© OLMO CALVO

MÉDICOSDELMUNDO WE COMBAT EVERY ILLNESS, INCLUDING INJUSTICE SUMMARY 2015 REPORT Who We Are © SARA JANINI

Médicos del Mundo is an independent public health system. Our intention, rather association that works to make the than to create parallel healthcare systems, right to health a reality for all people, is to ensure all people have adequate especially those living in poverty, health conditions, as is their right. those experiencing gender inequality or social exclusion and those who fall CARE AND DENOUNCEMENT victim to a humanitarian crisis. As well providing care to people whose We are an international solidarity human rights have been violated, Médicos organization, committed to the vulnerable, del Mundo carries out awareness-raising the excluded, and victims of natural activities as a means of both bringing about disasters, famine, diseases or armed social change and denouncing the causes conflicts. We believe that victims’ right of injustice. It also lobbies governments to to care must prevail over any other correct these situations. consideration. Médicos del Mundo is an association, We do not only operate in countries in the led by its members who, participating as global South. We also work with excluded volunteers, contribute to maintaining the groups in welfare societies, and especially organization financially and take strategic individuals with difficulties in accessing the decisions for the organization. WE HAVE members in Médicos del workers in the countries where Mundo Spain (334 men and we carry out international 839 505 women) 547 cooperation projects (333 men and 214 women) volunteers in Spain (353 men and 1,043 women) workers at the headquarters and 57 volunteers in and regional delegations and countries where we 123 branches (21 men and 102 1,396 carry out international women) cooperation projects (34 men and 23 women) people working at our central 102 offices (41 men and 61 women) loyal donors (23,106 men and 24,050 women) total people (international 47,156 cooperation workers, national staff, and staff at our public and private headquarters and regional 248 collaborating entities 954 delegations and branches) are remunerated workers for international aid workers (78 Médicos del Mundo (471 men 183 men and 105 women) and 483 women)

2 I MÉDICOS DEL MUNDO SUMMARY 2015 REPORT © SARA JANINI Brief Analysis of the year

While there was much talk in 2015 of many Rwanda, Democratic Republic of the Congo, crises, the inequality crisis that is currently Uganda, Zambia and Burundi all stand as taking on unbearable proportions is the single examples) and pass largely unnoticed in the underlying cause of them all. Just 1% of West. Only 1.7% of them reached Europe the world population amasses more wealth in 2015. Although the portion of the total than the remaining 99%. This inequality is minimal, it shook the European Union’s tremendously hampers societies’ development, foundations and led it to question its values as and particularly the fulfilment of their human it witnessed nearly 4000 persons drown at sea rights. Among others, three very clearly in the Mediterranean. identifiable causes stand behind this inequality crisis: financial deregulation, tax evasion and a In Spain, in 2015 we have continued working huge salary gap. And these causes can only to palliate the effects of the health reform. be combatted with political will. While the situation has greatly improved since Spain’s regions have defined alternative Internationally, 2015 saw major milestones avenues for accessing the system, many of such as the end of the Millennium these measures have proven to have only Development Goals (MDGs) many of which, limited efficacy because of loopholes, a lack including the diminishing of infant and maternal of appropriate implementation measures and mortality, remained unmet. Their successors, limited jurisdiction. Against this backdrop, we the Sustainable Development Goals (SDGs) continue to find cases of persons excluded will mark world development for the 15 years from health care in our daily work and we to come. The only specific goal in the field therefore continue to demand national of health poses the challenge of achieving legislative reform. universal health coverage and access to medical care, with no one left behind. Yet this Spain’s figures for international cooperation political commitment has not come hand in continue to be squalid. The country devotes a hand with any specific funding engagement. mere 0.14% of its Gross National Income and is the European country to have cutback the 2015 was also a year that forced displacement most on its contributions. It is now in last place reached unprecedented proportions. behind other countries that have been bailed According to the United Nations, the out such as Portugal and Ireland. phenomenon affected more than 60 million people throughout the world, the vast majority of whom are from developing countries, are in highly vulnerable situations (Afghanistan, the Central African Republic, Eritrea, Irak, Libya, Pakistan, Southern Sagrario Martín Sudan, Syria, Yemen, the Ukraine, Médicos del Mundo President

MÉDICOS DEL MUNDO SUMMARY 2015 REPORT I 3 ADVOCACY / SOCIAL INCLUSION / EDUCATION FOR DEVELOPMENT In Spain

ADVOCACY SOCIAL INCLUSION In our work to achieve universal health For many years, Médicos del Mundo has care, we promoted an institutional been working with the most excluded declaration in which 12 political parties among the excluded, with persons who manifested their intention to restore health are particularly uncomfortable for public coverage to all of those persons living authories and the public at large alike. We in Spain and to include real measures are referring to persons who use drugs, to counteract the negative effects of the those who are prostituted or victims of health reform currently trafficking, and the in force. homeless. And among them, women, who With more than bear an additional 300 members, we burden and usually go implemented REDER unnoticed. We also (www.reder162012. provide very close org), the Network support for migrants for Denouncing and residing in our country. Resisting (Red de For our organization, Denuncia y Resistencia) they are something Royal Decree Law more than just figures. 16/2012. In a report published in September EDUCATION FOR 2015, the Network DEVELOPMENT documented nearly In 2015, the 2000 cases of persons educational activities suffering from exclusion. for development and awarness raising that Looking towards the Médicos del Mundo 20 December 2015 carried out from all of general elections, its offices were held REDER designed particularly in primary an online campaign to put the and secondary schools. These activities debate about access to health on the are envisaged as a tool for changes in political agenda. The iniciative was society that bring with them human rights broadly circulated on twitter using the and particularly the right to health. Female hashtags #VotaxSanidadUniversal and genital mutilation and violence against #El20DSanidadUniversal as well as on the women were two central, crosscutting special campaign microsite. themes in these activities.

4 I MÉDICOS DEL MUNDO SUMMARY 2015 REPORT Asturias Euskadi Oviedo Santiago de Compostela Bilbao Navarra Galicia Pamplona Aragón Vigo Huesca Cataluña Zaragoza Barcelona Comunidad de Madrid Madrid Comunidad Valenciana Palma de Toledo Mallorca Valencia Castilla-La Mancha Ibiza Albacete Islas Alicante Baleares Andalucía Sevilla

Almería Islas Canarias Málaga Tenerife Las Palmas de Lanzarote Gran Canaria Melilla

IN SPAIN

health care, social, social inclusion projects psychological and 81 58,657 educational interventions 8 advocacy projects 12 regional offices awareness raising projects 9 branches 21 20,271 beneficiaries 20 development education projects

MÉDICOS DEL MUNDO SUMMARY 2015 REPORT I 5 MÉDICOS DEL MUNDO SPAIN International Cooperation and Humanitarian Action

Greece and Italy stand out among the refuge camps, we work to prevent violence countries where we work (21 in 2015) in Mozambique, in Tanzania and in one as they generally have low human of the world’s hardest hit regions: Central development indexes. The so-called America. We implement comprehensive “Mediterranean crisis” is what has led nutrition strategies and tie together sexual, us to work there. Although the situation is reproductive maternal and paediatric health not new, the figures have worsened. There in countries like Burkina Faso, Guatemala already were refugees in Europe, but the and . We work to foster mechanisms for reception and protection community leadership in Haiti. We implement and the respect for human rights have been innovative projects in Tanzania, Mozambique, more than largely inadequate. This is why, Sierra Leona and the Philippines. following our mandate, we have networked to form one of the greatest health responses Nor do we forget the knock-on effects of in Europe. Yet we do more than just provide major emergencies like the Ebola epidemic care. We denounce and demand rights for that reached its end in Western migrants and refugees. where we were responsible for the clinical management of 600,000 people in Sierra Our cooperation projects are broad-based Leona, the hardest hit country, or the and always aim to generate ownership on consequences of the Nepal earthquake the part of those we work for. We support where we facilitated specialized teams of civil society in achieving universal health surgeons and implemented psychosocial care in Senegal, we lobby for participative, programs to support the population. We equitable access to health in , we paid particular attention to women who improve programmes that had never before suffer high rates of gender violence in the existed for the chronically ill in the Sahrawi country.

INTERNATIONAL COOPERATION

57 projects 21 countries or territories

national member 39 for primary health care 96 organizations

18 for humanitarian aid 1,118,643 direct beneficiaries

6 I MÉDICOS DEL MUNDO SUMMARY 2015 REPORT International Network

The Doctors of the World International Lesbos, Chios, Idomeni, Ljubljana, Munich Network consists of fifteen associations, and Calais, each day, Doctors of the World eleven of which are in Europe health programmes took care of women, (Belgium, France, Greece, Germany, men and children at an utter loss. Volunteers Luxemburg, Portugal, The Netherlands, from dozens of European countries answered the United Kingdom, Spain, Sweden the call to bolster our health care units. and Switzerland), three in America (Argentina, Canada and the United The crisis in Syria States) and one in Asia (Japan). All of 2. For the fourth consecutive year, them share a common goal: to provide health Doctors of the World has continued providing care to the most vulnerable groups and care to millions of people fleeing from the denounce the causes of injustice and those combatting. Most of the assistance was responsible. The mission of the International deployed on the borders between Syria Network Direction is to coordinate and carry and Lebanon, Jordan, and Turkey. Our out the joint work done by the organization’s organization also supports the work of health branches. care professionals inside Syria by sending equipment and by training health personnel MAIN INTERNATIONAL NETWORK in emergency medicine. LANDMARKS IN 2015: European Network for the The rights crisis in Europe 3. Reduction of Vulnerability in 1. In 2015, the Doctors of the World Health International Network faced a large-scale Since 2004, the Doctors of the World crisis involving thousands of people fleeing International Network has been implementing war and heading to Europe. Thanks to our a project to protect foreign nationals with longstanding presence in Greece and nearly serious illnesses who are unable to access all of the other countries of transit, our teams health care in their countries of origin. were able to respond to this emergency. In www.mdmeuroblog.wordpress.com

THE INTERNATIONAL NETWORK

international projects in members 19,429 439 80 countries or territories

national projects in million euro budget 143 257 15 countries

MÉDICOS DEL MUNDO SUMMARY 2015 REPORT I 7 CANADA

UNITED STATES ATLANTIC OCEAN

MEXICO HAITI DOMINICAN GUATEMALA REPUBLIC EL SALVADOR PACIFIC VENEZUELA OCEAN NICARAGUA COLOMBIA ECUADOR

PERU VANUATU

BOLIVIA

PARAGUAY

URUGUAY

ARGENTINA INTERNATIONAL COOPERATION PROJECTS

DOCTORS OF THE WORLD Ärzte der Welt Alemania www.aerztederwelt.org INTERNATIONAL NETWORK Médicos del Mundo Argentina www.mdm.org.ar Médecins du Monde Bélgica Member www.medecinsdumonde.be Médecins du Monde Canadá www.medecinsdumonde.ca Associations Médicos del Mundo España www.medicosdelmundo.org

8 I MÉDICOS DEL MUNDO SUMMARY 2015 REPORT SWEDEN RUSSIA UNITED KINGDOM

NETHERLANDS LUXEMBOURG BELGIUM UKRANIA GERMANY FRANCE SWITZERLAND SLOVENIA CROATIA GEORGIA SPAIN BULGARIA ITALY TURKEY PORTUGAL GREECE SYRIA LEBANON MOROCCO IRAQ NEPAL JAPAN SAHARAWI EGYPT JORDAN PAKISTAN REFUGEE PALESTINIAN CAMPS (ALGERIA) OCCUPIED MYANMAR MAURITANIA TERRITORIES NIGER BANGLADESH LAOS MALI VIETNAM BURKINA FASO ETHIOPIA YEMEN SENEGAL CHAD FHILIPPINES GUINEA BENIN CENTRAL AFRICAN REPUBLIC CAMBODIA SIERRA IVORY CAMEROON UGANDA SRI LANKA LEONE COAST KENYA D.R.C. SOMALIA PAPUA NEW TANZANIA ANGOLA GUINEA

MOZAMBIQUE INDIAN MADAGASCAR OCEAN

Doctors of the Wolrd Estados Unidos Dokters van de Wereld Países Bajos www.doctorsoftheworld.org www.doktersvandewereld.org Médecins du Monde Francia Médicos do Mundo Portugal www.medecinsdumonde.org www.medicosdomundo.pt Grecia Doctors of the World Reino Unido www.mdmgreece.gr www.doctorsoftheworld.org.uk Japón Läkare i världen Suecia www.mdm.or.jp www.lakareivarlden.org Médecins du Monde Luxemburgo Médecins du Monde Suiza http://medecinsdumonde.lu/ www.medecinsdumonde.ch

MÉDICOS DEL MUNDO SUMMARY 2015 REPORT I 9 MÉDICOS DEL MUNDO SPAIN 2015 Financial report HOW WE GET OUR FUNDING 39% PRIVATE 9.3 M€ | 61% PUBLIC 14.7 M€ | TOTAL 24.04 M€

PROVINCIAL GOVERNMENTS 0.5 M€ TOWN AND CITY COUNCILS 0.7 M€ 3% 2% MEMBERS AND REGIONAL GOVERNMENTS 29% COLLABORATORS 2.4 M€ 10% 7.0 M€ 39%

CENTRAL GOVERNMENT 17% 24.04 4.1 M€ M€

61% 8% ONE-OFF 2% DONATIONS 1.9 M€ INTERNATIONAL 29% 7.0 M€ SUBSIDIES AND PRIVATE ENTITIES 0.5 M€

HOW WE SPEND OUR FUNDS 82% MISSIONS 19.2 M€ | 10% FUNDRAISING 2.4 M€ | 8% ACTIVITY SUPPORT 1.8 M€

ACTIVITY SUPPORT 1.8 M€ DEVELOPMENT COOPERATION AND HUMANITARIAN AID 8% FUNDRAISING 2.4 M€ 13.8 M€ 59% 10% EDUCATION FOR 2% DEVELOPMENT 0.3 M€ MAINSTREAMING, ADVOCACY 23.4 3% AND LEARNING 0.6 M€ GRASSROOTS BUILDING M€ 6% 1.4 M€ % 82 12% SOCIAL INCLUSION 2.9 M€

M€ = MILLION EUROS

10 I MÉDICOS DEL MUNDO SUMMARY 2015 REPORT What You Can Do

Your help can change lives. By supporting Médicos del Mundo you’re improving access to health for everyone, regardless of their gender, race, religion, sexual orientation or where they come from.

MAKE A DONATION SPREAD THE WORD Join Médicos del Mundo through stable You can always help us publicize our membership or by making a on-off campaigns among your friends, suscribe to contribution. You can do that by filling out a our newslatters, or send us your comments simple form on our website and suggestions... You will also find us on www.medicosdelmundo.org, Facebook, Twitter and Instagram, on our by calling 902 286 286 blogssphere and on our Youtube channel. or by sending an email to Will you help us spread the word? [email protected]

LEAVE A BEQUEST Contact us by calling 902 286 286 or 91 567 86 01 to let us know you would like to leave a bequest or include us in your will. We will get back in touch with you personally and directly to provide you with any legal advice you need to include Médicos del Mundo in your will.

CONTRIBUTE WITH YOUR TIME: BECOME A VOLUNTEER Médicos del Mundo is a volunteer association, a platform for action and participation to change the world we know is unjust.

Volunteers act and mobilze to defend the rights of the underpriviledged particularly in terms of access to the public health system. To become a volunteer, contact your closeest Médicos del Mundo office or write to [email protected]

MÉDICOS DEL MUNDO SUMMARY 2015 REPORT I 11 MÉDICOS DEL MUNDO BALEARIC ISLANDS CATALONIA CENTRAL OFFICES Regional offices Regional offices in Barcelona in Palma de Mallorca Erasme de Janer 8. 08001 Conde de Vilches 15. 28028 Ricardo Ankerman 1, bajos. Barcelona / Phone: 932 892 715 Madrid / Phone: 915 436 033 07006 Palma de Mallorca / [email protected] informacion@ Phone: 971 751 342 medicosdelmundo.org illesbalears@ EUSKADI www.medicosdelmundo.org medicosdelmundo.org Regional offices in Bilbao Ibiza branch Bailén 1. 48003 Bilbao / SEDES AUTONÓMICAS Edificio Plaza, Galicia 9-11, Phone: 944 790 322 local 10. 07800 Ibiza / [email protected] ANDALUSIA Cell phone: 628 467 378 Regional offices in Seville [email protected] GALICIA Bajos del Puente Cristo de la Regional offices in Santiago Expiración s/n. 41001 Sevilla / CANARY ISLANDS Rua Galeras 13, 2ª, oficinas 6 y 7. Phone: 954 908 288 Regional offices in 15705 Santiago de Compostela [email protected] Las Palmas de Gran Canaria (A Coruña) / Phone: 981 578 182 Almería Branch León y Castillo 69, 1ª planta, [email protected] Juan de la Encina 2, bajo 4. oficina 4º. 35003 Las Palmas Vigo branch 04006 Almería / de Gran Canaria / Illas Baleares 15, bajo. Phone: 950 252 432 Phone: 928 367 100 36203 Vigo (Pontevedra) / [email protected] canarias@ Phone: 986 484 301 Málaga Branch medicosdelmundo.org [email protected] Cruz Verde 16. 29013 Málaga / Tenerife branch Phone: 952 252 377 Juan Pablo II 12, bajo. MADRID’S COMMUNITY [email protected] 38004 Santa Cruz de Tenerife / Regional offices in Madrid Offices in Melilla Phone: 922 24 8 936 Juan Montalvo 6. 28040 Madrid / Cándido de Lobera 5, 3º. 52001 tenerife@ Phone: 913 156 094 Melilla / Cell phone: 636 449 759 medicosdelmundo.org madrid.ca@ ana.medina@ Lanzarote Branch medicosdelmundo.org medicosdelmundo.org Canalejas 2, 1º J. 35500 Arrecife de Lanzarote / NAVARRE ARAGON Phone: 928 805 555 Regional offices in Pamplona Regional offices in Saragossa lanzarote@ Aralar 42, bajo. 31004 Pamplona San Blas 60. 50003 Saragossa / medicosdelmundo.org / Phone: 948 207 340 Phone: 976 404 940 [email protected] [email protected] CASTILLA-LA MANCHA Huesca branch Regional offices in Toledo VALENCIAN COMMUNITY Plaza San Pedro 5, 1º C. 22001 Alemania 1, 4º A. 45005 Toledo / Regional offices in Valencia Huesca / Phone: 974 229 210 Phone: 925 222 312 Carniceros 14, bajo izda. [email protected] castillamancha@ 46001 Valencia / medicosdelmundo.org Phone: 963 916 767 ASTURIAS Albacete branch [email protected] Regional offices in Oviedo La Casa de la Solidaridad. Alicante branch Plaza Barthe Aza 6, bajo. Alcalde Conangla 70. Romeu Palazuelos 8, bajo. 33009 Oviedo / 02002 Albacete / 03013 Alicante / Phone: 985 207 815 Cell phone: 609 744 791 Phone: 965 259 630 [email protected] [email protected] [email protected]

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