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health guides Annual Report1 July, 2015–June, 2016 A message from the Executive Director

Dear friends, My office is right across the hall from our digital staff Our online HealthWiki offers material in and not far from our design department, but I still fourteen , with more on the way. If digital don’t understand how they can produce so much vital publications literally flew out the door of our website, health information. it would be a blur—five million people, most using This we brought out five print books in cell phones, access them each year from every corner four languages, five e-books in two languages, of the globe. eight PDFs in five languages (plus updates) and Technology allows us to share our life-saving 26 digital resources in eight languages for our information globally, but what makes it effective, what online HealthWiki. We also helped our international really saves and transforms lives, is the commitment partners release their own adaptations of Hesperian we share with tens of thousands of partners in publications in , Uzbek, Bengali and Malagasy; hundreds of countries— to create a world where and we’re assisting others with their translation and poverty, inequality and war no longer sicken and kill adaption of our new books into Bangla, Chinese, with impunity. Indonesian, Khmer, Lao, Nepali and Vietnamese. That’s the common language we all speak. Hesperian Health Guides are now available in 85 languages, with 293 titles in all. Given all those languages, you’d think our small office was a mini-United Nations. Although our Sarah Shannon, Executive Director nineteen staff members are talented and hard- Hesperian Health Guides working, our incredible output relies on constant collaboration with partner organizations and dedicated volunteers. Our Zika materials—among the first practical and accessible ones available— were promptly released in five languages by people working on three continents. COBIHESA in Tanzania often posts New Where There Is No Doctor chapters in Swahili before we even finish our Spanish translation. Afghan refugees next door in Oakland are translating our materials into to send to their relatives at home. The list goes on.

2 Online, nasa oras, iba’t iba Albanian, , , Online, on time, diverse Armenian, Aymara, Azeri, Bambara, Bangla, Bengali, Hesperian has not only pioneered Bicol, Bunyore, Burmese, comprehensive, easy-to-understand health materials in print—now we’re Cebuano, Chichewa, Chinese, also on the cutting edge of putting them Croatian, Dari, English, online, in more and more languages, for Spanish, Esperanto, Farsi, a wider and wider range of people. This Filipino, Fon, French, year has been prolific in both ways—we Fulfulde, Georgian, German, published more materials than ever, Gujarati, Haitian Kreyol, and more people than ever visited us on Hiligaynon, , Iban, Igbo, the web. mobile access, and as PDFs, which can Ilongo, Indonesian, Italian, We brought out 26 new digital be printed out for people who don’t have Japanese, Jinghpaw, , resources in eight languages, including an internet connection. Karakalpak, Khmer , Swahili, Filipino and Somali (all firsts Given the serious danger Zika poses for us). The Swahili content caused to pregnant women and their unborn Korean, Kurdish, Kwangali, a surge in online visitors from Kenya, children, and how little trustworthy Kyrgyz, Lao, , where the government is trying to information was available about it, our Macedonian, Malagasy, implement internet access for everyone. fact sheets led to 20% more people , Malaysian, Malinke, And despite the fact that we have only visiting our site, often reading our Marathi, Mayangna, Miskito, a handful of chapters in Filipino, we’re women’s health information pages. Mongolian, Naga, Nepali, Oriya, already getting as many visitors from the When they got there, they spent 40% Oshivambo, , Persian, Philippines as we do from the nations more time than usual. Most importantly, that access us the most (Colombia, 65% of them were new to our HealthWiki. Pidgin, Portuguese, Pular, Brazil, India and Venezuela). We also published two new books Quechua, Romanian, Rukiga, We’ve also been able to respond online—Health Actions for Women and Russian, Samoan, Serbian, quickly to emerging health crises Workers’ Guide to Health and Safety. Since Shan, Shona, Shuar, Sindhi, like the Zika virus. Before the World their launch this spring, each has been Sinhala, Somali, Spanish, Health Organization even labeled it an viewed by thousands of users. Swahili, Tamil, Te l ugu , Tetu m , epidemic, we’d brought out illustrated Thanks to partners like COBIHESA Zika fact sheets in English, Spanish, Thai, Tibetan, Tigrinya , in Tanzania and Likhaan Center for French, Haitian Kreyol and Portuguese. Turkish,Turkmen, Tzotzil, Ukhrul, Women’s Health in the Philippines, our We made them available both on our Urdu, Uzbek, Vietnamese, digital resources are now used in every HealthWiki, which allows for easy country and territory in the world. Wolof, Yoruba, Zulu 3 Afya ya wanawake yapewa umuhimu wa aina yake Women’s health takes center

During the last year, Hesperian put a special more, HealthWiki visits from Kenya—accessing emphasis on women’s health. Here are some information in both Swahili and English—increased examples of what we’ve been up to. dramatically. Once ranking 23rd as a source of visitors to our website, Kenya is now 11th—and 9th for mobile Family planning phone users. New and updated family-planning content has been The same thing happened with our new Filipino added to our free online HealthWiki in English, information. Since posting it earlier this year, we’ve Filipino, French, Portuguese, Spanish and Swahili. seen a 35% increase in visitors from the Philippines, Since the Swahili family-planning page went up and a 117% increase in people accessing material in earlier this year, it’s been visited 54,302 times. What’s Filipino from anywhere in the world. (By the way, our website doesn’t just attract people from developing countries. Texas is one of our largest sources of visitors for women’s health information!) Building off the success of our widely-used, award-winning Safe Pregnancy and Birth app, we’ve begun building a new Family Planning app. We hope to launch a beta version of the app next year. Safer pregnancy and childbirth Every day in 2015, 830 women died from complications of pregnancy and childbirth. Nearly all these deaths were the result of poverty, with particularly high rates in West and Central Africa, where most women give birth without the help of a skilled health worker. Increasing the number of trained midwives could prevent thousands of deaths. Clearly written and heavily illustrated, our Book for Midwives is an excellent tool for learning the skills that Aji Styawan, courtesy of Photoshare of courtesy Styawan, Aji Using technology to share information about health can save these lives. This year, in collaboration with across generations. ENDA in Senegal and the African Birth Collective of

4 midwives in Oregon, discusses strategies for healing fistula, surgery to we produced a French repair it and country-specific resources for finding translation aimed help. Translations into Chichewa, French and Nepali particularly at women are underway. in French West Africa. To help produce this first edition, Canadian A Book for Midwives university student Katharina Gref shared her research is also available in on women’s health in Nigeria. We plan to work with four other languages: partners in Ethiopia, Nigeria, Nepal, Pakistan and Nepali, Spanish, elsewhere to field-test, expand and improve the Urdu and, of course, content. English. We added The Childbirth Picture Book to Hesperian’s catalog this year, and it’s now available in Arabic, English, French and Spanish. Chinese, Somali, Swahili and Tibetan editions are in the pipeline. Preventing fistula A fistula occurs when a hole is torn between the vagina and the urethra or rectum, resulting in an uncontrollable leaking of urine or feces. This can happen during birth, when a baby’s head presses against the pelvis for too long, or it can be caused by sexual violence. Every year, thousands of women who’ve suffered a fistula are divorced, abandoned, impoverished and treated as cursed outcasts (usually, all four). To address this problem, Hesperian has released

a free, downloadable PDF titled Working Together to Australia Fund Aid and Relief Fistula Perry/Hamlin Lucy Stop Obstetric Fistula. In addition to information on Training midwives will help reduce the incidence of preventing this devastating condition, the pamphlet obstetric fistula.

5 Zika, yon epidemi k ap vin pi grav chak jou Zika, the emerging epidemic

As the Zika virus was burning through Brazil, and mosquito bites and how to deprive mosquitos of the World Health Organization had just recognized places to breed. it as an international public-health emergency, In February 2016, visitors from the U.S. hand- we’d already posted a Zika fact sheet on our online carried Hesperian’s Spanish-language Zika fact HealthWiki. Translations into Spanish, French, sheet to the Guatemalan community of Portuguese and Haitian Kreyol soon followed. Tzeja (a place with little support from the health More informative than a poster, yet not too long or authorities). Months later, when the first Zika cases medicalized, it has great illustrations and includes hit, the fact sheet’s detailed recommendations information on distinguishing Zika from malaria, concerning bed nets, mosquito breeding areas and dengue, chikungunya and the like. condom use for women who might become pregnant We were able to respond so quickly because allowed community health workers to respond quickly we’ve put a special focus on mosquito-borne illnesses and appropriately. since the 2008 publication of A Community Guide to As climate change Environmental Health. Our and forced migration skilled translation partners encourage the spread of in Latin America and the mosquito-borne diseases, Caribbean were already poor people will suffer the in place, ready to jump in most. And that’s exactly with virtually no notice. who we’re reaching. But it’s not just about We rose to similar speed. Most of the early public-health challenges Zika materials produced after the massive by other organizations earthquakes in Nepal were overly technical and in 2015 and in Haiti in academic, and blatantly 2009 (which included a ignored birth control. cholera epidemic). In both Our fact sheet included situations, our editorial practical information on staff was able to prepare that and other topics, and distribute the needed with a strong focus on A health promotor in Guatemala holds a copy of resources in the needed prevention—how to avoid Hesperian’s Zika fact sheet in Spanish. languages in record time.

6 Progresso no Novo Onde Não Há Médico Progress on the New Where There Is No Doctor The world has changed enormously in the more than forty since the first edition of Where There Is No Doctor came out. Most of the world’s people now live in cities, women’s roles have shifted dramatically, and the poor face health challenges previously considered problems of affluence, like diabetes and cancer. To accommodate these changes, we’ve been busy the last several years with a major revision of the book. Eleven new chapters are finished and have already been translated into 13 languages, including four into Swahili and one—on newborn babies and breastfeeding—into Somali (a new language for us). Given the severe risk that Zika poses for pregnant women in Brazil, translating the Family Planning chapter into Portuguese was a top priority. Releasing the diabetes and cancer chapters was another major accomplishment. It included field-testing by community groups in eight countries Photoshare of courtesy Networks, Mrazikova/ Diana Making a home visit during an anti-malaria campaign, and feedback from several expert reviewers. The a health worker explains to a woman the necessity of field-testing invigorated everyone. Hillside Health, sleeping under mosquito nets. our partner in Belize, reported, “All the Community Health Workers asked if we could keep training diabetes—urbanization, changing food supplies and them because they found the information so helpful! environmental damage. And our field-testing shows The CHWs, Hesperian, Hillside, and the Ministry of that health workers are eager to be working on these Health all learn from these discussions how we can problems in their communities. tailor our work to meet community perceptions and All the new chapters are heavily illustrated and misconceptions about diseases.” retain the warm and accessible tone people love about These new chapters encourage community Where There Is No Doctor. And we’re posting them action to address the social causes of cancer and online as we go, in as many languages as we can.

7 Compasión y empoderamiento, aquí en EEUU The language of compassion and empowerment, here in the US

Over the years, many people have asked why we We asked LHA if they would be interested in don’t publish health information specifically for the writing their story, and they told us they had already U.S. They have a point—while our materials are started! Recruiting the Heart, Training the Brain was widely used and appreciated in the U.S., we’d never published in April, is now being translated into Spanish produced anything explicitly for use here. Then we and has already garnered many positive reviews. met Dr. America Bracho, the director of Latino Health Nancy Halpern Ibrahim, executive director of Access, an extremely effective health promoter Esperanza Community Housing of Los Angeles, program in southern California. wrote, “it should be required reading” for anyone Dr. Bracho and the promotores of LHA (who are interested in community health work. “This masterful mostly immigrants) had used Hesperian materials for work describes in clarity and detail why promotores decades, both in the countries they came from and are so uniquely effective in [producing] positive and in the Orange County communities where they now sustainable health outcomes.” live. Our materials work for them because they are Soledad, one of the LHA promotoras, explains: written in a language of respect for culture, belief in “We come from a culture that is rich. We know how people’s abilities, and recognition of challenges to to be a community. We were always helping each health posed by conditions of poverty, inequality and other; always in moments of crisis, like a community, marginalization. And their experience of putting that like neighbors, like a family. There are many things into practice blew us away. that are different here [in the U.S.]. We don’t know the ; we don’t know how it works. The system starts to overpower us. “At LHA, I discovered I had a lot to offer. I feel the responsibility to give back. A hidden or saved- up talent is of no use if it is not shared… I want to continue enriching our communities, and ensure that none of us loses our humanity.” At Hesperian, that’s the spirit we try to infuse into our books, and it’s an approach that works in every culture and every language. LHA staff and health promoters sharing ideas.

8 Transformación a través de la traducción Transformation through translation

Last year’s launch of our Workers’ Guide to Health from hard-to-reach workers new to these topics, and Safety was the culmination of over a decade of though not to chemical dangers—rashes and global collaboration between workers, organizers, respiratory difficulties were common complaints union leaders, academics and professionals at all among even those workers whose jobs don’t put them levels. But the launch of a Hesperian book isn’t the in direct contact with chemicals. end of a project—it’s just the beginning. Translations At the end of our third two-hour training, workers transform our books by taking their reach worldwide. and organizers alike felt activated and validated by As we were doing marketing outreach for the the content. One trainer exclaimed: “I didn’t realize book, our partners in Asia quickly began raising how much workers already did to protect themselves, funds for translations into Bangla, Bahasa Indonesia, and this helped them see how they’re already active Chinese and Vietnamese. Besides offering them promoters of their health at work.” The Spanish various sorts of technical support, we helped them chapters are now available on our Spanish-language create in-country, language-specific fundraising WikiSalud, and the training guide as a PDF. websites to support not just the translation but also the design, editing and printing of the book. Thanks to a Department of Labor/OSHA grant, we began work on the Spanish edition in October. This grant funded the translation of two large sections of the book—focused on chemical hazards—into Spanish. Even more importantly, it allowed us to produce and field-test a hazardous-chemical curriculum/ discussion guide aimed at Spanish-speaking garment worker organizers in Los Angeles. While our book translations use a pan-Latin American Spanish, the discussion guide was significantly adapted to the everyday “Spanglish” used by these U.S. organizers. Our field-testing partner was the Los Angeles Garment Worker Center (GWC), a vibrant community- based organization that responds to workers’ needs. This field test was a unique opportunity to get input Leading a body-mapping activity for chemical exposure.

9 Income and Expenses Why Bev Schubert gives to Hesperian

Planned Early this year, Bev Schubert volunteered to giving teach a two-week midwifery course in Laos with $8,400 Other Sales Health Leadership International (HLI). Most of $13,603 $236,718 the participants, fifteen women from several Lao provinces, were already midwifery students or nurses, Foundations but only a few had hospital experience. All were $631,708 committed to learning and updating their skills to meet new government requirements. “The Lao Where Women Have No Doctor was immensely helpful, especially considering our language barrier,” she says. “The graphics were rich, the language respectful, appropriately detailed and presented in a way that made the messages clear. Individuals $384,504 “This allowed me to cover a wide variety of topics, everything from gynecology exams, routine prenatal Corporations Government care, nutrition and labor, to suturing, extraction of $52,089 grants $31,192 the placenta, neonatal resuscitation and postpartum care. At the end of the course, there was a simple Total Income:$1, 358,214 ceremony. All the graduates received a certificate and will continue their education.” Administration $170,143 Other HLI members participated to make the Fundraising midwifery course one of the most comprehensive ever $255,319 given in Laos. Videos produced by the Global Health Media Project (GHMP) complemented the written resources. Bev’s experience in Laos led her to conclude, “Hesperian is making a big difference in the world. It’s Program a great privilege to be associated with this wonderful services organization and to contribute to its survival.” $1,276,699 Bev and her husband Chris are stalwart financial supporters of Hesperian. We hope you’ll join them. Total Expenses:$1,702,161

10 Gracias Sipas Zikomo List of donors ຂ ອ ບ ​ໃ ຈ * = Giving for a decade or more! $1001 and above • Judith & Dick Litwin* Beebe • Patrick Behr • Barbara Buttrey* • Sarah & Ken * • Murray & Pauline Butcher* • Sharon Metcalf & Ann Behrmann* • Buttrey* • Ardis Bynum • Gerri Dickson • Viluyna • Davida Coady* • Randy Smith* • Judy Christine Beier & Lev Theo Anne Byrns • Steve Diskin • Jennifer Elizabeth Courte • Tony Nakadegawa* • Janell Michael • Pedro Belo • & Beth Cagan* • Susan Donohue • Wendy Dajer • Kate & Michael & Mark Niemann-* Mary Bender & Stephen Camp • Richard Dotson • Robert Downie Duffield* • Lee Gallery* • Susan & Ken Powell* Hoyt • Nikki Beneke & Campbell • Lucy Candib* • Nancy Drooker & Alix • Dorothy Galloway • • Kirk Scirto & Vicki Ip Joe Kobliska • Nina • Charlene Canger • Sabin • Susan Dubois • Deborah Hall* • Susan • Joan Sherman* • Bennett • Samantha Andrea Capachietti • Joy Grace Duck • Steven & Heller* • Linda Howe Naomi Slagowski • Diane Bennett • Talbert & Carlson • Cynthia Felda Dumenigo* • • Donald Kemper • Staves* • Lucy Stroock • Kimberly Bentley • Roger Carmichael* • Wreatha Frances Dupont • P. Barry & Janet Lang • Gary Tabasinske • Karin Benzie • Robert Carner • Max Carpenter William Dysinger • Heidi Bill Lankford* • Philip Tice* • Aniruddha Vaidya Berenson* • Denise • Janet Carr • Jim & & Roy Eastman* • Ellen Lee • Tawnia & Matthew & Neerja Bhatt* Bergez* • Janet Dana Dee Carragher • Edmands • Margo Litwin* • Metta & Bernhard • Deborah Jeannie Carter • Kristin Effland • Steven Ehrlich Victor Luttmann • Beth $1-500 Billings • Anne- Cashmore* • Lisa • Laura Enriquez* • E.J. Knutsen * • David Hilary Abell* • Marian Emanuelle Birn* • Cassidy • Irene Chain • Erb • Tina Escobar • Moore • Arthur Naiman* Abernathy • David Michael Birnbach & Pat Wade Chambers & Bernadette Etienne- • Chris & Bev Schubert* Abramson • Irene Bagdon • Anne & Joseph Kendall Cox • Kit Shan Millot* • John Evans • • Sarah Shannon & Todd Abrego • Susan Aherns Bluemel • Ruth Chan • Anirvan Teresa Evans • Robert Jailer* • Lynn Shearman • Leslie Alexander • Boardman-Alexander & Chatterjee* • Michelle & Everts & Deb Biba* • • Ruth Sherer* • Kaya Richard Allan • Bruce John Alexander • Dennis Chick • Johnson Robert Fairchild • Karine Skye • Melissa Smith Anderson • Michael & Marjorie Boetter • John Choi • Sonya & Carl Falardeau • Krista Farey* • Linda Spangler* • Hilary Anderson* • Boffa • Diana Bohn • Christensen • Domenick • Elizabeth Fee • Pauline Jered Stifter* • Laura Robert Andrews • Rosemary Bolza • Cirulli* • Alan Clayton- Fenty • Carolyn Ferguson Turiano & Michael Terry* Anonymous* • Marianne Isabelle Brabant* • Matthews • Lynne Coen* • William Fike & Maureen • Stephanie Viviano • Arieux • Maricarmen Peggy Brayfield • Gary • Art Cohen • Jonathan Ordman-Fike • Patti Filus Norbert Wagner • Emily Arjona • Michael Arnott* Breaden • Janice Cohen & Rebecca Lasky* • Luke Fisher • Benjamin West • Amy Wilson* • Linda Artel & Bruce Brenstuhl • William & • Mardge Cohen & Fitt • Sandra & Robert Berg • Patricia Arthur* • Maryan Brieger • Rachel Gordon Schiff • Gregory Fitz • Diane Flanagan • $501-$1000 Ingrid Asmus • Lucille Brodie • Janice Brody & Cole • Judith Collins • David Fleishhacker* • Ann & John Anderson* Atkin • Kim Atkinson • Bruce Rule • Calla Sherron Collins • Gay Ben Flores • Diana Flores • Steve & Connirae Sarah Bachman* • Paul Brown • Garrett Brown • Colyer • Miles Conley • • Blake & Elizabeth Andreas* • Anonymous* Bahlinger • Carolyn Bain Leah Brown • Ted Brown Robert Cooper • Marc Forbes • Tara Ford • Tom • Paul Armington • & Victor Araya • Frank • Susan Browne* • Corren* • B. Corvison • & Florrie Forrest* • Sue Stephan Baumann • Baldwin • Rocio Donaji Stephanie Browner & Charles Couch & Susan Forster-Cox • Meredith Robert Blumberg & Barahona • Lee Barber • Richard Hamlin • Peters Couch • Jean & Fort & Mario Ceron Barbara Walkover • Melissa Barber • Douglas & Phyllis Roger Cox* • E. Paula Valdes* • Stanley & Cory Bragg • Bill & Kenneth Barnett & Brunson* • Jayne Crowley • Robin Daley & Dorothy Foster • Helen Susanne Daniell • Kathy Barbara Bradford* • Buchanan • Richard William * • Philip Fox & James Koopman • DeRiemer* • Michael Charles Baroo* • Joann Buck • Jenifer Burckett- Darney & Uta Landy* • Herman & Ruth Frankel* Ginther & Jim O’Donnell* Swanson Basila & Robert Picker • Bill & Barbara Helen Ann Davis* • • Marc Franklin* • John • Carol Harrison* • Basila • Komal Basra • Burkland • John • Nelson & Ruby Davis • Frazee • H.Susan Ruth Heller* • Ellen & Michael Bass • Laurie & Valentina Burzio • Frank de Leeuw* • Mary Freireich* • Peter Bob Hirth* • Elizabeth R. Scott Beavers* • Emily Christina Butler • Karen DeCoster • Andrea Friedland & Joan Katel Jenkins-Joffe* • Deborah & George Beck • Carl & Butler • Mark Butler & Dekrout • Anne Friedland • Joanna Fry • Kaliel* • Larry Kressley Jenny Becker • Norman Meg Simonds • Jerry & Dempsey • Daryl Dichek Shirley Furst • Sally &

11 Richard Gaines* • Hart • Moriah Hart • • James Karesh • Marvin Brinton Lykes • Virginia & Stonier-Montoya • Charlene Galarneau • Mary Harvey • Dirk & & Adriana Karno* • Linda Bob Lynch* • Augusta & Shannon Moore • Matthew Galenkamp • Dixie Havlak • Gina Kaste • & Jeff Thomas Lyon* • Gregory Madeleine Morris • Maggi Gallaher • Hayden • Anne Hayes • Kauffman • Christy MacCrone • Stephen Frances Morrow • Jim Elizabeth Gallery* • John L. Hayes • Diane • Jeanne & David Madeley • Janet Magnani Mulholland • Dorothy Cecille Garcia • Paul Hedler • Regina & Kemp* • Marcus Keown • Ashleigh Malarczuk • Mull* • Solange Muller* Gardner • Susan Garner William Heffernan • • Julie Kesler & Thomas Stanley & Janet Maleski • • Carol Munch • • Ayesha Garrett • Yancy Anna • Gretchen Grant • Linda & Kevin Richard Mandell* • Stephanie Murphy • Garrido • Rachel Garst • Herbkersman* • Kathryn Kessler • Sheila Doyle David Marbaugh • Gail Frank Myers & Helen Donnell Geib • Anna Hermann • Eric Kiernan* • David Kilburn Mardfin • William & Mary Lyngaas Myers* • Georgoulis • Maxine Herrmann • Ann • Jessica Kiley* • Laura Markle* • Deborah Roberta Mylan* • Gerber • William Gifford Hershberger • Linda Kimbell* • Alicia Kimbrel Marrington • Andrea Maliheh Nakhai • Susan • Ernest Gillogley* • Jean Hetue • Esther Hewlett* • Gloria & Colin Kirk • Martin* • George Martin Nalder* • Jean Naples • Girardot* • Robert • Jon Hicks • Peter Higgs Charles Klinkert • Joan • Marie Martin • Pauline Nathan* • Chris Girling & Sherry Keith* • • Nance Hikes & Michael Kloehn* • Kala Kluender Raymond Martin* • & Suzanne Nauman* • Erik Giske • Teresa Melampy • Vanmala • Christina Knapp • Elizabeth Martinez • Bruce Nayowith* • Kay Glass* • Anne Goldstein Hiranandani • Deane Michael & Sachiko Margaret Daly Masternak Neal • Mary Ellen & & Philip Tegeler • Lisa Hodde • Richard Hogg • Knappman* • Stephen & Stephen Masternak* • Thomas Neill* • Goldstein* • Maria & Robert Hogrefe • William Knudson* • Mary Beth Helga Matausch* • Mark Stephanie Nemcsok • Robert Goldstein • Daysi Hollerman • Sherri Kohart • Jean Kohn* • Maus • Robert & Susan Kenneth Nesper • Garth Gordon • Leslie Holley • Nadine Hottat • Jon & Margaret Kosek* • Mayer • Paul McAndrew Thomas Newbery • Grace • Hope Graham • Linda Howat • Julie Thomas Kozhimannil • • Carolyn McBride • Barbara Newcombe* • John Graversgaard • Howell • Lucy Huang • Nora Kramer • Jim David McClain • Frances Constance Newman • Daniel Gray • Gary Gray • Patrick Hublou • Sandra Krieger & Kimberly McClure* • Mary Bruce • Mary Marian & Roger Gray* • Hudgins-Brewer & Wicklund • Eileen Kruse* Mccullough • Paul Newton • Denise James • Jonathan Michael Brewer • • Emilie Krustapentus • McGinnis • Sita McGuire Nicholls • Boerge Mors Green* • Linda Green* • Barbara Hudman* • Mary Kunkel* • Sarah • Sue McIntyre • Nielsen • Phyllis Noble • Michael Green • Maggie Thomas Hulscher • Lampman • Lorna Lang • Brieshen McKee • Judy Norsigian* • Greenberg • Deborah & Frederick • Michael Lardelli • Heidi Stephen McKenzie • Claudia Noyes • William Donald Griffin • Caroline Marilyn Hyde • Marta Larsen • Beverly & Bob Sarah & David McMeans & Judith O’Beirne • Grootes • Barry Insogna • Adelheid Irvin* Lauderdale* • Janis Leal • Mary & James Megson* Diane O’Donnell • Uduak Grossman • Sarah • Inella Jack • Sheila • Terry Lee • Stuart • Mary Anne Mercer & Offiong • Elizabeth Grossman* • George Jackson • Linda Jamison Leeder • Jill Legg • Stephen Bezruchka • Oglesby • Ellen Ogman* Gunkelman • Vera • Malvice Jefferson* • Steven Leiner & Mary DeAnne & Elielson • Jesse Okie • Ann Olsen Guseva • Henry Gwiazda Russ & Linda Jeffrey • Mays* • Monica Lemos • Messias* • Evan Metcalf • Eric Olson • Jennifer • Amy Hagopian • James Brian Johnson • Deborah Mark Lessner* • Chuck & Mary Crawford* • Olson • Glenn Omatsu • Hall • Helena & Bertrand Johnson • Elizabeth Levenstein • Amanda Cynthia Meurling • Guy Oram • Steven Halperin* • James Johnson • Joseph Levinson • Kate Levinson Roberta & Spencer Ormenyi • Adam Halstead • Clifford Johnson • Wendy • Steve Lind • Louise Michels* • Maya Miguel • Osborne • Deborah Halverson* • John Johnson • Annette Lindenmeyr* • Susan Helen Miles • Delinda & Ottenheimer* • Elizabeth Hanft* • Norma • Garry Jones • Lea Lineberry • Kate Little • Ronald Miller* • Jennifer & Robert Pagnani* • Hannigan • John Jones • Trey Jones • Julie Litwin & Shelley Miller & Dai Gwilliam* • Lynn Paltrow • Ann Hansen-Brevetti • Heidi Linda Jordan • Lynn Sella* • Gita Liv • Peter John Miller • Martha Pattock* • Emmanuelle Hanson • Michele Jordan • Chris Jowaisas Loewinthan* • Patrick & Miller & Robert Gamble* Pennarun • Marina Perez Harbison • Marcus & • William Joyce* • Sharon Logan* • Cindy & • Steve Miller* • Linda de Mendiola • Dorothy Chris Harding • Sarah Alphonso & Corrine Timothy Lohrentz* • Jan Millette • Debra Mipos* • Perkins • Wendy Harlan • Jean Harman • Joyner • Norma Joyce & Tim Long* • Janet Lily • Melissa Perlmutter* • David & Erica Harris • Eva Harris* Juarez • Shana Kagan • Lord* • Ann Loretan • Mizel • John Monguillot • Margot Perrin • Henry B. • Melanie Harris • Nancy Ulf Kahmann • Joan Gayle Lovato • Marsha Gerardo Montano • Perry* • Bettie Petith • Harris* • William & Kahr* • Rosemary & Dan Love • Alex Luger • Jacquelin Montoya • William Philipson • Barbara Harris* • Marion Kaplan* • Peter Karasik Deborah Lustig • M. Steve Montoya & Sheri Frances & William

12 Phillips • Ruby Phillips* • Schutt • Christine Howard Suutala • Susan Kathleen West • Janet Lakeshore Foundation • Thomas Pillen • Susan Segerhammar* • Pauline Sykes* • Valerie Tapay • Westbrook* • Deborah Lalor Foundation • Latino Plant • Karen Platt* • Seibel* • Rebecca Geraldine Taplin • Brian Wheelwright • Katya Health Access • Left Tilt Allison Plyer* • Mark & Seifert • Lizzie Sensenig* Taylor • Helen Templin • Wheelwright • Marcia Fund • Living Goods • Julie Pohlman • Karyn • William Seraile • Patricia Terry Olson* • White • Thomas White • OSHA, U.S. Department Pomerantz* • Carrie Andrew Shannon • Linda Fasika Tesfaye • Ulrike M.J. Whitehouse • Joan of Labor • Partnership Ponte • Louise Popkin* • Sharp • Maureen Thalmaier • Lois Wicklund • Margy Foundation • Paul L. Nancy Alyson • Sheahan • Albert Thetford • Janet Thibault Wienbar • Ana Williams* Newman Foundation Diana Powers • Linda Sheena* • Cedric • Ralph Thomas • • David Williams • • Public Welfare Presser • Kenneth Sheives • Amy Sherman William Thomas* • Ann Margaret Willits • Renee Foundation • RiseUp Preston* • Karen Price • & James Page* • Nicole Marie Thompson • Peter Wilmeth • Kay Wilson* • Ghana • Sidney Stern Val & Mildred Price* • & Joseph Shilkofski • Thompson • Ariana Ed Wood • Julie & Fred Memorial Trust • Sparo Mary Procyk • Jean Susan Shopland • Thompson-Lastad • * • Michael Wright Corps • United Methodist Proehl • Dolores & Laurence Shoup & Victor Thorpe • Carol • Yuchen Wu • Iris Women • Wang-McLaren Gordon Pryor* • Bonnie Suzanne Baker Shoup* • Thuman* • Lana Tilley • Wullink • Dean Yannias • Foundation • West Raitt* • Karthik Hannah Clymer Richard & Maralyn Bernadette Yarbrough • Foundation Ramanathan • Edward Showalter • Marc Tipping* • Zachary Tobin Itsuko Yoshida • Lois Rappaport* • Jill Ratner Shulman • Cindy • Jo-Ann Toop • Janelle Young • Robert Young • In-kind donations • Cory Rauch • Liesbeth Shumpert • Vicki Trees • Pauline Trembley Andrea Zengion • Cecille Garcia • Teresa Raymakers • Richard Shurmur • Roberta • Bruce Trigg* • Vivien Heather Zornetzer Glass Recknagel • Sumana Siegel* • Robert Davis Tsu & Theta Tsu* • Reddy* • Linda Reesor • Simeone • Stephen Carol & Richard Tubbs • Institutional Matching gifts Fred & Sheila Rehbein* • Simmons • Louise & Jennifer & David Tucker• donors Bill and Melinda Gates Stephen Reimann • John Singleton • Terry Patricia Terry Olson* • Altshuler Berzon, LLP • Foundation • Google • Dennis Renner • Barbara Singleton • Whitney Victoria Tunba • Janice Anonymous • Branson Gradient • HBO • Kaiser Richards • Anne Richter Skowronski • Catherine Tunder* • Bertram Tung Family Foundation • Foundation Health Plan • Elizabeth Rielly • Jean Smith* • Robin Smith • • Leah Uberseder & Bushrod H. Campbell of the Northwest • Local Riesman • Jean Theodore Smith • Jesse Kerman • Barby & & Adah F. Hall Charity Independent Charities Robinson • Hector Deborah Smith- Victor Ulmer* • Anna Fund • California of America-CFC • Rodriguez • Sylvia Rohde Bernstein • Judy & Utech • Robert Uy • Communications Access McGraw-Hill Education • Margaret Rombach- Rodney Snow* • Rick John Vail* • Sigurjon Foundation • Cogan • Microsoft • Thomson Riggs & Robert Riggs • Solomon & Steven Saylor Valmundsson • Lois Van Family Foundation • Reuters • Fargo Martin Rosales • Amy • Vic Speedwell • Leigh Tol • Gus Vaninetti • Conservation Food Ross • Linda Ross • Speichinger* • Robert Victoria Breckwich & Health Foundation In memorium Spitz • Suzanne Vasquez • May Vaughan* Nancy Ross* • Joanne • Cornell Douglas Hesperian is Spooner-Munch & Paul • Jacqueline Ventura* • Rotella • Martha Roth & Foundation • David & saddened to have lost Munch* • Glenda Tamara Vidrine • Gretel William Irwin* • Stuart Lucille Gilden Family a longtime supporter Stanislaw • Jenny Stark • Von Pischke • Ellen Vor • Howard Sachs Foundation • Dorothy & — Elizabeth “Mopsy” Jeff Starn • Jayne der Bruegge* • Madeline • Sergio René Salgado* • Jonathan Rintels Family Matthews. To her Steinmetz • Laura Wake • John & Margaret Manuel Sanchez Cabrera Foundation • Equal family who named us Stephenson • Alexander Wales* • Marjorie • Michael Santarelli & Exchange, Inc • Ethiopia a recipient of gifts in Stevens • Forrest Wang-McLaren* • Linda Laura Hall* • Gloria & Eritrea Returned Peace her memory and to Stevens • Sabin & Wardlaw • Lorie Warner Sayavedra • Katherine Corps Volunteers • First the many people who Michelle Stevens • • Rhonda Watson • Jill Schaff • Hannah Vogt Congressional Church donated in her honor, Catherine Stone* • Judy Waugh • Audrey Webb* Schaller• Jennifer of Stockbridge Mission we give our thanks Stone • Betsy • Catherine & Don Scheibe • Benita & Action Board • Flora and condolences. Strausberg* • Ron Weber* • Debra & James Schelfhout • Elizabeth Family Foundation • Her work and Strochlic • Nelson Weber • Lynn Weber* • Schiff & Stephen Secrist Gilead Sciences, Inc • memory live on. • Margaret Schink* • Sturgis • Scott Sudweeks Diana Weihs • Susan International Foundation Seth Schoen* • Kurt • Ramona Sunderwirth* Weissert & Lawrence • K4H • Kazan McClain Schueler • Elizabeth • John Sutherland • Rich • Debra Welsh • Partners’ Foundation •

13 Our volunteers and collaborators Gratis Books responds to crisis

We gratefully acknowledge the participation of The letters are handwritten, the stamps are exotic our 120 volunteers and other collaborators who and the requests are always compelling. Every day, donated 8,838 hours of energy to the development Hesperian receives letters from people all over the of our content this year. They help ensure that our world requesting free books. “Each letter we receive work remains accurate, up-to-date, accessible and demonstrates a critical need for our materials and relevant. We could not do what we do without them! often tells a powerful story,” says Lee Gallery, longtime Elaine Abrams • Mark Anner • Negaar Archang • Lucy Atkin volunteer coordinator of our Gratis Book Program. • Caroline Balagot • Mary Bellman • Michael Birnbach • Kate “When I get a letter, I’m reminded of how most of Bobrow-Strain • Diane Bohn • Jean Box • Lyndsey Brahm • the world lives and how fortunate we are. Sending a Jonathan Brakarsh • Judy Branfman • Josh Bress • Garrett Brown • Pauline Butcher • Mae Hazel Calimbas • Nayelli Castro • Hesperian book really changes lives and empowers Loretta Charles • Imanne Chaudry • Roberto Chavez • Jeff Chow the powerless.” • Glynis Clacherty • Davida Coady • Noel Colina • Juan Carlos Cuellar • Rajat Das • Tom Davis • Nicia de Nobrega • Alejandra This past year, as refugees from the Middle Domenzain • Feliciano dos Santos • Steve Early • Libby Engels East and North Africa crammed into precarious • Bernadette Etienne • Caly Fernandez • David Foust • Liana Foxvog • Margot Friedman • Phyllis Friesen • Faith Fuller • Lee and often deadly boats, or trekked from country to Gallery • Cecille Garcia • Tom Gassert • Omana George • Peter country on foot, we searched for a way to respond Gondwe • Michelle Gonzalez-Arroyo • Anthony Guoko • Eva Harris to multiple crises. Thanks to a partnership with the • Karli Haugan • Anne Hayes • Aleka Heinrici • Susan Heller • Gretchen Herbkersman • Tom Holloway • Christopher Holmgren Syrian-American Medical Society (SAMS) and other • Linda Höwe • Jennifer Hunt • Mitchell Irwin • Laura Itzkowitz • generous donors, we were able to send free Arabic Carol Jabari • Jordan Jordan • Alfred Kafuku • Fatima Kalima • editions of Where There Is No Doctor, A Community Sophie Kang • Jon Katz • Mariano Krammer • Larry Kressley • Bill Lankford • Howard Lee • Flavia Lemes • Brian Linde • Matthew Guide to Environmental Health and The Childbirth Picture Litwin • Whitney Long • Marsha Love • Muunga Lubinda • Billy (Siu Book to refugees in Yemen and other places in the Ki) Lui • Emmanuel Luyirika • Gwewasang Martin • Juvenary E.A. Matagali • Judiann McNulty • Deborah McSmith • Elizabeth Mo Middle East. • Wairimu Mungai • Eugene Mupakile • Arthur Naiman • Esther While we’re committed to sending books to those Nakkazi • Raymond Okechukwu • Davide Olchini • Rory O’Neill • Aaron Pardini • Zacil Pech • Scott Pike • Ingrid Rosenthal • Lysa who need them, regardless of their ability to pay, the Samuel • Vickie Santiago • Kandyma Sar • Rebekkah Schear • cost of international shipping continues to increase— Michael Scott • Bev Sebastian • Melissa Smith • Ted Smith • Linda it’s now equal to the average cost of a book! So Spangler • Sri Srinivasan • Lucy Steinitz • Aijing Sun-Liang • Reva Swiedler • Judy Tart • Zeni Thumbadoo • Anne van Duijnhoven • raising funds is vital. Christina Vernon • Stephanie Viviano • Vy Tuong Vo • Ellen Vor der Last year we conducted three fundraising matches Bruegge • Norbert Wagner • Karen Warrick • Susan Weissert • Emily West • Dorothy Wigmore • Amy Wilson • Laura Worby that brought in close to $20,000. Combined with other contributions, that allowed us to send 1,385 books to For a list of partner organizations, including the individuals and health clinics worldwide. Please join organizations that helped us field-test our materials, us in supporting this key program. see http://hesperian.org/about/partners.

14 How to support our work

Workplace giving Wills and living trusts Looking to maximize your donation to Hesperian? Be Selecting Hesperian as the beneficiary in your sure to check out your company’s workplace giving will or living trust provides a lasting legacy to our program. Many matching gifts programs allow you to important work and makes a difference for years to double or even triple your contribution! Get the most out come to people worldwide. This past year, Hesperian of your giving by asking your employer today for details. received a major bequest from the estate of longtime supporters, Luella and Keith McFarland. Monthly donations For close to thirty years, Luella and Keith were Become a monthly sustaining donor and provide strong advocates of Hesperian and our materials. ongoing support for Hesperian’s work. Each month, They read and gave feedback during the development an amount you choose will be automatically billed to process on publications, connected us to groups who your credit card, and can be cancelled whenever you would benefit from having a Hesperian book and want. Becoming a monthly sustainer is a hassle-free supported us financially—from donating money they way to donate and it cuts down on donation requests collected by recycling aluminum cans to donating and greatly reduces our fundraising costs. the proceeds from the sale of land. The bequest Paying tribute Hesperian received from their estate this year will There is no greater way to acknowledge an important continue to support our work into the future. milestone or to express condolences than to give a Buy books directly from us tribute gift. A gift to Hesperian ‘in honor of’ or ‘in Buying books directly from us maximizes our revenue memory of’ will have an impact on people worldwide. and helps ensure that our books remain in print. Visit Hesperian will send a note to the person you are store.hesperian.org and make your purchase today! honoring or the family of the deceased to notify them of your thoughtfulness. Donate today on behalf of If you would like more information your loved one, friend or colleague. Contact Sherry Nadworny at 510-845-1447.

A returned Peace Corps volunteer gives back Gregory MacCrone was a Peace Corps volunteer in Liberia in 1989. When he saw his neighbor, Jenny, covered in rashes on her arms and legs, “I used Where There Is No Doctor to diagnose scabies and learn what to do.” After 2 treatments with ointment and careful laundering, Jenny was cured. “Her father paid me with three bunches of bananas!” Gregory still appreciates how Doctor helped when he was a young Peace Corps volunteer and wants others to have the same resource that helped him and Jenny. That’s why he has been a generous donor to Hesperian over the years.

15 À propos de Hesperian About Hesperian Board of Directors Hesperian’s mission is to publish and distribute books Bill Lankford, PhD, Jonathan Katz and educational materials that help the world’s poor Co-Chair Project Lead for Reading at Founder, The Central Wikipedia take greater control over their health and their lives. American Solar Energy Our publications have been translated into more Lynn Sagramoso Project (CASEP) Corporate & Foundation than 80 languages and are used in 222 countries and Linda Spangler, MD, Relations Manager, Audubon territories. A pioneer in community-based health Co-Chair California education since the 1960s, Hesperian is world- Physician, Adult Primary Sarah Shannon renowned for writing and illustrating reliable health Care, Alameda County Executive Director, manuals that enable people with minimal formal Medical Center Hesperian Health Guides education not only to diagnose, treat and prevent Pauline Butcher, RN, MSN, Melissa Smith, MD Treasurer most common health problems, but also to organize Family Practice Physician; Traditional birth attendant to change the social causes of poor health. Senior Lecturer in the trainer, Guatemala School of Social Work at the Larry Kressley University of Texas at Austin; Hesperian staff Secretary author of Health Actions for Former Executive Director, the Women Kokaale Amissah-Aidoo Sherry Nadworny Public Welfare Foundation Ellen Vor der Bruegge, Michael Birnbach Sarah Shannon Garrett Brown, MPH, CIH MPH, MS, MT, Jenny Chung Rick Solomon Coordinator of the Independent Consultant; Maquiladora Health & Safety former Vice President of Anna Giske Kiriyo Spooner Support Network Innovations, Freedom from Michael Green Kathleen Tandy Davida Coady, MD, MPH Hunger Rachel Grinstein Paula Worby Executive Director, Options Susan Weissert Todd Jailer Julia Zarifis-Nakad Recovery Services; President, Former AIDS Task Force San Carlos Foundation Rosemary Jason Coordinator, Maryknoll Office Tom Davis, MPH for Global Concerns Miriam Lara-Meloy Former staff members: Independent Global Health Emily West, MIPP Tawnia Litwin Meera Norris Consultant Executive Director, Michelle Loya-Talamantes Alexandra Thebert Eva Harris, PhD The West Foundation Susan McCallister Kathleen Vickery Professor, Division of Staff Representatives Infectious Diseases and to Board: Vaccinology, UC Berkeley; Rachel Grinstein Co-founder and Board Rosemary Jason Front cover photo credits President, Sustainable Africa: photographer unknown Sciences Institute Mexico: idex.org Laos: Beverly Schubert, HLI Egypt: Deborah Doyle, courtesy of Photoshare

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