Partnering to Save the Lives of Children Around the World ANNUAL REVIEW 2017 EXECUTIVE DIRECTOR’S MESSAGE Dear Friends and Supporters, This annual review is a look back at a year when Medicines for Humanity spent a lot of time looking ahead. As the landscape of maternal and child health continues to evolve, so do we. We engaged in a long-range strategic planning process to reaffirm our mission, vision and core beliefs, as well as tactically streamline our organizational plan for the foreseeable future. Over the last decade, significant strides have been made to reduce some of the common killers associated with child and maternal mortality. Between 2000 and 2016, the global under 5 mortality rate decreased by 47%. Still, 5.6 million children died in 2016 alone. Newborns account for a growing number of these deaths, and poorer children are at the greatest risk. Though the maternal mortality ratio also declined by 37% between 2000 and 2015, there were approximately 303,000 maternal deaths in 2015, most from preventable causes. So, we still have a long way to go. Cameroon continues to represent our largest global footprint with 20 project sites in various regions. As the year unfolded, we watched the country continue to wrestle with ongoing conflict, violence and division over perceived marginalization of the minority Anglophone population, much to the detriment of vulnerable women and children. Elsewhere in Africa, a peace agreement kept things relatively quiet for our project in the Nuba Mountains of Sudan. Without bombs and continual fighting, more refugees are returning home and the focus of medical care has moved from traumatic injury to safe delivery and prevention of common diseases. Last year, we also added a new project in Zambia. Our efforts in Africa, Haiti and the Dominican Republic continue to produce significant results and change the way maternal and child healthcare is delivered. Over the last year, we expanded efforts to focus on nutrition, healthy pregnancy, healthcare leadership and community outreach and education. We are deeply grateful for your ongoing support and commitment to mothers and children around the world. We look forward to our future journey together as we continue to transform maternal and child health for the most vulnerable around the world. Margaret Brawley, Executive Director The Global Impact of MFH Projects in 2017 TOTAL CRITICALLY-NEEDED HEALTH SERVICES PROVIDED 1,000,587 COMMUNITY-BASED SERVICES CLINIC-BASED SERVICES 236,113 254,694 Home & Pharmacy Visits for Pediatric Patient Visits Children Under 5 & Pregnant Women & Vaccinations NUTRITION SERVICES PERINATAL SERVICES 283,099 75,848 Nutrition Supplements, Anti-parasite Prenatal Patient Visits, Deliveries Treatments, Vitamin A Treatments & Postnatal Patient Visits & Nutrition Education Sessions WATER & SANITATION SERVICES 150,833 Families Gained Access OUR VALUES AND BELIEFS Commitment to Children and Their Mothers Every child has the right to a healthy, productive life. We are driven to make a difference in the lives of Integrity children so they can reach their full potential. We always operate with respect and transparency in all relationships. The health of mothers and children are inextricably intertwined. Therefore, we strengthen and improve Long-Term Effectiveness systems of healthcare for vulnerable and marginalized The best way to sustainable and lasting impact is children and mothers. through the development and utilization of evidence- based maternal and child health initiatives designed Partnerships and implemented in partnership with local health We work with in-country partners, especially providers and community representatives. We believe Congregations of Catholic Women Religious, to that long-term collaborative relationships result in leverage their strengths, catalyze change and positive transformation within communities. make a difference for children at the local level. Empowerment We pursue and emphasize partnerships with We focus on building the capabilities, skills and Congregations of Catholic Women Religious because knowledge of in-country partners to develop stronger they are champions for maternal and child health and and more effective, sustainable systems of maternal dynamic forces for improvement of services. and child health. OUR APPROACH The MFH approach features 3 interlinking tenets. Combining these three components with collaborative in-country partnerships results in a dynamic transformation of outcomes for maternal and child health in underserved, remote communities. Strengthen Healthcare Systems Ensure basic health services are available and affordable by providing medicines, equipment, supplies, renovations and implementing essential preventive programs. Build Capacity Support and nurture community health workers and clinical providers with ongoing training, effective monitoring, mentoring and supervision, tools and job aids, as well as economic empowerment programs for lasting engagement and sustainability. Empower Communities Empower communities to transform lives and impact the social determinants of health by developing leadership, collaboratively generating effective health services and fostering initiatives to drive broader holistic change. At the Heart of Medicines for Humanity OUR VISION A world in which no child dies from preventable causes or from a lack of basic health services. OUR MISSION Save the lives of vulnerable children and their mothers. We collaborate with and empower committed in-country partners in areas of high child mortality to strengthen maternal and child health in their communities. Our Partnerships with Catholic Sisters by Tim Bilodeau, MFH Board Chair People often ask us why so many of our projects Catholic sisters can accomplish a great deal involve partnerships with Catholic sisters. This is with very little. They are committed to serving not by chance, but by choice. the poor and serve the most vulnerable by choice. Many congregations have established systems of Medicines for Humanity (MFH) works in areas around maternal and child healthcare but are extremely the world where the conditions are challenging and under-resourced. Collaborating with them enables where child mortality and maternal mortality are very us to leverage MFH resources to accomplish much high. To have an immediate, positive impact, we engage more than we could working on our own. MFH strives partners already working in these communities, who to provide the additional training, staff, technical have the respect and trust of the population, and support, medical supplies and medicines that the who are committed to serving mothers and children sisters need to reach many more children and save for the long-term. Very often, the providers who are many more lives. making the greatest difference are communities of Catholic sisters. Strengthening and expanding systems of maternal and child health with Catholic sisters creates long-term MFH does not have any religious affiliation, but we impact and transformational change. The results speak often put our faith in Catholic sisters as our in-country for themselves. Our partnerships with Catholic sisters project partners. These women are champions for continue to produce significant and positive sustainable maternal and child healthcare, and are dynamic, outcomes for maternal and child health now and for enthusiastic forces for change. The partnerships we the future. forge with these women are central to creating a significant and lasting impact on maternal and child health outcomes. In many places, they are the only source of basic healthcare services. ZAMBIA Over 50% of the population in Zambia lives below the Despite the availability of free healthcare services at poverty line, an estimated 70% is food insecure and public facilities and a large majority of private clinics, 45% of its children are stunted. This country has some accessing care is a challenge for many impoverished of the worst maternal and child health outcomes in the women in remote communities of Zambia. Over 40% Southern-Central African region. Our newest project of the country’s rural population lives more than 5km supports Catholic sisters in the Eastern Province to from the nearest health center and few women can better serve the needs of mothers and children in rural afford to sacrifice time and resources for transport. areas. We are working with the Catholic Episcopal Over 50% of deliveries occur in the home, without the Conference Health Unit and the Sisters of Charity of assistance of a skilled healthcare worker. MFH is trying Ottawa running the Muzeyi Health Center to improve to make a change. community outreach and education, increase service Initial 6-Month Accomplishments: utilization and improve water, sanitation and hygiene • Trained and supported 200 Safe Mother Action (WASH) practices. Groups (SMAGs) Zambia Facts • Trained & supported 68 Community Health Workers • 398 maternal deaths per 1,000 live births • Purchased ultrasound & trained providers • Child Mortality Rate = 70 • Operationalized 13 WASH committees • Major causes of death for children under 5: Initial 6-Month Results: Prematurity Respiratory Infections • 3,257 household visits Malaria HIV and AIDS • 130 community education sessions Diarrhea Birth Asphyxia • 3,989 households reached by SMAGs • 18% increase in number of women seen at a clinic coming from more than 5km away • 60% increase in number of mothers completing 4 antenatal visits • 42% increase in number of mothers receiving postnatal care within first