SUSTAINABILITY REPORT as of 31 december 2018 1 INDEX METHODOLOGY 3 • The drafting method • Questionnaire response rates WHO ARE WE? 5 • What we do • Where we work • Areas of specialism • The world of EMERGENCY • EMERGENCY’s principles and values • Legal framework SUSTAINABILITY 9 • Difficulties and paradoxes of sustainability • Economic and social sustainability • Environmental sustainability FUNDRAISING 13 • The principles of fundraising • Private fundraising • Institutional fundraising • Local governments contributions • How we used our funds in 2018 • Suppliers and transparency DISTINCTIVE CHARACTERISTICS AND INDEPENDENCE 20 • Did you know? • EMERGENCY’s interventions • The idea of treatment • Inside an EMERGENCY hospital you will find… • Care that goes beyond treatment • From humanitarian action to a culture of peace • EMERGENCY’s volunteers ADVOCACY 28 • The main themes addressed during 2018 • Institutional advocacy • GRI Index 31 2 METHODOLOGY THE DRAFTING METHOD The data contained in this document refers to the activities and financial years ending 31 December, 2018[1] and pertain to EMERGENCY ONG ONLUS. In drafting the document, we applied the same methodology used in the 2017 report, in accordance with our intention to evaluate our activities and budget on a three-year basis. EMERGENCY is confronted daily with a large and complex variety of stakeholders, both internal and external. As in the previous year, in 2018 EMERGENCY decided to give priority to the ‘internal stakeholders’ category: employees, collaborators, partners, international staff, volunteers, members and supporters represent the EMERGENCY family. These groups and individuals enable the organisation to pursue its objectives.[2] The identification of the topics dealt with in the report is the result of a participatory process, which saw the Board of Directors identify 10 themes dear to the organisation and then ask its stakeholders to identify which of these themes they would like the organisation to give answers on. The ‘stakeholders engagement’ has seen the completion of 22,358 online questionnaires.[3] Considering the magnitude of stakeholders involved, the questionnaire was structured using multiple ‘closed’ answers, to facilitate the collection and analysis of data. STAKEHOLDER CATEGORY[4] TOTAL SAMPLE EMPLOYEES 125 INTERNATIONAL STAFF 745 TEACHERS 6.849 PRIVATE DONORS 12.651 VOLUNTEERS 1.858 ASSEMBLY MEMBERS 130 [1] 102-50 Reporting period / [2] 102-42 Identifying and selecting stakeholders / [3] 102-43 Approach to stakeholders engagement / [4] 102-40 List of stakeholder groups 3 QUESTIONNAIRE RESPONSE RATES STAKEHOLDER TOTAL N. TOTAL RESPONSES RESPONSE N. COMPLETE RESPONSE PARTIAL CATEGORY SAMPLE (COMPLETE + PARTIAL) RATE RESPONSES RATE RESPONSES Employees 125 106 85% 105 84% 1 International staff 745 259 35% 243 33% 16 Teachers 6.849 825 12% 753 11% 72 Private donors 12.651 3.964 31% 3.771 30% 193 Volunteers 1.858 829 45% 804 43% 25 Assembly members 130 78 60% 77 59% 1 The results have produced a list of key themes, to which the organisation pays particular attention, and whose policies and initiatives are reported in this document.[5] AVERAGE GRADES AWARDED BY BOARD OF DIRECTORS (X AXIS) AND STAKEHOLDER GROUPS (Y AXIS) x 1. Strength of donations; 2. Perception and distinctive features of the organisation; 8 3. Independence in decisions; 4. Economic and financial development 7 and diversification of revenues; 10 5. Advocacy aimed at the public 9 and institutions; 6. Cooperation with third-sector institutions and lobbying; 7. International staff safety management; 8. Training of local staff; 9. Local socio-economic impact; y 10. Empowerment of volunteers The themes identified are[6]: 1. strength of donations 2. perception and distinctive features of the organisation 3. independence in decisions 4. economic and financial development and diversification of revenues 5. advocacy aimed at the public and institutions In reporting methods, EMERGENCY has followed and respected the principles[7] of the Global Reporting Initiative (GRI)[8] where applicable (G4 Sectors NGO). [5] 102-44 Key topics and concerns raised / [6] 102-47 List of material topics / [7] 102-46 Defining report content and topic Boundaries / [8] 102-54 Claims of reporting in accordance with GRI standards 4 WHO ARE WE? EMERGENCY ONG ONLUS[1] is an independent and neutral organisation founded in 1994 with two objectives: to guarantee free and high-quality health services to victims of war, landmines, and poverty and, at the same time, to promote a culture of peace, solidarity, and respect for human rights. WHAT WE DO EMERGENCY plans, constructs and manages hospitals[2] with a long-term perspective to offer free and effective treatment to whoever needs it. In emergency situations, we organise specific missions in support of pre-existing hospitals, and also contribute towards their reconstruction and equipment. WHERE WE WORK From 1994 to 2018, EMERGENCY worked in 18 different countries. In 2018 specifically, it was in Afghanistan, Iraq, Italy, Central African Republic, Sierra Leone and Sudan, and is currently building a specialist paediatric surgical centre in Uganda.[3] From 1994 to 2018, we treated OVER 10 MILLION people worldwide. AFGHANISTAN – ANABAH Surgical and Paediatric Centre, Maternity Centre – KABUL Surgical Centre for War Victims – LASHKAR- GAH Surgical Centre for War Victims – FIRST AID POST 45 First Aid Posts and Primary Healthcare Centres / IRAQ – SULAYMANIYAH Rehabilitation and Social Reintegration Centre, vocational training workshops, 365 Cooperatives for disabled people – ASHTI Primary Healthcare Centre / ITALY – PALERMO, MARGHERA, POLISTENA, CASTEL VOLTURNO, PONTICELLI, SASSARI Clinic for Migrants and People in Need – BRESCIA Information Point for Socio-Medical Assistance – MILANO, LATINA Mobile Clinics – CASERTA Information and disease prevention activities for sex workers – TERAMO E MACERATA Nursing and Psychological Support for people affected by earthquakes / CENTRAL AFRICAN REPUBLIC – BANGUI Paediatric Centre, Support activities at the National Blood Bank (Centre Nationale de Transfusion Sanguine – CNTS) / SIERRA LEONE – GODERICH Surgical Centre, Paediatric Centre – WATERLOO First Aid Post / SUDAN – KHARTOUM Salam Centre for Cardiac Surgery – MAYO Paediatric Centre – PORT SUDAN Paediatric Centre / UGANDA – ENTEBBE Centre of Excellence in Paediatric Surgery (under construction). [1] 102-1 Name of the organization / [2] 102-6 Markets served / [3] 102-4 Location of operations 5 AREAS OF SPECIALISM[4] SURGERY MEDICINE REHABILITATION • Paediatric and adult heart surgery • Cardiology • Physiotherapy • War surgery • Primary Healthcare • Production of prostheses and orthoses • Emergency surgery and • General Medicine • Professional training and cooperatives traumatology • Neonatology for disabled people • General surgery • Ophthalmology • Orthopaedic surgery • Obstetrics and SOCIO-MEDICAL SUPPORT • Accident and Emergency gynaecology • Paediatrics • Supporting patients to gain access to • Dentistry the national health service • Psychological support • Accompanying patients to national health service facilities “ I truly believe that it is essential that every citizen decides to support, in whatever ways or forms they wish, practices of peace and equality. Because this is the foundation we build and protect, how we care for and cultivate values. And I believe that we must not expect anything from politics or institutions, rather it is the responsibility of citizens. It is a problem that people must take into their own hands. Everyone declaring their own thoughts, making their own small voice heard. If we manage to say, en masse, that we do not want war, I believe that this whisper can become a cry and really change the world. ” Gino Strada, Surgeon and Founder of EMERGENCY THE WORLD OF EMERGENCY (AS OF 31/12/2018) [5] 1.500 97 N AND WOM 731 ME EN HE 50 54 T EMERGENCY OF HEAD OFFICE VOLUNTEERS 64 STAFF DONORS GENERAL 3 ASSEMBLY BOARD OF ARBITRATION EMERGENCY INTERNATIONAL 5 15 BOARD OF DIRECTORS 59 SUPERVISORY 64 INTERNATIONAL BODY 1 STAFF partners 2 BOARD OF EXECUTIVE ITALY LOCAL COMMITEE 3 AUDITORS PROGRAMME STAFF 4 34 835 30 1.834 INST ITUTIONAL BODIES BOARD OF DIRECTORS PROJECT STAFF HEAD OFFICE STAFF 8 EMPLOYEES, (ITALIAN PROGRAMME, 127 EMPLOYEES, 2 COLLABORATORS, INTERNATIONAL STAFF) 3 COLLABORATORS, 10 VOLUNTEERS. 47 EMPLOYEES, 5 CONSULTANTS, 125 COLLABORATORS, 9 INTERNS, COMITATO ESECUTIVO 14 CONSULTANTS, 3 CIVIL SERVICE, 6 EMPLOYEES, 107 VOLUNTEERS. 44 VOLUNTEERS. 1 COLLABORATOR. [4]102-2 Activities, brands, products and services [5] 102-7 Scale of organization / 102-18 Governance structure / 102-8 Information on employees and other workers 6 EMERGENCY’S PRINCIPLES AND VALUES [6] EMERGENCY believes that medical treatment is a fundamental human right and should be recognised as such for every individual. EMERGENCY is guided by the following principles: IMPARTIALITY INDEPENDENCE Absolute commitment to non-partisan Autonomy of humanitarian aims from assistance. any political, economic, military or other contexts or influences. NEUTRALITY HUMANITY Belief that everyone is equal before suffering. Obligation to provide medical care without political, ideological or religious discrimination. EMERGENCY’s activities put the principles and values stated in the Italian Constitution and the Universal Declaration of Human Rights [7] into practise. On 10 December 2018, to celebrate the 70th anniversary of the Universal Declaration of Human Rights, we gathered in over 85 squares