CORDAID NAAM BU
CORDAID ANNUAL REPORT 2015 GLOBAL GOALS, LOCAL SOLUTIONS CORDAID 2015 ANNUAL REPORT
CONTENTS
message from the ceo...... 3 about cordaid...... 5 what we did in 2015...... 6
Humanitarian and emergency relief...... 6
Healthcare...... 8
Education...... 12
Security & Justice...... 13
Results Based Finance...... 15
Economic opportunities and work ...... 16
Building resilience: sustainable development...... 19
Lobby & advocacy...... 20
Cordaid in the Netherlands...... 21 how we work...... 23
What our clients want...... 23
Flourishing Community Index ...... 24
Working with partners...... 25
Communication, raising awareness & engagement ...... 26
How we manage setbacks...... 27
Learning from complaints...... 29 how we did in 2015...... 30
Organizational aims ...... 30
Fundraising & spending...... 30 strategy for continuity ...... 32 our people...... 36 supervisory board report...... 39 how we are governed...... 41 financial statements ...... 42 global reporting initiative ...... 84
2 MAY 2016 © CORDAID message from the ceo CORDAID 2015 ANNUAL REPORT
MESSAGE FROM THE CEO
It has been quite a year. Conflict has continued in countries like Syria and we have seen the eruption of violence in Burundi and the Central African Republic. In spite of a cease-fire, South Sudan remains volatile. And in northern Cameroon insurgents continue to terrorize local communities. The Netherlands-based Cordaid is working in all these and many other fragile and conflict-affected states, bringing humanitari- an relief and essential services like healthcare and education to millions of people.
At the end of 2015, the Millennium Development Goals gave way to the 17 Sustainable Development Goals (SDG) or Global Goals that aim at a more inclusive approach to ending poverty, promoting peace and security and tackling climate change. The United Nations has put its full support behind these Global Goals. Last summer, agreements were reached in Addis Ababa on financing mechanisms for development with explicit provisions for fragile and conflict-affected situations and states (FCAS). With a strong endorsement from Pope Francis in the Laudato si’ Encyclical, climate is now also recognized as a major challenge and, in addition to the most recent agree- ments in Paris, has now been included in the Global Goals. Cordaid will be partnering with the Dutch Ministry of Foreign Affairs on climate-related issues from 2016.
G4-1 It has been quite a year for Cordaid as well. A new development cooperation land- scape, including the Global Goals and the ending of guaranteed government funding, stimulated a strong response from us. We have created a strategy based even more on what we do best – working with local people in fragile and conflict-affected states and situations. We have right-sized the organization into a focused and flexible imple- menting partner for international and governmental donors, making the transition from grant-giver to grant-seeker, and retained the loyalty of close to 300,000 individ- ual donors in the Netherlands. We feel recognized as the professional implementing power that gets the job done. All our private, governmental and institutional donors understand the unique proposition we bring to the table – our ability to combine humanitarian and emergency relief with real, long-lasting development cooperation on security, healthcare, education and the economic growth essential to creating jobs. Organizations like Cordaid are often the only support present in fragile and conflict- affected areas. So we will continue to provide help and opportunities for people in the most vulnerable situations and communities. Our goals remain to continue and scale up our work by seeking and finding the funding necessary to help local people resolve local challenges and build their own flourishing communities.
As we strengthened our focus on fragile and conflict-affected states during 2015, we tied our programs and projects to the Global Goals. The organization has emerged from this process more motivated than ever as we make a difference to the lives of millions of people. Our goals are global, our solutions are local. However, this greater focus has also meant withdrawal from a significant number of programs and countries although we remain present in many of those countries through our investment funds. Sadly, we have had to say goodbye to a large number of colleagues who have worked tirelessly to eradicate poverty and put in place such basics as healthcare and education. Our wholehearted thanks go to all of them.
There was good news from Sierra Leone following the terrible Ebola epidemic during which Cordaid served as the action president on behalf of the Netherlands Cooperating Aid Organizations (SHO). Although the epidemic is officially over, Cordaid is still there, working on recovery projects to help with food security and getting healthcare and education back on track (see page 10). As noted, the news is less good from Burundi (see page 27) and the Central African Republic where new violence meant hundreds lost their lives and we were forced to evacuate our office in
MAY 2016 © CORDAID 3 CORDAID 2015 ANNUAL REPORT
the capital, Bangui. We are now back at work, building hopefully on the Pope’s visit and attempts at reconciliation. In December in Ethiopia, I saw for myself the effects of drought. Millions of people are trying to manage on the 20 liters of water per family per day that with our support, partner APDA is able to truck in. More must be done now – these people cannot wait.
The Syrian humanitarian disaster is driving millions of refugees to Europe and has also brought home very clearly that (the results of) conflict cannot always be kept far away from our own backyards. On the Greek-Macedonian border, our Caritas partners are distributing basic essentials, such as soap, tarpaulins and other emergency goods, and including diapers for the babies. Following my visit that was given extensive media coverage, we received numerous calls and emails from people asking how they could help. Their contributions also enabled us to increase and broaden the support we are giving to refugees (and host communities) in Northern Iraq, Lebanon, Turkey, Jordan and in Syria itself. Once again, all our close to 300,000 Dutch individual donors came through for people in need. We are very grateful to them.
With our Caritas partners, we also provided much-needed help in Nepal following two devastating earthquakes. Our focus is on education and sanitation in some of Nepal’s most remote rural areas. Besides our humanitarian programs that provided relief to over 1.2 million people, during 2015 Cordaid was involved in more than 1,200 projects in 46 countries. I would like to thank all of our partners for their profession- alism and commitment because together we have achieved some incredible results. Another 50,000 children in the Central African Republic will benefit from education through our Results Based Finance program, joining close to 200,000 children in other countries in Africa. We have made basic healthcare services accessible to over six million people in seven African countries. The next step is to add other life-saving components, such as the cervical cancer screening that will help eradicate this killer in Ethiopia. Throughout the annual report we offer a lot of information on what our programs can achieve. Our pioneering Open Data available to all via the website monitors each individual project. I hope all this information helps readers under- stand what we do. There are certainly challenges ahead. We are ready for them.
Simone Filippini Chief Executive Officer
The annual report and financial statements were drafted by the Board of Directors and adopted by the Supervisory Board on May 25, 2016.
G4-32 Over 2015, we are reporting according to the G4 ‘in accordance “core”’ standard. G4 Throughout the annual report, you will find the G4 label that shows where we have included G4 compliant information. At the end of this annual report (page 83), you will also find an overview of the G4 Index that lists all aspects covered and our compliance with them.
In line with G4 requirements, we state that: ‘This report contains Standard Disclosures from the GRI Sustainability Reporting Guidelines.’
4 MAY 2016 © CORDAID About Cordaid CORDAID 2015 ANNUAL REPORT
ABOUT CORDAID
G4- Cordaid, the Netherlands-based Catholic Organization for 1/3 Relief and Development Aid, has been providing emergency ‘The urgent challenge to protect our common home includes a concern relief and fighting poverty and exclusion in the world’s most to bring the whole human family together to seek a sustainable and fragile and conflict-affected situations for more than a integral development, for we know that things can change… Young century. All our actions are rooted in and inspired by Catholic people demand change. They wonder how anyone can claim to be social teachings: human dignity, solidarity, subsidiarity and building a better future without thinking of the environmental crisis care of the common good. Based on these points of departure, and the sufferings of the excluded. I urgently appeal, then, for a new we have added social and economic justice and the promotion dialogue about how we are shaping the future of our planet…’ of peace to help us achieve in our mission: building flourish- Pope Francis, Laudato si’ Encyclical, May 2015. ing communities.
What we do Through our work we invest in the capacities and talents of societies so that we can create programs based on what is people who are marginalized, excluded and often discrimi- important for them. Then we design and implement programs nated against. We believe that peace, security, social and to have a significant and long-lasting effect on families, economic development go hand-in-hand and reinforce each communities and societies. Cordaid works closely with client other. We are usually active and present in regions that have beneficiaries, funding and implementing partners to increase been shattered by (geopolitical) conflict or natural disaster. the resilience and self-reliance of local communities. As a Humanitarian aid (shelter, food and clean water) is therefore founding member of the International Catholic organization one of Cordaid’s long-standing areas of expertise. There are for social justice (CIDSE) and Caritas Internationalis, we can three cornerstones for our involvement in systemic change also count on the support of local parishes in the poorest places and institution building in fragile and conflict-affected areas: on earth. In addition to providing emergency and humanitari- ▪▪ providing a stable and secure environment (security and an relief, in 2015 we focused on healthcare, education, security justice); and justice, women’s leadership, food security, investments, ▪▪ restoring basic public services (health, education, entrepreneurship, extractives and projects in the Netherlands. government services); and ▪▪ creating sustainable economic opportunities. Raising awareness and engagement We work with local civil society organizations to create and For more than 100 years, we have been able to rely on the implement programs based on equal rights and opportunities, continuing and long-lasting support of the Dutch people. both legal and in practice. Our programs are designed to give Communication, raising awareness and engagement among access to services and economic opportunities, especially for our support base is key here. We are very active in developing women and young people. Cordaid is active across the globe information tools, providing the latest news and communica and we do a lot of work on poverty and exclusion in the ting via social media. Accurate, up-to-date information for Netherlands, our home base. Through our focus on fragile our support base on programs and projects is increasingly and conflict-affected countries combined with our work in published online using the standard developed by the the Netherlands, we are a unique organization. International Aid Transparency Initiative (IATI). In 2015, close to 300,000 Dutch people supported our work. We raise funds How we work from government bodies, such as the Dutch Ministry of Foreign Today, one quarter of the world’s population, or 1.2 billion Affairs, the World Bank, the Global Fund, the United Nations people (World Bank), lives in societies affected by fragility, and the European Union. Other institutional donors also conflict and violence. We engage with local people in these finance our programs.
CORDAID IN NUMBERS - 2015
>1,200 €145 .4 MLN >1 2. MLN projects funded total amount spent directly on programs people received humanitarian relief
46 6 MLN countries people with access to basic healthcare and >1,000 >220,000 number of partners with access to education through our programs
MAY 2016 © CORDAID 5 CORDAID 2015 ANNUAL REPORT What we did in 2015
WHAT WE DID IN 2015
A flourishing community offers its members access to opportu- In practical terms, this means we are there when disaster, nities so that they can realize their potential to participate in either man-made or natural, strikes, providing humanitarian social, economic, cultural and spiritual life. There is peace and relief, for example in countries that are managing the inflows a social contract between citizens and the state. In fragile and of refugees from Syria and other conflict areas. This requires G4-8 conflict-affected situations (FACS), some or even all of these specific and immediate responses. However, we are also there factors are absent. In other words, the social contract between for the longer haul once the initial emergency is over. Cordaid’s citizens and the state is broken. Cordaid’s mission is to contrib- programs are providing long-term support in recovery efforts, ute to the structural social change and transformation needed known as ‘build back better’ and ‘resilient recovery’, in countries to build and/or fix that social contract. That is why we have like The Philippines, which is still recovering from typhoon built decades of experience in sectors that are indispensable Haiyan, and Nepal following two devastating earthquakes. We G4-4 for flourishing communities: Healthcare, Security & Justice, lay foundations for recovery by supporting healthcare, education Child & Education, Food Security, Urban Matters, Women’s and security. Economies need stimulation so we are there to Leadership, Extractives, Investment in entrepreneurship and, help entrepreneurs with finance so that they can help provide importantly, Disaster Risk Reduction. jobs. Strong governance is essential to re-establish trust between citizens and the state. And we work on building resilience so that the underlying infrastructure is strong enough to prepare for, manage and overcome future setbacks.
HUMANITARIAN AND EMERGENCY RELIEF IN 2015
>1 .2 MLN 45,000 19,000 people benefitted from Cordaid hot meals per week in besieged Aleppo, families provided with drinking water humanitarian aid/disaster risk reduction Syria delivered every day in drought-striken through: Afar State, Ethiopia 14,000 >700 food and emergency packages per week 300 projects in to refugees on Greek/Macedonia border typhoon-proof homes and community buildings completed in Coron, 22 15,000 the Philippines countries victims of the Nepal earthquake provided with temporary homes, schools and 700 health centers, including clean water and partners sanitation
WHERE WE WORK
GREECE AFGHANISTAN SYRIA INDIA NEPAL LEBANON BANGLADESH
HONDURAS CENTRAL SOUTH HAITI AFRICAN REP. SUDAN GUATEMALA PHILIPPINES EL SALVADOR ETHIOPIA KENYA UGANDA DEM. REP. OF THE CONGO MALAWI INDONESIA ZAMBIA Total spent in 2015:
>€42 MLN (2014: >€26.3 mln)
6 MAY 2016 © CORDAID What we did in 2015 CORDAID 2015 ANNUAL REPORT
Syria: We are supporting refugees from the Syrian conflict in men and companies have been trained in management and Greece, Macedonia, Serbia and Austria by providing food, bookkeeping and have set up their own enterprises, determin- sleeping bags, rain protection and personal hygiene basics, ing their own prices and creating new market opportunities. In such as soap and diapers. Just as important is the psychological this traditionally fishing-based region, fishermen and women support we are offering to victims of trauma. As experts in have successfully taken up vegetable farming, improving their conflict-affected regions, unsurprisingly, Cordaid is also diets as well as their income. For more details on this project, working with Caritas on the reception of refugees from the please visit Open Data, www.cordaid.org/en/projects/resilient- conflict in host communities in Northern Iraq, Lebanon, Jordan communities-in-coron/update/13774/ and Turkey. We are also just as engaged in Syria itself which is
‘We turned the humanitarian system upside down: locals were in ‘As large gatherings could easily become a target for armed groups, charge, we only facilitated. And they bounced back just like bamboo, meals are delivered through a network of local partners…’ after utter devastation…’ a field-kitchen worker in Aleppo, Syria. James Morgan of Cordaid’s Haiyan Resilient Recovery Program, The Philippines. now entering its sixth year of civil war and having suffered through a hunger winter, especially in besieged cities. To Disaster dilemmas alleviate suffering in the governorate of Aleppo, one the most Climate change, intensified by El Nino, has caused the worst conflict-ridden zones of Syria, Cordaid-supported kitchen drought in Ethiopia in 30 years. The last real rain fell two years teams provide 6,300 hot meals a day. The focus is on the most back. Since then, drought has destroyed harvests and forced vulnerable: people who are displaced, families headed by many of the local people to migrate. Those that remain are widows, the disabled and households with many children. completely dependent on water aid. CEO Simone Filippini visited Cordaid partner APDA that organizes the water supply in the Kori district of Afar State. Every four days, a water truck visits a ‘Before, 5% of students brought water from home; the rest of them did number of communities, bringing 150,000 liters of water that not drink at all during the day. Now, 2,461 students and 185 teachers are then desposited in a reservoir. A woman guard watches over have access to clean drinking water. Fantastic!’ the distribution: every family receives 20 liters in a jerry can Shiva Rama Chalise, Nikkanta Higer secondary school, Nepal. each day. The Ethiopian government is doing what it can to prevent the oncoming catastrophe. But to turn the tide of widespread famine, similar to that of the 1980s, the interna- Nepal: Within days of the earthquake, Cordaid had made tional community will rapidly need to lend a hand. It requires emergency humanitarian funds available to partners Caritas a major international shift on climate change and extensive Nepal and Caritas India. Our focus was on education and support on the ground in Ethiopia. Half measures are not enough. providing clean water. The earthquake damaged 1,500 schools. To continue classes, temporary buildings had been erected without toilets or water supply. Cordaid Mensen in Nood has ‘Drought is a slow onset disaster and usually attracts attention too ensured more than 20 schools have been equipped with clean late. Humanitarian response often also follows late. That’s why it is drinking water and lavatory facilities. The Caritas Nepal team necessary to continue to try and link relief with development and headed into rural areas, bringing emergency shelter to families recovery and to prepare for contingency activities. And that’s why ten in some of the more remote villages. years ago Cordaid and partner organizations developed the Drought Cycle Management approach, now expanded into the Community Managed Disaster Risk Reduction approach. This allows communities ‘When the earthquake struck the roof of our house collapsed. I was to take ownership of project activities that will reduce their vulnerabili- with my four-year old son. We were trapped in the rubble and waited ty to threats like a drought and that will strengthen their resilience…’ until the shocks subsided when the neighbors came to rescue us. For the Ton Haverkort, Country Director, Cordaid Ethiopia. first few days after the quake my son remained terrified – he could not eat or sleep… We were sleeping under a small piece of plastic. I think the tarpaulins are God Sent – I hope there are enough for everyone…’ Risk Reduction Surmala Cholagai of Panchkal, Nepal. The Luvungi area of the Democratic Republic of Congo (DRC) has the opposite problem to Ethiopia: flooding. With local partners, including Caritas Uvira, Cordaid is developing a Resilient recovery Community Managed Disaster Risk Reduction program in Philippines: Following typhoon Haiyan in November 2013, a eastern Congo to tackle recurrent flooding. Working together, Cordaid team went to Coron, in the eastern province of local people – many of them long-term internally displaced Palawan. Working with local communities we started what we – have dug 1,700 meters of rainwater runoff canals. Small trees call a ‘resilient recovery’ program. The village now has 201 have been planted close to houses and on the surrounding hills typhoon-proof houses that were co-designed with villagers and to prevent further soil erosion, the main cause of flooding in built by them. Using the same approach, community halls, rain the area. Local partners will provide local people with informa- retention systems and dozens of other community structures tion and support on preventing erosion in the long-term to have been erected. People who used to be controlled by middle- ensure sustainability of the new flood defenses.
MAY 2016 © CORDAID 7 CORDAID 2015 ANNUAL REPORT What we did in 2015
Sharing track-record Community Managed Disaster Risk Reduction (CMDRR) is a Upper Nile, Unity, Western Bahr el Ghazal, Western Equatoria, process of bringing people together within the same communi- Central Equatoria and Eastern Equatoria States and in the ty, or between neighboring communities. This enables them to Abyei Area. In 2015, we put all this expertise and experience collectively address a common disaster risk and to develop risk together in: Our Peace, Our Future: experiences from Community reduction measures together. The Cordaid disaster risk reduc- Managed Disaster Risk Reduction approaches in South Sudan. The book tion program in South Sudan is aimed at building disaster can be freely downloaded from our website: www.cordaid.org/ resilient communities, especially on issues such as inter/ media/publications/Cordaid_CMDRR_in_SSudan.pdf intra-community conflict, drought and flood risk reduction, These are only some of our more than 700 humanitarian/ depending on context. In South Sudan, where we have been disaster risk reduction programs and projects. A full overview working for two decades, we currently have projects in the can be found on Open Data.
G4-8 HEALTHCARE IN 2015
6 MLN 165 30,000 people* have access to basic healthcare partners women now receiving SRH services in through Cordaid’s RBF programs Zimbabwe and a 600% 2 MLN increase in safe deliveries in Burundi 15% people in Africa’s Great Lakes Region following the introduction of RBF increase or receive Sexual and Reproductive Health Services from 30 to 50% 18,000 increase in the number of people with more women giving birth either in 450 access to healthcare in Central African hospital or with a trained birth attendant health centers Republic 226 projects
*calculation based on populations in countries where Cordaid has introduced RBF
WHERE WE WORK
AFGHANISTAN
BANGLADESH
SUDAN SOUTH HAITI CENTRAL AFRICAN REP. SUDAN
SIERRA LEONE ETHIOPIA UGANDA GHANA RWANDA CAMEROON BURUNDI CONGO TANZANIA DEM. REP. OF MALAWI THE CONGO ZIMBABWE ZAMBIA
Total spent in 2015:
>€57 MLN (2014: €68.6 mln)
8 MAY 2016 © CORDAID What we did in 2015 CORDAID 2015 ANNUAL REPORT
Universal healthcare (UHC) is a primary goal for Cordaid. Next generation The challenge is how it can be achieved in fragile and conflict- In addition to RBF aimed as furthering UHC, we focus specifi- affected regions. In late 2014 and based on our experience in cally on women’s and young people’s health often through seven countries where Results Based Finance (RBF) has been Sexual and Reproductive Health Services (SRHS) programs. For adopted as national health policy, we published an extensive example, our ‘Next Generation’ program on rights and services report that identifies ways and means. It can be downloaded provides an integrated approach for (young) women and men in via: www.cordaid.org/media/publications/Cordaid_Universal_ Burundi, Rwanda and DR Congo. One of the main goals is to health_coverage_in_fragile_states__Research_report_2014.pdf. reduce the staggering number of unwanted teenage pregnan- One thing is clear: there is no ‘one size fits all’. Each country cies, unsafe abortions and maternal deaths, which is a massive has to start with its existing health systems and make assess- problem for women and girls in all three countries. To date, the ments of what works and what does not, identify improve- program has reached two million people who are now receiving ments and upscale progress. RBF is an ideal tool to support this improved quality care from 450 health institutes. As part of the development (see sidebar), as we have demonstrated in a Next Generation program, we continue to work with Healthy number of countries. Entrepreneurs, a young, creative and innovative company fully
RESULTS BASED FINANCING RBF in summary ▪▪ Innovative financing method Results Based Financing (RBF) is designed to improve access ▪▪ Performance related financing and quality of healthcare and other services, such as educa- ▪▪ Stimulates social entrepreneurship tion and security, for the poorest and most vulnerable people, ▪▪ Controls performance the majority of whom are to be found in fragile and con- ▪▪ Cost efficient flict-affected areas. Cordaid pioneered this approach whose ▪▪ Helps more people point of departure is a direct link between funding and results. Contrary to more traditional approaches, where Results from RBF funding goes into a general financing system, RBF service Cordaid first launched RBF in sub-Saharan Africa 15 years providers receive payments only after their output and ago and we now work on RBF for healthcare in more than 10 outcomes have been verified. But RBF is more than just a countries, introducing the concept most recently in Malawi. change in the way healthcare and other service providers are Over that time, we have been able to achieve significant paid - it is a reform strategy that is built on many years of positive impacts. These are only some of the highlights – experience in strengthening initially healthcare and now please see www.cordaid.org/en/topics/healthcare. other systems. It introduces checks and balances, accounta bility, motivates staff, promotes entrepreneurship and ▪▪ In the two years since its introduction in the Central involves private not-for-profit, private for profit and public African Republic, the number of people with access to sector parties, as well as the communities themselves. healthcare has increased 30 to 50%, depending on location, In fact, in most of our RBF programs, ‘customer satisfaction’ while the cost has fallen 25-50%. is a key quality indicator. ▪▪ In Rwanda, a World Bank impact study showed that the number of safe deliveries in healthcare facilities was 23% higher in RBF districts than in districts without RBF, while child preventive care visits increased a staggering G4-8 footprint of cordaid rbf in africa 132%. In addition, out of pocket expenditures decreased by 62%, indicating that RBF makes healthcare more accessible for the poor. AFGHANISTAN ▪▪ In the Democratic Republic of Congo, safe deliveries rose
CENTRAL 97% in RBF facilities compared to non-RBF facilities while AFRICAN in Burundi this number increased between 100 and 600% REPUBLIC SOUTH in just 10 months of RBF implementation in three SIERRA LEONE (CAR) SUDAN provinces. ETHIOPIA ▪▪ A recent review of the Zimbabwean RBF program shows CAMEROON UGANDA clear upward trends in RBF districts for antenatal care and REPUBLIC OF CONGO (RC) RWANDA BURUNDI institutional deliveries. The full program focuses on better DEMOCRATIC REPUBLIC TANZANIA OF CONGO (DRC) access to good quality medical care for mothers and MALAWI children at 1,500 hospitals and health clinics. The total ZIMBABWE target group is 3.2 million people. Results so far show 30,000 women receiving Sexual and Reproductive Health n Cordaid services and a 15% increase or 18,000 more women giving n Health RBF birth either in hospital or with a trained birth attendant. n Education RBF n Health and Education RBF n Health, Education and Security RBF 2015
MAY 2016 © CORDAID 9 CORDAID 2015 ANNUAL REPORT What we did in 2015 focused on business development with social impact. In 6 MONTHS, 6 FACTS & FIGURES Rwanda, DC Congo and Burundi, Healthy Entrepreneurs and Cordaid support young people to provide peer education on SRH “Results Based Financing in Sierra Leone” in market places and youth centers. The idea is to help young people protect themselves against HIV/Aids and unwanted During and now in the aftermath of the Ebola crisis, pregnancy – Burundi has one of the highest teenage pregnancy Cordaid is working to reinforce health systems through rates in the world. our RBF PLUS program, and with considerable success.
THE IMPACT OF INTRODUCING SHR SERVICES
Before After first Results implementation 18 months of implementation 441,180 260 (2013-2014) Number of patients treated, tested, Number of health professionals vaccinated and referred. trained to improve and strengthen Young people that 76,000 526,000 5x increase the health system. received sexuality education
Girls/young 309,000 436,000 40% women that have increase used any SRH x 8 x2 service Investment increase in health facilities Quality of ‘hygiene, infection control (€268,000 total Results Based Finance and waste management’ doubled, payments). reaching an 84% satisfaction rate.
‘Deaths related to Sexual and Reproductive Health & Rights out Confidence Transparency number deaths from other causes in fragile settings. Over half of all In the Ebola context, the population The RBF program improved data maternal, newborn and child deaths occur in around 50 countries did not trust the formal health system. quality and therefore transparency. categorized as fragile states.’ That led to low levels of utilization For example, the gap between ‘reported’ of services. The RBF program reestab- and ‘actual’ consultations fell from Yvonne Stassen, Deputy Director for the Social Development at the lished confidence as the number of 30.5% in May to only 0.3% in September. Dutch Ministry of Foreign Affairs speaking at first symposium on general consultations increased 135%. ‘Sexual and Reproductive Health and Rights in fragile environments: turning challenges into opportunities’, co-sponsored by Cordaid in ‘The RBF PLUS here in Bombali has helped us immensely to get December 2015. patients back to the clinics after the drop in services during Ebola,’ Christiana Daphne Decker, midwife and clinic supervisor, Bombali, Sierre Leone.
Conflict care Although there is a lot of positive progress to report in 2015, we have also had to deal with a number of major issues. In the extreme north of Cameroon, our healthcare services have been ‘We put a lot of effort into gaining the trust of the communities, seriously disrupted by the Boko Haram terror organization. keeping open lines of communication. Ideally we want it to be a logical It is estimated that one quarter of all healthcare centers and step for everyone to have their babies vaccinated. It should come hospitals in the far north no longer functions because of the naturally. And sometimes we even have to gain the trust of rebel ongoing violence. Using RBF, Cordaid and its local partner groups. We have to show them we do not pose a threat when we organization, APROSEN, supports dozens of small healthcare transport vaccines. Medical goods can be mistaken for other things, centers and a number of hospitals in this area. Until early 2015, like weapons. People in Afghanistan, for example, have been killed by the numbers of assisted births, child inoculations and pre- and rebels during such transport’ postnatal consultations in these healthcare centers had been Remco van der Veen, Director Programs, Cordaid. increasing. More recently, they have been decreasing. Pregnant women are afraid to come to the centers, preferring instead the old-fashioned way of giving birth at home, often in unsafe and unsanitary conditions. We have set aside additional funding Innovations update for APROSEN so that it can improve security of the healthcare During 2015, we began the pre-clinical trials of the ‘Baby centers, although one has already been forced to close. Schools Viewer’, a low-cost, portable ultrasound aimed at radically and markets have also closed. Around 32,000 people have fled reducing maternal mortality. Usually, ultrasound technology to a refugee camp and thousands of others have sought refuge can cost anywhere between US$ 10,000 and US$ 100,000. Delft elsewhere. Cordaid, APROSEN and local Caritas organizations Imaging Systems, that developed the Baby Viewer, has already are looking for ways to contribute to providing shelter for the created a prototype and estimates that in the longer term it victims of the violence, refugees and malnourished children. could be manufactured for around US$ 500 by using recycled People with HIV need extra care. The violence is making it plastic waste. difficult to keep track of these people whose medication is of life-or-death importance.
10 MAY 2016 © CORDAID What we did in 2015 CORDAID 2015 ANNUAL REPORT
Worldwide, one woman dies of cervical cancer ever two minutes. MALARIA AND CHOLERA EPIDEMICS Around 85% of women affected live in developing countries. CONTROLLED IN SOUTH SUDAN And in Ethiopia, breast and cervical cancer are the biggest and usually silent killers. Unlike many cancers, cervical cancer can be prevented quite easily. A woman can be screened and treated at minimal cost and maximum impact on a single visit on a single day. So that is what we are doing in six regions in Ethiopia. The introduction of cancer screening represents a Primaire kleur next step up from basic healthcare. With the support of the Bristol Myers Squibb Foundation, the Global Leaders’ Council Secundaire kleur and Pink Ribbon Red Ribbon, Cordaid launched a program at the start of 2015. The goal is to reduce mortality from breast Skintones
and cervical cancer by 25%. Extra
In spite of a peace agreement, the fighting in the vulnera- This is how we are working: ble South Sudanese state of Upper Nile continues and whole areas are cut off from access to food aid and medical IMPACT care. A cholera outbreak in mid-2015 put further pressure on the limited healthcare services but is now under control only to be followed by a malaria epidemic. At the height of the crisis, November, over 700 people made their way to our first-aid post, three times more than usual. We were able to treat all comers and only one life was lost. Patients SEE TREAT were able to return home with durable mosquito nets; the primary recipients were pregnant women and children
v r under five. A malaria testing program has now been put inega N2O in place.
TELL Innovation: Bliss4Midwives ? The risk of losing both mother and baby is higher in rural ? northern Ghana than in the rest of the country. Health clinics are few and far between; only 12% of mothers-to-be are able to access pre and post-natal care. That is where Bliss4Midwives comes in. With TNO Delft and Simavi in the Netherlands, Cordaid has developed this easy-to-use device that includes multiple test options in a single, portable machine. Using the ? device, midwives in rural and remote areas will be able to run ? ? tests and make diagnoses, enabling them to reach women who cannot travel the great distances to regular clinics. We are working with local partners. A total of 20 midwives and nurses are scheduled for training in February 2016. A pilot group of 500 mothers-to-be will test Bliss4Midwives. The midwives will keep the prototype devices after the pilot and it is estimated that 500 to 1,000 mothers-to-be will benefit every year. A Results so far business case has already been developed based on up-scaling ▪▪ raised awareness in all six implementing sites; that will keep the device affordable and available elsewhere. ▪▪ 28 nurses and midwives trained in screening and treatment; ▪▪ 240 women screened during the training program; Innovation: Screening for cancer in Ethiopia ▪▪ 10 cryo devises procured.
Follow progress through Open Data: https://www.cordaid.org/ ‘Cervical cancer is one of the most important causes of death for women en/projects/ethiopia-female-cancer-initiative/112243/ after maternal mortality in my country. If I can diagnose and treat all women in time with simple and low cost methods, then I prevent so many families with young children losing their mother, their wife, their sister.’ Dr . Manenti, Gyneacologist in Wolisso hospital, Ethiopia.
MAY 2016 © CORDAID 11 CORDAID 2015 ANNUAL REPORT What we did in 2015
G4-8 EDUCATION IN 2015 >192,000 166 >90,000 children in RBF schools in CAR with children
>400 60,000 >16,000 RBF schools children in CAR achieving 15% increase kids participating in our purpose- in pupil retention, a 12% increase in designed Respect Education program 79 girls’ attendance rate and more than 68% for conflict regions projects in improvement in successful exam results 7,000 4 196 disabled kids now have access to countries now using RBF in education primary and secondary schools in education in Bangladesh DR Congo educating 34 partners
WHERE WE WORK
INDIA BANGLADESH
CENTRAL AFRICAN REP. PHILIPPINES
ETHIOPIA
CAMEROON UGANDA BURUNDI DEM. REP. OF THE CONGO MALAWI
Total spent in 2015:
>€5 .4 MLN (2014: €7.3 mln)
One in ten of the world’s children of primary school age into government policy. Cordaid has already reached 166 (roughly 57 million children) are not in school (UN). It is schools through RBF across CAR, providing education to estimated that 781 million adults and 126 million young people around 60,000 children at an annual cost of USD 8.34 per child. aged 15 to 24 worldwide lack basic reading and writing On average, primary schools with RBF contracts have increased skills. More than 60% of them are women. Education is believed access and pupil retention by 15% (between 2012 and 2014 to be one of the best ways to help people escape poverty. The – most recent figures available); the attendance rate among more educated people are, the more likely they are to get a job, girls is up 12%. Over 68% of children are successfully taking to start their own business, to save, and to improve their examinations in spite of only 35% of classrooms being fully quality of life and that of their families. Educating girls is one equipped (see more on the independent edu.pbfsudkivu.org/ of the best ways to improve a society’s socioeconomic develop- data). In DR Congo, we have expanded the RBF education ment. In many developing countries, education gives girls a program to include additional modules, including radio-based voice. Girls who receive an education are more likely to marry support to teachers. In the future, DR Congo, Burundi, CAR and later, to have their children at a later age, and enjoy better Malawi will be the focus countries for our education programs. health. Educated mothers are more likely to have their children vaccinated and know how to prevent and treat potentially Respect Education life-threatening diseases, such as diarrhea and pneumonia. The quality of education is to a significant extent dependent on Their children are also less likely to be malnourished. Above all: the quality of teaching. Training teachers is, therefore, a key children with educated mothers are more likely to be in school. component of our RBF education programs. Part of the pro- gram enables teachers to follow remote learning courses via Positive outcomes radio to improve their skills and expand educational theory Cordaid has invested heavily in education programs in nine and techniques. In 2015, we introduced this component of the countries, introducing RBF in four of them. The most recent program in DR Congo in cooperation with Respect Education. addition is the Central African Republic (CAR). In mid-2015, the The Respect Education program (REP) was co-developed by Minister for Education announced RBF would be incorporated Cordaid specifically for use in conflict-affected areas. According
12 MAY 2016 © CORDAID What we did in 2015 CORDAID 2015 ANNUAL REPORT
to researchers from the Universities of Groningen in the The arrival of refugees in Europe has brought specific challenges Netherlands and Mindaneo State in the Philippines, at least close to home. Currently, there are more then 10,000 refugee 3,000 children on the conflict-prone island of Mindanao have children in asylum centers in the Netherlands. They are already been reached and the program is set to reach almost relocated frequently and have no consistent access to educa- 7,000 children nationwide before the end of next year, also tion. On the International Day for the Rights of the Child through the 194 teachers who have been trained. And it works. (20 November), Cordaid joined with 158 Dutch NGOs to call for Researchers found that schools that participate in the REP a more child-oriented reception of refugee children in the report significantly fewer cases of peer victimization. Netherlands.
The results Children taking part in Respect Education in 2015-2016: ‘These (refugee children) have often already been through a lot and are Burundi: 1,000 DRC: 1,000 Philippines: 14,000 sometimes traumatized by war, conflict and the dangerous journey to 73 schools participated in 2015, 63 in the Philippines, get here. They deserve to find peace here, stability and to be a child 10 in Burundi and DRC again…’ 234 Teachers were trained in 2015, 194 in the Philippines and Karin Kloosterboer, chair of the Werkgroep Kind in AZC 40 in Burundi and DRC (Dutch Workgroup Child in Asylum Centers).
Access for all Many of the children missing out on the benefits of education These are only some of the education programs and projects are from vulnerable indigenous or minority groups. They are we worked on in 2015. All can be found through Open Data. disabled, are orphans or homeless, and run the risk of being Throughout 2015, we worked closely with our partner abused or exploited. Cordaid has a long track record on support BlueSquare on integrating verification and community for inclusive education and our policies, programs and practices feedback systems into our RBF education projects, aligning are aligned to UNESCO. Part of our approach is to build the our inputs with those of Healthcare and Security & Justice. capacity of small, local inclusive educational organizations For more on RBF and education, see the independent site: through projects and advocacy. In Bangladesh, over 7,000 http://edu.pbfsudkivu.org/data children with disabilities now have access to education.
G4-8 SECURITY & JUSTICE IN 2015 56 120 1,500 projects Community Security Architects trained locally-led security and justice initiatives in DRC in DRC while community satisfaction with 10 policing services increased from 20.6% in countries 200 2013 to women trained in peace building in 54 South Sudan >58% partners in 2014, also due to increased Cordaid presented the co-developed surveillance 300 Global Acceleration Instrument to female judges trained in Afghanistan the UN review on Resolution 1325
WHERE WE WORK
AFGHANISTAN
ISRAEL SUDAN SOUTH HAITI CENTRAL AFRICAN REP. SUDAN
SOMALIA
BURUNDI DEM. REP. OF THE CONGO Total spent in 2015:
>€5 .6 MLN (2014: €12.1 mln)
MAY 2016 © CORDAID 13 CORDAID 2015 ANNUAL REPORT What we did in 2015