Malteser International Annual Report 2012 Contents 2

3 Foreword 4 Where we help 6 How we help

7 Annual Review 8 Editorial: Humanitarian aid at the crossroads 10 In Focus: Syria crisis 12 Africa 18 Asia 28 Americas 30 Highlighted events and campaigns

31 Financial Report: Facts & Figures 32 Secretary General’s report 34 What we achieved in 2012 36 Our staff 38 Our programs 40 Financial overview 42 Annual accounts as of 31 December 2012 45 Our donors and cooperation partners 46 Our structures and members

Published by: Malteser International Kalker Hauptstr. 22−24 · 51103 Cologne · Germany E-Mail: [email protected] Website: www.malteser-international.org

Responsible for content: Ingo Radtke Editorial team: Joice Biazoto (Editor-in-Chief), Petra Ipp-Zavazal, Isaure Faivre d’Arcier Photos: Malteser International, Kazushi Abe, Guilhem Alandry, Eugenio Ajroldi, Usman Ghani/REDR UK, Andrea Krogmann, Ordre de Malte France, Eitan Simanor, Stefan Trappe/ADH, Vincent Tremeau, Carmen Wolf, Kerem Yucel

Cover photo: Lebanon (Andrea Krogmann) Page 7: Myanmar (Eitan Simanor) Page 31: Vietnam (Guilhem Alandry) Back cover photo: Burkina Faso (Nina Wöhrmann) Icons: OCHA, SEGD Layout/Setting: www.mwk-koeln.de Print: www.vereinte-druckwerke.de Date of publication: June 2013 Climate Neutral Print Product with First Climate ID 2013-70845 Foreword 3

Dear readers, friends and supporters,

I write to you for the first time as Malteser International’s president. Last year on 14 December, I took over the office from my predecessor, Jo- hannes Freiherr Heereman. He left me with a very well-managed organization. I’d like to take this opportunity to thank him once again for his extraordinary work not only as president, but in his various positions before that as well. The moving farewell party organized by our staff showed just how grateful we all are for his caring leadership over the years. Once again, 2012 was an eventful year for Malteser International. Even in the absence of massive natural disasters, numerous smaller and larger crises and conflicts brought death and destruction, flight and displacement, disease and loss of livelihood to millions of people around the world. With this report, we would like to give you an account of where and how we helped the poor, the sick, and the needy around the world, on your behalf. At the same time, 2012 was a year of planning at Malteser International. After long and careful preparations, we are undergoing some structural changes in 2013 as our answer to the rising and changing demands upon a modern international relief organization. With our new regional headquarters for Europe, Africa and the Middle East as well as in the American continent – and soon also in the Asian-Pacific region – we would like to help even faster and more efficiently in the future. With the founding of an independent legal entity for our General Secretariat on 1 January 2013, we have created a small, but strong new unit which is responsible for the strategic management of these regional headquarters. The goal is to bring our operations closer to our program areas, to improve our response speed in case of disaster, and to make better use of the valuable resources that the Sovereign Order of Malta can offer us as its humanitarian NGO. All of this will go hand in hand with a strategic “fine- tuning” of our mission and our profile taking place this year, and which you’ll hear more of next year. For now, I would like to thank you, our donors, partners and friends, for your support and our excellent cooperation over the years – in our name and that of the people who we were able to help. With your contribution, you charged us with the task to stand by people in need on your behalf. Together with our nearly 900 staff members worldwide, we were able to reach great things. We hope you will continue to give us your vote of confidence!

Sincerely,

Thierry de Beaumont-Beynac President Where we help About us

4 Malteser International Annual Report 2012

Africa

5 Burkina Faso 6 DR Congo 3 7 Kenya 2 8 South Sudan 9 Uganda 5

Americas

1 Chile 2 Haiti 1 3 Mexico 4 Peru

Malteser International is the relief agency of the Sover- eign Order of Malta for humanitarian aid. With over 100 projects annually in some 25 countries throughout Af- rica, Asia and the Americas, we provide emergency relief after disasters and support recovery efforts with a focus on sustainable development. For nearly 60 years, Malteser International has been standing by those affected by poverty, disease, conflict and disaster, helping them lead a healthy life with dignity – without distinction of religion, race or political persuasion. Christian values and the Malteser International – humanitarian principles are the foundation of our work. for a life in health Malteser International is a non-governmental organization with headquarters in Europe and America. The and dignity organization’s General Secretariat as well as its Euro- Asia

10 Afghanistan 11 Cambodia 12 India 13 Indonesia 14 Iraq 15 Japan 5 16 Lebanon 17 Myanmar 18 Nepal 19 Pakistan 20 Philippines 21 Sri Lanka 22 Syria 23 Thailand 24 24 Turkey 25 Vietnam 22 15 16 10 14 19 18

12 17

23 25 11 20 8 21

9 7 6 13

pean headquarters are located in Cologne, Germany. The We support long-term and future-oriented develop- American headquarters are based in Miami, Florida, USA. ment by combining short-term relief measures with a The international network of the Order of Malta plays an holistic and sustainable approach in the following areas: essential role in our work, allowing us to help people in need quickly and efficiently. Currently, 25 national associa- Providing emergency relief after disasters, helping tions and priories of the Order of Malta are members of communities rebuild and recover; Malteser International. Establishing and promoting primary health care Cooperation and participation are vital elements of our services and nutrition programs; approach to humanitarian aid. Through a close collaboration Ensuring access to drinking water, sanitation and with local communities, national and international partners hygiene (WASH); as well as our donors, we ensure our projects are sustainable Helping people secure their livelihoods through so- and efficient. Transparency, accountability and the compli- cial programs that reduce vulnerability and poverty; ance with international standards of humanitarian aid are the Reducing the risks of disaster, especially at the com- fundamental basis for the quality of our programs. munity level. 6 Malteser International Annual Report 2012 About us How wehelp Five coreareas,onegoal:ahealthy,dignifiedlife treat malnutritionandincrease foodsecurity. tion intoourhealthprograms, working toprevent and also closelyconnectedwithitsdiet,we incorporatenutri- public healthcare systems.Since apopulation’s healthis pecially mothersandinfants–forstrong, sustainable We work toimprove healthcare forpeopleinneed–es- health care canprevent thesedeathsandmillionsmore. percent ofthemindeveloping countries.Access tobasic from causessuchasmalaria,diarrhea andpneumonia–99 Nearly seven millionchildren underfive dieeach year Health &Nutrition 2 Source:AKUF(ArbeitsgemeinschaftKriegsursachenforschung) 1 Source:www.munichre.com million peoplewere affected by 900naturaldisasters disasters, conflictsandcriseseach year. In 2012,200 Millions ofpeoplesufferfrom theconsequencesofnatural Relief, Reconstruction&Rehabilitation from theeffectsof poor hygiene. could save thelives day who die of5,000children every weapply basichygieneprinciples.If thisvisioncametrue, to cleanwaterandsanitation, calloneachpersonto water. We humanbeing advocate fortherightofevery caused by poorhygienicconditionsandscarce orpolluted 2.6 billionlive withoutbasicsanitation.Many diseasesare people worldwidelive withoutaccesstocleanwater, and According tothe World Health Organization, 900million Water, Sanitation&Hygiene(WASH) wars and millionsmore caughtinthemidstof34conflictsand strengthening localcapacities. livelihoods sustainably. Our approach isfocusedon andhelp the wayforreconstruction efforts restore people’s immediately afteradisaster. At thesametime,we pave medical aidanddistributefoodotherneededsupplies ofdevelopment. and adisruption We provide emergency cal infrastructure, displacement,poverty, foodinsecurity 2 . This results indestroyed social,financialandphysi- 1 , their vulnerabilityandsecure theirmeansofsubsistence. integration ofthosewhoare excluded from society, reduce like towork togetherwithcommunitiestopromote the programs andincomegenerationmeasures, we would a dignifiedlivingandsustainthemselves. With oursocial over theworld,makingiteven harder forthemtomake crisis threaten thelivelihoods oflow-income familiesall Diseases, disasters,conflicts,climatechangeandeconomic Livelihood &SocialPrograms participation indisasterpreparedness.participation special focusonpeoplewithdisabilitiesandtheiractive inclusive Disaster RiskReduction Network, we placea risks ofdisaster. AsafoundingmemberoftheDisability- plans andimplementprotective measures toreduce the be prepared. We helpcommunitiesmakeemergency disaster strikes,peoplelivinginhigh-riskregions should frequent, more intense,andmore Before destructive. events suchasdroughts andfloodsbecomeever more environmental degradationisrampant, extreme natural As populationsgrow, globaltemperatures riseand Disaster RiskReduction(DRR) 7

Annual Review 2012

In 2012, Malteser International continued to work for health and dignity with some of the most marginalized and vulnerable communities around the world. Read about our local solutions for global problems – working with and for people in need. mothers andchildren. a healthyfuturefor tional contributesto Malteser Interna- campaigns invillages, health awareness health centersand medical staffinthe With well-trained 8 Malteser International Annual Report 2012 Editorial reinventing ourselves to help better reinventing ourselvestohelpbetter Humanitarian aidatthecrossroads: require constantinnovation inourapproach to humanitarian aid. sequences offast-pacedenvironmental, politicalandeconomictransformation the globecanhave disastrous consequencesinanother. Theunpredictable con- We are more interconnected todaythanever before. of What happensinonepart aid anddevelopment. Thisvisiongave impulseto Malteser ing networks andbuildingabridgebetween humanitarian tion withotherhumanitarianactors, creating and expand- andimprovewithin thepopulationswe serve, coordina - emergency response mechanisms,helpincrease resilience more thanever. important fragile andhumanitarianwork increasingly difficult–but governments, markets andweather maketheworldmore aggravated by adrought intheSahel region. Volatile combination ofboth,suchasthepoliticalcrisisinMali conflict, suchasthe Syrian civilwar;andsometimes by a Hurricane Sandy or Typhoon Bopha;othersby violent complexity. Some were causedby naturalforces, suchas consequences inanother. oftheglobecanhave unexpectedanddisastrousone part interconnected todaythanever before. What happensin Earth’s climateortheglobaleconomy, oursocietyismore T For thisreason, we are determinedtoenhanceour In 2012, humanitariancrisescontinuedtogrow in planet. Whether through socialmedia,the ing patternsthatinfluencethefuture ofour affected both by current events andemerg- he humanitarianfieldisinconstantchange, and further increasingand further theirreach. plans, ensuringthattheyare sustainableinthelongrun Vietnam, have beenincludedinnationaldevelopment and disastermanagementinPakistan, South Sudan and groups thatassumeresponsibility forhealthcare, water ful initiatives, suchasthecreation ofgrassroots citizen with nationalgovernments andlocalauthorities.Success- expanding several ofourongoingprojects by cooperating our own work isdone. execution andthecontinuityofourprojects –even after quality standards. In thisway, we canguaranteethegood ground, helpingthemdevelop andsomeetourhigh- strengthening organizationsonthe ourtiestopartner rehabilitation anddevelopment, we have focusedon the initialhelpcantransitionsmoothlyintolong-term matter where intheworlddisasteroccurs. To ensure Our goalistobeready todeploy within48hours,no teser International aimstoreact quicklytomajordisasters. As anorganizationwithafocusonemergencyrelief, Mal- Faster deployment,strongernetworks guide ourstrategyinto2013andbeyond. International’s work in2012andthathascontinuedto – thatis,theyare betterabletowithstand thenextdisaster. worked withindisaster-prone areas are now more resilient mangrove reforestation inMyanmar, thepeoplewe have village disastermanagementcommittees inIndonesia or planning. Whether through schoolbrigadesinHaiti, ity ishigher, soitpaysofftoinvest in careful, detailed even more susceptibletoextreme weather. Thecomplex- which already sufferfrom achallengingclimate,are now Disaster RiskReduction. Regions Kenya, suchasnorthern projects intheareas ofClimateChangeAdaptation and has alsotacklednew, several complex challenges,starting organization,MalteserAs aforward-thinking International Tackling themostcomplexchallengesofourtimes Over thepastyear, we alsocontinuedimproving and 9

To increase our impact, we are making sure the most The development community has already started Disaster Risk Reduction vulnerable groups in the communities we serve, such as thinking beyond the Millenium Development Goals, as in Pakistan: village residents are trained ethnic minorities and people with disabilities, are included their 2015 deadline quickly approaches. Several of the in first aid. They put into our work – not only as recipients of our help, but goals have yet to be reached, and many challenges still their skills to the test in as active participants who help shape their communities. lie ahead. The unpredictable consequences of fast-paced regular drills. Photo: Usman Ghani/RedR UK We’ve had positive results working with people with dis- environmental, political and economic transformation abilities in Vietnam, the Karen community in Thailand, require constant innovation in our approach to humani- and exiled Tibetans in India, to name a few. tarian aid. We will continue to adapt our work to be able to meet these challenges and strive to improve people’s Thinking beyond the Millenium Development Goals lives sustainably. In addition, we have focused on crises away from the media spotlight – those which happen every day and are mostly easily prevented, such as childbirth-related deaths. By investing in maternal and child health, especially in training of qualified health staff, Malteser International could save thousands of lives. The equally neglected area of sanitation also deserved special attention in 2012 – improved sanita- By Sid Johann Peruvemba, tion and hygiene prevents several deadly diseases and saves Vice-Secretary General, program director, and countless lives, both before, during and after disasters and Dr. Marie Theres Benner, crises. That’s why we not only built more than 4,000 latrines public health expert & in households, health centers and schools around the world senior policy advisor last year, but also taught communities how to build their own latrines, maintain them and use them hygienically. Photo: KeremYucel from SyriatoTurkey. children sincetheyfled daughter andgrand- room withhiswife, living inthissmall Omar Sharifhasbeen 10 Malteser International Annual Report 2012 In Focus a devastatingcivilwar Syria crisis:Helptoovercome hardship, thestove wouldbringthefamilymuchneeded a heatingstove, heburst intotears.In themidstoftheir team sentby Malteser International hadbrought hisfamily strikes backhome. When Omar sawthatadistribution on foot.Omar’s sonandson-in-lawwere bothkilledinair an entire week togetthere, makingtheperilousjourney border withSyria. It hadtakentheSharif familyalmost a singleroom inthe Turkish villageofSaribük, onthe O Our helpinSyria,TurkeyandLebanon: 2,000 with hiswife,daughterandgrandchildren in in afutileattempttokeepwarm.He wasliving piecesofwetto burnafew woodintincan, n acoldDecember morning,Omar Sharif tried 24,000 people receivedemergencyrelief. blankets Lebanon 3,280 Israel & start-up)kits emergency (hygiene ing countries,neededimmediatehelp. those displacedwithinSyria andrefugees intheneighbor- homes. By July 2012,more thanonemillionpeople,both over thepastyear, andmanywere forced toleave their by theSyrian civilwar. Theconflictescalateddramatically sands ofstoriessuffering,displacementandlosscaused and relatives, inrented rooms orinemptybuildings. outside refugee camps,whofoundrefuge withhostfamilies Lebanon.Our helpwasfocusedonSyriansnorthern living Kilis andHatay provinces in Turkey districtin andZgharta the Syrian citiesofHoms, Hama andAleppo,aswell as inDamascus andlaterexpandedtoinclude tivities started emergency relief coordinator Thomas Molitor. The reliefac- help hadtoarrive quicklyandreach Syrians directly,” says the populationlivinginareas withdifficultaccess. “Our ternational wasabletochannelitsaidefficientlyand reach Through itslong-standing regional partners, Malteser In- Fast, directreliefforthedisplaced inthecomingmonths. andhelpthemsurvive comfort ety ofessentialitems, from blankets,mattresses andkitchen andhygienekitscontaining avarilies anddeliver- start-up wererisks, ourpartners abletoidentifytheneediestfami- Turkey Despite constantattacksinsideSyria andhighsecurity The Sharif family’s isoneinhundreds ofthou- story Jordan Syria Iraq 900 heating oil (26,417 gallons)of of coaland100,000l 40,000 kg(88,185pounds) heating stoves, 5,400 clothing sets ofwinter

utensils to soap, diapers and ointment for babies. With the struggling mothers and small children. We also helped Before receiving their onset of winter, the teams brought heating stoves and warm support a school in Kilis, Turkey for 1,350 Syrian children new heating stove, Omar Sharif and his clothes to thousands of families in Syria and Turkey who by paying a monthly allowance to teachers, subsidizing wife tried keeping were most vulnerable to the freezing temperatures. running costs, and providing school materials and healthy themselves warm by In Khaldieh, Lebanon, Malteser International support- snacks for the children. burning wet logs in a tin can. ed the medical center of the Lebanese Association of the Unfortunately, an end to the violence in the region is Photo: Kerem Yucel Order of Malta, which provided free treatment for nearly not yet in sight. As long as the Syrian crisis lasts, Malteser 2,000 Syrian refugees last year. Our help allowed the cent- International will stand by those who need help, no mat- er to purchase direly needed drugs and medical equipment, ter their origins or convictions. “Most of the Syrians I’ve such as a vital sign monitor, a fetal ultrasound monitor, met are simple people who are just trying to survive and and an X-ray table. “We adapted our help to fit the needs protect their families,” Molitor says. “They just want to be of the patients coming into the clinic,” Molitor explains. able to live in peace.” In the winter, the center also distributed 280 emergency kits including food, hygiene products and blankets. Staff from the health clinic in Khaldieh No end in sight – relief efforts must continue (Lebanon) vaccinate Syrian refugee children By now, the Syrian conflict has reached unprecedented against diseases such proportions – more than one million refugees and up to as polio and rubella. photo: Andrea Krogmann four million internally displaced Syrians continue to need help. In 2013, Malteser International scaled up its aid in the region to cover an additional 13,000 people, not only continuing its relief activities in the previous locations, but also expanding to new rural areas in northern Syria. Distribution teams brought emergency food packages and baby food across the Turkish border into Syria to help 300-liter watertank. water fromhernew fetches cleandrinking Margaret Nakua 12 Malteser International Annual Report 2012 Africa the nextdrought Kenya: Betterpreparedfor regularly from diarrhea. containers. Almostthree ofthechildren quarters suffer protected sources, andthenstore thewaterindirty, open who live inthisregion usuallyfetchtheirwaterfrom un - more than15,000half-nomadsfrom theDaasanach tribe water, asthelakewateristooalkalineandnotsafe.The of the Turkana Lake,Illeret haspracticallynodrinking C pian border. Despite beinglocatedontheshore region Kenya, closetotheEthio innorthern - remote districtofIlleret, adrought-plagued scarce resourcelean waterisavery inthe Before oftherainyseason,Malteser thestart International A goatfora300-literwater tank tion anddiseases. handle waterhygienically, sotheycanavoid contamina- Katja Horstmann. We are alsoteachingthepopulationto happening ever more frequently,” explainsKenya expert they canprepare periodswhichare fortheextendeddry herders tocollectpure rainwaterfordrinking.“Thatway, they have available, Malteser International isteachingthe To help the Daasanach make the best of the little resources

South Sudan Ethiopia The project’s goals at a glance:

Somalia Uganda Kenya rainwater harvesting systems improve the water 166 supply in households and schools. Tanzania 13 hygiene campaigns 100 in schools and villages

1 0 0 latrines provide basic sanitation. 17 wells with hand building of 3 facilities for pumps provide clean preschool-aged children and drinking water. 3 a training center for mechanics

built rainwater harvesting tanks in 55 households in Illeret project. “In this way, they take responsibility for their and in four surrounding villages. To get the population community’s development and contribute to the solu- familiar with the idea, they started a competition: each tion of their problems,” Horstmann says. This approach family had to ‘pay’ one goat to participate. “In this way, requires time and patience, but it pays off in the long run: the families had a stake in the process and were interested the population doesn’t become dependent on aid, and in the outcome,” Horstmann says. In return, they received instead assume the ownership of their efforts toward a a 300-liter tank and a plastic tarpaulin to collect rainwater. better future. The families in each village who collected the most – and most importantly, the cleanest – drinking water won the goats paid as the entry fee. During the competition, the villagers also participated in trainings on the topic of potable water. Why are we helping the people of Illeret? One of the winners is Margaret Nakua, who lives with • 100 percent of the population fetches drinking water her family in the village of Ilkimere. The herder fam- from unprotected sources. ily owns some livestock – a few oxen, goats and sheep, • During the rainy season, 50 percent of the families have whose milk and meat is their main source of sustenance. to walk more than two hours per day to collect water. In Margaret and her children are traditionally responsible the dry season, this number rises to 80 percent. for fetching water. “I heard about the competition during • More than 93 percent of households can only store a village meeting and I definitely wanted to participate. 60 liters of water or less in their water tanks. After just three days of rain, we had already collected 300 • 75 percent of households store their water in dirty, liters of water. Our tank was full,” she tells proudly. “The open water containers. tanks of our neighbors were full as well, but our water • 72 percent of children suffer regularly from diarrhea. was the cleanest – I sealed the lid of the tank with a piece of rope and kept the drain faucet closed. Now, we have clean drinking water directly at home. I hope we can buy a second or a bigger tank soon, so we can have more clean water during the dry season.” Malteser International helps village residents Together for sustainable development to improve their hygiene standards. After the devastating drought that affected millions of Here, they are learning people in the Horn of Africa in the summer of 2011, how to use tippy-taps, simple handwashing Malteser International helped more than 80,000 people devices that work with survive with food and medicine. But, after the emergency very little water. relief phase is over, it is important to help the population get back on its own two feet again. So the Daasanach’s living conditions are improved sustainably, Malteser International involves the residents in every step of the and children. including manywomen refuge inBurkinaFaso, Malians havesought Right: Some50,000 Malte France PHoto: Ordrede nearest healthcenters. 500 patientstothe brought morethan ambulance service Left: In2012,the 14 Malteser International Annual Report 2012 Africa

for Malianrefugees Burkina Faso:Healthandnewhope well asotherlocalandinternational organizationsworking responder.” ofthe The refugee service United Nations as Gorom-Gorom, andeachismannedby adriver andafirst fully equippedambulancesare stationedinDori and who coordinates therelief “In two efforts. thenorth, centers intheneighboringcities,” saysSalifou Ouédraogo, whichtakespatientsfrom thecampstohealthcare service what isavailable inthecamps.“We operateanambulance sickrefugeesin transporting whoneedtreatment beyond Malta, whohave beenactive inBurkina Faso fortenyears, theFrenchsupports relief organizationoftheOrder of elderly, requires medicalattention.Malteser International population, includingpregnant women,children andthe tions, diarrheaormalnutrition.Themostvulnerable precarious. Many refugees infec- sufferfrom respiratory access tocleanwater, conditionsare andthesanitary humanitarian conditionsespeciallycriticalforrefugees. drought thatledtoafoodcrisislast year have madethe Sahel, oneofthecountry’s poorest regions. There, along refugees inBurkina Faso have settledinthenorthern Faso. Ninety-five percent ofthenearly50,000 Malian boring countriessuchasMauretania, Niger orBurkina Faso. Likehim,more than200,000Malians fledtoneigh- old merchant from Timbuktu toseeksafetyinBurkina O The Malians livinginthe refugee campshave poor and theMalian government drove the41-year- The fightsbetween theislamist Tuareg rebels Mali, withhisentire familyinJanuary of2012. uld Mohamed wasforced tofleehishomeland, solidarity thatcounts.” gives usstrength forourwork,” Salifou says.“It isthe relief, whenwe are abletohelpsomeoneingreat need, to localresidents forasmallcompensation.“Our joy and the localauthoritieswilltakeover theproject andofferit gees, butthelocalpopulationaswell. In thelongterm, the refugees. isfreeof medicalassistance.Thetransport ofchargefor in thecampsnotifyfirst responders of refugees inneed The ambulance service doesnotonlybenefitthe refu- The ambulanceservice 532 health carecenters. by ambulancetotheregion’s patients weretransported What wereachedin2012: Burkina Faso Mali Ghana pregnant women health carecenters. were treatedinthe Niger on-duty 24/7 2 driversare responders and 2 first 76 2 + 2 South Sudan: Birth attendants bring health to mothers and children 15

Our help in Rumbek and Maridi:

35 health care centers were built 22 and equipped to serve 250,000 people. 22 Traditional Sudan Birth Attendants Ethopia received training Cen. Afr. Rep. South Sudan and assisted in 1,021 births. Uganda DR Congo Kenya

559 delivery kits 1,021 559 were distributed to Traditional Birth Attendants.

have brought more than a thousand children to come for examination and delivery at those centers. Each TBA has received into this world,” says Mary-John proudly. In her As an incentive, the women who do so receive so-called a “delivery kit” which includes an ear trum- I village in Maridi, a district in southwestern South “mommy kits,” with mosquito nets, iron sulphate and pet, enabling them to Sudan, the 54-year-old woman is already famous: vitamins. monitor the children’s she has been working as a traditional midwife there for So the TBAs in the districts of Maridi and Rumbek heartbeats. more than 20 years. are better prepared to do their jobs, Malteser International The work of women like Mary-John is more crucial trains them in topics such as prenatal care, safe deliveries than ever in South Sudan. Many pregnant women and and referral to a hospital in case of high-risk pregnan- mothers in the young country do not have access to health cies. After the trainings, each TBA receives a delivery kit care, with dire consequences: according to the United with gloves, soap, disinfectant, razor blades, and a hearing Nations, South Sudan has the highest maternal mortality trumpet to control the babies’ heartbeats. rate in the world, with 2,054 maternal deaths per 100,000 Mary-John works on a voluntary basis. “Sometimes, live births. The most common causes of maternal death, after I deliver a baby, the mother offers me a little bit of such as infections or risky pregnancies, can be prevented sugar or soap to thank me,” she tells. But that’s not what through education and proper delivery facilities. really matters to her. Making a concrete contribution is As a Traditional Birth Attendant (TBA), Mary-John what counts. does not only deliver babies, but also attends to the women during pregnancy. She explains to them how important it is to be examined in the health care facilities during pregnancy and after the birth. “When it comes to a “I’m happy to contribute to the develop- risky pregnancy, it is very important for women to be seen regularly by health care providers,” says Mary-John. ment of my village, my community and my Throughout the country, Malteser International has country through my work, improving the built up 35 health care facilities, equipped with latrines, rain-water harvesting systems and wells, which offer a health of women and children.” secure access to health and hygiene. But in a country Mary-John, traditional birth attendant in Maridi where women traditionally give birth at home, it is not always easy for TBAs like Mary-John to convince women Munya, DRCongo. health carecenterin water qualityinthe committee controlsthe A memberofthewater 16 Malteser International Annual Report 2012 Africa Water isahumanright South SudanandDRCongo: to keepthewells clean andhow torepair them, aswell as those watercommittees.In trainings,they learnedhow the wells andhandpumps. committees whichare responsible forthemaintenanceof season. Theythenhelpedthevillage residents form water which guaranteethedrinkingwatersupplyindry Our teamshave alsodrilled16wells atthe healthcenters system. each postisequippedwitharainwaterharvesting ers intheremote villagesofMaridi districtsince2011; Malteser International hasbeenbuildinghealthcare cent- running andclean South Sudan:Watercommitteeskeepwells worse: onlyoneinfourpeoplehascleanwatertodrink. Democratic Republic oftheCongo,situation iseven the populationhasregular accesstocleanwater. In the M William Temale andhisten-personteamformoneof 8 Our help in South Kivu/DR Congo: Our helpinSouthKivu/DR were rehabiliated. and laboratories maternity wards human right. Yet inSouth Sudan, onlyhalfof declared accesstocleandrinkingwaterasa contaminated water. The United Nations has illions ofpeopledieeachyear from drinking 126 tanks havebeenbuilt. 14 outof39rainwaterharvesting 243 washingfacilitiesand 243 hygiene. in thetopicof zones weretrained in sevenhealth medical staff + Congo 14 DR Congo Zambia Sudan South Sudan I healthcenter, thecommunitybuilt acementdrainage has already toshow started positive results: attheMambe calling onthefamiliestokeepwells clean.Thiswork lage residents regularly, teachingthemabout hygieneand William andtheothercommitteemembersvisitvil- how tousewatersparinglyanddailyhygienicpractices. 5,000 Uganda Our help in Maridi/South Sudan: Our helpinMaridi/South 16 80,000 better healthcare. people haveaccessto More than80,000 of watereveryday. 5,000 liters(1,320gallons) Each wellcanprovideupto water. access tocleandrinking centers give5,000people water wellsathealthcare

shaft and planted sugar cane plants. The plants soak up the excess water that runs off from the well. Soon, the village will even be able to sell the sugar cane on the market ”With my work, I make an important contribution and earn a small income. to the health of my fellow human beings. Every day DR Congo: Health centers with tap water is a new challenge – yet the needs are so great, that I Change of scene: South Kivu, in northeastern DR Congo. feel I must do something.“ There, people have suffered for years from the effects of war and violence. The attacks of the rebel group M23 Bigabwa Buhendwa, nurse in Munya in 2012 once again aggravated the already precarious humanitarian situation. Only one in ten families in the region own a latrine, and only a quarter of the health facilities there have access to clean water. “But, especially in the health care centers, it is important that we have clean washing facilities as well as 39 incinerators and 38 garbage Above: This well water, showers and latrines for our patients, mothers and pits. In addition, Malteser International has trained 126 equipped with a water pump can provide their newborn babies. Otherwise, there is a high risk of in- local medical staff on the topics of water, hygiene and 5,000 liters of clean fection with diarrhea or cholera,” says Bigabwa Buhendwa, handwashing. Their task is to increase the population’s water every day. a nurse in Munya. awareness of proper hygienic behavior – and they do it “Access to clean water and hygiene is one of our highest with a lot of creativity: photos, songs and even theater priorities,” adds Emmanuel Kayeye Riziki, WASH coordi- plays. “The health center staff even started sorting their nator in Bukavu. His team has built 13 water sources, 243 trash. We know that our work really pays off,” tells Riziki. German DevelopmentMinisterDirkNiebelduring avisittotheprojectsinDawbon/HtantabinFebruary2012 must goon.” theproject. Thesuccessfulworksupporting here realize theirown development plans. We’ll continue from thebeginning,theyare now abletocreate and “Since thevillageresidents were ontheforefront 18 Malteser International Annual Report 2012 Asia income forachangingcountry Myanmar: Hygiene,healthand mittee, whichwasinitiatedby Malteser International and 43-year-old washired by the Village Development Com- insideourhomes.”the waterbrought allofthedirt The mud, trashandfeces,” eachrainyseason, hesays.“With national cametoDawbon, thestreets were covered in He works asa wastecollector. “Before Malteser Inter- 1.5 square miles.One ofthoseresidents isUMoe Way. D 232,080 (8 gallons)perpersonday. and protectedwaterponds–or30liters 13 villagesthankstonewlybuiltwells are availabledailyto7,736peoplein liters (61,309gallons)ofcleanwater Our helpinDawbonandHtantabin: There, around 80,000peoplelive inlessthan city –wasformedaround thecity’s oldlandfill. Yangon –Myanmar’s formercapitalandlargest awbon, asluminthemetropolitan area of 2,422 ance onhealthissues. child groupsprovidedguid- meetings of33motherand

195 chicken andpigs. own vegetablegardens, nutrition andincomewith families improvedtheir metal, glass,plasticandpaper–sellsittoarecycling throwing itallaway, outtherecyclable hesorts material – collection pointsbuiltby Malteser International. Before in thebinsseveral timesadayand bringsthemtothe waste binsforabout30families. Way collectsthetrash keeping theirward’s 24streets clean.Eachstreet hastwo Way andfourotherwastecollectorsare responsible for Cleaner streets,extraincome,gratefulneighbors hygiene intheircommunity. consists ofvolunteers whowork toimprove healthand India Myanmar China Thailand Laos ten schools for householdsandin new flood-prooflatrines 1,080 24,864 sessions. hygiene awareness in 1,405healthand residents participated

U Moe Way collects the trash in the bins several times a day and brings them to the collection points built by Malteser Interna- tional. PHoto: Eitan Simanor

center for a little extra income. Way says the residents have Today, with the help of village development plans, the lo- responded well to the new collection system. “They are cal village development committees conduct most projects very well disciplined and don’t let their trash spill over the under their own direction. The committee members are bins,” he says. “They even give me small tokens of their respected, older residents of the villages and are also rec- appreciation. The local tea shop often offers me a cup of ognized by the local state authorities. In this way, Malteser tea when I pass by with my handcart.” International is able to contribute directly to improving the self-help potential of the communities, making sure Sustainable community development the activities are sustainable in the long run. A working waste management system is just one of many measures that Malteser International started in Dawbon to To improve the improve the lives of its residents. Although waste disposal water supply, Malteser International helped was one of the densely populated slum’s biggest problem, residents fence in the nearly 200,000 people living in Dawbon and the their ponds, drill wells neighboring township of Htantabin also lack an adequate and build rainwater harvesting tanks. water supply and sanitation. They draw their drinking wa- PHoto: Eitan Simanor ter from unprotected rain ponds or from the river. Only a third of the families in Dawbon have fly-proof latrines; in Htantabin, merely one in ten. Many residents also lack knowledge about hygiene and how to prevent diseases, resulting in widespread diarrhea, infections and chronic malnutrition. Over the past several years, Malteser International has helped the communities tackle these problems on various fronts: better health care, clean water, sanitation and more income. We built and equipped eight health facilities in the two townships, trained assistant midwives and vol- Humanitarian crisis in Rakhine State unteer health workers and conducted health and hygiene Since June 2012, outbreaks of ethnic violence have caused suffering and campaigns; these measures increased the number of births displacement for the population of Rakhine State in western Myanmar. assisted by skilled medical staff from four percent in 2006 According to the United Nations, 115,000 people have fled their homes to 48 percent in 2008. To improve the water supply, since the start of the conflict and are living in provisional shelters, without we helped residents fence in their ponds, drill wells and access to health care or clean water. Malteser International’s mobile clinics build rainwater harvesting tanks. We built both latrines treated around 4,000 displaced persons in two months alone. The teams also in homes and child-friendly bathrooms in schools. And, distributed emergency relief and hygiene kits with soap, toothbrushes, mos- to help improve the families’ income, we helped them set quito nets, blankets and kitchen utensils to 2,000 families. In refugee camps, up vegetable gardens and raise livestock, started up small we built 577 toilets, 50 bath houses and 15 waste collection points. embroidery and sewing workshops, trained women and provided them with machines and material. the island. wells inthenorthof the 170renovated staff examineoneof Malteser International 20 Malteser International Annual Report 2012 Asia home forreturningrefugees Sri Lanka:Morethananew army andtheLiberation Tigers of Tamil Eelam, who over 2,000years ago. Thewarbetween the Sri Lankan are Tamils, whoseancestorscametotheislandfrom India T Some examplesofourhelpinSriLanka(2005–2012): kits afterthe2011floods. drinking waterandemergency&hygiene homeless peopleweregivenfood, its development. Most ofthepopulationthere years behindthecountry’s otherprovinces in Northern Sri Lanka,aregion thatlagsmany 30-year civilwarlingerin he effectsofabrutal schools. sanitary facilitiesin53 water andchild-friendly children haveclean 16,000

8,450 Sri Lanka India 10,000 Sri Lankaafterthetsunami. tion tanksbuiltfor3,100familiesinsouthern trucks –isthecapacityofrainwatercollec- million gallons)–ortheequivalentto700tank More than20millionliters(nearly5.3 Sri organization, Sarvodaya,builtforthe Lankanpartner a totalof205housesthatMalteser International andits sweet potatoesgrow. The Maniratnans’ homeis one of surrounded by agarden where papayas,mangoesand The onlythingthefamilyhadleft wasapieceofland. no waterandfood.Thewartookall we hadfrom us.” stepping onalandmineandcouldn’t“We findajob. had was gone,” Mr. Maniratnan tells.He hadlostafootafter dren. “Our housewascompletelydestroyed –everything to theirvillageinKillinochchiDistrict withtheirfive chil- national helpedthemmakeafresh start. displaced populationbacktotheirhomes.Malteser Inter- acomprehensivestarted repatriation process tobringthe a millionpeopletoflee. full force. Poverty, andviolenceforced nearly destruction the 2004tsunamiswept coastwith through thenorthern destroyed. 70,000 peopledied. To makemattersworse, in theregion: manyhouses,streets andbridgesare still called foranindependentstate,leftapathofdestruction Today, homestandswhere anew theoldhadbeen, The Maniratnan family(namechanged)also returned After theendofwarin2009,government three healthcarecenters. benefitted fromthereconstructionof of whomarewomenandchildren, returning refugees,amajority returning families. provide basicsanitationfor household latrines 1,206 million 20 21

neediest families in the region. We also recovered much sources of income,” says Daniel Bergfeld, senior Left: The Maniratnan family at of the local infrastructure: 170 rehabilitated wells now desk officer for Sri Lanka. “Many families painted the laying of the foundation stone and in front of their new provide clean water to the families, and three health care their homes a different color, installed electricity or house. Right: Through hygiene centers have been rebuilt. 203 families also participated in a pipeline from the water tank to the latrine. As we campaigns, the residents agricultural trainings and received livestock and pumps to now leave Sri Lanka after eight years of work, we learned how to keep their new latrines clean. irrigate their fields. can do that with a clear conscience – the seed now PHoto: Carmen Wolf The fruits and vegetables that the Maniratnans plant bears fruit.” in their garden not only complement the family’s diet, but also puts a little extra money in their pockets, as they are able to sell their surplus in the market. The earn- ings are not enough for a stable income, so we also gave Mrs. Maniratnan a sewing machine. “I’ve set up a small 2005 – 2012: Eight years of sustainable relief in Sri Lanka sewing room in our house, where I sew school uniforms Malteser International started working in Sri Lanka after the tsunami in and other clothing to sell,” she tells. “Thanks to Malteser 2004. With 45 projects, we supported the reconstruction of infrastructure, International and Sarvodaya, we not only have a new built water supply systems and latrines, provided psychosocial care and home – we don’t have to struggle every day to put food health education and started income generation activities. Since mid-2009, on the table anymore. Our house has indeed been blessed we provided emergency relief for civil war refugees in camps and helped with good fortune!” them start over in their home villages until late 2012. In 2010 and 2011, we Most of the returning refugees have embraced the provided flood relief after heavy monsoon rains. A focus of the eight-year chance for a new beginning. “They are building upon program was the area of water, sanitation and hygiene. the foundation which we’ve laid with the recovery of infrastructure, the water supply and sanitation, and new PHoto: GuilhemAlandry him,” shesays. “I learnedalotfrom manager DungMai. playing withproject Tran CongDanh 22 Malteser International Annual Report 2012 Asia prepare fordisasters Vietnam: Personswithdisabilities emergencies. Until recently, disaster plansin Vietnam did nity, personswithdisabilitiesare oftenleftbehindduring their impairmentsandlackofawareness from thecommu- his familyare especiallyvulnerabletodisasters.Due to able towalkwithoutassistance. Because ofthat,heand things,wasbornwithaphysicaldisabilityandisnot new parents’ arms.” was soscared,” tightlyontomy Danh says.“Iclungvery floor ofhishouse,itwasalready toolatetoevacuate. “I asthewatersrose uptothesecond worst inhismemory: flooded twoorthree timesa year. But thatfloodwasthe 11 1 Danh, a cheerful, outgoingboyDanh, acheerful, whoiseagertolearn region ofcentral Vietnam, manyvillagesget Ngoc KinhDong wasfloodedin2009. In this the timewhenhishouseinsmallvillageof -year-old Tran CongDanh stillremembers in their local planning processes is an important stepto in theirlocalplanning processes isanimportant on theroad, it’s already toolate!” than othervillagers,sotheycan besafe.If there iswater learned: “Persons withdisabilities needtoevacuate earlier recalls. Danh isenthusiastic abouttellingotherswhathe out manythingswhichIdidnotthinkof,” hisfather “Danh wastheonlychildintraining,buthepointed their familiesinhisvillage,Danh attendedwithhisfather. on floodpreparedness forpersonswithdisabilitiesand When Malteser International conductedatrainingsession Persons withdisabilitiesmaketheirvoicesheard change thisreality. Malteser International ishelpingfamilieslikeDanh’s not takedisabledpersonsintoconsideration.But now, The active participation ofpersonswith disabilities The active participation Inclusive Disaster Risk Reduction in Vietnam – what we’ve reached so far: China 43 Laos Disaster Risk 47 Reduction (DRR) trainings for people village disaster committees with disabilities and rescue teams set up in Thailand 47 villages 23 Vietnam Cambodia 9

9 villages developed 9 inclusive emer- 98 gency plans for members of rescue 8,600 residents teams were trained.

increase the communities’ acceptance and understand- Malteser International’s project, I now know I have to ing of the issues that affect them. After all, they and their evacuate to the house of my relatives, up in the moun- families know best what kind of support they need. The tains,” he says. The village disaster committee will make motto of the Disabled Persons Organizations (DPOs), sure Danh’s family receives an early warning, so they can “nothing about us without us,” also guides Malteser Inter- get there in time. “I am not scared anymore!” Danh an- national’s work. nounces proudly. “If other children want to learn about flood preparedness, I can teach them too.” Communities should feel responsible for all members Even small adjustments in terms of early warning or emergency planning could already make a difference. But the most important change is in people’s minds, says project Who are persons with disabilities? manager Dung Mai. “Inclusion starts with patience and According to the Convention on the Rights of Persons with Disabilities, understanding, and genuine care for one another – with “Persons with disabilities include those who have long-term physical, men- or without disability,” she adds. “At first, I was skeptical tal, intellectual or sensory impairments which in interaction with various about what persons with disabilities could contribute. But barriers may hinder their full and effective participation in society on an as I got to know some of them and saw them in action, equal basis with others.” I was amazed at how much they could achieve. With the right knowledge and opportunities, they can go all the way! I learned a lot from them.” Danh is a perfect example of this kind of empower- ment. He has become a very confident child who knows Malteser International is a founding member of the Disability what to do when the next disaster strikes. “Thanks to inclusive DRR Network (see page 30).

Left: Danh practices walking around his house. In case of disaster, he and his family need an early warning so they can escape in time. PHoto: Guilhem Alandry

Right: Danh at home with his parents. He’s an active participant in his village’s disaster committee. PHoto: Guilhem Alandry PHoto: StefanTrappe/ADH post-natal care. staff offerpre-and Trained healthcare 24 Malteser International Annual Report 2012 Asia keep mothersandbabieshealthy Pakistan: Ittakesavillageto 2,831 Our helpinsouthernPunjab(sinceSeptember2011): conducted with2,762livebirths. deliveries were 51 communities. were conductedin health sessions 482 75% Iran Afghanistan rate fellfrom36to10per1,000births 75 percent.Theinfantandchildmortality trained medicalstaffincreasedfrom23to The percentageofbirthsassistedby Pakistan India China complications. high-risk pregnancyand were performedtodetect ultrasound examinations 8,763 21,394 natal healthcare. women receivedpre- he lower Punjab region in south-eastern Pakistan was one of the strongest hit by the disastrous T monsoon floods of 2010 – much of the already basic infrastructure there was badly damaged or completely destroyed. But even before the floods, the remote villages of Rahim Yar Khan district, a neglected area within the region, did not count on a functioning health care system. Before Malteser International arrived in the region, most women there delivered their babies at home, either 25 without any assistance or with help from untrained traditional birth attendants. The result was a very high mortality rate for both mothers and newborn babies. Being able to give birth in a fully equipped facility with trained staff highly increases the chances that both mother and child will be healthy, and in case of complications, can mean the difference between life and death.

For a good start in life After the initial emergency relief after the floods, Mal- teser International seized the opportunity to “build back better” and improve the health of mothers and children in 48 remote rural communities. The old basic health units were rebuilt and improved: two regular health care units and two emergency obstetric care units now offer officially opened – they came from as far as the neighbor- Program coordinator pregnant women and mothers free pre- and post-natal ing provinces,” says Gabriele Gross, Maternal and Child Gabriele Groß (left): “People have to trust care and a safe delivery, even when there are complica- Health (MCH) program coordinator. “Many of them our services.” tions. In addition to equipping the health centers with gained access to quality health care for the first time.” ultrasound machines and an ambulance service, our teams also provided trainings for skilled health staff, who work Mutual trust and shared responsibility around the clock in the emergency units. Within the first Yet, the project’s success lies in the active participation of year of the project, we were able to increase the number the local community. “It isn’t enough to provide equip- of deliveries in the health centers from 24 to more than ment and train staff – people have to trust and accept 1,500. “The women came even before the units were your services,” says Gross. “Only then will they start using them.” By involving the population, we made sure that the services were also culturally accepted. “Many women would not come for treatment to the health centers Left: Traditional birth because there was no separate area just for women,” Gross assistants participate regularly in trainings at explained. “Now that this has changed, the women feel the health care centers. comfortable in the facilities.” Malteser International was also able to get the local population involved by creating two Village Health Com- mittees which act as a link between the villagers and the government health department. These committees are able to pay a small allowance to traditional birth attendants, who previously had to be paid by the families themselves and often received no payment for their services. “Because they work so closely with the population and are respected by the villagers, traditional birth attendants can act as the link between the population and the health care system,” Gross says. “They now encourage the women to give birth in the health centers.” But most importantly, the health committees make sure the progress in the local health care system is sustainable: even after Malteser International is gone, they will continue supporting their local health structures. “The fact that health committee members now take full responsibility for the functioning of the health centers is a very important progress,” Gross concludes. system works the healthinsurance poster explaininghow next toanawareness A Tibetannurse 26 Malteser International Annual Report 2012 Asia for Tibetansinexile India: Affordablehealthinsurance Pakistan aware oftheinsurance. Tibetans havebeenmade More than60,000 60,000 in 2012: What wereached India China Nepal 200 System. Medicare in theTibetan have enrolled Tibetans 9,770 system. the insurance and operate to manage been trained Tibetans have someone else’.” solidarity. “Theysay, ‘ifitdoesn’t helpme,thenitwill because itappealstotheirstrong senseofcommunityand says thesystemhasbeenwell-received among Tibetans who monitored theproject forMalteser International. She their own health,” Nicole explainshealthexpert Moran, well, andcallonthepopulationtotakeresponsibility for lation. “We emphasize thesocialaspectofsystemas benefits ofhealthinsuranceandhow itworks tothepopu- health educationandawareness campaignstoexplainthe and motivating peopletouseit.The project alsocombines giving trainingsonsettingupahealthinsurancesystem implement theplanby providing and technicalsupport andtheMicroDepartment Insurance Academy (MIA) living inIndia receive coverage. of theproject isthat,eventually, allofthe95,000 Tibetans than 10,000 Tibetans are covered by the plan–vision not eligibleforIndia’s publichealthinsurance.Now, more too highforthismostlylow-income group, andtheyare health insurance,sinceprivate insurance premiums are the Tibetan populationinIndia hadnearlynoaccessto intopoverty.them further bursed forthemedicalbill,sothisincidentdidnotpush cracks. Three weeks later, Thakchoe’s familywas reim- to prevent peoplelikeThakchoefrom fallingthrough the ity (CTA) hadlaunchedthe Tibetan Medicare System, Malteser International andtheCentral Tibetan Author- was notcompletelyoutofluck.Just daysearlier, afew But, accident,Thakchoe even withsuchanunfortunate – anincredibly largesumforhispoorfamily’s standards. able toaffordrupees thatvisitcosthim thenearly100,000 exiled Tibetan India livinginnorthern wouldn’t have been W Malteser International helpedtheCTA’s Health Before ofthe thestart Tibetan Medicare System, and hospitalized forthree days.Previously, the tothenearest aboutbeingrushed hospital ry broke hishiplastApril, hedidn’t have towor- hen 86-year-old Thakchoefellathomeand Thailand: For a better future on both sides of the border 27

Our help in two camps and 24 villages:

Myanmar Laos Thailand 2,8 million

liters of water (739,681 gallons) in over 350 water 100km tanks are available to the camp residents – around 40 (62 miles) of water liters (10.5 gallons) and wastewater a day per person. pipelines were installed in both camps. No one has 1,200 latrines to walk more than 99 percent of all families 200 meters (650 have a latrine. feet) to get water.

he 140,000 refugees living in nine camps in Informing, training and educating the nearly 30,000 On World Handwash- northwestern Thailand, on the border with camp residents we serve – no matter what their age – is ing Day, the refugee children showed how T Myanmar, have been there for as long as 20 one of our highest priorities in Thailand. Working in the to properly wash hands years. Human rights violations, ethnic conflicts camps as community health workers, lab assistants and with soap at the new and poverty have forced many Burmese to flee. Their technicians, the refugees have been improving the lives in water stations. presence is merely tolerated by the Thai authorities. The their communities and preparing them for a better future refugees are not allowed to leave the camps and are up to back home. With Myanmar’s current political transfor- 100 percent dependent on help from the international mation, there’s a chance that the refugees will be able to community. return home. In Kayin (Karen) State, on the other side of Many of the school-aged children in the two camps the border, Malteser International is currently building that Malteser International supports have been born as up structures for health care and water supply for both refugees. On 15 October, hundreds of children gathered the local population and the future returning refugees. on the grounds of two schools in the camps to celebrate While still in the camps, the refugees get involved in the World Handwashing Day. A colorful program with draw- health and water projects and so improve their knowl- ing competitions and film screenings called the children’s edge and skills. attention to the importance of proper hygiene: washing At the same time, Malteser International also expand- hands with soap can reduce the incidence of diarrhea ed its help to 24 neighboring villages in Sob Moi District, among children under five by almost 50 percent, and res- strengthening the Thai health care system in the region by piratory infections by nearly 25 percent. The highlight of training health care staff and supporting the authorities in the day was the inauguration of the new handwashing and creating an ambulance service. toothbrushing stations built by Malteser International: Together with the refugees, the villagers and the local simple wood shelters with a perforated pipe that delivers health authorities, we are paving the way to a better future running water from a rainwater tank. Combined with – on both sides of the border. educational activities, these are an affordable and effective way to prevent diseases – so more stations for the camps are being planned. first-aid techniques. brigade trainbasic Members ofaschool Gwedmaël Lorie,memberofaschoolbrigadeinCitéSoleil avoid damagesandsave lives.” prepared fordisasters,sointhefuture we can bebetter “I wouldliketohelpmycountry PHoto: VincentTremeau 28 Malteser International Annual Report 2012 Americas on stand-by on stand-by Haiti: Schoolbrigadesalways Our helpinHaiti: 312 being builtin2013. garten. Sixmoreschoolsare new schoolsandakinder- now attendingclassesintwo children andyouthare 20,000 our healthcarecenters. patients weretreatedin Cuba 66 6 2,000 Haiti recovered. in CitéSoleilwerebuiltor household and school latrines efforts afterHurricaneSandy. as partofouremergencyrelief small farmersreceivedseeds guidance totheschoolbrigades. work. In the future, theDPC itselfwilltrainandprovide resident organizationsshouldassumeresponsibility forthe munities. In thelongterm,Haitian government and residents committhemselves toprotecting theircom- that state structures suchastheDPC,itisalsoimportant Reduction. While ourteamswork closelywithlocaland Malteser International’s work inthefieldof Disaster Risk disasters. Theschoolbrigadesformanessentialelementof Haitian populationwasnotsufficiently prepared for shelter asquicklypossible. disaster, shehastohelpbringherfellow students toasafe aid,” shesays. and theirpremises, andIalsolearnedhow toprovide first (DPC). “Ilearnedhow toevacuate people from buildings International andtheHaitian CivilProtection Department of five disasterpreparedness trainingsorganized by Malteser G As the devastating 2010 earthquake madeclear,As thedevastating 2010earthquake the In inone thesummerof2012,Gwedmaël participated Republic Dominican member ofaso-calledschoolbrigade.In caseof au-Prince. Since lastNovember, shehasbeena Cité Soleil, aslumnearHaiti’s capital,Port- wedmaël Lorieistenyears oldandlives in simulation drills. parents participatedindisaster 200 students,teachersand risk reductionweresetup;nearly 13 schoolbrigadesfordisaster 13 200 29

All members of the school brigade have specific tasks. The Gwedmaël is happy to teach her classmates, friends and In simulation drills, evacuation group brings everyone on the school grounds families what she learned from Malteser International: children, teachers and parents learn how to safety. The first aid group takes care of the injured until “Everyone has to know exactly what to do in case of disas- to behave in case of the professionals arrive and maintain contact to the local ter,” she says. “Only then will they be able to save lives.” disaster. authorities. The fire and rescue group safeguards the prem- Malteser International has formed and trained 13 school PHoto: Vincent Tremeau ises and prevents fires from breaking out. All of the nearly brigades in Léogâne and Cité Soleil. They are part of a 200 members of the brigades have received both theoreti- comprehensive Disaster Risk Reduction program that cal and practical training. The school committees see to it includes the reconstruction of earthquake- and cyclone- that students, teachers and parents participate in the school resistant schools and nurseries, as well as the set-up of brigades and spread their knowledge in their villages. early-warning systems.

Emergency relief after storms Isaac and Sandy The tropical storms Isaac and Sandy caused more devastation in Haiti in 2012, killing 78 people and displacing 35,000; 28,000 houses were destroyed, heavily damaged or flooded. To prevent epidemics and the spread of diseases, Mal- teser International distributed 2,000 hygiene kits with buckets, purification tablets, soap, detergent and other hygiene products. We also gave the residents tools, canvas, wood and nails to repair their homes. “After Isaac, we equipped our partner organizations so they could remove the debris from the streets. So when Sandy came around, they were able to clear the gutters and pipes right away and prevent greater damage to the area,” says Haiti expert Jelena Kaifenheim. In Belle-Anse, in the south of the island, 2,000 small farmers whose crops had been destroyed by the storm received new seeds to plant manioc, beans, potatoes and plantains. present. partner countrieswere representatives from40 Berlin. 60NGOsand and Developmentin Economic Cooperation by theMinistryfor house eventorganized work atanopen Malteser International’s learned moreabout Secretary GudrunKopp Right: GermanState PHoto: EugenioAjroldi around theworld. Malta’s activities about theOrderof European Parliament informed visitorstothe 70 postersandphotos 30 Malteser International Annual Report 2012 Highlights Highlighted events&campaigns in Brussels Photo exhibitionintheEuropeanParliament policy-making process. disabilities andensure inthe theiractive participation achieve this,thegroup works toempower personswith making disaster-prone communitiesmore resilient. To in disasterprevention andriskreduction thus efforts, of theneedsandexperiences personswithdisabilities reduction (DRR).Thenetwork callsfortheinclusion region whichadvocates forinclusiveness indisasterrisk relief organizationsfoundedanetwork intheAsia-Pacific In October of2012,Malteser International andsixother founded inAsia Disability inclusiveDRRNetwork(DiDRRN) cal andpsychological support. DR Congo,where victimsofsexualviolencereceive medi- activities, includingMalteser International’s work inthe discussion washeldpresenting theOrder’s humanitarian elderly anddisabled.In additiontotheexhibition,apanel in lookingafterthesickandassistinghomeless, of theOrder infightinghungerandthirsttheworld, around theworld.Photographs illustratedthededication photographic exhibitionontheOrder ofMalta’s activities In March, theEuropean Parliament housedaweeklong diseases.” that theavailable foodisasource ofhealthratherthan washing handswithsoapare highlyefficientandensure national. “Even simpleandquitecost-savingmeasures like Arno Coerver, regional WASH advisorforMalteser Inter- contribute toreduce malnutritionofchildren,” stated (WASH). “Investments into WASH couldconsiderably tional impactoflacksafewater, sanitationandhygiene national isamember–examinedtheneglectednutri- the German WASH Network –ofwhichMalteser Inter- During World Water Week 2012,apanelco-chaired by “No foodandnutritionsecuritywithoutWASH” World WaterWeekinStockholm,Sweden: munity perspective. (EWS) oncyclone andfloodpreparedness from acom- inclusive socialmobilizationwithearlywarningsystems oflinking thechallengesandopportunities portrayed Risk Reduction Conference (IDRC) inAugust. They from Myanmar andIndia at theInternational Disaster Sahbhagi Sjiksan Kendra (SSK),presented casestudies Malteser International anditsIndian organization, partner (IDRC) inDavos,Switzerland International DisasterRiskReductionConference 31

Financial Report 2012 – Facts & Figures

Budget development and annual accounts, our programs, staff, partners and structures at a glance. Photo: KazushiAbe of theirnewhome. await thecompletion sono inJapaneagerly The childrenofFujino- 32 Malteser International Annual Report 2012 Report Secretary General’sReport more than50%in2012whencompared tothe2011 income from private donationsandown funds sankby and DRCongowhichwere already booked in2011.The ous year forcomprehensive multi-annualprojects inJapan 2011 isduemainlytothree contractssignedintheprevi- €6.8 millionreduction inpublicgrantsascompared to private donationsandfundsfrom theOrder ofMalta. The millioncorrespond to Cambodia andHaiti –while€4.8 jects inDRCongo,South Sudan, Myanmar, Pakistan, Economic CooperationandDevelopment (BMZ)forpro- millionalonefrom theGermanfor Ministry grants –€8 millionderived from public Of thetotalvolume, €24.6 million). million(2011:€31.1 a totalvolume of€30.9 help. We ranmore than100projects in25countrieswith Malteser International andthepeoplewe reached withour The year 2012sawonceagainahigh program volume for developments in2012. organization’s financialandstructural mostimportant ofour our structures. Thefollowing isasummary report also gaininsightintoourprogram details, ourstaffand from, andwhatourexpensesare. In addition,you can has developed over theyears, where ourfunding comes Here, you canlearnmore aboutourbudgetand how it our organizationinaclear, conciseandopenmanner. Report, where we present awealth ofinformationabout A the “Facts andFigures” sectionofourAnnual this reason, we are proud topresent toyou seriously.ency andaccountabilityvery For t Malteser International, we taketranspar- for support withourfundraisingandadministrative tasks. for support units oftheinternationalnetwork of theOrder ofMalta expenditures. We ofthenational countonthesupport those costscorrespond tolessthan10percent ofthe total tive costswithinafairandreasonable range;currently, are andadministra- committedtokeepingouradvertising to theextenttheyare neededtocompleteagiven task. We responsibly, inacost-effective andefficientmanner, only Malteser International ensures thatallofitsfundsare spent DR CongoorMyanmar. so-called “forgotten crises” suchasthoseinSouth Sudan, caused by politicalconflict,suchasin Syria, orforthe forrelieflittle support activitiesinhumanitariancrises of largenaturaldisasters,andthat,regrettably, there’s very in Kenya. Thisshows thatprivate donorsgive mostincase earmarked foremergencyrelief inJapan anddrought relief millionalonewere million–ofwhich€7 sum of€9.1 services forMalian refugees.services ofambulance in2012 withthesupport program country our programs inDRCongo. Burkina Faso becameanew million). Thisisespeciallydue to a renewed extension of has onceagainincreased incomparisonto2011(€8.8 million In Africa, the2012program volume of€11.2 significant expansioninthecurrent year. in theregion, theserelief measures are experiencinga refugees andanintensificationofthehumanitariancrisis Due totheconstantincrease inthenumberof €600,000. the displacedwithinSyria, withatotalbudgetofnearly ties forSyrian refugees in Turkey andLebanon,aswell as focalareaA new intheMiddle Eastincludesouractivi- print, withitsinaugurationplannedfortheendofJune. in Ichinoseki, Japan wasnearingconclusionattimeof children’s ofanew early 2013.Theconstruction home Sri wasconcludedin Lanka,ourprogram inthecountry million).Aftereightyears ofwork in Cambodia (€1.4 million)and million),Pakistan (€3.2 in Myanmar (€3.4 in theprevious year, ourkeyprograms inAsiaare located million).As €14 millionfor16countries(2011:€19.5 Asian continent,withacurrent totalvolume ofnearly activities. Most programs continuetobelocatedinthe lion peopleinAfrica,AsiaandtheAmericaswithitsrelief Last year, Malteser International reached around 10mil- Our regionalfocalpoints 33

The future belongs to them: in many countries, such as DR Congo, Malteser International commits to improving the lives of children and their families.

With a program volume of €2 million, Haiti was once To help those affected by poverty, disease and disaster start again our largest program country in the Americas. Three again and stand on their own two feet, we also conduct years after the earthquake, the reconstruction work con- social programs and livelihood projects (7.7 percent). tinues – now with a greater focus on strengthening local capacity. In countries such as Chile and Peru, we continue Looking back, looking forward to support projects of the national associations of the Order 2012 was also a year of structural change for Malteser Inter of Malta. In the coming years, we plan to intensify our ac- national, with a gradual transition into our new regional tivities in the Latin-American region – especially in view of structures. The process started back in 2008, with the crea- the new regional headquarters set up in the United States. tion of the first regional association, Malteser International Americas, in the U.S. With the opening of our regional Our sectoral focal points headquarters in Miami, Florida, planned for fall 2013, we With more than 45 percent of the total program volume, will transfer the operational management of all projects on the health and nutrition sector continues to be the main the American continent to this new unit. The management focus of our work. This shows not only that worldwide of all other projects will continue under Malteser Interna- demand in this area continues to be very high, but also tional Europe, which is legally a part of Malteser Germany the continuation of the original (and still valid) mission of and located in Cologne. A third regional unit, Malteser In- the Order of Malta as an organization which is committed ternational Asia/Pacific, will also be founded at a later time to providing health care – more than 900 years ago in a not yet determined, concluding the restructuring process. hospital for pilgrims in Jerusalem, and still today in many The independent legal entity for Malteser International’s areas, nationally and internationally. Closely related to General Secretariat based in Cologne was founded on 15 the health sector, and for this reason often combined with March 2012 and assumed responsibility for the overall man- health projects, are measures in the field of water, sanita- agement of the regional headquarters on 1 January 2013. tion and hygiene (WASH) – our second-largest sector with 16.8 percent of the program volume. In addition to the Ingo Radtke, area of emergency and disaster relief (15 percent), Malteser Secretary General International is now focusing more and more on preparing people living in disaster-prone areas for emergencies and protecting them from their effects. The percentage of programs in the Disaster Risk Reduction (DRR) sector increased from 8.8 percent in 2011 to 15.3 percent in 2012. 34 Malteser International Annual Report 2012 Achievements What weachievedin2012 and more). winter relief,temporaryshelters, gency andhygienekits,food, after disastersandcrises(emer- people receivedemergencyrelief in 25countrieswithmorethan100 projectsin2012. Malteser Internationalhelpedaround10 people million helping communitiesstartover afterdisasters. purpose hall,asewagetreatment plantandamarketplace, built 179 temporaryhomes, 15 schools,2preschools,amulti- ensuring betteraccesstomedical services.Inaddition,we 97 healthcarefacilitiesand10 hospitals werebuiltorrestored, 179 119,562 2 97 1

the disease. diagnosis andtreatmentof of mosquitonets,orthrough tion throughthedistribution whether informofpreven- from ourmalariaprograms – 82,135 peoplebenefitted 15 1 82,135 10 1 babies. and ahealthystartfor and deliveryformothers ensuring asafepregnancy health clinicswesupport, women wereconductedin examinations forpregnant pre- andpost-natalcare 300,582 vitamins andminerals. enriched withimportant with therapeuticfoods tion andundernourishment and infantsfrommalnutri- born babiesandinfants We protected11,255new- 11,255

In 718 Disaster Risk Reduction (DRR) trainings, children, youth and adults learned both in theory and practice how to properly behave before, during and after a natural disaster, and how to quickly provide help to others. 531,043 people gained daily access to 35 clean drinking water, thanks 234 to our help. 718

234 villages and their residents have developed emergency plans, defining evacuation routes and the location of evacuation shelters and assigning responsibility for helpers in early warning, evacuation and first aid, so the population knows exactly 499,464 what to do in case of disaster. village residents were informed through hygiene awareness campaigns about the importance of regular hygiene practices such as 27,377 handwashing in order to lead a healthy life.

2,963 people participated in professional trainings This was possible thanks to and educational sessions, the work of 739 local and using this new knowledge 83 expatriate staff mem- to improve their income or bers in the field as well as to acquire further qualifi- 45 staff members at our cation for their jobs. headquarters.

We helped 27,377 families improve their living conditions, their nutrition and/ 2,963 or their income by farming, growing fruits and vegetables, raising livestock, or through temporary jobs (cash for work). We counted on the support of around 70 local and national partner organizations, 4,155 new latrines provide basic more than 30 public donors sanitation for about 85,000 peo- and cooperation partners, ple in households, schools and 4,155 and thousands of private health centers. donors. 36 Malteser International Annual Report 2012 Staff a chancetolive ahealthylifewithdignity. International’s mission: tomakesure allpeoplehave outMalteser25 countriesworldwidework tocarry Nearly 900staffmembersin over 100projects in Our staff Staff abroad

Local staff 1 Expatriate staff 2

Region/Country 2012 2011 2012 2011

Africa 201 236 28 (23) 32 (21) 229 37 DR Congo 88 92 11 (9) 10 (8)

Kenya 21 15 3 (3) 2 (2)

South Sudan 85 120 13 (10) 19 (10)

Uganda 7 9 1 (1) 1 (1)

478 612 43 (35) 53 (41) 521 AsienAsia 478 612 43 (35) 53 (41) Cambodia 43 31 6 (4) 3 (3)

Indonesia 5 5 0 (0) 0 (0)

Japan 0 0 1 (1) 1 (1)

Myanmar 231 379 15 (12) 18 (11)

Nepal 0 0 1 (1) 1(1)

Pakistan 100 120 11 (9) 17 (16)

Sri Lanka 27 23 3 (3) 5 (3)

Thailand 54 44 5 (4) 7 (5)

Vietnam 18 10 1 (1) 1 (1)

Amerika 60 137 12 (9) 19 (13) 72 Americas 60 137 12 (9) 19 (13) 72 Haiti 59 136 12 (9) 19 (13) Peru 1 1 0 0 (0)

Total 739 985 83 (67) 104 (75)

In all of our project countries which are not listed, programs are implemented by the national associations and relief corps of the Sovereign Order of Malta (e.g. Burkina Faso, Chile, Philippines, Lebanon) or by local partner organizations (e.g. Afghanistan, Iraq, Syria, Turkey).

1 Numbers correspond to staff positions in each country. 2 Some of the staff members were working cross-nationally. The total figure refers to the total number of contracts signed in the year 2012. The numbers in parentheses correspond to the staff positions in each country, some of which were filled more than once during the year.

Nationality of expatriates

Albania 1 Hungary 1 Philippines 8 Australia 2 Italy 2 Serbia 1 Bangladesch 1 Japan 1 Sri Lanka 1 Belgium 3 Kenya 1 Sweden 1 Canada 2 Madagascar 3 Switzerland 1 France 2 Myanmar 2 Uganda 3 Germany 36 Nepal 1 Uruguay 2 Great Britain 2 Netherlands 2 USA 3 38 Malteser International Annual Report 2012 Programs Our programsin2012 Americas Africa Ministry forEconomicCooperationandDevelopment(Germany), AA: FederalForeignOffice(Germany),ADB:AsianDevelopmentBank,ADH:Germany’sReliefCoalition(Aktioneutschland Hilft), Abbreviations: Services, WCFF:WorldChildFutureFoundation(Liechtenstein), Development andCooperation,UNFPA:UnitedNationsPopulationFund, UNHCR: UnitedNationsHighCommissionerforRefugees, and Malaria,GIZ:DeutscheGesellschaftfürInternationaleZusammenarbeit(Germany), ment, CRS:CatholicReliefServices(USA),ECHO:European ommission HumanitarianAidDepartment, Country Country Burkina Faso Chile Peru Mexico Haiti Uganda South Sudan Kenya DR Congo

Relief, Reconstruction&Rehabilitation Sectors Sectors

Health &Nutrition projects projects No. of No. 2 7 1 2 6 2 8 1 7 WFP: WorldFoodProgramme,WHO:HealthOrganization BSF: BasicServicesFundoftheGovernmentSouthSudan, of Short description Short description HIV/AIDS prevention,fishfarming programs inslumsandschools care station,amaternityandschools,WASHDRR gardens andirrigationsystems,constructionofahealth Emergency reliefafterhurricanes,setupofcommunity Reconstruction ofamarketplace hospital pharmacy Treatment ofmalnourishedchildren,rehabilitationa for alaboratoryschoolandleprosysettlement vention, reconstructionofhealthcarefacilities,support Provision ofprimaryhealthcare,TBandHIV/AIDSpre- child health,WASHtostrengthendroughtresilience TB andHIV/AIDSpreventionwithfocusonmaternal tion ofseeds sexual violence,income-generatingmeasures,distribu- facilities) andtransportinfrastructure,careforvictimsof rehabilitation ofhealthcarefacilities(incl.sanitary Support ofhealthcaresystemandauthorities, local populations Health transportandfirstaidforMalianrefugees school materials,soupkitchenforchildren Support forelderlypeopleandchildren,distributionof

Water, Sanitation&Hygiene(WAS) MMB: Margareteüller-BullStiftung(Germany),PMK:Päpstliches Missionswerk derKinder(Germany),SDC:SwissAgencyfor FAO: FoodandAgricultureOrganizationoftheUnitedNations, GF: TheGlobalFundtoFightAIDS,uberculosis

Livelihood & SocialPrograms CDF/AusAID: CommunityDevelopmentFund/AustralianAgencyfor International Develop- AECID: SpanishAgencyforInternationalDevelopmentCooperation,BMZ:Federal UNICEF: UnitedNationsChildren’sFund,UNOPS: Office forProject

Disaster RiskReduction(RR) 2,003,840 2,197,513 1,152,654 7,223,952 Program volume Program volume 213,478 117,558 24,373 previous year) 13,500 (in euros)* (in euros)* (booked in 7,740 Donors/Cooperation partners** ADH GF, LionsClub AECID, BMZ,BSF, ADH, CRS SDC EuropeAid, FAO, BMZ, ECHO, ADH, MMB,PMK donations Own funds/ Donors/Cooperation partners** AA, ADH,BMZ donations Own funds/ Futur 21 Asia

Country Sectors No. of Short description Program volume Donors/Cooperation partners** projects (in euros)*

Afghanistan 1 Set up of an educational television channel 158,768 BMZ

Cambodia 6 Emergency relief, maternal and child health, food secu- 1,418,130 BMZ, CDF/AusAID, rity, WASH, community-based health insurance EuropeAid, GIZ 39 India 4 WASH and DRR for flood-prone villages, HIV/AIDS pre- 571,982 BMZ vention, set-up of a health insurance system, strengthening the resilience of Dalits and tribes

Indonesia 2 Support for agricultural development initiatives, health 406,810 AA, BMZ, Caritas and WASH, community-based DRR international

Iraq 2 Support of a health care facility for internally displaced 20,000 Own funds/ (booked in donations previous year)

Japan 1 Reconstruction of a children’s home 611,092 ADH, Allianz, Bild Hilft, Caritas Österreich, Caritas international

Lebanon 1 Emergency relief for Syrian refugees, support of a health 57,136 ADH care center, winter relief

Myanmar 19 Emergency relief, reconstruction of social infrastructure, 3,128,410 AA, ADB, provision of primary health care, maternal and child BMZ, ECHO,

health, TB, HIV/AIDS and Malaria prevention, WASH, EuropeAid, income-generating measures, funding of support groups, GF, UNHCR, DRR and climate change adaption UNOPS, WFP

Nepal 1 DRR and WASH for flood-prone villages 9,315 BMZ

Pakistan 11 Provision of primary health care with focus on maternal 3,165,536 AA, ADH, BMZ, and child health, reconstruction of social infrastructure, Caritas internation- income-generating measures, earthquake early warning al, Deutsche Bank system, WASH, DRR Stiftung, Wacker Chemie AG, WHO

Philippines 5 Emergency relief, reconstruction and psychosocial care 118,258 Caritas interna- after typhoons, strengthening the resilience of flood- tional, PMK prone villages

Sri Lanka 2 WASH, livelihood for civil war refugees 1,329,539 BMZ, UNICEF

Syria 1 Emergency for internally displaced: distribution of 297,674 AA, ADH emergency relief, hygiene and winter kits

Thailand 8 Provision of health care and WASH in refugee camps and 1,749,484 ECHO, Europe- villages, HIV/AIDS and malaria prevention, funding of HIV Aid, GF, UNHCR, support groups, maternal and child health, dental health UNFPA, Donor groups

Turkey 1 Winter relief for Syrian refugees 237,348 AA

Vietnam 5 Income generation, preservation and sustainable use of 341,880 AA, BMZ, ECHO, forests, inclusive DRR for flood-prone villages, provision German Consulate of training materials, construction of a kindergarten, in Ho Chi Minh City, medical equipment for a rural clinic WCFF

**The above-mentioned program volumes only include the expenditures booked during the financial year 2012. Many of our **Unless otherwise specified, all our projects include own funding and financial support from projects are multi-year projects with a higher total budget. the international network of the Order of Malta. *Rounded numbers *Rounded 40 Malteser International Annual Report 2012 Finances Financial overview Program expenditurebyregionandcountry* Tuberculosis andMalaria The GlobalFundtoFightAIDS, and Cooperation Swiss AgencyforDevelopment Switzerland UNICEF/UNDP/UNHCR andotherUNorganizations United Nations Australia, GreatBritain,USA,etal. Other governmentgrants ECHO EuropeAid European Union German embassyinVietnam Gesellschaft fürInternationaleZusammenarbeit(GIZ) Federal ForeignOffice Cooperation andDevelopment Federal MinistryforEconomic Germany International publicfunding Revenue sources* Previous year:2,905,870EUR 2,041,714 EUR Americas 13,500 Chile 24,373 Peru 2,003,840 Haiti Previous year:8,762,798EUR 11,205,154 EUR Africa 7,223,952 EUR DR Congo 2,197,513 EUR South Sudan 117,558 EUR Burkina Faso 20,332,443 EUR 8,302,315 EUR 9,650,350 EUR 3,903,815 EUR 4,398,500 EUR 1,200,061 EUR 8,026,533 EUR 171,212 EUR 584,740 EUR 736,671 EUR 887,155 EUR 584,740 EUR 736,671 EUR 887,155 EUR 410,105 EUR 13,652 EUR 1,452,654 EUR Kenya 213,478 EUR Uganda 297,674 EUR Syria 57,136 EUR Lebanon 237,348 EUR Turkey and Australia;PMK Caritas Germany,Austria Catholic organizations Networking Initiative(JANI) Care International/JointAdvocacy Sternstunden e.V(Germany) Foundations Germany’s ReliefCoalition Alliances andcampaigns Donations andownfunds International OrderofMaltanetwork Previous year:19,464,906 EUR 13,948,106 EUR 1,329,539 EUR Sri Lanka 571,982 EUR India 9,315 EUR Nepal 3,212,279 EUR Pakistan 158,768 EUR Afghanistan Asia 341,880 EUR Vietnam 1,749,484 EUR Thailand 3,428,410 EUR Myanmar 118,258 EUR Philippines 406,810 EUR Indonesia 1,418,130 EUR Cambodia 3,182,002 EUR 6,416,716 EUR 611,092 EUR Japan 2,549,977 EUR 6,416,716 EUR 937,181 EUR 247,000 EUR 342,870 EUR 42,155 EUR Program expenditure by sector

Water, Sanitation & Disaster Risk Relief, Reconstruction & Livelihood & Health & Nutrition Hygiene (WASH) Reduction (DRR) Rehabilitation Social Programs

4 5 .16 % 16.77% 15.26% 15.07% 7.73%

Income development*

2008 2009 2010 2011 2012 21,456,239 EUR 21,591,741 EUR 28,351,570 EUR 34,499,556 EUR 30,868,342 EUR 5,698,906 EUR 5,463,418 EUR 14,411,795 EUR 10,422,372 EUR 6,416,716 EUR Deficits are covered by reserves and funds from previous years. Surpluses are trans- Expenditure development* ferred to the reserves.

2008 2009 2010 2011 2012 *Rounded numbers

22,497,721 EUR 22,136,915 EUR 26,765,962 EUR 34,570,762 EUR 30,825,384 EUR 1) The position “other costs” covers 18,640,113 EUR 18,867,569 EUR 23,199,724 EUR 31,133,573 EUR 27,194,973 EUR overhead costs and other indirect 3,857,608 EUR 3,326,562 EUR 3,546,955 EUR 3,437,189 EUR 3,630,411 EUR project costs, expenses for the set-up of the structures for Mal- teser International Americas and support to partner organizations in Central and Eastern Europe as well as costs from the release of Total income Private donations and own funds Total expenditure Project expenditure Other costs1 liabilities.

42 Malteser International Annual Report 2012 Accounts as of31 December2012 Annual accounts Balance Sheetasof31 December2012 Equity &Liabilities Assets C. Prepaidexpenses B. Currentassets A. Fixedassets C. Liabilities B. Provisions–Otherprovisions A. Equity II. Cash-in-hand,bankbalancesandcheques I. Receivablesandotherassets II. Tangiblefixedassets I. Intangiblefixedassets 5. Otherliabilities 4. Liabilitiesrelatedtoearmarkedallocations 3. LiabilitiestoMalteserHilfsdienste.V.–internal 2. Liabilities torelatedcorporateentities 1. Tradepayables II. Netincome(prioryear:netloss)forthefinancialyear I. AssetsoftheAssociation 5. Otherassets 4. ReceivablesfromMalteserHilfsdienste.V.–internal 3. Receivablesfromrelatedcorporateentities 2. Receivablesfromotherlong-terminvesteesandinvestors 1. Tradereceivables Other equipment,operatingandofficeequipment and licencesinsuchrightsassetsacquiredforaconsideration Concessions, industrialandsimilarrightsassets

38,851,379.59 38,426,585.94 32,009,424.82 38,851,379.59 34,859,716.31 21,122,957.87 10,027,301.80 31,846,212.00 3,235,294.52 6,417,161.12 2,613,133.16 3,192,336.08 334,275.43 31 Dec2012 756,368.76 843,020.85 334,275.43 31 Dec2012 90,518.22 328,872.81 11,997.92 42,958.44 70,004.63 4,146.38 1,493.71 0.00 EUR EUR 43,320,785.16 42,977,539.37 37,191,148.38 43,320,785.16 39,189,683.48 20,554,075.81 15,864,744.84 32,751,375.67 3,192,336.08 5,786,390.99 6,107,457.24 3,263,541.77 137,045.51 206,200.28 938,765.60 – 71,205.69 31 Dec2011 31 Dec2011 745,782.30 201,866.92 277,171.35 26,506.29 52,922.37 4,333.36 756.85 39.14 EUR EUR Income Statement for the Period from 1 January to 31 December 2012 2012 2011 EUR EUR

1. Sales 40,662.48 50,429.62 2. Other operating income 30,692,054.21 41,578,929.93 3. Cost of materials a) Cost of raw materials, consumables and supplies and of purchased merchandise − 4,746,495.13 − 5,916,538.44 43 b) Cost of purchased services − 4,622,038.11 − 3,716,338.72 4. Personnel expenses* a) Wages and salaries − 8,268,406.16 − 2,922,161.70 b) Social security, post-employment and other employeebenefit costs − 846,882.60 − 778,163.17 Of which post-employment costs: EUR 231,467.72 (prior year: EUR 224,607.59) 5. Income from release of liabilities related to earmarked allocations 31,705,246.44 24,650,627.13 6. Expenses due to addition to liabilities related to earmarked allocations − 31,846,212.00 − 32,751,375.67 7. Amortisation and write-downs of intangible fixed assets, depreciation and write-downs of tangible fixed assets − 217,682.71 − 171,458.15 8. Other operating expenses − 11,881,182.34 − 20,162,955.99

9. Other interest and similar income 135,625.64 151,433.87 Of which from related corporate entities: EUR 0.00 (prior year: EUR 64,672.20) *Starting with the fiscal year Of which from Malteser Hilfsdienst e.V. – internal –: EUR 116,281.58 (prior year: EUR 70,895.45) 2012, the expenses for freelance staff will be reported under 10. Interest and similar expenses − 2,540.60 − 1,191.26 personnel expenses; for this reason, the comparison with the 11. Result from ordinary activities 142,149.12 11,237.45 personnel expenses for previous years is only possible to a limited extent (see explanation 12. Other taxes − 99,190.68 − 82,443.14 on page 44).

13. Net income/loss for the financial year 42,958.44 − 71,205.69

Independent Auditors‘ Report

To Malteser Hilfsdienst e.V., Cologne/Germany International Division, of Malteser Hilfsdienst e.V., Co- We have audited the annual financial statements – compris- logne/Germany, as well as expectations as to possible mis- ing the balance sheet and the income statement – together statements are taken into account in the determination of with the bookkeeping system, of the General Secretariat, audit procedures. The effectiveness of the accounting-related Maltese International Division, of Malteser Hilfsdienst e.V., internal control system and the evidence supporting the dis- Cologne/Germany, for the business year from 1 January closures in the books and records and the annual financial to 31 December 2012. The maintenance of the books and statements are examined primarily on a test basis within the records and the preparation of the annual financial state- framework of the audit. The audit includes assessing the ments in accordance with the German commerical law accounting principles used and significant estimates made regulations of the First Section of the Third Volume of the by the Executive Board, as well as evaluating the overall German Commercial Code (HGB) are the responsibility of presentation of the annual financial statements. We believe the Executive Board of the Association. Our responsibility that our audit provides a reasonable basis for our opinion. is to express an opinion on the annual financial statements, Our audit has not led to any reservations. together with the bookkeeping system, based on our audit. In our opinion, based on the findings of our audit, We conducted our audit of the annual financial state- the annual financial statements of the General Secretariat, ments in accordance with § 317 HGB („German Commer- Maltese International Division, of Malteser Hilfsdienst e.V., cial Code“) and German generally accepted standards for Cologne/Germany, comply with the legal requirements. the audit of financial statements promulgated by the Institut der Wirtschaftsprüfer. Those standards require that we plan and perform the audit such that misstatements materially Düsseldorf/Germany, 22 April 2013 affecting the presentation of the net assets, financial position Deloitte & Touche GmbH and results of operations in the annual financial statements Wirtschaftsprüfungsgesellschaft in accordance with German principles of proper accounting are detected with reasonable assurance. Knowledge of the Harnacke Höll business activities and the economic and legal environment (Wirtschaftsprüfer) (Wirtschaftsprüfer) of the Association and of the General Secretariat, Maltese [German Public Auditor] [German Public Auditor] Notes on the income statement Accounts Other operating income Extract from table on page 43 Cost of materials 44 This category contains: 1. Sales a) Cost of raw materials, consumables and 2. Other operating income supplies and of purchased merchandise Contributions by third This item contains all project costs for sup- 3. Cost of materials parties such as: plies, fuel for automobiles, food, medicine a) Cost of raw materials, consumables and supplies and of purchased merchandise • Germany’s Relief Coalition and similar goods. b) Cost of purchased services • BSF - Basic Services Fund (Great b) Cost of purchased services Britain) 4. Personnel expenses* These costs of other purchased products and • International Caritas network a) Wages and salaries services comprise the construction and main- • Swiss Agency for Development and b) Social security, post-employment and other employeebenefittenance costs costs from reconstruction projects. Cooperation Of which post-employment costs: EUR 231,467.72 (prior year: EUR 224,607.59) • Sternstunden e.V. (Germany) 5. Income from release of liabilities related to earmarkedPersonnel allocations expenses Malteser International Annual Report 2012 • Foundations 6. Expenses due to addition to liabilities related to earmarkedThe reporting allocations of the expenses for freelance • UN Organizations 7. Amortisation and write-downs of intangible fixed assets,staff depreciation takes place and in write-downs the current of tangiblefiscal year,fixed assetsas 8. Other operating expenses opposed to previous years, under § 275 par. 2 Public grants from: 9. Other interest and similar income nr. 6 of the German Commercial Code (HGB), • ECHO Of which from related corporate entities: EUR 0.00 (prior“Personnel year: EUR expenses.” 64,672.20) In the previous year, Of which from Malteser Hilfsdienst e.V. – internal –: EUR 116,281.58 (prior year: EUR 70,895.45) • EuropeAid these expenses were reported under § 275 10. Interest and similar expenses • Federal Foreign Office (Germany) par. 2 nr. 8 of the HGB, “Other operating • Federal Ministry for Economic Coop- 11. Result from ordinary activities expenses.” The change in reporting provides an eration and Development (Germany) 12. Other taxes improved and more accurate depiction of Mal- teser International’s financial situation. In the Contributions, donations current fiscal year, the expenses for freelance and other funding: staff correspond to EUR 5,519,000. • Cash donations • Inheritances Income from release of liabilities • Internal subsidies related to earmarked allocations Contributions from donors for multi-annual projects and earmarked donations which were not fully used in the previous business year were then released and added to the liabilities. They are available in the current year for the continuation of the projects. Other operating expenses This category includes both the finan- Expenses due to addition to liabili- cial support of partner organizations ties related to earmarked allocations in Africa, America, Asia and Europe Contributions from donors for multi-annual and project expenditures such as rent, projects and earmarked donations which were salaries, transport and communica- not fully used in the current business year are tions costs. added to the liabilities at the end of the year and carried over to the following year. Our donors and cooperation partners

Private and public donors, companies, schools, parishes, from our help: thank you for your support! 45 1. Sales local, national and international partners and institutions, The following overview gives an insight on the variety of 2. Other operating income and the international Order of Malta network have helped public donors and cooperation partners who supported us provide fast, efficient and sustainable relief around the our work in 2012. 3. Cost of materials world. In the name of the countless people who benefitted a) Cost of raw materials, consumables and supplies and of purchased merchandise b) Cost of purchased services 4. Personnel expenses* a) Wages and salaries b) Social security, post-employment and other employeebenefit costs Of which post-employment costs: EUR 231,467.72 (prior year: EUR 224,607.59) 5. Income from release of liabilities related to earmarked allocations 6. Expenses due to addition to liabilities related to earmarked allocations 7. Amortisation and write-downs of intangible fixed assets, depreciation and write-downs of tangible fixed assets 8. Other operating expenses

9. Other interest and similar income Of which from related corporate entities: EUR 0.00 (prior year: EUR 64,672.20) Of which from Malteser Hilfsdienst e.V. – internal –: EUR 116,281.58 (prior year: EUR 70,895.45) 10. Interest and similar expenses 11. Result from ordinary activities 12. Other taxes Malteser International 46 Board ofDirectors Executive Director Malteser International Annual Report 2012 Structures Americas President Our Structures them in an advisory capacity.them inanadvisory meetings oftheBoard ofDirectors in andparticipates Directors atthePresident’s suggestion.He prepares the the Vice-Secretary General are appointedby theBoard of plan andtheannualbudget.The General and Secretary erational managementactivitiesinlinewiththefinancial tion’s General Secretariat. He isresponsible fortheop- tive tasks. bears theoverall responsibility fortheorganization’s opera- auditing oftheannualaccounts.TheBoard of Directors the annualbudget,aswell ascommissioning thefinancial and isresponsible forapproving thefinancialplansand The Board of Directors works basis onapurely voluntary Europe andAmericas andfrom theAsian/Pacific region. as well astherepresentatives from theregional branches Treasurer, anduptotwoadditionalelectedmembers, term, consistsofthePresident, the Vice-President, the convokes theGeneral Assemblyonceayear. well aspassingamendmentstotheby-laws. The President accepting theannualaccounts,ordering financialauditsas ble forelectinganddischargingtheBoard ofDirectors, decision-making body. TheGeneral isresponsi Assembly - form theGeneral Assembly, theorganization’s highest the Secretary General andthe Vice-Secretary General Grand Hospitaller oftheOrder ofMalta, theChaplain, representatives, togetherwiththeBoard ofDirectors, the asassociatemembers.Their rope andtheAmericasserve responsibility. Currently, bothregional branchesinEu- theorganizationintheirareasand actively support of Malta are currently membersofMalteser International 25 nationalAssociationsandPriories oftheOrder of The salariedSecretary General managestheorganiza- The Board ofDirectors, whichiselectedforafour-year Sovereign OrderofMalta Malteser International Malteser International General Secretariat Board ofDirectors Board ofDirectors Executive Director Secretary General Grand Hospitaller Europe/Africa President President Malteser International Board ofDirectors Executive Director Asia/Pacific Asia/Pacific President International Europe President, Malteser Secretary General Asia/Pacific region Karl zuLöwenstein Michael KhooAhLip Richard vonSteeb Vice-President Nicolas deCock de Rameyen Ingo Radtke (Germany) (Germany) (Belgium) (Singapore) Delegate, (Austria) Thierry deBeaumont-Beynac Board ofDirectors Management President (France) Charles-Louis deLaguiche Vice-Secretary General International Americas Bishop MarcStenger Sid JohannPeruvemba President, Malteser James F.O’Connor (Switzerland) Burke Bowe Chaplain Treasurer (Germany) (France) Michele (USA) (USA) The international network of the Sovereign Order of Malta

“As we face a world where economic distress is a fact of life, the plight of those who suffer – the poor, the sick, the homeless, internally displaced persons, refugees, the 47 disabled, the elderly – becomes ever more acute. We, members of a religious lay Or- der with a 900-year old tradition of caring for the poor and the sick, are crucially aware of the need to look to our fellow man. This has always been our mission, and it remains our mission and our focus today.”

Fra’ Matthew Festing, 79th Grand Master of the Sovereign Order of Malta

Exactly 900 years ago, in 1113, the Sov- support the international medical and humanitarian activi- ereign Order of St. John of Jerusalem of ties of the national associations and Malteser International. Rhodes and of Malta was officially recog- As a neutral and non-political party, the Order is able to act nized as an Order of the Catholic Church as mediator in civil and armed conflicts and to intervene as a with a bull issued by Pope Pascal II. Today, protective force. it has more than 13,500 members all over the world. At the head of the Order is the 79th Prince and Grand Apart from 60 professed friars who have taken the vows Master Fra’ Matthew Festing, who was elected for life and of chastity, poverty and obedience, the knights and dames started serving in March of 2008. www.orderofmalta.int of the Order are lay members, devoted to the exercise of Christian values and charity. What distinguishes the members of the Order is their commitment to serving the poor and the sick according to the Order’s motto, “Tuitio Malteser International’s member associations (as of June 2013) Fidei et Obsequium Pauperum” (defense of the faith and Australia Malta assistance to the needy). www.orderofmalta.org.au www.orderofmalta-malta.org These principles are made concrete through the work Austria Mexico carried out by dames and knights in numerous medical, www.malteserorden.at www.ordendemalta.mx social and humanitarian initiatives and organizations of www.malteser.at Netherlands the Order in over 120 countries. A total of more than Belgium www.ordevanmalta.nl 80,000 trained volunteers and 25,000 employees are dedi- www.ordredemaltebelgique.org Philippines cated to the Order’s historic mission to help the sick, the Canada www.orderofmalta.int www.orderofmaltacanada.org needy and the most disadvantaged in society, regardless of Poland race, religion or creed. The Order of Malta is a major glob- Colombia www.zakonmaltanski.pl www.orderofmaltacolombia.org al professional institution, providing services in the areas Portugal of humanitarian aid, health care and emergency medicine; Cuba www.ordemdemalta.pt www.ordendemaltacuba.com it operates 20 hospitals, 110 retirement homes and 1,500 Scandinavia pharmacies and first-aid stations all over the world. France www.malteserorden.se www.ordredemaltefrance.org The Order is also a sovereign subject of international Singapore law and maintains a unique diplomatic-humanitarian Germany www.orderofmalta.org.sg www.malteser.de network which serves as an instrument for its humanitar- Spain ian activities. It has bilateral diplomatic relations with 104 Great Britain www.ordendemalta.es www.orderofmalta.org.uk states, as well as official representations and permanent Switzerland observer status at the United Nations and its special- Hungary www.malteserorden.ch www.mmlsz.hu ized agencies, the European Union and numerous other United States of America ww.maltai.hu organizations. The Order has also signed cooperation trea- www.orderofmaltaamerican.org ties in the health sector with more than 50 states, gaining Ireland www.orderofmalta-federal.org www.orderofmaltaireland.org www.orderofmaltausawestern.org crucial support for the work of its agencies and institutions. Thanks to this diplomatic network, the Order can Italy www.ordinedimaltaitalia.org react quickly to crises and disasters and speed up its relief efforts. The Order’s embassies also have the mission to Malteser International is a member of the following networks and campaigns:

We thank all of our donors, supporters and partners who helped us provide health and dignity to people in need all over the world in 2012. www.malteser-international.org