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Lives Changed, Life Transformed Annual Report 2010

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Page 1: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Lives Changed, Life TransformedAnnual Report 2010

Page 2: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Me

da

ir 2

010

An

nu

al

Re

po

rt

Me

da

ir e

nte

red

20

10 w

ith

a c

lea

r p

lan

fo

r th

e y

ea

r a

he

ad

.

Bu

t o

n 1

2 J

an

ua

ry,

pla

ns

ch

an

ge

d.

Ha

iti’

s d

ea

dly

ea

rth

qu

ak

e c

om

pe

lle

d u

s t

o r

es

po

nd

wit

h u

rge

nc

y t

o m

ee

t th

e n

ee

ds

of

so

ma

ny

pe

op

le

face

d w

ith

so

mu

ch l

os

s.

Wit

hin

mo

nth

s,

we

we

re o

ne

of

the

le

ad

ing

sh

elt

er-

bu

ild

ing

org

an

isa

tio

ns

in

th

e

cit

y o

f Ja

cm

el,

an

d H

ait

i h

ad

be

com

e o

ne

of

ou

r la

rge

st

hu

ma

nit

ari

an

pro

gra

mm

es

.

In o

ur

20

10 A

nn

ua

l R

ep

ort

, w

e p

au

se

to

re

fle

ct

on

th

e

imp

act

th

at

ma

jor

cha

ng

es

lik

e t

his

ha

ve

on

th

e w

orl

d’s

mo

st

vu

lne

rab

le.

We

als

o e

xp

lore

th

e w

ay

s o

ur

wo

rk—

as

pra

cti

cal

an

d s

pe

cifi

c a

s i

t is

—ca

n o

pe

n d

oo

rs f

or

po

sit

ive

cha

ng

e a

nd

tra

ns

form

ati

on

wit

hin

co

mm

un

itie

s.

Sta

rtin

g t

he

Ha

iti

pro

gra

mm

e w

as

on

e o

f m

an

y c

ha

ng

es

to

Me

da

ir’s

20

10 p

ort

foli

o.

Aft

er

mo

re t

ha

n a

de

cad

e o

f ti

rele

ss

se

rvic

e,

we

co

mp

lete

d o

ur

Ug

an

da

pro

gra

mm

e,

wit

h a

ll o

f

ou

r o

bje

ctiv

es

ach

ieve

d.

We

als

o c

om

ple

ted

ou

r e

art

hq

ua

ke

-

res

po

ns

e p

rog

ram

me

in

In

do

ne

sia

, a

nd

sta

rte

d w

ork

ing

in

Zim

ba

bw

e,

imp

lem

en

tin

g o

ur

firs

t-e

ver

urb

an

wa

ter,

sa

nit

ati

on

,

an

d h

ygie

ne

(W

AS

H)

pro

ject

in r

es

po

ns

e t

o o

ne

of

the

larg

es

t

cho

lera

ou

tbre

ak

s d

ocu

me

nte

d in

su

b-S

ah

ara

n A

fric

a.

Aft

er

se

ve

n y

ea

rs o

f e

xe

mp

lary

se

rvic

e,

20

10 w

as

Ra

nd

all

Zin

dle

r’s

fin

al

ye

ar

as

Me

da

ir’s

CE

O.

Un

de

r R

an

da

ll’s

lea

de

rsh

ip,

Me

da

ir i

mp

lem

en

ted

a h

os

t o

f o

rga

nis

ati

on

al

imp

rov

em

en

ts,

gre

w fi

na

nci

all

y s

tro

ng

er,

an

d b

eca

me

str

ate

gic

all

y w

ell

-po

sit

ion

ed

fo

r th

e f

utu

re.

Ra

nd

all

he

lpe

d

un

ify

Me

da

ir’s

fo

cus

an

d p

urp

os

e:

to b

rin

g r

eli

ef

an

d

reh

ab

ilit

ati

on

to

th

e p

eo

ple

wh

o n

ee

d i

t m

os

t.

For

Me

da

ir,

cha

ng

e w

as

a c

on

sta

nt

in 2

010

. A

nd

wh

ile

so

mu

ch c

ha

ng

e i

s n

eve

r e

as

y, i

t ca

n a

lso

fo

rtif

y u

s a

nd

ma

ke

us

mo

re r

es

ilie

nt

to f

utu

re c

ha

lle

ng

es

. In

de

ed

, a

t th

e c

los

e

of

20

10,

Me

da

ir f

ou

nd

its

elf

str

on

ge

r th

an

eve

r fr

om

an

org

an

isa

tio

na

l p

ers

pe

ctiv

e,

wit

h s

ign

ifica

nt

su

pp

ort

fro

m

bo

th i

ns

titu

tio

na

l a

nd

pri

vate

do

no

rs.

In t

he

se

pa

ge

s,

we

pre

se

nt

com

pe

llin

g s

tori

es

an

d p

ho

tos

coll

ect

ed

in

la

rge

pa

rt b

y o

ur

on

-th

e-g

rou

nd

hu

ma

nit

ari

an

wo

rke

rs a

s t

he

y g

o a

bo

ut

the

ir l

ife

-sa

vin

g w

ork

. Yo

u w

ill

rea

d a

bo

ut

two

-ye

ar-

old

Ny

aja

ng

in

So

uth

ern

Su

da

n,

a

ma

lno

uri

sh

ed

ch

ild

wh

o s

urv

ive

d o

nly

be

cau

se

of

a f

ee

din

g

tub

e t

ha

t h

er

mo

the

r a

t fi

rst

res

iste

d.

You

wil

l re

ad

ab

ou

t

An

dro

zo i

n D

.R.

Co

ng

o,

a m

an

fo

rce

d t

o fl

ee

wit

h h

is f

am

ily

to p

rote

ct t

he

m f

rom

arm

ed

mil

itia

. A

nd

yo

u w

ill

rea

d

ins

pir

ing

sto

rie

s o

f p

os

itiv

e c

ha

ng

e h

ap

pe

nin

g i

n t

he

flo

od

-

pro

ne

vil

lag

e o

f A

nk

ad

ibe

, M

ad

ag

as

car.

As

Me

da

ir l

oo

ks

ah

ea

d t

o 2

011

an

d b

ey

on

d,

we

do

so

wit

h

ren

ew

ed

fa

ith

in

ou

r a

bil

ity

to

wit

hs

tan

d d

ifficu

lt c

ha

ng

es

,

ba

se

d o

n o

ur

str

on

g p

rofe

ss

ion

al

an

d s

pir

itu

al

fou

nd

ati

on

.

We

als

o l

oo

k a

he

ad

wit

h t

he

kn

ow

led

ge

th

at

ou

r a

cti

on

s,

lik

e t

ho

se

of

all

hu

ma

nit

ari

an

org

an

isa

tio

ns

, m

ak

e u

s

po

we

rfu

l ca

taly

sts

fo

r p

os

itiv

e,

tra

ns

form

ati

ve

ch

an

ge

—a

res

po

ns

ibil

ity

th

at

we

ta

ke

ve

ry s

eri

ou

sly

.

We

ho

pe

yo

u e

njo

y t

he

20

10 A

nn

ua

l R

ep

ort

.

Phot

o: N

ati

on

al

an

d i

nte

rna

tio

na

l M

ed

air

sta

ff w

ork

ed

to

ge

the

r to

pro

vid

e

sa

fer

sh

elt

er

for

mo

re t

ha

n 1

1,0

00

Ha

itia

ns

in

20

10.

3

10 16 27

30

38

Tab

le o

f C

on

ten

ts

Med

air 2

010

Annu

al R

epor

t

2010

Med

air S

umm

ary

Bene

ficia

ry A

ccou

ntab

ility

Live

s Ch

ange

d, L

ife T

rans

form

ed

Emer

genc

y Re

lief

Reha

bilit

atio

n

Hea

lth

and

Nut

riti

on

Wat

er, S

anita

tion

, and

Hyg

iene

(WAS

H)

Shel

ter a

nd In

fras

truc

ture

Coun

try

Prog

ram

mes

: D.

R. C

ongo

, Sou

ther

n Su

dan,

Sud

an (N

orth

ern

Stat

es),

Zim

babw

e, S

omal

ia/S

omal

iland

Refle

ctio

ns o

n Ch

ange

and

Tra

nsfo

rmat

ion

Coun

try

Prog

ram

mes

: In

done

sia,

Hai

ti, A

fgha

nist

an,

Mad

agas

car,

Uga

nda

Behi

nd th

e Sc

enes

Fund

ing

Part

ners

Accr

edita

tion

s

Audi

ted

Cons

olid

ated

Fin

anci

al

Stat

emen

ts 2

010

Cred

its

3 4 5 6 10 11 12 14 16

18 28

30 39 44 46

47

67

Page 3: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

S

UD

AN

(N

or

the

rn

Sta

tes

)

SO

UT

HE

RN

SU

DA

N

UG

AN

DA

HA

ITI

IND

ON

ES

IA

2,2

41,

20

0 t

ota

l b

en

efi

cia

rie

s

10

co

un

try

pro

gra

mm

es

9 c

ou

ntr

ies

of

op

era

tio

n

1 i

nte

rna

tio

na

l h

ea

dq

ua

rte

rs i

n S

wit

zerl

an

d,

63

po

sit

ion

s

5 a

ffili

ate

offi

ces

in

Fra

nce

, G

erm

an

y, t

he

Ne

the

rla

nd

s,

U.K

., a

nd

U.S

.

115

in

tern

ati

on

all

y r

ec

ruit

ed

sta

ff p

os

itio

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in

th

e fi

eld

(IR

S)

90

3 n

ati

on

all

y r

ec

ruit

ed

sta

ff p

os

itio

ns

(N

RS

)

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na

tio

na

liti

es

re

pre

se

nte

d a

mo

ng

Me

da

ir s

taff

20

10 M

ed

air

Su

mm

ary

Na

tio

na

liti

es

of

Me

da

ir S

taff

Afg

ha

n

Am

eri

can

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str

ali

an

Be

lgia

n

Bri

tis

h

Ca

me

roo

nia

n

Ca

na

dia

n

Ch

ine

se

Co

ng

ole

se

Da

nis

h

Du

tch

Fre

nch

Ge

rma

n

Ha

itia

n

Ind

on

es

ian

Iris

h

Ita

lia

n

Ivo

ria

n

Ke

ny

an

Ma

lag

as

y

Me

xic

an

Ne

pa

les

e

Ne

w Z

ea

lan

de

r

Nig

eri

an

No

rwe

gia

n

Po

rtu

gu

es

e

Ro

ma

nia

n

Sw

ed

ish

So

ma

lia

n

So

uth

Afr

ica

n

Sw

iss

Su

da

ne

se

Ug

an

da

n

Zim

ba

bw

ea

nPh

oto:

Me

da

ir t

ea

m i

n M

elu

t, S

ou

the

rn S

ud

an

Be

ne

fic

iary

Acc

ou

nta

bil

ity

Wh

en

a s

ev

ere

cri

sis

str

ike

s,

pe

op

le a

re t

orn

aw

ay

fro

m

the

ir f

am

ilia

r ro

uti

ne

s a

nd

fo

rce

d t

o u

se

all

th

eir

re

so

urc

es

to s

urv

ive

. T

he

se

vu

lne

rab

le p

eo

ple

oft

en

ne

ed

as

sis

tan

ce,

bu

t th

ey

als

o n

ee

d a

vo

ice

. Y

ou

wo

uld

n’t

wa

nt

str

an

ge

rs

fro

m o

the

r co

un

trie

s t

ell

ing

yo

u w

ha

t y

ou

ne

ed

wit

ho

ut

con

su

ltin

g w

ith

yo

u.

If y

ou

r co

mm

un

ity

we

re i

n c

ris

is,

yo

u

wo

uld

wa

nt

inp

ut

into

th

e r

eco

ve

ry p

roce

ss

.

At

Me

da

ir,

we

ma

ke

ou

rse

lve

s a

cco

un

tab

le t

o t

he

pe

op

le w

e s

erv

e.

We

in

vo

lve

be

ne

fic

iari

es

in

th

e d

es

ign

,

Bu

ild

ing

Bri

dg

es

to

th

e C

om

mu

nit

y

In t

he

ju

ng

les

of

D.R

. C

on

go

, a

rme

d m

ilit

ia h

av

e t

err

ori

se

d

pe

op

le f

or

ye

ars

wit

h v

icio

us

att

ack

s.

Co

un

tle

ss

fa

mil

ies

ha

ve

fle

d f

rom

th

eir

ho

me

vil

lag

es

to

liv

e a

s “

IDP

s”

inte

rna

lly

dis

pla

ced

pe

rso

ns

—o

fte

n l

ivin

g i

n c

row

de

d

tem

po

rary

se

ttle

me

nts

.

Me

da

ir w

an

ts t

o m

ak

e s

ure

th

at

the

se

pe

op

le h

av

e a

cce

ss

to q

ua

lity

he

alt

h c

are

. W

e r

eg

ula

rly

me

et

wit

h h

ea

lth

offi

cia

ls a

nd

lo

cal

me

dic

al

au

tho

riti

es

, co

nfi

rmin

g t

he

lev

el

of

ne

ed

, a

nd

ga

inin

g a

be

tte

r u

nd

ers

tan

din

g o

f th

e

curr

en

t s

itu

ati

on

. O

ur

sta

ff o

fte

n t

rav

el

to r

em

ote

vil

lag

es

an

d I

DP

ca

mp

s a

nd

as

se

ss

th

e c

on

dit

ion

s.

We

co

ns

ult

wit

h c

om

mu

nit

y g

rou

ps

an

d i

nd

ivid

ua

ls a

bo

ut

the

ir m

os

t

pre

ss

ing

ne

ed

s a

nd

ho

w w

e c

an

be

st

he

lp t

he

m.

Aft

er

care

ful

con

sid

era

tio

n,

Me

da

ir d

ete

rmin

es

th

e m

os

t

ne

ed

y a

rea

s t

o p

rovi

de

fre

e h

ea

lth

ca

re f

or

vu

lne

rab

le

pe

op

le.

We

als

o t

rain

an

d s

up

erv

ise

lo

cal

he

alt

h c

lin

ic s

taff

to h

elp

str

en

gth

en

th

e o

ve

rall

he

alt

h s

ys

tem

.

We

wo

rk c

los

ely

wit

h c

om

mu

nit

y g

rou

ps

as

ke

y p

art

ne

rs.

Th

es

e p

art

ne

rsh

ips

wit

h I

DP

co

mm

itte

es

an

d c

om

mu

nit

y

he

alt

h w

ork

ers

he

lp k

ee

p u

s a

cco

un

tab

le t

o o

ur

be

ne

fici

ari

es

. C

om

mu

nit

y g

rou

ps

ma

ke

us

aw

are

of

an

y

con

cern

s,

an

d t

he

y a

lso

he

lp e

ns

ure

th

at

ev

ery

on

e k

no

ws

tha

t fr

ee

se

rvic

es

are

ava

ila

ble

to

th

em

.

“W

e a

re l

ike

a b

rid

ge

th

at

con

ne

cts

th

e h

ea

lth

ce

ntr

e t

o

the

co

mm

un

ity,

” s

aid

Ak

ye

ng

a R

un

gu

, a

co

mm

un

ity

he

alt

h

wo

rke

r in

Bu

kir

ing

i. “

If t

he

re i

s a

me

mb

er

of

the

co

mm

un

ity

wh

o i

s v

ery

ill

, w

e m

ob

ilis

e p

eo

ple

to

bri

ng

th

e p

ers

on

to

the

he

alt

h c

en

tre

. W

e a

lso

re

ceiv

e i

nfo

rma

tio

n f

rom

th

e

clin

ics

an

d p

as

s t

he

me

ss

ag

es

to

th

e p

op

ula

tio

n.”

Two

mo

nth

s i

nto

a r

ece

nt

pro

ject

, w

e h

eld

fo

cus

gro

up

s w

ith

com

mu

nit

y m

em

be

rs,

as

kin

g f

or

op

inio

ns

on

th

e q

ua

lity

of

se

rvic

e a

nd

fo

r n

ew

id

ea

s t

ha

t m

igh

t im

pro

ve

se

rvic

es

. W

e

pro

vid

ed

all

ID

P r

ep

res

en

tati

ve g

rou

ps

an

d h

ea

lth

offi

cia

ls

wit

h a

Me

da

ir n

um

be

r to

ca

ll w

ith

an

y c

om

pla

ints

.

So

fa

r, t

he

fe

ed

ba

ck h

as

be

en

en

cou

rag

ing

ly p

os

itiv

e.

“If

Me

da

ir d

id n

ot

he

lp t

he

cli

nic

to

tre

at

IDP

s f

or

fre

e,

ma

ny

pe

op

le w

ou

ld h

av

e d

ied

—m

an

y, m

an

y p

eo

ple

,” s

aid

Ra

ko

le

Ka

ny

am

ali

, P

res

ide

nt

of

Bu

kir

ing

i’s

ID

P C

om

mit

tee

. “

Th

at

is

wh

y w

e a

re g

rate

ful

for

Me

da

ir.”

imp

lem

en

tati

on

, a

nd

mo

nit

ori

ng

of

ou

r p

roje

cts

. O

ur

tea

ms

pri

ori

tis

e b

uil

din

g p

os

itiv

e r

ela

tio

ns

hip

s w

ith

lo

cal

com

mu

nit

ies

in

ord

er

to u

nd

ers

tan

d t

he

ir r

ea

l n

ee

ds

.

We

wo

rk w

ith

be

ne

fic

iari

es

, n

ot

ins

tea

d o

f o

r in

sp

ite

of

the

m.

We

lis

ten

to

th

eir

ne

ed

s a

nd

re

sp

on

d t

o t

he

m.

In

this

wa

y, w

e h

elp

pe

op

le r

eco

ve

r fr

om

cri

sis

wit

h d

ign

ity,

wit

h i

nte

gri

ty,

an

d w

ith

ho

pe

fo

r a

bri

gh

ter

futu

re.

Bu

kir

ing

i ID

P r

ep

res

en

tati

ves

giv

e f

ee

db

ack

to

Me

da

ir.

Me

da

ir’s

Be

atr

ice

Ka

vira

an

d s

taff

dis

cus

s a

pro

gre

ss

re

po

rt.

Me

da

ir h

ea

lth

se

rvic

es

sta

ff m

ee

t w

ith

Co

ng

ole

se

dis

tric

t h

ea

lth

offi

cia

ls.

4

5

M

ED

AIR

A

nn

ua

l R

ep

ort

20

10

Page 4: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

In a

fle

eti

ng

in

sta

nt,

ev

ery

thin

g c

an

ch

an

ge

. D

isa

ste

rs s

trik

e

wit

ho

ut

wa

rnin

g.

Arm

ed

me

n c

an

ap

pe

ar

at

the

do

or

in t

he

nig

ht.

Ch

an

ge

ca

n c

om

e a

t a

ny

tim

e,

for

an

y r

ea

so

n.

In J

an

ua

ry 2

010

, H

ait

i ch

an

ge

d i

n a

he

art

be

at.

In

a m

att

er

of

se

con

ds

, a

po

we

rfu

l e

art

hq

ua

ke

sh

oo

k h

ou

se

s t

o t

he

gro

un

d,

kil

lin

g m

ore

th

an

22

0,0

00

pe

op

le w

ho

mo

me

nts

be

fore

ha

d b

ee

n l

ivin

g t

he

ir d

ail

y l

ive

s.

Th

ey

ha

d n

o

ad

van

ce w

arn

ing

, n

o t

ime

to

es

cap

e.

Sh

ock

ed

su

rviv

ors

stu

mb

led

to

pic

k u

p t

he

pie

ces

of

the

ir r

uin

ed

ho

me

s,

to

con

fro

nt

the

ne

w r

ea

lity

of

the

ir l

ive

s.

This

ye

ar

in D

.R.

Co

ng

o,

cha

ng

e c

am

e a

t th

e b

arr

el

of

a

gu

n.

Mil

itia

an

d r

eb

el

gro

up

s t

err

ori

se

d c

om

mu

nit

ies

wit

h

fre

qu

en

t a

tta

cks

th

at

forc

ed

fa

mil

ies

to

fle

e t

he

ir h

om

es

to l

ive

in

ca

mp

s,

wh

ere

th

ey

ho

pe

d t

o b

e s

afe

r. B

ut

in t

he

cam

ps

, th

ey

ha

d n

o l

an

d o

f th

eir

ow

n t

o f

arm

, n

o l

ive

lih

oo

ds

,

no

rig

hts

—n

oth

ing

bu

t th

e c

loth

es

on

th

eir

ba

cks

.

Wh

ile

ch

an

ge

ca

n c

om

e i

n a

n i

ns

tan

t, i

t ca

n a

lso

be

slo

w,

Me

da

ir b

rin

gs

re

lie

f a

nd

re

ha

bil

ita

tio

n t

o p

eo

ple

ma

de

so

vu

lne

rab

le b

y c

ha

ng

e t

ha

t th

ey

ne

ed

ou

r h

elp

to

re

cov

er

an

d

ge

t b

ack

on

th

eir

fe

et.

In e

me

rge

nci

es

, o

ur

tea

ms

wo

rk u

rge

ntl

y t

o s

av

e t

he

liv

es

of

pe

op

le w

ho

are

in

gre

at

ne

ed

. Fo

r in

sta

nce

, o

ur

wo

rk h

elp

ed

sa

ve

th

e l

ive

s o

f th

ou

sa

nd

s o

f m

aln

ou

ris

he

d c

hil

dre

n t

his

pa

st

ye

ar

alo

ne

.

Me

da

ir a

lso

ru

ns

pro

ject

s t

ha

t a

im t

o p

rote

ct l

ive

s o

ve

r

the

lo

ng

er

term

. To

do

th

is,

we

su

pp

ort

lo

cal

he

alt

h

sy

ste

ms

an

d b

uil

d u

p t

he

ca

pa

city

of

loca

l h

ea

lth

wo

rke

rs

so

th

at

en

tire

re

gio

ns

wil

l re

ceiv

e i

mp

rov

ed

he

alt

h c

are

in t

he

fu

ture

. W

e p

rovi

de

pre

ve

nta

tiv

e h

ea

lth

ca

re,

wh

ich

incl

ud

es

va

ccin

ati

ng

ch

ild

ren

an

d p

reg

na

nt

wo

me

n a

ga

ins

t

com

mo

n d

ise

as

es

, a

nd

pro

mo

tin

g g

oo

d h

ea

lth

an

d h

yg

ien

e

pra

ctic

es

. W

e b

uil

d q

ua

lity

in

fra

str

uct

ure

to

en

su

re a

sa

fe

su

pp

ly o

f w

ate

r a

nd

hy

gie

nic

la

trin

es

.

Ou

r w

ork

no

t o

nly

sa

ve

s a

nd

su

sta

ins

th

e w

orl

d’s

mo

st

vu

lne

rab

le,

it a

lso

ha

s t

he

po

ten

tia

l to

ch

an

ge

th

eir

liv

es

.

wo

rst

dro

ug

hts

in

re

cen

t m

em

ory

le

d t

o w

ide

sp

rea

d f

oo

d

an

d w

ate

r s

ho

rta

ge

s i

n 2

010

. R

ura

l fa

mil

ies

ha

d t

o w

alk

aw

ay

fro

m t

he

ir t

rad

itio

na

l fa

rmin

g l

an

d,

forc

ed

to

liv

e

clo

se

r to

cit

ies

to

re

ly o

n w

ha

tev

er

he

lp t

he

y c

ou

ld r

ece

ive

.

An

d i

n c

ou

ntr

ies

aro

un

d t

he

wo

rld

, d

isa

ste

rs l

ike

th

is a

re

ha

pp

en

ing

wit

h a

larm

ing

fre

qu

en

cy.

Ho

we

ve

r, c

ha

ng

e i

s n

ot

alw

ay

s b

ad

ne

ws

. In

de

ed

, p

os

itiv

e

cha

ng

es

—b

oth

re

al

an

d t

ho

se

ju

st

ho

pe

d f

or—

are

wh

at

ke

ep

ma

ny

pe

op

le g

oin

g w

he

n a

ll a

rou

nd

th

em

se

em

s l

os

t.

In 2

010

, a

fte

r d

eca

de

s o

f ci

vil

wa

r a

nd

a l

on

g p

roce

ss

of

po

liti

cal

ne

go

tia

tio

n,

So

uth

ern

Su

da

n e

mb

race

d a

n

ex

citi

ng

pa

th o

f ch

an

ge

, h

old

ing

ele

ctio

ns

in

th

e l

ea

d-u

p

to i

ts r

efe

ren

du

m o

n i

nd

ep

en

de

nce

. A

lth

ou

gh

th

is

mu

ch-a

nti

cip

ate

d c

ha

ng

e h

as

cre

ate

d n

ew

ch

all

en

ge

s,

wit

h h

un

dre

ds

of

tho

us

an

ds

of

pe

op

le r

etu

rnin

g h

om

e,

the

re i

s a

lso

a n

ew

sp

irit

of

ho

pe

in

th

e r

eg

ion

, h

op

e f

or

las

tin

g c

ha

ng

e.

Ou

r g

oa

l is

to

pro

vid

e p

ract

ica

l im

pro

ve

me

nts

in

are

as

su

ch

as

he

alt

h,

sa

fe s

he

lte

r, a

nd

acc

es

s t

o c

lea

n w

ate

r, a

nd

to

do

so

in

a c

om

pa

ss

ion

ate

wa

y t

ha

t h

on

ou

rs t

he

dig

nit

y o

f o

ur

be

ne

fici

ari

es

. T

ha

t’s

th

e h

ea

rt o

f o

ur

wo

rk.

At

the

sa

me

tim

e,

we

se

e t

ha

t o

ur

wo

rk o

fte

n o

pe

ns

th

e

do

or

for

cha

ng

e,

for

po

sit

ive

tra

ns

form

ati

on

wit

hin

a

com

mu

nit

y. F

or

ex

am

ple

, w

he

n w

e d

rill

a w

ate

r p

oin

t in

a v

illa

ge

to

pro

tect

ag

ain

st

wa

terb

orn

e d

ise

as

e,

we

als

o

pro

vid

e h

ug

e t

ime

sa

vin

gs

to

pe

op

le w

ho

oth

erw

ise

sp

en

d

ho

urs

ev

ery

da

y g

ath

eri

ng

wa

ter.

Co

mb

ine

im

pro

ve

d h

ea

lth

wit

h m

ore

tim

e t

o d

o t

hin

gs

be

sid

es

ge

ttin

g w

ate

r, a

nd

yo

u

cre

ate

co

nd

itio

ns

fo

r a

co

mm

un

ity

to

be

com

e h

ea

lth

ier,

mo

re p

rod

uct

ive

, s

afe

r, a

nd

be

tte

r a

ble

to

ta

ke

ca

re o

f it

se

lf.

In t

his

wa

y, a

sin

gle

wa

ter

po

int

can

be

com

e t

he

sp

ark

th

at

tra

ns

form

s t

he

lif

e a

nd

fu

ture

of

a c

om

mu

nit

y.

Liv

es

Ch

an

ge

d

Lif

e T

ran

sfo

rme

d

Phot

o: H

ait

ian

ma

n p

oin

ts o

ut

the

co

lla

ps

ed

ru

ins

of

a s

cho

ol.

Phot

o: O

n t

he

ba

nk

s o

f th

e N

ile

Riv

er

in S

ou

the

rn S

ud

an

, a

fa

mil

y g

ath

ers

w

ate

r fr

om

a c

lea

n w

ate

r s

ou

rce

in

ste

ad

of

the

riv

er.

7

6

M

ED

AIR

A

nn

ua

l R

ep

ort

20

10

Page 5: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

In M

ad

ag

as

ca

rIn

cy

clo

ne

-pro

ne

Ma

da

ga

sca

r, M

ed

air

pa

rtn

ers

wit

h

com

mu

nit

ies

to

he

lp t

he

m r

ed

uce

th

e i

mp

act

of

futu

re

dis

as

ters

. O

ur

wo

rk a

lso

he

lps

im

pro

ve

wa

ter

an

d

sa

nit

ati

on

in

fra

str

uc

ture

an

d p

rom

ote

th

e i

mm

en

se

he

alt

h

be

ne

fits

of

go

od

hy

gie

ne

.

In 2

010

, o

ur

hy

gie

ne

pro

mo

ters

wa

lke

d 1

0 k

ilo

me

tre

s t

o

rea

ch a

sm

all

vil

lag

e t

ha

t w

as

in

acc

es

sib

le b

y r

oa

d.

Ou

r

tea

m h

eld

a c

om

mu

nit

y m

ee

tin

g a

bo

ut

hy

gie

ne

an

d r

ais

ed

aw

are

ne

ss

ab

ou

t th

e h

ea

lth

ad

van

tag

es

of

us

ing

a l

atr

ine

.

Wh

en

Me

da

ir r

etu

rne

d s

ev

era

l w

ee

ks

la

ter,

th

e c

om

mu

nit

y

pro

ud

ly d

em

on

str

ate

d a

sy

ste

m t

he

y h

ad

in

ve

nte

d t

o

cov

er

the

ir o

pe

n w

ell

s,

wit

h a

sli

din

g l

id t

o p

rev

en

t

con

tam

ina

tio

n.

Ou

r te

am

als

o s

aw

th

at

ma

ny

pe

op

le h

ad

be

gu

n b

uil

din

g t

he

ir o

wn

la

trin

es

, u

sin

g l

oca

l m

ate

ria

ls.

Wit

h t

he

tra

inin

g,

Me

da

ir h

ad

lit

a fi

re f

or

cha

ng

e,

an

d t

he

sm

all

vil

lag

e h

ad

be

gu

n t

o t

ran

sfo

rm i

tse

lf f

rom

wit

hin

.

A L

ot

of

Ch

an

ge

s

Fro

m s

ma

ll v

illa

ge

s t

o l

arg

e c

itie

s,

Me

da

ir’s

wo

rk h

as

be

en

a c

ata

lys

t fo

r ch

an

ge

all

ov

er

Ma

da

ga

sca

r. I

n 2

00

9,

we

pa

rtn

ere

d w

ith

th

e u

rba

n c

om

mu

ne

of

Ma

roa

nts

etr

a t

o

su

pp

ort

th

em

in

cle

an

ing

ou

t th

eir

dra

ina

ge

tre

nch

es

. T

his

ye

ar,

th

e c

ity

cle

an

ed

ou

t th

e t

ren

che

s a

ga

in,

bu

t th

is t

ime

the

y d

id i

t o

n t

he

ir o

wn

, w

ith

ou

t o

ur

as

sis

tan

ce.

“It

is

a r

ea

l e

nco

ura

ge

me

nt

for

Me

da

ir t

o s

ee

th

at

loca

l

au

tho

riti

es

are

co

nti

nu

ing

th

e w

ork

, e

ven

wit

ho

ut

ou

r in

pu

t,”

said

Yve

s-P

as

cal

Su

ter,

Me

da

ir C

ou

ntr

y D

ire

cto

r. “

It’s

gre

at

tha

t n

ow

th

ey

ha

ve t

he

ca

pa

city

to

do

th

e w

ork

th

em

se

lve

s.”

Mic

he

l, M

ay

or

of

Ma

roa

nts

etr

a.

“H

yg

ien

e i

s b

ett

er

be

cau

se

of

the

co

ns

tru

ctio

n o

f h

un

dre

ds

of

latr

ine

s.

I h

av

e o

bs

erv

ed

be

ha

vio

ur

cha

ng

es

: p

eo

ple

are

ta

lkin

g a

bo

ut

sa

nit

ati

on

an

d

hy

gie

ne

an

d k

ids

es

pe

cia

lly

are

ad

op

tin

g s

afe

be

ha

vio

urs

.”

In A

fgh

an

ista

nIn

Afg

ha

nis

tan

’s m

ou

nta

ins

, M

ed

air

co

nd

uc

ts c

as

h-

for-

wo

rk p

roje

cts

th

at

imp

rov

e i

nfr

as

tru

ctu

re w

hil

e

giv

ing

vu

lne

rab

le p

eo

ple

vit

al

inco

me

. In

th

e v

illa

ge

of

Ka

lot,

wh

ere

ma

ny

fa

mil

ies

fa

ced

a f

oo

d s

ho

rta

ge

, w

e

ran

pro

jec

ts t

ha

t re

pa

ire

d l

oca

l a

cce

ss

ro

ad

s a

nd

bu

ilt

reta

inin

g w

all

s,

wh

ile

als

o g

ivin

g w

ork

ers

mo

ne

y t

o b

uy

mu

ch-n

ee

de

d f

oo

d f

or

the

ir f

am

ilie

s.

“I

se

e 1

00

pe

rce

nt

cha

ng

e i

n t

his

vil

lag

e,”

sa

id D

ao

ud

Kh

ali

d,

Ka

lot’

s v

illa

ge

le

ad

er.

“In

th

e p

as

t w

e h

ad

to

ho

ld

ou

r a

nim

als

by

th

e t

ail

so

th

ey

wo

uld

n’t

fa

ll o

ff t

he

pa

ths

an

d d

ie.

No

w w

e h

av

e r

oa

ds

. In

th

e p

as

t it

wo

uld

ta

ke

tw

o

da

ys

to

ge

t to

Fa

iza

ba

d.

No

w i

t ta

ke

s s

ix h

ou

rs.

Th

e p

eo

ple

of

Ka

lot

are

so

gra

tefu

l fo

r M

ed

air

.”

Wo

me

n a

t W

ork

In f

loo

d-a

ffe

cte

d W

ara

s,

Me

da

ir p

rov

ide

d c

as

h-f

or-

wo

rk

op

po

rtu

nit

ies

fo

r w

om

en

as

we

ll a

s m

en

. T

he

wo

me

n

ha

d n

ev

er

be

en

pa

id t

o w

ork

be

fore

, s

o i

t w

as

wit

h b

oth

ea

ge

rne

ss

an

d a

nx

iety

th

at

50

of

the

m s

ho

we

d u

p t

o

ma

ke

ga

bio

n n

ets

—w

ire

ca

ge

s u

se

d t

o h

old

ro

cks

in

pla

ce

for

flo

od

co

ntr

ol.

Tak

iya

h,

a m

arr

ied

mo

the

r o

f th

ree

, le

d t

he

all

-wo

ma

n

wo

rkfo

rce

wit

h c

on

fid

en

ce,

tea

chin

g t

he

m t

o m

ak

e t

he

ne

ts.

“M

ay

be

th

ere

we

re o

ne

or

two

hu

sb

an

ds

wh

o w

ere

no

t s

o

su

re a

bo

ut

the

ir w

ive

s w

ork

ing

,” s

aid

Ta

kia

h.

“B

ut

mo

st

of

the

m w

ere

ve

ry h

ap

py

we

ha

d j

ob

s a

nd

th

at

we

we

re

he

lpin

g t

o e

arn

mo

ne

y.”

By

th

e e

nd

of

the

pro

jec

t, t

he

wo

me

n h

ad

bu

ilt

85

4 g

ab

ion

ne

ts,

an

d h

ad

pa

rtic

ipa

ted

in

a t

ran

sfo

rma

tiv

e e

xp

eri

en

ce.

“T

he

da

y t

ha

t th

e w

om

en

re

ceiv

ed

th

eir

firs

t p

ay,

th

ey

we

re s

o t

hri

lle

d b

eca

us

e t

he

y h

ad

ne

ve

r b

ee

n p

aid

to

do

wo

rk b

efo

re,”

sa

id T

ak

iya

h.

“T

he

la

die

s a

re f

ee

lin

g v

ery

go

od

be

cau

se

, in

th

e f

utu

re,

the

y c

an

us

e t

he

mo

ne

y t

he

y

ha

ve

ea

rne

d t

o b

uy

clo

the

s,

sh

oe

s,

an

d o

the

r th

ing

s f

or

the

win

ter.

In S

ud

an

(N

ort

he

rn S

tate

s)

In 2

00

8,

Me

da

ir c

on

du

cte

d a

ca

mp

aig

n i

n W

es

t D

arf

ur

to

pro

vid

e m

ed

ica

l tr

ea

tme

nt

for

wo

me

n w

ith

fis

tula

s—

a s

eve

re

con

dit

ion

th

at

cau

se

s i

nco

nti

ne

nce

, in

fect

ion

s,

an

d s

eri

ou

s

com

pli

cati

on

s d

uri

ng

ch

ild

bir

th.

In W

es

t D

arf

ur,

ma

ny

wo

me

n

wit

h fi

stu

las

ha

d b

ee

n o

str

aci

se

d b

y th

eir

hu

sb

an

ds

an

d

fam

ilie

s,

lea

vin

g t

he

m t

o s

uff

er

in s

ha

me

on

th

eir

ow

n.

In 2

010

, w

e h

ea

rd a

re

po

rt f

rom

fo

ur

wo

me

n w

ho

se

fis

tula

s

ha

d s

ucc

ess

full

y h

ea

led

be

cau

se

of

the

tre

atm

en

t M

ed

air

ma

de

ava

ila

ble

to

th

em

. O

ne

wo

ma

n h

ad

re

un

ite

d w

ith

he

r

hu

sb

an

d,

an

oth

er

wa

s n

ew

ly m

arr

ied

fo

r th

e fi

rst

tim

e,

an

d y

et

an

oth

er

wa

s m

arr

ied

an

d h

ad

just

giv

en

bir

th.

“I a

m s

ha

rin

g

wit

h y

ou

th

is in

form

ati

on

as

I fe

lt h

ap

py

an

d fl

att

ere

d b

y

kn

ow

ing

th

at

the

y h

ave

sta

rte

d t

o c

on

tin

ue

th

eir

no

rma

l lif

e,”

said

Ha

tim

, a

me

mb

er

of

Me

da

ir’s

We

st

Da

rfu

r h

ea

lth

te

am

,

en

thu

sia

stic

all

y co

nve

yin

g t

he

gre

at

ne

ws

to f

ell

ow

sta

ff.

Mid

wiv

es

Ea

rnin

g T

rus

t

In S

ou

th K

ord

ofa

n,

Me

da

ir s

up

po

rts

mid

wiv

es

in

an

eff

ort

to r

ed

uce

hig

h r

ate

s o

f m

ate

rna

l m

ort

ali

ty i

n a

re

gio

n w

he

re

mo

st

wo

me

n s

till

re

ly o

n u

nd

ert

rain

ed

tra

dit

ion

al

bir

th

att

en

da

nts

(T

BA

s).

Fo

r e

ve

ry m

idw

ife

we

tra

in a

nd

su

pp

ort

,

the

im

pa

ct i

s m

ag

nifi

ed

im

me

ns

ely

, p

as

se

d o

n t

o e

ve

ry

ex

pe

cta

nt

mo

the

r a

nd

in

fan

t w

ho

m t

he

mid

wiv

es

aid

.

“I

ha

ve

mo

re p

ati

en

ts n

ow

th

at

I h

av

e c

om

ple

ted

th

e M

ed

air

tra

inin

g,”

sa

id A

sh

a,

a M

ed

air

-su

pp

ort

ed

mid

wif

e.

“A

nd

my

pa

tie

nts

se

em

to

tru

st

me

mo

re!”

Aft

er

sa

fe m

oth

erh

oo

d w

ork

sh

op

s i

n 2

010

, 14

1 w

om

en

rece

ive

d a

nte

na

tal

care

fo

r th

e fi

rst

tim

e e

ve

r. A

no

the

r

216

wo

me

n r

ece

ive

d t

he

ir fi

rst

teta

nu

s v

acc

ina

tio

ns

. “

This

is

a m

as

siv

e b

eh

avi

ou

r ch

an

ge

th

at

is u

nd

erw

ay,

” s

aid

Me

da

ir’s

Re

be

kk

a F

rick

.

Wit

h o

ur

con

tin

ue

d s

up

po

rt,

So

uth

Ko

rdo

fan

’s m

idw

ive

s a

re

lea

rnin

g s

kil

ls a

nd

ea

rnin

g t

rus

t w

ith

in t

he

ir c

om

mu

nit

ies

.

“A

s m

idw

ive

s b

eco

me

in

cre

as

ing

ly r

es

pe

cte

d a

nd

acc

ep

ted

,

the

y w

ill

be

ab

le t

o m

ak

e a

la

sti

ng

diff

ere

nce

fo

r fa

mil

ies

thro

ug

ho

ut

the

re

gio

n,”

co

ncl

ud

ed

Re

be

kk

a.

“T

he

ir w

ork

wil

l s

ave

ma

ny

liv

es

.”

Tra

ns

form

ati

on

in

Ac

tio

nAl

thou

gh p

eopl

e an

d co

mm

uniti

es c

hang

e fo

r com

plex

reas

ons,

our

wor

k ca

n ac

t as

a ca

taly

st

that

lead

s to

pos

itive

cha

nge

and

tran

sfor

mat

ion.

Her

e ar

e st

orie

s of

tran

sfor

mat

ion

from

just

th

ree

of o

ur c

ount

ry p

rogr

amm

es th

is y

ear:

Phot

o: A

fgh

an

wo

me

n e

arn

mo

ne

y f

or

foo

d a

nd

clo

the

s b

y b

uil

din

g g

ab

ion

n

ets

fo

r e

ros

ion

co

ntr

ol.

Phot

os, l

eft:

A m

idw

ife

acc

ep

ts a

n a

rmfu

l o

f cl

ea

n d

eli

ve

ry k

its

aft

er

a

refr

es

he

r tr

ain

ing

se

ss

ion

.

righ

t: A

fa

mil

y i

n M

aro

an

tse

tra

, M

ad

ag

as

car,

sta

nd

s b

es

ide

th

eir

n

ew

la

trin

e.

ME

DA

IR

An

nu

al

Re

po

rt 2

010

8

9

Page 6: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Em

erg

en

cy

Re

lie

f W

hen

a su

dden

cri

sis

hits

or a

nat

ural

dis

aste

r str

ikes

, Med

air t

eam

s re

spon

d ra

pidl

y to

hel

p sa

ve li

ves

and

redu

ce s

uffer

ing.

In 2

010

, a

de

ad

ly o

utb

rea

k o

f k

ala

-aza

r s

we

pt

thro

ug

h

So

uth

ern

Su

da

n’s

Jo

ng

lei

sta

te.

Me

da

ir’s

He

alt

h

Em

erg

en

cy

Re

sp

on

se

Te

am

(E

RT

) re

sp

on

de

d,

oft

en

tre

ati

ng

affl

icte

d p

ati

en

ts f

or

ma

lnu

trit

ion

at

the

sa

me

tim

e.

Ny

aja

ng

wa

s o

n t

he

bri

nk

of

de

ath

wh

en

he

r m

oth

er

carr

ied

he

r in

to t

he

Me

da

ir c

lin

ic i

n A

yo

d,

ma

lno

uri

sh

ed

an

d s

uff

eri

ng

fro

m k

ala

-aza

r. W

e t

rie

d t

o f

ee

d h

er,

bu

t

wit

h p

ain

ful

so

res

in

he

r m

ou

th,

sh

e w

as

un

ab

le t

o e

at.

Ny

aja

ng

, ju

st

two

ye

ars

old

, s

oo

n l

os

t e

ve

n m

ore

we

igh

t

an

d g

rew

lis

tle

ss

.

Th

ere

wa

s o

nly

on

e c

ha

nc

e o

f h

er

su

rviv

al:

a f

ee

din

g

tub

e.

“I

ha

d a

lo

ng

dis

cu

ss

ion

wit

h h

er

mo

the

r a

bo

ut

it,

bu

t s

he

wa

s v

ery

un

su

re,”

sa

id D

r.

Me

da

ir M

ed

ica

l

Ma

na

ge

r. “

Pe

op

le

he

re h

av

e n

ev

er

se

en

fe

ed

ing

tu

be

s

an

d d

on

’t k

no

w

ho

w t

he

y w

ork

.”

Ny

aja

ng

’s m

oth

er

ha

d g

ive

n u

p h

op

e.

Sh

e j

us

t w

an

ted

to

tak

e h

er

chil

d h

om

e.

Bu

t w

ith

th

e e

nco

ura

ge

me

nt

of

ou

r

loca

l s

taff

, s

he

ag

ree

d t

o t

he

fe

ed

ing

tu

be

.

For

fiv

e d

ay

s,

the

ER

T f

ed

Ny

aja

ng

th

rou

gh

th

e t

ub

e a

nd

tre

ate

d t

he

so

res

in

he

r m

ou

th.

Wh

en

we

re

mo

ve

d t

he

tu

be

,

Ny

aja

ng

sta

rte

d e

ati

ng

no

rma

lly

an

d g

ain

ing

we

igh

t a

t a

he

alt

hy

pa

ce.

Ov

er

the

ne

xt

we

ek

s,

Ny

aja

ng

ma

de

a f

ull

re

cov

ery

fro

m h

er

illn

es

se

s a

nd

wa

s d

isch

arg

ed

in

go

od

he

alt

h.

“T

his

ch

ild

wa

s a

lre

ad

y d

ea

d w

he

n y

ou

bro

ug

ht

he

r h

ere

, b

ut

no

w s

he

’s

ali

ve

,” r

em

ark

ed

an

eld

erl

y w

om

en

in

th

e n

eig

hb

ou

rho

od

.

“T

he

se

pe

op

le h

av

e h

ea

lin

g i

n t

he

ir h

an

ds

.”

In 2

010

, th

e E

RT

pro

vid

ed

mo

re t

ha

n 4

,00

0 p

eo

ple

in

Jo

ng

lei

sta

te l

ike

lit

tle

Ny

aja

ng

wit

h l

ife

-sa

vin

g t

rea

tme

nt

for

ka

la-

Phot

o: a

bove

: Fa

ng

ak

cli

nic

. le

ft:

Co

re C

om

pe

ten

cie

s

Re

ha

bil

ita

tio

nO

nce

emer

genc

y re

lief n

eeds

are

met

, Med

air w

orks

alo

ngsi

de v

ulne

rabl

e co

mm

uniti

es to

su

stai

n liv

es a

nd h

elp

impr

ove

esse

ntia

l ser

vice

s an

d in

fras

truc

ture

.

In 2

010

, w

e t

rain

ed

10

vil

lag

es

in

Su

da

n (

No

rth

ern

Sta

tes

)

in “

Co

mm

un

ity

Ap

pro

ach

es

to

To

tal

Sa

nit

ati

on

” (

CA

TS

),

a m

eth

od

th

at

em

po

we

rs c

om

mu

nit

ies

to

ta

ke

co

lle

cti

ve

ac

tio

n t

o s

top

op

en

de

fec

ati

on

.

El

Sh

air

is

a r

em

ote

vil

lag

e o

f 10

0 f

am

ilie

s,

se

t a

ga

ins

t a

ba

ckd

rop

of

larg

e r

ock

y h

ills

th

at

turn

lu

sh

ly g

ree

n i

n t

he

rain

y s

ea

so

n.

Re

sid

en

ts h

av

e a

mo

sq

ue

an

d a

fu

nc

tio

nin

g

ha

nd

-pu

mp

, b

ut

un

til

rec

en

tly

, th

ey

fa

ce

d h

ea

lth

ris

ks

be

ca

us

e t

he

y d

efe

ca

ted

ou

t in

th

e o

pe

n.

tha

t n

o o

ne

wo

uld

se

e m

e,”

co

nfe

ss

ed

As

ha

. “

An

d t

he

re

wa

s a

lo

ng

tre

k e

ach

tim

e t

o t

he

bu

sh

es

.”

Alt

ho

ug

h i

t’s

ha

rd t

o i

ma

gin

e,

mo

re t

ha

n o

ne

bil

lio

n

pe

op

le i

n t

he

wo

rld

pra

cti

se

op

en

de

fec

ati

on

. T

his

pra

cti

ce

is

a d

ea

dly

th

rea

t to

hu

ma

n h

ea

lth

an

d a

ba

rrie

r

to d

ign

ity

an

d s

afe

ty,

es

pe

cia

lly

fo

r w

om

en

. W

e c

an

bu

ild

co

un

tle

ss

la

trin

es

fo

r v

uln

era

ble

co

mm

un

itie

s,

bu

t th

at

do

es

n’t

me

an

th

ey

wil

l b

e m

ain

tain

ed

or

ev

en

us

ed

. Tr

ue

cha

ng

e n

ee

ds

to

co

me

fro

m w

ith

in t

he

co

mm

un

ity

.

In 2

010

, M

ed

air

mo

tiv

ate

d p

eo

ple

to

ta

ke

re

sp

on

sib

ilit

y

for

the

ir h

ea

lth

th

rou

gh

be

tte

r s

an

ita

tio

n.

We

ed

uc

ate

d

pe

op

le a

bo

ut

the

he

alt

h r

isk

s o

f o

pe

n d

efe

ca

tio

n a

nd

pro

vid

ed

th

em

wit

h t

he

ba

sic

kn

ow

led

ge

an

d t

rain

ing

the

y n

ee

de

d t

o i

mp

rov

e t

he

ir o

wn

hy

gie

ne

an

d b

uil

d

sa

nit

ati

on

fa

cil

itie

s.

“T

he

am

az

ing

th

ing

ab

ou

t th

e s

an

ita

tio

n p

rog

ram

me

is

tha

t w

e d

id l

ittl

e m

ore

th

an

ho

ld a

co

mm

un

ity

me

eti

ng

to d

isc

us

s t

he

pro

ble

m o

f o

pe

n d

efe

ca

tio

n,

co

nd

uc

t a

two

-da

y l

atr

ine

sla

b-m

ak

ing

wo

rks

ho

p,

an

d d

o s

ev

era

l

foll

ow

-up

vis

its

to

re

info

rce

th

e t

rain

ing

, ch

eck

on

pro

gre

ss

, a

nd

re

sp

on

d t

o a

ny

qu

es

tio

ns

,” s

aid

Me

da

ir’s

Jan

na

Ha

mil

ton

.

Jus

t fo

ur

mo

nth

s a

fte

r M

ed

air

’s f

irs

t d

isc

us

sio

n w

ith

co

mm

un

ity

le

ad

ers

in

El

Sh

air

, e

ve

ry h

ou

se

ho

ld h

ad

bu

ilt

the

ms

elv

es

a l

atr

ine

. E

l S

ha

ir b

ec

am

e t

he

fir

st

vil

lag

e

to b

ec

om

e “

100

Pe

rce

nt

Op

en

-De

fec

ati

on

Fre

e”

in

all

of

So

uth

Ko

rdo

fan

.

“A

n N

GO

ju

st

ca

me

to

ou

r v

illa

ge

an

d a

sk

ed

us

ab

ou

t th

e

sa

nit

ati

on

in

ou

r c

om

mu

nit

y,”

co

mm

un

ity

le

ad

er

Bu

sh

ara

told

us

, g

rin

nin

g,

his

vo

ice

fu

ll o

f p

rid

e.

“I

loo

ke

d a

t h

im

an

d t

old

him

, ‘Y

ou

ca

n g

o t

o a

ny

ho

us

eh

old

in

th

is w

ho

le

co

mm

un

ity

, a

nd

yo

u w

ill

fin

d a

la

trin

e..

. a

nd

pe

op

le a

re

us

ing

la

trin

es

.’ W

e d

on

’t h

av

e a

ny

pe

rso

n p

rac

tis

ing

op

en

de

fec

ati

on

an

ym

ore

.”

“B

ore

ho

les

co

me

an

d g

o,

latr

ine

s c

om

e a

nd

go

,”

sa

id J

an

na

. “

Th

at’

s w

hy

Me

da

ir i

nv

es

ts i

n b

uil

din

g

rela

tio

ns

hip

s w

ith

pe

op

le i

n c

om

mu

nit

ies

, re

lay

ing

hy

gie

ne

kn

ow

led

ge

, a

nd

sh

ow

ing

th

em

th

at

the

y c

an

ma

ke

a d

iffe

ren

ce

th

em

se

lve

s.

Th

at

kin

d o

f ch

an

ge

is

rea

lly

em

po

we

rin

g a

nd

wil

l s

tay

wit

h t

he

m l

on

g a

fte

r

we

le

av

e.”

Phot

o: E

l S

ha

ir c

om

mu

nit

y m

em

be

rs s

tan

d i

n f

ron

t o

f o

ne

of

the

ir

ne

w l

atr

ine

s.

10

ME

DA

IR

An

nu

al

Re

po

rt 2

010

11

Page 7: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Med

air w

orks

to im

prov

e he

alth

and

nut

ritio

n in

vul

nera

ble

com

mun

ities

.

Ma

lari

a.

Pn

eu

mo

nia

. D

iarr

ho

ea

. M

aln

utr

itio

n.

Me

as

les

.

Co

mp

lica

tio

ns

fro

m c

hil

db

irth

.

Th

es

e a

re s

om

e t

he

de

ad

lie

st

kil

lers

on

ea

rth

. B

ut

the

y

sh

ou

ldn

’t b

e.

Wit

h p

rop

er

he

alt

h c

are

, th

ey

ca

n b

e t

rea

ted

.

Wit

h s

uffi

cie

nt

res

ou

rce

s,

the

y c

an

oft

en

be

pre

ve

nte

d.

Me

da

ir w

ork

s i

n c

ou

ntr

ies

aro

un

d t

he

wo

rld

wh

ere

th

es

e

kin

ds

of

he

alt

h c

on

cern

s c

au

se

ne

ed

les

s s

ick

ne

ss

an

d

de

ath

. O

ur

tea

ms

wo

rk t

o i

mp

rov

e a

cce

ss

to

qu

ali

ty h

ea

lth

an

d n

utr

itio

n s

erv

ice

s f

or

vu

lne

rab

le c

om

mu

nit

ies

.

We

re

sp

on

d t

o e

me

rge

nci

es

lik

e d

ise

as

e o

utb

rea

ks

an

d

ma

lnu

trit

ion

, w

hil

e a

lso

su

pp

ort

ing

ye

ar-

rou

nd

he

alt

h

clin

ics

so

th

at

com

mu

nit

ies

ca

n h

av

e r

eg

ula

r a

cce

ss

to

pri

ma

ry h

ea

lth

ca

re.

We

pro

mo

te h

ea

lth

an

d h

yg

ien

e,

pro

vid

e v

acc

ina

tio

ns

fo

r

chil

dre

n a

nd

pre

gn

an

t m

oth

ers

, a

nd

dis

trib

ute

mo

sq

uit

o

ne

ts t

o w

ard

off

ma

lari

a.

Wh

ere

ve

r p

os

sib

le,

we

se

ek

to

su

pp

ort

th

e e

xis

tin

g h

ea

lth

care

sy

ste

ms

by

tra

inin

g a

nd

su

pe

rvis

ing

lo

cal

he

alt

h

wo

rke

rs,

an

d p

rovi

din

g t

he

m w

ith

th

e m

ed

icin

e a

nd

me

dic

al

su

pp

lie

s t

he

y n

ee

d t

o t

rea

t th

eir

pa

tie

nts

.

He

alt

h a

nd

Nu

trit

ion

Ke

y A

cti

vit

ies

Em

erg

en

cy r

es

po

ns

es

to

dis

ea

se

ou

tbre

ak

s,

po

pu

lati

on

dis

pla

cem

en

ts,

an

d n

utr

itio

na

l e

me

rge

nci

es

Ma

tern

al

an

d c

hil

d h

ea

lth

pro

gra

mm

es

Em

erg

en

cy a

nd

in

teg

rate

d n

utr

itio

n p

rog

ram

me

s

Pro

vid

ing

an

d s

up

po

rtin

g p

rim

ary

he

alt

h c

are

se

rvic

es

Va

ccin

ati

ng

fo

r ro

uti

ne

co

ve

rag

e a

nd

ou

tbre

ak

re

sp

on

se

He

alt

h a

nd

hy

gie

ne

pro

mo

tio

n

Su

pp

ort

ive

su

pe

rvis

ion

, tr

ain

ing

, a

nd

mo

nit

ori

ng

of

clin

ics

an

d s

taff

On

e-y

ea

r-o

ld N

em

atu

lla

h h

ad

be

en

sic

k f

or

mo

st

of

his

yo

un

g l

ife

. A

t

six

mo

nth

s,

he

be

ga

n v

om

itin

g u

p

ev

ery

thin

g h

e a

te,

an

d g

rew

we

ak

er

an

d t

hin

ne

r. N

em

atu

lla

h n

ee

de

d

me

dic

al

he

lp b

ut

the

win

ter

sn

ow

ma

de

tra

ve

l im

po

ss

ible

.

Fin

all

y, w

he

n t

he

sn

ow

me

lte

d,

his

pa

ren

ts t

oo

k t

he

ir s

on

on

th

e f

ou

r-d

ay

mo

un

tain

tre

k b

y d

on

ke

y to

Me

da

ir’s

nu

trit

ion

ce

ntr

e in

Ze

ria

ki.

By

tha

t ti

me

,

Ne

ma

tull

ah

wa

s se

vere

ly m

aln

ou

ris

he

d.

“A

ny

thin

g y

ou

ca

n d

o,

ple

as

e d

o,”

sa

id h

is m

oth

er,

Na

jib

a,

sit

tin

g a

t h

er

so

n’s

be

ds

ide

. “

Six

of

my

ch

ild

ren

ha

ve

alr

ea

dy

die

d.

On

ly t

wo

re

ma

in.”

Ma

lnu

trit

ion

in

Ra

gh

ista

n

For

up

to

six

mo

nth

s o

f th

e y

ea

r, t

he

hig

he

r a

ltit

ud

e a

rea

s i

n t

he

Ra

gh

ista

n

reg

ion

of

Ba

da

kh

sh

an

pro

vin

ce l

ie b

en

ea

th t

hic

k l

ay

ers

of

sn

ow

. O

ve

r th

es

e m

on

ths

, fa

mil

ies

re

ly o

n t

he

cro

ps

th

ey

ha

ve

gro

wn

in

th

e s

um

me

r a

nd

su

sta

in t

he

ms

elv

es

on

a

die

t o

f ri

ce,

na

an

bre

ad

, a

nd

te

a.

“W

ith

su

ch a

lim

ite

d d

iet,

it’s

no

wo

nd

er

tha

t p

eo

ple

he

re a

re m

aln

ou

ris

he

d,”

sa

id

Wh

en

Me

da

ir c

on

du

cte

d a

nu

trit

ion

su

rve

y i

n t

he

dis

tric

t,

we

co

nfi

rme

d h

igh

le

ve

ls o

f m

aln

utr

itio

n a

mo

ng

ch

ild

ren

un

de

r fi

ve

an

d p

reg

na

nt

an

d l

ac

tati

ng

wo

me

n.

In r

es

po

ns

e,

Me

da

ir b

eg

an

a n

utr

itio

n p

roje

ct

in t

he

reg

ion

aim

ed

at

pro

vid

ing

lif

e-s

av

ing

nu

trit

ion

al

su

pp

ort

fo

r m

aln

ou

ris

he

d w

om

en

an

d c

hil

dre

n w

hil

e

als

o e

du

ca

tin

g f

am

ilie

s t

o h

elp

pre

ve

nt

ma

lnu

trit

ion

in

the

fu

ture

.

Du

rin

g t

he

ye

ar,

Me

da

ir e

sta

bli

sh

ed

nin

e n

utr

itio

n

su

b-c

en

tre

s i

n s

tra

teg

ic l

oc

ati

on

s t

hro

ug

ho

ut

Ra

gh

ista

n.

At

the

se

ce

ntr

es

, m

aln

ou

ris

he

d w

om

en

an

d c

hil

dre

n

in t

he

re

gio

n r

ec

eiv

ed

nu

trie

nt-

rich

fo

od

ra

tio

ns

, w

hil

e

mo

re s

ev

ere

ly m

aln

ou

ris

he

d c

hil

dre

n w

ith

me

dic

al

co

mp

lic

ati

on

s w

ere

re

ferr

ed

to

th

e s

tab

ilis

ati

on

ce

ntr

e

in Z

eri

ak

i.

Ne

ma

tull

ah

’s S

tory

Sh

ort

ly a

fte

r N

em

atu

lla

h a

rriv

ed

in

Ze

ria

ki,

th

e t

ea

m

as

se

ss

ed

th

at

the

ch

ild

ha

d r

efl

ux

. A

fte

r h

is fi

rst

da

y o

f

tre

atm

en

t, N

em

atu

lla

h’s

co

nd

itio

n h

ad

alr

ea

dy

be

gu

n t

o

imp

rov

e,

an

d s

oo

n a

ll s

ign

s p

oin

ted

to

a f

ull

re

cov

ery

.

“T

he

sta

ff h

av

e b

ee

n g

ivin

g m

e i

nfo

rma

tio

n a

bo

ut

ho

w

I ca

n f

ee

d m

y c

hil

d,”

sa

id N

aji

ba

. “

I a

m s

o r

eli

ev

ed

an

d

ha

pp

y t

o b

e h

ere

so

th

at

my

ch

ild

ca

n b

eco

me

he

alt

hy.

I ca

n s

ee

th

e f

res

hn

es

s i

n h

is e

ye

s a

lre

ad

y.”

In i

ts fi

rst

ye

ar

of

op

era

tio

n,

Me

da

ir’s

nu

trit

ion

pro

jec

t

pro

vid

ed

lif

e-s

av

ing

ca

re f

or

mo

re t

ha

n 2

,40

0 w

om

en

an

d

chil

dre

n l

ike

Ne

ma

tull

ah

, w

hil

e a

lso

te

ach

ing

fa

mil

ies

ho

w

to i

mp

rov

e t

he

ir l

ev

el

of

nu

trit

ion

.

“I

am

ve

ry h

ap

py

fo

r th

e n

utr

itio

n p

roje

ct

be

cau

se

it

be

ne

fits

th

e c

om

mu

nit

y a

nd

be

cau

se

it

is h

elp

ing

ou

r

chil

dre

n,”

sa

id v

illa

ge

le

ad

er

Mo

ha

mm

ad

Ra

bb

an

a,

wh

os

e

ma

lno

uri

sh

ed

wif

e a

lso

re

ceiv

ed

fo

od

ra

tio

ns

fro

m M

ed

air

.

“E

igh

ty p

erc

en

t o

f th

e p

eo

ple

in

Ra

gh

ista

n a

re h

elp

ed

by

Me

da

ir.

Th

ey

are

he

lpin

g p

eo

ple

in

ev

ery

vil

lag

e.”

Fre

sh

ne

ss

in

His

Ey

es

Med

air's

new

nut

ritio

n pr

ojec

t is

help

ing

save

thou

sand

s of

live

s in

Afg

hani

stan

.

Se

cto

rs o

f E

xp

ert

ise

Phot

o: W

om

en

an

d c

hil

dre

n w

ait

th

eir

tu

rn a

t a

re

mo

te m

ob

ile

im

mu

nis

ati

on

cl

inic

in

So

uth

ern

Su

da

n.

Phot

o:

12

ME

DA

IR

An

nu

al

Re

po

rt 2

010

13

Page 8: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Arou

nd th

e w

orld

, mor

e th

an a

mill

ion

youn

g ch

ildre

n di

e ea

ch y

ear f

rom

dia

rrho

eal d

isea

se.1

Th

e U

.N.

sta

tes

th

at

88

pe

rce

nt

of

all

ca

se

s o

f d

iarr

ho

ea

l

dis

ea

se

re

su

lt f

rom

un

sa

fe w

ate

r, i

na

de

qu

ate

sa

nit

ati

on

,

or

po

or

hy

gie

ne

be

ha

vio

ur.

2 T

he

im

pa

ct i

s c

lea

r: i

mp

rov

e

WA

SH

an

d y

ou

sa

ve

th

e l

ive

s o

f co

un

tle

ss

ch

ild

ren

.

WA

SH

me

an

s w

ate

r th

at

is s

afe

to

dri

nk

so t

ha

t fa

mil

ies

can

use

it t

o c

oo

k t

he

ir m

ea

ls a

nd

qu

en

ch t

he

ir t

hir

st

wit

ho

ut

fea

r o

f

ge

ttin

g s

ick

. W

AS

H m

ea

ns

wa

ter

tha

t is

ne

arb

y s

o t

ha

t w

om

en

an

d c

hil

dre

n c

an

sp

en

d t

he

ir d

ays

pro

du

ctiv

ely

ra

the

r th

an

wa

lkin

g f

or

ho

urs

on

en

d c

arr

yin

g h

ea

vy je

rry

can

s o

f w

ate

r.

WA

SH

me

an

s s

an

ita

tio

n f

aci

liti

es

th

at

are

clo

se

to

ho

me

an

d h

yg

ien

ic t

o u

se

, w

he

re w

as

te i

s d

isp

os

ed

of

pro

pe

rly

an

d w

on

’t c

on

trib

ute

to

dis

ea

se

. W

AS

H m

ea

ns

sa

nit

ati

on

faci

liti

es

th

at

giv

e u

se

rs p

riva

cy,

bri

ng

ing

dig

nit

y a

nd

se

curi

ty t

o w

om

en

an

d g

irls

in

pa

rtic

ula

r.

WA

SH

me

an

s h

ygie

ne

aw

are

ne

ss s

o t

ha

t fa

mil

ies

kn

ow

exa

ctly

wh

at

the

y ca

n d

o t

o p

reve

nt

dia

rrh

oe

al d

ise

as

e,

incl

ud

ing

ho

w

the

y ca

n s

afe

ly c

oll

ect

an

d s

tore

th

eir

wa

ter,

dis

po

se

of

the

ir

wa

ste

, a

nd

wa

sh

th

eir

ha

nd

s.

Hyg

ien

e is

a c

ruci

al b

ut

oft

en

sig

nifi

can

tly

less

em

ph

asi

sed

ste

p in

WA

SH

inte

rve

nti

on

s.3

Me

da

ir h

elp

s r

es

tore

he

alt

h a

nd

dig

nit

y t

o p

eo

ple

in

cri

sis

by

bri

ng

ing

WA

SH

to

ch

ild

ren

, w

om

en

, a

nd

me

n w

ho

liv

e

in s

om

e o

f th

e w

orl

d’s

mo

st

vu

lne

rab

le c

ou

ntr

ies

.

WA

SH

:

Wa

ter,

Sa

nit

ati

on

, a

nd

Hy

gie

ne

“T

he

firs

t ti

me

Me

da

ir c

am

e i

nto

th

is v

illa

ge

, y

ou

co

uld

n’t

go

be

hin

d t

he

ho

us

es

be

cau

se

it

wa

s s

o s

me

lly

an

d d

irty

,” s

aid

Me

da

ir’s

Do

roth

ée

Ve

lon

jara

. “

Pe

op

le h

ad

no

sa

nit

ati

on

sy

ste

m,

an

d t

he

y d

efe

cate

d j

us

t b

eh

ind

th

eir

ho

me

s.”

Th

e v

illa

ge

of

An

ka

zo

ma

nd

rok

o i

s s

urr

ou

nd

ed

by

a

na

rro

w,

sta

gn

an

t ri

ve

r. B

efo

re M

ed

air

ca

me

, p

eo

ple

dra

nk

fro

m t

he

riv

er

an

d f

req

ue

ntl

y b

ec

am

e i

ll.

In f

ac

t,

wh

en

we

fir

st

arr

ive

d,

yo

un

g c

hil

dre

n p

lay

ed

na

ke

d

in t

he

dir

ty c

an

als

an

d c

on

tra

cte

d i

nfe

cti

on

s f

rom

th

e

co

nta

min

ate

d w

ate

r.

“P

eo

ple

did

n’t

kn

ow

th

at

the

dir

ty w

ate

r w

as

ca

us

ing

illn

es

s,”

sa

id D

oro

thé

e.

“T

he

y t

ho

ug

ht

it w

as

be

cau

se

th

e

chil

dre

n w

ere

ea

tin

g s

ug

arc

an

e.”

Be

tte

r H

yg

ien

e

In m

an

y M

ala

ga

sy

vil

lag

es

, k

no

wle

dg

e a

bo

ut

pro

pe

r

hy

gie

ne

is

dis

turb

ing

ly l

ow

. C

om

mu

nit

ies

ne

ed

hy

gie

nic

latr

ine

s a

nd

sa

fe s

ou

rce

s o

f d

rin

kin

g w

ate

r, b

ut

the

y a

lso

ne

ed

to

pra

ctic

e g

oo

d h

yg

ien

e.

Me

da

ir r

ea

che

s o

ut

to t

en

s o

f th

ou

san

ds

of

pe

op

le e

very

ye

ar

wit

h h

ygie

ne

ed

uca

tio

n.

Ou

r te

am

s u

se

pu

pp

et

sh

ow

s,

pla

ys,

so

ng

s,

qu

izze

s,

com

pe

titi

on

s—

all

kin

ds

of

cre

ati

ve m

eth

od

s.

Th

e t

ea

m e

ve

n m

ad

e a

mo

vie

th

at

foll

ow

s a

Ma

lag

as

y f

am

ily

wh

o l

ea

rn a

bo

ut

go

od

hy

gie

ne

pra

ctic

es

. O

n W

orl

d W

ate

r

Da

y, 6

00

pe

op

le s

aw

th

e fi

lm i

n a

n e

ve

nin

g s

cre

en

ing

in M

aro

an

tse

tra

an

d a

fte

rwa

rd t

he

au

die

nce

en

ga

ge

d i

n

an

ima

ted

co

nv

ers

ati

on

s a

bo

ut

hy

gie

ne

.

“I h

ave

a m

ess

ag

e f

rom

to

da

y,”

said

12

-ye

ar-

old

Va

ne

ssa

aft

er

pa

rtic

ipa

tin

g in

Me

da

ir’s

Wo

rld

Wa

ter

Da

y e

ven

ts.

“We

mu

st

wa

sh

ou

r h

an

ds

be

fore

ea

tin

g a

nd

aft

er

go

ing

to

th

e t

oil

et.

Me

da

ir a

lso

us

es

ra

dio

bro

ad

cas

ts t

o r

ein

forc

e h

yg

ien

e

les

so

ns

. C

hil

dre

n a

re i

nvi

ted

to

sp

ea

k “

on

th

e a

ir”

ab

ou

t

the

sa

nit

ati

on

an

d w

ate

r p

rob

lem

s t

he

y f

ace

, a

nd

wh

at

the

y

ha

ve

le

arn

ed

ab

ou

t h

ow

to

avo

id g

ett

ing

sic

k.

As

va

lua

ble

as

ra

dio

an

d m

ovi

es

are

, n

oth

ing

be

ats

fa

ce-

to-f

ace

te

ach

ing

. A

nd

so

, M

ed

air

tra

ine

d 7

1 n

ew

hy

gie

ne

volu

nte

ers

in

20

10 t

o p

rom

ote

hy

gie

ne

in

th

eir

ow

n v

illa

ge

s.

Be

tte

r H

ea

lth

Th

ree

ye

ars

ag

o,

Me

da

ir’s

WA

SH

in

terv

en

tio

n i

n

An

ka

zom

an

dro

ko

le

d t

o a

sw

ift

an

d p

os

itiv

e t

urn

aro

un

d

for

the

co

mm

un

ity

’s h

ea

lth

an

d h

yg

ien

e.

Aft

er

mo

the

rs

lea

rne

d t

ha

t th

e c

on

tam

ina

ted

riv

er

wa

ter

wa

s l

ink

ed

to

the

ir c

hil

dre

n’s

in

fect

ion

s,

chil

dre

n w

ere

ra

rely

se

en

pla

yin

g

na

ke

d i

n t

he

ca

na

l a

ny

mo

re.

“B

efo

re M

ed

air

ca

me

, w

e u

se

d t

o d

rin

k t

he

riv

er

wa

ter,

sa

id F

au

sti

n,

a M

ed

air

-tra

ine

d h

yg

ien

e v

olu

nte

er.

“N

ow

we

ha

ve

wa

ter

pu

mp

s.

An

d n

ow

th

ere

are

la

trin

es

in

th

e e

nti

re

vil

lag

e.

You

se

e,

I h

av

e b

ee

n t

o s

cho

ol,

bu

t it

wa

s M

ed

air

wh

o t

au

gh

t m

e h

yg

ien

e p

rac

tice

.”

Be

tte

r H

yg

ien

e f

or

Be

tte

r H

ea

lth

In M

adag

asca

r, M

edai

r rai

ses

awar

enes

s ab

out t

he li

fe-s

avin

g im

port

ance

of p

rope

r hyg

iene

.

Se

cto

rs o

f E

xp

ert

ise

Ke

y A

cti

vit

ies

Wa

ter

Su

pp

ly:

Ne

w s

ys

tem

s o

r re

ha

bil

ita

tio

n o

f e

xis

tin

g b

ore

ho

les

,

ha

nd

-du

g w

ell

s,

sp

rin

g p

rote

ctio

n,

rain

wa

ter

ha

rve

sti

ng

, g

ravi

ty-

fed

sy

ste

ms

, co

mm

un

ity

an

d h

ou

se

ho

ld w

ate

r tr

ea

tme

nt

sy

ste

ms

,

em

erg

en

cy w

ate

r tr

uck

ing

Sa

nit

ati

on

: C

om

mu

nit

y A

pp

roa

che

s t

o T

ota

l S

an

ita

tio

n p

rog

ram

me

s,

con

str

uct

ion

of

ins

titu

tio

na

l a

nd

ho

us

eh

old

la

trin

es

, in

sta

lla

tio

n o

f

ha

nd

-wa

sh

ing

an

d b

ath

ing

fa

cili

tie

s,

so

lid

wa

ste

co

lle

ctio

n c

am

pa

ign

s

an

d s

afe

dis

po

sa

l

Hy

gie

ne

Pro

mo

tio

n:

Pro

tect

ion

an

d s

afe

sto

rag

e o

f d

rin

kin

g w

ate

r,

hy

gie

nic

la

trin

e u

se

, s

afe

sto

ol

dis

po

sa

l fo

r in

fan

ts,

go

od

ha

nd

-

wa

sh

ing

pra

cti

ce

Tra

inin

g a

nd

Ca

pa

cit

y B

uil

din

g:

Vil

lag

e h

yg

ien

e p

rom

ote

rs,

wa

ter

us

er

com

mit

tee

s,

an

d p

um

p m

ech

an

ics

Phot

o: G

irls

wa

lk h

om

e a

fte

r g

ath

eri

ng

wa

ter

fro

m a

n u

np

rote

cte

d s

ou

rce

in

Zim

ba

bw

e.

1 Th

e U

nit

ed

Na

tio

ns

Wo

rld

Wa

ter

De

ve

lop

me

nt

Re

po

rt 3

: W

ate

r in

a

Ch

an

gin

g W

orl

d,

pa

ge

89

. (2

00

9).

2 U

N-w

ate

r g

lob

al

an

nu

al

as

se

ss

me

nt

of

sa

nit

ati

on

an

d d

rin

kin

g-w

ate

r 2

010

: Ta

rge

tin

g r

es

ou

rce

s f

or

be

tte

r re

su

lts

, p

ag

e 8

. (2

010

).3 T

ech

nic

al N

ote

s o

n D

rin

kin

g-W

ate

r, S

an

ita

tio

n,

an

d H

ygie

ne

in E

me

rge

nci

es

. N

°. 1

02

011

).

Wo

rld

Wa

ter

Da

y f

ea

ture

s a

Me

da

ir m

ovi

e a

bo

ut

go

od

hy

gie

ne

pra

ctic

es

.

Phot

os, l

eft:

Ch

ild

ren

wa

tch

ea

ge

rly

as

Me

da

ir s

taff

ere

ct a

“m

ovi

e s

cre

en

.”

righ

t: S

ix h

un

dre

d p

eo

ple

in

Ma

roa

nts

etr

a e

njo

y M

ed

air

’s h

yg

ien

e m

ovi

e.

ME

DA

IR

An

nu

al

Re

po

rt 2

010

14

15

Page 9: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Safe

she

lter i

s ke

y to

hum

an s

urvi

val.

We

all

ne

ed

a s

afe

pla

ce t

o s

lee

p,

a s

afe

pla

ce f

or

ou

r

fam

ilie

s t

o l

ive

in

pe

ace

. In

Ha

iti,

ne

wly

ho

me

les

s f

am

ilie

s

told

Me

da

ir t

ea

ms

th

at

the

y n

ee

de

d s

afe

sh

elt

er

mo

re t

ha

n

an

yth

ing

els

e.

Wh

en

na

tura

l d

isa

ste

rs d

es

tro

y p

eo

ple

’s h

om

es

, M

ed

air

wo

rks

to

bu

ild

th

em

sa

fe s

he

lte

rs t

ha

t a

re r

es

ista

nt

to

futu

re d

isa

ste

rs a

nd

th

at

ca

n b

e t

ran

sit

ion

ed

to

mo

re

pe

rma

ne

nt

ho

me

s i

n t

he

fu

ture

.

Alt

ho

ug

h s

he

lte

r is

ou

r h

igh

es

t p

rio

rity

, w

e a

lso

co

ns

tru

ct

or

rep

air

ke

y i

nfr

as

tru

ctu

re t

o h

elp

co

mm

un

itie

s r

eb

uil

d a

nd

re

co

ve

r fr

om

cri

sis

. Fo

r

ins

tan

ce

, w

e b

uil

d s

cho

ols

, h

ea

lth

cli

nic

s,

roa

ds

,

bri

dg

es

, a

nd

air

str

ips

.

We

oft

en

ru

n o

ur

bu

ild

ing

pro

jec

ts w

ith

th

e a

ss

ista

nc

e

of

loc

al

co

mm

un

ity

me

mb

ers

, p

ay

ing

th

em

fo

r th

eir

lab

ou

r th

rou

gh

a h

igh

ly r

eg

ard

ed

ca

sh

-fo

r-w

ork

pro

gra

mm

e t

ha

t p

rov

ide

s f

am

ilie

s w

ith

cru

cia

l in

co

me

wh

en

th

ey

ne

ed

it

mo

st.

To m

itig

ate

th

e r

isk

of

futu

re d

isa

ste

rs,

Me

da

ir a

lso

he

lps

co

mm

un

itie

s p

lan

fo

r a

nd

gu

ard

ag

ain

st

lik

ely

thre

ats

su

ch a

s e

art

hq

ua

ke

s,

cy

clo

ne

s,

an

d l

an

ds

lid

es

.

We

pro

vid

e e

du

ca

tio

n a

nd

co

ord

ina

tio

n,

run

dis

as

ter

res

po

ns

e s

imu

lati

on

s,

an

d b

uil

d e

va

cu

ati

on

sh

elt

ers

.

Sh

elt

er

an

d I

nfr

as

tru

ctu

re

“I

gra

bb

ed

him

an

d w

e r

an

ou

tsid

e.

Th

e w

all

fe

ll o

n t

he

be

d

wh

ere

my

gra

nd

so

n w

ou

ld h

av

e b

ee

n s

lee

pin

g.”

Ha

iti’

s m

as

siv

e e

art

hq

ua

ke

in

Ja

nu

ary

20

10 i

s e

sti

ma

ted

to h

av

e k

ille

d m

ore

th

an

22

0,0

00

pe

op

le.

In t

he

re

mo

te

mo

un

tain

vil

lag

e o

f Te

rre

Ro

ug

e,

58

mo

re t

ha

n 1

.5 m

illi

on

pe

op

le w

ho

lo

st

the

ir h

om

es

on

th

at

terr

ible

da

y.

“T

he

wh

ole

co

mm

un

ity

sta

rte

d s

lee

pin

g o

uts

ide

,” s

aid

we

go

t co

ld a

t n

igh

t. W

e d

id n

ot

sle

ep

we

ll.”

“I

did

n’t

sle

ep

at

all

be

cau

se

I w

as

sca

red

,”

16-y

ea

r-o

ld

gra

nd

da

ug

hte

r. “

It w

as

to

o c

row

de

d a

nd

too

co

ld.”

Terr

e R

ou

ge

is

lo

cate

d n

ea

r th

e c

ity

of

Jacm

el,

bu

t th

e j

ou

rne

y r

eq

uir

es

a r

ive

r

cro

ss

ing

an

d a

n a

rdu

ou

s a

sce

nt

up

ste

ep

,

po

ckm

ark

ed

dir

t ro

ad

s t

o r

ea

ch i

t.

“A

fte

r th

e e

art

hq

ua

ke

I t

ho

ug

ht

tha

t n

o

it w

as

no

t to

o l

on

g b

efo

re M

ed

air

arr

ive

d.

It

ga

ve

me

str

en

gth

wh

en

Me

da

ir s

aid

I w

ou

ld

ge

t a

ho

us

e.

A h

ou

se

wa

s m

ore

im

po

rta

nt

tha

n a

ny

thin

g f

or

me

an

d m

y f

am

ily.

Ind

ee

d,

Me

da

ir w

as

th

e fi

rst

NG

O t

o

com

e t

o T

err

e R

ou

ge

in

re

sp

on

se

to

th

e

ea

rth

qu

ak

e.

Th

e t

ea

m a

ss

es

se

d t

he

da

ma

ge

an

d s

tart

ed

to

bu

ild

du

rab

le

tra

ns

itio

na

l s

he

lte

rs t

ha

t co

uld

be

up

gra

de

d i

nto

pe

rma

ne

nt

ho

us

es

re

lati

ve

ly e

as

ily.

“It

to

ok

fo

ur

da

ys

fo

r th

em

to

bu

ild

ou

r h

ou

se

—s

o

tim

be

r a

nd

ce

me

nt,

it

fee

ls s

o s

tro

ng

. I

am

ve

ry h

ap

py

wit

h

my

ne

w h

ou

se

. I

can

’t e

ve

n e

xp

lain

.”

Be

ne

fici

ari

es

to

ld t

he

Me

da

ir t

ea

m t

ha

t, w

ith

ou

t th

eir

he

lp,

it w

ou

ld h

av

e t

ak

en

th

em

be

twe

en

“tw

o y

ea

rs,”

“a

life

tim

e,”

an

d “

ne

ve

r” t

o r

eb

uil

d o

r re

pa

ir t

he

ir h

om

es

.

“P

eo

ple

he

re n

ow

ta

lk a

bo

ut

ha

vin

g b

ett

er

he

alt

h a

s a

resu

lt o

f b

ein

g s

afe

ly s

he

lte

red

at

nig

ht,

” sa

id M

ed

air

’s F

lora

nce

Pa

ul.

“P

are

nts

ta

lk a

bo

ut

the

imp

rove

d h

ea

lth

of

the

ir c

hil

dre

n,

esp

eci

all

y w

ith

re

ga

rd t

o a

sth

ma

, in

flu

en

za, a

nd

pn

eu

mo

nia

.”

Pe

op

le in

Te

rre

Ro

ug

e h

ave

re

su

me

d f

arm

ing

, ch

ild

ren

ha

ve

retu

rne

d t

o s

cho

ol,

an

d f

am

ilie

s h

ave

he

ld o

n t

o t

he

ir v

alu

ab

le

live

sto

ck a

nd

live

lih

oo

ds

. In

ma

ny

cas

es

, th

e n

ew

sh

elt

ers

are

mo

re s

pa

cio

us

an

d s

turd

ier

tha

n t

he

ir p

revi

ou

s h

om

es

.

“N

ow

I h

av

e m

y o

wn

be

d a

s t

he

re i

s m

ore

ro

om

,” s

aid

he

re.

Ev

ery

on

e i

n m

y s

cho

ol

ha

s a

sa

fe h

ou

se

no

w.

Mo

st

of

the

m a

re ‘

Me

da

ir h

ou

se

s.’

My

fri

en

ds

are

ha

pp

y w

ith

th

eir

big

ge

r h

ou

se

s t

oo

.”

Ne

w H

om

es

in

Te

rre

Ro

ug

e

In 2

010,

Med

air b

uilt

and/

or re

paire

d 1,

862

shel

ters

in H

aiti,

pro

vidi

ng s

afer

hou

sing

for m

ore

than

11,

000

vuln

erab

le p

eopl

e.

Se

cto

rs o

f E

xp

ert

ise

Phot

o: B

en

efi

cia

rie

s i

n A

fgh

an

ista

n v

olu

nte

er

the

ir t

ime

an

d l

ab

ou

r to

he

lp

bu

ild

a w

ate

r re

se

rvo

ir f

or

the

ir v

illa

ge

. Ph

oto:

ne

w s

he

lte

r.

Ke

y A

cti

vit

ies

Ba

se

lin

e s

urv

ey

s,

sh

elt

er

an

d i

nfr

as

tru

ctu

re a

ss

es

sm

en

ts,

cas

h-f

or-

wo

rk p

roje

cts

Co

ns

tru

ctin

g o

r re

ha

bil

ita

tin

g s

cho

ols

, h

ea

lth

cli

nic

s,

ho

me

s,

roa

ds

,

bri

dg

es

, a

irs

trip

s

Dis

trib

uti

ng

an

d c

on

str

uct

ing

em

erg

en

cy s

he

lte

rs,

wit

h a

pp

rop

ria

te

tra

inin

g f

or

com

mu

nit

ies

Dis

as

ter

ris

k r

ed

uct

ion

an

d m

itig

ati

on

, in

clu

din

g fl

oo

d p

rev

en

tio

n a

nd

cycl

on

e s

he

lte

rs

ME

DA

IR

An

nu

al

Re

po

rt 2

010

16

17

Page 10: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

“I

wa

s w

ork

ing

in

a f

arm

ne

arb

y w

he

n I

su

dd

en

ly h

ea

rd

gu

ns

ho

ts,”

sa

id 2

5-y

ea

r-o

ld A

nd

rozo

Ta

bu

. “

I g

rab

be

d m

y

ho

e a

nd

ma

che

te a

nd

sta

rte

d r

un

nin

g t

ow

ard

s m

y h

ou

se

.”

An

dro

zo

sh

ou

ted

fo

r h

is w

ife

an

d t

hre

e c

hil

dre

n a

nd

tog

eth

er

the

y r

an

in

to t

he

fo

res

t fo

r s

afe

ty,

wh

ile

a g

an

g

of

mil

itia

att

ack

ed

th

e v

illa

ge

of

So

rod

o.

Th

e m

ilit

ia k

ille

d

thre

e p

eo

ple

, te

rro

ris

ed

oth

ers

, a

nd

lo

ote

d t

he

Me

da

ir

he

alt

h p

os

t.

Wh

en

An

dro

zo r

etu

rne

d t

o S

oro

do

, e

ve

ryth

ing

in

his

ho

me

wa

s g

on

e.

“I

am

ve

ry a

ng

ry.

I w

ork

ve

ry h

ard

in

th

e fi

eld

s

to b

e a

ble

to

ge

t s

om

eth

ing

fo

r m

y f

am

ily,

an

d t

he

n t

he

se

pe

op

le j

us

t co

me

an

d t

ak

e i

t a

ll a

wa

y,’’

he

sa

id.

Sa

dly

, th

is k

ind

of

att

ack

wa

s a

ll t

oo

co

mm

on

th

is y

ea

r

in D

.R.

Co

ng

o’s

Ori

en

tale

pro

vin

ce,

wh

ere

hu

nd

red

s o

f

tho

us

an

ds

of

pe

op

le h

av

e b

ee

n d

isp

lace

d f

rom

th

eir

ho

me

s

by

vio

len

ce.

In S

oro

do

, A

nd

rozo

mu

st

liv

e o

n b

orr

ow

ed

lan

d w

ith

no

rig

hts

—a

n “

inte

rna

lly

dis

pla

ced

pe

rso

n”

or

IDP

—b

eca

us

e h

e a

nd

his

fa

mil

y fl

ed

fro

m t

he

ir h

om

e i

n M

ori

vill

ag

e t

hin

kin

g t

he

y w

ou

ld b

e s

afe

r h

ere

.

In 2

010

, M

ed

air

re

sp

on

de

d t

o t

he

cri

sis

by

pro

vid

ing

fre

e

he

alt

h c

are

fo

r 19

1,2

21

dis

pla

ced

an

d v

uln

era

ble

pe

op

le,

an

d t

rain

ing

lo

cal

he

alt

h s

taff

at

cli

nic

s i

n I

turi

, B

as

-Ué

lé,

an

d H

au

t-U

élé

dis

tric

ts.

Wh

en

An

dro

zo’s

da

ug

hte

r S

ylv

ie b

eca

me

gra

ve

ly i

ll,

sh

e

wa

s t

rea

ted

fo

r a

na

em

ia a

nd

ma

lnu

trit

ion

. Tw

o w

ee

ks

la

ter,

sh

e w

as

dis

cha

rge

d i

n g

oo

d h

ea

lth

. “

I d

id n

ot

pa

y a

ce

nt

for

an

y o

f th

e c

os

ts,”

sa

id A

nd

rozo

. “

If i

t w

as

no

t fo

r M

ed

air

, m

y

chil

d w

ou

ld b

e n

o m

ore

.”

“If

Me

da

ir d

id n

ot

he

lp t

he

cli

nic

to

tre

at

IDP

s f

or

fre

e,

ma

ny

pe

op

le w

ou

ld h

av

e d

ied

: m

an

y, m

an

y p

eo

ple

,” s

aid

Ra

ko

le

Ka

ny

am

ali

, P

res

ide

nt,

Bu

kir

ing

i ID

P C

om

mit

tee

.

Pa

vin

g t

he

Wa

y

Fro

m J

an

ua

ry t

o J

uly

, M

ed

air

su

pp

ort

ed

65

1 h

ea

lth

str

uct

ure

s a

nd

vu

lne

rab

le a

rea

s,

tra

inin

g h

ea

lth

sta

ff,

pro

vid

ing

es

se

nti

al

me

dic

al

eq

uip

me

nt,

an

d e

ns

uri

ng

a

go

od

su

pp

ly o

f m

ed

icin

es

. W

e a

lso

pro

vid

ed

va

ccin

ati

on

s

an

d s

up

po

rte

d m

ate

rna

l h

ea

lth

ca

re.

In J

uly

, w

e s

ucc

es

sfu

lly

ach

iev

ed

ou

r g

oa

l o

f s

tre

ng

the

nin

g

the

lo

cal

he

alt

h s

ys

tem

su

ffici

en

tly

to

ha

nd

ov

er

su

pp

ort

of

37

3 o

f th

e h

ea

lth

ce

ntr

es

to

a l

oca

l o

rga

nis

ati

on

, FA

SS

(Fo

nd

s d

’Ach

ats

de

Se

rvic

es

Sa

nté

).

“M

ed

air

pa

ve

d t

he

wa

y f

or

us

,” s

aid

Dr.

Alb

ert

Ma

ka

ng

ila

,

Pro

vin

cia

l D

ire

cto

r o

f FA

SS

. “

Th

e s

up

po

rt w

e o

ffe

r to

he

alt

h s

tru

ctu

res

is

mu

ch e

as

ier

no

w,

tha

nk

s t

o a

ll t

he

wo

rk t

ha

t M

ed

air

ha

s d

on

e w

ith

th

es

e s

tru

ctu

res

in

th

e

pa

st.

It

is d

iffic

ult

to

mis

s t

he

im

pa

ct

of

Me

da

ir’s

wo

rk i

n

this

re

gio

n.”

Dem.

Rep

.of

Cong

o

SUDA

NC.A

.R

CAME

R.

REP.

OF CO

NGO

GABO

N

ANGO

LA

ZAMB

IA

TANZ

.

BURU

.

R.W

UG.

Cong

o

Equator

L u a la ba

Kins

hasa

Kisa

ngan

iBu

nia

0 020

040

0 mi

200

400

km

Isiro

Doru

maDu

ngu

Poko

In 2

010,

Med

air p

rovi

ded

heal

th c

are

and

WAS

H to

mor

e th

an a

mill

ion

peop

le w

ho s

trug

gled

in

the

face

of r

elen

tless

vio

lenc

e an

d ha

rdsh

ip.

D.R

. C

on

go

De

ad

ly c

on

flic

t co

nti

nu

es

to

de

sta

bil

ise

no

rth

ea

st

D.R

. C

on

go

. M

illi

on

s o

f C

on

go

les

e h

av

e

be

en

kil

led

du

rin

g t

he

la

st

de

cad

e,

an

d i

n 2

010

, fr

eq

ue

nt

att

ack

s f

rom

mu

ltip

le m

ilit

ia g

rou

ps

too

k p

lace

in

th

e r

eg

ion

s w

he

re M

ed

air

wo

rks

.

Str

en

gth

in

th

e F

ace

of

Ad

ve

rsit

y

Imp

rov

ing

WA

SH

In 2

010

, M

ed

air

wo

rke

d t

o r

ep

air

sp

rin

gs

an

d h

an

d-p

um

ps

,

dig

ne

w w

ell

s,

an

d b

uil

d s

cho

ol

latr

ine

s.

We

le

arn

ed

th

at

Isir

o G

en

era

l H

os

pit

al

urg

en

tly

ne

ed

ed

a c

lea

n w

ate

r s

up

ply

an

d m

ore

la

trin

es

. T

he

y d

idn

’t e

ve

n h

av

e e

no

ug

h w

ate

r to

cle

an

th

e h

os

pit

al,

co

mp

rom

isin

g t

he

qu

ali

ty o

f h

ea

lth

ca

re.

In r

es

po

ns

e,

we

re

ha

bil

ita

ted

th

e h

os

pit

al’

s w

ell

, co

ns

tru

cte

d

10 l

atr

ine

s,

an

d t

rain

ed

he

alt

h p

rofe

ss

ion

als

ab

ou

t h

ygie

ne

.

“N

ow

, th

e h

os

pit

al

is a

lo

t cl

ea

ne

r b

eca

us

e i

t is

wa

sh

ed

eve

ryd

ay,

an

d t

he

pa

tie

nts

an

d c

are

giv

ers

ha

ve a

cce

ss

to

cle

an

dri

nk

ing

wa

ter,

” s

aid

Dr.

Je

an

-Pa

ul

Ati

bu

, C

hie

f M

ed

ica

l

Do

cto

r. “

Fro

m a

me

dic

al

pe

rsp

ect

ive

, th

ere

is

bo

un

d t

o b

e a

de

cre

as

e i

n t

he

sp

rea

d o

f w

ate

rbo

rne

dis

ea

se

s.”

Fig

hti

ng

Ma

lari

a

Me

da

ir a

lso

la

un

che

d a

ma

jor

ne

w p

roje

ct t

o p

rev

en

t a

nd

tre

at

ma

lari

a—

the

sin

gle

la

rge

st

cau

se

of

illn

es

s a

nd

de

ath

in t

his

re

gio

n.

We

dis

trib

ute

d m

os

qu

ito

ne

ts,

tre

ate

d m

ore

tha

n 7

5,0

00

pre

gn

an

t w

om

en

an

d c

hil

dre

n f

or

ma

lari

a,

an

d p

rovi

de

d e

du

cati

on

ab

ou

t m

ala

ria

pre

ve

nti

on

an

d

care

. “

Wit

ho

ut

Me

da

ir’s

in

terv

en

tio

n i

n fi

gh

tin

g m

ala

ria

,

the

sit

ua

tio

n h

ere

wo

uld

ha

ve

be

en

ca

tas

tro

ph

ic,”

sa

id D

r.

Eu

ge

ne

Ku

mb

od

imo

, C

hie

f M

ed

ica

l D

oc

tor,

Is

iro

Dis

tric

t.

“I a

m s

o g

rate

ful

for

the

as

sis

tan

ce I

re

ceiv

ed

,” s

aid

28

-ye

ar-

old

ma

lari

a p

ati

en

t S

usa

na

. “

If i

t w

ere

no

t fo

r th

e f

ree

tre

atm

en

t, I

wo

uld

no

t h

ave

da

red

to

co

me

to

th

e c

lin

ic.”

Fo

r m

ore

info

rma

tio

n a

bo

ut

D.R

. Co

ng

o a

nd

Me

da

ir’s

wo

rk

the

re, p

lea

se

vis

it w

ww

.me

da

ir.o

rg/c

on

go

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

1,0

46

,89

7

Me

da

ir p

ers

on

ne

l13

in

tern

ati

on

all

y r

ecr

uit

ed

sta

ff

90

na

tio

na

lly

re

cru

ite

d s

taff

He

alt

h a

nd

Nu

trit

ion

–E

me

rge

nc

y R

eli

ef

191,

22

1 ID

Ps

re

ceiv

ed

fre

e h

ea

th c

are

4,3

67

wo

me

n r

ece

ive

d f

ree

an

ten

ata

l ca

re

7,2

70

ID

P a

nd

re

turn

ee

wo

me

n g

av

e b

irth

in

su

pe

rvis

ed

cli

nic

s

2,4

00

mo

sq

uit

o n

ets

dis

trib

ute

d;

2,5

75

cle

an

de

liv

ery

kit

s d

istr

ibu

ted

37

,27

8 r

ece

ive

d s

ub

sid

ise

d h

ea

lth

ca

re

37

7

1,0

22

he

alt

h c

en

tre

sta

ff t

rain

ed

Re

ha

bil

ita

tio

n

70

0,5

53

ne

w c

on

su

lta

tio

ns

in

Me

da

ir-s

up

po

rte

d h

ea

lth

cli

nic

s

10,0

71

ins

ect

icid

e-t

rea

ted

mo

sq

uit

o n

ets

dis

trib

ute

d

1 n

ew

me

dic

al

dis

trib

uti

on

ce

ntr

e o

pe

ne

d i

n D

ing

ila

3 h

ea

lth

ce

ntr

es

su

pp

lie

d w

ith

in

cin

era

tors

9 t

on

ne

s o

f h

os

pit

al

eq

uip

me

nt

for

ma

tern

ity

un

its

giv

en

to

he

alt

h c

en

tre

s

75

,24

9 c

hil

dre

n a

nd

pre

gn

an

t w

om

en

tre

ate

d f

or

ma

lari

a

15,5

36

pre

gn

an

t w

om

en

re

ceiv

ed

pre

ven

tati

ve

tre

atm

en

t fo

r m

ala

ria

;

12,0

00

ra

pid

ma

lari

a d

iag

no

sti

c te

sts

dis

trib

ute

d

WA

SH

–R

eh

ab

ilit

ati

on

6 l

atr

ine

blo

cks

(to

tal

30

sta

nd

s)

con

str

uct

ed

1 w

ell

du

g,

1 re

pa

ire

d;

6 p

rote

cte

d s

pri

ng

s r

eb

uil

t; 4

ha

nd

-pu

mp

s

rep

air

ed

Phot

os, l

eft:

Wo

rke

rs c

on

str

uct

a n

ew

we

ll t

o s

erv

e t

he

Is

iro

Ge

ne

ral

Ho

sp

ita

l.

belo

w: A

nu

rse

ex

am

ine

s a

ch

ild

wit

h m

ala

ria

in

Is

iro

, H

au

t U

élé

.

ME

DA

IR

An

nu

al

Re

po

rt 2

010

18

19

Page 11: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

In t

he

El

Sa

laa

m s

cho

olh

ou

se

of

Wa

da

ko

na

, U

pp

er

Nil

e s

tate

,

chil

dre

n h

ave

to

wa

lk d

ee

p i

nto

sn

ak

e-

an

d s

corp

ion

-in

fes

ted

bu

sh

wh

en

th

ey

ne

ed

to

de

feca

te.

Bu

t in

do

ing

so

, th

ey

con

trib

ute

to

se

rio

us

he

alt

h r

isk

s b

eca

us

e t

he

ir f

ae

ces

ca

n

wa

sh

in

to t

he

sa

me

riv

er

tha

t p

eo

ple

dri

nk

fro

m.

In 2

010

, M

ed

air

wo

rke

d t

o im

pro

ve w

ate

r, s

an

ita

tio

n,

an

d

hyg

ien

e (

WA

SH

) in

Up

pe

r N

ile

sta

te,

reh

ab

ilit

ati

ng

wa

ter

sys

tem

s to

se

rve

40

,00

0 p

eo

ple

. W

e b

uil

t la

trin

es

an

d h

an

d-

wa

sh

ing

sta

tio

ns

for

thre

e s

cho

ols

, a

nd

ou

r h

ygie

ne

pro

mo

tio

n

tea

ms

visi

ted

th

e s

cho

ols

re

gu

larl

y. “

I le

arn

ed

to

da

y th

at

wh

en

you

go

to

de

feca

te,

you

sh

ou

ld u

se

th

e la

trin

e,

an

d u

se

wa

ter

to w

as

h y

ou

r h

an

ds

aft

erw

ard

,” s

aid

five

-ye

ar-

old

Ha

ma

d,

ad

din

g,

“Wh

en

I g

row

up

, I w

an

t to

rid

e a

bic

ycle

.”

Bu

t in

So

uth

ern

Su

da

n,

ma

ny

yo

un

g c

hil

dre

n d

ie f

rom

ea

sil

y p

rev

en

tab

le i

lln

es

se

s.

Th

at’

s w

hy

Me

da

ir i

s a

ctiv

ely

en

cou

rag

ing

he

alt

hy

be

ha

vio

ura

l ch

an

ge

: to

giv

e c

hil

dre

n li

ke

Ha

ma

d t

he

be

st

po

ssib

le c

ha

nce

of

gro

win

g u

p in

go

od

he

alt

h.

“W

e w

ill

try

an

d f

oll

ow

th

es

e h

yg

ien

e p

ract

ice

s,”

sa

id

sch

oo

lte

ach

er

Alm

in O

bja

. “

My

ho

pe

s f

or

the

se

ch

ild

ren

are

tha

t th

ey

wil

l b

e s

ucc

es

sfu

l in

th

eir

le

arn

ing

...

so

th

at

the

y

can

be

com

e o

uts

tan

din

g l

ea

de

rs i

n t

he

ne

w S

ud

an

we

are

ho

pin

g f

or.

In 2

010

, m

ore

th

an

65

,00

0 p

eo

ple

vis

ite

d o

ur

he

alt

h f

aci

liti

es

in U

pp

er

Nil

e s

tate

, a

nd

we

pro

vid

ed

tra

inin

g a

nd

su

pe

rvis

ion

to l

oca

l h

ea

lth

sta

ff.

“C

lin

ica

l s

taff

tra

inin

gs

are

ve

ry u

se

ful

be

cau

se

it’

s s

om

eth

ing

su

sta

ina

ble

th

at

wil

l la

st

eve

n w

he

n

Me

da

ir l

ea

ves

,” s

aid

Da

nie

la W

itti

g,

Me

da

ir H

ea

lth

Ma

na

ge

r.

“W

e d

id a

re

fre

sh

er

tra

inin

g w

ith

nu

rse

s w

ho

sa

id t

he

y h

ad

las

t h

ad

tra

inin

g 1

0 o

r e

ven

20

ye

ars

ag

o.”

Em

erg

en

cy

Re

sp

on

se

A r

as

h o

f e

me

rge

nci

es

hit

So

uth

ern

Su

da

n i

n 2

010

, d

ue

to

incr

ea

se

d t

rib

al

con

flic

t, a

n i

nfl

ux

of

retu

rne

es

fro

m t

he

no

rth

, a

nd

a s

ha

rp r

ise

in

ac

ute

ma

lnu

trit

ion

an

d k

ala

-aza

r,

on

e o

f th

e l

es

se

r-k

no

wn

tro

pic

al

dis

ea

se

s.

Me

da

ir’s

em

erg

en

cy r

es

po

ns

e t

ea

ms

(E

RTs

) re

ha

bil

ita

ted

bo

reh

ole

s,

bu

ilt

latr

ine

s,

tra

ine

d h

yg

ien

e p

rom

ote

rs,

dis

trib

ute

d n

on

-fo

od

ite

ms

, a

nd

he

lpe

d t

rea

t th

ou

sa

nd

s o

f

pe

op

le f

or

ka

la-a

zar

an

d m

aln

utr

itio

n.

In M

arc

h,

Me

da

ir r

es

po

nd

ed

to

hig

h l

ev

els

of

acu

te

ma

lnu

trit

ion

in

Ak

ob

o c

ou

nty

, p

rovi

din

g e

me

rge

ncy

nu

trit

ion

al

su

pp

ort

in

pa

rtn

ers

hip

wit

h N

GO

s S

av

e t

he

Ch

ild

ren

an

d I

MC

. “

I ca

n a

lre

ad

y s

ee

my

da

ug

hte

r N

ya

da

k’s

ap

pe

tite

im

pro

vin

g,”

sa

id N

ya

yo

un

g.

“If

th

e p

rog

ram

me

ha

d n

ot

op

en

ed

no

w,

ou

r ch

ild

ren

wo

uld

be

su

ffe

rin

g m

uch

mo

re a

nd

so

me

ch

ild

ren

wo

uld

die

.”

Wh

en

a d

ea

dly

ou

tbre

ak

of

ka

la-a

zar

sw

ep

t th

rou

gh

So

uth

ern

Su

da

n’s

Jo

ng

lei

sta

te,

ou

r E

RTs

re

sp

on

de

d.

We

su

pp

ort

ed

mo

re t

ha

n 4

,00

0 p

eo

ple

in

Jo

ng

lei

sta

te w

ith

lif

e-

an

d w

e c

on

str

uc

ted

sa

nit

ati

on

fa

cili

tie

s a

t o

ve

rwh

elm

ed

clin

ics

. “

We

wo

rk f

rom

ea

rly

in

th

e m

orn

ing

an

d r

es

po

nd

to

ETHI

OPIA

KENY

AUG

ANDA

C.A.R

DEM.

REP

.OF

CONG

O

CHAD

LIBYA

EGYP

TSA

U.AR

.

Khar

toum

Suda

n

North

ern

States

ERITR

EA

Aweil

0 030

0 mi

300

km

Many

o

Sout

hern

Suda

n

Juba

Melut

Akob

o

Malak

al

In 2

010,

Med

air r

espo

nded

to e

mer

genc

ies

and

offer

ed lo

ng-l

astin

g su

ppor

t for

com

mun

ities

w

hile

als

o he

lpin

g co

ordi

nate

hum

anita

rian

act

iviti

es in

Sou

ther

n Su

dan.

So

uth

ern

Su

da

nD

eca

de

s o

f c

ivil

wa

r h

av

e d

ev

as

tate

d S

ou

the

rn S

ud

an

’s e

ss

en

tia

l s

erv

ice

s,

inc

lud

ing

he

alt

h

care

, a

nd

acc

es

s t

o w

ate

r a

nd

sa

nit

ati

on

. C

hil

dre

n a

re v

uln

era

ble

to

ea

sil

y p

rev

en

tab

le d

ise

as

es

,

an

d a

cu

te m

aln

utr

itio

n r

ate

s a

re a

bo

ve

em

erg

en

cy

th

res

ho

lds

. M

ajo

r ch

an

ge

s a

re u

nd

erw

ay

an

d a

ne

w s

pir

it o

f h

op

e i

s r

isin

g i

n t

he

re

gio

n.

Ele

cti

on

s w

ere

he

ld i

n 2

010

fo

r th

e fi

rst

tim

e i

n

de

cad

es

, a

nd

la

te i

n t

he

ye

ar,

fo

rme

r re

sid

en

ts b

eg

an

re

turn

ing

to

th

e s

ou

th,

wit

h a

nti

cip

ati

on

ris

ing

as

Ja

nu

ary

's r

efe

ren

du

m o

n i

nd

ep

en

de

nce

dre

w c

los

er.

A S

pir

it o

f H

op

e

Su

da

ne

se

na

tio

na

l w

ork

ing

fo

r M

ed

air

. “

It’s

a l

ot

of

wo

rk,

bu

t w

e a

re m

ak

ing

a d

iffe

ren

ce w

he

re n

o o

ne

els

e h

as

ma

de

a d

iffe

ren

ce.”

Ch

an

ge

Co

min

g

For

mu

ch o

f th

e y

ea

r, e

lec

tio

ns

an

d t

he

up

com

ing

Ja

nu

ary

refe

ren

du

m d

om

ina

ted

dis

cus

sio

ns

acr

os

s t

he

re

gio

n.

Ch

an

ge

wa

s c

om

ing

to

So

uth

ern

Su

da

n,

bu

t n

o o

ne

wa

s

su

re e

xa

ctly

ho

w t

he

pro

ces

s w

ou

ld u

nfo

ld.

In O

cto

be

r, h

ug

e n

um

be

rs o

f fo

rme

r re

sid

en

ts b

eg

an

retu

rnin

g “

ho

me

,” g

ath

eri

ng

in

ca

mp

s a

nd

se

ttle

me

nts

in b

ord

er

sta

tes

, cr

ea

tin

g a

n u

rge

nt

em

erg

en

cy s

itu

ati

on

.

In r

es

po

ns

e,

Me

da

ir t

ea

ms

be

ga

n a

WA

SH

in

terv

en

tio

n i

n

Aw

eil

at

the

en

d o

f th

e y

ea

r.

“I’

m h

ap

py

to

be

he

re i

n S

ou

the

rn S

ud

an

,” s

aid

As

un

ta,

a

retu

rne

e w

ho

sp

en

t th

e l

as

t 2

0 y

ea

rs i

n t

he

no

rth

. “

Ev

en

if

we

ha

ve

no

thin

g,

I’m

ha

pp

y. H

ere

I h

op

e m

y c

hil

dre

n w

ill

go

to

sch

oo

l a

nd

un

ive

rsit

y t

o l

ea

rn a

nd

to

be

com

e d

oc

tors

or

tea

che

rs.”

As

un

ta’s

wo

rds

ech

o t

he

sp

irit

of

ho

pe

in

th

e h

ea

rts

of

mil

lio

ns

of

pe

op

le w

ho

lo

ok

ah

ea

d w

ith

ca

uti

ou

s

en

thu

sia

sm

to

a n

ew

era

of

op

po

rtu

nit

y i

n t

he

ir h

om

ela

nd

.

Fo

r m

ore

info

rma

tio

n a

bo

ut

So

uth

ern

Su

da

n a

nd

Me

da

ir’s

wo

rk t

he

re, p

lea

se

vis

it w

ww

.me

da

ir.o

rg/s

ou

the

rn-s

ud

an

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

23

4,2

66

Me

da

ir p

ers

on

ne

l2

9 i

nte

rna

tio

na

lly

re

cru

ite

d s

taff

2

84

na

tio

na

lly

re

cru

ite

d s

taff

He

alt

h S

erv

ice

s–

Em

erg

en

cy

Re

lie

f

1,7

90

pe

op

le t

rea

ted

fo

r a

cute

ma

lnu

trit

ion

3,3

56

pe

op

le s

up

po

rte

d w

ith

tre

atm

en

t fo

r k

ala

-aza

r; 1

4,5

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pe

op

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rece

ive

d k

ala

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r a

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ren

es

s m

es

sa

ge

s

2,3

02

pe

op

le w

ere

va

ccin

ate

d;

5,3

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mo

sq

uit

o n

ets

dis

trib

ute

d

Re

ha

bil

ita

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n

66

,314

pe

op

le a

tte

nd

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da

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rte

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ea

lth

fa

cili

tie

s

3,1

11 c

hil

dre

n a

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me

n w

ere

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ccin

ate

d

96

8 c

hil

dre

n t

rea

ted

fo

r a

cute

ma

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WA

SH

–E

me

rge

nc

y R

eli

ef

44

bo

reh

ole

s r

eh

ab

ilit

ate

d;

76

em

erg

en

cy l

atr

ine

s i

ns

tall

ed

28

9 h

ea

lth

an

d h

yg

ien

e p

rom

ote

rs,

193

vil

lag

e w

ate

r co

mm

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es

,

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2 h

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Re

ha

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ain

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Up

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18 N

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to

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abov

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ME

DA

IR

An

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Re

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rt 2

010

20

21

Page 12: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

On

an

Au

gu

st

da

y i

n t

he

vil

lag

e o

f B

eid

a,

Me

da

ir’s

Em

ily

Ch

am

be

rs s

po

ke

to

a c

row

d o

f h

un

dre

ds

, in

clu

din

g

au

tho

riti

es

fro

m W

es

t D

arf

ur.

“I

me

t a

wo

ma

n i

n a

cli

nic

wit

h a

ve

ry h

ea

lth

y a

nd

ha

pp

y f

ou

r-m

on

th-o

ld s

on

,” s

he

told

th

em

, s

pe

ak

ing

Ara

bic

. “

He

wa

s f

at

an

d g

row

ing

we

ll,

wh

ile

th

e o

the

r m

oth

ers

ne

arb

y h

ad

ve

ry t

hin

ba

bie

s.”

“Th

e m

oth

er

exp

lain

ed

th

at

sh

e g

ave

he

r s

on

on

ly b

rea

st m

ilk

,

an

d w

ou

ld c

on

tin

ue

to

do

so

un

til h

e w

as

six

mo

nth

s o

ld.

‘Bu

t

ho

w c

an

yo

u d

o t

ha

t?’ t

he

oth

er

mo

the

rs a

sk

ed

, in

cre

du

lou

s.

‘We

live

in a

ho

t p

lace

. W

ith

ou

t w

ate

r, t

he

ba

bie

s w

ill d

ie!’

“‘B

ut

he

r s

on

is

fa

t a

nd

he

alt

hy,

is

n’t

he

?’ I

as

ke

d t

he

m.

‘Th

at’

s b

eca

us

e h

er

bre

as

t m

ilk

ha

s e

no

ug

h w

ate

r in

it

for

the

ba

by,

plu

s i

t co

nta

ins

en

ou

gh

nu

trie

nts

to

su

pp

ly a

ll t

he

ba

by

’s n

ee

ds

.’”

In S

ud

an

, o

ne

in

10

ch

ild

ren

die

s b

efo

re t

he

ag

e o

f fi

ve

.

Stu

die

s i

nd

ica

te t

ha

t w

ith

pro

pe

r b

rea

stf

ee

din

g i

n t

he

firs

t

ye

ars

of

life

, ch

ild

su

rviv

al

rate

s c

an

im

pro

ve

sig

nifi

can

tly

mo

re t

ha

n w

ith

an

y o

the

r p

rev

en

tati

ve

me

as

ure

. T

ha

t’s

wh

y,

in 2

010

, M

ed

air

ma

de

bre

as

tfe

ed

ing

pro

mo

tio

n a

ma

jor

pa

rt

of

ou

r e

ffo

rt t

o i

mp

rov

e t

he

he

alt

h o

f y

ou

ng

ch

ild

ren

.

Aft

er

Em

ily

’s s

pe

ech

, th

e d

ign

ita

rie

s t

ou

red

Me

da

ir’s

pri

ma

ry h

ea

lth

ca

re c

lin

ic i

n B

eid

a,

an

d s

aw

th

e u

pg

rad

es

we

ha

d m

ad

e t

o i

mp

rov

e t

he

fa

cili

ty f

or

sa

fe c

hil

db

irth

.

An

d t

he

n,

jus

t h

ou

rs a

fte

r th

ey

arr

ive

d in

Be

ida

, E

mil

y a

nd

the

dig

nit

ari

es

we

re p

ick

ed

up

by

U.N

. h

eli

cop

ters

an

d fl

ow

n

ba

ck t

o E

l Ge

ne

ina

. Th

is is

th

e s

ad

re

ali

ty o

f li

fe in

We

st

Da

rfu

r,

wh

ere

ins

ecu

rity

so

me

tim

es

ma

ke

s it

to

o d

an

ge

rou

s fo

r o

ur

sta

ff t

o s

tay

on

-th

e-g

rou

nd

fo

r m

ore

th

an

a f

ew

ho

urs

at

a t

ime

.

We

st

Da

rfu

r

Me

da

ir i

s t

he

lo

ng

es

t s

erv

ing

in

tern

ati

on

al

hu

ma

nit

ari

an

ag

en

cy p

res

en

t in

We

st

Da

rfu

r. W

e h

av

e e

arn

ed

th

e t

rus

t

of

loca

l co

mm

un

itie

s a

nd

au

tho

riti

es

du

e t

o o

ur

lon

g-

term

en

ga

ge

me

nt

in t

he

re

gio

n a

nd

ou

r p

rov

en

ca

pa

city

to r

es

po

nd

eff

ect

ive

ly t

o e

me

rge

nci

es

. W

e p

lace

a s

tro

ng

em

ph

as

is o

n t

rain

ing

an

d c

ap

aci

ty b

uil

din

g—

es

se

nti

al

in

sit

ua

tio

ns

wh

ere

in

se

cu

rity

lim

its

ou

r a

bil

ity

to

wo

rk d

ire

ctly

wit

h b

en

efi

cia

rie

s.

In 2

010

, w

e s

up

po

rte

d 2

7 p

rim

ary

he

alt

h c

lin

ics

in

We

st

Da

rfu

r, i

mp

rov

ed

acc

es

s t

o s

afe

wa

ter

an

d l

atr

ine

s,

pro

mo

ted

go

od

he

alt

h a

nd

hy

gie

ne

pra

ctic

es

, s

cre

en

ed

chil

dre

n f

or

ma

lnu

trit

ion

, a

nd

re

sp

on

de

d t

o n

um

ero

us

dis

ea

se

ou

tbre

ak

s.

“M

ed

air

is

lik

e t

he

mo

the

r a

mo

ng

st

NG

Os

,” s

aid

Ma

nzo

ul,

wit

h W

es

t D

arf

ur’

s H

um

an

ita

ria

n A

id C

om

mis

sio

n.

“M

ed

air

wa

s h

ere

be

fore

an

y o

the

r N

GO

s a

nd

is

pro

vid

ing

go

od

se

rvic

es

.”

In J

uly

, s

ev

ere

ra

infa

ll fl

oo

de

d S

isi

cam

p a

nd

da

ma

ge

d

Me

da

ir’s

cli

nic

an

d m

ore

th

an

10

0 h

om

es

. O

ur

em

erg

en

cy

res

po

ns

e t

ea

m r

us

he

d t

o S

isi,

th

e fi

rst

he

lp t

he

vil

lag

e

rece

ive

d.

“B

eca

us

e w

e w

ere

th

ere

at

an

ea

rly

sta

ge

, w

e

cou

ld h

elp

re

pa

ir h

ou

se

s a

nd

la

trin

es

, w

hic

h h

ad

an

imp

ort

an

t p

os

itiv

e i

mp

ac

t o

n g

en

era

l h

ea

lth

in

th

e c

am

p,”

sa

id M

ed

air

’s A

da

m G

ela

lad

in.

“Fo

r e

xa

mp

le,

the

nu

mb

er

ETHI

OPIA

ERITR

EA

KENY

AUG

ANDA

C.A.R

DEM.

REP

.OF

CONG

O

CHAD

LIBYA

EGYP

TSA

U.AR

.

Gene

inaWe

st Da

rfur

Khar

toum

North

ern

States

Sout

hern

Suda

n

0 030

0 mi

300

km

Suda

nKa

dugli

Mugla

d

In 2

010,

Med

air w

orke

d to

impr

ove

the

lives

of S

udan

’s m

othe

rs a

nd y

oung

chi

ldre

n.

Su

da

n (

No

rth

ern

Sta

tes

)S

ud

an

’s n

ort

he

rn s

tate

s a

re r

eco

ve

rin

g f

rom

ye

ars

of

con

flic

t, w

hil

e p

ers

iste

nt

vio

len

ce

in D

arf

ur

con

tin

ue

s t

o t

hre

ate

n t

he

he

alt

h a

nd

we

ll-b

ein

g o

f p

eo

ple

liv

ing

th

ere

. T

he

ye

ar

wa

s o

ne

of

ap

pre

he

ns

ion

an

d p

rep

ara

tio

n,

as

So

uth

ern

Su

da

n g

ea

red

up

to

vo

te f

or

un

ity

or

ind

ep

en

de

nce

in

its

Ja

nu

ary

re

fere

nd

um

.

We

Liv

e i

n a

Ho

t P

lace

of

pe

op

le w

ith

dia

rrh

oe

a h

as

no

t in

cre

as

ed

, w

hic

h i

s p

rett

y

am

azi

ng

in

a c

row

de

d a

nd

flo

od

ed

ca

mp

.”

So

uth

Ko

rdo

fan

In J

un

e 2

010

, a

fte

r fo

ur

ye

ars

of

imp

rovi

ng

wa

ter,

sa

nit

ati

on

, a

nd

hy

gie

ne

(W

AS

H)

in n

ort

he

as

t K

ad

ug

li a

nd

the

All

iri

Hil

ls,

Me

da

ir b

id a

fo

nd

fa

rew

ell

to

mo

re t

ha

n

60

co

mm

un

itie

s,

su

cce

ss

full

y h

an

din

g o

ve

r a

ll f

urt

he

r

WA

SH

act

ivit

ies

to

th

eir

ca

re.

On

e m

on

th l

ate

r, w

e e

xp

an

de

d o

ur

he

alt

h s

erv

ice

s i

n t

he

reg

ion

. W

e s

tart

ed

su

pp

ort

ing

pri

ma

ry h

ea

lth

ca

re,

es

pe

cia

lly

for

you

ng

ch

ild

ren

an

d m

oth

ers

, in

ad

dit

ion

to

ou

r o

ng

oin

g

pu

bli

c h

ea

lth

pro

mo

tio

n a

nd

re

pro

du

ctiv

e h

ea

lth

act

ivit

ies

—w

hic

h i

ncl

ud

e t

rain

ing

an

d s

up

po

rt f

or

mid

wiv

es

.

“Ye

ste

rda

y, I

wa

s c

all

ed

to

a d

eli

ve

ry w

he

re I

fo

un

d t

ha

t

the

co

rd w

as

pro

lap

se

d,”

sa

id E

ran

, a

Me

da

ir-s

up

po

rte

d

no

ma

dic

mid

wif

e.

“T

his

is

a v

ery

hig

h-r

isk

ob

ste

tric

em

erg

en

cy..

. m

an

y b

ab

ies

die

.”

Th

an

kfu

lly,

Era

n h

ad

re

cen

tly

att

en

de

d a

fiv

e-d

ay

co

urs

e

wit

h M

ed

air

. “

I re

me

mb

ere

d w

ha

t w

as

ta

ug

ht

at

the

las

t re

fre

sh

er

tra

inin

g w

he

re w

e d

iscu

ss

ed

ob

ste

tric

em

erg

en

cie

s a

nd

we

act

ed

th

em

ou

t,”

sh

e s

aid

. “

I fo

llo

we

d

the

se

in

str

uct

ion

s a

nd

bo

th t

he

mo

the

r a

nd

ba

by

su

rviv

ed

an

d a

re n

ow

do

ing

we

ll!”

Fo

r m

ore

in

form

ati

on

ab

ou

t S

ud

an

(N

ort

he

rn S

tate

s),

ple

as

e v

isit

ww

w.m

ed

air

.org

/su

da

n-n

ort

he

rn-s

tate

s

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

37

8,6

00

Me

da

ir p

ers

on

ne

l2

4 i

nte

rna

tio

na

lly

re

cru

ite

d s

taff

2

03

na

tio

na

lly

re

cru

ite

d s

taff

He

alt

h S

erv

ice

s–

Em

erg

en

cy

Re

lie

f a

nd

Re

ha

bil

ita

tio

n

34

9,8

37

pa

tie

nt

con

su

lta

tio

ns

in

27

Pri

ma

ry H

ea

lth

Ca

re (

PH

C)

cli

nic

s

(We

st

Da

rfu

r);

3,9

93

be

ne

fici

ari

es

as

se

ss

ed

in

PH

Cs

(S

ou

th K

ord

ofa

n)

5,9

86

ca

se

s o

f d

iarr

ho

ea

tre

ate

d;

4,5

23

ca

se

s o

f A

RI

tre

ate

d;

3

,52

9 c

as

es

of

ma

lari

a t

rea

ted

4,2

91

pre

gn

an

t w

om

en

giv

en

sa

fe d

eli

ve

ry p

ack

s;

4,0

75

pre

gn

an

t w

om

en

giv

en

mo

sq

uit

o n

ets

; 3

,53

5 w

om

en

giv

en

an

ten

ata

l ca

re

6,1

02

wo

me

n v

acc

ina

ted

du

rin

g t

he

ir p

reg

na

ncy

56

mid

wiv

es

tra

ine

d o

n p

os

tna

tal

care

; 3

4 C

HW

s a

nd

nu

rse

s t

rain

ed

o

n o

bs

tetr

ic c

are

; 2

4 m

idw

ive

s s

up

erv

ise

d b

y M

ed

air

22

0,0

00

be

ne

fici

ari

es

giv

en

he

alt

h p

rom

oti

on

me

ss

ag

es

15,8

37

ch

ild

ren

scr

ee

ne

d f

or

ma

lnu

trit

ion

; 5

,50

1 ch

ild

ren

re

ferr

ed

fo

r m

aln

utr

itio

n;

1,0

17 c

hil

dre

n a

dm

itte

d f

or

tre

atm

en

t fo

r s

eve

re m

aln

utr

itio

n

32

cli

nic

ass

ista

nts

tra

ine

d in

imm

un

isa

tio

n a

nd

ph

arm

acy

ma

na

ge

me

nt;

3

3 h

ea

lth

wo

rke

rs t

rain

ed

on

ma

lnu

trit

ion

(C

MA

M);

35

va

ccin

ato

rs t

rain

ed

WA

SH

–E

me

rge

nc

y R

eli

ef

an

d R

eh

ab

ilit

ati

on

15 b

ore

ho

les

dri

lle

d in

6 lo

cati

on

s;

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tte

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ell

s co

nst

ruct

ed

, w

ith

ha

nd

p

um

ps

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wa

ter

res

erv

oir

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ilt,

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eh

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ate

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r ya

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ity

me

mb

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ine

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r u

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mm

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es

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ilt

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on

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cho

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mu

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d o

n C

om

mu

nit

y A

pp

roa

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o T

ota

l S

an

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n

114

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w h

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tee

rs t

rain

ed

; 8

7 r

ece

ive

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es

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23

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8 h

ou

se

s c

on

ne

cte

d t

o w

ate

r s

yste

m b

y in

sta

llin

g d

istr

ibu

tio

n p

ipe

s

Ea

rlie

r th

is y

ea

r in

th

e c

ity

of

Ma

ron

de

ra,

16-y

ea

r-o

ld

Be

nh

ild

a D

en

gu

ma

de

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ree

tri

ps

eve

ry d

ay

to a

sh

all

ow

,

un

tre

ate

d w

ell

ha

lf a

kil

om

etr

e f

rom

he

r h

ou

se

. “

We

ha

ve h

ad

no

wa

ter

at

the

ho

us

e f

or

eig

ht

mo

nth

s n

ow

,” s

aid

Be

nh

ild

a.

Ind

ee

d,

all

ov

er

Ma

ron

de

ra,

the

ta

ps

ha

d s

top

pe

d

flo

win

g.

“P

eo

ple

we

re f

etc

hin

g w

ate

r fr

om

ve

ry s

ha

llo

w,

dir

ty w

ell

s,

su

sc

ep

tib

le t

o c

on

tam

ina

tio

n,”

sa

id M

ed

air

’s

Ed

so

n N

ya

sh

an

u.

Th

e r

ea

so

n?

Th

e c

ity

’s p

um

ps

an

d p

ipe

s h

ad

fa

ile

d,

pre

ve

nti

ng

wa

ter

fro

m r

ea

chin

g m

os

t h

om

es

. “

So

me

pe

op

le

ge

t s

tom

ach

pa

ins

fro

m t

he

wa

ter

fro

m t

he

sh

all

ow

we

lls

,”

sa

id J

oth

am

Sin

ok

a,

fore

ma

n o

f th

e w

ate

r tr

ea

tme

nt

pla

nt.

Bu

t s

tom

ach

pa

ins

are

ju

st

the

be

gin

nin

g.

In 2

00

8 a

nd

20

09

, Z

imb

ab

we

’s k

ille

r ch

ole

ra o

utb

rea

k a

ffe

cte

d 5

5 o

ut

of

62

dis

tric

ts,

on

e o

f th

e l

arg

es

t o

utb

rea

ks

do

cum

en

ted

in s

ub

-Sa

ha

ran

Afr

ica

. U

nli

ke

pre

vio

us

ou

tbre

ak

s,

this

on

e

aff

ect

ed

ma

jor

urb

an

are

as

wh

ich

ha

d b

eco

me

vu

lne

rab

le

be

cau

se

of

the

de

gra

de

d c

on

dit

ion

s o

f w

ate

r p

lan

ts a

nd

rela

ted

in

fra

str

uct

ure

.

In r

es

po

ns

e,

Me

da

ir b

eg

an

wo

rkin

g t

o i

mp

rove

wa

ter,

san

ita

tio

n,

an

d h

ygie

ne

(W

AS

H)

in Z

imb

ab

we

. In

20

10,

we

con

du

cte

d a

pro

ject

in

Ma

ron

de

ra,

wh

ere

de

teri

ora

tin

g

infr

as

tru

ctu

re h

ad

fo

rce

d r

es

ide

nts

in

th

e e

nti

re c

ity

to g

ath

er

un

safe

wa

ter

fro

m r

ive

r b

ed

s,

sh

all

ow

we

lls

, a

nd

a q

ua

rry.

“Yo

u c

am

e a

t th

e r

igh

t ti

me

wh

en

all

th

e d

ila

pid

ate

d

eq

uip

me

nt

ha

d n

ea

rly

co

lla

ps

ed

,” s

aid

Sh

ep

he

rd S

hin

gir

ai,

wa

ter

su

pp

ly s

up

eri

nte

nd

en

t. “

On

ou

r o

wn

, w

e w

ere

str

ug

gli

ng

. T

he

re w

as

ne

ver

en

ou

gh

wa

ter

su

pp

lie

d.”

An

Urb

an

WA

SH

Pro

jec

t

In M

arc

h 2

010

, M

ed

air

sta

rte

d r

eh

ab

ilit

ati

ng

Ma

ron

de

ra’s

wa

ter

tre

atm

en

t a

nd

dis

trib

uti

on

sy

ste

m,

in p

art

ne

rsh

ip

wit

h t

he

lo

cal

com

mu

nit

y. T

he

Ma

ron

de

ra T

ow

n C

ou

nci

l

con

trib

ute

d t

o t

he

pro

ject

wit

h f

un

ds

re

ceiv

ed

fro

m t

he

Zim

ba

bw

e M

inis

try

of

Fin

an

ce.

“T

he

to

wn

co

un

cil

ha

s t

ak

en

the

ir r

es

po

ns

ibil

itie

s a

nd

co

ntr

ibu

ted

th

eir

sh

are

in

th

e

pro

ject

,” s

aid

Me

da

ir’s

Pie

ter

Ba

kk

er.

“It

co

uld

no

t h

av

e

wo

rke

d w

ith

ou

t th

at

com

mit

me

nt

an

d w

ork

by

th

em

.”

For

the

ne

xt

se

ve

ral

mo

nth

s,

Me

da

ir a

ss

iste

d w

ith

th

e

reh

ab

ilit

ati

on

of

ke

y i

nfr

as

tru

ctu

re a

t p

um

pin

g a

nd

bo

os

ter

sta

tio

ns

, w

ork

ing

wit

h l

oca

l s

ub

-co

ntr

act

ors

an

d p

rovi

din

g

eq

uip

me

nt

an

d e

xp

ert

ise

to

th

e p

roje

ct.

Th

e p

um

pin

g

sta

tio

ns

re

qu

ire

d n

ew

he

av

y p

um

ps

th

at

ne

ed

ed

to

be

ins

tall

ed

wit

h g

rea

t ca

re,

as

ea

ch p

um

p w

eig

he

d a

bo

ut

1.5

to

nn

es

. “

Th

e m

om

en

t th

e e

qu

ipm

en

t a

rriv

ed

on

sit

e,

all

sta

ff o

f th

e m

un

icip

ali

ty w

ere

ex

tre

me

ly h

ap

py

as

th

ey

sa

w

thin

gs

ha

pp

en

ing

an

d m

ov

ing

,” s

aid

Pie

ter.

“T

ha

t w

as

a

go

od

mo

me

nt.

We

als

o r

efu

rbis

he

d t

he

wa

ter

dis

trib

uti

on

sy

ste

m i

n

Do

mb

oto

mb

o,

the

old

es

t a

rea

of

Ma

ron

de

ra,

be

cau

se

th

e

In 2

010,

Med

air’

s ur

ban

wat

er p

roje

ct b

roug

ht s

afe

drin

king

wat

er a

cces

s to

120

,000

resi

dent

s in

Mar

onde

ra, Z

imba

bwe.

Wa

ter

Tap

s F

low

ing

in

Ma

ron

de

ra

pip

es

we

re a

lmo

st

com

ple

tely

clo

gg

ed

wit

h r

us

t a

nd

mu

d.

Wo

rkin

g w

ith

a l

oca

l co

ntr

act

or,

we

in

sta

lle

d n

ew

pip

es

for

96

8 h

ou

se

s.

In fi

ve

oth

er

are

as

of

Ma

ron

de

ra,

Me

da

ir

an

d t

he

cit

y c

ou

nci

l b

ou

gh

t m

ate

ria

ls t

o r

eh

ab

ilit

ate

th

e

do

me

sti

c w

ate

r s

up

ply

, co

nn

ect

ing

10

0 a

dd

itio

na

l h

ou

se

s

to t

he

wa

ter

sy

ste

m.

Me

da

ir’s

mo

st

sig

nifi

can

t ch

all

en

ge

wa

s t

he

la

ck o

f re

lia

ble

ele

ctri

city

in

th

e t

ow

n.

At

tim

es

, M

aro

nd

era

wa

s w

ith

ou

t

ele

ctri

city

fo

r d

ay

s o

n e

nd

. N

on

eth

ele

ss

, M

ed

air

co

mp

lete

d

the

pro

ject

su

cce

ss

full

y, a

nd

in

De

cem

be

r, t

he

up

gra

de

d

wa

ter

wo

rks

we

re o

ffici

all

y h

an

de

d o

ve

r to

th

e M

aro

nd

era

Cit

y C

ou

nci

l.

Tap

s a

re F

low

ing

No

w t

ha

t s

afe

wa

ter

is r

ea

chin

g p

eo

ple

’s h

om

es

, li

fe i

s

mu

ch b

ett

er

for

res

ide

nts

lik

e E

ste

r H

wa

mir

idza

, w

ho

op

era

tes

a p

re-s

cho

ol

in M

aro

nd

era

. “

Be

fore

, I

ha

d t

o g

o

to t

he

go

lf c

ou

rse

wit

h a

wh

ee

lba

rro

w e

ach

da

y a

nd

as

k i

f I

cou

ld fi

ll m

y w

ate

r ju

g s

o t

he

ch

ild

ren

co

uld

ha

ve

wa

ter

for

the

da

y,”

sh

e s

aid

.

For

yo

un

g B

en

hil

da

an

d h

er

fam

ily,

th

e a

bil

ity

to

no

w d

rin

k

wa

ter

fro

m t

he

ir o

wn

ta

p i

s a

re

al

ble

ss

ing

. “

Th

e w

ate

r w

ill

he

lp m

ak

e o

ur

da

ily

ta

sk

s e

as

ier,

lik

e c

oo

kin

g,

dri

nk

ing

,

an

d b

ath

ing

,” s

aid

Be

nh

ild

a.

“U

ltim

ate

ly,

this

pro

ject

wil

l re

du

ce t

he

ris

k o

f ch

ole

ra

in M

aro

nd

era

,” s

aid

Pie

ter.

“T

he

mo

ne

y i

s w

ell

in

ve

ste

d

as

th

is i

s a

ve

ry s

tra

igh

tfo

rwa

rd p

roje

ct.

It’s

ea

sy

to

se

e

res

ult

s—

yo

u e

ith

er

ha

ve

wa

ter

or

yo

u d

on

’t.

Ma

ron

de

ra

tow

n w

ill

no

w h

ave

wa

ter.

Fo

r m

ore

in

form

ati

on

ab

ou

t Z

imb

ab

we

an

d M

ed

air

’s w

ork

the

re,

ple

as

e v

isit

ww

w.m

ed

air

.org

/zim

ba

bw

e

Phot

os, l

eft:

Be

nh

ild

a a

nd

he

r s

ibli

ng

s l

oo

k a

t p

ipin

g t

ha

t w

ill

con

ne

ct t

he

m

to t

he

cit

y’s

wa

ter

su

pp

ly.

ab

ove:

Ma

ron

de

ra r

es

ide

nts

ga

the

r w

ate

r fr

om

a l

oca

l q

ua

rry.

ME

DA

IR

An

nu

al

Re

po

rt 2

010

24

25

Page 14: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

“In

Mo

ga

dis

hu

, fe

ar

wa

s m

y c

los

e f

rie

nd

,” s

aid

23

-ye

ar

old

we

re b

om

bs

ev

ery

da

y k

illi

ng

my

fri

en

ds

an

d f

am

ily.

“O

ne

nig

ht

a b

om

b l

an

de

d i

n m

y h

ou

se

. W

e h

ad

se

pa

rate

d

ou

r ch

ild

ren

to

sta

y i

n d

iffe

ren

t p

lace

s,

be

cau

se

yo

u e

xp

ect

on

e t

o d

ie b

ut

ho

pe

th

at

the

oth

ers

wil

l li

ve

.”

vio

len

ce t

o fi

nd

re

fug

e i

n B

ura

o,

So

ma

lila

nd

. H

er

hu

sb

an

d

sta

ye

d b

eh

ind

to

ma

ke

mo

ne

y t

o s

en

d t

o h

er,

an

d s

he

ha

d

to l

ea

ve

tw

o o

f h

er

chil

dre

n b

eh

ind

wit

h h

er

sis

ter.

“H

ere

no

bu

t it

’s a

ve

ry h

ard

sit

ua

tio

n.”

In 2

010

, S

om

ali

a’s

vio

len

t co

nfl

ict

con

tin

ue

d t

o t

ea

r fa

mil

ies

In C

ad

ale

dis

tric

t, n

ort

h o

f M

og

ad

ish

u,

Me

da

ir w

ork

ed

thro

ug

h a

lo

cal

pa

rtn

er

NG

O t

o p

rovi

de

lif

e-s

avi

ng

ca

re t

o

chil

dre

n a

nd

fa

mil

ies

in

ne

ed

. To

ge

the

r, w

e t

rea

ted

mo

re

tha

n 3

,00

0 m

aln

ou

ris

he

d c

hil

dre

n,

pro

vid

ed

he

alt

h c

are

to

vu

lne

rab

le r

es

ide

nts

, re

ha

bil

ita

ted

20

we

lls

, a

nd

ra

n h

ea

lth

ed

uca

tio

n s

es

sio

ns

fo

r m

ore

th

an

45

,00

0 p

eo

ple

.

Ho

we

ve

r, t

he

le

ve

l o

f vi

ole

nce

ma

de

it

too

da

ng

ero

us

fo

r o

ur

sta

ff t

o e

ven

vis

it C

ad

ale

, s

o i

n N

ov

em

be

r 2

010

we

clo

se

d

the

pro

gra

mm

e a

nd

ma

de

th

e s

tra

teg

ic d

eci

sio

n t

o f

ocu

s o

n

So

ma

lila

nd

fo

r th

e f

ore

se

ea

ble

fu

ture

.

Tre

ati

ng

Ma

lnu

trit

ion

in

Bu

rao

So

ma

lila

nd

re

ma

ine

d r

ela

tiv

ely

sta

ble

in

20

10,

wh

ich

ma

de

it

a m

ag

ne

t fo

r th

ou

sa

nd

s o

f p

eo

ple

fle

ein

g f

rom

vio

len

ce i

n S

om

ali

a.

Bu

t s

ev

ere

dro

ug

ht

an

d t

he

in

flu

x

of

ne

w a

rriv

als

co

mp

ou

nd

ed

a s

eri

ou

s f

oo

d a

nd

wa

ter

sh

ort

ag

e i

n B

ura

o,

wh

ere

ap

pro

xim

ate

ly 3

0 d

isp

lace

me

nt

cam

ps

ha

d b

ee

n e

sta

bli

sh

ed

.

In 2

010

, M

ed

air

pro

vid

ed

co

mp

reh

en

sive

nu

trit

ion

al c

are

fo

r

mo

re t

ha

n 8

,00

0 m

aln

ou

ris

he

d c

hil

dre

n,

alo

ng

wit

h f

oo

d

rati

on

s fo

r th

eir

fa

mil

ies

, a

nd

nu

trit

ion

ed

uca

tio

n.

“Ha

lf o

f th

e

chil

dre

n li

vin

g in

th

is v

illa

ge

we

re v

ery

we

ak

an

d m

aln

ou

ris

he

d

be

fore

Me

da

ir c

am

e h

ere

, b

ut

no

w m

os

t o

f th

em

are

we

ll-

no

uri

sh

ed

,” s

aid

As

ha

Mo

ha

me

d in

a B

ura

o s

ett

lem

en

t. “

If y

ou

we

re n

ot

he

re n

ow

, m

an

y ch

ild

ren

wo

uld

ha

ve d

ied

.”

La

yla

’s T

win

s

be

cam

e v

ery

sic

k.

“W

he

n t

he

y fi

rst

cam

e,

the

tw

ins

we

re

in v

ery

, v

ery

se

rio

us

co

nd

itio

n,”

sa

id A

sia

Ad

da

ni

Mu

se

, a

Me

da

ir n

urs

e.

Tha

nk

full

y, t

he

tw

ins

res

po

nd

ed

we

ll t

o t

rea

tme

nt

an

d s

oo

n

be

ga

n g

ain

ing

we

igh

t. “

I’m

ha

pp

y th

at

the

tw

ins

are

no

w

join

ed

th

e M

ed

air

pro

gra

mm

e,

I h

ave

ma

ize

, o

il,

an

d p

orr

idg

e.

I’m

ve

ry h

ap

py

wit

h M

ed

air

, th

ey

ha

ve h

elp

ed

me

ve

ry m

uch

.”

Wh

ile

ma

lnu

trit

ion

tre

atm

en

ts r

em

ain

ed

th

e h

ea

rt o

f o

ur

Bu

rao

pro

gra

mm

e,

we

als

o v

acc

ina

ted

mo

re t

ha

n 4

,00

0

chil

dre

n,

an

d t

rain

ed

co

mm

un

ity

vo

lun

tee

rs t

o a

ss

ist

0 010

040

0 mi

100

200

km

ETHI

OPIA

INDI

AN O

CEAN

GULF

OF A

DEN

KENY

A

DJI.

Soma

lia

Moga

dishu

Harg

eisa

Soma

liland

As c

onfli

ct fo

rced

fam

ilies

and

aid

age

ncie

s to

leav

e So

mal

ia in

201

0, th

ousa

nds

of d

ispl

aced

pe

ople

set

tled

in p

eace

ful b

ut d

roug

ht-s

tric

ken

Bura

o, S

omal

iland

.

So

ma

lia

/So

ma

lila

nd

On

e o

f th

e w

orl

d’s

wo

rst

hu

ma

nit

ari

an

cri

se

s c

on

tin

ue

s t

o t

ak

e a

de

ad

ly t

oll

in

So

ma

lia

an

d S

om

ali

lan

d.

Ap

pro

xim

ate

ly 2

.4 m

illi

on

pe

op

le n

ee

d e

me

rge

nc

y a

ss

ista

nce

be

cau

se

of

vio

len

t co

nfl

ict

in S

om

ali

a a

nd

cy

cli

cal

dro

ug

ht

thro

ug

ho

ut

the

re

gio

n.

Turn

ing

Po

int

pre

gn

an

t w

om

en

, re

fer

the

m t

o h

ea

lth

fa

cili

tie

s,

an

d

pro

mo

te g

oo

d h

ea

lth

an

d h

yg

ien

e i

n t

he

ca

mp

s.

Acc

es

s t

o w

ate

r w

as

a c

riti

cal

ne

ed

in

Bu

rao

. M

ed

air

tru

cke

d w

ate

r in

to p

arc

he

d v

illa

ge

s,

wh

ile

als

o w

ork

ing

to r

ep

air

cra

cke

d r

ain

wa

ter

cis

tern

s.

We

dis

trib

ute

d h

an

d-

wa

sh

ing

sta

tio

ns

an

d w

ate

r fi

lte

rs,

an

d w

e s

up

po

rte

d t

he

con

str

uc

tio

n o

f m

ore

th

an

35

0 l

atr

ine

s.

Turn

ing

Po

int

In 2

010

, a

ne

w g

ove

rnm

en

t to

ok

offi

ce in

So

ma

lila

nd

fo

llo

win

g

ele

ctio

ns

in J

un

e.

Me

an

wh

ile

, th

e s

cop

e o

f th

e r

eg

ion

’s

su

ffe

rin

g le

d t

o a

gra

du

al r

ise

in in

tern

ati

on

al c

on

cern

an

d

su

pp

ort

, w

ith

mo

re h

um

an

ita

ria

n in

terv

en

tio

ns

tak

ing

pla

ce.

Wit

h t

his

incr

ea

se

in n

ew

hu

ma

nit

ari

an

an

d g

ove

rnm

en

tal

init

iati

ves

, S

om

ali

lan

d is

no

w a

t a

cru

cia

l tu

rnin

g p

oin

t. T

he

re

is m

uch

wo

rk t

o d

o,

bu

t n

ow

th

ere

is n

ew

ho

pe

.

“I

can

se

e a

big

diff

ere

nce

in

th

es

e c

am

ps

if

I co

mp

are

th

em

wit

h h

ow

th

ey

we

re a

ye

ar

ag

o,”

sa

id H

en

rie

ke

Ho

mm

es

,

Me

da

ir C

ou

ntr

y D

ire

cto

r. “

Th

e c

am

ps

are

mu

ch c

lea

ne

r

an

d i

t s

ee

ms

th

e n

ee

ds

are

ch

an

gin

g.

A y

ea

r a

go

, th

e fi

rst

thin

g p

eo

ple

wo

uld

as

k u

s f

or

wa

s w

ate

r a

nd

fo

od

, b

ut

no

w

wo

me

n a

re a

sk

ing

fo

r e

du

cati

on

fo

r th

eir

ch

ild

ren

. T

his

is

a

go

od

sig

n t

ha

t th

ey

are

ab

le t

o l

oo

k b

ey

on

d t

od

ay.

For

mo

rein

form

ati

on

ab

ou

tS

om

ali

a/S

om

ali

lan

da

nd

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

153

,72

0

Me

da

ir p

ers

on

ne

l4

in

tern

ati

on

all

y r

ecr

uit

ed

sta

ff

37

na

tio

na

lly

re

cru

ite

d s

taff

He

alt

h a

nd

Nu

trit

ion

–E

me

rge

nc

y R

eli

ef

11,5

24

ch

ild

ren

tre

ate

d f

or

ma

lnu

trit

ion

4,4

59

ch

ild

ren

va

ccin

ate

d u

p t

o D

PT

3;

3,8

06

ch

ild

ren

va

ccin

ate

d

for

me

as

les

7,1

43

pe

op

le r

ece

ive

d h

ea

lth

ed

uca

tio

n;

7,0

00

wo

me

n r

ece

ive

d

nu

trit

ion

ed

uca

tio

n

8,4

65

pe

op

le t

rea

ted

at

the

mo

the

r-ch

ild

he

alt

h c

lin

ic;

4,8

43

pe

op

le t

rea

ted

at

the

he

alt

h p

os

ts (

Ca

da

le)

44

7 c

hil

dre

n t

rea

ted

fo

r w

ate

ry d

iarr

ho

ea

(C

ad

ale

)

27

,617

pe

op

le a

tte

nd

ed

1,2

96

he

alt

h e

du

cati

on

se

ss

ion

s;

18,0

49

pe

op

le r

ece

ive

d a

nte

- o

r p

os

tna

tal

ed

uca

tio

n (

Ca

da

le)

WA

SH

–E

me

rge

nc

y R

eli

ef

32

,00

0 l

itre

s o

f w

ate

r tr

uck

ed

to

3 v

illa

ge

s (

Bu

rao

)

Re

ha

bil

ita

tio

n

50

5 l

atr

ine

s c

on

str

uct

ed

; 7

,23

0 p

eo

ple

wit

h a

cce

ss

to

ne

w l

atr

ine

s

1,5

40

ha

nd

-wa

sh

ing

sta

tio

ns

dis

trib

ute

d

41,

88

4 p

eo

ple

re

ach

ed

wit

h h

yg

ien

e p

rom

oti

on

30

0 w

ate

r fi

lte

rs d

istr

ibu

ted

6 c

iste

rns

(b

erk

ad

s)

reh

ab

ilit

ate

d;

20

sh

all

ow

we

lls

re

ha

bil

ita

ted

6 s

oli

d w

as

te s

kip

s f

ab

rica

ted

an

d d

istr

ibu

ted

; 13

co

mm

un

al

refu

se

po

ints

co

ns

tru

cte

d

Fo

r m

ore

in

form

ati

on

ab

ou

t S

om

ali

a/S

om

ali

lan

d a

nd

Me

da

ir’s

wo

rk t

he

re, p

lea

se

vis

it w

ww

.me

da

ir.o

rg/s

om

ali

a

Phot

os, l

eft:

be

low

: Mo

the

rs w

ith

th

eir

ch

ild

ren

wh

o a

re u

nd

erg

oin

g t

rea

tme

nt

fo

r m

aln

utr

itio

n.

ME

DA

IR

An

nu

al

Re

po

rt 2

010

26

27

Page 15: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Re

fle

cti

on

s o

n

Ch

an

ge

an

d T

ran

sfo

rma

tio

n

My

gra

nd

fath

er

did

hu

ma

nit

ari

an

aid

in

the

80

s;

he

sa

w a

lo

t o

f

pe

op

le c

om

ing

to

Afr

ica

fo

r

the

ms

elv

es

, fo

r th

eir

ow

n

se

lfis

h p

urp

os

es

. S

o h

e

ad

vis

ed

me

: “

Do

n’t

go

fo

r

yo

urs

elf

, g

o f

or

the

m.

You

wil

l b

e t

ran

sfo

rme

d,

bu

t

do

n’t

go

fo

r th

at

rea

so

n.

Th

is i

s a

co

mp

lex

se

ttin

g t

o e

xis

t in

. W

e l

ive

am

on

g

thin

gs

th

at

do

n’t

ex

ist

in l

ife

at

ho

me

...

ph

ys

ica

l,

con

cre

te b

arr

iers

an

d b

arb

ed

wir

e,

for

ex

am

ple

. T

he

ne

ed

s a

re s

o i

mm

en

se

, w

e c

an

ne

ve

r m

ee

t th

em

all

,

so

we

ha

ve

to

ke

ep

try

ing

. I

en

cou

rag

e p

eo

ple

to

ge

t in

tou

ch w

ith

ou

r w

ork

on

th

e f

ron

t li

ne

s.

It’s

im

po

rta

nt

for

us

in

Ju

ba

or

he

ad

qu

art

ers

to

all

ow

th

e m

om

en

ts o

f

ins

pir

ati

on

to

be

re

al.

Th

ey

are

re

al.

I th

ou

gh

t a

bo

ut

go

ing

ab

roa

d b

efo

re b

eco

min

g a

Ch

ris

tia

n,

bu

t I

tho

ug

ht

I w

ou

ld g

o s

om

ew

he

re w

he

re

the

su

n w

as

alw

ay

s s

hin

ing

, a

nd

wh

ere

eve

ryth

ing

wa

s

nic

e a

nd

ea

sy

fo

r m

e.

Bu

t G

od

se

nt

me

to

th

e c

om

ple

te

op

po

sit

e c

ou

ntr

y. T

he

win

ters

he

re a

re r

ea

lly

co

ld.

Th

e

su

mm

ers

are

ex

tre

me

ly h

ot.

Ev

en

du

rin

g t

he

ho

tte

st

da

ys

of

su

mm

er,

be

cau

se

of

the

cu

ltu

re,

yo

u h

av

e t

o

dre

ss

un

de

r h

ot

lay

ers

an

d w

ea

r a

sca

rf.

Bu

t it

is

so

go

od

to

be

he

re.

An

d I

fe

el

so

pri

vile

ge

d t

ha

t I

ha

ve

th

e o

pp

ort

un

ity

to

liv

e a

nd

wo

rk h

ere

. A

fgh

an

ista

n

ha

s t

ak

en

a v

ery

sp

eci

al

pla

ce i

n m

y h

ea

rt a

nd

I a

m s

o

gla

d t

o b

e h

ere

.

I th

ink

I a

m s

till

th

e s

am

e p

ers

on

as

a y

ea

r a

go

, b

ut

I d

o h

av

e m

uch

mo

re e

xp

eri

en

ce.

Be

ing

he

re h

as

ma

de

me

re

all

y a

pp

reci

ate

ev

ery

thin

g w

e h

av

e!

Be

tha

ny

Ku

rbis

, H

um

an

Re

so

urc

es

Ma

na

ge

r, J

ub

a,

So

uth

ern

Su

da

nP

atr

ick

Ma

ma

, A

ss

ista

nt

Sh

elt

er

Pro

jec

t M

an

ag

er,

Ha

iti

An

dré

Da

nie

l T

od

ore

, M

on

ito

rin

g a

nd

Ev

alu

ati

on

As

sis

tan

t-Q

ua

lity

, H

ait

i

Els

be

th K

on

ing

, P

roje

ct

Su

pp

ort

Ma

na

ge

r, A

fgh

an

ista

n

Wo

rkin

g f

or

Me

da

ir h

as

ch

an

ge

d m

y l

ife

. I

ha

d n

ev

er

be

en

in

ru

ral

are

as

to

se

e h

ow

th

e p

eo

ple

liv

e.

No

w,

I

can

se

e h

ow

th

es

e p

eo

ple

liv

e i

n p

ov

ert

y a

nd

th

at

the

y

rea

lly

ne

ed

he

lp.

Wo

rkin

g w

ith

Me

da

ir i

n r

em

ote

are

as

ha

s m

ad

e m

e s

ee

my

lif

e d

iffe

ren

tly.

On

e e

xp

eri

en

ce t

ha

t ch

an

ge

d m

y l

ife

wa

s t

he

da

y t

ha

t

sle

pt

ins

ide

th

e s

he

lte

r co

ns

tru

cte

d b

y M

ed

air

fo

r th

is

fam

ily.

Fro

m t

ha

t e

xp

eri

en

ce,

I le

arn

ed

th

at

life

is

no

t

ab

ou

t h

avi

ng

nic

e t

hin

gs

, s

uch

as

a c

om

fort

ab

le b

ed

.

It i

s s

imp

ly a

bo

ut

ha

vin

g a

ho

me

.

Wo

rkin

g f

or

Me

da

ir h

as

ch

an

ge

d m

y l

ife

be

cau

se

of

my

em

plo

ym

en

t w

ith

th

em

. I

can

dis

cov

er

the

po

ten

tia

l th

at

I h

av

e a

nd

I a

lso

fe

el

lik

e I

ha

ve

a s

tab

le j

ob

.

I re

me

mb

er

wh

en

I fi

rst

sta

rte

d w

ork

ing

an

d t

he

sta

ff

we

re w

illi

ng

to

te

ach

me

th

ing

s I

did

no

t k

no

w.

Th

ey

are

alw

ay

s w

illi

ng

to

lis

ten

an

d t

o b

rin

g a

so

luti

on

to

yo

ur

pro

ble

ms

. W

he

n t

he

y s

ee

th

at

yo

u h

av

e p

ote

nti

al,

th

ey

he

lp y

ou

to

de

ve

lop

yo

urs

elf

.

I h

av

e a

ccu

mu

late

d a

lo

t e

xp

eri

en

ce a

nd

kn

ow

led

ge

.

I h

av

e l

ea

rne

d t

he

te

chn

ica

l o

ffice

r’s

jo

b a

nd

ha

ve

acq

uir

ed

a l

ot

of

kn

ow

led

ge

in

co

ns

tru

cti

on

.

Be

fore

wo

rkin

g f

or

Me

da

ir I

ha

d h

ea

rd o

f th

e r

ura

l a

rea

s,

bu

t h

ad

ne

ve

r b

ee

n t

he

re.

Wh

en

I g

o a

nd

wo

rk i

n r

em

ote

are

as

, I

can

se

e t

he

se

rio

us

ne

ss

of

the

pro

ble

ms

an

d t

he

mis

ery

in

my

co

un

try.

Wo

rkin

g w

ith

Me

da

ir m

oti

vate

s m

e

to w

ork

an

d t

o u

se

my

kn

ow

led

ge

to

he

lp o

the

rs.

Phot

o: V

iew

fro

m t

he

Me

da

ir h

ea

dq

ua

rte

rs i

n J

ub

a,

So

uth

ern

Su

da

n.

Phot

o: A

nd

ré,

at

wo

rk a

t h

is M

ed

air

de

sk

.Ph

otos

: Els

be

th v

isit

s w

ith

Afg

ha

n f

am

ilie

s a

nd

tra

ve

ls t

o p

roje

ct s

ite

s

on

ho

rse

ba

ck.

Phot

o:

29

M

ED

AIR

A

nn

ua

l R

ep

ort

20

102

8

Page 16: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Jus

t 3

6 h

ou

rs a

fte

r th

e e

art

hq

ua

ke

s h

it,

Me

da

ir s

en

t a

n

em

erg

en

cy t

ea

m t

o I

nd

on

es

ia t

o d

ete

rmin

e h

ow

we

co

uld

be

st

pro

vid

e a

ss

ista

nce

. W

e s

oo

n l

ea

rne

d t

ha

t P

ad

an

g

Pa

ria

ma

n d

istr

ict

wa

s t

he

mo

st

aff

ect

ed

are

a,

an

d f

am

ilie

s

ne

ed

ed

sh

elt

er

urg

en

tly.

wh

o w

ork

ed

wit

h l

oca

l N

GO

, C

rea

tin

g F

ou

nd

ati

on

s f

or

Co

mm

un

itie

s (

CFK

). T

he

y w

an

ted

to

he

lp,

bu

t th

ey

la

cke

d

ex

pe

rtis

e i

n s

he

lte

r co

ns

tru

cti

on

.

“T

his

ch

an

ce e

nco

un

ter

led

to

a v

ery

su

cce

ss

ful

pa

rtn

ers

hip

in P

ad

an

g,”

sa

id M

ark

. “

Ba

cke

d b

y M

ed

air

’s s

he

lte

r

ex

pe

rtis

e,

CFK

ap

pli

ed

its

lo

cal

kn

ow

led

ge

an

d s

kil

ls t

o

de

liv

er

an

eff

ect

ive

sh

elt

er

pro

gra

mm

e f

or

7,5

00

pe

op

le.”

We

pro

vid

ed

te

chn

ica

l in

pu

t to

CFK

as

th

ey

im

ple

me

nte

d

the

pro

gra

mm

e d

ire

ctl

y w

ith

th

e b

en

efi

cia

rie

s.

We

tra

ine

d

pe

rso

nn

el,

de

sig

ne

d t

ran

sit

ion

al

sh

elt

ers

(T-

sh

elt

ers

) fo

r

the

mo

st

vu

lne

rab

le h

ou

se

ho

lds

, s

ele

cte

d t

oo

l k

its

, a

nd

de

ve

lop

ed

tra

inin

g m

ate

ria

ls.

For

ea

ch T

-sh

elt

er,

CF

K’s

co

ns

tru

cti

on

te

am

s p

rov

ide

d

the

fo

oti

ng

s a

nd

fra

me

d t

he

wa

lls

th

em

se

lve

s.

To i

ns

til

a

str

on

g f

ee

lin

g o

f o

wn

ers

hip

, th

ey

en

co

ura

ge

d f

am

ilie

s t

o

co

mp

lete

th

e r

es

t o

f th

e h

ou

se

on

th

eir

ow

n.

“A

lth

ou

gh

the

y w

ork

ed

at

the

ir o

wn

pa

ce

, w

hic

h w

as

oft

en

slo

w,

ma

ny

we

re a

ble

to

fin

ish

th

eir

T-s

he

lte

rs t

he

ms

elv

es

,”

sa

id M

ark

. “

Th

ey

we

re p

lea

se

d w

ith

th

eir

ow

n e

ffo

rts

wh

en

th

ey

re

ali

se

d t

he

y

co

uld

do

it!

Fam

ilie

s s

oo

n r

ea

lis

ed

th

at

the

ir s

turd

y T

-sh

elt

ers

we

re

rea

lly

fir

st-

sta

ge

ho

us

es

tha

t, w

ith

th

eir

re

sis

tan

ce

to e

art

hq

ua

ke

s,

wo

uld

las

t th

em

a l

on

g t

ime

.

“T

he

se

ho

us

es

are

mo

re

tha

n j

us

t te

mp

ora

ry

sh

elt

ers

,” s

aid

Jo

ni

Fri

ad

i,

go

ve

rnm

en

t le

ad

er.

“T

he

y

are

th

e f

ou

nd

ati

on

of

ou

r

futu

re h

om

es

.”

In t

he

firs

t s

ix m

on

ths

of

20

10,

Me

da

ir a

nd

CFK

bu

ilt

170

T-s

he

lte

rs f

or

fam

ilie

s i

n P

ad

an

g.

“T

he

en

cou

rag

ed

us

to

ha

ve

ne

w s

pir

it,”

sa

id S

ya

friz

al,

in

Su

ng

ai

Tare

h v

illa

ge

.

Me

da

ir a

lso

de

ve

lop

ed

tra

inin

g m

ate

ria

ls t

o t

ea

ch p

eo

ple

ho

w t

o r

ein

forc

e h

om

es

to

ma

ke

th

em

mo

re r

es

ista

nt

to e

art

hq

ua

ke

s,

wh

ich

CFK

tra

ns

late

d i

nto

th

e B

ah

as

a

lan

gu

ag

e,

an

d m

od

ifie

d f

or

loca

l u

se

.

Indo

nesia

(Sum

atra

)

050

010

00 k

m62

0 mi

310

Jaka

rta

Pada

ngMALA

YSIA

Pada

ng P

ariam

an

In 2

010,

Med

air p

artn

ered

with

a lo

cal N

GO

and

hel

ped

it gr

ow in

cap

acity

whi

le d

eliv

erin

g a

vita

l she

lter p

rogr

amm

e fo

r the

peo

ple

of In

done

sia.

Ind

on

es

iaIn

Se

pte

mb

er

20

09

, th

ree

po

we

rfu

l e

art

hq

ua

ke

s s

tru

ck i

n s

ho

rt s

ucc

es

sio

n i

n W

es

t S

um

atr

a

pro

vin

ce,

kil

lin

g m

ore

th

an

1,0

00

pe

op

le a

nd

le

avi

ng

28

0,0

00

fa

mil

ies

ho

me

les

s.

A R

ew

ard

ing

Re

sp

on

se

Be

twe

en

Fe

bru

ary

an

d J

un

e,

CFK

he

ld w

ork

sh

op

s f

or

five

mo

rnin

gs

ea

ch w

ee

k.

In t

ota

l, 1

,50

0 p

eo

ple

re

ceiv

ed

tra

inin

g

plu

s a

to

ol-

kit

dis

trib

uti

on

to

he

lp w

ith

th

eir

re

pa

irs

.

“(T

he

) a

wa

ren

es

s t

rain

ing

is

ve

ry w

ell

do

ne

, a

ctiv

ely

inv

olv

ing

pa

rtic

ipa

nts

,” w

rote

Sw

iss

So

lid

ari

ty,

in a

n

eva

lua

tio

n o

f th

e s

he

lte

r p

rog

ram

me

. “

(Th

e)

tra

inin

g

ma

teri

al

de

ve

lop

ed

by

Me

da

ir i

s e

xce

lle

nt

an

d h

as

be

en

ad

ap

ted

to

th

e l

oca

l co

nte

xt.

A S

tro

ng

Pa

rtn

ers

hip

For

Me

da

ir,

pa

rtn

eri

ng

wit

h C

FK a

nd

me

nto

rin

g t

he

ir

de

ve

lop

me

nt

turn

ed

ou

t to

be

a h

igh

ly r

ew

ard

ing

ou

tco

me

of

the

wo

rk.

In l

es

s t

ha

n a

ye

ar,

CFK

do

ub

led

in

siz

e,

ad

de

d e

xp

ert

ise

in

sh

elt

er

con

str

uct

ion

, a

nd

ga

ine

d m

ore

pro

fes

sio

na

l m

an

ag

em

en

t s

ys

tem

s.

“W

he

n C

FK n

ee

de

d t

o s

et

up

wa

reh

ou

se

an

d t

rack

ing

sy

ste

ms

, th

ey

le

arn

ed

by

us

ing

Me

da

ir’s

lo

gis

tics

tem

pla

tes

,” s

aid

Ma

rk.

“W

he

n t

he

y n

ee

de

d t

o u

pg

rad

e t

he

ir

fin

an

cia

l a

nd

acc

ou

nti

ng

pro

ced

ure

s,

Me

da

ir s

en

t a

fin

an

ce

offi

cer

to h

elp

th

em

.”

By

th

e t

ime

th

e P

ad

an

g s

he

lte

r p

rog

ram

me

clo

se

d i

n J

uly

,

CFK

ha

d t

he

ca

pa

city

to

ta

ke

on

co

ns

tru

ctio

n p

roje

cts

on

th

eir

ow

n;

an

d i

n D

ece

mb

er,

th

ey

la

un

che

d a

ne

w

em

erg

en

cy r

es

po

ns

e i

n t

he

Me

nta

wa

i Is

lan

ds

.

For

Me

da

ir,

the

Pa

da

ng

ea

rth

qu

ak

e w

as

als

o a

n

op

po

rtu

nit

y t

o s

tre

tch

ou

r c

ap

ac

ity

to

re

sp

on

d t

o

em

erg

en

cie

s s

wif

tly

, a

ca

pa

cit

y w

hic

h w

as

su

cc

es

sfu

lly

tes

ted

ju

st

thre

e m

on

ths

la

ter

wh

en

an

oth

er

ea

rth

qu

ak

e

str

uck

, th

is t

ime

in

Ha

iti.

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

7,5

00

Sh

elt

er

an

d I

nfr

as

tru

ctu

re–

Em

erg

en

cy

Re

lie

f

170

ho

us

eh

old

s r

ece

ive

d t

ran

sit

ion

al

sh

elt

ers

or

T-s

he

lte

r m

ate

ria

ls

1,5

00

to

ol

kit

s g

ive

n t

o h

ou

se

ho

lds

1,5

00

ho

us

eh

old

s r

ece

ive

d c

on

str

uct

ion

an

d D

RR

aw

are

ne

ss

tra

inin

g

Phot

os, l

eft:

Be

ne

fici

ari

es

pa

rtic

ipa

te i

n a

wa

ren

es

s t

rain

ing

to

le

arn

ho

w t

o

com

ple

te t

he

ir o

wn

tra

ns

itio

na

l s

he

lte

rs s

afe

ly.

ab

ove:

Fe

ma

le b

en

efi

cia

rie

s s

tan

d i

n f

ron

t o

f th

eir

tra

ns

itio

na

l s

he

lte

r th

at

the

y c

lad

in

tim

be

r th

em

se

lve

s.

ME

DA

IR

An

nu

al

Re

po

rt 2

010

31

30

Page 17: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Gid

eo

n w

as

sit

tin

g i

n h

is h

ills

ide

ho

me

wh

en

it

sta

rte

d t

o

sh

ak

e v

iole

ntl

y. H

e g

rab

be

d h

is c

an

e,

fle

d o

utd

oo

rs,

an

d

mo

me

nts

la

ter,

his

ho

us

e c

oll

ap

se

d b

efo

re h

is e

ye

s.

In

tha

t m

om

en

t, H

ait

i’s

ea

rth

qu

ak

e t

op

ple

d t

all

bu

ild

ing

s a

nd

sm

all

ho

me

s a

lik

e,

lea

vin

g a

co

un

try

in

ru

ins

.

Me

da

ir q

uic

kly

se

nt

an

em

erg

en

cy a

ss

es

sm

en

t te

am

to

Ha

iti.

In J

acm

el,

ou

r te

am

fo

un

d a

cit

y w

ith

ex

ten

siv

e d

am

ag

e a

nd

los

s o

f li

fe,

wh

ere

fa

mil

ies

we

re l

ivin

g i

n u

nsa

fe c

on

dit

ion

s i

n

the

str

ee

ts a

nd

in

ma

ke

sh

ift,

un

hyg

ien

ic c

am

ps

.

In r

es

po

ns

e,

Me

da

ir b

eg

an

a s

he

lte

r p

rog

ram

me

in

Ja

cme

l

an

d t

he

su

rro

un

din

g r

ura

l a

rea

in

th

e S

ud

-Es

t d

istr

ict.

At

firs

t,

Me

da

ir h

elp

ed

org

an

ise

th

e c

om

mu

nit

y to

cle

ar

rub

ble

aw

ay

fro

m d

am

ag

ed

ho

me

s.

Ou

r te

am

s a

lso

ere

cte

d h

un

dre

ds

of

em

erg

en

cy s

he

lte

rs t

ha

t s

erv

ed

as

a r

efu

ge

fo

r fa

mil

ies

.

Aft

er

the

in

itia

l p

ha

se

of

the

em

erg

en

cy r

es

po

ns

e,

Me

da

ir

be

ga

n b

uil

din

g s

pe

cia

lly

de

sig

ne

d,

du

rab

le t

ran

sit

ion

al

sh

elt

ers

th

at

are

re

sis

tan

t to

hu

rric

an

es

an

d e

art

hq

ua

ke

s

an

d c

an

be

up

gra

de

d i

nto

pe

rma

ne

nt

ho

me

s.

Gid

eo

n’s

Ho

me

into

a s

ma

ll t

en

t w

ith

his

wif

e,

fou

r o

f th

eir

ch

ild

ren

, a

nd

th

ree

gra

nd

chil

dre

n.

Bu

t th

e s

pa

ce w

as

so c

row

de

d t

ha

t W

illi

an

na

,

the

ir p

reg

na

nt

da

ug

hte

r, h

ad

to

mo

ve t

o a

no

the

r ci

ty.

the

firs

t re

cip

ien

ts o

f a

tra

ns

itio

na

l s

he

lte

r in

th

e v

illa

ge

.

Th

e t

ea

m c

on

str

uct

ed

th

e s

he

lte

r w

ith

a s

oli

d f

ou

nd

ati

on

,

a r

oo

f, t

imb

er-

fra

me

d w

all

s,

an

d d

ura

ble

pla

sti

c s

he

eti

ng

se

cure

d t

igh

tly

to

th

e f

ram

e.

“I

am

so

ha

pp

y t

o h

av

e t

his

,” s

aid

Gid

eo

n.

“B

eca

us

e I

am

dis

ab

led

, I

ha

ve

no

ea

sy

wa

y t

o e

arn

en

ou

gh

mo

ne

y t

o b

uil

d

an

yth

ing

lik

e t

his

. W

ha

t I

lik

e m

os

t a

bo

ut

the

ho

us

e i

s t

he

me

tal

sh

ee

ts o

n t

he

ro

of.

Th

ey

are

go

od

qu

ali

ty,

so

wh

en

it

is r

ain

ing

we

do

n’t

ge

t w

et

ins

ide

.”

On

ce t

he

sh

elt

er

wa

s b

uil

t, W

illi

an

na

re

turn

ed

ho

me

so

th

ey

cou

ld a

ll l

ive

to

ge

the

r a

ga

in.

“I

lik

e e

ve

ryth

ing

ab

ou

t th

e

ho

us

e,”

a s

mil

ing

Wil

lia

nn

a t

old

us

, h

old

ing

he

r n

ew

bo

rn

ba

by.

“I

ga

ve

bir

th h

ere

. I

wa

nte

d t

o h

av

e t

he

ch

ild

he

re.”

In t

ota

l, M

ed

air

bu

ilt

or

rep

air

ed

1,8

62

sh

elt

ers

in

20

10,

pro

vid

ing

sa

fer

ho

us

ing

fo

r m

ore

th

an

11,

00

0 H

ait

ian

s.

In a

co

un

try

wh

ere

em

plo

ym

en

t h

it r

ock

bo

tto

m a

fte

r th

e

ea

rth

qu

ak

e,

Me

da

ir e

mp

loy

ed

84

na

tio

na

l s

taff

on

co

ntr

act

,

alo

ng

wit

h 7

7 c

as

ua

l la

bo

ure

rs a

nd

24

2 c

as

h-f

or-

wo

rk

po

sit

ion

s i

n l

oca

l co

mm

un

itie

s.

“M

ed

air

ha

s c

ha

ng

ed

th

e l

ive

s o

f th

e p

eo

ple

in

Ja

cme

l a

nd

the

su

rro

un

din

g a

rea

,” s

aid

Flo

ran

ce,

a H

ait

ian

tra

ns

lato

r

wo

rkin

g w

ith

Me

da

ir.

“P

eo

ple

wh

o c

ou

ld n

ev

er

aff

ord

to

bu

ild

a n

ew

ho

us

e n

ow

ha

ve

a n

ew

ho

me

. It

is

ha

rd t

o s

tart

ag

ain

, b

ut

be

cau

se

of

Me

da

ir,

pe

op

le h

av

e h

op

e.”

A S

en

se

of

Ach

iev

em

en

t

Th

e y

ea

r w

as

no

t w

ith

ou

t ch

all

en

ge

s.

Wo

rkin

g i

n a

de

va

sta

ted

co

un

try

me

an

t th

at

care

ful

pla

nn

ing

wa

s

req

uir

ed

fo

r e

ve

n t

he

sim

ple

st

op

era

tio

ns

. To

wn

s a

nd

ro

ad

s

CARIB

BEAN

SEA

CARIB

BEAN

SEA

ATLA

NTIC

OCEA

N

GOLF

E DE L

A GON

ÂVE

Haiti

Port-

au-P

rince

0

2040

mi

2040

km

0

CUBA

DOMI

NICA

N RE

PUBL

ICJa

cmel

Ha

iti

On

12

Ja

nu

ary

20

10,

on

e o

f th

e d

ea

dli

es

t e

art

hq

ua

ke

s i

n h

isto

ry s

tru

ck t

he

po

ore

st

cou

ntr

y

in t

he

We

ste

rn H

em

isp

he

re.

In o

ne

te

rrib

le m

om

en

t, 2

22

,57

0 H

ait

ian

s d

ied

an

d m

ore

th

an

1.5

mil

lio

n p

eo

ple

lo

st

the

ir h

om

es

.

Sa

fe H

av

en

we

re c

ho

ke

d w

ith

to

nn

es

of

rub

ble

. B

as

ic o

ffice

re

so

urc

es

we

re h

ard

to

fin

d.

Tra

ns

po

rtin

g c

on

str

uct

ion

su

pp

lie

s

fro

m o

ve

rse

as

be

cam

e a

lo

gis

tica

l n

igh

tma

re.

In a

dd

itio

n,

Ha

iti

ex

pe

rie

nce

d u

ns

tab

le e

lect

ion

s a

nd

a d

ea

dly

ch

ole

ra

ou

tbre

ak

th

at

thre

ate

ne

d h

ea

lth

acr

os

s t

he

is

lan

d.

In N

ov

em

be

r, H

ait

i fa

ced

an

oth

er

se

ve

re c

ha

lle

ng

e w

he

n

Hu

rric

an

e T

om

as

cra

sh

ed

in

to i

ts s

ou

th c

oa

st.

Wit

h w

ind

s

ho

wli

ng

ou

tsid

e,

the

Gid

eo

n f

am

ily

ca

lmly

to

ok

sh

elt

er

in t

he

ir n

ew

ho

us

e.

“W

e w

ere

no

t a

fra

id,”

sa

id M

ad

am

e

Gid

eo

n.

“I

kn

ow

my

ho

us

e i

s s

tro

ng

.”

Ind

ee

d,

all

of

Me

da

ir’s

tra

ns

itio

na

l s

he

lte

rs l

ive

d u

p t

o

the

ir d

es

ign

an

d w

ith

sto

od

th

e h

urr

ica

ne

. A

fte

r th

e y

ea

r th

e

Gid

eo

ns

ha

ve

be

en

th

rou

gh

, th

e y

ea

r th

at

all

Ha

itia

ns

ha

ve

be

en

th

rou

gh

, th

eir

ne

wfo

un

d s

ec

uri

ty i

n t

he

ir h

om

es

is

a

so

urc

e o

f h

op

e i

n t

his

cri

sis

-we

ary

na

tio

n.

“I

ha

ve

a s

en

se

of

ach

iev

em

en

t fo

r th

e p

as

t y

ea

r,”

sa

id

Pa

tric

k,

a f

orm

er

Ha

itia

n s

cho

olt

ea

che

r n

ow

wo

rkin

g w

ith

Me

da

ir.

“I

ha

ve

be

en

mo

vin

g a

ll a

rou

nd

th

e a

rea

s w

e a

re

wo

rkin

g a

nd

I s

ee

a l

ot

of

pe

op

le w

ho

are

in

se

cure

pla

ces

no

w.

I b

eli

ev

e w

e a

re s

avi

ng

ma

ny

liv

es

, b

eca

us

e w

e d

on

’t

kn

ow

wh

ere

th

ey

wo

uld

be

if

we

ha

d n

ot

he

lpe

d t

he

m.”

As H

aitia

ns ro

se fr

om th

e ru

bble

to b

egin

thei

r lon

g ro

ad to

reco

very

, Med

air p

rovi

ded

shel

ter

for m

ore

than

11,

000

of th

eir m

ost v

ulne

rabl

e.

Fo

r m

ore

in

form

ati

on

ab

ou

t H

ait

i a

nd

Me

da

ir’s

wo

rk t

he

re,

ple

as

e v

isit

ww

w.m

ed

air

.org

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Pro

gra

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igh

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Me

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eft:

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om

an

sta

nd

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fa

mil

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oo

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the

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ir

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ME

DA

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An

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Re

po

rt 2

010

32

33

Page 18: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Me

da

ir a

lso

ra

n a

ca

sh

-fo

r-w

ork

pro

jec

t th

at

he

lpe

d

mo

re t

ha

n 1

,00

0 f

am

ilie

s r

ec

ov

er

fro

m a

po

or

ha

rve

st.

Re

sid

en

ts w

ork

ed

to

bu

ild

or

rep

air

th

eir

ro

ad

s w

hil

e

als

o e

arn

ing

mo

ne

y t

o b

uy

fo

od

. T

he

se

ne

w r

oa

ds

ha

ve

bro

ug

ht

ho

pe

to

an

is

ola

ted

re

gio

n;

tru

cks

ca

n n

ow

ac

ce

ss

vil

lag

es

wit

h f

oo

d r

ati

on

s,

an

d f

am

ilie

s c

an

mo

re

ea

sil

y t

rav

el

to t

he

ma

rke

t o

r h

ea

lth

cli

nic

.

Dis

as

ter

Re

sp

on

se

In M

ay,

la

nd

sli

de

s d

es

tro

ye

d t

he

ho

me

s o

f 11

2 f

am

ilie

s i

n

Yaw

an

dis

tric

t. O

ur

tea

m r

es

po

nd

ed

qu

ick

ly a

nd

dis

trib

ute

d

em

erg

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cy s

up

pli

es

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nd

th

en

pro

vid

ed

aid

to

se

ve

ral

oth

er

vill

ag

es

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as

on

al

flo

od

ing

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d l

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ds

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es

.

red

uc

tio

n (

DR

R)

wo

rks

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ps

wit

h l

oca

l le

ad

ers

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d l

ed

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ss

roo

m p

res

en

tati

on

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n s

cho

ols

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rov

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g p

ract

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l

wa

ys

fo

r co

mm

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itie

s t

o p

rep

are

fo

r fu

ture

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as

ters

.

Me

an

wh

ile

, in

Ba

my

an

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ara

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le fl

oo

ds

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ep

t th

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gh

th

e r

eg

ion

. T

he

flo

od

s c

arv

ed

aw

ay

go

od

bu

t s

pa

rse

ag

ricu

ltu

ral

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d,

da

ma

ge

d c

riti

cal

irri

ga

tio

n

sy

ste

ms

, a

nd

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rie

d c

rop

s u

nd

er

mu

d,

de

str

oy

ing

th

e y

ea

r’s

ha

rve

st.

Me

da

ir l

au

nch

ed

a p

roje

ct t

o h

elp

be

ne

fici

ari

es

ea

rn m

on

ey

fo

r fo

od

fo

r th

e w

inte

r w

hil

e a

lso

re

sto

rin

g t

he

ir

lan

d,

roa

d,

an

d i

rrig

ati

on

ca

na

ls.

“I

ne

ve

r th

ou

gh

t M

ed

air

wo

uld

do

all

th

is,”

sa

id H

aji

So

laim

an

, G

ov

ern

or

of

Wa

ras

. “

Th

e p

eo

ple

no

w h

av

e

a g

oo

d r

oa

d w

hic

h g

ive

s t

he

m a

cce

ss

to

th

e c

lin

ic a

nd

acc

es

s t

o t

he

ma

rke

ts.

I a

m v

ery

ha

pp

y. I

se

e p

eo

ple

pla

nti

ng

th

eir

wh

ea

t, a

nd

th

ey

ha

ve

irr

iga

tio

n a

ga

in.”

Su

fi T

ay

eb

, 8

5 y

ea

rs o

ld,

sit

s i

n t

he

sh

ad

e o

f th

e a

pp

le t

ree

tha

t g

row

s o

uts

ide

his

ho

me

. In

all

his

ye

ars

, h

e h

as

ne

ver

ha

d a

dri

nk

of

cle

an

wa

ter.

“Th

e w

ate

r w

e g

et

fro

m t

he

riv

er

is

no

t cl

ea

n,”

he

sa

id.

“It

ha

s m

ad

e m

e il

l ma

ny

tim

es

. W

he

n t

he

chil

dre

n d

rin

k t

he

wa

ter

the

y g

et

sick

an

d e

nd

up

vo

mit

ing

.”

In J

un

e 2

010

, M

ed

air

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lete

d a

n a

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us

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ject

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at

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vid

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cle

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ter

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o m

ore

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ple

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iso

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r W

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(wa

ter,

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nit

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, a

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hy

gie

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am

als

o b

uil

t m

ore

th

an

70

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mu

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nd

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vid

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gie

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n

to a

lmo

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,00

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ly,

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n a

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ject

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fi T

ay

eb

an

d 8

0 o

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r fa

mil

ies

in

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be

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-sh

ah

id v

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.

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vil

lag

e r

ea

lly

wa

nte

d c

lea

n w

ate

r,”

sa

id P

atr

ick

Ga

lli,

Me

da

ir W

AS

H M

an

ag

er.

“T

he

co

mm

un

ity

ag

ree

d t

o t

he

inv

es

tme

nt

req

uir

ed

—th

e t

ime

an

d l

ab

ou

r th

ey

wo

uld

ha

ve

to c

on

trib

ute

—a

nd

no

w t

he

wo

rk c

an

be

gin

.”

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he

n t

he

re

se

rvo

ir o

pe

ns

, I

wil

l b

e t

he

ve

ry fi

rst

pe

rso

n t

o

dri

nk

th

e w

ate

r,”

sa

id S

ufi

Ta

ye

b w

ith

a b

roa

d g

rin

.

Th

e N

ee

d f

or

Nu

trit

ion

In B

ad

ak

hs

ha

n p

rovi

nce

, re

sid

en

ts c

on

ten

d w

ith

lo

ng

win

ters

, fl

oo

din

g,

lan

ds

lid

es

, a

nd

dro

ug

hts

th

at

can

le

ad

to

foo

d s

carc

ity,

a l

ack

of

die

tary

div

ers

ity,

an

d m

aln

utr

itio

n.

In r

es

po

ns

e,

Me

da

ir o

pe

ne

d n

ine

nu

trit

ion

su

b-c

en

tre

s i

n

20

10 a

nd

tre

ate

d m

ore

th

an

2,4

00

ma

lno

uri

sh

ed

wo

me

n

an

d c

hil

dre

n,

giv

ing

th

em

sp

eci

al

nu

trie

nt-

rich

fo

od

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d

clo

se

ly m

on

ito

rin

g t

he

m t

o e

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ure

th

eir

he

alt

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rov

ed

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refe

rrin

g t

he

m t

o t

he

he

alt

h c

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tre

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en

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ces

sa

ry.

“W

he

n y

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ug

ht

this

pro

gra

mm

e h

ere

, a

t fi

rst

pe

op

le

did

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t u

nd

ers

tan

d t

he

be

ne

fit

it w

ou

ld b

rin

g,”

sa

id A

gh

a,

a f

arm

er

in J

ug

sh

ud

e v

illa

ge

. “

My

da

ug

hte

r h

ow

eve

r w

as

ve

ry s

ick

. I

ha

ve

be

en

bri

ng

ing

he

r h

ere

an

d I

ha

ve

se

en

he

r

be

com

e h

ea

lth

y.”

Ind

ee

d,

the

nu

trit

ion

pro

ject

su

cce

ss

full

y r

ed

uce

d t

he

ra

te

of

se

ve

re a

cute

ma

lnu

trit

ion

in

ch

ild

ren

in

th

e a

rea

, th

ere

by

red

uci

ng

th

e n

um

be

r o

f ch

ild

mo

rta

liti

es

. “

Th

is p

rog

ram

me

ha

s s

ave

d o

ur

chil

dre

n,”

sa

id A

gh

a.

Me

da

ir a

lso

to

ok

ste

ps

to h

elp

pre

ven

t ca

se

s o

f m

aln

utr

itio

n in

the

fu

ture

. W

e t

au

gh

t n

utr

itio

n le

sso

ns

, p

lan

ted

de

mo

ns

tra

tio

n

ga

rde

ns

, a

nd

ga

ve f

arm

ers

se

ed

s a

nd

to

ols

wh

ile

als

o

tea

chin

g t

he

m a

gri

cult

ura

l te

chn

iqu

es

to e

nri

ch t

he

ir h

arv

es

ts.

“I

ho

pe

to

ge

t e

no

ug

h h

arv

es

t to

fe

ed

my

fa

mil

y f

or

the

wh

ole

ye

ar,

” s

aid

Em

al,

aft

er

att

en

din

g t

he

tra

inin

g.

“I

wil

l

tea

ch m

y c

hil

dre

n w

ha

t I

ha

ve

le

arn

ed

so

th

at

the

y w

ill

be

rea

dy

wh

en

th

ey

be

com

e f

arm

ers

als

o.”

UZBE

KIST

AN

TAJIK

ISTAN

TURK

MENI

STAN

IRAN

PAKI

STAN

INDI

ACHIN

A

IndusKa

ndah

âr

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niAf

ghan

istan

Jalâl

âbâdYa

wan

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l

0 010

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100

200

km

Faiza

bad

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an Behs

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ras

In 2

010,

Med

air p

rovi

ded

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to c

hron

ical

ly p

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amili

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ving

in B

adak

hsha

n an

d Ba

mya

n pr

ovin

ces,

two

of A

fgha

nist

an’s

mos

t neg

lect

ed re

gion

s.

Afg

ha

nis

tan

In a

co

un

try

th

at

ha

s s

uff

ere

d t

hro

ug

h 3

0 y

ea

rs o

f co

nfl

ict,

so

me

of

Afg

ha

nis

tan

’s m

os

t re

mo

te

reg

ion

s l

ive

in

pe

ace

bu

t e

nd

ure

fre

qu

en

t n

atu

ral

dis

as

ters

, u

nre

lia

ble

ha

rve

sts

, m

aln

utr

itio

n,

min

ima

l a

cce

ss

to

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alt

h c

are

, u

ncl

ea

n w

ate

r, a

nd

po

or

sa

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ati

on

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th

es

e r

eg

ion

s,

ge

ne

rati

on

s

ha

ve

liv

ed

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ron

ic p

ov

ert

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org

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r

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r m

ore

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ed

air

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ork

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re, p

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it w

ww

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da

ir.o

rg/a

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ista

n

Phot

os, l

eft:

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ha

an

d d

au

gh

ter

Yas

am

an

re

ceiv

e f

oo

d a

nd

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yg

ien

e k

it.

ab

ove:

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sh

-fo

r-w

ork

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ne

fici

ary

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lps

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ild

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oa

d w

hil

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e t

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div

ers

ion

da

ms

bu

ilt

6,5

70

stu

de

nts

an

d t

ea

che

rs i

n 3

1 s

cho

ols

re

ceiv

ed

DR

R t

rain

ing

59

ME

DA

IR

An

nu

al

Re

po

rt 2

010

34

35

Page 19: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Fou

r h

ou

rs o

f tr

av

el

in a

du

go

ut

can

oe

is

th

e o

nly

wa

y t

o

rea

ch t

he

re

ma

rka

ble

vil

lag

e o

f A

nk

ad

ibe

. N

ort

he

as

tern

Ma

da

ga

sca

r is

do

tte

d w

ith

hu

nd

red

s o

f re

mo

te,

flo

od

-pro

ne

vill

ag

es

lik

e A

nk

ad

ibe

, co

mm

un

itie

s w

ith

lim

ite

d a

cce

ss

to

sa

fe w

ate

r, s

an

ita

tio

n,

or

hy

gie

ne

(W

AS

H).

In t

he

pa

st,

cy

clo

ne

s h

ave

re

pe

ate

dly

de

vas

tate

d A

nk

ad

ibe

,

de

str

oyi

ng

ho

me

s,

kil

lin

g l

ive

sto

ck,

an

d c

au

sin

g fl

oo

din

g

tha

t co

nta

min

ate

d t

he

ir w

ate

r a

nd

le

d t

o d

iarr

ho

ea

l d

ise

as

e.

For

the

la

st

thre

e y

ea

rs,

Me

da

ir h

as

wo

rke

d w

ith

An

ka

dib

e

to h

elp

th

em

bre

ak

fre

e o

f th

eir

vic

iou

s c

ycl

e o

f d

eva

sta

tio

n

an

d r

eb

uil

din

g.

Tog

eth

er,

we

ha

ve

bu

ilt

20

wa

ter

pu

mp

s,

con

str

uc

ted

la

trin

es

, a

nd

pro

mo

ted

be

tte

r h

yg

ien

e.

“B

efo

re,

we

us

ed

to

dra

w w

ate

r fr

om

a w

ell

or

go

to

th

e

riv

er,

bu

t th

ere

wa

s a

lo

t o

f s

ick

ne

ss

, m

os

tly

dia

rrh

oe

a,”

sa

id 2

8-y

ea

r-o

ld S

uza

lin

e.

“S

ince

we

ha

ve

th

es

e p

um

ps

, w

e

ha

ve

no

mo

re d

iarr

ho

ea

.”

In 2

010

, M

ed

air

wo

rke

d i

n d

oz

en

s o

f v

illa

ge

s l

ike

An

ka

dib

e.

We

dri

lle

d m

ore

th

an

20

0 n

ew

bo

reh

ole

s,

ins

tall

ed

hu

nd

red

s o

f la

trin

es

, e

qu

ipp

ed

sch

oo

ls

wit

h h

an

d-w

as

hin

g f

ac

ilit

ies

, a

nd

re

ach

ed

at

lea

st

70

,00

0 p

eo

ple

wit

h h

yg

ien

e e

du

ca

tio

n.

“M

ed

air

(h

as

)

bro

ug

ht

do

wn

th

e n

um

be

r o

f d

iarr

ho

ea

ca

se

s,

es

pe

cia

lly

am

on

g k

ids

,” s

aid

Dr.

Ra

ha

las

on

De

ry,

ins

pe

cto

r fo

r

Ma

roa

nts

etr

a d

istr

ict.

Hy

gie

ne

ed

uca

tio

n i

s f

un

da

me

nta

l to

Me

da

ir’s

eff

ort

s

to r

ed

uce

dia

rrh

oe

al

dis

ea

se

. In

Ma

y, M

ed

air

’s N

mie

Su

ter

vis

ite

d A

nte

via

la v

illa

ge

an

d f

ou

nd

a s

tore

sto

cke

d

wit

h m

ore

th

an

a t

ho

us

an

d b

ars

of

so

ap

. “

Sin

ce M

ed

air

be

cam

e a

ctiv

e i

n o

ur

vill

ag

e,

a l

ot

of

pe

op

le a

sk

fo

r s

oa

ps

,”

ex

pla

ine

d t

he

gro

cer.

“N

ow

I s

ell

alm

os

t 2

0 s

oa

ps

pe

r d

ay

wh

ere

be

fore

it

wa

s 2

0 s

oa

ps

pe

r w

ee

k.”

Re

du

cin

g t

he

Im

pa

ct

of

Dis

as

ter

In 2

010

, M

ed

air

wo

rke

d t

o d

ev

elo

p “

dis

as

ter

ris

k r

ed

uct

ion

(DR

R)

pro

ject

s i

ncl

ud

ing

cy

clo

ne

sim

ula

tio

ns

, w

ork

sh

op

s,

an

d t

he

fo

rma

tio

n o

f D

RR

co

mm

itte

es

in

45

vil

lag

es

. W

e

us

ed

a p

art

icip

ato

ry a

pp

roa

ch t

o h

elp

co

mm

un

itie

s d

ev

elo

p

the

ir o

wn

cy

clo

ne

-pre

pa

red

ne

ss

str

ate

gie

s.

In 2

010

, M

ed

air

sta

rte

d a

DR

R p

roje

ct f

ocu

se

d o

n b

uil

din

g

ho

me

s m

ore

re

sis

tan

t to

cy

clo

ne

s.

“I’

m r

ea

lly

ha

pp

y f

or

this

ne

w h

ou

se

th

at

wil

l p

rote

ct m

y w

ife

an

d o

ur

nin

e y

ou

ng

es

t

chil

dre

n f

rom

flo

od

s a

nd

cy

clo

ne

s,”

sa

id C

hri

sto

ph

e

Ma

rod

ad

y, r

eci

pie

nt

of

ou

r fi

rst

pil

ot

ho

us

e,

ne

arb

y t

o

An

ka

dib

e.

“A

lo

t o

f p

eo

ple

sto

p i

n f

ron

t o

f m

y h

ou

se

an

d a

sk

wh

ere

th

ey

ca

n b

uy

on

e l

ike

th

is.”

Ho

pe

in

An

ka

dib

e

Ev

er

sin

ce w

e s

tart

ed

wo

rkin

g i

n A

nk

ad

ibe

, re

sid

en

ts

ha

ve

be

en

hig

hly

mo

tiva

ted

to

re

du

ce t

he

ir r

isk

s f

rom

futu

re c

ycl

on

es

. T

he

y h

av

e e

ag

erl

y l

ea

rne

d n

ew

sk

ills

,

form

ed

co

mm

itte

es

, a

nd

ta

ke

n o

wn

ers

hip

of

the

ir n

ew

infr

as

tru

ctu

re.

Th

is i

s h

ow

Me

da

ir a

ims

to

wo

rk t

hro

ug

ho

ut

Ma

da

ga

sca

r: s

up

po

rtin

g c

om

mu

nit

ies

wh

o t

ak

e t

he

init

iati

ve

to

he

lp t

he

ms

elv

es

.

Anta

nana

rivo

Toam

asina

0 010

020

0 mi

100

200

km

Mada

gasca

rMaro

antse

tra

Féné

rive-

Est

MOZA

MBIQ

UECH

ANNE

L

INDI

ANOC

EAN

Med

air’

s w

ork

in M

adag

asca

r is

exem

plifi

ed in

the

posi

tive

chan

ges

seen

in a

rem

ote

villa

ge.

Ma

da

ga

sca

rC

ycl

on

es

re

gu

larl

y h

it t

he

is

lan

d o

f M

ad

ag

as

car,

ca

us

ing

wid

es

pre

ad

flo

od

ing

an

d d

es

tru

ctio

n

in s

om

e o

f th

e m

os

t v

uln

era

ble

co

mm

un

itie

s o

n e

art

h.

Wh

en

pe

op

le n

ee

d t

o r

eb

uil

d a

s o

fte

n a

s t

he

Ma

lag

as

y d

o,

it’s

a c

on

sta

nt

str

ug

gle

fo

r th

em

to

im

pro

ve

th

eir

liv

ing

co

nd

itio

ns

. T

ha

nk

full

y,

no

cy

clo

ne

s s

tru

ck i

n 2

010

, a

we

lco

me

re

sp

ite

fo

r th

e i

sla

nd

.

We

lco

me

to

An

ka

dib

e

“I

wa

s v

ery

im

pre

ss

ed

du

rin

g t

his

se

con

d v

isit

to

An

ka

dib

e:

I h

ad

th

e f

ee

lin

g e

ve

ryth

ing

ha

d b

ee

n t

ran

sm

itte

d,”

sa

id

eva

lua

tio

n c

on

su

lta

nt

Jos

ep

h R

ala

ivo

. “

I h

av

e r

are

ly s

ee

n s

o

ma

ny

go

od

re

su

lts

be

fore

. I

thin

k i

t’s

be

cau

se

of

Me

da

ir’s

valu

es

, w

hic

h c

orr

es

po

nd

so

we

ll w

ith

th

e v

alu

es

of

the

vill

ag

e r

es

ide

nts

.”

In 2

010

, th

e v

illa

ge

we

lco

me

d o

ur

tea

m t

o a

ce

leb

rato

ry

fea

st

to i

na

ug

ura

te a

ne

w c

ycl

on

e s

he

lte

r, a

ha

nd

-wa

sh

ing

faci

lity

, a

nd

tw

o e

leva

ted

wa

ter

pu

mp

s.

Pie

rre

Ma

laza

ga

ve

us

a t

ou

r o

f th

e s

he

lte

r, s

ho

win

g u

s s

pa

ce f

or

130

pe

op

le,

latr

ine

s,

sh

ow

ers

, a

nd

a s

tore

-ro

om

fo

r ri

ce,

wh

ich

ev

ery

res

ide

nt

is e

xp

ect

ed

to

he

lp s

tock

.

“W

e a

re v

ery

pro

ud

of

ou

r c

yc

lon

e s

he

lte

r,”

sa

id P

ierr

e.

“T

he

sh

elt

er

bri

ng

s u

s h

op

e t

ha

t w

e w

ill

be

pro

tec

ted

in

ca

se

of

cy

clo

ne

or

flo

od

. B

ut

the

sh

elt

er

als

o g

ive

s u

s

oth

er

ad

va

nta

ge

s a

ll y

ea

r, a

s s

om

e m

on

ey

wil

l b

e r

ais

ed

fro

m i

ts r

en

tal

to h

elp

de

ve

lop

th

e v

illa

ge

, a

nd

as

a p

lac

e

for

us

to

me

et.

In A

nk

ad

ibe

, o

nce

-vu

lne

rab

le p

eo

ple

ha

ve

ta

ke

n s

ign

ifica

nt

ste

ps

to

im

pro

vin

g t

he

ir l

ivin

g c

on

dit

ion

s,

ste

ps

th

at

all

ow

the

m t

o l

oo

k t

ow

ard

a s

afe

r a

nd

bri

gh

ter

futu

re.

“W

e t

ha

nk

Go

d t

ha

t M

ed

air

is

wo

rkin

g i

n o

ur

vill

ag

e a

nd

pa

rtn

eri

ng

wit

h u

s,”

sa

id P

ierr

e.

“A

lth

ou

gh

we

wil

l b

e s

ad

to

se

e y

ou

go

, w

e a

re n

ow

re

ad

y t

o f

ace

a c

ycl

on

e w

ith

co

nfi

de

nce

an

d

we

th

an

k y

ou

.”

Fo

r m

ore

info

rma

tio

n a

bo

ut

Ma

da

ga

sca

r a

nd

Me

da

ir’s

wo

rk

the

re, p

lea

se

vis

it w

ww

.me

da

ir.o

rg/m

ad

ag

as

car

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

197

,59

7

Me

da

ir p

ers

on

ne

l 7

in

tern

ati

on

all

y r

ecr

uit

ed

sta

ff

67

na

tio

na

lly

re

cru

ite

d s

taff

WA

SH

–R

eh

ab

ilit

ati

on

20

6 n

ew

bo

reh

ole

s d

rill

ed

an

d fi

tte

d w

ith

ha

nd

-pu

mp

s a

nd

dra

ina

ge

2 g

ravi

ty-f

ed

wa

ter-

su

pp

ly s

ys

tem

s b

uil

t w

ith

ha

nd

-wa

sh

ing

fa

cili

tie

s

at

sch

oo

ls

16 s

cho

ols

eq

uip

pe

d w

ith

ha

nd

-wa

sh

ing

fa

cili

tie

s

36

8 f

am

ily

la

trin

es

in

sta

lle

d

12 e

leva

ted

pu

mp

s b

uil

t

28

WA

SH

wo

rks

ho

ps

he

ld o

n t

ech

nic

al,

ma

na

ge

me

nt,

an

d

go

ve

rna

nce

is

su

es

1 in

ter-

com

mu

na

l pla

tfo

rm c

rea

ted

to

ass

ure

su

sta

ina

bil

ity

of

infr

ast

ruct

ure

71

hy

gie

ne

vo

lun

tee

rs t

rain

ed

71,

69

2 r

ea

che

d w

ith

hy

gie

ne

pro

mo

tio

n a

nd

DR

R t

hro

ug

h c

om

mu

nit

y

me

eti

ng

s,

mo

bil

e c

ine

ma

, a

nd

pu

pp

et

sh

ow

s

46

ra

dio

pro

gra

mm

es

pro

mo

tin

g h

yg

ien

e r

ea

chin

g a

wid

e a

ud

ien

ce

Sh

elt

er

an

d I

nfr

as

tru

ctu

re–

Re

ha

bil

ita

tio

n

1 d

istr

ict

an

d 1

vil

lag

e c

ycl

on

e s

imu

lati

on

org

an

ise

d

45

ne

w v

illa

ge

DR

R c

om

mit

tee

s e

sta

bli

sh

ed

; 12

co

mm

un

es

he

ld

DR

R w

ork

sh

op

s

1 st

ud

y u

nd

ert

ak

en

to

be

tte

r u

nd

ers

tan

d t

he

Ma

roa

nts

etr

a H

ydra

uli

c B

asi

n

1 p

ilo

t cy

clo

ne

-re

sis

tan

t h

ou

se

bu

ilt

150

to

nn

es

of

rice

, d

rie

d v

eg

eta

ble

s,

an

d o

il p

re-p

os

itio

ne

d f

or

em

erg

en

cy r

es

po

ns

e (

in p

art

ne

rsh

ip w

ith

WFP

)

Phot

os, l

eft:

You

ng

wo

ma

n i

n A

nk

ad

ibe

dra

ws

wa

ter

wit

h a

ne

w h

an

d-p

um

p,

ele

vate

d f

or

flo

od

-pro

tec

tio

n.

be

low

: Stu

de

nts

dis

cove

r th

at

lea

rnin

g a

bo

ut

go

od

hyg

ien

e c

an

be

fu

n!

ME

DA

IR

An

nu

al

Re

po

rt 2

010

36

37

Page 20: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Be

hin

d t

he

Sc

en

es

Mee

t som

e of

the

rem

arka

ble

peop

le w

ho m

ake

our l

ife-s

avin

g w

ork

happ

en e

very

day

.

I w

as

ju

st

eig

ht

ye

ars

old

wh

en

th

e c

ivil

wa

r b

rok

e o

ut

he

re

in 1

98

8.

My

fa

mil

y w

en

t to

liv

e i

n E

thio

pia

’s r

efu

ge

e c

am

ps

for

thre

e y

ea

rs.

I d

id n

ot

ge

t a

n e

du

cati

on

, I

did

no

t g

et

an

yth

ing

. I

wa

s a

re

fug

ee

bo

y.

Bu

t w

he

n I

ca

me

ba

ck t

o S

om

ali

lan

d,

I s

tart

ed

my

ed

uca

tio

n.

I s

tart

ed

to

liv

e i

n a

no

rma

l s

itu

ati

on

wh

ere

I w

en

t to

pri

ma

ry

sch

oo

l, s

eco

nd

ary

sch

oo

l, u

niv

ers

ity,

eve

ryth

ing

.

I g

rew

up

sa

yin

g I

wo

uld

lik

e t

o w

ork

fo

r a

hu

ma

nit

ari

an

org

an

isa

tio

n.

Ma

ny

diffi

cult

th

ing

s a

re h

ap

pe

nin

g h

ere

.

If w

e a

re n

ot

su

pp

ort

ing

th

e c

om

mu

nit

y w

e l

ive

wit

h,

the

pro

ble

ms

wil

l n

ot

be

re

du

ced

an

d w

e w

ill

no

t g

row

.

Dy

ing

Ch

ild

ren

So

me

tim

es

it

se

em

s l

ike

pe

op

le h

ere

are

re

cov

eri

ng

an

d

he

ad

ing

to

wa

rds

de

ve

lop

me

nt.

Bu

t fo

r th

e l

as

t th

ree

ye

ars

,

dro

ug

hts

ha

ve

aff

ect

ed

th

e c

om

mu

nit

y v

ery

, v

ery

ha

rd.

Be

fore

, th

e c

hil

dre

n h

ere

we

re v

ery

ma

lno

uri

sh

ed

. Th

ere

we

re l

ots

of

chil

dre

n d

yin

g e

very

da

y. B

ut

no

w,

sin

ce M

ed

air

ha

s b

ee

n w

ork

ing

he

re,

we

do

n’t

se

e a

s m

an

y c

hil

dre

n

an

ym

ore

wh

o a

re s

eve

rely

ma

lno

uri

sh

ed

wit

h c

om

pli

cati

on

s.

Pe

op

le w

ho

liv

e i

n t

he

to

wn

ha

ve n

ow

mo

stl

y re

cove

red

,

be

cau

se

we

ch

eck

th

e m

aln

ou

ris

he

d c

hil

dre

n d

ail

y.

Mo

st c

hil

dre

n w

ho

are

no

w a

dm

itte

d t

o t

he

fe

ed

ing

pro

gra

mm

e

com

e f

rom

re

mo

te a

rea

s. T

he

co

mm

un

ity

kn

ow

s th

at

we

wo

rk

for

chil

dre

n w

ho

are

ve

ry t

hin

an

d w

ast

ing

a lo

t, s

o t

he

y sa

y,

“Yo

u s

ho

uld

go

to

th

e M

ed

air

sit

es

, th

ey

wil

l tre

at

you

r ch

ild

,

the

y w

ill g

ive

him

so

me

fo

od

an

d h

elp

, a

nd

he

wil

l re

cove

r.”

Dis

pla

ced

an

d D

istr

es

se

d

Ma

ny

pe

op

le w

ho

fle

e t

he

vio

len

ce in

So

ma

lia

co

me

to

Bu

rao

.

Du

rin

g t

he

ir jo

urn

ey,

th

ese

pe

op

le h

ave

ma

ny

diffi

cult

ies.

So

me

we

re r

ob

be

d w

hil

e t

rave

llin

g h

ere

, so

me

we

re r

ap

ed

, an

d s

om

e

go

t in

to d

ifficu

ltie

s b

eca

use

th

ey

did

n’t

ha

ve m

on

ey.

Th

ey

oft

en

tra

vel v

ery

lon

g d

ista

nce

s b

y fo

ot

to c

om

e t

o B

ura

o. Y

ou

wil

l se

e

som

e o

f th

em

wh

o a

re v

ery

tir

ed

an

d s

tre

sse

d, a

nd

so

me

tim

es

cryi

ng

wh

ile

te

llin

g y

ou

th

eir

sto

rie

s o

f h

ow

th

ey

rea

che

d h

ere

.

Wh

en

yo

u h

av

e l

eft

th

e p

lace

yo

u u

se

d t

o l

ive

fo

r a

ny

rea

so

n,

an

d y

ou

try

to

re

ach

an

oth

er

reg

ion

wh

ere

yo

u

do

n’t

ha

ve

re

lati

ve

s—

wh

ere

yo

u d

on

’t h

av

e a

go

ve

rnm

en

t

tha

t re

cog

nis

es

yo

u,

wh

ere

yo

u d

on

’t h

av

e a

ny

thin

g—

yo

u

are

lik

e t

he

wa

y y

ou

we

re w

he

n y

ou

we

re b

orn

. Yo

u a

re j

us

t

ne

w,

yo

u d

on

’t h

av

e a

ny

thin

g.

Mo

st

of

the

dis

pla

ced

pe

op

le h

op

e t

ha

t th

ey

ca

n a

da

pt

to

life

he

re a

nd

ge

t a

wa

y o

ut

of

po

ve

rty,

an

d s

om

e o

f th

em

are

ev

en

mo

vin

g f

rom

th

e c

am

ps

an

d g

oin

g i

nto

th

e c

om

mu

nit

y.

Th

os

e w

ho

ha

ve

pro

fes

sio

ns

are

try

ing

to

fin

d j

ob

s,

try

ing

to

inte

gra

te i

nto

th

e c

om

mu

nit

y. W

he

n t

he

ra

ins

co

me

, th

os

e

he

re b

eca

us

e o

f d

rou

gh

t m

ay

go

ba

ck h

om

e,

bu

t th

os

e h

ere

be

cau

se

of

con

flic

t, I

th

ink

th

ey

wil

l s

tay

a l

on

g t

ime

.

Bu

rao

, B

efo

re a

nd

Aft

er

Th

e p

eo

ple

liv

ing

in

Bu

rao

are

ve

ry p

rou

d o

f th

e a

ctiv

itie

s

tha

t w

e a

re d

oin

g h

ere

. B

efo

re M

ed

air

wa

s h

ere

, th

ing

s

we

re v

ery

diff

ere

nt.

.. A

nd

of

cou

rse

Me

da

ir d

oe

sn

’t d

o o

nly

nu

trit

ion

al

ac

tivi

tie

s,

bu

t a

lso

wa

ter,

sa

nit

ati

on

, a

nd

he

alt

h.

We

ha

ve

re

ach

ed

lo

ts o

f ch

ild

ren

wit

h v

acc

ina

tio

ns

, a

nd

we

ho

pe

th

at

we

wil

l n

o l

on

ge

r h

av

e o

ur

chil

dre

n g

ett

ing

po

lio

an

d t

hin

gs

lik

e t

ha

t.

Be

fore

wo

rkin

g h

ere

, I

wo

rke

d i

n b

us

ine

ss

bu

t I

did

no

t

fee

l th

at

I w

as

he

lpin

g m

y c

om

mu

nit

y a

nd

so

cie

ty.

No

w I

’m

so

me

on

e w

ho

’s h

elp

ing

pe

op

le w

ho

are

re

all

y i

n n

ee

d.

Ab

du

lla

hi

Ab

di

Ah

me

d

Nu

trit

ion

Pro

ject

Offi

cer

Phot

o: A

bd

ull

ah

i h

elp

s o

rga

nis

e a

la

rge

gro

up

of

wo

me

n a

nd

ch

ild

ren

in

Bu

rao

.

Ou

r m

iss

ion

in

Ug

an

da

be

ga

n i

n 1

99

9,

in t

he

dro

ug

ht-

str

ick

en

Ka

ram

oja

re

gio

n,

wh

ere

ou

r te

am

wo

rke

d t

o

pre

ve

nt

the

sp

rea

d o

f ch

ole

ra.

For

the

ne

xt

few

ye

ars

, w

e

incr

ea

se

d a

cce

ss

to

sa

fe w

ate

r, s

an

ita

tio

n,

an

d h

yg

ien

e

(WA

SH

) fo

r h

un

dre

ds

of

tho

us

an

ds

of

pe

op

le i

n K

ara

mo

ja.

Yet

at

the

sa

me

tim

e,

con

flic

t w

as

tea

rin

g a

pa

rt o

the

r re

gio

ns

in n

ort

he

rn U

ga

nd

a,

forc

ing

re

sid

en

ts t

o fl

ee

into

ove

rcro

wd

ed

cam

ps

. Fr

om

ou

r b

as

es

in K

ara

mo

ja,

we

we

re t

he

on

ly

hu

ma

nit

ari

an

sta

ff a

ble

to

re

ach

th

e m

os

t u

nd

ers

erv

ed

ca

mp

s

in P

ad

er

dis

tric

t. “

You

r p

res

en

ce h

ere

re

min

ds

us

tha

t G

od

ha

s

no

t fo

rgo

tte

n u

s,”

sa

id a

gra

tefu

l ca

mp

re

sid

en

t in

20

03

.

“W

he

n I

firs

t a

rriv

ed

in

Ug

an

da

in

20

04

, th

e r

oa

ds

we

re

em

pty

, a

pa

rt f

rom

th

e s

old

iers

,” r

eca

lle

d M

ed

air

’s H

en

rie

ke

Ho

mm

es

, w

ho

wo

rke

d i

n U

ga

nd

a f

rom

20

04

un

til

20

08

.

“P

eo

ple

did

n’t

da

re l

ea

ve

th

e c

am

ps

fo

r fe

ar

of

ge

ttin

g

ab

du

cte

d o

r s

ho

t. T

he

re w

as

alm

os

t n

o w

ate

r, n

o h

ea

lth

care

, v

ery

lit

tle

fo

od

, a

nd

ve

ry p

oo

r h

yg

ien

e.”

For

the

ne

xt

se

ve

ral

ye

ars

, M

ed

air

sta

ff w

ork

ed

tir

ele

ss

ly t

o

pro

vid

e h

ea

lth

ca

re a

nd

WA

SH

fo

r h

un

dre

ds

of

tho

us

an

ds

of

vu

lne

rab

le p

eo

ple

in

th

e c

am

ps

. W

e a

lso

pro

vid

ed

ps

ych

os

oci

al

su

pp

ort

to

th

ou

sa

nd

s o

f tr

au

ma

tis

ed

ch

ild

ren

:

orp

ha

ns

, vi

ctim

s o

f a

bu

se

, a

nd

fo

rme

r ch

ild

so

ldie

rs.

Wh

en

pe

ace

fin

all

y ca

me

to

Ug

an

da

in 2

00

6,

pe

op

le b

eg

an

mo

vin

g in

to s

ma

lle

r sa

tell

ite

ca

mp

s o

r b

ack

to

th

eir

da

ma

ge

d

vill

ag

es

of

ori

gin

. M

ed

air

wo

rke

d t

o h

elp

re

sto

re t

he

pro

visi

on

of

he

alt

h c

are

an

d W

AS

H in

th

es

e h

om

e v

illa

ge

s.

We

als

o

con

du

cte

d p

roje

cts

de

sig

ne

d t

o im

pro

ve in

fra

stru

ctu

re,

up

gra

de

sk

ills

, p

rote

ct c

hil

dre

n f

rom

ha

rm,

an

d o

the

rwis

e

str

en

gth

en

th

e c

ap

aci

ty o

f th

e r

eco

veri

ng

Ug

an

da

n p

op

ula

tio

n.

Me

da

ir a

lso

sta

rte

d w

ork

ing

in

Ka

ram

oja

ag

ain

, m

ak

ing

ma

jor

pro

gre

ss

in

im

pro

vin

g a

cce

ss

to

wa

ter

for

res

ide

nts

an

d f

or

the

ir l

ive

sto

ck.

In A

pri

l 2

010

, w

e o

ffici

all

y c

los

ed

th

e U

ga

nd

a p

rog

ram

me

aft

er

com

ple

tin

g o

ur

fin

al

ob

ject

ive

s i

n t

he

Ka

ram

oja

re

gio

n.

In t

he

firs

t th

ree

mo

nth

s o

f 2

010

, w

e p

rovi

de

d t

rain

ing

fo

r

he

alt

h w

ork

ers

an

d v

illa

ge

he

alt

h t

ea

ms

, a

nd

we

co

mp

lete

d

a c

as

h-f

or-

wo

rk p

roje

ct i

n t

he

re

gio

n,

reh

ab

ilit

ati

ng

ro

ad

s

an

d d

istr

ibu

tin

g s

ee

ds

to

fa

rme

rs.

“T

he

pe

op

le o

f U

ga

nd

a a

re o

n t

he

ro

ad

to

re

co

ve

ry,”

sa

id

Joh

n F

arm

er,

Me

da

ir’s

Dir

ec

tor

of

Op

era

tio

ns

. “

As

th

e

ne

ed

fo

r e

me

rge

nc

y r

eli

ef

ha

s p

as

se

d,

Me

da

ir’s

ro

le h

ere

ha

s b

ee

n f

ulf

ille

d.

As

we

le

av

e t

od

ay

, w

e a

re g

rati

fie

d t

o

se

e s

o m

an

y e

nc

ou

rag

ing

sig

ns

of

ho

pe

fo

r th

e f

utu

re i

n

wh

at

wa

s o

nce

on

e o

f th

e w

ors

t h

um

an

ita

ria

n c

ris

es

in

the

wo

rld

.”

Kamp

ala

Ugan

da

DEM.

REP

. OF C

ONGO

SUDA

N

KENY

A

TANZ

ANIA

RWAN

DA

0 050

100

mi

5010

0 km

Kaab

ong

Abim

Pato

ngo

Refle

ctio

ns a

t the

clo

se o

f one

of M

edai

r’s

long

est r

unni

ng p

rogr

amm

es.

Ug

an

da

For

mo

re t

ha

n 1

0 y

ea

rs,

Me

da

ir m

ain

tain

ed

an

act

ive

pre

se

nce

in

Ug

an

da

th

rou

gh

ou

t th

e h

eig

ht

con

dit

ion

s h

av

e i

mp

rov

ed

an

d m

os

t o

f th

e p

op

ula

tio

n h

av

e r

etu

rne

d t

o t

he

ir v

illa

ge

s o

f o

rig

in.

Ou

r D

ec

ad

e i

n U

ga

nd

a

Phot

o: C

as

h-f

or-

wo

rk b

en

efi

cia

rie

s re

ha

bil

ita

te a

ro

ad

in t

he

Ka

ram

oja

re

gio

n.

Pro

gra

mm

e H

igh

lig

hts

Tota

l b

en

efi

cia

rie

s i

n 2

010

1,2

16

Me

da

ir p

ers

on

ne

l 7

in

tern

ati

on

all

y r

ecr

uit

ed

sta

ff

48

na

tio

na

lly

re

cru

ite

d s

taff

ME

DA

IR

An

nu

al

Re

po

rt 2

010

38

39

Page 21: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Be

hin

d t

he

Sc

en

es

“I

fee

l li

ke

I a

m l

ea

vin

g f

am

ily

be

hin

d,

” c

on

fes

se

s D

r.

Joh

n K

an

ya

ma

nd

a,

as

he

re

ad

ies

him

se

lf t

o l

ea

ve

Me

da

ir

aft

er

nin

e y

ea

rs o

f d

ed

ica

ted

wo

rk.

“T

he

mo

st

imp

ort

an

t

thin

g t

ha

t I

tak

e w

ith

me

as

I l

ea

ve

Me

da

ir i

s t

ha

t s

en

se

of

be

lon

gin

g,

tha

t s

en

se

of

fam

ily

an

d u

nit

y a

mo

ng

co

-

wo

rke

rs,

pe

op

le p

ray

ing

an

d w

ork

ing

to

ge

the

r.”

Dr.

Jo

hn

sta

rte

d o

ut

as

a m

ed

ica

l s

up

erv

iso

r, b

ut

so

on

cli

mb

ed

th

e l

ad

de

r to

me

dic

al

co

ord

ina

tor

in c

ha

rge

of

all

he

alt

h p

roje

cts

. “

I h

av

e g

ain

ed

a w

ea

lth

of

ex

pe

rie

nc

e

inc

lud

ing

ma

na

gin

g p

roje

cts

fro

m b

eg

inn

ing

to

en

d,

wh

ich

wil

l s

erv

e m

e w

ell

in

my

fu

ture

pla

ns

.”

Me

da

ir’s

ap

pro

ach

to

he

alt

h c

are

in

D.R

. C

on

go

str

on

gly

res

on

ate

s w

ith

Dr.

Jo

hn

. “

Me

da

ir w

ork

s d

ire

ctl

y w

ith

th

e

Wh

en

Cla

ud

el

ap

pli

ed

to

Me

da

ir i

n 2

00

6,

he

wa

s g

oin

g

thro

ug

h a

diffi

cult

pe

rso

na

l ti

me

, g

rap

pli

ng

wit

h d

ee

p

qu

es

tio

ns

ab

ou

t th

e m

ea

nin

g o

f h

is l

ife

. B

ut

wh

en

Me

da

ir

hir

ed

him

as

a h

yg

ien

e p

rom

ote

r, i

t b

rou

gh

t h

im a

se

ns

e o

f

pu

rpo

se

. “

It w

as

lik

e a

gif

t fr

om

Go

d t

o m

ee

t M

ed

air

” s

ay

s

Cla

ud

el.

“I

rea

lis

ed

th

at

the

pu

rpo

se

of

my

lif

e w

as

to

be

tte

r

un

de

rsta

nd

wh

at

Go

d d

id f

or

me

, a

nd

to

he

lp o

the

rs.”

De

sp

ite

fa

cin

g a

dv

ers

ity

gro

win

g u

p i

n M

ad

ag

as

car,

Cla

ud

el’

s d

ete

rmin

ati

on

sh

ap

ed

his

ch

ara

cte

r. H

e l

os

t h

is

pa

ren

ts w

he

n h

e w

as

12

an

d h

as

ta

ke

n c

are

of

him

se

lf e

ve

r

sin

ce.

As

an

ad

ult

, h

e d

ec

ide

d t

o p

urs

ue

te

chn

ica

l s

tud

ies

in e

ng

ine

eri

ng

, b

ut

this

wa

s s

o e

xp

en

siv

e t

ha

t h

e h

ad

to

wo

rk v

ery

ha

rd w

he

n h

e w

as

no

t in

sch

oo

l to

pa

y t

he

fe

es

.

Ev

en

tua

lly

, C

lau

de

l h

ad

to

dro

p o

ut

for

fin

an

cia

l re

as

on

s.

Bu

t w

ith

his

en

gin

ee

rin

g b

ack

gro

un

d,

he

wa

s a

na

tura

l

fit

to b

ec

om

e p

art

of

Me

da

ir’s

in

fra

str

uc

ture

te

am

. “

Fir

st,

I h

ad

to

le

arn

to

us

e a

co

mp

ute

r, t

he

n a

n e

xp

at

tau

gh

t

me

ho

w t

o d

o s

pe

cif

ic c

alc

ula

tio

ns

,” s

ay

s C

lau

de

l. “

Th

en

wit

h e

ach

ne

w e

xp

at

I w

as

le

arn

ing

th

ing

s f

rom

th

em

an

d I

wa

s t

ea

chin

g t

he

m w

ha

t I

kn

ew

in

th

e f

ield

. In

th

is

Ina

wo

rke

d a

s a

n a

cc

ou

nta

nt

in t

he

Ne

the

rla

nd

s

be

fore

jo

inin

g M

ed

air

as

a f

ina

nc

e m

an

ag

er

in 2

00

2.

He

r m

an

ag

em

en

t s

kil

ls l

ed

he

r to

po

sit

ion

s a

s d

ep

uty

co

un

try

dir

ec

tor,

de

sk

off

ice

r, a

nd

no

w c

ou

ntr

y d

ire

cto

r

in A

fgh

an

ista

n.

“I

ha

ve

gro

wn

a l

ot

in t

he

la

st

nin

e y

ea

rs,

pro

fes

sio

na

lly

an

d a

s a

hu

ma

n b

ein

g,”

sh

e s

ay

s.

“E

ve

n t

ho

ug

h I

do

n’t

dir

ec

tly

wo

rk w

ith

th

e b

en

efi

cia

rie

s,

my

eff

ort

s m

ak

e i

t p

os

sib

le f

or

the

te

am

to

ch

an

ge

th

e

liv

es

of

the

pe

op

le t

he

y m

ee

t,”

sh

e s

ay

s.

“M

y m

ain

jo

b i

s

to e

ns

ure

th

e p

roje

cts

are

im

ple

me

nte

d w

ell

an

d a

dh

ere

to q

ua

lity

sta

nd

ard

s.

It i

s e

sp

ec

iall

y i

mp

ort

an

t to

go

ou

t th

ere

ou

rse

lve

s t

o f

ind

ou

t th

e n

ee

ds

of

the

re

mo

te

po

pu

lati

on

s t

ha

t a

re o

ve

rlo

ok

ed

by

th

e i

nte

rna

tio

na

l

co

mm

un

ity

.”

Ina

’s m

an

ag

em

en

t s

kil

ls a

re p

ut

to u

se

on

a w

ide

va

rie

ty

of

job

s,

an

d n

o t

wo

da

ys

are

th

e s

am

e:

“In

a w

ee

k,

my

job

mig

ht

inv

olv

e a

fie

ld t

rip

on

a h

ors

e f

or

fou

r d

ay

s w

ith

a d

on

or,

a c

oo

rdin

ati

on

me

eti

ng

wit

h t

he

U.N

. a

nd

oth

er

NG

Os

, p

utt

ing

to

ge

the

r a

se

cu

rity

pla

n b

efo

re a

fie

ld t

rip

,

an

d l

ots

of

sit

tin

g b

eh

ind

a d

es

k e

ma

ilin

g p

eo

ple

.”

So

me

of

the

mo

st

rew

ard

ing

mo

me

nts

fo

r In

a a

re w

he

n

sh

e m

ee

ts b

en

efi

cia

rie

s a

nd

se

es

th

e p

ow

erf

ul

imp

ac

t

tha

t M

ed

air

’s p

roje

cts

ca

n h

av

e o

n i

nd

ivid

ua

ls a

nd

co

mm

un

itie

s.

Ho

we

ve

r, t

he

jo

b a

lso

bri

ng

s i

ts s

ha

re o

f

he

art

ach

e a

nd

su

ffe

rin

g.

In A

ug

us

t 2

010

, te

n a

id w

ork

ers

we

re m

urd

ere

d i

n

Afg

ha

nis

tan

; s

om

e w

ere

fri

en

ds

of

Ina

. T

he

ir s

ud

de

n

de

ath

s h

ad

a p

rofo

un

d e

ffe

ct

on

he

r a

nd

th

e r

es

t o

f

the

Me

da

ir t

ea

m.

“A

ll t

he

pe

op

le w

ho

we

re k

ille

d w

ere

sp

ec

ial

pe

op

le w

ho

ma

de

an

en

orm

ou

s i

mp

ac

t in

the

liv

es

of

oth

ers

,” s

ay

s I

na

. “

It h

as

ma

de

me

mo

re

de

term

ine

d t

o b

e h

ere

be

ca

us

e v

uln

era

ble

wo

me

n a

nd

chil

dre

n a

re a

lso

th

e v

icti

ms

of

the

se

kin

ds

of

pe

op

le a

nd

the

ir v

iole

nc

e.

Th

ey

ha

ve

no

op

tio

n t

o l

ea

ve

th

e s

itu

ati

on

be

hin

d.

I a

m h

ere

to

se

rve

th

em

an

d w

ill

co

nti

nu

e t

o d

o

tha

t, d

es

pit

e t

he

pre

se

nc

e o

f v

iole

nc

e a

t ti

me

s.”

mo

re a

pp

rec

iati

ve

of

he

r fr

ien

ds

in

Ka

bu

l a

nd

of

the

Me

da

ir t

ea

m.

“W

e h

av

e e

njo

ye

d g

rea

t te

am

mo

me

nts

,”

sh

e s

ay

s.

“W

he

n y

ou

jo

in M

ed

air

, y

ou

jo

in a

fa

mil

y,

no

t

an

org

an

isa

tio

n.

It w

ill

cha

ng

e y

ou

r li

fe a

nd

ta

ke

yo

u t

o

ne

w p

lac

es

an

d e

xp

eri

en

ce

s.”

As

a y

ou

ng

civ

il e

ng

ine

er,

Jo

hn

jo

ine

d M

ed

air

in

20

01

an

d

wo

rke

d i

n D

.R.

Co

ng

o d

oin

g f

oo

d s

ecu

rity

an

d d

ev

elo

pin

g

sm

all

wa

ter

so

urc

es

. “

I w

an

ted

to

us

e m

y e

ng

ine

eri

ng

sk

ills

in a

Ch

ris

tia

n c

on

tex

t in

re

lie

f a

nd

re

ha

bil

ita

tio

n,”

he

sa

ys

.

Du

rin

g t

he

Me

da

ir o

rie

nta

tio

n c

ou

rse

, h

e m

et

Ha

nn

ah

,

a d

oc

tor

wh

o w

as

he

ad

ing

to

An

go

la t

o w

ork

. H

e c

ou

ld

ne

ve

r h

av

e i

ma

gin

ed

th

at,

ye

ars

la

ter,

th

ey

wo

uld

rec

on

ne

ct,

fa

ll i

n l

ov

e,

an

d g

et

ma

rrie

d,

let

alo

ne

th

at

the

y w

ou

ld b

oth

wo

rk f

or

Me

da

ir t

og

eth

er

in t

he

sa

me

co

un

try

as

a m

arr

ied

co

up

le.

ma

nn

er,

we

all

we

re l

ea

rnin

g f

rom

ea

ch o

the

r a

nd

do

ing

a b

ett

er

job

to

ge

the

r.”

In 2

00

9,

Cla

ud

el

be

ca

me

a d

ep

uty

in

fra

str

uc

ture

ma

na

ge

r a

nd

in

20

10 h

e w

as

pro

mo

ted

to

in

fra

str

uc

ture

ma

na

ge

r, w

he

re h

e i

s r

es

po

ns

ible

fo

r s

up

erv

isin

g a

ll o

f

the

co

ns

tru

cti

on

an

d m

an

ag

ing

a t

ea

m o

f s

ix p

eo

ple

plu

s

ma

ny

ca

su

al

wo

rke

rs.

He

is

alw

ay

s s

mil

ing

, h

um

ble

, a

nd

rea

dy

to

wo

rk h

ard

.

“Fo

r m

e,

inte

gri

ty a

nd

ac

co

un

tab

ilit

y a

re i

mp

ort

an

t

be

ca

us

e I

ha

ve

to

de

al

wit

h l

arg

e a

mo

un

ts o

f m

on

ey

an

d

it’s

so

im

po

rta

nt

to b

e t

ran

sp

are

nt

an

d f

ait

hfu

l,”

he

sa

ys

.

“Fa

ith

ma

ke

s a

big

dif

fere

nc

e i

n o

ur

wo

rk:

kn

ow

ing

th

at

Go

d c

an

giv

e u

s s

tre

ng

th t

o d

o o

ur

wo

rk.”

“M

ed

air

re

all

y c

ha

ng

ed

my

lif

e,”

sa

ys

Cla

ud

el.

“E

ve

n i

f

I g

o t

hro

ug

h d

iffi

cu

ltie

s,

I fe

el

co

nfi

de

nt

an

d h

av

e h

op

e

tha

t e

ve

ry s

itu

ati

on

ca

n g

et

be

tte

r.’’

po

pu

lati

on

by

su

pp

ort

ing

he

alt

h c

en

tre

pro

fes

sio

na

ls.

Th

is a

pp

roa

ch i

s d

iffe

ren

t fr

om

th

os

e N

GO

s t

ha

t b

rin

g

in n

ew

sy

ste

ms

an

d a

tte

mp

t to

in

teg

rate

th

em

, w

hic

h

the

n c

rum

ble

aft

er

the

y l

ea

ve

. T

he

dif

fere

nc

e i

s t

ha

t e

ve

n

if M

ed

air

le

ft t

od

ay

, th

e s

ys

tem

on

th

e g

rou

nd

wo

uld

rem

ain

re

info

rce

d.”

Dr.

Jo

hn

ha

s s

om

e a

ma

zin

g m

em

ori

es

fro

m h

is n

ine

ye

ars

wit

h M

ed

air

. “

I re

me

mb

er

the

tim

e o

f th

e c

on

flic

t in

Itu

ri

in 2

00

3,

the

co

un

try

dir

ec

tor

an

d I

bo

th h

ad

to

sle

ep

on

th

e o

ffice

flo

or

be

cau

se

it

wa

s t

oo

da

ng

ero

us

to

go

ou

t,”

he

ex

pla

ins

. “

He

r h

um

ilit

y r

ea

lly

to

uch

ed

me

. M

an

y

ex

pa

tria

tes

fle

d d

uri

ng

th

is t

ime

, b

ut

sh

e,

a f

ore

ign

er

wit

h

an

op

tio

n t

o l

ea

ve

, ch

os

e t

o s

tay.

Sh

e d

idn

’t f

ors

ak

e u

s.”

For

Dr.

Jo

hn

, th

e m

os

t re

ma

rka

ble

th

ing

ab

ou

t M

ed

air

ha

s b

ee

n i

ts e

nd

uri

ng

co

mm

itm

en

t to

th

e p

eo

ple

of

his

co

un

try

. “

Wh

en

on

ly a

ha

nd

ful

of

NG

Os

we

re p

res

en

t

du

rin

g t

he

co

nfl

ict

in I

turi

, M

ed

air

wa

s t

he

re,”

he

sa

ys

.

“W

he

n o

nly

fe

w N

GO

s i

nte

rve

ne

d i

n I

sir

o,

Me

da

ir w

ork

ed

in t

his

are

a,

an

d n

ow

Me

da

ir i

s o

nc

e a

ga

in l

ea

din

g t

he

wa

y b

y t

ak

ing

as

sis

tan

ce

to

th

os

e w

ho

ne

ed

it

in A

ng

o,

a

reg

ion

wit

h i

mm

en

se

ne

ed

.”

Ina

Ho

ge

nd

oo

rn

Co

un

try

Dir

ect

or

Afg

ha

nis

tan

Cla

ud

el

Mb

oti

ve

lo

Infr

as

tru

ctu

re M

gr.

Ma

da

ga

sca

r

Dr.

Jo

hn

Ka

ny

am

an

da

Me

dic

al

Co

ord

ina

tor

D.R

. C

on

go

Joh

n P

oll

ard

WA

SH

Pro

ject

Ma

na

ge

r

So

uth

ern

Su

da

n

ME

DA

IR

An

nu

al

Re

po

rt 2

010

40

41

Page 22: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Be

hin

d t

he

Sc

en

es

Na

tura

l d

isa

ste

rs h

av

e m

ark

ed

Mir

iam

de

ep

ly.

Wh

en

sh

e w

as

a g

irl

gro

win

g u

p i

n M

ex

ico

Cit

y,

a m

as

siv

e

Pa

sk

a i

s r

ela

tive

ly n

ew

to

Me

da

ir b

ut

sh

e i

s v

ery

ex

pe

rie

nce

d

in h

er

pro

fes

sio

n.

Sh

e b

eca

me

a n

urs

e i

n 1

97

7 a

nd

a m

idw

ife

in 2

00

0.

“I

de

live

red

ma

ny,

ma

ny,

ma

ny

ba

bie

s,”

sa

ys P

as

ka

,

wh

o w

as

wo

rkin

g i

n a

go

vern

me

nt

ho

sp

ita

l in

Kh

art

ou

m

wh

en

sh

e h

ea

rd t

ha

t M

ed

air

wa

s l

oo

kin

g f

or

a m

idw

ife

su

pe

rvis

or.

“I

wa

nte

d t

o h

elp

my

pe

op

le,”

ex

pla

ins

Pa

sk

a.

“Fr

om

th

e m

om

en

t P

as

ka

arr

ive

d,

sh

e s

ee

me

d t

o b

e p

art

of

the

te

am

,” s

ay

s M

ed

air

’s R

eb

ek

ka

Fri

ck.

“S

he

wa

s v

ery

ea

ge

r

an

d w

illi

ng

to

le

arn

an

d n

eve

r to

o t

ire

d t

o a

dd

an

ex

tra

vis

it

du

rin

g o

ur

da

y tr

ips

in

th

e fi

eld

.”

Pa

sk

a h

as

be

com

e k

no

wn

fo

r h

er

sk

ills

an

d p

ati

en

ce i

n

tra

inin

g t

he

nu

me

rou

s m

idw

ive

s u

nd

er

he

r s

up

erv

isio

n.

“S

he

ha

s a

gre

at

rela

tio

ns

hip

wit

h t

he

mid

wiv

es

,” s

ay

s G

eo

ff

Ko

on

tz,

on

e o

f M

ed

air

’s H

ea

lth

Ma

na

ge

rs i

n S

ou

th K

ord

ofa

n.

“Th

ey

are

alw

ays

ha

pp

y to

se

e h

er

an

d t

he

y a

pp

reci

ate

he

r

su

pp

ort

ive

, g

en

tle

na

ture

.”

Sh

e q

uic

kly

ea

rne

d t

he

re

sp

ect

of

he

r M

ed

air

co

lle

ag

ue

s.

“A

t th

e b

eg

inn

ing

of

the

pro

gra

mm

e,

it w

as

diffi

cult

to

fin

d

su

ita

ble

sta

ff b

ut

the

se

co

nce

rns

im

me

dia

tely

ch

an

ge

d a

fte

r

Pa

sk

a a

rriv

ed

,” s

ays

Re

be

kk

a.

“I

felt

th

at

I co

uld

ha

nd

ove

r

res

po

ns

ibil

itie

s t

o v

ery

ca

pa

ble

ha

nd

s.”

Pa

sk

a h

as

th

e r

ela

xe

d d

em

ea

no

ur

of

so

me

on

e w

ho

ha

s

wit

ne

ss

ed

ma

ny

thin

gs

in

lif

e.

Sh

e g

ets

alo

ng

we

ll w

ith

all

the

oth

er

sta

ff a

nd

th

ey

are

ha

pp

y to

he

lp h

er

as

sh

e fi

gu

res

ou

t n

ew

ch

all

en

ge

s,

lik

e h

ow

to

us

e a

co

mp

ute

r fo

r th

e fi

rst

tim

e.

Sh

e d

es

crib

es

th

e M

ed

air

te

am

as

Ta

-mu

m:

“W

e a

re a

ll

lik

e o

ne

fa

mil

y.”

Be

fore

co

min

g t

o w

ork

fo

r M

ed

air

, P

iete

r w

ork

ed

fo

r

eig

ht

ye

ars

fo

r a

la

rge

in

tern

ati

on

al

con

tra

cto

r in

th

e

Ne

the

rla

nd

s,

pe

rfo

rmin

g v

ari

ou

s p

roje

ct

ma

na

ge

me

nt

role

s f

or

ind

us

tria

l m

ain

ten

an

ce p

roje

cts

.

Pie

ter

join

ed

Me

da

ir b

eca

us

e h

e f

elt

led

to

su

pp

ort

vu

lne

rab

le

pe

op

le t

hro

ug

ho

ut

the

wo

rld

, a

nd

he

fo

un

d h

is o

wn

va

lue

s

refl

ect

ed

in t

he

mis

sio

n,

visi

on

, a

nd

va

lue

s o

f M

ed

air

.

In h

is t

hre

e y

ea

rs w

ith

Me

da

ir,

Pie

ter

ha

s w

ork

ed

in

the

fie

ld i

n I

nd

on

es

ia,

Ug

an

da

, a

nd

mo

st

rece

ntl

y

in Z

imb

ab

we

. “

My

tim

e w

ith

Me

da

ir h

as

be

en

lik

e a

roll

erc

oa

ste

r,”

sa

ys

Pie

ter.

“In

th

e fi

eld

yo

u a

re r

igh

t o

n

the

sp

ot

wh

ere

it

is h

ap

pe

nin

g.”

“S

ucc

es

se

s a

nd

ch

all

en

ge

s c

om

e h

an

d i

n h

an

d,”

sa

ys

Pie

ter.

“In

th

e e

nd

yo

u c

ele

bra

te t

he

su

cce

ss

bu

t m

ea

nw

hil

e y

ou

ha

ve

to

wo

rk t

o g

et

it d

on

e,

wit

h l

ots

of

so

cia

l, t

ech

nic

al,

se

cu

rity

, s

taff

, a

nd

en

vir

on

me

nta

l ch

all

en

ge

s.”

For

Pie

ter,

hig

hli

gh

ts o

f th

e j

ob

in

clu

de

wo

rkin

g i

n

be

au

tifu

l la

nd

sca

pe

s a

nd

alo

ng

sid

e g

rea

t M

ed

air

sta

ff.

“I

va

lue

te

am

lif

e v

ery

hig

hly

,” s

ay

s P

iete

r. “

Yo

u l

ea

rn

a l

ot

fro

m y

ou

r co

lle

ag

ue

s.

I e

njo

y a

nd

gra

b e

ve

ry n

ew

op

po

rtu

nit

y w

ith

bo

th h

an

ds

!”

Th

ey

no

w w

ork

in

So

uth

ern

Su

da

n,

wh

ere

Jo

hn

is

ov

ers

ee

ing

a m

ajo

r W

AS

H p

roje

ct

an

d m

an

ag

ing

th

e

bu

dg

et

an

d f

ou

r s

taff

. “

We

are

wo

rkin

g t

o p

rov

ide

cle

an

wa

ter

to 4

0,0

00

pe

op

le i

n f

ive

dif

fere

nt

tow

ns

, p

eo

ple

wh

o h

av

e o

nly

th

e (

un

tre

ate

d)

wa

ter

fro

m t

he

Nil

e R

ive

r

for

all

th

eir

ne

ed

s,”

sa

ys

Jo

hn

. “

We

are

als

o d

oin

g

hy

gie

ne

pro

mo

tio

n a

nd

co

ns

tru

cti

ng

la

trin

es

.”

“T

he

mo

st

fulf

illi

ng

th

ing

is

to

se

e t

hin

gs

ge

ttin

g

bu

ilt

an

d t

o s

ee

th

e b

en

efi

t th

at

we

ca

n p

rov

ide

to

th

e

co

mm

un

ity

th

rou

gh

th

at,

” h

e s

ay

s.

In p

art

icu

lar,

he

se

es

sch

oo

l la

trin

es

as

a g

rea

t w

ay

to

en

co

ura

ge

ch

ild

ren

to

att

en

d s

cho

ol

an

d g

et

an

ed

uc

ati

on

. “

Th

e l

atr

ine

s r

ea

lly

cha

ng

e e

sp

ec

iall

y t

he

gir

ls’

liv

es

. S

om

e g

irls

av

oid

go

ing

to s

cho

ol

at

all

, b

ec

au

se

of

a l

ack

of

a s

afe

pla

ce

fo

r th

em

to g

o t

o t

he

to

ile

t.”

Ov

er

Joh

n’s

tim

e w

ith

Me

da

ir,

his

ma

na

ge

me

nt

sk

ills

ha

ve

gro

wn

sig

nif

ica

ntl

y.

“I

us

ed

to

fin

d i

t d

iffi

cu

lt t

o

de

leg

ate

re

sp

on

sib

ilit

y,”

he

sa

ys

. “

Bu

t I’

ve

le

arn

ed

to

ma

na

ge

th

at

an

d i

nv

es

t m

ore

tim

e i

nto

te

ach

ing

an

d

tra

inin

g s

taff

to

do

th

e d

ire

ct

wo

rk.

I’v

e a

lso

gro

wn

in

my

co

mm

un

ica

tio

n a

bil

ity

wit

h s

tak

eh

old

ers

su

ch a

s l

oc

al

au

tho

riti

es

. I

fee

l I

wil

l m

ov

e t

o t

he

ne

xt

ste

ps

of

my

ca

ree

r w

ith

mo

re s

elf

-co

nfi

de

nc

e.”

ea

rth

qu

ak

e s

tru

ck a

nd

de

va

sta

ted

he

r h

om

e c

ity

. “

I s

aw

clo

ud

s o

f d

us

t fr

om

bu

ild

ing

s c

oll

ap

sin

g i

n f

ron

t o

f m

y

ey

es

,” s

he

sa

ys

. “

Th

e c

ity

’s h

um

an

an

d b

uil

t la

nd

sc

ap

e

wa

s n

ev

er

the

sa

me

.”

In 2

00

4,

the

de

str

uc

tio

n c

au

se

d b

y t

he

So

uth

-As

ian

tsu

na

mi

sh

oo

k M

iria

m’s

sp

irit

. A

t th

e t

ime

, s

he

wa

s a

gra

du

ate

stu

de

nt

in r

ura

l p

lan

nin

g a

nd

de

ve

lop

me

nt

an

d

ha

d t

o o

ve

rco

me

he

r s

tro

ng

de

sir

e t

o l

ea

ve

he

r p

ile

s o

f

bo

ok

s b

eh

ind

an

d j

oin

th

e r

eli

ef

eff

ort

. S

he

re

ma

ine

d

in s

cho

ol

an

d w

en

t o

n t

o w

ork

in

D.R

. C

on

go

, M

ex

ico

,

an

d C

an

ad

a.

Wh

en

th

e e

art

hq

ua

ke

str

uck

Ha

iti

in 2

010

, M

iria

m

imm

ed

iate

ly w

an

ted

to

he

lp w

ith

th

e e

me

rge

nc

y

res

po

ns

e.

“T

he

im

ag

es

I s

aw

in

th

e n

ew

sp

ap

ers

bro

ke

my

he

art

,” s

he

sa

ys

. “

Th

ey

ha

d n

o s

ou

nd

, y

et

sc

rea

me

d t

o

me

. F

rom

th

e m

om

en

t I

lea

rne

d t

he

ea

rth

qu

ak

e n

ew

s,

I

wa

nte

d t

o b

e h

ere

to

do

so

me

thin

g.”

Mir

iam

’s b

ack

gro

un

d i

n a

rch

ite

ctu

re a

nd

ho

us

ing

rig

hts

ma

de

he

r a

n i

de

al

ca

nd

ida

te t

o w

ork

wit

h M

ed

air

in

Ha

iti.

As

a s

he

lte

r p

roje

ct

ma

na

ge

r, M

iria

m p

rov

ide

s

lea

de

rsh

ip,

str

ate

gic

dir

ec

tio

n,

ma

na

ge

me

nt,

an

d

mo

nit

ori

ng

to

th

e s

he

lte

r te

am

s i

n t

he

ru

ral

vil

lag

es

aro

un

d J

ac

me

l.

In a

dd

itio

n t

o p

rov

idin

g s

afe

ho

us

ing

fo

r b

en

efi

cia

rie

s,

Mir

iam

’s m

os

t tr

ea

su

red

su

cc

es

s h

as

be

en

in

cre

as

ing

fem

ale

pa

rtic

ipa

tio

n i

n M

ed

air

’s c

as

h-f

or-

wo

rk

pro

gra

mm

e.

“C

on

str

uc

tio

n i

s c

ult

ura

lly

an

d t

rad

itio

na

lly

reg

ard

ed

as

a m

ale

ta

sk

,” s

he

sa

ys

. “

Bu

t w

e h

av

e

sig

nif

ica

ntl

y i

nc

rea

se

d f

em

ale

pa

rtic

ipa

tio

n i

n o

ur

pro

gra

mm

e a

nd

I c

on

tin

ue

to

en

co

ura

ge

wo

me

n t

o j

oin

ou

r te

am

s.”

“I’

ve

le

arn

ed

th

e r

ea

l v

alu

e o

f c

ap

ac

ity

bu

ild

ing

fo

r

loc

al

sta

ff,”

co

nc

lud

es

Mir

iam

. “

Jus

t a

s i

t is

va

lua

ble

to b

uil

d m

ore

th

an

3,0

00

sh

elt

ers

, it

is

als

o v

alu

ab

le

tha

t w

e a

re g

ivin

g d

oz

en

s o

f H

ait

ian

em

plo

ye

es

th

e

op

po

rtu

nit

y t

o g

ain

sk

ills

by

wo

rkin

g w

ith

an

NG

O w

ith

inte

rna

tio

na

l s

tan

da

rds

. T

ha

t’s

als

o r

ea

so

n e

no

ug

h f

or

us

to

be

he

re.”

Mir

iam

pe

z V

ille

ga

s

Sh

elt

er

Pro

ject

Ma

na

ge

r

Ha

iti

Pa

sk

a T

ito

Mid

wif

e S

up

erv

iso

r

Su

da

n

(No

rth

ern

Sta

tes

)

For

Pa

sk

a,

the

be

st

pa

rt o

f w

ork

ing

wit

h M

ed

air

is

kn

ow

ing

tha

t h

er

wo

rk i

s m

ak

ing

a r

ea

l d

iffe

ren

ce.

“Th

e m

idw

ive

s t

old

me

th

at

sin

ce M

ed

air

ha

s b

ee

n s

up

po

rtin

g t

he

m,

the

y h

ave

no

t h

ad

an

y w

om

en

die

in

ch

ild

bir

th,”

sh

e s

ays

.

Pie

ter

Ba

kk

er

WA

SH

Pro

ject

Mg

r.

Zim

ba

bw

e

ME

DA

IR

An

nu

al

Re

po

rt 2

010

42

43

Page 23: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

“Th

e p

eo

ple

in t

his

re

gio

n h

ave

su

ffe

red

fo

r a

lon

g t

ime

du

e t

o t

he

con

flic

t. B

ut

I am

sa

tis

fie

d t

ha

t w

e

ha

ve a

pa

rtn

er

on

th

e g

rou

nd

th

at

is a

ble

to

off

er

me

dic

al a

ss

ista

nce

wh

ich

is v

ery

cri

tica

l, a

nd

we

wil

l

try

to c

on

tin

ue

to

he

lp u

nti

l th

es

e

kin

ds

of

pro

ble

ms

co

me

to

an

en

d.”

Jay

Na

sh

, S

en

ior

Pro

gra

m O

ffice

r,

Un

ite

d S

tate

s A

ge

ncy

fo

r In

tern

ati

on

al

De

ve

lop

me

nt,

D.R

. C

on

go

Wo

rds

fro

m O

ur

Pa

rtn

ers

of

do

na

tio

n s

ize

(≥

US

D 1

5,0

00

).

Mu

lti-

Do

no

r P

art

ne

rsh

ips

Ba

sic

Se

rvic

es

Fu

nd

(in

c. D

ep

art

me

nt

for

Inte

rna

tio

na

l

De

ve

lop

me

nt,

U.K

.)

Mu

lti-

Do

no

r Tr

us

t Fu

nd

(in

c. W

orl

d B

an

k)

Po

ole

d F

un

d,

D.R

. C

on

go

(in

c. U

.N.

Offi

ce f

or

the

Co

ord

ina

tio

n o

f H

um

an

ita

ria

n A

ffa

irs

)

Glo

ba

l Fu

nd

, D

.R.

Co

ng

o

Un

ite

d N

ati

on

s a

nd

In

terg

ov

ern

me

nta

l P

art

ne

rs

E.C

. D

ire

cto

rate

-Ge

ne

ral

for

Hu

ma

nit

ari

an

Aid

an

d C

ivil

Pro

tect

ion

Un

ite

d N

ati

on

s D

ev

elo

pm

en

t P

rog

ram

me

Un

ite

d N

ati

on

s C

hil

dre

n’s

Fu

nd

Wo

rld

He

alt

h O

rga

nis

ati

on

Un

ite

d N

ati

on

s P

op

ula

tio

n F

un

d

Wo

rld

Fo

od

Pro

gra

mm

e

Go

ve

rnm

en

t P

art

ne

rs

Un

ite

d S

tate

s A

ge

ncy

fo

r In

tern

ati

on

al

De

ve

lop

me

nt

De

pa

rtm

en

t fo

r In

tern

ati

on

al

De

ve

lop

me

nt

(U.K

.)

Sw

iss

Ag

en

cy f

or

De

velo

pm

en

t a

nd

Co

op

era

tio

n

Sw

ed

ish

In

tern

ati

on

al

De

ve

lop

me

nt

Co

op

era

tio

n

Eu

rop

eA

id C

oo

pe

rati

on

Offi

ce o

f th

e E

uro

pe

an

Co

mm

iss

ion

EC

No

rth

ern

Ug

an

da

Re

ha

bil

ita

tio

n P

rog

ram

me

Ins

titu

tio

na

l P

art

ne

rs

Sw

iss

So

lid

ari

ty

Ca

na

dia

n F

oo

dg

rain

s B

an

k

TE

AR

Fu

nd

(N

.Z.)

Me

nn

on

ite

Ce

ntr

al

Co

mm

itte

e (

U.S

., C

AN

)

Me

rcy

Co

rps

(U

.S.)

Pri

va

te S

ec

tor

Pa

rtn

ers

De

ma

ure

x &

Cie

SA

– M

arc

s A

lig

ro (

CH

)

Oa

k F

ou

nd

ati

on

(C

H)

Fo

un

da

tio

n P

ierr

e D

em

au

rex

(CH

)

Th

e N

ati

on

al

Ch

ris

tia

n F

ou

nd

ati

on

(U

.S.)

Mis

sio

n t

o t

he

Wo

rld

(U

.S.)

IC

AP

Ch

ari

ty D

ay

(U

.K.)

Th

e C

hri

sti

an

Re

form

ed

Ch

urc

he

s i

n t

he

Ne

the

rla

nd

s

UB

S F

ou

nd

ati

on

fo

r S

oci

al

Iss

ue

s a

nd

Ed

uca

tio

n (

CH

)

Mis

s S

.F.

Mo

rfie

ld C

ha

rita

ble

Tru

st

(U.K

.)

Ge

org

es

Wic

k F

ou

nd

ati

on

(C

H)

Th

e R

ee

d F

ou

nd

ati

on

(U

.K.)

Em

era

ud

e I

nte

rna

tio

na

l (F

RA

)

Gif

t-in

-Kin

d P

art

ne

rs

Un

ite

d N

ati

on

s C

hil

dre

n’s

Fu

nd

Wo

rld

Fo

od

Pro

gra

mm

e

In

tern

ati

on

al

Org

an

iza

tio

n f

or

Mig

rati

on

Wo

rld

Vis

ion

Fun

din

g P

art

ne

rs 2

010

“A

fte

r tr

ave

llin

g f

or

two

da

ys o

n

ho

rse

ba

ck,

we

arr

ive

d a

t K

oh

es

tan

, a

vill

ag

e w

he

re M

ed

air

wa

s p

rovi

din

g

safe

wa

ter

an

d f

oo

d a

ss

ista

nce

to

th

e

vuln

era

ble

po

pu

lati

on

of

on

e o

f th

e

mo

st

iso

late

d a

nd

re

mo

te a

rea

s o

f

Afg

ha

nis

tan

. Aft

er

the

vis

it,

I co

uld

fin

all

y vi

su

ali

se

wh

at

this

are

a lo

ok

ed

lik

e a

nd

ho

w c

ha

lle

ng

ing

it w

as

to

rea

ch t

he

se

pe

op

le in

ne

ed

in a

ve

ry

cha

lle

ng

ing

en

viro

nm

en

t. I

wa

s v

ery

imp

res

se

d w

ith

th

e q

ua

lity

of

wo

rk

Me

da

ir w

as

do

ing

.”

Ab

du

l S

att

ar

Sa

fi,

Pro

gra

mm

e O

ffice

r,

E.C

. D

ire

cto

rate

-Ge

ne

ral

for

Hu

ma

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m a

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rtn

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ut

I

mu

st

ad

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th

at

I wa

s r

ea

lly

imp

res

se

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y th

e q

ua

lity

of

Me

da

ir’s

wo

rk. I

als

o f

ou

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vis

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ity

in t

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ld w

as

exc

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lvie

Ra

zafi

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rab

e,

Co

mm

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ica

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n M

an

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er

for

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ord

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n P

latf

orm

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r N

GO

s

in M

ad

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Phot

os, a

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arm

er

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ft)

in t

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vil

lag

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ow

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lot

to A

bd

ul

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tta

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belo

w: M

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n M

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ri

ght:

Jay

Na

sh

, v

isit

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th

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alt

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sta

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ME

DA

IR

An

nu

al

Re

po

rt 2

010

44

45

Page 24: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Acc

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y w

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mb

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to M

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the

rla

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AS

AH

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ance

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a c

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me

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ina

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UD

, Fr

ance

Me

da

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ran

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s a

me

mb

er

of

this

co

ord

ina

tin

g b

od

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of

Fre

nch

NG

Os

, w

ho

se

aim

is

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pro

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ir v

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th i

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EU

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da

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s a

me

mb

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EU

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two

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pm

en

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ati

on

s w

ith

he

ad

qu

art

ers

in

Eu

rop

e,

form

ed

in

19

98

wit

h t

he

go

al

of

se

rvin

g t

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po

or

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ffe

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d i

mp

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ng

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co

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itio

ns

of

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ad

van

tag

ed

pe

op

le i

n t

he

wo

rld

.

Me

da

ir i

s a

n a

ctiv

e p

art

icip

ati

ng

ag

en

cy i

n t

he

Inte

r-A

ge

nc

y S

tan

din

g C

om

mit

tee

’s (

IAS

C)

Glo

ba

l

Sh

elt

er

Clu

ste

r. T

he

IA

SC

is

th

e p

rim

ary

me

cha

nis

m

for

coo

rdin

ati

on

of

hu

ma

nit

ari

an

as

sis

tan

ce i

nv

olv

ing

ke

y U

.N.

an

d n

on

-U.N

. h

um

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ita

ria

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art

ne

rs.

HA

P-I

Me

da

ir i

s a

fu

ll m

em

be

r o

f H

AP

In

tern

ati

on

al,

wh

os

e

pu

rpo

se

is

to

ach

iev

e a

nd

pro

mo

te t

he

hig

he

st

pri

nci

ple

s o

f a

cco

un

tab

ilit

y, t

hro

ug

h s

elf

-re

gu

lati

on

by

me

mb

ers

lin

ke

d b

y c

om

mo

n r

es

pe

ct f

or

the

rig

hts

an

d d

ign

ity

of

be

ne

fici

ari

es

.

Imp

AC

T C

oa

liti

on

, U.

K.M

ed

air

U.K

. is

a m

em

be

r o

f th

e I

mp

AC

T C

oa

liti

on

,

wh

ich

pro

mo

tes

be

tte

r u

nd

ers

tan

din

g o

f h

ow

cha

riti

es

wo

rk a

nd

th

e b

en

efi

ts t

he

y b

rin

g t

o s

oci

ety

.

LIN

GO

s

Th

is i

s a

co

ns

ort

ium

of

ov

er

55

in

tern

ati

on

al

hu

ma

nit

ari

an

re

lie

f, d

ev

elo

pm

en

t, c

on

se

rva

tio

n,

an

d h

ea

lth

org

an

isa

tio

ns

th

at

pro

vid

es

th

e l

ate

st

lea

rnin

g t

ech

no

log

ies

an

d c

ou

rse

s f

rom

th

e

pa

rtn

eri

ng

org

an

isa

tio

ns

.

Pe

op

le i

n A

id

Me

da

ir i

s a

me

mb

er

of

the

Cod

e of

Goo

d Pr

actic

e in

the

ma

na

ge

me

nt

an

d s

up

po

rt o

f a

id p

ers

on

ne

l in

are

as

of

he

alt

h a

nd

sa

fety

, d

ive

rsit

y, a

nd

eq

ua

lity

.

Th

e F

un

dra

isin

g S

tan

da

rds

Bo

ard

, U.

K.Th

is b

oa

rd i

s t

he

se

lf-r

eg

ula

tory

bo

dy

for

fun

dra

isin

g

in t

he

U.K

. M

em

be

rs a

gre

e t

o a

dh

ere

to

th

e h

igh

es

t

sta

nd

ard

s o

f g

oo

d f

un

dra

isin

g p

ract

ice

.

VO

ICE

Th

rou

gh

th

e m

em

be

rsh

ip t

o E

U-C

OR

D,

Me

da

ir i

s a

me

mb

er

of

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ICE

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two

rk o

f N

GO

s t

hro

ug

ho

ut

Eu

rop

e t

ha

t a

re a

ctiv

e i

n t

he

fie

ld o

f h

um

an

ita

ria

n

aid

, in

clu

din

g e

me

rge

ncy

aid

, re

ha

bil

ita

tio

n,

dis

as

ter

pre

pa

red

ne

ss

, a

nd

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nfl

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pre

ve

nti

on

.

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rop

ea

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nte

rag

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Se

cu

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Fo

rum

(E

ISF)

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Eu

rop

ea

n I

nte

rag

en

cy S

ecu

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Fo

rum

(E

ISF)

is

a

gro

up

of

se

curi

ty f

oca

l po

ints

of

Eu

rop

ea

n in

tern

ati

on

al

hu

ma

nit

ari

an

ag

en

cie

s c

on

cern

ed

wit

h s

ecu

rity

an

d

safe

ty o

f h

um

an

ita

ria

n r

eli

ef

org

an

isa

tio

ns

.

Pri

nc

iple

s

Sp

he

re

Th

e S

ph

ere

Pro

ject

, la

un

che

d b

y h

um

an

ita

ria

n N

GO

s

an

d t

he

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d C

ros

s a

nd

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d C

res

cen

t m

ov

em

en

t,

com

pri

se

s a

ha

nd

bo

ok

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pro

ces

s o

f co

lla

bo

rati

on

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an

d a

co

mm

itm

en

t to

qu

ali

ty a

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acc

ou

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bil

ity.

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rna

tio

na

l C

om

mit

tee

of

the

Re

d C

ros

s

Me

da

ir i

s a

sig

na

tory

to

th

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Co

de

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nd

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Th

e f

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re p

res

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ted

in

U.S

. d

oll

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(U

SD

)

ME

DA

IR

An

nu

al

Re

po

rt 2

010

46

47

Page 25: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

49

4

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Page 26: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

50

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Page 27: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

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Page 28: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

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Page 30: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

58

ME

DA

IR

Co

ns

oli

da

ted

20

10 A

nn

ua

l Fi

na

nci

al

Sta

tem

en

ts5

9

No

tes

to

co

ns

oli

da

ted

fin

an

cia

l s

tate

me

nts

fo

r 2

010

1.

Pre

se

nta

tio

n

M

ed

air

is

a p

riva

te,

no

n-p

rofi

t a

nd

no

n-g

ove

rnm

en

tal

org

an

isa

tio

n t

ha

t b

rin

gs

lif

e-s

avi

ng

em

erg

en

cy r

eli

ef

an

d r

eh

ab

ilit

ati

on

in

dis

as

ters

, cr

ise

s,

an

d c

on

flic

t

are

as

by

wo

rkin

g a

lon

gs

ide

th

e m

os

t vu

lne

rab

le.

Me

da

ir w

as

fo

un

de

d i

n 1

98

8 a

nd

es

tab

lis

he

d i

n 1

98

9

as

an

as

so

cia

tio

n u

nd

er

art

icle

60

et

se

q.

of

the

Sw

iss

Civ

il C

od

e.

Me

da

ir i

s i

nd

ep

en

de

nt

of

an

y p

oli

tica

l,

eco

no

mic

, s

oci

al,

or

reli

gio

us

au

tho

rity

. Th

e M

ed

air

he

ad

qu

art

ers

are

lo

cate

d i

n E

cub

len

s,

Sw

itze

rla

nd

.

2.

Sig

nifi

ca

nt

acc

ou

nti

ng

po

lic

ies

2.1

B

as

is f

or

pre

pa

rin

g t

he

co

ns

oli

da

ted

fin

an

cia

l s

tate

me

nts

Th

e c

on

so

lid

ate

d f

ina

nc

ial

sta

tem

en

ts h

av

e b

ee

n

pre

pa

red

in

ac

co

rda

nc

e w

ith

th

e S

wis

s g

en

era

lly

ac

ce

pte

d a

cc

ou

nti

ng

pri

nc

iple

s (

Sw

iss

GA

AP

RP

C).

Th

e fi

na

nci

al

sta

tem

en

ts p

res

en

t a

tru

e a

nd

fa

ir v

iew

of

Me

da

ir’s

act

ivit

ies

an

d fi

na

nci

al

sit

ua

tio

n.

Th

es

e

pri

nci

ple

s r

eq

uir

e t

he

le

ad

ers

hip

to

ma

ke

in

form

ed

jud

gm

en

ts,

be

st

es

tim

ate

s,

an

d a

ss

um

pti

on

s t

ha

t

ma

y a

ffe

ct

the

re

po

rte

d a

mo

un

ts o

f a

ss

ets

, li

ab

ilit

ies

,

rev

en

ue

, a

nd

ex

pe

ns

es

. A

ctu

al

res

ult

s m

ay

diff

er

fro

m

the

se

es

tim

ate

s.

Th

es

e fi

na

nci

al

sta

tem

en

ts h

av

e b

ee

n p

rep

are

d u

sin

g

the

his

tori

cal

cos

t p

rin

cip

les

. T

he

acc

rua

l m

eth

od

of

acc

ou

nti

ng

ha

s b

ee

n u

se

d f

or

all

gra

nt

rev

en

ue

an

d

ex

pe

ns

es

in

curr

ed

in

Sw

itze

rla

nd

an

d t

he

affi

lia

te

offi

ces

. T

he

ca

sh

ba

sis

of

acc

ou

nti

ng

is

in

us

e a

t

fie

ld l

oca

tio

ns

fo

r a

ll l

oca

l re

ve

nu

e a

nd

pro

gra

mm

e

ex

pe

ns

es

. A

ll a

mo

un

ts a

re e

xp

res

se

d i

n U

.S.

do

lla

rs.

Me

da

ir u

se

s t

he

fu

nd

ac

co

un

tin

g m

eth

od

in

wh

ich

all

re

ve

nu

es

an

d e

xp

en

se

s a

re a

ss

ign

ed

to

a

sp

ec

ific

fu

nd

. R

ev

en

ue

s a

re r

ec

ord

ed

as

re

str

icte

d

or

un

res

tric

ted

, d

ep

en

din

g o

n d

on

or

de

sig

na

tio

n.

All

ex

pe

ns

es

are

co

ns

ide

red

un

res

tric

ted

. T

he

ne

t

res

ult

of

cu

rre

nt-

ye

ar

ac

tiv

itie

s i

s a

llo

ca

ted

to

fu

nd

ba

lan

ce

s a

t th

e c

los

e o

f th

e f

isc

al

ye

ar.

Re

ve

nu

es

an

d e

xp

en

se

s f

rom

th

e S

wis

s a

cco

un

ts,

incl

ud

ing

fie

ld o

ffice

tra

ns

act

ion

s,

are

pre

se

nte

d i

n

U.S

. d

oll

ars

. C

urr

en

t-y

ea

r re

ve

nu

es

an

d e

xp

en

se

s p

er

fun

d f

rom

th

e a

ffili

ate

d o

ffice

s a

nd

th

e f

ou

nd

ati

on

are

co

nv

ert

ed

at

av

era

ge

an

nu

al

ex

cha

ng

e r

ate

s f

rom

loca

l cu

rre

ncy

. T

he

diff

ere

nce

be

twe

en

a c

alc

ula

ted

fun

d b

ala

nce

(o

pe

nin

g b

ala

nce

, p

lus

re

ve

nu

es

, m

inu

s

ex

pe

ns

es

) a

nd

a c

on

ve

rte

d f

un

d b

ala

nce

at

clo

sin

g

ex

cha

ng

e r

ate

is

ta

ke

n t

o t

he

cu

mu

lati

ve

cu

rre

ncy

tra

ns

lati

on

lin

e w

ith

in t

he

ap

pro

pri

ate

fu

nd

se

ctio

n.

2.2

V

alu

ati

on

pri

nci

ple

s

Ca

sh

is

sta

ted

at

its

no

min

al

valu

e a

nd

an

y f

ore

ign

ba

lan

ces

are

co

nv

ert

ed

at

the

ye

ar

pre

vail

ing

ye

ar-

en

d e

xch

an

ge

ra

tes

. R

ece

iva

ble

s a

re s

tate

d a

t th

eir

no

min

al

valu

e,

les

s a

ny

va

lue

co

rre

cti

on

s.

Fix

ed

as

se

ts a

re s

tate

d a

t th

eir

his

tori

cal

cos

t va

lue

, le

ss

acc

um

ula

ted

de

pre

cia

tio

n.

De

bts

are

sta

ted

at

the

ir

no

min

al

valu

e.

2.3

S

cop

e o

f th

e c

on

so

lid

ate

d fi

na

nci

al

sta

tem

en

ts

Th

es

e fi

na

nci

al

sta

tem

en

ts p

res

en

t th

e c

on

so

lid

ate

d

act

ivit

ies

of

Me

da

ir-a

ffili

ate

d o

ffice

s w

orl

dw

ide

. T

he

inte

rna

tio

na

l h

ea

dq

ua

rte

rs o

f M

ed

air

are

lo

cate

d i

n

Ecu

ble

ns

, S

wit

zerl

an

d.

Me

da

ir

Ch

em

in d

u C

ros

et

9

102

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cu

ble

ns

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itze

rla

nd

Five

affi

lia

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s a

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on

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wis

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un

da

tio

n a

re

con

soli

da

ted

into

th

ese

fin

an

cia

l sta

tem

en

ts. E

ach

affi

lia

te o

ffice

is a

n in

de

pe

nd

en

t e

nti

ty w

ith

a d

isti

nct

Bo

ard

of T

rust

ee

s, b

ut

ag

ree

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su

pp

ort

th

e w

ork

of

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da

ir w

orl

dw

ide

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da

ir In

vest

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n in

de

pe

nd

en

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iss

fou

nd

ati

on

th

at

pro

mo

tes

lon

g-t

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fin

an

cia

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de

velo

pm

en

t a

nd

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or

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e p

ow

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ove

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op

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g a

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inta

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h t

he

in

tern

ati

on

al

he

ad

qu

art

ers

in

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itze

rla

nd

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2.4

C

ha

ng

e i

n p

res

en

tati

on

In o

rde

r to

fa

cil

ita

te t

he

pre

se

nta

tio

n o

f th

e fi

na

nc

ial

sta

tem

en

ts,

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da

ir h

as

re

vie

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d,

reo

rga

nis

ed

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nd

up

da

ted

th

e n

ote

s t

o t

he

fin

an

cia

l s

tate

me

nts

.

2.5

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ea

tme

nt

of

inte

r-co

mp

an

y t

ran

sa

cti

on

s

All

inte

r-co

mp

an

y tr

an

sact

ion

s h

ave

be

en

eli

min

ate

d

fro

m t

he

se

fin

an

cia

l s

tate

me

nts

. In

ter-

com

pa

ny

tra

ns

act

ion

s c

on

sis

t o

f d

on

or

gra

nts

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str

icte

d

an

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str

icte

d d

on

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on

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ou

nts

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ceiv

ab

le,

an

d a

cco

un

ts p

ay

ab

le.

Hu

ma

nit

ari

an

gra

nts

fro

m

go

ve

rnm

en

tal

do

no

rs h

av

e b

ee

n s

ign

ed

by

Me

da

ir

U.K

. a

nd

th

en

tra

ns

ferr

ed

to

Me

da

ir (

Sw

itze

rla

nd

) fo

r

imp

lem

en

tati

on

. Th

es

e g

ran

ts h

ave

be

en

re

mo

ved

fro

m

the

re

ven

ue

an

d a

cco

un

ts p

aya

ble

fig

ure

s o

f M

ed

air

U.K

.

2.6

Fo

reig

n c

urr

en

cy a

nd

fo

reig

n c

urr

en

cy t

ran

sla

tio

n

Me

da

ir (

Sw

itze

rla

nd

) m

ain

tain

s it

s a

cco

un

ts in

U.S

.

do

lla

rs.

Eu

rop

ea

n n

ati

on

al o

ffice

s re

cord

th

eir

acc

ou

nts

in lo

cal c

urr

en

cy.

In a

dd

itio

n,

Me

da

ir U

.K.

ma

inta

ins

a fi

na

nci

al l

ed

ge

r in

eu

ros

to a

cco

un

t fo

r d

on

or

gra

nt

act

ivit

y fr

om

th

e E

uro

pe

an

Co

mm

issi

on

. A

ll a

ffili

ate

offi

ce

acc

ou

nts

ha

ve b

ee

n c

on

vert

ed

into

U.S

. d

oll

ars

at

the

ave

rag

e a

nn

ua

l ra

tes

for

the

inco

me

sta

tem

en

t a

nd

at

the

clo

sin

g r

ate

s fo

r th

e p

res

en

tati

on

of

the

ba

lan

ce s

he

et.

20

102

00

9

Clo

sin

g e

xch

an

ge

ra

te1.

06

910

0.9

63

60

Ave

rag

e e

xch

an

ge

ra

te

0.9

617

00

.92

36

2

Clo

sin

g e

xch

an

ge

ra

te1.

33

42

01.

43

33

0

Ave

rag

e e

xch

an

ge

ra

te

1.3

27

60

1.3

94

63

Clo

sin

g e

xch

an

ge

ra

te1.

55

04

01.

59

28

0

Ave

rag

e e

xch

an

ge

ra

te1.

54

62

01.

56

59

3

Tra

nsa

ctio

ns

th

at

occ

ur

in l

oca

l cu

rre

nci

es

on

th

e fi

eld

are

co

nve

rte

d i

nto

ou

r b

as

e c

urr

en

cy u

sin

g t

he

te

mp

ora

l

me

tho

d,

as

if

the

y h

ad

occ

urr

ed

in

U.S

. d

oll

ars

.

2.7

Tr

ea

tme

nt

of

ex

cha

ng

e g

ain

s a

nd

lo

ss

es

Me

da

ir u

se

s th

e c

urr

en

t ra

te m

eth

od

of

rep

ort

ing

curr

en

cy t

ran

sla

tio

ns

. C

urr

en

cy t

ran

sla

tio

ns

tha

t a

ris

e

fro

m b

rin

gin

g a

ffili

ate

offi

ce o

r th

e f

ou

nd

ati

on

acc

ou

nts

in lo

cal c

urr

en

cy in

to U

.S.

do

lla

r b

as

e c

urr

en

cy a

re t

ak

en

to t

he

ba

lan

ce s

he

et

as

eit

he

r re

str

icte

d o

r u

nre

str

icte

d

cap

ita

l. T

his

fu

nd

is t

he

cu

mu

lati

ve c

urr

en

cy t

ran

sla

tio

n

ad

jus

tme

nt.

Un

rea

lis

ed

ga

ins

an

d lo

sse

s,

incl

ud

ing

th

e

reva

lua

tio

n o

f b

ala

nce

sh

ee

t it

em

s,

are

re

po

rte

d o

n t

he

inco

me

sta

tem

en

t in

acc

ord

an

ce w

ith

RP

C 2

. A

ll r

ea

lis

ed

exc

ha

ng

e g

ain

s a

nd

loss

es

fro

m o

pe

rati

ng

act

ivit

ies

are

rep

ort

ed

on

th

e in

com

e s

tate

me

nt.

Exc

ha

ng

e d

iffe

ren

ces

on

inte

r-co

mp

an

y tr

an

sact

ion

s h

ave

be

en

re

cord

ed

to

th

e

inco

me

sta

tem

en

t a

s re

ali

se

d g

ain

s a

nd

loss

es

to e

ith

er

rest

rict

ed

or

un

rest

rict

ed

inco

me

, d

ep

en

din

g o

n t

he

so

urc

e a

t th

e a

ffili

ate

offi

ce.

2.8

Fi

xe

d a

ss

ets

Fix

ed

as

se

ts a

re M

ed

air

ca

pit

al

as

se

ts i

n u

se

at

the

inte

rna

tio

na

l h

ea

dq

ua

rte

rs i

n S

wit

zerl

an

d o

r in

th

e

pe

rfo

rma

nce

of

its

hu

ma

nit

ari

an

ac

tivi

tie

s.

All

ca

pit

al

as

se

ts a

t fi

eld

lo

cati

on

s a

re c

on

sid

ere

d r

es

tric

ted

.

Th

es

e a

ss

ets

are

in

clu

de

d i

n t

he

ba

lan

ce s

he

et

an

d

reco

rde

d a

t co

st

of

acq

uis

itio

n.

2.9

D

ep

reci

ati

on

De

pre

cia

tio

n is

ca

lcu

late

d o

n a

str

aig

ht-

lin

e b

asi

s o

ver

the

exp

ect

ed

us

efu

l liv

es

of

the

ca

pit

al a

sse

t ca

teg

ory

.

De

pre

cia

tio

n c

ha

rge

s b

eg

in in

th

e m

on

th a

fte

r p

urc

ha

se

.

Offi

ce e

qu

ipm

en

t3

ye

ars

Co

mp

ute

r e

qu

ipm

en

t3

ye

ars

So

ftw

are

3 y

ea

rs

Co

mm

un

ica

tio

n e

qu

ipm

en

t3

ye

ars

En

erg

y e

qu

ipm

en

t3

ye

ars

Ve

hic

les

3 y

ea

rs

5 y

ea

rs

Furn

itu

re &

fix

ture

s (

HQ

)5

ye

ars

Th

e v

alu

e o

f ca

pit

al

as

se

ts i

s a

ss

es

se

d a

t cl

os

ing

.

If t

he

re i

s a

n i

nd

ica

tio

n o

f im

pa

irm

en

t w

he

re t

he

rem

ain

ing

va

lue

of

the

ca

pit

al

as

se

t is

le

ss

th

an

its

sta

ted

bo

ok

va

lue

, a

n i

mp

air

me

nt

los

s i

s r

eco

gn

ise

d

imm

ed

iate

ly i

n t

he

in

com

e s

tate

me

nt.

2.1

0

Oth

er

curr

en

t a

ss

ets

Inve

nto

ry c

on

sis

ts o

f m

ate

ria

l a

nd

su

pp

lie

s l

oca

ted

in

Sw

itze

rla

nd

an

d u

se

d i

n fi

eld

pro

gra

mm

es

. S

tock

is

reco

rde

d t

o i

nve

nto

ry w

he

n p

urc

ha

se

d a

nd

is

va

lue

d a

t

pu

rch

as

e c

os

t. T

he

FIF

O m

eth

od

is

ap

pli

ed

to

ex

pe

nd

ed

ite

ms

. In

ven

tory

ite

ms

are

us

ed

exc

lus

ive

ly f

or

fie

ld

pro

gra

mm

es

an

d a

re n

ot

for

com

me

rcia

l re

sale

.

Pre

pa

id e

xp

en

se

s c

on

sis

t o

f re

nt

pa

ym

en

ts i

n

ad

va

nce

on

th

e fi

eld

, fl

igh

t p

ay

me

nts

in

ad

va

nce

on

the

fie

ld,

occ

up

ati

on

al

pe

ns

ion

pre

miu

ms

, in

su

ran

ce

pre

miu

ms

ag

ain

st

da

ta l

os

s,

the

ft,

acc

ide

nts

, a

nd

sa

lary

in

ca

se

of

illn

es

s.

2.1

1 Fi

na

nci

al

as

se

ts

The

se

as

se

ts c

on

sis

t o

f b

lock

ed

de

po

sit

acc

ou

nts

an

d c

ap

ita

l d

ep

os

its

in

th

e M

ed

air

Sta

ff A

ss

ista

nce

Fou

nd

ati

on

(M

SA

F).

Th

ere

is

no

re

po

rte

d r

eve

nu

e f

rom

this

fo

un

da

tio

n.

2.1

2

Sh

ort

-te

rm d

eb

t

Sh

ort

-te

rm d

eb

t is

th

e a

mo

un

t o

f b

orr

ow

ed

ca

sh

fro

m

the

ca

sh

-flo

w l

oa

n f

aci

lity

no

t re

pa

id t

o t

he

le

nd

er.

As

of

ye

ar-

en

d,

the

am

ou

nt

wa

s f

ull

y p

aid

off

.

2.1

3

Acc

rue

d l

iab

ilit

ies

Th

is i

tem

co

ns

ists

of

ob

lig

ati

on

s f

or

sta

tuto

ry,

con

so

lid

ate

d,

an

d d

on

or

au

dit

s,

plu

s a

ny

tra

ilin

g

Page 31: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

60

ME

DA

IR

Co

ns

oli

da

ted

20

10 A

nn

ua

l Fi

na

nci

al

Sta

tem

en

ts6

1

fie

ld g

ran

t e

xp

en

se

s f

or

wh

ich

in

voic

es

ha

d n

ot

be

en

rece

ive

d b

y y

ea

r-e

nd

.

2.1

4

Pe

ns

ion

pla

n o

bli

ga

tio

ns

Me

da

ir’s

em

plo

ye

es

in

Sw

itze

rla

nd

are

in

su

red

ag

ain

st

the

eco

no

mic

co

ns

eq

ue

nce

s o

f o

ld a

ge

, in

vali

dit

y, a

nd

the

de

fin

ed

co

ntr

ibu

tio

n p

lan

co

ve

red

by

th

e c

oll

ect

ive

fou

nd

ati

on

, th

e e

mp

loy

ee

s a

nd

th

e e

mp

loy

er

pa

y

de

term

ine

d c

on

trib

uti

on

s.

Wit

h t

his

pla

n,

ne

t re

turn

s

on

pla

n a

ss

ets

do

no

t in

flu

en

ce c

on

trib

uti

on

s a

nd

th

e

fin

al

pro

vis

ion

is

no

t g

ua

ran

tee

d.

Ris

ks

are

su

pp

ort

ed

by

th

e c

oll

ect

ive

fo

un

da

tio

n.

2.1

5

Re

ve

nu

e r

eco

gn

itio

n

Co

ntr

act

re

ve

nu

e i

s p

res

en

ted

as

co

ns

tru

ctiv

ely

ea

rne

d a

cco

rdin

g t

o t

he

pe

rce

nt

of

com

ple

tio

n m

eth

od

(PO

CM

). T

he

po

rtio

n o

f a

co

ntr

ac

t co

ns

tru

cti

ve

ly

ea

rne

d i

s d

ete

rmin

ed

by

ca

lcu

lati

ng

act

ua

l co

ntr

act

ex

pe

ns

e t

o t

he

to

tal

con

tra

ct b

ud

ge

t fo

r e

ach

do

no

r

con

tra

ct.

It i

s r

eco

gn

ise

d a

s r

ev

en

ue

in

re

sp

ect

of

the

ye

ar

wh

en

th

e fi

na

nci

al

ex

pe

ns

es

are

in

curr

ed

, in

ord

er

to c

om

ply

wit

h t

he

pri

nci

ple

of

corr

es

po

nd

en

ce

be

twe

en

ex

pe

nd

itu

re a

nd

in

com

e.

Un

ea

rne

d c

on

tra

ct

rev

en

ue

or

de

ferr

ed

co

ntr

act

re

ve

nu

e i

s p

res

en

ted

on

the

ba

lan

ce s

he

et

as

a p

ay

ab

le t

o t

he

do

no

r o

n t

he

clo

sin

g d

ate

of

the

fin

an

cia

l s

tate

me

nts

, in

as

mu

ch

as

th

ere

are

co

ntr

act

ua

l p

rov

isio

ns

th

at

sp

eci

fy t

he

po

ss

ibil

ity

of

retu

rnin

g t

his

as

se

t to

th

e d

on

or.

Th

ere

are

no

ma

teri

al

cos

t o

ve

rru

ns

on

co

ntr

act

bu

dg

ets

at

ye

ar-

en

d.

Pri

vate

do

na

tio

ns

are

re

cord

ed

as

re

ve

nu

e

wh

en

re

ceiv

ed

an

d s

pli

t in

to r

es

tric

ted

or

un

res

tric

ted

fun

ds

acc

ord

ing

to

do

no

r d

es

ign

ati

on

s.

Ple

dg

es

are

no

t tr

ea

ted

as

re

ve

nu

e.

2.1

6

Gif

ts-i

n-k

ind

(G

IK)

GIK

are

an

in

teg

ral

pa

rt o

f M

ed

air

’s h

um

an

ita

ria

n

pro

gra

mm

e.

As

of

20

08

, n

o d

isti

nc

tio

n i

s m

ad

e

be

twe

en

GIK

th

at

are

pro

vid

ed

th

rou

gh

do

no

r

con

tra

cts

or

no

n-c

on

tra

ctu

al

do

na

tio

ns

fo

r d

istr

ibu

tio

n

to b

en

efi

cia

rie

s o

f o

ur

pro

ject

s.

Me

da

ir i

s f

ull

y

res

po

ns

ible

fo

r th

e r

ece

ipt,

sto

rag

e,

tra

ns

po

rta

tio

n,

acc

ou

nti

ng

, a

nd

dis

trib

uti

on

of

the

se

ma

teri

als

. G

IK

rece

ive

d a

re r

eco

rde

d a

s i

nco

me

an

d e

xp

en

se

in

ou

r

acc

ou

nts

. T

he

co

ntr

ibu

tio

ns

are

va

lue

d o

n t

he

ba

sis

of

the

do

na

tio

n c

ert

ifica

te o

r th

e c

on

tra

ct

wit

h t

he

do

no

r.

2.1

7

Pro

gra

mm

e e

xp

en

dit

ure

s

Ex

pe

nd

itu

res

on

go

od

s a

nd

ma

teri

al

rela

ted

to

pro

gra

mm

es

are

re

cord

ed

wh

en

th

e c

os

ts a

re

incu

rre

d.

As

a r

es

ult

, th

e i

nv

en

tori

es

sta

ted

on

th

e

ba

lan

ce s

he

et

do

no

t in

clu

de

go

od

s a

nd

ma

teri

als

acq

uir

ed

fo

r th

e p

roje

cts

bu

t s

till

no

t u

se

d a

t y

ea

r-e

nd

.

2.1

8 R

es

tric

ted

fu

nd

s

Re

str

icte

d f

un

ds

co

ns

ist

of

res

tric

ted

in

com

e f

un

ds

an

d

res

tric

ted

pro

gra

mm

e f

un

ds

. Th

ey

are

us

ed

acc

ord

ing

to t

he

de

sig

na

tio

n o

f th

e d

on

or.

In

th

e u

nli

ke

ly e

ven

t

tha

t th

e B

oa

rd o

f Tr

us

tee

s n

ee

ds

to

re

dir

ect

th

e f

un

ds

or

cha

ng

e t

he

pu

rpo

se

of

a r

es

tric

ted

fu

nd

, th

e p

rio

r

ap

pro

val

of

aff

ect

ed

do

no

rs w

ill

be

so

ug

ht.

Re

str

icte

d i

nco

me

fu

nd

s

Re

str

icte

d i

nco

me

fu

nd

s a

re s

oli

cite

d f

rom

pri

vate

do

no

rs f

or

a s

pe

cifi

c ca

us

e.

The

y a

re u

se

d t

o a

ug

me

nt

pro

gra

mm

e f

un

ds

in

ce

rta

in h

um

an

ita

ria

n o

pe

rati

on

s.

The

y m

ay

als

o b

e u

se

d f

or

org

an

isa

tio

na

l ca

pa

city

bu

ild

ing

, s

uch

as

tra

inin

g c

ou

rse

s,

rele

van

t m

ate

ria

ls,

con

du

ctin

g s

taff

wo

rks

ho

ps

, e

tc.

All

oca

tio

n o

f th

es

e

fun

ds

to

sp

eci

fic

pro

gra

mm

es

is

at

the

dis

cre

tio

n o

f th

e

Re

str

icte

d p

rog

ram

me

fu

nd

s

Pro

gra

mm

e f

un

ds

are

th

e c

urr

en

t li

ab

ilit

ies

for

un

fin

ish

ed

hu

ma

nit

ari

an

pro

gra

mm

es

at

yea

r-e

nd

. Th

ey

con

sist

of

un

spe

nt

loca

l gra

nts

an

d p

riva

te d

on

ati

on

s

giv

en

in s

up

po

rt o

f a

sp

eci

fic

hu

ma

nit

ari

an

op

era

tio

n.

A r

es

tric

ted

pro

gra

mm

e f

un

d is

ma

inta

ine

d f

or

ea

ch

cou

ntr

y in

wh

ich

Me

da

ir o

pe

rate

s.

Afr

ica

fu

nd

Re

str

icte

d t

o p

rog

ram

me

act

ivit

y i

n

Afr

ica

. T

his

fu

nd

re

ceiv

es

an

an

nu

al

blo

ck g

ran

t fr

om

th

e S

wis

s g

ov

ern

me

nt,

a

nd

is

re

all

oca

ted

to

co

un

try

-re

str

icte

d

pro

gra

mm

e f

un

ds

.

Em

erg

en

cy r

es

po

ns

e

Faci

lita

tes

im

me

dia

te i

nte

rve

nti

on

in

th

e

ev

en

t o

f a

ne

w o

r d

ev

elo

pin

g h

um

an

ita

ria

n

em

erg

en

cy.

Forg

ott

en

vic

tim

s

Re

str

icte

d t

o p

rog

ram

me

s t

ha

t w

ork

wit

h

vu

lne

rab

le o

r d

isp

lace

d p

ers

on

s.

Me

dic

al

fun

dR

es

tric

ted

to

pro

gra

mm

es

wit

h m

ed

ica

l o

r h

ea

lth

-pro

mo

tio

n a

cti

viti

es

.

Oa

k f

un

dR

es

tric

ted

to

ca

pa

city

im

pro

ve

me

nts

at

the

h

ea

dq

ua

rte

rs.

Me

da

ir G

erm

an

y

fun

dR

es

tric

ted

to

fie

ld p

rog

ram

me

s.

Wa

ter

fun

dR

es

tric

ted

to

pro

gra

mm

es

re

late

d d

ire

ctly

to

wa

ter

an

d s

an

ita

tio

n a

ctiv

itie

s.

Sta

ff c

are

ca

pit

al

fun

dT

he

in

tere

st

ea

rne

d f

rom

th

is f

un

d

wil

l b

e a

llo

cate

d t

o t

he

sta

ff c

are

an

d

de

ve

lop

me

nt

fun

d.

Th

is i

s a

Me

da

ir I

nv

es

t-In

-Aid

fu

nd

.

Sta

ff c

are

d

ev

elo

pm

en

t fu

nd

Th

is f

un

d f

aci

lita

tes

in

div

idu

al

Me

da

ir s

taff

ca

re f

or

sp

eci

al

ne

ed

s a

nd

tra

inin

g.

Th

is i

s

a M

ed

air

In

ve

st-

In-A

id f

un

d.

Ca

pa

city

m

an

ag

em

en

t fu

nd

Th

is f

un

d f

aci

lita

tes

th

e r

un

nin

g o

f th

e

Me

da

ir I

nv

es

t-In

-Aid

fo

un

da

tio

n.

An

niv

ers

ary

fu

nd

Re

str

icte

d t

o e

xp

en

se

s f

or

the

2

0th

an

niv

ers

ary

of

Me

da

ir i

n 2

00

9.

Pri

vate

act

ivit

yFu

nd

s r

ais

ed

by

ex

pa

tria

te s

taff

me

mb

ers

fo

r s

pe

cia

l p

roje

cts

.

2.1

9

Un

res

tric

ted

fu

nd

s

The

se

fu

nd

s a

re t

he

ge

ne

ral

res

erv

es

of

Me

da

ir.

The

y

con

sis

t o

f u

nre

str

icte

d c

ap

ita

l a

nd

all

oca

ted

fu

nd

s t

ha

t

faci

lita

te o

pe

rati

on

al

ma

na

ge

me

nt.

Us

e o

f th

es

e f

un

ds

Un

res

tric

ted

ca

pit

al

Un

de

sig

na

ted

fu

nd

sP

riva

te d

on

ati

on

s t

ha

t a

re n

ot

de

sig

na

ted

to

a s

pe

cifi

c p

rog

ram

me

or

cau

se

by

th

e d

on

or.

Cu

mu

lati

ve

cu

rre

ncy

Th

e a

ccu

mu

late

d e

ffe

ct o

f u

nre

ali

se

d

curr

en

cy t

ran

sla

tio

ns

.

All

oc

ate

d c

ap

ita

l

Ad

min

istr

ati

ve

fu

nd

Us

ed

fo

r th

e g

en

era

l a

dm

inis

tra

tiv

e

cos

ts o

f th

e o

rga

nis

ati

on

.

Ca

pit

al

eq

uip

me

nt

fun

dU

se

d f

or

the

pu

rch

as

e o

f M

ed

air

-ow

ne

d

as

se

ts.

Se

e N

ote

16

.

Op

era

tio

ns

fu

nd

Us

ed

to

su

pp

ort

th

e c

as

h-fl

ow

re

qu

ire

me

nts

of

fie

ld p

rog

ram

me

s.

Tra

inin

g f

un

dFo

r th

e p

rofe

ss

ion

al

de

ve

lop

me

nt

of

Me

da

ir p

ers

on

ne

l.

2.2

0

Re

late

d p

art

ies

Me

da

ir S

taff

Ass

ista

nce

Fo

un

da

tio

n (M

SA

F) is

an

ind

ep

en

de

nt

Sw

iss

fou

nd

ati

on

th

at

ass

ists

exp

atr

iate

sta

ff

wit

h m

ed

ica

l exp

en

ses,

he

alt

h in

sura

nce

, an

d r

ep

atr

iati

on

on

be

ha

lf o

f Me

da

ir. T

he

fin

an

cia

l acc

ou

nts

of t

his

fou

nd

ati

on

are

no

t in

clu

de

d in

th

ese

co

nso

lid

ate

d a

cco

un

ts,

as

the

ne

t im

pa

ct o

n t

he

fin

an

cia

l sta

tem

en

ts is

imm

ate

ria

l.

Co

pie

s o

f th

e 2

010

Sw

iss

sta

tuto

ry a

nn

ua

l re

po

rt a

nd

the

20

10 c

on

so

lid

ate

d a

nn

ua

l re

po

rt a

re a

vail

ab

le

up

on

wri

tte

n r

eq

ue

st

to t

he

Me

da

ir h

ea

dq

ua

rte

rs a

t

Ch

em

in d

u C

ros

et

9,

102

4 E

cub

len

s,

Sw

itze

rla

nd

.

3.

Tax

ex

em

pti

on

Me

da

ir i

s e

xe

mp

t fr

om

Sw

iss

in

com

e t

ax

an

d c

ap

ita

l

tax

acc

ord

ing

to

a d

eci

sio

n f

rom

th

e D

ep

art

me

nt

of

Fin

an

ce,

Ca

nto

n o

f V

au

d,

da

ted

19

Ma

rch

19

92

.

4.

Ma

na

ge

me

nt

of

fin

an

cia

l ri

sk

s

Ris

ks

are

pe

rio

dic

all

y a

na

lyse

d o

n a

n o

rga

nis

ati

on

-wid

e

to a

re

po

rt t

ha

t is

su

bm

itte

d t

o t

he

Bo

ard

of T

rust

ee

s a

ud

it

an

d c

om

pli

an

ce c

om

mit

tee

. In

te

rms

of

the

fin

an

cia

l ris

ks,

att

en

tio

n s

ho

uld

be

ad

dre

sse

d t

o t

he

fo

llo

win

g it

em

s:

4.1

Fo

reig

n e

xch

an

ge

ris

k

Me

da

ir is

exp

ose

d t

o e

xch

an

ge

-ra

te fl

uct

ua

tio

ns

, in

so

far

as

a s

ign

ifica

nt

po

rtio

n o

f it

s in

com

e a

nd

exp

en

se

s a

re

in f

ore

ign

cu

rre

ncy

or

no

n-U

SD

. M

ed

air

ha

s n

o a

ctiv

e

fore

ign

exc

ha

ng

e r

isk

he

dg

ing

po

licy

an

d t

en

ds

to

con

vert

cu

rre

nci

es

as

an

d w

he

n t

he

y a

re r

eq

uir

ed

. Th

e

rese

rve

s a

re k

ep

t m

ain

ly in

US

D,

eu

ros

, a

nd

Sw

iss

fra

ncs

.

4.2

B

an

kin

g r

isk

Me

da

ir t

en

ds

to

avo

id c

on

cen

tra

tin

g t

his

ris

k,

by

wo

rkin

g w

ith

bo

th a

ba

nk

in

Sw

itze

rla

nd

an

d P

os

t

Fin

an

ce.

In t

he

fie

ld,

Me

da

ir w

ork

s w

ith

ap

pro

xim

ate

ly

25

in

tern

ati

on

al

an

d l

oca

l b

an

ks

; th

e p

oli

cy

on

th

e

fie

ld i

s t

o l

imit

th

e v

olu

me

of

ba

nk

de

po

sit

s t

o t

he

le

ve

l

str

ictl

y r

eq

uir

ed

fo

r im

me

dia

te o

pe

rati

on

al

ne

ed

s.

4.3

C

ou

nte

rpa

rty

ris

k

Th

e c

ou

nte

rpa

rty

ris

k i

s l

imit

ed

, in

so

far

as

go

vern

me

nts

or

go

vern

me

nta

l a

ge

nci

es

is

su

e m

os

t o

f th

e r

ece

iva

ble

s

for

am

ou

nts

ow

ed

by

thir

d p

art

ies

. O

the

r a

ss

et

po

sit

ion

s c

on

cern

th

e r

ela

ted

pa

rtie

s o

f th

e M

ed

air

gro

up

of

org

an

isa

tio

ns

an

d a

re n

ot

sig

nifi

can

t.

4.4

Me

da

ir’s

po

licy

is

to

en

su

re a

su

ffici

en

t le

vel

of

liq

uid

ity

for

its

op

era

tio

ns

at

all

tim

es

; co

ns

eq

ue

ntl

y fu

nd

s a

re

ke

pt

in l

iqu

id f

orm

. In

ord

er

to f

urt

he

r m

itig

ate

th

is r

isk

in t

he

sh

ort

-te

rm,

Me

da

ir c

on

tra

cte

d a

ca

sh

-flo

w l

oa

n

faci

lity

in

20

08

. Th

e a

vail

ab

le l

oa

n f

aci

lity

is

cu

rre

ntl

y

CH

F 3

,00

0,0

00

. Th

e i

nte

res

t ra

te o

n t

his

lo

an

is

3%

pe

r

an

nu

m.

The

re i

s n

o m

atu

rity

da

te o

n t

he

lo

an

. M

ed

air

als

o h

as

a s

eco

nd

ca

sh

-flo

w l

oa

n f

aci

lity

wit

h a

se

con

d

cre

dit

or.

Th

e a

mo

un

t a

vail

ab

le o

n t

his

se

con

d f

aci

lity

is

CH

F 1,

00

0,0

00

. Th

e i

nte

res

t ra

te i

s 4

.25

%.

5.

De

tail

on

ba

lan

ce s

he

et

acc

ou

nts

5.1

C

as

h a

nd

ca

sh

eq

uiv

ale

nts

Ca

sh

acc

ou

nts

co

ns

ist

pri

ma

rily

of

curr

en

cy a

cco

un

ts

in fi

eld

lo

cati

on

s.

Ba

nk

acc

ou

nts

in

clu

de

acc

ou

nts

at

fie

ld l

oca

tio

ns

, h

ea

dq

ua

rte

rs,

an

d t

he

affi

lia

te o

ffice

s.

US

D2

010

20

09

Fie

ld3

,113

,10

61,

84

7,0

26

HQ

3,8

70

,918

2,2

66

,716

Affi

lia

tes

82

5,6

50

1,15

0,4

46

7,8

09

,67

45

,26

4,1

88

5.2

R

ece

iva

ble

s

Re

ceiv

ab

les

con

sist

of

do

no

r g

ran

ts,

ge

ne

ral r

ece

iva

ble

s,

an

d M

ed

air

de

bto

rs.

Do

no

r re

ceiv

ab

les

are

re

cord

ed

wh

en

gra

nt

con

tra

cts

are

sig

ne

d.

It is

re

as

on

ab

le t

o

exp

ect

th

at

Me

da

ir w

ill c

on

form

to

th

e s

tip

ula

tio

ns

of

the

gra

nt

con

tra

cts

, a

fte

r w

hic

h c

oll

ect

ion

is r

ea

so

na

bly

ass

ure

d.

Me

da

ir d

eb

tors

co

nsi

st o

f st

aff

re

ceiv

ab

les

an

d

the

Me

da

ir S

taff

Ass

ista

nce

Fo

un

da

tio

n (

MS

AF)

.

Re

ceiv

ab

les

(U

SD

)2

010

20

09

Go

ve

rnm

en

tal

do

no

rs15

,016

,79

19

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5

NG

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sti

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al

do

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ite

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on

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79

Page 32: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

62

ME

DA

IR

Co

ns

oli

da

ted

20

10 A

nn

ua

l Fi

na

nci

al

Sta

tem

en

ts6

3

5.3

Fi

xe

d a

ss

ets

5.4

D

efe

rre

d r

ev

en

ue

on

do

no

r co

ntr

act

s

The

fo

llo

win

g t

ab

le p

rese

nts

th

e d

efe

rra

l am

ou

nt

for

ea

ch c

ou

ntr

y p

rog

ram

me

. At

yea

r-e

nd

20

10, t

ota

l do

no

r

rece

iva

ble

s w

ere

US

D 2

0,4

71,

74

8 w

ith

a d

efe

rre

d r

eve

nu

e

am

ou

nt

of

US

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45

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. De

ferr

ed

re

ven

ue

is p

rese

nte

d

on

th

e b

ala

nce

sh

ee

t a

s a

pa

yab

le t

o t

he

do

no

r.

US

D2

010

20

09

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ha

nis

tan

-72

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tes

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A

cco

un

ts p

ay

ab

le a

nd

cu

rre

nt

po

rtio

n l

on

g-t

erm

de

bt

Acc

ou

nts

pa

ya

ble

co

ns

ist

of

ve

nd

or

pa

ya

ble

s,

sta

tuto

ry p

ay

ab

les

, a

nd

Me

da

ir s

taff

pa

ya

ble

s.

Pa

ya

ble

s o

f U

SD

63

,49

9 t

o t

he

Me

da

ir S

taff

As

sis

tan

ce F

ou

nd

ati

on

(M

SA

F) a

nd

US

D 3

0,1

08

to

Me

da

ir s

taff

are

in

clu

de

d i

n t

he

to

tal.

Th

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Page 34: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Ed

ito

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ief:

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rain

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me

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pu

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Page 35: Lives Changed, Life Transformed - medair.org · In a fleeting instant, everything c an change. Disasters strike without warning. Armed men can appear at the door in the ... has changed

Photos, front cover: A young child collects water from an unsafe water source in Kohistan district, Afghanistan. back cover:

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