TRANSFORMING ANNUAL REPORT CONCERN 2013 INTO ACTION WHAT WE DO AND HOW WE DO IT

Mission Design

Help people living in Create programs that are extreme poverty achieve major tailored to meet specific improvements in their lives that needs and integrated to last and spread without our maximize impact, reach, ongoing support. and sustainability.

Assess

Analyze conditions in places Action where people are suffering from extreme poverty, Humanitarian which is often worsened by ›› Save lives disasters, isolation, or conflict. ›› Alleviate suffering ›› Maintain dignity Vision ›› Strengthen community preparedness Create major and lasting Development improvements in the lives of › the extreme poor without › Improve the lives of the ongoing support from extreme poor for the long term. › Concern Worldwide. › Increase our reach and efficiency through integrated programs in livelihoods, health, HIV and AIDS, emergency response, and education. Impact

›› Improve assets ›› Reduce risk and vulnerability ›› Increase equality

1 2 OUR IMPACT AROUND THE WORLD 28 Countries in the most challenging places 6.5 Million People Reached on earth Africa Burundi Chad Dem. Rep. of Congo Ethiopia Kenya In 2013, Concern restored Liberia safe drinking water for 45,500 Malawi people living in one of the Mozambique most war-affected and volatile Niger regions in Syria. Rwanda Sierra Leone Somalia After Typhoon Haiyan struck Ten years into Darfur’s the Philippines in November Rep. of Sudan continuing conflict, we are 2013, Concern responded Rep. of South Sudan running four clinics that provide to the immediate needs of Tanzania health care services for outlying 48,831 people in Concepcion Uganda villages in West Darfur, where and Carles, where many of the Zambia we gave more than 20,000 affected communities were Zimbabwe medical consultations in 2013. located on small coastal islands. Middle East Lebanon Syria Caribbean Haiti To rehabilitate deforested land and prevent further erosion Asia and degradation of arable land, Afghanistan workers at the Balya Nursery in Ethiopia planted over 200,000 Bangladesh When fighting broke out in saplings on land surrounding Cambodia South Sudan in December their community in 2013. India 2013, Concern responded to the North Korea In Port-au-Prince, Haiti, over needs of the internally displaced. Pakistan 2,500 families displaced by the Philippines 2010 earthquake have been In the Bay of Bengal, Project relocated from tented camps Paribartan (“transformation”) is to permanent homes through Zambia In , the RAIN In Somalia, Concern supports working to mitigate the effects our Return to Neighborhoods (Realigning Agriculture to 25 schools in Mogadishu and of climate change for 1.2 million program. Improve Nutrition) project Lower Shabelle, ensuring that people in coastal communities reached more than 11,700 14,234 extreme poor children across Bangladesh and India people in 2013 with agricultural have access to education. through sustainable livelihoods, training, nutrition and health environmental conservation, and education, and improved access disaster preparedness. to water.

3 4 MESSAGE FROM THE CEO AND THE CHAIRMAN

The Concern Worldwide US annual report is, above all In partnership with the government things, an accounting of the activities and accomplishments and local partners, continued progress may in time allow us to turn of a global community over the course of 12 months. We over our programs and exit a nation are a community that includes nearly 3,000 staff and the steadily emerging from vulnerability more than six million people we work with – in 28 countries and underdevelopment. In 2013, we last year – to achieve lasting change where poverty and saw the same narrative of “working vulnerability are deeply rooted. We are also a community ourselves out of a job” unfold in Cambodia and India. We are looking of a steadily growing number of passionate donors and to do the same in the places where supporters who empower our efforts in New York, Chicago, we’ve mounted emergency responses and throughout the world. this year. Our impact in Ethiopia is only possible because of people like Wubnesh Polaso, who lives in a small 2013 was a prototypical year in the The second story of change comes six million others like them, our and remote village in the southern history of our organization, defined from our Innovations for Maternal, thousands of individual supporters, Wolayita zone about 225 miles by ongoing development programs Newborn & Child Health program funders like the Bill & Melinda southeast of the capital, Addis Ababa. delivering impact and innovation and (Innovations), a groundbreaking, Gates Foundation, and our team of She is a mother of three who met building resilience to cyclical threats. multi-year initiative funded by the Malawian innovators – we are all a her husband, Bougale Jafaro, at their It was also a year punctuated by Bill & Melinda Gates Foundation. global community of change-makers, local marketplace and fell in love, emergency responses in Syria and Innovations’ Chipatala Cha Pa Foni and this report tells that story. We are but he had no money or land and his Lebanon, the Philippines, and, at the (Health Center by Phone) program grateful to all of them and to be a part father was dead. So he wandered very end of 2013, South Sudan. enables women in Malawi’s Southern of this community. around the country, to urban centers Region to use a toll-free hotline to With the appointment of our first and state farms, in search of day labor access health advice from trained full-time CEO – a proud co-author of while Wubnesh stayed at home to and supervised staff based at this message – and a staff that grew care for their three children. by more than 20 percent last year, Balaka District Hospital. It uses the Through an integrated Concern we are, in many respects, witnessing cellphone – the most widely used livelihoods project, Bougale has the emergence of a new Concern communications technology in Malawi begun raising bees and sheep as Joseph M. Cahalan, PhD Worldwide US. But we are proud to – to connect people living in isolated, well as caring for saplings used to Chief Executive Officer report that our culture of commitment rural areas to health professionals reforest eroded slopes, and Wubnesh and effectiveness is as strong as ever, who would otherwise be unreachable. has become part of a women’s and that our efficiency rating remains It’s not an understatement to say the economic support group, where she above 92 percent. technology is having a transformative has developed the confidence to impact in the districts where it has Perhaps the best way to translate become a merchant. Every day, she been piloted. Over 6,000 have our impact is to tell a couple of walks about an hour to the market in subscribed to the program’s “Tips stories that capture Concern’s ethos the larger town nearby to resell maize, Thomas J. Moran and Reminders” by text service; over and approach. The first one comes beans, ginger, and other crops she has Chairman 11,000 calls were made in the first from Ethiopia, where in 2013 we purchased. She now earns a stable two years; prenatal early care access marked our 40th year of operation. income and tells us, “I used to be angry increased by 30 percent; and fewer We arrived in response to famine in and worry a lot about how to manage than one-quarter of calls resulted in 1973 and have stayed to see some things and feed my children with my a referral to a health facility, reducing of its poorest and most vulnerable husband always away. Now I am glad unnecessary visits. communities through successive he is working, but I am also very glad emergencies, including the 1984 I am earning money of my own. It is a Our global team and staff, Concern famine, as well as remarkable good example for my daughter.” Worldwide US board members, development gains. Wubnesh’s family and more than

5 6 INNOVATING SOLUTIONS TO GLOBAL PROBLEMS

We use an integrated approach to maximize the reach and ADDRESSING efficiency of our programs to help the greatest number of CLIMATE CHANGE people meet their potential. With severe weather and natural disasters impacting everything from food security to shelter in nearly every country where we work, HEALTH AND NUTRITION RESPONDING TO EMERGENCIES addressing climate change is Especially in remote, rural areas, access From conflicts to natural disasters, a key component of our programs. to health services is a major barrier our objective in responding We employ conservation agriculture for the poorest and most vulnerable, to emergencies is to provide in countries as ecologically diverse so health and nutrition are critical immediate assistance to those most as North Korea, Bangladesh, and areas of our programs. Maternal and vulnerable and in need. However, Zambia to improve food security and child mortality is often high compared many people need long-term livelihoods opportunities by using to the rest of the world and the rate of support long after the initial crisis farming techniques, technology, and early childhood death from preventable has passed, so finding sustainable infrastructure that are contextually diseases is unacceptably elevated. solutions and resources is critical to appropriate for both the local Malnutrition among children is also our post-emergency development environments and communities. prevalent, impacting their ability to work. Disaster risk reduction is Environmental health is often a lead productive and successful lives in a key focus as well, and we work A Syrian refugee in an informal tented focus of our WASH (water, sanitation, adulthood. We work to improve access with communities threatened by settlement in Bebnine, Akkar district, and hygiene) programs. We help to health care services with a focus on severe weather to be prepared for Lebanon, where Concern Worldwide rehabilitate natural water sources, community-based and mobile solutions, and resilient against the impacts distributed tarps to vulnerable which both improves the quality we educate and provide people with of climate change. We also work to families following a night of heavy of the land and reduces the threat At the Balya Nursery in Ethiopia, workers tend to saplings that will be planted the means to get good nutrition, and rehabilitate degraded land to mitigate rains. Photo by Crystal Wells/Concern of waterborne diseases while also on eroding hillsides to reforest the region and change micro-climates. This we treat diseases responsible for early natural disasters when they do strike. Worldwide providing safe, clean drinking water. not only helps to reverse environmental degradation but also provides childhood death. sustainable livelihoods. Photo by Cheney Orr

EDUCATION SUSTAINABLE LIVELIHOODS Sometimes the most innovative solutions To help people break from the cycle of are the most effective, a belief that poverty, we work with them to determine underpins our approach to education. individual needs and skills as they Our focus is on improving access, quality, develop sustainable livelihoods. We and children’s well-being, with programs help improve access to markets for small emphasizing basic literacy and math business owners and entrepreneurs and skills for primary school students as offer microfinancing as well as training, well as ensuring that learning spaces infrastructure, and resources for climate- are safe and healthy for all children, smart agriculture. This allows the world’s especially girls. We ensure sustainability poorest and their communities to have through teacher training and by the opportunity to escape poverty and promoting community involvement and flourish into the future. adult literacy support through and Two-year-old Asnakech Tesfaye, parent-teacher associations. whose mother, Workinesh Kaba, is now Students at the Concern-supported a successful farmer and entrepreneur Jabuti Primary School in Mogadishu, through Concern’s livelihoods and Somalia. Photo by David Pratt/Sun- microfinance programs. Photo by day Herald David Pratt/Sunday Herald

7 8 AN INTEGRATED APPROACH Asia Middle East

For over 45 years, AFGHANISTAN CAMBODIA NORTH KOREA PHILIPPINES LEBANON Concern Worldwide In 2013, recurring natural disasters in Concern handed its programs over to North Korea is one of the world’s most When Typhoon Haiyan struck on The number of Syrian refugees in Lebanon has partnered with Afghanistan made the already precarious local partner organizations in 2013, isolated countries, and its people face November 8, 2013, it left widespread skyrocketed in 2013 from approximately lives of those living in the remote areas leaving behind a lasting legacy of chronic food insecurity and poverty. To devastation across the Philippines, 150,000 to more than 850,000 by the people to do whatever of Takhar and Badakhshan even more change in the areas of health, disaster prevent food shortages, our conservation killing thousands and leaving millions end of the year. The influx has put a it takes to help them difficult. To help the most vulnerable, preparedness, livelihoods, and micro- agriculture and cooperative farm programs affected and without homes. Concern’s tremendous strain on Lebanon, a country we provided over 2,600 people with finance. help improve food production and response targeted the most vulnerable of just more than four million people, and in build better lives and and hardest to reach, focusing on the May 2013, Concern started responding to winter supplies, cooking items, and Total Program Expenditure: $384,557 nutrition. In urban areas, greenhouses, futures. We work to create clean drinking water. Through soil irrigation systems, and composting all poorest municipalities on the island the shelter, water, sanitation, and hygiene sustainable change and and water management activities, help increase food security, and we are of Panay, where over 80 percent of needs of Syrian refugees in Akkar, the we also helped reduce and reverse also strengthening links between rural people’s homes were destroyed. In poorest and northernmost district in solve problems holistically environmental degradation of fertile land, cooperative farms and urban social close collaboration with the local and Lebanon. Our work included establishing across a variety of sectors protecting thousands and preventing institutions. To address issues around provincial governments, we distributed water and sanitation systems where Syrian food shortages. Empowering women is environmental health, water, sanitation, and high-quality shelter materials and basic refugees have settled as well as creating so that communities can a cornerstone of our ongoing work in hygiene, we build drinking water systems necessities like mosquito nets, kitchen new shelter options by refurbishing unused ultimately thrive without our Afghanistan and through our AWARE INDIA and latrines and also work to reduce the supplies, soap, blankets, and jerry cans buildings into multi-family apartment (Actions for Women’s Advocacy, Rights, spread of disease by promoting good to affected families. We are continuing buildings. Concern also helped Syrians, In 2013, after 14 years, we concluded ongoing support. In 2013, and Empowerment) program, we are hygiene practices. We focus on mitigating to help the Philippines recover in 2014, many of whom arrived with little more than our work in India’s Odisha State. Our helping women make positive gains in the impact of natural disasters as well distributing boats to those who lost theirs the clothes on their backs, get through Concern Worldwide directly programs included improving livelihoods livelihoods, literacy, access to health by addressing risks related to floods, in the storm, repairing water systems, winter by distributing supplies such as opportunities for the rural poor and worked with 6.5 million of care, and decision-making status in their droughts, and irregular electricity supply. and restoring damaged coral reefs and winter boots for children to particularly communities and homes. ensuring the ability of the vulnerable to mangroves. vulnerable families. the world’s poorest and access social protection services and Total People Reached in 2013: 102,000 most vulnerable people in Total People Reached in 2013: 443,416 support. In the area of HIV and AIDS, we Total Program Expenditure: $2,325,840 Total People Reached in 2013: 48,831 Total People Reached in 2013: 12,436 Total Program Expenditure: $1,625,445 Total Program Expenditure: $1,564,656 28 countries to help them Total Program Expenditure: $5,633,555 focused on prevention, reducing stigma, Concern US Grants to Program: $100,000 Concern US Grants to Program: $250,000 livelihoods support, and establishing Concern US Grants to Program: $154,000 transform their lives. community-based health services. In the Bay of Bengal, we worked with coastal communities to improve their resiliency and adaptability to climate change and Caribbean BANGLADESH natural disasters. Throughout 2013, we SYRIA PAKISTAN For the rural poor in the Char and Haor concentrated on transitioning these As humanitarian needs deepened in areas, we work to improve livelihoods and program activities to local partners to In 2013, flash floods caused widespread HAITI Syria with no end to the war in sight, income and to promote better maternal ensure that our achievements will last far loss and damage across Pakistan for a In Port-au-Prince, our successful Return Concern launched an emergency and child health, nutrition, and hygiene. into the future. fourth consecutive year, affecting nearly to Neighborhoods program has helped to response inside the country in 2013 1.5 million people. Concern responded Access to clean water, primary school Total People Reached in 2013: 336,157 resettle thousands of families who were that focused on controlling disease with shelter, water, sanitation, and food enrollment, natural disaster preparation, Total Program Expenditure: $1,033,413 displaced by the 2010 earthquake from outbreaks and meeting the basic needs security assistance. Concern’s USAID- and social and gender equality are also Concern US Grants to Program: $553,852 temporary camps into new homes. In of conflict-affected communities. We areas of focus. In the capital city of funded RAPID (Responding to Pakistan’s the slum of Grand Ravine, a major urban restored the supply of safe drinking Dhaka, we improve the lives of homeless Internally Displaced) program, which helps renewal program is underway, which will water to 45,500 people and distributed migrants from rural areas through finance local organizations responding to change the lives of 20,000 people through water purification tablets to 8,300. With vocational training, access to health care, emergencies, completed its first phase in natural disaster preparation, economic cases of leishmaniasis, an infection and better primary school attendance. We 2013 and has reached more than three development, environmental protection, caused by sandflies, on the rise, we are enhancing people’s adaptability and million people since it began in 2009. housing, and water and sanitation infra- undertook insect repellent measures resilience to climate change in the Bay To help people over the long term, our structure. In Saut d’Eau, we are working to that benefited 28,000 people. We also of Bengal region through an integrated livelihoods programs provide technical and improve access to markets for mango and distributed bread to more than 26,400 program approach of sustainable vocational training in in-demand skills and avocado farmers as well as helping local people and flour to nearly 42,000 and livelihoods, conservation, and natural strengthen livestock husbandry practices people develop a viable tourism market. On gave cash grants to 3,100. disaster mitigation. and agricultural production to help the island of La Gonâve, our work focuses safeguard people against food shortages. Total People Reached in 2013: 153,413 Total People Reached in 2013: 379,655 on food security and livelihoods. Total Program Expenditure: $722,861 Total People Reached in 2013: 759,299 Total Program Expenditure: $8,448,350 Total People Reached in 2013: 90,900 Concern US Grants to Program: $59,857 Total Program Expenditure: $14,128,157 Concern US Grants to Program: $455,285 Total Program Expenditure: $10,731,902 Concern US Grants to Program: Concern US Grants to Program: $426,636 $7,693,444

9 10 AN INTEGRATED APPROACH Continued Africa DEMOCRATIC MALAWI BURUNDI REPUBLIC KENYA NIGER SIERRA LEONE In Malawi, improving the quality of In Burundi, one of the world’s poorest OF CONGO Concern’s programs in Kenya put people Niger faces chronic food insecurity In Sierra Leone, Concern works to improve education for girls in primary school is countries, we work to improve child at the forefront, working directly with the exacerbated by climate change, education in Tonkolili District, working in Ongoing instability and violence a main focus of our programming in and maternal health, nutrition, and poorest and most vulnerable to help them desertification, and population growth. 118 schools with a focus on enhancing throughout North Kivu province in the Nsanje district, and we work to increase food security as well as to strengthen prioritize their needs. Our community In 2013, drought in Tahoua caused the quality of learning for primary school Democratic Republic of Congo has left community involvement in education as community health services and livelihoods conversations approach has made us a widespread crop failure. In response to students. To improve health, we are over 350,000 displaced and in need of well as to promote gender equality by opportunities. In Burundi’s primary leader in mobilizing citizen participation, as the threat of hunger and malnutrition, we working with parents to promote better help. Our focus has been on providing addressing the issue of gender-based schools, our activities to end gender- evidenced by the success of our education provided food assistance, cash transfers, hygiene practices with their children. This and improving access to humanitarian violence in schools. In Nkhotakota district, based violence involve both boys and and livelihoods programs where we work cash-for-work programs, community- work is done in parallel with ongoing water assistance for vulnerable people affected our program on reproductive health for girls in promoting gender equality. We to increase income for adults and pave based health services, and nutritional care and sanitation projects that aim to provide by conflict. In addition to providing cash- women is working to reduce maternal are active in natural disaster preparation, the way for children to exercise their right for mothers and children. To help offset access to clean water and latrines and for-work opportunities and cash grants, mortality by improving access to quality partnering with the Red Cross of Burundi to free, quality education. Our health and the impact of future natural disasters, to improve environmental health. In both we also distribute seeds, agricultural tools, health care services. Concern has long to better emergency preparedness across emergency programs focus on delivering our cash-for-work agroforestry program Freetown and rural areas in the west, and basic household items like cookware, played a leading role in addressing the country. We focus on the social quality care and nutrition to mothers and provides people with income to rehabilitate community-driven livelihoods initiatives blankets, and soap. In Katanga province, malnutrition in Malawi and we continue protection of Burundi’s poorest as well to children in Nairobi, Marsabit, and Moyale. degraded land. Through the Lahiya Yara are providing greater food security and we support the poorest members of to do so through advocacy at the national ensure that the sick and disabled, widows, (“Children’s Health”) child survival project, more diverse income opportunities for the targeted communities to meet their basic Total People Reached in 2013: 1.55 million and international levels. Our conservation female heads of households, the elderly, we also work to reduce childhood mortality poorest and most vulnerable. needs through increased income and Total Program Expenditure: $7,019,808 agriculture training is also improving and those with HIV and AIDS are given among children under five years old. In food production. We also provide better Concern US Grants to Program: livelihoods for very poor farmers by Total People Reached in 2013: 50,081 the support they need. education, over the last six years we have access to drinking water and work with $2,472,560 increasing their yields. Total Program Expenditure: $5,130,063 Total People Reached in 2013: 89,272 communities to improve hygiene and worked in 103 schools in Illela to improve Concern US Grants to Program: Total People Reached in 2013: 91,459 Total Program Expenditure: $2,086,649 sanitation practices. access and quality. $1,982,779 Total Program Expenditure: $3,461,009 Concern US Grants to Program: $315,222 Total People Reached in 2013: 382,185 Total People Reached in 2013: 79,113 Concern US Grants to Program: Total Program Expenditure: $7,911,821 Total Program Expenditure: $6,522,924 $1,636,869 Concern US Grants to Program: $738,729 Concern US Grants to Program: $323,347

SOMALIA LIBERIA In 2013, Concern provided critical CHAD In Liberia, Concern is working to improve emergency assistance to ensure the ETHIOPIA livelihoods and food security, provide safe MOZAMBIQUE RWANDA survival and food security of families 2013 saw two waves of refugees flow drinking water, build resiliency to disasters Our work in Ethiopia focuses on Torrential rains in January 2013 sparked affected by recurrent drought and conflict. into Chad, one from Sudan and the other and crises, and increase the quality of While Rwanda has one of the fastest deepening our active role in contributing widespread flooding in Gaza and Our long-term work with displaced from the Central African Republic. The education. Through farmer field schools, growing economies in Africa, challenges to the government’s efforts to alleviate Zambezia provinces, affecting more communities and the urban poor includes crisis underlined the overall fragility of people learn conservation agriculture still remain, with some 40 percent of poverty. In Addis Ababa, we are teaching than 500,000 people. Thousands of cash transfer programs as well as livelihoods and food insecurity in the techniques to grow diverse crops that will Rwandans still living in extreme poverty. marketable skills to Ethiopians living families lost their homes and were forced education, water, sanitation, hygiene, and country, which was further aggravated by feed their families and provide surpluses In southern Rwanda, Concern is helping off the informal economy and helping to relocate. Concern responded with nutrition services. We help farmers and a poor harvest at year’s end. In response, for extra income. Community members people graduate out of poverty through them to secure jobs. In Addis Ababa emergency shelter, water, sanitation, pastoralists adapt to climate change and we refined our integrated approach to are also taught animal husbandry innovative livelihoods programs, and and Amhara region, we are working hygiene, and food security assistance, diversify their livelihoods and we also community resilience and we are working practices to improve the health of our health work is aimed at reducing to prevent the spread of HIV, minimize helping nearly 70,000 people. In addition support the education of boys and girls in to improve health, nutrition, livelihoods, livestock, and community health workers malnutrition and improving access to the stigma of the disease, and provide to homes, the floods also washed away the formal school system as well as those water, and sanitation for rural populations receive training in nutrition, sanitation, health services. In education, we work livelihoods opportunities for those who are cultivated farmland, leaving families at who have been excluded from that system. in the recovering region of Dar Sila in hygiene, and disease prevention and with Rwanda’s Ministry of Education to HIV-positive. We are also improving the risk of missing the next harvest. Concern In Somaliland, we work to strengthen eastern Chad. We are also enhancing our treatment. In education, we train teachers improve primary school students’ math socio-economic status of women and girls organized seed fairs and gave affected livelihoods by rehabilitating rainwater emergency response capacity through to become more effective instructors in Amhara, targeting severe malnutrition in farmers coupon books that allowed them skills and reading levels in both English catchments and reducing soil erosion to an early warning system that is being and foster community involvement the northern Tigray region, and improving to purchase the seeds and tools they and the country’s native language of improve agricultural production. Concern developed in partnership with Tufts with education through parent-teacher food security, nutrition, sanitation, and needed, an investment that allowed them Kinyarwanda. In 2013, Concern also also works to empower women through University. associations. We also work to improve hygiene in Amhara and in the Southern to start over after the floods. delivered emergency health and nutrition women’s self-help groups, where they are Total People Reached in 2013: 109,107 gender equality and reduce the incidence Nations, Nationalities, and People’s Region. services to nearly 28,000 refugees trained and given support to access credit Total Program Expenditure: $3,238,997 of gender-based violence in school. Total People Reached in 2013: 79,025 who fled to western Rwanda following and increase their household savings. Concern US Grants to Program: $142,538 Total People Reached in 2013: 287,648 Total Program Expenditure: $3,512,547 Total People Reached in 2013: 27,441 fighting in neighboring Democratic Total People Reached in 2013: 272,707 Total Program Expenditure: $9,553,124 Total Program Expenditure: $3,102,882 Republic of Congo. Total Program Expenditure: $11,453,441 Concern US Grants to Program: $205,587 Concern US Grants to Program: $823,037 Total People Reached in 2013: 207,624 Concern US Grants to Program: $ 250,000 Total Program Expenditure: $2,411,738 Concern US Grants to Program: $233,036

11 12 AN INTEGRATED APPROACH Continued PROGRAM HIGHLIGHTS GRADUATING OUT OF POVERTY REPUBLIC OF SOUTH SUDAN TANZANIA ZAMBIA The unrelenting cycle of poverty can feel hopeless. Short- Scholastic Mukamugaga, 48, of In October 2013, South Sudan’s In northwestern Tanzania, Concern is Our work in Zambia focuses on Rwanda, was taught from childhood government declared the country a helping people diversify their crops and increasing the income and food security term aid may leave in its wake a sense of dependency. to value education in a country where flood-stricken disaster zone and urgently improve nutrition through the use of farmer for the most vulnerable people such as Concern’s “graduation model,” now in place in four required humanitarian assistance. When field schools, where farmers are trained small-scale farmers and female heads of it wasn’t always easy to achieve and internal fighting broke out a few months in agricultural techniques and livestock households. Our Realigning Agriculture countries, works to help people “graduate” out of poverty encouraged the same in her own later in December, refugees and the husbandry. Improving gender equality is an to Improve Nutrition (RAIN) program by assisting them in setting up small income-generating children. But when her husband was internally displaced faced increased important focus in our work and women aims to prevent maternal and child imprisoned in 2007 for his role in the hardship. In response to these crises, are key participants in these schools. businesses that respond to their individual interests and malnutrition among the rural poor through 1994 Rwandan genocide, she was Concern is maintaining critical support for We are also working to improve income- a sustainable approach that combines innate skills, giving them a path forward and a new sense of unexpectedly faced with supporting 22 health facilities in Aweil West County, generating opportunities for families and agriculture and nutrition. Concern’s life’s possibilities. Through a guided step-by-step process, where we are now the leading NGO helping them to manage their assets. To programs are also helping to reduce the their six children on her own. providing health services. In Aweil North, expand access to low-cost, sustainable vulnerability of communities to natural we work with individuals to identify their needs and interests, Thanks to Concern’s graduation we are focusing on strengthening food water supplies and promote good hygiene disasters such as flash floods. By clearing make sure their basic needs are met through predictable program, Scholastic now has a security and livelihood programs. We have practices, we are repairing and building over 300 miles of canal to open up more also expanded into Unity State, where we new water infrastructure and sanitation land for agriculture, thousands of people and stable sources, counsel them on saving and planning for sustainable livelihood raising goats are supporting two health facilities and a facilities as well as training community are now protected from flooding and have financial security, distribute resources to help them establish and a cow, selling the cow’s morning community education program as well as members in their management. In Iringa, the ability to grow more food. milk, and producing and selling a developing livelihoods programs. Nyombe, and Mbeya, we are working to sustainable businesses, and provide them with moral and Total People Reached in 2013: 187,459 sorghum-based home brew. This reduce malnutrition among children under Total People Reached in 2013: 177,899 Total Program Expenditure: $2,682,645 technical support services to ensure the long-term success the age of five. diversified approach to establishing Total Program Expenditure: $5,760,419 Concern US Grants to Program: $113,436 of their enterprises. a stable income is allowing her to Concern US Grants to Program: Total People Reached in 2013: 120,112 support her family as she never $1,396,371 Total Program Expenditure: $4,242,015 Concern US Grants to Program: $580,262 before believed possible. In neighboring Burundi, Elisabeth Nyandwi, 42, a mother of seven, made use of the program to borrow funds to buy 15 acres of land on ZIMBABWE REPUBLIC which to grow beans and cassava. UGANDA Having concluded our Zimbabwe program Today, she sells her harvest at the OF SUDAN in 2013, we leave a legacy of community- Concern’s work in Uganda focuses local market. Having already paid 2013 marked the tenth year of conflict primarily on Karamoja, one of the led innovation and change. We focused in Darfur where, tragically, violence and country’s poorest regions. In 2013, we our efforts on holistic approaches to back the loan, she now plans to use displacement still continue. In West completed a four-year program that building livelihoods and food security as future profits to buy additional land Darfur, Concern is delivering programs in aimed to improve livelihoods security well as child protection and well-being. that she will then rent to others. livelihoods, health, nutrition, clean water, through vocational, literacy, and business Community-based trainers worked with and sanitation. This includes supporting skills training. Concern also provided small-scale farmers in extremely poor Both women have found roles in four clinics, three of which were built by emergency services to 30,000 refugees areas to improve farming methods, communities that once seemed Concern, in outlying villages that provided from the Democratic Republic of Congo. increase crop yields, and strengthen to shun them. “Before, no one more than 20,000 medical consultations Currently, our RWANU (Resiliency access to markets. Family clubs were invited me into their homes,” says in 2013. When severe flooding hit the centerpiece of our efforts to protect through Wealth, Agriculture, and Nutrition) Mukamugaga, her dark eyes serious Khartoum State in August, affecting program is improving maternal and child orphans and vulnerable children by as she stands in her backyard in 120,000 people, Concern distributed health and nutrition through increasing supporting their caregivers. basic necessities such as blankets, the village of Gafumba in southern access to health facilities, improving food Total People Reached in 2013: 103,087 mosquito nets, cooking supplies, and jerry security and nutrition, and strengthening Total Program Expenditure: $2,394,558 Rwanda. “I had nothing to offer and cans to approximately 3,000 people, and access to markets. In Pader district, water, Concern US Grants to Program: $100,000 I wasn’t presentable. Now they even similar efforts continue in response to sanitation, and health have been key flooding in West Kordofan. come to ask me for a contribution for activities along with a drive to promote local weddings.” Total People Reached in 2013: 303,625 sustainable and equitable wealth creation Total Program Expenditure: $5,994,324 among poor communities. Concern US Grants to Program: Total People Reached in 2013: 112,919 $1,729,742 Total Program Expenditure: $3,593,159 Concern’s graduation program is Concern US Grants to Program: helping thousands of people like $2,020,155 Scholastic graduate out of poverty in Rwanda. Photo by Cheney Orr

13 14 PROGRAM HIGHLIGHTS RESPONDING TO EMERGENCY CRISES SYRIA CRISIS RECOVERING LOST LIVELIHOODS IN THE PHILIPPINES 2013 marked the third year of the Syrian civil war, a conflict future with no end to the war in sight. On November 8, 2013, that has become increasingly vicious and fractured and has Across the border, Lebanon was Typhoon Haiyan, the sparked the largest humanitarian catastrophe in the world struggling to absorb the wave of strongest storm on record, today. At the end of 2013, more than 2.2 million Syrians were Syrians seeking refuge within its destroyed everything in its borders, with at least 700,000 arriving seeking refuge in other countries, primarily in Lebanon, in 2013 alone. The scale of the refugee path and impacted over Jordan, and Turkey, creating the largest refugee population crisis increased the demand for jobs, 12 million people in the seen in decades. Inside Syria, the war displaced more than public services, and housing. With Philippines, 90 percent of four million people and destroyed much of the country’s no refugee camps allowed, Syrian whom live in the Visayas refugees are forced to take whatever infrastructure, leaving millions with little to no access to food, shelter they can find and afford, from region. The storm also water, shelter, medical care, and other basic needs. car garages to makeshift shelters in had a devastating effect open fields. In 2013, Concern worked on the country’s fishing in Akkar, the poorest and northernmost communities, wiping out OUR RESPONSE district in Lebanon, to build safe drinking water systems and latrines and fishing gear and boats The rapid deterioration of conditions drinking water for 45,500 people and and damaging precious inside Syria and the escalation in the distributed water purification tablets to to improve hygiene for refugees and number of Syrian refugees in 2013 8,300, an intervention that protected Lebanese host communities alike. We marine ecosystems such pushed Concern to launch emergency families from waterborne illnesses. also focused on creating new shelter as mangroves and coral responses in Syria as well as Lebanon, With cases of leishmaniasis, an options for the most vulnerable Syrian reefs. With 60 percent of Photo by Steve De Neef families by converting unused buildings which hosts more Syrian refugees infection caused by sandflies, on the the country’s population than any other country. In Syria, rise, Concern also undertook insect into residential spaces. Collectively, Concern focused on communities repellent measures to reduce sandflies these efforts directly reached more living by the sea, fishing is Philippines. However, a combination OUR RESPONSE than 10,300 people, both Syrian and of marine ecosystem destruction at risk of disease outbreaks, as the and mosquitoes. All of these programs a major source of income Concern, in partnership with the Lebanese, last year and we are looking and illegal fishing practices has war destroyed water systems and were carried out in highly volatile and and food for many people. London Zoological Society, the to expand into new program areas, contributed to the historical decline disrupted sanitation and other services. dangerous areas within Syria that are University of the Philippines in Cebu, including education, in 2014. of fish stocks in Visayan waters. The We restored the supply of safe tragically unlikely to change in the near and the local government, is planning added damage caused by Haiyan to support the rehabilitation of We were very happy is projected to have a long-term, BOATS, CORALS, damaged reefs and mangroves. The negative impact on local fish species in Syria. We had a big AND MANGROVES restoration of ecosystems will revive if nothing is done to restore their house—three rooms for Small-scale fishermen are among marine life and support the livelihoods habitats. Mangroves, sea grass two people. We now live in the poorest people in rural areas of coastal communities who rely on beds, and coral reefs are important of the Philippines. Before Haiyan fishing for food and income. one room. We had enough breeding grounds and provide hit, most were already living day to money to live, to buy what critical habitats for juvenile fish Climate change has intensified day. With their boats destroyed, they we want when we wanted. and shell fish species to feed and the impact of natural calamities were left with nothing. It became mature. Given the dependency of like floods, sea level rise, drought, The difference is between Concern’s goal to get some 1,000 poor coastal communities on fishing typhoons, landslides, and mudslides heaven and hell. boats back into the water to enable for income and food in addition to in the Philippines, affecting millions fishermen to make a living again. – Sara, 37, Syrian refugee their increased vulnerability in the of people. This program aims to To help them rebuild, we initiated a living in Lebanon aftermath of Typhoon Haiyan, there mitigate the impact of future natural program to repair or replace small is a great need to address this disasters. Mangroves and reefs are fishing boats damaged by the storm situation to ensure the communities’ natural barriers to typhoons, and by and provide cash grants to poor long-term survival. rehabilitating them, we will lessen the fishermen. damage caused by storms and protect Photo by Crystal Wells/ The Visayas region is one of both the coastline ecosystems and the Concern Worldwide the major fishing grounds in the people who rely on them for survival.

15 16 PEOPLE OF CONCERN

Concern is more than Concern has been like a I feel proud that I am a part of There are many rewarding a charity. United by a university for me—I am strengthening Kenya’s health parts of my job. If I had to We help the people of this sense of purpose, we are learning all the time. Technology The most important thing systems so that more children choose one, it would be the country to be self-sufficient, to a community of people is helping us to be more is to engage with all of the are not only able to survive reaction of people when they have livelihoods, and to fend for who come together effective in responding to the community. That is the way to but to grow and reach their are helped by Concern—you themselves. They are so happy around a shared concern needs of the people we serve. achieve success. full potential. feel like you are changing lives. and I feel so proud. for people in need of humanitarian and FARID SHAHAB JEAN-LINZ NAJAC KOKI KYALO SAMAR FINIANOS SARAH SOLOMON development assistance. Nearly 3,000 people dedicate their talents, skills, and experience to Concern and 87 percent of our staff in the field are living and working in their own communities. Farid Shahab exemplifies the Jean-Linz Najac has been with Koki Kyalo joined Concern in 2008 When Concern Worldwide first began As a single mother who has worked These five individuals growth and development of Concern’s Concern Worldwide in Haiti for over and is responsible for coordinating working in Lebanon in May 2013, her whole life to provide for her Samar Finianos Sarah represent the energy, Afghanistan team over the last several a decade and has vast experience our nutrition programs in slum was one of the very daughter, now in college, years. Starting as a radio operator dealing with the complexities that communities in Nairobi and Kisumu. first staff hired to the water, sanitation, Solomon knows firsthand the enthusiasm, hard work, at the regional office in Taloqan, come with working in the urban slums In her role, Koki works with Ministry of and hygiene program. As a team challenges mothers in Sierra Leone and commitment—qualities Farid came to work with information of Port-au-Prince. “If you don’t involve Health staff members and community leader, Samar manages three hygiene face raising healthy children. It is this shared by all our staff — technology more by accident than the community in everything you do, health workers to deliver high-quality promoters who work with Syrian spirit of a Sierra Leonean mother— that make positive change design. “I just became involved over you will fail,” Jean-Linz says. nutrition services in health facilities families to improve cleanliness in their proud, determined, and warm—that the course of time, by helping out,” he across eight slums, reaching 255,000 homes and communities. This includes Sarah brings to her role at Concern as happen for those most In areas like Martissant and St. Martin, says. “When the IT manager moved on gangs have a huge influence on children, pregnant women, and training on the importance of hygiene the Senior Administrative Officer for in need. to work with Concern elsewhere, I was everything that happens. Concern has breastfeeding mothers. “Everyone has and health as well as distributing water Innovations for Maternal, Newborn & ready to take over.” been involved in peace-building work a job to do, from the community health purification tablets, bars of soap, jerry Child Health. Now, at the age of 26, Farid manages here for several years and Jean-Linz worker and the nurse at the clinic to cans, and other supplies. In her position, Sarah supports every the IT needs for the whole of Concern has been at the center of that work. the district health manager,” says Koki. While hygiene promotion is at the aspect of the Essential Newborn Care Afghanistan, which operates across He’s currently managing an exciting “When they all do their job well and core of Samar’s job, the reality is that Corps project, which aims to rebrand eight offices in some very challenging new project in an area called Grand together, I know that collectively we the rising numbers of Syrian refugees traditional birth attendants as health and remote locations. This includes not Ravine, where 20,000 people live in are saving children’s lives.” in northern Lebanon require that she promoters and small businesswomen only the computers, servers, networks, very poor conditions with few or no The program, which provides financial take on wider responsibilities as well, who provide advice for pregnant and other IT infrastructure but also the facilities. “I’m excited about this work,” support to clinics and training for such as distributing supplies like women and newborns while selling digital data gathering platform, which he says. “I really think we can help health professionals, has grown from children’s winter boots and running health care products. From negotiating has transformed the way information is this community to transform their 26 clinics in 2008 to 107 clinics today. household surveys so that Concern prices with vendors and managing collected from the field and processed environment for the better.” For mothers and children, this means can best respond to the most the field office to organizing meetings back in the office. “Our job in IT is to Over the coming years, Grand Ravine that nutrition services are available to pressing needs of the refugees. and training sessions and welcoming help our colleagues who work with the will benefit from new infrastructure, them free of charge in or near their visitors with open arms, Sarah’s work people in towns and villages to achieve new jobs, and new opportunities for communities, breaking down barriers across all departments ensures that their goals and be more effective.” young people. that may have prevented them from the program has the support it needs seeking care in the past. to succeed.

17 18 PARTNERSHIP HIGHLIGHTS

Making the lives of the world’s poorest and most vulnerable continuation program, RAPID II, in CHILD SURVIVAL people better is not something we can accomplish alone. Pakistan by providing funds to national In September 2013, Concern concluded its community- children under the age of five and 88,400 pregnant and and international organizations to help based child survival project in Burundi, where we worked breastfeeding women with nutritional support services. The work starts with the communities themselves, but lasting those affected by floods, conflict, and impact depends on the combined resources and knowledge to prevent malnutrition; reduce the incidence of malaria, As a result, every district in Malawi has now improved its displacement. pneumonia, and diarrhea; and improve healthy habits in the abillity to manage its own CMAM services. gained through our partnerships with governments, Concern is helping those affected home for 94,500 women and children in Mabayi District. Our Lahiya Yara (“Child Health”) child survival project in the corporations, foundations, and institutions. by conflict in West Darfur, Sudan In Kenya’s Marsabit Central and Moyale Districts, a four- Tahoua Region of Niger is improving nutrition for mothers with agricultural support, water, year Concern project is improving maternal and newborn and children as well as preventing and treating diarrhea, sanitation, hygiene services, health for 54,900 women and children under five years malaria, and pneumonia in children. Through the creation of and malnutrition treatment. old. We are also working to prevent chronic malnutrition, 48 care groups and the training of 507 mother leaders, we are people cope with the stressors of Concern is assisting people impacted diarrhea, and pneumonia among children. In collaboration reaching 310,100 women and children under the age of five. poverty and identifying warning signs by the conflict in South Kordofan, with Johns Hopkins University, we are researching that signal developing emergencies. In Sierra Leone, the Al Pikin fo Liv (“Life for All Children”) Sudan by establishing health culturally appropriate places for pastoralist women to With 600,000 residents expected to child survival project is increasing the quality of maternal and nutrition projects that provide deliver their babies as an alternative to giving birth at benefit from this program by 2015, and newborn health services for 71,700 women and children EMERGENCY RESPONSE agricultural training, distributing seeds, home, where they risk complications. we have already helped 210,000 under the age of five in ten urban slum communities of and creating water, sanitation, and After M23 rebels temporarily people in 2013. In July 2013, we successfully finished integrating Freetown. We are also working to prevent and treat malaria, occupied Goma in the Democratic health services. our Community Management of Acute Malnutrition diarrhea, pneumonia, and malnutrition among children. Concern’s three-year disaster risk Republic of Congo in late 2012, Concern’s disaster management (CMAM) Advisory Service, a nutrition program, into In collaboration with Johns Hopkins University, we are management project in Pakistan Concern responded to the aftermath program in Zambia is helping people Malawi’s national health system. We trained 500 health researching how to improve disease surveillance for better concluded in 2013, reaching more of ethnic violence in Masisi Territory become better prepared for natural service providers in addition to reaching over 400,000 planning and management of health services. than 173,000 people through natural in 2013 by providing 68,370 disasters as well as creating ways disaster awareness-raising activities, vulnerable people with essential relief to diversify food sources to improve establishing local disaster management supplies and livelihoods assistance. resilience against severe weather. organizations, and improving In 2013, Concern worked with preparedness among communities. Overseen by a consortium of Concern Ethiopia’s Ministry of Health to Worldwide, International Medical In 2013, Concern concluded the establish services for Community Corps, and the Harvard Humanitarian first phase of its RAPID program in Management of Acute Malnutrition Initiative, the Building a Better Pakistan, helping more than three (CMAM), a grassroots health care Response project is developing million people affected by natural approach for treating malnutrition tools to help NGO personnel engage disasters by working with local partners and preventing early childhood death. and coordinate more effectively to deliver lifesaving aid quickly and with humanitarian systems during In the urban slums of Kenya, efficiently. Due to the success of this emergencies. Concern is researching ways to help program, we are now implementing a

DEVELOPMENT Through Concern’s Language, (RWANU) program aims to improve parent-teacher associations to improve Literacy, and Learning program food security and nutrition among literacy and numeracy skills. We are in Rwanda, we are working with 37,770 households, with a focus also piloting a mother-tongue literacy parent-teacher committees to on children, pregnant women, and initiative in the Bassa language. improve community involvement in breastfeeding mothers, over the next literacy, educational equity for girls, five years in Karamoja district. and teacher motivation. We expect Concern’s Education Quality Pastoralist Gabbra women Kame the program to reach all schools in and Access in Liberia (EQUAL) Darasso, Habima Mohamed, and Doko Rwanda by 2016. program seeks to improve education in Isako wait at a food aid distribution in In Uganda, the Resilience through Grand Bassa county by working with Maikona, Kenya. Wealth, Agriculture, and Nutrition school administrators, teachers, and Photo by Gideon Mendel

19 20 PARTNERSHIP HIGHLIGHTS Continued

Accenture and the Accenture Since 2012, Concern has worked The W.K. Kellogg Foundation supports Foundations supported Concern’s in partnership with the Merck for Concern’s efforts to educate children Village Savings and Loans (VS&L) Mothers Global Giving program to and promote community development project in Malawi. The project proved reduce maternal illness and death in in Saut d’Eau, Haiti. Together, we hugely successful, with overwhelming Nkhotakota District, Malawi. More than have been working to improve literacy demand by communities. More than 67,892 women of childbearing age will among primary school children. 400 VS&L groups were established benefit from community-based maternal We have also been facilitating across three districts with 8,440 health services, including youth-friendly participatory community planning and members. Savings are used to improve reproductive health services. local capacity-building efforts to grow living conditions, build up assets, economic and social development in purchase agricultural inputs, and the region. establish small-scale businesses.

With support from Ronald McDonald The Xerox Foundation has played a House Charities, Concern and Burundi’s key role in Concern’s mission to use Since 2007, Concern has partnered Ministry of Health launched a program innovation to provide assistance to the with charity: water to address the in 2013 to reduce child illness and world’s poor. In 2013, Xerox supported world’s water crisis. With charity: water’s death for 46,000 children under the the study of the efficacy of the plant support, Concern provided thousands age of five in Cibitoke, Burundi. Using a Lantana camara to deter mosquitoes of people with access to clean, safe “train-the-trainers” model, nearly 2,500 from entering houses in Tanzania. drinking water in countries such as health workers will increase healthy Findings concluded that the plant Cambodia, Bangladesh, the Democratic childcare practices and timely care indeed repelled mosquitoes. Republic of Congo, Haiti, Liberia, Sierra seeking for sick children. Leone, Tanzania, and Uganda.

With support from the TK Foundation, International Relief Teams (IRT) is Concern is working to increase the supporting Concern’s restoration quality of teaching in Tonkolili, Sierra Young women undergo vocational training in tailoring efforts in the Philippines after Typhoon Leone. The project is supporting at the EDA Center in Mogadishu, where Concern runs Haiyan. IRT has helped to repair and untrained teachers to become projects with numerous partners. Other young people replace boats and provided fishing gear qualified through distance education are trained in basic computing skills, carpentry, and for hundreds of fishing families. It is while continuing to teach in the electrical technology, all crucial as Mogadishu embarks now working with Concern to restore classroom. As a result, students’ lesson on substantial reconstruction and redevelopment that will water supplies and to rebuild and comprehension has increased from two create employment opportunities. Photo by David Pratt/ repair several schools in the worst hit percent to 62 percent in just two years. Sunday Herald communities.

21 22 INSPIRING YOUTH TO BECOME ACTIVE GLOBAL CITIZENS Innovations for Maternal, Newborn & Child Health Global Concerns Classroom (GCC) is an innovative and multi-faceted global education is a special initiative to program of Concern Worldwide US that empowers youth to explore global issues, speak out, accelerate the discovery and and take action against poverty. Through dynamic resources, student engagement programs, testing of creative solutions and professional development for educators, GCC prepares youth to gain the knowledge and to understand and overcome skills needed to be globally competent for the 21st century. barriers that prevent essential health services IMPACT STUDENT ENGAGEMENT FIELD VISIT from reaching women and In 2013, GCC directly worked with over Concern’s staff shared 23 presentations Through GCC’s Student Leadership children. Innovations is 20 schools in the New York City area, from GCC’s “Voices from the Field” Core, GCC brought a student and supported by a multi-year speaker series, facilitated eight student an administrator to Ethiopia to visit impacted more than 2,200 students grant from the Bill & Melinda and 570 educators, and indirectly workshops, supported three after- Concern’s programs for the Annual reached an additional 900 educators school clubs, and led nine professional US/Ireland Student Field Visit. Gates Foundation. and 28,000 students nationally. GCC development workshops for educators Ultimately, GCC instills the belief in works in collaboration with teachers on global education. Over 75 students A newborn baby in the Kroo Bay participating students that it is possible and students in US secondary schools from eight different high schools in NYC slum in Freetown, Sierra Leone. to make a positive difference in their to provide resources and hands-on gathered together for GCC’s flagship Photo by Kieran McConville broader community, whether that support to foster critical thinking and event, the seventh Annual Global community is in New York or halfway innovative solutions to tackling the global Concerns Student Workshop, to explore around the world. challenges facing the world’s poorest the theme of “Women and Girls: The In 2013, Innovations completed the services closer to women. Physical change will lead to new attitudes and people: displacement, education, health, Key to the Future.” implementation and evaluation of access barriers to these services behaviors that support health care for HIV and AIDS, hunger, water, women’s four projects in Sierra Leone, India, contribute to a range of adverse mothers and children. rights, and more. and Malawi while also advancing outcomes, from delayed treatment to The Care Community Hub aims to At the heart of the program, GCC aims the 2014 launch of the following disability and even death. MUM uses improve motivation and job satisfaction to inspire youth to become active global five new pilots in Ghana, Kenya, computational modeling to determine among frontline health workers citizens and leaders for a better future. and Sierra Leone. the ideal locations of ambulances and through a mobile app. This app will To achieve this, GCC provides a wide static emergency obstetric and neonatal offer opportunities for professional KENYA range of resources and services free of care clinics as well as to create optimal development and reduce the sense of charge to schools: To address the shortage of medical routes for mobile clinics. social isolation among health workers ›› Quality classroom resources such as equipment for mothers and newborns posted in remote areas. global issue guides, student-narrated in Kenya, the Maker Movement for GHANA videos, thought-provoking posters, and maternal, newborn, and child health Community Benefits Health explores a SIERRA LEONE harnesses the creativity of “makers,” a standard-aligned unit plans creative means of using non-monetary The Essential Newborn Care global community of inventors, hackers, ›› Engaging school presentations from incentives to cultivate communities’ Corps is rebranding traditional birth manufacturers, and entrepreneurs. It Concern’s staff investment in and commitment to attendants as Maternal Newborn is testing the viability of the “Maker ›› Interactive student workshops and supporting and improving maternal Health Promoters (MNHPs) who Hub,” a network that links local makers, after-school program activities and child health. Potential incentives provide health advice for pregnant biomedical engineers, and health include a community’s investment in › Despite the culture and language difference, I women and newborns during home › Educator support and professional practitioners to design, prototype, made a connection with the people [in Ethiopia]. constructing a borehole for irrigating visits while also selling health-related development training and test low-cost, high-quality, open- gardens during the dry season. This products. MNHPs link the community They showed me that the key to solving global source, and locally produced essential would encourage fathers to remain and government health facilities by American student Stachel Roberts poverty is not aid or monetary assistance, but it is equipment and spare parts. with their families instead of migrating referring women to the facilities for gives Mekash Endris, 16, notebooks education. With education, a society becomes more from Concern in Guguftu, Ethiopia. The Mobile Urgent Maternal Service to southern Ghana for agricultural medical care. Photo by Amanda Ruckel/Concern independent and will thrive above poverty. (MUM) aims to bring safe motherhood work during the dry season. This kind Worldwide - Stachel Roberts, GCC Student Leader of incentivized and sustained cultural

23 24 2013 MILESTONES

FEBRUARY 22, 2013 MARCH 2013 MARCH 4, 2013 APRIL 2013 APRIL 5, 2013 MAY 2013

Concern honors Shirley Welsh Ryan, Dominic MacSorley, a longtime staff In contrast to the 2008 post-election An assessment team arrives in Syria Concern Worldwide US celebrates the Concern helps people in Mozambique co-founder of Pathways.org, and Mari member of Concern and a renowned violence, Kenya’s presidential to evaluate the humanitarian needs 20th anniversary of its founding recover from flooding that has forced Gallagher, principal at Mari Gallagher humanitarian, is appointed CEO of elections take place in relative piece. and how we can best help. We in New York. people from their homes and damaged Research and Consulting Group, at the Concern Worldwide. Concern spearheads the interagency decide on a response focused on farmland and crops. Women of Concern Awards Luncheon preparedness plan for Nairobi’s urban water and sanitation. in Chicago. slum areas.

MAY 2013 JUNE 2013 JUNE 10, 2013 JUNE 27, 2013 JULY 22, 2013 SEPTEMBER 2013

In response to the influx of Syrian Concern Worldwide joins forces Concern and Bread for the World Concern honors Carla Harris, After 23 years, Concern concludes Concern’s RAPID (Responding to refugees into Lebanon, Concern with over 200 charities as part of co-host a “Next 1,000 Days” event managing director and senior client operations in Cambodia and Pakistan’s Internally Displaced) program begins operations to meet the needs of the “Enough Food for Everyone” in Washington, DC, to encourage advisor at Morgan Stanley, at the successfully hands over programs to completes its first phase. Since 2009, thousands with shelter, hygiene, basic campaign during the G8 Summit in leadership in and commitment to the Women of Concern Awards Luncheon local partners. the program has helped three million necessities, and winterization supplies. Northern Ireland. fight against hunger and malnutrition. in New York City. people affected by disasters.

NOVEMBER 8, 2013 DECEMBER 2013 DECEMBER 2013 DECEMBER 2013 DECEMBER 9, 2013 DECEMBER 15, 2013

Typhoon Haiyan strikes the Philippines, After 11 years, Concern closes its In India's Odisha State, Concern Innovations for Maternal, Newborn & Concern honors Christoph Mueller, Conflict begins in South Sudan and causing widespread devastation, programming Zimbabwe, leaving successfully concludes its work after Child Health successfully completes CEO of Aer Lingus, at the annual Concern responds to the large numbers killing thousands, and leaving millions a legacy of innovation to help the 14 years, transitioning programs to four Phase I projects across three Seeds of Hope Dinner for his of internally displaced people in Juba homeless. Concern provides shelter, country’s poor. local partners for continued success countries and begins preparing the outstanding dedication to improving the and Bentiu with water, sanitation, distributes relief items, and assists in into the future. launch of three Phase II projects. lives of the world's poorest people. hygiene, nutrition, and basic necessities. the rebuilding of fishing boats.

25 26 HOW TO GET INVOLVED

Become a Corporate Partner CHICAGO NEW YORK

By sponsoring or participating in our New York and WOMEN OF CONCERN AWARDS QUARTERLY BREAKFAST SERIES Chicago events and campaigns, corporations have a unique Concern’s Chicago luncheon honors the humanitarian and Join other committed supporters and hear directly opportunity to maximize their exposure and reach their leadership accomplishments of extraordinary women who from Concern’s field experts about key issues and the targeted audiences while also making a tremendous impact reflect justice, compassion, and generosity in their work and tremendous difference your support is making. on Concern’s work with the extreme poor. daily lives. CONCERN SPRING RUN Support us through: CONCERN CHICAGO GOLF OUTING This rapidly growing event brings together runners, walkers, ›› Event sponsorships The annual golf event attracts business and civic leaders corporations, community teams, and volunteers for a four- ›› Disaster relief support in the event of an emergency for a wonderful day of golf. mile run or walk in Central Park. › › Cause-related marketing opportunities and gifts in kind THANKS-FOR-GIVING GALA WOMEN OF CONCERN AWARDS ›› Payroll deduction contributions and matching gifts This festive event supports Concern’s work. Guests Concern’s New York luncheon pays tribute to women enjoy delicious appetizers and cocktails while dancing of extraordinary accomplishment for their leadership, Join a Concern Committee the night away. contributions to public service, and efforts to empower women throughout the world. Our deeply engaged committees play a special role in the success of our events. AENGUS FINUCANE MEMORIAL GOLF TOURNAMENT Executives from the tri-state area enjoy a memorable day Sign Up for Our E-Newsletter of golf at the Woodway Country Club while celebrating the work of Concern and the memory of our founder, Aengus Stay up to date on lifesaving programs around the world and Finucane. find out how your support is transforming lives. CONCERN MARATHON TEAM Every year, dedicated and committed individuals take on Be Part of Our Online Community the challenge of not only running an incredible 26.2 miles but also of raising money to support Concern’s programs in Friend us on facebook.com/ConcernWorldwideUS or some of the world’s poorest countries. follow us on twitter.com/concern. Help us raise our profile by sharing the great work you are supporting with your CONCERN WINTER BALL friends and family. This festive gala for young professionals supports Concern’s work with a fun and exciting night of dinner, drinks, and dancing. Make an Introduction SEEDS OF HOPE AWARD Help the Concern community grow by connecting us with Concern’s annual award dinner honors and celebrates the other like-minded individuals who want to make a difference. best and the brightest business leaders, innovators, and influencers who have distinguished themselves through their Attend a Concern Event dedicated support of philanthropic causes. From awards dinners to luncheons and fun runs, our events raise awareness and funds to support our humanitarian work around the world. They also offer a great opportunity to meet with our staff and others in the Concern community and hear about the life-changing difference your support is making for the poorest communities in the world.

Supporters at the annual Concern Spring Run in New York City.

27 28 CONCERN BY THE NUMBERS

Concern works in partnership with local organizations and people in their own communities EMERGENCY RESPONSE to develop practical and lasting solutions to extreme poverty. We focus on the root causes Every year, conflicts and natural disasters leave millions of risk reduction is an integral part of development. We are also and key drivers of poverty in each country through programs in livelihoods (food, income, people unable to meet even their most basic survival needs. committed to helping communities establish early warning and markets), education, health, HIV and AIDS, and emergency response. In the past year, The poorest are always the most vulnerable to crises and systems to minimize the impact of crises. Such measures allow are the worst affected. Concern is committed to meeting the us to focus not only on saving lives but also on protecting Concern directly reached 6.5 million people. humanitarian imperative to save lives and alleviate suffering. people’s livelihoods. In 2013, through our emergency response In all emergency responses, we aim to address the immediate programs in 22 countries, Concern directly reached over 2.2 survival needs of affected populations and to build their capacity million people. HEALTH HIV AND AIDS to cope with future disasters. Concern believes that disaster This year, around 6.6 million children will die from preventable, An estimated 35 million people around the world are HIV- treatable diseases before they reach the age of five. Every positive, with 71 percent of them living in sub-Saharan day, nearly 800 women die from preventable causes related Africa. Poor communities are disproportionately affected. Country Sector / Activity Summary Total Direct Beneficiaries to pregnancy and childbirth. Concern works to save lives and Concern is working to combat the HIV and AIDS epidemic on Afghanistan Flood response; emergency preparedness; disaster risk management 59,537 ensure that the poorest have access to basic health care. We many fronts. The aim of our work in this sector is to reduce work in partnership with local governments and community transmission and prevalence and to minimize the impact Bangladesh Cyclone Mahasen response; flood-resistant shelter 17,180 organizations to prevent and treat malnutrition, improve of the disease among people living in extreme poverty. We Burundi Congolese refugee response: food and non-food item distribution 433 maternal and child health, and increase access to clean teach communities about the virus so that they can protect Chad Food insecurity; blanket feeding; emergency WASH response 89,017 water and sanitation. In 2013, Concern implemented health themselves, ensure that people affected have adequate social Democratic Republic Conflict: non-food item distribution; voucher markets; programs that directly benefited more than 2.1 million people. protection, train health workers and family members to care of Congo unconditional cash transfers; cash-for-work road rehabilitation; protection 55,865 for those infected by HIV, and advocate for governments and Ethiopia Flood and hailstorm response: root and tuber disaster risk management Total Direct Beneficiaries: 2,113,087 citizens to work together to respond to the epidemic. response; disaster risk management response for small-holder farmers; Total Indirect Beneficiaries: 6,697,995 emergency nutrition; fresh food vouchers 47,720 Total Direct Beneficiaries: 57,585 Haiti Return to Neighborhoods program (moving out of camps and into Total Indirect Beneficiaries: 38,560 rented accommodation); protection; Hurricane Sandy response 50,497 India Flood response 25,265

LIVELIHOODS (FOOD, INCOME, AND MARKETS) Kenya Conflict/internally displaced people (IDP) response; emergency nutrition response 485,053 Today, over a billion people around the world are forced to Lebanon Syrian refugee response: shelter; WASH response; non-food item distribution 12,436 survive on $1.25 a day. Concern helps people to overcome EDUCATION Malawi Cash transfers in Salima and Mchinji 2,406 extreme poverty by investing in their ability to support In 2013, 61 million children were denied their right to themselves and their families. Concern’s approach to Mozambique Cyclone and floods: food and seed distribution; shelter; education and an additional 130 million more received poor infrastructure reconstruction 69,342 targeting poverty is holistic: we recognize that poverty is quality education. For over 40 years, Concern has supported Niger Food insecurity response 72,705 complex and that solutions must be designed according to children in the world’s poorest and most vulnerable countries the local context and resources. Our livelihoods work aims to access and complete their education. We focus our work Pakistan Flood response; conflict/internally displaced people (IDP) response (RAPID) 670,468 to ensure that poor people are able to manage their own on primary schools, ensuring that children learn foundational Philippines Typhoon Haiyan response: shelter and non-food item distribution 48,831 resources and attain their rights to an adequate standard of skills to be successful learners. Working in partnership with Rwanda Emergency health and nutrition response 1,756 living. In 2013, we directly reached over 1.8 million people governments, our education programs seek to strengthen through our livelihoods programs. Sierra Leone Cholera: hygiene promotion; cholera sensitization; water purification; existing education systems so that they meet the needs of non-food items and cholera kit distribution 914 poor, marginalized children. In 2013, Concern’s education Total Direct Beneficiaries: 1,847,401 Somalia Nutrition; food and cash grants; WASH; support for voluntary returnees; programs directly helped over 440,000 children and parents. capacity building for local NGOs 209,416 Total Indirect Beneficiaries: 3,132,590 Republic of South Sudan Flood response 38,807 Total Direct Beneficiaries: 443,148 Republic of Sudan Conflict response; flood response 118,903 Total Indirect Beneficiaries: 1,461,584 Syria Conflict: WASH; repair of water systems; distribution of water purification tablets; vector control activities 153,413 Uganda Refugee response; preventive nutrition; surge support 30,846

Total 2,260,810

29 30 w

CONCERN BY THE NUMBERS

Concern Worldwide US Financial Summary Statement of Activities for Year Ending December 31, 2013 (with summarized amounts for 2012)

2013 Total ($) 2012 Total ($) Support and Revenue Contributions and non-government grants 7,165,169 10,139,575 Support from Concern Worldwide 1,574,624 1,378,630 Government grants 17,479,493 16,655,023 Special events – net 2,581,181 2,186,478 Investment income 6,488 13,074 Total Revenue and Support 28,806,955 30,372,780

Expenses Program activities 28,547,161 26,779,778 General and administrative 1,303,264 1,212,726 Fundraising 1,113,442 975,541 Total Expenses 30,963,867 28,968,045

Change in Net Assets (2,156,912) 1,404,735

Net Assets at Beginning of Year 8,358,164 6,953,429

Net Assets at End of Year 6,201,252 8,358,164

ANALYSIS OF EXPENDITURE FOR 2013

Program Activities 92.2%

Management and Administration 4.2% In the Sundarbans, the world’s largest contiguous wetland that spans India and Bangladesh, Concern is working Fundraising 3.6% with communities to improve habitat biodiversity, repair the environment, develop sustainable livelihoods, and mitigate the effects of climate change. Photo by Siddharth Bhel/ Saferworld Communications

31 32 CONCERN WORLDWIDE US INTERNATIONAL CO-FUNDERS BOARD OF DIRECTORS OF CONCERN’S OPERATIONS WORLDWIDE IN 2013

Thomas J. Moran Jack Haire Frances O’Keeffe Funder Country Chairman, Concern Worldwide US Parade Publications Concern Council (Ireland) Chairman, President, and CEO, Irish Government Ireland Mutual of America James Houlihan George Pappas Irish Aid Program Funding (IAPF) MCS Advertising LTD Other Grants Joseph M. Cahalan Kevin M. Kearney CEO, Concern Worldwide US Wingate, Kearney & Cullen Margaret (Peggy) M. Smyth British Government United Kingdom Con Edison European Union European Union Patrick H. Barry Eugene Keilin Barry Associates KPS Funds Nancy Soderberg Concern Worldwide US (Including the US Government) United States Joan Carroll Edward J.T. Kenney Page Thompson PricewaterhouseCoopers, LLP Mutual of America Omnicom Media Group UN Agencies United Nations North America Dolores T. Connolly Joe King Alliance 2015 Czech Republic, Slovakia, Denmark, Sterling Engineering, Inc. Lynn Tierney France, Germany, Italy, Netherlands, Ireland Edward R. McCarrick University of California System Father Jack Finucane C.S.Sp. ICON International, Inc. Scottish Government Scotland John Treacy Swedish Government Sweden Kevin Fortuna Jim McShane The Irish Sports Council Lot18 The McShane Companies Norwegian Government Norway Arthur T. Gurwitz Denis O’Brien Jersey Overseas Aid Jersey Proskauer Rose LLP Digicel

Donations in Kind Donated Goods and Services Country

World Food Program (WFP) Foodstuffs United Nations United Nations Children’s Fund Foodstuffs United Nations United Nations Humanitarian Response Fund Foodstuffs United Nations Department for International Development (DFID) Motor vehicles, solar lights, training United Kingdom ECHO Flights European Union Catholic Relief Services Foodstuffs United States Irish Aid Tents, blankets, mosquito nets, and staff Ireland Food and Agriculture Organization Seeds and medicine United Nations Action Contre le Faim Foodstuffs Germany

Girls in class at a primary school in Afghanistan, where Concern is working to improve the enrollment of female students and their access to education. Photo by Kieran McConville/Concern Worldwide

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Concern Worldwide US, Inc. is a New York not-for-profit corporation exempt from federal income taxation under section 501(c)(3). Tax Identification Number: 13-3712030 Concern Worldwide US, Inc. supports projects carried out in the field by Concern Worldwide, registered in Ireland.

Front cover photo: Mavema Mohammed, 25, feeds her 23-month-old son supplemental food prepared by the Health Development Army, a community volunteer group that promotes better health practices in the village of Dessie Zruia in Ethiopia. By Jiro Ose