandfurthertraining.Othertoolsare in administrative regulations. Today, ourChaîneduSavoir programme enablesus toworktogether to meet the crucial needs of foreign doctors who cannot have training in France due to restrictive In thecurrent climate,weare more thaneverstrivingtodevelop ourChaîneduSavoirprogramme birthplace inequalitiesandgivedoomedchildren achancetolive. operation symbolicallycaptured theveryessence ofourorganisation: together, wecanfightagainst doctors, andwhat is more, ravaged by the Ebola virus? Far more than a surgical performance, this shining example.Whatwere theirchancesofsurvivalinacountrysobadlylackinghospitalsand care. ThewonderfulstoryofHassanandBoubacar, twolittleconjoinedtwinsfrom Guinea, isa In France,aboutahundred children from AfricaandtheMiddle-Easthavereceived thebestpossible hospital;andinTehranBingerville maternity withtheChildren’s House. Children House;inDakarwiththeCuomoCentre forPaediatricCardiology; inAbidjanwiththe Mother andChildCentre oftheFrench MedicalInstituteforChildren anditsnewMothers Launched in2014,ourconstructionprojects havemadesubstantialprogress: inKabulwiththe care to which everyoneisentitled. our teams have been deployed to Kos and Lesbos to provide men, women and children with the and sometimes new actions in 2015. To face the migrant crisis and the emergency of the situation, With ourextensiveexperienceandconfidentinabilitytohelpthoseneed,wecarriedoutmany ready totakeaction. our dutyseemedclear:more thanever, thesecountriesneedusandmore thanever, wemustbe become softtargets forthosewhohateus?Bearingthis inmindandaftermuchconsideration, ever achallengingissue.Hownottoworrywhenhospitalsandhumanitarianworkershavetoday Naturally, thesafetyofourmissionariesisapriorityforLaChaînede l’Espoirandismore than and fear, wehavenotgivenupandemerged evenstronger. maintained, projects have continued and thousands of children have been saved. Despite hesitation for solidarityandlife,LaChaînedel’Espoir’s response wasnotlongincoming:missionshavebeen This waveofterror andhatred onceagainbrought outdivision,fearandisolation.Foruswhofight Now abletostrikeanywhere, anyoneandatanytime,terrorism haschangedthefaceofworld. W of course Paris, struck in the heart twice. of courseParis,struckinthehearttwice. Bamako, Kabul,Beirut,Jakarta,Brusselsand witnesses toscenesofhorror inTunis, out inmanycountries,makingus definitely markedbyattackscarried e willneverforget 2015, ayear Foreword
3 a naturaldisaster• humanitarian assistance in theeventofwaror living inprecarious circumstances • medical and surgical care to women and children suited tolocal needs • development ofspecialised hospitalfacilities and disposablegoods• facilities withmedicaltechnology, equipment supply countries with insufficient healthcare need torespond toavariety ofillnesses• personnel withthespecialisedtrainingthey or specialised skills • countries due to a lack of funding, technology abroad who cannot be cared for in their own • communities accesstohealthcare andeducation. in long-termprojects worldwidewhichaimtoprovide themostdestitutechildren, theirfamiliesand we havecreated anetworkofmedicalandsurgical expertiseandexcellence.We are activelyengaged organisations, iscurrently presided overbyDrEricCheysson.Asamajorplayerinthemedicalfield, La Chaîne de l’Espoir, founded in 1994 in accordance with the 1901 French non-profit law governing of goodwill,ready eachandeverydaytoriselife’s manychallenges. generosity, know-howandpassionwhichwouldassembleagroup ofbigheartedmenandwomen,full Alain Delochedecidedtoembarkonauniquehumanitarianadventure— analliancemadestrong by by theconvictionthatitisimpossibletoignore theirsuffering orabandonthemtotheirfate,Professor All overtheworldmillionsofchildren are condemnedtoalifewithouteducationorhealthcare. Driven
4 To treat children and mothers in France or Our projects OUR MISSION OUR VISION To combat starvationand To provide on-site medical To contribute toproviding To promote the To provide To To corresponding withitsobjectives. which allowLaChaînedel’Espoir tofundprojects • diagnostic methodsand effective treatments with the objective of improving or developing in medicalresearch projects andpublications any possiblemeans• children’s rights• To participate in the defence of women’s and the educationofat-riskwomenandchildren • health andnutritionproducts abroad • children, bysupplyingthemwithmedicationsand disadvantaged populations,primarilymothersand malnutrition To engage inallfundraisingrelated activities • To offer medicalassistanceto To relieve humansuffering by To supportorparticipate To promote OUR APROACH • To fulfil these missions, La Chaîne de l’Espoir conferences, seminars and training programmes calls on the generosity of the public and relies • To encourage the founding of organisations in on funds from private donors, institutions and other countries which share our goals by allowing partners. This is our approach: To collaborate them the use of our name and brand, La Chaîne with international organisations, governments de l’Espoir, thus guaranteeing the same respect and other local authorities as well as public and for our rules and principals in these « affiliate private organisations in France and in countries organisations » • To relay projects in France and of intervention • To pursue projects in partnership abroad to local groups, « regional branches » • with all other organisations or associations with To enlist the assistance of host families who take similar objectives to our own in France and responsibility for housing children transferred to abroad • To organise informational campaigns and treated in France for the length of their stay. either for fundraising purposes or to heighten public awareness of the needs of children in distress • To produce audio-visual educational and informative general interest programming, to publish materials and books and to organise
OUR VALUES La Chaîne de l’Espoir values its donor’s confidence social legislation in the country in question, and is careful to offer them total managerial irrespective of race, nationality, sex or religion. transparency. We hold ourselves responsible and We ensure that our representatives abroad respect accountable to those who chose to donate and the laws, inhabitants, beliefs and customs of the refuse to use any fundraising methods which, country in which they are working. Likewise, through word or image, could threaten the dignity volunteers commit to the organisation’s ethical of an individual or fail to respect their belief system. code and their profession’s ethical principles.
La Chaîne de l’Espoir chooses service providers Lastly, La Chaîne de l’Espoir takes advantage of based on unprejudiced management principals every opportunity to foster close relationships with with respect to the bidding process, outside the populations of the countries in which it works consultation and the use of multiple suppliers. and reaffirms that its actions and methods are in accordance with its values. La Chaîne de l’Espoir provides its employees with a contract in full compliance with the relevant
OUR GUARANTEES • To clearly indicate the destination of funds donated by the general public • To use funds solely for the intended purpose within a reasonable period of time • To inform donors of any potential alternative appropriation of funds within the context of projects sanctioned by the organisation • To provide donors with an annual report of the organisation’s accounts, audited by an external auditor who must indicate in a clear and concise manner: the quantity of funds received, their use and the portion consecrated to the intended cause or project
La Chaîne de l’Espoir is a member of the Comité de la Charte du don en confiance, an institution certifying the ethical behaviour of social and humanitarian organisations which appeal to public generosity. We also received the IDEAS Label (Institute for the Developments of Ethics and Action for Solidarity) in 2012 which attests to the quality and transparency of an organisation’s governance, financial management and the efficacy of its projects. Lastly, in February 2014, La Chaîne de l’Espoir became the first European NGO to receive an Excellence Award from the European Foundation for Quality Management. This accreditation, synonymous with excellence and professionalism, evaluates an organisation’s efficacy based on the following criteria: strategy, leadership, human capital, and, of course, results. 5 • • 15tonsofsuppliesanddisposablegoodswere sent missions • 210international • 28targetcountries • 300hostfamiliesinvolved •
6 100,000 children benefitted from our healthcare programmes 11,000 children benefittedfrom oureducationalprogrammes budget Key facts figures : and e 22M
2016 cardiology and adult cardiac surgery. departments inophthalmology, interventional missions, especiallywith theopeningofnew La Chaînedel’Espoirwillcontinueitstraining Necker Children’s Hospital(Paris)inMay. France. Thismedicalfeatwasperformedat have beentransferred andseparatedin aliveinGuinea, conjoined twinstobeborn Hassane and Boubacar, thefirst-ever provide basiccare. have been active in Greece and Serbia to migrant tragedyinEurope. Medicalteams La Chaînedel’Espoirtookactiononthe been laidisJune. Centre forPaediatricCardiology has The foundationstoneof the Cuomo Migrants EmergencyRelief Mobilisation forHassaneandBoubacar Senegal Children’s Househavestarted. Construction worksforthenewAfghan in rotation by French volunteer cardiologists. Institute forChildren. Thisdepartmentisrun cardiology openedatthe French Medical In Aprilanewdepartmentofinterventional carrying outitseducationaidprogramme. to centres where theorganisation hasbeen essentials (tarpaulins,medication,food,etc) de l’Espoirpurchased and provided bare After the earthquake in April, La Chaîne Nepal EmergencyRelief Afghanistan
7 8 Achievements Achievements 2015 . . . . . International missions Emergency relief Humanitarian assistance La ChaîneduSavoir Treatment ofChildren inFrance p .16 p .12 p .18 p .14 p .10
9 their dedicationandcommitment. made possiblebyourhostfamilies,whowewould liketothankmostsincerely for Caen, Lyon, Marseille, Nantes,Nice-Monaco,RennesandToulouse). Thisprogramme is de l’Espoir. Of 95 children transferred, 51 have been treated by our regional branches (Bordeaux, Panzo, ChiefofPaediatricSurgery atDonkaHospitalinConakryandcorrespondent forLaChaîne little twinswere abletogobackGuinea.Follow-upcare islocallyprovided byDrDanielAgbo- surgical separationatNeckerChildren’s Hospital inParis.Afterafewmonthsrecovery, thetwo of Guinea. On May 26th 2015 the twins, who were conjoined at the liver, underwent a delicate aliveinthehistoryThe highlightof2015wasthearrivalfirst-ever conjoinedtwinstobeborn treated injuriesandbirthdefects. surgery and12othershadconditionscallingfororthopaedicoperationssuchasrepairs ofpoorly for surgery byLaChaînedel’Espoir. 79children underwentheartsurgery. 4children received plastic In 201595children from Africa,mostlyfrom Mali,CongoandMadagascar, were transferred toFrance 10 Since itscreation, thisprogramme hasbenefittedover3,000children. surgical treatment duetoalackofwell-equipped hospitalsandspecialisedmedicaltraining. still on-going. It is all the more vital that many countries are still unable to provide paediatric other partsoftheworldoveryears,ourTreatment ofChildren inFranceProgramme is in poorcountries.Althoughourhealthprogrammes havedevelopedandbeenextended to for surgery, whohavenoaccesstothesurgicalcare theyneedbecausewere born La Chaînedel’Espoirwasinitiallyfoundedinorder totransferFrancecriticallyillchildren of children Treatment in France 2015: 95childrentreated Partnerships withpublic andprivate institutions Funding: Locations: Programme coordinator: MarieTEYSSEDRE Programme director: General public fundraising/Privatepartnerships / Paris andregional branches Nathalie de SOUSASANTOS
11 and surgicalknowledgewithlocalprofessionals. advantage of today’s digital tools to share medical and specialisedskills,LaChaîneduSavoirtakes from alack ofdiagnostics,appropriate treatment Given thealarmingnumberofdeathsresulting under-equipped hospitals in developing countries. drastic lackofskillsisolateddoctorsworkingin become inaccessibleforourmissionariesandthe the dangerousness of some countries which have aspires toprovide solutionstotwomajorissues: La ChaîneduSavoir(theChainofKnowledge) 12 digital andinnovativecomputingtechnologies. fledged programme of La Chaîne de l’Espoir aiming at developing new projects thanks to medical training through new technologies. In 2015 La Chaîne du Savoir became a full- l’Espoir launchedtheLaChaîneduSavoirendowmentfundinorder tofundprojects for On November25th2014,inGoogle’s Parisoffices,Carlod’Asaro BiondoandLa Chaîne de La Chaîne La Chaîne du Savoir
in Mozambiqueand2 Senegal. from theseconsultations,200inCambodia,72 2015. In Afghanistan 70 children have benefitted examined betweenFebruaryandDecember already proven successful,with344children trained. In less than a year this method has are examined, diagnosed,andlocalstaff is a secondopinionontheirdiagnosis.Children video, Professor DanielSidi giveshiscolleagues l’Espoir’s partnercentres. Thankstolivestream week Professor DanielSidiwithLaChaînede in February2015,thisproject connectseach of apaediatriccardiac specialist.Launched to benefitfrom thelong-distanceexpertise an ultrasoundscannerandareferral doctor platform enableshealthcentres equippedwith by LaChaîneduSavoirin2015.Itsonline training programme, is the first project developed ECHOES, areal-time distanceechocardiography LA CHAINEDUSAVOIR’S PROJECTS the MaputoHeartInstituteinMozambiqueand French Medical Institute for Children in Afghanistan, (namely theChildren’s PavilioninCambodia,the health centres supportedbyLaChaînede l’Espoir La ChaîneduSavoirisalready connected with4 OUTLOOKS FOR2016 essential tothesurvivalofmothersandinfants. midwives andnursesmore quicklytopractices andinfantmortality)bytraining(i.e. maternal The maingoalistohelpreduce perinatalmortality obstetric andgynaecologicalcare. related complications, it is vital to train staff in thousands ofchildren andwomendiefrom delivery- was alsoinitiatedinDecember2015.Because care trainingprogramme viadigitaltechnology, The Funding: Locations: Programme coordinator: Agathe Programme director: DrEricCHEYSSON(surgeon, France) Obstetric andneonatalcare training Specialties: PERINAT La Chaîne del’Espoir /Privatepartners , project, an obstetric and neonatal Paris (Headoffice) -AfghanistanCambodia -SenegalMozambique Training through newtechnologies/Tele-echocardiography / Metel (France)
more advancedteachingcentres. animations tovirtualreality trainingpackagesfor The websitewillfeature variousnewtools,from complications. practices toperformforasafedeliveryinspiteof enabling userstoviewfrom allanglesthe best Phone application contents will be available in 3D, course materialsare being developed. and awebsiteproviding open-accesstoalltraining Regarding the PERINAT project, a phone application echocardiography specialistsin2016. of LaChaînedel’Espoir’s networkwithvarious and planstoconnectadozenhealthcentres the Fann National Teaching Hospital in Senegal),
13 actions carried outinSyria. longer operatesinJordan tofocusexclusivelyon missions. TheUnifiedMedical SyrianBureau no children whohavebeenoperated onduringour in charge of recruiting patientsandfollowing up Syrian ExpatriateMedical Association(SEMA), The organisation works in partnership with the on Jordan. La Chaîne de l’Espoir focused its activity solely programme. In2015,duetoalackoffunding, In 2014, 44 children have benefitted from this Hospital inBeirut(Lebanon). surgical procedures at Hôtel-Dieu de France surgical missions in Amman (Jordan) and fund programme has been implemented to carry out unable toafford healthcare. Amedicalassistance children suffering from heartdiseasesand been providing healthcare forSyrianrefugee Since January 2014, LaChaîne del’Espoir has 14 Humanitarian Humanitarian they need. they are livinginprecarious conditions,mostofthetimewithoutaccesstomedicalcare conflict in March 2011. The vast majority of refugees are now in Jordan and Lebanon, where people, among which many women and children, have fled Syria since the start of the According totheUnitedNationsHighCommissionerforRefugees(UNHCR),over4million Assistance programme forSyrianrefugee children 1. CardiacSurger aid y Programme
postoperative follow-up. mission, SEMA handled patient recruitment and surgeon DrSylvainChauvaud. Aswithevery Garden’s Hospital underthedirection ofcardiac In 2015twosurgical missionswere carriedoutat platform. financial termsandafully-equippedtechnical with Garden’s Hospital,offering reasonable In November2014,anewagreement was made stated inouragreement. discount on all operating and hospital costs, as hospital, whichnolongeragreed toapplya50% 2014, butitwasunilaterallycancelledbythe The secondmissionwasscheduledforOctober Hospital inAmman. mission tookplace in May2014 atIstishari It shouldbenotedthatthefirstcardiac surgery • InJordan as refugees. that couldnotbetreated becauseoftheirstatus injuries, orsuffered from congenitalpathologies war woundsorsequelaeofcombat-related anticipation ofpotentialsurgery sustainedeither on. Children whohavebeenexamined in de l’Espoirand55children were operated 170 consultationswere conducted byLaChaîne planning. to establishalistforthenextmission surgery underwent surgery duringprevious missionsand schedule, butalsotocheckonchildren who enable us not only to prepare a surgery Consultations carriedoutduringmissions a surgeon, and an anaesthetist. an intern 1 week, the medical staff is made up of For eachmission,withanaveragedurationof mission (October). and November)1upperlimbsurgery Amman: 2lowerlimbsurgery missions(March been conductedatAlMaqasedHospitalin In 2015,3orthopaedicsurgery missionshave transferred toFrancein2013. among which5Syrianchildren whowere up tothisday110children havebeentreated, benefitted from thisprogramme. From 2012 Children with congenital malformations also amputation, andchestbraintraumas. of gunshotwounds,lesionsrelated to for Syrianrefugee children withsequelae Programme instillon-goingJordan La Chaînedel’Espoir’s OrthopaedicSurgery anaesthetist, 1 operating theatre nurse and 3 surgeons, 1perfusionist,anaesthetist,nurse is carriedoutbyamedicalteamincluding2 With an averageduration of8days, eachmission mission. established alistofsurgery patientsfor afuture 9 procedures were performed.Again,thehospital children whounderwentsurgery inMarch. of which 8 postoperative consultations for to 17th, 2015. 37 consultations were conducted, The second mission took place from October 9th who willbeoperatedonduringthenextmission. Garden’s Hospitalmedicalstaff selectedpatients 9 called for surgery. La Chaîne de l’Espoir and to 27th,2015.Of51consultationsconducted, The first mission took place from March 20th / LaChaîne del’Espoir Funding: 2. ORTHOPAEDIC SURGERY: MissionsinAmman, Jordan: March, October andNovember2015 1. CARDIACSURGERY: MissionsinAmman,Jordan: March andOctober2015 Programme coordinator: GonzaguesDESFORGES (France) Specialty: 2. Orthopaedic Surger Total Foundation/Total E&PSyria/European HeartforChildren Humanitarian medicalaid y Programme
training sessionsduringsurgical procedures. cooperation wassuccessful,especiallywith medical personnel alike were excellent and their and Al Maqased Hospital’s Jordan and Syrian Relations betweenLaChaînedel’Espoir’s staff provided sufficientfundinghasbeensecured. de l’Espoir is looking into resuming it in 2016 in 2015duetoalackoffunding.LaChaîne This programme wasunfortunatelysuspended Hospital inBeirut. who underwentsurgery atHôtel-DieudeFrance benefitted 32Syrian refugee children inLebanon with Heartbeat / La Chaîne de l’Espoir in Lebanon In 2014 this programme carried out in partnership • InLebanon authorities andfamilies. administrative procedures andcontactswithlocal missionaries byproviding supportwithlogistics, charge ofselectingchildren forsurgery, assisted Moutawee, SEMA coordinator in France in programme coordinator, and Dr Ismael intensive care nurses.GonzagueDesforges,
15 make matters worse, these facilities do not have for fearofbeingstranded inthecountry. To was required, whatmany communitiesrefused However, priorregistration withSerbianauthorities Serbian heathfacilities. In theory, migrantpopulations hadaccessto 1 •Belgrade in SerbiaasofSeptember14th,2015. intoanassessment/actionmission mission turned In lightoftheurgent needs,ourassessment SERBIA Serbian sideoftheborder. and Hungary, our staff moved to Horgos, on the and theclosingofborder betweenSerbia Due tothetighteningofHungarianregulations in Rözske,Hungary, onSeptember11th,2015. This actionstartedoff withanexploratorymission HUNGAR 16 feasibility andrelevance ofajointactionbyLaChaînedel’EspoirandWAHA (C DE/WAHA). identify theneedsofthisspecificpopulation,lookintoeffective responses andevaluatethe in earlySeptemberonroads takenbymigrantsintransit. Theprimarilypurposewasto WAHA Given theinfluxofpopulationsfleeingtheircountriesforEurope, LaChaînedel’Espoirand transiting through Europe Refugee support, medical care for migrant populations Emergency Y (Women AndHealthAllianceInternational)carriedoutanassessmentofthesituation relief a day. which conductedanaverage of80consultations 1 midwifeand 2 nursesworkedinthisclinic, Belgrade. 1paediatrician, 1generalpractitioner, for patientstobetransferred tohospitalsin traumas). Whenpossible, italso arranged colds, tonsillitis, breathing disorders, minor to primarycare forbasicpathologies(infections, since mid-September, offered migrantsaccess This fullyfunctionalclinic,open7daysaweek of migrants. passing through thisarea dependingontheflow Each day between 500 and 1,500 people were who madeapartavailabletousfree ofcharge. Aid Serbia(anumbrella group ofSerbiancharities), clinic locatedonaplotoflandrented byRefugee Medical assistance was provided via a permanent sufficient capacity to meet all their medical needs.
from theseservices. January 2016,over6,000peoplehavebenefitted for Refugees(UNHCR).From earlySeptember to island bytheUnitedNationsHighCommissioner appointed medical coordinator for the north of the arrival ontheisland.TheCDE/WAHA teamwas at strategicpointstoassistrefugees attheir provided bytheUnitedNations)were setup Semi-mobile clinics (cars, tents and containers arriving inthisarea. care forrefugees, especiallywomenandchildren, has thusbeenimplementedtoprovide medical Mytilene, andinitstworefugee camps.Aproject assistance was concentrated in the capital, most refugee boats yet arrived. In fact, medical NGO wasactiveontheisland’s northcoast,where beginning of September indicated that no medical An exploratorymissionconductedatthe 1 •Lesbos GREECE Harmica, Bregana andTovarnik. Serbian andSlovenianborders, inthecitiesof in Serbia, were also set up in Croatia near the with similarstaff andequipmenttotheclinic To respond totheemergency, 2mobileclinics, CROATIA goods, etc.). (tents, medicalsupplies,medication,disposable had 2 vehicles totransport staff and equipment driver and a logistics coordinator, this mobile clinic Made upofamedicalstaff (1doctor, 2nurses),a for communitiessettledinmakeshiftcamps. depending on the flow of migrants, in order to care parts oftheborders withneighbouringcountries, professionals, whichcouldeasilygettodifferent A mobileclinichasbeensetupwithhealthcare 2 • Funding: Location: Missions: Programme coordinators: JenniferNAVARRO (France)andFrançoisDUPAQUIER (France) Specialty: countries Crossing borders withneighbouring La Chaîne del’Espoir /Privatepartners Serbia, Croatia, Greece (Lesbos,Samos, Kos,Chios)) September - December 2015 Emergency relief January 2016duetoalack offunding. carry outthesemissions.Ouroperationsendedin (doctors, nursesandmidwives)were mobilised to More than30volunteersofLaChaînedel’Espoir they were accommodated. offer consultationsinthe daytime inthehotelswere was dedicated to women and children inorder to continuously available.Oursecondlineofaction in the harbour to ensure that medical care was or atnight).Amobilepop-upclinicwassetup off boats (arrivals only took place in the evening provide medicalassistancetorefugees coming two linesofaction.Thefirstlineactionwasto Our operationontheislandofKosrevolved around 4 case ofemergency. and couldbecalledinbycoastguards atnightin also appointedmedicalcoordinator ontheisland refugees hadsettled.TheCDE/WAHA teamwas arrivals, atentclinicwassetupinparkwhere the needsidentifiedandgrowing numberof the islandofChiosinmid-October, andgiven Following theexploratorymissionconductedon 3 between October2015andJanuary2016. healthcare. Over2,000people were cared for the latterorganisation toprovide round-the-clock Red Cross. We arrangedaworkschedulewith local coordinatorgovernment and the Spanish missionaries were soon working closely with the point, inatrailerprovided byUNHCR.Our in Samosharbour, theisland’s maintransit of Samos,apop-upclinichasbeensetup Following anexploratorymissionontheisland 2 •Samos • Kos • Chios
17 new equipment (installationofacatheterisation biomedical missionstohelp localstaff implement The remaining 25%were biotechnical and medical. 49 missions,75%ofwhich were exclusively To this end,LaChaînedel’Espoirorganised local staff. new methodstoprovide remote supporttothe pursued its missions in 2015 and developed overall qualityofcare, LaChaînedel’Espoir improving theAfghanpersonnel’s skillsandthe In charge ofassistingtheFMIC’s medicalstaff, AT THEFMICIN2015 LA CHAINEDEL’ESPOIR’S ACTIVITY
18 Afghanistan protection foritsmissionaries. Institute for Children (FMIC) and provide healthcare for destitute patients while strengthening France), LaChaînedel’EspoirfindsitessentialtocontinuesupporttheFrench Medical In thisrespect, incollaborationwithitspartners (namelyAgaKahnDevelopmentNetworkand project toextendhospitalservicesadultpatientscare willcometogripswith theirneeds. to stayintheirhomecountrybyproviding accesstovitalservicesincludinghealthcare. Our and educationforchildren. Ouractionisnowmore importantthanevertoenablefamilies push factor, theAfghanpopulationaspires to decentlivingconditionsandaccesstohealthcare Kunduz in September 2015. NGOs are not spared from the conflict as shown by the attack on marking a 4% increase compared to the past year, partly resulting from soaring city attacks. The UN Annual Report documents over 11,000 civilian casualties among which 3,545 deaths, growing number of forces pledgingallegiance to ISIS is the cause of increased violence. and 2015sawtheriseofnewinsurgentgroups followingthedeathofMullahOmar. The The overallsituationinAfghanistanremains unstable.Fightingisstillraginginsidethecountry Paediatric medicalandsurgical care INTERNATIONAL MISSIONS Despite the political, security and economic instability, a powerful
consultations and32interventionsperformed), flawed), upperlimborthopaedic surgery (101 anaesthesia andintensive care (whichremain cardiac surgery (surgeons, perfusionists,nurses), Short-term medicalmissions mainlyfocussedon of only1%. 2006 withanexceptionallylowmortalityrate 2015 alone,andonatotalof2,202children since performed heart surgery on 262 children in Dr Najeebullah Bina, along with his colleagues, Long-term missionsfurthercontinued. and managethefacility. laboratory), carryouttheconstructionproject Doctors without Borders in
others inAugustandSeptember. The opening was carriedoutinJune2015,followedbytwo FMIC. Afirstmissionforittocomeintooperation equipment ofacatheterisationlaboratoryatthe La Chaînedel’Espoirentirely fundedthe • over thesecondhalfof2015. patients have benefitted from these examinations cases anddeveloptheFMICcardiologists’ skills. 70 expertise programme tohelpdiagnosecomplex developing apaediatrictele-echocardiography Since June 2015, La Chaîne du Savoir has been patient treatment plans,etc. procedures to improve department management, relevant equipment to acquire, how to put inwriting cases -thechartsofwhichare sentbyemail- Afghan colleaguesbygivingadviceoncomplex l’Espoir’s medicalteam continues toassisttheir In additiontothesemissions,LaChaînede • 2015 HIGHLIGHTS the exceptionofretinal surgery. a month.Alltypesofsurgery are nowcovered, with in 2014.TheFMIC performs around 25 operations of ophthalmic surgery after the department opened Further supportwasprovided forthedevelopment the supportofahealthcare supervisor. and improving departmentmanagementthrough Surgery Departmentforadults Opening ofaCardiology andCardiac and support Reinforcement ofremote training • 120,649CTScans • 5,141MRIexams • 325,446laboratorytests • 115,617consultations • 262cardiac surgery procedures • • 5,409admissions 2015 MEDICALACTIVITY (excluding cardiac surgery) 2,048 surgical procedures :
Badakhsan andKandahar). hospitals inthree provinces inAfghanistan(Bamyan, Kahn University, a tele-medicine programme with in theprocess ofdeveloping,togetherwithAga theFMIC isfor hostcountries’hospitalinterns, In additiontothePGMEandshort-termtraining cardiology, orthopaedics,radiology). surgery, anaesthesia-intensive care, biology, in the7specialtiestaught(paediatrics,paediatric in 2015, among whichof 514 women, new interns (PGME) has now 49 beneficiaries, with the arrival The FMIC’s PostGraduateMedicalEducation • We are forever gratefulforhisservice. Dr Alexander Leis left his position in June 2015. and ensuringthequalityofhealthservices, skills andtrainingprogrammes, aswellimproving After over10yearsdevelopingtheFMIC,paediatric • performed. angiographies and12angioplastieshavebeen autonomously. In line with this objective,61 is forlocalstaff tobegraduallyablework l’Espoir andAgaKhanUniversity. Themaingoal by cardiologistsalternatively of La Chaîne de cardiologists trained during missions conducted de l’Espoir, recruited twoAfghaninterventional FMIC, with the technical support of La Chaîne presence of the Afghan Minister of Health.The ceremony tookplaceonOctober31stinthe Post GraduateMedicalEducation medical director oftheFMIC Departure ofDrAlexanderLeis,
19
specialised inperinatology. in collaborationwithourmultidisciplinaryteam completed bytheendofMay2016FMIC, approved by ourpartners.Recruitmentwill be been determined.Themedicalproject hasbeen process ofthe200newmembersstaff has has already been ordered and the recruitment As of the end of 2015, 30% of the equipment (neonatology) istobecompletedbylateJuly2016. (gynaecology andobstetrics)new-borns Child Centre forthemanagementofmothers Construction of the FMIC’s Mother and • financial support,i.e.72%ofpatients. full. In2015,3,346inpatientsbenefittedfrom this children from familieswhocannotafford topayin co-financing thissolidarityfundtoprovide care for With France’s support,LaChaînedel’Espoiris programme • Welfare missionsAfghanistan International
20 The FMIC’s MotherandChildCentre private partners,Linda Grove Foundation, LaChaîne del’Espoir Funding: Programme Coordinators: LorianeLUCMALLE (France)-EmilieCHASSAGNARD (Kabul) Programme Director: Location: Afghanistan,Kabul-French MedicalInstituteforMotherandChild (FMIMC) - Neonatology neurosurgery, reconstructive) -AdultCardiology andCardiac Surgery -Gynaecology andObstetrics Specialties: Field: Maternal andinfantcareMaternal -medicalandparamedical training French Embassy, AgenceFrançaise deDéveloppement (French AgencyforDevelopment), Paediatric Medicine -Specialised Paediatric Surgery (cardiac, visceral, ENT, orthopaedic, Dr EricCHEYSSON intensive care. of departmentsinneonatologyandanaesthesia- missions to provide assistance in the development gynaecology-obstetrics missionsandshort-term doctors fortraining,organising long-term the MotherandChildCentre byhostingAfghan also provide medicalsupportfortheopeningof cardiac surgery foradults.Ourorganisation will ophthalmology, interventional cardiology and missions withtheopeningofnewdepartments: La Chaînedel’Espoirwillcontinueitstraining and Children HousewilltakeplaceinSeptember. Mother andChildCentre andthenewMothers surgery. Ceremonies fortheofficialopeningof 5-year trainingcourseinpaediatricmedicineand have completed the PGME programme after a graduation ceremony who forthefirstsixinterns with thecelebration,inMarch, ofthefirst-ever La Chaîne de l’Espoir and for all FMIC partners 2016 has been a year of significant landmarks for • 2016, aneventfulyear
in August2015andisduetobecompleted construction ofthenewChildren’s House started After the foundation stone was laid in 2014, 10 and51%were girls. procedures. 67%ofchildren were between2and funded 5,271consultationsand1,034surgical registered forthefirsttime.TheChildren’s House Children’s House, 691 of which were new patients Red Cross. In2015there were 4,265 stays at the Committeeofthe NGOs suchastheInternational including theAfghanMinistryofPublicHealth,and selected by a networkof22 partner institutions, Children benefitting from this programme are BENEFICIARIES IN2015 Afghanistan Activity: Funding: Location: Kate ROWLANDS,Najibullah SAMADI(Afghanistan) Programme directors: LorianeLUCMALLE(France) French Embassy inKabul /Privatepartners the beginningofconstructionworksin2015. to treat, the construction project for a new centre was initiated in 2011 and took shape with l’Espoir, withthesupportofFranceandprivatepartners.Withagrowing numberofchildren children havebenefittedfrom thisprogramme, whichisentirely fundedbyLaChaînede keeping ongrowing anditsactivitieshavetripled.To thisday4,654extremely vulnerable Parents can accompany their child throughout their stay. Since 2008, the ACH has been transportation, reception, accommodation,food,medical andsurgicalcare withintheFMIC. Institute forChildren (FMIC).Thisspecificprogramme isdesignedtocovertheireveryneed: Afghan provinces whoare unabletoaccessthetreatments offered bytheFrench Medical The AfghanChildren’s House(ACH)willmeettheneedsofdisadvantagedchildren from all Managing sickchildren INTERNATIONAL Treatment ofsickandunderprivilegedchildren from provinces La Chaînede l’Espoir /Agencefrançaise deDéveloppement(French AgencyforDevelopment -AFD)/ Kabul -Afghan Children’s House MISSIONS
well asneurosurgery. for cardiac, orthopaedicandplasticsurgery, as Children’s Housewaitinglistforconditions calling of 2015,31youngpatientswere already onthe and provide free care to children. By the end La Chaînedel’Espoirwillcontinuetopromote OUTLOOKS FOR2016 at theFMIC’s MotherandChildCentre. obstetrical, neonatalandpaediatriccare provided who will gain access to gynaecological, new-borns year, includingparticularlyvulnerablemothersand House will host up to 2,000 beneficiaries each the new centre named the Mother and Child’s September 2016.With a 30%higher bed capacity,
21
is why La Chaîne de l’Espoir has decided for 2016 be won by merely providing school supplies. This of young girls is an everyday battle which cannot all, discriminationinAfghanistan,theinstruction In the context of insecurity, attacks and, most of
22 Afghanistan education aidprogramme andreceived schoolbags,suppliesandhealthkits. Panjshir Province. In2015,1,133studentsattendingtheseschoolshavebenefittedfrom this Since 2008, La Chaîne de l’Espoir has been actively promoting education for young girls in the Education aid INTERNATIONAL Funding: Location: Programme directors: LorianeLUCMALLE (France)-Najibullah SAMADI(Afghanistan) Activity: MISSIONS Afghanistan -BacktoSchool -Educationaid La Chaîne del’Espoir Panjshir Province
ways ofworkingtogetherinthefuture. families toassesstheirneedsandlookintonew meetings withAfghanauthorities,teachersand to suspend this programme and organise instead Rouen UniversityHospitalprovided theoretical and 2from Conakry). Professor Bruno Bachy from (8 from Lomé, 10from Abidjan,2from Cotonou 22 medicalstudentsattendedthisseminar in Cotonou. July 12thto18th,atYopougon UniversityHospital seminars in2015.Thefirstonetookplacefrom La Chaînedel’Espoirorganised two training to teachtheirmedicalspecialtiesinWest Africa, To address the lack of surgeons and doctors able 2015 ACTIVITY Conakry (Guinea). (Togo) andsince2015inCotonou(Benin),aswellforpaediatricsurgerystudents and entirely funding teaching missions for PDG PS students in Abidjan (Ivory Coast), Lomé childrenborns, and teenagers. Since June 2014, La Chaîne de l’Espoir has been organising training missions with theoretical and practical sessions for the management of new- surgeons passingaPost-graduateDegree in PaediatricSurgery(PGDPS)byorganising African HealthOrganisation(WAHO), LaChaînedel’Espoirfosterstrainingforpaediatric As partofthepostdoctoraldegrees standardisation inWest Africasupportedby theWest Higher education INTERNATIONAL Africa West MISSIONS
Hospital, director ofourWest AfricaPGDsupport Professor Yann Révillon from Necker Children’s Dr JulienRodfrom RouenUniversityHospitaland inner partofthetibia. Blount’s disease,agrowth disorder affecting the of jointinfectionsandoperated on2children with University, Belgium, gave a lecture on sequelae Professor Hoogmartensfrom UKLouvain had alsoattendedtheJulyseminarinAbidjan. 22 studentstookpart,thegreat majorityofwhich partnership withLaChaînedel’EspoirBelgium. and ChildHospital,from November2ndto7th,in The secondseminartookplaceatCotonouMother suffering from thiscondition. disorder) andperformed2operationsonchildren Hirschsprung’s disease (a congenital intestinal in Parisgavepresentations onthetreatment of Dr Carmen Capito from Necker Children’s Hospital Professor ChristopheChardot andhisassistant 5 surgery procedures attendedbystudents. and practical training in cleft lip and performed
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(Guinea). Alongside these seminars, actions have PGD studentsfrom Dakar(Senegal)andConakry It alsointendstoextenditstrainingprogramme to and organise 2newseminarsin2016. Chaîne del’Espoirwillcontinueitstrainingactivity directors from IvoryCoast,Togo andBenin,La agreement with Paediatric Surgery PGD Course La Chaînedel’Espoir, enaccord aveclesIn OUTLOOKS FOR2016 paediatric surgery trainingprogramme. to travelaforeign capitalinorder toattendthe the form of 4grants offered to students who have financial supportfor West AfricanPGDtrainingin In addition,LaChaînedel’Espoirisproviding on children suffering from thiscondition. tumours and performed 2 surgical interventions programme, provided traininginabdominal missionsWestInternational Africa 24 Funding: Locations: Missions: Programme coordinator: Pierre RAINGEARD (France) Programme director: Professor Yann Revillon(surgeon, France) Speciality: La Chaîne del’Espoir July andNovember 2015 General paediatricsurgery Abidjan, Ivory Coast/Cotonou,Benin medical students’courses. be officially acknowledged asanactualpartof universities forLaChaînedel’Espoir’s trainingto been takentosignagreements withrelevant and recommendations fortheboatrenovation nursing auxiliaries,doctors)attendedthistraining 60 staff members ofthe Bangladeshi NGO (nurses, structure. the EmiratesFriendshipHospitalship’s internal regulations, aswellevaluatingandmodernising Friendship’s medicalstaff inhealthandsterilisation The secondmissionhadadualobjective:training have beenexaminedandtreated. care on board hospitalships.Atotalof78patients with variousorthopaedicconditionsandproviding orthopaedic surgeon, aimedatexamining patients carried outbyProfessor Jean-FrançoisMallet,an and onecoordination mission.Thefirstmission, activities in Bangladesh with 2 medical missions In 2015,LaChaînedel’Espoirhasintensifiedits 2015 MISSIONS Bangladesh Programme coordinator: Françoise Project director: RunaKHAN(President ofFRIENDSHIP, Bangladesh) Specialty: Funding: Location: Missions: local staff trainingmissions. 10 millionBangladeshis,LaChaînedel’Espoirnowsendsmedicalteamonhealthcare and Bangladesh)providingneeds ofhospitalshipsintheChars(southern healthcare for over in at-riskriverareas (duetofrequent flooding).Afterassessing themedicalandsurgical provides substantialsupportforthemostunderprivilegedBangladeshicommunitiesliving Friendship isanorganisationfoundedin2002byitscurrent president MrsRunaKhan.It La Chaînedel’EspoirissupportingFriendship’s large-scaleactioninBangladeshsince2014. Paediatric surgery INTERNATIONAL La Chaîne del’Espoir /ENGIEFoundation Dacca February toOctober 2015 Paediatric surgery MISSIONS
Monard (General Secretary ofLaChaînede l’Espoir, France) 6 missionsare scheduledfor2016. reconstructive surgery, cardiology andgynaecology. missions for paediatric, orthopaedic, plastic and by regularly sending healthcare and training this projectto turn into a durable programme La Chaînedel’EspoirandFriendshipwouldlike OUTLOOKS FOR2016 hospital inthesouthofcountry. will beRunaKhan’s nextproject: buildinga Friendship inBangladesh,thehighpointofwhich the jointactionofLaChaînedel’Espoirand The coordination missionsuccessfullyorganised the qualityofcare andhygieneonboard. were transmittedtotheorganisation toimprove
25 La Chaîne de l’Espoir willruntheoretical training both surgeons atCHUMEL. Expertdoctorssentby Séraphin GbenouandProfessor ArmandFiogbe, Benin, undertheauspicesofProfessor Antoine organisation ofapaediatricsurgery congress in In 2016,LaChaînedel’Espoirwilltakepartinthe OUTLOOKS FOR2016 Guinea-Conakry. with theparticipationofsurgery studentsfrom and theirteachersfrom Togo, IvoryCoast,Benin, seminar brought together22surgery students under theauspicesofLaChaînedel’Espoir. This doctoral paediatricsurgery studentsorganised November, during atraining seminar for post- official opening of this new facility took place in theatre tocomeintooperationatCHUMEL. The provided financialsupportforasecondoperating During thecourseof2015,LaChaînedel’Espoir 2015 ACTIVITY 26 managing theorganisation’s actionsinBeninfrom Lomé. disadvantaged children. CarineJonckheere, LaChaînedel’Espoir’s coordinator inTogo, is doctors andhealthexecutivesincomplexsurgicaltechniques,provide surgicalcare to annual partnershipagreement withcleargoals:improving facilitiesandequipment,training of life to its collaboration with the CHUMEL, La Chaîne de l’Espoir signed in 2015 a multi- Centre HospitalierUniversitaire (UniversityHospital)in2015.Inorder togiveanewlease hospital providing medical and surgical care to children as well. It was upgraded to a at theCHUMEL(LaguneMotherandChildHospital,formerlyHOMEL)inCotonou,amaternity Since 2012,LaChaînedel’Espoirhasbeencarryingoutvisceralpaediatricsurgerymissions General paediatricsurgery INTERNATIONAL Funding: Location: Mission: Programme coordinators: CarineJONCKHEERE(Togo) -Pierre RAINGEARD (France) Programme director: PrYann REVILLON(surgeon, France) Specialty: Bénin MISSIONS November 2015 La Chaîne del’Espoir Cotonou -Lagune MotherandChildUniversity Hospital(CHUMEL) General paediatricsurgery
public hospitals. have beenscheduledfor2016inoneofBenin’s mission and 1 general paediatric surgery mission 2 visceral surgery missions, 1 orthopaedic surgery Africa. Basedon our itinerant missions in Togo, sessions fornumerous studentsfrom across West
administrative staff, andlavatories. of 2schoolrooms, anoffice for teachingand de l’Espoirlaunchedin2015theconstruction a child’s experience, LaChaîne earlylearning Because elementaryschoolisacrucialpartof a mangotree. Dossonou elementaryschool’s playground under sometimes attendclassinthemiddleof As amatteroffact,youngpupilswould children’s environment. learning primary aimofthisprogramme istoimprove the Considering thebasicnature ofthefacilities, have accesstohealthcare. in thebestpossibleenvironment. Pupilsalso more than100children tocontinue their studies supplies (textbooks,uniformsandfood)enabled objectives inBenin.In2015,providing school 3 schoolsisoneofLaChaînedel’Espoir’s Supporting the instruction of pupils in these 2015 ACTIVITY Activity: Funding: Location: Bien-Etre etDéveloppement (localNGO) Programme directors: JenniferNAVARRO (France)-CarineJONCKHEERE (Togo) in theseschoolswithLaChaînedel’Espoir’s support. based inTogo sinceearly2015,regularly comestoBeninsuperviseactivitiescarriedout area (west of Cotonou). Carine Jonckheere, La Chaîne de l’Espoir’s programme coordinator and has been actively involved in 2 primary schools and a secondary school in the Hévié term partnerofourorganisation,playsanessentialrole inpromoting educationinBenin underprivileged children inBenin.ien-Etre etDéveloppement,aBenineseNGOandlong- In 2011,LaChaînedel’Espoir initiated anddevelopedaneducation aidprogramme for Sponsorship –Educationaid INTERNATIONAL Sponsorship -Education aid La Chaîne del’Espoir /Sponsors Bénin Hévié MISSIONS
the playarea forasaferenvironment. materials, installthelavatories,aswellfence intends to purchase school and furniture teaching its supporttoDossonouelementaryschool.It sponsorship programme andfurtherdevelop In 2016 La Chaîne de l’Espoir will continue its
27 The donationofaportableultrasoundmachine microsurgery andtendontransfer). treatment ofbrachialplexusinjuries(neurological the localstaff benefitsfrom furthertraininginthe a greater numberofchildren canbeexaminedand Thanks to La Chaîne de l’Espoir’s yearly mission, surgery. 50 children were examinedand24underwent out byDrPhilippeValenti andDrXavierRaingeval. In December2015,asurgical missionwascarried 2015 MISSION 28 in Recife. Healthcare and training missions now take place at the Instituto SOS Mão Criança, based plexus injuries(i.e.lesionsofnervesoriginatingatthespinalcord sustainedduringbirth). 2014 ontraininglocalsurgeonsinthespecificsurgicaltreatment ofsequelaebrachial providing healthcare for destitute children, La Chaîne de l’Espoir focuses its efforts since young surgeons in this specialty. Partner with the Instituto SOS Mão Criança, which is surgical care tounderprivilegedchildren with complex upperlimbdeficienciesandtrain tip of B a coastal city at the far eastern For 10years,LaChaînedel’Espoirhasbeenhelpingdestitutechildren intheRecifearea, Hand andupperlimbsurgery INTERNATIONAL Brazil MISSIONS
razil. Its missions have a double objective: provide course. autonomously performtechniquestaughtinthe Since, allanaesthetistsinthedepartment and dummiesforpracticaltraining. in August2015,withtheuseofsupportdocuments some 20residents duringaconference andinterns on-site withanaesthetistsofthedepartment,and Equipment installationandtrainingtookplace management. to improve anaesthesiaandpostoperativepain to theInstitutein2014enablesanaesthetists La Chaînedel’Espoir’s team. Toulouse based VIMScompanyaccompanied During the 2015 mission, an engineer from the all yearround. treatment byDoctorRuiFerreira onedayaweek benefit destitute children receiving free surgical The use of these new techniques will particularly operative painandresult inafasterrecovery. Such techniques reduce risks of errors, post- blocks, supraclavicularblock,etc.). more difficult anaesthesiablocks (interscalene anaesthesia skilltransfer by introducing new and We havereached anewlevelofloco-regional TRAINING Funding: Location: Mission: Dr XavierRAINGEVAL (anaesthetist,France) -DrRuiFERREIRA(surgeon, Brésil) Programme directors: DrPhilippeVALENTI (surgeon, France) Specialty: December 2015 La Chaîne del’Espoir Recife -Instituto SOSMãoCriança Hand andupperlimbsurgery
in Brazil. be amajorfocusofLaChaînedel’Espoir’s action of footageprovided byVIMScompanywillalso Supporting anaesthetists training through the use congenital disorders are plannedfor2016. Two missionsdedicatedtobrachialplexusand OUTLOOKS FOR2016 used fortrainingpurposes. bank willbemadeavailabletoanaesthetistsand 7 films on anaesthesia techniques. This image Equipped with a camera, he was able to produce
29 organisers, isincharge ofwelcomingpatients, pour EuxNGO,consistingofvolunteernursesand accommodation wheneverneeded.TheEnsemble the wholecountry. TheBilaadgaNGOprovides these partnerships,patientsare recruited across Ensemble pourEuxandBilaadga.Thanksto Sentinelles, HymneauxEnfants,Aufildela Vie, has beenworkinginpartnershipwithlocalNGOs: many patientsaspossible, LaChaînedel’Espoir With aviewtoprovide effective assistancetoas 30 for thetreatment ofsuchconditionsinthewholeWest Africa. Polyclinicaleadingcentreexpertise inthisfield,makingtheOugadougouInternational facial clefts,andsequelaeofnoma,aswelltoprovide state-of-the-artsurgical Chaîne de l’Espoir organises two missions in order to operate on children with tumours, a healthcare andtrainingmissionprogramme inBurkinaFaso2014.Eachyear, La surgery andthescourgeofnoma(agangrene oftheface),LaChaînedel’Espoirinitiated Considering thedifficulties toaccessqualitycare whenitcomestofacialreconstructive Facial plastic&reconstructive surgery Burkina INTERNATIONAL Faso MISSIONS
Zwetyenga, HeadofthePlasticMaxillofacial 2015, underthesupervisionofProfessor Narcisse La Chaînedel’Espoirorganised twomissionsin 2015 MISSIONS fight againstthisdisease. Federation, acoalitionofplayersunifiedinthe l’Espoir becameamemberoftheNo-Noma as wellrehabilitation. In2015,LaChaînede as wellproviding pre andpostoperativecare, surgical techniquessuchasanaesthesia,surgery each missionaimstotrainstaff invarious to autonomouslytreat maxillofacialconditions, In order forBurkinabémedicalteamstobe able and burns. tumours, sequelae of severe craniofacial defects palates, maxilla-mandibularandcervicofacial these missions:sequelaeofnoma,cleftlipsand conditions thatcouldnotbetreated outside patients, all of whom suffering from complex and ParisUniversityHospitalsoperatedon147 surgeons, anaesthetists and nurses from Dijon University Hospital.Ateamofseniorandjunior and ReconstructiveSurgery DepartmentatDijon Dijon Rotary Club Funding: Location: Missions: Programme coordinator: Jennifer Programme director: PrNarcisse ZWETYENGA (surgeon, France) Specialty: La Chaînede l’Espoir/AxaAtoutCœur /Burgundy Regional Council/ Ouagadougou - Ouagadougou International Polyclinic Ouagadougou -OuagadougouInternational March andNovember2015 Facial plasticandreconstructive surgery Navarro partnering withuniversities. scope of this specialty training programme by La Chaînedel’Espoirwouldliketoexpandthe healthcare and training missions will be organised. whose collaborationisvital.To thatend,two population, inpartnershipwithlocalorganisations its actiontomeetthedemandsandneedsof In 2016, La Chaîne del’Espoir intends to continue OUTLOOKS FOR2016 sessions. programme alsoincludestheoretical training mentoring personnelduringprocedures, this and patientpostoperativecare. Inadditionto
31 its supportby organising healthcare andtraining In additiontothis,LaChaîne del’Espoirincreased knowledge. practitioners’ andinterns’ Regular contactsalsocontribute toupgradelocal have beenexaminedindistance consultations. plan willbenecessary. In2015,200children a diagnosisandquicklydetermine whattreatment innovative toolenablesdoctorstoconfirmor refine live thanks to a tele-echography system. This by thePhnomPenhmedicalstaff andbroadcast attends ultrasoundexamsinParisconducted Sidi, a paediatric cardiologist whoregularly sessions are supervisedbyProfessor Daniel access anddistancetraininginCambodia.These important step forward regarding healthcare sessions havebeencarriedout,markingan Since February2015weeklydistanceconsultation and LaChaînedel’Espoir. of themaincommongoalsCalmetteHospital with complexheartdefectsinfullautonomyisone Reinforcing CHCD’s capacitiestotreat children • 2015 ACTIVITIES
32 (CHCD) Calmette HospitalCardiology Department objectives for2016-2018. Hospital renewed theirpartnershipbysigninginJuly2015amulti-annualcontractsetting treat children with heart defects in full autonomy, La Chaîne de l’Espoir and the Calmette a PaediatricCardiology Unit.Aspartoftheirefforts toreinforce CHCD’s capacitiesto the responsibility ofCalmetteHospital,whichofficially integrateditintotheCHCDas 2015, LaChaînedel’Espoirtransferred theChildren’s Pavilion (openedin2003)under department, demonstratingthecontinuedcommitmentofourCambodianpartners.In past twoyears,theCalmetteHospitalhasbeenworkinghard torenovate andequipthis was officially renamed theCalmetteHospital Cardiology Department(CHC).Overthe In May2013thePhnomPenhCardiology Centre, builtbyLaChaînedel’Espoir in2011, Cardiology andcardiac surgery Cambodia INTERNATIONAL MISSIONS
children suffering from complexconditions. place attheCHCD for the benefitofdestitute Our surgical programme hasexclusivelytaken carried out. anaesthesia andintensivecare haveindeedbeen missions and 2 technical support missions for intensive care missions,2paediatriccardiology missions. 4cardiac surgery missions,4cardiac contributing tothe implementationoffree funding amonthlyoperationprogramme, Paediatric Cardiology UnitintotheCHCDby de l’Espoirwillsupporttheintegrationof signed in2015for2016-2018,LaChaîne As amatteroffact,according totheagreement in Cambodiaisstillon-going. commitment tohelpchildren withheartdefects and cardiac surgery, LaChaînedel’Espoir’s in nearingautonomypaediatriccardiology the CHCD is a milestone for Calmette Hospital Even thoughtheChildren’s Paviliontransferto OUTLOOKS FOR2016 Calmette Hospitalandreassigned tothisnewunit. Children’s Pavilion medical staff were taken on by December 31st,2015.Almostallmembersofthe Cardiology Unit. This transfer took effect on to the CHCD and its development into a Paediatric confirming thetransferofChildren’s Pavilion Hospital signedapartnershipagreement In July2015,LaChaîne del’EspoirandCalmette interventional catheterisation(20%). therapeutic procedure insurgery (80%)and 160 children havereceived theappropriate 452 hospitalisations(compared to512in2014). consultations (compared to5,926in2014)and activity slightlydeclinedwith5,490outpatient In 2015, the Children’s Pavilion’s medical • The Children’s Pavilion Deerfield Foundation /Haguro Fund/ Private partners Funding: Location: Pr AntoineLAFONT(referral cardiologist, France) Dr Gérard BABATASI (referral surgeon, France) Dr PhangSOK(medicaldirector oftheChildren’s Pavilion) Programme directors: DenisSAINTE-MARIE(coordinator, Cambodia) Specialty: La Chaînede l’Espoir/CuomoFoundation /HeartandHopefor Children Foundation / Phnom Penh -Children’s Pavilion/Calmette Hospital/Cardiology Department Cardiology andcardiac surgery de l’Espoir. These activitiesare entirely fundedbyLaChaîne (i.e. real-time echocardiography streaming). and arrangingmonthlytele-medicinesessions children follow-up, preparing trainingmissions active andincharge of ensuring postoperative La Chaînedel’Espoir’s regional branchisstill complex conditionsandlowbirthweightcases. organising healthcare and training missions for paediatric consultationsfordestitutepatientsand
33 a company. business andothershavefoundapositionwithin Some have been assisted in setting up their own a jobinPhnomPenhorotherpartsofthecountry. benefitted from this training programme secured This year, more than150apprentices who confidence before startingtheirprofessional life. a crucialstep,enablingyouthstoboosttheir Putting theoretical knowledgeintopractice is restaurants ortheirnailsalon. of theirfuture jobsintheorganisation’s various into practice and fully experience the realities Some hadtheopportunitytoputtheirknowledge teams’ trainingprogramme. have benefitted from Mith SamlanhFriends In 2015over500youngpeoplefrom 15to24 2015 ACTIVITY 34 cultural andsportactivitiesinorder toprepare youthsfortheirprofessional life. is completedbyageneralcourseincludingreading, writingandEnglishlessons,aswell as cooking, sewing, electrics, electronics, mechanics and hairdressing. Technical training young people vocational training through a dozen technical workshops in various fields: such to supportavocationaltrainingcentre forPhnomPenh’s street youths.Thiscentre offers Since 2002LaChaînedel’EspoirhasbeenworkingtogetherwithMithSamlanhFriendsNGO Vocational training Cambodia INTERNATIONAL Funding: Location: Mith Samlanh /Friends(CambodianNGO) Programme directors: SophieROLLIN(France) Activity: MISSIONS Vocational training La Chaîne del’Espoir Phnom Penh
training. objectives regarding young people’s vocational terminate their partnership, since it reached its activities, La Chaîne de l’Espoir decided to After 13yearssupportingMithSamlanhFriends’ l’Espoir’s localcoordinator. Children’s HospitalinParisandLaChaînede assistance, acardiologist trainedatNecker of DrWilliamNgatchoowithEdwineWawo’s and Cameroonian teamsunderthesupervision 2 missionshavebeencarriedoutbyBelgian 2015 ACTIVITY Funding: Locations: Missions: Programme coordinators: Nathalie Programme directors: Martine Specialty: defects. to medicalBelgianandCameroonian missionsoperatingonpatientswithcongenitalheart surgical trainingprojects. Asafirststep,LaChaînedel’Espoirwillprovide financialsupport Marc DerluyneASBLFoundationinorder topromote cardiac surgeryaswellmedicaland 2015 wasthefirstyearofcollaborationbetweenLaChaînedel’EspoirandBelgianRoho Paediatric cardiac surgery Cameroon INTERNATIONAL La Chaîne del’Espoir /Derluyne ASBLFoundation April andOctober 2015 Paediatric Cardiac Surgery Douala (General Hospital)-Yaoundé (Hippodrome Medical MISSIONS Monod-Broca (France)-DrWilliam Ngatchoo (surgeon, Belgium)
de Sousaantos-Fabienne Degouy suite withintheHippodrome MedicalCentre. Dr EdwineWawo’s project to create an operating possibility of contributing its expertise to The organisation is also considering the patients. the twomissionsplannedfor2016torecruiting Foundation andDrEdwineWawo bydedicating working incollaborationwiththeDerluyneASBL La Chaînedel’Espoir intends to keep on OUTLOOKS FOR2016 received surgical care. Thanks to La Chaîne de l’Espoir’s support, 4 patients Dr WilliamNgatchooatDoualaGeneralHospital. surgery isrequired, patientsare operatedonby Centre, built by this cardiologist in Yaoundé. If been examinedattheHippodrome Medical Patients recruited byDr EdwineWawo have
35
surgical care. upper limbcongenitaldeficienciesreceived Thanks tothismission,patientswithhandand in standard surgical techniques. experience, butalsototrainsurgeons andinterns surgical care duetothelocalstaff’s lackof etc.) andwhocannothaveaccesstoappropriate birth complications,strokes, traumas,tumours, sequelae ofcerebral paralysisresulting from treat children withspasticity (suffering from The purposeofthismissionwasnotonlyto Chile andArgentina alsotookpartinthismission. recruitment andfollow-up.Surgeons from Brazil, a plasticandhandsurgeon incharge ofpatient Paris, andincollaborationwithDrSabrinaGallego, orthopaedic surgeon attheJouvenet Clinic in the supervision of Dr Caroline Leclercq, an The missiontookplaceinAugust2015,under 2015 MISSION 36 are indigent. mission mainly focusing on patients with spasticity. All children treated as part of our missions part of thecountry,l’Espoir nowoperatesinMedellin,thenorth-eastern through anannual surgeons inthisspecialty. PartnerwithLasAmericasFoundationsince2011,LaChaînede to treat handandupperlimbcongenitaldeficienciesin children andtrainSouthAmerican Since 2007, La Chaîne de l’Espoir’s surgeons have regularly been travelling toColombia Orthopaedic surgery Colombia INTERNATIONAL Funding: Location: Mission: Programme coordinators: Nathalie Dr SabrinaGallego(surgeon, Colombia) Programme directors: DrCaroline Leclercq(surgeon, France) Specialty: MISSIONS August 2015 La Chaîne del’Espoir /LasAmericas Foundation Las Americas Clinic-Medellin,Colombia Chirurgie delamainetdumembre supérieur
de Sousaantos-Fabienne Degouy surgeons’ training. considering thecriticalneedsregarding Colombian the surgical treatment ofpatientswithspasticity La Chaînedel’Espoirwillfocusitsmissionon University ofAntioquiainMedellin. be continuedin2016withtheparticipationof orthopaedic surgery residents inhandsurgery will This programme aiming at training plastic and OUTLOOKS FOR2016 surgeons. provide supportmaterialsforthetrainingofyoung Clinic’s website.Digitalcopiesoftheseprocedures spasticity were broadcast liveonLasAmericas Caroline Leclercq for the treatment of patients with Regarding training,procedures performedbyDr sequelae and20forcongenitaldisorders. patients were operatedonforneurological Of 66children examinedinconsultation,13 of theBingervilleMother-Child Hospital. organisation charttowards theupcomingopening in developingabusinessplanandthehospital’s La Chaînedel’EspoirassistedtheFoundation La Chainedel prevention andmore. gynaecology, mother-to-child HIV transmission and surgical paediatrics,medicaland surgical offer emergency medicaland surgical care, medical a varietyofpathologies.Thishospitalwillindeed Patients, mothersandchildren, willbetreated for in thehealthcare pyramid. children, includingtertiarycare servicesasdefined range ofhealthcare servicesforbothmothersand This hospitalfacilityisintendedtoprovide awider healthcare servicesthefuture hospitalwilloffer. collaboration withtheFoundationtodevelop In 2015LaChaînedel’Espoirworkedin MOTHER-CHILDHOSPITALBINGERVILLE Funding: Location: Missions: Programme coordinator: JenniferNAVARRO (France) Programme director: Yann REVILLON(surgeon, France) Specialty: support fortheestablishmentofthishospital,whichisyettobecompleted. construction, equipment, and management, La Chaîne de l’Espoir is providing essential the numberofhealthcare facilitiesisstillinsufficient.Thankstoitsexpertiseinhospital mortality and morbidity rates, which are still alarming in Ivory Coast in 2015. Furthermore various key respects. This new hospital will help reduce neonatal, infant and child maternal, the constructionofBingervilleMother-Child Hospital(intheinnersuburbofAbidjan)in In 2013 La Chaîne de l’Espoir was asked bythe Children of Africa Foundation to support Bingerville Mother-Child Hospital INTERNATIONAL Children ofAfrica Foundation Coast Abidjan -the BingervilleMother-Child Hospital March andApril2015 Maternal andchildhealth Maternal Ivory Ivory MISSIONS ’Espoir
and patientfollow-up. paramedical expertsensuringhigh-qualitycare assist localstaff viamissionswithmedicaland Hospital, LaChaînedel’Espoirwillfurther For theopeningofBingervilleMother-Child Foundation from Paris. to provide itssupportandexpertisetothe In 2016LaChaînedel’Espoirwillcontinue OUTLOOKS unit project. after thehospitalopening,andnewoncology expatriate teams who will initially assist local staff for thearchitectural project, therecruitment of Chaîne del’Espoirprovides supportfrom Paris In additiontosendingmissionsAbidjan,La the medicalstaff whowilltreat patients. our professionals toassessthetrainingneedsof The twomissionsinMarch andApril2015enabled
37 ambiguous genitaliawere treated. 122 children withcomplexconditionsand/or Professor JoséUroz, alongwithhisstudents. Missions were also conducted outside Havana by hyperhidrosis management(excessivesweating). reconstructive surgery (cleft lipandpalate), and ambiguousgenitalia(hypospadias),facial on training course in 3 specialties: urology A totalof12surgeons benefittedfrom ahands- practice, tookpartinthesessionsgroups of6. Surgeons intraining,whoalready hadalicense to Cuban staff operatedon 250children inCuba. September 2015),Professor JoséUroz andthe carried outover2sessions(inMarch and As partofourhealthcare andtrainingmissions 2015 MISSION 38 Urology Centre atHavanaPaediatricHospital. few Cubandoctorsmasterduetoalackofspecialisedskills,withthecreation ofthePaediatric l’Espoir andCubanauthoritiestoputtheemphasisonpaediatricurology training,afieldthatvery José Uroz, ageneralsurgeonanddirector ofthisprogramme, decidedtogether withLaChaînede specialties. LaChaînedel’Espoirprovided material andfinancialsupportaswell.In2014,Professor with complexconditionsinvisceralandplasticsurgery, andtotrainyoungdoctorsinthese Paediatric Surgery. Overthepast5yearsvariousmissionshavebeencarriedouttotreat patients programme inCuba,collaborationwithhealthservicesandparticularlytheCubanSocietyof Since 2010,LaChaînedel’Espoirhasbeensupportingthedevelopmentofapaediatricsurgery Paediatric urology surgery INTERNATIONAL Funding: Las Tunas - paediatrichospitals Locations: Missions: Programme coordinators: NathalieDESOUSASANTOS -FabienneDEGOUY Programme directors: Specialty: Cuba MISSIONS La Chaîne del’Espoir Year-round Paediatric urology, visceralpaediatricsurgery Havana, Ciego deAvila, Cienfuegos,SanctiSpiritus, Villa Clara, Pr JoséUroz(surgeon, France)-DrEmilioC ordies (surgeon, Cuba)
intends toterminatethisprogramme in2016. now workinfullautonomy. LaChaînedel’Espoir trained instate-of-the-artsurgical techniquescan the past5years,Cubanmedicalteamshighly After benefittingfrom substantialsupport over OUTLOOKS FOR2016 for thetrainingoffuture surgeons. teaching materialstoHavanaPaediatricHospital Our organisation alsoprovided textbooksand transportation, foodandaccommodationfees. urology. LaChaînedel’Espoircovered students’ of Havanaindicatingtheirspecialisationin participants receive a certificate of the University duration of 6 months. At the end of the course, 4 hoursaweekingroups of6studentsandfora Professor JoséUroz inHavanaconsistsof The paediatricurology coursepresented by TRAINING
Hospital, afully equipped facility for anaesthesia 23 patients were operated on at Ayder Referral at Ayder ReferralHospital,incleftlipsurgery. surgery andtrainingDrMeheret, aplasticsurgeon gastrointestinalpalate andsequelaeofburns, performing reconstructive surgery forcleftlipand This missionhadthree mainobjectives: Bernard Pavy and Professor Romain Vanwijck. Mekelle, conjointlywithDrJeanVendroux, Dr The March 2015missionwas carried out in incorrect. Ebola virusinEthiopia,whichlaterproved tobe of newinformationindicatingthepresence ofthe mission was postpone to March 2015 in the light Initially scheduled for November 2014, this 2015 MISSION Funding: Location: Mission: Programme coordinators: NathalieDESOUSASANTOS -FabienneDEGOUY Pr RomainVANWIJCK (surgeon, Belgium)-PrMitikuBELACHEW(surgeon, Ethiopia) Programme directors: DrJeanVENDROUX(surgeon, France) Specialty: working hard tosuccessfullyimplementhisprogramme. Saint LucClinic.Professor MitikuBelachewisinchargeoflocalcoordination andhasbeen auspices oftheBelgianmedicalteamProfessor RomainVanwijck, asurgeonatBrussels Chaîne de l’Espoir has been carrying out general paediatric missions, organised under the It often feels like a curse to ashamed parents and may cause social exclusion. Since 2010 La thus leadingtomajorgrowth andspeechproblems resulting indelaysschoolintegration. Ethiopia, occurringin1outof700births.Thisdefectcausesfeedingproblems ininfants, Cleft lipandpalateisbyfarthemostcommoncongenitalmalformationoffacein Plastic andgastrointestinal surgery Ethiopia INTERNATIONAL March 2015 La Chaîne del’Espoir /Partenaires Privés Ayder ReferralHospital-Mekelle Reconstructive plasticsurgery, gastrointestinal surgery MISSIONS
planned fortheendof2016. south-west of Ethiopia. A mission has been collaborating with the University of Jima in the Mitiku Belachewhasthustakenstepstowards action inotherareas of thecountry. Professor For 2016,theorganisation isconsideringtaking autonomy inmanagingpatients. years andlocalstaff hasreached ahighlevelof This trainingcoursehasbeenrunningfor6 OUTLOOKS FOR2016 and paediatricradiology. in surgery, paediatricanaesthesia,nursingcare over 46 hours of theoretical and practical training French-Belgian team.Expatriatestaff provided required torepair cleftlipswere suppliedbythe and laparoscopic surgery. However, instruments
39 French. upgrade theirknowledgeinsubjectstaught Teachers attendedtwotrainingsessionsto remuneration ofteachersincharge of350pupils. Abricots byproviding supportforthetrainingand the ParadisdesIndiens’s schoolinthevillageof In 2015,LaChaînedel’Espoircontinuedrunning 2015 ACTIVITY 40 built byourpartner. this programme was quickly extended to all destitutechildren in the 10 primary schools to schooldisplacedchildren inthevillageofAbricotsafterearthquakeJanuary2010, isolated andunderprivilegedregion Haiti.Initiallyfocusedongettingback insouthwestern Foundation, has been carrying out a “Haiti – B rural areas. Since2010LaChaînedel’Espoir, inpartnershipwiththeParadis desIndiens In Haiti,educationaccessandqualityremain majorissuesparticularlyaffecting children in Education aid INTERNATIONAL Funding: Location: Paradis desIndiens Foundation(Haiti) Programme directors: SophieROLLIN,Vincent PERROTTE (France) Activity: Haiti MISSIONS Haiti -BacktoSchoolEducation aid La Chaîne del’Espoir Grand Anse/ Abricotsvillage
ack to School” programme in Grand-Anse, an missions. health centre andsupportingspecialisedmedical to children andtheirfamiliesbymanagingalocal It willfurtherdevelophealthcare servicesoffered favour ofschoolingandhigh-qualityinstruction. work towards thesustainability ofitsactionin In 2016,LaChaînedel’Espoirwillcontinueto OUTLOOKS FOR2016 slates. colour pencils,pencilsharpeners,erasersand various schools: textbooks, notepads, black and supplies forthe2,500pupilsofourpartner’s La Chaînedel’Espoiralsopurchased school farming production andchildren’s nutrition. which hadaverynegativeimpactonfamilies’ this region experienced a severe drought in 2015, This actionproved tobeparticularlyhelpfulsince Pupils were still offered breakfast in the morning. to helpthemengageinlivelihood activities. particularly mothersofchildren from thecentres, continued to provide training for over 500 women, Beauty and sewing workshops have also workers’ housecalls. for children andparents, meetingsand social poster campaigns,informationandhelpcentres means ofcommunicationsuchasplays,parades, conducted inthecommunitythrough various and healthawareness campaignhasbeen expression inchildren. Inaddition, aneducation A dramateacherhasbeenhired topromote self- children’s environment. notice boards…) throughout theyeartoimprove (water fountains,rugs,cupboards, whiteand equipment andfurniture have been purchased Renovation works have been carried out and part inextracurricularactivities. mathematics, HindiandFrench lessons,andtake there before or afterschool.Children receive the benefit of the 1,200 children who meet neighbourhoods inJaipurcontinued for Support forthesedaycentres in5underprivileged DA Y CENTRES as welldiversifiedandqualitycare provided tochildren andtheircommunities. this programme resulted in many positive outcomes with an increased number ofbeneficiaries, mobile clinic,aswellpromoting theschoolingofchildren from isolatedcommunity. In2015, consists ofrunning5daycentres, trainingworkshopsformothers,aprimaryschooland a programme targetsimpoverishedchildren exposedtothedangersofstreets inJaipur. It by promoting children’s educationinIndia,partnershipwith Taabar, alocalNGO.This Since 2011, La Chaîne de l’Espoir has been implementing a poverty prevention programme Sponsorship -Educationaid INTERNATIONAL India MISSIONS
activities andreceive homeworksupport. Young school girls can enjoy extracurricular for younggirlsfrom disadvantagedcommunities. from nursery school to primary school included Luniyawas, thisschoolprovides free instruction Opened in2012theneighbourhoodof SNEH PRIMAR cupboards. purchased: sewingmachines,waterfountains, Throughout theyear, newequipmenthasbeen Y SCHOOL
41
Sneh schoolinJuly. communities whofirststarted theirschoolingat This wasthecasefor65younggirlsfrom such access education. education, enablingout-of-schoolchildren to run daily courses with a view to raise interest in Teachers havebeenrecruited andtrainedto families in3villagestheoutskirtsofJaipur. support to200children from disadvantaged In 2015 LaChaîne de l’Espoir provided further SUPPORTING ISOLATED COMMUNITIES well asadailymeal. all received schoolsuppliesandhealthkits,as Children from thesecentres andtheschoolhave past year. that is65more younggirlscompared withthe In July200newcomersintegratedtheschool, school’s environment. learning greater numberofchildren andimprove the have beenpurchased in2015towelcomea teaching materials(whiteboards, noticeboards) (cupboards, water fountains, a water cooler) and (tablesandchairs),equipmentNew furniture missionsIndia International 42 Funding: Location: Programme directors: SophieROLLIN (France)-TAABAR (Indian NGO) Activity: Sponsorship -Education aid La Chaîne del’Espoir /Talents et Partage/UNOSEL Jaipur (Rajasthan) children andfurtherdevelopitssupport. this programme andextendittobenefitmore In 2016,LaChaînedel’Espoirintendstocontinue OUTLOOKS FOR2016 been implemented. gynaecology anddermatologyconsultationshave Over the last quarter of 2015, more specialised each day. and asocialworkerexaminearound 300people target areas. Startingthisyear, adoctor, anurse children andtheirfamiliesviadailyrounds inall component. Itprovides free care andadviceto This clinic constitutes the programme’s health MOBILE CLINIC villages. the provision of water and health kits in those and safety. Thisinitiativewassupplementedby awareness amongst mothers on children’s health Sessions havealsobeenorganised toraise communities inseveraltarget areas. to make books available to children and their children intoamobile libraryafterschool andturns A minivanhasbeenputintoservicetotransport nurse anaesthetistsandlaboratoryprofessionals. care nurses,butalsooperatingtheatre nurses, courses. Beneficiarieswere essentiallyintensive from thistrainingprogramme through 15-day Beirut throughout 2015.37peoplebenefitted continued at Hôtel-Dieu de France Hospital in The training of Ibn Al Bitar paramedical staff 2 programme. received treatment sincethebeginningofthis A total of237 children with heart conditions thanks tothisprogramme. the endof2015),105children havebeentreated of transferstoLebanon(from December2011to France HospitalinBeirut.Sincethebeginning transferred andoperatedonatHôtel-Dieude Ibn AlBitarHospital’s medicalteamshavebeen In 2015, 23 children previously selected by Bagdad 1 • 2015 ACTIVITY • Funding: Location: Programme coordinator: GonzagueDESFORGES Dr HusseinALHILLI(director ofIbnalBitarHospital,Iraq) Programme directors: PrAlainDELOCHE(surgeon, France) Specialty: La Chaînedel’EspoirLebanonandHôtel-DieuFranceHospitalinBeirut. Iraqi paramedicalstaff traininghavebeentakingplaceinLebanon,partnershipwithHeartbeat/ since 2005todeveloppaediatriccardiac surgeryinIraq.Since2011transfersofchildren and La Chaînedel’EspoirhasbeenworkingincollaborationwithIbnAlBitarHospitalagdad Paediatric cardiac surgery for surgery Transferring children toLebanon in Lebanon Training Iraqiparamedicalstaff INTERNATIONAL La Chaîne del’Espoir /Total E&P Iraq Beirut, Hôtel-Dieu deFranceHospital Cardiac surgery MISSIONS Iraq
Lebanon. and training170paramedicalprofessionals in 105 children toLebanonforcardiac surgery children havebeenoperatedon),transferring la Chaînedel’EspoiratIbnAlBitarHospital(33 organising surgery andtrainingmissionswith 132 children toFranceforcardiac surgery, France (10 professionals in total), transferring medical teamsinpaediatriccardiac surgery in cardiac surgery), training 2surgeons and2 8 intensive care bedsdedicatedtopaediatric the hospitalfacilities(4operatingsuitesand been reached byrenovating andequipping de l’EspoirandIbnAlBitarHospitalhavenow the cooperation agreement between La Chaîne place for 10years,objectivesset as part of be continuedin2016.Afterhavingbeen The MedicalAidProgramme inIraqwillnot IN IRAQ THE 2005-2015MEDICALAIPROGRAMME TERMINATION ANDASSESSMENTOF
43 François Mallet. 2upperlimbsurgery missions March 2015,underthewingofProfessor Jean- An orthopaedicsurgery missiontookplacein • severe kyphosis. severe congenital and neurological scoliosis, and Children mainlysuffered from spinaldiseases, Noor AfsharHospitalduringthesecondmission. missions and18children underwentsurgery at in 2015. 228 patients were examined during the at RobertDebréHospital,carriedout2missions Professor KeyvanMazda,anorthopaedicsurgeon • Orthopaedicandspinesurgery benefitted 45doctorsand5nurses. French Embassy andLaChaînedel’Espoir In 5years,thistrainingprogramme runbythe Debré HospitalinParis. course atNeckerChildren’s HospitalandRobert 5 nursescompletedanadvancedtraining Embassy inTehran, 9Iraniandoctorsand de l’Espoir. WiththesupportofFrench missions were senttoIranbyLaChaîne In 2015,8medicalmissionsand2support 2015 MISSIONS
44 Orthopaedic andupperlimb surgery 2015 inTehran toprovide free accommodationforchildren from remote provinces. missions, Iraniandoctorsare trainedinFranceeachyear. TheChildren’s Houseopenedin Sina Hospital, and Vali-e-As Hospital). 6,000 children have been treated. Alongside these Centre forChildren, ImamKhomeiniHospital,NoorAfsharShahidRajayi 58 healthcare and training missions have been carried in our 6 partner hospitals (Medical destitute familiesinthefieldsofcardiac, orthopaedicand reconstructive surgery. In9years, Iran by Maryam Marashi in 2007, aiming at providing high-quality care to children from La Chaînedel’EspoirhasbeenactiveinIransincethefoundationof Paediatric surgery INTERNATIONAL MISSIONS Iran
patients are expectedtobeaccommodated Iran. 12medical missions are planned and 500 working closelywithLaChaînedel’Espoir In 2016,LaChaînedel’Espoirwillkeepon OUTLOOKS FOR2016 been accommodatedin2015. for children not to fall behind. 120 children have language care rooms. Classesare alsoorganised and includes examination and dental/speech- facility provides pre and postoperative care, with their mothers, this fully equipped medical With apermanentcapacityforaround 15children from across Iran. give accesstohigh-qualityfree care tochildren The Children’s House in Tehran opened in 2015 to • TheChildren’s HouseinTehran scheduled forfuture missions. sustained at birth). 54 similar cases have been complex conditions(brachialplexusinjury were examined and 34 underwent surgery for and November 2015, during which 105 children were carried out by Dr Philippe Valenti in April Funding: Location: Missions: Programme coordinator: FrançoiseMONARD(General Secretary, France) Programme director: MaryamMARASHI(President ofLaChaînedel’EspoirIran) Specialty: La Chaîne del’Espoir /French Embassy inTehran /Partners Tehran -LaChaînedel’Espoir Iran Year-round Specialised paediatricsurgery hospital. de l’Espoir Iran’s project to build a paediatric has alsobeenscheduledaspartofLaChaîne at the Children’s House. An expertise mission
45 mission wasscheduled forNovember. This In thispromising context,asecondsurgery ensured fullcoverage ofchildren’s medical fees. de l’Espoir. Inthis respect, theMinistry of Health wish tocontinuetheirpartnership withLaChaîne Director of the Cardiac Centre expressed their General Director ofHealthandtheGeneral Minister ofHealth,theErbilGovernorate’s Despite Kurdistan’s financialdifficulties, the refugees. from the Mosul area and a few Syrian Kurdish mission. Patients were mainly displaced children to undergo surgery was drawn up for a future called forsurgery. Aprovisional listofchildren 31 examinationswere performed,8ofwhich cardiologist andacardiologist. hospital staff madeupof a surgeon, a paediatric They worked in close collaboration with the his assistant,aswell3intensivecare nurses. of asurgeon, aperfusionist,ananaesthetistand 13th, 2015. La Chaîne de l’Espoir’s team consists mission tookplaceinErbilfrom March 6thto Cardiac Centre in December 2014, afirst surgery After aconsultationmissionwascarriedoutatthe 1 2015 ACTIVITY
46 • Cardiac surgerymission due tofightingandthemassiveflowofdisplacedpeople refugees. in itsoriginalformconsideringthattheeconomicandpoliticalsituationgreatly deteriorated Raparine PaediatricHospital in Erbil. In 2015 thisprogramme could not be fully implemented cardiac surgery missions at the Cardiac Centre and a training programme for nurses at missions identifiedtwolinesofactiontomeetKurdish authorities’needs,namelypaediatric La Chaînedel’EspoirhasbeenactiveinIraqiKurdistan since April2014.Severalassessment Cardiac surgery Kurdistan INTERNATIONAL Iraqi MISSIONS
patients inpreparation ofasurgery mission. was displacedfrom Mosulhimselfandselected paediatric cardiologist andapaediatrician,who have beenconductedby theCardiac Centre’s surgery for future missions. 27 consultations been examinedandselect newcasesfor consultations withchildren whohadalready a shorter mission took place to carry out and tragicpoliticaldevelopments.However, mission wascancelleddue to financial reasons implemented. to waitforthesituationimprove before being de l’Espoir’s project remains apriority, itwillhave authorities acknowledgedthatwhileLaChaîne Following extensive discussions, Iraqi Kurdish missions couldnottakeplace. and economicclimate,theselong-awaited Due to theextreme deteriorationofthepolitical were tobecovered bytheMinister ofHealth. for newlyrecruited professionals. Allrelated costs to runtheoretical andpracticaltrainingsessions surgeon, were tocarryouttwo15-daymissions nurses, together with a paediatric general As partofthisprogramme, 2seniorcharge March 2015. Department ofRaparinePaediatricHospitalin collaboration withtheDirector oftheSurgery findings, a programme has been established in Taking intoaccountthe2014assessment 2 enable ustoresume ouractionin2016. He promised to doeverythinginhis power to programme, whichisstillverymuchneeded. prospects forthepaediatriccardiac surgery of Healthtotakestockthesituationandfuture Another meetingwasorganised withtheMinister • Funding: Location: Missions: Programme coordinator: GonzagueDESFORGES Programme director: DrSylvainCHAUVAUD (surgeon, France) Specialty: Nurse trainingatRaparineHospital La Chaîne del’Espoir /Kurdistan Regional Government Erbil -Raparine PaediatricHospital/Cardiac Centre March andNovember 2015 Cardiac surgery, intensivecare training
47 November inLaosforthefirsttimeitshistory. of Paediatric Surgery, whichtookplace in of theAnnualCongress oftheASEANSociety and financialsupporttowards the2015edition La Chaînedel’Espoiralsoprovided logistics in 2015forabettermanagementofchildren. equipped bothhospitalswithmedicalequipment In addition to this, La Chaîne de l’Espoir has provided theoretical andpractical training. (surgeons, doctorsandanaesthetists)have missions, membersofLaChaînedel’Espoir have been operated on. As part of these Vientiane, over the course of which 60 children Mahosot HospitalandChildren’s Hospitalin In 2015, 4 missions have been carried out at 2015 MISSIONS 48 healthcare andtrainingprogramme invisceralsurgerysince2011. to officialiseitsactionsinthecountry. Professor Pierre Hélardot hasbeenmanagingthis l’Espoir wasgrantedan“OperationPermit”bytheLaoMinistryforForeign Affairs in2015 to helpdeveloppaediatricsurgery. Afterthisinitiativewaslaunchedin2014,LaChaînede France-Laos andSoignerlesEnfantsduMonde,metVientiane academicauthorities’request Based on this situation, La Chaîne de l’Espoir together with local NGOs Amitié-Coopération and children, isstillofpoorqualityandthere isablatantlackoftrainedspecialiseddoctors. lacks resources tomeetitspopulation’s primaryneeds.Healthcare, especiallyforinfants Even thoughLaoshasrecently beenexperiencingasignificanteconomicgrowth, thecountry Paediatric visceralsurgery INTERNATIONAL Funding: Location: Missions: Programme coordinator: JenniferNAVARRO (France) Programme director: PrPierre HELARDOT (surgeon, France) Specialty: Laos MISSIONS La Chaîne del’Espoir /Soignerles Enfantsdu Monde Vientiane -MahosotHospital, Children’s Hospital January, April,September andNovember2015 Paediatric visceralsurgery
considered. neighbour countriesforLaosurgeons isbeing the possibilityofarrangingtrainingcoursesin Moreover, inorder tofurtherdeveloptraining, diagnosis andprognosis. anatomy, whichplaysanessentialpartinlesions alongside visceralsurgery: paediatricpathological A newmedicalspecialtywillbeintroduced organising 4missions ayear. In 2016 La Chaîne de l’Espoir intends to keep OUTLOOKS FOR2016 this event. and 4membersofLaChaînedel’Espoirattended of theBritishAssociationPaediatricSurgeons 75 participantsfrom ASEANcountries,amember catheterisations were performed. Children’s HospitalinParis.12interventional catheterisation trainingcourseatNecker Mozambican cardiologist attendingapaediatric aparticipation ofDoctorFidelioArnaldo, missions in February and June, with the Sidi led cardiology and interventional cardiology 3 missionswere carriedoutin2015.Professor all yearround. disposable goodsandequipmentare supplied l’Espoir’s ECHOESprogramme. Inaddition, Professor DanielSidi,aspartofLaChaînede distance ultrasound exams performed by Diagnosing patientsisfacilitatedbyreal-time children. cardiac surgery and catheterisation for destitute interventional cardiology and act as a support for enable theMHItogainfurtherexpertisein La Chaînedel’Espoir’s missionsinMaputo 2015 MISSIONS Mozambique Dr BeatrizFERREIRA(cardiologist, Mozambique) Programme directors: PrDanielSIDI(paediatric cardiologist, France) Specialty: Funding: Location: Missions: Programme coordinators: NathalieDESOUSASANTOS /FabienneDEGOUY ultrasound programme. along with other health centres, of La Chaîne de l’Espoir experimental real-time distance heart diseasesandreinforce localteams’skills.Since2015theMHIhasbeenpart, Children’s HospitalinParis,theMHIisnowabletotreat children withsevere orcomplex director of the MHI, and Professor creation in2001.Thanks tothejointactionofDrBeatrizFerreira, acardiologist and La Chaînedel’EspoirhasbeensupportingtheMaputoHeartInstitute(MHI)sinceits Cardiology andcardiac surgery INTERNATIONAL La Chaîne del’Espoir /Privategivers Maputo Heart Institute(MHI) February -June -November2015 Cardiology andcardiac surgery MISSIONS
Daniel Sidi, a paediatric cardiologist at Necker
blood bank. disposable goodsfortheoperatingsuiteand is alsoplanningonpurchasing equipmentand To respond tosignificantneeds,theorganisation mission and1biomedicalmission. missions for2016:1interventionalcatheterisation La Chaînedel’Espoirisscheduling2surgery OUTLOOKS FOR2016 surgery. children andtheirfamiliesbefore andafter dedicated to accommodate disadvantaged been providing financial support to rent a house Since summer 2015 La Chaîne de l’Espoir has interventional catheterisationswere performed. Necker Children’s Hospital. 15 operations and 16 supervision ofProfessor PascalVouhé from took placeattheendofNovemberunder The third surgery andcatheterisationmission
49 province ofSofala,whichBeira isthecapital old. Theycomefrom variousdistrictsinthe Most children accommodatedare 0to5years social difficulties. considerable economichardship andserious orphans andchildren from families experiencing to thiscentre, whichtemporarilyaccommodates La Chaîne de l’Espoir has continued its support 2015 ACTIVITY 50 Mozambique this orphanage. La Chaînedel’Espoir, partnerofthisprogramme since2012,provides financialsupportto vulnerable orphansandchildren inBeira,aportcitythenorth-eastofMaputo. The Mozambican institution O Infantário Provincial “Os Continuadores” welcomes extremely Orphanage support INTERNATIONAL Funding: Location: Infantário Provincial “Os Continuadores”- Projecto Infantil-(Mozambique) Programme directors: SophieROLLIN(France) Activity: MISSIONS Orphanage support La Chaîne del’Espoir /Partners Beira
institution. their biologicalfamilyafterstaywithinthe who integrateafoster family or go back to A follow-upserviceisprovided forchildren a teamofnurseryassistants. educational andleisure activitiessupervised by They alsoreceive medicalcare and takepartin foster theirphysicalandemotionaldevelopment. city, and benefit from individualised attention to
40 schoolsaffected bytheearthquakes. programme by providing financial support to some bring backtoschoolchildren whobenefitfrom this Furthermore, LaChaînedel’Espoirwishedto take shelterduringthemonsoonseason. tarpaulins andsheetsofmetaltoenablethem medication, mosquitonets,blankets,mattresses, and communities withbare essentials: food, rapidly organised to provide affected families supplies, a first emergency relief mission was Despite difficulties intravellingandproviding their homebutalsolivelihood. affected bytheearthquakesandoftenlostnot only Almost 650familiesofourprogramme were the country. of this programme in various areas across hit by2earthquakes,badlyaffecting beneficiaries During thesecondquarterof2015Nepalhasbeen 2015 ACTIVITY Activity: Funding: Location: Children Protection Centres andServices(NepaleseNGO) Programme directors: SophieROLLIN(France) support forchildren’s schoolingandsupportingstreet children’s rehabilitation. leisure activities and community awareness meetings to over 1,000 children, providing material across Nepal.Ittakesamultipronged approach: managingsome30day centres offering local NGO, this programme aims at promoting education for street children in various areas Launched in2011partnershipwiththeChildren Protection Centres andServices(CPCS),a Sponsorship -Educationaid INTERNATIONAL Sponsorship -Education aid La Chaîne del’Espoir /LaVoix del’Enfant Nepal Nepal MISSIONS
regional coordination branches. and supportthesechildren byimplementingnew in vulnerablesituationsandhelpCPCSfollowup promote educationforyoungNepalesechildren In 2016LaChaînedel’Espoirwillcontinueto OUTLOOKS FOR2016 daily light meals to encourage school attendance. food supportforpupilshasbeenreinforced with These centres havealsobeenrefurbished and primary andsecondaryschools. This actionbenefittedalmost12,000children in soon aspossible. back children inthebestpossibleenvironment as sothatschoolswouldbeabletowelcome furniture equipment (forsportsandgames),aswell materials (books,tables,posters)andleisure CPCS was thus able to hand out teaching
51 anaesthesia training. anaesthesia training. efforts on infant cardiac surgery and intensive care After thismission,itwasdecidedtofocusour oftheoesophagus. of causticburns andtreatment hypothermic perfusioninnew-borns arch reconstruction using anterograde cerebral up in cardiac surgery intensive care, aortic patient managementandpostoperativefollow- Training provided duringthismissionincluded surgeon. and DrPierre Hélardot, apaediatricvisceral Dr Catherine Amrein, an intensive care anaesthetist, at NantesUniversityHospital,togetherwith of Professor OlivierBaron, acardiac surgeon mission took place in June under the supervision Based onthefindingsofthismission,asecond regarding theCentre’s medicalteamstraining. was carriedoutinApril2015 to assess needs children. The first mission, an exploratory mission, Centre offers cardiac surgery care foradultsand Run by Professor Feruz Nazirov, the V.V. Vakhidov 2015 MISSIONS 52 covered bytheNGOSenY Surgery Centre, locatedinthecapital,Tashkent. Allcostsofthisprogramme havebeen 3 missionshavebeenorganisedandcarriedoutattheV. V. Vakhidov RepublicanSpecialised in order toassessneedsregarding childcare andthetraining ofUzbekmedicalteams. On theUzbekgovernment’s request, LaChaînedel’EspoircametoUzbekistanin2015 Cardiac surgery Uzbekistan INTERNATIONAL Funding: Location: Missions: Fabienne DEGOUY(France) Programme coordinators: Jean-RochSERRA(General Director, France) Programme director: PrOlivierBARON(surgeon, France) Specialties: MISSIONS Sen Yolg’iz Emassan Foundation Tashkent –RepublicanSpecialized Surgery Centre V.V. Vakhidov April, Juneand December2015 Cardiac surgery, anaesthesia andintensivecare training olg’iz Emassan.
nurse, forahygieneaudit. surgery. HewillbejoinedbyAlinePerret, asenior to selectcomplexcasesbebrought toFrancefor conducting a mission at the V.V. Vakhidov Centre Professor Olivier Baron is also planning on training inthisfield. the V.V. Vakhidov Centre andpromote specialised collaboration, improve cardiac neonatalcare at Olivier Baron’s unit to further strengthen their 3 UzbekdoctorswillalsostayaweekinProfessor University HospitalinFrance. attend a1-monthtrainingcourseatNantes In 2016 an Uzbek intensive care specialist should OUTLOOKS FOR2016 operated onforheartdefects. have beenexaminedand8patients Professor OlivierBaron andhisteam.20patients The third missionwasconductedinDecemberby
of itsactions. reach, inorder toimprove theimpactandquality where ithasbeenmore activeandhasawider this programme in2015tofocusitsefforts inareas La Chaînedel’Espoirterminateditsinvolvementin children’s livingconditions. our participationinrenovation workstoimprove Support tothedaycentre wasreinforced through to share somequalitytimeandlistentochildren. than amere accesstoreading, itisanopportunity children andtheirfamilieswithateacher. Farmore several timesaweekintarget areas, bringtogether continued this year. These sessions, organised for ourstreet reading activity, whichhasbeen Furthermore, storybookshavebeenpurchased with different levels. in the NuevaVilla area, cateringeveryday for pupils They stillbenefittedfrom privatetutoringsessions supplies tohelpthemcontinuetheireducation. In 2015sponsored children received school 2015 ACTIVITY Activity: Funding: Location: Programme directors: SophieROLLIN (France)-Enfantsdes Andes (PeruvianNGO) vulnerable situations. disadvantaged neighbourhoodsandthemanagementofacentre forchildren inextremely This programme supports theinstructionandassistanceofsome100children livingin has been taking actions for the benefit of vulnerable children in Peru for over 20 years. for destitutechildren inNazca,partnershipwithEnfantsdesAndes,aNGOwhich Since 2011, La Chaîne de l’Espoir has been actively involved in promoting education Sponsorship -Educationaid INTERNATIONAL Sponsorship -Education aid La Chaîne del’Espoir /Sponsors Nazca Peru MISSIONS
53 had been feeling deeply isolated and powerless had a psychological impact on local doctors, who organisation). The presence of French doctors also theatre management(healthregulations andstaff courses were givenonnursingcare andoperating emphasis ongastroenterology. More specialised emergencies andvisceraldiseases,withan provided, mainlyfocussingonabdominal A total of 17 hours of theory sessions were complex techniques. moreand generalpractitionerswishingtolearn comingclosetothe endoftheirstudiesinterns thus performed.Anotherobjectivewastotrain on adultsandchildren: 15operations were perform generalandgastrointestinal operations One oftheobjectivesthismissionwasto 1994. highly unsafesincetheGreat Lakeconflictsin east ofthecapitalKinshasa,thisarea hasbeen Republic ofCongo.Locatedmore than1,500km extent of needs in this region of the Democratic l’Espoir. Thismissionenabledustoassessthe organisation andtakenoverbyLaChaînede a programme initiatedin2009byapartner nurse was carried out in April 2015, continuing A missionwithDrJean-Pierre Lechauxanda 2015 MISSION 54 General Surgery Democratic of Congo Republic INTERNATIONAL Funding: Location: Mission: Programme coordinators: Nathalie Programme director: PrJean-Pierre LECHAUX (surgeon, France) Specialty: MISSIONS April 2015 La Chaîne del’Espoir Goma -Kyeshero Hospital General andgastrointestinal surgery foradultsandchildren
de SOUSA SANTOS(France) -FabienneDEGOUY(France) goods toboththesehospitals. also toprovide basicequipmentanddisposable order to respond to the various training needs, but La Chaînedel’Espoiristhuslookingforfundingin CharityHospitalalsolocatedinGoma. the Maternal staff. However, newrequests havebeenmadeby Training willcontinuefortheKyeshero Hospital OUTLOOKS FOR2016 refugees innearbycamps. of thepopulationamongwhichare thousandsof from the capital, despitetheconsiderableneeds considering thelackofequipmentandsupport treated eachday. average of 2 to 3patients were examined and catheterisation andtherapeutic angioplasty. An of congenialheartdefects through coronary 2015 thisprogramme focussedonthetreatment interventional cardiology initiatedin2014.In Senegalese teamtrainingprogramme inpaediatric (Nantes University Hospital) to continue the Thibault ManigoldandDoctorPatriceGuérin Sassolas (Lyon UniversityHospital), Doctor Ferrand University Hospital), Doctor François by Professor JeanRenéLusson(Clermont- 4 cardiology missionswere alsoperformed defects (valvularheartdiseases). treatment for congenital and acquired heart Hospital) enabled32children toreceive surgical Professor DominiqueMétras(MarseilleUniversity Thierry Langanay(RennesUniversityHospital)and Roux (Toulouse UniversityHospital),Doctor 4 cardiac surgery missionsledbyDoctorDaniel surgery and paediatric catheterisation. In 2015, specialties: medicalcardiology, paediatriccardiac theory and practice, training is provided in several programme to train CCPC’s future staff. Combining La Chaîne del’Espoircontinues its mission • 2015 ACTIVITY Training andmissions of thiscentre, LaChaînedel’Espoircontinuesitshealthcare andfuture staff trainingmissions. West Africawithhigherqualitycare inahighlyregarded facility. Inadditiontotheconstruction This centre willopenitsdoorsin2017to provide children withheartconditionsfrom across through theconstructionofCuomoCentre forPaediatricCardiology (CCPC)inJune2015. La Chaîne de l’Espoir is nowfocussingits efforts on promoting paediatric cardiology medical andsurgicalteamtodevelopcardiac surgery andcardiology inWest Africa, After a10-yearcollaborationwithFannCentre forCardiovascular andThoracic Surgery’s Cardiac surgery andcardiology Senegal INTERNATIONAL MISSIONS
President. NDour, apresidential ministerandadvisortothe of HealthandSocialAction,MrYoussou Senegal, Professor Awa MarieCollSeck,Minister presence ofMrsMarièmeFayeSall,FirstLady Cuomo took place on 15 June 2015 inthe Centre for Paediatric Cardiology byMrsElena The layingofthefoundationstoneCuomo • for PaediatricCardiology Construction oftheCuomoCentre
55 equipment, as well as furniture. Its purpose is in order to provide medicaland computer The CCPCequipmentplanhasbeenestablished counterparts atLaChaînedel’Espoir. been recruited and will work closely with his The CCPC’s future biomedical engineerhas 2 biomedicalmissionswere carriedout. In additiontomedicalandsurgical missions, • a year. ward withamanagementcapacityof900children inpatient unitwith10bedsand1consultation theatres, 1intensivecare unitwith10beds,1 be notedthatthiscentre willinclude2operating is due to open at the beginning of 2017. It should Construction started in June 2015and the centre widely reported inlocalmedia. This highlysymboliceventforWest Africawas missionsSenegal International
56 Facility equipment Funding: Location: Missions: Programme coordinators: LauraDAVENEL (France),MamadouSELLY LY (Sénégal) Dr BaraDIOP(cardiologist, Senegal) Dr MouhamadouNDIAYE (surgeon, Senegal), Programme directors: DrDominiqueTOURNAY (anaesthetist,France) Specialty: La Chaîne del’Espoir /CuomoFoundation Dakar -Fann Centre forCardiovascular andThoracic Surgery Throughout 2015 Cardiac surgery andinterventionalcardiology for destitutechildren. postoperative care, which will be free of charge from remote provinces and provide pre and accommodate young patients and their families Children’s HouseinthevicinityofCCPCto La Chaînedel’Espoirisalsoplanningtobuilda course (from March toAugust). surgeons anddoctorswillattenda6-month Minh City, Vietnam, where ateamof8Senegalese take placeattheVien TimHeartInstituteinHoChi For administrativeease,partofthecoursewill of theCCPC. should beready toworkeffectively bytheopening the Senegalese medical and surgical team, which In 2016LaChaînedel’Espoirwillcontinuetraining OUTLOOKS FOR2016 standardinternational requirements. teams, inviewofthelocalcontextand to meet the needs of medical and paramedical various servicesoffered bythisprogramme. decreased in favour of children in schools receiving Since 2014,thenumberofdirect beneficiarieshas beneficiaries oftheeducationaidprogramme. In December2015,2,302children were direct 2015 ACTIVITY remote ruralareasenvironments andlearning are stillmajorissues. as free educationandhealthcare forchildren, theeconomicsituationofsomehouseholdsin situations. EventhoughThailandhasevolvedandimplementedfavourablesocialpolicies,such Thailand, providing education aid and psychosocial support to children in extremely vulnerable For over25yearsLaChaînedel’EspoirhasbeenactiveintheBuriramProvince, innorth-eastern Education aid Thailand INTERNATIONAL MISSIONS
Thanonhak library, builtin2014,hasreached its community. With the help of our teams, the Ban but alsotheirabilitytoblossomandliveinthe programmes forpupilstodeveloptheirknowledge The teachingstaff organises anddiversifiesactivity • Educational projects
57 To this end,they regularly take part in activities in promote children’s psychosocialrehabilitation. Our teamhasbeendevelopingactivitiesto support andappropriate medicalcare. 9 new comers who now benefit from high-quality January andMay2015,thisfacilitywelcomed have beenmistreated orabandoned.Between now hosting 42 children, 20 girls and 22 boys who Created in2010,theNGO’s flagshipproject is • repair). agriculture, music,wastemanagement,bikes sciencethrough(learning experimentation,botany, the benefit of2,749pupilsand over 80 teachers of this programme are still being carried out for Projects launchedsince2012inotherschools activities around reading. The teachingstaff hasdevelopedfuneducational full potentialin2015forthebenefitof485pupils. missionsThailand International
58 La Maisondel’Espoir(HouseofHope) Funding: Location: Programme directors: LorianeLUCMALLE (France)-Philippe THEARD(Thailand) Activity: Education aid La Chaîne del’Espoir /Sponsors /Privatepartners Buriram Province
enabling ustobettermeet thechildren’s needs. actions byimpactingthecommunity asawhole, These projects willexpandthereach ofour of ourprogramme, whichwilltakeshapein2016. This isafirststeptowards thedesired direction in charge of developing educational projects. In May 2015, our team welcomed anew member OUTLOOKS FOR2016 children wre cared for. hospital and teachers from Kanlayanamit. 2,024 l’Espoir, thankstothecollaborationofNangrong in thefourth quarter of2015at La Maison de A newdentalcare campaignhasbeenlaunched 38 pupils,etc. by ChoomchonWatbannongkong schoolwith activitiesorganisedvillage parade,fraternity of the community:food give-outs, Loy Krathong Nong Kongvillagesandhavenowbecomepart
Surgery DeparmentofSylvanusOlympioUniversity Professor HubertTékou, ChiefofthePaediatric and were carriedoutbythesurgery teamof in 2015withintheprovince’s PublicHospitals 2 generalpaediatricsurgery missionstookplace • 2015 MISSIONS General paediatricsurgery l’Espoir’s activityinBenin. Jonckheere, basedinLomé.ThisdelegationisalsochargeofsupervisingLaChaînede a delegationofLaChaînedel’EspoirFrancenowactingundertheresponsibility ofCarine de l’Espoir ceased collaboration with La Chaîne de l’Espoir Togo and created in June 2015 In order tofurtherdevelopitshealthcare projects, almostuninterruptedsince2014,LaChaîne General paediatricsurgery INTERNATIONAL Togo MISSIONS
and training programme in Togo, under the conducting a paediatric neurosurgery care Since 2011LaChaînede l’Espoirhasbeen • (cleft lipandpalate). surgery (boneinfection)andmaxillofacialsurgery hydrocele,hernia, testicular ectopia), orthopaedic treated fellinthefieldsofvisceralsurgery (inguinal children. Duringthesetwomissions,conditions examined 228children andoperatedon105 at AntonyHospital(France).In6days,theteam Doctor FrançoisBarbotin-Larrieu,ananaesthetist at Aneho’s Lomé) with Public Hospital (eastern The second missionwascarried out in August Chaîne del’Espoir. Hospital, alsotookpartinthismissionforLa anaesthetist doctoratBordeaux University underwent surgery. DoctorCharlotteSgro, an were examined inconsultationand101children Lomé).202childrenPublic Hospital (northern The first mission tookplacein May at Notsé travel toLomé. affordable care todestitute children whocannot missions), giveaccesstohigh-qualityand These missions, named itinerant missions (mobile Hospital in Lomé, and Professor Grégoire Akakpo. Neurosurgery
59 well aslogistics. in charge ofpatientrecruitment andfollow-up,as La Chaîne de l’Espoir’s delegation was exclusively tests beforehand. and performedexaminationspreoperative Moumouni, hadpreselected patientforsurgery Dr AnthonyBekety, withtheassistanceofKader Doctor JacquelineConvert,ananaesthetist. Pellerin (acraniofacialsurgery specialist)and Professor PatrickDhellemmes,Professor Philippe La Chaîne de l’Espoir’s team was made up of University Hospital. mission since2011tookplaceinSylvanusOlympio Hospital inLomé.InNovember2015,theeighth neurosurgeon atSylvanus Olympio University and in collaboration with Dr Anthony Békety, a supervision of Professor Patrick Dhellemmes missionsTogoInternational 60 Funding: Locations: 2. Neurosurgery: November2015 1. Generalsurgery:MayandAugust2015 Programme coordinators: CarineJONCKHEERE(Togo) -Pierre RAINGEARD (France) Pr Yann REVILLON(surgeon, France) Programme directors: PrPatrickDELLHEMMES (neurosurgeon, France) Specialty: La Chaîne del’Espoir General surgery andneurosurgery Notsé andAného -PublicHospitalsLomé -SylvanusOlympio University Hospital training sessions. 2016 toprovide endoscopytheoryandpractical As forneurosurgery, amissionisscheduledfor in Togolese provinces. logistical andfinancialsupportforitinerantmissions La Chaînedel’Espoirwillcontinuetoprovide Hubert Tékou’s retirement. Jean-Pierre Faure Gnassingbé after Professor Sylvanus Olympio, now managed by Professor 2 visceralsurgery missionsare plannedatCHU OUTLOOKS FOR2016 cysts, haemangioma,etc. spina bifida,myelomeningocele,hypertelorism, children were operated onforvariousconditions: surgery inthecourseofprevious missions.18 postoperative visitsfor23children whounderwent to examiningnewpatients(58patients)and The first2daysofthemissionwere dedicated of theprimaryschoolswith 381pupils. l’Espoir fundedtheconstruction oflavatoriesinone school facilities. That is why in 2015 La Chaîne de the rehabilitation, construction,andequipment of environment, LaChaînede l’Espoirissupporting To furtherimprove thechildren’s learning start theirprofessional life. course received asewingmachinetohelpthem colours. Young studentsregistered inthesewing first graduatespassedtheirfinalexamwithflying difficulties continued in 2015. Ourwith learning The vocationaltrainingprogramme forchildren individual support. By theendof2015,817were benefittingfrom this for underprivilegedchildren. healthcare servicesandadailyhotmealatschool outfits, healthkits,tuitionfees),comprehensive (school supplies and textbooks, uniforms, sport full coverageoftuitionfeesandmaterialneeds This individualsponsorshipprogramme offers 2015 ACTIVITY Funding: Location: Programme coordinators: CarineJONCKHEERE (Togo) -JenniferNAVARRO (France) Activity: from Togo. schools asawhole.CarineJonckheere, thenewprogramme coordinator, isnowworkingon it a comprehensive approach including individual aid (sponsorship) and collective support for who are fallingbehind.To reach asmanypupils aspossible,thisprogramme willgradually take in Lomé.In2012LaChaînedel’Espoirinitiatedavocationaltrainingprogramme forchildren disadvantaged children in10schoolssupportedbytheorganisation,GrandTokoin District Since 2002LaChaînedel’Espoirhasbeendeveloping an educationaid programme for Sponsorship -Educationaid INTERNATIONAL Sponsorship -Education aid La Chaîne del’Espoir /PSponsors /Privatedonors Lomé -Grand Tokoin District Togo MISSIONS
to otherschools. public authorities,Project Nyagbéwillbeextended forward. ImplementedwiththesupportofTogolese anddevelopmentshouldbebroughtlearning In 2016,newprojects aiming atenrichingpupils’ dynamic andinnovativemethods. completes traditional instruction with creative, This project hasbeenimplementedinschoolsand and oral&writtenexpression workshops. and commitmentof947pupilsthrough awareness This project aimsatimproving the schoolability or “speech”inEwe,thelocallanguage). programme: Project Nyagbé(meaning“message” a pilot project was initiated in 2 schools of the At thebeginningof2015-2016academicyear, in 2015. meals to 1,112 children since 2012 and continued school’s canteen has been offering daily healthy In linewiththisholisticapproach, Adjalléprimary
61 62 Communication 2015 . . . . Events Regional Branches Digital Communication Communication Essentials p .68 p .67 p .66 p .64
63 64 Essentials Com’ - - - Emergency reliefformigrants - TF1«JTWE»•Chirurgiedel’espoir:siamoisséparésJuneandJuly - LeParisien•L'incroyable exploit•June - - - LeFigaro •Desfrères •June siamoisséparésàNecker - - AFP•DesbébéssiamoisguinéensséparésavecsuccèsàParis Hassane andBoubacar,ameicalfeat - Senegal: Cuomoentre forP - - - - Jordan: ReliefaiforSyrianrefugeechil dren RFI Huff Post• France 24«L'Entretien »•Y Fann. Pourunebonneespérance deviepourlesenfants•June Montagne La debordSud Ouest•Journal d’unmédecinpaloisenGrèceOctober guinéens estunexploit»•June Ouest France•Rennes.UneéquipeduCHU àDakar•November RTL «RTL Matin»• Necker-Enfants Malades•June France 5«LeMagazinedelasant黕 u Quotidien Sud enfants syriens•November Contensou étaientàLesbos,enGrèce•October France 24«Focus»• syriens blessés•November France 2«20week-end»• •
Ile deLesbos:ledouloureux travaildesmédecins bénévoles
Sur lesroutes del’Europe, l’humanitaire estconnecté • •
Les infirmières JacquelineMartinezSeveracetCaroline Pose delapremière pierre ducentre cardiopédiatrique de
Eric Cheysson:«Laséparationdesbébéssiamois
Jordanie :leschirurgiensbénévolesauchevetdes
oussou N'Dour, unartiste engagé•October Une ONGfrançaisevientenaideauxenfants aediatric Cardiology
es bébés siamois séparés à l’hôpital Des bébéssiamoisséparésàl’hôpital • • •June
October October October October 10% 20% 30% 40% 50% 0% MEDIA IMPACT ANALYSIS Printed media 48,15% in printed media Value ofdonated advertisingspace andpreferential rates:e Mentions in themedia Mentions 43,15% Internet - - - - - Burkina F - - - - Events - M6«Le12.45»•Moussa:notre coupdecœur•December - OuestFrance•IlsaccueillentMichellependantsonopérationDecember - France2«Toute uneHistoire »•Accueillirunenfantmalade •November - - - - Afghanistan - - - Treatment ofChildreninFrance - The KabulTimes• cœur desAfghans» Times Afghanistan RFI Ouest France• uf Post Huff conjoined sistersinAfghanistan France 3«12/13»• Le Figaro •NatalieDessay:chansonsdumondeNovember Notre Temps •LaCompète:couriraveccœur! •June France Ouest Le BienPublic•Missionsourire pourunchirurgiendijonnais•November la pauvreté •February France 2«EnvoyéSpécial»• Var Matin•LeGrandPrixPhotoaseslauréats •March Radio Classique•ConcertsalleGaveau:spotpublicitaire •February • November aetèe Magazine Parenthèse Le Progrès •Natis,accueillidansunefamillecurissoise,estguériJune • regional press Daily and 83,64% National press 13,02% specialised press Professional and 1,34% pressInternational 0,33% News agencies 1,67%
Afghanistan :l’IMFEpoursuitsondéveloppement TV /Radio 8,70% • 1,244 mentionsinthemedia aso
Eric Cheysson:«Battons-nouspourquel’espoirreste dans le
Le cœurdeCaenbatjusqu’àKaboul •
En mission,leschirurgiensleurredonnent lesourire
FMIC launchesadultcardiac surgeryprogram •
No FinishLine:unmarathonpouraiderlesenfants
efying the Odds: First successful case of separating Defying theOdds:Firstsuccessfulcaseofseparating • •
August August
24h InsideLaChaînedel'EspoiravecTony Le noma,unemaladiequiportelevisagede 10% 20% 30% 40% 50% 0% •
August Printed media 48,15% in printedmedia Mentions in themedia Mentions 43,15% • Internet 95,259
June June • July regional press Daily and 83,64% National press 13,02% specialised press Professional and 1,34% pressInternational 0,33% News agencies 1,67% • TV /Radio
8,70% November •
October • May May
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Twitter FACEBOOK 10 pagesin2015 have beencreated, totalling 7 newFacebookpages • Ourbranchesare connected SOCIAL MEDIA • Responsive • User-friendly • Modern NEW WEBSITE 66 connected memberswhobecomenewlinksofourchainsolidarity. programmes, LaChaînedel’Espoirshares itsfightforhopeandlifewiththousands of awareness around thousandsofchildren benefittingfrom ourhealthcare andeducation Thanks toitsfollowers years, thuspromoting ourorganisation’s actionsinaninvaluablewayontheInternet. The digitalcommunityofLaChaînedel’Espoirhasbeencontinuouslygrowing overthe tweets retweeted 866 (80.5%) 1,076 tweets followers 4,669 +56% 23,123 fans likes 164,420 Digital Com’ in 2015 on Twitter anditsfansonFacebook,activelyinvolvedinraising More spaceforvideosandpictures Emphasis onnewposts Facilitated browsing Caen YOUTUBE posts 51 comments 9,089 Nice Toulouse subscribers 251 Bordeaux viewed minutes 514,450 Caubeyres Albi
Monaco Y velines views 125,707 videos 69 pictures 250 shares 29,977 INSTAGRAM followers 500 videos 29 The 3rd editionof the Bouger pourdesenfants 2015 and RotaryClubsinLaBaule haveshowntheir both children and adults.Forthree weeks,Lions des Aulnes came to life for the enjoyment of From December 12thtoJanuary3rd, theBois (Magical Christmas)operation. edition of its end-of-the year Noël Magique La Baule city council organised in 2015 the 16th Noel Magique2015 inVannestournaments andEvreux. Lyon Thiaisand Albi, aswellrugbyandtennis Paris andToulouse, treks andculturalhikes in events across France:charityrelay racesinNice, and offered to 1,450 participantssome twenty Our branches were actively involved this year across theworld. and children regarding the fate of sick children and awareness amongthegeneralpublic,parents campaign is agreat opportunity to raise funds 2015. Devotedtocharitysportsevents,this (Run forChildren) operationtookplaceinspring been heldin2015across France. local partnershipswithcompanies,citycouncilsorregional authorities.15eventshave 16 regional branchesorganisefundraising andawareness events.Theyalsodevelop and raisefundstosupportthem.Throughout theyear, some350volunteersinour brought a wealth of imagination and energy to increase the visibility of our actions Our volunteers are a vital link of our solidarity chain. Committed and dynamic, they branches Regional Haut de SeineetChevreuse (Yvelines). et enIledeFrance :Arpajon(Essonne) ;Créteil(Val ; DeuillaBarre de Marne) (Val d’Oise); Marseille, Nantes, Nice/Monaco,Poitiers, Requista,Rennes,Strasbourg, Toulouse, Vannes La Chaînedel’Espoirispresent in: Bouger pour des enfants
Albi, Bordeaux, Caen, Caubeyres, Evreux, Lille, Lyon, dedicated toitsactions. 10th year and 100th child welcomed during a party On thesameday, ourNantesbranch markedits an exhibitionandsaleeventinVianne. regional branch,celebratedits20yearsduring On November 6th our Albi branch, the oldest anniversar Albi andNantesranches present attheDartystore inBlagnac. and Antony. OurvolunteersinToulouse were regions havemobilisedinstores inCréteil-Soleil volunteers intheVal-de-Marne and Yvelines From November 17thtoDecember24th,our its giftwrappingoperation. providing LaChaînedel’Espoirwithastandfor For severalyears,theIDKIDSbrandhasbeen Gift wrappingoperation mulled wineandpastries. running standsinthevillagetoselldonuts,crepes, unwavering supporttoLaChaînedel’Espoirby y
67 (Season ofSolidarity)toLaChaîne del’Espoir. dedicate the28theditionof SaisonsdelaSolidarité Axa Atout Cœur and the Orchestre de l’Alliance Almost 900peopleattended Concert atSalleGaveau. 68 FEBRUAR to show their support and turn thesehappeningsintomustgotoevents. to showtheirsupportandturn France. Whether it be for music, sports or culture we can always count on our volunteers From JanuarytoDecember, LaChaînedel’Espoirtakespartinvariouseventsacross Events Y at theSaint-Tropez RotaryClub. 50 photographsselectedby thejuryare auctioned Over 500photographerstook part Saint-Tropez. dePhotographie Grand PrixInternational Y MA
has beentakingpartintherace. For 6years, LaChaîne del’Espoir’s running team 20 kmdeParis.Over100runners 3 nights. 50,465km ontheChampsdeMarsin4daysand 1st edition,over4,000participantsranalmost No Finish Line life and ethics,aswell asNicole Bacharanon the in theMiddle-East, MrRobertBadinteron theendof honour towelcome AntoineSfeirongeopolitical issues give aconference atitsheadoffice.In 2015wehadthe La Chaînedel’Espoirinvites anesteemedguestto perceptive partof it.EveryfirstMondayofthemonth, us tounderstanditand become anactiveand a timetoshare andreflect upontheworldsurrounding la Chaîne(MondaysattheChaîne). Thesemeetingsare organising a monthly event open to all: Les Lundis de DSince 2011LaChaînedel’Espoirhasbeen Les lundisdeLaChaîne And also…
OCTOBER Y MA ® Paris by Siemens. For this
Naouri andtheirguests. Exceptional concert with Natalie Dessay, Laurent Almost 1,500peopleattended Concert attheThéâtre desChamps-Elysées. banks oftheSeineinParis. Second edition of the 4x5km relay race on the La CompètedeParis.Around 1,500runners DECEMBER handsome sumofe teammate made ittothe7thquestion, winning the programme, thesponsor ofourorganisation andher set oftheFrench Whowantstobeamillionaire? TV to wine In April2015,Mireille tried Darc andJulienArnaud Qui veutgagnerdesmillions ? Madoux, FrédéricEnceland Jean-Marc Droguet. Foldès andFrédériqueMartz,GeneralBertrandRact- Vladimir Fedorovski, Françoise Hostalier, Pierre arrival of awoman in the White House. As well as JUNE 1 millionforLaChaîne del’Espoir. Onthe 48,000.
69
70 management Structure and . . . Human Capital Governance Funding andActivity p .76 p .78 p .72
71 Expenditures Resources 72 and activity Funding MAIN RESOURCESANDALLOCATION OFFUN DS IN2015 21.31M 22.39M (2015 charges: 52%+investments:26%) Programme expenses78% 78% Development 19% Operating expenses 2% Provisions 1% Individual donors 51% Partners andprivatefunds 28% Legacies 6% State subsidies 6% Resources from previous years&other 9% for localdoctors andsurgeons. hospital facilitiesaswell trainingprogrammes construction, renovation orprojects to equip La Chaînedel’Espoir’s larger projects involving Public andprivateinstitutional partnerssupport cause. encourage employeestorallyaround acommon demonstrations (sportsevents,auctions,etc.)to partner companies also organise events and or more children. LaChaîne de l’Espoirand or, occasionally, tosurgical operationsofone in FranceProgramme, educationprogrammes They alsocontributetotheTreatment ofChildren programmes andmedicalequipmentprojects. hospital projects, healthcare, personneltraining partnerships, especiallywhenitcomesto large projects do so through long-lasting fund infullorpartLaChaînedel’Espoir’s The areas ofdevelopment. direct debit andonlinedonationsare ourprincipal mail, emailandtelephone.Regulardonationsby We solicit donations from thegeneralpublicby relationship withachildabroad. of regular donation, which fosters a personal funded through individualsponsorship,atype For themostpart,oureducationprogrammes are missions. the organisation oflocalhealthcare andtraining funding midtolong-termprojects, principally paediatric operations,orthrough regular donations activities eitherthrough one-off donationstofund Individual donors support the organisation’s l’Espoir’s principalsource ofrevenue. The The organisation has4mainsources offunding: RESOURCES general publicrepresents LaChaînede companies andfoundations,which
de l’Espoir, which represents a value ofover volunteered foratotalof2,914daysLaChaîne • organisation’s activitiesandgrowth. Volunteers makeanessentialcontribution tothe VOLUNTEERING ANDIN-KIN D ONATIONS - or hospitalprojects. training, elementaryeducation,medicalequipment include specifichealthcare programmes, medical meeting the partner’s specifications. This could clearly definedobjectives,budgetand requirements partners, “dedicatedfunds”,fundprogrammes with Income contributedbycompaniesandcorporate programmes, training,equipment,etc.). France, healthcare missions abroad, education at LaChaînedel’Espoir(Treatment ofChildren in public andlegaciesfundallkindsofprogrammes In general,incomecontributedbythegeneral OF FUNDINGBYACTIVITY USE OFDIFFERENTSOURCES - communications campaigns. radio, free TVadvertising,press articles)and through excellentmediacoverage(TVbroadcasts, Our activitiesare promoted todonorsandpartners brochure, information,etc.) donors through regular communication(thelegacy website. We develop aspecial relationship with in thenewsletter, otherpublicationsand onthe by creating a dialogue and providing information the general public’s interest in leaving legacies La Chaînedel’Espoirseekstosparkdonors’and
See Programmes,bycountry/Funding of PrincipalContributors See Acknowledgements/List Medical Volunteers: In2015,261missionaries
73
at the equivalentof3full-timejobsandvalued benefitted from 5skills-basedsponsorships, and energy. In2015LaChaînedel’Espoir satisfaction forthosewhocontributetheirtime La Chaînedel’Espoirandasource ofpersonal skills availabletous,isaprecious formofaidfor sponsorship, qualifiedpeoplewhomaketheir Skills-Based Sponsorship:Lastly, skills-based and facilities. services free ofcharge: communications,studies contractors alsoprovide avarietyofgoods and contribution valuedate equipment alsorepresent animportant In-Kind Donations:Medicalmaterialsand activities isestimatedate raising funds. The monetary value of these increasing LaChaînedel’Espoir’s visibilityand to theorganisation ofeventsanddemonstrations Paris andcontributemore andmore eachyear children toFranceforoperationsoutsideof active volunteersalsoparticipatedinwelcoming • organisation ofmissionsabroad. in administrativetasks,fundraisingandthe 2,298 daysoftheirtime.Theyactivelyparticipate working inourheadofficecontributedatotalof • witnesses toourwork. serving asambassadorsforourorganisation and of 5,700daysaswelltheinvaluablegift these familiesmadeacombinedcontribution families. Theaveragestaywasabout2months; transferred toFranceandcared forbyhost • and paramedicalmissionsabroad. professionalism ofLaChaîne del’Espoir’s medical medical techniciansensure thesuccessand e Funding andactivity
795K. These surgeons, doctors,nursesand Head Office Volunteers: Around 40volunteers Regional Branches:16brancheswith127 74 Host Families:In2015,95children were e 204K. 1,087K. 171K. Professional
for affected communitiesintheGreek islands an emergency humanitarianrelief programme and incamps,LaChaîne del’Espoirinitiated as wellthepoorhealth conditionsonroads refugees, mainlycomingfrom SyriaandIraq, In children were examinedbymedical expertsin2015. Dakar. Thankstothislivestreaming technology, 344 Phnom Penh and the Fann Teaching Hospital in Heart Institute,theCardiac Children’s Pavilionin Medical InstituteforChildren inKabul,theMaputo to La Chaîne de l’Espoir’s head office: the French In 2015 four healthcare centres were connected distance ultrasoundexams. network in various countries during real-time cardiologists from LaChaînedel’Espoir’s hospital experts inpaediatriccardiology inParisto echocardiography trainingprogramme connecting project inFebruary2015,atele-expertiseand La ChaîneduSavoirlaunchedtheECHOES completed somenewprojects. In 2015 La Chaîne de l’Espoir initiated and NEW PROJECTS and Lebanon). countries (Germany, Belgium,UK,Cameroon, Iran Chaîne del’Espoirbrancheslocatedinother La Chaînedel’Espoiralsocollaborateswith Health AllianceInternational). Enfants desAndes(Peru),WAHA (Women and Children Protection Centers and Services (Nepal), (India), MaputoHeartInstitute(Mozambique), “Paradis desIndiens”Foundation(Haiti),TAABAR (Ivory Coast),ChennEspwaFoundation(Haiti), Assistance (CongoBrazzaville),Children ofAfrica Mith Samlanh/Friends(Cambodia),Congo SOS MAOCrianças(Brazil),SIFPAR (Cambodia), D’Azur (BurkinaFaso),Assohuma Institute for Children (Afghanistan), AKDN, Terre Développement (Benin),TheFrench Medical organisations in 2015: ALIMA, Bien-Etre et de l’Espoircollaboratedwiththefollowing Within the context of these activities, La Chaîne conflict resolution protocols. the periodofcontract,itsterminationand reviews, communications, thenature ofexternal party’s responsibilities, operationsmonitoringand the objective,proposed transactions,each agreements statingthetarget beneficiaries, organisations isgenerallydefinedbyspecific La Chaînedel’Espoir’s collaborationwithother LA CHAINEDEL’ESPOIR OPERATING ONBEHALFOF AND INTERNATIONAL ORGANISATIONS AGREEMENTS WITHFRENCH PRINCIPAL ASPECTSOFRELATIONS/ Europe, consideringtheincoming flowof leading centre Kabulinthemanagementof for Afghanwomenandmothers.Itwillbea and neonatology, theFMICexpandsitsservices centre dedicatedtogynaecology, obstetrics interruption. Thankstothisnewlevel3medical for Children wasresumed after5monthsof Child Centre oftheFrench MedicalInstitute In providing primarycare. to helpalmost10,000refugees viamobileclinics (WAHA), 30health professionals havebeenable with theWomen andHealthAllianceInternational (Serbia, Croatia). Over4months,inpartnership (Lesbos, Samos, Kos, Chios) andthe Balkans Afghanistan , construction oftheMotherand
and implementing international recommendations. and implementinginternational at traininglocalstaff inpaediatriccardiac surgery new medical cooperation aims in the mean term which covered thefullcostsofthesemissions, this collaboration with the Uzbek SenFoundation, cardiology and cardiac surgery. Carried out in organised healthcare andtrainingmissionsin Specialised Surgery Centre, LaChaînedel’Espoir January 2015 at the V.V. Vakhidov Republican In and socialprogramme. continue theireducationthrough aneducational a capacityof18bedsandwillallowchildren to The Children’s House,anon-medicalcentre, has and oneoftheir parents for destitute families. surgery accommodationforhospitalisedchildren and Phnom Penh, will offer free pre- and post- modelled aftertheChildren’s HousesinKabul House project hasbeenlaunched.Thisfacility, the FannTeaching Centre inDakar, aChildren’s the Cuomo Centre for Paediatric Cardiology of In department managementandmedicalprotocols. and assessingneedsintraining,equipment, by hiringstaff (around 200professionals) expertise towards theopeningofcentre obstetrics and neonatology, isproviding its medical team, with experts in gynaecology- students. LaChaînedel’Espoir’s multidisciplinary emergencies, aswellateachingcentre for birth, gynaecologicaldiseasesandobstetrical high-riskpregnancy,new-borns, physiological Uzbekistan, afteranexploratorymissionin Senegal, inadditiontotheconstructionof
75 director ofprogrammes. financial director, adirectora ofdevelopmentand executive director, achiefadministrative and Operational management is overseen by a chief a deputygeneralsecretary andatreasurer. president, twovice presidents, ageneralsecretary, members theExecutiveCommitteeconsistingofa of Directors which chooses from amongst its bytheBoardLa Chaînedel’Espoirisgoverned MANAGEMENT of whomvote. La Chaînedel’Espoirhas202activemembers,all LA CHAINEDEL’ESPOIR’S MEMBERS and educationprogrammes. training missionsabroad, equipment,sponsorship France, emergency relief missions,healthcare and activities: treatment ofchildren transferred to The AnnualReportcoversallLaChaînedel’Espoir’s ANNUAL REPORT THE SCOPEOFLACHAINEDEL’ESPOIR’S Prefecture. (#99/4993) onDecember12th,1994attheParis non-profit organisations, wasregistered with theJuly5th,1901French lawgoverning La Chaînedel’Espoir, establishedinaccordance LEGAL STRUCTURE LA CHAINEDEL’ESPOIR’S 76 Governance End of term: June 2017 End ofterm: SENY Group Vice Director General Emile DINET Treasurer: June2017 End ofterm: Senior consultant Françoise MONARD June2017 End ofterm: Cardiovascular surgeon, Paris (France) Dr SylvainCHAUVAUD General Secretaries: June2017 End ofterm: Toulouse (France) Cardiac surgeon atUniversityMedicalCentre of Dr anielROUX June2017 End ofterm: Hand surgeon atJouvenetClinic,Paris(France) Dr PhilippeVALENTI Vice Presidents: June2017 End ofterm: Hospital, Pontoise(France) Chief ofVascular Surgery atRenéDubos Dr EricCHEYSSON President: • OF DIRECTORS2015 LA CHAINEDEL’ESPOIR’S BOARD Executive Committee
internal supervisoryorganinternal whichactivelypromotes OversightCommittee isan The RiskandInternal • policies orinvestmentstrategies. financial managementsuch asequitycapital Board of Directors of decisions regarding strategic The Financial Committee’s role is to inform the • carried outproperly. La Chaîne de l’Espoir’s missions and activities are Board of Directors’ decisionsandtoguaranteethat The ExecutiveCommittee’s role istoimplementthe • COMMITTEES LA CHAINEDEL’ESPOIR’S SPECIALISED June2021 End ofterm: Director Affairs) ofInternational (represented byMsFlorence Veber, AP/HP Paris HospitalsandPublicAssistance June2018 End ofterm: Cardiovascular anaesthetist,Paris(France) Dr ominiqueTOURNA June2019 End ofterm: Children’s Hospital,Paris(France) Former ChiefofPaediatricSurgery atNecker Pr Y June2018 End ofterm: Anaesthetist, Paris(France) Dr XavierRAINGEVAL June2020 End ofterm: lawyer, Paris(France) Sébastien PRAT June2020 End ofterm: Nouvelles Frontières’ FoundingPresident Jacques MAILLOT June2020 End ofterm: Cardiologist, Paris(France) Pr AntoineLAFONT June2017 End ofterm: Engineer Jean-Claude LAFEUILLADE June2020 End ofterm: AXA Group Non-executiveDirector Denis UVERNE June2017 End ofterm: Inspector GeneralofFinances Philippe DUMAS June2020 End ofterm: Engineer Gonzague DESFORGES June2017 End ofterm: ENT doctor, Paris(France) Dr MichelCYMES June2020 End ofterm: ENGIE AssistantGeneralDirector Valérie BERNIS June2020 End ofterm: Hospital, Caen(France) Chief ofCardiac Surgery atCaenTeaching Pr Gérard BAATASI •
Risk and Internal OversightCommittee Risk andInternal Financial Committee Executive Committee Members ann REVILLON
Y
specialised external structures. specialised external programme evaluationscanbecarriedoutby continued, expandedorterminated. Ifnecessary, results, whichdetermine whetherprogrammes are these criteria.Indicatorsare establishedtoanalyse Programmes are monitored andevaluated based on elements havebeendefined. provisional budgetisestablishedoncethese sustainability of the proposed programme. A and materialcapitalaswell the viability and objectives, activities,desired results, human determine needs,thenumberofbeneficiaries, missions take place in order to evaluate context, Before puttingaprogramme intoplace,multiple efficacy withaccuracy. programmes allows us to monitor their utility and countries involvedinLa Chaîne de l’Espoir’s Direct contactwithhealthcare authoritiesin EVALUATING IMPACT ANDEFFECTIVENESS supervisory strategy. OversightCommitteeisinchargeInternal ofthis its procedures andstrategies.TheRisk of outside professionals and volunteers to audit La Chaînedel’Espoirregularly enliststhehelp INTERNAL CONTROL MEASURES TAKEN TOENSUREADEQUATE partners andsuppliers. designed toavoidconflictsofinterest with its La Chaîne de l’Espoir has established a procedure CONFLICTS OFINTEREST accounts are carriedoutaccording toregulations. that theproductionauditofcompany andexternal adequate managementcontrols are inplaceand thatformalisedproceduresgood governance, with organisation isincompliancewithlawsandrulesof risks intoaccount.Italsoguaranteesthatthe the organisation anditsprocedures takethese organisation (riskmapping)andensures that Itanalysesrisksfacedbytheof governance. risk prevention andtheobservance oftherules
77 host families, LaChaînedel’Espoiralso receives In additiontotheremarkable work ofour300 NUMBER ANDROLEOFVOLUNTEERS (3 full-timeequivalents). Chaîne del’Espoirbytheir respective employers 5 employeeshavebeen made availabletoLa When itcomestoskills-basedsponsorship, - SenegalBranch - Togo branch - Thailandbranch - Cambodiabranch - Afghanistanbranch numerous localandexpatriateworkers: Directly dependent local structures also employ La Chaînedel’Espoir’s continuingdevelopment. is anincrease from previous yearsandindicates employed 39 full-time equivalent workers. This As ofDecember31st,2015LaChaînedel’Espoir THE ENDOF2015 NUMBER OFEMPLOYEESAS 78 for international missions. for international technicians inFrance,aswellvolunteerdoctors,paramedicalpersonneland of volunteersincludingadministrators,hostfamilies,doctors,paramedicalpersonneland La Chaîne de l’Espoir relies on a team of salaried employees and a substantial network Human capital 3 employees 3 employees 6 employees 8 employees 2 employees 20 employees
come toe Combined, the 3 highest earner’s yearly salaries assessment interviewswith eachemployee. a consistent pay scale and carries out regular The organisation hasworkedhard toimplement the nature oftheirresponsibilities. each employee’s professional experience,skillsand Remuneration at La Chaînede l’Espoir is based on THE ORGANISATION REMUNERATION POLICYWITHIN events. on aregular basis.Theyalsoorganise fundraising technical, administrativeandfinancialexpertise other French citiescontributetheirlogistical, Furthermore, over170volunteersinParisand part inlongorshort-termmedicalmissions. doctors, nurses and medical technicians taking regular volunteersupportfrom hundreds of 259,646.
79 80 statements 2015 financial . . . . Treasurer’s Report Auditor’s report Acknowledgements partners 2016 budget p .112 p .88 p .82 p .113
81 mortality due tomalnutritionand illnesses to fundourprogramme inMalitoreduce child - ae two one-off subsidiesforspecific projects: In 2014LaChaînedel’Espoir benefittedfrom decrease. in 2014toe State subsidies have dropped from I (+16.8%). e Income andExpenditure Statementcameto Overall in2015,thetotalincomestatedon INCOME •StateSubsidies
82 22,390K Expenditures Statement. The 2015 numbersare sourced from the standard document of reference, the Resources and This translatestoabalanceofe Total expenditures, includingfinancialandexceptionalexpenses,cameto came toe In 2015,LaChaînedel’Espoir’s totalresources, includingextraordinary itemsandfinancialincome, I havethepleasure ofpresenting youwiththe2015Treasurer’s Report. Dear MembersandFriendsofLaChaînedel’Espoir, 2,300K subsidyfrom theEuropean Union Treasurer’s , that is e Report 1,358K in2015,marking a68% 22,390K. 3,224K more than in 2014 1,076K. e 4,198K
public minus collection costs) increased by 12.7%, The netfundsraised(donations from thegeneral dropped by0.9%(e (+9.1%), eventhoughfundraising costshave from (excluding legacies)have significantly increased Income originating from the general public II • in 2016. House inKabul.Thisfacilitywillbecompleted to fundtheconstructionofnewChildren’s - ae was completedin2015. interacting withmalnutrition.Thisprogramme Donations from theGeneralPublic 500K subsidyfrom theFrench Embassy e 10,540K in2014toe 25K). 25K). e 21,314K. 11,501K in2015 of It shouldalsobenotedthatlegaciesattheamount in 2015, a49%(e Legacies andcontributionscametoe III •LegaciesandContributions organisation’s mainsource offunds(51%). Donations from thegeneralpublicremain the difficulty. strong performanceinthesetimesofeconomic from fiscal year. This provision hasbeenreversed duringthe2015 any inconvenienceforourorganisation. In theend,thiscontractwasterminatedwithout was recorded attheendof2014fiscalyear. the Kabulhospital,aprovision forriskofe Echo West onthephaseIIextensionproject of breakdown of the contractwith the supplier As ahedgeagainsttheriskrelated toa VI •ReversalofProvision revenues in2015. year andaccountforonlyhalfoftheorganisation’s Donations from thegeneralpublicdecrease each indicates the diversification of funding sources. La Chaîne de l’Espoir’s growth is significant and savings rates. policy to compensate for the sustained slump in from 2014to2015),reflecting adynamicinvestment Financial income amounts to V be completedinFebruary2017. This project wasinitiatedinJune2015 andwill the Centre for Paediatric Cardiology in Dakar. a privateFoundationtofundtheconstructionof previous year. We received ae e Contributions from privatepartnerscame to IV •PrivatePartners funds. indicates that this is an ever increasing source of •FinancialIncome 6,284K, anincrease of193%(e e 1,459K are stillbeingprocessed, which e 7,762K toe 8,748K, whichrepresents a 448K) increase from 2014. e 5,000K grantfrom 126K (consistent 4,136K) from the 1,363K 500K
amount toe missions abroad. Thus,programme expenditures All increases in income were spent on social aid II •SocialAidMissions represent 21%oftotalexpenditure. from Current expenses have increased by 2.7% e4,027K (19%oftotalexpenditure). management, taxreceipts, anddatacollection)at costs (fundraising, communication, donation and remain modest, as do development represent only2.5%oftotalexpenditure It shouldbestressed thatoperatingexpenses I to theincrease inincome. The increase inexpenditure in2015isproportion EXPENDITURE Institute forChildren inKabul,Afghanistan. amounts outstandingfrom theFrench Medical to initiateaprovision forriskofe La Chaîne de l’Espoir, outofprudence, saw fit III •Provisions commitments tocome. 52% forsocialaidmissionsin2015and26% accounted for by programme expenses, of which In terms of ratios, 78% of expenditures are Paediatric Cardiology inDakar. 2017 related totheconstructionofCentre for been secured forfuture commitmentsin2016and •Current Expenditure e 4,443K in 2014 to e 10,984K in2015ande 4,563K in 2015 and 111K dueto 5,656K has
83 missions. missions. nurses, anaesthetists)on LaChaînedel’Espoir the exactnumberofvolunteers (surgeons, doctors, By processing administrative transactions, we know I following non-monetarycontributions: In 2015,theorganisation benefittedfrom the awaiting funding. assistance if necessary and startnew projects in incomeaswelltoprovide emergency relief This wouldallowtheorganisation tofaceadecrease reserves andfundsdedicatedtospecific actions. fund willthusamounttoe ( We propose toallocatetheoutstanding amount Afghanistan insuchanunstableclimate. project reserve inorder tosecure ouractionsin Meeting to set asidethe amount of The Board ofDirectors proposes totheGeneral agreed and thatisproposed toyoutoday. of As seenabove,thefiscalyearshowsasurplus NET INCOMEALLOCATION Treasurer’s e •Volunteers
84 576K) to our non-profit organisation fund. This e 1,076K, upon which the Board of Directors Report 5,347K, ontopofproject e 500K as a e Various advertisers andpartners contributed La valorisationdesactions depublicitéet V hospital facilitiesandlaboratories in2015. disposable goodswere donatedbyvarious Up to DisposableGoodsandMedicalEquipment IV • year cametoaboute a pricefarbelowmarketvalue.Thesavingsthis Chaîne del’Espoirwith1,212m Publique-Hôpitaux deParis,AP-HP)provides La Paris HospitalsandPublic Assistance (Assistance III •Premises e estimated at10,323businessdays,avalueof by volunteersworkingfortheorganisation is During the2015fiscalyear, thetimecontributed office and127workinginregional branches. There are more than40volunteersatthehead II • 2,914 businessdays,avalueofe795K. During the2015fiscalyear, theycontributedabout •AdvertisingSpace 1,703K. 95K worth of advertising space and other and inRegionalBranches Volunteers attheHeadOffice e 171K worth of medical equipment and 285K. 2 of office space at ofofficespaceat
e26M atitsdisposaltocarryoutprojects. All included,LaChaînedel’Espoirnowhassome e3,595K. kind voluntarycontributionsisestimatedat The totalmonetaryequivalentofallin- e equivalents, constitutinganin-kinddonationof to us throughout the year, equalling to 3 full-time Our partnershavemade5employeesavailable VII •Skills-BasedSponsorship comes toe these volunteers,whowelcomed95children, it isestimatedthatthetotalvaluecontributedby to coordinate with the organisation, etc.). In 2015, (to the airport, hospital consultations, meetings activities) andaccompanythemwhentheytravel children intotheirhomes(accommodation,food, France cannotgounrecognised. Theywelcome out byhostfamilieswhowelcomechildren to The crucialimportanceoftheworkcarried VI •HostFamilies documentaries) in2015. forms ofcommunication(press, radio, TV, 204K. 342K.
assets, year. Net equity increased by 16% (available comes toe La Chaîne de l’Espoir’s balance sheet total now BALANCE SHEET general costslow. of our fundraising and indicate our efforts to keep line withourgeneralobjectives,justifythesuccess spending (21%),compared tototalexpenses,are in programme spending(78%) and non-project III -Ratioscorresponding respectively to contributed. 24% in 2014with a 16.5% increase in net funds legacies andcontributions),cometo21%versus contributed by the general public (including II -Fundraisingcosts,ascompared withfunds efforts toreduce operatingcosts. consistent withtheprevious yearandreflecting our expenses (includingfuture commitments)in2015, I -Operatingexpensesrepresent 2.5%ofalltotal Key figures for2015: EVOLUTION OFMANAGEMENTRATIOS Jordan andLebanon. Afghanistan, aswell expected fundingfor from theAFD and theFranceEmbassyin e of thephaseII FMIC(Kabul)and the AFDfundingallocatedto construction e - StateSubsidies:The2016budgetamountsto generating leading toasubstantialincrease in2015while Cardiology inDakarresulted ina e private fundingof the Centre for Paediatric e - Fundraising from Partners and Sponsors: economic downturn. It remains stable to take into account the sustained - From theGeneralPublic:e Estimated operationalincome:e I income andexpenses. expenditure statementandwillappearunderboth project will be entirely reversed in the income and investment subsidy granted by AFD to fund this hospital willbecompleted in 2016, the 9 million Since the construction of phase II of the Kabul e28,320K, up21%compared with2015. The treasurer proposes aprovisional budgetof BUDGET FOR2016FISCALYEAR Equity capitalincreased by8%. stability andatotalabsenceofrisk. to •Income 11,000K, breaking down to e 2,000K, 2,000K isexpected,down32%.In2015the e 12,961K andcontinuestoindicatefinancial e 14,980K; contingent liabilities, e taking into account on-going support e 23,822K, up24%from theprevious 4,800K indonations. is expected. 11,500K isexpected. 9,000K related to 27,550K 5,000K grant, 2,019K)
85
Expenses are estimatedate II •Expenditure legacies andaverageprocessing times. substantial donation of e e de l’Espoir. In2016theestimatedbudgetis kind ofcontributionisimportantforLaChaîne legacies are difficulttobudgetfor;however, this - Legacies anddonations:Bytheirverynature Treasurer’s - Treatment ofChildren inFrance:e break downasfollows: is - Development:theestimatedbudgetfor2016 2% oftotalexpenditure. increase inexpenseswhileaccountforlessthan compared with 2015). It reflects the general This budgethasbeenincreased (up25% - HeadOffice OperatingExpenses:e etc.). Senegal, Iraq,Jordan, ChaîneduSavoir, Mali, and missions(Afghanistan,Cambodia,Togo, • classified asincome(institutionalfunds) and ChildCentre oftheFMICinKabulare to • e - Treatment ofChildren Abroad: Anestimated Rennes, Nice,MarseilleorBordeaux. care in Paris, Toulouse, Nantes, Caen, Lyon, brought toFrancefrom abroad toreceive surgical will receive treatment overtheyear. Children are similar tothe2015budget,about100children - Communication:e - PrivateandInstitutionalPartnership:e - Direct Marketing:e breaks downasfollows: improving ourmanagementratios.Thisbudget significant thantheglobalraiseofexpenses,thus programmes. However this increase is less
e 18,500K, up61%.Itbreaks downasfollows: e 86 3,000K, takingintoaccountanexpected e 9,000K tofundtheconstructionofMother 9,500K forknownandrecorded programmes 4,027K, up19%todevelopandfundour Report 1,000K 3,500K
2,000K, portfolio 27,720K. They 1,500K, 500K 500K.
Treasurer Emile DINET We thank them wholeheartedly. host familiesandourvolunteers. recognise theremarkable contributions ofour In this spirit, we would like once again to outreach.international partnership andadvancingourdomestic l’Espoir’s activitiesmaintainingourspiritof force forthedevelopmentofLaChaîne de than They notonlyrepresent acontributionofmore organisation ofin-kinddonationsthisyear. Lastly, I wish to emphasise the importance for the diversified itsfunding. activities, improved itsmanagementratiosand organisation has successfully developed its Despite the strained economic climate, the - - - - increase legaciesandcontributions - increase regular donationsbydirect debit pursue itsestablishedstrategies: In 2016,LaChaînedel’Espoirwillcontinueto CONCLUSION budget. private subsidiesare inlinewiththeprovisional 2015 andthushigherthanestimated.State Fundraising from the general public is up from of Directors inJanuary. the varioussectorsandapproved bytheBoard 2016 seemtoconfirmthebudgetallocated Figures establishedinthefirstfewmonthsof OUTLOOKS FOR2016 in IraqiKurdistan andJordan launch emergency relief operations, especially and ChildHospitalinBamako Paediatric Surgery Unit at Luxembourg Mother Cardiology inDakarandconstructionofa Kabul, constructionofaCentre forPaediatric construction of the phase II of the FMIC in going projects in2016:completionofthe develop hospital projects with several on- partnerships andcollaborativeprojects develop sponsorship policies to increase e 3.5M butalso,andmostofall,adriving 87 67, rueVoltaire 92300Levallois-Perret (France)-Tel 33(0)1 41279414Fax33(0)14737 44 [email protected] Accounting Expertise-Independent Auditors Créatis Mtaconseil BALANCE SHEET Concessions, patents,similarrights Other tangiblefixedassets Fixed assets ASSETS (e) Tangible assetsinprogress Other financialassets Total FixedAssets Current assets orders Advances andprepayments on Other claims Investment securities Liquid assets Prepaid charges Total Current Assets Foreign exchangegains TOTAL ASSETS PLEDGES 88 Legacies tobeprocessed Auditor’s report The balancesheetandtheincome andexpenditure accountformasingle whole 15,125,457 24,860,564 Gross 8,745,052 9,735,107 4,462,458 5,590,816 4,964,386 134,455 832,208 23,392 29,487 78,310 - - - - Amortisation 31/12/15 1,038,676 131,839 761,093 892,932 100,674 45,069 ------14,979,713 23,821,888 8,745,052 8,842,175 4,361,783 5,545,747 4,964,386 1,459,407 Net 71,115 23,392 29,487 78,310 2,616 - - - 31/12/14 13,883,565 19,264,291 5,242,960 5,380,726 2,457,882 4,142,934 7,153,265 2,491,747 Net 105,875 127,064 24,042 7,849 2,419 - - - 67, rueVoltaire 92300Levallois-Perret (France)-Tel 33(0)1 41279414Fax33(0)1473744 [email protected] Accounting Expertise-Independent Auditors Créatis Mtaconseil TOTOAL LIABILITIES Total Debts Deferred income Other Tax andsocialliabilities Accounts payable Debts Total PROV. &dedicatedfunds Dedicated funds PROV. forliabilitiesandcharges Provisions anddedicatedfunds Total Non-profit organisationfund Investment subsidies Fiscal yearoutcome Balance carriedforward Reserve forvariousprojects Non-profit organisation fund Non-profit organisationfund LIABILITIES (e) The balancesheetandtheincome andexpenditure accountformasingle whole 31/12/15 23,821,888 16,097,141 2,018,822 1,042,816 5,705,925 5,655,925 9,449,654 1,075,958 4,771,529 140,000 361,367 474,639 800,000 50,000 - 31/12/14 19,264,291 14,971,529 1,057,530 2,687,812 1,149,350 1,604,950 1,064,950 9,400,000 5,372,320 (848,265) 480,931 540,000 900,000 147,474
89 - 67, rueVoltaire 92300Levallois-Perret (France)-Tel 33(0)1 41279414Fax33(0)14737 44 [email protected] Accounting Expertise-Independent Auditors Créatis Mtaconseil INCOME ANDEXPENITUREACCOUNT Auditor’s Fundraising Operating income (e) Sponsorship income Other income Operating subsidies Total (I) Other purchases expenses andexternal Operating expenses Taxes Salaries andpayroll Payroll taxes Amortisation Depreciation Provisions forrisk Other charges Total (II) Surplus/(deficit) (I)–(II)=(III) Other interest andsimilarincome Financial income Positive differences incost Net incomeondisposalofinvestmentsandloans Total (IV) Provisions fordepreciation Financial expenses Interest payableandsimilarincome Negative differences incost Net expensesondisposalofsecuritiesinvestment Total (V) Financial Surplus/(Deficit)(IV)–(V)=(VI) Current Surplus/(Deficit)(III)+(VI)=(VII) On managementoperations Extraordinary income Total (VIII) On capitaltransactions On managementoperations Extraordinary expenses On capitaltransactions Total (IX) 90 Exceptional Surplus/(Deficit)(VIII)–(IX)=(X) report The balancesheetandtheincome andexpenditure accountformasingle whole 31/12/15 17, 536,514 21,167,489 11,007,294 15,502,386 1,611,652 1,357,765 1,779,344 1,583,657 5,665,103 5,710,680 (39,392) 661,559 203,288 790,398 100,674 110,379 126,423 27,731 10,000 15,616 45,069 22,337 13,441 80,847 45,577 30,946 31,446 56,852 13,986 70,838 428 500 - 31/12/14 11,842,334 17,895,586 10,888,847 17,734,840 1,760,730 4,198,292 1,656,694 3,646,438 (43,028) 192,010 750,602 100,250 500,000 160,746 126,002 113,100 273,846 94,231 94,396 28,140 12,902 28,695 28,695 71,723 71,723 3,466 6,611 1,946 4,345 - - - 67, rueVoltaire 92300Levallois-Perret (France)-Tel 33(0)1 41279414Fax33(0)1473744 [email protected] Accounting Expertise-Independent Auditors Créatis Mtaconseil Carryover ofunusedfundsfrom previous years (e) Projected useofallocated funds Income taxes TOTAL INCOME TOTAL EXPENSES SURPLUS/(DEFICIT) Volunteers (medicalteams) Income VOLUNTAR Other volunteers In-kind donations(goodsandservices) Total voluntary contributionsinkind In-kind assistance Expenses Volunteer personnel Goods andservicesfree ofcharge Total voluntarycontributionsinkind Y IN-KINDCONTRIBUTIONS The balancesheetandtheincome andexpenditure accountformasingle whole 31/12/15 22,390,308 21,314,350 (5,655,925) 1,064,950 1,075,958 1,182,009 2,185,120 3,823,197 1,182,009 2,185,120 3,823,197 456,068 456,068 4,355 31/12/14 19,166,574 19,019,100 (1,184,556) 1,116,290 2,440,160 1,480,113 4,094,393 2,440,160 1,480,113 4,094,393 147,474 174,120 174,120 15,078
91 92 TOTAL EXPENSES - Financialexpenses - Exceptionalexpenses Total expenses - Provisions forRisk - Provisions forEducation - Provisions forHealthcare Provisions - Partnership - Communication - Direct Marketing - Development - OperatingExpenses Current expenses - Education - FMICPHASEIIKabul - Treatment ofChildren Abroad - Treatment ofChildren inFrance Programme expenses EXPENDITURE (e) budget 2016 2016 27,720 27,720 21,720 1,000 3,500 5,000 5,500 1,720 9,000 9,500 1,500 500 500 500 500 - - - - INCOME (e) SURPLUS TOTAL INCOME - Financialincome - Exceptionalincome - Surplus/(Deficit) Total operatingincome - Transfer ofExpenses - RecoveryofProv. forRisk - RecoveryofProv. forEducation - RecoveryofProv. forHealthcare Recovery ofprovisions &transferofexpenses - OtherIncome - FMICPHASEIIKabul - StateSubsidies - LegaciesandContributions - PrivatePartners - OtherDonations(events,etc.) - Sponsors&RegularDonations(ed.) - Direct Marketing - GeneralPublicFundraising Current income Regular Donations(automaticdebit) One-off Donations Online Donations 2016 28,320 28,320 10,650 27,720 9,000 2,000 3,000 2,000 1,500 4,400 4,500 9,500 600 600 220 550 770 500 600 50 - - - - to allcompanies. Case isnotonlyanessential supportforLaChaînedel’Espoir, butitalsosetsanexampleofsolidarity La Chaîne de l’Espoir, saving 7 sick children by funding their transfer and treatment in France. White & and donatese members, White&Caseassembles arunningteameveryyeartotakepart in the20kmdeParisrun pro bono lawyers to resolve legal matters. To bring together its associates and La Chaîne de l’Espoir’s 7 years,ithasbeenactively involvedinLaChaînedel’Espoir’s projects byproviding financialsupportand shares thevaluesofsolidarity andcommitmentwithLaChaînedel’Espoir. For WHITE &CASE:WhiteCase,alawfirmlocatedatPlace Vendôme inParis, misery andsicknesswouldnothavebeenpossible. and committedpartner, withoutwhommanyprojects tohelpdestitutechildren andtheirfamilies facing Children’s HouseinDakar2016.In16yearsLaChaînedel’Espoirreceived e Chaîne del’Espoir’s actionforrefugees hasalsobeenpartlyfundedbyEngie, andsowillbethefuture years GDZSuez,thenEngie,fundednumerous programmes inIndia,Haiti,Bangladesh,etc.In2015La need. In 2011 a grant was even allocated to our education aid programme in Afghanistan. The following substantial financialcontributionsandthedevelopment ofthesolidarityfundforAfghanchildren in has beensupportingtheconstructionofFrench Medical InstituteforChildren inKabulthrough be brought toFrance,CambodiaandKosovo.Between 2003and2007,GDZSuez Foundation hasbeenproviding generous supporttotheorganisation forchildren to La Chaîne de l’Espoir since 1999. From this day on and for several years, the Suez electricity provider iscommittedtopromote equalityandhasbeenakeypartnerof GDF SUEZ/FONATION SUEZ/ENGIE:Today knownasENGIE,thisinternational should becompletedinSeptember2016,were alsomadepossiblebyae the AFD’s e for Children with the construction and equipment of a Mother and Child Centre came into being thanks to the amountofe children’s surgical fees,hasbeengenerously grantede Afghanistan. Between2008and2011theWelfare fund,asolidarityfundcoveringdestitute provided afinancialsupportofe and overseas territories, has been striving for equality and solidarity. Since 2008, it has financial institutionfundingdevelopmentprojects andprogrammes indevelopingcountries AFD (FRENCHAGENCYFOREVELOPMENT):Forover70yearstheAFD,aFrench on our main on ourmain Acknowledgements partners 9,400,000 subsidy. TheconstructionandequipmentofthenewAfghanChildren’s House,which Focus Focus 5 foreachkilometre runbyateammember. After7years:e 1,400,000. Between2013and2016,theextensionproject fortheFrench MedicalInstitute 12,200,000 toLaChaînedel’Espoirforitsprogramme in
900,000 and training missions have been funded to 900,000 andtrainingmissionshavebeenfundedto 500,000 grant. 70,000 hasbeendonated to 1,607,470 from thisvital
93 • • • • • Our Acknowledgements
94 Josas, Centre deTransfusion Sanguine de Médical duChâteaudes Côtes LesLogesen Centre Cardio-Thoracique deMonaco,Centre Assistance Publique/HôpitauxdeParis, Hospitals d’Albigeois La Baule,MairiedeThiais,Valence- de Vianne, MairiedeCasteljaloux, Créteil, MairiedeFargues surOurbise,Mairie Mairie d’Albi,deCaubeyres, Mairiede Général duRhône,ConseilTarn, Conseil GénéraldeBourgogne, Conseil Regional authorities Développement AgaKhan,UNESCO Etrangères, Ministère delaDéfense,Réseau de laJustice(INHESJ),Ministère desAffaires National desHautesEtudesdelaSécuritéet la Commission Européenne (ECHO), Institut l’Aide Humanitaire et de la Protection Civile de Monaco,DirectionInternationale Généralede intervient, Direction de la Coopération pays danslesquelsLaChaînedel'Espoir Ambassades etConsulatsdeFrancedes Agence Française de Développement, Institutions Foundation, OMAttitude for Children Foundation, The Linda Norgrove Fonds Haguro, FondsMérymu,HeartandHope Thierry etAnnickDesmarest, FondationTotal, Peugeot Citroën, FondationSiemens, Jeanteur, Fondation Orange, Fondation PSA Suez, Fondation Notre Dame / Fondation Robert France, FondationEngie,Initiatives Cuomo, FondationDeerfield,de Foundation, Fondation CMA CGM, Fondation Axa AtoutCœur, Children ofAfrica,Cofra Foundations Transequity WhiteandCase International, E&P Kurdistan, Total E&PSyrie,Total UES CE, Téléflex, Telligo, TF1, Total E&P Irak, Total Bruxelles, Siemens France, Société Générale, Cards, Redevco,SARLGHITHôtelParis Medtronic, MPJ Consulting, Peters, Planet La PosteGroupe, LVMH, MBDSAFRANCE, Happy Cash,HBM,HoldingCarrère, Infopresse, 24), Gotham Carrère, Groupe Monnoyeur, Assistance, France Médias Monde (RFI, France Engie,Ethicon,Euronext,International, Europ EditionsMichelLafon,EmvestInternational, DNCA Finance, Dow France SAS, Dow Constructa SA, Crédit Agricole Immobilier, Cofinoga S’miles,CofraHoldingAG,Comed, Clarins, ClarinsCE,CMACGM,Cofidis,Cofigor, Magrez SAS,BiancaMédica,BouyguesSA, Artémis, Audit etAssociés,Axa, Bernard Aircelle, AirFrance,Algade,AllezetAssociés, Private partners
• • • • • Individualdonorsandsponsors • • Stéphane Tortora Pulvar, PascalSellem,Smain,ThomasSotto, Jean-Pierre Stéphane Plaza, Audrey Pernaut, Annabelle Millot,Xavierde Moulins, PaulNahon, Lagarde, MikelangeloLoconte,Patricia Loison, Isabelle Giordano, Françoise Joly, Olivier de Mya Frye,Carole Gaessler, Marie-AgnèsGilot, Fichel, FlavieFlament,Jean-Pierre Foucault, Dhéliat, Marie Drucker, Marion Dumas, Marc Natalie Dessay et Laurent Naouri, Evelyne Christelle Cholet,MichelCymès,SophieDavant, Cauet, LionelChamoulaud,GuilaineChenu, Candeloro, ChristopheCarrière, Sébastien Gil Alma,Laurent Artufel,HubertAuriol,Philippe Our ambassadors Mireille Darc Our sponsor photographers, etc. ourfamilies, our volunteers, our journalists, Our medical and paramedical teams, our host to LaChaînedel’Espoir in 2015andleftalegacyordeathbenefits Our generous testatorswho passed away Schools andinstitutionsofhighereducation Partage, UNOSEL Européenne deCardiologie, Taabar, Talents et Club deSaint-Tropez, RotaryClubs,Société / Friends,Première Urgence, RobinAid,Rotary l’Enfant, Kiwanis,LionsClubs,MithSamlanh Fondation ParadisdesIndiens,LaVoix de European HeartforChildren, FédérationOpéra, CPCS ChildProtection, EnfantsdesAndes, des Entreprises d’Evreux, Coordination Sud, Services Népal,Children andFuture, Club Cardiopatici Nel Mundo,Centers and France, Aviation sansFrontières, Bambini AB CFAO, ALIMA,AmericanDentalClubde Organisations Hôtel-Dieu Paris,InstitutMontsouris Timone Marseille,HospicesCivilsdeLyon, Hôpital RangueildeToulouse, Hôpitaldela Malades Paris,HôpitalSaint-Joseph Haut l’EvêquePessac,HôpitalNecker-Enfants- Européen Georges PompidouParis,Hôpital Paul d’EginesChampigny-sur-Marne, Hôpital Toulouse, CliniqueMédipôleGaronne, Clinique Clinique JouvenetParis,LouisPasteur Boulogne-Billancourt, CliniqueduParc Lyon, CHU deVannes, CliniqueChirurgicale de de Lausanne,CHUNantes,Rennes, Dijon, CHSainteAnne,CHUdeCaen,
prior writtenpermission. All reproduction ofmaterialrequires Copyright La Chaînedel’Espoir. printing Writing, creation, mock-up and Sud Ouest,TF1,Var-Matin. France 2,24,OuestFrance, Essentials 2015 Photo Credits, Communication Zerah, PaulGuyonnet/RTL. Stelletta, Women ofAfrica,Oriane Mousseau, Fabrice Pedrono, Pascal Mith SamlanhFriends,Jean-François de l’Espoir, Bernard Matussière, Hurez, MarjorieJaspar, LaChaîne Godong, enfantsdesAndes,Nicolas Catherine Leblanc,PhilippeLissac/ Pascal Deloche,Margot Fremcourt, Photo Credits
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