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Lives Changed, Life TransformedAnnual Report 2010
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
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
ns
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
)
34
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
Au
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
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
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
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
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
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
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
“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
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
50
pe
op
le
rece
ive
d k
ala
-aza
r a
wa
ren
es
s m
es
sa
ge
s
2,3
02
pe
op
le w
ere
va
ccin
ate
d;
5,3
36
mo
sq
uit
o n
ets
dis
trib
ute
d
Re
ha
bil
ita
tio
n
66
,314
pe
op
le a
tte
nd
ed
Me
da
ir-s
up
po
rte
d h
ea
lth
fa
cili
tie
s
3,1
11 c
hil
dre
n a
nd
1,8
26
wo
me
n w
ere
va
ccin
ate
d
96
8 c
hil
dre
n t
rea
ted
fo
r a
cute
ma
lnu
trit
ion
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
itte
es
,
an
d 5
2 h
an
d-p
um
p m
ech
an
ics
tra
ine
d
Re
ha
bil
ita
tio
n
4 r
ain
wa
ter
coll
ect
ion
sy
ste
ms
in
sta
lle
d a
t h
ea
lth
fa
cili
tie
s
40
,00
0 U
pp
er
Nil
e r
es
ide
nts
be
ne
fit
fro
m o
ng
oin
g w
ork
to
re
ha
bil
ita
te
wa
ter
sy
ste
ms
3 s
cho
ols
re
ceiv
ed
2 l
atr
ine
blo
cks
ea
ch f
or
bo
ys
an
d g
irls
, p
lus
ha
nd
-w
as
hin
g p
oin
ts
50
0 p
up
ils
an
d t
ea
che
rs r
ece
ive
d h
yg
ien
e e
du
cati
on
; 5
0 h
yg
ien
e
pro
mo
ters
tra
ine
d
Sh
elt
er
an
d I
nfr
as
tru
ctu
re–
Em
erg
en
cy
Re
lie
f
13 in
ter-
ag
en
cy n
on
-fo
od
ite
m (
NFI
) a
sse
ssm
en
ts c
arr
ied
ou
t in
Up
pe
r N
ile
18 N
FI d
istr
ibu
tio
ns
do
ne
pro
vid
ing
6,5
87
NFI
kit
s t
o m
ore
th
an
3
2,0
00
pe
op
le
Re
ha
bil
ita
tio
n
3 p
rim
ary
he
alt
h c
are
fa
cili
tie
s c
on
str
uct
ed
or
reh
ab
ilit
ate
d
in M
an
yo
co
un
ty
Phot
os, l
eft:
As
un
ta A
wo
k,
ne
wly
re
turn
ed
to
th
e s
ou
th,
wit
h a
ll h
er
po
ss
es
sio
ns
.
abov
e: C
hil
dre
n p
art
icip
ate
en
thu
sia
sti
call
y i
n h
yg
ien
e
pro
mo
tio
n a
cti
viti
es
.
ME
DA
IR
An
nu
al
Re
po
rt 2
010
20
21
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;
3 je
tte
d w
ell
s co
nst
ruct
ed
, w
ith
ha
nd
p
um
ps
; 1
wa
ter
res
erv
oir
bu
ilt,
1 r
eh
ab
ilit
ate
d;
2 w
ate
r ya
rds
reh
ab
ilit
ate
d
155
co
mm
un
ity
me
mb
ers
tra
ine
d a
s w
ate
r u
se
r co
mm
itte
es
1,5
05
ho
us
eh
old
la
trin
es
bu
ilt
in 5
lo
cati
on
s;
4 c
lin
ic a
nd
4 s
cho
ol
latr
ine
s b
uil
t
10 c
om
mu
nit
ies
tra
ine
d o
n C
om
mu
nit
y A
pp
roa
che
s t
o T
ota
l S
an
ita
tio
n
114
ne
w h
yg
ien
e p
rom
oti
on
vo
lun
tee
rs t
rain
ed
; 8
7 r
ece
ive
d r
efr
es
he
r tr
ain
ing
; 7
ha
nd
wa
sh
ing
sta
tio
ns
co
ns
tru
cte
d
171,
00
0 b
en
efi
cia
rie
s r
ece
ive
d h
yg
ien
e p
rom
oti
on
me
ss
ag
es
;
131,
00
0 r
ece
ive
d s
oa
p
15 l
oca
tio
ns
co
nd
uct
ed
cle
an
-up
ca
mp
aig
ns
Sh
elt
er
an
d I
nfr
as
tru
ctu
re–
Re
ha
bil
ita
tio
n
2 a
nte
na
tal
care
bu
ild
ing
s r
eh
ab
ilit
ate
d;5
cli
nic
s r
eh
ab
ilit
ate
d;
4
re
pro
du
ctiv
e h
ea
lth
ro
om
s r
eh
ab
ilit
ate
d a
nd
3 n
ew
ro
om
s b
uil
t
Phot
os, l
eft:
Wo
me
n v
isit
ne
w c
lea
n w
ate
r p
oin
ts w
ith
th
eir
ch
ild
ren
.
belo
w: W
om
en
ga
the
r to
ce
leb
rate
Wo
rld
Bre
as
tfe
ed
ing
Da
y i
n B
eid
a.
ME
DA
IR
An
nu
al
Re
po
rt 2
010
22
23
BOTS
WANAZA
MBIA
SOUT
H AF
RICA
MOZA
MBIQ
UE
Zimba
bweHa
rare
Maro
nder
a
0 050
100
mi
5010
0 km
Zam
bezi
Gokw
e
Zim
ba
bw
eIn
20
08
– 2
00
9,
a d
ea
dly
ch
ole
ra o
utb
rea
k s
tru
ck Z
imb
ab
we
an
d k
ille
d m
ore
th
an
4,0
00
pe
op
le.
No
w t
ha
t th
e e
me
rge
ncy
sit
ua
tio
n h
as
sta
bil
ise
d,
com
mu
nit
ies
in
urb
an
an
d r
ura
l Z
imb
ab
we
urg
en
tly
ne
ed
to
im
pro
ve
th
eir
wa
ter
an
d s
an
ita
tio
n s
ys
tem
s,
or
els
e r
un
th
e r
isk
of
futu
re
dis
ea
se
ou
tbre
ak
s.
Pro
gra
mm
e H
igh
lig
hts
Tota
l b
en
efi
cia
rie
s i
n 2
010
120
,00
0
Me
da
ir p
ers
on
ne
l4
in
tern
ati
on
all
y r
ecr
uit
ed
sta
ff
5 n
ati
on
all
y r
ecr
uit
ed
sta
ff
WA
SH
–R
eh
ab
ilit
ati
on
3 c
lea
r w
ell
pu
mp
s r
ep
lace
d;
1 b
oo
ste
r p
um
p r
ep
lace
d;
1 s
um
p-p
um
p i
ns
tall
ed
4 s
tart
ers
in
sta
lle
d f
or
pu
mp
s
2 i
so
lati
ng
va
lve
s a
nd
2 n
on
-re
turn
va
lve
s r
ep
lace
d
1 e
lect
rica
l b
oa
rd r
ep
lace
d a
t ch
em
ica
l d
os
ing
ho
us
e
1 p
re-c
hlo
rin
ati
on
sys
tem
in
sta
lle
d;
1 p
os
t-ch
lori
na
tio
n s
yste
m r
ep
lace
d
3 e
lect
rom
ag
ne
tic
flo
w m
ete
rs i
ns
tall
ed
; 5
ex
tra
ult
ras
on
ic fl
ow
me
ters
ins
tall
ed
at
wa
ter
tre
atm
en
t w
ork
s
1 fl
ow
co
ntr
ol
valv
e i
ns
tall
ed
2 b
uil
din
gs
re
ceiv
ed
ne
w l
igh
tin
g
1,16
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
th
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
“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
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
hé
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
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
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
/ha
iti
Pro
gra
mm
e H
igh
lig
hts
Tota
l b
en
efi
cia
rie
s i
n 2
010
12,2
77
Me
da
ir p
ers
on
ne
l12
in
tern
ati
on
all
y r
ecr
uit
ed
sta
ff
84
na
tio
na
lly
re
cru
ite
d s
taff
Sh
elt
er
an
d I
nfr
as
tru
ctu
re–
Em
erg
en
cy
Re
lie
f
56
1 e
me
rge
nc
y s
he
lte
rs (
WW
S)
ere
cte
d
1,1
81
tra
ns
itio
na
l s
he
lte
rs (
ES
K)
bu
ilt;
2 E
SK
s c
on
ve
rte
d t
o
pe
rma
ne
nt
ho
me
s
120
da
ma
ge
d h
om
es
re
pa
ire
d
1,0
93
re
sid
en
ts r
ece
ive
d t
em
po
rary
em
plo
ym
en
t th
rou
gh
cas
h-f
or-
wo
rk p
rog
ram
me
12 t
en
ts p
rovi
de
d f
or
em
erg
en
cy c
ho
lera
tre
atm
en
t ce
ntr
e
180
kit
s o
f e
ss
en
tia
l n
on
-fo
od
ite
ms
(N
FIs
) d
istr
ibu
ted
Phot
os, l
eft:
Ha
itia
n w
om
an
sta
nd
s b
es
ide
th
e r
uin
s o
f h
er
ho
us
e.
be
low
: Ch
ild
ren
in
Gid
eo
n’s
fa
mil
y l
oo
k o
ut
the
do
orw
ay
of
the
ir
ne
w s
he
lte
r.
ME
DA
IR
An
nu
al
Re
po
rt 2
010
32
33
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
en
cy s
up
pli
es
, a
nd
th
en
pro
vid
ed
aid
to
se
ve
ral
oth
er
vill
ag
es
hit
by
se
as
on
al
flo
od
ing
an
d l
an
ds
lid
es
.
red
uc
tio
n (
DR
R)
wo
rks
ho
ps
wit
h l
oca
l le
ad
ers
an
d l
ed
cla
ss
roo
m p
res
en
tati
on
s i
n s
cho
ols
, p
rov
idin
g p
ract
ica
l
wa
ys
fo
r co
mm
un
itie
s t
o p
rep
are
fo
r fu
ture
dis
as
ters
.
Me
an
wh
ile
, in
Ba
my
an
’s W
ara
s d
istr
ict,
te
rrib
le fl
oo
ds
sw
ep
t th
rou
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
lan
d,
da
ma
ge
d c
riti
cal
irri
ga
tio
n
sy
ste
ms
, a
nd
bu
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
co
mp
lete
d a
n a
mb
itio
us
pro
ject
th
at
pro
vid
ed
cle
an
wa
ter
acc
es
s t
o m
ore
th
an
25
,00
0 p
eo
ple
in d
oze
ns
of
iso
late
d v
illa
ge
s.
Du
rin
g t
he
ye
ar,
ou
r W
AS
H
(wa
ter,
sa
nit
ati
on
, a
nd
hy
gie
ne
) te
am
als
o b
uil
t m
ore
th
an
70
0 c
om
mu
nit
y l
atr
ine
s a
nd
pro
vid
ed
hy
gie
ne
ed
uca
tio
n
to a
lmo
st
50
,00
0 p
eo
ple
. A
nd
in
Ju
ly,
we
be
ga
n a
ne
w
pro
ject
wh
ich
, a
mo
ng
its
17
,00
0 b
en
efi
cia
rie
s,
wil
l b
rin
g
sa
fe d
rin
kin
g w
ate
r to
Su
fi T
ay
eb
an
d 8
0 o
the
r fa
mil
ies
in
Qa
be
r-e
-sh
ah
id v
illa
ge
.
“T
he
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
.”
“W
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
an
d
clo
se
ly m
on
ito
rin
g t
he
m t
o e
ns
ure
th
eir
he
alt
h i
mp
rov
ed
,
refe
rrin
g t
he
m t
o t
he
he
alt
h c
en
tre
wh
en
ne
ces
sa
ry.
“W
he
n y
ou
bro
ug
ht
this
pro
gra
mm
e h
ere
, a
t fi
rst
pe
op
le
did
no
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
Ghaz
niAf
ghan
istan
Jalâl
âbâdYa
wan
Kabu
l
0 010
020
0 mi
100
200
km
Faiza
bad
Bami
an Behs
udWa
ras
In 2
010,
Med
air p
rovi
ded
aid
to c
hron
ical
ly p
oor f
amili
es li
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
he
alt
h c
are
, u
ncl
ea
n w
ate
r, a
nd
po
or
sa
nit
ati
on
. In
th
es
e r
eg
ion
s,
ge
ne
rati
on
s
ha
ve
liv
ed
in
ch
ron
ic p
ov
ert
y, f
org
ott
en
an
d i
n d
es
pe
rate
ne
ed
of
he
lp.
Lif
e-G
ivin
g W
ate
r
Fo
r m
ore
info
rma
tio
n a
bo
ut
Afg
ha
nis
tan
an
d M
ed
air
’s w
ork
the
re, p
lea
se
vis
it w
ww
.me
da
ir.o
rg/a
fgh
an
ista
n
Phot
os, l
eft:
Ag
ha
an
d d
au
gh
ter
Yas
am
an
re
ceiv
e f
oo
d a
nd
a h
yg
ien
e k
it.
ab
ove:
Ca
sh
-fo
r-w
ork
be
ne
fici
ary
he
lps
bu
ild
a r
oa
d w
hil
e e
arn
ing
an
in
com
e t
o b
uy
fo
od
fo
r h
is f
am
ily.
Pro
gra
mm
e H
igh
lig
hts
Tota
l b
en
efi
cia
rie
s i
n 2
010
89
,12
7
Me
da
ir p
ers
on
ne
l15
in
tern
ati
on
all
y r
ecr
uit
ed
sta
ff
85
na
tio
na
lly
re
cru
ite
d s
taff
He
alt
h a
nd
Nu
trit
ion
–R
eh
ab
ilit
ati
on
1,19
6 m
aln
ou
ris
he
d c
hil
dre
n t
rea
ted
; 1,
210
ma
lno
uri
sh
ed
w
om
en
tre
ate
d
1,6
60
pe
op
le r
ece
ive
d n
utr
itio
n e
du
cati
on
; 7
5 M
inis
try
of
Pu
bli
c H
ea
lth
a
nd
CH
Ws
re
ceiv
ed
nu
trit
ion
tra
inin
g
WA
SH
–R
eh
ab
ilit
ati
on
62
we
lls
du
g;
165
wa
ter
po
ints
co
ns
tru
cte
d
713
co
mm
un
ity
la
trin
es
bu
ilt;
39
7 b
ath
roo
ms
co
ns
tru
cte
d
133
hy
gie
ne
ed
uca
tors
tra
ine
d;
49
,82
6 p
eo
ple
re
ceiv
ed
h
yg
ien
e e
du
cati
on
185
wa
ter
com
mit
tee
s e
sta
bli
sh
ed
; 2
0 w
ate
r m
ech
an
ics
tra
ine
d
Sh
elt
er
an
d I
nfr
as
tru
ctu
re–
Em
erg
en
cy
Re
lie
f
1,3
09
be
ne
fici
ari
es
re
ceiv
ed
fo
od
an
d e
me
rge
nc
y n
on
-fo
od
ite
ms
(N
FI);
4
9 f
am
ilie
s r
ece
ive
d fi
na
nci
al
su
pp
ort
1,13
6 m
en
an
d w
om
en
to
ok
pa
rt i
n c
as
h-f
or-
wo
rk i
nit
iati
ve
s
137
te
nts
dis
trib
ute
d
Re
ha
bil
ita
tio
n
1,4
91
farm
ers
giv
en
se
ed
s,
too
ls,
an
d t
rain
ing
in
ve
ge
tab
le g
row
ing
28
kil
om
etr
es
of
roa
d c
on
str
uct
ed
or
rep
air
ed
50
,00
0 s
qu
are
me
tre
s o
f cr
op
-gro
win
g l
an
d r
es
tore
d
4,7
00
me
tre
s o
f ir
rig
ati
on
ca
na
ls r
ep
air
ed
; 2
6 i
rrig
ati
on
po
nd
s r
es
tore
d
1,0
19 m
etr
es
of
reta
inin
g w
all
co
ns
tru
cte
d;
32
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
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
oé
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
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
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
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
Ló
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
“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
hé
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
nit
ari
an
Aid
an
d C
ivil
Pro
tect
ion
“I v
isit
ed
a lo
t o
f p
roje
cts
of
dis
as
ter
ris
k r
ed
uct
ion
fro
m a
ll t
he
pa
rtn
ers
… b
ut
I
mu
st
ad
mit
th
at
I wa
s r
ea
lly
imp
res
se
d b
y th
e q
ua
lity
of
Me
da
ir’s
wo
rk. I
als
o f
ou
nd
tha
t th
eir
vis
ibil
ity
in t
he
fie
ld w
as
exc
ell
en
t!”
Sy
lvie
Ra
zafi
nd
rab
e,
Co
mm
un
ica
tio
n M
an
ag
er
for
ICP
M,
Co
ord
ina
tio
n P
latf
orm
fo
r N
GO
s
in M
ad
ag
as
car
Phot
os, a
bove
: A f
arm
er
(le
ft)
in t
he
vil
lag
e o
f K
oh
es
tan
sh
ow
s h
is v
eg
eta
ble
ga
rde
n p
lot
to A
bd
ul
Sa
tta
r S
afi
.
belo
w: M
ed
air
sta
ff i
nte
rvie
w a
yo
un
g p
art
icip
an
t in
a p
up
pe
t s
ho
w o
utr
ea
ch,
on
e o
f m
an
y d
isa
ste
r ri
sk
re
du
cti
on
ac
tiv
itie
s i
n M
ad
ag
as
car.
ri
ght:
Jay
Na
sh
, v
isit
ing
th
e D
ele
he
alt
h c
en
tre
in
Itu
ri d
istr
ict
wit
h M
ed
air
sta
ff.
ME
DA
IR
An
nu
al
Re
po
rt 2
010
44
45
Acc
red
ita
tio
ns
an
d A
ffili
ati
on
s
Solid
arité
Urg
ence
Dév
elop
pem
ent
ISO
90
01:
20
08
ce
rtifi
ca
tio
n,
Wor
ldw
ide
Th
e I
SO
90
01:
20
08
qu
ali
ty c
ert
ifica
tio
n d
en
ote
s t
ha
t
Me
da
ir c
on
sis
ten
tly
pro
vid
es
eff
ect
ive
re
lie
f a
nd
reh
ab
ilit
ati
on
se
rvic
es
fo
r th
e w
ell
-be
ing
of
its
be
ne
fici
ari
es
.
ZE
WO
, Sw
itzer
land
ZE
WO
ce
rtifi
cati
on
, o
nly
ava
ila
ble
to
sta
te-a
pp
rov
ed
,
Sw
iss
no
np
rofi
t o
rga
nis
ati
on
s,
tes
tifi
es
to
th
e
inte
gri
ty o
f M
ed
air
’s p
ub
lica
tio
ns
, fu
nd
ap
pe
als
, a
nd
the
in
ten
de
d a
nd
eff
ec
tiv
e u
se
of
pri
vate
do
na
tio
ns
.
ZE
WO
sta
nd
ard
s c
all
fo
r o
pti
ma
l a
cco
un
tin
g a
nd
op
era
tio
na
l tr
an
sp
are
nc
y, c
on
firm
ed
by
co
nti
nu
ou
s
ind
ep
en
de
nt
mo
nit
ori
ng
.
RfB
, Th
e Ne
ther
land
sT
he
RfB
ce
rtifi
cati
on
giv
es
do
no
rs a
hig
h d
eg
ree
of
cert
ain
ty t
ha
t re
so
urc
es
re
ceiv
ed
by
Me
da
ir
Ne
the
rla
nd
s a
re u
se
d f
or
the
pu
rpo
se
fo
r w
hic
h
the
y w
ere
giv
en
.
Aw
ard
s
Inte
llig
en
t G
ivin
g,
U.K.
Th
is i
nd
ep
en
de
nt
do
no
r a
dv
ice
org
an
isa
tio
n h
as
rate
d M
ed
air
U.K
. it
s n
o.
1 ra
nk
ed
re
lig
iou
s c
ha
rity
an
d n
o.
1 ra
nk
ed
in
tern
ati
on
al
cha
rity
sin
ce 2
00
8.
Me
mb
ers
hip
s
Alg
em
ee
n N
ut
Be
og
en
de
In
ste
llin
g
Th
e D
utc
h g
ov
ern
me
nt
ha
s g
ran
ted
th
e A
NB
I-s
tatu
s
to M
ed
air
Ne
the
rla
nd
s.
AS
AH
, Fr
ance
AS
AH
is
a c
oll
ec
tiv
e o
f fa
ith
-ba
se
d o
rga
nis
ati
on
s
de
ali
ng
in
in
tern
ati
on
al
so
lid
ari
ty i
n fi
eld
s
su
ch a
s h
um
an
ita
ria
n a
id,
inte
rna
tio
na
l co
op
era
tio
n
an
d d
ev
elo
pm
en
t, f
air
-tra
de
, a
nd
so
cie
tal
re-i
nte
gra
tio
n.
CO
NC
OR
D
Me
da
ir’s
EU
-CO
RD
me
mb
ers
hip
giv
es
it
me
mb
ers
hip
into
CO
NC
OR
D,
the
Eu
rop
ea
n c
on
fed
era
tio
n f
or
reli
ef
an
d d
ev
elo
pm
en
t.
Co
ord
ina
tio
n S
UD
, Fr
ance
Me
da
ir F
ran
ce i
s a
me
mb
er
of
this
co
ord
ina
tin
g b
od
y
of
Fre
nch
NG
Os
, w
ho
se
aim
is
to
pro
mo
te t
he
ir v
alu
es
to p
riva
te a
nd
pu
bli
c in
sti
tuti
on
s,
bo
th i
n F
ran
ce
an
d a
bro
ad
.
EU
-CO
RD
Me
da
ir i
s a
me
mb
er
of
the
EU
-CO
RD
, a
ne
two
rk
of
reli
ef
an
d d
ev
elo
pm
en
t o
rga
nis
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
he
po
or
mo
re e
ffe
ctiv
ely
an
d i
mp
rovi
ng
the
co
nd
itio
ns
of
dis
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
an
ita
ria
n p
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
VO
ICE
, a
ne
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
co
nfl
ict
pre
ve
nti
on
.
Eu
rop
ea
n I
nte
rag
en
cy
Se
cu
rity
Fo
rum
(E
ISF)
The
Eu
rop
ea
n I
nte
rag
en
cy S
ecu
rity
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
Re
d C
ros
s a
nd
Re
d C
res
cen
t m
ov
em
en
t,
com
pri
se
s a
ha
nd
bo
ok
, a
pro
ces
s o
f co
lla
bo
rati
on
,
an
d a
co
mm
itm
en
t to
qu
ali
ty a
nd
acc
ou
nta
bil
ity.
Inte
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
e “
Co
de
of
Co
nd
uct
fo
r th
e
Inte
rna
tio
na
l R
ed
Cro
ss
an
d R
ed
Cre
sce
nt
Mo
ve
me
nt
an
d N
GO
s i
n D
isa
ste
r R
eli
ef.
”
Me
da
irE
cub
len
s,
Sw
itze
rla
nd
Au
dit
ed
Co
ns
oli
da
ted
Fin
an
cia
l Sta
tem
en
ts
20
10
Me
da
ir o
pe
rate
s w
ith
U.S
. d
oll
ars
as
its
fu
nct
ion
al c
urr
en
cy
Th
e f
oll
ow
ing
pa
ge
s a
re p
res
en
ted
in
U.S
. d
oll
ars
(U
SD
)
ME
DA
IR
An
nu
al
Re
po
rt 2
010
46
47
49
4
8
ME
DA
IR
Co
ns
oli
da
ted
20
10 A
nn
ua
l Fi
na
nci
al
Sta
tem
en
ts
Bo
ard
of
Tru
ste
es
Ma
rtin
Ba
um
an
, 2
010
Ne
lle
ke
Bo
ss
ha
rdt,
20
09
Ch
ris
tin
a B
reg
y, 2
00
9
Ha
ns
Git
se
ls,
Pre
sid
en
t, 2
00
1
Ma
x G
ov
e,
Se
cre
tary
, 19
98
Nig
el
Ha
rris
, 2
010
Ton
Ja
ns
en
, 2
00
8
20
10
20
10
Tors
ten
De
Sa
nto
s,
Tre
as
ure
r, 2
010
Ex
ec
uti
ve
Le
ad
ers
hip
Te
am
Joh
n F
arm
er,
20
04
Pe
ter
Ho
llo
wa
y, 2
010
Jim
In
gra
m,
20
07
Jim
Ja
cks
on
, 2
010
20
06
Joh
n R
igs
tad
, 2
00
1
Da
vid
Sa
ute
r, 1
99
4
Ra
nd
all
Zin
dle
r, C
EO
, 2
00
3
The
Bo
ard
of
Tru
ste
es
is e
lect
ed
fro
m t
he
me
mb
ers
hip
of
the
Me
da
ir A
sso
cia
tio
n. T
he
re m
us
t b
e a
min
imu
m o
f fi
ve b
oa
rd m
em
be
rs,
wh
o s
erv
e f
or
thre
e-y
ea
r te
rms
. To
en
su
re le
ad
ers
hip
co
nti
nu
ity,
no
mo
re t
ha
n o
ne
-th
ird
of
the
bo
ard
ca
n b
e r
ep
lace
d d
uri
ng
a y
ea
r.
Th
e C
hie
f E
xe
cu
tiv
e O
ffice
r (C
EO
) is
ap
po
inte
d b
y a
nd
re
sp
on
sib
le t
o t
he
bo
ard
fo
r th
e m
an
ag
em
en
t a
nd
op
era
tio
n o
f th
e
31
De
cem
be
r 2
010
are
pre
se
nte
d b
elo
w,
alo
ng
wit
h t
he
da
te o
f
the
ir o
rig
ina
l a
pp
oin
tme
nt
to t
his
po
sit
ion
.
Le
ad
ers
hip
of
Me
da
ir
Phot
o : F
ath
er
ho
lds
his
yo
un
g d
au
gh
ter
du
rin
g a
n a
ss
es
sm
en
t fo
r m
aln
utr
itio
n i
n A
fgh
an
ista
n.
Re
po
rt o
n F
ina
nc
ial
Pe
rfo
rma
nce
M
iss
ion
Sta
tem
en
t
Th
e m
iss
ion
of
Me
da
ir i
s t
o r
es
po
nd
to
hu
ma
n s
uff
eri
ng
in e
me
rge
ncy
an
d d
isa
ste
r s
itu
ati
on
s b
y i
mp
lem
en
tin
g
mu
lti-
se
cto
ral
reli
ef
an
d r
eh
ab
ilit
ati
on
pro
ject
s,
in a
com
pa
ss
ion
ate
an
d s
erv
ing
att
itu
de
in
sp
ire
d b
y i
ts
Ch
ris
tia
n e
tho
s.
Me
da
ir S
tra
teg
y
Ou
r p
res
en
t s
tra
teg
y i
s t
o b
rin
g l
ife
-sa
vin
g e
me
rge
ncy
re
lie
f
an
d r
eh
ab
ilit
ati
on
in
dis
as
ters
, cr
ise
s,
an
d c
on
flic
t a
rea
s b
y
wo
rkin
g a
lon
gs
ide
th
e m
os
t v
uln
era
ble
. O
ur
str
en
gth
is
in
pro
vid
ing
he
alt
h s
erv
ice
s a
nd
nu
trit
ion
; im
pro
ve
d a
cce
ss
to s
afe
wa
ter,
sa
nit
ati
on
, a
nd
hy
gie
ne
; a
nd
in
sh
elt
er
an
d
infr
as
tru
ctu
re c
on
str
uc
tio
n.
Tre
as
ure
r’s
Re
po
rt
Du
rin
g 2
010
, M
ed
air
wa
s a
ble
to
pro
vid
e r
eli
ef
an
d
reh
ab
ilit
ati
on
se
rvic
es
in
10
co
un
try
pro
gra
mm
es
an
d n
ine
cou
ntr
ies
, th
an
ks
to
th
e g
en
ero
us
fin
an
cia
l s
up
po
rt o
f o
ur
ma
ny
do
no
rs,
bo
th i
ns
titu
tio
na
l a
nd
in
div
idu
al.
We
sta
rte
d
a n
ew
pro
gra
mm
e i
n H
ait
i e
arl
y i
n t
he
ye
ar.
Ou
r h
um
an
ita
ria
n e
xp
en
dit
ure
in
20
10 w
as
US
D 3
4.9
mil
lio
n
com
pa
red
to
US
D 2
9.2
mil
lio
n i
n 2
00
9.
Th
is s
ign
ifica
nt
incr
ea
se
wa
s m
ain
ly d
ue
to
th
e n
ew
pro
gra
mm
e i
n H
ait
i.
Ou
r p
riva
te d
on
ati
on
s i
ncr
ea
se
d s
ign
ifica
ntl
y d
uri
ng
th
is y
ea
r
fro
m U
SD
5.8
mil
lio
n t
o U
SD
8 m
illi
on
. W
e a
re v
ery
th
an
kfu
l
for
this
sig
nifi
can
t in
cre
as
e t
o o
ur
pri
vate
fu
nd
ing
. Fi
na
nci
al
su
pp
ort
fro
m g
en
ero
us
in
div
idu
als
wh
o u
nd
ers
tan
d a
nd
sh
are
ou
r va
lue
s i
s e
ss
en
tia
l to
fu
lfill
ing
ou
r m
iss
ion
.
Ou
r o
verh
ea
d c
on
tin
ue
s to
co
mp
are
ve
ry f
avo
ura
bly
in t
he
NG
O c
om
mu
nit
y: 8
7.6
% o
f a
ll in
com
ing
fu
nd
s a
re u
se
d in
fie
ld
pro
gra
mm
es
to s
erv
e t
he
be
ne
fici
ari
es
of
ou
r p
rog
ram
me
s.
Ou
r ca
sh
po
sit
ion
tu
rne
d a
rou
nd
sig
nifi
can
tly
du
rin
g t
he
ye
ar.
Th
is i
ncr
ea
se
re
fle
cts
th
e i
mp
rov
ed
pro
ces
sin
g o
f a
ll
fin
an
cia
l tr
an
sa
cti
on
s a
nd
re
po
rts
fo
r o
ur
fie
ld p
rog
ram
me
s
as
we
ll a
s m
ovi
ng
so
me
of
ou
r g
ran
ts t
o a
dva
nce
ca
sh
pa
ym
en
t p
rio
r to
ex
pe
nd
itu
re.
Ho
we
ve
r, o
ur
res
erv
es
are
sti
ll i
na
de
qu
ate
to
co
ve
r th
e a
nn
ua
l u
ps
an
d d
ow
ns
of
ou
r
cas
h-fl
ow
cy
cle
.
I w
an
t to
ex
pre
ss
my
pe
rso
na
l th
an
ks
an
d s
ince
re
ap
pre
cia
tio
n t
o e
ach
me
mb
er
of
sta
ff a
nd
ev
ery
do
no
r w
ho
ma
de
th
is y
ea
r p
os
sib
le.
To
rste
n D
e S
an
tos
Tr
ea
su
rer
Phot
o : N
ew
ly t
rain
ed
hyg
ien
e p
rom
ote
rs p
rou
dly
dis
pla
y th
eir
gra
du
ati
on
ce
rtifi
cate
s in
Su
da
n (
No
rth
ern
Sta
tes
).
50
ME
DA
IR
Co
ns
oli
da
ted
20
10 A
nn
ua
l Fi
na
nci
al
Sta
tem
en
ts5
1
Op
era
tin
g E
xp
en
se
20
10
8,0
00
,00
0
7,0
00
,00
0
6,0
00
,00
0
5,0
00
,00
0
4,0
00
,00
0
3,0
00
,00
0
2,0
00
,00
0
1,0
00
,00
0
Phot
o : M
ed
air
sta
ff s
pe
nd
ho
urs
tra
ve
llin
g o
n t
he
Nil
e R
ive
r to
re
ach
ma
ny
of
the
re
mo
te l
oca
tio
ns
wh
ere
Me
da
ir w
ork
s i
n S
ou
the
rn S
ud
an
.
Fin
an
cia
l S
tati
sti
cs
Pro
gra
mm
e I
nco
me
an
d E
xp
en
se
20
10 (
US
D)
Afg
ha
nis
tan
D.R
. C
on
go
Ha
iti
Ind
on
es
iaM
ad
ag
as
car
So
ma
lia
No
rth
Su
da
nS
ou
th
Su
da
n
Ug
an
da
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ba
bw
e
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me
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3
3.7
79
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1.5
37
1
04
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4
1.5
35
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5
3.2
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6
8.6
53
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0
8.6
19.0
91
66
1.5
16
92
1.6
47
Ex
pe
ns
e 3
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1.3
83
3
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3.7
45
6
.810
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0
16
5.2
45
1
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3.7
33
3
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4.4
75
8
.32
5.3
32
8
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5.9
06
4
96
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3
88
6.0
05
Op
era
tin
g I
nco
me
20
10
Pro
gra
mm
e E
xp
en
se
by
Se
cto
r 2
010
Go
ve
rnm
en
t, E
.U.,
U.N
. 7
1%
Fou
nd
ati
on
s a
nd
NG
Os
4.1
%
Pri
vate
Do
na
tio
ns
19
%
Oth
er
Inco
me
1.1
%G
ifts
-in
-Kin
d 4
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0.3
%
Nu
trit
ion
1.8
%
Wa
ter,
Sa
nit
ati
on
, a
nd
Hy
gie
ne
25
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Ag
ricu
ltu
re a
nd
Fo
od
Se
curi
ty 6
.2%
Sh
elt
er
an
d I
nfr
as
tru
ctu
re
33
.8%
He
alt
h S
erv
ice
s 3
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%D
isa
ste
r R
isk
Re
du
cti
on
1%
Hu
ma
nit
ari
an
Ex
pe
ns
e
(dir
ec
t) 8
1%
Hu
ma
nit
ari
an
Ex
pe
ns
e
(in
dir
ec
t) 6
.6%
Fun
dra
isin
g 6
.9%
Ad
min
istr
ati
on
5.5
%
52
ME
DA
IR
Co
ns
oli
da
ted
20
10 A
nn
ua
l Fi
na
nci
al
Sta
tem
en
ts5
3
54
ME
DA
IR
Co
ns
oli
da
ted
20
10 A
nn
ua
l Fi
na
nci
al
Sta
tem
en
ts5
5
Ba
lan
ce S
he
et
as
of
31
De
cem
be
r 2
010
2
010
2
00
9
No
te
US
D
US
D
AS
SE
TS
CU
RR
EN
T A
SS
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Ca
sh
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k a
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ts
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8
Do
no
r re
ceiv
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les
5
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2
0,4
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74
8
11,
49
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37
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ne
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s 5
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24
0
Pre
pa
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4
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9
2
8,6
54
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8
17
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0,9
15
Fi
na
nci
al
ass
ets
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43
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7
12
4,5
52
Fi
xed
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ets
5
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1
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2,3
74
1
,29
9,7
77
1
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5,6
11
1,4
24
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9
T
OT
AL
AS
SE
TS
30
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9,6
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1
8,7
15,2
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efe
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nu
e
5.4
19
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5,9
19
7,8
11,9
18
A
cco
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ts p
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5
.5
7
78
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53
9,4
98
S
ho
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26
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2
C
urr
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atu
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of
lon
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-
20
2,4
35
A
ccru
ed
lia
bil
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s
3
55
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3
17
4,3
75
P
rovi
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ns
5
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1
80
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9
19
3,6
64
2
0,7
60
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2
10
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8,6
72
5.7
S
eve
ran
ce b
en
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ts
16
2,8
00
1
88
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7
1
62
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0
18
8,8
47
RE
STR
ICTE
D F
UN
DS
2
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R
es
tric
ted
in
com
e f
un
ds
66
0,3
08
6
83
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R
es
tric
ted
pro
gra
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un
ds
1,7
13,9
50
3
64
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9
2
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4,2
58
1
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8,2
45
UN
RE
STR
ICTE
D F
UN
DS
2
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U
nre
str
icte
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ap
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l
9
62
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7
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llo
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ap
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l
5
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9,5
64
5
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6
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2,3
91
6
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9,4
84
T
OTA
L L
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IES
AN
D F
UN
D B
AL
AN
CE
S
3
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99
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8
18
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4
All
fig
ure
s s
ho
wn
are
in
US
D
Inc
om
e S
tate
me
nt
20
10
2
010
2
00
9
N
ote
U
nre
str
icte
d
Re
str
icte
d
Tota
l To
tal
INC
OM
E
Pu
bli
c fu
nd
ing
7
.1
31,
62
1,7
03
3
1,6
21,
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3
2
3,0
07
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6
Pri
vate
fu
nd
ing
7
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4
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9,1
05
2
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11
7,9
77
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5,7
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5
Gif
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7
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1,9
97
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5
2
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er
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7
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83
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1
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PE
RA
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78
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54
3,7
82
EX
PE
NS
E
Hu
ma
nit
ari
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ex
pe
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e
8.1
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4,8
99
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97
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9
Ad
min
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xp
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8
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Fin
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FUN
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str
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me
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All
fig
ure
s s
ho
wn
are
in
US
D
56
ME
DA
IR
Co
ns
oli
da
ted
20
10 A
nn
ua
l Fi
na
nci
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Sta
tem
en
ts5
7
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sh
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tate
me
nt
20
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2
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N
et
res
ult
1,
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1.8
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N
et
de
pre
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n
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7,0
01
5.2
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14,5
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nre
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str
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,58
9
-3
6,7
72
,35
7
-1,0
96
,74
9
2
,33
1,2
11
2
,37
4,2
58
UN
RE
STR
ICTE
D F
UN
DS
Un
res
tric
ted
ca
pit
al
U
nd
esi
gn
ate
d f
un
ds
1,0
81,
161
4,9
43
,42
2
2
,47
9,1
55
-7
,52
6,3
50
97
7,3
89
C
um
ula
tive
cu
rre
ncy
tra
ns
lati
on
-
-
14,5
62
U
nd
esi
gn
ate
d f
un
ds
1,0
81,
161
4,9
43
,42
2
-
2,4
79
,15
5
-
7,5
26
,35
0
9
62
,82
7
All
oca
ted
ca
pit
al
A
dm
inis
tra
tive
fu
nd
1
,07
5,3
78
20
9,6
33
6,6
38
-2
,85
3,0
56
A
) -
2,6
12,3
75
5,3
02
,97
8
1
,12
9,1
96
C
ap
ita
l e
qu
ipm
en
t fu
nd
9
42
,65
4
-
21
-2
11,0
29
5,5
75
20
2,4
35
93
9,6
14
O
pe
rati
on
s fu
nd
3
,47
1,7
81
-
5
96
,76
2
-
29
4,8
88
3,7
73
,65
6
Tr
ain
ing
fu
nd
5
8,5
11
4
5,7
30
-
-
8,6
00
10
,92
7
-
10
6,5
68
-
15
,38
7
-1
5,3
87
-
C
um
ula
tive
cu
rre
ncy
tra
ns
lati
on
-
9,4
69
5,5
48
,32
2
2
70
,72
9
6
,63
8
-
3,0
72
,68
5
-
1,9
99
,111
5,1
95
,13
8
5
,93
9,5
64
6,6
29
,48
3
5
,214
,15
2
6
,63
8
-
3,0
72
,68
5
4
80
,04
4
-
2,3
31,
211
6,9
02
,39
1
7
,67
7,7
28
5,2
14,1
52
3
6,8
66
,22
7
-3
9,8
45
,04
2
-
616
,70
5
-
9,2
76
,64
9
Sta
tem
en
t o
f C
ha
ng
es
in
Ca
pit
al
an
d F
un
ds
20
10
All
fig
ure
s s
ho
wn
are
in
US
D
a)
Th
is i
s a
ne
t n
um
be
r a
fte
r th
e fi
eld
co
ntr
ibu
tio
n i
n s
up
po
rt o
f a
dm
inis
tra
tiv
e c
os
ts
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
4 E
cu
ble
ns
Sw
itze
rla
nd
Five
affi
lia
te o
ffice
s a
nd
on
e S
wis
s fo
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
s to
su
pp
ort
th
e w
ork
of
Me
da
ir w
orl
dw
ide
. Me
da
ir In
vest
-in
-Aid
is a
n in
de
pe
nd
en
t
Sw
iss
fou
nd
ati
on
th
at
pro
mo
tes
lon
g-t
erm
fin
an
cia
l
de
velo
pm
en
t a
nd
en
do
wm
en
t in
com
e f
or
Me
da
ir.
Me
da
ir e
.V.
De
uts
chla
nd
Im T
ech
no
log
iep
ark
Ma
rtin
-Sch
me
iss
er-
We
g 1
5
D-4
42
27
Do
rtm
un
d
Ge
rma
ny
Me
da
ir U
nit
ed
Sta
tes
P.O
. B
ox
44
76
Wh
ea
ton
,
Ilin
ois
60
189
-44
76
Un
ite
d S
tate
s
Me
da
ir F
ran
ce
5,
Av
en
ue
Ge
org
es
Ab
el
26
120
Ch
ab
eu
il
Fra
nce
Me
da
ir U
nit
ed
Kin
gd
om
Un
it 3
, Ta
ylo
rs Y
ard
67
Ald
erb
roo
k R
oa
d
12 8
AD
Un
ite
d K
ing
do
m
Sti
chti
ng
Me
da
ir N
ed
erl
an
d
Am
ste
rda
ms
ew
eg
16
38
12 R
S A
me
rsfo
ort
Th
e N
eth
erl
an
ds
Me
da
ir I
nv
es
t-In
-Aid
Ch
em
in d
u C
ros
et
9
CH
-10
24
Ecu
ble
ns
Sw
itze
rla
nd
In
ad
dit
ion
, th
es
e fi
na
nci
al
sta
tem
en
ts i
nco
rpo
rate
th
e
inco
me
an
d e
xp
en
se
s f
or
all
hu
ma
nit
ari
an
pro
gra
mm
es
at
fie
ld l
oca
tio
ns
. W
hil
e s
om
e o
f th
es
e p
rog
ram
me
s
ma
y b
e i
n c
ou
ntr
ies
wh
ere
th
ere
is
a l
eg
all
y re
gis
tere
d
Me
da
ir o
ffice
, o
pe
rati
on
al
con
tro
l (i
ncl
ud
ing
th
e p
ow
er
to g
ove
rn t
he
op
era
tin
g a
nd
fin
an
cia
l p
oli
cie
s o
f th
e
pro
gra
mm
es
) is
ma
inta
ine
d t
hro
ug
h t
he
in
tern
ati
on
al
he
ad
qu
art
ers
in
Sw
itze
rla
nd
.
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,
Me
da
ir h
as
re
vie
we
d,
reo
rga
nis
ed
, a
nd
up
da
ted
th
e n
ote
s t
o t
he
fin
an
cia
l s
tate
me
nts
.
2.5
Tr
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
, re
str
icte
d
an
d u
nre
str
icte
d d
on
ati
on
s,
acc
ou
nts
re
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
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
,618
,89
5
NG
O &
in
sti
tuti
on
al
do
no
rs3
,13
9,3
74
1,18
1,7
26
Un
ite
d N
ati
on
s o
rga
nis
ati
on
s2
,315
,58
36
92
,616
Do
no
r re
ceiv
ab
les
20
,47
1,7
48
11,4
93
,23
7
Ge
ne
ral
de
bto
rs8
5,9
00
32
,18
1
Me
da
ir d
eb
tors
5
,17
25
2,8
60
Ge
ne
ral
rece
iva
ble
s9
1,0
72
85
,04
1
Tota
l2
0,5
62
,82
011
,57
8,2
79
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
D 1
9,4
45
,919
. 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
Afg
ha
nis
tan
-72
9,8
08
-77
8,0
59
An
go
la-1
48
,42
2
D.R
. C
on
go
-2,8
18,3
19-3
45
,52
8
Ha
iti
-2,0
80
,314
Ind
on
es
ia-9
1,3
72
Ma
da
ga
sca
r-5
94
,70
1-4
23
,015
So
ma
lia
-1,2
78
,62
5-6
1,3
31
Su
da
n,
No
rth
ern
Sta
tes
-7,5
29
,82
5-2
,911
,16
3
Su
da
n,
So
uth
ern
Su
da
n-3
,27
5,3
04
-2,2
16,4
32
Ug
an
da
-4,8
46
-18
9,7
26
Zim
ba
bw
e-7
31,
02
5
Oa
k F
ou
nd
ati
on
-20
4,7
30
-74
5,2
92
Pro
cto
r &
Ga
mb
le-5
0,0
00
-50
,00
0
-19
,44
5,9
19-7
,811
,918
5.5
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
e l
on
g-t
erm
loa
n w
as
fu
lly
pa
id o
ff i
n 2
010
.
5.6
P
rovi
sio
ns
In 2
010
, M
ed
air
ha
s b
oo
ke
d a
pro
vis
ion
al
ex
pe
ns
e
of
EU
R 1
35
,12
0 f
or
the
au
dit
of
ou
r fi
eld
pro
gra
mm
es
rela
ted
to
th
e y
ea
rs 2
00
6,
20
07
, a
nd
20
08
.
US
D2
010
20
09
Op
en
ing
ba
lan
ce19
3,6
64
65
,37
6
Ad
dit
ion
s19
3,6
64
Uti
lis
ati
on
s6
5,3
76
Dis
so
luti
on
s13
,38
5
Clo
sin
g b
ala
nce
180
,27
919
3,6
64
5.7
Th
es
e l
iab
ilit
ies
co
ns
ist
of
se
ve
ran
ce b
en
efi
ts f
or
na
tio
na
l s
taff
in
ou
r fi
eld
pro
gra
mm
es
an
d a
lo
an
fro
m
Mic
ros
oft
Fin
an
cin
g f
or
the
pu
rch
as
e o
f n
ew
so
ftw
are
.
Th
e l
oa
n w
as
fu
lly
pa
id i
n 2
010
.
5.8
P
en
sio
n p
lan
ob
lig
ati
on
s
Th
e a
nn
ua
l co
ntr
ibu
tio
ns
to
th
e p
en
sio
n p
lan
are
reco
rde
d t
o t
he
in
com
e s
tate
me
nt
du
rin
g t
he
pe
rio
d t
o
wh
ich
th
ey
re
late
. E
xp
atr
iate
fie
ld s
taff
do
no
t b
en
efi
t
fro
m t
he
pe
ns
ion
pla
n,
alt
ho
ug
h S
wis
s e
xp
atr
iate
s
wh
o h
av
e r
eta
ine
d t
he
ir S
wis
s d
om
icil
e a
re i
ns
ure
d
20
10 a
nd
20
09
, tw
o S
wis
s e
xp
atr
iate
s w
ere
co
ve
red
by
th
e p
lan
.
Th
e e
mp
loy
ee
s o
f e
ach
affi
lia
te E
uro
pe
an
offi
ce
be
ne
fit
fro
m t
he
pe
ns
ion
pla
n r
ela
ted
to
a s
tate
ins
ura
nce
co
mp
an
y. M
ed
air
do
es
no
t m
ain
tain
an
ind
ep
en
de
nt
pe
ns
ion
pla
n f
or
the
affi
lia
te o
ffice
s.
20
10
US
DA
ss
et
Gro
up
Offi
ceC
om
pu
ter
Co
mm
sP
ow
er
Oth
er
Pu
mp
sFa
cil
ity
Ve
hic
les
Tota
l
Tota
lO
pe
nin
g b
oo
k v
alu
e 5
5,7
20
5
69
,75
3
30
,04
0
32
,08
1 3
0,3
91
8,5
62
1
50
,26
1 4
22
,97
0
1,2
99
,77
9
Assets
Clo
sin
g b
ala
nce
31.
12.0
9 7
9
26
0,2
25
4
46
,412
-
-
-
-
-
7
06
,716
Cu
rre
ncy
tra
ns
lati
on
12
1,5
70
9
04
,29
7
-3
00
,97
1 6
3,1
03
3
5,3
32
2
3,7
09
2
54
,65
7
1,2
94
,67
2
2,3
96
,36
8
Op
en
ing
ba
lan
ce 1
.1.1
0 1
21,
64
9
1,1
64
,52
2
14
5,4
41
63
,10
3
35
,33
2
23
,70
9
25
4,6
57
1
,29
4,6
72
3
,10
3,0
83
Re
cla
ss
-7
3,8
30
-
31,
39
9
96
,05
9
-
-6
,00
0
-
15
,17
0
-
20
10 A
dd
itio
ns
-
13
7,1
74
2
5,4
82
-
6
,24
8
2,1
56
-
5
01,
127
6
72
,18
8
20
10 D
isp
os
als
-3
,48
5
-4
3,1
77
-
23
,86
9
-
-
-
-1,
90
9
-2
8,2
26
-
100
,66
6
Clo
sin
g b
ala
nce
31.
12.1
0 4
4,3
33
1
,22
7,1
20
2
43
,113
6
3,1
03
3
5,5
80
2
5,8
66
2
67
,918
1
,76
7,5
73
3
,67
4,6
05
Acc Depreciation
Clo
sin
g b
ala
nce
31.
12.0
9 -
6
,29
2
34
2,3
91
-
-
-
-
-
34
8,6
85
Cu
rre
ncy
tra
ns
lati
on
-6
5,9
29
-
60
1,0
61
-4
57
,79
2
-3
1,0
21
-4
,94
1 -
15,1
48
-
104
,39
6
-8
71,
70
1 -2
,15
1,9
89
Op
en
ing
ba
lan
ce 1
.1.1
0 -
65
,92
9
-5
94
,76
9
-11
5,4
01
-3
1,0
21
-4
,94
1 -
15,1
48
-
104
,39
6
-8
71,
70
1 1
,80
3,3
05
Re
cla
ss
-
-
-
-
-
-
-
-
20
10 D
isp
os
als
52
,40
9
19
,95
3
-2
6,7
34
-
1
,40
0
-
9,7
48
2
8,2
27
8
5,0
03
20
10 D
ep
reci
ati
on
-2
1,9
15
-19
2,3
33
-
51,
87
4
-18
,13
2
-9
,53
2
-8
,02
3
-4
8,7
78
-
30
3,0
56
-
65
3,6
41
Clo
sin
g b
ala
nce
31.
12.1
0 -
35
,43
4
-7
67
,14
8
-19
4,0
09
-
49
,15
4
-13
,07
3
-2
3,1
70
-
143
,42
6
-1,
146
,53
1 -2
,37
1,9
46
Cu
rre
ncy
tra
ns
lati
on
-2
4
-2
50
-
11
-2
86
Tota
lC
los
ing
bo
ok
va
lue
8,8
74
4
59
,72
2
49
,10
4
13
,94
9
22
,49
6
2,6
95
1
24
,49
2
62
1,0
42
1
,30
2,3
74
20
09
US
DA
ss
et
Gro
up
Offi
ceC
om
pu
ter
Co
mm
sP
ow
er
Oth
er
Pu
mp
sFa
cil
ity
Ve
hic
les
Tota
l
Tota
lO
pe
nin
g b
oo
k v
alu
e 7
3,5
07
6
93
,45
6
53
,02
3
37
,86
5
6,2
42
1
6,4
65
1
99
,87
9
49
7,0
63
1
,57
7,5
01
Assets
Clo
sin
g b
ala
nce
31.
12.0
9 1
54
,12
5
1,3
79
,99
5
12
1,3
08
5
5,0
75
2
5,8
47
2
3,7
09
2
54
,65
7
1,0
40
,73
9
3,0
55
,45
5
Cu
rre
ncy
tra
ns
lati
on
-2
,012
-
7,5
53
-
-
-
60
9
-
-
-
-10
,17
3
Op
en
ing
ba
lan
ce 1
.1.1
0 1
52
,113
1
,37
2,4
43
1
21,
30
8
55
,07
5
25
,23
9
23
,70
9
25
4,6
57
1
,04
0,7
39
3
,04
5,2
81
Re
cla
ss
-
-
-
-
-
-
-
-
20
10 A
dd
itio
ns
5,4
51
89
,86
4
50
,56
4
13
,914
2
6,3
15
-
79
2
60
,22
5
44
6,4
12
20
10 D
isp
os
als
-3
6,4
13
-2
99
,02
3
-2
6,4
30
-
5,8
86
-
16,3
83
-
-
79
-
6,2
92
-
39
0,5
06
Clo
sin
g b
ala
nce
31.
12.1
0 1
21,
151
1,1
63
,28
4
14
5,4
41
63
,10
3
35
,17
1 2
3,7
09
2
54
,65
7
1,2
94
,67
2
3,1
01,
187
Acc Depreciation
Clo
sin
g b
ala
nce
31.
12.0
9 -
79
,59
1 -
68
3,1
06
-
68
,28
5
-17
,20
9
-19
,32
2
-7
,24
4
-5
4,7
78
-
54
3,6
75
-
1,4
73
,210
Cu
rre
ncy
tra
ns
lati
on
98
6
4,1
20
-
-
3
25
-
-
-
5
,43
1
Op
en
ing
ba
lan
ce 1
.1.1
0 -
78
,60
6
-6
78
,98
6
-6
8,2
85
-
17,2
09
-
18,9
97
-
7,2
44
-
54
,77
8
-5
43
,67
5
-1,
46
7,7
81
Re
cla
ss
-
-
-
-
-
-
-
-
20
10 D
isp
os
als
35
,98
7
26
9,3
50
1
0,2
46
4
,13
3
16
,38
3
-
-
6,2
92
3
42
,39
1
20
10 D
ep
reci
ati
on
-2
3,0
16
-18
4,6
14
-5
7,3
62
-
17,9
45
-
2,2
27
-
7,9
03
-
49
,618
-
33
4,3
18
-6
77
,00
1
Clo
sin
g b
ala
nce
31.
12.1
0 -
65
,63
5
-5
94
,25
1 -
115
,40
1 -
31,
02
1 -
4,8
41
-15
,14
8
-10
4,3
96
-
87
1,7
01
-1,8
02
,39
4
Cu
rre
ncy
tra
ns
lati
on
20
3
719
6
1 9
83
Tota
lC
los
ing
bo
ok
va
lue
55
,72
0
56
9,7
52
3
0,0
40
3
2,0
81
30
,39
1 8
,56
2
15
0,2
61
42
2,9
71
1,2
99
,77
7
Ec
on
om
ic b
en
efi
t /
ec
on
om
ic o
bli
ga
tio
n
an
d p
en
sio
n b
en
efi
t
ex
pe
ns
es
in
CH
F
Su
rplu
s /
de
fic
it
Ec
on
om
ic p
art
of
the
org
an
isa
tio
n
Ch
an
ge
to
pri
or
ye
ar
pe
rio
d o
r re
co
gn
ise
d i
n
the
cu
rre
nt
res
ult
of
the
pe
rio
d r
es
pe
cti
ve
ly
Co
ntr
ibu
tio
ns
co
nce
rnin
g t
he
bu
sin
es
s p
eri
od
Pe
ns
ion
be
ne
fits
ex
pe
ns
es
wit
hin
pe
rso
na
l
ex
pe
ns
es
31.
12.1
03
1.12
.10
31.
12.0
92
010
20
09
Pe
ns
ion
in
sti
tuti
on
s
--
--
40
5,1
36
4
05
,13
6
33
1,5
68
Phot
o : C
hil
dre
n c
oll
ect
un
safe
wa
ter
fro
m a
ma
n-m
ad
e r
es
erv
oir
als
o u
se
d b
y a
nim
als
in
Zim
ba
bw
e.
64
ME
DA
IR
Co
ns
oli
da
ted
20
10 A
nn
ua
l Fi
na
nci
al
Sta
tem
en
ts6
5
6.
De
tail
of
fun
ds
6.1
M
ov
em
en
t b
etw
ee
n f
un
ds
20
10 U
SD
SO
UR
CE
FU
ND
Re
ceiv
ing
fu
nd
Afr
ica
fu
nd
Oa
k fu
nd
FV f
un
dS
taff
ca
re
& d
ev
fun
d
Sta
ff s
up
&
de
v fu
nd
Ca
pa
city
m
gm
t fu
nd
Ha
iti f
un
dM
DE
fun
dM
ed
ica
l fu
nd
Wa
ter
fun
d
Un
de
sig
-n
ate
d
fun
ds
Op
era
-ti
on
s fu
nd
fun
d
Forg
ott
en
vi
ctim
s fu
nd
129
129
Sta
ff s
up
po
rt &
d
eve
lop
me
nt
fun
d2
4,0
43
24
,04
3
Afg
ha
nis
tan
17,4
79
8,4
1916
,16
79
03
,76
69
45,
83
2
DR
Co
ng
o50
0,0
00
454
1,0
88
416
,557
918
,10
0
Ha
iti
32
,20
23
2,2
02
Ma
da
ga
sca
r50
0,0
00
32
9,2
94
82
9,2
94
So
ma
lia
64
46
44
Su
da
n -
N
ort
he
rn S
tate
s1,
700
506
,46
450
8,1
65
Su
da
n -
S
ou
the
rn S
ud
an
450
,49
84
,83
0 3
47
,613
8
02
,94
2
Ug
an
da
150
,00
06
44
32
1,58
14
72
,22
5
Zim
ba
bw
e11
0,0
00
17
2,0
27
2
82
,02
7
Ca
pit
al
eq
uip
me
nt
fun
d2
02
,43
52
02
,43
5
Un
de
sig
na
ted
fu
nd
s2
94
,88
82
94
,88
8
Ad
min
istr
ati
ve
fun
d54
0,5
62
26
,72
7
24
,04
3
74
,76
04
,62
1,50
0 1
5,3
87
5,
30
2,9
78
1,7
10,4
98
540
,56
24
542
4,0
43
26
,72
72
4,0
43
74
,76
058
,718
8,4
1916
,16
77
,82
1,2
38
29
4,8
88
15,3
87
20
09
US
DS
OU
RC
E F
UN
D
Re
ceiv
ing
fu
nd
Afr
ica
fu
nd
Oa
k f
un
dA
nn
iv f
un
dM
DE
fu
nd
Me
dic
al
fun
dW
ate
r fu
nd
Un
de
sig
-
na
ted
fun
ds
Op
era
-
tio
ns
fu
nd
Afg
ha
nis
tan
2,5
03
10,0
00
5,0
00
27
4,0
35
43
4,7
177
26
,25
5
D.R
. C
on
go
53
,73
76
,16
710
,00
05
,00
08
83
,516
79
,38
81,
03
7,8
08
Ind
on
es
ia9
810
,00
012
1,9
80
132
,07
8
Ma
da
ga
sca
r4
38
,34
010
,00
04
48
,34
0
So
ma
lia
130
15,1
39
49
,07
66
4,3
45
Su
da
n -
No
rth
ern
Sta
tes
1,14
610
,08
415
,10
95
32
,35
15
58
,69
0
Su
da
n -
So
uth
ern
Su
da
n5
16,6
101,
74
915
,00
08
,00
05
41,
35
9
Ug
an
da
56
2,0
44
65
110
,00
05
72
,69
5
Zim
ba
bw
e10
,00
011
1,2
74
121,
27
4
Ca
pit
al
eq
uip
me
nt
fun
d2
49
,86
02
49
,86
0
Ad
min
istr
ati
ve
fu
nd
25
4,7
08
8,1
88
1,9
82
2,2
51,
78
49
30
,57
13
,44
7,2
33
1,5
70
,73
12
54
,70
88
,18
814
,42
68
0,2
23
53
,10
94
,47
3,8
76
1,4
44
,67
6
7.
De
tail
of
inco
me
a
. R
ev
en
ue
Me
da
ir s
eg
me
nts
its
op
era
tio
ns
ge
og
rap
hic
all
y b
y
cou
ntr
y. T
he
fo
llo
win
g t
ab
le p
res
en
ts c
om
pa
rati
ve
rev
en
ue
fig
ure
s b
y c
ou
ntr
y.
US
DTo
tal
Re
ve
nu
e
20
102
00
9
Afg
ha
nis
tan
3,9
44
,62
2
3,7
66
,311
An
go
la -
55
5
-8
,114
D.R
. C
on
go
3,7
79
,76
1 3
,97
1,0
23
Ha
iti
7,9
51,
53
8
Ind
on
es
ia 1
04
,58
4
62
2,6
30
Ma
da
ga
sca
r 1
,53
5,5
35
1
,54
3,5
43
So
ma
lia
3,2
30
,65
6
3,0
75
,24
0
Su
da
n,
No
rth
ern
Sta
tes
8,6
53
,44
0
5,9
21,
101
Su
da
n,
So
uth
ern
Su
da
n 8
,619
,09
1 6
,90
3,1
07
Ug
an
da
66
1,5
17
3,2
15,3
58
Zim
ba
bw
e 9
21,
64
7
12
7,2
40
2,6
78
,54
3
2,4
06
,34
3
Tota
l4
2,0
80
,37
83
1,5
43
,78
2
b
. G
ifts
-in
-kin
d (
GIK
)
GIK
are
an
in
teg
ral
pa
rt o
f M
ed
air
’s h
um
an
ita
ria
n
pro
gra
mm
e.
Th
e t
ota
l b
rea
kd
ow
n o
f G
IK a
ctiv
ity
is
pre
se
nte
d b
elo
w.
US
D2
010
20
09
Afg
ha
nis
tan
55
,94
46
5,2
74
D.R
. C
on
go
82
7,5
12
Ma
da
ga
sca
r8
8,9
44
So
ma
lia
1,13
7,4
31
97
6,4
61
Su
da
n,
No
rth
ern
Sta
tes
29
2,3
61
26
7,7
13
Su
da
n,
So
uth
ern
Su
da
n4
22
,88
44
58
,39
7
Ug
an
da
54
,72
4
Tota
l1,
99
7,5
65
2,6
50
,08
2
c
. O
the
r in
com
e
Oth
er
inco
me
co
ns
ists
of
sa
les
in
com
e,
tra
inin
g f
ee
s
for
ou
r R
eli
ef
an
d R
eh
ab
ilit
ati
on
Ori
en
tati
on
Co
urs
e
(RO
C),
be
ne
fici
ary
pa
rtic
ipa
tio
n i
n fi
eld
pro
gra
mm
es
,
an
d m
isce
lla
ne
ou
s i
nco
me
.
8.
De
tail
of
ex
pe
nd
itu
res
8.1
H
um
an
ita
ria
n e
xp
en
se
Hu
ma
nit
ari
an
ex
pe
ns
e i
s t
he
to
tal
cos
t o
f p
rovi
din
g
go
od
s a
nd
se
rvic
es
to
Me
da
ir’s
be
ne
fici
ari
es
.
It i
ncl
ud
es
th
e c
os
ts o
f im
ple
me
nti
ng
th
es
e
hu
ma
nit
ari
an
pro
gra
mm
es
, s
uch
as
pro
ject
sta
ff,
foo
d a
nd
liv
ing
co
sts
, co
mm
un
ica
tio
n a
nd
en
erg
y e
qu
ipm
en
t, v
eh
icle
s,
tra
ns
po
rta
tio
n a
nd
sto
rag
e o
f m
ate
ria
ls,
an
d l
og
isti
cal
an
d fi
na
nci
al
ex
pe
ns
es
. It
als
o i
ncl
ud
es
th
e r
es
ea
rch
, p
rep
ara
tio
n,
pla
nn
ing
, s
ele
ctio
n,
foll
ow
-up
, a
nd
co
ntr
ol
of
the
se
hu
ma
nit
ari
an
pro
gra
mm
es
pro
vid
ed
by
he
ad
qu
art
ers
in E
cu
ble
ns
, S
wit
zerl
an
d.
Pro
gra
mm
e e
xp
en
se
is
th
e t
ota
l h
um
an
ita
ria
n c
os
t
plu
s a
co
ntr
ibu
tio
n t
ow
ard
in
dir
ect
co
st.
Th
e b
ud
ge
t
of
ea
ch h
um
an
ita
ria
n p
rog
ram
me
in
clu
de
s a
15
%
con
trib
uti
on
to
su
pp
ort
th
e a
dm
inis
tra
tiv
e c
os
ts o
f
Me
da
ir.
Th
is c
os
t is
no
t re
po
rte
d w
ith
hu
ma
nit
ari
an
ex
pe
ns
e,
bu
t is
in
clu
de
d i
n t
he
te
rm p
rog
ram
me
ex
pe
ns
e i
n t
he
Sta
tem
en
t o
f C
ha
ng
es
in
Ca
pit
al.
Th
e f
oll
ow
ing
ta
ble
s p
res
en
t o
nly
th
e h
um
an
ita
ria
n
ex
pe
ns
es
by
co
un
try
:
20
10 U
SD
Se
cto
rsP
ers
on
ne
lT
rav
el
Ad
min
Ma
inte
na
nce
Fun
d-
rais
ing
De
pre
cia
tio
nO
the
r
ex
pe
ns
eTo
tal
Su
pp
ort
ex
pe
ns
es
Tota
l
Afg
ha
nis
tan
1,2
14,9
73
1,17
2,0
58
22
7,3
49
314
,54
97
0,7
110
80
,46
713
8,8
00
3,2
18,9
08
26
1,5
71
3,4
80
,47
9
D.R
. C
on
go
1,2
79
,32
71,
05
2,7
82
164
,85
82
76
,415
97
,58
40
32
,84
52
14,9
60
3,1
18,7
71
25
3,4
34
3,3
72
,20
5
Ha
iti
3,9
78
,59
38
58
,63
92
65
,815
32
1,8
33
49
,45
00
5,4
68
40
7,6
86
5,8
87
,48
44
78
,42
26
,36
5,9
06
Ind
on
es
ia9
1,0
62
35
,08
65
,37
14
,90
22
,47
20
02
,49
414
1,3
87
11,4
89
152
,87
7
Ma
da
ga
sca
r4
79
,55
94
79
,80
55
7,7
01
103
,16
83
1,9
94
02
,58
68
0,1
68
1,2
34
,98
110
0,3
56
1,3
35
,33
6
So
ma
lia
1,5
05
,70
37
00
,414
109
,04
912
4,0
26
8,7
35
04
,68
93
53
,46
12
,80
6,0
77
22
8,0
24
3,0
34
,10
1
Su
da
n,
No
rth
ern
Sta
tes
2,6
92
,02
22
,60
5,1
66
66
6,0
98
57
1,14
72
04
,42
30
108
,02
44
07
,17
27
,25
4,0
51
58
9,4
70
7,8
43
,52
2
Su
da
n,
So
uth
ern
2,7
09
,92
92
,52
3,8
59
74
3,2
93
719
,45
92
36
,15
80
163
,40
73
60
,019
7,4
56
,12
46
05
,89
18
,06
2,0
15
Ug
an
da
38
,512
28
1,0
90
-31,
55
34
5,5
26
10,9
39
02
1,8
95
28
,98
83
95
,39
73
2,1
30
42
7,5
28
Zim
ba
bw
e3
28
,13
02
32
,52
95
3,7
04
49
,66
55
,04
30
16,5
70
77
,67
87
63
,319
62
,02
88
25
,34
7
Tota
l14
,317
,80
99
,94
1,4
27
2,2
61,
68
72
,53
0,6
91
717
,50
80
43
5,9
51
2,0
71,
42
63
2,2
76
,49
92
,62
2,8
163
4,8
99
,316
Ed
ito
r-in
-ch
ief:
Jim
In
gra
m,
CE
O
Co
py
wri
ter:
Ma
rk W
all
ace
Co
ntr
ibu
tors
: M
ed
air
sta
ff a
rou
nd
th
e w
orl
d
Gra
ph
ic d
es
ign
: B
rain
4Yo
u,
Be
lgiu
m
Pri
nti
ng
: D
ruk
we
rk C
on
su
lta
nt,
th
e N
eth
erl
an
ds
Ph
oto
cre
dit
s:
Ima
ge
s w
ere
ta
ke
n b
y M
ed
air
sta
ff,
wit
h t
he
ex
cep
tio
n o
f
pa
ge
s 9
, 2
2,
48
(O
dil
e M
ey
lan
), p
ag
es
17
, 2
9,
33
(C
oli
n O
’Co
nn
or)
, a
nd
pa
ge
40
(Fr
idis
oa
Ra
sa
mb
ain
ari
vo).
Na
me
s o
f p
eo
ple
an
d p
lace
s i
n a
rtic
les
we
re s
om
eti
me
s c
ha
ng
ed
wh
en
de
em
ed
ap
pro
pri
ate
to
pro
tect
th
e i
de
nti
ty o
f b
en
efi
cia
rie
s a
nd
sta
ff.
Me
da
ir
ins
titu
tio
na
l d
on
ors
≥ U
SD
15
,00
0 l
iste
d o
nly
, d
ue
to
sp
ace
co
ns
tra
ints
.
© M
ed
air
, 2
011
Th
e i
nfo
rma
tio
n c
on
tain
ed
he
rein
ma
y b
e r
ep
rod
uce
d w
ith
th
e p
rio
r,
wri
tte
n a
pp
rova
l o
f M
ed
air
. M
ed
air
re
qu
ire
s a
co
py
of
the
pu
bli
cati
on
in
qu
es
tio
n.
An
ele
ctro
nic
ve
rsio
n o
f M
ed
air
’s 2
010
an
nu
al
revi
ew
(a
vail
ab
le
in E
ng
lis
h a
nd
Fre
nch
) is
ava
ila
ble
fo
r d
ow
nlo
ad
ing
at
ww
w.m
ed
air
.org
.
Dis
cla
ime
r: T
he
pre
se
nta
tio
n o
f m
ap
s i
n t
he
re
vie
w d
oe
s n
ot
imp
ly o
n
the
pa
rt o
f M
ed
air
th
e e
xp
res
sio
n o
f a
ny
op
inio
n w
ha
tso
ev
er
con
cern
ing
the
le
ga
l s
tatu
s o
f a
ny
co
un
try
or
terr
ito
ry,
or
its
au
tho
riti
es
, o
r th
e
de
lim
ita
tio
n o
f it
s b
ord
ers
. T
his
do
cum
en
t w
as
pro
du
ced
wit
h r
es
ou
rce
s
ga
the
red
by
Me
da
ir fi
eld
an
d h
ea
dq
ua
rte
rs s
taff
. T
he
vie
ws
ex
pre
ss
ed
he
rein
are
th
os
e s
ole
ly o
f M
ed
air
an
d s
ho
uld
no
t b
e t
ak
en
, in
an
y w
ay,
to
refl
ec
t th
e o
ffici
al
op
inio
n o
f a
ny
oth
er
org
an
isa
tio
n.
De
tail
ed
an
d u
p-t
o-d
ate
in
form
ati
on
on
Me
da
ir’s
pro
gra
mm
es
ca
n b
e
fou
nd
at
ww
w.m
ed
air
.org
. In
form
ati
on
ca
n a
lso
be
re
qu
es
ted
in
wri
tin
g
to t
he
Ecu
ble
ns
he
ad
qu
art
ers
. P
lea
se
co
nta
ct
Me
da
ir u
sin
g t
he
co
nta
ct
info
rma
tio
n o
n t
he
ba
ck c
ov
er
of
this
re
po
rt.
Sch
oo
l h
yg
ien
e c
om
mit
tee
me
mb
ers
sta
nd
in
fro
nt
of
the
Te
ly S
cho
ol’
s n
ew
la
trin
es
in
Is
iro
, D
.R.
Co
ng
o.
Me
da
ir b
as
e s
taff
, li
ke
co
ok
s S
usa
n a
nd
Ro
se
in
Ju
ba
, S
ou
the
rn S
ud
an
,
ke
ep
th
e w
he
els
tu
rnin
g s
mo
oth
ly i
n M
ed
air
's fi
eld
offi
ces
. 6
6
M
ED
AIR
C
on
so
lid
ate
d 2
010
An
nu
al
Fin
an
cia
l S
tate
me
nts
67
20
09
US
DS
ec
tors
Pe
rso
nn
el
Tra
ve
lA
dm
inM
ain
ten
an
ceD
ep
reci
ati
on
Oth
er
ex
pe
ns
eTo
tal
Su
pp
ort
Ex
pe
ns
es
Tota
l
Afg
ha
nis
tan
1,7
31,
813
97
3,3
04
20
0,6
132
73
,70
49
0,9
30
55
,49
814
7,8
193
,47
3,6
80
28
0,6
80
3,7
54
,36
0
D.R
. C
on
go
1,9
20
,44
81,
07
8,8
97
168
,15
22
57
,29
89
1,5
106
,67
42
13,9
44
3,7
36
,92
23
01,
95
04
,03
8,8
73
Ind
on
es
ia2
39
,13
219
0,7
39
40
,69
717
,65
51,
68
94
,49
62
5,5
85
519
,99
34
2,0
165
62
,010
Ma
da
ga
sca
r7
19,3
51
513
,74
56
6,7
97
98
,58
53
7,7
28
1,7
00
101,
08
11,
53
8,9
86
124
,35
31,
66
3,3
39
So
ma
lia
1,4
07
,816
716
,49
99
5,8
66
168
,54
16
,25
74
,29
23
77
,06
52
,77
6,3
35
22
4,3
33
3,0
00
,66
8
Su
da
n, N
ort
he
rn S
tate
s1,
84
4,8
58
2,0
85
,48
95
79
,32
76
16,0
70
125
,03
210
6,1
72
25
3,2
125
,610
,16
04
53
,312
6,0
63
,47
1
Su
da
n, S
ou
the
rn1,
84
4,6
34
2,3
40
,63
38
12,4
50
57
0,8
86
185
,25
215
4,2
33
40
6,2
97
6,3
14,3
84
510
,214
6,8
24
,59
8
Ug
an
da
1,10
7,2
00
1,0
75
,76
72
04
,26
419
7,0
23
98
,519
118
,711
136
,39
32
,93
7,8
77
23
7,3
86
3,1
75
,26
3
Zim
ba
bw
e0
33
,65
43
1,2
80
4,5
23
05
89
36
,29
010
6,3
34
8,5
92
114
,92
6
10,8
15,2
51
9,0
08
,72
52
,19
9,4
46
2,2
04
,28
46
36
,917
45
2,3
65
1,6
97
,68
52
7,0
14,6
73
2,1
82
,83
72
9,1
97
,50
9
8.2
A
dm
inis
tra
tiv
e e
xp
en
se
Ad
min
istr
ati
ve
ex
pe
ns
e i
ncl
ud
es
th
e c
os
t o
f th
e
Me
da
ir h
ea
dq
ua
rte
rs i
n E
cub
len
s,
Sw
itze
rla
nd
, p
lus
the
ad
min
istr
ati
ve
co
sts
of
ea
ch o
f th
e a
ffili
ate
offi
ces
an
d t
he
In
ve
st-
in-A
id f
ou
nd
ati
on
. T
he
se
co
sts
co
ns
ist
of
ge
ne
ral
ma
na
ge
me
nt
cos
ts,
incl
ud
ing
hu
ma
n
res
ou
rce
s,
op
era
tio
ns
an
d l
og
isti
cs,
fin
an
ce,
as
we
ll a
s
ma
rke
tin
g a
nd
fu
nd
rais
ing
co
sts
.
8.3
C
os
t o
f fu
nd
ap
pe
als
Me
da
ir (
Sw
itze
rla
nd
) ra
n 1
1 fu
nd
rais
ing
ca
mp
aig
ns
du
rin
g
20
10,
the
re
sult
s o
f w
hic
h a
re p
rese
nte
d b
elo
w.
Re
sult
s
are
ba
sed
on
re
ven
ue
re
ceiv
ed
wit
hin
90
da
ys a
fte
r
rece
pti
on
inst
ea
d o
f 60
da
ys a
s in
pri
or
yea
rs. T
he
re
sult
s o
f
fun
dra
isin
g c
am
pa
ign
s in
ou
r E
uro
pe
an
affi
lia
te o
ffice
s w
ere
no
t si
mil
arl
y tr
ack
ed
an
d t
he
refo
re c
an
no
t b
e p
rese
nte
d.
US
D2
010
20
09
Nu
mb
er
of
cam
pa
ign
s11
13
Tota
l co
st
59
8,6
57
27
1,8
26
Tota
l re
ve
nu
e1,
610
,73
85
78
,90
8
8.4
In
su
ran
ce
Me
da
ir (
Sw
itze
rla
nd
) m
ain
tain
s fi
re i
ns
ura
nce
on
furn
itu
re a
nd
eq
uip
me
nt
in t
he
am
ou
nt
of
CH
F 9
57
,93
5
for
the
ye
ars
20
09
an
d 2
010
.
8.5
O
pe
rati
ng
ex
pe
ns
es
The
se
ex
pe
ns
e c
ate
go
rie
s a
re p
res
en
ted
fo
r in
form
ati
on
on
ly.
The
y p
res
en
t a
fu
nct
ion
al
bre
ak
do
wn
of
op
era
tin
g
ex
pe
ns
es
ra
the
r th
an
th
e a
ctiv
ity-
ba
se
d p
res
en
tati
on
of
the
fin
an
cia
l a
cco
un
ts.
8.6
R
ea
lis
ed
ga
in o
r lo
ss
on
ex
cha
ng
e
This
is
th
e n
et
res
ult
of
rea
lis
ed
ga
ins
an
d l
os
se
s,
wh
ich
is r
eco
rde
d t
o t
he
in
com
e s
tate
me
nt.
9.
Vo
lun
tee
r n
etw
ork
Me
da
ir i
s a
ss
iste
d i
n i
ts a
dm
inis
tra
tiv
e a
ctiv
itie
s
in S
wit
zerl
an
d b
y a
ne
two
rk o
f vo
lun
tee
rs.
Th
es
e
pe
op
le h
elp
wit
h a
dm
inis
tra
tiv
e t
as
ks
in
th
e o
ffice
,
at
pro
mo
tio
na
l e
ve
nts
, a
nd
in
th
e c
on
du
ct
of
RO
C
tra
inin
g c
ou
rse
s.
In 2
010
, o
ur
volu
nte
ers
co
ntr
ibu
ted
a r
eco
rde
d 8
,317
ho
urs
or
ap
pro
xim
ate
ly 1
,04
0 d
ay
s’
wo
rth
of
tim
e t
o M
ed
air
.
10.
Re
mu
ne
rati
on
of
the
Bo
ard
s o
f T
rus
tee
s
Me
mb
ers
of
the
Bo
ard
of T
rust
ee
s o
f M
ed
air
(S
wit
zerl
an
d)
an
d t
he
re
spe
ctiv
e b
oa
rds
of
ea
ch E
uro
pe
an
affi
lia
te o
ffice
volu
nte
ere
d t
he
ir t
ime
in 2
010
, re
ceiv
ing
ne
ith
er
sala
ry n
or
ind
em
nit
y. B
oa
rd m
em
be
rs a
re a
llo
we
d t
o s
ub
mit
tra
vel
exp
en
ses
for
reim
bu
rse
me
nt.
11.
Po
st
clo
su
re
Ap
art
fro
m t
he
sh
ort
-te
rm c
red
it l
imit
be
ing
in
cre
as
ed
by
US
D 1
mil
lio
n,
the
re h
av
e b
ee
n n
o s
ign
ifica
nt
ev
en
ts
po
st-
clo
su
re t
ha
t im
pa
ct t
he
se
fin
an
cia
l s
tate
me
nts
for
the
ye
ar
20
10.
Op
era
tin
g
ex
pe
ns
es
20
10
Hu
ma
nit
ari
an
Ad
min
istr
ati
on
Tota
l
op
era
tin
g
ex
pe
ns
eU
SD
Dir
ec
tS
up
po
rtG
ener
alm
anag
emen
tFu
nd
rais
ing
Se
cto
rs14
,317
,80
914
,317
,80
9
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Photos, front cover: A young child collects water from an unsafe water source in Kohistan district, Afghanistan. back cover:
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Published in July, 2011
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