Malteser International Annual Report 2006

www.malteser-international.orgwww.malteser-international.org Malteser International – help on the spot – worldwide.

Malteser International is the worldwide relief agency of the Order of Malta for humanitarian aid. The organisation covers 200 projects in 30 countries in Africa, Asia, Europe and the Americas. Currently, 19 national associations of the Order of Malta are members of Malteser International. Evolved from Malteser Germany, and therefore set up in accordance with German Law, and it was internationalised as the Order of Malta’s relief service in 2005. The organisation provides aid in all parts of the world without distinction of religion, race, age or origin. Christian values and the humanitarian principles of impartiality and independence are the foundation of its work. Its mission is not only to provide emergency relief, but also to implement rehabilitation measures and to facilitate the link between emergency relief and sustainable development. Malteser International establishes and promotes primary health care services and seeks to reduce vulnerability and poverty. It is committed to high quality standards; accountability and transparency are priorities. Malteser International has the status of a Non-Governmental Organisation.

The mission of Malteser International:

● Provide relief to major emergencies in the world, especially in the health sector

● Implement rehabilitation measures, and link relief, rehabilitation and development (LRRD)

● Establish and promote primary health care services in developing countries

● Reduce the vulnerability and poverty of the afflicted

● Provide care for refugees and returnees

● Support local partner Non-Governmental Organisations

„Our motivation is to alleviate human suffering.“ (Code of Conduct: The humanitarian imperative comes first)

Malteser International is member of: ● Aktion Deutschland Hilft (ADH) (Action Campaign Germany Helps) ● Aktionsbündnis gegen AIDS (Action against AIDS Alliance) ● Arbeitskreis Medizinische Entwicklungshilfe (AKME) (Working Group on Medical Development Aid) ● Koordinierungsausschuss Humanitäre Hilfe (KAHH) (Coordinating Committeee for Humanitarian Relief) ● Katholischer Arbeitskreis Not- und Katastrophenhilfe (KANK) (Catholic Working Group on Emergency and Disaster Relief) ● People in Aid ● Verband Entwicklungspolitik Deutscher Nicht-Regierungs-Organisationen (VENRO) (National Association of German Non-Governmental Organisations for Development Policy) ● Voluntary Organisations in Cooperation in Emergencies (VOICE)

Malteser International is committed to the following national and international codes and standards: ● The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response ● The Code of Conduct: Principles of Conduct for the International Red Cross and Red Crescent Movement and NGOs in Disaster Response Programmes ● Principles for the international work of the German Caritas Association ● Code of Conduct to protect children and young people from abuse and sexual exploitation (Caritas Internationalis)

2 MISSION Editorial

2006 was a very eventful year for Malteser International. We provided help during many crises and disasters. Some were closely followed by the media, like the devastating earthquake on Java in May and the war-torn region of Darfur. Others didn’t make the news, such as the drought in Kenya in March, the destructive typhoon in Vietnam in October or the miserable living conditions of the population of the Democratic Republic of Congo.

Our aim is to provide these people and the many other victims of disasters with rapid and efficient Nicolas de Cock de Rameyen support. Humanitarian aid must not only be supplied quickly and fulfil all moral requirements, but President must also comply with efficiency and efficacy standards. It must be transparent – not just to those who provide the financing, but also and above all to those who receive the aid. Those who are affected are often our best partners on-site and are of vital importance in terms of the type, orienta- tion, scope and duration of the aid we provide. It is not we who are the leaders of the procedure, but rather the victims themselves. Going about things differently would rob them of the last thing they have left, after they have already lost so much: their dignity. This places high demands on the aid- workers: first, it means that we must surrender our Western outlook and take on that of the people in need. If our aid is to be more than a well-meaning consolation, it has to provide a permanent and Ingo Radtke sustainable contribution to improving the situation of the poorest of the poor in the relevant location Secretary General – and this must be based on the perspective of those affected. Tailor-made solutions must be found for actual problems, without offering any pre-fabricated products. Such solutions can only work if we treat the disaster victims as equals and use their ideas as the basis for our actions. We must allow – and indeed wish for – our actions to be measured against this requirement.

This Report is an account of the projects we undertook in 2006. Many private individuals, organisations, institutions and companies have supported our work over the past year, as have many public donors, foundations and organisations, both national and international. We wish to express our most sincere gratitude to them all. To continue supporting the needy and working with them towards a sustainable future, we rely on your help. Please continue to accompany us along this path and support our work to help those who are so dependent on our care.

Nicolas de Cock de Rameyen Ingo Radtke

Cologne, July 2007

EDITORIAL 3 Contents Malteser International – help on the spot – worldwide.

Mission 2

Editorial 3

Contents 4

Pictures of the year 6 - 7

Africa 8 Our projects in Africa 9 - 14 1 On the spot: Kenya 15 AMERICA On the spot: Democratic Republic of Congo 16 On the spot: Uganda 17

Asia 18 Our projects in Asia 19 - 28

Project overview 2006 24 - 25

On the spot: Thailand 29 On the spot: Lebanon 30 AMERICA On the spot: India 31 1 USA – p. 37 Europe 32 Our projects in Europe 33 - 35 The Balkans 33 Central and Eastern Europe 35

America 36 Our projects in America 37 On the spot: New Orleans 38

Experts abroad 39 Help at a glance 40 - 41

Facts and Figures 42 Annual accounts as of 31 December 2006 42 - 43 Financial overview 2006 44

Acknowledgement 45

Member associations 46

Structures and committees 47

4 CONTENTS Malteser International – help on the spot – worldwide.

EUROPE

3 2 21 ASIA 16 15 14 10

18 12 17

20 8 11 22 AFRICA 6 19

89 7 13 5

AFRICA 4 4 Angola – p. 9 5 DR Congo – p. 10 6 Ethiopia – p. 11 7 Kenya – p. 12 8 Sudan – p. 13 9 Uganda – p. 14

EUROPE 2 Balkans – p. 33 3 Romania – p. 35

ASIA 10 Afghanistan – p. 19 11 Cambodia – p. 20 12 India – p. 21 13 Indonesia – p. 21 14 Iran – p. 22 15 Iraq – p. 22 16 Lebanon – p. 23 17 Myanmar – p. 23 18 Pakistan – p. 26 19 Sri Lanka – p. 26 20 Thailand – p. 27 21 Turkey – p. 28 22 Vietnam – p. 28

CONTENTS 5 Pictures of the year Florian Kopp January 2006 Pakistan: Earthquake relief with helicopters for more than 1,000 families

April 2006 Flood aid in Romania, Serbia and Hungary FebruaryFebruary 2006 CholeraCholera epidemic in South Sudan

MarchMarch 2006 DroughtDrought in Kenya:Kenya: Distribution of medical drugs and food

May 2006 Earthquake

on Java/Indonesia Birgit Betzelt

6 PICTURES OF THE YEAR July 2006 Tsunami on Java/Indonesia: “Don’t cry Indonesia” Caroline von der Tann Caroline von der JuneJune 2006 Thailand: Aid for refugeesrefugees fromfrom Myanmar October 2006 EmergencyEmergency reliefrelief for the victims of the typhoon

December 2006 Two years after the tsunami: Aid for 500,000 people

August 2006 War and destruction in Lebanon

PICTURES OF THE YEAR 7 8 8

9 7 5

With the people, 4 for the people

In six countries in eastern and southern Africa, Malteser International focuses on providing healthcare for the population, combating epidemics and training local personnel. The maintenance AFRICA DATA COUNTRIES of close links between the programmes for each project is crucial International staff: 4 Angola 34 5 DR Congo to ensuring the success of this single aim: effective healthcare. For National staff: 6 Ethiopia example, the battle against the HIV/AIDS pandemic is linked with 455 7 Kenya activities to combat tuberculosis and other illnesses that often occur 8 Sudan Aid for 4.7 million people in relation to HIV and AIDS. This provides more efficient measures 9 Uganda for combatting the pandemic itself – recognised as one of the worst disasters in the world today.

Angola

International staff: 3 National staff: 18 Aid for 400,000 people Malteser International has worked in Angola since 2002.

Since the end of the 27-year civil war, Malteser International has been working in the remote south-west of the country in the province of Kuando Kubango, near the border with Namibia. It is the only international non-governmental Angola: The health centres are of vital importance for the families living in the remote areas of the country. organisation working on healthcare in this neglected area of the country. The and medical supplies urgently needed from emergency aid to development co- focus: development and support for for isolated healthcare facilities. These operation. The internationally recognised existing local resources. Sadly, the large actions are largely financed by private principle ‘Linking Relief, Rehabilitation number of mines laid in the region still donations, as many major international and Development’ (LRRD), which aims restricts the work considerably. Projects donors withdrew from Angola once the to ensure sustainable development after are limited to mine-free or cleared areas. acute emergency aid period ended; this the initial aid ends, is unfortunately still The teams regularly provide medicine highlights the difficulty of the transition not implemented everywhere. But the

AFRICA 9 Democratic Republic of Congo

International staff: 14 National staff: 129 Aid for 2.8 million people Malteser International has worked in the DR Congo since 1996.

Peaceful relations have still not been achieved throughout the entire country. Insecurity mainly exists in the east and is likely to continue for some time. Numerous efforts for peace by the United Nations and the European Union have only partly solved the problem. Nevertheless, it has been possible to restrict the tyranny of the self-proclaimed warlords dramatically, which has also made it much easier for Malteser International to Angola: The one-week training sessions for midwives from Kuando Kubango province include both theory help the population. However, new and and practical exercises. unexpected conflicts constantly threaten the progress achieved so far. staying power under difficult conditions project planned for 2007 for combating Malteser International is committed has finally paid off. In 2006, Malteser malaria, tuberculosis and HIV/AIDS as to supporting the healthcare systems in International secured extensive funding part of the HAMSET programme, which South Kivu, Ituri and Haut Uélé in the from the European Union. This enabled facilitates cooperation between the World east of the country, with the objective of the relief agency to rebuild remote Bank and the Angolan government. The promoting long-term structures for self- healthcare facilities and provide a wide project provides support for community- sufficient supply. A particularly important range of medicine, medical supplies and based organisations which look after those element is the training of local personnel, numerous training programmes, e.g. for affected by the illnesses and provide them in cooperation with the official healthcare local midwives. Parallel to this is a new with information. facilities in the provinces and with local non-governmental organisations. Malteser LRRD International supplies more than 350 LRRD stands for ’Linking Relief, Rehabilitation and Development‘. The aim is to assess the health centres and other medical facilities extent to which short-term measures can contribute to sustainable development at as with medicine and medical supplies, early a stage as possible – ideally in the emergency aid phase. This concept is based on provides expert medical support for the experiences, where short-term emergency aid has had undesirable effects or side-effects personnel and collects comprehensive on some population groups or the later development of the region. data to assess healthcare development in To minimise these effects, Malteser International focuses on the concrete implementation the region and evaluate its own measures. of LRRD: at the planning stage for emergency aid measures, the existing structures in Specific illnesses such as meningitis, the affected region are assessed, together with consideration as to how to maintain cholera and plague are combatted using the implemented measures once the aid organisation has left. A further aim during emergency measures. emergency aid planning is to ensure a smooth transition to rehabilitation and The central pharmacy, which was development. As a result of this process, after the early phase the project can usually be supported by Malteser International for handed over to local organisations in a developed state that is sustainable in the long- several years, was successfully converted term. Above all, this helps to reduce the vulnerability and susceptibility of the population into a non-profit-making limited company to future crises and disasters. and is now able to operate independently.

10 AFRICA DR Congo: Village residents accompany an aid worker in protective clothing who is disinfecting their huts to prevent the spread of plague viruses.

CHOLERA Cholera is a bacterial diarrhoea disease that spreads very rapidly, particularly in regions with a high population density, insufficient water supply and poor sanitary conditions. Refugee camps and slum areas are frequently affected. Cholera treatment basically focuses on counterbalancing the extreme fluid loss; if needed, antibiotics are given. Fundamental contributions to treatment ich.tv and prevention include sufficient pro- Malteser International has also A programme for food security is an vision of clean water and sanitation continued to expand comprehensive additional focus in South Kivu. Its aim is facilities, waste management, fly control psychological and medical care for to make the population more independent and the provision of soap. victims of sexual abuse in all three of external aid. Malteser International provinces. A crucial role is played by supplies seven nutrition centres with expert training and further education, foodstuffs to nurse undernourished Ethiopia as well as the monitoring of staff and children under the age of five. The workers from local organisations in their organisation also supports 18 food National staff: 2 contact with and handling of victims of security centres and five centres for small Aid for 2,500 people sexual abuse. Combatting trauma is also a livestock breeding and distributes seeds to Malteser International has worked in focus point. In 2006, approximately 9,000 ensure a sustainable contribution towards Ethiopia since 2001. abused or raped girls and women sought self-sufficiency. At the nutrition centres, medical and psychological help from Malteser International trains staff who As in previous years, the focus in 2006 the health centres supported by Malteser then establish special display gardens to was on the Benishangul region, a pro- International. Additional awareness demonstrate to the population suitable vince in the west of the country around campaigns amongst the population and cultivation methods; they also provide the border with Sudan. Aid is mainly the military have been carried out in nutritional advice. provided in the form of small projects, cooperation with the local authorities In many areas, the streets and slopes particularly training programmes for and have helped stem the flood of sexual were in such poor condition that instant women. Participants learn to sew, spin, abuse. repairs were needed before anything weave, make carpets or manufacture fur- else could be done. Some districts are niture from bamboo. In this way, they can still almost inaccessible and therefore earn a regular income and improve the have not yet received any help. Malteser living conditions of their families on a International will now concentrate on long-term basis. these districts. In other areas, development Malteser International will continue its towards normal living conditions has work in small projects, and also reinforce progressed sufficiently so that transfer the fight against tuberculosis and HIV/ of responsibility for the projects to long- AIDS. Ethiopia urgently needs aid from term local structures has been possible. international organisations to combat these epidemics.

DR Congo: To ensure food security, Malteser International also distributes livestock.

AFRICA 11 Kenya

International staff: 2 National staff: 14 Aid for 600,000 people Malteser International has worked in Kenya since 2002.

Malteser International has been battling the spread of tuberculosis and HIV/AIDS in the slums of Nairobi since 2002. The organisation ensures the continuing function of the healthcare facilities it has constructed, established or renovated. Information campaigns and close cooperation with the authorities and local organisations contribute to stemming

the spread of the illnesses. Malteser ich.tv International tracks the project through Kenya: To combat tuberculosis and HIV/AIDS effectively, education is crucial. quality controls. Work has continued successfully over the past year, with one of the health centres supported by ANTI-RETROVIRAL Malteser International named as the THERAPY (ART) facility with the best diagnostic services Anti-retroviral therapy is used to treat by the Kenyan government. AIDS, an immunodeficiency illness. Al- In order to safeguard the long-term though the anti-retroviral medicine sustainability of the measures, more cannot cure immunodeficiency, it can state facilities have been convinced to fight the viruses in the body and reduce make a contribution to the project work. their number. It reduces both the risk of Again in 2006, the Kenyan authorities associated illnesses and the pain, giving provided the majority of necessary patients a longer, pain-free life. Many can pharmaceutical products free. The even return to work and thus safeguard a new phase of the project, due to last for living for their families and the future of three years, is again funded in part by the their children. German Federal Department of Economic Cooperation and Development (BMZ).

The Austrian Development Agency Einberger Thomas / Africa United for (ADA) also co-finances part of the Jochen Zeitz, project, based on an initiative by Malteser CEO at PUMA AG: Austria. Thanks to the cooperation with “During my visit to Kenya as part of Pathfinder International, an American aid our cooperation with the UNITED FOR organisation in the healthcare sector, and AFRICA campaign in January 2006, financial aid from USAID, it was possible I witnessed the fantastic work carried to extend the project to other slums in out by Malteser International to combat 2006. tuberculosis and HIV/AIDS in the slums of Nairobi. Thanks to extensive support, diagnosis and treatment options, they have reduced stigmatisation and discrimination; many patients can resume their lives independently, working and providing for their families.”

12 AFRICA Sudan those most in need of aid. Despite this, The city of Juba is increasingly de- International staff: 12 Malteser International has continued veloping into the capital of southern National staff: 275 its medical work in Darfur and has Sudan and is thus the pivotal point for Aid for 120,000 people in Darfur and committed itself to the long-term, having almost all decision processes. Because of 800,000 in southern Sudan. concluded the emergency aid programmes this development, Malteser International Malteser International has worked in over the first two years. This involves opened a coordination office in Juba in Sudan since 1998. provision of basic healthcare services for 2006. the population – focusing on the health of mothers and children – and the fight VACCINATION CAMPAIGNS Implementation of the peace treaty against malaria, which poses a major Many children are still dying across signed in January 2005 has proved threat to life in Darfur. The programme southern Africa from infectious diseases difficult and drawn-out, and unfortunately is to be extended across a wider area in such as measles or diphtheria, diseases does not apply to the civil war raging 2007, as far as possible, given the tense that can be avoided through the use in the Darfur region to the west of the security situation in the region and the of vaccinations. Consequently there is country. This hot spot has not been any available funding. a major need for vaccinations in these countries. The importance of the vaccinations is explained to parents, so that they will allow their children to be vaccinated during the next major campaign. Vaccina- tion campaigns must be extremely well organised and prepared, to treat as many children as possible. Teams often travel to the villages and regions days in advance of the campaign, announcing its start date via megaphone. Most vaccines need to be refrigerated and, in case of necessi- ty, must be delivered quickly.

Sudan: Patients arriving at the health centres on emaciated mules. less risk-free in 2006 and, despite ongoing In southern Sudan, Malteser Inter- peace negotiations, hopes of an imminent national has continued to expand its resolution of the conflict are fading. One projects in the healthcare sector in Yei of the reasons is a splintering of the rebel and Rumbek. It combined the battle movements, which is making the position against tuberculosis with information on even more unclear and uncontrollable. HIV/AIDS and extended its information Malteser International itself fell victim campaigns into rural regions, particularly to the assaults on aid organisations in the Maridi. Further focuses include combating region in 2006. Two vehicles were robbed leprosy and sleeping sickness and sup- and numerous so-called ‘safety incidents’ porting primary healthcare services in the prevented the personnel from reaching dioceses of Yei and Rumbek.

AFRICA 13 ich.tv

Uganda: After treatment at the nutrition centre in Maracha, formerly undernourished children are now fully recovered. Uganda For many years, Malteser International International staff: 3 NUTRITION CENTRES has been supporting a therapeutic nutri- National staff: 17 Nutrition centres are healthcare facilities tion centre for undernourished babies (The employees of the regional office for the special treatment of malnutrition and toddlers at the Maracha hospital in in Kampala are responsible for the and undernourishment. Mainly children the north-west of Uganda: In addition administration and coordination of the are affected, although it also affects to acute emergency food aid for the projects in Uganda, in the DR Congo those who are chronically ill, e.g. those children, Malteser International carries and in southern Sudan.) suffering from tuberculosis and / or HIV/ out regular aftercare visits and home Aid for 400 people AIDS. Specially trained personnel work in visits to the affected families in order to Malteser International has worked in the nutrition centres, providing intensive prevent a relapse and to ensure long-term Uganda since 1996. care for the patients every day. improvement in the children’s health. The focus of this aftercare is on providing the families with information about healthy, rich nutrition, as well as carrying out physical checks on the children. As the general living situation of the population of northern Uganda has worsened considerably over the past two years, the long-term support measures implemented in 2006 were particularly vital.

14 AFRICA ON THE SPOT: KENYA

Light at the end of the tunnel A young woman refuses to give up fighting for her life

Education, work, marriage, birth, separation, bad luck, reconciliation, children, illness, depression, therapy, relapse, a fight for survival. Eunice has experienced all of this in her life – in a mere 34 years. Eunice left school at 14, married and gave birth to her first child shortly afterwards. But the marriage only lasted for three years. Eunice completed an apprenticeship as a hairdresser and opened a salon with her own staff. A success that sadly didn’t last long: after six years, the salon burnt down and Eunice lost everything. A tragic situation that had a positive side despite the hardships: Eunice and her husband got back together. They decided to start again in the slums of Kayole Soweto in Nairobi and to open a new hairdressing salon. Eunice gave birth to her second child, a son. It seemed as if everything was finally going Always hopeful – Eunice fights against her illness. well. But fate dealt another blow to the young family: Eunice and her son became offered at the health centres supported by a breeding-ground for bacteria. And she ill and the young boy died shortly after Malteser International, which look after discussed contraception methods with his first birthday. Eunice was diagnosed the people in the slums of Nairobi. She her husband to prevent the virus being with tuberculosis – fortunately so quickly took an HIV test – and it was positive. transmitted. that she could be treated successfully. The results plunged her into depression Eunice isn’t giving up – she is taking However, after a short period without and resignation for a long time. her medicine regularly and feeding problems, she found she was becoming But Eunice was strong. She refused herself and her family in a healthy way. weaker and losing weight daily. She was to be beaten and hope won in the end. Today, her health has stabilised. Thanks confined to her bed and could no longer Eunice declared war on the virus and to regular treatment, she has even been provide for her family. started treatment. She found out about able to go back to work in her salon. It was in this period of her life that the infection, learned to cook in a more Miriam Fuß Eunice heard about the free consultations healthy way, aired her home regularly and let in more light, to prevent too much dust accumulating, as this could become

AFRICA 15 ON THE SPOT: DEMOCRATIC REPUBLIC OF CONGO

Hope after years of darkness A young woman on her way to a better future

Martine Bahati laughs. She proudly shows us her plastic plate, a set of colourful enamel pots and the rag dolls that she has made as part of a women’s project. “My dream is a house, my own house for me and my four daughters!”, the 28-year-old says as the people pass by her market stall in Bukavu, East Congo. Business is going well, the future is full of hope and Martine herself would be as happy as her dolls: upright, colourfully dressed, laughing – if it wasn’t for her wooden foot. The leg prosthesis is a constant re- minder to Martine of the dark years in the Congo, of chaos and war. As she tells the story of the day three years ago when her life changed forever, she becomes very quiet and tears stream down her face. The memory of the brutal assault is still with her. Haltingly, she describes how the rebels invaded her house, shot her husband and beat her daughters. How the men assaulted and abused her until she lost consciousness. How she regained consciousness days later, in a hospital. On that day, Martine lost her fifth child (she was in her third month of pregnancy) and her lower left leg, which had to be amputated because of a severe gunshot wound. Afterwards she battled with appalling Martine with her home-made dolls. Martine‘s surname ‘Bahati‘ means ‘chance‘. doubts. A priest took her in, bringing her into the city, where women from centre in the city. A psychologist helped smile spreads across her face. With the his parish looked after her and her four her come to terms with the memory and money she earns with her market stall, children. “The worst thing was that I felt start again, despite all that had happened. she buys notebooks and text books for her so utterly useless, because I couldn’t take With ten kilos of peanuts and a sack of daughters, who all go to school. And she care of my daughters,” Martine says. “At charcoal – financed by the Malteser saves up for her dream: her own house. the time, I wished I was dead.” Lent Campaign – she started up her Eveline Stoffel But hope for a better future for her own business and became a successful daughters vanquished her dark thoughts. business woman. Soon, Martine switched Martine found out about the work of to plastic tableware, because it sold better. Malteser International, treating and “I may not be able to write, but I can do looking after assaulted women at a health sums!” she says and a huge self-assured

16 AFRICA ON THE SPOT: UGANDA

Fresh vegetables for healthy children The battle against malnutrition and undernourishment

Agupi-Nva is five years old. He is said and explained that her son needed Two weeks later, Agupi-Nva was feeling the youngest of five children and his intensive treatment: nasal probe, special much better. He was again interested in parents are proud of their happy, active food, medicine. While the little boy things around him and made the whole son. When Mama Soko goes to do the was being treated, Soko, together with ward smile with his bright laugh. His washing, she always takes her young son other mothers whose children were as favourite new hobby was swinging in the with her. It’s practical, as the children undernourished as Agupi-Nva, received hanging scales. After four weeks, Agupi- can play together while the mothers take comprehensive nutritional advice. The Nva reached normal weight for his age care of the washing. One day, one of women learned what was healthy, what and was allowed to go home. Soko’s neighbours noticed that Agupi- foods are the most fill and, especially, Stefanie Mosch / Miriam Fuß Nva wasn’t laughing anymore. “And he how to provide a balanced diet. looks so ill. There must be something The weight and wrong with him,” the neighbour said. progress of the Mama Soko was angry. Angry because children are checked regularly the neighbour had meddled unasked in using weighing her affairs and angry because she hadn‘t scales. noticed amidst the noisy work that her youngest child wasn’t well. A few days later, he got diarrhoea. In Esoko, a village in the Ugandan district of Maracha, this is a serious illness. Soko’s husband was sure that his son couldn’t just have fallen sick like that – he looked so healthy with his little round stomach: “There must be magic behind it.” What else could it be? The village healer came to the same conclusion. The young parents used all their savings and even borrowed money from their friends, to pay for the healer’s expensive treatment. But it didn’t work. Agupi-Nva got still weaker and paler. Soko Agupi didn’t know what to do. Fortunately, the observant neighbour had heard about the hospital in Maracha. Doctors and attendants were treating people free of charge. And the daughter of a friend of hers had been helped by them last year. Sogo Agupi was sceptical. She had never been to a hospital. But as she didn’t know what else to do, she took Agupi-Nva to the clinic. The attendant at the hospital immediately saw what was wrong with him: the child was suffering from severe undernourishment. “His

mother has come to us just in time,” he ich.tv

AFRICA 17 18 21

15 10 16 14 18

12 17

20 Help after 11 22 19 the catastrophe 13

The series of major disasters in Asia continued in 2006. On 27 May, the strongest of the numerous earthquakes destroyed densely populated localities in and around the capital city of Yogyakarta on Java: 6,234 people died and more than 46,000 were injured. Within a few ASIA DATA COUNTRIES hours, Malteser International was there with a team from Sumatra to International staff: 10 Afghanistan provide medical emergency aid. 85 11 Cambodia Rehabilitation work in the earthquake zones in Pakistan and in the National staff: 12 India 301 regions affected by the tsunami has now become more development- 13 Indonesia based: Sustainable improvements such as clean drinking water and Aid for 14 Iran 1.7 million people solutions for better sewage disposal are being carried out, in addition 15 Iraq to the reconstruction of the damaged dwellings. Malteser International 16 Lebanon is thus providing a crucial contribution to the achievement of the 17 Myanmar millennium development goals. 18 Pakistan The offices in Iran and West Afghanistan were closed at the end of 19 Sri Lanka 2006 after all projects were completed. Given the deteriorating 20 Thailand security situation, activities in Afghanistan will not be extended. 21 Turkey 22 Vietnam

Afghanistan education and healthcare facilities. The healthcare, short information programmes International staff: 5 situation is particularly precarious for were produced in cooperation with the National staff: 28 women, as they are often disenfranchised television broadcasting company Herai Aid for 200,000 people and excluded, while still having to bear TV in Herat. Malteser International has worked in major responsibility for the subsistence of In Central Afghanistan, Malteser Afghanistan since 2002. their families. International has improved the infra- In the western provinces of Badghis structure in the villages through a total of Despite the major commitment of and Herat, Malteser International has 25 projects, with the support of the United the international community to recon- successfully concluded its four-year Nations High Commissioner for Refugees struction and peace in Afghanistan, there structure promotion programme, suppor- (UNHCR). The programme also included are still many regions difficult to access ted by the German Federal Government: training people in workmanship and for the implementation of aid measures, eight schools, eleven health centres carrying out peace building measures. due to the difficult security situation. and the provincial hospital of Badghis Thousands of returning families are Malteser International is therefore have been constructed or renovated, still living in poor conditions, so the concentrating its aid on rural and isolated equipped with staff and provided with organisation once again provided winter areas, where the majority of the population management training. To improve the aid this year, funded by the Federal is living below the poverty line and has everyday knowledge of large sections of Foreign Office of Germany. Malteser little access to public infrastructures, the population in terms of hygiene and International also supported a day centre

ASIA 19 Cambodia

International staff: 5 National staff: 10 Aid for 100,000 people Malteser International has worked in Cambodia since 1993.

Thanks to comprehensive international aid, Cambodia is taking steps along the road to recovery, but decades of chaos and the fate of millions of victims who suffered under the Khmer Rouge regime are not easy to overcome or forget. There is still terrible poverty, particularly in the more remote regions. In 2006, Malteser Afghanistan: The women produce tomato sauce and International introduced a new mother- boiled vegetables which they sell at the market, thus child project to provide innovative ways of ensuring an income for their families. increasing the number of births handled by in Kabul for children who do not receive a midwife. Without the help of a midwife sufficient care from their families. Based in the village, birth complications often Cambodia: This young mother proudly presents the on the positive experiences of sustainable lead to the death of the child or the mother. health insurance for herself and her family. project approaches, particularly in villa- The project also allows the mothers in a ges, the organisation in 2007 will continue village to come together and learn about to focus on promoting self-help projects hygiene and other healthcare questions. and strengthening local capacities. As an incentive, the most active mother Dr. Ezmeray Azizi (29), a staff member receives help for cultivating vegetables. of Malteser International, was killed in an Her garden then serves as a model garden ambush in North-West Afghanistan on 12 for the other village residents. May 2006. He was in a UN vehicle on the Another project focuses on streng- way to Qala-e-Nau from Herat when it thening village self-help abilities in came under fire from rockets and machine relation to healthcare. The pilot scheme guns. The driver of the vehicle, a UNICEF – a community-based health insurance Cambodia: Midwives teach the mothers how colleague, was killed immediately. Dr. – has achieved its first success: 308 to use soap. Azizi, who was responsible for moni- families in four villages have organised toring ten health centres and a province for themselves community based health satisfied, as they profit directly from the hospital, was able to escape initially, but funds and have concluded agreements rise in the number of paying patients – succumbed to his injuries later. Nicolas de with the state healthcare services. By with the charges partially used to directly Cock de Rameyen, President of Malteser paying premiums, the funds are able to boost their low salaries. The number of International, expressed the condolences influence the quality of the work. For people with health insurance will rise of all at Malteser International: “We instance, their main priority has been to steadily in the coming years. mourn the passing of our colleague. Our extend the opening times of the health deepest sympathies go out to his family.” centres. The health workers are also

20 ASIA India Indonesia passed since the disaster. They include International staff: 4 International staff: 27 the Irula, a very small population living in National staff: 1 National staff: 28 straw huts and working for the fishermen Aid for 50,000 people Aid for 100,000 people on the coast of Tamil Nadu. They lost all Malteser International has worked in Malteser International has worked in their possessions in the tsunami. Together South India since 1989, and also in Indonesia since January 2005. with an Indian partner organisation, Gujarat since the 2001 earthquake. Malteser International was able to find Due to its geographical position, Indo- nesia is frequently hit by natural disasters such as earthquakes and seaquakes, floods or volcano eruptions. The effects of these disasters make poverty and suffering worse for those who are particularly vulnerable. Malteser International has been working in the areas around Sumatra affected by the tsunami since January 2005 and provided emergency and reconstruction aid after the major earthquake on the island of Java in May 2006. To ensure the sustainable rehabilitation of the coastal area around the city of Lhokseumawe, destroyed by the tsunami, those affected by the disaster were included from the start when measures were being planned via cooperation with the village committees. Around 500 houses have now been built in the villages India: The Irula use bricks to plan the layout of their new houses. of Jambo Timu and Lancok, with a further 40 currently under construction. The The Indian economy is growing and land for 150 families, on which safe, construction project is being accompanied India is increasingly seen in Europe as small houses are now being built. The by an integrated community rehabilitation a modern, upcoming economic power. organisation is also supporting families, However, those outside the major cities particularly women, in their search for are experiencing little of this boom. Every work to secure their income and provide third Indian – i.e. more than 300 million for their children. people – is living in absolute poverty. It is In addition to natural disasters, AIDS the ‘Dalit’, the ‘untouchables’ of the old poses an increasing threat to the health Indian caste system, and the ‘Adivasi’, of the poorest people. Young girls are the original residents of India, who are being forced into prostitution, young men being particularly excluded from society, leave their home as migrant labourers, living on the fringes without any rights or get infected and spread the HI virus to protection. their families. In the future, Malteser In the second year after the devastating International in India will focus even Indonesia: Malteser International provides medical tsunami in 2004, the search for further more intensively on providing in- care for the victims of the earthquake on Java. forgotten victims was a priority: families formation about the virus and its risks, who have received far too little help or and fighting for more humane treatment none, although more than 12 months have of those affected.

ASIA 21 Iraq

Aid for 1,200 people Malteser International has worked in Iraq since 1995.

The continuing violence has led to one of the largest refugee movements in the history of this region. Estimates

Indonesia: indicate that over 60,000 civilians have Malteser Inter- been killed in Iraq since 2003 – some say national ran a 650,000. The aggressive spiral shows no field hospital for three months af- sign of coming to an end, with its mixture ter the earthqua- of denominational, ethnic and general

Birgit Betzelt ke in Yogyakarta. violence. Those who can, flee. 500,000 Iraqis were driven out by the violence INCOME-GENERATING MEASURES in 2006 and more and more people are Poor families across the world want to find work for themselves and live on their own fleeing to the neighbouring countries of income, rather than receive alms. There is a crisis in terms of regularly paid work, which is Syria, Jordan and Turkey. hard to find in many poor countries. Malteser International is therefore running training As no international personnel can be courses that teach basic financial knowledge and then offer the participants small loans sent into Iraq, given the security situation so they can start their own small business or provide a service. Many invest this starting and the major risk of kidnapping, Malteser capital in a sales or market stall, or a movable flat table, or cages for fish farming, or International has been working with Iraqi tools. If the new business is well planned and organised, most borrowers can pay back and Turkish partners on several projects their small loans very quickly. The capital is then available again to help the next since 2003. In 2006, the aid focussed on small business. supporting a health centre in Karamless in North Iraq and supporting socially weak programme. This also includes small loans Iran families. This work continues in 2007. to generate new income possibilities. Aid for 300 people There are also plans for further medical In the province of Aceh, Malteser Malteser International has worked in programmes for internally displaced International is working on the intro- Iran from 2004 to 2006. persons in Iraq and for refugees outside duction of an electronic healthcare in- the country’s borders. formation system, in cooperation with A major earthquake shook the desert the GTZ (Community for Technical city of Bam in southern Iran in December Cooperation, Germany). Training the 2003. Once emergency aid measures en- medical staff in electronic data collection ded, Malteser International took control will ensure the statistical registration of the construction of a primary school in of medical data on a long-term basis, Bharavat, in cooperation with Diakonie improving healthcare provision for the Katastrophenhilfe. Construction of the population as a whole. school was successfully concluded in After the major earthquake in Yogya- August 2006 and the school was handed karta, Malteser International ran a field over to the city of Bam. 130 girls happily hospital for three months. As a follow-up attend school under good conditions to the acute emergency phase, earthquake again. victims are still being treated in co- Iraq: Malteser International provides the health centre operation with local partners. Without in Karamless with medicine. the correct operations and treatment, these victims would have to live with permanent disabilities. This cooperation continues in 2007.

22 ASIA Lebanon being implemented in three programme MOBILE CLINIC Malteser International supports the locations. In addition to improving Mobile clinics are fully-equipped health work of the Lebanese Association of access to primary healthcare services centres on wheels, travelling regularly the Order of Malta and its ten health and battling against malaria, tuberculosis to remote or hard-to-access villages centres. and HIV/AIDS, these projects aim to to provide medical care for those who Malteser International has been ensure the provision of clean water have little access to healthcare facilities. engaged in Lebanon since 2006. and functioning sanitary facilities. A Mobile clinics also ensure that supplies new community-orientated disaster pre- are provided in regions where existing On 12 July 2006, a commando from the vention project was started in 2006 in the health centres have been destroyed by Shiite Hezbollah militia kidnapped two coastal areas of Rhakine State, which are war or natural disasters and are no Israeli soldiers from a tank involved in a particularly vulnerable to disasters. longer functional. skirmish on the Lebanon / Israel border. This kidnapping triggered a new Lebanon supplies were provided very quickly. The war that lasted for 34 days. More than Lebanese Association also ran mobile a quarter of the Lebanese population of clinic units in the south of the country to four million was driven out in this period. cover the increased need for medical aid. 916,000 people from the south of the In August and November 2006, a country fled to relatives, onto the streets, Malteser International team travelled into parks, schools and official buildings; to Lebanon to coordinate the aid efforts very few fled abroad. together with the Lebanese Association of The international network of the Order the Order of Malta. Myanmar: ‘Growth Monitoring Day‘: Malteser Inter- of Malta and Malteser International national regularly checks the children‘s weight and provided immediate aid for the Lebanese Myanmar general health to combat the high child mortality rate. Association and were able to help International staff: 14 reduce the suffering of those involved. National staff: 128 WATER, SANITATION Two of the ten health centres run by the Aid for 820,000 people AND HYGIENE Lebanese Association were destroyed. In Malteser International has worked in The most cost-efficient method of the remaining centres, the staff worked Myanmar since 2001. preventing infectious diseases is the round the clock to provide sufficient provision of clean water, sanitary facilities medical care for the internally displaced Despite the very limited scope for and hygiene equipment. In the context of population. Thanks to generous donations, action for humanitarian aid in Myanmar, poverty, each person must have access to urgently needed medicine and medical the country was once again one of the a minimum of 15 litres of clean water a focal points of Malteser International’s day. Access to sanitary facilities – latrines, work in Asia in 2006. Lack of access bathrooms, washing facilities – is just to clean drinking water and primary as important as soap and toothbrushes. healthcare services, a shockingly high Waste and sewage water must also be child mortality rate, high levels of poverty removed to prevent the outbreak of and malnutrition amongst the population dangerous diarrhoea infections. and the rapid spread of infectious diseases Today, one billion people across the world such as malaria, tuberculosis and HIV/ have no access to clean water and 2.6 AIDS are all part of the crisis in Myanmar billion people have no access to sanitary – and the public as a whole knows little facilities. 6,000 children die each day Lebanon: Staff at the Imam-Sadr Foundation receive about it. from diarrhoea infections, which could medicine for the internally displaced persons. Malteser International has been active have been avoided through very simple in the healthcare sector in Myanmar since actions. 2001. Using an integrated programme approach, the organisation has tried to counter the steadily worsening disaster in humanitarian terms. Ten projects are

ASIA 23 1 1 1 6 1 6 4 9 6 2 1 4 1 1 2 1 1 1 11 18 15 24 18 No. of No. Projects

SEAMEO, SEAMEO, GTZ Karen Refugee local authorities, local authorities,

National Partner Organisations National Partner Provincial health department of Kuando Kubango Local and national health authorities, local partner organisations Nairobi Ministry of Health, Kenyan NCC, St. AMREF, Health Management Board, Hospital Mary’s Ministry of Health Diocese of Rumbek, in Darfur Maracha Hospital municipal Health and school authorities, Afghan non-governmental councils and organisations Provincial health and school authorities, Cambodian Health and Human Rights village communities Alliance, HOM, Indian partner organisations: Trivandrum, MSSS Diocese of CHAI, Little Flower DEEDS, KIDS, Sahayi, Venture Dicocese of Kottar, Convent, Trust, Bharati Muhil, Vaan Trust, Sisters of Ekklavia Foundation, Unnati BSC, Destitute, village Local and national authorities, committees village Local health authorities, communities International Blue Crescent, and Development Conservation Palas Federation, Aid International Partner and other Water buddhist / buddhist community Help for the Dioceses, monasteries, Assessments, Centre for Social Children, District Development Trincomalee Caritas, Association, Local authorities, Salawin group, Committee, SAN Unions in local communities Women’s DED and districts, Katastrophenhilfe Diakonie International Blue Crescent (Turkey), Mostakbal Development Foundation (Iraq), Cooperation and Cultural Turkemeneli (Iraq) Foundation International Blue Crescent International Blue Crescent Local partner organisations Local partner organisations Ajutor Maltez în România, Serviciul de Magyar Máltai Szeretetszolgálat, Malteska dobrotvorna organizacija Jugoslavije Catholic Charities Malteser USA, Together Rebuilding Services,

own , own , / staff donations /

Langenscheidt KG, Langenscheidt KG,

/ private donations private / own resources

Donors / Cooperation Partners Cooperation / Donors own UNHCR, EuropeAid, donations private / resources OCHA, FAO, UNICEF, AA, ECHO, Fund, Pooled EuropeAid, WFP, resources donations private / Own resources International, Pathfinder ADA, BMZ, donations private / own resources UNICEF, DAHW, AA, ECHO, BMZ, Global STI, WHO, NiN, ADH, CHF, own UNFPA, WfP, KfWH, UNDP, Fund, donations private / resources PMK, AA, UNHCR, BMZ (KfW and CIM), Associations of Australian British and Afghanistan Hilfe the Order of Malta, Malteser Moers Paderborn, Australian Canadian and BMZ, own USAID via CARE, government, donations private / resources Malteser Paderborn KPMG, ADH, ZF Hilft e.V., WHO, UNICEF, ADH, Happy Digits, KfW, / BMZ via GITEC AG, Faber-Castell Trier Malteser UNDP, GTZ, donations private / resources ADH, BMZ, EuropeAid, DG ECHO, UNICEF, WHO, WFP, UNAIDS, UNDP, private / own resources UNODC, donations ADH, Deutsche Bank, Canadian Liebherr-Stiftung, Association of the Order Malta, Aid International, Partner own e.V., O.S.T. ECHO, AA, donations private / resources Osthessen hilft BILD hilft e.V., ADH, Südasien, FC Bayern Hilfe Serendib Stiftung, Die kleinen Patienten UNICEF, e.V., Caritas Galle and Colombo, e.V., Malteser Archbishopric of Mainz, Muenster and Cologne, Augsburg, private / own resources Traunstein, donations own ADH, DG ECHO, donations private / resources AA. Child Foundation, World BMZ, donations private / Own resources donations private / Own resources Associations of the Order Malta, donations private / own resources donations private / Own resources UNHCR UNHCR donations private / own resources AA, CARE International Germany, ADH, donations private / own resources ,000 EUR 9,800 EUR 4 Mio. EUR 4 Mio. EUR 2 Mio. 17,500 EUR 35,000 EUR 51,000 EUR 94,000 EUR 234,000 EUR 410,000 EUR 322,000 EUR 993,000 EUR 166,000 EUR 175,000 EUR 448,800 EUR 261,000 EUR 216,000 EUR regional office 1,691,000 EUR 1,224,000 EUR 3,395 1,380,000 EUR 2,082,000 EUR 1,796,000 EUR 54,000 EUR (incl. 54,000 EUR (incl. support Office Arua) support Office Kampala and logistic Programme Volume Volume Programme up) (rounded , , Brief Description Provision of six health centres with medication and medical appliences basic and rehabilitation of and medical equipment for health facilities, training of medical staff and midwives advanced basic campaigns, vaccination Support of more than 350 health centres, food security in over 30 nutrition centres, training of staff, and advanced rehabilitation of health medical and psycho-social care for abused women, bridges) streets, facilities and infrastructure (source fittings, courses and income-generating measures for 2,500 people Training Improving the possibilities of diagnosis and treatment tuberculosis health education for the slum dwellers supporting home care, AIDS, / HIV sleeping sickness and malaria control programmes, leprosy, HIV, TB, basic and campaigns, vaccination mother-child-health, primary healthcare, training advanced home visits, Support for the nutrition unit in hospital of Maracha, aftercare of the patients operation of a New building of schools and health centres, / Reconstruction income-generating measures provincial hospital and eleven health centres, day-care for neglected children, promotion of women, for returnees, emergency relief in the winter school feeding, Strengthening of the community-based healthcare system, community-based health insurance mother-child-health, income-generating measures for more than 3,000 women Tsunami relief: community development programme for ten coastal and their families, psycho-social care for tsunami victims in 13 coastal villages, districts, repair of houses care for children and youth, school grants, medical aid, and schools; disaster control, New building of houses, Construction of houses in Gujarat: preschool programme for 1,200 children; medical aid Healthcare promotion Kaschmir: health and school, supply, water 500 houses, Rehabilitation of two villages: income-generating measures; community hall, improving construction of three health centres and two community halls, healthcare for UN the data collection of provincial health authorities, staff strengthening of AIDS, / TB and HIV Control of infectious diseases malaria, improving the access to clean community-based basic healthcare services, disaster control and sanitary facilities, drinking water equipment of households shelters, Construction of winter-proof medical emergency relief, Construction of 650 emergency shelters, supply, water reconstruction of 700 houses, distribution of drinking water, psycho-social reconstruction of homes for children and disabled people, income-generating measures care and training, supply for refugees, healthcare and water Refugee camp in the North-West: AIDS orphans; help for supply water rehabilitation of houses, Thailand: Tsunami relief in southern income-generating psycho-social care, healthcare, disposal, and sewage measures food and income situation of the poor Improving the basic health, emergency relief after typhoon ethnic minorities, Construction of primary girls’ school Khadije construction of distribution systems, Construction of wells and water co-financing of medical staff training centre, provision of medicine and supply goods Support of health centres, Centre for 240 mentally disabled children care for returnees Income-generating measures, shelters Construction of winter-proof construction and operating of Emergency aid with hygiene items and food; supply) water support of rehabilitation (houses, emergency shelters, rehabilitation of living space programme, Home renovation

Help on the spot – worldwide. – Project overview 2006 (extract) – Project Help on the spot – worldwide. Programme Focus Programme Basic healthcare psycho-social care, Healthcare, rehabilitation, food security, infrastructure reduction Poverty Healthcare rehabilitation Healthcare, Healthcare rehabilitation, Emergency relief, care for children and Healthcare, reintegration of returnees youth, Healthcare Rehabilitation and development, emergency relief development and Rehabilitation, medical emergency healthcare, on Java) relief (earthquake Development oriented emergency and transitional aid water in the fields of healthcare, sanitary facilities and supply, disaster control Emergency relief in Northern (earthquake Pakistan) Emergency relief (tsunami), development, rehabilitation, psycho-social care support for refugees, Healthcare, emergency relief (tsunami) and rehabilitation reduction, Poverty emergency relief Rehabilitation Emergency relief and rehabilitation Emergency relief Rehabilitation Structural aid Structural aid Support of flood relief national Malteser partner organisations Rehabilitation

24 PROJECT OVERVIEW 1 1 1 6 1 6 4 9 6 2 1 4 1 1 2 1 1 1 11 18 15 24 18 No. of No. Projects

SEAMEO, SEAMEO, GTZ Karen Refugee local authorities, local authorities,

Langenscheidt KG, Langenscheidt KG, Asian Ministries of Education Organisation (Thailand) South-East AIDS / Joint United Nations Programme on HIV United Nations Office on Drugs and Crime Fund United Nations Children’s United Nations High Commissioner for Refugees

United Nations Development Programme / private donations private / Health Organisation World Relief Organisation Technical German Mission Organisation for Children Papal India Sister Doctors Forum Programme Food World Agriculture Network (Thailand) Sustainable Institute Tropical Swiss own resources

PMK SAN SDFI SEAMEO STI THW UNAIDS UNDP UNODC UNHCR UNICEF WFP WHO Donors / Cooperation Partners Cooperation / Donors own UNHCR, EuropeAid, donations private / resources OCHA, FAO, UNICEF, AA, ECHO, Fund, Pooled EuropeAid, WFP, resources donations private / Own resources International, Pathfinder ADA, BMZ, donations private / own resources UNICEF, DAHW, AA, ECHO, BMZ, Global STI, WHO, NiN, ADH, CHF, own UNFPA, WfP, KfWH, UNDP, Fund, donations private / resources PMK, AA, UNHCR, BMZ (KfW and CIM), Associations of Australian British and Afghanistan Hilfe the Order of Malta, Malteser Moers Paderborn, Australian Canadian and BMZ, own USAID via CARE, government, donations private / resources Malteser Paderborn KPMG, ADH, ZF Hilft e.V., WHO, UNICEF, ADH, Happy Digits, KfW, / BMZ via GITEC AG, Faber-Castell Trier Malteser UNDP, GTZ, donations private / resources ADH, BMZ, EuropeAid, DG ECHO, UNICEF, WHO, WFP, UNAIDS, UNDP, private / own resources UNODC, donations ADH, Deutsche Bank, Canadian Liebherr-Stiftung, Association of the Order Malta, Aid International, Partner own e.V., O.S.T. ECHO, AA, donations private / resources Osthessen hilft BILD hilft e.V., ADH, Südasien, FC Bayern Hilfe Serendib Stiftung, Die kleinen Patienten UNICEF, e.V., Caritas Galle and Colombo, e.V., Malteser Archbishopric of Mainz, Muenster and Cologne, Augsburg, private / own resources Traunstein, donations own ADH, DG ECHO, donations private / resources AA. Child Foundation, World BMZ, donations private / Own resources donations private / Own resources Associations of the Order Malta, donations private / own resources donations private / Own resources UNHCR UNHCR donations private / own resources AA, CARE International Germany, ADH, donations private / own resources ,000 EUR 9,800 EUR 4 Mio. EUR 4 Mio. EUR 2 Mio. 17,500 EUR 35,000 EUR 51,000 EUR 94,000 EUR 234,000 EUR 410,000 EUR 322,000 EUR 993,000 EUR 166,000 EUR 175,000 EUR 448,800 EUR 261,000 EUR 216,000 EUR regional office 1,691,000 EUR 1,224,000 EUR 3,395 1,380,000 EUR 2,082,000 EUR 1,796,000 EUR 54,000 EUR (incl. 54,000 EUR (incl. support Office Arua) support Office Kampala and logistic Programme Volume Volume Programme up) (rounded , , Thüringen Landesbank Hessen Aktiengesellschaft Treuhand-Gesellschaft KPMG Deutsche Affairs Office for the Coordination of Humanitarian Health World Kids for Aid Department of the European Commission Humanitarian Malankara Social Service Society (India) Health for One Million (India) Integrated Development Society (India) Kottapuram Development Bank - KfW Banking Group Nairobi City Council (Kenya) Agriculture Organization and Food Cooperation (Germany) Technical Community for Nachbar in Not (Austria) Global Fund ECHO FAO GF GTZ HeLaBa HOM KIDS KfW KfWH KPMG MSSS NCC NiN OCHA Brief Description Provision of six health centres with medication and medical appliences basic and rehabilitation of and medical equipment for health facilities, training of medical staff and midwives advanced basic campaigns, vaccination Support of more than 350 health centres, food security in over 30 nutrition centres, training of staff, and advanced rehabilitation of health medical and psycho-social care for abused women, bridges) streets, facilities and infrastructure (source fittings, courses and income-generating measures for 2,500 people Training Improving the possibilities of diagnosis and treatment tuberculosis health education for the slum dwellers supporting home care, AIDS, / HIV sleeping sickness and malaria control programmes, leprosy, HIV, TB, basic and campaigns, vaccination mother-child-health, primary healthcare, training advanced home visits, Support for the nutrition unit in hospital of Maracha, aftercare of the patients operation of a New building of schools and health centres, / Reconstruction income-generating measures provincial hospital and eleven health centres, day-care for neglected children, promotion of women, for returnees, emergency relief in the winter school feeding, Strengthening of the community-based healthcare system, community-based health insurance mother-child-health, income-generating measures for more than 3,000 women Tsunami relief: community development programme for ten coastal and their families, psycho-social care for tsunami victims in 13 coastal villages, districts, repair of houses care for children and youth, school grants, medical aid, and schools; disaster control, New building of houses, Construction of houses in Gujarat: preschool programme for 1,200 children; medical aid Healthcare promotion Kaschmir: health and school, supply, water 500 houses, Rehabilitation of two villages: income-generating measures; community hall, improving construction of three health centres and two community halls, healthcare for UN the data collection of provincial health authorities, staff strengthening of AIDS, / TB and HIV Control of infectious diseases malaria, improving the access to clean community-based basic healthcare services, disaster control and sanitary facilities, drinking water equipment of households shelters, Construction of winter-proof medical emergency relief, Construction of 650 emergency shelters, supply, water reconstruction of 700 houses, distribution of drinking water, psycho-social reconstruction of homes for children and disabled people, income-generating measures care and training, supply for refugees, healthcare and water Refugee camp in the North-West: AIDS orphans; help for supply water rehabilitation of houses, Thailand: Tsunami relief in southern income-generating psycho-social care, healthcare, disposal, and sewage measures food and income situation of the poor Improving the basic health, emergency relief after typhoon ethnic minorities, Construction of primary girls’ school Khadije construction of distribution systems, Construction of wells and water co-financing of medical staff training centre, provision of medicine and supply goods Support of health centres, Centre for 240 mentally disabled children care for returnees Income-generating measures, shelters Construction of winter-proof construction and operating of Emergency aid with hygiene items and food; supply) water support of rehabilitation (houses, emergency shelters, rehabilitation of living space programme, Home renovation

Programme Focus Programme Basic healthcare psycho-social care, Healthcare, rehabilitation, food security, infrastructure reduction Poverty Healthcare rehabilitation Healthcare, Healthcare rehabilitation, Emergency relief, care for children and Healthcare, reintegration of returnees youth, Healthcare Rehabilitation and development, emergency relief development and Rehabilitation, medical emergency healthcare, on Java) relief (earthquake Development oriented emergency and transitional aid water in the fields of healthcare, sanitary facilities and supply, disaster control Emergency relief in Northern (earthquake Pakistan) Emergency relief (tsunami), development, rehabilitation, psycho-social care support for refugees, Healthcare, emergency relief (tsunami) and rehabilitation reduction, Poverty emergency relief Rehabilitation Emergency relief and rehabilitation Emergency relief Rehabilitation Structural aid Structural aid Support of flood relief national Malteser partner organisations Rehabilitation

Locations / Locations Regions / Luanda Kubango Kuando Kinshasa, Ariwara, Ituri / Mahagi South Kivu / Bukavu Woreda, Mandura Metekel Nairobi Khartoum, North Darfur, / Al Fashir Rumbek, Southern Sudan / Yei Maracha Provinces of Badghis Kapisa, Kabul, and Herat, Loghar and Parwan, Wardak / Samrong Oddar Meanchey province Nadu, Tamil States of Kashmir Gujarat, Kerala, Lhokseumawe, Medan, Phang Yangon, Sittwe & Kham, Yangon / Maungdaw Division Region) Shan State (Wa Rakhine State North- / Islamabad western border province, Kashmir Jammu Azad, Galle, Colombo, Trincomalee Mae Sariang District, Thailand Northern Phang Nga, Krabi, Southern Puket, Ranong, Thailand / Danang Provinces of Quang-Nam Central and Danang, Vietnam Bam Province of Kerman, Karamless, Kirkuk, villages in various Northern Iraq countrywide Izmit Livno, Banja Luka, Bihac, Mostar Travnik, Gjakova Ferizaj, New Orleans Country Angola DR Congo Ethiopia Kenya Sudan Uganda Afghanistan Cambodia India Indonesia Myanmar Pakistan Sri Lanka Thailand Vietnam Iran Iraq Lebanon Turkey Bosnia and Herzegovina Kosovo Hungary, Romania, Serbia USA African Medical Research Foundation Development Education Society (India) Association Relief Tuberculosis German Leprosy and Catholic Health Organisation of India Department for International Development (United Kingdom) Ministry of Economic Cooperation and Development Germany Federal Aktion Deutschland Hilft (Action Campaign Germany Helps) Agency Austrian Development German Development Service Centre for International Migration and Development Common Humanitarian Fund Sudan Education Service (India) Xaviers Non-Formal St. Office of Germany Foreign Federal Region Africa Asia Middle East Europe Balkans Middle- and Eastern Europe America AA ADA ADH AMREF BMZ BSC CHAI CIM CHF DAHW DED DEEDS DFID

PROJECT OVERVIEW 25 Sri Lanka Although the staff sometimes faced Malteser International distributed difficulties in accessing the project winter-proof shelters and household International staff: 15 regions over the past year, the particularly articles immediately after the earthquake, National staff: 47 considerate and transparent behaviour and helping 20,000 people. The work then Aid for 275,000 people actions of the project teams have made focused on sustainable improvement of Malteser International has worked in significant improvements possible to the the living situation for those affected: Sri Lanka since January 2005. situation of the most vulnerable population families who had lost their entire groups: the women and children. crops were given suitable seeds for the In Sri Lanka, Malteser International mountainous location. The resultant crops has continued with the reconstruction of meant that not only could they provide houses and the rehabilitation of the water for themselves, but also gain new seeds. supply and the sewage treatment, despite Pakistan Malteser International also supported the the tense security situation. Even though International staff: 5 people in nine villages as they repaired the the conflicting parties are formally National staff: 12 damaged drinking water supply system. obeying the ceasefire, conditions remain Aid for 50,000 people Emergency aid was required once again close to civil war, despite international Malteser International has worked in in the second winter after the earthquake mediation initiatives. Conditions are Pakistan since the earthquake on for families most in need. They were given 8 October 2005. household items and gas cookers. Mobile medical teams provided free treatment for On the day of the earthquake on 8 patients in a mountain valley. Treatment October 2005, hundreds of thousands of focused particularly on women and people lost their livelihoods and members children with chronic respiratory diseases. of their families. Pakistan is still trying Work also started on the reconstruction of to cope with the consequences. A return two damaged rural primary health centres to normality was made more difficult and on the construction and development because so many buildings had been of a transfer system to hospitals and utterly destroyed and it was hard to reach medical consultants. A further project for those in need in the mountain regions. disaster prevention will improve the self- Repeated landslides made the situation help capacities of the population in case worse. of future natural disasters.

Sri Lanka: With the support of Malteser International, more than 3,000 of the families most affected by the tsunami have built their own tanks to collect rainwater.

particularly bad in the north-east and east of the country and it is barely possible to bring any aid to the north. Hundreds of thousands of the inhabitants have been displaced, with many being looked after in camps. Across the country, the security situation has come to a head as a result of attacks and assassination attempts – mainly long-range bombs or suicide bombers – on politicians and military convoys, as well as the kidnapping of young men. In particular, the cold- Pakistan: Malteser International runs mobile clinics to look after the patients in the earthquake region.

26 ASIA Thailand blooded attack on the aid organisation PSYCHO-SOCIAL CARE ‘Action contre la Faim’ in Muttur, which International staff: 10 Care covers both psychological and social left 17 Sri Lankan colleagues dead, has National staff: 42 support for individuals or communities highlighted the tense working conditions Aid for 50,000 people to improve mental health. Helping for relief organisations in the north-east. Malteser International has worked in people in crisis by providing pastoral Nevertheless, Malteser International has Thailand since 1979. or psychological advice or bringing managed to continue and further expand family members together are all part of its programmes in cooperation with Sri In Thailand, 2006 was moulded by the activities. Social support focuses in Lankan partner organisations. There have political changes. Amongst many of the particular on the social needs relating to only been problems in one project area in social classes, increasing dissatisfaction life in general, e.g. help finding a home, the north-east, where reconstruction and with the government led to weeks of provision of medical aid, support when other relief projects had to be stopped peaceful mass demonstrations and then, in looking for a job or going to school. temporarily and relocated to another September 2006, to a military coup. There Providing psycho-social care to help region. Otherwise, the projects in the were also many more terrorist attacks in coping with trauma after disasters east have continued, particularly the the southern province, which spread to usually includes both advice and creative construction of homes, despite occasional other parts of the country. Fortunately, the measures to release tension. Mental curfews. Malteser International has also work of Malteser International was never problems or illnesses are perceived and begun new projects for drinking water put at risk by these developments. classified very differently in various supply and hygiene information in the In northwest Thailand, the organisation cultures, so their treatment must also east, south and south-east of the country, continued its primary healthcare project be different. working with Sri Lankan government for 32,000 people and refugees from agencies, non-governmental organisations Myanmar. The importance of this work and UNICEF. Large areas of the country is emphasised by the fact that in the year The number of children in Thailand who are still without a continuous drinking 2006, 3,000 new refugees have sought have lost their parents to AIDS continues water supply and sewage water treatment help in the two camps supported by to grow. In the poor mountain villages – above and beyond the damage caused Malteser International. Having arrived of the Mae Sariang district, Malteser by the tsunami. Malteser International utterly exhausted at the camps, they International is currently looking after is continuing its efforts to develop sought protection from attacks and human 93 orphans; their care is supported by a local structures and provide hygiene rights violations, and were given medical grant. information, particularly in schools. treatment. As before, another crucial focus in Thailand is dealing with the consequences of the tsunami. Some areas in the south recovered relatively quickly after the disaster. However, many groups, particularly those belonging to ethnic minorities and Muslims, are still suffering as the result of the loss of their livelihoods. Many young people are still traumatised and receiving aid from Malteser International via a diversified aid and rehabilitation programme.

Thailand: In the past year alone, 3,000 refugees from Myanmar arrived at the two camps in northern Thailand, supported by Malteser International.

ASIA 27 Turkey Vietnam The project implemented by Malteser Aid for 240 mentally disabled child- National staff: 5 International to combat poverty is coping ren and their families. Aid for 20,000 people with these problems. Project partners Malteser International has worked in Malteser International has worked in are participating in training sessions that Turkey since the earthquake in 1999. Vietnam since 1966. show how to better motivate the local populations to take part in projects. The In 2006, Malteser International wound In Vietnam, the discrepancy between organisation is also using demonstration up its support of the centre for mentally the living conditions of those in the urban business start-up courses. Training disabled children in Izmit, the former centres and the ethnic minorities in the measures in the fields of nutrition, health earthquake area. The project was car- mountain regions is particularly severe. and hygiene are improving the health ried out in cooperation with the Turkish Almost all the mountain village residents situation in the country. partner, International Blue Crescent. Ser- have lost their land due to relocation At the start of October 2006, Hurricane ving as a model in Turkey, the project and therefore the ability to support Xangsane inflicted terrible damage on supports individual training measures themselves. In addition, they know little the project area. Thanks to the financial and movement therapies for 240 children about maintaining good health and have support of the Federal Foreign Office of with disabilities, easing the lives of the insufficient access to state healthcare Germany, Malteser International was able children and their parents. services. As civil society has made little to provide help quickly, distributing food, impression on the rural regions, people blankets and corrugated iron for house there have little interest in participating repairs to 1,360 families. in development measures at village or district level.

Turkey: In cooperation with its Turkish partner organisation, Malteser International supports a centre for mentally disabled children.

Vietnam: Malteser International distributes food and blankets to those who have lost everything in Hurricane Xangsane.

28 ASIA ON THE SPOT: THAILAND

”Life is a daily battle“ A grant enables AIDS orphans to go to school and helps their families survive

maths and English. Her grandparents believe it is important that she receives a good education. “If she gets a good job, she might be able to support my wife and me sometime in the future,” her grandfather says hopefully. The consequences of AIDS are turning family relations upside down in the region around the border with Myanmar. The middle generation that normally looks after the old parents and small children is missing in many families. Responsibility passes to the oldest generation – people who are often ill and fragile. As a parting gift, Pawinee’s grandfather Trauerfeier am 26. Dezember 2005 zum Gedenken an die Opfer des Tsunami. gives us a bag that his wife has woven. It takes one to two weeks to finish one Many families live in simple bamboo huts. of these bags with the traditional designs. We have to clamber up a steep hill to the equivalent of EUR 144 a year to Sometimes she can earn a little money visit Pawinee and her family. Only the pay for Pawinee’s school fees, uniform, by selling them. The family has so little poor live in the bamboo huts of Mae books, pens and food. 93 children in the and yet still wants to share everything. Sariang in northwest Thailand. Pawinee’s mountain village of northwest Thailand “Your visit to us was a gift from God,” family is poor. They couldn’t afford a are currently receiving a grant. They have the grandfather calls out as we make our house in the valley. all lost one or both parents to AIDS. Most way back down the hill. Pawinee is ten years old. She lives of them live with their grandparents, Katrin Rehfuss with her grandparents, aunt and uncle. who can barely cope with this additional Her mother died six years ago, her father burden. eight years ago. Both had AIDS. Her Pawinee wants to be a teacher. She does grandfather tells us how difficult it was well at school and works hard. Every to keep the family going. Throughout his afternoon from four to six, after normal story, he chews thoughtfully on a betel lessons, she goes to a special class for nut. He repeatedly wipes away the red juice from his mouth, in which the front teeth are missing. Both grandparents work as day labourers. The grandmother sells vegetables at the market, the grandfather carries wood or does construction work: “I do everything that‘s on offer,” he says. He earns 120 baht for a day’s work (about EUR 2.50). But he doesn’t find work every day. He is only 50, but looks much older. His cares and worries are written all over his face. “Life is a daily battle,” Pawinee is happy about her grant from Malteser he says, with great sadness. International. To alleviate the battle, Malteser Inter- national is supporting Pawinee and her As a day labourer Pawinee’s grandfather earns family with a small grant. They receive too little money to pay for her schooling.

ASIA 29 ON THE SPOT: LEBANON

Helping without becoming a political tool Taking stock after the war in Lebanon

Little Hassan is a war baby and his birth would have been pretty hazardous without our help: “When I arrived in the refugee camp that day, his mother was already in labour, everything was chaotic and dirty and there was no-one to help,” Sister Sylvie Toison says. She and her team look after 1,000 internally displaced persons – almost exclusively women and children – in three schools on the outskirts of Beirut. They visit them, provide them with medicine, install showers, wash the children and hand out crucial items such as soap and delousing agents. “Half of the BU refugees have chronic illnesses such as diabetes and high blood pressure,” Sister Sylvie says. Some illnesses have become worse through stress. “If the war had lasted any longer, we wouldn’t have had any medicine left.” But improvement is in sight on this Monday: six and a half tons of medicine, collected and sent by the French Association of the Order of Malta, are just awaiting customs clearance. And Hassan’s mother has returned home with her baby and her three other children – to a village in the south of Lebanon in which, according to reports, not a single house still stands. Two hours later we are sitting in the Sister Sylvie Toison cared for 1,000 internally displaced persons. town hall of the Beirut suburb of Ghobeiry, guests of a mayor who, according to our impartiality and independence applies left of his former balcony. “All I managed Lebanese partner, is one of the most to him as it does to all humanitarian to rescue was a lampshade – everything important Hezbollah leaders in the area. organisations. Those in need will be given else was destroyed.” Hezbollah have The Hezbollah officials give us tea and aid – as long as no-one is made the tool of placed red placards on the rubble. They sweets, complain about the effects of the a political party. read “Made in America” – with the war on the residents of their city and ask While the mayor leaves to attend the slogan: “The Heavenly Victory”. us for support. burial of a Hezbollah fighter, his brother Later, during supper, the director of The director of the Lebanese Foundation drives us through the suburbs to the worst the Lebanese Foundation of the Order of of the Order of Malta listens patiently. For devastated areas. Whole streets lie in Malta says to us: “What we saw today is him, such visits are necessary if his people ashes and rubble. As I stand at the edge of nothing in comparison to what we will are to continue working in areas with a aruin, a car stops next to me: “That was see tomorrow in southern Lebanon.” Shiite population – and the principle of my home – on the sixth floor,” the driver Stefan Dold says and points to a rail that is all that is

30 ASIA ON THE SPOT: INDIA

Learning that the floods are a thing of the past Aid for those traumatised by the tsunami

Vahini used to read the Holy Scriptures in the temple, while the people prayed to God. Today, Vahini doesn’t read any more. When the tsunami came, she was sitting on the floor in the temple of Alappad. “I heard people outside shouting. I went out and saw everyone running.” Then the water came. For Vahini, the tsunami is far from over. She is still afraid today. When she talks, it is as if the wave had just rushed through her village Alappad; as if, before her very eyes, the 150 people were perishing in the water and the 2,000 houses – including Gunnar Rechenburg her own – destroyed for the first time. Talking to the voluntary community workers helped Vahini to gain new courage in life. Vahini’s face looks like a mask, her eyes are often closed. Whatever she is shortly after the tsunami struck, to train seeing behind them, she does not tell aid workers for psychological work anyone. Her hands, wrinkled from work, with traumatised tsunami victims, in are always moving, always trying to hang cooperation with the Indian organisation on to something. Vahini is 44 years old. DEEDS and the local initiative Sahayi. She looks much older. “At first, it was very difficult to even When the water came, she ran. make contact with Vahini,” Hajitha says. Someone pulled her into a boat and she The traumatised woman did not want watched , helpless, as her house collapsed to see anyone, could not talk about the under the weight of the water. When the tsunami. It took all the persuasive skills flood retreated, someone brought her to a of her husband to convince her that the refugee camp. community workers could really help. Today, Vahini sits in the shadow of a At last they were able to win Vahini’s palm tree grove by the lagoon. She and trust. “She was suffering from severe her family have been given a new house depression, plus hypochondria,” Subhaka Gunnar Rechenburg by the government, exactly where her old says. The pain and paralysis lasted for It took a long time before Vahini and her husband house was. The new home, the sun, the months. “When we found out that all her were able to go to the coast again. shadow under the palm trees – idyllic. But physical symptoms were psychosomatic needs, as her husband Sayeew has been Vahini sees water, ruined houses, bodies. in nature, we tried to work on that,” unable to earn money since the tsunami. The fisherman’s wife has spent weeks Hajitha says. “For example, at our first “My wife was so ill I couldn’t leave her in various hospitals in the region. She meeting, Vahini said she was sorry not to alone for a minute,” the fisherman says. was admitted with symptoms of paralysis be able to offer us anything, that she was The three community workers helping and pains. Again and again. Finally a paralysed and couldn’t walk or move her Vahini agree that the treatment and her specialist clinic made the right diagnosis: hands. At our next meeting, we simply contribution to the subsistence of her trauma. Vahini has been undergoing asked for a cup of tea – she didn’t need to family are immensely important for her: psychological treatment since April think about it and just did it.” “She has to participate in life again. Only 2005. Three voluntary Community Level For a few weeks now, Vahini has been then can she come to terms with the fact Workers (CLW) visit her regularly: participating in an income generating that the tsunami is a thing of the past.” Hajitha, Subhaka and Sridevi. As part of initiative as part of her treatment, earning Gunnar Rechenburg an extensive psycho-social aid project, money by producing and selling soda Malteser International began work water – money that her family urgently

ASIA 31 32 19 18 Together for a better future EUROPE DATA COUNTRIES The reorganisation after the collapse of the former federal state of International staff: 18 Balkans Yugoslavia has still not reached its conclusion. Serbia and Montene- 34 19 Romania gro have been separated; the federal diversity of Bosnia and Her- National staff: zegovina is still unproven and the future status of Kosovo remains 455 open. Irrespective of the political path taken and yet to be taken by Aid for the successor states, with the exception of Slovenia, they all remain 4.7 million people united bound in a deep social and economic crisis today.

Balkans Malteser International extended its project Because the economy in the newest National staff: 21 region there in 1999, opening offices in successor states of former Yugoslavia is Aid for 2,650 people Ferizaj and Gjakova. developing fairly slowly, there is still a Malteser International has worked in All these projects focused on helping need for existence-promoting measures. the Balkans from 1995 to 2007. the people in the region to build a new, However, the project regions have grown peaceful life after the years of bloody beyond needing emergency measures Malteser International began its conflict and displacement. Malteser and post-war aid. The European Union work in the Balkans 12 years ago with International organised convoys for the re- is already negotiating with Croatia about the distribution of hygiene and food turning refugees, arranged and distributed accession, while Bosnia, Herzegovina packages. Since then, the organisation has financial aid for reintegration and pro- and Serbia are also being considered been active in Bosnia and Herzegovina, vided winter-proof accommodation. It as potential acceding countries. With Croatia, Kosovo, Serbia and Macedonia. also supported returnees as they set up this in mind and because it is becoming The first office of Malteser International small businesses and service industries. increasingly difficult to get third-party in Banja Luka operated from January to The beneficiaries promised to donate part funds for projects in the Balkans, Malteser May 1995, but had to close due to the of their first year’s income to social and International has ended its own project war. The Dayton Peace Agreement in community projects, which also promoted work in the region. The last project was November 1995 laid the groundwork for the development of a civil society and concluded on 21 December 2006 and the long-term commitment and sustainable democratic structures. Since 2000, more last office in Banja Luka was closed at the reconstruction measures. In May 1996, than 700 individual projects have been set end of March 2007. However, this does Malteser International returned to Banja up in this way in Bosnia alone, reaching not mean that Malteser International is Luka. Further projects were soon started more than 3,500 people through family or abandoning the region. Quite the opposite: in Bosnia (Bihac, Travnik, Livno, Mostar, neighbourhood networks over the last six well-organised national Malteser relief Trebinje and Sarajevo) and Macedonia years. agencies have already been working (Skopje). When the war ended in Kosovo,

EUROPE 33 in Serbia and Albania in recent years. The predominantly voluntary “Malteser Auslandsdienst” (Foreign Aid Service of Malteser Germany) is supporting these local relief agencies and is involved with numerous other social and medical projects run by other officials and initiatives. Malteser International is also continuing to support an old people’s home in Boka, Serbia. Thanks to this support, urgently needed renovation work could be carried out there in 2006. The projects implemented by Malteser International and now run by local cooperation partners will remain in place. This includes the ‘Bosnian-Herzegovina Women’s Initiative’ (BHWI) foundation, set up in 2002 to run projects especially Bosnia and Herzegovina: Farmers using their new machine they received from Malteser International. for women. In Kosovo, the former Malteser project leader is continuing with the construction of winter-proof accommodation on behalf of the UNHCR. With the conclusion of its project work, Malteser International must also bid fare- well to many colleagues, some of whom have worked with the organisation for years – Malteser International would like to take this opportunity to express sincere gratitude for their commitment. Up to 20 colleagues worked in seven locations. Former country coordinator Alisa Grabus remains in the Malteser family and is now working in Islamabad, Pakistan. She has followed in the footsteps of Vesna Bukvic from Serbia, who has already been working for Malteser International for the past two years in Myanmar. Bosnia and Herzegovina: Thanks to a micro-credit this carpenter could restart his business.

34 EUROPE Central and Eastern Europe

Flood aid in Romania and neighbouring Serbia and Hungary

Aid for 2,600 people Malteser International has been providing emergency and reconstruction aid in the region since the flood disaster of 2005.

Partnership cooperation between the national Malteser relief organisations and other agencies in charge of medical and social projects in Central and Eastern Europe at both local and national level is the responsibility of the “Malteser Romania: Care packages including blankets and food Romania: The relief goods were brought to families Auslandsdienst” (Foreign Aid Service helped the victims of the flood to get through the first by boat. days. of Malteser Germany). Malteser Inter- national only acts in these countries if purchased as emergency accommodation Following the provision of emergency the national associations of the Order of for families particularly badly affected accommodation, the Romanian Malteser Malta or relief agencies support acute by the flood. These were erected in the relief service managed to provide emergencies or disasters. This was the project area and the families were treated emergency and reconstruction aid in the case in 2006 after the flood disasters in on-site by Malteser staff. In this way, the affected areas, thanks to further support Romania, Hungary and Serbia. families were able to survive until new from Malteser International and generous The Romanian Malteser relief agency homes could be found for them. private and corporate donations. Houses SAMR had already provided flood aid “The people we are helping here are and entire villages were rebuilt in the through various projects in 2005. When mainly elderly people. It’s particularly Tulcea district, some in places different storms and floods once again threatened difficult for them to leave their homes from before, to avoid the risk of renewed the population of Romania in April and start all over again,” Zsuzsa Barla, flooding. A daily water supply for the 2006, SAMR discovered in discussions Secretary General of SAMR, explains. relocated villages was also ensured. with local authorities that there was Working with the Tulcea prefecture, Corporate donations of over EUR 50,000 a particularly high need for aid in the SAMR had already distributed 300 care made it possible to construct seven wells project region in the district of Tulcea in packages of rubber boots, raincoats, in four villages. the Danube delta. Mainly populated by blankets and food in an instant campaign The local Malteser relief services in elderly people, the villages had been 90 after the disaster occurred. the neighbouring countries of Hungary percent submerged by the flood. Providing the flood-damaged families and Serbia – also affected by the disaster With the financial support of the Federal with tents and camp beds was top priority – provided local flood relief. Malteser Foreign Office of Germany and Malteser for the affected communities. The International supported their work with a International, tents and camp beds were emergency accommodation served as vital total of EUR 15,000. ‘protective huts’ for the flood victims once the acute phase had passed. Supported by the Federal Foreign Office of Germany, the flood aid project provoked high media interest both at home and abroad.

EUROPE 35 36 AMERIKA 1 Reconstruction after the storm

Traces of the destruction across the entire US Gulf Coast left in the wake of Hurricane Katrina in August 2005 are still visible AMERICA DATA COUNTRIES nearly two years on from the disaster. Only about half the resi- International staff: 1 USA dents of New Orleans have returned to their city, which was left 1 almost entirely under water after the hurricane passed. As before, Aid for 1,500 people people are battling with fundamental problems, such as the lack of affordable living space, overcrowded schools and weakened Malteser International has worked in New Orleans since 2005. public healthcare.

Malteser International and the three US “The volunteers’ motivation was limitless. American Associations of the Order of Cooperation with the church parishes Malta have been working with two partner resulted in close contact with the affected organisations in New Orleans on a house families. Reducing their pain and distress renovation programme, enabling socially was a huge gift for all those involved,” weak families to return to their homes declared Ozzy Marcenaro, project co- in the districts of Treme and Gentilly. ordinator from Malteser International, During the year after the disaster, over looking back over his experiences after

900 volunteers helped make houses badly the project ended in April 2007. Falser Michael S. damaged by flood and storm habitable New Orleans: United help for the victims of the once again – in nine working weeks. hurricane in New Orleans. These and many other houses had already been emptied and cleared of mould by volunteers from the ‘Helping Hands’ programme of the Catholic Charities in the New Orleans diocese. Michael S. Falser Michael S.

New Orleans: Volunteers from all generations support the reconstruction.

AMERICA 37 ON THE SPOT: NEW ORLEANS

From bank director to carpenter Home renovation programme in New Orleans

As we drove along the streets in our bus, I was shocked. Even though a year had passed since the disaster, the living conditions in New Orleans remained appalling. There were still entire suburbs without power or water and the houses looked just as they had when the storm left them. In August 2005, Hurricane Katrina caused the levees to burst, leaving the lowest city quarters (where the poorest black population lived) submerged under up to eight metres of water. 2,000 people died. At the start of 2006, I moved from Vienna to San Francisco to work for twelve months as a monument conservation architect. When the second reconstruction campaign for New Orleans organised by the Western Association of the Order of ‚Viribus unitis‘: nine helpers and a ceiling board. Malta began in September, I volunteered. Together with Malteser International and On the last day, we were amazed at the American organisation Rebuilding what we had achieved: we had reached Together, the US American Associations our goal. The two houses were really of the Order of Malta had developed an habitable. At supper, we handed over the aid programme to help needy families keys to the emotional families – including rebuild their houses. a 100-year-old great-grandfather. Mass at The 72 volunteers from all over the the freshly renovated parish church of St. USA were housed in a hotel on the Peter Claver was another very moving western edge of the celebrated French moment: when Father Mike explained Quarter. For a demanding few days, a Young girl from the parish of St. Peter Claver during the motivation for our help, hundreds of the Mass with the helpers. bank director, a lawyer, architects and children in party clothes rose from their managers turned into carpenters, painters, of dangling ceiling joists, protruding seats and thanked us with gospel songs water-carriers, tool coordinators. At 7.30 nails and a thick coat of mud, removed and standing ovations. When I look back every morning for a week, a bus took us the mountain of rubbish in the garden at this moment today, I am very happy to to the two houses we were renovating. and shored up the foundation with stones. remember that the aching muscles, the When we saw the extent of the damage, Neighbours watched us from nearby blisters on our hands and the aching backs I doubted whether we could really make windows and doors. Shy, surprised and were all worth it. them habitable again. But thanks to the mostly smiling widely, they gazed at the Michael S. Falser precise instructions of our group leader, totally filthy, yet good-humoured helpers. our uncertainty was soon gone. We cleared When we fell exhausted into bed at the the first house of its rotten waterproofing, end of the first day, the house had been entirely cleaned, ready for renovation and the new materials and tools which had been stored safely at the site.

38 AMERICA Experts abroad

Local staff employment Expatriate employment per region per region

2006 2005 2006 2005 Africa 455 411 Africa 34 33 Angola 18 19 Angola 3 4 DR Congo 129 126 DR Congo 14 11 Ethiopia 2 2 Ethiopia 0 1 Kenya 14 14 Kenya 2 3 Sudan 275 237 Sudan 12 12 Uganda 17 13 Uganda 3 2

Asia 301 426 Asia 85 88 Afghanistan 28 197 Afghanistan 5 15 Cambodia 10 18 Cambodia 5 2 India 1 1 India 4 2 Indonesia 28 31 Indonesia 27 27 Iran 0 1 Iran 0 1 Iraq 0 1 Iraq 0 0 Myanmar 128 120 Myanmar 14 11 Pakistan 12 4 Pakistan 5 0 Sri Lanka 47 10 Sri Lanka 15 19 Thailand 42 40 Thailand 10 10 * Some of the staff members Vietnam 5 3 Vietnam 0 1 are working cross-national. The total figure refers Balkans 21 28 Balkans 0 2 to the total number of Bosnia and Herzegovina 21 16 Bosnia and Herzegovina 0 1 contracts signed in the year 2006. For 39 employees it Total 777 865 America 1 1 was their first contract with Malteser International, 78 Louisiana 1 1 employees have already been working for Malteser Total 120 * 124 International in the past.

Nationalities of the expatriates Expatriates by education and occupation

Austria 2 Kenya 4 others 7 physicians 22 Bangladesh 1 Madagascar 3 trainees / project nurses and Belgium 1 Myanmar 1 assistants 18 orderlies 13 Bolivia 1 Netherlands 4 paramedics 3 Brasil 1 New Zeeland 2 Burkina Faso 1 Philippines 1 Canada 2 Poland 1 Ethiopia 1 Serbia / Mont. 2 France 2 Spain 2 Germany 71 Switzerland 2 project managers 5 midwives 3 Great Britain 3 Tansania 2 consultants 3 Hungary 1 Uganda 1 coordinators / managers 27 India 2 USA 1 logistic specialists / engineers 5 administrators 11 Italy 1 Vietnam 1

EXPERTS ABROAD 39 Help at a glance ich.tv

Bernice Lemedeket Clinical Officer, Kenya, works in the slums of Nairobi, Kenya.

“I have been working for Malteser International for two years. Every week I visit my patients at home. I really like to provide people with medicine, to help them and to see how they live. It makes me happy to experience how they manage to escape from the slums.”

Michael Hinsch Ursula Mesmer Sociologist, Germany, works as a counsellor for partner projects Nurse, Switzerland, works in Nagercoil, India. as a project coordinator in “Among others, I look after the awarding of small loans to women in Bukavu, DR Congo. need, HIV/AIDS awareness projects, psycho-social programmes to help “Many people living here traumatised tsunami victims and a house rehabilitation project for people have gone through horrible who have lost everything in the tsunami. Before I worked for Malteser experiences, especially the International, I could not imagine I would have contact with so many women and the children. different fields of activity in such a short time.” It is a great challenge to help these traumatised victims. What makes me Perly H’too particularly happy is the Midwife, Thailand, fact that, when I go back works in a refugee to Switzerland, my work camp in Thailand. will be continued by a local colleague.” “I came here as a refugee. Malteser Inter- national gave me the opportunity to learn the profession of a midwife. For me, it is very important to help the children born here. I hope they can return to their home country when they have grown up.“

40 EXPERTS ABROAD Sandra Fröbe Cultural scientist, Germany, works as a community advisor in Lhokseumawe, Indonesia.

“One of my duties is running a micro-credit-programme with which we are supporting people with a good business idea to realise their plans. This is a very encou- ich.tv raging experience. Mambo Lomo And in the meanti- Health agent, DR Congo, works as a supervisor of the health me, I even learned structures in Ariwara, DR Congo. the Indonesian word for abrasive paper.“ “I am responsible for the control of the health centres and the pharmacies. At the end of my visits I talk with each employee and we discuss the results of the assessment. That is a good way to improve our work continuously.”

Bilal Abbasi Economist, Pakistan, works as an administrator in Islamabad, Pakistan.

Peter McCanny “The earthquake of 8 October 2005 not only destroyed the bank I Economic advisor, Ireland, works as a programme coordinator was working for, but also changed my whole life. When people ask in Yei, South Sudan. me what happened to me after the earthquake, I say: I got the very “I have been living in South Sudan for two years. The people here best thing I could get, a job with Malteser International.” are very friendly and open minded, although they are extremely poor, traumatised and prone to diseases. I am really glad to have the opportunity to help these people together with Malteser Inter- national.”

EXPERTS ABROAD 41 Facts and Figures Annual accounts as of 31 December 2006

Balance sheet

ASSETS 31/12/2006 31/12/2005 EQUITIES AND LIABILITIES 31/12/2006 31/12/2005

EUR EUR EUR EUR EUR EUR

A. Fixed assets A. Equity I. Intangible assets I. Funds of the Association 1.769.884,29 1.450.950,01 Concessions, industrial and similar rights and assets and licenses in such rights and assets 363.593,84 465.910,88 II. Revenue reserves 25.524,56 25.524,56 II. Tangible assets III. Net income for the year 0,00 318.934,28 Operating and office equipment 497.118,52 458.121,85 860.712,36 924.032,73 1.795.408,85 1.795.408,85 B. Current assets B. Provisions I. Receivables and other assets 1. Trade receivables 5.159,16 110.593,49 – of which with a remaining term of Other provisions 811.558,00 469.988,00 more than one year EUR 0.00 (2005: EUR 0.00) –

2. Receivables from other long-term investees and investors 15,08 59,00 – of which with a remaining term of C. Liabilities more than one year EUR 0.00 (2005: EUR 0.00) – 1. Trade payables 351.234,66 3.065.608,79 3. Receivables from associated corporate bodies 15.405.509,73 12.417.207,11 – with a remaining term of up to one year – – of which with a remaining term of 2. Liabilities to other long-term investees and investors 666,05 2.435,10 more than one year EUR 0.00 (2005: EUR 0.00) – – with a remaining term of up to one year – 4. Receivables from Malteser Hilfsdienst e.V. – internal – 2.602.463,35 3.751.327,14 3. Liabilities to associated corporate bodies 21.079,71 2.319,58 – of which with a remaining term of – with a remaining term of up to one year – more than one year EUR 0.00 (2005: EUR 0.00) – 4. Liabilities to Malteser Hilfsdienst e.V. – internal – 119.565,76 99.606,87 5. Other assets 8.977.001,40 7.447.730,78 – with a remaining term of up to one year – – of which receivables with a remaining 5. Liabilities from earmarked grants and contributions 26.059.010,73 24.337.227,02 term of more than one year EUR 0.00 (2005: EUR 0.00) – 26.990.148,72 23.726.917,52 – with a remaining term of up to one year – II. Cash-in-hand, bank balances 4.348.375,04 5.092.578,10 6. Other liabilities 3.087.303,62 31.374,12 31.338.523,76 28.819.495,62 – with a remaining term of up to one year – C. Prepaid expenses 29.638.860,53 27.538.571,48 Other 46.591,26 60.439,98 32.245.827,38 29.803.968,33 32.245.827,38 29.803.968,33

Income statement Auditor‘s report

2006 2005 EUR EUR EUR EUR 1. Sales 44.866,97 198.493,34 2. Other operating income 27.024.665,59 27.069.532,56 36.454.256,45 36.652.749,79 3. Cost of materials a) Cost of raw materials, consumables and supplies 4.485.388,82 4.718.373,17 b) Cost of purchased services 2.587.229,06 1.080.903,33 4. Personnel expenses a) Wages and salaries 3.267.515,78 2.863.764,93 b) Social security and other pension costs 837.187,53 740.372,14 – of which in respect of old-age pensions EUR 198,092.91 (2005: EUR 172,811.39) – 11.177.321,19 9.403.413,57 Interim result 15.892.211,37 27.249.336,22 5. Income from the release of liabilities from earmarked grants and contributions 24.337.227,02 13.946.213,10 6. Income from the release of special items including contributions for funding fixed assets 0,00 1.369,00 7. Expenses for transfers to liabilities from earmarked grants and contributions 26.059.010,73 -1.721.783,71 24.337.227,02 -10.389.644,92 8. Amortisation of intangible assets and depreciation of tangible assets 425.870,26 310.855,04 9. Other operating expenses 14.167.441,17 14.593.311,43 16.559.616,84 16.870.471,88 Interim result -422.883,77 -10.780,58 10. Other interest and similar income 439.180,45 339.153,47 11. Interest and similar expenses 11.803,49 427.376,96 1.423,83 337.729,64 12. Results from ordinary activities 4.493,19 326.949,06 13. Other taxes 4.493,19 8.014,78 14. Net income for the year 0,00 318.934,28

42 FACTS AND FIGURES Notes on the income statement

For consolidation reasons, the income the same applies to the project funds EXPENDITURE statement of Malteser International by Caritas international (€ 472,659), The items Cost of materials and is prepared according to the system UNICEF (€ 492,482), GLRA (€ 83,606) Personnel expenses comprise the of accounts established by Malteser and to the donations received and claimed majority of direct project costs (e.g. Hilfsdienst e.V. The structure of the in- via ADH amounting to € 9,648,244. costs of medicine and relief items of a come statement (but not the audited Other operating income includes income combined total of € 15,083,174 payments contents) therefore differs in some from donations and internal Malteser to building contractors in reconstruction respects from the presentation of data organisation contributions amounting to a projects, costs of international and local elsewhere in this Annual Report and is combined total of € 2,394,606. project staff) as well as parts of the briefly explained in the following notes. Grants from both public and private indirect project costs and administrative donors which cannot be used in the current costs (non project-specific staff costs). INCOME financial year (e.g. for projects that last The item Other operating expenses also Sales revenues include all income for several years or are carried over includes direct project costs (e.g. structural from supplies and services provided. into the next year) as well as donations aid and direct project support for local Allocations and grants from the public which cannot be used fully in the current partners in Eastern Europe amounting sector include project funds provided by financial year (since a large proportion to € 697,922), as well as indirect project the Federal Foreign Office of Germany of donations is received at the end of the costs (pro-rata costs of media and public and the Federal Ministry for Economic year), are carried over to the next year and relations, costs of staff recruitment and Cooperation and Development, Germany then used. The use of these funds is shown support) and administrative costs (rent, (BMZ) amounting to € 1,845,409 (of under Income from the reversal of IT). which € 1,335,643 financed by the Federal liabilities from investment allocations / In 2006, administrative costs amounted to Foreign Office of Germany) and project appropriated donations and grants not seven percent of our total expenditure. funds by the European Union amounting yet used. (The carry-over of such funds to € 7,339,655. Church contributions to the following year is shown under include project funds of € 51,247. The Expenses for transfer to liabilities from project resources provided by UNHCR earmarked contributions.) amounting to € 977,541 are included in the contributions by third parties;

FACTS AND FIGURES 43 Financial overview 2006

Where does the money come from? – Sources of funding (rounded up)

UNICEF/UNDP and other Caritas/PMK et al. 524,000 EUR UN organisations 2,085,000 EUR Gitec 450,000 EUR ADH Aktion Deutschland Hilft BMZ 890,000 EUR Donations and other resources (Action Campaign Germany Helps) 2,395,000 EUR Europe Aid 2,399,000 EUR BMZ Federal Ministry for Economic ADH 9,648,000 EUR Cooperation and Development, Germany ECHO Humanitarian Aid Department of the European Commission KfW Development Bank – KfW Banking Group PMK Papal Mission Organisation for Children UNDP United Nations Development ECHO 4,941,000 EUR Federal Foreign Office of Germany Programme Others (GLRA, foundations, 1,336,000 EUR UNHCR United Nations High Commissioner for Refugees Global Fund) 423,000 EUR UNHCR 978,000 EUR UNICEF United Nations Children‘s Fund

Where does the money go to? – Project expenditure by sources of funding (rounded up)

Others (GLRA, foundations, Caritas/PMK et al. 122,000 EUR Global Fund) 885,000 EUR UNICEF/UNDP and other UN organisations 1,112,000 EUR UNHCR 863,000 EUR Donations and own resources Europe Aid 1,239,000 EUR 7,831,000 EUR ECHO 4,692,000 EUR

ADH 4,283,000 EUR Gitec 1,693,000 EUR Federal Foreign Office of Germany 1,317,000 EUR KfW 992,000 EUR BMZ 652,000 EUR

Development of incoming donations (rounded up) Project expenditure by continents (rounded up)

25,000,000 EUR 23,743,000 EUR Europe 1,450,000 EUR America 270,000 EUR Africa 6,742,000 EUR

20,000,000 EUR thereof by ADH 9,192,000 EUR 15,000,000 EUR 12,043,000 EUR

10,000,000 EUR thereof by ADH 5,000,000 EUR 3,045,000 EUR 9,648,000 EUR

0 2004 2005 2006 Asia 13,402,000 EUR

44 FACTS AND FIGURES Acknowledgement

Malteser International would like to thank all private donors and sponsors, as well as all companies, cooperation partners, foundations, societies, schools, parishes and organisations, for their generous support in 2006. Unfortunately, we do not have space here to list all those members of the international aid community who have supported us, but a few are named below as representatives:

ABB Group, Mannheim Afghanistan Hilfe Paderborn Aktion Deutschland Hilft e.V. (ADH, Action Campaign Germany Helps), Bonn Archbishopric of Cologne Augustinus-Kliniken gGmbH, Neuss Austrian Development Agency Foreign Office, Tokyo BILD hilft e.V., Hamburg German Bishops’ Conference, Bonn Bishopric of Mainz German Leprosy and Tuberculosis Relief Association (GLRA), Wuerzburg Centre for International Migration Gitec Technologie- und Wirtschaftsberatung GmbH, Berlin/ Hannover and Development (CIM), Frankfurt/Main Himalaya-Karakorum-Hilfe e.V. Confederación Cáritas Española, Madrid Humanitarian Aid Department of the European Commission (ECHO), Brussels Community for Technical Cooperation (GTZ), Eschborn Joint United Nations Program on HIV/AIDS (UNAIDS), Geneva Department for International Development (DFID), London Langenscheidt KG, Munich Deutsche Bank, Frankfurt/Main National associations and relief agencies of the Sovereign Order of Malta Deutsche Treuhand-Gesellschaft Noweda – Die Apothekergenossenschaft, Essen Aktiengesellschaft (KPMG), Berlin Osthessen hilft Südasien, Fulda Development Bank - KfW Banking Group, Frankfurt/Main Partner Aid International (PAI), Berlin Die kleinen Patienten e.V., Bonn Papal Mission Organisation for Children (PMK), Aachen Dr. Hans-Liebherr-Stiftung, Biberach/Riss Pathfinder International, Watertown EuropeAid / EuropeAid Coordination Serendib Stiftung, Hamburg Office (AIDCO), Brussels Social and Economic Development Centre (SEDEC), Columbo FC Bayern Hilfe e.V., Munich Swiss Tropical Institut (STI), Basel Federal Foreign Office of Germany, Berlin Überlandwerke Fulda AG (ÜWAG) Federal Ministry for Economic Cooperation United for Africa and Development Germany, Bonn United Nations Children’s Fund (UNICEF), New York Food and Agriculture Organization United Nations Development Programme (UNDP), New York of the United Nations (FAO), Rome United Nations High Commissioner for Refugees (UNHCR), Geneva Foreign Office, Canberra United Nations Office for the Coordination of Humanitarian Affairs (OCHA), Foreign Office, Ottawa Geneva/ New York United Nations Office on Drugs and Crime (UNDOC), Vienna United Nations World Food Programme (WFP), Vienna University of Regensburg World Child Foundation, Switzerland World Health Organization (WHO), Geneva World Pheasant Association (WPA), Hamsphire ZF-Hilft e.V., Friedrichshafen

…plus countless other local, national and international partner organisations.

ACKNOWLEDGEMENT 45 Member associations (Status: July 2007)

Australia Germany Netherlands www.smom.org.au www.malteser.de www.maltezerorde.nl

Austria Great Britain Poland www.malteserorden.at www.orderofmalta.org.uk www.zakonmaltanski.pl

Belgium Ireland Portugal www.ordredemaltebelgique.org www.orderofmalta.ie www.orderofmalta.org

Canada Italy Switzerland www.orderofmaltacanada.org www.orderofmalta.org www.malteserorden.ch

Czech Republik Malta United States of America www.orderofmalta.org www.orderofmalta-malta.org www.maltausa.org www.orderofmaltausawestern.org France Mexico www.smom.org www.ordredemaltefrance.org www.ordendemaltamexico.org

www.malteser-international.org

46 MEMBER ASSOCIATIONS Structures and committees

Malteser International is the international relief agency of the Sovereign Order of Malta for humanitarian aid. The legal entity of Malteser International is Malteser Hilfsdienst e.V.. This is represented by the Executive Board, currently composed of Johannes Freiherr Heereman (Executive President), Reinhard Eckert and Dr. Elmar Pankau. The President of Malteser Hilfsdienst e.V. is Dr. Constantin von Brandenstein-Zeppelin. Currently, 19 national associations of the Order of Malta are members of Malteser International. At their General Meeting they appoint a honorary Executive Committee for a term of four years. This committee consists of five members: the President, three Vice-Presidents and the Financial Supervisor. The President and at least two other members of the Executive Committee must be members of the Order of Malta. The leadership structure of Malteser International is currently as follows:

President Vice-President Vice-President Vice-President Financial Supervisor Nicolas de Cock Comte Thierry Richard Ambassador (ret.) Charles-Louis de Rameyen de Beaumont-Beynac Freiherr von Steeb Theodor Wallau de Laguiche (Belgium) (France) (Austria) (Germany) (Switzerland)

The Executive Board of Malteser Hilfsdienst e.V. finalises the budget proposed by the Executive Committee of Malteser International and confirms the annual accounts. The Executive Committee of Malteser International sets the strategy and makes decisions on work guidelines within the framework of written agreements made with Malteser Hilfsdienst e.V.. The Secretary General leads the operating activities of Malteser International within the framework of the adopted budget and strategy of Malteser International. He arranges meetings of the Executive Committee and participates in these meetings in an advisory capacity.

STRUCTURES AND COMMITTEES 47 Do you want to be informed regularly about News, Activities and Highlights from the worldwide projects of Malteser International? Or do you want to learn more about our national and international staff and the people we support? Then subscribe to our Newsletter “On the SPOT”. It is published in English and sent via email worldwide. You will receive ”On the SPOT“ every four to six weeks free of charge and without obligation. To subscribe to “On the SPOT” please visit our website and ﬁ ll out the subscription under “News/Press”. Thank you very much for your interest. www.malteser-international.org

Malteser International Published by: Malteser International Headquarters Responsible for content: Ingo Radtke Kalker Hauptstr. 22-24 Editorial team: Petra Ipp (editor-in-chief), Anke Barth, Esther Finis, Miriam Fuß D- 51103 Köln (Germany) Layout/Setting: Alexander Lengerke Design (www.alengerke-design.de) Translation: Puretrans (Glees & Purer OEG) Phone +49 (0)221 9822-151 Print: Das Druckhaus Bernd Brümmer, Alfter, Germany Fax +49 (0)221 9822-179 Photographs: Malteser International archive, Birgit Betzelt, Michael S. Falser, ich.tv, Florian Kopp, Gunnar Rechenburg, Caroline von der Tann, United for Africa/ [email protected] Thomas Einberger www.malteser-international.org Cover photo: Oral vaccination against polio in North Darfur (Picture: Birke Herzbruch) Full page photos: Birgit Betzelt (Africa, Europe), Michael S. Falser (America), Katrin Rehfuss (Asia) Back cover photo: Treatment of a patient after the earthquake on Java (Picture: Katrin Rehfuss)