HospitaalBroeders. Annual Report 2010

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1 HospitaalBroeders Annual Report 2010

2 Table of content Welcome! Mission, vision and organisation Our work 05 CARE & EDUCATION 05 FOOD & AGRICULTURE 10 WATER Fundraising, how do we organise that? Results and plans Financial annual report

3 Petition addressed to the CDA As an organisation in Africa, we see how desperately help is needed every day. Poverty and malnutrition are still prevalent in many African countries. In addition, much work remains in the field of health care, education and facilities (such as water and accommodation). The Netherlands takes a very critical stance with regard to developmental cooperation. According to the Hospitaller Order of St. John of God, there is nothing wrong with that. Monetary donations increase the dependence of the African people. We believe that communities deserve to be supported in ways that will ultimately allow them to take responsibility for themselves. The CDA wrote a manifesto regarding developmental cooperation which is quite consistent with our views: The responsibility [of the beneficiaries] is crucial. Subsidiarity, sphere sovereignty, individual responsibility and other Christian Democratic values underline the importance of on-site social organisations. These organisations have knowledge of and experience with the society that the donor and recipient governments do not have. We would be very pleased for this manifesto to become part of government policy. We therefore asked our donors to sign a petition (submitted to the CDA in 2011) requesting that they carry out their own manifesto in the new governing period. In this way, we hope to draw attention to both the problems of and the solutions for poverty in Africa. Welcome! Building clinics, educating hospital staff, supporting communities: in 2010 we were once again active with what we do best. The Hospitaller Order of St. John of God supports promising projects in Africa, in addition to a small number in Asia. Together with the local communities, they are building a good future. For almost 500 years St. John of God Order has supported the poorest of the poor. With the help of thousands of employees, we are now working in 53 countries around the world. Our donors make it possible for us to provide the best possible care to those who really need it. The past year, 2010, was festive and successful. In Malawi, the St. John of God College of Health Sciences opened its doors. It is the first institution of its kind in Malawi and in Sub- Saharan Africa. In Zambia, we celebrated our 50th anniversary. The construction of a primary school in Sierra Leone was unique for our organisation, as it was the first time in our very long history that we have built such a school. The urgent request for the school arose from the community itself, with which we are engaged in intensive cooperation. In the past year, we achieved even more than these results. We launched a new campaign, Made in Africa. For this campaign, our marathon runners joined the Amsterdam Marathon in order to raise money for our housing project in Malawi. We also received the Worthy Cause Quality Seal (in Dutch, Keurmerk Goede Doelen), a certification for NGOs. We are pleased to render an account of our expenditures for The report is organised according to the three cornerstones of our work: Care & Education, Food & Agriculture and Water. Did the quality of life of the inhabitants improve because of our activities? How far does the impact of our efforts reach? In this report, we hope to be able to convince you of our skill at identifying promising projects and of the success of our cooperation with experts and locals. Together with you our donors we are able to realise change and progress. Our report will help you to determine whether your money was spent properly. John Mitchell and David Heyer Stichting Internationale Orde van HospitaalBroeders (This foundation is a Dutch-based NGO which raises funds for the Hospitaller Order of St. John of God to enable it carry out its missionary work, primarily in Africa, but also in other developing countries.) Kathleen Ferrier accepts the petitions on behalf of the CDA 1

4 What do we do, and what don t we do? What does the Hospitaller Order of St. John of God do? - We focus on people; we believe in and use the power of the people themselves. - We perform our work in a businesslike, flexible and efficient manner. - We offer the best possible care in our hospitals and clinics. - We work with motivated people in the Netherlands, as well as with equally motivated Brothers in Africa, India and Vietnam. - We engage in extensive evaluation by visiting projects every year. What does the Hospitaller Order of St. John of God not do? - We do not leave our projects behind; we commit ourselves to the project until the community is self-reliant. 1. Mission, vision and organisation The Hospitaller Order of St. John of God helps the most underprivileged people in Africa (and Asia) to support themselves. We do this in a practical way and on a small scale. We build hospitals and clinics. We educate doctors and nurses, as well as teachers and technicians. We teach the locals everything they need to grow fruit and vegetables. We even make entire villages self-reliant through micro-credit projects. It is our mission to ensure that people receive the highest possible quality of care, education and assistance, according to their needs. We work, too, in the areas of healthcare, education and social services. The members of our Order honour the values that reflect the life of St. John of God: service, trust, dignity and compassion, regardless of race, sex or religion. The Hospitaller Order of St. John of God accomplishes this in a practical, hands-on way. We teach people skills so that they can realise their maximum potential and take care of themselves. We do not work with intermediaries. The money goes directly to the Brothers of the Saint John of God Order, who operate the projects. The Hospitaller Order of St. John of God offers aid for development, not developmental aid. Our structure We are a Catholic organisation. Our headquarters, the General Curia, is located in Rome. Our Brothers are active all over the world. The Dutch branch of the organisation is officially known as the Stichting Internationale Orde van Hospitaalbroeders. We render an account and report to the Provincial Curia in Ireland. As a supervisory body, the board bears ultimate responsibility and supervises the director. The general manager carries out the daily management in the Dutch office. Five people work in the office, for a total of 2.6 FTE. The Dutch branch of the Hospitaller Order of St. John of God focuses primarily on Africa, with several projects in India and Vietnam. The Hospitaller Order of St. John of God in the Netherlands forms a very small, close-knit and decisively operating team. Our people have experience in the areas of organising, management and fundraising. We bring in the rest of the expertise we need. For example, we cooperate closely with a company for printing and conceptual development. 2

5 Who was St. John of God? Saint John of God was born as João Cidade in Montemor O Novo, Portugal. When he was eight years old, a priest took him to Spain. During his life, he worked as a shepherd, a soldier and a bookseller in various parts of Spain and North Africa. He eventually settled in Grenada, in the south of Spain. After suffering a nervous breakdown around the age of 40, he was admitted to a mental institution, where he was tortured, as was common at the time. After he was discharged from the hospital, he travelled to Guadalupe in order to deepen his spirituality while acquiring nursing and medical skills. Upon his return to Granada, he established a shelter for the sick and poor. St. John of God was progressive in the way he treated patients. For example, he helped prostitutes to change their ways. The work of John inspired other men, who wished to help him and to follow his example by dedicating themselves fully to helping the sick and needy. St. John of God was declared a saint in He became patron saint of the sick and of hospitals. The number of hospitals of the Order of St. John of God continues to grow to this very day. Our Organisation Last year, our organisation went through a number of changes. Two new Dutch board members have joined our team, Don Offermans and Hendrik Jan de Vries. We considered it important to add experienced Dutch board members, in order to reinforce the Stichting with their knowledge and networks. Don Offermans used to be an expert at the FAO (Food and Agriculture Organisation) and a senior consultant at AIDEnvironment. He now works as an independent consultant. He brings an enormous wealth of experience about Africa and organisational management to our board. Hendrik-Jan de Vries is an economist. After an international career in industry and trade, he acquired experience in the international funding branch for ten years. In the past, he served on the board of the FIN (Association for Funds in the Netherlands). In the board of the Stichting he concentrates primarily on monitoring the expenditure policies in order ensure its accountability. The addition of Don Offermans and Hendrik-Jan de Vries to the team of the Stichting represents a large step in the direction of professionalisation. Organisation, project coordination, recruitment and communication will all profit from their knowledge and experience. The other board members of the HospitaalBroeders are: Brother Laurence Kearns, has been with the Order for more than 50 years. In 1977 he was appointed Director of SJOG Community Services, New Jersey. In 1982 he graduated from Lehigh University in Pennsylvania with a Masters in Education and in 1983 he was elected Provincial of the Order in Ireland. In 2007 he was appointed Provincial again. In between he has served as a Director of different SJOG Services. Brother Fintan Brennan- Whitmore, entered the Order in 1968 and studied in Rome from In 1980 he was ordained as a priest. He worked as Director for a number of services and has served as Provincial from and again from Brother Fintan has also developed a four-volume prayer book series based on the life of St. John of God. Broeder Stanislaus Neild, Born in England in Having trained as a general nurse, he undertook a specialized course in the UK to prepare for work in Africa and also studied in Lilongwe, Malawi. In 1983 he became Provincial in the UK for nine years. He currently is Chair of the Ethics Forum in the UK. Brother Mark Morgan, born in England and joined the Brothers in He is a registered nurse and he trains people with learning difficulties. Brother Mark has worked in the Order s services in England and Zambia. Brother Gregory McCrory, born in Belfast, entered the Order in He qualified as a Psychiatric Nurse and joined the Order s mission in 1978, in Korea working in Psychiatric Services. He served as a Director at the Centre from 1984 until he returned in Two new employees have also come to reinforce the team in our office in Haarlem. Suzan van Otterdijk is responsible for online marketing and communication, and Jeannine Ndabacekure performs the administrative 3

6 Anthony Chirwa passes away Early last year, we proudly wrote about our blogger in Malawi. Anthony Chirwa (37) had an engaging way of blogging about his daily routine, his successes and his struggles as an administrative manager for the Hospitaller Order of St. John of God. His work made our work in Malawi come to life for many donors and interested people in the Netherlands. In November, we were devastated to learn that Anthony had been involved in a fatal traffic accident. For the past 13 years, Anthony had been one of the architects of our psychiatric healthcare centre in Mzuzu, together with Brother Aidan, the group s impassioned leader. Fortunately, Brother Anthony was able to witness the opening of the College of Health Sciences, about which he wrote an enthusiastic report. Together with Brother Aidan, Anthony was involved in the Umsuma food programme in Malawi from the outset, and he helped us to expand it into Sierra Leone and Ghana. Through these programmes, Anthony was jointly responsible with Brother Aidan in helping people escape from hunger. He was also a loving father and husband. The Anthony Chirwa Scholarship Fund was established for students who lack the wherewithal to pursue higher education. We will miss Anthony terribly, and we will never forget him. tasks. We also received the Worthy Cause Quality Seal (in Dutch, Keurmerk Goede Doelen), a certification for NGOs. New database, more efficiency In the past several decades, we have processed the address information of thousands of donors and sympathisers, with many changes each week. On many occasions, our database has frozen up as we were trying to send an or newsletter. This had to change. Our office in Haarlem acquired information on purchasing a new database. We paid close attention to the price, as investments in our administration should never come at the expense of our primary work in Africa. We managed to meet this criterion. We now have a very efficient database for half of the price of the previous one. Keurmerk Goede Doelen Bert Koenders, the former Minister of Development Cooperation, awarded the Worthy Cause Quality Seal (in Dutch, Keurmerk Goede Doelen), a certification for NGOs, tot he Stichting. This certification demonstrates the transparency of our organisation, as well as our orientation towards achievement. Just like Bert Koenders, we consider the objective measurement of our results to be very important. Africa Interactive Be good and tell it, is a phrase learned by marketing students all over the world. First, be good at your work, and then tell about it to those who are interested. We ensure that we do a good job in Africa, in order to make significant improvements in the living conditions of people who are in need of assistance. We tell about our work on our website, in newsletters and in this annual report. In many cases, however, one picture is worth more than a thousand words. We had made films before, but never with a complete African film crew. We are now cooperating with African filmmakers and Africa Interactive, a multimedia company that works with local reporters in 48 African countries. Africa Interactive reports about the activities of idealistic organisations in Africa with their own camera crew. Through Africa Interactive, we were introduced to Abu Bakar, a reporter from Sierra Leone. He filmed the festive opening of our new clinic in Lungi. His pictures were edited by local editors in Ghana. This film makes it possible for our donors to experience the opening of our wonderful clinic in their own homes. Our cooperation with Africa Interactive has many advantages. The productions offer local reporters the opportunity to generate income and develop their talents. For us, it is much less expensive to work with local people than it is to hire people from the Netherlands. In addition, African reporters know the culture and the people. It is easier for them to obtain permission to film women and children. The result does more than just tell about Africa it is created by African people. It is thus fully Made in Africa!! Anthony Chirwa 4

7 Two students of the Elvira school in Mzuzu A visit to Mzuzu, Malawi Part 1 Suzan van Otterdijk, a communication and fundraising employee at the Stichting visited Malawi: 2. Our work Day after day, care for the local African people provides motivation for our work. The places in which we work are in particular need of medical assistance. Our core business therefore consists of setting up and running hospitals. In many cases, fruitful initiatives emerge around our clinics, providing benefits for entire villages. We are more than happy to contribute to such efforts. We have categorised and compiled our projects from 2010 under three headings: Care & Education; Food & Agriculture; Water. The only care for handicapped children in the north of Malawi is the Elvira school. The children are counselled by psychologists and teachers, and they learn about hygiene, respect and daily routines, in addition to reading and counting. Wearing a dirty sweater, one little boy with cerebral palsy came to bring a small plastic chair for us to sit on; that was heart-warming! The parents of these children are not able and do not know how to take care of them. In some cases, these children are locked up in closets, as their parents must work. What an enormous effort these teachers make! As one of them said, You can t get tired. The children seriously need them. C A R E & E D U C A T I O N Opening College for Mental Health People with mental health difficulties fare badly in Sub-Saharan Africa, receiving very little treatment and support. We would like to change this. We want to educate more students as psychiatric doctors, counsellors and nurses. We saw an opportunity to do so in Mzuzu, Northern Malawi, where we have been active since In 17 years, the clinic has developed into an extensive complex with many services and projects. With support from donors in the Netherlands and other countries, we chose this location to build a wonderful college; one of the crown jewels of our organisation. This new educational institute, the first in the area, offers jobs to more than 170 Malawians. In cooperation with Malawi University and Mzuzu University, students are able to earn bachelor s degrees in Mental Health and Psychiatric Nursing, Clinical Medicine or Counselling. Accommodation for 40 students makes it possible for the best students from Malawi to study here. Its enormous library and large psychosocial centre make this college a top-level institute. After completing their studies, Malawian students return to their places of origin in order to share and bring into practice their newly acquired knowledge. Brand new hospital in Ghana On 1 August, we also opened our St. Joseph Hospital in Koforidua, Ghana. The old hospital was in desperate need of renovation, as it no longer met the quality criteria after fifty years of intensive use. St. Joseph s Hospital treats patients with orthopaedic problems, deformed limbs and bone fractures. An abundance of new equipment has been made available through donations. The renovations were made possible by a very generous donation from the philanthropist Joop van Caldenborgh. The construction took two years. The hospital now has a modern first-aid department and several operating rooms. The old hospital will still be used as a hostel in order to accommodate convalescent patients. Brand new hospital in Koforidua 5

8 A new hospital obviously needs well-trained staff. Last year, three Ghanaian nurses came to visit our large hospital in Kattapana, India. During intensive field training, they acquired new knowledge and learned new techniques. Upon returning to Ghana, they passed on their new knowledge and skills to their colleagues. This allowed the care level in Koforidua to be very high from the beginning. The coming years, Care to Move, a Dutch NGO, will continue to send new teams of medical specialists to St. Joseph s Hospital in order to provide assistance and training. In addition to medical staff, the new hospital has also hired professionals for the logistical, financial, maintenance and human resource departments. Learning = progress Nelson Mandela phrased it well: Education is the most powerful weapon which you can use to change the world. It works the other way as well. Did you know that 62% of the population in Sierra Leone is not capable of reading and writing? Poverty is created when people lack the skills to produce goods and services. They never have the chance to take simple classes. Many development organisations devote only a portion of their assistance to education. We place heavy emphasis on education when people learn, they progress. New clinic in Lungi Last year, we had already announced the construction of a new clinic in Lungi, Sierra Leone. After some delay, the brand new St. John of God clinic is completely ready for use. Five hundred guests, including many tribal chiefs and other dignitaries, attended the opening. Families with AIDS Since 1956, we have had our own St. John of God Hospital in Asafo, Ghana, with 130 beds. In recent years, our hospital has experienced major growth. In 2006, the hospital was visited by patients. In 2010, this number had doubled. The hospital has several departments, including Obstetrics, Paediatrics and Surgery. Several years ago, we added a special HIV/AIDS clinic to this hospital. With support from the Ghanaian government, we provide information and perform HIV tests. We developed a programme to ensure that no transmission takes place from the mother to the child while breastfeeding. Of the people who were tested for HIV in 2009, 12.8 % had positive results. Many mothers and pregnant women were included in this number. For children in Africa, the likelihood of death increases fourfold with the loss of the mother. For this reason, the Hospitaller Order of St. John of God provides support to pregnant women with HIV. We provide mothers with Nutrimix as a replacement for breast milk. This is a very effective way of preventing the spread of AIDS. Mothers who are infected also receive medication, thereby increasing the likelihood of survival for both mother and child. We have already achieved a great deal of success with this initiative; the number of deaths has decreased. When mothers and their children are ready to return to their homes, we provide them with financial support to help enable them to start activities in order to generate their own income. In this way, we are contributing to the prevention and treatment of HIV and AIDS, while helping to develop young families who are struggling with these conditions. 6

9 Help in India and Vietnam We work primarily in Africa, although we have also regularly supported projects of our Brothers outside of the African continent. In the past year, we received urgent requests for help from our Brothers in India and Vietnam. With a relatively low investment, we were able to help patients and our Brothers in India in a fantastic way. We provided solar panels and electricity facilities for a training house in Khwanda. A school for Dilirani This is Dilirani. Until recently, he was forced to stay at home all the time. Malawi has few facilities for children with mental disabilities. In most families, everybody works; children like Dilirani are thus often tied up in their house for long periods. Our organisation takes care of these families. In our Elvira school (Mzuzu), Dilirani and his friends can look forward to a normal life. The well-educated teachers adapt the lessons to each child. The children are taught how to read and write and how to calculate. Speech and gymnastic classes increase their resilience. The children receive training in such daily routines as showering and washing their clothes. In this way, they are taught how to be independent and to become active participants in society. The treatment of HIV patients in India was also very important to us. The Indian HIV centre is located in the southeastern province of Pudukkottai. The patients who come for treatment consist primarily of farmers, drivers and migrants. The Indian Brothers invest in information services, pain relief and the care of patients with terminal diseases. Our approach includes psychosocial support, which is unusual in India. Our care providers involve the families of patients in consultations, thereby ensuring that patients with HIV/AIDS are no longer isolated. Hospital maintenance The people in Africa have a right to high-quality care. In order to guarantee this quality, we will continue to invest in our clinics and hospitals. For example, in 2010, we shipped sterilisation machines to Ghana. We helped in our centres in Mozambique, Ghana and Zambia, and added a new water system to our hospital in Lunsar, Sierra Leone. Help for handicapped children In 2010, we assisted our Child Development Centre in Malawi by providing a new school for children with an intellectual disability. In Zambia, we are reaching many children with physical and other disabilities through our Outreach programme, which eliminates the necessity for parents to travel for days to the clinic. The care simply comes to the children by car. Change through education Education offers opportunities and opens doors. We aim to use Africa s great potential in order to help Africa fight its own poverty. The reasoning is that people who are educated have more options for creating income for themselves and for their families. Education can also make it possible for the African people to provide care to the ones who need it. In this way, they can become less dependent on other countries or on unpredictable governments. We offer education in two ways: 1. From nutritional programmes to development programmes: Our organisation has been operating successful nutritional programmes in Africa for decades. We would like to increase the efficiency of our programmes by placing even more emphasis on education, addressing such issues as how to grow and sell food, how to build water wells and how to arrange good sanitary facilities. This helps complete villages to become self-reliant. 7

10 Wedding present for cleaning workers We have always known that our donors have good hearts. In 2010, however, this was proven once again. In our newsletter Dagomba!, we wrote about the poignant circumstances of the cleaning workers in our St. John of God Hospital in Lunsar. These women are struggling to cope. In Sierra Leone, cleaning has traditionally been considered inappropriate work for women. For this reason, these women have been subject to harassment. Although the cleaning work in our hospital provides them with income, it is not enough to provide them with homes for themselves and their families that are solid enough to withstand the rain, which can be very heavy in Lunsar. One of our donors took this story to heart. When he married his sweetheart, he decided to ask the wedding guests for financial support for the cleaning workers in Sierra Leone. The groom collected With additional help from the Stichting ( 2.900), the families received a solid zinc roof above their heads. 2. Establishing primary, secondary and higher education: We are already experienced in establishing secondary education for doctors and nurses. At the request of the local population, we recently established our first primary school in Sierra Leone. We have also realised our first academy in the field we know best: mental healthcare. In the years to come, we will continue to make major investments in education and training. New: a primary school The Hospitaller Order of St. John of God has been active in developmental cooperation for more than 500 years. In most cases, we build hospitals and clinics. In 2010 in Sierra Leone, we built a primary school for the first time. The school is located in the small village of Makutheneh. We consider it important that the request to build the school came from the community itself. The local people, with whom we cooperate successfully in the food-provision programme, made an urgent appeal. The initiative did not come from overly diligent development workers. The school s construction is also justified by relevant figures for the area: 75 % of all women in Sierra Leone are illiterate. The school in Makutheneh will soon ensure that girls and boys from the area will be able to write and read properly. No care without housing Five centuries ago, St. John of God already recognised the problem: people with mental disabilities have a hard time in poor communities. They are barely part of society and, as such, they have little access to facilities. It is for this reason that we included a housing project in its Umsuma food programme in Malawi. In Malawi, people with mental disabilities literally have the opportunity to build their own future. They collect their own materials (e.g. wood, bricks and sand), which they use to build their own houses. These houses offer a major improvement over their former living conditions: leaky huts shared with at least seven people. The housing project offers participants respect and a fair chance. We have noticed that the project has had a positive impact on the mental, physical and social development of complete families. In the years to come, even more Malawian people with mental disabilities will be building houses with our support. We will also be teaching them many ways to be productive within their own communities. Made in Africa In 2010, we launched our Made in Africa campaign. The plan had been around for quite a while: to develop a fresh campaign that would communicate the success of the projects and the stories of the African people to our donors, the press, investors and anyone that wants to listen. Made in Africa is all about people: people determining their own destinations, people building their own futures and people making change happen. 8

11 Contributions from our donors in the Netherlands have allowed us to launch several very successful projects in three African countries, including our food programmes in Malawi, Sierra Leone and Ghana. These projects are making it possible for thousands of people to provide for themselves. With the WATSAN-project in Sierra Leone, local people in 26 communities are building their own wells and toilets. Our wonderful Umsuma project in Malawi offers another good example. For stories, photos, films and activities, Auswell Sinkhonde, our champion The HospitaalBroeders Marathon team Table tennis champion from the streets In some cases, the story of one project participant deserves closer attention. Auswell Sinkhonde s story is one example. We became acquainted with this special child through our Umoza street programme. Auswell had been quite good with a ball since he was little. Through discipline, willpower and lots of practice, he managed to qualify for the National Table Tennis Championship in Lilongwe. He won the first few games by a convincing margin. In the finals, he impressed everyone with his spectacular style of playing. Everyone was aware that a great champion was at work. Auswell won the championship and received considerable media attention. He has since become a national celebrity in Malawi. Marathon for housing project Sport establishes bonds and generates energy even far beyond the borders. The Amsterdam Marathon 2010 proved this once more. The Dutch team members of the Saint John of God organisation already had quite a reputation, and not for their laziness. Last year, they clearly lived up to this reputation. They started training and assembled a group of runners around them in order to participate in the Amsterdam Half Marathon. The powerful efforts of these fourteen runners resulted in collections exceeding The sponsors for this project were recruited through the social media. We informed the sponsors that they had made tangible contributions to the construction of four brand new houses for participants of the Umsuma food programme in Mzuzu, Malawi. One of the lucky participants is Patrick Nkosi, who has a severe form of schizophrenia. Umsuma and the right medication have made it possible for Patrick to steer his life in a completely new direction. He now lives in a simple and safe house, next to his field with corn and tobacco. Another resident is Flora Manda, mother of five children. Flora has epilepsy. Their new home offers a safe haven for her and for her children. 9

12 50 Years in Zambia Fifty years ago, Zambia was still a protectorate under the British Empire. The British church took care of the sick and needy. At the request of the Bishop of Lusaka, the English Saint John of God Brothers helped to establish the first psychiatric hospital in Lusaka. The Brothers then helped with the construction of two more hospitals (after Northern-Rhodesia became independent as Zambia). In the 1980s, we established a clinic for children with disabilities in Monze. The clinic is located in a rural area in the south of Zambia, where many dangerous snakes live. Snakebites often lead to amputations. In 2010, the Saint John of God Clinic in Monze, known as the Holy Family Centre, has developed into a major health clinic in the field of orthopaedics, physiotherapy and rehabilitation. F O O D & A G R I C U L T U R E Judging only from our name, one might expect that we are only active in hospitals but we do much more than that. It would be impossible to reduce poverty and provide services to the local people without combining healthcare with food provisions, economic progress and education. This is the reason behind our decades of experience with successful agricultural programmes in Africa. Asafo: Food in Ghana In 2009, we started a micro-credit food programme in Asafo, Ghana. A small loan increases the living standards of Ghanaian families and provides them with the opportunity to grow all kinds of crops, thereby combating malnutrition. Trainings and workshops on modern agricultural techniques are part of the programme. A year later, we can look back on very promising results: 130 people from six different communities are growing various crops, including corn, beans, onions, lettuce, carrots and okra. The Ghanaian people have traditionally concentrated on growing cocoa, due to its potentially high returns. Growing cocoa however, is very difficult compared to growing other crops. The new plants have generated far more income. At first, the cooperation between the farmers did not proceed smoothly, as they were accustomed to working on their own. After a few months, however, the cooperation between the communities began to improve significantly. The local people understand the importance of cooperation. Many of the farmers wives are now selling the products. This allows them to make extra money and be involved in the development of their families and communities. The programme is very successful, and the lives of the Asafo participants have visibly improved. Support from MIVA for agriculture in Sierra Leone Many donors will recognise MIVA/Onemen from the advertising spots on radio and television. This organisation supports pioneers around the world by providing transport and communication resources to disadvantaged people, many of whom live in remote areas. In 2010, the Stichting cooperated with MIVA in Sierra Leone. MIVA donated two tractors to the Ehmonafah food programme in Sierra Leone. With these tractors, the participating families are able to till the soil more effectively, thus reaping a bigger harvest. The tractors allow the local people to plough and cultivate, thereby improving the ease and efficiency of sowing and watering. These efforts have resulted in greater profits and higher returns. In addition, hundreds of families in the surrounding villages are able to benefit from Ehmonafah and work their land with the tractors. One of the two tractors designated to Sierra Leone 10

13 Africanization of the Order Thirty years ago, European Brothers managed our hospitals. Today, almost all of our Brothers are from Africa, with the exception of Brother Aidan from Ireland and a few Spanish and Italian Brothers. All of the Brothers are devoted to the wellbeing of their patients, just like their example, St. John of God. Members of the Order dedicate themselves to a life of caring for the sick. New Brothers, novices, are educated internally for two years. Their education focuses on nursing and guidance, in addition to meditation and spiritual education. This period is followed by a two/year theology programme at the Tangara University in East Africa. After completing his education, a novice starts work as a proficient Brother. Our Brothers work for all people, regardless of race, skin colour or religion. In fact, our Brothers in Senegal are now working primarily for and with Muslims. Through Umsuma, more food in Malawi Mzuzu, Malawi, used to be stalked by famine. In 2003, we started a micro-credit programme, Umsuma. Participants in this programme learn how to cultivate their land efficiently. Better sowing techniques increase yields. This allows them to provide their own food (no more hunger!). If all goes well, they can sell the rest of the harvest. In the coming year, the Umsuma food project will be feeding fewer mouths. That sounds worse than it actually is, as the programme has helped more than 500 families escape from hunger, and many have even managed to start their own small businesses. Furthermore, the Malawian government is pursuing a more active policy regarding agriculture, through such measures as providing farmers with fertilisers. About 200 families are still dependent upon the food programme. These families will be able to count on us again next year, as they make their way towards a self-reliant life. 11

14 Water facts Thirty countries are suffering from water shortages. This affects 20 % of the world s population. Water-related diseases are very common in developing countries; 50 % of the population suffer from these conditions Four million children who are exposed to polluted water die every year. More than one third of the world s population have no access to adequate sanitary facilities. Polluted water and poor sewers are related to 21 of the 37 most severe diseases in developing countries. W A T E R Africa has been inventive for ages. The African people are capable of growing crops, keeping cattle and taking care of their families with very little water. Climate change, however, has had negative consequences for Africa. Inventiveness is no longer enough to withstand the oppressive droughts, and this has major consequences. Polluted drinking water can cause cholera, typhus and diarrhoea. In our hospitals, we see this every day. Clean drinking water in Asafo and Lunsar Each year, we are pleased to be able to help many patients in our St. John of God Hospitals in Asafo, Ghana and in Lunsar, Sierra Leone. We are performing valuable work in the villages of these areas, and our beds are always occupied. Despite the work of our outstanding staff, we are not able to handle the large amount of people in need in Asafo, this amounts to each year. Every day we have to tell people some of whom have walked for eight hours to reach our hospital that we have no space for them. We would obviously like to solve this problem. The cause of many diseases in this part of Ghana is not hard to identify polluted drinking water. The local people have no access to water wells or sanitary facilities. This allows cholera, typhus dysentery, diarrhoea and similar diseases to spread quickly, causing the death of many children and adults. We would like to provide Asafo with clean drinking water and adequate sanitary facilities, just as we did in Malawi and Sierra Leone. Water projects remain a matter of life and death in Africa. 12

15 New leader for the African clinics Once every four years, the Brothers who operate our clinics choose a new leader the Provincial. This year, in the West-African Republic of Togo, the 38-year-old Brother Bartholomew Kamara was chosen by a majority of the votes. We know Barth from Sierra Leone as a passionate and dynamic Brother. He was highly valued as a hospital director of the St. Joseph Hospital in Asafo (Ghana). This new Provincial is sure to have a positive impact on our African projects. We thank his predecessor Brother Robert Chakana from Zambia for all his work in the past four years, and we wish Bartholomew all the best in his new position. Bartholomew Kamara (centre) 3. Fundraising, how do we organise that? As an organisation we have a solid base of loyal donors. The major proportion of our income comes from people who donate on a structural basis. Over 72 % of the donations are structural. In addition, a large group of people make one-off donations in response to our mailings and newsletters. How do we approach potential donors? We use many different methods, including mailings, online marketing and door-to-door canvassing. Mailings In 2010, we sent about direct mailings. In the process, we respect the wishes of our donors, who can let us know how frequently they would like to receive our mailings. The mailings include newsletters and special issues containing information about our ongoing projects or topics to which we would like to draw attention. Of these mailings, were sent to prospects (potential donors). Because the returns on this form of recruitment continue to decline, we decided to discontinue the direct mailings in their current form in Newsletters Our donors and potential donors are often enthusiastic about our newsletter, Dagomba!. This newsletter, in which we provide information about our projects, has three issues a year. The enthusiasm can be explained by the fact that the newsletter updates our donors with regard to ongoing matters. For example, donors can read about a school: we ask for money at the start of the year and, at the end of the year, the school has been built. This increases the involvement of our donors. In 2010, we sent about copies of Dagomba! to our donors. The newsletter is also available online: Legacies and notarial acts We receive donations from legacies and notarial acts on a regular basis. In 2010, we received two legacies with a total value of We would like to make our donors aware of the advantages of notarial donations, which are fully deductable from taxable income on the tax return. 13

16 Letter of thanks from a donor In our materialistic world, we should be aware of the fact that we do not need to have more and more our whole lives, but we should be happy with what we have. For this reason, we wanted to support a charity when our third child was born. Because our second child has Down Syndrome, we were looking for a project that supports children with this condition, but in a developing country. We are very happy with amount of money we were able to save in order to finance such a wonderful project. The photos of Malawi have moved us deeply, and we are very pleased to realise that, even in the poorest countries, there is care for children who are capable of a bit less than most people are. You are doing a fantastic job, and we would like to thank you from the bottom of our hearts! Katelijn Taverniers and Tom van de Wiele Institutions Although individual donations are our most important source of income, we also received institutional donations in We already wrote about the gift of that we received from MIVA/Onemen in order to purchase two tractors for our food programme in Sierra Leone. In the annual financial statements, this donation is noted as assets from cooperations. Door-to-door canvassing Door-to-door canvassing for donors is a very labour-intensive job that places heavy demands on the fundraisers, as well as on the people who open their doors. Nevertheless, this method has proven to be the most efficient way to recruit structural donors. Our direct way of helping our own experienced people, who offer tangible help in Africa comes across best in a short conversation. New donors consider the direct lines and small projects appealing and trustworthy. Our figures show that retention (how long people continue to donate) is highest amongst people who subscribed at their own front doors. This is the reason behind our heavy emphasis on the relatively expensive door-to-door canvassing. Although the initial costs are high, especially for a small aid organisation, they remain the same every year, while the number of donors continues to increase. New donors are added each year, and this results in more money. Unfortunately, we recruited far fewer donors than we had hoped in As a small entity, we were no longer interesting for the organisation with which we had been cooperating for three years. Because these companies aim for long-term contracts and planning, we were unable to find a company to replace them in For 2011, we have a new contract with two affordable companies for door-to-door canvassing. Events and social media In 2010, we participated in the Amsterdam Half Marathon with a small group. The runners used social media to request financial contributions for their performance. The runners collected more than In 2011, we will continue these activities, and we will focus even more strongly on the social media by cooperating with InHolland Den Haag. Other methods We use other fundraising methods to generate income as well, including the following: Our website provides a quick and easy way to donate money. We make incidental use of telemarketing, in connection with specific projects. We ask people who have supported us once to support us again with similar projects. We request bank pledges from our one time donors. 14

17 Income from our fundraising Expenditures for objectives 2010 Total: Online images of projects It is always important for us to show our donors what we are doing in Africa. Our website is regularly updated with new films. Our projects come to life in images and sound. In March 2010, manager David Heyer and director John Mitchell visited Sierra Leone. Suzan van Otterdijk visited the opening of the College of Health Sciences and our housing project for people with mental disabilities in Malawi. Two films were made of this visit. In addition, the magazine of the NCDO, International Cooperation, published Suzan s diary, two fragments of which are contained in this annual report (see page 5 and 17). Developments in expenditures and fundraising Income from our own fundraising The share of regular donors in 2010 (72 %) was larger than it had been in This offers the advantage of a solid structural basis for financing our projects. The total amount of donations we received was more than which was less than we received in 2009, when we received a large bequest of Expenditures for objectives In 2010, we spent on all of our projects in Africa. This is 10 % less than the amount we spent in The costs of fundraising decreased by 46 %, partly because of the much smaller door-to-door campaign. Last year, we spent less on our projects in Africa than we had budgeted, because we had less income than we expected based on the figures from 2009 Expenditures per country Reliability of the figures We owe it to our donors to ensure a thorough examination of our expenditures. In 2010, we had an official audit executed by audit firm Arep, as we do each year. We also received the Worthy Cause Quality Seal (in Dutch, Keurmerk Goede Doelen), a certification for NGOs, in recognition of the clear output of our work in Africa (see page 4). The Dutch Tax Administration checks our income and expenditures, and it has designated us as a charitable institution. Annual Report - HospitaalBroeders 15

18 4. Results and plans We achieved wonderful results with our work in The projects are described in Chapter 2. In this chapter, we briefly mention the results. Ghana In Ghana, we supported our hospitals in Asafo and Koforidua through various activities, including the provision of a new operating room and sterilisation equipment and the extension of the Primary Health Care Programme, a guesthouse and a day care room. We also paid for training for the nurses in India, as well as for the internal training and exchange of our doctors (total: ). Sierra Leone For Sierra Leone, we made our last payment for the construction of our new clinic in Lungi ( ). In Lunsar, our hospital received financial support and a new water system. The cleaning workers received new zinc roofs for their houses. Also in Lunsar, we invested in the construction and furnishing of our first primary school. Our ongoing food programme was been supported for the fourth year in a row, this time with two brand new tractors ( ). Mozambique In Nampula, Mozambique, our Brothers supported the start of a new programme. A special safety room was created for aggressive patients in the clinic for mental healthcare (total: ). Zambia In Zambia, our clinic in Monze received support. Our Outreach programme received a car in order to reach the people in the rural area (total: ). Malawi We made a major investment in Mzuzu, Malawi, where our brand-new College of Health Sciences was built. We built a school and four houses around the clinic for people with a mental illness (total ). 16

19 India and Vietnam In 2010, we spent money outside of Africa for the first time. In India, we invested in HIV projects ( ) and in electricity facilities for a training home for nursing personnel ( ). We also supported our Brothers in Vietnam with the purchase of a vehicle ( ). In total, we spent on our projects in The allocations for each country are presented on page 15. All of our expenditures and income are obviously audited by an accountant. Because we have received the Worthy Cause Quality Seal (in Dutch, Keurmerk Goede Doelen), a certification for NGOs, we must follow strict rules. The Dutch Tax Administration has officially designated us a Charitable Institution, and we signed for the Code of Conduct for charities. Flora Banda is content with her new house A visit to Mzuzu, Malawi Part 2 Suzan van Otterdijk, a communication and fundraising employee for the Stichting, continues: Today, we are visiting the housing project for people with psychiatric illnesses or mental disabilities. They collect their own sand, water, wood and workers, and they contribute $ 180 of their own money. We provide a supervisor, cement, paint and building plans. The first house belongs to Flora, a single mother with epilepsy, which is considered a mental illness in Malawi. She is proud to show us her house, with its two spacious rooms, zinc sheets for a roof, solid walls and a separate kitchen and storage room behind the house. Her neighbour still lives in one of the old houses with a leaking roof, holes in the walls and tiny rooms. It is unbelievable that complete families actually live in such miserable shacks! Looking ahead The inspiration we receive from our work helps us to keep finding new ways to help people in remote areas. Our Brothers are constantly looking for promising opportunities to expand existing projects or start new ones. The fact that we are passionate does not mean we do not think our projects over very thoroughly, especially the new ones. We only build on projects that have proven successful. We will start something new only if we are certain that several groups of people will benefit from the project. We want our projects to lead to lasting growth and development. Addiction care Mental healthcare is neglected in Malawi: only 0.03 % of the government s health budget is spent on mental health. Moreover, there is only one recovery and rehabilitation clinic for the entire population of 13 million people. This clinic for people with addictions is successful and badly needed. Director and Brother Aidan Clohessy explains, In 2006, we started an Addiction Recovery Programme in the town centre, as the alcohol and drug problems in Mzuzu were becoming increasingly urgent. Today, we can say that we have already helped 135 clients. Our waiting list contains a multiple of this amount. In 2011, we would like to start a three-week internal treatment programme for people with addictions. The programme will focus on recovery, rehabilitation and reintegration into the community. Family members will be involved in this treatment programme. Aidan Clohessy continues, We are currently still treating people with addictions in the same centre in which we treat people with psychiatric disorders. These two groups should be separated during treatment in order to prevent problems. Both groups need and are entitled to separate and specific treatment. This is the only way to achieve the best results. We are requesting help from our donors in the Netherlands for the two-year start-up phase (2011 and 2012). After these two years, the programme will be able to operate independently. 17

20 Education As described in Chapter 2, education is crucial in order to give the Africans a better life. In 2011, education occupies a very high place on our list of priorities. Now that we have experience building and operating a local primary school in Sierra Leone, we would like to build more schools, both primary and secondary. In this way, we can respond to the plea for help we received from local villager Aminata Fallah of Makuteneh in Sierra Leone: Why do you only build water wells here? Our children need education too! She is right. The new College of Mental Health in Malawi Saint John of who? Our name has yet to become well known in the Netherlands. There are so many charities, how do you make yourself noticed? The first step obviously involves achieving good results: visible, efficient, lasting and successful. Everybody who has seen our projects first-hand is enthusiastic about them. We would like to use this enthusiasm to increase our name recognition. This is why we have a solid network of supporters people who support our Catholic-humanitarian mission. To this end, we will also be using new media. We are active on Facebook, and we have our own YouTube channel. We spread our news regularly through press releases and digital newsletters. Our donors receive a printed newsletter, Dagomba!, four times a year. In 2011, our first nurses graduated from our Nursing School in Lunsar. This will give a positive impulse to healthcare in Sierra Leone. We hope to be able to educate many more male and female nurses in Lunsar. We also hope that many students will study at our College of Health Sciences. The graduates will be capable of meeting a need that has been ignored for too long in Africa: high-quality mental healthcare. More plans We will be doing even more in 2011: We would like to expand our very successful food programme Ehmonafah in Sierra Leone to include ten more villages, and we would like to establish a farmers trading group. We would like to connect to successful HIV programmes operated by other organisations, in order to provide even more support to our communities. We would like to help more people with mental and physical disabilities by expanding our Outreach programme in order to be able to help patients in their own homes. We would like to keep our hospitals and clinics (both new and existing) in a good state of repair. Continuing maintenance is therefore necessary. This will also prevent expensive renovation from becoming necessary. 18

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