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Annual report 2005 Malteser International - Ordine di Malta

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<strong>Malteser</strong> <strong>International</strong><br />

<strong>Annual</strong> <strong>report</strong> <strong>2005</strong><br />

www.malteser-international.org


<strong>Malteser</strong> <strong>International</strong> – help right on the spot – worldwide.<br />

<strong>Malteser</strong> <strong>International</strong>, the Order of <strong>Malta</strong>’s worldwide relief service, was created in <strong>2005</strong> to combine its<br />

relief activities in specialised humanitarian aid. It is based on the experiences of the Emergency Corps Order<br />

of <strong>Malta</strong> (ECOM), and on the existing global structures of <strong>Malteser</strong> Germany. The major concern of <strong>Malteser</strong><br />

<strong>International</strong> is to help people in need without <strong>di</strong>stinction of religion, race or political persuasion. Christian<br />

values and the humanitarian principles of impartiality and independence are the foundation of its work.<br />

<strong>Malteser</strong> <strong>International</strong> is committed to ensure high quality standards in humanitarian aid. Accountability<br />

and transparency are priorities of its agenda. The organisation’s policy is to continue its relief efforts in<br />

afflicted areas for as long as they are necessary. With its headquarters in Cologne (Germany) and its local and<br />

international staff on the ground, it covers humanitarian projects worldwide. <strong>Malteser</strong> <strong>International</strong> has the<br />

status of a Non-Governmental Organisation.<br />

<strong>Malteser</strong> <strong>International</strong>’s mission is to:<br />

● Provide relief to major emergencies in the world, especially in the health sector<br />

● Implement rehabilitation measures and link relief, rehabilitation and development<br />

● Establish and promote primary health care services in developing countries<br />

● Reduce the vulnerability and poverty of those afflicted<br />

● Care for refugees and returnees<br />

● Support partner Non-Governmental Organisations<br />

In ad<strong>di</strong>tion, <strong>Malteser</strong> <strong>International</strong> has a special ongoing programme of supporting the development of partner<br />

organisations and their social services in Eastern Europe.<br />

„Our motivation is to alleviate human suffering.“*<br />

(Code of Conduct: The humanitarian imperative comes first)<br />

<strong>Malteser</strong> <strong>International</strong> is member of following networks and associations,<br />

among others:<br />

● Aktion Deutschland Hilft (ADH) (Action Campaign Germany Helps)<br />

● Aktionsbündnis gegen AIDS (Action against AIDS Alliance)<br />

● Arbeitskreis Me<strong>di</strong>zinische Entwicklungshilfe (AKME) (Working Group on Me<strong>di</strong>cal<br />

Development Aid)<br />

● Koor<strong>di</strong>nierungsausschuss Humanitäre Hilfe (KAHH) (Coor<strong>di</strong>nating Committeee for<br />

Humanitarian Relief)<br />

● Katholischer Arbeitskreis Not- und Katastrophenhilfe (KANK) (Catholic Working<br />

Group on Emergency and Disaster Relief)<br />

● People in Aid<br />

● Verband Entwicklungspolitik Deutscher Nicht-Regierungs-Organisationen (VENRO)<br />

(National Association of German Non-Governmental Organisations for Development<br />

Policy)<br />

● Voluntary Organisations in Cooperation in Emergencies (VOICE)<br />

<strong>Malteser</strong> <strong>International</strong> has committed itself to observe, inter alia, the following<br />

national and international codes and standards:<br />

● The Sphere Project: Humanitarian Charter and Minimum Standards in Disaster<br />

Response<br />

● The Code of Conduct: Principles of Conduct for the <strong>International</strong> Red Cross and Red<br />

Crescent Movement and NGOs in Disaster Response Programmes<br />

● Principles for the international work of the German Caritas Association<br />

● Code of Conduct to protect children and young people from abuse and sexual<br />

exploitation (Caritas <strong>International</strong>is)<br />

2<br />

M I S S I O N S TAT E M E N T


E<strong>di</strong>torial<br />

Dear Friends and Supporters of <strong>Malteser</strong> <strong>International</strong>,<br />

dear Readers,<br />

Nicolas de Cock<br />

de Rameyen<br />

President<br />

<strong>2005</strong> was a year full of dramatic events: in January, the devastating effect of the tsunami in Asia<br />

was revealed. From ‘Katrina’ through ‘Stan’ to ‘Wilma’, several severe hurricanes swept in across<br />

the Gulf of Mexico during late summer. Thousands suffered in appalling drought con<strong>di</strong>tions in Mali<br />

and Niger. The <strong>di</strong>sastrous earthquake that hit Pakistan and In<strong>di</strong>a at the beginning of October was<br />

the last in a list of events that made <strong>2005</strong> a year of <strong>di</strong>saster. 88,000 people <strong>di</strong>ed in the rubble. Three<br />

million were rendered homeless.<br />

In a world growing closer together every day, the need for aid is prevalent more than ever. Therefore,<br />

<strong>Malteser</strong> <strong>International</strong>, the Order of <strong>Malta</strong>’s relief service for worldwide humanitarian aid, was<br />

founded on 24 June to take up the challenge to help those in <strong>di</strong>stress worldwide. With <strong>Malteser</strong><br />

<strong>International</strong>, we combine the forces of the Order and reinforce the network of its 46 associations in<br />

order to increase the efficiency of our aid on a lasting basis.<br />

Ingo Radtke<br />

Secretary General<br />

The year <strong>2005</strong> with its sequence of natural <strong>di</strong>sasters was the first practical test for <strong>Malteser</strong><br />

<strong>International</strong>. In the face of these <strong>di</strong>sasters, worldwide cooperation and sympathy was also<br />

overwhelming. Our thanks go to the many donors, sponsors and supporters, as well as numerous<br />

volunteers and full-time employees. They enabled the provision of professional aid for all people<br />

in <strong>di</strong>re need, not only those in Asia, New Orleans, Mali or Pakistan, but also in many other crisis<br />

areas around the world that were not in the focus of television cameras. For we must not forget, for<br />

example, that over 200,000 people have <strong>di</strong>ed in Darfur in Western Sudan since 1993, that civil wars<br />

in the Democratic Republic of Congo and in Uganda have forced over four million people to flee<br />

their homes and that millions of people in the Sahel are threatened by extreme famine every year.<br />

We are pleased to be able to offer you an overview of our work in this annual <strong>report</strong>. With around<br />

200 projects in over 40 countries in Africa, Asia, America and Europe, more than 100 international<br />

and 800 local employees ensure that our aid reaches over seven million people worldwide.<br />

Many people have contributed to what <strong>Malteser</strong> <strong>International</strong> has achieved so far and what it intends<br />

to achieve in the coming years. Our work is far from over. We provide concrete help, aiming to give<br />

people courage for the future. Therefore, we would like to thank you for all you have done and ask<br />

you to continue to accompany and support us on our journey!<br />

<strong>Malteser</strong> <strong>International</strong> – help right on the spot – worldwide.<br />

Thanks for your support!<br />

Cologne, August 2006<br />

Nicolas de Cock de Rameyen<br />

President<br />

Ingo Radtke<br />

Secretary General<br />

E D I T O R I A L<br />

3


Contents<br />

<strong>Malteser</strong> <strong>International</strong> –<br />

Mission statement 2<br />

E<strong>di</strong>torial 3<br />

Contents 4<br />

Pictures of the year 6<br />

“We want to build aid bridges” 8<br />

Africa<br />

Our projects in Africa 9 - 15<br />

On the spot: Southern Sudan 14<br />

On the spot: Democratic Republic of Congo 15<br />

Asia<br />

Tsunami – interim statement 16<br />

Our projects in Asia 18 - 28<br />

Project overview <strong>2005</strong> 22 - 23<br />

On the spot: Pakistan 26<br />

On the spot: Thailand 27<br />

On the spot: Cambo<strong>di</strong>a 28<br />

AMERICA<br />

1 Guatemala – p. 31<br />

2 Mexico – p. 31<br />

3 USA – p. 29 - 30<br />

3<br />

A M E R I C A<br />

2<br />

1<br />

America<br />

Our projects in America 29 - 31<br />

On the spot: New Orleans 30<br />

Europe<br />

Our projects in Europe 32 - 36<br />

Balkans 32<br />

On the spot: Bosnia and Herzegovina 33<br />

Turkey 33<br />

Central and Eastern Europe 34 - 36<br />

On the spot: Romania 36<br />

Facts and Figures<br />

Experts abroad 37<br />

<strong>Annual</strong> accounts as of 31 December <strong>2005</strong> 38<br />

Incoming donations 39<br />

Project expen<strong>di</strong>ture 40<br />

Acknowledgement 41<br />

Member associations 42<br />

Structures and committees 43<br />

About us 44<br />

4<br />

C O N T E N T S


help right on the spot – worldwide.<br />

E U R O P E<br />

5<br />

4<br />

6<br />

20<br />

19<br />

15<br />

A S I A<br />

22<br />

17<br />

21<br />

11<br />

12<br />

13<br />

24<br />

16<br />

25<br />

A F R I C A<br />

9<br />

23<br />

7<br />

8<br />

14 8<br />

10<br />

AFRICA<br />

7 Angola – p. 9<br />

8 DR Congo – p. 9 - 10, 15<br />

9 Ethiopia – p. 11<br />

10 Kenya – p. 11<br />

11 Mali – p. 12<br />

12 Niger – p. 12<br />

13 Sudan – p. 12, 14<br />

14 Uganda – p. 13<br />

18<br />

EUROPE<br />

4 Balkans – p. 32 - 33<br />

5 Central and Eastern Europe – p. 34 - 36<br />

6 Turkey – p. 33<br />

ASIA<br />

15 Afghanistan – p. 18<br />

16 Cambo<strong>di</strong>a – p. 19<br />

17 In<strong>di</strong>a – p. 19<br />

18 Indonesia – p. 20<br />

19 Iran – p. 20<br />

20 Iraq – p. 21<br />

21 Myanmar – p. 21<br />

22 Pakistan – p. 24, 26<br />

23 Sri Lanka – p. 24<br />

24 Thailand – p. 25, 27<br />

25 Vietnam – p. 25<br />

C O N T E N T S<br />

5


Pictures of the year<br />

22 February <strong>2005</strong> Earthquake in Iran<br />

Kurt Oxenius<br />

Frank Bierstedt<br />

26 December 2004/January <strong>2005</strong> Tsunami in South and South-East Asia<br />

28 March <strong>2005</strong> Earthquake in Nias, Indonesia<br />

April <strong>2005</strong> Flood aid in Serbia, Romania and Hungary<br />

May <strong>2005</strong> New schools for children in Iran<br />

6 P I C T U R E S O F T H E Y E A R


24 June <strong>2005</strong> Foundation of <strong>Malteser</strong> <strong>International</strong><br />

Roberto Girault<br />

July <strong>2005</strong><br />

Flood aid in<br />

Gujarat, In<strong>di</strong>a<br />

August <strong>2005</strong> Famine <strong>di</strong>saster in Mali and Niger<br />

Reuters<br />

29 August <strong>2005</strong><br />

Hurricane Katrina<br />

hits the USA<br />

September <strong>2005</strong> Floo<strong>di</strong>ng across the US Gulf Coast, in In<strong>di</strong>a<br />

and in Romania<br />

8 October <strong>2005</strong><br />

Earthquakes in<br />

Pakistan and<br />

In<strong>di</strong>a<br />

October <strong>2005</strong><br />

Hurricane Stan<br />

and Hurricane<br />

Wilma hit<br />

Central America<br />

P I C T U R E S O F T H E Y E A R<br />

7


“We want to build aid bridges”<br />

Interview with Ingo Radtke, Secretary General of <strong>Malteser</strong> <strong>International</strong><br />

Disasters in recent times have shown<br />

how heavily dependent the <strong>di</strong>fferent<br />

regions of the world are upon one<br />

another. How is <strong>Malteser</strong> <strong>International</strong><br />

approaching this challenge?<br />

Buil<strong>di</strong>ng on the experiences of all<br />

relief agencies worldwide, <strong>Malteser</strong><br />

<strong>International</strong> is now the sole organ<br />

responsible for international humanitarian<br />

aid from the Order of <strong>Malta</strong>, combining<br />

aid from the 46 states in which the Order<br />

is present. Our relief is implemented<br />

worldwide – in the spirit of the Order of<br />

<strong>Malta</strong>, for the good of those in need and<br />

for the glory of God.<br />

What is your ideal vision of aid?<br />

We want to build ‘aid bridges’. In terms<br />

of humanitarian aid, this means: one pillar<br />

of the bridge is here and one is in the<br />

recipient country. We represent the pillar<br />

here, with our many thousands of helpers.<br />

With great commitment from volunteers<br />

and donations that are the expression<br />

of living solidarity with the victims.<br />

Thanks to extensive human and financial<br />

resources, on behalf of our sponsors we<br />

create con<strong>di</strong>tions for efficient aid where<br />

it is needed the most. The second pillar is<br />

in the country receiving aid. It is largely<br />

composed of local people.<br />

Are people in these areas capable of<br />

fulfilling requirements themselves<br />

then?<br />

Oh yes! We find this every time we<br />

provide aid: local people are absolutely<br />

partners at eye-level during these <strong>di</strong>sasters;<br />

they are not beggars in need of alms. This<br />

is why it is crucial that equal weight is<br />

<strong>di</strong>stributed between these two pillars for<br />

‘aid bridges’. They are intended not to<br />

create dependencies, but rather to bring<br />

people together.<br />

Is today’s focus still on major <strong>di</strong>sasters<br />

as it was right from the start?<br />

We were and remain active in many<br />

crises. We have been working in the<br />

Congo since 1994, focussing on the<br />

terrible consequences of the genocide in<br />

Rwanda. Other focal points include aid in<br />

the Balkans after the Dayton Agreement,<br />

in Honduras after hurricane Mitch, aid<br />

during and after the war in Kosovo, after<br />

floods in Mozambique and earthquakes in<br />

El Salvador, In<strong>di</strong>a and Iran and our most<br />

recent efforts in Afghanistan and Iraq as<br />

well as in areas hit by the tsunami.<br />

So a lot of your work is carried out in<br />

front of TV cameras and amongst a<br />

flurry of flashbulbs?<br />

No, not really. Our work doesn’t end<br />

with a few efforts after <strong>di</strong>sasters that<br />

have received heavy me<strong>di</strong>a coverage. We<br />

believe a crucial aspect of our work is<br />

the forgotten crises. The real dramas are<br />

played out beyond the reach of cameras.<br />

For example, who realises that more<br />

people have <strong>di</strong>ed as the result of hunger<br />

and war in the Congo in the last few years<br />

than during the tsunami that was labelled<br />

the ‘<strong>di</strong>saster of the millennium’? We are<br />

professionals who focus on the longterm.<br />

How would you sum up the provision<br />

of aid today?<br />

We should not limit ourselves to acute<br />

emergency aid. It is not enough to pull<br />

a drowning man from the water and<br />

then leave him to it with a few pieces<br />

of advice. Only once the ruined hut has<br />

been rebuilt and the means for existence<br />

destroyed by the flood have been reestablished<br />

will our aid have reached its<br />

primary objective, namely helping people<br />

to help themselves. We must be willing<br />

and able to be present 365 days a year and<br />

to accompany those affected by <strong>di</strong>saster<br />

until they are able to take control of their<br />

own lives again. Our ‘aid bridges’ are just<br />

what is required here.<br />

Interview by Sebastian Sigler<br />

8 I N T E R V I E W


Africa<br />

Buil<strong>di</strong>ng up and strengthening health care structures, training local staff and combating epidemics<br />

are the main focus of attention for <strong>Malteser</strong> <strong>International</strong> in six countries in Eastern and South Africa.<br />

Close links between our projects are crucial, particularly in the me<strong>di</strong>cal sector. Measures to stem the<br />

HIV/AIDS pandemic as the world’s greatest <strong>di</strong>saster are combined with special programmes to combat<br />

illnesses such as tuberculosis, which arise particularly frequently in relation to HIV/AIDS. This means<br />

counteraction of these illnesses can be made even more effective. In order to fight the famine <strong>di</strong>saster in<br />

the Sahel, we extended our aid in summer <strong>2005</strong> to the west of the continent, provi<strong>di</strong>ng corn and maize<br />

for the people of Mali and Niger.<br />

Angola<br />

<strong>International</strong> staff: 3<br />

National staff: 19<br />

Aid for 100,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Angola since 2002.<br />

Since the end of the 27-year civil war,<br />

<strong>Malteser</strong> <strong>International</strong> has been supplying<br />

acute emergency aid in the province of<br />

Kuando Kubango in the remote southwest<br />

of the country. Over the past few<br />

years, the number of aid organisations<br />

working in this inaccessible region –<br />

also known as ‘the end of the world’<br />

– has dropped sharply. Since <strong>2005</strong>, we<br />

have been one of the few organisations<br />

helping the suffering population deal with<br />

con<strong>di</strong>tions of extreme undersupply. In<br />

the transition phase from emergency aid<br />

to reconstruction, our focus was on the<br />

development of and support for existing<br />

local resources in the health care sector.<br />

Unfortunately, large areas of our project<br />

region were closed in <strong>2005</strong> due to the<br />

fin<strong>di</strong>ng of more mines. This meant we<br />

could only work within a limited area. We<br />

regularly provided me<strong>di</strong>cine and me<strong>di</strong>cal<br />

supplies that were urgently needed for 15<br />

isolated health care facilities in the <strong>di</strong>strict<br />

of Menongue. In a one-off campaign, we<br />

<strong>di</strong>stributed me<strong>di</strong>cal supplies and around<br />

90,000 tablets for malaria treatment. We<br />

supported local self-help organisations as<br />

they explained to the people about HIV/<br />

AIDS and looked after those affected by<br />

the <strong>di</strong>sease. As part of the World AIDS<br />

Day, we took part in a ten-day sensitisation<br />

campaign at police stations and barracks,<br />

reaching around 800 people in the process.<br />

In the accessible regions of the province<br />

of Kuando Kubango, we supported the<br />

national polio immunisation campaign,<br />

during which over 100,000 children<br />

received vital vaccine protection.<br />

Angola: Children in Kuando Kubango are particularly<br />

affected by malnutrition and insufficient me<strong>di</strong>cal<br />

supplies.<br />

Up till now, our relief programmes<br />

have mainly been financed from private<br />

donations. For the year 2006, we are<br />

preparing an extensive programme to<br />

reconstruct remote health care facilities<br />

and to combat HIV/AIDS, tuberculosis<br />

and malaria, with financial support<br />

from the European Union and other<br />

international donors.<br />

Democratic Republic of Congo<br />

<strong>International</strong> staff: 10<br />

National staff: 126<br />

Aid for 2.7 million people<br />

<strong>Malteser</strong> <strong>International</strong> has worked<br />

in the Democratic Republic of Congo<br />

since 1996.<br />

For the Democratic Republic (DR)<br />

of Congo, peaceful relations across the<br />

country are still a long way off. Unrest<br />

and insecurity remain prevalent, mainly<br />

in the east of the country, but at increasing<br />

levels in the south as well. Numerous<br />

pacification efforts by the United Nations<br />

and the European Union have only<br />

achieved selective relief. It has at least<br />

been possible to dramatically restrict the<br />

tyranny of the self-proclaimed warlords.<br />

Thus, it has been possible for aid<br />

organisations to carry out aid measures<br />

for the population relatively un<strong>di</strong>sturbed.<br />

<strong>Malteser</strong> <strong>International</strong> has continued<br />

its long-running support in the region,<br />

now reaching a period of over ten years.<br />

In order to promote long-term structures<br />

for self-sufficient supply, our work<br />

Angola: Provision of<br />

urgently needed me<strong>di</strong>cine for<br />

health care centres in remote<br />

areas.<br />

A F R I C A<br />

9


supports the local health care systems in<br />

the provinces of South Kivu and Ituri in<br />

the east of the country. The basis for this<br />

is our cooperation with the health care<br />

facilities in the provinces and with local<br />

non-governmental organisations. We<br />

regularly provide more than 300 health<br />

care centres and other me<strong>di</strong>cal facilities<br />

with me<strong>di</strong>cine and me<strong>di</strong>cal equipment,<br />

so that they can carry out their services<br />

uninterrupted. In this way, over 900,000<br />

people in Kivu and around 1.8 million<br />

people in Ituri get access to improved<br />

primary health care. We believe a<br />

crucial factor is the training of local staff,<br />

conducted by our experts and provi<strong>di</strong>ng<br />

me<strong>di</strong>cal advice. In ad<strong>di</strong>tion, we collect<br />

comprehensive data to track health care<br />

development in the region and assess the<br />

effect of local measures.<br />

In 2003, we extended our programmes<br />

in both regions to provide more<br />

comprehensive help in terms of psychosocial<br />

and me<strong>di</strong>cal care for the numerous<br />

victims of sexual abuse. Since then,<br />

28 centres linked with primary health<br />

care facilities have opened up in South<br />

Kivu for sexual abuse victims, offering<br />

specialist me<strong>di</strong>cal treatment and psychosocial<br />

care. A crucial role here is played<br />

by expert training and further education,<br />

Birgit Betzelt<br />

focussing on combating trauma, as well<br />

as the monitoring of local staff and<br />

workers from local aid organisations.<br />

Thanks to sensitisation and awareness<br />

campaigns amongst the population and<br />

of the military in cooperation with local<br />

authorities, we are able to confront sexual<br />

abuse on a wide basis. Over the last year,<br />

more than 10,000 abused and raped girls<br />

and women have sought me<strong>di</strong>cal and<br />

psycho-social treatment at the health care<br />

centres supported by us. We estimate that<br />

a further 10,000 girls and women will<br />

seek professional help this year, too.<br />

A further focus of our work in South<br />

Kivu is our programme for food security,<br />

which aims to make the population<br />

more independent of external aid on a<br />

P R I M A R Y H E A LT H C A R E :<br />

Every human being should have access to<br />

fundamental me<strong>di</strong>cal care – a fact that is<br />

taken for granted, but which is not yet a<br />

reality in many countries. In ad<strong>di</strong>tion to<br />

the prevention and treatment of infectious<br />

<strong>di</strong>seases, the most crucial elements of<br />

primary health care are immunisation<br />

programmes and safe access to drinking<br />

water, food and me<strong>di</strong>cine. Others include<br />

care for pregnant women, children and<br />

the chronically sick, as well as training for<br />

me<strong>di</strong>cal staff and health education. With<br />

as little as EUR 35, we can ensure primary<br />

health care for a child or an adult person in<br />

Africa or Asia for a whole year.<br />

DR Congo: Work<br />

with women forms<br />

a focal point of<br />

our projects in<br />

South Kivu.<br />

long-term basis. To this end, we have<br />

set up 13 nutrition centres in which<br />

undernourished children under the age<br />

of five can be nursed back to health, as<br />

well as ten centres for small livestock<br />

bree<strong>di</strong>ng. Via 23 centres for food security,<br />

we <strong>di</strong>stribute seeds to the population,<br />

making a sustainable contribution to selfsufficiency<br />

in these areas. At the nutrition<br />

centres, we train staff who then establish<br />

demonstration gardens to show the<br />

population suitable cultivation methods<br />

and provide nutritional advice.<br />

DR Congo: Support for over 300 health care centres with me<strong>di</strong>cine and me<strong>di</strong>cal equipment.<br />

10<br />

A F R I C A


Ethiopia<br />

National staff: 2<br />

Aid for 15,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Ethiopia since 2001.<br />

In <strong>2005</strong>, <strong>Malteser</strong> <strong>International</strong> focussed<br />

on the region of Benishangul in the west<br />

of the country around the border with<br />

Sudan. Here we provided aid in the form<br />

of small projects and organised training<br />

programmes for women’s groups. Based<br />

on our experiences in buil<strong>di</strong>ng water<br />

supply systems in Mandura in previous<br />

years, we rebuilt the water supply for<br />

Gilgel Beles, a location near Mandura,<br />

at the request of the local authorities.<br />

For this, Gilgel Beles was connected<br />

via a water conduit measuring several<br />

kilometres to the reconnected water<br />

source at Mandura. This aid was provided<br />

thanks to the financial support of the<br />

German Government.<br />

In the future, we are aiming to support<br />

the Ethiopian population with small<br />

projects. Further aid measures are at the<br />

planning stage in relation to education for<br />

women and food security.<br />

F O O D S E C U R I T Y :<br />

In terms of humanitarian aid, <strong>di</strong>fferentiation<br />

is made between <strong>di</strong>rect food aid and longterm<br />

food security. Food aid is the <strong>di</strong>rect<br />

provision of foodstuffs in acute emergency<br />

situations. In contrast, the aim of our food<br />

security programmes is to enable long-term<br />

food supply without creating permanent<br />

dependence on food aid. We prepare seeds<br />

and agricultural equipment after a <strong>di</strong>saster,<br />

so that people can replant crops and harvest<br />

them. In regions where children are undernourished,<br />

we help their mothers plant<br />

vegetables and fruit and teach them to<br />

prepare nutritious meals.<br />

Kenya<br />

<strong>International</strong> staff: 2<br />

National staff: 14<br />

Aid for 600,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Kenya since 2002.<br />

<strong>Malteser</strong> <strong>International</strong> is battling the<br />

spread of tuberculosis and HIV/AIDS in<br />

eight slums in Nairobi, working to secure<br />

the functionality of local health care<br />

facilities that were previously built by<br />

us or renovated in terms of structure and<br />

equipment. Information campaigns and<br />

close cooperation with the authorities and<br />

local organisations contribute to stemming<br />

the spread of the illnesses. In order to<br />

ensure the long-term sustainability of our<br />

project measures, we are also pushing<br />

more and more state institutions to make<br />

a contribution. For example, the Kenyan<br />

authorities have made the majority of<br />

pharmaceutical products tax-free since<br />

<strong>2005</strong>. <strong>Malteser</strong> <strong>International</strong> tracks the<br />

project through regular quality controls<br />

in order to further increase the quality<br />

performance at health care centres. One<br />

health care centre supported by us in one<br />

of the Nairobi slums has already been<br />

voted the facility with the best <strong>di</strong>agnosis<br />

services by the Kenyan government.<br />

For 2006, we are planning to extend our<br />

activities to other slums.<br />

H I V / A I D S :<br />

AIDS (Acquired Immunodeficiency<br />

Syndrome) is the last stage of a viral<br />

illness triggered by the HI virus (Human<br />

Immunodeficiency Virus). AIDS often<br />

results in pneumonia, skin <strong>di</strong>seases and<br />

<strong>di</strong>arrhoea – even meningitis, which in<br />

many cases leads to death very quickly.<br />

The HI virus is transmitted through sexual<br />

intercourse, blood transfusions and<br />

me<strong>di</strong>cal instruments (needles, tweezers,<br />

blades), but can also be transmitted from<br />

mother to child during pregnancy, birth<br />

or breastfee<strong>di</strong>ng. Special blood tests can<br />

be used to detect antibo<strong>di</strong>es against<br />

the virus in the blood. AIDS is incurable,<br />

but the illnesses cited above can be<br />

treated, slowing down the progress of<br />

AIDS itself. In the meantime, even those<br />

living in poverty have access to modern<br />

AIDS me<strong>di</strong>cine (so-called antiretroviral<br />

me<strong>di</strong>cine) that hinders the progress of<br />

AIDS. This development offers a chance<br />

that one day the worldwide epidemic<br />

may be stemmed long-term. Up until<br />

now, around one million people have<br />

been reached, but six million require this<br />

me<strong>di</strong>cine in order to lead a full life once<br />

more. There are 40 million people infected<br />

with HIV worldwide. Every day, 8,000<br />

people <strong>di</strong>e from AIDS.<br />

Kenya: Project<br />

coor<strong>di</strong>nator Paul<br />

Ochieng explains<br />

the connection<br />

between HIV/AIDS<br />

and tuberculosis<br />

to a slum resident.<br />

Sven Torfinn<br />

A F R I C A<br />

11


Mali and Niger<br />

As a result of the drought and a plague<br />

of grasshoppers, the <strong>di</strong>re need of the<br />

people of the Sahel zone – particularly in<br />

Mali and Niger – became so widespread in<br />

summer <strong>2005</strong> that <strong>Malteser</strong> <strong>International</strong><br />

expanded its aid programme from eastern<br />

and southern Africa to cover the west<br />

of the continent as well. In the shortterm,<br />

we sent an assessment team who<br />

rapidly collected reliable information and<br />

imme<strong>di</strong>ately started an aid programme<br />

for the people of Mali and Niger.<br />

In Mali, we supported the National<br />

Security Stock. Thanks to comprehensive<br />

financial aid, the Malian government<br />

was able to procure 520 tonnes of cereals<br />

for 17 cereal banks across the country.<br />

This meant several thousand people<br />

were supplied with food which led to an<br />

Niger: Each family receives 20 kilograms of maize. Half of the next harvest will be given back to the community<br />

to build up stocks for emergencies.<br />

Mali: Filling the national cereal banks with 520<br />

tonnes of cereal.<br />

extensive improvement in the foodstuffs<br />

situation, particularly in Mopti - around<br />

640 kilometres north-east of the Malian<br />

capital, Bamako.<br />

In Niger, the lack of rainfall and the<br />

grasshopper invasions also led to a<br />

serious cereals deficit. Here, <strong>Malteser</strong><br />

<strong>International</strong> chose a <strong>di</strong>fferent approach<br />

in combating the problem. As many<br />

people, particularly children, are regularly<br />

affected by malnutrition as the result<br />

of natural <strong>di</strong>sasters - particularly in the<br />

summer of <strong>2005</strong> -, we decided to tackle<br />

the problem on a broader basis and at the<br />

roots. We initially restocked the levels<br />

in a cereal bank, as we <strong>di</strong>d in Mali. 15<br />

villages were provided with a total of 28<br />

tonnes of maize as seeds. These stocks<br />

will help them survive the period until<br />

the next harvest. However, each recipient<br />

has also simultaneously pledged to ‘pay<br />

back’ part of their next harvest as seeds to<br />

the relevant village committee, in order to<br />

secure stocks for the coming year and in<br />

case of any future <strong>di</strong>sasters.<br />

Sudan<br />

<strong>International</strong> staff: 11<br />

National staff: 237<br />

Aid for 630,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Sudan since 1998.<br />

The peace treaty signed by civil war<br />

groups in the north and south in January<br />

<strong>2005</strong> gave many cause to hope that the<br />

country was finally on a secure road to<br />

peace, but the implementation of the treaty<br />

in the reality of daily life has proven to<br />

be <strong>di</strong>fficult and drawn-out. Furthermore,<br />

this treaty does not apply to the civil war<br />

raging in the Darfur region in the west of<br />

the country. Two of the warring parties<br />

have indeed signed a peace agreement on<br />

5 May 2006 in Nigeria. This agreement,<br />

S L E E P I N G S I C K N E S S :<br />

Sleeping sickness is an infectious <strong>di</strong>sease that<br />

results in death if it is not treated promptly.<br />

It only occurs in a few countries, such as<br />

Sudan, Congo and Uganda. The trigger is a<br />

parasite transmitted by the tsetse fly. In its<br />

final stage, sleeping sickness leads to brain<br />

fevers that also cause sleep <strong>di</strong>sorders (hence<br />

the name). The pathogen can be detected in<br />

the blood or through tapping cerebrospinal<br />

fluid in the spinal cord. Sleeping sickness<br />

must be treated, but this often triggers<br />

side-effects that can also result in death.<br />

However, for around EUR 1,000, a treatment<br />

can be provided that significantly reduces the<br />

mortality risk.<br />

12<br />

A F R I C A


Birgit Betzelt<br />

Sudan: Primary health care for thousands of refugees<br />

and <strong>di</strong>splaced persons in Darfur.<br />

however, is refused by other rebel<br />

groups. Hopes of an early resolution of<br />

the conflict continue to fall. Today, it is<br />

more a question of the splintering of rebel<br />

movements, which makes the situation<br />

much more uncontrollable.<br />

In southern Sudan, we have continued<br />

our health care projects in Yei and<br />

Rumbek, which have been running for<br />

eight years, and have developed these<br />

into long-term health care services for<br />

Uganda<br />

National staff: 13<br />

Aid for 500 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Uganda since 1996.<br />

For ten years, <strong>Malteser</strong> <strong>International</strong> has<br />

been supporting a therapeutic nutrition<br />

centre for undernourished babies and<br />

toddlers at the Maracha hospital in the<br />

north-west of Uganda. This long-term<br />

support has unfortunately been brought<br />

into the spotlight again as the result of the<br />

generally worsening situation in northern<br />

Uganda in <strong>2005</strong>. Our staff carry out regular<br />

home visits in order to reduce the number<br />

of relapses and to monitor the health of<br />

the children on an ongoing basis.<br />

T U B E R C U L O S I S :<br />

Tuberculosis is a bacterial infectious <strong>di</strong>sease<br />

that mainly affects the lungs, but also other<br />

organs. Pulmonary tuberculosis is transmitted<br />

from person to person via the respiratory<br />

tracts and is therefore highly contagious.<br />

Symptoms include tiredness, weight loss and<br />

a slightly higher body temperature during<br />

the night. They often appear first after a few<br />

months or years. Tuberculosis can be cured<br />

with a combination of three to five antibiotics<br />

and treatment usually lasts between six and<br />

eight months. It is particularly crucial that<br />

patients receive continuous care. Failure to<br />

continue me<strong>di</strong>cation can lead to relapses<br />

and the further spread of multi-resistant<br />

tuberculosis germs, which are complicated<br />

and expensive to treat. A normal sixmonth<br />

treatment course for pulmonary<br />

tuberculosis costs around EUR 100.<br />

Sudan: Training local laboratory assistants in Rumbek.<br />

the population. We linked our various<br />

me<strong>di</strong>cal programmes, e.g. by combining<br />

the battle against tuberculosis with<br />

information on the subject of HIV/AIDS,<br />

and extended our activities further into<br />

rural regions. Further focuses include<br />

combating leprosy and sleeping sickness,<br />

as well as supporting primary health care<br />

services of local <strong>di</strong>oceses.<br />

Parallel to our work in southern<br />

Sudan, we continued to expand our<br />

me<strong>di</strong>cal projects in Darfur in the west.<br />

After the more short-term emergency<br />

aid programmes in the last one and a<br />

half years, we are now orientating our<br />

activities towards a longer time period. In<br />

ad<strong>di</strong>tion to the basic provision of primary<br />

health care services for the population,<br />

the crucial action in Darfur is the battle<br />

against malaria, which poses a significant<br />

threat to life in this region. All of our<br />

programmes will be further extended<br />

across a wider area in 2006, insofar as<br />

this is possible, given the tense security<br />

situation in the region.<br />

Uganda: The childrens’ weight is continuously<br />

monitored in order to combat malnutrition.<br />

A F R I C A<br />

13


ON THE SPOT: SOUTHERN SUDAN<br />

“I quietly hold her hand”<br />

‘Tagesthemen’ (German television news) anchor-woman Anne Will visits the Arcangelo Ali Clinic in southern Sudan<br />

As an ambassador for the ‘UNITED FOR AFRICA’ campaign, Anne Will travelled to southern<br />

Sudan in August <strong>2005</strong> to visit a hospital run by <strong>Malteser</strong> <strong>International</strong> and the German<br />

Leprosy and Tuberculosis Relief Association. Here is an excerpt from her travel journal:<br />

18 August, 12:20 p.m., Mari<strong>di</strong> Airport:<br />

There was a bit of jolting on the runway,<br />

but then our pilot Stuart brought the plane<br />

safely to a stop. High grass all around us.<br />

I hadn’t expected Africa to be so green,<br />

despite the rainy season. It’s my first<br />

trip to Sub-Saharan Africa, to a country<br />

in which peace was only achieved a few<br />

months ago and is still insecure. I am<br />

quite tense.<br />

19 August, 10:20 a.m., Arcangelo<br />

Ali Clinic:<br />

22-year-old Adak Manyang holds on<br />

tight to her month-old daughter. Anhak,<br />

Adak’s third child, lies weakly in her arms.<br />

Suffering from a cough that wouldn’t go<br />

away, Adak went to have a me<strong>di</strong>cal checkup<br />

at the tuberculosis ward built with<br />

German aid. That was two weeks ago.<br />

The doctors quickly <strong>di</strong>scovered: Adak has<br />

tuberculosis and it’s likely that her baby<br />

is infected, too. The pair must remain<br />

in hospital for six months, as that’s how<br />

long the treatment lasts.<br />

Uniteed for Africa / Thomas Einberger<br />

11:15 a.m.:<br />

Nelson Monday knows he doesn’t have<br />

long to live. But he seems quite composed.<br />

The 27-year-old is a mere skeleton. His<br />

eyes protrude as he talks to me. Nelson<br />

came from Uganda to Rumbek a while<br />

ago to work as a teacher. Now he wants<br />

to get back to his family to <strong>di</strong>e with them<br />

around him, but in his current con<strong>di</strong>tion,<br />

he would not survive the journey. Doctor<br />

Kenyi is fee<strong>di</strong>ng him up with special<br />

me<strong>di</strong>cation and a lot of fruit so that he can<br />

make his last journey on Monday.<br />

12:00 p.m.:<br />

A few rooms down, I meet Mary Abol.<br />

Anne Will<br />

talking to a<br />

patient at the<br />

Arcangelo Ali<br />

Clinic.<br />

The 62-year-old’s left leg lies stiff on<br />

the hospital bed. All that remains of her<br />

left foot is a bandaged stump. Mary has<br />

leprosy. Like many other people, I <strong>di</strong>dn’t<br />

think that this illness existed anymore.<br />

In reality, there are half a million new<br />

infections every year. Mary went to a<br />

miracle healer who took a lot of money<br />

from her and couldn’t help. Now<br />

she’s back here and being treated with<br />

antibiotics. But the doctors can’t give her<br />

back her foot. Many of Mary’s friends are<br />

afraid of touching the ‘leper’. She often<br />

feels alone. I quietly hold her hand.<br />

Reproduced with the kind permission<br />

of ‘UNITED FOR AFRICA’<br />

United for Africa / Thomas Einberger<br />

“I support UNITED FOR AFRICA because<br />

the idea and the concerns of the campaign<br />

convinced me. I like the approach that 30 relief<br />

organisations have come together under one roof,<br />

with one name and a joint donation account. As<br />

an ambassador for the campaign, I want to use<br />

my high me<strong>di</strong>a profile to draw more attention to<br />

the plight of people in Africa.”<br />

<strong>Malteser</strong> <strong>International</strong> has been supporting<br />

the supply of me<strong>di</strong>cine to 700,000 people in<br />

southern Sudan since 1997. The tuberculosis<br />

and leprosy wards in the hospital in Rumbek<br />

have a capacity of 63 beds. In the Arcangelo<br />

Ali Clinic, 100 patients are treated a day<br />

and 15 to 20 children are vaccinated.<br />

Tuberculosis tests are carried out in one of<br />

the largest laboratories in southern Sudan. In<br />

the neighbouring laboratory training facility,<br />

<strong>Malteser</strong> <strong>International</strong> trains local laboratory<br />

assistants.<br />

14 A F R I C A


ON THE SPOT: DEMOCR ATIC REPUBLIC OF CONGO<br />

“We need peace!”<br />

Listening can heal: Relief for rape victims in the Democratic Republic of Congo<br />

The meaning of war – many women are forced to suffer the physical consequences of such violence. “Rape has<br />

been used as a weapon of war for years in the Congo” <strong>report</strong>s project coor<strong>di</strong>nator Ursula Mesmer. Since 2003,<br />

<strong>Malteser</strong> <strong>International</strong> has been provi<strong>di</strong>ng psycho-social care for girls and women who have been the victims<br />

of sexual abuse. Ursula Mesmer’s <strong>report</strong> from East Congo shows just how hard it is to cope with:<br />

“A church in Kilimanjala: the crowd<br />

enters slowly; women to the left, men in<br />

the centre – sol<strong>di</strong>ers to the right. Everyone<br />

sits down in silence and watches as my<br />

colleagues and I come up to the altar.<br />

A strange feeling! Since I arrived in<br />

the Congo, I have carried out several<br />

sensitisation programmes against sexual<br />

abuse. I’ve spoken to women who’ve<br />

been raped about the options for me<strong>di</strong>cal<br />

treatment and psycho-social care. I’ve<br />

talked to sol<strong>di</strong>ers, explaining to them<br />

just how immoral and wrong rape is. I’ve<br />

spoken to the husbands of raped women;<br />

tried to show them that it is vital at such<br />

times that they do not leave their wives.<br />

Now, by chance, I am faced with all three<br />

groups together.<br />

That means: I must be very careful<br />

and sensitive in my choice of words, I<br />

mustn’t accuse or reproach anyone, but<br />

I mustn’t beat around the bush. I decide<br />

on a gentle introduction: I ask questions.<br />

How does one feel as a woman, as a man,<br />

after a rape, particularly with regard to<br />

one’s own wife? I try to empathise with<br />

all those present. I can sense it: they’re<br />

listening to me. I am obviously hitting the<br />

right note. That’s good; it makes me feel<br />

more assured.<br />

“One woman was having nightmares every<br />

night after she had been raped and was<br />

unable to sleep properly. I spoke to her five<br />

times. The fifth <strong>di</strong>scussion was here in our<br />

office. During our conversation, she fell asleep.<br />

Since then, she has been able to sleep at home<br />

too – without the appalling nightmares.“<br />

(Jules, psychologist)<br />

Birgit Betzelt<br />

Then <strong>di</strong>scussion: each group separately.<br />

I want to know what they can do about<br />

the problem, where they see possible<br />

solutions. Each group tells me what they<br />

have come up with. It’s the same for all of<br />

them: “We need peace”.<br />

The sol<strong>di</strong>ers’ reaction is particularly<br />

interesting: “We’re not all rapists; we<br />

don’t all want to be tarred with the same<br />

brush. We will not accept men from our<br />

ranks subjecting women to violence. In<br />

order to ensure this, we need a system that<br />

punishes rapists lawfully. And we need<br />

regular wages so that we can marry and<br />

offer a woman something more.”<br />

At the end, a young woman with a<br />

baby on her back stands up. She says:<br />

“Three years ago, I was raped by twelve<br />

armed men in a field. At first, I <strong>di</strong>dn’t tell<br />

anyone. I suffered pains in my stomach, I<br />

felt tired and weak. I was afraid to leave<br />

the house on my own. My sister took me<br />

to a health care centre, where I received<br />

me<strong>di</strong>cine. Now I am a sol<strong>di</strong>er’s wife with<br />

a six-month-old daughter. I am telling<br />

you my story so you know: I am here to<br />

Birgit Betzelt<br />

The counsellors<br />

– often victims of<br />

abuse themselves<br />

– pass on what they<br />

have learned to<br />

other women: trust,<br />

self-respect and new<br />

courage in life.<br />

Crucial help: being there, listen and sympathise.<br />

help women who have gone through what<br />

I experienced.” For a moment, there is<br />

complete silence; no one had expected<br />

such a <strong>di</strong>rect statement. Then everyone<br />

begins to talk at once in order to thank the<br />

woman for her incre<strong>di</strong>ble courage.<br />

A F R I C A<br />

15


Tsunami – interim statement<br />

The seaquake on 26 December 2004 and<br />

the resultant metre-high tsunami brought<br />

death, misery and immeasurable suffering<br />

to the people along the coast of the In<strong>di</strong>an<br />

Ocean. With over 250,000 people dead or<br />

missing, almost 1.7 million refugees and<br />

<strong>di</strong>splaced persons and an estimated total<br />

damage of just short of USD 10 billion,<br />

the affected countries are confronted with<br />

extraor<strong>di</strong>nary challenges. The seaquake<br />

had drastic effects on numerous countries<br />

and their populations: death and injury,<br />

loss of family members and friends,<br />

destruction of homes, infrastructure and<br />

places of work. The tourism sector, so<br />

vital for the economy, was badly hit.<br />

Droughts, floods and earthquakes in<br />

developing countries often remain ‘faroff’<br />

events that vanish quickly again<br />

from TV screens in industrial countries,<br />

but the visibility and ‘nearness’ of human<br />

suffering in South and South-East Asia,<br />

particularly that of tourists, triggered an<br />

unheard-of level of spontaneous rea<strong>di</strong>ness<br />

to help. In a second, the world community<br />

seemed united in global sympathy in the<br />

face of a barely comprehensible natural<br />

<strong>di</strong>saster that brought destruction and<br />

death to so many along the Asian and<br />

African coast.<br />

The national, regional and international<br />

reaction to the devastating consequence of<br />

the <strong>di</strong>saster was swift. Initial humanitarian<br />

aid measures were quickly introduced.<br />

<strong>Malteser</strong> <strong>International</strong> imme<strong>di</strong>ately provided<br />

EUR 1 million to ensure care and<br />

temporary accommodation for survivors in<br />

Indonesia, Sri Lanka, In<strong>di</strong>a and Thailand<br />

and initial plans for rehabilitation were<br />

started.<br />

Today, <strong>Malteser</strong> <strong>International</strong> is running<br />

over 65 rehabilitation and reconstruction<br />

projects in the affected countries – together<br />

with renowned partner organisations.<br />

Over the last year, projects with a total<br />

volume of EUR 8.7 million have been<br />

carried out, while ongoing and further<br />

reconstruction programmes and aid<br />

measures are underway, costing a total of<br />

EUR 20 million.<br />

One thing is for sure: help for the<br />

people in Indonesia, Sri Lanka, In<strong>di</strong>a and<br />

Thailand will need to continue for at least<br />

another three to four years. It is not enough<br />

simply to re-establish people’s lives as<br />

they were before the <strong>di</strong>saster: con<strong>di</strong>tions<br />

must be better than before and safer, so<br />

that the people are better protected against<br />

any new <strong>di</strong>sasters in the future.<br />

Thrissur District<br />

income-generating<br />

measures<br />

Kollam District<br />

emergency relief<br />

emergency shelters<br />

psycho-social care<br />

house repairs<br />

child care<br />

Kanyakumari District<br />

care for families in emergency shelters<br />

psycho-social care<br />

renovation of schools<br />

income-generating measures<br />

child care<br />

I N D I A<br />

With its tsunami aid, <strong>Malteser</strong><br />

<strong>International</strong> has already reached<br />

more than half a million people.<br />

Kurt Oxenius<br />

16<br />

A S I A


T H A I L A N D<br />

Nagapattinam District<br />

me<strong>di</strong>cal emergency relief<br />

health care projects<br />

S R I L A N K A<br />

Jaffna District<br />

provision of fishing boats<br />

Mullaitivu<br />

construction of emergency shelters<br />

Trincomalee District<br />

rehabilitation of villages<br />

support of a children’s home<br />

measures to cope with trauma<br />

Kalmunai<br />

rehabilitation of villages<br />

measures to cope with trauma<br />

Tangalle<br />

rehabilitation of villages<br />

Galle<br />

rehabilitation of villages<br />

water supply<br />

sanitary projects<br />

support of a children’s home<br />

measures to cope with trauma<br />

Lhokseumave region<br />

integrated municipality<br />

rehabilitation programme<br />

support of the hospital<br />

Banda Aceh region<br />

vaccination campaign in cooperation<br />

with UNICEF<br />

emergency relief<br />

support of the hospital<br />

Takua Pa<br />

support of a hospital<br />

Ban Bang Muang<br />

support of a day care centre<br />

help for a school<br />

Kho Kho Khao<br />

water supply<br />

Ban Bangsak<br />

care for refugees<br />

reconstruction of houses<br />

Khao Lak<br />

measures for children to cope<br />

with trauma<br />

Phang Nga and Ranong Province<br />

basic health care project in 14 villages<br />

Phuket<br />

emergency relief<br />

water supply<br />

Kho Phi Phi<br />

emergency relief<br />

Phang Nga<br />

equipment of the hospital<br />

emergency relief<br />

water supply<br />

income-generating measures<br />

sewage <strong>di</strong>sposal project<br />

orthopae<strong>di</strong>cs<br />

Rathgama<br />

construction of a community centre<br />

Kosgoda<br />

rehabilitation of villages<br />

Colombo<br />

emergency relief<br />

Nias<br />

emergency relief<br />

Meulaboh region<br />

health care projects<br />

I N D O N E S I A<br />

The tsunami aid is<br />

focussing on emergency<br />

relief and rehabilitation.<br />

This is supplemented by<br />

programmes for me<strong>di</strong>cal<br />

and psycho-social care,<br />

plus income-generating<br />

measures.<br />

A S I A<br />

17


Asia<br />

In Asia, the focus in <strong>2005</strong> was on the immense suffering of victims of two major <strong>di</strong>sasters and the overwhelming<br />

aid measures implemented: the tsunami of 26 December 2004 with over 250,000 people dead or missing and<br />

the earthquake in Pakistan and the In<strong>di</strong>an area of Kashmir on 8 October with up to 88,000 victims. <strong>Malteser</strong><br />

<strong>International</strong> is taking part in rehabilitation measures in five countries affected by the tsunami (Indonesia, Sri<br />

Lanka, Thailand, In<strong>di</strong>a and Myanmar) and has also provided rapid imme<strong>di</strong>ate aid in Pakistan and the In<strong>di</strong>an<br />

Himalayas in cooperation with its partners. Given the extent of the damage, both regions will require several<br />

more years of support. In ad<strong>di</strong>tion, we are carrying out emergency aid and rehabilitation projects in a total of<br />

eleven Asian countries relating to health care, water supply and sewage, income-generating measures, education<br />

as well as welfare services for children and young people.<br />

Afghanistan<br />

<strong>International</strong> staff: 11<br />

National staff: 197<br />

UNAMA (United Nations Assistance<br />

Mission for Afghanistan):<br />

8 staff members<br />

Aid for 220,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Afghanistan since 2002.<br />

Health care provision, school construction<br />

and income-generating measures<br />

for those returning home were focal<br />

points of our work also in <strong>2005</strong>. Despite<br />

ongoing restrictions due to a tense security<br />

situation, we were able to maintain longterm<br />

effective projects from our locations<br />

in Kabul and Herat. Afghanistan is far<br />

behind in an international comparison<br />

of health in<strong>di</strong>cators. In rural areas in<br />

particular, most people have no access to<br />

schools and me<strong>di</strong>cal care. A programme in<br />

the Badghis province, supported through<br />

German Federal Government funds via the<br />

KfW Entwicklungsbank (Development<br />

Bank – KfW Banking Group) and the CIM<br />

(Centre for <strong>International</strong> Migration and<br />

Development), addresses the construction<br />

of schools, as well as the construction and<br />

operation of health care facilities and the<br />

training of me<strong>di</strong>cal staff.<br />

In Herat, three further schools are<br />

nearing completion. Around 40 percent of<br />

the school children are girls, most going<br />

to school now for the first time in their<br />

lives.<br />

In the central region, we ran a programme<br />

for returnees, in conjunction with<br />

the United Nations High Commissioner<br />

for Refugees (UNHCR), with the aim of<br />

I N M E M O R I A M<br />

Dr. Ezmeray Azizi (29)<br />

Dr. Ezmeray Azizi was killed in an ambush on 12 May 2006<br />

in North-West Afghanistan. He was in a UN vehicle on the<br />

way from Herat to Qala-e-Nau when it came under fire around<br />

midday with rockets and machine guns. The driver of the vehicle,<br />

a UNICEF colleague, was killed imme<strong>di</strong>ately. The 29-yearold<br />

Afghan working for <strong>Malteser</strong> <strong>International</strong>, responsible for<br />

monitoring ten health care centres and a province hospital, was<br />

able to run away initially, but later <strong>di</strong>ed due to his injuries. “We mourn the passing<br />

of our colleague. Our deepest sympathies go out to his family,” said the President of<br />

<strong>Malteser</strong> <strong>International</strong>, Nicolas de Cock de Rameyen, expressing the condolences of all<br />

at <strong>Malteser</strong> <strong>International</strong>. – R. I. P.<br />

Afghanistan:<br />

Women with<br />

their children<br />

in front of a<br />

health care<br />

centre.<br />

improving village infrastructures, training<br />

people in workmanship and carrying out<br />

peace-promoting measures. Within this<br />

framework, we provided support for<br />

around 11,000 families.<br />

Using funds from the German Foreign<br />

Office, we provided winter aid for around<br />

200 needy families in Kabul, who received<br />

food, clothing and fuel.<br />

In June <strong>2005</strong>, the project on behalf<br />

of the United Nations and the German<br />

Foreign Office, with the aim of provi<strong>di</strong>ng<br />

me<strong>di</strong>cal supplies for UNAMA staff and<br />

members of the police academy in Kabul,<br />

was finalised successfully after four years.<br />

<strong>Malteser</strong> <strong>International</strong> was on hand to give<br />

advice until the newly erected clinic and<br />

the structure for training courses could be<br />

handed over entirely to our local partners.<br />

Our teams prepared the local authorities<br />

to take over high quality me<strong>di</strong>cal care for<br />

policemen and ensure this is available on<br />

a long-term basis.<br />

In ad<strong>di</strong>tion to the treatment of patients<br />

and examination of recruits, we offered<br />

first aid training to over 400 police<br />

officers and me<strong>di</strong>cal staff.<br />

Afghanistan: Ceremonial opening of a school in the<br />

province of Badghis.<br />

18<br />

A S I A


Cambo<strong>di</strong>a<br />

<strong>International</strong> staff: 2<br />

Local staff: 18<br />

Aid for 42,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Cambo<strong>di</strong>a since 1999.<br />

Cambo<strong>di</strong>a is still suffering the consequences<br />

of decades of civil war and<br />

terror. <strong>Malteser</strong> <strong>International</strong> has been<br />

supporting health care provision in the<br />

province of Oddar Meanchey for six<br />

years. We have been able to rely on local<br />

staff here, trained by us in refugee camps<br />

in Thailand between 1975 and 1999.<br />

Despite the relatively short time that<br />

reconstruction has been in progress, we<br />

have been able to reinforce state health<br />

care structures to such an extent that the<br />

health care facilities we were supporting<br />

are now able to operate independently.<br />

Cambo<strong>di</strong>a: Health care education for teachers, pupils<br />

and parents.<br />

As the population in the province has<br />

grown significantly and it is hard to reach<br />

some of the isolated villages, <strong>Malteser</strong><br />

<strong>International</strong> has reorganised its work<br />

in two aspects over the last year: work<br />

was initially expanded and reinforced<br />

thanks to partnership with a local nongovernmental<br />

organisation. In ad<strong>di</strong>tion,<br />

the new projects focus on increasing the<br />

self-help capacities and patient rights in<br />

the communities: the communities will<br />

now demand more from the health care<br />

services, while also supplementing them<br />

with their own activities.<br />

For example, we provided first aid<br />

training for emergency transport teams<br />

Caroline von der Tann<br />

Cambo<strong>di</strong>a: Free school breakfast before lessons start.<br />

in 60 villages that are more than 15<br />

kilometres from the nearest health care<br />

centre. One of these teams recently saved<br />

the lives of three young people who had<br />

come across a landmine. Sadly, accidents<br />

like this are very frequent in north<br />

Cambo<strong>di</strong>a. Another innovation is the pilot<br />

project for the introduction of community<br />

based health insurance. This is intended<br />

to prevent poor families from debt in the<br />

case of sudden illness.<br />

Over the next year, a further focal point<br />

will be combating the child mortality rate<br />

(125 out of 1,000 children <strong>di</strong>e before their<br />

fifth birthday) and mother mortality rate<br />

(400 mothers <strong>di</strong>e out of every 100,000<br />

live births) in Cambo<strong>di</strong>a, both of which<br />

remain incre<strong>di</strong>bly high. By mobilising<br />

the communities, <strong>Malteser</strong> <strong>International</strong><br />

is hoping to make a contribution to the<br />

achievement of the related millennium<br />

goals.<br />

In<strong>di</strong>a<br />

<strong>International</strong> staff: 1<br />

Local staff: 1<br />

Aid for 120,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

South In<strong>di</strong>a since 1989 and also in<br />

Gujarat since the 2001 earthquake;<br />

since December 2004, <strong>Malteser</strong><br />

<strong>International</strong> has been provi<strong>di</strong>ng aid<br />

for the victims of the tsunami in South<br />

In<strong>di</strong>a.<br />

The In<strong>di</strong>an economy is booming, but<br />

people in rural areas receive little of this<br />

benefit. Of a population of 1,000 million,<br />

over 300 million still live in great poverty<br />

and 40 percent of people are illiterate.<br />

The ancient In<strong>di</strong>an caste system excludes<br />

the poorest segments of the population. It<br />

is particularly the ‘Dalit’ and ‘A<strong>di</strong>vasi’,<br />

the untouchables, and the original In<strong>di</strong>an<br />

inhabitants that are often forced to scratch<br />

a living on the edges of society.<br />

At the end of 2004, the tsunami<br />

destroyed countless villages in a 1,000<br />

kilometre area along the South In<strong>di</strong>an<br />

coast; in summer <strong>2005</strong>, heavy monsoon<br />

rains in many regions led to the largest<br />

floods in centuries. It is always the poorest<br />

people, who live on unstable ground<br />

In<strong>di</strong>a: Project coor<strong>di</strong>nator Nicole Moran with scchool<br />

girls at the inauguration of their renovated school<br />

buil<strong>di</strong>ng.<br />

either <strong>di</strong>rectly on the coast or along the<br />

banks of the water, that are particularly<br />

vulnerable during such <strong>di</strong>sasters, often<br />

losing all their worldly goods and, more<br />

often than not, their lives.<br />

In the tsunami areas, <strong>Malteser</strong><br />

<strong>International</strong> is focussing its aid efforts on<br />

the most vulnerable people. Many have<br />

lost their livelihood. With our projects,<br />

carried out in cooperation with In<strong>di</strong>an<br />

aid organisations, we have been able to<br />

support over 1,200 families over the last<br />

year as they begin their working lives<br />

again – be this manufacturing coconut<br />

ropes or coquina (shell limestone) or<br />

working as a washerwoman. Thousands<br />

of families are living in emergency<br />

shelters. There, we are provi<strong>di</strong>ng me<strong>di</strong>cal<br />

care and organising childcare centres. A<br />

new element within our programmes is<br />

psycho-social care of traumatised adults<br />

and children. Thanks to professional help,<br />

people are regaining their confidence and<br />

A S I A<br />

19


courage to return to their everyday lives.<br />

Relying on strong In<strong>di</strong>an partners,<br />

<strong>Malteser</strong> <strong>International</strong> provided imme<strong>di</strong>ate<br />

aid after the floods in Gujarat and<br />

Kerala and after the earthquake in the<br />

In<strong>di</strong>an area of Kashmir.<br />

Indonesia<br />

<strong>International</strong> staff: 14<br />

Local staff: 31<br />

Aid for 86,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked<br />

in Indonesia since January <strong>2005</strong>,<br />

currently in three regions: Banda Aceh,<br />

the area hit hardest by the tsunami; the<br />

Lhokseumave region on the east coast<br />

and the region south of Meulaboh on<br />

the west coast. We provided imme<strong>di</strong>ate<br />

aid to the island of Nias after a<br />

powerful aftershock in March <strong>2005</strong>.<br />

Indonesia and its inhabitants were hit<br />

the hardest by the tsunami. Hundreds of<br />

villages along the coast were destroyed<br />

by the tidal wave. In order to help<br />

people rebuild a new existence, <strong>Malteser</strong><br />

<strong>International</strong> has, after the conclusion<br />

of emergency relief, committed itself to<br />

working on rehabilitation, implementing<br />

measures to support the communities and<br />

improving health care structures. We are<br />

working closely with village committees,<br />

local authorities and other international<br />

organisations.<br />

In the provincial hospital at Banda<br />

Aceh, after the injured had been taken<br />

care of, we introduced an inventory<br />

system, repaired the oxygen system and<br />

as in the <strong>di</strong>strict hospital in Lhokseumave<br />

installed a drinking water <strong>di</strong>sinfection<br />

system. In the Meulaboh region, we<br />

erected three governmental health centres<br />

and organised training for the staff.<br />

Within the framework of the village<br />

rehabilitation project in Lhokseumave,<br />

planned to take place over four years,<br />

130 houses have already been built and a<br />

school and a mosque have been renovated<br />

by the end of <strong>2005</strong>. 480 houses should be<br />

finished by autumn 2006. In ad<strong>di</strong>tion,<br />

Caroline von der Tann<br />

270 wells and 16 kilometres of irrigation<br />

channels for fishponds have been cleaned<br />

and 20,000 mangroves planted for coastal<br />

protection. Working closely with the<br />

village committees, we also used microcre<strong>di</strong>ts<br />

to promote income-generating<br />

measures, such as mat production, kiosks,<br />

sewing cooperatives and fish-farming.<br />

We also ensured the me<strong>di</strong>cal services<br />

for UN workers in the Aceh province.<br />

Indonesia: Thanks to new boats, the fishermen can<br />

once again an independent living for their families.<br />

As of 2006, we will be taking part<br />

in the development of a health care<br />

information system, collaborating with<br />

local authorities and the GTZ (German<br />

Technical Cooperation). The fundamental<br />

elements are a standar<strong>di</strong>sed data recor<strong>di</strong>ng<br />

system and respective training<br />

for governmental health staff.<br />

Iran<br />

<strong>International</strong> staff: 1<br />

Local staff: 1<br />

Aid for 6,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Iran since the end of 2003.<br />

The Islamic Republic of Iran is a welldeveloped<br />

country. Most people in major<br />

cities are well-provided for; however, the<br />

situation is less positive for poorer people<br />

in rural areas, particularly villages in<br />

sparsely populated mountainous or desert<br />

areas.<br />

Since 2004 <strong>Malteser</strong> <strong>International</strong><br />

has been supporting the reconstruction<br />

of the desert city of Bam, which was<br />

completely destroyed in the earthquake<br />

of December 2003. A primary school<br />

has been built in cooperation with<br />

Diakonie Katastrophenhilfe. Small local<br />

initiatives have received aid and support<br />

via an Iranian umbrella association of aid<br />

organisations. 15 nurseries were equipped<br />

with furniture and toys.<br />

When another me<strong>di</strong>um-heavy earthquake<br />

hit the Zarand region in February<br />

<strong>2005</strong> – 200 kilometres away from Bam<br />

– <strong>Malteser</strong> <strong>International</strong> was one of<br />

the few international organisations to<br />

provide imme<strong>di</strong>ate aid for 600 families.<br />

As local schools were also destroyed, 25<br />

school trailers were set up in three ruined<br />

mountain villages, in which lessons<br />

are still taking place today. The school<br />

children have also been given satchels<br />

with stationery.<br />

In November <strong>2005</strong>, eight months after<br />

the earthquake, many people were still<br />

living in tents, suffering from <strong>di</strong>fficult<br />

con<strong>di</strong>tions and poorly equipped for the<br />

coming winter. <strong>Malteser</strong> <strong>International</strong><br />

and Caritas Iran therefore organised the<br />

<strong>di</strong>stribution of winter relief. 650 families<br />

were supplied with warm clothes, nonperishable<br />

goods, stoves and hygiene<br />

items.<br />

Iran: A typical<br />

school day after<br />

the earthquake<br />

in Zarand<br />

– lessons in 25<br />

school trailers.<br />

20 A S I A


Iraq<br />

National staff: 1<br />

Aid for 120,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Iraq since 1995.<br />

After twelve years of embargo and three<br />

wars in the last 20 years, the humanitarian<br />

situation in Iraq remains alarming. Crucial<br />

developments have failed to appear, as it<br />

has been impossible to re-establish public<br />

order due to the incre<strong>di</strong>bly tense security<br />

situation. Iraqi society is confronted with<br />

a situation without sufficient regulatory<br />

structures; ethnic and religion-motivated<br />

conflicts still loom large on a daily<br />

basis. The resultant violence and social<br />

void affect young people in particular<br />

– they can barely see any positive future<br />

prospects and are deeply pessimistic<br />

about the development of their country.<br />

Although no international staff can be<br />

sent due to the security situation, <strong>Malteser</strong><br />

<strong>International</strong> continues to work on<br />

various projects with local Iraqi partners.<br />

For example, in 28 villages in northern<br />

Iraq, the construction of wells and water<br />

<strong>di</strong>stribution systems has improved the<br />

water supply for a total of 120,000<br />

people. In Kirkuk, we are taking part in<br />

the construction of a public training and<br />

education centre for young people and<br />

supporting socially weak families. We are<br />

also continuing to finance the operation<br />

and equipment of a health care centre in<br />

Karamless in northern Iraq.<br />

Myanmar/Burma<br />

<strong>International</strong> staff: 8<br />

Local staff: 120<br />

Aid for 820,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Myanmar since 2001.<br />

Accor<strong>di</strong>ng to pre<strong>di</strong>ctions by international<br />

institutions and aid organisations,<br />

Myanmar today is increasingly on the<br />

brink of humanitarian <strong>di</strong>saster. Lack<br />

of access to clean drinking water and<br />

primary health care services for large<br />

parts of the population, an incre<strong>di</strong>bly high<br />

child mortality rate, and high levels of<br />

malnutrition of many people as well as<br />

the rapid sprea<strong>di</strong>ng of infectious <strong>di</strong>seases<br />

are all part of this dramatic humanitarian<br />

crisis. Accor<strong>di</strong>ng to a WHO study on<br />

health care status, Myanmar is 190th of<br />

the 191 countries examined.<br />

Despite <strong>di</strong>fficult general con<strong>di</strong>tions,<br />

<strong>Malteser</strong> <strong>International</strong> decided in 2001<br />

to take action with a focus on the health<br />

care sector, offering new perspectives to<br />

the most vulnerable people in the nee<strong>di</strong>est<br />

regions. Since then, we have carried<br />

out eight projects at three programme<br />

locations, with the aim of ensuring water<br />

Myanmar:<br />

Training and<br />

information<br />

campaigns<br />

on the<br />

subject of<br />

health and<br />

hygiene in<br />

villages and<br />

schools.<br />

M A L A R I A :<br />

Malaria is a parasitic <strong>di</strong>sease. Its pathogen<br />

is transmitted to humans via mosquitoes<br />

(Anopheles). The pathogens destroy the red<br />

blood cells. This causes fever, headaches<br />

and joint pain. After AIDS, ‘malaria tropica’<br />

is one of the most frequent causes of death.<br />

Up to two million people <strong>di</strong>e of malaria<br />

every year. However, it can be <strong>di</strong>agnosed via<br />

microscope or rapid test and can then be<br />

treated and cured. Our project activities also<br />

include preventative measures such as the<br />

<strong>di</strong>stribution of impregnated mosquito nets.<br />

Malaria treatment costs EUR 5 on average as<br />

long as there are no complications.<br />

and sanitation supplies, as well as<br />

improving access to community-based<br />

primary health care services, combating<br />

the three most common infectious<br />

<strong>di</strong>seases – malaria, tuberculosis and<br />

HIV/AIDS – and reducing chronic<br />

malnutrition.<br />

In order to cope with the complexity<br />

of the problems, our work in <strong>2005</strong><br />

focussed on the integrated definition of<br />

our programmes and close coor<strong>di</strong>nation<br />

of on-site projects by the various<br />

organisations. For only an integrated and<br />

harmonised approach can counteract a<br />

humanitarian <strong>di</strong>saster, which has been<br />

going on for years and is stea<strong>di</strong>ly getting<br />

worse.<br />

In the coming years, the greatest<br />

challenges for our work in Myanmar<br />

will be expan<strong>di</strong>ng the space of action for<br />

humanitarian aid projects under extremely<br />

<strong>di</strong>fficult general con<strong>di</strong>tions, further<br />

refining the integrated approach of our<br />

primary health care projects and stepping<br />

up the fight against malaria, tuberculosis<br />

and HIV/AIDS.<br />

If we can achieve this, we will be able to<br />

make an important contribution to halting<br />

the erosion of the social security system,<br />

breaking through the growing momentum<br />

of the poverty and vulnerability spirals<br />

and giving the people of Myanmar new<br />

confidence and courage.<br />

A S I A<br />

21


Projects in <strong>2005</strong> (extract)<br />

Region Country Locations/<br />

Regions<br />

Africa Angola Luanda,<br />

Kuando Kubango<br />

DR Congo Ariwara, Mahagi / Ituri<br />

Bukavu / South-Kivu<br />

Programme Focus Brief Description Programme<br />

Volume<br />

(rounded up)<br />

Emergency relief Emergency relief and health care for <strong>di</strong>splaced persons and the<br />

population, me<strong>di</strong>cal equipment, vaccination campaigns<br />

Health care, psycho-social care,<br />

food security, infrastructure<br />

Support of more than 300 health centres, basic and advanced training<br />

of staff, food security in over 46 nutrition centres, me<strong>di</strong>cal and psychosocial<br />

care for abused women, source fittings, rehabilitation of streets<br />

Kenya Nairobi Health care Improving the possibilities of <strong>di</strong>agnosis and treatment of tuberculosis<br />

and HIV/AIDS, supporting home care, health education for the slum<br />

dwellers<br />

Donors/Cooperation Partners National Partner Organisations No. of<br />

Projects<br />

EUR 183,000 Own resources / private donations Caritas Menongue, provincial health<br />

department of Kuando Kubango<br />

EUR 3,324,000 ECHO, AA, Unicef, FAO, OCHA, WFP,<br />

EuropeAid, own resources / private<br />

donations<br />

Local and national health authorities, local<br />

partner organisations<br />

EUR 473,000 BMZ, own resources / private donations NCC, Kenyan Ministry of Health, Nairobi<br />

Health Management Board, AMREF, St.<br />

Mary’s Hospital<br />

Mali Mopti Emergency relief Support for the national cereal bank, in<strong>di</strong>rect fun<strong>di</strong>ng of 17 cereal banks EUR 207,000 ADH, own resources / private donations Government of Mali, Order of <strong>Malta</strong> 1<br />

Niger Koria Haoussa Emergency relief Distribution of 28 tons of maize to 15 villages EUR 10,000 Own resources / private donations Government of Niger, Order of <strong>Malta</strong> 1<br />

Sudan Khartoum, El Fasher /<br />

North Darfur, Rumbek,<br />

Yei / Southern Sudan<br />

Health care, rehabilitation,<br />

structural aid, emergency relief<br />

Sleeping sickness, malaria, tuberculosis and leprosy control programmes,<br />

training, primary health care, vaccination campaigns<br />

Uganda Maracha Health care, mother-child-health Support for the department for malnourished children in the hospital of<br />

Maracha, home visits, aftercare of the patients<br />

EUR 1,460,000 BMZ, ECHO, AA, DAHW, Spanish Caritas<br />

Confederation, PMK, UNICEF, ADH, NiN,<br />

WHO, STI, DFID<br />

Dioceses of Rumbek and Yei, Ministry of<br />

Health in Darfur<br />

EUR 23,000 PMK, own resources / staff donations Maracha Hospital 1<br />

1<br />

10<br />

1<br />

8<br />

Asia Afghanistan Quala-e-Nau, Herat,<br />

Kabul / Provinces of<br />

Badghis and Herat, Kabul,<br />

Kapisa, Parwan, Loghar<br />

and Wardak<br />

Cambo<strong>di</strong>a Samrong / Oddar<br />

Meanchey province<br />

In<strong>di</strong>a Nagercoil / Tamil Nadu,<br />

Gujarat, Kashmir<br />

In<strong>di</strong>a Nagercoil / Tamil Nadu,<br />

Kerala, Gujarat<br />

Indonesia Medan, Lhokseumave,<br />

Meulaboh / Lhokseumave,<br />

Banda Aceh, Nagan Raya,<br />

Nias<br />

Indonesia Medan, Lhokseumave,<br />

Meulaboh / Lhokseumave,<br />

Banda Aceh, Nagan Raya<br />

Myanmar Yangon, Pang Kham,<br />

Maungdaw / Yangon<br />

Division Shan State (Wa<br />

Region) Rakhine State<br />

Pakistan Islamabad / North-western<br />

border province, Azad,<br />

Jammu Kashmir<br />

Sri Lanka Colombo, Mullaitivu,Galle,<br />

Trincomalee<br />

Rehabilitation, health care,<br />

emergency relief, care for<br />

children and youth, reintegration<br />

of returnees<br />

Reconstruction / new buil<strong>di</strong>ng of schools and health centres, operation<br />

of a provincial hospital and of eleven health centres, income-generating<br />

measures for returnees, day-care for neglected children, emergency relief<br />

in the winter<br />

Health care Strengthening of the community-based health care system, school<br />

fee<strong>di</strong>ng<br />

Emergency relief (tsunami and<br />

earthquake Kashmir)<br />

Emergency relief after tsunami, floods in Gujarat and Kerala and<br />

earthquake in Kashmir<br />

Rehabilitation and development Tsunami relief: psycho-social care, help for 1,200 children, incomegenerating<br />

measures, renovation of 180 houses and 13 schools<br />

Gujarat: buil<strong>di</strong>ng of 500 houses, <strong>di</strong>saster preparedness programme, preschool<br />

education for 1,200 children<br />

Emergency relief (tsunami) Emergency kits for affected families, vaccination campaigns and mobile<br />

clinics, support for affected students, technical support for two hospitals<br />

Rehabilitation, development and<br />

health care<br />

Humanitarian aid, main focus:<br />

health care, water supply,<br />

sanitary facilities<br />

Emergency relief (earthquake in<br />

Northern Pakistan<br />

Emergency relief<br />

(tsunami)<br />

Rehabilitation of two villages: 500 houses, water supply, school, incomegenerating<br />

measures; construction of four health centres and three<br />

community halls; improving the data collection of the provincial health<br />

authorities; health care for UN staff<br />

Control of infectious <strong>di</strong>seases, strengthening of community-based basic<br />

health care services, improving the access to clean drinking water and<br />

sanitary facilities<br />

EUR 2,442,000 BMZ (Kfw and CIM), UNICEF, UNHCR,<br />

AA, Afghanistan Hilfe Paderborn, MHD<br />

Moers, KfW<br />

EUR 198,000 BMZ, Cana<strong>di</strong>an and Australian government,<br />

own resources / private donations<br />

EUR 394,000 ADH, KPMG, Augustinus-Kliniken,<br />

<strong>Malteser</strong> Ireland, HeLaBa, own<br />

resources / private donations<br />

EUR 1,168,000 ADH, KPMG, Augustinus-Kliniken,<br />

<strong>Malteser</strong> Ireland, City of Winnenden,<br />

MHD Paderborn<br />

EUR 755,000 ADH, UNICEF, WHO, own resources /<br />

private donations<br />

EUR 1,056,000 ADH, ZF-Hilft e.V., Happy Digits, Langenscheidt<br />

KG, Faber-Castell AG, BMZ via<br />

GITEC/KfW, GTZ, UNICEF, WHO, UNDP,<br />

MHD Trier, KfW; own resources / private<br />

donations<br />

EUR 1,289,000 DG ECHO, EuropeAid, BMZ, UNODC,<br />

UNDP, UNAIDS, WFP, WHO, Japanese<br />

Embassy, own resources / private<br />

donations<br />

Distribution of winter-proof shelters and equipping households EUR 420,000 ADH, Deutsche Bank, Dr. Hans-Liebherr-<br />

Stiftung, <strong>Malteser</strong> Canada, Partner Aid<br />

<strong>International</strong>, AA, ECHO, O.S.T. e.V.,<br />

own resources / private donations<br />

Construction of 650 emergency shelters, emergency me<strong>di</strong>cal relief,<br />

<strong>di</strong>stribution of drinking water<br />

EUR 350,000 ADH, MHD Augsburg, own resources /<br />

private donations<br />

Health and school authorities, municipal<br />

councils and Afghan non-governmental<br />

organisations<br />

Provincial health and school authorities,<br />

Cambo<strong>di</strong>an Health and Human Rights<br />

Alliance, village communities<br />

HOM, CHAI, MSSS, Sahayi, BSC, Unnati,<br />

ASAG, KIDS, SDFI<br />

HOM, CHAI, MSSS, Sahayi, KIDS, SDFI ,<br />

Oasis, DEEDS, Little Flower Convent,<br />

Diocese of Kottar, BSC, Unnati<br />

Local and national authorities, village<br />

committees<br />

Local and national authorities, village<br />

committees<br />

Local health authorities, village<br />

communities<br />

Aid to Leprosy Patients, <strong>International</strong> Blue<br />

Crescent, Palas Conservation and<br />

Development Federation, Partner Aid<br />

<strong>International</strong><br />

Water authorities, Buddhist congregation,<br />

<strong>di</strong>oceses<br />

Sri Lanka Colombo, Kilinochi, Rehabilitation, development, Reconstruction of 700 houses, water supply, reconstruction of homes for EUR 2,950,000 ADH, BILD hilft e.V., Osthessen hilft Local authorities, Help for the Children, 19<br />

5<br />

4<br />

13<br />

13<br />

10<br />

6<br />

8<br />

6<br />

5<br />

22 P R O J E C T O V E R V I E W


Tangalle, Galle,<br />

Trincomalee, Ampara<br />

Thailand Phang Nga / Southern<br />

Thailand<br />

Thailand Mae Sariang District,<br />

North Thailand<br />

Vietnam Danang / Provinces of<br />

Quang-Nam and Danang,<br />

Central Vietnam<br />

psycho-social care children and <strong>di</strong>sabled people, psycho-social care and training, incomegenerating<br />

measures<br />

Emergency relief and<br />

rehabilitation (tsunami)<br />

Rehabilitation of houses, water supply and sewage <strong>di</strong>sposal, health care,<br />

psycho-social care, income-generating measures<br />

Health care, support for refugees Health care and water supply for refugees; basic health care<br />

programmes for the reduction of infectious <strong>di</strong>seases<br />

Poverty reduction Improving the basic health and the income situation of the poor and<br />

of ethnic minorities<br />

Südasien, Seren<strong>di</strong>b Stiftung, FC Bayern<br />

Hilfe e.V., UNICEF, Die kleinen Patienten<br />

e.V., Caritas Galle and Colombo,<br />

Archbishopric of Mainz, MHD Traunstein,<br />

Cologne and Muenster, own resources /<br />

private donations<br />

Centre for Social Assessments, Trincomalee<br />

District Development Association, Caritas,<br />

Buddhist monasteries, GTZ<br />

EUR 870,000 ADH, own resources / private donations Local authorities, SEAMEO, SAN 16<br />

EUR 950,000 DG ECHO, EuropeAid, own resources /<br />

private donations<br />

Local authorities; Karen Refugee<br />

Committee<br />

EUR 75,000 BMZ, World Child Foundation Women’s Unions in local communities and<br />

<strong>di</strong>stricts, DED<br />

2<br />

1<br />

Middle<br />

East<br />

Iran Bam and Zarand / Kerman<br />

Province<br />

Iraq Kirkuk, Karamless, various<br />

villages in Northern Iraq<br />

Emergency relief and<br />

rehabilitation<br />

Emergency relief and<br />

rehabilitation<br />

Bam: reconstruction of a primary school, equipment for 15 nurseries;<br />

small-scale projects; Earthquake relief Zarand: <strong>di</strong>stribution of food,<br />

clothes, blankets and fuel, provision of 25 school trailers<br />

Construction of wells and water <strong>di</strong>stribution systems, co-financing of<br />

me<strong>di</strong>cal staff, training for the youth<br />

EUR 227,000 ADH, University of Regensburg,<br />

MHD Regensburg<br />

Kerman NGO House, Hamyaran 4<br />

EUR 159,000 Own resources / private donations <strong>International</strong> Blue Crescent (Turkey),<br />

Mostakbal Development Foundation (Iraq),<br />

Turkemeneli Cooperation and Cultural<br />

Foundation (Iraq)<br />

5<br />

America USA New Orleans Rehabilitation Home renovation programme, rehabilitation of living space EUR 150,000 ADH, CARE <strong>International</strong> Germany,<br />

private donations<br />

Order of <strong>Malta</strong>, Catholic Charities Services,<br />

Rebuil<strong>di</strong>ng Together<br />

1<br />

Europe<br />

Balkans Bosnia and<br />

Herzegovina<br />

Bihac, Banja Luka,<br />

Livno, Travnik, Mostar<br />

Structural aid Sustainable return grants, rigid shelter EUR 762,000 UNHCR, AA Local partner organisations 3<br />

Kosovo Ferizaj, Gjakova Structural aid Income-generating measures, construction of winter-proof shelters EUR 542,00 UNHCR, AA Local partner organisations 2<br />

Turkey Turkey Izmit Rehabilitation Centre for mentally <strong>di</strong>sabled children EUR 149,000 Own resources / private donations <strong>International</strong> Blue Crescent 1<br />

Central- /<br />

Eastern<br />

Europe<br />

Albania<br />

EUR 8,000 Own resources / private donations <strong>Malteser</strong> N<strong>di</strong>hmon ne Shqiperi 1<br />

Latvia Supporting <strong>Malteser</strong> partner<br />

EUR 16,000 Own resources / private donations <strong>Malta</strong>s Ordena Palidzibas Dienests 1<br />

organisations<br />

Lithuania EUR 95,000 Own resources / private donations Maltos Or<strong>di</strong>no Pagalbos Tarnyba 1<br />

Poland EUR 13,000 Own resources / private donations <strong>Malta</strong>nska Słuba Medyczna 1<br />

Romania Supporting <strong>Malteser</strong> partner<br />

organisations; flood relief<br />

Russia Supporting <strong>Malteser</strong> partner<br />

organisations<br />

Serbia Supporting <strong>Malteser</strong> partner<br />

organisations; flood relief<br />

Ukraine Supporting <strong>Malteser</strong> partner<br />

organisations<br />

EUR 261,000 Own resources / private donations Serviciul de Ajutor Maltez în România 1<br />

EUR 60,000 Own resources / private donations Russian <strong>Malteser</strong> Aid in Moscow, Saint Petersburg,<br />

Kaliningrad, Dubna and Smolensk<br />

EUR 16,000 Own resources / private donations Malteska dobrotvorna organizacija<br />

Jugoslavije<br />

EUR 145,000 Own resources / private donations Maltijska Služba Dopomohy 1<br />

1<br />

1<br />

AA Federal Foreign Office of Germany<br />

ADH Aktion Deutschland Hilft (Action Campaign Germany Helps)<br />

AMREF African Me<strong>di</strong>cal Research Foundation<br />

ASAG Ahmedabad Study Action Group (In<strong>di</strong>a)<br />

BMZ Federal Ministry of Economic Cooperation and<br />

Development Germany<br />

BSC St. Xavier‘s Non-Formal Education Service (In<strong>di</strong>a)<br />

CHAI Catholic Health Organisation of In<strong>di</strong>a<br />

CIM Centre for <strong>International</strong> Migration and Development<br />

DAHW German Leprosy and Tuberculosis Relief Association<br />

DED German Development Service<br />

DEEDS Development Education Society (In<strong>di</strong>a)<br />

DFID Department for <strong>International</strong> Development<br />

(United Kingdom)<br />

ECHO European Union’s Humanitarian Aid Department<br />

FAO Food and Agriculture Organisation<br />

GTZ Community for Technical Cooperation (Germany)<br />

HeLaBa Landesbank Hessen-Thüringen<br />

HOM Health for One Million (In<strong>di</strong>a)<br />

KIDS Kottapuram Integrated Development Society (In<strong>di</strong>a)<br />

KfW Development Bank – KfW Banking Group<br />

KPMG KPMG Deutsche Treuhand-Gesellschaft<br />

Aktiengesellschaft<br />

MHD <strong>Malteser</strong> Germany<br />

MSSS Malankara Social Service Society (In<strong>di</strong>a)<br />

NCC Nairobi City Council (Kenya)<br />

NiN Nachbar in Not (Austria)<br />

OCHA United Nations Office for the Coor<strong>di</strong>nation<br />

of Humanitarian Affairs<br />

PMK Papal Mission Organisation for Children<br />

SAN Sustainable Agriculture Network (Thailand)<br />

SDFI Sister Doctors Forum In<strong>di</strong>a<br />

SEAMEO South-East Asian Ministries of Education<br />

Organisation (Thailand)<br />

STI Swiss Tropical Institute<br />

THW German Technical Relief Organisation<br />

UNAIDS Joint United Nations Programme on HIV/ AIDS<br />

UNDP United Nations Development Programme<br />

UNODC United Nations Office on Drugs and Crime<br />

UNHCR United Nations High Commissioner for Refugees<br />

UNICEF United Nations Children’s Fund<br />

WFP World Food Programme<br />

WHO World Health Organisation<br />

P R O J E C T O V E R V I E W<br />

23


Pakistan<br />

<strong>International</strong> staff: 2<br />

Local staff: 4<br />

Aid for 25,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Pakistan since the earthquake<br />

on 8 October <strong>2005</strong>.<br />

<strong>Malteser</strong> <strong>International</strong> provided emergency<br />

aid imme<strong>di</strong>ately after the severe<br />

earthquake in Kashmir and North Pakistan.<br />

Together with local partner organisations,<br />

we carried out aid and reconstruction<br />

Pakistan: Well-insulated corrugated iron accommodation helps families survive the winter in the earthquake<br />

region.<br />

measures in three project areas, <strong>di</strong>rectly<br />

reaching around 2,700 families. In the<br />

first few weeks, we <strong>di</strong>stributed blankets,<br />

winter-proof double-walled tents and<br />

household objects, as well as food and<br />

me<strong>di</strong>cine. We then relocated people from<br />

tents to snow-proof insulated corrugated<br />

iron accommodation. These were transported<br />

by helicopter under frequently<br />

<strong>di</strong>fficult weather con<strong>di</strong>tions to mostly<br />

inaccessible high mountain valleys.<br />

In ad<strong>di</strong>tion, we supported measures<br />

for primary health care at in<strong>di</strong>vidual<br />

locations, as local state facilities in these<br />

remote regions were often overextended<br />

even before the <strong>di</strong>saster.<br />

Our local partners have worked in North<br />

Pakistan for a long time and have an indepth<br />

knowledge of the socio-cultural<br />

con<strong>di</strong>tions and the authorities in the<br />

region. This means our aid can quickly<br />

reach those in need. Thanks to this local<br />

expertise, further aid measures have been<br />

and continue to be developed. In 2006,<br />

our work will focus on the reconstruction<br />

of earthquake-safe housing, securing<br />

mountain farming, introducing incomegenerating<br />

measures and primary health<br />

care services.<br />

Sri Lanka<br />

<strong>International</strong> staff: 10<br />

National staff: 10<br />

Aid for 275,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Sri Lanka since January <strong>2005</strong> in all<br />

regions affected by the tsunami.<br />

The contra<strong>di</strong>ctory prosperity levels of<br />

the country are reflected in the coastal<br />

regions affected by the tsunami in the<br />

north, east and south of Sri Lanka. After<br />

many years of civil war, socio-economic<br />

in<strong>di</strong>cators such as per capita income,<br />

life expectancy and education access in<br />

the north-east are far below the country<br />

Sri Lanka: Project coor<strong>di</strong>nator Maren Paech at the<br />

laying of the foundation stone for new houses in<br />

Seenanveli.<br />

average. In order to ensure balanced<br />

social, regional and ethnic <strong>di</strong>stribution of<br />

reconstruction aid, <strong>Malteser</strong> <strong>International</strong><br />

selected cooperation partners from the<br />

various <strong>di</strong>fferent society groups in Sri<br />

Lanka. Almost every project was carried<br />

out in cooperation with Sri Lankan partner<br />

organisations.<br />

Focuses include the reconstruction of<br />

houses and the securing of a drinking<br />

water supply – both imme<strong>di</strong>ately after<br />

the tsunami and on a long-term basis. Up<br />

until now, 650 temporary shelters have<br />

been built and 100 houses have been<br />

rebuilt or repaired. We are accompanying<br />

these measures with community work<br />

to promote village structures, as well<br />

as psycho-social care for traumatised<br />

tsunami victims. We are supporting<br />

homes for children and the <strong>di</strong>sabled and<br />

promoting income-generating measures<br />

e.g. by provi<strong>di</strong>ng equipment for fishing<br />

families.<br />

<strong>2005</strong> was also a year moulded by a tense<br />

internal political situation. It was feared<br />

that a new civil war would break out after<br />

the presidential elections. Nevertheless,<br />

we were able to continue our projects in<br />

the north and east after brief <strong>di</strong>sruptions.<br />

After finishing construction projects,<br />

<strong>Malteser</strong> <strong>International</strong> will concentrate in<br />

2006 on income-generating measures and<br />

sustainable concepts for drinking water<br />

supply and sewage treatment. In ad<strong>di</strong>tion,<br />

support measures for children and young<br />

people are currently being planned.<br />

24 A S I A


Thailand<br />

<strong>International</strong> staff: 6<br />

National staff: 40<br />

Aid for 110,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

various regions in Thailand since 1979.<br />

Over the last year, <strong>Malteser</strong> <strong>International</strong><br />

has carried out three extensive projects<br />

in Thailand. Since 1993, we have been<br />

engaged in ensuring basic health care<br />

for 32,000 of the Karen people and for<br />

Burmese refugees at the border with<br />

Myanmar, with the financial support of<br />

the European Commission. In ad<strong>di</strong>tion to<br />

me<strong>di</strong>cal treatment, we provide refugees<br />

with drinking water, build sanitation<br />

months, we provided emergency aid<br />

for those made homeless and staying<br />

in reception camps. We ensured there<br />

was sufficient water supply for people<br />

living in temporary shelters and began<br />

constructing new houses. While initial<br />

measures concentrated on helping people<br />

survive, the second phase was orientated<br />

towards a broad aid programme: development<br />

of infrastructure, improvement<br />

of primary health care and<br />

hygiene relations in villages with ethnic<br />

minorities, programmes for dealing with<br />

trauma and income-generating measures<br />

for people who had partly or entirely lost<br />

their sources of income as a result of the<br />

tsunami.<br />

Vietnam: Income-generating measures for women:<br />

dressmakers proudly present their work.<br />

Thailand: Training with oxygen equipment for midwives in a refugee camp on the border with Myanmar.<br />

facilities, offer health care information and<br />

train local health workers. Responsibility<br />

for the primary health care project – also<br />

promoted by the European Commission<br />

since 2002 – for the people in surroun<strong>di</strong>ng<br />

villages within the <strong>di</strong>strict was handed<br />

over to local health authorities at the<br />

end of November <strong>2005</strong>. They have been<br />

ensuring the provision of health care<br />

themselves ever since.<br />

Imme<strong>di</strong>ately after the tsunami <strong>di</strong>saster,<br />

<strong>Malteser</strong> <strong>International</strong> sent aid<br />

workers to the south and committed<br />

itself to imme<strong>di</strong>ate aid. In the first few<br />

Vietnam<br />

<strong>International</strong> staff: 1<br />

National staff: 3<br />

Aid for 2,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Vietnam since 1966.<br />

Since the beginning of <strong>2005</strong>, <strong>Malteser</strong><br />

<strong>International</strong> has been running a programme<br />

to combat poverty in the<br />

provinces of Quang-Nam and Danang<br />

in Central Vietnam, co-financed by the<br />

German Federal Ministry for Economic<br />

Cooperation and Development. This<br />

Caroline von der Tann<br />

programme is orientated towards poor and<br />

<strong>di</strong>sadvantaged sectors of the population,<br />

particularly ethnic minorities in the<br />

mountain regions and very poor families<br />

in two coastal communities. Its aim is<br />

the improvement of the health care and<br />

nutrition situation. Through education<br />

about hygiene and health care, we are<br />

helping women improve the health and<br />

nutrition of their families. We train local<br />

health workers and improve the income<br />

opportunities for women by promoting<br />

small scale business and ensuring wider<br />

<strong>di</strong>versity in agricultural production. The<br />

installation of kitchen gardens, courses<br />

on rearing and looking after animals,<br />

the foundation of a ‘revolving fund’<br />

for the purchase of animals and the<br />

training of veterinarian assistants are also<br />

contributing to a rise in available family<br />

income and improving nutrition in the<br />

villages. We are focussing on training<br />

our project partner, the Women Union,<br />

in participatory approaches, in order to<br />

involve the village populations more<br />

intensively in the future and to support<br />

their efforts to help themselves in a more<br />

effective manner.<br />

A S I A<br />

25


ON THE SPOT: PAKISTAN<br />

Lost without a home<br />

Race against the winter after the earthquake in Pakistan<br />

(An eye-witness <strong>report</strong> from October <strong>2005</strong>)<br />

Many families are faced with ruin after the earthquake.<br />

The ground is still red<strong>di</strong>sh-brown along<br />

Edgar Road in Muzaffarabad. But in the<br />

improvised refugee camp at the foot of<br />

the Himalayas, Mulin Ameer is looking<br />

anxiously at the white peaks. Winter is<br />

coming. And the 20-year-old suspects<br />

that the <strong>di</strong>saster of the 8th of October may<br />

yet claim more victims once the snow lies<br />

on the mountains of Kashmir.<br />

“The ground opened and the house<br />

slipped into a massive chasm. My<br />

brother’s entire family was buried alive.<br />

Grandfather and I spent two days rescuing<br />

our family.” This is how Ameer described<br />

the earthquake that destroyed his village.<br />

Now he is staying here in the capital of<br />

Azad Kashmir, together with five hundred<br />

other Pakistanis who have mostly walked<br />

for several days to get here. Many are<br />

injured and have not received me<strong>di</strong>cal<br />

treatment until they got here. And many<br />

still have no roof over their heads and<br />

are housed in emergency tents or under<br />

mounted plastic sheets.<br />

Muhamed Rashid, 50, who arrived here<br />

with his wife and children, shows us his<br />

tent. “Four families are only separated<br />

down the middle with a piece of cloth.<br />

There are 15 of us sleeping in this tent.”<br />

Florian Kopp<br />

Aktion Deutschland Hilft:<br />

“Aktion Deutschland Hilft” (Action Campaign<br />

Germany Helps) is a federation of German aid<br />

organisations acting concert to provide quick and<br />

effective help in response to major <strong>di</strong>sasters and<br />

ADH / Stefan Trappe<br />

His wife complains that there is no toilet<br />

and that she always has to wait until<br />

night-time. “It’s unhealthy and all full of<br />

mud” she says, “and it’s the children who<br />

suffer most – especially at night when it<br />

gets cold.”<br />

Mulin Ameer holds his 10-yearold<br />

nephew, Nazeer, in his arms. The<br />

little boy whimpers in pain with every<br />

movement. “He’s been in pain for nine<br />

days”, his uncle says. “But before we can<br />

look after him, we must rescue and bury<br />

the dead.” Descen<strong>di</strong>ng the mountains in<br />

rainy weather along blocked paths took<br />

more than two days. Now Nazeer can be<br />

examined: his left femur is broken. “We’ll<br />

take him to a Turkish field hospital near<br />

the helicopter lan<strong>di</strong>ng pad” decides Jon<br />

Freeman from the <strong>Malteser</strong> <strong>International</strong><br />

emergency aid team, out here on an<br />

assessment for further aid projects<br />

together with Holger Sommer from ‘Die<br />

Johanniter’. In the next few days, Jon<br />

and his colleague Marie-Theres Benner,<br />

emergency aid expert from <strong>Malteser</strong><br />

<strong>International</strong>, will climb up to the cut-off<br />

villages around Muzaffarabad, battling<br />

the white peaks.<br />

Christoph Ernesti;<br />

reproducedwith the kind permission<br />

of ‘Aktion Deutschland Hilft’.<br />

Emergency and winter aid even in the<br />

inaccessible mountain villages of the<br />

Himalayas.<br />

Aktion<br />

Deutschland Hilft<br />

Das Bündnis der Hilfsorganisationen<br />

emergencies, such as after the tsunami or the earthquake in Pakistan. In times of need, the initiators<br />

of this federation for action, each an autonomous organisation in its own right, pool their knowledge<br />

and capacities, complementing one another and consolidating resources to provide the most effective<br />

help possible. During the acute phase of major <strong>di</strong>sasters abroad, “Aktion Deutschland Hilft” makes<br />

a public appeal for donations. As well as <strong>Malteser</strong> <strong>International</strong>, „Aktion Deutschland Hilft“ includes<br />

the following relief organisations: action medeor, ADRA Germany, Workers’ Samaritan Federation<br />

Germany (ASB), Workers’ Welfare Association (AWO), CARE <strong>International</strong> Germany, HELP – help to<br />

selfhelp, Johanniter Unfall-Hilfe (JUH), Paritaetischer Wohlfahrtsverband and World Vision Germany.<br />

26 A S I A


ON THE SPOT: THAIL AND<br />

Lights amongst the flood<br />

Rehabilitation after the tsunami in Thailand<br />

Ed tat lore er am, quis augait dolor susto o<strong>di</strong>am, sum<br />

ing ex er amconsenibh et aliq<br />

light balloons, Martin B. and his wife<br />

Marion stand arm in arm as tears run down<br />

their faces onto the beach. The couple<br />

survived, but 18 friends <strong>di</strong>ed, where<br />

now the shining paper balloons with<br />

coconut palm strands rise into the night<br />

sky. Martin B. is convinced that his wife<br />

survived thanks to <strong>Malteser</strong> <strong>International</strong>.<br />

She was swept along in the flood for six<br />

hours, her lungs already full of water,<br />

when <strong>Malteser</strong> <strong>International</strong> organised<br />

the life-saving helicopter.<br />

Caroline von der Tann<br />

Caroline von der Tann<br />

Mourning ceremony on 26 December <strong>2005</strong> in remembrance of the tsunami victims.<br />

The sky is full of love and that love is<br />

yellow. As they float in the dark night<br />

sky, yellow lights flicker in the cylindershaped<br />

balloons made from thin paper.<br />

There are thousands of lights; soon a<br />

sculpture like a dragon’s head appears in<br />

the sky. Then the glimmering lights fade,<br />

each bearing the memory of a loved one.<br />

Fa<strong>di</strong>ng into the <strong>di</strong>stance of the black sky<br />

above Khao Lak.<br />

Heartbreaking scenes are being<br />

played out all along the beach of Bang<br />

Niang on the first anniversary of the<br />

tsunami <strong>di</strong>saster of 26 December 2004.<br />

A Swe<strong>di</strong>sh manager weeps alongside<br />

Thai fishermen, a German teacher, a Thai<br />

princess. Around 5,400 people <strong>di</strong>ed in<br />

Thailand. <strong>Malteser</strong> <strong>International</strong> was one<br />

of the first international aid organisations<br />

on the spot. After imme<strong>di</strong>ate emergency<br />

relief that lasted two months, the process<br />

of rehabilitation began.<br />

The paths along the bank are lined with<br />

white, red and black flags. White means<br />

purity, red power and black mourning.<br />

Under palm trees, there was once Ban<br />

Bangsak, a settlement of the ‘Morgan’,<br />

sea nomad folk. The village is no longer<br />

there after the tidal wave on 26 December.<br />

When the water retreated around midday,<br />

the streets were full of bo<strong>di</strong>es.<br />

Chuay lost her husband and two<br />

children. Since the tsunami, the 70-yearold<br />

no longer sleeps properly: “You know,<br />

everything looks so lovely here, everything<br />

has been rebuilt. But how will I be able<br />

to live? I’m so afraid that something like<br />

this could happen again. And my heart is<br />

sad. My husband, my children!” Chuay<br />

cuts another betel nut with a sharp knife<br />

and covers it in red powder, then puts the<br />

leaf-like nut into her mouth. As the old<br />

woman is hard to understand anyway<br />

due to her missing teeth, the rest of what<br />

she is saying vanishes amongst vigorous<br />

chewing motions.<br />

Ban Bangsak has been half rebuilt by<br />

<strong>Malteser</strong> <strong>International</strong>. New sanitary<br />

facilities have been installed, electricity<br />

and water supply connected, 31 houses<br />

built and 150 survivors have moved back.<br />

But <strong>Malteser</strong> <strong>International</strong>’s aim is not<br />

just material reconstruction: with the help<br />

of a psychologist and a social worker, it<br />

is provi<strong>di</strong>ng psycho-social care to help<br />

traumatised people like Chuay.<br />

The <strong>di</strong>saster has also left its mark on<br />

those grieving in Khao Lak. Under the<br />

Caroline von der Tann<br />

Grateful village resident in front of his new house in<br />

Ban Bangsak.<br />

Chuay: Since the tsunami, she has not been able any<br />

more to sleep properly.<br />

A S I A<br />

27


ON THE SPOT: C AMBODIA<br />

Bamboo stretchers instead of ambulances<br />

On the painstaking development of health care in the north of Cambo<strong>di</strong>a<br />

A hammock, a bamboo stick, a ra<strong>di</strong>o<br />

and first aid equipment – these are Rin<br />

Bun Ruoy’s magic tools that are intended<br />

to save lives in an emergency. The 29-<br />

year-old’s wooden hut is what could be<br />

termed the ‘control centre’ of Por Chas,<br />

a village in the north of Cambo<strong>di</strong>a with a<br />

population of about 200. In this isolated<br />

region, lack of communication and<br />

transport options is responsible for many<br />

deaths. But now Por Chas has a first aid<br />

team.<br />

This ‘village emergency referral system’<br />

is the first <strong>di</strong>vision of a threelevel<br />

health care system developed by<br />

<strong>Malteser</strong> <strong>International</strong> in the province of<br />

Oddar Meanchey in cooperation with the<br />

government and the ‘Cambo<strong>di</strong>a Health<br />

and Human Rights Alliance’. A major<br />

problem here are the mines left behind<br />

from a decade of war, still buried in<br />

fields and paths. The voluntary first aid<br />

team looks after the injured and carries<br />

them to the nearest ox-cart in Ruoy’s<br />

hammock suspended from a bamboo<br />

stick. Sometimes they have to carry the<br />

patients on foot to the nearest health care<br />

centre due to flooded streets.<br />

The second level is the health care<br />

centres, of which there are now 14 in Oddar<br />

Meanchey. The aim is for every location<br />

to be a maximum of 15 kilometres away<br />

from the nearest centre. The whitewashed<br />

centre in the nearby village of Kok Mon is<br />

Caroline von der Tann<br />

Emergency exercise: training village residents to form a first aid team.<br />

ruled by Orn Han. The learned orderly and<br />

his nine colleagues look after 28 villages<br />

with more than 15,000 residents. Between<br />

30 and 100 people arrive every day for<br />

treatment and advice. Prices are listed on<br />

a large board outside the house: a malaria<br />

test costs around 2,000 Riel, treatment<br />

of a minor injury costs 3,000 Riel. 4,000<br />

Riel equals roughly one dollar, the same<br />

price as a can of Coke. The me<strong>di</strong>cal staff<br />

receive just short of half the treatment<br />

costs as their salary, while the other half<br />

is spent on equipment. No wonder that<br />

Orn Han also has to cultivate his fields in<br />

order to survive.<br />

The provincial hospital in Samrong is<br />

responsible for the entire province. When<br />

<strong>Malteser</strong> <strong>International</strong> came to Samrong<br />

seven years ago, there weren’t even any<br />

beds, let alone an ambulance. Patients<br />

had to be collected and sent home by<br />

taxi, explains Dr. Sokomar, the former<br />

manager of the hospital. Since then,<br />

there is now a surgeon who can perform<br />

simple operations. And technical me<strong>di</strong>cal<br />

assistants carry out the most vital tests in<br />

a small laboratory.<br />

But all this is useless if patients don’t<br />

reach the hospital in time. And for that<br />

reason, Rin Bun Ruoy’s hammock may<br />

well be the gateway to a modern health<br />

care system. At least for the 236 residents<br />

of Por Chas.<br />

Caroline von der Tann<br />

Caroline von der Tann<br />

The ‘village emergency referral system’ ensures rapid treatment of injured people<br />

in isolated areas.<br />

Provincial hospital in Samrong: operations are now possible here.<br />

28 A S I A


America<br />

In <strong>2005</strong>, the federal states of Louisiana and Mississippi were the setting for the worst natural <strong>di</strong>saster to<br />

ever hit the USA. Countries in Central America were also affected by serious natural <strong>di</strong>sasters, which<br />

mainly hit those who were most vulnerable, due to low income and poor living con<strong>di</strong>tions. Hurricane<br />

Katrina and Hurricane Stan inflicted unimaginable damage in August and October, causing the<br />

deaths of over 3,000 people. Together with the national associations of the Order of <strong>Malta</strong>, <strong>Malteser</strong><br />

<strong>International</strong> is supporting reconstruction after the <strong>di</strong>saster, focussing on those who are incapable<br />

themselves of making a new start.<br />

When the storm was over<br />

Aid for the victims of Hurricane Katrina in the United States<br />

Volunteers clear away unusable<br />

furniture and flooring from houses in<br />

need of renovation.<br />

United States of America<br />

<strong>International</strong> staff: 1<br />

Aid for over 400 families in New<br />

Orleans<br />

On 29 August 2006, Hurricane<br />

Katrina hit land in the state of Louisiana<br />

approximately 30 kilometres east of New<br />

Orleans. The levee system protecting<br />

residents against the water of Lake<br />

Pontchatrain and the Mississippi river<br />

collapsed in several places. Over 100,000<br />

households were submerged in more than<br />

a metre of water. More than a million<br />

people were forced to leave their homes.<br />

Around 1,200 people <strong>di</strong>ed in the storm.<br />

It took over three months before the city<br />

was finally free of water again.<br />

The greatest challenge now is the<br />

rebuil<strong>di</strong>ng of homes. “Many of the<br />

evacuees have only one goal, despite all<br />

the obstacles in their path,” says Joan<br />

Diaz, born and brought up in New Orleans.<br />

“They want to return to their houses, to<br />

a familiar environment – and as soon as<br />

possible.” Joan is the head of ‘Helping<br />

Hands’, an initiative started by the<br />

Arch<strong>di</strong>ocese of New Orleans to provide<br />

reconstruction aid. Supported by the<br />

three American associations of the Order<br />

of <strong>Malta</strong> and by <strong>Malteser</strong> <strong>International</strong>,<br />

teams of between ten and 15 volunteers<br />

The renovation of the houses in New Orleans<br />

sometimes is quite exhausting for the volunteers.<br />

have been working in the poorest quarters<br />

of the city since November <strong>2005</strong> and are<br />

helping residents clear and clean their<br />

houses and prepare them for renovation.<br />

By March 2006, over 150 houses had<br />

been cleaned and protected against<br />

mould, thanks to the help of more than<br />

1,200 volunteers.<br />

In the second phase of the ‘house<br />

renovation programme’ <strong>Malteser</strong> <strong>International</strong><br />

is collaborating with another<br />

highly competent partner organisation:<br />

‘Rebuil<strong>di</strong>ng Together’ has been engaged<br />

in the renovation of houses for particularly<br />

needy citizens in various cities in the<br />

United States for over 18 years. “In order<br />

to be able to offer renovation support to<br />

even a fraction of the people who ask us<br />

for help, we are reliant on partners such as<br />

the American associations of the Order of<br />

<strong>Malta</strong> and <strong>Malteser</strong> <strong>International</strong>,” says<br />

Bryon Cornelison, head of the ‘Rebuil<strong>di</strong>ng<br />

Together’ programme in New Orleans.<br />

Together with <strong>Malteser</strong> <strong>International</strong><br />

project coor<strong>di</strong>nator Osvaldo Marcenaro,<br />

Bryon is working on 32 complete<br />

renovations. Volunteers with technical<br />

training are working together with<br />

volunteers from the Order’s associations<br />

on two to three houses each month until<br />

they are ready for occupancy again.<br />

A M E R I C A<br />

29


ON THE SPOT: NEW ORLE ANS<br />

Helping hands in the eye of the storm<br />

A volunteer, also a member of the Federal Association of the Order of <strong>Malta</strong><br />

in the USA, <strong>report</strong>s on the reconstruction of New Orleans<br />

Eight months after the hurricane, the<br />

scope of the damage is still beyond<br />

description. While the St. Louis flood of<br />

1993 destroyed some homes as thoroughly<br />

as those ravaged by Katrina, the damage<br />

was generally confined to much smaller<br />

areas. In New Orleans, we literally drove<br />

for miles in almost any <strong>di</strong>rection and<br />

saw nothing but empty homes, vacated<br />

businesses and abandoned vehicles all<br />

around us.<br />

We had heard of the work of <strong>Malteser</strong><br />

<strong>International</strong> around the world and had<br />

supported it with contributions. Never<br />

before, however, had we participated<br />

in this work in a hands-on fashion. The<br />

particular work in which we took part was<br />

rebuil<strong>di</strong>ng the home of a widow in New<br />

Orleans.<br />

Lynette had been chosen by ‘Catholic<br />

Charities’ as an especially deserving<br />

beneficiary of our efforts. The more we<br />

got to know her, the more we agreed.<br />

Her effusive gratitude that strangers from<br />

all over the country had not forgotten<br />

about her or her neighbours was the<br />

greatest reward any of us could ever have<br />

wanted.<br />

Members from all three associations of<br />

the Order of <strong>Malta</strong> in the United States had<br />

been sent as volunteers to New Orleans<br />

for the ‘house renovation programme’.<br />

The 26 members of our group came from<br />

Florida, California, Massachusetts and<br />

points in between. We varied in age and<br />

One of the renovated houses: successful cooperation between ‘Helping Hands’, ‘Rebuil<strong>di</strong>ng Together’ and<br />

the Order of <strong>Malta</strong>.<br />

in levels of skill. We stripped wallpaper,<br />

caulked, cleared debris, landscaped,<br />

installed light fixtures, assembled and<br />

installed cabinets, installed floors, painted<br />

and painted and painted some more. The<br />

transformation in Lynette‘s house in less<br />

than 96 hours was truly remarkable.<br />

The real miracle, however, was evident<br />

on Lynette‘s face. She said on more than<br />

one occasion that the Order of <strong>Malta</strong> had<br />

answered her prayers. God had responded<br />

through human hands.<br />

Tom Albrecht, volunteer in the ‘house<br />

renovation programme’ in New Orleans<br />

Lynette has lived in her house in New Orleans<br />

since 1993, recently with her youngest son<br />

Shane, who suffers from a manic depressive<br />

illness. She works for a large construction<br />

company, working on the design of a tank<br />

for NASA. She has five children and six<br />

grandchildren. Before the hurricane, she was<br />

also caring for her parents. Her father <strong>di</strong>ed in<br />

2004 and her mother <strong>di</strong>ed on 22 August <strong>2005</strong>,<br />

only a week before the hurricane. Lynette is<br />

happy that her mother <strong>di</strong>d not have to cope<br />

with the evacuation.<br />

Lynette was evacuated on the Friday before<br />

the hurricane. For several months, she lived<br />

with one of her daughters. Since then she<br />

has been living in one of the trailers provided<br />

for so many hurricane victims. Unfortunately,<br />

she had to wait several weeks for a power<br />

connection. She would have loved to make her<br />

famous enchiladas for the volunteers. Now she<br />

is overjoyed with her new home.<br />

Volunteers of all ages from the<br />

Order of <strong>Malta</strong> participate in<br />

renovation work.<br />

30 A M E R I C A


Aid for the victims of Hurricane Stan<br />

Mexico<br />

Aid for over 5,000 people<br />

Mexico: Emergency aid for hurricane victims: provision of basic foodstuffs, me<strong>di</strong>cine and water.<br />

The Central American states <strong>di</strong>d not<br />

come through the particularly severe<br />

<strong>2005</strong> hurricane season unscathed either.<br />

Between 4 and 8 October, Hurricane Stan<br />

and the deluges that followed inflicted<br />

incre<strong>di</strong>ble damage. In the Chiapas region<br />

in south Mexico in particular, floods and<br />

mudslides destroyed crops, swept houses<br />

away and led to the weakening of the<br />

entire infrastructure. Those that suffered<br />

the most in the <strong>di</strong>saster were the people<br />

living in rural mountainous regions,<br />

who were robbed of what few sources of<br />

income they had.<br />

As part of emergency aid, the Mexican<br />

Association started a project in the<br />

community of Motozintla north of<br />

Tapachulas with the support of <strong>Malteser</strong><br />

<strong>International</strong>, covering short-term need<br />

for food relief and making a long-term<br />

contribution to the reconstruction of the<br />

surroun<strong>di</strong>ng villages. A small production<br />

site for tortillas is to be supplied with<br />

basic ingre<strong>di</strong>ents for a year and should<br />

become a self-sufficient community<br />

project as of the next harvest. Despite<br />

the obstacles in hard-to-access regions<br />

caused by the collapsed infrastructure,<br />

this ‘tortilladora’ started operations in<br />

May 2006. Since then, over 5,000 people<br />

have regularly been receiving food from<br />

this small production site.<br />

Guatemala<br />

Aid for over 3,500 people<br />

The Association of the Order of <strong>Malta</strong><br />

in Guatemala also provided imme<strong>di</strong>ate<br />

aid for those affected by Hurricane<br />

Stan, <strong>di</strong>stributing food and me<strong>di</strong>cine. In<br />

cooperation with <strong>Malteser</strong> <strong>International</strong>, a<br />

project was started in Santiago Atitlán to<br />

improve local primary health care. Special<br />

emphasis was placed on families who<br />

had been forced to move into corrugated<br />

iron shelters after the hurricane. The<br />

improvement of hygiene con<strong>di</strong>tions and<br />

food supply are crucial elements of the<br />

project, as is psycho-social support and<br />

care for those affected.<br />

Mexico: The provision of drinking water takes top priority after the <strong>di</strong>saster.<br />

A M E R I C A<br />

31


Europe<br />

Balkans<br />

National staff: 28<br />

Aid for 2,000 people<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

the Balkans since 1995.<br />

The reorganisation after the<br />

collapse of the former Federal State<br />

of Yugoslavia has still not yet reached<br />

its final conclusion today. Separation<br />

between Serbia and Montenegro has<br />

been realised; the federal <strong>di</strong>versity<br />

of Bosnia and Herzegovina remains<br />

unproven in reality and the future<br />

status of Kosovo remains open.<br />

Irrespective of the political path taken<br />

and yet to be taken by the successor<br />

states, they all remain united in a deep<br />

social and economic crisis today, with<br />

the exception of Slovenia.<br />

<strong>Malteser</strong> <strong>International</strong> has been<br />

working in the Balkans for over ten years.<br />

Initially, work concentrated on emergency<br />

aid measures such as the <strong>di</strong>stribution of<br />

hygiene and food packages, but later the<br />

focus became rehabilitation and structural<br />

aid projects. The aim was and is to help<br />

people develop a new peaceful centre<br />

of life after years of bloody conflict and<br />

<strong>di</strong>splacement. Over the years, <strong>Malteser</strong><br />

<strong>International</strong> has developed two project<br />

forms still running today in the focus<br />

regions of Bosnia and Herzegovina and<br />

Kosovo.<br />

Women’s initiatives in Bosnia<br />

and Kosovo<br />

As many men <strong>di</strong>ed in the wars or were<br />

injured and returned home traumatised,<br />

the central organisational role in life<br />

after war fell to the women in many<br />

families. Working with local women’s<br />

groups, we developed programmes and<br />

measures intended to reinforce women’s<br />

skills, self-confidence and independence.<br />

Kosovo: The support of small-scale businesses – such<br />

as this coffee-roasting plant – improves the financial<br />

situation of many households.<br />

This includes careers training, the<br />

promotion of small trades, preventative<br />

health promotion, legal advice, the<br />

development and strengthening of<br />

local non-governmental organisations<br />

and reconciliation work. This concept<br />

developed in Bosnia was also adopted in<br />

Kosovo after 1999 and later even in Asian<br />

project areas.<br />

The foundation created in 2002 under<br />

the name ‘Bosnian-Herzegovina Women<br />

Initiative’ (BHWI) has been running all<br />

women’s projects for us since then as a<br />

local agency. For example, it counsels<br />

and supports unemployed women in the<br />

setting up of a business. The next step in<br />

independence was taken in <strong>2005</strong> when<br />

the BHWI requested subsi<strong>di</strong>es itself for<br />

the first time and received them.<br />

Income-generating measures<br />

Our income-generating measures are<br />

used to promote the integration of those<br />

returning home by helping them to found<br />

small businesses and service industries.<br />

Kosovo: Production sites for toilet paper: work and<br />

income for numerous families.<br />

Aid recipients pledge to donate part of<br />

the income they receive from their first<br />

year of operation to social and charitable<br />

projects, thus provi<strong>di</strong>ng simultaneous<br />

support for the development of civil<br />

society and democratic structures. In<br />

this way, we have promoted about 600<br />

in<strong>di</strong>vidual projects in Bosnia alone since<br />

2000, reaching more than 3,000 people in<br />

family and neighbourhood groups. Since<br />

2002, 650 people have found work in<br />

Kosovo in 230 businesses, thus creating<br />

a new existence for themselves and their<br />

families.<br />

Refugees and returnees<br />

On behalf of the United Nations High<br />

Commissioner for Refugees (UNHCR),<br />

<strong>Malteser</strong> <strong>International</strong> has accompanied<br />

135 refugee convoys over the past year,<br />

mainly carrying refugees home from<br />

Bosnia to Croatia, and also in the opposite<br />

<strong>di</strong>rection in some cases. We also provided<br />

those most in need when repatriated<br />

with an initial aid of up to EUR 100 per<br />

person.<br />

‘Rigid Shelter’ – a roof for the winter<br />

Some people in Kosovo are still<br />

without fixed accommodation that offers<br />

sufficient protection against the hard<br />

winter. On behalf of UNHCR, <strong>Malteser</strong><br />

<strong>International</strong> has installed winter-proof<br />

ready-built houses for returning refugee<br />

families. In this way, around 20 families<br />

were provided with a new, secure home<br />

in <strong>2005</strong>.<br />

Kosovo: Thanks to a small loan, this hairdresser has<br />

been able to re-open his salon.<br />

32 E U R O P E


ON THE SPOT: BOSNIA AND HERZEGOVINA<br />

Regaining strength with spinach<br />

Income-generating measures in Bosnia and Herzegovina<br />

Potatoes, onions and spinach – Borislav<br />

Acimovic has always cultivated them at<br />

home in his village Humi-Lisan near<br />

Mostar. But he hasn’t been able to for<br />

twelve years. The civil war forced the 64-<br />

year-old Serb to flee his home. He only<br />

returned in 2004 – and had to start again<br />

from scratch. Together with his wife, he<br />

now lives within 16 square metres, but it<br />

is lack of money and machinery that really<br />

affects the couple, not lack of space.<br />

Acimovic found out from friends about<br />

the projects run by <strong>Malteser</strong> <strong>International</strong><br />

to promote income-generating measures<br />

– and a few meetings later, thanks to the<br />

financial support of <strong>Malteser</strong> <strong>International</strong><br />

he bought a petrol-run manual tractor<br />

together with three neighbours. <strong>Malteser</strong><br />

<strong>International</strong> checks each request carefully<br />

to ensure that the project is viable on a<br />

long-term basis and promotes mutual aid<br />

groups amongst the returnees.<br />

In autumn <strong>2005</strong>, Acimovic supplied two<br />

old people’s homes in Mostar with 300<br />

kilograms of potatoes and 300 kilograms<br />

of spinach – his repayment obligation<br />

that <strong>Malteser</strong> <strong>International</strong> implements to<br />

Borislav Acimovic with his manual tractor, which he<br />

was able to buy thanks to a small loan.<br />

support social organisations. And he’ll be<br />

back next year in gratitude: “I had such<br />

a great harvest that I was able to pay my<br />

debts in two instalments instead of five.<br />

Even though I’ve already covered the<br />

repayment sum, I’d like to donate part of<br />

my next harvest to an old people’s home<br />

again.”<br />

The village community also profits from incomegenerating<br />

measures: Borislav Acimovic gives part of<br />

his harvest to the local old people’s home.<br />

Turkey<br />

Aid for 240 mentally <strong>di</strong>sabled<br />

children and their families<br />

<strong>Malteser</strong> <strong>International</strong> has worked in<br />

Turkey since the earthquake in 1999.<br />

Once emergency aid ended, <strong>Malteser</strong><br />

<strong>International</strong> worked out with its local<br />

partners which earthquake victims were<br />

in need of particular attention in the<br />

rehabilitation phase. There were naturally<br />

a lot of supply gaps and a great need<br />

for reconstruction, but one group was<br />

threatening to fall through the developing<br />

supply net: <strong>di</strong>sabled children whose<br />

parents’ livelihood had suffered as a<br />

result of the earthquake. So we decided<br />

to establish a centre for these children<br />

and their parents in which the children’s<br />

physical capabilities could be developed<br />

and encouraged in such a way that it<br />

would later be possible to integrate at least<br />

Care for <strong>di</strong>sabled children and support for their<br />

parents.<br />

a few of them into the working world.<br />

This project has since developed into a<br />

pilot project in Turkey that is receiving a<br />

lot of recognition. Further vital measures<br />

included erecting a health care centre in<br />

the earthquake region and constructing a<br />

first aid training centre.<br />

In <strong>2005</strong>, <strong>Malteser</strong> <strong>International</strong> continued<br />

cooperation with its Turkish<br />

partner ‘<strong>International</strong> Blue Crescent’ in<br />

Foundation of a health care centre in the earthquake<br />

region – together with the local partner ‘<strong>International</strong><br />

Blue Crescent’.<br />

Izmit and its surroun<strong>di</strong>ngs, the epicentre<br />

of the severe earthquake in 1999. As<br />

before, the focus of this aid is the centre<br />

for 240 mentally han<strong>di</strong>capped children<br />

in Izmit. Here, we are continuing to<br />

support training measures and movement<br />

therapies that ease the life of the children<br />

and their parents.<br />

E U R O P E<br />

33


Central and Eastern Europe<br />

Within the framework of a programme actually exten<strong>di</strong>ng beyond humanitarian aid, <strong>Malteser</strong><br />

<strong>International</strong> also supports the development of partner organisations and social services in Central<br />

and Eastern Europe. This programme comprises both international and national aspects:<br />

● Support for the 13 <strong>Malteser</strong> aid organisations currently in Central and Eastern Europe: over<br />

the past year, we have focused particularly on advising and creating a network for our partner<br />

organisations.<br />

● Promotion of the German <strong>Malteser</strong> relief agency‘s work abroad, which is mainly volunteer-based<br />

and since the foundation of <strong>Malteser</strong> <strong>International</strong> acts under the name ‘<strong>Malteser</strong> Auslands<strong>di</strong>enst’<br />

(<strong>Malteser</strong> Foreign Service): the central points here are consolidating existing partnerships and<br />

training our representatives abroad.<br />

Flood aid in Romania and its<br />

neighbouring countries<br />

Barely noticed by the Western me<strong>di</strong>a, a<br />

dreadful flood <strong>di</strong>saster hit Romania and a<br />

few of its neighbouring countries between<br />

April and September. It resulted in the<br />

deaths of 31 people, destroyed thousands<br />

of houses, paralysed the infrastructure<br />

in broad areas of the country and caused<br />

material damage totalling over EUR 1.2<br />

billion.<br />

The <strong>Malteser</strong> relief agencies in<br />

Romania, Serbia and Hungary introduced<br />

extensive emergency aid and<br />

reconstruction measures. <strong>Malteser</strong><br />

<strong>International</strong> supported its partner relief<br />

agencies with financial aid totalling<br />

EUR 200,000. In this way, food, blankets<br />

and hygiene articles were <strong>di</strong>stributed to<br />

the flood victims. Since summer <strong>2005</strong>,<br />

the Romanian <strong>Malteser</strong> aid agency<br />

SAMR (Serviciul de Ajutor Maltez în<br />

România) has also carried out measures<br />

to secure livelihoods and rebuild homes,<br />

<strong>di</strong>stributing agricultural equipment, seeds<br />

and livestock to the affected population.<br />

Numerous German <strong>Malteser</strong> groups also<br />

supported their partner with flood aid.<br />

When the Danube burst its banks again<br />

in April 2006 and flooded further regions<br />

in the south of Romania, SAMR was on<br />

the spot imme<strong>di</strong>ately and able to provide<br />

rapid and professional help on the basis of<br />

its experiences of the previous year: the<br />

Romanian <strong>Malteser</strong> partner organisation<br />

provided emergency aid for the worst-hit<br />

villages in the eastern Romanian <strong>di</strong>strict<br />

of Tulcea and <strong>di</strong>stributed 300 packages<br />

with food, blankets and hygiene articles.<br />

With the financial support of the German<br />

Foreign Office and <strong>Malteser</strong> <strong>International</strong>,<br />

it erected temporary tent accommodation<br />

for evacuated residents. SAMR is also<br />

planning to take part in the reconstruction<br />

of the destroyed villages.<br />

34 E U R O P E


<strong>Malteser</strong> management conference in<br />

Central and Eastern Europe concludes<br />

partnership codex<br />

At the third annual conference in<br />

Timişoara, Romania, the management<br />

representatives of the Central and Eastern<br />

European <strong>Malteser</strong> relief agencies reached<br />

a milestone in their networking process:<br />

On 5 October <strong>2005</strong>, representatives from<br />

Lithuania, Poland, Romania, the Czech<br />

Republic, St. Petersburg/Russia, the<br />

Ukraine and from <strong>Malteser</strong> <strong>International</strong>,<br />

plus Albrecht Freiherr von Boeselager,<br />

Grand Hospitaller of the Order of <strong>Malta</strong>,<br />

signed a partnership codex regulating<br />

the fundamentals and basic principles of<br />

their international cooperation; the heads<br />

of <strong>Malteser</strong> associations in Hungary,<br />

Latvia and Albania, plus the President of<br />

the German <strong>Malteser</strong> relief agency, Dr.<br />

Constantin von Brandenstein-Zeppelin,<br />

also signed the codex since then.<br />

Conference participants also <strong>di</strong>scussed<br />

the spiritual basis of their work and their<br />

understan<strong>di</strong>ng of voluntary work. In the<br />

run-up to the conference, the hosts gave<br />

participants an insight into some of their<br />

projects.<br />

First introductory seminar for<br />

<strong>Malteser</strong> volunteers working in<br />

foreign aid<br />

For the first time, <strong>Malteser</strong> <strong>International</strong><br />

offered a seminar for voluntary <strong>Malteser</strong><br />

staff working in foreign aid, between 9 and<br />

11 December <strong>2005</strong> at the <strong>Malteser</strong> training<br />

centre in Ehreshoven. The introductory<br />

seminar ‘Competence in Foreign Aid’<br />

Participants in the first basic seminar for work abroad in Ehreshoven.<br />

provided theoretical and practical basic<br />

knowledge for volunteer usage abroad<br />

for the 15 participants from Germany<br />

and Austria. A task force of experienced<br />

volunteer and employed foreign service<br />

workers compiled the course concept,<br />

which was tested in a pilot run in 2004<br />

and then developed into a form ready for<br />

the seminar.<br />

Albrecht Freiherr von Boeselager, Grand Hospitaller of the Order of <strong>Malta</strong>, signs the partnership codex.<br />

“The introductory seminar on foreign aid<br />

offered a very successful mixture of theory and<br />

practice in a very appealing atmosphere for<br />

me. The variety of subjects under <strong>di</strong>scussion,<br />

highlighting basic segments of <strong>Malteser</strong><br />

work abroad, was also a success in terms<br />

of form, thanks to the expert, competent<br />

and humorous presentations by the course<br />

team. Joint <strong>di</strong>scussions about the current<br />

path of our work abroad benefited from<br />

both the future-orientated presentation from<br />

<strong>Malteser</strong> <strong>International</strong> and an appreciation of<br />

decades of experience in aid and application<br />

that makes it possible for foreign aid to be<br />

experienced always ‘at its best’ as a <strong>Malteser</strong><br />

presence – particularly in its aid for the needy<br />

which I feel personally to be so affecting.” – as<br />

summarised by one of the participants.<br />

E U R O P E<br />

35


ON THE SPOT: ROMANIA<br />

The end of the road: Banat Ocean<br />

Zsuzsa Barla, Secretary General of the Romanian relief agency SAMR (Serviciul de Ajutor Maltez în<br />

România), <strong>report</strong>s on aid during the <strong>2005</strong> flood<br />

Necessity is the mother of invention: collecting relief goods on a homemade raft.<br />

The bridge to Otelec ends in nothing:<br />

no asphalt any more, no boundary stones,<br />

nothing on the horizon but treetops. And a<br />

worrying silence. Only the noise here and<br />

there of walls bursting under the pressure<br />

of the water. When we were on our way<br />

to <strong>di</strong>scover the extent of damage in west<br />

Romania in April <strong>2005</strong>, we had to turn<br />

back before Otelec, which is normally<br />

25 kilometres away from the River<br />

Timiş. And we saw what it was the press<br />

were renaming in terms of Romanian<br />

geography: the Banat Ocean.<br />

But after returning to the <strong>Malteser</strong><br />

centre in Klausenburg and to the other<br />

affected areas, the initially paralysing<br />

horror gave way quickly to research,<br />

planning and preparation of aid projects:<br />

damages were calculated, contact made<br />

with other organisations participating<br />

in flood aid. Soon after, the Romanian<br />

relief agency SAMR, cooperating with<br />

<strong>Malteser</strong> <strong>International</strong>, was able to come<br />

to the rescue of flood victims from the<br />

Banat with humanitarian aid totalling<br />

over EUR 100,000. For example, in<br />

Otelec we organised a field kitchen for<br />

flood victims from the Timiş <strong>di</strong>strict.<br />

Residents affected by the floods and now<br />

most concerned about the reconstruction<br />

of their houses were thus provided daily<br />

with a warm meal.<br />

Beginning in spring <strong>2005</strong>, Romania<br />

was afflicted by the worst flood the<br />

country has seen in more than 100<br />

years. A sequence of six tidal waves hit<br />

almost every region within Romania:<br />

first Transylvania, then the Banat and<br />

in July Moldova and Walachia. August<br />

brought two simultaneous tidal waves<br />

across the country. In autumn, the rains<br />

returned, this time in the south. More<br />

than 30 people <strong>di</strong>ed, with hundreds of<br />

locations submerged under water. Across<br />

the country, the flood caused damage of<br />

over EUR 1 billion.<br />

It is mainly elderly people who have been affected by<br />

the floods.<br />

In ad<strong>di</strong>tion to emergency aid, a longterm<br />

aid programme was also started.<br />

SAMR and <strong>Malteser</strong> <strong>International</strong><br />

helped rebuild and re-equip the houses<br />

of pensioners and poor families with<br />

many children. The Czech <strong>Malteser</strong> relief<br />

agency, experienced in flood aid, also<br />

came to help us and provided 71 hot-air<br />

heaters so that we could dry the houses<br />

out as quickly as possible and make them<br />

habitable once more.<br />

Given that the international me<strong>di</strong>a<br />

barely <strong>report</strong>ed the flood <strong>di</strong>saster in<br />

Romania at all, and only quite some time<br />

after it happened, it was remarkable how<br />

interested the Romanian press, ra<strong>di</strong>o<br />

and television were in the actions of the<br />

<strong>Malteser</strong> agencies. Possibly because<br />

SAMR was one of the few domestic aid<br />

organisations who reacted quickly and<br />

effectively to the flood <strong>di</strong>saster.<br />

Even though no one could have wished<br />

for an event such as the <strong>2005</strong> flood in<br />

Romania, it <strong>di</strong>d at least mean that we found<br />

out once again that positive cooperation<br />

between the <strong>Malteser</strong> agencies from<br />

<strong>di</strong>fferent countries is possible and can be<br />

a blessing for those affected by <strong>di</strong>saster.<br />

<strong>Malteser</strong> flood aid in <strong>2005</strong> brought us<br />

closer together and we collected valuable<br />

experiences that will enable us to react<br />

responsibly to similar situations in the<br />

future.<br />

Zsuzsa Barla, Secretary General of SAMR, in<br />

conversation with flood victims.<br />

36 E U R O P E


Facts and Figures<br />

Experts abroad<br />

Local staff employment<br />

per region<br />

<strong>2005</strong> 2004<br />

Africa 411 346<br />

Angola 19 24<br />

DR Congo 126 98<br />

Ethiopia 2 12<br />

Kenya 14 23<br />

Sudan 237 170<br />

Uganda 13 19<br />

Asia 426 442<br />

Afghanistan 197 279<br />

Cambo<strong>di</strong>a 18 20<br />

In<strong>di</strong>a 1 -<br />

Indonesia 31 -<br />

Iran 1 2<br />

Iraq 1 -<br />

Myanmar 120 110<br />

Pakistan 4 -<br />

Sri Lanka 10 -<br />

Thailand 40 27<br />

Vietnam 3 4<br />

Expatriate employment<br />

per region<br />

Africa Asia Balkans America<br />

Expatriates by education and occupation<br />

trainees / project assistants 16<br />

consultants 6<br />

engineers 6<br />

33 88 0 1<br />

others 2<br />

physicians 21<br />

nurses and orderlies 12<br />

midwives 2<br />

parame<strong>di</strong>cs 7<br />

Balkans 28 34<br />

Bosnia and Herzegowina 16 19<br />

Kosovo 12 11<br />

Macedonia - 1<br />

Serbia - 3<br />

865 822<br />

coor<strong>di</strong>nators / managers 31<br />

project managers 6<br />

logistics specialists /<br />

administrators 13<br />

Hinrich Bernzen<br />

F A C T S A N D F I G U R E S<br />

37


<strong>Annual</strong> accounts as of 31 December <strong>2005</strong><br />

<br />

<br />

Balance sheet<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Income statement<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Au<strong>di</strong>tor’s <strong>report</strong><br />

38<br />

F A C T S A N D F I G U R E S


Notes on the income statement<br />

For consolidation reasons, the income<br />

statement of <strong>Malteser</strong> <strong>International</strong><br />

is prepared accor<strong>di</strong>ng to the system<br />

of accounts established by <strong>Malteser</strong><br />

Hilfs<strong>di</strong>enstes e.V. The structure of the<br />

income statement (but not the au<strong>di</strong>ted<br />

contents) therefore <strong>di</strong>ffers in some<br />

respects from the presentation of data<br />

elsewhere in this <strong>Annual</strong> Report and is<br />

briefly explained in the following notes.<br />

INCOME<br />

Sales revenues include all income from<br />

supplies and services provided. Other<br />

operating income includes: allocations<br />

and grants from the public sector (project<br />

funds provided by the German Federal<br />

Foreign Office and the German Federal<br />

Department of Economic Cooperation<br />

and Development [BMZ] amounting<br />

to EUR 1,292,990 and by the European<br />

Union amounting to EUR 5,752,337),<br />

church contributions (project resources<br />

of EUR 13,175) and contributions by<br />

third parties (UNHCR amounting to<br />

EUR 1,072,532, UNICEF, DAHW and<br />

donations received and claimed via ADH<br />

amounting to EUR 9,192,403).<br />

Other operating income also includes<br />

income from donations and internal<br />

<strong>Malteser</strong> organisation contributions<br />

amounting to a combined total of EUR<br />

14,551,092, as well as a special collection<br />

by the German Conference of Bishops for<br />

the tsunami victims, amounting to EUR<br />

3,127,675.<br />

Grants from both public and private<br />

donors which cannot be used in the<br />

current financial year (e.g. for projects<br />

that last for several years or are carried<br />

over into the next year), as well as<br />

donations which cannot be used fully in<br />

the current financial year (since a large<br />

proportion of donations is received at the<br />

end of the year), are carried over to the<br />

next year and then used. The use of these<br />

funds is shown under Income from the<br />

reversal of liabilities from investment<br />

allocations / appropriated donations<br />

and grants not yet used. (The carryover<br />

of such funds to the following year<br />

is shown under Expenses for transfer to<br />

liabilities of payables from donations<br />

and grants not yet used).<br />

E XPENDITURE<br />

The items Cost of materials and<br />

Personnel expenses comprise the majority<br />

of <strong>di</strong>rect project costs (e.g. costs of<br />

me<strong>di</strong>cine and relief items of a combined<br />

total of EUR 9,593,658, payments to<br />

buil<strong>di</strong>ng contractors in reconstruction<br />

projects, costs of international and local<br />

project staff), as well as parts of the<br />

in<strong>di</strong>rect project costs and administrative<br />

costs (non project-specific staff costs).<br />

The item Other operating expenses<br />

also includes <strong>di</strong>rect project costs (e.g.<br />

structural aid and <strong>di</strong>rect project support<br />

for local partners in Eastern Europe<br />

amounting to EUR 681,500; freight and<br />

transport charges), as well as in<strong>di</strong>rect<br />

project costs (pro-rata costs of me<strong>di</strong>a and<br />

public relations, costs of staff recruitment<br />

and support) and administrative costs<br />

(rent, IT).<br />

In <strong>2005</strong>, administrative costs amounted<br />

to less than eight percent of our total<br />

expen<strong>di</strong>ture.<br />

Incoming donations<br />

Development of incoming donations (rounded up)<br />

Incoming donations<br />

Source of fun<strong>di</strong>ng<br />

25,000,000<br />

EUR 23,743,000<br />

Aktion Deutschland Hilft (ADH; Action<br />

Campaign Germany Helps)<br />

EUR 9,192,000*<br />

Private donations<br />

EUR 11,423,000<br />

20,000,000<br />

39 %<br />

48 %<br />

15,000,000<br />

thereof by ADH:<br />

EUR 9,192,000*<br />

10,000,000<br />

13 %<br />

5,000,000<br />

EUR 3,235,000 EUR 3,045,000<br />

2003 2004 <strong>2005</strong><br />

* Further donations (tsunami) of ADH amounting to EUR 8,560,064 are already budgeted,<br />

even though they have not yet been claimed.<br />

Special collection by the German<br />

Bishops’ Conference for the victims of<br />

the seaquake EUR 3,128,000<br />

F A C T S A N D F I G U R E S<br />

39


Project expen<strong>di</strong>ture<br />

Project expen<strong>di</strong>ture (rounded up) by source of fun<strong>di</strong>ng<br />

ECHO<br />

EUR 3,889,000<br />

KfW<br />

EUR 1,301,000<br />

Europe Aid<br />

EUR 1,308,000<br />

WFP and other UN organisations<br />

EUR 361,500<br />

Caritas, PMK et al. EUR 602,200<br />

Others (DAHW, foundations et al.)<br />

EUR 549,000<br />

Donations and own resources<br />

EUR 10,090,000<br />

Federal Foreign Office<br />

of Germany<br />

EUR 1,185,000<br />

BMZ<br />

EUR 897,000<br />

UNHCR<br />

EUR 1,148,000<br />

ADH<br />

EUR 5,690,000<br />

ADH Aktion Deutschland Hilft (Action<br />

Campaign Germany Helps)<br />

BMZ Federal Ministry for Economic<br />

Cooperation and Development, Germany<br />

DAHW German Leprosy and Tuberculosis Relief<br />

Association<br />

ECHO European Union’s Humanitarian Aid<br />

Department<br />

KfW Development Bank – KfW Banking Group<br />

PMK Papal Mission Organisation for Children<br />

UNHCR United Nations High Commissioner<br />

for Refugees<br />

WFP World Food Programme<br />

Direct project expen<strong>di</strong>ture (rounded up) by continents<br />

Europe 2,068,000 EUR<br />

America* EUR 69,000<br />

Africa<br />

EUR 5,824,000<br />

Asia<br />

EUR 15,116,000<br />

thereof tsunami<br />

EUR 8,714,000<br />

* The programmes in America started at the end<br />

of the year <strong>2005</strong>; therefore, most of the project<br />

expen<strong>di</strong>ture will be included in the accountancy<br />

of 2006 only.<br />

40<br />

F A C T S A N D F I G U R E S


Acknowledgement<br />

<strong>Malteser</strong> <strong>International</strong> would like to thank all private<br />

donors and sponsors, as well as all companies,<br />

cooperation partners, foundations, societies,<br />

schools, parishes and organisations, for their generous<br />

support in <strong>2005</strong>. Unfortunately, we do not<br />

have space here to list all those members of the international<br />

aid community who have supported us,<br />

but a few are named below as representatives:<br />

Afghanistan Hilfe Paderborn<br />

Aktion Deutschland Hilft e.V. (ADH, Action<br />

Campaign Germany Helps)<br />

Archbishopric of Cologne<br />

Augustinus-Kliniken gGmbH, Neuss<br />

BILD hilft e.V., Hamburg<br />

Bishopric of Mainz<br />

Centre for <strong>International</strong> Migration and<br />

Development (CIM), Frankfurt/Main<br />

City of Winnenden<br />

Community for Technical Cooperation (GTZ), Eschborn<br />

Community Henstedt-Ulzburg<br />

Department for <strong>International</strong><br />

Development (DFID), London<br />

Deutsche Bank, Frankfurt/Main<br />

Deutsche Treuhand-Gesellschaft<br />

Aktiengesellschaft (KPMG), Berlin<br />

Development Bank - KfW Banking Group, Frankfurt/Main<br />

Die kleinen Patienten e.V., Bonn<br />

District Office Berlin-Reinickendorf<br />

Dr. Hans-Liebherr-Stiftung, Biberach/Riss<br />

European Union’s Humanitarian Aid<br />

Department (ECHO), Brussels<br />

EuropeAid/EuropeAid Coor<strong>di</strong>nation<br />

Office (AIDCO), Brussels<br />

Faber-Castell AG, Stein<br />

FC Bayern Hilfe e.V., Munich<br />

Federal Ministry for Economic Cooperation and<br />

Development Germany, Bonn<br />

Food and Agriculture Organization of the<br />

United Nations (FAO), Rome<br />

Foreign Office, Berlin<br />

Foreign Office, Canberra<br />

Foreign Office, Ottawa<br />

Foreign Office, Tokyo<br />

Roberto Girault<br />

German Bishops’ Conference, Bonn<br />

German Leprosy and Tuberculosis Relief Association (DAHW), Wuerzburg<br />

Gitec Technologie- und Wirtschaftsberatung GmbH, Berlin/ Hannover<br />

Happy Digits, Cologne<br />

Helft uns Leben e.V., Koblenz<br />

Joint United Nations Program on HIV/AIDS (UNAIDS), Geneva<br />

Landesbank Hessen-Thüringen (HeLaBa)<br />

Langenscheidt KG, Munich<br />

Malankara Social Service Society, Trivandrum<br />

Nachbar in Not (NiN), Vienna<br />

National associations and relief agencies of the Sovereign Order of <strong>Malta</strong><br />

Noweda – Die Apothekergenossenschaft, Essen<br />

O.S.T. e.V., Neuwied<br />

Osthessen hilft Südasien, Fulda<br />

Papal Mission Organisation for Children (PMK), Aachen<br />

Partner Aid <strong>International</strong> (PAI), Berlin<br />

Rheinzeitung, Koblenz<br />

Richter + Frenzel GmbH, Augsburg<br />

Seren<strong>di</strong>b Stiftung, Hamburg<br />

Social and Economic Development Centre (SEDEC), Columbo<br />

Spanish Caritas Confederation, Madrid<br />

Swiss Tropical Institut (STI), Basel<br />

Überlandwerke Fulda AG (ÜWAG)<br />

United for Africa<br />

United Nations Children’s Fund (UNICEF), New York<br />

United Nations Development Programme (UNDP), New York<br />

United Nations High Commissioner for Refugees (UNHCR), Geneva<br />

United Nations Office for the Coor<strong>di</strong>nation of Humanitarian Affairs (OCHA),<br />

Geneva/ New York<br />

United Nations Office on Drugs and Crime (UNDOC), Vienna<br />

United Nations World Food Programme (WFP), Vienna<br />

University of Regensburg<br />

Volksbank-Raiffeisenbank e.G. Husum<br />

World Child Foundation<br />

World Health Organization (WHO), Geneva<br />

ZF-Hilft e.V., Friedrichshafen<br />

… plus countless other local, national and international partner organisations.<br />

A C K N O W L E D G E M E N T<br />

41


Member associations<br />

(Status: August 2006)<br />

Australia<br />

www.smom.org.au<br />

Austria<br />

www.malteserorden.at<br />

Belgium<br />

www.ordredemaltebelgium.org<br />

Czech Republic<br />

www.orderofmalta.org<br />

France<br />

www.ordredemaltefrance.org<br />

Germany<br />

www.malteser.de<br />

Great Britain<br />

www.orderofmalta.org.uk<br />

Ireland<br />

www.orderofmalta.ie<br />

Italy<br />

www.orderofmalta.org<br />

<strong>Malta</strong><br />

www.orderofmalta-malta.org<br />

Mexico<br />

www.ordendemaltamexico.org<br />

Netherlands<br />

www.orderofmalta.org<br />

Poland<br />

www.zakonmaltanski.pl<br />

Portugal<br />

www.orderofmalta.org<br />

Switzerland<br />

www.orderofmalta.org<br />

United States of America<br />

www.maltausa.org<br />

www.orderofmaltausawestern.org<br />

www.smom.org<br />

www.malteser-international.org<br />

42<br />

M E M B E R A S S O C I AT I O N S


Structures and committees<br />

<strong>Malteser</strong> <strong>International</strong> is the international relief agency of the Sovereign Order of <strong>Malta</strong> for humanitarian<br />

aid. The legal entity of <strong>Malteser</strong> <strong>International</strong> is <strong>Malteser</strong> Hilfs<strong>di</strong>enst e.V.. This is represented by the<br />

Executive Board, currently composed of Johannes Freiherr Heereman (Executive President), Reinhard<br />

Eckert and Dr. Elmar Pankau. The President of <strong>Malteser</strong> Hilfs<strong>di</strong>enst e.V. is Dr. Constantin von<br />

Brandenstein-Zeppelin.<br />

Currently, 18 national associations of the Order of <strong>Malta</strong> are members of <strong>Malteser</strong> <strong>International</strong>. At<br />

their General Meeting they appoint a honorary Executive Committee for a term of four years. This<br />

Committee consists of five members: the President, three Vice-Presidents and the Financial Supervisor.<br />

The President and at least two other members of the Executive Committee must be members of the<br />

Order of <strong>Malta</strong>.<br />

The leadership structure of <strong>Malteser</strong> <strong>International</strong> is currently as follows:<br />

President<br />

Nicolas de Cock<br />

de Rameyen<br />

(Belgium)<br />

Vice-President<br />

Comte Thierry<br />

de Beaumont-Beynac<br />

(France)<br />

Vice-President<br />

Richard<br />

Freiherr von Steeb<br />

(Austria)<br />

Vice-President<br />

Ambassador (ret.)<br />

Theodor Wallau<br />

(Germany)<br />

Financial Supervisor<br />

Charles-Louis<br />

de Laguiche<br />

(Switzerland)<br />

The Executive Board of <strong>Malteser</strong> Hilfs<strong>di</strong>enst e.V. finalises the budget proposed by the Executive<br />

Committee of <strong>Malteser</strong> <strong>International</strong> and confirms the annual accounts.<br />

The Executive Committee of <strong>Malteser</strong> <strong>International</strong> sets the strategy and makes decisions on work<br />

guidelines within the framework of written agreements made with <strong>Malteser</strong> Hilfs<strong>di</strong>enst e.V..<br />

The Secretary General leads the operating activities of <strong>Malteser</strong> <strong>International</strong> within the framework<br />

of the adopted budget and strategy of <strong>Malteser</strong> <strong>International</strong>. He arranges meetings of the Executive<br />

Committee and participates in these meetings in an advisory capacity.<br />

S T R U C T U R E S A N D C O M M I T T E E S 43


Sven Torfinn<br />

Published by:<br />

Responsible for content:<br />

E<strong>di</strong>torial team:<br />

Layout/Setting:<br />

Translation:<br />

Print:<br />

Photographs:<br />

Cover photo:<br />

Back cover photo:<br />

<strong>Malteser</strong> <strong>International</strong><br />

Ingo Radtke<br />

Petra Ipp (e<strong>di</strong>tor-in-chief), Anke Barth, Stefan Dold, Katrin Rehfuss<br />

Alexander von Lengerke<br />

Puretrans (Glees & Purer OEG)<br />

Ritterbach-Me<strong>di</strong>en GmbH<br />

<strong>Malteser</strong> <strong>International</strong> archive, Birgit Betzelt, Hinrich Bernzen, Frank Bierstedt,<br />

Thomas Einberger / United for Africa, Roberto Girault, Florian Kopp, Kurt Oxenius,<br />

Reuters, Caroline von der Tann, Sven Torfinn, Stefan Trappe / ADH<br />

In<strong>di</strong>an girls on the occasion of the inauguration of their new school reconstructed<br />

after the tsunami. (Photograph: Annette Waechter-Schneider)<br />

Local health worker in the slums of Nairobi (Photograph: Sven Torfinn)<br />

<strong>Malteser</strong> <strong>International</strong><br />

Headquarters<br />

Kalker Hauptstr. 22-24<br />

D- 51103 Köln/Germany<br />

Phone +49 (0)221 9822-151<br />

Fax +49 (0)221 9822-179<br />

info@malteser-international.org<br />

www.malteser-international.org

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