Days is all it takes to save the life of a starving child. Through a rigorous set of nutritional and medical protocols, our pioneering work in the treatment of severe acute malnutrition can save people who are hours away from dying. Our Therapeutic Feeding Centers stabilize a patient’s physical 21 deterioration, rehabilitate metabolic years of civil war functions, and rebalance a patient’s have ravaged sudan, physiology, preparing the way for recovery where two million people have been killed, and four million have been displaced. 30

2005 ANNUAL REPORT ACTION AGAINST HUNGER

M4illion people benefited from Action Against Hunger’s life-saving programs in 2005 90 , Cents of every 6000 donated dollar International and national staff work for ACF directly funds to ensure the success of our global programs our programs The earthquake in Pakistan claimed over seventy thousand lives, injured more than a hundred thousand people, and caused the F100 collapse of Therapeutic milk formula, between sixty developed and left unpatented and one hundred by ACF’s Scientific Committee, percent of has revolutionized the 680Children were treated for severe the buildings treatment of severe acute and moderate malnutrition at ACF’s around the malnutrition, slashing Therapeutic and Supplemental Feeding epicenter. As the mortality rates and saving lives Centers each month during 2005 Himalayan winter approached, the U.N. estimated that the number of people left homeless was 800,000 Children were affected by the crises that hit Mali and Niger during 2005, suffering drought, reduced access to food, and losses of animals and livelihoods. In Mali alone, the malnutrition rate reached fifteen percent; 2.5 rates of ten percent constitute an emergency. Such cyclical crises will MILLION only reoccur without investments in longer-term measures Days is all it takes to save the life of a starving child. Through a rigorous set of nutritional and medical protocols, our pioneering work in the treatment of severe acute malnutrition can save people who are hours away from dying. Our Therapeutic Feeding Centers stabilize a patient’s physical 21 deterioration, rehabilitate metabolic years of civil war functions, and rebalance a patient’s have ravaged sudan, physiology, preparing the way for recovery , where two million people have been P1eople in the 200Democratic Republic of Congo die every killed, and four day, largely from disease and food shortages linked million have been to six years of war and the subsequent collapse of displaced. the Congo’s health system and economy Billion people lack basic sanitation today—an astounding forty-two 30 percent of the world’s population. Unsafe drinking water, inadequate sanitation, and poor hygiene lead to a host of infectious diseases and chronic malnutrition that ultimately kill over 43 5 26 2.6two million children a year Countries ACF Head- Years of ACF currently host quarters Expertise in Action Against make up our Humanitarian Hunger relief International Action and development Network 2005 ANNUAL REPORT programs ACTION AGAINST HUNGER 1.1 BILLION Million people in the People lack world suffer from access to safe 396malaria, which kills water around M4illion people one million people the world, benefited from each year, most of leaving them Action Against whom are children vulnerable Hunger’s life-saving under the age of five. to daily programs in 2005 90 Simple, cost-effective indignities and , Cents of every donated dollar solutions, however, frightening 6000 exist for preventing rates of International and national staff work for ACF directly funds to ensure the success of our global programs our programs the needless toll that death and The earthquake in malaria exacts on poor debilitation Pakistan claimed communities over seventy thousand lives, injured more than a hundred Million thousand people, Million people suffer from hunger around the Congolese have and caused the F100 world, in both its chronic and acute forms. died as a result collapse of Hunger and malnutrition kill over five million of conflict since Therapeutic milk formula, between sixty children every year, induce tremendous suffering, 1998, mostly developed and left unpatented and one hundred and cost poor countries billions of dollars in from hunger and by ACF’s Scientific Committee, percent of national income and lost productivity disease has revolutionized the 680Children were treated for severe the buildings treatment of severe acute and moderate malnutrition at ACF’s 3.9 around the malnutrition, slashing Therapeutic and Supplemental Feeding 852 epicenter. As the mortality rates and saving lives Centers each month during 2005 Himalayan winter approached, the U.N. estimated that the number of people left homeless was 800,000 Children were affected by the crises that hit Mali and Niger during 2005, , suffering drought, reduced access to food, and losses of animals and 51People were treated in ACF’s Therapeut550ic and Supplemental Feeding Centers in 2005, most of whom livelihoods. In Mali alone, the malnutrition rate reached fifteen percent; were on the brink of death when they arrived. ACF’s humanitarian interventions restore life, 2.5 rates of ten percent constitute an emergency. Such cyclical crises will dignity, and self-sufficiency, uniquely bridging urgent relief with longer-term development MILLION only reoccur without investments in longer-term measures for more than CONTENTS 04 05 06 07 Letter from the Letter from the President Our Programs Where We Work Exeuctive Director Board of Directors/ USA Headquarters Staff Advisory Council 08 10 12 14 Highlights Emergency Response Nutrition Water and Sanitation 25 in Haiti and Guatemala 16 17 18 20 Food Security: Health: We Advocate Advocacy: Contributors years Farming In Bags Breastfeeding Working In Politically Action Against Hunger has pursued its vision of a world Charged Zimbabwe without hunger, saving the lives of malnourished children and families while seeking long-term, sustainable solutions to hunger. Recognized as a world leader in the fight against hunger and malnutrition, Action Against Hunger specializes in responding to emergency situations of war, conflict, and natural disaster. Our innovative programs in 22 23 24 25 nutrition, food security, water and sanitation, health care, In-Kind Contributions Financials ACF International ACF’s International Network Charter of Principles and advocacy reach more than 4 million people in more than 40 countries, helping vulnerable populations regain their dignity, self-sufficiency, and independence.n

ACTION AGAINST HUNGER ACTION AGAINST HUNGER  2005 ANNUAL REPORT Photographs (from left): Blazej Mikula; Richard Moss; Blazej Miluka; Blazej Miluka; Jean Lapegue, Agence Vu; James Pomerantz Photographs (from left): ACF-Sudan; Burger/Phanie; Claudine Doury, Agence Vu; ACF-Pakistan; Stephanie Bouaziz; ACF-Pakistan; Burger/Phanie 2005 ANNUAL REPORT  letter from the executive director LETTER FROM THE PRESIDENT

major event in 2005 for Action Against Hunger USA Headquarters staff Board of Directors Advisory Council he year 2005 was a year of growth for Action was the launching of programs in Pakistan in Against Hunger in our efforts to eliminate hunger response to the 7.6-magnitude earthquake that in the world. And the year put us to the test with a struck in October. A primary reason that we Cathy Skoula Burton K. Haimes, Chair Christian Blanckaert seemingly endless series of natural disasters. Executive Director Partner, Orrick, Herrington Président Directeur Général, t A were able to accomplish this so quickly and so We were on the frontlines racing to beat the well is due to our experienced and motivated staff. Action & Sutcliffe LLP Hermès arrival of winter following the major earthquake that struck Against Hunger transferred international staff to Pakistan Operations Human Resources Pakistan in October. We provided food, tents, and water Raymond Debbane, Vice Chair Harold A. Bornstein from throughout its international network, especially those to those rendered homeless by the magnitude 7.6 quake. President, The Invus Group, LLC Vice President, who had worked in previous disasters including the recent We continued our efforts to rebuild in Sri Lanka and David Blanc Philippe Rosen Charles H. Greenthal & Co. tsunami in Asia. In addition, we found a large pool of skilled Indonesia after the December 2004 tsunami, moving to Program Director Human Resources Director Joseph G. Audi, Treasurer Pakistanis ready and willing to join us. With our team in President and CEO, Olivier Cassegrain the rehabilitation phase in which we’re providing the tools place, we were able to inaugurate programs quickly that Roger Persichino Kiera Downes-Vogel InterAudi Bank Managing Director, Longchamp necessary to restart fishing and farming activities. And we provided food, shelter, and water to tens of thousands of Desk Officer Human Resources Coordinator warned the world of impending droughts in Mali, Niger, earthquake victims and to continue providing that assistance Alexis Azria Sabine Cassel and the Horn of Africa through our early warning systems throughout the harsh winter even while our staff lived in Marie-Sophie Simon Sarah Favorite Writer that constantly monitor water, crop, and nutrition status. tents pitched in six feet of snow and two feet of mud. Nutrition Coordinator Human Resources Administrator Prof. Michael Golden These activities—demonstrating our improved emergency Our staff comes in many shapes and forms: headquarters, Henri Barguirdjian Professor Emeritus, Aberdeen response capacity—were a result of the cooperative efforts of international, national, and volunteer; administrative, Devrig Velly Brendan Tronconi President, Graff USA University the ACF International Network, comprised of headquarters technical, supervisory, finance, and general; fulltime and Food Security Coordinator Office Manager/ in New York, London, Paris, Madrid, and, as of August Cristina Enriquez-Bocobo Iman part-time. Our staff comes from all over the world: USA, Human Resources Assistant 2005, in Montreal. The five headquarters work together to Jeanette Bailey President, Enriquez-Bocobo Impala Inc.–Iman Cosmetics France, Italy, Congo, Kenya, Cambodia, and more. Our staff maximize our efforts by pooling resources across borders. In Constructs includes water engineers, nurses, MBAs, agriculturalists, and Office Assistant/ Development and Communications Pakistan, for example, led by the New York headquarters, Operations Assistant Frank McCourt logisticians. Our staff hones its skills in the field, sometimes Yves-André Istel Author we were able to bring in staff variously overseen by our rising through our ranks to become program directors or New York, Paris, London, and Montreal offices; monetary Randall Chamberlain Senior Advisor, Rothschild, Inc. to work as part of our international staff. Our staff also Finance Achim Moeller resources from New York, Paris, and Madrid; and supplies Development and includes volunteers who provide necessary pro bono work Ketty Maisonrouge Achim Moeller Fine Art from Paris and New York. The result: We were on the ground Communications Director at our headquarters. delivering assistance within 48 hours of the earthquake. Patrick Mouton President, Ketty Maisonrouge Robert W. Rudzki What ties them all together is their belief in the need Finance Director John Sauer & Company, Inc. During 2005, we also saw positive changes in the countries President, KIBAN Corporation to end hunger in the world, their dedication, and their Communications Manager where we work that enabled us to grow. The Democratic professionalism. Put this together with our 26 years of Nelger Rios Daniel Py Republic of the Congo prepared for elections scheduled Edward M. Sermier experience fighting hunger in the field and you get well-run Accountant James Phelan President, for July 2006; the accompanying peace allowed us access Vice President, CAO and programs that are adapted to the specific needs of beneficiaries Website and Database Manager Medical-Instill Technologies to more areas of the country that were previously insecure living in a variety of environments and under many different Hamouta Yattara Corporate Secretary, Carnegie and permitted us to shift the emphasis in some of our Patrick Siegler-Lathrop conditions. Everyone’s exemplary and frequently selfless Field Comptroller Erica Sackin Corporation of New York programs from lifesaving to life rebuilding. Similar changes performance explains how our modest resources assist more Development and PSL Conseil are happening in southern Sudan with the signing of a peace Rick Smilow Communications Coordinator than 4 million beneficiaries every year. Cathy Skoula, Secretary President, The Institute accord in January 2006; refugees are returning to their (ex-oficio) of Culinary Education (ICE) homes, some of whom have not seen their native land in 10 Executive Director, to 20 years. Most will need our help to rebuild their lives. Action Against Hunger USA Dr. Ronald Waldman By rebuilding lives we will truly beat hunger—attacking Professor, School of Public Health, its causes through our programs in nutrition, water and Columbia University sanitation, food security, basic health care, and advocacy. These provide the tools and training to save lives, to restart Jessica Weber livelihoods, and to restore dignity to more than 4 million President, Jessica Weber Design beneficiaries every year. Cathy Skoula Executive Director Wendy C. Weiler Partner, Argosy Partners

Nina S. Zagat Co-Founder and Co-Chair, Action Against Zagat Survey Hunger’s programs ensure effective Tim Zagat assistance by targeting Co-founder, Co-Chair & CEO, Burton K. Haimes the most vulnerable Zagat Survey President and working directly with communities to develop strategies that restore dignity and self-sufficiency for the long term.

ACTION AGAINST HUNGER ACTION AGAINST HUNGER  2005 ANNUAL REPORT Photographs (from left): Blazej Mikula, Burger/Phanie, Burger/Phanie, ACF-France 2005 ANNUAL REPORT  London Headquarters North Caucasus Paris Headquarters Georgia our programs Mongolia Madrid Headquarters Armenia Montreal Headquarters Azerbaijan New York Headquarters Tajikistan Palestinian Action Against Hunger’s programs reach more than 4 million Territories people each year. Yet with an estimated 852 million people Iran Afghanistan Pakistan suffering from hunger and some 1.1 billion people lacking Nepal sufficient drinking water, much work remains to be done. Action Against Hunger’s innovative approach integrates nutrition, water and sanitation, food security, basic health Myanmar Haiti Laos care, and advocacy programs. Mali North Sudan Niger Cambodia Chad Philippines Guatemala Honduras Nutrition Nicaragua South Somalia Sudan Ethiopia Sri Lanka

Our Therapeutic Feeding Centers save the lives of severely Colombia malnourished children and adults who may be just hours Kenya Democratic away from death. Action Against Hunger developed, field Ivory Coast Republic Indonesia Liberia of the Congo tested, and pioneered the now widely used therapeutic Sierra Leone milk formula F100, which has decreased the mortality rate Guinea Uganda Burundi of severely malnourished children under the age of 5 from Malawi as high as 25 percent to as low as 5 percent. We also operate Angola Supplemental Feeding Centers, distributing nutritionally Zambia Bolivia balanced food supplies to treat malnutrition before it Zimbabwe becomes life-threatening. WATER AND SANITATION

Every year, 2.2 million people, most of them children, Argentina die from diseases associated with unsafe drinking water, inadequate sanitation, and poor hygiene. Action Against Hunger provides access to safe drinking water by tapping springs, drilling wells, and installing water systems. We also teach the importance of water and sanitation in preventing disease, and train local teams to maintain water and sanitation equipment. food security WHERE WE WORK Treating malnutrition is only the beginning. Action Against Hunger combines emergency relief with programs that develop dependable sources of food and income. THE ACF INTERNATIONAL NETWORK By providing seeds, tools, and training programs for health Our comprehensive, income-generating activities such as farming, gardening, Hunger and disease are inextricably linked. Action Against Hunger’s Action Against Hunger USA is part of the ACF cost-effective approach International Network, named for the original to global hunger delivers animal breeding, fishing, small-scale retailing, and food staff includes experts on the medical aspects of malnutrition, tailoring a range of community- conservation, we work to help communities attain long- our treatment to ensure that malnourished children and their families member of the network, Action contre la Faim, centered solutions to term self-sufficiency. receive not only the food they need to regain their health but also or ACF, founded in 1979 in Paris. Today, the populations in crisis medical treatment for diseases associated with malnutrition. We also network consists of five independent organizations: integrate health initiatives into all of our other programs, and are on the Action Against Hunger USA (ACF-USA) in New cutting edge of research on the links between HIV/AIDS and hunger. York; Action contre La Faim (ACF-France) in Paris; Acción contra el Hambre (ACF-Spain) in advocacy Madrid; Action Against Hunger UK (ACF-UK) 852 in London; and Action Contre la Faim/Action million people suffer Action Against Hunger continually analyzes the fundamental causes Against Hunger Canada (ACF-Canada) in from hunger of hunger and publicizes our findings to government officials, Montréal. The network shares an overall vision international organizations, and the public. Our advocacy and public of a world without hunger, and the five member organizations collaborate closely, sharing human Million people awareness efforts aim to effect institutional and cultural changes to 4benefited from help create a world without hunger. resources, logistics, and technical capacity. Each Action Against country program is managed by one of the five Hunger’s member organizations. life-saving 1.1 programs in billion people lack 2005 sufficient drinking water

ACTION AGAINST HUNGER ACTION AGAINST HUNGER  2005 ANNUAL REPORT Photograph: Burger/Phanie 2005 ANNUAL REPORT  Our Invaluable Volunteers Our Gala Honored Desmond Tutu HIGHLIGHTS: 2005 We are deeply grateful for the professional and general support we On November 11, at our annual World Food Day Gala in New receive from our growing network of volunteers who help us in more York City, producer/director Terry George (Hotel Rwanda) presented ways than we can count. In 2005, for example: the Action Against Hunger Humanitarian Award to Archbishop Responding to Devastation in Pakistan Our Programs Rescued Thousands from Starvation • Diverse professionals gave us legal advice, while others kept our Desmond Tutu. We honored the Nobel prize-winning archbishop computers running. for his efforts not only to Action Against Hunger’s most daunting Our name informs the world that Action Against Hunger feeds beneficiaries—more • Professional newscasters volunteered to assemble video reports achieve political equality challenge during 2005 was the launching than 4 million every year. But our most notable skill is giving life back to the dying on our operations in the field and managed to get their reports but also to fulfill basic of programs in Pakistan at a time of extreme victims of starvation through our internationally recognized protocols: our Therapeutic highlighted in media newscasts worldwide. human needs such as urgency. On October 8, a 7.6-magnitude Feeding Centers (TFCs) provide an intensive month-long set of medical procedures • Other pros designed and edited our annual report, our adequate food, clean earthquake killed an estimated 73,000 people and nutritional protocols designed for those desperately sick beneficiaries suffering from brochures, our website, and our e-newsletters. They lent their water, and healthcare. and leveled villages across Afghanistan, India, severe acute malnutrition; our Supplemental Feeding Centers (SFCs) are designed for expertise to our marketing and fundraising, helping us produce In addition to hearing and Pakistan, with Pakistan the most affected by the moderately malnourished and provide additional rations for those who need help a 15-fold increase in our online donations between 2004 from Archbishop Tutu far. The United Nations estimated that 4 million but aren’t on the brink of death. In 2005, the TFCs and SFCs supervised by Action and 2005. and Mr. George, 350 people were affected, whereas 2.5 million were Against Hunger’s U.S. headquarters alone treated 51,550 patients. Some 84.2% of these • In January, restaurateurs volunteered a portion of their receipts attendees were entertained left homeless in Pakistan. Their needs were vast, beneficiaries were treated for moderate malnutrition. On average, we treated 680 children in support of our rescue efforts in response to 2004’s tsunami by World Music diva including blankets, drinking water, food, and a month in our TFCs during 2005 and 11,000 in our SFCs. We operated 17 TFCs and that devastated Indonesia and Sri Lanka. Angélique Kidjo and heard deeply felt, first-hand testimony about winterized tents. Complicating the emergency 69 SFCs on average during the year in all seven countries where we work, and in March • And general support volunteers arrived daily in our offices our programs in Africa from Action Against Hunger’s National Staff was a Himalayan winter expected to arrive in 2006 we opened several SFCs and baby-feeding tents in Pakistan. to assist us with such tedious chores as data entry and Member of the Year, Aimé Lukelo, our Food Security Coordinator full force at any moment. In 2005, the beneficiaries of our feeding centers were distributed as follows: Chad, envelope stuffing. in Kinshasa, D.R. Congo. Within a week we had established program 1%; D.R. Congo East, 15%; D.R. Congo West, 10%; Kenya, 20%; South Sudan, 1%; The sold-out, glittering, formal evening raised more than $500,000 headquarters in Islamabad and had flown 30 Tajikistan, 22%; Uganda, 31% During 2005, interest in helping our programs grew so intense for our programs from ticket sales, an auction, and a wishing well tons of food and water supplies to desperate that we initiated semi-monthly volunteer nights at which we describe that elicited specific donations for such essentials as drinking wells, beneficiaries. During the next few months we our work and explain how newcomers can help us. The generosity medicines, and kits for farming and fishing activities. distributed shelter items (blankets, tents) and of all our volunteers who contribute their time and labor was and hygiene kits (soap, toothpaste) and established continues to be of incalculable value. emergency water routes to more than 33,000 people in hard-hit and difficult-to-access areas The Media Focus on Our Global Efforts surrounding Battagram and Bala Kot. Meanwhile, temperatures in Pakistan In the summer of 2005, to avert a famine that the UN warned could hovered between -2 and 10 degrees Celsius, the affect a population of 2.5 million—including 800,000 children— ground alternated between frozen solidity and Action Against Hunger distributed more than 4,000 tons of food in mud, snow fell heavily, and cases of pneumonia Mali and Niger. A prolonged drought had increased the vulnerability among the displaced tripled. Landslides blocked of pastoralists who wander in search of water and grazing land roads, so our team used helicopters to reach for their livestock. In addition, our international network set up remote villages in Allai and Kahgan Valleys Supplementary and Therapeutic Feeding Centers to treat severe where we distributed 25 tons of food per day infant malnutrition, and we constructed and rehabilitated water throughout the winter. Some refugees managed sources for people and animals. to reach camps at lower altitudes where we One of our longstanding volunteers, media consultant and TV installed latrines and sanitation facilities. At news reporter Kiran Khalid, advised Action Against Hunger on year-end, our efforts continued. These ‘before-and-after’ photos our media strategy during the crisis. Working with Action Against are of a little girl named Habiba Hunger’s Communications staff, it was decided that the crisis in who was treated for 30 days at Mali and Niger deserved a segment on TV newscasts, so Kiran an ACF therapeutic feeding volunteered to travel there as a reporter, paying her own way. Our , center in Mandera, Kenya—a network of volunteers led us to cameraman Richard Rowely, who 51550 powerful visual illustration of signed up to travel with Kiran, bringing his own editing equipment Severely and moderately malnourished patients were treated the life-saving work our teams so that he and Kiran could assemble segments in the field. at our therapeutic and supplementary carry out every day. Staff and As a result, for the first time we produced our own TV news spots. feeding centers in 2005 beneficiary at an Ms. Khalid’s reports appeared on CNN International, and Reuters ACF Therapeutic made them available to local TV stations around the world. After Feeding Center in Kinshasa, that, our intrepid news reporter and cameraman edited their footage Congo. into a short film, The Hunger Gap, which was honored by inclusion We Pioneer New Technology in the annual UN Film Festival in New York City in April 2006. In 2002, the U.S. Agency for International Assistance (USAID), in collaboration with other agencies in the U.S. and Canada, initiated the SMART Initiative. SMART is an acronym for Standardized Monitoring and Assessment of Relief and Transitions. We rallied in Washington The idea behind SMART is to standardize measurements of humanitarian crises so that calls for aid will be seen as authoritative and so that donors can assess relative needs. In On October 15, we held a public exhibition at Dupont Circle in Washington, D.C., in support of World Food Day, a UN designated day which addition, as indicators of a crisis recede, the technology can signal that the emergency has brings attention to the issue of world hunger. Borrowing a tradition begun by our Paris office, volunteers set up 50 standing silhouettes in an passed. SMART software analyzes three measures of a troubled community: death rates, open space. Then, beginning at noon and continuing until 3 p.m., every four seconds we sounded a gong, and a volunteer overturned one of the instances of malnutrition in children younger than five and levels of food security. silhouettes. This symbolized the reality that a hunger-related death occurs every four seconds. After each of the 50 silhouettes had been toppled, Father and Daughter In 2005, the creators of SMART asked Action Against Hunger to field-test its new they were set back up again, and the process was repeated. amid the aftermath software, and we helped refine the initiative’s technology in Chad. In doing so, we also The Congressional Hunger Center, a bipartisan anti-hunger training and awareness organization co-chaired by Rep. Jo Ann Emerson (R-MO) of the earthquake in helped create the protocol for using SMART, and now the creators want us to teach that and Rep. James P. McGovern (D-MA), helped us arrange this event, and Rep. McGovern, a fifth-term Congressional veteran, spoke fervently at Pakistan. protocol to other aid organizations. the rally about the challenge posed by world hunger.

ACTION AGAINST HUNGER ACTION AGAINST HUNGER  2005 ANNUAL REPORT Photographs (clockwise from left): James Pomerantz, Glenn Hughson (2) Photographs (from left): Burger/Phanie, Tina Buckman 2005 ANNUAL REPORT  Articles emergency response 150 Metric tons of emergency supplies, water-sanitation equipment, and food rations were airlifted to Indonesia and Sri Lanka within 48 hours of the devastating 2004 tsunami

Countries currently host Action Against Hunger relief and development 43 programs 276,000 Beneficiaries assisted by ACF in Niger After more than 25 years of responding to coordinate information and resources with other aid to situations arising organizations working in the region, is central to the implementation of effective, efficient programs. from war, conflict, Through an assessment of the damaged region, our and natural disaster, team of experts identified the hard-hit and difficult- to-access areas surrounding Battagram and Bala Kot Action Against and the mountain valleys of Allai and Kaghan as most appropriate for our emergency relief programs. Our Hunger has learned logistics coordinators had to determine the fastest, that the most (Clockwise from top) Malnourished children being treated at an ACF Therapeutic Feeding safest way to transport food and supplies to desperate effective response Center in Malawi; ACF staff prepare the pre-mix for the nutritional food at a Supplementary beneficiaries. With the rugged, mountainous terrain Feeding Center in Malawi; Boxes of the therapeutic F-100 milk arrive for beneficiaries in south further compromised by landslides and other earthquake to an emergency is Sudan; ACF airlifts vital supplies to earthquake-ravaged regions of Pakistan. fallout and many of our target areas far from roads to be there before it and unreachable by truck in the best circumstances, Beneficiaries of helicopters proved the best option to carry out short- happens. ACF’s life-saving term distributions. We distributed emergency hygiene programs in Mali With programs and staff in more than 40 in Europe, we can travel swiftly to anywhere kits, blankets, and tents, in addition to food and water countries, Action Against Hunger is well- in the world when the need arises. Our supplies. Like the choice of helicopters for transport, positioned to respond quickly. emergency response team is made up of our emergency response team had to use the results of Our International Network maintains an emergency response team with constitutes an emergency. The “hunger gap,” a span of months between For example, when the catastrophic highly trained professionals, experts in their assessments and expert knowledge to make swift an array of capabilities in surveillance, rapid response, and emergency the depletion of last year’s harvest and the reaping of this year’s crops, is a tsunami of 2004 ripped through South disaster relief and rapid response. Our team decisions in all aspects of program formation, a process preparedness. chronic problem in Mali and many other countries. For Mali in 2005, the and Southeast Asia, killing hundreds of members are on-call 24/7, ready to act as that usually requires months of careful planning under Disasters often strike repeatedly in the same region, because of recurring hunger gap began much earlier than usual, and Action Against Hunger thousands and wreaking unprecedented soon as they’re needed. Once dispatched to non-emergency circumstances. weather patterns, political instability, poor infrastructure, and poverty. joined other humanitarian organizations in calling on the international destruction, our emergency teams arrived an emergency, the response team undertakes Action Against Hunger’s emergency response The most vulnerable and impoverished countries generally suffer the most community to address the situation before it turned into a crisis. within 48 hours in the hardest-hit areas rapid assessments, defining where and how initiatives proved to be a significant part of our from such emergencies. We’ve been present in Mali since 1996, and we responded to the of Sri Lanka and Indonesia. In the first to distribute relief, and to evaluate what work in 2005. Disaster surveillance, rapid-response Through disaster surveillance and rapid response systems, wecan growing malnutrition rates with programs in emergency nutrition and 15 days, we dispatched five aircraft that kind of aid is most needed. mechanisms, and emergency preparedness capabilities monitor emergency hot spots, build buffer stocks of potential supplies, food security targeted at the most vulnerable populations in the regions of delivered 150 tons of supplies. Our water- Action Against Hunger tested its place Action Against Hunger at the forefront of and put staff on the ground, often before a crisis hits. We carry out this Gao and Kidal. We also expanded our emergency services in neighboring and-sanitation teams helped restore water emergency response capabilities following disaster relief. All of our emergency response programs monitoring in part with a Geographic Information System (GIS) that Niger, a country facing a similar nutritional crisis, far in advance of broad supplies by providing emergency fresh the devastating 7.6-magnitude earthquake include longer-term components designed to provide produces a computerized analysis of factors such as available pasture, action by the international community. Our surveillance and response water as well as cleaning water sources that struck Pakistan in October 2005. training and to help local communities better prepare agricultural production, population movements, market prices of staple efforts helped successfully mitigate the impact of the crisis, andour polluted by the tsunami waves. We also Within hours, we dispatched a surveyor to for and mitigate future crises. For survivors of natural foods, and water sources. GIS integrates this complex data into illustrative emergency programs reached more than 276,000 beneficiaries. established disaster preparedness programs the scene and began assembling a team to disasters as well as chronic emergencies of drought and maps of our program areas. in Aceh designed to reduce the vulnerability assist the estimated 2.5 million Pakistanis in malnutrition, self-sufficiency is the most powerful tool Catastrophic Emergencies: Tsunami-Affected Asia of Indonesians to future floods. need of aid to feed themselves and to survive for rebuilding after disaster. n Cyclical Emergencies: Responding in Mali and Niger While some emergencies, such as a hunger gap, are cyclical and possible the severe Himalayan winter. The team first Rapid Response Capabilities: In late 2004 our GIS data warned us of a looming nutritional crisis in to anticipate, others arrive with no warning, often causing catastrophic embarked on an assessment of two areas Post-Earthquake Pakistan Mali, and by early 2005 we had alerted Mali’s government of trouble damage. When disaster strikes, the most effective aid delivers immediate within the damaged region. Answering ahead. At the time, Action Against Hunger’s nutritional surveys found relief—the first 24 to 48 hours are critical for people displaced, injured, With emergency teams on call, and logistical questions, such as how to transport rates of global acute malnutrition at 15%. Internationally, a rate of 10% or otherwise affected by natural disasters and large-scale emergencies. essential supplies stored at staging grounds food aid, supplies, and staff, as well as how

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 10 2005 ANNUAL REPORT Photograph: Hedy Ip Photographs (clockwise from top): Atwood/Agence Vu (2), Blaze j Mikula, Richard Moss 2005 ANNUAL REPORT 11 Articles

On January 9, 2005, a peace agreement international and national aid workers alike. between the Government of Sudan and the In addition, we opened facilities in southern NUTRITION main southern rebel organization, the Sudan Sudan with two new Therapeutic Feeding In 2005, our TFCs in southern People’s Liberation Movement, ended a fierce Centers (TFCs) and Home Treatment Centers civil war that ravaged southern Sudan for 21 in the Bahr-el Ghazal region. Action Against Hunger’s years. An estimated two million Sudanese lost Malnutrition is life-threatening because it’s Sudan cured more than 80% of their their lives during the civil war while some four often associated with other complications such methods for identifying million have been displaced. as dehydration, hypoglycemia, hypothermia, and rescuing starving And while the peace agreement has raised and infection. Malnourished patients are hopes for greater peace and stability in southern particularly vulnerable to infection because of beneficiaries, most of whom were populations have Sudan, restoring self-sufficiency has proved to the poor inflammatory response, changes in become the world’s be a daunting task. Action Against Hunger’s body composition, loss of energy reserves, and teams have long carried out extensive surveys vitamin and mineral deficiencies associated on the brink of death when they arrived. standard. The World documenting the nutritional problems in the with hunger. Health Organization, for south; indeed, our teams provide the only To treat these conditions, our TFCs form comprehensive understanding available of the core of our emergency rescue programs in example, recommends malnutrition in southern Sudan, which forms southern Sudan and elsewhere. At our TFCs, • Intermediate Phase: This phase lasts for four days and involves five to eight meals daily. The diseases (malaria or respiratory tract infections our therapeutic rescue the basis of our broader advocacy efforts in treatment is divided into three phases: only food given is F-100 therapeutic milk, which has a greater concentration than F-75 has being the most common). Other patients the region. Our surveys have consistently • Initial Acute Phase: We begin feeding of energy-supplying nutrients, lipids, and proteins. Both the F-100 and F-75 formulae were simply left our program in mid-stream against protocols in the treatment uncovered global rates of malnutrition patients immediately with the F-75 developed by members of our Scientific Committee and field tested by ACF. our advice—individuals for whom our home of malnutrition. We that rank among the highest in the world, therapeutic milk, which is the only food a • Rehabilitation Phase: This lasts for 15 to 20 days. A patient’s meals are cut back to six a day, treatment options may be better suited. and whereas the peace process is a crucial malnourished child’s system can tolerate. and patients one-year-old and up are given, along with F-100 milk, a porridge most commonly Because we require a caretaker to remain replicate these procedures development, it hasn’t meant greater health (Sugar water is sometimes given to made from corn flour, soya flour, oil, and sugar. with a child throughout treatment in a TFCs, everywhere we operate, and security as of yet—in fact, thousands of children as an initial stop-gap while the Typically, these three phases together last for one month. Then, if weight-gain has been satisfactory family demands on the caretaker (usually a Sudanese have begun returning home only to F-75 formula is being prepared.) Small (patients weigh at least 85% of their expected weight), patients are discharged to their homes and child’s mother) can sometimes make 30 days and the thoroughness of find new problems and scarce resources. doses of F-75 are given eight to 12 times asked to return periodically for monitoring during the following three months. Discharged patients of treatment impossible. So in recent years, our approach can be seen Acknowledging the challenge, in 2005 Action a day which restores the body’s basic are also enrolled in our Supplementary Feeding Centers (SFCs)—for the treatment of moderate we’ve initiated home treatment programs. A Against Hunger began extensive nutritional metabolic functions without overtaxing malnutrition—where they and their family receive supplemental food rations to augment the malnourished child must remain at a TFC in our efforts in southern training of local and international non- weakened bio-cellular mechanisms. If household diet, thereby ensuring that the discharged patient continues to recover. for the first week of treatment, but after that, Sudan in 2005. governmental humanitarian organizations, diseases are present, the patient receives In 2005, our TFCs in southern Sudan cured more than 80% of their beneficiaries, most of whom the child’s mother is instructed how to feed teaching our state-of-the-art protocols for appropriate medications. This phase can were on the brink of death when they arrived. Some 3% of the children in our TFCs suffered from her recovering child at home according to curing and preventing malnutrition to last a week or more. severe medical complications and were referred to other medical care facilities because of underlying our therapeutic regimen of either BP-100 or Plumpy’nut—two ready-to-eat products with the same nutritional composition as F-100. Action Against Hunger workers visit the child at home to ensure that recovery is continuing, and the child must return to the TFCs weekly so that his or her weight gain can be measured accurately. In south Sudan during 2005, our home care programs produced a cure rate higher than 90%. We’ve seen substantial success at our centers and in our training of other humanitarian workers in southern Sudan, but malnutrition remains at dangerously high levels. Meanwhile, in addition to curing beneficiaries, we’re training local residents to take over our operations so that the community can meet its own needs without our assistance. In all our programs in southern Sudan and elsewhere, we work to support municipal health structures, coordinate with existing government services, and build capacity in local institutions to ensure that our programs are sustained over the long run—long after we’ve left the area. We’ll cede administrative control just as soon as we feel confident that local institutions will be able to continue the work we’ve begun, thus, recruiting and training local staff is an integral part of all of our nutrition programs. n

million displaced Percent cure rate produced by the civil war in by Action Against Hunger’s Beneficiaries in Malawi await a Sudan, which ended in home care programs in meal at an ACF Supplementary 4 2005 after 21 years 90 southern Sudan in 2005 Feeding Center.

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 12 2005 ANNUAL REPORT Photograph: Atwood/Agence Vu 2005 ANNUAL REPORT 13 Articles Water and 40,000 Sanitation Beneficiaries in Port-de-Paix, Haiti, had clean water and basic sanitation restored when AcF in Haiti and set up 37 water sources and 77 Guatemala latrines after a hurricane. Liters of water per day were provided to 50,000 Guatemalans by our emergency water-and-sanitation programs after a hurricane severely damaged5 local infrastructure. Action Against Hunger airlifted critical supplies, water- treatment chemicals, water tanks, electric generators, In developing and water pumps to the region to support communities left countries, 2.2 million without safe drinking water, people, most of them food, or basic sanitation children, die every year from diseases associated with unsafe drinking water, ACF water source serving inadequate sanitation, beneficiaries in hurricane- and poor hygiene. ravaged Haiti.

A community’s health and nutrition require a near the surface) or boreholes (when it’s deep), five liters of water per day to 50,000 people. 1 3 (1) Displaced communities in northern Uganda lasting supply of clean water and the knowledge and even construct distribution networks. Years of experience, however, have taught us celebrate the inauguration of a new ACF hand of how to use and care for it properly. People, Water and sanitation is at the core of all that simply creating and rehabilitating water pump; (2) ACF’s water and sanitation teams of course, as well as farm animals and crops, our programs, but during 2005 we responded structures is insufficient. In order to ensure that operate a drilling rig to create a borehole require water to avoid dehydration—which in swiftly to emergencies caused by hurricanes a source of clean water is sustained and that the for clean water in Uganda; (3) Our teams a few hours can kill a child locked in a hot car in Haiti and Guatemala that destroyed water is used effectively, we must also educate construct water sources and distribution or an athlete exercising vigorously in intense water-and-sanitation infrastructure in many communities about keeping their water, hands, sun. Equally important, the water must be communities. and environment sanitary. In both Haiti and networks for hurricane-affected communities clean because communicable diseases thrive in During July, Haiti endured winds and Guatemala, therefore, in addition to building in Haiti; (4) ACF’s emergency interventions dirty water. Contamination spreads cholera, torrential rains that caused mudslides and and rehabilitating water-and-sanitation ensure access to clean water, a first line of hepatitis A and E, meningitis, polio, shigella, demolished local water-and-sanitation systems, we organized and trained local water defense in mitigating a natural disaster. and typhoid fever. Intestinal parasites lurk in networks—which were already damaged from committees to manage and maintain those impure water waiting to colonize the intestines rains earlier in the year. In the hardest-hit systems independently. of unsuspecting drinkers, and mosquito- communities, Haitians had no safe drinking Though each of our humanitarian borne illnesses including malaria and yellow water, and drainage systems were overwhelmed. interventions presents its own particular fever can spread when stagnant ground water During 2005 in Port-de-Paix, for example, challenges, our response in Haiti and 2 allows insects to breed. And as every medical Action Against Hunger set up 37 water sources Guatemala typifies our approach everywhere, professional knows, the single most effective and 77 latrines to serve 40,000 beneficiaries. which combines rescue, rehabilitation, and way to prevent the spread of disease is to scrub There and elsewhere in Haiti, we also installed training to ensure self-sufficiency. Year after your hands thoroughly using soap and clean wastewater treatment plants and drinking year, those procedures prove successful. n water. One study concluded that simply having water fountains, and we distributed kits for people wash their hands could save the lives of house-cleaning and hygiene. more than a million children each year. In October, a hurricane struck Guatemala, All of our programs at Action Against severely damaging local infrastructure and Hunger require the availability of clean water. leaving isolated communities without safe When it isn’t available, we bring it in—by water, food, or basic health care. In response, truck, if necessary, but also by tapping natural we sent 10 water tanks, 100 kilograms of water- 4 sources such as springs, aquifers, lakes, and treatment chemicals, electric generators, and streams. Our teams dig wells (when water is water pumps. We were at one point supplying

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 14 2005 ANNUAL REPORT Photographs: (1, 2) Mike Wolf. (3, 4) ACF-France Photograph: Atwood/Agence Vu 2005 ANNUAL REPORT 15 Articles

The simplest path to healthy nourishment witnesses are helping to educate other FOOD Health: for infants worldwide is complicated mothers in the community. The skin- by each community’s attitudes toward to-skin mother, in turn, had bottle-fed breastfeeding. Even in the United States, her previous three children, but she’s SECURITY: We Advocate the acceptability of breastfeeding seems successfully breastfeeding her fourth baby. to change every generation or so. The One complication in persuading FARMING Breastfeeding World Health Organization’s protocols mothers to breastfeed is that numerous stress that infants should be breastfed for cultures in the developing world mistrust IN BAGS at least the first six months of life, even colostrum. During the first three or four while adding other liquids and solid foods days after a child is born, a mother’s after six months. Yet some cultures frown breasts produce milk that’s high in on breastfeeding a child who is older than antibodies, carbohydrates, and protein An estimated 100,000 six months, even though a longer regimen called colostrum. It’s easily digestible, is likely to produce healthier children. and the nutrition it contains is highly people have died as a In Tajikistan, for instance, our team concentrated. It jump-starts a baby’s result of two decades has organized a breastfeeding support digestive system and protects the child of conflict in northern group that advocates breastfeeding from disease. In addition, when children among our beneficiaries. In one village, a suckle colostrum, the action helps prevent Uganda, with another woman who was in labor asked an Action engorgement of the mother’s breasts and 20,000 abducted by Against Hunger midwife to deliver her prompts them to produce milk more The nutritional and fourth baby. The midwife persuaded abundantly in the following weeks and rebels roaming the bush. disease-preventing the mother to allow other women from months. As a result, roughly two her community to witness “skin-to- But colostrum is thicker and more benefits of breastfeeding skin” contact after delivery. Immediately yellow than the milk that comes later, million displaced people following the birth, the midwife placed and many cultures are suspicious of it. are crowded into camps are beyond question. the newborn on the mother’s abdomen. Until a mother’s milk becomes more The baby started to seek the breast, and “normal,” they believe that breastfeeding with little access to their ACF’s innovative food Yet the practice is often with guidance from the mother and the their children is unhealthy, though in fact security programs offer a midwife, the baby started nursing. The newborns benefit more from colostrum former farmlands. ACF’s broad range of solutions distrusted in developing women who were watching had been than from any other food they could be food security programs for generating income and boosting food production— communities. skeptical when the midwife described a given. offer unique solutions to like this farming association newborn’s breastfeeding instinct, but this Often, teams organized by Action this problem. in the Congo. demonstration convinced them. Now the Against Hunger are able to change community opinions about colostrum. In one culture, for example, herders periodically lead their livestock away Action Against Hunger has been active in Maintenance was minimal. Watering, participants plan to continue sack gardening Beneficiaries in from their homes in search of food and Uganda since 1997, and in 2004 we launched planting, and weeding typically required little in the future. Many reported that they had south Sudan water, but traditionally a herder will leave a pilot project in microgardening at two local more than two hours a week. ACF food security no other land to plant and were relieved to learn the virtues one animal behind for each member of camps, which we expanded to five camps during staff made weekly visits to monitor the gardens have more food for their children. They also of breast milk. his family. Sometimes this leads to female 2005. The project involved planting vegetable and help troubleshoot. praised the ease of maintaining the gardens livestock being separated from their seeds in large polyethylene grain sacks, which The project had three primary goals: and of monitoring them to prevent loss of their newborns. When this happens, no matter are abundant in the camps and inexpensive. • To decrease beneficiaries exposure to produce to thieves. Many participants also how the newborn is nourished, it grows Gardeners received as many as five sacks and insecurity by reducing travel times (i.e., found the sack gardens to be decorative. with less hardiness than if it had fed on its placed banana stems in each, propped upright traveling from homes to adjacent sack Among the seeds we distributed, carrots mother’s colostrum, and villagers know it. with rocks. After filling the bags with soil, gardens rather than to fields in the were new to many recipients, but children When our teams point out that the same gardeners removed the stems and planted seeds countryside, where there is risk of assault loved them. Some parents reported that their debility can result from human mothers in the top of the bag as well as in the sides, or abduction by rebels is great) children ate more enthusiastically whenever depriving their newborns of colostrum, maximizing the productive surface of the bag. • To decrease the time spent on farming carrots were part of the meal. When we first understanding often dawns and minds Altogether, more than 2,800 sack gardens were (e.g., the need for weeding was introduced carrot recipes into our training, the are changed. planted during 2005. We trained participants minimized) mothers cheered. The nutritional and disease-preventing using a demonstration garden in each camp, • And to increase the food security options Our project in Uganda wasn’t the first to benefits of breastfeeding are beyond teaching construction of microgardens, for households (i.e., they could sell the introduce farming in sacks, but in the wake question. Yet the practice is often maintenance, and vegetable harvesting. After vegetables they grew, they could improve of its success, we intend to initiate similar distrusted in developing communities n the training, we gave each household a watering their own diets, and they could provide a programs elsewhere. and sometimes in developed communities can and a kit containing seeds for carrots, bit of work for landless or idle families). as well. Nonetheless, none of our efforts climbing beans, onions, spinach, and tomatoes. is as effective in forestalling disease The climbing beans were intended as a solution Camp residents found the project to be odd, and malnutrition among infants than to the lack of space in displacement camps: but they participated nonetheless, and the persuading beneficiaries to breastfeed for Beneficiaries used their huts as supports for the gardens proved notably successful. Spinach, the first 6 months.n carrots, and onions grew especially well. All tomato and bean vines. Minimum number of number of Nearly all the participants were women, each participants used the produce from their months that infants breastfeeding support of whom constructed sack gardens near her gardens to improve their families’ diets, and should be breastfed groups created household. The gardeners took soil and rocks nearly half were able to sell some. The most according to the World under Action Against Health Organization’s from nearby areas and built fences using local successful gardeners prepared as many as 60 Hunger’s health protocols initiatives in Tajikistan materials, such as thorny bushes or bamboo. meals from their gardens, and the majority of 6 25

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 16 2005 ANNUAL REPORT Photograph: Burger/Phanie Photograph: Blazej Mikula 2005 ANNUAL REPORT 17 Articles

The past half decade has been particularly cruel political climate surrounding Zimbabwe and for Zimbabwe. A debilitating mix of drought, its international reputation was making the Advocacy: hyperinflation, plummeting food production, humanitarian situation worse. Regardless soaring unemployment, shortages of consumer of who was ultimately to blame for the In short, the basic health and nutritional Working In goods, among other setbacks have exacerbated crisis, its underlying causes were not being a steep economic and social decline. Add to addressed. Instead, they were overshadowed Politically this a burgeoning health crisis—a sharp drop by the ongoing turmoil and political tensions in health and social services coupled with an stemming from the land-reform controversy. HIV/AIDS pandemic—and you have a recipe Zimbabwe’s emerging status as a pariah state needs of the population were being Charged for a horrifying new reality: Life expectancy in and its strained relationship with the West Zimbabwe has plunged from 61 to 34 years in began to color the international community’s Zimbabwe a mere decade and a half. response to the humanitarian crisis, prioritizing To make matters worse, the humanitarian political considerations over needs: sacrificed for political ends. dimensions of this crisis have been completely obscured by its politics: Divisive land reform • The cooperation and development has produced an impasse of hardened national funding normally available to Zimbabwe Enter Humanitarian Advocacy: ACF Reasserts the Need for Depoliticized Aid influence the design and direction of the humanitarian and international positions, mutual suspicions, was curtailed, and international assistance As a humanitarian organization, Action Against Hunger’s mandate is to improve the lives response in Zimbabwe. and finger-pointing that has aggravated the was limited to emergency relief. of communities trapped in humanitarian crises—helping families get back on their feet What was needed, our analysis said, was to reassert a “shared understanding of the challenges faced by social emergency. The resulting polarization • Humanitarian assistance has been through our nutrition, water-and-sanitation, food-security, and health interventions. the communities and the priorities of assistance,” has had ruinous consequences for Zimbabwe’s channeled exclusively through But if the larger political context undermines a population’s health and well-being or lest the vulnerable people of Zimbabwe continue to shaky economic health, its already vulnerable international organizations, bypassing prolongs a vulnerable community’s exposure to life-threatening conditions, then ACF is be victimized. ACF’s behind-the-scenes advocacy populations, and its ability to access support for Zimbabwe’s government compelled to address the setting in which our humanitarian programs takes place. This is an aims to do just that. We hope to reshape the debate international assistance given its deteriorating services (despite the evidence of what essential role of humanitarian advocacy. Delivering more than on Zimbabwe’s crisis so that humanitarian action relationships with the West. this has meant for poor Zimbabweans). Humanitarian advocacy enables non-political organizations such as ACF to operate in assistance: engaging broader political arenas while maintaining the core values that make humanitarian action will be shielded from politics, and the international The Political Dimensions • The areas resettled during land reform unique: independent, impartial, non-discriminatory, needs-based assessments of conditions community’s priorities can tackle the underlying causes in advocacy to ensure of a Humanitarian Crisis were excluded from the main aid on the ground. These are the values that should ground and inform international assistance— of the crisis rather than spar with the regime. Action Against Hunger (ACF) began its food- packages, despite the areas’ central role not the shifting agendas of political adversaries. long-term humanitarian security and water-and-sanitation programs in food production, the decimation Action Against Hunger’s Recommendations In Zimbabwe, relief agencies found themselves trapped between the government and the for More Effective Assistance outcomes in Zimbabwe in 2002, during the height of a of needed agricultural supports, and international community’s mutual mistrust while being further hobbled by the politicized Action Against Hunger’s advocacy made three general regional food crisis that extended well beyond the resettled population’s ongoing conditions on the ground. The result: Humanitarian aid had become so politicized that recommendations for revitalizing the humanitarian Zimbabwe’s borders. Since then, thanks to vulnerability. it was no longer possible to present impartial data on the scope of the crisis, let alone to response in Zimbabwe:

• To the International Community Zimbabwean beneficiaries pose in front of Western governments must not impose sanctions a new source of clean water, built through on governments which adversely affect populations Action Against Hunger’s programs already weakened by economic crisis and climate constraints. Western governments must promote a non-discriminatory approach for assistance programs.

• To Government Donors Rather than react to Zimbabwe’s political issues, donor strategies should integrate socioeconomic analyses and avoid any form of discrimination in assistance. The community of donors should promote humanitarian programs and recovery activities aimed at improving living conditions sustainably for all of Zimbabwe’s vulnerable communities.

Our food security and ample food assistance from the international • Despite a devastating health crisis—an • To Non-Governmental Organizations water-and-sanitation community, Zimbabwe has managed to avoid HIV/AIDS pandemic with one of the Relief agencies must strive to get out of the political programs in Zimbabwe a spike in its malnutrition rates even though highest death rates in the world—the are vital to the vulnerable arena and give priority to relief, assistance, and much of its population remains precariously health sector remains acutely under- communities pictured here, recovery activities. This can be achieved through vulnerable. And while Zimbabwe’s problems funded, even by regional standards. but we can only be effective compliance with humanitarian principles such as if the overall context are still largely framed as a “food crisis,” the In short, the basic health and nutritional non-discrimination and impartiality, and through ensures humanitarian real threat to the lives and livelihoods of poor needs of the population have been sacrificed for sharing information and analyses related to outcomes. Zimbabweans is the decimating health crisis political ends, and ACF feared the crisis would livelihood situations. and AIDS pandemic that currently claim some deteriorate further if the overall climate were 170 34years is the average Thousand AIDS-related 170,000 lives a year. not addressed. Engaging in humanitarian advocacy ensures that Yet even as the health and economic life expectancy in deaths occur every year Zimbabwe after a in Zimbabwe, obscured organizations such as ACF can address the tensions contributions to this social emergency must decade of crisis by the political crisis inherent in any political context, and in the end, deliver be addressed, the political context needlessly not only direct assistance but broader humanitarian prolongs and deepens the crisis. outcomes as well. n ACF’s teams began to realize that the

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 18 2005 ANNUAL REPORT All Photographs: ACF-France 2005 ANNUAL REPORT 19 Contributors

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Foundation Deutsche Bank Peter Davies Bradley Hutchison Jean-Marc Moriani Carol Sugimori Ryan Family Trust UNAUSA Riverdale Chapter Roger and Brenda Gibson KTSF Barbara de Portago Alice Hyman Margaret Moyers Robert and Sharon Swindler Jennifer L. Schiff United Directories Family Foundation Southwest Family Institute, LLC Nina Del Rio Samina Ishtiaq Megan Moynihan Jeffrey and Karen Tanenbaum Charitable Trust West Hillsborough School The Oxley Foundation Thelen Reid & Priest LLP Thomas and Kathleen Delaney Lawrence Ives Enrica Murmura Matthew Tate Schwab Fund for The Womens Club of New Seabury The Skolnick Foundation The Vasicek Foundation Cobie Delespinasse Chris Jackson Dave Nape Ali Tayar Charitable Giving Yosemite High School The Stults Foundation Vermeil Family Fund Adriana Delogu Katherine Jacobson Raya Novak Madeline Thomas Charles Schwab Foundation Zodiac Pioneer Aerospace The Taylor Family Charitable WeightWatchers.com, Inc. Patty Detroit Scott James Patricia Pacelli Robert Thompson Jane Schwartz Foundation Corporation Foundation Jerome and Elinor Deutsch Daniel and Deborah Janes Kara Parker Phornanan Thungkasemvathana Susan Stein Shiva Foundation Thomas B. Walker III $1,000 - $4,999 Rory Deutsch Christopher Janish Hasmukh and Bhanuben Patel Loren Tibbitts Seth Neiman & Lauren Speeth Foundation Layla Diba Jonathan Abrams and Mukeshkumar and Lataben Patel Carole Tillman Foundation Sandra and Stephen Waters Anonymous (3) Howard Dicker Sandra Jean-Louis Jay Patidar Mark Utay Strong-Cuevas Foundation Inc. Foundation Daniel Agner Stephen Ledoux and Julie Dien Georgios Kabakis James and Gloria Paul Joseph Valerio Sun Microsystems Foundation Credit Suisse First Boston Chris Ahearn Chris Do Roberta Kanter Thomas Peterson William and Melinda Vanguard Charitable Golden Temple Inc. Robert Albrecht John Dougherty Kimberly Kargman Guy Phillips Vanden Heuvel Endowment Program John Allain

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 20 2005 ANNUAL REPORT 2005 ANNUAL REPORT 21 In-Kind Contributions of Goods or Services ACF-USA’s Statement of Activities and changes IN NET ASSETS FOR THE YEAR ENDED DECEMBER 31, 2005 Individuals 2005 World Food Day Gala Supporters Special Thanks To TEMPORARILY UNRESTRICTED RESTRICTED TOTAL Angela Alston Benefit Committee Bernardaud Andrew Chen Chanel, Inc. Henry H. Arnhold REVENUE AND SUPPORT Timothy Crespi Chateau Lafite Rothschild Daniel Barth Contributions $1,651,495 $ 1,921,308 $ 3,572,803 Jonathan Dienst Chateau Mouton Rothschild Marcel and Marlise Biedermann Grants (Note 5): Kiran Khalid Christain Dior, Inc. Olivier Cassegrain U.S. Government 133,372 6,750,748 6,884,120 Fiorella Lavado Susan Eng Robert B. Chavez Non-U.S. Government 33,227 11,416,304 11,449,531 Matt Mason Givenchy Charles-Henri Cousin Interest 24,621 - 24,621 Mitzi MacDonald Hermes de Paris, Inc. Ariane Daguin Other 474 - 474 Cynthia Mejias Hotel Plaza Athenee Olivier Giugni Net assets released from donor restrictions (Note 6) 17,121,970 (17,121,970) - Blazej Miluka John Hardy David and Liz Hinden Margarita Peces Jessica Weber Design, Inc. Alison Holtzschue Schloss Total revenue and support 18,965,159 2,966,390 21,931,549 Nancy Penner La Maison du Chocolat Ida Kowit James Pomerantz Lalique North America Valerie Krieger Traer Price Lanson Champagne Olivier Lebret EXPENSES Mat Norton L’Olivier Downtown Peter and janet Ley Program Services: Reed Robbins Luxottica Group Deanna Littell Democratic Republic of Congo Programs 5,192,713 - 5,192,713 Mary O’Neil Berry Alexandra Leclerc Nicholas and Charlotte MacLean South Sudan Programs 2,033,458 - 2,033,458 Karen Shunick Longchamp Juan Pablo Molyneux Uganda Programs 3,124,967 - 3,124,967 David Sirota The Macallan Scotch Whisky Jessica Packer Pakistan Programs 1,753,885 - 1,753,885 Erica Zelfand Nicholas F. MacLean, Christie’s Auction House Joel and Yuta Powell Tajikistan Programs 1,058,250 - 1,058,250 Monsieur Touton Selections, Ltd. Marla Sabo Kenya Programs 760,867 - 760,867 Ruth C. Schwartz & Co. Public Relations Corporations / Institutions Robert and Julie Schaffer Chad Programs 1,403,845 - 1,403,845 and Events Solutions Barbara Cirkva Schumacher and John Schumacher Sri Lanka Programs 821,656 - 821,656 Sal Anthony Paul and Ursula Striker Guinea Programs 311,087 - 311,087 Avenue A / Razorfish Sal Anthony Pilates Studio Jessica Weber Mali Programs 345,073 - 345,073 Interrupción The Scottish Gourmet Wendy C. Weiler and Donald E. Chappell Niger Programs 27,000 - 27,000 J&D Labs, Inc. Smashing Ideas Lillian Lincoln Foundation Epicurean Committee Swiss International Airlines Total program services 16,832,801 - 16,832,801 The Newspark Group Virginie Sommet NYU Capstone Program Rick Smilow, The Institute of Culinary Education Chef Cornelius Gallagher, Oceana Starchefs.com Peace Cereal Supporting services: Chef Andrew Gold, The Institute of Culinary Education The Thomas Group Printing Puppet PSA People Management and General 1,399,513 - 1,399,513 Chef Deborah Snyder, Lever House Smashing Ideas, Inc. Fundraising 358,133 - 358,133 Ariane Daguin, D’Artagnan StarChefs.com Chef Karl Schmid, The Metropolitan Club Thelen Reid & Priest, LLP Total supporting services 1,757,646 - 1,757,646 Vranken Weil, Gotshal & Manges LLP Total expenses 18,590,447 - 18,590,447 Changes in net assets before other items 374,712 2,966,390 3,341,102 Provision for unanticipated losses (200,000) - (200,000) Exchange gain (loss) (92,605) (462,323) (554,928) Action Against Hunger’s international 1 2 3 De-obligated awards and funds returned to donors (20,288) (40,342) (60,630) relief and development programs Changes in net assets 61,819 2,463,725 2,525,544 provide immediate assistance and Net assets at beginning of year 1,649,078 2,540,851 4,189,929 long-term relief to malnourished children and their families. As a NET ASSETS AT END OF YEAR $ 1,710,897 $ 5,004,576 $ 6,715,473 world leader in the treatment of malnutrition, ACF’s programs are informed by over a quarter century of cutting-edge activities in the fight HOW WE USE OUR FUNDS funds we commit to all our programs against global hunger, delivering effective assistance in a wide range FUNDRAISING 2% ALL OTHERS 9% DEMOCRATIC of countries and cultural contexts, as MANAGEMENT REPUBLIC exemplified by these photos. 6 OF CONGO 31% AND GENERAL 7.5% CHAD 8%

KENYA 5% 4 5 TAJIKISTAN 6%

TOTAL PROGRAM SERVICES 90.5% PAKISTAN 10% SOUTH SUDAN 12%

UGANDA 19%

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 22 2005 ANNUAL REPORT Photographs: (1) Claudine DOURY; (2) Laurence Leblanc, Agence Vu; (3) Burger/Phanie; (4) Blazej Mikula; (5) Jane Evelyn Atwood, Agence Vu; (6) Blazej Mikula 2005 ANNUAL REPORT 23 THE ACF INTERNATIONAL NETWORK

ACTION AGAINST HUNGER, USA 1 2 247 West 37th Street Suite 1201 New York, NY 10018 USA Our International Charter: Tel: +1 212 967 7800 A Commitment to Principled Fax: +1 212 967 5480 Humanitarian Action [email protected] www.actionagainsthunger.org 3 All members of the Action Against Hunger International President: Burton K. Haimes Network adhere to the following humanitarian principles. Director: Cathy Skoula Independence Action Against Hunger acts according to its own principles ACTION AGAINST HUNGER, FRANCE in order to maintain its moral and financial independence. 4 rue Niepce Action Against Hunger’s actions are not defined in terms 75014 Paris, France of domestic or foreign policies, nor does the organization Tel: +33 1 43 35 88 88 act in the interest of any government. Fax: +33 1 43 35 88 00 4 5 [email protected] Neutrality www.actioncontrelafaim.org Action Against Hunger maintains a strict political and President: Jean-Christophe Rufin religious neutrality. Nevertheless, Action Against Hunger Director: Benoit Miribel can denounce human rights violations it witnesses as well as obstacles put in the way of its humanitarian activities. action against hunger, spain Non-Discrimination C/Caracas, 6, 1° 6 A victim is a victim. Action Against Hunger rejects all 28010 Madrid, Spain discrimination based on ethnicity, nationality, opinion, Tel: +34 91 391 53 00 race, religion, sex, or social class. Fax: +34 91 391 53 01 [email protected] Free and Direct Access to Victims www.accioncontraelhambre.org Action Against Hunger demands free access to victims and President: Jose Luis Leal Maldonado direct control of its programs. Action Against Hunger uses Director: Olivier Longue all means available to achieve this goal, and will denounce and act against obstacles that prevent the organization 7 Action Against Hunger, United Kingdom from doing so. Action Against Hunger also verifies the First Floor, rear premises, allocation of its resources in order to ensure that they 161-163 Greenwich High Road, reach those individuals for whom they are destined. Under London, SE10 8JA no circumstances can partners working together with or United Kingdom alongside Action Against Hunger become the ultimate Tel: + 44 208 293 6190 beneficiaries of Action Against Hunger’s aid programs. Fax: + 44 208 858 8372 Professionalism [email protected] To maximize its efficiency and use of resources, Action www.aahuk.org Against Hunger bases the assessment, conception, President: Sir Ronald Grierson management, and realization of its programs on the Director: Jean-Michel Grand highest professional standards and its years of experience.

ACTION AGAINST HUNGER, CANADA Transparency (1) Our programs reach vulnerable populations in far-flung areas like this man’s village in southern 7464 rue St Denis Action Against Hunger is committed to respecting a policy Sudan. (2) Poverty, deprivation, and chronic malnutrition are all too common, but our programs of transparency and disclosure for its beneficiaries, donors, restore dignity and health, as this photo from Mongolia suggests. (3) Much of our work focuses on H2R 2E4 children under the age of five because of their susceptibility to health complications from hunger Montréal, Quebec, Canada and partners by making available all information on the and malnutrition, as these images from Congo (3) and Malawi (4) depict. (5) This photo is of Tel: +1.514.279.4876 allocation and management of its funds, and by providing the ready-to-eat nutritional product, “plumpy’nut,” that we often use during the initial phase of a [email protected] independent verification of its good management. nutritional crisis. (6) We rely on the support of all kinds of people, including these young students www.actioncontrelafaim.ca who participate in our annual “Run Against Hunger,” raising awareness and funds for ACF’s global efforts. (7) Our therapeutic feeding centers (TFCs) take on many forms, from tents, to wooden President: Diane Bussandri structures, to actual hospital rooms—like this photo of a TFC in Malawi—but they all operate as Director: Anne-Sophie Fournier intensive care units, despite their homey appearance.

Special thanks to Peter Noah for the design and production of this publication.

ACTION AGAINST HUNGER ACTION AGAINST HUNGER 24 2005 ANNUAL REPORT Photographs: (1) Blazej Mikula; (2) Claudine Doury, Agence Vu; (3) Burger/Phanie; (4) Jane Evelyn Atwood, Agence Vu; (5) Hedy Ip; (6) Jean Lapegue; (7) Jane Evelyn Atwood, Agence Vu 2005 ANNUAL REPORT 25 , P1eople in the 200Democratic Republic of Congo die every day, largely from disease and food shortages linked to six years of war and the subsequent collapse of the Congo’s health system and economy Billion people lack basic sanitation today—an astounding forty-two percent of the world’s population. Unsafe drinking water, inadequate sanitation, and poor hygiene lead to a host of infectious diseases and chronic malnutrition that ultimately kill over 43 5 26 2.6two million children a year Countries ACF Head- Years of ACF currently host quarters Expertise in Action Against make up our Humanitarian Hunger relief International Action and development Network programs 1.1 BILLION Million people in the People lack world suffer from access to safe 396malaria, which kills water around one million people the world, each year, most of leaving them whom are children vulnerable under the age of five. to daily Simple, cost-effective indignities and solutions, however, frightening exist for preventing rates of the needless toll that death and malaria exacts on poor debilitation communities

Million Million people suffer from hunger around the Congolese have world, in both its chronic and acute forms. died as a result Hunger and malnutrition kill over five million of conflict since children every year, induce tremendous suffering, 1998, mostly and cost poor countries billions of dollars in from hunger and 852national income and lost productivity 3.9 disease

ACTION AGAINST HUNGER 247 West 37th Street Suite 1201 New York, NY 10018 USA , 51TPeleople: +1 212 were 967 7800 treated in ACF’s Therapeut550ic and Supplemental Feeding Centers in 2005, most of whom Fwereax: +1 212on 967 the 5480 brink of death when they arrived. ACF’s humanitarian interventions restore life, infodigni@actionagainsthungerty, and self-sufficiency,.org uniquely bridging urgent relief with longer-term development www.actionagainsthunger.org