2004 ANNUAL REPORT

Design by: Marga Peces + Cynthia Mejías From the Executive Director Executive Director Cathy Skoula working conditions, wewouldnotexist. relentless suffering andpoor anddedicationinthefaceand poverty of aroundtheworld.Without theirtireless efforts Hunger memberatActionAgainst plays aunique andcrucialroleinourongoing missiontoeradicate hunger staff Every liaise withpublic andprivate donors, recruit andmanage expatriate staff, andprovide apublic face for Hunger ActionAgainst many years inthefieldthemselves andwho go tothefieldfrequently—guide oversee thefield-basedprograms, thefinances, whom have spent Network.These Hunger theActionAgainst International people—several of administrative backboneof York, inourfive headquarters—New Finally, Paris, the staff London,Madrid,andMontréal—are the as nationalstaff. They usuallysignonfor one-year contracts, but many renew over andover, spendingyears inthefield. areas—nutrition,program andsanitation,food security, water Hunger withActionAgainst andhealth.Somestarted many developing countries. Our expatriates are experienced Hunger's inActionAgainst managers andtechnical experts are AmericaandEurope, more but than400expatriate alsofrom fromNorth staff—most Backing upthenationalstaff thecrucialrolesthey play. of are safe, tonamejustafew andsecurityguardsto fieldoffices, andradio operators who make sure andstaff ourprograms andsupplies children every twohours, engineerswho digwellstoprovide tovillages, water clean drivers staff who transport the organization. They are nurses who stay upallnightinTherapeuticthe core of Feeding Centerstofeed malnourished make programs up inour44country Working onthefrontlines,Hunger's ActionAgainst more than4000nationalstaff inwhichHunger wework. comefrom65 countries, every country including aroundtheworld,workingtocreate aworldwithouthunger.and expatriate staff The peoplewho make upActionAgainst are Hunger's ActionAgainst 4400dedicatednational thiseffort by, of aroundtheworld.Atheart starvation Hunger 5millionpeoplesuffering from,orthreatenedIn 2004,ActionAgainst helpedsave andimprove thelives of inNew Network. Hunger Hunger York, theActionAgainst Action Against International USA,headquartered isakey memberof , Action AgainstHungerUSA .

From the President President, ActionAgainst HungerUSA K.Haimes Burton more than5millionpeopleevery year.the lives andrestore thedignityof solutions tohunger, relying on bothdedicationandscientificingenuity, iswhat enables Hunger ActionAgainst tohelp save themostvulnerable andworkingwithcommunities todevelopThis tosave long-term commitmenttointervening thelives of effective treatment topeoplewho are bothmalnourishedandliving withHIV/AIDS. We are alsostudying theways inwhich HIV/AIDSandmalnutrition interact toensure thatweare providing themost 30days. thenormal to malnourishedchildren, enabling themto go homeafteronlyoneweekinaTFC, insteadof In 2004,for example, wetestedanew home-treatment protocol,providing PlumpyNut, asolidsubstitute for F100, Hunger's ActionAgainst philosophyandoursuccessiscommitmenttoconstantinnovation. Another key aspectof food andincome. reliable source of and basicbusiness management toensure thatthebeneficiarieswillbeable tousethetoolsguarantee aconsistent, In additiontothesephysicalrequirements, wealsoprovide training inagriculture, fishing, nutrition, food conservation, Hunger helpspeopleget farming. backontheirfeet by (orrestart) providing fishingequipmentorseedsandtoolstostart incomeandfood. ActionAgainst disasters, orothercrisesthatrender peopleunable todepend ontheirtraditional sources of wars, natural Longer-term strategies are typifiedby ourfood Inmost cases, securityprograms. hunger istheproductof suffering. this potentiallydeadlystate, andby going doortofindchildren frommalnutrition, suffering we reduce needless by5 percent. treating Furthermore, moderately malnourishedchildren Feeding inSupplementary Centersbefore they reach Hunger,Against andothertreatments, wehave frommalnutrition fromashigh25percent reduced toaslow mortality as adhering tostrictprotocolsdeveloped over theyears. pioneered milkformula AdministeringF100,thehigh-energy by Action Hunger's ActionAgainst Therapeutic Feeding of Centers(TFCs)nurse severely malnourishedchildren backtohealth, the staff feeding centers. AcrossAfrica,Asia,andLatinAmerica, workisournetwork of ouremergency relief The bestexample of food andwater,sustainable, sothatfuture sources emergency of long-term willnotbeneeded. interventions weworkwithcommunities toensure that peoplehave Second,andequallyimportant, starvation. literally dying of peoplewho arecrisis situationstotreat children andtheirfamilies suffering fromacutemalnutrition—saving thelives of Hunger'sAction Against visionisaworldwithouthunger. We worktoward thisgoal intwogeneral in ways: First,weintervene A World WithoutHunger For more than 25 years, Action OUR PROGRAMS Against Hunger has pursued its vision Action Against Hunger's programs serve more than 5 million people each year. Yet with an of a world without hunger, saving estimated 840 million people suffering from hunger and some 1.1 billion lacking sufficient the lives of malnourished children drinking water, much work remains to be done. Action Against Hunger's five-pronged approach integrates nutrition, water and sanitation, food security, health, and advocacy programs: and families. We provide relief,

recovery, and rehabilitation services

and specialize in emergency

situations of war, conflict, and natural

disaster. Action Against Hunger has

established itself as a leader in the M I S S I O N struggle to end hunger and malnutrition and we work with communities in 44 countries to

develop strategies to restore dignity

and self-sufficiency for the long term. N u t r i t i o n Food Security W ater and Sanitation H e a l t h A d v o c a c y Our international network—with Our Therapeutic Feeding Centers save the lives Treating malnutrition is only the beginning. Every year, 2.2 million people, most of them Hunger and disease are inextricably linked. Action Against Hunger continually analyzes headquarters in London, Madrid, of severely malnourished children and adults Action Against Hunger combines emergency children, die from diseases associated with Action Against Hunger’s staff includes experts the fundamental causes of hunger who may be just hours away from death. relief with programs that help develop unsafe drinking water, inadequate sanitation, on the medical aspects of malnutrition, and publicizes our findings to government Action Against Hunger developed, field tested, dependable sources of food and income. and poor hygiene. Action Against Hunger tailoring our treatment to ensure that officials, international organizations, Montréal, New York, and Paris— and pioneered the now widely used By providing seeds, tools, and training provides access to safe drinking water by malnourished children and their families receive and the public. Our advocacy and public therapeutic milk formula F100, which has programs for income-generating tapping springs, drilling wells, and installing not only the food they need to regain their awareness efforts aim to effect institutional offers an impressive array of global decreased the mortality rate of severely activities such as farming, gardening, animal water systems. We also teach the importance health but also medical treatment for diseases and cultural changes to help create a world malnourished children under the age of 5 from breeding, fishing, small–scale retailing, and of water and sanitation in preventing disease, associated with malnutrition. We also integrate without hunger. surveillance, rapid response, as high as 25 percent to as low as 5 percent. food conservation, we work to help and train local teams to maintain water and health initiatives into all of our other programs, We also operate Supplemental Feeding Centers, communities attain long-term self-sufficiency. sanitation equipment. and are on the cutting edge of research on and emergency preparedness distributing nutritionally balanced food supplies the links between HIV/AIDS and hunger. to treat malnutrition before it becomes capabilities. life-threatening. 2004 HIGHLIGHTS OVERVIEW Innovations in Home New Mission Opened Indonesia. We were able provide relief honor of World Food Day. Over 115 restau- Treatment in Chad assistance to 132,825 beneficiaries in the rants in Boston, Chicago, Los Angeles, In 2004, Action Against Hunger again affected areas, and prevent further outbreaks New York, San Francisco, and Washington, In February, Action Against Hunger launched In January, we carried out an evaluation in of disease and malnutrition through our water D.C., donated as much as 20 percent of the helped more than 5 million beneficiaries an alternative to its Therapeutic Feeding Chad of more than 135,000 refugees from and sanitation programs. In the United States, day's revenues in support of this cause, worldwide. The year began and ended Centers for the treatment of severe acute neighboring Darfur, Sudan. We found that Fox News interviewed our Communications generating over $35,000 in donations and malnutrition. Home treatment requires ailing water and sanitation were of highest concern. Manager, John W. Sauer, who outlined rescue increasing awareness of the problem with a similar challenge—responding to children to stay in the Center for only 10 days By June, independent nutritional surveys found and rehabilitation procedures and explained of world hunger. how viewers could assist in addressing a crisis caused by an earthquake in Asia. rather than 30, which eases the strain on extremely high rates of malnutrition (35 to 39 families. Our trial program in Uganda proved percent) among the refugees as well as among the crisis. Volunteer / On December 24, 2003, an earthquake to be as successful at treating severe acute the host population. Following this report, Corporate Support devastated Bam, Iran, and on December 26, malnutrition as our traditional 30-day regimen, when the refugee count had climbed to Nelson Mandela Honored so later in the year we introduced home 187,000, the United Nations High Commission at World Food Day Gala Action Against Hunger USA wishes to empha- 2004, a tsunami crippled Southeast Asia. treatment in southern Sudan and Kenya for Refugees asked Action Against Hunger size that we could never accomplish our Throughout the year we responded to as well. to intervene. As a result, in September, On October 5, Action Against Hunger's annual goals—while maintaining a uniquely low we opened a mission to oversee nutrition World Food Day Gala at New York's Metropoli- overhead that sends more than 90 cents of a myriad of challenges and heart-breaking HIV / AIDS Research in the camps. tan Club honored Nelson Mandela, the Nobel every contributed dollar directly to programs Prize-winning anti-Apartheid crusader; in the field—without the efforts of nearly 200 situations occurring across the rest of In June, we began supporting a humanitarian Dr. Yvonne Grellety, who helped create the committed volunteers. They perform a broad the world. We are pleased to report that organization in Zambia that focuses on F100 therapeutic formula that slashed morta- array of tasks essential to our achievements, assisting children infected with HIV/AIDS. lity rates caused by severe acute malnutrition ranging from lending us their professional we are making progress in this ongoing from 25 percent to 5 percent; and Martin design and marketing skills to stuffing enve- This disease poses a unique challenge for Effective Response battle. The following paragraphs highlight nutritional rescue. Children with the disease Franklin, Chair and CEO of Jarden Corporation. lopes. Action Against Hunger is similarly recover more slowly from malnutrition and die to Tsunami in Asia The event was a resounding success, raising grateful for the pro bono support of for-profit some of our successes and achievements at higher rates than children who are free more than $600,000 to assist in the businesses that assisted in a whole range of On December 26, a new earthquake in Asia during 2004. of HIV. To learn why, we've begun a research development and implementation of our business functions including creating market- sent a devastating tsunami across the Indian project at Therapeutic Feeding Centers in global programs. ing collateral, generating PR, and creating Ocean, ravaging the shores of southern Asia Malawi, where one-third of the children carry online design templates to name a few. and east Africa while traveling as far as 1.5 HIV, to learn how our nutritional rescue Restaurants Against miles inland. More than 283,100 people were protocols should be modified for beneficiaries killed, 14,100 were listed as missing, and Hunger Success with the disease. 1,126,900 were displaced in ten countries. On October 19, we held our third annual Action Against Hunger responded within hours, Restaurants Against Hunger program, also in concentrating mainly on Sri Lanka and OUR STORIES TSUNAMI RELIEF contain one common thread—helping in Indonesia and Sri Lanka vulnerable populations regain self-sufficiency and long-term sustainability. Disaster hit on December 26, 2004. An unpre- ensure that the populations with whom we work in Due to the support of tens of thousands of cedented earthquake hit off the coast of Indone- Jaffna, Colombo, and all along the eastern shore donors, Action Against Hunger was able to sia, sending out a massive tsunami across South in Sri Lanka are empowered by our aid. respond quickly, and we have the financial and and Southeast Asia, destroying villages and people human capacity and resources to carry out our in its path. Few directly hit survived, but for those In Indonesia, Action Against Hunger has been mid-term target programs. Ultimately our plan who did, an even greater challenge awaited them: working on the west coast of Aceh Province, will help rebuild the destroyed areas. how to rebuild what they had lost. Action Against including the capital, Banda Aceh. The tsunami In administering our aid, we have made every Hunger was ready to respond immediately. devastated the infrastructure in this area, making effort to ensure that we avoid the sometimes Bolstered by an exceptional response by the media it almost impossible to reach the hardest-hit rural dangerous consequence of humanitarian aid: and donors, we put in place a solid, long-term plan communities. dependency. Whenever possible we have to help the areas recover from the tsunami. purchased our supplies from the local market, Yet Action Against Hunger attacked these logistical bolstering the economy while saving people’s lives. During the first few days in Sri Lanka, where we problems with all of its available resources, and We have implemented cash-for-work programs, have had programs (managed by ACF-France) within the first week had begun distributing aid, and helped people acquire the supplies to begin since 1996, our staff concentrated on collecting supplying clean water, and maintaining basic fishing and farming again. Our efforts have dead bodies, supplying clean drinking water, and sanitation. Our long-term plan focuses on resettle- benefited more than 130,000 people; however, restoring basic sanitation to the displaced popula- ment and revival: rebuilding destroyed homes and there is still a long way to go. But thanks to tions. Once the immediate danger was over, Action agricultural and economic infrastructure. generous donors and Action Against Hunger's Against Hunger continued to provide assistance, Elsewhere in Indonesia, we are also establishing expertise, the people hit by the tsunami are building latrines, maintaining a supply of clean a disaster-preparedness program in the poor already on their way to recovery. water, and shifting towards rehabilitation neighborhoods of Jakarta, to reduce the vulne- programs. Our rehabilitation and food security rability of populations to future crises. programs restore long-term self-sufficiency to Action Against Hunger launched a new employee also visits children in their and innovative home-treatment program homes once a week. in 2004 to cure children afflicted with FOOD SECURITY severe acute malnutrition. Traditionally, In February, our trial program in Uganda Restoring self-sufficiency in southern Sudan we have required these patients and their proved to be as successful at treating mothers to remain for 30 days in our severe acute malnutrition in some cases Civilians living in war zones suffer not only when they Therapeutic Feeding Centers, where we as our 30-day regimen at Therapeutic are caught in active fighting, but also after they find cure them with a dietary regimen Feeding Centers. So later in the year, we relative physical safety. The destruction and of F100 therapeutic milk. Dr. Michael introduced home treatment in southern displacement caused by wars frequently disrupt a Golden and the members of our Scien- Sudan and Kenya among other sites. population's economy and food supply, threatening tific Committee developed the F100 their ability to feed themselves. This was the case in formula, and the protocols for its use Home treatment now complements our southern Sudan, where a civil war raged from 1983 that we pioneered in the field are now other time-tested programs of nutritional until 2005. There, many people were driven from their standard operating procedure for rescue: homes by fighting between northern and southern humanitarian organizations worldwide. • We distribute food directly to desper- Sudanese forces. They were unable to support them- ately hungry victims of natural disasters selves because of their displacement, their poverty, But maternal absences lasting 30 days and political conflicts, ensuring that aid or the battle damage to their property. can put serious strains on families, and is not diverted. Action Against Hunger's food security programs seek the need for constant monitoring of • We open feeding centers where saving to help people to regain the ability to support them- children in our intensive program limits the life of a severely malnourished child selves after such disruptions caused by wars, natural the number of children our teams can sometimes requires us to act within disasters, or other causes. Food security means that treat. Under our new home-treatment hours. The protocols at our centers have people have sustainable access to sufficient quantities program, we choose the least sick slashed the mortality rate of severely of nutritious food to maintain healthy lives. We see children at a Therapeutic Feeding Center, malnourished children younger than five our mission as much larger than merely feeding feed them therapeutic F100 milk for only from 25 percent to 5 percent. desperately hungry beneficiaries. Our job 10 days, then send them home. For the • Our child-growth monitoring in vulner- is not finished until they have not only achieved next 20 days, the children are fed ready- able communities successfully forestalls nutritional health but also established food security to-eat food at home—either PlumpyNut, a malnutrition. for themselves, requiring no further intervention This helps families achieve their own food security expect thousands of refugees to return to their Innovation in treatment Innovation in treatment peanut butter-like substance, or BP100 • Our nutrition surveys similarly help on our part. as well as transform local economies and homes. After so many years of war and displace- biscuits, each of which supplies the same avert famines by alerting us to problem establish food security for entire communities. ment, though, they will not be able to support nutritional value as F100 milk. The areas. To accomplish this, we distribute seeds, farming tools, In southern Sudan in 2004, we distributed seeds, themselves immediately. Action Against Hunger will home-treatment program requires • Finally, we prevent malnutrition by nets, and other fishing gear; we lend breeding farming tools, and fishing equipment to help help the returnees with food security programs mothers to bring their children to a educating entire communities in healthy animals; and we conduct training programs in 90,000 beneficiaries, enabling recipients and their aimed at reestablishing their traditional lifestyles center weekly so recovery can be moni- nutrition. income-generating activities such as farming, garden- families to support themselves. Early in 2005, and means of food production. Helping such tored, and an Action Against Hunger ing, animal husbandry, food conservation, and small the government of Sudan and the southern rebels beneficiaries achieve food security is one of Action business management. signed a peace agreement, and as a result, we Against Hunger's chief goals worldwide. NUTRITION Civil war between government forces and We provide camps and communities with the opposition Lord's Resistance Army in access to safe drinking water by renovating northern Uganda has forced hundreds of existing sources, drilling new wells, HEALTH thousands of Ugandan civilians to flee tapping springs, and installing new systems. their homes. At the same time, conflicts Furthermore, we teach communities HIV/AIDS and hunger in Malawi in neighboring countries—the Democratic the vital importance of clean water and Republic of Congo, Rwanda, and proper sanitation. HIV/AIDS and malnutrition are two of the biggest In close cooperation with the ministry of health, killers in the world today. But while they often which provides ARVs, we are testing children Sudan—have sent refugees across the borders. As a result, nearly 2 million We also instruct communities in the ways affect the same people—particularly in sub- admitted to the centers for HIV. For those children internally displaced people and refugees they can be self-sufficient. Our water-and- Saharan Africa—there has been very little who are HIV-positive, we administer HIV therapy now live in camps in northern Uganda. sanitation programs train local teams called research on the effects of HIV/AIDS on severely with ARVs and malnutrition treatment with F100. Water Source and Sanitation Committees, malnourished people or of malnutrition on By carefully analyzing the results we hope to Among the most pressing needs for as well as local authorities and entire HIV/AIDS. In 2004, Action Against Hunger set out finally find the answers to these critical residents of the camps is clean water. communities, to maintain the water to find answers to these questions through a questions. The study will continue for two years, Our primary goal, of course, is taking sources, sanitary facilities, and equipment study in Malawi. examining not only the overall effectiveness of

action against hunger. But water and necessary to keep clean water in the two kinds of treatment but also which sanitation are pivotal in accomplishing adequate supply. Specifically, we are trying to learn how the aspects of the treatments may need to be this goal. Clean water and adequate treatments for HIV/AIDS and for malnutrition changed to meet the specific needs of people sanitation prevent the spread of diseases We help initiate regular financial contribu- affect each other. F100, the therapeutic milk suffering from both malnutrition and HIV/AIDS. that cause, complicate, and aggravate tions from communities, which will support formula pioneered by Action Against Hunger, is malnutrition. local maintenance staff after we depart. clearly effective in treating malnourished At the same time, we are working to prevent the In addition, we monitor local sanitary children, reducing mortality from as high as 25 spread of HIV/AIDS and mitigate its effects Action Against Hunger is addressing the conditions both before we begin work and percent to as low as 5 percent. But we do not among the people we work with. For example, we needs of these camp residents. During before we leave to ensure that our lessons know if it has the same effect on people with the actively promote voluntary counseling and testing 2004 in Uganda's Gulu and Lira Districts, have been absorbed. Overall, our water- HIV virus. Similarly, we know that antiretroviral for HIV, either at Action Against Hunger clinics or for example, we drilled 27 new boreholes and-sanitation programs empower drugs (ARVs), the class of drugs developed in the by referring beneficiaries to other nearby organi- and rehabilitated another 53 to provide communities to maintain clean water 1990s, drastically reduce the number of deaths zations. This is particularly important for clean water for 370,000 beneficiaries, sources and hygiene without dependence from HIV/AIDS, but we do not know if ARVs— pregnant women, because a one-time large dose increasing the daily amount of clean water on external aid agencies. or other treatments for HIV and associated of ARV therapy can enormously reduce the risk available per person by nearly 20 percent. infections—are equally effective in people who of transmitting the virus to an unborn child. are also severely malnourished. We also work with the World Food Program to distribute extra rations to families with an War and displacement in Uganda Action Against Hunger's field office in Malawi HIV-positive family member. And we are (managed by ACF-Spain) has started to answer expanding our health education programs and these questions, with a research project in two creating dedicated HIV-education programs to WATER AND SANITATION Therapeutic Feeding Centers. help prevent the spread of the disease.

Violence often compounds the effects of animals to maintain their health and hunger and malnutrition. In Colombia, nurture them when they are sick. They learn where a bloody civil war has raged for over the value of sharing responsibilities and ADVOCACY 30 years and left an estimated 2.5 million communal living, and receive psychological Land reform people displaced, violence is one of the key attention to help them deal with the trauma factors affecting the population. Over 70 they have lived through. in Tajikistan percent of displaced people do not have access to drinking water and 86 percent do But perhaps most importantly, these not have basic sanitary services. Schools schools and communities provide a sense are destroyed, and children are often of hope. Many of the programs focus on recruited by paramilitary and guerilla helping populations regain economic groups. With the conflict raging its way viability. Children and families have a refuge through the countryside, Action Against from the conflict so that their lives are not Hunger needed to create a safe haven where consumed by daily violence. Through families could work to recapture their education, Action Against Hunger hopes to livelihoods. That safe haven came in the deter the cycle of violence plaguing the Advocacy is Action Against Hunger's fifth pillar, plantations in return for little more than in-kind what they will grow); the assumption of farmers' form of Schools for Peace. country. By providing a safe haven, Action complementing our programs in nutrition, health, payments in cooking fuel. The result is less time for debts by the government and international donors; Against Hunger hopes to restore livelihoods, water and sanitation, and food security. But unlike tending subsistence gardens and no disposable access to credit in the form of money; and further Schools for Peace began in 2000, when and hopefully sow the seeds for peace. our relief programs, the target for change in humani- income for food or medicine. The rural Tajik popula- monitoring of the land reform process. Action Against Hunger (managed by tarian advocacy is not the individual, but the policies, tion also faces heavy constraints in the amount of ACF-Spain) established control over eight practices, ideologies, and institutions that influence land that they can cultivate. The system consistently Without our field-level leadership, land reform in schools in San Jorge and Córdoba with the “In Colombia, those that have schools have to study “My family and I were happy in our house, but when the a population's survival. produces high rates of chronic malnutrition and Tajikistan might have stagnated. As Janice Setser, intention of creating a classroom away underneath the trees.... Teachers are regularly killed, as violence began everything changed. We had to leave widespread underdevelopment. Action Against our former food security program manager, recently from the conflict. Here people could regain are even boys and girls, and a large number of children behind our corn and rice…. For me Action Against Hunger An example of the importance of Action Against Hunger's successes in fighting malnutrition are only remarked: “Within the past year, an Action Against some sense of order and focus on basic scarcely have anything to eat during lunch. Breakfast and is an aid for work. I think it is here to help us rebuild a Hunger's advocacy efforts is our work in Tajikistan. temporary until the structural issue of land reform is Hunger consultant did a study on the current status agricultural and nutritional education. By dinner don't exist here.” Iñigo Torres, Country Director, new life.” Ader Luis Milanes, 12 years old, resident of the In an attempt to address one of the principal causes addressed. of Tajikistan's land reform, on paper and in practice, Colombia Nueva Esperanza camp in El Banquito of chronic hunger in Tajikistan, Action Against that virtually rocked the country. Things began to 2004, we had expanded to 47 schools, and Hunger has helped to move the country toward After extensive field-level surveys and study, Action move and shake after that and the U.N.'s Food and integrated more programs into our work. longer-term solutions through agrarian reforms — Against Hunger compiled a number of recommenda- Agriculture Organization began to organize a Land Targeting rural areas hardest hit by advocating changes in the Soviet-era system of land tions for the government, international donors, Reform Working Group from the capital. Action violence, we rehabilitate abandoned schools Schools for Peace in Colombia management that underlie many other economic participating agencies and organizations, and other Against Hunger then formed the Field Level Land and set up small communities, providing problems. influential stakeholders. The recommendations Reform Working Group.” These advocacy efforts, basic education on nutrition, clean water, include training for farmers on the land laws; public along with ACF’s other programs, will help to bring and sanitation. We run communal work and REBUILDING Under the current system, Tajik citizens are awareness campaigns on their rights; establishing about lasting change in the communities where kitchen programs, where families learn to obligated to work for large communal enterprises for mechanisms for legal redress; reconsideration of the we work. work and cook together, providing people virtually no compensation—women and children are government-dictated production plans (giving with what is often their only meal for the forced to labor long hours in commercial cotton farmers the freedom to choose for themselves COMMUNITIES day. Children are taught how to care for WHERE WE WORK The ACF International Network

Action Against Hunger USA is part of the ACF International Network, named for the original member of the network, Action contre la Faim, or ACF, founded in 1979 in Paris. Today, the network consists of five independent organizations: Action Against Hunger USA (ACF-USA) in New York; Action contre la Faim (ACF-France) in Paris; Acción contra el Hambre (ACF-Spain) in Madrid; Action Against Hunger UK (ACF-UK) in London; and Action Contre la Faim / Action Against Hunger Canada (ACF-Canada) in Montréal. The network shares an overall vision of a world without hunger, and the five member organizations collaborate closely, sharing human resources, logistics, and technical capacity. Each country program is managed by one of the five member organizations.

Nutrition Water and Health Food Sanitation Security

Temporarily Unrestricted Total REVENUE AND SUPPORT Restricted* Contributions $ 1,109,816 $ 301,587 $ 1,441,403 BOARD OF DIRECTORS Grants:

U.S. Government 4,141,412 4,141,412

Burton K. Haimes, Chair Olivier Cassegrain Non-U.S. Government 165,841 5,869,768 6,035,609 Partner, Thelen Reid & Priest Managing Director, Longchamp Interest 3,220 - 3,220 Other 28,977 - 28,977 Raymond Debbane, Vice Chair Sabine Cassel Net assets released from donor restrictions 11,991,867 (11,991,867) - President, The Invus Group, LLC

Prof. Michael Golden TOTAL REVENUE AND SUPPORT 13,299,721 (1,679,100) 11,620,621 Joseph G. Audi Professor Emeritus, Aberdeen University President and CEO, InterAudi Bank EXPENSES Iman Program Services: Alexis Azria Impala Inc.–Iman Cosmetics Democratic Republic of Congo programs 5,800,191 - 5,800,191 Writer Southern Sudan programs 1,373,910 - 1,373,910 Frank McCourt Uganda programs 1,388,284 - 1,388,284 Henri Barguirdjian Author Tajikistan programs 657,721 - 657,721 President, Graff USA Kenya programs 244,663 - 244,663 Achim Moeller Chad programs 147,606 - 147,606 Cristina Enriquez-Bocobo Achim Moeller Fine Art Angola programs 311,878 - 311,878 Georgia programs - - - President, Enriquez-Bocobo Constructs Robert Rudzki Guinea programs 432,602 - 432,602 President, KIBAN Corporation Iran programs 570,522 - 570,522 Yves-André Istel Mali programs 249,978 - 249,978 Senior Advisor, Rothschild, Inc. Edward M. Sermier Colombia Programs 25,000 - 25,000

Ketty Maisonrouge Vice President, CAO and Corporate Secretary, TOTAL PROGRAM SERVICES 11,202,355 11,202,355

Carnegie Corporation of New York S—ACTION AGAINST HUNGER USA President, Ketty Maisonrouge & Company, Inc.

Rick Smilow Supporting services: Daniel Py Management and General and Program Support 11,097,696,097,696 - 1,097,696 President, Medical-Instill Technologies President, The Institute of Culinary Education (ICE) Fundraising 309309,851,851 - 3309,85109,851

Patrick Siegler-Lathrop Dr. Ronald Waldman TOTAL SUPPORTING SERVICES 1,407,547 - 1,407,547 Professor of Public Health, Columbia University Cathy Skoula, Secretary (ex-oficio) TOTAL EXPENSES 12,609,902 - 12,609,902

Executive Director, Action Against Hunger USA Jessica Weber Changes in net assets before other items 689,819 (1,679,100) (989,281) President, Jessica Weber Design Provision for unanticipated losses (100,000) - (100,000) ADVISORY COUNCIL Wendy C. Weiler Exchange gain (loss) 28,062 285,661 313,723 Partner, Argosy Partners De-obligated awards and funds returned to donor (12,308) (77,920) (77,920) Christian Blanckaert Nina S. Zagat 2004 31, DECEMBER ENDED YEAR THE FOR Président, Directeur Général, Hermès Changes in net assets 605,573 (1,470,729) (865,156) Co-Founder and Co-Chair, Zagat Survey Net assets at beginning of year 1,403,505 4,011,580 5,055,085 Harold A. Bornstein Tim Zagat Vice President, Charles H. Greenthal & Co. Co-Founder, Co-Chair and CEO, Zagat Survey NET ASSETS AT END OF YEAR $ 1,649,078 $ 2,540,851 $ 4,189,929 STATEMENT OF ACTIVITIE OF STATEMENT *Funds secured in 2004 or earlier for a specific programmatic purpose and not yet spent at the end of the year. DONORS DONORS

INSTITUTIONAL DONORS $10,000–24,999 Ms. Cristina E. Callan $1,000–4,999 Ms. Martha A. Brumfield Karl De Jonge Mr. and Mrs. Mahyar and Fran Amirsaleh Mr. Charles Calomiris Jonathan Abrams and Sandra Jean-Louis Michael Allen Javier de Leon Department for International Development (U.K.) Combined Federal Campaign Ms. Anne Cox Chambers Mr. Peter Aird Barbara Burke Mr. Blaine Degruise European Commission Humanitarian Aid Office Debevoise and Plimpton Evelyn Sharp Foundation Mr. Robert W. Albrecht Tiffany Caldwell Ms. Cobie Delespinasse European Commission Ms. Cristina Enriquez-Bocobo Hester Diamond Michael Allen Mr. C. Kevin Campbell Mr. and Mrs. Jeffery and Harriet Dennis Office of U.S. Foreign Disaster Assistance Mr. and Mrs. Leonard C. and Mildred F. Ferguson Mr. and Mrs. John and Melissa Eydenberg Philippe Amouyal Bridget Campomanes Mr. and Mrs. Jerome and Elinor Deutsch United Nations Children’s Fund Michael Golden Ms. Sabina Fila Mr. Rand Angelicola Carlson Family Foundation Rory Deutsch United States Agency for International Golden Temple Inc. Ms. Ann Freedman Aramark Ms. Deborah Carmichael Dr. Layla Diba Development Mr. Aaron Gural Mr. Eliot Glazer Mr. Wayne Archambo Richard Carroll Mr. Howard Dicker United Nations High Commission for Refugees Mr. Yves-André Istel Mr. Frederick S. Green ASAP Personnel Services, Inc. Ms. Carolina Casperson Mr. Dennis C. Dobbs World Food Programme Mr. and Mrs. Hisashi and Kuniko Juba Mr. and Mrs. Geoffrey and Sarah Gund Mr. Joseph Bachman Mr. Dominic Castriota Mr. and Mrs. Harry and Chant Dolman- Mr. and Mrs. Kernan and M. Christine King Mr. William T. Hyde Back Office Support Systems, Inc. Kenneth Ceradsky Dussouchaud Mr. Edwin H. Klink Transformation Trust, Inc. Mr. Thomas J. Igoe Mr. and Mrs. Richard and Beverly Bailey Cheng-Chang Chang Melissa Dunkerley Mr. and Mrs. John D.B. and Laura V. Lewis Ananth Krishnamurty and Mary Inagami Bakersfield Christian High School Grace Chang Keith Duryea CONTRIBUTORS Donald and Shelly Meltzer Kathy Lafreniere Mr. Khalil Barrage Danita Charity Mrs. Tana Dye Mr. and Mrs. Prakash and Anjali Melwani Mr. Robert L. Lawrence Mr. Tom Bartlett Mr. Howard Chatzinoff Mr. and Mrs. Jeffrey and Gale Wild-Ebers $25,000 or more Mr. Jean-Marc Moriani Phillip G. Lookadoo Capt. and Mrs. Ray and Nina Beatty Chemcentral Christopher Ecker Mr. Ian Ashken Newmark and Company Real Estate, Inc. Ms. Diane Molleson Anne Bebear Mr. and Mrs. Rick and Laura Cioppa Thomas Emeigh Mr. and Mrs. Joseph and Claude Audi Robert de Rothschild Carlton Hill Family Foundation Mr. Guillaume Bebear Citizens Vote, Inc. Equus Real Estate Management Inc. Mr. and Mrs. René-Pierre and Alexis Azria Mr. and Mrs. Edward and Barbara Shapiro Ms. Ellen J. Odoner Mrs. Marianne (Markogianis) Belardi Mr. Stephen Clemons Joseph R. Evans Mr. Henri Barguirdjian Greg Shunick The Orentreich Family Foundation Anthony Berardo Mr. David D. Cockcroft Falcone and Truman CIBC World Markets Corp. Sikh Dharma Marcy Pfeiffer Jonathan Berget Mr. Farnaz Cohen Ms. Kathleen F. Fina Citigroup Global Markets Inc. The Skolnick Foundation Kovan Pillai Mr. and Mrs. Stuart and Andrea Bernstein Mr. Adam Cohen Gabe Finke Mr. Raymond Debbane Dr. H. Matt Smith Ms. Marilyn Ramirez Mr. Michael Billett Alan D Cohen Patricia Finlayson Apollo Management, LP Ms. Connie Stults Farzad and Neda Rastegar Mr. Tom Birchard Noel and Barbara Commins Ms. Laura S. Fisher Mr. Jeffrey R. Gural Gordon Swobe Mr. and Mrs. Bartolomeo and Aileen Getty Ruspoli Joan Blanchard Community Foundation of New Jersey Randall Fisher and Linda Lafontaine Mr. Burton K. Haimes Ms. Fran Taylor Mr. and Mrs. Steven and Meryl Sitver Thomas Boldman Mr. James Cook Mr. and Mrs. Adam and Olivia Flatto J. P. Morgan Chase Foundation The Taylor Family Charitable Foundation Mr. Carter Smith Boston Copley Place Marriott Kristen Copham Ms. Marta Florin Mrs. Ketty Pucci-Sisti Maisonrouge Sandra and Stephen Waters Foundation Mr. and Mrs. Christopher and Patrice Sobecki Mr. David I. Bower Tom Corboy Messrs. Robert and David Fluet Pepper Hamilton, LLP Mr. Paul A. Zrimsek Mr. James C. Sturdevant Mr. and Ms. Sean and Nancy Boylan Emmett Covello Mr. Richard Bailey Fordham School Board of St. Lucie County, Florida Ms. Angela Urban Ms. J. Elizabeth Bradham Joseph Crain James Foster Thelen, Reid and Priest $5,000–9,999 The Vasicek Foundation Douglas Bragdon The Cunningham-Wright Family Fund Frontera Grill Warburg Pincus LLC Mr. Scott Adelsberg Vermeil Family Fund Ms. Melanie Branca Martha Daiello Fribourg Family Foundation Mr. Cody J Smith Mark Auckerman WeightWatchers.com, Inc. Barbara Bremmer Ms. Judy Enright Daylily Mr. Bart Friedman Weil, Gotshal and Manges LLP Joel E. Smilow Charitable Trust Ms. Isabelle S. Wilcox William Brown Mr. Peter J. Davies Mr. and Mrs. Patrizia and Elliott Friman DONORS DONORS

Mr. Burt Fujishima Mr. Douglas G. Hickey Ms. Nancy Leeds Gary Melman Pepsico Ms. Ann Sardini Shawna Gage Daniel Hildebrandt Denise Legenzoff Mr. Charles Merrill Mr. Richard Perdue Ms. Joan Saunders Susan Gallo Joy Wok Express Mr. Yves Leperlier Microsoft Giving Campaign Perelson Weiner, LLP Michael Saunders Mr. Adam Garcia Ms. Evelyn Hofman Ms. Stephanie L. Levaughn Ms. Laurie A. Miller Mr. Thomas H. Peterson Mr. Fuad Sawaya Miss Elisa Gatti HOPE Sudbury Mr. and Mrs. Philicia and David Levinson Mary Frances Miller Guy Phillips Ms. Julie Schaffer Wendy Gelbart James C. Hormel and Timothy C. Wu Mark Lewis Marie Mintz PMK Group Jill Schreiner Mr. Raymond Gietz Mr. and Mrs. Ching and Karen Huang Peter Ley Miracle Bar and Grill Sydney Poitier Jamie Schulke Clarice Giles Mrs. Linda Huett Ms. Judith Lidsky Miracle Grill Darcy Pollack Jane Schwartz Foundation Mr. and Mrs. Tom and Beverly Gillett Pastor Verenander L. Hughes Kristin Lile Gerd Mittmann Poncelet Family Fund Seguros Express Inc Ms. Tracy Girth Mr. Edwin Huston Mr. Chun Ta Lin Thomas Mohrhauser Lester Price Ms. Stephanie J. Seligman Ms. Dolores Gluck Alice Hyman Mr. Steve Lincoln Ms. Rebecca Morey Ms. Mandakini Puri Kenneth G. Prior Foundation Fred Godwin Mr. and Mrs. Gianfranco and Rita Iavarone Emily Lizcano Mrs. Margaret S. Moyers Mr. Dan Purnell Mr. Michael J. Sherman Mr. Ronald E. Goldberger IBM Employee Services Center L'Olivier Floral Atelier Lisa Mueggenborg Vinh Quach Simon and Eve Colin Foundation, Inc. Keith Hemmerle and Barbara Gollust I Do Foundation Mr.and Mrs. Michel J. and Odile Longchampt Mulago Foundation Mr. and Mrs. Frederic and Maria Ragucci Anna Sinclair Jean Grant and Francis Minskoff-Grant Il Buco Ms. Lisa Loveday Bedri Munsuz Rebold Family Fund Frances Singery Mr. Nicholas Groombridge Indian Students Association University of Texas at J. Harry Lynch Mr. Toby Myerson Ms. Serena Richardson Lai Shan Siu Mr. and Mrs. Erik and Christiane Grotness Austin Mrs. Gina Giumarra MacArthur Dave Nape Daniel Riess Rich Skalbania George Gund and Iara Lee Barbara Jacobs Mr. John MacArthur and Ms. Renee Khatami The Seth Neiman and Lauren Speeth Foundation Rimerman Family Foundation Slanted Door Christine Haas Jennifer L. Schiff Charitable Trust Bart MacDonald Dr. Yale R. Nemerson Mr. Stephen A. Rishton Mr. Rick Smilow Ms. Irene Habernickel Jim Boyd Construction, Inc. Ms. Mitzi MacDonald-Laws Nemet Motors Riverdale-Yonkers Society for Ethical Cultture Mr. and Mrs. Raymond W. and Phyllis Smith Mr. and Mrs. Thomas and Diana Hall Roberta Kanter Mahalaxmi Inn Corporation Lobsang Nepali Roan Universal Foundation Ms. Lindsay Leigh Smith Robert Hall Kimberly Kargman Mike Mai Julie Netser Robert J. Hurst Foundation Jeffrey Smith David L. Hamilton Mrs. Nona Kerr Mr. Stephen B. Maiman Network for Good Jordan Roberts Mr. and Mrs. Garrett and Jeannine Snipes Ms. Mary Hamilton Jason Kessler Ms. Marita Makinen The News Corporation Foundation Mr. and Mrs. Thomas and Mary Alice Roberts Michael Snyder John Hamilton Mr. Anthony J. Khuri Mr. and Mrs. Charles-Henri and Marguerite Peaceful Nguyen Douglas Robinson Ron and Annette Soufrine Jefferey Hammann Mrs. Sandra Kirchhoff Mangin Ms. Janet Nolan Samir and Manpreet Rohatgi Mr. David Speedie Mr. and Mrs. Rob and Stacey Hammerling Radford Klotz and Shahnaz Batmanghelidj Mr. Bennet Manning Raya Novak Mr. Charles J Rose Ms. Ashley Spicer Beverlin Hammett Bruce Kraus Mr. and Mrs. Michael and Anne Marx Kelly Oh Jeffrey Roseman Robert Spring and James Huddle Mr. Robert S. Harrison Krinos Foods, Inc. Mr. and Mrs. Stephen and Patricia Masceri Ms. Carole Oliver Mr. and Mrs. James and Alice H. Ross Mrs. Jill Stansky Dr. and Mrs. William and Aline Haynes Ms. Daniele Kulera Mr. Andrew Maunder David Oppenheimer Stuart Ross Hossein Amirsaleh Foundation Mr. Russell D. Hemenway Mr. and Mrs. Michael and Janice Lally Ms. Jane McDonald Stephen Paris Mr. Greg Roth Mr. Brian Steinwurtzel Mr. David Henderson Kenneth A. Lattman Foundation Mr. John McDermott and Ms. Victoria McManus Kara Parker Timothy Rothwell Mr. Ronald W. Stevens Allyson Henry Le Bernardin, Inc. Courtney McMahan Hasmukh and Bhanuben Patel Ms. Sharon G Russell Bruce R Stone Mrs. Catherine Herkovic Alain LeCoque The Melinda and William J. Vanden Heuvel Mukeshkumar and Lataben Patel William Ryan Ms. Elizabeth Stribling Mr. David Alexander Hickerson Mr. and Mrs. Stephen S. and Julie Dien Ledoux Foundation, Inc. James and Gloria Paul Gabriel and Nada Sara Ursula and Paul Striker DONORS DONORS

Mr. and Mrs. Eric and Patricia Sugden Mr. P. Garrett Wyckoff In-Kind Contributions of Goods World Food Day Gala Epicurean World Food Day Gala Supporters Michael C. Fina Ms. Suzanne Sutter Michael Yancey or Services Committee Alès Group USA Monsieur Touton Selections, Ltd. Mutaz Tabbaa Myrth York AFD Furniture Acquolina amNewYork New York Press Mr. and Mrs. Jeffrey and Karen Tanenbaum Mr. and Mrs. Robert and Jeanne Zabelle Ain's List Aquavit Artscounselinc.com Paris Gourmet Joel Tauber Mr. Walter Zalenski amNew York Babbo Avenue A Pedro Aleman Catering Mary Taylor Ms. Sabine Zerarka Avenue A Bice Benjamin Hudgins Rémy Martin Christina Tempelaar-Lietz Zodiac Pioneer Aerospace Corporation Black Book Blue Hill Berrymatch.com Reuters Craig and Robyn Thompson Mike Zoi Brandwebsite.com Blue Smoke / Jazz Standard BlackBook Magazine Ruder Finn Daniel Thompson The Bravo Group Bouley Bakery / Danube Body Shop Ruth C. Schwartz & Co. Special Events Loren Tibbitts Institute of Culinary Education Café Boulud Brandwebsite.com and Public Relations Ms. Carole Tillman InterAudi Bank Café Joul CHANEL, Inc. SeamlessWeb Towery Homes, Inc. Jessica Weber Design, Inc. Chanterelle Château Latour Smashing Ideas Inc. Ms. Judith T. Tran L'Olivier Floral Atelier D’Artagnan Château Mouton Rothschild Starchefs.com United Directories Lalique Dawat Chloé Susan Ciminelli Day Spa at Bergdorf Deborah van der Heyden Longchamp Eleven Madison Park Christian Dior, Inc. The Lowell Hotel Mr. and Mrs. Alexander and Ashley Von Perfall Monsieur Touton Selections ICE Cornelia Fifth Avenue The Yale Club Henry and Margaret Vosswinkel New York Press il Buco Emelise Alpacas Tom Weidlinger, Moira Productions Joe Wagner Remy Martin Jean-Georges EuroAmerican Communications Weight Watchers International, Inc. Mr. Willie Wallace Reuters Design Team Jojo Firmenich Zagat Survey Yichun Wang Ruder Finn Landmarc Restaurant G3 Architecture Interiors Robert Weaver Smashing Ideas Le Bernardin Health Supportive Chef Ms. Wendy Weiler StarChefs.com Mercer Kitchen Hermès de Paris, Inc. Weingart Family Fund Taranto Gallery Miracle Bar and Grill Hotel Plaza Athénée Mr. Stephan Wessels The Reuters Sign Oceana Ilka Laura West Thelen, Reid & Priest, LLC Post House IMAN Cosmetics Mr. Don E. Whitson Ventana Productions Remi IMG / 7th on Sixth April Williams Viacom Riingo Jessica Weber Design, Inc. Christopher and Janice Williams Village Voice 66 John Hardy Jewlery Teresa Williams Virginie Sommet Judith Nelson, New York Philharmonic Orchestra Brett Williamson Zagat.com Lalique North America Robyn Wittleder Lillian Lincoln Foundation Mr. Barry M. Wolf Longchamp Mr. Wingson Wong Ambassador Raymond Loretan Mr. and Mrs. Robert L. and Angelia Wood L’Olivier Downtown Ms. Jamie Woolley Loyola Phoenix Whispering Bells Foundation ACCIÓN CONTRA EL HAMBRE C/Caracas, 6, 1° 28010 Madrid Tel: +34 91 391 53 00 Fax: +34 91 391 53 01 PHOTO CREDITS [email protected] www.accioncontraelhambre.org • Burger/Phanie ACTION AGAINST HUNGER USA President: José Luis Leal • Olivier Longué 247 West 37th Street Director: Olivier Longué • Devrig Velly Suite 1201 • Benoît Miribel New York, NY 10018 ACTION AGAINST HUNGER UK • Stephanie Bouaziz Tel: +1 212 967 7800 Unit 7B Larnaca Works • Janice Setser Fax: +1 212 967 5480 Grange Walk • Jeffrey Austin [email protected] London SE1 3EW • James Pomerantz / www.actionagainsthunger.org Tel: +44 207 394 63 00 World Picture News President: Burton K. Haimes Fax: +44 207 237 99 60 Director: Cathy Skoula [email protected] • Aaron Brent www.aahuk.org • Peter Bussian ACTION CONTRE LA FAIM President: Sir Ronald Grierson • Seth Cohen 4 rue Niepce Director: Jean-Michel Grand • Blazej Mikula 75662 Paris Cedex 14 • François Perri Tel: +33 1 43 35 88 88 ACTION CONTRE LA FAIM / Fax: +33 1 43 35 88 00 ACTION AGAINST HUNGER CANADA [email protected] 1002 Sherbrooke Street West, Suite 2300 www.actioncontrelafaim.org Montreal, Québec, Canada President: Dr. Jean-Christophe Rufin H3A 3L6 Director: Benoît Miribel www.actionagainsthunger.org ACF HEADQUARTERS HEADQUARTERS ACF President: Burton K. Haimes Director: Anne-Sophie Fournier