Malteser International Annual report 2005
www.malteser-international.org Malteser International – help right on the spot – worldwide.
Malteser International, the Order of Malta’s worldwide relief service, was created in 2005 to combine its relief activities in specialised humanitarian aid. It is based on the experiences of the Emergency Corps Order of Malta (ECOM), and on the existing global structures of Malteser Germany. The major concern of Malteser International is to help people in need without distinction of religion, race or political persuasion. Christian values and the humanitarian principles of impartiality and independence are the foundation of its work. Malteser International is committed to ensure high quality standards in humanitarian aid. Accountability and transparency are priorities of its agenda. The organisation’s policy is to continue its relief efforts in afflicted areas for as long as they are necessary. With its headquarters in Cologne (Germany) and its local and international staff on the ground, it covers humanitarian projects worldwide. Malteser International has the status of a Non-Governmental Organisation.
Malteser International’s mission is to:
● Provide relief to major emergencies in the world, especially in the health sector
● Implement rehabilitation measures and link relief, rehabilitation and development
● Establish and promote primary health care services in developing countries
● Reduce the vulnerability and poverty of those afflicted
● Care for refugees and returnees
● Support partner Non-Governmental Organisations In addition, Malteser International has a special ongoing programme of supporting the development of partner organisations and their social services in Eastern Europe.
„Our motivation is to alleviate human suffering.“* (Code of Conduct: The humanitarian imperative comes first)
Malteser International is member of following networks and associations, among others: ● Aktion Deutschland Hilft (ADH) (Action Campaign Germany Helps) ● Aktionsbündnis gegen AIDS (Action against AIDS Alliance) ● Arbeitskreis Medizinische Entwicklungshilfe (AKME) (Working Group on Medical Development Aid) ● Koordinierungsausschuss Humanitäre Hilfe (KAHH) (Coordinating Committeee for Humanitarian Relief) ● Katholischer Arbeitskreis Not- und Katastrophenhilfe (KANK) (Catholic Working Group on Emergency and Disaster Relief) ● People in Aid ● Verband Entwicklungspolitik Deutscher Nicht-Regierungs-Organisationen (VENRO) (National Association of German Non-Governmental Organisations for Development Policy) ● Voluntary Organisations in Cooperation in Emergencies (VOICE)
Malteser International has committed itself to observe, inter alia, the following national and international codes and standards: ● The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster Response ● The Code of Conduct: Principles of Conduct for the International Red Cross and Red Crescent Movement and NGOs in Disaster Response Programmes ● Principles for the international work of the German Caritas Association ● Code of Conduct to protect children and young people from abuse and sexual exploitation (Caritas Internationalis)
2 MISSION STATEMENT Editorial
Dear Friends and Supporters of Malteser International, dear Readers,
2005 was a year full of dramatic events: in January, the devastating effect of the tsunami in Asia was revealed. From ‘Katrina’ through ‘Stan’ to ‘Wilma’, several severe hurricanes swept in across the Gulf of Mexico during late summer. Thousands suffered in appalling drought conditions in Mali and Niger. The disastrous earthquake that hit Pakistan and India at the beginning of October was Nicolas de Cock de Rameyen the last in a list of events that made 2005 a year of disaster. 88,000 people died in the rubble. Three President million were rendered homeless.
In a world growing closer together every day, the need for aid is prevalent more than ever. Therefore, Malteser International, the Order of Malta’s relief service for worldwide humanitarian aid, was founded on 24 June to take up the challenge to help those in distress worldwide. With Malteser International, we combine the forces of the Order and reinforce the network of its 46 associations in order to increase the efficiency of our aid on a lasting basis.
Ingo Radtke The year 2005 with its sequence of natural disasters was the first practical test for Malteser Secretary General International. In the face of these disasters, worldwide cooperation and sympathy was also overwhelming. Our thanks go to the many donors, sponsors and supporters, as well as numerous volunteers and full-time employees. They enabled the provision of professional aid for all people in dire need, not only those in Asia, New Orleans, Mali or Pakistan, but also in many other crisis areas around the world that were not in the focus of television cameras. For we must not forget, for example, that over 200,000 people have died in Darfur in Western Sudan since 1993, that civil wars in the Democratic Republic of Congo and in Uganda have forced over four million people to flee their homes and that millions of people in the Sahel are threatened by extreme famine every year.
We are pleased to be able to offer you an overview of our work in this annual report. With around 200 projects in over 40 countries in Africa, Asia, America and Europe, more than 100 international and 800 local employees ensure that our aid reaches over seven million people worldwide.
Many people have contributed to what Malteser International has achieved so far and what it intends to achieve in the coming years. Our work is far from over. We provide concrete help, aiming to give people courage for the future. Therefore, we would like to thank you for all you have done and ask you to continue to accompany and support us on our journey!
Malteser International – help right on the spot – worldwide. Thanks for your support!
Cologne, August 2006
Nicolas de Cock de Rameyen Ingo Radtke President Secretary General
EDITORIAL 3 Contents Malteser International – help right on the spot – worldwide.
Mission statement 2
Editorial 3
Contents 4
Pictures of the year 6
“We want to build aid bridges” 8 3 Africa AMERICA Our projects in Africa 9 - 15 On the spot: Southern Sudan 14 On the spot: Democratic Republic of Congo 15 2 Asia Tsunami – interim statement 16 1 Our projects in Asia 18 - 28
Project overview 2005 22 - 23 AMERICA On the spot: Pakistan 26 1 Guatemala – p. 31 On the spot: Thailand 27 2 Mexico – p. 31 On the spot: Cambodia 28 3 USA – p. 29 - 30
America Our projects in America 29 - 31 On the spot: New Orleans 30
Europe Our projects in Europe 32 - 36 Balkans 32 On the spot: Bosnia and Herzegovina 33 Turkey 33 Central and Eastern Europe 34 - 36 On the spot: Romania 36
Facts and Figures Experts abroad 37 Annual accounts as of 31 December 2005 38 Incoming donations 39 Project expenditure 40
Acknowledgement 41
Member associations 42
Structures and committees 43
About us 44
4 CONTENTS Malteser International – help right on the spot – worldwide.
EUROPE 5
4 6 ASIA 15 20 19 22 21 17 11 12 13 24 16 25 AFRICA 9 23
148 10 18 8 AFRICA 7 Angola – p. 9 8 DR Congo – p. 9 - 10, 15 7 9 Ethiopia – p. 11 10 Kenya – p. 11 11 Mali – p. 12 12 Niger – p. 12 13 Sudan – p. 12, 14 14 Uganda – p. 13
EUROPE 4 Balkans – p. 32 - 33 5 Central and Eastern Europe – p. 34 - 36 6 Turkey – p. 33 ASIA 15 Afghanistan – p. 18 16 Cambodia – p. 19 17 India – p. 19 18 Indonesia – p. 20 19 Iran – p. 20 20 Iraq – p. 21 21 Myanmar – p. 21 22 Pakistan – p. 24, 26 23 Sri Lanka – p. 24 24 Thailand – p. 25, 27 25 Vietnam – p. 25
CONTENTS 5 Pictures of the year Frank Bierstedt Frank 22 February 2005 Earthquake in Iran Kurt Oxenius Kurt 26 December 2004/January 2005 Tsunami in South and South-East Asia 28 March 2005 Earthquake in Nias, Indonesia
April 2005 Flood aid in Serbia, Romania and Hungary May 2005 New schools for children in Iran
6 PICTURES OF THE YEAR July 2005 Flood aid in
Roberto Girault Gujarat, India 24 June 2005 Foundation of Malteser International
29 August 2005 Hurricane Katrina
Reuters hits the USA August 2005 Famine disaster in Mali and Niger
8 October 2005 Earthquakes in Pakistan and India September 2005 Flooding across the US Gulf Coast, in India and in Romania
October 2005 Hurricane Stan and Hurricane Wilma hit Central America
PICTURES OF THE YEAR 7 “We want to build aid bridges”
Interview with Ingo Radtke, Secretary General of Malteser International
Disasters in recent times have shown how heavily dependent the different regions of the world are upon one another. How is Malteser International approaching this challenge? Building on the experiences of all relief agencies worldwide, Malteser International is now the sole organ responsible for international humanitarian aid from the Order of Malta, combining aid from the 46 states in which the Order is present. Our relief is implemented worldwide – in the spirit of the Order of Malta, for the good of those in need and for the glory of God.
What is your ideal vision of aid? We want to build ‘aid bridges’. In terms of humanitarian aid, this means: one pillar Is today’s focus still on major disasters and war in the Congo in the last few years of the bridge is here and one is in the as it was right from the start? than during the tsunami that was labelled recipient country. We represent the pillar We were and remain active in many the ‘disaster of the millennium’? We are here, with our many thousands of helpers. crises. We have been working in the professionals who focus on the long- With great commitment from volunteers Congo since 1994, focussing on the term. and donations that are the expression terrible consequences of the genocide in of living solidarity with the victims. Rwanda. Other focal points include aid in How would you sum up the provision Thanks to extensive human and financial the Balkans after the Dayton Agreement, of aid today? resources, on behalf of our sponsors we in Honduras after hurricane Mitch, aid We should not limit ourselves to acute create conditions for efficient aid where during and after the war in Kosovo, after emergency aid. It is not enough to pull it is needed the most. The second pillar is floods in Mozambique and earthquakes in a drowning man from the water and in the country receiving aid. It is largely El Salvador, India and Iran and our most then leave him to it with a few pieces composed of local people. recent efforts in Afghanistan and Iraq as of advice. Only once the ruined hut has well as in areas hit by the tsunami. been rebuilt and the means for existence Are people in these areas capable of destroyed by the flood have been re- fulfilling requirements themselves So a lot of your work is carried out in established will our aid have reached its then? front of TV cameras and amongst a primary objective, namely helping people Oh yes! We find this every time we flurry of flashbulbs? to help themselves. We must be willing provide aid: local people are absolutely No, not really. Our work doesn’t end and able to be present 365 days a year and partners at eye-level during these disasters; with a few efforts after disasters that to accompany those affected by disaster they are not beggars in need of alms. This have received heavy media coverage. We until they are able to take control of their is why it is crucial that equal weight is believe a crucial aspect of our work is own lives again. Our ‘aid bridges’ are just distributed between these two pillars for the forgotten crises. The real dramas are what is required here. ‘aid bridges’. They are intended not to played out beyond the reach of cameras. create dependencies, but rather to bring For example, who realises that more Interview by Sebastian Sigler people together. people have died as the result of hunger
8 INTERVIEW Africa
Building up and strengthening health care structures, training local staff and combating epidemics are the main focus of attention for Malteser International in six countries in Eastern and South Africa. Close links between our projects are crucial, particularly in the medical sector. Measures to stem the HIV/AIDS pandemic as the world’s greatest disaster are combined with special programmes to combat illnesses such as tuberculosis, which arise particularly frequently in relation to HIV/AIDS. This means counteraction of these illnesses can be made even more effective. In order to fight the famine disaster in the Sahel, we extended our aid in summer 2005 to the west of the continent, providing corn and maize for the people of Mali and Niger.
Angola reaching around 800 people in the process. Democratic Republic of Congo In the accessible regions of the province International staff: 3 International staff: 10 of Kuando Kubango, we supported the National staff: 19 National staff: 126 national polio immunisation campaign, Aid for 100,000 people Aid for 2.7 million people during which over 100,000 children Malteser International has worked in Malteser International has worked received vital vaccine protection. Angola since 2002. in the Democratic Republic of Congo since 1996. Since the end of the 27-year civil war, Malteser International has been supplying For the Democratic Republic (DR) acute emergency aid in the province of of Congo, peaceful relations across the Kuando Kubango in the remote south- country are still a long way off. Unrest west of the country. Over the past few and insecurity remain prevalent, mainly years, the number of aid organisations in the east of the country, but at increasing working in this inaccessible region – levels in the south as well. Numerous also known as ‘the end of the world’ pacification efforts by the United Nations – has dropped sharply. Since 2005, we Angola: Children in Kuando Kubango are particularly and the European Union have only have been one of the few organisations affected by malnutrition and insufficient medical achieved selective relief. It has at least helping the suffering population deal with supplies. been possible to dramatically restrict the conditions of extreme undersupply. In Up till now, our relief programmes tyranny of the self-proclaimed warlords. the transition phase from emergency aid have mainly been financed from private Thus, it has been possible for aid to reconstruction, our focus was on the donations. For the year 2006, we are organisations to carry out aid measures development of and support for existing preparing an extensive programme to for the population relatively undisturbed. local resources in the health care sector. reconstruct remote health care facilities Malteser International has continued Unfortunately, large areas of our project and to combat HIV/AIDS, tuberculosis its long-running support in the region, region were closed in 2005 due to the and malaria, with financial support now reaching a period of over ten years. finding of more mines. This meant we from the European Union and other In order to promote long-term structures could only work within a limited area. We international donors. for self-sufficient supply, our work regularly provided medicine and medical supplies that were urgently needed for 15 Angola: Provision of isolated health care facilities in the district urgently needed medicine for health care centres in remote of Menongue. In a one-off campaign, we areas. distributed medical supplies and around 90,000 tablets for malaria treatment. We supported local self-help organisations as they explained to the people about HIV/ AIDS and looked after those affected by the disease. As part of the World AIDS Day, we took part in a ten-day sensitisation campaign at police stations and barracks,
AFRICA 9 supports the local health care systems in focussing on combating trauma, as well PRIMARY HEALTH CARE: the provinces of South Kivu and Ituri in as the monitoring of local staff and the east of the country. The basis for this workers from local aid organisations. Every human being should have access to is our cooperation with the health care Thanks to sensitisation and awareness fundamental medical care – a fact that is facilities in the provinces and with local campaigns amongst the population and taken for granted, but which is not yet a non-governmental organisations. We of the military in cooperation with local reality in many countries. In addition to regularly provide more than 300 health authorities, we are able to confront sexual the prevention and treatment of infectious care centres and other medical facilities abuse on a wide basis. Over the last year, diseases, the most crucial elements of with medicine and medical equipment, more than 10,000 abused and raped girls primary health care are immunisation so that they can carry out their services and women have sought medical and programmes and safe access to drinking uninterrupted. In this way, over 900,000 psycho-social treatment at the health care water, food and medicine. Others include people in Kivu and around 1.8 million centres supported by us. We estimate that care for pregnant women, children and people in Ituri get access to improved a further 10,000 girls and women will the chronically sick, as well as training for primary health care. We believe a seek professional help this year, too. medical staff and health education. With crucial factor is the training of local staff, A further focus of our work in South as little as EUR 35, we can ensure primary conducted by our experts and providing Kivu is our programme for food security, health care for a child or an adult person in medical advice. In addition, we collect which aims to make the population Africa or Asia for a whole year. comprehensive data to track health care more independent of external aid on a development in the region and assess the effect of local measures. In 2003, we extended our programmes in both regions to provide more comprehensive help in terms of psycho- social and medical care for the numerous victims of sexual abuse. Since then, 28 centres linked with primary health care facilities have opened up in South Kivu for sexual abuse victims, offering specialist medical treatment and psycho- DR Congo: Work social care. A crucial role here is played with women forms by expert training and further education, a focal point of our projects in
Birgit Betzelt South Kivu.
long-term basis. To this end, we have set up 13 nutrition centres in which undernourished children under the age of five can be nursed back to health, as well as ten centres for small livestock breeding. Via 23 centres for food security, we distribute seeds to the population, making a sustainable contribution to self- sufficiency in these areas. At the nutrition centres, we train staff who then establish demonstration gardens to show the population suitable cultivation methods and provide nutritional advice.
DR Congo: Support for over 300 health care centres with medicine and medical equipment.
10 AFRICA Ethiopia Kenya HIV/AIDS: National staff: 2 International staff: 2 AIDS (Acquired Immunodeficiency Aid for 15,000 people National staff: 14 Syndrome) is the last stage of a viral Malteser International has worked in Aid for 600,000 people illness triggered by the HI virus (Human Ethiopia since 2001. Malteser International has worked in Immunodeficiency Virus). AIDS often Kenya since 2002. results in pneumonia, skin diseases and diarrhoea – even meningitis, which in In 2005, Malteser International focussed Malteser International is battling the many cases leads to death very quickly. on the region of Benishangul in the west spread of tuberculosis and HIV/AIDS in The HI virus is transmitted through sexual of the country around the border with eight slums in Nairobi, working to secure intercourse, blood transfusions and Sudan. Here we provided aid in the form the functionality of local health care medical instruments (needles, tweezers, of small projects and organised training facilities that were previously built by blades), but can also be transmitted from programmes for women’s groups. Based us or renovated in terms of structure and mother to child during pregnancy, birth on our experiences in building water equipment. Information campaigns and or breastfeeding. Special blood tests can supply systems in Mandura in previous close cooperation with the authorities and be used to detect antibodies against years, we rebuilt the water supply for local organisations contribute to stemming the virus in the blood. AIDS is incurable, Gilgel Beles, a location near Mandura, the spread of the illnesses. In order to but the illnesses cited above can be at the request of the local authorities. ensure the long-term sustainability of our treated, slowing down the progress of For this, Gilgel Beles was connected project measures, we are also pushing AIDS itself. In the meantime, even those via a water conduit measuring several more and more state institutions to make living in poverty have access to modern kilometres to the reconnected water a contribution. For example, the Kenyan AIDS medicine (so-called antiretroviral source at Mandura. This aid was provided authorities have made the majority of medicine) that hinders the progress of thanks to the financial support of the pharmaceutical products tax-free since AIDS. This development offers a chance German Government. 2005. Malteser International tracks the that one day the worldwide epidemic In the future, we are aiming to support project through regular quality controls may be stemmed long-term. Up until the Ethiopian population with small in order to further increase the quality now, around one million people have projects. Further aid measures are at the performance at health care centres. One been reached, but six million require this planning stage in relation to education for health care centre supported by us in one medicine in order to lead a full life once women and food security. of the Nairobi slums has already been more. There are 40 million people infected voted the facility with the best diagnosis with HIV worldwide. Every day, 8,000 services by the Kenyan government. FOOD SECURITY: people die from AIDS. For 2006, we are planning to extend our In terms of humanitarian aid, differentiation activities to other slums. is made between direct food aid and long- term food security. Food aid is the direct Kenya: Project provision of foodstuffs in acute emergency coordinator Paul situations. In contrast, the aim of our food Ochieng explains the connection security programmes is to enable long-term between HIV/AIDS food supply without creating permanent and tuberculosis dependence on food aid. We prepare seeds to a slum resident. and agricultural equipment after a disaster, so that people can replant crops and harvest them. In regions where children are under- nourished, we help their mothers plant vegetables and fruit and teach them to prepare nutritious meals. Sven Torfinn Sven
AFRICA 11 Mali and Niger As a result of the drought and a plague of grasshoppers, the dire need of the people of the Sahel zone – particularly in Mali and Niger – became so widespread in summer 2005 that Malteser International expanded its aid programme from eastern and southern Africa to cover the west of the continent as well. In the short- term, we sent an assessment team who rapidly collected reliable information and immediately started an aid programme for the people of Mali and Niger. In Mali, we supported the National Security Stock. Thanks to comprehensive financial aid, the Malian government was able to procure 520 tonnes of cereals for 17 cereal banks across the country. This meant several thousand people were supplied with food which led to an Niger: Each family receives 20 kilograms of maize. Half of the next harvest will be given back to the community to build up stocks for emergencies.
affected by malnutrition as the result in the reality of daily life has proven to of natural disasters - particularly in the be difficult and drawn-out. Furthermore, summer of 2005 -, we decided to tackle this treaty does not apply to the civil war the problem on a broader basis and at the raging in the Darfur region in the west of roots. We initially restocked the levels the country. Two of the warring parties in a cereal bank, as we did in Mali. 15 have indeed signed a peace agreement on villages were provided with a total of 28 5 May 2006 in Nigeria. This agreement, tonnes of maize as seeds. These stocks will help them survive the period until SLEEPING SICKNESS: the next harvest. However, each recipient Sleeping sickness is an infectious disease that has also simultaneously pledged to ‘pay results in death if it is not treated promptly. back’ part of their next harvest as seeds to It only occurs in a few countries, such as the relevant village committee, in order to Sudan, Congo and Uganda. The trigger is a secure stocks for the coming year and in parasite transmitted by the tsetse fly. In its case of any future disasters. final stage, sleeping sickness leads to brain fevers that also cause sleep disorders (hence Sudan the name). The pathogen can be detected in Mali: Filling the national cereal banks with 520 the blood or through tapping cerebrospinal tonnes of cereal. International staff: 11 fluid in the spinal cord. Sleeping sickness extensive improvement in the foodstuffs National staff: 237 must be treated, but this often triggers situation, particularly in Mopti - around Aid for 630,000 people side-effects that can also result in death. 640 kilometres north-east of the Malian Malteser International has worked in However, for around EUR 1,000, a treatment capital, Bamako. Sudan since 1998. can be provided that significantly reduces the In Niger, the lack of rainfall and the mortality risk. grasshopper invasions also led to a The peace treaty signed by civil war serious cereals deficit. Here, Malteser groups in the north and south in January International chose a different approach 2005 gave many cause to hope that the in combating the problem. As many country was finally on a secure road to people, particularly children, are regularly peace, but the implementation of the treaty
12 AFRICA however, is refused by other rebel Uganda groups. Hopes of an early resolution of National staff: 13 the conflict continue to fall. Today, it is Aid for 500 people more a question of the splintering of rebel Malteser International has worked in movements, which makes the situation Uganda since 1996. much more uncontrollable. In southern Sudan, we have continued For ten years, Malteser International has our health care projects in Yei and been supporting a therapeutic nutrition Rumbek, which have been running for centre for undernourished babies and eight years, and have developed these toddlers at the Maracha hospital in the into long-term health care services for north-west of Uganda. This long-term support has unfortunately been brought into the spotlight again as the result of the generally worsening situation in northern Uganda in 2005. Our staff carry out regular home visits in order to reduce the number of relapses and to monitor the health of Birgit Betzelt the children on an ongoing basis. Sudan: Primary health care for thousands of refugees and displaced persons in Darfur.
Sudan: Training local laboratory assistants in Rumbek. TUBERCULOSIS: the population. We linked our various Tuberculosis is a bacterial infectious disease medical programmes, e.g. by combining that mainly affects the lungs, but also other the battle against tuberculosis with organs. Pulmonary tuberculosis is transmitted information on the subject of HIV/AIDS, from person to person via the respiratory and extended our activities further into tracts and is therefore highly contagious. rural regions. Further focuses include Symptoms include tiredness, weight loss and combating leprosy and sleeping sickness, a slightly higher body temperature during as well as supporting primary health care the night. They often appear first after a few services of local dioceses. months or years. Tuberculosis can be cured Parallel to our work in southern with a combination of three to five antibiotics Sudan, we continued to expand our and treatment usually lasts between six and medical projects in Darfur in the west. eight months. It is particularly crucial that After the more short-term emergency patients receive continuous care. Failure to aid programmes in the last one and a continue medication can lead to relapses half years, we are now orientating our and the further spread of multi-resistant activities towards a longer time period. In tuberculosis germs, which are complicated Uganda: The childrens’ weight is continuously addition to the basic provision of primary monitored in order to combat malnutrition. and expensive to treat. A normal six- health care services for the population, month treatment course for pulmonary the crucial action in Darfur is the battle tuberculosis costs around EUR 100. against malaria, which poses a significant threat to life in this region. All of our programmes will be further extended across a wider area in 2006, insofar as this is possible, given the tense security situation in the region.
AFRICA 13 ON THE SPOT: SOUTHERN SUDAN
“I quietly hold her hand” ‘Tagesthemen’ (German television news) anchor-woman Anne Will visits the Arcangelo Ali Clinic in southern Sudan
As an ambassador for the ‘UNITED FOR AFRICA’ campaign, Anne Will travelled to southern Sudan in August 2005 to visit a hospital run by Malteser International and the German Leprosy and Tuberculosis Relief Association. Here is an excerpt from her travel journal:
18 August, 12:20 p.m., Maridi Airport: Anne Will There was a bit of jolting on the runway, talking to a patient at the but then our pilot Stuart brought the plane Arcangelo Ali safely to a stop. High grass all around us. Clinic. I hadn’t expected Africa to be so green, despite the rainy season. It’s my first trip to Sub-Saharan Africa, to a country in which peace was only achieved a few months ago and is still insecure. I am quite tense.
19 August, 10:20 a.m., Arcangelo Ali Clinic: 22-year-old Adak Manyang holds on Einberger Thomas / Africa Uniteed for 11:15 a.m.: The 62-year-old’s left leg lies stiff on tight to her month-old daughter. Anhak, Nelson Monday knows he doesn’t have the hospital bed. All that remains of her Adak’s third child, lies weakly in her arms. long to live. But he seems quite composed. left foot is a bandaged stump. Mary has Suffering from a cough that wouldn’t go The 27-year-old is a mere skeleton. His leprosy. Like many other people, I didn’t away, Adak went to have a medical check- eyes protrude as he talks to me. Nelson think that this illness existed anymore. up at the tuberculosis ward built with came from Uganda to Rumbek a while In reality, there are half a million new German aid. That was two weeks ago. ago to work as a teacher. Now he wants infections every year. Mary went to a The doctors quickly discovered: Adak has to get back to his family to die with them miracle healer who took a lot of money tuberculosis and it’s likely that her baby around him, but in his current condition, from her and couldn’t help. Now is infected, too. The pair must remain he would not survive the journey. Doctor she’s back here and being treated with in hospital for six months, as that’s how Kenyi is feeding him up with special antibiotics. But the doctors can’t give her long the treatment lasts. medication and a lot of fruit so that he can back her foot. Many of Mary’s friends are make his last journey on Monday. afraid of touching the ‘leper’. She often feels alone. I quietly hold her hand. 12:00 p.m.: Reproduced with the kind permission A few rooms down, I meet Mary Abol. of ‘UNITED FOR AFRICA’
Malteser International has been supporting the supply of medicine to 700,000 people in southern Sudan since 1997. The tuberculosis and leprosy wards in the hospital in Rumbek “I support UNITED FOR AFRICA because have a capacity of 63 beds. In the Arcangelo the idea and the concerns of the campaign Ali Clinic, 100 patients are treated a day convinced me. I like the approach that 30 relief and 15 to 20 children are vaccinated. organisations have come together under one roof, Tuberculosis tests are carried out in one of with one name and a joint donation account. As the largest laboratories in southern Sudan. In an ambassador for the campaign, I want to use the neighbouring laboratory training facility, my high media profile to draw more attention to Malteser International trains local laboratory the plight of people in Africa.”
United for Africa / Thomas Einberger Thomas / Africa United for assistants.
14 AFRICA ON THE SPOT: DEMOCRATIC REPUBLIC OF CONGO
“We need peace!” Listening can heal: Relief for rape victims in the Democratic Republic of Congo
The meaning of war – many women are forced to suffer the physical consequences of such violence. “Rape has been used as a weapon of war for years in the Congo” reports project coordinator Ursula Mesmer. Since 2003, Malteser International has been providing psycho-social care for girls and women who have been the victims of sexual abuse. Ursula Mesmer’s report from East Congo shows just how hard it is to cope with:
“A church in Kilimanjala: the crowd enters slowly; women to the left, men in the centre – soldiers to the right. Everyone sits down in silence and watches as my colleagues and I come up to the altar. A strange feeling! Since I arrived in the Congo, I have carried out several The counsellors sensitisation programmes against sexual – often victims of abuse. I’ve spoken to women who’ve abuse themselves been raped about the options for medical – pass on what they have learned to treatment and psycho-social care. I’ve other women: trust, talked to soldiers, explaining to them self-respect and new
Birgit Betzelt courage in life. just how immoral and wrong rape is. I’ve spoken to the husbands of raped women; Then discussion: each group separately. tried to show them that it is vital at such I want to know what they can do about times that they do not leave their wives. the problem, where they see possible Now, by chance, I am faced with all three solutions. Each group tells me what they groups together. have come up with. It’s the same for all of That means: I must be very careful them: “We need peace”. and sensitive in my choice of words, I The soldiers’ reaction is particularly mustn’t accuse or reproach anyone, but interesting: “We’re not all rapists; we I mustn’t beat around the bush. I decide don’t all want to be tarred with the same on a gentle introduction: I ask questions. brush. We will not accept men from our How does one feel as a woman, as a man, ranks subjecting women to violence. In after a rape, particularly with regard to order to ensure this, we need a system that one’s own wife? I try to empathise with punishes rapists lawfully. And we need all those present. I can sense it: they’re regular wages so that we can marry and listening to me. I am obviously hitting the offer a woman something more.” right note. That’s good; it makes me feel At the end, a young woman with a more assured. baby on her back stands up. She says: “Three years ago, I was raped by twelve Birgit Betzelt “One woman was having nightmares every Crucial help: being there, listen and sympathise. armed men in a field. At first, I didn’t tell night after she had been raped and was anyone. I suffered pains in my stomach, I help women who have gone through what unable to sleep properly. I spoke to her five felt tired and weak. I was afraid to leave I experienced.” For a moment, there is times. The fifth discussion was here in our the house on my own. My sister took me complete silence; no one had expected office. During our conversation, she fell asleep. to a health care centre, where I received such a direct statement. Then everyone Since then, she has been able to sleep at home medicine. Now I am a soldier’s wife with begins to talk at once in order to thank the too – without the appalling nightmares.“ a six-month-old daughter. I am telling woman for her incredible courage. (Jules, psychologist) you my story so you know: I am here to
AFRICA 15 Tsunami – interim statement
The seaquake on 26 December 2004 and The national, regional and international the resultant metre-high tsunami brought reaction to the devastating consequence of death, misery and immeasurable suffering the disaster was swift. Initial humanitarian to the people along the coast of the Indian aid measures were quickly introduced. Ocean. With over 250,000 people dead or Malteser International immediately pro- missing, almost 1.7 million refugees and vided EUR 1 million to ensure care and displaced persons and an estimated total temporary accommodation for survivors in INDIA damage of just short of USD 10 billion, Indonesia, Sri Lanka, India and Thailand the affected countries are confronted with and initial plans for rehabilitation were Thrissur District extraordinary challenges. The seaquake started. income-generating had drastic effects on numerous countries Today, Malteser International is running measures and their populations: death and injury, over 65 rehabilitation and reconstruction loss of family members and friends, projects in the affected countries – together Kollam District destruction of homes, infrastructure and with renowned partner organisations. emergency relief places of work. The tourism sector, so Over the last year, projects with a total emergency shelters psycho-social care vital for the economy, was badly hit. volume of EUR 8.7 million have been house repairs Droughts, floods and earthquakes in carried out, while ongoing and further child care developing countries often remain ‘far- reconstruction programmes and aid off’ events that vanish quickly again measures are underway, costing a total of Kanyakumari District from TV screens in industrial countries, EUR 20 million. care for families in emergency shelters psycho-social care but the visibility and ‘nearness’ of human One thing is for sure: help for the renovation of schools suffering in South and South-East Asia, people in Indonesia, Sri Lanka, India and income-generating measures particularly that of tourists, triggered an Thailand will need to continue for at least child care unheard-of level of spontaneous readiness another three to four years. It is not enough to help. In a second, the world community simply to re-establish people’s lives as seemed united in global sympathy in the they were before the disaster: conditions face of a barely comprehensible natural must be better than before and safer, so disaster that brought destruction and that the people are better protected against death to so many along the Asian and any new disasters in the future. African coast.
With its tsunami aid, Malteser International has already reached more than half a million people. Kurt Oxenius Kurt
16 ASIA THAILAND
Nagapattinam District medical emergency relief health care projects
Takua Pa Jaffna District support of a hospital provision of fishing boats Khao Lak Mullaitivu Ban Bang Muang measures for children to cope construction of emergency shelters support of a day care centre help for a school with trauma Trincomalee District Phang Nga and Ranong Province Kho Kho Khao rehabilitation of villages basic health care project in 14 villages water supply support of a children’s home measures to cope with trauma Phuket Ban Bangsak emergency relief S R I L A N K A care for refugees Kalmunai water supply reconstruction of houses rehabilitation of villages measures to cope with trauma Kho Phi Phi Lhokseumave region emergency relief Phang Nga Tangalle integrated municipality equipment of the hospital emergency relief rehabilitation of villages rehabilitation programme support of the hospital water supply Galle income-generating measures rehabilitation of villages Banda Aceh region sewage disposal project water supply vaccination campaign in cooperation orthopaedics sanitary projects with UNICEF support of a children’s home emergency relief measures to cope with trauma support of the hospital
Rathgama Nias construction of a community centre emergency relief INDONESIA Kosgoda rehabilitation of villages Meulaboh region health care projects Colombo emergency relief
The tsunami aid is focussing on emergency relief and rehabilitation. This is supplemented by programmes for medical and psycho-social care, plus income-generating measures.
ASIA 17 Asia
In Asia, the focus in 2005 was on the immense suffering of victims of two major disasters and the overwhelming aid measures implemented: the tsunami of 26 December 2004 with over 250,000 people dead or missing and the earthquake in Pakistan and the Indian area of Kashmir on 8 October with up to 88,000 victims. Malteser International is taking part in rehabilitation measures in five countries affected by the tsunami (Indonesia, Sri Lanka, Thailand, India and Myanmar) and has also provided rapid immediate aid in Pakistan and the Indian Himalayas in cooperation with its partners. Given the extent of the damage, both regions will require several more years of support. In addition, we are carrying out emergency aid and rehabilitation projects in a total of eleven Asian countries relating to health care, water supply and sewage, income-generating measures, education as well as welfare services for children and young people.
Afghanistan
International staff: 11 IN MEMORIAM National staff: 197 UNAMA (United Nations Assistance Dr. Ezmeray Azizi (29) Mission for Afghanistan): Dr. Ezmeray Azizi was killed in an ambush on 12 May 2006 8 staff members in North-West Afghanistan. He was in a UN vehicle on the way from Herat to Qala-e-Nau when it came under fire around Aid for 220,000 people midday with rockets and machine guns. The driver of the vehicle, Malteser International has worked in a UNICEF colleague, was killed immediately. The 29-year- Afghanistan since 2002. old Afghan working for Malteser International, responsible for monitoring ten health care centres and a province hospital, was able to run away initially, but later died due to his injuries. “We mourn the passing Health care provision, school con- of our colleague. Our deepest sympathies go out to his family,” said the President of struction and income-generating measures Malteser International, Nicolas de Cock de Rameyen, expressing the condolences of all for those returning home were focal at Malteser International. – R. I. P. points of our work also in 2005. Despite ongoing restrictions due to a tense security medical supplies for UNAMA staff and situation, we were able to maintain long- members of the police academy in Kabul, term effective projects from our locations was finalised successfully after four years. in Kabul and Herat. Afghanistan is far Malteser International was on hand to give behind in an international comparison advice until the newly erected clinic and of health indicators. In rural areas in the structure for training courses could be particular, most people have no access to handed over entirely to our local partners. schools and medical care. A programme in Our teams prepared the local authorities the Badghis province, supported through to take over high quality medical care for German Federal Government funds via the Afghanistan: policemen and ensure this is available on KfW Entwicklungsbank (Development Women with a long-term basis. their children Bank – KfW Banking Group) and the CIM in front of a In addition to the treatment of patients (Centre for International Migration and health care and examination of recruits, we offered centre. Development), addresses the construction first aid training to over 400 police of schools, as well as the construction and improving village infrastructures, training officers and medical staff. operation of health care facilities and the people in workmanship and carrying out training of medical staff. peace-promoting measures. Within this In Herat, three further schools are framework, we provided support for nearing completion. Around 40 percent of around 11,000 families. the school children are girls, most going Using funds from the German Foreign to school now for the first time in their Office, we provided winter aid for around lives. 200 needy families in Kabul, who received In the central region, we ran a pro- food, clothing and fuel. gramme for returnees, in conjunction with In June 2005, the project on behalf the United Nations High Commissioner of the United Nations and the German Afghanistan: Ceremonial opening of a school in the for Refugees (UNHCR), with the aim of Foreign Office, with the aim of providing province of Badghis.
18 ASIA Cambodia over 300 million still live in great poverty and 40 percent of people are illiterate. International staff: 2 The ancient Indian caste system excludes Local staff: 18 the poorest segments of the population. It Aid for 42,000 people is particularly the ‘Dalit’ and ‘Adivasi’, Malteser International has worked in the untouchables, and the original Indian Cambodia since 1999. inhabitants that are often forced to scratch a living on the edges of society. Cambodia is still suffering the con- At the end of 2004, the tsunami sequences of decades of civil war and Tann Caroline von der destroyed countless villages in a 1,000 Cambodia: Free school breakfast before lessons start. terror. Malteser International has been kilometre area along the South Indian supporting health care provision in the in 60 villages that are more than 15 coast; in summer 2005, heavy monsoon province of Oddar Meanchey for six kilometres from the nearest health care rains in many regions led to the largest years. We have been able to rely on local centre. One of these teams recently saved floods in centuries. It is always the poorest staff here, trained by us in refugee camps the lives of three young people who had people, who live on unstable ground in Thailand between 1975 and 1999. come across a landmine. Sadly, accidents Despite the relatively short time that like this are very frequent in north reconstruction has been in progress, we Cambodia. Another innovation is the pilot have been able to reinforce state health project for the introduction of community care structures to such an extent that the based health insurance. This is intended health care facilities we were supporting to prevent poor families from debt in the are now able to operate independently. case of sudden illness. Over the next year, a further focal point will be combating the child mortality rate (125 out of 1,000 children die before their India: Project coordinator Nicole Moran with scchool fifth birthday) and mother mortality rate girls at the inauguration of their renovated school building. (400 mothers die out of every 100,000 live births) in Cambodia, both of which either directly on the coast or along the remain incredibly high. By mobilising banks of the water, that are particularly the communities, Malteser International vulnerable during such disasters, often is hoping to make a contribution to the losing all their worldly goods and, more achievement of the related millennium often than not, their lives. Cambodia: Health care education for teachers, pupils and parents. goals. In the tsunami areas, Malteser International is focussing its aid efforts on As the population in the province has the most vulnerable people. Many have grown significantly and it is hard to reach India lost their livelihood. With our projects, some of the isolated villages, Malteser International staff: 1 carried out in cooperation with Indian International has reorganised its work Local staff: 1 aid organisations, we have been able to in two aspects over the last year: work Aid for 120,000 people support over 1,200 families over the last was initially expanded and reinforced Malteser International has worked in year as they begin their working lives thanks to partnership with a local non- South India since 1989 and also in again – be this manufacturing coconut governmental organisation. In addition, Gujarat since the 2001 earthquake; ropes or coquina (shell limestone) or the new projects focus on increasing the since December 2004, Malteser working as a washerwoman. Thousands self-help capacities and patient rights in International has been providing aid of families are living in emergency the communities: the communities will for the victims of the tsunami in South shelters. There, we are providing medical now demand more from the health care India. care and organising childcare centres. A services, while also supplementing them new element within our programmes is with their own activities. The Indian economy is booming, but psycho-social care of traumatised adults For example, we provided first aid people in rural areas receive little of this and children. Thanks to professional help, training for emergency transport teams benefit. Of a population of 1,000 million, people are regaining their confidence and
ASIA 19 courage to return to their everyday lives. 270 wells and 16 kilometres of irrigation The Islamic Republic of Iran is a well- Relying on strong Indian partners, channels for fishponds have been cleaned developed country. Most people in major Malteser International provided imme- and 20,000 mangroves planted for coastal cities are well-provided for; however, the diate aid after the floods in Gujarat and protection. Working closely with the situation is less positive for poorer people Kerala and after the earthquake in the village committees, we also used micro- in rural areas, particularly villages in Indian area of Kashmir. credits to promote income-generating sparsely populated mountainous or desert measures, such as mat production, kiosks, areas. sewing cooperatives and fish-farming. Since 2004 Malteser International Indonesia We also ensured the medical services has been supporting the reconstruction International staff: 14 for UN workers in the Aceh province. of the desert city of Bam, which was Local staff: 31 completely destroyed in the earthquake Aid for 86,000 people of December 2003. A primary school Malteser International has worked has been built in cooperation with in Indonesia since January 2005, Diakonie Katastrophenhilfe. Small local currently in three regions: Banda Aceh, initiatives have received aid and support the area hit hardest by the tsunami; the via an Iranian umbrella association of aid Lhokseumave region on the east coast organisations. 15 nurseries were equipped and the region south of Meulaboh on with furniture and toys. the west coast. We provided immediate When another medium-heavy earth- aid to the island of Nias after a quake hit the Zarand region in February
powerful aftershock in March 2005. Tann Caroline von der 2005 – 200 kilometres away from Bam Indonesia: Thanks to new boats, the fishermen can – Malteser International was one of Indonesia and its inhabitants were hit once again an independent living for their families. the few international organisations to the hardest by the tsunami. Hundreds of provide immediate aid for 600 families. As of 2006, we will be taking part villages along the coast were destroyed As local schools were also destroyed, 25 in the development of a health care by the tidal wave. In order to help school trailers were set up in three ruined information system, collaborating with people rebuild a new existence, Malteser mountain villages, in which lessons local authorities and the GTZ (German International has, after the conclusion are still taking place today. The school Technical Cooperation). The fundamental of emergency relief, committed itself to children have also been given satchels elements are a standardised data re- working on rehabilitation, implementing with stationery. cording system and respective training measures to support the communities and In November 2005, eight months after for governmental health staff. improving health care structures. We are the earthquake, many people were still working closely with village committees, living in tents, suffering from difficult local authorities and other international Iran conditions and poorly equipped for the organisations. coming winter. Malteser International International staff: 1 In the provincial hospital at Banda and Caritas Iran therefore organised the Local staff: 1 Aceh, after the injured had been taken distribution of winter relief. 650 families Aid for 6,000 people care of, we introduced an inventory were supplied with warm clothes, non- Malteser International has worked in system, repaired the oxygen system and perishable goods, stoves and hygiene Iran since the end of 2003. as in the district hospital in Lhokseumave items. installed a drinking water disinfection system. In the Meulaboh region, we erected three governmental health centres and organised training for the staff. Within the framework of the village rehabilitation project in Lhokseumave, planned to take place over four years, Iran: A typical 130 houses have already been built and a school day after school and a mosque have been renovated the earthquake by the end of 2005. 480 houses should be in Zarand – lessons in 25 finished by autumn 2006. In addition, school trailers.
20 ASIA Iraq primary health care services for large and sanitation supplies, as well as parts of the population, an incredibly high improving access to community-based National staff: 1 child mortality rate, and high levels of primary health care services, combating Aid for 120,000 people malnutrition of many people as well as the three most common infectious Malteser International has worked in the rapid spreading of infectious diseases diseases – malaria, tuberculosis and Iraq since 1995. are all part of this dramatic humanitarian HIV/AIDS – and reducing chronic crisis. According to a WHO study on malnutrition. After twelve years of embargo and three health care status, Myanmar is 190th of In order to cope with the complexity wars in the last 20 years, the humanitarian the 191 countries examined. of the problems, our work in 2005 situation in Iraq remains alarming. Crucial Despite difficult general conditions, focussed on the integrated definition of developments have failed to appear, as it Malteser International decided in 2001 our programmes and close coordination has been impossible to re-establish public to take action with a focus on the health of on-site projects by the various order due to the incredibly tense security care sector, offering new perspectives to organisations. For only an integrated and situation. Iraqi society is confronted with the most vulnerable people in the neediest harmonised approach can counteract a a situation without sufficient regulatory regions. Since then, we have carried humanitarian disaster, which has been structures; ethnic and religion-motivated out eight projects at three programme going on for years and is steadily getting conflicts still loom large on a daily locations, with the aim of ensuring water worse. basis. The resultant violence and social void affect young people in particular – they can barely see any positive future prospects and are deeply pessimistic about the development of their country. Although no international staff can be sent due to the security situation, Malteser International continues to work on various projects with local Iraqi partners. For example, in 28 villages in northern Myanmar: Iraq, the construction of wells and water Training and information distribution systems has improved the campaigns water supply for a total of 120,000 on the people. In Kirkuk, we are taking part in subject of health and the construction of a public training and hygiene in education centre for young people and villages and schools. supporting socially weak families. We are also continuing to finance the operation In the coming years, the greatest MALARIA: and equipment of a health care centre in challenges for our work in Myanmar Karamless in northern Iraq. Malaria is a parasitic disease. Its pathogen will be expanding the space of action for is transmitted to humans via mosquitoes humanitarian aid projects under extremely (Anopheles). The pathogens destroy the red difficult general conditions, further Myanmar/Burma blood cells. This causes fever, headaches refining the integrated approach of our International staff: 8 and joint pain. After AIDS, ‘malaria tropica’ primary health care projects and stepping Local staff: 120 is one of the most frequent causes of death. up the fight against malaria, tuberculosis Aid for 820,000 people Up to two million people die of malaria and HIV/AIDS. Malteser International has worked in every year. However, it can be diagnosed via If we can achieve this, we will be able to Myanmar since 2001. microscope or rapid test and can then be make an important contribution to halting treated and cured. Our project activities also the erosion of the social security system, According to predictions by inter- include preventative measures such as the breaking through the growing momentum national institutions and aid organisations, distribution of impregnated mosquito nets. of the poverty and vulnerability spirals Myanmar today is increasingly on the Malaria treatment costs EUR 5 on average as and giving the people of Myanmar new brink of humanitarian disaster. Lack long as there are no complications. confidence and courage. of access to clean drinking water and
ASIA 21 1 1 1 1 8 1 5 4 6 8 6 5 2 1 4 5 1 3 2 1 1 1 1 1 1 1 1 1 10 13 13 10 19 16 No. of No. Projects - National Partner Organisations National Partner provincial health Caritas Menongue, Kubango department of Kuando local Local and national health authorities, partner organisations Nairobi Ministry of Health, Kenyan NCC, St. AMREF, Health Management Board, Hospital Mary’s Order of Malta Government of Mali, Order of Malta Government of Niger, Ministry of Yei, Dioceses of Rumbek and Health in Darfur Hospital Maracha municipal Health and school authorities, Afghan non-governmental councils and organisations Provincial health and school authorities, Cambodian Health and Human Rights village communities Alliance, Unnati, BSC, Sahayi, MSSS, CHAI, HOM, SDFI KIDS, ASAG, SDFI , KIDS, Sahayi, MSSS, CHAI, HOM, Little Flower Convent, DEEDS, Oasis, Unnati BSC, Diocese of Kottar, village Local and national authorities, committees village Local and national authorities, committees village Local health authorities, communities International Blue Aid to Leprosy Patients, and Conservation Palas Crescent, Aid Partner Development Federation, International Buddhist congregation, authorities, Water dioceses Help for the Children, Local authorities, Trincomalee Assessments, Centre for Social Caritas, Association, District Development GTZ Buddhist monasteries, SAN SEAMEO, Local authorities, Karen Refugee Local authorities; Committee Unions in local communities and Women’s DED districts, Hamyaran NGO House, Kerman International Blue Crescent (Turkey), (Iraq), Mostakbal Development Foundation and Cultural Cooperation Turkemeneli (Iraq) Foundation Catholic Charities Services, Order of Malta, Together Rebuilding Local partner organisations Local partner organisations International Blue Crescent Malteser Ndihmon ne Shqiperi Dienests Maltas Ordena Palidzibas Tarnyba Maltos Ordino Pagalbos Maltanska Słuba Medyczna Ajutor Maltez în România Serviciul de Saint Pe Aid in Moscow, Russian Malteser Dubna and Smolensk Kaliningrad, tersburg, Malteska dobrotvorna organizacija Jugoslavije Maltijska Služba Dopomohy - - - Donors/Cooperation Partners Donors/Cooperation donations private / Own resources WFP, OCHA, FAO, Unicef, AA, ECHO, private / own resources EuropeAid, donations donations private / own resources BMZ, donations private / own resources ADH, donations private / Own resources Spanish Caritas DAHW, AA, ECHO, BMZ, NiN, ADH, UNICEF, PMK, Confederation, DFID STI, WHO, staff donations / own resources PMK, UNHCR, UNICEF, BMZ (Kfw and CIM), MHD Afghanistan Hilfe Paderborn, AA, KfW Moers, govern Australian Canadian and BMZ, donations private / own resources ment, Augustinus-Kliniken, KPMG, ADH, own HeLaBa, Malteser Ireland, donations private / resources Augustinus-Kliniken, KPMG, ADH, Winnenden, City of Malteser Ireland, MHD Paderborn / own resources WHO, UNICEF, ADH, donations private Langen Happy Digits, ZF-Hilft e.V., ADH, BMZ via AG, Faber-Castell scheidt KG, UNDP, WHO, UNICEF, GTZ, GITEC/KfW, private / own resources KfW; Trier, MHD donations UNODC, BMZ, EuropeAid, DG ECHO, Japane WHO, WFP, UNAIDS, UNDP, private / own resources se Embassy, donations Hans-Liebherr- Dr. Deutsche Bank, ADH, Aid Partner Malteser Canada, Stiftung, e.V., O.S.T. ECHO, AA, International, donations private / own resources / own resources Augsburg, MHD ADH, donations private Osthessen hilft BILD hilft e.V., ADH, FC Bayern Serendib Stiftung, Südasien, Die kleinen Patienten UNICEF, Hilfe e.V., Caritas Galle and Colombo, e.V., Traunstein, MHD Archbishopric of Mainz, / own resources Cologne and Muenster, donations private donations private / own resources ADH, / own resources EuropeAid, DG ECHO, donations private Child Foundation World BMZ, University of Regensburg, ADH, MHD Regensburg donations private / Own resources CARE International Germany, ADH, donations private AA UNHCR, AA UNHCR, donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources EUR 8,000 EUR 10,000 EUR 23,000 EUR 75,000 EUR 542,00 EUR 16,000 EUR 95,000 EUR 13,000 EUR 60,000 EUR 16,000 EUR 183,000 EUR 473,000 EUR 207,000 EUR 198,000 EUR 394,000 EUR 755,000 EUR 420,000 EUR 350,000 EUR 870,000 EUR 950,000 EUR 227,000 EUR 159,000 EUR 150,000 EUR 762,000 EUR 149,000 EUR 261,000 EUR 145,000 EUR 3,324,000 EUR 1,460,000 EUR 2,442,000 EUR 1,168,000 EUR 1,056,000 EUR 1,289,000 EUR 2,950,000 Programme Programme Volume up) (rounded Projects in 2005 (extract) in 2005 (extract) Projects Brief Description Emergency relief and health care for displaced persons the campaigns vaccination medical equipment, population, training basic and advanced Support of more than 300 health centres, medical and psycho- food security in over 46 nutrition centres, of staff, rehabilitation of streets source fittings, social care for abused women, Improving the possibilities of diagnosis and treatment tuberculosis and HIV/AIDS, health education for the slum supporting home care, dwellers indirect funding of 17 cereal banks Support for the national cereal bank, Distribution of 28 tons maize to 15 villages tuberculosis and leprosy control programmes, malaria, Sleeping sickness, campaigns vaccination primary health care, training, Support for the department malnourished children in hospital of aftercare of the patients home visits, Maracha, operation new building of schools and health centres, / Reconstruction income-generating of a provincial hospital and eleven health centres, emergency relief day-care for neglected children, measures for returnees, in the winter school Strengthening of the community-based health care system, feeding and and Kerala floods in Gujarat Emergency relief after tsunami, in Kashmir earthquake income- help for 1,200 children, psycho-social care, Tsunami relief: of 180 houses and 13 schools renovation measures, generating pre- disaster preparedness programme, building of 500 houses, Gujarat: school education for 1,200 children campaigns and mobile vaccination Emergency kits for affected families, technical support for two hospitals support for affected students, clinics, income- school, supply, water 500 houses, Rehabilitation of two villages: construction of four health centres and three measures; generating improving the data collection of provincial health community halls; health care for UN staff authorities; strengthening of community-based basic Control of infectious diseases, and improving the access to clean drinking water health care services, sanitary facilities shelters and equipping households Distribution of winter-proof emergency medical relief, Construction of 650 emergency shelters, distribution of drinking water reconstruction of homes for supply, water Reconstruction of 700 houses, income- psycho-social care and training, children and disabled people, measures generating health care, disposal, supply and sewage water Rehabilitation of houses, measures income-generating psycho-social care, basic health care supply for refugees; Health care and water for the reduction of infectious diseases programmes Improving the basic health and income situation of poor of ethnic minorities equipment for 15 nurseries; reconstruction of a primary school, Bam: distribution of food, relief Zarand: Earthquake small-scale projects; provision of 25 school trailers and fuel, blankets clothes, co-financing of distribution systems, Construction of wells and water for the youth training medical staff, rehabilitation of living space programme, Home renovation rigid shelter Sustainable return grants, shelters construction of winter-proof measures, Income-generating Centre for mentally disabled children Programme Focus Programme Emergency relief psycho-social care, Health care, infrastructure food security, Health care Emergency relief Emergency relief rehabilitation, Health care, emergency relief aid, structural mother-child-health Health care, health care, Rehabilitation, care for emergency relief, reintegration children and youth, of returnees Health care Emergency relief (tsunami and Kashmir) earthquake Rehabilitation and development Emergency relief (tsunami) development and Rehabilitation, health care main focus: Humanitarian aid, supply, water health care, sanitary facilities in Emergency relief (earthquake Northern Pakistan Emergency relief (tsunami) development, Rehabilitation, psycho-social care Emergency relief and rehabilitation (tsunami) support for refugees Health care, reduction Poverty Emergency relief and rehabilitation Emergency relief and rehabilitation Rehabilitation aid Structural aid Structural Rehabilitation Supporting Malteser partner organisations Supporting Malteser partner flood relief organisations; Supporting Malteser partner organisations Supporting Malteser partner flood relief organisations; Supporting Malteser partner organisations
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Locations/ Regions Luanda Kubango Kuando Mahagi Ariwara, Bukavu Nairobi Mopti Haoussa Koria El Fasher Khartoum, Rumbek, North Darfur, Yei Maracha Herat, Quala-e-Nau, Provinces of / Kabul Kabul, Badghis and Herat, Loghar Parwan, Kapisa, Wardak and Oddar / Samrong Meanchey province Nadu, Tamil / Nagercoil Kashmir Gujarat, Nadu, Tamil / Nagercoil Gujarat Kerala, Lhokseumave, Medan, Lhokseumave, / Meulaboh Nagan Raya, Aceh, Banda Nias Lhokseumave, Medan, Lhokseumave, / Meulaboh Nagan Raya Aceh, Banda Kham, Pang Yangon, Yangon / Maungdaw Division Shan State (Wa Region) Rakhine State North-western / Islamabad Azad, border province, Kashmir Jammu Mullaitivu,Galle, Colombo, Trincomalee Kilinochi, Colombo, Galle, Tangalle, Ampara Trincomalee, Southern / Phang Nga Thailand Mae Sariang District, Thailand North Provinces of / Danang Quang-Nam and Danang, Vietnam Central Kerman / Bam and Zarand Province various Karamless, Kirkuk, villages in Northern Iraq New Orleans Banja Luka, Bihac, Mostar Travnik, Livno, Gjakova Ferizaj, Izmit Country Angola DR Congo Kenya Mali Niger Sudan Uganda Afghanistan Cambodia India India Indonesia Indonesia Myanmar Pakistan Sri Lanka Sri Lanka Thailand Thailand Vietnam Iran Iraq USA Bosnia and Herzegovina Kosovo Turkey Albania Latvia Lithuania Poland Romania Russia Serbia Ukraine East Asia Turkey Africa Europe Eastern Middle Europe Balkans Central- / Central- America Region
22 PROJECT OVERVIEW 1 1 1 1 8 1 5 4 6 8 6 5 2 1 4 5 1 3 2 1 1 1 1 1 1 1 1 1 10 13 13 10 19 16 No. of No. Projects - AIDS on HIV/ Joint United Nations Programme National Partner Organisations National Partner provincial health Caritas Menongue, Kubango department of Kuando local Local and national health authorities, partner organisations Nairobi Ministry of Health, Kenyan NCC, St. AMREF, Health Management Board, Hospital Mary’s Order of Malta Government of Mali, Order of Malta Government of Niger, Ministry of Yei, Dioceses of Rumbek and Health in Darfur Hospital Maracha municipal Health and school authorities, Afghan non-governmental councils and organisations Provincial health and school authorities, Cambodian Health and Human Rights village communities Alliance, Unnati, BSC, Sahayi, MSSS, CHAI, HOM, SDFI KIDS, ASAG, SDFI , KIDS, Sahayi, MSSS, CHAI, HOM, Little Flower Convent, DEEDS, Oasis, Unnati BSC, Diocese of Kottar, village Local and national authorities, committees village Local and national authorities, committees village Local health authorities, communities International Blue Aid to Leprosy Patients, and Conservation Palas Crescent, Aid Partner Development Federation, International Buddhist congregation, authorities, Water dioceses Help for the Children, Local authorities, Trincomalee Assessments, Centre for Social Caritas, Association, District Development GTZ Buddhist monasteries, SAN SEAMEO, Local authorities, Karen Refugee Local authorities; Committee Unions in local communities and Women’s DED districts, Hamyaran NGO House, Kerman International Blue Crescent (Turkey), (Iraq), Mostakbal Development Foundation and Cultural Cooperation Turkemeneli (Iraq) Foundation Catholic Charities Services, Order of Malta, Together Rebuilding Local partner organisations Local partner organisations International Blue Crescent Malteser Ndihmon ne Shqiperi Dienests Maltas Ordena Palidzibas Tarnyba Maltos Ordino Pagalbos Maltanska Słuba Medyczna Ajutor Maltez în România Serviciul de Saint Pe Aid in Moscow, Russian Malteser Dubna and Smolensk Kaliningrad, tersburg, Malteska dobrotvorna organizacija Jugoslavije Maltijska Služba Dopomohy United Nations Office on Drugs and Crime Fund United Nations Children’s United Nations High Commissioner for Refugees United Nations Development Programme Health Organisation World - Relief Organisation Technical German Programme Food World - Institute Tropical Swiss - STI THW UNAIDS UNDP UNODC UNHCR UNICEF WFP WHO Donors/Cooperation Partners Donors/Cooperation donations private / Own resources WFP, OCHA, FAO, Unicef, AA, ECHO, private / own resources EuropeAid, donations donations private / own resources BMZ, donations private / own resources ADH, donations private / Own resources Spanish Caritas DAHW, AA, ECHO, BMZ, NiN, ADH, UNICEF, PMK, Confederation, DFID STI, WHO, staff donations / own resources PMK, UNHCR, UNICEF, BMZ (Kfw and CIM), MHD Afghanistan Hilfe Paderborn, AA, KfW Moers, govern Australian Canadian and BMZ, donations private / own resources ment, Augustinus-Kliniken, KPMG, ADH, own HeLaBa, Malteser Ireland, donations private / resources Augustinus-Kliniken, KPMG, ADH, Winnenden, City of Malteser Ireland, MHD Paderborn / own resources WHO, UNICEF, ADH, donations private Langen Happy Digits, ZF-Hilft e.V., ADH, BMZ via AG, Faber-Castell scheidt KG, UNDP, WHO, UNICEF, GTZ, GITEC/KfW, private / own resources KfW; Trier, MHD donations UNODC, BMZ, EuropeAid, DG ECHO, Japane WHO, WFP, UNAIDS, UNDP, private / own resources se Embassy, donations Hans-Liebherr- Dr. Deutsche Bank, ADH, Aid Partner Malteser Canada, Stiftung, e.V., O.S.T. ECHO, AA, International, donations private / own resources / own resources Augsburg, MHD ADH, donations private Osthessen hilft BILD hilft e.V., ADH, FC Bayern Serendib Stiftung, Südasien, Die kleinen Patienten UNICEF, Hilfe e.V., Caritas Galle and Colombo, e.V., Traunstein, MHD Archbishopric of Mainz, / own resources Cologne and Muenster, donations private donations private / own resources ADH, / own resources EuropeAid, DG ECHO, donations private Child Foundation World BMZ, University of Regensburg, ADH, MHD Regensburg donations private / Own resources CARE International Germany, ADH, donations private AA UNHCR, AA UNHCR, donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources donations private / Own resources EUR 8,000 EUR 10,000 EUR 23,000 EUR 75,000 EUR 542,00 EUR 16,000 EUR 95,000 EUR 13,000 EUR 60,000 EUR 16,000 EUR 183,000 EUR 473,000 EUR 207,000 EUR 198,000 EUR 394,000 EUR 755,000 EUR 420,000 EUR 350,000 EUR 870,000 EUR 950,000 EUR 227,000 EUR 159,000 EUR 150,000 EUR 762,000 EUR 149,000 EUR 261,000 EUR 145,000 EUR 3,324,000 EUR 1,460,000 EUR 2,442,000 EUR 1,168,000 EUR 1,056,000 EUR 1,289,000 EUR 2,950,000 Programme Programme Volume up) (rounded Asian Ministries of Education South-East United Nations Office for the Coordination Social Service Society (India) Malankara Malteser Germany Nairobi City Council (Kenya) Mission Organisation for Children Papal India Sister Doctors Forum Agriculture Network (Thailand) Sustainable Nachbar in Not (Austria) MHD MSSS NCC NiN OCHA PMK SAN SDFI Affairs of Humanitarian SEAMEO Organisation (Thailand) Brief Description Emergency relief and health care for displaced persons the campaigns vaccination medical equipment, population, training basic and advanced Support of more than 300 health centres, medical and psycho- food security in over 46 nutrition centres, of staff, rehabilitation of streets source fittings, social care for abused women, Improving the possibilities of diagnosis and treatment tuberculosis and HIV/AIDS, health education for the slum supporting home care, dwellers indirect funding of 17 cereal banks Support for the national cereal bank, Distribution of 28 tons maize to 15 villages tuberculosis and leprosy control programmes, malaria, Sleeping sickness, campaigns vaccination primary health care, training, Support for the department malnourished children in hospital of aftercare of the patients home visits, Maracha, operation new building of schools and health centres, / Reconstruction income-generating of a provincial hospital and eleven health centres, emergency relief day-care for neglected children, measures for returnees, in the winter school Strengthening of the community-based health care system, feeding and and Kerala floods in Gujarat Emergency relief after tsunami, in Kashmir earthquake income- help for 1,200 children, psycho-social care, Tsunami relief: of 180 houses and 13 schools renovation measures, generating pre- disaster preparedness programme, building of 500 houses, Gujarat: school education for 1,200 children campaigns and mobile vaccination Emergency kits for affected families, technical support for two hospitals support for affected students, clinics, income- school, supply, water 500 houses, Rehabilitation of two villages: construction of four health centres and three measures; generating improving the data collection of provincial health community halls; health care for UN staff authorities; strengthening of community-based basic Control of infectious diseases, and improving the access to clean drinking water health care services, sanitary facilities shelters and equipping households Distribution of winter-proof emergency medical relief, Construction of 650 emergency shelters, distribution of drinking water reconstruction of homes for supply, water Reconstruction of 700 houses, income- psycho-social care and training, children and disabled people, measures generating health care, disposal, supply and sewage water Rehabilitation of houses, measures income-generating psycho-social care, basic health care supply for refugees; Health care and water for the reduction of infectious diseases programmes Improving the basic health and income situation of poor of ethnic minorities equipment for 15 nurseries; reconstruction of a primary school, Bam: distribution of food, relief Zarand: Earthquake small-scale projects; provision of 25 school trailers and fuel, blankets clothes, co-financing of distribution systems, Construction of wells and water for the youth training medical staff, rehabilitation of living space programme, Home renovation rigid shelter Sustainable return grants, shelters construction of winter-proof measures, Income-generating Centre for mentally disabled children Landesbank Hessen-Thüringen Treuhand-Gesellschaft KPMG Deutsche Aid Department Humanitarian European Union’s Health for One Million (India) Department for International Development Development Society (India) Integrated Kottapuram Agriculture Organisation and Food Development Bank – KfW Banking Group DFID ECHO FAO GTZ (United Kingdom) HeLaBa HOM (Germany) Cooperation Technical Community for KIDS KfW KPMG Aktiengesellschaft Programme Focus Programme Emergency relief psycho-social care, Health care, infrastructure food security, Health care Emergency relief Emergency relief rehabilitation, Health care, emergency relief aid, structural mother-child-health Health care, health care, Rehabilitation, care for emergency relief, reintegration children and youth, of returnees Health care Emergency relief (tsunami and Kashmir) earthquake Rehabilitation and development Emergency relief (tsunami) development and Rehabilitation, health care main focus: Humanitarian aid, supply, water health care, sanitary facilities in Emergency relief (earthquake Northern Pakistan Emergency relief (tsunami) development, Rehabilitation, psycho-social care Emergency relief and rehabilitation (tsunami) support for refugees Health care, reduction Poverty Emergency relief and rehabilitation Emergency relief and rehabilitation Rehabilitation aid Structural aid Structural Rehabilitation Supporting Malteser partner organisations Supporting Malteser partner flood relief organisations; Supporting Malteser partner organisations Supporting Malteser partner flood relief organisations; Supporting Malteser partner organisations
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Ituri
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South-Kivu
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, Southern Sudan
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Locations/ Regions Luanda Kubango Kuando Mahagi Ariwara, Bukavu Nairobi Mopti Haoussa Koria El Fasher Khartoum, Rumbek, North Darfur, Yei Maracha Herat, Quala-e-Nau, Provinces of / Kabul Kabul, Badghis and Herat, Loghar Parwan, Kapisa, Wardak and Oddar / Samrong Meanchey province Nadu, Tamil / Nagercoil Kashmir Gujarat, Nadu, Tamil / Nagercoil Gujarat Kerala, Lhokseumave, Medan, Lhokseumave, / Meulaboh Nagan Raya, Aceh, Banda Nias Lhokseumave, Medan, Lhokseumave, / Meulaboh Nagan Raya Aceh, Banda Kham, Pang Yangon, Yangon / Maungdaw Division Shan State (Wa Region) Rakhine State North-western / Islamabad Azad, border province, Kashmir Jammu Mullaitivu,Galle, Colombo, Trincomalee Kilinochi, Colombo, Galle, Tangalle, Ampara Trincomalee, Southern / Phang Nga Thailand Mae Sariang District, Thailand North Provinces of / Danang Quang-Nam and Danang, Vietnam Central Kerman / Bam and Zarand Province various Karamless, Kirkuk, villages in Northern Iraq New Orleans Banja Luka, Bihac, Mostar Travnik, Livno, Gjakova Ferizaj, Izmit Country Angola DR Congo Kenya Mali Niger Sudan Uganda Afghanistan Cambodia India India Indonesia Indonesia Myanmar Pakistan Sri Lanka Sri Lanka Thailand Thailand Vietnam Iran Iraq USA Bosnia and Herzegovina Kosovo Turkey Albania Latvia Lithuania Poland Romania Russia Serbia Ukraine African Medical Research Foundation Development Education Society (India) Association Relief Tuberculosis German Leprosy and Action Group (India) Ahmedabad Study East Asia and Ministry of Economic Cooperation Federal Aktion Deutschland Hilft (Action Campaign Germany Helps) Turkey Africa Europe and Development Centre for International Migration Eastern Education Service (India) Xavier‘s Non-Formal St. Middle Europe Balkans Central- / Central- America Office of Germany Foreign Federal Region AA ADH AMREF ASAG BMZ BSC CHAI CIM Development Germany DAHW Catholic Health Organisation of India DED DEEDS German Development Service
PROJECT OVERVIEW 23 Pakistan Our local partners have worked in North International staff: 2 Pakistan for a long time and have an in- Local staff: 4 depth knowledge of the socio-cultural Aid for 25,000 people conditions and the authorities in the Malteser International has worked in region. This means our aid can quickly Pakistan since the earthquake reach those in need. Thanks to this local on 8 October 2005. expertise, further aid measures have been and continue to be developed. In 2006, Malteser International provided emer- our work will focus on the reconstruction gency aid immediately after the severe of earthquake-safe housing, securing earthquake in Kashmir and North Pakistan. mountain farming, introducing income- Together with local partner organisations, generating measures and primary health we carried out aid and reconstruction care services. Sri Lanka: Project coordinator Maren Paech at the laying of the foundation stone for new houses in Seenanveli. average. In order to ensure balanced social, regional and ethnic distribution of reconstruction aid, Malteser International selected cooperation partners from the various different society groups in Sri Lanka. Almost every project was carried out in cooperation with Sri Lankan partner organisations. Focuses include the reconstruction of houses and the securing of a drinking water supply – both immediately after the tsunami and on a long-term basis. Up until now, 650 temporary shelters have been built and 100 houses have been rebuilt or repaired. We are accompanying these measures with community work to promote village structures, as well Pakistan: Well-insulated corrugated iron accommodation helps families survive the winter in the earthquake as psycho-social care for traumatised region. tsunami victims. We are supporting measures in three project areas, directly Sri Lanka homes for children and the disabled and reaching around 2,700 families. In the promoting income-generating measures International staff: 10 first few weeks, we distributed blankets, e.g. by providing equipment for fishing National staff: 10 winter-proof double-walled tents and families. Aid for 275,000 people household objects, as well as food and 2005 was also a year moulded by a tense Malteser International has worked in medicine. We then relocated people from internal political situation. It was feared Sri Lanka since January 2005 in all tents to snow-proof insulated corrugated that a new civil war would break out after regions affected by the tsunami. iron accommodation. These were trans- the presidential elections. Nevertheless, ported by helicopter under frequently we were able to continue our projects in The contradictory prosperity levels of difficult weather conditions to mostly the north and east after brief disruptions. the country are reflected in the coastal inaccessible high mountain valleys. After finishing construction projects, regions affected by the tsunami in the In addition, we supported measures Malteser International will concentrate in north, east and south of Sri Lanka. After for primary health care at individual 2006 on income-generating measures and many years of civil war, socio-economic locations, as local state facilities in these sustainable concepts for drinking water indicators such as per capita income, remote regions were often overextended supply and sewage treatment. In addition, life expectancy and education access in even before the disaster. support measures for children and young the north-east are far below the country people are currently being planned.
24 ASIA Thailand months, we provided emergency aid for those made homeless and staying International staff: 6 in reception camps. We ensured there National staff: 40 was sufficient water supply for people Aid for 110,000 people living in temporary shelters and began Malteser International has worked in constructing new houses. While initial various regions in Thailand since 1979. measures concentrated on helping people survive, the second phase was orientated Over the last year, Malteser International towards a broad aid programme: de- has carried out three extensive projects velopment of infrastructure, improve- in Thailand. Since 1993, we have been ment of primary health care and engaged in ensuring basic health care hygiene relations in villages with ethnic for 32,000 of the Karen people and for minorities, programmes for dealing with Burmese refugees at the border with trauma and income-generating measures Myanmar, with the financial support of for people who had partly or entirely lost the European Commission. In addition to their sources of income as a result of the medical treatment, we provide refugees tsunami. Vietnam: Income-generating measures for women: with drinking water, build sanitation dressmakers proudly present their work. programme is orientated towards poor and disadvantaged sectors of the population, particularly ethnic minorities in the mountain regions and very poor families in two coastal communities. Its aim is the improvement of the health care and nutrition situation. Through education about hygiene and health care, we are helping women improve the health and nutrition of their families. We train local health workers and improve the income opportunities for women by promoting small scale business and ensuring wider diversity in agricultural production. The installation of kitchen gardens, courses on rearing and looking after animals, Caroline von der Tann Caroline von der the foundation of a ‘revolving fund’ for the purchase of animals and the Thailand: Training with oxygen equipment for midwives in a refugee camp on the border with Myanmar. training of veterinarian assistants are also facilities, offer health care information and Vietnam contributing to a rise in available family train local health workers. Responsibility income and improving nutrition in the International staff: 1 for the primary health care project – also villages. We are focussing on training National staff: 3 promoted by the European Commission our project partner, the Women Union, Aid for 2,000 people since 2002 – for the people in surrounding in participatory approaches, in order to Malteser International has worked in villages within the district was handed involve the village populations more Vietnam since 1966. over to local health authorities at the intensively in the future and to support end of November 2005. They have been their efforts to help themselves in a more Since the beginning of 2005, Malteser ensuring the provision of health care effective manner. International has been running a pro- themselves ever since. gramme to combat poverty in the Immediately after the tsunami di- provinces of Quang-Nam and Danang saster, Malteser International sent aid in Central Vietnam, co-financed by the workers to the south and committed German Federal Ministry for Economic itself to immediate aid. In the first few Cooperation and Development. This
ASIA 25 ON THE SPOT: PAKISTAN
Lost without a home Race against the winter after the earthquake in Pakistan (An eye-witness report from October 2005)
His wife complains that there is no toilet and that she always has to wait until night-time. “It’s unhealthy and all full of mud” she says, “and it’s the children who suffer most – especially at night when it gets cold.” Mulin Ameer holds his 10-year- old nephew, Nazeer, in his arms. The little boy whimpers in pain with every movement. “He’s been in pain for nine days”, his uncle says. “But before we can look after him, we must rescue and bury the dead.” Descending the mountains in rainy weather along blocked paths took more than two days. Now Nazeer can be
Many families are faced with ruin after the earthquake. Trappe Stefan / ADH examined: his left femur is broken. “We’ll take him to a Turkish field hospital near The ground is still reddish-brown along the helicopter landing pad” decides Jon Edgar Road in Muzaffarabad. But in the Freeman from the Malteser International improvised refugee camp at the foot of emergency aid team, out here on an the Himalayas, Mulin Ameer is looking assessment for further aid projects anxiously at the white peaks. Winter is together with Holger Sommer from ‘Die coming. And the 20-year-old suspects Johanniter’. In the next few days, Jon that the disaster of the 8th of October may and his colleague Marie-Theres Benner, yet claim more victims once the snow lies emergency aid expert from Malteser on the mountains of Kashmir. International, will climb up to the cut-off “The ground opened and the house villages around Muzaffarabad, battling slipped into a massive chasm. My the white peaks. brother’s entire family was buried alive. Christoph Ernesti; Grandfather and I spent two days rescuing reproducedwith the kind permission our family.” This is how Ameer described of ‘Aktion Deutschland Hilft’. the earthquake that destroyed his village. Now he is staying here in the capital of Azad Kashmir, together with five hundred Emergency and winter aid even in the inaccessible mountain villages of the
other Pakistanis who have mostly walked Florian Kopp Himalayas. for several days to get here. Many are Aktion Deutschland Hilft: injured and have not received medical “Aktion Deutschland Hilft” (Action Campaign treatment until they got here. And many Germany Helps) is a federation of German aid Aktion still have no roof over their heads and organisations acting concert to provide quick and Deutschland Hilft Das Bündnis der Hilfsorganisationen are housed in emergency tents or under effective help in response to major disasters and mounted plastic sheets. emergencies, such as after the tsunami or the earthquake in Pakistan. In times of need, the initiators of this federation for action, each an autonomous organisation in its own right, pool their knowledge Muhamed Rashid, 50, who arrived here and capacities, complementing one another and consolidating resources to provide the most effective with his wife and children, shows us his help possible. During the acute phase of major disasters abroad, “Aktion Deutschland Hilft” makes tent. “Four families are only separated a public appeal for donations. As well as Malteser International, „Aktion Deutschland Hilft“ includes down the middle with a piece of cloth. the following relief organisations: action medeor, ADRA Germany, Workers’ Samaritan Federation There are 15 of us sleeping in this tent.” Germany (ASB), Workers’ Welfare Association (AWO), CARE International Germany, HELP – help to selfhelp, Johanniter Unfall-Hilfe (JUH), Paritaetischer Wohlfahrtsverband and World Vision Germany.
26 ASIA ON THE SPOT: THAILAND
Lights amongst the flood Rehabilitation after the tsunami in Thailand
light balloons, Martin B. and his wife Marion stand arm in arm as tears run down their faces onto the beach. The couple survived, but 18 friends died, where now the shining paper balloons with coconut palm strands rise into the night sky. Martin B. is convinced that his wife survived thanks to Malteser International. She was swept along in the flood for six hours, her lungs already full of water, when Malteser International organised the life-saving helicopter. Ed tat lore er am, quis augait dolor susto odiam, sum ing ex er amconsenibh et aliq Caroline von der Tann Caroline von der Tann Caroline von der
Mourning ceremony on 26 December 2005 in remembrance of the tsunami victims.
The sky is full of love and that love is When the water retreated around midday, yellow. As they float in the dark night the streets were full of bodies. sky, yellow lights flicker in the cylinder- Chuay lost her husband and two shaped balloons made from thin paper. children. Since the tsunami, the 70-year- There are thousands of lights; soon a old no longer sleeps properly: “You know, sculpture like a dragon’s head appears in everything looks so lovely here, everything the sky. Then the glimmering lights fade, has been rebuilt. But how will I be able Grateful village resident in front of his new house in each bearing the memory of a loved one. to live? I’m so afraid that something like Ban Bangsak. Fading into the distance of the black sky this could happen again. And my heart is above Khao Lak. sad. My husband, my children!” Chuay Heartbreaking scenes are being cuts another betel nut with a sharp knife played out all along the beach of Bang and covers it in red powder, then puts the Niang on the first anniversary of the leaf-like nut into her mouth. As the old tsunami disaster of 26 December 2004. woman is hard to understand anyway A Swedish manager weeps alongside due to her missing teeth, the rest of what Thai fishermen, a German teacher, a Thai she is saying vanishes amongst vigorous princess. Around 5,400 people died in chewing motions. Thailand. Malteser International was one Ban Bangsak has been half rebuilt by of the first international aid organisations Malteser International. New sanitary on the spot. After immediate emergency facilities have been installed, electricity relief that lasted two months, the process and water supply connected, 31 houses of rehabilitation began. built and 150 survivors have moved back. The paths along the bank are lined with But Malteser International’s aim is not white, red and black flags. White means just material reconstruction: with the help purity, red power and black mourning. of a psychologist and a social worker, it Under palm trees, there was once Ban is providing psycho-social care to help Tann Caroline von der Chuay: Since the tsunami, she has not been able any Bangsak, a settlement of the ‘Morgan’, traumatised people like Chuay. more to sleep properly. sea nomad folk. The village is no longer The disaster has also left its mark on there after the tidal wave on 26 December. those grieving in Khao Lak. Under the
ASIA 27 ON THE SPOT: CAMBODIA
Bamboo stretchers instead of ambulances On the painstaking development of health care in the north of Cambodia
A hammock, a bamboo stick, a radio and first aid equipment – these are Rin Bun Ruoy’s magic tools that are intended to save lives in an emergency. The 29- year-old’s wooden hut is what could be termed the ‘control centre’ of Por Chas, a village in the north of Cambodia with a population of about 200. In this isolated region, lack of communication and transport options is responsible for many deaths. But now Por Chas has a first aid team. This ‘village emergency referral sys- tem’ is the first division of a three- level health care system developed by Malteser International in the province of Tann Caroline von der Emergency exercise: training village residents to form a first aid team. Oddar Meanchey in cooperation with the government and the ‘Cambodia Health ruled by Orn Han. The learned orderly and Malteser International came to Samrong and Human Rights Alliance’. A major his nine colleagues look after 28 villages seven years ago, there weren’t even any problem here are the mines left behind with more than 15,000 residents. Between beds, let alone an ambulance. Patients from a decade of war, still buried in 30 and 100 people arrive every day for had to be collected and sent home by fields and paths. The voluntary first aid treatment and advice. Prices are listed on taxi, explains Dr. Sokomar, the former team looks after the injured and carries a large board outside the house: a malaria manager of the hospital. Since then, them to the nearest ox-cart in Ruoy’s test costs around 2,000 Riel, treatment there is now a surgeon who can perform hammock suspended from a bamboo of a minor injury costs 3,000 Riel. 4,000 simple operations. And technical medical stick. Sometimes they have to carry the Riel equals roughly one dollar, the same assistants carry out the most vital tests in patients on foot to the nearest health care price as a can of Coke. The medical staff a small laboratory. centre due to flooded streets. receive just short of half the treatment But all this is useless if patients don’t The second level is the health care costs as their salary, while the other half reach the hospital in time. And for that centres, of which there are now 14 in Oddar is spent on equipment. No wonder that reason, Rin Bun Ruoy’s hammock may Meanchey. The aim is for every location Orn Han also has to cultivate his fields in well be the gateway to a modern health to be a maximum of 15 kilometres away order to survive. care system. At least for the 236 residents from the nearest centre. The whitewashed The provincial hospital in Samrong is of Por Chas. centre in the nearby village of Kok Mon is responsible for the entire province. When Caroline von der Tann Caroline von der Tann Caroline von der The ‘village emergency referral system’ ensures rapid treatment of injured people Provincial hospital in Samrong: operations are now possible here. in isolated areas.
28 ASIA America
In 2005, the federal states of Louisiana and Mississippi were the setting for the worst natural disaster to ever hit the USA. Countries in Central America were also affected by serious natural disasters, which mainly hit those who were most vulnerable, due to low income and poor living conditions. Hurricane Katrina and Hurricane Stan inflicted unimaginable damage in August and October, causing the deaths of over 3,000 people. Together with the national associations of the Order of Malta, Malteser International is supporting reconstruction after the disaster, focussing on those who are incapable themselves of making a new start.
When the storm was over Aid for the victims of Hurricane Katrina in the United States
Volunteers clear away unusable furniture and flooring from houses in need of renovation.
have been working in the poorest quarters of the city since November 2005 and are helping residents clear and clean their houses and prepare them for renovation. By March 2006, over 150 houses had been cleaned and protected against mould, thanks to the help of more than 1,200 volunteers. In the second phase of the ‘house renovation programme’ Malteser Inter- national is collaborating with another United States of America the obstacles in their path,” says Joan highly competent partner organisation: Diaz, born and brought up in New Orleans. ‘Rebuilding Together’ has been engaged International staff: 1 “They want to return to their houses, to in the renovation of houses for particularly Aid for over 400 families in New a familiar environment – and as soon as needy citizens in various cities in the Orleans possible.” Joan is the head of ‘Helping United States for over 18 years. “In order Hands’, an initiative started by the to be able to offer renovation support to On 29 August 2006, Hurricane Archdiocese of New Orleans to provide even a fraction of the people who ask us Katrina hit land in the state of Louisiana reconstruction aid. Supported by the for help, we are reliant on partners such as approximately 30 kilometres east of New three American associations of the Order the American associations of the Order of Orleans. The levee system protecting of Malta and by Malteser International, Malta and Malteser International,” says residents against the water of Lake teams of between ten and 15 volunteers Bryon Cornelison, head of the ‘Rebuilding Pontchatrain and the Mississippi river Together’ programme in New Orleans. collapsed in several places. Over 100,000 Together with Malteser International households were submerged in more than project coordinator Osvaldo Marcenaro, a metre of water. More than a million Bryon is working on 32 complete people were forced to leave their homes. renovations. Volunteers with technical Around 1,200 people died in the storm. training are working together with It took over three months before the city volunteers from the Order’s associations was finally free of water again. on two to three houses each month until The greatest challenge now is the they are ready for occupancy again. rebuilding of homes. “Many of the evacuees have only one goal, despite all The renovation of the houses in New Orleans sometimes is quite exhausting for the volunteers.
AMERICA 29 ON THE SPOT: NEW ORLEANS
Helping hands in the eye of the storm A volunteer, also a member of the Federal Association of the Order of Malta in the USA, reports on the reconstruction of New Orleans
Eight months after the hurricane, the scope of the damage is still beyond description. While the St. Louis flood of 1993 destroyed some homes as thoroughly as those ravaged by Katrina, the damage was generally confined to much smaller areas. In New Orleans, we literally drove for miles in almost any direction and saw nothing but empty homes, vacated businesses and abandoned vehicles all around us. We had heard of the work of Malteser International around the world and had supported it with contributions. Never before, however, had we participated in this work in a hands-on fashion. The particular work in which we took part was rebuilding the home of a widow in New Orleans. Lynette had been chosen by ‘Catholic One of the renovated houses: successful cooperation between ‘Helping Hands’, ‘Rebuilding Together’ and Charities’ as an especially deserving the Order of Malta. beneficiary of our efforts. The more we in levels of skill. We stripped wallpaper, Lynette has lived in her house in New Orleans got to know her, the more we agreed. caulked, cleared debris, landscaped, since 1993, recently with her youngest son Her effusive gratitude that strangers from installed light fixtures, assembled and Shane, who suffers from a manic depressive all over the country had not forgotten installed cabinets, installed floors, painted illness. She works for a large construction about her or her neighbours was the and painted and painted some more. The company, working on the design of a tank greatest reward any of us could ever have transformation in Lynette‘s house in less for NASA. She has five children and six wanted. than 96 hours was truly remarkable. grandchildren. Before the hurricane, she was Members from all three associations of The real miracle, however, was evident also caring for her parents. Her father died in the Order of Malta in the United States had on Lynette‘s face. She said on more than 2004 and her mother died on 22 August 2005, been sent as volunteers to New Orleans one occasion that the Order of Malta had only a week before the hurricane. Lynette is for the ‘house renovation programme’. answered her prayers. God had responded happy that her mother did not have to cope The 26 members of our group came from through human hands. with the evacuation. Florida, California, Massachusetts and Tom Albrecht, volunteer in the ‘house Lynette was evacuated on the Friday before points in between. We varied in age and renovation programme’ in New Orleans the hurricane. For several months, she lived with one of her daughters. Since then she has been living in one of the trailers provided for so many hurricane victims. Unfortunately, she had to wait several weeks for a power connection. She would have loved to make her famous enchiladas for the volunteers. Now she is overjoyed with her new home.
Volunteers of all ages from the Order of Malta participate in renovation work.
30 AMERICA Aid for the victims of Hurricane Stan Mexico
Aid for over 5,000 people away and led to the weakening of the entire infrastructure. Those that suffered the most in the disaster were the people living in rural mountainous regions, who were robbed of what few sources of income they had. As part of emergency aid, the Mexican Association started a project in the community of Motozintla north of Tapachulas with the support of Malteser International, covering short-term need for food relief and making a long-term contribution to the reconstruction of the surrounding villages. A small production site for tortillas is to be supplied with basic ingredients for a year and should become a self-sufficient community project as of the next harvest. Despite the obstacles in hard-to-access regions Mexico: Emergency aid for hurricane victims: provision of basic foodstuffs, medicine and water. caused by the collapsed infrastructure, The Central American states did not and the deluges that followed inflicted this ‘tortilladora’ started operations in come through the particularly severe incredible damage. In the Chiapas region May 2006. Since then, over 5,000 people 2005 hurricane season unscathed either. in south Mexico in particular, floods and have regularly been receiving food from Between 4 and 8 October, Hurricane Stan mudslides destroyed crops, swept houses this small production site.
Guatemala
Aid for over 3,500 people
The Association of the Order of Malta in Guatemala also provided immediate aid for those affected by Hurricane Stan, distributing food and medicine. In cooperation with Malteser International, a project was started in Santiago Atitlán to improve local primary health care. Special emphasis was placed on families who had been forced to move into corrugated iron shelters after the hurricane. The improvement of hygiene conditions and food supply are crucial elements of the project, as is psycho-social support and care for those affected.
Mexico: The provision of drinking water takes top priority after the disaster.
AMERICA 31 Europe Aid recipients pledge to donate part of Balkans the income they receive from their first year of operation to social and charitable National staff: 28 projects, thus providing simultaneous Aid for 2,000 people support for the development of civil Malteser International has worked in society and democratic structures. In the Balkans since 1995. this way, we have promoted about 600 individual projects in Bosnia alone since The reorganisation after the 2000, reaching more than 3,000 people in collapse of the former Federal State Kosovo: The support of small-scale businesses – such family and neighbourhood groups. Since of Yugoslavia has still not yet reached as this coffee-roasting plant – improves the financial situation of many households. 2002, 650 people have found work in its final conclusion today. Separation Kosovo in 230 businesses, thus creating between Serbia and Montenegro has This includes careers training, the a new existence for themselves and their been realised; the federal diversity promotion of small trades, preventative families. of Bosnia and Herzegovina remains health promotion, legal advice, the unproven in reality and the future Refugees and returnees development and strengthening of status of Kosovo remains open. On behalf of the United Nations High local non-governmental organisations Irrespective of the political path taken Commissioner for Refugees (UNHCR), and reconciliation work. This concept and yet to be taken by the successor Malteser International has accompanied developed in Bosnia was also adopted in states, they all remain united in a deep 135 refugee convoys over the past year, Kosovo after 1999 and later even in Asian social and economic crisis today, with mainly carrying refugees home from project areas. the exception of Slovenia. Bosnia to Croatia, and also in the opposite The foundation created in 2002 under direction in some cases. We also provided the name ‘Bosnian-Herzegovina Women Malteser International has been those most in need when repatriated Initiative’ (BHWI) has been running all working in the Balkans for over ten years. with an initial aid of up to EUR 100 per women’s projects for us since then as a Initially, work concentrated on emergency person. local agency. For example, it counsels aid measures such as the distribution of and supports unemployed women in the ‘Rigid Shelter’ – a roof for the winter hygiene and food packages, but later the setting up of a business. The next step in Some people in Kosovo are still focus became rehabilitation and structural independence was taken in 2005 when without fixed accommodation that offers aid projects. The aim was and is to help the BHWI requested subsidies itself for sufficient protection against the hard people develop a new peaceful centre the first time and received them. winter. On behalf of UNHCR, Malteser of life after years of bloody conflict and International has installed winter-proof displacement. Over the years, Malteser Income-generating measures ready-built houses for returning refugee International has developed two project Our income-generating measures are families. In this way, around 20 families forms still running today in the focus used to promote the integration of those were provided with a new, secure home regions of Bosnia and Herzegovina and returning home by helping them to found in 2005. Kosovo. small businesses and service industries.
Women’s initiatives in Bosnia and Kosovo As many men died in the wars or were injured and returned home traumatised, the central organisational role in life after war fell to the women in many families. Working with local women’s groups, we developed programmes and measures intended to reinforce women’s skills, self-confidence and independence. Kosovo: Production sites for toilet paper: work and Kosovo: Thanks to a small loan, this hairdresser has income for numerous families. been able to re-open his salon.
32 EUROPE ON THE SPOT: BOSNIA AND HERZEGOVINA
Regaining strength with spinach Income-generating measures in Bosnia and Herzegovina
Potatoes, onions and spinach – Borislav to ensure that the project is viable on a support social organisations. And he’ll be Acimovic has always cultivated them at long-term basis and promotes mutual aid back next year in gratitude: “I had such home in his village Humi-Lisan near groups amongst the returnees. a great harvest that I was able to pay my Mostar. But he hasn’t been able to for In autumn 2005, Acimovic supplied two debts in two instalments instead of five. twelve years. The civil war forced the 64- old people’s homes in Mostar with 300 Even though I’ve already covered the year-old Serb to flee his home. He only kilograms of potatoes and 300 kilograms repayment sum, I’d like to donate part of returned in 2004 – and had to start again of spinach – his repayment obligation my next harvest to an old people’s home from scratch. Together with his wife, he that Malteser International implements to again.” now lives within 16 square metres, but it is lack of money and machinery that really affects the couple, not lack of space. Acimovic found out from friends about the projects run by Malteser International to promote income-generating measures – and a few meetings later, thanks to the financial support of Malteser International he bought a petrol-run manual tractor together with three neighbours. Malteser
International checks each request carefully Borislav Acimovic with his manual tractor, which he The village community also profits from income- was able to buy thanks to a small loan. generating measures: Borislav Acimovic gives part of his harvest to the local old people’s home.
Turkey Aid for 240 mentally disabled children and their families Malteser International has worked in Turkey since the earthquake in 1999.
Once emergency aid ended, Malteser International worked out with its local partners which earthquake victims were in need of particular attention in the Care for disabled children and support for their Foundation of a health care centre in the earthquake rehabilitation phase. There were naturally parents. region – together with the local partner ‘International a lot of supply gaps and a great need Blue Crescent’. for reconstruction, but one group was a few of them into the working world. Izmit and its surroundings, the epicentre threatening to fall through the developing This project has since developed into a of the severe earthquake in 1999. As supply net: disabled children whose pilot project in Turkey that is receiving a before, the focus of this aid is the centre parents’ livelihood had suffered as a lot of recognition. Further vital measures for 240 mentally handicapped children result of the earthquake. So we decided included erecting a health care centre in in Izmit. Here, we are continuing to to establish a centre for these children the earthquake region and constructing a support training measures and movement and their parents in which the children’s first aid training centre. therapies that ease the life of the children physical capabilities could be developed In 2005, Malteser International con- and their parents. and encouraged in such a way that it tinued cooperation with its Turkish would later be possible to integrate at least partner ‘International Blue Crescent’ in
EUROPE 33 Central and Eastern Europe
Within the framework of a programme actually extending beyond humanitarian aid, Malteser International also supports the development of partner organisations and social services in Central and Eastern Europe. This programme comprises both international and national aspects: ● Support for the 13 Malteser aid organisations currently in Central and Eastern Europe: over the past year, we have focused particularly on advising and creating a network for our partner organisations. ● Promotion of the German Malteser relief agency‘s work abroad, which is mainly volunteer-based and since the foundation of Malteser International acts under the name ‘Malteser Auslandsdienst’ (Malteser Foreign Service): the central points here are consolidating existing partnerships and training our representatives abroad.
Flood aid in Romania and its International supported its partner relief in the south of Romania, SAMR was on neighbouring countries agencies with financial aid totalling the spot immediately and able to provide Barely noticed by the Western media, a EUR 200,000. In this way, food, blankets rapid and professional help on the basis of dreadful flood disaster hit Romania and a and hygiene articles were distributed to its experiences of the previous year: the few of its neighbouring countries between the flood victims. Since summer 2005, Romanian Malteser partner organisation April and September. It resulted in the the Romanian Malteser aid agency provided emergency aid for the worst-hit deaths of 31 people, destroyed thousands SAMR (Serviciul de Ajutor Maltez în villages in the eastern Romanian district of houses, paralysed the infrastructure România) has also carried out measures of Tulcea and distributed 300 packages in broad areas of the country and caused to secure livelihoods and rebuild homes, with food, blankets and hygiene articles. material damage totalling over EUR 1.2 distributing agricultural equipment, seeds With the financial support of the German billion. and livestock to the affected population. Foreign Office and Malteser International, The Malteser relief agencies in Numerous German Malteser groups also it erected temporary tent accommodation Romania, Serbia and Hungary intro- supported their partner with flood aid. for evacuated residents. SAMR is also duced extensive emergency aid and When the Danube burst its banks again planning to take part in the reconstruction reconstruction measures. Malteser in April 2006 and flooded further regions of the destroyed villages.
34 EUROPE Malteser management conference in First introductory seminar for provided theoretical and practical basic Central and Eastern Europe concludes Malteser volunteers working in knowledge for volunteer usage abroad partnership codex foreign aid for the 15 participants from Germany At the third annual conference in For the first time, Malteser International and Austria. A task force of experienced Timişoara, Romania, the management offered a seminar for voluntary Malteser volunteer and employed foreign service representatives of the Central and Eastern staff working in foreign aid, between 9 and workers compiled the course concept, European Malteser relief agencies reached 11 December 2005 at the Malteser training which was tested in a pilot run in 2004 a milestone in their networking process: centre in Ehreshoven. The introductory and then developed into a form ready for On 5 October 2005, representatives from seminar ‘Competence in Foreign Aid’ the seminar. Lithuania, Poland, Romania, the Czech Republic, St. Petersburg/Russia, the Ukraine and from Malteser International, plus Albrecht Freiherr von Boeselager, Grand Hospitaller of the Order of Malta, signed a partnership codex regulating the fundamentals and basic principles of their international cooperation; the heads of Malteser associations in Hungary, Latvia and Albania, plus the President of the German Malteser relief agency, Dr. Constantin von Brandenstein-Zeppelin, also signed the codex since then. Conference participants also discussed the spiritual basis of their work and their understanding of voluntary work. In the run-up to the conference, the hosts gave participants an insight into some of their projects. Participants in the first basic seminar for work abroad in Ehreshoven.
“The introductory seminar on foreign aid offered a very successful mixture of theory and practice in a very appealing atmosphere for me. The variety of subjects under discussion, highlighting basic segments of Malteser work abroad, was also a success in terms of form, thanks to the expert, competent and humorous presentations by the course team. Joint discussions about the current path of our work abroad benefited from both the future-orientated presentation from Malteser International and an appreciation of decades of experience in aid and application that makes it possible for foreign aid to be experienced always ‘at its best’ as a Malteser presence – particularly in its aid for the needy which I feel personally to be so affecting.” – as summarised by one of the participants. Albrecht Freiherr von Boeselager, Grand Hospitaller of the Order of Malta, signs the partnership codex.
EUROPE 35 ON THE SPOT: ROMANIA
The end of the road: Banat Ocean
Zsuzsa Barla, Secretary General of the Romanian relief agency SAMR (Serviciul de Ajutor Maltez în România), reports on aid during the 2005 flood
In addition to emergency aid, a long- term aid programme was also started. SAMR and Malteser International helped rebuild and re-equip the houses of pensioners and poor families with many children. The Czech Malteser relief agency, experienced in flood aid, also came to help us and provided 71 hot-air heaters so that we could dry the houses out as quickly as possible and make them habitable once more. Given that the international media barely reported the flood disaster in Romania at all, and only quite some time after it happened, it was remarkable how Necessity is the mother of invention: collecting relief goods on a homemade raft. interested the Romanian press, radio The bridge to Otelec ends in nothing: Residents affected by the floods and now and television were in the actions of the no asphalt any more, no boundary stones, most concerned about the reconstruction Malteser agencies. Possibly because nothing on the horizon but treetops. And a of their houses were thus provided daily SAMR was one of the few domestic aid worrying silence. Only the noise here and with a warm meal. organisations who reacted quickly and there of walls bursting under the pressure Beginning in spring 2005, Romania effectively to the flood disaster. of the water. When we were on our way was afflicted by the worst flood the Even though no one could have wished to discover the extent of damage in west country has seen in more than 100 for an event such as the 2005 flood in Romania in April 2005, we had to turn years. A sequence of six tidal waves hit Romania, it did at least mean that we found back before Otelec, which is normally almost every region within Romania: out once again that positive cooperation 25 kilometres away from the River first Transylvania, then the Banat and between the Malteser agencies from Timiş. And we saw what it was the press in July Moldova and Walachia. August different countries is possible and can be were renaming in terms of Romanian brought two simultaneous tidal waves a blessing for those affected by disaster. geography: the Banat Ocean. across the country. In autumn, the rains Malteser flood aid in 2005 brought us But after returning to the Malteser returned, this time in the south. More closer together and we collected valuable centre in Klausenburg and to the other than 30 people died, with hundreds of experiences that will enable us to react affected areas, the initially paralysing locations submerged under water. Across responsibly to similar situations in the horror gave way quickly to research, the country, the flood caused damage of future. planning and preparation of aid projects: over EUR 1 billion. damages were calculated, contact made with other organisations participating in flood aid. Soon after, the Romanian relief agency SAMR, cooperating with Malteser International, was able to come to the rescue of flood victims from the Banat with humanitarian aid totalling over EUR 100,000. For example, in Otelec we organised a field kitchen for flood victims from the Timi district. ş It is mainly elderly people who have been affected by Zsuzsa Barla, Secretary General of SAMR, in the floods. conversation with flood victims.
36 EUROPE Facts and Figures
Experts abroad
Local staff employment Expatriate employment per region per region
2005 2004 Africa Asia Balkans America Africa 411 346 33 88 0 1 Angola 19 24 DR Congo 126 98 Ethiopia 2 12 Kenya 14 23 Sudan 237 170 Uganda 13 19
Asia 426 442 Expatriates by education and occupation Afghanistan 197 279 Cambodia 18 20 others 2 India 1 - trainees / project assistants 16 physicians 21 Indonesia 31 - nurses and orderlies 12 Iran 1 2 Iraq 1 - consultants 6 Myanmar 120 110 engineers 6 Pakistan 4 - midwives 2 Sri Lanka 10 - Thailand 40 27 paramedics 7 Vietnam 3 4
Balkans 28 34 Bosnia and Herzegowina 16 19
Kosovo 12 11 logistics specialists / Macedonia - 1 administrators 13 coordinators / managers 31 Serbia - 3 project managers 6
865 822 Hinrich Bernzen
FACTS AND FIGURES 37 Annual accounts as of 31 December 2005 Balance sheet ���������������������������������������
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Auditor’s report
38 FACTS AND FIGURES Notes on the income statement
For consolidation reasons, the income Other operating income also includes EXPENDITURE statement of Malteser International income from donations and internal The items Cost of materials and is prepared according to the system Malteser organisation contributions Personnel expenses comprise the majority of accounts established by Malteser amounting to a combined total of EUR of direct project costs (e.g. costs of Hilfsdienstes e.V. The structure of the 14,551,092, as well as a special collection medicine and relief items of a combined income statement (but not the audited by the German Conference of Bishops for total of EUR 9,593,658, payments to contents) therefore differs in some the tsunami victims, amounting to EUR building contractors in reconstruction respects from the presentation of data 3,127,675. projects, costs of international and local elsewhere in this Annual Report and is Grants from both public and private project staff), as well as parts of the briefly explained in the following notes. donors which cannot be used in the indirect project costs and administrative current financial year (e.g. for projects costs (non project-specific staff costs). INCOME that last for several years or are carried The item Other operating expenses Sales revenues include all income from over into the next year), as well as also includes direct project costs (e.g. supplies and services provided. Other donations which cannot be used fully in structural aid and direct project support operating income includes: allocations the current financial year (since a large for local partners in Eastern Europe and grants from the public sector (project proportion of donations is received at the amounting to EUR 681,500; freight and funds provided by the German Federal end of the year), are carried over to the transport charges), as well as indirect Foreign Office and the German Federal next year and then used. The use of these project costs (pro-rata costs of media and Department of Economic Cooperation funds is shown under Income from the public relations, costs of staff recruitment and Development [BMZ] amounting reversal of liabilities from investment and support) and administrative costs to EUR 1,292,990 and by the European allocations / appropriated donations (rent, IT). Union amounting to EUR 5,752,337), and grants not yet used. (The carry- In 2005, administrative costs amounted church contributions (project resources over of such funds to the following year to less than eight percent of our total of EUR 13,175) and contributions by is shown under Expenses for transfer to expenditure. third parties (UNHCR amounting to liabilities of payables from donations EUR 1,072,532, UNICEF, DAHW and and grants not yet used). donations received and claimed via ADH amounting to EUR 9,192,403).
Incoming donations Development of incoming donations (rounded up)
Incoming donations Source of funding Aktion Deutschland Hilft (ADH; Action Private donations Campaign Germany Helps) EUR 11,423,000 EUR 9,192,000* 25,000,000 EUR 23,743,000
20,000,000 39 % 48 %
thereof by ADH: 15,000,000 EUR 9,192,000*
10,000,000 13 %
5,000,000 EUR 3,235,000 EUR 3,045,000
Special collection by the German 2003 2004 2005 Bishops’ Conference for the victims of * Further donations (tsunami) of ADH amounting to EUR 8,560,064 are already budgeted, the seaquake EUR 3,128,000 even though they have not yet been claimed.
FACTS AND FIGURES 39 Project expenditure Project expenditure (rounded up) by source of funding
KfW WFP and other UN organisations EUR 1,301,000 EUR 361,500 Caritas, PMK et al. EUR 602,200
Europe Aid Others (DAHW, foundations et al.) EUR 1,308,000 EUR 549,000 Donations and own resources ECHO EUR 10,090,000 EUR 3,889,000
ADH Aktion Deutschland Hilft (Action Campaign Germany Helps) BMZ Federal Ministry for Economic Cooperation and Development, Germany DAHW German Leprosy and Tuberculosis Relief Association ECHO European Union’s Humanitarian Aid Federal Foreign Office Department of Germany KfW Development Bank – KfW Banking Group EUR 1,185,000 PMK Papal Mission Organisation for Children BMZ ADH UNHCR United Nations High Commissioner EUR 897,000 EUR 5,690,000 for Refugees UNHCR EUR 1,148,000 WFP World Food Programme
Direct project expenditure (rounded up) by continents
America* EUR 69,000 Europe 2,068,000 EUR Africa EUR 5,824,000
Asia thereof tsunami EUR 15,116,000 EUR 8,714,000 * The programmes in America started at the end of the year 2005; therefore, most of the project expenditure will be included in the accountancy of 2006 only.
40 FACTS AND FIGURES Acknowledgement
Malteser International would like to thank all pri- vate donors and sponsors, as well as all compa- nies, cooperation partners, foundations, societies, schools, parishes and organisations, for their ge- nerous support in 2005. Unfortunately, we do not have space here to list all those members of the in- ternational aid community who have supported us, but a few are named below as representatives:
Afghanistan Hilfe Paderborn Aktion Deutschland Hilft e.V. (ADH, Action Campaign Germany Helps) Archbishopric of Cologne Augustinus-Kliniken gGmbH, Neuss BILD hilft e.V., Hamburg Bishopric of Mainz German Bishops’ Conference, Bonn Centre for International Migration and German Leprosy and Tuberculosis Relief Association (DAHW), Wuerzburg Development (CIM), Frankfurt/Main Gitec Technologie- und Wirtschaftsberatung GmbH, Berlin/ Hannover City of Winnenden Happy Digits, Cologne Community for Technical Cooperation (GTZ), Eschborn Helft uns Leben e.V., Koblenz Community Henstedt-Ulzburg Joint United Nations Program on HIV/AIDS (UNAIDS), Geneva Department for International Landesbank Hessen-Thüringen (HeLaBa) Development (DFID), London Langenscheidt KG, Munich Deutsche Bank, Frankfurt/Main Malankara Social Service Society, Trivandrum Deutsche Treuhand-Gesellschaft Nachbar in Not (NiN), Vienna Aktiengesellschaft (KPMG), Berlin National associations and relief agencies of the Sovereign Order of Malta Development Bank - KfW Banking Group, Frankfurt/Main Noweda – Die Apothekergenossenschaft, Essen Die kleinen Patienten e.V., Bonn O.S.T. e.V., Neuwied District Offi ce Berlin-Reinickendorf Osthessen hilft Südasien, Fulda Dr. Hans-Liebherr-Stiftung, Biberach/Riss Papal Mission Organisation for Children (PMK), Aachen European Union’s Humanitarian Aid Partner Aid International (PAI), Berlin Department (ECHO), Brussels Rheinzeitung, Koblenz EuropeAid/EuropeAid Coordination Richter + Frenzel GmbH, Augsburg Offi ce (AIDCO), Brussels Serendib Stiftung, Hamburg Faber-Castell AG, Stein Social and Economic Development Centre (SEDEC), Columbo FC Bayern Hilfe e.V., Munich Spanish Caritas Confederation, Madrid Federal Ministry for Economic Cooperation and Swiss Tropical Institut (STI), Basel Development Germany, Bonn Überlandwerke Fulda AG (ÜWAG) Food and Agriculture Organization of the United for Africa United Nations (FAO), Rome United Nations Children’s Fund (UNICEF), New York Foreign Offi ce, Berlin United Nations Development Programme (UNDP), New York Foreign Offi ce, Canberra United Nations High Commissioner for Refugees (UNHCR), Geneva Foreign Offi ce, Ottawa United Nations Offi ce for the Coordination of Humanitarian Affairs (OCHA), Foreign Offi ce, Tokyo Geneva/ New York United Nations Offi ce on Drugs and Crime (UNDOC), Vienna United Nations World Food Programme (WFP), Vienna University of Regensburg Volksbank-Raiffeisenbank e.G. Husum World Child Foundation World Health Organization (WHO), Geneva ZF-Hilft e.V., Friedrichshafen
Roberto Girault … plus countless other local, national and international partner organisations.
ACKNOWLEDGEMENT 41 Member associations (Status: August 2006)
Australia Great Britain Poland www.smom.org.au www.orderofmalta.org.uk www.zakonmaltanski.pl
Austria Ireland Portugal www.malteserorden.at www.orderofmalta.ie www.orderofmalta.org
Belgium Italy Switzerland www.ordredemaltebelgium.org www.orderofmalta.org www.orderofmalta.org
Czech Republic Malta United States of America www.orderofmalta.org www.orderofmalta-malta.org www.maltausa.org www.orderofmaltausawestern.org France Mexico www.smom.org www.ordredemaltefrance.org www.ordendemaltamexico.org
Germany Netherlands www.malteser.de www.orderofmalta.org
www.malteser-international.org
42 MEMBER ASSOCIATIONS Structures and committees
Malteser International is the international relief agency of the Sovereign Order of Malta for humanitarian aid. The legal entity of Malteser International is Malteser Hilfsdienst e.V.. This is represented by the Executive Board, currently composed of Johannes Freiherr Heereman (Executive President), Reinhard Eckert and Dr. Elmar Pankau. The President of Malteser Hilfsdienst e.V. is Dr. Constantin von Brandenstein-Zeppelin. Currently, 18 national associations of the Order of Malta are members of Malteser International. At their General Meeting they appoint a honorary Executive Committee for a term of four years. This Committee consists of five members: the President, three Vice-Presidents and the Financial Supervisor. The President and at least two other members of the Executive Committee must be members of the Order of Malta. The leadership structure of Malteser International is currently as follows:
President Vice-President Vice-President Vice-President Financial Supervisor Nicolas de Cock Comte Thierry Richard Ambassador (ret.) Charles-Louis de Rameyen de Beaumont-Beynac Freiherr von Steeb Theodor Wallau de Laguiche (Belgium) (France) (Austria) (Germany) (Switzerland)
The Executive Board of Malteser Hilfsdienst e.V. finalises the budget proposed by the Executive Committee of Malteser International and confirms the annual accounts. The Executive Committee of Malteser International sets the strategy and makes decisions on work guidelines within the framework of written agreements made with Malteser Hilfsdienst e.V.. The Secretary General leads the operating activities of Malteser International within the framework of the adopted budget and strategy of Malteser International. He arranges meetings of the Executive Committee and participates in these meetings in an advisory capacity.
STRUCTURES AND COMMITTEES 43 Sven Torfinn Sven
Published by: Malteser International Responsible for content: Ingo Radtke Editorial team: Petra Ipp (editor-in-chief), Anke Barth, Stefan Dold, Katrin Rehfuss Layout/Setting: Alexander von Lengerke Malteser International Translation: Puretrans (Glees & Purer OEG) Headquarters Print: Ritterbach-Medien GmbH Kalker Hauptstr. 22-24 Photographs: Malteser International archive, Birgit Betzelt, Hinrich Bernzen, Frank Bierstedt, D- 51103 Köln/Germany Thomas Einberger / United for Africa, Roberto Girault, Florian Kopp, Kurt Oxenius, Reuters, Caroline von der Tann, Sven Torfinn, Stefan Trappe / ADH Phone +49 (0)221 9822-151 Cover photo: Indian girls on the occasion of the inauguration of their new school reconstructed Fax +49 (0)221 9822-179 after the tsunami. (Photograph: Annette Waechter-Schneider) Back cover photo: Local health worker in the slums of Nairobi (Photograph: Sven Torfinn) [email protected] www.malteser-international.org