2004 Winter Newsletter


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2004 Winter Newsletter

  2. 2. 2 INDEPENDENT ADVERTISING INSERT FINANCIALS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG THINGS YOU SHOULD KNOW ABOUT DIRECT RELIEF INTERNATIONAL’S FINANCES TOP RANKED IN EFFICIENCY, 1. Leading Efficiency Among All U.S. Nonprofits: The November/December 2003 issue of Consumers Digest ranks ACCOUNTABILITY, the "Program Spending Efficiency" of Leading U.S. Charities. Direct Relief is one of only five charitable organizations nationwide that received a 99 percent or better rating. Forbes magazine cited Direct Relief as one of only four U.S. charities with 100 percent AND LEADERSHIP BY: efficiency ratings in its December 2003 review. Worth magazine named Direct Relief one of “America’s Best 100 Charities” for efficiency and quality of work in its December 2001/January 2002 edition. Charity Navigator gives Direct Relief its highest rating of four stars (see www.charitynavigator.org). 2. Strict Board Oversight and Governance: Direct Reliefs operations are conducted in conformance with an annual operating budget that is vetted and approved by its 29-member Board of Directors, which includes: several former and current CEOs/COOs or top executives of leading U.S. and international companies, MBAs from schools including Harvard and Stanford, executives with over 150 collective years in the investment business, and three accomplished attorneys. All Board members are unpaid and sign conflict-of-interest agreements.The Executive and Finance Committees meet monthly to review financial activities, investments, and overall programmatic performance. 3. Transparency: Direct Relief pioneered open Shareholders’ Meetings for all its investors (every person who has contributed money, material, or time to Direct Relief) to brief them on how their investment was spent. Direct Relief’s audited financial statements, voluntarily certified by the CEO and Controller, and its IRS Form 990 (tax return) are published on Direct Relief’s website: www.directrelief.org. 4. Accountability: The Better Business Bureau’s Wise Giving Alliance certified Direct Relief as being in compliance with the “Standards for Charitable Accountability” – a rigorous 20-point program covering board governance and oversight, program effectiveness, compliance with generally accepted accounting principles (GAAP), and fundraising techniques (see www.give.org). 5. Independent Audit: The Executive and Finance Committees retain and meet with an independent public accounting firm that conducts the annual audit.They also meet with the auditor, independent of any staff including the CEO and Controller, to discuss findings. Direct Relief’s Controller is a Certified Public Accountant with over 15 years of professional experience, including significant work in the fields of nonprofit accounting and financial management. 6. Adherence to Nationwide Standards: Direct Relief is registered with the appropriate authority in every U.S. state that requires a registration for soliciting support or conducting operations. Direct Relief believes this is important as people increasingly research organizations on the web and make online charitable donations. 7. Staff Compensation: The compensation of all Direct Relief staff members is benchmarked each year against a survey of nonprofit compensation levels throughout Southern California, similar nonprofit organizations nationwide, and compensation data available from the Bureau of Labor Statistics. All staff salaries, including that of the CEO, are consistent with those of the regional nonprofit sector for similar positions.The CEO’s performance and compensation is reviewed annually by the Board of Director’s compensation committee. 8. Expanding Assistance and Increasing Productivity: From 1998 through 2003, Direct Relief has expanded its material assistance program by 236 percent (from $27.8 million to $93.6 million) while maintaining strict cost controls. In 1998, each dollar spent generated $14.30 in aid; in 2003 each dollar spent generated $30.92 in aid. 9. Board Leadership — Personal Financial Investment: In 2003, the volunteer Board of Directors and International Advisory Board contributed $800,000, enough to cover the vast majority of fundraising and administrative costs of the organization. Every member of the Board made a personal financial contribution to the organization. 10. Board Leadership — Strategic Planning: The Strategic Planning Committee of the Board prepares three-year plans containing measurable goals and objectives, which serve as the basis for the annual operating budget, staffing levels, and capital investments. 11. Board Leadership — Future Financial Security: The Board has created a Board-designated Reserve Fund to ensure future financial security. With a goal of obtaining and maintaining two years’ operating expenses, the Fund is intended to balance current and future needs, provide annual support for operations, but not permanently restrict funds that may be required to provide humanitarian assistance. 12. Trusted by Leading Corporations: In 2004, product donations during the period January 1 to October 31 have increased 33 percent compared to 2003 levels from the same period – $81.4 million in 2003 vs. $108.2 million in 2004. 13. The Importance of Year-End Donations! Direct Relief typically receives more than one-third of its total contributions in the final eight weeks of the calendar year. Operating at a deficit for 50 weeks a year, the organization relies heavily on year-end contributions to meet annual operating expenses.
  3. 3. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 NEWS INDEPENDENT ADVERTISING INSERT 3 New Partnership November 2004 with Bristol-Myers Thank you for taking a moment to learn about Direct Relief International. Squibb These pages explain how and where we perform our work, why we do it, the effects it Direct Relief International and Bristol- has on peoples’ lives, and what it costs. Also listed, with enormous gratitude, are the Myers Squibb recently launched the names of our Board of Directors, Advisory Board, and the many generous people Medical Mission Box Program, which supports traveling United States physicians whose contributions paid for not only the printing of this newsletter but everything on overseas medical trips. The program described in it. provides doctors with Bristol-Myers Squibb products for their work in underserved areas We all know the intrinsic value of health in our own lives and in those of the people throughout the world. we love. However, figuring out how to pay for health services is a vexing challenge that even we Americans, living in the richest country on earth, still struggle with Direct Relief’s Chief Medical Officer and as a society. Pharmacist, in consultation with Bristol- Myers Squibb, selected the contents of the For individuals and communities, poverty and poor health reinforce each other. box, including a range of antibiotics, analgesics, and anti-fungals, Comprehensive international studies have confirmed what you probably already which can be applied to a diverse population. know – people who get sick tend to get poor, and people who are poor tend to get sick. With 40 percent of all people worldwide trying to live on less than two dollars Dr. Richard O’Connor from Grand Rapids, Michigan recently participated in the program a day, this dynamic is widespread, and it is tragic. and returned from his trip to Swaziland with the following words, “The antibiotics you provided were utterly phenomenal! We ran this clinic last year with out the MMB you provided, and we had At Direct Relief, we are working to break this vicious cycle. We equip and provide great difficulty achieving adequacy of treatment. Thank you! You made a huge difference in the lives medicines to trained, committed, and ethical healthcare leaders in developing of many real people.” countries. This enables them to stay engaged in their own countries and care for To date, 53 physicians on medical trips to 25 different countries have participated in the program, people who otherwise will go without. Since January of this year, we have supplied providing over $1 million wholesale value worth of aid to patients, most of whom would otherwise enough specifically requested medical provisions to provide care for more than have never received treatment. Direct Relief is honored to have the opportunity to work with 13 million people. Bristol-Myers Squibb to equip volunteer U.S. physicians with resources for people in need. Our international partners, in addition to providing much-needed clinical care, also If you are a physician interested in participating in the program, please contact Damon Taugher at are leaders in their own countries in the essential areas of public health education, dtaugher@directrelief.org, or visit our website at www.directrelief.org. disease prevention, and maternal and child heath. Direct Relief’s material support allows them to direct whatever scarce resources they have to these high-impact programs that address the causes of poor health, not just treat the symptoms. We also are stepping up our work here at home, as described on page 4. Although we are a nonprofit corporation, we are deeply committed to managing our financial resources in the most efficient manner possible so we can help more people realize better health – that’s our version of “profit,” and it’s a terrific incentive for us. For those who invest in our work, our ability to be more productive and help more people in a qualitatively better way is how we can increase the “shareholder value” of each dollar they contribute. Direct Relief was recently ranked by the Chronicle of Philanthropy and the Nonprofit Times (NPT) as the largest international nonprofit organization in California and by the NPT as the 100th largest of all nonprofits in the entire United States. Our growth has been possible because we have worked hard to spend our resources more efficiently, not just to collect more money. Indeed, the majority of groups on the Top 100 list spend more on fundraising alone than Direct Relief’s entire annual operating budget, about $3.1 million this year. Consumers Digest, Forbes, and Charity Navigator rate Direct Relief as among the most efficient of all charitable organizations in the United States. Our website provides more extensive financial information, including our tax returns and audited financial statements for the last three years. The financial and business aspects of our organization are not our sole focus – helping DR. WILLIAMSON WITH CHILDREN AT DIRECT RELIEF’S people is. But we want you to understand how we think about and spend any resource RIO BENI PROJECT IN BOLIVIA that is entrusted to us. The compassionate instincts of people are enormous and won- derful, which we are privileged to see every day. Our goal is to honor that compassion Direct Relief thanks Dr. Tuwanda Williamson for her two years of service and generosity by making them count in the most pragmatic and meaningful way on leading Direct Relief’s Rio Beni Health Project in Bolivia. A University of behalf of those who expressed them. Michigan-trained physician fluent in Spanish, Dr. Williamson was inspired Your support makes a genuine difference in the lives of real people who face enormous to extend her initial six-month assignment into a two-year commitment. challenges and hardship. Please make a financial contribution if you can. Dr. Williamson and the Rio Beni team she led provided health services for 40,000 isolated villagers and trained two dozen health promoters, building upon the legacy of Dr. Lou Netzer, who began the program. Under challenging conditions and through countless river and 4-wheel drive trips to conduct clinics, Dr. Williamson displayed an inspiring Thomas Tighe commitment, tremendous dedication, and boundless compassion. President & CEO Congratulations Tuwanda, and our deepest heartfelt thanks!
  4. 4. 4 INDEPENDENT ADVERTISING INSERT PROGRAM HIGHLIGHTS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG THINGS YOU SHOULD KNOW ABOUT DIRECT RELIEF INTERNATIONAL’S MEDICAL Here Free and Community Clinics Supporting at Home: ASSISTANCE PROGRAMS1. Our Approach: Direct Relief is nonsectarian and privately financed. S ince its founding in 1948, Direct Relief International has focused, as its name suggests, on assistance to medically underserved areas internationally. Domestically, Direct Relief has played a consistent supporting role to fill in gaps that arise in connection with natural disastersOur medical assistance programs equip health professionals working in or exist among programs serving low-income persons. The organization’s strong working relation-resource-poor communities to better meet the challenges of diagnosing, ships with dozens of healthcare companies’ philanthropic initiatives, its status as a licensed pharmacy wholesaler, extensive medical inventories, and experience responding to naturaltreating, and caring for people, without regard to politics, religion, gender, disasters abroad led to its participating in emergency planning and mitigation efforts in its homerace, or ability to pay. community of Santa Barbara and, in turn, statewide planning exercises.2. Our Partners: Direct Relief’s network of partners includes more than Over the past year, Direct Relief’s core strengths as an organization became more relevant to500 healthcare facilities and organizations located in over 65 countries. specific health challenges that developed or worsened in our home community of Santa BarbaraPartner facilities range from small rural outposts to large hospitals and throughout the State of California. In response, Direct Relief has stepped up its efforts.serving thousands each day. Local chapters of international service clubs, The six million people in California who lack health insurance account for approximatelyincluding Rotary International and Lions Clubs International, often are 13 percent of the estimated 45 million medically uninsured persons in the United States.key partners in providing financial support, references, and in-country Direct Relief’s home community of Santa Barbara County was found to have the highest ratelogistical help. of uninsured persons of any county in California in an extensive UCLA study released last year. The well-publicized state budget deficit constrains additional spending for health.3. How We Select Partners: Partner institutions and organizations areselected through a rigorous qualification process. The selection criteria California’s network of nonprofit free and community clinics are a critical source of healthinclude the extent of poverty in the region and disease burden, the services for uninsured persons. Over the past eleven months, Direct Relief has created aknowledge and skill of the healthcare providers, and the quality of the mechanism to supply these clinics with pharmaceutical products and supplies they need to care for uninsured persons.services provided. Priority is given to facilities focusing on HIV/AIDs andproviding educational and preventive care to mothers and children. Since December 2003, Direct Relief has provided more than $3.4 million wholesale of pharmaceuticals and supplies to 51 community and free clinics in California through more4. How We Help: Direct Relief provides medicines, nutritional supple- than 75 shipments. Consistent with longstanding practice, Direct Relief provides only materialments, medical supplies, and equipment to approved partners, matching that is specifically requested by clinics, which are first screened to ensure appropriate licensing,donated products with items specifically requested by the facility’s reporting capacity, nonprofit status, and nondiscriminatory policies.medical staff. In the first ten months of 2004, Direct Relief has provided Direct Relief staff has worked closely with the consortia of nonprofit clinics and with pharmaceu-aid to over 13.2 million people through 356 shipments. Direct Relief tical companies to develop an efficient process to expand this type of support to serve low income,professional staff includes a Chief Medical Officer, a Pharmacist, and a uninsured persons in the State. A high percentage of the uninsured are “working poor” – personsBiomedical Technician who review requests from partners to ensure that who do not have insurance through their employment but whose incomes are too high to qualifyall medical donations are appropriate for the level and type of healthcare for public health insurance (through which prescription medications and treatment are available).services being provided. Among the challenges that a low-income (or any) uninsured person typically confronts is paying5. Why it Matters: Health has intrinsic value for every person, but it is more to fill a prescription than would be paid by a public or private insurer that has negotiatedalso essential for people to learn, work, and make a living. In developing a lower bulk rate. However, many pharmaceutical companies have programs through which low-income, uninsured persons may obtain needed prescriptions, and Direct Relief is workingcountries, financing health services is extremely difficult. Where patients to see how these programs might be streamlined.and governments lack funds and no private health insurance exists, notenough money is available to procure basic medical supplies and main- The clinic-support program also has provided dental instruments, general supplies, and over-the-tain an adequately staffed health facility. The trained health professionals counter medications, for which high demand exists. In addition to the expanded clinic-supportin poor countries represent the most important part of the healthcare program, Direct Relief has coordinated free dental clinics for low-income children with severeinfrastructure. Direct Relief’s support enables them to stay productively dental problems and expanded a disaster preparedness program for homebound persons, nursingengaged and their patients to receive needed care. homes, and others who are particularly vulnerable in the event of a disaster. By the end of this year, Direct Relief also will provide 15,000 dental kits for low-income children and their families and distribute over 5,000 personal care kits (containing approximately $50 worth of basic hygiene6. Shared Investment and Self-Help: To ensure a shared stake in the supplies) to homeless and very low-income families.assistance provided, each in-country partner is asked to assume responsi-bility for a small portion of the transport costs, usually from port-of-entryto in-country destination.7. What We Do at Home: Our local and statewide programs include sup-plying medicines and supplies to free and community clinics; providingdental education, services, and dental kits to homeless and low-incomechildren and families; screening agricultural workers for communicablediseases; and tackling disaster preparedness on several levels.8. Disaster Relief and Emergency Assistance: The same programmaticstandards apply whether providing ongoing assistance or disaster relief –we must know specifically what is required, who is responsible, how thematerial will be used, and whether there is a secure logistics channel. COURTESY DIRECT RELIEF INTERNATIONALFollowing these principles, in 2004, Direct Relief responded totwenty-four small and large disasters around the globe.9. Leading Companies Trust Us: Direct Relief works closely with thephilanthropic initiatives of dozens of healthcare companies, includingJohnson & Johnson, Merck, Pfizer, Abbott Laboratories, BD, Bristol-MyersSquibb, GlaxoSmithKline, and MidMark Corporation. For a complete listof our corporate partners, see page 10.10. Our Experience and Qualifications: Direct Relief’s programmaticapproach has been refined by 57 years of experience. We are a licensedwholesale pharmacy, and our staff has vast experience in internationalhealth and development. Visit our website to see a complete list of our PROPER DENTAL HYGIENE IS TAUGHT IN THE HEALTHY SMILES DENTAL PROGRAM.credentials and qualifications (www.directrelief.org).
  5. 5. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 PROGRAM HIGHLIGHTS INDEPENDENT ADVERTISING INSERT 5 PHOTO ©ALISON JONES PHOTOGRAPHYTERMA FOUNDATION TIBETAN MOTHER AND CHILD SAMBURU MOTHER HOLDING HER NEWBORN BABY, KENYA Mothersis and Children: Why Their Health Key A top priority of Direct Relief’s medical assistance program is the improvement of maternal and child health (MCH). upon by U.N. members, including the United States, and serve as the organizing framework for much of the governmental and private assistance efforts focused on developing countries. Direct Relief believes that local providers have the best knowledge of health needs and the greatest access to and trust of the community. Our selection of MCH projects is based on Worldwide, an ongoing crisis exists. According to the World the partner’s ability to provide both the services needed and Health Organization, every minute a woman dies from compli- The pervasiveness of the problem along with the great impact the strength of its outreach, prevention, and education efforts. cations related to pregnancy and childbirth – 1,600 each day, that simple, inexpensive interventions can make has led Direct Direct Relief also considers during selection the specific more than 600,000 each year, with more than 99 percent of Relief to focus on maternal and newborn health issues, making challenges of each population including: high incidence of the cases occurring in developing countries. increased efforts towards these issues as one of the primary goals unplanned pregnancies, high mortality rates among women of our Strategic Plan. Direct Relief supports the efforts of of childbearing age and their newborn, prevalence of sexually A hundred-fold difference in lifetime risk of dying during preg- on-the-ground MCH clinicians and projects by providing transmitted diseases, high incidence of nutrient deficiencies, nancy exists between the worlds poorest and richest countries. extensive assistance to maternity hospitals, women’s clinics, little or no access to health facilities, and lack of government Nearly 11 million children die each year – about 18 each pediatric facilities, midwifery programs, and maternal and child supported health care because of regional isolation. minute – the majority from easily preventable or treatable health outreach projects. In 2003, approximately 25 percent conditions. Moreover, the areas where maternal and child of our partner organizations conducted special MCH programs. While modest compared to the enormity of needs that exist mortality is highest have the highest birthrates, adding Our material assistance has included prenatal and pediatric in MCH care, Direct Relief’s material assistance to innovative immense social pressures on top of enormous human tragedy. multivitamins, infant baby warmers and scales, OB/GYN indigenous programs is essential to their success. In addition to surgical and delivery kits, examination and delivery tables, enabling these partners to care for women and children who There are many low-cost, highly-effective interventions that and health education posters. need services, our goal is to help their programs serve as models can significantly reduce life-threatening medical conditions. for clinical services and outreach in their respective countries. These include improved nutrition, birth preparedness, safe delivery, management of complications, and prevention of unintended pregnancies. MULTIVITAMINS: AN EFFECTIVE, LOW-COST INTERVENTION Malnutrition and micronutrient deficiencies are closely associated with many of the most significant and damaging health problems The major causes of maternal deaths are preventable by affecting the majority of people living in the developing world. A recent study published in the July 2004 issue of the New England Journal instituting basic care, providing adequate medical supplies, of Medicine found that multivitamin supplements delay the progression of HIV disease and provide an effective, low-cost means of and creating effective referral systems. Similarly, it is estimated delaying the initiation of antiretroviral therapy in HIV-infected women. that up to 70 percent of all newborn deaths are preventable with simple interventions during pregnancy, proper basic infant In 2004, Direct Relief received its largest donation of vitamins in its 56-year history – 44 million multivitamins donated by Global Partners care, and the presence of trained birth attendants. for Development. The initial shipments of vitamins were supplied – along with medicines, pharmaceutical products, medical supplies and equipment – to Direct Relief’s health-partner organization in Haiti, Jamaica, and Cambodia. Most of the vitamins will be furnished to The United Nations has made safeguarding maternal health Direct Relief-supported health programs in Africa. In total, the vitamins’ once-a-day formulation will provide over 120,000 persons a and reducing child mortality two of the eight Millennium full year’s supply of vitamins. Development Goals. These goals have been broadly agreed
  6. 6. 6 INDEPENDENT ADVERTISING INSERT PROGRAM HIGHLIGHTS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG "Working as a health service provider in Afghanistan has always been stressful, especially considering the enormous demand for drugs and supplies that are essential to meet the needs of the poor people. There has been a climate of doubt as to whether one could achieve good results. The support from Direct Relief with drugs, equipment, and other materials has filled a lot of gaps and brought about hope for the future. There has been a dramatic improvement KATHLEEN RAFIQ in the quality of hospital services from which a lot of Afghans are benefiting.” – Dr. SisawoDR. LAILA AND CHILDREN AT THE DIRECT RELIEF-SUPPORTED MACROYAN CLINIC IN KABUL Administrator for the Bamyan HospitalAfghanistan: After the Headlines FadeKELLY DARNELL, Program OfficerA fghanistan’s three decades of conflict and Taliban rule virtually destroyed its entire health system. Hospitalsand clinics were leveled, medical supplies exhausted, and Direct Reliefs focus has been on improving women’s and childrens health. According to the World Bank, over 16,000 Afghan women die each year frommost of Afghanistan’s modest ranks of healthcare profes- pregnancy-related complications, making Afghanistan thesionals fled the constant second-deadliest place toinsecurity and chaos. give birth in the world. The majority of child-bearingSince the fall of the Taliban women have no skilledin 2001, Direct Relief has assistance during delivery,worked to help the Afghan and two thirds of districtspeople rebuild their have no maternal andhealthcare system. Today, child health services at all,Afghanistan is reopening according to UNICEF.hospitals, training new The World Healthhealth professionals, and, Organization found thatwith our help, restocking about half of all Afghanfacilities with the pharma- children under five areceuticals, medical supplies, stunted due to malnutrition,and equipment critical for and about 25 percent ofproviding care to patients. children die before theirDirect Relief is currently fifth birthday, mostly from LINDA CULLENproviding ongoing support LAUGHING BROTHER AND SISTER IN KABUL KATHLEEN RAFIQ preventable illnesses.to four Afghan-run non-gov-ernmental organizations that collectively operate 13 health As this newsletter goes to print, three 20-foot containersposts, 16 health centers, and two hospitals. Over the last loaded with exam tables, multivitamins, bandages,year, we have donated 18 tons of medical goods through gauze, and other essential medical supplies from MOTHER AND CHILD AT A HEALTH CENTER IN BAMYANnine separate air and ocean freight shipments, with a Direct Relief are making the 7,500 mile journeywholesale value of over $1.3 million. to Afghanistan. “Since the opening of AIL’s clinic in Mir Bacha Kot, AFGHANISTAN: 2004 HIGHLIGHTS the overall health of the women has improved. In the past year, Direct Relief’s supporters have enabled us to: The health education efforts and hygiene materials • Improve the Health of Children in Kabul: In 2004, Direct Relief provided funds to build the Macroryan Clinic in Kabul and then equipped the facility. The clinic provides primary care, immunizations, well-child exams, and prenatal and postnatal care free of charge distributed have been a great help and made great to a community of over 600 orphans and 5,000 families. improvements, especially the health education for • Make Childbirth Safer for Mothers and Children: Direct Relief has continued its ongoing support to the four maternal and child women on disease prevention and reproductive health clinics run by the Afghan Institute for Learning (AIL). Staffed and operated by Afghan women, each AIL clinic treats approximately 1,500 women and children and delivers over 100 babies a month. To combat the high rates of maternal mortality, AIL health. With basic health services like these, also coordinates a six month midwife training program for approximately 100 midwives twice a year. Direct Relief has supplied each the health of rural Afghan women clinic with items such as delivery tables, OB/GYN delivery instruments, baby scales, infant vitamin drops, and prenatal vitamins, as well as a midwife kit for each graduate of the midwife training program. can be improved throughout Afghanistan.” • Reopen the Doors to Health Care in the Bamyan Province: Direct Relief restocked the Bamyan Hospital, which was looted and – Sakeena Yacoobi closed in 1998, and this year reopened its services to the public. This nonprofit referral hospital is the primary care provider for the Director of the Afghan Institute for Learning (AIL) 400,000 people living in the Bamyan province. Over the past year, the number of patients seen at the facility has risen from 100 to 240 per day. The majority of patients are women and children seeking care for pregnancy-related trauma, acute respiratory infection, Kelly Darnell has been a Program Officer at Direct Relief diarrheal disease, measles, malaria, car accidents, and landmine-related injuries. Direct Relief has donated hospital beds, mattresses, exam for five years. She previously served as a healthcare educator tables, baby scales, OB/GYN delivery instruments, stethoscopes, children’s and infant’s Tylenol, pre-natal vitamins, and antibiotics. with the Peace Corps in Cote d’Ivoire, West Africa and is a certified EMT.
  7. 7. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 PROGRAM HIGHLIGHTS INDEPENDENT ADVERTISING INSERT 7 Tanzania: Notes from the Field CHRISTIENNE DURBIN, Program Officer T anzania is ranked by the U.N. as one of the poorest countries in the world. It is a country of 35 million people, about the same population as California in an area roughly twice California’s size. Few resources exist to combat AIDS, malaria, and malnutrition, which are widespread. The current life expectancy at birth is just 44 years. In July of 2004, I visited Direct Relief partner Karagwe Development and Relief Services (KADERES), a Tanzanian non-governmental organization working in the country’s COURTESY CHRISTIENNE DURBIN extreme northwestern corner. This area is home to coffee and banana farmers who eke out a living barely above subsis- tence. At the time of my visit, the rate paid by coffee brokers for a kilo of coffee was about two U.S. cents. KADERAS was established in 1997 to assist villagers living in this resource-poor and isolated area. The organization works to improve the quality and availability of healthcare services by supporting over 30 medical facilities located throughout the district. Its goals include reducing infant and maternal mortality rates, decreasing the rate of HIV/AIDS PROGRAM OFFICER CHRISTIENNE DURBIN ADDRESSES THE STAFF OF KADERES IN KARAGWE, TANZANIA. infection, providing comprehensive reproductive health services, and immunizing all children less than one year of Direct Relief partnered with U.S.-based Global Partners for materials by Direct Relief have augmented the provision of age in a catchment area of over 190,000 people. It also builds Development to support Nkwenda’s initiative to reduce health services in Karagwe District and have helped us in our dispensaries in villages that lack any medical services. maternal and child mortality by equipping the facility’s fight to reduce the high maternal and child mortality rates. newly constructed, and only, operating theatre. The nearest Bless you for what you are doing for us.” Since 1999, Direct Relief has been providing KADERES surgical facility is 43 kilometers away, and over the past three medical material for use in its network of healthcare years there have been 45 maternal deaths from ruptured The most recent assistance shipment to KADERES facilities. Over 55,000 patients have benefitted from Direct uterus and post-partum hemorrhage attributable to late contained emergency supplies for the Nkwenda Rural Health Relief’s donations of medicines, nutritional supplements, referral due to distance and poor transportation. A Center in response to damage due to a destructive storm. medical supplies, and medical equipment. functioning operating room will drastically reduce KADERES-supported clinics are the sole source of health maternal and infant mortality rates. care for tens of thousands of hardworking people in During my Tanzania, and Direct Relief plans to continue to support stay, I visited seven of the “The current life expectancy at birth its outstanding work. Tanzania confronts many obvious problems in health. It is a privilege to work with one of is just 44 years.” Direct Relief-supported health centers and dispen- saries. One of these facilities was the Nkwende Rural Health Center, which serves a population of the solutions. Christienne Durbin served as an HIV/AIDs health educator in Liberia with the Peace Corps and as a public health more than 100,000 people. Each day over 100 patients, many official in the US before joining Direct Relief International. of whom must walk over 20 kilometers, come to the Center Our Tanzanian partners were enormously gracious hosts and She is one of two program officers for Africa and also for consultations and treatment. their commitment is inspiring. Leonard Kachebonaho, administers Direct Relief’s domestic program for KADERES Executive Secretary explained the importance of Vulnerable Populations. Direct Relief’s work in Tanzania: “The donations of medical Haiti: Notes from the Field DAN SMITH, Senior Program Officer STADA Pharmaceutical oral rehydration salts, dermatologi- Haiti is a difficult country in which to work. During these cal agents, antiparasitic medicines, and multivitamins. disasters a temporary appointed council, assembled after the I n September 2004, torrential rains from tropical storm Jeanne hit Haiti and the Dominican Republic, causing vast damage as swollen rivers flooded towns and landslides wiped In July, I was able to follow-up on our initial emergency sup- February collapse of the Aristide government, was function- ing as the central government. In this situation, without gov- port when I visited Haiti and the Dominican Republic, meet- ernment safeguards to ensure security of disaster aid, a trusted out entire neighborhoods. In the final reckoning, the floods ing with the Social-Cultural Movement for Haitian Workers in-country partner like MOSCHTHA on the ground was and storms killed a staggering 2,000 people and left another (MOSCTHA), our partner in this relief endeavor. Dr. Joseph critical to deliver a fast and targeted response. 300,000 homeless and without work. The damage, devastat- Cherubin, MOSCTHA’s director, and I traveled to Jimani ing in its own right, was even in the Dominican Republic, where MOSCTHA operates a In September, Direct Relief relied on this tested partnership more tragic considering that mobile medical van that travels across the border into Haiti. in responding to tropical storm Jeanne. Direct Relief air the island had not even begun freighted over 100,000 tablets of antibiotics, analgesics, first to recover from deadly floods Even then, before the more severe September storms, Haiti aid supplies, multivitamins, dermatological agents, and surgi- three months earlier. was in a state of devastation and was receiving minimal help cal supplies to Santo Domingo, where MOSCTHA received from the outside world. Haiti is the poorest country and Direct Reliefs donation and again crossed the Haitian border Direct Relief quickly responded has the highest rate of infant mortality in the Western in its van in order to work directly with its established to both storms with medical hemisphere. Four of five people among Haiti’s six million Haitian partners on the ground there. aid. In June, in response to the inhabitants live in abject poverty, and the life expectancy first floods, Direct Relief sup- is only 46 years. We are planning more aid to Haiti in the coming months. plied two tons of specifically Even as the news coverage of these horrific disasters fades requested medical aid, includ- Despite the well-publicized damage to the country, there away, Direct Relief is committed to assisting the flood ing Johnson & Johnson was little evidence of support from aid organizations, either victims in Haiti as the long-term implications of this “disaster modules,” whichANA FUENTES domestic or international, in many of the towns that we visit- natural disaster continue to unfold. contain analgesics, first aid ed. I was impressed by MOSCTHA’s response to the crisis supplies, and personal care amidst all the need and disarray. Having worked on the Dan Smith, M.A., is Direct Relief’s Senior Program items. The assistance also Haiti-Dominican Republic border for almost 20 years and Officer for Latin America. He has worked for included antibiotics from being run by Haitian nationals, MOSCTHA’s knowledge the agency for seventeen years. A HAITIAN GIRL CARRIES WATER AT A REFUGEE CAMP IN JIMANI Bristol-Myers Squibb and of the area and its communities was an obvious strength.
  8. 8. 8 INDEPENDENT ADVERTISING INSERT OUR PARTNERS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORGJILL REARDON LAUGHING BOY, CAMBODIA O U R I N T E R N AT I O N A L P A R T N E R S In the first nine months of 2004, Direct Relief partnered with healthcare projects and facilities in 51 countries to provide medical assistance. The total wholesale value of this support was over $59 million. AFGHANISTAN TOTAL SUPPORT: $1,299,529 CONGO, D.R. TOTAL SUPPORT: $7,777 GUATEMALA TOTAL SUPPORT: $7,901,701 Partners: Afghan Coordination of Humanitarian Assistance Partner: Boma Ophthalmic Hospital – Boma Partners: Adonai International Ministries – Canilla, A – Farah Province, Afghan Health and Development Services Tomorrow for Children Foundation/ Unidad Nacional de – Kandahar Province, Afghan Humanitarian Goals CUBA TOTAL SUPPORT: $3,515 Oncologia Pediatrica – Guatemala City, Caritas Arquidio Association – Kabul, Afghan Institute for Learning – Partner: Martin Luther King Center – Havana Cesana – Guatemala City, DOCARE International Mission Kabul/Jalalabad/Herat, Bamyan Province Referral Hospital – – San Andres Itzapa, Llano Verde Clinic – Guatemala City, Bamyan, Jamaludin Wardak Clinic – Onkai Village, DOMINICAN REPUBLIC TOTAL SUPPORT: $710,235 Order Of Malta – Guatemala City, Santa Rosa Medical Macroryan Medical Clinic – Kabul Partners: Batey Relief Alliance – Santo Domingo, Global Clinic – Guatemala City, Xela Aid – Quetzaltenango Links – Santo Domingo, Health Care Education Partnership ARMENIA TOTAL SUPPORT: $439,797 – Santo Domingo, Movimiento Socio Cultural Para Los GUYANA TOTAL SUPPORT: $1,392,654 Partners: Angioneurology Clinic & Research Center – Trabajadores Hatianos – Jimani, Patronato Benefico Partners: Bartica Hospital – Bartica, Berbice River Yerevan, Health Ministry of Armenia – Yerevan Oriental, Inc. – La Romana Healthcare Project – Georgetown, Davis Memorial Hospital – Georgetown, Linden Hospital – Linden, Mahaicony BANGLADESH TOTAL SUPPORT: $511,839 EL SALVADOR TOTAL SUPPORT: $4,876,138 District Hospital – Mahaicony, New Amsterdam Hospital – Partner: Shidhulai Swanirvar Sangstha – Dhaka Partners: Clinica Maria Madre de los Pobres – San Salvador, New Amsterdam, Port Mourant Hospital – Port Mourant, Committee for the Reconstruction of Communities – St. Josephs Mercy Hospital – Georgetown BOLIVIA TOTAL SUPPORT: $474,321 Suchitoto, Fundacion Nuevos Horizontes Para Los Pobres – Partners: Organizacion Panamericana de Salud – La Paz, Ciudad Delgado, Fundacion Salvadorena (FUSAL) – San HAITI TOTAL SUPPORT: $1,245,201 Proyecto de Salud del Rio Beni – Rurrenabaque Salvador, Secretaria Nacional de la Familia / FUDEM – San Partners: Arcachon Hospital/ Food for the Poor – Port-Au- Salvador Prince, Christian Aid Ministries – Titanyen, New Hope CAMBODIA TOTAL SUPPORT: $848,115 Ministries – Cap Haitien, Project Haiti – Cap-Haitien, St. Partners: Angkor Hospital for Children – Siem Reap, ESTONIA TOTAL SUPPORT: $186,770 Ignatius Medical Mission – Beaumont Mongkul Borei Hospital – Mongkul Borei, Sihanouk Partner: Nursing Home Consortium – Parnu Hospital Center – Phnom Penh HONDURAS TOTAL SUPPORT: $105,919 ETHIOPIA TOTAL SUPPORT: $635,531 Partners: Brigada de Salud / Honduras Relief Effort – CAMEROON TOTAL SUPPORT: $681,000 Partners: Addis Ababa Fistula Hospital – Addis Ababa, Tegucigalpa, Escuela Agricola Panamericana Zamorano – Partners: Fraternity Medical Center – Buea, Mamfe General AlShaday Childrens Village – Mekelle, Free Methodist Tegucigalpa, Hacienda Cristo Salva – Santa Barbara Hospital – Mamfe, Quality Healthcare Unit – Yaounde World Mission Health Center – Addis Ababa INDIA TOTAL SUPPORT: $358,221 CHINA TOTAL SUPPORT: $19,731 FIJI TOTAL SUPPORT: $33,982 Partners: Hyderabad Eye Institute – Hyderabad, Pasam Trust Partners: Love without Borders – Shanton, Shangye Charity Partner: Loloma Foundation – Beqa Island – Kodaikanal, Society for Service to Voluntary Agencies – Hospital – Ganzi County, Tibetan Healing Fund – Kumbum Mumbai, Wanless Hospital – Miraj GHANA TOTAL SUPPORT: $273,061 COLOMBIA TOTAL SUPPORT: $52,638 Partner: Jehovah Rapha Health Care Foundation Motoka INDONESIA TOTAL SUPPORT: $241,617 Partner: Club Rotario de Medellin – Medellin Clinic – Accra, Korle-Bu Teaching Hospital – Accra, Partners: Hobawawi Medical Clinic – Desa Rua, Rumah Maranatha Maternity and Clinic – Kumasi Sakit Moripa, RSD and Karitas Hospitals – Sumba Barat, Yayasan Bumi Setat Birthing Center – Bali
  9. 9. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 OUR PARTNERS INDEPENDENT ADVERTISING INSERT 9JONATHAN ALEPYRIE FRANK BOTT A YOUNG GIRL IN THE DEMOCRATIC REPUBLIC OF CONGO A NURSE PERFORMS A WELL-BABY EXAM IN EL SALVADOR. IRAN TOTAL SUPPORT: $400,100 NEPAL TOTAL SUPPORT: $5,226 SOUTH AFRICA TOTAL SUPPORT: $13,963 Partners: Red Crescent Society of Mazandaran Province– Partner: Tibetan Refugee Reception Center – Kathmandu Partner: Tshisimane Healing Center – Soutpansberg Bam/Chaloos NICARAGUA TOTAL SUPPORT: $7,271,193 SOUTH KOREA TOTAL SUPPORT: $9,691 IRAQ TOTAL SUPPORT: $6,232,643 Partners: American Nicaraguan Foundation/MINSA – Partner: St. John of God Clinic – Kwang-Ju Partners: Army/ AF Medics – Balad, Freedom and Peace Managua, Caritas de Nicaragua – Managua, Nicaraguan Trust / Iraq MH – Nazirieh Childrens Fund – Puerto Cabezas, Wisconsin/Nicaragua TANZANIA TOTAL SUPPORT: $539,017 Partners of the Americas – Managua Partners: Health Department/ KADERES – Karagwe - JAMAICA TOTAL SUPPORT: $11,821,702 Kagera, Sumbawanga Regional Hospital –Sumbawanga Partners: Falmouth Hospital – Falmouth, Food for the Poor NIGERIA TOTAL SUPPORT: $174,801 – Spanish Town, Jamaica Humanitarian Dental Mission –St. Partners: Antof Rural Resource Center – Oron, St. Gerards TOGO TOTAL SUPPORT: $1,664 James, Missionaries of the Poor – Kingston Catholic Hospital – Kaduna Partner: Baptist Hospital of Togo – Tsico KENYA TOTAL SUPPORT: $532,585 PAKISTAN TOTAL SUPPORT: $171,362 UGANDA TOTAL SUPPORT: $223,132 Partners: Alice Nursing Home – Nairobi, Crescent Medical Partner: Bethania Hospital – Sialkot Partners: East Africa Medical Mission – Kampala, St. Marys Aid – Nairobi, Kapkoi Mission Health Center – Eldoret, Clinic Solidale – Kabale Waso Medical Services –Isiolo PERU TOTAL SUPPORT: $1,340,959 Partners: Arzobispado de Lima – Lima, Carcel San Juan de UKRAINE TOTAL SUPPORT: $112,409 LAOS TOTAL SUPPORT: $1,157 Lurigancho – Lima, Hospital Cayetano Heredia – Piura, Partner: Rohatyn Central District Hospital – Rohatyn Partners: Mahosot Hospital – Vientiane, Muang Sing Hospital de Apoyo Puquio – Puquio, Hospital Regional de Hospital –Muang Sing Ayacucho – Ayacucho, ISPTR – Iquitos VENEZUELA TOTAL SUPPORT: $25,843 Partner: Turimiquire Foundation – Cumana LIBERIA TOTAL SUPPORT: $765,961 PHILIPPINES TOTAL SUPPORT: $2,694 Partners: Christian Aid Ministries – Monrovia, ELWA Partners: Dr. Jose Locsin Memorial Hospital – Silay City WEST BANK/GAZA TOTAL SUPPORT: $360,860 Hospital – Monrovia Partners: American Near East Refugee Aid – Jerusalem, St. ROMANIA TOTAL SUPPORT: $1,110,899 John Eye Hospital – Jerusalem, West Bank & Gaza Health MALAWI TOTAL SUPPORT: $341,285 Partner: Christian Aid Ministries Romania – Floresti Facilities – West Bank/Gaza Partners: Montfort Hospital – Nchalo, Queen Elizabeth Central Hospital – Blantyre, Trinity Hospital – Limbe SENEGAL TOTAL SUPPORT: $250,966 ZAMBIA TOTAL SUPPORT: $557,080 Partners: Clinique Seydina Issa Rouhou Laye – Dakar, Partner: St. Francis Katete Hospital – Katete MEXICO TOTAL SUPPORT: $219,473 USAID Senegal/Partner Health Centers – Countrywide Partners: AeroMedicos of Santa Barbara – Cadeje, Centro de ZIMBABWE TOTAL SUPPORT: $528,719 Salud Rural Bucerias – Bucerias, Centro de Salud Todos SIERRA LEONE TOTAL SUPPORT: $2,500 Partner: J.F. Kapnek Charitable Trust – Avondale Santos – Todos Santos, Juarez Eye Center – Ciudad Juarez, Partner: Ndegbormei Development Organization – Freetown Potters Clay –Ensenada
  10. 10. 10 INDEPENDENT ADVERTISING INSERT OUR INVESTORS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG OUR FINANCIAL INVESTORS:OUR CORPORATE PARTNERS Ambassador of Health Consul GeneralDirect Relief depends on the generosity of many corporations to provide ($100,000 +) ($50,000+)the medical product we send around the world. We would like to thank the Anonymous The Antioch Companyfollowing companies that supported us during the first three quarters of 2004: Babette L. Roth Irrevocable Trust Mrs. Sheila Johnson Brutsch3M Pharmaceuticals Lane Instrument Corp. Santa Barbara Vintners Foundation Bush Hospital FoundationAbbott Laboratories Lombart Instrument Mr. and Mrs. Jon B. LovelaceAccutome, Inc. LW Scientific, Inc. Mr. and Mrs. C. William SchlosserAdvanced Medical Optics McKesson Medical-SurgicalAlcon Laboratories, Inc. McNeil Consumer & Specialty Global Emissaries:Allergan, Inc. Medical Innovations, Inc. ($25,000+)American Society for Microbiology Medline Industries, Inc.Ansell Healthcare Incorporated Mentor Corporation Anonymous (2) Hy Cite CorporationAntioch Company Merck & Company, Inc. Capital Group Co. Charitable Fnd. Pfizer, Inc.Astra Tech Microflex Mr. and Mrs. Killick Datta Mr. and Mrs. Harold SimmonsAventis Pharmaceuticals, Inc. Midmark CorporationBausch & Lomb Surgical Company Nellcor World Health Envoy - ($10,000+ )BC Group International Nexxus Products Company Anonymous Izumi FoundationBC Medical Products Ohio State University Medical American Jewish World Service Mr. James Jackson/ The Ann Jackson Anticouni & Associates/ Mr. Bruce Anticouni Family FoundationBD School The Archstone Parterships Kind World FoundationBeiersdorf Inc. Omron Healthcare, Inc. Mr. and Mrs. Thomas J. Cusack MSST FoundationBristol-Myers Squibb Company Onyx Medical Eiting Foundation National Philanthropic Trust DAFCodman & Shurtlef Ortho-McNeil Pharmaceutical, Inc. Estonian Am. Fund for Economic Edu., In. Nichols Foundation, Inc.ConMed Owens and Minor Corp. FedEx Mr. and Mrs. Donald E. PetersenCrosstex International Pfizer Consumer Healthcare Global Partners for Development Mr. and Mrs. Pete Schmidt-PetersenDen-Mat Corporation Proctor & Gamble Guyana Medical Relief Mr. and Mrs. John W. SweetlandDon Wilson Company Purdue Pharma, L.P. Dr. and Mr. Roger W. Higgins/ Higgins- Alice Tweed Tuohy FoundationEast West Associates Redwood Bio Tech Trapnell Family Foundation Mr. and Mrs. James VillanuevaEthex Corporation Reichert Ophthalmic Instruments Presidents Council - ($5,000+)Ethicon, Inc. Respironics, Inc. Anonymous Ms. Frances E. KentFedEx Shaman Botanicals Abbott Laboratories Fund The Kingsley Foundation/Fine Science Tools Inc. Spenco Medical Corporation Mr. and Mrs. John H. Adams Mr. and Mrs. Laurence K. MillerFive Star Supplies Co. STADA Pharmaceuticals, Inc. Amigos Del Peru Foundation, Inc. Mr. Barry KravitzForest Pharmaceuticals Sunstar Butler Aventis Pharmaceuticals, Inc. Ms. Nancy M. LessnerFNC Medical Corporation Surgistar, Inc Mr. and Mrs. William J. Bailey Mr. and Mrs. Michael M. McCarthyGlaxoSmithKline Tanita Corporation of America, Inc. Mr. and Mrs. Philip M. Battaglia Montecito Rotary ClubGlobal Brand Marketing Inc. Tea Tree Therapy Mr. and Mrs. Robert Blecker Mrs. Caroline Power Kindrish TrustGlobal Medical Assistance Tempur-Pedic, Inc. Bristol-Myers Squibb Company PacifiCare FoundationGlobal Partners for Development Tenet Healthcare Foundation Henry W. Bull Foundation Mr. Alan R. Porter and Ms. Brenda BlalockHavels Incorporated TEVA Pharmaceuticals USA Cox Communications Mr. and Mrs. Michael E. PulitzerHenry Schein, Inc. Textilease Medique Friends of Magic Moments Children, Inc. Mr. and Mrs. Denis Sanan Mr. and Mrs. Joseph Hardin, Jr. Santa Barbara FoundationHuntsville Emergency Medical The McGraw-Hill Companies Mr. and Mrs. S. Roger Horchow Mr. and Mrs. Richard SchallHy Cite Corporation The National Pediculosis Mr. and Mrs. Derk Hunter Mr. and Mrs. Paul H. TurpinJanssen Pharmaceutica, Inc. Assoc., Inc. Hutton Foundation Ukrainian Civic Center, Inc.Johnson & Johnson Tronex International, Inc. Inamed Dr. and Mrs. Thomas A. WeberJohnson & Johnson Consumer U. S. Surgical Corporation, Tyco Mr. and Mrs. Richard JohnsonKendall Healthcare, Tyco Valleylab Inc., TycoKimberly-Clark Corporation Vanguard Ministers of Health - ($2,500+)King Pharmaceuticals, Inc. Vitaminerals, Inc. Anonymous Mr. Larry Koppelman and Mrs. NancyK.V. Pharmaceutical, Corp. Watson Pharmaceuticals, Inc. Mr. and Mrs. Stephen Adams Walker KoppelmanLabEssentials, Inc. Western Scientific Co. Mr. and Mrs. Ralph J. Begley Dr. Ralph Kuon Mr. and Mrs. Arnold Bellowe The Marilyn & Bob Laurie Foundation, Inc.We would also like to thank the many individuals, clinics, and hospitals Mr. and Mrs. Jerry Biggs Mr. Robert Lieffthat donated medical products to help people in need worldwide. Mr. Charles M. Blitz Mr. and Mrs. William R. Lindsay Christian Aid Ministries Mr. and Mrs. John Macomber Mr. and Mrs. Jim Clendenen Mr. and Mrs. Emmett McDonough The Lillian H. & C. W. Duncan Foundation Mr. Steven McDonough Mr. and Mrs. Christopher Eber Organon International El Capitan Ranch, LLC/ Mr. and Mrs. Everett Pachner Mr. and Mrs. Roger Himovitz Pacific Capital Bancorp/ Santa Barbara Bank Please remember us in Mr. and Mrs. Brooks Firestone Mr. and Mrs. William H. Freudenstein, III G.I. Trucking Company and Trust Mr. and Mrs. Austin H. Peck, Jr. Piatti your will or estate plan. Mr. Erle Holm Mrs. Alice W. Hutchins Joseph E. & Gina Laun Jannotta Foundation Mr. and Mrs. Daniel Randopoulos/ Metson Marine Mr. and Mrs. David Rasmussen Mr. John Johnson Mr. and Mrs. J. P. Roston Joshua L. Mailman Charitable Trust Ms. Lee Thomas Mr. Wesley H. Kelman U.S. Trust Company, N.A. Mr. and Mrs. Ralph Kiewit, Jr. Westmont College Mr. and Mrs. Andrew Klavan