Malteser International Annual Report 2009

www.malteser-international.org MISSION STATEMENT Editorial Contents

Malteser International is the worldwide relief agency of the Sovereign Order of Malta for Relief, Reconstruction and 5 with the status of a non-governmental organisation. The relief service Rehabilitation has more than 50 years of experience in humanitarian relief and at present covers around Portrait of our help: Philippines 5 100 projects in about 20 countries in , and the . Currently, 22 national Spotlight: 6 associations and priories of the Order of Malta are members of Malteser International. Spotlight: 7 Portrait of our help: Asia 8 Evolved from Malteser , thus set up in accordance with German Law, and interna- Portrait of our help: 8 tionalised in 2005, the organisation at present has two branches: “Malteser International” Portrait of our help: 9 (www.malteser-international.org) in (/Germany) and “Order of Malta Portrait of our help: DR Kongo 10 Esther Suchanek Worldwide Relief – Malteser International Americas” (www.maltarelief.org) in the USA Portrait of our help: Italy 11 (Washington DC). It provides aid in all parts of the world without distinction of , race Nicolas de Cock de Rameyen Ingo Radtke or political persuasion. Christian values and the humanitarian principles of impartiality and President Secretary General Health and Nutrition 13 independence are at the foundation of its work. Its mission is not only to provide emergency Portrait of our help: 13 relief, but also to implement rehabilitation measures and to facilitate the link between emer- Wherever aid is urgently needed, Malteser International – the relief service of the Sove- Spotlight: Uganda 14 gency relief and sustainable development. Malteser International establishes and promotes reign Order of Malta for worldwide humanitarian aid – is ready to provide it; with care, Spotlight: South Sudan 15 primary health care services and seeks to reduce vulnerability and poverty. It is committed to with compassion, and with a commitment to help with sustainable rehabilitation once Spotlight: DR Kongo 16 ensuring high quality standards. Accountability and transparency are priorities on its agenda. the immediate need is over. Spotlight: Cambodia 17 Malteser International’s mission is to: This Annual Report contains a brief – and by no means exhaustive – overview of the work Water, Sanitation and Hygiene 19 • provide relief to major emergencies in the world and implement reconstruction and carried out by more than 900 local and international staff members of Malteser International Birgit Betzelt Birgit Portrait of our help: Myanmar 19 rehabilitation measures with a community focus; in about 20 countries in Africa, Asia and the Americas and supported by numerous public and Spotlight: India 20 • establish and promote primary health care services and contribute to better health by private donors as well as by the international network of the Sovereign Order of Malta. Much Spotlight: 21 providing nutrition related programmes; of this work continues to redress the impacts of earlier disasters, such as the devastating cyclone • contribute to better health and dignified living conditions by providing access to drinking Nargis or the South Asian tsunami, and to relieve the distress caused by complex emergencies Disaster Risk Reduction 23 water, sanitation and hygiene (WASH); in some of the world’s poorest countries. In addition, Malteser International and its inter- Portrait of our help: Mexiko 23 • implement livelihood measures and social programmes to ensure access for people to income national network have responded to new challenges created by the earthquakes in Abruzzo Spotlight: Myanmar 24 security and reduce their vulnerability and poverty; (Italy) and Sumatra in 2009 as well as in Haiti and Chile in the beginning of 2010 or by severe Spotlight: Pakistan 33 • establish and promote disaster risk reduction activities, especially at a community level. typhoons that hit , Vietnam and the Philippines last autumn. While such responses to urgent needs remain an essential part of Malteser International’s work, Pictures of the year 2009 23 Our mission is to support the vulnerable and marginalised to live a healthy life they are complemented by numerous long-term relief programmes in the fields of health and Programme overview 2009 25 with dignity. nutrition, WASH (water, sanitation and hygiene), livelihood, disaster preparedness as well as rehabilitation and reconstruction. In many ways, it is through these activities and initiatives that Livelihood and Social Programmes 35 Malteser International, through Malteser Germany (Malteser Hilfsdienst e.V.), is a Malteser International is able to make a sustainable contribution towards people’s wellbeing. Portrait of our help: Vietnam 35 member of the following networks and associations, among others: With this Annual Report, we would also like to draw your special attention to the partner- Spotlight: Mexiko 36 • Action against AIDS Germany (Aktionsbündnis gegen AIDS, www.aids-kampagne.de) ships between support groups and Malteser International programmes – a new form of sup- Spotlight: Indonesia 37 • Catholic Working Group of the German Bishops’ Conference on Emergency and Disaster Relief port that we encourage and highly appreciate. These partnerships are a wonderful possibility to Spotlight: DR Congo 38 (KANK – Katholischer Arbeitskreis Not- und Katastrophenhilfe) enable direct contact between the beneficiaries in our programme regions in Africa, Asia and • Coordinating Committee for Humanitarian Relief of the Federal Foreign Office of Germany the Americas and their supporters. The resulting human relationships enrich our humanitar- (KAHH – Koordinierungsausschuss Humanitäre Hilfe) Facts and figures 39 • Germany’s Relief Coalition (, www.aktion-deutschland-hilft.de) ian activities. Once a partnership has been established, the partners are kept up-to-date about Experts abroad 39 • International Network to Promote Household Water Treatment and Safe Storage (WHO/Switzerland, www.who.int) developments in their partner region and – if desired – even a project visit can be organised. • National Association of German Non-Governmental Organisations for Development Policy Help at a glance 40 We encourage support groups – companies, school classes, parishes, entities and associations Birgit Betzelt Birgit (VENRO – Verband Entwicklungspolitik Deutscher Nicht-Regierungsorganisationen, www.venro.org ) Further events and highlights 2009 42 of the Order of Malta – to contact us to find out more about such partnerships. • People in Aid (www.peopleinaid.org) Financial overview 2009 44 • Voluntary Organisations in Cooperation in Emergencies (VOICE, www.ngovoice.org) Annual accounts as of 31 December 2009 46 • Working Group on Medical (AKME – Arbeitskreis Medizinische Entwicklungshilfe) In all these ways, Malteser International remains true to its mission to provide help – with the Auditor’s report (KPMG) 47 people and for the people. Thank you very much for your continuous support! Malteser International, through Malteser Germany (Malteser Hilfsdienst e.V.), has Notes on the income statement 48 committed itself to observe, inter alia, the following national and international codes and standards: Strong partnerships for the future 49 • Code of Conduct to protect children and young people from abuse and sexual exploitation New ways of support 49 (Caritas Internationalis, www.caritas.org) Portrait of our help: South Sudan 50 • Principles for the international work of the German Caritas Association (www.caritas.de) The Sovereign Order of Malta 52 • The Code of Conduct: Principles of Conduct for the International Red Cross and Red Crescent Movement and Nicolas de Cock de Rameyen Ingo Radtke NGOs in Disaster Response Programmes (www.ifrc.org) Structures and committees 54 • The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response (www.sphereproject.org) Abbrevations/Imprint 55 • VENRO Code of Conduct: Transparency, Organisational Governance and Control Cologne, June 2010 (VENRO Verhaltenskodex, www.venro.org)

2 MISSION STATEMENT EDITORIAL/CONTENTS 3 FOC US 1

Relief, Reconstruction and Rehabilitation

In the aftermath of war, natural disaster or following a particular crisis, Malteser International responds to the fun- damental needs of the affected population. In these early stages, the focus of any response is upon helping people with basic survival. Programmes focussing on the distribution of relief items – such as the means for water purifica- tion and storage, household items, shelter kits and basic food rations – are a “first response instrument”.

After these basic needs have been met, Malteser International’s aim is to further reduce vulnerability and to pro- vide communities affected by crises and disasters with sustainable reconstruction and rehabilitation programmes promoting a strong development perspective. Respective programme components include reconstruction of houses and public buildings as well as social rehabilitation measures such as the reintegration of refugees within their homeland or reconciliation programmes in war-torn communities.

In 2009, Malteser International reacted to a large number of emergencies and – among others – provided medical aid and hygiene support for displaced people in and Pakistan, food relief for displaced people in the DR Congo, earthquake relief in Italy, drought relief in Kenya as well as disaster response after the series of earthquakes, storms and floods in Indonesia, Vietnam and the Philippines. Reconstruction and rehabilitation programmes are sup- ported in China, India, Indonesia, Myanmar, Pakistan, Sri Lanka and Vietnam.

Portrait of ou r h elp Philippines – A network of relief in the typhoon-battered country

Odelia G. Arroyo, Hospitaller of the Philippine Association of the Sovereign Order of Malta, talks about the effects of typhoons Ketsana and Parma that hit the Philippines in autumn 2009 and the disaster response provided in cooperation with Malteser International.

How was the situation on the ground? pletely and in a timely manner. Even a few Which was your first response in this disaster relief? Initial news reports estimated that there were weeks after the devastating typhoons, there When I realised the extent of the damage, I four million residents of Metro Manila (the were still 252 evacuation centres in Metro immediately assembled the staff, gathered ini- “National Capital Region“) alone without Manila, which housed more than 72,000 tial government reports, coordinated with lo- food, water, shelter or even toilets. The stag- people; there were another 54 centres with cal partner organisations in the affected areas gering loss of life and property both in the around 15,000 evacuees in the northern prov- to assess urgent needs. The most immediate city and rural areas practically ensured that inces. The resources available to local govern- need was to feed the affected families. Mem- the Philippine government would not be able ment units for disaster relief could not sustain bers of the Order cooked food in their own to adequately address everyone’s needs com- basic needs such as drinking water and toilets. houses and delivered it to key centres. Basic

4 Relie f, reconstruction and re habilitation Relie f, reconstruction and re habilitation 5 Spotlig ht Spotlig ht Vietnam – Providing emergency Pakistan – Supporting internally displaced people (IDPs) support to the survivors of Since earthquake relief measures carried out in October 2005, Malteser International has been providing support to people affected by natural and civil disasters in Pakistan. Based on the continued coordination within the so called “cluster system” with the Govern- typhoon Ketsana ment of Pakistan and UN agencies and as an active member of the Pakistan Humanitarian Forum (PHF) – a platform of humanitarian non-governmental organisations (NGOs) in Pakistan – Malteser International from the very beginning was informed about the flight photo: of Malta Philippines Order Last year’s typhoon season turned out to be a fatal one for the people in Vietnam. After of hundreds of thousands of civilians from the mountainous areas of the Malakand Division in spring 2009. Soon after the Pakistani Hospitaller Odelia G. Arroyo and volunteers of the Philippine Association distributing constructing materials eight typhoons earlier in the year, typhoon Ketsana hit the coast on 29 September security agencies had started their offensive against “insurgents” or “Taliban” who had taken control mainly of the Swat District and 2009. The damage caused by wind and flooding affected three million people. 600,000 adjoining areas the civilians – totalling more than 1.9 million displaced people – were ordered to vacate their home areas. non-food items such as blankets, towels, and people were evacuated and over 160 people died. Poor communities were hit hardest mats were distributed. It was at this point through loss of harvest, belongings, homes and even lives – and it is they who have the Help for 100,000 people (catchment population – Experiences from the operation in Swat medical team to support joint medical camps that I began to solicit donations from other least capacity to restore their livelihoods after the storm. IDPs and host families – in Mardan District and revealed that the demand for basic primary run by different agencies. In addition, after Order of Malta associations and sought to those of three health facilities in Swat District) health care – especially among women and the detection of up to 20 polio cases out of partner with Malteser International. International staff: 1 children under five – is very high, above all 78 in Pakistan in 2009, Malteser Interna- National staff: 25 with regard to watery and bloody diarrhoea tional teams supported the first immunisa- How did the Philippine Association and Programme duration: May 2009 – July 2010 as well as to acute respiratory infections. tion campaigns for many years in the remote Malteser International work together? Programme volume: 500,000 EUR (total) Against the estimated figures of at least 50 catchment areas of the three health facilities. With the guidance of Dr. Mel Capistrano Partners: LASOONA, Society for Human and patients/consultations per medical team and Additional challenges for the medical teams and Mr. Ravi Tripptrap, both from Malteser Natural Resource Management, Swat clinical day the average is actually between in Swat had been several cases of Measles and International, we set up an ongoing project. Funding: AA (Task Force Humanitarian Aid), CERF, 75 and 110 patients. About 24% of children Rubella (German measles). Malteser International has provided essential UN, own funds, private donations under five years and about 71% of girls and In addition, Malteser International teams know-how and generous funding and the Malteser International has been working in Pakistan women went to see the Malteser International also supported surveys on the root causes of Order of Malta Philippines, in cooperation since 2005. medical teams. a severe and long lasting diarrhoea epidemic with our network of local partners, is respon- To provide for the regular primary health in UC Islampur. They detected unprotected sible for the project implementation. In the Primary health care and hygiene pro- care services, the supported facilities needed drinking water sources and identified solu- beginning, we distributed non-food items to motion in host communities basic repairs and rectification work as well as tions for improvements together with WHO

850 families living in Metro Manila evacu- Betzelt Birgit Since the end of May 2009, Malteser Interna- additional medical equipment and furniture. and Government experts. ation centres. Eight portable toilets were With trainings at village level Malteser International aims at strengthening the disaster preparedness of the population. tional provided primary health care support Many health facilities in Swat originate from installed in two major evacuation centres. with two medical teams to IDPs who had the 1950s and 1960s and had also been se- Programme scope enlarged 300 five gallon containers of drinking water Help for 60,000 people Quang-Nam province. 7,000 poor families af- found refuge among host communities in verely damaged during the 2009 fighting. The support during the displacement crisis were delivered daily to another two evacua- International staff: 1 fected by the floods received rice for securing the lower Mardan District of the North-West has opened the geographical scope of Malte- tion centres. Furthermore, the Order started National staff: 12 their immediate survival. 5,000 families who Frontier Province (NWFP). With additional Winter relief, immunisation campaigns ser International’s programme in Pakistan to a disaster risk reduction programme that in- Programme duration: October 2009 – June 2010 had lost their harvest and food stocks could be funding by the German Federal Foreign Of- and medical surveys a new region and has strengthened the focus cludes a simple audio-visual presentation on Programme volume: 195,800 EUR (in 2009) / provided with rice seeds. 12,300 poor house- fice this support could even be extended Due to the very harsh winter season on health. With expected additional funding hygiene and sanitation as well as guidelines 495,800 EUR (total) holds further benefited from the distribution with the provision of 4,000 family hygiene 2009/2010 especially in the mountainous ar- for the extended recovery and rehabilitation for responsible evacuee behaviour. Partners: Youth Union, Thanh Nien Newspaper, of hygiene kits and water containers as well as kits and hygiene awareness sessions among eas up to 250,000 people had been cut off by phases in 2010 and 2011 this programme People´s Committee from new knowledge of water treatment. Mal- the target population, implemented by LA- snow avalanches in upper Swat. Thus, Mal- area and sector focus may develop into a new What are your plans for your further Funding: AA, ADH, ECHO, own funds, teser International additionally trained 100 SOONA, a regional partner organisation of teser International replied to the district ad- overall focus in addition to ongoing disaster cooperation with Malteser International? private donations community health workers in water treatment Malteser International. ministration’s request and sent one extended preparedness and risk management activities. The Philippine Association would like to Malteser International has been working and hygiene. 40 persons who had qualified as move beyond merely distributing relief in Vietnam since 1966. multipliers in safe housing could train another Three medical teams for rural goods and begin to provide disaster reha- 660 volunteers. These volunteers then helped health centres bilitation and disaster response capabilities. With a coastline of over 3,000 km, Vietnam is 1,280 households who had received iron When the IDPs’ home areas in Swat were Malteser International will therefore organ- one of the countries that regularly have to cope sheets to restore their roofs. declared “cleared” by the army and the po- ise trainings for our members and volun- with tropical storms. But floods and storms have lice – coinciding with the “Ramadan” fasting teers. At present, we also look forward to a become more powerful and recurrent in recent Long-term aid: disaster risk reduction month – Malteser International extended its second project with Malteser International years as climate change causes a warming of the For more long-term support of typhoon and support beyond the relief phase to cover the in the northern province of Benguet where world’s oceans. On average, there are six to eight flood affected communities, Malteser In- whole winter season. The new regional focus we will support the population of the two typhoons each year in Vietnam and every ty- ternational started a project on disaster risk was then shifted to two Union Councils (UCs) typhoon affected communities of Pasdong phoon takes its toll on poor communities. reduction with 13 communes of Central Vi- in Swat. Three medical teams with experi- and Coroz with about 2,400 inhabitants etnam in December 2009. With trainings on enced health staff recruited within Swat were in restoring their livelihoods and building Immediate support with food, water village level in first aid, rescue, drinking water seconded to three rural health facilities. Paral- safer and healthier communities. We hope and safe housing supply and hygiene in case of disaster as well lel to these health services, teams of LASOO- to network with other associations of the Malteser International has reacted to the heavy as evacuation trainings on community level NA continued to conduct hygiene awareness Order as well and to further expand our storm and provided help for communities in Malteser International aims at strengthening sessions and to distribute hygiene kits to the partnership with Malteser International. the city of Danang and in the surrounding the disaster preparedness of the population. returnees’ families. 4,000 family hygiene kits were distributed to IDPs who had found refuge in the lower Mardan District of the Khyber Pakhtunkhwa Province.

6 Relie f, reconstruction and re habilitation Relie f, reconstruction and re habilitation 7 Portrait of ou r h elp Spotlig ht Asia – Five years after the tsunami Kenya – Struggling with the legacy of drought

Interview with Roland Hansen, Head of Asia Department, Malteser International After two years of very sparse rainfall, the Horn of Africa in autumn 2009 was hit by a severe drought affecting about 20 million people. In Kenya, the late onset of long rains and their low amounts have caused about 90% of and we had planned accordingly. Participation is of supervision that ensures that our guidelines the water sources to dry up. The impact on livestock and crop production was devastating. As a consequence, one principal of our work: we include local part- and regulations are followed. For our partners around one third of the population – about ten million people – have been suffering from hunger and diseases ners, communities and beneficiaries as much as we use own and external audits to verify their related to malnutrition and lack of safe drinking water. possible. Considering the size and complexity accountability in the expenditures of funds. In of the projects, some partners needed intensive order to check the achievement of our targets Help for 25,000 people (catchment population:* support in terms of supervision and training. we closely monitor the work on the ground. In 61,000, thereof 25,000 direct beneficiaries) Although more time is needed, this approach addition, we commission internal and receive National staff: 4 creates a higher ownership and sustainability. external evaluations in order to continuously Programme duration: Recently, Malteser International has started control, assess and improve our work. October 2009 – January 2010 additional projects with new donor funds. The Programme volume: 280,000 EUR (total) focus is on needy regions in the coastal hinter- How do you ensure that people will be better Partners: Dioceses of Maralal, Marsabit and Isiolo

ADH/Tusch land; they often suffered from civil wars and in prepared for future disasters? Funding: AA, own funds, private donations Roland Hansen, Head of Asia Department, Malteser International the past were neglected as support concentrat- To establish and promote disaster preparedness Malteser International has been working ed on the coastal areas affected by the tsunami. activities is an essential part of our mission and in Kenya since 2001. The most fatal tsunami ever known hit Asia on work in disaster prone regions. According to * catchment area/catchment population: the area 26 December 2004. Yet five years later, Malte- Malteser International invested more than several studies investments into disaster prepar- and population from which a facility (i.e. health ser International is still running rehabilitation 30 million Euros for tsunami relief and reha- edness and reduction are much more efficient centre) attracts ’customers’ (i.e. patients) projects in countries hit by this disaster. Why? bilitation. How did you ensure that the money than post disaster relief. Preparedness can save In Indonesia, Sri Lanka, India, Thailand and reached the people in need? lives. Therefore, we increase our disaster risk When the extent of the humanitarian crisis Myanmar Malteser International up to now has Accountability and transparency, both towards reduction activities in regions of high disaster After the severe drought that hit the Kenyan population Malteser International provided food and drugs to about 19,000 people. became obvious, Malteser International still supported around one million people in more donors and target groups, are priorities on risk. In northern India for example, we develop had reliable partners in place as it had pro- jor routes of transport. Malteser International and pregnant women received supplemen- than 100 projects focussing on relief, health and our agenda. We implement our projects with plans with the communities of how to prepare vided efficient drought relief in cooperation sent ten lorries with food, water and drugs to tary feeding and mosquito nets. Due to mal- psychosocial care, as well as on the rehabilita- own staff as well as through experienced local and react to frequently occurring floods. Par- with the dioceses of Samburu, Marsabit and nine health facilities of the dioceses. They had nutrition, the susceptibility of the population tion of villages, social infrastructure and liveli- partner organisations. These are trained and ticipative projects like these are ideal tools for Isiolo in the north of Kenya once before in been chosen as they were located in very re- to infectious diseases had notably increased, hood. It was clear from the beginning that our accompanied and regularly supervised. With capacity building of partners and communities 2006. Therefore, in the autumn of 2009, a mote areas where hardly any food allocations too. So Malteser International also provided support would be required for at least five years regard to our staff, we apply an internal system as they strengthen their own resources. needs assessment could be carried out very of the Kenyan Government would ever arrive. the health centres with drugs and medical quickly. Since heavy rainfall had been predict- consumables for the treatment of malaria, Food aid and treatment of Portrait of ou r h elp ed for the end of the year, it had to be feared diarrhoea and bacterial infections. that the rain on the desiccated soil would also infectious diseases The distribution of relief goods was finalised cause severe flooding. Therefore, one of the Volunteers then distributed food packages in January 2010. However, also in 2010 Mal- major challenges for Malteser International consisting of beans, maize, vegetable oil and teser International will remain in close contact Myanmar – Two years after cyclone Nargis was to ensure that help reached its destination water purification tablets to about 19,000 with its partners and be prepared to provide im- before the target area was cut off from all ma- people. In addition, malnourished children mediate support in case of another emergency. Interview with Sandra Harlass, Senior Desk Officer Myanmar and Pubic Health Adviser Asia, Malteser International

In which sectors is Malteser International still work- ing measures as well as on long-term locally How many people have been reached so far with Reconstruction aid generally follows the principle Keyword “disaster prevention”: What measures ing to help the population affected by the cyclone? adapted solutions: In the dry seasons, our the emergency and reconstruction relief of Mal- “build back better“– after completion of the relief has Malteser International implemented in order We are focusing on the sectors of health, WASH teams purify the river water by water treat- teser International? programmes, the situation of the people should to better prepare the people for future disasters? (water, sanitation and hygiene) and disaster ment plants and transport it by boat to the Since May 2008 Malteser International has be better than before the catastrophe. How has An essential part of our work in the region risk reduction. In the health sector Malteser most affected villages. We rehabilitate ponds been working in Labutta township, one of Malteser International applied this principle? is the set-up of a community-based disaster International is rebuilding the infrastructure and wells and construct rain water collec- the most severely affected regions in the Ir- After a disaster, it is always our aim not only risk reduction system: In close cooperation thus strengthening the local structures, particu- tion tanks to ensure sustainable drinking rawaddy Delta, and since then we have been to provide emergency relief but also to im- with the community we conduct a participa- larly in the field of mother-child care. We are water supply in 120 villages. These structural providing continuous aid for more than prove the living situation of the affected peo- tory risk analysis over two to three days. This supporting vaccination campaigns by provid- measures are embedded in a comprehensive 120,000 people in 220 villages. In addi- ple in a sustainable way. With the cyclone- comprises an analysis of the physical threats ing the midwives with boats and fuel. We are awareness raising programme about the safe tion, the emergency relief operation in Yan- proof reconstruction of four schools and by natural phenomenon as well as an analysis also facilitating the training of auxiliary mid- handling of drinking water as well as the rela- gon Division reached over 8,000 families. six health centres, people have for example of the social vulnerability of the communi- wifes, the set-up of mother-child groups and tion between hygiene, sanitation and water- Thanks to donor funds and private dona- access to cyclone-proof evacuation centres ties. On this basis we jointly design disaster establishing emergency referral funds to ensure related diseases. To improve the sanitation tions we have been able to implement up to in case of future cyclones. At the same time preparedness plans. To implement these plans timely referral to a hospital in case of complica- and hygiene situation, we have also been now relief and rehabilitation projects with a children can learn in a safe and hygienic en- each village sets up local disaster risk manage- tions during delivery. implementing community based waste man- total volume of 5.5 million Euros. The need vironment. Furthermore, access to health- ment committees that are trained by Malteser Sandra Harlass, Senior Desk Officer Myanmar and Public Health In the field of WASH, Malteser Interna- agement systems and are building household especially for water and sanitation is how- care at a village and community level has International staff in first aid, search and res- Adviser Asia, Malteser International tional is concentrating on short-term bridg- latrines together with the communities. ever still very high. been improved. cue as well as disaster risk management.

8 Relie f, reconstruction and re habilitation Relie f, reconstruction and re habilitation 9 Spotlig ht Portrait of ou r h elp DR Congo – Assisting populations in violent areas Italy – “Not only helpers, but friends”

In December 2008, Faradje town, situated 120 km south-east of the South Sudanese border, was attacked, looted and burned down After the severe earthquake that struck l’Aquila on 6 April 2009, the Corps of the Italian Association of the Order of by the Lord Resistance Army (LRA). In the following weeks the killing, the violation of women and the kidnapping of children con- Malta (CISOM) asked Malteser International to coordinate a support mission for the survivors of the catastrophe in the Abruzzo. tinued towards the town of Aba. Given the dangerous situation, the population fled their homesteads to seek help in Aba town or Until the end of September 2009, 44 Austrian, three Swiss and 64 German volunteers supported the CISOM mission in L’Aquila. were forced to hide themselves in the bush. With an estimated 30,000 people fleeing along two main axes towards the south and the Each team worked for a 10-day period to assist the homeless people living in the two tent camps in Poggio di Roio and San Felice south-west, an enormous internal displacement movement started. In July 2009, the town of Ariwara alone counted around 20,000 d’Ocre, set up by CISOM and run under the coordination of the Italian Civil Defence’s post-earthquake assistance. internally displaced persons (IDPs). The 28 years old Austrian Sebastian Ernest was one of the team members of Malteser Hospitaldienst (MHDA) supporting the relief activities for the survivors of the earthquake.

What was your motivation to go to L’Aquila? of the big problems for them was time. It was members. About noon we met again in order Radio, television and newspapers continu- already for three months that they had been to have lunch together with the villagers. In ously brought the suffering of the people to living in tent camps. For them, that was not the afternoon we continued with our jobs. our homes. When CISOM and Malteser In- only a psychical but also a physical burden as In the evenings, the volunteers of MHDA ternational asked for support, I immediately in the Abruzzo region people have to sustain met with the CISOM relief workers and the decided to go to Italy and to help the people differences of temperature of about 20 degree villagers. Then we talked about day-to-day on the ground. It was the first time that I was Celsius. The villages are situated at about 750 questions, and from time to time we also had joining a relief mission outside of Austria. I to 1,000 metres above sea level and the tem- a party together. left Austria with the first team on 19 June and stayed in L’Aquila until 10 July with a team of six people.

Do you remember your first impressions upon your arrival in the camp San Felice D’Ocre? I was really impressed by the very good infra- structure and how people had managed to in- stall themselves as far as possible. There were about 200 people living in San Felice d’Ocre. But one had to recognize that one family had only a living space of 25 square meters and not at all any privacy. Furthermore, they could not take with them any personal be- longings out of their destroyed houses. One Dominic McCann

Malteser International provided emergency medical aid for the displaced as well as for the host population.

Help for 186,789 people money to pay for them. At this point Mal- adje was continued. Additionally a monthly National staff: 7 teser International stepped in with a twofold financial contribution for the health centres Programme duration: since April 2009 intervention strategy: was paid in order to keep them running and

Programme volume: 187,210 EUR (in 2009) • emergency medical aid for the population in to assure free treatment. Moreover, Malteser Arndt Gysler Partners: Health districts, primary health care Faradje and Aba health zones International organised free health care for the More than one hundred volunteers from Austria, Germany and the Switzerland supported CISOM to give assistance to the survivors of the centres, committees of internally displaced persons • emergency medical aid for the displaced registered IDPs in the areas where they had devastating earthquake in L´Aquila that killed more than 300 people and left thousands of people homeless. Funding: Pooled Fund population taken refuge. The goal was to reduce mortal- perature of 35 degree Celsius during the day What was the most beautiful experience during Malteser International has been working in ity and morbidity within the most vulnerable after heavy rainfalls in the afternoon drops your stay in Italy? the DR Congo since 1996. Emergency medical aid for population population. So far more than 60,000 persons down to 15 degree in the evening. There was no single event but rather a whole and IDPs benefited from this programme of free access series of wonderful occurrences and encoun- As one of the consequences of the LRA attacks, As a first step, Malteser International distrib- to medical care. What were your duties in the camp? How did a ters. The villagers really welcomed and re- access to health care and the supply of essen- uted free essential medical drug kits to the Since September 2009 the security situation normal day unfold? ceived us as not only as helpers but as friends. tial drugs and medical consumables collapsed health centres in and around Faradje town. in and around the health zones of Faradje and There were various tasks to fulfil: from the This was amazing and depressing at the same completely in Faradje and Aba health zones. As the security situation did not allow road Aba has been improving slowly. As a conse- simple construction of fences around medical time since I was always conscious of the fact As a further consequence, health centres in access, the drugs had to be airlifted to Faradje quence, IDPs are preparing to return to their care to the maintenance of the vehicles. At that those who received us in such a pleas- regions where IDPs had arrived were unable airstrip prior to distribution. In the following homes. However, Malteser International will Malteser Hospitaldienst Austria 8 o’clock in the morning, the “capo campo” ant and amicable way within seconds had to cope with the large number of people in months, the distribution of essential medical continue to take care of the population in need Sebastian Ernest from Austria, volunteering in one of the – the head of mission of CISOM – placed lost not only their belongings but also family urgent need of health services but without drug kits to the health centres in Aba and Far- until the situation has improved noticeably. camps set up near L’Aquila the orders that had to be fulfilled by the team members and friends.

10 Relie f, reconstruction and re habilitation Relie f, reconstruction and re habilitation 11 FOC US 2

Health and Nutrition

Traditionally, the sector of health is a core competence of Malteser International. In close cooperation with local authorities and partner organisations, the Order of Malta’s worldwide relief service establishes and promotes primary health care services covering curative care, communicable disease control, health management, medical emergencies and the rational use of medicines. Special attention is given to reproductive health and health educa- tion as well as to the fight against HIV/AIDS and tuberculosis.

As the nutritional status of a population is closely related to its general health, Malteser International integrates programme components to prevent and to treat malnutrition and to improve food security. Malteser International runs programmes related to health and nutrition in Cambodia, DR Congo, India, Indonesia, Kenya, Myanmar, Paki- stan, Sudan, Thailand, Uganda and Vietnam.

Portrait of ou r h elp South Sudan – “Obuntu”: in service to the people

In Yei, South Sudan, Malteser International has been operating a three ward hospital treating patients with tuberculosis (TB), sleeping sickness and leprosy for over ten years. Charles Birungi, Malteser International project manager, is the first person to devote his work solely to liaison and capacity building issues, because Malteser International is preparing a phase of integration of its long term projects in Yei into the structure of its local partners. The leprosy programmes will be taken over by the Catholic Diocese and the TB and sleeping sickness programmes will be moved to the county hospital.

“This integration process”, explains Charles can deliver a quality service after we leave. We “arises out of Malteser International’s strategy really need a devoted effort to ensure the in- to enable local partners to continue imple- tegration concept succeeds in the long run.” menting our projects independently. The in- And he continues: “This job fits in with what tegration of our programmes into these local I see myself becoming: supporting processes structures allows a sense of local ownership to improve quality. I find this area exciting!” and moreover it links relief and development.” Asked about his inner motivation to work Charles first heard about Malteser Inter- in such a challenging environment, he says:

national when he saw the signpost for their “From infancy, my parents always emphasised Dominic McCann offices in Kampala/Uganda more than five that whatever I do in life, I should do it in the Charles Birungi: “A person is a person through serving other years ago. He remembers going on the inter- spirit of stewardship – well aware that what- people – my motivation is to work with Malteser International for the people of South Sudan.” net and looking up some more details about ever skills I have belong to God. So, inspired their work. And now he feels he has found by this, I try to put my talents to use for the language that is literally translated as human- his place working with Malteser Internation- good of humanity. In fact, over the years it has ness. This is what motivates me to work with al: “It is my job to help our two local part- become increasingly clear to me that a person Malteser International, in service to the peo- ners – the Diocese of Yei and the county – to is a person through serving other people. This ple of South Sudan.”

Birgit Betzelt Birgit strengthen their capacities and ensure they is the essence of obuntu – a term in my local Dominic McCann

12 h EALTh and n utrition h EALTh and n utrition 13 Spotlig ht Spotlig ht Uganda – Saving the lives of malnourished children South Sudan – Fighting against sleeping sickness

Maracha is a small town situated in northern Uganda very close to the South Sudanese border. Malnutrition still remains a big prob- Sleeping sickness or Human African Trypanosomiasis (HAT) is widely spread in a geographical belt covering sub-Saharan Africa from lem in Uganda – and particularly in this area. Weak rainfalls during the rainy season, severe droughts during the dry season, over- the east to the west, threatening up to 60 million people. The region is the favourite habitat of the tse-tse fly (Glossina), which trans- population, but also lack of awareness of healthy nutrition, superstition and traditional beliefs are the main reasons. mits the disease through its bite. The south of Sudan is part of this belt and thus exposed to the risk of endemic infections within the population. Once infected, patients develop clinical symptoms such as fever, headaches, and pains in the joints. In the second stage of the disease, the central nervous system is affected causing psychiatric disorders, sleepiness, coma and finally death.

Help for 10,470 people (catchment population: Challenges for treatment and therapy 418,378, direct beneficiaries since 2002: 130,000) The treatment of sleeping sickness requires a International staff: 3 very careful and sophisticated observation of National staff: 17 the patients, since adverse reactions are fre- Programme duration: since 2002 quent due to the high toxicity of the avail- Programme volume: 88,580 EUR (in 2009)/ able drugs. The risk of relapse is high, and 655,172 EUR (total since 2005) it is necessary to do medical checks within Partners: Ministry of Health South Sudan, six, twelve and 24 months after the beginning

Diocese of Yei of the treatment, which makes therapy cost- Dominic McCann Funding: AECI, BMZ, GLRA, Swiss Tropical intensive and difficult in areas where patients Particularly in isolated areas the deadly sleeping sickness disease is Institute, WHO, own resources, private donations return to remote villages after being released often discovered too late to be treated. This young patient is getting treatment at the sleeping sickness centre of Malteser International. Malteser International has been working in from the hospital. South Sudan since 1997. This deadly disease is a quiet killer: the most Training and outreach victims are caught in rural, remote areas in In order to increase the sustainability of After major outbreaks of HAT in Western the vast south of the country, and often the the programme, Malteser International in- Equatoria, one of the 26 states in Sudan, in cause of their illness is not discovered at a troduced a system of training local health 2002, Malteser International was involved in time when rescue is still possible. Distances workers and medical outreach teams, visiting emergency response, discovering and treating are too far, and most of the families too poor even the most remote areas to explain causes, more than 500 new cases alone in the year to afford treatment by educated doctors. Es- symptoms and treatment of HAT. Suspected 2003. Together with its main partners – the pecially in those very isolated areas, there is patients are directly transferred to the nearest Ministry of Health and the diocese of Yei – still a belief among the population that witch- Birgit Betzelt Birgit medical facility for blood testing. Upon con- a sleeping sickness centre was constructed craft is responsible for the disease, which puts Nola brought her young sister Rebekka to the nutrition unit of the Maracha Hospital in Uganda that is supported by Malteser International. firmation of infection or further necessary in the South-Sudanese town of Yei, offering the patients at deadly risk since the families medical diagnosis, patients are kept in the diagnosis and treatment to suspects and in- will not request any assistance from a trained Help for around 400 malnourished children government contributions. In order to secure motorcycle after the discharge of their chil- clinical environment and offered all neces- fected patients until today. medical professional. (more than 30 children per month) presence and stability of qualified health per- dren from the nutrition unit. They weigh the sary drugs and treatment, including food for International staff in the programme: 1 sonnel, Malteser International takes charge of children and brief and encourage mothers to those in a critical nutrition status. National staff in the programme: 17 the salaries in the nutrition unit. follow correct nutrition instructions. In addi- Programme duration: since 1996 • Drug supply for the nutrition unit: In order tion, they try to involve other family mem- Significant decrease of infections Programme volume: 26,000 EUR (in 2009) to enable the nutrition unit to provide free bers in the management of the nutrition of An external evaluation of the programme car- Partners: Maracha hospital treatment for malnourished children Malte- the child. On the occasion of the family visits ried out in June 2009 proved that early detec- Funding: PMK, Malteser staff, own resources, ser International ensures the distribution of the outreach teams also organise education tion and treatment of the disease had lead to private donations all essential medical drugs within the nutri- sessions on proper child nutrition for the en- a significant decrease of infections (from 489 Malteser International has been working in tion unit of the hospital. tire village. in 2002 to 84 in 2009). The direct approach Uganda since 1996. • Support with basic food and cooking facili- towards the people, the impact of community ties in the Maracha hospital: Bulk food sup- The Maracha nutrition unit has an average health workers being present even in remote Since 1996 Malteser International has been ply provided by the World Food Programme of 30 new admissions of malnourished chil- villages and the qualification and motivation supporting the Maracha Hospital nutrition stopped in 2008. In order to guarantee con- dren every month. The peak of malnutrition of staff working under difficult and sometimes unit. The goal is to guarantee a lasting im- tinuous supply of food, Malteser International which is also the peak of admission of mal- even insecure circumstances are most notable provement of child health by assuring free provides a lump sum per child for buying basic nourished children (up to 40) occurs in the factors for the success of the programme. treatment for malnourished children. food and additional food items such as milk months of July and August. This is the rainy In 2010, the focus of the programme will powder and vegetables as well as fire wood to season when most parents – particularly the shift to those activities which can not yet be Four for Maracha prepare the food. As every child is accompa- mothers – work to cultivate the field, and taken over by the Sudanese government or The following four principal activities charac- nied by a care taker – usually the mother – who home stocks can become scarce. local partners due to financial constraints. terise the support for Maracha: has no means to fend for herself, a food ration Thanks to the great commitment of all staff Besides on-the-job training for local medical • Salaries of the nutrition unit: The Maracha for the mothers is provided as well. members in Maracha, almost 90% of all ad- staff to perform the necessary tests and treat-

Hospital is run by the diocese of Arua. There- • Home visits and after-care support of the mitted malnourished children could be cured Dominic McCann ments, a surveillance approach together with fore staff payment is only covered partly by patient: Outreach teams visit the families by and sent back home in good health. Through outreach teams and by training local health workers Malteser International brings diagnosis and treatment closer to the people. the government is under consideration.

14 h EALTh and n utrition h EALTh and n utrition 15 Spotlig ht Spotlig ht DR Congo – Developing a functional health Cambodia – Improving nutrition and system in Ariwara mother-child health

Despite its wealth of natural resources including minerals, such as coltan and tropical forests, the DR Congo is one of the Under- and malnourishment is widespread in Cambodia and especially in the western province of Oddar Meanchey which was re- poorest countries in the world – more than 75% of its population live in poverty. The country was constantly weakened established in 1999. After many years of conflict, food security remains a major problem with more than 70% of the families facing by decades of bad governance, wars that killed thousands and left millions displaced, brain drain of trained professionals shortages during four months of the year. As a result, in the province of Oddar Meanchey 40% of the children under five and 12% of and the vanishing of most of its infrastructure. DR Congo is still wrestling with the aftermath of conflict. Its fragile state is the mothers are malnourished; more than 60% are anaemic. The main reasons for malnutrition and micro-nutrient deficiencies are reflected in its poor public social services, healthcare in particular. insufficient availability of food or poorly balanced daily food intake. Inadequate breastfeeding and complementary feeding practices also contribute to high rates of infectious diseases and malnutrition. Help for 2,153,000 people Its main objective is to help reinstall a func- International staff in the programme: 5 tional health system with health centres of- Help for 40.800 women at reproductive age and National staff in the programme: 45 fering quality primary health care services, a 27.800 children under five years Programme duration: April 2006 – March 2010 regular supply of subsidised drugs, one refer- International staff: 1 Programme volume: 614,143 EUR ral hospital per health zone offering quality National staff: 15 Partners: local and national health authorities secondary health care and with independent Programme duration: January 2006 – October Funding: EuropeAid structures for health service financing at a re- 2010 Malteser International has been working gional level. Knowing that the intervention Programme volume: 200,000 EUR (in 2009) /

in the DR Congo since 1996. area is about the size of Belgium but without ich.tv 460,000 EUR (2006 – 2009) nearly any infrastructure, the objectives are Malteser International holds trainings for nurses, vaccinators Partners: Health Department, CIDO Reinstalling a functional challenging. Nevertheless, remarkable results and midwives. Funding: BMZ, CDF/AusAid health system have been achieved over the years. visits show that there are still considerable dif- Malteser International has been working in Cam- Since 2006, Malteser International has been ferences in service quality between the health bodia since 1999. participating in the health system development Training and monitoring centres. Moreover, with frequent changes in programme of the Ministry of Health in the Malteser International organised a train- health centre personnel, the promising devel- The link between nutrition and health Democratic Republic of the Congo financed ing programme for health personnel on all opment seems to be stagnating. In order to improve child health it is neces- by the . The teams are tak- health service levels in order to increase the sary to address malnutrition not only of the ing care of two health districts situated in the treatment quality. Trainings were particularly Subsidised drugs children, but also of their mothers. Therefore, northeast of the country close to the South held for health centres head nurses, vaccina- A regional pharmaceutical warehouse with since 2006 Malteser International has been Sudanese and Ugandan border. Altogether tors, consulting nurses, midwives, and health two outlet points distributes drugs and medi- providing education on nutrition as one com- seventeen health zones with about 254 basic committee members. As a very promising re- cal supplies with a yearly volume of more ponent of its programme to improve mother health care centres and a regional pharmaceuti- sult, correct diagnosis and prescription rates than one million Euros to all governmental and child health. To help create a favour- cal warehouse are included in the programme. have increased. However, regular monitoring health structures included in the programme. able environment for nutritional behaviour Furthermore, the pharmaceutical warehouse change and encourage a balanced diet, Mal-

ensures continuous supply for all emergency teser International is increasing the availabil- Miriam Fuss projects Malteser International is running ity of foods high in nutritional value through Home gardens are a low-cost and low-technology method to improve household nutrition and food security as well as family income. in the region. The former pharmacy run by promotion of vegetable home gardens. In- Malteser International today is an independ- terested families receive training, seeds, tools With an average annual income of around promotion of giving birth at health facili- ent charity and joint venture between the and technical advice to plan their gardens. 700 US $ (per person), 35% of all house- ties. A better quality of patient care is a di- diocese of Mahagi, Malteser International, holds in Oddar Meanchey are struggling to rect consequence of Malteser International’s the health zones and the civil society. Home gardens and mother have enough cash available to buy food needs programme for improving the clinical skills support groups on the market and to meet other expendi- of midwifes. Particular attention is given to Encouraging developments Home gardens are a low-cost and low tech- ture needs such as health services. By selling train them to manage emergencies during Through subsidised drugs, constant supervi- nology method to improve household nutri- the surplus on vegetables, each participating pregnancy and childbirth. Malteser Interna- sion and on the job training of medical staff, tion and food security as well as family in- family has an additional income of around tional also secures power and water supply, Malteser International has also been able to come through selling the surplus. Motivated 15 US$ per month. This programme is an good sanitation and waste management at increase the attendance rate of patients in members of the mother support groups and excellent example to show that with low-cost the health facilities as well as a health fi­nan­ the health centres. Furthermore, the number their home gardens act as example to encour- technologies a big difference can be made for cing component and the availability of drugs of pregnant women using the antenatal care age other villagers to become home gardeners single communities. and equipment which are essential precon- services offered in the health centres and, to themselves. In total, 521 families have been ditions for functioning mother child health some extent, giving birth in the health facili- successfully trained and supported with tools For a healthier tomorrow services at the health centres. ties under the supervision of qualified birth and seeds in 2009. During regular follow-up The establishment of home gardens isem- An extension of the programme to the attendants has increased. The user fees have visits and refresher trainings Malteser Inter- bedded in a comprehensive community- neighbouring province of Preah Vihear is ich.tv been fairly stable and the fixed prices for national staff provides further knowledge on based health programme with a special focus foreseen for the year 2010. Health agent Mambo Lomo regularly visits the health centres to ensure the improvement of service quality. drugs have been respected. nutrition, farming and even marketing. on mother and child health including the

16 h EALTh and n utrition h EALTh and n utrition 17 FOC US 3

Water, Sanitation and Hygiene (WASH)

Water is life, sanitation is dignity. The most serious health problems in disaster situations are caused by poor hygiene due to insufficient water and by the consumption of contaminated water. Recognising the strong link between health, water, sanita- tion and hygiene demonstrated by numerous waterborne diseases, Malteser International’s specific work within this sector covers water supply, sanitation and hygiene promotion. In June 2009, Malteser International organised the third regional WASH workshop – Malteser International teams from Myanmar, Cambodia and Sri Lanka discussed with external guests the link with primary health care, best practices in community facilitation and safe sanitation. For World Toilet Day on 19 November 2009, Malteser International teams in various countries organised special activities to remember the fact that 40% of the world’s population lack adequate sanitation. This accounts for an estimated 2.5 billion people. Malteser International runs projects related to water, sanitation and hygiene in Cambodia, India, Indonesia, Myanmar, Sri Lanka, Thailand and Vietnam.

Portrait of ou r h elp Myanmar – Working to ensure basic sanitation

As country WASH coordinator and member of the country management team in Myanmar, San Shwe Aung oversees the water and sanitation programmes. He develops guidelines, standards and best practises for the implementation of projects, provides technical advice, monitors the activities in the field in close coordination with programme coordinators, WASH engineers and field officers and liaises with government authorities, national and international NGOs as well as the United Nations.

Basic sanitation and emergency San Shwe Aung also experienced an emergen- promotes simple, low-cost latrines made out latrines cy situation after cyclone Nargis hit the coun- of local materials that can be built by the vil- The programme in Myanmar aims at im- try in 2008. Here Malteser International has lagers themselves. “These latrines are well ac- proved health and living conditions for the ensured basic sanitation in three IDP camps cepted by the people and so we continue to population. The overall task of San Shwe for about 12,000 people in Labutta township. promote them.” Aung is therefore to work towards an im- “Immediately after a disaster there is always Lena Egenberger proved water, sanitation and hygiene situation a need for emergency sanitation. A disease and increase people’s awareness. Addressing outbreak is very likely if no proper temporary the issue of sustainability is a key element of latrines are put in place in due time.” all project activities. San Shwe Aung explains: “We involve the communities in the selection Best practices development of designs and materials and thus ensure that Through documenting best practices, the newly built facilities are well accepted and team in Myanmar continuously seeks to im- used. It is also important to employ locally prove its projects. San Shwe Aung explains: available materials.” Malteser International is “We evaluate project activities and take ‘les- commonly providing only the materials need- sons learnt’ into account.” Given the very ed, latrines are constructed after trainings in low latrine coverage in rural areas in My- San Shwe Aung (on the right): “After a disaster there is always

Jörg Worms Jörg the villages by the villagers themselves. anmar, for example, Malteser International a need for emergency sanitation.”

18 Water, Sanitation and Hyg iene (WASH) Water, Sanitation and Hyg iene (WASH) 19 Spotlig ht Spotlig ht India – Supporting a tribal community to improve Thailand – Providing WASH for Karen and Burmese their health and living conditions refugees at the Thai-Burmese border

The Irula form a deprived community classified by the Indian government as a “scheduled tribe” and not recognised in The WASH programme in two refugee camps at the Thai-Burmese border is an integral part of the primary health care society. Traditionally they were looked down upon as rat catchers in the paddy fields of the upper casts. Today many Irula programme implemented by Malteser International for Karen and Burmese refugees. Already in 1993 Malteser Inter- families live scattered along the Tamil Nadu coast, catching prawn by hand, often lacking tools as simple as nets. During the national started to provide primary health care to the Karen and Burmese refugee population along the Thai-Myanmar tsunami five years ago their modest huts covered with palm leaves were washed away, but no one considered their losses. border. At this time, however, the refugees lived in rather small sites with a maximum of 2,000 to 3,000 persons. So the Malteser International built a new village for about 100 families of the tribe jointly with local partner organisations. Houses area was quite similar to the nature of the Thai Karen villages with access to plenty of water resources. were constructed and a community and school building set up. Help for 34,500 people cially if the people were not used to latrines International staff: 3 before. Only those who see a clear advantage National (Thai) staff: 34 in using the latrines will develop a habit for Karen camp staff: 350 it. For women the advantage of having pri- Programme duration: since 1993 – ongoing vacy during the daytime is enormous – so Programme volume: 1.2 million EUR (in 2009) they are likely to use latrines. For men who Partners: Karen Refugee Committee tend to have a wider range of action a change Funding: ECHO in habit is less evident. The children only Malteser International has been working grow into the habit, if they are encouraged in Thailand since 1993. properly. To improve the knowledge on health and When the Thai government in 1998 reset- encourage hygienic behaviour, Sr. Sophie and tled the camps to bigger camp sites for bet- her team have built a strong relation with the ter security control, the camp sizes increased villagers, forming groups of women, chil- to almost 20,000 people each. The formerly dren and men. Within the groups different rural life developed to semi-urban life style. topics on health issues are covered, growing Provision of safe water, waste water treat- of kitchen gardens has been encouraged to ment, sanitation and hygiene became a big

improve the variety of food available to the challenge and an essential precondition for Worms Jörg families and garbage collection rallies are ar- keeping the health patterns of refugees rela- Despite difficult circumstances in the camps, Malteser International was able to assure safe water supply by building rain water collection stations. Hygiene education through a puppet play: Their message: Don’t forget to wash your hands after having used the toilet. ranged every few months to improve hygiene tively stable. However, in order to provide in the village. All this goes along with sup- minimal standards in this field, the WASH Vector borne control and solid waste treat- ment: Due to the ongoing resettlement Help for 1,500 people Latrines guaranteeing minimal porting the villagers to have their community team working in the camps was faced with ment are additional activities of the WASH process, Malteser International will have to Programme duration: 2006 – August 2011 hygiene respected and to obtain basic services through difficult circumstances: The camps are in team. They regularly control mosquito larvae face the loss of technical well trained Karen Programme volume: 354,000 Euro (since 2006) To provide for minimal hygiene standard for the municipality, who denied the Irula elec- a thick rain forest area declared as national in water containers with regard to dengue staff. Furthermore, water sharing with the Partner: St. Alban’s Health Centre with 5 staff the 100 Irula families in the village, Malte- toral rights as recently as two years ago. park, permanent construction is forbidden, fever. In 2009, they provided 13,662 bed surrounding Thai villagers has become more Funding: ADH, private donations, own funds ser International built latrines for each fam- vegetation clearance is limited, and water re- nets and 13,662 mats to the camp commu- and more of a challenge as the water de- Malteser International has been working ily – a technically challenging project, as the First success stories and remaining sources have to be negotiated with the Thai nity, and vaccinated 600 dogs against rabies. mands due to development projects around in India since 1989. location is rather sandy and bears a very high challenges villagers around the camps. All solid waste was collected, separated and the villages are rising. groundwater table. As decentralised waste Quite some success has been achieved in the transported to the provided disposal site out- Puppets discussing about washing water treatment has emerged as a standard past three years: light has come to the village, From rain water collection to waste side the camps. their hands for neighbouring municipalities, a decen- children can visit pre-school in their own disposal Giggles and laughter are heard from the tralised water treatment system was installed village and the families have received ration Nevertheless, in 2009 Malteser International Remarkable progress and new chal- school building in Bharati Nagar, the newly in Bharati Nagar, too, in order to clear the cards, an instrument of the government to built 60 rain water collection stations, con- lenges built village in the coastal stretch near Cud- waste water of the latrines in a seven-chamber give food support to the poorest families in tinuously maintained a more than 70,000 Considering the difficult circumstances, the dalore. Around 40 children are gathered, anaerobic concrete tank. For this the latrines the country. A challenge will still be to as- meter long main line PVC pipe and water results are all the more remarkable: No den- a number of women and also some men. had to be grouped in blocks around seven sure that the septic tanks of the latrines will storage networks in and outside the camps gue fever was transmitted, no cholera cases, Everyone is watching puppets which dance such joint tanks. be de-sludged by members of the community as well as 800 water tap stations within 150 no avian flu or influenza occurred and no above a make shift curtain. The puppets dis- in three years time. meters distance from shelter. Furthermore, rabies dogs were reported in the camps in cuss about washing their hands after using Spreading the knowledge on health the team renovated and improved 800 2009. The morbidity rates for malaria, water a toilet. The way they talk makes everyone and hygiene With a little luck, the puppets will discuss in household flush latrines, installed 100 addi- diarrhoea and bloody diarrhoea are below the cheer. Through the puppet play, Sr. Sophie However, building latrines does not guaran- future how hygiene has helped them to have tional hand washing facilities in schools and indicator. Jörg Worms Jörg from St. Albans Health Centre and her team tee that these will be used and even less so less stomach aches and how the gully sucker public areas, distributed soap to all families The challenge ahead in 2010 is to maintain In the field of health remarkable progress was achieved: reach out to the Irula families gathered in the properly maintained. This could be learnt from the municipality has come to help their each month and organised a hygiene day and improve the vital water sector, despite no dengue fever was transmitted and no cholera cases, no village whom they visit every week. from many projects around the world – espe- toilets stay functional. campaign. the difficult political and physical environ- avian flu or influenza occurred in the camps in 2009.

20 Water, Sanitation and Hyg iene (WASH) Water, Sanitation and Hyg iene (WASH) 21 FOC US 4

Disaster Risk Reduction

Disaster risk reduction is an integral part of humanitarian assistance, both in relief and recovery, as well as in long term development initiatives. However, to date it has not always received the attention it deserves. With the climate change debate, the problems approaching the citizens of mega-cities and the increasing number of natural disasters, there is a need to develop programmes addressing how to prevent natural phenomena from turning into disasters, to mitigate their impact and help prepare increased numbers of people who may be at risk. Climate change, migration patterns as well as socio-economic pressure have forced more and more people into vulnerable living conditions.

Be it by the reinforcement of houses against earthquakes and cyclones, or by constructing flood safe emergency shelters or training village emergency teams and volunteers in the establishment of early warning systems, Mal- teser International includes disaster risk reduction and mitigation components in many projects for people at risk. The focus is clearly on community based disaster risk management (CBDRM) and risk reduction aiming to support and to strengthen local coping capacities and to reduce vulnerabilities of people at risk. This new focus receives more and more attention: In May 2009, a training on disaster risk reduction for staff members took place at the Malteser International Headquarters in Cologne/Germany. The Annual Meeting of Asia key staff in Siem Reap in Cambodia in December 2009 also highlighted the importance of disaster risk reduction. Malteser International implements disaster risk reduction projects in India, Mexico, Myanmar, Pakistan, the Philippines and Vietnam.

Portrait of ou r h elp Mexico – Being better prepared for future emergencies

Since 1990, the Mexican Association of the Order of Malta has implemented nine different programmes in the Federal District, the metropolitan area and 21 further states of the Mexican Republic. Carmen Reynoso started as a volunteer and became Director of “Orden de Malta México” ten years ago. With the support of around 2,000 volunteers, the Order in Mexico is active in the sectors of health, nutrition, income generation and emergency relief.

Mexico – a country commonly hit by munities. Especially in this region, floods and “Apart from the management of our ongoing natural disasters hurricanes are very common occurrences”, Car- projects, we had to experience an increasing “The last heavy flooding in the state of Tabasco men Reynoso remembers. In November 2009, number of natural hazards all over the coun- in October 2007 showed us how necessary it is Tabasco had to face another serious flood leav- try – a fact that requires our commitment and to be prepared in the long term for the next catas- ing 250,000 people homeless. Together with its sometimes overstrains our capacities to help,” trophe. At that time, hundreds of volunteers of local partner Caritas Tabasco, the Mexican Asso- the highly engaged Director points out. Car- the Order of Malta Mexico provided emergency ciation then distributed medical and non-food men Reynoso is constantly out on business relief in Villahermosa and the surrounding com- items to the affected communities. in the whole country monitoring the

22 Disaster Risk Reduction Disaster Risk Reduction 23 Spotlig ht Myanmar – Building resilient communities in Rakhine State

In May 2008 Cyclone Nargis hit the coast of Myanmar, causing devastating destruction in the Irrawaddy Delta, the former capital Yangon and its surroundings. Up to 140,000 people died, more than 2.4 million have been directly affected, making cyclone Nargis Order of Malta Mexico Order one of the deadliest cyclones ever recorded. Cyclone Nargis highlighted sadly the high vulnerability of the people of Myanmar to natural disasters. Carmen Reynoso: “As our beautiful country is prone to different natural disasters, it is utterly important to be well prepared.” Help for 91,600 people International staff in the programme: 4 projects, supervising the volunteers, form- National staff in the programme: 38 ing networks of help for people in need and Programme duration: July 2006 – December 2011 raising funds for new projects. Programme volume: 522,000 EUR (in 2009)

Partners: Mangrove Service Network, local Qualifying for disaster communities, local authorities preparedness Funding: AA, ADH, BMZ, ECHO, own resources, “With the financial support of Malteser private donations International we could qualify our volun- Malteser International has been working teers towards improved disaster prepared- in Myanmar since 2001. Together with the communities Malteser International analyses ness. In a three day workshop in October and designs disaster preparedness plans. 2009, César Márquez, the Director of Mal- Disaster risk reduction – reducing end of a three day long meeting a village dis- teser Peru, trained 25 of our volunteers in people’s vulnerability aster risk reduction plan is developed. Mal- the Sphere minimum standards for disaster 8 Seiten-Altarfalz: Seiten 25-32 Even since 2006, Malteser International has teser International then provides trainings to response. This training has been invaluable been implementing community based disas- the committees and supports the communi- for our volunteers since now they are not ter risk reduction projects in Myanmar. The ties in establishing early warning systems. only better prepared for future emergencies first projects concentrated on Rakhine State, In addition, evacuation routes need to be but they are also very motivated to spread Davon 4 Seiten Pictures of the year an area which has experienced several cy- reinforced in some communities, in others their new knowledge to other groups in our clones in recent years, each going along with schools and monasteries have to be upgraded countrywide network of volunteers.” The (siehe separate Datei) surge floods, loss of human lives and destruc- to function as cyclone proof evacuation cen- Sphere standards for disaster management tion of livelihood. The high risk of disasters in tres. Mangroves are planted to strengthen the were set up by humanitarian agencies and this region is not only caused by the frequent protection of the coast. NGOs ten years ago to improve the quality occurrence of natural disasters but also by a of humanitarian assistance. generally high vulnerability of the popula- An effective disaster preparedness “Our beautiful country is prone to a big tion due to the poor socio-economic situa- system number of natural disasters: flooding, hur- tion: The majority of the population survives To further reduce their vulnerability, the ricanes, earthquakes, droughts and volcanic on subsistence farming, in the traditional communities also identify priorities to improve eruptions are a constant threat to thousands bamboo houses access to safe drinking water the water and sanitation situation in their vil- of Mexicans. That’s why we need to develop and sanitation is uncommon and health care lages and implement projects jointly with the local capacities and train our volunteers as services are difficult to access. Malteser International team. At the same time, much as possible.” Malteser International supports the govern- Sonja Greiner From the joint analysis to an early mental health structures by upgrading health warning system facilities and training additional health work- To address this high vulnerability a compre- ers at community level to have a first response hensive approach is needed. Malteser Inter- team on the ground in case of a disaster. national teams conduct a risk analysis in each So far 39,600 people in 36 villages benefit- coastal village in the area. The whole village ted from the activities in Rakhine State; further participates in this analysis: together with expansions are planned to offer an effective Malteser International staff, the communities disaster preparedness system for all vulnerable look at historical data of natural disasters in communities along the coast. In early 2009, their villages, discuss seasonal profiles, iden- Malteser International expanded these activi- tify areas and people at highest risk, decide ties also to the cyclone affected Ayeyarwaddy

Order of Malta Mexico Order on evacuation centres and routes and look at Delta where community based disaster risk re- Sphere training for volunteers of the Mexican Association of the their self-help capacities. A disaster risk re- duction projects are now being implemented Order of Malta duction committee is established and at the in 110 villages for a total population of 52,000.

24 Disaster RISK RE DUCTION Pictures of the year 2009 ich.tv Dominic McCann

DR Congo: Distribution of cereals, vegetables, January oil and salt for more than 48,000 IDPs May Myanmar: Nursery for reforestation of cyclone-prone coasts July Myanmar: New sanitary facilities for an orphanage in Sittwe March World Water Day (22 March): “Shared water – shared opportunities” Wolfgang Guenther

April Italy: Emergency relief and care for the homeless in two camps after the earthquake in the Abruzzo region

Indonesia: Emergency relief after the earthquake September in West Sumatra Malteser Peru

South-East Asia: Emergency relief after earthquake and Peru: “Coats for our brothers and sisters in Puno” – Distribution of more than seven tons World AIDS Day (1 December): Bike rally in India November Cambodia: Distribution of watering cans for new home gardeners June South Sudan: Start-up aid for former leprosy patients October typhoons in Indonesia, Vietnam and the Philippines August of clothes, blankets, bedcovers and food to families affected by the cold winter December February Kenya: Improvement of TB diagnosis thanks to the donation of five water distillers with the people, for the people Asia Asia

Country Locations/ Programme Brief Description Interna- Na- Help for Donors/ National Partner No. of Country Locations/ Programme Brief Description Interna- Na- Help for Donors/ National Partner No. of Regions Focus tional Staff tional ... People Cooperation Organisations Projects Regions Focus tional Staff tional ... People Cooperation Organisations Projects Programme overview 2009 (extract) (contracts/ Staff (catchment population*/ Partners (contracts/ Staff (catchment population*/ Partners posts) (posts) direct beneficiaries) posts) (posts) direct beneficiaries)

7 Afghanistan (3) Kabul Healthcare support of a clinic in Kabul for the treatment of 0 1 4,000 own resources/private German Medical Service 1 9 China (3) Sichuan Province rehabilitation construction of a home for elderly who suffered 0 0 1,000 German based inter- Jinde Charities 1 leishmaniosis and epilepsy patients (direct beneficaries) donations from the earthquake in 2008 (catchment population) national company with office in China 8 Cambodia (1) Provinces of healthcare and community based health insurance, health 2/3 23 300,000/ BMZ, CDF/AusAid, CIM, CAAFW, CHHRA, 3 Oddear Meanchey, capacity building promotion, mother-child health, strengthening 120,000 Elysium (private CIDO, local health and Caritas Germany Bantey Meanchey, of the health and self-help capacities of the civil foundation) EuropeAid, other authorities Siem Reap and society and the national structures own resources/private 10 India (3) States of Tamil rehabilitation, Southern India: HIV prevention, care and 5/3 1 2,000,000/ AA, ADH, BMZ, ECHO, Arumbugal Trust, Aus- 14 Battambong donations Nadu, Kerala, development, support in over 1,000 villages, health and 300,000 own resources/ private siCODES, Bharati Trust, Gujarat, Uttar community hygiene awareness, promotion of health and donations BSC, Centre for People’s Pradesh based disaster life insurance; tsunami rehabilitation: income Education, Centre for risk reduction generating measures for more than 3,000 Social Reconstruction, Americas families, community development programmes, Health for One Million, special programmes for children, youth and Malankara Social Service Country Locations/ Programme Brief Description Interna- Na- Help for Donors/ National Partner No. of disabled, construction of a community hall and Society, Peace Trust, Provi- Regions Focus tional Staff tional ... People Cooperation Organisations Projects latrines for Irula sion, Sabhagi Shikshan (contracts/ Staff (catchment population*/ Partners Uttar Pradesh: community based disaster risk Kendra, Unnati, Vaan posts) (posts) direct beneficiaries) reduction, safe drinking water supply, shelters, Muhil, Venture Trust cash for work (2) 1 Mexico Tabasco rehabilitation, rehabilitation of health centres, construction 0 0 20,000/ ADH, own resources/ Mexican Association of 1 Gujarat: preschool programme for 1,200 income gen- of a fish breeding plant, Sphere training for 2,000 private donations the Order of Malta children and youth eration, disaster local partner preparedness 11 Indonesia (1) Padang Pariaman emergency relief, relief and rehabilitation after earthquake in 3/2 10 200,000/ AA, ADH, own resources/ Yakkum, local health 3 Dsitrict (Province healthcare, liveli- Sumatra, livelihood and capacity development 33,600 private donations authorities and (2) 2 Peru Cañete, Piura, relief, relief for families affected by the cold winter, 0 1 10,000/ ADH, own resources/ Malteser Peru, Peruvian 1 West Sumatra), hood, capacity in post tsunami and conflict zone of Aceh, non-governmental Puno, Talara, rehabilitation, construction of a dispensary and a family centre, 4,000 private donations Association of the Order Aceh Utara District development for community based rehabilitation for people living organisations Trujillo development capacity building for local partner of Malta (Province Aceh), local organisa- with disabilities 7 Nias (Province tions 12 9 North Sumatra) 14 12 (3) Karamless, Erbil health support of a dispensary mainly for internally 0 5 45,000/ Own resources/private TCCF (Turkmeneli 1 displaced persons, operated by national partner 1,500 donations Cooperation and Cultural TCCF Foundation) 1 13 Myanmar (1) Yangon Division, development ori- control of infectious diseases like malaria, 24/28 355 1,200,000 AA, ADH, AusAid local health authorities, 19 10 Wa Region (Wa ented emergency tuberculosis and HIV/AIDS, strengthening of (catchment population) (through Caritas), BMZ, community based com- 13 Special Region II and transitional community based healthcare services with Caritas Network, ECHO, mittees, Mangrove Service and IV), Northern aid in the fields special focus on mother and child health, EuropeAid, national Network, Good Shepherd Rakhine State of healthcare, improvement of access to drinking water and associations of the Order Sisters 17 15 (Maungdaw, WASH, schools sanitation facilities on home and community of Malta, UNHCR, Buthidaung), and social level, community based waste management, UNESCO, UNOPS, WFP, 5 8 Rakhine State (Sitt­ infrastructure as rehabilitation of social infrastructure (schools, own resources/ private 18 we, Rathidaung), well as disaster health centres, orphanages), community based donations Irrawaddy Delta management disaster risk reduction (CBDRR), emergency relief (after cyclone and rehabilitation after cyclone Nargis 16 Nargis), disaster risk reduction 6 4 14 Pakistan (1) Islamabad, Swat emergency relief IDPs: distribution of family hygiene kits and 2/2 25 200,000 AA, ADH, Caritas, IBC, NIDA 7 11 and Kohistan and recovery primary health care services (catchment population) Sternsinger, national LASOONA Districts (NWFP), support for others: construction and equipment of rural associations of the Order 3 Muzaffarabad and IDPs and for health centres, capacity building for health cen- of Malta, own resources/ Bagh Districts earthquake tre staff, mother and child healthcare services private donations affected popula- and capacity building, advanced earthquake tion; disaster risk warning system and community based disaster 2 reduction risk reduction

15 Philippines (2) Manila, Muntinu- relief, recovery, primary emergency assistance and relief for 0 0 5,000 ADH, national Philippine Association of 1 lupa City Bengnet, disaster risk tropical storm and typhoon affected popula- (direct beneficiaries) associations of the Order the order of Malta Bagio City reduction tions, community based disaster risk reduction of Malta, own resources/ Africa Africa private donations

(1) Country Locations/ Programme Brief Description Interna- Na- Help for Donors/ National Partner No. of Country Locations/ Programme Brief Description Interna- Na- Help for Donors/ National Partner No. of 16 Sri Lanka Colombo, Galle IDP support, IDPs: drinking water supplies, food supplies, 8/8 23 315,000 AA, ADH, UNICEF, RTL Caritas Seth Serana, GTZ, 15 Regions Focus tional Staff tional ... People Cooperation Organisations Projects Regions Focus tional Staff tional ... People Cooperation Organisations Projects (Southern Prov- rehabilitation hygiene promotion, distribution of non-food (catchment population) Foundation, different HFTC, LRWHF, NWSDB, (contracts/ Staff (catchment population*/ Partners (contracts/ Staff (catchment population*/ Partners ince), Trincomalee, (tsunami coastal items German town councils, Sarvodaya, Sudana posts) (posts) direct beneficiaries) posts) (posts) direct beneficiaries) Batticaloa, Ampara belt), water/ others: reconstruction of houses, own resources/private Rodrigo Sahana Founda- (Eastern Province), sanitation/hy- drinking water supply, sanitation, hygiene donations tion, TDDA, 3 DR Congo (1) Kinshasa, healthcare, health system development and support for more 5/5 55 2,152,000/ ECHO, EuropeAid/EDF, local and national health 6 4 Kenya (1) Nairobi and Central healthcare, improving the possibilities of diagnosis and 3/1 34 4,161,000 AA, BMZ, Pathfinder AMREF, Kenyan Ministry 3 Vanni Region giene (WASH), promotion, reintegration of home children, Future for Children Ariwara, Mahagi/ epidemics, than 280 health centres in 17 health zones, basic 39,034 Pooled Fund, UNICEF, authorities, local partner Province, Marsabit, emergency aid treatment of tuberculosis and HIV/AIDS, (catchment population) International, of Health, Nairobi Health development, income generating measures Ituri essential drugs, and advanced training of local staff; importation own resources/private organisations Samburu, Isiolo/ supporting home care, health education for the own resources/private Management Board, NCC, psychosocial psychosocial and redistribution of essential drugs, fighting donations Northern Kenya slum dwellers; support for drought victims with donations St. Mary’s Hospital care/child Watsa Aba, care, rehabilita- the plague on community level, medical care for food, water and drugs support Faradje/ tion of infrastruc- victims of sexual violence, fight against sexual 17 Thailand (1) North Thailand: healthcare and improving the health situation of the Karen 5/4 41 70,000 ECHO, EuropeAid, Karen Refugee Commit- 5 Province Orientale ture, emergency violence, health infrastructure rehabilitation; 5 Sudan/ Khartoum, El healthcare, TB, HIV, leprosy, sleeping sickness and malaria 3/3 14 92,000 AA, ADH, AECID, BMZ, Dioceses of Rumbek and 1 Sop Moi District, water/sanitation refugees by control of communicable diseases, (catchment population = UNHCR, USAID/IRC, tee, Thai Health Authori- medical aid emergency medical aid for displaced and vulner- Darfur (1) Fasher/North rehabilitation of control programmes, rehabilitation/recon- (catchment population) CHF, ECHO, GLRA, Yei, Ministry of Health, Mae Sariang for refugees; reproductive and child healthcare, health aware- direct beneficiaries) WCFF, own resources/ ties, HIV-Self-Help Groups able local populations Darfur infrastructure, struction of health infrastructure, provision Malteser Cologne, STI, local and national health capacity building of primary healthcare , mother-child health, WFP, WHO, UNDP/ authorities District; Mae Hong avian influenza ness and prevention (TB, HIV, avian influenza, private donations (Salaween, Dok Rak) Son Province awareness; HIV/ malaria, etc. ), WASH, strengthening of camp- Bukavu/ healthcare, multisectorial aid programme with focus on 5/4 72 1,300,000/ ADH, BMZ, ECHO, FAO, representatives and 10 vaccination campaigns, running of laboratory Global Fund, UNFPA, AIDS prevention; based healthcare services; strengthening of the South Kivu psychosocial healthcare and food security: support for more 1,000,000 Latet (Israeli Help), authorities of communal, Southern Rumbek, Yei, training school, capacity building of health staff 22/16 170 1,096,000 UNICEF, own resources/ 6 strengthening of Thai health system care, food aid, than 120 health facilities in 11 health zones, Pooled Fund, UNFPA, state and non-state Sudan (1) Maridi, Juba (Cen- and communities (catchment population) private donations the Thai health food security, basic rehabilitation of health infrastructure, food WFP, own resources/ structures in the project tral and Western system rehabilitation of distribution for internal displaced population, private donations areas Equatoria, Lakes

infrastructure food security assistance for internal displaced State) (1) (1) 18 Vietnam Danang, Quang- poverty improving the basic health, food and income 1/2 8 198,000/ AA, BMZ, German Health Department, 6 population and families of malnourished Programme implementation through Malteser International and partner organisations 6 Uganda (1) Maracha Healthcare Support for the nutrition unit of Maracha 1/1 7 360 children/year AA, ADH, Don Pedro Ro- Maracha Hospital 1 Nam Province, reduction, health situation of the poor and of ethnic minorities, 36,000 Consulate, WCFF, own People´s Committee, children; medical and psychosocial care, social (2) hospital including outreach activities driguez Ponga, Malteser Programme implementation through national associations and relief services of the Sovereign Order of Malta supported by Malteser International Central Vietnam improvement, community development, CEFE trainings, reha- resources/ private Women´s Union, Steering reintegration and small-scale income generation emergency bilitation and equipment of a district hospital, donations Committee for Flood and for victims of sexual violence; mental healthcare; Paderborn, MAV, PMK, (3) own resources/private Programme implementation through local partner organisations supported by Malteser International relief, disaster risk relief after a cyclone and community based Storm Control basic rehabilitation of transport infrastructure reduction disaster risk reduction (roads, bridges, airstrips ) in very remote areas donations * catchment area/catchment population: the area and population from which a facility (i.e. health centre) attracts ‘customers’ (i. e. patients) Spotlig ht Pakistan – Introducing community based disaster risk management and advanced warning techniques

The earthquake that struck northern Pakistan on 8 October 2005 tragically highlighted the country’s exposure and vulnerability to natural hazards. Pakistan faces a major natural disaster almost once every ten years, and their frequency has been increasing espe- cially during the 1990s. Apart from major disasters, however, Pakistan faces a number of disasters of lesser magnitude every year which do not figure in the international media. Especially when they affect local communities – such as in rural mountainous areas, where people mostly practice agriculture at subsistence level – their effects can be disastrous.

Help for about 61,400 people ards for the rescue tool kits for each committee Crucial “test” (catchment population of four rural health facili- had been mainstreamed with the State Disaster Soon after the implementation of the secty ties with secty lifepatron® systems) Management Authority (SDMA), the relevant lifePatron® systems, a medium intensity International staff: 1 regional authorities as well as with a similar earthquake struck Muzaffarabad District on National staff: 5 programme that the Earthquake Reconstruc- 20 February 2009 in the morning. Accord- Programme duration: July 2008 – May 2009 tion and Rehabilitation Authority (ERRA) ing to the US Geological Survey, its magni- Programme volume: 180,000 EUR (total) had started soon after Malteser International’s tude was 5.4 on the Richter scale with 26 km Partners: ADPC, IBC, NHSD, SDMA, secty CBDRM project had been launched. Finally, depth. Fortunately, there were no causalities, electronics after successful trainings and mock drills the only few people were hurt and minor con- Funding: AA (Task Force Humanitarian Aid), fully equipped local committees were integrat- struction damages. Förderverein für Internationale Erdbebenpräven- ed into the SDMA set up. All Malteser International earthquake tionsmaßnahmen e.V. (donation in kind), own warning systems had given an alarm with resources, private donations Public earthquake warning their public sirens. A survey showed that the 8 Seiten-Altarfalz: Seiten 25-32 Malteser International has been working in The local communities’ response to this people of the surrounding communities had Pakistan since 2005. project and to building up the expertise and recognised this alarm and even had had the capacities for direct relief response was very chance to leave their houses. In this case, Disaster management in Pakistan has tra- positive. Their interest was also strengthened however, the actual warning time was limited Davon 4 Seiten Pictures of the year ditionally focused on response rather than by the introduction of an innovative and ad- to a few seconds only since the distance from preparedness. It has also been biased towards vanced public earthquake warning system. the epicentre to the nearest health facility (siehe separate Datei) material aspects at the cost of increased This system – secty lifePatron® (www.secty- with a secty lifePatron® system was less then knowledge and awareness. Finally, until 2006 electronics.de) – detects an earthquake’s “pri- 30 kilometres. The positive outcome of this there has been no comprehensive institu- mary waves” (p-wave; longitudinal waves) alarm is the confidence into the system that tional arrangement for disaster management which are spread with double the velocity the communities got by this real alarm. Fi- and the existing bodies have traditionally fa- as the “secondary waves” (s-wave; transversal nally, this event also led to an increased inter- voured areas of political and economic im- wave). P-waves can not be detected by hu- est of relevant authorities with regard to this portance over remote rural areas. mans directly and only the secondary waves technology and the request for the project’s actually lead to structural damages. The replication especially for the highly earth- Disaster risk management at waves’ time difference to reach a location af- quake prone town of Muzaffarabad. community level ter an earthquake provides the essential time Thus, as part of its comprehensive earthquake window for an alarm and for appropriate re- response and rehabilitation strategy, Malteser action. This time window depends on the sys- International in 2008 and 2009 implement- tem’s distance from the earthquake’s epi- or ed a disaster preparedness project – based on hypocentre as well as on the site conditions, the concept of community based disaster risk especially a building’s architecture. management (CBDRM) – and combined it For this project, the available technology of with a state-of-the-art advanced public earth- the German developer and supplier – secty quake warning system. Here, local commit- electronics – had for the first time been com- tees of volunteers had been identified close to bined with public alarm sirens to give the four health facilities under reconstruction by warning alarm to the maximum number of Malteser International and its Turkish partner people under risk. Before, this system had organisation IBC at rural locations of Muzaf- only been installed at different public and farabad and Bagh Districts. Master trainers of private buildings with internal alarm systems. these committees received the essential train- Based on this innovative approach, Malteser ings. Later on they trained their fellow mem- International received funding by the Ger- bers of the local disaster response committees. man Federal Foreign Office’s Task Force Hu- The disaster preparedness project implemented by Malteser Interna- The training curricula and equipment stand- manitarian Aid. tional includes trainings in first aid as well as in search and rescue.

Disaster RISK RE DUCTION 33 FOC US 5

Livelihood and Social Programmes

Poverty reduction is a particular area of attention in Malteser International’s overall programme setting. The dimensions of poverty are complex and the realities of poverty vary between regions, countries, communities and individuals. Invariably, the basis of a life free from poverty is access and entitlement to a range of assets and live- lihood strategies that can sustain households and individuals through the stresses and shocks of life. Livelihood and social programmes of Malteser International intend to provide, through a participatory approach, increased well-being, reduced vulnerability, more income and improved food security. The “sustainable livelihood” approach used by Malteser International is people centred, participatory and has a strong emphasis on sustainability. Furthermore the approach is positive in that it first identifies what people have rather than focussing on what people do not have. Malteser International runs livelihood projects and social programmes in Cambodia, DR Congo, India, Indonesia, Mexico, Myanmar, Peru, South Sudan, Sri Lanka, Thailand and Vietnam.

Portrait of ou r h elp Vietnam – Capacity training for poor women in Danang

Phuong is a small business woman from the southern suburbs of the city of Danang. In her commune, unstable jobs, a difficult business environment and unemployment leave families on the brink of poverty. As main labourer of the family, Phuong earns her living by selling a traditional dish to customers on the streets of her commune.

Phuong’s family with three children lives When she entered the training cycle, she first on very little, especially when her husband had to analyse her own capacities and the remains without a job for a long time and future prospective of her business. Will it be the family depends only on her. From her profitable for her to keep selling food? What monthly income, she covers the house rent, other business opportunities can she think of? the school fees for her two elder children Most relevant for her was advice on how to at- and daily meals. tract more customers and calculate her costs. Now she is able to make sure that the surplus Hope to improve the income situation is sufficient to cover her family’s expenses. The local women’s union informed Phuong about the Malteser International business Business plans for the future

trainings for women. Hoping to improve After the training, Phuong has managed to Egenberger Lena her income situation she applied to partici- increase her income from 1,80 Euro to about After having participated in the Malteser International training, Phuong pate. In September 2009 she was selected 2,60 Euro per day. And she has joined an as- has managed to increase her income thanks to her own little shop. for the training as one of 75 women aged sociation for small-scale business women, enough capital, she plans to hire a modest 18 to 45 years, with an income below the initiated by former participants of the train- shop on the main street to sell her food there. local poverty line and a sufficient level of ing. She hopes for a better future and already Lena Egenberger education. looks ahead: Once she has managed to build Birgit Betzelt Birgit

34 Liveli hood and social prog rammes Liveli hood and social prog rammes 35 Spotlig ht Spotlig ht Mexico – Giving hope to the fishermen in Nacajuca Indonesia – Improving health, income and sanitation Heavy flooding in October 2007 affected around one million people in the state of Tabasco. The tropical state in the in the hinterland of Aceh south of Mexico lived one of the greatest disasters, not only on account of the number of victims, but also of the material losses and the resources needed to regenerate the region. Tabasco is one of the richest states in water resources, but is also After more than three years of rehabilitation in the coastal region of Banda Aceh in the aftermath of the tsunami, Malteser International often affected by hurricanes or flooding. in 2008 expanded its programme further into the hinterland of the district of Aceh Utara. Even before the tsunami, this area had been economically underprivileged and far more people were living below the poverty line than in the coastal region. Due to the rehabilita- Help for 2,000 people Tapachula, State of Chiapas, after hurricane tion activities after the tsunami, this situation became even more problematic since support was primarily provided to the coastal region Programme duration: January 2008 – June 2009 Stan in 2005 and with some small scale agri- struck by the tsunami. The development in the region was hampered due to the fact that an entire generation grew up in the context of Programme volume: 25,000 Euro (in 2009) / cultural projects in the State of Puebla. civil war, lasting 30 years. The impact of this conflict has been affecting the application and use of local potential until today. 67,000 Euro (total) Partners: Mexican Association of the New income thanks to fish breeding Help for about 45,000 people Order of Malta In close cooperation with the local Caritas International staff in the project: 1 Funding: ADH, private donations, own resources structures the Mexican Association identi- National staff in the project: 9 Malteser International has been supporting the fied a rural community highly affected by the Programme duration:

Mexican Association since 2005. devastating flooding and in summer 2008 of Malta Mexico Order October 2008 – February 2010 started the planning of a fish producing plant. Special economic support was provided to assist the rural Programme volume: 263,000 EUR After the first phase of emergency relief in 2007 The aim was to enhance the reconstruction communities in Tabasco in generating their own income. Partners: Health Department, various local NGOs and 2008, the Mexican Association of the Or- forces and to reactivate the economic life in Funding: ADH der of Malta concentrated on strengthening the severely hit region of Comalcalco. The Participation of the communities Malteser has been working in local capacities in the rural areas of Tabasco. construction of stable fish tanks should in- From the beginning the local community ful- Indonesia since 2005. The members had already gathered experience crease the capacity of local fish producers in ly participated in the planning, preparation in the implementation of social programmes the community of Nacajuca to generate and and construction. Due to the lack of other with the construction of a tortilla bakery in commercialise their own fish breeding. income possibilities, the local fishermen in By strengthening the capacities of the Nacajuca were motivated enough to contri­ population and thus improving the living bute their labour for the fish breeding project conditions within the villages, Malteser In- called “Yacobuch” which means “fish” in the ternational aims at reducing the disparities local language. In the following months, between the villages on the coast line and in Learning through playing: Daily tooth brushing for better hygiene and health a group of 18 fishermen was trained in the the hinterland. Based on a needs assessment handling of the fish breed, the general rec- in 2008, Malteser International selected six Improvement of community health at a Improvement of sanitary and hygiene ommendations for care and precaution and sub districts of Aceh Utara as project area. In village level by standards by also the existing risks in order to guarantee a cooperation with five local NGOs 18 small • trainings for village health workers and • constructing and/or rehabilitating latrines successful and continuous project. scale projects focusing on health, WASH, midwives on first aid and mother and child with sufficient water supply in schools, kin- The majority of the male community par- education and livelihood have been imple- health, including provision of necessary dergartens and community halls. ticipated in the construction of four tanks, mented in 84 villages through participatory equipment like first aid boxes each covering between 500 and 3,000 fishes methods. To empower the communities and • health and hygiene promotion campaigns Once more the approach to strengthen the and fish breeding. To avoid future damages to improve their self-help capacities is the within the villages with a strong focus on capacities of the population has been proven due to flooding of the nearby river, the tanks overall objective of Malteser International’s schools and kindergartens as the right one. Therefore, Malteser Interna- were constructed on an elevated level over the work also in Aceh Utara. Based on the identi- tional is planning to expand its activities in ground. fied needs and with strong participation of Support of income increasing activities as Aceh Utara by initiating community develop- the villagers, Malteser International has re- diversification of agricultural products or ment plans within selected villages. By estab- Fish production and local responsibility alised the following measures among others: implementation of a system of rice inten- lishing these plans the villagers shall further In June 2009, the project was finally handed sification by be encouraged to analyse their problems and over to the local community. Since that time • trainings for farmer groups and initiation of to find suitable solutions. Within the above the community successfully produces fish farmer field schools mentioned assessment many villagers com- breeding at low prices for smaller fish produc- • provision of seeds, fertiliser and pesticides plained about low drinking water quality and ers as well as fresh fish (mojarra tilapia) for the insufficient sanitation facilities. Within the local market. More than 600 families benefit Improvement of social, cultural, health community development plan these kinds from these income generating measures of the and education activities of the communi- of problems shall be addressed and solutions, Mexican Association of the Order of Malta. ties by such as the construction of latrines or train- In 2010, Malteser International will fur- • supporting the communities with the reha- ings on safe water storage, shall be found. thermore support the community by provid- bilitation of the village communal hall Malteser International will assist the commu- ing pellet-based fish food until the fish pro- • facilitating the conduction of participative nities within the implementation process and

Order of Malta Mexico Order duction will be large enough to pay for itself. assessments at village level to identify exist- facilitate the access to private and governmen- New hope: “Yacobuch”, meaning “fish” in the local language, is the name of the fish breeding project that Thanks to the provision of seeds and trainings, the villagers ing potentials, needs and problems tal support programmes at the village level. aims to reactivate the economic life after the heavy flooding. get the chance to improve their income.

36 Liveli hood and social prog rammes Liveli hood and social prog rammes 37 Spotlig ht DR Congo – Providing food security in South Kivu Facts and figures Although the war officially ended years ago, the DR Congo has not recovered from its aftermath. Large parts of the country are still affected by the impact of violence and poor infrastructure. Especially in the province of South Kivu, the population suffers from armed attacks by different groups. The area lacks efficient administrative structures and accessible roads. Moreover, during the war, agricul- Experts abroad tural and economic activities were hardly possible which led to a decay in the structures of production.

Help for 80,000 people (50,000 in Kaniola, 30.000 in Nindja) International staff in the programme: 1 National staff in the programme: 44 Programme duration: August 2009 – December 2011 Programme volume: 790,000 EUR (in 2009) / 1,450,000 EUR (total) Partners: representatives and authorities of communal, state and non-state structures in the project areas Funding: BMZ Malteser International has been working in Local staff Expatriate the DR Congo since 1996. employment per region employment per region Expatriates by education and occupation

In addition, agricultural means of production 2009 2008 2009 2008 (like seeds or tools) and specific knowledge Africa 352 460 Africa 39 45 often were lost or became inaccessible. High- Angola 0 18 Angola 0 3 quality seeds are for instance only available in DR Congo 127 135 DR Congo 10 11 Others 4 Physicians 8 the provincial capital and at prices which are Ethiopia 0 2 Kenya 3 5 unaffordable to many. These factors have led Kenya 34 29 Ethiopia 0 0 Project assistants 10 Nurses and orderlies 2 to widespread food scarcity and malnutrition Sudan 184 259 Sudan 25 24 Consultants 5 Midwives 2 among residents and internally displaced per- During the war, agricultural and economic activities were hardly possible. To support a safe food supply Malteser Inter- Uganda 7 17 Uganda 1 3 national provides agricultural equipment and trainings. sons throughout the Kivu provinces. Chil- Asia 492 485 Asia 50 58 dren constitute one of the most vulnerable ures it aims at securing a steady food supply, Trainings and rehabilitation of Afghanistan 1 1 Afghanistan 0 0 groups in this regard: According to a Malteser strengthening the beneficiaries’ self-help ca- infrastructure Cambodia 23 10 Cambodia 2 2 International study, 63% of those living in pacities and rehabilitating the area’s transport Malteser International furthermore sup- China 0 0 China 0 0 the area are chronically malnourished, 33% infrastructure. The target group consists of ports the installation and training of local India 1 1 India 5 5 to a severe degree. internally displaced persons (IDPs), families agricultural associations. Thus, new trade Indonesia 10 34 Indonesia 3 9 Iraq 5 0 Iraq 0 0 who return to their villages after having taken channels for improved food production are Myanmar 355 320 Myanmar 24 24 Food security for IDPs, returnees and refuge in safer areas and families with mal- opened up and the own food supply can be Pakistan 25 13 Pakistan 2 3 malnourished children nourished children within the care of Malteser supplemented with staple food that is not Philippines 0 0 Philippines 0 0 In 2009, Malteser International started a International’s nutrition and health centres. produced locally like sugar, salt, milk powder, Sri Lanka 23 49 Sri Lanka 8 15 Engineers 3 Logistic specialists/ comprehensive food security programme in Distribution and multiplication of seeds fish, vegetable oil or meat. Thailand 41 48 Thailand 5 3 administrators 16 Vietnam 8 9 Vietnam 1 0 the districts of Nindja and Kaniola in the constitute the first component of this pro- At the same time, Malteser International Coordinators/ province of South Kivu. With different meas- gramme. One part of the resulting harvest furthers the maintenance and rehabilitation Americas 1 1 Americas 0 1 managers 25 Project managers 14 is directly consumed, the other reused as of bridges and roads through food for work Mexiko 0 0 Mexiko 0 0 seeds. This measure is complemented by initiatives. These routes are vital because they Peru 1 1 Peru 0 1 the distribution of food for the field work. do not only facilitate the transport of the Total 845 946 Total 89* 104* In this way, Malteser International prevents goods and the merchandising but also allow a beneficiaries from immediately consuming better access for humanitarian aid. Nationalities of the expatriates the distributed seeds or exhausting their Since the districts of Nindja and Kaniola harvest too early in precarious situations. are characterised by favourable climatic Food distributions are therefore conducted conditions and fertile soils, it is anticipated Afghanistan 1 Germany 44 Kenya 6 Philippines 1 Thailand 2 shortly before handing out seeds and prior that the implementation of these different Argentina 1 Great Britain 1 Madagascar 4 Serbia/Montenegro 2 Uganda 7 Benjamin Schlüter to the harvest period; they also stimulate programme components will facilitate a sus- Belgium 3 Greece 1 Myanmar 2 Spain 2 USA 1 The distribution and multiplication of seeds is the first component of Croatia 1 India 1 Nepal 1 Sweden 1 the comprehensive food security programme that Malteser Interna- quantity as well as the quality of the field tainable food supply for the population in tional has started in 2009. work carried out by the beneficiaries. this area. France 2 Ireland 1 Netherlands 3 Switzerland 1

* Some of the staff members were working cross-national. The total figure refers to the total number of contracts signed in the year 2009.

38 Liveli hood and social prog rammes EXPE RTS ABROAD 39 Help at a glance

Dr. Maria Dung-Pham Medical doctor and master of public health from Germany, works as programme and health coordinator in Mae Sariang/Thailand: “Obliged to leave their home country, an uncertain future lying ahead, threatened by hunger and Maren Paech Minn Naing Oo diseases, and often deprived of their human rights, refugees are the most vulnerable group Malteser Geographer from Germany, works as a project coordinator and adviser in Uttar International Master of Advance Study in Development from Myanmar, works as International is working for. Having worked in several other projects for Malteser International before, Dr. Eduardo Montenegro y Soria Pradesh/India: project manager and deputy programme coordinator in Samrong/Cambodia: Hospitaller of the Peruvian Association of the Order of Malta and member of the I am now – since 2007 – the programme and health coordinator of a challenging health project for “I have been working for Malteser International in various projects in Vietnam, Sri Lanka and presently Order’s relief service “Malteser Perú“: Karen refugees along the Thai/Burmese border. It was started in 1993 and brings humanitarian aid “I started with Malteser International in January 2003 as local assistant for the public health care to about 40,000 people in need. Difficult access to the camps and other obstacles have to be solved in India. Each project supported the most vulnerable, poor and dejected sections of society in recover- coordinator. My strongest motivation to work in the humanitarian field comes from my experiences “For me, it is utterly important to live according to the mission of the Order of Malta: to assist the poor and overcome in order to fulfil our mission as doctors, nurses, and as fellow humans, in line with ing from major disasters and better fulfilling their most basic human needs like shelter, drinking water, in rural and remote areas where I found the real life of people. In our projects I’m doing my best to and the suffering. Together with the volunteers of Malteser Perú and with financial support of Malteser Malteser International´s overall objective: “To alleviate human suffering”. Even if our work is hard and food, sanitation, health, education and income security. Seeing how the right support helps people build up the team capacity and set up the holistic approaches for implementation. Linking between International, we work to improve the quality of life of many needy Peruvians and offer them better per- we are sometimes very tired, we like to work so close to the people and often feel that we receive step out of extreme poverty and vulnerability and improve their living conditions based on increased different projects and developing a programme as well as helping people to improve their living spectives for their future.” much more than we can give.” self-help capacities motivates me to continue my work in the humanitarian sector.” conditions and learning every day are the best parts of my work.” Sebastian Mantei Birgit Betzelt Birgit Paulin Bishakabalya Kokere Nguyen Thi Thuy Nga Dr. Yousaf Rehman Economist from the DR Congo, works as programme Johannes Kaltenbach Dr. Alfred Kinzelbach Nurse from Vietnam, works as programme coordi- Medical doctor from Pakistan, works as project man- logistician in South Kivu/DR Congo: Master of arts in public policy and management from Medical doctor from Germany, works as regional coor- nator in Vietnam: ager and medical doctor in Saidu Sharif (Swat Dis- Germany, works as country administrator in Yangon/ dinator Great Lakes in Kampala/Uganda: trict)/Pakistan “Working for Malteser International for eight years now has Myanmar: “In 1999, I started working for Malteser International as senior Lasantha Herath become a big part of my life. My motivation comes first from “The African countries we are working in are no easy places. It field officer for health and nutrition. After having taken over “I started working for Malteser International as a project assist- takes a lot of money, resources, efforts and time just to estab- Public health inspector from Sri Lanka, works as health “Working in the post-conflict Swat region is a tough task for the team I work with in Bukavu, essentially from my programme the management of a poverty reduction project and further ant in December 2004, worked three years as project admin- lish yourselves. Once established you have to think in terms of and hygiene coordinator in Batticoloa/Sri Lanka: any organisation: you are confronted with curfew hours, dif- coordinator who is a good trainer and motivated manager. My humanitarian aid projects in 2005, last year I became the ficult terrain or suicide bombings, just to name a few. Malte- second motivation is my family; it’s really great to come back istrator in Indonesia before becoming country administrator for continuity and contiguity. If you have been in a region as long office representative and programme coordinator of Mal- “I joined Malteser International soon after the tsunami and got ser International was one of the very few organisations that home after a tough day of organising and coordinating logistics Myanmar in 2008. My duties here include ensuring transparent as we are then you have invaluable networks…. Our expertise teser International in Central Vietnam. I am responsible for the opportunity to improve the health and hygiene situation started operating fully in Swat. Helping the needy was the main issues. Malteser International helped me to become a good lo- financial management, consistent personnel administration, is the linking of relief, rehabilitation and development, that is the a health project in Tay Giang, a very remote area. Especially of marginalised communities by motivating them to change driving force for me and the Swat field team to say “yes” to gistician and a good project manager. I am the witness of what and occasionally acting as officer in charge. During my work I ‘grey zone’ when the first emergency ends and the press move the participatory and the capacity building approach followed their behaviour gradually through simple health and hygiene Malteser International. I hope that we will be in a position to Malteser International is doing for the DR Congo. I am really often think about all those people and institutions that donate out. Then we move in. Even if linking into development in North in Vietnam gives me the possibility to work closely with the sessions. My motivation is to be creative and find the simplest continue supporting the ongoing relief work as the area is still convinced about a good future for this country and decided to money to us. This comes with a great responsibility for all of us East Congo still looks to be many years away, there is a clear beneficiaries and to help effectively.” ways to convey health messages to our target communities.” in dire need.” stay here in order to solve problems.” and motivates me to be as efficient as possible.” commitment on our part.”

40 H E LP AT A G LANCE H E LP AT A G LANCE 41 New publications and Further events and highlights 2009 documentaries

Strategy Seminar of the Order of World Refugee Day: Photo Exhibition 3rd regional WASH workshop in thorities, a day full of celebrations and activi- “Indicators and reference data: Malta stresses importance of Malteser in Thailand Myanmar ties for 300 students was organised to raise A practical tool for project managers International In June, members of the health and WASH awareness for the importance of water, sanita- in humanitarian aid” During the Order of Malta’s strategy semi- (Water, Sanitation and Hygiene) teams of tion and hygiene (WASH) – among others an The handbook is aimed to support project nar in Venice in January, the Grand Master, Malteser International in Myanmar, Cambo- essay contest with the topic “our healthy and managers and health personnel in effective Fra’ , highlighted the work dia and Sri Lanka met in Myanmar to discuss clean latrine”, a quiz and a drawing competi- planning and result oriented managing of of Malteser International and stressed its fu- with guests from UNDP and Caritas Ger- tion. In the evening, the children went home programmes by selecting appropriate and ture importance to the mission of the Order. many as well as representatives from the Mal- with a piece of soap and a lot of knowledge to practical indicators. It covers the sectors of Entitled “The Order Ten Years Ahead”, the teser International Headquarters about the share with their families and friends. health, nutrition, immunisation, psychoso- seminar was organised to examine and define link between WASH and primary healthcare, cial care, mental health and water, sanitation the Order’s future strategies. With over 400 best practices in community facilitation and Annual Meeting Asia in Cambodia DR Congo: “New ways of success” and hygiene. delegates from five continents it was the larg- safe sanitation. At the end, the WASH work- At Malteser International’s Annual Meeting Since 2000 Malteser International has been est meeting of the Order’s leaders ever held. ing group decided to prepare an internal best Asia (AMA) 2009 from 29 November to 3 implementing humanitarian aid programmes practice manual aiming at an improvement December in Siem Reap/Cambodia, key staff in the fields of health, nutrition, food, food Annual Meeting Africa in Kenya of current standards. from seven program countries of Malteser security and rehabilitation of infrastructure in On Malteser International’s Africa Meeting Worms Jörg International in Asia met with representa- the Democratic Republic of Congo. The new 2009 from 19 to 21 March in Mombasa/ On the occasion of World Refugee Day on Humanitarian aid postage stamp tives from the Headquarters and the Order of documentary presents the positive impact of Kenya, staff from all the project areas of Mal- 20 June, Malteser International with finan- issued by the Order of Malta Malta and guests from partners in Cambodia the different programmes on the population teser International in Africa and from the cial support of ECHO organised a photo A new series of stamps issued on 23 Septem- for strategic discussion and coordination. The in the province of South Kivu. The film is Headquarters met for exchange and coordi- exhibition in Thailand about its health care ber by the post office of the Order of Malta in AMA focussed on disaster management and available in English, French and German. nation. Along with an overview about the programme for Karen and Burmese refugees is dedicated to the Order’s worldwide assessments for which the regional disaster risk overall situation of Malteser International as along the Thai-Myanmar border to spread humanitarian and medical aid. One of the reduction adviser Dr. Melgabal Capistrano well as the strategic and financial planning awareness of the struggles of the refugees. “I three stamps shows one of 3,000 water tanks gave training input for the participants Southern Sudan: for the future development, there were pres- was impressed with Malteser International’s that Malteser International built in Sri Lanka “The forgotten diseases” entations on the subject of WASH (Water, team initiative and how they reached out to in order to secure the supply of drinking wa- Order of Malta addresses Leprosy and sleeping sickness continue to be Sanitation and Hygiene) as well as on the people as they passed by and looked at the ter for 3,000 families. The humanitarian aid UN Security Council widespread in Africa. Since 1998, Malteser nexus between natural resources, governance photos to explain the work in the camps and edition (stamps issue no. 395) can be seen on International has been providing diagnosis and conflict resolution. the refugee situation,” the Regional Informa- the Order’s website www.orderofmalta.org. and treatment of sleeping sickness and lep- tion Officer of ECHO in Bangkok reported. rosy in Souther Sudan. The documentary World Tuberculosis Day: Awareness Peru: Workshop with Malteser Foreign India: “HIV education on track” which is available in English, Spanish and raising in Kenya, Sudan and Myanmar World Health Day: Aid Service Germany The region of Tamil Nadu has the second high- German presents Malteser International’s Malteser International presents On the occasion of a two day workshop in est HIV infection rate of India. Whole villages projects and efforts to improve public health response to cyclone Nargis Lima in October 2009, representatives of the and the social structures are endangered while care in the African country. On 7 April, the German Ministry of Health Peruvian Malteser relief service “Malteser AIDS is still a big taboo subject. The docu- invited health professionals and politicians to Perú” and the German Foreign Aid Service mentary “HIV education on track – Reaching “Safety and Security Guidelines” a conference in the German capital Berlin to “Auslandsdienst” discussed new challenges out to migrants in the trains of South India” To ensure effectiveness and the utmost ben- mark the World Health Day. Themed “What and opportunities for the Peruvian Associa- presents the Malteser International HIV/ efit to the affected populations it is indispen- measures do we need to take in emergencies?” tion of the Order of Malta and its relief serv- AIDS education project in this region. The sable for Malteser International to provide a Order of Malta Order Dr. Marie Theres Benner from Malteser In- ice. Malteser International has been support- film is available in English and German. working environment to its international and ternational presented Malteser International’s ing the local Malteser structures in Peru since In November, Albrecht Freiherr von Boese- national staff that enables them to execute emergency response after cyclone Nargis in the earthquake in 2007. lager, Grand Hospitaller of the Order of Cambodia: “A healthier tomorrow” their often difficult tasks in conditions of the Myanmar in May 2008. Malta, addressed the United Nations Secu- Malteser International’s mission in Cambo- utmost safety. The safety and security of staff Myanmar: World Toilet Day rity Council in New York on the “Protection dia is to reduce the vulnerability and poverty are a top priority in all projects of Malteser Training on disaster risk reduction on Middle Island of Civilians in Armed Conflicts”. Boeselager of communities through sustainable health International. These guidelines intend to In May, eleven staff members of Malteser On 19 November, World Toilet Day is cel- called on the Council to endorse the princi- initiatives. The English movie documents ex- provide a base and framework for all staff of Malteser International staff in South Sudan, International Headquarters participated in a ebrated all over the world – and in 2009 even ples of international humanitarian law as well tracts of this challenging work. Malteser International. Kenya and Myanmar celebrated World Tu- five day internal training on disaster risk re- in Ka Nyin Ngu, a small village on Middle as the settled principles of the international berculosis Day on 24 March with a variety duction. The training included insights into Island in the Irrawaddy Delta. During the law of “command responsibility”. Since of awareness raising events. Under the slogan new approaches to community-based disaster emergency relief phase after cyclone Nargis 1994, the Order of Malta has held observer “I am stopping TB” the action day seeks to risk reduction as well as instructions on how in 2008, Malteser International had rebuilt a status at the United Nations, a role which it All publications and documentaries are available for download on inform about cause, transmission, treatment to use free satellite images and software availa- school in the village. With the support of the utilised for the first time with the statement www.malteser-international.org and can be ordered at [email protected]. and prevention of tuberculosis. ble on the internet for disaster risk reduction. teachers, the community and the village au- of the Minister. Please visit also the Malteser International channel on YouTube!

42 Fu rth er events and h ig h lig hts 2009 Fu rth er events and h ig h lig hts 2009 43 *Book keeping according to German commercial law rules that programme expenditure must be entered as a liability in the annual statutory Financial overview 2009 accounts in total in the year in which the funds are committed to a certain programme (“accrual accounting”). Normally, this is the year in which the programme is being started. The figures indicated in these charts are reflecting these book keeping principles and therefore do not show the total amount which was given in 2008 to a certain programme. This is particular the case for multi-annual programmes.

Where does the money come from? – Sources of funding * Programme expenditure by regions and countries *

Myanmar 4,119,339 EUR Donations and own resources 5,273,696 EUR DR Congo 4,624,815 EUR

ECHO 4,965,480 EUR Thailand 1,481,514 EUR

UNICEF/UNDP/UNHCR and other UN organisations 3,974,257 EUR Sri Lanka 1,200,538 EUR Sudan 3,092,271 EUR Cambodia 728,192 EUR Indonesia 648,532 EUR German Federal Ministry for Economic Cooperation and Development 2,776,339 EUR Pakistan 633,583 EUR Kenya 844,130 EUR India 534,662 EUR Others (GLRA/foundations/Global Fund) 1,572,892 EUR Uganda 105,330 EUR China 462,990 EUR Mexico 25,209 EUR Federal Foreign Office of Germany 1,504,713 EUR Angola 2,868 EUR Vietnam 233,250 EUR Peru 66,242 EUR Iraq 12,142 EUR Philippines 46,800 EUR Caritas/PMK 811,525 EUR Turkey 5,011 EUR Afghanistan 152 EUR Germany’s Relief Coalition (Aktion Deutschland Hilft) 311,328 EUR Africa 8,669,414 EUR Asia 10,106,704 EUR Americas 91,451 EUR

Programme expenditure by regions * Programme expenditure by sectors of our help*

Relief, Reconstruction and Rehabilitation 12,68 %

Americas 91,451 EUR Disaster Risk Reduction 4,36 %

Livelihood and Social Programmes 4,63 % Health and Nutrition 69,09 % Asia 10,106,704 EUR Africa 8,669,414 EUR Water, Sanitation and Hygiene (WASH) 9,25 %

Programme expenditure by countries * Development of income and expenditure (2005 – 2009)

income expenditure 36,456,059 EUR 27,508,713 EUR 27,508,713 26,562,125 EUR 26,562,125 25,681,381 EUR 25,681,381 4,624,815 EURDR Congo 4,624,815 24,582,382 EUR 23,412,168 EUR 23,412,168 23,077,000 EUR 23,077,000 4,119,339 EUR Myanmar 4,119,339 21,992,573 EUR 21,992,573 22,624,759 EUR 21,650,873 EUR 21,650,873 21,738,809 EUR 21,738,809 19,631,321 EUR 19,631,321 18,661,000 EUR 18,661,000 18,867,569 EUR 18,867,569 1,481,514 EUR Thailand 1,481,514 17,781,627 EUR 17,781,627 15,916,535 EUR 15,916,535 1,200,538 EUR Sri Lanka 1,200,538 3,092,271 EUR Sudan 3,092,271 844,130 EUR Kenya 844,130 728,192 EUR Cambodia 728,192 Pakistan 633,583 EURPakistan Indonesia 648,532 EUR India 534,662 EUR China 462,990 EUR 5,273,696 EUR5,273,696 5,465,577 EUR 5,465,577 5,042,205 EUR 3,835,381 EUR3,835,381 Vietnam 233,250 EUR 105,330 EURUganda 105,330 152 EURAfghanistan 152 Angola 2,868 EUR 12,142 EUR 12,142 Iraq 5,011 EUR Turkey 5,011 Mexiko 25,209 EUR Philippines 46,800 EUR Peru 66,242 EUR

2005 2006 2007 2008 2009 2005 2006 2007 2008 2009

Total income thereof private donations Total expenditure thereof project expenditure Deficits are covered by reserves and funds from previous years. Surpluses are transferred to the reserves.

44 FI NANC IAL OVERVIEW FI NANC IAL OVERVIEW 45 Annual accounts as of 31 December 2009 Income statement 12/31/2009 12/31/2009 12/31/2008 12/31/2008 EUR EUR EUR EUR

1. Revenues 79.862,03 30.767,15 Balance sheet 2. Other operating income 20.312.020,84 20.391.882,87 16.889.617,08 16.920.384,23 3. Cost of materials 12/31/2009 12/31/2009 12/31/2008 12/31/2008 a) Cost of raw materials, consumables and supplies 3.952.973,49 4.072.029,65 Assets EUR EUR EUR EUR b) Cost of purchased services 1.859.141,74 5.812.115,23 1.568.757,94 5.640.787,59 A. Fixed assets 4. Personnel expenses I. Intangible fixed assets a) Wages and salaries 2.742.685,76 2.951.284,59 1. Concessions, industrial and similar b) Social security, post-employment and other employee benefit costs – of wich in 760.007,34 3.502.693,10 753.465,70 3.704.750,29 rights and assets, and licenses in respect of old age pensions EUR 221.944,62 (last year EUR 191.096,67) such rights and assets 65.146,48 162.866,32 Intermediate result 11.077.074,54 7.574.846,35 2. Prepayments 13.000,00 78.146,48 0,00 162.866,32 5. Income from the release of liabilities from earmarked appropriations 16.978.144,66 21.781.994,53 II. Tangible fixed assets 6. Expenses from the allocation to liabilities from earmarked appropriations 16.040.904,51 937.240,15 17.695.167,78 4.086.826,75 Operating and office equipment 339.883,79 363.136,96 7. Amortisation and write-downs of intangible fixed assets, depreciation and write-downs of tangible fixed assets 313.819,94 348.968,74 418.030,27 526.003,28 8. Other operating expenses 12.486.060,03 12.799.879,97 12.752.247,91 13.101.216,65 B. Current assets Intermediate result -785.565,28 -1.439.543,55

I. Receivables and other assets 9. Other interest and similar income 116.018,39 447.485,98 with a remaining term of up to one year 10. Interest and similar expenses 3.916,19 112.102,20 5.857,32 441.628,66 1. Accounts receivable for sales and services 0,00 24.500,37 11. Result from ordinary activities -673.463,08 -997.914,89 2. Receivables from undertakings in which the society 12. Other taxes 9.310,77 43.567,31 has a participating interest 28,06 21,71 13. Net loss for the financial year (last year net income) -682.773,85 -1.041.482,20 3. Receivables from associated corporations 2.899.099,00 6.068.890,81 14. Withdrawal from revenue reserves 590.823,63 1.041.482,20 4. Receivables from Malteser Hilfsdienst e.V. — internal 2.997.059,23 2.180.422,47 5. Other assets 10.118.448,73 16.014.635,02 8.865.095,34 17.138.930,70 15. Net accumulated losses -91.950,22 0,00

II. Cash-in-hand and bank balances 4.518.497,76 5.286.324,19 20.533.132,78 22.425.254,89

C. Prepaid expenses – Other 51.069,37 33.885,43

21.002.232,42 22.985.143,60 Auditor’s report

12/31/2009 12/31/2008 Equity and liabilities EUR EUR To Malteser Hilfsdienst e.V. A. Equity

I. Society funds 1.769.884,30 1.769.884,29 We have audited the financial statement – the audit of financial statements promulgated of the audit. The audit includes assessing the comprising the balance sheet and the income by the Institut der Wirtschaftsprüfer [Insti- accounting principles used and significant II. Revenue reserves 0,00 590.823,63 statement – together with the bookkeeping tute of Public Auditors in Germany (IDW)]. estimates made by the executive board, as well -91.950,22 0,00 III. Net accumulated losses system of the General Secretariat, Depart- Those standards require that we plan and as evaluating the overall presentation of the 1.677.934,08 2.360.707,92 ment Malteser International, of Malteser perform the audit such that misstatements financial statements. We believe that our audit Hilfsdienst e.V., Cologne, for the financial materially affecting the presentation of the provides a reasonable basis for our opinion. B. Provisions – Other provisions 639.888,91 804.297,53 year from January 1 to December 31, 2009. financial statements are detected with reason- Our audit has not led to any reservations.

C. Liabilities – with a remaining term of up to one year The maintenance of the books and records able assurance. Knowledge of the business In our opinion, based on the findings of and the preparation of the financial state- activities and the economic and legal environ- our audit, the financial statements comply 1. Trade payables 111.288,59 165.051,66 ments in accordance with German commer- ment of the Society of Malteser International with the legal requirements. 2. Liabilities to undertakings in which the society has a participating interest 453,70 608,20 cial law are the responsibility of the Society’s respectively and expectations as to possible 3. Liabilities to associated corporations 1.681,30 34,30 executive board. Our responsibility is to ex- misstatements are taken into account in the Cologne, March 26, 2010 4. Liabilities to Malteser Hilfsdienst e.V. — internal 55.788,51 32.288,17 press an opinion on the financial statements, determination of audit procedures. The ef- 5. Liabilities from earmarked appropriations 16.040.904,51 17.695.167,78 together with the bookkeeping system, based fectiveness of the accounting-related internal KPMG AG 7. Other liabilities 2.474.292,82 1.926.988,04 on our audit. control system and the evidence supporting Wirtschaftsprüfungsgesellschaft 18.684.409,43 19.820.138,15 We conducted our audit of the financial the disclosures in the books and records and statements in accordance with § 317 HGB the financial statements are examined pri- signed: Henseler (Wirtschaftsprüfer) 21.002.232,42 22.985.143,60 and German generally accepted standards for marily on a test basis within the framework signed: Junker (Wirtschaftsprüferin)

46 ANN UAL ACCOU NTS AU DITOR‘S REPORT 47 Strong partnerships for the future New ways of support Notes on the income statement

Starting in 2009 Malteser International offers a new way to engage in helping people in need around For consolidation reasons, the income statement of Malteser International is prepared according to the system the world: Associations and groups can enter into a partnership with Malteser International programme of accounts established by Malteser Hilfsdienst e.V.. The structure of the income statement (but not the audited regions in Africa, Asia and America. contents) therefore differs in some respects from the presentation of data elsewhere in this Annual Report and is briefly explained in the following notes. racha/Uganda. Malteser International has been supporting the hospital in Maracha in the fight against under- and malnutrition of children since 1996. The partnership will INCOME EXPENDITU RE provide continued support of the project in Uganda and secure a more sustainable long- Sales revenues include all income from supplies Grants from both public and private donors The items Cost of materials and Personnel ex- term perspective. and services provided. Allocations and grants which cannot be used in the current financial penses comprise the majority of direct project Malteser International welcomes these new from the public sector include project funds year (e.g. for projects that last for several years costs (e.g. costs of medicine and relief items partnerships as an important contribution provided by the German Federal Foreign Of- or are carried over into the next year), as well of a combined total of € 9,324,119; pay- to securing a long-term basis for projects fice and the German Federal Department of as donations which cannot be fully used in ments to building contractors in reconstruc- worldwide, and hopes that many associations Economic Cooperation and Development the current financial year (since a large pro- tion projects, costs of international and local of the Order of Malta and Malteser groups [BMZ] amounting to € 4,281,052 (of which portion of donations is received at the end project staff), as well as parts of the indirect all over the world will follow the example of € 1,504,713 financed by the Federal Foreign of the year) are carried over to the next year project costs and administrative costs (non Malteser Germany in Cologne and Pader- Office of Germany) and project funds by the and then used. The use of these funds that project-specific staff costs). born and assume the responsibility for one of European Union amounting to € 4,965,480. amount to € 16,040,905 is shown under In- The item Other operating expenses also in- the Malteser International projects in Africa,

Church contributions include project funds of come from the reversal of liabilities from invest- cludes direct project costs (e.g. structural aid Archut Andreas Dr. Asia or Latin America. € 40,000 The project resources provided by ment allocations /appropriated donations and and direct project support for local partners Visit to the health centre in Yei: The partnership with Malteser Cologne ensures a long-term basis for the work of UN organisations amounting to € 3,974,257 grants not yet used. (The carry-over of such in Eastern Europe amounting to € 472,921) Malteser International in South Sudan. Start a partnership with Malteser are included in the contributions by third par- funds to the following year is shown under as well as indirect project costs (pro-rata costs International! ties; the same applies to the project funds by Expenses for transfer to liabilities from ear- of media and public relations, costs of staff A partnership comprises mutual exchange, The visitors were very impressed and enthu- If you are interested in a partnership with Caritas Germany (€ 441,525), Caritas Swiss marked contributions.) recruitment and support) and administrative information on the projects on a first hand siastic about the work of Malteser Interna- one of the projects of Malteser International (€ 330,000), GLRA (€ 108,594) and to the The deficits amounting to € 682,774 are costs (rent, IT). basis as well as the possibility of a project visit tional in the towns of Juba, Yei, Rumbek and all over the world, please contact Kathrin donations received and claimed via Germa- covered by reserves and funds from previous In 2009, administrative costs amounted to to the location. The partners commit them- Maridi. Hereby, the personal intercultural Meier at Malteser International Headquar- ny’s Relief Coalition/ADH amounting to € years. 6.1 percent of our total expenditure. selves for a minimum phase of one year of contact with the people on the ground was ters (phone: +49 221 98 22 665, eMail: 311,328. Other operating income includes in- support through a variable amount of funds. utterly important. “We came as strangers”, [email protected]) come from donations and internal Malteser Long term partnerships are particularly en- said Dr. Andreas Archut, “and now we are organisation contributions amounting to a couraged and will allow Malteser Interna- leaving Yei with a feeling of belonging to combined total of € 5,273,696. tional to plan its relief projects with a view each other. We know that we are part of a into the future. big Malteser family all over the world. We won’t be able to see each other every day, but First partnership with South Sudan we know that we are there for each other.” More and more Malteser groups discover this (Read the whole article of Dr. Andreas Ar- new form of effective support to people living chut on page 50) in poverty or hit by natural or man-made dis- asters. Malteser Germany in the archdiocese Partnerships as the basis for long- of Cologne was the first group to start such term commitment a partnership with partner projects in South The partnership between Malteser Cologne Sudan. In September 2009, three representa- and South Sudan will be followed by Mal- tives of the Malteser group in the archdio- teser Germany in the archdiocese of Pader- cese of Cologne took the chance to visit their born. This partnership will include exchange partner region South Sudan and to see the with and funding for the Malteser Interna- work on the ground. tional nutrition unit in the hospital in Ma-

48 NOTES OF TH E INCOME STATEMENT Strong partnersh ips for th e futu re 49 PORTRAIT OF OU R H ELP South Sudan – Combating sleeping sickness, leprosy and tuberculosis

In September 2009 a delegation of Malteser volunteers from the archdiocese of Cologne (Germany) visited the projects of Malteser International in Southern Sudan. This was the first trip within their sponsorship for the programme in Sudan.

eral of Malteser International, Ingo Radtke, quickly change to become those who are ob- the Cologne Malteser branch have agreed served. The local employees probably wonder that the projects in Southern Sudan will be what these strange pale figures from the fara- the “godchild” of the diocese. Malteser Inter- way Germany want here. Five international national is active in this region in many dif- and 100 local staff members work for Mal- ferent ways: in Southern Sudan the focus lies teser International in Yei. They welcome us on the cities of Rumbek, Maridi, Yei as well as warmly with a mixture of respect and cau- the capital Juba. Furthermore Malteser Inter- tious curiosity. national is also working in the crisis-ridden Ingo Radtke explains that we are three vol- region of Darfur. In addition it runs offices unteers from the Malteser Archdiocese of and projects in the neighbour countries DR Cologne, representing all the members of the Congo, Uganda and Kenya Malteser in Cologne who want to support the projects in the Sudan: Good godparents Being a „mzungu“ in the Sudan are interested in their godchildren. The fact A “mzungu” is a foreigner with white skin that not “officials”, but “little helpers” went colour. In the villages of Southern Sudan on the long journey, astonish our partners Dr. Andreas Archut such “wazungu” (plural form of ‘mzungu’) are over and over again. not really common sights. No wonder that However, the mutual recognition increases Extracts of the travel diary of small children stop on the road with open with the growing understanding of our mis- Dr. Andreas Archut eyes and mouths when seeing us. Our del- sion. In the end, the staff members in Yei are (Malteser Germany, Cologne): egation consists of three “wazungu” from the not less impressed than their visitors. They “…the Diocesan Board of Malteser in the German Rhineland. And none of us has ever thank us for the energy that our visit had Archdiocese of Cologne has recently decided set his white foot on African soil before. given them. And all of a sudden we all feel as to support Malteser International with an an- Our visit in the Sudan is a game with a part of a large, global Malteser family. nual mite. Together with the Secretary Gen- changing rules: introduced as “observers” we The difficult combat against tropical diseases Right after our arrival we get a first impres- sion of the work of Malteser International: On a tour we visit the St. Bakhita Health Centre of Yei. It arose out of different projects of Malteser International to combat tropical diseases and HIV/AIDS and was named after

Josephine Bakhita (1869 – 1947), the first Betzelt Birgit Catholic saint of the Sudan. Visit to the health centre in Yei providing diagnosis and treatment for people infected with tuberculosis, sleeping sickness or leprosy: “It is good and important to be active here.” Until today the health centre is not only the last, but the only chance for hundreds of amputations are often already inevitable. Just problems. Perhaps one can get used to mis- And then it is time to say goodbye. We came thousands of people living in the region in as with Maria, an old woman from the sur- ery but to give up is a totally different case. as strangers and leave Yei with the feeling that case they contract an infection such as tuber- roundings of Yei. Her right foot has to be The encounter with the poor and sick in the we belong to the same family somehow. At our culosis, sleeping sickness or leprosy. For lep- removed soon. We ask her what will come “St. Bakhita Health Centre“ is definitely very farewell we all hug each other for the last time ers, the St. Bakhita health centre has a spe- next. The old woman looks at us sadly and touching. And that brings up in us the con- with the strong feeling that we are all a part of cial building. Leprosy is an infectious disease then thoughtfully says a few words in the viction that it is good and important to be a big Malteser family. Even if we don’t see each caused by a bacterium and known since the language of their tribe. The nurse translates active here. other all the time we know that we can rely on ancient world. Today it can be treated well with an expressionless face: “She thanks Mal- each other. The first step has been made…” by the combination of several antibiotics, but teser International for all what they will do An international Malteser family these drugs are often not available in devel- for her.” The words resonate in us for a long For the three of us from the Rhineland the Dr. Andreas Archut,

Dr. Andreas Archut Andreas Dr. oping countries. When the patient can not time, even after we have said goodbye. Our visit in Africa – our first one – is a week full Malteser Germany/Cologne The German “wazungu” came as strangers and left as part of a big international “Malteser family”. hide the infection anymore, mutilations and help is important, but we cannot solve all of new impressions and intense experiences.

50 Strong partnersh ips for th e futu re Strong partnersh ips for th e futu re 51 supporting the medical and humanitarian activities of its national As- ice to people in need. At present, Malteser International has two sociations and of its worldwide relief service, Malteser International. branches: “Malteser International” (www.malteser-international.org) In the international political field, the Order of Malta is neutral, in Europe (Cologne/Germany) and “Order of Malta Worldwide Re- Malteser International and the global impartial and non-political. Due to these characteristics, the Order lief – Malteser International Americas” (www.maltarelief.org) in the can act as a mediator. USA (Washington DC). Wherever aid is needed, Malteser International is ready to provide network of the Sovereign Order of Malta Malteser International –the Order of Malta’s worldwide it – with care, with compassion, and with a commitment to help with relief service for humanitarian aid sustainable rehabilitation once the immediate need is over. Malteser With its work and mandate, Malteser International has taken up the International’s work stretches from north to south and across the historic mission of the Order of Malta. Evolved from Malteser Ger- world, based on and supported by the worldwide network of the Or- many, thus set up in accordance with German Law, and launched on der. Around 1,000 employees carry out missions in about 20 coun- 4 March 2005 in Rome as the worldwide organisation of the Sover- tries. 90 to 100 international experts are currently working in the eign Order of Malta for emergency relief and rehabilitation, Malteser world’s emergency and crisis regions in close cooperation with about History and mission of the Sovereign Order of Malta International took the place of the former ECOM (Emergency Corps 900 local staff members. They provide first aid and first aid training, Order of Malta) which had long-standing experience in international basic health care, vaccination programmes, care for people suffering relief activities. It connects the existing humanitarian strengths and from leprosy, HIV/AIDS and other diseases, as well as alleviation The purpose of the Sovereign Order of Malta is “the promotion of … the Christian virtues of charity and brotherhood. The expertise within the Order’s institutions and helps to reinforce the from hunger and homelessness. Thus Malteser International and its Order carries out its charitable works for the sick, the needy and refugees without distinction of religion, race, origin or age. global network of 46 National Associations and Grand Priories with staff truly fulfil the mission of the Order of Malta: to care for those in The Order fulfils its institutional tasks especially by carrying out hospitaller works, including health and social assistance, the aim of pooling the resources of all partners in a worldwide serv- need. This is as important today as it was 900 years ago. as well as aiding victims of exceptional disasters and war …” (Extracts from Article 2 of the Constitutional Charter)

The birth of the Order dates back to around 1048 in . It is a With its 12,500 members, around 80,000 specially trained voluntary sovereign subject of and the oldest Order of knights helpers and 13,000 employees, the Order of Malta provides help and of the . Made a religious Order by a bull issued by assistance for people in need. Pope Pascal II on 15 February 1113, the Order had to defend the sick and the Christian territories. All the knights were religious, bound by Diplomacy – Linking into humanitarian activity the three monastic vows of poverty, chastity and obedience. As time Today the Order has representatives in more than 50 countries, dip- went on, the Order adopted the white eight-pointed cross that is still lomatic relations with 104 countries and permanent observer status at its symbol today. After losing its military role in 1798, the mission of the United Nations, the European Union and numerous international the Order became exclusively humanitarian. organisations, providing a unique diplomatic humanitarian network Following its historic mission to help the sick, the needy and the which is both a demonstration of its and an operational most disadvantaged in society, the Order of Malta continues its work instrument for its humanitarian activities. today. Its programmes include medical and social assistance, disaster Diplomatic relations also mean unparalleled access, at the political relief in the case of armed conflicts and natural catastrophes, emer- level, to national governments and international organisations. There gency services and first aid corps, help for the elderly, the handicapped is an important operational link between the Order’s diplomatic net- and children in need and the provision of first aid training, as well work and its humanitarian activity as it frequently enables the Order as support for refugees and internally displaced persons regardless of to react rapidly to emerging needs, and to speed the delivery of aid. race, origin or religion. The Order’s embassies in different parts of the world are tasked with

“As we face a world where economic distress is a fact of life, the plight of those who suffer – the poor, the sick, the homeless, inter- Around1,000 employees carry out missions in about 20 countries, supported by the staff in the headquarters in Cologne (Germany). nally displaced persons, refugees, the disabled, the elderly – becomes ever more acute. We, members of a religious lay Order with a 900- year old tradition of caring for the poor and the sick, are crucially Members of Malteser International (June 2010) aware of the need to look to our fellow man. This has always been our mission, and it remains our mission and our focus today. Australia Germany Mexico Switzerland From our founding in Jerusalem, the Order has concentrated on www.smom.org.au www.malteser.de www.ordendemaltamexico.org www.malteserorden.ch helping those who suffer. And in the twenty-first century, every Austria Great Britain Netherlands of America hour of every day in over 120 countries, Order members, staff and www.malteserorden.at www.orderofmalta.org.uk www.maltezerorde.nl www.maltausa.org www.orderofmalta-federal.org volunteers work in our hospitals, hospices, day care centres and Belgium Poland www.orderofmaltausawestern.org schools. It is a work that never ends and a vocation that we are www.ordredemaltebelgique.org www.orderofmalta.org www.zakonmaltanski.pl proud to carry out…” Canada Ireland Portugal Fra’ Matthew Festing www.orderofmaltacanada.org www.orderofmalta.ie www.orderofmalta.org 79th Grand Master of the Sovereign Order of Malta Cuba Italy Scandinavia www.ordendemaltacuba.com www.ordinedimaltaitalia.org www.malteserorden.se www.orderofmalta.org

Antonello Nusca (Reproduced with the kind permission of the Communications Of- France Malta Singapore www.malteser-international.org His Most Eminent Highness the Prince and Grand Master Fra’ Matthew Festing fice of the Sovereign Order of Malta) www.ordredemaltefrance.org www.orderofmalta-malta.org www.orderofmaltasingapore.org www.maltarelief.org

52 h ISTORy and M ission H ISTORY AND MISSION / MEM BERS 53 54 Structures and committees of Malteser International J U Comte Thierry deBeaumont-Beynac Comte Thierry N E 2010 E N Ambassador (ret.) TheodorWallauAmbassador (ret.) (Switzerland), FinancialSupervisor (Switzerland), S Charles-Louis deLaguiche Charles-Louis tr u ct (Germany) u (France) res

ND AN Nicolas deCockRameyen C Secretary General Vice-Presidents MMI EES TE IT M OM President Ingo Radtke (Germany) (Belgium) Richard Freiherr vonSteeb Geoffrey Gamble Michael Khoo (Singapore) (Austria) (USA) Board of Directors and participates in them with an advisory vote. strategy of Malteser International. He prepares the meetings of the of Malteser International in line with the adopted budgets and the was takenover by arepresentative from theAsia/Pacific region. sixth a of position years.The four Vice-Presidentanother 2009 in elected unanimously by the General Assembly on 5 May 2009 for re- were – commitment further a for preparedness their declared nial term of office, all members of the Board of Directors – having quadren- first their After basis. voluntary purely a on works and Malteserwith Germany.form yearper times Itfour least at meets written in made been have that arrangements the of framework strategic the orientation and bears the of overall responsibility within charge the in is Directors of Board The Malta. of Order the of members be to have Directors of Board the of members four another least at and President Supervisor.The Financial of sition President and up to six Vice-Presidents whereof one holds the po- well astheapproval oftheannualbudget. as accounts annual the of acceptance the Directors, of Board tary volun- the of discharge the and election the year.is duty Itsmain a once least convokedat is that GeneralAssembly the form tional Malteserof Internathe Chaplain Vice-Secretarythe - Generaland General, Secretary the Directors, of Board the with together tives representa- Their International. Malteser of members currently are Malta of Order the of Priories and Associations national 22 The salaried Secretary General manages the operational activities the of consists International Malteser of Directors Boardof The A BB

AussiCODES CDF/AusAID LASOONA RE CAAFW NWSDB UNICEF UNHCR CHHRA UNOPS AMREF LRWHF CISOM UNFPA MHDA USAID SDMA SDMA UNDP NHSD ECHO TDDA WCFF GLRA ADPC WHO NIDA CIDO CERF HFTC MAV TCCF AECI PMK ADH BMZ V WFP NCC DED FAO GTZ CHF EDF PHF IRC IBC AA STI ATIONS World HealthOrganisation (Switzerland) United NationsWorldFoodProgramme (Italy) United NationsOffice for Project(Denmark) Services United NationsChildren’sFund(USA) World ChildFuture Foundation(Liechtenstein) United States Agencyfor (USA) InternationalDevelopment Office oftheUnitedNationsHighCommissioner(Switzerland) for Refugees United NationsPopulationsFund(USA) United Nations Development ProgrammeUnited NationsDevelopment (USA) Trincomalee District Development Association (Sri Lanka) Association(Sri Trincomalee DistrictDevelopment Turkmeneli Cooperation andCultural Foundation(Iraq) Swiss Tropical Institute State DisasterManagement Agency(Pakistan) Die Sternsinger –Päpstliches MissionswerkderKinder(Germany) Pakistan HumanitarianForum National Integrated AssociationPakistan andDevelopment Network for (Pakistan) HumanandSocialDevelopment National Water SupplyandDrainage BoardLanka) (Sri Nairobi CityCouncil(Kenya) Malteser HospitaldienstAustria Employee representation ofMalteserGermany International RescueCommittee(USA) Help for theChildrenLanka) (Sri Lanka RainWater Lanka) HarvestingForum(Sri Society for HumanandNatural Resource (Pakistan) Development International BlueCrescent (Turkey) GmbH(Germany) GesellschaftfürTechnischeZusammenarbeit Deutsche German Leprosy andTuberculosis ReliefAssociation Food andAgricultural Organisation oftheUnitedNations(Italy) European Fund Development oftheEuropeanHumanitarian Aiddepartment Commission(Belgium) Deutscher Entwicklungsdienst (Germany) Entwicklungsdienst(Germany) Deutscher Society Integration Organisation Development (Cambodia) HealthandHumanRightsAlliance Cambodian Central Emergency ResponseFund Fund/AustralianCommunity Development Agencyfor InternationalDevelopment AssociationforCambodian AssistancetoFamiliesandWidows Federal for Ministry EconomicCooperation (Germany) andDevelopment Ambulance CorpsoftheItalianAssociationOrder ofMalta Common HumanitarianFund andEducationalSociety(Indien) Aussi CommunityDevelopment Agencia Española de Cooperación InternacionalRisk Management (Spanish Agency for International Cooperation)Asian DisasterPreparedness Centre,Bangkokfor training inCommunityBasedDisaster Federal Foreign Office(Germany) African MedicalandResearch Foundation(Kenya) Hilft) Deutschland ReliefCoalition(Aktion Germany’s

Birgit Betzelt R NT PRI M I www.moeker-merkur.dePrint: www.mwk-koeln.de Layout/Setting: Blickle) cation andjointhandwashing(Romy Hygieneedu Myanmar: coverphoto: Back page 34:Vietnam (Birgit Betzelt) International) page 22:Haiti(Malteser page 18: Thailand(Jörg Worms) page 12: Uganda(BirgitBetzelt) Molitor) page 4:Indonesia(Thomas Full pagephotos: hospital (BirgitBetzelt) for malnourishedchildren intheMaracha Cover photo: BenjaminSchlüter,tonello Nusca, Jörg Worms An DominicMcCann, Sebastian Mantei/MDR, WolfgangGuenther,Fuss, ArndtGysler, ich.tv, BirgitLenaArjoldi, Betzelt, Egenberger, Miriam Dr.dienst Austria, Andreas Archut,Eugenio Order MalteserHospital ofMaltaMexico, Order ofMalta, MaltaPhilippines, Photographs: MalteserInternationalarchive, Dominic McCann ChristineProkopf, JuliaKost, (editor-in-chief), PetraEditorial team: Ipp-Zavazal Responsible forIngoRadtke content: Fax: +49(0)221 9822179 +49(0)221 Phone: 9822-151 D-51103 Köln(Germany) Kalker Hauptstr. 22–24 Malteser InternationalHeadquarters Published by: A BB Ident-No. 105580 RE Uganda: Atthenutritionunit Uganda: V TOS/IMPINT PRI M I / ATIONS - - - 55

Nadine Fislage Do you want to be informed about news, activities and highlights from the worldwide projects of Malteser International? Would you like to stay in touch and receive regular updates? Subscribe to the Malteser International Newsletter “On the SPOT” It is distributed by e-mail and published on our website. You will receive “On the SPOT” every six to eight weeks free of charge and without obligation. To subscribe to “On the SPOT” please visit our website and fill out the subscription form under “Newsletter” or send an email [email protected] . Thank you for your interest!www.malteser-international.org

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