Activity Report 2014
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MSF Switzerland Activity Report 2014 Médecins Sans Frontières (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics exclusion from healthcare and natural disasters. As an independent and self-governed organisation, MSF’s actions are guided by medical ethics and the principles of neutrality and impartiality. MSF offers assistance to people based only on need and irrespective of race, religion, gender or political affiliation MSF strives to ensure that it has the power to evaluate medical needs freely, to access populations without restriction and to control the aid it provides directly, giving priority to those in most grave danger. MSF does not take sides in armed conflict and demands unhinde ed access to patientsto patients and and the the space space it needsit needs to carryto carry out out emergency emergency medical medical interventions. interventions. In additionIn addition, MSF only acceptsMSF only private accepts donations private donations and never and accepts never funds accepts from funds parties from directly parties involved directly in involved any conflict in any o medicalconflict oremergency medical eme that gencyMSF is that dealing MSF with.is dealing with. MSF is a non-profit o ganisation founded in Paris, France, by doctors and journalists in 1971. Today, MSF is a worldwide movement of 2330 associations and an international office in Geneva Switzerland, which provides coordination, information and support to the MSF Movement, and implements international projects and initiatives as requested. All of the associations are independent legal entities, registered under the laws of the countries in which they are based. Each association elects its own board of directors and president. They are united by a shared commitment to the MSF Charter and principles. The highest authority of the MSF Movement is the International General Assembly, which meets yearly. The movement has five operational cent es – MSF France, MSF Belgium, MSF Switzerland, MSF Holland and MSF Spain – which directly manage the missions. The partner sections contribute to the action of MSF through their recruitment efforts and by collecting funds, information and providing medical and operational support. This Activity Report takes the place of the Performance Report. It was prepared in accordance with the provisions of the Swiss GAAP, FER/RPC 21. IMPRESSUM Imprint: Médecins Sans Frontières Switzerland – Publisher: Laurence Hoenig – Managing Editor: Natacha Buhler – Contributors: Louise Annaud, Sara Chare, Franck Eloi, Emmanuel Flamand, Marine Fleurigeon, Marjorie Granjon, Bruno Jochum, Nicolas Joray, Anne Kerisel, Arnaud Levery, Eveline Meier, Ludovic Rossel Designed and produced by: Latitudesign.com Office in Geneva: Rue de Lausanne 78, P.O. Box 116, 1211 Geneva 21, tel. 022/849 84 84 Office in Zurich: Kanzleistrasse 126, P.O. Box 1942, 8026 Zurich, tel. 044/385 94 44 www.msf.ch – PC account: 12-100-2 – Bank account: UBS SA, 1211 Geneva 2, IBAN CH 180024024037606600Q EDITORIAL 1 Looking back at 2014, one can only emphasize the extraordinary level of simultaneous crises this year, and the growing number of people facing acute needs. MSF mobilised its teams once again in an environment where slow and inadequate response was unfortunately largely predominant. While conflict spread significantly in the Middle East, in South Sudan, in northeast Nigeria and in Ukraine, an Ebola epidemic of historic proportions broke out in West Africa, deeply impacting Guinea, Sierra Leone and Liberia. In the face of these tragedies, insufficient effective assistance combined with closed border policies by European countries, added to the vulnerability of many seeking refuge. The drowning in the Mediterranean of thousands of people hoping for a better life is one of the Thomas Nierle, terrible consequences of the lack of human solidarity we have glimpsed this year. President of MSF Switzerland In many countries, the most vulnerable populations are being sealed off from any significant assistance, usually due to direct political decisions but also due to levels of violence. This is the case in many regions of Syria and Iraq – due to the positioning of the Syrian government and to the rise of the Islamic State organisation as a military and political force – in northern Sudan, in Eritrea and North Korea. For millions of people, the lack of aid is combined with an absence of witnesses. While the situation on the ground and our own choices have pushed us to focus more on Bruno Jochum, emergency medical assistance and the security of our teams, we need, more than ever, to General Director of MSF Switzerland maintain some distance so that we can look at our practices objectively and have sufficient space to think critically about our role, our opportunities and our limits. In particular we need to look at the impact the work we are doing is having on the people we are aiming to assist. The ability to ally both action and reflection is one of the most valuable features of MSF as a humanitarian association and it ought to be preciously preserved and developed. Many of the trends our teams observe in the field – including the wide gap between emergency needs and the capacities of response, the bureaucratic practice of aid, the lack of action in the face of an international public health crises like Ebola – should lead MSF to even stronger positioning towards external actors and encourage us to confront and move beyond our own traditional limitations. Which responsibilities do we want to affirm in the future and with which capabilities? Which medical assistance do we want to aim at in the coming years? How can we improve our ability to work in highly insecure contexts where radical non- state armed groups are present? These are some of the questions we will have to answer when working on our strategic choices for the coming years. The price paid by our staff in the field has been very heavy this year and to mention just the most critical events: 14 MSF staff members died after becoming infected with Ebola while dedicating themselves to the response; three colleagues from Amsterdam Operational Centre were murdered by an armed group in Boguila, Central African Republic. In Syria, 13 staff of the Belgian section were abducted in January and the five international ones were kept for several months before being released; finally, three of our colleagues from MSF France have been missing in the Democratic Republic of Congo since July 2012. We pay tribute to and remember each of them. Thousands of other MSF staff at large have worked their hardest, in stressful conditions, to try and alleviate the suffering of those most in need, and these people deserve the association’s full recognition and support. We would also like to thank each of you for your constant commitment and support, without which our work would not be possible. You enable us to make a real difference in the lives of our patients. Thomas Nierle, Bruno Jochum, President of MSF Switzerland General Director of MSF Switzerland 2 ACTIVITY REPORT 2014 CONTENTS 2014 in review ...................... 4 HAITI The year in pictures ................. 7 Since 2010 Project : Léogâne HR : 444 incl. 18 international Activities by country ................ 12 Cost: CHF 9,098,000 Cameroon ......................... 12 Guinea ............................. 13 HONDURAS Haiti ............................... 14 Since 1998 Project : Tegucigalpa Honduras .......................... 14 HR : 44 incl. 7 international Iraq ................................ 15 Cost: CHF 1,502,000 Kenya .............................. 16 Kyrgyzstan ......................... 16 Lebanon ........................... 17 MEXICO Liberia ............................. 18 Since 2013 Mexico ............................. 19 Project : Nuevo Laredo HR : 28 incl. 7 international Mozambique ....................... 19 Cost: CHF 1,214,000 Myanmar .......................... 20 Niger ............................... 20 Central African Republic (CAR) .... 21 Democratic Republic of Congo (DRC) ............................ 22 countries Democratic People’s Republic 22 of Korea (DPRK) ................. 23 Sierra Leone ....................... 23 Sudan .............................. 24 55 projects South Sudan ....................... 24 Swaziland .......................... 25 Syria ............................... 26 Chad ................................ 26 Human Resources .................. 27 Financial results .................... 28 Acknowledgements ................. 30 Structure and Governance of MSF Switzerland .................... 32 South Sudan: Guinea: The Ebola epidemic JUNE Iraq: Adapting our programmes Emergency MARCH is officially declared to respond to the needs of JANUARY intervention for and MSF open the first the civilians displaced by the displaced people management centre movement of the Islamic State in Minkaman. in Guéckédou. militants. ©Helmut Wachter/13photo JAN 2014 CAR: Intervention in Myanmar: Mobile clinics in DRC: Intervention following Kyrgyzstan: Handing over Berbérati and Bouar Rakhine state are stopped an upsurge of violence in our TB programme in at the height of the following attacks on Nia Nia. Bishkek prison. fighting and setting up international organisations. programmes for refugees in Cameroon. MAY 2014 PROGRAMMES OVERVIEW 3 GUINEA LIBERIA NIGER SYRIA KYRGYZSTAN KOREA (DPRK) Since 2001 Since 2014 Since 2005 Since 2013 Since 2005 Since 2013 Projects : Conakry,