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ANNUAL REPORT 2015 MESSAGE FROM A MESSAGE OF TRIBUTE AND GRATITUDE TO THE CEO AND THE CHAIRMAN JOSEPH CAHALAN

Published in 1998, Believing in Action is the title of a book while we may be impatient about this old world and it so badly needs that chronicled the history of Concern Worldwide on the 30th its existence, we are tireless in our a springtime. pursuit to see its end. anniversary of its founding. It is a simple but powerful title that But instead, your circle of goodness captures the fi erce urgency of now, the undeniable impulse In 2015, we directly reached more will slowly widen and encompass than 7.6 million people in 29 many people. to do something in the face of poverty and suffering, which countries. We responded to 42 Thank you so much for making me a drove a small community of passionate individuals to found emergencies in 24 countries. In part of it. the organization in Dublin, Ireland in 1968. As we near our support of that work, 92 cents of You really are 50th anniversary, we can confi dently say that our commitment every dollar raised in the US went directly to our programs. believing in action, to transforming concern and compassion into action remains hoping in action, as strong as ever. In that Concern tome Believing In love in action. Action, perhaps its most memorable passage – which also inspired the We are proud of the effi ciency book's title – concerns a letter sent to Annual reports are not always the and accountability we are able to In early 2016, Joseph M. Cahalan, PhD, the fi rst leader Father Aengus Finucane, the founder best at communicating the culture report once again this year. We are of Concern Worldwide US who was ever to hold the title of Chief Executive Offi cer of Concern and ethos of an organization – the prouder still to tell you that this is a also Concern’s country director in focus is, rightly so, on the numbers direct outcome of an ethos forged Worldwide US, announced that he would be stepping down Bangladesh in the 1970s. The letter and on satisfying fi duciary and fi scal nearly a half century ago and that from that post effective March 31st, exactly three years was written by a Concern staffer reporting requirements. We hope our culture of action is stronger after his 2013 appointment. Dr. Cahalan is succeeded by named Elizabeth O’Brien. She had been you will fi nd that this year’s annual than ever. The world needs a diagnosed with terminal cancer in 1972 Jack Haire, an 18-year member of Concern US's Board of report is not just a documentation of springtime more urgently than ever while on the job and chose to die at a Directors. Jack has also been one of the magazine industry’s our income and spending but also an now, but we will continue to take Concern house in Dhaka, Bangladesh expression of a commitment shared action for as long as it takes. most respected and accomplished publishing executives later that year. The letter she wrote to by our US team of 50 staff, our over the last three decades. Aengus a month before she passed global network of 3,000 workers, and away could have been written today: our partners and generous donors. The announcement was met by an and growing US fi nancial support to Jack Haire It is a commitment to responsible, outpouring of gratitude and best fi eld programs by more than 10%. Dear Father Gus and all Concerned, Chief Executive Offi cer effective, community-driven, wishes to Dr. Cahalan from the Board Dr. Cahalan came to Concern fi rst as practical, innovative, transparent, and What have you done to all the of Directors, leadership counterparts a member of the Board in 2008. Five sustainable action. people you come in contact with? in Dublin and London, staff, partners, years later, Board Chairman Thomas J. and supporters of Concern Worldwide This report contains compelling And that means the poor Bihari Moran asked Dr. Cahalan to serve as around the world. stories of concern in action over the children in the camps and cities; CEO during a pivotal moment in the last year, in places diffi cult to work the oppressed Muslim women; the Dr. Cahalan’s appointment as CEO organization’s history when it was the and where need is massive – South international people who have to two decades after the founding of the midst of unprecedented growth. He Sudan, Syria, Lebanon, Turkey. You defend themselves at your round US organization signaled a greater embraced the opportunity after more will also read about the impact table; the executives of international focus on expanding profi le, income, than 40 years at Xerox Corporation, that our Innovations in Maternal, agencies in Europe; the old-age and general support of Concern’s where he last served as President of the Newborn & Child Health initiative, pensioners in Ireland; sophisticates programs across the developing Xerox Foundation and Vice President funded by the Bill & Melinda Gates in California…all kinds of people. Thomas J. Moran world. His achievements include the of Communications and Social recruitment of an experienced, expert Responsibility at Xerox Corporation. Foundation, has had on developing You seem to crack the hard little Chairman leadership team; oversight of a brand game-changing solutions. And you shells that hold us in and say, Though he has stepped down from his will see our long-term perseverance revitalization; the redevelopment of leadership post, the entire organization “Come alive. Be happy. in action in countries like Ethiopia and the organization’s website; leading the is grateful that he will remain on the Not to worry.” Bangladesh where, standing shoulder creation of an ambitious three-year Board of Directors and extend his to shoulder with communities, I would like to take you like seeds strategic plan; seeing the Bill & Melinda tenure marked by signifi cant and lasting we have worked upwards of four and throw you to the corners of the Gates Foundation-funded Innovations contribution. decades. Poverty is complex and earth. It would make a springtime of initiative to a successful conclusion;

1 2 FATHER AENGUS FINUCANE

Born in Limerick, Ireland in 1932, Father Aengus Finucane devoted his life to his family’s tradition of public service from a OUR MISSION young age. In his fi rst assignment as a young missionary with the Holy Ghost Fathers as parish priest in Uli, Nigeria, Aengus To help people living in extreme poverty found himself in the midst of the bitter civil war between achieve major improvements in their Nigeria and Biafra in 1968. He literally came face to face with famine as starving men, women, and children appeared at his lives that last and spread without ongoing very doorstep. Aengus and his brother, Father Jack Finucane, support from Concern. alongside colleagues from all faiths, knew they could not be bystanders — they knew they had to act immediately and do whatever they could to alleviate the suffering. Turning schools into refugee camps, setting up food OUR GOAL distributions, and establishing emergency hospitals, Aengus and Jack worked tirelessly to bring aid to hundreds of To work with our colleagues throughout thousands caught up in the confl ict. At the height of the the Concern network to amplify our crisis in the summer of 1968, it was estimated that 6,000 impact and empower people to build children were dying every week due to a lack of food and better lives in sustainable ways. medicine. Aengus and Jack turned to their home country to raise awareness about the seriousness of the famine. The response from the Irish was extraordinary. To accommodate the large shipments and fl ights of relief supplies that were fl own in from Ireland every night, Aengus and his colleagues widened an emergency airstrip in the parish of Uli and WHAT WE DO lined the runway with lanterns to guide the landing planes. Amid active warfare in extremely dangerous conditions, they unloaded and distributed food, blankets, and medicine. + HOW WE DO IT “Uli was bombed every day,” Aengus remembered, “but the Biafrans were lined up in the forest with truckloads of gravel FOUNDING STORY to fi ll the holes in the battered runway.” From these conditions of hardship, suffering, and confl ict — and with great courage and commitment — Concern CLIMATE EMERGENCY HEALTH + Worldwide was born. For the next 40 years, Aengus RESPONSE + worked among and fought for the poorest of the poor RESPONSE NUTRITION during confl icts, disasters, and famines. He lived in and RESILIENCE traveled to the world’s poorest countries, including Ethiopia, Bangladesh, Cambodia, and Uganda. He was also on the ground in Rwanda, where he witnessed the horrors of WOMEN + CHILDREN genocide fi rsthand. In 1981, Aengus became Chief Executive of Concern, a post he held until 1997 when he came to the United States to set up Concern Worldwide US, where he served INNOVATION as Honorary President until his death in 2009. His work with Concern Worldwide US was extraordinary. Working alongside Executive Director Siobhan Walsh and Chairman Tom Moran, he helped to build the organization from a small  Father Aengus Finucane with COMMUNITY EMPOWERMENT schoolgirls in Bangladesh, where he team of four to more than 50 staff members who work to was Concern's Country Director in the develop programs and raise awareness as well as funds to 1970s. Photo by Concern Worldwide support Concern’s work in the fi eld.

3 4 WHAT WE DO

CLIMATE RESPONSE AND RESILIENCE Those least responsible for climate change – the poor and vulnerable – feel its impacts the most. Our work to end extreme poverty is increasingly challenged by the effects of shifting climatic patterns. Many people rent land to grow food or work as seasonal laborers and don’t have EMERGENCY RESPONSE the ability or money to make the long-term investments Earthquakes, storms, fl oods, droughts, confl ict. When an needed to cope with a changing climate. Others eke out emergency strikes, Concern goes where most needed a meager living through irregular work, hazardous jobs, to help the most vulnerable. Our fi rst priority is to deliver natural resource harvesting, or other means. The poor also life-saving relief, such as food, shelter, and clean drinking have limited resources to survive in the aftermath of natural water. We put communities fi rst and design our response disasters that destroy homes, crops, and livelihoods, which according to their needs. They are partners in our work can then plunge them deeper into poverty. For the world’s from the very beginning, a relationship that continues poorest, climate change threatens the basic elements of long after the crisis is over as we move with them to survival, impeding their ability to live full, productive lives. recovery and eventually long-term development.

 A girl stands on the remains of a road in Malei, a town in Mozambique's Zambezia  People await relief supplies at a Concern Worldwide distribution site Province. Sitting on the Licungo River, the area was decimated by historic flooding in in Zambezia, Mozambique. Photo by Crystal Wells/Concern Worldwide 2015. Photo by Crystal Wells/Concern Worldwide ENVIRONMENTAL STABILIZATION AND REHABILITATION WE FOCUS ON THE MOST VULNERABLE By addressing the inextricable link using conservation agriculture as an Natural disasters can be as among crops, which both rehabilitates Whether a disaster is natural or man-made, our emergency response teams go between people and their environment, alternative to traditional, intensive devastating to vulnerable degraded land and provides crops wherever the need is the greatest. Our priority is to reach the most vulnerable we work to help the most vulnerable farming methods. Conservation environments as they are to with protection against the effects of whose needs are not being met. This often means working in very remote and deal with the effects of climate change agriculture involves the practice of not vulnerable people. To address severe weather. dangerous places where few others are willing to go. through responses that are uniquely tilling the soil, using organic materials environmental damage from storms tailored to meet the needs of both as natural fertilizers, and rotating and human pressures and to minimize ECO-FRIENDLY WE DO WHATEVER IT TAKES communities and their environment. crops, which improves soil fertility, the impacts of future weather ENTREPRENEURSHIP We customize our responses based on the needs of the communities we are retains moisture, and prevents erosion. crises, we work with communities to To reduce pressures on fragile there to serve. Before we take any action, we listen closely to affected populations CLIMATE-SMART AGRICULTURE In addition to farming, we also rehabilitate the land and ecosystems environments, we help people to to understand their priorities so that our actions are not only culturally appropriate In many areas where we work, focus on sustainable community that sustain and protect them. develop alternative, sustainable, and but also aligned with what the local people see as the priorities. This means that communities rely on agriculture both management of water and other In countries like Ethiopia, Bangladesh, entrepreneurial livelihoods that provide our emergency response programs can vary greatly, from treating malnourished for food and money. Faced with natural resources, rainwater and Afghanistan, community- stable incomes. In Saut d’Eau, Haiti, children in South Sudan and creating new shelter options for Syrian refugees to degraded land and extreme weather, harvesting, high-effi ciency irrigation, maintained tree nurseries grow local for example, where a local waterfall rebuilding schools in the Philippines after Typhoon Haiyan. farmers often contend with food is the site of an annual religious and renewable energy sources, trees that are replanted in degraded WE STAY insecurity and unreliable sources of production, and technology such as lands. In coastal areas like the pilgrimage, we are working to create income. To address these challenges, fuel-effi cient stoves, solar power, Bay of Bengal, these reforestation a community-based ecotourism Our work does not end when the initial emergency is over and the news Concern promotes eco-friendly and biofuels. For nomadic pastoralist efforts help to strengthen the enterprise with a focus on benefi ting cameras and fi rst responders pull out. Building off the relationships we have farming techniques that are tailored communities whose herds often suffer natural bio-shield that trees create the most vulnerable and poor residents developed with communities, we dig in deeper, working with local people to for local environments and designed during droughts, we provide veterinary against damaging winds and erosion in addition to the wider town. heal, rebuild, and recover. Many of the countries where Concern has to improve food security and nutrition. care and training on improved from tidal surges. In farming, a development programs today started as emergency responses years before, a This includes growing a diversity of husbandry techniques so their animals similar approach uses agroforestry testament to our commitment to stay and help communities over the long term. hardy, weather-tolerant crops and can survive harsh weather. techniques to grow trees and shrubs

5 6  In Liberia, farmer field school leaders teach agricultural techniques to increase yields as well as to alleviate WHAT WE DO malnutrition. Photo by Kieran McConville/Concern Worldwide LIVELIHOODS HEALTH AND NUTRITION Our livelihoods programs aim to increase people’s control of their natural resources, build reliable and fair access Helping vulnerable people live healthier lives and get to food, and empower people by increasing the skills, the food they need has been a cornerstone of Concern’s knowledge, and resources they need. We focus on the work for nearly 50 years. From working with farmers to extreme poor, working in and with their communities. We listen as they identify their most urgent needs as well grow more nutritious crops to training community health as the long-term factors that stand in their way. We also workers, health and nutrition are at the forefront of what we identify the strengths and knowledge that already exist in do. We are a world leader in this fi eld, and our work has the communities and seek to build on those to break down helped save the lives of hundreds of thousands of people. barriers. Most often, our work is with farmers in some of the hardest-to-reach, rural areas, but we also work in urban slum communities and tailor approaches that are appropriate, practical, and achievable for each setting.  Lucia Patrick is one of the lead A LOCAL AND mothers in Dzidzwa village in Malawi NATIONAL APPROACH who has been working to improve child EDUCATION WATER AND SANITATION nutrition, health, and sanitation in her Concern partners locally with future. Our community-based work community. Photo by Kieran McConville/ We have worked to promote education in developing Throughout most of our history, we have been working communities and nationally with targets maternal, neonatal, and child Concern Worldwide countries for over 40 years. During that time, we have to improve access to clean, safe drinking water and governments to fi nd sustainable, nutrition both to prevent and treat built hundreds of schools and renovated thousands sanitation as part of our strategy to improve health in the long-term solutions to health care malnutrition. Environmental health is of classrooms while supporting millions of children in world’s poorest countries. Through our water, hygiene, and access and better nutrition. Together an essential component to physical accessing primary education. Today, our focus is on sanitation (WASH) programs, we work with local partners with local partners, we work to health, too, and our programs in water, improving three specifi c areas: access to education, and community members to construct, rehabilitate, and strengthen health systems to deliver sanitation, and hygiene include waste quality of education (especially early-grade literacy maintain water supply infrastructure as well as latrines integrated, high-quality health management, pollution control, and and math skills), and children’s well-being for healthy in homes, communal facilities, and schools. We also services. We focus on improving the insect repellent measures to stop social and emotional growth. We do this by training protect natural water sources and counter the effects reach of existing health services, disease transmission.  Adhel Deng Yei's two-year-old teachers, involving parents and communities in school of deforestation that negatively impact them. Raising especially at the community level and daughter, Altok Wol Agamy, has her arm management, and developing appropriate curricula and awareness about good hygiene within communities is also among the underserved, while also A HOLISTIC VIEW circumference measured to assess how learning techniques. central to our strategy to reduce disease. severely she is malnourished during helping governments manage scarce We innovate holistic approaches to a visit at a health care center in Aweil,  Deli, three, holds the sweet potatoes that her mother, Monica, has grown resources more effectively. We work end chronic malnutrition, which can South Sudan. Photo by Kevin Carroll with the help of Concern's RAIN program in Zambia. Photo by Gareth Bentley towards this by supporting existing have long-term effects on children’s national and local health plans with cognitive and physical abilities that a focus on national leadership and might impair them for a lifetime and ownership of health care results. impact the generations to come. Our work includes improving agriculture TREATMENT AND PREVENTION by teaching farmers how to grow We focus not only on treating nutritious, diverse crops that are hardy, conditions like malnutrition and diversifying livelihoods options and disease but on preventing them access to markets to increase income from ever occurring in the fi rst place for food in case of crop failures, and so that mothers and children don’t rehabilitating and conserving arable die from illnesses that are entirely land and other natural resources preventable. We believe an investment vulnerable to natural disasters. We in health care is vital to prevent illness also educate people about better and disability and that a healthy cooking and child feeding practices population unburdened by sickness and train community health workers or by caring for the ill is a productive and volunteers to improve the overall one better able to move out of health of communities so that they can poverty and towards a prosperous thrive and move out of poverty.

7 HOW WE DO IT COMMUNITYWOMEN AND EMPOWERMENT CHILDREN

We employ a vast range of approaches The elimination of extreme poverty nearly 3,000 Concern staff members, We respect local social structures based on specifi c community needs, but will be driven not by governments, 87% of whom are working in their and cultures and seek out the ultimately our work is guided by a focus international institutions, corporations, home countries, as well as a vast involvement of community leaders as on women and children, community or donors. It will be achieved at network of supporters, donors, and well as a prominent voice for women. the local level, powered by the partners. Together, we are working From there, we help build strong empowerment, and innovation communities themselves. We have towards the elimination of extreme networks that include local civil society because each is essential to the lasting learned over the course of nearly fi ve poverty, gaining strength from our organizations and operational partners. elimination of extreme poverty. decades that this is an essential truth numbers and our shared values. To ensure further that the changes of both emergency response and In the countries where we work, we made in communities are sustained, long-term development work. design our programs in collaboration we work with governments at local For Concern, the concept of with communities, with the ultimate and national levels to guarantee that “community” does not only mean the objective of handing them over fully. the poorest are heard, their rights men, women, and children we work This holds true whether we are are respected, and resulting policy is  Jane Caryo and her three-year-old with in villages or neighborhoods. It implementing an emergency response development focused. daughter, Christine Adupio, are South also means a global community of or confronting chronic poverty. WOMEN AND CHILDREN Sudanese refugees now living in Uganda, where Concern runs a nutrition program Women and children too often bear When more women are educated, to help Jane and other refugees. Photo by the brunt of poverty around the child mortality decreases and their Alexia Webster/Panos Pictures INNOVATION world. We know we can’t address children are better educated. When Wherever we work, Concern is on the lookout for ways to do of working in tough places for long enough to identify the extreme poverty without focusing on more women receive knowledge things better. Innovation for us means addressing a social bottlenecks and the barriers, listening to others who know their needs. about and access to health care, problem with a novel solution that is more effective, more more than we do, thinking, and doing. We have never been their children are healthier. When Some three billion people worldwide effi cient, or more sustainable and then using testing and afraid to experiment. live on less than $2.50 a day, and more women work, economies grow. research to back up our theories. We relentlessly challenge Since 2008, we have built a more formal practice of 70% of them are women, many the When women control household ourselves to craft effective solutions that build on our innovation into some of our health programming, particularly backbones of their families and income, their children benefi t. experience, learning, and partnership with communities. projects that focus on maternal and child health. communities. Millions of women Yet inequality and discrimination Throughout our history, our innovations have sprung from also face discrimination and persist. We believe that transforming  A Syrian refugee and her daughter wait a spirit of pragmatism and partnership; they’re the product abuse and are denied access to the lives of the world’s poorest and most vulnerable women and children in line to receive winter clothes distributed education, health care, land rights, by Concern at an informal tented settlement  Forkpa Blamah, a district program supervisor with Concern, and economic opportunities – all is the key that will unlock the in the village of Mohamara in Akkar, leads members of a farmer field school in Lofa County, Liberia. because of their gender. To fi ght potential for lasting change. Lebanon. Photo by Dalia Khamissy Photo by Kieran McConville/Concern Worldwide extreme poverty effectively, we must tackle gender inequality. Vulnerable children need extra help to survive and thrive. Every year, 3.5 million children die due to malnutrition, while millions more suffer the devastating effects of hunger and poor nutrition. Concern believes the loss and suffering caused by hunger are utterly unacceptable in our time. We also believe education is a basic human right and critically important to lifting children out of poverty. We focus our work in primary schools, ensuring children learn foundational skills to be successful.

9 WHERE WE WORK

Concern works with the poorest and most vulnerable communities in 29 countries around the world. In 2015, we directly reached 7.6 million people.

ASIA MIDDLE EAST CARIBBEAN

1 AFGHANISTAN 3 NEPAL 5 NORTH KOREA 1 LEBANON 2 SYRIA 1 HAITI Years in Country: 17 years (since 1998) Years in Country: 5 years (2006–2010; Years in Country: 18 years (since 1997) Years in Country: 2 years (since 2013) Years in Country: 2 years (since 2013) Years in Country: 21 years (since 1994) People Reached in 2015: 175,676 2015–present) People Reached in 2015: 121,742 People Reached in 2015: 99,127 People Reached in 2015: 197,000 People Reached in 2015: 68,038 What We Do: People Reached in 2015: 77,000 What We Do: What We Do: What We Do: What We Do: What We Do: • Earthquake, drought, fl ood, and winter • Drought emergency response • Humanitarian aid for Syrian refugees and • Humanitarian aid for confl ict-affected Syrians • Post-2010 earthquake recovery weather emergency response • Earthquake emergency recovery and • Natural disaster preparedness Lebanese host communities • Water, sanitation, and hygiene • Livelihoods and income • Natural disaster preparedness reconstruction • Environmental rehabilitation • Syrian crisis advocacy • Food and basic supplies • Sustainable agriculture and fi sheries • Humanitarian aid for people internally • Water, sanitation, and hygiene • Conservation agriculture • Livelihoods • Education • Market access displaced by confl ict • Livelihoods • Nutrition and food security • Shelter • Pest control • Food security • Livelihoods and income • Shelter • Livelihoods • Community building • Water, sanitation, and hygiene • Agriculture and food security • Temporary classrooms for damaged schools • Water, sanitation, and hygiene • Education 3 TURKEY • Natural resource management • Market access • Solar energy • Water, sanitation, and hygiene Years in Country: 2 years (since 2013) • Environmental rehabilitation • Community building 4 PAKISTAN • Winter weather preparation • Natural disaster preparedness • Natural resource management 6 PHILIPPINES • Psychosocial support People Reached in 2015: 69,292 Years in Country: 14 years (since 2001) • Urban planning and development • Environmental rehabilitation Years in Country: 2 years (since 2013) • Domestic violence prevention What We Do: • Community building and safety • Water, sanitation, and hygiene People Reached in 2015: 607,244 • Women’s empowerment People Reached in 2015: 10,218 • Humanitarian aid for Syrian refugees • Primary education • Maternal and child health What We Do: • Polio prevention awareness • Food and monetary assistance What We Do: • Gender equality 5 • Primary education • Flood, drought, and earthquake emergency • Pest control • Water, sanitation, and hygiene 3 • Child safety response • Post-2013 typhoon recovery • Community building • Gender equality • Natural disaster preparedness • Sustainable water infrastructure • Education 2 • Agriculture and food security • Primary school repair and reconstruction • Winter weather preparation 1 1 2 BANGLADESH • Sustainable livelihoods • Domestic violence prevention 4 Years in Country: 44 years (since 1971) • Natural resource management • Pest control 3 People Reached in 2015: 492,575 • Vocational training • Education What We Do: • Health and nutrition 1 • Flood emergency response • Water, sanitation, and hygiene 2 • Natural disaster preparedness • HIV/AIDS awareness and • Climate resilience and sustainability prevention 11 • Natural resource management • Gender,3 age, disability, 5 15 6 • Environmental rehabilitation and ethnic minority 3 • Livelihoods equality1 2 1 • Agriculture • Humanitarian aid 4 3 • Market access for confl ict-affected 3 13 5 • Nutrition and food security people 2 16 1 • Water, sanitation, and hygiene 8 6 14 • Primary education 2 1 2 • Maternal and child health 11 15 6 18 • Gender equality 3 7 • Empowering the marginalized and disabled  L–R: Collecting water in the Central 12 African Republic. Photo by Crystal Wells/ 4 • HIV/AIDS awareness13 and prevention 2 16 5 Concern Worldwide 1 8 6 14 17 18 Earthquake emergency response in 7 Nepal. Photo by Brian Sokol 4 12 1 Syrian refugee mother and child in 10 17 Lebanon. Photo by Dalia Khamissy 19 9 10 11 19 12 9 AFRICA

1 BURUNDI 3 CHAD 5 ETHIOPIA 9 MALAWI 13 SIERRA LEONE 16 REP. OF SOUTH SUDAN Years in Country: 21 years (since 1994) Years in Country: 8 years (since 2007) Years in Country: 42 years (since 1973) Years in Country: 13 years (since 2002) Years in Country: 19 years (since 1996) Years in Country: 30 years (since 1985) People Reached in 2015: 91,760 People Reached in 2015: 32,883 People Reached in 2015: 590,514 People Reached in 2015: 431,576 People Reached in 2015: 523,122 People Reached in 2015: 457,597 What We Do: What We Do: What We Do: What We Do: What We Do: What We Do: • Livelihoods • Livelihoods • Drought emergency response • Flood emergency response • Ebola recovery • Humanitarian aid for confl ict-affected people • Nutrition and food security • Agriculture and livestock • Food assistance • Food and income security • Flood emergency response • Shelter and basic necessities • Maternal and child health • Food security • Livelihoods and income • Sustainable livelihoods • Livelihoods • Water, sanitation, and hygiene • Natural disaster preparedness • Health and nutrition • Vocational training • Conservation agriculture • Credit and savings • Livelihoods • Education • Natural disaster preparedness • Natural disaster preparedness • Market access and business training • Agriculture • Agriculture and livestock • Climate resilience • Environmental rehabilitation • Monetary assistance • Nutrition and food security • Food security 2 CENTRAL AFRICAN REPUBLIC • Natural resource management • Natural resource management • Community building • Natural resource management • Credit and savings Years in Country: 1 year (since 2014) • Environmental rehabilitation • Climate-smart agriculture • Nutrition • Climate resilience • Health and nutrition • Water, sanitation, and hygiene • Nutrition • Maternal and child health • Natural disaster and crisis preparedness • Maternal and child health People Reached in 2015: 121,283 • Women’s empowerment and gender equality • Maternal and child health • Sexual and reproductive health • Community building • Gender equality What We Do: • Gender equality and women’s empowerment • Gender equality • Pest control • Climate resilience • Humanitarian aid for confl ict-affected people 4 DEMOCRATIC REP. OF CONGO • Water, sanitation, and hygiene • Girls’ education and child safety in schools • Water, sanitation, and hygiene • HIV/AIDS awareness and prevention • Livelihoods Years in Country: 21 years (since 1994) • HIV/AIDS awareness • Health • Agriculture and food security • Humanitarian aid for South Sudanese refugees 10 MOZAMBIQUE • Primary education 17 TANZANIA • Health and nutrition People Reached in 2015: 290,229 Years in Country: 31 years (since 1984) • Gender equality and domestic violence Years in Country: 37 years (since 1978) • Maternal and child health What We Do: 6 GHANA prevention • Water, sanitation, and hygiene • Humanitarian aid for confl ict-affected people People Reached in 2015: 94,918 People Reached in 2015: 206,704 Years in Country: 1 year (since 2014) • Maternal and child health • Pest control • Basic supplies and monetary assistance What We Do: • HIV/AIDS awareness and prevention What We Do: • Crisis preparedness People Reached in 2015: 57,720 • Flood emergency response • Agriculture What We Do: • Agriculture and food security • Conservation agriculture 14 SOMALIA • Food security • Livelihoods • Maternal and child health • Nutrition and food security • Livelihoods and income Years in Country: 29 years (since 1986) • Market access • Community building • Market access • Credit and savings • Community building and safety • Community building People Reached in 2015: 442,368 • Water, sanitation, and hygiene • Water, sanitation, and hygiene 7 KENYA • Women’s empowerment and gender equality What We Do: • Community building • Gender and ethnic minority equality Years in Country: 13 years (since 2002) • HIV/AIDS awareness • Drought emergency response • Nutrition • Road repair to improve program site access • Humanitarian aid for confl ict-affected people • Maternal and child health People Reached in 2015: 608,757 • HIV/AIDS awareness 11 NIGER • Livelihoods • Women’s empowerment and gender equality What We Do: Years in Country: 12 years (since 2003) • Agriculture • Empowering the marginalized and disabled • Drought emergency response • Nutrition and food security People Reached in 2015: 161,561 • Natural disaster preparedness • Credit and savings 18 UGANDA • Urban crisis monitoring What We Do: • Natural disaster and crisis preparedness Years in Country: 25 years (since 1990) • Community building • Livelihoods • Climate resilience People Reached in 2015: 215,022 • Water • Agriculture • Natural resource management • Health and nutrition • Nutrition and food security • Water, sanitation, and hygiene What We Do: • Maternal and child health • Market access • Maternal and child health • Livelihoods • Primary education • Monetary assistance • Community building • Food security • Child safety • Natural disaster and crisis preparedness • Primary education • Vocational training and adult literacy • Gender equality • Natural resource management • Child safety • Community building • Finance management and monetary support • Environmental rehabilitation • Gender equality and women’s empowerment • Water, sanitation, and hygiene 11 15 • Market access • Community building • Vocational training • Health and nutrition 3 • Economic and social empowerment of the • Water, sanitation, and hygiene • HIV/AIDS awareness and prevention • Maternal and child health poor and vulnerable • Primary education and child safety • Gender equality • Maternal and child health 15 REP. OF SUDAN • HIV/AIDS awareness and prevention 5 8 • Reproductive and sexual health • Humanitarian aid for South Sudanese refugees 13 LIBERIA Years in Country: 11 years (Darfur since 2004) 2 16 • Gender equality 8 6 14 Years in Country: 20 years (1991-1992; People Reached in 2015: 236,500 1996-present) 19 ZAMBIA 12 What We Do: 18 7 People Reached in 2015: 370,231 RWANDA Years in Country: 12 years (since 2003) • Humanitarian aid for confl ict-affected people 4 12 Years in Country: 21 years (since 1994) People Reached in 2015: 146,334 What We Do: • Food security and income People Reached in 2015: 693,549 1 • Ebola recovery • Agriculture and livestock What We Do: 17 • Community building What We Do: • Livelihoods • Emergency drought response • Livelihoods • Livelihoods and income • Vocational training • Livelihoods and income 10 • Agriculture and livestock • Credit and savings • Credit and savings • Conservation agriculture 19 • Market access • Agriculture • Community building • Food security 9 • Credit and savings • Nutrition and food security • Water, sanitation, and hygiene • Health and nutrition • Nutrition and food security • Maternal and child health • Health and nutrition • Maternal and child health • Water, sanitation, and hygiene • Hygiene • Maternal and child health • Women’s empowerment and gender equality • Primary education • Community building • Gender equality • Community building • Vocational training • Primary education • HIV/AIDS awareness and prevention • HIV/AIDS awareness and prevention • Women’s empowerment and gender equality • Gender equality • Humanitarian aid for South Sudanese refugees • Settlement assistance for Angolan refugees • Health • HIV/AIDS awareness and prevention and Zambian host communities • HIV/AIDS awareness and prevention • Humanitarian aid for Burundian refugees

13 14 PROGRAM HIGHLIGHTS NATURAL RESOURCE MANAGEMENT RESPONDING TO THE NEPAL EARTHQUAKE IN ETHIOPIA DISASTER IN NEPAL A COMEBACK FROM CRISIS Food insecurity is an underlying reason behind why the On April 25, 2015, disaster struck We also helped people cope with To ensure that the people of cycle of poverty is perpetuated generation after generation. Nepal: an earthquake of 7.8 some of the longer-term challenges Nepal continue to recover from caused by the disaster. Nepal’s power The inability to provide for this most basic of human needs magnitude killed over 8,000 people, the devastation of the earthquake, injured nearly 20,000, and fl attened infrastructure was severely damaged, Concern will remain in the country impedes everything from children’s cognitive development to entire villages, leaving hundreds of and electricity in rural areas was for the next three years. Our work the lack of income opportunities. This problem is compounded thousands homeless. Centuries- generally unreliable even before the will take place in four of Nepal’s when the land needed to grow food is degraded by human old buildings were destroyed at earthquake. To provide people with districts most severely affected by overuse, climate change, and natural disasters. A vicious cycle UNESCO World Heritage sites in the light sources after dark, we distributed the earthquake: Dolakha, Dhading, Kathmandu Valley. Among the most low-cost, rechargeable solar lights Sindhuli, and Gorkha. The focus of ensues: needing to provide for themselves, people extract affected were the country’s poorest that could provide illumination for our programs will include shelter, resources from an already stressed environment, furthering who lived in mud and stone homes 12 hours. Working with our partners livelihoods, water, sanitation, hygiene, its deterioration and worsening the economic situation of their structurally unable to withstand the and communities, we also repaired and gender equality. We will also work communities. But a solution exists. quake. Many lived hours from a main damaged pipes to restore access to to make sure communities are better road and some were entirely cut safe water, and we built temporary prepared for the next earthquake by off by landslides triggered by the latrines and bathing facilities as well building their resilience and making earthquake. Aftershocks continued to improve health and hygiene. Many them more prepared to deal with for weeks afterwards, including a school buildings had been badly future disasters.  A worker cares for tree saplings at Balya Nursery in Ethiopia. Home to a burgeoning population of over 1.5 million damaged or entirely destroyed during This climate-smart project both provides jobs to local people and major 7.3-magnitude tremor near people, the Wolayita Zone in southwestern Ethiopia is Mount Everest on May 12th that the earthquake, and to make sure grows trees to reforest eroded hillsides. Photo by Cheney Orr  Rhambutel receives emergency relief defi ned by hills, mountains, and sloping terrain. Though made travel and recovery efforts that children were able to continue Wolayita is rural, people live in densely populated pockets supplies from Concern Worldwide in precarious and dangerous. their educations, we constructed Bhirkot, Nepal, where many homes were and rely on rain-fed subsistence agriculture. Small-scale temporary classrooms as safe places devastated by the earthquake. Photo by farming along with land degradation due to deforestation, OUR RESPONSE for students to learn. Kieran McConville/Concern Worldwide recurring droughts, and over-cultivation have led to a crisis A “cut-and-carry” system, in which farmers selectively Concern Worldwide has been a of chronic food insecurity in the region. forage for fodder and bring it back to their livestock, also fi rst responder in a number of alleviates pressures on the land from animal grazing. NURTURING NATURE earthquakes in Asia and other parts Water is scarce in Wolayita, and climate change has made of the world, including the 2005 Recognizing the connection between food insecurity its two rainy seasons unreliable. The region lacks springs Pakistan earthquake and the 2010 and the environment, Concern has developed a number and groundwater, and there is often is not enough water Haiti earthquake. Concern worked in of innovative strategies aimed at empowering the poor for livestock and irrigation. To prevent water shortages, Nepal from 2006 to 2010, and after to engage in sustainable development. At its core is collection reservoirs – holes dug into the ground to catch the earthquake struck, we quickly re- natural resource management, which addresses the rainwater – help communities during droughts and engaged with former local partners to needs of people and the environment by maximizing the dry seasons. get into the country and on the ground economic and social benefi ts of a land’s natural resources to help those most in need. while also caring for those resources that are vital to a THE PEOPLE’S LAND healthy ecosystem. In Wolayita, Concern focuses on soil Working in partnership with two local The key to the long-term success of any sustainability organizations, Rural Reconstruction preservation, water management, and reforestation by initiative lies in community engagement. Concern works using just two basic principles: construction and planting. Nepal and Nepal Water for Health, closely with communities to foster ownership over these Concern reached some 14,000 Environmental health and agricultural production are both projects from their planning to their implementation. families – 70,000 people in total badly impacted by erosion. To prevent soil loss during Engagement approaches like cash for conservation – with shelter and essential relief heavy rainfalls, slopes are “terraced” by transforming the provide people with income opportunities through jobs supplies. This included tarps, ropes, hilly earth into step-like platforms that slow soil runoff constructing the land-restoring infrastructure that will create blankets, and sleeping mats so people and also provide cultivation areas for farmers. Trees and healthy environments on which to live and grow food. Plant could stay dry and warm as well as grasses grown in community-run nurseries are planted nurseries, too, do more than just grow soil-conserving trees jerry cans, hygiene supplies, water along these areas to help maintain the terraces, mitigate for reforestation. They also serve as training spaces for purifi cation tablets, and other items erosion, and restore nutrients to the soil. Filtering stone nutrition and improved farming techniques. Together, we are to help people stay healthy during walls also aid in soil retention by forcing fast-running water improving lives and lifting whole communities from the cycle reconstruction and recovery efforts. to pass through the stones in smaller and slower streams. of poverty by sustaining the natural world around them.

15 16 PROGRAM HIGHLIGHTS HUMANITARIAN TRAINING AND ENGAGEMENT After responding to emergencies in the world’s toughest environments for over 40 years, there is one thing Concern knows for sure: having highly qualifi ed staff at all levels – local, Supported by a multi-year grant from the Bill & national, and international – makes all the difference in the success of a humanitarian Melinda Gates Foundation, Innovations for Maternal, program and also in improving the lives of those whom we strive to help. Concern is Newborn & Child Health pilots and tests creative committed to building the capacity of not only its staff but also the humanitarian community solutions for improving the survival and health of as a whole. To accomplish this, Concern is proud to be part of two programs funded by the women, babies, and children. US Agency for International Development (USAID): the Building a Better Response project and the Program on Humanitarian Leadership.

BUILDING A BETTER RESPONSE In 2012, Concern Worldwide, along 17,000 humanitarians have joined the program monitoring and evaluation.  A mother calls a local hospital about her baby’s fever in In 2015, Innovations implemented fi ve phase II pilots and with the International Medical Corps BBR movement by either attending a PHL combines rigorous academic Katsocheka Village, Malawi. Photo by Sam Strickland expanded one phase I pilot in four African countries to and the Harvard Humanitarian workshop or registering for the online content with a fi eld simulation. This fi ght high maternal and newborn death rates. Initiative and with funding from tool. Now in its fourth year, BBR has is followed by a mentored placement grown in scope and a new training in the fi eld, which allows participants KENYA the Offi ce of US Foreign Disaster Community Benefi ts Health cultivates communities’ Assistance (OFDA), launched the module on responding to complex to put the skills they have learned Through our Maker Movement program in Kenya, improved health practices in villages with high death Building a Better Response (BBR) emergencies is in development. immediately into practice. By the engineers and students at the University of Nairobi work rates of pregnant women and newborns. We collaborate project. Its aim is to help humanitarian end of this immersive experience, PROGRAM ON HUMANITARIAN together with nurses and doctors at Kenyatta National with communities who identify their own health targets workers during the critical moments participants will have the skills, LEADERSHIP Hospital to design medical equipment to address the and choose non-monetary, community-wide “rewards” for after a disaster strikes by training knowledge, relationships, and country’s critical shortage. This groundbreaking partnership meeting those targets, such as new access points to water. them in three core areas: Leading a humanitarian organization confi dence to take on leadership serves as a model for designing cost-effective maternal We partner with them to help drive village-wide education, › Developing effective emergency requires a unique skill set not responsibilities within a variety of and newborn health equipment that meets local needs. maternal and newborn health promotion, and increased responses based on the needs of found in most other careers. One humanitarian organizations, ultimately In 2015, we renovated a new FabLab space on campus care seeking before, during, and after birth. those affected must be accountable to multiple improving the delivery of services to where Maker designs the devices, and we forged a donors, manage staff from a variety the increasing numbers of those in › Coordinating response efforts partnership with UNICEF and the company Philips to SIERRA LEONE of countries, and contend with need of humanitarian assistance. between organizations to prevent ensure that this successful program continues on into In Sierra Leone, our Essential Newborn Care Corps competing organizational priorities, all duplication, gaps, and waste the future. educates, equips, and empowers non-literate traditional while dealing with constant security ›  Farman Ullah participates in a field The Mobile Urgent Maternity Service (MUM), renamed birth attendants whom the government had discouraged Ensuring that emergency programs threats and diffi cult living conditions. abide by international humanitarian simulation during a PHL workshop. Photo PlanWise in 2015, is a mathematical health planning tool. from performing home deliveries. Through specially Recognizing the importance of by Michelle Dann/Concern Worldwide It aims to determine where best to place health facilities, adapted training, the women have now become maternal laws and principles investing in humanitarian leadership, mobile clinics, and ambulances to ensure that emergency and newborn health promoters who serve as invaluable BBR uses a variety of tools to build Concern is once again partnering care can quickly reach the maximum number of pregnant advocates for expectant mothers, counseling them and these skills, including in-person with the International Medical Corps women and newborns who live far from hospitals. referring them to skilled health facilities for safer deliveries. workshops and an online learning and the Harvard Humanitarian In the process, we have helped some of the promoters tool that allows humanitarian workers Initiative to develop the Program on GHANA become small-scale entrepreneurs who sell health in remote and hard-to-reach areas Humanitarian Leadership (PHL). Care Community Hub has developed a smartphone app products in their communities. to participate. This tool is available in While BBR focuses on the called CHN on the Go for rural, front-line nurses to English, French, and Arabic, making it foundations of humanitarian MALAWI equip them better in delivering crucial care to mothers accessible for a diverse humanitarian programming, PHL engages staff at and children in isolated regions. The app, which was co- In a major milestone, Chipatala Cha Pa Foni (CCPF), audience. a higher level by looking at the unique designed by nurses, educates, connects, and supports or Health Center by Phone, will expand across Malawi Through these trainings, BBR is skill sets needed to be a leader when them in their day-to-day jobs, increasing retention, with support from the country's Ministry of Health. CCPF strengthening the humanitarian responding to complex humanitarian professional development opportunities, and the quality provides a health hotline and text and voice messaging tips community to provide effi cient emergencies, including operational of care they deliver. CHN on the Go won the Design for pregnant women and new mothers. In 2015, it merged emergency response when people planning, civil-military coordination, Management Institute’s fi rst-place design award in 2015. with Dial-a-Doctor by Airtel, Africa’s largest mobile carrier. are most in need of help. To date, over project cycle management, and

17  A seven-month-old boy visits Gokmachar Primary Health PARTNERSHIP HIGHLIGHTS Care Center in Aweil, South Sudan. Photo by Kevin Carroll

Making the lives of the world’s poorest and most As the civil war in Syria stretched into its fourth year in Through the Potato Initiative for Food and Nutrition Security vulnerable people better is not something we can 2015, Concern continued to support refugees displaced program in Ethiopia, we are working to improve food accomplish alone. The work starts with the communities both inside the country and in the region. In Syria, and nutrition security as well as income levels for 6,000 themselves, but lasting impact depends on the Concern addressed the needs of returning refugees, chronically food-insecure families by encouraging the combined resources and knowledge gained through the internally displaced, and local residents with services cultivation of the Irish potato. This includes improving the local focused on sanitation and waste management, safe water, availability of potato seeds, establishing a supply system, and our partnerships with governments, corporations, environmental health, and hygiene. We also provided food promoting the potato’s nutritional value to farmers. foundations, and institutions. assistance to 3,000 vulnerable Syrian families. In Turkey, we provided access to quality formal education for Syrian CHILD SURVIVAL refugee children. In Kenya’s Marsabit County, Concern is working with the Ministry of Health to improve maternal, newborn, and child DEVELOPMENT health for 54,900 women and children under fi ve years of Through Concern’s Language, Literacy, and Learning age. We are also working to prevent chronic malnutrition, Concern’s program in West Darfur, breastfeeding mothers who have been program in Rwanda, we are working with parent-teacher diarrhea, and pneumonia among children. In collaboration Sudan has helped over 95,400 displaced by the ongoing confl ict. committees to improve community involvement in literacy, with Johns Hopkins University, we are researching culturally educational equity for girls, and teacher motivation. We appropriate places for pastoralist women to deliver their confl ict-affected people by providing In 2015, Concern continued them with agricultural, health, nutrition, expect the program to reach all schools in Rwanda by 2016. babies as an alternative to giving birth at home, where they EMERGENCY RESPONSE implementing an integrated risk complications. water, sanitation, and hygiene services. humanitarian assistance program In Uganda, the Resilience through Wealth, Agriculture, Concern responded to the aftermath In South Kordofan, Sudan, our program for vulnerable communities in areas and Nutrition program aims to improve food security and In Sierra Leone, the Al Pikin fo Liv (“Life for All Children”) of ethnic violence in Goma, reached over 296,000 people in 2015 affected by food insecurity and nutrition among 37,770 households by 2017, with a focus child survival project is increasing the quality of maternal and Democratic Republic of Congo with life-saving services and helped malnutrition in eastern Chad. The on children, pregnant women, and breastfeeding mothers newborn health services for 71,700 women and children in 2015 by providing over 72,000 build their resilience to future shocks program reached over 40,000 people in Karamoja district. under the age of fi ve in ten urban slum communities of vulnerable people with essential relief and emergencies. and contributed to the survival, recovery, Concern’s Education Quality and Access in Liberia Freetown. We are also working to prevent and treat malaria, supplies and livelihoods assistance. Throughout 2015, Concern made and resilience of vulnerable households program seeks to improve education in Grand Bassa diarrhea, pneumonia, and malnutrition among children. In the urban slums of Kenya, Concern signifi cant contributions to reduce and communities through seed County by working with school administrators, teachers, In collaboration with Johns Hopkins University, we are is researching ways to help people the transmission of Ebola in distribution, health center support, and and parent-teacher associations to improve literacy and researching how to improve disease surveillance for better cope with poverty and identify Liberia, reaching over 200,000 disaster preparedness. numeracy skills. planning and management of health services. warning signs of future emergencies. people. Concern is now focusing on In Tahoua, Niger, Concern continues With 600,000 residents expected to prevention and preparedness as well to work with chronically poor, food- benefi t from this program by 2016, we as supporting the restoration of health insecure households to reduce their  Members of Concern's Ebola response burial  Farmers Elizabeth Vula, Florida David, Smoke Kamlaza, have already helped 300,000 people services. vulnerability to shocks and stresses. The team remove a body from a home in Freetown, and Felesiya Gambitoni prepare a field for planting as part in 2015. Concern is continuing its work in program has not only contributed to the Sierra Leone. Photo by Michael Duff of Concern's SUSTAIN Malawi program. Photo by Sara Quinn Concern’s disaster risk management Sierra Leone to expand access diversifi cation of livelihoods, capacity project in Pakistan reached more to health care and build resilience development, and preparedness, but it than 84,000 people in 2015 by raising against future health crises like has also had an overall positive impact awareness about natural disasters, the 2014 Ebola virus outbreak. In on the community. creating local disaster management consortium with the International In the Central African Republic, organizations, and improving Rescue Committee, we are providing Concern has helped over 38,000 preparedness among communities. training, mentoring, supervision, and confl ict-affected people restore their Following the success of Concern’s quality assurance for clinical health livelihoods, protect their crops from RAPID program in Pakistan, which care facility staff and community pests, improve their access to clean provided life-saving aid through local health offi cers. water, and adopt healthy hygienic partners to more than three million In South Sudan, Concern continues behaviors. We have also helped villages people affected by natural disasters, to provide life-saving water, sanitation, whose infrastructure was destroyed Concern launched RAPID II in 2013. hygiene, shelter, and nutrition during sectarian confl ict by building This follow-on program has reached assistance, including emergency wells, enhancing water catchments, over 661,900 people affected by nutrition support to children under fi ve and repairing hand pumps. fl oods, confl ict, and displacement. years of age, pregnant women, and

19 20 PARTNERSHIP HIGHLIGHTS

Global Concerns Classroom (GCC) is an innovative The Bill & Melinda Gates Foundation and multi-faceted global education program of Concern has funded Concern’s Innovations for Maternal, Newborn & Child Health Worldwide US that empowers youth to explore global initiative, which tests creative solutions Since 2012, Concern has partnered issues, speak out, and take action against poverty. Through Philips Foundation and UNICEF have to improve the health and survival of with Merck for Mothers’ Global Giving partnered with Concern’s “Maker” dynamic resources, student engagement programs, and women, babies, and children. program to reduce maternal illness and death in Malawi by providing program in Kenya to support the local professional development for educators, GCC prepares community services such as youth- design of affordable medical devices youth to gain the knowledge and skills needed to be active friendly reproductive health care and for pregnant women and babies. global citizens and leaders for a better future. a health hotline. Support from Boeing has helped Concern implement a program to  Hannah holds the root of a false banana plant, a good source of protein for many improve vulnerable children’s access Ethiopians. Photo by Margi Bhatt/Concern Worldwide to quality primary education in Kenya Support from the MetLife Foundation through training teachers and creating has funded Concern’s efforts to help IMPACT SIGNATURE PROGRAM effective school boards. families move out of extreme poverty With support from the Ronald I realized my perspective by increasing access to microfi nance In the 2014–2015 school year, GCC For the 2015–2016 school year, McDonald House Charities, Concern on the developing world was services, expanding productivity, directly worked with 29 teachers in GCC continues to offer our yearlong and Burundi’s Ministry of Health have problematic.” increasing assets, and sustaining 23 schools to impact 767 students program in partnership with high worked to reduce child illness and income and savings. in New York, Chicago, and Boston – Havana, age 17 schools in New York, Chicago, and mortality by training community health through our yearlong program on Boston. The program will engage workers and care group volunteers in “Innovations in Global Health.” students on the theme of “Global behavior change and nutrition. In partnership with charity: water, Nearly 70 students from six high Climate Impact” through the following Concern has provided thousands of schools in New York, 90 students components: people living in extreme poverty with from eight high schools in Chicago, › Standards-aligned curriculum that Mutual of America has developed a access to clean, safe drinking water and 51 students from fi ve high prepares students with relevant committed, sustaining partnership in vulnerable areas of Bangladesh, schools in Boston gathered for GCC’s content knowledge and 21st- with Concern Worldwide US through Nepal, and Uganda. fl agship event, the annual Global century skill building its participation in special events, The W.K. Kellogg Foundation has Youth Summit, to explore the theme employee giving, generous matching supported Concern’s efforts to › Annual Global Youth Summit that of “Innovations in Global Health.” 2015 The Flatley Foundation gift programs, loyal support from educate primary school children and brings students from participant marked the ninth, fourth, and fi rst Support from the Flatley Foundation Mutual employees, and contributions to help enhance economic and social schools together for a day of annual Global Youth Summits in NYC, has helped Concern reduce maternal to fi eld programs around the world. development in Saut d’Eau, Haiti. problem-solving, collaboration, and child mortality and given children Chicago, and Boston, respectively. and design access to safe primary education in GCC also brought two students › School community action plans that Kenya. In Nepal, a grant has enabled and one teacher to visit Concern’s address the global issue in a local Concern to provide relief supplies for programs in Ethiopia for a week in setting, culminating in a year-end families affected by the earthquake. July 2015 for the Annual US/Ireland With the support of Newman’s Own Concern to Action Virtual Showcase The Xerox Foundation has supported Student Field Visit, where students Foundation, Concern has developed › Concern’s emergency response in gained a fi rsthand perspective on Annual Student Field Visit in which a primary school program in Kenya Nepal to provide relief supplies for the complexity and sensitivity of selected student leaders and to improve literacy by developing over 14,000 families in three of the Concern’s work. their teachers participate in an mother-tongue educational materials districts most severely affected by the educational overseas trip to one of for students. 2015 earthquake. Ultimately, GCC seeks to cultivate Concern’s operational countries With support from IRT, Concern has concerned youth who understand provided essential winter supplies to global inequalities, recognize the  Havana (L) and Hannah (R) during a Syrian refugees who were living in interconnectedness of all people, I realized a ‘Western’ way of life is not always better.” Student Field Visit to Ethiopia. Photo by shelters without suffi cient blankets, and take informed action towards a Margi Bhatt/Concern Worldwide mattresses, and other basic items. world without extreme poverty. – Hannah, age 14

21 22 OUR SUPPORTERS Robert Kirk Cathal and Janelyn O'Brien Joan Squires KPMG LLP OCO Global Staples Angela and Amir Lear-Bozorgmir Laura Costello and Brendan O'Connor Stroock & Stroock & Lavan LLP Concern Ambassadors are our most dedicated and generous Lee Family Foundation Frances O’Keeffe Barbara and Thomas Sullivan supporters who are leading the way in supporting Concern’s Marian and Dan LeSaffre Omnicom Media Group Sullivan, Cotter and Associates, Inc. mission. Their generosity sustains the determination of the The Lodge Family Optimum Nutrition Tait, Weller & Baker LLP people we work with and inspires the commitment of our staff Loeb & Loeb LLP Optum Page Thompson to deliver real and lasting change in our world. Lot18 Kevin O'Reilly Tibbetts Keating & Butler, LLC Helen Lowe Oxford Financial Lynn Tierney Our deepest thanks to our Ambassadors and most generous Alexi Lubomirski Marina and George Pappas Time, Inc. private and corporate supporters who are listed below. The Lupin Foundation Stephanie Pappas John Treacy Brona Magee Peerbridge Health Trinity Foundation Mark Gibson and Maria McManus Pernod Ricard USA Natalie and Rick Trump Robert Martin Louis Perwien Turner Sports Broadcasting MaxiReturn Services, Inc. Susan and Joseph Power 21st Century Fox Niamh and Don Alexander Collins Engineers, Inc. Peter G. Peterson and Joan Ganz Cooney Ed and Pat McCarrick PricewaterhouseCoopers LLP UCD Michael Smurfi t Graduate Alliant Insurances Services, Inc. The Concord Group Business School Joanna Geraghty Liam and Olive McCarthy Quest Diagnostics Amalgamated Life Insurance Co. Estate of Msgr. Lawrence United Healthcare Connaughton Thomas Gilliam Sheila and Gene McCarthy Mr. and Mrs. Christopher C. Quick The American Ireland Fund Wells Fargo Ginger and Will Conway GNYHA Ventures, Inc. Edel McCarville and Alan McGinn Wayne and Gina Reuvers Rob and Lisa Arning Wesbuilt The Corrigan Family Robert Goelet Foundation MCS Brands The Rose Family Christine and John Bakalar The Xerox Foundation Kathleen and Rob Coughlin Maureen Moore and Robert Charles Jim and Kelly McShane Frances and Jim Roth Baker Tilly Virchow Krause, LLP 19 Anonymous Donors Credit Suisse Americas Foundation Golden George Schaefer and Molly Satin Fine Foods Bank United N.A. McShane Mr. and Mrs. Gerald C. Crotty Theresa and John Greed Madeleine Schachter George E. Barker Jeff Kaser and Katie McShane Theodore Gurnick Mary and James Schaefer  Nancy Baako is a South Sudanese Anthony Belinkoff Noreen Culhane Kathy and Jack Haire McShane Foundation Security Mutual Life Insurance refugee living in a settlement in Uganda, Benefi ts Planning Corporation The Culligan Family where Concern is working to help Healthcare Associates of New York Barbara and George Medlin Company New York Bloomberg Ruairí Curtin improve nutrition for mothers like Nancy Medtronic Tom Shipsey and their children. Photo by Alexia John B. and Nancy K. Dee Foundation Henry E. Niles Foundation, Inc. Loretta Brennan Glucksman MetLife Smallwood Financial Webster/Panos Pictures James and Marybeth Delaney Henry Schein, Inc. Bristol-Myers Squibb  Marwana de Sousa, a mother of three, Ted Herman David Mohally Smith & Wollensky NYC Bronx-Lebanon Hospital Center Betty and Harry DeVerter is part of Concern's farmer field school Jeremiah Howard, Jr. Molex Margaret (Peggy) and Bernard Smyth in Kombe, Mozambique. Photo by Crystal Mark Brosnan Digicel Eileen and Joe Hummel Tom Moran The Spurlino Foundation Wells/Concern Worldwide Yvonne and Devon Bruce Michael J. Dowling Icon International, Inc. The Moran Family James Burns Mary Ellen and James Duffy Ireland Network Chicago Dr. Joe Mulvehill Burns Family Charitable Foundation Christy and Nathanael Dunn The Ireland-US Council Rich McMenamin and Patty Mulvihill Carolyn Perla and Joe Cahalan The Durst Organization Irish America Magazine Drs. Martin and Ann Murphy Caron Treatment Centers Eagna Philanthropies Mark Jafar Carly and John Murphy Courtney and Larry Carroll Eurotech Construction Corporation The Peter Jennings Foundation Emer O'Hanlon and James Murphy Joan Carroll Chris and Karen Festog JetBlue Airways Mutual of America Dolores Connolly and Dan Casey Fr. Jack Finucane Craig and Heidi Johnson National Committee on American John and Margo Catsimatidis First Data Foreign Policy Jones Lang LaSalle Foundation Fitzpatrick Hotel Group Newmark Grubb Knight Frank Mary Beth Kearney and Family Cigna Susan Flynn Dave Nikkel Foundation Gene Keilin Cock and Bull Kevin Fortuna Northwell Health Brigid and Ed Kenney The students at College of Mount Frankel Family Foundation Denis O'Brien Saint Vincent Harold and Ana Gannon Irene and Joe King

23 EVENTS

NEW YORK Concern Spring Run Run a Marathon for Concern This rapidly growing annual event brings together over Individuals can take on the challenge of not only running a 1,000 runners, walkers, corporations, community teams, marathon but also of raising money to support Concern’s and volunteers for a four-mile run or walk in Central Park. programs in some of the world’s poorest countries. Women of Concern Annual Award Luncheon Concern Winter Ball Concern’s New York luncheon pays tribute to women This festive gala for young professionals supports of extraordinary accomplishment for their leadership, Concern’s work with a fun and exciting night of dinner, contributions to public service, and efforts to empower drinks, and dancing. women throughout the world. Seeds of Hope Annual Award Dinner Aengus Finucane Memorial Golf Tournament Concern’s annual award dinner honors and celebrates the Executives from the tri-state area enjoy a memorable day best and the brightest business leaders, innovators, and  Concern supporters at the 2015 Winter of golf at the Woodway Country Club while celebrating infl uencers who have distinguished themselves through Ball in New York City. Photo by Ben Asen the work of Concern and the memory of our founder, their dedicated support of philanthropic causes. GET INVOLVED Aengus Finucane.

BECOME A CORPORATE PARTNER MAKE AN INTRODUCTION CHICAGO Women of Concern Annual Award Luncheon Thanks-for-Giving Gala By sponsoring or participating in our New York and Help the Concern community grow by connecting us with Concern’s Chicago luncheon honors the humanitarian and This festive event supports Concern’s work. Guests Chicago events and campaigns, corporations have a other like-minded individuals who want to make a difference. leadership accomplishments of extraordinary women who enjoy delicious appetizers and cocktails while dancing unique opportunity to maximize their exposure and reach refl ect justice, compassion, and generosity in their work the night away. their targeted audiences while also making a tremendous BECOME A CONCERN AMBASSADOR and daily lives. impact on Concern’s work with the extreme poor. Contribute $5,000 or more each year to become a Concern Concern Chicago Golf Outing Support us through: Ambassador, our most dedicated and generous donors who This annual golf event attracts business and civic leaders › Event sponsorships lead the way in supporting our mission. In addition to making for a wonderful day of golf. › Field program sponsorships lasting change, Ambassadors receive updates from the fi eld, › Disaster relief assistance in the event of an emergency special recognition, and unique opportunities to connect to Concern.  Board member Dolores Connolly (L) with honoree  (L-R) Board members Joan Carroll and George Pappas, honoree › Cause-related marketing opportunities and gifts in kind Kerry Ryan Lynch (R) at the 2016 Women of Concern Michael Dowling, and board member Ed McCarrick at the 2015 › Award Luncheon in Chicago. Photo by Mike Fan Seeds of Hope Award Dinner. Photo by Ben Asen Payroll contributions and matching gifts ATTEND A CONCERN EVENT From awards dinners to luncheons and runs, our events SIGN UP FOR OUR E-NEWSLETTER raise awareness and funds to support our humanitarian Stay up to date on life-saving programs around the world work around the world. They also offer a great opportunity and fi nd out how your support is transforming lives. Sign to meet with our staff and others in the Concern community up at concernusa.org. and hear about the life-changing difference your support is making for the poorest communities in the world. BE PART OF OUR ONLINE COMMUNITY JOIN A CONCERN COMMITTEE Like us on facebook.com/ConcernWorldwideUS or Our deeply engaged committees play a special role in the follow us on instagram.com/ConcernWorldwideUS success of our events by helping to ensure their success, and twitter.com/concern. Help us raise our profi le by engaging their networks to increase Concern’s outreach, sharing the great work you are supporting with your and serving as ambassadors within our community. friends and family.

25 PEOPLE OF CONCERN

Concern is more than It gives me joy and We are here next to them We buried 6,395 people here Innovations has given me an I’m inspired by the idea of a charity. United by a satisfaction that I am part of in the hardest times to see between October and March. opportunity to implement a fi nding solutions to challenges sense of purpose, we are a process that has brought to their needs. The reason At one stage, we were burying program that helps improve in education through a community of people about a positive change. they left home was to protect upwards of 80 people a day. the survival rates of women collaboration and sharing themselves. and babies in Kenya. ideas. who come together around a shared concern ANGELINA NYAGUN MARIA NADER SHEENA MCCANN EDWIN MBUGUA MAINA LINCOLN AJOKU for people in need of A native of South Sudan, Angelina The Kingtom cemetery in Freetown, humanitarian and Nyagun is a nutrition assistant at Sierra Leone will forever be associated development assistance. Concern’s nutrition center at the UN with the Ebola virus. Sheena McCann base in Juba, where thousands of oversaw Concern’s medical burial Nearly 3,000 people South Sudanese have sought refuge work for over a year, from the height dedicate their talents, skills, from the violence that began in late of the crisis onward. An accountant by and experience to Concern 2013. An internally displaced person, profession, she normally works as a Angelina lives at the UN camp. systems manager for Concern’s team and 87% of our staff in the of roving contingency staff, a job that fi eld are living and working Angelina works with mothers and malnourished children, providing brings her on short-term assignments in their own communities. health education. She gives health all over the world. But nothing could A native of Kenya, Edwin Mbugua Nigerian-American Lincoln Ajoku talks, encouraging mothers to have fully prepared her for this Maina is a medical doctor with is a New York native whose family These fi ve individuals breastfeed their children. “I am assignment. a background in health policy. history is tied to Concern’s beginnings. Maria Nader is a native of northern represent the energy, inspired by the fact that I am working “I suppose there’s a certain logic to Edwin has worked with Concern's Lincoln’s family was living in Nigeria Lebanon and is Concern’s community for my community," Angelina says. "I burial grounds – trying to manage the Innovations for Maternal, Newborn during the Biafran war, the confl ict enthusiasm, hard work, site coordinator in Akkar province, which feel I am the community ambassador space, making sure the records are & Child Health initiative since 2013. that caused the famine that sprung and commitment – qualities is temporarily home to tens of thousands and this inspires me to keep working accurate, and fi guring out a system to “I am passionate about improving Concern’s founders into action. Since shared by all our staff – of Syrian refugee families. hard and to help the mothers cope with the demand,” she says. maternal and newborn health care," 2014, Lincoln has been an education that make positive change Because a formal system to accom- he says. "Kenya has some of the advisor at Concern. His work focuses appropriately.” Concern is working in But Sheena, who is known among the modate refugees does not exist in highest maternal and neonatal on safe learning, child well-being, and happen for those most South Sudan to tackle food insecurity, cemetery workers as “Aunty Sheena,” Lebanon, most are left to fend for mortality rates globally." This passion education in emergency situations. in need. which has increased during the civil is not all about systems and numbers. themselves when they enter the country. recently spurred him into action to “We look at the nuts and bolts of war. Much of Concern’s programming “When you see a burial team member Many use their savings to rent patches help a pregnant woman who had issues that keep vulnerable children focuses on preventing and treating carrying a child in a little white body of land, garages, or unfi nished buildings. to travel a long distance to a health out of school,” he says. malnutrition. bag with great respect and dignity and But many rely on people like Maria to facility. “We supported her during her placing it in a grave… that takes your From tackling gender inequality to poor help them get by. “When they come here, journey to the facility," Edwin explains, breath away. You realize that this was basic service delivery, Concern strives it is organizations like Concern that take "where she eventually delivered somebody’s child.” to ensure that children meet their care of them, checking their conditions without any complications.” learning outcomes, particularly literacy. and following up with them,” Maria says. Edwin manages Concern’s Maker “In a lot of countries Concern works in, She oversees a number of collective Movement, in which engineers and there are a lot of talented and capable centers that provide shelter and facilities health workers design medical people, but because of challenges, they for the most vulnerable families. equipment for Kenya’s maternity haven’t been able to thrive,” Lincoln Maria says that most Syrians are of one wards. Edwin and the Innovations says. “We make sure that children are mind when it comes to the future. “They team continue to forge partnerships going to school and learning.” Concern hope to get back to their land, even if with organizations, institutions, and continues to empower communities they don’t have houses any more. To get companies to implement programs to become involved in the education back to Syria and live their lives at home to improve maternal, newborn, and of their children by enabling and – this is their dream.” child health. encouraging participation.

27 28 2015 MILESTONES

JANUARY 2015 JANUARY 6, 2015 FEBRUARY 27, 2015 MARCH 2730, 2015 APRIL 25, 2015 JUNE 9, 2015

Hundreds of thousands are affected Winter Storm Zina hits Akkar, Lebanon, Concern honors Annabelle Santos Celebrity chef Gabe Kennedy, winner A devastating 7.8-magnitude Concern honors Molly Ashby, CEO and by the worst fl ooding in Mozambique threatening vulnerable Syrian refugees. Volgman ¶L·, a cardiologist at the Univer- of ABC's reality TV cooking series earthquake strikes Nepal. Concern founder of Solera, at the 13th annual and Malawi in over 40 years. Concern In partnership with UNICEF, Concern sity Medical Center, and Mimi Frankel “The Taste,” visits Haiti to support responds with emergency relief Women of Concern Award Luncheon provides relief supplies and emergency responds with winter clothes and ¶R·, a Frankel Family Foundation board Concern in the “Live below the Line” supplies in remote, hard-to-reach in New York. assistance to affected families. shelter materials. member, at the 17th annual Women of anti-poverty campaign. areas severely damaged by the quake Concern Award Luncheon in Chicago. and its aftershocks.

JUNE 23, 2015 SEPTEMBER 2015 SEPTEMBER 2224, 2015 SEPTEMBER 26, 2015 SEPTEMBER 28, 2015 OCTOBER 12, 2015

Concern’s nutrition adviser Concern responds to severe fl ooding Concern holds a presentation about Concern joins 60,000 people in The Design Management Institute Concern’s safe and dignifi ed burials Leni Martinez del Campo hosts in Freetown, Sierra Leone with water, its work in North Korea at the Central Park for a day of music and recognizes Concern’s Innovations program in Ebola-hit Sierra Leone a workshop on climate-smart sanitation, and hygiene assistance. International Conservation Agriculture activism as part of the Global Citizen program with a fi rst-place award for wins second place at the inaugural EU agriculture at the 2015 InterAction Conference in Pyongyang. Festival to raise awareness about CHN on the Go, a smartphone app Health Awards. Forum in Washington, DC. extreme poverty. developed for community health nurses working in rural Ghana.

OCTOBER 12, 2015 OCTOBER 26, 2015 DECEMBER 2015 DECEMBER 1, 2015 DECEMBER 3, 2015 DECEMBER 18, 2015

With partners IFPRI and A 7.5-magnitude earthquake strikes Concern launches the Program on Concern honors Michael Dowling Tom Moran, Board Chairman for In appreciation of those working on Welthungerhilfe, Concern publishes Afghanistan and is felt in regions Humanitarian Leadership, a training ¶2L·, President and CEO of Concern Worldwide US, is one of the front lines during the Ebola crisis, the tenth annual Global Hunger of Pakistan. Concern carries out an and career development initiative that Northwell Health, for his remarkable ten recipients of the Presidential Sierra Leonean President Ernest Bai Index. The report’s theme examines emergency response in both countries, seeks to advance the next generation achievements and philanthropic Distinguished Service Awards for Irish Koroma recognizes nine of Concern’s the complex relationship between providing shelter, basic necessities, of humanitarian leaders. contributions. Abroad, which recognizes those who safe and dignifi ed burial team hunger and confl ict. and water. have served Ireland with distinction. members.

29 30 CONCERN BY THE NUMBERS

Concern Worldwide US Financial Summary Statement of Activities for Year Ending December 31, 2015 (with summarized amounts for 2014)

2015 Total ($) 2014 Total ($) Support and Revenue Contributions and Non-Government Grants 9,510,482 10,034,847 Support from Concern Worldwide 547,082 1,273,143 Government Grants 27,921,981 18,403,581 Special Events (net) 2,938,180 2,787,639 Investment Income 8,103 5,273 Total Revenue and Support 40,925,828 32,504,483

Expenses Program Activities 36,695,531 28,761,988 General and Administrative 1,787,157 1,710,729 Fundraising 1,479,770 1,150,774 Total Expenses 39,962,458 31,623,491 Change in Net Assets 963,370 880,992 Net Assets at Beginning of Year 7,082,244 6,201,252 Net Assets at End of Year 8,045,614 7,082,244

Analysis of Expenditure for 2015

Program Activities 92%

Fundraising 4%

General and Administration 4%

 Students at the Maza Primary School in Rwanda, where 1,400 children attend classes over two shifts each day. Photo by Wattie Cheung Cover Photo: Illustration by Aeri Wittenbourgh Original photo by Gideon Mendel Annual report design by Fam van de Heyning 32 CONCERN WORLDWIDE US BOARD OF DIRECTORS

Thomas J. Moran Father Jack Finucane C.S.Sp. George Pappas Chairman President Concern Worldwide US Kevin Fortuna MCS Advertising LTD Chairman Founder & Chief Executive Offi cer Mutual of America Lot18 Brendan Ripp* President, Sales and Marketing Jim McShane Joanna Geraghty Technology & Telecommunications Vice Chairman Executive Vice President Time, Inc. Concern Worldwide US Customer Experience Chief Executive Offi cer JetBlue Airways Corporation Madeleine Schachter* The McShane Companies Assistant Professor Scott Gutterson* Department of Medicine Page Thompson Attorney Weill Cornell Medical School Vice Chairman The Law Offi ces of Scott Gutterson Concern Worldwide US Tom Shipsey Chief Executive Offi cer Edward J.T. Kenney Chairman Omnicom Media Group Special Consultant Concern Council (Ireland) North America Mutual of America Margaret (Peggy) M. Smyth Joan Carroll Joe King Chief Financial Offi cer Treasurer National Grid Concern Worldwide US Edward R. McCarrick Executive Vice President Gemma Toner* Jack Haire ICON International, Inc. Founder Chief Executive Offi cer Chart One Media Concern Worldwide US Shane Naughton* Managing Partner John Treacy Artech Holdings Chief Executive Offi cer Joseph Cahalan The Irish Sports Council Denis O’Brien Dolores T. Connolly Chairman Frank Wall* Chief Executive Offi cer Digicel Senior Vice President Sterling Engineering, Inc. Turner Broadcasting System Frances O’Keeffe James Delaney Volunteer 24 Seven Enterprises Concern Worldwide (Ireland)

 Aklima is a participant in Concern's Project Paribartan in Bangladesh, which helps coastal communities become more resilient to the impacts of climate change. Photo by Shafiqul * Members of Concern Worldwide US Board as of 2016 Alam Kiron/Map Photo Agency

33 concernusa.org [email protected]

New York ConcernWorldwideUS 355 Lexington Ave. 16th Floor @Concern New York, NY 10017 P: (212) 557-8000 ConcernWorldwideUS

Chicago Concern Worldwide US, Inc. is a New York-based not-for- 332 South Michigan Ave. profi t corporation exempt from federal income taxation Suite 630 under section 501(c)(3). Tax Identifi cation Number: 13-3712030 Chicago, IL 60604 Concern Worldwide US, Inc. supports projects carried out P: (312) 431-8400 in the fi eld by Concern Worldwide, registered in Ireland.