health guides photo courtesy Lon&Queta, of Flickr

An Avalanche of Needs

A letter from the Executive Director

A few weeks ago, I joined some of Hesperian’s long- This community-strengthening approach is the term partners in Guatemala. While we gathered basis of everything Hesperian does because ultimately, to celebrate the 40th anniversary of ASECSA’s health will be achieved—and defended—only when community-based health work, we spent a lot of time people are organized to work not just for healthcare but discussing the increasingly difficult challenges to also for adequate housing, clean air and water, inclusive people’s health throughout the Americas: violence education, and violence-free homes, workplaces, and against women, backlash against reproductive rights, streets. environmental destruction, unsafe and unfair work, This year, our small staff—with support from many migration tearing apart families and communities, and volunteers, partners, and our indispensable donors— corrupt governments failing to deliver public services. provided an astonishing amount of information and This veritable avalanche of needs should have felt inspiration for people promoting health and hope in 221 overwhelming. countries. None of this would be possible without you, Instead, I came home with renewed hope and a because everything we do depends on your support. stronger commitment than ever to Hesperian’s mission. I send you this annual report with a message Every one of the 300+ health promoters shared how of thanks and of hope from the community health they promote health through community organizing. organizations of the Americas and literally the world— They shared their struggles and successes, citing they are grateful for Hesperian’s work and rely on us for Hesperian materials as their source for information and information and inspiration to respond to the challenge inspiration. Midwives in Guatemala used Health Actions of building stronger, healthier communities. We can for Women to raise awareness and prevent gender- help meet that challenge with your participation and based violence; Salvadoran community leaders used your support. A Community Guide to Environmental Health in their Thanks, campaign to ban mining; Mexican health promoters used our materials to form support groups on sexual assault in the workplace; and young Colombian activists promoted access to reproductive health services with Sarah Shannon Hesperian’s new mobile apps. Executive Director Hesperian Health Guides Resisting the attack on women’s health Our women’s health content is helping challenge the attacks on women’s sexual and reproductive rights. This year, we focused on expanding the reach of all of our women’s health materials. From the launch of Health Actions for Women in Spanish and Nepali to developing two mobile apps on reproductive health, Hesperian is leading the way to provide women and their organizations with the right tools at the right time—to open difficult dialogues, find creative solutions, and mobilize communities to ensure girls, adolescents, and women have equal rights and access to straightforward, unbiased information. Everything online: Women’s health is central to Health for All, and an essential component of all the health materials Meeting needs with free Hesperian produces. There isn’t a Gag Rule yet devised that can stop us from delivering information to the digital content people who need it. Hesperian has become the worldwide go-to health information hub. Over 6 million people visit our “Health Actions for Women invites us to become multilingual HealthWiki every year for information community educators and activists by proposing on women’s health and environmental topics, on child activities, not telling us what to do, but encouraging development and disabilities, and on training health us to adopt and adapt these ideas.” workers and community midwives. —Mayra Morales Aldaz, DDESER We also respond to the unprecedented attacks on health—especially women’s health—in the US and worldwide by producing and publishing more digital content at a faster pace. When we launched our Peace Corps Volunteers ♥ newly digitized flagship manual on women’s health in Hesperian Filipino, visits from the Philippines skyrocketed! The Philippines became one of our top user-countries for Current and returned Peace Corps Volunteers are vital the first time. And the return of a more restrictive “Gag to ensuring that our books get into the hands of those Rule,” limiting international access to life-saving health who need them most. services (not just reproductive ones), generated millions of views of our women’s health content in Spanish. “As a Peace Those pages are now the most searched-for content in Corps the entire HealthWiki, which has grown to 6265 pages Volunteer in in 18 languages! Senegal, I With the setbacks to people’s right to health, constantly used demand for Hesperian’s content grows as does our Hesperian commitment to provide vital, life-saving health materials information for free. We are thankful for the support to advise people on critical issues and teach from our health-minded donors who believe in the prevention. It was extremely relevant because power of knowledge for action. people could relate to the materials and illustrations. I had no internet access, so these “At ChildFund International, I routinely sent books provided the basis for much of my knowledge HealthWiki links and documents to my colleagues about how to address medical issues for myself, my in the 25 countries where we worked.” community, and for teaching. I owe a lot of my —Meg Carter success to Hesperian.” —Jacqueline Gerson, RPCV, Senegal Responding to today’s issues Women face sexual harassment and sexual violence in the workplace every day, particularly in low-wage jobs. When the Sexual Harassment Action Network formed to empower victims, advocate for laws to punish abusers, and change the norm of harassment and violence, we quickly adapted chapters from Workers’ Guide to Health and Safety into a Spanish-language booklet on violence and sexual harassment. Salud laboral: Acoso y violencia will bolster activists’ work with our renowned people- centered language and practical tools. This booklet gave us an opportunity to pilot When disaster strikes our rapid-response material development by quickly People responding to emergencies in the US and around adapting content from our massive library of resources. the world, from epidemics to natural disasters, relied As issues arise, we are prepared to draw upon and on Hesperian materials to take action, save lives, and deploy our materials quickly and efficiently to meet protect basic environmental resources. people’s needs. When Hurricane Maria struck Puerto Rico, stranding millions without power and clean water, More languages, please! Hesperian was front and center, equipping volunteers from the Bay Area with information for both medical In just 12 months, we care and disease prevention. A Community Guide to launched the Spanish, Environmental Health became an essential tool for health Nepali, and Lao editions of educators who produced educational materials and flyers Health Actions for Women; key to their door-to-door campaigns showing people how the Spanish edition of to purify water, treat diarrhea, and clean up mold. Recruiting the Heart, In Yemen, war and destruction of basic sanitation Training the Brain; and systems have resulted in one of the worst cholera published new chapters of epidemics ever recorded—millions have been made the New Where There Is No ill and thousands have died. We worked with partners Doctor, including “Problems to translate our Cholera Fact Sheet into Arabic and with the Eyes and Seeing” distribute it widely in the region. Health providers and and “Heart Disease and educators are using it to teach others how to prevent and High Blood Pressure.” stop the spread of this deadly disease. Our digital resources grew exponentially this year too, as we digitized 44 new materials in 16 languages in the HealthWiki, and published 33 new (and free!) PDFs Books for action in 14 languages. This year we added content in Bangla and Nepali. And did we mention that we also worked on In the right hands, our books become a tool for beta versions of a mobile app in 4 languages? change—reviewed, shared, and used to address health While our editorial and digital teams are producing needs. Our expanded “Gratis Book Program” helps content for digital delivery, including ebooks, a hidden address growing health needs in the U.S., especially but vital element of our work is to keep all content, in in immigrant communities and communities tackling every language and in every format (print, PDF, wiki, climate change. We produce and ship these resources ebook, and mobile app), up-to-date. Our reprints team at no charge thanks to donors who believe in the power are the unsung heroes at Hesperian, ensuring that new of information. Thanks to you, this year we sent 1,047 information and important changes are documented, books to be used and shared for years to come. incorporated, transmitted and disseminated in real time throughout all our materials. “Thank you for donating copies of Where There Is All of these new translations, plus the 96 No Doctor to our health program. They will help translations in 51 languages currently in progress, mean us train new health promoters and also support that millions of people who didn’t have Hesperian promoters back in their communities.” content in their language will now be able to get vital —Victor Manuel Lopez, health worker, Guatemala health information. Income and Expenses Planned Giving $20,000 Sales $158,819 Fundraising $280,358 Materials and Training Services $87,6 08 Administration Corporations $109,888 $73,995

Individuals Foundations Program Services $452,480 $805,881 $1,231,991 TOTAL INCOME TOTAL EXPENSES $1,598,783 $1,622,237 Hesperian ended Fiscal Year 2018 with net assets of $485,931.

Your support Why I give means everything Deborah Ottenheimer was first introduced to Hesperian while Without your support, millions of traveling in Africa. The minute she people worldwide could not access saw our books, she was hooked. our life-saving health information. Deborah later went to medical Help us continue our work: school and is now a practicing OB/ • Become a monthly donor and GYN. She continues to work in have your gift automatically international health, most recently in billed to your credit card. Haiti. She finds our books to be spot • Take advantage of your on, especially in women’s health, and employer’s matching gift/ says they are useful teaching tools workplace giving program. that respect people’s experiences. • Give a gift in honor of someone In memorium special or buy them a Hesperian Hesperian mourns the loss of “I use Hesperian books because book. Davida Coady, public health hero. the information is unbiased, • Buy from us directly. As a committed board member well-researched and applicable to • Give a gift in memory of and generous supporter, Davida people worldwide. Hesperian is someone special. We’ll notify inspired Hesperian to expand the family of your generosity. its work into creating accessible, interested in health without any • Name Hesperian in your will, encouraging, and practical other agenda and that’s why I am insurance policy, retirement information on women’s health and a long-time donor!” plan or trust. other topics. She led an astounding —Deborah Ottenheimer This past year, Hesperian received life, pursuing health and justice on a major bequest from long-time every continent, providing direct donor Marjorie Boetter. Her support service to refugees and people in helped us publish Health Actions for struggle, and achieving more in Women and her bequest will have one lifetime than seems humanly an impact on women worldwide for possible. Thanks to all who gave a years to come. gift in her memory. 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