Malteser International Annual Report 2006 - Ordine di Malta

Malteser International
Annual Report 2006
www.malteser-international.org

Malteser International – help on the spot – worldwide.
Malteser International is the worldwide relief agency of the Order of Malta for humanitarian aid. The organisation covers
200 projects in 30 countries in Africa, Asia, Europe and the Americas. Currently, 19 national associations of the
Order of Malta are members of Malteser International.
Evolved from Malteser Germany, and therefore set up in accordance with German Law, and it was internationalised as
the Order of Malta’s relief service in 2005. The organisation provides aid in all parts of the world without distinction of
religion, race, age or origin. Christian values and the humanitarian principles of impartiality and independence are the
foundation of its work. Its mission is not only to provide emergency relief, but also to implement rehabilitation measures
and to facilitate the link between emergency relief and sustainable development. Malteser International establishes
and promotes primary health care services and seeks to reduce vulnerability and poverty. It is committed to high quality
standards; accountability and transparency are priorities. Malteser International has the status of a Non-Governmental
Organisation.
The mission of Malteser International:
● Provide relief to major emergencies in the world, especially in the health sector
● Implement rehabilitation measures, and link relief, rehabilitation and development (LRRD)
● Establish and promote primary health care services in developing countries
● Reduce the vulnerability and poverty of the afflicted
● Provide care for refugees and returnees
● Support local partner Non-Governmental Organisations
„Our motivation is to alleviate human suffering.“
(Code of Conduct: The humanitarian imperative comes first)
Malteser International is member of:
● 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 is committed to 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
M I S S I O N

Editorial
2006 was a very eventful year for Malteser International. We provided help during many crises
and disasters. Some were closely followed by the media, like the devastating earthquake on Java in
May and the war-torn region of Darfur. Others didn’t make the news, such as the drought in Kenya
in March, the destructive typhoon in Vietnam in October or the miserable living conditions of the
population of the Democratic Republic of Congo.
Nicolas de Cock
de Rameyen
President
Ingo Radtke
Secretary General
Our aim is to provide these people and the many other victims of disasters with rapid and efficient
support. Humanitarian aid must not only be supplied quickly and fulfil all moral requirements, but
must also comply with efficiency and efficacy standards. It must be transparent – not just to those
who provide the financing, but also and above all to those who receive the aid. Those who are
affected are often our best partners on-site and are of vital importance in terms of the type, orientation,
scope and duration of the aid we provide. It is not we who are the leaders of the procedure, but
rather the victims themselves. Going about things differently would rob them of the last thing they
have left, after they have already lost so much: their dignity. This places high demands on the aidworkers:
first, it means that we must surrender our Western outlook and take on that of the people
in need. If our aid is to be more than a well-meaning consolation, it has to provide a permanent and
sustainable contribution to improving the situation of the poorest of the poor in the relevant location
– and this must be based on the perspective of those affected. Tailor-made solutions must be found
for actual problems, without offering any pre-fabricated products. Such solutions can only work if
we treat the disaster victims as equals and use their ideas as the basis for our actions. We must allow
– and indeed wish for – our actions to be measured against this requirement.
This Report is an account of the projects we undertook in 2006. Many private individuals,
organisations, institutions and companies have supported our work over the past year, as have many
public donors, foundations and organisations, both national and international. We wish to express
our most sincere gratitude to them all. To continue supporting the needy and working with them
towards a sustainable future, we rely on your help. Please continue to accompany us along this path
and support our work to help those who are so dependent on our care.
Nicolas de Cock de Rameyen
Ingo Radtke
Cologne, July 2007
E D I T O R I A L
3

Contents
Malteser International –
Mission 2
Editorial 3
Contents 4
Pictures of the year 6 - 7
Africa 8
Our projects in Africa 9 - 14
On the spot: Kenya 15
On the spot: Democratic Republic of Congo 16
On the spot: Uganda 17
1
A M E R I C A
Asia 18
Our projects in Asia 19 - 28
Project overview 2006 24 - 25
On the spot: Thailand 29
On the spot: Lebanon 30
On the spot: India 31
Europe 32
Our projects in Europe 33 - 35
The Balkans 33
Central and Eastern Europe 35
AMERICA
1 USA – p. 37
America 36
Our projects in America 37
On the spot: New Orleans 38
Experts abroad 39
Help at a glance 40 - 41
Facts and Figures 42
Annual accounts as of 31 December 2006 42 - 43
Financial overview 2006 44
Acknowledgement 45
Member associations 46
Structures and committees 47
4
C O N T E N T S

help on the spot – worldwide.
E U R O P E
2
3
21
16
15
14
10
A S I A
18
12
17
8
20
11
22
A F R I C A
6
19
5
89
7
13
4
AFRICA
4 Angola – p. 9
5 DR Congo – p. 10
6 Ethiopia – p. 11
7 Kenya – p. 12
8 Sudan – p. 13
9 Uganda – p. 14
EUROPE
2 Balkans – p. 33
3 Romania – p. 35
ASIA
10 Afghanistan – p. 19
11 Cambodia – p. 20
12 India – p. 21
13 Indonesia – p. 21
14 Iran – p. 22
15 Iraq – p. 22
16 Lebanon – p. 23
17 Myanmar – p. 23
18 Pakistan – p. 26
19 Sri Lanka – p. 26
20 Thailand – p. 27
21 Turkey – p. 28
22 Vietnam – p. 28
C O N T E N T S
5

Pictures of the year
Florian Kopp
January 2006 Pakistan: Earthquake relief with helicopters for more than
1,000 families
April 2006
Flood aid
in Romania,
Serbia and
Hungary
February 2006 Cholera epidemic in South Sudan
March 2006 Drought in Kenya: Distribution of medical drugs and food
May 2006 Earthquake
on Java/Indonesia
Birgit Betzelt
6 P I C T U R E S O F T H E Y E A R

July 2006 Tsunami on Java/Indonesia: “Don’t cry Indonesia”
Caroline von der Tann
June 2006 Thailand: Aid for refugees from Myanmar
October 2006 Emergency relief for the victims of the typhoon
December 2006
Two years after
the tsunami:
Aid for 500,000
people
August 2006
War and
destruction in
Lebanon
P I C T U R E S O F T H E Y E A R
7

8
6
5
9
7
With the people,
4
for the people
In six countries in eastern and southern Africa, Malteser
International focuses on providing healthcare for the population,
combating epidemics and training local personnel. The maintenance
of close links between the programmes for each project is crucial
to ensuring the success of this single aim: effective healthcare. For
example, the battle against the HIV/AIDS pandemic is linked with
activities to combat tuberculosis and other illnesses that often occur
in relation to HIV and AIDS. This provides more efficient measures
for combatting the pandemic itself – recognised as one of the worst
disasters in the world today.
AFRICA DATA
International staff:
34
National staff:
455
Aid for 4.7 million people
COUNTRIES
4
5
6
7
8
9
Angola
DR Congo
Ethiopia
Kenya
Sudan
Uganda
Angola
International staff: 3
National staff: 18
Aid for 400,000 people
Malteser International has worked in
Angola since 2002.
Since the end of the 27-year civil war,
Malteser International has been working
in the remote south-west of the country
in the province of Kuando Kubango,
near the border with Namibia. It is the
only international non-governmental
organisation working on healthcare in
this neglected area of the country. The
focus: development and support for
existing local resources. Sadly, the large
number of mines laid in the region still
restricts the work considerably. Projects
are limited to mine-free or cleared areas.
The teams regularly provide medicine
Angola: The health centres are of vital importance for the families living in the remote areas of the country.
and medical supplies urgently needed
for isolated healthcare facilities. These
actions are largely financed by private
donations, as many major international
donors withdrew from Angola once the
acute emergency aid period ended; this
highlights the difficulty of the transition
from emergency aid to development cooperation.
The internationally recognised
principle ‘Linking Relief, Rehabilitation
and Development’ (LRRD), which aims
to ensure sustainable development after
the initial aid ends, is unfortunately still
not implemented everywhere. But the
A F R I C A
9

Democratic Republic of Congo
International staff: 14
National staff: 129
Aid for 2.8 million people
Malteser International has worked in
the DR Congo since 1996.
Angola: The one-week training sessions for midwives from Kuando Kubango province include both theory
and practical exercises.
staying power under difficult conditions
has finally paid off. In 2006, Malteser
International secured extensive funding
from the European Union. This enabled
the relief agency to rebuild remote
healthcare facilities and provide a wide
range of medicine, medical supplies and
numerous training programmes, e.g. for
local midwives. Parallel to this is a new
project planned for 2007 for combating
malaria, tuberculosis and HIV/AIDS as
part of the HAMSET programme, which
facilitates cooperation between the World
Bank and the Angolan government. The
project provides support for communitybased
organisations which look after those
affected by the illnesses and provide them
with information.
LRRD
LRRD stands for ’Linking Relief, Rehabilitation and Development‘. The aim is to assess the
extent to which short-term measures can contribute to sustainable development at as
early a stage as possible – ideally in the emergency aid phase. This concept is based on
experiences, where short-term emergency aid has had undesirable effects or side-effects
on some population groups or the later development of the region.
To minimise these effects, Malteser International focuses on the concrete implementation
of LRRD: at the planning stage for emergency aid measures, the existing structures in
the affected region are assessed, together with consideration as to how to maintain
the implemented measures once the aid organisation has left. A further aim during
emergency aid planning is to ensure a smooth transition to rehabilitation and
development. As a result of this process, after the early phase the project can usually be
handed over to local organisations in a developed state that is sustainable in the longterm.
Above all, this helps to reduce the vulnerability and susceptibility of the population
to future crises and disasters.
Peaceful relations have still not been
achieved throughout the entire country.
Insecurity mainly exists in the east
and is likely to continue for some time.
Numerous efforts for peace by the United
Nations and the European Union have only
partly solved the problem. Nevertheless,
it has been possible to restrict the
tyranny of the self-proclaimed warlords
dramatically, which has also made it
much easier for Malteser International to
help the population. However, new and
unexpected conflicts constantly threaten
the progress achieved so far.
Malteser International is committed
to supporting the healthcare systems in
South Kivu, Ituri and Haut Uélé in the
east of the country, with the objective of
promoting long-term structures for selfsufficient
supply. A particularly important
element is the training of local personnel,
in cooperation with the official healthcare
facilities in the provinces and with local
non-governmental organisations. Malteser
International supplies more than 350
health centres and other medical facilities
with medicine and medical supplies,
provides expert medical support for the
personnel and collects comprehensive
data to assess healthcare development in
the region and evaluate its own measures.
Specific illnesses such as meningitis,
cholera and plague are combatted using
emergency measures.
The central pharmacy, which was
supported by Malteser International for
several years, was successfully converted
into a non-profit-making limited company
and is now able to operate independently.
10 A F R I C A

DR Congo: Village residents
accompany an aid worker
in protective clothing who
is disinfecting their huts to
prevent the spread of plague
viruses.
ich.tv
Malteser International has also
continued to expand comprehensive
psychological and medical care for
victims of sexual abuse in all three
provinces. A crucial role is played by
expert training and further education,
as well as the monitoring of staff and
workers from local organisations in their
contact with and handling of victims of
sexual abuse. Combatting trauma is also a
focus point. In 2006, approximately 9,000
abused or raped girls and women sought
medical and psychological help from
the health centres supported by Malteser
International. Additional awareness
campaigns amongst the population and
the military have been carried out in
cooperation with the local authorities
and have helped stem the flood of sexual
abuse.
DR Congo: To ensure food security, Malteser
International also distributes livestock.
A programme for food security is an
additional focus in South Kivu. Its aim is
to make the population more independent
of external aid. Malteser International
supplies seven nutrition centres with
foodstuffs to nurse undernourished
children under the age of five. The
organisation also supports 18 food
security centres and five centres for small
livestock breeding and distributes seeds to
ensure a sustainable contribution towards
self-sufficiency. At the nutrition centres,
Malteser International trains staff who
then establish special display gardens to
demonstrate to the population suitable
cultivation methods; they also provide
nutritional advice.
In many areas, the streets and slopes
were in such poor condition that instant
repairs were needed before anything
else could be done. Some districts are
still almost inaccessible and therefore
have not yet received any help. Malteser
International will now concentrate on
these districts. In other areas, development
towards normal living conditions has
progressed sufficiently so that transfer
of responsibility for the projects to longterm
local structures has been possible.
C H O L E R A
Cholera is a bacterial diarrhoea disease
that spreads very rapidly, particularly in
regions with a high population density,
insufficient water supply and poor sanitary
conditions. Refugee camps and
slum areas are frequently affected.
Cholera treatment basically focuses
on counterbalancing the extreme fluid
loss; if needed, antibiotics are given.
Fundamental contributions to treatment
and prevention include sufficient provision
of clean water and sanitation
facilities, waste management, fly control
and the provision of soap.
Ethiopia
National staff: 2
Aid for 2,500 people
Malteser International has worked in
Ethiopia since 2001.
As in previous years, the focus in 2006
was on the Benishangul region, a province
in the west of the country around
the border with Sudan. Aid is mainly
provided in the form of small projects,
particularly training programmes for
women. Participants learn to sew, spin,
weave, make carpets or manufacture furniture
from bamboo. In this way, they can
earn a regular income and improve the
living conditions of their families on a
long-term basis.
Malteser International will continue its
work in small projects, and also reinforce
the fight against tuberculosis and HIV/
AIDS. Ethiopia urgently needs aid from
international organisations to combat
these epidemics.
A F R I C A
11

Kenya
International staff: 2
National staff: 14
Aid for 600,000 people
Malteser International has worked in
Kenya since 2002.
Malteser International has been battling
the spread of tuberculosis and HIV/AIDS
in the slums of Nairobi since 2002. The
organisation ensures the continuing
function of the healthcare facilities it has
constructed, established or renovated.
Information campaigns and close cooperation
with the authorities and local
organisations contribute to stemming
the spread of the illnesses. Malteser
International tracks the project through
quality controls. Work has continued
successfully over the past year, with
one of the health centres supported by
Malteser International named as the
facility with the best diagnostic services
by the Kenyan government.
In order to safeguard the long-term
sustainability of the measures, more
state facilities have been convinced to
make a contribution to the project work.
Again in 2006, the Kenyan authorities
provided the majority of necessary
pharmaceutical products free. The
new phase of the project, due to last for
three years, is again funded in part by the
German Federal Department of Economic
Cooperation and Development (BMZ).
The Austrian Development Agency
(ADA) also co-finances part of the
project, based on an initiative by Malteser
Austria. Thanks to the cooperation with
Pathfinder International, an American aid
organisation in the healthcare sector, and
financial aid from USAID, it was possible
to extend the project to other slums in
2006.
ich.tv
United for Africa / Thomas Einberger
Kenya: To combat tuberculosis and HIV/AIDS effectively, education is crucial.
Jochen Zeitz,
CEO at PUMA AG:
“During my visit to Kenya as part of
our cooperation with the UNITED FOR
AFRICA campaign in January 2006,
I witnessed the fantastic work carried
out by Malteser International to combat
tuberculosis and HIV/AIDS in the
slums of Nairobi. Thanks to extensive
support, diagnosis and treatment options,
they have reduced stigmatisation and
discrimination; many patients can resume
their lives independently, working and
providing for their families.”
A N T I - R E T R O V I R A L
T H E R A P Y ( A R T )
Anti-retroviral therapy is used to treat
AIDS, an immunodeficiency illness. Although
the anti-retroviral medicine
cannot cure immunodeficiency, it can
fight the viruses in the body and reduce
their number. It reduces both the risk of
associated illnesses and the pain, giving
patients a longer, pain-free life. Many can
even return to work and thus safeguard a
living for their families and the future of
their children.
12 A F R I C A

Sudan
International staff: 12
National staff: 275
Aid for 120,000 people in Darfur and
800,000 in southern Sudan.
Malteser International has worked in
Sudan since 1998.
Implementation of the peace treaty
signed in January 2005 has proved
difficult and drawn-out, and unfortunately
does not apply to the civil war raging
in the Darfur region to the west of the
country. This hot spot has not been any
those most in need of aid. Despite this,
Malteser International has continued
its medical work in Darfur and has
committed itself to the long-term, having
concluded the emergency aid programmes
over the first two years. This involves
provision of basic healthcare services for
the population – focusing on the health
of mothers and children – and the fight
against malaria, which poses a major
threat to life in Darfur. The programme
is to be extended across a wider area in
2007, as far as possible, given the tense
security situation in the region and the
available funding.
The city of Juba is increasingly developing
into the capital of southern
Sudan and is thus the pivotal point for
almost all decision processes. Because of
this development, Malteser International
opened a coordination office in Juba in
2006.
VACC I N AT I O N C A M PA I G N S
Many children are still dying across
southern Africa from infectious diseases
such as measles or diphtheria, diseases
that can be avoided through the use
of vaccinations. Consequently there is
a major need for vaccinations in these
countries. The importance of the vaccinations
is explained to parents, so that they
will allow their children to be vaccinated
during the next major campaign. Vaccination
campaigns must be extremely well
organised and prepared, to treat as many
children as possible. Teams often travel to
the villages and regions days in advance
of the campaign, announcing its start
date via megaphone. Most vaccines need
to be refrigerated and, in case of necessity,
must be delivered quickly.
Sudan: Patients arriving at the health centres on emaciated mules.
less risk-free in 2006 and, despite ongoing
peace negotiations, hopes of an imminent
resolution of the conflict are fading. One
of the reasons is a splintering of the rebel
movements, which is making the position
even more unclear and uncontrollable.
Malteser International itself fell victim
to the assaults on aid organisations in the
region in 2006. Two vehicles were robbed
and numerous so-called ‘safety incidents’
prevented the personnel from reaching
In southern Sudan, Malteser International
has continued to expand its
projects in the healthcare sector in Yei
and Rumbek. It combined the battle
against tuberculosis with information on
HIV/AIDS and extended its information
campaigns into rural regions, particularly
Maridi. Further focuses include combating
leprosy and sleeping sickness and supporting
primary healthcare services in the
dioceses of Yei and Rumbek.
A F R I C A
13

ich.tv
Uganda
International staff: 3
National staff: 17
(The employees of the regional office
in Kampala are responsible for the
administration and coordination of the
projects in Uganda, in the DR Congo
and in southern Sudan.)
Aid for 400 people
Malteser International has worked in
Uganda since 1996.
For many years, Malteser International
has been supporting a therapeutic nutrition
centre for undernourished babies
and toddlers at the Maracha hospital in
the north-west of Uganda: In addition
to acute emergency food aid for the
children, Malteser International carries
out regular aftercare visits and home
visits to the affected families in order to
prevent a relapse and to ensure long-term
improvement in the children’s health. The
focus of this aftercare is on providing the
families with information about healthy,
rich nutrition, as well as carrying out
physical checks on the children. As the
general living situation of the population
of northern Uganda has worsened considerably
over the past two years, the
long-term support measures implemented
in 2006 were particularly vital.
Uganda: After treatment at the nutrition
centre in Maracha, formerly undernourished
children are now fully recovered.
N U T R I T I O N C E N T R E S
Nutrition centres are healthcare facilities
for the special treatment of malnutrition
and undernourishment. Mainly children
are affected, although it also affects
those who are chronically ill, e.g. those
suffering from tuberculosis and / or HIV/
AIDS. Specially trained personnel work in
the nutrition centres, providing intensive
care for the patients every day.
14 A F R I C A

ON THE SPOT: KENYA
Light at the end of the tunnel
A young woman refuses to give up fighting for her life
Education, work, marriage, birth,
separation, bad luck, reconciliation,
children, illness, depression, therapy,
relapse, a fight for survival. Eunice has
experienced all of this in her life – in a
mere 34 years.
Eunice left school at 14, married
and gave birth to her first child shortly
afterwards. But the marriage only lasted
for three years. Eunice completed an
apprenticeship as a hairdresser and opened
a salon with her own staff. A success that
sadly didn’t last long: after six years,
the salon burnt down and Eunice lost
everything. A tragic situation that had
a positive side despite the hardships:
Eunice and her husband got back together.
They decided to start again in the slums
of Kayole Soweto in Nairobi and to
open a new hairdressing salon. Eunice
gave birth to her second child, a son. It
seemed as if everything was finally going
well. But fate dealt another blow to the
young family: Eunice and her son became
ill and the young boy died shortly after
his first birthday. Eunice was diagnosed
with tuberculosis – fortunately so quickly
that she could be treated successfully.
However, after a short period without
problems, she found she was becoming
weaker and losing weight daily. She was
confined to her bed and could no longer
provide for her family.
It was in this period of her life that
Eunice heard about the free consultations
Always hopeful – Eunice fights against her illness.
offered at the health centres supported by
Malteser International, which look after
the people in the slums of Nairobi. She
took an HIV test – and it was positive.
The results plunged her into depression
and resignation for a long time.
But Eunice was strong. She refused
to be beaten and hope won in the end.
Eunice declared war on the virus and
started treatment. She found out about
the infection, learned to cook in a more
healthy way, aired her home regularly
and let in more light, to prevent too much
dust accumulating, as this could become
a breeding-ground for bacteria. And she
discussed contraception methods with
her husband to prevent the virus being
transmitted.
Eunice isn’t giving up – she is taking
her medicine regularly and feeding
herself and her family in a healthy way.
Today, her health has stabilised. Thanks
to regular treatment, she has even been
able to go back to work in her salon.
Miriam Fuß
A F R I C A
15

ON THE SPOT: DEMOCR ATIC REPUBLIC OF CONGO
Hope after years of darkness
A young woman on her way to a better future
Martine Bahati laughs. She proudly
shows us her plastic plate, a set of
colourful enamel pots and the rag dolls
that she has made as part of a women’s
project. “My dream is a house, my own
house for me and my four daughters!”,
the 28-year-old says as the people pass by
her market stall in Bukavu, East Congo.
Business is going well, the future is full
of hope and Martine herself would be as
happy as her dolls: upright, colourfully
dressed, laughing – if it wasn’t for her
wooden foot.
The leg prosthesis is a constant reminder
to Martine of the dark years in the
Congo, of chaos and war. As she tells the
story of the day three years ago when her
life changed forever, she becomes very
quiet and tears stream down her face.
The memory of the brutal assault is still
with her. Haltingly, she describes how
the rebels invaded her house, shot her
husband and beat her daughters. How the
men assaulted and abused her until she
lost consciousness. How she regained
consciousness days later, in a hospital.
On that day, Martine lost her fifth child
(she was in her third month of pregnancy)
and her lower left leg, which had to be
amputated because of a severe gunshot
wound.
Afterwards she battled with appalling
doubts. A priest took her in, bringing
her into the city, where women from
his parish looked after her and her four
children. “The worst thing was that I felt
so utterly useless, because I couldn’t take
care of my daughters,” Martine says. “At
the time, I wished I was dead.”
But hope for a better future for her
daughters vanquished her dark thoughts.
Martine found out about the work of
Malteser International, treating and
looking after assaulted women at a health
Martine with her home-made dolls. Martine‘s surname ‘Bahati‘ means ‘chance‘.
centre in the city. A psychologist helped
her come to terms with the memory and
start again, despite all that had happened.
With ten kilos of peanuts and a sack of
charcoal – financed by the Malteser
Lent Campaign – she started up her
own business and became a successful
business woman. Soon, Martine switched
to plastic tableware, because it sold better.
“I may not be able to write, but I can do
sums!” she says and a huge self-assured
smile spreads across her face. With the
money she earns with her market stall,
she buys notebooks and text books for her
daughters, who all go to school. And she
saves up for her dream: her own house.
Eveline Stoffel
16 A F R I C A

ON THE SPOT: UGANDA
Fresh vegetables for healthy children
The battle against malnutrition and undernourishment
Agupi-Nva is five years old. He is
the youngest of five children and his
parents are proud of their happy, active
son. When Mama Soko goes to do the
washing, she always takes her young son
with her. It’s practical, as the children
can play together while the mothers take
care of the washing. One day, one of
Soko’s neighbours noticed that Agupi-
Nva wasn’t laughing anymore. “And he
looks so ill. There must be something
wrong with him,” the neighbour said.
Mama Soko was angry. Angry because
the neighbour had meddled unasked in
her affairs and angry because she hadn‘t
noticed amidst the noisy work that her
youngest child wasn’t well. A few days
later, he got diarrhoea. In Esoko, a village
in the Ugandan district of Maracha, this
is a serious illness. Soko’s husband was
sure that his son couldn’t just have fallen
sick like that – he looked so healthy with
his little round stomach: “There must
be magic behind it.” What else could it
be? The village healer came to the same
conclusion. The young parents used all
their savings and even borrowed money
from their friends, to pay for the healer’s
expensive treatment. But it didn’t work.
Agupi-Nva got still weaker and paler.
Soko Agupi didn’t know what to do.
Fortunately, the observant neighbour
had heard about the hospital in Maracha.
Doctors and attendants were treating
people free of charge. And the daughter
of a friend of hers had been helped by
them last year. Sogo Agupi was sceptical.
She had never been to a hospital. But as
she didn’t know what else to do, she took
Agupi-Nva to the clinic. The attendant at
the hospital immediately saw what was
wrong with him: the child was suffering
from severe undernourishment. “His
mother has come to us just in time,” he
said and explained that her son needed
intensive treatment: nasal probe, special
food, medicine. While the little boy
was being treated, Soko, together with
other mothers whose children were as
undernourished as Agupi-Nva, received
comprehensive nutritional advice. The
women learned what was healthy, what
foods are the most fill and, especially,
how to provide a balanced diet.
Two weeks later, Agupi-Nva was feeling
much better. He was again interested in
things around him and made the whole
ward smile with his bright laugh. His
favourite new hobby was swinging in the
hanging scales. After four weeks, Agupi-
Nva reached normal weight for his age
and was allowed to go home.
Stefanie Mosch / Miriam Fuß
ich.tv
The weight and
progress of the
children are
checked regularly
using weighing
scales.
A F R I C A
17

21
16
15
14
10
18
12
17
Help after
20
11
22
19
the catastrophe
13
The series of major disasters in Asia continued in 2006. On 27 May,
the strongest of the numerous earthquakes destroyed densely populated
localities in and around the capital city of Yogyakarta on Java:
6,234 people died and more than 46,000 were injured. Within a few
hours, Malteser International was there with a team from Sumatra to
provide medical emergency aid.
Rehabilitation work in the earthquake zones in Pakistan and in the
regions affected by the tsunami has now become more developmentbased:
Sustainable improvements such as clean drinking water and
solutions for better sewage disposal are being carried out, in addition
to the reconstruction of the damaged dwellings. Malteser International
is thus providing a crucial contribution to the achievement of the
millennium development goals.
The offices in Iran and West Afghanistan were closed at the end of
2006 after all projects were completed. Given the deteriorating
security situation, activities in Afghanistan will not be extended.
ASIA DATA
International staff:
85
National staff:
301
Aid for
1.7 million people
COUNTRIES
10 Afghanistan
11 Cambodia
12 India
13 Indonesia
14 Iran
15 Iraq
16 Lebanon
17 Myanmar
18 Pakistan
19 Sri Lanka
20 Thailand
21 Turkey
22 Vietnam
Afghanistan
International staff: 5
National staff: 28
Aid for 200,000 people
Malteser International has worked in
Afghanistan since 2002.
Despite the major commitment of
the international community to reconstruction
and peace in Afghanistan, there
are still many regions difficult to access
for the implementation of aid measures,
due to the difficult security situation.
Malteser International is therefore
concentrating its aid on rural and isolated
areas, where the majority of the population
is living below the poverty line and has
little access to public infrastructures,
education and healthcare facilities. The
situation is particularly precarious for
women, as they are often disenfranchised
and excluded, while still having to bear
major responsibility for the subsistence of
their families.
In the western provinces of Badghis
and Herat, Malteser International has
successfully concluded its four-year
structure promotion programme, supported
by the German Federal Government:
eight schools, eleven health centres
and the provincial hospital of Badghis
have been constructed or renovated,
equipped with staff and provided with
management training. To improve the
everyday knowledge of large sections of
the population in terms of hygiene and
healthcare, short information programmes
were produced in cooperation with the
television broadcasting company Herai
TV in Herat.
In Central Afghanistan, Malteser
International has improved the infrastructure
in the villages through a total of
25 projects, with the support of the United
Nations High Commissioner for Refugees
(UNHCR). The programme also included
training people in workmanship and
carrying out peace building measures.
Thousands of returning families are
still living in poor conditions, so the
organisation once again provided winter
aid this year, funded by the Federal
Foreign Office of Germany. Malteser
International also supported a day centre
A S I A
19

Cambodia
International staff: 5
National staff: 10
Aid for 100,000 people
Malteser International has worked in
Cambodia since 1993.
Afghanistan: The women produce tomato sauce and
boiled vegetables which they sell at the market, thus
ensuring an income for their families.
in Kabul for children who do not receive
sufficient care from their families. Based
on the positive experiences of sustainable
project approaches, particularly in villages,
the organisation in 2007 will continue
to focus on promoting self-help projects
and strengthening local capacities.
Dr. Ezmeray Azizi (29), a staff member
of Malteser International, was killed in an
ambush in North-West Afghanistan on 12
May 2006. He was in a UN vehicle on the
way to Qala-e-Nau from Herat when it
came under fire from rockets and machine
guns. The driver of the vehicle, a UNICEF
colleague, was killed immediately. Dr.
Azizi, who was responsible for monitoring
ten health centres and a province
hospital, was able to escape initially, but
succumbed to his injuries later. Nicolas de
Cock de Rameyen, President of Malteser
International, expressed the condolences
of all at Malteser International: “We
mourn the passing of our colleague. Our
deepest sympathies go out to his family.”
Thanks to comprehensive international
aid, Cambodia is taking steps along the
road to recovery, but decades of chaos
and the fate of millions of victims who
suffered under the Khmer Rouge regime
are not easy to overcome or forget. There
is still terrible poverty, particularly in the
more remote regions. In 2006, Malteser
International introduced a new motherchild
project to provide innovative ways of
increasing the number of births handled by
a midwife. Without the help of a midwife
in the village, birth complications often
lead to the death of the child or the mother.
The project also allows the mothers in a
village to come together and learn about
hygiene and other healthcare questions.
As an incentive, the most active mother
receives help for cultivating vegetables.
Her garden then serves as a model garden
for the other village residents.
Another project focuses on strengthening
village self-help abilities in
relation to healthcare. The pilot scheme
– a community-based health insurance
– has achieved its first success: 308
families in four villages have organised
for themselves community based health
funds and have concluded agreements
with the state healthcare services. By
paying premiums, the funds are able to
influence the quality of the work. For
instance, their main priority has been to
extend the opening times of the health
centres. The health workers are also
Cambodia: This young mother proudly presents the
health insurance for herself and her family.
Cambodia: Midwives teach the mothers how
to use soap.
satisfied, as they profit directly from the
rise in the number of paying patients –
with the charges partially used to directly
boost their low salaries. The number of
people with health insurance will rise
steadily in the coming years.
20 A S I A

India
International staff: 4
National staff: 1
Aid for 50,000 people
Malteser International has worked in
South India since 1989, and also in
Gujarat since the 2001 earthquake.
India: The Irula use bricks to plan the layout of their new houses.
The Indian economy is growing and
India is increasingly seen in Europe as
a modern, upcoming economic power.
However, those outside the major cities
are experiencing little of this boom. Every
third Indian – i.e. more than 300 million
people – is living in absolute poverty. It is
the ‘Dalit’, the ‘untouchables’ of the old
Indian caste system, and the ‘Adivasi’,
the original residents of India, who are
being particularly excluded from society,
living on the fringes without any rights or
protection.
In the second year after the devastating
tsunami in 2004, the search for further
forgotten victims was a priority: families
who have received far too little help or
none, although more than 12 months have
passed since the disaster. They include
the Irula, a very small population living in
straw huts and working for the fishermen
on the coast of Tamil Nadu. They lost all
their possessions in the tsunami. Together
with an Indian partner organisation,
Malteser International was able to find
land for 150 families, on which safe,
small houses are now being built. The
organisation is also supporting families,
particularly women, in their search for
work to secure their income and provide
for their children.
In addition to natural disasters, AIDS
poses an increasing threat to the health
of the poorest people. Young girls are
being forced into prostitution, young men
leave their home as migrant labourers,
get infected and spread the HI virus to
their families. In the future, Malteser
International in India will focus even
more intensively on providing information
about the virus and its risks,
and fighting for more humane treatment
of those affected.
Indonesia
International staff: 27
National staff: 28
Aid for 100,000 people
Malteser International has worked in
Indonesia since January 2005.
Due to its geographical position, Indonesia
is frequently hit by natural disasters
such as earthquakes and seaquakes, floods
or volcano eruptions. The effects of these
disasters make poverty and suffering worse
for those who are particularly vulnerable.
Malteser International has been working
in the areas around Sumatra affected
by the tsunami since January 2005 and
provided emergency and reconstruction
aid after the major earthquake on the
island of Java in May 2006.
To ensure the sustainable rehabilitation
of the coastal area around the city of
Lhokseumawe, destroyed by the tsunami,
those affected by the disaster were
included from the start when measures
were being planned via cooperation
with the village committees. Around 500
houses have now been built in the villages
of Jambo Timu and Lancok, with a further
40 currently under construction. The
construction project is being accompanied
by an integrated community rehabilitation
Indonesia: Malteser International provides medical
care for the victims of the earthquake on Java.
A S I A
21

Iraq
Aid for 1,200 people
Malteser International has worked in
Iraq since 1995.
Birgit Betzelt
Iran
Indonesia:
Malteser International
ran a
field hospital for
three months after
the earthquake
in Yogyakarta.
I N C O M E - G E N E R AT I N G M E A S U R E S
Poor families across the world want to find work for themselves and live on their own
income, rather than receive alms. There is a crisis in terms of regularly paid work, which is
hard to find in many poor countries. Malteser International is therefore running training
courses that teach basic financial knowledge and then offer the participants small loans
so they can start their own small business or provide a service. Many invest this starting
capital in a sales or market stall, or a movable flat table, or cages for fish farming, or
tools. If the new business is well planned and organised, most borrowers can pay back
their small loans very quickly. The capital is then available again to help the next
small business.
programme. This also includes small loans
to generate new income possibilities.
In the province of Aceh, Malteser
International is working on the introduction
of an electronic healthcare information
system, in cooperation with
the GTZ (Community for Technical
Cooperation, Germany). Training the
medical staff in electronic data collection
will ensure the statistical registration
of medical data on a long-term basis,
improving healthcare provision for the
population as a whole.
After the major earthquake in Yogyakarta,
Malteser International ran a field
hospital for three months. As a follow-up
to the acute emergency phase, earthquake
victims are still being treated in cooperation
with local partners. Without
the correct operations and treatment,
these victims would have to live with
permanent disabilities. This cooperation
continues in 2007.
Aid for 300 people
Malteser International has worked in
Iran from 2004 to 2006.
A major earthquake shook the desert
city of Bam in southern Iran in December
2003. Once emergency aid measures ended,
Malteser International took control
of the construction of a primary school in
Bharavat, in cooperation with Diakonie
Katastrophenhilfe. Construction of the
school was successfully concluded in
August 2006 and the school was handed
over to the city of Bam. 130 girls happily
attend school under good conditions
again.
The continuing violence has led to
one of the largest refugee movements
in the history of this region. Estimates
indicate that over 60,000 civilians have
been killed in Iraq since 2003 – some say
650,000. The aggressive spiral shows no
sign of coming to an end, with its mixture
of denominational, ethnic and general
violence. Those who can, flee. 500,000
Iraqis were driven out by the violence
in 2006 and more and more people are
fleeing to the neighbouring countries of
Syria, Jordan and Turkey.
As no international personnel can be
sent into Iraq, given the security situation
and the major risk of kidnapping, Malteser
International has been working with Iraqi
and Turkish partners on several projects
since 2003. In 2006, the aid focussed on
supporting a health centre in Karamless in
North Iraq and supporting socially weak
families. This work continues in 2007.
There are also plans for further medical
programmes for internally displaced
persons in Iraq and for refugees outside
the country’s borders.
Iraq: Malteser International provides the health centre
in Karamless with medicine.
22 A S I A

Lebanon
Malteser International supports the
work of the Lebanese Association of
the Order of Malta and its ten health
centres.
Malteser International has been
engaged in Lebanon since 2006.
On 12 July 2006, a commando from the
Shiite Hezbollah militia kidnapped two
Israeli soldiers from a tank involved in a
skirmish on the Lebanon / Israel border.
This kidnapping triggered a new Lebanon
war that lasted for 34 days. More than
a quarter of the Lebanese population of
four million was driven out in this period.
916,000 people from the south of the
country fled to relatives, onto the streets,
into parks, schools and official buildings;
very few fled abroad.
The international network of the Order
of Malta and Malteser International
provided immediate aid for the Lebanese
Association and were able to help
reduce the suffering of those involved.
Two of the ten health centres run by the
Lebanese Association were destroyed. In
the remaining centres, the staff worked
round the clock to provide sufficient
medical care for the internally displaced
population. Thanks to generous donations,
urgently needed medicine and medical
Lebanon: Staff at the Imam-Sadr Foundation receive
medicine for the internally displaced persons.
M O B I L E C L I N I C
Mobile clinics are fully-equipped health
centres on wheels, travelling regularly
to remote or hard-to-access villages
to provide medical care for those who
have little access to healthcare facilities.
Mobile clinics also ensure that supplies
are provided in regions where existing
health centres have been destroyed by
war or natural disasters and are no
longer functional.
supplies were provided very quickly. The
Lebanese Association also ran mobile
clinic units in the south of the country to
cover the increased need for medical aid.
In August and November 2006, a
Malteser International team travelled
to Lebanon to coordinate the aid efforts
together with the Lebanese Association of
the Order of Malta.
Myanmar
International staff: 14
National staff: 128
Aid for 820,000 people
Malteser International has worked in
Myanmar since 2001.
Despite the very limited scope for
action for humanitarian aid in Myanmar,
the country was once again one of the
focal points of Malteser International’s
work in Asia in 2006. Lack of access
to clean drinking water and primary
healthcare services, a shockingly high
child mortality rate, high levels of poverty
and malnutrition amongst the population
and the rapid spread of infectious diseases
such as malaria, tuberculosis and HIV/
AIDS are all part of the crisis in Myanmar
– and the public as a whole knows little
about it.
Malteser International has been active
in the healthcare sector in Myanmar since
2001. Using an integrated programme
approach, the organisation has tried to
counter the steadily worsening disaster
in humanitarian terms. Ten projects are
being implemented in three programme
locations. In addition to improving
access to primary healthcare services
and battling against malaria, tuberculosis
and HIV/AIDS, these projects aim to
ensure the provision of clean water
and functioning sanitary facilities. A
new community-orientated disaster prevention
project was started in 2006 in the
coastal areas of Rhakine State, which are
particularly vulnerable to disasters.
Myanmar: ‘Growth Monitoring Day‘: Malteser International
regularly checks the children‘s weight and
general health to combat the high child mortality rate.
W AT E R , S A N I TAT I O N
A N D H YG I E N E
The most cost-efficient method of
preventing infectious diseases is the
provision of clean water, sanitary facilities
and hygiene equipment. In the context of
poverty, each person must have access to
a minimum of 15 litres of clean water a
day. Access to sanitary facilities – latrines,
bathrooms, washing facilities – is just
as important as soap and toothbrushes.
Waste and sewage water must also be
removed to prevent the outbreak of
dangerous diarrhoea infections.
Today, one billion people across the world
have no access to clean water and 2.6
billion people have no access to sanitary
facilities. 6,000 children die each day
from diarrhoea infections, which could
have been avoided through very simple
actions.
A S I A
23

Help on the spot – worldwide. – Project overview 2006 (extract)
Region Country Locations /
Regions
Africa Angola Luanda /
Kuando Kubango
DR Congo Kinshasa,
Ariwara,
Mahagi / Ituri
Bukavu / South Kivu
Ethiopia Mandura Woreda,
Metekel
Programme Focus Brief Description Programme Volume
(rounded up)
Basic healthcare Provision of six health centres with medication and medical appliences,
rehabilitation of and medical equipment for health facilities, basic and
advanced training of medical staff and midwives
Healthcare, psycho-social care,
food security, rehabilitation,
infrastructure
Support of more than 350 health centres, vaccination campaigns, basic
and advanced training of staff, food security in over 30 nutrition centres,
medical and psycho-social care for abused women, rehabilitation of health
facilities and infrastructure (source fittings, streets, bridges)
Donors / Cooperation Partners National Partner Organisations No. of
Projects
234,000 EUR EuropeAid, UNHCR, own
resources / private donations
4 Mio. EUR ECHO, AA, UNICEF, FAO, OCHA,
WFP, EuropeAid, Pooled Fund, own
resources / private donations
Provincial health department of Kuando
Kubango
Local and national health authorities,
local partner organisations
Poverty reduction Training courses and income-generating measures for 2,500 people 17,500 EUR Own resources / private donations 1
Kenya Nairobi Healthcare Improving the possibilities of diagnosis and treatment of tuberculosis and
HIV / AIDS, supporting home care, health education for the slum dwellers
Sudan Khartoum,
Al Fashir / North Darfur,
Rumbek,
Yei / Southern Sudan
Healthcare, rehabilitation TB, HIV, leprosy, sleeping sickness and malaria control programmes,
primary healthcare, mother-child-health, vaccination campaigns, basic and
advanced training
Uganda Maracha Healthcare Support for the nutrition unit in the hospital of Maracha, home visits,
aftercare of the patients
410,000 EUR BMZ, ADA, Pathfinder International,
own resources / private donations
2 Mio. EUR BMZ, ECHO, AA, DAHW, UNICEF,
CHF, ADH, NiN, WHO, STI, Global
Fund, UNDP, KfWH, WfP, UNFPA, own
resources / private donations
54,000 EUR (incl.
regional office
Kampala and logistic
support Office Arua)
NCC, Kenyan Ministry of Health, Nairobi
Health Management Board, AMREF, St.
Mary’s Hospital
Diocese of Rumbek, Ministry of Health
in Darfur
PMK, own resources / staff donations Maracha Hospital 1
1
11
1
6
Asia Afghanistan Provinces of Badghis
and Herat, Kabul, Kapisa,
Parwan, Loghar and
Wardak
Cambodia Samrong /
Oddar Meanchey
province
India States of Tamil Nadu,
Kerala, Gujarat, Kashmir
Emergency relief, rehabilitation,
Healthcare, care for children and
youth, reintegration of returnees
Reconstruction / New building of schools and health centres, operation of a
provincial hospital and eleven health centres, income-generating measures
for returnees, promotion of women, day-care for neglected children,
emergency relief in the winter
Healthcare Strengthening of the community-based healthcare system, school feeding,
mother-child-health, community-based health insurance
Rehabilitation and development,
emergency relief
Indonesia Medan, Lhokseumawe, Rehabilitation, development and
healthcare, medical emergency
relief (earthquake on Java)
Myanmar Yangon, Phang
Kham, Sittwe &
Maungdaw / Yangon
Division
Shan State (Wa Region)
Rakhine State
Pakistan Islamabad / Northwestern
border province,
Azad, Jammu Kashmir
Development oriented
emergency and transitional aid
in the fields of healthcare, water
supply, sanitary facilities and
disaster control
Emergency relief
(earthquake in Northern
Pakistan)
Tsunami relief: income-generating measures for more than 3,000 women
and their families, community development programme for ten coastal
districts, psycho-social care for tsunami victims in 13 coastal villages,
medical aid, school grants, care for children and youth, repair of houses
and schools;
Construction of houses in Gujarat: New building of houses, disaster control,
preschool programme for 1,200 children;
Healthcare promotion Kaschmir: medical aid
Rehabilitation of two villages: 500 houses, water supply, school, health and
community hall, income-generating measures;
construction of three health centres and two community halls, improving
the data collection of the provincial health authorities, healthcare for UN
staff
Control of infectious diseases malaria, TB and HIV / AIDS, strengthening of
community-based basic healthcare services, improving the access to clean
drinking water and sanitary facilities, disaster control
1,691,000 EUR BMZ (KfW and CIM), UNHCR, AA,
British and Australian Associations of
the Order of Malta, Afghanistan Hilfe
Paderborn, Malteser Moers
322,000 EUR BMZ, Canadian and Australian
government, USAID via CARE, own
resources / private donations
Health and school authorities, municipal
councils and Afghan non-governmental
organisations
Provincial health and school authorities,
Cambodian Health and Human Rights
Alliance, village communities
1,224,000 EUR ADH, KPMG, Malteser Paderborn Indian partner organisations: HOM,
CHAI, MSSS Diocese of Trivandrum,
Sahayi, KIDS, DEEDS, Little Flower
Convent, Dicocese of Kottar, Venture
Trust, Vaan Muhil, Bharati Trust,
Ekklavia Foundation, Sisters of
Destitute, BSC, Unnati
3,395,000 EUR ADH, UNICEF, WHO, ZF Hilft e.V.,
Happy Digits, Langenscheidt KG,
Faber-Castell AG, BMZ via GITEC / KfW,
GTZ, UNDP, Malteser Trier, own
resources / private donations
1,380,000 EUR DG ECHO, EuropeAid, BMZ, ADH,
UNDP, UNAIDS, WFP, WHO, UNICEF,
UNODC, own resources / private
donations
Construction of winter-proof shelters, equipment of households 993,000 EUR ADH,
Deutsche Bank,
Liebherr-Stiftung, Canadian
Association of the Order of Malta,
Partner Aid International,
Local and national authorities, village
committees
Local health authorities, village
communities
International Blue Crescent,
Palas Conservation and Development
Federation,
Partner Aid International
6
4
18
15
9
6
24 P R O J E C T O V E R V I E W

Middle
East
Sri Lanka Colombo, Galle,
Trincomalee
Thailand Mae Sariang District,
Northern Thailand
Krabi, Phang Nga,
Ranong, Puket, Southern
Thailand
Vietnam Danang /
Provinces of Quang-Nam
and Danang, Central
Vietnam
Emergency relief (tsunami),
rehabilitation, development,
psycho-social care
Healthcare, support for refugees,
emergency relief (tsunami) and
rehabilitation
Poverty reduction,
emergency relief
Construction of 650 emergency shelters, medical emergency relief,
distribution of drinking water, reconstruction of 700 houses, water supply,
reconstruction of homes for children and disabled people, psycho-social
care and training, income-generating measures
Refugee camp in the North-West: healthcare and water supply for refugees,
help for AIDS orphans;
Tsunami relief in southern Thailand: rehabilitation of houses, water supply
and sewage disposal, healthcare, psycho-social care, income-generating
measures
Improving the basic health, food and income situation of the poor and of
ethnic minorities, emergency relief after typhoon
AA, ECHO, O.S.T. e.V., own
resources / private donations
2,082,000 EUR ADH, BILD hilft e.V., Osthessen hilft
Südasien,
Serendib Stiftung, FC Bayern Hilfe
e.V., UNICEF, Die kleinen Patienten
e.V., Caritas Galle and Colombo,
Archbishopric of Mainz, Malteser
Augsburg, Cologne, Muenster and
Traunstein, own resources / private
donations
1,796,000 EUR DG ECHO, ADH, own
resources / private donations
166,000 EUR BMZ, World Child Foundation, AA.
Own resources / private donations
Water and other local authorities,
buddhist community / buddhist
monasteries, Dioceses, Help for the
Children, Centre for Social Assessments,
Trincomalee District Development
Association, Caritas, GTZ
Local authorities, Karen Refugee
Committee, Salawin group, SEAMEO,
SAN
Women’s Unions in local communities
and districts, DED
Iran Province of Kerman, Bam Rehabilitation Construction of primary girls’ school Khadije 175,000 EUR Diakonie Katastrophenhilfe 1
Iraq Kirkuk, Karamless,
various villages in
Northern Iraq
Emergency relief and
rehabilitation
Construction of wells and water distribution systems, construction of
training centre, co-financing of medical staff
35,000 EUR Own resources / private donations International Blue Crescent (Turkey),
Mostakbal Development Foundation
(Iraq),
Turkemeneli Cooperation and Cultural
Foundation (Iraq)
Lebanon countrywide Emergency relief Support of health centres, provision of medicine and supply goods 51,000 EUR Associations of the Order of Malta,
own resources / private donations
International Blue Crescent 1
Turkey Izmit Rehabilitation Centre for 240 mentally disabled children 94,000 EUR Own resources / private donations International Blue Crescent 1
24
18
2
4
Europe
Balkans Bosnia and
Herzegovina
Middleand
Eastern
Europe
Bihac, Banja Luka, Livno,
Travnik, Mostar
Structural aid Income-generating measures, care for returnees 448,800 EUR UNHCR Local partner organisations 2
Kosovo Ferizaj, Gjakova Structural aid Construction of winter-proof shelters 9,800 EUR UNHCR Local partner organisations 1
Hungary,
Romania,
Serbia
Support of flood relief of national
Malteser partner organisations
Emergency aid with hygiene items and food; construction and operating of
emergency shelters, support of rehabilitation (houses, water supply)
261,000 EUR AA, own resources / private donations Serviciul de Ajutor Maltez în România,
Magyar Máltai Szeretetszolgálat,
Malteska dobrotvorna organizacija
Jugoslavije
1
America USA New Orleans Rehabilitation Home renovation programme, rehabilitation of living space 216,000 EUR ADH, CARE International Germany,
own resources / private donations
Malteser USA, Catholic Charities
Services, Rebuilding Together
1
AA Federal Foreign Office of Germany
ADA Austrian Development Agency
ADH Aktion Deutschland Hilft (Action Campaign Germany Helps)
AMREF African Medical Research Foundation
BMZ Federal Ministry of Economic Cooperation and Development Germany
BSC St. Xaviers Non-Formal Education Service (India)
CHAI Catholic Health Organisation of India
CIM Centre for International Migration and Development
CHF Common Humanitarian Fund Sudan
DAHW German Leprosy and Tuberculosis Relief Association
DED German Development Service
DEEDS Development Education Society (India)
DFID Department for International Development (United Kingdom)
ECHO Humanitarian Aid Department of the European Commission
FAO Food and Agriculture Organization
GF Global Fund
GTZ Community for Technical Cooperation (Germany)
HeLaBa Landesbank Hessen Thüringen
HOM Health for One Million (India)
KIDS Kottapuram Integrated Development Society (India)
KfW Development Bank - KfW Banking Group
KfWH Kids for World Health
KPMG KPMG Deutsche Treuhand-Gesellschaft Aktiengesellschaft
MSSS Malankara Social Service Society (India)
NCC Nairobi City Council (Kenya)
NiN Nachbar in Not (Austria)
OCHA Office for the Coordination of Humanitarian Affairs
PMK Papal Mission Organisation for Children
SAN Sustainable Agriculture Network (Thailand)
SDFI Sister Doctors Forum India
SEAMEO South-East Asian Ministries of Education Organisation (Thailand)
STI Swiss Tropical Institute
THW German Technical Relief Organisation
UNAIDS Joint United Nations Programme on HIV / AIDS
UNDP United Nations Development Programme
UNODC United Nations Office on Drugs and Crime
UNHCR United Nations High Commissioner for Refugees
UNICEF United Nations Children’s Fund
WFP World Food Programme
WHO World Health Organisation
P R O J E C T O V E R V I E W
25

Although the staff sometimes faced
difficulties in accessing the project
regions over the past year, the particularly
considerate and transparent behaviour and
actions of the project teams have made
significant improvements possible to the
situation of the most vulnerable population
groups: the women and children.
Pakistan
International staff: 5
National staff: 12
Aid for 50,000 people
Malteser International has worked in
Pakistan since the earthquake on
8 October 2005.
On the day of the earthquake on 8
October 2005, hundreds of thousands of
people lost their livelihoods and members
of their families. Pakistan is still trying
to cope with the consequences. A return
to normality was made more difficult
because so many buildings had been
utterly destroyed and it was hard to reach
those in need in the mountain regions.
Repeated landslides made the situation
worse.
Malteser International distributed
winter-proof shelters and household
articles immediately after the earthquake,
helping 20,000 people. The work then
focused on sustainable improvement of
the living situation for those affected:
families who had lost their entire
crops were given suitable seeds for the
mountainous location. The resultant crops
meant that not only could they provide
for themselves, but also gain new seeds.
Malteser International also supported the
people in nine villages as they repaired the
damaged drinking water supply system.
Emergency aid was required once again
in the second winter after the earthquake
for families most in need. They were given
household items and gas cookers. Mobile
medical teams provided free treatment for
patients in a mountain valley. Treatment
focused particularly on women and
children with chronic respiratory diseases.
Work also started on the reconstruction of
two damaged rural primary health centres
and on the construction and development
of a transfer system to hospitals and
medical consultants. A further project for
disaster prevention will improve the selfhelp
capacities of the population in case
of future natural disasters.
Sri Lanka
International staff: 15
National staff: 47
Aid for 275,000 people
Malteser International has worked in
Sri Lanka since January 2005.
In Sri Lanka, Malteser International
has continued with the reconstruction of
houses and the rehabilitation of the water
supply and the sewage treatment, despite
the tense security situation. Even though
the conflicting parties are formally
obeying the ceasefire, conditions remain
close to civil war, despite international
mediation initiatives. Conditions are
Sri Lanka: With the support of Malteser International,
more than 3,000 of the families most affected by
the tsunami have built their own tanks to collect
rainwater.
Pakistan: Malteser International runs mobile clinics to look after the patients in the earthquake region.
particularly bad in the north-east and east
of the country and it is barely possible to
bring any aid to the north. Hundreds of
thousands of the inhabitants have been
displaced, with many being looked after
in camps. Across the country, the security
situation has come to a head as a result
of attacks and assassination attempts
– mainly long-range bombs or suicide
bombers – on politicians and military
convoys, as well as the kidnapping
of young men. In particular, the cold-
26 A S I A

looded attack on the aid organisation
‘Action contre la Faim’ in Muttur, which
left 17 Sri Lankan colleagues dead, has
highlighted the tense working conditions
for relief organisations in the north-east.
Nevertheless, Malteser International has
managed to continue and further expand
its programmes in cooperation with Sri
Lankan partner organisations. There have
only been problems in one project area in
the north-east, where reconstruction and
other relief projects had to be stopped
temporarily and relocated to another
region. Otherwise, the projects in the
east have continued, particularly the
construction of homes, despite occasional
curfews. Malteser International has also
begun new projects for drinking water
supply and hygiene information in the
east, south and south-east of the country,
working with Sri Lankan government
agencies, non-governmental organisations
and UNICEF. Large areas of the country
are still without a continuous drinking
water supply and sewage water treatment
– above and beyond the damage caused
by the tsunami. Malteser International
is continuing its efforts to develop
local structures and provide hygiene
information, particularly in schools.
Thailand
International staff: 10
National staff: 42
Aid for 50,000 people
Malteser International has worked in
Thailand since 1979.
In Thailand, 2006 was moulded by
political changes. Amongst many of the
social classes, increasing dissatisfaction
with the government led to weeks of
peaceful mass demonstrations and then, in
September 2006, to a military coup. There
were also many more terrorist attacks in
the southern province, which spread to
other parts of the country. Fortunately, the
work of Malteser International was never
put at risk by these developments.
In northwest Thailand, the organisation
continued its primary healthcare project
for 32,000 people and refugees from
Myanmar. The importance of this work
is emphasised by the fact that in the year
2006, 3,000 new refugees have sought
help in the two camps supported by
Malteser International. Having arrived
utterly exhausted at the camps, they
sought protection from attacks and human
rights violations, and were given medical
treatment.
P S YC H O - S O C I A L C A R E
Care covers both psychological and social
support for individuals or communities
to improve mental health. Helping
people in crisis by providing pastoral
or psychological advice or bringing
family members together are all part of
the activities. Social support focuses in
particular on the social needs relating to
life in general, e.g. help finding a home,
provision of medical aid, support when
looking for a job or going to school.
Providing psycho-social care to help
coping with trauma after disasters
usually includes both advice and creative
measures to release tension. Mental
problems or illnesses are perceived and
classified very differently in various
cultures, so their treatment must also
be different.
The number of children in Thailand who
have lost their parents to AIDS continues
to grow. In the poor mountain villages
of the Mae Sariang district, Malteser
International is currently looking after
93 orphans; their care is supported by a
grant.
As before, another crucial focus
in Thailand is dealing with the consequences
of the tsunami. Some areas
in the south recovered relatively quickly
after the disaster. However, many
groups, particularly those belonging to
ethnic minorities and Muslims, are still
suffering as the result of the loss of their
livelihoods. Many young people are still
traumatised and receiving aid from
Malteser International via a diversified
aid and rehabilitation programme.
Thailand: In the past
year alone, 3,000
refugees from Myanmar
arrived at the two camps
in northern Thailand,
supported by Malteser
International.
A S I A
27

Turkey
Aid for 240 mentally disabled children
and their families.
Malteser International has worked in
Turkey since the earthquake in 1999.
In 2006, Malteser International wound
up its support of the centre for mentally
disabled children in Izmit, the former
earthquake area. The project was carried
out in cooperation with the Turkish
partner, International Blue Crescent. Serving
as a model in Turkey, the project
supports individual training measures
and movement therapies for 240 children
with disabilities, easing the lives of the
children and their parents.
Vietnam
National staff: 5
Aid for 20,000 people
Malteser International has worked in
Vietnam since 1966.
In Vietnam, the discrepancy between
the living conditions of those in the urban
centres and the ethnic minorities in the
mountain regions is particularly severe.
Almost all the mountain village residents
have lost their land due to relocation
and therefore the ability to support
themselves. In addition, they know little
about maintaining good health and have
insufficient access to state healthcare
services. As civil society has made little
impression on the rural regions, people
there have little interest in participating
in development measures at village or
district level.
The project implemented by Malteser
International to combat poverty is coping
with these problems. Project partners
are participating in training sessions that
show how to better motivate the local
populations to take part in projects. The
organisation is also using demonstration
business start-up courses. Training
measures in the fields of nutrition, health
and hygiene are improving the health
situation in the country.
At the start of October 2006, Hurricane
Xangsane inflicted terrible damage on
the project area. Thanks to the financial
support of the Federal Foreign Office of
Germany, Malteser International was able
to provide help quickly, distributing food,
blankets and corrugated iron for house
repairs to 1,360 families.
Turkey: In cooperation with its Turkish partner
organisation, Malteser International supports a
centre for mentally disabled children.
Vietnam: Malteser International distributes food and blankets to those who have lost everything
in Hurricane Xangsane.
28 A S I A

ON THE SPOT: THAIL AND
”Life is a daily battle“
A grant enables AIDS orphans to go to school and helps their families survive
Trauerfeier am 26. Dezember 2005 zum Gedenken an die Opfer des Tsunami.
Many families live in simple bamboo huts.
We have to clamber up a steep hill to
visit Pawinee and her family. Only the
poor live in the bamboo huts of Mae
Sariang in northwest Thailand. Pawinee’s
family is poor. They couldn’t afford a
house in the valley.
Pawinee is ten years old. She lives
with her grandparents, aunt and uncle.
Her mother died six years ago, her father
eight years ago. Both had AIDS. Her
grandfather tells us how difficult it was
to keep the family going. Throughout his
story, he chews thoughtfully on a betel
nut. He repeatedly wipes away the red
juice from his mouth, in which the front
teeth are missing. Both grandparents work
as day labourers. The grandmother sells
vegetables at the market, the grandfather
carries wood or does construction work:
“I do everything that‘s on offer,” he says.
He earns 120 baht for a day’s work (about
EUR 2.50). But he doesn’t find work
every day. He is only 50, but looks much
older. His cares and worries are written
all over his face. “Life is a daily battle,”
he says, with great sadness.
To alleviate the battle, Malteser International
is supporting Pawinee and her
family with a small grant. They receive
the equivalent of EUR 144 a year to
pay for Pawinee’s school fees, uniform,
books, pens and food. 93 children in the
mountain village of northwest Thailand
are currently receiving a grant. They have
all lost one or both parents to AIDS. Most
of them live with their grandparents,
who can barely cope with this additional
burden.
Pawinee wants to be a teacher. She does
well at school and works hard. Every
afternoon from four to six, after normal
lessons, she goes to a special class for
maths and English. Her grandparents
believe it is important that she receives
a good education. “If she gets a good
job, she might be able to support my
wife and me sometime in the future,” her
grandfather says hopefully.
The consequences of AIDS are turning
family relations upside down in the region
around the border with Myanmar. The
middle generation that normally looks
after the old parents and small children is
missing in many families. Responsibility
passes to the oldest generation – people
who are often ill and fragile.
As a parting gift, Pawinee’s grandfather
gives us a bag that his wife has woven.
It takes one to two weeks to finish one
of these bags with the traditional designs.
Sometimes she can earn a little money
by selling them. The family has so little
and yet still wants to share everything.
“Your visit to us was a gift from God,”
the grandfather calls out as we make our
way back down the hill.
Katrin Rehfuss
Pawinee is happy about her grant from Malteser
International.
As a day labourer Pawinee’s grandfather earns
too little money to pay for her schooling.
A S I A
29

ON THE SPOT: LEBANON
Helping without becoming a political tool
Taking stock after the war in Lebanon
Little Hassan is a war baby and his
birth would have been pretty hazardous
without our help: “When I arrived in the
refugee camp that day, his mother was
already in labour, everything was chaotic
and dirty and there was no-one to help,”
Sister Sylvie Toison says. She and her
team look after 1,000 internally displaced
persons – almost exclusively women and
children – in three schools on the outskirts
of Beirut. They visit them, provide them
with medicine, install showers, wash the
children and hand out crucial items such
as soap and delousing agents. “Half of the
refugees have chronic illnesses such as
diabetes and high blood pressure,” Sister
Sylvie says. Some illnesses have become
worse through stress. “If the war had
lasted any longer, we wouldn’t have had
any medicine left.” But improvement is in
sight on this Monday: six and a half tons
of medicine, collected and sent by the
French Association of the Order of Malta,
are just awaiting customs clearance. And
Hassan’s mother has returned home with
her baby and her three other children
– to a village in the south of Lebanon in
which, according to reports, not a single
house still stands.
Two hours later we are sitting in the
town hall of the Beirut suburb of Ghobeiry,
guests of a mayor who, according to our
Lebanese partner, is one of the most
important Hezbollah leaders in the area.
The Hezbollah officials give us tea and
sweets, complain about the effects of the
war on the residents of their city and ask
us for support.
The director of the Lebanese Foundation
of the Order of Malta listens patiently. For
him, such visits are necessary if his people
are to continue working in areas with a
Shiite population – and the principle of
BU
Sister Sylvie Toison cared for 1,000 internally displaced persons.
impartiality and independence applies
to him as it does to all humanitarian
organisations. Those in need will be given
aid – as long as no-one is made the tool of
a political party.
While the mayor leaves to attend the
burial of a Hezbollah fighter, his brother
drives us through the suburbs to the worst
devastated areas. Whole streets lie in
ashes and rubble. As I stand at the edge of
aruin, a car stops next to me: “That was
my home – on the sixth floor,” the driver
says and points to a rail that is all that is
left of his former balcony. “All I managed
to rescue was a lampshade – everything
else was destroyed.” Hezbollah have
placed red placards on the rubble. They
read “Made in America” – with the
slogan: “The Heavenly Victory”.
Later, during supper, the director of
the Lebanese Foundation of the Order of
Malta says to us: “What we saw today is
nothing in comparison to what we will
see tomorrow in southern Lebanon.”
Stefan Dold
30 A S I A

ON THE SPOT: INDIA
Learning that the floods are a thing of the past
Aid for those traumatised by the tsunami
Vahini used to read the Holy Scriptures
in the temple, while the people prayed to
God. Today, Vahini doesn’t read any more.
When the tsunami came, she was sitting
on the floor in the temple of Alappad.
“I heard people outside shouting. I went
out and saw everyone running.” Then the
water came.
For Vahini, the tsunami is far from over.
She is still afraid today. When she talks, it
is as if the wave had just rushed through
her village Alappad; as if, before her very
eyes, the 150 people were perishing in the
water and the 2,000 houses – including
her own – destroyed for the first time.
Vahini’s face looks like a mask, her
eyes are often closed. Whatever she is
seeing behind them, she does not tell
anyone. Her hands, wrinkled from work,
are always moving, always trying to hang
on to something. Vahini is 44 years old.
She looks much older.
When the water came, she ran.
Someone pulled her into a boat and she
watched , helpless, as her house collapsed
under the weight of the water. When the
flood retreated, someone brought her to a
refugee camp.
Today, Vahini sits in the shadow of a
palm tree grove by the lagoon. She and
her family have been given a new house
by the government, exactly where her old
house was. The new home, the sun, the
shadow under the palm trees – idyllic. But
Vahini sees water, ruined houses, bodies.
The fisherman’s wife has spent weeks
in various hospitals in the region. She
was admitted with symptoms of paralysis
and pains. Again and again. Finally a
specialist clinic made the right diagnosis:
trauma. Vahini has been undergoing
psychological treatment since April
2005. Three voluntary Community Level
Workers (CLW) visit her regularly:
Hajitha, Subhaka and Sridevi. As part of
an extensive psycho-social aid project,
Malteser International began work
Gunnar Rechenburg
Talking to the voluntary community workers helped Vahini to gain new courage in life.
shortly after the tsunami struck, to train
aid workers for psychological work
with traumatised tsunami victims, in
cooperation with the Indian organisation
DEEDS and the local initiative Sahayi.
“At first, it was very difficult to even
make contact with Vahini,” Hajitha says.
The traumatised woman did not want
to see anyone, could not talk about the
tsunami. It took all the persuasive skills
of her husband to convince her that the
community workers could really help.
At last they were able to win Vahini’s
trust. “She was suffering from severe
depression, plus hypochondria,” Subhaka
says. The pain and paralysis lasted for
months. “When we found out that all her
physical symptoms were psychosomatic
in nature, we tried to work on that,”
Hajitha says. “For example, at our first
meeting, Vahini said she was sorry not to
be able to offer us anything, that she was
paralysed and couldn’t walk or move her
hands. At our next meeting, we simply
asked for a cup of tea – she didn’t need to
think about it and just did it.”
For a few weeks now, Vahini has been
participating in an income generating
initiative as part of her treatment, earning
money by producing and selling soda
water – money that her family urgently
Gunnar Rechenburg
It took a long time before Vahini and her husband
were able to go to the coast again.
needs, as her husband Sayeew has been
unable to earn money since the tsunami.
“My wife was so ill I couldn’t leave her
alone for a minute,” the fisherman says.
The three community workers helping
Vahini agree that the treatment and her
contribution to the subsistence of her
family are immensely important for her:
“She has to participate in life again. Only
then can she come to terms with the fact
that the tsunami is a thing of the past.”
Gunnar Rechenburg
A S I A
31

18
19
Together for
a better future
The reorganisation after the collapse of the former federal state of
Yugoslavia has still not reached its conclusion. Serbia and Montenegro
have been separated; the federal diversity of Bosnia and Herzegovina
is still unproven and the future status of Kosovo remains
open. Irrespective of the political path taken and yet to be taken by
the successor states, with the exception of Slovenia, they all remain
united bound in a deep social and economic crisis today.
EUROPE DATA
International staff:
34
National staff:
455
Aid for
4.7 million people
COUNTRIES
18 Balkans
19 Romania
Balkans
National staff: 21
Aid for 2,650 people
Malteser International has worked in
the Balkans from 1995 to 2007.
Malteser International began its
work in the Balkans 12 years ago with
the distribution of hygiene and food
packages. Since then, the organisation has
been active in Bosnia and Herzegovina,
Croatia, Kosovo, Serbia and Macedonia.
The first office of Malteser International
in Banja Luka operated from January to
May 1995, but had to close due to the
war. The Dayton Peace Agreement in
November 1995 laid the groundwork for
long-term commitment and sustainable
reconstruction measures. In May 1996,
Malteser International returned to Banja
Luka. Further projects were soon started
in Bosnia (Bihac, Travnik, Livno, Mostar,
Trebinje and Sarajevo) and Macedonia
(Skopje). When the war ended in Kosovo,
Malteser International extended its project
region there in 1999, opening offices in
Ferizaj and Gjakova.
All these projects focused on helping
the people in the region to build a new,
peaceful life after the years of bloody
conflict and displacement. Malteser
International organised convoys for the returning
refugees, arranged and distributed
financial aid for reintegration and provided
winter-proof accommodation. It
also supported returnees as they set up
small businesses and service industries.
The beneficiaries promised to donate part
of their first year’s income to social and
community projects, which also promoted
the development of a civil society and
democratic structures. Since 2000, more
than 700 individual projects have been set
up in this way in Bosnia alone, reaching
more than 3,500 people through family or
neighbourhood networks over the last six
years.
Because the economy in the newest
successor states of former Yugoslavia is
developing fairly slowly, there is still a
need for existence-promoting measures.
However, the project regions have grown
beyond needing emergency measures
and post-war aid. The European Union
is already negotiating with Croatia about
accession, while Bosnia, Herzegovina
and Serbia are also being considered
as potential acceding countries. With
this in mind and because it is becoming
increasingly difficult to get third-party
funds for projects in the Balkans, Malteser
International has ended its own project
work in the region. The last project was
concluded on 21 December 2006 and the
last office in Banja Luka was closed at the
end of March 2007. However, this does
not mean that Malteser International is
abandoning the region. Quite the opposite:
well-organised national Malteser relief
agencies have already been working
E U R O P E
33

in Serbia and Albania in recent years.
The predominantly voluntary “Malteser
Auslandsdienst” (Foreign Aid Service of
Malteser Germany) is supporting these
local relief agencies and is involved
with numerous other social and medical
projects run by other officials and
initiatives. Malteser International is also
continuing to support an old people’s
home in Boka, Serbia. Thanks to this
support, urgently needed renovation work
could be carried out there in 2006.
The projects implemented by Malteser
International and now run by local
cooperation partners will remain in place.
This includes the ‘Bosnian-Herzegovina
Women’s Initiative’ (BHWI) foundation,
set up in 2002 to run projects especially
for women. In Kosovo, the former
Malteser project leader is continuing
with the construction of winter-proof accommodation
on behalf of the UNHCR.
With the conclusion of its project work,
Malteser International must also bid farewell
to many colleagues, some of whom
have worked with the organisation for
years – Malteser International would like
to take this opportunity to express sincere
gratitude for their commitment. Up to 20
colleagues worked in seven locations.
Former country coordinator Alisa Grabus
remains in the Malteser family and is now
working in Islamabad, Pakistan. She has
followed in the footsteps of Vesna Bukvic
from Serbia, who has already been
working for Malteser International for the
past two years in Myanmar.
Bosnia and Herzegovina: Farmers using their new machine they received from Malteser International.
Bosnia and Herzegovina: Thanks to a micro-credit this carpenter could restart his business.
34 E U R O P E

Central and Eastern Europe
Flood aid in Romania and
neighbouring Serbia and Hungary
Aid for 2,600 people
Malteser International has been
providing emergency and reconstruction
aid in the region since the
flood disaster of 2005.
Partnership cooperation between the
national Malteser relief organisations
and other agencies in charge of medical
and social projects in Central and Eastern
Europe at both local and national level
is the responsibility of the “Malteser
Auslandsdienst” (Foreign Aid Service
of Malteser Germany). Malteser International
only acts in these countries if
the national associations of the Order of
Malta or relief agencies support acute
emergencies or disasters. This was the
case in 2006 after the flood disasters in
Romania, Hungary and Serbia.
The Romanian Malteser relief agency
SAMR had already provided flood aid
through various projects in 2005. When
storms and floods once again threatened
the population of Romania in April
2006, SAMR discovered in discussions
with local authorities that there was
a particularly high need for aid in the
project region in the district of Tulcea in
the Danube delta. Mainly populated by
elderly people, the villages had been 90
percent submerged by the flood.
With the financial support of the Federal
Foreign Office of Germany and Malteser
International, tents and camp beds were
Romania: Care packages including blankets and food
helped the victims of the flood to get through the first
days.
purchased as emergency accommodation
for families particularly badly affected
by the flood. These were erected in the
project area and the families were treated
on-site by Malteser staff. In this way, the
families were able to survive until new
homes could be found for them.
“The people we are helping here are
mainly elderly people. It’s particularly
difficult for them to leave their homes
and start all over again,” Zsuzsa Barla,
Secretary General of SAMR, explains.
Working with the Tulcea prefecture,
SAMR had already distributed 300 care
packages of rubber boots, raincoats,
blankets and food in an instant campaign
after the disaster occurred.
Providing the flood-damaged families
with tents and camp beds was top priority
for the affected communities. The
emergency accommodation served as vital
‘protective huts’ for the flood victims once
the acute phase had passed. Supported by
the Federal Foreign Office of Germany,
the flood aid project provoked high media
interest both at home and abroad.
Romania: The relief goods were brought to families
by boat.
Following the provision of emergency
accommodation, the Romanian Malteser
relief service managed to provide
emergency and reconstruction aid in the
affected areas, thanks to further support
from Malteser International and generous
private and corporate donations. Houses
and entire villages were rebuilt in the
Tulcea district, some in places different
from before, to avoid the risk of renewed
flooding. A daily water supply for the
relocated villages was also ensured.
Corporate donations of over EUR 50,000
made it possible to construct seven wells
in four villages.
The local Malteser relief services in
the neighbouring countries of Hungary
and Serbia – also affected by the disaster
– provided local flood relief. Malteser
International supported their work with a
total of EUR 15,000.
E U R O P E
35

36 A M E R I K A

1
Reconstruction
after the storm
Traces of the destruction across the entire US Gulf Coast left in
the wake of Hurricane Katrina in August 2005 are still visible
nearly two years on from the disaster. Only about half the residents
of New Orleans have returned to their city, which was left
almost entirely under water after the hurricane passed. As before,
people are battling with fundamental problems, such as the lack
of affordable living space, overcrowded schools and weakened
public healthcare.
AMERICA DATA
International staff:
1
Aid for
1,500 people
Malteser International has worked
in New Orleans since 2005.
COUNTRIES
1 USA
Malteser International and the three US
American Associations of the Order of
Malta have been working with two partner
organisations in New Orleans on a house
renovation programme, enabling socially
weak families to return to their homes
in the districts of Treme and Gentilly.
During the year after the disaster, over
900 volunteers helped make houses badly
damaged by flood and storm habitable
once again – in nine working weeks.
These and many other houses had already
been emptied and cleared of mould by
volunteers from the ‘Helping Hands’
programme of the Catholic Charities in
the New Orleans diocese.
“The volunteers’ motivation was limitless.
Cooperation with the church parishes
resulted in close contact with the affected
families. Reducing their pain and distress
was a huge gift for all those involved,”
declared Ozzy Marcenaro, project coordinator
from Malteser International,
looking back over his experiences after
the project ended in April 2007.
Michael S. Falser
New Orleans: United help for the victims of the
hurricane in New Orleans.
Michael S. Falser
New Orleans: Volunteers from all generations
support the reconstruction.
A M E R I C A
37

ON THE SPOT: NEW ORLE ANS
From bank director to carpenter
Home renovation programme in New Orleans
As we drove along the streets in our
bus, I was shocked. Even though a year
had passed since the disaster, the living
conditions in New Orleans remained
appalling. There were still entire suburbs
without power or water and the houses
looked just as they had when the storm left
them. In August 2005, Hurricane Katrina
caused the levees to burst, leaving the
lowest city quarters (where the poorest
black population lived) submerged under
up to eight metres of water. 2,000 people
died.
At the start of 2006, I moved from
Vienna to San Francisco to work for twelve
months as a monument conservation
architect. When the second reconstruction
campaign for New Orleans organised by
the Western Association of the Order of
Malta began in September, I volunteered.
Together with Malteser International and
the American organisation Rebuilding
Together, the US American Associations
of the Order of Malta had developed an
aid programme to help needy families
rebuild their houses.
The 72 volunteers from all over the
USA were housed in a hotel on the
western edge of the celebrated French
Quarter. For a demanding few days, a
bank director, a lawyer, architects and
managers turned into carpenters, painters,
water-carriers, tool coordinators. At 7.30
every morning for a week, a bus took us
to the two houses we were renovating.
When we saw the extent of the damage,
I doubted whether we could really make
them habitable again. But thanks to the
precise instructions of our group leader,
our uncertainty was soon gone. We cleared
the first house of its rotten waterproofing,
‚Viribus unitis‘: nine helpers and a ceiling board.
Young girl from the parish of St. Peter Claver during
the Mass with the helpers.
of dangling ceiling joists, protruding
nails and a thick coat of mud, removed
the mountain of rubbish in the garden
and shored up the foundation with stones.
Neighbours watched us from nearby
windows and doors. Shy, surprised and
mostly smiling widely, they gazed at the
totally filthy, yet good-humoured helpers.
When we fell exhausted into bed at the
end of the first day, the house had been
entirely cleaned, ready for renovation and
the new materials and tools which had
been stored safely at the site.
On the last day, we were amazed at
what we had achieved: we had reached
our goal. The two houses were really
habitable. At supper, we handed over the
keys to the emotional families – including
a 100-year-old great-grandfather. Mass at
the freshly renovated parish church of St.
Peter Claver was another very moving
moment: when Father Mike explained
the motivation for our help, hundreds of
children in party clothes rose from their
seats and thanked us with gospel songs
and standing ovations. When I look back
at this moment today, I am very happy to
remember that the aching muscles, the
blisters on our hands and the aching backs
were all worth it.
Michael S. Falser
38
A M E R I C A

Experts abroad
Local staff employment
per region
Expatriate employment
per region
2006 2005
Africa 455 411
Angola 18 19
DR Congo 129 126
Ethiopia 2 2
Kenya 14 14
Sudan 275 237
Uganda 17 13
Asia 301 426
Afghanistan 28 197
Cambodia 10 18
India 1 1
Indonesia 28 31
Iran 0 1
Iraq 0 1
Myanmar 128 120
Pakistan 12 4
Sri Lanka 47 10
Thailand 42 40
Vietnam 5 3
Balkans 21 28
Bosnia and Herzegovina 21 16
Total 777 865
2006 2005
Africa 34 33
Angola 3 4
DR Congo 14 11
Ethiopia 0 1
Kenya 2 3
Sudan 12 12
Uganda 3 2
Asia 85 88
Afghanistan 5 15
Cambodia 5 2
India 4 2
Indonesia 27 27
Iran 0 1
Iraq 0 0
Myanmar 14 11
Pakistan 5 0
Sri Lanka 15 19
Thailand 10 10
Vietnam 0 1
Balkans 0 2
Bosnia and Herzegovina 0 1
America 1 1
Louisiana 1 1
Total 120 * 124
* Some of the staff members
are working cross-national.
The total figure refers
to the total number of
contracts signed in the year
2006. For 39 employees it
was their first contract with
Malteser International, 78
employees have already
been working for Malteser
International in the past.
Nationalities of the expatriates
Expatriates by education and occupation
Austria 2
Bangladesh 1
Belgium 1
Kenya 4
Madagascar 3
Myanmar 1
trainees / project
assistants 18
others 7
physicians 22
nurses and
orderlies 13
Bolivia 1
Brasil 1
Netherlands 4
New Zeeland 2
paramedics 3
Burkina Faso 1
Philippines 1
Canada 2
Poland 1
Ethiopia 1
Serbia / Mont. 2
France 2
Germany 71
Great Britain 3
Hungary 1
India 2
Italy 1
Spain 2
Switzerland 2
Tansania 2
Uganda 1
USA 1
Vietnam 1
project
managers 5
coordinators / managers 27
engineers 5
midwives 3
consultants 3
logistic specialists /
administrators 11
E X P E R T S A B R O A D
39

Help at a glance
ich.tv
Bernice Lemedeket
Clinical Officer, Kenya, works in the slums of Nairobi, Kenya.
“I have been working for Malteser International for two
years. Every week I visit my patients at home. I really like
to provide people with medicine, to help them and to see
how they live. It makes me happy to experience how they
manage to escape from the slums.”
Ursula Mesmer
Nurse, Switzerland, works
as a project coordinator in
Bukavu, DR Congo.
“Many people living here
have gone through horrible
experiences, especially the
women and the children.
It is a great challenge to
help these traumatised
victims. What makes me
particularly happy is the
fact that, when I go back
to Switzerland, my work
will be continued by a local
colleague.”
Michael Hinsch
Sociologist, Germany, works as a counsellor for partner projects
in Nagercoil, India.
“Among others, I look after the awarding of small loans to women in
need, HIV/AIDS awareness projects, psycho-social programmes to help
traumatised tsunami victims and a house rehabilitation project for people
who have lost everything in the tsunami. Before I worked for Malteser
International, I could not imagine I would have contact with so many
different fields of activity in such a short time.”
Perly H’too
Midwife, Thailand,
works in a refugee
camp in Thailand.
“I came here as a
refugee. Malteser International
gave me the
opportunity to learn the
profession of a midwife.
For me, it is very important
to help the children
born here. I hope they
can return to their home
country when they have
grown up.“
40
E X P E R T S A B R O A D

ich.tv
Mambo Lomo
Health agent, DR Congo, works as a supervisor of the health
structures in Ariwara, DR Congo.
“I am responsible for the control of the health centres and the
pharmacies. At the end of my visits I talk with each employee and
we discuss the results of the assessment. That is a good way to
improve our work continuously.”
Sandra Fröbe
Cultural scientist,
Germany, works as a
community advisor
in Lhokseumawe,
Indonesia.
“One of my duties is
running a micro-credit-programme
with
which we are supporting
people with
a good business idea
to realise their plans.
This is a very encouraging
experience.
And in the meantime,
I even learned
the Indonesian word
for abrasive paper.“
Peter McCanny
Economic advisor, Ireland, works as a programme coordinator
in Yei, South Sudan.
“I have been living in South Sudan for two years. The people here
are very friendly and open minded, although they are extremely
poor, traumatised and prone to diseases. I am really glad to have
the opportunity to help these people together with Malteser International.”
Bilal Abbasi
Economist, Pakistan, works as an administrator
in Islamabad, Pakistan.
“The earthquake of 8 October 2005 not only destroyed the bank I
was working for, but also changed my whole life. When people ask
me what happened to me after the earthquake, I say: I got the very
best thing I could get, a job with Malteser International.”
E X P E R T S A B R O A D
41

Facts and Figures
Annual accounts as of 31 December 2006
Balance sheet
ASSETS 31/12/2006 31/12/2005
EQUITIES AND LIABILITIES
31/12/2006 31/12/2005
EUR EUR EUR EUR
EUR
EUR
A. Fixed assets
I. Intangible assets
Concessions, industrial and similar rights and assets
and licenses in such rights and assets 363.593,84 465.910,88
II. Tangible assets
Operating and office equipment 497.118,52 458.121,85
B. Current assets
I. Receivables and other assets
860.712,36 924.032,73
1. Trade receivables 5.159,16 110.593,49
– of which with a remaining term of
more than one year EUR 0.00 (2005: EUR 0.00) –
2. Receivables from other long-term investees and investors 15,08 59,00
– of which with a remaining term of
more than one year EUR 0.00 (2005: EUR 0.00) –
3. Receivables from associated corporate bodies 15.405.509,73 12.417.207,11
– of which with a remaining term of
more than one year EUR 0.00 (2005: EUR 0.00) –
4. Receivables from Malteser Hilfsdienst e.V. – internal – 2.602.463,35 3.751.327,14
– of which with a remaining term of
more than one year EUR 0.00 (2005: EUR 0.00) –
5. Other assets 8.977.001,40 7.447.730,78
– of which receivables with a remaining
term of more than one year EUR 0.00 (2005: EUR 0.00) –
26.990.148,72 23.726.917,52
II. Cash-in-hand, bank balances 4.348.375,04 5.092.578,10
31.338.523,76 28.819.495,62
C. Prepaid expenses
Other 46.591,26 60.439,98
32.245.827,38 29.803.968,33
A. Equity
I. Funds of the Association 1.769.884,29 1.450.950,01
II. Revenue reserves 25.524,56 25.524,56
III. Net income for the year 0,00 318.934,28
B. Provisions
1.795.408,85 1.795.408,85
Other provisions 811.558,00 469.988,00
C. Liabilities
1. Trade payables 351.234,66 3.065.608,79
– with a remaining term of up to one year –
2. Liabilities to other long-term investees and investors 666,05 2.435,10
– with a remaining term of up to one year –
3. Liabilities to associated corporate bodies 21.079,71 2.319,58
– with a remaining term of up to one year –
4. Liabilities to Malteser Hilfsdienst e.V. – internal – 119.565,76 99.606,87
– with a remaining term of up to one year –
5. Liabilities from earmarked grants and contributions 26.059.010,73 24.337.227,02
– with a remaining term of up to one year –
6. Other liabilities 3.087.303,62 31.374,12
– with a remaining term of up to one year –
29.638.860,53 27.538.571,48
32.245.827,38 29.803.968,33
Income statement
Auditor‘s report
2006 2005
EUR EUR EUR EUR
1. Sales 44.866,97 198.493,34
2. Other operating income 27.024.665,59 27.069.532,56 36.454.256,45 36.652.749,79
3. Cost of materials
a) Cost of raw materials, consumables and supplies 4.485.388,82 4.718.373,17
b) Cost of purchased services 2.587.229,06 1.080.903,33
4. Personnel expenses
a) Wages and salaries 3.267.515,78 2.863.764,93
b) Social security and other pension costs 837.187,53 740.372,14
– of which in respect of old-age pensions EUR 198,092.91 (2005: EUR 172,811.39) – 11.177.321,19 9.403.413,57
Interim result 15.892.211,37 27.249.336,22
5. Income from the release of liabilities from earmarked grants and contributions 24.337.227,02 13.946.213,10
6. Income from the release of special items including contributions for funding fixed assets 0,00 1.369,00
7. Expenses for transfers to liabilities from earmarked grants and contributions 26.059.010,73 -1.721.783,71 24.337.227,02 -10.389.644,92
8. Amortisation of intangible assets and depreciation of tangible assets 425.870,26 310.855,04
9. Other operating expenses 14.167.441,17 14.593.311,43 16.559.616,84 16.870.471,88
Interim result -422.883,77 -10.780,58
10. Other interest and similar income 439.180,45 339.153,47
11. Interest and similar expenses 11.803,49 427.376,96 1.423,83 337.729,64
12. Results from ordinary activities 4.493,19 326.949,06
13. Other taxes 4.493,19 8.014,78
14. Net income for the year 0,00 318.934,28
42
F A C T S A N D F I G U R E S

Notes on the income statement
For consolidation reasons, the income
statement of Malteser International
is prepared according to the system
of accounts established by Malteser
Hilfsdienst e.V. The structure of the income
statement (but not the audited
contents) therefore differs in some
respects from the presentation of data
elsewhere in this Annual Report and is
briefly explained in the following notes.
INCOME
Sales revenues include all income
from supplies and services provided.
Allocations and grants from the public
sector include project funds provided by
the Federal Foreign Office of Germany
and the Federal Ministry for Economic
Cooperation and Development, Germany
(BMZ) amounting to € 1,845,409 (of
which € 1,335,643 financed by the Federal
Foreign Office of Germany) and project
funds by the European Union amounting
to € 7,339,655. Church contributions
include project funds of € 51,247. The
project resources provided by UNHCR
amounting to € 977,541 are included
in the contributions by third parties;
the same applies to the project funds
by Caritas international (€ 472,659),
UNICEF (€ 492,482), GLRA (€ 83,606)
and to the donations received and claimed
via ADH amounting to € 9,648,244.
Other operating income includes income
from donations and internal Malteser
organisation contributions amounting to a
combined total of € 2,394,606.
Grants from both public and private
donors which cannot be used in the current
financial year (e.g. for projects that last
for several years or are carried over
into the next year) as well as donations
which cannot be used fully in the current
financial year (since a large proportion
of donations is received at the end of the
year), are carried over to the next year and
then used. The use of these funds is shown
under Income from the reversal of
liabilities from investment allocations /
appropriated donations and grants not
yet used. (The carry-over of such funds
to the following year is shown under
Expenses for transfer to liabilities from
earmarked contributions.)
E XPENDITURE
The items Cost of materials and
Personnel expenses comprise the
majority of direct project costs (e.g.
costs of medicine and relief items of a
combined total of € 15,083,174 payments
to building contractors in reconstruction
projects, costs of international and local
project staff) as well as parts of the
indirect project costs and administrative
costs (non project-specific staff costs).
The item Other operating expenses also
includes direct project costs (e.g. structural
aid and direct project support for local
partners in Eastern Europe amounting
to € 697,922), as well as indirect project
costs (pro-rata costs of media and public
relations, costs of staff recruitment and
support) and administrative costs (rent,
IT).
In 2006, administrative costs amounted to
seven percent of our total expenditure.
F A C T S A N D F I G U R E S
43

Financial overview 2006
Where does the money come from? – Sources of funding (rounded up)
UNICEF/UNDP and other
UN organisations 2,085,000 EUR
BMZ 890,000 EUR
Europe Aid 2,399,000 EUR
ECHO 4,941,000 EUR
Others (GLRA, foundations,
Global Fund) 423,000 EUR
Caritas/PMK et al. 524,000 EUR
Gitec 450,000 EUR
Donations and other resources
2,395,000 EUR
ADH 9,648,000 EUR
Federal Foreign Office of Germany
1,336,000 EUR
UNHCR 978,000 EUR
ADH
BMZ
ECHO
Aktion Deutschland Hilft
(Action Campaign Germany Helps)
Federal Ministry for Economic
Cooperation and Development,
Germany
Humanitarian Aid Department
of the European Commission
KfW Development Bank –
KfW Banking Group
PMK
UNDP
Papal Mission Organisation
for Children
United Nations Development
Programme
UNHCR United Nations High Commissioner
for Refugees
UNICEF United Nations Children‘s Fund
Where does the money go to? – Project expenditure by sources of funding (rounded up)
ECHO 4,692,000 EUR
Others (GLRA, foundations,
Global Fund) 885,000 EUR
UNHCR 863,000 EUR
Europe Aid 1,239,000 EUR
Caritas/PMK et al. 122,000 EUR
UNICEF/UNDP and other UN organisations 1,112,000 EUR
Donations and own resources
7,831,000 EUR
Gitec 1,693,000 EUR
KfW 992,000 EUR
ADH 4,283,000 EUR
Federal Foreign Office of Germany 1,317,000 EUR
BMZ 652,000 EUR
Development of incoming donations (rounded up)
Project expenditure by continents (rounded up)
25,000,000 EUR
23,743,000 EUR
Europe 1,450,000 EUR
America 270,000 EUR
Africa 6,742,000 EUR
20,000,000 EUR
15,000,000 EUR
thereof
by ADH
9,192,000 EUR
12,043,000 EUR
10,000,000 EUR
5,000,000 EUR
3,045,000 EUR
thereof
by ADH
9,648,000 EUR
0
2004 2005 2006
Asia 13,402,000 EUR
44
F A C T S A N D F I G U R E S

Acknowledgement
Malteser International would like to thank all private
donors and sponsors, as well as all companies,
cooperation partners, foundations, societies,
schools, parishes and organisations, for their generous
support in 2006. Unfortunately, we do not
have space here to list all those members of the international
aid community who have supported us,
but a few are named below as representatives:
ABB Group, Mannheim
Afghanistan Hilfe Paderborn
Aktion Deutschland Hilft e.V.
(ADH, Action Campaign Germany Helps), Bonn
Archbishopric of Cologne
Augustinus-Kliniken gGmbH, Neuss
Austrian Development Agency
BILD hilft e.V., Hamburg
Bishopric of Mainz
Centre for International Migration
and Development (CIM), Frankfurt/Main
Confederación Cáritas Española, Madrid
Community for Technical Cooperation (GTZ), Eschborn
Department for International Development (DFID), London
Deutsche Bank, Frankfurt/Main
Deutsche Treuhand-Gesellschaft
Aktiengesellschaft (KPMG), Berlin
Development Bank - KfW Banking Group, Frankfurt/Main
Die kleinen Patienten e.V., Bonn
Dr. Hans-Liebherr-Stiftung, Biberach/Riss
EuropeAid / EuropeAid Coordination
Office (AIDCO), Brussels
FC Bayern Hilfe e.V., Munich
Federal Foreign Office of Germany, Berlin
Federal Ministry for Economic Cooperation
and Development Germany, Bonn
Food and Agriculture Organization
of the United Nations (FAO), Rome
Foreign Office, Canberra
Foreign Office, Ottawa
Foreign Office, Tokyo
German Bishops’ Conference, Bonn
German Leprosy and Tuberculosis Relief Association (GLRA), Wuerzburg
Gitec Technologie- und Wirtschaftsberatung GmbH, Berlin/ Hannover
Himalaya-Karakorum-Hilfe e.V.
Humanitarian Aid Department of the European Commission (ECHO), Brussels
Joint United Nations Program on HIV/AIDS (UNAIDS), Geneva
Langenscheidt KG, Munich
National associations and relief agencies of the Sovereign Order of Malta
Noweda – Die Apothekergenossenschaft, Essen
Osthessen hilft Südasien, Fulda
Partner Aid International (PAI), Berlin
Papal Mission Organisation for Children (PMK), Aachen
Pathfinder International, Watertown
Serendib Stiftung, Hamburg
Social and Economic Development Centre (SEDEC), Columbo
Swiss Tropical Institut (STI), Basel
Überlandwerke Fulda AG (ÜWAG)
United for Africa
United Nations Children’s Fund (UNICEF), New York
United Nations Development Programme (UNDP), New York
United Nations High Commissioner for Refugees (UNHCR), Geneva
United Nations Office for the Coordination of Humanitarian Affairs (OCHA),
Geneva/ New York
United Nations Office on Drugs and Crime (UNDOC), Vienna
United Nations World Food Programme (WFP), Vienna
University of Regensburg
World Child Foundation, Switzerland
World Health Organization (WHO), Geneva
World Pheasant Association (WPA), Hamsphire
ZF-Hilft e.V., Friedrichshafen
…plus countless other local, national and international partner organisations.
A C K N O W L E D G E M E N T
45

Member associations
(Status: July 2007)
Australia
www.smom.org.au
Austria
www.malteserorden.at
Belgium
www.ordredemaltebelgique.org
Canada
www.orderofmaltacanada.org
Czech Republik
www.orderofmalta.org
France
www.ordredemaltefrance.org
Germany
www.malteser.de
Great Britain
www.orderofmalta.org.uk
Ireland
www.orderofmalta.ie
Italy
www.orderofmalta.org
Malta
www.orderofmalta-malta.org
Mexico
www.ordendemaltamexico.org
Netherlands
www.maltezerorde.nl
Poland
www.zakonmaltanski.pl
Portugal
www.orderofmalta.org
Switzerland
www.malteserorden.ch
United States of America
www.maltausa.org
www.orderofmaltausawestern.org
www.smom.org
www.malteser-international.org
46
M E M B E R A S S O C I AT I O N S

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, 19 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
Nicolas de Cock
de Rameyen
(Belgium)
Vice-President
Comte Thierry
de Beaumont-Beynac
(France)
Vice-President
Richard
Freiherr von Steeb
(Austria)
Vice-President
Ambassador (ret.)
Theodor Wallau
(Germany)
Financial Supervisor
Charles-Louis
de Laguiche
(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.
S T R U C T U R E S A N D C O M M I T T E E S
47

Do you want to be informed regularly about
News, Activities and Highlights
from the worldwide projects of Malteser International?
Or do you want to learn more about our national and international staff and the people we
support? Then subscribe to our Newsletter “On the SPOT”. It is published in English and sent
via email worldwide. You will receive ”On the SPOT“ every four to six weeks free of charge
and without obligation. To subscribe to “On the SPOT” please visit our website and fill out
the subscription under “News/Press”. Thank you very much for your interest.
www.malteser-international.org
Malteser International
Headquarters
Kalker Hauptstr. 22-24
D- 51103 Köln (Germany)
Phone +49 (0)221 9822-151
Fax +49 (0)221 9822-179
info@malteser-international.org
www.malteser-international.org
Published by:
Malteser International
Responsible for content: Ingo Radtke
Editorial team: Petra Ipp (editor-in-chief), Anke Barth, Esther Finis, Miriam Fuß
Layout/Setting: Alexander Lengerke Design (www.alengerke-design.de)
Translation:
Puretrans (Glees & Purer OEG)
Print:
Das Druckhaus Bernd Brümmer, Alfter, Germany
Photographs:
Malteser International archive, Birgit Betzelt, Michael S. Falser, ich.tv,
Florian Kopp, Gunnar Rechenburg, Caroline von der Tann, United for Africa/
Thomas Einberger
Cover photo:
Oral vaccination against polio in North Darfur (Picture: Birke Herzbruch)
Full page photos: Birgit Betzelt (Africa, Europe), Michael S. Falser (America),
Katrin Rehfuss (Asia)
Back cover photo: Treatment of a patient after the earthquake on Java (Picture: Katrin Rehfuss)